Eliminating tuberculosis in Latin America: making it the point
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - May 21, 2018 Category: Respiratory Medicine Source Type: research

Tuberculosis series
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - May 21, 2018 Category: Respiratory Medicine Source Type: research

Extracorporeal membrane oxygenation in an awake patient as a bridge to lung transplantation
The objective of the present study was to determine the sleep characteristics of a patient undergoing polysomnography (PSG) in three Colombian cities at different altitudes (Bogot á, at 2,640 m above sea level [ASL]; Bucaramanga, at 959 m ASL; and Santa Marta, at 15 m ASL). The patient was an obese man with diabetes and suspected OSA. All PSG recordings were scored and interpreted in accordance with American Academy of Sleep Medicine criteria. In Bogotá, PSG revealed modera te OSA (an apnea-hypopnea index [AHI] of 21 events/h); in Bucaramanga, PSG revealed increased upper airway resistance (an AHI of 2 events/h); in Sant...
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Sleep characteristics in an adult with sleep complaints in three cities at different altitudes
The objective of the present study was to determine the sleep characteristics of a patient undergoing polysomnography (PSG) in three Colombian cities at different altitudes (Bogot á, at 2,640 m above sea level [ASL]; Bucaramanga, at 959 m ASL; and Santa Marta, at 15 m ASL). The patient was an obese man with diabetes and suspected OSA. All PSG recordings were scored and interpreted in accordance with American Academy of Sleep Medicine criteria. In Bogotá, PSG revealed modera te OSA (an apnea-hypopnea index [AHI] of 21 events/h); in Bucaramanga, PSG revealed increased upper airway resistance (an AHI of 2 events/h); in Sant...
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Lung cancer in Brazil
ABSTRACT Lung cancer is one of the most incident types of cancer and a leading cause of cancer mortality in Brazil. We reviewed the current status of lung cancer by searching relevant data on prevention, diagnosis, and treatment in the country. This review highlights several issues that need to be addressed, including smoking control, patient lack of awareness, late diagnosis, and disparities in the access to cancer health care facilities in Brazil. We propose strategies to help overcome these limitations and challenge health care providers, as well as the society and governmental representatives, to work together and to t...
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Between-occasion repeatability of fractional exhaled nitric oxide measurements in children
ABSTRACT The aim of the study was to assess short-term repeatability of measurements of fractional exhaled nitric oxide (FENO) and its correlates in children in the 6- to 9-year age bracket participating in a respiratory epidemiological survey. FENO was measured in two sessions one week apart in 101 children. Participants were divided into three groups: asymptomatic (n = 76); symptomatic (n = 14); and asthma (n = 11). Absolute and relative differences between the measurements, as well as concordance correlation coefficients, were used in order to assess repeatability. The two FENO measurements were strongly correlated (0.9...
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Association between the display of cigarette packs at the point of sale and smoking susceptibility among adolescents in Brazil
ABSTRACT This was a cross-sectional study aimed at determining the association between exposure to tobacco displays at the point of sale and susceptibility to smoking in schoolchildren in the 14- to 17-year age bracket. Of the participating students, 69.0%, 21.3%, and 9.7% were classified as never smokers, experimenters, and smokers, respectively. Of the participants who were classified as being exposed to smoking, 18.9% were susceptible to smoking. Of the participants who were classified as being unexposed to smoking, 12.9% were susceptible to smoking (OR = 1.56; 95% CI: 1.04 -2.35; p = 0.029). Exposure to point-of-sale t...
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Evaluation of smoking cessation treatment initiated during hospitalization in patients with heart disease or respiratory disease
Conclusions: In our sample, smoking cessation rates at six months after hospital discharge were higher among the patients with RD than among those with HD, as were treatment adherence rates. The implementation of smoking cessation programs for hospitalized patients with different diseases, delivered by the health care teams that treat these patients, is necessary for greater effectiveness in smoking cessation.RESUMO Objetivo: Avaliar a efic ácia de um programa de cessação de tabagismo, oferecido por profissionais da saúde treinados, para pacientes hospitalizados por doença cardíaca (DC) ou doença respiratória (DR)...
