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Telemonitoring pri nadzoru astme
Konec julija so bili v Journal of Asthma objavljeni rezultati randomizirane kontrolirane študije skupine Univerzitetne klinike za pljučne bolezni in alergijo Golnik o uporabnosti in učinkovitosti 12-mesečnega telemonitoringa oseb z astmo.
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Uspešnejša rehabilitacija s prehranskimi dodatki
Pri rehabilitaciji se pljučni bolniki z nizkim ITM, nizkim indeksom puste mišične mase in tisti, ki so v zadnjem času shujšali, odzivajo slabo. Zato so v študiji pri bolnikih s KOPB poleg vadbe dodali še prehranski dodatek, pojasnjuje Jurij Šorli, dr. med., iz Bolnišnice Topolšica.
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Diagnostična vrednost FeNO ob akutnem poslabšanju KOPB
V prospektivni opazovalni študiji so preverjali, ali je lahko dušikov oksid v izdihanem zraku v začetni fazi akutnega poslabšanja KOPB, ki zahteva hospitalizacijo, boljši napovednik poslabšanj in dolžine hospitalizacije v primerjavi z eozinofilijo v diferencialni krvni sliki.
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Je število bazofilcev v otroštvu povezano s poznejšimi poslabšanji astme?
Število bazofilcev v populaciji mononuklearnih celic v periferni krvi v otroštvu pri akutnem piskanju/astmi je povezano s poznejšimi poslabšanji, kaže kohortna raziskava v Avstraliji.
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Prekrivanje astme in KOPB pri ženskah: incidenca in dejavniki tveganja
Preprečevanje napredovanja astme v ACOS postaja pomemben javnozdravstveni problem. V primerjavi z astmo in KOPB imajo osebe s prekrivanjem obeh slabšo kakovost življenja. Ženske imajo večje tveganje za razvoj ACOS in večjo smrtnost v primerjavi z moškimi.
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Potencialni učinek zmanjšanja vsebnosti nikotina v cigaretah na javno zdravje
Marca je bilo v NEJM objavljeno poročilo o učinkih predvidenih sprememb regulative o dovoljeni vsebnosti nikotina v cigaretah v ZDA, ki je s simulacijskimi modeli pokazala koristi pri zmanjševanju bremena s kajenjem povezanih bolezni.
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Fenotipi pri prekrivanju astme in KOPB ter kajenje
Vse več je dokazov, da je prekrivanje astme in KOPB klinična entiteta z različnimi fenotipi. Študija je primerjala klinične, fiziološke in vnetne značilnosti astmatikov z ireverzibilnimi obstruktivnimi motnjami ventilacije, ki so bili kadilci ali nekadilci.
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Biološka zdravila, novo tarčno zdravljenje KOPB?
Ker so v patogenezo KOPB vpleteni nevtrofilno vnetje in proinflamatorni citokini, so bile to prve tarče za biološka zdravila, a se zdravljenje ni izkazalo za učinkovito. Uspešnejše pa je obvladovanje eozinofilnega tipa vnetja.
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Taj či in pljučna rehabilitacija pri KOPB
KOPB je napredujoča pljučna bolezen, kjer se ob pomanjkanju terapije, ki bi lahko popravila poškodbo pljučnega parenhima, za izboljšanje kakovosti življenja in telesne aktivnosti kot najbolj učinkovita kaže rehabilitacija.
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Prehranska obravnava bolnikov s KOPB
Obravnava KOPB je zahtevna in za najboljši učinek je potrebno merjenje na več tarč. V obravnavo zato poleg farmakoterapije, zdravljenja pridruženih bolezni in rehabilitacije sodi tudi presnovna podpora, je povedala Eva Topole, dr. med., z UKC Ljubljana.
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Sezonska dinamika patogenov v dihalih pri etiologiji poslabšanj KOPB
Pojavnost akutnih poslabšanj kronične obstruktivne pljučne bolezni (KOPB) je sezonska, kar ima pomembne posledice za paciente in zdravstveni sistem, ki je v zimskih mesecih preobremenjen. Eden od vzrokov je lahko povečana incidenca virusnih okužb dihal.
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Kronična obstruktivna pljučna bolezen in srčno popuščanje
Osebe s KOPB večinoma umirajo od bolezni, ki niso povezane z dihali. Prisotnost KOPB najpogosteje zamakne postavitev diagnoze srčnega popuščanja in vodi v odmik od ustaljenih smernic zdravljenja, kot je predpis betablokatorjev.
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Povezava med eozinofilci in slabšanjem pljučne funkcije pri odraslih z astmo in brez nje
Eozinofilno vnetje in remodelacija dihalnih poti sta značilna za astmo, vendar je povezava med njimi nejasna. Članek, objavljen v European Respiratory Journal, predstavlja podatke populacijske kohortne študije pri mlajših odraslih.
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