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Cognitive dysfunction in patients with chronic obstructive pulmonary disease – A systematic review

Publication year: 2012Source:Respiratory MedicineLone Schou, Birte Østergaard, Lars S. Rasmussen, Susan Rydahl-Hansen, Klaus Phanareth Background Substantial healthcare resources are spent on chronic obstructive pulmonary disease (COPD)....

Sam 19 05 2012 Bibliographie

Daily step counts in a US cohort with COPD

Publication year: 2012Source:Respiratory Medicine, Volume 106, Issue 7Marilyn L. Moy, Valery A. Danilack, Nicole A. Weston, Eric Garshick Background Baseline values for daily step counts in US...

Sam 19 05 2012 Bibliographie

Poor prediction of potentially drug-resistant pathogens using current criteria of health care-associated pneumonia

Publication year: 2012Source:Respiratory MedicineSeon Cheol Park, Young Ae Kang, Byung Hoon Park, Eun Young Kim, Moo Suk Park, Young Sam Kim, Se Kyu Kim,...

Sam 19 05 2012 Bibliographie

Arrhythmias as trigger for acute exacerbations of chronic obstructive pulmonary disease

Publication year: 2012Source:Respiratory MedicineSurya P. Bhatt, Sudip Nanda, John S. Kintzer Purpose Acute exacerbations of chronic obstructive pulmonary disease (COPD) sometimes appear to occur without a precipitating cause....

Sam 19 05 2012 Bibliographie

Patients’ experience of asthma control and clinical guidelines: Perspectives from a qualitative study

Clinical guidelines consider the concept of ‘asthma control’ as the primary goal of asthma treatment. This study aimed to explore patients’ views of concepts that are important for understanding and...

Ven 18 05 2012 Bibliographie

Association of adult-onset asthma with specific cardiovascular conditions

While asthma is known to be associated with cardiovascular disease (CVD), the relation to specific manifestations of CVD has not been previously described. Our objective was to explore the relation...

Ven 18 05 2012 Bibliographie

Mediastinal lymph node dissection in early-stage non-small cell lung cancer: totally thoracoscopic vs thoracotomy

OBJECTIVES Although major pulmonary resections for early-stage non-small cell lung cancer (NSCLC) are more and more frequently performed through thoracoscopy, the adequacy of lymphadenectomy achieved via this approach is still questioned....

Ven 18 05 2012 Bibliographie

Quality of life aids lung cancer prognosis

Self-reported quality of life at the time of lung cancer diagnosis has a significant impact on patients’ survival, show US study results.

Ven 18 05 2012 Bibliographie

Robotic lobectomy ‘accepted’ technique for NSCLC

Robotic-based video-assisted thoracic surgery lobectomy produces similar survival rates as conventional lobectomy when used in patients with non-small-cell lung cancer, report researchers.

Ven 18 05 2012 Bibliographie

Trials of bilevel positive airway pressure - spontaneous in patients with complex sleep apnoea.

Introduction: Patients with complex sleep apnoea (CompSAS) have obstructive sleep apnoea and experience persistent central apnoeas when exposed to positive airway pressure. Elevated loop gain is one...

Jeu 17 05 2012 Bibliographie

Factors influencing asthma course and the degree of control in the patients assessed with own questionnaire and Asthma Control Test (ACT).

Introduction: Asthma treatment requires control and monitoring. According to Global Initiative For Asthma (GINA) asthma severity is described by degree of control. The aim of the present...

Jeu 17 05 2012 Bibliographie

The influence of treatment with formoterol, formoterol with tiotropium, formoterol with inhaled glucocorticosteroid and tiotropium on lung functions, tolerance of exercise and simple, morning everyday activities in patients with COPD

Bronchodilators - long-acting b2-adrenergic agonists (formoterol and salmeterol) and a long-acting antimuscarinic drug (tiotropium), are the main drugs applied in symptomatic treatment of COPD. In patients with...

Jeu 17 05 2012 Bibliographie

Secondhand Smoke May Harm Heart Function

For nonsmokers, exposure to low levels of secondhand smoke for just 30 minutes can cause significant damage to the lining of their blood vessels, the results of a new study...

Jeu 17 05 2012 Bibliographie

'Self-Managing' COPD Might Pose Risks, Study Suggests

In a finding that seems counterintuitive, a new study revealed that people with chronic obstructive pulmonary disease (COPD) were more likely to die after receiving comprehensive education and self-management tools. "The...

