Journal of Advanced Lung Health最新文献

{"title":"Role of Multidetector Computed Tomography with Contrast in Evaluation of Congenital Lung Malformations in Pediatric Age Group at a Tertiary Care Hospital: An Observational Study","authors":"K. Sravya, Sarukolla Meena Madhuri, M. Veena, B. Vanaja, Sunitha Bajaj, Vijaya Kumari","doi":"10.4103/jalh.jalh_61_23","DOIUrl":"https://doi.org/10.4103/jalh.jalh_61_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Computed tomography (CT) has a larger role in the noninvasive examination of congenital lung abnormalities, thanks to the introduction of multidetector CT (MDCT). If a surgical lesion is suspected, it is often necessary to use cross-sectional imaging, such as CT, for diagnosis confirmation, further lesion definition, and preoperative evaluation.\u0000 \u0000 \u0000 \u0000 The aim of this study was to enhance comprehension of the occurrence and varieties of congenital lung abnormalities in children, as well as to assess and compare the diagnostic precision of MDCT with that of surgical intervention.\u0000 \u0000 \u0000 \u0000 MDCT with contrast CT was performed in children with respiratory complaints and prenatal history of suspicion in targeted imaging for fetal anomalies (TIFFA) or congenital lung malformations (CLMs) using TOSHIBA 8 slice CT; the study population consisted of 40 pediatric patients with a history of chest anomalies during pregnancy in TIFFA or children with abnormal chest X-ray suspicion of lung anomalies for 18 months.\u0000 \u0000 \u0000 \u0000 In a study of 40 pediatric patients who underwent MDCT with contrast to evaluate CLMs, 6 were excluded from further evaluation with contrast due to the absence of pulmonary anomalies on plain CT, leaving a possible diagnosis of s CLM in the remaining 34 cases. Of these, cystic pulmonary airway malformations (CPAM) (41.1%) were the most common, followed by congenital lobar emphysema (17.6%), bronchogenic cyst (14.7%), lung agenesis (11.6%), and phylogenetic lung.\u0000 \u0000 \u0000 \u0000 To notice the characteristics and related anomalies of CLMs and aid in the presurgical evaluation of CLMs, the study concludes that MDCT with contrast is the imaging of choice.\u0000","PeriodicalId":402083,"journal":{"name":"Journal of Advanced Lung Health","volume":"26 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141358840","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":"Diagnosing and Treating Chronic Obstructive Pulmonary Disease in 2024 – What Is New?","authors":"Yash Kedia, Rohit Kumar, P. Ish, Vidushi Rathi, Nitesh Gupta","doi":"10.4103/jalh.jalh_62_23","DOIUrl":"https://doi.org/10.4103/jalh.jalh_62_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 The Global Initiative for Chronic Obstructive Lung Disease (GOLD) lays down guidelines and strategies for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (COPD). Recently, the GOLD 2024 guidelines have been released. This brief report discusses the updates along with underlying evidence.","PeriodicalId":402083,"journal":{"name":"Journal of Advanced Lung Health","volume":"05 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141359024","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":"Dietary Assessment of Tuberculosis Patients Receiving Treatment at a Tertiary Care Center in New Delhi","authors":"Ravindra Nath, Aftab Ahmad, Aninda Debnath, Vidushi Rathi, P. Ish","doi":"10.4103/jalh.jalh_7_24","DOIUrl":"https://doi.org/10.4103/jalh.jalh_7_24","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Undernutrition and tuberculosis (TB) are interrelated, with a bidirectional relationship. Despite its potential impact on nutritional status and TB patient outcomes, there is limited information available on the dietary patterns of TB patients in the Indian TB program. This study aims to address this knowledge gap by evaluating dietary patterns and factors associated with reduced dietary intake among TB patients in a tertiary care center.\u0000 \u0000 \u0000 \u0000 This was a cross-sectional study conducted in a directly observed treatment short center working under the National Tuberculosis Elimination Program. A semi-structured, pretested interviewer-administered questionnaire was used to collect data related to the demographic profile and dietary patterns of 49 patients.