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Plasma neutrophil elastase correlates with pulmonary vascular permeability: a prospective observational study in patients with pneumonia

Conclusions:  Patients with severe CAP had high levels of PNE which was closely correlated with PVPI. PNE may be involved in the pathogenesis of severe pneumonia. (Source: Respirology)

Factors predicting outcome following airway stenting for post‐tuberculosis tracheobronchial stenosis

Conclusions:  Airway intervention, including silicone stenting, can be successful in patients with PTTS, when the intervention is performed within 1 month of atelectasis and before complete lobar atelectasis. (Source: Respirology)

Exhaled air dispersion and removal is influenced by isolation room size and ventilation settings during oxygen delivery via nasal cannula

Conclusion:  Substantial exposure to exhaled air occurs within 1m towards the end of the bed from patients receiving oxygen via nasal cannula. Room dimension and air exchange rate are important factors in preventing contamination in isolation rooms. (Source: Respirology)

Pandemic Response Lessons from Influenza H1N1 2009 in Asia

AbstractDuring April 2009, a novel H1N1 influenza A virus strain was identified in Mexico and the United States of America. Within weeks the virus had spread globally and the first pandemic of the 21st Century had been declared. It is unlikely to be the last and it is crucial that real lessons are learned from the experience. Asia is considered a hot spot for the emergence of new pathogens including past influenza pandemics. On this occasion whilst preparing for an avian, highly virulent influenza virus (H5N1 like) originating in Asia in fact the pandemic originated from swine, and was less virulent. This discrepancy between what was planned for and what emerged created its own challenges. The H1N1 pandemic has tested national healthcare infrastructures and exposed shortcomings in our prep...

Outcomes and complications following medical thoracoscopy

Conclusions:  Serious complications following thoracoscopy are rare. Hospital acquired infection is associated with malignancy and prolonged hospital stay. Benign histology may still confer significant morbidity. (Source: The Clinical Respiratory Journal)

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