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Alvar Agustí, Guillaume Noell, Josep Brugada, Rosa Faner
BACKGROUND: Early life events can affect health in later life. We hypothesised that low lung function (FEV1 <80% predicted) in early adulthood (25-40 years) is associated with higher prevalence and earlier incidence of respiratory, cardiovascular, and metabolic abnormalities, and premature death. METHODS: In this cohort analysis, we tested this hypothesis using data from the Framingham Offspring Cohort (FOC) and validated our observations in CARDIA (an independent cohort) and GenIII (which includes the direct descendants of FOC participants)...
December 2017: Lancet Respiratory Medicine
V Plaza, S Quirce, J Delgado, E Martinez Moragón, L Pérez de Llano
Background. Numerous studies conclude that about half of the asthmatic population is not well controlled. The aim of this study was to discuss causes, consequences and possible solutions of uncontrolled asthma (UCA). Methods. Discussion amongst asthma experts from the fields of Pneumology, Allergy and Primary Care, structured in three phases: 1) survey to get the opinion of participants involved in different areas of UCA; 2) expert meeting, in which the results of the survey were discussed, and the diagnosis, treatment and monitoring of UCA were presented and discussed; and, 3) with the main findings, 83 items were formulated and subjected to consensus among all participants through the Delphi method...
November 21, 2016: Anales del Sistema Sanitario de Navarra
R K Osman, K Mortimer, G Bjune, A I El Sony
Background: Chronic respiratory disease (CRD) causes substantial morbidity and mortality. Although the global CRD epidemic collides with the tuberculosis (TB) epidemic in many low- and middle-income country settings, the risk of TB-associated CRD is not well described in countries with a high burden of TB. Methods: We recruited 136 patients with a history of sputum smear-positive pulmonary TB (PTB) from the TB clinic at Omdurman Teaching Hospital in Khartoum, Sudan, and 136 age- and sex-matched community controls, between 28 July 2013 and 30 December 2013...
September 2016: Public Health Action
J Hernández, L Molins, J J Fibla, F Heras, R Embún, J J Rivas
BACKGROUND: Patients with pulmonary metastases from colorectal cancer (CRC) may benefit from aggressive surgical therapy. The objective of this study was to determine the role of major anatomic resection for pulmonary metastasectomy to improve survival when compared with limited pulmonary resection. PATIENTS AND METHODS: Data of 522 patients (64.2% men, mean age 64.5 years) who underwent pulmonary resections with curative intent for CRC metastases over a 2-year period were reviewed...
May 2016: Annals of Oncology: Official Journal of the European Society for Medical Oncology
S Pérez Tarazona, S Rueda Esteban, J Alfonso Diego, M I Barrio Gómez de Agüero, A Callejón Callejón, I Cortell Aznar, O de la Serna Blázquez, X Domingo Miró, M L García García, G García Hernández, C Luna Paredes, O Mesa Medina, A Moreno Galdó, L Moreno Requena, G Pérez Pérez, A Salcedo Posadas, M Sánchez Solís de Querol, A Torrent Vernetta, L Valdesoiro Navarrete, M Vilella Sabaté
Bronchopulmonary dysplasia (BPD) is the most common complication of preterm birth, and remains a major problem in pediatric pulmonology units. The decision of discharging from the Neonatal Unit should be based on a thorough assessment of the condition of the patient and compliance with certain requirements, including respiratory and nutritional stability, and caregiver education on disease management. For proper control of the disease, a schedule of visits and complementary tests should be established prior to discharge, and guidelines for prevention of exacerbations and appropriate treatment should be applied...
January 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
R Cilveti, B Osona, J A Peña, L Moreno, O Asensio
INTRODUCTION: The increase in recreational scuba diving in recent years, including children, involves risks and the possibility of accidents. While legislation, conditions and risks of scuba diving are well documented in adults, scientific evidence in scuba diving by children and adolescents is sparse and isolated. Furthermore, existing guidelines and recommendations for adults cannot be transferred directly to children. METHODS: These circumstances have led to the Group on Techniques of the Spanish Society of Pediatric Pulmonology (SENP) to perform a literature search to review and update the knowledge about scuba diving in children...
December 2015: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
I de Mir Messa, O Sardón Prado, H Larramona, A Salcedo Posadas, J R Villa Asensi
Whole body plethysmography is used to measure lung volumes, capacities and resistances. It is a well standardised technique, and although it is widely used in paediatric chest diseases units, it requires specific equipment, specialist staff, and some cooperation by the patient. Plethysmography uses Boyle's law in order to measure the intrathoracic gas volume or functional residual capacity, and once this is determined, the residual volume and total lung capacity is extrapolated. The measurement of total lung capacity is necessary for the diagnosis of restrictive diseases...
