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Search Results: 1 - 10 of 631 matches for " COPD "
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Prevalence of Anemia in Patients with COPD and Its Potential Impact on Morbidity of COPD Patients  [PDF]
Shaheena Parveen, Imran Rangreze, Syed Nisar Ahmad, Showkat Ali Mufti, Shehla Shafi Khan
International Journal of Clinical Medicine (IJCM) , 2014, DOI: 10.4236/ijcm.2014.58063

Background: Although COPD is traditionally associated with polycythemia, the systemic inflammation that is now recognized as a feature of COPD makes it a possible cause of Anemia of Chronic Disease (ACD). Preliminary evidences suggest that anemia in COPD may be more prevalent than expected occurring in 10% - 15% of patients. While in states like chronic heart failure and renal insufficiency, anemia has been extensively studied; little attention has been given to it in COPD. Objectives: To see the prevalence of anemia in patients with COPD and its potential impact on morbidity of COPD patients. Design and Setting: A university hospital-based cross-sectional study in Kashmir, India. Methods: Two hundred patients (119 males and 81 females) with spirometery documented COPD were evaluated for frequency of anemia. In addition to routine investigations, erythropoietin levels were done in a subgroup of patients. Results: A total of 36 cases (20 males and 16 females) of anemia were detected giving a frequency of 18%. Normocytic normochromic type of anemia was present in 32 (88.89%) patients while the rest had normocytic hypochromic type of anemia. Majority of patients were in GOLD stage 11 and had decreased serum iron, transferrin saturation and TIBC. Erythropoietin levels were significantly raised in anemic COPD patients compared to non-anemic COPD patients. The various factors significantly associated with anemia were: No. of exacerbations of COPD, No. of hospital admissions, BMI and erythropoietin levels. Conclusion: Anemia occurs frequently in patients of COPD and is associated with increased morbidity in the form of No. of exacerbations and hospital admissions. Correcting anemia in these patients may improve their clinical outcome.

Chronic obstructive pulmonary disease in adults with human immunodeficiency virus infection: a systematic review  [PDF]
Elpis Giantsou, Duncan Powrie
Health (Health) , 2011, DOI: 10.4236/health.2011.34039
Abstract: Objective: To determine the prevalence of chro- nic obstructive pulmonary disease (COPD) in adults with Human Immunodeficiency virus infection (HIV). Design: Systematic review of Medline, Embase, CINAHL, PsycINFO and references from identified papers. Study selection: Studies determining the prevalence of COPD in adults with HIV infection. Independent duplicate data extraction. Study quality was assessed in terms of whether consecutive patients were en- rolled, recruitment and follow-up periods were defined, <10% of subjects were lost to follow-up, subjects with missing data, method of COPD diagnosis and antiretroviral treatment were described. Data synthesis and results: Of the 911 citations identified, 8 North American studies conducted from 2005 to 2010 were reviewed. The demographics were: mean age 43 - 50.3yrs, >60% males, <50% African Americans, 37.1% - 83.3% active smokers, >60% on antiretroviral therapy. COPD was diagnosed by post-bronchodilator FEV1/FVC < 0.7 in three studies, by International Classification of Diseases (ICD-9) codes in three studies, by FEV1/FVC < 5% of lower adjusted normal in one and by pre- bronchodilator FEV1/FVC < 0.7 in another study. The prevalence was 10% - 35%, except for one study that recorded prevalence of 4% by postbronchodilator FEV1/FVC < 0.7, but <38% of patients with prebronchodilator FEV1/FVC < 0.7 had post-bronchodilator spirometry in that study. Conclusion: COPD is becoming increasingly common in HIV infected as they smoke and live longer due to efficient antiretrovirals. However, definite conclusions cannot be drawn and more longitudinal studies are needed. In the meantime health care providers should be vigilant to screen for undiagnosed COPD and hesitant to attribute respiratory symptoms solely to HIV infection.
Inflammation Biomarkers as Predictors of Pulmonary Outcomes in Cardiac Surgical Patients  [PDF]
Nadera J. Sweiss, Ray Sawaqed, Kenneth V. Leeper, Heval M. Kelli, Timothy Niewold, Omar M. Lattouf
Open Journal of Thoracic Surgery (OJTS) , 2013, DOI: 10.4236/ojts.2013.34020
Abstract: Prolonged ventilator support, pulmonary infections and the need for tracheostomies after cardiac operations are associated with increased hospital mortality, length of stay, cost of hospitalization and reduced long term survival. The objective of this study is to review the literature and develop and present an understanding of the potential role of specific pre-operatively or intraoperatively collected inflammatory biomarkers and their role as predictors of pulmonary outcomes in cardiac surgery.
Tuberculosis among COPD Patients in Guba City, Azerbaijan  [PDF]
Amir V. Aliyev, Rafig A. Chobanov
Journal of Tuberculosis Research (JTR) , 2015, DOI: 10.4236/jtr.2015.34022
Abstract: Chronic obstructive pulmonary disease (COPD) retains their relevance. It is necessary to take into account that growth in the number of patients with lung diseases. In addition, there is a growth in the number of tuberculosis patients. According to the criteria of the Ministry of Health, patients with COPD are at risk.
