2024-03-28T18:40:39Z
https://www.tanaffosjournal.ir/?_action=export&rf=summon&issue=32941
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
Welcome Note to Prof. Peter Barnes and Dr. Irfan Rahman to Join Tanaffos Journal Editorial Board
Mohammad Reza
Masjedi
Esmaeil
Mortaz
1999
11
30
https://www.tanaffosjournal.ir/article_241127_946c10a1fe9c93447d4bcb8d2ac6116e.pdf
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
Outcome of Smoking Cessation on Airway Remodeling and Pulmonary Inflammation in COPD Patients
Esmaeil
Mortaz
Mohammad Reza
Masjedi
Irfan
Rahman
2011
10
01
7
11
https://www.tanaffosjournal.ir/article_241128_49365bbfaaa8b3346f86df5a4692ff7f.pdf
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
A Comparative Study of Postoperative Pulmonary Complications Using Fast Track Regimen and Conservative Analgesic Treatment: A Randomized Clinical Trial
Mohsen
Sokouti
Babak Abri
Aghdam
Samad Eslam
Jamal Golzari
Majid
Moghadaszadeh
Background: Postoperative pulmonary complications and pain are important causes of postoperative morbidity following thoracotomy. This study aimed to compare the effects of fast track and conservative treatment regimens on patients undergoing thoracotomy. Materials and Methods: In this randomized controlled clinical trial, we recruited 60 patients admitted to the thoracic ICU of Imam Reza Hospital in two matched groups of 30 patients each. Group 1 patients received fast track regimen randomly; whereas, group 2 cases randomly received conservative analgesic regimen after thoracotomy and pulmonary resection. The outcome was determined based on the incidence of pulmonary complications and reduction of post-thoracotomy pain in all patients with forced expiratory volume in one second (FEV1) <75% predicted value which was measured while the patients were in ICU. The length of ICU stay, thoracotomy pain, morbidity, pulmonary complications and mortality were compared in two groups. Results: A total of 60 patients, 45 (75%) males and 15(25%) females with ASA class I-III were recruited in this study. Postoperative pulmonary complications were observed in 5 (16.7%) patients in group 1 versus 17 (56.7%) patients in group 2. There were statistically significant differences in development of postoperative pulmonary complications such as atelectasis and prolonged air leak between both groups (p < 0.001 and P=0.003). There was also a statistically significant difference in the rate of preoperative FEV1 (p=0.001) and ASA scoring (p=0.01) and value of FEV1<75% predicted in the two groups. The difference in length of ICU stay in two groups was statistically significant (P= 0.003 and P=0.017 in FEV1<75% group). Four patients in group 1 and 9 patients in group 2 had FEV1reduced to less than 75% of predicted value (p=0.03). Conclusion: Using fast track regimen reduced postoperative pain and incidence of some pulmonary complications significantly when compared to the conservative regimen following thoracotomy and various lung surgeries. (Tanaffos2011; 10(3): 12-19)
Fast track regimen
Pulmonary complications
Thoracotomy
Pain
2011
10
01
12
19
https://www.tanaffosjournal.ir/article_241129_1aac4f7739b1a4df0584f1d64f5161b3.pdf
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
Consolidation Chemotherapy with Docetaxel after Platinum-Based Chemotherapy in Patients with NonSmall Cell Lung Cancer: A Preliminary Report
Hamid
Attarian
Hamid
Rezvani
Mojtaba
Ghadyani
Faezeh
Eshaghi
Background: The efficacy of second line chemotherapy for relapsed non small cell lung cancer has been established. In this study, we evaluated the efficacy and toxicity of maintenance therapy with docetaxel in patients with non-small cell lung cancer who were stabilized with first line chemotherapy and had good performance status before relapse. The primary objective was to determine one-year survival and the other objectives were evaluation of adverse effects and time to progression. Materials and Methods: Eighteen patients with lung cancer were included in this study. All patients were at stage III and IV, without distant metastasis or neuropathy. All patients had been treated with platinum based regimen initially and were responsive or stable with no progression. The patients were treated with docetaxel 75 mg/m2 for a total of 4 cycles repeated every 3 weeks. Results: All patients accomplished 4 chemotherapy cycles and a total of 72 cycles were administered. The mean time of progression free survival (PFS) was 9-10 months and one- year survival (OS) was 94.4% without any significant adverse effect necessitating medical intervention. The mean survival time of patients was 18 (12-20) months. Conclusion: Using docetaxel as consolidation chemotherapy in patients with non small cell lung cancer can prolong time to progression of disease and probably patients' survival without significant adverse effects or negative impact on the quality of life. (Tanaffos2011; 10(3): 20-23)
