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Diagnosis of extra pulmonary tuberculosis by culture 肺外结核的培养诊断
Pub Date : 2018-10-31 DOI: 10.15406/JLPRR.2018.05.00184
Anastacio Palacios-Marmolejo, Gabriela de Luna-Ramírez, Mariana Ornelas-Perea, Daniel Alej, ro Herrera-Le, Ro, Mónica Ortiz-Palos, Juan José Silva-Menchaca
Tuberculosis (TB) is an infectious disease mainly caused by Mycobacterium bacterium (M. tuberculosis) and less frequent by M. bovis (zoonotic disease). Which is an intracellular aerobic bacillus characterized, by the formation of granulomas in tissues.1 According to data from the World Health Organization (WHO), TB is essentially a pulmonary disease that represents 85% of the cases, although it can also affect other organs and tissues (extra pulmonary TB [EPTB]). The mechanism of transmission is through the air when a person suffering from pulmonary TB (PTB) expels the bacteria, through productive cough; although, there is a relatively low relation that a person infected with M. tuberculosis develops TB. The probability of developing TB is much higher in patients infected with the human immunodeficiency virus (HIV) or some other co morbidities such as diabetes.2 There are other forms of transmission or acquisition of the disease, one of them can be trough the skin.3 According to WHO data, TB is the second cause of mortality around the world after acquired human immunodeficiency syndrome (AIDS) due to an infectious agent. In 2013, nine million people became ill with TB and 1.5 million died of this disease. More than 95% of TB deaths occurred in lowincome countries and medium income, is one of the five main causes of death in women between 15 and 44 years. In 2013 it is estimated that 550,000 children became ill with TB and that 80,000 seronegative children died. It is the main cause of death in people infected with HIV, a quarter of them is related to TB. An estimated 480,000 people have developed Multidrug-resistant TB (MDR-TB) and, which would cause 170,000 deaths associated with MDR-TB worldwide.2
结核病(TB)是一种主要由结核分枝杆菌(M. Tuberculosis)引起的传染病,较少由牛分枝杆菌(M. bovis)引起。这是一种胞内需氧杆菌,其特征是在组织中形成肉芽肿根据世界卫生组织(WHO)的数据,结核病本质上是一种肺部疾病,占85%的病例,尽管它也可以影响其他器官和组织(肺外结核[EPTB])。当肺结核患者通过咳痰排出细菌时,通过空气传播;虽然,感染结核分枝杆菌的人发展为结核病的关系相对较低。感染人类免疫缺陷病毒(HIV)或其他合并症(如糖尿病)的患者患结核病的可能性要高得多还有其他形式的传播或获得疾病,其中一种可以通过皮肤根据世卫组织的数据,结核病是继传染性病原体引起的获得性人类免疫缺陷综合征(艾滋病)之后的全球第二大死亡原因。2013年,900万人罹患结核病,150万人死于这种疾病。95%以上的结核病死亡发生在低收入国家和中等收入国家,结核病是15至44岁妇女死亡的五大原因之一。据估计,2013年有55万儿童罹患结核病,8万血清检测呈阴性的儿童死亡。它是艾滋病毒感染者死亡的主要原因,其中四分之一与结核病有关。估计有48万人患上了耐多药结核病(MDR-TB),这将在全世界造成17万人死于与耐多药结核病相关的疾病
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引用次数: 0
Novel approach of rescue ventilation during airway stenting in critical airway obstruction 危重气道梗阻支架置入术中抢救通气的新方法
Pub Date : 2018-10-17 DOI: 10.15406/JLPRR.2018.05.00183
Ramniwas, Gopal Singh Chawla, N. Dutt, N. Chauhan, Priyank Jain
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引用次数: 0
Silicosis: biomarkers and pathogenesis 矽肺:生物标志物和发病机制
Pub Date : 2018-10-11 DOI: 10.15406/JLPRR.2018.05.00182
A. Cheepsattayakorn, R. Cheepsattayakorn
