Characterization of the severity of dyspnea in patients with bronchiectasis: correlation with clinical, functional, and tomographic aspects
Conclusions: Patients with bronchiectasis and dyspnea that was more severe had greater functional impairment. The measurement of lung volumes complemented the spirometry data. Because bronchiectasis is a complex, heterogeneous condition, a single variable does not seem to be sufficient to provide an overall characterization of the clinical condition.RESUMO Objetivo: Caracterizar uma popula ção de portadores de bronquiectasias e correlacionar aspectos clínicos, radiológicos e funcionais com a gravidade da dispneia. Métodos: Estudo transversal realizado em adultos, portadores de bronquiecta...
Source: Jornal Brasileiro de Pneumologia - June 16, 2020 Category: Respiratory Medicine Source Type: research

Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation
ABSTRACT Objective: To develop and apply a competency-based test to assess learning among internal medicine residents during a respiratory ICU rotation at a university hospital. Methods: We developed a test comprising 19 multiple-choice questions regarding knowledge of mechanical ventilation (MV) and 4 self-assessment questions regarding the degree of confidence in the management of MV. The test was applied on the first and last day of a 30-day respiratory ICU rotation (pre-rotation and post-rotation, respectively). During the rotation, the residents had lectures, underwent simulator training, and shadowed physicians on da...
Source: Jornal Brasileiro de Pneumologia - June 16, 2020 Category: Respiratory Medicine Source Type: research

Smoking history: relationships with inflammatory markers, metabolic markers, body composition, muscle strength, and cardiopulmonary capacity in current smokers
Conclusions: In this sample of smokers, smoking history correlated positively with the triglyceride level, the monocyte count, and waist circumference. The prevalence of metabolic disease was highest in those who smoked more than 20 cigarettes/day.RESUMO Objetivo: Verificar a rela ção da carga tabágica com marcadores inflamatórios, marcadores metabólicos, composição corporal, força muscular e capacidade cardiorrespiratória em tabagistas. Métodos: Estudo transversal com 65 tabagistas de ambos os sexos (idade: 18-60 anos). Todos os participantes foram aval...
Source: Jornal Brasileiro de Pneumologia - June 16, 2020 Category: Respiratory Medicine Source Type: research

High resolution computed tomography patterns in interstitial lung disease (ILD): prevalence and prognosis
Conclusion IPF, CHP, and CTD-ILD were the main differential diagnoses in patients with HRCT patterns of typical, probable and indeterminate UIP. Patients with HRCT typical UIP pattern were m ore likely to die or had lung transplantation in the follow-up. (Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - March 9, 2020 Category: Respiratory Medicine Source Type: research

Azithromycin administered for acute bronchiolitis may have a protective effect on subsequent wheezing
RESUMO Objetivo Uma propor ção significativa de lactentes desenvolve sibilância recorrente após um evento de bronquiolite aguda (BA). Estudos recentes demonstraram proteção para sibilância recorrente e menor morbidade respiratória em lactentes tratados com azitromicina durante uma crise de sibilância. O objetivo do p resente estudo foi testar a hipótese de que a administração de azitromicina durante um evento BA reduz sibilos e reinternações hospitalares subsequentes. Métodos Trata-se de uma análise secundári...
Source: Jornal Brasileiro de Pneumologia - March 2, 2020 Category: Respiratory Medicine Source Type: research

Symptom variability over the course of the day in patients with stable COPD in Brazil: a real-world observational study
ABSTRACT Objective: To analyze symptoms at different times of day in patients with COPD. Methods: This was a multicenter, cross-sectional observational study conducted at eight centers in Brazil. We evaluated morning, daytime, and nighttime symptoms in patients with stable COPD. Results: We included 593 patients under regular treatment, of whom 309 (52.1%) were male and 92 (15.5%) were active smokers. The mean age was 67.7 years, and the mean FEV1 was 49.4% of the predicted value. In comparison with the patients who had mild or moderate symptoms, the 183 (30.8%) with severe symptoms were less physically active (p = 0.002),...
Source: Jornal Brasileiro de Pneumologia - December 20, 2019 Category: Respiratory Medicine Source Type: research

