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January 1-15  2008 Postings  (Note: Some archived links may become inactive)

01/12/2008 07:44 PM

Do bullae and emphysema increase risk of pneumothorax in silicosis

Indian Journal of Occupational and Environmental Medicine Year : 2007 Volume : 11 Issue : 3 Page : 108-112

occurrence of occupational lung diseases is decreasing due to improvements in occupational health in recent years; however, silicosis and its complications remain important occupational health problems. We have studied the role of emphysema and bullae as predictive factors of secondary spontaneous pneumothorax in acute and accelerated silicosis.


01/12/2008 07:43 PM

Incidence of Respiratory Disorders in Neonates Born between 34 and 36 Weeks of Gestation Following Exposure to Antenatal Corticosteroids between 24 and 34 Weeks of Gestation

Amer J Perinatol : DOI: 10.1055/s-2007-1022470

We studied the effect of antenatal corticosteroids on the incidence of respiratory disorders in singleton neonates born between 34 and 36 weeks of gestation.


01/12/2008 07:42 PM

An overview of EPR3 Asthma Guidelines - What's different

Allergy and Asthma Proceedings, Volume 28, Number 6, November/December 2007 , pp. 620-627(8)

Updated asthma care guidelines have recently been released. This review will focus on several elements in the Expert Panel Report (EPR) 3 guidelines that reflect substantial differences compared with recommendations of the EPR2 guidelines, issued in 1997 and updated in 2002.


01/12/2008 07:40 PM

A reappraisal of the clinical efficacy of nebulized flunisolide in pediatric asthma - The Italian experience

Allergy and Asthma Proceedings, Volume 28, Number 6, November/December 2007 , pp. 671-687(17)

Flunisolide (FLU) is a synthetic corticosteroid with potent topical anti-inflammatory activity. Its oral bioavailability is poor (6.7%). After gastrointestinal and lung absorption, the drug undergoes rapid and extensive first-pass metabolism by the liver to an inactive 6Beta-hydroxylated metabolite. Plasma half-life is estimated to be 3.9 to 4.6 hours.


01/12/2008 07:40 PM

Factors impacting on length of stay and mortality of community-acquired pneumonia

Clinical Microbiology and Infection doi:10.1111/j.1469-0691.2007.01915.x

A 1-year retrospective multicentre study was performed to identify factors influencing hospital length of stay (LOS) and mortality of patients (n = 3233) admitted to hospital because of community-acquired pneumonia (CAP).


01/12/2008 07:38 PM

Influenza Vaccination Among Medical Residents in a Teaching Hospital

Infect Control Hosp Epidemiol 2008;29:89-91

We assessed the rates of influenza vaccine acceptance and the reasons for acceptance or refusal among medical residents in different disciplines during the 2004-2005 influenza season.


01/12/2008 07:34 PM

Development of an Algorithm for Surveillance of Ventilator-Associated Pneumonia With Electronic Data and Comparison of Algorithm Results With Clinician Diagnoses

Infect Control Hosp Epidemiol 2008;29:31-37

Surveillance for ventilator-associated pneumonia (VAP) using standard Centers for Disease Control and Prevention (CDC) criteria is labor intensive and involves many subjective assessments. We sought to improve the efficiency and objectivity of VAP surveillance by adapting the CDC criteria to make them amenable to evaluation with electronic data.


01/12/2008 07:33 PM

Continuous positive airway pressure increases heart rate variability in heart failure patients with obstructive sleep apnoea

Clinical Science (2008) 114, (243–249)

Patients with heart failure or OSA (obstructive sleep apnoea) have reduced HF-HRV (high-frequency heart rate variability), indicating reduced cardiac vagal modulation, a marker of poor prognosis. CPAP (continuous positive airway pressure) abolishes OSA in patients with heart failure, but effects on daytime HF-HRV have not been determined.


01/12/2008 07:32 PM

Association between exhaled nitric oxide and systemic inflammatory markers

Annals of Allergy, Asthma and Immunology, Volume 99, Number 6, December 2007 , pp. 534-539(6)

To determine if there is an association between exhaled nitric oxide and these systemic inflammatory markers.


01/12/2008 07:31 PM

Substitutive 'Hospital at Home' Versus Inpatient Care for Elderly Patients with Exacerbations of Chronic Obstructive Pulmonary Disease - A Prospective Randomized Controlled Trial

Journal of the American Geriatrics Society doi:10.1111/j.1532-5415.2007.01562.x

To evaluate hospital readmission rates and mortality at 6-month follow-up in selected elderly patients with acute exacerbation of chronic obstructive pulmonary disease (COPD).


01/12/2008 07:30 PM

The role of lung function in brain tissue oxygenation following traumatic brain injury

Journal of Neurosurgery January 2008 Volume 108, Number 1

Previous studies have demonstrated that periods of low brain tissue oxygen tension (PbtO2) are associated with poor outcome after head trauma but have primarily focused on cerebral and hemodynamic factors as causes of low PbtO2.


01/12/2008 07:29 PM

Angiotensin-Converting Enzyme Insertion/Deletion Polymorphism and Risk and Outcome of Pneumonia

Chest. 2008; 133:220-225

Recent studies have suggested involvement of the angiotensin-converting enzyme (ACE) insertion/deletion (I/D) polymorphism in the susceptibility to and severity of community-acquired pneumonia (CAP) in Asian populations. We have explored the hypothesis that the ACE I/D polymorphism affects the risk and outcome of CAP in a Dutch white population.


01/12/2008 07:28 PM

Severe Hemoptysis of Pulmonary Arterial Origin

Chest. 2008; 133:212-219

Hemoptysis of pulmonary arterial origin is a diagnostic challenge in patients admitted to a respiratory ICU (RICU) for treatment of hemoptysis. Its early accurate recognition and treatment reduce morbidity and prevent mortality. Multidetector row CT angiography (MDCTA) is an accurate method for imaging the systemic vascular network.


01/12/2008 07:27 PM

Pulmonary and Thrombotic Manifestations of Systemic Lupus Erythematosus

Chest. 2008; 133:271-280

Systemic lupus erythematosus (SLE) is considered the archetypal systemic autoimmune disease. Clinically characterized by multisystem involvement and varied serologic abnormalities, no two patients present or have disease that evolves in exactly the same way.


01/12/2008 07:26 PM

Long-term Follow-up of a Fenestrated Amplatzer Atrial Septal Occluder in Pulmonary Arterial Hypertension

Chest. 2008; 133:283-285

Pulmonary arterial hypertension (PAH) is a progressive disease, with right-heart failure being the main cause of death. In patients refractory to conventional drug therapy, atrial septostomy can serve as palliative treatment or as a bridge to transplantation.


01/12/2008 07:25 PM

Peripheral Muscle Alterations in Non-COPD Smokers

Chest. 2008; 133:13-18

Although tobacco smoke is the main cause of COPD, relatively little attention has been paid to its potential damage to skeletal muscle. This article addresses the effect of smoking on skeletal muscle.


