Delay and inequalities in the treatment of idiopathic pulmonary fibrosis: the case of two Nordic countries
ConclusionsThis study highlights differences concerning how IPF patients are treated in Finland and Sweden. How these differences will influence the long-term outcome of these patients is unknown. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - May 14, 2018 Category: Respiratory Medicine Source Type: research

Onsite production of medical air: is purity a problem?
In conclusion, because the USP does not provide impurity thresholds for specific patients nor time above thresholds, there is a need for the medical community to determine these quantities before it can be known if the purity of MA is a problem. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - May 7, 2018 Category: Respiratory Medicine Source Type: research

A quick relaxation exercise for people with chronic obstructive pulmonary disease: explorative randomized controlled trial
ConclusionsStudy results suggest that relaxation has a potential to produce improvements in respiratory and cardiac functions, together with a positive emotional effect and a reduction of anxiety.Trial registrationClinicalTrials.gov ID:NCT02698904. Record Registration: February 2016. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - May 2, 2018 Category: Respiratory Medicine Source Type: research

Non-typeable Haemophilus Influenzae detection in the lower airways of patients with lung cancer and chronic obstructive pulmonary disease
ConclusionsThe lack of difference in NTHi and specific antibodies between the three groups makes it less likely that NTHi has an important pathogenetic role in subjects with Lung Cancer. However the detection of higher IgE antibody in Lung Cancer subjects identifies a possible mechanism for carcinogenesis in these subjects and warrants further study. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - April 9, 2018 Category: Respiratory Medicine Source Type: research

Examining the social status, risk factors and lifestyle changes of tuberculosis patients in Sri Lanka during the treatment period: a cross-sectional study
ConclusionLow socio-economic status negatively affected the lifestyle and social interactions of patients during the treatment period. Though competent treatment programs exist in Sri Lanka, it is still important to identify and mitigate risk factors associated with tuberculosis patients. A comprehensive multi-disciplinary approach considering patient lifestyle, and the implications of the disease and treatment on social interactions may strengthen the current preventive strategies. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - April 1, 2018 Category: Respiratory Medicine Source Type: research

Tuberculosis in South Asia: a tide in the affairs of men
ConclusionFrom bacterial biochemistry to policy implementation, we suggest ways in which South Asia can seize the opportunity lead global TB elimination by demonstrating feasibility in some of the world ’s most densely populated cities and remotest reaches of the Himalayas. Clearly political will is essential, but we cannot defeat TB without understanding how to eliminate it in South Asia. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - March 22, 2018 Category: Respiratory Medicine Source Type: research

Association of sleep quality with excessive daytime somnolence and quality of life of elderlies of community
ConclusionThe results of the present study allowed to identify a sleep quality associated with excessive daytime somnolence and quality of life and also to characterize the profile of elders with poor sleep quality. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - March 15, 2018 Category: Respiratory Medicine Source Type: research

Influenza and influenza-like syndromes: the subjects ’ beliefs, the attitude to prevention and treatment, and the impact in Italian general population
ConclusionsSeasonal prevalence of I-LSs and influenza partially overlap. As virus identification is not a common procedure in daily practice, only a clinical discrimination is possible. Antibiotic prescription is still too high and largely inappropriate. Influenza vaccination is strongly encouraged, but different strategies are also used. Other approaches are receiving increasing attention in general population, and subjects ’ willingness to spend out-of-pocket for effective remedies is also increasing. The discrepancy between subjects’ beliefs and health care actions likely reflects the insufficiency of institutional ...
Source: Multidisciplinary Respiratory Medicine - March 1, 2018 Category: Respiratory Medicine Source Type: research

The patient needing prolonged mechanical ventilation: a narrative review
ConclusionPresent medical training of clinicians and locations like traditional intensive care units do not appear enough to face the dramatic problems posed by these patients. The solutions cannot be reserved to professionals but must involve also families and all other stakeholders. Large multicentric, multinational studies on several aspects of management are needed. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - February 26, 2018 Category: Respiratory Medicine Source Type: research

Obstructive sleep apnea knowledge and attitudes among recent medical graduates training in Ecuador
ConclusionsOSA-focused educational interventions during medical school should help to improve recent medical graduates ’ abilities to diagnose and treat OSA. We recommend a greater number of hours of medical students’ exposure to sleep education. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - February 21, 2018 Category: Respiratory Medicine Source Type: research

Case finding of Alpha-1 antitrypsin deficiency: never wasted time!
(Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - January 20, 2018 Category: Respiratory Medicine Source Type: research

Home exercise improves the quality of sleep and daytime sleepiness of elderlies: a randomized controlled trial
ConclusionOur results suggest that semi-supervised home exercise is effective in improving the quality of sleep and self-referred daytime sleepiness of sedentary elderlies of the community who presented sleep disorders.Trial registrationEnsaiosclinicos.gov.br process number:RBR-3cqzfy. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - January 15, 2018 Category: Respiratory Medicine Source Type: research

Reference values for spirometry in elderly individuals: a cross-sectional study of different reference equations
ConclusionsThe present study showed meaningful differences in the reference values, and consequently, in the results obtained using NHANES III, ECSC, and GLI reference equations. The spirometry interpretation was also influenced by the reference equations used. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - January 9, 2018 Category: Respiratory Medicine Source Type: research

Assessment of osteoporosis using the FRAX method and the importance of vitamin D levels in COPD patients
ConclusionUsing FRAX for assessing osteoporosis in COPD can reduce fracture risk and allow adequate treatment. Since vitamin D levels are related to exacerbations and hospitalizations, vitamin D supplementation may be needed in COPD patients, especially in those with high FRAX scores. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - January 6, 2018 Category: Respiratory Medicine Source Type: research

Role of guaifenesin in the management of chronic bronchitis and upper respiratory tract infections
AbstractGuaifenesin, a mucoactive drug, acts by loosening mucus in the airways and making coughs more productive. It is used for relief of wet cough and chest congestion due to the common cold, and remains the only legally marketed expectorant in the US (per OTC Monograph). An ingredient in numerous over-the-counter (OTC) cough/cold medications, guaifenesin has a secondary indication for use in stable chronic bronchitis (professional indication). Clinical pharmacology and patient studies support the clinical utility of guaifenesin in respiratory conditions where mucus hypersecretion is prevalent: acute upper respiratory tr...
Source: Multidisciplinary Respiratory Medicine - December 11, 2017 Category: Respiratory Medicine Source Type: research