Read by QxMD icon Read

Pulmonology. Respiratory. Asthma. Copd

Sonia Maria Martins, William Salibe-Filho, Luís Paulo Tonioli, Luís Eduardo Pfingesten, Patrícia Dias Braz, Juliet McDonnell, Siân Williams, Débora do Carmo, Jaime Correia de Sousa, Hilary Pinnock, Rafael Stelmach
Asthma and chronic obstructive pulmonary disease (COPD) are leading causes of hospitalisation and death in the city of Sao Bernardo do Campo. The municipality had difficulties in sustaining a pulmonology specialist team. Local policy has strengthened the knowledge of the primary care teams to improve the management of these diseases. Our aim is to pilot the implementation of an educational intervention based on collaborative care focused on reducing respiratory-related referrals. We implemented 'matrix support': a Brazilian collaborative educational intervention promoting specialist training and support for primary care physicians in three health territories with the highest number of referrals...
2016: NPJ Primary Care Respiratory Medicine
Juan José Soler-Cataluña, Fernando Sánchez Toril, M Carmen Aguar Benito
Longer life expectancy and the progressive aging of the population is changing the epidemiological pattern of healthcare, with a reduction in the incidence of acute diseases and a marked increase in chronic diseases. This change brings important social, healthcare and economic consequences that call for a reorganization of patient care. In this respect, the Spanish National Health System has developed a Chronicity strategy that proposes a substantial change in focus from traditional rescue medicine to patient- and environment-centered care, with a planned, proactive, participative and multidisciplinary approach...
August 2015: Archivos de Bronconeumología
Lana Maricić, Roberta Visević, Andrijana Vceva, Aleksandar Vcev, Slavica Labor
AIM: The objective of this study was to examine the risk of sleep apnea syndrome in patients with chronic obstructive pulmonary disease (COPD) and to determine correlation with the associated cardiovascular comorbidity in these patients. Chronic and occasional sleep disturbances represent a problem for millions of people worldwide. COPD is a multisystem disease and the leading cause of mortality and morbidity in the world. It is estimated that it will be the third cause of death in the world by 2020...
June 2013: Acta Medica Croatica: C̆asopis Hravatske Akademije Medicinskih Znanosti
Martijn A Spruit, Maurizio Marvisi, Johan Coolen, Venerino Poletti, Stefano Gasparini, Björn Ställberg, Felix J F Herth, Enrico M Clini
This article reviews a selection of scientific presentations in the area of clinical problems, which were presented at the 2013 European Respiratory Society Annual Congress in Barcelona, Spain. This article discusses the most relevant topics of interest in the field of clinical respiratory medicine, including breakthrough reports and studies of particular interest to the healthcare professionals. Topics are presented and discussed in the context of the most up-to-date literature, including basic science and translational research...
July 2014: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
Daniel A Lichtenstein
Lung ultrasound is a basic application of critical ultrasound, defined as a loop associating urgent diagnoses with immediate therapeutic decisions. It requires the mastery of ten signs: the bat sign (pleural line), lung sliding (yielding seashore sign), the A-line (horizontal artifact), the quad sign, and sinusoid sign indicating pleural effusion, the fractal, and tissue-like sign indicating lung consolidation, the B-line, and lung rockets indicating interstitial syndrome, abolished lung sliding with the stratosphere sign suggesting pneumothorax, and the lung point indicating pneumothorax...
January 9, 2014: Annals of Intensive Care
Mariusz Duplaga
OBJECTIVE: The main objective of this study was to assess the acceptance of the use of e-health applications by patients suffering from bronchial asthma and other chronic respiratory conditions. SUBJECTS AND METHODS: The questionnaire, consisting of 73 items, was distributed among 200 patients remaining under the care of a tertiary-care pulmonology center in Krakow, Poland (return rate, 82.5%; n=165). RESULTS: The mean age (standard deviation) of respondents was 50...
September 2013: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
D Gompelmann, R Eberhardt, F J F Herth
Bronchoscopy is the most important tool in diagnosis of respiratory diseases, but also provides therapeutic options in various disorders. Besides hemoptysis, airway stenoses are a frequent indication for therapeutic bronchoscopy interventions. Thereby, a broad spectrum of endoscopic techniques including electrocautery, argon plasma coagulation, laser treatment, cryosurgery and stent implantation is available. In the last decade, development of new endoscopic modalities provides also treatment of patients with chronic obstructive pulmonary disease and uncontrolled asthma...
June 2013: Panminerva Medica
Marc Miravitlles, Juan José Soler-Cataluña, Myriam Calle, Jesús Molina, Pere Almagro, José Antonio Quintano, Juan Antonio Riesco, Juan Antonio Trigueros, Pascual Piñera, Adolfo Simón, José Luis López-Campos, Joan B Soriano, Julio Ancochea
Recognizing the clinical heterogeneity of COPD suggests a specific therapeutic approach directed by the so-called clinical phenotypes of the disease. The Spanish COPD Guidelines (GesEPOC) is an initiative of SEPAR, which, together with the scientific societies involved in COPD patient care, and the Spanish Patient Forum, has developed these new clinical practice guidelines. This present article describes the severity classification and the pharmacological treatment of stable COPD. GesEPOC identifies four clinical phenotypes with differential treatment: non-exacerbator, mixed COPD-asthma, exacerbator with emphysema and exacerbator with chronic bronchitis...
