Clinical, epidemiological, and etiological profile of inpatients with community-acquired pneumonia in a public hospital in the interior of Brazil
Conclusions: The in-hospital mortality rate of 15.5% and the need for ICU admission in almost one third of the patients reflect the major impact of CAP on patients and the health care system. Individuals with a high burden of comorbidities, a high CURB-65 score, and a need for mechanical ventilation had a worse prognosis. Measures to reduce the time to initiation of antibiotic therapy may result in better outcomes in this group of patients.RESUMO Objetivo: Descrever o perfil dos pacientes, taxas de mortalidade, acur ácia de escores prognósticos e fatores associados à mortalidade em pacientes com pneumonia adquirida na ...
Source: Jornal Brasileiro de Pneumologia - October 11, 2018 Category: Respiratory Medicine Source Type: research
Twelve tips to write an abstract for a conference: advice for young and experienced investigators
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - October 11, 2018 Category: Respiratory Medicine Source Type: research
Nodular fissure
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - October 11, 2018 Category: Respiratory Medicine Source Type: research
Six-minute walk test in patients with idiopathic pulmonary fibrosis
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - October 11, 2018 Category: Respiratory Medicine Source Type: research
Community-acquired pneumonia: challenges of the situation in Brazil
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - October 11, 2018 Category: Respiratory Medicine Source Type: research
A teacher to remember and to emulate
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - October 11, 2018 Category: Respiratory Medicine Source Type: research
Reflections upon the article “Evaluation of the impact that the changes in tuberculosis treatment implemented in Brazil in 2009 have had on disease control in the country”
ABSTRACT Acute pulmonary thromboembolism (APTE) is a highly prevalent condition (104-183 cases per 100,000 person-years) and is potentially fatal. Approximately 20% of patients with APTE are hypotensive, being considered at high risk of death. In such patients, immediate lung reperfusion is necessary in order to reduce right ventricular afterload and to restore hemodynamic stability. To reduce pulmonary vascular resistance in APTE and, consequently, to improve right ventricular function, lung reperfusion strategies have been developed over time and widely studied in recent years. In this review, we focus on advances in the...
Source: Jornal Brasileiro de Pneumologia - July 19, 2018 Category: Respiratory Medicine Source Type: research
Hemoptysis in recurrent respiratory papillomatosis: also think about aspergillosis
ABSTRACT Acute pulmonary thromboembolism (APTE) is a highly prevalent condition (104-183 cases per 100,000 person-years) and is potentially fatal. Approximately 20% of patients with APTE are hypotensive, being considered at high risk of death. In such patients, immediate lung reperfusion is necessary in order to reduce right ventricular afterload and to restore hemodynamic stability. To reduce pulmonary vascular resistance in APTE and, consequently, to improve right ventricular function, lung reperfusion strategies have been developed over time and widely studied in recent years. In this review, we focus on advances in the...
Source: Jornal Brasileiro de Pneumologia - July 19, 2018 Category: Respiratory Medicine Source Type: research
Response to cytotoxic chemotherapy and overall survival in non-small cell lung cancer patients with positive or negative ERCC1 expression
ABSTRACT Acute pulmonary thromboembolism (APTE) is a highly prevalent condition (104-183 cases per 100,000 person-years) and is potentially fatal. Approximately 20% of patients with APTE are hypotensive, being considered at high risk of death. In such patients, immediate lung reperfusion is necessary in order to reduce right ventricular afterload and to restore hemodynamic stability. To reduce pulmonary vascular resistance in APTE and, consequently, to improve right ventricular function, lung reperfusion strategies have been developed over time and widely studied in recent years. In this review, we focus on advances in the...
Source: Jornal Brasileiro de Pneumologia - July 19, 2018 Category: Respiratory Medicine Source Type: research
Fat embolism syndrome: chest CT findings
ABSTRACT Acute pulmonary thromboembolism (APTE) is a highly prevalent condition (104-183 cases per 100,000 person-years) and is potentially fatal. Approximately 20% of patients with APTE are hypotensive, being considered at high risk of death. In such patients, immediate lung reperfusion is necessary in order to reduce right ventricular afterload and to restore hemodynamic stability. To reduce pulmonary vascular resistance in APTE and, consequently, to improve right ventricular function, lung reperfusion strategies have been developed over time and widely studied in recent years. In this review, we focus on advances in the...