August 2015: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
D Moreno-Pérez, A Andrés Martín, A Tagarro García, A Escribano Montaner, J Figuerola Mulet, J J García García, A Moreno-Galdó, C Rodrigo Gonzalo de Lliria, J Ruiz Contreras, J Saavedra Lozano
There have been significant changes in community acquired pneumonia (CAP) in children in the last decade. These changes relate to epidemiology and clinical presentation. Resistance to antibiotics is also a changing issue. These all have to be considered when treating CAP. In this document, two of the main Spanish pediatric societies involved in the treatment of CAP in children, propose a consensus concerning therapeutic approach. These societies are the Spanish Society of Paediatric Infectious Diseases and the Spanish Society of Paediatric Chest Diseases...
December 2015: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Désirée Larenas-Linnemann, José Luis Mayorga-Butrón, Andrés Sánchez-González, Arturo Ramírez-García, Miguel Medina-Ávalos, Marco Antonio Figueroa-Morales, B Beatriz Montaño-Velázquez, Gabriel Montes-Narváez, Sergio Romero-Tapia, Héctor Stone-Aguilar, Luis Xochihua-Díaz, Jorge Salas-Hernández, Héctor Hernán-Ruiz, Miguel A Betancourt-Suárez, María Carmen Cano-Salas, Lorenzo Curiel-Aceves, Javier Dibildox-Martínez, Margarita Fernández-Vega, Carlos García-Bolaños, Fernando Iduñate-Palacios, M Alejandro Jiménez-Chobillon, Doris N López-Lizárraga, Juan José Matta-Campos, Jorge Olvera-Salinas, María Antonia Rivera-Gómez, César Virgen-Ortega, Juan José Sienra-Monge, Blanca Del Río-Navarro, Alfredo Arias-Cruz, Antonio Sacre-Hazouri, Ambrocio Aguilar-Aranda, Rodrigo Vásquez Del Mercado-Cordero, Raúl Humberto Barnica, Liliana Velasco-Hidalgo, Cecilia Solís-Galicia
BACKGROUND: The global prevalence of allergic rhinitis is high. International Study of Asthma and Allergies in Childhood (ISAAC) Phase III reports a total estimated prevalence of 4.6% in Mexico. There is evidence based on allergic rhinitis Clinical Practice Guidelines (CPG), but its promotion, acceptance and application is not optimal or adequate in Mexico. OBJECTIVE: To generate a guideline for the treatment of allergic rhinitis and its impact on asthma by adaptating the 2010 ARIA Guideline to Mexican reality, through a transculturation process applying the ADAPTE methodology...
2014: Revista Alergia Mexico: Organo Oficial de la Sociedad Mexicana de Alergia e Inmunología, A.C
Carlos J Álvarez Martínez, Gorka Bastarrika Alemañ, Carlos Disdier Vicente, Alberto Fernández Villar, Jesús R Hernández Hernández, Antonio Maldonado Suárez, Nicolás Moreno Mata, Antoni Rosell Gratacós
The aim of the proposed recommendations is be a tool to facilitate decision-making in patients with a solitary pulmonary nodule (SPN). For an optimal decision, accessibility to the different diagnostics techniques and patient preferences need to be incorporated. The first assessment, which includes a chest computed tomography scan, separates a group of patients with extrapulmonary neoplasm or a high surgical risk who require individualized management. Another two groups of patients are patients with SPN up to 8mm and those who have a subsolid SPN, for which specific recommendations are established...
July 2014: Archivos de Bronconeumología
Antoni Xaubet, Julio Ancochea, Elena Bollo, Estrella Fernández-Fabrellas, Tomás Franquet, Maria Molina-Molina, Maria Angeles Montero, Anna Serrano-Mollar
Idiopathic pulmonary fibrosis is defined as a chronic fibrosing interstitial pneumonia limited to the lung, of unknown cause, with poor prognosis and few treatment options. In recent years there has been an increase in their prevalence, probably due to the optimization of diagnostic methods and increased life expectancy. The ATS/ERS Consensus (2000) established the diagnostic criteria and recommendations for the assessment of the disease course and treatment. Later studies have helped to redefine diagnostic criteria and treatment options...
August 2013: Archivos de Bronconeumología
Carlos A Jiménez-Ruiz, Juan Antonio Riesco Miranda, Neus Altet Gómez, Jose Javier Lorza Blasco, Jaime Signes-Costa Miñana, Segismundo Solano Reina, Jose Ignacio de Granda Orive, Angela Ramos Pinedo, Manuel A Martinez Muñiz, Miguel Barrueco Ferrero
No abstract text is available yet for this article.
