Pneumonologia i alergologia polska最新文献_第3页

What factors may influence epidemiological situation of tuberculosis in Poland and in the world? 哪些因素可能影响波兰和世界结核病的流行病学情况?

Pneumonologia i alergologia polska Pub Date : 2016-01-01 DOI: 10.5603/PiAP.2016.0013

Ewa Rowińska-Zakrzewska, Maria Korzeniewska-Koseła, Ewa Augustynowicz-Kopeć, Monika Szturmowicz

引用次数: 5

Methods of airway resistance assessment. 气道阻力评估方法。

Pneumonologia i alergologia polska Pub Date : 2016-01-01 DOI: 10.5603/PiAP.2016.0014

Tomasz Urbankowski, Tadeusz Przybyłowski

{"title":"Methods of airway resistance assessment.","authors":"Tomasz Urbankowski, Tadeusz Przybyłowski","doi":"10.5603/PiAP.2016.0014","DOIUrl":"https://doi.org/10.5603/PiAP.2016.0014","url":null,"abstract":"Airway resistance is the ratio of driving pressure to the rate of the airflow in the airways. The most frequent methods used to measure airway resistance are whole-body plethysmography, the interrupter technique and the forced oscillation technique. All these methods allow to measure resistance during respiration at the level close to tidal volume, they do not require forced breathing manoeuvres or deep breathing during measurement. The most popular method for measuring airway resistance is whole-body plethysmography. The results of plethysmography include among others the following parameters: airway resistance (Raw), airway conductance (Gaw), specific airway resistance (sRaw) and specific airway conductance (sGaw). The interrupter technique is based on the assumption that at the moment of airway occlusion, air pressure in the mouth is equal to the alveolar pressure . In the forced oscillation technique (FOT), airway resistance is calculated basing on the changes in pressure and flow caused by air vibration. The methods for measurement of airway resistance that are described in the present paper seem to be a useful alternative to the most common lung function test - spirometry. The target group in which these methods may be widely used are particularly the patients who are unable to perform spirometry. ","PeriodicalId":20258,"journal":{"name":"Pneumonologia i alergologia polska","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34593426","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}

引用次数: 18

Can pancreatic tissue cause haemoptysis? 胰腺组织会引起咯血吗?

Pneumonologia i alergologia polska Pub Date : 2016-01-01 DOI: 10.5603/PiAP.2016.0027

Adam Bubel, Paweł Rogoziński, Krzysztof Bruliński

引用次数: 0

Prognostic value of TH1/TH2 cytokines in infants with wheezing in a three year follow-up study. TH1/TH2细胞因子在婴儿喘息3年随访研究中的预后价值

Pneumonologia i alergologia polska Pub Date : 2016-01-01 DOI: 10.5603/PiAP.2016.0016

Ivane Chkhaidze, Dali Zirakishvili, Natalia Shavshvishvili, Neli Barnabishvili

{"title":"Prognostic value of TH1/TH2 cytokines in infants with wheezing in a three year follow-up study.","authors":"Ivane Chkhaidze, Dali Zirakishvili, Natalia Shavshvishvili, Neli Barnabishvili","doi":"10.5603/PiAP.2016.0016","DOIUrl":"https://doi.org/10.5603/PiAP.2016.0016","url":null,"abstract":"Introduction: The immune system is known to play a key role in the development of viral-induced wheeze, but the pattern of cytokine response is not clear. The aim of the study was to determine whether plasma cytokine levels during the acute wheezing illness in infants are associated with the subsequent development of persistent recurrent wheezing (PRW).Material and methods: 43 infants admitted to Iashvili Central Children Hospital, Tbilisi, Georgia, were selected. The concentrations of IFN-g, TNF-a and IL-6 were determined by enzyme-linked immunosorbent assay (ELISA). Total serum IgE level was also determined. IgM and IgG antibodies to RSV, Chlamydophila pneumonia and Mycoplasma pneumonia were tested by ELISA. All children were followed-up during 3 years period.Results: There was no significant association with PRW and atopy in the infant or parental atopy, low maternal age, low birth weight, serum level of IL-6, serum level of IFN-g, serum level of total IgE and the particular pathogen. There was a tendency for the association with male sex, bottle feeding and household cigarette smoking, although the relation was not significant. There was just TNF-a which was strongly associated with the risk of PRW after three years of follow up.Conclusion: We have identified TNF-a, as a biomarker, which can be detected in children under 3 years of age and may be useful in the prediction of development of persistence of wheezing later. To further evaluate the usefulness of this and other markers and establish cutoff levels for prediction and use in clinical practice, a larger prospective follow-up study is needed.","PeriodicalId":20258,"journal":{"name":"Pneumonologia i alergologia polska","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34527906","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}

引用次数: 10

A case of DIPNECH presenting as usual interstitial pneumonia. DIPNECH表现为间质性肺炎1例。

Pneumonologia i alergologia polska Pub Date : 2016-01-01 DOI: 10.5603/PiAP.2016.0020

Kshitij Chatterjee, Jorge Jo Kamimoto, Andrew Dunn, Enchala Mittadodla, Manish Joshi

