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PubMed1976

Asphyxiating thoracic dystrophy without respiratory disease: report of two cases of the latent form.

Two cases of the latent form of Asphyxiating Thoracic Dystrophy or Asphyxiating Thoracic Dystrophy without respiratory disease or respiratory problems are reported. The skeletal survey was diagnostic in both of them. In the first case it was performed after the pelvic film, ordered because of externally rotated thighs, showed triradiate acetabulum. In the second case the skeletal survey was requested because of undiagnosed mental retardation syndrome.

Bone Diseases, Developmental↗
PubMedDate not supplied

Multiple viral and inframicrobial infections detected by immunofluorescence reaction in exfoliated cells from patients with eye or respiratory diseases.

The presence of viral (herpes 1 and 2, influenza A and B, parainfluenza 1, 2, and 3, adenovirus) and inframicrobial (Chlamydia, R. burneti and mycoplasma) antigens was investigated by indirect immunofluorescence reaction in exfoliated cells from 107 patients with chronic eye diseases and 77 patients with chronic respiratory diseases. Single or associated viral or inframicrobial antigens were detected in 80% of the former and in 60% of the latter patients. The proportion of multiple infections was of about 60% in both patient groups.

Adenovirus Infections, Human↗
PubMedDate not supplied

[Recurrent respiratory disease and IgA deficiency in infants and children (author's transl)].

Among nearly 1 300 infants and children studied for chronic or recurrent respiratory diseases 36 of them had plasma and/or salivary IgA deficiency. They were 1 to 13 years of age with 20 between 3 to 6 years; 11 had total, lack or traces of salivary IgA, 9 had very low or nul plasma IgA titer and 6 had both. The deficiency was transitory in 10. Associated abnormalities with potential liability for the disease: allergy, gastroesophageal reflux, alpha-1-antitrypsin deficiency and other immunologic deficiency were encountered in 26. The often multifactorial pattern of respiratory diseases in pediatrics is emphasized. The pathogenic role of IgA deficiency is discussed. Even though its responsibility is demonstrated, its real magnitude and extent requires further studies.

Adolescent↗
PubMed2005

Failure of tacrolimus to prevent aspirin-induced respiratory reactions in patients with aspirin-exacerbated respiratory disease.

BACKGROUND: In patients with aspirin-exacerbated respiratory disease (AERD), pretreatment with asthma controller medications (leukotriene modifiers, inhaled or systemic corticosteroids, and salmeterol) partially modifies the severity of aspirin-induced asthmatic reactions. OBJECTIVE: A recent study showed that pretreatment with tacrolimus completely prevented aspirin-induced respiratory reactions and might allow silent aspirin desensitization. METHODS: Ten patients with rhinosinusitis, nasal polyps, and asthma had a history of asthma attacks after ingesting aspirin and nonsteroidal anti-inflammatory drugs. All underwent baseline oral aspirin challenges and had typical respiratory reactions. They were then randomized to receive tacrolimus (0.1 mg/kg weight; 8 patients) or placebo (2 patients) in a double-blind protocol before rechallenge with aspirin using the previous provoking dose of aspirin. In addition, respiratory reactions sustained by 50 consecutive patients with AERD during 2004 were recorded, analyzed, and compared with the tacrolimus/placebo-treated patients to determine whether there were any differences. RESULTS: Tacrolimus pretreatment failed to block respiratory reactions to provoking doses of aspirin in 5 of 8 patients with AERD, and in the other 3 patients did not block higher doses of aspirin. The results of oral aspirin challenges in the control population of 50 patients were compared with either the baseline or postchallenge data from the tacrolimus-pretreated or placebo-pretreated patients with AERD, and there were no significant differences. CONCLUSIONS: Use of tacrolimus as add-on pretreatment to prevent reactions to aspirin in patients with AERD or to achieve the goal of silent aspirin desensitization could not be accomplished.

Administration, Oral↗
PubMed1975

Use of corticosteroids to isolate IBR virus from cattle in Cyprus after respiratory disease and ataxia.

An outbreak of ataxia, blindness, respiratory disease and kerato-conjunctivitis occurred in October 1972 in a beef feedlot in Cyprus. Fifteen animals died and 10 that were severely ataxic were slaughtered; many animals became blind. There was no opportunity to isolate virus when the disease was active but in March and October 1973 infectious bovine rhinotracheitis (IBR) virus was isolated from cattle after they had been treated corticosteroids to stimulate virus excretion. It is probable that IBR virus caused the disease. This is the first report of the isolation of IBR virus from cattle in Cyprus.

Animals↗
PubMedDate not supplied

A contribution to the study of local immunity in infants suffering from acute respiratory diseases.