Non small cell lung cancer
Consolidation chemotherapy
Docetaxel
2011
10
01
20
23
https://www.tanaffosjournal.ir/article_241130_d482ec47793e41055ad49b82a17628af.pdf
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
Effects of Aerobic Exercise on Lung Function in Overweight and Obese Students
Ahmad
Azad
Reza
Gharakhanlou
Alireza
Niknam
Amir
Ghanbari
Background: In healthy teenagers, obesity and physical inactivity are the two main factors that affect respiratory function. The aim of this study was to evaluate the effect of aerobic exercise training on improving lung function in overweight and obese students. Materials and Methods: Thirty overweight or obese subjects with poor endurance performance and mild deterioration of respiratory indices (forced expiratory volume and forced expiratory volume in 1 second < 90% predicted) were randomly assigned into control (age: 16.6±0.83 years, height: 167±5.05 cm, weight: 80.44±7.65 kg) and intervention groups (age: 16.5±0.83 years, height: 166±6.7 cm, weight: 79.62±9.33 kg) .The intervention group preformed 24 weeks of continuous treadmill running (3 days a week). Respiratory indices were measured pre, mid and post exercise. Independent t test, paired t test, Pearson's correlation test and repeated measure were used for analyzing the data. Results: In the intervention group, post exercise respiratory indices were significantly higher than the pre exercise values, and did not reach the predicted values. No significant differences were found in pre, mid and post exercise respiratory indices in the control group. In the intervention group, improvements in respiratory indices were positively correlated with maximum voluntary ventilation (MVV) improvement but not with BMI reduction. No significant differences were detected between the 2 groups in terms of pre, mid and post exercise measures of BMI, weight, height, and respiratory indices. Conclusion: In overweight and obese teenagers, appropriate aerobic exercise training can partly improve lung function by strengthening the muscles of respiration. However, in order to achieve the predicted values of lung function, a further increase in activity duration and decrease in BMI is necessary. (Tanaffos2011; 10(3): 24-31)
Continuous treadmill running
FVC
FEV1
MVV
Overweight teenagers
Aerobic exercise
BMI
2011
10
01
24
31
https://www.tanaffosjournal.ir/article_241131_50979dfbf3c7b377aa59651845b020aa.pdf
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
Sample Survey of Chronic Obstructive Pulmonary Disease and Associated Risk Factors in Isfahan, Iran
Mohammad
Golshan
Babak
Amra
Tobias
Welte
Background: The purpose of this cross-sectional study was to estimate the number of individuals with chronic bronchitis and/or chronic obstructive pulmonary disease in Isfahan. Our study results were compared with those of previous studies in Iran and similar studies in other countries. Materials and Methods: As a part of a population-based, cross-sectional study, 2,200 randomly selected individuals aged 40 years or older were asked to take part in the survey; among whom, 1308 individuals (59.45%) agreed to fill out the respiratory questionnaire. This group consisted of 636 (48.6%) males and 672 (51.4%) females. Spirometric measurements were performed in 279 cases. COPD was defined by the "Global Initiative for Obstructive Lung Disease" criteria. Results: One hundred-seven individuals (8.1%) fulfilled the clinical criteria for chronic bronchitis as the main sign of COPD. Multivariate analysis revealed that age and smoking were independent predictors for chronic obstructive pulmonary disease. Conclusion: It is concluded that the prevalence of chronic bronchitis symptoms is approximately the same in our population as compared with western countries. The frequency of clinical chronic bronchitis has risen in comparison to a previous study in Isfahan. (Tanaffos2011; 10(3): 32-36)
Chronic Obstructive Pulmonary Disease
Epidemiology
Prevalence
Iran
Isfahan
2011
10
01
32
36
https://www.tanaffosjournal.ir/article_241132_b3fa9cbdccf48c3aad84564ab034ba5a.pdf
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
Correlation between the Pulmonary Artery Pressure Measured in Echocardiography and Pulmonary Artery Diameter in the CT-Scan of Patients Suffering from Interstitial Lung Disease
Atefeh
Fakharian
Nima
