The Journal of Association of Chest Physicians最新文献_第9页

An unusual cause of right upper zone opacity − azygous fissure 右上带不透明的不寻常原因-奇异裂隙

The Journal of Association of Chest Physicians Pub Date : 2021-01-01 DOI: 10.4103/jacp.jacp_32_20

G. Vishnukanth, A. Ravindra, C. Selvaraja, V. Narenchandra

引用次数: 0

Correlation of six minute walk test and incremental shuttle walk test with severity of airflow obstruction in patients with chronic obstructive pulmonary disease 慢性阻塞性肺疾病患者6分钟步行试验和增量穿梭步行试验与气流阻塞严重程度的相关性

The Journal of Association of Chest Physicians Pub Date : 2021-01-01 DOI: 10.4103/jacp.jacp_13_20

P. Tej, S. Kumar, G. Vishnukanth

{"title":"Correlation of six minute walk test and incremental shuttle walk test with severity of airflow obstruction in patients with chronic obstructive pulmonary disease","authors":"P. Tej, S. Kumar, G. Vishnukanth","doi":"10.4103/jacp.jacp_13_20","DOIUrl":"https://doi.org/10.4103/jacp.jacp_13_20","url":null,"abstract":"Context: The field walking tests like 6MWT and ISWT are commonly used indicators of functional capacity in patients with cardiopulmonary diseases. This study was designed to assess the correlation of six minute walk distance (6MWD) and incremental shuttle walk distance (ISWD) with the severity of airflow obstruction (FEV1%) in patients with chronic obstructive pulmonary disease. Aims: Comparison of correlation of six minute walk test and Incremental shuttle walk test with the severity of airflow obstruction in COPD patients.Settings and Design: Hospital-based prospective cross-sectional study in a tertiary care centre. Methods and Material: One hundred and twelve (112) spirometrically confirmed COPD patients underwent 6MWT and ISWT. The diagnosis of COPD and its severity was assessed by the GOLD criteria. 6MWT and ISWT were done on the same patient with a gap of 5–6 hours and the distance walked (6MWD and ISWD) was correlated with the severity of COPD (FEV1). Statistical Analysis Used: One way ANOVA to compare mean distance walked in 6MWT and ISWT with different grades of COPD. Pearson Correlation was done to correlate packyears of smoking and age with 6MWD and ISWD. Results: The mean distance walked in the 6MWT and ISWT was estimated and compared across the four categories of GOLD grading. There was no statistically significant difference between the study subjects of corresponding GOLD grades based on the distance walked in 6MWT and in ISWT. However, a linear correlation was depicted between ISWD and post-bronchodilator FEV1. A model of linear regression showed that ISWD was an independent contributor to post-bronchodilator FEV1 in our study. Conclusions: Incremental shuttle walk test, an externally paced near to standard test with its incremental nature, can be used as an appropriate surrogate for FEV1 in determining the severity of airflow obstruction in COPD patients.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"9 1","pages":"22 - 28"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48430425","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

Nintedanib for the treatment of idiopathic pulmonary fibrosis: An Indian perspective 尼达尼布治疗特发性肺纤维化:印度视角

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_35_19

Anubhuti Singh, K. Kishore, A. Verma, Arpita Singh

引用次数: 1

COVID 19-lung interactions: the salient points for pulmonologist COVID - 19-肺相互作用:肺病学家的重点

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_40_20

A. Halder, A. Halder

引用次数: 0

Is chronic obstructive pulmonary disease under-diagnosed in patients with coronary artery disease? A tertiary care centre experience from central India 冠状动脉疾病患者是否对慢性阻塞性肺病诊断不足？来自印度中部的三级护理中心经验

