keyword
https://read.qxmd.com/read/38319354/-chronic-cough-in-adult-patients-evidence-based-approach
#21
JOURNAL ARTICLE
Karen Krüger, Felix Holzinger
Approximately 10% of the population suffer from a cough lasting longer than 8 weeks. Compared to acute cough, which usually occurs in the context of banal respiratory tract infections, the differential diagnoses of chronic cough require an increased use of diagnostic tests and thus a structured, evidence-based approach according to current international guidelines. A targeted history (smoking status, medication, previous diseases) and ENT status are always followed by chest x‑ray and pulmonary function tests before extended diagnostics...
February 6, 2024: HNO
https://read.qxmd.com/read/38302885/empyema-necessitans-caused-by-methicillin-resistant-staphylococcus-aureus-a-case-report-and-literature-review
#22
REVIEW
Tomoaki Nakamura, Kazuhiro Ishikawa, Naoki Murata, Kuniko Sato, Atsushi Kitamura, Nobuyoshi Mori, Torahiko Jinta
BACKGROUND: Empyema necessitans (EN) is a rare condition characterized by pleural infection with pus spreading into adjacent soft tissues. Although Mycobacterium tuberculosis and Actinomyces israelii are common causative agents, methicillin-resistant Staphylococcus aureus (MRSA) is relatively rare, but it is associated with high mortality in empyema cases. We aimed to report a unique case of EN caused by MRSA and present a literature review to better understand this rare condition. CASE PRESENTATION: A 69-year-old man with a history of right ureteral stone presented with fever and left anterior thoracic pain...
February 1, 2024: BMC Infectious Diseases
https://read.qxmd.com/read/38288235/physiotherapy-approach-for-treating-bronchopneumonia-a-case-report
#23
Aakanksha Zade, Aditi Akhuj, Lajwanti Lalwani, Saurabh Jhunjhunwala, Ritik V Daf
The term bronchopneumonia describes an inflammation of the bronchioles centered in the lungs. A male patient, aged 77, complained of dyspnea for six months. The Modified Medical Research Council (mMRC) Dyspnea Scale showed grade 2 dyspnea, chest pain, cold, and fever for seven days. X-rays were done that revealed bronchopneumonia. The research aimed to understand the effect of chest physical therapy in patients admitted to high-density units. We, as physiotherapists, use a wide range of treatments, such as airway clearance procedures, early mobility, and active breathing exercises, all of which are useful in reducing the symptoms of pneumonia in this situation...
December 2023: Curēus
https://read.qxmd.com/read/38286663/treatment-of-the-congenital-thoracic-deformity-pectus-excavatum
#24
REVIEW
M Doucha, B Kučerová, N Newland, M Vyhnánek, M Rygl, V Koucky, P Pohunek, J Šnajdauf
Pectus excavatum is the most common chest wall deformity in the Czech Republic. This chest deformity is typically characterized by a wall depression with sternal rotation. If the excavation of the chest wall does not cause any physical or psychological problems, the patient does not need any specific treatment. However, if the deformity is painful, affects the function of the lungs, heart or results in psychological problems, we can propose an appropriate treatment for the specific age category of the patient...
2024: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://read.qxmd.com/read/38279155/treatment-strategy-for-heart-failure-complicated-with-complete-left-bundle-branch-block-and-atrial-tachycardia-a-case-report
#25
JOURNAL ARTICLE
Jian Wang, Qing-Qing Zhang, Jie Lin, Wei Yuan, Li-Chun Wang, Yu-Cheng Wu
BACKGROUND: For patients with heart failure combined with complete left bundle branch block, cardiac resynchronization therapy is an important therapeutic method. If these patients also have atrial tachycardia, how to choose a treatment strategy deserves discussion. CASE PRESENTATION: A Chinese woman in her early 70s was admitted due to recurrent episodes of chest distress and asthma for 1 year. Physical and laboratory examinations showed filling of the jugular vein, lung rales, left enlargement of the heart boundary, edema of the lower limbs and elevation of N-terminal pro b-type natriuretic peptide...
January 27, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38268200/verification-of-surface-guided-radiation-therapy-sgrt-alignment-for-proton-breast-and-chest-wall-patients-by-comparison-to-ct-on-rails-and-kv-2d-alignment
#26
JOURNAL ARTICLE
Hui Zhao, Vikren Sarkar, Sara St James, Adam Paxton, Fan-Chi Frances Su, Ryan G Price, Christian Dial, Matthew Poppe, David Gaffney, Bill Salter
BACKGROUND: Surface-guided radiation therapy (SGRT) systems have been widely installed and utilized on linear accelerators. However, the use of SGRT with proton therapy is still a newly developing field, and published reports are currently very limited. PURPOSE: To assess the clinical application and alignment agreement of SGRT with CT-on-rails (CTOR) and kV-2D image-guided radiation therapy (IGRT) for breast treatment using proton therapy. METHODS: Four patients receiving breast or chest wall treatment with proton therapy were the subjects of this study...
