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Continuous versus intermittent inhaled corticosteroid (budesonide) for mild persistent asthma in children--not too much, not too little

The clinical efficacy of inhaled corticosteroids (ICSs) in asthma has been demonstrated in long-term intervention studies,1 2 and ICSs are recommended first-line treatment of persistent asthma, even in children.3 The...

Sam 28 01 2012 Bibliographie

In search of the fibrotic epithelial cell: opportunities for a collaborative network

Idiopathic pulmonary fibrosis (IPF) is a chronic progressive disease of unknown aetiology. It has a very poor prognosis and no effective treatment. There are two major barriers to the development...

Sam 28 01 2012 Bibliographie

Continuous versus intermittent inhaled corticosteroids for mild persistent asthma in children: not too much, not too little

The goal of asthma treatment is to prevent exacerbations, achieve daily asthma control and prevent adverse effects with a minimum of medication. In preschoolers, children and adolescents with mild persistent...

Sam 28 01 2012 Bibliographie

Occupational exposure to organic dust increases lung cancer risk in the general population

Background Organic dust is a complex mixture of particulate matter from microbial, plant or animal origin. Occupations with exposure to animal products have been associated with an increased lung cancer risk,...

Sam 28 01 2012 Bibliographie

Dyspnoea severity and pneumonia as predictors of in-hospital mortality and early readmission in acute exacerbations of COPD

Background Rates of mortality and readmission are high in patients hospitalised with acute exacerbations of chronic obstructive pulmonary disease (AECOPD). In this population, the prognostic value of the Medical Research Council...

Sam 28 01 2012 Bibliographie

An Association Between Neutrophils and Immunoglobulin Free Light Chains in the Pathogenesis of COPD.

CONCLUSION: This study describes for the first time an association between neutrophils and IgLC in the pathophysiology of COPD, which could open new avenues to targeted treatment of this chronic...

Sam 28 01 2012 Bibliographie

Anaphylaxis as an adverse event following immunisation in the UK and Ireland.

Anaphylaxis is a rare adverse event following immunisation (AEFI) and unlikely to be detected in prelicensure vaccine trials. Previous retrospective studies have been hampered by the paucity of information available...

Ven 27 01 2012 Bibliographie

Inflammation and Coagulation in Urticaria and Angioedema.

Urticaria is a skin disease characterised by short-lived surface swellings of the dermis (wheals) frequently accompanied by itching. It is classified as acute or chronic depending on whether the wheal...

Ven 27 01 2012 Bibliographie

The Role of Natural Killer T Cells in the Pathogenesis of Acute Exacerbation of Human Asthma.

Natural killer T (NKT) cells have been reported to play a crucial role in the pathogenesis of asthma in a mouse model of acute asthma. The present study aimed to...

Ven 27 01 2012 Bibliographie

Basophil Activation Test in Allergy: Time for an Update?

A wide range of reported evidence in the literature has shown that the quantification of basophil activation by flow cytometry (basophil activation test, BAT) has proven to be a useful...

Ven 27 01 2012 Bibliographie

Psychosocial stress and asthma morbidity.

Psychosocial stress and asthma morbidity. Curr Opin Allergy Clin Immunol. 2012 Jan 19; ...

Ven 27 01 2012 Bibliographie

The regulation of fibrosis in airway remodeling in asthma.

The regulation of fibrosis in airway remodeling in asthma. Mol Cell Endocrinol. 2012 Jan 14; ...

Ven 27 01 2012 Bibliographie

Omalizumab beyond asthma.

Omalizumab beyond asthma. Allergol Immunopathol (Madr). 2012 Jan 18; ...

Ven 27 01 2012 Bibliographie

Efficacy of inhaled N-acetylcysteine monotherapy in patients with early stage idiopathic pulmonary fibrosis.

Efficacy of inhaled N-acetylcysteine monotherapy in patients with early stage idiopathic pulmonary fibrosis. Respirology. 2012...

