Relevant bibliographies by topics / Respiratory

Academic literature on the topic 'Respiratory'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 August 2024

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Journal articles on the topic "Respiratory"

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Howard, Brittany E. "High-Risk Aerosol-Generating Procedures in COVID-19: Respiratory Protective Equipment Considerations." Otolaryngology–Head and Neck Surgery 163, no. 1 (May 12, 2020): 98–103. http://dx.doi.org/10.1177/0194599820927335.

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The correct selection and utilization of respiratory personal protective equipment is of the utmost importance in the current COVID-19 pandemic. This is especially true for health care workers exposed to high-risk aerosol-generating procedures, including otolaryngologists, ophthalmologists, neurosurgeons, maxillofacial surgeons, and laparoscopic surgeons. This communication provides a review of approved forms of respiratory protection and compares their characteristics, including surgical masks, N95 respirator, elastomeric respirators, powered air-purifying respirators, and controlled air-purifying respirators. For standard airborne precautions, N95 respirator are appropriate for respiratory protection. However, high-risk aerosol-generating procedures may create aerosolization of high viral loads that represent increased risk to health care workers. In these situations, enhanced respiratory protection with filters certified as 99, 100, or HEPA (high-efficiency particulate air) may be appropriate.
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Hines, Stella E., Joanna Gaitens, Nora M. Mueller, Diego Molina Ochoa, Eseosa Fernandes, and Melissa A. McDiarmid. "Respiratory Protection Perceptions among Malian Health Workers: Insights from the Health Belief Model." International Journal of Environmental Research and Public Health 19, no. 5 (March 4, 2022): 3028. http://dx.doi.org/10.3390/ijerph19053028.

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Reusable respiratory protective devices called elastomeric respirators have demonstrated their effectiveness and acceptability in well-resourced healthcare settings. Using standard qualitative research methods, we explored the feasibility of elastomeric respirator use in low- and middle-income countries (LMIC). We conducted interviews and focus groups with a convenience sample of health workers at one clinical center in Mali. Participants were users of elastomeric and/or traditional N95 respirators, their supervisors, and program leaders. Interview transcripts of participants were analyzed using a priori constructs from the Health Belief Model (HBM) and a previous study about healthcare respirator use. In addition to HBM constructs, the team identified two additional constructs impacting uptake of respirator use (system-level factors and cultural factors). Together, these framed the perceptions of Malian health workers and highlighted both facilitators of and barriers to respirator use uptake. As needs for respiratory protection from airborne infectious hazards become more commonly recognized, elastomeric respirators may be a sustainable and economic solution for health worker protection in LMIC.
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McKay, Roy T. "Respirator and Respiratory Protection." Journal of Occupational & Environmental Medicine 39, no. 8 (August 1997): 791. http://dx.doi.org/10.1097/00043764-199708000-00023.

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Fakherpour, Anahita, Mehdi Jahangiri, and Janis Jansz. "A systematic review of passing fit testing of the masks and respirators used during the COVID-19 pandemic: Part 1-quantitative fit test procedures." PLOS ONE 18, no. 10 (October 26, 2023): e0293129. http://dx.doi.org/10.1371/journal.pone.0293129.

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Background During respiratory infection pandemics, masks and respirators are highly sought after, especially for frontline healthcare workers and patients carrying respiratory viruses. The objective of this study was to systematically review fit test pass rates and identify factors influencing the fitting characteristics. Methods Potentially relevant studies were identified using PubMed, Scopus, Web of Science, and Science Direct during the COVID-19 pandemic from February 5, 2020, to March 21, 2023. The search strategy using the following keywords was conducted: Quantitative Fit Test, Condensation Nuclei Counter, Controlled Negative Pressure, PortaCount, Sibata, Accufit, Fit, Seal, Mask, Respirator, Respiratory Protective Device, Respiratory Protective Equipment, Protective Device, Personal Protective Equipment, COVID-19, Coronavirus, and SARS-CoV-2. The quality of the included studies was also assessed using the Newcastle-Ottawa scale. Results A total of 137 articles met the eligibility criteria. Fifty articles had a quality score of less than 7 (good quality). A total of 21 studies had a fit test pass rate of less than 50%. 26 studies on disposable respirators and 11 studies on reusable respirators had an FF of less than 50 and less than 200, respectively. The most influential factors include respirator brand/model, style, gender, ethnicity, facial dimensions, facial hair, age, reuse, extensive movement, seal check, comfort and usability assessment, and training. Conclusion 37.36% of the disposable respirator studies and 43% of the reusable respirator studies did not report fit test results. 67.86% of the disposable respirator studies had a fit test pass rate greater than 50%, and 35.84% of these studies had an FF greater than 100. Also, 85.71% of the reusable respirator studies had a fit test pass rate greater than 50%, and 52.77% of these studies had an FF greater than 1000. Overall, the fit test pass rate was relatively acceptable. Newly developed or modified respirators must undergo reliable testing to ensure the protection of HCWs. Subject and respirator characteristics should be considered when implementing fit testing protocols. An optimal fit test panel should be developed prior to respirator design, certification, procurement decisions, and selection procedures.
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Bien, Elizabeth Ann, Gordon Lee Gillespie, Cynthia Ann Betcher, Terri L. Thrasher, and Donna R. Mingerink. "Respiratory Protection Toolkit." Workplace Health & Safety 64, no. 12 (July 27, 2016): 596–602. http://dx.doi.org/10.1177/2165079916657831.