Influence of a heat and moisture exchanger with a microbiological filter on measurements of maximal respiratory pressures and vital capacity in patients with COPD
Conclusions: Robotic pulmonary resection proved to be a safe treatment for lung cancer. Longer follow-up periods are required in order to assess long-term survival.RESUMO Objetivo: Descrever morbidade, mortalidade e completude da ressec ção associadas à cirurgia robótica para o tratamento de câncer de pulmão não pequenas células no Brasil, assim como sobrevida global e sobrevida livre de doença. Métodos: Estudo retrospectivo incluindo pacientes com diagnóstico de carcinoma pulmonar de células não pequenas submetidos à ressec&cc...
Source: Jornal Brasileiro de Pneumologia - December 14, 2019 Category: Respiratory Medicine Source Type: research

Performance of instruments aimed at detecting obstructive sleep apnea syndrome among individuals in Chile
Conclusions: Robotic pulmonary resection proved to be a safe treatment for lung cancer. Longer follow-up periods are required in order to assess long-term survival.RESUMO Objetivo: Descrever morbidade, mortalidade e completude da ressec ção associadas à cirurgia robótica para o tratamento de câncer de pulmão não pequenas células no Brasil, assim como sobrevida global e sobrevida livre de doença. Métodos: Estudo retrospectivo incluindo pacientes com diagnóstico de carcinoma pulmonar de células não pequenas submetidos à ressec&cc...
Source: Jornal Brasileiro de Pneumologia - December 14, 2019 Category: Respiratory Medicine Source Type: research

Robotic thoracic surgery for non-small cell lung cancer: initial experience in Brazil
Conclusions: Robotic pulmonary resection proved to be a safe treatment for lung cancer. Longer follow-up periods are required in order to assess long-term survival.RESUMO Objetivo: Descrever morbidade, mortalidade e completude da ressec ção associadas à cirurgia robótica para o tratamento de câncer de pulmão não pequenas células no Brasil, assim como sobrevida global e sobrevida livre de doença. Métodos: Estudo retrospectivo incluindo pacientes com diagnóstico de carcinoma pulmonar de células não pequenas submetidos à ressec&cc...
Source: Jornal Brasileiro de Pneumologia - December 14, 2019 Category: Respiratory Medicine Source Type: research

The Brazilian Portuguese-language version of the Manchester Respiratory Activities of Daily Living questionnaire: construct validity, reliability, and measurement error
ABSTRACT Objective: To test the construct validity, reliability, and measurement error of the Brazilian Portuguese-language version of the Manchester Respiratory Activities of Daily Living (MRADL) questionnaire in patients with COPD. Methods: We evaluated 50 patients with COPD, among whom 30 were men, the mean age was 64 ± 8 years, and the median FEV1 as a percentage of the predicted value (FEV1%predicted) was 38.4% (interquartile range, 29.1-57.4%). Pulmonary function and limitations in activities of daily living (ADLs) were assessed by spirometry and by face-to-face application of the MRADL, respectively. For the ...
Source: Jornal Brasileiro de Pneumologia - December 14, 2019 Category: Respiratory Medicine Source Type: research

Robotic thoracic surgery for resection of thymoma and tumors of the thymus: technical development and initial experience
Conclusion s: Robotic thoracic surgery for resection of tumors of the thymus has been shown to be feasible and safe, with a low risk of complications and with postoperative outcomes comparable to those of other techniques.RESUMO Objetivo: Avaliar os resultados da ressec ção de tumores tímicos por cirurgia torácica robótica, verificando a radicalidade da ressecção, complicações pós-operatórias, tempo de cirurgia e tempo de internação. Métodos: Estudo retrospectivo a partir de um banco de dados envolvendo pacientes com diagn&oac...
Source: Jornal Brasileiro de Pneumologia - December 14, 2019 Category: Respiratory Medicine Source Type: research

Assessment of theoretical and practical knowledge of asthma among guardians of children treated in primary care
ABSTRACT Objective: To compare religious coping (RC) in patients with COPD and healthy individuals, as well as to determine whether RC is associated with demographic characteristics, quality of life, depression, and disease severity in the patients with COPD. Methods: This was a cross-sectional study conducted between 2014 and 2016, involving outpatients with moderate to severe COPD seen at one of two hospitals in Fortaleza, Brazil, as well as gender- and age-matched healthy controls. The Brief RCOPE scale assessed RC in all of the participants. We also evaluated the COPD group patients regarding symptoms, quality of life,...
Source: Jornal Brasileiro de Pneumologia - October 18, 2019 Category: Respiratory Medicine Source Type: research