January 24, 2024: Journal of Applied Clinical Medical Physics
https://read.qxmd.com/read/38244417/development-of-a-clinical-practice-guideline-for-physiotherapy-management-of-adults-invasively-ventilated-with-community-acquired-pneumonia
#27
JOURNAL ARTICLE
Lisa van der Lee, Shane Patman, Anne-Marie Hill
BACKGROUND AND SETTING: Patients hospitalised with community-acquired pneumonia (CAP) are frequently admitted to an intensive care unit (ICU) for invasive mechanical ventilation and receive treatment by physiotherapists. However, clinical physiotherapy practice is variable for this ICU cohort. OBJECTIVES: To develop a clinical practice guideline for physiotherapy management of adults invasively ventilated with CAP using the best available evidence. METHODS: Guideline development using evidence synthesis according to the GRADE and JBI approaches, incorporating findings from four preceding phases of a mixed-methods research program: systematic review and meta-analysis, national survey of Australian ICU physiotherapy practice, e-Delphi study to determine expert consensus, and multidisciplinary peer-review of the expert consensus statements by senior ICU clinicians to determine validity and applicability of the statements for translation into practice...
March 2024: Physiotherapy
https://read.qxmd.com/read/38240410/lead-and-generator-dysfunction-in-children-and-adolescents-with-epicardial-pacemaker-and-implantable-cardioverter-defibrillator-systems-the-challenge-of-early-recognition
#28
JOURNAL ARTICLE
Florian Winkler, Stefanie von Felten, Matthias Gass, Florian Berger, R Balmer, Hitendu Dave, Christian Balmer
BACKGROUND: A major issue of cardiac implantable electronic device therapy in pediatric patients is the high incidence of lead dysfunctions and associated reinterventions. This study aims to analyze the timing and mode of generator and lead dysfunction. METHODS: Retrospective single-center analysis of 283 children and young adults with an epicardial pacemaker or implantable cardioverter defibrillator therapy from 1998 to 2018. RESULTS: Mean age at implant was 6...
January 19, 2024: Pacing and Clinical Electrophysiology: PACE
https://read.qxmd.com/read/38222163/effect-of-chest-physiotherapy-technique-on-bilateral-bronchial-pneumonia-secondary-to-acute-respiratory-distress-syndrome-a-case-report
#29
Urvini R Lokhande, Vaishnavi M Thakre, H V Sharath
This case report investigates the impact of a specific chest physiotherapy technique on a patient with bilateral bronchial pneumonia secondary to acute respiratory distress syndrome (ARDS). ARDS is a life-threatening condition characterized by severe respiratory failure, and bronchial pneumonia can further complicate the clinical course. The chosen chest physiotherapy technique aims to improve respiratory function and alleviate symptoms in the context of this challenging scenario. ARDS can develop in individuals who are seriously injured or have other severe conditions...
December 2023: Curēus
https://read.qxmd.com/read/38215121/scapular-dislocation-following-radical-surgical-excision-of-lung-sarcomatoid-carcinoma-a-rare-case-report
#30
JOURNAL ARTICLE
Qiang Wu, Kun Qiao, Jixian Liu, Shuo Zhen, Zizi Zhou
RATIONALE: Scapular prolapse is a rare complication of thoracotomy. Only a few cases of scapular prolapse after thoracotomy have been reported. Here, we report the case of a 52-year-old male patient who underwent standard posterior thoracotomy for lung sarcomatoid carcinoma invading the left upper chest wall. PATIENT CONCERNS: The surgery was performed to remove some ribs and chest wall muscles; however, no reconstruction or repair of the chest wall defect was performed...
January 12, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38203639/a-novel-rabbit-model-of-retained-hemothorax-with-pleural-organization
#31
JOURNAL ARTICLE
Christian J De Vera, Rebekah L Emerine, René A Girard, Krishna Sarva, Jincy Jacob, Ali O Azghani, Jon M Florence, Alan Cook, Scott Norwood, Karan P Singh, Andrey A Komissarov, Galina Florova, Steven Idell
Retained hemothorax (RH) is a commonly encountered and potentially severe complication of intrapleural bleeding that can organize with lung restriction. Early surgical intervention and intrapleural fibrinolytic therapy have been advocated. However, the lack of a reliable, cost-effective model amenable to interventional testing has hampered our understanding of the role of pharmacological interventions in RH management. Here, we report the development of a new RH model in rabbits. RH was induced by sequential administration of up to three doses of recalcified citrated homologous rabbit donor blood plus thrombin via a chest tube...
