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https://www.readbyqxmd.com/read/27900185/benefits-of-a-novel-concept-of-home-based-exercise-with-the-aim-of-preventing-aspiration-pneumonia-and-falls-in-frail-older-women-a-pragmatic-controlled-trial
#1
Katsuhiko Takatori, Daisuke Matsumoto, Munenori Nishida, Shinnichiro Matsushita, Tatsuya Noda, Tomoaki Imamura
AIM: To investigate whether home-based exercise with the aim of preventing aspiration pneumonia and accidental falls improves swallowing-related and physical functions in community-dwelling frail older women. METHODS: Participants were 266 community-dwelling frail older women in a long-term care prevention class (mean (SD): age 75 (5) years). Participants were allocated to either an intervention group or a control group. In the intervention group, participants were asked to perform, at least three times a week for 6 months, a home-based exercise programme that was specifically developed to prevent aspiration pneumonia and accidental falls...
2016: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/27882023/effects-of-bisoprolol-in-combination-with-trimetazidine-on-the-treatment-of-heart-failure-and-concomitant-chronic-obstructive-pulmonary-disease
#2
Yuanyuan Ke, Dingli Xu, Minxiong Li, Zenglong Wu, Yongpeng Huang
OBJECTIVE: To evaluate the effects of bisoprolol combined with trimetazidine on the treatment of heart failure patients having concomitant chronic obstructive pulmonary disease (COPD); in comparison with control group treated with standard therapy only. METHODS: A total of 120 heart failure patients having concomitant COPD were selected and randomly divided into a control group and a treatment group according to different treatment methods (n=60). The control group was given continuous low flow oxygen inhalation and inotropic agents, and their cardiac stress was also reduced...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27847715/analysis-of-pulmonary-function-test-in-korean-patients-with-duchenne-muscular-dystrophy-comparison-of-foreign-and-korean-reference-data
#3
Tae Sik Bang, Woo Hyuk Choi, Sang Hun Kim, Je-Sang Lee, Soo-Yeon Kim, Myung Jun Shin, Yong Beom Shin
OBJECTIVE: To determine the abnormal pulmonary function value in Korean Duchenne muscular dystrophy (DMD) patients, we performed a comparative analysis of the patients' pulmonary function value expressed as % of the overseas reference data and Korean healthy children and adolescent reference data. METHODS: We performed pulmonary function test (PFT) in a total of 27 DMD patients. We compared the patients' FVC% and FEV1% of the overseas reference data with those of the Korean children and adolescent reference data...
October 2016: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27821935/effects-of-an-upper-limb-exercise-program-for-improving-muscular-strength-and-range-of-movement-on-respiratory-function-of-stroke-patients
#4
Dong-Hyun Kim, Sang-Hun Jang
[Purpose] This study aims to investigate the effects of upper-limb exercises on the respiratory functions of stroke patients. [Subjects and Methods] This study was performed with 25 stroke patients. The subjects were divided into the control group (n=12) which did not perform upper arm training and the experimental group (n=13) which conducted upper arm training. Forced vital capacity and forced expiratory volume in the first second, both of which are used in this study, are well-known indicators of respiratory capabilities...
October 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27817773/-therapeutic-effect-and-safety-of-montelukast-sodium-combined-with-budesonide-in-children-with-cough-variant-asthma-a-meta-analysis
#5
Yan Wei, Dong-Sheng Li, Jian-Jun Liu, Jing Zhang, Hai-En Zhao
OBJECTIVE: To evaluate the therapeutic effect and safety of montelukast sodium combined with budesonide in children with cough variant asthma. METHODS: The databases CNKI, Wanfang Data, VIP, PubMed, EMbase, and BioMed Central were searched for randomized controlled trials (RCTs) of montelukast sodium combined with budesonide in the treatment of children with cough variant asthma. Data extraction and quality assessment were performed for RCTs which met the inclusion criteria, and RevMan 5...
