Respiratory medicine
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Respiratory medicine · Sep 2006
Asthma-related healthcare services utilization by African-Americans enrolled in West Virginia Medicaid.
Over the past 25 years, African-Americans have experienced higher rates of emergency department (ED) visits, hospitalizations, and death due to asthma compared to other ethnic groups in the US. African-Americans of lower socioeconomic groups are particularly vulnerable to asthma morbidity and mortality. Few studies have investigated asthma-related healthcare services use by different age and gender groups within this sub-population. ⋯ Asthma prevalence and asthma-related medical services utilization rates among African-American recipients of Medicaid varied by age and gender groups. These recipients appeared to be underutilizing controller pharmacotherapy for asthma.
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Respiratory medicine · Sep 2006
Long-term moxifloxacin in complicated tuberculosis patients with adverse reactions or resistance to first line drugs.
To test safety and tolerability of long-term moxifloxacin in resistant tuberculosis (TB) patients and patients with intolerance to first line anti-TB drugs. ⋯ Despite the fact that a large proportion of patients experienced at least an AE due to moxifloxacin, the drug resulted safe in the long-term administration for complicated TB cases.
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We evaluated an endobronchial valve device in the treatment of surgically created air leak or pneumothorax by eliminating antegrade flow. ⋯ Collapse of a selected lung segment with resolution of air leak can be achieved using bronchoscopically implanted valve device. The valve device may facilitate treatment of patients with post-surgical or post-traumatic persistent air leak.
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Respiratory medicine · Aug 2006
Nasal continuous positive airway pressure with heliox in infants with acute bronchiolitis.
This is the first study aiming to assess the effects of heliox in combination with nasal continuous positive airway pressure (Hx-nCPAP) as a rescue treatment in infants with refractory acute bronchiolitis. Fifteen out of 78 infants with acute bronchiolitis consecutively admitted to PICU fulfilled the inclusion criteria: clinical score>or=5 or arterial oxygen saturation (SatO2)
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Respiratory medicine · Jul 2006
Review Meta AnalysisShort-burst oxygen therapy in chronic obstructive pulmonary disease.
Despite widespread prescription, the efficacy of short-burst oxygen therapy has not been established. ⋯ The studies in this review suggest that the widespread prescription of short-burst oxygen is not evidence-based. If prescription is to continue, the scientific rationale for short-burst oxygen therapy must be established.