01/12/2008 07:25 PM

Is Airway Smooth Muscle the 'Missing Link' Modulating Airway Inflammation in Asthma

Airway smooth muscle (ASM) plays a central role in regulating bronchomotor tone in patients with asthma. New evidence, however, suggests that ASM may also orchestrate and perpetuate airway inflammation by promoting the recruitment, activation, and trafficking of inflammatory cells in the airways.


01/12/2008 07:24 PM

Aging Dilates Atrium and Pulmonary Veins

Chest. 2008; 133:190-196

Aging plays a critical role in the pathophysiology of atrial fibrillation (AF). The left atrium (LA) and pulmonary veins (PVs) are essential components for the genesis and maintenance of AF. The purpose of this study was to investigate the effects of aging on the AF substrate and the initiator (PVs).


01/12/2008 07:23 PM

Fluid Therapy in Resuscitated Sepsis

Chest. 2008; 133:252-263

Fluid infusion may be lifesaving in patients with severe sepsis, especially in the earliest phases of treatment. Following initial resuscitation, however, fluid boluses often fail to augment perfusion and may be harmful.


01/12/2008 07:22 PM

Pulmonary Disease Due to Nontuberculous Mycobacteria

Chest. 2008; 133:243-251

Nontuberculous mycobacteria (NTM) are increasingly associated with pulmonary disease. This is a worldwide phenomenon and one that is not related just to better diagnostic techniques or HIV infection. The mode of transmission of NTM is not well defined, but environmental exposure may be the major factor.


01/12/2008 07:21 PM

Occult Traumatic Pneumothorax

Chest. 2008; 133:204-211

The role of chest ultrasonography (US) in the diagnosis of pneumothorax (PTX) has been established, but how it compares with lung CT scanning in the diagnosis of radiooccult PTX and in the determination of its topographic extension has not yet been completely evaluated.


01/12/2008 07:21 PM

Baseline BAL Neutrophilia Predicts Early Mortality in Idiopathic Pulmonary Fibrosis

Chest. 2008; 133:226-232

The prognostic value of BAL fluid cell count differential in patients with idiopathic pulmonary fibrosis (IPF) is unknown. We hypothesized that baseline BAL fluid cell count differential (ie, elevated levels of neutrophils and eosinophils, or reduced levels of lymphocytes) would predict higher mortality among persons with IPF.


01/12/2008 07:09 PM

Elevated Serum Aminotransferase Levels in Children at Risk for Obstructive Sleep Apnea

Chest. 2008; 133:92-99

Fatty liver disease (FLD) is a highly prevalent condition in obese (Ob) children, who are at increased risk for obstructive sleep apnea (OSA). However, the contribution of OSA to FLD remains unknown.


01/10/2008 07:13 PM

Advances in the understanding of allergic asthma

Allergy and Asthma Proceedings, Volume 28, Number 6, November/December 2007 , pp. 614-619(6)

This article reviews the concept of airway remodeling, through various inflammatory cells, the roles of angiogenesis, vascular endothelial cell growth factor, respiratory syncytial virus, and other biomarkers, including exhaled nitric oxide. Control of allergic asthma using immunomodulation and other strategies is addressed.


01/10/2008 07:12 PM

Association of progressive structural changes in the bronchial epithelium with subepithelial fibrous remodeling - A potential role for hypoxia

Virchows Archiv, Volume 451, Number 4, October 2007 , pp. 793-803(11)

In airway remodeling that occurs in association with chronic obstructive pulmonary disease (COPD), the relationship between the subepithelium and structural changes of the bronchial epithelium is not well defined.


01/10/2008 07:11 PM

Prevalence of pollen sensitization in younger children who have asthma

Allergy and Asthma Proceedings, Volume 28, Number 6, November/December 2007 , pp. 654-658(5)

It is commonly believed that young children are incapable of pollen sensitization; therefore, skin testing usually is not performed to these allergens. The purpose of this study was to identify the frequency of positive skin tests to outdoor allergens among younger children who have asthma. Patients who have asthma, aged 6 months to 10 years, were evaluated for pollen sensitization over a 10-year period.


01/10/2008 07:09 PM

Use of remifentanil in general anesthesia for emergency cesarean section in a patient with severe valvular heart disease and pulmonary hypertension

The Internet Journal of Anesthesiology. 2008. Volume 15 Number 2

Cardiac disease is an important cause of maternal mortality and morbidity in obstetric patients. Rheumatic heart disease resulting in valvular dysfunction is still relatively common in underdeveloped countries. Involvement of multiple valves poses a significant risk to patients requiring cesarean section.


01/10/2008 07:08 PM

Smooth Muscle-like Cells in Pulmonary Lymphangioleiomyomatosis

The Proceedings of the American Thoracic Society 5:119-126 (2008)

Proliferation, migration, and differentiation of smooth muscle (SM)-like lymphangioleiomyomatosis (LAM) cells in the lungs are pathologic manifestations of pulmonary LAM, a rare lung disease predominantly afflicting women and exacerbated by pregnancy. LAM cells form nodules throughout the lung without any predominant localization, but can also form small cell clusters dispersed within lung parenchyma.


01/10/2008 07:07 PM

Airway Myofibroblasts and Their Relationship with Airway Myocytes and Fibroblasts

The Proceedings of the American Thoracic Society 5:127-132 (2008)

Myofibroblasts are mesenchyme-derived cells responsible for tissue repair after injury. Resident populations of myofibroblasts are present throughout the lung. In addition, it is likely that myofibroblast progenitors (fibrocytes) can migrate to the lung from the circulation during injury.


01/10/2008 07:06 PM

Impaired Systemic Oxygen Extraction at Maximum Exercise in Pulmonary Hypertension

Medicine & Science in Sports & Exercise. 40(1):3-8, January 2008

To determine the relative contributions of the Fick principle variables to impaired exercise tolerance in pulmonary arterial hypertension compared with pulmonary venous hypertension.


01/10/2008 07:05 PM

Early enteral supplementation with key pharmaconutrients improves Sequential Organ Failure Assessment score in critically ill patients with sepsis - Outcome of a randomized, controlled double-blind trial

Critical Care Medicine. 36(1):131-144, January 2008

To assess the safety and efficacy of an early enteral pharmaconutrition supplement containing glutamine dipeptides, antioxidative vitamins and trace elements, and butyrate in critically ill, septic patients.


01/10/2008 07:04 PM

Use of a Pandemic Preparedness Drill to Increase Rates of Influenza Vaccination Among Healthcare Workers

Infect Control Hosp Epidemiol 2008;29:111-115

To determine the effect of a pandemic influenza preparedness drill on the rate of influenza vaccination among healthcare workers (HCWs).


01/10/2008 07:03 PM

Receptivity to Mandatory Influenza Vaccination Policies for Healthcare Workers Among Registered Nurses Working on Inpatient Units

Infect Control Hosp Epidemiol 2008;29:170-173

A survey that included questions about preferred methods of influenza prevention was completed by 513 registered nurses working on inpatient units. Vaccination was the preferred influenza prevention method among 83.0% of respondents.