Jeu 17 05 2012 Bibliographie

Recommendations and implementation of guidelines for community-acquired pneumonia: more problems than solutions

Pneumonia is the third leading cause of death worldwide and the leading cause of death in countries with low per capita income. It is responsible for a large number of...

Mer 16 05 2012 Bibliographie

Diurnal variations in the parameters of pulmonary function and respiratory muscle strength in patients with COPD

CONCLUSIONS: In this sample of COPD patients, there were diurnal variations in the parameters of pulmonary function and respiratory muscle strength. The values of FEV1, FVC, and MEP were significantly...

Mer 16 05 2012 Bibliographie

Adherence to guidelines and its impact on outcomes in patients hospitalized with community-acquired pneumonia at a university hospital

CONCLUSIONS: In the population studied, admission and treatment criteria that were in accordance with the guidelines were associated with favorable outcomes in hospitalized patients with CAP. Cerebrovascular disease, as a...

Mer 16 05 2012 Bibliographie

Lung ultrasound in critically ill patients: a new diagnostic tool

The objective of this review was to evaluate the clinical applications of lung ultrasound by searching the PubMed and the Brazilian Virtual Library of Health databases. We used the following...

Mer 16 05 2012 Bibliographie

Predicting Mortality among Older Adults Hospitalized For Community‐Acquired Pneumonia: An Enhanced Curb Score Compared With Pneumonia Severity Index

Conclusions:  An enhanced CURB score predicted 30‐day mortality with at least the same accuracy as PSI class did among older adults hospitalized for CAP. External validation of this score in...

Mer 16 05 2012 Bibliographie

Food Allergies: The Implications for Correctional Facilities

The prevalence of food allergies in the inmate population is a relatively unknown and perhaps underreported health issue. An inmate with an undetected food allergy is at risk for anaphylaxis...

Mer 16 05 2012 Bibliographie

Dyspnea in patients with asthma, allergic rhinitis and mouth breathing

CONCLUSIONS: the major respiratory symptoms were found in physical activity associated with speech, followed by physical activity per se. Already in communicative activities, only activities that required more vocal intensity...

Mer 16 05 2012 Bibliographie

Antiproliferative action of metformin in human lung cancer cell lines.

The oral antidiabetic agent metformin has anticancer properties, probably via adenosine monophosphate-activated protein kinase activation. In the present study, growth inhibition was assessed by a clonogenic and by a cell survival...

Mar 15 05 2012 Bibliographie

Evaluation of the Use of a Rapid Diagnostic Consultation of Lung Cancer. Delay Time of Diagnosis and Therapy.

OBJECTIVE: To analyze the results obtained in a lung cancer screening program since its inception five years ago regarding correct referrals, diagnostic and therapeutic delay times and days of hospitalization....

Mar 15 05 2012 Bibliographie

Subsolid pulmonary nodules: imaging evaluation and strategic management.

Given the higher rate of malignancy of subsolid pulmonary nodules and the considerably lower growth rate of ground-glass nodules (GGNs), dedicated standardized guidelines for management of these nodules have been...

Mar 15 05 2012 Bibliographie

Use of lung cancer screening tests in the United States: results from the 2010 National Health Interview Survey.

Prior to evidence of efficacy, lung cancer screening was being ordered by many physicians. The National Lung Screening Trial (NLST), which demonstrated a 20 percent reduction in lung cancer mortality...

Mar 15 05 2012 Bibliographie

Matrix metalloprotease-1a promotes tumorigenesis and metastasis.

Matrix metalloprotease-1 (MMP1), a collagenase and activator of the G protein-coupled protease activated receptor-1 (PAR1), is an emerging new target implicated in oncogenesis and metastasis in diverse cancers. However, the...

Mar 15 05 2012 Bibliographie

Silicosis.

Silicosis is a fibrotic lung disease caused by inhalation of free crystalline silicon dioxide or silica. Occupational exposure to respirable crystalline silica dust particles occurs in many industries. Phagocytosis of...

Mar 15 05 2012 Bibliographie

T cell homing to epithelial barriers in allergic disease.

Allergic inflammation develops in tissues that have large epithelial surface areas that are exposed to the environment, such as the lung, skin and gut. In the steady state, antigen-experienced memory...

Lun 14 05 2012 Bibliographie

Smooth muscle in tissue remodeling and hyper-reactivity: Airways and arteries.

Smooth muscle comprises a key functional component of both the airways and their supporting vasculature. Dysfunction of smooth muscle contributes to and exacerbates a host of breathing-associated pathologies such as...

