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Chronic Respiratory Disease

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https://www.readbyqxmd.com/read/27923984/short-term-effect-of-volume-recruitment-derecruitment-manoeuvre-on-chest-wall-motion-in-duchenne-muscular-dystrophy
#1
Henri Meric, Line Falaize, Didier Pradon, Matthieu Lacombe, Michel Petitjean, David Orlikowski, Hélène Prigent, Frédéric Lofaso
Because progressive respiratory muscle weakness leads to decreased chest-wall motion with eventual ribcage stiffening, the purpose was to compare vital capacity (VC) and contributions of chest-wall compartments before and after volume recruitment-derecruitment manoeuvres (VRDM) in Duchenne muscular dystrophy (DMD). We studied nine patients with DMD and VC lower than 30% of predicted. VRDM was performed using 15 insufflations-exsufflations of +30 to -30 cmH2O. VC and three-dimensional chest-wall motion were measured, as well as oxygen saturation, transcutaneous partial pressure of carbon dioxide and the rapid shallow breathing index (respiratory rate/tidal volume) before (baseline) and immediately and 1 hour after VRDM...
December 6, 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27923983/sex-differences-in-function-and-structure-of-the-quadriceps-muscle-in-chronic-obstructive-pulmonary-disease-patients
#2
Pilar Ausín, Juana Martínez-Llorens, Marina Sabaté-Bresco, Carme Casadevall, Esther Barreiro, Joaquim Gea
Chronic obstructive pulmonary disease (COPD) is a complex disorder with extrapulmonary manifestations. Even though there is some knowledge regarding sex differences in the lung disease, little is known about extrapulmonary manifestations. Our aim was to analyze the specific profile of muscle dysfunction, structure, and biology in COPD women. Twenty-one women and 19 men with stable COPD as well as 15 controls were included. Nutritional status, physical activity, lung and muscle function, exercise capacity, and quality of life were assessed...
December 6, 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27923982/effect-of-expiratory-positive-airway-pressure-on-tidal-volume-during-non-invasive-ventilation
#3
W Kinnear, L Watson, P Smith, L Johnson, S Burrows, J Colt, M Sovani, A Khanna
During non-invasive ventilation (NIV), tidal volume (V t) will depend upon the difference between inspiratory and expiratory positive airway pressure (IPAP and EPAP, respectively), provided the respiratory muscles are relaxed and the lungs and chest wall therefore move along their passive pressure-volume curves. To test this hypothesis, we studied the effect of increasing EPAP during pressure-controlled modes of NIV in 30 long-term ventilator users (10 each with scoliosis, obesity hypoventilation or neuromuscular disorders)...
December 6, 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27923981/sarcopenia-and-frailty-in-chronic-respiratory-disease-lessons-from-gerontology
#4
Anna E Bone, Nilay Hepgul, Samantha Kon, Matthew Maddocks
Sarcopenia and frailty are geriatric syndromes characterized by multisystem decline, which are related to and reflected by markers of skeletal muscle dysfunction. In older people, sarcopenia and frailty have been used for risk stratification, to predict adverse outcomes and to prompt intervention aimed at preventing decline in those at greatest risk. In this review, we examine sarcopenia and frailty in the context of chronic respiratory disease, providing an overview of the common assessments tools and studies to date in the field...
December 6, 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27872166/consistency-of-medical-record-reporting-of-a-set-of-indicators-for-proactive-palliative-care-in-patients-with-chronic-obstructive-pulmonary-disease-a-pilot-study
#5
Ria G Duenk, Stans C Verhagen, Mireille Ae Janssen, Richard Pnr Dekhuijzen, Kris Cp Vissers, Yvonne Engels, Yvonne Heijdra
To identify patients hospitalized for an acute exacerbation of chronic obstructive pulmonary disease (COPD) who have a poor prognosis and might benefit from proactive palliative care, a set of indicators had been developed from the literature. A patient is considered eligible for proactive palliative care when meeting ≥2 criteria of the proposed set of 11 indicators. In order to develop a doctor-friendly and patient-convenient tool, our primary objective was to examine whether these indicators are documented consistently in the medical records...
