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Specialty: Respiratory Medicine

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Total 170 results found since Jan 2013.

Five-Year Follow-Up and Outcomes of Noninvasive Ventilation in Subjects With Neuromuscular Diseases.
CONCLUSIONS: NIV was tolerated long-term without significant increases in daily application time for most subjects with NMD. However, in individuals with ALS, development of severe bulbar symptoms can risk maintaining NIV. PMID: 29298901 [PubMed - as supplied by publisher]
Source: Respiratory Care - January 3, 2018 Category: Respiratory Medicine Authors: Suh MR, Choi WA, Kim DH, Lee JW, Kim EY, Kang SW Tags: Respir Care Source Type: research

Extensive interstitial lung disease in inflammatory myopathy is a strong predictor of mortality
The objective of this study was to identify clinical predictors of mortality in a prospective cohort of subjects with IIM.Subjects were from the Canadian Inflammatory Myopathy Study group, a multicenter, prospective cohort of incident IIM. Clinical data, lung function were obtained per study protocol. Computed tomography scans (CT) of the chest done for clinical indications were reviewed by a respirologist for presence of ILD. Total lung involvement was estimated to the nearest 5%. Kaplan-Meier was used to identify survival differences between groups with and without ILD. Cox proportional hazard model identified predictors...
Source: European Respiratory Journal - December 6, 2017 Category: Respiratory Medicine Authors: Assayag, D., Hirsch, A., Baron, M., Vinet, E., Albert, A., Fortin, P., Hudson, M. Tags: Diffuse Parenchymal Lung Disease Source Type: research

Acute sarcoid myopathy: a case report and literature review.
We present a case of a 61-year-old man with diagnosis of sarcoidosis whe were evaluated for proximal lower limb weakness within few days of evolution. PMID: 28079855 [PubMed - in process]
Source: Sarcoidosis Vasculitis and Diffuse Lung Diseases - January 14, 2017 Category: Respiratory Medicine Tags: Sarcoidosis Vasc Diffuse Lung Dis Source Type: research

Mechanical insufflation –exsufflation for an individual with Duchenne muscular dystrophy and a lower respiratory infection
We present the challenging case of a patient with DMD admitted to a tertiary hospital with a severe lower respiratory infection, and discuss how MI‐E was used by physiotherapists to assist secretion clearance and prevent further deterioration. We present the challenging case of an individual with Duchenne muscular dystrophy admitted to a tertiary hospital with a lower respiratory infection, and discuss how mechanical insufflation–exsufflation was used and could be further optimized by physiotherapists aiming to improve cough and clear secretions.
Source: Respirology Case Reports - December 13, 2016 Category: Respiratory Medicine Authors: Emma Koenig, Bhajan Singh, Jamie Wood Tags: Case Report Source Type: research

Analysis of the quality of rehabilitation in disabled due to COPD in Ukraine
Aim: To assess the rehabilitation quality of disabled due to COPD.Methods: we analyzed medical records of 98 disabled due to COPD from different Ukrainian regions, mostly from countryside, average age 55.4 ± 1.2 yrs, 75.5% male, 47.9% miners, 71% with COPD stage III, 29% - stage IV.Results: Most disabled due to COPD were men up to 60 yrs. In 38.5% patients COPD was first diagnosed in more than 5-10 years after the onset of clinical symptoms. Only in rare cases was performed a post-bronchodilator pulmonary function testing. Among bronchodilators, assigned to the patients, prevails salbutamol (63.1%). Nevertheless, in...
Source: European Respiratory Journal - November 7, 2016 Category: Respiratory Medicine Authors: Sanina, N., Panina, S., Gondulenko, N. Tags: 1.2 Rehabilitation and Chronic Care Source Type: research

"Acute effects using light-emitting diode therapy (LEDT) for muscle function during isometric exercise in asthma patients: Preliminary results"
Conclusion: A single application of LEDT,did not influence the time of fatigue response in asthma patients.However the chronic effects yet are unknown and may present different responses during applications a longer period time.
Source: European Respiratory Journal - November 7, 2016 Category: Respiratory Medicine Authors: Costa, I. P., Cahalin, L., Politti, F., Carvalho, E. F. T., Arena, R., Costa, D., Parizotto, N. A., Sampaio, L. M. Tags: 9.2 Physiotherapists Source Type: research

Acute respiratory failure in progressive neurological diseases: What is important for intensive care unit and long-term survival?
Conclusion: Long-term mechanical ventilation support may contribute to better survival of patients who suffer from respiratory complications of progressive neurological diseases.
Source: European Respiratory Journal - November 7, 2016 Category: Respiratory Medicine Authors: Yalaz Tekan, U., Aksoy, E., Kargin, F., Sari, R., Saltürk, C., Ciyiltepe, F., Yavuz, D., Güngör, G., Adigüzel, N., Karakurt, Z. Tags: 2.1 Acute Critical Care Source Type: research