Lun 14 05 2012 Bibliographie

CT based computerized identification and analysis of human airways: A review.

As one of the most prevalent chronic disorders, airway disease is a major cause of morbidity and mortality worldwide. In order to understand its underlying mechanisms and to enable assessment...

Lun 14 05 2012 Bibliographie

Amnion epithelial cells as a candidate therapy for acute and chronic lung injury.

Acute and chronic lung injury represents a major and growing global burden of disease. For many of these lung diseases, the damage is irreparable, exhausting the host's ability to regenerate...

Lun 14 05 2012 Bibliographie

Relationship between lung function impairment and health-related quality of life in COPD and ILD.

Health-related quality of life (HRQL) measures have been correlated with lung function in patients with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD). However, different pathophysiologic mechanisms may...

Lun 14 05 2012 Bibliographie

Bronchoscopy for the diagnosis of pulmonary tuberculosis in patients with negative sputum smear microscopy results.

OBJECTIVE: To evaluate the diagnostic accuracy of bronchoscopy in patients with clinical or radiological suspicion of tuberculosis who were unable to produce sputum or with negative sputum smear microscopy results. METHODS:...

Lun 14 05 2012 Bibliographie

Usefulness of imprint and brushing cytology in diagnosis of lung diseases with flexible bronchoscopy.

Background : To increase the diagnostic yield in pulmonary diseases, histopathology, imprint cytology and brushing cytology are assessed in combination during flexible bronchoscopy. However, the individual diagnostic discrimination of the...

Lun 14 05 2012 Bibliographie

Clinical and cost effectiveness of mobile phone supported self monitoring of asthma: multicentre randomised controlled trial.

OBJECTIVE: To determine whether mobile phone based monitoring improves asthma control compared with standard paper based monitoring strategies. DESIGN: Multicentre randomised controlled trial with cost effectiveness analysis. SETTING: UK primary...

Sam 12 05 2012 Bibliographie

Recurrent Anaphylactic Reactions: An Uncommon Debut of Lymphocytic Hypophysitis.

We report on a 24-year-old male, with exercise-induced asthma and intermittent abdominal pain since puberty, who suffered from recurrent anaphylactic reactions. He also complained of occasional headaches. After extensive studies he...

Sam 12 05 2012 Bibliographie

Identification of budesonide metabolites in human urine after oral administration.

Budesonide (BUD) is a glucocorticoid widely used for the treatment of asthma, rhinitis, and inflammatory bowel disease. Its use in sport competitions is prohibited when administered by oral, intravenous, intramuscular,...

Sam 12 05 2012 Bibliographie

Omalizumab versus 'Usual Care': Results from a Naturalistic Longitudinal Study in Routine Care.

It is unclear how far the superior efficacy of omalizumab, established in randomized controlled clinical trials of patients with severe allergic asthma (SAA), translates into routine practice and when compared...

Sam 12 05 2012 Bibliographie

[Pharmacology of glucocorticoids].

Although Nobel Prize was attributed to three searchers more than 60 years ago for their discovery of corticosteroids, this therapeutic class remains one of the most prescribed nowadays. The mechanism of...

Sam 12 05 2012 Bibliographie

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L'essentiel de la littérature réçente en Pneumologie

Dans cette rubrique on vous propose une revue de la littérature à travers une sélection d'abstracts d'articles originaux.
On essaiera de vous tenir informé des dernières nouveautés de recherche en matière de Pneumologie. On ne vous fournit que le résumé de l'article et le lien correspondant, pour accéder à l'article en full text vous devez être inscrits à la revue correspondante.
Cliquez ici pour consulter la liste des revues de Pneumologie disponibles en libre accès.



19
May
2012
Cognitive dysfunction in patients with chronic obstructive pulmonary disease – A systematic review Imprimer Envoyer
(0 votes)
Publication year: 2012
Source:Respiratory Medicine

Lone Schou, Birte Østergaard, Lars S. Rasmussen, Susan Rydahl-Hansen, Klaus Phanareth

