The prevalence of e-cigarette and cigarette smoking among students in Central and Eastern Europe - preliminary results of YUPESS study.
Introduction: The prevalence of e-cigarette and cigarette smoking among the young adults pose a very significant epidemiological issue.Aim: The aim of the study was to assess the prevalence of e-cigarette and cigarette smoking usage among students in Europe.Methods: The study was carried out as a part of international multi-centre cross-sectional study - YoUng People E-Smoking Study (YUPESS). A population based survey was performed among students from five countries: Belarus (B), Lithuania (L), Poland (P), Russia (R) and Slovakia (S). We used previously validated, created for the purpose of the study, questionnaire focused...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Brozek, G., Jankowski, M., Shpakou, A., Poznanski, M., Klimackaya, L., Loginovic, J., Gereova, J., Rachel, M., Naumau, I., Kornicki, K., Kristufkova, Z., Bielewicz, K., Zejda, J. Tags: Tobacco, smoking control and health education Source Type: research

An observational study of the use and knowledge about e-cigarettes in young Greek adults
Conclusion: ECs use did not significantly reduce the use of conventional tobacco products. The degree of knowledge about ECs was low among this population of Greek university students. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Pataka, A., Kotoulas, S. C., Panagiotidou, E., Chatzopoulos, E., Kosmoliaptsis, P., Katsouda, A., Kavazidi, K. - R., Mpatou, N., Stefanidou, E., Argyropoulou, P. Tags: Tobacco, smoking control and health education Source Type: research

Exclusive e-cigarette use among Parisian school students
Conclusions: Teenagers who are exclusive users of e-cigarettes differ from those who use tobacco in terms of smoking trajectory and concurrent cannabis use. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Dautzenberg, B., Torregrossa, H., Melchior, M., Rieu, N., Birkui, P., Mary-Krause, M., Dautzenberg, M.-D. Tags: Tobacco, smoking control and health education Source Type: research

Smoking in a tertiary hospital
Conclusion: The prevalence of smoking in a tertiary hospital is high, being similar to that of the general population. There are units where smoking has special relevance and it would be important to intensify tertiary prevention actions at this level. Despite anti-smoking policies in hospitals, declared smoke-free, there is a percentage of patients who continue to smoke during hospitalization. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Almadana Pacheco, V., Delgado, J. A., Cedeno, S. B., Rodriguez, P., Monserrat, S., Valido, A. Tags: Tobacco, smoking control and health education Source Type: research

Smoking behaviour and age
This study was aimed to evaluate age-related differences in smoking habits and to determine the different characteristics of the patients older than 65 years.Method: Information regarding demographic characteristics, comorbidities, and smoking history were obtained. The Hooked on Nicotine Checklist (HONC) questionnaire and the FagerstroĢˆm Nicotine Dependence Test (NDT), were administered.Results: This study included a total of 140 patients with a mean age of 51.5±14.1 who presented to the smoking cessation unit between 2016-18. The age of onset for cigarette smoking was 16.9±5.1 years; the mean total smoking...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Ciftci, F., Ayoz, S., Baygul, D., Onen, Z. P., Sen, E. Tags: Tobacco, smoking control and health education Source Type: research

Prospective survey referring to the smoking habits among high school students in Plovdiv, Bulgaria (2004-2010-2016)
Introduction: Tobacco smoking is a world major cause for premature death and serious health problems. The growing up of youngsters as intensive smokers gives its burden to the healthcare system as a whole.Aim: To investigate how the smoking behaviour of adolescents has changed.Methods: The study was organised, using an anonymous questionnaire among students from the age of 16 to 18 in Plovdiv schools. 800 students were interviewed in 2004, 460 in 2010 and 562 in 2016. The questions are translated and adapted by GYTS, WHO’s program form. The statistical processing of data is completed by descriptive statistics and Stu...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Shterev, F., Iankova, Z., Novakov, I., Mateva, N. Tags: Tobacco, smoking control and health education Source Type: research

