The Journal of Association of Chest Physicians最新文献_第7页

Chest image: bilateral pneumothorax 胸部像:双侧气胸

The Journal of Association of Chest Physicians Pub Date : 2022-01-01 DOI: 10.4103/jacp.jacp_1_21

P. Bansal, R. Bansal

引用次数: 0

Profile of initial 500 COVID-19 cases at a tertiary care center of western India 印度西部某三级保健中心最初500例COVID-19病例概况

The Journal of Association of Chest Physicians Pub Date : 2022-01-01 DOI: 10.4103/jacp.jacp_50_21

Parikshit Thakare, Vishal Rakh, K. Utpat, Sandeep Sharma, U. Desai, Kalyani Dongre, Sarika Patil, S. Rathi, Shailesh C. Mohite, Mohan A Joshi

引用次数: 0

Change in quality of life with nasal CPAP in patients with OSA OSA患者使用鼻腔CPAP对生活质量的影响

The Journal of Association of Chest Physicians Pub Date : 2022-01-01 DOI: 10.4103/jacp.jacp_53_21

VenkateswaraRao Teela, C. Raghavendra, P.Kalyan Kumar

引用次数: 0

Microalbuminuria and serum CRP: potential biomarkers for cardiovascular risk among stable COPD 微量白蛋白尿和血清CRP：稳定期COPD心血管风险的潜在生物标志物

The Journal of Association of Chest Physicians Pub Date : 2021-07-01 DOI: 10.4103/jacp.jacp_2_21

Ajith Kumar M S, Jai Gaur, Agnihotri Sp

{"title":"Microalbuminuria and serum CRP: potential biomarkers for cardiovascular risk among stable COPD","authors":"Ajith Kumar M S, Jai Gaur, Agnihotri Sp","doi":"10.4103/jacp.jacp_2_21","DOIUrl":"https://doi.org/10.4103/jacp.jacp_2_21","url":null,"abstract":"Background: Cardiovascular disease is one of the major causes of mortality in chronic obstructive pulmonary disease (COPD) patients. Both microalbuminuria (MAB) and raised serum C-reactive protein (CRP) levels have strong association with cardiovascular events as they reflect generalized endothelial vascular dysfunction. The objectives of the study are (i) to assess the prevalence of MAB and serum CRP levels in stable COPD patients and (ii) to find out the relationship of MAB and serum CRP with clinical and physiological parameters in COPD patients. Methods: This comparative cross-sectional study was carried out on COPD patients attending OPD at Institute of Respiratory Diseases, Jaipur during the year from 2019 to 2020. Forty stable COPD patients and 40 healthy controls were enrolled in the study. Spot urinary albumin/creatinine ratio, serum CRP levels, smoking history, spirometry, blood gases, body mass index, and BMI, Obstruction (FEV1% predicted), Dyspnea (mMRC grading), Exercise Capacity (6 MWD) (BODE) index were assessed. Results: Out of 40 cases, 23(56%) had MAB and 38 (95%) had serum CRP levels >3 mg/L. There was a negative correlation between forced expiratory volume in one second (FEV1), partial pressure of oxygen in arterial blood (PaO2) levels and 6 MWD with both MAB levels and S.CRP levels respectively. There was a positive correlation between BODE Index and modified British Medical Research Council grading with both MAB levels and serum C reactive protein (S.CRP) levels respectively. There was a positive correlation between BODE index and modified British Medical Research Council grading with both MAB and S.CRP levels. Conclusion: COPD patients of varying severity should be screened regularly with MAB and serum CRP levels to determine the risk and progression of cardiovascular consequences so that adequate decision of interventional strategies can be taken out to prolong survival in COPD patients.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"9 1","pages":"65 - 70"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47978908","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

Relapsing polychondritis in an asthma clinic: a pulmonologist perspective 复发多软骨炎在哮喘诊所:肺科医生的观点

The Journal of Association of Chest Physicians Pub Date : 2021-07-01 DOI: 10.4103/jacp.jacp_53_20

