The Journal of Association of Chest Physicians最新文献_第10页

Our experience of thoracic surgery during COVID19 pandemic 我们在covid - 19大流行期间的胸外科经验

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_38_20

A. Chakrabarti, Manujesh Bandyopadhyay

引用次数: 0

A cross-sectional study on tobacco use prevalence and reasons for its use among male youth in a resettlement colony of Delhi 德里安置区男性青年吸烟流行率及其使用原因的横断面研究

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_32_19

V. Yadav, D. Dabar

引用次数: 1

A case of chronic cavitory pulmonary aspergillosis, a rare entity 一例罕见的慢性空腔性肺曲霉菌病

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_2_20

S. Das, Soumyadeep Ghosh, Gopal Sasmal

引用次数: 0

Echocardiographic evaluation of stable chronic obstructive pulmonary disease (COPD) patients 稳定期慢性阻塞性肺病（COPD）患者的超声心动图评价

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_40_19

H. Kumar, A. Verma, A. Pandey, Utkarsh Srivastava, M. Pandey, Rishabh Chaudhary, S. Kant

{"title":"Echocardiographic evaluation of stable chronic obstructive pulmonary disease (COPD) patients","authors":"H. Kumar, A. Verma, A. Pandey, Utkarsh Srivastava, M. Pandey, Rishabh Chaudhary, S. Kant","doi":"10.4103/jacp.jacp_40_19","DOIUrl":"https://doi.org/10.4103/jacp.jacp_40_19","url":null,"abstract":"Context: Chronic obstructive pulmonary disease (COPD) is the second leading cause of mortality in India, cardiovascular disease (CVD) comorbidity further increases morbidity and mortality of COPD. Early detection of CVD by echocardiography in COPD helps to reduce mortality and morbidity. Objective: We aimed to assess the echocardiographic findings in stable COPD patients. Materials and Methods: Patients with stable COPD, confirmed by spirometry, were recruited from the two tertiary care centre of India between August 2017 and August 2019. After thorough clinical examinations, patients have undergone echocardiography for CVD evaluation. Results: A total of 110 COPD patients were recruited, 91 male and 19 female. On echocardiographic evaluation, pulmonary arterial hypertension (PAH) was seen in 45.5% of COPD with mild, moderate, severe 14.5%, 11% and 20% respectively. Cor-pulmonale was seen in 9.1%. Left ventricular hypertrophy (LVH), left ventricular diastolic dysfunction (LVDD) and left ventricular systolic dysfunction (LVSD) was seen in 11%, 39.1% and 13.6% of COPD respectively. CVD involvement was more common in very severe COPD (40.1%). Conclusion: In this study, 78.2% of COPD have at least one form of CVD as co-morbidity. A simple, cheaper, non-invasive, widely an available investigation like echocardiography is useful to detect CVD at an early stage.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"8 1","pages":"88 - 91"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44601492","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

Group III Pulmonary Hypertension: relative frequency of different etiologies in a referral pulmonary OPD 第III组肺动脉高压：转诊肺动脉OPD中不同病因的相对频率

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_3_20

P. Bhattacharyya, S. Sengupta, D. Saha, Mintu Paul, Priyanka Choudhury, S. Dasgupta

{"title":"Group III Pulmonary Hypertension: relative frequency of different etiologies in a referral pulmonary OPD","authors":"P. Bhattacharyya, S. Sengupta, D. Saha, Mintu Paul, Priyanka Choudhury, S. Dasgupta","doi":"10.4103/jacp.jacp_3_20","DOIUrl":"https://doi.org/10.4103/jacp.jacp_3_20","url":null,"abstract":"Background: The prevalence of pulmonary hypertension (PH) in India remains unknown. The literature is scanty from the country regarding different types of PH. The etiological distribution of Group III PH in a pulmonologist’s practice, therefore, will be worthwhile to note. Method: We included patients with pulmonary hypertension following convenience sampling from those been diagnosed with PH in our pulmonary OPD services on the basis of a novel clinico-radio-echocardiographic criteria. They were then evaluated for the apparent and predominant underlying etiology. Patients with clear and defined diagnosis of COPD, asthma, DPLD, OSA and CTEPH were charted along with those having no obvious etiology but a history of treatment of tuberculosis in the past, along with a group marked as the “others” that consisted of a number of known (sarcoidosis, rheumatic heart disease, etc.) and some incompletely evaluated patients. Results: A total of 356 patients were recruited. The relative frequencies have been accounted to 35.81%, 20.66% and 13.77% for COPD, DPLD and asthma respectively. The patients with a history of TB without any other forthcoming etiology formed 12.67% of the group. The patients with OSA and CTEPH accounted for 2.75% of the group and the “Others” group occupied the rest 14.32%. Conclusion: Group III PH is found not infrequent in pulmonary practice and COPD tops the etiological list.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"8 1","pages":"69 - 75"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47548212","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

Corrosive esophageal injury caused by impacted button battery 纽扣电池撞击造成的腐蚀性食管损伤

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_41_19

Charulatha Ravindran, S. R, G. Jayaraman

引用次数: 0

Impact of obstructive sleep apnea and sleep parameters on level of asthma control 阻塞性睡眠呼吸暂停及睡眠参数对哮喘控制水平的影响

