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The Internet Journal of Pulmonary Medicine最新文献

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NOVEL H1N1 INFLUENZA EPIDEMIC: Lessons From A Tertiary Centre In Bangalore 新型H1N1流感流行:来自班加罗尔三级中心的经验教训
The Internet Journal of Pulmonary Medicine Pub Date : 2009-12-31 DOI: 10.5580/a2c
B. Bhushan, C. Nagaraja
{"title":"NOVEL H1N1 INFLUENZA EPIDEMIC: Lessons From A Tertiary Centre In Bangalore","authors":"B. Bhushan, C. Nagaraja","doi":"10.5580/a2c","DOIUrl":"https://doi.org/10.5580/a2c","url":null,"abstract":"In the new millennium, the world has seen the emergence of three novel human respiratory viruses; SARS virus (a novel Corona virus) in 2003, Influenza H5N1 (‘Avian flu’) in 2004 and now an international outbreak caused by a new strain of Novel 2009 Influenza virus A/H1N1[1]. This novel Influenza 2009 A/H1N1 virus contains a combination of swine, avian, and human influenza virus genes. In sharp contrast to SARS and Avian Influenza H5N1 viruses which emerged from the Asian continent, Influenza 2009 A/H1N1 virus emerged from North America. We review this virus outbreak.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123786780","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
Non-Invasive Positive Pressure Ventilation Compared To Invasive Mechanical Ventilation Among Patients With COPD Exacerbations In An Inner City MICU – Predictors Of NPPV Use 内城MICU慢性阻塞性肺病加重患者无创正压通气与有创机械通气的比较——NPPV使用的预测因素
The Internet Journal of Pulmonary Medicine Pub Date : 2009-12-31 DOI: 10.5580/284f
S. Venkatram, Sonal Rachmale, B. Kanna, A. Soni
{"title":"Non-Invasive Positive Pressure Ventilation Compared To Invasive Mechanical Ventilation Among Patients With COPD Exacerbations In An Inner City MICU – Predictors Of NPPV Use","authors":"S. Venkatram, Sonal Rachmale, B. Kanna, A. Soni","doi":"10.5580/284f","DOIUrl":"https://doi.org/10.5580/284f","url":null,"abstract":"Introduction:Non-invasive positive pressure ventilation (NPPV) has been shown to be effective in selected patients with severe exacerbations of chronic obstructive pulmonary disease (COPD) and can obviate the need for mechanical ventilation, avoid the complications, and reduce Intensive Care Length of Stay. NPPV is increasingly used among patients with Acute Respiratory Failure (ARF), but is under-utilized. We studied the utilization of NPPV in patients with COPD exacerbations and impact on patient outcome at our MICU which is staffed 24/7 by intensivists.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130645027","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: 8
A 58-Year-Old Woman With An Unusual Cause Of Respiratory Failure 一位58岁的女性，因不寻常的原因导致呼吸衰竭
The Internet Journal of Pulmonary Medicine Pub Date : 2009-12-31 DOI: 10.5580/21ee
P. Mailloux, Mark Jankowske
{"title":"A 58-Year-Old Woman With An Unusual Cause Of Respiratory Failure","authors":"P. Mailloux, Mark Jankowske","doi":"10.5580/21ee","DOIUrl":"https://doi.org/10.5580/21ee","url":null,"abstract":"A 58-year-old woman presented to the emergency department (ED) after she was found unresponsive for an unknown period of time. Upon paramedics’ arrival she had a respiratory rate of 4 breaths/min, an O2 saturation of 71% and a Glasgow Coma Score of 3. Her home medications included ibuprofen, fentanyl and lorazepam. The patient’s mental status deteriorated and she ultimately required intubation and mechanical ventilation. She was managed in the intensive care unit (ICU) for what appeared to be a drug overdose and on the following day, after successful extubation, was transferred to the medicine wards. We report an unexpected twist in the pathogenesis of this case.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115120746","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: 0
Difficult Diagnosis in a Case of Pulmonary and Peritoneal Sarcoidosis 肺及腹膜结节病1例诊断困难
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/179
L. Burke, Jacob K Badie
{"title":"Difficult Diagnosis in a Case of Pulmonary and Peritoneal Sarcoidosis","authors":"L. Burke, Jacob K Badie","doi":"10.5580/179","DOIUrl":"https://doi.org/10.5580/179","url":null,"abstract":"Pulmonary and associated peritoneal sarcoidosis is a rare presentation. A 49-year-old man presented with persistent cough and exertional dyspnoea. Following radiological and pathological investigations he was diagnosed with pulmonary fibrosis related to previous dust exposure in the textile industry. Histology was reported to show chronic inflammation, fibrosis, and foreign body giant cells, but no granulomas. Two years later white spots were seen on the peritoneal surface during a routine right inguinal hernia repair. These were biopsied and showed a few neat well-defined granulomata. He continued to complain of breathlessness, and was referred back to the respiratory physicians. Further investigation revealed bilateral ground glass shadowing on HRCT, and re-examination of the original transbronchial biopsy revealed further findings consistent with a diagnosis of sarcoidosis. The patient was started on oral prednisolone to good effect. This case illustrates the importance of reviewing the patient history and investigations to diagnose patients with persistent symptomatology.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115123765","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: 0