Ven 27 01 2012 Bibliographie

Recommendations of the Infectious Diseases Work Group (GTEI) of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC) and the Infections in Critically Ill Patients Study

The diagnosis of influenza A/H1N1 is mainly clinical, particularly during peak or seasonal flu outbreaks. A diagnostic test should be performed in all patients with fever and flu symptoms that...

Jeu 26 01 2012 Bibliographie

Sex Differences and Sex Steroids in Lung Health and Disease.

Sex differences in the biology of different organ systems and the influence of sex hormones in modulating health and disease are increasingly relevant in clinical and research areas. Although work...

Jeu 26 01 2012 Bibliographie

The pathogenesis of COPD and IPF: distinct horns of the same devil?

New paradigms have been recently proposed in the pathogenesis of both chronic obstructive pulmonary disease (COPD) and idiopathic pulmonary fibrosis (IPF), evidencing surprising similarities between these deadly diseases, despite their...

Jeu 26 01 2012 Bibliographie

Detection of gastro-oesophageal reflux disease (GORD) in patients with obstructive lung disease using exhaled breath profiling.

Gastro-oesophageal reflux disease (GORD) has been implicated in the worsening of several respiratory disorders. Current methods of diagnosis lack accuracy, are invasive and can be costly. Recently, novel methods of...

Jeu 26 01 2012 Bibliographie

Gene therapy: light is finally in the tunnel.

After two decades of ups and downs, gene therapy has recently achieved a milestone in treating patients with Leber's congenital amaurosis (LCA). LCA is a group of inherited blinding diseases...

Jeu 26 01 2012 Bibliographie

History of tuberculosis as an independent prognostic factor for lung cancer survival.

It is well known that pulmonary tuberculosis is associated with an increased risk of lung cancer. We investigated whether a history of pulmonary tuberculosis is an independent risk factor for...

Jeu 26 01 2012 Bibliographie

Chest neoplasms with infectious etiologies.

A wide spectrum of thoracic tumors have known or suspected viral etiologies. Oncogenic viruses can be classified by the type of genomic material they contain. Neoplastic conditions found to have...

Jeu 26 01 2012 Bibliographie

Respiratory impairment and copd hospitalization in older persons--a competing risk analysis.

To evaluate, among older persons, the association between respiratory impairment and hospitalization for chronic obstructive pulmonary disease (COPD), based on spirometric Z-scores (Lambda-Mu-Sigma [LMS]) and a competing risk approach. Using data...

Mer 25 01 2012 Bibliographie

DNA damage as a molecular link in the pathogensis of copd in smokers.

In this study we investigated whether DNA double-strand breaks (DSBs) contribute to the pathogenesis of COPD. We immunofluorescence-stained lung tissue samples obtained from COPD patients, asymptomatic smokers, and nonsmokers for markers...

Mer 25 01 2012 Bibliographie

Efficacy and safety of 4 weeks' treatment with combined fluticasone furoate/vilanterol in a single inhaler given once daily in COPD: a placebo-controlled randomised trial.

Fluticasone furoate/vilanterol (FF/VI) is a novel once-daily (OD) inhaled corticosteroid/long-acting β(2) agonist combination in development for chronic obstructive pulmonary disease (COPD) and asthma. Trial design A multicentre, randomised, double-blind, parallel-group, placebo-controlled...

Mer 25 01 2012 Bibliographie

Early origins of chronic obstructive pulmonary disease.

Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide and a significant challenge for adult physicians. However, there is a misconception that COPD is a...

Mer 25 01 2012 Bibliographie

Issues in pulmonary function testing for the screening and diagnosis of chronic obstructive pulmonary disease.

The purpose of this review article is to provide an up-to-date summary on the current evidence for or against the use of lung function tests as screening and diagnostic tools...

Mer 25 01 2012 Bibliographie

Symptom burden in chronic obstructive pulmonary disease and cancer.

Chronic obstructive pulmonary disease (COPD) is a crippling disease with a high worldwide prevalence. The purpose of this review is to highlight recent studies which define the global impact of...

Mer 25 01 2012 Bibliographie

A pilot study of the impact of high-frequency chest wall oscillation in chronic obstructive pulmonary disease patients with mucus hypersecretion.

