Volume: 22 Issue: 6
Living in three dimensions / Vivre en trois dimensions
Acute exacerbation of idiopathic pulmonary fibrosis
Canadian Respiratory Conference 2016 - Registration Discounts / Congrès canadien sur la santé respiratoire 2016 ? Rabais sur les droits d?inscription
The medical life of Henry Norman Bethune
The SERVE-HF Trial
Cutaneous sarcoidosis in a patient with severe asthma treated with omalizumabOmalizumab is an immunoglobulin E monoclonal antibody used to treat allergic asthma, a condition primarily mediated by immunoglobulin E. Although omalizumab treatment has proven to be successful over the past decade, the a...
Source: Canadian Respiratory Journal - December 24, 2015 Category: Respiratory Medicine Source Type: research
Volume: 22 Issue: 5
This study aimed to determine whether a simple inhaler education program could influence physicians? attitudes toward inhaler teaching in primary care practice, which is currently lacking.
Corticosteroid therapy in critical illness due to seasonal and pandemic influenzaCorticosteroids are a powerful class of drugs used to treat several chronic and acute conditions; however, they may be harmful to a subset of critically ill intensive care unit patients with specific conditions. Therefore, understanding the clinical triggers for corticosteroid use in this environment is a quality of care issue. Accordingly, this study used a...
Source: Canadian Respiratory Journal - December 24, 2015 Category: Respiratory Medicine Source Type: research
Volume: 22 Issue: 2
This study investigated the feasibility and effectiveness of adapting an outpatient version of the Ottawa Model for Smoking Cessation in a tertiary care respirology clinic.
Multidrug-resistant tuberculosis: Treatment and outcomes of 93 patientsAlthough treatable and curable in many developed countries, tuberculosis (TB) remains a significant health threat and leading cause of death in resource-poor countries. However, the emergence of extensively and multidrug-resistant TB has the potential to also become a significant threat to public health in industrialized nations. Prompted by the limited data regarding the treatment c...
Source: Canadian Respiratory Journal - August 15, 2015 Category: Respiratory Medicine Source Type: research
Volume: 22 Issue: 3
This study investigated the impact of a relatively inexpensive tool aimed to improve patient care and outcomes at a quaternary care academic hospital in Toronto, Ontario.
Bronchiectasis exacerbations: The role of atypical bacteria, respiratory syncytial virus and pulmonary function testsA significant proportion of bronchiectasis exacerbations may be explained by chronic colonization of the lower respiratory tract by <span style="font-style: italic">Haemophilus influenzae</span> and <span style="font-style: italic">Pseudomonas</span> species. Less studied, however, is the involvem...
Source: Canadian Respiratory Journal - August 15, 2015 Category: Respiratory Medicine Source Type: research
Volume: 22 Issue: 4
This article describes a case involving a 52-year-old woman with idiopathic scoliosis who was referred to the authors? centre for an unresolving pneumonia.
Implementation of a targeted screening program to detect airflow obstruction suggestive of chronic obstructive pulmonary disease within a presurgical screening clinicChronic obstructive pulmonary disease (COPD) affects a significant proportion of the population =40 years of age, and is a leading cause of hospitalization, emergency department visits and mortality. Unfortunately, however, COPD appears to be underdiagnosed and is poorly controlled in many individuals. Ther...
Source: Canadian Respiratory Journal - August 15, 2015 Category: Respiratory Medicine Source Type: research
Volume: 22 Issue: 1
This study investigated whether the Chronic Respiratory Disease Questionnaire could be used as a screening tool to identify individuals with depression or anxiety, and to explore relationships between psychological status and clinical outcomes.
Effectiveness of phosphodiesterase-5 inhibitor therapy for portopulmonary hypertensionPortopulmonary hypertension (PoPH), a serious complication of chronic liver disease, is associated with significant morbidity and mortality. Prompted, in part, by a lack of data from the PoPH population, this single-centre, retrospective study investigated the efficacy of phosphodiesterase-5 inhibi...
Source: Canadian Respiratory Journal - January 31, 2015 Category: Respiratory Medicine Source Type: research
Volume: 21 Issue: 6
This study examined the prevalence of asthma and health care burden in groups that represent a significant proportion of Ontario?s population.
Action plans in patients presenting to emergency departments with asthma exacerbations: Frequency of use and description of contentsWritten asthma action plans (AAPs) represent one of the key strategies for ambulatory asthma care and management. Despite the success of AAPs, however, they continue to be underused in asthma patients presenting with acute exacerbations. This study examined AAPs reported by patients presenting to three urban Canadian emergency departments, and explored ...
Source: Canadian Respiratory Journal - December 2, 2014 Category: Respiratory Medicine Source Type: research
Volume: 20 Issue: 3
This study examined the performance characteristics and deficiencies of two screening tools for influenza and urges infection-control practitioners to implement validated methods that combine objective clinical and laboratory tests.
