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The Lancet. Respiratory medicine最新文献

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The low flyers: persistent airflow limitation in young adults. 低空飞行者:年轻人持续气流受限。
IF 76.2 Pub Date : 2022-09-01 Epub Date: 2022-07-15 DOI: 10.1016/S2213-2600(22)00250-8
Francesca Polverino, George R Washko, Ronina A Covar, Eric B Hysinger, Tillie L Hackett, Surya P Bhatt, Guy Brusselle, Shyamali C Dharmage
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引用次数: 0
Vaping in adolescents and young adults: it's time to act. 青少年和年轻人吸电子烟:是时候采取行动了。
IF 76.2 Pub Date : 2022-09-01 Epub Date: 2022-08-16 DOI: 10.1016/S2213-2600(22)00303-4
The Lancet Respiratory Medicine
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引用次数: 1
Guidelines might help reduce the burden of asthma in African children. 指南可能有助于减轻非洲儿童的哮喘负担。
IF 76.2 Pub Date : 2022-09-01 Epub Date: 2022-08-01 DOI: 10.1016/S2213-2600(22)00289-2
Munyaradzi Makoni
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引用次数: 3
The Philippine vape bill: how politics affects health. 菲律宾电子烟法案:政治如何影响健康。
IF 76.2 Pub Date : 2022-09-01 Epub Date: 2022-08-10 DOI: 10.1016/S2213-2600(22)00292-2
Jea Giezl N Solidum, Roselyn G Solomon, Clyde E Silverio, Edward Christopher Dee
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引用次数: 3
The Natural History of Untreated Pulmonary Tuberculosis in Adults: A Systematic Review and Meta-Analysis 未经治疗的成人肺结核的自然史:系统回顾和荟萃分析
Pub Date : 2022-08-30 DOI: 10.1101/2022.08.30.22279374
B. Sossen, A. Richards, Torben Heinsohn, B. Frascella, Federica Balzarini, A. Oradini-Alacreu, A. Odone, E. Rogozińska, Brit Häcker, F. Cobelens, Katharina Kranzer, R. Houben, H. Esmail
BACKGROUND Key stages in TB disease can be delineated by radiology, microbiology and symptoms, but transition between relevant stages remains unclear. We sought to quantify progression and regression across the spectrum of TB disease by systematically reviewing studies of individuals with untreated TB undergoing follow up. METHODS We searched PubMED, EMBASE and Web of Science until December 31st 1960, the Index Medicus between 1895 and 1945, and extensive investigator collections without date restriction - in English and German. Eligible studies were observational cohorts and clinical trials, presenting adults/adolescents with TB or recent TB exposure, undergoing follow-up for at least 12 months without therapeutic intervention. Two authors independently reviewed titles/abstracts and full texts for inclusion. Quality was assessed with a modified Newcastle-Ottawa Score, excluding highly biased studies. Summary estimates were extracted to align with TB disease transitions in a conceptual model, and we used meta-analysis of proportions with random-effects to synthesise the extracted data. This study is registered with PROSPERO (CRD42019152585). FINDINGS 10477 titles were screened and 1648 full texts reviewed. 223 met inclusion criteria. 109 were excluded for high risk of bias and 90 did not have extractable data. 24 studies (34 cohorts) were included. Progression from microbiologically negative to positive disease in those with radiographic TB evidence occurred at an annualized rate of 9.71% (95% CI:6.17-13.34) with active TB imaging, and 1.06% (95% CI:0.31-1.82) with inactive TB imaging. Reversion from microbiologically-positive to -undetectable in prospective cohorts occurred at an annualized rate of 12.40% (95% CI: 6.81-17.99). Studies reported symptoms poorly not allowing for direct estimation of transitions for subclinical (asymptomatic, culture positive) disease. INTERPRETATION We present the risk of progression in those with radiographic evidence of disease and the rate of self-cure for microbiologically positive disease to inform global disease burden estimates, clinical guidelines and policy decisions.
结核病的关键阶段可以通过放射学、微生物学和症状来描述,但相关阶段之间的过渡尚不清楚。我们试图通过系统地回顾接受随访的未经治疗的结核病患者的研究,来量化结核病的进展和倒退。方法检索PubMED、EMBASE和Web of Science,检索1895 - 1945年间的Medicus索引,以及大量无日期限制的研究者收集的英文和德文资料。符合条件的研究是观察性队列和临床试验,涉及患有结核病或最近接触结核病的成人/青少年,在没有治疗干预的情况下进行至少12个月的随访。两位作者独立审查了标题/摘要和全文。质量评估采用改良的纽卡斯尔-渥太华评分,排除高度偏倚的研究。在概念模型中提取了汇总估计值以与结核病转变相一致,我们使用随机效应比例的荟萃分析来综合提取的数据。本研究已在PROSPERO注册(CRD42019152585)。研究结果:筛选了10477个标题,审查了1648个全文。223例符合纳入标准。109例因高风险偏倚被排除,90例没有可提取的数据。纳入24项研究(34个队列)。在有结核影像学证据的患者中,微生物阴性进展为阳性的年化率为:活动性结核显像组9.71% (95% CI:6.17-13.34),而活动性结核显像组1.06% (95% CI:0.31-1.82)。在前瞻性队列中,从微生物学阳性到无法检测的年化率为12.40% (95% CI: 6.81-17.99)。研究报告症状不佳,不能直接估计亚临床(无症状,培养阳性)疾病的转变。解释:我们提出了有放射学证据的疾病的进展风险和微生物阳性疾病的自我治愈率,为全球疾病负担估计、临床指南和政策决策提供信息。
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引用次数: 8
COVID-19 pandemic disturbs respiratory virus dynamics. COVID-19大流行扰乱呼吸道病毒动态。
IF 76.2 Pub Date : 2022-08-01 Epub Date: 2022-07-04 DOI: 10.1016/S2213-2600(22)00255-7
The Lancet Respiratory Medicine
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引用次数: 7
Correction to Lancet Respir Med 2022; 10: 630-31. 柳叶刀呼吸医学2022修正;10: 630 - 31所示。
IF 76.2 Pub Date : 2022-08-01 Epub Date: 2022-06-30 DOI: 10.1016/S2213-2600(22)00249-1
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引用次数: 0
Future therapies for cystic fibrosis. 囊性纤维化的未来治疗方法。
IF 76.2 Pub Date : 2022-08-01 Epub Date: 2022-06-30 DOI: 10.1016/S2213-2600(22)00253-3
Chloe Wilson
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引用次数: 0
Negative impact from school closures on children and parents in Vietnam during COVID-19. 2019冠状病毒病期间,学校关闭对越南儿童和家长的负面影响。
IF 76.2 Pub Date : 2022-08-01 Epub Date: 2022-06-15 DOI: 10.1016/S2213-2600(22)00221-1
Ngoc Phuong Hong Tao, Abdelrahman M Makram, Phan Nguyen Quoc Khanh, Nguyen Thanh An, Adnan Safi, Nguyen Tien Huy
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引用次数: 5
US Senate announces planned gun reforms after latest school shooting. 在最近的校园枪击事件后,美国参议院宣布了计划中的枪支改革。
IF 76.2 Pub Date : 2022-08-01 Epub Date: 2022-06-21 DOI: 10.1016/S2213-2600(22)00229-6
Bryant Furlow
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引用次数: 0
期刊
The Lancet. Respiratory medicine
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