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November 16-30 2008 Postings (Note: Some archived links may become inactive)

11/26/2008 12:58 PM

Tiotropium is better than ipratropium at reducing exacerbations, hospital referrals and hospital admissions in patients in general practice

Respiratory Medicine: COPD Update Volume 4, Issue 4, Page 135 (November 2008)

This small randomised controlled trial compares the effect of a treatment of tiotropium and a combination inhaler of salmeterol and fluticasone, with tiotropium alone, or salmeterol and fluticasone alone.


11/26/2008 12:57 PM

Up date nutritional support for patients with COPD

Respiratory Medicine: COPD Update Volume 4, Issue 4, Pages 127-131 (November 2008)

Chronic Obstructive Pulmonary disease (COPD) is associated with multiple comorbid conditions including ischemic heart disease, peripheral muscular dysfunction, osteoporosis, osteopenia, glaucoma, anemia, anxiety , depression, caquexia and malnutrition.


11/26/2008 12:56 PM

Salmeterol with fluticasone and tiotropium is better at improving lung function in moderate to severe COPD than any one or two elements of the combination

Respiratory Medicine: COPD Update Volume 4, Issue 4, Page 134 (November 2008)

This small randomised controlled trial compares the effect of a treatment of tiotropium and a combination inhaler of salmeterol and fluticasone, with tiotropium alone, or salmeterol and fluticasone alone.


11/26/2008 12:54 PM

What is the survival benefit in COPD from lung transplantation?

Respiratory Medicine: COPD Update Volume 4, Issue 4, Page 139 (November 2008)

Although chronic obstructive pulmonary disease is the first indication for lung transplantation, the benefit of the procedure in terms of survival remains debated.


11/26/2008 12:54 PM

Depression is worse in COPD patients who are frequent exacerbators, and at the time of COPD exacerbations: Cause or effect?

Respiratory Medicine: COPD Update Volume 4, Issue 4, Page 132 (November 2008)


11/26/2008 12:53 PM

Clinical Consensus on COPD 2009

Respiratory Medicine: COPD Update Volume 4, Issue 4, Pages 125-126 (November 2008)


11/26/2008 12:52 PM

ATS 2008 Conference Report: Much PROgress

Respiratory Medicine: COPD Update Volume 4, Issue 4, Pages 120-124 (November 2008)


11/26/2008 12:52 PM

Are shorter courses of antibiotics adequate in exacerbations of COPD?

Respiratory Medicine: COPD Update Volume 4, Issue 4, Page 140 (November 2008)

A study was undertaken to determine whether a short course of antibiotic treatment (< or=5 days) is as effective as the conventional longer treatment in acute exacerbations of chronic bronchitis and chronic obstructive pulmonary disease (COPD).


11/26/2008 12:51 PM

A non-typeable Haemophilus influenzae (NTHi) causes COPD-like changes in mice

Respiratory Medicine: COPD Update Volume 4, Issue 4, Page 138 (November 2008)

Nontypeable Haemophilus influenzae (NTHi) commonly colonizes the lower airways of patients with chronic obstructive pulmonary disease (COPD).


11/26/2008 12:50 PM

A new prognostic index for health outcomes in COPD

Respiratory Medicine: COPD Update Volume 4, Issue 4, Pages 136-137 (November 2008)

Chronic obstructive pulmonary disease (COPD) is a debilitating and progressive disease. The severity of the condition has typically been characterized by a single physiological measurement: forced expiratory volume in 1second, which has been shown to be prognostic for mortality.


11/26/2008 12:49 PM

Sniff and Muller manoeuvres to measure diaphragmatic muscle strength

Respiratory Medicine Volume 102, Issue 12, Pages 1737-1743 (December 2008)

We hypothesized that peak values of oesophageal (Poes) and transdiaphragmatic pressure (Pdi) swings during a maximal sniff manoeuvre and a maximal static inspiratory manoeuvre (Muller manoeuvre) are comparable or give complementary information for assessing diaphragmatic and global inspiratory muscle strength.


11/26/2008 12:48 PM

Slow-onset asthma deaths have more eosinophils and health care utilization than rapid-onset deaths

Respiratory Medicine Volume 102, Issue 12, Pages 1819-1826 (December 2008)

Patients with fatal asthma have been hypothesized as representing two distinct subgroups according to the onset of symptoms prior to death.


11/26/2008 12:47 PM

Respiratory disorders are not more common in farmers. Results from a study on Icelandic animal farmers

Respiratory Medicine Volume 102, Issue 12, Pages 1839-1843 (December 2008)

The current prevalence of respiratory disorders and symptoms in Icelandic farmers is unknown, but a high prevalence of respiratory symptoms has been reported in the past.


11/26/2008 12:46 PM

Recombinant tissue plasminogen activator in the treatment of pleural infections in adults

Respiratory Medicine Volume 102, Issue 12, Pages 1694-1700 (December 2008)

Intrapleural recombinant tissue plasminogen activator (r-TPA) has been successfully evaluated in pediatric patients with complicated parapneumonic pleural effusion (CPE) and pleural empyema (PE).


11/26/2008 12:45 PM

Rational timing of combination therapy with tiotropium and formoterol in moderate and severe COPD

Respiratory Medicine Volume 102, Issue 12, Pages 1701-1707 (December 2008)

To determine which timing of therapy with formoterol (FOR) and/or tiotropium (TIO) shows the greater and more continuous functional improvement during 24h in patients with moderate to severe COPD.


11/26/2008 12:44 PM

Pulmonary rehabilitation in idiopathic pulmonary fibrosis: A call for continued investigation

Respiratory Medicine Volume 102, Issue 12, Pages 1675-1680 (December 2008)

Idiopathic pulmonary fibrosis (IPF) is a devastating disease that afflicts patients with relentlessly progressive shortness of breath [Joint Statement of the American Thoracic Society and the European Respiratory Society. Idiopathic pulmonary fibrosis: diagnosis and treatment.


11/26/2008 12:44 PM

Peripheral endothelial dysfunction in patients with pulmonary arterial hypertension

Respiratory Medicine Volume 102, Issue 12, Pages 1791-1796 (December 2008)

Pulmonary endothelium plays an important role in the mechanism of pulmonary arterial hypertension (PAH). However, there is only a few data regarding the systemic endothelium in this syndrome. This study focused on the systemic endothelial involvement in PAH.


11/26/2008 12:43 PM

Non-reversible airway obstruction in never smokers: Results from the Austrian BOLD study

Respiratory Medicine Volume 102, Issue 12, Pages 1833-1838 (December 2008)

The presence of non-reversible airway obstruction (AO) in never smokers has only received limited attention until now.


11/26/2008 12:42 PM

No further increase of incidence of asthma: Incidence, remission and relapse of adult asthma in Sweden

Respiratory Medicine Volume 102, Issue 12, Pages 1730-1736 (December 2008)

Knowledge about time trends of disease patterns in society is essential for planning and prioritizing health care resources.


11/26/2008 12:41 PM

Inspired fraction of carbon dioxide in oxygen supply to chronic pulmonary disease

Respiratory Medicine Volume 102, Issue 12, Pages 1827-1829 (December 2008)

Hypoxemic patients with chronic obstructive pulmonary disease (COPD) are at risk of carbon dioxide (CO2) retention during oxygen therapy and hypercapnia in COPD is associated with an ominous prognosis.


11/26/2008 12:40 PM

Inspiratory muscle training in adults with chronic obstructive pulmonary disease: An update of a systematic review

Respiratory Medicine Volume 102, Issue 12, Pages 1715-1729 (December 2008)

The purpose was to update an original systematic review to determine the effect of inspiratory muscle training (IMT) on inspiratory muscle strength and endurance, exercise capacity, dyspnea and quality of life for adults with chronic obstructive pulmonary disease (COPD).


11/26/2008 12:39 PM

Increased intraepithelial T-cells in stable COPD

Respiratory Medicine Volume 102, Issue 12, Pages 1812-1818 (December 2008)

The airway epithelium is the first line of defence in the response to inhaled particles and irritants. Chronic obstructive pulmonary disease (COPD) is an inflammatory disease characterised by an irreversible loss of lung function, with cigarette smoking as a major risk factor.


11/26/2008 12:39 PM

HRCT and histopathological evaluation of fibrosis and tissue destruction in IPF associated with pulmonary emphysema

Respiratory Medicine Volume 102, Issue 12, Pages 1753-1761 (December 2008)

Idiopathic pulmonary fibrosis has been associated with emphysema in cigarette smokers as a new clinical entity: combined pulmonary fibrosis and emphysema (CPFE).


11/26/2008 12:38 PM

Epidemiology and clinical features of Mycoplasma pneumoniae infection in children

Respiratory Medicine Volume 102, Issue 12, Pages 1762-1768 (December 2008)

Mycoplasma pneumoniae (MP) is, considered to affect rarely children less than 5yrts of age. This study was performed to describe the epidemiology and the clinical features of MP lower respiratory tract infection (LRTI) in children, presenting to a tertiary children hospital.


11/26/2008 12:37 PM

Economic burden prior to COPD diagnosis: A matched case-control study in the United States

Respiratory Medicine Volume 102, Issue 12, Pages 1744-1752 (December 2008)

In the United States, chronic obstructive pulmonary disease (COPD) diagnosis is often a lengthy process, and consequently results in delays in treatment in early stages.


11/26/2008 12:36 PM

Does the relationship between asthma and obesity differ by neighborhood?

Respiratory Medicine Volume 102, Issue 12, Pages 1797-1804 (December 2008)

Prior studies suggest that obesity may cause asthma. Obesity and asthma are prevalent in low-income urban neighborhoods, but the impact of obesity on asthma in such neighborhoods has not been examined.


