The Journal of Association of Chest Physicians最新文献_第2页

Wheezing: A possible but little mentioned clinical presentation in monkey pox 打喷嚏：猴痘的一种可能但很少提及的临床表现

The Journal of Association of Chest Physicians Pub Date : 2023-07-01 DOI: 10.4103/jacp.jacp_31_22

R. Mungmunpuntipantip, V. Wiwanitkit

引用次数: 0

Nonstandard alternative COVID-19 vaccination: A current practice that requires reassessment 非标准替代 COVID-19 疫苗接种：需要重新评估的现行做法

The Journal of Association of Chest Physicians Pub Date : 2023-07-01 DOI: 10.4103/jacp.jacp_24_23

A. Kleebayoon, V. Wiwanitkit

引用次数: 0

Pneumomediastinum in COVID Era: A case series COVID时代纵隔肺炎:一个病例系列

The Journal of Association of Chest Physicians Pub Date : 2023-07-01 DOI: 10.4103/jacp.jacp_26_22

Kashish Dutta, Deepak Aggarwal, M. Sodhi, Surabhi Jaggi, Varinder Saini

引用次数: 0

Overview of obstructive sleep apnea treatment 阻塞性睡眠呼吸暂停治疗概述

The Journal of Association of Chest Physicians Pub Date : 2023-07-01 DOI: 10.4103/jacp.jacp_12_23

Arup Haldar

{"title":"Overview of obstructive sleep apnea treatment","authors":"Arup Haldar","doi":"10.4103/jacp.jacp_12_23","DOIUrl":"https://doi.org/10.4103/jacp.jacp_12_23","url":null,"abstract":"Once diagnosed with obstructive sleep apnea (OSA), a titration with either continuous positive airway pressure (CPAP) or automatic positive airway pressure (APAP) is planned to know the pressure required to abolish the airflow limitation during sleep. Majority of OSA patients are treated with such positive pressure therapy (PAP) devices, but it is not the only form of therapy of OSA. The static obstruction in OSA can be counterbalanced by increasing the pressure from inside and this is being exactly done by PAP therapy. The static obstruction can also be relieved with surgery. IOD (intraoral device) or OPT (oral pressure therapy) is a device which also try to open the upper airway during sleep or prevent collapse. But a dynamic obstruction during sleep, on top of this static obstruction causes complete or partial closure of the upper airway. There are different therapies available to address dynamic obstruction during sleep. Like myofunctional therapy or devices which improve muscle responsiveness are such mode of treatment. Similarly, arousal threshold or loop gain can be addressed with different medications. Sometimes OSA occur only in a particular decubitus and can be addressed with positional therapy. The different form of therapies can be broadly divided into three categories: primary treatment, alternative treatment, and adjunctive treatment. In this review article, a brief description of different forms of therapy in OSA will be presented.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"11 1","pages":"62 - 68"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48982362","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

A case of exogenous lipoid pneumonia: Diesel aspiration pneumonitis 一例外源性类脂性肺炎：柴油吸入性肺炎

The Journal of Association of Chest Physicians Pub Date : 2023-07-01 DOI: 10.4103/jacp.jacp_2_23

Anmol Sharma, Sandeep Ranav, Kislay Kishore, Robin Chaudhary

引用次数: 0

Can long term add-on doxycycline improve lung function in asthma: The result of an open prospective real-world observation 长期服用强力霉素能改善哮喘患者的肺功能吗：一项开放的前瞻性现实世界观察的结果

The Journal of Association of Chest Physicians Pub Date : 2023-07-01 DOI: 10.4103/jacp.jacp_7_22

