International journal of respiratory and pulmonary medicine最新文献

{"title":"A Rare Cause of Respiratory Distress in Infants: Double Aortic Arch","authors":"Bacak Tolga, O. Sebnem, Gulec Seda Geylani, O. Evrim","doi":"10.23937/2378-3516/1410122","DOIUrl":"https://doi.org/10.23937/2378-3516/1410122","url":null,"abstract":"Vascular ring, which is a rare cause of respiratory distress in infants, results in respiratory and gastrointestinal findings due to tracheal and/or esophageal compression, but the diagnosis may be delayed because of the nonspecific symptoms. Double aortic arch is the most common vascular ring anomaly. A case of double aortic arch presented with respiratory distress, stridor, and feeding intolerance during infancy is discussed.","PeriodicalId":91516,"journal":{"name":"International journal of respiratory and pulmonary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46046789","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":"Steroid Induced Psychosis in a Rare Case of Bronchiolitis Obliterans Organizing Pneumonia","authors":"D. Bryn, Kumar Rachit","doi":"10.23937/2378-3516/1410123","DOIUrl":"https://doi.org/10.23937/2378-3516/1410123","url":null,"abstract":"We report a case of an 84-year-old female with altered mental status and known Bronchiolitis Obliterans Organizing Pneumonia suspected from high dose steroid who presented for medical management of acute psychosis. This case centers on the inpatient management of older patients in the setting of steroid use with consideration given to dosing, supportive care and therapy during management.","PeriodicalId":91516,"journal":{"name":"International journal of respiratory and pulmonary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46930124","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":"Treatment Adherence and Factors Affecting among Adult Asthmatic Patients at Soddo Christian General Hospital, Southern Ethiopia: Cross-Sectional Study","authors":"Koyra Hailu Chare, Chinasho Tamirat","doi":"10.23937/2378-3516/1410121","DOIUrl":"https://doi.org/10.23937/2378-3516/1410121","url":null,"abstract":"Background: Evidences reveal that bellow half of asthma patients are adherent to their medications. Striving for improved adherence and asthma control is of vital concern in today’s asthma management. In a recent document, the world health organization recognized lack of adherence as a major problem in management of chronic disease and concluded that improving adherence would have more beneficial impact on health outcome than improving specific treatment. But, study findings addressing its magnitude and associated factors are lacking in the country and hence current study was aimed to assess level of treatment adherence and factors affecting among asthmatic patients in Soddo Christian General hospital, from July to August, 2017. Methodology: A facility based cross-sectional study design was used. Data was collected through structured questionnaire to collect information on socio-demographic, socio-economic and information on medication adherence and disease related factors. Completeness of the data was checked every day and cleaned and analyzed. Descriptive analysis was computed as frequency, mean and standard deviation (SD) for continuous variables and for categorical data. The out puts of different study findings was presented using tables, graphs, & figures accordingly. Results: Among 106 patients participated in the study, 62 (59%) were males and majority of the respondents found within age range of 36-45, 36 (34%). It was found that 139 (59%) of asthmatic patients had poor adherence for which the most common factors affecting adherence were, forgetting to take the drug 25 (23.5%) and being busy with other tasks 18 (17%). Majority (79%) of asthmatic patients reported as they use alternative methods as means of treatment. Conclusion: The level of adherence to asthma medication was relatively lower when compared to others studies done in developing countries. The major reasons for missing doses were simple forgetfulness, absences of clear drug information and being busy with other things. Hence, health care providers especially pharmacists should provide accessible information to patients on their treatment plan to ensure patients keep their regular follow up, improve their patient’s confidence and to avoid drug abuse.","PeriodicalId":91516,"journal":{"name":"International journal of respiratory and pulmonary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45084296","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 Liver Injury: Due to a Rare Case Accompanied by Cardiac and Pulmonary Complications","authors":"Z. Fatih, Suleymanova Vafa, Sonsöz Mehmet Rasih, E. Mustafa","doi":"10.23937/2378-3516/1410120","DOIUrl":"https://doi.org/10.23937/2378-3516/1410120","url":null,"abstract":"Background: One of the most important causes of acute hepatitis is vascular pathologies of the liver. There are several well-recognized forms of vascular injury to the liver, including Budd-Chiari syndrome, ischemic hepatitis, hepatic infarction and passive congestion due to hemodynamic instability. We present a case of acute liver injury accompanied by hemodynamic and respiratory pathologies. Case: A 53-year-old lady was admitted to the emergency department with complaints of