Pulmonologi

Chest sonography is an established procedure in the stepwise imaging diagnosis of pulmonary and pleural disease. It is the method of choice to distinguish between solid and liquid lesions and allows the investigator to make an unequivocal diagnosis without exposing the patient to costly and stressful procedures. This book presents the state of the art in chest investigation by means of ultrasonography. A number of excellent illustrations and the compact text provide concise and easy-to-assimilate information about the diagnostic procedure. Basic elements such as indications, investigation techniques and image artifacts are detailed in separate chapters.

Selected as a Doody’s Core Title for 2023! The standard-setting text in oncology for 40 years, DeVita, Hellman and Rosenberg’s Cancer: Principles and Practice of Oncology, 12th Edition, provides authoritative guidance and strategies for managing every type of cancer by stage and presentation. Drs. Vincent T. DeVita, Jr., Theodore S. Lawrence, and Steven A. Rosenberg oversee an outstanding team of expert contributing authors who keep you up to date and fully informed in this fast-changing field. This award-winning reference is also continually updated on Health Library and VitalSource platforms for the life of the edition.

"The primary purpose of this new book is to provide "bundled" relevant information on mechanical ventilation and critical care to respiratory therapy students. Based on Chang's teaching and clinical experience, information on mechanical ventilation and critical care is available in many RT textbooks. Unfortunately, the information is scattered amon

Entirely updated and revised, the 6th edition of Clinical Tuberculosis continues to provide the TB physician with a definitive and erudite account of the latest techniques in diagnosis, treatment and control of TB, including an overview of the latest guidelines from the CDC and WHO.

Biopsy Pathology of the Bronchi is intended to provide the practicing pathologist with a convenient source of diagnostic information, combined with pertinent clinical patterns and a background of histogenesis. It is hoped that the book will facilitate the accuracy of diagnosis, minimize pitfalls of interpretation and assist in the rapid evaluation of acute and chronic bronchial lesions, including neoplasms. Biopsy is taken in the widest sense and the book includes discussions on cytology, microbiopsies (fine needle aspiration biopsies, curette samples, and biopsies obtained by microforceps) and macrobiopsies, obtained at the time of surgery. Part I of the book deals with the procurement and preparation of bronchial specimens and includes a chapter on fetal development and structure of the normal adult epithelium. In Part II, the histopathology of numerous bronchial diseases are described in detail. Emphasis is placed on the diagnostic features of human lesions' which are illustrated by numerous high quality light and electron micrographs. Understanding normal bron­ chial structure, cell kinetics, and modulations of phenotypic expression provide insight into many pathological processes. Therefore, although emphasis is placed on the diagnostic features of human disease, the histopathology of corresponding lesions in experimental animals is dis­ cussed where this provides information helpful in the interpretation of the human lesions. Elizabeth M. McDowell Baltimore Theodore F. Beals Ann Arbor 1985 viii Acknowledgments We give thanks to friends and colleagues who reviewed one or more chapters for us during the writing of this book.

This book presents state-of-the-art pre-clinical models and clinical applications of stem-cell-based therapies applied to different lung diseases, with a special focus on the translation of bench data into clinical studies. Starting with the assumption that abnormal lung tissue repair and regeneration has emerged as the driving force underlying pathogenesis and progression in many lung diseases, it sheds new light on the potential of stem/stromal cells as drivers of repair and sources of reparative factors in the lung. The first part of the book offers an overview of stem cell types and mechanisms involved in lung development, homeostasis, repair and regeneration, and reveals the crucial role of the extracellular matrix within the lung microenvironment. In the second part, leading experts present the latest pre-clinical evidence and clinical applications of stem-cell-based therapies in a wide variety of lung diseases, ranging from COPD and lung fibrosis to other rare lung diseases. The last section discusses stem cell delivery systems and devices, such as aerosolised spray application.This book appeals to pneumologists, stem cell and matrix biologists, as well as bioengeneers with a special interest in regenerative medicine applied to pulmonary diseases.

