Diaphragmatic morphological < em > post-mortem < /em > findings in critically ill COVID-19 patients: an observational study
Monaldi Arch Chest Dis. 2024 Apr 23. doi: 10.4081/monaldi.2024.2829. Online ahead of print.ABSTRACTOur study investigates the post-mortem findings of the diaphragm's muscular structural changes in mechanically ventilated COVID-19 patients. Diaphragm samples of the right side from 42 COVID-19 critically ill patients were analyzed and correlated with the type and length of mechanical ventilation (MV), ventilatory parameters, prone positioning, and use of sedative drugs. The mean number of fibers was 550±626. The cross-sectional area was 4120±3280 μm2, while the muscular fraction was 0.607±0.126. The overall population wa...
Source: Monaldi Archives for Chest Disease - April 24, 2024 Category: Respiratory Medicine Authors: Luigi Vetrugno Cristian Deana Savino Spadaro Gianmaria Cammarota Domenico Luca Grieco Annarita Tullio Tiziana Bove Carla Di Loreto Salvatore Maurizio Maggiore Maria Orsaria Diasus Study Group Source Type: research
Thoracoscopic blood patch instillation for persistent air leak in pneumothorax: a case series and systematic review
We report two cases of secondary spontaneous pneumothorax in which patients had persistent air leaks for more than seven days and were subjected to thoracoscopy to locate the site of the leak. In the same sitting, 50 mL of autologous blood patch was instilled directly at the leak site. Post-procedure, the air leak subsided in both patients, and the chest tube was removed with complete lung expansion. We also conducted a systematic review of the use of medical thoracoscopic interventions for treating persistent air leaks.PMID:38656320 | DOI:10.4081/monaldi.2024.2994 (Source: Monaldi Archives for Chest Disease)
Source: Monaldi Archives for Chest Disease - April 24, 2024 Category: Respiratory Medicine Authors: Yash Kedia Manu Madan Rajnish Kaushik Rohit Kumar A J Mahendran Pranav Ish Neeraj Gupta Tanmaya Talukdar Nitesh Gupta Source Type: research
Existence and pattern of sleep-related breathing disorders in patients diagnosed with bronchial asthma
This study aimed to determine the existence and pattern of sleep-related breathing disorders in subjects with bronchial asthma. It was prospectively conducted at the National Institute of Tuberculosis and Respiratory Diseases, New Delhi, in diagnosed cases of bronchial asthma. A subjective assessment of sleepiness was done using the Epworth sleepiness scale (ESS). All subjects underwent overnight polysomnography (PSG) in the Sleep Laboratory of the Institute. A total of 70 subjects were screened, and among them, finally, 30 were enrolled. The mean age of the subjects was 37.53±11.21 years, the mean body mass index (BMI) w...
Source: Monaldi Archives for Chest Disease - April 24, 2024 Category: Respiratory Medicine Authors: Saroj Kumari Meena Rajnish Gupta Manmohan Puri Source Type: research
Smoking cessation among tuberculosis patients during the coronavirus disease-2019 pandemic
In conclusion, TB smokers who tried to quit smoking during the COVID-19 pandemic faced many challenges. Despite this, we demonstrated a reasonable smoking cessation rate with a nurse-conducted motivational interview.PMID:38656469 | DOI:10.4081/monaldi.2024.2970 (Source: Monaldi Archives for Chest Disease)
Source: Monaldi Archives for Chest Disease - April 24, 2024 Category: Respiratory Medicine Authors: Sandra Eug ênia Coutinho Raimunda Sinthia Lima de Braga Andr é Külzer Santos Joanna Scopel Velho Denise Rossato Silva Source Type: research
Pneumocystis pneumonia in HIV-positive and non-HIV patients: a retrospective comparative study from a lower-middle income country
In this study, we compared the predisposing factors, key demographic and clinical characteristics, clinical outcomes, and factors associated with poor prognosis in pneumocystis pneumonia (PCP) infection among the human immunodeficiency virus (HIV)-positive and non-HIV patient populations. This retrospective analysis was conducted at the Aga Khan University Hospital, Karachi, via the collection and analysis of patient records with a diagnosis of "pneumocystosis" between January 2015 and October 2020. Additionally, the laboratory database was evaluated, and patients with a laboratory-confirmed diagnosis of PCP were included....
