Advances in Respiratory Medicine

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Open AccessReview

Using Flow Cytometry in Laboratory Diagnosis of Allergic Diseases

by Wojciech Mędrala, Anna Wolańczyk-Mędrala and Grzegorz Gogolewski

Adv. Respir. Med. 2006, 74(2), 239-241; https://doi.org/10.5603/ARM.28060 - 10 Jun 2006

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Bazofile i mastocyty Sil komorkami efektorowymi reakcji zaleznej od IgE, nazywana takze reakcja typu I wg [...] Full article

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Open AccessReview

The Importance of Eosinophil Cationic Protein in Pathogenesis of Allergic Diseases

by Grzegorz Gogolewski, Anna Wolańczyk-Mędrala and Wojciech Mędrala

Adv. Respir. Med. 2006, 74(2), 236-238; https://doi.org/10.5603/ARM.28059 - 10 Jun 2006

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Abstract

Wyniki badan ostatnich kilkunastu lat dostarczajll wielu danych na temat istotnej roli eozynofila w patogenezie licznych chorob o podlozu zapalnym [...] Full article

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Open AccessReview

The Induced Sputum—Methodology and Clinical Usefulness

by Maria Porzezińska and Jan Marek Słomiński

Adv. Respir. Med. 2006, 74(2), 232-235; https://doi.org/10.5603/ARM.28058 - 10 Jun 2006

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Abstract

Plwocina jest wydzielincl blony sluzowej drog oddechowych [...] Full article

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Open AccessReview

Bacteria of the Genus Acinetobacter: Clinical Significance And Therapy of Infections

by Marta Wróblewska

Adv. Respir. Med. 2006, 74(2), 227-231; https://doi.org/10.5603/ARM.28057 - 10 Jun 2006

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Abstract

Bakterie z rodzaju Acinetobacter naleza do grupy Gram-ujemnych paleczek niefermentujacych, do ktorych zalicza sie rowniez patogeny takie jak Pseudomonas aeruginosa, Stenotrophomonas maltophilia i Burkholderia cepacia [...] Full article

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Open AccessCase Report

Pulmonary Complications in Patient with Ulcerative Colitis, Treated with 5-Aminosalicylic Preparations

by Piotr Radwan, Tomasz Łupina, Karolina Radwan-Kwiatek and Janusz Milanowski

Adv. Respir. Med. 2006, 74(2), 224-226; https://doi.org/10.5603/ARM.28056 - 10 Jun 2006

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Abstract

Pulmonary complications in patients with ulcerative colitis treated with 5-aminosalicylic acid are infrequent adverse events. The authors present a 35-year-old man, talcing sulfasalazine and mesalazine in whom pulmonary abnormalities resembling tuberculosis were observed during several months of therapy. Withdrawal of mesalazine resulted in [...] Read more.

Pulmonary complications in patients with ulcerative colitis treated with 5-aminosalicylic acid are infrequent adverse events. The authors present a 35-year-old man, talcing sulfasalazine and mesalazine in whom pulmonary abnormalities resembling tuberculosis were observed during several months of therapy. Withdrawal of mesalazine resulted in complete resolution of lung injury. Patient is doing well on maintenance treatment with immunosuppressants. Full article

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Open AccessCase Report

Latent Tetany Masked by Syndroms of Bronchial Asthma and Depressive Syndrome. Case Raport

by Beata Wajda, Adrianna Drozdowska, Krzysztof Kuziemski, Lucyna Górska, Katarzyna Lewandowska and Ewa Jassem

Adv. Respir. Med. 2006, 74(2), 221-223; https://doi.org/10.5603/ARM.28055 - 10 Jun 2006

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Abstract

Tetany, which occurs in young women, poses common diagnostic problem. Two types of tetany are distinguished: one which is characterized by hypocalcemia and which rarely occurs (in person after strumectomy in the course of post-operational hypoparathyroidism) and latent one, which occurs more often. [...] Read more.

