Current Respiratory Medicine Reviews最新文献_第10页

"Preface: New Year, New Goals of the Journal" 《前言:新的一年，本刊的新目标》

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Current Respiratory Medicine Reviews Pub Date : 2022-02-01 DOI: 10.2174/1573398x1801220518103252

J. Varon, N. Hussaini

引用次数: 0

An Investigation of the Factors Affecting Compliance When Using Home Non-Invasive Ventilation Therapy 影响家庭无创通气治疗依从性的因素分析

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Current Respiratory Medicine Reviews Pub Date : 2022-01-31 DOI: 10.2174/1573398x18666220131100128

Abdulrahman Kashkosh

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Clinical Evaluation of Exertional Dyspnea in Adult Pectus Excavatum Patients 成人挖掘胸肌患者运动性呼吸困难的临床评价

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Current Respiratory Medicine Reviews Pub Date : 2022-01-28 DOI: 10.2174/1573398x18666220128110107

Mateo C. Houle, T. Sjulin, I. Mcinnis, R. Walter, M. Morris

{"title":"Clinical Evaluation of Exertional Dyspnea in Adult Pectus Excavatum Patients","authors":"Mateo C. Houle, T. Sjulin, I. Mcinnis, R. Walter, M. Morris","doi":"10.2174/1573398x18666220128110107","DOIUrl":"https://doi.org/10.2174/1573398x18666220128110107","url":null,"abstract":"\u0000\u0000Evaluation of patients with pectus excavatum has primarily been focused on the pediatric population who undergo surgical correction of sternal defects mainly for cosmetic reasons combined with exercise-limiting symptoms. The extent of cardiopulmonary improvement in this population based on cardiac imaging, pulmonary function testing, and cardiopulmonary exercise testing may be highly variable. There is no current consensus on the limitations of cardiopulmonary impairment or potential improvement from surgical repair in pediatric patients. Limited data has published in the medical literature on the evaluation of adults with pectus excavatum who may also present with a variety of clinical symptoms. Adult patients with exercise limitation and pectus excavatum may present with exertional dyspnea, chest discomfort, palpitations/tachycardia, exercise-induced wheezing, and use of bronchodilators for asthma-like symptoms. While numerous published review articles outline clinical evaluation and surgical treatment for younger patients, comprehensive evaluation for these adult patients has not been fully elucidated. There is no current consensus on the underlying cause of cardiopulmonary impairment in adult patients or their potential improvement from surgical repair. This review focuses on the recommended evaluation of adult patients to discern the potential cardiopulmonary limitations to exercise due to pectus excavatum, especially in physically fit adults such as active duty military personnel. Two illustrative cases are presented to describe the complexity of the evaluation of adult patients and potential need for surgical correction.\u0000","PeriodicalId":44030,"journal":{"name":"Current Respiratory Medicine Reviews","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47747517","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 Bilateral Secondary Pneumothorax Complicating Osteosarcoma: A Case Report 并发骨肉瘤的双侧继发性胸腔积液1例

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Current Respiratory Medicine Reviews Pub Date : 2022-01-28 DOI: 10.2174/1573398x18666220128110553

Faradila Nur Aini, I. A. Marhana

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Noninvasive or invasive mechanical ventilation in oncohematologic patients with acute respiratory failure: a systematic review and meta-analysis 无创或有创机械通气在血液肿瘤患者急性呼吸衰竭中的应用:一项系统综述和荟萃分析

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Current Respiratory Medicine Reviews Pub Date : 2022-01-27 DOI: 10.2174/1573398x18666220127104656

