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Respiratory Medicine

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https://www.readbyqxmd.com/read/29276075/steroids-for-sarcoidosis-how-much-and-for-how-long
#1
EDITORIAL
Robert P Baughman, Elyse E Lower
No abstract text is available yet for this article.
December 15, 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29195720/letter-to-the-editor-serum-surfactant-protein-d-predicts-the-outcome-of-patients-with-idiopathic-pulmonary-fibrosis-treated-with-pirfenidone
#2
LETTER
Jie Weng, Mengyun Tu, Bo Yang, Zhiyi Wang
No abstract text is available yet for this article.
November 26, 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29239767/everyday-cognitive-failure-and-depressive-symptoms-predict-fatigue-in-sarcoidosis-a-prospective-follow-up-study
#3
Celine Hendriks, Marjolein Drent, Willemien De Kleijn, Marjon Elfferich, Petal Wijnen, Jolanda De Vries
BACKGROUND: Fatigue is a major and disabling problem in sarcoidosis. Knowledge concerning correlates of the development of fatigue and possible interrelationships is lacking. OBJECTIVE: A conceptual model of fatigue was developed and tested. METHODS: Sarcoidosis outpatients (n = 292) of Maastricht University Medical Center completed questionnaires regarding trait anxiety, depressive symptoms, cognitive failure, dyspnea, social support, and small fiber neuropathy (SFN) at baseline...
November 20, 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29174488/endpoints-in-sarcoidosis-more-like-ipf-or-asthma
#4
EDITORIAL
Marc A Judson
No abstract text is available yet for this article.
November 20, 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29137908/no-evidence-found-for-an-association-between-prednisone-dose-and-fvc-change-in-newly-treated-pulmonary-sarcoidosis
#5
Caroline E Broos, Linda H C Poell, Caspar W N Looman, Johannes C C M In 't Veen, Marco J J H Grootenboers, Roxane Heller, Leon M van den Toorn, Monique Wapenaar, Henk C Hoogsteden, Mirjam Kool, Marlies S Wijsenbeek, Bernt van den Blink
BACKGROUND: Prednisone is used as first-line therapy for pulmonary sarcoidosis. What dosing strategy has the best balance between effect and side-effects is largely unknown. We analyzed change in forced vital capacity (FVC) and weight during different prednisone doses used in daily practice for treatment naïve pulmonary sarcoidosis patients. METHODS: Multilevel models were used to describe FVC and weight change over time. Correlations were calculated using linear regression models...
October 31, 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29173450/outcomes-of-pulmonary-tuberculosis-in-patients-with-discordant-phenotypic-isoniazid-resistance-testing
#6
Sukyeon Kim, Hyun Lee, Hye Yun Park, Kyeongman Jeon, Hee Jae Huh, Nam Yong Lee, Byeong-Ho Jeong
INTRODUCTION: The discrepancy rates of drug susceptibility testing (DST) results between solid and liquid media have been reported to range from 2.4 to 7.4% for isoniazid. Most isolate with isoniazid DST discrepancies between solid and liquid media test as susceptible on solid medium and resistant in liquid medium, however, the optimal management of patients with discordant testing is unknown. This study was conducted to evaluate the effect of treatment regimen on treatment outcomes when patients with rifampicin-susceptible pulmonary tuberculosis have isoniazid resistance (INH-R) in liquid medium but isoniazid susceptibility (INH-S) on solid medium...
December 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29173449/hyponatremia-in-infants-with-new-onset-moderate-severe-bronchiolitis-a-cross-sectional-study
#7
Gregorio P Milani, Alessia Rocchi, Thomas Teatini, Mario G Bianchetti, Giacomo Amelio, Nadia Mirra, Angela Grava, Carlo Agostoni, Emilio F Fossali
BACKGROUND: The reported cumulative prevalence of hyponatremia (sodium <135 mmol/L) in bronchiolitis is 28%. However, sodium level was never measured by direct potentiometry, the method recommended by the International Federation of Clinical Chemistry and Laboratory Medicine. Aim of this study was to assess the prevalence of hyponatremia, measured by direct potentiometry, in infants with moderate-severe bronchiolitis. METHODS: A prospective cross-sectional study was conducted in infants ≥1month and ≤24months of age with bronchiolitis...
December 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29173448/fractional-exhaled-nitric-oxide-and-multiple-breath-nitrogen-washout-in-preschool-healthy-and-asthmatic-children
#8
Lea Vilmann, Frederik Buchvald, Kent Green, Kim Gjerum Nielsen
INTRODUCTION: Objectively assessing pulmonary disease is challenging in preschool children with asthma. We evaluated the feasibility of measuring fractional exhaled nitrogen oxide (FeNO) and multiple breath nitrogen washout (N2MBW) in children. We compared their capacities for discriminating between children with asthma and healthy controls. METHODS: We measured FeNO and N2MBW-derived indices of lung clearance (LCI2.5) and conductive and acinar ventilation heterogeneity (Scond and Sacin) in 65 preschool children; 35 with physician-diagnosed asthma and 30 healthy...
