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Lung India Official publication of Indian Chest Society  
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   1994| November  | Volume 12 | Issue 4  
    Online since September 17, 2010

 
 
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Haemoptysis And Pulmonary Tuberculosis - An Analysis
R Paramasivan, S Rajasekaran, R. T Parthasarathy
November 1994, 12(4):192-194
Haemoptysis, a cardinal respiratory symptom, was investigated for its association with pulmonary tuberculosis in one thousand patients, admitted in a major tuberculosis hospital. Though the occurrence of haemoptysis had no relevance to the radiological extent of pulmonary tuberculosis, ‘major’ haemoptsis (>200 ml. of blood in 24 hours) was found to occur in 50% of patients with multiple pulmonary cavities. Significantly, haemoptysis was a complaint in 21.2% of patients, who had already been treated adequately for pulmonary tuberculosis. Haemoptysis is not a sign of reactivation of healed residual pulmonary tuberculosis lesions.
[ABSTRACT]   Full text not available  [PDF]
  1,207 215 -
Effect Of Iron Deficiency Anaemia On Pulmonary Function In Children
S. N Dutt, M Yeshwanth, T. S Raghuveer
November 1994, 12(4):168-173
Peak expiratory flow rate (PEFR) was measured in 254 school going children using the Mini-Wright Peak Flow meter. They were then categorized into group a (n=111), having iron deficiency anaemia and Group B (n=143) with no iron deficiency. Group A children were treated with iron capsules for two months and those in Group B received placebo. The haemoglobin in Group A was between 9-11 gm% in 82% and between 6.9 gm% in 18%. Following iron therapy 90% had haemoglobin above 11 gm% and 10% between 10-11 gm%. Children in all age and sex categories in Group A showed a statistically significant increase in PEFR following (percentage increase 0.6%); PEFR remained unchanged in 40%, declined marginally in 33% and showed a marginal increase in 27%. Pretreatment PEFR was significantly higher in Group B compared to Group A in five of the eight study categories. Post-treatment PEFR in the two groups was statistically comparable in six of the eight categories. In two categories, Group A Children had significantly higher PEFR values than Group B children. Thus this study demonstrates that mild to moderate iron deficiency anaemia in children can adversely affect the lung functions, as made out by measuring PEFR.
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  515 126 -
Oxygen Saturation, Breathing Pattern And Arrhythmias In Patients Of Chronic Obstructive Pulmonary Disease And Bronchial Asthma During Sleep
H. S Hira, S Arora, M. R Chauhan
November 1994, 12(4):186-191
Ten each of Chronic Obstructive Pulmonary Disease COPD (Group I) and bronchial asthma (Group II), and same number of healthy adults (Group III) were selected for monitoring of SaO2, breathing pattern and arrhythmias during sleep. The Maximum change in SaO2 during sleep was 11% (6-17%) in Group I, 6.3% (4-9%) in Group II and 4% (3-6%) in Group III and this fall was significant in both Group I and II (p<0.005). Oxygen desaturation below 85% was present during 18.4% of mean TST in Group I only. Group I had more disturbed sleep than Group II and III. Both Vt and Vmin decreased by 14.9% (mean) and 10.2% (mean) in Group I and II respectively during sleep which was significant (p<0.01). The Vt/Ti demonstrated elevated respiratory drive during awake time in Group I and II and reduced further during sleep. The % RC lessened during sleep in all subjects. The Total Compartment Displacement/Tidal volume (TCD/Vt) ratio revealed asynchronous breathing in COPD patients during sleep. Arrhythmias were detected in four (41%) in Group I, three (30%) each in Group II and III. Apnea-hypopnea were detected in all subjects, but not qualifying for sleep apnea syndrome. In this study, the significant SaO2 was found in COPD patients during sleep. Respiratory drive reduced in both COPD and asthmatic patients. There was significant asynchronous breathing in COPD patients during sleep. No significant and dangerous arrhythmias were demonstrated.
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  453 107 -
Nocardia Empyema - A Case Report
D Ray, D. J Christopher
November 1994, 12(4):195-197
An unusual case of pleuropulmonary Nocardiosis, presenting as an empyema is reported.
[ABSTRACT]   Full text not available  [PDF]
  369 94 -
Absence Of Bronchial Hyper-Responsiveness In Rheumatoid Arthritis
S Krishnamurthy, P Bambery, S. K Jindal
November 1994, 12(4):174-177
Non-specific bronchial responsiveness was assessed in 25 patients of rheumatioid arthritis and 10 healthy controls with the help of methacholine broncho-provocation test. All the patients and controls had normal spirometry, chest skiagram, diffusion capacity and alveolo-arterial oxygen gradient. There was no difference in the mean PD20FEV1, mean reduction in FEV1, the extrapolated PD20FEV1 and slopes of FEV1 vs inhalational dose plots in the two groups. We conclude that there is no significant bronchial hyper-responsiveness in patients of rheumatoid arthritis.
[ABSTRACT]   Full text not available  [PDF]
  322 96 -
Allergic Bronchopulmonary Aspergillosis With Co-Existent Aspergilloma - A Case Report
H. J Singh, R. S Bedi
November 1994, 12(4):201-203
A patient of allergic bronchopulmonary asper gillosis who developed coexistent aspergilloma, a rare combination, is being reported.
[ABSTRACT]   Full text not available  [PDF]
  294 75 -
Shouting Induced Pneumothorax - A Case Report
A Janmeja, B Raj, V Saini
November 1994, 12(4):204-206
Primary spontaneous pneumothorax, probably resulting from exertion associated with shouting is reported. This appears to be a first such report in English literature.
[ABSTRACT]   Full text not available  [PDF]
  290 79 -
Cost Of Therapy For Respiratory Diseases In India - An Analysis
G. S Gaude
November 1994, 12(4):207-210
The cost of the drugs has gone up in the recent years, increasing the cost of total therapy for any disease. The average cost of short course chemotherapy for tuberculosis is Rs.887.80, while the cost of the intermittent regimen is almost half as much. The most economical regimens are 2S3 H3 R3 Z3/4H3 R3 and 2HRZ/4H3 R3. Reserve drug regimens are found to be very costly with cost of Rs.16,289.50 for a minimum period of six months. The cost of pneumonia therapy depends on the antibiotic chosen and the severity of the infection. The average maintenance cost for bronchial asthma and Chronic Obstructive Pulmonary Disease (COPD) is Rs.450 and Rs.481 per month respectively; while the acute attack of bronchial asthma and COPD will cost around Rs.1800 for five days of therapy.
[ABSTRACT]   Full text not available  [PDF]
  295 67 -
Humidifier Disease (Humidifier Lung And Humidifier Fever)
R. S Bhatia
November 1994, 12(4):198-200
Full text not available  [PDF]
  204 152 -
Tobacco And Health : What Can The Medical Profession Do?
R. S Bhatia, V. K Vijayan
November 1994, 12(4):178-185
Full text not available  [PDF]
  221 77 -
Financing And Restructuring Health Care In India
C. N Deivanayagam
November 1994, 12(4):163-167
Full text not available  [PDF]
  160 64 -
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