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Primary sclerosing epithelioid fibrosarcoma of the pleura
ABSTRACT Tuberculosis treatment remains a challenge due to the need to consider, when approaching it, the context of individual and collective health. In addition, social and economic issues have been shown to be variables that need to be considered when it comes to treatment effectiveness. We conducted a critical review of the national and international literature on the treatment of tuberculosis in recent years with the aims of presenting health care workers with recommendations based on the situation in Brazil and better informing decision-making regarding tuberculosis patients so as to minimize morbidity and interrupt ...
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Omalizumab in patients with severe uncontrolled asthma: well-defined eligibility criteria to promote asthma control
ABSTRACT Tuberculosis treatment remains a challenge due to the need to consider, when approaching it, the context of individual and collective health. In addition, social and economic issues have been shown to be variables that need to be considered when it comes to treatment effectiveness. We conducted a critical review of the national and international literature on the treatment of tuberculosis in recent years with the aims of presenting health care workers with recommendations based on the situation in Brazil and better informing decision-making regarding tuberculosis patients so as to minimize morbidity and interrupt ...
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Tuberculosis treatment
ABSTRACT Tuberculosis treatment remains a challenge due to the need to consider, when approaching it, the context of individual and collective health. In addition, social and economic issues have been shown to be variables that need to be considered when it comes to treatment effectiveness. We conducted a critical review of the national and international literature on the treatment of tuberculosis in recent years with the aims of presenting health care workers with recommendations based on the situation in Brazil and better informing decision-making regarding tuberculosis patients so as to minimize morbidity and interrupt ...
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Effects of simple long-term respiratory care strategies in older men with COPD
ABSTRACT Objective: To evaluate a 24-month supervised, community-based maintenance exercise program after 3 months of pulmonary rehabilitation (PR) in comparison with a 27-month physical activity counseling program, in terms of the effects on maximal muscle strength, muscle power output, and exercise capacity, in individuals with COPD. Methods: Sixty-three men with moderate-to-severe COPD were recruited from two previous studies. Of those 63 participants, 31 were offered 3 months of PR followed by a 24-month supervised maintenance exercise program (24MME group) and 32 were offered a 27-month physical activity counseling pr...
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Validation of the STOP-Bang questionnaire as a means of screening for obstructive sleep apnea in adults in Brazil
Conclusions: The STOP-Bang questionnaire performed adequately for OSA screening, indicating that it could be used as an effective screening tool for the disorder.RESUMO Objetivo: Realizar a valida ção da versão brasileira do questionário STOP-Bang (acrônimo em inglês para Snoring, Tiredness, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, and Gender) para a identificação de apneia obstrutiva do sono (AOS) em adultos. Métodos: Neste estudo de validaçã o, foram incluídos pacientes com idade ≥ 18 anos, recrutado...
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Niemann-Pick disease type B: HRCT assessment of pulmonary involvement
Conclusions: Smooth interlobular septal thickening, with or without associated ground-glass opacities, in patients with hepatosplenomegaly is the most common finding in NPD type B.RESUMO Objetivo: Analisar os achados de TCAR em pacientes com doen ça de Niemann-Pick (DNP) tipo B a fim de avaliar a frequência dos padrões tomográficos e sua distribuição no parênquima pulmonar, além das características clínicas mais frequentes. Métodos: Foram estudados 13 pacientes (3 do sexo masculino e 10 do sexo feminino) com idades variando de 5 a 56 anos. As imagen...
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Mortality from idiopathic pulmonary fibrosis: a temporal trend analysis in Brazil, 1979-2014
Conclusion: Brazilian IPF mortality rates are lower than those of other countries, suggesting underdiagnosis or underreporting. The temporal trend is similar to those reported in the literature and is not explained solely by population aging.RESUMO Objetivo: Analisar a mortalidade por fibrose pulmonar idiop ática (FPI) no Brasil no período de 1979-2014. Métodos: Foram extraídos microdados do Sistema de Informações de Mortalidade do Ministério da Saúde cuja causa básica de óbito tenha sido codificada conforme a Classificação Internacional da...