December 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29173447/clinical-characteristics-and-treatment-outcomes-of-pleural-effusions-in-patients-with-nontuberculous-mycobacterial-disease
#9
Sojung Park, Kyung-Wook Jo, Sang-Do Lee, Woo Sung Kim, Tae Sun Shim
BACKGROUND: The incidence of nontuberculous mycobacterial (NTM) infection has increased over the last 10 years. However, the clinical characteristics and treatment outcomes of patients with NTM pleuritis have not been well defined. METHODS: Patients with pleural effusion and NTM lung disease diagnosed between 1997 and 2013 were enrolled and their medical records were reviewed retrospectively. The subjects were divided into definite (n = 9, NTM isolated from the pleura or pleural effusion) and possible (n = 5, NTM lung disease with pleural effusion and improvement of effusion after anti-NTM treatment) groups...
December 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29173446/serum-folate-concentrations-asthma-atopy-and-asthma-control-in-peruvian-children
#10
Andrew Nicholson, Suzanne L Pollard, John J Lima, Karina M Romero, Carla Tarazona-Meza, Gary Malpartida-Guzmán, Edward Mougey, Nadia N Hansel, William Checkley
BACKGROUND: The relationship between folate status and asthma-related outcomes has not been carefully examined in low- and middle-income countries where folate deficiency is common. METHODS: Ancillary analysis of an unmatched case-control study in which we analyzed serum folate concentrations in 412 children with asthma and 342 controls living in peri-urban communities in Lima, Peru. We examined baseline associations between folate and asthma, atopy, total serum IgE, pulmonary function, and fractional exhaled nitric oxide...
December 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29173445/an-international-comparison-of-asthma-wheeze-and-breathing-medication-use-among-children
#11
Joshua A Lawson, Grzegorz Brozek, Andrei Shpakou, Olga Fedortsiv, Emilija Vlaski, Vakhtangi Beridze, Donna C Rennie, Anna Afanasieva, Sophio Beridze, Jan Zejda
BACKGROUND: There is variation in childhood asthma between countries with typically higher prevalence in "Westernized" nations. We compared asthma, respiratory symptoms, and medication prevalence in Eastern and Central European regions and Canada. METHODS: We conducted a cross-sectional survey study of children (5-15 years) from one urban centre in each of Canada, Belarus, Poland, Republic of Georgia (Adjara), Republic of Macedonia, and Ukraine. Surveys were distributed through randomly selected schools to parents (2013-2015)...
December 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29173444/combined-effects-of-multiple-risk-factors-on-asthma-in-school-aged-children
#12
Sylvia S Szentpetery, Olena Gruzieva, Erick Forno, Yueh-Ying Han, Anna Bergström, Inger Kull, Edna Acosta-Pérez, Angel Colón-Semidey, Maria Alvarez, Glorisa J Canino, Erik Melén, Juan C Celedón
BACKGROUND: Little is known about synergistic effects of several risk factors on asthma. We developed a risk score in Puerto Rican children, and then used this score to estimate the combined effects of multiple risk factors on asthma at school age in Puerto Rican and Swedish children. METHODS: Case-control study in 609 Puerto Rican children (aged 6-14 years) and longitudinal birth cohort study of 2290 Swedish children followed up to age 12 years (The Children, Allergy, Milieu, Stockholm, Epidemiological Survey [BAMSE] Study)...
December 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29173443/omalizumab-treatment-for-allergic-bronchopulmonary-aspergillosis-in-young-patients-with-cystic-fibrosis
#13
Caroline Perisson, Leila Destruys, Dominique Grenet, Laurence Bassinet, Jocelyne Derelle, Isabelle Sermet-Gaudelus, Caroline Thumerelle, Anne Prevotat, Vincent Rosner, Annick Clement, Harriet Corvol
BACKGROUND: Allergic bronchopulmonary aspergillosis (ABPA) is a severe lung disease complication caused by an Aspergillus fumigatus-induced hypersensitivity that affects 2-15% of patients with cystic fibrosis (CF). The mainstay treatment consists of a combination of corticosteroids and antifungals. However, repeated or long-term corticosteroid therapies can lead to serious side effects. The monoclonal anti-IgE antibody, omalizumab, has demonstrated its efficacy in allergic asthma. As ABPA results from a hypersensitivity to a specific allergen, omalizumab might benefit CF patients with ABPA...
December 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29173442/clinical-diagnosis-of-idiopathic-pleuroparenchymal-fibroelastosis-a-retrospective-multicenter-study
#14
Yasunori Enomoto, Yutaro Nakamura, Yasuomi Satake, Hiromitsu Sumikawa, Takeshi Johkoh, Thomas V Colby, Hideki Yasui, Hironao Hozumi, Masato Karayama, Yuzo Suzuki, Kazuki Furuhashi, Tomoyuki Fujisawa, Noriyuki Enomoto, Naoki Inui, Toshihide Iwashita, Shigeki Kuroishi, Koshi Yokomura, Naoki Koshimizu, Mikio Toyoshima, Shiro Imokawa, Takashi Yamada, Toshihiro Shirai, Hiroshi Hayakawa, Takafumi Suda
BACKGROUND: Although the accurate diagnosis of pleuroparenchymal fibroelastosis (PPFE) requires pathologic evaluation, this diagnosis is often suggested when the radiologic findings are consistent with typical PPFE and when pulmonary apical cap, which radiologically and pathologically mimics PPFE, can be excluded by confirming disease progression. The aim of this study was to evaluate the validity of the clinical diagnosis of idiopathic PPFE. METHODS: We recruited 44 patients with idiopathic PPFE according to our modified diagnostic criteria: 1) a radiologic PPFE pattern (i...