01/10/2008 07:02 PM

House Staff Attitudes About Influenza Vaccination After Participation in a Clinical Trial to Improve Vaccination of Hospital Patients

Infect Control Hosp Epidemiol 2008;29:174-176

We surveyed house staff who had participated in a trial that compared influenza vaccination strategies for inpatients. House staff who were exposed to computer-generated vaccination orders were more likely to report that they recommended vaccination to their inpatients and outpatients, compared with house staff who were not exposed to a vaccination intervention.


01/10/2008 07:00 PM

An Evaluation of the Safety and Efficacy of an Anti-Inflammatory Pulmonary Enteral Formula in the Treatment of Pediatric Burn Patients With Respiratory Failure

Journal of Burn Care & Research. 29(1):82-88, January/February 2008

Respiratory failure is associated with a high mortality rate in burned children. Recently, a specialized pulmonary enteral formula (SPEF) was commercially introduced as an adjunct intervention in acute lung injury management. SPEF contains condition-specific nutrients to modulate the inflammatory response. The study examined SPEF impact in critically ill, pediatric burn patients with respiratory failure.


01/10/2008 06:59 PM

Evidence for a Heritable Predisposition to Death Due to Influenza

The Journal of Infectious Diseases 2008;197:18-24

Animal model studies and human epidemiological studies have shown that some infectious diseases develop primarily in individuals with an inherited predisposition. A heritable contribution to the development of severe influenza virus infection (i.e., that which results in death) has not previously been hypothesized or tested.


01/10/2008 06:58 PM

Syk Associates with Clathrin and Mediates Phosphatidylinositol 3-Kinase Activation during Human Rhinovirus Internalization

The Journal of Immunology, 2008, 180: 870-880

Human rhinovirus (HRV) causes the common cold. The most common acute infection in humans, HRV is a leading cause of exacerbations of asthma and chronic obstruction pulmonary disease because of its ability to exacerbate airway inflammation by altering epithelial cell biology upon binding to its receptor, ICAM-1. ICAM-1 regulates not only viral entry and replication but also signaling pathways that lead to inflammatory mediator production.


01/10/2008 06:57 PM

Surfactant Protein-D and Surfactant Inhibit Endotoxin-Induced Pulmonary Inflammation

Chest. 2007; 132:1447-1454

Acute lung injury is a common cause of morbidity and mortality following pulmonary or systemic infections. Surfactant protein-D is a member of the collectin family of proteins, which play important roles in innate host defense of the lung. In this study, the effect of exogenous recombinant human SP-D (rhSP-D) on protection of the adult mouse lung from lipopolysaccharide (LPS)-induced and lipoteichoic acid (LTA)-induced injury was assessed.


01/10/2008 06:56 PM

Expression and Regulation of CCR1 by Airway Smooth Muscle Cells in Asthma

The Journal of Immunology, 2008, 180: 1268-1275

C-C chemokines such as CCL11, CCL5, and CCL3 are central mediators in the pathogenesis of asthma. They are mainly associated with the recruitment and the activation of specific inflammatory cells, such as eosinophils, lymphocytes, and neutrophils.


01/10/2008 06:55 PM

Patients with coronary artery- or chronic obstructive pulmonary disease walk with mechanical inefficiency

Scandinavian Cardiovascular Journal, Volume 41, Issue 6 2007 , pages 405 - 410

Patients with chronic obstructive pulmonary disease (COPD) and coronary artery disease (CAD) are associated with exercise intolerance. Whether exercise intolerance and reduced mechanical efficiency are due to inactivity alone or to disease related muscular abnormalities is not clear.


01/10/2008 06:54 PM

Severe Pneumonia Due to Adenovirus Serotype 14 - A New Respiratory Threat

Clinical Infectious Diseases 2008;46:421-425

Adenoviruses are associated with sporadic infection and community and institutional outbreaks; they can cause especially severe disease in infants, young children, immunocompromised persons, and transplant recipients.


01/10/2008 06:53 PM

Attenuation of Muscle Metaboreflex in Chronic Obstructive Pulmonary Disease

Medicine & Science in Sports & Exercise. 40(1):9-14, January 2008

Abnormal skeletal muscle function is well documented in chronic obstructive pulmonary disease, but there is no information about the activity of muscle metabosensitive afferents. In this study, we tested the hypothesis that patients with chronic obstructive pulmonary disease would have abnormal reflex responses to stimulation of metabosensitive afferents in skeletal muscle when compared with healthy, matched subjects.


01/10/2008 06:51 PM

Chloramphenicol versus ampicillin plus gentamicin for community acquired very severe pneumonia among children aged 2-59 months in low resource settings - multicentre randomised controlled trial SPEAR study

BMJ, doi:10.1136/bmj.39421.435949.BE

To evaluate whether five days’ treatment with injectable ampicillin plus gentamicin compared with chloramphenicol reduces treatment failure in children aged 2-59 months with community acquired very severe pneumonia in low resource settings.


01/10/2008 06:51 PM

Long-term safety study of levalbuterol administered via metered-dose inhaler in patients with asthma

Annals of Allergy, Asthma and Immunology, Volume 99, Number 6, December 2007 , pp. 540-548(9)

To examine the long-term safety of levalbuterol hydrofluoroalkane (HFA) vs racemic albuterol HFA administered via metered-dose inhaler (MDI) in patients with stable asthma.


01/10/2008 06:50 PM

Clinical profile health-related quality of life, and asthma control in children attending US asthma camps

als of Allergy, Asthma and Immunology, Volume 99, Number 6, December 2007 , pp. 496-501(6)

To create a standardized universal health history camp application that includes an assessment of health-related quality of life using the Child Asthma Short Form; to test a newly validated tool, the Childhood Asthma Control Test (C-ACT), to assess asthma control in children; to provide a clinical snapshot of the overall status of children with asthma in the United States; and to determine the benefit of children's asthma camps.


01/10/2008 06:48 PM

Epidemiology and Clinical Significance of Pneumocystis Colonization

The Journal of Infectious Diseases 2008;197:10-17

Pneumocystis pneumonia has long been recognized as a cause of morbidity and mortality in immunocompromised populations, particularly those with HIV infection.


01/10/2008 06:47 PM

Early Donor Management Increases the Retrieval Rate of Lungs for Transplantation

Ann Thorac Surg 2008;85:278-286

Lung transplantation activity is frustrated by donor lung availability. We sought to examine the effect of active donor management and hormone administration on pulmonary function and yield in cadaveric heart-beating potential lung donors.


01/10/2008 06:45 PM

Fine needle aspiration cytology of clear cell sugar tumor PEComa of the lung - Report of a case

Diagnostic Cytopathology Volume 36, Issue 2 , Pages 89 - 93

PEComa (clear cell sugar tumor) of the lung is a rare benign tumor of the lung probably arising from the perivascular epithelioid cells (PECs). We report a case of pulmonary PEComa arising from the periphery of the right lobe of a 64-year-old male.


01/10/2008 06:44 PM

Bacillus Calmette-Guerin Vaccine Scar Diameter and Asthma

Allergy & Clinical Immunology International September 2007 , Vol 19 , No. 5

The extent of T-helper cell type 1/type 2 (Th1/Th2) balance during the neonatal period may be the key determinant of how the genetic predisposition to asthma is modulated and may be useful in predicting its subsequent development.