Background Substantial healthcare resources are spent on chronic obstructive pulmonary disease (COPD). In addition, the involvement of patients in monitoring and treatment of their condition has been suggested. However, it is important to maintain a view of self-care that takes differences in cognitive ability into account. The aim of this study was to determine the occurrence and severity of cognitive dysfunction in COPD patients, and to assess the association between severity of COPD and the level of cognitive function. Methods We conducted a systematic review, and a search in the following databases: Medline, PsychINFO, Cochrane Library, EMBASE, CINAHL, and SweMed up to July 2010. The articles were included if 1 participants were patients with COPD, 2 relevant outcome was cognitive function investigated by a neuropsychological test battery, and 3 the severity of COPD had been assessed. Results Fifteen studies were included, involving 655 COPD patients and 394 controls. Cognitive function was impaired in COPD patients as compared to healthy controls, but the level of functioning was better than in patients with Alzheimer's disease. There was a significant association between severity of COPD, as measured by lung function and blood gases, and cognitive dysfunction, but only in patients with severe COPD. Conclusions Cognitive impairment can be detected in severe COPD patients, but the clinical relevance of the cognitive dysfunction is not yet known. Future studies should concentrate on the consequences of cognitive dysfunction for daily living in these patients, and solutions involving a high degree of self-care might require special support.




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19
May
2012
Daily step counts in a US cohort with COPD Imprimer Envoyer
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Publication year: 2012
Source:Respiratory Medicine, Volume 106, Issue 7

Marilyn L. Moy, Valery A. Danilack, Nicole A. Weston, Eric Garshick

Background Baseline values for daily step counts in US adults with COPD and knowledge of its accurate measurement, natural change over time, and independent relationships with measures of COPD severity are limited. Methods 127 persons with stable COPD wore the StepWatch Activity Monitor (SAM) for 14 days, and 102 of them wore it a median 3.9 months later. SAM counts were compared to manual counts in the clinic. We assessed change over time, the effect of season, and relationships with forced expiratory volume in 1 s (FEV1) % predicted, 6-min walk test (6MWT) distance, the modified Medical Research Council (MMRC) dyspnea score, and the St. George's Respiratory Questionnaire Total Score (SGRQ-TS). Results 98% of subjects were males, with mean age 71 ± 8 years and FEV1 1.48 ± 0.54 L (52 ± 19% predicted). All 4 GOLD stages were represented, with the most subjects in GOLD II (44%) and GOLD III (37%). The SAM had >90% accuracy in 99% of subjects. Average step count was 5680 steps/day, which decreased with increasing GOLD stage (p = 0.0046). Subjects walked 645 fewer steps/day at follow-up, which was partly explained by season of monitoring (p = 0.013). In a multivariate model, FEV1 % predicted, 6MWT distance and MMRC score were weakly associated with daily step counts, while SGRQ-TS was not. Conclusions These findings will aid the design of future studies using daily step counts in COPD. Accurately measured, daily step counts decline over time partly due to season and capture unique information about COPD status.




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19
May
2012
Poor prediction of potentially drug-resistant pathogens using current criteria of health care-associated pneumonia Imprimer Envoyer
(0 votes)
Publication year: 2012
Source:Respiratory Medicine

Seon Cheol Park, Young Ae Kang, Byung Hoon Park, Eun Young Kim, Moo Suk Park, Young Sam Kim, Se Kyu Kim, Joon Chang, Ji Ye Jung

Background Health care-associated pneumonia (HCAP) includes a broad range of patients having frequent or chronic contact with health care systems. However, the relationship between current defining criteria for HCAP and the risk of potentially drug-resistant (PDR) pathogens is controversial. Methods We retrospectively evaluated patients admitted to Severance Hospital in South Korea with culture-positive pneumonia from January 2008 to December 2009. We analyzed the associations between risk factors for HCAP and infection with PDR pathogens, and developed a new scoring system to predict infection with PDR pathogens. Results Among 339 patients, PDR pathogens were observed in 122 (36.0%). PDR pathogens were more common in HCAP than community-acquired pneumonia (CAP) (48.5% versus 23.8%, P <0.001). In a logistic regression, prior hospitalization within 90 days of pneumonia (OR=2.51, P =0.003), recent treatment with antimicrobials (OR=2.35, P =0.039), and nasogastric tube feeding (OR=15.28, P <0.001) were independently associated with PDR pathogens. For the prediction of PDR pathogens, the sensitivity and specificity of current HCAP criteria were 66.4% and 60.4%, respectively, and 68.0% and 67.3%, respectively, for the new scoring system. Moreover, the new scoring system showed better diagnostic accuracy than current HCAP criteria (area under curve=0.711 versus 0.634, P <0.001). Conclusions The current HCAP criteria are poor predictors of PDR pathogens and all patients with HCAP should not be empirically treated for these pathogens. To avoid excessive antibiotic use, individual risk stratification approaches should be considered.




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