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International travel and infectious respiratory illnesses worldwide place health care workers (HCWs) at increasing risk of respiratory exposures. To ensure the highest quality safety initiatives, one health care system used a quality improvement model of Plan-Do-Study-Act and guidance from Occupational Safety and Health Administration’s (OSHA) May 2015 Hospital Respiratory Protection Program (RPP) Toolkit to assess a current program. The toolkit aided in identification of opportunities for improvement within their well-designed RPP. One opportunity was requiring respirator use during aerosol-generating procedures for specific infectious illnesses. Observation data demonstrated opportunities to mitigate controllable risks including strap placement, user seal check, and reuse of disposable N95 filtering facepiece respirators. Subsequent interdisciplinary collaboration resulted in other ideas to decrease risks and increase protection from potentially infectious respiratory illnesses. The toolkit’s comprehensive document to evaluate the program showed that while the OSHA standards have not changed, the addition of the toolkit can better protect HCWs.
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Bischoff, Werner E., JoLyn Turner, Gregory Russell, Maria Blevins, Engy Missaiel, and John Stehle. "How well do N95 respirators protect healthcare providers against aerosolized influenza virus?" Infection Control & Hospital Epidemiology 40, no. 2 (December 18, 2018): 232–34. http://dx.doi.org/10.1017/ice.2018.326.

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AbstractN95 respirator masks are recommended for protection against respiratory viruses. Despite passing fit-testing 10% of N95 respirator users encountered breakthroughs with exposure to influenza virus compared to full protection provided by a powered air purifying respirator. The current recommendation of N95 respirators should be evaluated for endemic and emerging scenarios.
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Lam, Simon Ching, Joseph Kok Long Lee, Linda Yin King Lee, Ka Fai Wong, and Cathy Nga Yan Lee. "Respiratory Protection by Respirators: The Predictive Value of User Seal Check for the Fit Determination in Healthcare Settings." Infection Control & Hospital Epidemiology 32, no. 4 (April 2011): 402–3. http://dx.doi.org/10.1086/659151.

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The N95 respirator is one type that is recommended by the World Health Organization and the Centers for Disease Control and Prevention (CDC) to prevent inhalation of droplets that may act to transmit respiratory pathogens. However, the reliability of this respirator to prevent transmission is dependent on how well it is fitted to the wearer. For ill-fitting respirators, the average penetration by ambient aerosol was found to be 33%, compared with 4% for well-fitting respirators. Such penetration or leakage may be caused by the gap between the respirator and the wearer's face. Therefore, formal fit testing should be carried out prior to the use of N95 respirators. Quantitative fit testing measures “the adequacy of respirator fit by numerically measuring the amount of leakage into the respirator” using an electronic device.
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Hines, Stella E., Clayton H. Brown, Marc Oliver, Patricia Gucer, Melissa Frisch, Regina Hogan, Tracy Roth, James Chang, and Melissa McDiarmid. "Cleaning and Disinfection Perceptions and Use Practices Among Elastomeric Respirator Users in Health care." Workplace Health & Safety 68, no. 12 (August 19, 2020): 572–82. http://dx.doi.org/10.1177/2165079920938618.

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Background: Reusable elastomeric respirator use in health care may represent one solution to address N95 respirator shortages experienced during infectious disease outbreaks, but cleaning and disinfection requirements may limit their utility. Evidence of respirator cleaning and disinfection behaviors and practices by health care workers may inform guidance on reusable respirator use. Methods: Medical system elastomeric respirator users were surveyed about respirator cleaning and disinfection practices and perceptions via an electronic survey. Respondents were subsequently classified based on reported compliance with their assigned respirator use. To explore whether respirator cleaning and disinfection issues affected compliance with assigned device use, responses were compared between user groups and adjusted for covariates. Results: A total of 432 of 2,024 (21%) eligible elastomeric respirator users completed the survey. Most (>90%) reported that their respirator was clean, but only 52% reported that they always disinfect their respirators after use according to the hospital’s expected practice. Only 40 respondents (9%) reported regularly cleaning the respirator with soap and water, in accordance with manufacturer recommendations. Reporting of suboptimal decontamination practice was not associated with assigned device compliance, however, except among providers and respiratory therapists. Conclusion/Application to Practice: Although perceptions of cleanliness and adherence to expected decontamination practices during routine use did not appear to influence compliance with assigned respirator use overall, this did predict compliance among providers and respiratory therapists, both of whom have nonfixed workstations. Practical and effective strategies to assure easy access to and availability of clean reusable respiratory protective devices are needed to facilitate their use in health care respiratory protection programs.
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Schumacher, Jan, James Arlidge, Declan Dudley, Jennifer Van Ross, Francesca Garnham, and Kate Prior. "First responder communication in CBRN environments: FIRCOM-CBRN study." Emergency Medicine Journal 36, no. 8 (June 19, 2019): 456–58. http://dx.doi.org/10.1136/emermed-2019-208413.