01/10/2008 06:43 PM

Association of TNF polymorphisms with sarcoidosis, its prognosis and tumour necrosis factor TNF-alpha levels in Asian Indians

Clinical & Experimental Immunology, Volume 151, Number 2, February 2008 , pp. 251-259(9)

Tumour necrosis factor (TNF)-alpha, an important proinflammatory cytokine, has been implicated in the pathogenesis of sarcoidosis, a multi-systemic granulomatous disorder of unknown aetiology. Here, we report for the first time the association of TNF haplotypes and genotypes with sarcoidosis and its prognosis in the Indian population.


01/10/2008 06:42 PM

Persistent of respiratory syncytial virus in human dendritic cells and influence of nitric oxide

Clinical & Experimental Immunology, Volume 151, Number 2, February 2008 , pp. 359-366(8)

The annual epidemics of respiratory syncytial virus (RSV) infection are probably explained by poor herd immunity and the existence of a dormant reservoir of virus that is activated by an unknown trigger. The virus causes particular problems in infants, the elderly and patients with chronic obstructive airways disease (COPD).


01/10/2008 06:41 PM

Comparison of traditional and abbreviated salbutamol aerosol therapy using a new spacer mouth mask

Allergy and Asthma Proceedings, Volume 28, Number 6, November/December 2007 , pp. 688-690(3)

Abbreviated aerosol therapy has been suggested to increase compliance by delivering the same therapeutic dose, but more rapidly than traditional aerosol therapy. A new spacer mouth mask, which is recommended for use in abbreviated aerosol therapy, is now available in Italy.


01/10/2008 06:39 PM

Randomized Controlled Trial and Meta-analysis of Oral Decontamination with 2 percent Chlorhexidine Solution for the Prevention of Ventilator-Associated Pneumonia

Infect Control Hosp Epidemiol 2008;29:131-136

To determine the effectiveness of oral decontamination with 2% chlorhexidine solution for the prevention of ventilator-associated pneumonia (VAP).


01/10/2008 06:37 PM

Measuring Acceptable Treatment Failure Rates for Community-Acquired Pneumonia - Potential for Reducing Duration of Treatment and Antimicrobial Resistance

Infect Control Hosp Epidemiol 2008;29:137-142

This study was designed to establish the rates of treatment failure for community-acquired pneumonia that are acceptable to knowledgeable and experienced physicians, in order to facilitate the interpretation of existing studies and the design of new studies aimed at optimizing the duration of antibiotic therapy.


01/10/2008 06:36 PM

Prevention and control of silicosis - A national challenge

Indian Journal of Occupational and Environmental Medicine Year : 2007 Volume : 11 Issue : 3 Page : 95-96

Pneumoconiosis is resulting from exposure to free silica may be the commonest and most extensively studied occupational disease of the lung and even today, it continues to be among the most serious occupational diseases. The problem of silicosis is confined not only to the developing nations, but is also not uncommon in industrialized nations.


01/10/2008 06:35 PM

Vanadium pentoxide inhalation

Indian Journal of Occupational and Environmental Medicine Year : 2007 Volume : 11 Issue : 3 Page : 97-102

This mini-review describes the toxic effects of vanadium pentoxide inhalation principally in the workplace and associated complications with breathing and respiration. Although there are some material safety data sheets available detailing the handling, hazards and toxicity of vanadium pentoxide, there are only two reviews listed in PubMed detailing its toxicity.


01/10/2008 06:32 PM

Thrombolysis for Pulmonary Embolism and Venous Thrombosis - Is It Worthwhile

Semin Thromb Hemost 2007; 33: 821-828

Venous thromboembolism is a frequently occurring and potentially fatal disease characterized by short-term and long-term sequelae.


01/10/2008 06:31 PM

IL13 gene polymorphisms modify the effect of exposure to tobacco smoke on persistent wheeze and asthma of childhood, a longitudinal study

Respiratory Research 2008, 9:2

Tobacco smoke and genetic susceptibility are risk factors for asthma and wheezing. The aim of this study was to investigate whether there is a combined effect of interleukin-13 gene (IL13) polymorphisms and tobacco smoke on persistent childhood wheezing and asthma.


01/10/2008 06:30 PM

A Countywide Outbreak of Pertussis

Arch Pediatr Adolesc Med. 2008;162(1):79-85

To describe a large communitywide pertussis outbreak where aggressive diagnostic and treatment measures were used to control the outbreak.


01/08/2008 09:13 PM

Emergency chest radiology - thoracic aortic disease and pulmonary embolism

Imaging (2006) 18, 122-138

Both acute thoracic aortic disease and pulmonary embolism carry high mortality rates. Imaging is central to the diagnosis of both. Acute dissection, intramural haematoma (IMH) and penetrating artheromatous ulcers (PAU) comprise the "acute aortic syndrome", where each can arise de novo or by a process of evolution.


01/08/2008 09:12 PM

Imaging of large and small airway diseases

Imaging (2006) 18, 139-150

Following a brief account of anatomy and imaging techniques, this article will provide an overview of the imaging findings of some of the more common abnormalities affecting the trachea, main bronchi and small airways.


01/08/2008 09:11 PM

Respiratory Illnesses in Emergency Departments

Joint Commission Perspectives on Patient Safety, Volume 8, Number 1, January 2008 , pp. 8-13(6)

Communicable respiratory threats like influenza, tuberculosis (TB), and emergent respiratory threats represent a serious public health risk in emergency departments (EDs). Respiratory illnesses are a hazard not only for patients, but for visitors and staff as well.


01/08/2008 09:10 PM

Preoperative pulmonary rehabilitation in patients undergoing lung resection for non-small cell lung cancer

Eur J Cardiothorac Surg 2008;33:95-98.

The impact of short-term preoperative pulmonary rehabilitation on exercise capacity of patients with chronic obstructive pulmonary disease undergoing lobectomy for non-small cell lung cancer is evaluated.


01/08/2008 09:09 PM

Plasma phospholipase A2 activity in patients with asthma - association with body mass index and cholesterol concentration

Thorax 2008;63:21-26

Secretory phospholipases A2 (sPLA2) have functions relevant to asthmatic inflammation, including eicosanoid synthesis and effects on dendritic cells and T cells. The aim of this study was to measure sPLA2 activity in patients with stable and acute asthma and to assess potential associations with body mass index (BMI), and plasma cholesterol and vitamin C concentrations.


01/08/2008 09:08 PM

Extrapulmonary Ventilation for Unresponsive Severe Acute Respiratory Distress Syndrome After Pulmonary Resection

Ann Thorac Surg 2008;85:237-244

The purpose of this study was to evaluate the feasibility of integrating an artificial, pumpless extracorporeal membrane ventilator (Novalung) to near static mechanical ventilation and its efficacy in patients with severe postresectional acute respiratory distress syndrome (ARDS) unresponsive to optimal conventional treatment.