The name of this disease “Pneumonoultra-microscopicsilicovolcanokoniosis”, first description by Ramazzini1 was changed due to the types of exposed dust.2 There are no reliable figures on the silica-inhalation exposed populations. Nevertheless, in 2000, the CAREX registry recorded 3.2 million silica-exposed people in the European Union.3 Silicosis is histologically characterized by hyalinized and fibrotic pulmonary nodules, accumulation of lymphocytes and alveolar macrophages, and thickening of pulmonary alveolar interstitium.4 The disease is caused by continuous inhalation of the silica dust (crystalline silica, SiO2 (Silicon dioxide)) with marked inflammation and irreversible scarring of the lungs with nodules in the upper lobes.5,6 Oxygen and silicon, together amount for 74.32% weight and 83.77% of crustal rocks are the two most occurring common elements on the surface of the earth.7 Silicon dioxide or silica is formed under the conditions of increased pressure and heat that exists in amorphous and crystalline (quartz, a typical component of rocks) form. The risk of developing silicosis is closely associated with the accumulated exposure of a person to respirable crystalline silica during his or her working lifetime. The intensity of accumulated respirable silica exposure can be calculated as the following: Accumulated silica dose = fraction of respirable dust X percentage of free silica in mg/m3 X number of years of exposure.8 Silicosis is the most frequently occurring pneumoconiosis due to wide prevalence in the atmosphere and more common than the other types of dust.1,9,10 Both in Developing and developed world, silicosis is an occupational hazard with greater risk for workers engaged in stone crushing, stone cutting, cement industries, glass manufacturing, mining, agriculture, and construction. Pathogenesis
这种疾病最初由Ramazzini1描述的名称为“肺oulte -microscopicsilicovolcanokoniosis”,由于暴露的粉尘类型而改变没有关于吸入二氧化硅暴露人群的可靠数据。然而,在2000年,CAREX登记记录了欧盟320万二氧化硅暴露者。3矽肺病的组织学特征是肺结节透明化和纤维化,淋巴细胞和肺泡巨噬细胞积聚,肺泡间质增厚这种疾病是由持续吸入二氧化硅粉尘(结晶二氧化硅,SiO2(二氧化硅))引起的,伴有明显的炎症和肺部不可逆的疤痕,上肺叶有结节。氧和硅是地球表面最常见的两种元素,它们分别占地壳岩石总重量的74.32%和83.77%二氧化硅或二氧化硅是在压力和热量增加的条件下形成的,它以无定形和晶体(石英,岩石的典型成分)的形式存在。患矽肺病的风险与一个人在其工作期间累积暴露于可吸入结晶二氧化硅密切相关。7 .可呼吸性二氧化硅累积暴露强度可计算为:累积二氧化硅剂量=可呼吸性粉尘的百分比X游离二氧化硅的百分比(mg/m3) X暴露年数矽肺是最常见的尘肺病,因其在大气中广泛流行,比其他类型的粉尘更常见。1,9,10无论是在发展中国家还是发达国家,矽肺病都是一种职业危害,从事石料破碎、石料切割、水泥工业、玻璃制造、采矿、农业和建筑的工人风险较大。发病机理
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引用次数: 2
Pulmonary tuberculosis (PTB) among suspected cases in delta state, South-Southern Nigeria 尼日利亚南部三角洲州疑似病例中的肺结核(PTB
Pub Date : 2018-09-28 DOI: 10.15406/JLPRR.2018.05.00181
V. Omote, H. Ukwamedua, Johnson Etaghene, M. Oseji, I. Agwai
Tuberculosis (TB) a chronic pulmonary disease caused by a group of non-motile, rod-shaded, aerobic and acid fast bacteria called the Mycobacterium Tuberculosis Complex (MTC),1 is known to currently infect about one-third of the world’s population with a new infection recorded every second.2 Members of the MTC includes Mycobacteriun tuberculosis, Mycobacterium bovis, Mycobacterium africanum, Mycobacterium microfti and Mycobacterium canetti3
结核病(TB)是一种慢性肺部疾病,由一组称为结核分枝杆菌复群(MTC)的非运动、杆状、需氧和抗酸细菌引起,目前已知感染约占世界人口的三分之一,每秒记录一个新感染病例结核分枝杆菌技术委员会的成员包括结核分枝杆菌、牛分枝杆菌、非洲分枝杆菌、微分枝杆菌和canetti3
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引用次数: 1
Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH) 弥漫特发性肺神经内分泌细胞增生(DIPNECH)
Pub Date : 2018-07-23 DOI: 10.15406/JLPRR.2018.05.00173
M. Sinaa, M. Oukabli, A. Albouzidi
Diffuse idiopathic pulmonary neuroendocrine cells hyperplasia (diffuse idiopathic pulmonary neuroendocrine cell hyperplasia: DIPNECH) is a rare pulmonary lesion described and named since 1992.1 It is characterized by a proliferation of neuroendocrine cells in the bronchial mucosa not exceeding the basal membrane. It may be associated with typical carcinoid tumors.2 The WHO classification of pulmonary tumors classifies it among pre-neoplastic lung lesions, with an increased risk of carcinoid tumors.2 We report here a case of a patient with pulmonary neuroendocrine hyperplasia, poorly known because of its low prevalence and non-specific presentation.