11/26/2008 12:35 PM

Diagnostic value of interleukine-6, transforming growth factor-beta 1 and vascular endothelial growth factor in malignant pleural effusions

Respiratory Medicine Volume 102, Issue 12, Pages 1708-1714 (December 2008)

We evaluate the accuracy of pleural interleukine-6 (IL-6), transforming growth factor-beta 1 (TGF-{beta}1), and vascular endothelial growth factor (VEGF) levels for differentiating benign from malignant pleural exudates.


11/26/2008 12:34 PM

Comparison of size classification of primary spontaneous pneumothorax by three international guidelines: A case for international consensus?

Respiratory Medicine Volume 102, Issue 12, Pages 1830-1832 (December 2008)

The aim of this study was to compare classification of pneumothoraces into size groups for treatment using the British Thoracic Society [BTS], American College of Chest Physicians [ACCP] and Belgian Society of Pulmonology [BSP] guidelines and the range of pneumothorax sizes in each group calculated using the volumetrically-derived Collins' method.


11/26/2008 12:33 PM

Clarithromycin inhibits fibroblast migration

Respiratory Medicine Volume 102, Issue 12, Pages 1769-1776 (December 2008)

The aim of the current study was to investigate the effect of 14-membered ring macrolide clarithromycin (CAM) on migration induced by human plasma fibronectin (HFn) or on contraction of human fetal lung fibroblasts (HFL-1).


11/26/2008 12:32 PM

Capsaicin provocation using two different inhalation devices

Respiratory Medicine Volume 102, Issue 12, Pages 1784-1790 (December 2008)

Sensory hyperreactivity (SHR) has been suggested as one explanation for chemically induced airway symptoms; it can be diagnosed with a capsaicin inhalation test.


11/26/2008 12:31 PM

Association of IL-6 gene polymorphisms and COPD in a Spanish Population

Respiratory Medicine Volume 102, Issue 12, Pages 1805-1811 (December 2008)

Interleukin-6 (IL-6) is a potential mediator of systemic effects of Chronic Obstructive Pulmonary Disease (COPD).


11/26/2008 12:30 PM

Argument for changing criteria for bronchodilator responsiveness

Respiratory Medicine Volume 102, Issue 12, Pages 1777-1783 (December 2008)

Extensively used current guidelines of the American Thoracic Society/European Respiratory Society (ATS/ERS) define a positive aerosolized bronchodilator


11/26/2008 12:28 PM

Achieving asthma control in practice: Understanding the reasons for poor control

Respiratory Medicine Volume 102, Issue 12, Pages 1681-1693 (December 2008)

Achieving asthma control remains an elusive goal for the majority of patients worldwide. Ensuring a correct diagnosis of asthma is the first step in assessing poor symptom control; this requires returning to the basics of history taking and physical examination, in conjunction with lung function measurement when appropriate.


11/26/2008 12:27 PM

Is the Effect of Prenatal Paracetamol Exposure on Wheezing in Preschool Children Modified by Asthma in the Mother?

Int Arch Allergy Immunol 2009;149:33-37

There seems to be an association between paracetamol consumption during late pregnancy and the prevalence of wheezing in infancy and childhood. The aim of the present study is to determine whether the aforementioned association is modified by the presence of asthma in the mother.


11/26/2008 12:26 PM

High-Resolution Computed Tomographic Imaging of Airways in Sarcoidosis Patients With Airflow Obstruction

Journal of Computer Assisted Tomography. 32(6):905-912, November/December 2008

To investigate airway involvement in patients with pulmonary sarcoidosis and airflow obstruction (AO) using high-resolution computed tomography.


11/26/2008 12:26 PM

Sirolimus Ameliorated Post Lung Transplant Chylothorax in Lymphangioleiomyomatosis

Ann Thorac Surg 2008;86:e7-e8. doi:10.1016/j.athoracsur.2008.07.062

We report a successful case of sirolimus treatment for chylous pleural and peritoneal effusions of lymphangioleiomyomatosis after lung transplantation. A 32-year-old woman underwent living donor lung transplantation.


11/26/2008 12:25 PM

Tetralogy of Fallot With Total Anomalous Pulmonary Venous Drainage

Ann Thorac Surg 2008;86:1937-1940. doi:10.1016/j.athoracsur.2008.07.093

The association of tetralogy of Fallot with total anomalous pulmonary venous drainage (TAPVD) is rare. We report our experience with this condition and review the literature.


11/26/2008 12:24 PM

Imaging of Lung Hamartomas by Multidetector Computed Tomography and Positron Emission Tomography

Ann Thorac Surg 2008;86:1769-1772. doi:10.1016/j.athoracsur.2008.08.033

Hamartomas constitute 8% of solitary lung nodules and 75% of benign nodules. Most are discovered on routine x-ray film and require further evaluation. Computed tomography (CT) is insufficient for a benign versus malignant diagnosis in about 30% of cases.


11/26/2008 12:24 PM

Should We Change Antibiotic Prophylaxis for Lung Surgery? Postoperative Pneumonia Is the Critical Issue

Ann Thorac Surg 2008;86:1727-1733. doi:10.1016/j.athoracsur.2008.08.005

The recommended antibiotic prophylaxis by second-generation cephalosporins reduces the incidence of wound infection and empyema, but its effectiveness on postoperative pneumonias (POPs) after major lung resection lacks demonstration.


11/26/2008 12:23 PM

Giant viable hydatid cyst of the lung: a case report

Journal of Medical Case Reports 2008, 2:359doi:10.1186/1752-1947-2-359

Hydatid disease is a parasitic infestation caused by Echinococcus granulosus. The resulting large cysts in the lung are a special clinical entity called giant hydatid cysts.


11/26/2008 12:22 PM

Is COPD a rare disease? Prevalence and identification rates in smokers aged 40 years and over within general practice in Germany

Family Practice, doi:10.1093/fampra/cmn084

According to literature, COPD rates are high in spite of decreasing rates of main risk factors smoking and air pollution in developed countries.


11/26/2008 12:21 PM

Age- and Serotype-Specific Pediatric Invasive Pneumococcal Disease: Insights from Systematic Surveillance in Santiago, Chile, 1994-2007

The Journal of Infectious Diseases 2008;198:1809-1817

We monitored pediatric invasive pneumococcal disease (IPD) in Santiago, Chile, from 1994 to 2007.


11/26/2008 12:19 PM

Induction of CC and CXC Chemokines in Human Antigen-Presenting Dendritic Cells by the Pneumococcal Proteins Pneumolysin and CbpA, and the Role Played by Toll-Like Receptor 4, NF-{kappa}B, and Mitogen-Activated Protein Kinases

The Journal of Infectious Diseases 2008;198:1823-1833

Choline-binding protein A (CbpA) and pneumolysin (Ply) can induce the expression and release of chemokines by human cells, which might modulate specific immune responses. In dendritic cells (DCs), such effects could be important for the size and character of the immunity induced if administered as vaccines. We studied the induction of CCL and CXCL chemokines by CbpA and Ply in DCs and related signaling pathways.


11/26/2008 12:18 PM

What have we learned from prospective cohort studies of asthma in children?

Chronic Respiratory Disease, Vol. 5, No. 4, 225-231 (2008)

Prospective cohort studies have provided a useful tool for the study of the natural history of asthma and lung function and for the development of concepts of asthma phenotypes during childhood.


11/26/2008 12:18 PM

Chronic cough - occupational considerations

Chronic Respiratory Disease, Vol. 5, No. 4, 211-221 (2008)

Chronic cough is a common symptom in a wide range of respiratory conditions, and may also occur as a result of upper airway or gastro-esophageal problems.


11/26/2008 11:57 AM

The influence of obesity on pulmonary rehabilitation outcomes in patients with COPD

Chronic Respiratory Disease, Vol. 5, No. 4, 205-209 (2008)

Although obesity is increasing in prevalence, relatively little attention has been given to its impact on outcomes in patients with chronic obstructive pulmonary disease (COPD) completing pulmonary rehabilitation.


11/25/2008 01:02 PM

Uplifting times for COPD

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 197-198


11/25/2008 01:01 PM

The use of microspirometry in detecting lowered FEV1 values in current or former cigarette smokers

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 232-237

COPD is an underdiagnosed disease. This study was undertaken to assess the value of microspirometry in detecting reduced FEV1 values in cigarette smokers i.e. subjects at high risk for COPD.


11/25/2008 01:00 PM

The use and abuse of office spirometry

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 238-242

Spirometry programs (outside of primary care settings) designed to detect COPD in the general adult population are not justified, since the true positive yield (airway obstruction with an FEV1 below 60% predicted) is very low, and the false positive rate is very high.


11/25/2008 12:59 PM

Prolonged cough in children: a summary of the Belgian primary care clinical guideline

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 206-211

Prolonged cough is a frequent problem in the community. Several studies in the school setting have found that as many as 4.8% to 10.4% of children suffer from prolonged cough. There is no consensual definition of prolonged cough.


11/25/2008 12:58 PM

Prevention of COPD exacerbations by salmeterol/fluticasone propionate or tiotropium - the INSPIRE study

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 255-256


11/25/2008 12:57 PM

Perceptions, impact and management of asthma in South Africa: a patient questionnaire study

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 212-216

A number of studies from around the world have indicated that asthma morbidity is still unacceptably high. In the AIRE study over one-third of children and half of the adults reported daytime symptoms at least once a week.


11/25/2008 12:56 PM

Night-time cough in children with acute wheezing and with upper respiratory tract infection

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 217-221

To evaluate night-time cough patterns in children with either acute wheezing or an URTI, and to correlate them to the clinical diagnosis.


11/25/2008 12:56 PM

New guidelines on recurrent wheeze in preschool children: implications for primary care

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 243-245


11/25/2008 12:55 PM

Investigating the role of vasopressin in anaphylactic shock

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 257


11/25/2008 12:54 PM

Frequency and severity of allergic rhinitis in patients with asthma

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 258


11/25/2008 12:53 PM

Does use of a corticosteroid/long-acting beta-agonist combination inhaler increase adherence to inhaled corticosteroids?