01/08/2008 09:07 PM

The Role of Coagulation in Pulmonary Pathology

Inflammation & Allergy - Drug Targets (Formerly Current Drug Targets - Inflammation & Allergy), Volume 6, Number 4, December 2007 , pp. 201-209(9)


Understanding mechanisms that underlie lung disorders is crucial to achieving optimum care and improved outcomes in pulmonary medicine. Extensive investigations have revealed that inflammation displays an active role in the pathogenesis of these diseases. The byproduct of these inflammatory reactions has been shown to propagate pulmonary disease in consonance with alteration in haemostatic balance.


01/08/2008 09:05 PM

Tolerability of indacaterol a novel once-daily beta2-agonist in patients with asthma

Annals of Allergy, Asthma and Immunology, Volume 99, Number 6, December 2007 , pp. 555-561(7)

To investigate the safety and tolerability of indacaterol at doses of 400 and 800 μg/d.


01/08/2008 09:04 PM

Outcomes of Extremely Low Birth Weight and Extremely Low Gestational Age Infants With Bronchopulmonary Dysplasia

PEDIATRICS Vol. 121 No. 1 January 2008, pp. 73-81

The goal was to evaluate whether changes in neonatal intensive care have improved outcomes for children with bronchopulmonary dysplasia (oxygen dependence at corrected age of 36 weeks).


01/08/2008 09:03 PM

Pharmacotherapy of asthma - What do the 2007 NAEPP guidelines say

Allergy and Asthma Proceedings, Volume 28, Number 6, November/December 2007 , pp. 628-633(6)

The purpose of this article is to review the recommendations for pharmacotherapy in the new National Asthma Education and Prevention Program (NAEPP) guidelines.


01/08/2008 09:02 PM

Pulmonary fibrosis - rate of disease progression as a trigger for referral for lung transplantation

Thorax 2007;62:1069-1073

Lung transplantation is the only treatment modality that provides a survival advantage in pulmonary fibrosis, but many patients deemed suitable will die awaiting lung transplantation.


01/08/2008 09:01 PM

Oxidative stress in the external intercostal muscles of patients with obstructive sleep apnoea

Thorax 2007;62:1095-1101

The external intercostal muscles are chronically exposed to increased inspiratory loading and to continuous hypoxia-reoxygenation cycles in patients with obstructive sleep apnoea syndrome (OSAS). It was therefore hypothesised that oxidative stress levels would be increased in these muscles, and that treatment with continuous positive airway pressure (CPAP) would modify the oxidative stress levels and improve muscle dysfunction.


01/08/2008 09:00 PM

Integrated breathing and relaxation training - the Papworth method - for adults with asthma in primary care - a randomised controlled trial

Thorax 2007;62:1039-1042

An integrated breathing and relaxation technique known as the Papworth method has been implemented by physiotherapists since the 1960s for patients with asthma and dysfunctional breathing, but no controlled trials have been reported. This study evaluated the effectiveness of the Papworth method in a randomised controlled trial.


01/08/2008 08:59 PM

Airway remodelling in children with cystic fibrosis

Thorax 2007;62:1074-1080

The relationship between airway structural changes and inflammation is unclear in early cystic fibrosis (CF) lung disease. A study was undertaken to determine changes in airway remodelling in children with CF compared with appropriate disease and healthy controls.


01/08/2008 08:58 PM

Body mass index and asthma severity in the National Asthma Survey

Thorax 2008;63:14-20

The association between obesity and asthma severity remains controversial and limited to small studies.


01/08/2008 08:57 PM

Prostaglandin E2 systemic production in patients with asthma with and without aspirin hypersensitivity

Thorax 2008;63:27-34

A special regulatory role for prostaglandin E2 has been postulated in aspirin-induced asthma. A study was undertaken to investigate the effects of aspirin on the systemic production of prostaglandin E2 and cysteinyl leucotrienes in patients with asthma.


01/08/2008 08:56 PM

Severity of obstructive airways disease by age 2 years predicts asthma at 10 years of age

Thorax 2008;63:8-13

Predicting school-age asthma from obstructive airways disease (OAD) in early life is difficult, even when parental and children’s atopic manifestations are taken into consideration.


01/08/2008 08:55 PM

Incidence and characteristics of viral community-acquired pneumonia in adults

Thorax 2008;63:42-48

In adults, viral causes of community-acquired pneumonia (CAP) are poorly characterised. The aims of this study were to characterise the viral aetiology of CAP in adults by using an extensive array of viral diagnostic tests and to compare the characteristics of viral pneumonia with those of pneumococcal pneumonia.


01/08/2008 08:54 PM

Acromegaly Caused by Ectopic Growth Hormone - A Rare Manifestation of a Bronchial Carcinoid

Ann Thorac Surg 2008;85:330-332

Ectopic acromegaly due to growth hormone-releasing hormone secretion by a bronchial carcinoid is rare. We report a case of bronchial carcinoid presenting with acromegaly due to ectopic growth hormone production. The patient was treated successfully with right pneumonectomy.


01/08/2008 08:53 PM

Emergency chest radiology - chest wall pleura lungs and diaphragm

Imaging (2006) 18, 111-121

Imaging has a pivotal role in the assessment of the patient brought to the emergency department, whether the admission is due to trauma or a medical condition.


01/08/2008 08:52 PM

Microsomal epoxide hydrolase, glutathione S-transferase P1 traffic and childhood asthma

Thorax 2007;62:1050-1057

Microsomal epoxide hydrolase (EPHX1) metabolises xenobiotics including polyaromatic hydrocarbons (PAHs). Functional variants at this locus have been associated with respiratory diseases.


01/08/2008 08:51 PM

Long-term associations of outdoor air pollution with mortality in Great Britain

Thorax 2007;62:1088-1094

Recent studies have indicated long-term effects on mortality of particulate and sulphur dioxide (SO2) pollution, but uncertainties remain over the size of any effects, potential latency and generalisability.


01/08/2008 08:50 PM

Faropenem Medoxomil

The Annals of Pharmacotherapy: Vol. 42, No. 1, pp. 80-90

To review the literature concerning the in vitro activity, pharmacokinetic properties, in vivo efficacy, and adverse events associated with a new penem antibiotic, faropenem medoxomil.


01/08/2008 08:49 PM

Bronchopulmonary Carcinoid - Phenotype and Long-term Outcome in a Single-Institution Series of Italian Patients

Clinical Cancer Research 14, 149-154, January 1, 2008

The histologic distinction between low-grade typical and intermediate-grade atypical bronchopulmonary carcinoids basically lies on cellular differentiation, mitotic activity, and presence of "neoplastic" necrosis; at single patient level, however, none of these features enables a reliable prediction of the clinicopathologic outcome.


01/08/2008 08:47 PM

Effects of cannabis on pulmonary structure, function and symptoms

Thorax 2007;62:1058-1063

Cannabis is the most widely used illegal drug worldwide. Long-term use of cannabis is known to cause chronic bronchitis and airflow obstruction, but the prevalence of macroscopic emphysema, the dose-response relationship and the dose equivalence of cannabis with tobacco has not been determined.