Chronic obstructive pulmonary disease (COPD) patients with mucus hypersecretion tend to demonstrate increased frequency of infective exacerbations and a steeper slope of decline in lung function. Enhanced mucociliary clearance with...

Mer 25 01 2012 Bibliographie

Sensitivity to environmental irritants and quality of life in COPD.

It is a common clinical experience that patients with chronic obstructive pulmonary disease (COPD) complain of airway symptoms provoked by environmental irritants like chemicals and scents, although few studies can...

Mer 25 01 2012 Bibliographie

Adjusting for COPD severity in database research: developing and validating an algorithm.

Adjusting for COPD severity in database research: developing and validating an algorithm. Int J...

Mer 25 01 2012 Bibliographie

Why are some evidence-based care recommendations in chronic obstructive pulmonary disease better implemented than others? Perspectives of medical practitioners.

Why are some evidence-based care recommendations in chronic obstructive pulmonary disease better implemented than others? Perspectives of medical practitioners. ...

Mer 25 01 2012 Bibliographie

Asthma and coagulation.

Asthma is a chronic airway disease characterized by paroxysmal airflow obstruction evoked by irritative stimuli on a background of allergic lung inflammation. Currently, there is no cure for asthma, only...

Mar 24 01 2012 Bibliographie

Incidence, treatment options, and outcomes of lung cancer in patients with chronic obstructive pulmonary disease.

An associative and mechanistic link between chronic obstructive pulmonary disease (COPD) and lung cancer has long been suspected. This review describes the current understanding of the incidence, mechanism of association,...

Mar 24 01 2012 Bibliographie

Neuraminidase inhibitors for preventing and treating influenza in children.

During epidemics, influenza attack rates in children may exceed 40%. Options for prevention and treatment currently include the neuraminidase inhibitors zanamivir and oseltamivir. Laninamivir octanoate, the prodrug of laninamivir, is...

Mar 24 01 2012 Bibliographie

EAACI consensus statement for investigation of work-related asthma in non-specialized centres.

Work-related asthma (WRA) is a relevant problem in several countries, is cause of disability and socioeconomic consequences for both the patient and the society and is probably still underdiagnosed. A...

Mar 24 01 2012 Bibliographie

Current treatment of severe asthma.

Severe asthma is considered a heterogeneous disease in which a variety of clinical, physiological and inflammatory markers determine disease severity. Pivotal studies in the last 5 years have led to substantial...

Mar 24 01 2012 Bibliographie

Severe asthma: from characteristics to phenotypes to endotypes.

Asthma, and severe asthma, in particular, is increasingly recognized as a heterogeneous disease. While traditional views of asthma have centered around a childhood onset disease with an allergic component, several...

Mar 24 01 2012 Bibliographie

Maternal Asthma Medication Use and the Risk of Selected Birth Defects.

Approximately 4% to 12% of pregnant women have asthma; few studies have examined the effects of maternal asthma medication use on birth defects. We examined whether maternal asthma medication use...

Mar 24 01 2012 Bibliographie

Severe asthma in childhood: recent advances in phenotyping and pathogenesis.

PURPOSE OF REVIEW: Children with severe asthma have a high degree of respiratory morbidity despite treatment with high doses of inhaled corticosteroids and are therefore very difficult to treat. This...

Mar 24 01 2012 Bibliographie

Effects of budesonide/formoterol combination therapy versus budesonide alone on airway dimensions in asthma.

The mechanism by which budesonide/formoterol combination therapy exerts clinically beneficial effects appears to be related to increased anti-inflammatory activity and attenuation of aspects of airway remodeling in asthmatic patients. Background and...

Mar 24 01 2012 Bibliographie

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Current events

GFSTMRALa STMRA a organisé le 17 janvier 2012 un atelier pour présenter les résultats de l'enquête nationale : connanissances, attitudes et pratiques vis à vis  de la tuberculose en Tunisie.

Les résultats de l'étude ont été présentés par Pr Hsairi ; cliquez ici pour consulter le diaporama de l'étude, le rapport complet de l'étude est disponible en téléchargement à cette adresse.

