Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “RESPIRATORY DISEASES”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 865 records · Page 48Linked to original sources

Ventilation and environment in relation to equine respiratory disease.

The physiological requirements of the horse appear to be reasonably well established and should be adequately provided by ventilation based on straightforward principles, relying largely on natural air flow. On the other hand, there are few objective values for ventilation required to promote good health or alleviate equine respiratory disease. In the absence of such knowledge it is only possible to rely on a logical application of sound principles and experience. Both indicate the satisfactory nature of ventilation by stack effect, aspiration and perflation. Buildings should be well insulated, of copious air space and ensure as much isolation of one horse from another as possible. A constant surplus of ventilation should be provided in this way but if the design of the house is such as to impede good natural flow fan assistance must be installed. All such measures may not be expected to influence the primary viral agents of respiratory disease but should ensure a minimal aggravation from secondary agents.

Animals↗

Active and passive immunity to bovine viral respiratory diseases in beef calves after shipment.

Fifteen steers were vaccinated after shipment with a modified live virus vaccine containing infectious bovine rhinotracheitis (IBR), bovine virus diarrhea (BVD), and bovine myxovirus parainfluenza-3 (PI3), and 16 unvaccinated steers were kept as controls. Geometric mean titers one month after vaccination were highest to BVD, followed by PI3 and IBR. Weight gains were higher during 30 days after vaccination in the controls. One case of acute respiratory disease developed in one vaccinated calf. Revaccination 79 days after the first dose increased antibody to PI3 and BVD virus but not IBR. In a second trial, no clinical respiratory disease developed after shipment of 13 heifers that received an antibacterial-antiviral antiserum or in the 12 controls. Weight gains 30 days after shipment were identical in both groups.

Animals↗

Environmental mycological study and respiratory disease investigation in fur-processing workers.

This paper presents the results of an investigation of respiratory symptoms, chest X-ray examinations, and analysis of antibodies to fungi of 138 fur-processing workers and 40 control workers. Industrial hygiene survey and environmental mycological studies were also conducted. The dust concentrations in fur processing workshops (1.8-6.7 mg/m3) were below the national health limit (10 mg/m3). Most dusts in all fur processing workshops contained less than 2.0% silica. Numbers of isolated fungi in fur processing workshops [629-3,681 cfu/m3 (colony forming unit/m3)] were significantly higher than those in control environments (63-503 cfu/m3). The prevalences of respiratory symptoms in fur processing workers were higher than those in control workers, especially among female exposed workers. The prevalences of the symptoms in female exposed workers were 37.9% with chronic cough, 28.4% with chronic phlegm, 10.5% with dyspnea, 22.1% with chest tightness, and 4.2% with fever. Seven cases showed abnormalities in chest X-ray examinations. The OD450nm values for antibodies to fungi in fur processing workers were significantly higher than those in control workers (P<0.05). The prevalences of positive anti-fungi antibodies in fur-processing workers were also significantly higher than those in control workers (p<0.01). The results suggested that fungi might be one of the main allergens in respiratory diseases in fur processing workers.

Adult↗

Controlling for provider of treatment in the modelling of respiratory disease risk near cokeworks.

The improved quality of hospital admissions data makes them a valuable resource for researchers. However, we show that, when multiple providers of health care are considered, the provider (in this case hospital) may act like other confounders such as socio-economic status, and hence must be controlled for. Such control is not as straightforward as for conventional confounders, however, but we describe a method that is appropriate under certain assumptions. We also describe a number of other statistical issues, such as the modelling of spatial and non-spatial overdispersion, that arose during the use of hospital data in a study to investigate the possible adverse health effects of living in proximity to six cokeworks groups in England and Wales. The outcome data that we consider consist of hospital admissions for all respiratory disease in the under-5s. The ecological level of the analysis is the census-defined enumeration district, and the main (proxy) exposure measure utilised is the spatial location of the enumeration district population-weighted centroid in relation to the cokeworks. We focus on the Teesside cokeworks group, for which we also had sulphur dioxide measurements from dispersion modelling as an alternative exposure measure. The major local providers varied appreciably in their standardized admission ratios for respiratory disease, and when provider was controlled for, the size of the observed excess risk found close to the cokeworks was decreased, making control for the provider of health care vital. However, the presence of multiple pollution sources, in addition to the usual shortcomings of ecological studies, makes interpretation difficult.

Air Pollutants↗

Bovine respiratory disease in feedlot cattle: environmental, genetic, and economic factors.

