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Advances in Respiratory Medicine is published by MDPI from Volume 90 Issue 4 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Via Medica.

Adv. Respir. Med., Volume 84, Issue 6 (December 2016) – 8 articles , Pages 1-343

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476 KiB  
Case Report
Unilateral Hypertransparency on Chest Radiograph: The Congenital Poland Syndrome
by Ioannis Tomos, Andriana I. Papaioannou, Aikaterini Vlami, Vasiliki Apollonatou, Effrosyni D. Manali and Spyros A. Papiris
Adv. Respir. Med. 2016, 84(6), 342-343; https://doi.org/10.5603/ARM.2016.0045 - 07 Dec 2016
Cited by 2 | Viewed by 310
Abstract
Unilateral hypertransparent hemithorax requires a particular diagnostic approach as it can be the result of diverse pulmonary diseases, including pneumothorax, large pulmonary embolus, unilateral large bullae, mucous plag, airway obstruction and contralateral pleural effusion. Congenital syndromes with chest wall abnormalities, are rare, but [...] Read more.
Unilateral hypertransparent hemithorax requires a particular diagnostic approach as it can be the result of diverse pulmonary diseases, including pneumothorax, large pulmonary embolus, unilateral large bullae, mucous plag, airway obstruction and contralateral pleural effusion. Congenital syndromes with chest wall abnormalities, are rare, but often underdiagnosed causes. Poland Syndrome consists of such a rare, congenital anomaly and is characterized by the absence of the pectoralis major muscle and upper limb ipsilateral abnormalities. We present a case of a patient with acute exacerbation of chronic obstructive pulmonary disease (COPD) and a unilateral hypertransparency on chest radiology, attributed to the underlying Poland Syndrome. Full article
651 KiB  
Case Report
Fire-Eater’s Lung
by Jolanta Załęska, Arkadiusz Błaszczyk, Lilia Jakubowska, Janusz Szopiński, Mateusz Polaczek, Jacek Grudny, Jacek Zych and Kazimierz Roszkowski-Śliż
Adv. Respir. Med. 2016, 84(6), 337-341; https://doi.org/10.5603/ARM.2016.0044 - 07 Dec 2016
Cited by 2 | Viewed by 528
Abstract
Fire eater’s lung (FEL) is an acute hydrocarbon pneumonitis caused by aspiration or inhalation into airways of liquid hydrocarbons. This disorder is classified into distinct form of chemical toxic pneumonitis. An amateur fire-eater is presented in this work. He accidentally aspirated into airways [...] Read more.
Fire eater’s lung (FEL) is an acute hydrocarbon pneumonitis caused by aspiration or inhalation into airways of liquid hydrocarbons. This disorder is classified into distinct form of chemical toxic pneumonitis. An amateur fire-eater is presented in this work. He accidentally aspirated into airways about 1/3 of glass of grill lighter fluid composed of mixture of liquid hydrocarbons. A few hours after this incident he had severe symptoms like weakness, high temperature, midsternal pleuritic chest pain, myalgia of the back, shortness of breath, and dry cough. Radiologic examination revealed consolidations with well−defined cavitary lesions (pneumatoceles) in lower lobes mainly in the left lower lobe. After one week of this event clinical improvement was observed. The lesions resolved nearly completly during three months. The review of the literature connected with fire-eater’s lung is also presented. Full article
148 KiB  
Review
Pain Management in Lung Cancer
by Fariz Nurwidya, Elisna Syahruddin and Faisal Yunus
Adv. Respir. Med. 2016, 84(6), 331-336; https://doi.org/10.5603/ARM.2016.0043 - 07 Dec 2016
Cited by 4 | Viewed by 421
Abstract
Lung cancer is the leading cause of cancer-related mortality worldwide. Not only burdened by the limited overall survival, lung cancer patient also suffer from various symptoms, such as pain, that implicated in the quality of life. Cancer pain is a complicated and transiently [...] Read more.
