Revue des maladies respiratoires
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Recent recommendations advise against the use of portable home respiratory polygraphy systems for the diagnosis of the obstructive sleep apnoea syndrome (OSAS). Nevertheless such systems are widely used, particularly in France. Our aim was to assess the diagnostic value of one of these systems in the diagnosis of OSAS. ⋯ A negative result by HRP does not exclude OSAS and full PSG is required in patients suspected of having this condition.
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Respiratory infections play a deleterious role in the progression of patients suffering from cystic fibrosis. Cross infections and epidemics have been documented in these patients, justifying a rigorous prevention regime. ⋯ In view of the time spent in contact with these patients the physiotherapists are naturally involved in this prevention regime which is an integral part of their treatment.
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Letter Case Reports
[Purulent pleurisy due to lactococcus lactis cremoris].
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We report the case of a young woman presenting with dyspnoea of effort. Her records noted that correction of a double aortic arch had been performed in the neonatal period. At rest her flow/volume loop showed a moderate reduction of peak flow without an expiratory plateau. Exercise capacity was limited by sudden onset, during the last 2 stages of the test, of inspiratory dyspnea and tachypnea. During recovery there was no evidence of bronchospasm. ⋯ We have thus demonstrated that the increase in tracheal compression leading to limitation of airflow on exercise was due to an increase in aortic pressure and not to an increase in ventilatory flows.
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Review Practice Guideline
[Non-invasive positive pressure ventilation for neuromuscular diseases. Practice guidelines].