Pneumonologia i alergologia polska最新文献_第9页

Causes of deaths in COPD patients in primary care setting--a 6-year follow-up. 初级保健机构COPD患者死亡原因——6年随访

Pneumonologia i alergologia polska Pub Date : 2015-01-01 DOI: 10.5603/PiAP.2015.0031

Robert Pływaczewski, Janusz Maciejewski, Michał Bednarek, Jan Zieliński, Dorota Górecka, Paweł Śliwiński

{"title":"Causes of deaths in COPD patients in primary care setting--a 6-year follow-up.","authors":"Robert Pływaczewski, Janusz Maciejewski, Michał Bednarek, Jan Zieliński, Dorota Górecka, Paweł Śliwiński","doi":"10.5603/PiAP.2015.0031","DOIUrl":"https://doi.org/10.5603/PiAP.2015.0031","url":null,"abstract":"Introduction: COPD is one of the most frequent respiratory diseases responsible for patients' disability and mortality. In 2005 a single primary care practice, COPD was diagnosed in 183 out of 1,960 eligible subjects ≥ 40 years (9.3%). The aim of this study was to assess mortality rate and causes of deaths in this group after 6 years.Material and methods: In 2011 we invited all 183 patients with COPD recognised in 2005. We performed spirometry, physical examination, questionnaire of respiratory symptoms, smoking habits, concomitant diseases and treatment. Information about deaths was taken from primary care register, furthermore, family members were asked to deliver medical documentation or death certificate.Results: In 2011 we studied only 74 subjects (40.4%), 43 subjects died (23.5%) and 66 subjects were lost from the follow-up (36.1%). Cardiovascular diseases were the most frequent causes of deaths - 21 subjects (48.8%) (heart attack - 8 patients and stroke - 8 patients). Respiratory failure in the course of COPD exacerbation was the cause of 10 deaths (23.3%). Neoplastic diseases lead to 9 deaths (20.9%) (lung cancer 7 patients). Renal insufficiency was responsible for one death (2.325%), and the causes of 2 deaths remained unknown (4.65%). Subjects who died (predominantly males) were older, had higher MRC score and lower FEV₁.Conclusions: Study performed six years after COPD diagnosis revealed that 23.5% of subjects died. The main causes of deaths were the following: cardiovascular diseases (mainly heart attack and stroke), COPD exacerbations and lung cancer (more than 75%). Death risk in COPD patients was associated with age, male sex, dyspnoea and severity of the disease.","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":"33247805","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: 7

Organizing pneumonia appearing in B-cell chronic leukemia malignancy progression - a case report. b细胞慢性白血病恶性进展中出现的组织性肺炎1例报告。

Pneumonologia i alergologia polska Pub Date : 2015-01-01 DOI: 10.5603/PiAP.a2015.0042

Mateusz Marek Polaczek, Jacek Zych, Lucyna Opoka, Beata Maksymiuk, Kazimierz Roszkowski-Sliż

{"title":"Organizing pneumonia appearing in B-cell chronic leukemia malignancy progression - a case report.","authors":"Mateusz Marek Polaczek, Jacek Zych, Lucyna Opoka, Beata Maksymiuk, Kazimierz Roszkowski-Sliż","doi":"10.5603/PiAP.a2015.0042","DOIUrl":"https://doi.org/10.5603/PiAP.a2015.0042","url":null,"abstract":"Patients with chronic lymphocytic leukemia or non-Hodgkin’s lymphoma are at risk of infectious diseases of respiratory system because of immunodeficiency. Occurrence of organizing pneumonia in leukemic patients is most commonly correlated with bone marrow transplant or treatment with antimitotic agents. There have been only four reported cases of organizing pneumonia related solitarily to leukemia or lymphoma. We present a case of 65-year old gentlemen, diagnosed 8 months earlier with B-cell chronic lymphocytic leukemia with no previous hematologic treatment, who presented symptoms of persistent pneumonia with no significant reaction to antibiotics. Chest computed tomography scans showed well-localized consolidation with ground glass opacities and some air bronchogram, suggesting infectious disease. All results of microbiological examinations were negative. Due to radiological progression of parenchymal consolidation despite two intravenous courses of antibiotics open lung biopsy was performed. The histologic examination of lung specimen revealed structures typical for organizing pneumonia pattern. There was no evidence for leukemic involvement in lung tissue, as no sign for infectious factors from histological staining was observed. In the inferior mediastinal lymph node sample progression of chronic lymphatic leukemia to mixed cell lymphoma was diagnosed. Patient was commenced on prednisone 60 mg/daily with fast improvement. We believe that this is the first case of organizing pneumonia as a reaction to the conversion of B-cell chronic lymphocytic leukemia progression to more malignant stage.","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":"33312587","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: 2