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 246-247

This 12-month retrospective pilot study analysed prescription data of 82 patients with asthma from six practices in Norfolk.


11/25/2008 12:52 PM

Co-morbidities in people with COPD: a result of multiple diseases, or multiple manifestations of smoking and reactive inflammation?

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 199-205

There has been increased awareness and recognition of COPD in both developed and developing nations. As people with COPD are identified and treated before they reach end-stage lung disease, the multiple morbidities associated with COPD have been recognised.


11/25/2008 12:51 PM

Asthma Programme in Finland: the quality of primary care spirometry is good

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 226-231

To assess the quality of primary care spirometry by visual inspection of the flow-volume expiratory curve and to study the quantity of clinical information provided on the spirometry report sheets.


11/25/2008 12:50 PM

Asthma and allergic rhinitis co-morbidity: a cross-sectional questionnaire study on adolescents aged 13-14 years

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 222-225

There is scarce epidemiological population-based data on the prevalence of asthma and allergic rhinitis (AR) co-morbidity in adolescents.


11/25/2008 12:47 PM

A review of the TORCH study

Primary Care Respiratory Journal Volume 17 Issue 4 December 2008 253-254


11/25/2008 12:39 PM

Relative receptor affinity comparisons among inhaled/intranasal corticosteroids: perspectives on clinical relevance

Respiratory Research 2008, 9:75doi:10.1186/1465-9921-9-75

Pharmacokinetic properties, dosing regimen, and potency at the site of action are among the factors that influence activity of a corticosteroid.


11/25/2008 12:37 PM

Compliance with medical regimens, self-management programs, and self-care in childhood asthma

Clinical Reviews in Allergy and Immunology Volume 5, Number 3 / August, 1987 231-247

Compliance with medical regimens is as poor or poorer in childhood asthma than it is for other chronic illnesses. A spate of self-management programs for childhood asthma has been developed to counteract nonadherence and to enable patients to be more confident and competent in their ability to prevent or control asthmatic episodes.


11/25/2008 12:35 PM

The role of health education in medical management of asthma some program applications

Clinical Reviews in Allergy and Immunology Volume 5, Number 3 / August, 1987 195-205

Various asthma health education programs have been developed for different settings and populations. Many have been evaluated by an experimental research design.


11/25/2008 12:34 PM

Renal function and sleep-disordered breathing in older men

Nephrology Dialysis Transplantation 2008 23(12):3908-3914

Sleep-disordered breathing (SDB) is common in severe chronic kidney disease (CKD) and may contribute to morbidity and mortality in this population. However, the association between mild to moderate CKD and likelihood of SDB is uncertain.


11/25/2008 12:33 PM

Kickin' Asthma: School-Based Asthma Education in an Urban Community

The Journal of School Health, Volume 78, Number 12, December 2008 , pp. 655-665(11)

In urban communities with high prevalence of childhood asthma, school-based educational programs may be the most appropriate approach to deliver interventions to improve asthma morbidity and asthma-related outcomes.


11/25/2008 12:33 PM

Anterior segment granuloma and optic nerve involvement as the presenting signs of systemic sarcoidosis

Clinical Ophthalmology Issue: ON-LINE EARLY

To report a case with anterior and posterior nodules associated with systemic sarcoidosis.


11/25/2008 12:32 PM

Predicting the Need for Mechanical Ventilation and/or Inotropic Support for Young Adults Admitted to the Hospital with Community-Acquired Pneumonia

Clinical Infectious Diseases 2008;47:1571-1574

The UK Department of Health has published concerns that pneumonia severity scores determined at hospital admission may underestimate the severity of pneumonia in young adults.


11/25/2008 12:31 PM

Genetic Relationships between Respiratory Pathogens Isolated from Dental Plaque and Bronchoalveolar Lavage Fluid from Patients in the Intensive Care Unit Undergoing Mechanical Ventilation

Clinical Infectious Diseases 2008;47:1562-1570

Ventilator-associated pneumonia (VAP) is a leading cause of morbidity and mortality in patients hospitalized in intensive care units.


11/25/2008 12:30 PM

Meta- and pooled analyses of the effect of glutathione S-transferase M1 and T1 deficiency on chronic obstructive pulmonary disease

The International Journal of Tuberculosis and Lung Disease, Volume 12, Number 12, December 2008 , pp. 1474-1481(8)

Chronic obstructive pulmonary disease (COPD) is a complex polygenic disease in which gene-environment interactions are very important.


11/25/2008 12:29 PM

Air pollution and asthma severity in adults

Occup Environ Med. Published Online First: 18 November 2008. doi:10.1136/oem.2007.038349

There is evidence that exposure to air pollution affects asthma, but the effect of air pollution on asthma severity has not been addressed. The aim was to assess the relation between asthma severity during the past 12 months and home outdoor concentrations of air pollution.


11/25/2008 12:29 PM

Specific Antibodies to Diisocyanate and Work-related Respiratory Symptoms in Apprentice Car-Painters

Occup Environ Med. Published Online First: 18 November 2008. doi:10.1136/oem.2007.038125

Isocyanates are the main cause of occupational asthma in most countries. Study of immunological markers of diisocyanate asthma may identify individuals at risk.


11/25/2008 12:27 PM

17{beta}-Estradiol inhibits Ca2+-dependent homeostasis of airway surface liquid volume in human cystic fibrosis airway epithelia

J. Clin. Invest. doi:10.1172/JCI33893

Normal airways homeostatically regulate the volume of airway surface liquid (ASL) through both cAMP- and Ca2+-dependent regulation of ion and water transport.


11/25/2008 12:27 PM

ORMDL3 Associated Gene Variants are Associated with Asthma and Exacerbations but not Atopy in Early Childhood

Am. J. Respir. Crit. Care Med. 2008, doi:10.1164/rccm.200809-1436OC

An asthma predisposition locus on chromosome 17q12-q21 has recently been replicated in different ethnic groups. Here we describe the associated asthma and atopic phenotypes assessed longitudinally from birth to school age.


11/25/2008 12:26 PM

Attenuated P2X7 Pore Function as a Risk Factor for Virus Induced Loss of Asthma Control

Am. J. Respir. Crit. Care Med. 2008, doi:10.1164/rccm.200802-293OC

Upper respiratory tract infection is a guideline accepted risk domain for the loss of asthma control. The ionotrophic nucleotide receptor P2X7 regulates compartmentalized acute inflammation and the immune response to airway pathogens.


11/25/2008 12:25 PM

End-expiratory lung volume during mechanical ventilation: a comparison to reference values and the effect of PEEP in ICU patients with different lung conditions

Critical Care 2008, 12:R145 doi:10.1186/cc7125

Functional residual capacity (FRC) reference values are obtained from spontaneous breathing patients, measured in the sitting or standing position. During mechanical ventilation, FRC is determined by the level of PEEP and therefore it is better to speak of end-expiratory lung volume.


11/25/2008 12:24 PM

Posttranscriptional Regulation of uPAR Expression in Lipopolysaccharide-induced Acute Lung Injury

Am. J. Respir. Crit. Care Med. 2008, doi:10.1164/rccm.200712-1787OC

uPAR is required for the recruitment of neutrophils in response to infection. uPA induces its own expression in lung epithelial cells, which involves its interaction with cell surface uPAR. Regulation of uPAR expression is therefore crucial for uPA-mediated signaling in infectious acute lung injury (ALI).


11/25/2008 12:23 PM

Comparison of multidetector computed tomography-virtual bronchoscopy and conventional bronchoscopy in children with suspected foreign body aspiration

Emergency Radiology 1070-3004 (Print) 10.1007/s10140-008-0779-1

The aim of this study is to compare the diagnostic capability of multidetector computerized tomography (MDCT) and virtual bronchoscopy (VB) versus conventional bronchoscopy (CB) for the evaluation of children with suspected foreign body aspiration.


11/25/2008 12:22 PM

Incidence, clinical characteristics, and long-term prognosis of travel-associated pulmonary embolism

European Heart Journal, doi:10.1093/eurheartj/ehn500

Prolonged air travel is considered a risk factor for pulmonary embolism (PE). The clinical characteristics as well as the long-term prognosis of patients suffering from travel-associated PE (‘economy-class syndrome', ECS) remain largely unknown.


11/25/2008 12:21 PM

Maternal tolerance achieved during pregnancy is transferred to the offspring via breast milk and persistently protects the offspring from allergic asthma

Clinical & Experimental Allergy, Volume 38, Number 12, December 2008 , pp. 1950-1958(9)

Maternal, more than paternal, asthma is a risk factor for the development of asthma in children. Recently, epidemiologic studies have shown that environmental exposures during pregnancy might influence the development of childhood asthma and allergies.


11/25/2008 12:20 PM

Chronic Pseudomonas aeruginosa Infection in Chronic Obstructive Pulmonary Disease

Clinical Infectious Diseases 2008;47:1526-1533

Pseudomonas aeruginosa infections are increasingly associated with acute exacerbations in chronic obstructive pulmonary disease (COPD).


11/25/2008 12:19 PM

Safety and feasibility of aerobic training on cardiopulmonary function and quality of life in postsurgical nonsmall cell lung cancer patients

Cancer Published Online: 5 Nov 2008

A feasibility study examining the effects of supervised aerobic exercise training on cardiopulmonary and quality of life (QOL) endpoints among postsurgical nonsmall cell lung cancer (NSCLC) patients was conducted.


11/25/2008 12:18 PM

Office-Based Treatment and Outcomes for Febrile Infants With Clinically Diagnosed Bronchiolitis

PEDIATRICS Vol. 122 No. 5 November 2008, pp. 947-954

The goals were to describe the (1) frequency of sepsis evaluation and empiric antibiotic treatment, (2) clinical predictors of management, and (3) serious bacterial illness frequency for febrile infants with clinically diagnosed bronchiolitis seen in office settings.