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Evaluation of the impact that the changes in tuberculosis treatment implemented in Brazil in 2009 have had on disease control in the country
ABSTRACT Objective: To analyze the impact that the 2009 changes in tuberculosis treatment in Brazil had on the rates of cure, tuberculosis recurrence, mortality, treatment abandonment, and multidrug-resistant tuberculosis (MDR-TB). Methods: An ordinary least squares regression model was used in order to perform an interrupted time series analysis of secondary data collected from the Brazilian Tuberculosis Case Registry Database for the period between January of 2003 and December of 2014. Results: The 2009 changes in tuberculosis treatment in Brazil were found to have no association with reductions in the total number of ca...
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Survival in a cohort of patients with lung cancer: the role of age and gender in prognosis
ABSTRACT Objective: To determine the demographic and clinical characteristics of patients with non-small cell lung cancer (NSCLC), as well as their disease course, by age group and gender. Methods: This was a retrospective cohort study of patients diagnosed with NSCLC from 2000 to 2012 and followed until July 2015 in a tertiary referral hospital in the city of S ão Paulo, Brazil. Based on the 25th and 75th percentiles of the age distribution, patients were stratified into three age groups:
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Accuracy of closed pleural biopsy in the diagnosis of malignant pleural effusion
Conclusions: CPB is useful in clinical practice as a diagnostic test, because th ere is an important change from pre-test to post-test probability.RESUMEN Objetivo: Estudios previos demuestran que la biopsia pleural cerrada (BPC) para diagn óstico de malignidad tiene una sensibilidad menor al 60%, por lo que recientemente ha despertado controversia su valor como prueba diagnóstica. Nuestro objetivo fue evaluar la exactitud de la BPC para diagnóstico de malignidad en pacientes con derrame pleural. Métodos: Estudio prospectivo de 8 años en individuos que se sometieron a la realizació...
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Tuberculosis infection among primary health care workers
Conclusions: The prevalence of LTBI was found to be high among the primary health care workers in this sample. Therefore, we recommend the establishment of a periodic screening program for LTBI and implementation of effective biosafety policies for the prevention of this infection among primary health care workers.RESUMO Objetivo: Estimar a preval ência de infecção latente pelo Mycobacterium tuberculosis (ILTB) e identificar os fatores de risco associados a essa infecção entre profissionais de saúde da atenção básica no município de Vitória (ES). M...
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Impact of continuous positive airway pressure on the pulmonary changes promoted by immersion in water
Conclusions: When the hemodynamic change causing a persistent lung disorder, only the application of higher positive pressures is effective in maintaining long-term improvements in the pulmonary profile.RESUMO Objetivo: Verificar se continuous positive airway pressure (CPAP, press ão positiva contínua nas vias aéreas) em diferentes pressões melhora os volumes e capacidades pulmonares de sujeitos saudáveis em imersão em água. Métodos: Estudo clínico randomizado realizado entre abril e junho de 2016 com voluntárias saudáveis em uso de anticoncepcion...
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Understanding diagnostic tests. Part 2.
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Tree-in-bud pattern
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Noninvasive positive airway pressure: from critically ill patients to physical exercise in outpatients
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Evolution in the management of non-small cell lung cancer in Brazil
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

Idiopathic pulmonary fibrosis in Brazil: challenges for epidemiological characterization and management
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - January 11, 2018 Category: Respiratory Medicine Source Type: research

When is the use of contrast media in chest CT indicated?