A Breath of Fresh Air 2013 / Une boufee d'air frais 2013: Poster Presentations / Séances de présentation d?affiches (Source: Canadian Respiratory Journal)
Source: Canadian Respiratory Journal - November 20, 2014 Category: Respiratory Medicine Source Type: research
Volume: 20 Issue: 4
This study aimed to validate a commercially available device and kit by comparing it with currently used standardized methods.
Dyspnea, massive effusion and lytic rib lesion as initial presentation of multiple myeloma in a young manThis article highlights unusual features of multiple myeloma ? a malignant proliferation that primarily affects the bone marrow in older patients ? in a 32-year-old man. More than 95% of patients with this condition are older than 40 years of age and, given that this patient had no familial predisposition, this case is particularly unique. The authors discuss the presentation and examination, an...
Source: Canadian Respiratory Journal - November 20, 2014 Category: Respiratory Medicine Source Type: research
Volume: 20 Issue: 5
This study explored whether a newly developed initiative could help alleviate the strain on the health care system associated with COPD and its sequelae.
Using a virtual game system to innovate pulmonary rehabilitation: Safety, adherence and enjoyment in severe chronic obstructive pulmonary diseasePhysical activity represents an important component of rehabilitation programs in patients with chronic obstructive pulmonary disease. Maintaining high levels of physical activity following completion of rehabilitation programs, however, has proven challenging for many patients. This pilot study assessed the feasibility of incorp...
Source: Canadian Respiratory Journal - November 20, 2014 Category: Respiratory Medicine Source Type: research
Volume: 20 Issue: 6
This article reviews selected case series and describes the condition in a 68-year-old woman who presented with progressive exertional dyspnea and cough.
Severe airway injury due to alendronate aspirationProlonged exposure of the esophageal mucosa to bisphosphonates has resulted in ulcerative esophagitis, which has led to the development of specific recommendations on their use; however, little is known about their effects on the airway mucosa. This article describes a case of foreign-body aspiration involving an 84-year-old woman without a history of dysphagia who was prescribed alendronate during rehabilitation for a hip...
Source: Canadian Respiratory Journal - November 20, 2014 Category: Respiratory Medicine Source Type: research
Volume: 21 Issue: 1
This article describes a case involving an 82-year-old man with an 80 pack-year history of smoking who was referred for a two-year history of progressive dyspnea on exertion. The authors discuss the conditions associated with diffuse pulmonary ossification, whether patients benefit from lung biopsy and, finally, the treatment options for the condition.
New insights into the pathophysiology of mild chronic obstructive pulmonary diseaseAlthough the diagnosis and treatment of chronic obstructive pulmonary disease (COPD) has traditionally focused on individuals with more advanced stages of the disease, emerging evidence sugges...
Source: Canadian Respiratory Journal - November 20, 2014 Category: Respiratory Medicine Source Type: research
Volume: 21 Issue: 2
This article describes the presentation, history, work-up and eventual diagnosis of a 28-year-old woman who was diagnosed with a variety conditions over a span of five months.
Pulmonary ossification syndrome in a patient with chronic thromboembolic pulmonary hypertensionFirst described more than 150 years ago, diffuse pulmonary ossification is a rare disease that can be idiopathic or secondary to an underlying chronic disorder. Commonly under-recognized and challenging to diagnose, clinical, radiographic and functional tests are often necessary. Given the increasing prevalence of chronic lung disease in the aging populatio...
Source: Canadian Respiratory Journal - November 20, 2014 Category: Respiratory Medicine Source Type: research
Volume: 21 Issue: 3
This study, however, prospectively analyzed the issue of inappropriate care from the perspective of medical caregivers using a diverse case mix over a three-month period.
Examination of pulse oximetry tracings to detect obstructive sleep apnea in patients with advanced chronic obstructive pulmonary diseaseAlthough the clinical diagnosis of obstructive sleep apnea is made using polysomnography, the procedure is expensive, requires attended monitoring and has limited availability in some areas. Nevertheless, it is important to identify patients with obstructive sleep apnea and advanced chronic obstructive pulmonary disease b...
Source: Canadian Respiratory Journal - November 20, 2014 Category: Respiratory Medicine Source Type: research
Volume: 21 Issue: 4
This study used scores derived from the Epworth Sleepiness Scale and the Quebec Sleep Questionnaire, two widely used instruments to assess hypersomnolescence, as an alternative to quality of life questionnaires to evaluate diurnal sleepiness.
Similarities and differences between asthma health care professional and patient views regarding medication adherenceSymptom control through daily adherence to controller medication is the cornerstone of asthma treatment. Although several common barriers to medication adherence have been identified in previous studies, patients? perception of medication needs and actual intake has bee...
Source: Canadian Respiratory Journal - November 20, 2014 Category: Respiratory Medicine Source Type: research