01/08/2008 08:47 PM

Comparison of oral amoxicillin and intravenous benzyl penicillin for community acquired pneumonia in children PIVOT trial a multicentre pragmatic randomised controlled equivalence trial

Thorax 2007;62:1102-1106

To ascertain whether therapeutic equivalence exists for the treatment of paediatric community acquired pneumonia by the oral and intravenous (IV) routes.


01/08/2008 08:40 PM

Reduction in sputum neutrophil and eosinophil numbers by the PDE4 inhibitor roflumilast in patients with COPD

Thorax 2007;62:1081-1087

Roflumilast is a targeted oral once-daily administered phosphodiesterase 4 (PDE4) inhibitor with clinical efficacy in chronic obstructive pulmonary disease (COPD). Results from in vitro studies with roflumilast indicate that it has anti-inflammatory properties that may be applicable for the treatment of COPD.


01/08/2008 08:39 PM

Clara cell adhesion and migration to extracellular matrix

Respiratory Research 2008, 9:1

Clara cells are the epithelial progenitor cell of the small airways, a location known to be important in many lung disorders. Although migration of alveolar type II and bronchiolar ciliated epithelial cells has been examined, the migratory response of Clara cells has received little attention.


01/04/2008 02:12 PM

Randomised placebo controlled trial of non-invasive ventilation for hypercapnia in cystic fibrosis

Thorax 2008;63:72-77

The clinical benefits of domiciliary non-invasive positive pressure ventilation (NIV) have not been established in cystic fibrosis (CF). We studied the effects of nocturnal NIV on quality of life (QoL), functional and physiological outcomes in CF subjects with awake hypercapnia (arterial carbon dioxide pressure PaCO2>45 mm Hg).


01/04/2008 02:11 PM

Facilities for investigating occupational asthma in UK non-specialist respiratory departments

Occupational Medicine 2008 58(1):71-73

The facilities which should be available to physicians offering specialist occupational asthma services have recently been agreed upon by a UK panel of experts.


01/04/2008 02:10 PM

Roles of integrin activation in eosinophil function and the eosinophilic inflammation of asthma

Journal of Leukocyte Biology. 2008;83:1-12

Eosinophilic inflammation is a characteristic feature of asthma. Integrins are highly versatile cellular receptors that regulate extravasation of eosinophils from the postcapillary segment of the bronchial circulation to the airway wall and airspace.


01/04/2008 02:09 PM

Oxygen desaturation during maximal stair-climbing test and postoperative complications after major lung resections

Eur J Cardiothorac Surg 2008;33:77-82

Non-univocal conclusions have been published regarding the definition of oxygen desaturation in relation to postoperative outcome. We aimed to verify whether oxygen desaturation during a maximal stair-climbing test was associated with postoperative cardiopulmonary complications and to assess which definition of oxygen desaturation (oxygen saturation <90% or desaturation >4% with respect to rest level) discriminated better between complicated and uncomplicated patients.


01/04/2008 02:08 PM

Bronchial smooth muscle remodeling involves calcium-dependent enhanced mitochondrial biogenesis in asthma

The Journal of Experimental Medicine, Vol. 204, No. 13, 3173-3181

Asthma and chronic obstructive pulmonary disease (COPD) are characterized by different patterns of airway remodeling, which all include an increased mass of bronchial smooth muscle (BSM).


01/04/2008 02:07 PM

Mechanisms of Airway Remodeling in Asthma

Allergology International doi:10.2332/allergolint.R-07-152

Asthma is a chronic inflammatory disease characterized by reversible airflow limitation and airway hyperresponsiveness. Persistent inflammation in airway tissues may lead to structural changes known as airway remodeling and consequently airway obstruction that is not fully reversible and progressive loss of lung function over time.


01/04/2008 02:06 PM

Early-life pulmonary arterial hypertension with subsequent development of diffuse pulmonary arteriovenous malformations in hereditary haemorrhagic telangiectasia type 1

Thorax 2008;63:85-86

The case history is presented of a male infant who was thought to have idiopathic pulmonary arterial hypertension (PAH) at 3 months of age. Subsequently the PAH decreased unexpectedly and diffuse pulmonary arteriovenous malformations (PAVMs) were seen at 6.9 years of age for the first time.


01/04/2008 02:05 PM

Airway Remodeling in Asthma and Irreversible Airflow Limitation-ECM Deposition in Airway and Possible Therapy for Remodeling

Allergology International doi:10.2332/allergolint.R-07-151

Airway remodeling in asthma is characterized by goblet cell hyperplasia, subepithelial fibrosis, and hyperplasia and hypertrophy of airway smooth muscle cells.


01/04/2008 02:04 PM

Postconditioning with a volatile anaesthetic in alveolar epithelial cells in vitro

Eur Respir J 2008; 31:118-125

Acute lung injury is a common complication in critically ill patients. The present study examined possible immunomodulating effects of the volatile anaesthetic sevoflurane on lipopolysaccharide (LPS)-stimulated alveolar epithelial cells (AEC) in vitro.


01/04/2008 02:03 PM

Mycoplasma pneumoniae induces airway epithelial cell expression of MUC5AC in asthma

Eur Respir J 2008; 31:43-46

As excess mucin expression can contribute to the exacerbation of asthma, the present authors hypothesised that Mycoplasma pneumoniae significantly induces MUC5AC (the major airway mucin) expression in airway epithelial cells isolated directly from asthmatic subjects.


01/04/2008 02:02 PM

Measuring inspiratory muscle strength in neuromuscular disease: one test or two

Eur Respir J 2008; 31:93-98

Inspiratory muscle strength monitoring is crucial in patients with neuromuscular disorders. The sniff nasal inspiratory pressure (SNIP) and maximal inspiratory pressure (PI,max) are usually measured. The present study investigated whether the test yielding the best value at baseline continued to yield the best value during follow-up.


01/04/2008 02:01 PM

Keratinocyte growth factor prevents intra-alveolar oedema in experimental lung isografts

Eur Respir J 2008; 31:21-28

Primary graft dysfunction, characterised by intra-alveolar oedema, is a major obstacle in pulmonary transplantation.


01/04/2008 02:00 PM

Increased activation of p38 MAPK in COPD

Eur Respir J 2008; 31:62-69

Inflammation, oxidative stress and apoptosis, which are involved in chronic obstructive pulmonary disease (COPD) pathogenesis, may activate the p38 subgroup of mitogen-activated protein kinases (MAPKs). Therefore, the aim of the present study was to evaluate the expression of the phosphorylated, active form of p38 MAPK (phospho-p38) in the lungs of COPD patients.


01/04/2008 01:59 PM

From registry to quality management - the German Cystic Fibrosis Quality Assessment project 1995-2006

Eur Respir J 2008; 31:29-35

Since 1995, the German Cystic Fibrosis Quality Assessment project has collected demographic data and outcome parameters. It aims to develop tools for quality management.