ABSTRACT Idiopathic pulmonary fibrosis is a severe and progressive chronic fibrosing interstitial lung disease, a definitive diagnosis being established by specific combinations of clinical, radiological, and pathological findings. According to current international guidelines, HRCT plays a key role in establishing a diagnosis of usual interstitial pneumonia (UIP). Current guidelines describe three UIP patterns based on HRCT findings: a typical UIP pattern; a pattern designated “ possible UIP ” ; and a pattern designated “ inconsistent with UIP ” , each pattern having important diagnostic implicatio...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Liquid silicone injection in the chest wall simulating cysticercosis
ABSTRACT Idiopathic pulmonary fibrosis is a severe and progressive chronic fibrosing interstitial lung disease, a definitive diagnosis being established by specific combinations of clinical, radiological, and pathological findings. According to current international guidelines, HRCT plays a key role in establishing a diagnosis of usual interstitial pneumonia (UIP). Current guidelines describe three UIP patterns based on HRCT findings: a typical UIP pattern; a pattern designated “ possible UIP ” ; and a pattern designated “ inconsistent with UIP ” , each pattern having important diagnostic implicatio...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Usual interstitial pneumonia: typical, possible, and “inconsistent” patterns
ABSTRACT Idiopathic pulmonary fibrosis is a severe and progressive chronic fibrosing interstitial lung disease, a definitive diagnosis being established by specific combinations of clinical, radiological, and pathological findings. According to current international guidelines, HRCT plays a key role in establishing a diagnosis of usual interstitial pneumonia (UIP). Current guidelines describe three UIP patterns based on HRCT findings: a typical UIP pattern; a pattern designated “ possible UIP ” ; and a pattern designated “ inconsistent with UIP ” , each pattern having important diagnostic implicatio...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Current use and acceptability of novel diagnostic tests for active tuberculosis: a worldwide survey
Conclusions: Second-generation molecular assays have become more widely available in high- and low-resource settings. However, the development of novel rapid tuberculosis tests continues to be considered important by tuberculosis experts. Our data also underscore the need for additional training and education of end users.RESUMO Objetivo: Determinar o uso atual e a aceita ção potencial (por especialistas em tuberculose em todo o mundo) de novos testes rápidos para o diagnóstico de tuberculose que estão alinhados com os perfis de produtos alvo da Organização Mundial da Sa&uac...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Effects of continuous positive airway pressure on blood pressure in patients with resistant hypertension and obstructive sleep apnea: a systematic review and meta-analysis of six randomized controlled trials
Conclusions: CPAP therapy can significantly reduce blood pressure in patients with resistant hypertension and OSA.RESUMO Objetivo: Avaliar sistematicamente os efeitos da continuous positive airway pressure (CPAP, press ão positiva contínua nas vias aéreas) na pressão arterial em pacientes com hipertensão resistente e apneia obstrutiva do sono (AOS). Métodos: Estudos que investigassem os efeitos da CPAP na pressão arterial em pacientes com hipertensão resistente e AOS foram buscados nos seguintes bancos d e dados eletrônicos: Cochrane Library; PubMed; ScienceDire...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Epidemiological trends of allergic diseases in adolescents
ABSTRACT Objective: To assess the prevalences of asthma, allergic rhinitis, and allergic rhinoconjunctivitis in adolescents in the city of Belo Horizonte, Brazil, in 2012 by administering the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire, as well as to compare the observed prevalences with those found in studies performed 10 years earlier and employing the same methodology used here. Methods: This was a cross-sectional study conducted between May and December of 2012 and involving adolescents in the 13- to 14-year age bracket. Participants were randomly selected from among adolescents study...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Lung cancer: changes in histology, gender, and age over the last 30 years in Brazil
ABSTRACT Objective: To describe the trends in tumor histology, gender and age among patients with non-small cell lung cancer (NSCLC) treated with lung resection. The histology of lung cancer has changed in developed countries, and there is still little information available on the topic for developing countries. Methods: This was a retrospective study of 1,030 patients with NSCLC treated with lung resection between 1986 and 2015 at a university hospital in southern Brazil. Differences in histology, stage, and type of surgery were analyzed by gender and for three periods (1986-1995, 1996-2005, and 2006-2015). Results: Most ...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Quality of Communication Questionnaire for COPD patients receiving palliative care: translation and cross-cultural adaptation for use in Brazil