Revisión de evidencias sobre la influencia de la dieta en la evolución de la EPOC
De los Santos Izquierdo,J.M.; Pe?a Molinero,C.; Ortega Barriuso,R.; Manso Melgosa,A.B.;
Enfermería Global , 2012,
Abstract: chronic obstructive pulmonary disease (copd) causes significant morbidity and mortality, with a large consumption of health resources. the main cause is smoking. despite the fact there is no cure for copd, it can be avoided resulting in an improvement in the quality of life and an increase the survival rate, through available therapeutic resources, among which are the rehabilitation and health education. rehabilitation includes training programs designed to improve dyspnoea, fatigue and exercise tolerance. it consists of physical training programs, health education, psychological intervention, conduct intervention and education on diet and nutrition. this study has been performed on an extensive bibliographic compilation of published articles on dietary education patients with copd in the last five years. in order to get the highest methodological quality articles and perform a review of the existing studies on the influence of diet in patients diagnosed with copd and evaluate the evidence of those patients, it was necessary to implement a critical reading tool (caspe), to incorporate them into the pattern of performance against these patients. the conclusion of this review is that patients with copd may profit from a diet rich in fruit, vegetables, soy, fiber and olive oil, while a diet rich of sugars and cured meat may worsen your condition. however additional studies to corroborate these claims are recommended.
Treino de músculos inspiratórios em doentes com DPOC
Garcia,Susana; Rocha,Margarida; Pinto,Paula; Lopes,António M. F.; Bárbara,Cristina;
Revista Portuguesa de Pneumologia , 2008,
Abstract: aim: the aim of this study was to evaluate the impact a specific inspiratory muscle training (imt) protocol had on dyspnoea, lung function, respiratory muscle pressure, tolerance to exercise and quality of life in a group of patients with ch ronic obstructive pulmonary disease (copd). population: we studied 13 patients with moderate to very severe copd divided into a control group (n=5) with an average fev1 43.9 ± 10.1% of predicted value and an imt group (n=8) with fev1 57.8 ± 12.1 % of predicted value. while this study group underwent imt for five consecutive weeks, the control group did not undergo any kind of training. results: using a specific imt protocol significantly improved maximal inspiratory pressure (mip) in the study group (initial mip - 83.3± 21.4 versus final mip- 98.4±17.8 cmh2o; p<0.01). the same result was seen with the st. george respiratory questionnaire (sgrq) score in the study group (initial score 58±2.2 versus final score 50±2.1; p<0.05). no changes were recorded in the variables studied in the control group. conclusions: the use of imt in patients with moderate to very severe copd induced an improvement in inspiratory muscle force with a consequent improvement in the quality of life in relation to symptoms.
Presentation PICASSO for COPD: a Dutch national COPD optimisation platform
Therese Noorlander
International Journal of Integrated Care , 2008,
Telehealth research
Ombarish Banerjee,Maria Tanner
International Journal of Integrated Care , 2012,
Non Invasive Mechanical Ventilation
Dr U. D. Sharma
Indian Anaesthetists' Forum , 2004,
Abstract: Negative pressure ventilators (Tank and Cuirass ventilators) were the only non-invasive methods of assisting ventilation for many years mainly for ventilating large number of victims of Polio during their acute illness. In 1980s it was recognized that delivery of continuous positive airway pressure by close fitting nasal masks for treatment of obstructive sleep apnoea could also be used to deliver an intermittent positive pressure. This was followed by improvements in the interface and establishment of role of NIMV in patients of COPD. The use of NIMV has increased in last decade in various conditions to avoid complications of intubation.
Risk Factors for Chronic Obstructive Pulmonary Disease in Women
Arzu Yak??an,?mer ?zbudak,Aykut ?illi,Candan ??ü?
Dicle Medical Journal , 2006,
Abstract: In the rural part of our country the use of traditional biomass was common and as a result of this, women who light the fire and bake bread and cook meals as well as children around them are exposed to the smoke that come out . The aim of this study was to to determine possible risk factors and associated conditions of COPD in women. The study was prospective and case-controlled. Fifty-two female patients with COPD followed up in Akdeniz University Hospital Department of Respiratory Medicine were included in this study. All cases were enrolled between December 2000 and October 2003. Fifty-four female non COPD subjects were chosen as the control group. These control subjects who did not have lung diseases were randomly selected in different outpatient clinics in the same hospital. Age, place of residence, comorbid conditions, cigarette smoking (active and passive), occupational exposure, air pollution, socio-economic status, education level, passive smoking in childhood, the fuel used for heating, cooking and baking bread and its duration were questioned. Results from this study suggest that exposure to cooking smoke, low education level, living in rural area, baking bread at home were associated risk factors with COPD among women.
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