Pneumonologia i alergologia polska
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Pneumonol Alergol Pol · Jan 2012
Trials of bilevel positive airway pressure - spontaneous in patients with complex sleep apnoea.
Patients with complex sleep apnoea (CompSAS) have obstructive sleep apnoea and experience persistent central apnoeas when exposed to positive airway pressure. Elevated loop gain is one of the postulated mechanisms of CompSAS. We speculated that bilevel positive airway pressure - spontaneous (BPAP-S), by producing relative hyperventilation, may more readily produce CompSAS activity than continuous positive airway pressure (CPAP). If found to do so, a trial of BPAP-S might be a simple way of identifying patients with elevated loop gain who are at risk for CompSAS. ⋯ BPAP-S was not more effective than CPAP in stimulating complex sleep apnoea activity.
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Pneumonol Alergol Pol · Jan 2012
Comparative Study[Problem of depression in patients with bronchial asthma].
The aim of this study was to evaluate the frequency of various degrees of depressive disorders in patients diagnosed with bronchial asthma of different degrees of severity. ⋯ It should be noted that the presence of negative mood state and depressive symptoms in patients suffered from bronchial asthma might be the problem in proper compliance and indicate that adequate treatment, when these psychopathological symptoms are diagnosed, should be implemented. It could suggest that depressive disorders are associated with worse asthma control and deterioration in quality of life.
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Pneumonol Alergol Pol · Jan 2012
Case Reports[Autoimmunological pulmonary alveolar proteinosis--case report].
Autoimmunological pulmonary alveolar proteinosis (APAP) is a rare interstitial lung disease with abnormal surfactant homeostasis. Autoimmunological pulmonary alveolar proteinosis is diagnosed most often in the third or fourth decade of life. Predominant symptoms are dyspnea and cough. ⋯ At the beginning due to limited disease symptoms no specific proceedings was implemented. After two year follow-up of non-resolving pulmonary changes the decision about open lung biopsy was made. On the basis of histological examination of samples and presence of anty GM-CSF antibodies the diagnosis of autoimmunological pulmonary alveolar proteinosis was established.
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Pneumonol Alergol Pol · Jan 2012
[Interstitial lung diseases among patients hospitalized in the Department of Respiratory Medicine in Radom District Hospital during the years 2000-2009].
There is little epidemiological data on interstitial lung diseases (ILDs) in Poland. The aim of the present study was to estimate the frequency of ILDs and frequency of the respiratory failure and the hospital mortality due to ILDs during the period 2000-2009 in Radom District Hospital. ⋯ The incidence rates of ILDs found in our study are lower than that reported in recent European studies. Our study was based on data of single hospital center for respiratory medicine and probably underestimate the real incidence rates of ILDs. On the other hand, 10 years prevalence estimates are concordant with available epidemiological data. Comparisons of the relative frequencies are probably accurate and idiopathic pulmonary fibrosis and sarcoidosis appear to be the most frequent ILDs.