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August 16-31 2006 Postings  (Note: Some archived links may become inactive)

08/31/2006 07:59 AM

Incidence of influenza in Ontario following the Universal Influenza Immunization Campaign

Vaccine Volume 24, Issue 24 , 12 June 2006, Pages 5245-5250

The purpose of this study was to determine whether the incidence of influenza in Ontario, Canada has decreased following the introduction of the Universal Influenza Immunization Campaign (UIIC) in 2000.


08/31/2006 07:58 AM

National policy on asthma management for schools

Journal of Paediatrics and Child Health, Volume 42, Number 9, September 2006, pp. 491-495(5)

A previous position paper provided a national policy on asthma management for schools. This updated paper takes into account new medications and devices, changes in approaches to management, national guidelines for cleaning of asthma first aid kits in schools and the National Asthma Friendly Schools Program. School teachers and ancillary staff need to be aware both of asthma symptoms and the general principles of asthma management.


08/31/2006 07:56 AM

Antibiotics for Exacerbations of COPD

American Family Physicians September 1, 2006 Vol. 74 No. 5

Does routine use of antibiotics in patients with an exacerbation of chronic obstructive pulmonary disease (COPD) improve clinical outcomes?


08/31/2006 07:53 AM

FDG Positron Emission Tomography Computerized Tomography Features of Bleomycin induced Pneumonitis

Journal of Thoracic Imaging. 21(3):228-230, August 2006

Bleomycin is a widely used chemotherapeutic that has been shown to induce life-threatening interstitial lung disease in a small subset of patients. We report a case of bleomycin-induced pneumonitis in a patient treated for Hodgkin lymphoma with severe clinical respiratory symptoms, a marked restrictive pattern on pulmonary function tests, and FDG avid lymphadenopathy and diffuse increased uptake involving both lungs on imaging.


08/31/2006 07:52 AM

Primary Pulmonary Meningioma Manifesting as a Solitary Pulmonary Nodule With a False positive PET Scan

Journal of Thoracic Imaging. 21(3):225-227, August 2006

Primary pulmonary meningioma is very rare, with about 30 cases reported in the English literature. These lesions are usually benign, grow slowly, and have an excellent prognosis. However, they can mimic any other pulmonary tumor, as the most common presentation is as a solitary pulmonary nodule.


08/31/2006 07:50 AM

Prediction of Moderate or Severe Pulmonary Hypertension by Main Pulmonary Artery Diameter and Main Pulmonary Artery Diameter Ascending Aorta Diameter in Pulmonary Embolism

Cardiology in Review. 14(5):213-214, September/October 2006

We investigated the accuracy of computed tomographic measurements of main pulmonary artery diameter (MPAD) and of MPAD/ascending aorta diameter (AAD) in predicting moderate or severe pulmonary hypertension in 190 patients with acute pulmonary embolism.


08/30/2006 11:23 AM

Contemporary approach to the diagnosis of non massive pulmonary embolism

Current Opinion in Pulmonary Medicine. 12(5):291-298, September 2006

Minimally invasive diagnostic strategies for pulmonary embolism are in constant evolution, integrating new diagnostic tools along with the better use of clinical information.


08/30/2006 11:22 AM

Comparison of airway dimensions in different anatomic locations on chest CT in patients with COPD

Respirology, Volume 11, Number 5, September 2006, pp. 579-585(7)

It is not well known whether there is heterogeneity in the airway dimensions at different anatomic locations in individual patients with COPD.


08/30/2006 11:20 AM

Bench Model To Simulate Upper Airway Obstruction for Analyzing Automatic Continuous Positive Airway Pressure Devices

Chest. 2006;130:350-361

Automatic positive airway pressure (APAP) devices are increasingly being used in patients with obstructive sleep apnea. Some APAP devices present an unstable behavior when subjected to some events or artifacts. The aims were to develop a bench model capable of reproducing real flow, snoring, and obstructive patterns and to compare the response of APAP devices based on flow and snoring with other devices using, in addition, the forced oscillation technique (FOT).


08/30/2006 11:19 AM

Reduced Dose Influenza Vaccine

The Annals of Pharmacotherapy: Vol. 40, No. 9, pp. 1635-1639

To evaluate the effectiveness and safety of reduced-dose trivalent inactivated influenza vaccine in adults.


08/30/2006 11:18 AM

Painful Episodes in Children With Sickle Cell Disease and Asthma are Temporally Associated With Respiratory Symptoms

Journal of Pediatric Hematology/Oncology. 28(8):481-485, August 2006

Little is known about the temporal relationship between an asthma exacerbation and a painful episode in a child with sickle cell disease (SCD). We tested the hypothesis that respiratory symptoms either immediately precede or occur concomitantly with painful episodes more frequently in children with SCD and asthma when compared with children with SCD without asthma.


08/30/2006 11:17 AM

Highly active antiretroviral therapy compared with HAART and bosentan in combination in patients with HIV associated pulmonary hypertension

Heart 2006;92:1164-1166

Pulmonary arterial hypertension (PAH) is an increasingly recognised complication of HIV disease.


08/29/2006 08:49 AM

The prevalence of penicillin non susceptible Streptococcus pneumoniae among children aged 5 years correlates with the biannual epidemic activity of respiratory syncytial virus

Clinical Microbiology & Infection, Volume 12, Number 9, September 2006, pp. 873-879(7)

This study investigated whether the epidemiology of penicillin-non-susceptible pneumococci (PNSP) colonising small children correlated with the biannual epidemic activity of respiratory syncytial virus (RSV).


08/29/2006 08:48 AM

12 year change in prevalence of respiratory symptoms in elderly Chinese living in Hong Kong

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1598-1607

Respiratory diseases may cause considerable disability in the elderly because of their limited respiratory reserve related to aging. This study aimed to assess the time trend of respiratory symptoms and common chronic respiratory diseases in the elderly Chinese living in Hong Kong.