弥漫性特发性肺神经内分泌细胞增生(Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia, DIPNECH)是一种罕见的肺病变,自1992年开始被描述和命名,其特征是神经内分泌细胞在支气管黏膜内增生,不超过基膜。它可能与典型的类癌有关WHO对肺肿瘤的分类将其归为肿瘤前肺病变,发生类癌的风险增高我们在此报告一例肺神经内分泌增生患者,由于其低患病率和非特异性表现而鲜为人知。
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引用次数: 0
Pulmonary alveolar proteinosis secondary to chronic chlorine occupational inhalation 慢性氯职业性吸入继发肺泡蛋白沉积症
Pub Date : 2018-06-19 DOI: 10.15406/JLPRR.2018.05.00171
D. Rey, J. González
Pulmonary Alveolar Proteinosis (PAP) is one of the “orphan diseases” of the lung, whose peculiarity consists in an intra-alveolar accumulation of a lipo-proteinaceous material related to surfactant, which interferes with gas exchange, presenting with symptoms and signs varying in intensity. Initially described by Rosen, Castleman and Liebow in 1958, its frequency is very low: both Diksen and Ben Dov estimate an incidence in 0.37 cases/100,000 people and prevalence in 3.7/1,000,000 inhabitants.1‒3
肺泡蛋白沉积症(PAP)是肺部的“孤儿病”之一,其特点是肺泡内积聚与表面活性剂相关的脂蛋白物质,干扰气体交换,表现出不同程度的症状和体征。最初由Rosen, Castleman和Liebow于1958年描述,其发病率非常低:Diksen和Ben Dov估计发病率为0.37 /10万人,患病率为3.7/ 100万居民
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引用次数: 0
Chronic insomnia: cognitive behavioral and positive airway pressure therapies 慢性失眠:认知行为和气道正压治疗
Pub Date : 2018-06-14 DOI: 10.15406/jlprr.2018.05.00170
A. Cheepsattayakorn, R. Cheepsattayakorn
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引用次数: 0
Premedication for neonatal intubations: an unrecognized area for improvement 新生儿插管前用药:一个有待改进的未知领域
Pub Date : 2018-05-23 DOI: 10.15406/JLPRR.2018.05.00169
Neetu Singh
Non-urgent endotracheal intubation is common in the neonatal intensive care unit (NICU). Previous studies have shown that conscious and awake intubations in neonates are painful and associated with adverse physiologic responses.1‒5 Several trials have demonstrated that premedication significantly improves intubation conditions, decreases the time and number of attempts needed to complete the intubation procedure, and minimizes the potential for intubation related airway trauma.6‒13 The Fetus and Newborn Committee of the American Academy of Pediatrics (2010) and Canadian Pediatric Society (2011) recommend premedication of infants before intubation when time permits.6,10 In addition, the International Evidence-Based Group for Neonatal Pain conclude that “tracheal intubation without the use of analgesia or sedation should be performed only for resuscitation in the delivery room or for life-threatening situations associated with the unavailability of intravenous access”.14 Nevertheless, concerns have also been raised regarding adverse effects related to premedication for neonatal intubation.15
非紧急气管插管在新生儿重症监护病房(NICU)很常见。先前的研究表明,在新生儿中有意识和清醒插管是痛苦的,并与不良的生理反应有关。1-5多项试验表明,预用药可显著改善插管条件,减少完成插管程序所需的时间和次数,并将插管相关气道创伤的可能性降至最低。6-13美国儿科学会胎儿和新生儿委员会(2010)和加拿大儿科学会(2011)建议在时间允许的情况下,在插管前对婴儿进行预用药。6,10此外,国际新生儿疼痛循证小组得出结论,“不使用镇痛或镇静的气管插管应仅用于产房复苏或因无法获得静脉通路而危及生命的情况”然而,对新生儿插管前用药的不良反应也引起了关注
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引用次数: 0
Indicators of occult pneumothorax in thoracic trauma: a retrospective descriptive study 胸外伤隐匿性气胸的指标:一项回顾性描述性研究
Pub Date : 2018-05-17 DOI: 10.15406/JLPRR.2018.05.00168
E. Kalkan, A. Mirici, B. Akbas
The term occult pneumothorax (OPTX) is used for the pneumothorax that is not visualized with the aid of CXR, but detected via computed tomography (CT). It is a radiological diagnosis increasingly recognized following the extensive use of CT. The radiological investigation of the cases with thoracic trauma in a supine or seated position may also lead to this false diagnosis. It may be diagnosed by investigations of abdominal, cervical, and most commonly thoracic CT that were applied to patients with multiple traumas in order to evaluate all sites of injury.1‒3
