يعرض 1 - 10 نتائج من 70 نتيجة بحث عن '"bronchoobstructive syndrome"', وقت الاستعلام: 1.26s تنقيح النتائج
  1. 1
    دورية أكاديمية

    المصدر: Meditsinskiy sovet = Medical Council; № 1 (2024); 254–268 ; Медицинский Совет; № 1 (2024); 254–268 ; 2658-5790 ; 2079-701X

    الوصف: Plastic bronchitis is a rare disease. Despite the fact that the clinical signs of plastic bronchitis were first described by Galen more than 1800 years ago, the pathogenesis of the disease remains poorly understood to this day. As a result, it is not always possible to choose a therapy that allows for complete clinical and laboratory remission or complete recovery of the patient. Treatment of plastic bronchitis should be multifaceted, including the appointment of medications, hardware and physiotherapy methods. Despite the increasing relevance of the topic, the number of published works dealing with the problems of plastic bronchitis, both in world literature and domestic, is small. This review presents historical information on the study of plastic bronchitis, discusses the pathogenesis of the disease, taking into account the results of research over the past decades, lists the main and secondary clinical signs and symptoms, discusses the principles of modern therapy, including both invasive and non-invasive, physiotherapy, and treatment methods. As a clinical example, a case of plastic bronchitis in a 3-year-old boy who was treated in the intensive care unit and then in the infectious diseases department of the Z.A. Bashlyaeva State Clinical Hospital with a diagnosis of Idiopathic plastic bronchitis during one of the relapses of the disease from March 7, 2020 to March 22, 2020 is given. The diagnosis was previously made at the Morozov City Clinical Hospital. ; Пластический бронхит относится к редким заболеваниям. Несмотря на то что клинические признаки пластического бронхита впервые были описаны Галеном более 1800 лет назад, патогенез болезни до настоящего времени остается малоизученным, вследствие этого не всегда удается подобрать терапию, позволяющую добиться полной клинико-лабораторной ремиссии или полного выздоровления больного. В клиническую картину пластического бронхита входит большой ряд симптомов, главным (эксклюзивным) клиническим признаком пластического бронхита, без которого его диагноз невозможен, ...

