Despite the availability of highly active

Prevalence of pulmonary fibrosis in combination with emphysema in patients with lung cancer. Data for 1143 patients with lung cancer were reviewed to evaluate the clinical characteristics of patients with lung cancer and combined pulmonary fibrosis and emphysema (KZSS). Patients with lung cancer and poor prognosis was KZSS and 19. 8% of these patients developed severe interstitial lung disease. Background and Objectives: Ђѓ combined lung fibrosis and emphysema (KZSS) is a unique disorder of the upper part, while emphysema is usually associated with a lower proportion of fibrosis. Although KZSS may increase the risk of lung cancer incidence KZSS in patients with lung cancer and lung cancer in patients with KZSS unknown. The purpose of this study was to determine the prevalence KZSS in lung cancer patients and to evaluate the clinical features of these patients. Methods: Ђѓ total 1143 patients with lung cancer were reviewed.

Based KTVRZ made at the time of diagnosis of lung cancer patients were divided into four lasix heart rate groups: normal, emphysema, fibrosis and KZSS. Clinical characteristics of patients with KZSS were compared with data from other groups. Results Ђѓ KZSS, emphysema and fibrosis were found in 101 (8 to 9%.), 404 (35 3%.) And 15 (1 3%). Patients with lung cancer, respectively. The median overall survival of patients KZSS (n = 101, 10. 8 months) was significantly less than in normal patients (n = 623, 53. 0 months), or in patients with emphysema only (n = 404, 21 9. Months ). Acute lung injury occurred in 20 (19. 8%) patients with KZSS. Conclusions: Ђѓ KZSS is more common than liver fibrosis in patients with lung cancer and in patients with KZSS were less favorable prognosis in this study. Further investigation, therefore, to find out whether KZSS is an independent risk factor for lung cancer. Division of Respirology, NTT Medical Center, Tokyo, Japan. Name: ISSN: Pages: PubMed Source:

DOI:

combination of lung fibrosis and emphysema (KZSS) recently a syndrome in which anupper emphysema share and lower share of fibrosis coexist in one patient. These patients have ch ... Wright JL, Tazelaar HD, and Churg AvЂE (2010) Histopathology fibrosis with emphysema concept fibrosis with emphysema embarrassed by the presence of two very different clinical / pathological stage ... Persistent interstitial pulmonary emphysema is a rare disease that occurs in premature infants on mechanical ventilation, is characterized by abnormal accumulation of air in the pulmonary interstitium, g ... To the Editor: Pulmonary hypertension develops in 37 to 59% of patients with end-stage idiopathic pulmonary fibrosis. (1), (2) Although not explicitly stated, sildenafil Exercise Testing Perf ... To the Editor: Pulmonary hypertension develops in 37 to 59% of patients with end-stage idiopathic pulmonary fibrosis. (1), (2) Although not explicitly stated, sildenafil Exercise Testing Perf ... This study to evaluate the expression of biological markers in induced sputum and

peripheral blood T lymphocytes in patients with combined pulmonary fibrosis and emphysema

(KZSS). E ... The purpose of this research is the study of inherited genetic factors play an important role in the development of family

pulmonary fibrosis and to identify groups of genes that drive in. ..

Emphysema, a common type of chronic obstructive pulmonary disease (COPD) is a long-term

lung disease that is usually caused by smoking. This study will examine how current smoking >> << ... Despite the availability of highly active antiretroviral therapy (HAART), pulmonary disease

remain a leading cause of morbidity and mortality in patients with HIV infection. There were no

l ... .

With 10 million americans suffering from osteoporosis ...

Osteoporosis

condition that leads to fragile bones and increased risk of wrist,

hip or spine fracture. Screening tests are noninvasive and painless

measure bone mineral density (IPC) of the hip joint, spine, wrist or heel. Diagnosis of osteoporosis is made when a person of much

less than the average IPC for young people. Associated condition called osteopenia

or low bone mass, less severe, but still shows low IPC. It is estimated that about 10 million Americans aged 50 >> << have osteoporosis and another 34 million have osteopenia. Although

generally regarded as a problem for women, osteoporosis in men.

