Pneumon最新文献

{"title":"Pulmonary sequestration and concomitant pectus excavatum in adulthood","authors":"J. Ribeiro, A. Costa, D. Alves, D. Cardoso, Z. Cruz, J. Silva, J. Reis, J. Maciel, P. Calvinho","doi":"10.18332/pne/147972","DOIUrl":"https://doi.org/10.18332/pne/147972","url":null,"abstract":"1 Pulmonary sequestration (PS) is a rare congenital malformation with an incidence of 0.1%, representing 0.15–6.4% of all pulmonary malformations, with only 10% manifesting in adulthood1,2. It is characterized by a nonfunctioning pulmonary parenchyma vascularized by an aberrant artery branch from the systemic circulation1. These are classified into intralobar and extralobar, with intralobar being the most frequent. Concomitant congenital anomalies are associated with extralobar PS in 43% of cases, however in intralobar PS are only seen in 17%3. The combination of pulmonary sequestration with pectus excavatum is described in children, although the presentation in adulthood is rare. We present a case of intralobar PS that occurred in adulthood with concomitant pectus excavatum. A 39-year-old female non-smoker with past medical history of pectus excavatum was presented to the pulmonology outpatient department with dry cough and left pleuritic chest pain. Respiratory examination showed decreased breath sounds in the lower left hemithorax. Chest radiograph exposed a homogeneous opacity in the lower third of the left hemithorax. Chest Computed Tomography (CT) scan was performed and revealed a small collapse of the left lower lung associated with small pleural effusion. CT scan also determined the pectus severity index (PSI) as 2.9. Due to a suspicion of left pleural effusion, ultrasound-guided thoracentesis was scheduled. However, chest ultrasound excluded the presence of pleural effusion, exposing parenchymal consolidation and thoracentesis ended up not being performed. CT scan was repeated, this time with intravenous contrast, and showed an anomalous vessel originating from the distal thoracic aorta irrigating posterior and medial segment of left lower lobe, compatible with intralobar PS (Figures 1 A, B and C). Pulmonary function tests showed no significant ventilatory changes. Transthoracic echocardiogram was performed and showed a good global systolic function, without changes in segmental contractility or valvular abnormalities. The patient was referred to the thoracic surgery and was proposed Video-Assisted Thoracoscopic (VATS) left lower lobectomy with anomalous vessel lacquering (Figures 1 D and E). Although she had PSI lower than 3.25 and no cardiorespiratory function alteration or concerns about appearance, the possibility of pectus excavatum surgical correction was suggested, which the patient refused. The procedure was uneventful and the patient was discharged on 8th post-operative day; currently being under surveillance with resolution of symptoms. A total of 12 cases of PS associated with pectus excavatum were identified in English literature, all in pediatric age, 11 of those associated with intralobar subtype2-5. The causes of pectus excavatum include connective tissue disorders and neuromuscular diseases. In addition, it can also occur in response to an underlying lung condition4. The etiology is not clear, there are currently several ","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76002268","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 effect of an educational program for hookah use prevention among high school male students: Application of the prototype willingness model","authors":"S. Bashirian, M. Barati, E. Ezati, Y. Mohammadi, H. Mostafaei","doi":"10.18332/pne/147573","DOIUrl":"https://doi.org/10.18332/pne/147573","url":null,"abstract":"that determine the effect of an educational program for hookah use prevention among high school male students using the Prototype Willingness Model (PWM) in Kermanshah city, Iran. METHOD The present study was a randomized controlled trial study on 83 male adolescents in Kermanshah. We performed multi-stage random sampling. The data collection tool included a researcher-made questionnaire based on the Prototype Willingness Model. The intervention program consisted of 5 training sessions. We followed up the participants two months after the intervention, and analyzed data using SPSS Statistics 22.0. RESULTS In the present study, scores of all model constructs were significant between the two groups after the intervention, except for positive prototypes of non-hookah users (p<0.001). The greatest effect of the intervention was on reducing the positive attitude (-3.42±5.7) and reducing the willingness to use hookah (-3.35±5.1). After the intervention, the comparison of hookah use frequencies was significant among the participants in the experimental and control groups in the last month and now (p=0.03). CONCLUSIONS The research results indicate that the educational intervention based on the Prototype Willingness Model (PWM) was an appropriate educational strategy for reducing hookah use in male adolescents. determine the effect of an educational program based on hookah prevention among high school male students using the Prototype Willingness Model (PWM) in Kermanshah.","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80954341","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 new triple combination in CFTR modulators: A new era in the management of cystic fibrosis","authors":"K. Manika, F. Diamantea","doi":"10.18332/pne/147170","DOIUrl":"https://doi.org/10.18332/pne/147170","url":null,"abstract":"","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75945312","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":"Application of a home-based exercise program