The presence of secretory component of 11S secretory IgA and 7S IgA in tracheobronchial secretion and in serum was determined by immunoelectrophoresis in 30 infants suffering from acute respiratory diseases. The presence of secretory component and IgA was identified in trancheobronchial secretion in all of investigated infants, even in those severe clinical picture. The presence of secretory component was not identified in serum. The determination of the presence of secretory component in tracheobronchial secretion has practical importance since it can be used for evaluation of integrity of local immunity in the course of respiratory diseases.

Antibodies, Anti-Idiotypic↗
PubMed2000

Infrequency of pulmonary microbial colonisation prior to respiratory disease in HIV-infected individuals.

To determine whether organisms are present in the HIV-infected lung prior to clinical respiratory disease, a cross-sectional bronchoscopic comparative analysis of 39 asymptomatic HIV-positive subjects and 31 healthy controls with 2-year prospective bronchoscopic monitoring of the HIV study group was performed. Pathological examination of bronchoalveolar lavage (BAL) fluid using standard microbiological techniques was undertaken. Organisms were recovered from similar numbers of HIV-positive and control subjects (7 of 39 and 3 of 31) and comprised predominantly scanty growths of bacteria. Five subjects developed respiratory disease during follow-up. Repeat BAL was performed in 11 asymptomatic HIV-positive patients; no relationship was found between the organisms isolated at the two procedures. The findings suggest that the asymptomatic HIV-positive lung is not a frequent site of either microbial colonisation or subclinical infection. This has implications for the understanding of the pathogenesis of HIV-related pulmonary disease.

Adult↗
PubMed1997

[Breast feeding for prevention of viral acute respiratory diseases in infants].

The incidence of acute viral respiratory diseases (confirmed by immunofluorescence test) was compared in a group of 159 infants aged 0-9 months breast-fed at least once daily and in a group of 608 infants of similar age and hospitalization duration receiving only artificial food. The incidence was significantly lower in breast-fed infants (p = 0.00057), especially in the first trimester of life (p = 0.00039). This was valid of all RSV infections (p = 0.01854) and parainfluenza type 4 virus infections (p = 0.0846). The antibody level against parainfluenza type 1 and 3 (HI) and against RSV in IgA class (ELISA) was compared with that in mother's milk and serum. No significant correlation was found for parainfluenza type 1 antibodies (r = 0.159) and 3 (r = 0.025), while for RSV the correlation was positive and statistically significant though rather low (r = 0.234). No significant correlation was found between milk antibody levels and the incidence of acute viral respiratory infections. Breast-feeding showed a significant influence on the lower incidence of these infections, particularly in the first trimester of life. It seems that this was associated with a non-specific mechanism rather than with the milk levels of specific antibodies.

Acute Disease↗
PubMed1993

[Characteristics of disorders of lipid peroxidation homeostasis and immunologic indicators in patients with chronic respiratory diseases working in chemical industry].

A total of 151 individuals was examined, among which 40 were apparently healthy, 28 have had recurrent respiratory diseases and in 83 the chronic obstructive pulmonary disease was proven. The results demonstrated the intensified lipids peroxidation, endogenic antioxidants deficiency and the depressed T and B immunity in those exposed to the occupational chemical hazards, especially with concurrent acute and chronic respiratory diseases. The levels of diene conjugates, fat-soluble vitamins, T lymphocytes subunits and serum immune complexes were proved to serve as the criteria of premorbid condition in the humans exposed to occupational hazards. The obtained results necessitate the antioxidant treatment and immune correction as a prophylaxis in chemical industry.

Adult↗
PubMed1999

Effects of viral respiratory disease education and surveillance on antibiotic prescribing.

BACKGROUND AND OBJECTIVES: We describe a partnership between family practice residency clinics and a state public health virology laboratory that has produced comprehensive viral respiratory disease education and surveillance. Family practice residents have been provided with education on respiratory viruses and the results of ongoing viral surveillance. The preliminary effects of this program on antibiotic prescribing by senior residents are evaluated in this paper. METHODS: We used a questionnaire to assess the acceptance by family practice residents of the educational component and the utility of ongoing viral surveillance. We used chart review to evaluate rates of antibiotic prescribing and the number of patients diagnosed per year with acute upper respiratory infection and acute bronchitis by senior residents in 1992 (preexposure) and 1996 (postexposure). RESULTS: By the third year of training, most residents (79%) reported receiving adequate training regarding common viral respiratory diseases. Moreover, residents reported that they were less likely to prescribe antibiotics to patients presenting with respiratory infections when provided with specific information on circulating viral pathogens. Antibiotic prescribing in the postexposure group was 68% lower for upper respiratory infection (URI) and 45% lower for a composite of URI and bronchitis. CONCLUSIONS: Education and monitoring of circulating respiratory viruses can result in familiarity with common disorders in primary care and reduce unnecessary antibiotic use.