La STMRA met en ligne ses activités de formation destinées aux médecins de première ligne dans le cadre du projet de lutte antituberculeuse et de l'implémentation du PAL (Approche pratique de la santé Respiratoire) mis en place en partenariat avec le Fonds Mondial.

Pour consulter et découvrir le contenu des ateliers en temps réel cliquez sur la rubrique du menu FMC/Ateliers STMRA - GF.

Pour télécharger le Guide PAL cliquez ici.

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Suite aux élections du 03 décembre 2011, le nouveau Bureau Directeur de la Société Tunisienne des Maladies Respiratoires et d'Allergologie est composé comme suit :

Président
Mohamed Ridha Charfi
Vice-Président
Abdelaziz Hayouni
Secrétaire générale
Fatma Tritar
Secrétaire Général Adjoint chargé de la communication et du site Web de la STMRA
Zouhair Souissi
Secrétaire Générale Adjointe chargée de la Formation Continue
Sonia Maalej
Trésorier
Samy Kammoun
Trésorier Adjoint
Farès Mili
Présidente du Comité Scientifique
Agnès Hamzaoui
Vice Présidente du Comité Scientifique
Jouda Cherif
Past-President
Majed Béji
Présidents d'honneur
Ali Ben Kheder- Jalloul Daghfous
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Affiche-ERS2011Du 24 au 28 septembre 2011, s'est déroulé le Congrès annuel de la société européenne de pneumologie ERS ; ce congrès est le plus grand congrès annuel au monde qui réunit les  experts, scientifiques et professionnels de la pathologie respiratoire du monde pour partager leurs expériences, leurs points de vue et discuter des façons d’améliorer les options thérapeutiques des patients.

La Tunisie a été présente au cours de cette manifestation sous la forme d’un stand dans le « World Village » dans le but de mieux faire connaitre et promouvoir notre société et nos manifestations scientifiques sur le plan international, et nouer des contacts avec les autres sociétés savantes.

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TB_GuideNous avons le plaisir de vous annoncer la disponibilité du nouveau guide national de prise en charge de la tuberculose 2011.

Ce guide a été rédigé sous la direction des soins de la santé de base avec le concours des membres de la commission nationale de lutte antituberculeuse, et ce dans le cadre du programme national de lutte contre la tuberculose ; cliquez ici pour le télécharger.

la STMRA a développé à l'occasion un site Web à cette adresse permettant l'exploration de ce guide à la manière d'un livre, permettant la navigation par chapitres la recherche par mots clés et l'impression ; l'exploration du guide peut se faire en plein écran .
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SB2011From the 31st March to the 02nd April 2011 The ERS and The ESRS (European Sleep and Research Society) will be holding the first international Sleep & Breathing Conference in Prague.

The conference will offer plenary sessions, reviews, practical workshops, free communication sessions and educational seminars.

Click here to get more information about this conference or visit the Sleep and Breathing website.
Click here to download the Advance programme.

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CFA2011Du 19 au 22 avril 2011, s'est tenu le Congrès Francophone d’Allergologie à sa sixième édition au Palais des Congrès de Paris ; cette manifestation est considérée come le rendez-vous majeur des praticiens et des chercheurs de l’allergologie francophone.

Le fil rouge a été centré cette année sur les allergies respiratoires, mais aussi sur les autres aspects de la pathologie allergologique : allergies alimentaires, médicamenteuses, cutanées, ORL ou ophtalmologiques, explorations, éducation thérapeutique etc.

Cliquez ici pour vous rendre au site Web de l'évènement CFA2011.
Cliquez ici pour télécharger le programme détaillé.

Le programme en un coup d'oeil.

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ERS BarcelonaWith more than 1300 speakers, the Congress of the ERS which has just been held in Barcelona from 18th to 22nd September 2010 beat the records of participation, indeed it involved more than 22000 participants. Click here to see the Slideshow.

Tunisia was present during this congress, with a STMRA stand in “World Village” (Hall 3, stand 28b) to promote our scientific society and our manifestations on the international plan, and to tie contacts with the other scientific societies.

The scientific program was rich and varied proposing:

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