Domestic Exposure to Tobacco Smoke in Children
This study was carried out to address this gap of knowledge at national and provincial levels.Methods: Iran's Multiple Indicator Demographic and Health Survey (IrMIDHS) 2010 was a multi-stage stratified cluster-random cross-sectional national study over all provinces with a sample that representative of general population at district levels of provinces. Analyses were performed on data of the participants who were
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Varmaghani, M., Masjedi, M. R., Sharifi, F., Mansouri, M., Shafiee, G., Roshanfekr, P. Tags: Tobacco, smoking control and health education Source Type: research

Assessment of Smoke-Free Compliance in Enclosed Spaces of Hospitality Establishments in Istanbul between 2013 and 2017
The objective of this study was to determine the compliance to the smoke-free law in enclosed spaces of hospitality establishments in Istanbul in four consecutive years; 2013, 2014, 2015 and 2017.This was an observational study which was carried out in four districts of Istanbul. Sample size was calculated as 450 enterprises assuming a violation rate of 25%, a confidence level of 95%. Hospitality establishments were selected using a stratified cluster sampling method. Restaurants, cafés, traditional coffeehouses and bars in the sample were visited between 12:00-15:00. Each establishment was observed for 10 minutes a...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Ay, P., Dagli, E., Yildiz, F., Elbek, O., Gezer, T., Guner, M., Ceyhan, M. Tags: Tobacco, smoking control and health education Source Type: research

Assessment of Water Pipe Use in Hospitality Establishments in Istanbul
The objective of this study was to determine water pipe consumption in enclosed spaces of licensed hospitality establishments in seven districts in Istanbul.There were 428 hospitality establishments licensed to offer water pipe tobacco products in Istanbul. Seven districts which constitute 51.2% of all the licensed establishments were selected as the study area. Establishments were selected by simple random sampling method. Each establishment was visited for 10 minutes after 15.00 and violation was assessed by direct observation.Among the 141 enterprises, 128 (90.8%) were in operation and 68.8% were cafes. Only 57.0% of th...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Ay, P., Dagli, E., Elbek, O., Yildiz, F., Gezer, T., Ceyhan, M., Guner, M. Tags: Tobacco, smoking control and health education Source Type: research

The 6-minute walk test as a prognostic marker in patients with silicosis
Introduction: The 6-minute walk test (6MWT) is a useful tool for pulmonary function evaluation in chronic respiratory diseases, but its value in silicosis is not well defined.Objective: The aim of this study is 1) to assess 6MWT in patients with silicosis and its relationship with pulmonary function test (PFT) and thoracic computed tomography (CT) findings; 2) to identify the clinical variables that reduce the 6MWT-distance.Method: Prospective observational study of patients with silicosis attended in our hospital from 2009 to 2017. PFT, thoracic CT and 6MWT (distance and O2 desaturation) were evaluated. Data were compared...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Arnalich Montiel, V., Fernandez Villar, J. A., Blanco Perez, J. J. Tags: Occupational and Environmental Health Source Type: research

Risk factors of respiratory symptoms in urban Pakistani population
Conclusion: Male gender, family history of respiratory diseases and use of mosquito coil were significant predictors of respiratory symptoms. Awareness and education at community level may decrease the incidence and progression of respiratory symptoms to chronic disability. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Akhter, Z., Nafees, A. A., Rabbani, U., Razzaq, S., Irfan, M. Tags: Occupational and Environmental Health Source Type: research

Tapioca starch powder as a new cause of occupational asthma in bakers
Conclusion: We present the first case of tapioca starch OA. The potential for non-wheat flours to cause OA is important in light of their increasing use. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Wiggans, R., Pilling, J., Hoyle, J. Tags: Occupational and Environmental Health Source Type: research

