Pneumonologia i alergologia polska
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Pneumonol Alergol Pol · Jan 2011
Catamenial pneumothorax, clinical manifestations--a multidisciplinary challenge.
Pleural endometriosis is a rare condition. Spontaneous, recurring pneumothorax occurring during menstruation, referred to as catamenial pneumothorax, is associated with pleural endometriosis. A multidisciplinary approach is needed for a successful result. ⋯ Spontaneous, recurring pneumothorax in women with no previous history of endometriosis can be the first manifestation of pleural endometriosis. The disorder requires surgical intervention, but early diagnosis and postoperative hormonal therapy are just as important for a successful outcome.
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Pneumonol Alergol Pol · Jan 2011
[Costs of chronic obstructive pulmonary disease in patients treated in ambulatory care in Poland].
Chronic obstructive pulmonary disease (COPD) is a leading cause of death worldwide. A cost-of-illness study aims to determine the total economic impact of a disease or health condition on society through the identification, measurement, and valuation of all direct and indirect costs. Exacerbations are believed to be a major cost driver in COPD. The aim of this study was to examine direct, mean costs of COPD in Poland under usual clinical practice form societal perspective. ⋯ The burden of COPD itself appeared to be considerable magnitude for society in Poland.
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Pneumonol Alergol Pol · Jan 2011
[Usefulness of selected tests in the diagnosis of exercise induced bronchoconstriction].
Indirect airway challenge tests are commonly used in the diagnosis of exercise-induced bronchoconstriction (EIB), defined as a post-exercise decrease in FEV(1) ≥ 10%. The aim of this study was to evaluate the diagnostic value of bronchial hyperreactivity tests in the diagnosis of EIB. ⋯ Symptoms suggestive of EIB do not have acceptable sensitivity and specifity for the diagnosis of exercise-induced bronchoconstriction. The most useful measure to diagnose EIB is a combination of typical symptoms of EIB with positive challenge to AMP.
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Pneumonol Alergol Pol · Jan 2011
[Restrictive pattern in spirometry: does FEV(1)/FVC need to be increased?].
Spirometry is an excellent tool in diagnosis of airway obstruction, but is less reliable in restrictive diseases. Diagnosis of lung restriction on the ground of reduced forced vital capacity (FVC) is saddled with a lot of mistakes. According to American Thoracic Society/European Respiratory Society (ATS/ERS) 2005 guidelines restrictive pattern in spirometry consists of a reduction in vital capacity and increase in forced expiratory volume in 1 second/vital capacity (FEV(1)/VC) 〉 85-90%. However, to our knowledge, this recommendation has not been validated. The aim of the study was to check how inclusion of an increased FEV(1)/FVC as a mandatory condition affects value of spirometry in detection of restrictive ventilatory defect. ⋯ Dual condition of reduced FVC and increased FEV(1)/FVC greatly diminishes sensitivity of the test, and hampers diagnosis of restrictive ventilatory defect in spirometry, especially in mild and moderate stages.