Assessment of religious coping in patients with COPD
ABSTRACT Objective: To compare religious coping (RC) in patients with COPD and healthy individuals, as well as to determine whether RC is associated with demographic characteristics, quality of life, depression, and disease severity in the patients with COPD. Methods: This was a cross-sectional study conducted between 2014 and 2016, involving outpatients with moderate to severe COPD seen at one of two hospitals in Fortaleza, Brazil, as well as gender- and age-matched healthy controls. The Brief RCOPE scale assessed RC in all of the participants. We also evaluated the COPD group patients regarding symptoms, quality of life,...
Source: Jornal Brasileiro de Pneumologia - October 18, 2019 Category: Respiratory Medicine Source Type: research

Pseudomonas aeruginosa colonization in the upper and lower airways of a child with cystic fibrosis: a father’s meticulous approach to successful eradication
Conclusions: The effects of HIIT appear to be comparable to those of continuous exercise in relation to functional and cardiovascular responses. However, our findings should be interpreted with caution because the studies evaluated present a high risk of bias, which could have a direct influence on the results.RESUMO Objetivo: Avaliar e comparar os efeitos do high-intensity interval training (HIIT, treinamento intervalado de alta intensidade) aos do exerc ício contínuo sobre a capacidade funcional e variáveis cardiovasculares em pacientes com DPOC por meio de revisão sistemática e meta-an...
Source: Jornal Brasileiro de Pneumologia - October 15, 2019 Category: Respiratory Medicine Source Type: research

Discordance between old and new criteria for stratifying patients with COPD
Conclusions: The effects of HIIT appear to be comparable to those of continuous exercise in relation to functional and cardiovascular responses. However, our findings should be interpreted with caution because the studies evaluated present a high risk of bias, which could have a direct influence on the results.RESUMO Objetivo: Avaliar e comparar os efeitos do high-intensity interval training (HIIT, treinamento intervalado de alta intensidade) aos do exerc ício contínuo sobre a capacidade funcional e variáveis cardiovasculares em pacientes com DPOC por meio de revisão sistemática e meta-an...
Source: Jornal Brasileiro de Pneumologia - October 15, 2019 Category: Respiratory Medicine Source Type: research

Should active case finding be conducted among patients with respiratory symptoms independently of local epidemiological settings?
Conclusions: The effects of HIIT appear to be comparable to those of continuous exercise in relation to functional and cardiovascular responses. However, our findings should be interpreted with caution because the studies evaluated present a high risk of bias, which could have a direct influence on the results.RESUMO Objetivo: Avaliar e comparar os efeitos do high-intensity interval training (HIIT, treinamento intervalado de alta intensidade) aos do exerc ício contínuo sobre a capacidade funcional e variáveis cardiovasculares em pacientes com DPOC por meio de revisão sistemática e meta-an...
Source: Jornal Brasileiro de Pneumologia - October 15, 2019 Category: Respiratory Medicine Source Type: research

Diagnosis and treatment of latent tuberculosis infection in patients undergoing treatment with immunobiologic agents: a four-year experience in an endemic area
Conclusions: A six-month course of isoniazid proved to be safe and effective in the treatment of LTBI, which is essential to reducing the risk of developing active tuberculosis.RESUMO Objetivo: Descrever a incid ência de tuberculose ativa e a ocorrência de eventos adversos do tratamento com isoniazida em pacientes diagnosticados com tuberculose latente (TBL), portadores de doenças inflamatórias crônicas e tratados com agentes imunobiológicos em uma área endêmica no Brasil. Métodos: O diagnóstico de TBL foi feito com base em anamnese, exame clínico, ra...
Source: Jornal Brasileiro de Pneumologia - October 15, 2019 Category: Respiratory Medicine Source Type: research

Effects of a high-intensity pulmonary rehabilitation program on the minute ventilation/carbon dioxide output slope during exercise in a cohort of patients with COPD undergoing lung resection for non-small cell lung cancer
ABSTRACT Objective: Preoperative functional evaluation is central to optimizing the identification of patients with non-small cell lung cancer (NSCLC) who are candidates for surgery. The minute ventilation/carbon dioxide output (VE/VCO2) slope has proven to be a predictor of surgical complications and mortality. Pulmonary rehabilitation programs (PRPs) could influence short-term outcomes in patients with COPD undergoing lung resection. Our objective was to evaluate the effects of a PRP on the VE/VCO2 slope in a cohort of patients with COPD undergoing lung resection for NSCLC. Methods: We retrospectively evaluated 25 consec...
Source: Jornal Brasileiro de Pneumologia - October 15, 2019 Category: Respiratory Medicine Source Type: research