Influence of Smoking, Environmental Factors and Life Style on Lung Function in a Large German Cohort
Introduction: The prevalence of obstructive pulmonary disease in Germany is high. The deleterious effects of smoking on lung function is well known. However, other influencing factors are less well understood.Aim: Determine the prevalence of obstructive pulmonary disease in a large German cohort and investigate associated risk factors.Methods: Measurements in the LuFuMobil, a mobile lung function lab, were offered to volunteers. The protocol included a patient questionnaire and spirometry (Geraterm, Germany). Obstruction was defined as FEV1> LLN or FEV1/FVC
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Wiewrodt, R., Höpfner, B., Aries, C., Schmidt, L. H., Schulze, A. B., Blackert, K., Wencker, M., Herth, F. J. Tags: Occupational and Environmental Health Source Type: research

Averness of polish pulmonologists about the impact of air pollution on health
Air pollution causes exacerbation of respiratory diseases. The air quality in Poland is the worst in Europe. Each year over 48,000 people die prematurely in Poland due to ambient PM2.5 air pollution. The aim of the study was to assess the awareness of Polish pulmonologists about the impact of air pollution on health, the sources of their knowledge and how this knowledge is used in clinical practice. The study was based on a voluntary and anonymous questionnaire created for pulmonologists. The study included 252 pulmonologists (37% of participated in Congress Polish Respiratory Society). There were 32% men and 68% women age...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Zielonka, T. Tags: Occupational and Environmental Health Source Type: research

Long-term respiratory effects of exposure to welding fumes: Quebec apprentice cohort study
Conclusions: Continued post-apprenticeship exposure to welding fumes was not associated with an increased risk of developing long-term respiratory outcomes. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Suarthana, E., Achore, M., Taghiakbari, M., Lemiere, C., Rhazi, M., Gautrin, D., El-Zein, M. Tags: Occupational and Environmental Health Source Type: research

Worker in a tatami factory: Case report of asthma in a complex and multiple occupational exposure
Conclusion: In multiple and prolonged exposures, it is not always possible to establish the responsible chemical agent and pathophysiological pathways involved. Early identification of occupational exposure and worker withdrawal from this environment or function is the basis of the treatment of occupational disease. The increasing use of EVA and tatami in Brazil draws attention to possible risks associated with the manufacturing process. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Colares, P., Assuncao, G. L. M. D., Takizawa, D. B., Lombardi, E. M. S., Mizutani, R. F., Prado, G. F., Terra-Filho, M., Santos, U. D. P. Tags: Occupational and Environmental Health Source Type: research

Exposure-response relations in occupational rhinitis in textile workers : time of onset.
Introduction: Respiratory diseases such as asthma and rhinitis may occur in textile workers due to the inhalation of textile dust. Several studies showed a relation between exposure to dust and prevalence of chest or nasal symptoms in textile workers. However, time of onset of symptoms still always unpredictable.Objective: Identify factors influencing the time of onset of symptoms of occupational rhinitis (OR) among textile workers.Methods: A retrospective study was carried out enrolling all cases of occupational allergic rhinitis among workers in the textile industry declared to The National Health Insurance Fund in the c...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Rouis, H., Maoua, M., Abdelghani, A., Aissa, S., Guedri, S., Kacem, I., Brahem, A., Kalboussi, H., Elmaalel, O., Chatti, S., Mrizak, N. Tags: Occupational and Environmental Health Source Type: research

Socioeconomic and quality of life impact of work-related asthma in Sao Paulo, Brazil
Introduction: Work-related asthma (WRA) accounts for 15-20% of asthma in adults. Research shows negative impact on quality of life and socioeconomic status.Objectives: To assess socioeconomic and quality of life impact of work-related asthma.Methods: 123 patients from a tertiary referral hospital were evaluated, 54 asthma patients with no relation to work (G1): 35 probable WRA, with no established diagnostic due to dismissal (G2) and 34 well established WRA cases (G3): They were interviewed about occupational exposure, socioeconomic status and responded to Asthma control questionnaire 6 (ACQ6) and Juniper asthma quality of...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Del Roio, L. C., Terra-Filho, M., Paula Santos, U. Tags: Occupational and Environmental Health Source Type: research