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IntroductionRecent terror attacks and assassinations involving highly toxic chemical weapons have stressed the importance of sufficient respiratory protection of medical first responders and receivers. As full-face respirators cause perceptual-motor impairment, they not only impair vision but also significantly reduce speech intelligibility. The recent introduction of electronic voice projection units (VPUs), attached to a respirator, may improve communication while wearing personal respiratory protection.ObjectiveTo determine the influence of currently used respirators and VPUs on medical communication and speech intelligibility.Methods37 trauma anaesthetists carried out an evaluation exercise of six different respirators and VPUs including one control. Participants had to listen to audio clips of a variety of sentences dealing with scenarios of emergency triage and medical history taking.ResultsIn the questionnaire, operators stated that speech intelligibility of the Avon C50 respirator scored the highest (mean 3.9, ±SD 1.0) and that the Respirex Powered Respiratory Protective Suit (PRPS) NHS-suit scored lowest (1.6, 0.9). Regarding loudness the C50 plus the Avon VPU scored highest (4.1, 0.7), followed by the Draeger FPS-7000-com-plus (3.4, 1.0) and the Respirex PRPS NHS-suit scored lowest (2.3, 0.8).ConclusionsWe found that the Avon C50 is the preferred model among the tested respirators. In our model, electronic voice projection modules improved loudness but not speech intelligibility. The Respirex PRPS NHS-suit was rated significantly less favourably in respect of medical communication and speech intelligibility.
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Cheberiachko, Serhii, Yuriy Cheberiachko, Oleg Deryugin, Bohdan Kravchenko, Tetiana Nehrii, Serhii Nehrii, and Oksana Zolotarova. "INCREASING THE INSULATION PROPERTIES OF FILTER RESPIRATORS TO PROTECT MINERS’ RESPIRATORY ORGANS FROM DUST." Rudarsko-geološko-naftni zbornik 38, no. 4 (2023): 27–40. http://dx.doi.org/10.17794/rgn.2023.4.3.

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To increase the insulating properties of elastomeric half-masks, it is suggested to perforate the obturator in the area of the nasal bridge, chin and cheeks, which allows for adjustment in its size, thus preventing the occurrence of wrinkles on the user’s face in the areas which are the individual features of a particular user’s face. Three versions of the perforated filter respirator obturator have been proposed: in the first, the holes are made along the entire perimeter of the obturator; in the second, the holes are only in the area of the cheeks and nasal bridge; in the third, incisions with a diameter of 5 mm are made in the area of the nasal bridge and cheeks. The result of modelling a set of alternative solutions taking into account the coefficient of protection of filter respirator half-masks, the distribution of compressive forces, which are determined in the environment of the packages “ANSYS” and “Solid works”, has been obtained on the basis of main indicators of the proposed models. To make a decision on choosing the best model, the mass of the elastomeric half mask, its dimensions and the complexity of the design were additionally considered. On the basis of expert evaluation, according to the described procedure for determining the utility function of the factors from their values, it has been defined that the second model of the half-mask is characterized by the best parameters. Conducted laboratory studies to determine the aerosol absorption coefficient by the obturation line showed the lowest indicator in the second option.
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Dissertations / Theses on the topic "Respiratory"

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Messaggi-Sartor, Monique 1984. "Respiratory muscle dysfunction in respiratory and non-respiratory diseases : clinical and therapeutic approaches." Doctoral thesis, Universitat Pompeu Fabra, 2017. http://hdl.handle.net/10803/565809.

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Respiratory muscle dysfunction is a clinical condition that may be present in both respiratory and non-respiratory diseases. This impairment of muscle function can have a negative effect on clinical outcomes, contributing to a further worsening of the patient’s clinical condition. This doctoral thesis has been directed by the ‘Rehabilitation Research Group’ (RERG) in collaboration with the Muscle Wasting and Cachexia in Chronic Respiratory Diseases and Lung Cancer Group (Lung Cancer and Muscle Research Group) of the Institut Hospital del Mar d’Investigacions Mèdiques (IMIM) in Barcelona. Muscle dysfunction has been a priority area of research in these groups from different perspectives: exercise and muscle training in the RERG, Physiopathology and Molecular Biology in the Lung Cancer and Muscle Research Group. The large number of published studies in journals with high impact factor endorses the quality and leadership of these research groups. Up to then, research on RMT had focused on patients with chronic obstructive pulmonary disease, but had been scarcely addressed in other conditions. In the last 5 years, the RERG has aimed to study the effects of RMT in other respiratory diseases (bronchiectasis, lung cancer) and in non-respiratory diseases. The study of respiratory muscle dysfunction in stroke patients has made it possible to start an increasing collaboration with neurorehabilitation researchers, in which RMT plays a role in the management of patients with dysphagia.
La disfunción muscular respiratoria es una condición clínica que puede estar presente tanto en las enfermedades respiratorias como no respiratorias. Este deterioro de la función muscular puede tener un efecto negativo en los resultados clínicos, lo que contribuye a un mayor empeoramiento de la condición clínica del paciente. Esta tesis doctoral ha sido dirigida por el "Grupo de Investigación en Rehabilitación" (RERG) en colaboración con el Grupo de Investigación de Enfermedades Respiratorias Crónicas y Cáncer de Pulmón (Grupo de Investigación de Cáncer de Pulmón y Músculo) del Instituto Hospital del Mar de Investigaciones Mèdiques (IMIM) en Barcelona. La disfunción muscular ha sido un área prioritaria de investigación en estos grupos desde diferentes perspectivas: ejercicio y entrenamiento muscular en el RERG, Fisiopatología y Biología Molecular en el Cáncer de Pulmón y el Grupo de Investigación Muscular. El gran número de estudios publicados en revistas con alto factor de impacto refuerza la calidad y liderazgo de estos grupos de investigación. Hasta entonces, la investigación sobre RMT se había centrado en los pacientes con enfermedad pulmonar obstructiva crónica, pero apenas se había abordado en otras condiciones. En los últimos 5 años, el RERG se ha propuesto estudiar los efectos de la RMT en otras enfermedades respiratorias (bronquiectasias, cáncer de pulmón) y en enfermedades no respiratorias. El estudio de la disfunción de los músculos respiratorios en los pacientes con ictus ha permitido iniciar una creciente colaboración con los investigadores de neurorehabilitación, en los que RMT desempeña un papel en el tratamiento de los pacientes con disfagia.
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Wu, Bingbing. "Ensuring Respiratory Protection through Respirator Fit Testing and Real-Time Monitoring." University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1535374058309808.