Respiratory muscle strength and lung function in the stages of Parkinson’s disease
Conclusions: Respiratory muscle strength and some lung function parameters are impaired from the early stages of PD onward, bradykinesia and rigidity being the cardinal signs that correlate most strongly with impairment of those parameters. Such alterations negatively affect the quality of life of patients with PD.RESUMO Objetivo: Investigar a repercuss ão de parâmetros de função pulmonar e de força muscular respiratória nos diversos estágios da doença de Parkinson (DP) e suas correlações com a funcionalidade e a qualidade de vida desses pacientes. M&eacu...
Source: Jornal Brasileiro de Pneumologia - October 1, 2019 Category: Respiratory Medicine Source Type: research

Gastric pseudo-obstruction as an initial manifestation of thymoma
Conclusions: The effects of HIIT appear to be comparable to those of continuous exercise in relation to functional and cardiovascular responses. However, our findings should be interpreted with caution because the studies evaluated present a high risk of bias, which could have a direct influence on the results.RESUMO Objetivo: Avaliar e comparar os efeitos do high-intensity interval training (HIIT, treinamento intervalado de alta intensidade) aos do exerc ício contínuo sobre a capacidade funcional e variáveis cardiovasculares em pacientes com DPOC por meio de revisão sistemática e meta-an...
Source: Jornal Brasileiro de Pneumologia - September 27, 2019 Category: Respiratory Medicine Source Type: research

Intensity of physical exercise and its effect on functional capacity in COPD: systematic review and meta-analysis
Conclusions: The effects of HIIT appear to be comparable to those of continuous exercise in relation to functional and cardiovascular responses. However, our findings should be interpreted with caution because the studies evaluated present a high risk of bias, which could have a direct influence on the results.RESUMO Objetivo: Avaliar e comparar os efeitos do high-intensity interval training (HIIT, treinamento intervalado de alta intensidade) aos do exerc ício contínuo sobre a capacidade funcional e variáveis cardiovasculares em pacientes com DPOC por meio de revisão sistemática e meta-an...
Source: Jornal Brasileiro de Pneumologia - September 27, 2019 Category: Respiratory Medicine Source Type: research

Cross-cultural adaptation of the Cambridge Pulmonary Hypertension Outcome Review for use in patients with pulmonary hypertension in Colombia
Conclusions: The Spanish-language version of the CAMPHOR developed for use in Colombia was the result of a translation and cultural adaptation process that allows us to consider it equivalent to the original version, having shown good psychometric properties in the study sample. Therefore, its use to assess the impact of interventions on the HRQoL of patients with PAH or CTEPH is recommended, in research and clinical practice.RESUMEN Objetivo: Realizar la adaptaci ón transcultural del cuestionario Cambridge Pulmonary Hypertension Outcome Review (CAMPHOR) como instrumento para evaluar la percepción de sí...
Source: Jornal Brasileiro de Pneumologia - July 29, 2019 Category: Respiratory Medicine Source Type: research

Multidisciplinary education with a focus on COPD in primary health care
ABSTRACT Objective: To evaluate the use of video lessons on the topic of COPD as a training tool for a multidisciplinary team working in the primary health care sector. Methods: This was a quasi-experimental study involving a multidisciplinary team working at a primary health care clinic. The level of knowledge about COPD was measured by applying a specific, 16-item questionnaire - before, immediately after, and three months after the video lessons. In a set of six structured video lessons, the training focused on the prevention, case-finding, treatment, and monitoring of cases of COPD. The data were analyzed with the Frie...
Source: Jornal Brasileiro de Pneumologia - July 29, 2019 Category: Respiratory Medicine Source Type: research

