High-resolution computed tomography findings of pulmonary tuberculosis in lung transplant recipients
Conclusions: The predominant HRCT pattern was ground-glass attenuation with consolidation, followed by cavitation and centrilobular nodules with a tree-in-bud pattern. These findings are similar to those reported for immunocompetent patients with pulmonary tuberculosis and considerably different from those reported for AIDS patients with the same disease.RESUMO Objetivo: As infec ções respiratórias constituem a principal causa de morbidade e mortalidade em transplantados de órgãos sólidos. A incidência de tuberculose pulmonar é alta entre esses pacientes. Em exames de imagem, a tuberculose tem diferentes apresenta...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Translation and cultural adaptation of a specific instrument for measuring asthma control and asthma status: the Asthma Control and Communication Instrument
Conclusions: The ACCI was successfully translated to Portuguese and culturally adapted for use in Brazil, the translated version maintaining the psychometric properties of the original version. The ACCI can be used in clinical practice because it is easy to understand and easily applied.RESUMO Objetivo: Traduzir e adaptar culturalmente para a l íngua portuguesa falada no Brasil um instrumento que avalia a comunicação e o controle da asma, denominado Asthma Control and Communication Instrument (ACCI). Métodos: O ACCI foi traduzido e adaptado culturalmente com um protocolo que incluiu etapas internacionalmente aceitas:...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Laryngotracheobronchial papillomatosis: chest CT findings
Conclusions: The most common tomography findings were nodular formations in the trachea, as well as solid or cavitated nodules and masses in the lung parenchyma. Malignant transformation of the lesions was observed in 5 cases.RESUMO Objetivo: Analisar os achados em TCs de t órax em 16 pacientes (8 homens e 8 mulheres) com papilomatose laringotraqueobrônquica. Métodos: Estudo retrospectivo que incluiu pacientes com idade variando de 2 a 72 anos. As imagens de TC foram avaliadas por dois observadores, de forma independente, e os casos discordantes foram resolvidos po r consenso. Os critérios de inclusão foram presenç...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Usefulness of radiological signs of pulmonary congestion in predicting failed spontaneous breathing trials
Conclusions: Radiological findings of pulmonary congestion should not delay SBT indication, given that they did not predict weaning failure in the medical-surgical critically ill population. (ClinicalTrials.gov identifier: NCT02022839 [http://www.clinicaltrials.gov/])RESUMO Objetivo: A queda inspirat ória da pressão intratorácica durante o teste de respiração espontânea (TRE) pode provocar disfunção cardíaca e edema pulmonar agudo. Nosso objetivo foi determinar a relação entre sinais radiológicos de congestão pulmonar antes do TRE e desfechos do desmame. Métodos: Análise post hoc de um estudo prospectivo ...
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Prognostic studies for health care decision making
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

Thickening of the tracheal wall
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

The difficult task of searching for tools that help predict mechanical ventilator weaning success
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

JBP and bibliometric índices
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - September 21, 2017 Category: Respiratory Medicine Source Type: research

A storm of stones in the lungs: an uncommon sequela of varicella pneumonia
The objective of these guidelines was to aggregate the main scientific evidence to guide the management of these patients. A group of 18 CF specialists devised 82 relevant clinical questions, divided into five categories: characteristics of a referral center; diagnosis; treatment of respiratory disease; gastrointestinal and nutritional treatment; and other aspects. Various professionals working in the area of CF in Brazil were invited to answer the questions devised by the coordinators. We used the PubMed database to search the available literature based on keywords, in order to find the best answers to these questions.RES...
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research

Brazilian guidelines for the diagnosis and treatment of cystic fibrosis
The objective of these guidelines was to aggregate the main scientific evidence to guide the management of these patients. A group of 18 CF specialists devised 82 relevant clinical questions, divided into five categories: characteristics of a referral center; diagnosis; treatment of respiratory disease; gastrointestinal and nutritional treatment; and other aspects. Various professionals working in the area of CF in Brazil were invited to answer the questions devised by the coordinators. We used the PubMed database to search the available literature based on keywords, in order to find the best answers to these questions.RES...
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research

Frequency of indeterminate results from an interferon-gamma release assay among HIV-infected individuals
Conclusions: The high prevalence of indeterminate results can be a major limitation for the routine use of IGRAs in PLWHA. The need to repeat the test increases its costs and should be taken into account in cost-effectiveness studies. The processing of samples can significantly alter the results.RESUMO Objetivo: Avaliar a frequ ência de resultados indeterminados de um interferon-gamma release assay (IGRA, ensaio de liberação de interferon-gama) e os fatores relacionados com esses resultados em pessoas vivendo com HIV/AIDS (PVHA). Métodos: Foram avaliadas 81 PVHA na região Centro-Oeste do Brasil, por meio do teste tu...
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research

Effects of emissions from sugar cane burning on the trachea and lungs of Wistar rats
Conclusions: In this sample, emissions from sugar cane burning induced acute focal and diffuse inflammation in the lamina propria of tracheal tissues, with no loss of ciliated epithelial tissue. In the lung parenchyma of the animals in the experimental groups, there was interstitial and alveolar edema, together with polymorphonuclear cell infiltrates.RESUMO Objetivo: Avaliar os efeitos da exposi ção à fumaça da queima da cana-de-açúcar sobre mecanismos inflamatórios em tecidos de traqueia e de parênquima pulmonar de ratos Wistar após diferentes períodos de exposição. Métodos: Estudo experimental, randomizado...
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research

Effective tobacco control measures: agreement among medical students
Conclusions: Our results revealed the need to emphasize to third-year medical students the importance of raising the prices of and taxes on tobacco products. We also need to make students aware of the dangers of experimenting with tobacco products other than cigarettes, particularly water-pipe tobacco smoking.RESUMO Objetivo: Determinar o grau de concord ância com medidas eficazes de controle do tabaco recomendadas pela Organização Mundial da Saúde e avaliar as atitudes, o conhecimento e as crenças a respeito do tabagismo em alunos do terceiro ano de medicina da Faculdade de Medicina da Universidade de São Paulo, em...
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research

Hearing thresholds in patients with drug-resistant tuberculosis: baseline audiogram configurations and associations
Conclusions: In this sample of patients with DR-TB, most presented with bilateral, mild, suboptimal sensorineural hearing loss, and ascending/sloping audiometric configurations were associated with male gender.RESUMO Objetivo: Utilizar par âmetros do audiograma basal para verificar se a tuberculose resistente (TB-R) tem efeitos na audição, descrever as configurações dos audiogramas e determinar se há parâmetros que possam ser associados a essas configurações. Métodos: Estudo prospectivo com pacientes diagnosticados com TB-R em um centro de tratamento de tuberculose no estado de Ogun, Nigéria. Os pacientes in...
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research

Ultrasound-guided intrapleural positioning of pleural catheters: influence on immediate lung expansion and pleurodesis in patients with recurrent malignant pleural effusion
Conclusions: Our results suggest that the position of the tip of the pleural catheter influences neither early lung expansion nor bedside pleurodesis success in patients with RMPE.RESUMO Objetivo: Avaliar o papel do posicionamento intrapleural do cateter pleural na expans ão pulmonar precoce e no sucesso da pleurodese em pacientes com derrame pleural maligno recorrente (DPMR). Métodos: Trata-se de um estudo retrospectivo aninhado em um estudo prospectivo de coorte maior com pacientes com DPMR recrutados em um hospital-escola universitário terciário entre junho d e 2009 e setembro de 2014. Os pacientes foram submetido...
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research