08/29/2006 08:46 AM

Idiopathic pulmonary fibrosis is it a familial disease

Current Opinion in Pulmonary Medicine. 12(5):312-317, September 2006

Idiopathic pulmonary fibrosis is a progressively fatal interstitial lung disease associated with pathological findings of usual interstitial pneumonia. Its pathogenesis is unknown, and there are no proven effective therapies. Familial cases account for 0.5-2% of idiopathic pulmonary fibrosis. Familial idiopathic pulmonary fibrosis occurs as an autosomal dominant disorder with variable penetrance.


08/29/2006 08:45 AM

The need to improve inhalation technique in Europe A report from the Aerosol Drug Management Improvement Team

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1479-1494

Although the principles of asthma management are well established in Europe, the available data indicate that asthma in patients is not well controlled. Many patients derive incomplete benefit from their inhaled medication because they do not use inhaler devices correctly and this may compromise asthma control.


08/29/2006 08:43 AM

Deficient alpha 1 antitrypsin phenotypes and persistent airflow limitation in severe asthma

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1534-1539

Persistent airflow limitation is common among patients with severe asthma, but its pathogenesis has not been fully clarified. Severe alpha-1-antitrypsin (AAT) deficiency is a risk factor of chronic airflow limitation and emphysema, and partially deficient phenotypes have been associated with an accelerated decline in lung function. We hypothesized that partial deficiency of AAT (non-PiM AAT phenotype) is a risk factor of persistent airflow limitation in asthma.


08/29/2006 08:38 AM

Tuberculosis and atopy A study in an endemic area

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1647-1650

Atopy is expected to be less frequent and milder in patients with early exposure to bacterial infections because of regulatory immune mechanisms.


08/29/2006 08:37 AM

Efficacy of sublingual immunotherapy with high dose mite extracts in asthma A multi center double-blind randomized and placebo-controlled study in Taiwan

Respiratory Medicine Volume 100, Issue 8 , August 2006, Pages 1374-1383

Sublingual immunotherapy (SLIT) has been recommended as a viable alternative to subcutaneous injection therapy in the treatment of airway allergies, though more data is needed from well-controlled studies for documenting its efficacy in different ethnic populations.


08/29/2006 08:34 AM

Duration of action of the salmeterol fluticasone combination inhaler administered in the evening A randomized controlled trial in childhood asthma

Respirology, Volume 11, Number 5, September 2006, pp. 638-642(5)

To investigate the duration of bronchodilator action of a salmeterol/fluticasone combination (SFC) inhaler when administered in the evening to children with asthma.


08/29/2006 08:33 AM

Is HRCT the best way to diagnose idiopathic interstitial fibrosis

Current Opinion in Pulmonary Medicine. 12(5):323-330, September 2006

High-resolution computed tomography (HRCT) has been the major advance in the diagnosis of idiopathic interstitial pneumonias in the last two decades. In diffuse lung diseases, HRCT now has a central role in routine diagnostic evaluation, and a major impact on the utility of other diagnostic tests, especially bronchoalveolar lavage and surgical lung biopsy.


08/29/2006 08:32 AM

Induced sputum in interstitial lung diseases

Current Opinion in Pulmonary Medicine. 12(5):318-322, September 2006

Induced sputum is a particularly useful procedure since it provides information on the cellular and molecular constituents in inflammation. Extensive work has demonstrated the application of induced sputum in the management of asthma, chronic obstructive pulmonary disease and chronic bronchitis, but less attention has been paid to its efficacy in diagnosing interstitial lung diseases.


08/29/2006 08:31 AM

Pulmonary TB and NTM lung disease comparison of characteristics in patients with AFB smear-positive sputum

The International Journal of Tuberculosis and Lung Disease, Volume 10, Number 9, September 2006, pp. 1001-1007(7)

To compare the clinical and radiographic features of pulmonary tuberculosis (PTB) and non-tuberculous mycobacteria (NTM) lung disease in patients with acid-fast bacilli (AFB) positive sputum specimens.


08/29/2006 08:30 AM

Retrievable vena cava filters clinical experience

Current Opinion in Pulmonary Medicine. 12(5):304-309, September 2006

To summarize currently available literature regarding indications for inferior vena cava filters, potential problems associated with the different filters available, and the efficacy and safety of retrievable inferior vena cava filters.


08/28/2006 11:13 AM

Prone position in mechanically ventilated patients with reduced intracranial compliance

Acta Anaesthesiologica Scandinavica, Volume 50, Number 8, September 2006, pp. 937-941(5)

Prone position has been used for several years to treat acute lung insufficiency, but in previous studies patients with unstable intracranial pressure (ICP) are mostly excluded. The aim of this study was to investigate if prone position is a safe and useful treatment in patients with reduced intracranial compliance.


08/28/2006 11:11 AM

Positive benefits of theophylline in a randomized double blind parallel group placebo controlled study of low dose slow release theophylline in the treatment of COPD for 1 year

Respirology, Volume 11, Number 5, September 2006, pp. 603-610(8)

Increasing evidence suggests that low-dose theophylline has anti-inflammatory benefits and is safe in the treatment of COPD. This study aims to evaluate the efficacy and safety of low-dose, slow-release oral theophylline administered over a 1-year period in patients with COPD.


08/28/2006 11:09 AM

Humidity influences exercise capacity in subjects with exercise-induced bronchoconstriction EIB

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1633-1641

Exercise-induced bronchoconstriction (EIB) increases in cold and dry air and decreases in humid air in subjects with asthma. Few reports have reported on the effect of humid environment upon exercise capacity in subjects with EIB.


