Swiss medical weekly
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Swiss medical weekly · Nov 2007
Multicenter StudyActive screening for pulmonary tuberculosis among immigrants by chest x-ray at the Swiss border.
To assess the number of immigrants with pulmonary tuberculosis detected by chest x-ray screening at the Swiss border. ⋯ Only 22% (27/125) of immigrants with CXR abnormalities suggestive of pulmonary tuberculosis were documented by smear and/or culture and 40% (50/125) needed antituberculous treatment. 2/11 smear-positive immigrants would not have been detected by a questionnaire on symptoms.
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Swiss medical weekly · Nov 2007
ReviewAdvanced chronic lung disease: need for an active interdisciplinary approach.
Modern treatment of patients with advanced lung disease includes not only pulmonary therapy but also integrative treatment of co-morbidities directly or indirectly linked to the underlying lung disease. Moreover, impairment of heath related quality of life is frequent in these patients and influences their physical and psychological "well-being". ⋯ Referral to the intensive care unit is not generally contraindicated and mortality depends on the underlying lung disease and co-morbidities. Nowadays, lung transplantation is a valuable therapeutic option in advanced lung disease and should be considered early especially in IPF patients.