With 10 million Americans suffering from osteoporosis, about 2 million

men. A number of factors have been identified that contribute >> << persons risk of developing osteoporosis (see box on page 9). Some of these risk factors

can not be changed, while others, such as those related to diet

and lifestyles are changing. Physical activity >> << bone dynamic life

tissue, which increases with stress and weaker when not in use, physically active people

usually higher IPC at any age, than people who

sedentary lifestyle. Weight bearing exercise and strength training is most effective >> << to increase or maintain bone mass. While bearing exercise

, as walking, running, dancing, or lasix 60 mg iv stairs, muscular and gravitational forces

stress bone. Strength training increases muscle strength, which

provided on the bones. In addition to the improvement or maintenance of defense, power

education was found to prevent the most common cause fallsthe

hip and wrist fracturesin people even in the 90's. Activities

, that improve coordination and balance, like Tai Chi can also help

prevent falling. While swimming and cycling great work

to improve cardiovascular fitness, balance and coordination, they >> << less efficient to support missile defense, because they do not have. If you already have osteoporosis, contact a physician knowledgeable

before you start the exercise program. Accumulate at least 30 minutes of moderate physical activity every day

, , including weight-bearing exercises, weight training (at least

twice a week), and measures that improve balance to prevent falls. Calcium Inadequate calcium intake during childhood

and adolescence can impair bone development and may prevent

optimal bone mass peak in early adulthood. In older adults

insufficient calcium intake, accelerates bone loss and probably contributes to the development of

osteoporosis. Despite the importance of calcium >> << for bone health is well recognized, adequate calcium intake alone does not

enough to prevent bone loss that can lead to osteoporosis and osteoporotic fractures> >. << 8 ounce serving, calcium enriched orange juice or skim milk

or yogurt contains about 300 mg of calcium. Most calcium supplements, including

calcium carbonate is better absorbed by a reception with food, but

Calcium citrate and calcium citrate Malate also well absorbed on an empty stomach >> <<. Total daily calcium intake (diet plus supplements) should be added to the

1300 mg for adolescents, 1000 mg for adults aged 50 years and younger

or 1200 mg for adults older than 50 years. Vitamin D

Although already well known that severe vitamin D deficiency affects

bone health, recent studies show that marginal deficiency of vitamin D

is common and increases the risk of osteoporosis. When vitamin D is absorbed

to the most active form, it increases the intestinal absorption of calcium >> << and prevent urinary calcium loss. Without enough vitamin D, calcium absorption

not sufficiently effective to meet the needs of overalls,

, , even if calcium intake is adequate. Vitamin D is synthesized in the skin

under the influence of ultraviolet-B (UVB) radiation from sunlight and can

be obtained from diet. Very little UV radiation reaches the Earth

above 37 degrees latitude from November to February, so people

, living north of 37 degrees produces little if any vitamin D at the end of >> << autumn and winter (see map). Use sunscreen with SPF

factor 8 reduces production of vitamin D in the skin 95% even in the summer. Opportunity >> << for the synthesis of vitamin D in the skin decreases with age. 70-year

is only 25% of vitamin D made a 20-year-old prone to the same number of >> << sunlight. Few foods other than fatty fish naturally rich in vitamin D. >> << In the U.S., milk is fortified with vitamin D (400

IU / liter) in 1940, which virtually eliminated rickets. Some brands

breakfast cereals and orange juice and fortified with vitamin D.