隐匿性气胸(OPTX)是指不能通过CXR观察到,但可以通过计算机断层扫描(CT)检测到的气胸。随着CT的广泛应用,这是一种越来越被认可的影像学诊断。仰卧位或坐位胸椎创伤病例的影像学检查也可能导致这种错误的诊断。它可以通过腹部、颈部和最常见的胸部CT来诊断,这些CT应用于多处创伤的患者,以评估所有损伤部位
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引用次数: 1
Aortic stiffness and polymorphisms of collagen-1 type 1a gene in COPD patients COPD患者主动脉硬化与胶原-1 1a型基因多态性
Pub Date : 2018-05-16 DOI: 10.15406/JLPRR.2018.05.00167
T. Brodskaya, V. Nevzorova, N. Zakharchuk, N. Repina
Currently the connection between chronic obstructive respiratory disease COPD and some cardiovascular and cerebrovascular diseases has been established Vascular disorders in COPD become evident in the early stages of disease and can manifest from endothelial dysfunction to aortic mechanical property disturbance and cerebral circulation disorders COPD is also known as a disease associated with smoking A number of researchers have described pathophysiological mechanisms of vascular disorders and in particular arterial stiffening in COPD A variety of theories have been proposed to explain these observations Pathophysiological processes that increase arterial stiffness both physiological and pathophysiological involve remodeling cascades leading to disturbance of the structural and functional relationships between collagen and elastin in the arterial vascular wall The main processes involved appear to be inflammatory proteases and oxidative stress New research suggests that the vascular dysfunction observed in COPD is associated with some specific genes New data suggests that this is not just due to endothelial dysfunction but a violation of the mechanical properties of the arterial vasculature which is now considered an important component of the pathogenesis of COPD Surplus aortic stiffness can contribute increasingly to cardiovascular event risk in COPD and is associated with changes in normal cerebral circulation and cognitive function Research is focused on the study of genetic predisposition for vascular dysfunction in COPD Various polymorphisms determining the connective tissue metabolism production of nitric oxide detoxification of xenobiotics and many others are now all thought relevant Increasing of aortic stiffness is an important component of the amplification of cardiovascular risk events coronary disorders and cerebral circulation in patients with COPD Some polymorphisms are considered especially relevant such as COL A polymorphisms It is now important to take into consideration the pathophysiological consequences of increasing arterial stiffness in COPD which are schematically represented in our review
目前慢性阻塞性呼吸系统疾病COPD与一些心脑血管疾病之间的联系已经确立,COPD的血管障碍在疾病早期就很明显,可以表现为内皮功能障碍、主动脉力学性能障碍和脑循环障碍,COPD也被称为与吸烟相关的疾病,许多研究者已经描述了血管障碍的病理生理机制和人们提出了多种理论来解释这些观察结果,增加动脉僵硬的病理生理过程包括生理和病理生理上的重塑级联反应,导致动脉血管壁中胶原蛋白和弹性蛋白之间的结构和功能关系受到干扰,主要过程似乎是炎症蛋白酶和氧化应激新的数据表明,这不仅仅是由于内皮功能障碍,而且是动脉血管力学特性的破坏,这被认为是慢性阻塞性肺病发病机制的重要组成部分,主动脉僵硬过剩可以增加慢性阻塞性肺病心血管事件的风险,并与正常脑循环和认知功能的改变有关慢性阻塞性肺病血管功能障碍的遗传易感性决定结缔组织代谢、一氧化氮产生、外源药物解毒和许多其他因素的各种多态性现在都被认为与之相关。主动脉僵硬度增加是慢性阻塞性肺病患者心血管危险事件增加的重要组成部分冠状动脉疾病和脑循环。一些多态性被认为特别相关,如cola多态性考虑到慢性阻塞性肺病中动脉僵硬度增加的病理生理后果,这在我们的综述中有图示
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引用次数: 2
期刊
Journal of lung, pulmonary & respiratory research
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