Pulmonary Rehabilitation in the Management of Chronic Obstructive Pulmonary Disease among Asian Indians- Current Status and Moving Forward

COPD. 2021 Aug 12:1-6. doi: 10.1080/15412555.2021.1962267. Online ahead of print.ABSTRACTChronic Obstructive Pulmonary Disease (COPD) is a significant public health concern in India with high prevalence and associated disability, morbidity, mortality. The progression of COPD is not confined to the lungs but includes extrapulmonary involvement that reduces the functional capacity and quality of life. Pulmonary Rehabilitation (PR) is an evidence-based intervention, targeting multiple domains of pulmonary and extrapulmonary manifestations, and therefore, is recommended as an integral part of COPD management. The practical implementation of PR in India is poor. In this review, we have summarized the latest pieces of evidence in support of PR and highlight the challenges and potential solutions for PR implementation in India.PMID:34380343 | DOI:10.1080/15412555.2021.1962267
Source: COPD: Journal of Chronic Obstructive Pulmonary Disease - Category: Respiratory Medicine Authors: Source Type: research

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Abstract Chronic respiratory diseases (CRD) are de facto neglected diseases in Sub-Saharan Africa (SSA) although prevalences are significantly rising and more women and young people are affected. Disabilities from CRD lead to decreased productivity and steep increases in direct and indirect costs for individuals, families, and society. The wide implications are recognized but serious challenges to effective action remain. We conducted scoping reviews of literature and policy documents on CRD and interviewed key informants to identify specific determinants and current health system responses in SSA to formulate targete...
Source: The European Journal of Public Health - Category: General Medicine Source Type: research
This study aimed to estimate the level of implementation of HTN self-care practice and to identify their associated factors in Sfax, Southern Tunisia.MethodsIt was a cross-sectional study conducted in Sfax, Southern Tunisia from March to April 2020. A total of 6 primary health care facilities was approached for the study participants according to a single-stage cluster sample, by selecting six grapes randomly. A total of 270 participants were recruited, among whom 250 cases (92.6%) completed the questionnaire. Statistical analysis was performed using SPSS.24.ResultsA total of 250 hypertensive patients were included in the ...
Source: The European Journal of Public Health - Category: General Medicine Source Type: research
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Source: The European Journal of Public Health - Category: General Medicine Source Type: research
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Source: The European Journal of Public Health - Category: General Medicine Source Type: research
CONCLUSIONS: The location of exercise sessions during PR influences patients' decisions to refuse or accept center-based educational workshops. When center-based PR programs are limited, and the ET is relocated to the patient's home, the educational workshops should also be relocated.TRIAL REGISTRATION: The trial is registered at ClinicalTrials.gov (NCT04301245).PMID:34623218 | DOI:10.1080/17476348.2022.1991793
Source: Expert Review of Respiratory Medicine - Category: Respiratory Medicine Authors: Source Type: research
CONCLUSION: The increase in life expectancy and decrease of DALYs indicate the positive effect of improvements in social conditions and health policies. However, the smaller increase in healthy life expectancy suggests that, despite living longer, people spend a substantial amount of time in their old age with disability and illness. Preventable and controllable diseases account for most of the disease burden in older adults in the Americas. Society-wide and life-course approaches, and adequate health services are needed to respond to the health needs of older people in the Region.PMID:34621302 | PMC:PMC8489742 | DOI:10.26633/RPSP.2021.114
Source: Pan American Journal of Public Health - Category: International Medicine & Public Health Authors: Source Type: research
CONCLUSIONS: The location of exercise sessions during PR influences patients' decisions to refuse or accept center-based educational workshops. When center-based PR programs are limited, and the ET is relocated to the patient's home, the educational workshops should also be relocated.TRIAL REGISTRATION: The trial is registered at ClinicalTrials.gov (NCT04301245).PMID:34623218 | DOI:10.1080/17476348.2022.1991793
Source: Respiratory Care - Category: Respiratory Medicine Authors: Source Type: research
CONCLUSION: The increase in life expectancy and decrease of DALYs indicate the positive effect of improvements in social conditions and health policies. However, the smaller increase in healthy life expectancy suggests that, despite living longer, people spend a substantial amount of time in their old age with disability and illness. Preventable and controllable diseases account for most of the disease burden in older adults in the Americas. Society-wide and life-course approaches, and adequate health services are needed to respond to the health needs of older people in the Region.PMID:34621302 | PMC:PMC8489742 | DOI:10.26633/RPSP.2021.114
Source: Pan American Journal of Public Health - Category: International Medicine & Public Health Authors: Source Type: research
CONCLUSIONS: The location of exercise sessions during PR influences patients' decisions to refuse or accept center-based educational workshops. When center-based PR programs are limited, and the ET is relocated to the patient's home, the educational workshops should also be relocated.TRIAL REGISTRATION: The trial is registered at ClinicalTrials.gov (NCT04301245).PMID:34623218 | DOI:10.1080/17476348.2022.1991793
Source: Expert Review of Respiratory Medicine - Category: Respiratory Medicine Authors: Source Type: research
CONCLUSION: The increase in life expectancy and decrease of DALYs indicate the positive effect of improvements in social conditions and health policies. However, the smaller increase in healthy life expectancy suggests that, despite living longer, people spend a substantial amount of time in their old age with disability and illness. Preventable and controllable diseases account for most of the disease burden in older adults in the Americas. Society-wide and life-course approaches, and adequate health services are needed to respond to the health needs of older people in the Region.PMID:34621302 | PMC:PMC8489742 | DOI:10.26633/RPSP.2021.114
Source: Pan American Journal of Public Health - Category: International Medicine & Public Health Authors: Source Type: research
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