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Soluble urokinase-type plasminogen activator receptor as a measure of treatment response in acute exacerbation of COPD
Conclusions: Monitoring the serum suPAR level can be helpful in the evaluation of the COPD treatment response and might be a valuable biomarker for determining the prognosis of AECOPD. Because serum suPAR correlated with plasma fibrinogen, both markers could be predictive of AECOPD.RESUMO Objetivo: Avaliar o valor do soluble urokinase-type plasminogen activator receptor (suPAR, receptor do ativador de plasminog ênio tipo uroquinase solúvel) no diagnóstico de exacerbação aguda da DPOC (EADPOC) e no monitoramento da resposta ao tratamento, analisando-se a relação entre o suPAR e o fibrinogênio na EADPOC. A EADPOC le...
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Is suicidal ideation associated with allergic asthma and allergic rhinitis?
Conclusions: In comparison with the control group, no association was found between SI and the groups with allergic diseases. In contrast, there was association between SI and depression in the three groups.RESUMO Objetivo: Investigar se existe associa ção entre ideação suicida (IS) e doenças alérgicas em adultos. Métodos: Estudo transversal comparativo envolvendo indivíduos com idade entre 20 e 50 anos recrutados em um hospital universitário da cidade de Guadalajara, México. Foram incluídos pacientes com diagnóstico confirmado de asma alérgica, aqueles com diagnóstico confirmado de rinite alérgica e contro...
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Complexity of autonomic nervous system function in individuals with COPD
Conclusions: Individuals with COPD show a reduction in both sympathetic and parasympathetic activity, associated with decreased complexity of autonomic nervous system function, as identified by RPs, which provide important complementary information in the detection of autonomic changes in this population.RESUMO Objetivo: Avaliar a modula ção autonômica de indivíduos com DPOC, comparados com um grupo controle saudável, por meio do plot de recorrência (PR) associado a métodos lineares da variabilidade da frequência cardíaca (VFC). Métodos: Foram avaliados dados de 74 voluntários, os quais foram divididos em grup...
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Diagnostic value of α-enolase expression and serum α-enolase autoantibody levels in lung cancer
Conclusions: Our results suggest that high levels of ENO1 are associated with the clinical stage of lung cancer and that ENO1 expression and its serum autoantibody levels show diagnostic value in lung cancer.RESUMO Objetivo: Investigar o valor diagn óstico da α -enolase (ENO1) e dos n íveis séricos de autoanticorpos contra ENO1 no câncer de pulmão. Métodos: Marcação imuno-histoquímica e ELISA foram realizados para detectar a expressão de ENO1 no tecido pulmonar e os níveis séricos de autoanticorpos contra ENO1, respectivamente. Resultados: A expressão de ENO1 foi ma ior nos tecidos de câncer de pulmão qu...
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Factors associated with asthma expression in adolescents
Conclusions: Exposure to animals in and outside the home is associated with asthma symptoms, as is environmental tobacco smoke exposure. Families, health professionals, and administrators of health care facilities should take that into account in order to prevent asthma and reduce asthma morbidity.RESUMO Objetivo: Avaliar os fatores de risco associados aos sintomas relacionados à asma em adolescentes de 13 e 14 anos. Métodos: Estudo transversal realizado com alunos matriculados em escolas públicas de Belo Horizonte (MG), selecionadas aleatoriamente, com a utilização dos questionários International Study of Asthma a...
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Comparison of diaphragmatic mobility between COPD patients with and without thoracic hyperkyphosis: a cross-sectional study
Conclusions: Diaphragmatic mobility is lower in COPD patients with thoracic hyperkyphosis than in those without it. There is a negative correlation between thoracic kyphosis angle and diaphragmatic mobility. In comparison with male patients with COPD, female patients with COPD have a significantly increased thoracic kyphosis angle.RESUMO Objetivo: Comparar a mobilidade diafragm ática, a função pulmonar e a força muscular respiratória em pacientes que apresentam DPOC com e sem hipercifose torácica; verificar a relação do ângulo da curvatura torácica com a mobilidade diafragmática, variáveis da função pulmonar...
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Understanding diagnostic tests. Part 3.
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research