    وصف الملف: application/pdf

    العلاقة: https://www.med-sovet.pro/jour/article/view/8104/7162Test; Johnson RS, Sita-Lumsden EG. Plastic bronchitis. Thorax. 1960;15(4):325–332. https://doi.org/10.1136/thx.15.4.325Test.; Cook A. Plastic or fibrinous bronchitis. Hospital (Lond 1886). 1894;15(381):240–242. Available at: https://pubmed.ncbi.nlm.nih.gov/29830825Test.; Douglas. Сase of Plastic Bronchitis, with “Quasi” Diphtheritic Exudation. Edinb Med J. 1868;14(1):1–5. Available at: https://pubmed.ncbi.nlm.nih.gov/29639598Test.; Singh K. A Case of Plastic Bronchitis. Ind Med Gaz. 1948;83(8):375–376. Available at: https://pubmed.ncbi.nlm.nih.gov/29015425Test.; Ntiamoah P, Mukhopadhyay S, Ghosh S, Mehta AC. Recycling plastic: diagnosis and management of plastic bronchitis among adults. Eur Respir Rev. 2021;30(161):210096. https://doi.org/10.1183/16000617.0096-2021Test.; Oliver T. Remarks on Plastic or Croupous Bronchitis. 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Int Heart J. 2018;59(4):873–876. https://doi.org/10.1536/ihj.17-285Test.; Do P, Randhawa I, Chin T, Parsapour K, Nussbaum E. Successful Management of Plastic Bronchitis in a Child Post Fontan: Case Report and Literature Review. Lung. 2012;190(4):463–468. https://doi.org/10.1007/s00408-012-9384-xTest.; Werkhaven J, Holinger LD. Bronchial casts in children. Ann Otol Rhinol Laryngol. 1987;96(1):86–92. https://doi.org/10.1177/000348948709600121Test.; Larue M, Gossett JG, Stewart RD, Backer CL, Mavroudis C, Jacobs ML. Plastic Bronchitis in Patients With Fontan Physiology: Review of the Literature and Preliminary Experience With Fontan Conversion and Cardiac Transplantation. World J Pediatr Congenit Heart Surg. 2012;3(3):364–372. https://doi.org/10.1177/2150135112438107Test.; Madsen P, Shah S, Rubin B. Plastic bronchitis: new insights and a classification scheme. Paediatr Respir Rev. 2005;6(4):292–300. https://doi.org/10.1016/j.prrv.2005.09.001Test.; Rüegger CM, Bär W, Iseli P. Simultaneous atelectasis in human bocavirus infected monozygotic twins: was it plastic bronchitis? BMC Pediatrics. 2013;13:209. https://doi.org/10.1186/1471-2431-13-209Test.; Wiggins J, Sheffield E, Jeffery PK, Geddes DM, Corrin B. Bronchial casts associated with hilar lymphatic and pulmonary lymphoid abnormalities. Thorax. 1989;44(3):226–227. https://doi.org/10.1136/thx.44.3.226Test.; Biko DM, DeWitt AG, Pinto EM, Morrison RE, Johnstone JA, Griffis H et al. MRI Evaluation of Lymphatic Abnormalities in the Neck and Thorax after Fontan Surgery: Relationship with Outcome. Radiology. 2019;291(3):774–780. https://doi.org/10.1148/radiol.2019180877Test.; Dori Y, Keller MS, Rome JJ, Gillespie MJ, Glatz AC, Dodds K et al. Percutaneous lymphatic embolization of abnormal pulmonary lymphatic flow as treatment of plastic bronchitis in patients with congenital heart disease. Circulation. 2016;133(12):1160–1170. https://doi.org/10.1161/CIRCULATIONAHA.115.019710Test.; Иткин ГП, Иткин МГ. Лимфатическая система – забытая область? Вестник травматологии и искусственных органов. 2016;18(3):145–151. https://doi.org/10.15825/1995-1191-2016-3-145-157Test.; Камалтынова ЕМ, Кривощеков ЕВ, Янулевич ОС, Кавардакова ЕС. Пластический бронхит, ассоциированный с корригированным пороком сердца у ребенка. Бюллетень сибирской медицины. 2017;16(2):180–186. https://doi.org/10.20538/1682-0363-2017-2-180-186Test.; Wang Y, An S. Plastic bronchitis associated with influenza A virus in children with asthma. J Int Med Res. 2021;49(12):1–7. https://doi.org/10.1177/03000605211065370Test.; Griffiths ER, Kaza AK, Wyler von Ballmoos MC. Evaluating Failing Fontans for Heart Transplantation: Predictors of Mortality. Ann Thorac Surg. 2009;88(2):558–564. https://doi.org/10.1016/j.athoracsur.2009.03.085Test.; Caruthers RL, Kempa M, Loo A, Gulbransen E, Kelly E, Erickson SR et al. Demographic characteristics and estimated prevalence of Fontan-associated plastic bronchitis. Pediatr Cardiol. 2013;34(2):256–261. https://doi.org/10.1007/s00246-012-0430-5Test.; Humes RA, Mair DD, Porter CB, Puga FJ, Schaff HV, Danielson GK. Results of the modified Fontan operation in adults. Am J Cardiol. 1988;61(8):602–604. https://doi.org/10.1016/0002-9149Test(88)90772-2.; Hess NR, Piercecchi C, Desai N, Fisher MR, Lee EN, Force SD. Successful Thoracic Duct Ligation for Plastic Bronchitis in an Adult. Ann Thorac Surg. 2017;103(6):539–540. https://doi.org/10.1016/j.athoracsur.2016.12.055Test.; Mair DD, Hagler DJ, Julsrud PR, Puga FJ, Schaff HV, Danielson GK. Early and Late Results of the Modified Fontan Procedure for DoubleInlet Left Ventricle: The Mayo Clinic Experience. J Am Coll Cardiol. 1991;18(7):1727–1732. https://doi.org/10.1016/0735-1097Test(91)90511-7.; Gordon-Walker TT, Bove K, Veldtman G. Fontan-associated liver disease: A review. J Cardiol. 