From the 39th annual conference of the International Society on Oxygen Transport to Tissue (ISOTT), held in Washington, DC, USA in July 2011, this volume covers aspects of oxygen transport from air to the cells, organs and organisms; instrumentation and methods to sense oxygen and clinical evidence. Oxygen Transport to Tissue XXXIV includes contributions from scientists (physicists, biologists and chemists), engineers, clinicians and mathematicians.

CLINICAL APPLICATION OF MECHANCIAL VENTILATION, FOURTH EDITION integrates fundamental concepts of respiratory physiology with the day-to-day duties of a respiratory care professional. Utilizing the wide degree of topics covered, including airway management, understanding ventilator waveforms, and addressing critical care issues, readers have the best resource available for understanding mechanical ventilation and its clinical application. Enhancing the learning experience are valuable illustrations of concepts and equipment, highlighted key points, and self-assesment questions in NRBC format with answers. Whether preparing for the national exam or double-checking a respiratory care calculation, this book provides the fundamental principles of repsiratory care with the clinical guidance necessary for mechanical ventilation.

This book provides an overview of key issues with regards to implementing telemedicine services as well as an in depth overview of telemedicine in pulmonary, critical care, and sleep medicine. Topics range from specific practices to program development. Telemedicine has experienced explosive growth in recent years and yet, implementing telemedicine solutions is complex with substantial regulatory, legal, financial, logistical, and intra-organization/intra-personal barriers that must be overcome. This book provides the necessary information and guidance to address those complex issues. This book is broadly divided into two parts 1) a primer on requisite steps before embarking on telemedicine service development and 2) specific applications and examples where telemedicine is successfully utilized to improve quality of care in pulmonary, critical care, and sleep medicine. The first part includes coverage of telemedicine and finance, regulatory and legal issues, and program development. The second part delves into specifics with information on ambulatory telemedicine programs, inpatient consultations, and tele-ICU programs. All chapters are written by interprofessional authors that are leaders in the field of telemedicine with extensive knowledge of diverse telemedicine programs and robust real-world experience on the topic. This is an ideal guide for telehealth program managers, and pulmonary, critical care, and sleep medicine professionals interested in improving their telehealth practice.

Pulmonary embolism (PE) has experienced a rapid expansion in available treatments, from hyperacute emergency care to the detailed investigation of persistent breathlessness despite anticoagulation during follow up. Whilst recent clinical practice guidelines provide a robust evidence base for more routine aspects of pulmonary embolism management, clinicians frequently face patient-specific challenges where the evidence for how to proceed with patient management may be less secure.Derived from the personal experience of expert clinicians who are engaged in all aspects of PE care, this book provides a practical update on contemporary management aspects from life-threatening presentation of pulmonary embolism with failed thrombolysis to the patient presenting with complex comorbidity or during pregnancy. General physicians and clinical specialists interested in contemporary diagnosis and management of acute pulmonary embolism will benefit from this book.

Much research over the past 30 to 40 years has shown that the inflammatory response, while critical for host defense during microbial infection, may itself play a central role in the pathogenesis of sepsis. Although key mediators responsible for this injury have been identified, efforts clinically to augment our conventional antimicrobial and supportive therapies during sepsis with agents modulating the inflammatory response have been unsuccessful. As a result, the mortality associated with this lethal syndrome, especially when complicated by shock, has remained persistently high. Unfortunately, during this same period of time, the incidence of sepsis has accelerated as other fields of medicine have relied increasingly on therapies that predispose to infection. While frustrating, overall this experience in the field of sepsis has not been without value. Most importantly, it has helped define on several different levels the complexity of the septic patient. Recognizing and addressing this complexity as discussed by each of the contributors to Evolving Concepts in Sepsis and Septic Shock may now provide new inroads into the treatment of sepsis.

