Revista Portuguesa de Pneumologia (English Edition)最新文献_第2页

Pulmonary rehabilitation at primary care – The results of a local survey 初级保健中的肺部康复——一项地方调查的结果

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.07.005

G. Samouco , M. Maurício , L. Ferreira , I. Sanches , V. Martins , L.V. Rodrigues

引用次数: 0

The role of physiotherapy in patients undergoing pulmonary surgery for lung cancer. A literature review 物理治疗在肺癌肺手术患者中的作用。文献综述

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.05.003

F. Kendall , P. Abreu , P. Pinho , J. Oliveira , P. Bastos

{"title":"The role of physiotherapy in patients undergoing pulmonary surgery for lung cancer. A literature review","authors":"F. Kendall , P. Abreu , P. Pinho , J. Oliveira , P. Bastos","doi":"10.1016/j.rppnen.2017.05.003","DOIUrl":"10.1016/j.rppnen.2017.05.003","url":null,"abstract":"<div><p>This review aims to appraise the role of physiotherapy care in patients submitted to pulmonary surgery, in preoperative, perioperative, and postoperative phases.</p><p>Pulmonary surgery is the <em>gold standard</em> treatment for patients with lung cancer if it is completely resectable. However, the major impairments and complications induced by surgery are well known. Physiotherapy has been regularly used both in the preparation of the surgical candidates; in their functional recovery in the immediate postoperative period, and in the medium/long term but there is a lack of concise evidence-based recommendations. Therefore, the aim of this review is to appraise the literature about the role of physiotherapy interventions in patients undergoing lung surgery for lung cancer, in preoperative, perioperative, postoperative and maintenance stages, to the recovery and well-being, regardless of the extent of surgical approach.</p><p>In conclusion, physiotherapy programs should be individually designed, and the goals established according to surgery timings, and according to each subject's needs. It can also be concluded that in the preoperative phase, the main goals are to avoid postoperative pulmonary complications and reduce the length of hospital stay, and the therapeutic targets are respiratory muscle training, bronchial hygiene and exercise training. For the perioperative period, breathing exercises for pulmonary expansion and bronchial hygiene, as well as early mobilization and deambulation, postural correction and shoulder range of motion activities, should be added. Finally, it can be concluded that in the postoperative phase exercise training should be maintained, and adoption of healthy life-style behaviours must be encouraged.</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.2017.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35096201","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: 36

Transbronchial lung cryobiopsy: Associated complications 经支气管肺低温活检:相关并发症

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.07.001

R. Linhas , R. Marçôa , A. Oliveira , J. Almeida , S. Neves , S. Campainha

{"title":"Transbronchial lung cryobiopsy: Associated complications","authors":"R. Linhas , R. Marçôa , A. Oliveira , J. Almeida , S. Neves , S. Campainha","doi":"10.1016/j.rppnen.2017.07.001","DOIUrl":"10.1016/j.rppnen.2017.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Transbronchial lung cryobiopsy (TBC) has emerged as a diagnostic alternative to surgical lung biopsy in interstitial lung disease (ILD). Despite its less invasive nature, some associated complications have been described.</p></div><div><h3>Objective</h3><p>To evaluate complications of TBC and associated factors.</p></div><div><h3>Methods</h3><p>Prospective evaluation of all patients with ILD submitted to TBC in our centre. Clinicodemographic variables and factors associated to TBC complications were analyzed. The effect of the variables on the complication risk was evaluated by a logistic regression model.</p></div><div><h3>Results</h3><p>Ninety patients were included (mean age 60±13 years; 58.9% male). Twenty-two patients presented pneumothorax, 18 (81.8%) of which were treated with chest tube drainage [median air leak time: 1 day (IQR=2)]. Grade 2 and 3 bleeding was observed in 13 (14.4%) cases. Presence of visceral pleura in the sample accounted for almost more than 10 times the odds of pneumothorax (OR=9.59, 95% CI 2.95–31.17, <em>p</em>    =0.049).</p></div><div><h3>Conclusion</h3><p>The most frequent complication of TBC was pneumothorax, although rapidly reversible. There was a positive association between pneumothorax and the presence of pleura in the biopsy samples as well as between bleeding and increased BMI. More studies about TBC complications are needed to improve the selection of the candidates for this procedure.</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.2017.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35406395","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: 30

The role of Bronchoalveolar lavage in Interstitial Lung Diseases 支气管肺泡灌洗在间质性肺疾病中的作用

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.10.003

M. Costa e Silva , R. Rolo

引用次数: 6

Impulse oscillometry, spirometry, and passive smoking in healthy children and adolescents 健康儿童和青少年的脉冲振荡测量、肺活量测定和被动吸烟

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.06.005

C.I.S. Schivinski , M.S. de Assumpção , F.C.X.S. de Figueiredo , R.M.G. Wamosy , L.G. Ferreira , J.D. Ribeiro