2019;74(3):223–232. https://doi.org/10.1016/j.jjcc.2019.02.016Test.; Fontan F, Baudet E. Surgical repair of tricuspid atresia. Thorax. 1971;26(3):240. https://doi.org/10.1136/thx.26.3.240Test.; Kliegman RM, Stanton BF, St Geme JW, Schor NF (eds.). Nelson Textbook of Pediatrics. 2016. 3474 p.; Norwood WIJr, Jacobs ML, Murphy JD. Fontan procedure for hypoplastic left heart syndrome. Ann Thorac Surg. 1992;54(6):1025–1030. https://doi.org/10.1016/0003-4975Test(92)90065-c.; Puga FJ. Modified Fontan Procedure for Hypoplastic Left Heart Syndrome After Palliation With the Norwood Operation. JACC. 1991;5(17):1150–1151. https://doi.org/10.1016/0735-1097Test(91)90846-2.; Pundi KN, Johnson JN, Dearani JA, Pundi KN, Li L, Hinck CA et al. 40-Year Follow-Up After the Fontan Operation. Long-Term Outcomes of 1,052 Patients. J Am Coll Cardiol. 2015;66(15):1700–1710. https://doi.org/10.1016/j.jacc.2015.07.065Test.; Schumacher KR, Singh TP, Kuebler J, Aprile K, O’Brien M, Blume ED. Risk Factors and Outcome of Fontan-Associated Plastic Bronchitis: A CaseControl Study. J Am Heart Assoc. 2014;3(2):e000865. https://doi.org/10.1161/JAHA.114.000865Test.; Ugaki S, Lord DJE, Sherwood MC, Winlaw DS. Lymphangiography is a diagnostic and therapeutic intervention for patients with plastic bronchitis after the Fontan operation. J Thorac Cardiovasc Surg. 2016;152(2):e47–49. https://doi.org/10.1016/j.jtcvs.2016.04.051Test.; Kirschen MP, Dori Y, Itkin M, Licht DJ, Ichord R, Vossough A. Cerebral Lipiodol Embolism after Lymphatic Embolization for Plastic Bronchitis. J Pediatr. 2016;176:200–203. https://doi.org/10.1016/j.jpeds.2016.05.036Test.; Shah SA, Drinkwater DC, Christian KG. Plastic Bronchitis: Is Thoracic Duct Ligation a Real Surgical Option? Ann Thorac Surg. 2006;81(6):2281–2283. https://doi.org/10.1016/j.athoracsur.2005.07.004Test.; Majdalany BS, Khayat M, Sanogo ML, Saad WE, Khaja MS. Direct transcervical endolymphatic thoracic duct stent-graft for plastic bronchitis. Lymphology. 2018;51(3):97–101. Available at: https://pubmed.ncbi.nlm.nih.gov/30422431Test/.; Clinkscales W, Spence M, Gleysteen J, Hayes N, Izaguirre E, Wakefield D et al. Novel Use of Biphasic Cuirass Ventilation During Definitive Radiation Therapy: A Technical Report. Pract Radiat Oncol. 2021;11(3):e276–e281. https://doi.org/10.1016/j.prro.2020.08.003Test.; Costello JM, Steinhorn D, McColley S, Gerber ME, Kumar SP. Treatment of plastic bronchitis in a Fontan patient with tissue plasminogen activator: a case report and review of the literature. Pediatrics. 2002;109(4):e67. https://doi.org/10.1542/peds.109.4.e67Test.; Kumar A, Jat KR, Srinivas M, Lodha R. Nebulized N-Acetylcysteine for Management of Plastic Bronchitis. Indian Pediatr. 2018;55(8):701–703. Available at: https://pubmed.ncbi.nlm.nih.gov/30218522Test/.; Xiong L, Rao X, Peng X, Zhang G, Liu H. Management of Plastic Bronchitis Using α-Chymotrypsin: A Novel Treatment Modality. Cureus. 2021;13(2):e13551. https://doi.org/10.7759/cureus.13551Test.; Manna SS, Shaw J, Tibby SM, Durward A. Treatment of plastic bronchitis in acute chest syndrome of sickle cell disease with intratracheal rhDNase. Arch Dis Child. 2003;88(7):626–627. https://doi.org/10.1136/adc.88.7.626Test.; Heath L, Ling S, Racz J, Mane G, Schmidt L, Myers JL et al. Prospective, longitudinal study of plastic bronchitis cast pathology and responsiveness to tissue plasminogen activator. Pediatr Cardiol. 2011;32(8):1182–1189. https://doi.org/10.1007/s00246-011-0058-xTest.; Wakeham MK, Van Bergen AH, Torero LE, Akhter J. Long-term treatment of plastic bronchitis with aerosolized tissue plasminogen activator in a Fontan patient. Pediatr Crit Care Med. 2005;6(1):76–78. https://doi.org/10.1097/01.PCC.0000149320.06424.1DTest.; Moser C, Nussbaum E, Cooper DM. Plastic Bronchitis and the Role of Bronchoscopy in the Acute Chest Syndrome of Sickle Cell Disease. Chest. 2001;120(2):608–613. https://doi.org/10.1378/chest.120.2.608Test.; Bellone A, Lascioli R, Raschi S, Guzzi L, Adone R. Chest physical therapy in patients with acute exacerbation of chronic bronchitis: effectiveness of three methods. Arch Phys Med Rehabil. 2000;81(5):558–560. https://doi.org/10.1016/s0003-9993Test(00)90034-0.; Chatburn RL. High-Frequency Assisted Airway Clearance. Respir Care. 2007;52(9):1224–1235. Available at: https://pubmed.ncbi.nlm.nih.gov/17716388Test/.; Gur I, Shapira S, Katalan S, Rosner A, Baranes S, Grauer E et al. Biphasic cuirass ventilation is better than bag-valve mask ventilation for resuscitation following organophosphate poisoning. Toxicol Rep. 2015;2:40–45. https://doi.org/10.1016/j.toxrep.2014.11.001Test.; Gur I, Eisenkraft A, Bar-Yishay E. The Application of Biphasic Extrathoracic Cuirass-Assisted Ventilation in Normal Subjects Wearing Chemical – Biological – Radiological –Nuclear (CBRN) Gas Masks. 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    دورية أكاديمية