December 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29229113/measuring-voluntary-and-reflexive-cough-strength-in-healthy-individuals
#15
Claire Mills, Richard Jones, Maggie-Lee Huckabee
BACKGROUND: Cough reflex testing is a validated tool for identifying patients at risk of silent aspiration. However, inter- and intra-rater reliabilities of perceptual judgements of cough strength are sub-optimal. Although there are clinically established methods for measuring volitional cough strength, no similar methods are identified for reflexive cough strength. This study evaluated three measurement methods of voluntary and suppressed reflexive cough strength. METHODS: Fifty-three healthy subjects (≥50 years) participated in this study...
November 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29229112/disease-marker-combination-enhances-patient-characterization-in-the-finnish-sarcoidosis-patients
#16
E Lahtela, A Wolin, A Pietinalho, M-L Lokki, O Selroos
Sarcoidosis is an inflammatory disease of unknown etiology and multiple clinical phenotypes. Clinical manifestations range from asymptomatic disease to severe loss-of-function leading to the hypothesis that sarcoidosis might not be just one disease, but consists of several distinct disease entities each with potentially distinct genetic associations. We have previously demonstrated that in our series HLADRB1* 03:01 and haplotype HLA-DRB1*04:01-DPB1*04:01 are associated with good prognosis sarcoidosis. In our recent work, we found a novel SNP (rs9905945) in the 5'upstream region of the ACE gene to be associated with favorable disease prognosis as well...
November 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29229111/toxicity-risk-from-glucocorticoids-in-sarcoidosis-patients
#17
Nauman A Khan, Christopher V Donatelli, Adriano R Tonelli, Jonathan Wiesen, Manuel L Ribeiro Neto, Debasis Sahoo, Daniel A Culver
BACKGROUND: Glucocorticoids (GC) are considered first-line therapy for treating sarcoidosis, but there are few data about the adverse consequences of GC. Although there are several steroid-sparing medications available for treatment, a large proportion of patients are treated with prolonged courses of GC. The toxicities of GC in sarcoidosis populations have not been carefully evaluated. METHODS: We performed a retrospective cohort study of all newly diagnosed sarcoidosis patients who had the entirety of their medical care in a single health system...
November 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29229110/effects-of-two-types-of-equal-intensity-inspiratory-muscle-training-in-stable-patients-with-chronic-obstructive-pulmonary-disease-a-randomised-controlled-trial
#18
Weiliang Wu, Lili Guan, Xianming Zhang, Xiaoying Li, Yuqiong Yang, Bingpeng Guo, Yonger Ou, Lin Lin, Luqian Zhou, Rongchang Chen
PURPOSE: We conducted a randomised controlled trial to assess the effects of daily breathing pattern changes to stable patients with COPD excluding the confounding factors of inspiratory muscle mobilization, by ensuring the load intensities of two inspiratory training devices were equal. PATIENTS AND METHODS: Sixty patients with COPD were randomised to three groups: resistive-IMT group (T-IMT, 21 patients), threshold-IMT (R-IMT, 19 patients), and a control group (20 patients)...
November 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29229109/evaluation-and-quantification-of-treatment-preferences-for-patients-with-asthma-or-copd-using-discrete-choice-experiment-surveys
#19
Henrik Svedsater, David Leather, Terry Robinson, Helen Doll, Beenish Nafees, Lisa Bradshaw
INTRODUCTION: To investigate treatment preferences of patients with asthma or chronic obstructive pulmonary disease (COPD), previously identified influential treatment factors were used to develop a discrete choice experiment (DCE) survey. METHODS: An internet-based survey was conducted with UK-resident adults (recruited using a commercial panel) who were currently receiving asthma/COPD treatment and had not taken part in the previous phase of this study (qualitative interviews to understand patient burden, life impact and treatment preferences)...
November 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29229108/infection-control-genetic-assessment-of-drug-resistance-and-drug-susceptibility-testing-in-the-current-management-of-multidrug-extensively-resistant-tuberculosis-m-xdr-tb-in-europe-a-tuberculosis-network-european-trialsgroup-tbnet-study
#20
Graham H Bothamley, Christoph Lange
AIM: Europe has the highest documented caseload and greatest increase in multidrug and extensively drug-resistant tuberculosis (M/XDR-TB) of all World Health Organization (WHO) regions. This survey examines how recommendations for M/XDR-TB management are being implemented. METHODS: TBNET is a pan-European clinical research collaboration for tuberculosis. An email survey of TBNET members collected data in relation to infection control, access to molecular tests and basic microbiology with drug sensitivity testing...
November 2017: Respiratory Medicine
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