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A puzzling case of pulmonary infiltrates in a young man with chronic kidney disease. 慢性肾脏疾病的年轻男性肺部浸润的令人费解的病例。
IF 2.3
Breathe Pub Date : 2025-02-25 eCollection Date: 2025-01-01 DOI: 10.1183/20734735.0174-2024
Luca Palazzolo, Ilaria Bassi, Aldo Guerrieri, Maurizio Zompatori, Giorgia Dalpiaz, Lara Pisani
{"title":"A puzzling case of pulmonary infiltrates in a young man with chronic kidney disease.","authors":"Luca Palazzolo, Ilaria Bassi, Aldo Guerrieri, Maurizio Zompatori, Giorgia Dalpiaz, Lara Pisani","doi":"10.1183/20734735.0174-2024","DOIUrl":"10.1183/20734735.0174-2024","url":null,"abstract":"<p><p><b>Can you diagnose the enigmatic case of a young man with a history of chronic kidney disease who presented with persistent pulmonary radiological abnormalities?</b> https://bit.ly/4h9uLhI.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240174"},"PeriodicalIF":2.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499460","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
Benign obstetric and gynaecological diseases associated with pleural effusion: a narrative review. 与胸腔积液相关的良性产科和妇科疾病:叙述性回顾。
IF 2.3
Breathe Pub Date : 2025-02-25 eCollection Date: 2025-01-01 DOI: 10.1183/20734735.0238-2024
Lucía Ferreiro, María E Toubes, Nuria Rodríguez-Núñez, Luis Valdés
{"title":"Benign obstetric and gynaecological diseases associated with pleural effusion: a narrative review.","authors":"Lucía Ferreiro, María E Toubes, Nuria Rodríguez-Núñez, Luis Valdés","doi":"10.1183/20734735.0238-2024","DOIUrl":"10.1183/20734735.0238-2024","url":null,"abstract":"<p><p>Certain obstetric and gynaecological diseases are associated with pleural effusion, including benign peripartum pleural effusion, endometriosis, ovarian hyperstimulation syndrome and Meigs syndrome. This review provides a comprehensive and detailed overview of this group of rare diseases. A thorough understanding of their unique characteristics is required to ensure early identification, correct diagnosis and appropriate management.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240238"},"PeriodicalIF":2.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499463","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
An educational programme for home mechanical ventilation in motor neuron disease. 运动神经元疾病的家庭机械通气教育计划。
IF 2.3
Breathe Pub Date : 2025-02-25 eCollection Date: 2025-01-01 DOI: 10.1183/20734735.0094-2024
Federica Riva-Rovedda, Marco Clari, Alessio Conti, Tiziana Esposito, Giuseppe Tabbia, Alessio Mattei, Andrea Calvo, Paolo Solidoro, Valerio Dimonte
{"title":"An educational programme for home mechanical ventilation in motor neuron disease.","authors":"Federica Riva-Rovedda, Marco Clari, Alessio Conti, Tiziana Esposito, Giuseppe Tabbia, Alessio Mattei, Andrea Calvo, Paolo Solidoro, Valerio Dimonte","doi":"10.1183/20734735.0094-2024","DOIUrl":"10.1183/20734735.0094-2024","url":null,"abstract":"<p><p>Respiratory failure represents the leading cause of death among people with motor neuron disease (MND). Home mechanical ventilation supports respiratory function, but its management places a significant demand on patients and informal caregivers. The need for consistent support to deal with home mechanical ventilation is recognised. Regardless, specific educational interventions are infrequently reported. Within its multidisciplinary clinical care pathway, the Regional Expert Centre for MND of a Northern Italy university hospital offers patients and their caregivers an educational programme on how to deal with noninvasive ventilation (NIV) and invasive mechanical ventilation (IMV) at home. NIV education is usually performed in an outpatient setting. Pneumologists and nurses train patients and caregivers about ventilator functions, management of respiratory interfaces, inhalation therapy, skin integrity preservation and respiratory deterioration detection, while respiratory therapists train patients and caregivers about the use of an assisted cough device. IMV education is performed at the hospital. Respiratory therapists, supported by nurses, train caregivers about ventilator functions, management of tracheostomy cannula, tracheal suction, inhalation therapy and use of assisted cough devices. Finally, a certification of the skills acquired is released. Future studies should assess the effectiveness of this programme in terms of satisfaction and clinical outcomes.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240094"},"PeriodicalIF":2.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499461","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
Reflections of a paediatric pulmonologist: strategies for optimising lung function tests in preschool children. 儿科肺科医生的反思:优化学龄前儿童肺功能测试的策略。
IF 2.3
Breathe Pub Date : 2025-01-21 eCollection Date: 2025-01-01 DOI: 10.1183/20734735.0178-2024
Radu Marian Gheorghiu, Iustina Violeta Stan
