scholarly journals (P2-81) A Survey of the Health Effects of Bushfire Smoke on Patients Attending Two Sydney Emergency Departments

2011 ◽  
Vol 26 (S1) ◽  
pp. s162-s163
Author(s):  
G.O. Watkins
Keyword(s):  
Emergency Departments ◽  
Respiratory Symptoms ◽  
Medication Use ◽  
Control Group ◽  
Study Group ◽  
Shortness Of Breath ◽  
Chest Tightness ◽  
Respiratory Pathology ◽  
The Subject ◽  
Emergency Department Patients

The objective of this survey was to investigate the incidence of respiratory symptoms reported by emergency department patients during the Christmas 2001–2002 Sydney bushfire disaster. Two hundred and thirty patients attending two Sydney emergency departments for any reason completed questionnaires regarding respiratory symptoms. The symptoms investigated were cough, shortness of breath, chest tightness and wheeze. The same questionnaire was subsequently administered to a similar control group who were not exposed to bushfire smoke. 51% of those surveyed during the bushfires reported one or more of the respiratory symptoms investigated compared to 31% of the control group. This difference was statistically significant (p < 0.01). A significantly higher proportion of respiratory patients in the study group reported an exacerbation of their condition and increased medication use during the bushfires (p < 0.01). The results are consistent with other research on the subject and suggest that exposure to bushfire smoke causes an increased incidence of respiratory pathology.

scholarly journals Spirometry and mannitol bronchial challenge test among firefighters in Bhuj district: a questionnaire based study

2017 ◽  
Vol 4 (5) ◽  
pp. 1434
Author(s):  
Kashyap Buch ◽  
Vinayak Chauhan
Keyword(s):  
Nitric Oxide ◽  
Lung Disease ◽  
Chronic Lung Disease ◽  
Respiratory Symptoms ◽  
Challenge Test ◽  
Shortness Of Breath ◽  
Chest Tightness ◽  
Bronchial Challenge ◽  
Challenge Tests ◽  
Skin Prick Tests

Background: Asthma is a common chronic lung disease that inflames and narrows the airways. It causes recurring period of wheezing, chest tightness, shortness of breath and coughing.Methods: A questionnaire, spirometry, direct and indirect airway challenge tests, exhaled nitric oxide, and skin-prick tests were administered prospectively to 100 out of 120 firefighters employed in Bhuj district, Gujarat, India. Asthma was defined as the combination of respiratory symptoms with airway hyper responsiveness.Results: Twenty out of 100 firefighters (12%) had physician-diagnosed asthma, which could be confirmed in 8 firefighters. In contrast, asthma was diagnosed in 28% (28 of 100 firefighters). Wheezing was the most sensitive symptom for the diagnosis of asthma (sensitivity, 88%; specificity, 90%).Conclusions: Asthma was considerably under diagnosed in firefighters. The combination of a structured symptom questionnaire with a bronchial challenge test allows identifying patients with asthma and should routinely be used in the assessment of active firefighters and may be of help when evaluating candidates for this profession.

scholarly journals Change in the symptom profile treated as asthma – two cross-sectional studies twenty years apart

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Mihkel Pindus ◽  
Hans Orru ◽  
Rain Jõgi
Keyword(s):  
Respiratory Symptoms ◽  
Medication Use ◽  
Asthma Medication ◽  
Self Report ◽  
Smoking History ◽  
Asthma Treatment ◽  
Chest Tightness ◽  
Cross Sectional ◽  
Symptom Profile ◽  
The Impact