08/28/2006 11:07 AM

The systemic safety of inhaled corticosteroid therapy a focus on ciclesonide

Annals of Allergy, Asthma and Immunology, Volume 97, Number 2, August 2006, pp. 149-157(9)

To review the potential systemic activity of ciclesonide and its active metabolite, desisobutyryl-ciclesonide, by evaluation of the effects on hypothalamic-pituitary-adrenal (HPA) axis function.


08/28/2006 11:06 AM

Exhaled breath condensate pH measurement in children with asthma, allergic rhinitis and atopic dermatitis

Pediatric Allergy and Immunology, Volume 17, Number 6, September 2006, pp. 422-427(6)

Recent studies have shown that the pH of exhaled breath condensate (EBC) could be predictive of asthma exacerbation. Moreover, it has been documented that both allergic rhinitis and atopic dermatitis constitute risk factors for the occurrence of asthma in a progression of disease known as atopic march.


08/28/2006 11:04 AM

Effect of challenge method on sensitivity reactivity and maximal response to methacholine

Annals of Allergy, Asthma and Immunology, Volume 97, Number 2, August 2006, pp. 175-181(7)

To determine the effect of the challenge method on sensitivity, reactivity, and maximal response to methacholine.


08/28/2006 11:03 AM

Budesonide formoterol improves lung function compared with budesonide alone in children with asthma

Pediatric Allergy and Immunology, Volume 17, Number 6, September 2006, pp. 458-465(8)

We aimed to compare the efficacy and safety of budesonide/formoterol (Symbicort) with budesonide alone (Pulmicort) or budesonide (Pulmicort) and formoterol (Oxis) administered via separate inhalers in children with asthma.


08/28/2006 11:01 AM

Chemokine Concentrations and Mast Cell Chemotactic Activity in BAL Fluid in Patients With Eosinophilic Bronchitis and Asthma and in Normal Control Subjects

Chest. 2006;130:371-378

To investigate the concentration of chemokines in bronchial wash samples and BAL fluid, and the mast cell chemotactic activity in BAL fluid from subjects with asthma and eosinophilic bronchitis, and from healthy control subjects.


08/28/2006 11:00 AM

Airway involvement in interstitial lung disease

Current Opinion in Pulmonary Medicine. 12(5):337-341, September 2006

After briefly discussing several ways to approach airway involvement in interstitial lung diseases - by diagnostic methodologies used to assess it, considering different topographical involvement, related to its presence in the diffuse lung diseases with higher prevalence, or from a causal point of view - the author describes in more detail, taking into account recent literature, new proposed entities combining airways (at different levels) and interstitial damage, like airway-centered interstitial fibrosis and acute fibrinous organizing pneumonia.


08/28/2006 10:58 AM

Self management plans in the primary care of patients with chronic obstructive pulmonary disease

Respirology, Volume 11, Number 5, September 2006, pp. 611-618(8)

The role of COPD self-management plans in improving health outcomes remains unclear. The objective of this study was to assess whether self-management plans administered in primary care have beneficial effects on quality of life, self-care behaviour and health outcomes in the long term for patients with COPD.


08/28/2006 10:57 AM

Diagnosis of pulmonary embolism in transition

Current Opinion in Hematology. 13(5):344-350, September 2006

To discuss reports published in 2005 on the diagnosis of clinically suspected nonmassive pulmonary embolism.


08/28/2006 10:56 AM

A comparison of exhaled nitric oxide measurements performed using three different analysers

Respiratory Medicine Volume 100, Issue 8 , August 2006, Pages 1392-1396

Exhaled nitric oxide (NO) is an established technique for monitoring airway inflammation. We have compared exhaled NO measurements from 3 different analysers; Ecomedics (E), Niox (N) and Logan (L).


08/28/2006 10:55 AM

Asthma and allergy in alpha 1 antitrypsin deficiency

Respiratory Medicine Volume 100, Issue 8 , August 2006, Pages 1384-1391

This study was designed to determine the prevalence of asthma and atopy, in a large group of subjects with alpha-1 antitrypsin deficiency (AATD) participating in the Alpha-1 Foundation Research Registry. A survey was mailed to all Registry participants (N=2418) and results were collated by AATD phenotype.


08/26/2006 11:04 AM

Epidemiology risk factors and outcome of nosocomial infections in a Respiratory Intensive Care Unit in North India

Journal of Infection Volume 53, Issue 2 , August 2006, Pages 98-105

To determine the epidemiology, risk factors and outcome of infections in a Respiratory Intensive Care Unit (RICU) of a tertiary care institute in northern India.


08/26/2006 11:03 AM

Azithromycin Reduces Airway Neutrophilia and Interleukin 8 in Patients with Bronchiolitis Obliterans Syndrome

American Journal of Respiratory and Critical Care Medicine Vol 174. pp. 566-570

Bronchiolitis obliterans syndrome (BOS) remains the leading cause of death after lung transplantation. Treatment is difficult, although azithromycin has recently been shown to improve FEV1. The exact mechanism of action is unclear.


08/26/2006 11:02 AM

Allergic Rhinitis and Sinusitis in Asthma

Chest. 2006;130:429-435

Allergic rhinitis and sinusitis are frequently associated with asthma. The purpose of this study was to determine the impact of self-reported allergic rhinitis and sinusitis on lower airway disease in a large cohort of participants with well-characterized asthma.


08/26/2006 11:01 AM

Is There a Link Between the Qualitative Descriptors and the Quantitative Perception of Dyspnea in Asthma

Chest. 2006;130:436-441

To determine whether qualitative and quantitative perception of methacholine-induced bronchoconstriction independently contribute to characterizing clinically stable asthma.


08/26/2006 11:00 AM

Understanding Cardiopulmonary Resuscitation Decision Making

To improve communication and decision making related to cardiopulmonary resuscitation (CPR), a greater understanding of the perspectives of hospitalized patients with advanced diseases and their family members are needed.


