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Christophe Colas-Ribas, Isabelle Signolet, Samir Henni, Mathieu Feuillloy, Frédéric Gagnadoux, Pierre Abraham
The prevalence of pulmonary disease in patients with peripheral artery disease (PAD) has not been extensively studied. Recent evidence has shown that ∼20% of the patients have an atypical chest transcutaneous oxygen pressure (TcpO2) pattern during exercise, which suggests walking-induced hypoxemia. The main objectives of this study were to: (1) describe in a retrospective way the characteristics of the patients suffering from claudication, who attended a treadmill testing in our laboratory, (2) assess the prevalence of known or unknown pulmonary disease...
October 2016: Medicine (Baltimore)
K Thiam, E H M Ndiaye, N O Touré, Y Dia Kane, F B R Mbaye, M F Cissé
INTRODUCTION: Bronchoscopy is recommended into the exploration of chronic lung diseases. This one is expensive and invasive. We conducted this study in order to assess the benefit of the bronchoscopy in the etiologic diagnosis of chronic lung diseases. PATIENTS AND METHODS: This study was retrospective, descriptive and analytical, using medical records of outpatients and in patients who has done the bronchoscopy in Pneumology Clinic, Fann hospital, Dakar from January 2010 to December 2014...
October 2016: Revue de Pneumologie Clinique
Giustino Varrassi, Antonella Paladini
Professor Giustino Varrassi and Antonella Paladini speak to Jade Parker, Commissioning Editor: Professor Giustino Varrassi is Full Professor of Anesthesiology and Pain Medicine in the LUdeS University, Valletta, Malta. He graduated at the Medical School of the University 'La Sapienza' (Rome, Italy) in 1973, and became board certified in Anesthesiology and Intensive Care in 1976 and in Pneumology in 1978, both in the same Medical School. He is currently President of the European League Against Pain and of the Paolo Procacci Foundation, and is a founding member of both of these...
September 19, 2016: Pain Management
Cristina M Beltran-Aroca, Eloy Girela-Lopez, Eliseo Collazo-Chao, Manuel Montero-Pérez-Barquero, Maria C Muñoz-Villanueva
BACKGROUND: Respect for confidentiality is important to safeguard the well-being of patients and ensure the confidence of society in the doctor-patient relationship. The aim of our study is to examine real situations in which there has been a breach of confidentiality, by means of direct observation in clinical practice. METHODS: By means of direct observation, our study examines real situations in which there has been a breach of confidentiality in a tertiary hospital...
2016: BMC Medical Ethics
Domingo Orozco-Beltrán, Concepción Carratalá-Munuera, Juan M Arriero, Paloma Campo, Eva Martínez-Moragón, Jesús Molina, José Antonio Quintano-Jiménez, Vicente F Gil-Guillén
BACKGROUND: Over 50% of treated patients with asthma in Europe are not well controlled. Their management in primary health care (PHC) differs from that in specialized care, and there is no real coordination between the two. OBJECTIVES: To identify barriers and solutions to improving the management of patients with severe and poorly controlled asthma and the communication between specialists and PHC, and to reach a consensus on the criteria for referral patients...
August 20, 2016: Family Practice
Alexandre Alanio, Blandine Denis, Samia Hamane, Emmanuel Raffoux, Régis Peffault de la Tour, Sophie Touratier, Anne Bergeron, Stéphane Bretagne
Given reports showing a high prevalence of azole resistance in Aspergillus fumigatus, alternatives to azole therapy are discussed when a threshold of 10% of azole-resistant environmental isolates is reached. This raises the issue of calculation of this threshold, either on the prevalence of azole-resistant isolates as a whole or on the prevalence of azole-resistant cases in populations at risk of invasive aspergillosis (IA). For isolate evaluation, there are high disparities in routine microbiological procedures for the isolation of A...
August 2016: Journal of Antimicrobial Chemotherapy
Bénédicte Rognon, Coralie Barrera, Michel Monod, Benoit Valot, Sandrine Roussel, Manfredo Quadroni, Stephane Jouneau, Isabelle Court-Fortune, Denis Caillaud, Jean-Marc Fellrath, Jean-Charles Dalphin, Gabriel Reboux, Laurence Millon
The use of recombinant antigens has been shown to improve both the sensitivity and the standardization of the serological diagnosis of Farmer's lung disease (FLD). The aim of this study was to complete the panel of recombinant antigens available for FLD serodiagnosis with antigens of Lichtheimia corymbifera, known to be involved in FLD. L. corymbifera proteins were thus separated by 2D electrophoresis and subjected to western blotting with sera from 7 patients with FLD and 9 healthy exposed controls (HEC). FLD-associated immunoreactive proteins were identified by mass spectrometry based on a protein database specifically created for this study and subsequently produced as recombinant antigens...