Anthropometric status of individuals with COPD in the city of São Paulo, Brazil, over time - analysis of a population-based study
Conclusions: Between the two phases of the study, the subjects with mild COPD showed increases in weight and BMI, whereas those with a more severe form of the disease showed reductions.RESUMO Objetivo: Avaliar a evolu ção dos dados antropométricos obtidos em uma pesquisa latino-americana realizada em duas fases (basal, em 2003, e seguimento, em 2012) na cidade de São Paulo. Métodos: Estudo de base populacional que avaliou indivíduos com idade ≥ 40 anos com o objetivo de definir a preval ência da DPOC e sua relação com alguns fatores de risco. A avaliaç...
Source: Jornal Brasileiro de Pneumologia - July 29, 2019 Category: Respiratory Medicine Source Type: research

Familial pulmonary fibrosis: a heterogeneous spectrum of presentations
Conclusions: Patients with FPF can present with a wide variety of clinical features. Most HRCT scans of these patients exhibit patterns not typical of usual interstitial pneumonia. The family history of fibrotic lung diseases should be investigated in all patients under suspicion, regardless of their age.RESUMO Objetivo: Descrever as caracter ísticas clínicas, funcionais e radiológicas de um grupo de casos índice diagnosticados com fibrose pulmonar familiar (FPF) no Brasil. Métodos: Trinta e cinco pacientes com FPF (18 mulheres; 51,4%), com mediana de idade de 66,0 anos (variaç&ati...
Source: Jornal Brasileiro de Pneumologia - June 10, 2019 Category: Respiratory Medicine Source Type: research

Effects of the implementation of a hand hygiene education program among ICU professionals: an interrupted time-series analysis
ABSTRACT Objective: To evaluate the effects that a hand hygiene education program has on the compliance of health professionals in an ICU. Methods: This was a quasi-experimental study with an interrupted time-series design, conducted over a 12-month period: the 5 months preceding the implementation of a hand hygiene education program (baseline period); the 2 months of the intensive (intervention) phase of the program; and the first 5 months thereafter (post-intervention phase). Hand hygiene compliance was monitored by one of the researchers, unbeknownst to the ICU team. The primary outcome measure was the variation in the ...
Source: Jornal Brasileiro de Pneumologia - June 10, 2019 Category: Respiratory Medicine Source Type: research

Inflammatory lung injury in rabbits: effects of high-frequency oscillatory ventilation in the prone position
ABSTRACT Objective: To compare the effects that prone and supine positioning during high-frequency oscillatory ventilation (HFOV) have on oxygenation and lung inflammation, histological injury, and oxidative stress in a rabbit model of acute lung injury (ALI). Methods: Thirty male Norfolk white rabbits were induced to ALI by tracheal saline lavage (30 mL/kg, 38 °C). The injury was induced during conventional mechanical ventilation, and ALI was considered confirmed when a PaO2/FiO2 ratio
Source: Jornal Brasileiro de Pneumologia - March 25, 2019 Category: Respiratory Medicine Source Type: research

Effects of manual chest compression on expiratory flow bias during the positive end-expiratory pressure-zero end-expiratory pressure maneuver in patients on mechanical ventilation
Conclusions: The PEEP-ZEEP maneuver, without MCC, resulted in an expiratory flow bias superior to that neces sary to facilitate pulmonary secretion removal. Combining MCC with the PEEP-ZEEP maneuver increased the expiratory flow bias, which increases the potential of the maneuver to remove secretions.RESUMO Objetivo: Avaliar os efeitos da compress ão torácica manual (CTM) sobre o flow bias expiratório durante a manobra positive end-expiratory pressure-zero end-expiratory pressure (PEEP-ZEEP) para a remoção de secreção em pacientes sob ventilação mecânica ...
Source: Jornal Brasileiro de Pneumologia - March 12, 2019 Category: Respiratory Medicine Source Type: research

Probe-based confocal laser endomicroscopy of the airways: physiological and pathological characteristics of preneoplastic and neoplastic lesions
ABSTRACT Dysfunctional breathing (DB) is a respiratory condition characterized by irregular breathing patterns that occur either in the absence of concurrent diseases or secondary to cardiopulmonary diseases. Although the primary symptom is often dyspnea or “ air hunger ” , DB is also associated with nonrespiratory symptoms such as dizziness and palpitations. DB has been identified across all ages. Its prevalence among adults in primary care in the United Kingdom is approximately 9.5%. In addition, among individuals with asthma, a positive diagnosis of DB is found in a third of women and a fifth of men. Althoug...
Source: Jornal Brasileiro de Pneumologia - March 1, 2019 Category: Respiratory Medicine Source Type: research