11/25/2008 12:18 PM

Expectant Management of Pneumothorax in Ventilated Neonates

PEDIATRICS Vol. 122 No. 5 November 2008, pp. e975-e97

The purpose of this study was to assess the incidence and outcome of managing a pneumothorax without tube thoracostomy and to determine the clinical and laboratory characteristics that distinguish infants with a pneumothorax who can be treated without chest-tube insertion.


11/25/2008 12:17 PM

Mannose-binding lectin is present in the infected airway: a possible pulmonary defence mechanism

Thorax. Published Online First: 6 November 2008. doi:10.1136/thx.2008.100073

Mannose-binding lectin (MBL)-deficiency has been associated with infections of the respiratory tract and with increased disease severity in cystic fibrosis (CF). The mechanism is uncertain, and could relate either to systemic or local effects. The aim of this study was to determine, in a large human cohort, whether MBL is present on the airway surface in health or disease.


11/25/2008 12:16 PM

Expiratory Pharyngeal Narrowing during Central Hypocapnic Hypopnea

Am. J. Respir. Crit. Care Med. 2008, doi:10.1164/rccm.200805-741OC

Ventilatory motor output is an important determinant of upper airway patency during sleep.


11/25/2008 12:16 PM

Intraoperative Ventilator Settings and Acute Lung Injury after Elective Surgery: a Nested Case-Control Study

Thorax. Published Online First: 6 November 2008. doi:10.1136/thx.2008.102228

While acute lung injury (ALI) is among the most serious postoperative pulmonary complications, its incidence, risk factors and outcome have not been prospectively studied.


11/25/2008 12:15 PM

Lung function and clinical risk factors for asthma in infants and young children with recurrent wheeze

Thorax. Published Online First: 13 November 2008. doi:10.1136/thx.2008.099903

Although several risk factors for asthma have been identified in infants and young children with recurrent wheeze, the relevance of assessing lung function in this group remains unclear.


11/25/2008 12:14 PM

Pediatric athletic asthmatics

Current Allergy and Asthma Reports Volume 8, Number 6 / November, 2008 500-504

The main goals of this review are to help the reader to recognize the common symptoms and signs of exercise-induced asthma and the common objective tests used to confirm or rule out the diagnosis and to understand that different forms and intensities of exercise have different asthmagenicity.


11/25/2008 12:12 PM

Structural aspects of airway remodeling in asthma

Current Allergy and Asthma Reports Volume 8, Number 6 / November, 2008 540-547

Airway remodeling in asthma is a complex process that involves structural changes in virtually all tissues of the airway wall. The histologic changes to the airways consist of epithelial proliferation and goblet cell differentiation, subepithelial fibrosis, airway smooth muscle (ASM) growth, angiogenesis, matrix protein deposition, gland hyperplasia and hypertrophy, and nerve proliferation.


11/25/2008 12:12 PM

Factors leading to tracheobronchial self-expandable metallic stent fracture

J Thorac Cardiovasc Surg 2008;136:1328-1335

This retrospective study was to determine factors that contribute to self-expandable metallic stent fracture in patients with tracheobronchial disease.


11/25/2008 12:10 PM

Tube Thoracostomy: The Struggle to the "Standard of Care"

Ann Thorac Surg 2008;86:2019-2022. doi:10.1016/j.athoracsur.2008.08.006

Tube thoracostomy for thoracic injuries has been standard for only the last 40 years. Its theoretic roots trace back to World War II, where the goal of treatment was restoration of intrathoracic organ function.


11/25/2008 12:10 PM

Cryopreserved Arterial Allograft Reconstruction After Excision of Thoracic Malignancies

Ann Thorac Surg 2008;86:1753-1761. doi:10.1016/j.athoracsur.2008.06.027

The purpose of this study was to evaluate the long-term clinical and immunologic outcome of cryopreserved arterial allograft (CAA) revascularization of intrathoracic vessels invaded by malignancies.


11/25/2008 12:08 PM

Changes in emotional state of snoring and obstructive sleep apnea patients following radiofrequency tissue ablation

European Archives of Oto-Rhino-Laryngology 0937-4477 (Print) 10.1007/s00405-008-0866-7

A total of 37 primary snoring and obstructive sleep apnea hypopnea syndrome (OSAHS) patients were treated with two sessions of radiofrequency tissue ablation (RFTA) to assess the relationship among RFTA and sleepiness, anxiety and depression in patients with OSAHS.


11/25/2008 12:07 PM

Breathing intensity and word use in individuals with COPD

Chronic Respiratory Disease, Vol. 5, No. 4, 197-204 (2008)

Shifts in natural or spontaneous language have been reported with psychological and physical changes, as well as shifts in predetermined words selected to describe dyspnea.


11/25/2008 12:06 PM

Alveolar dead space and capnographic variables before and after thrombolysis in patients with acute pulmonary embolism

Vascular Health and Risk Management

Pulmonary embolism (PE) is a common condition. The central aim of this study was to describe the use of volumetric capnography (VCap) before and after fibrinolytic treatment of major PE. Lung scintigraphy was used as a base of comparison for the results of this treatment.


11/25/2008 12:05 PM

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11/25/2008 12:05 PM

Anomalous Systemic Arterial Supply to the Left Lung Base Without Sequestration

Heart, Lung, and Circulation Volume 17, Issue 6, Pages 505-507 (December 2008)

Systemic arterial supply from the descending thoracic aorta to the basal segment of the left lower lobe without a pulmonary arterial supply is a rare congenital anomaly within the spectrum of the sequestration lung disease.


11/25/2008 12:04 PM

Background sodium current underlying respiratory rhythm regularity

European Journal of Neuroscience Published Online: 21 Nov 2008

Rhythm-generating neural circuits underlying diverse behaviors such as locomotion, sleep states, digestion and respiration play critical roles in our lives. Irregularities in these rhythmic behaviors characterize disease states - thus, it is essential that we identify the ionic and/or cellular mechanisms that are necessary for triggering these rhythmic behaviors on a regular basis.


11/25/2008 12:03 PM

Risk of perinatal mortality associated with asthma during pregnancy

Thorax. Published Online First: 13 November 2008. doi:10.1136/thx.2008.102970

Thirteen studies investigating the association between asthma during pregnancy and perinatal mortality reported generally no increased risk. Most of these studies should be interpreted with caution because they were limited in terms of statistical power.


11/25/2008 12:03 PM

The effect of breastfeeding duration on lung function at age 10 years: a prospective birth cohort study

Thorax. Published Online First: 10 November 2008. doi:10.1136/thx.2008.101543

The protective effects of breastfeeding on early life respiratory infections are established, but there have been conflicting reports on protection from asthma in late childhood. We assessed the association of breastfeeding duration and lung function in 10-year olds.


11/25/2008 12:01 PM

Genome-wide Transcriptional Profiling Linked to Social Class in Asthma

Thorax. Published Online First: 10 November 2008. doi:10.1136/thx.2007.095091

Low socioeconomic status (SES) is one of the most robust social factors associated with disease morbidity, including more severe asthma in childhood. However, our understanding of the biological processes that explain this link is limited. In this study, we tested whether the social environment could get "under the skin" to alter genomic activity in children with asthma.


11/25/2008 12:00 PM

Aerobic and Anaerobic Exercise Capacities in Obstructive Sleep Apnea and Associations with Subcutaneous Fat Distributions

Lung 0341-2040 (Print) 10.1007/s00408-008-9128-0

Obesity is a strong risk factor for the development and progression of sleep apnea. Responses to exercise by patients with obstructive sleep apnea syndrome (OSAS) are clinically relevant to reducing body weight and cardiovascular risk factors.


11/25/2008 11:59 AM

Strategies for primary prevention of atopy in children

Current Allergy and Asthma Reports Volume 8, Number 6 / November, 2008 493-499

In recent decades, the prevalence of atopic diseases such as asthma, hayfever, food allergy, and atopic dermatitis has been steadily increasing. Unfortunately, more advances have been made in secondary prevention of symptoms and exacerbations than in primary prevention.


11/25/2008 11:57 AM

Small airways disease in asthma

Current Allergy and Asthma Reports Volume 8, Number 6 / November, 2008 533-539

A mounting body of physiologic and pathologic evidence indicates that asthma involves the central and the more distal airways. In patients with asthma, the peripheral lung accounts for a significant portion of airway resistance and, similar to the large airways, the small airways have been shown to be hyperresponsive to nonspecific stimuli, such as methacholine.


11/25/2008 11:56 AM

Obesity and respiratory diseases

Chronic Respiratory Disease, Vol. 5, No. 4, 233-242 (2008)

Obesity is a worldwide epidemic and is known to increase the risk of cardiovascular disease, type 2 diabetes, and certain forms of cancer. In addition, obesity is now recognized as an important risk factor in the development of several respiratory diseases.


11/25/2008 11:55 AM

Plasma markers of inflammation and incidence of hospitalizations due to chronic obstructive pulmonary disease. Results from a population-based cohort study

Thorax. Published Online First: 6 November 2008. doi:10.1136/thx.2008.102079

The relationship between plasma markers of inflammation and incidence of chronic obstructive pulmonary disease (COPD) is still unclear. This population-based study explored whether elevated levels of five inflammation-sensitive plasma proteins (ISPs) predicted COPD hospitalizations during 25 years of follow-up.


11/25/2008 11:53 AM

Lung Sound Analysis in the Diagnosis of Obstructive Airway Disease

Respiration (DOI: 10.1159/000178023)

Dyspnea is prevalent and has a broad differential diagnosis. Difficulty in determining the correct etiology can delay proper treatment. Non-invasively obtained acoustic signals may offer benefit in identifying patients with dyspnea due to obstructive airway disease (OAD).