Tetany, which occurs in young women, poses common diagnostic problem. Two types of tetany are distinguished: one which is characterized by hypocalcemia and which rarely occurs (in person after strumectomy in the course of post-operational hypoparathyroidism) and latent one, which occurs more often. In the literature there is a lack of precise data concerned witch most probably results from its underestimation. Clinical symptoms which appear in latent tetany (normocalcemic) are related to the intracellular magnesium ddiciency and increased respiratory drive. A noncharacteristic clinical picture and the lack of a pathognomonic symptom, cause that despite of the fearly common occurrence, the latent tetany is rarely recognized. In this paper the case of a 53 year old women has been described. The women had the symptoms of gastroesophageal reflux of asthma and depressive syndrome, witch masked the symptoms of the latent tetany. Full article

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Open AccessCase Report

Thrombocytopenia Probably Heparin-Induced in Women with Tumor of the Heart and Pulmonary Embolism

by Renata Gralec, Małgorzata Dybowska, Paweł Kuca, Janusz Burakowski and Witold Tomkowski

Adv. Respir. Med. 2006, 74(2), 216-220; https://doi.org/10.5603/ARM.28054 - 10 Jun 2006

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Abstract

43 years old women with tumor of the right ventricle was admitted to ICU due to pulmonary embolism and suspicion for heparin-induced thrombocytopenia. Thrombocytopenia was successfully treated with Arixtra and the patient was qualified for the cardio surgery intervention. Heparin is widely used [...] Read more.

43 years old women with tumor of the right ventricle was admitted to ICU due to pulmonary embolism and suspicion for heparin-induced thrombocytopenia. Thrombocytopenia was successfully treated with Arixtra and the patient was qualified for the cardio surgery intervention. Heparin is widely used in treatment and prophylaxis of venous thromboembolism and other diseases. One of the most important adverse effect of treatment with heparin is heparin-inducted thrombocytopenia (HIT), which is one of the most frequent drug-induced, immune-mediated type ofthrombocytopenia. Ifit is unrecognized is associated with significant morbidity and mortality. According to our knowledge this is first report of Arixtra usage in patient with suspicion of HIT in Poland. Full article

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Open AccessCase Report

Chylothorax in Patients with Diffuse Pulmonary Lymphangiomatosis

by Elżbieta Wiatr, Renata Langfort, Tadeusz Orłowski, Jacek Grudny, Dariusz Gawryluk, Włodzimierz Kupis, Jerzy Usiekniewicz, Karina Oniszh, Barbara Burakowska and Kazimierz Roszkowski

Adv. Respir. Med. 2006, 74(2), 209-215; https://doi.org/10.5603/ARM.28053 - 10 Jun 2006

Viewed by 269

Abstract

The occurence of chylothorax is uncommon and usually is caused by trauma or neoplastic process of the mediastinum. Primary lymphatic lesions of the lungs are extremly rare. One of them is lymphangiomatosis—diffuse lesions characterized primarily by an increased number of complex anastomosing lymphatic [...] Read more.

The occurence of chylothorax is uncommon and usually is caused by trauma or neoplastic process of the mediastinum. Primary lymphatic lesions of the lungs are extremly rare. One of them is lymphangiomatosis—diffuse lesions characterized primarily by an increased number of complex anastomosing lymphatic channels in which dilatation is secondary phenomenon. These lesions can involve lungs, mediastinum and pleura. The prognosis for the patients with this disease limited to the thorax is guarded and progressive although some patients have realtively indolent course. We present 2 patients : 18-years old boy and 17-years old girl. admitted to hospital because of chylothorax. The diagnostic did could not allow to discover disruption of thoracic duct, even during thoracoscopy. In material taken from the pleura and mediastinum during exploratory thoracotomy—diffuse pulmonary lymphangiomatosis was found. CT examination of the chest revealed osteolysis of the spine. The girl died after 6 weeks from the first symptoms and boy is observed for 18 months with symptoms of progressive restrictive lung disease. Full article

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Open AccessArticle

Humoral Immune Response against Mycobacterial Antigens in Patients with Tuberculosis and Mycobacterial Infections Other than Tuberculosis

by Urszula Demkow, Beata Białas-Chromiec, Małgorzata Filewska, Tadeusz Zielonka, Dorota Michałowska-Mitczuk, Jan Kuś, Beata Broniarek-Samson, Ewa Augustynowicz-Kopeć, Zofia Zwolska and Ewa Rowińska-Zakrzewska

Adv. Respir. Med. 2006, 74(2), 203-208; https://doi.org/10.5603/ARM.28052 - 10 Jun 2006

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Abstract

The aim of the study was to compare humoral immune response against various mycobacterial antigens in TB and MOTT vs. healthy control group. 350 serum samples from TB patients, 20 samples from MOTT patients and 58 samples from healthy donors were examined. ELISA [...] Read more.