This book is a guide to the research, findings, and discussions of US and international experts on climate change and respiratory health. Since the publication of the first edition, climate change has been increasingly acknowledged as being directly related to the prevalence and incidence of respiratory morbidity. Evidence is increasing that climate change does drive respiratory disease onset and exacerbation as a result of increased ambient and indoor air pollution, desertification, heat stress, wildfires, and the geographic and temporal spread of pollens, molds and infectious agents. This second edition is fully updated to include the latest research by international experts on topics such as heat waves causing critical care-related diseases, climate-driven air pollution increases, and high-level ozone and ozone exposure linked to idiopathic pulmonary fibrosis, lung cancer, and acute lower respiratory infection. Seven new chapters have also been added on extreme weather and agricultural safety in California; desert dust effects on lung health; climate policy and the EPA; California's integrated approach to air quality and climate change; integrating climate change, the environment, and sustainability themes into professional health science courses; and the role of the physician as climate advocate. This is an ideal guide for all pulmonologists and health professionals treating patients with pulmonary disease.

Leitlinienorientiert und basierend auf den neuesten Standards der Schlafmedizin: Diagnostische und therapeutische Hilfen bei allen Formen von Schlafstörungen. Praxisnah und übersichtlich von einem interdisziplinären renommierten Autorenteam der Schlafmedizin. Das Wichtigste zum schnellen Nachschlagen für die Praxis.Gestörter Schlaf und Tagesmüdigkeit sind häufige Beschwerden in der ärztlichen Praxis. Unbehandelt bergen sie ein erhöhtes Risiko für Unfälle und kardiovaskuläre Erkrankungen. Das gezielte Erkennen von Schlafstörungen wie die Insomnie, das Schlafapnoe-Syndrom, Parasomnien oder Hypersomnien gehört inzwischen zum Alltag der ärztlichen Praxis. Die Schlafmedizin bietet eine Bandbreite an diagnostischen Verfahren über das Schlaflabor hinaus und störungsspezifische Therapiemöglichkeiten. Guter Schlaf ist ein integrativer Bestandteil der psychischen und körperlichen Gesundheit. Mit Informationsmaterial für Patienten, Fragebögen, Fallbeispielen.

Hvad er KOL? Hvordan virker sygdommen?KOL er én af de hyppigste kroniske sygdomme i Danmark, og det estimeres, at ca. 300.000 danskere lider af sygdommen. Denne bog om en af de store folkesygdomme er skrevet til alle, der har KOL inde på livet og ønsker at blive klogere på sygdommens væsen.Som patient og pårørende kan det være svært at håndtere den påvirkning, som KOL har på hverdagen.I HVAD ER KOL? oplyser professor og lungemedicinsk overlæge Peter Lange om al den viden, vi har om KOL i dag på en måde, så både fagpersoner og den almene læser kan være med. Bogen behandler i 19 selvstændige kapitler bl.a. følgende områder:– Symptomer– Diagnostik– Udvikling og forløb– Årsager, herunder rygning og ydre påvirkning– Konsekvenser– Sværhedsgrad og prognose– Behandlingsformer og -strategierBogen kan læses fra ende til anden for en grundig indføring, og den kan fungere som opslagsværk for specifik viden, ligesom sygehistorier og nøglereferencer undervejs giver læseren mulighed for at dykke yderligere ned i den KOL-ramtes udfordringer og muligheder.Om Peter LangePeter Lange arbejder som lungemedicinsk overlæge på Herlev og Gentofte Hospital og i sin speciallægepraksis i Kongens Lyngby. Han har i mange år været med til at formidle viden om lungesygdomme gennem ansættelser i Ugeskrift for Læger, Læge- og Patienthåndbogen og Dansk Lægemiddelinformation (promedicin.dk og minmedicin.dk). Siden han blev uddannet som læge i 1985, har han været involveret i lungemedicinsk forskning, blandt andet som forskningsprofessor ved Københavns Universitet. Peter Lange er medforfatter til flere hundrede lægevidenskabelige artikler, herunder nogle af de mest citerede artikler om udvikling og forløb af KOL og astma. I løbet af hans kliniske virke har han været med til at udbrede lungerehabilitering i Danmark og til at etablere Dansk Register for KOL.