The Journal of Association of Chest Physicians Pub Date : 2020-01-01 DOI: 10.4103/jacp.jacp_8_19

R. Dixit, Satyadeep Verma, M. Goyal

{"title":"Impact of obstructive sleep apnea and sleep parameters on level of asthma control","authors":"R. Dixit, Satyadeep Verma, M. Goyal","doi":"10.4103/jacp.jacp_8_19","DOIUrl":"https://doi.org/10.4103/jacp.jacp_8_19","url":null,"abstract":"Background and Objective: Several studies support high prevalence of obstructive sleep apnea (OSA) symptoms in patients with asthma. Our objective was to evaluate the relationship between OSA severity and level of asthma control if any and analyze sleep parameters in patients having different levels of asthma control. Methods: A cross-sectional study among asthma patients having symptoms of sleep-related breathing disorders. Eligible patients were assessed clinically and with sleep questionnaire including asthma control followed by level 1 Polysomnography. Results: Among 53 patients of asthma (mean age 48.16 years), OSA was present in 84.21% of uncontrolled asthma, 35% in partially controlled asthma, and 7.14% in well-controlled asthma. Uncontrolled asthma patients were associated with higher apnea/hypopnea index (AHI) (30.8±17.6 vs. 3.7±1.2; p-value < 0.0001), more time spent in non rapid eye movement (NREM) 1 stage (18.5±11.9% vs. 13.0±11.2% of total sleep time), higher nocturnal desaturation episodes (152.5±13 vs. 22.1±16.7; p-value < 0.001), and severe OSA in supine position (AHI 33.1±17.7 vs. 9.2±9.7; p-value < 0.001) compared with well-controlled asthma. Conclusion: There seems a strong relationship between desaturation events and higher AHI with poor level of asthma control, especially during supine position. OSA must be suspected in patients with uncontrolled asthma. An early detection and treatment of OSA may improve the level of asthma control as well as quality of life in such patients.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"8 1","pages":"1 - 5"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48832112","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

Prognostic assessment in COPD patients: BODE index and the health-related quality of life COPD患者的预后评估：BODE指数与健康相关的生活质量

The Journal of Association of Chest Physicians Pub Date : 2020-01-01 DOI: 10.4103/jacp.jacp_31_19

K. Sharma, Avinash Jain, R. Takhar, Dps Sudan, V. Goyal, N. Goel, Vikram Singh

{"title":"Prognostic assessment in COPD patients: BODE index and the health-related quality of life","authors":"K. Sharma, Avinash Jain, R. Takhar, Dps Sudan, V. Goyal, N. Goel, Vikram Singh","doi":"10.4103/jacp.jacp_31_19","DOIUrl":"https://doi.org/10.4103/jacp.jacp_31_19","url":null,"abstract":"Background: Chronic obstructive pulmonary disease (COPD) is a spreading epidemic of a debilitating disease impairing the health-related quality of life (HRQoL) of the patients. This study was conducted to identify the relationship between BODE (body mass index, obstruction, dyspnea, exercise capacity) index and the St George’s Respiratory Questionnaire (SGRQ) and to test the predictive value of both tools against survival. Methods: Open cohort study of 120 COPD patients were followed up to 1 year. At the time of the inclusion, clinical data, forced spirometry, 6-minute walking distance, BODE index, and SGRQ were determined. Vital status and cause of death were documented at the end of follow-up. Results: The cohort’s mean score of age, SGRQ Total (SGRQ_Tot), and BODE index was 57.82 ± 7.58, 44.77 ± 13.81, and 3.04 ± 2.06, respectively. The correlation between SGRQ_Tot and BODE index was good (r = 0.611, P < 0.001). Regression analysis determined age, BODE, comorbidity index, and activity component of SGRQ (SGRQ_A) as predictors of mortality. The area under the curve for the BODE index was 0.801 vs. 0.692 for the SGRQ_A score indicating BODE score as best predictor of mortality. The best cut-off value for predicting mortality was 4.5 for BODE index and 62.5 for SGRQ_A score. Conclusion: Evaluation of HRQoL is an important entity for improving overall disease outcome of COPD.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"8 1","pages":"6 - 13"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47037250","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

Erasmus Syndrome: Co-existence of silicosis and progressive systemic sclerosis in a 55 year old male 伊拉斯谟综合征：55岁男性并发矽肺和进行性系统性硬化

The Journal of Association of Chest Physicians Pub Date : 2020-01-01 DOI: 10.4103/jacp.jacp_9_19

Jitendra Jalutharia, R. Dixit

引用次数: 1

Pulmonary actinomycosis presenting as a pleural tumour 肺部放线菌病表现为胸膜肿瘤

The Journal of Association of Chest Physicians Pub Date : 2020-01-01 DOI: 10.4103/jacp.jacp_27_18

Neeraj Keyal, Raju Shrestha, Niru Nepal, Manish Nakarmi

引用次数: 0