引用次数: 7

Prospective, population-based surveillance of the burden of Streptococcus pneumoniae in community-acquired pneumonia in older adults, Chrzanów County, Poland, 2010 to 2012. 2010 - 2012年波兰Chrzanów县老年人社区获得性肺炎肺炎链球菌负担的前瞻性人群监测

Pneumonologia i alergologia polska Pub Date : 2016-01-01 DOI: 10.5603/PiAP.2016.0007

Rafal Harat, Ronika Alexander, Sharon Gray, Elane M Gutterman, Justyna Pluta, Michael Pride, Sebastian Shite, Joanna Fijolek, Jolanta Kozub

{"title":"Prospective, population-based surveillance of the burden of Streptococcus pneumoniae in community-acquired pneumonia in older adults, Chrzanów County, Poland, 2010 to 2012.","authors":"Rafal Harat, Ronika Alexander, Sharon Gray, Elane M Gutterman, Justyna Pluta, Michael Pride, Sebastian Shite, Joanna Fijolek, Jolanta Kozub","doi":"10.5603/PiAP.2016.0007","DOIUrl":"https://doi.org/10.5603/PiAP.2016.0007","url":null,"abstract":"Introduction: Community-acquired pneumonia (CAP) caused by Streptococcus pneumoniae is a substantial cause of morbidity and mortality among older adults. This study estimated incidences of CAP, chest x-ray-confirmed CAP (CXR+CAP), S pneumonia- positive CAP, S pneumonia-positive CXR+CAP, and S. pneumoniae serotype distribution among 46,000 at-risk adults aged ≥ 50 years residing in Chrzanów County, Poland.Material and methods: From January 2010 to January 2012, all facilities providing ambulatory and inpatient care enrolled all consenting resident patients with suspicion of CAP. Chest x-rays, urine, blood, and sputum samples were analyzed. Annualized incidence rates were determined. Presence of S pneumonia-positive CAP and/or S. pneumoniae serotype distribution was determined using the urine antigen detection assay (capable of detecting the serotypes in the 13-valent pneumococcal conjugate vaccine [PCV13]), BinaxNOW®, and/or microbiology cultures.Results: Among 5055 enrolled patients, 1195 (23.7%) were diagnosed with CAP and 1166 (23.4%) had CXR+CAP. S. pneumoniae was detected in 144 (12.1%) and 131 (11.2%) patients from the CAP and CXR+CAP cohorts, respectively. Annualized incidence rates of CAP, CXR+CAP, S pneumonia-positive CAP, and S. pneumonia-positive CXR+CAP were 12.8, 12.5, 1.6, and 1.4 per 1000 residents, respectively. Among CXR+CAP patients, 39.7% were aged 50 to 64 years and 60.3% were aged ≥ 65 years. Incidence rates generally increased with age. The most common serotypes in S. pneumoniae-positive CXR+CAP patients were 3 (n = 15), 23F (n = 10), 18C (n = 9), and 9V (n = 6).Conclusions: CAP due to PCV13 serotypes is a source of morbidity among adults >50 years and may be reduced by greater access to pneumococcal vaccines.","PeriodicalId":20258,"journal":{"name":"Pneumonologia i alergologia polska","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34593419","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}

引用次数: 3

A case of systemic melioidosis: unravelling the etiology of chronic unexplained fever with multiple presentations. 一例系统性类鼻疽:揭示多种表现的慢性不明原因发热的病因。

Pneumonologia i alergologia polska Pub Date : 2016-01-01 DOI: 10.5603/PiAP.2016.0012

Srujana Mohanty, Gourahari Pradhan, Manoj Kumar Panigrahi, Prasanta Raghab Mohapatra, Baijayantimala Mishra

引用次数: 7

Allergic bronchopulmonary aspergillosis presenting as lobar or total lung collapse. 过敏性支气管肺曲菌病表现为肺大叶或全肺萎陷。

Pneumonologia i alergologia polska Pub Date : 2015-01-01 DOI: 10.5603/PiAP.2015.0023

Raj Kumar, Mohammed Noufal Poongadan, Mandeep Singh

{"title":"Allergic bronchopulmonary aspergillosis presenting as lobar or total lung collapse.","authors":"Raj Kumar, Mohammed Noufal Poongadan, Mandeep Singh","doi":"10.5603/PiAP.2015.0023","DOIUrl":"https://doi.org/10.5603/PiAP.2015.0023","url":null,"abstract":"Introduction: Allergic bronchopulmonary aspergillosis (ABPA) is a T-helper cell 2 (Th2) mediated hypersensitive lung disorder in response to Aspergillus that usually affects asthmatic and cystic fibrosis (CF) patients. ABPA rarely presents as lung collapse and such kind of presentation is very rare in non asthmatic patients. We are presenting a series of three cases in which ABPA presented as lobar or total lung collapse. ABPA presenting as opaque hemithorax is a rarity with only a few of them reported in the literature.Case series: the first case described is a 45-year non-smoker with history suggestive of bronchial asthma and on chest radiological examination was found to have opaque right hemithorax. The second case is of 62-year non-smoker non-asthmatic patient who presented to us as left lung collapse. The last case is of middle lobe collapse in asthmatic male. All cases ultimately were proved to be having ABPA and after treatment showed marked clinical and radiological improvement.Conclusions: The present case series highlights the need for aggressive approach in diagnosing this treatable condition in cases presenting as segmental or total lung collapse. The condition has a good prognosis if detected early.","PeriodicalId":20258,"journal":{"name":"Pneumonologia i alergologia polska","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33117250","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}

