Breathe最新文献 - Book学术

The role of weight management in sleep disordered breathing. 体重管理在睡眠呼吸障碍中的作用。

IF 3.4

Breathe Pub Date : 2025-09-16 eCollection Date: 2025-07-01 DOI: 10.1183/20734735.0182-2025

William Griffin, Carel W le Roux, Helen M Heneghan, Donal O'Shea, John F Garvey

{"title":"The role of weight management in sleep disordered breathing.","authors":"William Griffin, Carel W le Roux, Helen M Heneghan, Donal O'Shea, John F Garvey","doi":"10.1183/20734735.0182-2025","DOIUrl":"10.1183/20734735.0182-2025","url":null,"abstract":"Sleep disordered breathing (SDB) has a significant impact on public health, with obesity being a major contributing factor. Obstructive sleep apnoea (OSA) and obesity hypoventilation syndrome (OHS) are primary conditions in SDB, strongly linked to increased body mass index. Obesity exacerbates airway narrowing, reduces lung volumes and promotes inflammation, aggravating OSA and OHS. Weight loss, achieved through nutritional therapies, pharmacotherapy or surgical therapies, reduces apnoea-hypopnea index and associated obesity-related complications. Caloric restriction and exercise provide modest improvements, often independently of substantial weight reduction. Bariatric surgery achieves substantial improvements in many cases but displays variability in outcomes. Emerging pharmacological treatments, such as glucagon-like peptide-1 receptor agonists, show promise for patients with concurrent obesity and SDB. Personalised interventions, including physiological phenotyping and multidisciplinary management, would provide effective treatment strategies. Further research into long-term outcomes, novel therapies and mechanisms beyond weight reduction is essential. Obesity prevention also remains crucial for mitigating the burden of SDB globally. This review will evaluate the role of obesity management strategies in improving SDB outcomes, and will highlight the bidirectional relationship between obesity and SDB, emphasising an integrated patient-centred approach.","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 3","pages":"250182"},"PeriodicalIF":3.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Massive" haemoptysis. “大规模”咯血。

IF 3.4

Breathe Pub Date : 2025-09-16 eCollection Date: 2025-07-01 DOI: 10.1183/20734735.0045-2025

Ali Hafiz, Anmol Baidwan

引用次数: 0

Bilateral pleural effusions, ascites and pulmonary emboli: Meigs syndrome. 双侧胸腔积液，腹水和肺栓塞：Meigs综合征。

IF 3.4

Breathe Pub Date : 2025-09-16 eCollection Date: 2025-07-01 DOI: 10.1183/20734735.0289-2024

Ahmed Etman, Avinash Aujayeb

引用次数: 0

The history of pulmonary rehabilitation: learning from the past to shape a brighter future. 肺康复的历史：以史为鉴，共创美好未来。

IF 3.4

Breathe Pub Date : 2025-09-16 eCollection Date: 2025-07-01 DOI: 10.1183/20734735.0171-2025

Claudio Candia, Ludovico Maniscalco, Salvatore Fuschillo, Michele Vitacca, Nicolino Ambrosino, Mauro Maniscalco

引用次数: 0

The current state of ultrasound training in pulmonary residency programmes in the Netherlands: an educational review. 超声培训在荷兰肺住院医师方案的现状：教育审查。

IF 3.4

Breathe Pub Date : 2025-09-16 eCollection Date: 2025-07-01 DOI: 10.1183/20734735.0099-2025

Wytze S de Boer, Carlijn Veldman, Krista L Parlevliet, Wouter H van Geffen, Mireille A Edens, Jos A Stigt, Dirk Jan Slebos, Marieke L Duiverman

{"title":"The current state of ultrasound training in pulmonary residency programmes in the Netherlands: an educational review.","authors":"Wytze S de Boer, Carlijn Veldman, Krista L Parlevliet, Wouter H van Geffen, Mireille A Edens, Jos A Stigt, Dirk Jan Slebos, Marieke L Duiverman","doi":"10.1183/20734735.0099-2025","DOIUrl":"10.1183/20734735.0099-2025","url":null,"abstract":"Thoracic ultrasound (TUS) is becoming a key diagnostic tool in pulmonary medicine. However, use of this tool may vary between older pulmonologists with less TUS experience and younger generations, including residents, who see the need for TUS training. This review explores nationwide differences in ultrasound training and seeks to improve education quality. We surveyed all Dutch pulmonary medicine programme directors and residents with four sections: baseline questions, applicability, skills and attitude, and future perspectives. Between March and June 2024, we distributed the questionnaire to 193 residents and 26 programme directors. 72 residents (37%) and 19 programme directors (78%) responded. While ultrasound was widely available (95%), the integration with electronic health records remained limited (53%). The majority of respondents considered TUS an essential skill: 92% of the residents and 78% of programme directors (p=0.279). However, several barriers hindered effective training, including a lack of supervisors (reported by 67% of residents), supervisor time constraints (35%), limited access to ultrasound equipment (28%) and resident time constraints (28%). Pulmonary education must move beyond the mentor-apprentice model for ultrasound training, due to a lack of experienced mentors. This review highlights the need for a structured, standardised TUS training programme with proper infrastructure, supervision and hands-on practice.","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 3","pages":"250099"},"PeriodicalIF":3.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The road less travelled: thoracic ultrasound, advanced imaging and artificial intelligence for early diagnosis of non-expandable lung in malignant pleural effusion. 未走的路：胸部超声、先进成像和人工智能在恶性胸腔积液非可扩张肺早期诊断中的应用。