combined with tele-rehabilitation in previously hospitalized patients with COVID-19: A feasibility, single-cohort interventional study","authors":"E. Kortianou, Dimitrios Tsimouris, A. Mavronasou, S. Lekkas, Nikolaos Kazatzis, Z. Apostolara, Maria Isakoglou, Georgia Dimakou, Z. Barmparessou, S. Tsikrika, V. Sakka, Angelos Liontos, M. Christaki, H. Milionis, I. Kalomenidis","doi":"10.18332/pne/146521","DOIUrl":"https://doi.org/10.18332/pne/146521","url":null,"abstract":"INTRODUCTION Telehealth for COVID-19 patients is still limited. We aimed to assess the clinical effects of a home-based tele-rehabilitation exercise program following hospital discharge during the first lockdown in Greece, April to July 2020. METHODS A pre-and post-intervention design was applied in two stages. Firstly, patients were instructed to use a specially designed for COVID-19, e-book during four tele-health sessions. Afterwards, a 2-month home-based program consisted of self-practice exercise and one-hour supervised tele-rehabilitation exercise sessions every 10 days, was delivered. At baseline and at the end of the program, participants were interviewed about their physical, psychological status and quality of life (QoL) during the post-hospitalization period. The IPAQ-Gr, the HADS and the SF-36 questionnaires were used, respectively, and the participants were functionally assessed via teleconferences, using the 60 sec Sit to Stand Test (60secSTS), the Short Physical Performance Battery (SPPB) and the 3 min Step Test (3MST). RESULTS Seventy-four patients, median age 52.5 (IQR: 43–61) years were included at the first stage. From those, only 22 patients, mean ± SD age 50.1 ± 13.2 years completed the 2-month exercise program. The training program was well tolerated by all 22 patients. The mean number of unsupervised exercise sessions was 18.4 ± 3.5. No adverse effects were observed either during initial and follow-up assessment via tele-communication or during home-exercise sessions. Training improved significantly (p<0.001) lower limb muscle performance [median (IQR) 60secSTS: 22 (20–26) to 31 (25–36)], anxiety [median (IQR) HADS: 9 (6–13) to 4.3 (3.2–9.6)], depression [median (IQR) HADS: 5 (3–8) to 1.8 (0.9–3.7)], QoL [mean ± SD SF-36pcs: 37.5 ± 10.3 to 52.1 ± 6, and mean ± SD SF-36mcs: 42.9 ± 11.6 to 45.5 ± 12.3]. CONCLUSIONS Tele-rehabilitation may be feasible and may improve physical and psychological status of COVID-19 patients after hospital discharge. © 2022 Kortianou E. et al.","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90732363","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":"A late mediastinal complication of EBUS-TBNA: Case report and review of the literature","authors":"E. Koukaki, N. Anagnostopoulos, Vasiliki Panou, Alexandra Kapsi, P. Bakakos, G. Stratakos","doi":"10.18332/pne/147125","DOIUrl":"https://doi.org/10.18332/pne/147125","url":null,"abstract":"Minimally invasive procedures such as bronchoscopy are preferred to mediastinoscopy, given that the target is reachable being adjacent to the airways. Direct visualization of the puncture site is also preferable. Thus, indication for bronchoscopy was clear and the patient was scheduled ABSTRACT Mediastinal bleeding and development of hematoma (hemomediastinum) can rarely occur after TBNA (transbronchial needle aspiration). We report on a case of a 74-year-old man who developed a late post EBUS-TBNA (endobronchial ultrasound guided transbronchial needle aspiration) mediastinal hematoma attributed to supra-normal INR due to antibiotic treatment and anticoagulants following bronchoscopy. To the best of our knowledge, in the current literature there are only a few cases of mediastinal bleeding following transbronchial or transesophageal puncture and most are not related with coagulation abnormalities. This is the second case reported with late onset mediastinal hematoma post EBUS-TBNA and the first to be attributed to combined amoxycillin treatment and coumarin anticoagulants.","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85493487","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":"Tracheal diverticula in cases of bronchial asthma","authors":"Nihdi Girdhar, Komaldeep Kaur, Aditi Gupta, J. K, V. Chopra","doi":"10.18332/pne/146642","DOIUrl":"https://doi.org/10.18332/pne/146642","url":null,"abstract":"CT scan showed bilateral tractional and cystic bronchiectasis, AP diameter of trachea was around 2.9 cm and a few paratracheal cysts were seen with one communicating with the trachea. A tracheal diverticulum with extroflexion of mucosa and no cartilaginous defect was also seen (Figure 1). For further evaluation, bronchoscopy was done that ABSTRACT Tracheal diverticulum (TD) is an outpouching of the tracheal wall and usually projects to the right side of thoracic inlet. It belongs to a larger group of paratracheal air collections (PTACs). It can be congenital or acquired, single or multiple. It is usually asymptomatic but can lead to symptoms such as chronic cough and repeated upper respiratory tract infections. Chronic cough can also cause increased intraluminal pressure which can then lead to development of diverticulum. Here we present two cases of bronchial asthma who had chronic cough and were later found to have tracheal diverticulum.","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81893039","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":"Original clinical presentation of SARS-CoV-2 induced CNS impairment: A clinical case of cerebellar\u0000syndrome","authors":"Farissi Youssef, H. Mohamed, H. Sanaa","doi":"10.18332/pne/146179","DOIUrl":"https://doi.org/10.18332/pne/146179","url":null,"abstract":"SARS-CoV-2 is a new virus that emerged in China