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1.
; OPS/OMS.
Recurso na Internet em Inglês, Espanhol | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-46955

RESUMO

La Organización Panamericana de la Salud ha actualizado una alerta epidemiológica sobre el nuevo coronavirus (nCoV), en la cual “alienta a los Estados Miembros a fortalecer las actividades de vigilancia para detectar pacientes con enfermedad respiratoria aguda según una definición interina de casos”.


Assuntos
Controle de Doenças Transmissíveis , Coronavirus , Doenças Respiratórias/prevenção & controle , Síndrome Respiratória Aguda Grave
2.
Environ Monit Assess ; 192(2): 90, 2020 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-31902018

RESUMO

Owing to the rise in population, lifestyle changes, high traffic rates in urban areas and environmental pollution, respiratory diseases have become much more prevalent on both regional and urban scales. Respiratory diseases affect over 300 million people worldwide and are thus among the major threats to humans' general well-being. The identification of underlying factors and the specification of accompanying risk areas for the temporal exacerbation of respiratory diseases are effective steps in managing the damage caused by such disorders. Here, we demonstrate a strategy for modelling the risk zone of respiratory diseases temporally, using a location-based social network (LBSN) and an artificial neural network (ANN). The main contribution of this paper is to consider the environmental and infrastructural factors and identify their relationships with the geographical locations of respiratory attacks. The study also utilizes Telegram, which is the most popular and conventional social media platform, in order to observe temporal changes in the location of respiratory attacks in Iran, in the form of a developed Telegram bot known as @respiratoryassociation. The relations between the factors behind and the location of respiratory attacks are determined using a multilayer perceptron (MLP) ANN. All the required data have been collected on a daily basis over a 5-year period from December 2013 to December 2018 in Tehran, Iran. The results indicated air pollution, especially pollution from carbon monoxide (CO) and suspended particulate matter (PM) as the most decisive factors. Following air pollution, the amount of exposure to the polluted area was determined as the second most decisive factor, which in turn increased as a result of escalations in traffic jams. Land use was determined as the third most decisive factor. Furthermore, the results revealed that the ANN performed satisfactorily, implying that the model can be used to examine the spatio-temporal behaviour of the time series of respiratory diseases with respect to environmental and infrastructural factors.


Assuntos
Exposição Ambiental/estatística & dados numéricos , Doenças Respiratórias/epidemiologia , Poluição do Ar/análise , Poluição do Ar/estatística & dados numéricos , Monóxido de Carbono , Progressão da Doença , Monitoramento Ambiental , Poluentes Ambientais , Humanos , Irã (Geográfico) , Material Particulado/análise , Prevalência
3.
Toxicol Lett ; 320: 73-79, 2020 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-31811912

RESUMO

INTRODUCTION: Choking agent exposure, among them chlorine gas, occurs in household or industrial accidents, chemical warfare and terrorist attacks. AIMS: Review of published animal and human data regarding the history, pathophysiology, clinical effects and management of chlorine exposure. PATHOPHYSIOLOGY: Highly soluble agents cause quick upper respiratory tract symptoms. Chlorine gas has a medium solubility, also causing delayed lower airway symptoms, mainly due to its oxidizing potential by releasing hypochlorous and hydrochloric acid, but also by interacting with Transient Receptor Potential channels. SYMPTOMS: Eyes may show conjunctival injection, abrasions and corrosions. Burns of the oronasal mucosa and trachea can occur. Dyspnea, bronchospasm and possible retrosternal pain occur frequently. Glottis edema or laryngospasm are acute life-threatening emergencies. Chlorine gas can cause toxic pneumonitis, lung edema and acute respiratory distress syndrome (ARDS). MANAGEMENT: General management includes physical examination, pulse oximetry and arterial blood gases. Eyes should be irrigated, humidified oxygen and inhalative bronchodilators administered. An EKG, cardiac enzymes and complete-blood-count should be obtained if there is retrosternal pain. Routine chest x-ray is not recommended - except if pulmonary edema is suspected. Laryngoscopy should be performed if glottis edema is suspected. Sodium bicarbonate inhalation after chlorine gas inhalation is discussed controversially. Mechanical ventilation with continuous-positive-airway-pressure or intubation/tracheotomy with high positive-end-expiratory-pressure may be necessary. Glucocorticoids for prevention of pulmonary edema should be applied restrictively. Prophylactic antibiotics are not recommended. In severe ARDS, extracorporeal membrane oxygenation (ECMO) can be considered. CONCLUSION: Treatment is mainly symptom oriented. New and promising therapies are in development.