Influence of the sun for 5-10 minutes on bare skin, such as hands and feet

2-3 times a week improves vitamin D state with minimal risk of skin damage >>. << Adults can increase the daily intake of vitamin D intake by taking supplements

, containing 400 IU, the amount in most multivitamins. Mature

adults and those who avoid exposure to the sun should take extra vitamin D

for a total of 800 IU / day. Fruits and vegetables

Fruits and vegetables are rich >> << a few nutrients that seem to play an important role in bone health,

, including potassium, magnesium and vitamin K . Several epidemiological studies >> << is found that higher consumption of fruits and vegetables, especially those rich in potassium

associated with a higher IPC and lower >> << risk of fractures in elderly people. Fruits and vegetables are rich >> << precursors to bicarbonate ions, which can keep calcium in bones by buffering

organic acids consumed in the diet or generated metabolically. Dietary >> << Approaches to Stop Hypertension (DASH) study also reported that the

high consumption of fruits and vegetables could improve bone health. Originally designed by

check the influence of diet on blood pressure, DASH study compared three diets

: diet control is provided only 3 servings of fruits or vegetables

, diet provided about 8 servings of fruits or vegetables ,

and diet provided 8 servings of fruits or vegetables and 3 servings

low-fat dairy products (now called the DASH diet). In addition to lowering blood pressure

, as fruit and vegetable diet rich in calcium in urine reduce

loss, and the DASH diet reduced the biochemical markers of bone metabolism,

especially bone resorption (loss). Taken together, the results of epidemiological >> << and clinical trials show that a diet rich in fruits and vegetables

, that contains enough calcium and vitamin D can help prevent bone loss. Eat at least 5 servings of different fruit color

or vegetables a day. Adolescent and adult women should be taken at least

7 servings, and teen and adult men should be sent to 9 servings (equivalent to

2 1/2 cup vegetables and 2 cups of fruit). Protein role of dietary protein >> << bone health is complex. While high protein intake were found

increase in urinary calcium excretion in small, short-term studies, several >> << large population studies have shown that low protein intake is associated with

faster ABOUT loss and increased risk of fractures in elderly people.

Older people in particular should make sure that they consume adequate >> << food protein. Recommended dietary allowance (RDA) for protein

56 g / day for adult men and 46 g / day for adult women. Excess salt >> << high salt intake appear

increase urinary calcium loss, although this effect may change

other dietary factors. DASH-Sodium study compared the DASH diet

with typical Western diet at three levels of salt intake. Urinary calcium

loss increased with food and salt diet, but urinary calcium loss >> << are more at each level of salt intake in the typical diet

Western. Keep salt intake to 5. 8 g / day (2. 3 g / day of sodium). Excess

vitamin A (retinol) Results of several epidemiological studies >> << suggest that long-term intake of 5000 IU / day

pre-vitamin A (retinol) is associated with reduced BMD and increased

risk of osteoporotic fractures in elderly men and women. Only high consumption

retinolnot of beta-carotenewere associated with adverse effects on

bone health.

Although 5000 IU significantly higher than

RDA of vitamin A (3,000 IU for men and 2333 IU for women), then

not uncommon for a multivitamin supplement containing 5000 IU of retinol. Look for

multivitamin supplements that contain no more than 2500 IU of vitamin

or multivitamin supplement containing 5000 IU vitamin A,

which at least 50% comes from beta carotene. DONT take high-potency vitamin A

When lifestyle changes Arent enough in some cases, lifestyle changes

enough to prevent osteoporosis or, more importantly, osteoporosis fractures

At Fortunately, some medications are now available >> << effective treatment of osteoporosis. National Osteoporosis Foundation

. Website (

) is an excellent >> << source of information about osteoporosis prevention and treatment, and

tips on finding a doctor who is well aware of the treatment

osteoporosis. Update

May 2005.

This means that a person must meet certain clinical criteria

What osteoporosis medications distributed in the province? Provincial government to decide which drugs will be covered in the form of medicines use

province. Form a list of treatments that are available for senior citizens and

others fall under the provincial plan for the benefit of drugs. Each province and territory uses its own >> << terminology to describe drug coverage. For summary purposes, we created three categories

describe the availability of drugs in provincial plans with defined benefit Drugs:

Open Access (also known as the common good

): Medications that are covered by

provincial / territorial public drug plan and does not require special criteria or documents. This means that they

available as necessary and appropriate without special instruments and criteria necessary until it

prescribed by a doctor. Limited Access: Drugs covered by provincial / territorial public drug plan, but require

special permission from the plan or require a prescription or pharmacist to apply on behalf of their patients

indicate that specific medical criteria are met. This means that a person must meet certain clinical criteria

. Each province has different words to express a limited benefit. For example, it is called

limited use (LU) in Ontario, a special authorization (SA) in Alberta, exceptional status drugs (EDS) in Saskatchewan and

"part" 2 or 3 in Manitoba . Each province has its own specific clinical conditions

which drugs will be reimbursed. In most provinces, the form must be completed and submitted a doctor

patient with a prescription. Not available: Medications that are not covered by provincial / territorial public drug plan. For example, Etidronat (Didrocal) is available as a general >> << benefit plans in the provincial drug benefit. However, coverage of new drugs osteoporosis varies from country to country >>. << Access to the general equivalent, usually reported to the same corresponding brand name drug

. The following table shows that osteoporosis drugs listed on provincial formularies and

their availability. Osteoporosis Canada Osteoporosis encourages patients to talk to your doctor about which medication

suitable for them. For more information on osteoporosis drugs called

OC at 1-800-463-6842 (MF lasix fluid pill ,10-4, EST). To

involved in increasing the availability of drugs in the province, consider joining the

Current measurements show that we are in ...

Dr. Jesse Stoff said in The Ultimate nutrients in my research, I realize the serious disadvantage that exists in our lasix generic

(natural killer cells) reserves. Studies show that once we had a high level of activity of cells NK. Current measurements show that we are at 10-20% of these levels today. The consequences of this fact is amazing. If we do not have a significant protection against cancer and viruses, we can not survive as a species. At our current rate of extinction is a certainty, although the evolution, we hope to see the people and create, and high activity of NK cells or a new system of life. At the same time, the pressure of high-performance society, takes a negative impact on us individually. .

Generally, we recommend 30 minutes are ...

Exercise can play an important role in helping to reduce the risk of osteopenia / osteoporosis and is also an important aspect of treatment. If you have been diagnosed with any, we recommend that you be evaluated to the extent possible, a chartered physiotherapist with a special interest in bone health. Physiotherapist can assess what exercises are safe and suitable for you to do at home, and what to avoid, for example, regular squats, kickboxing or any land that creates additional load on the vertebrae. If you participate in class or attending a gym, a physiotherapist can advise you on this issue. The bones of the forest, which supports the body against gravity. Bones resist attraction our muscles to move. As bone is living tissue, it responds to those bearing exercise increases. This is how you support your own body weight. Safe and smart way to start the implementation of the program is to take your time and listen to your body. Type of exercise you do depends on the risk of fracture, your age, your medical history and results of the DXA scan. Please note that excessive exercise is very bad for the bones. Generally, we recommend 30 minutes of weight-bearing exercise a day for your bones and overall health. This can be broken down for 3-5 minutes at a time, 3 sets of 10 minutes or 30 minutes continuously. It should encourage children to do 60 minutes of moderate-impact daily exercise (30 minutes and 30 minutes bearing the full general health). This is especially important to the onset of puberty as bone strength could be significantly increased to reduce the risk of osteoporosis in old age. Examples of weight bearing include tennis, hockey, soccer, basketball, jogging, running, sports team, and dancing. Walking bearing exercise, but it is important to change your pace with breaks. Some activities can be done in many places, they may be included in the busy everyday life. Stairs good for your spine and hips, but should be done only by those who stand firm on his feet and using rail transport. Ten times up and down the middle stairs (10-12 steps) is one-third of the daily load-bearing requirements. Periodic running perfect for people who are running or jogging too tense. Walk a few minutes and than run for 30-60 seconds. This helps to increase bone density (strength) in the spine and hip, but you must be a medical examination by a doctor. Advice on exercise for adults with osteopenia Talk to your doctor and a certified physical therapist to learn which activities are appropriate for you. Chartered physiotherapist with a special interest in bone health will consider your DXA results check your medical history, risk of fractures and areas most affected before install the appropriate exercise program. Start slowly and gradually increase the volume and intensity until you reach the goal prescribed by your physiotherapist. Never increase the speed and intensity at the same time, and lasix 40mg add only one new exercise in each session. So if you have any problems with the exercises you can determine what it is. Some exercises can get a special favor of your area of ​​bone loss, e. , the spine or hip. Exercise to promote good posture and balance are also recommended. Pilates and tai chi can be beneficial, the best in small classes and preferably run by a chartered physiotherapist. Stop the exercise program if you feel pain and have an area of ​​more than reassessment. If pain persists, it may be a sign of overuse injury, which means you should stop exercise until the injury heals. If you feel unwell, exercise is not recommended. If you have stiffness after exercise, it is your body says you have too much, too soon. Slow walking may help loosen the muscles. Exercise should be taken regularly to be any good. Little and often is the best strategy. Regular exercise should be a permanent lifestyle decision, because if you stop, its beneficial effects gradually disappear. Muscles adapt to use more for a few weeks, but the bones take several months. Note that the implementation of programs should be reviewed at intervals. Advice on exercise for adults with osteoporosis assessment, whenever possible, a chartered physiotherapist with a special interest in bone health that will work with you to develop individual program of weight-bearing and muscle strengthening exercises specifically for your needs. While it is important to avoid stress that can lead to fractures, avoiding all the exercises and serve only to reduce your bone health. In general, avoid the following:

