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https://www.readbyqxmd.com/read/28231021/high-complication-rate-after-introduction-of-transbronchial-cryobiopsy-into-clinical-practice-at-an-academic-medical-center
#1
David M DiBardino, Andrew R Haas, Anthony R Lanfranco, Leslie A Litzky, Daniel Sterman, Jamie L Bessich
RATIONALE: Transbronchial cryobiopsy is an emerging technique for obtaining biopsies of lung parenchyma. Despite limited evidence of safety and efficacy in direct comparison to other available biopsy procedures, pulmonologists are integrating this technique into clinical practice with the hope of avoiding the risks of surgical lung biopsy. OBJECTIVES: To report the rate of severe complications and diagnostic outcomes immediately after introduction of transbronchial cryobiopsy into the clinical practice of a single-center, high-volume, interventional pulmonary group at a large academic medical center in the United States...
February 23, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28221172/interventional-pulmonology-in-chronic-obstructive-pulmonary-disease
#2
Daniela Gompelmann, Nilab Sarmand, Felix J F Herth
PURPOSE OF REVIEW: Chronic obstructive pulmonary disease (COPD) and emphysema are widespread diseases associated with progressive dyspnea because of airflow limitation and hyperinflation. Fundamental therapeutic strategies consist of pulmonary rehabilitation, pharmacotherapy, long-term oxygen therapy, noninvasive ventilation, and surgical therapeutic approaches. RECENT FINDINGS: In the last 14 years, endoscopic therapeutic modalities emerged as a substantial part of severe COPD and emphysema treatment...
February 17, 2017: Current Opinion in Pulmonary Medicine
https://www.readbyqxmd.com/read/28219747/is-pulmonary-diffusion-capacity-for-nitric-oxide-dl-no-likely-to-become-a-routine-pulmonary-function-test
#3
Irene Steenbruggen, Frans de Jongh
DL,CO measurements are often used to evaluate and monitor lung diseases as well as cardiovascular diseases. Whether the combination of DL,CO and DL,NO will improve the management of cardiovascular diseases needs to be investigated. It is hoped that the standardization of the DL,NO measurement will facilitate research. Scientific evidence that DL,NO can provide more accurate information than DL,CO alone, can take away the barriers that prevents DL,NO to become a routine test in pulmonology.
February 17, 2017: Respiratory Physiology & Neurobiology
https://www.readbyqxmd.com/read/28210307/my-night-on-call-in-hungary
#4
Peter Horvath
When I agreed to contribute a short piece about my experiences as a junior doctor in respiratory medicine I was spending the night on call at my workplace, the Department of Pulmonology, Semmelweis University. So it seemed pretty straightforward to write about my very recent journey through that night, including details to give you a general overview of my nights spent on call. I decided to write this essay the next morning, to ensure I would still be in the same mood.
September 2016: Breathe
https://www.readbyqxmd.com/read/28196448/provider-perspectives-on-advance-care-planning-documentation-in-the-electronic-health-record
#5
Ellis Dillon, Judith Chuang, Atul Gupta, Sharon Tapper, Steve Lai, Peter Yu, Christine Ritchie, Ming Tai-Seale
CONTEXT: Advance care planning (ACP) is valued by patients and clinicians, yet documenting ACP in an accessible manner is problematic. OBJECTIVES: In order to understand how providers incorporate electronic health record (EHR) ACP documentation into clinical practice, we interviewed providers in primary care and specialty departments about ACP practices (n = 13) and analyzed EHR data on 358 primary care providers (PCPs) and 79 specialists at a large multispecialty group practice...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/28195962/ebus-stat-subscore-analysis-to-predict-the-efficacy-and-assess-the-validity-of-virtual-reality-simulation-for-ebus-tbna-training-among-experienced-bronchoscopists
#6
Simone Scarlata, Patrizio Palermo, Piero Candoli, Ariela Tofani, Tommasangelo Petitti, Lorenzo Corbetta
BACKGROUND: Linear endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) represents a pivotal innovation in interventional pulmonology; determining the best approach to guarantee systematic and efficient training is expected to become a main issue in the forthcoming years. Virtual reality simulators have been proposed as potential EBUS-TBNA training instruments, to avoid unskilled beginners practicing directly in real-life settings. A validated and perfected simulation program could be used before allowing beginners to practice on patients...