November 2016: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/27748575/effects-of-oral-care-with-tongue-cleaning-on-coughing-ability-in-geriatric-care-facilities-a-randomised-controlled-trial
#6
M Izumi, K Takeuchi, S Ganaha, S Akifusa, Y Yamashita
Methods for preventing aspiration pneumonia are needed soon in order to reduce mortality from aspiration pneumonia and promote the health of the elderly. The aim of this randomised controlled trial was to examine whether oral care with tongue cleaning improves coughing ability in elderly individuals living in geriatric care facilities. Participants comprised of 114 residents of 11 group homes and private nursing homes in Aso City in Kumamoto Prefecture. Participants were randomly assigned to either (i) a group that underwent routine oral care with tongue cleaning (intervention group; n = 58) or (ii) a group that underwent routine oral care alone (control group; n = 56)...
December 2016: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/27716405/noninvasive-ventilation-for-avoidance-of-reintubation-in-patients-with-various-cough-strength
#7
Jun Duan, Xiaoli Han, Shicong Huang, Linfu Bai
BACKGROUND: Reintubation is associated with high mortality. Identification of methods to avoid reintubation is needed. The aim of this study was to assess whether prophylactic noninvasive ventilation (NIV) would benefit patients with various cough strengths. METHODS: We prospectively enrolled 356 patients who successfully passed a spontaneous breathing trial in a respiratory intensive care unit. Before extubation, cough peak flow was measured. After extubation, attending physicians determined whether the patients would receive prophylactic NIV or conventional oxygen treatment (control group)...
October 7, 2016: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/27706462/effectiveness-of-prophylactic-non-invasive-ventilation-on-respiratory-function-in-the-postoperative-phase-of-pediatric-cardiac-surgery-a-randomized-controlled-trial
#8
Camilla R S Silva, Lívia B Andrade, Danielle A S X Maux, Andreza L Bezerra, Maria C M B Duarte
Objective: To evaluate the effectiveness of prophylactic, non-invasive ventilation (NIV) on respiratory function in seven- to 16-year-old children in the post-operative phase of cardiac surgery. Method: A randomized, controlled trial with 50 children who had undergone cardiac surgery with median sternotomy. After extubation, patients were randomly assigned to one of two groups: control group (n=26), which received instructions regarding posture, early ambulation, and cough stimulation, and CPAP group (continuous positive airway pressure; n=24), which received the same instructions as the control group and CPAP=10 cmH20 twice daily for 30 minutes from the 1st to the 5th post-operative day (POD)...
September 29, 2016: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/27692145/the-relationship-of-body-habitus-and-respiratory-function-in-duchenne-muscular-dystrophy
#9
Kenneth Chew, Kate Carey, Genevieve Ho, Kylie-Ann Mallitt, John Widger, Michelle Farrar
BACKGROUND: The multidisciplinary care of Duchenne muscular dystrophy (DMD) incorporates management of nutrition and the respiratory system, however the effect of body habitus on respiratory function in DMD is poorly understood. The present study examined the impact of nutritional status on respiratory function in DMD to guide further treatment strategies. METHODS: Anthropometric and respiratory parameters, such as body mass index (BMI) z-scores, forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) were retrospectively analysed with a mixed linear model in 34 DMD patients...
October 2016: Respiratory Medicine
https://www.readbyqxmd.com/read/27622699/randomized-trial-of-once-daily-fluticasone-furoate-in-children-with-inadequately-controlled-asthma
#10
Amanda J Oliver, Ronina A Covar, Caroline H Goldfrad, Ryan M Klein, Søren E Pedersen, Christine A Sorkness, Susan A Tomkins, César Villarán, Jonathan Grigg
OBJECTIVE: To evaluate the dose-response, efficacy, and safety of fluticasone furoate (FF; 25 µg, 50 µg, and 100 µg), administered once daily in the evening during a 12-week treatment period to children with inadequately controlled asthma. STUDY DESIGN: This was a Phase IIb, multicenter, stratified, randomized, double-blind, double-dummy, parallel-group, placebo- and active-controlled study in children aged 5-11 years with inadequately controlled asthma...
