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Unveiling the power of neutral and inclusive language in tuberculosis prevention and care. 在结核病预防和护理工作中发挥中性和包容性语言的力量。
IF 2
Breathe Pub Date : 2023-12-01 Epub Date: 2024-02-13 DOI: 10.1183/20734735.0157-2023
Pedro Barbosa, Mariana Vieira, João Pedro Ramos, Raquel Duarte
{"title":"Unveiling the power of neutral and inclusive language in tuberculosis prevention and care.","authors":"Pedro Barbosa, Mariana Vieira, João Pedro Ramos, Raquel Duarte","doi":"10.1183/20734735.0157-2023","DOIUrl":"10.1183/20734735.0157-2023","url":null,"abstract":"<p><p>Language plays a crucial role in shaping discourses and responses related to disease, particularly tuberculosis (TB). Stigmatising language and attitudes surrounding TB can lead to discrimination and marginalisation of affected individuals, creating barriers to seeking proper diagnosis and treatment. The terminology used to describe TB-affected individuals can be disempowering and criminalising, reinforcing an \"othering\" of those affected. To combat this, engaging with TB-affected communities is essential to co-construct a neutral and inclusive vocabulary that respects the dignity of individuals and fosters empathy and support. Thus, an inclusive language approach empowers affected individuals as active participants in their health management, encouraging open communication and the development of support networks. By adopting a neutral and inclusive language system, healthcare providers and communities can work together to remove unnoticed hurdles and align with the World Health Organization's TB care and prevention goals.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"19 4","pages":"230157"},"PeriodicalIF":2.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10862121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139729048","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
Thoracic ultrasound for pneumothorax and infectious effusion: from equine beginnings to clinical cornerstone. 胸腔超声波治疗气胸和感染性渗出物：从马开始到临床基石。
IF 2
Breathe Pub Date : 2023-12-01 Epub Date: 2023-12-19 DOI: 10.1183/20734735.0153-2023
Casper Falster, Elise Noël-Savina, Thomas Gille, Pia Pietersen
{"title":"Thoracic ultrasound for pneumothorax and infectious effusion: from equine beginnings to clinical cornerstone.","authors":"Casper Falster, Elise Noël-Savina, Thomas Gille, Pia Pietersen","doi":"10.1183/20734735.0153-2023","DOIUrl":"https://doi.org/10.1183/20734735.0153-2023","url":null,"abstract":"<p><p><b>Routine clinical application of thoracic ultrasound has greatly enhanced the process of diagnosing and treating patients with pneumothorax and infectious effusion by minimising radiation exposure and facilitating prompt diagnosis</b> https://bit.ly/3FO6jBg.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"19 4","pages":"230153"},"PeriodicalIF":2.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10729822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138828286","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
A young boy with diabetic ketoacidosis and non-resolving pneumonia. 一名患有糖尿病酮症酸中毒和难治性肺炎的小男孩。
IF 2
Breathe Pub Date : 2023-12-01 Epub Date: 2023-12-19 DOI: 10.1183/20734735.0161-2023
Rakesh Kodati, Narendra Kumar Narahari, Anuradha Tadepalli, Nishika Madireddy, Bhaskar Kakarla, Paramjyothi Gongati
{"title":"A young boy with diabetic ketoacidosis and non-resolving pneumonia.","authors":"Rakesh Kodati, Narendra Kumar Narahari, Anuradha Tadepalli, Nishika Madireddy, Bhaskar Kakarla, Paramjyothi Gongati","doi":"10.1183/20734735.0161-2023","DOIUrl":"https://doi.org/10.1183/20734735.0161-2023","url":null,"abstract":"<p><p><b>Classic radiological signs of invasive fungal disease, especially pulmonary mucormycosis in a predisposed individual should alert the physician to initiate empiric anti-fungal therapy.</b> https://bit.ly/40gt4Hm.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"19 4","pages":"230161"},"PeriodicalIF":2.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10729818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138828263","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
Diagnosing and managing pleural disease. 诊断和处理胸膜疾病。
IF 2.3
Breathe Pub Date : 2023-12-01 Epub Date: 2023-12-19 DOI: 10.1183/20734735.0230-2023
Brian D Kent
{"title":"Diagnosing and managing pleural disease.","authors":"Brian D Kent","doi":"10.1183/20734735.0230-2023","DOIUrl":"10.1183/20734735.0230-2023","url":null,"abstract":"<p><p><b>This issue of <i>Breathe</i> focuses on the management of pleural disease</b> https://bit.ly/4a7dh1S.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"19 4","pages":"230230"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10729826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138828264","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
Chronic cough: is the end nigh? 慢性咳嗽：末日即将来临？
IF 2
Breathe Pub Date : 2023-12-01 Epub Date: 2024-02-13 DOI: 10.1183/20734735.0165-2023
Barnaby Hirons, Richard Turner, Peter S P Cho, Surinder S Birring
