Effects of manual chest compression on expiratory flow bias during the positive end-expiratory pressure-zero end-expiratory pressure maneuver in patients on mechanical ventilation
Conclusions: The PEEP-ZEEP maneuver, without MCC, resulted in an expiratory flow bias superior to that neces sary to facilitate pulmonary secretion removal. Combining MCC with the PEEP-ZEEP maneuver increased the expiratory flow bias, which increases the potential of the maneuver to remove secretions.RESUMO Objetivo: Avaliar os efeitos da compress ão torácica manual (CTM) sobre o flow bias expiratório durante a manobra positive end-expiratory pressure-zero end-expiratory pressure (PEEP-ZEEP) para a remoção de secreção em pacientes sob ventilação mecânica invasiva. O flow bias, que influencia na remoção de secr...
Source: Jornal Brasileiro de Pneumologia - March 12, 2019 Category: Respiratory Medicine Source Type: research

Probe-based confocal laser endomicroscopy of the airways: physiological and pathological characteristics of preneoplastic and neoplastic lesions
ABSTRACT Dysfunctional breathing (DB) is a respiratory condition characterized by irregular breathing patterns that occur either in the absence of concurrent diseases or secondary to cardiopulmonary diseases. Although the primary symptom is often dyspnea or “ air hunger ” , DB is also associated with nonrespiratory symptoms such as dizziness and palpitations. DB has been identified across all ages. Its prevalence among adults in primary care in the United Kingdom is approximately 9.5%. In addition, among individuals with asthma, a positive diagnosis of DB is found in a third of women and a fifth of men. Although DB has...
Source: Jornal Brasileiro de Pneumologia - February 28, 2019 Category: Respiratory Medicine Source Type: research

Evaluation of the gauge of needles used in the collection of specimens during endobronchial ultrasound-guided transbronchial needle aspiration
ABSTRACT Dysfunctional breathing (DB) is a respiratory condition characterized by irregular breathing patterns that occur either in the absence of concurrent diseases or secondary to cardiopulmonary diseases. Although the primary symptom is often dyspnea or “ air hunger ” , DB is also associated with nonrespiratory symptoms such as dizziness and palpitations. DB has been identified across all ages. Its prevalence among adults in primary care in the United Kingdom is approximately 9.5%. In addition, among individuals with asthma, a positive diagnosis of DB is found in a third of women and a fifth of men. Although DB has...
Source: Jornal Brasileiro de Pneumologia - February 28, 2019 Category: Respiratory Medicine Source Type: research

Solitary fibrous tumor of the pleura: a rare cause of elevation of the right lung base
ABSTRACT Dysfunctional breathing (DB) is a respiratory condition characterized by irregular breathing patterns that occur either in the absence of concurrent diseases or secondary to cardiopulmonary diseases. Although the primary symptom is often dyspnea or “ air hunger ” , DB is also associated with nonrespiratory symptoms such as dizziness and palpitations. DB has been identified across all ages. Its prevalence among adults in primary care in the United Kingdom is approximately 9.5%. In addition, among individuals with asthma, a positive diagnosis of DB is found in a third of women and a fifth of men. Although DB has...
Source: Jornal Brasileiro de Pneumologia - February 28, 2019 Category: Respiratory Medicine Source Type: research

Evaluation of bone disease in patients with cystic fibrosis and end-stage lung disease
Conclusions: CFBD is common in CF patients with end-stage lung disease, particularly in males and patients with a low BMI. It appears that CF mutation status does not correlate with CFBD. In addition, it appears that low BMD does not correlate with other risk factors or biochemical parameters. The prevalence of CFBD appears to have recently decreased, most likely reflecting increased efforts at earlier diagnosis and treatment.RESUMO Objetivo: A doen ça óssea é uma comorbidade comum em pacientes com fibrose cística (FC). Nosso objetivo foi determinar os fatores de risco e identificar possíveis marcadores bioquímicos ...
Source: Jornal Brasileiro de Pneumologia - February 28, 2019 Category: Respiratory Medicine Source Type: research

Writing an effective response to reviewers: the goal is to improve the study and get it published!
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - February 28, 2019 Category: Respiratory Medicine Source Type: research

Should we use prognostic scores for acute pulmonary thromboembolism in clinical practice?
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - February 28, 2019 Category: Respiratory Medicine Source Type: research

