M. Goyal, Goel Ak, Pradeep Kumar, S. Bhattacharya, M. Bajpai, N. Verma, S. Tiwari, S. Kant
{"title":"Comparison of Wright scale and European scale peak flow meters with digital spirometer","authors":"M. Goyal, Goel Ak, Pradeep Kumar, S. Bhattacharya, M. Bajpai, N. Verma, S. Tiwari, S. Kant","doi":"10.5580/23a4","DOIUrl":"https://doi.org/10.5580/23a4","url":null,"abstract":"Introduction: Peak expiratory flow (PEF) monitoring has been in use to measure airflow obstruction in patients with asthma. Most of the peak flow meter uses a traditional Wright scale to record PEF whilst after 2004 Peak flow meters with new European scale have been introduced. This study was done to assess the limits of agreement of PEF values measured with mini Wright's peak flow meter (Wright scale) or with new European scale with digital spirometer. Material and Methods: 582 healthy volunteers between the age group of 18-40 years were recruited for this study. PEF was measured with mini wright's peak flow meter with traditional wright scale and new EU PEF scale. Simultaneously Spirometery of each subject was performed with Sprobank G and FVC, FEV1, FEV1%, PEF were recorded. Results: PEF measured with wrights scale and new European scale both shows high and similar levels of correlation with digital spirometer (r=0.765 and 0.767). Despite a high correlation observed between measured PEF with different instruments, the limits of agreement are not acceptable for either of the scales. Conclusion: The measurement of PEFR with New European scale does not seem to provide any significant advantage over traditional scale.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117128329","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}
D. Ofusori, A. Ayoka, A. E. Adelakun, Benedict A. Falana, O. Adeeyo, K. Ajeigbe, Uthman Yusuf
{"title":"Microanatomical Effect of ethanolic extract of Garcinia kola on the lung of Swiss albino mice","authors":"D. Ofusori, A. Ayoka, A. E. Adelakun, Benedict A. Falana, O. Adeeyo, K. Ajeigbe, Uthman Yusuf","doi":"10.5580/297c","DOIUrl":"https://doi.org/10.5580/297c","url":null,"abstract":"Aims and Objectives: To histologically evaluate the possible effect of ethanolic extract of Garcinia kola seeds on the lung tissue in Swiss albino mice. Methodology: Garcinia kola seeds were cut in pieces, oven dried at 40°C for 4 days and then grounded to a fine powder. The powder was extracted with ethanol (70% v/v) and concentrated and dried under vacuum. The animals were randomly assigned into groups A, B and C (n=10).Groups B and C were administered with 10 and 20mg/kg doses of the extract respectively; an equivalent volume of normal saline was given to group A (control group) for twenty one consecutive days. On the twenty second day the animals were sacrificed, the lungs excised and fixed in 10% formol saline for histological analysis. Results: The treated groups present a dilatory effect on the alveolar ducts, alveolar sacs and alveoli. There was no observable loss of alveolar architecture, no emphysematous areas and no alveolar congestion in the treated groups. Conclusion: It may be inferred from the present results that intake of G. kola seed extract for twenty one consecutive days improves respiratory activities which may be due to its antioxidant properties in Swiss albino mice.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128355930","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}
N. Dursunoğlu, D. Dursunoglu, E. Öztürk, Sukru Gur, M. Ozturk
{"title":"A 39 Year-Old Male With Massive Hemoptysis","authors":"N. Dursunoğlu, D. Dursunoglu, E. Öztürk, Sukru Gur, M. Ozturk","doi":"10.5580/2317","DOIUrl":"https://doi.org/10.5580/2317","url":null,"abstract":"Hemoptysis remains a distressing symptom and, at times, a challenging diagnostic problem. A careful history and detailed physical examination is the first step in identifying the cause of hemoptysis. The chest radiography may yield important information about the underlying cause of hemoptysis. However, in the majority of cases, additional testing is required, which most commonly consists of computarised tomography of thorax and fiberoptic bronchoscopy. Occasionally, the initial evaluation suggests an uncommon cause of hemoptysis that requires one or more specific confirmatory tests such as echocardiography. Here, we describe a patient with mitral stenosis who had massive hemoptysis and required valve replacement.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121286751","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":"Misdiagnosis of COPD in middle-aged asthmatics in Nepal","authors":"M. Nepal, M. Bhattarai","doi":"10.5580/15c7","DOIUrl":"https://doi.org/10.5580/15c7","url":null,"abstract":"Background There are reports of misdiagnosis of COPD in elderly asthmatics in industrialized countries. In this region, COPD is frequently encountered in middle-aged subjects. We studied the proportions of asthma among 35–69 years-old-patients with COPD. Methods Total sixty consecutive patients, with history of chronic cough, dyspnoea and wheezing, who were being treated with a presumed diagnosis of COPD for at least 1 year and not receiving systemic or inhaled corticosteroids and whose postbronchodilator spirometry showed airflow limitation (FEV1/FVC 12% and >15% increase in FEV1 following bronchodilator or corticosteroids were considered as showing reversibility of airflow limitation and regarded as asthma with the above inclusion criteria. Findings The means (SE) of baseline FEV1 and FEV1/FVC % of the study population were 0.56 (0.04) and 45.2 (1.5) respectively. 