Conclusions: The QOC was successfully translated to Portuguese and adapted for use in Brazil.RESUMO Objetivo: Realizar a tradu ção para a língua portuguesa e a adaptação cultural para uso no Brasil do Quality of Communication Questionnaire (QOC) para pacientes com DPOC em cuidados paliativos. Métodos: Após a aprovação do autor do questionário e do comitê de ética da instituição, a versão original do QOC com 13 itens foi traduzida, de forma independente, por dois tradutores brasileiros com fluência na língua ...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Frequency of COPD in health care workers who smoke
ABSTRACT Objective: COPD is one of the major causes of morbidity and mortality worldwide. Health care providers should counsel their smoking patients with COPD to quit smoking as the first treatment step. However, in countries with high prevalences of smoking, health care workers may also be smokers. The aim of this study was to determine the frequency and severity of COPD in health care workers who smoke. Methods: This was a cross-sectional study. All health care workers who smoke, from nine health care centers in Serbia, were invited to participate in the study and perform spirometry. The diagnosis of COPD was based on a...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Parapneumonic pleural effusion: early versus late thoracoscopy
ABSTRACT Objective: To evaluate the best time to perform thoracoscopy for the treatment of complicated parapneumonic pleural effusion in the fibrinopurulent phase in patients ≤ 14 years of age, regarding the postoperative evolution and occurrence of complications. Methods: This was a retrospective comparative study involving patients with parapneumonic pleural effusion presenting with septations or loculations on chest ultrasound who underwent thoracoscopy between January of 2000 and January of 2013. The patients were divided into two groups: early thoracoscopy (ET), performed by day 5 of hospitalization; and late thora...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Factors associated with malnutrition in adolescent and adult patients with cystic fibrosis
Conclusions: Malnutrition remains a common complication in adolescents and adults with CF, despite d ietary advice. Malnutrition is associated with age, clinical severity, and lung function impairment.RESUMO Objetivo: Determinar a preval ência de desnutrição em pacientes de um programa para adultos com fibrose cística (FC) e investigar a relação da desnutrição com as características clínicas desses pacientes. Métodos: Trata-se de um estudo transversal com pacientes com FC clinicamente estáveis (com 16 anos de idade ou mais). Os pacientes for...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

The Quebec Sleep Questionnaire on quality of life in patients with obstructive sleep apnea: translation into Portuguese and cross-cultural adaptation for use in Brazil
Conclusions: The process of translating the QSQ into Portuguese and creating a version that is cross-culturally adapted for use in Brazil produced a valid instrument to assess the quality of life in patients with obstructive sleep apnea.RESUMO Objetivo: Traduzir para a l íngua portuguesa e adaptar culturalmente para uso no Brasil o Quebec Sleep Questionnaire (QSQ), um instrumento específico para a avaliação da qualidade de vida em pacientes com apneia obstrutiva do sono Métodos: A versão em português foi desenvolvida obedecendo a uma criteriosa metodologia, que incluiu as seg...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Understanding diagnostic tests. Part 1.
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Honeycombing
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Momentum
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Erratum
This report underscores the fact that pulmonary foreign body granulomatosis should be included in the differential diagnosis of clinical profiles resembling tuberculosis.RESUMO Descrevemos o caso de um homem de 33 anos de idade, usu ário crônico de cocaína em pó, que apresentava dispneia, febre, sudorese noturna e perda de peso significativa. A TCAR de tórax revelou nódulos centrolobulares, dando uma impressão inicial de tuberculose miliar. Por isso, o paciente passou a receber tratamento empírico com quatro tuberculost áticos. Quatro semanas depois, apesar do t...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Pneumothorax: between the beach and the stratosphere
This report underscores the fact that pulmonary foreign body granulomatosis should be included in the differential diagnosis of clinical profiles resembling tuberculosis.RESUMO Descrevemos o caso de um homem de 33 anos de idade, usu ário crônico de cocaína em pó, que apresentava dispneia, febre, sudorese noturna e perda de peso significativa. A TCAR de tórax revelou nódulos centrolobulares, dando uma impressão inicial de tuberculose miliar. Por isso, o paciente passou a receber tratamento empírico com quatro tuberculost áticos. Quatro semanas depois, apesar do t...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

The reversed halo sign: also think about chronic eosinophilic pneumonia