Anti-Bacterial Agents↗
PubMed2000

Genomic analysis of matrix gene and antigenic studies of its gene product (M1) of a swine influenza virus (H1N1) causing chronic respiratory disease in pigs.

The nucleotide sequence of gene coding for the matrix protein (M1 and M2) of swine influenza (H1N1) virus, A/Sw/Quebec/5393/91 (SwQc91), associated with chronic respiratory disease in pigs, was determined. The deduced amino acid (aa) sequence was compared with the other North American swine strains including the A/Sw/Quebec/192/81 (SwQc81) strain associated with the chronic and acute respiratory disease in pigs. Separate analysis of the M1 and M2 gene products showed different evolutions. M1 had 2 aas changes among 252 aas and these were at positions 4 and 205. The mutation rate was 0.08%, aa changes per residue per year, and its homology with other strains was 99.2%. The M2 protein (97 aas) was relatively more variable than M1 with 5 substitutions. Differences observed were at positions 4, 16, 21, 54 and 95. The mutation rate was 0.51% and its homology with other strains was 94.8%. The M1 gene was cloned in the procaryotic plasmid pET21a and the recombinant plasmid was expressed in Escherichia coli under pre-determined optimal conditions. The recombinant M1 protein (RM1P) (approximately 28 kDa) comigrated as a single band on SDS-PAGE. RM1P was antigenic and reacted with polyclonal sera and 5 monoclonal antibodies (MAbs) spanning 4 epitopes including the membrane binding site and the transcription inhibition activity site. RM1P was immunogenic. The mouse anti-RM1P ELISA antibodies reacted with the purified viral M1 protein and the whole virus.

Amino Acid Sequence↗
PubMed1987

The relationship of hematology and serum chemistry parameters to treatment for respiratory disease and weight gain in Ontario feedlot calves.

In the fall of 1983, 322 western calves, in five different groups, were bled on arrival at two Ontario feedlots. Calves receiving treatment for respiratory disease, within 35 days of arrival, were denoted as cases. The hematology and serum chemistry parameters of cases were compared to those of controls. Cases had significantly (p less than 0.05) lower hematocrits, fewer platelets, and more band cells on arrival, than did controls. Cases also had lower serum phosphorous, magnesium, potassium, iron and alkaline phosphatase levels, and increased bilirubin and aspartate aminotransferase levels relative to controls. Based on the results of multivariable logistic regression, hematocrit, platelet numbers, serum phosphorous, iron and aspartate aminotransferase levels were the most significant parameters for the prediction of respiratory disease. Reference values for stressed feedlot calves were created. Most parameters were distributed in an approximately normal manner, however the group to group variation in most parameters was significant.

Analysis of Variance↗
PubMed1991

The United Mine Workers of American and the recognition of occupational respiratory diseases, 1902-1968.

This study examines the early efforts of the United Mine Workers of America to illuminate the problem of occupational respiratory diseases in the coal fields. The union used the hearings of the US Anthracite Coal Strike Commission of 1902-3 to draw public attention to "miners' asthma." In 1915, it began to agitate for the provision of workers' compensation benefits for victims of this disorder. Throughout the 1950s and 1960s, the union's Welfare and Retirement Fund disseminated information on advances in understanding chronic pulmonary diseases of mining. In particular, the miners' fund promoted the British conceptualization of a distinctive coal workers' pneumoconiosis. At the same time, the staff of the union health plan pressed the US Public Health Service and the Pennsylvania Department of Health to investigate the prevalence of occupational respiratory diseases among bituminous miners. Taken together, these endeavors contributed significantly to growing recognition of the severity and extent of this important public health problem and thus helped lay the foundation for the Federal Coal Mine Health and Safety Act of 1969.

Collective Bargaining↗
PubMed2002

Is the increase in allergic respiratory disease caused by a cohort effect?

BACKGROUND: Changes in lifestyle or environmental factors are responsible for the increasing prevalence of allergic respiratory disease. Establishing the time at which the increase began may provide a clue as to what factors possibly could have contributed to the increase. Many cross-sectional studies have shown that the prevalence of allergic sensitization decreases with increasing age. This could reflect the natural course of allergic sensitization. Alternatively, this could reflect that the increase in sensitization is caused by a cohort effect, i.e. an increase among subjects born during recent decades. OBJECTIVE: The aim was to investigate age-specific changes in the prevalence of allergic sensitization in a cohort of adults. METHODS: A total of 599 subjects aged 15 to 69 years participated in a cross-sectional general population study in 1990. In 1998 they were invited to a follow-up, and 64.4% (386/599) were reexamined. Serum samples obtained from the participants in 1990 and 1998 were analysed for specific IgE to six common inhalant allergens with the same assay. RESULTS: The prevalence of allergic sensitization (specific IgE to at least one allergen) increased among subjects who were less than c. 30 years at baseline (1990), i.e. subjects born during the 1960s or later, while the prevalence was unchanged among subjects who were more than c. 30 years at baseline. CONCLUSIONS: The results support the notion that the increasing prevalence of allergic respiratory disease is caused by a cohort effect. Thus, changes in lifestyle or environmental factors that occurred around or after 1960 may have contributed to this increase.

