Juniper Publishers-International Journal of Pulmonary & Respiratory Sciences

The Prevalence and Patient’s Quality of Life for Asthma in Taiwan Authored by Koyin Chang Asthma affects approximately 5% of the population in Taiwan. The increasing prevalence has caused concerns for both general public and healthcare professionals. This study aims to understand patients’ quality of life in order to provide guidance for appropriate healthcare service as well as prevention. Face-to-face interview was conducted using Asthma Quality of Life Questionnaire (AQLQ) in a community hospital in northern Taiwan. A total of 106 questionnaires were collected. The results indicate that patients concern mostly about environmental stimuli which causes the greatest worries in the four functions of AQLQ. Middle aged patients have the worse quality of life than other age group counterparts. This is largely due to the emotional and physical stress as the result of the disease. To view more Full Text in Juniper Publishers

The Art of Breathing as an Epigenetic Tool in Reversing the Limiting Symptoms of Autism: Myths and Benefits Authored by Rajalakshmi Kandaswamy In recent times breathing exercises and modalities such as delivering hyperbaric oxygen are being promoted as a way of easing some of the symptoms in autism. Are these methods REALLY working? Can breathing be applied as an epigenetic tool in the treatment of autism? This article presents the mechanics underlying the art of breathing in the context of autism and explores the myths and the benefits of the same. To view more Full Text in Juniper Publishers   

Inhaledsteroids in COPD? Not in Mybook!    Authored by Geertjan Wesseling Chronic Obstructive Pulmonary Disease COPD, is currently the fourth leading cause of death in the world, but projected to be the 3rd leading cause by 2020. More than 3 million people died of COPD in 2012, accounting for 6% of all deaths worldwide. COPD represents an important public health challenge that is both preventable and treatable, if not curable [1]. Characteristically, bronchitis andemphysema are both present in most patients. Smoking cessation is by far the most effective intervention in COPD resulting in better health status, less exacerbations and improved survival [2]. Physical exercise, especially when in the shape of multidisciplinary rehabilitation also has significant effects [3]. To view more Full Text in Juniper Publishers

Application of a Real-Time Dashboard to Reduce Ventilator-Associated Pneumonia in Intensive Care Units Authored by Mohammad Fathi Ventilator-associated pneumonia is the second most common nosocomial infection that develops in patients admitted to the intensive care unit. The mortality rate for VAP ranges from 24% to 76% and is even higher than the primary illness. Based on the importance of this issue, many organizations have focused on strategies and guidelines to reduce the occurrence of complications such as ventilator associated pneumonia. Despite these guidelines, due to multi orders with different conditions and time periods, multi caregivers in the intensive care unit and human mistakes, still there are high rates of VAP. The purpose of this study is to provide an overview of real-time dashboards applications which were designed and implemented as a solution to reduce Ventilator-associated-pneumonia in Intensive Care Unit. To view more Full Text in J...

Pulmonary Gunshot Wound Revealing Pulmonary Tuberculosis  Authored by   Issoufou Ibrahim Pulmonary tuberculosis is a major flail of mankind, 1/3 of the world population is infected. In Morocco, the incidence is estimated by the Word Health Organization to 89 cases per 100 000 inhabitants. However, gunshot assaults are rare. Many circumstances of discovery of tuberculosis were described. We present the case of an incidental finding of pulmonary tuberculosis in a young patient victim of a gun attack. To view more Full text in Juniper Publishers

Implications of Non-invasive Mechanical Ventilation in Lung Transplantation. Old and New Frontiers? Authored by Gema Tirado–Conde As lung transplantation has become more successful, the selection criteria have broadened; however, some relative contraindications to lung transplantation are controversial. Some programs consider mechanical ventilation to be a major contraindication to lung transplantation because airway colonization with bacteria may lead to nosocomial infection and respiratory muscle deconditioning may necessitate prolonged postoperative ventilatory support. To view more Full Text in Juniper Publishers      

A Tracheal Web as a Cause of Dyspnea in a Patient who had been treated for Asthma in the Past 35 years Authored by Strouvalis Ioannis A Tracheal Web is a soft tissue formation partially occluding the trachea lumen. It is of benign origin and can be either congenital or acquired – the latter mostly in patients with a history of prolonged intubation. Due to the symptoms that are consistent with obstructive lung disease, it can often be misdiagnosed as such. As a result some patients may have been categorized as asthmatics with minimal response to treatment, since the tracheal web causes a fixed obstruction pattern. We describe a case of a female 57 year old patient that had been under asthma treatment for 35 years and was admitted to Sismanogleio Public Hospital, Greece, due to dyspnea consistent with an asthma exacerbation. To view more Fulltext in Juniper Publishers

Deadly High Altitude Pulmonary Disorders: Acute Mountain Sickness (AMS); High Altitude Pulmonary Edema (HAPE) and High Altitude Cerebral Edema (HACE): A Clinical Review Authored by  Michael Obrowski Mountain Sickness, also called High Altitude Sickness, is specifically a triad of different disorders, in order of increasing seriousness: Acute Mountain Sickness (AMS); High Altitude Pulmonary Edema (HAPE) and High Altitude Cerebral Edema (HACE). These three disorders, with relatively unimportant small variations seen in some Pulmonology Textbooks, because these are so serious, they are all potentially deadly pulmonary disorders and we will discuss these three major, deadly disorders. Each one, starting with AMS, can progress rapidly to HAPE and then HACE.  To view more FullText in JuniperPublishers

Autobullectomy: Disease Itself Relieved The Dyspnoea of Patient. Can It Happen? Authored by Jain Shubhra The medical masters of yester years noted the great importance of the actions of Nature in their writings. For instance, Julius Cohnheim was emphatic that autopsies “are all in a manner experiments instituted by nature, which we need only rightly interpret to get a clear idea of the causes, laws of growth, and significance of the tumour.” Indeed, as Nature has it, there is a “bare” area of the liver. Moreover, this area is adjacent to the right adrenal gland. To view more Fulltext in JuniperPublishers

Human Model for Studying the Bare Area of the Liver with Special Reference to the Metastatic Potential of Lung Cancer Metastases Authored by Wilson I B Onuigbo The medical masters of yester years noted the great importance of the actions of Nature in their writings. For instance, Julius Cohnheim was emphatic that autopsies “are all in a manner experiments instituted by nature, which we need only rightly interpret to get a clear idea of the causes, laws of growth, and significance of the tumour.” Indeed, as Nature has it, there is a “bare” area of the liver. Moreover, this area is adjacent to the right adrenal gland. To Read more Fulltext in JuniperPublishers