Source: Monaldi Archives for Chest Disease - April 4, 2024 Category: Respiratory Medicine Authors: Maaha Ayub Mustafa Bin Ali Zubairi Najia Ghanchi Safia Awan Kauser Jabeen Ali Zubairi Source Type: research
Vocal resonance: a narrative review
Monaldi Arch Chest Dis. 2024 Apr 3. doi: 10.4081/monaldi.2024.2911. Online ahead of print.ABSTRACTPhysical examination is an important ritual of bedside medicine that establishes a strong bond between the patient and the physician. It provides practice to acquire important diagnostic skills. A poorly executed bedside examination may result in the wrong diagnosis and adverse outcomes. However, the ritual of obtaining a patient's history and performing a good clinical examination is declining globally. Even the quality of clinical examination skills is declining. One reason may be the short time spent by physicians at the be...
Source: Monaldi Archives for Chest Disease - April 4, 2024 Category: Respiratory Medicine Authors: Malay Sarkar Irappa Madabhavi Source Type: research
Pneumocystis pneumonia in HIV-positive and non-HIV patients: a retrospective comparative study from a lower-middle income country
In this study, we compared the predisposing factors, key demographic and clinical characteristics, clinical outcomes, and factors associated with poor prognosis in pneumocystis pneumonia (PCP) infection among the human immunodeficiency virus (HIV)-positive and non-HIV patient populations. This retrospective analysis was conducted at the Aga Khan University Hospital, Karachi, via the collection and analysis of patient records with a diagnosis of "pneumocystosis" between January 2015 and October 2020. Additionally, the laboratory database was evaluated, and patients with a laboratory-confirmed diagnosis of PCP were included....
Source: Monaldi Archives for Chest Disease - April 4, 2024 Category: Respiratory Medicine Authors: Maaha Ayub Mustafa Bin Ali Zubairi Najia Ghanchi Safia Awan Kauser Jabeen Ali Zubairi Source Type: research
Vocal resonance: a narrative review
Monaldi Arch Chest Dis. 2024 Apr 3. doi: 10.4081/monaldi.2024.2911. Online ahead of print.ABSTRACTPhysical examination is an important ritual of bedside medicine that establishes a strong bond between the patient and the physician. It provides practice to acquire important diagnostic skills. A poorly executed bedside examination may result in the wrong diagnosis and adverse outcomes. However, the ritual of obtaining a patient's history and performing a good clinical examination is declining globally. Even the quality of clinical examination skills is declining. One reason may be the short time spent by physicians at the be...
Source: Monaldi Archives for Chest Disease - April 4, 2024 Category: Respiratory Medicine Authors: Malay Sarkar Irappa Madabhavi Source Type: research
Pneumocystis pneumonia in HIV-positive and non-HIV patients: a retrospective comparative study from a lower-middle income country
In this study, we compared the predisposing factors, key demographic and clinical characteristics, clinical outcomes, and factors associated with poor prognosis in pneumocystis pneumonia (PCP) infection among the human immunodeficiency virus (HIV)-positive and non-HIV patient populations. This retrospective analysis was conducted at the Aga Khan University Hospital, Karachi, via the collection and analysis of patient records with a diagnosis of "pneumocystosis" between January 2015 and October 2020. Additionally, the laboratory database was evaluated, and patients with a laboratory-confirmed diagnosis of PCP were included....
Source: Monaldi Archives for Chest Disease - April 4, 2024 Category: Respiratory Medicine Authors: Maaha Ayub Mustafa Bin Ali Zubairi Najia Ghanchi Safia Awan Kauser Jabeen Ali Zubairi Source Type: research
Vocal resonance: a narrative review
Monaldi Arch Chest Dis. 2024 Apr 3. doi: 10.4081/monaldi.2024.2911. Online ahead of print.ABSTRACTPhysical examination is an important ritual of bedside medicine that establishes a strong bond between the patient and the physician. It provides practice to acquire important diagnostic skills. A poorly executed bedside examination may result in the wrong diagnosis and adverse outcomes. However, the ritual of obtaining a patient's history and performing a good clinical examination is declining globally. Even the quality of clinical examination skills is declining. One reason may be the short time spent by physicians at the be...