Hamidi
Behnam
Haji Hosseinloo
Samira
Rezaei
Elnaz Ehteshami
Afshar
Babak
Sharif-Kashani
Neda
Behzadnia
Mehrdad
Bakhshayesh Karam
Latif
Gachkar
Habib
Emami
Background: Pulmonary hypertension (PH) is a significant cause of morbidity and mortality in patients suffering from pulmonary parenchymal diseases. Diagnosis of PH has always been a major clinical dilemma due to its non-specific clinical manifestations. However, diagnosing PH and determining its severity are essential for the prognosis and treatment planning in PH patients. This study aimed at evaluating the correlation between the pulmonary artery diameter (PAD) in the CT-scan and pulmonary artery pressure (PAP) in echocardiography of patients. Materials and Methods: PAD was evaluated in the CT-scan of 117 patients suffering from interstitial lung disease (ILD) and the correlation between PAD and PAP was studied. A receiver operating characteristic curve (ROC curve) which is indicative of the precision of the diagnostic test was drawn to find the cut off point for the MPAD representing PH. The area under the curve was also calculated in order to define the discriminative power of the test. Results: PAP higher than 25 mmHg was considered as PH. PAD over 29 mm reported in the CT-scan for the diagnosis of PH in ILD patients had sensitivity of 63% and specificity of 41.5%. No significant linear correlation was found between PAD and PAP (P-value=0.17, r=0.15). The area under the ROC curve was calculated to be 0.49 in the cutoff point of 29 mm for determining PH (CI 95%=0.38-0.60, P=0.89). Conclusion: ROC curve showed a weak discriminative power. PAD had low sensitivity and specificity in the CT-scan for the diagnosis of PH. Therefore, we conclude that CT-scan alone is not helpful in finding PH cases and further examinations are required. (Tanaffos2011; 10(3): 37-41)
Pulmonary hypertension
Pulmonary artery
Echocardiography
CT-Scan
Interstitial lung disease
2011
10
01
37
41
https://www.tanaffosjournal.ir/article_241133_7153715568762ad68dba974b32b8a923.pdf
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
Efficacy of Telephone Quit-Line for Smokers in Iran: 12 Months Follow Up Results
Gholamreza
Heydari
Ginus
Jianfar
Anahita
Alvanpour
Zahra
Hesami
Firouzeh
Talischi
Mohammad Reza
Masjedi
Background: Smoking cessation is an effective intervention for cancer prevention. For some reasons many smokers cannot attend quit programs and they prefer to have a consultation over the phone. In this study we share our experience regarding setting up a quit-line for smoking cessation for the first time in Iran. Materials and Methods: Two general practitioners were trained to give consultation over the phone via quit line in Tehran. The quit program consisted of 4 sessions with 1 week interval. Our telephone counseling was both reactive and proactive from 8 AM till 5 PM during the years 2005 – 2008. In reactive counseling, the smoker initiates the call and speaks with a counselor about his/her current concerns. In proactive counseling, the counselor calls the smoker and provides counseling in a systematic manner. Smoking status was determined based on smokers’ self-report and regular follow-ups were conducted after quitting. Some cases were randomly selected for CO respiratory test in order to confirm their abstinence. Results: A total of 480 cases entered the cessation program out of which, 80% were males. The mean age was 38.5±7.9 years, 72.7% of participants were married, 75.2% of subjects were educated and 51.3% of cases had high nicotine dependence. A total of 332 cases received a brief advice on quitting, 148 people continued their active participation to complete the course and 122 cases (82.4%) quitted smoking. The sustained abstinence rate after 1, 3, 6 and 12 months was 59 %, 41 %, 31% and 18%; respectively. Conclusion: This method is an appropriate and accessible method which can be suggested to smokers during smoking cessation counseling. (Tanaffos2011; 10(3): 42-48)
Quit-line
Smoking
Cessation
Iran
2011
10
01
42
48
https://www.tanaffosjournal.ir/article_241134_8532f63b25a0fccee41403a86dda27c6.pdf
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
Respiratory Complications in Iranian Hospitalized Patients with HIV/AIDS
Seyed Ahmad
Seyed Alinaghi
Bahram
Vaghari
Maryam
Roham
Banafsheh
Moradmand Badie
Sara
Jam
Maryam
Foroughi
Gholamreza Esmaeeli
Djavid
Mahboubeh
Hajiabdolbaghi
Mostafa
Hosseini
Minoo
Mohraz
Willi
McFarland
