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Radiofrequency treatment on respiratory symptoms due to gastroesophageal reflux disease

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Chinese Medical Journal 2011年第7期124卷 1006-1009页

作者： GAO Xiang WANG Zhong-gao WU Ji-min JI Feng ZHANG Cheng-chao NING Ya-chan LI Zhi-tong HU Zhi-wei CHEN Xiu TIAN Shu-rui Thoracic & Cardiovascular Surgery Xuan Wu Hospital Capital Medical University Beijing 100053 China Center for GERD of Second Artillery General Hospital Beijing 100086 China

Background Diagnosis and treatment for respiratory symptoms （RSs） of gastroesophageal reflux disease （GERD） is more difficult than that for common esophageal symptoms. The goal of this study was to evaluate the efficacy and safety of radiofrequency （RF） treatment on RSs of GERD in a preliminary 12-month follow-up observation.

关键词： gastroesophageal reflux disease radiofrequency energy respiratory symptoms

Hiatal Hernia by Rolling Revealed by respiratory symptoms: A Rare Condition and Atypical Presentation

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Case Reports in Clinical Medicine 2016年第9期5卷 330-334页

作者： Hind Serhane Othmane Ouardi Hafsa Sajiai Selma Aitbatahar Lamyae Amro Department of respiratory Medicine Laboratory PCIM Faculty of Medicine and Pharmacy Cadi Ayyad University Marrakesh Morocco

Hiatal hernia by rolling is a rare pathology estimated at 5% of all diaphragmatic hernias. It is usually asymptomatic. Sometimes, it can be accompanied by different symptoms, such as post prandial bloating, dysphagia, regurgitation, retro sternal pain, even respiratory symptoms. The aim of this article is to show that a hiatus hernia by rolling can cause a misleading clinical picture that may be taken wrongly for a heart or respiratory disease. We report the case of an 80-year-old patient whose presentation was suggestive of an acute heart condition, but the scan confirmed a rolling diaphragmatic hernia. Because of the rarity and the atypical presentation of this case, we have found it desirable to bring this new observation.

关键词： Hiatal Hernia Diaphragmatic Hernia Rolling Hernia Retrosternal Pain respiratory symptoms

The Mild-Moderate Case Presentation of COVID-19 in Adult Male Patient, Al Wakra Study

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Open Journal of Preventive Medicine 2022年第6期12卷 111-118页

作者： Islam H. Elrobaa Abdallah Elsaeidy Amr Elmoheen Khalid Bashir Emergency Medicine Hamad Medical Corporation and Lecture of Clinical Education College of Medicine Qatar University Doha Qatar Emergency Medicine Hamad Medical Corporation Doha Qatar Emergency Medicine Hamad Medical Corporation and Clinical Lecture College of Medicine Qatar University Doha Qatar Emergency Medicine Hamad Medical Corporation and College of Medicine Qatar University Doha Qatar Adult Emergency Department Al Wakra Hospital Hamad Medical Corporation Al Wakrah Qatar

Background: COVID-19 is currently one of the most infectious diseases worldwide. In this study, we focused on the mild and moderate cases of COVID-19 that can present with mild respiratory symptoms or non-respiratory symptoms. Many of that cases got miss diagnoses. We aim to help emergency physicians in reaching a proper and faster diagnosis of COVID-19 cases. Method: In this retrospective cross-sectional qualitative study, we collected 100 confirmed cases of COVID-19 that were presented in April 2020 in Al Wakra Hospital, Qatar. All that cases were mild-moderate cases without severe respiratory symptoms. We reviewed the electronic files on patient presentation, emergency department physician’s note, temperature data, and chest X-ray findings. Result: Our result showed about 49% of the total COVID-19 confirmed cases had respiratory symptoms, while the remaining 51% had no respiratory symptoms. The respiratory symptoms, such as cough and sore throat, and non-respiratory symptoms like headache, vomiting, abdominal pain, and skin rash. Regarding fever presentation, we found that 66% of cases had a fever, while 34% had no fever complaints. The most frequently observed body temperature of patients was 37+ °C, followed by 38+ °C, 36+ °C, and 39+ °C. About 41% of cases had non-significant X-ray findings, and 40% cases had significant X-ray findings. The remaining 19% of cases did not undergo any X-ray examination due to mild and stable presentation. Conclusion: The presentations and symptoms of a mild-moderate case of COVID-19 are not respiratory only, there are extra-pulmonary symptoms and presentations should be considered. The most common presentation for mild-moderate COVID-19 was found to be fever. Chest X-ray may be performed depending on the patient’s condition, red flags, and abnormal findings in clinical examination, and should not be routine in cases with the mild presentation of COVID-19 suspicion in the emergency department.

