{"title":"Adding some NOVELTY to treatable traits.","authors":"Peter G Gibson","doi":"10.1111/resp.14341","DOIUrl":"https://doi.org/10.1111/resp.14341","url":null,"abstract":"See related article","PeriodicalId":162871,"journal":{"name":"Respirology (Carlton, Vic.)","volume":" ","pages":"912-913"},"PeriodicalIF":6.9,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40601435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A paediatric bronchoscopist's 'Field of Dreams': Will the flexible cryoprobe hit a home run?","authors":"Alfin Vicencio","doi":"10.1111/resp.14366","DOIUrl":"https://doi.org/10.1111/resp.14366","url":null,"abstract":"See related article","PeriodicalId":162871,"journal":{"name":"Respirology (Carlton, Vic.)","volume":" ","pages":"918-919"},"PeriodicalIF":6.9,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33447982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sleep medicine is more than just obstructive sleep apnoea.","authors":"Darren R Mansfield","doi":"10.1111/resp.14364","DOIUrl":"https://doi.org/10.1111/resp.14364","url":null,"abstract":"this to be an effective strategy. On-line CBT-I 29 tools have shown early promise and could be adopted in primary care, although lim-itations in on-line behaviour change strategies are well described, and motivational drivers such as rapport and accountability with a healthcare provider remain integral. 30 Finally, further research is required to assist the one third who insufficiently respond to CBT-I as well as position state-ments that clearly define the role of supplementary or alter-native treatments including pharmacotherapy in this group. Despite there being opportunities for better coordina-tion, there have been remarkable advances in the diagnosis and treatment of OSA. Moving forward however, peak bodies in sleep health have considerable challenges ahead in driving the systems change needed to manage the remaining substantial burden of non-respiratory sleep disorders. More-over, there are learning opportunities from OSA management to ensure that treatment approaches are targeted to ensure greatest impact. Implementation research is now essential to identify, train and remunerate the required workforce to take evidence of efficacy into practice. Alongside this further research, guideline development and close engagement with funders and policy makers will be essential.","PeriodicalId":162871,"journal":{"name":"Respirology (Carlton, Vic.)","volume":" ","pages":"812-814"},"PeriodicalIF":6.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40353432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transformative radiology: Chest imaging is being re-defined.","authors":"Kenneth K Lau, John M Troupis, David Parsons","doi":"10.1111/resp.14358","DOIUrl":"https://doi.org/10.1111/resp.14358","url":null,"abstract":"partner-ship and collaboration between respiratory physicians and radiologists to facilitate the best use of new imaging technologies are critical for our efforts to provide our patients with the best care and outcomes.","PeriodicalId":162871,"journal":{"name":"Respirology (Carlton, Vic.)","volume":" ","pages":"815-817"},"PeriodicalIF":6.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40353966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"World Lung Day 2022-Lung health for all.","authors":"David Chi-Leung Lam","doi":"10.1111/resp.14350","DOIUrl":"https://doi.org/10.1111/resp.14350","url":null,"abstract":"The World Health Organization (WHO) and the Forum of International Respiratory Societies (FIRS) designated 25 September 2022 as the World Lung Day 2022 to raise global awareness and action towards better lung health. The goals of World Lung Day 2022 are to reduce the burden of respiratory diseases, with an emphasis on equal access to respiratory care and treatment without regard to socioeconomic status of respective countries, and early detection of treatable respiratory condition. Let us be reminded of the imminent burden of the Big Five respiratory diseases, namely asthma, chronic obstructive pulmonary disease (COPD), pneumonia, tuberculosis (TB) and lung cancer, and the influence of air pollution, smoking and global warming aggravating the socioeconomic burden from these ‘Big Five’. Asthma affects 1%–18% of population, including both children and adults, in different countries. In children, the diagnosis of asthma and suboptimal control have significant impact on the physical and psychological growth and development of children. In adults, suboptimal control of asthma may even be fatal, or may result in absence from work or psychosocial morbidity. Asthma commonly associates with atopic phenomenon like eczema and rhinitis. Exposure to air pollution and smoking may make asthma symptoms worse. Occupational and environmental situation may give persistent allergen or irritant exposure making asthma control difficult. Access to inhaled controller or reliever therapy, as well as newer biologics, could be an issue in low-to-middle income (LMIC) countries. Asthma education is of utmost important to improve self-control of asthma. The global prevalence of COPD among people aged 30–79 years is estimated to be 10 3%. The health burden of COPD came from acute exacerbation, leading to increased use of medications and hospitalizations, which