Burden of major Respiratory Diseases
|
|
- Avice Burke
- 5 years ago
- Views:
Transcription
1 Burden of major Respiratory Diseases WHO Survey Ryazan region of Russia,
2
3 Ryazan region of Russia, health care system: 104 hospitals district hospitals 32 rural hospitals out-patient departments 792 feldsher's stations
4 $%% & ' $ % &!" #!! #
5 Protocol for assessment of prevalence of major respiratory diseases!""# $!""%
6 "&'("'"#)(&'("'"# *+, -./0. 1*0 0 2 / :46 0
7 & % '(' &)* +,- %. /%0 %/%%
8 ";'"!'"&)<"'"<'"& 16 PHS were randomized for the lung function test. All patients from the household stage were included.
9 ";'"!'"&)<"'"<'"& 16 PHS were randomized for the lung function test. All patients from the household stage were included.
10 General characteristics of the study Region Stage Study period Number of health facilities Number of patients Scopin district PHC based Household based Clinical survey & lung function test Shilovo district PHC based Household based Clinical survey & lung function test
11 Education level of respondents, %, by stages Stage Higher Second ary Primary No education PHC based 7,38 59,22 27,32 6,08 Household based 5,
12 Age distribution of risk factors, by stages (self-reported by patients) Stage Risk factor 5-14 years years >= 50 years PHC based Worked for a year or more in any dusty job Ever smoked cigarettes Now smoke cigarettes Heat or cook using an open fire Household based Worked for a year or more in any dusty job Ever smoked cigarettes Now smoke cigarettes Heat or cook using an open fire
13 Age distribution of symptomatic respiratory patients, by stages (self-reported by patients) Stage Cough 5-14 years years >= 50 years PHC based usually have a cough 9,76 12,60 13,00 26,70 16,71 43,97 usually cough as much as 4 to 6 times a day, 4 or more days out of the week 4,88 8,66 7,83 17,72 11,78 32,17 Household based usually have a cough usually cough as much as 4 to 6 times a day, 4 or more days out of the week
14 Age distribution of symptomatic respiratory patients, by stages (self-reported by patients) Stage Phlegm 5-14 years years >= 50 years PHC based usually bring up phlegm 8,13 6,30 7,17 18,93 9,38 33,24 usually bring up phlegm twice a day, 4 or more days out of the week 6,50 4,72 5,33 14,56 7,69 26,27 Household based usually bring up phlegm 0,44 0,21 2,29 9,06 5,35 17,59 usually bring up phlegm twice a day,4 or more days out of theweek 0,22 0,21 1,00 4,97 4,28 13,19
15 Age distribution of symptomatic respiratory patients, by stages (self-reported by patients) Stage Wheezing 5-14 years years >= 50 years PHC based ever had an attack of wheezing 13,82 14,96 15,17 13,59 16,59 23,59 had 2 or more such episodes 9,76 13,39 12,00 10,19 14,06 18,23 Househol d based ever had an attack of wheezing 2,64 3,13 3,58 2,93 7,17 9,18 had 2 or more such episodes 2,42 3,33 2,89 2,68 5,57 6,69
16 Age distribution of symptomatic respiratory patients, by stages (self-reported by patients) Stage Breathlessness 5-14 years years >= 50 years PHC based MRC 1 MRC 2 6,50 2,44 0,79 17,17 9,50 9,71 5,83 52,04 43,51 39,95 34,32 MRC 3 2,44 5,17 4,13 31,13 26,01 MRC 4 2,44 3,50 1,21 19,71 15,28 MRC 5 0,67 0,97 4,93 4,56 Household based MRC 1 MRC 2 0,22 0,22 0,21 8,16 5,47 2,42 1,40 42,72 33,62 26,39 20,27 MRC 3 0,42 2,89 0,38 26,66 16,06 MRC 4 0,21 1,29 0,51 13,81 7,07 MRC 5 0,10 0,13 4,60 3,63
17 Prevalence of bronchial obstruction, % Stage 5-14 years years >= 50 years Household based clinical survey & lung function test FEV1/FVC <70 2,72 1,28 5, ,65 23,72
18 Prevalence of smoking by Age & Sex, % Smoking f f Adult Children
19 Bronchial obstruction and smoking Pack-years, mean Bronchial obstruction degree
20 Bronchial obstruction and dyspnea Part of patients with dyspnea Bronchial obstruction degree
21 12 31% 12 11% 14 *19%
22 Treatment Only 2 from 100 patients with respiratory symptoms and low pulmonary function regularly use inhalation of bronchodilators
23 Among the patients with bronchial asthma: regularly use inhalation of glucocorticoids less than 1% regularly use inhalation of bronchodilators 1,5% regularly use theophylline 15 % Treatment
24 Adequate education, should be available, in order to ensure correct diagnosis and treatment, in particular in primary care. World Health Organization Noncommunicable Diseases and Mental Health Department of Chronic Diseases and Health Promotion Chronic Respiratory Diseases and Arthritis 2005
25 Educational program Key stones Optimization of prophylactic programs for primary care settings to reduce risk factors Diagnostic algorithm for primary care settings based on the main symptoms and risk factors Using spirometry like routine method in primary care Optimization of rehabilitation program for primary care settings to reduce patients disability