Bird fancier's lung--comment on: Kumar R., Singh M. "Bird fancier's lung: clinical-radiological presentation in 15 cases". 鸟类爱好者的肺——评论:Kumar R.， Singh M.。“鸟类爱好者肺:15例临床放射学表现”。

Pneumonologia i alergologia polska Pub Date : 2015-01-01 DOI: 10.5603/PiAP.2015.0039

Tadeusz M Zielonka

引用次数: 1

Bird fancier's lung: clinical-radiological presentation in 15 cases. 鸟类肺:15例临床放射学表现。

Pneumonologia i alergologia polska Pub Date : 2015-01-01 DOI: 10.5603/PiAP.2015.0005

Raj Kumar, Mandeep Singh

{"title":"Bird fancier's lung: clinical-radiological presentation in 15 cases.","authors":"Raj Kumar, Mandeep Singh","doi":"10.5603/PiAP.2015.0005","DOIUrl":"https://doi.org/10.5603/PiAP.2015.0005","url":null,"abstract":"Introduction: Bird fancier's lung (BFL) is a type of hypersensitivity pneumonitis occurring in response to avian antigens (usually inhaled proteins in bird feathers and droppings). The diagnosis is based on a combination of clinical, radiological, and biopsy characteristics. The present study was planned to highlight the clinico-radiological presentation in cases of BFL.Material and methods: The present study is a retrospective analysis of cases of bird fancier's lung diagnosed in a unit of Vallabhbhai Patel Chest Institute over a period of two years, from 2013-2014. The clinico-radiological features of the subjects were analysed. The diagnosis of BFL was made as per criteria laid down by Mark Schuyler and Yvon Cormier.Results: There were a total of fifteen cases diagnosed with BFL during the study period, comprising twelve females and three males with a mean age of 54.93 ± 14.21 years. All the studied subjects gave significant history of exposure to pigeons and were non-smokers. The period of symptoms prior to presentation varied from one to eight years. The main symptoms on presentation were exertional breathlessness and cough. Radiologically, diffuse centrilobular nodules, ground glassing - diffuse or patchy predominant in upper lobes, fibrosis with or without traction bronchiectasis, honeycombing, and mediastinal lymphadenopathy were seen. Bronchoscopy showed ill-defined granulomas and chronic interstitial inflammation.Conclusions: BFL can exhibit a wide range of radiological patterns, and a high index of suspicion must be maintained, with particular attention to detailed exposure history in every case of interstitial lung disease.","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":"32966950","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: 28

Indoor air pollution and asthma in children at Delhi, India. 印度德里的室内空气污染和儿童哮喘。

Pneumonologia i alergologia polska Pub Date : 2015-01-01 DOI: 10.5603/PiAP.2015.0047

Raj Kumar, Jitendra K Nagar, Nitin Goel, Pawan Kumar, Alka S Kushwah, Shailendra N Gaur

{"title":"Indoor air pollution and asthma in children at Delhi, India.","authors":"Raj Kumar, Jitendra K Nagar, Nitin Goel, Pawan Kumar, Alka S Kushwah, Shailendra N Gaur","doi":"10.5603/PiAP.2015.0047","DOIUrl":"https://doi.org/10.5603/PiAP.2015.0047","url":null,"abstract":"Introduction: Several studies in developed countries have shown association between indoor air pollution and asthma in children. The present research was undertaken to study this association at Delhi, India.Material and methods: This study took place at Delhi, capital of India. Eight locations based on the source of pollution such as industrial, residential and villages were included. Recording of the demographic profile and clinical examination of each child was conducted at their residence. Indoor SO₂, NO₂ and SPM (suspended particulate matter) levels were measured by using Handy Air Sampler (Low Volume Sampler).Results: A total of 3104 children were examined of which 60.3% were male and 39.7% were female. 32.4% children were exposed to environmental tobacco smoke. 31.5 % children's families were using biomass fuels for cooking. History of respiratory symptoms included cough (43.9%), phlegm production (21.9%), shortness of breath (19.3%) and wheezing (14.0%). 7.9% children were diagnosed as having asthma, which was highest in industrial areas (11.8%), followed by residential (7.5%) and village areas (3.9%). The mean indoor SO₂, NO₂ and SPM levels were 4.28 ± 4.61 mg/m³, 26.70 ± 17.72 mg/m³ and 722.0 ± 457.6 mg/m³ respectively. Indoor SPM was the highest in industrial area followed by residential area and urban village area. Indoor SPM level was significantly (p < 0.001) higher in the asthmatic children's houses.Conclusion: This study suggests that industry plays an important role in increasing the concentration of indoor suspended particulate matter and occurrence of asthma in children in developing countries like India.","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":"34278668","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: 25

The IGRA tests: where are we now? IGRA测试:我们现在在哪里?