are usually recurrent events. Patients with COPD usually present with co-morbidities like ischemic heart disease, atrial fibrillation, lung cancer, depression and anxiety. Smoking cessation is the first and foremost mission for chronic smokers, not to mention COPD subjects are to stop smoking immediately and completely. Access to relevant inhalers is limited in many LMIC countries. Pulmonary rehabilitation program (PRP) is essential for COPD patients to enhance their self-care ability and to help them to stay as active as possible, but the access to PRP is often limited in LMIC countries. Pneumonia accounts for 14% of all deaths of children under 5 years old, and elderly people with medical co-morbidities being the other at-risk group. Pneumonia affects children and families all over the world, but deaths from pneumonia are highest in LMIC countries, where people may have weakened immunity from malnutrition. Preexisting illnesses, such as acquired immunodeficiency syndrome (AIDS), increase the risk of contracting pneumonia. Immunization is the most effective way to prevent pneumonia. More than 10 million cases of TB are ","PeriodicalId":162871,"journal":{"name":"Respirology (Carlton, Vic.)","volume":" ","pages":"810-811"},"PeriodicalIF":6.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33446889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevention of droplet dispersal with 'e-mask': A new daily use endoscopic mask during bronchoscopy.","authors":"Takayasu Ito, Shotaro Okachi, Kazuhide Sato, Hirotoshi Yasui, Noriaki Fukatsu, Masahiko Ando, Toyofumi Fengshi Chen-Yoshikawa, Hideo Saka","doi":"10.1111/resp.14321","DOIUrl":"https://doi.org/10.1111/resp.14321","url":null,"abstract":"<p><strong>Background and objective: </strong>Bronchoscopy is an airborne particle-generating procedure. However, few methods for safe bronchoscopy have been developed. To reduce airborne particles during bronchoscopy, we created an 'e-mask', which is a simple, disposable mask for patients. Our objective was to evaluate the e-mask's protective ability against airborne particles and to assess respiratory adverse events and complications.</p><p><strong>Methods: </strong>Patients with stage 2-4 chronic obstructive pulmonary disease were excluded. We performed visualization and quantifying experiments on airborne particles with and without the e-mask. We prospectively evaluated whether wearing the e-mask during bronchoscopy was associated with the incidence of patients requiring >5 L/min oxygen to maintain >90% oxygen saturation, and patients with >45 mm Hg end-tidal carbon dioxide (EtCO<sub>2</sub> ) elevation, in addition to complications, compared to historical controls.</p><p><strong>Results: </strong>In the visualization experiment, more than ten thousand times of airborne particles were generated without the e-mask than with the e-mask. The volume of airborne particles was significantly reduced with the e-mask, compared to that without the e-mask (p = 0.011). Multivariate logistic regression analysis revealed that wearing the e-mask had no significant effect on the incidence of patients requiring >5 L/min oxygen to maintain >90% oxygen saturation, (p = 0.959); however, wearing the e-mask was a significant factor in >45 mm Hg EtCO<sub>2</sub> elevation (p = 0.026). No significant differences in complications were observed between the e-mask and control groups (5.8% vs. 2.5%, p = 0.395).</p><p><strong>Conclusion: </strong>Wearing the e-mask during bronchoscopy significantly reduced the generation of airborne particles during bronchoscopy without increasing complications.</p>","PeriodicalId":162871,"journal":{"name":"Respirology (Carlton, Vic.)","volume":" ","pages":"863-873"},"PeriodicalIF":6.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40558358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Endotyping in sleep surgery: Not ready for primetime.","authors":"Stuart G MacKay, Andrew Jones","doi":"10.1111/resp.14332","DOIUrl":"https://doi.org/10.1111/resp.14332","url":null,"abstract":"See related article","PeriodicalId":162871,"journal":{"name":"Respirology (Carlton, Vic.)","volume":" ","pages":"808-809"},"PeriodicalIF":6.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40641537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Leading women in respiratory medicine: The role of the APSR in promoting gender equity and inclusiveness.","authors":"Fanny Wai San Ko, Natasha Smallwood","doi":"10.1111/resp.14342","DOIUrl":"https://doi.org/10.1111/resp.14342","url":null,"abstract":"See related editorial","PeriodicalId":162871,"journal":{"name":"Respirology (Carlton, Vic.)","volume":" ","pages":"900-902"},"PeriodicalIF":6.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40606734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Breathlessness: Remembering the worst of it.","authors":"Anne E Holland, Janet Bondarenko","doi":"10.1111/resp.14329","DOIUrl":"https://doi.org/10.1111/resp.14329","url":null,"abstract":"See related article","PeriodicalId":162871,"journal":{"name":"Respirology (Carlton, Vic.)","volume":" ","pages":"806-807"},"PeriodicalIF":6.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40587477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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