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

Postoperative pulmonary complications in patients undergoing upper abdominal surgery: risk factors and predictive models
Monaldi Arch Chest Dis. 2024 Mar 25. doi: 10.4081/monaldi.2024.2915. Online ahead of print.ABSTRACTPostoperative pulmonary complications (PPCs) are unexpected disorders that occur up to 30 days after surgery, affecting the patient's clinical status and requiring therapeutic intervention. Therefore, it becomes important to assess the patient preoperatively, as many of these complications can be minimized with proper perioperative strategies following a thorough preoperative checkup. Herein, we describe the PPCs and risk factors associated with developing PPCs in patients undergoing upper abdominal surgery. Additionally, we ...
Source: Monaldi Archives for Chest Disease - March 25, 2024 Category: Respiratory Medicine Authors: Shivam Garg Vishnukanth Govindaraj Dharm Prakash Dwivedi Kalayarasan Raja Elamurugan Palanivel Theerthar Source Type: research

Evaluation of patients' satisfaction with domiciliary biological treatment in severe asthma: a Portuguese survey
Monaldi Arch Chest Dis. 2024 Mar 20. doi: 10.4081/monaldi.2024.2865. Online ahead of print.ABSTRACTDear Editor, According to GINA, severe asthma is defined as uncontrolled asthma, despite therapy adherence with an optimized high dose of inhaled corticosteroid plus long-acting ß2-agonist coupled with management of modifiable factors/comorbidities, that worsens when this treatment is decreased. It affects a significant portion of asthmatic patients and imposes a high risk of exacerbations and mortality, which are associated with significant healthcare costs and psychosocial impact...PMID:38516875 | DOI:10.4081/monaldi.2024....
Source: Monaldi Archives for Chest Disease - March 22, 2024 Category: Respiratory Medicine Authors: Joana Louren ço Ana Paula Vaz Rosa Anita Fernandes Cristina Lopes Ana Lu ísa Fernandes Source Type: research

Prevalence and risk factors for chronic pulmonary aspergillosis in chronic obstructive pulmonary disease patients with acute exacerbations
This study aimed to assess the prevalence of chronic pulmonary aspergillosis (CPA) in COPD patients with acute exacerbations and identify associated risk factors. A cross-sectional descriptive study was conducted at the Jawaharlal Institute of Postgraduate Medical Education and Research from January 2021 to June 2022. Sixty-one COPD patients presenting with acute exacerbations were included. Demographic details, blood investigations, and sputum examinations were performed for all patients. A high-resolution computed tomography thorax was conducted for eligible patients. The prevalence of CPA among patients with an acute ex...
Source: Monaldi Archives for Chest Disease - March 22, 2024 Category: Respiratory Medicine Authors: Jayabharathi Palanivel Madhusmita Mohanty Mohapatra Manju Rajaram Debasis Gochhait Sunitha Vellathussery Chakkalakkoombil Rakesh Singh Source Type: research