Austin journal of pulmonary and respiratory medicine最新文献

{"title":"Case Study: Traumatic Pneumothorax after Parachute Landing","authors":"Woo Ch, Berry Cs, Norland Sp, Skinner Dj, Motyka Tm, Mckiernan Sp","doi":"10.4172/2161-105X.1000461","DOIUrl":"https://doi.org/10.4172/2161-105X.1000461","url":null,"abstract":"Introduction: Pneumothorax during military airborne operations is an uncommon injury among paratroopers. More common injuries are fractures or sprains to the lower extremities, as this is where most of the impact is absorbed during parachute landings. Classically, a pneumothorax will present with sudden onset severe chest pain and dyspnea warranting immediate medical evaluation. Among military service members, pneumothorax is more likely to occur because of traumatic injuries such as from motor vehicle accidents. Case presentation: This case highlights an otherwise healthy male paratrooper, who presented 24 hours following routine airborne training. Conclusion: Symptoms of even mild dyspnea or chest pain in military paratroopers following airborne operations should prompt immediate evaluation for pneumothorax.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"1 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90796955","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 Lymphoma: A Case Series and Review of the Literature","authors":"C. Sidhu, A. Sachdev","doi":"10.4172/2161-105X.1000476","DOIUrl":"https://doi.org/10.4172/2161-105X.1000476","url":null,"abstract":"","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85930590","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":"Neoadjuvant Chemotherapy in Lung Cancer: Our Results after Twelve Years of Surgical Resection","authors":"Hazem Z, Ahmed Ab, Abderrahmen A, Mahdi A, Sonia O, Hanen A, Adel M","doi":"10.4172/2161-105X.1000463","DOIUrl":"https://doi.org/10.4172/2161-105X.1000463","url":null,"abstract":"Introduction: Lung cancer is characterized by its frequency and prognosis, which remains reserved by the fact that the diagnosis is often made at the locally evolved or metastatic stages. The aim of this study is to evaluate the contribution of neoadjuvant chemotherapy to the resectability of non-small cell lung carcinoma, while highlighting its impact on the incidence of surgical complications and the effect of this therapeutic strategy on survival. Materials: We have carried out a retrospective analysis of patients who underwent surgical treatment of nonsmall cell lung cancer (NSCLC) after neoadjuvant chemotherapy (NAC), between March 2000 and October 2012 at the Thoracic Surgery Department of Abderrahmen MAMI University Hospital. Results: During the study period, 103 patients were referred to our institution for NSCLC’s curative surgery after a NAC. Ninety five (95) patients are operated and 8 were not because of tumor progression after NAC or a high risk of operative mortality. The evaluation after the NAC showed a partial response in 77 cases (75%). More than half patients (57 cases: 55.7%) had a down-staging after the NAC. Male gender, and age increase postoperative complications significantly (p=0.042). Global survival was calculated for 87 patients 85%, 56%, 50% respectively at 1 year, 2 years and 5 years. The mean survival was 25 (range: 2 to 132) months. Global survival was increased significantly with T1 status (p=0.003) and M0 status (p<0.005) before NAC and also after NAC (p=0.032). Tumor localization had a significant impact on survival (p=0.034) with best survival with tumor in middle lobe and worst survival with bilobar tumors. Conclusion: We noticed an increased survival with age <60 years, feminine gender, well differentiated tumor, patient with no parietal involvement, NAC protocol other than Gemzar-Cisplatine, complete or partial response to NAC, pneumonectomy as the type of resection, no enlargement resection, uneventful postoperative, R0 resection, N0 status after NAC and finally pN0 status.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"82 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85551644","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 Effectiveness of Pulmonary Rehabilitation in Comparison Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis","authors":"M. Kerti, K. Kelemen, J. Varga","doi":"10.4172/2161-105X.1000475","DOIUrl":"https://doi.org/10.4172/2161-105X.1000475","url":null,"abstract":"","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90451964","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":"Improvement of Acute Respiratory Distress Syndrome with Ethyl Alcohol Infusion into the Airway: A Case Report","authors":"G. Takahashi, S. Endo","doi":"10.4172/2161-105X.1000464","DOIUrl":"https://doi.org/10.4172/2161-105X.1000464","url":null,"abstract":"Background:This case involves a male in his late thirties who was transported from another institution to our hospital in a state of haemorrhagic shock after receiving severe injuries in a traffic accident. Case Presentation: After hospitalisation and artificial respiration under sedation, his respiratory condition worsened on the 2nd hospital day, and he was diagnosed with acute respiratory distress syndrome (ARDS) with an arterial oxygen partial pressure to fractional inspired oxygen [PaO2/FiO2 (P/F)] ratio of ≤ 300. A large amount of bloody foamy sputum was expectorated on the 4th hospital day, and his P/F ratio decreased to 44; the amount of sputum did not reduce even after implementing sputum suction every 3-5 min. We considered introducing an extracorporeal membrane oxygenation device, but because it was an emergency situation with <80% of percutaneous oxygen saturation, we instead performed suction operation several times immediately after injecting 10 cc of ethyl alcohol (76.9 to 81.6 vol%) into the pulmonary alveoli. Subsequently, bloody foamy sputum expectoration was suddenly decreased, and the patient recovered from ARDS on the 7th hospital day, with a marked improvement in his P/F ratio. Conclusions: We have reported the implications of our continuous measurement for neutrophil elastase, interleukin 8 and surfactant protein D in blood and sputum, as well as how these metrics related to the patient’s respiratory state.