{"title":"Chronic cough: is the end nigh?","authors":"Barnaby Hirons, Richard Turner, Peter S P Cho, Surinder S Birring","doi":"10.1183/20734735.0165-2023","DOIUrl":"10.1183/20734735.0165-2023","url":null,"abstract":"<p><p>Chronic cough (lasting more than 8 weeks) is a common condition with substantial psychosocial impact. Despite huge efforts following robust guidelines, chronic cough in many patients remains refractory or unexplained (RU-CC). Recent insights support a significant role for cough hypersensitivity in RU-CC, including neuropathophysiological evidence from inhalational cough challenge testing, functional magnetic resonance imaging, and airway nerve biopsy. Along with improved approaches to measuring cough, this knowledge has developed in tandem with repurposing neuromodulator medications, including gabapentin, and evidence for non-pharmacological treatments. Most significantly, there is now a pipeline for novel classes of drugs specifically for chronic cough. The P2X3 receptor antagonist gefapixant is the first such drug to be approved in Europe. However, challenges persist. The field of chronic cough needs more robust epidemiological data, enhanced diagnostic tools, further well-designed clinical trials accounting for the effects of placebo, and treatments with minimal side-effects. Addressing these challenges are novel chronic cough registries, improved International Classification of Diseases (10th revision) coding, genetic testing options and further mechanistic studies. This Viewpoint article discusses these facets and considers how, whilst the end of chronic cough may not be imminent for all patients, the evolving landscape looks increasingly optimistic.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"19 4","pages":"230165"},"PeriodicalIF":2.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10862122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139729002","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
Malignant pleural disease. 恶性胸膜疾病。
IF 2
Breathe Pub Date : 2023-12-01 Epub Date: 2024-02-13 DOI: 10.1183/20734735.0145-2023
Laura M Piggott, Conor Hayes, John Greene, Deirdre B Fitzgerald
{"title":"Malignant pleural disease.","authors":"Laura M Piggott, Conor Hayes, John Greene, Deirdre B Fitzgerald","doi":"10.1183/20734735.0145-2023","DOIUrl":"10.1183/20734735.0145-2023","url":null,"abstract":"<p><p>Malignant pleural disease represents a growing healthcare burden. Malignant pleural effusion affects approximately 1 million people globally per year, causes disabling breathlessness and indicates a shortened life expectancy. Timely diagnosis is imperative to relieve symptoms and optimise quality of life, and should give consideration to individual patient factors. This review aims to provide an overview of epidemiology, pathogenesis and suggested diagnostic pathways in malignant pleural disease, to outline management options for malignant pleural effusion and malignant pleural mesothelioma, highlighting the need for a holistic approach, and to discuss potential challenges including non-expandable lung and septated effusions.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"19 4","pages":"230145"},"PeriodicalIF":2.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10862126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139729003","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
Preview of the Lung Science Conference 2024. 2024 年肺科学大会预览。
IF 2.3
Breathe Pub Date : 2023-12-01 Epub Date: 2024-01-16 DOI: 10.1183/20734735.0226-2023
Sara Cuevas Ocaña, Pauline Bardin, Rui Marçalo, Heleen Demeyer
{"title":"Preview of the Lung Science Conference 2024.","authors":"Sara Cuevas Ocaña, Pauline Bardin, Rui Marçalo, Heleen Demeyer","doi":"10.1183/20734735.0226-2023","DOIUrl":"10.1183/20734735.0226-2023","url":null,"abstract":"<p><p><b>LSC 2024 offers access to cutting-edge scientific sessions, the opportunity to network with international experts, the possibility to present and discuss the latest findings, and be mentored by ERS leaders. We are looking forward to welcoming you there!</b> https://bit.ly/3Rxr7SH.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"19 4","pages":"230226"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10790179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139477990","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
Use of exhaled nitric oxide in the diagnosis and monitoring of childhood asthma: myth or maxim? 在诊断和监测儿童哮喘时使用呼出的一氧化氮：神话还是格言？
IF 2
Breathe Pub Date : 2023-12-01 Epub Date: 2023-12-19 DOI: 10.1183/20734735.0236-2022
Anna Fraser, Ruaraidh Simpson, Steve Turner
{"title":"Use of exhaled nitric oxide in the diagnosis and monitoring of childhood asthma: myth or maxim?","authors":"Anna Fraser, Ruaraidh Simpson, Steve Turner","doi":"10.1183/20734735.0236-2022","DOIUrl":"https://doi.org/10.1183/20734735.0236-2022","url":null,"abstract":"<p><p>Asthma is a common condition in children. This review describes the evidence from the literature and international asthma guidelines for using fractional exhaled nitric oxide (<i>F</i><sub>ENO</sub>) in the diagnosis and monitoring of childhood asthma. The accuracy of <i>F</i><sub>ENO</sub> measuring devices could be further improved, the difference in <i>F</i><sub>ENO</sub> results between devices are equivalent to what is considered a clinically important difference. For diagnosing asthma no guideline currently recommends <i>F</i><sub>ENO</sub> is used as the first test, but many recommend <i>F</i><sub>ENO</sub> as part of a series of tests. A cut-off of 35 ppb is widely recommended as being supportive of an asthma diagnosis, but evidence from children at risk of asthma suggests that a lower threshold of 25 ppb may be more appropriate. Nine randomised clinical trials including 1885 children have added <i>F</i><sub>ENO</sub> to usual asthma care and find that exacerbations are reduced when care is guided by <i>F</i><sub>ENO</sub> (OR for exacerbation compared to usual care 0.77, 95% CI 0.62-0.94). What is not clear is what cut-off(s) of <i>F</i><sub>ENO</sub> should be used to trigger a change in treatment. After 30 years of intensive research there is not sufficient evidence to recommend <i>F</i><sub>ENO</sub> for routine diagnosing and monitoring asthma in children.