Assuntos
Acidentes Domésticos , Acidentes de Trabalho , Queimaduras Químicas/terapia , Substâncias para a Guerra Química/envenenamento , Cloro/envenenamento , Queimaduras Oculares/terapia , Doenças Respiratórias/terapia , Animais , Queimaduras Químicas/etiologia , Queimaduras Químicas/história , Queimaduras Químicas/fisiopatologia , Substâncias para a Guerra Química/história , Cloro/história , Queimaduras Oculares/induzido quimicamente , Queimaduras Oculares/história , Queimaduras Oculares/fisiopatologia , História do Século XX , História do Século XXI , Humanos , Exposição por Inalação/efeitos adversos , Exposição Ocupacional/efeitos adversos , Prognóstico , Doenças Respiratórias/induzido quimicamente , Doenças Respiratórias/história , Doenças Respiratórias/fisiopatologia , Medição de Risco
4.
Toxicol Lett ; 319: 168-174, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-31698045

RESUMO

Sulfur mustard and related vesicants are cytotoxic alkylating agents that cause severe damage to the respiratory tract. Injury is progressive leading, over time, to asthma, bronchitis, bronchiectasis, airway stenosis, and pulmonary fibrosis. As there are no specific therapeutics available for victims of mustard gas poisoning, current clinical treatments mostly provide only symptomatic relief. In this article, the long-term effects of mustards on the respiratory tract are described in humans and experimental animal models in an effort to define cellular and molecular mechanisms contributing to lung injury and disease pathogenesis. A better understanding of mechanisms underlying pulmonary toxicity induced by mustards may help in identifying potential targets for the development of effective clinical therapeutics aimed at mitigating their adverse effects.


Assuntos
Alquilantes/toxicidade , Substâncias para a Guerra Química/toxicidade , Compostos de Mostarda/toxicidade , Doenças Respiratórias/induzido quimicamente , Animais , Humanos , Pulmão/patologia , Lesão Pulmonar/induzido quimicamente , Lesão Pulmonar/tratamento farmacológico , Lesão Pulmonar/patologia , Fibrose Pulmonar/induzido quimicamente , Fibrose Pulmonar/tratamento farmacológico , Fibrose Pulmonar/patologia , Doenças Respiratórias/tratamento farmacológico , Doenças Respiratórias/patologia
5.
Radiol Clin North Am ; 58(1): 133-150, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31731897

RESUMO

Imaging plays a central role in the evaluation of patients following cardiothoracic surgery, both for monitoring in the early postoperative period and for assessing for suspected complications. Patients with postsurgical complications can develop a range of signs and symptoms, from hypotension and tachycardia, as the result of severe bleeding, to fever and leukocytosis because of infection. The radiologist is an important member of the care team in the postoperative period, helping identify and manage complications of cardiothoracic surgery. This article reviews the common complications of cardiothoracic surgery focusing on the role of imaging and clues to diagnosis.


Assuntos
Cardiopatias/diagnóstico por imagem , Complicações Pós-Operatórias/diagnóstico por imagem , Doenças Respiratórias/diagnóstico por imagem , Procedimentos Cirúrgicos Torácicos/efeitos adversos , Tomografia Computadorizada por Raios X/métodos , Doenças Vasculares/diagnóstico por imagem , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Cardiopatias/etiologia , Humanos , Complicações Pós-Operatórias/etiologia , Radiografia/métodos , Doenças Respiratórias/etiologia , Doenças Vasculares/etiologia
6.
Brasilia; s.n; [2020?].
Não convencional em Português | LILACS | ID: biblio-1050456

RESUMO

priorizar o atendimento de casos suspeitos de novo Coronavírus, medidas de controle e registrar o atendimento no sistema de informação da Atenção Primária (SISAB)