26 Comparison of age distribution, in years, by stages between sexes Stage Mean age (+/- SD) in females Mean age (+/- SD) in males p PHC based 49,57 21,29 42,47 21,80 6,67535E-16 Household based 41,03 24,04 34,89 22,60 6,
27 Working population, %, by stages Stage 5-14 years years >= 50 years PHC based ,00 59,22 16,71 24,66 Household based ,87 45,15 12,63 17,97
28 Migrants, %, by stages Stage PHC based Household based ,21
29 Prevalence of respiratory diseases, by stages (self-reported by patients) Stage Disease 5-14 years years >= 50 years PHC based Emphysema 0,50 1,46 2,76 8,58 Asthma 4,07 6,30 3,83 4,13 4,33 4,29 Chronic bronchitis 2,44 5,51 8,17 9,95 15,14 26,01 Tuberculosis 0,17 1,94 0,36 2,95 Current pneumonia 4,07 2,36 0,67 1,46 1,32 2,14 Allergic rhinitis 5,69 1,57 3,50 3,88 2,40 1,07 Another respiratory disease* 45,53 48,03 27,67 19,66 14,78 11,80 Household based Emphysema Asthma 0,22 0,21 0,40 0,26 1,02 0,43 1,82 0,38 1,15 Chronic bronchitis 0,22 1,46 4,78 5,99 10,06 16,06 Tuberculosis 0,42 0,40 0,64 1,07 1,72 Current pneumonia 0,40 0,64 0,32 1,15 Allergic rhinitis 0,88 0,63 1,00 0,77 0,54 Another respiratory disease* 20,04 22,50 22,99 20,41 15,10 13,19
30 Prevalence of respiratory diseases (reported by medics) Stage Disease 5-14 years years >= 50 years Household based clinical survey & lung function test Emphysema Asthma Chronic bronchitis 0,33 0,33 0,17 0,84 2,19 0,89 1,33 7,33 Tuberculosis 0,34 0,22 Current pneumonia 2,00 2,02 4,00 Allergic rhinitis 0,33 1,18
31 Main symptoms and medical diagnosis of chronic bronchitis Cough Wheezing Phlegm Dyspnea Part of patients with symptoms Patients without established diagnosis Patients with established diagnosis
32 Risk factors and chronic cough Work in any dusty job Smoke Heat or cook using an open fire Part of patients with risk factors Patients without chronic cough Patients with chronic cough
33 Risk factors and phlegm production Work in any dusty job Smoke Heat or cook using an open fire Part of patients with risk factors Patients without phlegm Patients with phlegm
34 Risk factors and wheezing Work in any dusty job Smoke Heat or cook using an open fire Part of patients with risk factors Patients without wheezing Patients with wheezing
35 Risk factors and dyspnea Work in any dusty job Smoke Heat or cook using an open fire Part of patients with risk factors Patients without dyspnea Patients with dyspnea
36 Risk factors and medical diagnosis of chronic bronchitis Work in any dusty job Smoke Heat or cook using an open fire Part of patients with risk factors Patients without with established diagnosis Patients with with established diagnosis
37 Bronchial obstruction and risk factors Part of patients with risk factors Bronchial obstruction degree
38 Bronchial obstruction and medical diagnosis of chronic bronchitis Part of patients with established diagnosis Bronchial obstruction degree
39 Bronchial obstruction and chronic cough Part of patients with chronic cough Bronchial obstruction degree
40 Bronchial obstruction and chronic phlegm productin Part of patients with phlegm production Bronchial obstruction degree
41 Bronchial obstruction and weezing Part of patients with wheezing Bronchial obstruction degree
42 Have ever taken drug for respiratory diseases Stage Drug category 5-14 years years >= 50 years Household based clinical survey & lung function test Antibiotics Inhalation bronchodilators Theophylline Mucolitics Inhalation glucocorticoids Oral steroids
43 "&'("'"#)(&'("'"# *+, -./0. 1*0 0 2 / :46 0
44 !!'(('"#)!;'(!'"# =>?&, / / // /6
45 Prevalence survey of respiratory disease at the PHC level =>?&, / / // /6
Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease 07 Contributor Dr David Tan Hsien Yung Definition, Diagnosis and Risk Factors for (COPD) Differential Diagnoses Goals of Management Management of COPD THERAPY AT EACH
More informationCOPD in Korea. Division of Pulmonary, Allergy and Critical Care Medicine of Hallym University Medical Center Park Yong Bum
COPD in Korea Division of Pulmonary, Allergy and Critical Care Medicine of Hallym University Medical Center Park Yong Bum Mortality Rate 1970-2002, USA JAMA,2005 Global Burden of Disease: COPD WHO & World
More informationOnline Data Supplement. Prevalence of Chronic Obstructive Pulmonary Disease in Korea: Results of a Population-based Spirometry Survey
Online Data Supplement Prevalence of Chronic Obstructive Pulmonary Disease in Korea: Results of a Population-based Spirometry Survey Dong Soon Kim, MD, Young Sam Kim MD, Kee Suk Chung MD, Jung Hyun Chang
More informationAsthma Tutorial. Trainer MRW. Consider the two scenarios, make an attempt at the questions, what guidance have you used?
