The Quebec Sleep Questionnaire on quality of life in patients with obstructive sleep apnea: translation into Portuguese and cross-cultural adaptation for use in Brazil
Conclusions: The process of translating the QSQ into Portuguese and creating a version that is cross-culturally adapted for use in Brazil produced a valid instrument to assess the quality of life in patients with obstructive sleep apnea.RESUMO Objetivo: Traduzir para a l íngua portuguesa e adaptar culturalmente para uso no Brasil o Quebec Sleep Questionnaire (QSQ), um instrumento específico para a avaliação da qualidade de vida em pacientes com apneia obstrutiva do sono Métodos: A versão em português foi desenvolvida obedecendo a uma criteriosa metodologia, que incluiu as seguintes fases: preparação; traduç...
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Understanding diagnostic tests. Part 1.
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Honeycombing
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Momentum
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - November 13, 2017 Category: Respiratory Medicine Source Type: research

Erratum
This report underscores the fact that pulmonary foreign body granulomatosis should be included in the differential diagnosis of clinical profiles resembling tuberculosis.RESUMO Descrevemos o caso de um homem de 33 anos de idade, usu ário crônico de cocaína em pó, que apresentava dispneia, febre, sudorese noturna e perda de peso significativa. A TCAR de tórax revelou nódulos centrolobulares, dando uma impressão inicial de tuberculose miliar. Por isso, o paciente passou a receber tratamento empírico com quatro tuberculost áticos. Quatro semanas depois, apesar do tratamento antituberculose, o paciente continuou a apr...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Pneumothorax: between the beach and the stratosphere
This report underscores the fact that pulmonary foreign body granulomatosis should be included in the differential diagnosis of clinical profiles resembling tuberculosis.RESUMO Descrevemos o caso de um homem de 33 anos de idade, usu ário crônico de cocaína em pó, que apresentava dispneia, febre, sudorese noturna e perda de peso significativa. A TCAR de tórax revelou nódulos centrolobulares, dando uma impressão inicial de tuberculose miliar. Por isso, o paciente passou a receber tratamento empírico com quatro tuberculost áticos. Quatro semanas depois, apesar do tratamento antituberculose, o paciente continuou a apr...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

The reversed halo sign: also think about chronic eosinophilic pneumonia
This report underscores the fact that pulmonary foreign body granulomatosis should be included in the differential diagnosis of clinical profiles resembling tuberculosis.RESUMO Descrevemos o caso de um homem de 33 anos de idade, usu ário crônico de cocaína em pó, que apresentava dispneia, febre, sudorese noturna e perda de peso significativa. A TCAR de tórax revelou nódulos centrolobulares, dando uma impressão inicial de tuberculose miliar. Por isso, o paciente passou a receber tratamento empírico com quatro tuberculost áticos. Quatro semanas depois, apesar do tratamento antituberculose, o paciente continuou a apr...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Pulmonary foreign body granulomatosis in a chronic user of powder cocaine
This report underscores the fact that pulmonary foreign body granulomatosis should be included in the differential diagnosis of clinical profiles resembling tuberculosis.RESUMO Descrevemos o caso de um homem de 33 anos de idade, usu ário crônico de cocaína em pó, que apresentava dispneia, febre, sudorese noturna e perda de peso significativa. A TCAR de tórax revelou nódulos centrolobulares, dando uma impressão inicial de tuberculose miliar. Por isso, o paciente passou a receber tratamento empírico com quatro tuberculost áticos. Quatro semanas depois, apesar do tratamento antituberculose, o paciente continuou a apr...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Multislice CT in the diagnosis of bronchopleural fistula
The objective of this systematic review was to characterize chest CT findings in patients with dysphagia and pulmonary aspiration, identifying the characteristics and the methods used. The studies were selected from among those indexed in the Brazilian Virtual Library of Health, LILACS, Indice Bibliogr áfico Español de Ciencias de la Salud, Medline, Cochrane Library, SciELO, and PubMed databases. The search was carried out between June and July of 2016. Five articles were included and reviewed, all of them carried out in the last five years, published in English, and coming from different countr ies. The sample size in t...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Chest CT findings in patients with dysphagia and aspiration: a systematic review