Pleural effusion caused by infection with Listeria monocytogenes: etiopathogenesis and treatment
ABSTRACT Dysfunctional breathing (DB) is a respiratory condition characterized by irregular breathing patterns that occur either in the absence of concurrent diseases or secondary to cardiopulmonary diseases. Although the primary symptom is often dyspnea or “ air hunger ” , DB is also associated with nonrespiratory symptoms such as dizziness and palpitations. DB has been identified across all ages. Its prevalence among adults in primary care in the United Kingdom is approximately 9.5%. In addition, among individuals with asthma, a positive diagnosis of DB is found in a third of women and a fifth of men. Although DB has...
Source: Jornal Brasileiro de Pneumologia - February 25, 2019 Category: Respiratory Medicine Source Type: research

Does everyone who quit smoking gain weight? A real-world prospective cohort study
Conclusions: Weight gain is not necessarily associated with smoking cessation, and smokers who are motivated to quit should be informed of that fact. This information could also be useful for addressing smokers who are still undecided because of possibility of weight gain.RESUMO Objetivo: Avaliar as altera ções de peso após 12 meses de abstinência do tabagismo confirmada bioquimicamente, comparando pacientes que perderam peso ou mantiveram o peso basal com os que ganharam peso. Métodos: Estudo prospectivo de coorte do mundo real realizado no Ambulatório de Cessação do Tabagismo do Hospital Sã o Lucas, em Porto A...
Source: Jornal Brasileiro de Pneumologia - February 25, 2019 Category: Respiratory Medicine Source Type: research

Incidence and morphological characteristics of the reversed halo sign in patients with acute pulmonary embolism and pulmonary infarction undergoing computed tomography angiography of the pulmonary arteries
Conclusions: A diagnosis of PE should be considered when there are findings such as those described here, even in patients with nonspecific clinical symptoms.RESUMO Objetivo: Verificar a incid ência do sinal do halo invertido (SHI) associado a infartos pulmonares (IP) relacionados ao tromboembolismo pulmonar (TEP) agudo, identificado por angiotomografia (angio-TC) de artérias pulmonares, e demonstrar as principais características morfológicas do SHI. Métodos: Foram avaliadas 993 ang io-TCs, após estratificação de risco clínico para TEP entre janeiro de 2010 e dezembro de 2014. TEP foi encontrado em 164 pacientes...
Source: Jornal Brasileiro de Pneumologia - February 25, 2019 Category: Respiratory Medicine Source Type: research

Validation of the Pulmonary Embolism Severity Index for risk stratification after acute pulmonary embolism in a cohort of patients in Brazil
Conclusions: The PESI adequately predicted the prognosis after acute PE in this sample of the population of Brazil. The cluster analysis based on the original version is the most appropriate analysis in this setting.RESUMO Objetivo: Pulmonary Embolism Severity Index (PESI) foi desenvolvido para a estratifica ção de risco após tromboembolia pulmonar (TEP) aguda. Nosso objetivo foi validá-lo para uso no Brasil. Métodos: Estudo retrospectivo unicêntrico incluindo pacientes com TEP admitidos numa unidade de emergência. O PESI (versão original e simplificada) foi calculado utilizando-se dados dos pr ontuários na admi...
Source: Jornal Brasileiro de Pneumologia - February 25, 2019 Category: Respiratory Medicine Source Type: research

Hyperinflation surrounding a solitary nodule
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - February 25, 2019 Category: Respiratory Medicine Source Type: research

COPD: more treatment will translate to better breathing. Will it?
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - February 25, 2019 Category: Respiratory Medicine Source Type: research

Jornal Brasileiro de Pneumologia and Sociedade Brasileira de Pneumologia e Tisiologia: perspectives for the next four years
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - February 18, 2019 Category: Respiratory Medicine Source Type: research

Use of thrombolytic agents in the treatment of acute pulmonary thromboembolism: things are not as simple as you might think
ABSTRACT Dysfunctional breathing (DB) is a respiratory condition characterized by irregular breathing patterns that occur either in the absence of concurrent diseases or secondary to cardiopulmonary diseases. Although the primary symptom is often dyspnea or “ air hunger ” , DB is also associated with nonrespiratory symptoms such as dizziness and palpitations. DB has been identified across all ages. Its prevalence among adults in primary care in the United Kingdom is approximately 9.5%. In addition, among individuals with asthma, a positive diagnosis of DB is found in a third of women and a fifth of men. Although DB has...
Source: Jornal Brasileiro de Pneumologia - February 11, 2019 Category: Respiratory Medicine Source Type: research