Thorax Podcast

Comparing COVID detection rates for oral and nasal swabs, with Dr. Tobias Todsen

Head and neck consultant Dr. Tobias Todsen (1) joins the podcast from Copenhagen to speak with social media editor Dr. Kate Diomede. The topic of conversation is the recent paper, "Higher SARS-CoV-2 detection of oropharyngeal compared with nasopharyngeal or saliva specimen for molecular testing: a multicentre randomised comparative accuracy study" (https://thorax.bmj.com/content/78/10/1028). They discuss the sensitivity of different test combinations, cultural inclinations for certain kinds of testing, and the cost implications of each approach.
 
(1) Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet – Copenhagen University Hospital, Copenhagen, Denmark
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Linking obesity and asthma, with Dr. Hayley Scott

In a conversation touching on diet, fat distribution, and inflammatory pathways, Dr. Hayley Scott (1) speaks with host Dr. Kate Diomede about the recent paper, “Effect of obesity on airway and systemic inflammation in adults with asthma: a systematic review and meta-analysis".
Read the article here: https://thorax.bmj.com/content/78/10/957 
(1) School of Biomedical Sciences and Pharmacy, The University of Newcastle, NSW, Australia
Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - Thorax.BMJ) and subscribe on your preferred platform, to get the latest episodes directly on your device each month. We would love to hear your thoughts on the podcast, you can leave a review on Apple Podcasts or Spotify.

Community-acquired pneumonia readmissions, with Dr. Wei Shen Lim

Dr. Wei Shen Lim (1) joins Thorax's podcast host and social media editor Dr. Kate Diomede to talk over the recent research paper, “Readmission following hospital admission for community-acquired pneumonia in England”.
Read the article here: https://thorax.bmj.com/content/early/2023/07/28/thorax-2022-219925
(1) Department of Respiratory Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK
Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - Thorax.BMJ) and subscribe on your preferred platform, to get the latest episodes directly on your device each month. We would love to hear your thoughts on the podcast, you can leave a review on Apple Podcasts or Spotify.

Preterm birth and bronchopulmonary dysplasia, with Dr. Elizabeth Smith

Dr. Kate Diomede, podcast host and Thorax social media editor, is joined by Dr. Elizabeth Smith (1) to discuss a study on the longterm respiratory outcomes for survivors of very preterm birth, titled "Risk factors for poorer respiratory outcomes in adolescents and young adults born preterm."
Read the article here: https://thorax.bmj.com/content/early/2023/05/18/thorax-2022-219634 
Find more info on the team's work at: https://walyanrespiratory.telethonkids.org.au/news-and-events/2023/may/WALHIP-young-adult-follow-up-study/
 
(1) Wal-Yan Respiratory Research Centre, Telethon Kids Institute, Perth, Australia
 
Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - Thorax.BMJ) and subscribe on your preferred platform, to get the latest episodes directly on your device each month. We would love to hear your thoughts on the podcast, you can leave a review on Apple Podcasts or Spotify.

New BTS pleural disease guideline, with Prof. Najib Rahman and Prof. Nick Maskell

Dr. Kate Diomede, podcast host and Thorax social media editor, is joined by Prof. Najib Rahman (1) and Prof. Nick Maskell (2) to discuss the July 2023 update of the British Thoracic Society's guideline for treatment of pleural disease. This document was last updated in 2010, and now accounts for the high quality data provided by more recent trials, as well as modern practices informed by those.
Read the guideline here: https://thorax.bmj.com/content/78/Suppl_3/s1
(1) Oxford Respiratory Trials Unit, Oxford University, UK
(2) Academic Respiratory Unit, Bristol University, UK
 
Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - Thorax.BMJ) and subscribe on your preferred platform, to get the latest episodes directly on your device each month. We would love to hear your thoughts on the podcast, you can leave a review on Apple Podcasts or Spotify.

Lung cancer screening with Dr. Sam Janes

Dr. Kate Diomede, social media editor at Thorax, is joined by Dr. Sam Janes (1) to discuss the history of lung cancer screening, and its use in early detection. They also examine the process and results of his recent paper, "Growing small solid nodules in lung cancer screening: safety and efficacy of a 200 mm3 minimum size threshold for multidisciplinary team referral". The paper is available online: https://thorax.bmj.com/content/78/2/202
(1) Lungs for Living Research Centre, UCL Respiratory, University College London, UK.
Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - @Thorax.BMJ · Pulmonologist) and subscribe on your preferred platform, to get the latest episodes directly on your device each month.

Not all vaping is the same: CBD vs nicotine

Dr. Kate Diomede, social media editor at Thorax, is joined by Dr. Yasmin Thanavala (1) to discuss her group's recent research paper, "Not all vaping is the same: differential pulmonary effects of vaping cannabidiol versus nicotine". Their study used a using a mouse model of vaping and in vitro experiments with human cells. The paper is available online: https://thorax.bmj.com/content/early/2023/04/02/thorax-2022-218743
Hear the previous discussion with Prof. Nick Hopkinson on policy relating to vaping and smoking: https://on.soundcloud.com/cjFhd
(1) Prof. Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - @Thorax.BMJ · Pulmonologist) and subscribe on your preferred platform, to get the latest episodes directly on your device each month.