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"26 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87466738","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":"Relation of Indoor Storage of Dried Tobacco Leaves to Reporting of Respiratory Symptoms: Case of Tobacco Farms Households in South Lebanon","authors":"A. Bazzi, G. Zaatari, M. Makki, H. Tamim, S. Zeineldine","doi":"10.4172/2161-105x.1000478","DOIUrl":"https://doi.org/10.4172/2161-105x.1000478","url":null,"abstract":"Objective: Earlier studies associated the chronic exposure to the dust of tobacco leaves with increased occurrence of allergies, skin rashes, rhinitis, nausea, dizziness, vomiting, and various respiratory disorders in tobacco farmers and processors. We aimed to investigate if oriental tobacco farm households who store dried tobacco leaves inside their house are more likely to experience and report respiratory and allergic episodes or illnesses than households storing dried tobacco leaves outside the house. Methods: A cross-sectional study was conducted among tobacco farm households within the Caza of Bint Jbeil in South Lebanon. Demographic, socioeconomic, household characteristics and respiratory symptoms were assessed by separate sets of questions. The questionnaire assessed respiratory symptoms, allergies’ and smoking habits using questions items adopted mainly from The European Community Respiratory Health Survey II. Results: A borderline association was found between storage status of tobacco leaves and respiratory symptoms (OR= 1.68 (95% CI= 0.93-3.03, p=0.09). Overall, 37.0% among those who stored tobacco leaves inside their house reported respiratory symptoms in comparison to 26.0% among those who stored tobacco leaves outside. Conclusions: The study findings suggest that indoor storage of dried tobacco leaves can slightly contribute to aggravation of respiratory symptoms. Prospective cohort studies in tobacco farming communities would be useful in determining if indoor storage of dried tobacco leaves can lead to development of asthma and aggravation of symptoms especially among younger age group.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90526431","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 Exercise Desaturation Can Help Identifying Treatment Responders of COPD Pulmonary Hypertension in Real World: An Appraisal","authors":"P. Bhattacharyya, S. Sengupta, Bhatt Pd, D. Ganguly, D. Dutta, S. Mondal, Chowdhury, N. Biswas, Roy Dg, I. Haldar","doi":"10.4172/2161-105X.1000469","DOIUrl":"https://doi.org/10.4172/2161-105X.1000469","url":null,"abstract":"Background: COPD associated pulmonary hypertension (COPD-PH) leads to desaturation on exercise. It affects the health status and survival adversely. Objective: To look for the change in pulse rate, arterial oxygen saturation (SpO2), and the health status on treatment of COPD-PH with sildenafil administered on a desaturation criteria in response to a simple exercise protocol. Methods: Patients of COPD-PH (diagnosed clinic-radio-echocardiographically) were subjected to a simple and uniform exercise test involving sitting and moving between two chairs (2 chair test). The baseline and post exercise measurement of the pulse rate and SpO2 at every 10 seconds were recorded for 120 seconds. Patients showing a desaturation ≥ 3% ware prescribed PH-specific pharmacotherapy as sildenafil. Change in resting pulse rate, SpO2, and COPD assessment test (CAT score) were noted and compared after 90 ± 15 days of observation with or without sildenafil. Results: Out of 147 COPD patients, 89 (60.5%) had PH of which 62 subject qualified for sildenafil. At the end of follow up 57 and 27 subjects (with or without receiving sildenafil) were available for statistical calculation. Both the group of patients were similar in age, FEV1, FVC, and FEV1/FVC. The treated group showed an improvement in CAT (P<0.0001) and saturation (p=0.0003) while those on COPD therapy alone had mild worsening in arterial oxygen saturation (p=0.03). Inference: Patients of COPD-PH treated on the basis of exercise desaturation showed significant improvement to PH specific pharmacotherapy. The observation demands attention and validation to define the indication of PH specific pharmacotherapy in COPD-PH. *Corresponding author: Parthasarathi Bhattacharyya, Institute of Pulmocare and Research, Kolkata, India, Tel: 9165481305; E-mail: parthachest@yahoo.com Received July 06, 2018; Accepted August 31, 2018; Published September 07, 2018 Citation: Bhattacharyya P, Sengupta S, Bhattacharjee PD, Ganguly D, Dutta D, et al. (2018) Post Exercise Desaturation Can Help Identifying