Registrar: LG PR RS Topic Asthma and COPD Asthma Tutorial Trainer MRW Date of Tutorial 18 th Jan 2007 Objectives of the tutorial How to diagnose What investigations and when Treatment guidelines QoF Criteria
More informationRESPIRATORY CARE IN GENERAL PRACTICE
RESPIRATORY CARE IN GENERAL PRACTICE Definitions of Asthma and COPD Asthma is due to inflammation of the air passages in the lungs and affects the sensitivity of the nerve endings in the airways so they
More informationPeople with asthma who smoke. The combination of asthma, a chronic airway disease, and smoking increases the risk of COPD even more.
COPD Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, sputum (phlegm) production
More informationCOPD COPD. C - Chronic O - Obstructive P - Pulmonary D - Disease OBJECTIVES
COPD C - Chronic O - Obstructive P - Pulmonary D - Disease 1 OBJECTIVES Following this presentation the participant should be able to demonstrate understanding of chronic lung disease by successful completion
More informationRe-Screening Medical History Questionnaire
Building Trades National Medical Screening Program Re-Screening Medical History Questionnaire Name: Address: _ City: _State: Zip Phone Number (include Area Code): Social Security # Date of Birth If female,
More informationClinical and radiographic predictors of GOLD-Unclassified smokers in COPDGene
Clinical and radiographic predictors of GOLD-Unclassified smokers in COPDGene Emily S. Wan, John E. Hokanson, James R. Murphy, Elizabeth A. Regan, Barry J. Make, David A. Lynch, James D. Crapo, Edwin K.
More informationChronic obstructive pulmonary disease
Chronic obstructive pulmonary disease By: Dr. Fatima Makee AL-Hakak () University of kerbala College of nursing Out lines What is the? Overview Causes of Symptoms of What's the difference between and asthma?
More informationPresented by UIC College of Nursing
Presented by UIC College of Nursing Describe COPD. Identify red flags for a COPD exacerbation. Identify COPD triggers or risk factors. Differentiate between long-acting inhalers and emergency use inhalers.
More informationChronic Obstructive Pulmonary Disease 1/18/2018
Presented by UIC College of Nursing Describe COPD. Identify red flags for a COPD exacerbation. Identify COPD triggers or risk factors. Differentiate between long acting inhalers and emergency use inhalers.
More informationLife-long asthma and its relationship to COPD. Stephen T Holgate School of Medicine University of Southampton
Life-long asthma and its relationship to COPD Stephen T Holgate School of Medicine University of Southampton Definitions COPD is a preventable and treatable disease with some significant extrapulmonary
More informationASTHMA RESOURCE PACK Section 3. Chronic Cough Guidelines
ASTHMA RESOURCE PACK Section 3 Chronic Cough Guidelines NHS Fife Guidelines for the Management of Chronic Cough in Adults In this section: 1. Introduction 2. Scope Guidelines for Management of Chronic
More informationCOPD. Breathing Made Easier
COPD Breathing Made Easier Catherine E. Cooke, PharmD, BCPS, PAHM Independent Consultant, PosiHleath Clinical Associate Professor, University of Maryland School of Pharmacy This program has been brought
More informationChronic Obstructive Pulmonary Disease
Page 1 of 5 Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease (COPD) is an 'umbrella' term for people with chronic bronchitis, emphysema, or both. With COPD the airflow to the
More informationIntegrated Cardiopulmonary Pharmacology Third Edition
Integrated Cardiopulmonary Pharmacology Third Edition Chapter 13 Pharmacologic Management of Asthma, Chronic Bronchitis, and Emphysema Multimedia Directory Slide 7 Slide 12 Slide 60 COPD Video Passive
More informationHow to treat COPD? What is the mechanism of dyspnea? Smoking cessation
: The Increasing Role of the FP Alan Kaplan, MD, CCFP(EM) Presented at the Primary Care Today: Education Conference and Medical Exposition, Toronto, Ontario, May 2006. Chronic obstructive pulmonary disease
More informationCOPD and other lung conditions
COPD and other lung conditions COPD COPD is an umbrella term used to describe a collection of lung diseases including emphysema and chronic bronchitis. C Chronic - long term condition O Obstructive - difficulty
More informationCOPD. Dr.O.Paknejad Pulmonologist Shariati Hospital TUMS