    المصدر: Терапевтический архив, Vol 95, Iss 3, Pp 203-209 (2023)

    الوصف: Aim. Assess the functional state of trespiratory system and effectiveness of therapeutic tactics for broncho-obstructive syndrome (BOS) in patients in the post-COVID period. Materials and methods. A two-center cohort prospective study included 10 456 and 89 patients, respectively. A comprehensive assessment of the respiratory system included clinical, laboratory and functional data, spirometry, body plethysmography, and a study of diffusive capacity of the lungs (DLCO). Therapy consisted of budesonide suspension or fixed combination beclomethasone dipropionate/formoterol (EMD BDP/FORM). Results. The frequency of BOS in the cohort was 72% (7497 patients). In 13% (n=974) of cases, bronchial asthma was diagnosed for the first time, in 4.4% (n=328) chronic obstructive pulmonary disease. Risk factors for the development and decrease in DLCO in the post-COVID period were identified. In the group of complex instrumental examination of lung function, the absence of violations of spirometric data and indicators determined by body plethysmography was determined. Conclusion. Risk factors for BOS in post-COVID period are atopy, a history of frequent acute respiratory infections, smoking, blood eosinophilia, moderate and severe forms of COVID-19. The advantage of a fixed combination of EMD BDP/FORM in MART mode compared with nebulized suspension budesonide + solution of salbutamol in treatment of BOS was shown. Risk factors for DLCO disorders were established: severe COVID-19, hospitalization in the intensive care unit, the need for additional oxygen therapy.

    وصف الملف: electronic resource

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    دورية أكاديمية

    المؤلفون: Azimova K.T, Garifulina L.M.

    المصدر: JOURNAL OF CARDIORESPIRATORY RESEARCH 2023, Volume-4(Issue-2)

    الوصف: To date in the pathology of childhood respiratory diseases occupies the first place, having a significant impact on infant mortality and the formation of persistent abnormalities in child health, among which a significant role belongs to bronchiolitis whose frequency depends on the period of the year, place of residence, epidemiological situation. As you know, the leading role in the formation and recurrence of many diseases of the bronchopulmonary system is given to inflammation of the respiratory tract. Therefore, the study of various mediators of inflammation allows us to clarify the nature and type of the inflammatory process and thus opens up great opportunities for assessing the severity and predicting the further course of the disease.

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    دورية أكاديمية

    المصدر: Discover Medicine; Vol. 7 No. 2 (2023): DM; 67-74 ; Discover Medicine; Vol. 7 Núm. 2 (2023): DM; 67-74 ; 2521-5612 ; 2521-2273 ; 10.2300/dm.v7i2

    الوصف: Background: This study focuses on the analysis of Bronchial Obstructive Syndrome (BOS) in children hospitalised in 2019 at the Hospital de Clínicas. Specific data reveal a significant incidence of paediatric BBS, pointing to the need to understand its epidemiological, clinical and therapeutic aspects. Objective: To determine the approach to obstructive bronchial syndrome in paediatric patients hospitalised at the Hospital de Clínicas in 2019. Materials and Methods: A retrospective observational design was used. The sample included paediatric patients with a diagnosis of OBS in 2019, data collected from March to May 2023. Inclusion/exclusion criteria were rigorously applied. Measurement instruments such as patient charts were used to collect detailed data. Results: The results revealed a prominent prevalence in children under 2 years of age (80.5%), with prominent respiratory symptoms (51.3% respiratory distress). The association with underlying pathologies was notable (46.2%). Common treatment included oxygen therapy (76.9%) and salbutamol (97.4%). Conclusion: This detailed analysis underlines patterns consistent with the literature, highlighting the need for specific preventive strategies for children under 2 years of age. Furthermore, it highlights the importance of individualising the management of paediatric OBS, taking into account underlying pathologies and variability in clinical presentation. ; Introducción: Este estudio se centra en el análisis del Síndrome Bronquial Obstructivo (SBO) en niños hospitalizados en 2019 en el Hospital de Clínicas. Datos específicos revelan una importante incidencia de SBO pediátrico, señalando la necesidad de comprender sus aspectos epidemiológicos, clínicos y terapéuticos. Objetivo: Determinar el abordaje del síndrome bronquial obstructivo en pacientes pediátricos hospitalizados en el Hospital de Clínicas durante el año 2019 Materiales y Métodos: Se empleó un diseño observacional retrospectivo. La muestra incluyó pacientes pediátricos con diagnóstico de SBO en 2019, datos ...

    وصف الملف: application/pdf

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    دورية أكاديمية

    المصدر: International Journal of Scientific Pediatrics; Vol. 2 No. 11 (2023): november; 398-400 ; Международный журнал научной педиатрии; Том 2 № 11 (2023): ноябрь; 398-400 ; Xalqaro ilmiy pediatriya jurnali; Nashr soni. 2 No. 11 (2023): noyabr; 398-400 ; 2181-2926