Assuntos
Humanos , Atenção Primária à Saúde/métodos , Infecções por Coronavirus/prevenção & controle , Doenças Respiratórias/complicações , Notificação de Doenças/normas
7.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi ; 33(12): 1578-1583, 2019 Dec 15.
Artigo em Chinês | MEDLINE | ID: mdl-31823562

RESUMO

Objective: To summarize the progress of diagnosis and treatment of upper respiratory obstruction in patients with Treacher Collins syndrome (TCS). Methods: The domestic and abroad literature about the diagnosis and treatment of upper respiratory obstruction in patients with TCS was extensively reviewed and analyzed. Results: TCS is an autosomal-dominant craniofacial developmental syndrome. It is often accompanied by midface and/or mandibular hypoplasia, soft tissue hypertrophy, and other respiratory tissue developmental abnormalities, which can lead to different degrees of upper respiratory obstruction symptoms. Respiratory obstruction in patients with TCS is affected by many factors, and the obstructive degree are different. Early detection of the causes and obstructive sites and adopted targeted treatments can relieve the symptoms of respiratory obstruction and avoid severe complications. Conclusion: Due to the low incidence of TCS, there is still a lack of high-quality research evidence to guide clinical treatment. Large-scale and prospective clinical studies are needed to provide new ideas for the treatment and prevention of upper respiratory obstruction.


Assuntos
Disostose Mandibulofacial , Doenças Respiratórias , Face , Ossos Faciais , Humanos , Disostose Mandibulofacial/complicações , Disostose Mandibulofacial/diagnóstico , Disostose Mandibulofacial/terapia , Estudos Prospectivos , Doenças Respiratórias/diagnóstico , Doenças Respiratórias/etiologia , Doenças Respiratórias/terapia
8.
J Environ Sci (China) ; 86: 154-163, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31787180

RESUMO

Previous studies have reported associations of short-term exposure to different sources of ambient fine particulate matter (PM2.5) and increased mortality or hospitalizations for respiratory diseases. Few studies, however, have focused on the short-term effects of source-specific PM2.5 on emergency room visits (ERVs) of respiratory diseases. Source apportionment for PM2.5 was performed with Positive Matrix Factorization (PMF) and generalized additive model was applied to estimate associations between source-specific PM2.5 and respiratory disease ERVs. The association of PM2.5 and total respiratory ERVs was found on lag4 (RR = 1.011, 95%CI: 1.002, 1.020) per interquartile range (76 µg/m3) increase. We found PM2.5 to be significantly associated with asthma, bronchitis and chronic obstructive pulmonary disease (COPD) ERVs, with the strongest effects on lag5 (RR = 1.072, 95%CI: 1.024, 1.119), lag4 (RR = 1.104, 95%CI: 1.032, 1.176) and lag3 (RR = 1.091, 95%CI: 1.047, 1.135), respectively. The estimated effects of PM2.5 changed little after adjusting for different air pollutants. Six primary PM2.5 sources were identified using PMF analysis, including dust/soil (6.7%), industry emission (4.5%), secondary aerosols (30.3%), metal processing (3.2%), coal combustion (37.5%) and traffic-related source (17.8%). Some of the sources were identified to have effects on ERVs of total respiratory diseases (dust/soil, secondary aerosols, metal processing, coal combustion and traffic-related source), bronchitis ERVs (dust/soil) and COPD ERVs (traffic-related source, industry emission and secondary aerosols). Different sources of PM2.5 contribute to increased risk of respiratory ERVs to different extents, which may provide potential implications for the decision making of air quality related policies, rational emission control and public health welfare.


Assuntos
Poluição do Ar/estatística & dados numéricos , Exposição Ambiental/estatística & dados numéricos , Material Particulado/análise , Doenças Respiratórias/epidemiologia , Serviço Hospitalar de Emergência , Humanos
9.
Int. arch. otorhinolaryngol. (Impr.) ; 23(4): 445-450, Out.-Dez. 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1024455