abdominal pain, nausea, vomiting for a week. Gastrointestinal examination was normal. Laboratory tests revealed mild thrombocytopenia, prolonged international normalized ratio (INR) and transaminases were ten-fold higher. In abdominal ultrasonography, no signs of chronic liver failure and vascular pathologies. Abdominal computed tomography (CT) revealed no pathology. Transthoracic echocardiography disclosed severe mitral regurgitation and dilatation of both atria and right ventricle. Pro-BNP level was increased. Thorax CT demonstrated filling defect compatible with pulmonary thromboembolism (PTE). The patient was accepted PTE, and enoxaparin treatment was initiated. Under the anticoagulant and diuretic treatments, the patient’s orthopnea disappeared, control blood values declined. Conclusion: Acute liver injury can be the initial presentation in a patient with severe valvular disease and acute PTE.","PeriodicalId":91516,"journal":{"name":"International journal of respiratory and pulmonary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48281548","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":"Effectiveness and Safety of Tunneled Pleural Catheter Placement in Patients with Malignant Pleural Effusions","authors":"León-Román Francisco, Pintado-Cort Beatriz, Chiluiza-Reyes Diana, M. Edwin, Rodriguez-Calle Carmen, Velasco-Álvarez Diurbis, Pérez-Figuera Andrea, Barbero-Herranz Esther, Arrieta-Narváez Paola, Almonacid-Sánchez Carlos, Quezada-Loaiza Andrés, P. Beatriz, Barrios-Barreto Deisy","doi":"10.23937/2378-3516/1410119","DOIUrl":"https://doi.org/10.23937/2378-3516/1410119","url":null,"abstract":"Citation: León-Román F, Pintado-Cort B, Chiluiza-Reyes D, Mercedes-Noboa E, Rodriguez-Calle C, et al. (2019) Effectiveness and Safety of Tunneled Pleural Catheter Placement in Patients with Malignant Pleural Effusions. Int J Respir Pulm Med 6:119. doi.org/10.23937/2378-3516/1410119 Accepted: September 24, 2019; Published: September 26, 2019 Copyright: © 2019 León-Román F, 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":91516,"journal":{"name":"International journal of respiratory and pulmonary medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41666271","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":"Posterior Vitreous Detachment Prevalence in Patients with Chronic Obstructive Pulmonary Disease","authors":"Daldal Hatice, Y. Musa, B. Yavuz","doi":"10.23937/2378-3516/1410118","DOIUrl":"https://doi.org/10.23937/2378-3516/1410118","url":null,"abstract":"Purpose: The aim of this study is to evaluate the prevalence of posterior vitreous detachment (PVD) in chronic obstructive pulmonary disease (COPD) patients. Material and methods: 142 eyes of 71 consecutive patients with COPD who are applied to ophthalmology clinic were included in the retrospective study from January 2012 to August 2013. Trauma, ophthalmologic surgery history, diabetic retinopathy, uveitis, chorioretinitis, retinitis pigmentosa, retinal detachment and tears in the anamnesis and ophthalmologic examination were excluded from study. The visual acuity of the patients was assessed using Snellen chart. Intraocular pressure was measured with applanation tonometry. Fundus examination was performed using +90D lens after pupil dilation with 0.5% tropicamide following biomicroscopic anterior segment examination. All patients underwent peripheral retinal examination with Goldmann three-mirror lens to detect the presence of retinal tear. A and B mode ultrasonography was performed to patients. Results: 142 eyes of 71 patients, 5 of whom were female (7%) and 66 of whom were male (93%) were included to the study. The patients were aged between 43-80 years and the mean age of the cases was 62.61 ± 8.34. The average visual acuity was found as 0.78 ± 0.25 (0.05-1). Mean intraocular pressure was found as 12.5 ± 2.26 mmHg (8-18 mmHg). PVD was detected in 87 eyes of 142 eyes. The prevalence of PVD was found as 61.26%. 46 (52.87%) patients of 87 cases were symptomatic. Conclusion: The PVD prevalence was higher in this age group in COPD patients than normal population. The reason of this may be concussion by increased cough reflex and amount in COPD. Pathologies that may cause increased cough reflex like COPD can be evaluated for risk factors and tendency to PVD. In conclusion, PVD is an important situation because it may lead to vitreoretinal pathologies like retinal tear, retinal detachment, intravitreal hemorrhage, macular hole. Therefore COPD patients should be evaluated by an ophthalmologist for early diagnosis and treatment.","PeriodicalId":91516,"journal":{"name":"International journal of respiratory and pulmonary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48846641","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":"Management of Obstructive Bronchial Fibrolipoma Bronchoscopically","authors":"Sökücü Sinem Nedime, Ö. Cengiz, Kahya Özlem, Önür Seda Tural, D. Levent","doi":"10.23937/2378-3516/1410117","DOIUrl":"https://doi.org/10.23937/2378-3516/1410117","url":null,"abstract":"Lipomas are unsual tumors endobroncially and they make 0.1 0.5% of lung tumors. Diagnosis is often misleading due to these non-specific symptoms and the appearance of the mass on imaging studies. Biopsy is the key feature for the diagnosis. The treatment for endobronchial lipoma is surgical