Lung cancer is the leading cause of cancer-related mortality worldwide. Not only burdened by the limited overall survival, lung cancer patient also suffer from various symptoms, such as pain, that implicated in the quality of life. Cancer pain is a complicated and transiently dynamic symptom that results from multiple mechanisms. This review will describe the pathophysiology of cancer pain and general approach in managing a patient with lung cancer pain. The use of opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), and adjuvant analgesia, as part of the pharmacology therapy along with interventional strategy, will also be discussed. Full article
571 KiB  
Article
A Clinic-Epidemiological Study of Head and Neck Tuberculosis—A Single-Center Experience
by Anna Maria Pajor, Magdalena Józefowicz-Korczyńska, Maria Korzeniewska-Koseła and Sylwia Kwiatkowska
Adv. Respir. Med. 2016, 84(6), 324-330; https://doi.org/10.5603/ARM.2016.0042 - 07 Dec 2016
Cited by 8 | Viewed by 367
Abstract
Introduction: Extrapulmonary tuberculosis (EPTB) accounts for less than 6% of all tuberculosis (TB) cases in Poland, although in other countries (European in particular) this proportion is much higher. The study was undertaken to evaluate the clinical and epidemiological differences in patients hospitalized in [...] Read more.
Introduction: Extrapulmonary tuberculosis (EPTB) accounts for less than 6% of all tuberculosis (TB) cases in Poland, although in other countries (European in particular) this proportion is much higher. The study was undertaken to evaluate the clinical and epidemiological differences in patients hospitalized in one of Otolaryngology Departments in Poland during 36 years. Material and methods: In a retrospective study, 71 patients were identified and divided into three groups according to the study period: I—1978−1989 (30 patients, 42%), II—1990−2001 (19 patients, 27%) and III—2002−2013 (22 patients, 31% of all cases). In each case histological examination of biopsy specimens was available. Results: Larynx TB (54.9%) was most common, followed by cervical lymph nodes TB (29.6%) and auris TB (8.5%). In laryngeal TB, glottic region was most often affected (76.9%). Patients with larynx TB were mainly men (87.2%), 10 years older than women in each study period. However, in lymph nodes TB group, women constituted 66.7% of cases and were twice as old as men (64.0 vs. 34.7 yrs). Bacteriological confirmation was made in only one patient. Conclusions: The number of patients diagnosed in our center declined in the first period of 12 years and remained stable over the last 24 years, as were the common sites of head and neck EPTB (larynx and cervical lymph nodes). In patients with head and neck TB the biopsy specimens should be examined not only histologically but also for the presence of Mycobacterium tuberculosis. Full article
178 KiB  
Article
Contemporary National Trends of Cystic Fibrosis Hospitalizations and Co-Morbidities in the United States
by Kshitij Chatterjee, Abhinav Goyal, Nishi Shah, Krishna Kakkera, Rajani Jagana and Paula Anderson
Adv. Respir. Med. 2016, 84(6), 316-323; https://doi.org/10.5603/ARM.2016.0041 - 07 Dec 2016
Cited by 8 | Viewed by 434
Abstract
Introduction: Cystic fibrosis (CF) is a life-limiting multisystemic genetic disease. Patients with CF have a high rate of hospitalization. We attempt to ascertain national trends of inpatient stays, prevalence of various co-morbidities during hospitalizations, outcomes and discharge disposition among CF patients. Material and [...] Read more.
