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Alternative therapies in treatment of asthma in Reunion Island 留尼汪岛治疗哮喘的替代疗法
Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.oa5150
B. Omarjee
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引用次数: 0
Oral manifestations in asthmatic patients using metered dose inhaler and dry powder inhaler 使用计量吸入器和干粉吸入器的哮喘患者的口腔表现
Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa4005
H. Moghadassi, A. Fakharian, Alireza Eslaminejad, M. Mehdipour, Saranaz Azari-Ma
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引用次数: 0
Do interventions that address health literacy needs improve self-management among people with asthma? A systematic review 针对健康素养需求的干预措施能否改善哮喘患者的自我管理?系统回顾
Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa3990
H. Salim, I. Young, Lee Ping Yein, S. Ghazali, S. N. Ramdzan, H. Pinnock
{"title":"Do interventions that address health literacy needs improve self-management among people with asthma? A systematic review","authors":"H. Salim, I. Young, Lee Ping Yein, S. Ghazali, S. N. Ramdzan, H. Pinnock","doi":"10.1183/13993003.congress-2019.pa3990","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa3990","url":null,"abstract":"","PeriodicalId":432006,"journal":{"name":"General practice and primary care","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123349888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of COPD awareness in university students 大学生慢性阻塞性肺病知晓率评价
Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa718
B. Unlu, Semra Oğuz, E. Mete, Aysel Yıldız, M. Polat
Introduction: COPD is the third most common cause of death in the world, with high morbidity and mortality. It causes an increasing socioeconomic burden. Aim: In our study, it was aimed to evaluate the awareness and knowledge level of university students about COPD. Methods: To evaluate the knowledge level of 408 university students between the ages of 18-24 on COPD, 11-item COPD Awareness Questionnaire was used prepared by the Ministry of Health. This questionnaire included questions to evaluate the attitudes, triggering, diagnosis and treatment of COPD. Results: A total of 408 students with an 18-24-year-old age group were enrolled in the COPD Awareness Questionnaire in Istanbul. Of the participants, 313 (76.7%) were female and 95 (23.7%) were male. 93.4% of the students responded correctly to the question of “COPD is a disease related to lungs”. When questioned whether COPD was a treatable disease, 52.2% of respondents answered yes and 29.2% said they did not have any idea. 80% of the students answered correctly to the question of “The most important cause of COPD is smoking”, while 9.8% of them did not know. Conclusions: As a result of our study, it is known that COPD is a lung disease and the most important risk factor is smoking by the majority of university students in our country. It was seen that the students were not fully informed about the tests required for the diagnosis of COPD and whether it could be treated. Considering that this young population will make up the majority of the elderly population after 20-30 years, we believe that raising the awareness of young people in this age group will contribute to the increase of COPD awareness in our country.