    الوصف: Purpose of the study: to determine the significance of risk factors for the development of recurrent bronchial obstruction in children. Material and methods of research. A total of 240 children were examined and divided into 3 groups: Group I - patients with acute obstructive bronchitis (AOB), acute bronchiolitis (ABL), Group II - children with recurrent obstructive bronchitis (ROB) and bronchial asthma (BA), Group III - patients with acute bronchitis without bronchial obstruction (BA). To assess the significance of risk factors for the development of recurrent and relapsing course of BOS, we analysed genealogical, biological and social anamnesis, premorbid and family background, in children of the studied groups, characterising the state of family health and features of child development in the ante- and postnatal periods, as well as in the first years of the child's life. Results of the study and discussion. When studying the causes and factors influencing the development and course of BOS in children, the most important is the study of background diseases that aggravate and prolong the course of bronchial obstruction. The study of pre-mobilisation background in patients of the compared groups showed that a number of factors were significantly more frequent in patients with acute and recurrent course of bronchobstructive syndrome. Conclusions. It was found that the risk factors for the development of recurrent course of bronchial obstruction in children are: artificial feeding (P<0.002; OR=4.80), rickets (P<0.02; OR=2.15), overweight (P<0.002; OR=5.40), atopy (P<0.001; OR=18.32), first episode of BOS before the age of 1 year (P<0.002; OR=3.01), absence of fever (P<0.002; OR=12.95) and catarrhal syndrome (P<0.001; OR=60.0) during the episode of illness. ; Абстракт. Цель исследования: определить значимость факторов риска развития рецидивирующей бронхиальной обструкции у детей. Материал и методы исследования. Обследовано 240 детей, которые разделены на 3 группы: I группа - больные ...

    وصف الملف: application/pdf

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    دورية أكاديمية

    المصدر: International Journal of Scientific Pediatrics; Vol. 2 No. 11 (2023): november; 401-404 ; Международный журнал научной педиатрии; Том 2 № 11 (2023): ноябрь; 401-404 ; Xalqaro ilmiy pediatriya jurnali; Nashr soni. 2 No. 11 (2023): noyabr; 401-404 ; 2181-2926

    الوصف: Purpose of the study: to establish the diagnostic and prognostic significance of modified bronchophonography in bronchobstructive syndrome in children. Material and methods of research. The paper presents the results of examinations of children with bronchoobstructive syndrome. The patients were divided into 3 groups of 60 patients: Group I - patients with acute obstructive bronchitis (AOB), acute bronchiolitis (ABL), Group II - children with recurrent obstructive bronchitis (ROB) and bronchial asthma (BA), Group III - patients with acute bronchitis without bronchial obstruction (BA). Results of the study and discussion. Analysis of modified bronchophonography indices in groups I-II showed that on admission, E:I index>1.6 indicating bronchial obstruction of the II degree (P<0.001). On the 2nd day of observation, E:I index significantly decreased in patients with ROB, BA and was significantly lower in comparison with indices of patients with OOB, OBL (P<0,05). On the 3rd day of observation and at discharge, the indices were relatively equal, no significant difference was observed (P>0.2; P>0.1). When constructing the ROC-curve and analysing the curve coordinates, it was found that in determining the risk of ROB and AD in children, the diagnostic significance of the E:I index≥1.78, with a sensitivity of 71.7% and specificity of 61.1%. Conclusions. The values of E:I index≥1.78 are predictors of the risk of ROS and BA development, the diagnostic significance of which is confirmed by high sensitivity and specificity, which can be recommended for detecting the risk of recurrent course of BOS in children. ; Аннотация. Цель исследования: yстановить диагностическую и прогностическую значимость модифицированной бронхофонографии при бронхообструктивном синдроме у детей. Материал и методы исследования. В работе представлены результаты обследований детей с бронхообструктивным синдромом. Больные были разделены на 3 группы по 60 больных: I группа - пациенты c острым обструктивным бронхитом (ООБ), ...

    وصف الملف: application/pdf

  7. 7
    دورية أكاديمية

    المساهمون: The authors express their gratitude to the administration and staff of the pulmonological service of the “Novaya bol’nitsa” Clinical Association Limited Liability Companies for their assistance, aid and support in conducting this scientific study., Авторы выражают благодарность администрации и сотрудникам пульмонологической службы Общества с ограниченной ответственностью «Медицинское объединение “Новая больница”» за содействие, помощь и поддержу в проведении данного научного исследования.

    المصدر: PULMONOLOGIYA; Том 32, № 4 (2022); 539-547 ; Пульмонология; Том 32, № 4 (2022); 539-547 ; 2541-9617 ; 0869-0189