11/22/2008 10:04 AM

Cardiac Remodeling and Dysfunction in Children with Obstructive Sleep Apnea - A Community Based Study

Thorax. Published Online First: 13 November 2008. doi:10.1136/thx.2007.094904

Childhood obstructive sleep apnoea (OSA) is suggested to be associated with cardiac structural abnormalities and dysfunction but existing evidence are limited and the treatment effect on echocardiographic outcome remains controversial.


11/22/2008 10:04 AM

Dysregulated repair in asthmatic paediatric airway epithelial cells: the role of plasminogen activator inhibitor-1

Clinical & Experimental Allergy, Volume 38, Number 12, December 2008 , pp. 1901-1910(10)

Asthma is associated with structural changes to airways such as extracellular matrix deposition and epithelial damage. Evidence suggests that asthmatic airway epithelial repair is abnormal and that elevated plasminogen activator inhibitor-1 levels observed in asthma may be involved in the epithelial repair process and in excessive matrix accumulation.


11/22/2008 10:03 AM

Severe parainfluenza virus type 2 supraglottitis in an immunocompetent adult host: an unusual cause of a paramyxoviridae viral infection

Journal of Internal Medicine Published Online: 19 Nov 2008

Parainfluenza virus is a major cause of respiratory illness in humans, manifesting from mild upper respiratory tract infection to bronchiolitis and pneumonia, especially in children. We report - to our knowledge - the first case of a nonimmunocompromised adult patient with human parainfluenza type 2 supraglottitis immediately after returning from China.


11/22/2008 10:02 AM

Quantitative evaluation of chronic pulmonary thromboemboli by multislice CT compared with pulsed Tissue Doppler Imaging and its relationship with brain natriuretic peptide

International Journal of Cardiology Volume 130, Issue 3, Pages 505-512 (28 November 2008)

Chronic pulmonary arterial thromboembolism (CPATE) often causes right ventricular (RV) pressure overload but the relationship between the degrees of CPATE and RV pressure overload is not clear.


11/22/2008 10:01 AM

The Impact of Severe Sepsis on Health-Related Quality of Life: A Long-Term Follow-Up Study

Anesth Analg 2008; 107:1957-1964

Severe sepsis is frequently complicated by organ failure and accompanied by high mortality. Patients surviving severe sepsis can have impaired health-related quality of life (HRQOL).


11/22/2008 10:00 AM

Respiratory data from pulse oximetry in newborns

Arch. Dis. Child. Fetal Neonatal Ed.. Published Online First: 17 November 2008. doi:10.1136/adc.2008.145342

To investigate whether valid respiratory data could be extracted from the pulse oximeter plethysmographic (pleth) trace in healthy newborn infants, we collected pleth data from the foot and simultaneously measured respiratory airflow using a facemask.


11/22/2008 09:59 AM

Asthma management in general practice - A chronic disease health priority

Australian Family Physician Vol 37, (9) 710-714

Asthma mortality rates in Australia have declined over the past 20 years but are not low by international standards. Evidence based guidelines such as the National Asthma Council's Asthma management handbook, Enhanced Primary Care financial incentives, and practice recall infrastructure can be utilised in general practice to manage patients with asthma.


11/22/2008 09:58 AM

Glutathione-S-Transferase (GST) P1, GSTM1, Exercise, Ozone and Asthma Incidence in School Children

Thorax. Published Online First: 6 November 2008. doi:10.1136/thx.2008.099366

Because asthma has been associated with exercise and ozone exposure, an association likely mediated by oxidative stress, we hypothesized that GSTP1, GSTM1, exercise and ozone exposure have inter-related effects on asthma pathogenesis.


11/22/2008 09:57 AM

Challenges in the diagnosis and management of Nocardia infections in lung transplant recipients

Transplant Infectious Disease, Volume 10, Number 6, December 2008 , pp. 403-408(6)

Nocardia infection occurs in 2.1-3.5% of lung transplant recipients, and may involve cavitary nodular pulmonary lesions, soft tissue infection, or other sites of dissemination.


11/22/2008 09:56 AM

Does implementation of a paediatric asthma clinical practice guideline worksheet change clinical practice?

International Journal of Emergency Medicine 1865-1372 (Print) 10.1007/s12245-008-0063-x

Despite the development of evidence-based practice guidelines in many countries for asthma treatment in children, there is limited evidence that using such guidelines improves patient care.


11/22/2008 09:55 AM

Predictors of atelectasis after pulmonary lobectomy

Surgery Today Volume 38, Number 11 / November, 2008 987-992

To define the incidence of and factors predisposing to postlobectomy atelectasis (PLA).


11/22/2008 09:54 AM

Asthma and allergic symptoms in relation to house dust endotoxin: Phase Two of the International Study on Asthma and Allergies in Childhood (ISAAC II)

Clinical & Experimental Allergy, Volume 38, Number 12, December 2008 , pp. 1911-1920(10)

Several studies have consistently reported inverse associations between exposure to endotoxin in house dust and atopy. With regard to the association between house dust endotoxin and asthma, the results are inconsistent.


11/22/2008 09:53 AM

Oral Cyclophosphamide for Active Scleroderma Lung Disease: A Decision Analysis

Medical Decision Making, Vol. 28, No. 6, 926-937 (2008)

Results from the recent Scleroderma Lung Study (SLS) show that oral cyclophosphamide (CYC) is better than placebo in preventing the progression of scleroderma-related interstitial lung disease (SSc-ILD) at 12 mo but is associated with adverse events. Also, the long-term balance of risk and benefit remains unclear.


11/22/2008 09:52 AM

Cardiovascular Injury and Repair in Chronic Obstructive Pulmonary Disease

The Proceedings of the American Thoracic Society 5:824-833 (2008)

Cardiovascular disease represents a considerable burden in terms of both morbidity and mortality in patients with chronic obstructive pulmonary disease (COPD).


11/22/2008 09:50 AM

Treatment of Chronic Obstructive Pulmonary Disease and Its Comorbidities

The Proceedings of the American Thoracic Society 5:848-856 (2008)

While chronic obstructive pulmonary disease (COPD) is still characterized and diagnosed by lung function measurements, there is increasing evidence that the chronic diseases that frequently develop with COPD in response to the common risk factors (smoking, aging, obesity) may contribute significantly to its clinical manifestations and severity.


11/20/2008 12:46 PM

Diffuse alveolar hemorrhage with acute respiratory distress syndrome associated with phenprocoumon therapy

Blood Coagulation & Fibrinolysis. 19(8):813-815, December 2008

An 84-year-old woman was admitted to the emergency room with hemoptysis consisting of relevant amounts of fresh blood. She was treated with phenprocoumon for 11 years following mechanical aortic valve replacement without any complication.


11/20/2008 12:43 PM

Anomalous Origin of the Right Pulmonary Artery from the Ascending Aorta: A Surgical Case Study in an Adult Patient with "Irreversible" Pulmonary Vascular Disease

Journal of Cardiac Surgery Published Online: 18 Nov 2008

An adult patient presented with an anomalous right pulmonary artery arising from the ascending aorta with severe unilateral pulmonary vascular disease of the left lung due to a large left-sided patent ductus arteriosus. A stenosis in the right pulmonary artery protected the right pulmonary vasculature.


11/20/2008 12:43 PM

Sleep apnoea as a predictor of mid- and long-term outcome in patients undergoing cardiac resynchronization therapy

Europace, doi:10.1093/europace/eun310

To assess the impact of baseline apnoea-hypopnoea index (AHI) on mid-term outcome and its change after 6 months of cardiac resynchronization therapy (CRT) on remote outcome.


11/20/2008 12:42 PM

Seasonality and outbreak of a predominant Streptococcus pneumoniae serotype 1 clone from The Gambia: Expansion of ST217 hypervirulent clonal complex in West Africa

BMC Microbiology 2008, 8:198doi:10.1186/1471-2180-8-198

Streptococcus pneumoniae serotype 1 causes > 20% of invasive disease, among all age groups combined, in The Gambia. In contrast, it is rarely detected in carriage studies.


11/20/2008 12:41 PM

Transcriptome analyses and biofilm-forming characteristics of a clonal Pseudomonas aeruginosa from the cystic fibrosis lung

J Med Microbiol 57 (2008), 1454-1465; DOI: 10.1099/jmm.0.2008/005009-0

Transmissible Pseudomonas aeruginosa clones potentially pose a serious threat to cystic fibrosis (CF) patients. The AES-1 clone has been found to infect up to 40 % of patients in five CF centres in eastern Australia.


11/20/2008 12:40 PM

Propagation prevention: A complementary mechanism for "lung protective" ventilation in acute respiratory distress syndrome

Critical Care Medicine. 36(12):3252-3258, December 2008

To describe the clinical implications of an often neglected mechanism through which localized acute lung injury may be propagated and intensified.


11/20/2008 12:39 PM

Respirator-Fit Testing: Does It Ensure the Protection of Healthcare Workers Against Respirable Particles Carrying Pathogens?

Infect Control Hosp Epidemiol 2008;29:1149-1156

Respiratory protection programs, including fit testing of respirators, have been inconsistently implemented; evidence of their long-term efficacy is lacking.


11/20/2008 12:39 PM

Prevalence of Low Bone Mass and Deficiencies of Vitamins D and K in Pediatric Patients With Cystic Fibrosis From 3 Canadian Centers

In this cross-sectional observational study, we assessed both vitamins D and K status and bone health in pancreatic insufficient pediatric patients with cystic fibrosis from 3 Canadian cystic fibrosis centers.


11/20/2008 12:38 PM

Barriers to Care and Primary Care for Vulnerable Children With Asthma

PEDIATRICS Vol. 122 No. 5 November 2008, pp. 994-1002

I tested the hypothesis that, for vulnerable children with asthma, barriers to care (pragmatics, skills, knowledge and beliefs, expectations of care, and marginalization) affect primary care experiences, after accounting for financial, potential, and realized access to care, demographic features, and asthma severity.