08/26/2006 10:59 AM

Two Year Outcomes Health Care Use and Costs of Survivors of Acute Respiratory Distress Syndrome

American Journal of Respiratory and Critical Care Medicine Vol 174. pp. 538-544

To describe functional and quality of life outcomes, health care use, and costs of survivors of ARDS 2 yr after intensive care unit (ICU) discharge.


08/26/2006 10:57 AM

Nonacid Reflux in Patients With Chronic Cough on Acid Suppressive Therapy

Chest. 2006;130:386-391

To evaluate the frequency of chronic cough associated with nonacid reflux and the response of these patients to laparoscopic Nissen fundoplication.


08/26/2006 10:56 AM

Glutathione S Transferase M1 and P1 Genotype Passive Smoking and Peak Expiratory Flow in Asthma

PEDIATRICS Vol. 118 No. 2 August 2006, pp. 710-716

Our purpose with this work was to assess the contribution of glutathione S-transferase gene variants to asthma susceptibility and pulmonary function in relation to tobacco smoke exposure in the home.


08/26/2006 10:55 AM

Inflammation and bronchopulmonary dysplasia A continuing story

Seminars in Fetal and Neonatal Medicine Volume 11, Issue 5 , October 2006, Pages 354-362

Increasing evidence indicates that bronchopulmonary dysplasia (BPD) results, at least in part, from an imbalance between pro-inflammatory and anti-inflammatory mechanisms, with a persistent imbalance that favours pro-inflammatory mechanisms.


08/26/2006 10:52 AM

Influenza vaccination coverage among children with high risk medical conditions

Vaccine Volume 24, Issue 24 , 12 June 2006, Pages 5251-5255

We evaluated influenza vaccination coverage in children with chronic disease at high risk of influenza complications, and the need for methods to increase parents’ and pediatricians’ knowledge of influenza and its prevention.


08/26/2006 10:51 AM

The Influence of Variation in Type and Pattern of Symptoms on Assessment in Pediatric Asthma

PEDIATRICS Vol. 118 No. 2 August 2006, pp. 619-625

We conducted a national, population-based survey to examine the asthma-related health burden of US children.


08/26/2006 10:49 AM

Anti Th To Positivity in a Cohort of Patients with Idiopathic Pulmonary Fibrosis

J Rheumatol 2006;33:1600–5

To evaluate the presence and clinical relevance of anti-Th/To-positivity in patients with idiopathic pulmonary fibrosis (IPF).


08/26/2006 10:48 AM

Intranasal ketorolac challenge for the diagnosis of aspirin exacerbated respiratory disease

Annals of Allergy, Asthma and Immunology, Volume 97, Number 2, August 2006, pp. 190-195(6)

To determine whether ketorolac nasal challenge has acceptable specificity and sensitivity for diagnosing aspirin-exacerbated respiratory disease.


08/23/2006 11:08 AM

Severe respiratory failure Advanced treatment options

Critical Care Medicine. Critical Care Challenges in Special Patient Populations. 34(9) Suppl:S278-S290, September 2006

Severe respiratory failure (including acute lung injury and acute respiratory distress syndrome) continues to be associated with significant mortality and morbidity in patients of all ages.


08/23/2006 11:07 AM

Disparities in the use of urgent health care services among asthmatic children

Annals of Allergy, Asthma and Immunology, Volume 97, Number 2, August 2006, pp. 244-250(7)

To evaluate the role of socioeconomic, disease-related, and access-to-care factors in utilization of the ED and inpatient services for urgent treatment of asthma.


08/23/2006 11:06 AM

Effect of asthma on the risk of obstructive sleep apnea syndrome in atopic women

Annals of Allergy, Asthma and Immunology, Volume 97, Number 2, August 2006, pp. 231-235(5)

To describe the prevalence of snoring in young women with atopy and to determine the risk factors for snoring in these individuals.


08/23/2006 11:04 AM

Inhaled corticosteroids vs leukotriene receptor antagonists health care costs across varying asthma severities

Annals of Allergy, Asthma and Immunology, Volume 97, Number 2, August 2006, pp. 236-243(8)

To compare asthma-related charges and resource utilization across disease severity levels in the year after initial asthma treatment with any inhaled corticosteroid (ICS) or leukotriene receptor antagonist (LTRA).


08/23/2006 11:01 AM

Relationship between exhaled nitric oxide levels and compliance with inhaled corticosteroids in asthmatic children

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1512-1517

Levels of exhaled nitric oxide (eNO) are elevated in subjects with asthma and fall in response to oral or inhaled steroids. This study explored the possibility the measurement of eNO levels could be used to identify subjects who were not adhering to their treatment regimen.


08/23/2006 11:00 AM

Inhaled steroids improve quality of life in patients with steady state bronchiectasis

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1623-1632

To analyze the effect of inhaled fluticasone propionate (FP) for 6 months upon the clinical, functional, microbiological and outcome parameters of patients with steady-state bronchiectasis not due to cystic fibrosis, and its repercussions for patient health-related quality of life (HRQoL).


08/23/2006 10:59 AM

Body mass index and physical activity in relation to asthma and atopic diseases in young adults

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1518-1525

Obesity has been shown to increase the risk of asthma and wheezing. Conditioning exercise might decrease the asthma risk, and that could partly explain the association. The relation between obesity and allergic diseases is quite conflicting.


08/23/2006 10:58 AM

Hypoxemia and autonomic nervous dysfunction in patients with chronic obstructive pulmonary disease

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1547-1553

Hypoxemia is known to be associated with abnormal heart rate variability (HRV) that can reflect the severity of the illness and may have prognostic value in patients with chronic obstructive pulmonary disease (COPD). The aim of this study was to examine the relationship between the derangements in cardiac autonomic nervous function and the oxygenation status or degree of airflow obstruction in COPD patients by using HRV analysis.