The aim of the study was to compare humoral immune response against various mycobacterial antigens in TB and MOTT vs. healthy control group. 350 serum samples from TB patients, 20 samples from MOTT patients and 58 samples from healthy donors were examined. ELISA detecting IgG, lgA and IgM against antigens: 38 kDa and 16 kDa, 38 kDa and lipoarabinomannan, and A-60 were used. Mean IgG level was higher in TB compared to healthy controls (p < 0.001). Mean IgG level against 38kDa and 38 + 16 kDa mycobacterial antigens was higher in TB than in MOTT group. Mean level of the IgG, IgA and IgM antibodies against LAM was higher in MOTT compared to TB patients. In all subgroups person-to-person heterogeneity of antigen recognition was observed. Humoral immune response to recombinant mycobacterial antigens significantly differs in TB and MOTT patients. Full article

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Open AccessArticle

Invasive Aspergillosis (IA) In Patients Treated in the Institute of Tuberculosis and Chest Diseases in the Years 1993–2005—Diagnostic Problems

by Paweł Ramiszewski, Dariusz Gawryluk, Barbara Podsiadło, Elżbieta Wiatr, Janusz Szopiński, Ewa Rowińska-Zakrzewska, Iwona Bestry, Renata Langfort and Kazimierz Roszkowski-Śliż

Adv. Respir. Med. 2006, 74(2), 197-202; https://doi.org/10.5603/ARM.28051 - 10 Jun 2006

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Abstract

The aim of this study was to present the diagnostic problems in pts treated for invasive aspergillosis (IA) in the Illrd Clinic of the Institute of Tuberculosis in the years 1993–2005. The material consisted of clinical documentation of 18 pts. 15 out of [...] Read more.

The aim of this study was to present the diagnostic problems in pts treated for invasive aspergillosis (IA) in the Illrd Clinic of the Institute of Tuberculosis in the years 1993–2005. The material consisted of clinical documentation of 18 pts. 15 out of 18 pts (83.4%) died. In all those cases autopsy examination was done. In 13 pts IA was the main and in another 2 only the accessory cause of death. AU pts were treated with corticosteroids and/or cytostatic drugs because of lung cancer (13 pts), haematologic disorders (1 pts), Wegener's granulomatosis (3 pts) and idiopathic pulmonary fibrosis (1 pts). In 13 out of 18 pts granulocytopenia was revealed (on an average from 0.008 × 109/L to 0.95 × 109/L) one month before death. In 13 pts IA was limited to the lungs, in 5 others there were also fungal lesions in brain, kidneys, liver, spleen, pleura, pericardium and heart. Pts with disseminated fonn ofIA had significantly lower granulocyte count and were treated with higher doses of corticosteroids than others. Immunosupressive drugs and granulocytopenia can be regarded as predisposing factors. IA was diagnosed before death only in 5 out of 18 pts. This was mainly caused by the lack of the symptoms of infection (4 pts) and negative results ofmycological (6 pts) and serological examination (8 pts). We should underline that mycological examination was only done in 11 pts and serological examination of blood for fungal antigen only in 6 pts. We conclude that mycological infection ought to be searched in all pts treated with high doses of corticosteroids and those with prolonged granulocytopenia, especially if they have the symptoms of infection which does not respond to antibiotic therapy. Full article

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Open AccessArticle

Increased Levels of RANTES in Induced Sputum of Chronic Asthma but Not in Seasonal Grass Pollen-Induced Rhinitis

by Adam Barczyk, Ewa Sozańska, Malgorzata Farnik, Iwona Stępniak-Ziółkiewicz, Joanna Nizio-Mąsior and Władysław Pierzchała

Adv. Respir. Med. 2006, 74(2), 191-196; https://doi.org/10.5603/ARM.28050 - 10 Jun 2006

Cited by 1 | Viewed by 332

Abstract

Backgroud: Allergic rhinitis is one of risk factors for development of allergic asthma. Methods: 9 patients with asthma, 16 patients with seasonal allergic rhinitis (SAR) due to grass or rye pollen sensitization and 17 healthy control subjects were recruited to the study. SAR [...] Read more.

