The Journal of respiratory diseases最新文献_第4页

Effect of Induced Anxiety on Respiratory Resistance Using Virtual Reality Simulation 基于虚拟现实仿真的诱导性焦虑对呼吸阻力的影响

The Journal of respiratory diseases Pub Date : 2017-05-09 DOI: 10.4236/OJRD.2017.72008

M. Bohensky, A. Johnson, J. Vossoughi

{"title":"Effect of Induced Anxiety on Respiratory Resistance Using Virtual Reality Simulation","authors":"M. Bohensky, A. Johnson, J. Vossoughi","doi":"10.4236/OJRD.2017.72008","DOIUrl":"https://doi.org/10.4236/OJRD.2017.72008","url":null,"abstract":"Background: The purpose of this research was to identify significant changes to respiratory resistance resulting from anxiety inducing simulations presented through the medium of virtual reality (VR) goggles. The tested hypothesis was that a virtual reality simulation would produce anxiety in the wearer, and, with it, a statistically significant change in subject respiratory resistance. It was also suggested that there may be a significant difference in the levels of respiratory resistance responses of males and females. The Oculus Rift DK2 VR goggles with video software designed for the Rift were used to induce anxiety in the wearers. Methods: Respiratory resistances in both inhalation and exhalation directions were measured with the Airflow Perturbation Device (APD), a medical instrument used noninvasively. Two groups of subjects were tested: the test group watched a simulation deemed to be anxiety inducing, and the Control group watched a simulation determined to be non-anxiety inducing. Anxiety levels and respiratory resistance were measured before and during the simulation with two anxiety measures, the State Trait Anxiety Inventory (STAI) and the Subjective Units of Distress Scale (SUDS). Results: Statistically significant increases in anxiety level and respiratory resistance were found in the Test group, but no significant differences in anxiety and respiratory resistance levels were found in the control group. Anxiety affected both breathing phases similarly. For the gender hypothesis, we found that one of the tests used to measure anxiety, (the SUDS difference) was statistically significant, while the other test and the difference in respiratory resistance were not statistically significant. Conclusion: Results from this experiment show that anxiety level can be a significant contributor to the physiological measurement of respiratory resistance, and this can have implications for pulmonary function test environments and the psychological conditions of the patients being tested.","PeriodicalId":83134,"journal":{"name":"The Journal of respiratory diseases","volume":"07 1","pages":"68-82"},"PeriodicalIF":0.0,"publicationDate":"2017-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49591125","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: 2

Efficacy of a Topical Aromatic Rub (Vicks VapoRub ® ) on Effects on Self-Reported and Actigraphically Assessed Aspects of Sleep in Common Cold Patients 局部芳香擦剂(Vicks VapoRub®)对普通感冒患者自我报告和活动图评估睡眠方面影响的疗效

The Journal of respiratory diseases Pub Date : 2017-05-09 DOI: 10.4236/OJRD.2017.72009

