Qualitative Analysis of the Disease Experience of Korean Older Men With Chronic Obstructive Pulmonary Disease.
Qualitative Analysis of the Disease Experience of Korean Older Men With Chronic Obstructive Pulmonary Disease. J Gerontol Nurs. 2020 Feb 01;46(2):49-56 Authors: Kim K, Ko JW, Choi S Abstract The current qualitative study explored perceptions and experiences of chronic obstructive pulmonary disease (COPD) among Korean male older adults. Six older adults participated in a narrative group interview. Responses were analyzed to describe perceptions and experiences of COPD. Social stigma, blaming others and the environment, stress to bear alone, and adaptation and management emerged as relevant themes for adaptation to COPD. In relation to obstacles to healthy behaviors after adapting to COPD, emergent themes were adapting to symptoms, external environmental factors, alternative treatments, and insufficient resources. Facilitators of healthy behaviors were past symptom experience, personal volition, and advice from health professionals. Older adult men with COPD trying to adapt to the disease need sufficient resources and social support from families, social networks, and health professionals. Development of interventions for older adults with COPD should include knowledge and understanding of experience and needs. [Journal of Gerontological Nursing, 46(2), 49-56.]. PMID: 31978239 [PubMed - in process]
ConclusionNon-emphysematous gas trapping in the upper and lower lobes has a distinct physiological effect, especially in COPD with minimal emphysema. This local evaluation might allow sensitive detection of changes in lung hyperinflation in COPD.
AbstractPurposeImpaired health-related quality of life (HRQoL) is associated with poor health outcomes in chronic obstructive pulmonary disease (COPD). The aim of this study was to determine health utilities in patients with COPD and to identify the variables with the greatest impact.MethodsThis is a pooled analysis of data from 4 observational studies performed in stable COPD patients. Evaluation of patient HRQoL utilities was performed using the Spanish version of the self-administered EuroQoL 5 Dimensions (EQ-5D) questionnaire. EQ-5D utilities were described and compared according to several markers of disease severity....
Publication date: Available online 17 February 2020Source: Journal of the Academy of Nutrition and DieteticsAuthor(s): Corrine Hanson, Ellen K. Bowser, David C. Frankenfield, Tami A. PiemonteAbstractChronic obstructive pulmonary disease (COPD) is a progressive lung disorder in which patients are at high risk for both pulmonary and systemic complications of their disease. Medical nutrition therapy by a registered dietitian nutritionist can be an integral component of lifestyle treatment targeted at maintaining and improving outcomes, such as lung function, mortality, and quality of life. The Academy of Nutrition and Dieteti...
(St. Michael's Hospital) Researchers analyzed incidences of chronic obstructive pulmonary disease (COPD) among adults 35 years and older who were living with and without HIV between 1996 and 2015 in Ontario - where over 40 per cent of Canadians living with HIV reside. People in Ontario living with HIV had a 34 per cent higher incidence rate of COPD and were diagnosed with the disease about 12 years younger than HIV-negative individuals.
PMID: 32066154 [PubMed - in process]
Telemedicine and e-Health, Ahead of Print.
An 85-year-old man presented with left hemiparesis, too late for any intervention. Brain computed tomography (CT) revealed a right hemispheric infarct. He had a history of diabetes mellitus (on metformin, statin), hypertension (on losartan/lercanidipine), past smoking, COPD (on inhalers) and peripheral artery disease (on aspirin).
Objective: We sought to determine sex differences in outcomes in patients with severe stroke who had been admitted to inpatient rehabilitation.Methods: We studied 1,316 patients aged 18 to 99 (mean 72) classified as case-mix groups 0108, 0109, and 0110 of the Medicare case-mix classification system. These groups encompass the most severe strokes. Three outcomes were analyzed: (1) 3-year mortality from admission to rehabilitation; (2) combined outcome of transfer to acute care or death within 90 days from admission to rehabilitation; (3) functional outcome, including proportional recovery in motor functioning and good funct...
Theophylline is still one of the most widely prescribed drugs for the treatment of asthma and COPD in developing countries because the majority of asthma and COPD medicines and are largely unavailable and also because it is a cheaper option. In any case, its anti-inflammatory effects and capacity to reverse corticosteroid resistance deserve consideration, but it can induce numerous side effects and drug-drug interactions and frequently requires measurement of drug levels in plasma. In order to overcome the problems posed by theophylline, other xanthines have been developed.