L. Barreto, C. Ravetti, N. S. Guimarães, V. Nobre

{"title":"Noninvasive or invasive mechanical ventilation in oncohematologic patients with acute respiratory failure: a systematic review and meta-analysis","authors":"L. Barreto, C. Ravetti, N. S. Guimarães, V. Nobre","doi":"10.2174/1573398x18666220127104656","DOIUrl":"https://doi.org/10.2174/1573398x18666220127104656","url":null,"abstract":"\u0000\u0000Acute respiratory failure [ARF] in oncohematologic subjects is one of the most common causes of high mortality rates. Noninvasive mechanical ventilation [NIMV] has arisen as an accessory treatment in this clinical scenario.\u0000\u0000\u0000\u0000This study aimed to compare mortality rates and severity of illness associated with NIMV or invasive mechanical ventilation [IMV] in oncohematologic patients with ARF.\u0000\u0000\u0000\u0000A search was conducted in the PubMed, SCOPUS, Cochrane Library, LILACS, Web of Science, and gray literature databases, published between November 2007 and May 2021.\u0000\u0000\u0000\u0000Eight studies with a total of 570 patients were included. Patients with good responses to NIMV showed lower values of the Simplified Acute Physiology Score III [SAPS 3] [range: 42±7 to 53±17] when compared to those intubated following NIMV failure [range: 50±11 to 63.3±17.4] and those who underwent IMV as the primary ventilator support [range: 64.9±17.5 to 66±17]. Similarly, patients whose NIMV treatment failed and those that initially used IMV had higher baseline values of Sequential Organ Failure Assessment Score [SOFA] when compared to the group with a good response to NIMV. ICU mortality ranged from 40% to 68% in NIMV success, 54% to 79% in NIMV failure, and from 54% to 80% in the group treated with IMV. NIMV therapy had a significant protective effect on mortality [RR=0.71, 95% CI: 0.53-0.94, p=0.02].\u0000\u0000\u0000\u0000NIMV use in oncohematologic patients admitted to the ICU with ARF was associated with lower mortality. Patients successfully treated with the NIMV group showed lower values of SOFA and SAPS 3 [Prospero Systematic Review -protocol number: 132770].\u0000","PeriodicalId":44030,"journal":{"name":"Current Respiratory Medicine Reviews","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41750342","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

Estrogen receptor beta (ERβ) expression in different subtypes of malignant pleural mesothelioma 雌激素受体β (ERβ)在不同亚型恶性胸膜间皮瘤中的表达

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Current Respiratory Medicine Reviews Pub Date : 2022-01-11 DOI: 10.2174/1573398x18666220111144745

Guitti Pourdowlat, M. Parvizi, Shogher Boyadjian, M. Shamaei, M. Pourabdollah

{"title":"Estrogen receptor beta (ERβ) expression in different subtypes of malignant pleural mesothelioma","authors":"Guitti Pourdowlat, M. Parvizi, Shogher Boyadjian, M. Shamaei, M. Pourabdollah","doi":"10.2174/1573398x18666220111144745","DOIUrl":"https://doi.org/10.2174/1573398x18666220111144745","url":null,"abstract":"\u0000\u0000Estrogen receptor beta (ERβ) is a potential target for cancer therapy as a tumor suppressor. Malignant pleural mesothelioma (MPM) is a rare but fatal cancer. This study tries to estimate the incidence of ERβ expression in the various subtypes of MPM tumors.\u0000\u0000\u0000\u0000In a retrospective study performed at a pulmonary tertiary referral hospital, formalin-fixed paraffin-embedded human tissues of 46 definitive MPM were evaluated for expression of ERβ by immunohistochemistry.\u0000\u0000\u0000\u0000ERβ was detected in 14 cases (30.4%) out of the total 46 patients with a mean age of 58.08±11.59 SD, including 33 (71.7%) males. There was no statistically significant difference in patients with positive ERβ staining versus negative cases in age and sex (P >0.05). MPM subtypes included 36 (78.2%) cases of epithelioid mesothelioma, 3 (6.5%) cases of sarcomatoid, 5 (10.8%) cases of biphasic, and 2 (4.3%) cases of desmoplastic subtype. ERβ expression was observed only in epithelioid (11 of total 36 cases) and biphasic (3 of total 5 cases) tumors. There was no significant difference in the incidence of ERβ expression in different subtypes of malignant pleural mesothelioma. Statistical analysis shows a significant difference in the expression of ERβ in the epithelioid subtype (with a more favorable prognosis) versus non-epithelioid subtypes (with poor prognosis, including sarcomatoid, desmoplastic, and biphasic) (P = 0.024).\u0000\u0000\u0000\u0000Considering the higher proportion of the epithelioid type of MPM with ERβ expression, this highlights the role of ERβ in target therapy of MPM tumor, especially in the epithelioid subtype with a more favorable prognosis. A better understanding of the pathology of mesothelioma will eventually contribute to the development of therapies beyond the existing therapeutic platform.\u0000","PeriodicalId":44030,"journal":{"name":"Current Respiratory Medicine Reviews","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48556149","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