    الوصف: It is hard to make a conclusion about relationship between Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) and Bronchoobstructive Syndrome (BOS) in the postcovid period based on the literature.The aim. To determine the optimal treatment approaches by conducting a comprehensive assessment of clinical, laboratory and functional parameters, taking into account the risk factors for the development of BOS.Methods. 10,456 patients with Coronavirus Disease-19 (COVID-19) were examined, and 7,459 patients were randomized into 2 groups with a newly diagnosed BOS. Group 1 (n = 3,245) was prescribed beclomethasone/formoterol (BDP/FORM) as Maintenance And Reliever Therapy (MART). Group 2 (n = 4,252) was prescribed budesonide suspension (BUD) and salbutamol solution (SAL). The study assessed severity of COVID-19, presence of atopy and frequency of acute respiratory viral infections (SARS) in the medical history, spirometric parameters, blood eosinophils, Asthma Control Questionnaire-5 (ACQ-5) score, use of pro re nata medications, and adverse events.Results. Patients who had mild COVID-19 were diagnosed with BOS at weeks 8 – 24 (73.3%), while patients with moderate or severe COVID-19 were diagnosed at week 4 (54.9%). Virus-induced BOS (VI BOS) was diagnosed in 71.8% of the cases. 13% of the patients with BOS in postcovid period were diagnosed with asthma.Conclusion. The incidence of BOS is significantly higher in patients with atopy and history of frequent SARS who had moderate or severe COVID-19. A fixed combination of extrafine BDP/FORM as MART was superior to nebulized BUD + SALM in the treatment of VI BOS. ; По данным литературы, о взаимосвязи Severe Acute Respiratory Syndrome CoronaVirus-2 (SARS-CoV-2) и бронхообструктивного синдрома (БОС) в постковидном периоде однозначного вывода сделать невозможно.Целью исследования являлось определение оптимальных подходов к лечению на основании комплексной оценки клинических, лабораторных и функциональных показателей с учетом факторов риска развития БОС.Материалы и ...

    وصف الملف: application/pdf

    العلاقة: https://journal.pulmonology.ru/pulm/article/view/4132/3426Test; Woodruff P., Bhakta N., Fahy J. Asthma: Pathogenesis and phentoypes. In: Broaddus V.C., Robert J., Ernst J.D. Murray and Nadel's Textbook of Respiratory Medicine. 6th Edn. Elsevier; 2016: 713–730. e7. DOI:10.1016/B978-1-4557-3383-5.00041-5.; Atmar R.L., Guy E., Guntupalli K.K. et al. Respiratory tract viral infections in inner-city asthmatic adults. Arch. Intern. Med. 1998; 158 (22): 2453–2459. DOI:10.1001/archinte.158.22.2453.; Cheung D.S., Ehlenbach S.J., Kitchens R.T. et al. Cutting edge: CD49d+ neutrophils induce FcepsilonRI expression on lung dendritic cells in a mouse model of postviral asthma. J. Immunol. 2010; 185 (9): 4983–4987. DOI:10.4049/jimmunol.1002456.; Stephens R., Randolph D.A., Huang G. et al. Antigen-nonspecific recruitment of Th2 cells to the lung as a mechanism for viral infection-induced allergic asthma. J. Immunol. 2002; 169 (10): 5458–5467. DOI:10.4049/jimmunol.169.10.5458.; Cheung D.S., Ehlenbach S.J., Kitchens T. et al. Development of atopy by severe paramyxoviral infection in a mouse model. Ann. Allergy Asthma. Immunol. 2010; 105 (6): 437–443.e1. DOI:10.1016/j.anai.2010.09.010.; Johnston N.W., Johnston S.L., Duncan J.M. et al. The September epidemic of asthma exacerbations in children: a search for etiology. J. Allergy Clin. Immunol. 2005; 115 (1): 132–138. DOI:10.1016/j.jaci.2004.09.025.; Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. Updated 2021. Available at: https://ginasthma.org/wp-content/uploads/2021/05/GINA-Main-Report-2021-V2-WMS.pdfTest; Bui R.H., Molinaro G.A., Kettering J.D. et al. Virus-specific IgE and IgG4 antibodies in serum of children infected with respiratory syncytial virus. J. Pediatr. 1987; 110 (1): 87–90. DOI:10.1016/s0022-3476(87)80295-0.; Oliver B.G., Robinson P., Peters M., Black J. Viral infections and asthma: an inflammatory interface? Eur. Respir. J. 2014; 44 (6): 1666–1681. DOI:10.1183/09031936.00047714.; Richardson S, Hirsch J.S., Narasimhan M. et al. Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York City Area. JAMA. 2020; 323 (20): 2052–2059. DOI:10.1001/jama.2020.6775.; Venkatesan P. NICE guideline on long COVID. Lancet Respir. Med. 2021; 9 (2): 129. DOI:10.1016/S2213-2600(21)00031-X.; Министерство здравоохранения РФ. Бронхиальная астма: Клинические рекомендации. 2021. Доступно на: https://cr.minzdrav.gov.ru/schema/359_2Test/; Teichtahl H., Buckmaster N., Pertnikovs E. The incidence of respiratory tract infection in adults requiring hospitalization for asthma. Chest 1997; 112 (3): 591–596. DOI:10.1378/chest.112.3.591.; Kusel M.M., de Klerk N.H., Kebadze T. et al. Early-life respiratory viral infections, atopic sensitization, and risk of subsequent development of persistent asthma. J. Allergy Clin. Immunol. 2007; 119 (5): 1105–1110. DOI:10.1016/j.jaci.2006.12.669.; Martorano L.M., Grayson M.H. Respiratory viral infections and atopic development: From possible mechanisms to advances in treatment. Eur. J. Immunol. 2018; 48 (3): 407–414. DOI:10.1002/eji.201747052.; Chuchalin A.G., Khaltaev N., Antonov N.S. et al. Chronic respiratory diseases and risk factors in 12 regions of the Russian Federation. Int. J. Chron. Obstruct. Pulmon. Dis. 2014; 9: 963–974. DOI:10.2147/COPD.S67283.; Nicholson K.G., Kent J., Ireland D.C. Respiratory viruses and exacerbations of asthma in adults. BMJ. 1993; 307 (6910): 982–986. DOI:10.1136/bmj.307.6910.982.; Karakioulaki M., Papakonstantinou E., Goulas A., Stolz D. The role of atopy in COPD and asthma. Front. Med. 2021; 8: 674742. DOI:10.3389/fmed.2021.674742.; Архипов В.В., Григорьева Е.В., Гавришина Е.В. Контроль над бронхиальной астмой в России: результаты многоцентрового наблюдательного исследования НИКА. Пульмонология. 2011; (6): 87–93. DOI:10.18093/0869-0189-2011-0-6-87-93; Hakim A., Usmani O.S. Structure of the lower respiratory tract. In: Reference Module in Biomedical Sciences. Elsevier; 2014. DOI:10.1016/B978-0-12-801238-3.00215-4.; Cramer J.A., Roy A., Burrell A. et al. Medication compliance and persistence: terminology and definitions. Value Health, 2008; 11 (1): 44–47. DOI:10.1111/j.1524-4733.2007.00213.; Bisgaard, H., O’Callaghan, C., Smaldone, G.C. Drug Delivery to the Lung. 1st Edn. CRC Press; 1999. DOI:10.1201/b14022.; https://journal.pulmonology.ru/pulm/article/view/4132Test