The objective of this study was to characterize genetic, environmental, and economic factors related to the incidence of bovine respiratory disease (BRD) in feedlot calves. Records from 18,112 calves representing 9 breeds (Angus, Braunvieh, Charolais, Gelbvieh, Hereford, Limousin, Pinzgauer, Red Poll, and Simmental) and 3 composite types (MARC I, MARC II, and MARC III) over a 15-yr period (1987 to 2001) were evaluated. Disease incidence was observed and recorded by station veterinary and technical staff. The incidence of BRD varied across years, with the annual observed incidence ranging from 5 to 44%. From 1987 to 1992, the annual average incidence generally exceeded 20%. However, in later years the annual incidence did not exceed 14%. The epidemiological pattern indicated that BRD infection increased dramatically after 5 d on feed and remained high until approximately 80 d on feed. Previous BRD infection during the preweaning period did not influence subsequent BRD infection in the feedlot. Steers were more likely to become sick with BRD than heifers; castration before entry in the feedlot may be a predisposing cause. Few significant differences among breeds were detected for BRD incidence. Adjusted solutions from mixed model analyses indicated that Herefords were generally more susceptible to BRD infection (P < 0.05) than MARC I and III composite types. Composite breed types had similar susceptibility compared with other purebred breeds. Mortality associated with BRD was greatest in Red Poll calves (9%) compared with the average over all breeds (4%). Estimates of heritability for resistance to BRD ranged from 0.04 to 0.08 +/- 0.01. When the observed heritability was transformed to an underlying continuous scale, the estimate increased to 0.18. Selection for resistance to BRD could be effective if phenotypes for BRD resistance were known. Thus, development of an inexpensive and humane method of challenging animals with BRD to determine resistance would be an important step in reducing the incidence of BRD. This study also demonstrated that producer-collected field data could be used for selection against this disease. The economic loss associated with lower gains and treatment costs for BRD infection in a 1,000-cattle feedlot was estimated as dollar 13.90 per animal, not including labor and associated handling costs.

Animal Husbandry↗

[Influence of work conditions and climate factors on respiratory diseases prevalence among workers of Northern regions].

The article deals with study covering influence of industrial and climate hazards on respiratory diseases prevalence among workers of wash-house situated in cool climate, with search of the most informative values for organization of social and hygienic monitoring. The results proved that the controlled values should include not only dust load and ambient air temperature, but also "duration of work in ambient air speed over allowable value", "duration of work in ambient air humidity over allowable value", "length of service in North" and "climate area of previous dwelling".

Catchment Area, Health↗

Studies on the respiratory disease 'sonbobe' in camels in the eastern lowlands of Ethiopia.

New epidemics of respiratory disease have caused 29.6 morbidity and 6.4% mortality in camels in the Somalia region of Ethiopia. The major clinical signs observed were fever of 40-41.5 degrees C, depression, cough, loss of appetite and a watery nasal discharge that became mucopurulent at a later stage. Finally, the camel became recumbent and extended its neck straight along the ground. Some of the animals died within 8-9 days. The major post-mortem lesions were hydrothorax, adhesion of the lung to the thorax, red and grey hepatization, emphysema, hydropericardium and fibrinous pericarditis. A treatment trial indicated that oxytetracycline was more effective than a combination of penicillin and streptomycin, the results showing a significant difference (p < 0.05) between the treated and control groups. The bacteria isolated from lung, thoracic fluid and whole blood were Pasteurella haemolytica. Further studies on the epidemiology of this disease, the identification of the serotypes involved, and the demonstration of any primary viral initiating agent are recommended to allow the development of preventive methods.

Animals↗

Changes to alveolar macrophage phenotype in HIV infected individuals with normal CD4 counts and no respiratory disease.

BACKGROUND: It has previously been shown that HIV infected individuals with pneumonitis have identifiable abnormalities in alveolar macrophages obtained by bronchoalveolar lavage (BAL). In particular, alterations in the expression of alveolar macrophage surface antigens associated with macrophage function have been reported. To determine whether these changes reflect HIV infection or the respiratory episode itself, a population of HIV infected patients with no respiratory disease was studied. METHODS: Twenty two HIV antibody positive individuals with a peripheral blood CD4 count of > 400/microliters and 10 healthy volunteer controls underwent bronchoscopy and BAL. Cytospin preparations from the recovered cells were stained using immunoperoxidase and double immunofluorescence techniques with monoclonal antibodies RFD1, RFD7, EBM11/CD68 (mature macrophages), UCHM1/CD14 (monocyte marker), and HLA-DR (RFDR1). Differential cell counts were also performed. RESULTS: There was an increase in overall alveolar macrophage HLA-DR expression in the HIV population. This was not reflected in a change in the percentage of cells staining CD14 (monocytes) or CD68 (mature macrophages) positive. The relative proportions of cells staining RFD1 + RFD7- (inducer cells), RFD1 - RFD7+ (effector cells), and RFD1 + RFD7+ (suppressive cells) were unchanged between HIV and control groups. CONCLUSIONS: In a population of HIV infected individuals with normal CD4 counts and no respiratory disease there was an increase in overall alveolar macrophage HLA-DR expression which occurred independently of any alteration in the relative proportions of alveolar macrophage subpopulations.