August 2013: Archivos de Bronconeumología
Ana M Gómez, José Ramón Jarabo, Cristina Fernandez, Joaquín Calatayud, Elena Fernández, Antonio J Torres, José L Balibrea, Florentino Hernando
BACKGROUND: Controversy persists as regards the indications and results of surgery in the treatment of patients with stage pIIIA-N2 non-small cell lung cancer (NSCLC). The objective of this study was to analyze the overall survival of a multicentre series of these patients and the role of adjuvant treatment, looking for factors that may define subgroups of patients with an increased benefit from this treatment. METHODS: A retrospective study was conducted on 287 patients, with stage pIIIA-N2 NSCLC subjected to complete resection, taken from a multi-institutional database of 2...
April 2014: Cirugía Española
Antoni Torres, José Barberán, Miquel Falguera, Rosario Menéndez, Jesús Molina, Pedro Olaechea, Alejandro Rodríguez
Community-acquired pneumonia (CAP) is an infectious respiratory disease with an incidence that ranges from 3 to 8 cases per 1,000 inhabitants per year. This incidence increases with age and comorbidities. Forty per cent of CAP patients require hospitalization and around 10% of these patients are admitted in an Intensive Care Unit (ICU). Several studies have suggested that the implementation of clinical guidelines has a positive impact in the outcome of patients including mortality and length of stay. The more recent and used guidelines are those from Infectious Diseases Society of America/American Thoracic Society, published in 2007, the 2009 from the British Thoracic Society, and that from the European Respiratory Society/European Society of Clinical Microbiology and Infectious Diseases, published in 2010...
March 2, 2013: Medicina Clínica
Joan A Barberà, Pilar Escribano, Pilar Morales, Miguel Á Gómez, Mikel Oribe, Angel Martínez, Antonio Román, Javier Segovia, Francisco Santos, María T Subirana
Consensus Statement of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) and the Spanish Society of Cardiology (SEC). Substantial progress in the diagnosis and treatment of patients with pulmonary hypertension in recent years has led to significant improvement in survival. Evidence-based clinical practice guidelines issued by scientific societies reflect these new developments. However, certain clinically relevant issues have not been covered in consensus guidelines because of the lack of conclusive scientific evidence...
February 2008: Revista Española de Cardiología
R G Suárez López de Vergara, C Galván Fernández, C Oliva Hernández, A Aguirre-Jaime, A Aquirre-Jaime, C Vázquez Moncholí
INTRODUCTION: Environmental tobacco smoke (ETS) exposure produces serious respiratory problems in childhood. The aim of the study was to evaluate if environmental tobacco smoke affects the severity of asthma in asthmatic children. MATERIAL AND METHODS: A prospective, multicentre study was conducted on asthmatic children and their parents in 2007-2008, using an exposure questionnaire, pulmonary function, level of cotinine in urine, and evaluation of the severity of asthma according to GEMA guide...
January 2013: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
José Blanquer, Javier Aspa, Antonio Anzueto, Miguel Ferrer, Miguel Gallego, Olga Rajas, Jordi Rello, Felipe Rodríguez de Castro, Antonio Torres
No abstract text is available yet for this article.
October 2011: Archivos de Bronconeumología
Julio Sánchez de Cos, Jesús Hernández Hernández, Marcelo F Jiménez López, Susana Padrones Sánchez, Antoni Rosell Gratacós, Ramón Rami Porta
The latest tumour, lymph node and metastasis (TNM) classification by the International Association for the Study of Lung Cancer (IASLC), based on the analysis of patients from all over the world, has incorporated changes in the descriptors, especially those regarding tumor size, while proposing new group staging. A new lymph node map has also been developed with the intention of facilitating the classification of the "N" component. SEPAR recommends using this new classification. As for the procedures recommended for staging, in addition to the generalized use of computed tomography (CT), it points to the role of positron emission tomography (PET) or image fusion methods (PET/CT), which provide a better evaluation of the mediastinum and extrathoracic metastases...
September 2011: Archivos de Bronconeumología
Javier Pérez-Frías, Antonio Moreno Galdó, Estela Pérez Ruiz, María Isabel Barrio Gómez De Agüero, Amparo Escribano Montaner, Pilar Caro Aguilera
No abstract text is available yet for this article.
July 2011: Archivos de Bronconeumología
Antonio Román, Pietat Ussetti, Amparo Solé, Felipe Zurbano, José M Borro, José M Vaquero, Alicia de Pablo, Pilar Morales, Marina Blanco, Carlos Bravo, José Cifrian, Mercedes de la Torre, Pablo Gámez, Rosalía Laporta, Víctor Monforte, Roberto Mons, Angel Salvatierra, Francisco Santos, Joan Solé, Andrés Varela
The present guidelines have been prepared with the consensus of at least one representative of each of the hospitals with lung transplantation programs in Spain. In addition, prior to their publication, these guidelines have been reviewed by a group of prominent reviewers who are recognized for their professional experience in the field of lung transplantation. Within the following pages, the reader will find the selection criteria for lung transplantation candidates, when and how to remit a patient to a transplantation center and, lastly, when to add the patient to the waiting list...
June 2011: Archivos de Bronconeumología
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