The objective of this systematic review was to characterize chest CT findings in patients with dysphagia and pulmonary aspiration, identifying the characteristics and the methods used. The studies were selected from among those indexed in the Brazilian Virtual Library of Health, LILACS, Indice Bibliogr áfico Español de Ciencias de la Salud, Medline, Cochrane Library, SciELO, and PubMed databases. The search was carried out between June and July of 2016. Five articles were included and reviewed, all of them carried out in the last five years, published in English, and coming from different countr ies. The sample size in t...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Long-acting muscarinic antagonists vs. long-acting β 2 agonists in COPD exacerbations: a systematic review and meta-analysis
Conclusions: The major findings of this systematic review and meta-analysis were that LAMAs significantly reduced the exacerbation rate (exacerbation episodes/year), as well as the number of exacerbation episodes, of hospitalizations, and of serious adverse events.RESUMO Objetivo: Determinar se long-acting muscarinic antagonists (LAMAs, antagonistas muscar ínicos de longa duração) são superiores a long-acting β 2 agonists (LABAs, β 2-agonistas de longa dura ção) na prevenção de exacerbações da DPOC. Métodos: Revisão sistemática e meta-análise de ensaios clínicos controlados aleatórios com pacientes com ...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Recommendations for the pharmacological treatment of COPD: questions and answers
ABSTRACT The treatment of COPD has become increasingly effective. Measures that range from behavioral changes, reduction in exposure to risk factors, education about the disease and its course, rehabilitation, oxygen therapy, management of comorbidities, and surgical and pharmacological treatments to end-of-life care allow health professionals to provide a personalized and effective therapy. The pharmacological treatment of COPD is one of the cornerstones of COPD management, and there have been many advances in this area in recent years. Given the greater availability of drugs and therapeutic combinations, it has become in...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Sleep quality in medical students: a comparison across the various phases of the medical course
Conclusions: Medical students seem to be more exposed to sleep disturbance than other university students, and first- and second-years are more affected than those in other class years because they have worse subjective sleep quality. Active interventions should be implemented to improve sleep hygiene in medical students.RESUMO Objetivo: Avaliar a percep ção subjetiva de qualidade de sono em estudantes de medicina, comparando as diferentes fases do curso. Métodos: Estudo transversal envolvendo todos os estudantes entre o 1º e o 6º ano da graduação em medicina em uma universidade na cidade de Botucatu (SP), que for...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Can the six-minute walk distance predict the occurrence of acute exacerbations of COPD in patients in Brazil?
Conclusions: In Brazil, the 6MWD can predict acute exacerbations of COPD over a 2-year period. The risk of experiencing an acute exacerbation of COPD within 2 years is more than twice as high in patients in whom the 6MWD is ≤ 80% of predicted.RESUMO Objetivo: Avaliar se a dist ância percorrida no teste de caminhada de seis minutos (DTC6)< 80% do valor previsto pode predizer a ocorr ência de exacerbações agudas da DPOC ao longo de 2 anos em pacientes brasileiros. Métodos: Estudo transversal, retrospectivo, com 50 pacientes brasileiros com diagnóstico de DPOC. Após a admissão, os pacientes foram submetidos à...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Pneumonia mortality trends in all Brazilian geographical regions between 1996 and 2012
Conclusions: In general, pneumonia mortality trends reversed, with an important increase occurring in the years after 2000.RESUMO Objetivo: Analisar a tend ência temporal dos coeficientes de mortalidade por pneumonia (padronizados por idade, utilizando-se a população do Brasil no ano de 2010 como padrão) nas regiões geográficas brasileiras no período entre 1996 e 2012. Métodos: Estudo ecológico de séries temporais utilizando dados secundári os do Sistema de Informação sobre Mortalidade do Departamento de Tecnologia da Informação do Sistema Único de Saúde. Foram utilizados modelos polinomiais e de regress...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research