Pneumonologia i alergologia polska
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Pneumonol Alergol Pol · Jan 2005
Comparative Study[FEV1 after three years of observation in patients with bronchial asthma and patients with chronic obstructive pulmonary disease].
Obstruction of airways is characteristic for both asthma and COPD. It can be measured with spirometric tests. The most important ventilatory parameter is forced expiratory volume in first second--FEV1. ⋯ In non-smokers FEV1 decreased 130 ml and in smokers 200 ml. Thus in asthmatics with IRAO, the decrease of FEV1 was similar to one observed in smokers with COPD, so we concluded the long treatment with corticosteroids in some patients with asthma did not stoppe the progress of the disease. It is also possible that in some asthma patients changes in airways characteristic for asthma coexisted with that characteristic for COPD.
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Several data from literature suggest the potential influence of premature delivery with prolonged oxygen suplementation on prevalence of development of allergic diseases in children. The objective of the study was the retrospective analysis of 60 children aged 4 years, prematurely born, and 30 healthy children at the same age (the control group), born at term. ⋯ The obtained results of the studies shown twice as much prevalence of asthma in prematurely born children (33%) in comparison to these born at term (17%). However atopic dermatitis was observed more often in term children (53%) than in prematurely born children (23%).
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Pneumonol Alergol Pol · Jan 2005
[Management of COPD: pulmonologists' adherence to Polish guidelines].
Literature data suggest that management of COPD in primary care and by specialists differ from national or international guidelines. Aim of this investigation was to evaluate routine management of COPD by Polish pulmonologists and to compare it to COPD guidelines of the Polish Society of Lung Diseases published in 1997 and updated in 2004. Questionnaire containing 33 questions was distributed to 800 participants of a national congress of the Society. ⋯ Results of the study should be taken with caution. Low response rate suggest that only physicians interested in the treatment of COPD patients participated. A real life situation is probably worse than presented.