IN THE NAME OF GOD COPD Dr.O.Paknejad Pulmonologist Shariati Hospital TUMS Definition of COPD* COPD is a preventable and treatable chronic lung disease characterized by airflow limitation that is not fully
More informationSABA: VENTOLIN EVOHALER (SALBUTAMOL) SAMA: ATROVENT IPRATROPIUM. Offer LAMA (discontinue SAMA) OR LABA
COPD GUIDELINES DIAGNOSIS >35 years of age Symptoms of cough, breathlessness, sputum, wheeze, Risk factor (SMOKING) Spirometry (post bronchodilator) FEV1/FVC = 0.7 ENCOURAGE PATIENTS TO BRING INHALERS
More informationDiagnosis and Management of Asthma in Children based on the British Thoracic Society and Scottish Intercollegiate Guidelines Network September 2016
Diagnosis and Management of Asthma in Children based on the British Thoracic Society and Scottish Intercollegiate Guidelines Network September 2016 Diagnosis: There is no lower limit to the age at which
More informationJOINT CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) MANAGEMENT GUIDELINES
JOINT CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) MANAGEMENT GUIDELINES Authors Dr Ian Benton Respiratory Consultant COCH Penny Rideal Respiratory Nurse COCH Kirti Burgul Respiratory Pharmacist COCH Pam
More informationChronic Obstructive Pulmonary Disease (COPD)
James Paget University Hospitals NHS Foundation Trust Great Yarmouth and Waveney Clinical Commissioning Group HealthEast Chronic Obstructive Pulmonary Disease (COPD) Information and Advice for Patients
More informationinformation Chronic Obstructive Pulmonary Disease - COPD (1 of 5) What is COPD? What is going on in my lungs? What are the symptoms of COPD?
information If you need this information in another language or medium (audio, large print, etc) please contact the Patient Advice and Liaison Service (PALS) on 0800 374 208 email: pal.service@ salisbury.nhs.uk.
More informationRESPIRATORY DISORDERS
RESPIRATORY DISORDERS INTRODUCTION Respiratory disorders refers to the medical term that include different pathological conditions affecting the organs and tissues of respiratory system which make gas
More informationChronic Obstructive Pulmonary Disease, shortened to COPD, is an umbrella term for a group of conditions which cause long-term damage to the airways.
10 Common QuESTIonS AbouT CoPD Chronic Obstructive Pulmonary Disease, shortened to COPD, is an umbrella term for a group of conditions which cause long-term damage to the airways. COPD includes: chronic
More informationCOPD and Asthma Update. April 29 th, 2017 Rachel M Taliercio, DO Staff, Respiratory Institute
COPD and Asthma Update April 29 th, 2017 Rachel M Taliercio, DO Staff, Respiratory Institute What we ll be talking about COPD: diagnosis, management of stable COPD, COPD exacerbations Asthma: diagnosis,
More informationUpdate on heterogeneity of COPD, evaluation of COPD severity and exacerbation
Update on heterogeneity of COPD, evaluation of COPD severity and exacerbation Yung-Yang Liu, MD Taipei Veterans General Hospital Aug 29, 2015 G O lobal Initiative for Chronic bstructive L D ung isease
More informationMedical History. Participant Id#: Acrostic: Tech ID#: Date: / / 1 How would you say your health currently compares with other persons of your age?
Multi-Ethnic Study of Atherosclerosis Exam 5 Participant Id#: Acrostic: Tech ID#: Medical History Interviewer Administered Date: / / Month Day Year The following are some questions about your medical history.
More informationLiving well with COPD
This factsheet aims to show people with chronic obstructive pulmonary disease (COPD) and their friends and family how they can live a full life with this disease. What is COPD? COPD is a condition that
More informationCough Associated with Bronchitis
Cough Associated with Bronchitis Bronchitis (bron-ki-tis) is a condition in which the bronchial tubes, the tubes that carry air to your lungs, become inflamed. People who have bronchitis often have a cough
More informationPERIODIC ASBESTOS MEDICAL QUESTIONNAIRE
Date: / / PERIODIC ASBESTOS MEDICAL QUESTIONNAIRE NAME: SS#: - - COMPANY: 1. OCCUPATIONAL HISTORY A. Have you ever worked full time (30 hours per week or more) for 6 months or more? IF YES, TO 1B: B. Have
More informationOutline FEF Reduced FEF25-75 in asthma. What does it mean and what are the clinical implications?