{"title":"Reflections of a paediatric pulmonologist: strategies for optimising lung function tests in preschool children.","authors":"Radu Marian Gheorghiu, Iustina Violeta Stan","doi":"10.1183/20734735.0178-2024","DOIUrl":"10.1183/20734735.0178-2024","url":null,"abstract":"<p><p>In recent years, our clinical practice as paediatric pulmonologists has focused on refining strategies to optimise pulmonary function tests (PFTs) for preschool children, particularly those aged as young as 2 years and 5 months. This viewpoint reflects on our experience conducting over 7000 spirometry and impulse oscillometry (IOS) tests, sharing practical insights into achieving high success rates with young children. We emphasise the importance of creating a child-friendly, minimally stimulating environment, tailored communication using familiar and engaging language, and leveraging gamification and positive reinforcement. In particular, we highlight the use of role-playing as an effective engagement strategy, allowing children to teach a stuffed toy how to perform the test. Furthermore, we differentiate the approaches required for spirometry, which demands active cooperation, and IOS, which allows for tidal breathing and is more suitable for younger or less cooperative children. Through these strategies, we have achieved consistent, technically acceptable results in preschool-aged children, aligning with the latest standardisation guidelines. Our findings demonstrate the value of adaptability, patience and creativity in paediatric PFTs, suggesting that these approaches improve not only test accuracy but also the overall experience for both children and caregivers. Future research should further investigate these techniques to enhance paediatric pulmonary testing protocols.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240178"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022245","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
High-risk pulmonary embolism in a post-operative patient. 术后高危肺栓塞1例。
IF 2.3
Breathe Pub Date : 2025-01-21 eCollection Date: 2025-01-01 DOI: 10.1183/20734735.0101-2024
Jordan Talan, Brian Reuland, Brian Kaufman, Anthony Andriotis
{"title":"High-risk pulmonary embolism in a post-operative patient.","authors":"Jordan Talan, Brian Reuland, Brian Kaufman, Anthony Andriotis","doi":"10.1183/20734735.0101-2024","DOIUrl":"10.1183/20734735.0101-2024","url":null,"abstract":"<p><p>Despite a rapidly evolving role for advanced therapeutic interventions, the majority of patients with high-risk pulmonary embolism (PE) are still undertreated. Due to complex diagnosis and management, along with a high associated mortality rate, high-risk PE offers an excellent opportunity for simulation training. We present a simulated case of high-risk PE in a post-operative patient that is designed to teach key principles of diagnosis and management. The script is widely adaptable to many institutions and customisable to diverse learner populations.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240101"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022190","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
Cardiopulmonary disease. 心肺疾病。
IF 2.3
Breathe Pub Date : 2025-01-21 eCollection Date: 2025-01-01 DOI: 10.1183/20734735.0291-2024
Imran Sulaiman
{"title":"Cardiopulmonary disease.","authors":"Imran Sulaiman","doi":"10.1183/20734735.0291-2024","DOIUrl":"10.1183/20734735.0291-2024","url":null,"abstract":"<p><p><b>This issue of <i>Breathe</i> focuses on cardiopulmonary disease</b> https://bit.ly/402TYmt.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240291"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022135","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
Extracorporeal membrane oxygenation for adults with respiratory failure secondary to cardiorespiratory disease: evolving indications and clinical practice. 体外膜氧合治疗成人心血管疾病继发呼吸衰竭:演变的适应症和临床实践
IF 2.3
Breathe Pub Date : 2025-01-21 eCollection Date: 2025-01-01 DOI: 10.1183/20734735.0119-2024
Nicola Mortimer Ocean, Brijesh V Patel, Benjamin Garfield
{"title":"Extracorporeal membrane oxygenation for adults with respiratory failure secondary to cardiorespiratory disease: evolving indications and clinical practice.","authors":"Nicola Mortimer Ocean, Brijesh V Patel, Benjamin Garfield","doi":"10.1183/20734735.0119-2024","DOIUrl":"10.1183/20734735.0119-2024","url":null,"abstract":"<p><p>Extracorporeal membrane oxygenation (ECMO) can support patients with severe cardiorespiratory failure presenting with hypoxia who would otherwise have not survived. Patient selection for ECMO is challenging and relies on the integration of physiological variables with an assessment of reversibility of the underlying condition or suitability for transplantation. In this review, we focus on patients with cardiorespiratory disease who may present with severe hypoxia. We will discuss the indications and contraindications for ECMO; the evidence for ECMO, which is limited to a small number of clinical trials and registry data; the complications of ECMO; expanding technologies and indications; the development of a multidisciplinary ECMO network; and future research. The aim is to increase knowledge of this important area for respiratory physicians.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240119"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022188","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