2016: PloS One
Ph Demaeyer
Nowadays, Hippocrate, "The Father of Medicine", still influences our medicine. He was famous because of the great medical corpus texts preserved in his name. Only recently, our universities have updated the famous Hippocratic Oath to avoid contradictions with our modern ethics. Hippocrate was a great clinician but a poor anatomist. Hippocratical humourism remained accurate until the age of the enlightenment (18th century). Furthermore, it is difficult to distinguish medicine from philosophy in Greek antiquity...
March 2016: Revue Médicale de Bruxelles
Clairton Marcos Filho Citolino, Eduesley Santana Santos, Rita de Cassia Gengo E Silva, Lilia de Souza Nogueira
OBJECTIVE: To identify, in the perception of nurses, the factors that affect the quality of cardiopulmonary resuscitation (CPR) in adult inpatient units, and investigate the influence of both work shifts and professional experience length of time in the perception of these factors. METHOD: A descriptive, exploratory study conducted at a hospital specialized in cardiology and pneumology with the application of a questionnaire to 49 nurses working in inpatient units...
December 2015: Revista da Escola de Enfermagem da U S P
Mirko Di Martino, Martina Ventura, Giovanna Cappai, Adele Lallo, Marina Davoli, Nera Agabiti, Danilo Fusco
In moderate-severe chronic obstructive pulmonary disease (COPD), long-acting bronchodilators (LBs) are recommended to improve the quality of life. The aims of this study were to measure adherence to LBs after discharge for COPD, identify determinants of adherence, and compare amounts of variation attributable to hospitals of discharge and primary care providers, i.e. local health districts (LHDs) and general practitioners (GPs). This cohort study was based on the Lazio region population, Italy. Patients discharged in 2007-2011 for COPD were followed up for 2 years...
July 15, 2016: COPD
Felipe Villar Álvarez, Ignacio Muguruza Trueba, José Belda Sanchis, Laureano Molins López-Rodó, Pedro Miguel Rodríguez Suárez, Julio Sánchez de Cos Escuín, Esther Barreiro, M Henar Borrego Pintado, Carlos Disdier Vicente, Javier Flandes Aldeyturriaga, Pablo Gámez García, Pilar Garrido López, Pablo León Atance, José Miguel Izquierdo Elena, Nuria M Novoa Valentín, Juan José Rivas de Andrés, Íñigo Royo Crespo, Ángel Salvatierra Velázquez, Luis M Seijo Maceiras, Segismundo Solano Reina, David Aguiar Bujanda, Régulo J Ávila Martínez, José Ignacio de Granda Orive, Eva de Higes Martínez, Vicente Díaz-Hellín Gude, Raúl Embún Flor, Jorge L Freixinet Gilart, María Dolores García Jiménez, Fátima Hermoso Alarza, Samuel Hernández Sarmiento, Antonio Francisco Honguero Martínez, Carlos A Jiménez Ruiz, Iker López Sanz, Andrea Mariscal de Alba, Primitivo Martínez Vallina, Patricia Menal Muñoz, Laura Mezquita Pérez, María Eugenia Olmedo García, Carlos A Rombolá, Íñigo San Miguel Arregui, María Del Valle Somiedo Gutiérrez, Ana Isabel Triviño Ramírez, Joan Carles Trujillo Reyes, Carmen Vallejo, Paz Vaquero Lozano, Gonzalo Varela Simó, Javier J Zulueta
No abstract text is available yet for this article.
May 2016: Archivos de Bronconeumología
Christoph F Dietrich, Gebhard Mathis, Michael Blaivas, Giovanni Volpicelli, Armin Seibel, Daniel Wastl, Nathan S S Atkinson, Xin-Wu Cui, Mei Fan, Dong Yi
BACKGROUND: The analysis of lung artefacts has gained increasing importance as markers of lung pathology. B-line artefact (BLA), caused by a reverberation phenomenon, is the most important lung artefact. In this review, we discuss the current role of BLA in pneumology and explore open questions of the published consensus. METHODS: We summarized current literature about BLA. Also, we presented observations on healthy subjects and patients with interstitial syndrome (pulmonary fibrosis and edema), to investigate technical factors influencing BLA visualization...
June 2016: Journal of Thoracic Disease
Francesc Medina-Mirapeix, Roberto Bernabeu-Mora, Eduardo Llamazares-Herrán, Ma Piedad Sánchez-Martínez, José Antonio García-Vidal, Pilar Escolar-Reina
OBJECTIVE: To evaluate the interobserver reliability of the Short Physical Performance Battery (SPPB) and of hand dynamometry when measuring isometric muscle strength for people with chronic obstructive pulmonary disease (COPD). DESIGN: Reliability study. Each patient was assessed by a pulmonology physician and a physical therapist in two separate sessions 7-14 days apart (mean=9.8; SD=0.8). Each rater was blinded to the other's results. SETTING: Pneumology unit of a public hospital...