{"title":"Impulse oscillometry, spirometry, and passive smoking in healthy children and adolescents","authors":"C.I.S. Schivinski , M.S. de Assumpção , F.C.X.S. de Figueiredo , R.M.G. Wamosy , L.G. Ferreira , J.D. Ribeiro","doi":"10.1016/j.rppnen.2017.06.005","DOIUrl":"10.1016/j.rppnen.2017.06.005","url":null,"abstract":"<div><h3>Objective</h3><p>To identify changes in the forced and quiet breathing parameters of lung function in healthy children and adolescents exposed to passive smoking (PS).</p></div><div><h3>Method</h3><p>Comparative cross-sectional study. Healthy schoolchildren aged 6 to 14 years. We collected anthropometric data, lung function parameters using spirometry (forced breathing), and quiet breathing parameters using impulse oscillometry. The sample was divided into two groups according to exposure to PS: passive smoking group (PSG) and non-passive smoking group (NPSG). For the statistical analysis, the Shapiro–Wilk test was used to verify data normality and the <em>T</em>-test or Mann–Whitney test to compare spirometric and oscillometric parameters between groups (<em>p</em>  =0.01). There were no significant differences between the groups in values for <em>z</em>-score and lower limit of normal. The PSG had higher mean absolute values for reactance area (X5=0.05) and significant percentage of predicted values for the following impulse oscillometry parameters: central airway resistance (R20%, <em>p</em>  =0.01; X5%=0.01% and AX%, <em>p</em>  <!-->0.01).</p></div><div><h3>Conclusion</h3><p>Children and adolescents exposed to PS had lower values for the spirometric variables and higher values for the oscillometric variables, indicating changes in forced and quiet parameters of lung function compared to the NPSG.</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.2017.06.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35369973","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: 5

Seasonal omalizumab reduces allergen-specific immunoglobulin E levels in patients with Japanese cedar pollinosis and asthma 季节性omalizumab降低日本雪松花粉症和哮喘患者的过敏原特异性免疫球蛋白E水平

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.09.001

S. Hamada , H. Yasuba

引用次数: 0

Idiopathic pleuroparenchymal fibroelastosis (PPFE) – A case study of a rare entity 特发性胸膜实质纤维弹性增生症(PPFE) -一例罕见病例研究

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.06.006

E.B. Boerner , U. Costabel , T.E. Wessendorf , D. Theegarten , F. Bonella

引用次数: 11

Cost of asthma in Portuguese adults: A population-based, cost-of-illness study 葡萄牙成人哮喘的成本:一项基于人群的疾病成本研究

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-11-01 DOI: 10.1016/j.rppnen.2017.07.003

J.P. Barbosa , M. Ferreira-Magalhães , A. Sá-Sousa , L.F. Azevedo , J.A. Fonseca

{"title":"Cost of asthma in Portuguese adults: A population-based, cost-of-illness study","authors":"J.P. Barbosa , M. Ferreira-Magalhães , A. Sá-Sousa , L.F. Azevedo , J.A. Fonseca","doi":"10.1016/j.rppnen.2017.07.003","DOIUrl":"10.1016/j.rppnen.2017.07.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Asthma is one of the most frequent chronic diseases, putting a considerable economic burden on societies and individuals. We aimed to estimate the total cost of adult asthma in Portugal, as well as the extent to which direct and indirect costs are influenced by the level of asthma control.</p></div><div><h3>Methods</h3><p>A nationwide, prevalence-based, cost-of-illness study using a bottom-up approach to calculate direct and indirect costs of asthma was conducted, using participant data from the Portuguese National Asthma Survey (INAsma). Direct (healthcare service usage, diagnostic tests and treatment) and indirect (absenteeism and transportation) costs were measured. Decision analytic modelling was used to perform multivariate deterministic sensitivity analysis.</p></div><div><h3>Results</h3><p>On average, each adult costs 708.16€ (95%CI: 594.62–839.30) a year, with direct costs representing 93% (658.46€; 95%CI: 548.99–791.29) and indirect costs representing 7% (49.70€; 95%CI: 32.08–71.56). This amounts to a grand total of 386,197,211.25€ (95%CI: 324,279,674.31–457,716,500.18), with direct costs being 359,093,559.82€ (95%CI: 299,391,930.03–431,533,081.07). Asthma direct costs are 2.04% of the total Portuguese healthcare expense in 2010. The major cost domains were acute care usage (30.7%) and treatment (37.4%). Asthma control was significantly associated with higher costs throughout several domains, most notably in acute medical care.</p></div><div><h3>Conclusions</h3><p>Asthma in adults poses a significant economic burden on the Portuguese healthcare system, accounting for over 2% of the total healthcare expenditure in Portugal in 2010. It is important to note that a considerable portion of this burden might be eased by improving asthma control in patients, as uncontrolled patients’ costs are more than double those of controlled asthma patients.</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.2017.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35318439","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: 20

Erectile dysfunction and COPD – Cause or association 勃起功能障碍和慢性阻塞性肺病-原因或关联

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-09-01 DOI: 10.1016/j.rppnen.2017.08.006

J.E. Scullion

引用次数: 1

Lung transplant outpatient clinic at Centro Hospitalar São João – 10 year review 中心医院肺移植门诊<s:1> o joo <e:1> - 10年回顾

Revista Portuguesa de Pneumologia (English Edition) Pub Date : 2017-09-01 DOI: 10.1016/j.rppnen.2017.06.003

D. Araújo, C. Damas

引用次数: 0