Pneumonologia i alergologia polska Pub Date : 2015-01-01 DOI: 10.5603/PiAP.2015.0015

Sylwia Kwiatkowska

引用次数: 4

The role of questionnaires in the assessment of asthma control. 问卷在哮喘控制评估中的作用。

Pneumonologia i alergologia polska Pub Date : 2015-01-01 DOI: 10.5603/PiAP.2015.0036

Marek Przybyszowski, Grażyna Bochenek

{"title":"The role of questionnaires in the assessment of asthma control.","authors":"Marek Przybyszowski, Grażyna Bochenek","doi":"10.5603/PiAP.2015.0036","DOIUrl":"https://doi.org/10.5603/PiAP.2015.0036","url":null,"abstract":"The achievement and the maintenance of asthma control is currently considered the main goal of asthma treatment. Recent guidelines recommend regular assessment of asthma control and indicate questionnaires as important tools that can facilitate its evaluation. Questionnaires relate to GINA or NAEPP guidelines. Questionnaires constitute complex numerical or categorical scales and consist of several to over a dozen questions relating to the patient's symptoms of asthma, limitations in daily activities and usage of rescue medications within a period of time. Each questionnaire is characterized by the features that affect its reliability and usefulness. In the following paper we discuss most of the questionnaires which assess asthma control. We focus on the items they include and present the results of studies that prove the effectiveness of individual questionnaires in assessment of asthma control. Attention was drawn to the patient groups to which the questionnaires are addressed. We list the features of the questionnaire which should be considered before choosing a test, so that it satisfies both the doctor's and the patient's needs. The role of questionnaires as the easy-to-use tools is growing steadily. Unfortunately, not all are available in Polish language. Conducting appropriate validation studies may allow to use many of them in Polish conditions. ","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":"33366368","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: 4

[Assessment of respiratory function in the qualification for lung cancer surgery]. [肺癌手术资格中呼吸功能的评估]。

Pneumonologia i alergologia polska Pub Date : 2015-01-01 DOI: 10.5603/PiAP.2015.0011

Monika Franczuk, Stefan Wesołowski

{"title":"[Assessment of respiratory function in the qualification for lung cancer surgery].","authors":"Monika Franczuk, Stefan Wesołowski","doi":"10.5603/PiAP.2015.0011","DOIUrl":"https://doi.org/10.5603/PiAP.2015.0011","url":null,"abstract":"Surgery is the treatment of choice in patients with a diagnosis of non-small cell lung cancer (NSCLC). A pivotal of eligibility for resection is the early stage of the disease and histopathological assessment. The performance status and comorbidities in population, predominated by elderly patients, also influence the therapeutic decisions. In some lung cancer patients COPD coexists, characterized by a decrease in lung function. Then the preoperative evaluation is particularly important, for both the risk of postoperative complications, lung function and quality of life postoperatively. Recently several recommendations for preoperative evaluation of patients being considered for surgery were published. The guidelines of BTS (2001, 2010), ACCP (2007, 2013) and joint recommendations of ERS and ESTS (2009) have been based on the currently available research results, and indicated the algorithms. The recommendations ERS/ESTS and ACCP distinguished cardiac risk estimation in all patients, which should precede the evaluation of lung function. According to the latest recommendations (ACCP 2013) the next step is spirometry, DLCO measurement and calculation of predicted postoperative values for both parameters. The low-technology exercise tests (stair climbing, shuttle walk test) were assigned as valuable to discriminate patients at low and intermediate perioperative risk. The cardiopulmonary exercise test (CPET) is recommended to be performed at the final qualification for surgery in patients with high risk. It was also stressed that therapeutic decisions should be taken multidisciplinary, allowing to estimate the risk of complications and to evaluate the expected quality of life in the postoperative time. ","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":"32965875","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: 2

[Application of basophil activation test in diagnosing aspirin hypersensitivity]. [嗜碱性粒细胞激活试验在阿司匹林超敏反应诊断中的应用]。

Pneumonologia i alergologia polska Pub Date : 2015-01-01 DOI: 10.5603/PiAP.2015.0010

Marika Gawinowska, Krzysztof Specjalski, Marta Chełmińska, Jakub Łata, Maciej Zieliński

引用次数: 2

Aclidinium bromide for the treatment of chronic obstructive pulmonary diseases — statement of interdisciplinary working group 治疗慢性阻塞性肺疾病的溴化吖啶-跨学科工作组的说明

Pneumonologia i alergologia polska Pub Date : 2014-07-03 DOI: 10.5603/arm.38835

P. Kuna, H. Batura-Gabryel, A. Fal, E. Jassem, K. Filipiak, M. Michalak, P. Radziszewski, K. Wardyn, K. Życińska

引用次数: 0