Aspiration of barium sulphate in swallow study 吞咽研究中硫酸钡的抽吸
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/18b9
Bhushan N Wani, Meenakshi E Yeola
{"title":"Aspiration of barium sulphate in swallow study","authors":"Bhushan N Wani, Meenakshi E Yeola","doi":"10.5580/18b9","DOIUrl":"https://doi.org/10.5580/18b9","url":null,"abstract":"Barium swallow is the simple, common routine procedure for the examination of the oropharynx and oesophagus. Aspiration of barium sulphate is a well known complication, occurs accidentally during contrast enhanced examinations of the upper gastrointestinal system. It is reported either as rare or frequent, based on severity of the cases. Certain conditions affecting the anatomical and functional integrity of the oropharynx and oesophagus act as predisposing factors Due to relatively non-irritant nature of barium sulphate, aspiration into the lungs not expected to cause severe lung injury. However, acute inflammation or even death due to high or low density preparations of barium sulphate, have been reported. We present a case of dysphagia, who developed aspiration of barium, during swallow study and managed conservatively without any delayed complications.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115558534","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
Extensive Pneumomediastinum With Subcuaneous Emphysema In A Case Of Olivopontocerebellar Degeneration With Bronchial Asthma 广泛纵隔气肿合并皮下肺气肿一例橄榄桥小脑变性伴支气管哮喘
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/131f
P. Koul, U. Khan, Sonaullah Shah, R. Jan, Asrar Ahmad, Z. Masoodi, S. Qadri, A. Ahad
{"title":"Extensive Pneumomediastinum With Subcuaneous Emphysema In A Case Of Olivopontocerebellar Degeneration With Bronchial Asthma","authors":"P. Koul, U. Khan, Sonaullah Shah, R. Jan, Asrar Ahmad, Z. Masoodi, S. Qadri, A. Ahad","doi":"10.5580/131f","DOIUrl":"https://doi.org/10.5580/131f","url":null,"abstract":"A 35-year old female known to have Olivopontocerebellar degeneration and bronchial asthma was admitted with a severe episode of breathlessness, wheezing and cough along with retrosternal pain. Clinical examination revealed features cosnistent with severe asthma and subcutaneous emphysema of cervical and upper thoracic areas. Radiographic imaging revealed extensive subcutaneous emphysema, pneumomediastinum and pneumopericardium. Treatment of the asthma resulted in rapid recovery of the bronchospasm and resolution of the pneumomediastinum over a period of 2 weeks. Development of chest pain or sudden worsening of asthma in a patient should prompt a search for the appearance of pneumomediastium.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126501978","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: 0
Management of Spontaneous Pneumothorax in a Developing Caribbean Nation: A Clinical Practice Audit 一个发展中的加勒比国家自发性气胸的管理:临床实践审计
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/1ead
S. Cawich, Eric W. Williams, R. Irvine, H. Harding, Melody A Isaacs
{"title":"Management of Spontaneous Pneumothorax in a Developing Caribbean Nation: A Clinical Practice Audit","authors":"S. Cawich, Eric W. Williams, R. Irvine, H. Harding, Melody A Isaacs","doi":"10.5580/1ead","DOIUrl":"https://doi.org/10.5580/1ead","url":null,"abstract":"A five year clinical audit was conducted between January 1, 2000 and January 1, 2005 to evaluate the management of patients with spontaneous pneumothoraces at three tertiary referral centres across Kingston, the capital city of Jamaica. Secondary pneumothoraces (SSP) were considered present if there was underlying lung pathology, otherwise patients were considered to have primary pneumothoraces (PSP). Data retrospectively extracted from hospital records, including patient demographics, clinical details and therapeutic outcomes, were analyzed using SPSS Version 12.0. Of the 81 cases identified, 58 patients with a mean age of 41.3 +/-18.2 years (SD) had PSP. The remaining 23 patients at a mean age of 51.8 +/-17.7 years were diagnosed with SSP from COPD (11), tuberculosis (6), asthma (3), PCP (1), endometriosis (1) and sarcoidosis (1). Recurrent SSP was present in 13/81 (16.1%) cases. One patient had a clinically diagnosed tension pneumothorax while the remaining cases were diagnosed on chest radiographs. Most cases were unilateral: 52 right sided (64.2%); 28 left sided (34.6%); 1 bilateral (1.2%). Of this, 80 patients had tube thoracostomy and 1 had aspiration as the definitive therapeutic maneouvre. Prophylactic second procedures (chemical pleurodesis in 3; open gauze pleurodeses in 5) were offered to 8/81 (9.9%) patients, all with recurrent SSP. The remaining patients had ongoing surveillance. There were no recurrences recorded during the study period. Needle aspiration and prophylactic procedures were under-utilized in this setting in contravention of evidence-based guidelines. Educational programmes and early referral to thoracic surgeons may increase the compliance with the standardized guidelines.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130851551","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