N. Santhi, D. Ramsey, Gillian Phillipson, D. Hull, V. Revell, D. Dijk

{"title":"Efficacy of a Topical Aromatic Rub (Vicks VapoRub ® ) on Effects on Self-Reported and Actigraphically Assessed Aspects of Sleep in Common Cold Patients","authors":"N. Santhi, D. Ramsey, Gillian Phillipson, D. Hull, V. Revell, D. Dijk","doi":"10.4236/OJRD.2017.72009","DOIUrl":"https://doi.org/10.4236/OJRD.2017.72009","url":null,"abstract":"Common cold sufferers frequently report sleep disruption during the symptomatic period of infections. We examined the effects of treatment with a topical aromatic pharmaceutical ointment (Vicks VapoRub®), on associated sleep disturbances. The effects of Vicks VapoRub® versus placebo (petrolatum ointment) on subjective and objective measured sleep parameters were assessed in an exploratory study of 100 common cold patients, in a randomized, single blind, controlled, two-arm, parallel design study. The primary efficacy variable was subjective sleep quality measured with the SQSQ (Subjective Quality of Sleep Questionnaire). Additional measures included, ease of falling asleep and depth of sleep (measured with a post-sleep Visual Analog Scale), total sleep time, sleep onset latency, activity score, percentage of sleep, sleep efficiency (measured with actigraphy and SQSQ) and sleep quality index measured with a modified Karolinska Sleep Diary (KSD). The primary endpoint, “How was the quality of your sleep last night?” showed a statistically significant difference in change from baseline in favour of VapoRub treatment (p = 0.0392) versus placebo. Positive effects of VapoRub versus placebo were also observed for “How refreshed did you feel upon waking up?” (p = 0.0122) (SQSQ), “Did you get enough sleep?” (p = 0.0036) (KSD), “How was it to get up?” (p = 0.0120) (KSD) and “Do you feel well-rested?” (p = 0.0125) (KSD). No statistically significant changes from baseline versus placebo were detected in the Actiwatch endpoints. Vicks VapoRub® when applied before retiring to bed can reduce subjective sleep disturbances during a common cold. The results of this exploratory study support the belief among patients that the use of VapoRub improves subjective sleep quality during common cold which was associated with more refreshing sleep.","PeriodicalId":83134,"journal":{"name":"The Journal of respiratory diseases","volume":"07 1","pages":"83-101"},"PeriodicalIF":0.0,"publicationDate":"2017-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48612276","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: 7

Surgical Treatment of Idiopathic Multiple Pulmonary Arteriovenous Malformation Identified at the Onset of Cerebral Infarction: A Case Report 脑梗死发病时发现的特发性多发性肺动静脉畸形的外科治疗1例

The Journal of respiratory diseases Pub Date : 2017-05-09 DOI: 10.4236/OJRD.2017.72007

M. Kitada, S. Yasuda, N. Takahashi, S. Okazaki, K. Ishibashi, S. Hayashi, Y. Ohsaki

{"title":"Surgical Treatment of Idiopathic Multiple Pulmonary Arteriovenous Malformation Identified at the Onset of Cerebral Infarction: A Case Report","authors":"M. Kitada, S. Yasuda, N. Takahashi, S. Okazaki, K. Ishibashi, S. Hayashi, Y. Ohsaki","doi":"10.4236/OJRD.2017.72007","DOIUrl":"https://doi.org/10.4236/OJRD.2017.72007","url":null,"abstract":"Pulmonary arteriovenous malformation (PAVM), which is asymptomatic in most cases, is often identified in patients with central nervous system disorders such as brain abscesses and/or cerebral infarctions. We have reported a patient with idiopathic multiple PAVM identified at the onset of cerebral infarction. A 69-year-old woman visited the Department of Neuropathic Internal Medicine at our hospital with chief complaints of numbness in her left hand and a feeling of weakness. The patient was given a diagnosis of subacute cerebral infarction. Multiple old lacunar infarctions were also observed in the deep white matter of the left frontal lobe. Chest computed tomography showed multiple nodular structures, mainly in the right lower lung field (S8), as well as continuous arteries and veins at the site; thus, the patient was finally diagnosed with multiple PAVM. Right lower thoracoscopic lobectomy was performed, as is typical surgical practice in such cases. The patient had a favorable postoperative course, and had no recurrence of cerebral infarction. Although the patient’s lesions were mainly restricted to S8, the fact that there were multiple lesions deemed a lobectomy as the appropriate course of treatment. This case emphasizes that attention should be paid to cases of multiple PAVM since cerebral infarction may arise from the disease.","PeriodicalId":83134,"journal":{"name":"The Journal of respiratory diseases","volume":"07 1","pages":"62-67"},"PeriodicalIF":0.0,"publicationDate":"2017-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43485105","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

Evaluation of ColdZyme Mouth Spray against Common Cold in Elderly Care Personnel ColdZyme口腔喷雾剂对老年护理人员普通感冒的疗效评价

The Journal of respiratory diseases Pub Date : 2017-01-01 DOI: 10.4236/OJRD.2017.71002

