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Chronic Obstructive Pulmonary Disease 慢性阻塞性肺疾病
Pub Date : 2017-06-06 DOI: 10.2307/j.ctv1xx9jcf.9
P. D. Dennison
Chronic obstructive pulmonary disease (COPD) is not a disease entity but a complex of conditions that contribute to airflow limitation. COPD is a chronic, slowly progressive disorder characterized by stable phases increasingly interrupted by worsening of symptoms, termed acute exacerbations. In 1995 the American Thoracic Society defined COPD as a disease state characterized by airflow obstruction resulting from chronic bronchitis or emphysema (Figure 27-1). Asthma is discussed separately because of its unique characteristics of inflammation and degree of reversibility. Most persons with COPD have one predominant disease entity, but often with manifestations of both. Why some individuals develop bronchitis and others develop emphysema is unknown. Hereditary or environmental factors or factors in the patient’s history are believed to influence differences in susceptibility and the predominant type of disease.
慢性阻塞性肺疾病(COPD)不是一种疾病实体,而是导致气流限制的复杂条件。慢性阻塞性肺病是一种慢性、缓慢进展的疾病,其特征是稳定阶段逐渐因症状恶化而中断,称为急性加重。1995年,美国胸科学会将COPD定义为一种以慢性支气管炎或肺气肿引起的气流阻塞为特征的疾病状态(图27-1)。哮喘因其独特的炎症特征和可逆性而单独讨论。大多数慢性阻塞性肺病患者有一种主要疾病实体,但经常有两种表现。为什么有些人患支气管炎,有些人患肺气肿尚不清楚。遗传或环境因素或患者病史因素被认为影响易感性和主要疾病类型的差异。
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引用次数: 0
Other Strategies to Relieve Shortness of Breath 缓解呼吸短促的其他策略
Pub Date : 2017-06-06 DOI: 10.2307/j.ctv1xx9jcf.13
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引用次数: 0
Acknowledgments 致谢。
Pub Date : 2017-06-06 DOI: 10.2307/j.ctv1xx9jcf.4
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引用次数: 0
Traveling with Oxygen 带着氧气旅行
Pub Date : 2017-06-06 DOI: 10.2307/j.ctv1xx9jcf.14
• A compressed oxygen tank is oxygen gas stored in a tank under pressure. Small tanks can be carried. • A liquid oxygen unit contains oxygen gas cooled to a very low temperature. Most tanks come with a portable unit that you can carry or pull on a cart. • A portable oxygen concentrator (POC) takes in the air around you to concentrate oxygen and give you more of it. It uses electricity from a battery or by plugging into an outlet.
•压缩氧气罐是在压力下储存在罐内的氧气。小型坦克可以携带。•液氧单元包含冷却到极低温度的氧气。大多数坦克都有一个便携式装置,你可以携带或拉在车上。•便携式氧气浓缩器(POC)吸收你周围的空气来浓缩氧气,并为你提供更多的氧气。它使用电池或插座供电。
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引用次数: 0
Index 指数
Pub Date : 2017-06-06 DOI: 10.2307/j.ctv1xx9jcf.15
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引用次数: 0
Correct Inhaler Use 正确使用吸入器
Pub Date : 2017-06-06 DOI: 10.2307/j.ctv1xx9jcf.10
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引用次数: 0
Second Wind 第二个风
Pub Date : 2017-06-06 DOI: 10.5040/9780755623051.ch-011
Dick Francis
at its headquarters in New York. Although many were hoping for a strong result, the Second Review Conference faced the same problem that had contributed to the failure of the First Review Conference, in 2006, namely how to make sense of a mandate that required it to review progress made in PoA implementation when there was no mechanism to do so. This chapter explains how the Second Review Conference managed to achieve a result that holds out the promise of a strengthened PoA despite the initial uncertainty surrounding its mandate. Drawing on relevant UN documents and the author's own observations of the meeting and its preparatory phase, the chapter examines the principal features of the Review Conference process and outcome. With respect to process, the Second Review Conference, including its preparatory phase, was characterized by incremental, visible progress towards a final, consensual outcome. It avoided many of the problems that had plagued the First Review Conference, largely through the use of a working method that contributed to the success of UN small arms meetings after 2006. Among other things, this translated into the early designation of the Conference president, Ambassador U. Joy Ogwu of Nigeria, and the optimal use of scarce meeting time. Another important factor in the Review Conference success was the resolution of the uncertainty surrounding its mandate at an early stage. Draft outcome documents were prepared and discussed during the months preceding the Conference. By the time the meeting started, states seemed comfortable with an outcome that, while forward-looking, was squarely rooted in the implementation of norms laid out in the PoA and the related International Tracing Instrument (ITI). Equally important, at the Second Review Conference UN member states showed a willingness to compromise that they had often lacked at its 2006 predecessor. At the end of the Second Review Conference, UN member states adopted, by consensus, a substantive outcome in which they committed themselves to a series of measures designed to bolster implementation of the PoA and the ITI during the period leading
总部设在纽约。虽然许多人希望取得强有力的结果,但第二次审查会议面临着导致2006年第一次审查会议失败的同样问题,即在没有机制的情况下,如何理解要求它审查《行动纲领》执行进展情况的任务。本章解释了第二次审查会议如何设法取得了一项结果,尽管其任务规定最初存在不确定性,但仍有希望加强《行动纲领》。根据联合国相关文件和作者本人对会议及其筹备阶段的观察,本章审查了审查会议进程和结果的主要特点。关于进程,第二次审查会议,包括其筹备阶段,其特点是朝着最后的协商一致结果取得了渐进的、明显的进展。它避免了困扰第一次审议会议的许多问题,主要是通过使用一种工作方法,这种方法有助于2006年后联合国小武器会议的成功。除其他事项外,这包括及早任命尼日利亚的尤·乔伊·奥武大使为会议主席,并充分利用有限的会议时间。审查会议取得成功的另一个重要因素是在早期阶段解决了围绕其任务的不确定性。成果文件草案是在会议前几个月期间编写和讨论的。到会议开始时,各国似乎对这一结果感到满意,这一结果虽然具有前瞻性,但完全植根于执行《行动纲领》和相关国际追踪文书中规定的规范。同样重要的是,在第二次审议大会上,联合国成员国表现出妥协的意愿,这是它们在2006年的上届大会上经常缺乏的。在第二次审议大会结束时,联合国成员国协商一致通过了一项实质性成果,承诺采取一系列措施,在今后一段时间内加强《行动纲领》和《国际贸易协定》的实施
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引用次数: 0
Why Am I Short of Breath? 为什么我呼吸急促?
Pub Date : 2005-04-15 DOI: 10.2307/j.ctv1xx9jcf.7
Neel G. Karnani, G. Reisfield, G. Wilson
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引用次数: 0
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Breathe Easy
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