Association of Serum Malondialdehyde and C-reactive protein Levels with Exacerbations of Chronic Obstructive Pulmonary Disease 血清丙二醛和c反应蛋白水平与慢性阻塞性肺疾病恶化的关系

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Current Respiratory Medicine Reviews Pub Date : 2022-01-04 DOI: 10.2174/1573398x18666220104143532

Amir Behnam Kharazmi, A. Abedini, A. Kiani, S. Barouti, Shooka Mohammadi

{"title":"Association of Serum Malondialdehyde and C-reactive protein Levels with Exacerbations of Chronic Obstructive Pulmonary Disease","authors":"Amir Behnam Kharazmi, A. Abedini, A. Kiani, S. Barouti, Shooka Mohammadi","doi":"10.2174/1573398x18666220104143532","DOIUrl":"https://doi.org/10.2174/1573398x18666220104143532","url":null,"abstract":"\u0000\u0000Chronic obstructive pulmonary disease (COPD) is related to oxidant/antioxidant imbalance and systemic inflammation\u0000\u0000\u0000\u0000This study was conducted to evaluate associations of serum levels of C-reactive protein (CRP) and malondialdehyde (MDA) with the severity and exacerbations of COPD.\u0000\u0000\u0000\u0000A matched case-control study was performed among 200 COPD patients (100 cases and 100 controls) who were referred to Masih Daneshvari Hospital in Tehran, Iran. Cases were exacerbators with equal to or greater than two ambulatory exacerbations or one hospitalization; controls were non-exacerbators who had one/no ambulatory exacerbation during the preceding 12 months. Blood samples were collected for CRP, MDA, and erythrocyte sedimentation rate (ESR) analysis. In addition, spirometry, the COPD assessment test (CAT) score, the modified Medical Research Council (mMRC) dyspnea scale, and the BODEx index were applied.\u0000\u0000\u0000\u0000The mean (SD) age of the patients was 65.31 (8.46) years. Those with exacerbations had significantly lower FEV1 and higher CRP, MDA, ESR, BMI, BODEx index, CAT, and mMRC scores compared to non-exacerbators. There were significant differences in CRP, MDA, ESR, FVC, FEV1, FEV1/FVC, BMI, BODEx index, mMRC, and CAT scores between the GOLD group. Moreover, multivariate analysis showed that higher levels of CRP (OR=0.61, p=0.023), MDA (OR=0.28, p=0.001), ESR (OR=0.86, p=0.029), CAT score (OR=0.84, p=0.012), BODEx index (OR=0.89, p <0.001), BMI (OR=0.42, p <0.001), and lower FEV1% (OR=0.77, p <0.001) were independent risk factors for frequent exacerbations.\u0000\u0000\u0000\u0000In conclusion, elevated serum MDA and CRP levels in combination may serve as prognostic indicators of the severity and exacerbation of COPD.\u0000","PeriodicalId":44030,"journal":{"name":"Current Respiratory Medicine Reviews","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41337483","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