AIDS-Related Complex↗

Control of adenovirus acute respiratory disease in U.S. Army trainees.

Although limited almost exclusively to military trainees, acute respiratory disease (ARD) caused by adenovirus types 4 and 7 had been the leading cause of hospitalization in U.S. Army personnel. This decrease which resembles influenza in clinical manifestations led to hospitalization of as many as 50% of military trainees in midwinter and imposed a heavy burden on military hospitals and training programs. In studies undertaken from 1965 to 1970, live adenovirus type 4 and subsequently type 7 vaccines were found to be safe and immunogenic and to confer protection against type specific adenovirus ARD. For the past 5 yr. military trainees have been immunized with both adenovirus vaccines during periods of expected adenovirus disease. Since 1966, use of adenovirus vaccines has been monitored through the adenovirus surveillance program which yields weekly data on incidence and etiology of ARD in basic combat trainees. Since 1973, stable adenovirus vaccines have resulted in excellent control of adenovirus ARD. Potential problems with this immunization program are discussed.

Adenoviridae↗

Susceptibility to infective respiratory diseases in depressed children. Epidemiological survey of 126 subjects, clinical-therapeutic report of 61 cases.

In an unselected consecutive series of 126 children, 1-15 years, seen in a paido-psychiatric outpatient service for various complaints, and in a large extent diagnosed as suffering from childhood depression, 61 of them (48.41%) presented, among other symptoms, a marked susceptibility to infective respiratory diseases. A pharmacotherapy carried out by means of GABAergic drugs (l-glutamine, pyridoxine and a benzodiazepine), besides improving both the alleged complaint and other symptoms of depression, made noticeable improvement or disappearance of this susceptibility in 40 out of the 42 subjects who came back for check-up. Susceptibility to infective respiratory diseases is believed due both to impairment of GABAergic mechanisms as first modulators of hypophysis secretion and adrenergic and cholinergic responses, and to a lack of l-glutamine as a donor of essential C atoms for the construction of proteins and nucleic acids.

Adolescent↗

[Respiratory disease in cystic fibrosis: from physiopathology to therapy. Kinesitherapy and pulmonary transplantation excluded].

Respiratory disease is the major cause of morbidity and mortality in cystic fibrosis. Cystic fibrosis was long treated in the pediatric setting, but improved survival has led to the implication of adult pneumology in therapeutic management. Since the gene causing cystic fibrosis has been clone, our knowledge of the pathophysiology of the disease has literally exploded, particularly concerning the deleterious consequences of defective expression and distribution of CFTR (cystic fibrosis transmembrane conductance regulator) protein in chronic lung inflammation and infection. This knowledge has led to an optimization of existing therapeutic strategies and to the formulation of hypotheses for the development of new pharmaceutical reagents, allowing an assessment of disease outcome not only in terms of survival but also in terms of quality of life. Early in vivo clinical trials have been encouraging although the efficacy of gene transfer and expression remain modest and the optimal vector remains to be determined. Different potential pharmacological approaches are being studied in order to correct for defective CFTR function at different levels of gene mutation, and to modulate the disorder in transepithelial ionic transfer. One could expect in the near future to see combinations of complementary genotype-specific drugs used for the treatment of cystic fibrosis after patient genotyping to categorize the type of mutation.

Adult↗

Compliance with therapy in children with respiratory diseases.

Compliance with medical treatment was evaluated in 89 children and adolescents with respiratory diseases using two methods of assessment: a double blinded covert recording of the use of an air compressor for nebulization of drugs and the determination of theophylline levels in serum. In the covert monitoring of inhalation the overall compliance with the prescribed medication was 47.6%. In the open randomized theophylline trial, 56%-71% of the patients (according to uncontrolled or controlled intake of the drug) received a dosage of theophylline which was too low to achieve a sufficient serum level in the range of 10-20 mg/l. This, however, was also due to the fact that in 72% of the cases physicians prescribed doses which were substantially below the recommended amount of drug according to age and weight. It is, therefore, concluded that compliance of medication is based on the patients adherence to the medication, to the efficacy of the drug itself and the attitude of the physician.

Administration, Inhalation↗

Respiratory disease and cardiovascular morbidity.