Reduced FEF25-75 in asthma. What does it mean and what are the clinical implications? Fernando Holguin MD MPH Director, Asthma Clinical & Research Program Center for lungs and Breathing University of Colorado
More informationPredictors of obstructive lung disease among seafood processing workers along the West Coast of the Western Cape Province
Predictors of obstructive lung disease among seafood processing workers along the West Coast of the Western Cape Province Adams S 1, Jeebhay MF 1, Lopata AL 2, Bateman ED 3, Smuts M 4, Baatjies R 1, Robins
More informationProvider Respiratory Inservice
Provider Respiratory Inservice 2 Welcome Opening Remarks We will cover: Definition of Asthma & COPD Evidence based guidelines for diagnosis, evaluation, and management of asthma Evidence based guidelines
More informationClinical Implications of Asthma Phenotypes. Michael Schatz, MD, MS Department of Allergy
Clinical Implications of Asthma Phenotypes Michael Schatz, MD, MS Department of Allergy Definition of Phenotype The observable properties of an organism that are produced by the interaction of the genotype
More information2/4/2019. GOLD Objectives. GOLD 2019 Report: Chapters
GOLD Objectives To provide a non biased review of the current evidence for the assessment, diagnosis and treatment of patients with COPD. To highlight short term and long term treatment objectives organized
More informationChronic Obstructive Pulmonary Disease. Information about medication and an Action Plan to use if your condition gets worse due to an infection
Chronic Obstructive Pulmonary Disease Information about medication and an Action Plan to use if your condition gets worse due to an infection Information about your medication Your usual treatment Inhalers
More informationGuideline for the Diagnosis and Management of COPD
Guideline for the Diagnosis and Management of COPD Introduction Chronic obstructive pulmonary disease (COPD) is a respiratory disorder largely caused by smoking. It is characterized by progressive, partially
More informationCHRONIC OBSTRUCTIVE PULMONARY DISEASE
CHRONIC OBSTRUCTIVE PULMONARY DISEASE INCIDENCE UP TO 380,000 PEOPLE IN IRELAND HSE FIGURES 110,000 DIAGNOSED AND 200,000 UNDIAGNOSED. AFFECTS MORE MEN THAN WOMEN BUT RATES ARE RISING 1500 DEATHS PER YEAR
More informationAnyone who smokes and/or has shortness of breath and sputum production could have COPD
COPD DIAGNOSIS AND MANAGEMENT CHECKLIST Anyone who smokes and/or has shortness of breath and sputum production could have COPD Confirm Diagnosis Presence and history of symptoms: Shortness of breath Cough
More informationRespiratory Diseases and Disorders
Chapter 9 Respiratory Diseases and Disorders Anatomy and Physiology Chest, lungs, and conducting airways Two parts: Upper respiratory system consists of nose, mouth, sinuses, pharynx, and larynx Lower
More informationChronic obstructive pulmonary disease
0 Chronic obstructive pulmonary disease Implementing NICE guidance June 2010 NICE clinical guideline 101 What this presentation covers Background Scope Key priorities for implementation Discussion Find
More informationAsthma. Guide to Good Health. Healthy Living Guide
Asthma Guide to Good Health Healthy Living Guide Asthma Chronic Fatigue Syndrome (CFS) Chronic Obstructive Pulmonary Disease (COPD) Coronary Artery Disease (CAD) Depression Hyperlipidemia Hypertension
More informationPomPom SHOOTER. Activity Background: Common Obstructive Lung Disorders:
CAUTION: Students with asthma or other respiratory problems should NOT perform the breathing exercises in this activity because they involve repeated maximal inhalations and exhalations and use of a breathing
More informationRESPIRATORY EMERGENCIES. Michael Waters MD April 2004
RESPIRATORY EMERGENCIES Michael Waters MD April 2004 ASTHMA Asthma is a chronic inflammatory disease of the airways with variable or reversible airway obstruction Characterized by increased sensitivity
More informationHistory & Development
RSPT 2317 Anticholinergic Bronchodilators () History & Development Prototypical parasympatholytic agent is atropine an alkaloid found naturally in the plants Atropa belladona (nightshade) and Datura species
More informationThe Respiratory System
130 20 The Respiratory System 1. Define important words in this chapter 2. Explain the structure and function of the respiratory system 3. Discuss changes in the respiratory system due to aging 4. Discuss
More informationCOPD: Current Medical Therapy
COPD: Current Medical Therapy Angela Golden, DNP, FNP-C, FAANP Owner, NP from Home, LLC Outcomes As a result of this activity, learners will be able to: 1. List the appropriate classes of medications for
More informationVA/DoD Clinical Practice Guideline Management of COPD Pocket Guide
VA/DoD Clinical Practice Guideline Management of COPD Pocket Guide MODULE A: MAAGEMET OF COPD 1 2 Patient with suspected or confirmed COPD presents to primary care [ A ] See sidebar A Perform brief clinical
More informationRELATIONSHIP BETWEEN RESPIRATORY DISEASES OF SCHOOLCHILDREN AND TOBACCO SMOKE IN HONG KONG AND SRI LANKA
RELATIONSHIP BETWEEN RESPIRATORY DISEASES OF SCHOOLCHILDREN AND TOBACCO SMOKE IN HONG KONG AND SRI LANKA 1 S.H. LEE and W.T. HUNG Department of Civil and Environmental Engineering, The Hong Kong Polytechnic
More informationSCREENING AND PREVENTION
These protocols are designed to implement standard guidelines, based on the best evidence, that provide a consistent clinical experience for AHC II Integrated Clinical Delivery Network patients and allow
More informationCOPD is a syndrome of chronic limitation in expiratory airflow encompassing emphysema or chronic bronchitis.