</p><p><strong>Educational aims: </strong>To give the reader an overview of literature that supports and does not support the role of <i>F</i><sub>ENO</sub> in diagnosing asthma in children.To give the reader an overview of literature that supports and does not support the role of <i>F</i><sub>ENO</sub> in monitoring asthma in children.To give the reader an understanding of the role of <i>F</i><sub>ENO</sub> in international guidelines for diagnosing and monitoring asthma in children.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"19 4","pages":"220236"},"PeriodicalIF":2.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10729813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138828287","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 contemporary management of spontaneous pneumothorax in adults. 成人自发性气胸的现代治疗方法。
IF 2
Breathe Pub Date : 2023-12-01 Epub Date: 2024-01-16 DOI: 10.1183/20734735.0135-2023
Matthew Shorthose, Eleanor Barton, Steven Walker
{"title":"The contemporary management of spontaneous pneumothorax in adults.","authors":"Matthew Shorthose, Eleanor Barton, Steven Walker","doi":"10.1183/20734735.0135-2023","DOIUrl":"10.1183/20734735.0135-2023","url":null,"abstract":"<p><p>Spontaneous pneumothorax is a common presentation, and there has been a recent surge of research into the condition. With the recent publication of the new British Thoracic Society guidelines and the upcoming European Respiratory Society guidelines, we provide a concise up-to-date summary of clinical learning points. In particular we focus on the role of conservative or ambulatory management, as well as treatment options for persistent air leak and guidance for when to refer to thoracic surgeons for the prevention of the recurrence of pneumothorax.</p><p><strong>Educational aims: </strong>To give up-to-date guidance on the acute management of spontaneous pneumothorax, including the role of conservative or ambulatory managementTo discuss the different treatment options for persistent air leak.To guide physicians on when to refer patients to thoracic surgeons for the prevention of the recurrence of pneumothorax.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"19 4","pages":"230135"},"PeriodicalIF":2.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10790175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139477993","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 European Respiratory Society led training programme improves self-reported competency and increases the use of thoracic ultrasound. 欧洲呼吸学会主导的培训计划提高了自我报告的能力，并增加了胸部超声波的使用。
IF 2.3
Breathe Pub Date : 2023-12-01 Epub Date: 2024-01-16 DOI: 10.1183/20734735.0160-2023
Pia Iben Pietersen, Lars Konge, Rahul Bhatnagar, Marek Slavicky, Najib M Rahman, Nick Maskell, Laurence Crombag, Nathalie Tabin, Christian B Laursen, Anders Bo Nielsen
{"title":"The European Respiratory Society led training programme improves self-reported competency and increases the use of thoracic ultrasound.","authors":"Pia Iben Pietersen, Lars Konge, Rahul Bhatnagar, Marek Slavicky, Najib M Rahman, Nick Maskell, Laurence Crombag, Nathalie Tabin, Christian B Laursen, Anders Bo Nielsen","doi":"10.1183/20734735.0160-2023","DOIUrl":"10.1183/20734735.0160-2023","url":null,"abstract":"<p><p>Thoracic ultrasound has become a well-implemented diagnostic tool for assessment and monitoring of patients with respiratory symptoms or disease. However, ultrasound examinations are user dependent and sufficient competencies are needed. The European Respiratory Society (ERS) hosts a structured and evidence-based training programme in thoracic ultrasound. This study aimed to explore and discuss the self-reported activity and self-reported competency of the participants during the ERS course. Online surveys were sent to the training programme participants before the second part of the course (practical part of the course), and before and 3 months after the third part of the course (final certification exam). A total of 77 participants completed the surveys. The self-reported frequency of thoracic ultrasound examinations increased during the course, and in the final survey more than 90% of the participants used thoracic ultrasound on weekly basis. The self-reported competency (on technical execution of the thoracic ultrasound examination and overall competency) also increased. The ERS thoracic ultrasound training programme forms the basis of broad theoretical knowledge and sufficient practical skills that seem to lead to behavioural changes, whereby a large proportion of the participants implemented ultrasound in their clinical practice.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"19 4","pages":"230160"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139541696","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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