01/04/2008 01:58 PM

Enhancement of pulmonary vascular remodelling and inflammatory genes with VIP gene deletion

Eur Respir J 2008; 31:135-139

The pathogenesis of idiopathic pulmonary arterial hypertension (PAH) remains poorly understood. The present authors recently reported that mice with vasoactive intestinal peptide (VIP) gene disruption show a spontaneous phenotype of PAH, with pulmonary vascular remodelling and lung inflammation.


01/04/2008 01:57 PM

Effects of erythropoietin on advanced pulmonary vascular remodelling

Eur Respir J 2008; 31:126-134


Erythropoietin (EPO) mobilises endothelial progenitor cells and promotes neovascularisation in heart failure. The present authors studied the effects of EPO on pulmonary vascular and cardiac remodelling in a model for flow-associated pulmonary arterial hypertension (PAH).


01/04/2008 01:55 PM

A Pneumococcal MerR-Like Regulator and S-nitrosoglutathione Reductase Are Required for Systemic Virulence

The Journal of Infectious Diseases 2007;196:1820-1826

A transcriptional regulator, NmlRsp, has been identified in Streptococcus pneumoniae that is required for defense against nitric oxide (NO) stress.


01/04/2008 01:54 PM

Mechanisms of Dexamethasone-Mediated Inhibition of Toll-Like Receptor Signaling Induced by Neisseria meningitidis and Streptococcus pneumoniae

Infection and Immunity, January 2008, p. 189-197, Vol. 76, No. 1

Excessive inflammation contributes to the pathogenesis of bacterial meningitis, which remains a serious disease despite treatment with antibiotics. Therefore, anti-inflammatory drugs have important therapeutic potential, and clinical trials have revealed that early treatment with dexamethasone significantly reduces mortality and morbidity from bacterial meningitis.


01/04/2008 01:53 PM

High N-terminal pro-brain natriuretic peptide levels and low diffusing capacity for carbon monoxide as independent predictors of the occurrence of precapillary pulmonary arterial hypertension in patients with systemic sclerosis

Arthritis & Rheumatism Volume 58, Issue 1 , Pages 284 - 291

To evaluate predictors of pulmonary arterial hypertension (PAH) in a prospective cohort of patients with systemic sclerosis (SSc).


01/04/2008 01:51 PM

Decreased Incidence of Bronchopulmonary Dysplasia After Early Management Changes, Including Surfactant and Nasal Continuous Positive Airway Pressure Treatment at Delivery Lowered Oxygen Saturation Goals, and Early Amino Acid Administration - A Historical Cohort Study

PEDIATRICS Vol. 121 No. 1 January 2008, pp. 89-96

We performed an historical cohort study of appropriately sized, preterm infants without congenital anomalies who were born between January 2001 and June 2002 (pre-early management practice change group; n = 87) and between July 2004 and December 2005 (post-early management practice change group; n = 76).


01/04/2008 01:50 PM

Results of endoscopic surgery and intralesional steroid therapy for airway compromise due to tracheobronchial Wegener's granulomatosis

Thorax 2008;63:49-52

Upper airway compromise due to tracheobronchial stenosis commonly occurs in patients with Wegener’s granulomatosis (WG). There is at present no consensus on the optimal management of this life threatening condition.


01/04/2008 01:49 PM

Validation of FEV6 in the elderly - correlates of performance and repeatability

Thorax 2008;63:60-66

Forced expiratory volume in 6 s (FEV6) has been proposed as a more easily measurable parameter than forced vital capacity (FVC) to diagnose airway disease using spirometry. A study was undertaken to estimate FEV6 repeatability, to identify correlates of a good quality FEV6 measurement and of volumetric differences between FEV6 and FVC in elderly patients.


01/04/2008 01:48 PM

Incidence and characteristics of viral community-acquired pneumonia in adults

Thorax 2008;63:42-48

In adults, viral causes of community-acquired pneumonia (CAP) are poorly characterised. The aims of this study were to characterise the viral aetiology of CAP in adults by using an extensive array of viral diagnostic tests and to compare the characteristics of viral pneumonia with those of pneumococcal pneumonia.


01/04/2008 01:47 PM

Interstitial lung disease and anti-Jo-1 antibodies - difference between acute and gradual onset

Thorax 2008;63:53-59

A multicentre retrospective study was undertaken to examine patients with interstitial lung disease (ILD) with the initial clinical manifestation of an anti-synthetase syndrome (anti-Jo-1 antibodies), and to analyse the characteristics and long-term outcome of these patients according to their clinical presentation (acute or gradual onset), treatment and adverse events related to treatment.


01/04/2008 01:46 PM

Chronic bronchitis sub-phenotype within COPD - inflammation in sputum and biopsies

Eur Respir J 2008; 31:70-77

The presence of chronic bronchitis predicts a more rapid decline of forced expiratory volume in one second (FEV1) in patients with chronic obstructive pulmonary disease (COPD). The hallmark of COPD is airway inflammation.


01/04/2008 01:45 PM

Clinical relevance of Mycobacterium simiae in pulmonary samples

Eur Respir J 2008; 31:106-109

The aim of the present study was to determine the clinical relevance of Mycobacterium simiae isolation from clinical samples.


01/04/2008 01:44 PM

Challenges in pulmonary fibrosis - 6 -middle dot- Problematic granulomatous lung disease

Thorax 2008;63:78-84

Granulomatous inflammation in lung biopsies is a relatively non-specific finding that can occur in a range of inflammatory and neoplastic conditions. This review focuses on the patterns of granulomatous inflammation that can cause diffuse lung disease, highlighting histopathological features helpful in differential diagnosis.


01/04/2008 01:43 PM

Diagnostic accuracy of tumour markers for malignant pleural effusion - a meta-analysis

Thorax 2008;63:35-41

The role of tumour markers such as carbohydrate antigen (CA) 125, CA 15-3, CA 19-9 and CYFRA 21-1 (a fragment of cytokeratin 19) in differentiating malignant pleural effusions (MPE) from benign effusions is not yet clear.


01/04/2008 01:42 PM

Influenza Burden for Children With Asthma

PEDIATRICS Vol. 121 No. 1 January 2008, pp. 1-8

The goal was to estimate the influenza disease burden among children with asthma and among healthy children by using active, laboratory-confirmed, population-based surveillance.


01/04/2008 01:40 PM

Bile Acid-Induced Lung Injury in Newborn Infants - A Bronchoalveolar Lavage Fluid Study

PEDIATRICS Vol. 121 No. 1 January 2008, pp. e146-e149

Neonatal respiratory distress syndrome is associated with intrahepatic cholestasis of pregnancy, and bile acids may play a major role in neonatal bile acid pneumonia. Our aim was to demonstrate the bile acid presence in the bronchoalveolar lavage fluid of neonates affected by respiratory distress syndrome who were born from intrahepatic cholestasis of pregnancy and to investigate bile acid mechanisms of action in acute lung injury.


01/04/2008 01:39 PM

Assessment of the Long-term Safety of Inhaled Ciclesonide on Growth in Children With Asthma

PEDIATRICS Vol. 121 No. 1 January 2008, pp. e1-e14

To assess the effects of the new inhaled corticosteroid ciclesonide on growth in children with asthma.