Susceptibility to rhinovirus-induced early wheezing as a risk factor for subsequent asthma development 鼻病毒诱导的早期喘息易感性是随后哮喘发展的危险因素

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Current Respiratory Medicine Reviews Pub Date : 2022-01-03 DOI: 10.2174/1573398x18666220103113813

Hannele Mikkola, Minna Honkila, T. Tapiainen, T. Jartti

{"title":"Susceptibility to rhinovirus-induced early wheezing as a risk factor for subsequent asthma development","authors":"Hannele Mikkola, Minna Honkila, T. Tapiainen, T. Jartti","doi":"10.2174/1573398x18666220103113813","DOIUrl":"https://doi.org/10.2174/1573398x18666220103113813","url":null,"abstract":"\u0000\u0000Rhinovirus is one of the two most common viral agents that cause bronchiolitis in young children. During the first 12 months, it is second to the respiratory syncytial virus, but after 12 months, it begins dominating the statistics. Wheezing and dry cough are typical clinical symptoms indicative of rhinovirus-induced bronchiolitis, although overlap of symptoms with other virus infections is common. Several studies have shown that atopic predisposition and reduced interferon responses increase susceptibility to rhinovirus-induced wheezing. More recent studies have found that certain genetic variations at strong asthma loci also increase susceptibility. Rhinovirus-induced wheezing in the early years of life is known to increase the risk of subsequent asthma development and may be associated with airway remodeling. This risk is increased by aeroallergen sensitization. Currently, there are no clinically approved preventive treatments for asthma. However, studies show promising results indicating that children with rhinovirus-affected first-time wheezing respond to bronchodilators in terms of less short-term symptoms and that controlling airway inflammatory responses with anti-inflammatory medication may markedly decrease asthma development. Also, enhancing resistance to respiratory viruses has been a topic of discussion. Primary and secondary prevention strategies are being developed with the aim of decreasing the incidence of asthma. Here, we review the current knowledge on rhinovirus-induced early wheezing as a risk factor for subsequent asthma development and related asthma-prevention strategies.\u0000","PeriodicalId":44030,"journal":{"name":"Current Respiratory Medicine Reviews","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41767335","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}

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Feasıbılıty of Transcutaneous Method for Carbon Dıoxıde Monıtorıng in an Intensive Care Unıt Feasıbılıty经皮碳法Dıoxıde Monıtorıng在重症监护Unıt

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Current Respiratory Medicine Reviews Pub Date : 2022-01-03 DOI: 10.2174/1573398x18666220103113003

N. Boyacı, S. Mammadova, Nurgul Naurzvai (Naurizbay), Merve Güleryüz, Kamil İnci, G. Gürsel

{"title":"Feasıbılıty of Transcutaneous Method for Carbon Dıoxıde Monıtorıng in an Intensive Care Unıt","authors":"N. Boyacı, S. Mammadova, Nurgul Naurzvai (Naurizbay), Merve Güleryüz, Kamil İnci, G. Gürsel","doi":"10.2174/1573398x18666220103113003","DOIUrl":"https://doi.org/10.2174/1573398x18666220103113003","url":null,"abstract":"\u0000\u0000Transcutaneous partial pressure of carbon dioxide (PtCO2) monitorization provides a continuous and non-invasive measurement of partial pressure of carbon dioxide (pCO2). In addition, peripheral oxygen saturation (SpO2) can also be measured and followed by this method. However, data regarding the correlation between PtCO2 and arterial pCO2 (PaCO2) measurements acquired from peripheric arterial blood gas is controversial.\u0000\u0000\u0000\u0000We aimed to determine the reliability of PtCO2 with PaCO2 based on its advantages, like non-invasiveness and continuous applicability.\u0000\u0000\u0000\u0000Thirty-five adult patients with hypercapnic respiratory failure admitted to our tertiary medical intensive care unit (ICU) were included. Then we compared PtCO2 and PaCO2 and both SpO2 measurements simultaneously. Thirty measurements from the deltoid zone and 26 measurements from the cheek zone were applied.\u0000\u0000\u0000\u0000PtCO2 could not be measured from the deltoid region in 5 (14%) patients. SpO2 and pulse rate could not be detected at 8 (26.7%) of the deltoid zone measurements. Correlation coefficients between PtCO2 and PaCO2 from deltoid and the cheek region were r: 0,915 and r: 0,946 (p = 0,0001). In comparison with the Bland-Altman test, difference in deltoid measurements was -1,38 ± 1,18 mmHg (p = 0.252) and in cheek measurements it was -5,12 ± 0,92 mmHg (p = 0,0001). There was no statistically significant difference between SpO2 measurements in each region.\u0000\u0000\u0000\u0000Our results suggest that PtCO2 and SpO2 measurements from the deltoid region are reliable compared to the arterial blood gas analysis in hypercapnic ICU patients. More randomized controlled studies investigating the effects of different measurement areas, hemodynamic parameters, and hemoglobin levels are needed.\u0000","PeriodicalId":44030,"journal":{"name":"Current Respiratory Medicine Reviews","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43214168","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