This report underscores the fact that pulmonary foreign body granulomatosis should be included in the differential diagnosis of clinical profiles resembling tuberculosis.RESUMO Descrevemos o caso de um homem de 33 anos de idade, usu ário crônico de cocaína em pó, que apresentava dispneia, febre, sudorese noturna e perda de peso significativa. A TCAR de tórax revelou nódulos centrolobulares, dando uma impressão inicial de tuberculose miliar. Por isso, o paciente passou a receber tratamento empírico com quatro tuberculost áticos. Quatro semanas depois, apesar do t...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Pulmonary foreign body granulomatosis in a chronic user of powder cocaine
This report underscores the fact that pulmonary foreign body granulomatosis should be included in the differential diagnosis of clinical profiles resembling tuberculosis.RESUMO Descrevemos o caso de um homem de 33 anos de idade, usu ário crônico de cocaína em pó, que apresentava dispneia, febre, sudorese noturna e perda de peso significativa. A TCAR de tórax revelou nódulos centrolobulares, dando uma impressão inicial de tuberculose miliar. Por isso, o paciente passou a receber tratamento empírico com quatro tuberculost áticos. Quatro semanas depois, apesar do t...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Multislice CT in the diagnosis of bronchopleural fistula
The objective of this systematic review was to characterize chest CT findings in patients with dysphagia and pulmonary aspiration, identifying the characteristics and the methods used. The studies were selected from among those indexed in the Brazilian Virtual Library of Health, LILACS, Indice Bibliogr áfico Español de Ciencias de la Salud, Medline, Cochrane Library, SciELO, and PubMed databases. The search was carried out between June and July of 2016. Five articles were included and reviewed, all of them carried out in the last five years, published in English, and coming from different countr ies. The samp...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Chest CT findings in patients with dysphagia and aspiration: a systematic review
The objective of this systematic review was to characterize chest CT findings in patients with dysphagia and pulmonary aspiration, identifying the characteristics and the methods used. The studies were selected from among those indexed in the Brazilian Virtual Library of Health, LILACS, Indice Bibliogr áfico Español de Ciencias de la Salud, Medline, Cochrane Library, SciELO, and PubMed databases. The search was carried out between June and July of 2016. Five articles were included and reviewed, all of them carried out in the last five years, published in English, and coming from different countr ies. The samp...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Long-acting muscarinic antagonists vs. long-acting β 2 agonists in COPD exacerbations: a systematic review and meta-analysis
ABSTRACT Objective: To determine whether long-acting muscarinic antagonists (LAMAs) provide superior therapeutic effects over long-acting β 2 agonists (LABAs) for preventing COPD exacerbations. Methods: This was a systematic review and meta-analysis of randomized clinical trials involving patients with stable, moderate to severe COPD according to the Global Initiative for Chronic Obstructive Lung Disease criteria, treated with a LAMA (i.e., tiotropium bromide, aclidinium, or glycopyrronium), followed for at least 12 weeks and compared with controls using a LABA in isolation or in combination with a corticosteroid. Res...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Recommendations for the pharmacological treatment of COPD: questions and answers
ABSTRACT The treatment of COPD has become increasingly effective. Measures that range from behavioral changes, reduction in exposure to risk factors, education about the disease and its course, rehabilitation, oxygen therapy, management of comorbidities, and surgical and pharmacological treatments to end-of-life care allow health professionals to provide a personalized and effective therapy. The pharmacological treatment of COPD is one of the cornerstones of COPD management, and there have been many advances in this area in recent years. Given the greater availability of drugs and therapeutic combinations, it has become in...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Sleep quality in medical students: a comparison across the various phases of the medical course
Conclusions: Medical students seem to be more exposed to sleep disturbance than other university students, and first- and second-years are more affected than those in other class years because they have worse subjective sleep quality. Active interventions should be implemented to improve sleep hygiene in medical students.RESUMO Objetivo: Avaliar a percep ção subjetiva de qualidade de sono em estudantes de medicina, comparando as diferentes fases do curso. Métodos: Estudo transversal envolvendo todos os estudantes entre o 1º e o 6º ano da graduação em medicina em uma universidade...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Can the six-minute walk distance predict the occurrence of acute exacerbations of COPD in patients in Brazil?