Backgroud: Allergic rhinitis is one of risk factors for development of allergic asthma. Methods: 9 patients with asthma, 16 patients with seasonal allergic rhinitis (SAR) due to grass or rye pollen sensitization and 17 healthy control subjects were recruited to the study. SAR patients were identified by history, skinprick test, specific lgE and positive nasal allergen challenge. Every subject underwent the methacholine bronchial provocation test and sputum induction. Levels of RANTES were measured in supernatant of induced sputum. Results: Increased percentage of eosinophils in induced sputum in asthma compared to control group (p = 0.01) but not in SAR patients compared to healthy subjects (p = 0.13) were found. Similarly, asthmatic patients (p = 0.01) but not SAR patients had increased levels of RANTES in sputum compared to healthy subjects. Conclusion: Increased levels of RANTES in induced sputum of patients with chronic asthma but not in SAR patients indicate that RANTES is important in pathogenesis of chronic airway inflammation. Full article

106 KiB

Open AccessArticle

VEGF in the Cancer Anorexia-Cachexia Syndrome in Patients with Lung Cancer

by Bożena Weryńska, Monika Kosacka, Marcin Gołecki and Renata Jankowska

Adv. Respir. Med. 2006, 74(2), 186-190; https://doi.org/10.5603/ARM.28049 - 10 Jun 2006

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Abstract

Cancer anorexia-cachexia syndrome( CACS) occurs in 30–80% of patients with cancer. CACS is connected with poor prognosis and higher risk of treatment complications. CACS belongs to the common cause of death in cancer patients. Main role in the development of this syndrome play [...] Read more.

Cancer anorexia-cachexia syndrome( CACS) occurs in 30–80% of patients with cancer. CACS is connected with poor prognosis and higher risk of treatment complications. CACS belongs to the common cause of death in cancer patients. Main role in the development of this syndrome play cytokines like TNF, interleukin 1 and 6 and interferon α and γ. The importance of a lot of other substances is still unknown. VEGF promotes new vessels development, enhance vascular permeability and plays a role in inflammatory reaction. The aim of this study was comparison of VEGF levels in patients with lung cancer with and without CACS and in control group. The serum levels of VEGF were measured by ELISA method. The VEGF was significatly higher in patients with lung cancer then in control group (p = 0.004). There were no correlations between VEGF and weight lost, histological type and stage of disease. This suggest that VEGF doesnt play a role in development of CACS. Full article

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Open AccessArticle

Epidemiological Situation Concerning Lung Cancer in Wielkopolska in 1975–2002

by Rodryg Ramlau, Joanna Didkowska, Urszula Wojciechowska, Wojciech Tarkowski and Wojciech Dyszkiewicz

Adv. Respir. Med. 2006, 74(2), 179-185; https://doi.org/10.5603/ARM.28048 - 10 Jun 2006

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Abstract

Lung cancer is the main cause of cancer deaths around the world. At 12% of all cancer incidents, lung cancer is the most frequent single cause of death, of both males and females. In 2002 among male population in Poland, lung cancer was [...] Read more.

Lung cancer is the main cause of cancer deaths around the world. At 12% of all cancer incidents, lung cancer is the most frequent single cause of death, of both males and females. In 2002 among male population in Poland, lung cancer was the second, following heart failure, cause of death, ranging at 8% of deaths in general. It was third cause of death among females ranging at 2.3% in general. Considering cancer deaths in 2002 in Wielkopolska, lung cancer was most frequent cause of death among males (30%) and second frequent among females (10.4%). The last 25 years the number of deaths decreased among younger generation of males (first in the age group 20–44, later in the middle age group) and this phenomenon has dominated the general picture of cancer among males. However the increase of mortality rates in the older age group might be still observed. The constant increase of mortality has been observed among females, especially in the middle age group (45–64). It should be highlighted that the level of mortality has been equalled in both genders in the youngest age group (20–44), which means suddenly growing risk among young population of women in Wielkopolska. Full article