  8. 8
    دورية أكاديمية

    المؤلفون: Yu.K. Bolbot, K.K. Hodiatska

    المصدر: Zdorovʹe Rebenka, Vol 14, Iss 4, Pp 218-224 (2019)

    الوصف: Background. Acute obstructive bronchitis (AOB) ranks second among the respiratory diseases in children. In recent years, the results of clinical studies demonstrate a correlation between the low level of vitamin D (VD) and the risk of recurrent respiratory infections in adults and children. At the same time, the impact of VD insufficiency/deficiency and timely compensation of these changes on the frequency and severity of broncho-obstructive syndrome (BOS) in young children remains poorly understood. Thus, the purpose of the research was to study the features of VD level in young children with recurrent BOS and the efficacy of vitamin D3 supplementation on incidence and severity of the disease. Materials and methods. We examined 120 children with acute obstructive bronchitis. Group I included 60 patients with episodic BOS (up to 3 episodes per year), group II consisted of 60 children with recurrent BOS (3 or more episodes per year). The control group represented 30 healthy children of the corresponding age. We evaluated the severity of BOS and determined the serum level of 25-hydroxyvitamin D (25(OH)D) using an electrochemiluminescence method. Subsequently, the group of children with recurrent BOS was divided into two subgroups: IIa subgroup included 30 children who received vitamin D3 1000 IU daily throughout the year, IIb included 30 patients who were not supplemented with VD. The effectiveness of vitamin D3 supplementation was determined by the changes in the blood level of 25(OH)D, frequency and severity of BOS episodes. We used non-parametric methods for statistical analysis of data. For all types of analysis, the critical value of the significance level (p) was taken to be < 0.05. Results. The analysis of the clinical features of BOS episode showed that in the group of children with recurrent BOS compared to patients with episodic BOS the disease was characterized by a more severe course (23.3 % vs. 10.0 %, respectively; p = 0.034). We found that the mean VD level in children with recurrent BOS was 13.68 (7.96; 19.51) ng/ml and in children with episodic BOS 33.0 (28.19, 41.97) ng/ml (p < 0.001). The VD supplementation in the group with recurrent BOS was significantly lower than in children who were ill episodically (5 % vs. 60 %; p

    وصف الملف: electronic resource

  9. 9
    دورية أكاديمية

    المصدر: Bukovinian Medical Herald; Vol. 15 No. 4(60) (2011); 176-179 ; Буковинский медицинский вестник; Том 15 № 4(60) (2011); 176-179 ; Буковинський медичний вісник; Том 15 № 4(60) (2011); 176-179 ; 2413-0737 ; 1684-7903

