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Nevin Kishore, Nishant Gupta, Anandamoyee Dhar, Andleeb Abrari, Prasandeep Rath
Initial evaluation for ANCA should be performed at diagnosis in all patients with pulmonary fibrosis; ANCA positivity will increase risk of development of vasculitis and promote further evaluation and specific monitoring
September 2018: Breathe
Ashish K Jain, Vishal K Chitikeshi, Pritha Nayyar, Nitin Dayal, Anuja Anand
In TB endemic regions, granulomatous inflammation in the samples from a tumour in the lung or in the draining lymph nodes will not be sufficient to diagnose TB as granulomas can also arise as a reaction to tumour cells
September 2018: Breathe
Marta Celmina, Simona Paule
Several conditions that manifest as stridor can mimic asthma. When there is an initial failure in therapy, other diagnoses should be considered. The absence of witnessed choking does not exclude an inhaled/ingested foreign body.
September 2018: Breathe
Priya Sethukumar, Bhik Kotecha
While continuous positive airway pressure (CPAP) remains the gold standard treatment of choice in patients with moderate or severe obstructive sleep apnoea (OSA), surgery has been established as a means to improve compliance and facilitate the use of CPAP, both of which are potential pitfalls in the efficacy of this treatment modality. In a minority of cases, with obvious oropharyngeal anatomical obstruction, corrective surgery may completely alleviate the need for CPAP treatment. In this review, we summarise clinical assessment, surgical options, discuss potential new treatments, and outline the importance of investigating and addressing the multiple anatomical levels that can contribute to OSA...
September 2018: Breathe
Athanasia Pataka, Serafeim Chrysovalantis Kotoulas, Evdokia Sourla, Evangelia Panagiotidou, Vasilios Bagalas, Katalin Fekete Passa, Ioannis Stanopoulos
Is it just an infection or something more?
September 2018: Breathe
(no author information available yet)
Obstructive sleep apnoea (OSA) is prevalent and polysomnography (PSG) is the gold standard in diagnosis. However, PSG is not always routinely available and many children are treated empirically. Nocturnal oximetry is emerging as a widely available, simple and cost-effective screening alternative with the main limitation being low interobserver reliability and relatively low accuracy.
September 2018: Breathe
(no author information available yet)
Your healthcare professional will show you how to blow into the spirometer before you begin. You may need to wear a soft clip over your nose to stop air leaking out of your nostrils. Before starting the test, you might be asked to breathe in deeply and out gently into the spirometer. You will then be asked to blow at least three times, but usually no more than 10 times, into the spirometer.
September 2018: Breathe
(no author information available yet)
ERS Monograph Chief Editor elect, John Hurst, gives an insight into his life
September 2018: Breathe
Simone Gambazza
At the start of my career, following 3 years of undergraduate education in physiotherapy, it was crystal clear that I was more inclined to the respiratory field rather than musculoskeletal or neurological practice. At that time, after six enthusiastic months spent at Lacor Hospital (Gulu, Uganda) writing my graduation thesis, my remaining options were a 2-year Master's level degree (MSc), introduced in Italy in late 2004, randomly following some educational courses offered by the only Italian association of physiotherapists dealing with respiratory disease (Associazione Riabilitatori dell'Insufficienza Respiratoria; ARIR) or, eventually, deepening my understanding and, therefore, management of respiratory diseases through the available 1-year postgraduate track at the University of Milan (Milan, Italy)...
September 2018: Breathe
Mafalda van Zeller, Marta Drummond
In Portugal, a medical degree takes 6 years, including a master's degree, ever since the Bologna Agreement of 2009. After this, and according to the Ordem dos Médicos ( College of Physicians ), one must complete 2 years of fully supervised clinical practice to be able to practice medicine. During this period, junior doctors rotate through several different medical and chirurgical specialties, after which and according to their grade on a national examination, they chose a specialty and location. Pneumology/respiratory medicine is one of the options and every year roughly 30 residents begin this 5-year specialty...