From basic scientific research to the development of new drugs for pulmonary arterial hypertension: insights from activin-targeting agents. 从基础科学研究到肺动脉高压新药开发:活化素靶向药物的启示。
IF 2.3
Breathe Pub Date : 2025-01-21 eCollection Date: 2025-01-01 DOI: 10.1183/20734735.0116-2024
Christophe Guignabert
{"title":"From basic scientific research to the development of new drugs for pulmonary arterial hypertension: insights from activin-targeting agents.","authors":"Christophe Guignabert","doi":"10.1183/20734735.0116-2024","DOIUrl":"10.1183/20734735.0116-2024","url":null,"abstract":"<p><p>Pulmonary arterial hypertension (PAH) is a severe disorder of the pulmonary vasculature leading to right ventricular failure. This pulmonary vascular remodelling leads to increased pulmonary vascular resistance and high pulmonary arterial pressures. Despite the development of new therapies, many patients continue to experience significant morbidity and mortality. This review offers a comprehensive overview of the current understanding of PAH pathophysiology, with a focus on key mechanisms that contribute to pulmonary endothelial cell dysfunction and the pathological accumulation of pulmonary artery smooth muscle cells, mesenchymal cells and inflammatory cells in the walls of remodelled small pulmonary vessels, three processes central to the progression of PAH. In particular, it highlights recent developments in targeting the activin signalling pathway, a novel therapeutic approach that shows promise in modulating these pathological processes. The review also addresses the ongoing challenges in translating preclinical findings into effective clinical treatments, emphasising the importance of integrating human data with preclinical models and adopting innovative strategies to bridge the gap between research and clinical practice.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240116"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022189","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
Developments in the field of respiratory nursing in Türkiye. 我国呼吸护理领域的发展。
IF 2.3
Breathe Pub Date : 2025-01-21 eCollection Date: 2025-01-01 DOI: 10.1183/20734735.0129-2024
Gamze Oğuz Erdem, Rahşan Çevik Akyil, Feride Taşkin Yilmaz
{"title":"Developments in the field of respiratory nursing in Türkiye.","authors":"Gamze Oğuz Erdem, Rahşan Çevik Akyil, Feride Taşkin Yilmaz","doi":"10.1183/20734735.0129-2024","DOIUrl":"10.1183/20734735.0129-2024","url":null,"abstract":"<p><p>Nursing plays a critical role in delivering healthcare services. It is a health discipline encompassing both science and art, designed to support people from birth to the end of life, in health and illness. Nurses are required to identify the physical and psychological needs of individuals, families and society with a comprehensive, human-oriented approach and to meet these needs. Nursing provides essential services at every stage of healthcare, from health protection and improvement to disease treatment and rehabilitation. In Türkiye, nursing education is offered at high school, associate and undergraduate levels. Specialisation in a specific branch is possible through Master's and doctoral studies. However, there is no specialised branch or recognised certificate programme in respiratory nursing. Nurses specialising in respiratory diseases typically work in respiratory or intensive care units. Respiratory nurses play a crucial role in care and treatment management within the multidisciplinary team. This viewpoint provides information about the historical development of nursing, nursing education, and the status and development of respiratory nursing in Türkiye, as well as the efforts by the International Coalition for Respiratory Nursing to recognise respiratory nursing as a specialty worldwide.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240129"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022187","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
Living with pulmonary arterial hypertension: a patient's perspective on dyspnoea crises. 肺动脉高压患者对呼吸困难危机的看法。
IF 2.3
Breathe Pub Date : 2025-01-21 eCollection Date: 2025-01-01 DOI: 10.1183/20734735.0231-2024
Natalia Maeva, Lucy Robinson
{"title":"Living with pulmonary arterial hypertension: a patient's perspective on dyspnoea crises.","authors":"Natalia Maeva, Lucy Robinson","doi":"10.1183/20734735.0231-2024","DOIUrl":"https://doi.org/10.1183/20734735.0231-2024","url":null,"abstract":"<p><p><b>A patient with pulmonary arterial hypertension shares their experiences, from diagnosis to daily life, including the physical and psychological battle of breathlessness in management of chronic lung disease</b> https://bit.ly/4gxgIBC.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240231"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022191","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
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