R. Dosi, G. Jain, K. Pawar, N. Jain, P. Khan

引用次数: 0

Primary tuberculous pyomyositis in an immunocompetent individual 免疫功能正常个体的原发性结核性化脓炎

The Journal of Association of Chest Physicians Pub Date : 2021-07-01 DOI: 10.4103/jacp.jacp_60_20

J. Pandiaraja, Arumugam Shalini

引用次数: 0

Managing a problematic decannulation of tracheostomy: use of high flow nasal cannula in ICU 处理气管切开术中有问题的脱管:在ICU中使用高流量鼻插管

The Journal of Association of Chest Physicians Pub Date : 2021-07-01 DOI: 10.4103/jacp.jacp_63_20

P. Bhattacharya, J. Prakash, M. Khan, Raman Kumar

引用次数: 0

Diagnostic accuracy, indications, and negative predictive value of EBUS-TBNA procedure: retrospective observational study from a referral cancer institute EBUS-TBNA手术的诊断准确性、适应症和阴性预测值:来自转诊癌症研究所的回顾性观察研究

The Journal of Association of Chest Physicians Pub Date : 2021-07-01 DOI: 10.4103/jacp.jacp_47_19

K. Luthra, Jyoti Singh

{"title":"Diagnostic accuracy, indications, and negative predictive value of EBUS-TBNA procedure: retrospective observational study from a referral cancer institute","authors":"K. Luthra, Jyoti Singh","doi":"10.4103/jacp.jacp_47_19","DOIUrl":"https://doi.org/10.4103/jacp.jacp_47_19","url":null,"abstract":"Background: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is minimally invasive procedure for the evaluation of mediastinal mass and lymph nodes. Aim: This study was conducted as an internal audit to determine diagnostic accuracy, false-negative rate of a costly, invasive procedure EBUS-TBNA performed under conscious sedation or deep/general anesthesia. Methods: Forty-nine patients who underwent EBUS-TBNA procedure at our institute were included in this retrospective study. Sensitivity, diagnostic accuracy, and negative predictive values were calculated considering clinical radiological assessment till 6 months as gold standard. Results: Forty-nine patients (27 females and 22 males) with mean age of 47.88 years underwent EBUS-TBNA during a period of 8 months. The most common indication was extrathoracic malignancy metastasis in 26 (53.1%) patients. EBUS-TBNA was performed for diagnosing malignancy lung in 11 patients, granulomatous disease in 8 patients, and mediastinal mass in 4 patients. A total of 74 nodes were sampled in 49 patients. Adequate samples were obtained in 46 patients (93.9%). Diagnostic accuracy was overall 91.8%. There were no procedure-related complications or mortality noted in any patient. Out of 17 negative cases, false negatives were 4, and negative-predictive value was 76.5%. The diagnostic accuracy, sensitivity, and negative predictive value were higher in procedures performed under deep sedation/general anesthesia. Conclusion: Diagnosing extrathoracic malignancy metastasis and malignancy lung are major indications for the EBUS-TBNA procedure at our institute. The diagnostic accuracy overall was 91.8%. The negative-predictive value, diagnostic accuracy, and sensitivity were higher for procedures performed under deep sedation/general anesthesia versus conscious sedation.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"9 1","pages":"53 - 58"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48168961","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

Differential white blood cell count predicting severity and mortality in patients with COVID-19 差异白细胞计数预测新冠肺炎患者的严重程度和死亡率

The Journal of Association of Chest Physicians Pub Date : 2021-07-01 DOI: 10.4103/jacp.jacp_3_21