February 10, 2017: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/28171856/the-safety-of-laryngeal-mask-airway-assisted-bronchoscopy-versus-standard-nasal-bronchoscopy
#7
Daniel Alon, Barak Pertzov, Evgeni Gershman, Miryam Frishman, Nader Abdel Rahman, Dror Rosengarten, Mordechai R Kramer
BACKGROUND: The use of laryngeal mask airway (LMA) for fiberoptic bronchoscopy was first described in 1982. The LMA was found to be beneficial in operator view, flexibility, and also in maintaining stable oxygen saturation. Despite its advantages, the use of LMA has not become widespread. OBJECTIVE: The aim of this paper was to evaluate the safety of LMA-assisted bronchoscopy compared to standard nasal bronchoscopy. METHODS: We conducted a prospective randomized trial...
February 8, 2017: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/28152847/lung-cancer-screening-knowledge-and-beliefs-among-primary-care-providers-and-pulmonologists
#8
Mikael Anne Greenwood-Hickman, Laura Jones, M Patricia Rivera, J Michael Bowling, Paul Molina, Susan Maygarden, Katherine Birchard, Dan Reuland, Louise Henderson
: 191 Background: In response to the National Lung Screening Trial's findings, numerous professional organizations have published guidelines recommending annual lung cancer (LC) screening with low dose computed tomography (LDCT) for eligible patients. In the wake of these guidelines, we sought to assess LC screening practices and beliefs among providers at a large academic medical center. METHODS: In 2015, we surveyed 54 physicians and 9 residents in pulmonology (27% response rate) and 86 physicians and 100 residents in family/internal medicine (39% response rate)...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28143824/medical-students-vs-family-physicians-assessment-of-practical-and-logical-values-of-pathophysiology-multiple-choice-questions
#9
COMPARATIVE STUDY
Damir Secic, Dzenana Husremovic, Eldan Kapur, Zaim Jatic, Nina Hadziahmetovic, Benjamin Vojnikovic, Almir Fajkic, Amir Meholjic, Lejla Bradic, Amila Hadzic
Testing strategies can either have a very positive or negative effect on the learning process. The aim of this study was to examine the degree of consistency in evaluating the practicality and logic of questions from a medical school pathophysiology test, between students and family medicine doctors. The study engaged 77 family medicine doctors and 51 students. Ten questions were taken from cardiac pathophysiology and 10 questions from pulmonary pathophysiology, and each question was assessed on the criteria of practicality and logic...
March 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28139186/undernutrition-risk-and-undernutrition-in-pulmonology-department-inpatients-a-systematic-review-and-meta-analysis
#10
Isabel Maia, Bárbara Peleteiro, Sónia Xará, Teresa F Amaral
Pulmonology patients are predisposed to be undernourished and a wide variability in the estimates of frequency of undernutrition risk and undernutrition is found in the literature. The aim of this systematic review and meta-analysis was to investigate the prevalence of undernutrition risk and undernutrition on hospital admission in pulmonology department inpatients. We also intend to take into account the different methodologies used to evaluate undernutrition risk and undernutrition in this population. Pubmed, ISI-Web of Science, and Scopus were searched until January 2015...