Contrasting cardiovascular responses to exercise in mitochondrial myopathy and pulmonary arterial hypertension
Conclusion: A greater response of heart rate to oxygen consumption (HR/VO2≥120 beats/L) and the presence of an abnormal plateau of O2pulse during exercise are more frequently found in patients with PAH than MM.
Source: European Respiratory Journal - November 7, 2016 Category: Respiratory Medicine Authors: Degani-Costa, L. H., Rodrigues, M. T., Ramos, R. P., Ferreira, E. V. M., Fonseca, A. X. C., Gimenes, A., Bravo, D., Ota-Arakaki, J. S., Neder, J. A., Nery, L. E. Tags: 4.1 Clinical Physiology, Exercise and Functional Imaging Source Type: research

Physical rehabilitation interventions for adult patients during critical illness: an overview of systematic reviews
Conclusions Patients derive short-term benefits from physical rehabilitation delivered during ICU admission. Further robust trials of electrical muscle stimulation in the ICU and rehabilitation delivered following ICU discharge are needed to determine the long-term impact on patient care. This overview provides recommendations for design of future interventional trials and SR. Trial registration number CRD42015001068.
Source: Thorax - September 12, 2016 Category: Respiratory Medicine Authors: Connolly, B., O'Neill, B., Salisbury, L., Blackwood, B., on behalf of the Enhanced Recovery After Critical Illness Programme Group Tags: Patients, Clinical trials (epidemiology), Epidemiologic studies, Open access, Physiotherapy, Sports and exercise medicine, Internet Critical care Source Type: research

Clinical features and outcomes of interstitial lung disease in anti-Jo-1 positive antisynthetase syndrome.
CONCLUSIONS: We present a large cohort of anti-Jo-1 positive AS syndrome with ILD and note good overall survival. PMID: 27578469 [PubMed - in process]
Source: Respiratory Care - August 31, 2016 Category: Respiratory Medicine Authors: Zamora AC, Hoskote SS, Abascal-Bolado B, White D, Cox CW, Ryu JH, Moua T Tags: Respir Med Source Type: research

Adult ‐onset Pompe's disease presenting with insidious hypercapnic respiratory failure
We describe a case of adult onset Pompe's Disease presenting with orthopnoea and respiratory compromise due to bilateral diaphragm weakness. This case highlights the challenges of recognising bilateral diaphragm weakness and the differences in respiratory muscle involvement in Pompe's Disease compared to other inherited neuromuscular diseases.
Source: Respirology Case Reports - August 2, 2016 Category: Respiratory Medicine Authors: Cara O'Callaghan, Robert Henderson, Philip Masel, George Tay, Benjamin Tsang Tags: Case Report Source Type: research

A 62-year-old man with dyspnea.
We describe the case of a 62-year-old man who presented with shortness of breath that had progressed over several years. He had a history of a paralyzed right hemidiaphragm for at least the previous 10 years. He also reported weakness in his proximal legs and daytime sleepiness. On examination, he was found to have thoracoabdominal paradox when in supine position. Pulmonary function testing revealed severe restriction; arterial blood gas showed chronic respiratory acidosis. Electromyography showed chronic phrenic neuropathy bilaterally, with mild proximal myopathy. Serum aldolase level was mildly elevated, but serologic te...
Source: Respiratory Care - May 5, 2016 Category: Respiratory Medicine Authors: Baqir M, Ryu JH, Sorenson EJ, Olson EJ Tags: Respir Med Case Rep Source Type: research

Management of myositis related interstitial lung disease.
Abstract Interstitial lung disease (ILD) is a frequent pulmonary manifestation and an important cause of morbidity and mortality in patients with idiopathic inflammatory myopathy. Myositis related ILD presents a therapeutic challenge for clinicians, as there are no available guidelines to help with management decisions. This review covers the existing evidence on the pharmacologic and non-pharmacologic management of myositis related ILD, highlighting the lack of randomized controlled data to guide treatment. Given the absence of existing guidelines to inform treatment decisions, we provide a comprehensive summary,...
Source: Chest - April 17, 2016 Category: Respiratory Medicine Authors: Morisset J, Johnson C, Rich E, Collard HR, Lee JS Tags: Chest Source Type: research

Intensive Care Unit Acquired Weakness.
Abstract Survivorship after critical illness is an increasingly important health care concern as intensive unit care (ICU) utilization continues to increase while ICU mortality is decreasing. Critical illness survivors experience marked disability and impairments in physical and cognitive function that persist for years after their initial ICU stay(1-7). Newfound impairment is associated with increased healthcare costs and utilization, reductions in health related quality of life and prolonged unemployment(5,8,9). Weakness, critical illness neuropathy and/or myopathy, and muscle atrophy are common in critically il...
Source: Chest - April 6, 2016 Category: Respiratory Medicine Authors: Jolley SE, Bunnell A, Hough CL Tags: Chest Source Type: research

A 62-Year-Old Man With Dyspnea
We describe the case of a 62-year-old man who presented with shortness of breath that had progressed over several years. He had a history of a paralyzed right hemidiaphragm for at least the previous 10 years. He also reported weakness in his proximal legs and daytime sleepiness. On examination, he was found to have thoracoabdominal paradox when in supine position. Pulmonary function testing revealed severe restriction; arterial blood gas showed chronic respiratory acidosis. Electromyography showed chronic phrenic neuropathy bilaterally, with mild proximal myopathy. Serum aldolase level was mildly elevated, but serologic te...
Source: Respiratory Medicine Case Reports - January 14, 2016 Category: Respiratory Medicine Source Type: research