    الوصف: The diseases of the respiratory organs rank first in the pattern of children‟s morbidity. In order to evaluate psycho-vegetative correlations in children with acute obstructive bronchitis the authors examined 111 patients aged from 7 to 14 years with this particular pathology, undergoing inpatient treatment at the pulmonological department. Derangements of the vegetative balance and psychological characteristics were detected. Such factors as the presence of a high level of anxiety, initial vagotonia, asympathicotonic reactivity in children afflicted with acute obstructive bronchitis prognostically unfavourable factors in. ; В структуре заболеваемости детей болезни органов дыхания занимают первое место. Для определения психовегетативных соотношений у детей при остром обструктивном бронхите обследовано 111 пациентов с данной патологией в возрасте от 7 до 14 лет, которые находились на стационарном лечении в пульмонологическом отделении. Обнаружены сдвиги вегетативного баланса и психологических характеристик, где наличие высокого уровня тревожности, исходной ваготонии, асимпатикотонической реактивности у детей, больных острым обструктивным бронхитом, является прогностически неблагоприятными факторами. ; У структурі захворюваності дітей хвороби органів дихання посідають перше місце. Для визначення психовегетативних співвідношень у дітей при гострому обструктивному бронхіті було обстежено 111 пацієнтів із даною патологією віком від 7 до 14 років, що перебували на стаціонарному лікуванні в пульмонологічному відділенні. Виявлені зрушення вегетативного балансу та психологічних характеристик, де наявність високого рівня тривожності, вихідної вагототонії, асимпатикотонічної реактивності в дітей, хворих на гострий обструктивний бронхіт, є прогностично несприятливими факторами.

    وصف الملف: application/pdf

  10. 10
    دورية أكاديمية

    المصدر: CHILDREN INFECTIONS; Том 19, № 1 (2020); 17-20 ; ДЕТСКИЕ ИНФЕКЦИИ; Том 19, № 1 (2020); 17-20 ; 2072-8107 ; 10.22627/2072-8107-2020-19-1

    الوصف: Acute respiratory infections (ARI) consistently occupy a leading place in the structure of infectious pathology, especially among children. The spectrum of pathogens is usually determined by the season and age aspect of the observed. In a large number of respiratory viruses, respiratory syncytial virus (RSV) occupies a special place due to the variety and severity of clinical manifestations of the disease caused by it in young children. This article is devoted to the analysis of the clinical course of RSV infection in children, the study of the features of the immune status against the background of this disease.It was found that in most cases of RSV infection in children was characterized by signs of bronchial obstruction syndrome and as a consequence in this group of children were found to have dysfunction of the immune system and reduction in the total number of T-lymphocytes, the hyperactivation In-cell component of adaptive immunity, manifested disimmunoglobulinemia (increase in the content of total IgE at lower IgA and IgG), that is, with the formation of immunodeficiency states from T- and B-cell links of adaptive immunity, with long-term recovery of impaired performance, even against the background of effective antiviral therapy. ; Острые респираторные инфекции (ОРИ) неизменно занимают ведущее место в структуре инфекционной патологии, особенно среди детей. Спектр возбудителей, как правило, обусловлен сезоном и возрастным аспектом наблюдаемых. В многочисленном ряду респираторных вирусов, респираторно-синцитиальный вирус (РСВ) занимает особое место в связи с многообразием и тяжестью клинических проявлений вызываемой им болезни у детей раннего возраста. Данная статья посвящена анализу клинического течения РСВ инфекции у детей, изучению особенностей иммунного статуса на фоне данного заболевания.Было установлено, что в большинстве случаев РСВ инфекция у детей протекала с признаками бронхообструктивного синдрома и как следствие у данной группы детей была выявлена дисфункция иммунной системы в виде снижения ...

    وصف الملف: application/pdf

    العلاقة: https://detinf.elpub.ru/jour/article/view/477/437Test; Таточенко В.К. Болезни органов дыхания у детей: практическое руководство. Новое изд., доп. М.: «ПедиатрЪ», 2012:480.; Куличенко Т. Респираторная синцитиальная вирусная инфекция у детей: новые исследования. Педиатрическая фармакология. 2009. 6(6):70—76.; Зайцева О.В., Зайцева С.В. Бронхообструктивный синдром у детей. Российский медицинский журнал. 2009. 3:38.; Заплатников А. Л., Гирина А. А. К проблеме «часто болеющих детей». Педиатрия. 2015. 94(4):215—221.; Ботвиньева Е.А. Бронхообструктивный синдром инфекционного генеза у детей. Медицинская панорама. 2007. 3:49.; Кешишян Е.С. Иммунопрофилактика респираторно-синцитиальной вирусной инфекции: 15 лет мирового опыта. Педиатрическая фармакология. 2013. 10(4): 6—14.; Кривицкая В.З. [и др.]. Иммунопатологический аллергический Th2-тип противовирусного гуморального иммунного ответа у детей с респираторно-синцитиальной вирусной инфекцией. Цитокины и воспаление. 2004. 3(3):34—40.; Кривицкая В.З. [и др.]. Реакция иммуноглобулина класса A на респираторно-синцитиальную вирусную инфекцию у детей и взрослых с различными формами острого и хронического бронхита. Иммунология. 1999. 2:51—55.; Аллергология и иммунология: национальное руководство. Под ред. P.M. Хаитова, Н.И. Ильиной. М.:ГЭОТАР-Медиа, 2009:656.; https://detinf.elpub.ru/jour/article/view/477Test