February 2017: Journal of the American College of Nutrition
https://www.readbyqxmd.com/read/28138915/evaluation-of-internet-based-patient-education-materials-from-internal-medicine-subspecialty-organizations-will-patients-understand-them
#11
David R Hansberry, Nitin Agarwal, Elizabeth S John, Ann M John, Prateek Agarwal, James C Reynolds, Stephen R Baker
The majority of Americans use the Internet daily, if not more often, and many search online for health information to better understand a diagnosis they have been given or to research treatment options. The average American reads at an eighth-grade level. The purpose of this study is to evaluate the readability of online patient education materials on the websites of 14 professional organizations representing the major internal medicine subspecialties. We used ten well-established quantitative readability scales to assess written text from patient education materials published on the websites of the major professional organizations representing the following subspecialty groups: allergy and immunology, cardiology, endocrinology, gastroenterology, geriatrics, hematology, hospice and palliative care, infectious disease, nephrology, oncology, pulmonology and critical care, rheumatology, sleep medicine, and sports medicine...
January 30, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28132754/interventional-pulmonology-fellowship-accreditation-standards-executive-summary-of-the-multi-society-interventional-pulmonology-fellowship-accreditation-committee
#12
John J Mullon, Kristin M Burkart, Gerard Silvestri, D Kyle Hogarth, Francisco Almeida, David Berkowitz, George Eapen, David Feller-Kopman, Henry E Fessler, Erik Folch, Colin Gillespie, Andrew Haas, Shaheen Islam, Carla Lamb, Stephanie M Levine, Adnan Majid, Fabien Maldonado, Ali Musani, Craig Piquette, Cynthia Ray, Chakravarthy Reddy, Otis Rickman, Michael Simoff, Momen M Wahidi, Hans Lee
Interventional Pulmonology (IP) is a rapidly evolving subspecialty of pulmonary medicine. In the last ten years formal IP fellowships have increased substantially in number from just five to now over thirty. The vast majority of IP fellowship trainees are selected through the National Residency Matching Program, and validated in-service and certification exams for IP exist. Practice standards and training guidelines for IP fellowship programs have been published, however considerable variability in the environment, curriculum, and experience offered by the various fellowship programs still exists and there is currently no formal accreditation process in place to standardize IP fellowship training...
January 26, 2017: Chest
https://www.readbyqxmd.com/read/28125277/the-african-pediatric-fellowship-training-program-in-pediatric-pulmonology-a-model-for-growing-african-capacity-in-child-lung-health
#13
Heather J Zar, Aneesa Vanker, Diane Gray, Marco Zampoli
Childhood respiratory diseases are the major cause of mortality and morbidity in African children. However, there is limited expertise in pediatric pulmonology in Africa. The African Pediatric Fellowship Program (APFP) was developed in the Department of Pediatrics and Child Health at the University of Cape Town in partnership with African academic institutions beyond South Africa to promote training of African child health professionals and build capacity. From 2008 to 2016, 11 fellows have completed APFP training in pediatric pulmonology...
January 26, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28125152/spontaneous-pneumomediastinum-experience-in-18-patients-during-the-last-12-years
#14
Patrícia Dionísio, Luís Martins, Susana Moreira, Alda Manique, Rita Macedo, Fátima Caeiro, Luísa Boal, Cristina Bárbara
Objective: To characterize clinically all of the patients with spontaneous pneumomediastinum (SPM) admitted to an adult pulmonology ward in Lisbon, Portugal. Methods: This was a retrospective descriptive study of all adult patients (≥ 18 years of age) diagnosed with SPM between January of 2004 and September of 2015. Results: At least one predisposing factor was identified in most (88.9%) of the 18 patients who presented with SPM during the study period...
January 23, 2017: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/28121746/respiratory-difficulties-in-children-with-underlying-asthma-during-immunotherapy-for-high-risk-neuroblastoma
#15
Laura K Metrock, Muna Qayed, Dawn Simon, Thomas Cash, Michael G O'Connor, Shaina Johnson, Natia Esiashvili, Howard M Katzenstein
Treatment of high-risk neuroblastoma now includes antibody based antitumor immunotherapy as part of standard care. Although this therapy has resulted in dramatic improvements in survival, it is associated with significant side effects. Children with underlying respiratory issues, and in particular asthma, may be more susceptible to immunotherapy associated respiratory compromise and pulmonary complications. Early routine involvement of pulmonology care is warranted for these patients in an effort to allow maximal delivery of immunotherapy and minimize acute and long-term complications...