08/23/2006 10:57 AM

Does Helicobacter pylori have a pathogenic role in bronchiectasis

Respiratory Medicine Volume 100, Issue 7 , July 2006, Pages 1202-1207

To investigate the presence of Helicobacter pylori (H. pylori) in bronchial biopsies of patients with bronchiectasis, by histochemical and immunochemical staining.


08/23/2006 10:56 AM

Asthma and Enrollment in Special Education Among Urban Schoolchildren

American Journal of Public Health 1593-1598 September 2006

We assessed whether asthma is associated with urban children’s use of special education services.


08/22/2006 08:59 AM

Prednisolone versus dexamethasone in croup a randomised equivalence trial

Archives of Disease in Childhood 2006;91:580-583

To ascertain whether a single oral dose of prednisolone was equivalent to a single oral dose of dexamethasone (matched for potency) in children with mild to moderate croup.


08/22/2006 08:55 AM

Oral Betamethasone Versus Intramuscular Dexamethasone for the Treatment of Mild to Moderate Viral Croup A Prospective Randomized Trial

Pediatric Emergency Care. 22(8):541-544, August 2006

Intramuscular dexamethasone is an effective, but painful, treatment for croup. The effectiveness of betamethasone, an oral, palatable, and equally potent glucocorticoid has not been studied. The purpose of this study was to compare the effectiveness of a single oral dose of betamethasone with intramuscular dexamethasone in the outpatient treatment of mild to moderate croup.


08/22/2006 08:58 AM

Anti histamines for prolonged non specific cough in children

The Cochrane Library, Issue 3, 2006

To evaluate the effectiveness of anti-histamines in treating children with prolonged non-specific cough.


08/22/2006 08:53 AM

Clinical differences in the Global Initiative for Chronic Obstructive Lung Disease Stage 0

Respiratory Medicine Volume 100, Issue 8 , August 2006, Pages 1360-1367

This study was to examine the clinical differences between Stage 0 and normal subjects, using low-dose chest computed tomography (CT) and pulmonary function tests. Enrolled subjects performed as a health check for lung cancer screening including low-dose CT and pulmonary function tests.


08/22/2006 08:49 AM

Aspirin Exacerbated Respiratory Disease An Update on Diagnosis and Management

Allergy & Clinical Immunology International July 2006 , Vol 18 , No. 4

Hypersensitivity to aspirin and other nons-teroidal antiinflammatory drugs (NSAIDs), which affects 4,3-21% of the asthmatic population, is a risk factor for development of severe chronic asthma and hyperplastic rhinosi-nusitis with nasal polyposis. This article summarizes current standards for diagnosis of aspirin hypersensitivity and modalities for management of patients with aspirin-exacerbated respiratory disease (AERD).


08/21/2006 03:48 PM

Asthma control in Canada remains suboptimal The Reality of Asthma Control TRAC study

Canadian Respiratory Journal July/August 2006, Volume 13, Number 5 : 253-259

To assess the state of asthma control of adult Canadians, and asthma knowledge and practices of Canadian physicians actively involved in the care of patients with asthma.


08/21/2006 03:47 PM

Upper airway obstructive symptoms because of ectopic gastric mucosa in a newborn a case report

Journal of Pediatric Surgery Volume 41, Issue 8 , August 2006, Pages e7-e9

An 8-month-old female infant was referred after unsuccessful attempts of extubation owing to upper airway obstruction by a pharyngeal soft tissue mass. Laryngoscopic examination revealed an obstructing mucosal fold originating from the posterior pharyngeal wall.


08/21/2006 03:46 PM

Percutaneous versus surgical tracheostomy A randomized controlled study with long-term follow up

Critical Care Medicine. 34(8):2145-2152, August 2006

To compare the safety, availability, and long-term sequelae of percutaneous vs. surgical tracheostomy.


08/21/2006 03:45 PM

Drotrecogin alpha activated in two patients with the hantavirus cardiopulmonary syndrome

Canadian respiratory Journal July/August 2006, Volume 13, Number 5 : 272-274

Hantavirus cardiopulmonary syndrome (HCPS) is associated with rapid cardiopulmonary collapse from endothelial injury, resulting in massive capillary leak, shock and severe hypoxemic respiratory failure.


08/21/2006 03:43 PM

Successful treatment of primary cardiac lymphoma and pulmonary tumor embolism with chemotherapy

International Journal of Cardiology Volume 111, Issue 1 , 28 July 2006, Pages 172-173

A 72-year-old man with a large mass in the right atrium and the pulmonary embolism by chest computed tomography was diagnosed as the primary cardiac B-cell lymphoma (PCL) with pulmonary tumor embolism and pericardial effusion. Upon completion of initial chemotherapy, the mass was markedly reduced, and the pulmonary embolism disappeared on magnetic resonance imaging. This rarely diagnosed entity is treatable with chemotherapy for both PCL and pulmonary embolism.


08/21/2006 03:42 PM

Functional Analysis of the Chemokine Receptor CCR3 on Airway Epithelial Cells

The Journal of Immunology, 2006, 177: 3344-3354

The function of chemokine receptors on structural cells is only partially known. We previously reported the expression of a functional CCR3 receptor on airway epithelial cells (EC).


08/21/2006 03:40 PM

Physiological response to intrapulmonary percussive ventilation in stable COPD patients

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1526-1533

Intrapulmonary percussive ventilation (IPV) is a ventilatory technique that delivers bursts of high-flow respiratory gas into the lung at high rates, intended for treating acute respiratory failure and for mobilization of secretions. We performed a study, aimed at assessing the physiological response to IPV, on patients’ breathing pattern, inspiratory effort, lung mechanics and tolerance to ventilation.


