scholarly journals Clinical Findings among Patients with Respiratory Symptoms Related to Moisture Damage Exposure at the Workplace—The SAMDAW Study

Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1112
Author(s):  
Pia Nynäs ◽  
Sarkku Vilpas ◽  
Elina Kankare ◽  
Jussi Karjalainen ◽  
Lauri Lehtimäki ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Chronic Rhinosinusitis ◽  
Moisture Damage ◽  
Clinical Findings ◽  
Differential Diagnostics ◽  
Clinical Tests ◽  
Lung Function Testing ◽  
Associated Symptoms ◽  
Function Testing ◽  
New Onset

Background: Respiratory tract symptoms are associated with workplace moisture damage (MD). The focus of this observational clinical study was patients with workplace MD-associated symptoms, to evaluate the usefulness of different clinical tests in diagnostics in secondary healthcare with a special interest in improving the differential diagnostics between asthma and laryngeal dysfunction. Methods: In patients referred because of workplace MD-associated respiratory tract symptoms, we sought to systematically assess a wide variety of clinical findings. Results: New-onset asthma was diagnosed in 30% of the study patients. Laryngeal dysfunction was found in 28% and organic laryngeal changes in 22% of the patients, and these were common among patients both with and without asthma. Most of the patients (85%) reported a runny or stuffy nose, and 11% of them had chronic rhinosinusitis. Atopy was equally as common as in the general population. Conclusions: As laryngeal changes were rather common, we recommend proper differential diagnostics with lung function testing and investigations of the larynx and its functioning, when necessary, in cases of prolonged workplace MD-associated symptoms. Chronic rhinosinusitis among these patients was not uncommon. Based on this study, allergy testing should not play a major role in the examination of these patients.

Lung function testing

1993 ◽  
Vol 3 (2) ◽  
pp. 92-95
Author(s):  
P. Helms
Keyword(s):  
Lung Function ◽  
Lung Function Testing ◽  
Function Testing

scholarly journals Mycoplasma pneumoniae may cause dyspnoea and hospitalisations in young healthy adults

2021 ◽  
Author(s):  
Riku Metsälä ◽  
Solja Ala-Korpi ◽  
Juha Rannikko ◽  
Merja Helminen ◽  
Marjo Renko
Keyword(s):  
Respiratory Tract ◽  
Mycoplasma Pneumoniae ◽  
Hospital Setting ◽  
Health Condition ◽  
Clinical Findings ◽  
Antimicrobial Treatment ◽  
University Hospital ◽  
Upper Respiratory Tract ◽  
Beta Lactam ◽  
Beta Lactam Antibiotics

AbstractPolymerase chain reaction (PCR)-based diagnostics for Mycoplasma pneumoniae (M. pneumoniae) from the respiratory tract has become widely available, but the interpretation of the results remains unclear. M. pneumoniae has been suggested to cause mainly mild and self-limiting infections or asymptomatic carriage. However, systematic analyses of the association between PCR results and clinical findings are scarce. This study aimed to clarify the clinical features of PCR-positive M. pneumoniae infections in a hospital setting. We reviewed 103 PCR-positive patients cared for in a university hospital during a 3-year period. Data on age, sex, health condition, acute symptoms, other pathogens found, laboratory and X-ray results and treatments were collected. Over 85% of the patients had a triad of typical symptoms: fever, cough and shortness of breath. Symptoms in the upper respiratory tract were rare. In 91% of the cases, M. pneumoniae was the only pathogen found. The highest incidence was found in the age group of 30–40 years, and 68% of the patients did not have any underlying diseases. Most patients were initially empirically treated with beta-lactam antibiotics and needed 2–4 changes in their treatment. Only 6% were discharged without an antibiotic effective against M. pneumoniae. This study shows that M. pneumoniae often led to hospitalisation and that patients needed appropriate antimicrobial treatment to recover. Mixed infections were rare, and situations that could be interpreted as carriage did not occur.

scholarly journals Lung Function Testing On and Off Dopaminergic Medication in Parkinson's Disease Patients With and Without Dysphagia

2015 ◽  
Vol 3 (2) ◽  
pp. 146-150 ◽  
Author(s):  
Tareq Sawan ◽  
Mary Louise Harris ◽  
Christopher Kobylecki ◽  
Laura Baijens ◽  
Michel van Hooren ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Lung Function ◽  
Lung Function Testing ◽  
Dopaminergic Medication ◽  
Function Testing

scholarly journals A case of unexplained dyspnoea: when lung function testing matters!

Breathe ◽  
2018 ◽  
Vol 14 (4) ◽  
pp. 325-332 ◽  
Author(s):  
Pierantonio Laveneziana ◽  
Marie-Cécile Niérat ◽  
Antonella LoMauro ◽  
Andrea Aliverti
Keyword(s):  
Lung Function ◽  
Lung Function Testing ◽  
Function Testing

scholarly journals Assessing Airway Resistance Using Plethysmography as Lung Function Testing Among Asymptomatic Rheumatoid Arthritis Patients.