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Oliveira, Ana Luísa Araújo. "Adventitious respiratory sounds in children with respiratory infection." Master's thesis, Universidade de Aveiro, 2014. http://hdl.handle.net/10773/13734.

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Mestrado em Fisioterapia
Background: Lower respiratory tract infections (LRTI) are the leading cause of hospital visits in children under 5 years old. Therefore, there is an urgent and unmet need to develop objective, reliable and quick measures for respiratory paediatric assessment. Computerised adventitious respiratory sounds (ARS) have shown to be objective and reliable to assess/monitor respiratory diseases; however its application in children with LRTI is unknown. Aim: To characterise/compare ARS in healthy children and children with LRTI. Methods: A cross-sectional descriptive-comparative study was conducted in three healthcare institutions. Children were diagnosed by the paediatrician as healthy or with a LRTI and grouped according to their age (i.e, 0-2 years old or 3-5 years old). Socio-demographic and anthropometric data, type and severity of LRTI and cardio-respiratory parameters were collected. Respiratory sounds were recorded from the chest with a digital stethoscope following the Computerised Respiratory Sound Analysis guidelines. Wheezes’ location, mean number, type, frequency and occupation rate and crackles’ location, mean number, type, frequency, initial deflection width, two cycle duration, and largest deflection width were analysed per breathing phase. Results: Forty children enrolled in this study: 22 aged 0-2 years old (G1: 11 healthy; G2: 11 with LRTI) and 18 aged 3-5 years old (G3: 9 healthy; G4: 9 with LRTI). Few children, both healthy and with LRTI presented wheezes. In both age ranges, children with LRTI presented a higher percentage of the expiratory phase occupied by wheezes (G1: M 2.15 IQR 1.45 vs. G2: M 4.73 IQR 6.72 p=0.001; G3: M 2.80 IQR 3.27 vs. G4: M 5.17 IQR 15.99 p=0.07). Crackles were found in all children in at least one chest location. In both age ranges, children with LRTI presented more inspiratory crackles (G1: M 0.25 IQR 0.31 vs. G2: M 0.52 IQR 0.70; p<0.001; G3: M 0.50 IQR 0.49 vs. G4: M 0.70 IQR 0.21 p=0.03), especially fine crackles than healthy children (G1: M 0.07 IQR 0.13 vs. G2: M 0.18 IQR 0.42 p=0.001; G3: M 0.11 IQR 0.21 vs. G4: M 0.17 IQR 0.23 p=0.001). Coarse expiratory crackles were the most common type of crackle found in both healthy children (G1: M 0.33 IQR 0.56; G3: M 0.56 IQR 0.99) and children with LRTI (G2: M 0.33 IQR 0.56; G4: M 1.14 IQR 1.38). No differences were found for the remaining parameters. Conclusion: Healthy children and children with LRTI of different ages present ARS (i.e., crackles and wheezes). The occupation rate of wheezes and the mean number of crackles were the parameters that most differed between healthy children and children with LRTI in both age ranges. Therefore these ARS’ parameters may be the best criteria to discriminate the groups.
Enquadramento: As infeções respiratórias do tracto inferior (IRTI) são a principal causa de visitas/admissões hospitalares em crianças com idade inferior a 5 anos. Desta forma, verifica-se uma urgente necessidade de desenvolver medidas de avaliação respiratória pediátricas que sejam objetivas, fiáveis e de rápida aplicação. Os sons respiratórios adventícios (SRA) computorizados têmse revelado objetivos e fiáveis na avaliação/monitorização de doenças respiratórias; contudo a sua aplicação em pediatria é desconhecida. Objetivos: Caracterizar/comparar os SRA em crianças saudáveis e com IRTI. Métodos: Um estudo transversal descritivo-comparativo foi realizado em três instituições de saúde. As crianças foram diagnosticadas pelo pediatra como saudáveis ou com IRTI e agrupadas de acordo com a sua idade (i.e., 0-2 anos ou 3-5 anos). Dados antropométricos, sócio-demográficos, cardio-respiratório e tipo/severidade da IRTI foram recolhidos. Os sons respiratórios foram foram recolhidos no tórax com um estetoscópio digital, de acordo com as orientações internacionais. A localização, número médio, tipo, frequência e taxa de ocupação das sibilâncias e a localização número médio, tipo, frequência, initial deflection width, two cycle duration, e largest deflection width dos fervores foram analizados por fase respiratória. Resultados: Quarenta crianças participaram neste estudo: 22 com idades entre is 0-2 anos (G1: 11 saudáveis; G2: 11 com IRTI) e 18 com idades entre os 3-5 anos (G3: 9 saudáveis; G4: 9 com IRTI). Poucas crianças de ambos os grupos apresentaram sibilâncias. Para ambas as faixas etárias as crianças com IRTI apresentaram uma maior percentagem da expiração ocupada por sibilâncias (G1: M 2.15 IQR 1.45 vs. G2: M 4.73 IQR 6.72 p=0.001; G3: M 2.80 IQR 3.27 vs. G4: M 5.17 IQR 15.99 p=0.07). Todas as crianças apresentaram fervores em pelo menos um local de auscultação. Em ambas as faixas etárias, aqueles com IRTI apresentaram mais fervores inspiratórios (G1: M 0.25 IQR 0.31 vs. G2: M 0.52 IQR 0.70; p<0.001; G3: M 0.50 IQR 0.49 vs. G4: M 0.70 IQR 0.21 p=0.03), especialmente fervores crepitantes , (G1: M 0.07 IQR 0.13 vs. G2: M 0.18 IQR 0.42 p=0.001; G3: M 0.11 IQR 0.21 vs. G4: M 0.17 IQR 0.23 p=0.001). Os fervores expiratórios subcrepitantes foram os mais comuns entre todas as crianças (G1: M 0.33 IQR 0.56; G2: M 0.33 IQR 0.56; G3: M 0.56 IQR 0.99; G4: M 1.14 IQR 1.38).Não foram encontradas diferenças relativamente aos restantes parâmetros avaliados. Conclusão: Crianças saudáveis e com IRTI de diferentes faixas etárias apresentam SRA (i.e., sibilâncias e fervores). A taxa de ocupação das sibilâncias e o número de fervores foram as características que apresentaram mais diferenças entre os participantes saudáveis e os participantes com IRTI. Desta forma, conclui-se que estas características dos SRA poderão constituir os melhores critérios de discriminação entre os grupos.
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Else, Liana. "Lived experiences of professional nurses caring for mechanically ventilated patients." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/8295.