\u0000 \u0000 \u0000 \u0000 The mean calorie intake among the patients was 1525.2 (±897) kcal, whereas the required mean calorie intake was 2231.6 (±409.2) kcal. The mean protein requirement was 66.9 (±15.2) g, whereas the mean protein intake was only 39.2 (±15.4) g.\u0000 \u0000 \u0000 \u0000 To strive toward the goal of TB elimination in India, the nutritional care of the patient cannot be undermined. The need of the hour is to enforce the nutritional supplementation as well as support program by the government at the national level.\u0000","PeriodicalId":402083,"journal":{"name":"Journal of Advanced Lung Health","volume":"7 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141356304","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":"Severity of Exacerbation in Pneumococcal Vaccinated versus Unvaccinated Patients with Exacerbation of Chronic Obstructive Pulmonary Disease: A Post hoc Analysis of Presentation Status of the Subjects of HOPE Chronic Obstructive Pulmonary Disease Study","authors":"Rajesh Venkitakrishnan, A. Vijay, D. Ramachandran, Melcy Cleetus, Aparna S. Nirmal, Susan John","doi":"10.4103/jalh.jalh_44_23","DOIUrl":"https://doi.org/10.4103/jalh.jalh_44_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Acute exacerbations occur with varying frequency and severity and impact the natural course of chronic obstructive pulmonary disease (COPD) patients. Pneumococcal vaccination has been shown to decrease the incidence of community-acquired pneumonia and exacerbation rate in COPD patients. There is a paucity of data on the influence of pneumococcal conjugate vaccination on the severity of COPD exacerbations.\u0000 \u0000 \u0000 \u0000 The objectives of this study were to evaluate the severity of exacerbation in pneumococcal vaccinated (vaccinated with 13-valent conjugate vaccine) versus unvaccinated COPD subjects hospitalized with acute exacerbation.\u0000 \u0000 \u0000 \u0000 This was a post hoc analysis of the severity of exacerbation in the subjects of HOPE COPD study. This involved the collection of clinical, radiological, and laboratory data of 120 COPD patients who were hospitalized with an acute exacerbation, 60 of whom had prior pneumococcal vaccination and 60 were unvaccinated. Data of COPD patients at the time of presentation with acute exacerbation were analyzed. Comparison was made between severity parameters such as presence of fever, leukocytosis, respiratory failure, multilobar consolidation, hypotension needing inotropic support, and presence of sepsis between pneumococcal vaccinated and unvaccinated subjects.\u0000 \u0000 \u0000 \u0000 The occurrence of multilobar consolidation was substantially less in the vaccinated group (60% vs. 6.7%; P = 0.0001). The incidence of fever, leukocytosis, and elevated C-reactive protein was significantly higher in the unvaccinated group. Need for intensive care unit care was higher in the unvaccinated group (58.3% vs. 30% with P = 0.019). The occurrence of new-onset respiratory failure was similar in both the groups although type 2 failure with respiratory acidosis was more in the unvaccinated group. Patients in the unvaccinated group had a higher incidence of sepsis and need for inotropic support as well as assisted ventilation.\u0000 \u0000 \u0000 \u0000 Prior immunization with 13-valent pneumococcal conjugate vaccine ameliorates the severity of exacerbation in COPD patients needing hospitalization. Pneumococcal vaccination may be recommended for all patients with COPD who are at risk of hospitalization with acute exacerbation.