Evaluation of the gauge of needles used in the collection of specimens during endobronchial ultrasound-guided transbronchial needle aspiration
ABSTRACT Dysfunctional breathing (DB) is a respiratory condition characterized by irregular breathing patterns that occur either in the absence of concurrent diseases or secondary to cardiopulmonary diseases. Although the primary symptom is often dyspnea or “ air hunger ” , DB is also associated with nonrespiratory symptoms such as dizziness and palpitations. DB has been identified across all ages. Its prevalence among adults in primary care in the United Kingdom is approximately 9.5%. In addition, among individuals with asthma, a positive diagnosis of DB is found in a third of women and a fifth of men. Althoug...
Source: Jornal Brasileiro de Pneumologia - March 1, 2019 Category: Respiratory Medicine Source Type: research

Solitary fibrous tumor of the pleura: a rare cause of elevation of the right lung base
ABSTRACT Dysfunctional breathing (DB) is a respiratory condition characterized by irregular breathing patterns that occur either in the absence of concurrent diseases or secondary to cardiopulmonary diseases. Although the primary symptom is often dyspnea or “ air hunger ” , DB is also associated with nonrespiratory symptoms such as dizziness and palpitations. DB has been identified across all ages. Its prevalence among adults in primary care in the United Kingdom is approximately 9.5%. In addition, among individuals with asthma, a positive diagnosis of DB is found in a third of women and a fifth of men. Althoug...
Source: Jornal Brasileiro de Pneumologia - March 1, 2019 Category: Respiratory Medicine Source Type: research

Evaluation of bone disease in patients with cystic fibrosis and end-stage lung disease
ABSTRACT Objective: Bone disease is a common comorbidity in patients with cystic fibrosis (CF). We sought to determine risk factors and identify potential biochemical markers for CF-related bone disease (CFBD) in a unique cohort of CF patients with end-stage lung disease undergoing lung transplantation (LTx) evaluation. Methods: All of the CF patients who were evaluated for LTx at our center between November of 1992 and December of 2010 were included in the study. Clinical data and biochemical markers of bone turnover, as well as bone mineral density (BMD) at the lumbar spine and femoral neck, were evaluated. Spearman &rsq...
Source: Jornal Brasileiro de Pneumologia - March 1, 2019 Category: Respiratory Medicine Source Type: research

Writing an effective response to reviewers: the goal is to improve the study and get it published!
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - March 1, 2019 Category: Respiratory Medicine Source Type: research

Should we use prognostic scores for acute pulmonary thromboembolism in clinical practice?
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - March 1, 2019 Category: Respiratory Medicine Source Type: research

Pleural effusion caused by infection with Listeria monocytogenes: etiopathogenesis and treatment
ABSTRACT Dysfunctional breathing (DB) is a respiratory condition characterized by irregular breathing patterns that occur either in the absence of concurrent diseases or secondary to cardiopulmonary diseases. Although the primary symptom is often dyspnea or “ air hunger ” , DB is also associated with nonrespiratory symptoms such as dizziness and palpitations. DB has been identified across all ages. Its prevalence among adults in primary care in the United Kingdom is approximately 9.5%. In addition, among individuals with asthma, a positive diagnosis of DB is found in a third of women and a fifth of men. Althoug...
Source: Jornal Brasileiro de Pneumologia - February 25, 2019 Category: Respiratory Medicine Source Type: research

Does everyone who quit smoking gain weight? A real-world prospective cohort study
Conclusions: Weight gain is not necessarily associated with smoking cessation, and smokers who are motivated to quit should be informed of that fact. This information could also be useful for addressing smokers who are still undecided because of possibility of weight gain.RESUMO Objetivo: Avaliar as altera ções de peso após 12 meses de abstinência do tabagismo confirmada bioquimicamente, comparando pacientes que perderam peso ou mantiveram o peso basal com os que ganharam peso. Métodos: Estudo prospectivo de coorte do mundo real realizado no Ambulatório de Cessação do ...
Source: Jornal Brasileiro de Pneumologia - February 25, 2019 Category: Respiratory Medicine Source Type: research