Smoking and vaping: policy and challenges with Nick Hopkinson

Dr. Kate Diomede, social media editor at Thorax, is joined by Prof. Nick Hopkinson(1) to delve into the history of smoking policy in the UK, as well as detailing the lay of the land in current smoking-cessation practices, especially pertaining to vaping. Hear the previous discussion with Prof. Andrew Bush on recent developments in paediatric therapy: https://on.soundcloud.com/PY9Nz (1) Prof. of Respiratory Medicine, Imperial College London, Respiratory Consultant, Royal Brompton Hospital, Associate Editor of Thorax, Chair of ASH (Action on Smoking in Health) UK Charity https://twitter.com/COPDdoc Relevant papers and references:
Millennium cohort – child smoking uptake related to parents and peers smoking https://pubmed.ncbi.nlm.nih.gov/30442657/
Confirming the impact of standardised packaging https://pubmed.ncbi.nlm.nih.gov/33093164/ 
Effectiveness of ban on smoking in cars with children https://pubmed.ncbi.nlm.nih.gov/31988266/ 
Smoking and increased risk from COVID https://pubmed.ncbi.nlm.nih.gov/33402392/ 
https://pubmed.ncbi.nlm.nih.gov/34580193/
Javed Khan’s independent report commissioned by UK Govt: Making Smoking Obsolete https://www.gov.uk/government/publications/the-khan-review-making-smoking-obsolete/making-smoking-obsolete-summary
Cochrane systematic review suggests vaping is more effective for smoking cessation than NRT https://www.cochrane.org/CD010216/TOBACCO_can-electronic-cigarettes-help-people-stop-smoking-and-do-they-have-any-unwanted-effects-when-used
Recent evidence update on risk of vaping for OHID concludes, “vaping poses only a small fraction of the risks of smoking.” https://www.gov.uk/government/publications/nicotine-vaping-in-england-2022-evidence-update/nicotine-vaping-in-england-2022-evidence-update-summary
NICE guidance on nicotine vapes to help smokers quit https://www.nice.org.uk/guidance/ng209/chapter/recommendations-on-treating-tobacco-dependence#stop-smoking-interventions
British Thoracic Society guidance on tobacco harm reduction https://www.brit-thoracic.org.uk/document-library/governance-and-policy-documents/position-statements/tobacco-and-smoking-march-2020/
National Centre for Smoking Cessation Training https://www.ncsct.co.uk/publication_Support_stop_vaping.php
Cigarette Smoking: An Assessment of Tobacco's Global Environmental Footprint Across Its Entire Supply Chain https://pubs.acs.org/doi/10.1021/acs.est.8b01533
ASH: Use of e-cigarettes (vapes) among young people in Great Britain https://ash.org.uk/uploads/Use-of-e-cigarettes-among-young-people-in-Great-Britain-2022.pdf
Competing interests: None declared.
Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - @Thorax.BMJ · Pulmonologist) and subscribe on your preferred platform, to get the latest episodes directly on your device each month.

Recent developments in paediatric therapy with Prof. Andrew Bush

In this episode Dr. Kate Diomede, social media editor at Thorax, speaks with Prof. Andrew Bush(1) about the state of paediatric treatment for thoracic issues, including discussion of cystic fibrosis and asthma.
Hear the previous discussion with Prof. Ian Hall on the future of respiratory medicine: https://on.soundcloud.com/yb7pJ
(1) Consultant paediatric chest physician at Royal Brompton Hospital;
Professor of paediatric respirology, National Heart and Lung Institute, Imperial College London.
Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - @Thorax.BMJ · Pulmonologist) and subscribe on your preferred platform, to get the latest episodes directly on your device each month.
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MUC5B, telomere length and longitudinal quantitative interstitial lung changes: the MESA Lung Study

Dr. Kate Diomede, social media editor at Thorax, speaks with Dr. Anna Podolanczuk(1) and Dr. John Kim(2) about their article, "MUC5B, telomere length and longitudinal quantitative interstitial lung changes: the MESA Lung Study", published in Thorax:
https://thorax.bmj.com/content/early/2022/08/04/thorax-2021-218139
Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - @Thorax.BMJ · Pulmonologist) and subscribe on your preferred platform, to get the latest episodes directly on your device each month.
(1) Division of Pulmonary and Critical Care, Weill Cornell Medical College, New York, New York, USA
(2) Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA
Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA
This episode was produced by Letícia Amorim and edited by Brian O'Toole.
If you enjoy the Thorax Podcast, please leave us a rating and a review on the Thorax Podcast page on iTunes - https://podcasts.apple.com/gb/podcast/thorax-podcast/id343304910.