Search results for "respirator"
showing 10 items of 5336 documents
Are benzodiazepines and opioids really safe in patients with severe COPD?
2015
Breathlessness is a key symptom in chronic obstructive pulmonary disease (COPD) with prognostic implications on health status and survival. Since most conditions underlying chronic refractory breathlessness in COPD are not modifiable, the use of opioids and benzodiazepines has been proposed to relieve it. However, respiratory depression is a known adverse event of these drugs, and concerns have been raised on their use in patients with chronic respiratory failure. Despite safety-related concerns, benzodiazepines are frequently prescribed for a variety of reasons, including treatment of insomnia, depression and anxiety, as well as to relieve refractory dyspnea in patients with COPD. The key …
Efectos de un programa de fisioterapia respiratoria preoperatoria sobre la oxigenación y la función respiratoria perioperatoria en pacientes obesos m…
2014
introducción. Los pacientes obesos mórbidos muestran un mayor riesgo de hipoxemia y complicaciones pulmonares postoperatorias en comparación con los sujetos de peso normal. El propósito de este estudio fue determinar los efectos de un programa de fortalecimiento muscular inspiratorio preoperatorio (IMT) sobre la oxigenación arterial postoperatoria en los pacientes obesos mórbidos sometidos a cirugía bariátrica laparoscópica. Métodos. Cuarenta y cuatro pacientes con obesidad mórbida fueron asignados al azar para recibir cuidado preoperatorio habitual (grupo control, n = 21) o IMT preoperatoria (grupo estudio, n = 23) durante un mes antes de la fecha de la cirugía. Los datos sobre la oxigenac…
Plausible Role of Estrogens in Pathogenesis, Progression and Therapy of Lung Cancer
2021
Malignant neoplasms are among the most common diseases and are responsible for the majority of deaths in the developed world. In contrast to men, available data show a clear upward trend in the incidence of lung cancer in women, making it almost as prevalent as breast cancer. Women might be more susceptible to the carcinogenic effect of tobacco smoke than men. Furthermore, available data indicate a much more frequent mutation of the tumor suppressor gene-p53 in non-small cell lung cancer (NSCLC) female patients compared to males. Another important factor, however, might lie in the female sex hormones, whose mitogenic or carcinogenic effect is well known. Epidemiologic data show a correlatio…
Integrative Clinical Research
2022
This book embraces a comprehensive range of research across several disciplines, providing insights and fresh perspectives on clinical topics, emphasizing the integrative medical approach. The book also addresses an increasing role of artificial intelligence in the development of clinical methodologies, research, and patient-oriented care. The authors share expertise and experience in rehabilitation medicine whose healing-effects particularly depend on the interaction between the therapist and patient. Chapters present novel approaches in manual rehabilitative therapy of common painful and disabling neuromuscular ailments, exemplified but not limited to low back pain and migraine. The myofa…
Gender differences in the battle against COVID‐19: Impact of genetics, comorbidities, inflammation and lifestyle on differences in outcomes
2020
Abstract It has been over six months now since the entire globe was struck by the new Coronavirus Disease 2019 (COVID‐19; aka severe acute respiratory syndrome coronavirus 2 [SARS‐CoV‐2]), which has affected 215 nations. The medical and scientific communities continue to search for and study potential treatments for COVID‐19 as well as an effective vaccine. As of 21 June 2020, 11.4 million cases have been confirmed worldwide, with approximately 530,000 deaths. A large number of scientific papers have been produced, hundreds of thousands of patients have been hospitalized and studied, several treatments and vaccines are being tested in randomized clinical trials, social distancing regulation…
Salud respiratoria en prematuros tardíos, 32-35 semanas de edad gestacional. Seguimiento en edad preescolar y escolar.
2015
Como se describe en múltiples trabajos, la prevalencia de enfermedades respiratorias inmediatas y tardías en los nacidos prematuramente, es mayor que en los nacidos a término (RNAT). En las últimas décadas, dada la cada vez más numerosa tasa de nacimientos prematuros, se ha observado un incremento de este tipo de estudios, centrándose fundamentalmente en los grandes pretérmino o en los recién nacidos (RN) que presentan algún tipo de enfermedad pulmonar desde los primeros días de vida. En cambio, se ha prestado menos atención a los niños mayores de 32 semanas de edad gestacional (EG), sin ningún problema respiratorio de base. En los prematuros moderados y tardíos, las líneas de estudio se ce…
Un modelo de formación en reanimación cardiopulmonar pediátrica para personal sanitario
2015
Introducción: La reanimacion cardiopulmonar se ha convertido en estos ultimos años en un pilar fundamental para la supervivencia de multitud de adultos y niños en situación de riesgo vital. En España, la Sociedad Española de Medicina Intensiva y Unidades Coronarias (SEMIUC) puso en marcha en 1986 el Plan Nacional de Difusión y Enseñanza de la RCP, a través de este ambicioso y bien planificado sistema educativo se lograron difundir los conocimientos de la RCP en nuestro país, pero dirigido casi exclusivamente al adulto. La enseñanza sobre RCP Pediatrica no comenzo su andadura hasta 1992, con la fundación del Grupo Español de RCP Pediatrica y Neonatal. Desde ese momento la formacion ha sido l…
PEDIATRIC OSAS TREATED WITH ADENOIDECTOMY: A COHORT STUDY CONDUCTED AT THE UNIVERSITY HOSPITAL OF PALERMO, ITALY
2021
The incidence of Obstructive Sleep Apnea Syndrome (OSAS) in the pediatric population is about 2%. The diagnosis is based on the employment of questionnaires, and polysomnography (PSG) that is the gold standard also among children. The PSG allows to classify OSAS as mild in case of 110. If polysomnography is not available, we need alternative diagnostic tests such as nocturnal oximetry studies and respiratory polygraphy. The risk factors identified are different from adults, first tonsillar hypertrophy wins over others. The symptoms and signs described are similar to adult population, but sleep enuresis, neurocognitive impairment and behavioral problems (attention-deficit/hyperactivity disor…
Sports and exercise medicine clinic in public hospital settings: A real-life concept and experiences of the treatment of the first 1151 patients
2022
AbstractExercise has been shown to have a multitude of health-promoting effects, including improvements in cardiorespiratory and muscular fitness, function, symptoms and risk factors. Furthermore, exercise may slow down, stop or even reverse the progression of various non-communicable diseases (NCDs). Despite the overwhelming evidence, exercise is still not comprehensively used as a treatment component either in primary care or in hospital settings. The outpatient Sports and Exercise Medicine Clinic (SEMC) is the first specialized clinic in Finland to use exercise as part of patient protocols in the public health care system. Patients needing specialist attention due to NCDs, usually combin…
Effect of Sex, Body Mass Index and Physical Activity Level on Peak Oxygen Uptake Among 14–19 Years Old Adolescents
2020
The aim was to describe longitudinal trends in peak oxygen uptake (VO2peak) among 14- to 19-year-old adolescents in Norway, and to examine effects of sex, body mass index (BMI), and physical activity (PA) level on VO2peak during adolescence. Of 124 invited students from two lower secondary schools in Norway, 116 eighth-grade students (61 boys and 55 girls; 14 years old at baseline) volunteered to participate. The study has a longitudinal design with 6 yearly repeated measures of body height and mass, VO2peak and PA level. VO2peak allometrically scaled to body mass raised to the power of 0.67 was measured using a walking or running incremental test on a treadmill, whereas PA level was self-r…