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Critical care nursing is a speciality that continues to evolve and transform. Critical care nurses of the 21st century routinely care for the complex, critically ill patient, integrating sophisticated technology with the accompanying psychosocial challenges and the ethical conflicts associated with critical illness – while, at the same time, addressing the needs and concerns of the family. Providing nursing care in such a dynamic and fast-track unit can pose various challenges for the critical care nurse. Professional nurses are the backbone of any health-care system. The quality of nursing directly affects the patients’ outcomes, and nursing care must therefore be rendered meticulously. Mechanical ventilator support is routinely needed for critically ill adults in these care units and is also a common therapy in sub-acute and long-term care settings. The care of the mechanically ventilated patient is the core of a professional nurse`s practice in the critical care unit. The mechanically ventilated patient presents many challenges for the professional nurse, while the critical care unit poses as a stressful environment for the professional nurse as well as the patient. The objectives of this study therefore were to explore and describe the lived experiences of professional nurses while caring for mechanically ventilated patients, and to develop recommendations to support professional nurses while caring for mechanically ventilated patients. A qualitative, explorative, descriptive and contextual research design was utilised. Data was collected by means of semi-structured interviews and analysed according to the framework provided by Tesch. Purposive sampling was used to select a sample of professional nurses working in a critical care environment. Guba’s model was utilised to verify data and to ensure trustworthiness of the study. Ethical principles were adhered to throughout this research study. With the analysed data, recommendations were to support professional nurses while caring for mechanically ventilated.
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Wetterberg, Torbjörn. "Treatment of critical respiratory failure in adult respiratory distress syndrome." Lund : Dept. of Anesthesiology and Intensive Care, Lund University, University Hospital, 1992. http://books.google.com/books?id=WBVsAAAAMAAJ.

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POMIDORI, Luca. "Efficacia di diversi trattamenti riabilitativi in soggetti affetti da Broncopneumopatia Cronica Ostruttiva (BPCO)." Doctoral thesis, Università degli studi di Ferrara, 2011. http://hdl.handle.net/11392/2388753.

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Background: International guidelines recommend pulmonary rehabilitation for COPD patients in all stages of the disease, in particular for those patients who experience exercise-related restrictions in daily physical activities. The success of Pulmonary Rehabilitation programs resides in the integration between exercise prescription , the choice of methods and patients' compliance with home training. Several methods that can be applied to improve exercise performance in patients with COPD. One of the crucial issue for the patients is the understanding of the correct exercise intensity especially for the development of cardio-respiratory fitness (general exercise training). If the choice of method affects the area respiratory muscle training (inspiratory muscles training-IMT), normocapnic hyperventilation seems effective in improving exercise endurance in healthy subjects but few data are available for COPD patients. My PhD program consist in two studies with the common aim to evaluate the efficacy of different methods of training to improve exercise capacity and Quality of Life. Study N°1: The first study aimed to compare 2 methods of home exercise training (based on walking) titled “A simple method for home exercise training in COPD patients: 1-year study” Methods: 47 COPD were recruited and underwent respiratory function, exercise capacity evaluation with six minutes walking test (6MWT) and treadmill tests. Physical Activity was monitored by multisensor Armband. Patients were randomly assigned to 2 different home training methods and assessed again after 6 and 12 months. Group A1) speed walking marked by a metronome; Group A2) covering a known distance in a fixed time. Results: Thirty-six patients completed the study (77% of the enrolled patients). All subjects showed a significant improvement in 6MWT after 1 year but the improvement was higher in A1 than in A2 (p<0.05). Physical Activity levels were significantly higher at T12 vs baseline only in group A1(p<0.05). Conclusions: The use of a metronome to keep the rate of walking during the home exercise training improves the understanding of exercise intensity allowing the patients to follow the exercise prescription and to get better results. Study N°2: The second study aimed to assess the effects of 4 weeks of normocapnic hyperventilation (NH) by means of Spirotiger® titled “Inspiratory muscle training (IMT) with normocapnic hyperventilation (NH) improves respiratory muscle strength, exercise performance and ventilatory pattern in COPD patients”. Methods: 21 COPD were recruited. Respiratory function tests (FEV1, FVC, Pimax), QoL (St George's Questionnarie), 6MWT and endurance exercise performed at 75-80% of peak-work rate measured during an incremental test to the limit of tolerance (tLIM). 7 of 21 patients were instrumented with a portable inductive plethysmografhy (Lifeshirt System) to evaluate breathing pattern during tLIM. After 1 month of weekly supervised training, the patients trained at home for 4 weeks: 10 min twice a day at a breathing rate 12-24/min with a tidal volume (TV) equal to 50% of CV. Results: 6 patients dropped out (poor compliance). IMT significantly improved Pimax, QoL, exercise capacity (Tab 1). Ventilatory pattern after IMT is characterized by a significantly higher TV with no change in VE (Tab 2). Table1 FEV1(%) FVC(%) Pimax(KPa) QoL(tot) tLIM(min) 6MWt(m) preIMT 55,216,9 82,322,8 8,93 22,716,6 6,43,4 43674,5 postIMT 57,615,8 82,724,1 9,72,8* 17,512,2* 10,37,4* 466,279,7* Table2 SpO2mean(%) VE(L/min) TV(L/min) Br(b/min) preIMT 912,2 28,616,1 0,80,4 334,2 postIMT 92,31,5* 2916,4 0,90,4* 30,86,5 *p<0,05. Conclusions: After a short IMT with NH, COPD patients show a higher exercise capacity and an intriguing change in ventilatory pattern which improves oxygen saturation.
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Chilvers, Mark Alexander. "Human respiratory cilia." Thesis, University of Leicester, 2005. http://hdl.handle.net/2381/30503.