excessive forward bending back eg regular squats and touching toes with legs straight

exercises that involve bending and twisting of the spine at the same time. High impact exercises because it increases the risk of developing or worsening back, hip, knee and ankle problems and osteoporosis itself. Note that osteoporosis affects people of all ages. Exercise program for 20, 45 and 70 years will be all different. Fall prevention If you suffered damage as a result of the fall, the council may be to your physical therapist about how to reduce the risk of further decline. Many falls can be avoided by email. he wear good walking shoes in your home, not slippers. Remove carpets from the house and get regular check-ups of eyes can also help. Basic rules for clothing: female runners and comfortable clothing. Environment Wednesday: Make sure you have enough space to move and you will not be too hot or too cold. Warm up: Start slowly, doing light exercises like marching in place. In safe stretching exercises before starting the main exercises and cool down and stretch through activities to reduce the risk of injury. Always stretch slowly and never appear, because it can lead to injury. Ideally you should keep the area within 30 seconds. Type of Exercise: Try to choose an action, you know, like, so you will not be afraid to do so. Change your activity reduces the risk of boring and stimulate bone growth more. Progress your business: gradually increase the intensity and amount of time. Strength training for women and men, resistance training using weights and exercise machines have been shown to promote bone health by increasing muscle strength and bone density. It consists of lifting heavy (but we recommend moderate if you have osteoporosis) weight in a slow, controlled way. You should always warm up first and in turn work with his hands and feet. Start with two feet of exercise followed by an upper body exercises. Start lifting weights slowly and take ten seconds between each lift. Breathe as you lift and breathe as you reduce weight. To avoid injury, start with weights that make up 25% of the maximum you can lift. As you slowly and steadily progress, weight gain to 85% of the maximum, it must be done within 3-4 months. In young healthy people, starting with 50% of the maximum, with an increase to 85% within 3-4 months. If you weight train regularly, take the best days of rest between training days. Consultations on a chartered physiotherapist interested in bone health will help you avoid injury. You should be especially careful with weights if you have back pain in combination with risk factors for osteoporosis. Remember that intense weight training can lead to serious injury if you have osteoporosis unrevealed. For more information about exercise and osteoporosis, IOS is the book is named Exercise to strengthen bones, your light in the following guide to reduce the risk of osteoporosis. It costs 20 and can be purchased by phone Lo-call 1890 252 751 or online at. .

Copd is the 4th leading cause of death in. ..