1 Definition of COPD: COPD is a syndrome of chronic limitation in expiratory airflow encompassing emphysema or chronic bronchitis. Airflow obstruction may be accompanied by airway hyper-responsiveness
More informationDiagnosis, Treatment and Management of Asthma
Diagnosis, Treatment and Management of Asthma Asthma is a complex disorder characterized by variable and recurring symptoms, airflow obstruction, bronchial hyperresponsiveness, and an underlying inflammation.
More informationPulmonary Pathophysiology
Pulmonary Pathophysiology 1 Reduction of Pulmonary Function 1. Inadequate blood flow to the lungs hypoperfusion 2. Inadequate air flow to the alveoli - hypoventilation 2 Signs and Symptoms of Pulmonary
More informationPATIENT INFORMATION Chronic Obstructive Pulmonary Disease (COPD) Fact Sheet
PATIENT INFORMATION Chronic Obstructive Pulmonary Disease (COPD) Fact Sheet What is COPD? COPD is a general term, which includes the conditions chronic asthma, chronic bronchitis and emphysema. It is due
More informationCOPD/Asthma. Prudence Twigg, AGNP
COPD/Asthma Prudence Twigg, AGNP COPD/Asthma Qualifying Diagnosis Known diagnosis of COPD/asthma or CXR showing COPD with hyperinflated lungs and no infiltrates + two or more: Wheezing, SOB, increased
More informationChronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, sputum (phlegm) production
More informationINDEPENDENT MEDICAL EXAMINATION
INDEPENDENT MEDICAL EXAMINATION I have had the opportunity to examine for the purpose of independent medical examination, Mr. John Doe. He was seen in my office at 38 East 32nd Street in New York on February
More informationUAB HOSPITAL EMPLOYEE Initial N95 Respirator Use Form
THE UNIVERSITY OF ALABAMA AT BIRMINGHAM Hospital Employee Health UAB HOSPITAL EMPLOYEE Initial N95 Respirator Use Form Date: Name (first and last): Employee ID: Blazer ID: Last 6 digits of SSN: Department:
More informationSeretide MDI contains two medicines, fluticasone propionate and salmeterol xinafoate.
SERETIDE MDI Fluticasone propionate/salmeterol xinafoate Consumer Medicine Information What is in this leaflet? Please read this leaflet carefully before you use Seretide MDI. This leaflet answers some
More informationAmerican Thoracic Society (ATS) Perspective
National Surveillance System for Chronic Lung Disease (CLD): American Thoracic Society (ATS) Perspective Gerard J. Criner, M.D. Chronic Obstructive Pulmonary Disease (COPD) l Definition: Group of chronic
More informationPulmonary Function Testing: Concepts and Clinical Applications. Potential Conflict Of Interest. Objectives. Rationale: Why Test?
Pulmonary Function Testing: Concepts and Clinical Applications David M Systrom, MD Potential Conflict Of Interest Nothing to disclose pertinent to this presentation BRIGHAM AND WOMEN S HOSPITAL Harvard
More informationBronchiectasis in Adults - Suspected
Bronchiectasis in Adults - Suspected Clinical symptoms which may indicate bronchiectasis for patients Take full respiratory history including presenting symptoms, past medical & family history Factors
More informationOverview of COPD INTRODUCTION
Overview of COPD INTRODUCTION Chronic obstructive pulmonary disease (COPD) is a common lung disease that affects millions of people, and it is the fourth leading cause of death in the United States. It
More informationSERETIDE MDI (with counter)
. SERETIDE MDI (with counter) Fluticasone propionate/salmeterol xinafoate Consumer Medicine Information What is in this leaflet? Please read this leaflet carefully before you use Seretide MDI. This leaflet
More informationUNDERSTANDING & MANAGING
UNDERSTANDING & MANAGING YOUR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)* *Includes chronic bronchitis, emphysema, or both Boehringer Ingelheim Pharmaceuticals, Inc. has no ownership interest in any
More informationPulmo-Park Pom-Pom Shooter: Measuring the Effect of Restricted Breathing on Peak Expiratory Flow (PEF) Student Information Page Activity 5D
Pom-Pom Shooter: Measuring the Effect of Restricted Breathing on Peak Expiratory Flow (PEF) Student Information Page Activity 5D Students with asthma or other respiratory problems should not perform the
More informationCare Bundle. Adult patients with COPD
Care Bundle Adult patients with COPD Version 2 July 2014 What is a care bundle? A care bundle is a set of interventions that, when used together, significantly improve patient outcomes. The measures chosen
More informationA patient educational resource provided by Boehringer Ingelheim Pharmaceuticals, Inc.