11/20/2008 12:37 PM

Detection of Mycoplasma pneumoniae in adult community-acquired pneumonia by PCR and serology

J Med Microbiol 57 (2008), 1491-1495; DOI: 10.1099/jmm.0.2008/003814-0

Diagnosis of pneumonia caused by Mycoplasma pneumoniae in adults is hampered by a lack of rapid and standardized tests for detection. This prospective study was conducted to compare the diagnostic values of an indirect immunofluorescence assay and a 16S rRNA gene PCR for the diagnosis of M. pneumoniae pneumonia in adults.


11/20/2008 12:35 PM

Predicting Need for Hospitalization in Acute Pediatric Asthma

Pediatric Emergency Care. 24(11):735-744, November 2008

To develop and validate predictive models to determine the need for hospitalization in children treated for acute asthma in the emergency department (ED).


11/20/2008 12:34 PM

Future Treatments for Chronic Obstructive Pulmonary Disease and Its Comorbidities

The Proceedings of the American Thoracic Society 5:857-864 (2008)

The recognition that patients with chronic obstructive pulmonary disease (COPD) may have systemic manifestations and often suffer from comorbid conditions has important implications for therapy that require further research.


11/20/2008 12:32 PM

Routine Suction of Intercostal Drains Is Not Necessary After Lobectomy: A Prospective Randomized Trial

World Journal of Surgery Volume 32, Number 11 / November, 2008 2336-2342

The decision to proceed to simple underwater seal drainage or apply active suction to the underwater seal after lung resection is mostly based on surgeon preference. The purpose of this study was to test whether routine application of active suction is necessary after lobectomy.


11/20/2008 12:31 PM

Bacterial aetiology and outcome in children with severe pneumonia in Uganda

Annals of Tropical Paediatrics: International Child Health, Volume 28, Number 4, December 2008 , pp. 253-260(8)

Pneumonia is a major cause of morbidity and mortality in the 'under-5s' and in Uganda accounts for 10-30% of childhood deaths. Antibiotic resistance is increasing.


11/20/2008 12:30 PM

Predictors of length of stay between the young and aged in hospitalized community-acquired pneumonia patients

Geriatrics and Gerontology International, Volume 8, Number 4, December 2008 , pp. 227-233(7)

To determine the factors that may prolong the length of stay (LOS) for older patients hospitalized for community-acquired pneumonia (CAP) and also to see if they are applicable to the younger patients.


11/20/2008 12:29 PM

Automated respiratory inductive plethysmography to evaluate breathing in infants at risk for postoperative apnea

Canadian Journal of Anesthesia 55:739-747 (2008)

Although respiratory inductive plethysmography (RIP) is the method of choice for the assessment of sleep disordered breathing, it has not been applied to the study of infants at risk for postoperative apnea (POA)


11/20/2008 12:26 PM

Management of the Obstetric Patient with Status Asthmaticus

Journal of Intensive Care Medicine, Vol. 23, No. 6, 396-402 (2008)

Status asthmaticus requiring mechanical ventilation is an uncommon, life-threatening disorder in obstetric patients. The unique physiologic changes of pregnancy, impact of the fetus on the maternal condition, and concerns for fetal and maternal health and survival are particular concerns in critical illness.


11/20/2008 12:26 PM

The Effect of Diffuse Pulmonary Fibrosis on the Reliability of CT Signs of Pulmonary Hypertension

Radiology 2008;249:1042-1049

To determine whether pulmonary artery (PA) dilatation is a reliable indicator of pulmonary hypertension (PH) in patients with pulmonary fibrosis.


11/20/2008 12:25 PM

Lessons from Multidisciplinary Cross-Fertilization

The Proceedings of the American Thoracic Society 5:865-868 (2008)

Chronic obstructive pulmonary disease, heart disease, and lung cancer are the most common causes of mortality caused by cigarette smoking.


11/20/2008 12:24 PM

Translating the COPD Transcriptome

The Proceedings of the American Thoracic Society 5:834-841 (2008)

While the role cigarette smoke plays in chronic obstructive pulmonary disease (COPD) is undisputed, the molecular mechanisms by which inhaled smoke contributes to disease pathogenesis remains unclear.


11/20/2008 12:21 PM

The Big Three Concept - A Way to Tackle the Health Care Crisis?

The Proceedings of the American Thoracic Society 5:800-805 (2008)

Tobacco use is the leading preventable cause of death and morbidity in the world. Chronic obstructive pulmonary disease (COPD), lung cancer, and cardiovascular disease (CVD) are the three major smoking-induced diseases that co-exist and can be detected at an early stage by screening, but are usually recognized in an advanced stage and treated as single entities.


11/20/2008 12:20 PM

Obesity and the lung: 5 · Obesity and COPD

Thorax 2008;63:1110-1117; doi:10.1136/thx.2007.086827

Chronic obstructive pulmonary disease (COPD) and obesity are common and disabling chronic health conditions with increasing prevalence worldwide.


11/20/2008 12:20 PM

Management of acute bronchiolitis: can evidence based guidelines alter clinical practice?

Thorax 2008;63:1103-1109

Acute bronchiolitis is the most common lower respiratory tract infection in infants and there is no evidence that drug treatment alters its natural course.


11/20/2008 12:19 PM

Optimal treatment for idiopathic pulmonary fibrosis

Thorax 2008;63:1120-1121

The recent review series on interstitial lung disease has created a great deal of interest. However, the review by Williams and Wilson of novel treatments and lung transplantation in pulmonary fibrosis1 does not reflect recent developments in clinical and translational research in idiopathic pulmonary fibrosis (IPF).


11/20/2008 12:18 PM

Histological appearances of putative montelukast related Churg-Strauss syndrome

Thorax 2008;63:1120; doi:10.1136/thx.2008.102566

Leukotriene receptor antagonists (LTRA) are widely used in the treatment of asthma. Over the years, case reports have suggested a possible link between their introduction and the development of Churg-Strauss syndrome.


11/20/2008 12:17 PM

Twins with severe recurrent chest infections

Thorax 2008;63:1082; doi:10.1136/thx.2007.092650

Two homozygotic twins were delivered at 31 weeks of gestational age by caesarean section, with birth weight 1490 and 1710 g, respectively. The family history was unremarkable.


11/20/2008 12:17 PM

Six minute walk distance is a useful predictor of survival in lung transplant recipients

Thorax 2008;63:1089

Six minute walk distance (6MWD) is routinely used as part of the assessment process for lung transplant recipients. However, there is a paucity of data supporting the impact of baseline 6MWD on transplant outcomes in advanced lung diseases.


11/20/2008 12:16 PM

Revival of carbocisteine for prevention of COPD exacerbations

Thorax 2008;63:1045

This Chinese multicentre double-blind study assessed whether carbocisteine, a mucolytic agent with antioxidant and anti-inflammatory properties, could reduce exacerbation rates in patients with chronic obstructive pulmonary disease (COPD).


11/20/2008 12:15 PM

Increasing incidence of pulmonary embolism

Thorax 2008;63:1102

The introduction of investigations like spiral CT scanning and D-dimer assay have altered the outcome of patients with pulmonary embolism in recent years.


11/20/2008 12:13 PM

A new theory for the pathogenesis of chronic lung disease?

Thorax 2008;63:1095

Chronic inflammatory disease is generally thought to be the result of an altered adaptive immune response. This paper describes a novel innate immune pathway driven by persistent viral infection.


11/20/2008 12:12 PM

Pulmonary tumours in the Netherlands: focus on temporal trends in histology and stage and on rare tumours

Thorax 2008;63:1096-1102

Recent temporal trends in histology and stage of pulmonary tumours in the Netherlands were studied. The incidence of rare pulmonary tumours was determined.


11/20/2008 12:11 PM

Intracardiac extension of lung cancer via the pulmonary vein

Thorax 2008;63:1122; doi:10.1136/thx.2007.090373

A 69-year-old male heavy smoker had intermittent haemoptysis for 1 month. He did not have exertional dyspnoea, palpitations or chest pain. Chest radiography showed a mass over the right lower lung (RLL).


11/20/2008 12:10 PM

Underestimation of airflow obstruction among young adults using FEV1/FVC <70% as a fixed cut-off: a longitudinal evaluation of clinical and functional outcomes

Thorax 2008;63:1040-1045

Early detection of airflow obstruction is particularly important among young adults because they are more likely to benefit from intervention.


11/20/2008 12:09 PM

Using the lower limit of normal for the FEV1/FVC ratio reduces the misclassification of airway obstruction

Thorax 2008;63:1046-1051

To study differences in the prevalence of airway obstruction when applying four international guidelines to three population samples using four regression equations.


11/20/2008 12:08 PM

Nocturnal non-invasive ventilation in addition to rehabilitation in hypercapnic patients with COPD

Thorax 2008;63:1052-1057

Long-term non-invasive positive pressure ventilation (NIPPV) might improve the outcomes of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD) with chronic respiratory failure.


11/20/2008 12:08 PM

Evaluation of serum CC-16 as a biomarker for COPD in the ECLIPSE cohort

Thorax 2008;63:1058-1063

Circulating levels of Clara cell secretory protein-16 (CC-16) have been linked to Clara cell toxicity. It has therefore been suggested that this protein may be a useful marker of chronic obstructive pulmonary disease (COPD).


11/20/2008 12:01 PM

Increased levels of cysteinyl-leukotrienes in saliva, induced sputum, urine and blood from patients with aspirin-intolerant asthma

Thorax 2008;63:1076-1082

A diagnosis of aspirin-intolerant asthma requires aspirin provocation in specialist clinics. Urinary leukotriene E4 (LTE4) is increased in aspirin-intolerant asthma. A study was undertaken to investigate new biomarkers of aspirin intolerance by comparing basal levels of cysteinyl-leukotrienes (CysLTs) and leukotriene B4 (LTB4) in saliva, sputum and ex vivo stimulated blood in subjects with aspirin-intolerant and aspirin-tolerant asthma.