关键词： COVID-19 Mild-Moderate Case respiratory symptoms Non-respiratory symptoms Fever and Chest X-Ray

Carbon Monoxide and respiratory Disorders in Professional Female Fish Smokers at 2 Artisanal Sites in Benin

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Occupational Diseases and Environmental Medicine 2023年第4期11卷 175-186页

作者： Mênonli Adjobimey Ibrahim Mama Cissé Fintani Kaki Mariano Steven Sagbohan Perside Fabien Gounongbe Rose Mikponhoue Ayélo Paul Vikkey Hinson Research and Teaching Unit in Occupational and Environmental Health FSS Cotonou Cotonou Benin Occupational Health Service of the National University Hospital of Pneumo-Phtisiology of Cotonou Cotonou Benin Faculty of Medicine Occupational Health Training and Research Unit Parakou Benin Inter-Faculty Centre for Environmental Training and Research for Sustainable Development University of Abomey-Calavi Abomey Calavi Benin

Introduction: The use of biomass for cooking is a very common practice in Africa and Benin, and is associated with exposure to organic pollutants. The aim of this study was to assess carbon monoxide exposure and respiratory disorders in women at artisanal fish-smoking sites. Methods: This was a cross-sectional study of women fish smokers at two artisanal fish-smoking sites in Benin. Recruitment was exhaustive. An interview using a respiratory questionnaire inspired by the Union questionnaire, spirometry and carbon monoxide (CO) measurement were carried out. Descriptive analysis and comparison of means using Student’s t-test with a threshold of p = 0.05 were performed. Results: The median age of the 81 people surveyed was 40, with an interquartile range (IQT) of [25 to 75]. The median duration of daily exposure to smoke was 6 h IQT [4, 7]. Of those surveyed, 64 (79.01%) were illiterate and 39 (48.24%) had been working for 20 years. CO levels at the start of activity varied from 89 to 145 ppm in one case and from 40 to 89 ppm in the other. respiratory symptoms were present in 19 (23.46%);18 (22.22%) had mild airway impairment on spirometry. There was a statistically significant decrease between the mean values of peak expiratory flow (PEF), mean expiratory volume in seconds (FEV1) and forced vital capacity (FVC) before and after exposure to smoke. Conclusion: CO levels are high on fish smoking sites and respiratory problems are common. Improved working conditions are important for these women.

关键词： respiratory symptoms Spirometry Carbon Monoxide Fish Smoking Women

Results of the Evaluation of the respiratory Condition of Permanent Workers in an Oil Mill in Benin

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Occupational Diseases and Environmental Medicine 2022年第1期10卷 1-12页

作者： Mênonli Adjobimey Vikkey Hinson Serge Ade Rose Mikponhoue Ibrahim Mama Cisse Amélé Adjogou Véronique Dossougbété Paul Ayélo Research and Teaching Unit in Occupational and Environmental Health FSS Cotonou Benin Occupational Health Service of the National University Hospital of Pneumo-Phtisiology of Cotonou Cotonou Benin Pneumology Unit Faculty of Medicine University of Parakou Parakou Benin Occupational Health Training and Research Unit Faculty of Medicine Parakou Benin Louis Pasteur Clinic Porto Novo Benin