Periodic workplace screenings : are pulmonary function tests performed with right technique ?
Discussion: During the periodic workplace screenings an importance should be given to the PFTs. The PFTs should be repeated with appropriate technique if necessary. The periodic training of the testers is also important. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Ozmen, I., Kanbur, S., Yıldırım, E., Yıldız, R., Ocaklı, B., Arbak, P. Tags: Occupational and Environmental Health Source Type: research

Profile of high altitude pulmonary edema(HAPO) among young healthy reinductees.
Conclusion: HAPO can occur among young acclimatized reinductees without preceding illness or exertion. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Prasad, M. B. Tags: Occupational and Environmental Health Source Type: research

Seasonality of Pulmonary Tuberculosis in Sousse (Tunisia):Analysis of time series
Conclusion: Our main result is a significantly decreasing number of TB cases during the autumn and its increasing in spring and summer. Those results would have practical benefits as they correspond to the dates of treatment. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Sana, A., Maher, M., Raoudha, S., Wafa, B., Imen, G., Ahmed, A., Abdelhamid, G., Abdelaziz, H., Nejib, M., Mohamed, B. Tags: Occupational and Environmental Health Source Type: research

Influence of the duration of working in a textile factory on respiratory functions and sleep quality
Introduction: Over 60 million people worldwide work in the textile or clothing industry. Recent studies have recognized the contribution of workplace exposures to chronic lung diseases, in particular chronic obstructive pulmonary disease(COPD).Aim: Exposure to cotton lead decreasing lung functions. We aimed to investigate how the respiratory function and sleep quality were affected in short term and long term.Method: Our study conducted with one hundread textile workers and we divided them into two groups according to working durations, GroupA(n:49); less than 10 years, GroupB(n:51); more than 10 years. Pulmonary function ...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Sortoglu, B., Kurt, I., Ozyilmaz, S., Safran, E., Gürses, H. N. Tags: Occupational and Environmental Health Source Type: research

Biomass smoke exposure and respiratory health in Madagascar
This study aimed to describe respiratory health in general population, to describe biomass exposure in two regions (urban and rural area), and then to assess respiratory symptoms and biomass smoke exposure in subsample.Methods: A cross-sectional study was performed in two regions (Antananarivo and Mahajanga). For each region, a rural population and an urban population were included. Validated questionnaire (respiratory symptoms and exposure) and spirometry were administrated at home by interviewers. In a subsample of homes (n=20), indoor PM2.5 and PM10 were measured during 48 hours.Results: We enrolled 2182 subjects, n=112...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Raharimanana, R. N., Rajaonary, A. H., Randriamanana, D., Rakotomizao, J., Rakotoson, J., Tiaray Harison, M., Andriamahenina, N., Andrianarisoa, A., Ralison, A., Charpin, D., Rahoelina, B., Rakotomanga, J. D. D. M., L'Her, P., Tschopp, J.-M., Andriambolol Tags: Occupational and Environmental Health Source Type: research

Exposure to air pollution and incidence of pneumothorax
Conclusion: Occurrence of SP seems to be significantly associated with ambient air pollution (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Maoua, M., Aroui, H., Aissa, S., Chouchane, A., Hafsia, M., Imen, K., El Guedri, S., Brahem, A., Kalboussi, H., Elmaalel, O., Chatti, S., Abdelghani, A., Benzarti, M., Mrizek, N. Tags: Occupational and Environmental Health Source Type: research

Symptoms of moderate exercise in subzero temperatures - An experimental exposure study
Humans react to cold with various symptoms. Previous studies enquiring about symptoms during cold exposure have for the most part been population based studies using questionnaries and have focused on a narrow spectrum of symptoms. The purpose of this study was to study the effect of cold air and physical exercise on a wide range of symptoms in healthy individuals.A total of 31 healthy subjects were experimentally exposed to +10 °C and -10 °C in an environmental chamber for one hour, on two separate occasions. During each exposure, subjects performed an intermittent moderate-intensity running protocol between 62-78...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Eriksson, L., Schagatay, F., Sjöström, R., Söderström, L., Hanstock, H., Sandström, T., Stenfors, N. Tags: Occupational and Environmental Health Source Type: research

