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Factors related to the incorrect use of inhalers by asthma patients

CONCLUSIONS: In the sample studied, incorrect inhaler technique was associated with poor asthma control. Widowhood, use of metered dose inhalers, low socioeconomic level, and the presence of > 2 comorbidities were associated with incorrect inhaler technique. OBJETIVO: Avaliar a técnica inalatória em pacientes com asma atendidos ambulatorialmente, estabelecendo associações dessa com o grau de controle da doença. MÉTODOS: Estudo transversal envolvendo pacientes com idade > 14 anos e diagnóstico médico de asma, recrutados no Ambulatório de Asma do Hospital de Clínicas de Porto Alegre, na cidade de Porto Alegre (RS). Os pacientes completaram dois questionários (um geral e um questionário de controle da asma baseado nas diretrizes da Global Initiative for Asthma de 2011). Os ...

Can ultrasound guidance reduce the risk of pneumothorax following thoracentesis?

CONCLUSIONS: Ultrasound guidance increases the yield of thoracentesis and reduces the risk of post-procedure pneumothorax. (Chinese Clinical Trial Registry identifier: ChiCTR-TRC-12002174 [http://www.chictr.org/en/]) OBJETIVO: Dentre os procedimentos realizados à beira do leito, a toracocentese é um dos mais comumente associados a complicações iatrogênicas, particularmente pneumotórax. Foram recentemente identificados vários fatores de risco de complicações associadas à toracocentese: a inexperiência do operador, a inadequação ou inexperiência da equipe de apoio, a ausência de um protocolo padronizado e a ausência de ultrassonografia para guiar o procedimento. Nosso objetivo foi determinar se a toracocentese guiada por ultrassonografia pode reduzir o risco de pneumotórax e...

Extrafine Beclomethasone/formoterol compared to Fluticasone/salmeterol Combination Therapy in COPD

Conclusion: BDP/FF extrafine combination provides COPD patients with an equivalent improvement of dyspnoea and a faster bronchodilation in comparison to FP/S.Trial registration: ClinicalTrials.gov: NCT01245569 (Source: BMC Pulmonary Medicine - Latest articles)

Middle East respiratory syndrome coronavirus (MERS-CoV) – update

WHO has been informed of an additional three laboratory-confirmed cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection. One case was reported from the United Arab Emirates (UAE) on 11 March and two cases from Saudi Arabia on 5 March. (Source: WHO Disease Outbreaks)

The Saudi guidelines for the diagnosis and management of COPD

Javed H Khan, Hani M. S. Lababidi, Mohamed S Al-Moamary, Mohammed O Zeitouni, Hamdan H AL-Jahdali, Omar S Al-Amoudi, Siraj O Wali, Majdy M Idrees, Abdullah A Al-Shimemri, Mohammed O Al Ghobain, Hassan S Alorainy, Mohamed S Al-HajjajAnnals of Thoracic Medicine 2014 9(2):55-76The Saudi Thoracic Society (STS) launched the Saudi Initiative for Chronic Airway Diseases (SICAD) to develop a guideline for the diagnosis and management of chronic obstructive pulmonary disease (COPD). This guideline is primarily aimed for internists and general practitioners. Though there is scanty epidemiological data related to COPD, the SICAD panel believes that COPD prevalence is increasing in Saudi Arabia due to increasing prevalence of tobacco smoking among men and women. To overcome the issue of underutilizati...

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