RESUMO

Introduction: For the singer, the voice is a medium used to express feelings that capture the listener. Every singing style has specific demands, and a vocal alteration may prevent the singer from meeting them. Objective: To compare the singing style, the vocal habits, and the general health data of professional singers. Methods: Cross-sectional, quantitative and retrospective study of a survey database. Data on the singing style, the vocal habits, and the health conditions and history of 57 professional singers, 31 female singers and 26 male singers, aged from 19 to 57 years old (average of 32 years old), from a mid-sized town were analyzed. Results: There was a prevalence of female (54 ± 2%) popular singers (91 ± 2%), in the adult age (51 ± 2%), nonsmokers (89 ± 2%), nonusers of alcohol (77 ± 2%), with respiratory problems (53 ± 2%), mainly rhinitis (23 ± 2%), and without other health problems. There was a significant use of alcohol in males ( p = 0.010); among the alcohol users, there was a significant presence of respiratory problems ( p = 0.046), of pharyngitis/tonsillitis ( p = 0.003), and of gastroesophageal reflux (GER) ( p = 0.043); there was a significant presence of GER in subjects reporting endocrine problems ( p = 0.023), of gastritis ( p = 0.023), and of pharyngitis/tonsillitis ( p = 0.030). Conclusion: There was a predominance of adult professional popular female singers, with complaints of respiratory issues (with a higher prevalence of rhinitis), without other general health issues, of nonsmokers, and of nonusers of alcohol (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Qualidade da Voz , Saúde do Trabalhador , Canto , Doenças Respiratórias , Gastropatias , Consumo de Bebidas Alcoólicas , Estudos Transversais , Uso de Tabaco
10.
Artigo em Japonês | MEDLINE | ID: mdl-31875632

RESUMO

Asian dust is a phenomenon involving the long-range transport of atmospheric pollutants originating from the desert areas of China and Mongolia. In recent years, the health effects of Asian dust have raised public concerns. Numerous studies on the health effects of Asian dust have been published since the last review in 2010. Thus, a literature review was conducted to shed light on the latest epidemiologic findings. PubMed and Science Direct databases were used for the review of epidemiologic studies published between June 2009 and April 2018. We identified 53 epidemiologic studies. Mortality, ambulance transportation, hospitalization/medical examination, changes in symptomatic, functional, and examination findings, as well as birth outcomes have been reported as outcomes. When the outcomes were categorized by disease, the effects of Asian dust on respiratory, cardiovascular, and allergic diseases raised concerns. The common evidences of causation between Asian dust and these diseases were the consistency of findings and temporal sequence of association. As results of research on dose-response relationships have become available, and the possibility that the health effects of Asian dust may vary depending on its chemical composition has been pointed out, further research using the exposure level indicators of Asian dust or its chemical composition should be conducted. Furthermore, with focus on the crucial issue of reducing exposure, research related to prevention and raising awareness should be further promoted.


Assuntos
Poluentes Atmosféricos/efeitos adversos , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/etiologia , Poeira , Exposição Ambiental/efeitos adversos , Hipersensibilidade/epidemiologia , Hipersensibilidade/etiologia , Doenças Respiratórias/epidemiologia , Doenças Respiratórias/etiologia , Areia , Poluentes Atmosféricos/análise , Poluentes Atmosféricos/química , China , Exposição Ambiental/análise , Exposição Ambiental/prevenção & controle , Humanos , Mongólia , Fatores de Tempo
11.
Lakartidningen ; 1162019 Nov 26.
Artigo em Sueco | MEDLINE | ID: mdl-31769860

RESUMO

Occupational exposures to gas, fumes, dust and chemicals contribute to non-malignant respiratory diseases like asthma, chronic obstructive pulmonary disease, idiopathic pulmonary fibrosis and community-acquired pneumonia in more than one in ten patients. They may be sick due to inhaling various particles, gases, fumes, or chemicals in the workplace. Hence, these exposures should be considered in all patients with non-malignant respiratory diseases. In an international literature review the occupational burden of asthma was 16%, chronic obstructive pulmonary disease 14%, idiopathic pulmonary fibrosis 26% and community-acquired pneumonia 10%.