Conclusions: In Brazil, the 6MWD can predict acute exacerbations of COPD over a 2-year period. The risk of experiencing an acute exacerbation of COPD within 2 years is more than twice as high in patients in whom the 6MWD is ≤ 80% of predicted.RESUMO Objetivo: Avaliar se a dist ância percorrida no teste de caminhada de seis minutos (DTC6) 80% do predito. A ocorr ência de exacerbações agudas da DPOC ao longo de 2 anos foi identificada por meio de registros de prontuários e contato telefônico. Resultados: A amostra geral apresentou obstrução moderada/grave ao fluxo a&eac...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Pneumonia mortality trends in all Brazilian geographical regions between 1996 and 2012
Conclusions: In general, pneumonia mortality trends reversed, with an important increase occurring in the years after 2000.RESUMO Objetivo: Analisar a tend ência temporal dos coeficientes de mortalidade por pneumonia (padronizados por idade, utilizando-se a população do Brasil no ano de 2010 como padrão) nas regiões geográficas brasileiras no período entre 1996 e 2012. Métodos: Estudo ecológico de séries temporais utilizando dados secundári os do Sistema de Informação sobre Mortalidade do Departamento de Tecnologia da Informaç&...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

High-resolution computed tomography findings of pulmonary tuberculosis in lung transplant recipients
Conclusions: The predominant HRCT pattern was ground-glass attenuation with consolidation, followed by cavitation and centrilobular nodules with a tree-in-bud pattern. These findings are similar to those reported for immunocompetent patients with pulmonary tuberculosis and considerably different from those reported for AIDS patients with the same disease.RESUMO Objetivo: As infec ções respiratórias constituem a principal causa de morbidade e mortalidade em transplantados de órgãos sólidos. A incidência de tuberculose pulmonar é alta entre esses pacientes. Em exames de ...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Translation and cultural adaptation of a specific instrument for measuring asthma control and asthma status: the Asthma Control and Communication Instrument
Conclusions: The ACCI was successfully translated to Portuguese and culturally adapted for use in Brazil, the translated version maintaining the psychometric properties of the original version. The ACCI can be used in clinical practice because it is easy to understand and easily applied.RESUMO Objetivo: Traduzir e adaptar culturalmente para a l íngua portuguesa falada no Brasil um instrumento que avalia a comunicação e o controle da asma, denominado Asthma Control and Communication Instrument (ACCI). Métodos: O ACCI foi traduzido e adaptado culturalmente com um protocolo que incluiu etapas inter...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Laryngotracheobronchial papillomatosis: chest CT findings
Conclusions: The most common tomography findings were nodular formations in the trachea, as well as solid or cavitated nodules and masses in the lung parenchyma. Malignant transformation of the lesions was observed in 5 cases.RESUMO Objetivo: Analisar os achados em TCs de t órax em 16 pacientes (8 homens e 8 mulheres) com papilomatose laringotraqueobrônquica. Métodos: Estudo retrospectivo que incluiu pacientes com idade variando de 2 a 72 anos. As imagens de TC foram avaliadas por dois observadores, de forma independente, e os casos discordantes foram resolvidos po r consenso. Os critérios de inc...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Usefulness of radiological signs of pulmonary congestion in predicting failed spontaneous breathing trials
Conclusions: Radiological findings of pulmonary congestion should not delay SBT indication, given that they did not predict weaning failure in the medical-surgical critically ill population. (ClinicalTrials.gov identifier: NCT02022839 [http://www.clinicaltrials.gov/])RESUMO Objetivo: A queda inspirat ória da pressão intratorácica durante o teste de respiração espontânea (TRE) pode provocar disfunção cardíaca e edema pulmonar agudo. Nosso objetivo foi determinar a relação entre sinais radiológicos de congestão pulmonar antes do TRE e d...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Prognostic studies for health care decision making
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Thickening of the tracheal wall
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

The difficult task of searching for tools that help predict mechanical ventilator weaning success
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research