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_43_19

K. Kishore, Anubhuti Singh, M. Barthwal, D. Bhattacharyya, C. Katoch, R. Tyagi, S. Rana

{"title":"Is chronic obstructive pulmonary disease under-diagnosed in patients with coronary artery disease? A tertiary care centre experience from central India","authors":"K. Kishore, Anubhuti Singh, M. Barthwal, D. Bhattacharyya, C. Katoch, R. Tyagi, S. Rana","doi":"10.4103/jacp.jacp_43_19","DOIUrl":"https://doi.org/10.4103/jacp.jacp_43_19","url":null,"abstract":"Context: Although worldwide studies are available regarding the prevalence of COPD in CAD patients, data from India are sparse. Aims: The purpose of this study was to determine the prevalence of undiagnosed and therefore, untreated COPD in patients suffering from CAD. It would also attempt to establish the need for screening of patients diagnosed with CAD for COPD. Settings and Design: A cross-sectional, observational study carried out at the respiratory out patients department (OPD) of a tertiary care centre of armed forces over a period of one year. Methods and Material: 79 patients with angiographically proven CAD underwent spirometry to assess the prevalence of COPD. Statistical Analysis Used: Data analysis was done using SPSS (Statistical Package for Social Sciences) version 21.0. Results: The mean age of the patients was 62.49 years (±8.77). Mean smoking index was 235.88. Nine patients (11.39 %) were diagnosed to have COPD. All the patients diagnosed as COPD were male, >60 years old and had normal BMI. 88.9 % patients with COPD were smokers. On comparing the patients with and without COPD, a significant co-relation was found with LVEF (%) (P = 0.044). 44.4% patients had never been diagnosed with COPD. Conclusions: The prevalence of missed diagnosis of COPD is significant in our study. We recommend that at the time of diagnosis of CAD, the initial evaluation should include a detailed history, clinical examination and evaluation of lung function by spirometry.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"8 1","pages":"81 - 87"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41600393","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

Solitary pulmonary nodule − Pulmonary hamartoma 孤立性肺结节-肺错构瘤

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_11_20

P. Khari, S. Mullick, Devesh Chauhan

引用次数: 1

Hypoxemia and oxygen therapy 低氧血症和氧疗

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_44_20

A. Ghoshal

引用次数: 2

Recent changes in guidelines on programmatic management of drug resistant tuberculosis in India 2019: a paradigm shift in tuberculosis control 2019年印度耐药结核病方案管理指南的最新变化：结核病控制的范式转变

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_47_20

A. Chaudhuri

引用次数: 6

Parvo virus infection − an unusual cause of pleural efusion in an immunocompetent patient Parvo病毒感染——一名免疫活性患者胸腔积液的不寻常原因

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_25_18

A. Khanna

引用次数: 0

Serum procalcitonin in predicting bacterial exacerbation of COPD and need for ventilatory support 血清降钙素原预测COPD细菌性加重及通气支持需求

The Journal of Association of Chest Physicians Pub Date : 2020-07-01 DOI: 10.4103/jacp.jacp_1_20

Y. Rathore, Anshika Jindal, V. Joshi, Shubhra Jain, Shweta Bhati

{"title":"Serum procalcitonin in predicting bacterial exacerbation of COPD and need for ventilatory support","authors":"Y. Rathore, Anshika Jindal, V. Joshi, Shubhra Jain, Shweta Bhati","doi":"10.4103/jacp.jacp_1_20","DOIUrl":"https://doi.org/10.4103/jacp.jacp_1_20","url":null,"abstract":"Context: Acute exacerbation of COPD is very common disease and 20% of the COPD patients keep getting admitted with exacerbation. Serum procalcitonin (PCT) measurement is important to discriminate bacterial infection from other causes of AECOPD. Quick recognition along with prompt intervention may be the only action that prevents respiratory failure. Aims: To correlate serum PCT level with bacteriological profile and their need for ventilatory support in patients with AECOPD. Settings and Design: Hospital-based comparative type of cross-sectional study was conducted at the department of respiratory medicine in a tertiary care center of Rajasthan. Methods and Material: This comparative type of cross-sectional study was conducted between 45 AECOPD patients and 35 stable COPD patients. Serum PCT levels and sputum pyogenic culture were noted in all subjects. Statistical Analysis Used: Data collected were entered into excel spreadsheet and quantitative data were expressed as number and percentage. Results: There was a highly statistically significant difference of mean PCT value (P value < 0.003) between AECOPD patients (1.34 ± 2.53 ng/ml) and stable COPD patients (0.07 ± 0.05 ng/ml). Also, we found a statistically significant difference of mean PCT value (P value < 0.001) between AECOPD patients infected with Pseudomonas aeruginosa (3.64 ng/dl) and with other bacteria. A statistically significant difference (P value < 0.001) was present among AECOPD patients that needed invasive ventilation (5.41 ± 4.01 ng/ml), non-invasive ventilation (0.65 ± 0.81 ng/ml) and those did not need mechanical ventilation (0.27 ± 0.25 ng/ml) regarding the mean values of PCT. Conclusions: Our study found that higher PCT levels in severe AECOPD patients were associated more with bacterial infection and necessity of ventilatory support. Serum PCT can be used as good biomarker for intensive care unit admission.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"8 1","pages":"92 - 98"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45249229","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