in December 2019, rapidly becoming a global pandemic. We report here the case of a 23-year-old man presenting with an acute dry cough associated with neurological disorders in a feverish setting. One day after being admitted to hospital, the patient presented with vertigo and asthenia. His neurological examination showed difficult standing with cerebellar walking and dysmetria. Brain MRI as well as cytochemical examination of the CSF showed normal results. The detection of SARS-CoV-2 by PCR was positive at the nasopharyngeal level and negative at the level of the CSF. The patient was treated with hydroxychloroquine, azithromycin and methylprednisolone. A good improvement was noted during his hospitalization. The cerebellar neurological involvement associated with SARS-CoV-2 was retained given the clinical and epidemiological context and taking into consideration the mechanism of neurological involvement in COVID-19 which can be direct or indirect. © 2022 Youssef F. et al.","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81867293","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":"Lifestyle choices of smokers: Data from the Greek National Health Survey","authors":"M. Kapetanstrataki, V. Evangelopoulou, P. Behrakis, A. Tzortzi","doi":"10.18332/pne/147114","DOIUrl":"https://doi.org/10.18332/pne/147114","url":null,"abstract":"levels, with it being more intense when higher amounts of cigarettes and coffee were consumed 19 . Furthermore, in a study by Anyfanti et al. 20 researchers observed that smoking prior to exercise increased myocardial stress and dysregulated baroreceptor sensitivity, while more recent studies have mainly focused on the estimation of smoking prevalence 3,21-24 as well as smoking cessation 25,26 at a national or local level. To the authors knowledge, there is a lack of studies ABSTRACT INTRODUCTION Smoking is a documented health risk factor while successful cessation is challenging. The aim of the current study was to identify lifestyle characteristics of smokers that could aid the cessation process. METHODS Data derive from the most recent Health Survey conducted by the Hellenic Statistical Authority in 2019. In the survey were included 8125 participants aged ≥15 years . Chi-squared tests and ordered logistic regression models were used to assess differences between groups. Analysis was performed in Stata 14. RESULTS Smoking prevalence was 29%, with 25% daily and 4% occasional smokers. Lifestyle choices differed between smokers and non-smokers; alcohol use was observed more in smokers, and especially in younger ages. Weekly consumption of fruit/vegetables/freshly squeezed juices was observed more in non-smokers compared to smokers, while soda drinks consumption was observed more in smokers than non-smokers and especially males. Physical exercise was observed in a low proportion in both smokers and non-smokers, while health monitoring was not associated with smoking after adjusting for descriptive characteristics of participants. CONCLUSIONS Greece unhealthy dietary habits, consume a high engage rarely in physical activity. Even the Therefore, specific choices of each should be incorporated in the particular cessation plan.","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81507559","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":"Disease management knowledge is poor in Greek patients with chronic obstructive pulmonary disease\u0000before entering pulmonary rehabilitation: A qualitative study","authors":"Maria Siafaka, E. Kortianou, A. Mavronasou, Nikoleta Rovina, N. Koulouris","doi":"10.18332/pne/145455","DOIUrl":"https://doi.org/10.18332/pne/145455","url":null,"abstract":"","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80269742","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":"Small hospitals in battle against COVID-19: A single-center cohort study","authors":"Antonios Patrinos, D. Komninos, Andreas Kartsonakis, Dimitris Serpanos, Niki Tsolka, Leonidas Stellas, D. Dimitropoulou","doi":"10.18332/pne/145336","DOIUrl":"https://doi.org/10.18332/pne/145336","url":null,"abstract":"INTRODUCTION In Greece, higher morbidity and mortality due to COVID-19 pandemic were recorded during the third pandemic wave. Only a small percentage of the population was fully vaccinated at the beginning of the third pandemic wave. Our effort was multi-level, from the emergency room department to the ward. The aim of this article is to communicate a single secondary center’s experience during the third pandemic wave in Greece. METHODS A retrospective cohort study was conducted at the regional Agios Andreas General Hospital of Patra, Greece, including 360 hospitalized COVID-19 patients. A standard of care protocol was applied in all cases and its outcomes are examined. RESULTS The median age of the patients was 64.2 years (IQR: 18–100) and the median duration of hospitalization was 8 days. The overall case fatality rate was 8.1%. Of the 360 patients, 12 (3.3%) needed to be intubated. Most of the hospitalized patients (n=316;87.8%) were treated with nasal canula or Venturi mask. Twenty-six patients (7.2%) were supported with HFNC and 18 (5%) received any available type of non-invasive mechanical ventilation. CONCLUSIONS An articulate protocol and coordinated collaboration among specialists were the cornerstone of proper, immediate, and individualized treatment. The international recommendations in force at that time proved to be efficient in reducing progress to SRF and intubation. Full vaccination of the medical staff ensured long and dedicated presence in the patients’ rooms.","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89255581","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}