Sutravey Sesha Sai, K. Vishwa Vijeth, A. Hemalatha

{"title":"Differential white blood cell count predicting severity and mortality in patients with COVID-19","authors":"Sutravey Sesha Sai, K. Vishwa Vijeth, A. Hemalatha","doi":"10.4103/jacp.jacp_3_21","DOIUrl":"https://doi.org/10.4103/jacp.jacp_3_21","url":null,"abstract":"Background: In coronavirus disease 2019 (COVID-19), the excessive inflammation is known to cause changes in blood parameters including differential white blood count and derived ratios such as neutrophil–lymphocyte ratio (NLR) and lymphocyte–monocyte ratio (LMR). Aim: To compare and analyze the association between differential white blood cell count and COVID-19 disease severity and mortality. Materials and methods: The study was a retrospective, observational study including 508 patients with confirmed COVID-19. Patients were divided into three groups based on severity. The laboratory parameters of all patients were collected and analyzed. Results: Among 508 patients, 75.6% were in mild, 9.1% were in moderate, and 15.4% were in severe categories. About 5.5% of the patients died during the treatment. The mean age of patients who got discharged was 42.47 ± 17.32 years and mean age of those who have died was 66.46 ± 14.37 years (P<0.001). When compared between all three groups and, between discharged and deceased, there were significant differences in mean neutrophils, lymphocytes, monocytes, NLR, and LMR (P<0.001). Neutrophilia, lymphopenia, and monocytopenia were associated with severe disease and increased mortality. Basophil count had no association with severity and mortality. A receiver operating characteristic curve of NLR for severe patients (area under the curve [AUC]: 0.951) and for deceased patients (AUC: 0.952) showed the ratio is significantly accurate in predicting severity and mortality, while that of LMR showed inverse association with severity and mortality. Conclusion: In patients with COVID-19, advanced age, neutrophilia, lymphopenia, and monocytopenia are associated with increased severity and mortality. High NLR and low LMR can be used as a marker for predicting the severity of the disease and mortality.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"9 1","pages":"59 - 64"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49282455","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

Pattern of co-morbidities in patients of chronic obstructive pulmonary disease 慢性阻塞性肺疾病合并症的发病模式

The Journal of Association of Chest Physicians Pub Date : 2021-07-01 DOI: 10.4103/jacp.jacp_49_20

Devendra Singh, S. Anand, Abhinit Kumar, Santosh Kumar, A. Pandey, A. Verma

{"title":"Pattern of co-morbidities in patients of chronic obstructive pulmonary disease","authors":"Devendra Singh, S. Anand, Abhinit Kumar, Santosh Kumar, A. Pandey, A. Verma","doi":"10.4103/jacp.jacp_49_20","DOIUrl":"https://doi.org/10.4103/jacp.jacp_49_20","url":null,"abstract":"Background: Chronic obstructive pulmonary disease (COPD), a disease of the elderly population is continuously increasing across the globe. COPD can be associated with the comorbidities, which in turn affect the course or severity of the disease. Objectives: To study the pattern of comorbidities in stable patients of COPD, and their comparison with apparently healthy attendant of the age of ≥35 years. Materials and Methods: A total of 121 COPD patients and 130 healthy attendants of patients coming to the respiratory disease department were enrolled in the study. All participants were evaluated for detailed clinical history, physical examinations, laboratory investigations, Hamilton depression rating scale, polysomnography, echocardiography, and ophthalmological tests to get the different variables. Results: Comorbidities in the case group having COPD were found more prevalent. Prevalence of hypertension (cases [n = 32], control [n = 12], odds ratio = 3.53, P = 0.004), depression (cases [n = 38], control [n = 18], odds ratio = 2.85, P = 0.0013), bronchiectasis (cases [n = 14], control [n = 3], odds ratio = 5.54, P = 0.0046), tuberculosis (cases [n = 20], control [n = 9], odds ratio = 2.66, P = 0.0187), ischemic heart diseases (cases [n = 19], control [n = 9], odds ratio = 2.5, P = 0.043), and musculoskeletal disorder including arthritis, peri-arthritis, and osteoporosis (cases [n = 28], control [n = 13], odds ratio = 2.70, P = 0.0060) found statistically significant in COPD patients in comparison to healthy controls. Other comorbidities such as diabetes, cataract, dyslipidemia, and uterine prolapsed were more common in COPD patients but these differences were not statistically significant. Also, 85.98% of COPD patients had at least one comorbidity. Conclusion: Our data showed that comorbidities viz hypertension, depression, bronchiectasis, tuberculosis, ischemic heart diseases, and musculoskeletal disorders are prevalent in COPD patients compared to healthy individuals.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"9 1","pages":"71 - 75"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41579105","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