Abstract Aims The aims of the study were to investigate prevalence trends of respiratory symptoms, asthma and asthma treatment among young adults in Estonia and to estimate changes in symptom profile among subjects who self-report asthma attacks or use asthma medications. Methods Two similar questionnaires on respiratory health were sent to subjects in Tartu, Estonia, aged between 20 and 44 years; first in 1993/94, and then in 2014/15. To study the impact of different respiratory symptoms on asthma diagnosis and treatment, the log–binomial regression was used to estimate the association between ‘attack of asthma’ (as a proxy for current asthma) and respiratory symptoms as well as asthma treatment and respiratory symptoms, adjusted for age, sex and smoking history. Results Self–reported prevalence of asthma attack, asthma medication use and nasal allergies increased over the twenty years between studies, whereas there was no change in prevalence of asthma–related symptoms, and the prevalence of most respiratory symptoms either decreased, or remained unchanged. For women experiencing asthma attacks, the prevalence of nasal allergies increased and waking with chest tightness decreased. For men using asthma medication, the prevalence of a wheeze without a cold decreased. Women using asthma medication reported decreased prevalence of waking with chest tightness. Conclusion Self-reported asthma attacks and asthma medication use has increased in last 20 years, while the prevalence of most respiratory symptoms either decreased or did not change. It is likely that changes in asthma symptom profile have had an impact on the prevalence of asthma and asthma treatment.

scholarly journals Case Report: 44-Year-Old Male with Shortness of Breath, Cough, and Weight Loss

2021 ◽  
Vol 1 (1) ◽  
pp. 73-77
Author(s):  
Kelsey Keverline
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Case Report ◽  
Respiratory Symptoms ◽  
Severe Disease ◽  
Unknown Etiology ◽  
Shortness Of Breath ◽  
Respiratory Pathology ◽  
Proper Diagnosis ◽  
Clinical Considerations

Statement of Significance Lower respiratory pathologies exhibit a broad spectrum of clinical courses ranging from self-limited to chronic and from benign to fatal. During the present COVID-19 pandemic, the prompt and proper diagnosis of respiratory disease carries even greater importance. Apart from this patient’s presentation with respiratory symptoms during a respiratory pandemic, he demonstrated several concerning features for severe disease including 20 lbs of weight loss and hemoptysis. This teaching case examine the differential diagnosis, workup, clinical considerations, and management of patients presenting with severe respiratory pathology of unknown etiology.

The annual adult asthma review

2021 ◽  
pp. 175573802110611
Author(s):  
Shilen Shanghavi
Keyword(s):  
Respiratory Symptoms ◽  
Hospital Admissions ◽  
Airflow Limitation ◽  
Improve Quality ◽  
Shortness Of Breath ◽  
Chest Tightness ◽  
Lung Condition ◽  
The Uk ◽  
The Cost

Asthma is a chronic inflammatory lung condition characterised by variable respiratory symptoms (wheeze, shortness of breath, cough, and chest tightness) and variable expiratory airflow limitation, usually associated with airway inflammation. It affects 1-in-11 people in the UK and is the cause of over 75 000 hospital admissions per year. Given its prevalence, and the fact that patients are mainly cared for in the community, this article aims to highlight the need for a thorough annual asthma review and what that review entails. When carried out effectively, an asthma review will improve quality of life for those living with the condition, reduce their likelihood of hospital admission and reduce the cost to the NHS as a whole.

Prevalence of Respiratory Symptoms in Children With Atopic Dermatitis Attending Pediatric Dermatology Clinics

PEDIATRICS ◽  
1993 ◽  
Vol 91 (1) ◽  
pp. 8-12
Author(s):  
Stacy P. Salob ◽  
David J. Atherton
Keyword(s):  
Atopic Dermatitis ◽  
Respiratory Symptoms ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Control Group ◽  
Study Group ◽  
Pediatric Dermatology ◽  
The Past ◽  
Tertiary Center ◽  
Test Population

A postal questionnaire, completed by parents, was used to study the prevalence of respiratory symptoms in 250 children with atopic dermatitis who had attended pediatric dermatology clinics in London within the past 5 years. A response rate of 84% was achieved. Each child had a control matched for age and sex, whose parents filled in an identical questionnaire. The prevalence of wheezing was 76% in the atopic dermatitis group and 12% in the control group. Of the children with atopic dermatitis who wheezed, 87% had been given a diagnosis of asthma by a doctor, compared with 40% of the control children who wheezed. Overall, 68% of the children with atopic dermatitis had been given a diagnosis of asthma by a doctor. This prevalence of respiratory symptoms and of diagnosed asthma is substantially higher than has been shown in previous studies. As the test population consisted of children who had been referred to a tertiary center for management of their skin disease, this higher prevalence may partially reflect the increased severity of atopic dermatitis in the study group, as well as the heightened awareness of the association between these two diseases by their parents and physicians.