Source: Jornal Brasileiro de Pneumologia - July 19, 2018 Category: Respiratory Medicine Source Type: research
Reperfusion in acute pulmonary thromboembolism
ABSTRACT Acute pulmonary thromboembolism (APTE) is a highly prevalent condition (104-183 cases per 100,000 person-years) and is potentially fatal. Approximately 20% of patients with APTE are hypotensive, being considered at high risk of death. In such patients, immediate lung reperfusion is necessary in order to reduce right ventricular afterload and to restore hemodynamic stability. To reduce pulmonary vascular resistance in APTE and, consequently, to improve right ventricular function, lung reperfusion strategies have been developed over time and widely studied in recent years. In this review, we focus on advances in the...
Source: Jornal Brasileiro de Pneumologia - July 19, 2018 Category: Respiratory Medicine Source Type: research
Characterization and outcomes of pulmonary alveolar proteinosis in Brazil: a case series
Conclusions: To our knowledge, this is the largest case series of patients with PAP ever conducted in Brazil. The survival rate was similar to that found at other center s. For symptomatic, hypoxemic patients, the treatment of choice is still WLL. Precautions should be taken in order to avoid complications, especially opportunistic infections.RESUMO Objetivo: A proteinose alveolar pulmonar (PAP) é uma doença rara, caracterizada pelo acúmulo alveolar de substância surfactante, composta por proteínas e lipídios. É causada por um déficit de atividade macrofágica, cujo principal tratamento é a lavagem pulmonar total...
Source: Jornal Brasileiro de Pneumologia - July 19, 2018 Category: Respiratory Medicine Source Type: research
Mini-thoracostomy with vacuum-assisted closure: a minimally invasive alternative to open-window thoracostomy
This study aims to analyze the safety and effectiveness of mini-thoracostomy with vacuum-assisted closure in an initial sample of patients.RESUMO A pleurostomia é uma opção frequente de tratamento para pacientes com empiema pleural fase III que não toleram decorticação pulmonar. Todavia, esse tratamento é considerado mutilante por envolver a confecção de um stoma torácico, que pode demorar anos para se fechar ou requerer nova cirurgia. Descreveu-s e recentemente uma técnica minimamente invasiva que associa uso intrapleural de curativo a vácuo como opção a pleurostomia. A presente comunicação objetiva demons...
Source: Jornal Brasileiro de Pneumologia - July 19, 2018 Category: Respiratory Medicine Source Type: research
Validity and reliability of assessing diaphragmatic mobility by area on X-rays of healthy subjects
Conclusions: The DMarea method proved to be a valid, reliable measure of diaphragmatic mobility.RESUMO Objetivo: Avaliar a validade concorrente, assim como a confiabilidade intra e interobservador, da avalia ção da mobilidade diafragmática pelo método da área radiográfica (MDárea) em adultos saudáveis. Métodos: Foram avaliados os parâmetros antropométricos, a função pulmonar e a mobilidade diafragmática de 43 participantes. A mobilidade diafragmática foi determinada por dois observadores (A e B) em dois momentos distintos. O coeficiente de correlação de Pearson foi utilizado para avaliar a correlação ...
Source: Jornal Brasileiro de Pneumologia - July 19, 2018 Category: Respiratory Medicine Source Type: research
Is the COPD Assessment Test sensitive for differentiating COPD patients from active smokers and nonsmokers without lung function impairment? A population-based study
Conclusions: CAT scores were higher in the group of patients with COPD than in nonsmokers and former smokers without COPD. However, there were no significant differences in CAT scores between COPD patients and smokers without COPD. Smokers with an FEV1/FVC ratio> 0.70 have impaired health status and respiratory symptoms similar to those observed in COPD patients.RESUMO Objetivo: Avaliar a pontua ção obtida no COPD Assessment Test (CAT, Teste de Avaliação da DPOC) por adultos com e sem DPOC, bem como comparar a pontuação obtida no CAT por não fumantes, ex-fumantes e fumantes sem DPOC com a obtida por pacientes co...
Source: Jornal Brasileiro de Pneumologia - July 19, 2018 Category: Respiratory Medicine Source Type: research