This issue of Sleep Medicine Clinics, guest-edited by Drs. Amen Sergew and Lisa F. Wolfe, focuses on Noninvasive Ventilation and Sleep Medicine. This issue is one of four selected each year by series Consulting Editor, Dr. Teofilo Lee-Chiong. Articles include: Obesity hypoventilation - Traditional vs Non Traditional Populations; Spinal cord injury; Peri-Operative Care and Medication Related Hypoventilation; Lifetime Care of Duchenne Muscular Dystrophy; Management of Chronic Respiratory Failure in COPD - High and Low Intensity Ventilation; Management of Rare Causes Pediatric Chronic Respiratory Failure; Noninvasive Ventilator Management of ALS - Bulbar vs non Bulbar; Parsonage Turner; Noninvasive Ventilator Devices and Modes; Tailoring the Sleep Lab for Chronic Respiratory Failure; Long-Term Follow Up of Noninvasive Ventilation: Downloads and Troubleshooting; Extubating to Noninvasive Ventilation - NIV from ICU to Home; and From Tracheostomy to Noninvasive Ventilation - NIV from Long Term Acute Care to Home.

This issue of Sleep Medicine Clinics has been compiled by esteemed Consulting Editor, Teofilo Lee-Chiong, and brings together recent sleep medicine articles that will be useful for Primary Care Providers. Topics include: Internet-Delivered Cognitive Behavioral Therapy for Insomnia Tailoring Cognitive Behavioral Therapy for Insomnia for Patients with Chronic Insomnia; Prescription Drugs Used in Insomnia; Hypnotic Discontinuation in Chronic Insomnia; Evaluation of the Sleepy Patient Differential Diagnosis; Subjective and Objective Assessment of Hypersomnolence; Pharmacologic Management of Excessive Daytime Sleepiness; Nonpharmacologic Management of Excessive Daytime Sleepiness; Treatment of Obstructive Sleep Apnea Choosing the Best Positive Airway Pressure Device; Treatment of Obstructive Sleep Apnea Choosing the Best Interface; Treatment of Obstructive Sleep Apnea Achieving Adherence to Positive Airway Pressure Treatment and Dealing with Complications; Oral Appliances in the Management of Obstructive Sleep Apnea; Avoiding and Managing Oral Appliance Therapy Side Effects; Positional Therapy for Positional Obstructive Sleep Apnea; Pharmacologic and Nonpharmacologic Treatment of Restless Legs Syndrome; Drugs Used in Parasomnia; Drugs Used in Circadian Sleep-Wake Rhythm Disturbances; Sleep in the Aging Population; and Sleep, Health, and Society.

This issue of Sleep Medicine Clinics has been compiled by esteemed Consulting Editor, Teofilo Lee-Chiong, and brings together recent sleep medicine articles that will be useful for Primary Care Providers. Topics include: Internet-Delivered Cognitive Behavioral Therapy for Insomnia Tailoring Cognitive Behavioral Therapy for Insomnia for Patients with Chronic Insomnia; Prescription Drugs Used in Insomnia; Hypnotic Discontinuation in Chronic Insomnia; Evaluation of the Sleepy Patient Differential Diagnosis; Subjective and Objective Assessment of Hypersomnolence; Pharmacologic Management of Excessive Daytime Sleepiness; Nonpharmacologic Management of Excessive Daytime Sleepiness; Treatment of Obstructive Sleep Apnea Choosing the Best Positive Airway Pressure Device; Treatment of Obstructive Sleep Apnea Choosing the Best Interface; Treatment of Obstructive Sleep Apnea Achieving Adherence to Positive Airway Pressure Treatment and Dealing with Complications; Oral Appliances in the Management of Obstructive Sleep Apnea; Avoiding and Managing Oral Appliance Therapy Side Effects; Positional Therapy for Positional Obstructive Sleep Apnea; Pharmacologic and Nonpharmacologic Treatment of Restless Legs Syndrome; Drugs Used in Parasomnia; Drugs Used in Circadian Sleep-Wake Rhythm Disturbances; Sleep in the Aging Population; and Sleep, Health, and Society.