Mats Clarsund, C. Persson

引用次数: 2

Observational Study of a Multi-Active Ingredient Over-the-Counter Cold Remedy Following Active Pharmacist Recommendation 一种多活性成分非处方感冒药的观察性研究

The Journal of respiratory diseases Pub Date : 2017-01-01 DOI: 10.4236/OJRD.2017.71005

Gillian Phillipson, J. Hull, B. Samoliński

引用次数: 1

Prone position: Does it help with acute respiratory distress syndrome (ARDS) requiring extracorporeal membrane oxygenation (ECMO)? 俯卧位:是否有助于需要体外膜氧合(ECMO)的急性呼吸窘迫综合征(ARDS) ?

The Journal of respiratory diseases Pub Date : 2017-01-01 DOI: 10.4236/OJRD.2017.71003

Nava Azimzadeh, M. Baram, N. Cavarocchi, H. Hirose

{"title":"Prone position: Does it help with acute respiratory distress syndrome (ARDS) requiring extracorporeal membrane oxygenation (ECMO)?","authors":"Nava Azimzadeh, M. Baram, N. Cavarocchi, H. Hirose","doi":"10.4236/OJRD.2017.71003","DOIUrl":"https://doi.org/10.4236/OJRD.2017.71003","url":null,"abstract":"Introduction: Lung protective ventilation therapy with low tidal volume-high PEEP is the standard treatment for the patients with acute respiratory distress syndrome (ARDS). Oscillators are occasionally used for salvage ventilation in cases where poor compliance restricts the use of traditional ventilation with ARDS. In addition to ventilator therapy, prone positioning has been used to improve oxygenation. We presented a challenging case of ARDS, which failed medical management extracorporeal membrane oxygenation (ECMO) support and oscillatory ventilation. Prone positioning was initiated which improved oxygenation, respiratory compliance and posterior atelectasis. Case presentation: A 41-year-old morbid obese female developed ARDS due to influenza pneumonia. The patient remained hypoxic despite optimum medical and ventilator management and required veno-venous extracorporeal membrane oxygenation (VV ECMO). CT scan of the chest showed ARDS with posterior consolidation. Despite ARDSnet ventilation support, antiviral therapy and ECMO support, there was no clinical improvement. High frequency oscillatory ventilation was initiated on ECMO day #13, which resulted in no respiratory improvement over the next 5 days. On ECMO day #18, the patient was placed on a Rotaprone® bed Therapy, utilizing a proning strategy of 16 hours a day. The clinical improvements observed were resolving of the consolidation on CXR, improvements in ventilatory parameters and decreased oxygen requirements. The patient was successfully weaned off ECMO on POD#25 (8 days post prone bed). Conclusions: Prone position improved oxygen saturation and pulmonary compliance in severe ARDS requiring ECMO and it might facilitate early weaning.","PeriodicalId":83134,"journal":{"name":"The Journal of respiratory diseases","volume":"07 1","pages":"18-24"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70584305","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: 3

Aspirin plus Pseudoephedrine (Aspirin Complex) for the Treatment of Symptoms of Upper Respiratory Tract Infection 阿司匹林联合伪麻黄碱(阿司匹林复合物)治疗上呼吸道感染症状

The Journal of respiratory diseases Pub Date : 2017-01-01 DOI: 10.4236/OJRD.2017.71004

M. Voelker, R. Eccles, U. Gessner

引用次数: 0

Clinical Analysis of Pulmonary Nontuberculous Mycobacterial Disease Complicated by Lung Cancer during the Follow-Up Periods 肺非结核性分枝杆菌病并发肺癌随访期间临床分析

The Journal of respiratory diseases Pub Date : 2016-11-30 DOI: 10.4236/OJRD.2016.64009