Background: The respiratory tract has been the most commonly affected site of illness in HIV-infected patients. The current study was done to identify the frequency of respiratory complications in a consecutive case series of HIV-positive patients in Iran. Materials and Methods: This study was a retrospective analysis at the national academic reference medical center of ImamKhomeini Hospital, in Tehran, Iran. The study included 199 new admissions for 177 HIV-infected patients between 2000 and 2005. Demographic characteristics, risk factors for HIV infection, respiratory complications, and CD4+ lymphocyte counts were evaluated in these patients. Results: All patients were males. The mean age was 35 years (age range: 15 to 63 years). Among 34 cases with available CD4+ lymphocyte count results, 70.6% had results
HIV
Respiratory complications
tuberculosis
Iran
2011
10
01
49
54
https://www.tanaffosjournal.ir/article_241135_117d2a774a039eb0058cde089aaf56a4.pdf
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
Herniation of a Pulmonary Emphysematous Bulla to Contralateral Hemithorax
Jamal
Akhtar
Mohammad
Shameem
Ummul
Baneen
Nafees
Ahmad Khan
Mohammed Azfar
Siddiqui
Herniation of an emphysematous bulla is extremely rare. A 55-year-old male patient presented with complains of shortness of breath and cough for the last 10 years which had exacerbated in the last two days. The patient was a diagnosed case of chronic obstructive pulmonary disease. Chest x-ray showed bilateral hyperinflated lung fields along with loss of lung markings in left upper lobe and a thin white line in right upper lobe suggestive of wall of bulla. High resolution computed tomography of the chest revealed anterior herniation of a pulmonary bulla from left to right side across midline. Patient was put on antibiotics, hydrocortisone and aminophylline by intravenous route and nebulization of steroid and bronchodilator. However, the patient expired after 5 days following admission. (Tanaffos2011; 10(3): 55-58)
Herniation
Pulmonary bulla
Emphysema
2011
10
01
55
58
https://www.tanaffosjournal.ir/article_241136_d43ca3f2ec5d72c7752c0b066fa5b924.pdf
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
The Syndrome of Combined Pulmonary Fibrosis and Emphysema
Ines
Zendah
Houda
Gharsalli
Amel
Khattab
Habib
Ghedira
A syndrome associating an upper-lobe emphysema and pulmonary fibrosis of the lower lung was recently characterized. Few cases were identified in the literature. We report a case of a 68 year- old smoker man presented for exacerbation of a severe dyspnea. Physical examination revealed basal crackles and finger clubbing. Blood gas analysis showed hypoxemia. Chest radiography showed features compatible with emphysema of the upper lobes and fibrosis of the basis. Chest computed tomography confirmed chest radiography’s findings and revealed fibrosis. The diagnosis of idiopathic pulmonary fibrosis was made. Pulmonary function tests showed obstructive pattern. Systolic pulmonary arterial pressure was elevated up to 87 mm Hg on heart ultrasonography. The authors emphasize the importance of the diagnosis of this entity made through chest computed tomography and the fact that it is characterized by severe impairment of gas exchange, the high prevalence of pulmonary hypertension and poor survival. (Tanaffos2011; 10(3): 59-62)
Emphysema
Dyspnea
Gas exchange
Hypoxemia
Pulmonary fibrosis
Respiratory function tests
2011
10
01
59
62
https://www.tanaffosjournal.ir/article_242211_cf05b3ebd29f32c0c681830593dd4815.pdf
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
A 38-Year-Old Woman with Scimitar Syndrome
Masoud
Aliyali
Roohollah
Abdi
Scimitar syndrome is a rare clinical syndrome which consists of anomalous right pulmonary venous return to the inferior vena cava. Scimitar syndrome classically involves the right lung and is most commonly reported in very early infancy. However, it is occasionally seen in adults. We present a 38 year-old woman complaining of dry cough and exertional dyspnea during moderate exercise with right lung scimitar syndrome. The chest radiography showed increased radiolucency of the left lung and heart dextroposition with a characteristic appearance of scimitar sign which is a curvilinear density in the right middle and lower pulmonary fields resembling a curved Turkish sword. (Tanaffos2011; 10(3): 63-66)
Scimitar syndrome
Anomalous right pulmonary venous connection
Heart dextroposition
2011
10
01
63
66
https://www.tanaffosjournal.ir/article_242212_edec080e5cbf5d48f01b0a0d5967be6d.pdf
TANAFFOS (Respiration)
1735-0344
1735-0344
2011
10
3(summer)
A Twenty-Year-Old Woman with Hemoptysis
Ilad Alavi
Darazam
Atefeh
Fakharian
Mohmmad Behgam
Shadmehr
Atosa
Dorudinia
Davood
Mansouri
2011
10
01
67
70
https://www.tanaffosjournal.ir/article_242213_3bda3836958adb42d6e549dbcbb7bbc1.pdf