11/20/2008 12:01 PM

Effects of atorvastatin added to inhaled corticosteroids on lung function and sputum cell counts in atopic asthma

Thorax 2008;63:1070-1075

Statins have anti-inflammatory properties that may be beneficial in the treatment of asthma. A study was undertaken to test the hypothesis that atorvastatin added to inhaled corticosteroids improves lung function and airway inflammation in atopic adults with asthma.


11/20/2008 12:00 PM

Association analysis identifies TLR7 and TLR8 as novel risk genes in asthma and related disorders

Thorax 2008;63:1064-1069

Toll-like receptors (TLRs) are structurally and functionally related and play important roles in the innate and adaptive immune system. By genome scanning, evidence of linkage between chromosome Xp22 and asthma and related atopic disorders has previously been obtained. Xp22 harbours the TLR7 and TLR8 genes.


11/20/2008 11:59 AM

Clinical course and prognosis of never-smokers with severe alpha-1-antitrypsin deficiency (PiZZ)

Thorax 2008;63:1091-1095

Previous studies of non-smoking individuals with severe {alpha}1-antitrypsin deficiency (PiZZ) have been sparse and included only a limited number of individuals, mostly identified by respiratory symptoms.


11/20/2008 11:57 AM

Plasma receptor for advanced glycation end products and clinical outcomes in acute lung injury

Thorax 2008;63:1083-1089

To determine whether baseline plasma levels of the receptor for advanced glycation end products (RAGE), a novel marker of alveolar type I cell injury, are associated with the severity and outcomes of acute lung injury, and whether plasma RAGE levels are affected by lower tidal volume ventilation.


11/20/2008 11:56 AM

Placental ischemia and cardiovascular dysfunction in preeclampsia and beyond: making the connections

Expert Review of Cardiovascular Therapy November 2008, Vol. 6, No. 10, Pages 1367-1377

Hypertensive disorders of pregnancy continue to be a significant source of maternal and fetal morbidity and mortality, and recent evidence suggests that the incidence of preeclampsia (PE) is increasing.


11/20/2008 11:49 AM

Evolution in cardiovascular care: highlights and observations from the ESC Congress 2008

Expert Review of Cardiovascular Therapy November 2008, Vol. 6, No. 10, Pages 1339-1341

The European Society of Cardiology (ESC) in Munich represents the second of the three major annual international cardiovascular meetings. The East European involvement in this meeting (in terms of numbers of delegates, if not presentations) continues to emerge, while the representation from North America, Australasia and the Far East represents an increasing proportion.


11/18/2008 03:21 PM

Fontan Patient with Plastic Bronchitis Treated Successfully Using Aerosolized Tissue Plasminogen Activator: A Case Report and Review of the Literature

Pediatric Cardiology 0172-0643 (Print) 10.1007/s00246-008-9312-2

Plastic bronchitis is an uncommon condition characterized by the production of large pale bronchial casts that obstruct the tracheobronchial tree.


11/18/2008 03:20 PM

Treatment of allergic bronchopulmonary aspergillosis (ABPA) in CF with anti-IgE antibody (omalizumab)

Pediatric Pulmonology Published Online: 13 Nov 2008

Allergic bronchopulmonary aspergillosis (ABPA) results from IgE induced pulmonary response to aspergillus species. Recognition and management of ABPA is challenging in cystic fibrosis (CF) patients because changes in symptoms, lung function and chest radiograph are similar to that seen in CF related pulmonary infection.


11/18/2008 03:19 PM

Secretory Leukocyte Protease Inhibitor: A Secreted Pattern-recognition Receptor for Mycobacteria

Am. J. Respir. Crit. Care Med. 2008, doi:10.1164/rccm.200804-615OC

Human secretory leucocyte protease inhibitor (SLPI) displays bactericidal activity against pathogens like Escherichia coli and Streptococcus.


11/18/2008 03:18 PM

Increased Expression of CD16, CD69, and Very Late Antigen-1 on Blood Monocytes in Active Sarcoidosis

Chest. 2008; 134:1001-1008

Different types of immune cells are involved in the formation of granulomas, a hallmark of pulmonary sarcoidosis. Proinflammatory monocytes are activated circulating monocytes thought to be related to the initial events of granuloma formation.


11/18/2008 03:17 PM

Cystic fibrosis, aminoglycoside treatment and acute renal failure: the not so gentle micin

Pediatric Nephrology 0931-041X (Print) 10.1007/s00467-008-1036-2

Aminoglycosides have a wide spectrum of gram-negative anti-bacterial activities and are available at low cost, which makes them commonly used drugs, especially for patients with cystic fibrosis (CF), who often suffer from chronic lung infections from Pseudomonas aeruginosa.


11/18/2008 03:16 PM

Thoracic Splenosis: The Scar is the Clue

Clinical Pulmonary Medicine. 15(6):363-366, November 2008

Thoracic splenosis is a rare condition resulting from autotransplantation of splenic tissue into the left hemithorax after remote splenic trauma. It is usually incidentally detected on chest radiography or thoracic computed tomography.


11/18/2008 03:15 PM

Invasive, paediatric, vaccine strains of Streptococcus pneumoniae: Are there differences in clinical characteristics?

Scandinavian Journal of Infectious Diseases First Published on: 14 November 2008

Invasive pneumococcal infections in 777 adults caused by 'invasive' (1, 7; n=187), 'paediatric' (6, 9, 14, 19, 23; n=304) and other (n=286) serogroups were compared. Infections caused by 'invasive' strains caused pneumonia more often than other serogroups and were more often isolated from younger patients without concomitant conditions and had lower case-fatality rate than 'paediatric' and other strains.


11/18/2008 03:14 PM

Intermittent Suction of Oral Secretions Before Each Positional Change may Reduce Ventilator-Associated Pneumonia: A Pilot Study

American Journal of the Medical Sciences. 336(5):397-401, November 2008

That ventilator-associated pneumonia (VAP) can be reduced by continuous and/or intermittent subglottic suction highlights the importance of clearance of oropharyngeal secretions. We prospectively evaluated the usefulness of intermittent suction of oral secretions before each positional change in reducing VAP.


11/18/2008 03:14 PM

In vitro modeling of human alveolar macrophage smoke exposure: enhanced inflammation and impaired function

Experimental Lung Research, Volume 34, Issue 9 November 2008 , pages 599 - 629

Pulmonary macrophages (MOslashs) are essential for clearance of inhaled particles, innate immunity, and lung tissue maintenance. However, the products of activated MOslashs have also been implicated in inflammation and tissue destruction, including in chronic obstructive pulmonary disease (COPD).


11/18/2008 03:13 PM

Fibrobronchoscopic Evidence of Endobronchial Hairs in Intrapulmonary Teratoma With Hemoptysis but Without Trichoptysis

American Journal of the Medical Sciences. 336(5):441-444, November 2008

Intrapulmonary teratoma (IPT) is exceedingly rare, hence preoperative diagnose is usually inaccurate. A 21-year-old man was presented with a 5-year history of recurrent hemoptysis and left upper lung mass with heterogeneous opacity on chest x-ray.


11/18/2008 03:12 PM

Arrhythmias in Patients With Chronic Obstructive Pulmonary Disease (COPD): Occurrence Frequency and the Effect of Treatment With the Inhaled Long-Acting Beta2-Agonists Arformoterol and Salmeterol

Medicine. 87(6):319-328, November 2008

Beta-adrenergic stimulation may increase heart rate and the potential for cardiac arrhythmias. The effect of inhaled long-acting beta2-agonists (LABAs) on these outcomes was evaluated in patients with chronic obstructive pulmonary disease (COPD) in 2 double-blind randomized clinical trials.


11/18/2008 03:11 PM

Obstructive sleep apnoea risk profile and the risk of recurrence of atrial fibrillation after catheter ablation

Europace, doi:10.1093/europace/eun315

The aim of this study was to identify the impact of obstructive sleep apnoea (OSA) on recurrence after catheter ablation of paroxysmal atrial fibrillation (AF).


11/18/2008 03:10 PM

Effect of variation in RANTES promoter on serum RANTES levels and risk of recurrent wheezing after RSV bronchiolitis in children from Han, Southern China

European Journal of Pediatrics 0340-6199 (Print) 10.1007/s00431-008-0870-3

To investigate the association among RANTES (regulated on activation normal T cell expressed and secreted) gene promoter polymorphism, serum RANTES levels, and recurrent wheezing after RSV (respiratory syncytial virus) bronchiolitis in children (1-12 months of age) from Han, Southern china.


11/18/2008 03:09 PM

Assessing Treatment Effects of Inhaled Corticosteroids on Medical Expenses and Exacerbations among COPD Patients: Longitudinal Analysis of Managed Care Claims

Health Services Research, Volume 43, Number 6, December 2008 , pp. 2164-2182(19)

To assess costs, effectiveness, and cost-effectiveness of inhaled corticosteroids (ICS) augmenting bronchodilator treatment for chronic obstructive pulmonary disease (COPD).


11/18/2008 03:08 PM

Genetic variations in inflammatory mediators influence lung disease progression in cystic fibrosis

Pediatric Pulmonology Published Online: 13 Nov 2008

The clinical course of cystic fibrosis (CF) varies considerably among patients carrying the same CF-causing gene mutation. Additional genetic modifiers may contribute to this variability.


11/18/2008 03:08 PM

Long-Term Morbidity and Mortality After Hospitalization With Community-Acquired Pneumonia: A Population-Based Cohort Study

Medicine. 87(6):329-334, November 2008

Little is known about the long-term sequelae of community-acquired pneumonia (CAP). Therefore, we describe the long-term morbidity and mortality of patients after pneumonia requiring hospitalization.