Adolescent↗
PubMed1992

Passive smoking among children with chronic respiratory disease.

The purpose of this study was to determine the prevalence and source of passive smoke exposure among children with chronic respiratory diseases and compare these to both a well child and nonrespiratory chronic illness child population. Rates and source of passive smoke exposure were compared among four child groups: asthma, cystic fibrosis, rheumatoid arthritis, and well children using a questionnaire mailed to the parents of the selected children. Twenty percent of respondents reported current smoking with a significantly higher rate among the cystic fibrosis and rheumatoid arthritis groups. One-third of all children surveyed were exposed to passive smoke at home and/or day care on a daily basis. Over 80% of the asthma and cystic fibrosis respondents reported a change in smoking behavior (i.e., smoking outside the home or smoking fewer cigarettes) after the diagnosis of their child's illness as compared with only 40% of the nonrespiratory groups. Health care providers need to inquire about potential sources of passive smoke exposure in their patients, particularly children with chronic respiratory disease.

Adult↗
PubMed1995

Study of employees with anhydride-induced respiratory disease after removal from exposure.

The purpose of this study was to determine clinical and immunologic status of hexahydrophthalic anhydride (HHPA) employees who have had immunologic respiratory disease and who have been removed from exposure for at least 1 year. In a retrospective study, 16 consecutive employees with HHPA-induced immunologic respiratory disease who had been removed from exposure for more than 1 year were evaluated. Eleven had asthma, allergic rhinitis, or both; five had hemorrhagic rhinitis. Respiratory symptoms were obtained by physician-administered questionnaire. Physical examination, spirometry, and chest film were obtained. Antibody against HHPA conjugated to human serum albumin (HHP-HSA) was determined by enzyme-linked immunosorbant assay. Symptoms, signs, and pulmonary functions were normalized in all employees. There was a decline in antibody titers for both IgE and IgG against HHP-HSA. There were no chest film findings attributable to HHPA. In this group, there appeared to be no evidence of permanent anatomic sequelae after removal from exposure for at least 1 year. Specific antibody was still present, but titers were lower at follow-up than at presentation for a substantial proportion of the sample.

Antibodies↗
PubMed2006

Therapeutic potential of phosphatidylinositol 3-kinase inhibitors in inflammatory respiratory disease.

The phosphoinositide 3-kinase(s) (PI3K) are a family of proteins that catalyze the phosphorylation of the 3-OH position of phosphoinositides and generate lipids that control a wide variety of intracellular signaling pathways. They are classified into three families according to their structure and substrate specificity and are thought to have distinct biological roles. Recent studies suggested that numerous components of the PI3K pathway play a crucial role in the expression and activation of inflammatory mediators, inflammatory cell recruitment, immune cell function, airway remodeling, and corticosteroid insensitivity in chronic inflammatory respiratory disease. Selective PI3K inhibitors have been developed that reduce inflammation and some characteristics of disease in experimental animal models. Targeting specific PI3K isoforms that may be overexpressed or overactive in disease should allow for selective treatment of respiratory diseases. Encouraging data from animal models, primary cells and clinical studies in other diseases suggest that inhibitors of PI3K/Akt may prove to be useful novel therapies in the treatment of asthma and chronic obstructive pulmonary disease.

Animals↗
PubMed2004

[Distribution of acute respiratory diseases in Brazil from 1996 to 2001, Brazil].

OBJECTIVE: Acute respiratory diseases -- ARD, mainly pneumonias, are the most important cause of death among children under five years of age and are responsible for severe diseases among people over sixty years of age. This study aims to describe the main epidemiological characteristics of ARD cases notified by healthcare centers. METHODS: ARD patients' records from medical consultations at 100 public health care centers and hospitals were reviewed every week in the period from 1996 to 2001 and data was filled out on a specific form. Data was classified as pneumonia and not pneumonia according to age groups. RESULTS: During this period, 2,050,845 ARD cases were informed. May and June were the months with the largest number of cases. ARDs were more frequent among children aged one to four years old. The latter concentrated about twice the number of cases of other age groups. Pneumonias represented approximately 7.7% of the ARD cases. CONCLUSIONS: The magnitude of ARD numbers may be observed and it should stimulate appropriate diagnosis, early treatment, and prevention, both in regard to the event itself and complications ensuing from it.

Acute Disease↗