scholarly journals Reduced Lung Function among Workers in Primary Coffee Processing Factories in Ethiopia: A Cross Sectional Study

2018 ◽  
Vol 15 (11) ◽  
pp. 2415 ◽  
Author(s):  
Samson Abaya ◽  
Magne Bråtveit ◽  
Wakgari Deressa ◽  
Abera Kumie ◽  
Bente Moen
Keyword(s):  
Lung Function ◽  
Respiratory Symptoms ◽  
Respiratory Health ◽  
Age Groups ◽  
Structured Interview ◽  
Dust Exposure ◽  
Control Group ◽  
Shortness Of Breath ◽  
Cross Sectional ◽  
Work Related

Dust exposure is one of the major risk factors for respiratory health in many workplaces, including coffee factories. The aim of this study was to assess the prevalence of respiratory symptoms and lung function reduction among workers in Ethiopian primary coffee processing factories, compared to a control group of workers. A total of 115 coffee workers and 110 water bottling workers were involved in this study, from 12 coffee and 3 water bottling factories in Ethiopia, respectively. The chronic respiratory symptoms were assessed using a structured interview, using a standardized questionnaire adopted from the American Thoracic Society (ATS). The lung function tests were performed according to the ATS recommendation for spirometry. The coffee workers had a significantly higher prevalence of coughing, coughing with sputum, breathlessness, work-related shortness of breath, and wheezing compared with the controls. The prevalence ratio of work-related shortness of breath (PR = 3.7, 95% CI: 1.6–8.7) and wheezing (PR = 3.3, 95% CI: 1.3–8.4) was significantly higher for the coffee workers compared to the controls. The coffee workers in the age groups 28–39 years and ≥40 years, had a significantly lower forced vital capacity and forced expiratory volume in 1 s compared to the controls in the similar age groups. The findings indicated the need for longitudinal studies on the possible effect of coffee dust on respiratory health of coffee production workers.

scholarly journals Evaluation on Triaging Pathway Strategy Guidelines for Cases with Elipidae Bite during COVID-19 Pandemic at Emergency Department

2021 ◽  
Vol 5 ◽  
pp. 15
Author(s):  
Zainul Ikhwan Ahmad Khusairi
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Respiratory Symptoms ◽  
Rapid Screening ◽  
Shortness Of Breath ◽  
Emergency Rooms ◽  
Triage System ◽  
Respiratory Impairment ◽  
Priority Levels ◽  
Supplementary Issue

Introduction: Emergency departments (ED) typically practice a triage system to classify patients into priority levels. A triage system is commonly used in crowded emergency rooms to determine which patient should be seen and treated immediately.Objective: The objective of this study was to evaluate the effectiveness of triaging pathway guidelines for critical cases seen in the Emergency Department during the COVID-19 outbreak.Case Presentation: Emergency Department, Taiping Hospital is practicing a triaging system which consists of two divisions; cases with respiratory symptoms (SARI) and cases without symptoms of respiratory impairment (non-SARI). A patient with snake bite was presented at the Emergency Department, Taiping Hospital with symptoms of numbness at the site of the bite and a complaint of difficulty to open the eyes, while tachycardia was noted. However, no shortness of breath or difficulty in breathing was reported. COVID-19 rapid screening was done and the patient was treated under Red Zone (non-SARI). Luckily, the patient survived and was stable with no reaction observed after treated with Neuro Polyvalent Antivenom 50ml in 500ml normal saline over one hour.Conclusion: The available patient triaging pathway strategy guideline was effectively practiced by paramedics when managing critical cases at the Emergency Department during COVID-19 outbreak. Other emergency departments are advised to practice effective and appropriate triaging pathway strategy guidelines to save patients’ lives.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S15

scholarly journals MUSCULOSKELETAL ULTRASOUND ABNORMALITIES IN PATIENTS ON DIALYSIS, COMPARED TO PATIENTS WITH PRE-DIALYSIS STAGE CHRONIC KIDNEY DISEASE