Introduction: The process of extracting oil from cotton seeds can create dusty work atmospheres that can cause respiratory problems. The main objective of this study was to determine the prevalence of respiratory problems among permanent workers in an oil mill in Benin. Methods: This cross-sectional study of 52 workers in an oil mill took place in January 2017 as part of the annual medical check-ups of workers. A questionnaire was administered and spirometry using Spirobank II and chest radiography were performed. The spirometry results were interpreted by an occupational physician and a pulmonologist. Data were entered and analyzed using Epidata software. Results: The mean age was 42.7 ± 6.4 years, and 43 of the 52 workers were men. Of these, 58% were in technical production positions and 42% in administrative positions. Most of them had more than 10 years of seniority. The prevalence of respiratory symptoms among production workers was 4 (13%) versus 2 (9%) among administrative workers. A total of 8 (15.4%) abnormal spirometry was identified with 4 obstructive syndrome, 3 restrictive syndrome, 1 a mixed pattern. There were 5 (16.6%) workers in production versus 3 (13.6%) in administration who had abnormal spirometry. The means 25/75 forced expiratory flow (FEF) value of production workers was significantly lower than that of administration workers. Abnormal chest radiographs were 5 (17%) in production workers compared to 3 (14%) in administration workers. Conclusion: Oil mill workers had few respiratory symptoms. However, production workers had more ventilatory disorders than administrative workers. A spirometric follow-up of this group of workers is therefore necessary.

关键词： Cottonseed Oil Mill respiratory symptoms Spirometry Chest Radiography Benin

respiratory Morbidity Associated with Long-Term Occupational Inhalation Exposure to High Concentrations of Hydrated Calcium Sulfate Dust

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Occupational Diseases and Environmental Medicine 2016年第1期4卷 1-7页

作者： Masoud Neghab Samira Mirzaei Toosi Parisa Azad Research Center for Health Sciences Shiraz University of Medical Sciences Shiraz Iran Student’s Research Committee Shiraz University of Medical Sciences Shiraz Iran

Despite wide application of hydrated calcium sulfate, possible respiratory effects of long-term occupational exposure to high concentrations of this chemical have only been investigated in a limited number of epidemiological studies. This study is undertaken to examine this issue, more thoroughly. This cross-sectional study is carried out at a local gypsum plant in Shiraz, capital of Fars province situated in south western Iran. All exposed subjects (20 male workers) and 20 healthy non-exposed male individuals as the referent group are investigated. Prevalence of respiratory symptoms among the studied subjects is evaluated and they undergo spirometry test (twice for the exposed group and once for the unexposed employees). Moreover, to assess the extent to which workers are exposed to gypsum dust and using standard methods, inhalable and respirable fractions of this compound are measured in different dusty worksites. Average airborne concentration of inhalable dust fraction is estimated to be 24 ± 14.76 mg/m3 which is higher than the recommended threshold limit value (TLV) for this chemical. respiratory symptoms such as phlegm, wheezing and dyspnea are significantly more prevalent in exposed subjects than in non-exposed employees (p respiratory symptoms along with acute reversible significant decreases in some parameters of ventilatory function.

关键词： Gypsum Dust Occupational Exposure respiratory symptoms Ventilatory Function Tests

Extraskeletal symptoms and comorbidities of diffuse idiopathic skeletal hyperostosis

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World Journal of Clinical Cases 2014年第9期2卷 422-425页

作者： Rabia Terzi Derince Training and Research Hospital Department of Physical Medicine and RehabilitationKocaeli 41 300 Turkey

Diffuse idiopathic skeletal hyperostosis(DISH) is a noninflammatory disease characterized by calcification and ossification of soft tissues, mainly enthesis and spinal ligaments. The clinical presentation primarily includes spinal involvement-induced pain and range of motion. Although rare, life-threatening gastrointestinal, respiratory or neurological events or severe morbidity due to bone compression on the adjacent structures may develop. There is a limited amount of data on DISHrelated events in the literature. In recent years, comorbid metabolic disorders are of great interest in patients with DISH. The early diagnosis of these conditions as well as rare entities allows an effective multidisciplinary approach for the treatment of DISH. In this article, we review extraskeletal symptoms and associated comorbidities in patients with DISH.

关键词： Diffuse idiopathic skeletal hyperostosis Swallowing respiratory symptoms Neurological symptoms Comorbidities