Y. Kobashi, M. Kittaka, K. Mouri, Shigeki Kato, M. Oka

{"title":"Clinical Analysis of Pulmonary Nontuberculous Mycobacterial Disease Complicated by Lung Cancer during the Follow-Up Periods","authors":"Y. Kobashi, M. Kittaka, K. Mouri, Shigeki Kato, M. Oka","doi":"10.4236/OJRD.2016.64009","DOIUrl":"https://doi.org/10.4236/OJRD.2016.64009","url":null,"abstract":"Introduction: The objective of this study was the estimation of the clinical characteristics of patients with pulmonary nontuberculous mycobacterial (NTM) disease complicated by lung cancer during the follow-up periods. Methods: We analyzed the clinical findings of four patients (2.0%) complicated by lung cancer during the follow-up periods of over six months at least after the definite diagnosis of pulmonary NTM disease of 202 patients with pulmonary NTM disease experienced in our hospital in the last decade. Results: There were four patients with pulmonary NTM disease complicated by lung cancer and all of them were caused by Mycobacterium avium complex (MAC). They were all elderly male patients and had underlying diseases. Three patients were diagnosed with primary lung cancer and one diagnosed with metastatic lung cancer from colon cancer within 3 years after the diagnosis of pulmonary NTM disease. The treatments for lung cancer were surgical resection for all patients with localized lesions. One patient died due to the worsening of underlying disease and the remaining three survived except for the recurrence of one patient. Conclusion: Although the complication rate of pulmonary NTM disease and lung cancer was a lower percentage (2.0%) than in previous reports, the careful follow-up for patients with pulmonary NTM disease without forgetting the possible complication of lung cancer is necessary.","PeriodicalId":83134,"journal":{"name":"The Journal of respiratory diseases","volume":"06 1","pages":"59-66"},"PeriodicalIF":0.0,"publicationDate":"2016-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70583987","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

Outcomes and Cost Effectiveness of a Respiratory Coordinated Care Program in Patients with Severe or Very Severe COPD 重度或极重度COPD患者呼吸协调护理方案的结果和成本效益

The Journal of respiratory diseases Pub Date : 2016-07-19 DOI: 10.4236/OJRD.2016.63008

S. Aslam, J. Man, J. Behary, J. Riskallah, S. Ansary, B. Kwan

{"title":"Outcomes and Cost Effectiveness of a Respiratory Coordinated Care Program in Patients with Severe or Very Severe COPD","authors":"S. Aslam, J. Man, J. Behary, J. Riskallah, S. Ansary, B. Kwan","doi":"10.4236/OJRD.2016.63008","DOIUrl":"https://doi.org/10.4236/OJRD.2016.63008","url":null,"abstract":"Multidisciplinary community coordinated care programs are widely adopted to optimise care of \u0000chronic disease patients, but there is a need for further evaluation in the setting of COPD. This observational \u0000study evaluated 147 patients with severe or very severe COPD who were enrolled in a \u0000multidisciplinary community respiratory coordinated care program (RCCP) from 2007 to 2012. \u0000Comparison was made of hospitalisation rates and length of stay for 12 months prior to joining the \u0000program, and the first 12 months after joining the program. This data was used to inform a cost \u0000analysis. Enrolment into RCCP halved the annual hospital admission rate from 1.18 to 0.57 admissions \u0000per year (relative risk reduction 51.4%, p < 0.001), and annual total length of stay was reduced \u0000from 8.06 to 3.59 days per patient per year (p < 0.001). Hospital admissions were reduced \u0000from 5.05 days to 2.00 days (p < 0.001). Accounting for the program’s costs, these changes resulted \u0000in a $US 906.94 ($AUD 972.80) cost saving per patient per year. A RCCP program can reduce patient \u0000hospitalisation and overall costs in the COPD setting.","PeriodicalId":83134,"journal":{"name":"The Journal of respiratory diseases","volume":"06 1","pages":"52-57"},"PeriodicalIF":0.0,"publicationDate":"2016-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70584347","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

Chronic Enterovirus D68 Bronchiolitis Causing Severe Respiratory Insufficiency 慢性肠病毒D68细支气管炎引起严重呼吸功能不全

The Journal of respiratory diseases Pub Date : 2016-07-19 DOI: 10.4236/OJRD.2016.63007

J. Chia, A. Chia, David Wang, Rabiha El-Habbal, Deren Sinkowitz

引用次数: 2