Seasonal variation of exacerbation and patient-reported outcomes (PROs) in chronic obstructive pulmonary disease (COPD)
Background: Seasonal variation of COPD exacerbations has been described in the literature, while it is unclear if such variations exist for PROs. We aimed to assess the impact of season relative to other determinants on PROs/exacerbations in a longitudinal cohort study.Methods: In the Netherlands and Switzerland, we followed 409 patients with COPD for up to 5 years and assessed their event-based exacerbations (expert-adjudicated) and PROs every 6 month, including Chronic Respiratory Disease Questionnaire (quality of life), Hospital Anxiety and Depression Scale, Feeling Thermometer (health status), and LASA Physical Activit...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Yu, T., Frei, A., Ter Riet, G., Puhan, M. Tags: Occupational and Environmental Health Source Type: research

Protective effects of nootkatone against particles-induced lung injury caused by diesel exhaust is mediated via the NF-?B pathway
Numerous studies have shown that acute particulate air pollution exposure is linked with pulmonary adverse effects. Nootkatone, a constituent of grapefruit, has antioxidant and anti-inflammatory effects. However, the effect of nootkatone on lung toxicity has not been reported before. Here, we have evaluated the possible protective effect of nootkatone on diesel exhaust particles (DEP)-induced lung toxicity, and the possible mechanisms underlying these effects. Mice were intratracheally (i.t.) instilled with either DEP (30 µg/mouse) or saline (control). Nootkatone was given to mice by gavage 1 h before i.t. instillati...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Nemmar, A., Al-Salam, S., Beegam, S., Yuvaraju, P., Ali, B. H. Tags: Occupational and Environmental Health Source Type: research

Smoking and lung cancer in Albania
Conclusions: In Albania, lung cancer is an increasing pathology (p
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Xhemalaj, D., Kapisyzi, P., Hafizi, H., Bala, S., Peposhi, I., Krushova, M., Andoni, A., Hasa, A., Hila, E. Tags: Epidemiology Source Type: research

Childhood TB deaths in a Romanian County, 1998-2015; causes and significance
Conclusions: The decreasing number of TB deaths in childhood is concordant with the decline of other TB indicators; explanations of this trend are the significant decrease of HIV coinfection and the improvement in the management of TB cases;Annual registration of TB meningitis cases in childhood points out an ongoing TB epidemic;Pulmonologists from this county need to focus on TB in rural area in order to prevent severe forms of TB. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Sorete Arbore, A., Cojocariu, V. Tags: Epidemiology Source Type: research

Obstructive Sleep Apnea (OSA) Assessment in the elderly. Preliminary results.
Conclusions: 53% of the subjects examined have an intermediate-high risk of OSA. The percentage of low-risk subjects decreases with increasing age. We expect the data to be further strengthened with the balance of the F:M ratio. Correlations between the risk of OSA and other parameters are in progress, starting from neurological ones. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Intiglietta, P., Gaudiuso, G., Castellana, G., Marra, L., Logroscino, G., Resta, O. Tags: Epidemiology Source Type: research

Lung cancer incidence trends in Croatia: emergency for public health interventions
Conclusion: There is a significant increase in female TBL cancer incidence rate, and a decrease in male TBL cancer incidence rate. Croatia is among the European countries with the highest lung cancer incidence.The late diagnosis and high mortality rate point to the need of upgrading non-smoking campaign and lung cancer screening. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Polic Vizintin, M., Tripkovic, I., Kukulj, S., Sostar, Z. Tags: Epidemiology Source Type: research