Assuntos
Exposição por Inalação/efeitos adversos , Exposição Ocupacional/efeitos adversos , Doenças Respiratórias/etiologia , Alveolite Alérgica Extrínseca/etiologia , Asma/etiologia , Bronquite Crônica/etiologia , Humanos , Doenças Profissionais/etiologia , Pneumonia/etiologia , Doença Pulmonar Obstrutiva Crônica/etiologia , Fibrose Pulmonar/etiologia , Sarcoidose/etiologia
12.
Sci Total Environ ; 694: 133757, 2019 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-31756804

RESUMO

BACKGROUND: Coal-fired thermal power plants represent a significant source of air pollutants, especially sulfur dioxide (SO2) that has been associated with an increased risk of mortality and morbidity for respiratory and cardiovascular disease. A coal power plant in Vado Ligure (Italy) (CPPVL) started in 1970 was stopped in 2014 by the Prosecutor's Office on the grounds of environmental and health culpable disaster. OBJECTIVE: To investigate the association between the exposure of residents to atmospheric pollutants emitted by CPPVL and the risk of mortality and hospitalization, considering both cancer and non-cancer causes in a population-based cohort study. METHODS: SO2 and nitrogen oxides (NOx), estimated using the ABLE-MOLOCH-ADMS-Urban dispersion model, were selected as representative surrogates of exposure to CPPVL emissions (SO2-CPPVL) and cumulative emissions from other sources of pollution (NOx-MS), respectively. The relationship between each health outcome and categories of exposure to SO2-CPPVL was estimated by the Hazard Ratio (HR) using multiple sex-specific Cox regression models, adjusted for age, exposure to NOx-MS, and socio-economic deprivation index using SO2-CPPVL first quartile as a reference. RESULTS: 144,019 individuals were recruited (follow-up 2001-2013). An excess of mortality was found for all natural causes (men: 1.49; 95% CI 1.38-1.60; women: 1.49; 95% CI 1.39-1.59), diseases of the circulatory system (men: 1.41; 95% CI 1.24-1.56; women: 1.59; 95% CI 1.44-1.77), of the respiratory system (men: 1.90; 95% CI 1.47-2.45; women: 1.62; 95% CI 1.25-2.09), and of the nervous system and sense organs (men: 1.34; 95% CI 0.97-1.86; women: 1.38; 95% CI 1.03-1.83), and in men for trachea, bronchus, and lung cancers (1.59; 95% CI 1.26-2.00). Results of hospitalization analysis were consistent with those of mortality. CONCLUSION: Results obtained, also when considering multiple sources of exposure, indicate that exposure to CPP emissions represents a risk factor for selected health outcomes as well as the urgently adoption of primary prevention measures and of a specific surveillance programme.


Assuntos
Poluição do Ar/estatística & dados numéricos , Exposição Ambiental/estatística & dados numéricos , Centrais Elétricas , Poluentes Atmosféricos/análise , Doenças Cardiovasculares/mortalidade , Hospitalização/estatística & dados numéricos , Humanos , Itália/epidemiologia , Doenças Respiratórias/mortalidade
13.
Medicine (Baltimore) ; 98(44): e17768, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31689839

RESUMO

Relapsing polychondritis (RP) is a rare immune-mediated disease affecting cartilaginous structures. Respiratory tract manifestations are frequent and constitute a major cause of morbidity and mortality. The present review of the literature was designed to assess the efficacy of tumor necrosis factor alpha (TNF-α) inhibitors in respiratory tract involvement of RP.A MEDLINE literature search was performed from January 2000 to December 2016 to identify all studies and case reports of anti-TNF-α therapy in RP. Articles published in English or French concerning patients with respiratory tract involvement were eligible. Two authors (JB, FL) independently reviewed and extracted data concerning each patient and 2 personal cases were added. Treatment efficacy was assessed according to systemic and/or respiratory criteria.A total of 28 patients (mean age: 41.6 years; 16 females/12 males) were included in the final analysis. Anti-TNF-α therapy was associated with improved health status and respiratory symptoms in 67.8% and 60.1% of cases, respectively.These results suggest that TNF-α inhibitors could be considered for the treatment of respiratory tract involvement of RP.