Boehringer Ingelheim Pharmaceuticals, Inc. has no ownership interest in any other organization that advertises or markets its disease management products and services. A patient educational resource provided
More informationChronic Obstructive Pulmonary Disease Guidelines and updates
Chronic Obstructive Pulmonary Disease Guidelines and updates October 20, 2018 Saratoga Springs, NY COPD (Chronic obstructive pulmonary disease) is a major cause of mortality and morbidity in the United
More informationAsthma COPD Overlap (ACO)
Asthma COPD Overlap (ACO) Dr Thomas Brown Consultant Respiratory Physician Thomas.Brown@porthosp.nhs.uk Dr Hitasha Rupani Consultant Respiratory Physician Hitasha.rupani@porthosp.nhs.uk What is Asthma
More informationChronic respiratory diseases at primary health care level in Georgia: the results of the pilot study
Monaldi Arch Chest Dis 2009; 71: 4, 141-146 ORIGINAL ARTICLE Chronic respiratory diseases at primary health care level in Georgia: the results of the pilot study I. Chkhaidze 1, T. Maglakelidze 2, N. Khaltaev
More informationDecramer 2014 a &b [21]
Buhl 2015 [19] Celli 2014 [20] Decramer 2014 a &b [21] D Urzo 2014 [22] Maleki-Yazdi 2014 [23] Inclusion criteria: Diagnosis of chronic obstructive pulmonary disease; 40 years of age or older; Relatively
More informationHealthy Lungs. Presented by: Brandi Bishop, RN and Patty Decker, RRT, RCP
Healthy Lungs Presented by: Brandi Bishop, RN and Patty Decker, RRT, RCP Chronic Lower Respiratory Disease Chronic Lower Respiratory Disease includes 1. Chronic Obstructive Pulmonary Disease 2. Asthma
More informationCOPD/ Asthma. Dr Heather Lewis Honorary Clinical Lecturer
COPD/ Asthma Dr Heather Lewis Honorary Clinical Lecturer Objectives To understand the pathogenesis of asthma/ COPD To recognise the clinical features of asthma/ COPD To know how to diagnose asthma/ COPD
More informationLos Angeles Department of Water and Power
Los Angeles Department of Water and Power Post Offer Packet 12 RMEQ OSHA's Respiratory Medical Evaluation Questionnaire MSQ2 Medical Surveillance Questionnaire - Hearing Section IMQA Initial...... Dear
More information#POMAD8 #ChoosePOMA #POMAD8 #ChoosePOMA #POMAD8 #ChoosePOMA
Where There s Smoke There s Obstruction Stephen G. Basheda, D.O., F.C.C.P. 1 Disclosures Dr. Basheda is an independent contractor for AstraZeneca Pharmaceuticals, LP and GlaxoSmithKline and on the speaker
More informationDisclosures. Chronic Obstructive Pulmonary Disease. Chronic Obstructive Pulmonary Disease (COPD)
Chronic Obstructive Pulmonary Disease May 14, 2016 Orlando, FL COPD (Chronic obstructive pulmonary disease) is a major cause of mortality and morbidity in the United States. Alarmingly, COPD recently became
More informationADULT ASTHMA GUIDE SUMMARY. This summary provides busy health professionals with key guidance for assessing and treating adult asthma.
ADULT ASTHMA GUIDE SUMMARY This summary provides busy health professionals with key guidance for assessing and treating adult asthma. Its source document Asthma and Respiratory Foundation NZ Adult Asthma
More informationReference Guide for Group Education
A p l a n o f a c t i o n f o r l i f e Reference Guide for Group Education Session 1 Introduction to Living Well with COPD Education Program Participants Expectations Towards the Program Health in COPD
More information1998 CSTE ANNUAL MEETING CSTE POSITION STATEMENT # EH/CD 1. COMMITTEE: Environmental and Chronic Disease Committees
1998 CSTE ANNUAL MEETING CSTE POSITION STATEMENT # EH/CD 1 COMMITTEE: Environmental and Chronic Disease Committees TITLE: Asthma Surveillance and Case Definition ISSUE: National surveillance data indicate
More informationREFERRAL GUIDELINES RESPIRATORY
REFERRAL GUIDELINES RESPIRATORY Referral Form: The GP Referral Template is the preferred referral tool (previously known as the Victorian Statewide Referral Form) GP Referral Template This tool is housed
More informationDefining COPD. Georgina Grantham Community Respiratory Team Leader/ Respiratory Nurse Specialist
Defining COPD Georgina Grantham Community Respiratory Team Leader/ Respiratory Nurse Specialist Defining COPD Chronic Obstructive Pulmonary Disease (COPD) is a common, preventable and treatable disease
More informationQuestion by Question (QXQ) Instructions for the Pulmonary Diagnosis Form (PLD)
Question by Question (QXQ) Instructions for the Pulmonary Diagnosis Form (PLD) A Pulmonary Diagnosis Form is filled out by the reviewer for all medical records that are sent to them for review by the CSCC.