or endoscopic resection. Early treatment may prevent distal lung damage. A patient with a mass lesion as a coincidental finding after chest trauma diagnosed as endobronchial fibrolipomatosis. Endobronchial treatment of this rare tumor and follow up is presented with review of literature.","PeriodicalId":91516,"journal":{"name":"International journal of respiratory and pulmonary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48686226","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":"Diagnostic Yield of Fiberoptic Bronchoscopy for the Evaluation of Chronic Cough in Patients with Normal Chest X-Ray","authors":"S. Zainab, Reid Ro Jay, Solis Roberto","doi":"10.23937/2378-3516/1410116","DOIUrl":"https://doi.org/10.23937/2378-3516/1410116","url":null,"abstract":"Approximately 30 million annual clinic visits are attributed to cough in the United States. Moreover, evaluation and management of persistent cough in pulmonary clinics account for roughly 40% of patient volume. The most common etiologies are: Upper airway cough syndrome (UACS), asthma, non-asthmatic eosinophilic bronchitis (NAEB) and gastro-esophageal reflux disease (GERD) all of which are treatable. However, despite avoidance of triggers and medical therapy, there remains an elusive diagnosis for some individuals with persistent cough. Further investigation warrants bronchoscopy, which is indicated for patients with persistent or unexplained cough. The purpose of this study is to assess the diagnostic yield of fiberoptic bronchoscopy (FB) with Broncho-alveolar lavage (BAL) for chronic cough in patients with normal chest roentgenogram. FB records were reviewed in cohort for a period of 3 years. Only patients with normal chest roentgenograms who remained refractory to medical therapy were included in the study. Fifty-two (52) cases encompassing ages 20-90 were reviewed. In 42 cases, BAL was negative for any diagnostic cause. Eight (8) cases were significant for infectious processes, one (1) case diagnosed bronchiectasis, and 1 case was lost to follow-up. Statistical analysis between the total cases in each group was statistically significant p < 0.001. Thus, though FB with BAL is indicated in chronic cough of unknown etiology, its diagnostic yield is low.","PeriodicalId":91516,"journal":{"name":"International journal of respiratory and pulmonary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46208187","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 of Pregnancy in a Patient with Idiopathic Fibrosing Mediastinitis","authors":"Jeffrey Miller, J. Elwing","doi":"10.23937/2378-3516/1410115","DOIUrl":"https://doi.org/10.23937/2378-3516/1410115","url":null,"abstract":"We report a case of a 36-years-old female with known Fibrosing Mediastinitis (FM) suspected from prior Histoplamosis infection who presented for medical induction of first pregnancy. The case centers on the outpatient and peripartum management of pregnant patients in the setting of FM with consideration given to method of delivery and anesthetic options during delivery.","PeriodicalId":91516,"journal":{"name":"International journal of respiratory and pulmonary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43353967","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":"Is A Body Shape Index (ABSI) Predictive of Lung Functions?","authors":"Soltanifar Mohsen, Karunanayake Chandima, K Dinesh, Henderson Raina, Konehnck Niels, Abonyi Sylvia, A. DosmanJames, P. Punam, Fenton Mark","doi":"10.23937/2378-3516/1410101","DOIUrl":"https://doi.org/10.23937/2378-3516/1410101","url":null,"abstract":"Rationale: The available spirometric lung function equations in Canadian context have been limited to age and height as predictors and Caucasian ethnicity. The plausible equations with other individual predictors and First Nations populations are missing in the current literature. Objective: To set an initial investigation in terms of study sample size and simple reference spirometric equations on the association of the set of conventional predictors in companion with two new predictors BMI and ABSI with spirometric lung function equations in Canadian First Nations Cree Populations. Methods: First Nations Lung Health Project (FNLHP) was conducted in rural Saskatchewan, Canada. For this analysis, we used data obtained on healthy non-smokers. There were 37 First Nations people (24 females, 13 males) from the FNLHP. Bootstrap regression technique was utilized to predict pulmonary lung functions in terms of age, weight, abdominal girth and body mass index (BMI), and a body shape index (ABSI). Main results: Controlled for age, BMI had significant association for FEF25-75 for women and no significant association for men in other outcomes. Controlled for age, ABSI had significant association for FEV1 for women and significant association for FVC and FEV1/FVC for men. In overall, ABSI was better predictor of spirometric outcomes compared to BMI. Conclusion: ABSI may be considered as a key predictor for spirometric lung functions in men and women for Canadian First Nation Populations with more significant results in men.","PeriodicalId":91516,"journal":{"name":"International journal of respiratory and pulmonary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43937678","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}