Treatment Outcomes of the Standardized Shorter MDR-TB Regimen under Programmatic Setting: A Retrospective Study from a Tertiary Care Centre, India 在程序设置下标准化短期耐多药结核病方案的治疗结果：来自印度一家三级护理中心的回顾性研究

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Current Respiratory Medicine Reviews Pub Date : 2021-12-10 DOI: 10.2174/1573398x17666211210143240

Swathi Karanth M.P, Somashekar M, A. Chakraborty, Swapna R, Akshata J.S, Nagaraja C

{"title":"Treatment Outcomes of the Standardized Shorter MDR-TB Regimen under Programmatic Setting: A Retrospective Study from a Tertiary Care Centre, India","authors":"Swathi Karanth M.P, Somashekar M, A. Chakraborty, Swapna R, Akshata J.S, Nagaraja C","doi":"10.2174/1573398x17666211210143240","DOIUrl":"https://doi.org/10.2174/1573398x17666211210143240","url":null,"abstract":"\u0000\u0000 The shorter regimen was widely accepted and advocated for MDR-TB treatment compared tothe conventional longer regimen. Evaluating the performance of both regimens in a programmatic setting will help in tailoring the treatment regimen of MDR-TB. \u0000\u0000\u0000\u0000\u00001. To estimate the duration of sputum smear conversion in the shorter MDR-TB regimen. 2. To compare the treatment outcomes of the shorter MDR-TB regimen with that of the longer conventional MDR regimen in a programmatic set up in India. 3. To estimate the adverse drug reactions in the shorter MDR-TB regimen. \u0000\u0000\u0000\u0000\u0000A retrospective cross-sectional study was conducted on 320 patients enrolled under programmatic management of drug resistant tuberculosis (PMDT) from April 2017 to May 2019 at a nodal DRTB center and a tertiary care hospital in India. Demographic and clinical characteristics of those who received a shorter MDR-TB regimen were recorded. Treatment outcomes of both regimens were recorded. Treatment success is defined as ‘disease cured and treatment completed’, whereas treatment failure was considered when the treatment was either terminated or changed due to lack of bacteriological conversion at the end of an extended intensive phase or culture reversion in the continuation phase. \u0000\u0000\u0000\u0000\u0000The treatment success observed in the shorter MDR-TB regimen was 61.25%, which was significantly higher than the conventional longer regimen (p=0.0007). Treatment failures were higher with a shorter MDR-TB regimen (p=0.0001). \u0000\u0000\u0000\u0000\u0000Treatment success with the shorter MDR-TB regimen though higher than the conventional regimen, is still way behind the target treatment success rate. Improving treatment adherence remains pivotal for achieving end TB targets. \u0000","PeriodicalId":44030,"journal":{"name":"Current Respiratory Medicine Reviews","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49624175","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