11/18/2008 03:07 PM

Evaluation of pulmonary embolism in a pediatric population with high clinical suspicion

Pediatric Radiology 0301-0449 (Print) 10.1007/s00247-008-1037-0

Pulmonary embolism (PE) is an underdiagnosed entity in the pediatric population in part because of the low level of suspicion and awareness in the clinical world.


11/18/2008 03:05 PM

Chest radiological patterns predict the duration of mechanical ventilation in children with RSV infection

Pediatric Radiology 0301-0449 (Print) 10.1007/s00247-008-1042-3

RSV-infected children demonstrate various radiographic features, some of which are associated with worse clinical outcomes.


11/18/2008 03:05 PM

Quality of Care for Children Hospitalized With Asthma

PEDIATRICS Vol. 122 No. 5 November 2008, pp. 1055-1063

The goals were (1) to identify evidence-based clinical process measures that are appropriate, feasible, and reliable for assessing the quality of inpatient asthma care for children and (2) to evaluate provider compliance with these measures.


11/18/2008 03:04 PM

Is chest sonography a breakthrough in diagnosis of pulmonary thromboembolism in children?

Pediatric Pulmonology Published Online: 13 Nov 2008

Sonographic criteria of pulmonary thromboembolism (PTE) have been already evaluated basing on adult patients. There are limited studies to determine diagnostic value of chest ultrasound (CUS) in pediatric PTE. The aim of our study was to present usefulness of ultrasound examination of chest in diagnosis of PTE in children.


11/18/2008 03:03 PM

Flexible bronchoscopy in pediatric intensive care

Pediatric Pulmonology Published Online: 13 Nov 2008

To define the benefits of a flexible bronchoscopy (FB) service in a Paediatric Intensive Care Unit (PICU).


11/18/2008 03:02 PM

Interleukin-9 and -13 inhibit spontaneous and corticosteroid induced apoptosis of normal airway epithelial cells

Experimental Lung Research, Volume 34, Issue 9 November 2008 , pages 579 - 598

The airway epithelium is the target of physical and allergic insults. The resulting inflammatory signals from Th2 cytokines including interleukin (IL)-9 and IL-13 have pleiotropic activities and have been implicated in airway remodeling in asthmatics.


11/18/2008 03:02 PM

Circulating Carbon Monoxide Level Is Elevated After Sleep in Patients With Obstructive Sleep Apnea

Chest. 2008; 134:904-910

Patients with obstructive sleep apnea (OSA) have an increased risk of cardiovascular morbidity. This study aimed to determine circulating carbon monoxide (CO) levels, which have been suggested to be a marker of cardiovascular risk in patients with OSA.

11/18/2008 03:01 PM

Pulmonary Hypertension-When to Treat?

Clinical Pulmonary Medicine. 15(6):359-360, November 2008

In patients with mildly symptomatic pulmonary arterial hypertension, bosentan improved hemodynamics and produced some improvement in clinical parameters.


11/18/2008 03:00 PM

Outcomes of Carbapenem-Resistant Klebsiella pneumoniae Infection and the Impact of Antimicrobial and Adjunctive Therapies

Infect Control Hosp Epidemiol 2008;29:1099-1106

Carbapenem-resistant Klebsiella pneumoniae is an emerging healthcare-associated pathogen.


11/18/2008 02:59 PM

Alterations in Glucose Disposal in Sleep-disordered Breathing

Am. J. Respir. Crit. Care Med. 2008, doi:10.1164/rccm.200809-1392OC

It is well established that sleep-disordered breathing (SDB) is independently associated with insulin resistance, glucose intolerance, and type 2 diabetes mellitus.


11/18/2008 02:58 PM

Pulmonary Hypertension in Grave's Disease

Endocrinologist. 18(6):273-274, November/December 2008

Pulmonary arterial hypertension (PAH) is characterized by pulmonary artery systolic pressure (PASP) >35 mm Hg or mean >30 mm Hg with exercise. Etiology is divided into primary or secondary causes.


11/18/2008 02:58 PM

End-of-Life Decision Making in the Intensive Care Unit

Clinical Pulmonary Medicine. 15(6):342-348, November 2008

One of the most challenging features of critical care is deciding when to forego life-sustaining therapy. This comprehensive review provides a framework to help intensivists optimize decision making, while forging close working relationships with patients' families and delivering outstanding end-of-life care in the intensive care unit.


11/18/2008 02:57 PM

Bronchopulmonary Lithiasis: A Case Report and Review of the Literature

Clinical Pulmonary Medicine. 15(6):349-351, November 2008

Bronchopulmonary lithiasis present as calcified lesions found on chest imaging. Although "spitting of stones" has been described for centuries, the diagnosis of the disease process is often delayed for several years


11/18/2008 02:56 PM

Accuracy of Physician Billing Claims for Identifying Acute Respiratory Infections in Primary Care

Health Services Research, Volume 43, Number 6, December 2008 , pp. 2223-2238(16)

To assess the accuracy of physician billing claims for identifying acute respiratory infections in primary care.


11/18/2008 02:55 PM

Additive Effects of Obstructive Sleep Apnea and Hypertension on Early Markers of Carotid Atherosclerosis

Hypertension doi: 10.1161/HYPERTENSIONAHA.108.119420

Obstructive sleep apnea (OSA) has emerged as an independent risk factor for atherosclerosis. However, OSA is frequently associated with several risk factors for atherosclerosis, including hypertension (HTN). The impact of OSA and HTN alone compared with the association of both conditions on carotid atherosclerosis is not understood.


11/18/2008 02:54 PM

Inflammation and Sleep Disordered Breathing in Children: A State-of-the-Art Review

Pediatric Pulmonology Published Online: 13 Nov 2008

Sleep disordered breathing (SDB) represents a spectrum of breathing disorders, ranging from snoring to obstructive sleep apnea syndrome (OSAS), that disrupt nocturnal respiration and sleep architecture.


11/18/2008 02:53 PM

The EPICure study: Comparison of pediatric spirometry in community and laboratory settings

Pediatric Pulmonology Published Online: 13 Nov 2008

Accuracy of spirometry testing is a prerequisite for its use as an objective outcome measure in large epidemiological studies. We compared spirometry measurements obtained by trained pediatricians in a variety of school settings with those obtained in the laboratory by respiratory physiologists.


11/18/2008 02:53 PM

Relationship Between Overnight Rostral Fluid Shift and Obstructive Sleep Apnea in Non-obese Men

Am. J. Respir. Crit. Care Med. 2008, doi:10.1164/rccm.200807-1076OC

The cause of increased pharyngeal collapsibility in patients with obstructive sleep apnea (OSA) is incompletely understood.


11/18/2008 02:52 PM

Prevalence of asthma among Chinese adolescents living in Canada and in China

CMAJ - November 18, 2008; 179 (11). doi:10.1503/cmaj.071797

We analyzed data from Vancouver, Canada, and from Guangzhou, Beijing and Hong Kong, China, collected during phase 3 of the International Study of Asthma and Allergies in Childhood.


11/18/2008 02:51 PM

Myosin, Transgelin, and Myosin Light Chain Kinase: Expression and Function in Asthma

Am. J. Respir. Crit. Care Med. 2008, doi:10.1164/rccm.200609-1367OC

Airway smooth muscle (SM) of asthmatics exhibits a greater velocity of shortening (Vmax) than that of normals and this is thought to contribute to airway hyperresponsiveness.


11/18/2008 02:51 PM

Management of Rhinosinusitis Today

Clinical Pulmonary Medicine. 15(6):332-341, November 2008

Chronic rhinosinusitis including nasal polyps is a chronic inflammatory disease of the nasal and paranasal sinus mucosa that, despite differing hypotheses of its cause, remains poorly understood.


11/18/2008 02:50 PM

Lifestyle Intervention with Weight Reduction-First Line Treatment in Mild Obstructive Sleep Apnea

Am. J. Respir. Crit. Care Med. 2008, doi:10.1164/rccm.200805-669OC

Obesity is the most important risk factor for obstructive sleep apnea (OSA). However, although included in clinical guidelines, no randomized controlled studies have been carried out on the effects of weight reduction upon mild OSA.


11/18/2008 02:49 PM

Overdiagnosis of asthma in obese and nonobese adults

CMAJ - November 18, 2008; 179 (11). doi:10.1503/cmaj.081332.

It is unclear whether asthma is overdiagnosed in developed countries, particularly among obese individuals, who may be more likely than nonobese people to experience dyspnea.


11/18/2008 02:48 PM

Lymphangioleiomyomatosis

Clinical Pulmonary Medicine. 15(6):325-331, November 2008

Lymphangioleiomyomatosis (LAM) is a rare cystic lung disease occurring almost exclusively in women of childbearing age. Genetic analysis has revealed common mutations in both the TSC1 and TSC2 genes that lead to both sporadic cases of LAM (S-LAM) and those associated with the tuberous sclerosis complex (TSC-LAM).


11/18/2008 02:48 PM

Chronic Obstructive Pulmonary Disease Produced by Biomass Fuels

Clinical Pulmonary Medicine. 15(6):305-312, November 2008

Chronic obstructive pulmonary disease (COPD), a leading cause of morbidity and mortality worldwide, is increasing and represents a substantial economical and social burden.


11/18/2008 02:47 PM

A Silver Lining for Ventilator-Associated Pneumonia

Clinical Pulmonary Medicine. 15(6):361-362, November 2008

The use of a silver-coated endotracheal tube significantly reduces the incidence of ventilator-associated pneumonia.


11/18/2008 02:45 PM

Traffic-related air pollution and respiratory symptoms among asthmatic children, resident in Mexico City: The EVA cohort study

Respiratory Research 2008, 9:74doi:10.1186/1465-9921-9-74

Traffic-related air pollution has been related to adverse respiratory outcomes; however, there is still uncertainty concerning the type of vehicle emission causing most deleterious effects.


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