2021 ◽  
Vol 11 (6) ◽  
pp. 116-124
Author(s):  
Abdulrhman Mustafa Rasheed ◽  
Ahmed Fadlalla ◽  
Fadelelmoula Tarig ◽  
Wael F Asmaa Hegazy Alblowi ◽  
Fawaz Alshammari Saitah
Keyword(s):  
Rheumatoid Arthritis ◽  
Lung Function ◽  
Airway Resistance ◽  
Lung Function Testing ◽  
Mean Values ◽  
Pulmonary Manifestations ◽  
Medical City ◽  
Respiratory Mechanism ◽  
Function Testing ◽  
Airway Conductance

Pulmonary events in rheumatoid arthritis (RA) reflects the involvement of pleurae, lung interstitium, and airways. Overall, pulmonary manifestations are estimated to cause 10–20% of mortalities in RA. Respiratory system involvement as extra-articular presentations of RA is common among some Saudi patients. This study aims to evaluate specific airway conductance (sGaw), airway resistance (Raw), and specific airway resistance (sRaw), using plethysmography. Comparison for deployed methods is made by forced spirometer as an indicator for obstruction among patients with RA. The study sought to use the methods to enhance lung testing among RA patients. An analytical, hospital-based study was carried out at pulmonary function test laboratory, department of respiratory care King Saud Medical City (KSMC). RA patients were selected, with an age group of 18-75years. The tests for Forced spirometer and plethysmography were carried out to assess and analyze how the respiratory mechanism was impacted by the disease. Data collected was analyzed using Statistical Package for Social Sciences (SPSS), version 21. The obstructive and mixed ventilation patterns constituted 15%; the mean values of Raw and sRaw were significantly higher compared to mean values predicted for participants selected during the study, while sGaw was significantly lower compared to mean values predicted for participants selected. Monitoring of airway resistance parameters using plethysmography can be used as indicators of lung function testing among RA patients.

scholarly journals Comparison of the Frequency of Detection of Some Radiological Signs in Chronic Maxillary Sinusіtis of Fungal and Non-Fungal Origin

2020 ◽  
Vol 5 (6) ◽  
pp. 202-207
Author(s):  
Ya. V. Shkorbotun ◽  
◽  
Keyword(s):  
Computed Tomography ◽  
Maxillary Sinus ◽  
Chronic Rhinosinusitis ◽  
Chronic Sinusitis ◽  
Maxillary Sinusitis ◽  
Biologically Active ◽  
Differential Diagnostics ◽  
Diagnostic Significance ◽  
Fungal Ball ◽  
The One

The one of the most informative method of preoperative diagnosis of fungal paranasal sinuses is computed tomography. The radiological marker that allows to identify chronic sinusitis of fungal origin is an eclipse with hyperintensive inclusions. The sensitivity of this criterion for fungal ball is about 80%. In addition, a sign of recalcitrant chronic sinusitis is the presence of reactive changes in the bone wall of the sinus – "osteitis". The purpose of the work was to study the frequency of radiological signs of osteitis and areas of increased radiological density in the maxillary sinuses of the patients with chronic sinusitis of fungal and non-fungal etiology, to clarify the diagnostic significance of these symptoms in the differential diagnostics. Material and methods. The results of a retrospective study of computer tomography data of 60 people with chronic rhinosinusitis (intraoperative was verified fungal ball in the maxillary sinus space of 30 patients, other 30 patient had no signs of fungal etiology). Results and discussion. In patients with chronic rhinosinusitis of non-fungal nature, hyperintensive inclusions in the sinus were found in 13.3%, and signs of osteitis were detected in 36.7%, which was significantly less common than in patients with fungal processes, 83.3% and 80,0% respectively (p <0,05). The presence of both of the radiological symptoms was observed in 63.3% of patients from the group of chronic rhinosinusitis in the presence of a fungal body in the space of the sinus and in 6.7% of cases the chronic rhinosinusitis of non-fungal etiology. The severity of osteitis according to KOS, in patients with a fungal body in the sinus was 0.71 ± 0.15 points, and 0.55 ± 0.2 points in patients without a fungus. The pathogenesis of osteitis in the cases of sinusitis with fungal origin is a violation of bone trophism, which develops due to periostitis after the influence of biologically active substances secreted by the fungus. The increase of radiation density in areas of osteitis indicates the predominance of osteogenesis over osteolysis in the inflammatory focus of the bone wall of the maxillary sinus. Conclusion. The frequency of detecting radiological signs of osteitis in patients with chronic rhinosinusitis of the maxillary sinus with fungal bodies was 80%, that was comparable to the frequency of detecting hyperintense inclusions in the lumen of the sinus in these patients (83.3%), and was significantly more than in patients with chronic sinusitis nonfungal etiology. The presence of radiological signs of osteitis of the bone wall of the maxillary sinus in computed tomography should be regarded as an additional symptom in the differential diagnosis of maxillary sinusitis of fungal origin

CLINIC Lung Function Testing

2003 ◽  
Vol 14 (4) ◽  
pp. 175-177
Author(s):  
Rachel Booker
Keyword(s):  
Lung Function ◽  
Lung Function Testing ◽  
Function Testing
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