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Human respiratory cilia densely line the airways and beat continually removing mucus and debris from the respiratory tract. Ciliary damage may be primary, from genetic causes, or secondary due to a variety of toxins, bacteria, or viruses. This may result in a reduction in ciliary beat frequency and abnormalities of ciliary beat pattern. Digital high-speed imaging has been presented as a technique to measure both ciliary beat frequency and beat pattern. This has been evaluated against existing methods and found to be a gold standard. Using this method the ciliary beat pattern has been evaluated in detail for the first time. Cilia were found to beat with a forward power stroke and a recovery stroke within the same plane. Using digital high speed imaging normal reference ranges have been evaluated for both a paediatric and young adult population. Data has been collected for ciliary beat frequency, beat pattern and ultrastructural parameters. Having established normal reference ranges it has been possible to evaluate ciliary beat frequency, beat pattern and ultrastructure inpatients with primary ciliary dyskinesia. Different beat patterns were found to be associated with different ultrastructural defects. Digital high-speed imaging is a gold standard for evaluation of ciliary beat frequency and beat pattern. With the availability of normal reference ranges it can be used confidently as a diagnostic and research method.
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Dodd, Will. "Pediatric Respiratory Disease." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/8938.

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Rossor, Thomas Edward. "Neonatal respiratory control." Thesis, King's College London (University of London), 2018. https://kclpure.kcl.ac.uk/portal/en/theses/neonatal-respiratory-control(54db316a-40bc-4920-b563-c555348e1d77).html.

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Background: Disruption of the development of a stable and responsive system of respiratory control may be central to neonatal apnoea and Sudden Infant Death Syndrome. Aims: To test the hypotheses that sleeping position, maternal smoking and substance misuse will alter the ventilatory responses to hypercarbia and hypoxia in term infants; prematurely born infants with a lower ventilatory response to hypercarbia are at greater risk of developing apnoea, caffeine will increase this response; management of gastro-oesophageal reflux varies between NICUs, investigations that detect non-acid reflux will be more sensitive in diagnosing GORD, apnoea frequency will be greater following reflux events than before. Methods: The hypoxic and hypercarbic ventilatory responses were measured in term infants. The ventilatory response to hypercarbia was measured in preterm infants soon after birth and weekly until discharge. A survey was sent to UK NICUs. Infants on the NICU were investigated with pH/MII and polysomnography. Results of Upper gastro-intestinal contrast studies were compared with the results of pH/MII study. Results: Maternal substance misuse alters breathing characteristics and response to hypoxia in newborns. In these infants prone compared to supine sleeping is associated with a lower minute volume. In prematurely born infants, a lower ventilatory response to hypercarbia predicted those that would develop apnoea. Caffeine was associated with an increased ventilatory response to hypercarbia. Investigation and management of gastro-oesophageal reflux in NICUs varies widely. pH/MII increases the detection of reflux events compared to pH alone. The results of pH/MII and upper gastro-intestinal contrast study correlate poorly. Apnoea frequency is no greater following reflux than preceding, or during reflux free periods. Conclusion: Risks factors for SIDS alter respiratory control; apnoea of prematurity is associated with a reduced response to hypercarbia, which is increased by caffeine; there is little evidence for a role of gastro-oesophageal reflux in the pathogenesis of apnoea.
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Del, Valle Mendoza Juana, Tapia Ángela Cornejo, Pablo Weilg, Eduardo Verne, Fuertes Ronald Nazario, Claudia Ugarte, Valle Luis J. del, and Toma´ s. Pumarola. "Incidence of Respiratory Viruses in Peruvian Children With Acute Respiratory Infections." John Wiley & Sons, 2015. http://hdl.handle.net/10757/347016.