November 21, 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27515520/the-effect-of-pulmonary-rehabilitation-on-mortality-balance-and-risk-of-fall-in-stable-patients-with-chronic-obstructive-pulmonary-disease-a-systematic-review
#6
Ali Hakamy, Charlotte E Bolton, Tricia M McKeever
The aim of this study is to conduct a systematic review of published studies that evaluate the impact of pulmonary rehabilitation (PR) on survival and fall (including balance) in patients with chronic obstructive pulmonary disease at stability. OVID, Medline, EMBASE, and Cochrane collaboration library were searched for literature dating from January 1980 up to November 2014 as well as an update in October 2015. Two reviewers screened titles, abstracts and full text records, extracted data, and assessed studies for risk of bias; any disagreements were resolved by a third member of the team, and consensus was always sought...
August 11, 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27512084/living-with-asthma-and-chronic-obstructive-airways-disease-using-technology-to-support-self-management-an-overview
#7
Deborah Morrison, Frances S Mair, Lucy Yardley, Sarah Kirby, Mike Thomas
Long-term respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD) are common, and cause high levels of morbidity and mortality. Supporting self-management is advocated for both asthma and increasingly so for COPD, and there is growing interest in the potential role of a range of new technologies, such as smartphone apps, the web or telehealth to facilitate and promote self-management in these conditions. Treatment goals for both asthma and COPD include aiming to control symptoms, maintain activities, achieve the best possible quality of life and minimize risks of exacerbation...
August 10, 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27507835/does-the-copd-assessment-test-reflect-functional-status-in-patients-with-copd
#8
Aline Almeida Gulart, Anelise Bauer Munari, Ana Paula Adriano de Queiroz, Katerine Cristhine Cani, Darlan Laurício Matte, Anamaria Fleig Mayer
The aim of this study was to investigate whether the chronic obstructive pulmonary disease (COPD) assessment test (CAT) reflects the functional status of patients with COPD. Forty-seven patients underwent anthropometric assessment, spirometry, the 6-minute walk test (6MWT), the Glittre-activity of daily living (ADL) test (TGlittre), the London Chest ADL (LCADL) scale, and the CAT. The total score of the CAT correlated with 6MWT distance, TGlittre time spent, and LCADL%total (r = -0.56, 0.52, and 0.78, respectively; p < 0...
August 9, 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27507834/mouthpiece-ventilation-individualized-patient-care-is-the-key-to-success
#9
Adam Ogna, Frederic Lofaso
No abstract text is available yet for this article.
August 9, 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27507833/managing-fatigue-in-sarcoidosis-a-systematic-review-of-the-evidence
#10
Chris Atkins, Andrew M Wilson
Fatigue is a common manifestation of sarcoidosis, often persisting without evidence of disease activity. First-line therapies for sarcoidosis have limited effect on fatigue. This review aimed to assess the treatment options targeting sarcoidosis-associated fatigue. Medline and Web of Science were searched in November 2015; the bibliographies of these papers, and relevant review papers, were also searched. Studies were included if they reported on the efficacy of interventions (both pharmacological and non-pharmacological) on fatigue scores in sarcoidosis patients...
August 9, 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27507832/antibiotic-therapy-for-stable-non-cf-bronchiectasis-in-adults-a-systematic-review
#11
Katrine Fjaellegaard, Melda Dönmez Sin, Andrea Browatzki, Charlotte Suppli Ulrik
To provide an update on efficacy and safety of antibiotic treatments for stable non-cystic fibrosis (CF) bronchiectasis (BE). Systematic review based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines was done. Twenty-six studies (1.898 patients) fulfilled the inclusion criteria. Studies of inhaled tobramycin have revealed conflicting results regarding quality of life (QoL), exacerbations and admissions, but may result in sputum cultures negative for Pseudomonas aeruginosa, whereas studies investigating the effect of inhaled gentamycin have shown positive effects on sputum bacterial density, decrease in sputum cultures positive for P...
August 9, 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27507831/tidal-volume-during-mouthpiece-non-invasive-home-ventilation-when-the-choice-is-the-right-answer
#12
Giuseppe Fiorentino, Antonio M Esquinas
No abstract text is available yet for this article.
August 9, 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27488127/aspects-of-skeletal-muscles-in-chronic-respiratory-disease
#13
William D-C Man
No abstract text is available yet for this article.