01/04/2008 01:38 PM

Interval Increase in Right-Left Ventricular Diameter Ratios at CT as a Predictor of 30-day Mortality after Acute Pulmonary Embolism - Initial Experience

Radiology 2008;246:281-287

To retrospectively determine if the interval increase of right ventricular–left ventricular (RV/LV) diameter ratio from negative prior to positive current computed tomographic (CT) examination findings for pulmonary embolism (PE) is more accurate for predicting 30-day mortality than positive CT ratio alone, by using patient 30-day mortality as reference standard.


01/04/2008 01:37 PM

Chronic Hypersensitivity Pneumonitis: Differentiation from Idiopathic Pulmonary Fibrosis and Nonspecific Interstitial Pneumonia by Using Thin-Section CT

Radiology 2008;246:288-297

To retrospectively assess the accuracy of thin-section computed tomography (CT) in distinguishing chronic hypersensitivity pneumonitis (HP) from idiopathic pulmonary fibrosis (IPF) and nonspecific interstitial pneumonia (NSIP), with histologic results as the reference standard.


01/03/2008 09:57 AM

Intractable Respiratory Failure in a Term Newborn

Amer J Perinatol : DOI: 10.1055/s-2007-1004833

Birth depression unresponsive to conventional resuscitative measures merits careful consideration. The case of a term infant with primary respiratory failure at birth despite extensive intervention is presented.


01/03/2008 09:56 AM

Airway Remodeling in Asthma

Allergology International doi:10.2332/allergolint.R-07-153

Airway remodeling can be defined as changes in the composition, content, and organization of the cellular and molecular constituents of the airway wall. Airway remodeling is a characteristic feature of asthma, and has important functional implications.


01/03/2008 09:54 AM

An interesting case of haemoptysis

The Internet Journal of Pulmonary Medicine. 2007. Volume 9 Number 1

Haemoptysis is a common symptom that can occur in a variety of respiratory and cardiovascular diseases. Here we describe an interesting case of haemoptysis who was first mistook as pulmonary tuberculosis and then as bronchogenic carcinoma before being referred to us and was ultimately found to have aortic dissection.


01/03/2008 09:53 AM

Successful Video-assisted Thoracic Surgery Lobectomy in a Single-lung Patient

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 17(6):562-564, December 2007

In terms of perioperative management, it is extremely difficult to perform a video-assisted thoracic surgery lobectomy for primary lung cancer in patients previously undergoing a contralateral pneumonectomy.


01/03/2008 09:51 AM

Extravascular lung water in sepsis-associated acute respiratory distress syndrome - Indexing with predicted body weight improves correlation with severity of illness and survival

Critical Care Medicine. 36(1):69-73, January 2008

To determine whether extravascular lung water predicts survival in patients with early acute respiratory distress syndrome, to determine the relationship between extravascular lung water and other markers of lung injury, and to examine if indexing extravascular lung water with predicted body weight (EVLWp) strengthens its discriminative power.


01/03/2008 09:50 AM

Hyponatremic seizure associated with acute respiratory infection

Clinical and Experimental Nephrology, Volume 11, Number 3, September 2007 , pp. 230-234(5)

A 66-year-old woman was admitted to our hospital because of vomiting and appetite loss. For the 2 days prior to admission, she had a cold, which had developed into acute viral bronchitis on admission. Because laboratory data on admission showed hyponatremia, intravenous infusion of Ringer's lactate solution was started. However, generalized seizures appeared, and she developed a coma on the day of admission.


01/03/2008 09:49 AM

Mortality Displacement in the Association of Ozone with Mortality

American Journal of Respiratory and Critical Care Medicine Vol 177. pp. 184-189, (2008)

Although the association between mortality and particles is well established, fewer studies have been reported with ozone. The harvesting hypothesis posits that the deaths associated with an exposure are occurring in people who are dying already, and the effect of exposure is merely to move the death from one day to an earlier day, and has no other effects that would influence deaths.


01/03/2008 09:48 AM

Evolution of Mechanical Ventilation in Response to Clinical Research

American Journal of Respiratory and Critical Care Medicine Vol 177. pp. 170-177, (2008)

Recent literature in mechanical ventilation includes strong evidence from randomized trials. Little information is available regarding the influence of these trials on usual clinical practice.


01/03/2008 09:47 AM

IFN gamma- Production during Initial Infection Determines the Outcome of Reinfection with Respiratory Syncytial Virus

American Journal of Respiratory and Critical Care Medicine Vol 177. pp. 208-218, (2008)

Severe respiratory syncytial virus (RSV) bronchiolitis has been associated with deficient IFN- production in humans, but the role of this cytokine in determining the outcome of reinfection is unknown.


01/03/2008 09:46 AM

Acute Hypercapnia Improves Indices of Tissue Oxygenation More than Dobutamine in Septic Shock

American Journal of Respiratory and Critical Care Medicine Vol 177. pp. 178-183, (2008)

Hypercapnia has similar hemodynamic effects to those of a dobutamine infusion and may have relevance in the management of septic shock.


01/03/2008 09:45 AM

Continued Exposure to Maternal Distress in Early Life Is Associated with an Increased Risk of Childhood Asthma

American Journal of Respiratory and Critical Care Medicine Vol 177. pp. 142-147, (2008)

Evidence is emerging that exposure to maternal distress in early life plays a causal role in the development of childhood asthma.


01/03/2008 09:44 AM

Randomised trial of nasal surgery for fixed nasal obstruction in obstructive sleep apnoea

Eur Respir J 2008; 31:110-117

Although nasal surgery has limited efficacy in obstructive sleep apnoea (OSA) treatment, some patients experience improvement. The present study tested the hypothesis that post-surgery improvement is associated with increased nasal breathing epochs.


01/03/2008 09:43 AM

Raised LIGHT Levels in Pulmonary Arterial Hypertension - Potential Role in Thrombus Formation

American Journal of Respiratory and Critical Care Medicine Vol 177. pp. 202-207, (2008)

Thrombus formation and inflammation are involved in the pathogenesis of pulmonary arterial hypertension (PAH), and LIGHT (Lymphotoxin-like Inducible protein that competes with Glycoprotein D for Herpesvirus entry mediator on T lymphocytes) has been shown to promote vascular inflammation.


01/03/2008 09:42 AM

Idiopathic Pulmonary Fibrosis

American Journal of Respiratory and Critical Care Medicine Vol 177. pp. 190-194, (2008)

The pathogenic importance of smoking status in idiopathic pulmonary fibrosis (IPF) is uncertain. In theory, increased oxidative stress in current and former smokers might promote disease progression. However, better survival has been reported for current smokers with IPF, although this might reflect less severe disease at presentation (a "healthy smoker effect").


01/03/2008 09:42 AM

Comparison of serum markers for allergic bronchopulmonary aspergillosis in cystic fibrosis

Eur Respir J 2008; 31:36-42

The diagnosis of allergic bronchopulmonary aspergillosis (ABPA) in cystic fibrosis (CF) is a challenge. Thymus- and activation-regulated chemokine (TARC) has recently been reported to play a role in ABPA.