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Open AccessArticle

Analysis of the Treatment (Neoadjuvant Chemotherapy and Surgery) in IIb and IIIa Stages of Non-small Cell Lung Cancer

by Beata Ptaszek, Mariusz Chabowski, Elżbieta Wiatr, Tadeusz M. Orłowski, Renata Langfort, Iwona Bestry and Kazimierz Roszkowski-Śliż

Adv. Respir. Med. 2006, 74(2), 171-178; https://doi.org/10.5603/ARM.28047 - 10 Jun 2006

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Abstract

The aims: (1) comparison ofNSCLC stages according to bronchoscopic and radiological findings with pathological outcome (mediastinoscopy), (2) efficacy of the neoadjuvant ChT by means of nodal involvement and primary tumour (downstaging), (3) influence ofChT on the surgical procedures' extension and its morbidity Material [...] Read more.

The aims: (1) comparison ofNSCLC stages according to bronchoscopic and radiological findings with pathological outcome (mediastinoscopy), (2) efficacy of the neoadjuvant ChT by means of nodal involvement and primary tumour (downstaging), (3) influence ofChT on the surgical procedures' extension and its morbidity Material and methods: I 00 consecutive patients with resectable NSCLC in stages 11B (13 pts) or IIIA (57 pts), who were qualified to neoadjuvant ChT, participated in this study (77 men and 23 women, aged 42–73). Tumour and lymph nodes (mediastinal and hilar) were measured in CT scan. Mediastinoscopy was performed in 70 pts (70%). Majority of patients (87%) received two cycles ofneoadjuvant ChT (cisplatin 80 mg/m² iv on day 1 and vinorelbine 25 mg/m² on day 1 and 5) administered every 21 days. After ChT 85 patients were qualified to surgery. The results: The metastases in mediastinoscopy were excluded in 32 out of 45 patients (71%), whose lymph nodes were enlarged in CT scan (radiological false positive). Metastases were confirmed in 4 out of 25 patients (16%), whose lymph nodes were normal in CT scan (radiological false negative). After ChT the regression of the disease (PR+CR) was noted in 37% of patients. Pneumonectomy was performed in 23 (27%) pts, bilobectomy in 11 (13%) pts, lobectomy in 39 (46%) pts and “extended” (sleeve) lobectomy in 12 (14%) pts. Resected material was examined microscopically very exactly in patients, in whom mediastinoscopy was performed before treatment. Downstaging was confirmed in 6 out of 15 patients (40%). Conclusions: Neoadjuvant ChT was effective in 37% of patients and allowed us to perform less exten sive surgery in these patients. 22 (64.7%) out of 34 patients who responded to ChT underwent lobecto my. Only 17 (36%) out of 51 patients who did not respond to ChT had lobectomy performed. Generally, 85 pts were operated with postroperative complications in 22.3% patients and 2.3% mortality rate. Full article

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Open AccessArticle

Significance of Virological Diagnostics for the Effective Treatment of Hosptalized Patients Infected with Influenza Virus

by Magdalena Machała, Elżbieta Wiatr, Dariusz Gawryluk and Lidia B. Brydak

Adv. Respir. Med. 2006, 74(2), 166-170; https://doi.org/10.5603/ARM.28046 - 10 Jun 2006

Cited by 1 | Viewed by 326

Abstract

In the case of influenza disease there is no possible to make unquestionable diagnosis only on the basis of clinical picture. Therefore, virological laboratory diagnostics is important, especially in hospitalized patients and those who highly risk post-influenza complications and severe course of the [...] Read more.