慢性阻塞性肺病是世界上第三大最常见的死亡原因,发病率和死亡率都很高。它造成越来越大的社会经济负担。目的:本研究旨在了解大学生对慢性阻塞性肺病的认知和知识水平。方法:采用卫生部编制的11项COPD认知问卷,对408名18 ~ 24岁大学生COPD认知水平进行测评。该问卷包括对COPD的态度、触发、诊断和治疗的评估问题。结果:伊斯坦布尔共有408名18-24岁年龄组的学生参加了COPD意识问卷调查。其中女性313人(76.7%),男性95人(23.7%)。93.4%的学生正确回答了“COPD是一种与肺有关的疾病”这一问题。当被问及慢性阻塞性肺病是否是一种可治疗的疾病时,52.2%的受访者回答是,29.2%的受访者表示不知道。在“慢性阻塞性肺病最重要的原因是吸烟”一题中,80%的学生回答正确,9.8%的学生不知道。结论:通过我们的研究,我国大多数大学生都知道慢性阻塞性肺病是一种肺部疾病,最重要的危险因素是吸烟。可以看出,学生们没有被充分告知诊断慢性阻塞性肺病所需的检查以及是否可以治疗。考虑到这一年轻人群将在20-30岁后占老年人口的大多数,我们认为提高这一年龄段年轻人的认识将有助于提高我国对COPD的认识。
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引用次数: 0
Smoking cessation rates in primary care before surgery: a retrospective cohort study 手术前初级保健的戒烟率:一项回顾性队列研究
Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa730
Helene L Gräsbeck, H. Ekroos, K. Halonen, Tuula Vasankari
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引用次数: 0
Prevalence of chronic obstructive pulmonary disease (COPD) among smokers with stable coronary artery disease (CAD) 稳定型冠心病(CAD)吸烟者慢性阻塞性肺疾病(COPD)患病率
Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa5014
A. Touil, F. Yangui, S. Antit, L. Zakhama, S. B. Youssef, M. Charfi
Introduction: COPD and CAD are common chronic diseases with shared risk factors. COPD continues to be largely underdiagnosed and undertreated. We aimed to describe the prevalence of COPD in Tunisian smokers with CAD Methods: In a cross-sectional study, patients over 35 years of age who underwent coronary angiography for suspected CAD and reported ≥10 pack-year of cigarette smoking were recruited. Spirometry was undertaken for all participants, and COPD was defined according to GOLD criteria. The finding of ≥50% coronary luminal narrowing confirmed the presence of CAD Results: Spirometry was undertaken for 122 men with mean age of 59.3 years and mean pack-year of 52.3. Mean CAD follow-up duration was 3.9 years. Diabetes, hypertension and dyslipidemia were the most common comorbidities. One or more threatening coronary lesions were found in 50% of patients. Echocardiography was normal in 45.9% of patients. The prevalence of COPD was 19.7%. Of the 24 patients with COPD,17 patients were newly diagnosed. Six patients had mild COPD,15 had moderate COPD,2 had severe COPD and 1 had very severe COPD. The mean FEV1 in COPD patients was 68.7%. COPD-related symptoms were:chronic cough(56%), dyspnea(76%) and wheezes(28%). Pulmonary arterial hypertension was observed in 36% of COPD patients. The comparison of patients with COPD with those without COPD showed that respiratory symptoms, chest-X-ray abnormality and pulmonary arterial hypertension were significantly more frequent in COPD patients Conclusion: There was a high prevalence of COPD among patients with CAD and most were underdiagnosed despite being symptomatic. Smokers with CAD and respi­ratory symptoms should be evaluated for airflow limitation
慢性阻塞性肺病和CAD是常见的慢性疾病,具有共同的危险因素。慢性阻塞性肺病在很大程度上仍未得到充分诊断和治疗。我们的目的是描述使用CAD方法的突尼斯吸烟者的COPD患病率:在一项横断面研究中,招募了年龄超过35岁、因疑似CAD接受冠状动脉造影且报告吸烟≥10包年的患者。对所有参与者进行肺量测定,并根据GOLD标准定义COPD。≥50%的冠状动脉管腔狭窄证实了冠心病的存在。结果:122名男性进行了肺活量测定,平均年龄为59.3岁,平均生存年为52.3岁。平均CAD随访时间为3.9年。糖尿病、高血压和血脂异常是最常见的合并症。50%的患者发现有一个或多个危险的冠状动脉病变。45.9%的患者超声心动图正常。COPD患病率为19.7%。在24例COPD患者中,17例为新诊断。6例为轻度COPD,15例为中度COPD,2例为重度COPD,1例为极重度COPD。COPD患者平均FEV1为68.7%。copd相关症状为:慢性咳嗽(56%)、呼吸困难(76%)和喘息(28%)。36%的COPD患者存在肺动脉高压。慢性阻塞性肺病患者与非慢性阻塞性肺病患者的比较显示,慢性阻塞性肺病患者呼吸系统症状、胸片异常和肺动脉高压的发生率明显高于非慢性阻塞性肺病患者。结论:慢性阻塞性肺病在冠心病患者中患病率较高,多数患者虽有症状,但未得到充分诊断。有冠心病和呼吸道症状的吸烟者应评估气流限制
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引用次数: 0