\u0000","PeriodicalId":402083,"journal":{"name":"Journal of Advanced Lung Health","volume":"7 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140258332","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":"Idiopathic bronchiolocentric interstitial pneumonia: A rare presentation","authors":"R. Chetambath, Rameesa Shanavas, M. Krishnaprasad, Shilpa Chandran","doi":"10.4103/jalh.jalh_12_23","DOIUrl":"https://doi.org/10.4103/jalh.jalh_12_23","url":null,"abstract":"Bronchiolocentric interstitial pneumonia is a unique entity with few cases reported in the literature. It is characterized by the pattern of bronchiolocentric injury to the lung in the absence of known causes and its clinical presentation may mimic nonspecific interstitial pneumonia (NSIP) or chronic hypersensitivity pneumonia. It is considered an aggressive disease with a prognosis somewhere between idiopathic pulmonary fibrosis and NSIP. Here, we report a case of idiopathic bronchiolocentric interstitial pneumonia, which was initially suspected as chronic hypersensitivity pneumonitis, but histopathological features suggested predominantly bronchiolocentric inflammation and fibrosis.","PeriodicalId":402083,"journal":{"name":"Journal of Advanced Lung Health","volume":"41 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126131797","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":"Fibrotic hypersensitivity pneumonitis","authors":"R. Chetambath, Rameesa Shanavas","doi":"10.4103/jalh.jalh_11_23","DOIUrl":"https://doi.org/10.4103/jalh.jalh_11_23","url":null,"abstract":"Hypersensitivity pneumonitis (HP), which is otherwise known as extrinsic allergic alveolitis, is a clinical syndrome characterized by diffuse interstitial involvement secondary to exposure to organic antigens. The diagnosis of HP relies on the clinical evaluation of a number of features, including a history of significant exposure to potentially causative antigens, physical examination, chest computed tomography (CT) scan appearances, bronchoalveolar lavage (BAL) lymphocytosis, and, in selected cases, histology. Now the entity is classified as nonfibrotic HP and fibrotic HP. Here we review the recent literature to highlight the new classification.","PeriodicalId":402083,"journal":{"name":"Journal of Advanced Lung Health","volume":"169 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116603280","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":"The COVID-19 aftermath on lung function","authors":"D. Manoj","doi":"10.4103/jalh.jalh_30_23","DOIUrl":"https://doi.org/10.4103/jalh.jalh_30_23","url":null,"abstract":"","PeriodicalId":402083,"journal":{"name":"Journal of Advanced Lung Health","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132261188","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":"Violence against Doctors - Threat to Indian health-care system","authors":"Ravindra Nath, Anuj Sharma, Prerna Prerna, Vidushi Rathi, P. Ish","doi":"10.4103/jalh.jalh_26_23","DOIUrl":"https://doi.org/10.4103/jalh.jalh_26_23","url":null,"abstract":"","PeriodicalId":402083,"journal":{"name":"Journal of Advanced Lung Health","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134095928","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":"Post-COVID-19: Preventing the next pandemic","authors":"Aftab Ahmad, Vidushi Rathi, Prerna, Ravindra Nath, P. Ish","doi":"10.4103/jalh.jalh_10_23","DOIUrl":"https://doi.org/10.4103/jalh.jalh_10_23","url":null,"abstract":"","PeriodicalId":402083,"journal":{"name":"Journal of Advanced Lung Health","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117354185","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":"Pulmonary inflammatory myofibroblastic tumor: A rare entity","authors":"P. Ish, Arjun Ramaswamy, M. Madan, A.J. Mahendran, Pallavi Purwar, Sonam Thakran, Nitesh Gupta, Rohit Kumar, Rajat Khurana, C. Ahluwalia, Vidushi Rathi","doi":"10.4103/jalh.jalh_3_23","DOIUrl":"https://doi.org/10.4103/jalh.jalh_3_23","url":null,"abstract":"Inflammatory myofibroblastic tumor (IMT) is an uncommon tumor, most frequently reported in the gastrointestinal tract. It is associated with myofibroblastic proliferation along with variable amount of inflammatory infiltrate. We hereby report a young male presenting with progressive dyspnea, who was diagnosed with pulmonary IMT requiring surgical management.","PeriodicalId":402083,"journal":{"name":"Journal of Advanced Lung Health","volume":"474 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123644767","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}