In the case of influenza disease there is no possible to make unquestionable diagnosis only on the basis of clinical picture. Therefore, virological laboratory diagnostics is important, especially in hospitalized patients and those who highly risk post-influenza complications and severe course of the disease. Virological diagnostic tests for influenza and positive result obtained in these tests allow to use effective antiviral-antiinfluenza drugs as new generation drugs: oseltamivir and zanarnivir and also old generation drugs: amantadine and rimantadine. Since these antivirals are effective only in the case of influenza infection, diagnostic tests should be performed previously. Present methods allow to obtain the result of the test within less than l hour to 8 h. This is of great importance, because the administration of the drug within 36 h from the onset of symptoms is one of the factors conditioning the effectiveness of antiviral therapy. In the present paper there are described four cases of hospitalized patients in whom the infection with influenza virus was confirmed by immunofluorescence test and RT-PCR, and then the antiviral-antiinfluenza drugs were immediately introduced. This antiviral therapy in a short time resulted in the improvement of patients' condition and allowed to discharge them from the hospital. Antiviral-antiinfluenza drugs together with virological diagnostics are the effective tool in the case of patients not vaccinated against influenza, who were infected with influenza virus and fell ill. Full article

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Open AccessArticle

Hyperuricaemia in Females with Obstructive Sleep Apnoea

by Robert Pływaczewski, Michał Bednarek, Luiza Jonczak, Dorora Górecka and Paweł Śliwiński

Adv. Respir. Med. 2006, 74(2), 159-165; https://doi.org/10.5603/ARM.28045 - 10 Jun 2006

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Abstract

The aim of our study was to assess serum uric acid (UA) in a large group of females with OSA before treatment (normal UA value is from 2.4 to 5.7 mg/dL). We studied 105 consecutive females (73.3% without estrogen activity), mean age 58.5 [...] Read more.

The aim of our study was to assess serum uric acid (UA) in a large group of females with OSA before treatment (normal UA value is from 2.4 to 5.7 mg/dL). We studied 105 consecutive females (73.3% without estrogen activity), mean age 58.5 ± 9.9 years, mean BMI = 33.3 ± 8.2 kg/m² with OSA (mean AHI = 35.6 ± 21.5, mean overnight SaO₂ = 89 ± 6.3%). We divided patients in two groups: 1st with hyperuricaemia-UA > 5.7 mg/dL (53 pts, 50.5%) and 2nd with normouricaemia-UA ≤ 5.7 mg/dL (52 pts, 49.5%). Concentartion of serum uric acid was similar in females with and without estrogen activity. Subjects with hyperuricaemia had significantly higher BMI (p < 0.001), lower mean SaO₂ (p < 0.01) and spent more time in desaturation below 90% (p < 0.01). This group had lower FVC, FEV₁ i PaO₂ (p < 0.001), higher PaCO₂ (p < 0.01) and morning glucose (p < 0.001). Females with OSA and hyperuricaemia presented higher prevalence of systemic hypertension (p < 0.001 ), coronary artery disease (p < 0.05), diabetes (not significant) and COPD (p < 0.05). Multiple regression analysis revealed relation between serum uric acid, BMI and arterial hypertension. Conclusions: Hyperuricaemia is frequent in females with OSA. Increased UA levels were related especially to obesity and arterial hypertension. Lower: overnight SaO₂, FVC, FEV₁, PaO₂ and higher glucose concentration and PaCO₂ may play role in developing of hyperuricaemia. Full article

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Open AccessArticle

Safety of Venom Immunotherapy in Patients Pretreated with Antihistamines—A Retrospective Study

by Damian Tworek, Małgorzata Bocheńska-Marciniak, Maciej Kupczyk, Izabela Kupryś-Lipińska and Piotr Kuna

Adv. Respir. Med. 2006, 74(2), 153-158; https://doi.org/10.5603/ARM.28044 - 10 Jun 2006

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Abstract

Imrnunotherapy is the only effective method of treatment of allergy to Hymenoptera venom. Pretreatment with antihistamines diminishes the incidence of adverse reactions (AR) such as large local and mild systemic reactions but it is suggested that it may mask a development of serious [...] Read more.