Incidence and morphological characteristics of the reversed halo sign in patients with acute pulmonary embolism and pulmonary infarction undergoing computed tomography angiography of the pulmonary arteries
Conclusions: A diagnosis of PE should be considered when there are findings such as those described here, even in patients with nonspecific clinical symptoms.RESUMO Objetivo: Verificar a incid ência do sinal do halo invertido (SHI) associado a infartos pulmonares (IP) relacionados ao tromboembolismo pulmonar (TEP) agudo, identificado por angiotomografia (angio-TC) de artérias pulmonares, e demonstrar as principais características morfológicas do SHI. Métodos: Foram avaliadas 993 ang io-TCs, após estratificação de risco clínico para TEP entre janeiro de 2010 e de...
Source: Jornal Brasileiro de Pneumologia - February 25, 2019 Category: Respiratory Medicine Source Type: research

Validation of the Pulmonary Embolism Severity Index for risk stratification after acute pulmonary embolism in a cohort of patients in Brazil
Conclusions: The PESI adequately predicted the prognosis after acute PE in this sample of the population of Brazil. The cluster analysis based on the original version is the most appropriate analysis in this setting.RESUMO Objetivo: Pulmonary Embolism Severity Index (PESI) foi desenvolvido para a estratifica ção de risco após tromboembolia pulmonar (TEP) aguda. Nosso objetivo foi validá-lo para uso no Brasil. Métodos: Estudo retrospectivo unicêntrico incluindo pacientes com TEP admitidos numa unidade de emergência. O PESI (versão original e simplificada) foi calculado u...
Source: Jornal Brasileiro de Pneumologia - February 25, 2019 Category: Respiratory Medicine Source Type: research

Hyperinflation surrounding a solitary nodule
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - February 25, 2019 Category: Respiratory Medicine Source Type: research

COPD: more treatment will translate to better breathing. Will it?
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - February 25, 2019 Category: Respiratory Medicine Source Type: research

Jornal Brasileiro de Pneumologia and Sociedade Brasileira de Pneumologia e Tisiologia: perspectives for the next four years
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - February 18, 2019 Category: Respiratory Medicine Source Type: research

Use of thrombolytic agents in the treatment of acute pulmonary thromboembolism: things are not as simple as you might think
ABSTRACT Dysfunctional breathing (DB) is a respiratory condition characterized by irregular breathing patterns that occur either in the absence of concurrent diseases or secondary to cardiopulmonary diseases. Although the primary symptom is often dyspnea or “ air hunger ” , DB is also associated with nonrespiratory symptoms such as dizziness and palpitations. DB has been identified across all ages. Its prevalence among adults in primary care in the United Kingdom is approximately 9.5%. In addition, among individuals with asthma, a positive diagnosis of DB is found in a third of women and a fifth of men. Althoug...
Source: Jornal Brasileiro de Pneumologia - February 11, 2019 Category: Respiratory Medicine Source Type: research

Dysfunctional breathing: what do we know?
ABSTRACT Dysfunctional breathing (DB) is a respiratory condition characterized by irregular breathing patterns that occur either in the absence of concurrent diseases or secondary to cardiopulmonary diseases. Although the primary symptom is often dyspnea or “ air hunger ” , DB is also associated with nonrespiratory symptoms such as dizziness and palpitations. DB has been identified across all ages. Its prevalence among adults in primary care in the United Kingdom is approximately 9.5%. In addition, among individuals with asthma, a positive diagnosis of DB is found in a third of women and a fifth of men. Althoug...
Source: Jornal Brasileiro de Pneumologia - February 11, 2019 Category: Respiratory Medicine Source Type: research

Is a low level of education a limiting factor for asthma control in a population with access to pulmonologists and to treatment?
Conclusions: Among asthma patients with access to pulmonologists and to treatment, a low level of education does not appear to be a limiting factor for adequate asthma control.RESUMO Objetivo: Avaliar se a baixa escolaridade é um fator de risco para asma não controlada em uma população de pacientes que tem acesso a um pneumologista e ao tratamento. Métodos: Estudo transversal com pacientes com diagnóstico de asma, com idade> 10 anos, acompanhados por ao menos tr ês meses por um pneumologista em ambulatórios na cidade de Jundiaí (SP). Os indivíduos resp...
Source: Jornal Brasileiro de Pneumologia - February 11, 2019 Category: Respiratory Medicine Source Type: research

