Revista Portuguesa de Pneumologia (English Edition)最新文献

The role of endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis of lymphoproliferative disorders 超声引导下经支气管穿刺在淋巴细胞增生性疾病诊断中的作用

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.07.007

V. Santos , A. Magalhães , M. Sucena , G. Fernandes

引用次数: 0

The reliability of short-term measurement of heart rate variability during spontaneous breathing in people with chronic obstructive pulmonary disease 慢性阻塞性肺疾病患者自主呼吸时心率变异性短期测量的可靠性

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.06.001

C.A. Sima , J.A. Inskip , A.W. Sheel , S.F. van Eeden , W.D. Reid , P.G. Camp

{"title":"The reliability of short-term measurement of heart rate variability during spontaneous breathing in people with chronic obstructive pulmonary disease","authors":"C.A. Sima , J.A. Inskip , A.W. Sheel , S.F. van Eeden , W.D. Reid , P.G. Camp","doi":"10.1016/j.rppnen.2017.06.001","DOIUrl":"10.1016/j.rppnen.2017.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Reduced heart rate variability (HRV), a marker of autonomic system dysfunction, has been reported in patients with chronic obstructive pulmonary disease (COPD). Yet, limited data exists on the reliability of HRV measurement in this population. Here we investigated the reliability of short-term HRV measurement performed during spontaneous breathing in patients with COPD.</p></div><div><h3>Methods</h3><p>Thirteen individuals (8 males) with moderate-to-severe COPD (FEV<sub>1</sub> 46±16% predicted; FEV<sub>1</sub>/FVC 49±13) underwent standard time and frequency domain HRV measurements derived from 5-minute electrocardiograms collected on two separate days using a SphygmoCor device. Absolute and relative reliability was assessed by a number of coefficients including within-subject random variation, systematic change in the mean, and retest correlations.</p></div><div><h3>Results</h3><p>Within-subject coefficients of variation (CV) ranged from 4.3% to 193.4%. The intraclass correlation coefficients (ICCs) ranged from 0.72 to 0.93 for parameters related to overall HRV, and from 0.57 to 0.59 for those related to parasympathetic tone in both time and frequency domains. Mean heart rate was the only parameter that showed excellent absolute and relative reliability (CV=4.3%, ICC=0.93).</p></div><div><h3>Conclusion</h3><p>The HRV measurements showed overall moderate-to-substantial reliability during spontaneous breathing in COPD population. Our findings support the use of HRV parameters for diagnosis and cardiac risk assessment, but only mean heart rate can be used reliably for monitoring changes in autonomic status following rehabilitation intervention in this population.</p></div>","PeriodicalId":101122,"journal":{"name":"Revista Portuguesa de Pneumologia (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppnen.2017.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35152808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Tuberculosis in children from diagnosis to decision to treat 儿童结核病从诊断到决定治疗

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.06.004

S. Ramos , R. Gaio , F. Ferreira , J. Paulo Leal , S. Martins , J. Vasco Santos , I. Carvalho , R. Duarte

{"title":"Tuberculosis in children from diagnosis to decision to treat","authors":"S. Ramos , R. Gaio , F. Ferreira , J. Paulo Leal , S. Martins , J. Vasco Santos , I. Carvalho , R. Duarte","doi":"10.1016/j.rppnen.2017.06.004","DOIUrl":"10.1016/j.rppnen.2017.06.004","url":null,"abstract":"<div><h3>Setting</h3><p>Confirmation of tuberculosis (TB) in children is difficult, so clinicians use different procedures when deciding to treat.</p></div><div><h3>Objective</h3><p>Identify criteria to initiate and maintain TB treatment in children younger than 5 years-old, without diagnosis confirmation.</p></div><div><h3>Design</h3><p>A web-based survey was distributed by email to the corresponding authors of journal articles on childhood TB. The observations were clustered into disjoint groups, and analyzed by Ward's method.</p></div><div><h3>Results</h3><p>We sent out 260 questionnaires and received 64 (24.6%) responses. Forty-six respondents (71.9%) said that microbiological confirmation was not important for initiation of anti-TB treatment, and that the epidemiological context and signs/symptoms suggestive of disease were most important. Sixty-one respondents (95.3%) said that the decision to continue therapy was mainly dependent on clinical improvement. A cluster of older respondents (median age: 52 years-old) who were active at a hospital or primary health care centre placed the most value on immunological test results and chest X-rays. A cluster of younger respondents (median age: 38 years-old) who were less experienced in management of TB placed more value on Interferon Gamma Release Assay (IGRA) results and chest computed tomography (CT) scans. A cluster of respondents with more experience in treating TB and working at specialized TB centres placed greater value on the clinical results and specific radiological alterations (“tree-in-bud” pattern and pleural effusion).</p></div><div><h3>Conclusion</h3><p>TB management varied according to the age, work location and experience of the clinicians. It is necessary to establish standardized guidelines used for the diagnosis and decision to treat TB in children.</p></div>","PeriodicalId":101122,"journal":{"name":"Revista Portuguesa de Pneumologia (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppnen.2017.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35364424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Pemetrexed-induced organizing pneumonia in the treatment of lung adenocarcinoma 培美曲塞诱发的组织性肺炎治疗肺腺癌

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.09.003

N. China-Pereira , S. Campainha , A. Furtado , S. Conde , A. Barroso

引用次数: 0

Idiopathic pulmonary hemosiderosis: Hemorrhagic flare after 6 years of remission 特发性肺含铁血黄素沉着:缓解6年后出血性耀斑。

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.07.006

P. Silva, P.G. Ferreira

引用次数: 4

Erratum to “Wood Charcoal Dust Pneumoconiosis” “炭屑尘肺病”的勘误表

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.11.006

P.P.T.S. Torres , E. Marchiori , S.A. Pinto , M.F. Rabahi

引用次数: 0

Understanding patient adherence to inhaled medication: The social representations of COPD 了解患者对吸入药物的依从性:COPD的社会表征

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.07.008

A. Duarte-de-Araújo , P. Teixeira , M. Figueiredo , V. Hespanhol , J. Correia-de-Sousa

引用次数: 4

Pulmonary calcified masses and gastric tumor: Incomplete Carney's triad 肺钙化肿块和胃肿瘤:不完全卡尼三联征

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.09.004

B. Hochhegger , S. Camargo , E. Marchiori

引用次数: 0

More Global More Portugal 更全球化更葡萄牙

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.11.005

António Morais (Editor-in-Chief)

引用次数: 0

Beneficial effects of pulmonary rehabilitation in adult asthma 肺康复对成人哮喘的有益影响

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.07.004

C.M. Cruz, C. Lacerda, S. Tizón

引用次数: 1