The incidence of acute respiratory viral infections and pneumonia in the Central administrative district of Moscow.
The Objective: To assess the seasonal incidence rate (IR) and mortality rate (MR) because of acute respiratory viral infections (ARVI) and pneumonia (P) in the population of Moscow.The Methods: We used the data on IR and MR of the population because of infectious and parasitic diseases (IPD) (A00-V99 ICD-10), ARVI (J00-02.8-9; J03-J06; J20-J22 ICD-10), P (J12-J16, J18 MCD-10) of the official statistical forms 1, 2, 5, medical death certificates (MDC) of patients from hospitals, microbiology assays nasopharyngeal swabs identifying RNA of influenza virus A(H1N1)09, A(H3N2) and B; bacteriological examinations of sputum.Result...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Tubekova, M., Bilichenko, T., Gruzdeva, O., Astachova, L. Tags: Epidemiology Source Type: research

Etiology of bronchiectasis in Finland
Conclusions: Asthma was associated to bronchiectasis in 76% of the patients but it was estimated as etiology in only every fifth patient. However, retrospectively it is difficult to exclude asthma as a background cause in many cases with recurrent asthma like symptoms and respiratory infections. Nevertheless, in one fifth of the patients no identifiable cause was found. None of the patients had had tuberculosis. Lung function test results were well preserved and in 66% bronchiectasis was restricted to one-three lobes. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Mäntylä, J., Mazur, W., Viinanen, A., Purokivi, M., Kauppi, P. Tags: Epidemiology Source Type: research

The prevalence and clinical profile of non-tuberculous mycobacterial pulmonary infection in Singapore
Conclusion: This study demonstrated a high prevalence and a unique profile of NTM-PI in Singapore. A predominance in the male and elderly population was seen. M. abscessus was the most common NTM isolated, and a history of previous PTB was common. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Khoong, C., Verma, A., Abisheganaden, J., Lim, A. Tags: Epidemiology Source Type: research

The etiological role of common respiratory viruses in acute respiratory infections in older adults: A systematic review and meta-analysis
Acute respiratory infections (ARI) constitutes a substantial disease burden in adults and the elderly. We aimed to identify all case-control studies investigating the potential role of respiratory viruses in the etiology of ARI in older adults aged 65 years old or more.We conducted a systematic literature review (across 7 databases) of case-control studies published from 1996 to 2017, which investigated the viral profile of older adults with and without ARI. We then computed a pooled odds ratio (OR) with 95% CI and virus–specific attributable fraction among the exposed (AFE) of 8 common viruses – respiratory sy...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Shi, T. Tags: Epidemiology Source Type: research

Burden of influenza and impact of seasonal vaccination in Europe - a ten year forecast.
Conclusion: Combined with 10-year forecast, our results facilitate identification of countries at risk and opportunities for averting flu in the vulnerable countries. Both increased vaccination coverage and development of vaccines are complementary approaches and will better protect European population from seasonal flu. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Mukherjee, D., Zhang, N., Ayodele, L. Tags: Epidemiology Source Type: research

Vaccination rates against pneumococcal and influenza infection in hospitalized cardiologic and pneumologic patients need to be improved.
Conclusion: These findings indicate firstly a critical under-supply of vaccinations in high-risk groups, and secondly a dramatic ignorance about the beneficial effects of influenza and pneumococcal vaccination by treating physicians. These data should be used to question the actual national vaccination strategies. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Smolle, E., Roeblreiter, T., Flick, H. Tags: Epidemiology Source Type: research

Cardiopulmonary diseases and lung cancer mortality due to PM2.5 exposure in 11 Polish Agglomerations in 2006-2015
Conclusion: High mortality factor from LC and CPD results partially from the significant exposure of Polish population to PM above permissible concentrations. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Badyda, A., Dabrowiecki, P. Tags: Epidemiology Source Type: research

Survival impact of comorbidity in German Lung Cancer patients - a claims data-based 'Comorbidome'
Conclusion: Different comorbidity profiles for the distinct treatment regimen suggest a relevant influence of comorbidity burden on treatment decisions. Despite the additional impact of distinct conditions on survival was generally small, further investigations trying to identify comorbdity combinations with substantial impact are worthwhile to improve lung cancer management. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Schwarzkopf, L., Murawski, M. Tags: Epidemiology Source Type: research