08/21/2006 03:39 PM

Interpreting the Histopathology of Chronic Cough

Chest. 2006;130:362-370

Trauma from chronic coughing produces airway inflammation similar to diseases causing cough.


08/21/2006 03:38 PM

N Terminal Pro B Type Natriuretic Peptide as an Indicator of Disease Severity in a Heterogeneous Group of Patients With Chronic Precapillary Pulmonary Hypertension

The American Journal of Cardiology Volume 98, Issue 4 , 15 August 2006, Pages 525-529

N-terminal–pro-B-type natriuretic peptide (NT–pro-BNP) is well established as a predictor of prognosis in patients with left ventricular dysfunction. Although a similar prognostic significance has been suggested in 1 study of right ventricular failure and idiopathic pulmonary arterial hypertension, NT–pro-BNP has not been assessed as a marker of disease severity in a more heterogenous group of patients with chronic precapillary pulmonary hypertension (PH).


08/21/2006 03:36 PM

Comparison of the OxyMask and Venturi mask in the delivery of supplemental oxygen Pilot study in oxygen dependent patients

Canadian Respiratory Journal July/August 2006, Volume 13, Number 5 : 247-252

The OxyMask (Southmedic Inc, Canada) is a new face mask for oxygen delivery that uses a small ‘diffuser’ to concentrate and direct oxygen toward the mouth and nose. The authors hypothesized that this unique design would enable the OxyMask to deliver oxygen more efficiently than a Venturi mask (Hudson RCI, USA) in patients with chronic hypoxemia.


08/21/2006 03:35 PM

Progressive dyspnea associated with a crazy paving appearance on a chest computed tomography scan

Canadian Respiratory Journal July/August 2006, Volume 13, Number 5 : 269-271

A ‘crazy-paving’ appearance of the lungs on computed tomography scanning of the chest was first described nearly 20 years ago in patients with pulmonary alveolar proteinosis, and was thought to be characteristic of this condition.


08/19/2006 12:05 PM

Dissection of the Hyperadhesive Phenotype of Airway Eosinophils in Asthma

American Journal of Respiratory Cell and Molecular Biology. Vol. 35, pp. 378-386, 2006

Asthma is characterized by appearance of eosinophils in the airway. Eosinophils purified from the airway 48 h after segmental antigen challenge are described as exhibiting greater adhesion to albumin-coated surfaces via an unidentified 2 integrin and increased expression of M2 (CD11b/18) compared with purified blood eosinophils. We have investigated the determinants of this hyperadhesive phenotype.


08/19/2006 12:04 PM

Ipratropium bromide versus long acting beta 2 agonists for stable chronic obstructive pulmonary disease

The Cochrane Library, Issue 3, 2006

To compare the relative efficacy and safety of regular long term use (at least four weeks) of ipratropium bromide and LABA in patients with stable COPD. Comparisons were made between single agents and in combination versus LABAs alone.


08/19/2006 12:03 PM

Nedocromil sodium for chronic asthma in children

The Cochrane Library, Issue 3, 2006

The objective of this review is to compare the safety and efficacy of inhaled nedocromil sodium with placebo in the treatment of chronic asthma in children.


08/19/2006 12:02 PM

Oxygen therapy in the pre hospital setting for acute exacerbations of chronic obstructive pulmonary disease

The Cochrane Library, Issue 3, 2006

The objective of the review was to determine the effect of different inspired oxygen concentrations ("high flow" compared to "controlled") in the pre-hospital setting on outcome for people with acute exacerbations of COPD.


08/19/2006 12:01 PM

Inspired oxygen fraction achieved with a portable ventilator Determinant factors

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1608-1613

Non-invasive positive pressure ventilation (NIPPV) is an effective treatment in respiratory failure. Continuous positive pressure (CPAP) may also be useful in acute hypoxaemic patients. Supplementary oxygen is usually necessary in both systems. However, the inspired oxygen fraction (FiO2) delivered by a NIV portable ventilator is unknown. The main objectives of this study were to establish the maximal FiO2 that could be achieved by these devices and to analyse the FiO2 determinant factors.


08/19/2006 12:00 PM

Antibiotics for community acquired pneumonia in children

The Cochrane Library, Issue 3, 2006

To identify effective antibiotic drug therapy for community acquired pneumonia (CAP) in children by comparing various antibiotics.


08/19/2006 11:59 AM

Do adverse respiratory effects of beta2 agonists contribute to asthma morbidity and mortality

The Pharmaceutical Journal Vol 277 No 7413 p193-195

Short-acting beta2-agonists (SABAs) have been used as first line therapy for the acute relief of bronchoconstriction in asthma for several decades. However, anti-inflammatory therapies are now considered the cornerstone of chronic asthma management.


08/19/2006 11:58 AM

Increased energy intake for preterm infants with or developing bronchopulmonary dysplasia chronic lung disease

The Cochrane Library, Issue 3, 2006

To assess the effect of increased energy intake on mortality and respiratory, growth and neurodevelopmental outcomes for preterm infants with (or developing) CLD/BPD. Secondarily, the review examines any adverse effects associated with increased energy intake.


08/17/2006 03:38 PM

Scleroderma lung Initial forced vital capacity as predictor of pulmonary function decline

Arthritis Care & Research Volume 55, Issue 4 , Pages 598 - 602

To determine the ability of initial forced vital capacity (FVC) of patients with scleroderma to predict subsequent pulmonary function deterioration.


08/17/2006 03:37 PM

Palatal and tongue base surgery for surgical treatment of obstructive sleep apnea A prospective study

Otolaryngology - Head and Neck Surgery Volume 135, Issue 2 , August 2006, Page 264.e1

To assess the effect of concurrent uvulopalatopharyngoplasty (UPPP) and hypopharyngeal procedures in obstructive sleep apnea (OSA) patients with diffuse airway narrowing.