May 30, 2016: Archives of Physical Medicine and Rehabilitation
Jean-Pierre Frat, Stéphanie Ragot, Christophe Girault, Sébastien Perbet, Gwénael Prat, Thierry Boulain, Alexandre Demoule, Jean-Damien Ricard, Rémi Coudroy, René Robert, Alain Mercat, Laurent Brochard, Arnaud W Thille
BACKGROUND: The use of non-invasive ventilation is controversial in immunocompromised patients with acute respiratory failure, whereas the use of high-flow nasal cannula oxygen therapy is growing as an alternative to standard oxygen. We aimed to compare outcomes of immunocompromised patients with acute respiratory failure treated with standard oxygen with those treated with high-flow nasal cannula oxygen alone or high-flow nasal cannula oxygen associated with non-invasive ventilation...
August 2016: Lancet Respiratory Medicine
N Jung, H Koop, R Riessen, J-C Galle, B Jany, E Märker-Herrmann
The "choosing wisely" recommendations of the German Society of Internal Medicine (DGIM) and its specialist societies address diagnostic and therapeutic procedures, which are of particular medical importance but applied too often or too rarely in clinical practice. The aim is to further improve treatment of patients. Important topics of overuse and insufficient treatment related to the diagnostics, therapy, prevention and exclusion of infectious diseases could be identified. These topics not only play an important role in the discipline of infectious diseases but are also relevant for other internal medical disciplines...
June 2016: Der Internist
F J Callejas González, M Genovés Crespo, J Cruz Ruiz, R Godoy Mayoral, F J Agustín Martínez, A J Martínez García, P J Tárraga López
INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a respiratory problem with the highest prevalence and strongest socio-economic impact in the world and whose morbimortality keeps increasing. Treating this disease is a challenge in the field of pneumology since the market now offers a wide range of bronchodilators. Tiotropium bromide, a long-acting anticholinergic bronchodilator, is a drug used to deal with this pathology. AREAS COVERED: The UPLIFT study was a 4-year (2004-2008) clinical multi-center trial in which tiotropium bromide was compared with a placebo...
September 2016: Expert Review of Respiratory Medicine
Ph Demaeyer
Medicine owes many to Hippocrate, but pneumology traces its origin back to antiquity, from Mesopotamia to ancient Rome. Regarding prehistory: if viscera of this period have not been kept, some bones were. Since Neanderthals, it is then possible to study osteoarticular pathologies (often chronic arthrosis). But no evidence of tuberculosis was found (all thoracic kyphosis are not tuberculosis). Tuberculosis probably appears during the Neolithic age, because of high concentration of population. In ancient times, pneumology was of course not a real medical specialty...
January 2016: Revue Médicale de Bruxelles
Franco Salvati
The incidence of pleuropulmonary manifestations in Waldenström's macroglobulinemia is low in haematological as well as pneumological international literature. The progressive decrease concerning these manifestations is due essentially to scant interdisciplinary attention for new issues correlated with this specific involvement, that is poorly understood and rarely object of dedicated publications.
March 2016: Recenti Progressi in Medicina
W Ammenwerth, C Crolow, H Wurps, Th Schultz, M Krüll, K Ukas, N Schönfeld, T G Blum, T T Bauer
BACKGROUND: In the process of medical rehabilitation muscular endurance training is the main focus. Unfortunately, outpatient rehabilitation opportunities are limited and specialized pulmonary exercise groups ("lung sport groups") rarely available. Therefore we developed an outpatient endurance sports program for patients with respiratory diseases and evaluated its effectiveness. METHODS: In this feasibility study 31 patients (50 ± 15 years) with diverse respiratory diseases were included...
May 2016: Pneumologie
Raul Embun, Juan J Rivas de Andrés, Sergi Call, Beatriz de Olaiz Navarro, Jorge L Freixinet, Sergio Bolufer, Jose R Jarabo, Nuria Pajuelo, Laureano Molins
BACKGROUND: Although numerous existing studies have analyzed the prognostic factors of patients who have had surgical intervention for lung metastases of colorectal carcinoma (CRC), many of the results obtained until now have been contradictory. As a consequence, there is no established consensus about which group of prognostic factors could have a greater value when considered together. METHODS: This was a multicenter prospective cohort study that included all patients who underwent a first pulmonary metastasectomy of CRC, with radical intent, during a 2-year period (March 2008 to February 2010)...
May 2016: Annals of Thoracic Surgery
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