A systematic review of comorbidities and outcomes of patients with pleural infection
This study aimed to investigate whether comorbidities and outcomes of patients with pleural infection varies by region.Methods: Studies reporting on adults with pleural infection between 2000-2017 were identified from a search of Embase and Medline. Papers reporting exclusively on tuberculous, fungal or post pneumonectomy infection were excluded. Two reviewers assessed 20980 records for eligibility.Results: 275 studies met the inclusion criteria. 78 papers (76089 patients) reported comorbidity data of which 68% (n=53) were retrospective observational cohorts. The median percentage prevalence of any comorbidity was 70% (IQR...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Cargill, T., Hassan, M., Corcoran, J., Harriss, E., Asciak, R., Mercer, R., Hallifax, R., Rahman, N. Tags: Epidemiology Source Type: research

Change in age distribution of critically ill patients in an aging society
Introduction: The life expectancy of the Korean population increased from 62.3 years in 1970 to 82.4 years in 2016. Old age is associated with high prevalence of chronic disease as well as increased rate of hospitalization and intensive care. We aimed to investigate the changes in patient age distribution in an intensive care unit (ICU).Methods: We retrospectively reviewed 51,758 patients aged ≥ 18 years admitted to the medical ICU or coronary care unit at Asan Medical Center from January 2000 to December 2017. Patients were divided into four groups based on their age:
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Lee, S.-I., Lim, C.-M. Tags: Epidemiology Source Type: research

Hospitalizations for pulmonary hypertension in Switzerland 2002-2015
Conclusions: We observed a significant decline in hospitalizations for PAH after 2009. This decline is more likely explained by a change in the coding practice in 2009 rather than changes of clinical outcome by the increased availability of vasodilator therapy. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Aigner, F., Baty, F., Tonko, S., Schoch, O. D., Brutsche, M. Tags: Epidemiology Source Type: research

Risk Assessment for Obstructive Sleep Apnea Syndrome and Excessive Daytime Sleepiness in a Greek nursing staff population using the Berlin Questionnaire and Epworth Sleepiness Scale
Introduction: The risk assessment of Obstructive Sleep Apnea Syndrome (OSAS) and Excessive Daytime Sleepiness (EDS) in specific occupational populations is important due to its association with morbidity.Aim: The aim of the present study was to identify the risk of OSAS development and EDS in a Greek nursing staff population.Methods: In this cross-sectional study a total of 444 nurses working in a Greek secondary and tertiary hospital participated during the period from 18/01/2015 to 10/02/2015. The participants completed the Berlin Questionnaire (BQ), concerning the risk for OSAS and the Epworth Sleepiness Scale (ESS), co...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Alexandropoulou, A., Vavougios, G., Hatzoglou, C., Gourgoulianis, K., Zarogiannis, S. Tags: Epidemiology Source Type: research

Two years follow-up with real life quantitative measurement of ambulation under oxygen therapy in patients with chronic respiratory disease (ACTIMETRE study).
Introduction: Ambulatory oxygen therapy (OT) has shown benefits on exercise capacity and dyspnea. However, the daily use is often unknown1. The ability to measure mobility creates new opportunities.Method: A prospective study has been conducted in France among patients with chronic respiratory disease (CRD) requiring an ambulatory OT. Daily time of ambulation (DAT) was assessed by an actimetry device (Movilis®) put on the O2 equipment during different periods for up to 2 years after OT initiation.Results: Between 2015 and 2017, 93 pneumologists included 232 patients initiating OT for CRD (mean age of 71 ± 10 yo,...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Lerousseau, L., Chaouat, A., Jebrak, G., Palot, A., Piperno, D., Verdier, S., Giannoli, G., Perrin, D., Leutenegger, E. Tags: Epidemiology Source Type: research