Imrnunotherapy is the only effective method of treatment of allergy to Hymenoptera venom. Pretreatment with antihistamines diminishes the incidence of adverse reactions (AR) such as large local and mild systemic reactions but it is suggested that it may mask a development of serious allergic reactions. The aim of the study was a retrospective evaluation of the incidence and nature of AR during venom immunotherapy in patients receiving pretreatment with antihistamines in the Department of Pneumonology and Allergy of the Medical University of Lodz. Results: 50 patients started “ultra-rush” immunotherapy in our center, 8 were taken in our care after the initiation phase had been conducted elsewhere. During the dose increase phase IO systemic adverse reactions were observed. 50% of them were only subjective and the rest mild objective reactions. During the maintenance phase IO systemic reactions were noted, among them 2 cases of the anaphylactic shock. The incidence of systemic adverse reactions was I per 86 injections. Late as well as unusual reactions appeared twice. Conclusions: Venom immunotherapy combined with pretreatment with antihistamines is safe. A vast majority of systemic adverse reactions is of subjective and mild objective nature and appropriate treatment leads to containment of severe reactions. Full article

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Open AccessArticle

The Epidemiology of Tuberculosis of the Respiratory Tract in TH Homeless in Poznań

by Lidia Karpińska-Jazdon, Jerzy Gałęcki and Anna Ruszczcak

Adv. Respir. Med. 2006, 74(2), 149-152; https://doi.org/10.5603/ARM.28043 - 10 Jun 2006

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Abstract

The Department of Health and Social Care of the Municipal Council in Poznan initiated a programme of prophylaxis against tuberculosis in the homeless. The study involves those homeless people who are registered in Poznan-based homeless shelters and temporary residential sites. Chest X-ray was [...] Read more.

The Department of Health and Social Care of the Municipal Council in Poznan initiated a programme of prophylaxis against tuberculosis in the homeless. The study involves those homeless people who are registered in Poznan-based homeless shelters and temporary residential sites. Chest X-ray was performed in 403 homeless and 57 persons of staff. Abnormal picture of the chest was found in 83 person, but only in 30 lesions were suspected of tuberculous etiology. 43 persons with abnormal chest X-ray and/or with clinical symptoms were exactly examinated in Chest Clinic (with microbiological examination of sputum or bronchoscopic material). AFB were found in 7 of them, in 1-granulomatosis with necrosis was found in lung specimen and in 2 clinical and radiological diagnosis of TB was estabilished. Full article

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Open AccessArticle

The Frequency of Allergy in Lung Cancer Patients

by Katarzyna Tolak, Andrzej Omernik, Oksana Żdan, Diana Ragus, Joanna Domagała-Kulawik, Piotr Rudziński and Ryszard Chazan

Adv. Respir. Med. 2006, 74(2), 144-148; https://doi.org/10.5603/ARM.28042 - 10 Jun 2006

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Abstract

Lung cancer is the most common malignancy in the world and frequency of allergic diseases increases especially in high-developed countries. In the literature there have been published articles about association between lung cancer and allergic diseases, which don't give a simple answer if [...] Read more.

Lung cancer is the most common malignancy in the world and frequency of allergic diseases increases especially in high-developed countries. In the literature there have been published articles about association between lung cancer and allergic diseases, which don't give a simple answer if there is any connection between them. The aim of this study was the assessment of frequency of allergy in patients with lung cancer. The study was based on medical records and questionnaire performed among patients hospitalized in Department of Pneumonology and Allergology Medical University of Warsaw and in Department of Thoracic Surgery Institute of Tuberculosis in Warsaw. The study included 113 patients (30 women and 83 men). Coexistence of allergy with primary lung cancer was observed in 7 cases which makes 6.2% (frequency of: asthma 1.8%, allergy to drugs 3.5%, allergy to animal's dander 0.9%). The result of this examination reveals that there is significant lower frequency of allergic diseases in patients with lung cancer in comparison with frequency of allergic diseases in adult population of Poland estimated at 15.8%. Full article

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Open AccessEditorial

Differences between Guidelines on Management of COPD

by Agnieszka Gawlewicz-Mroczka and Ewa Niżankowska-Mogilnicka

Adv. Respir. Med. 2006, 74(2), 139-143; https://doi.org/10.5603/ARM.28041 - 10 Jun 2006

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Abstract

Przewlekla obturacyjna choroba pruc (POChP) jest chorobct na która w ostatnich latach zawrócono wieksza uwage [...] Full article

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Adv. Respir. Med., Volume 74, Issue 2 (June 2006) – 20 articles , Pages 139-241

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