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jdelvall@upc.edu.pe
Acute respiratory infections are responsible for high morbi–mortality in Peruvian children. However, the etiological agents are poorly identified. This study, conducted during the pandemic outbreak of H1N1 influenza in 2009, aims to determine the main etiological agents responsible for acute respiratory infections in children from Lima, Peru. Nasopharyngeal swabs collected from 717 children with acute respiratory infections between January 2009 and December 2010 were analyzed by multiplex RT-PCR for 13 respiratory viruses: influenza A, B, and C virus; parainfluenza virus (PIV) 1, 2, 3, and 4; and human respiratory syncytial virus (RSV) A and B, among others. Samples were also tested with direct fluorescent-antibodies (DFA) for six respiratory viruses. RT-PCR and DFA detected respiratory viruses in 240 (33.5%) and 85 (11.9%) cases, respectively. The most common etiological agents were RSV-A (15.3%), followed by influenza A (4.6%), PIV-1 (3.6%), and PIV-2 (1.8%). The viruses identified by DFA corresponded to RSV (5.9%) and influenza A (1.8%). Therefore, respiratory syncytial viruses (RSV) were found to be the most common etiology of acute respiratory infections. The authors suggest that active surveillance be conducted to identify the causative agents and improve clinical management, especially in the context of possible circulation of pandemic viruses
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Books on the topic "Respiratory"

1

White, Gary C. Equipment theory for respiratory care. 3rd ed. Albany, N.Y: Delmar Publishers, 1999.

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C, White Gary. Equipment theory for respiratory care. Albany, N.Y: Delmar Publishers, 1992.

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B, Spearman Charles, ed. Respiratory therapy equipment. 3rd ed. St. Louis: C.V. Mosby Co., 1985.

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B, Spearman Charles, ed. Respiratory therapy equipment. 4th ed. St. Louis: Mosby, 1990.

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Friend, J. A. R. Respiratory medicine. London: Heinemann Medical, 1988.

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National, Heart Lung and Blood Institute Division of Lung Diseases. Respiratory failure. [Bethesda, Md.?]: The Division, 1995.

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Tattersfield, Anne E. Respiratory disease. London: Springer-Verlag, 1987.

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Cloutier, Michelle M. Respiratory physiology. Philadelphia, PA: Mosby, 2007.

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Jariwalla, G. Respiratory Diseases. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4880-8.

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Prange, Henry D. Respiratory Physiology. Boston, MA: Springer US, 1996. http://dx.doi.org/10.1007/978-1-4613-1167-6.

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Book chapters on the topic "Respiratory"

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Starkel, Julie L., Christina Stapke, Abigail Stanley-O’Malley, and Diana Noland. "Respiratory." In Integrative and Functional Medical Nutrition Therapy, 927–68. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-30730-1_51.

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Fry, John. "Respiratory." In The Beecham Manual for Family Practice, 201–10. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-011-6361-3_16.

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Imam, Ibrahim. "Respiratory." In 700 Essential Neurology Checklists, 395–96. New York: CRC Press, 2021. http://dx.doi.org/10.1201/9781003221258-124.

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Khan, Muhammad Azaan, Gizem Ashraf, Hamza Ashraf, Saad Ashraf, Yusuf Hassan, Alisha Rawal, Imaan Ashraf, Qazi Sarem Shahab, and Zehra Hasimoglu. "Respiratory." In Medical Analogies for Clinician-Patient Communication, 139–51. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-87293-9_17.

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Zeki, Sebastian. "Respiratory." In The Illustrated MRCP PACES Primer, 137–49. London: CRC Press, 2022. http://dx.doi.org/10.1201/9780429091254-8.

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Wasson, Cassandra, Albert Kelly, David Ninan, and Quy Tran. "Respiratory." In Absolute Obstetric Anesthesia Review, 5–6. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-96980-0_2.

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Hussain, Syed, Umber Rind, Jawed Noori, Yasmean Kalam, Haseeb Ul Haq Ata, and Emmanuel Papageorgiou. "Respiratory." In Diagnostic EMQs, 211–44. Boca Raton: CRC Press, 2024. http://dx.doi.org/10.1201/9781003459941-9.

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Fitzpatrick, Daniel, David Eastwood, and James Hull. "Respiratory." In Sport and Exercise Medicine, 162–72. Boca Raton: CRC Press, 2023. http://dx.doi.org/10.1201/9781003179979-13.

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Kondili, Eumorfia, Αthanasia Proklou, and Georgios Prinianakis. "Respiratory Failure and Respiratory Support." In Intensive Care Fundamentals, 67–90. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-21991-7_6.

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Parker-Rajewski, Christopher, Anish Sethi, and Rany T. Abdallah. "Respiratory Failure and Other Respiratory Conditions." In Guide to the Inpatient Pain Consult, 145–65. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-40449-9_12.

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Conference papers on the topic "Respiratory"

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Kosumi, Remi, Ryota Sakamoto, Norihiko Kato, Ken’ichi Yano, Shotaro Iwamoto, Tomohiro Tsujioka, Yuya Takahashi, and Noriko Yamakawa. "Non-Contact Measurement of Respiratory Function for Judging the Effect of Respiratory Rehabilitation in Patients With SMID." In ASME 2020 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/imece2020-23289.

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Abstract Patients with SMID (severe motor and intellectual disabilities) have severe limb disorders and severe mental disabilities. More than half of their deaths are due to respiratory disorders. Therefore, respiratory rehabilitation is important. The effect of respiratory rehabilitation is generally determined by measuring respiratory volume and rate with an expired gas analyzer. However, the equipment is expensive and requires direct contact, making it difficult to use. The purpose of this research is to develop a non-contact measurement system for respiratory function to assess the effect of respiratory rehabilitation in patients with SMID. The proposed method detects respiration by depth change of the abdomen measured using a three-dimensional camera designed to identify body tremor /motion and respiration based on respiratory parameters and individually adapted parameters. Finally, we verify the rehabilitation effect of an RTX respirator on patients with SMID and the effectiveness of the proposed method in an experiment.
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Giannaccini, Maria Elena, Keren Yue, James Graveston, Martin Birchall, Andrew Conn, and Jonathan Rossiter. "Respiratory simulator for robotic respiratory tract treatments." In 2017 IEEE International Conference on Robotics and Biomimetics (ROBIO). IEEE, 2017. http://dx.doi.org/10.1109/robio.2017.8324764.