P. Bhattacharyya, Soumen Das, D. Saha, P. Bhattacherjee

{"title":"Can long term add-on doxycycline improve lung function in asthma: The result of an open prospective real-world observation","authors":"P. Bhattacharyya, Soumen Das, D. Saha, P. Bhattacherjee","doi":"10.4103/jacp.jacp_7_22","DOIUrl":"https://doi.org/10.4103/jacp.jacp_7_22","url":null,"abstract":"Background: The inhibition of matrix metalloproteinases and IgE could be a prospective target of treating inflammation and remodelling of asthma. Doxycycline, a known antibiotic may qualify for the job for having both the properties. Objective: To look for effect on long term add-on oral doxycycline in patients of asthma. Methods: In an open prospective, real-world observation, a cohort of asthmatics was given to choose treatment either with a “standard” therapy (long-acting β-2 agonist + inhaled corticosteroid) or with the same and add-on long term doxycycline orally. The changes in postbronchodilator FEV1, FEV1/FVC, and FEF25–75 were noted for comparison with repeat spirometry after nearly a year. Results: The two groups (standard therapy alone [n = 73] and standard therapy plus doxycycline [n = 72]) were similar (p < 0.05) as regards to age and BMI, but the subjects opting for add-on doxycycline had significantly lower baseline postbronchodilator FEV1 (1.25 ± 0.50 and 1.66 ± 0.73 Litres; p < 0.0001). Both the groups had received treatment for similar length of time (346.89 ± 269.61 and 335.82 ± 274.51 days, respectively). The add-on doxycycline group had a significant improvement in absolute value of postbronchodilator FEV1 (130 mL [p = 0.0000]), whereas the subjects on standard therapy alone showed a reduction (70 mL [p = 0.027]) compared to the baseline values. There was a parallel increase in FEV1/FVC (p < 0.005) and FEF25-75 (p < 0.0001) in the doxycycline-treated patients, suggesting an overall improvement in airflow limitations. Conclusion: The add-on oral doxycycline tolerated well on long term and resulted in a significant improvement in spirometric indices of airflow limitations in the asthmatics. The observation deserves further validation.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"11 1","pages":"85 - 91"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48504647","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

Right upper lobe agenesis associated with dextroposition of heart and ectopic kidney in an adult patient attending pulmonary medicine outpatient department: A rare case report from South India 右上肺叶发育不全伴心脏右位和异位肾在肺科门诊就诊的成年患者:一例来自南印度的罕见病例报告

The Journal of Association of Chest Physicians Pub Date : 2023-07-01 DOI: 10.4103/jacp.jacp_44_22

Jisna Jith, Shyam K, Ayana K, Priyadarshini Raykar

{"title":"Right upper lobe agenesis associated with dextroposition of heart and ectopic kidney in an adult patient attending pulmonary medicine outpatient department: A rare case report from South India","authors":"Jisna Jith, Shyam K, Ayana K, Priyadarshini Raykar","doi":"10.4103/jacp.jacp_44_22","DOIUrl":"https://doi.org/10.4103/jacp.jacp_44_22","url":null,"abstract":"Pulmonary agenesis is a rare congenital anomaly that results from the unsuccessful growth of the primitive lung buds. A case of lung agenesis was first reported in 1673 during an autopsy. Pulmonary agenesis includes agenesis, aplasia, and hypoplasia as the three most common types. The survival rate is <50% by the age of 5 years in case of agenesis. Fifty percent of the cases of lung agenesis are associated with various congenital defects such as cardiovascular, central nervous system, gastrointestinal, genitourinary, skeletal, Down syndrome, and Klippel–Feil syndrome. Here is the case of a 28-year-old male who presented with on-and-off cough and dyspnea for 3 years. On systemic examination, the patient had signs suggestive of loss of right lung volume. Chest x-ray showed right side volume loss with ipsilateral mediastinal shift with compensatory hyperinflation of the left lung. Computed tomography (CT) thorax with abdomen was suggestive of dextroposition with absent right upper lobe parenchyma, right upper lobe bronchus, right upper lobe artery, and superior pulmonary vein with the absence of hemiazygos vein with ectopic left kidney in the pelvis. Early identification of pulmonary agenesis is vital in preventing fibrosis in patients with unilateral lungs which might develop as a result of recurrent chest infections. Caution and vigilance will lead to a good prognosis.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"50 3","pages":"108 - 111"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41308330","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

Simultaneous occurrence of tubercular cervical and mediastinal lymphadenopathy in two members of the same family 同一家族的两名成员同时出现结核性颈部和纵隔淋巴结病变

The Journal of Association of Chest Physicians Pub Date : 2023-07-01 DOI: 10.4103/jacp.jacp_25_23

Rajeev Tandon, Anoushka Agarwal, Prabhat Kumar

引用次数: 0

COVID-19: Two years in the history and still a mystery! A case series of three interesting cases COVID-19：历时两年，仍是一个谜！三个有趣的案例系列

The Journal of Association of Chest Physicians Pub Date : 2023-07-01 DOI: 10.4103/jacp.jacp_38_22

S. Anand, Mahismita Patro, D. Gothi, Nipun Malhotra, Anshul Jain

引用次数: 0

Sarcoidosis, tuberculosis, and the clinical dilemma of treating granulomatous inflammation 肉样瘤病、结核病和治疗肉芽肿性炎症的临床难题

The Journal of Association of Chest Physicians Pub Date : 2023-07-01 DOI: 10.4103/jacp.jacp_37_22

K. Luthra, Jyoti Singh

引用次数: 0