August 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27488126/walking-towards-personalized-medicine-in-pulmonary-rehabilitation-comorbidities-and-copd
#14
Rachael A Evans
No abstract text is available yet for this article.
August 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27282850/measuring-cardiovascular-risk-in-copd-child-s-play-or-mensa
#15
EDITORIAL
K J Rothnie, J K Quint
No abstract text is available yet for this article.
August 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27097638/use-of-predictive-algorithms-in-home-monitoring-of-chronic-obstructive-pulmonary-disease-and-asthma-a-systematic-review
#16
Daniel Sanchez-Morillo, Miguel A Fernandez-Granero, Antonio Leon-Jimenez
Major reported factors associated with the limited effectiveness of home telemonitoring interventions in chronic respiratory conditions include the lack of useful early predictors, poor patient compliance and the poor performance of conventional algorithms for detecting deteriorations. This article provides a systematic review of existing algorithms and the factors associated with their performance in detecting exacerbations and supporting clinical decisions in patients with chronic obstructive pulmonary disease (COPD) or asthma...
August 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27081189/cardiovascular-risk-chronic-obstructive-pulmonary-disease-and-pulmonary-rehabilitation-can-we-learn-from-cardiac-rehabilitation
#17
Filip Jj Triest, Sally J Singh, Lowie Egw Vanfleteren
Patients with chronic obstructive pulmonary disease (COPD) who participate in pulmonary rehabilitation (PR) often have concomitant cardiovascular disease (CVD), which is a frequently undiagnosed and undertreated comorbidity. CVD contributes to the burden of the disease and is associated with an increased risk for hospitalizations and mortality. Optimizing the diagnosis and management of cardiovascular risk and disease should be considered as part of the holistic approach of PR. In addition, we need to consider similarities and differences in cardiac and PR programs, in order to improve personalized care in patients with both diseases...
August 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27072018/building-consensus-for-provision-of-breathlessness-rehabilitation-for-patients-with-chronic-obstructive-pulmonary-disease-and-chronic-heart-failure
#18
William D-C Man, Faiza Chowdhury, Rod S Taylor, Rachael A Evans, Patrick Doherty, Sally J Singh, Sara Booth, Davey Thomason, Debbie Andrews, Cassie Lee, Jackie Hanna, Michael D Morgan, Derek Bell, Martin R Cowie
The study aimed to gain consensus on key priorities for developing breathlessness rehabilitation services for patients with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF). Seventy-four invited stakeholders attended a 1-day conference to review the evidence base for exercise-based rehabilitation in COPD and CHF. In addition, 47 recorded their views on a series of statements regarding breathlessness rehabilitation tailored to the needs of both patient groups. A total of 75% of stakeholders supported symptom-based rather than disease-based rehabilitation for breathlessness with 89% believing that such services would be attractive for healthcare commissioners...
August 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/27056059/molecular-and-biological-pathways-of-skeletal-muscle-dysfunction-in-chronic-obstructive-pulmonary-disease
#19
Esther Barreiro, Joaquim Gea
Chronic obstructive pulmonary disease (COPD) will be a major leading cause of death worldwide in the near future. Weakness and atrophy of the quadriceps are associated with a significantly poorer prognosis and increased mortality in COPD. Despite that skeletal muscle dysfunction may affect both respiratory and limb muscle groups in COPD, the latter are frequently more severely affected. Therefore, muscle dysfunction in COPD is a common systemic manifestation that should be evaluated on routine basis in clinical settings...
August 2016: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/26965223/traditional-and-emerging-indicators-of-cardiovascular-risk-in-chronic-obstructive-pulmonary-disease
#20
Michelle John, Tricia M McKeever, Maath Al Haddad, Ian P Hall, Ian Sayers, John R Cockcroft, Charlotte E Bolton
With the increased cardiovascular (CV) morbidity and mortality in subjects with chronic obstructive pulmonary disease (COPD), there is a priority to identify those patients at increased risk of cardiovascular disease. Stable patients with COPD (n = 185) and controls with a smoking history (n = 106) underwent aortic pulse wave velocity (PWV), blood pressure (BP) and skin autofluorescence (AF) at clinical stability. Blood was sent for fasting lipids, soluble receptor for advanced glycation end products (sRAGE) and CV risk prediction scores were calculated...
August 2016: Chronic Respiratory Disease
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