September 9, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27606641/effect-of-abdominal-muscle-training-on-respiratory-muscle-strength-and-forced-expiratory-flows-in-sedentary-healthy-adolescents
#11
Iván Rodríguez-Núñez, Ximena Navarro, Darwin Gatica, Carlos Manterola
INTRODUCTION: Respiratory muscle training is the most commonly used method to revert respiratory muscle weakness; however, the effect of protocols based on non-respiratory maneuvers has not been adequately studied in the pediatric population. The objective of this study was to establish the effect of abdominal muscle training on respiratory muscle strength and forced expiratory flows in healthy adolescents. METHODS: This was a quasi-experiment. The sample was made up of healthy adolescents divided into two groups: an experimental group who completed eight weeks of active abdominal muscle training, and an equivalent control group...
October 1, 2016: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/27605967/respiratory-effects-of-biomass-fuel-combustion-on-rural-fish-smokers-in-a-nigerian-fishing-settlement-a-case-control-study
#12
Paul Dienye, Alex Akani, Ita Okokon
BACKGROUD: The aim was to study the prevalence of respiratory symptoms and assess the lung function of fish smokers in Nigeria. METHODS: A case control study was done among fish smokers in Nigeria. Women aged 15 years or older (n=210) involved in fish smoking and equal number of matched controls were interviewed on respiratory symptoms and their peak expiratory flow rate (PEFR) measured. Data was analysed using chi square test, student's t-test and odd ratios. RESULTS: Both groups were similar in their personal characteristics...
June 2016: African Health Sciences
https://www.readbyqxmd.com/read/27593879/a-comparison-of-cough-assistance-techniques-in-patients-with-respiratory-muscle-weakness
#13
Sun Mi Kim, Won Ah Choi, Yu Hui Won, Seong Woong Kang
PURPOSE: To assess the ability of a mechanical in-exsufflator (MI-E), either alone or in combination with manual thrust, to augment cough in patients with neuromuscular disease (NMD) and respiratory muscle dysfunction. MATERIALS AND METHODS: For this randomized crossover single-center controlled trial, patients with noninvasive ventilator-dependent NMD were recruited. The primary outcome was peak cough flow (PCF), which was measured in each patient after a cough that was unassisted, manually assisted following a maximum insufflation capacity (MIC) maneuver, assisted by MI-E, or assisted by manual thrust plus MI-E...
November 2016: Yonsei Medical Journal
https://www.readbyqxmd.com/read/27586974/-study-of-the-clinical-phenotype-of-symptomatic-chronic-airways-disease-by-hierarchical-cluster-analysis-and-two-step-cluster-analyses
#14
P Ning, Y F Guo, T Y Sun, H S Zhang, D Chai, X M Li
OBJECTIVE: To study the distinct clinical phenotype of chronic airway diseases by hierarchical cluster analysis and two-step cluster analysis. METHODS: A population sample of adult patients in Donghuamen community, Dongcheng district and Qinghe community, Haidian district, Beijing from April 2012 to January 2015, who had wheeze within the last 12 months, underwent detailed investigation, including a clinical questionnaire, pulmonary function tests, total serum IgE levels, blood eosinophil level and a peak flow diary...
September 1, 2016: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
https://www.readbyqxmd.com/read/27492520/stepping-down-from-combination-asthma-therapy-the-predictors-of-outcome
#15
Heikki O Koskela, Minna K Purokivi, Jouko Kokkarinen
BACKGROUND: Stepping down from combination asthma therapy (inhaled corticosteroids (ICS) + long-acting β2 agonists (LABA)) is often avoided due to fear of exacerbations, which may lead to overmedication in well-controlled asthma. A better knowledge about the predictors of outcome might encourage clinicians to start stepping down more often than previously. METHODS: In 55 subjects with well controlled asthma and combination therapy, LABAs were discontinued first, followed by ICS dose halving, and then cessation, in six weeks' intervals...