Spirometry, FeNO, and asthma control in children managed for asthma in primary care 肺活量测定、FeNO和哮喘控制在初级保健管理的儿童哮喘
Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.oa254
D. Lo, Lesley Danvers, D. Roland, M. Richardson, Yaling Yang, C. Beardsmore, A. Wilson, E. Gaillard
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引用次数: 0
Effects of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study 实施改进炉灶和加热器以减少家庭空气污染的效果:一项新鲜空气研究
Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.oa5148
F. V. Gemert, C. Jong, B. Kirenga, P. Musinguzi, Shamim Buteme, T. Sooronbaev, Aizhamal K. Tabyshova, Berik Emilov, M. Mademilov, An Pham Le, Quynh Nhu Nguyen Nhat, D. T. Ngoc, Hong Le Huynh Thi Cam, R. Chartier, J. V. Boven
Introduction: Exposure to household air pollution (HAP) caused by biomass fuel combustion is associated with a wide range of adverse health outcomes. The poorest people living in the rural areas of low- and middle-income countries (LMICs) have limited opportunities to switch to cleaner fuels. Objective: To evaluate effectiveness and acceptability of locally-tailored implementation of an improved cookstoves/heaters program in LMICs. Methods: Interventional implementation study in 649 adults and children living in rural communities in Uganda, Vietnam and Kyrgyzstan, performed after situational analyses and awareness programs. Outcomes included HAP exposure (PM2.5, CO), respiratory symptoms, chest infections, school absence and intervention acceptability. Measurements were conducted at baseline, at 2 months and 6-12 months after intervention. Results: After intervention, health outcomes diminished significantly in Uganda and Kyrgyzstan, and to a smaller extent in Vietnam. PM2.5 levels decreased by 31% to 65%. The figure shows mean PM2.5 with 95% confidence interval; p-value measured between baseline and 6-12 months. CO levels remained below WHO guidelines. Conclusions: Locally-tailored implementation of clean cookstoves/heaters had considerable effects on health outcomes and HAP, yet PM2.5 levels remained above WHO guidelines, especially in Uganda. Villagers indicated high acceptance of the new cookstoves/heaters.
导言:暴露于由生物质燃料燃烧引起的家庭空气污染(HAP)与一系列不利的健康结果有关。生活在低收入和中等收入国家农村地区的最贫困人口转向更清洁燃料的机会有限。目的:评估中低收入国家量身定制实施改进炉灶/加热器计划的有效性和可接受性。方法:对生活在乌干达、越南和吉尔吉斯斯坦农村社区的649名成人和儿童进行干预实施研究,在进行情景分析和意识项目后进行。结果包括HAP暴露(PM2.5、CO)、呼吸道症状、胸部感染、缺勤和干预可接受性。在基线、干预后2个月和6-12个月进行测量。结果:干预后,乌干达和吉尔吉斯斯坦的健康结果显著下降,越南的程度较小。PM2.5水平下降了31%至65%。图中为PM2.5均值,置信区间为95%;基线至6-12个月间测量的p值。一氧化碳水平仍低于世卫组织的指导方针。结论:在当地实施清洁炉灶/加热器对健康结果和HAP有相当大的影响,但PM2.5水平仍高于世卫组织的指导方针,特别是在乌干达。村民们表示对新炉灶/加热器的接受度很高。
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引用次数: 0
The Dietary Fiber Intake and its Relationship of Lung Function and Inflammatory Markers in Korean Adults 韩国成人膳食纤维摄入量及其与肺功能和炎症标志物的关系
Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa717
Y. Jung, S. H. Lee, J. Chang, H. Lee, E. Kang, S. Lee
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引用次数: 0
A systematic diagnostic evaluation combined with an internet-based support system for asthma/COPD 结合基于互联网的哮喘/慢性阻塞性肺病支持系统的系统诊断评估
Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa4003
A. V. van Buul, Thomas S. Wildschut, T. Bonten, M. Kasteleyn, A. Slats, N. Chavannes, C. Taube
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引用次数: 0
期刊
General practice and primary care
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