Outdoor air pollution and lung function in middle-aged adults of the ELISABET study
The impact of long-term exposure to outdoor air pollution on lung function remains insufficiently studied in adults. Our aim was to study the associations between long-term exposure to outdoor air pollution, including industrial and urban exposures, and lung function in middle-aged adults.The analyses were conducted among 2986 adults (53 years old in average, 47% men) from the Enquête Littoral Souffle Air Biologie Environment (ELISABET, 2011-2013), a French cross-sectional survey. Air pollutant levels (NO2, PM10 and SO2) were estimated at the participants’ residential address by ATMO Nord-Pas-de-Calais, in Lill...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Havet, A., Hulo, S., Cuny, D., Occelli, F., Cherot-Kornobis, N., Giovannelli, J., Matran, R., Amouyel, P., Edme, J.-L., Dauchet, L. Tags: Epidemiology Source Type: research

Respiratory disease phenotypes in a general population sample: latent transition analysis
Conclusions: LTA allowed to identify four different phenotypes based on respiratory symptoms/diseases and their longitudinal patterns over 18 years. Such analysis brings new perspectives in the analyses of population-based data. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Maio, S., Fasola, S., Baldacci, S., Carrozzi, L., Pistelli, F., Simoni, M., La Grutta, S., Muggeo, V., Viegi, G. Tags: Epidemiology Source Type: research

Respiratory diseases admissions due to the smog episode in Warsaw in January 2017
Objective: SMOG episodes appear due to high air pollutants concentration and specific meteorological conditions (thermal inversion, high atmospheric pressure, no wind, no precipitation). In Poland above 50% of PM emission originates from coal and wood burning in individual households which, according to Badyda et al. (10.1183/1393003.congress-2017.OA1777), increase the risk of respiratory diseases.Materials and Methods: Data on hospital admissions, visits to primary and specialist outpatient health care (from the National Health Fund) as well as PM2.5 and PM10 concentrations in Warsaw (from the Chief Inspectorate of Enviro...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Dabrowiecki, P., Czechowski, P. O., Owczarek, T., Chciałowski, A., Badyda, A. Tags: Epidemiology Source Type: research

Whats in a postcode? Socioeconomic deprivation in the primary care 2015-17 COPD audit
Introduction: There is evidence that people from more deprived socioeconomic groups are less likely to receive appropriate health care (Gershon A.S. et al. COPD 2012; 9(3):216–226).Aim: Investigate the impact of socioeconomic deprivation on the care received by COPD patients.Methods: The National COPD Audit Programme conducted an audit of general practice in Wales. The audit extracted data directly from GP systems, covering the period 1 April 2015 to 31 March 2017. Extracted patient postcodes were mapped to the Welsh Index of Multiple Deprivation (WIMD), a rank of relative deprivation between Welsh regions. Deprivati...
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Stone, P., Mcmillan, V., Holzhauer-Barrie, J., Baxter, N., Roberts, C. M., Quint, J. Tags: Epidemiology Source Type: research

Endothelial dysfunction is associated with impaired lung function in two independent community cohorts
Conclusions: Our findings suggest that even individuals with sub-clinical impairments of lung function in the community may have vascular damage that predisposes to cardiovascular disease and who therefore might benefit from intensified preventive treatment. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Rydell, A., Janson, C., Lisspers, K., Ställberg, B., Nowak, C., Carlsson, A., Feldreich, T., Iggman, D., Lind, L., Ärnlöv, J. Tags: Epidemiology Source Type: research

Different relation between exhaled nitric oxide and lung function with regard to current smoking
Background: Exhaled nitric oxide (FeNO) is a non-invasive marker of airway inflammation. Smoking reduces FeNO by 30-60%. Weak positive relation between lung function and FeNO has been inconsistently described. This has not been separately for smokers. Therefore we investigated the relation between lung function and FeNO with regard to smoking.Methods: FeNO and lung function post-bronchodilation (BD) were measured in 4813 subjects from the European Community Respiratory Health Survey III. GLI reference values were used. Smoking habits were self-reported.Results: Current smokers with FEV1
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Nerpin, E., Jarvis, D., Olivieri, M., Gislason, T., Olin, A.-C., Janson, C., Malinovschi, A. Tags: Epidemiology Source Type: research