Introduction: Cystic fibrosis (CF) is a life-limiting multisystemic genetic disease. Patients with CF have a high rate of hospitalization. We attempt to ascertain national trends of inpatient stays, prevalence of various co-morbidities during hospitalizations, outcomes and discharge disposition among CF patients. Material and methods: Data from the National Inpatient Sample (NIS) was used to identify all hospitalizations of patients with CF and their demographic characteristics from 2003 to 2013. Prevalence and effects of various co-morbidities like acute kidney injury (AKI) were determined. Detailed sub-group analysis was performed for individuals with lung transplant. Results: The annual rate of hospitalization per 1000 CF patients in the U.S. increased from 994 in 2003 to 1072 in 2013. The overall in-hospital mortality was 1.5%; median age at death was 27 years. In-hospital mortality trended down from 1.9% to 1.2% from 2003 to 2013 (p-value for trend: 0.002). The median length of stay was 7 days. The prevalence of chronic liver disease and AKI was 3.7% and 3.8% respectively. Multivariate adjusted odds of mortality for AKI was 1.74 (95% CI 1.57−1.93, p < 0.001). Patients with prior lung transplantation accounted for 6.5% of hospitalizations. These patients had a significantly higher prevalence of AKI. Conclusions: The annual hospitalization rates of CF patients is increasing over the years. Females with CF constitute a higher proportion of hospitalized patients despite a higher male preponderance of males with CF in the community. AKI is associated with a significantly higher in-hospital mortality. Lung transplant recipients have a higher prevalence of AKI and mortality. Full article
182 KiB  
Article
Long Term Outcome of Cystic Fibrosis Patients with Multisystem Evaluation
by Maryam Hassanzad, Mohammad Reza Boloursaz, Sepideh Darougar, Sabereh Tashayoie Nejad, Seyed Amir Mohajerani, Nooshin Baghaie, Seyed Karen Hashemitari and Ali Akbar Velayati
Adv. Respir. Med. 2016, 84(6), 310-315; https://doi.org/10.5603/ARM.2016.0040 - 07 Dec 2016
Cited by 7 | Viewed by 484
Abstract
Introduction: Cystic fibrosis is a chronic disease with multiple organ involvement and chiefly results in chronic respiratory infections, pancreatic insufficiency and associated complications. The age at diagnosis, clinical presentation, rate of disease progression and prognosis is variable among patients. This study is designed [...] Read more.
Introduction: Cystic fibrosis is a chronic disease with multiple organ involvement and chiefly results in chronic respiratory infections, pancreatic insufficiency and associated complications. The age at diagnosis, clinical presentation, rate of disease progression and prognosis is variable among patients. This study is designed to evaluate the behavior of disease to provide epidemiologic data for early recognition and proper management. Material and methods: The study was designed as an active surveillance of 192 patients diagnosed with cystic fibrosis in a tertiary lung disease centre between 2008 and 2015. The diagnosis of cystic fibrosis was established in all patients accordingly to conventional criteria, including two positive sweat chloride tests and clinical signs and symptoms. Demographic, clinical and laboratory data were obtained from these patients in each hospitalization and also every follow-up visit and carefully evaluated for complications of this chronic disease. Results: The majority of patients showed positive culture for Pseudomonas aeroginosa. Bronchiectasis was the most prevalent finding in chest CT scan. 44.3% of patients had been treated for allergic bronchopulmonary aspergillosis and all had sinus disease. Increased pulmonary artery pressure was observed in 40% of patients with cystic fibrosis. 33 patients died which consisted 17.1% of all the patients.The mean age of mortaliy was 18.15 year. Conclusions: The clinical outcome of cystic fibrosis is variable in different countries which may reflect environmental influences and the role of early diagnosis on long term outcomes. However, the role of early diagnosis in long-term outcomes of the disease can not be ignored. Full article
108 KiB  
Editorial
Living Better and Longer with Cystic Fibrosis
by Szczepan Cofta
Adv. Respir. Med. 2016, 84(6), 307-309; https://doi.org/10.5603/ARM.2016.0039 - 07 Dec 2016
Viewed by 277
Abstract
Cystic fibrosis (CF) is the most common autosomal recessive disorder in Caucasians [...] Full article
109 KiB  
Editorial
Change of the Title: “Pneumonologia i Alergologia Polska” Becomes “Advances in Respiratory Medicine”
by Wojciech Piotrowski
Adv. Respir. Med. 2016, 84(6), 1; https://doi.org/10.5603/ARM.54105 - 07 Dec 2016
Cited by 1 | Viewed by 317
Abstract
Since 2015 we have introduced several changes to our Journal [...] Full article
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