Assuntos
Antirreumáticos/uso terapêutico , Policondrite Recidivante/tratamento farmacológico , Doenças Respiratórias/tratamento farmacológico , Fator de Necrose Tumoral alfa/antagonistas & inibidores , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Policondrite Recidivante/complicações , Sistema Respiratório/efeitos dos fármacos , Doenças Respiratórias/etiologia , Resultado do Tratamento
14.
Pan Afr Med J ; 33: 233, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31692841

RESUMO

Introduction: As the life expectancy and weight of patients are increasing, more old and obese patients are undergoing total knee arthroplasty (TKA). TKA may lead to several perioperative complications. These include anesthesia-related risks, exacerbation of comorbid medical issues and complications of surgical procedure. We have no studies reporting medical complications following TKA among our population. This study aimed to evaluate perioperative complications of TKA and to identify the related risk factors. Methods: It was a monocentric retrospective including 410 observations in the local TKA registry. Data of patients operated for primary unilateral TKA during the period from January 2014 to December 2017 were reviewed. All patients had standardized protocols of anesthesia and post operative care for three days following surgery. Multivariate logistic regression was used to identify the predicting factors for complications. Results: Incidence of perioperative complications was 37.1%. The most frequent were per operative hypotension (14.1%) and postoperative desaturation (21.7%, including pulmonary embolism in 2.4%). Multivariate logistic regression analysis identified: age ≥ 65 years (OR=1.9; p=0.006), respiratory diseases (OR=1.8; p=0.042) and general anesthesia (OR=2.8; p=0.009) as significant risk factors for any complications. Loss of autonomy (OR=4.8; p <0.001) and general anesthesia (OR=2.6; p=0.03) were significant risk factors for hypotension. Age ≥ 65 years (OR=2.6;p<0.001), female gender (OR=4.3;p=0.006) and respiratory diseases(OR=1.9;p=0.02) were associated with postoperative desaturation. Conclusion: This study highlighted hemodynamic and respiratory complications as the most common early complications in TKA. Age ≥ 65years, general anesthesia and respiratory diseases were significant risk factors.


Assuntos
Anestesia Geral/efeitos adversos , Artroplastia do Joelho/métodos , Complicações Intraoperatórias/epidemiologia , Complicações Pós-Operatórias/epidemiologia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Anestesia Geral/métodos , Artroplastia do Joelho/efeitos adversos , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Doenças Respiratórias/complicações , Estudos Retrospectivos , Fatores de Risco
15.
Medicine (Baltimore) ; 98(48): e18032, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31770218

RESUMO

BACKGROUND: The medical management of chronic respiratory diseases becomes more difficult with the increase in the rate of the elderly population. Monitoring and treating chronic respiratory diseases at home are more comfortable for both the patient and their relatives. Therefore, countries need to develop policies regarding home health services (HHS) according to the state of their social, cultural, and financial infrastructure. OBJECTIVE: The objective of this study is to show the role and contribution of hospital-based HHS regarding respiratory disorders, and to evaluate the model and its efficiency. STUDY DESIGN: The design of this study was cross-sectional. Data were obtained from the Ministry of Health of Turkey with official permission. Data were collected for HHS concerning respiratory diseases between 2011 and 2017. Age and sex distribution, the number of recorded patients, the number of visits for pulmonary diseases, the distribution of institutional visits, and the quantitative alterations within the years were investigated. STUDY POPULATION: The study population was based on patients with respiratory disorders who were given HHS as directed by the Ministry of Health of Turkey. RESULTS: Between 2011 and 2017, the majority of patients with pulmonary diseases, mostly those with chronic obstructive pulmonary disease, asthma, and lung cancer, visited government hospitals (78%). The number of house visits concerning pulmonary disorders increased nearly ten times, but hospitalization due to respiratory diseases decreased (13.5% in 2011 to 12.9% in 2017). CONCLUSION: Hospital-based HHS in pulmonary diseases can be considered as an appropriate model for implementation for countries like Turkey, those that have inadequate hospice-type health service infrastructure.


Assuntos
Serviços Hospitalares de Assistência Domiciliar/estatística & dados numéricos , Hospitais Públicos/estatística & dados numéricos , Doenças Respiratórias/terapia , Idoso , Asma/terapia , Doença Crônica , Estudos Transversais , Feminino , Hospitalização/estatística & dados numéricos , Visita Domiciliar/estatística & dados numéricos , Humanos , Neoplasias Pulmonares/terapia , Masculino , Pessoa de Meia-Idade , Doença Pulmonar Obstrutiva Crônica/terapia , Turquia
17.
Lima; Perú. Ministerio de Salud; 1 ed; 20191100. 28 p. ilus, tab.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-1046300

RESUMO

La publicación describe los criterios para el diagnóstico y tratamiento de la neumonía adquirida en la comunidad en los menores de 12 años, contribuyendo a la reducción de la morbilidad y mortalidad por esta enfermedad, priorizando a las niñas y los niños, menores de 5 años.