August 2016: Respiratory Medicine
https://www.readbyqxmd.com/read/27459841/upper-airway-and-eye-involvement-in-polyurethane-shoe-sole-production-workers
#16
MULTICENTER STUDY
Roberta Stopponi, Cinzia Tacconi, Ilenia Folletti, Roberto Calisti, Andrea Siracusa
OBJECTIVES: This cross-sectional study was aimed to investigate the prevalence of work-related upper and lower airway and eye symptoms in 118 workers in polyurethane shoe soles (PSS) production. METHODS: Workplace monitoring of methylene diphenyl diisocyanate (MDI) and solvents was performed. Subjects completed a study-specific questionnaire and underwent anterior rhinoscopy, skin prick tests for common aeroallergens, spirometry, nasal peak inspiratory (NPIF) and expiratory flow (NPEF)...
April 2016: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/27354681/daytime-mouthpiece-for-continuous-noninvasive-ventilation-in-individuals-with-amyotrophic-lateral-sclerosis
#17
Marie-Eve Bédard, Douglas A McKim
BACKGROUND: Noninvasive ventilation (NIV) is commonly used to provide ventilatory support for individuals with amyotrophic lateral sclerosis (ALS). Once 24-h ventilation is required, the decision between invasive tracheostomy ventilation and palliation is often faced. This study describes the use and outcomes of daytime mouthpiece ventilation added to nighttime mask ventilation for continuous NIV in subjects with ALS as an effective alternative. METHODS: This was a retrospective study of 39 subjects with ALS using daytime mouthpiece ventilation over a 17-y period...
October 2016: Respiratory Care
https://www.readbyqxmd.com/read/27290237/cough-peak-expiratory-flow-assistance-at-extubation-and-outcomes
#18
P Carmona Sanchez, J Muñoz Trujillo, M D Bautista Rodriguez, V Martinez de Pinillos Sanchez, M Echeverria Leon, R Diaz Pernalete, I Durban Garcia, J M Serrano Simon
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
https://www.readbyqxmd.com/read/27221716/upper-airway-microbial-colonization-in-patients-with-neuromuscular-disorders
#19
Florian Stehling, Nadine Pieper, Anastasios Bouikidis, Joerg Steinmann, Peter-Michael Rath, Uwe Mellies
BACKGROUND AND OBJECTIVE: Inherited neuromuscular disorders (NMD) inevitably result in severe lung volume restriction and cough insufficiency associated with high morbidity and mortality. The aim of this retrospective study was to evaluate whether the airways of patients with NMD are colonized with potential pathogenic microorganisms that might contribute to the pulmonary morbidity in NMD. METHODS: In this cross-sectional study, cough swabs were obtained and cultured for microbiological analyses from 77 patients with NMD and different degrees of lung volume restriction and cough insufficiency...
October 2016: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/27190224/effect-of-high-frequency-oscillations-on-cough-peak-flows-generated-by-mechanical-in-exsufflation-in-medically-stable-subjects-with-amyotrophic-lateral-sclerosis
#20
Jesús Sancho, Enric Bures, Saray de La Asunción, Emilio Servera
BACKGROUND: Mechanically assisted coughing with mechanical in-exsufflation (MI-E) is recommended for noninvasive management of respiratory secretions in amyotrophic lateral sclerosis (ALS). To improve the effectiveness of the technique, a new device combining MI-E with high-frequency oscillations (HFO) has been developed. This work aimed to assess the effect of HFO on the cough peak flow generated by MI-E in medically stable subjects with ALS. METHODS: This was a prospective study that included subjects with ALS in a medically stable condition...
August 2016: Respiratory Care
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