IF 3.4

Breathe Pub Date : 2025-09-16 eCollection Date: 2025-07-01 DOI: 10.1183/20734735.0179-2025

Guido Marchi

{"title":"The road less travelled: thoracic ultrasound, advanced imaging and artificial intelligence for early diagnosis of non-expandable lung in malignant pleural effusion.","authors":"Guido Marchi","doi":"10.1183/20734735.0179-2025","DOIUrl":"10.1183/20734735.0179-2025","url":null,"abstract":"Malignant pleural effusion (MPE) affects up to 15% of cancer patients, with nearly 30% of symptomatic cases developing non-expandable lung (NEL), a condition characterised by the lung's failure to fully re-expand post-drainage, thereby impeding proper pleural apposition and leading to several adverse outcomes. Inadequate diagnostic certainty leads to prolonged hospitalisation, repeated invasive procedures, drainage complications, high pleurodesis failure rates, increased healthcare costs and diminished patient quality of life. Conventional diagnostic methods, predominantly based on post-procedural chest radiography and computed tomography, frequently delay accurate diagnosis, underscoring the need for noninvasive pre-procedural techniques. Emerging evidence supports thoracic ultrasound, particularly the application of M-mode during breath-hold, as a promising modality for early NEL detection by identifying the absent sinusoidal sign and reduced lung movement. Experimental approaches, including speckle tracking imaging, two-dimensional shear wave elastography and quantitative ultrasound assessments via the lung/liver echogenicity ratio, also show potential, albeit with limitations that warrant further validation. Integration of artificial intelligence into multimodal imaging workflows may enhance diagnostic precision and predictive modelling, ultimately facilitating personalised therapeutic strategies and transforming the management of NEL in MPE. These innovations promise to reduce invasive diagnostics and healthcare costs while improving patient outcomes and quality of life in MPE-associated NEL.","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 3","pages":"250179"},"PeriodicalIF":3.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spirometry update 2019: phase 4 forced maximal inspiration and new acceptability criteria. 肺活量测定更新2019：第4阶段强制最大吸气和新的可接受标准。

IF 3.4

Breathe Pub Date : 2025-08-19 eCollection Date: 2025-07-01 DOI: 10.1183/20734735.0100-2025

Sunil K Chhabra, Mandeep Singh

引用次数: 0

Acute post-operative respiratory insufficiency and diffuse alveolar haemorrhage in a young and healthy adult. 一例年轻健康成人术后急性呼吸功能不全和弥漫性肺泡出血

IF 3.4

Breathe Pub Date : 2025-08-19 eCollection Date: 2025-07-01 DOI: 10.1183/20734735.0146-2025

Tom Verresen, David Ruttens

引用次数: 0

A 28-year-old woman with chronic respiratory symptoms: navigating a diagnostic puzzle. 一名患有慢性呼吸道症状的28岁女性：解决诊断难题。

IF 3.4

Breathe Pub Date : 2025-08-19 eCollection Date: 2025-07-01 DOI: 10.1183/20734735.0007-2025

Diego Abdala, Fabián Gonzalez, Rafael Del Rio, Victoria Fernández Gómez, Carolina Moreno, Mónica Carrizo, Viviana Salas, Maura Andrea Vaca Segovia, Luciano José Martínez, Alejandro Torres, María Cecilia D'Arpino, Virginia Helena Albarracín

引用次数: 0

New strategies in the management of pneumothorax. 气胸治疗的新策略。

IF 3.4

Breathe Pub Date : 2025-08-19 eCollection Date: 2025-07-01 DOI: 10.1183/20734735.0250-2024

Finbarr Harnedy, Eimear Foley, Deirdre B Fitzgerald

引用次数: 0