July 2012: Archivos de Bronconeumología
A I Sinopal'nikov
The review is devoted to non-antibacterial effects of macrolides in patients with respiratory diseases: bronchial asthma, bronchoectasis, chronic obstructive pulmonary disease, chronic rhinosinusitis, mucoviscidosis, diffuse bronchiolithiasis, severe flu, posttransplantation obliterating bronchiositis. The discussion covers mechanisms of an immunomodulating action of macrolides. Current data base on non-antibacterial effects of macrolides is analysed.
2011: Terapevticheskiĭ Arkhiv
(no author information available yet)
AIM: To obtain objective information on the quality of pulmonological outpatient care for patients living in the North Administrative District (NAD) of Moscow; to propose methods of this care improvement. MATERIAL AND METHODS: An epidemiological study of Moscow NAD population was made to detect respiratory diseases, to assess qualification of district physicians in management of most prevalent chronic diseases of the respiratory system: bronchial asthma (BA) and chronic obstructive pulmonary disease (COPD)...
2011: Terapevticheskiĭ Arkhiv
N M Shmeleva, I V Galkin, V P Sidorova, A S Belevskiĭ, E I Shmelev
The quality of the diagnosis and treatment of lung diseases was assessed in the polyclinics of the Northern Administrative District of Moscow by 2 methods: (1) selective examination of 960 case histories of bronchial asthma and chronic obstructive pulmonary diseases and (2) questionnaire survey and spirometry of 2132 patients aged 35 to 75 years who have visited a polyclinic for no respiratory diseases. Random check of the case histories revealed a large number of diagnostic and medical errors suggesting the undertraining of therapists in pulmonology...
2008: Problemy Tuberkuleza i Bolezneĭ Legkikh
Joaquim Gea
This is a review of the articles dealing with basic science published in recent issues of Archivos de Bronconeumología. Of particular interest with regard to chronic obstructive pulmonary disease were an article on extrapulmonary inflammation and oxidative stress and another on bronchial remodeling. The articles relating to asthma included a review on the use of drugs that block free immunoglobulin-E and an article about the contribution of experimental models to our knowledge of this disease. Two of the most interesting articles on the topic of lung cancer dealt with gene therapy and resistance to chemotherapy...
November 2008: Archivos de Bronconeumología
B I Gel'tser, T A Brodskaia
Arterial pressure (AP) measured on brachial artery now cannot be considered as an unique marker of vascular tonus. According to literature data, more informative and prognostically valued parameters are central AP (CAP) and indices of arterial rigidity, which closer bound with hypertrophy of vascular wall, intensity of vascular atherosclerotic lesion and occurrence of cardiovascular complications, than peripheral AP and some other classic risk factors. Nevertheless, CAP measuring cannot be considered as alternative to classic method of AP measuring on brachial artery; it only supplements our view of concrete pathological process...
2008: Klinicheskaia Meditsina
Krzysztof J Karwat, Monika Szpotańska, Zofia Szulc, Ryszarda Chazan
UNLABELLED: Respiratory infections are the most common causes of exacerbations of asthma and chronic obstructive pulmonary disease (COPD). The influenza vaccinations are recommended in prophylaxis of respiratory infections. The aim of our study was to evaluate the influence of influenza vaccinations on asthma or COPD. 178 patients (55.1% with asthma, 44.9% with COPD) of Out-patient Clinic of Department of Internal Diseases, Pulmonology and Allergology of Warsaw Medical University filled the questionnaires...
2006: Pneumonologia i Alergologia Polska
Mirco Lusuardi, Fernando De Benedetto, Pierluigi Paggiaro, Claudio M Sanguinetti, Giancarlo Brazzola, Paolo Ferri, Claudio F Donner
STUDY OBJECTIVES: To evaluate whether office spirometry by general practitioners (GPs) is feasible and may improve the diagnosis of asthma and COPD. METHODS: A prospective, randomized, comparative trial was planned involving 57 Italian pulmonology centers and 570 GPs who had to enroll consecutive subjects aged 18 to 65 years with symptoms of asthma or COPD without a previous diagnosis. Patients were randomized 1:1 into two groups with an interactive voice responding system: conventional evaluation alone vs conventional evaluation and spirometry...
April 2006: Chest
Remigijus Voldemaras Nargela, Artūras Andziulis
Bronchial obstruction evaluation is usual problem of clinical practice. Solution of this problem sometimes becomes difficult regardless of obvious methods and new technologies introduction. Incorrect bronchial obstruction diagnostic may determine incorrect treatment, case prognosis and may determine loss of disease control. Clinic of Pulmonology of Vilnius University Hospital "Santariskiu klinikos"carried out study about this problem. Preliminary pilot data are presented. Aim of study was comparison of different methods of bronchial obstruction evaluation...
2003: Medicina
C Pellicer, J Fullana, M J Cremades, M L Rivera, M Perpiñà
This study analyzes patient demand in a regional public health pulmonology practice. The following data were recorded for all first-visit patients for a period of two years: age, sex, referral source, initial diagnosis by the referring physician, final diagnosis by the pulmonologist, and destination. The service studied 1,486 patients (men/women: 1.5). Most (71%) were between 40 and 80 years old. Referrals were from the family doctor (60%), health center (9%), emergency service (10%), hospital (12%), other specialists (6%), and others (3%)...
November 1996: Archivos de Bronconeumología
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"