Source: Monaldi Archives for Chest Disease - April 4, 2024 Category: Respiratory Medicine Authors: Malay Sarkar Irappa Madabhavi Source Type: research
Pneumocystis pneumonia in HIV-positive and non-HIV patients: a retrospective comparative study from a lower-middle income country
In this study, we compared the predisposing factors, key demographic and clinical characteristics, clinical outcomes, and factors associated with poor prognosis in pneumocystis pneumonia (PCP) infection among the human immunodeficiency virus (HIV)-positive and non-HIV patient populations. This retrospective analysis was conducted at the Aga Khan University Hospital, Karachi, via the collection and analysis of patient records with a diagnosis of "pneumocystosis" between January 2015 and October 2020. Additionally, the laboratory database was evaluated, and patients with a laboratory-confirmed diagnosis of PCP were included....
Source: Monaldi Archives for Chest Disease - April 4, 2024 Category: Respiratory Medicine Authors: Maaha Ayub Mustafa Bin Ali Zubairi Najia Ghanchi Safia Awan Kauser Jabeen Ali Zubairi Source Type: research
Vocal resonance: a narrative review
Monaldi Arch Chest Dis. 2024 Apr 3. doi: 10.4081/monaldi.2024.2911. Online ahead of print.ABSTRACTPhysical examination is an important ritual of bedside medicine that establishes a strong bond between the patient and the physician. It provides practice to acquire important diagnostic skills. A poorly executed bedside examination may result in the wrong diagnosis and adverse outcomes. However, the ritual of obtaining a patient's history and performing a good clinical examination is declining globally. Even the quality of clinical examination skills is declining. One reason may be the short time spent by physicians at the be...
Source: Monaldi Archives for Chest Disease - April 4, 2024 Category: Respiratory Medicine Authors: Malay Sarkar Irappa Madabhavi Source Type: research
Pneumocystis pneumonia in HIV-positive and non-HIV patients: a retrospective comparative study from a lower-middle income country
In this study, we compared the predisposing factors, key demographic and clinical characteristics, clinical outcomes, and factors associated with poor prognosis in pneumocystis pneumonia (PCP) infection among the human immunodeficiency virus (HIV)-positive and non-HIV patient populations. This retrospective analysis was conducted at the Aga Khan University Hospital, Karachi, via the collection and analysis of patient records with a diagnosis of "pneumocystosis" between January 2015 and October 2020. Additionally, the laboratory database was evaluated, and patients with a laboratory-confirmed diagnosis of PCP were included....
Source: Monaldi Archives for Chest Disease - April 4, 2024 Category: Respiratory Medicine Authors: Maaha Ayub Mustafa Bin Ali Zubairi Najia Ghanchi Safia Awan Kauser Jabeen Ali Zubairi Source Type: research
Vocal resonance: a narrative review
Monaldi Arch Chest Dis. 2024 Apr 3. doi: 10.4081/monaldi.2024.2911. Online ahead of print.ABSTRACTPhysical examination is an important ritual of bedside medicine that establishes a strong bond between the patient and the physician. It provides practice to acquire important diagnostic skills. A poorly executed bedside examination may result in the wrong diagnosis and adverse outcomes. However, the ritual of obtaining a patient's history and performing a good clinical examination is declining globally. Even the quality of clinical examination skills is declining. One reason may be the short time spent by physicians at the be...
Source: Monaldi Archives for Chest Disease - April 4, 2024 Category: Respiratory Medicine Authors: Malay Sarkar Irappa Madabhavi Source Type: research
Pneumocystis pneumonia in HIV-positive and non-HIV patients: a retrospective comparative study from a lower-middle income country
In this study, we compared the predisposing factors, key demographic and clinical characteristics, clinical outcomes, and factors associated with poor prognosis in pneumocystis pneumonia (PCP) infection among the human immunodeficiency virus (HIV)-positive and non-HIV patient populations. This retrospective analysis was conducted at the Aga Khan University Hospital, Karachi, via the collection and analysis of patient records with a diagnosis of "pneumocystosis" between January 2015 and October 2020. Additionally, the laboratory database was evaluated, and patients with a laboratory-confirmed diagnosis of PCP were included....
Source: Monaldi Archives for Chest Disease - April 4, 2024 Category: Respiratory Medicine Authors: Maaha Ayub Mustafa Bin Ali Zubairi Najia Ghanchi Safia Awan Kauser Jabeen Ali Zubairi Source Type: research
