American journal of respiratory and critical care medicine
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Am. J. Respir. Crit. Care Med. · May 2013
Macronutrients during pregnancy and life-threatening respiratory syncytial virus infections in children.
Respiratory syncytial virus (RSV) is an important cause of hospitalization and death in infants worldwide. Most RSV deaths occur in developing countries, where burden and risk factors for life-threatening illness are unclear. ⋯ Life-threatening and fatal RSV infections are a heavy burden on infants in the developing world. Diets rich in carbohydrates during pregnancy are associated with these severe outcomes.
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Am. J. Respir. Crit. Care Med. · May 2013
Practice GuidelineAn official American Thoracic Society clinical practice guideline: exercise-induced bronchoconstriction.
Exercise-induced bronchoconstriction (EIB) describes acute airway narrowing that occurs as a result of exercise. EIB occurs in a substantial proportion of patients with asthma, but may also occur in individuals without known asthma. ⋯ The recommendations in this Guideline reflect the currently available evidence. New clinical research data will necessitate a revision and update in the future.
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Am. J. Respir. Crit. Care Med. · May 2013
Pleural mesothelioma and occupational coexposure to asbestos, mineral wool, and silica.
Occupational coexposure to asbestos and other fibers or particles could modify the carcinogenicity of asbestos with regard to pleural mesothelioma. ⋯ Our results are in favor of an increased risk of pleural mesothelioma for subjects exposed to both asbestos and MW or asbestos and silica.
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Am. J. Respir. Crit. Care Med. · May 2013
Prevalence of psychiatric disorders among patients investigated for occupational asthma: an overlooked differential diagnosis?
Up to one-third of patients assessed for occupational asthma (OA) do not receive a diagnosis of OA or any other medical disorder. Although several differential diagnoses are considered (e.g., rhinitis, chronic obstructive pulmonary disease), psychiatric disorders (many with somatic complaints that mimic asthma) are rarely considered or assessed. ⋯ Psychiatric morbidity is common in this population, and hypochondriasis may account for a significant proportion of the "undiagnosable" cases of patients who present for evaluation of OA.