引用次数: 12

Pulmonary artery stenosis due to embryonal carcinoma with primary mediastinal location. 原发性纵隔位置的胚胎性癌所致肺动脉狭窄。

Pneumonologia i alergologia polska Pub Date : 2015-01-01 DOI: 10.5603/PiAP.2015.0024

Franciszek Grzegorczyk, Małgorzata Dybowska, Paweł Kuca, Cezary Czajka, Janusz Burakowski, Renata Langfort, Tadeusz Orłowski, Witold Tomkowski

{"title":"Pulmonary artery stenosis due to embryonal carcinoma with primary mediastinal location.","authors":"Franciszek Grzegorczyk, Małgorzata Dybowska, Paweł Kuca, Cezary Czajka, Janusz Burakowski, Renata Langfort, Tadeusz Orłowski, Witold Tomkowski","doi":"10.5603/PiAP.2015.0024","DOIUrl":"https://doi.org/10.5603/PiAP.2015.0024","url":null,"abstract":"A 29-year old man was admitted to the intensive care unit after losing consciousness. On physical examination, a loud systolic murmur over the heart was found. Echocardiography revealed narrowing of pulmonary artery with high pressure gradient. Computed tomography of the chest revealed the presence of large tumour localised in the upper anterior mediastinum. Due to the risk of total closure of the pulmonary artery, interventional mediastinotomy was performed and diagnosis of carcinoma embryonale was established. Subsequent chemotherapy (BEP regimen) has brought regression of tumour and significant improvement in haemodynamic parameters (relief of pressure gradient in pulmonary artery). During the second surgery, the resection of all accessible tumour mass together with marginal resection of the right upper lobe was performed. No signs of cardiac or great vessels infiltration was found. Histopathologic examination revealed the necrotic masses and neoplastic foci diagnosed as teratoma immaturum. In a four-month follow-up the patient's condition remained good. The patient is still under the care of both oncological and cardiological specialists. Thus far he has not required further chemotherapy. Holter ECG monitoring revealed no arrhythmia, but the patient is still treated with mexiletine. The patient is planning to return to work. ","PeriodicalId":20258,"journal":{"name":"Pneumonologia i alergologia polska","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33117251","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}

引用次数: 1

High-mobility group box 1 protein levels in serum of subjects after exposure to fire smoke--short communication. 暴露于火灾烟雾后受试者血清中高迁移率组盒1蛋白水平——短时间通讯。

Pneumonologia i alergologia polska Pub Date : 2015-01-01 DOI: 10.5603/PiAP.2015.0032

Anna Krakowiak, Konrad Śliwkiewicz, Ewa Nowakowska-Swirta, Renata Winnicka, Piotr Politański

{"title":"High-mobility group box 1 protein levels in serum of subjects after exposure to fire smoke--short communication.","authors":"Anna Krakowiak, Konrad Śliwkiewicz, Ewa Nowakowska-Swirta, Renata Winnicka, Piotr Politański","doi":"10.5603/PiAP.2015.0032","DOIUrl":"https://doi.org/10.5603/PiAP.2015.0032","url":null,"abstract":"Introduction: Fire smoke inhalation a recognized etiologic factor of airway injuries. The objective of this study was evaluation of serum high-mobility group box 1 (HMGB1) protein concentration in subjects exposed to fire smoke (SEFS).Material and methods: The study group consisted of 40 consecutive patients admitted to the Toxicology Unit, Lodz, Poland after exposure to fire smoke. Serum HMGB1 concentrations were measured upon admission to hospital and rechecked on the 2nd and on the day of discharge. Patients also underwent routine toxicological diagnostic procedures applied in case of those exposures, such as carboxyhaemoglobin (COHb) levels and urinary thiocyanate concentrations. The same diagnostic tests were performed in 10 healthy volunteers not exposed to smoke of the control group.Results: The average serum SEFS concentration of HMGB1 protein was not significantly higher on admission in comparison with the respective values recorded on the 2nd day and on the day of discharge. The mean serum level of HMGB1 protein of exposed group was higher than that one in the control group, however the difference was not statistically significant. The highest concentration of HMGB1 protein was noted in serum of 28 subjects exposed to fire smoke reporting at least one symptom and the difference was statistically significant in a comparison with the control group.Conclusion: As indicated, an acute exposure to smoke may lead to transient increase of HMGB1 in serum in exposed subjects. Further studies are necessary in order to confirm the importance of this protein in pathogenesis of acute airway injury due to exposure to fire smoke.","PeriodicalId":20258,"journal":{"name":"Pneumonologia i alergologia polska","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33366364","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}

引用次数: 1