Surgical Emphysema: Emphysema with lung problems and chronic bronchitis, or some kind of COPD or obstructive BЂњchronic

diseaseBЂ ". Medical researchers have clearly identified the problem as emphysema light category constant, increasing the air spaces distal to terminal bronchioles accompanied by destruction of these walls and without obvious fibrosis. COPD is the 4th leading lasix 240 mg cause of death in the U.S., representing about 113,000 people annually. Approximately 14 million Americans have symptoms of COPD. Among them: 1. 65000000 with emphysema. Millions more suffer from COPD that is undiagnosed. The presence of COPD is usually peaks during the period from 65 to 74 years and men suffer more than women. When this condition is caused by the operation, he called surgical emphysema. It is also often called BЂњtissue emphysemaBЂ "and disorder, where the air is maintained in the subcutaneous skin. The air that can lead to trapped concern with some different symptoms that danger, and it will usually resolve itself. Where is the problem, there are some treatment options that are available where the patient can discuss with your doctor. .

Edition (1982), we get acquainted with the new ...

By Lauren A. Colby

July 13, 1994, obituary in the Washington Post

reported death at the age of 60 years, Richard Joshua Reynolds, III, heir

founder of tobacco company RJ Reynolds. Title and accompanying photos

revealed late smoking cigarettes and it is understood that Reynolds died of emphysema,

caused by smoking. While reading the obituary in detail, however, revealed that he quit smoking

eight years before his death, and that family history of emphysema

late father died of the disease at the age of 58. In addition, the obituary

revealed that the deceased's own doctor was unable to indicate a direct cause of his death, >> <<. Medical report of emphysema was

interesting history. My 1973 edition of Diagnosis and Treatment (standard medical textbook

), states that emphysema is a disease that involves the destruction

alveolar (lung) tissue, but that the cause is unknown, although many doctors

I think that this is due to smoking cigarettes. In 1973, chronic pulmonary obstructive >> << pulmonary disease (COPD) have not yet been invented. COPD, and is discussed in detail

in modern medical textbooks do not exist in 1973. Some time after 1973, the genetic cause of emphysema >> << was found. The article in the latest online edition

Grolier in encyclopedias, Howard Buchner, MD, explains that a significant number of people with

disease lack the gene that controls production what are the side effects of lasix in the liver of protein, called alpha-1 antitrypsin

(AAT). This protein controls or degraded enzyme elastase neutrophils,

production of white blood cells. When the enzyme does not stop, it destroys alveolar

tissue. Obviously, Reynolds, father and son were

cases of genetic emphysema, which may or may not kill the young Reynolds, even

thinking that it is not smoked for eight years before his death. But here the question

: if there is any evidence that there is any cause emphysema than genetics? Politically correct medical facility

dancing around this issue with all the skill of a lawyer. In the Merck Manual, 14

Edition (1982), we get acquainted with the new disease, chronic obstructive pulmonary disease, or COPD >> << and page 629, we showed a chart that shows that a combination of disease

emphysema and bronchitis, and that some patients may have one disease, and some >> << other, but many of them have both. Smoking is said to be in the visible play an important role in the

COPD. On page 630, we talked about AAT deficiency, but it is described as a rare condition >> << is not clear whether the authors mean that AAT is a rare condition >> <<, causing emphysema or emphysema rarely caused by deficiency of AAT.

Languages, I think, to discuss vague. By 1992, he became more politically

to blame smoking for COPD and emphysema. In the 16 th edition of the Manual

(1992), he explained that, yes, emphysema due to destruction of lung tissue caused by unchecked >> << enzyme. We say, however, that smoking reduces the body

Defense of the enzyme. There is no evidence or authority cited the proposal. Thus, we are still confusing conclusions. We

is a new disease, COPD, the exact cause is unknown (in fact, the definition of >> << disease is vague, it seems, and the patient has something wrong with his lungs

, but we do not know what). Smoking is believed to play a role, but

16 edition explains that many smokers of cigarettes will never develop the disease, and

authors do not know why. I claim that the reason is simple: smoking

cause of emphysema. .