December 29, 2023: International Journal of Molecular Sciences
https://read.qxmd.com/read/38200493/clinical-characteristics-and-mortality-predictors-among-very-old-patients-with-pulmonary-thromboembolism-a-multicenter-study-report
#32
MULTICENTER STUDY
Xia Zhou, Yuanhua Yang, Zhenguo Zhai, Dingyi Wang, Jieping Lei, Xiaomao Xu, Yingqun Ji, Qun Yi, Hong Chen, Xiaoyun Hu, Zhihong Liu, Yimin Mao, Jie Zhang, Juhong Shi, Zhu Zhang, Sinan Wu, Qian Gao, Xincao Tao, Wanmu Xie, Jun Wan, Yunxia Zhang, Shuai Zhang, Kaiyuan Zhen, Zhonghe Zhang, Baomin Fang, Chen Wang
BACKGROUND: Clinical characteristics of patients with pulmonary thromboembolism have been described in previous studies. Although very old patients with pulmonary thromboembolism are a special group based on comorbidities and age, they do not receive special attention. OBJECTIVE: This study aims to explore the clinical characteristics and mortality predictors among very old patients with pulmonary thromboembolism in a relatively large population. DESIGN AND PARTICIPANTS: The study included a total of 7438 patients from a national, multicenter, registry study, the China pUlmonary thromboembolism REgistry Study (CURES)...
January 10, 2024: BMC Pulmonary Medicine
https://read.qxmd.com/read/38191096/neoadjuvant-reirradiation-for-radiotherapy-associated-angiosarcoma-of-the-breast
#33
JOURNAL ARTICLE
Wafa Asha, Zahraa Al-Hilli, Risal Djohan, G Thomas Budd, Elizabeth Obi, Erica Fleming-Hall, Kailin Yang, Stephen Grobmyer, Sheen Cherian, Rahul Tendulkar, Chirag Shah
PURPOSE: Radiation-associated angiosarcoma of the breast (RAASB) is a rare side effect following breast conserving therapy (BCT) and has been associated with poor outcomes. At this time, there is no consensus regarding management of RAASB and the role of reirradiation remains controversial. We present our modern institutional outcomes in managing RAASB with incorporation of neoadjuvant hyperfractionated reirradiation. METHODS: Patients identified were treated between 2016 and 2020 with inclusion of any histologically proven RAASB without metastatic disease at diagnosis, while excluding those with a history of radiotherapy (RT) outside of the breast/chest wall, or other sarcoma histologies...
January 6, 2024: International Journal of Radiation Oncology, Biology, Physics
https://read.qxmd.com/read/38174196/brazilian-butt-lift-gone-wrong-a-case-series-of-non-tuberculous-mycobacterial-gluteal-infection-after-brazilian-butt-lifts
#34
Jared J Bies, Jesse C Allen, Zahra E Barsi, Mariam Hassan, Swathi Prakash, Mateo-Porres Aguilar, Armando Meza, Diego P Peralta
Cosmetic surgeries are very popular and glamorized by the mainstream media and celebrities. Many individuals perceive certain bodily features as appealing for physical attraction and will attempt to obtain these features by surgery. However, these surgeries are not without risk, and significant consequences can occur if not performed by qualified medical professionals under sterile procedures. The authors present novel cases of two healthy young female patients who underwent a Brazilian butt lift (BBL) procedure a week apart by the same plastic surgeon in Mexico and developed dark painful lesions secondary to Mycobacterium abscessus ( M...
December 2023: Curēus
https://read.qxmd.com/read/38154981/-budd-chiari-syndrome-with-hepatopulmonary-syndrome-a-case-report-and-literature-review
#35
REVIEW
F Y Tian, X Dong, X H Hou, R Y Yuan, Y W Pan, D Zhang
Objective: To summarize the clinical features and prognosis of Budd-Chiari syndrome with hepatopulmonary syndrome (HPS) in children. Methods: The clinical data of a child who had Budd-Chiari syndrome with HPS treated at the Department of Pediatrics of the First Affiliated Hospital of Zhengzhou University in December 2016 was analyzed retrospectively. Taking "Budd-Chiari syndrome" and "hepatopulmonary syndrome" in Chinese or English as the keywords, literature was searched at CNKI, Wanfang, China Biomedical Literature Database and PubMed up to July 2023...