08/17/2006 03:35 PM

Reappraisal of Pseudomonas aeruginosa hospital acquired pneumonia mortality in the era of metallo B lactamase mediated multidrug resistance a prospective observational study

Critical Care 2006, 10:R114

Hospital-acquired pneumonia (HAP) due to Pseudomonas aeruginosa is associated with high mortality rates. The metallo-ß-lactamases (MBLs) are emerging enzymes that hydrolyze virtually all ß-lactams. We aimed to assess P. aeruginosa HAP mortality in a setting of high-rate MBL production. A prospective cohort study was performed at two tertiary-care teaching hospitals. A logistic regression model was constructed to identify risk factors for 30-day mortality.


08/17/2006 03:34 PM

Moxifloxacin versus levofloxacin against acute exacerbations of chronic bronchitis The Latin American Cohort

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1504-1511

We compared the efficacy and safety of moxifloxacin and levofloxacin for the treatment of patients with acute exacerbations of chronic bronchitis (AECB) using a prospective, randomized, double blind, parallel-group clinical trial design.


08/17/2006 03:32 PM

Epidemiology of chronic obstructive pulmonary disease: Health effects of air pollution

Respirology, Volume 11, Number 5, September 2006, pp. 523-532(10)

COPD is one of the leading causes of morbidity and mortality in the industrialized and the developing countries. According to the prediction of the World Health Organization, COPD will become the third leading cause of mortality and the fifth cause of disability in 2020 worldwide. In epidemiology, distinct phenotypic entities converge on the term COPD, so that prevalence and mortality data may be inclusive of chronic bronchitis, emphysema and asthma; moreover, the assessment of prevalence rates may change considerably according to the diagnostic tools used. Thus, a considerable problem is to estimate the real prevalence of COPD in the general population.


08/17/2006 03:30 PM

Recent progress in the biology of airway dendritic cells and implications for understanding the regulation of asthmatic inflammation

Journal of Allergy and Clinical Immunology Volume 118, Issue 2 , August 2006, Pages 331-336

Dendritic cells (DCs) are crucial in determining the outcome of antigen encounter and integrating signals derived from the antigen, its inflammatory context, and the host environment into a signal that can be read by naive T cells in the lymphoid tissues and by effector T cells in peripheral tissues.


08/17/2006 03:29 PM

Salivary oxidative stress in children during acute asthmatic attack and during remission

Respiratory Medicine Volume 100, Issue 7 , July 2006, Pages 1195-1201

Patients with asthma generate an increased amount of reactive oxygen species from peripheral blood cells, which may contribute to its pathogenesis. Saliva analysis is non-invasive and friendly to children. We undertook this study to analyze the salivary oxidative profile and composition in children with asthma during attack and remission, and to compare them with the levels of salivary antioxidants of healthy control children.


08/17/2006 03:27 PM

Bronchodilators for bronchiolitis

The Cochrane Library, Issue 3, 2006

The objective of this review was to assess the effects of bronchodilators on clinical outcomes in infants with acute bronchiolitis.


08/17/2006 03:26 PM

Neuraminidase inhibitors for preventing and treating influenza in healthy adults

The Cochrane Library, Issue 3, 2006

To assess the effects of NIs in preventing or ameliorating influenza, its transmission and its complications in healthy adults and to estimate the frequency of adverse effects.


08/17/2006 03:24 PM

Written action plans for asthma in children

The Cochrane Library, Issue 3, 2006

The objectives of this review were firstly to evaluate the independent effect of providing versus not providing a written action plan in children and adolescents with asthma, and secondly to compare the effect of different written action plans.


08/17/2006 09:15 AM

Reference values for the 6 min walk test in healthy subjects 20 to 50 years old

Respiratory Medicine Volume 100, Issue 9 , September 2006, Pages 1573-1578

In 102 healthy Caucasians, 20–50 years old, we investigated the effect of anthropometrics on the 6-min walk test (6MWT), in order to provide reference values for walk distance (6MWD), oxygen saturation (SpO2), pulse rate (PR), respiratory rate (RR), breathlessness perception (VAS) and for the walking distance and body weight product (DW).


08/17/2006 09:13 AM

Erectile dysfunction linked to sleep apnea

Nature Clinical Practice Urology(2006) 3, 404

It has been suggested that nocturnal erections, which occur during the rapid-eye-movement (REM) stage of sleep, help preserve erectile function. Sleep apnea disrupts the sleep of affected individuals and decreases the overall duration of their REM sleep; in turn, reduced REM sleep decreases the number of nocturnal erections these men experience.


08/17/2006 09:12 AM

IgE and IgG anti house dust mite specificities in allergic disease

Journal of Allergy and Clinical Immunology Volume 118, Issue 2 , August 2006, Pages 361-367

There are few studies that quantitatively compare IgE and IgG antibody binding to the major and minor house dust mite allergens.


08/17/2006 09:11 AM

Negligible clearance of ultrafine particles retained in healthy and affected human lungs

Eur Respir J 2006; 28:286-290

Ambient particles are believed to be a specific health hazard, although the underlying mechanisms are not fully understood. There are data in the literature indicating fast and substantial systemic uptake of particles from the lung.


08/17/2006 09:08 AM

Surfactant therapy for bronchiolitis in critically ill infants

The Cochrane Library, Issue 3, 2006

The objective of this review was to assess the efficacy of exogenous surfactant for the treatment of bronchiolitis in mechanically ventilated infants and children.


08/17/2006 09:07 AM

Cystic fibrosis transmembrane conductance regulator CFTR gene mutations in Asians with chronic pulmonary disease A pilot study

Journal of Cystic Fibrosis Volume 5, Issue 3 , August 2006, Pages 159-164

Little is known about the relationship between cystic fibrosis transmembrane conductance regulator (CFTR) gene mutations in Asian patients and severe asthma or idiopathic bronchiectasis. We investigated this potential relationship in the Singaporean Chinese.


