Anterior mediastinal mass
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

Respiratory muscles in COPD: be aware of the diaphragm
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - March 12, 2018 Category: Respiratory Medicine Source Type: research

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
Conclusions: A supervised, community-based maintenance program is a successful long-term strategy to preserve the benefits of PR on peripheral muscle function and exercise capacity in individuals with COPD. However, physical activity counseling can maintain maximal muscle strength and exercise capacity in such individuals.RESUMO Objetivo: Avaliar um programa comunit ário supervisionado de 24 meses de exercícios de manutenção precedido de 3 meses de reabilitação pulmonar (RP) em comparação com um programa de 27 meses de aconselhamento de atividade física, quanto aos efeitos na força muscular máxima, potência mu...
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, recrutados entre maio de 2015 e novembro de 2016. Todos os pacientes completa...
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 imagens de TCAR foram avaliadas por dois observadores de forma indep...
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 das Doenças, 9ª edição, códigos 515 ou 516.3 (a té 1995), e 10ª v...
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
Conclusions: The changes in tuberculosis treatment were unable to contain the decrease in cure rates, the increase in treatment abandonment rates, and the increase in MDR-TB rates, being associated with increased mortality from pulmonary tuberculosis during the study period. Keywords: Tuberculosis, pulmonary/epidemiology; Tuberculosis, pulmonary/drug therapy; Tuberculosis, pulmonary/mortality; Interrupted time series analysis; Drug resistance, multiple; Drug compounding.RESUMO Objetivo: Analisar o impacto das mudan ças do tratamento da tuberculose implantadas no Brasil em 2009 no número de casos de cura, de recidiva, de...
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
Conclusions: NSCLC remains more common in men, although we found an increase in the proportion of the disease in women in the< 55-year age group. Adenocarcinoma predominated in women. In men, squamous cell carcinoma predominated in the ≥ 72-year age group. Most patients presented with advanced-stage disease at diagnosis. There were no statistical differences in survival between genders or among age groups.RESUMO Objetivo: Analisar caracter ísticas demográficas e clínicas, assim como a evolução de pacientes com câncer de pulmão de células não pequenas (CPCNP) de acordo com a faixa etária e o sexo desses pac...
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 realización de BPC para establecer la etiolo...
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). Métodos: Estudo transversal cujas informações foram obtidas p...
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 anticoncepcional oral. Foram ap licados três protocolos em imersão em água,...
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