Treatment Responders of COPD Pulmonary Hypertension in Real World: An Appraisal. J Pulm Respir Med 8: 469. doi: 10.4172/2161-105X.1000469 Copyright: ©2018 Bhattacharyya P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"212 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75480016","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 Review on Respiratory Muscle Training Devices","authors":"Menzes Kkp, L. Nascimento, P. Avelino, J. Polese, Salmela Lft","doi":"10.4172/2161-105X.1000451","DOIUrl":"https://doi.org/10.4172/2161-105X.1000451","url":null,"abstract":"Background and aim: There are currently many devices on the market, which have been used for training of the respiratory muscles. The knowledge of these devices may help professionals to carefully select the best one to be used. However, due to the numerous available devices available, this selection represents a challenge. Although previous studies have attempted to describe all respiratory muscle training devices, important ones with proven efficacy were not included. Therefore, the purpose of this review was to describe the mechanisms and characteristics of all available respiratory muscle training devices, and discuss their merits and limitations. Methods: Searches were conducted in databases, books, website selling products related to rehabilitation, and reference lists of the retrieved papers. Results: The present review included 14 devices currently available on the market and reported by published studies. However, three could not be described in details, due to lack of information. Amongst the 11 evaluated devices, all of them showed positive aspects and limitations that should be considered. Conclusion: Although some devices appear to be more advantageous than others, it is not possible to choose the best one, based only upon their technical information and clinical utility. To select the most appropriate one, it is also necessary to consider the specific health condition, the nature of the impairments, the purpose of the training, and whether it is for use within research or clinical contexts.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"72 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84328084","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 Case Report of a Severely Immunocompromised Patient with Clinically Amyopathic Dermatomyositis-related ILD: Is CMV-prevention Indicated?","authors":"Bernhardt Ae, Leavis Hl, Verduyn Luynel Fm, Mohamed Hoesein Faa, M. Voortman, Kwakkel-van Erp Jm","doi":"10.4172/2161-105X.1000480","DOIUrl":"https://doi.org/10.4172/2161-105X.1000480","url":null,"abstract":"We herein report a case of a 59-year old female with rapidly progressive interstitial lung disease due to antiMDA-5 positive clinically amyopathic dermatomyositis. Despite initial response to a combination high dose immunosuppressive treatment, her respiratory condition deteriorated and she was screened for urgent lung transplantation. During screening an active CMV-infection was revealed, which made her ineligible for the procedure. Unfortunately, despite CMV treatment, the patient died due to her pulmonary condition. Since more aggressive immunosuppressive regimens increase risk of viral reactivation, and after reviewing the literature, we debated if in analogue with solid organ transplantation, CMV prevention or monitoring should be applied to optimize clinical outcome. *Corresponding author: Johanna Kwakkel-van Erp, Department of Pulmonology, University Hospital Antwerpen (UZA), Edegem, Belgium, Tel: +32468040187, Fax: +3238214447; E-mail: Johanna.Kwakkel-vanErp@uza.be Received November 08, 2018; Accepted November 14, 2018; Published November 21, 2018 Citation: Bernhard AE, Leavis HL, Verduyn Luynel FM, Mohamed Hoesein FAA, Voortman M, et al. (2018) A Case Report of a Severely Immunocompromised Patient with Clinically Amyopathic Dermatomyositis-related ILD: Is CMV-prevention Indicated?. J Pulm Respir Med 8: 480. doi: 10.4172/2161-105X.1000480 Copyright: ©2018 Bernhard AE, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80734675","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":"Acute Bilateral Retinal Arterial Occlusion of Unknown Origin during a Cystic Fibrosis Pulmonary Exacerbation","authors":"R. Helton, K. Allen","doi":"10.4172/2161-105X.1000481","DOIUrl":"https://doi.org/10.4172/2161-105X.1000481","url":null,"abstract":"Cystic fibrosis is a genetic disorder caused by a defective protein, cystic fibrosis transmembrane conductance regulator. The most common complications of this disease involve the pulmonary, gastrointestinal, and endocrine systems, though there are increasing reports of ocular complications related to cystic fibrosis. Here we report a case of a patient with bilateral retinal artery occlusion of unknown etiology. *Corresponding author: Richard Helton, Department of Pulmonology and Critical Care Medicine, University of Oklahoma, Oklahoma City, Oklahoma, USA, Tel: 5809270222; E-mail: richard-helton@ouhsc.edu Received December 10, 2018; Accepted December 20, 2018; Published December 27, 2018 Citation: Helton R, Allen K (2018) Acute Bilateral Retinal Arterial Occlusion of Unknown Origin during a Cystic Fibrosis Pulmonary Exacerbation. J Pulm Respir Med 8: 481. doi: 10.4172/2161-105X.1000481 Copyright: ©2018 Helton R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83402107","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}