08/17/2006 09:03 AM

Proximal gastric response to small intestinal nutrients is abnormal in mechanically ventilated critically ill patients

World J Gastroenterol 2006 July;12(27):4383-4388

To determine the response of the proximal stomach to small intestinal nutrients in critically ill patients.METHODS:Proximal gastric motility was measured in 13 critically ill patients (49.3 +/- 4.7 years) and 12 healthy volunteers (27.7 +/- 2.9 years) using a barostat technique.


08/17/2006 09:02 AM

Screening and Identification of Severe Acute Respiratory Syndrome Associated Coronavirus Specific CTL Epitopes

The Journal of Immunology, 2006, 177: 2138-2145

Severe acute respiratory syndrome (SARS) is a highly contagious and life-threatening disease that emerged in China in November 2002. A novel SARS-associated coronavirus was identified as its principal etiologic agent; however, the immunopathogenesis of SARS and the role of special CTLs in virus clearance are still largely uncharacterized.


08/17/2006 09:00 AM

Lung Defence Mechanisms and Their Potential Role in the Prevention of Ventilator Associated Pneumonia

Current Respiratory Medicine Reviews, Volume 2, Number 3, August 2006, pp. 285-297(13)

Ventilator associated pneumonia remains a cause of significant morbidity and mortality in Intensive Care patients despite advances in knowledge and technology.


08/17/2006 08:59 AM

Is There a Genetic Susceptibility to Bronchopulmonary Dysplasia

Current Respiratory Medicine Reviews, Volume 2, Number 3, August 2006, pp. 253-262(10)

Bronchopulmonary Dysplasia (BPD) continues to be a major problem despite advances in the management of the sick preterm. Current evidence supports a multifactorial etiology to this disease. Prematurity is the cardinal factor; others include pulmonary baro/volu trauma, hyperoxia, and inflammation.


08/17/2006 08:57 AM

The Search for the Genetic Component of COPD Role of the Clinical Phenotype

Current Respiratory Medicine Reviews, Volume 2, Number 3, August 2006, pp. 299-304(6)

Chronic obstructive pulmonary disease (COPD) is a common, complex disorder, and dissection of its individual components is considered one of the research priorities for this disease.


08/17/2006 08:55 AM

Identification of asthma risk factors in Mexico City in an International Study of Asthma and Allergy in Childhood survey

Allergy and Asthma Proceedings, Volume 27, Number 4, July-August 2006, pp. 325-333(9)

The International Study of Asthma and Allergy in childhood (ISAAC) has assessed the prevalence of asthma, as well as the factors related to the disease in different countries.


08/17/2006 08:54 AM

Lack of tolerance to the protective effect of montelukast in exercise induced bronchoconstriction in children

Eur Respir J 2006; 28:291-295

The effect over time of regular treatment with montelukast (MNT) in inhibiting exercise-induced bronchoconstriction (EIB) has never been evaluated in children. The aim of the present study was to examine the preventive effect of MNT against EIB in children at different time-points over a 4-week treatment period.


08/17/2006 08:53 AM

Alexithymia a relevant psychological variable in near fatal asthma

Eur Respir J 2006; 28:296-302

Alexithymia is a psychological trait characterised by difficulty in perceiving and expressing emotions and body sensations. Failure to perceive dyspnoea could lead alexithymic asthmatics to underestimate the severity of an asthma exacerbation, and thereby increase the risk of developing a fatal or near-fatal asthma (NFA) attack. The objective of the present study was to determine the prevalence of alexithymia in NFA patients and to analyse their clinical characteristics.


08/17/2006 08:52 AM

Long acting beta2 agonists for poorly reversible chronic obstructive pulmonary disease

The Cochrane Library, Issue 3, 2006

To determine the effectiveness of long acting beta-2 adrenoceptor agonists (LABAs) in COPD patients demonstrating poor reversibility to short-acting bronchodilators.


08/17/2006 08:51 AM

Mucolytic agents for chronic bronchitis or chronic obstructive pulmonary disease

The Cochrane Library, Issue 3, 2006

To assess the effects of oral mucolytics in adults with stable chronic bronchitis or COPD.


08/17/2006 08:50 AM

Sex differences in the clinical presentation and management of airflow obstruction

Eur Respir J 2006; 28:319-322

The aim of the present study was to explore differences in the clinical expression, clinical diagnoses and management of airway diseases in a primary-care setting.


08/17/2006 08:44 AM

Ventilation inhomogeneity in antitrypsin deficient emphysema

Eur Respir J 2006; 28:323-329

The slope of phase III of the single-breath nitrogen wash-out test (sbN2-test) measures ventilation inhomogeneity and, in smokers, is strongly associated with small airways pathology. The present authors aimed to study ventilation inhomogeneity in emphysema related to type Z 1-antitrypsin (AAT) and to assess its relationship with indices of parenchymal damage and airways obstruction.


08/17/2006 08:42 AM

Small Airways Disease in Asthma

ent Respiratory Medicine Reviews, Volume 2, Number 3, August 2006, pp. 279-283(5)

Small airway plays a major role in viral infection of the respiratory tract in infants and young children. Indeed these early viral infections have been shown to lead to airway remodeling and early development of non allergic asthma by affecting the expression of critical growth factors.


08/17/2006 08:41 AM

Impact of a Physical Rehabilitation Program on the Respiratory Function of Adolescents With Idiopathic Scoliosis

Chest. 2006;130:500-505

Idiopathic adolescent scoliosis (AIS) causes not only spinal deformities but rib cage abnormalities that lead to abnormal volumes and pulmonary capacity on pulmonary function testing (PFT). The objective of this study was to analyze the impact of a physical rehabilitation program on respiratory function in surgical patients with AIS.


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