January 24, 2017: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/28102968/thoracic-ultrasound-recognition-of-competence-a-position-paper-of-the-thoracic-society-of-australia-and-new-zealand
#16
Jonathan P Williamson, Scott H Twaddell, Y C Gary Lee, Matthew Salamonsen, Mark Hew, David Fielding, Phan Nguyen, Daniel Steinfort, Peter Hopkins, Nicola Smith, Christopher Grainge
The ability to perform bedside thoracic ultrasound is increasingly recognized as an essential skill for thoracic clinicians, extending the clinical examination and aiding diagnostic and therapeutic procedures. Thoracic ultrasound reduces complications and increases success rates when used prior to thoracentesis or intercostal chest tube insertion. It is increasingly difficult to defend performing these procedures without real or near-real time image guidance. To assist thoracic physicians and others achieve and demonstrate thoracic ultrasound competence, the Interventional Pulmonology Special Interest Group (IP-SIG) of the Thoracic Society of Australia and New Zealand (TSANZ) has developed a new pathway with four components: (i) completion of an approved thoracic ultrasound theory and hands-on teaching course...
February 2017: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/28079794/interventional-pulmonology-for-patients-with-central-airway-obstruction-an-8-year-institutional-experience
#17
Chia-Hung Chen, Biing-Ru Wu, Wen-Chien Cheng, Chih-Yu Chen, Wei-Chun Chen, Te-Chun Hsia, Wei-Chih Liao, Chih-Yen Tu, Wu-Huei Hsu
Patients with central airway obstruction (CAO) may need endobronchial intervention to relieve their symptoms. This report is on a single-center experience of using interventional bronchoscopy in terms of complications and survival. This retrospective study was conducted in a university hospital and involved 614 patients (464 men, 150 women; mean age, 60.2 years) with benign (n = 133) and malignant (n = 481) tracheobronchial disease who received 756 endobronchial intervention procedure during the period 2008 to 2015...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28067678/lead-time-to-appointment-and-no-show-rates-for-new-and-follow-up-patients-in-an-ambulatory-clinic
#18
Rupali Drewek, Lucia Mirea, P David Adelson
High rates of no-shows in outpatient clinics are problematic for revenue and for quality of patient care. Longer lead time to appointment has variably been implicated as a risk factor for no-shows, but the evidence within pediatric clinics is inconclusive. The goal of this study was to estimate no-show rates and test for association between appointment lead time and no-show rates for new and follow-up patients. Analyses included 534 new and 1920 follow-up patients from pulmonology and gastroenterology clinics at a freestanding children's hospital...
January 2017: Health Care Manager
https://www.readbyqxmd.com/read/28050418/physician-related-delays-in-the-diagnosis-of-lung-cancer-in-india
#19
Krishnappriya Ramachandran, Balamugesh Thankagunam, Reka Karuppusami, D J Christopher
INTRODUCTION: Lung cancer is associated with a poor prognosis, if detected late in the disease course. Delay in seeking health care, wrong diagnosis and delay in specialist referral can contribute to delay in diagnosis. AIM: This study was done to assess physician related delays in the diagnosis of lung cancer and the treatments given before presenting to our center. MATERIALS AND METHODS: A total of 96 consecutive patients diagnosed with lung cancer were enrolled in this study...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28025241/clinical-tools-to-assess-asthma-control-in-children
#20
Chitra Dinakar, Bradley E Chipps
Asthma affects an estimated 7 million children and causes significant health care and disease burden. The most recent iteration of the National Heart, Lung and Blood Institute asthma guidelines, the Expert Panel Report 3, emphasizes the assessment and monitoring of asthma control in the management of asthma. Asthma control refers to the degree to which the manifestations of asthma are minimized by therapeutic interventions and the goals of therapy are met. Although assessment of asthma severity is used to guide initiation of therapy, monitoring of asthma control helps determine whether therapy should be maintained or adjusted...
January 2017: Pediatrics
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