2017 ◽  
Vol 26 (4) ◽  
pp. 169-172
Author(s):  
Raluca-Daniela Decianu ◽  
◽  
Mihai Bojinca ◽  
Cristina Capusa ◽  
Violeta-Claudia Bojinca ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Control Group ◽  
Study Group ◽  
Joint Function ◽  
Number Of Patients ◽  
The Subject ◽  
Few Data ◽  
A Prospective Study

Background. The musculoskeletal system is deeply involved in patients with CKD on dialysis. The studies that were done by now with regarding this subject mostly aimed the bone metabolism.So far, there is few data on the subject concerning the articular and abarticular abnormalities in dialysed patients(1). Objectives. To indentify the musculoskeletal soft tissue abnormities associated to dialysis and to evaluate whether or not they are more frequent. Also, we set ourselves to point out the importance of detecting these anomalies early in the evolution, in order to preserve the joint function and the quality of life, in a category of patients already severely affected. Materials and methods. This is a prospective study, ran on a period of 4 months. We included 55 patients ( 32 in the study group – on dialysis, 23 in the control group – late stage pre-dialysis chronic kidney disease). For each patient, we evaluated 68 joints using ultrasonography. Also, a visual analogue scale for pain was applied for each patient. Results. The findings vary from median nerve entrapment and tendon calcifications, to usual degenerative abnormalities, synovitis and tenosynovitis. The type of abnormalities does not vary between the two groups, but the percent of the affected patients was much higher in the study group. Conclusions. A great number of patients from the study group presented important articular and mostly abarticular abnormalities, sometimes with no correlation with the algofunctional symptoms.

scholarly journals Types of grammatical and lexical errors made by students with a mild intellectual disability at the second stage of their education a qualitative analysis

1970 ◽  
Author(s):  
Renata Marciniak-Firadza
Keyword(s):  
Intellectual Disabilities ◽  
Point Of View ◽  
Qualitative Description ◽  
Control Group ◽  
Study Group ◽  
Typical Development ◽  
Mild Intellectual Disability ◽  
Second Stage ◽  
The Subject ◽  
Lexical Errors

The aim of the article is to provide a qualitative description of the errors committed by pupils with mild intellectual disabilities. The discussed issue has not yet been the subject of a scientific description from a linguistic point of view. The analysis of errors was based on Andrzej Markowski's classification with small additions from Zygmunt Saloni’s classification. Due to the volumetric framework, the article is limited to discussing grammatical and lexical errors. The research showed that pupils with mild intellectual disabilities make similar errors as those with typical development. No qualitative differences were noted between the study group and the control group, only quantitative ones.

scholarly journals Determining Risk Factors of Bleeding in Patients on Warfarin Treatment

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Evren Uygungül ◽  
Cuneyt Ayrik ◽  
Huseyin Narci ◽  
Semra Erdoğan ◽  
İbrahim Toker ◽  
...  
Keyword(s):  
Acetylsalicylic Acid ◽  
Demographic Data ◽  
Retrospective Chart Review ◽  
Fold Increase ◽  
Educational Status ◽  
International Normalized Ratio ◽  
Bleeding Complications ◽  
Control Group ◽  
Study Group ◽  
Emergency Department Patients

Background. Warfarin is a commonly used oral anticoagulant agent. The most common adverse effects of warfarin are bleeding complications.Methods. We performed a 1-year retrospective chart review of emergency department patients using warfarin. A total of 65 patients with bleeding disorder (study group) and 63 patients without bleeding (control group) were included, making up a total of 128 subjects. Demographic data, frequency of international normalized ratio (INR) checks, and routine blood results were extracted. Logistic regression analysis was used to determine which factors were most closely associated with bleeding complications.Results. Median age was62.0±14.4and61.9±14.5for study group and control group, respectively. Educational status and frequency of INR checks were similar in both groups (P=0.101andP=0.483, resp.). INR levels were higher in the study group (5.45±3.98versus2.63±1.71,P<0.001). Creatinine levels were also higher in the study group (1.14±0.57 mg/dL versus0.94±0.38 mg/dL,P=0.042). Acetylsalicylic acid use was more frequent in the study group and was associated with a 9-fold increase in bleeding complications(P<0.001).Conclusions. High INR levels, high creatinine levels, and acetylsalicylic acid use were associated with bleeding complications in ED patients using warfarin.

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