January 2, 2024: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://read.qxmd.com/read/38138283/effects-of-chest-mobilization-and-breathing-exercises-on-respiratory-function-trunk-stability-and-endurance-in-chronic-stroke-patients-after-coronavirus-disease
#36
RANDOMIZED CONTROLLED TRIAL
Yangjin Lee, Yoorim Kim, Donghoon Kim
Background and objectives: This study investigates the effects of chest mobilization and breathing exercises on respiratory function, trunk stability, and endurance in chronic stroke patients who have contracted coronavirus disease (COVID-19). Materials and Methods: Thirty inpatients of a tertiary hospital in South Korea, who had a history of COVID-19 and were diagnosed with stroke within the last 6 months, were randomly assigned to either chest mobilization exercise with breathing exercise (CMEBE) or conservative physical therapy with breathing exercise (CPTBE) groups...
December 15, 2023: Medicina
https://read.qxmd.com/read/38136343/a-comparison-of-3d-conformal-and-deep-inspiratory-breath-holding-vs-4d-ct-intensity-modulated-radiation-therapy-for-patients-with-left-breast-cancer
#37
JOURNAL ARTICLE
Moustafa Aldaly, Azza Hussien, Inas Mohsen El-Nadi, Nabila Ibrahim Laz, Amira S A Said, Mohammad M Al-Ahmad, Raghda R S Hussein, Al Shaimaa Ibrahim Rabie, Ahmed Hassan Shaaban
BACKGROUND: Multimodality is required for the treatment of breast cancer. Surgery, radiation (RT), and systemic therapy were traditionally used. Pharmacotherapy includes different drug mechanisms, such as chemotherapy, hormone therapy, and targeted therapies, alone or in combination with radiotherapy. While radiation offers numerous benefits, it also has certain harmful risks. such as cardiac and pulmonary toxicity, lymphedema, and secondary cancer. Modern radiation techniques have been developed to reduce organs at risk (OAR) doses...
December 11, 2023: Cancers
https://read.qxmd.com/read/38115768/development-of-automated-region-of-interest-selection-algorithms-for-surface-guided-radiation-therapy-of-breast-cancer
#38
JOURNAL ARTICLE
Songye Cui, Guang Li, Hsiang-Chi Kuo, Bo Zhao, Anyi Li, Laura I Cerviño
To investigate automation of the preparation of the region of interest (ROI) for surface-guided radiotherapy (SGRT) of the whole breast with two algorithms based on contour anatomies: using the body contour, and using the breast contour. The patient dataset used for modeling consisted of 39 breast cancer patients previously treated with SGRT. The patient's anatomical structures (body and ipsilateral breast) were retrieved from the planning system, and the clinical ROI (cROI) drawn by the planners was retrieved from the SGRT system for comparison...
December 20, 2023: Journal of Applied Clinical Medical Physics
https://read.qxmd.com/read/38091825/clinical-efficacy-of-kuanxiong-aerosol-for-patients-with-prehospital-chest-pain-a-randomized-controlled-trial
#39
JOURNAL ARTICLE
Manhua Huang, Hongjin Du, Jiahua Lai, Xiaoyan Huang, Wenyuan Xie, Yanhua Wu, Baijian Chen, Yonglin Li, Feng Gao, Wei Huang, Guowei Li, Dunfan Chen, Guorong Liang, Zunjiang Li, Quanle Liu, Banghan Ding
BACKGROUND: Kuanxiong Aerosol (KXA)(CardioVent®), consisting of Asarum sieboldii Miq. oil, Santalum album L. oil, Alpinia officinarum Hance oil, Piper longum L. oil and borneol, seems to relieve the symptoms of chest pain and serve as a supplementary treatment for prehospital chest pain in emergency department. STYLE OF THE STUDY: This randomized controlled trial aimed to determine the clinical effect and safety of KXA for patients with prehospital chest pain...
November 17, 2023: Phytomedicine
https://read.qxmd.com/read/38089843/aneurysmal-degeneration-of-the-brachial-artery-following-chronic-arteriovenous-fistula-ligation
#40
Eduardo Silva, Celso Nunes, Leonor Baldaia, Miguel Castro, Luís Orelhas, Juliana Varino, Luís F Antunes
INTRODUCTION: Arteriovenous fistulas (AVF) are currently considered to be the best vascular access option for patients with end stage chronic kidney disease requiring haemodialysis. In rare cases of patients with chronic AVF, thrombosis or ligation of the access can lead to the development of brachial artery aneurysms. Despite being uncommon, reports of this phenomenon have arisen in recent decades due to an increase in the number of patients undergoing dialysis worldwide. This case presented with a brachial aneurysm that developed after AVF ligation...
2024: EJVES vascular forum
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