Assuntos
Pneumonia , Transtornos Respiratórios , Doenças Respiratórias , Infecções Respiratórias , Assistência Integral à Saúde , Técnicas de Diagnóstico do Sistema Respiratório
18.
Artigo em Chinês | MEDLINE | ID: mdl-31623056

RESUMO

SummaryTobacco smoke exposure has obvious and complex effects on the immune system of the human upper respiratory tract, including pro-inflammatory and anti-immune effects. Exposure to tobacco smoke is closely related to the occurrence and development of allergic rhinitis, the common rhinitis and sinusitis. The innate immune system is influenced by tobacco smoking through its effects on the respiratory mucosa and its adjuncts, natural killer cells, dendritic cells, neutrophils and innate immune receptors. Cigarette smoke can also affect the humoral immunity and cellular immunity, altering the acquired immune condition of the upper respiratory tract. Tobacco smoke exposure promotes the occurrence and development of the upper respiratory tract infectious diseases and allergic diseases by changing the composition of microflora in the upper respiratory tract.


Assuntos
Doenças Respiratórias/epidemiologia , Uso de Tabaco/epidemiologia , Humanos , Imunidade Inata , Nariz , Doenças Respiratórias/imunologia , Rinite , Sinusite , Tabaco , Uso de Tabaco/imunologia
19.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi ; 54(10): 760-763, 2019 Oct 07.
Artigo em Chinês | MEDLINE | ID: mdl-31606989

RESUMO

Objective: To investigate the key issues in the diagnosis and treatment of foreign body aspiration in children with tracheobronchial variations. Methods: A retrospective study was performed for 11 pediatric patients who were treated in Department of Otorhinolaryngology and Head and Neck Surgery, Henan Province People's Hospital after a diagnosis of foreign body aspiration with tracheobronchial variations between January 2015 and December 2017. There were 7 males and 4 females among the 11 cases of foreign body aspiration with tracheobronchial variations, ranging between 9 months and 11 years of age. Results: Among 11 cases, the types of variationswere tracheal bronchus in 9 cases, bridging bronchus in 1 case and simple tracheal stenosis in 1 case. All of the pediatric patients were under general anesthesia, and the foreign bodies were removed by bronchoscopy successfully with no significant complications. Conclusions: The possibility of tracheobronchial variations should be considered in children with recurrent wheezing and poor efficacy of regular treatment before foreign body aspiration. Removal of foreign body via rigid bronchoscope under general anesthesia is a safe and effective treatment. These children are needed to combine the situation oftracheobronchial variations and the location of foreign bodies to guide the operation, and strengthened the perioperative treatment.


Assuntos
Corpos Estranhos/diagnóstico , Corpos Estranhos/terapia , Aspiração Respiratória/diagnóstico , Aspiração Respiratória/terapia , Doenças Respiratórias/complicações , Brônquios/anormalidades , Broncoscopia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Anormalidades do Sistema Respiratório/complicações , Estudos Retrospectivos , Traqueia/anormalidades , Estenose Traqueal/complicações
20.
Vet Clin North Am Equine Pract ; 35(3): 561-573, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31587971

RESUMO

Donkeys suffer from the same respiratory diseases as horses; however, owing to their nonathletic nature many conditions can present in a more advanced state before becoming clinically apparent. Anatomically, their respiratory tract is similar to the horse, with certain species-specific differences that are important to be aware of. Often donkeys do not receive the same level of routine care as horses, so many are not vaccinated against respiratory pathogens such as influenza or herpesviruses. Donkeys can act as a reservoir for certain infectious and parasitic respiratory diseases and the interpretation of diagnostic tests needs to be carried out with caution.


Assuntos
Equidae , Doenças dos Cavalos/etiologia , Doenças Respiratórias/veterinária , Animais , Doenças dos Cavalos/microbiologia , Doenças dos Cavalos/parasitologia , Doenças dos Cavalos/patologia , Cavalos , Doenças Respiratórias/etiologia , Doenças Respiratórias/microbiologia , Doenças Respiratórias/parasitologia
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