September 2018: Breathe
Andreja Sajnic, Snjezana Cukljek, Sladana Rezic, Kristina Pauker, Aleksandra Trupkovic, Liljana Konecki, Jasminka Ban Grahovac, Marija Mandaric, Ivana Lalic, Maja Majeric, Tea Grgec, Sandra Karabatic, Tanja Zovko
Nursing education in the Republic of Croatia is conducted at the secondary and higher education levels (post-secondary and tertiary). Croatian nursing education is in line with the recommendations of European Directives 2005/36/EC [1] and 2013/55/EU [2]. High school (secondary level) education lasts for 5 years; after graduation, students are awarded the title "general care nurse" [3].
September 2018: Breathe
Christian R Osadnik
In 2018, Australia's population of approximately 25 million people is serviced by almost 32 000 registered physiotherapists [1]. Physiotherapists in Australia traditionally obtain their qualification via a 4-year, full-time equivalent undergraduate professional degree. This typically involves 2 or 3 years of full-time, university-based education followed by full-time clinical education, during which the student is immersed in real-world clinical training under the supervision of physiotherapy clinicians...
September 2018: Breathe
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Breathe
Annia Schreiber, Barbara Fusar Poli, Lieuwe D Bos, Raffaella Nenna
A chronological account of some of the significant research into the application of NIV in acute hypercapnic respiratory failure over recent decades
September 2018: Breathe
Salvatore Fasola, Giovanna Cilluffo, Raffaella Nenna, Stefania La Grutta
The key for the success of a study lies in the careful design of all its different phases, from the statement of the objectives to the dissemination of the results
September 2018: Breathe
Tiago M Alfaro, Cristina Calarasu, Sheila Ramjug, Lowie Vanfleteren, Raffaella Nenna, Laura Petrarca, Deborah Snijders, Jana De Brandt
Meet the new members of the @EarlyCareerERS committee
September 2018: Breathe
Delphine Natali, Hai Tran Pham, Murielle Del Gallo, Hung Nguyen The, Denis Debrosse
Can you diagnose this clinical case of a rare disease presenting as a very common disease?
September 2018: Breathe
Martyn F Biddiscombe, Omar S Usmani
Inhaled medication is the cornerstone in the treatment of patients across a spectrum of respiratory diseases including asthma and chronic obstructive pulmonary disease. The benefits of inhaled therapy have long been recognised but the most important innovations have occurred over the past 60 years, beginning with the invention of the pressurised metered dose inhaler. However, despite over 230 different device and drug combinations currently being available, disease control is far from perfect. Here we look at how innovation in inhaler design may improve treatments for respiratory diseases and how new formulations may lead to treatments for diseases beyond the lungs...
September 2018: Breathe
Kostas Archontogeorgis, Evangelia Nena, Nikolaos Papanas, Paschalis Steiropoulos
Obstructive sleep apnoea syndrome (OSAS) is a common disorder of multifactorial pathogenesis and is associated with obesity, diabetes and cardiovascular disease. Vitamin D is a fat-soluble vitamin with an important function in calcium absorption and homeostasis, which is also implicated in several nonskeletal conditions. The prevalence of vitamin D deficiency is increasing worldwide and is associated with similar metabolic disturbances to OSAS. Moreover, recent data suggest that in OSAS patients serum levels of vitamin D are lower compared with non-apnoeic subjects...
September 2018: Breathe
Luis Ribeiro, Philip W Ind
Increasing cannabis use and legalisation highlights the paucity of data we have on the safety of cannabis smoking for respiratory health. Unfortunately, concurrent use of tobacco among marijuana smokers makes it difficult to untangle individual effect of marijuana smoking. Chronic cannabis only smoking has been shown in large cohort studies to reduce forced expiratory volume in 1 s/forced vital capacity via increasing forced vital capacity in chronic use contrary to the picture seen in tobacco smoking. The cause of this is unclear and there are various proposed mechanisms including respiratory muscle training secondary to method of inhalation and acute anti-inflammatory effect and bronchodilation of cannabis on the airways...
September 2018: Breathe
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