More informationRespiratory Disease. Dr Amal Damrah consultant Neonatologist and Paediatrician
Respiratory Disease Dr Amal Damrah consultant Neonatologist and Paediatrician Signs and Symptoms of Respiratory Diseases Cardinal Symptoms Cough Sputum Hemoptysis Dyspnea Wheezes Chest pain Signs and Symptoms
More informationCHRONIC OBSTRUCTIVE PULMONARY DISEASE
CHRONIC OBSTRUCTIVE PULMONARY DISEASE Chronic Obstructive Pulmonary Disease (COPD) is a slowly progressive disease of the airways that is characterized by a gradual loss of lung function. In the U.S.,
More informationASTHMA. Epidemiology. Pathophysiology. Diagnosis. IAP UG Teaching slides
BRONCHIAL ASTHMA ASTHMA Epidemiology Pathophysiology Diagnosis 2 CHILDHOOD ASTHMA Childhood bronchial asthma is characterized by Airway obstruction which is reversible Airway inflammation Airway hyper
More informationPulmonary Pearls. Medical Pearls. Case 1: Case 1 (cont.): Case 1: What is the Most Likely Diagnosis? Case 1 (cont.):
Pulmonary Pearls Christopher H. Fanta, MD Pulmonary and Critical Care Division Brigham and Women s Hospital Partners Asthma Center Harvard Medical School Medical Pearls Definition: Medical fact that is
More informationChanging Landscapes in COPD New Zealand Respiratory Conference
Changing Landscapes in COPD New Zealand Respiratory Conference Dr Robert Young BMedSc MBChB DPhil (Oxon) FRACP FRCP Associate Professor Consultant Physician Changing Landscapes in COPD: Summary 1. Overview
More informationCOPD Management in LTC: Presented By: Jessica Denney RRT
COPD Management in LTC: Presented By: Jessica Denney RRT Sponsored by Z & D Medical Services, Diamond Sponsor Seizing Opportunities to Provide Individualized Treatment and Device Selection for your COPD
More informationCOPD and environmental risk factors other than smoking. 14. Summary
COPD and environmental risk factors other than smoking 14. Summary Author : P N Lee Date : 7 th March 2008 1. Objectives and general approach The objective was to obtain a good insight from the available
More informationUNDERSTANDING COPD MEDIA BACKGROUNDER
UNDERSTANDING COPD MEDIA BACKGROUNDER What is COPD? Chronic Obstructive Pulmonary Disease (COPD) also called emphysema and/or chronic obstructive bronchitis* is a preventable lung disease caused by the
More informationThis is a cross-sectional analysis of the National Health and Nutrition Examination
SUPPLEMENTAL METHODS Study Design and Setting This is a cross-sectional analysis of the National Health and Nutrition Examination Survey (NHANES) data 2007-2008, 2009-2010, and 2011-2012. The NHANES is
More informationCOPD Research at the University of Maryland School of Maryland
COPD Research at the University of Maryland School of Maryland COPD Clinical Research Center A member of the National Heart Lung & Blood Institute National Institutes of Health Director: Steven M. Scharf,
More informationan inflammation of the bronchial tubes
BRONCHITIS DEFINITION Bronchitis is an inflammation of the bronchial tubes (or bronchi), which are the air passages that extend from the trachea into the small airways and alveoli. Triggers may be infectious
More informationAllina Health United Lung and Sleep Clinic
Medical History Form Date Allina Health United Lung and Sleep Clinic Name Last First MI Date of birth What lung problem do you want us to help you with: Who is your primary care provider? Social History
More informationChronic Obstructive Pulmonary Disease. Gabrielle Matarazzo 5/2/2016
Chronic Obstructive Pulmonary Disease Gabrielle Matarazzo 5/2/2016 Abstract: The goal of this paper is to provide a case study of chronic obstructive pulmonary disorder along with key scientific information
More informationBronchiectasis. What is bronchiectasis? What causes bronchiectasis?
This factsheet explains what bronchiectasis is, what causes it, and how it is diagnosed and managed. More detailed information is available on the Bronchiectasis Patient Priorities website: www.europeanlunginfo.org/bronchiectasis
More information