BACKGROUND: Work related dust exposure is a risk factor for acute and chronic respiratory irritation and inflammation. Exposure to dust and cigarette smoke predisposes to exogenous viral and bacterial infections of the respiratory tract. Respiratory infection can also act as a risk factor in the development of atherosclerotic and coronary artery disease. AIMS: To investigate the association of dust exposure and respiratory diseases with ischaemic heart disease (IHD) and other cardiovascular diseases (CVDs). METHODS: The study comprised 6022 dust exposed (granite, foundry, cotton mill, iron foundry, metal product, and electrical) workers hired in 1940-76 and followed until the end of 1992. National mortality and morbidity registers and questionnaires were used. The statistical methods were person-year analysis and Cox regression. RESULTS: Co-morbidity from cardiovascular and respiratory diseases ranged from 17% to 35%. In at least 60% of the co-morbidity cases a respiratory disease preceded a cardiovascular disease. Chronic bronchitis, pneumonia, and upper respiratory track infections predicted IHD in granite workers (rate ratio (RR) = 1.9; 95% CI 1.38 to 2.72), foundry workers (2.1; 1.48 to 2.93), and iron foundry workers (1.7; 1.16 to 2.35). Dust exposure was not a significant predictor of IHD or other CVD in any group. Dust exposure was related to respiratory morbidity. Thus, some respiratory diseases appeared to act as intermediate variables in the association of dust exposure with IHD. CONCLUSION: Dust exposure had only a small direct effect on IHD and other CVD. IHD morbidity was associated with preceding respiratory morbidity. A chronic infectious respiratory tract disease appeared to play an independent role in the development of IHD.

Cardiovascular Diseases↗

Associations between outdoor air pollutants and hospitalization for respiratory diseases.

The concentration of particulate matter in outdoor air, as indicated by daily measures of particulate matter 10 microm in diameter (PM10) in many cities, has been found to be associated with the daily number of deaths and hospital admissions in these cities. To understand this association better, we studied the daily number of hospital admissions for respiratory diseases and the concentrations of eight pollutants in ambient air, during a period of 38 months, in an area with cold winters and air pollution that comes mainly from motor vehicles. We estimated the changes in risk of hospitalization by interquartile increases in pollutant concentrations by Poisson regression analyses. Controlling for periodic trends and weather, the relative risk of hospitalization associated with an interquartile increase of PM10 was 1.038 [95% confidence interval (CI) = 0.991-1.087]. In contrast, the relative risk associated with benzene was 1.105 (95% CI = 1.047-1.166). In a two-pollutant model, the relative risk estimates were 1.014 (95% CI = 0.966-1.063) for PM10 and 1.090 (95% CI = 1.031-1.153) for benzene. We evaluated other two- and three-pollutant models and concluded that pollutants other than PM10 are more strongly associated with hospital admissions for respiratory diseases.

Air Pollutants↗

Deficiency of interferon production in children with recurrent respiratory diseases.

In 50 children followed-up for frequent and repeated respiratory diseases, IFN-alpha production was examined. The ability to produce IFN-alpha correlated with the clinical situation of the children. It was low in children constantly ill and better or even normal in children whose health substantially improved or who were without symptoms during the last two years. The influencing of IFN-alpha production probably could have a favourable effect also on the clinical development of the disease.

Adolescent↗

Wheat dust-associated respiratory disease in a farming community.

Sixty-six volunteers who considered themselves to have wheat dust-related respiratory disease, were reviewed from a farming community. A spectrum of disease was described ranging from a mild allergic rhinitis limited to periods of wheat dust exposure through to perennial asthma in which wheat dust was but one of several precipitating factors. Approximately half of those with asthma had symptoms limited to times of wheat dust exposure. Results of a limited survey of farmers showed patterns of symptoms similar to those in the volunteer group. Most subjects were atopic with elevated IgE levels, and had positive skin prick tests to environmental allergens. All but one of 65 subjects tested had a positive RAST test to wheat dust antigen. It is concluded that wheat dust associated respiratory tract disease is a significant problem in Australian farming communities, that a particular pattern of asthma can be described, and that IgE mediated reactions contribute to this disease pattern.

Adolescent↗

Use of haptenizing ELISA to evaluate respiratory disease in a worker exposed to capacitor-coating powder.

We were asked to evaluate respiratory disease in a worker exposed to a powder containing unidentified components that was heated and used to coat capacitors. Because the powder was used as a coating material, we hypothesized that the capacitor-coating powder (CCP) contained either an anhydride or an isocyanate. We modified the initial step of a standard ELISA so that we could use CCP as a hapten in this assay. With this modified ELISA technique and inhibition analysis with antisera of known specificity, we determined that CCP contained a substance that cross-reacted with trimellitic anhydride. Later, we confirmed from the manufacturer that it contained benzophenone tetracarboxylic dianhydride. With the modified ELISA assay we also determined that the worker we were to evaluate did not have antibody to CCP or trimellitic anhydride. From clinical and immunologic evaluation we diagnosed chronic obstructive lung disease. Thus, this modified assay has proved useful in the evaluation of a worker exposed to a powder whose contents were not initially known and may prove useful in immunologic evaluation of workers in other industrial settings.

Adult↗