Chylothorax with chyloascites 乳糜胸伴乳糜腹水
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/bdc
Aşkin Uysal
{"title":"Chylothorax with chyloascites","authors":"Aşkin Uysal","doi":"10.5580/bdc","DOIUrl":"https://doi.org/10.5580/bdc","url":null,"abstract":"We report a case of a 54 year old man with history of hepatitis C, liver cirrhosis, esophageal varices, polysubstance abuse who was treated with interferon therapy for several months. He presented with progressive shortness of breath and abdominal distension. The patient was admitted with ascites and large pleural effusion that required serial paracenteses and thoracenteses. The findings were consistent with chyloascites and chylothorax that were caused by cirrhosis. We will review the case in view of current literature and latest treatment modalities.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131246290","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
Pulmonary Capillaritis In A Classical Polyarteritis Nodosa 典型结节性多动脉炎的肺毛细血管炎
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/1fe9
A. Taj, Shaffi Kanjwal, R. Assaly, J. Hammersley
{"title":"Pulmonary Capillaritis In A Classical Polyarteritis Nodosa","authors":"A. Taj, Shaffi Kanjwal, R. Assaly, J. Hammersley","doi":"10.5580/1fe9","DOIUrl":"https://doi.org/10.5580/1fe9","url":null,"abstract":"Introduction: Pulmonary involvement in classical polyarteritis nodosa is very uncommon. A 65 year old woman with well documented, classical polyarteritis nodosa was found to have pulmonary capillaritis presenting as alveolar hemorrhage. Patient responded well to the treatment for alveolar hemorrhage.Methods: We report a case of polyarteritis nodosa with diffuse alveolar hemorrhage due to pulmonary capillaritis.Discussion: We describe a case of Polyarteritis nodosa who presented with pulmonary hemorrhage due to pulmonary capillaritis and hence might represent an overlap of polyarteritis nodosa with Microscopic Polyangiitis (MPA) or other unclassified collagen vascular disease.Conclusion: We conclude that pulmonary capillaritis can coexist with \"classical\" polyarteritis nodosa.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116465437","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
Cure rate of Tuberculosis patients using DOTS programme in Kumasi metropolis, Ghana. 加纳库马西市实施直接督导下的短程化疗规划的结核病患者治愈率。
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/3bb
K. Obiri-Danso, L. Acheampong, D. Edoh
{"title":"Cure rate of Tuberculosis patients using DOTS programme in Kumasi metropolis, Ghana.","authors":"K. Obiri-Danso, L. Acheampong, D. Edoh","doi":"10.5580/3bb","DOIUrl":"https://doi.org/10.5580/3bb","url":null,"abstract":"The WHO recognizing the growing importance of TB as a public health problem introduced a new framework for its effective control called the Directly Observe Treatment Short course (DOTS). The DOTS strategy is a patient-centered approach to providing support to tuberculosis patients by observing patients while they take their drugs, thus ensuring patients complete their treatment. A review of the DOTS programme in the Kumasi Metropolitan area for a period of five years (1999 – 2003) was undertaken using data available in the four major TB hospitals; Komfo Anokye Teaching Hospital, Manhyia Hospital, Suntreso Government Hospital and the Kumasi-South Hospital. The data from the various hospitals were categorized into the various treatment outcomes, and the number and percentages calculated. The total numbers of TB patients registered under DOTS in the four hospitals within the Kumasi Metropolis, over the period under review (1998 – 2003) were 4025. Out of this number, the successful rate was 57.99%, default rate 25.73% and failure rate 1.68%. Statistically there were no significant differences amongst the success rate, cure rate, completed rate, default rate and the failure rate amongst the different hospitals. However, there were statistically significant differences in the death rates recorded by the various hospitals.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125781021","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
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