Prevalence of vitamin D deficiency and its relationship with factors associated with recurrent wheezing
Conclusions: The prevalence of vitamin D deficiency/insufficiency was high in our sample. Vitamin D concentrations were directly associated with vitamin D supplementation until 2 years of age and were inversely associated with wheezing events in the first year of life, personal history of atopic dermatitis, and environmental pollution.RESUMO Objetivo: Determinar a preval ência da deficiência/insuficiência de vitamina D em indivíduos com sibilância recorrente e/ou asma com idade de 0-18 anos e residentes na microrregião de Viçosa (MG) atendidos em um centro de referência e ...
Source: Jornal Brasileiro de Pneumologia - February 11, 2019 Category: Respiratory Medicine Source Type: research

Back to the future: a case series of minimally invasive repair of pectus excavatum with regular instruments
Conclusions: In this preliminary study, the rate of complications associated with MIRPERI was comparable to that reported in the literature for MIRPE. The MIRPERI approach has the potential to improve the safety of PE repair, particularly for surgeons that do not have access to certain special instruments or have not been trained in their use.RESUMO Objetivo: O minimally invasive repair of pectus excavatum (MIRPE, reparo minimamente invasivo do pectus excavatum) é um tratamento cirúrgico do PE. Durante o procedimento, utiliza-se um introdutor específico a fim de criar um túnel mediastinal para a...
Source: Jornal Brasileiro de Pneumologia - February 11, 2019 Category: Respiratory Medicine Source Type: research

Obstructive sleep apnea and quality of life in elderly patients with a pacemaker
Conclusions: In elderly patients with a pacemaker, OSA was not found to be associated with quality of life or with symptoms of anxiety or depression.RESUMO Objetivo: Avaliar a qualidade de vida em idosos portadores de marca-passo e apneia obstrutiva do sono (AOS). M étodos: Estudo de corte transversal com idosos (idade ≥ 60 anos) portadores de marca-passo card íaco. A variável dependente foi qualidade de vida, avaliada por meio do Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). Dados sociodemográficos e clínicos foram analisados como variáveis independentes, ent...
Source: Jornal Brasileiro de Pneumologia - February 11, 2019 Category: Respiratory Medicine Source Type: research

Management of COPD within the Brazilian Unified Health Care System in the state of Bahia: an analysis of real-life medication use patterns
Conclusions: Long-acting bronchodilators are frequently underused in individuals with moderate to very severe COPD within the Brazilian Unified Health Care System in the state of Bahia. Most patients in our sample were treated inappropriately, and undertreatment predominated. Strategies to improve access to long-acting bronchodilators and the quality of COPD pharmacological management are required.RESUMO Objetivo: Descrever o padr ão de tratamento farmacológico da DPOC no estado da Bahia e avaliar a conformidade desse padrão com diretrizes clínicas de manejo da doença. Métodos: Est...
Source: Jornal Brasileiro de Pneumologia - February 11, 2019 Category: Respiratory Medicine Source Type: research

Erratum
ABSTRACT Obesity hypoventilation syndrome (OHS) is defined as the presence of obesity (body mass index ≥ 30 kg/m ²) and daytime arterial hypercapnia (PaCO2 ≥ 45 mmHg) in the absence of other causes of hypoventilation. OHS is often overlooked and confused with other conditions associated with hypoventilation, particularly COPD. The recognition of OHS is important because of its high prevalence and the fact that, if left untreated, it is associated with high morbidity and mortality. In the present review, we address recent advances in the pathophysiology and management of OHS, the usefulness of determination of ve...
Source: Jornal Brasileiro de Pneumologia - January 31, 2019 Category: Respiratory Medicine Source Type: research

Empyema caused by infection with Clostridium septicum in a patient with lung cancer
ABSTRACT Obesity hypoventilation syndrome (OHS) is defined as the presence of obesity (body mass index ≥ 30 kg/m ²) and daytime arterial hypercapnia (PaCO2 ≥ 45 mmHg) in the absence of other causes of hypoventilation. OHS is often overlooked and confused with other conditions associated with hypoventilation, particularly COPD. The recognition of OHS is important because of its high prevalence and the fact that, if left untreated, it is associated with high morbidity and mortality. In the present review, we address recent advances in the pathophysiology and management of OHS, the usefulness of determination of ve...
Source: Jornal Brasileiro de Pneumologia - January 31, 2019 Category: Respiratory Medicine Source Type: research