86.7% were smokers. 12% or more increase in FEV1 was seen in 53.3% of patients following bronchodilator and in 60% following oral corticosteroids (p=0.46). Similarly >15% increase in FEV1 was seen in 48.3% of the patients following bronchodilator and in 55% following oral corticosteroids (p=0.47). The differences in sex and age distributions and in percentages of smokers in asthma and COPD groups were not significant. Interpretations Our results reveals that among 35–69 years-old-patients of presumed COPD not receiving inhaled corticosteroids in spite of being symptomatic, more than half have asthma. The study was conducted at the Department of Medicine, Bir Hospital, National Academy of Medical Sciences (NAMS),a national postgraduate hospital and referral center, Post Box: 3245, Kathmandu, Nepal.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121484623","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":"Community Acquired Miliary Pneumonia Mimicking As Miliary Tuberculosis","authors":"R. Kushwaha, Sanjay, S. Verma, R. Prasad","doi":"10.5580/1a3c","DOIUrl":"https://doi.org/10.5580/1a3c","url":null,"abstract":"In India, miliary shadows are usually taken synonymous to miliary tuberculosis. Here we report a case of young male having cough, fever and dyspnoea along with miliary shadows on chest radiograph. He was misdiagnosed as a case of miliary tuberculosis and was found to have miliary pneumonia.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132605593","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":"Reticulonodular Presentation Of Tropical Pulmonary Eosinophilia","authors":"S. Kant, V. Mahajan","doi":"10.5580/71a","DOIUrl":"https://doi.org/10.5580/71a","url":null,"abstract":"Tropical Pulmonary Eosinophilia (TPE) is a disease largely confined to the tropics. It is a syndrome mimicking clinically as bronchial asthma associated with moderate to severe leukocytosis and eosinophilia. The usual radiological features of tropical pulmonary eosinophilia are miliary mottling. Here we are presenting a case of tropical pulmonary eosinophilia presenting as reticulo-nodular shadows radiologically.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114994852","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":"Thrombocytopenic Purpura with Pulmonary Tuberculosis: A Case Report","authors":"S. Verma, S. Verma","doi":"10.5580/5f3","DOIUrl":"https://doi.org/10.5580/5f3","url":null,"abstract":"Thrombocytopenia induced by anti tubercular drugs is well known, but development of thrombocytopenia in association with tuberculosis without anti tubercular drugs is rare. We are reporting a 24 years male having thrombocytopenia with pulmonary tuberculosis.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122473914","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}
L. Varadarajalu, Mohammed Jahandardoost, Lovrdu Pyreddy, G. Díaz-Fuentes
{"title":"Non-Traumatic Chylothorax","authors":"L. Varadarajalu, Mohammed Jahandardoost, Lovrdu Pyreddy, G. Díaz-Fuentes","doi":"10.5580/23fe","DOIUrl":"https://doi.org/10.5580/23fe","url":null,"abstract":"Chylothorax is a rare cause of pleural effusion seen in approximately 2% of pleural effusions in adults and is associated with a 10% morbidity and mortality rate. Non-traumatic chylothorax in the adult is highly suggestive of malignancy, mainly lymphoma and metastatic carcinoma. Others etiologies include collagen vascular diseases and liver cirrhosis. Aggressive and early evaluation of pleural effusions is of the outmost importance, establishing the cause is essential in non-traumatic chylothorax. Pleural fluid and Radiologic studies including CT of the mediastinum and abdomen are recommended. We present a cases series and a review of non-traumatic chylothorax.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129604600","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":"Birt–Hogg–Dube´ syndrome","authors":"Rafael E. Coplin","doi":"10.1007/3-540-30683-8_188","DOIUrl":"https://doi.org/10.1007/3-540-30683-8_188","url":null,"abstract":"","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128071640","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":"Chronic Obstructive Pulmonary Disease: Beyond Respiratory System","authors":"Barkha Gupta, S. Kant, N. Pant","doi":"10.5580/2925","DOIUrl":"https://doi.org/10.5580/2925","url":null,"abstract":"Chronic obstructive pulmonary disease (COPD) is defined as set of breathing related problems i.e. chronic bronchitis, expectoration and exertional dyspnea characterized by presence of airflow obstruction that is not fully reversible. However, COPD is a preventable and treatable disease with some extra pulmonary effects including skeletal muscle dysfunction, nutritional abnormalities and systemic inflammation that may contribute to the severity of the individual patients. The current clinical focus on respiratory symptom should be expanded to include assessment and prevention of diverse negative effects of the disease.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130540427","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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