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Bansal, S., S. Santiago, D. Yun, S. Wu, E. Liu, F. Nguyen, and P. Harber. "Interaction of Respirator (PPE) Type and Respiratory Conditions on Breathing Patterns." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a1637.

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Karlen, W., C. J. Brouse, E. Cooke, J. M. Ansermino, and G. A. Dumont. "Respiratory rate estimation using respiratory sinus arrhythmia from photoplethysmography." In 2011 33rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 2011. http://dx.doi.org/10.1109/iembs.2011.6090282.

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Diniz, Ana Lucia N., Alessandro Beda, Walter Machado-Pinheiro, Frederico C. Jandre, and Antonio Giannella-Neto. "Respiratory Sinus Arrhythmia And Respiratory Period During Attentional Tasks." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a3716.

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Komoto, Shunsuke, Kazuto Matsunaga, Tsunahiko Hirano, Keiko Doi, Kazuto Matsunaga, Seiji Nishifuji, and Shota Nakashima. "Respiratory Sound Data Augmentation Method based on Respiratory Physiology." In 2023 IEEE/ACIS 8th International Conference on Big Data, Cloud Computing, and Data Science (BCD). IEEE, 2023. http://dx.doi.org/10.1109/bcd57833.2023.10466340.

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Ketcham, S., Y. R. Sedhai, H. C. Miller, T. Bolig, A. Wang, I. Co, D. Claar, J. I. McSparron, H. C. Prescott, and M. W. Sjoding. "Dying with Respiratory Failure, Not from Respiratory Failure: Characteristics of Death in Acute Hypoxemic Respiratory Failure and the Acute Respiratory Distress Syndrome." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a1139.

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Tendedez, Helena, Maria-Angela Ferrario, Roisin McNaney, and Jon Whittle. "Respiratory Self-Care." In PervasiveHealth'19: The 13th International Conference on Pervasive Computing Technologies for Healthcare. New York, NY, USA: ACM, 2019. http://dx.doi.org/10.1145/3329189.3329190.

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Estrada-Petrocelli, Luis, Raimon Jane, and Abel Torres. "Neural Respiratory Drive Estimation in Respiratory sEMG with Cardiac Arrhythmias." In 2020 42nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) in conjunction with the 43rd Annual Conference of the Canadian Medical and Biological Engineering Society. IEEE, 2020. http://dx.doi.org/10.1109/embc44109.2020.9176377.

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Fikriastuti, Nurafifah, and Habibur Muhaimin. "Respiratory Rate Estimations using Three Respiratory-Induced Variations on Photoplethysmogram." In 2021 International Conference on Electrical Engineering and Informatics (ICEEI). IEEE, 2021. http://dx.doi.org/10.1109/iceei52609.2021.9611130.

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Reports on the topic "Respiratory"

1

Uyehara, Catherine, and Scott Stewart. Broadband Respiratory Virus Surveillance. Fort Belvoir, VA: Defense Technical Information Center, October 2011. http://dx.doi.org/10.21236/ada555802.

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Greenhalgh, Trisha, Michael Baker, Abrar Chugtai, David Fisman, Mohana Kunasekaran, Amanda Kvalsvig, Deborah Lupton, et al. Masks and Respirators for Prevention of Respiratory Infections: A State of the Science Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2023. http://dx.doi.org/10.37766/inplasy2024.1.0087.

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Blake, R. II. Enzymes of respiratory iron oxidation. Office of Scientific and Technical Information (OSTI), January 1991. http://dx.doi.org/10.2172/5620317.

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Blake, R. II. Enzymes of respiratory iron oxidation. Office of Scientific and Technical Information (OSTI), January 1992. http://dx.doi.org/10.2172/6558600.

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Brooks, J. M., and W. E. Porter. Respiratory Protection Program. Programmatic description. Office of Scientific and Technical Information (OSTI), March 1986. http://dx.doi.org/10.2172/5801158.

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Fuller, Julie, Keith Hanley, Robert Schultz, Michael Lewis, Nicole Freed, Michael Ellis, Viseth Ngauy, Richard Stoebner, Margaret Ryan, and Kevin Russel. Surveillance for Respiratory Infections, Including Severe Acute Respiratory, Syndrome (SARS), in Cobra Gold 2003. Fort Belvoir, VA: Defense Technical Information Center, May 2004. http://dx.doi.org/10.21236/ada455915.

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Korsun, Neli, Svetla Angelova, Ivelina Trifonova, Irina Georgieva, and Silvia Voleva. Viral Respiratory Pathogens Associated with Medically Attended Acute Respiratory Illnesses in Older Adults in Bulgaria. "Prof. Marin Drinov" Publishing House of Bulgarian Academy of Sciences, April 2020. http://dx.doi.org/10.7546/crabs.2020.04.07.

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Terry Ann Krulwich. The Respiratory Chain of Alkaliphilic Bacteria. Office of Scientific and Technical Information (OSTI), January 2008. http://dx.doi.org/10.2172/922628.

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Bronich, Tatiana. Synthetic Nanovaccines Against Respiratory Pathogens (SYNARP). Fort Belvoir, VA: Defense Technical Information Center, July 2011. http://dx.doi.org/10.21236/ada610966.

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Bronich, Tatiana. Synthetic Nanovaccines Against Respiratory Pathogens (SYNARP). Fort Belvoir, VA: Defense Technical Information Center, September 2013. http://dx.doi.org/10.21236/ada610989.

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