Продължително макролидно лечение при хронично белодробно заболяване

Long-term macrolide treatment for chronic respiratory disease   Eur Respir J 2013; 42: 239–251 | DOI: 10.1183/09031936.00136712   Long-term macrolide treatment was first shown to alter the natural history of diffuse panbronchiolitis (DPB) in the late 1980s. Since then, macrolides have been demonstrated to exert antiinflammatory and immunomodulatory activity in addition to being antimicrobial. Indeed, / прочети повече

Phosphodiesterase-4 Inhibitor Therapy for Lung Diseases

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE VOL 188 2013   Bianca Beghe` 1,  Klaus F. Rabe2,3,  and  Leonardo  M. Fabbri1   1Section of Respiratory Diseases, Department of Oncology, Haematology, and Respiratory Diseases, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy; 2Department of Pulmonology, Christian Albrechts University Kiel, member of the / прочети повече

A Rare Case of Empyema

CHEST 2013; 144 ( 1 ): 350 – 353   An 85-year-old man presented  to an outside hospi- tal with 2 weeks of progressive vague chest discomfort and worsening shortness of breath. Upon presentation  he was septic, with fever, tachypnea, and tachycardia. Chest radiograph showed a large sponta- neous left-sided pneumothorax with a large pleural / прочети повече

British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults

SUMMARY OF RECOMMENDATIONS Monitoring, precautions and complications ▸ All patients undergoing bronchoscopy should have heart rate, respiratory rate, blood pressure and oxygen saturation recorded repeatedly, including before, during and after the procedure. (Grade D) ▸ All bronchoscopy units should undertake periodic audit of bronchoscopic performance, including efficacy, complications and patient satisfaction surveys. (Good practice point / прочети повече

Възможности за използване на медицинска марихуана – резултати от гласуване сред медици

Medicinal Use of Marijuana — Polling Results Jonathan N. Adler, M.D., and James A. Colbert, M.D.   The New England Journal of Medicine n engl j med 368;22 nejm.org may 30, 2013   Readers recently joined in a lively debate about the use of medicinal marijuana. In Clinical Decisions, 1 an interactive feature in which / прочети повече

b2-Agonist Therapy in Lung Disease

Терапия с β2-агонисти – възможности при бронхообструктивни белодробни болести

β2-Agonist Therapy in Lung  Disease AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE VOL 187 2013 Mario Cazzola1,2, Clive P. Page3, Paola Rogliani1, and  M. Gabriella Matera4   1Department of System Medicine, University of Rome Tor Vergata, Rome, Italy; 2Department of Pulmonary Rehabilitation, San Raffaele Pisana Hospital, IRCCS, Rome, Italy; 3Sackler Institute of Pulmonary Pharmacology, / прочети повече

Кортикостероиди при астма и ХОББ

Inhaled Corticosteroids in Lung  Diseases   Hengameh H. Raissy1, H. William Kelly1, Michelle Harkins2, and Stanley J. Szefler3,4,5,6   1Department of Pediatrics and 2Department of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, New Mexico; 3Division of Pediatric Clinical Pharmacology and 4Division of Allergy and Immunology, Department of Pediatrics, National Jewish Health, Denver, / прочети повече

Kostov HOBB For Readers korica

„ХОББ, разказана за пациенти”

„ХОББ, разказана за пациенти” – второ преработено и допълнено издание, е вече на разположение на хората, за които хроничната обструктивна белодробна болест не е само медицинско понятие, а и личен проблем. Книгата ще задоволи интереса на засегнатите около 500 000 българи от това заболяване с разяснения за същността и причините за възникването му, за съвременните подходи / прочети повече

„Да умреш с достойнство“ – програма на център за борба с рака

Implementing a Death with Dignity Program at a Comprehensive Cancer Center   Elizabeth Trice Loggers, M.D., Ph.D., Helene Starks, Ph.D., M.P.H., Moreen Shannon-Dudley, M.S.W., L.I.C.S.W., Anthony L. Back, M.D., Frederick R. Appelbaum, M.D., and F. Marc Stewart, M.D.   The new england journal of medicine n engl j med 368;15 nejm.org april 11, 2013   / прочети повече

Предимствата на средиземноморската кухня – III част

Something New under the Sun? The Mediterranean Diet and Cardiovascular Health Sarah W. Tracy, Ph.D.   n engl j med 368;14 nejm.1274 org april 4, 2013   In this issue of the Journal, Es- truch et al. (pages 1279–1290) report the positive results of PREDIMED (Prevención con Dieta Mediterránea), a randomized trial of the Mediterranean / прочети повече