Smoking and Obesity Increase Airway Hyperesponsiveness Risk in the Elderly

Objective: of our study was assessing whether smoking and obesity might affect airways hyperresponsiveness (AHR) differently in younger and older subjects and whether this influence might be due to their different impacts on baseline lung function values at different ages. Methods: 3,903 consecutive adult subjects with normal lung function (1,920 m....

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  27 Visite

Phenotyping asthma in the elderly: allergic sensitization profile and upper airways comorbidity in patients older than 65 years

Background: Data about allergic rhinitis in elderly patients with asthma are lacking. Objective: To investigate the presence of rhinitis and the role of sensitization of airborne allergens in elderly patients with asthma. Methods: This was a multicenter cross-sectional study involving subjects at least 65 years old with asthma. Demographic features....

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  38 Visite

Could cigarette packaging be used as a tool to make prevention of smoke-induced respiratory diseases?

The most important consequences of smoking are chronic obstructive pulmonary disease (COPD) and lung cancer (LC). Although the use of shocking images and warning messages on cigarette packaging is a valid tool of smoke dishabituation, unfortunately, millions of people go on smoking. Our hypotheses is that cigarette packet covers could also be used ....

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  31 Visite

Non respiratory symptoms in asthma as possible predictors of exacerbations

Affiliations expand PMID: 26004306 DOI: 10.1016/j.jaip.2015.04.011No abstract availablefull article

  26 Visite

Can we modulate asthma maintenance treatment level with disease seasonal variations?

Asthma can have clinical seasonal fluctuations due to different exposure factors. The analysis of our data and literature confirm a seasonal trend of asthma severity. In this brief review, authors discuss the possibility to adapt maintenance therapy level to clinical seasonal fluctuations, by increasing treatment in some seasons to prevent exacerba....

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  30 Visite

Asthma control in elderly asthmatics. An Italian observational study

Background: The exponential increase of individuals aged >64 yrs is expected to impact the burden of asthma. We aimed to explore the level of asthma control in elderly subjects, and factors influencing it. Methods: A multicenter observational study was performed on consecutive patients >64 years old with a documented physician-diagnosis of as....

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  27 Visite

Small airway impairment and bronchial hyperresponsiveness in asthma onset

Purpose: Our study tried to find a relationship between baseline FEF25-75% and airway hyperresponsiveness (AHR) and whether a greater FEF25-75% impairment may be a marker of a more severe hyperresponsiveness in subjects with normal FEV1 and FEV1/FVC and suggestive asthma symptoms. Besides, we tried to asses a FEF25-75% cut-off value to identify hyp....

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  28 Visite

Cypress pollen: an unexpected major sensitizing agent in different regions of Italy

Objectives: In this multicenter survey, we assessed the impact of sensitization to cypress in atopic patients in Italy and determined whether cypress pollen concentration changed over time. Methods: Allergists were required to collect the results of 100-200 consecutive skin prick tests (SPTs) performed during 2012. Seasonal symptoms were also recor....

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  29 Visite

Can overweight/obesity and smoking have combined effects on bronchial hyperresponsiveness?

PMID: 24488996 DOI: 10.1183/09031936.00099513 No abstract available full article

  29 Visite

Could FEV₁ decline have a role in daily clinical practice for asthma monitoring?

Objective: The aim of this review was to understand whether FEV1 decline measured during the follow-up of asthmatic subjects (FEV1 variation between two different measurements at a distance of at least 5 years) may have a role in their management. Methods: Articles, commentaries and reviews relating to the topic were searched in PubMed. Results: Pa....

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  25 Visite

Obesity can influence children's and adolescents' airway hyperresponsiveness differently

Background: Literature is still arguing about a possible relationship between airway hyperresponsiveness (AHR) and body mass index (BMI). This study aimed at evaluating the influence of BMI on AHR and pulmonary function in children and adolescents that performed a methacholine test for suggestive asthma symptoms. Methods: 799 consecutive children/a....

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  30 Visite

Cypress-sensitized asymptomatic patients during the pollen season: sensitization or simply cross-reactivity?

No abstract availableComment on Epidemiology of cypress pollen allergy in Montpellier.Caimmi D, Raschetti R, Pons P, Dhivert-Donnadieu H, Bousquet PJ, Bousquet J, Demoly P.J Investig Allergol Clin Immunol. 2012;22(4):280-5.PMID: 22812197full article

  25 Visite

Efficacy and cost effectiveness of rapid on site examination (ROSE) in management of patients with mediastinal lymphadenopathies

Background: The diagnostic and staging approach for the mediastinal lymphadenopathies, with or whithout pulmonary lesions endoscopically visible, is based on transbronchial needle aspiration (TBNA) during fiberoptic bronchoscopy and on mediastinoscopy. One important factor impacting on TBNA sensitivity is the rapid on site cytological examination (....

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  29 Visite

BMI can influence adult males' and females' airway hyperresponsiveness differently

 Background: Epidemiological data indicate that obesity is a risk factor for asthma, but scientific literature is still debating the association between changes in body mass index (BMI) and airway hyperresponsiveness (AHR). Methods: This study aimed at evaluating the influence of BMI on AHR, in outpatients with symptoms suggestive of asthma.4,....

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  24 Visite

Seasons can influence the results of the methacholine challenge test

 Objective: This study tried to evaluate whether a methacholine test may be influenced by the seasons. Methods: We considered 4826 consecutive subjects with normal spirometry (50.53% males; age: 35.1±16.2; forced expiratory volume in one second: 99.5±13.0%) who underwent a methacholine test for suspected asthma symptoms between 2000 and 2010. ....

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  29 Visite

Long-term effects of nutraceuticals (berberine, red yeast rice, policosanol) in elderly hypercholesterolemic patients

Introduction: Statins are at the forefront of strategies to manage dyslipidemia, although they are not always well tolerated. At 6-7 months after the drug was supplied, discontinuation rates averaged 30%. Alternate agents to statins have been studied. Some nutraceuticals demonstrated an efficacy in reducing cholesterol concentrations. However, ther....

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  28 Visite

Prevalence and real clinical impact of Cupressus sempervirens and Juniperus communis sensitisations in Tuscan "Maremma", Italy

Objective: The aim was to evaluate the impact of Cupressus sempervirens (Cs) and Juniperus communis (Jc) sensitisations in "Maremma" in southern Tuscany. Methods: 811 consecutive outpatients (357 F - 57.86%; age: 36.9 ± 16.6) with suspected allergic respiratory symptoms underwent skin prick tests (SPT) for common allergens and for Cs and Jc. Result....

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  29 Visite

Comparative long term effects of nebivolol and carvedilol in hypertensive heart failure patients

Background: Beta-blockers improve left ventricular (LV) systolic function and prognosis in patients with chronic heart failure (CHF), but their different pleiotropic properties may influence their cardiovascular effects. This open-label study compared the effects of long-term treatment with nebivolol versus carvedilol on LV ejection fraction (LVEF)....

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  27 Visite

Sensitization to horse allergens in Italy: a multicentre study in urban atopic subjects without occupational exposure

 Background: Horses play a significant role in people's leisure time in Italy and other countries, but few data are available on IgE-mediated sensitization to horse allergens in patients without occupational exposure. We assessed, in a multicentric survey, the prevalence of horse sensitization in atopic subjects and its clinical characteristic....

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  29 Visite

A regular or an intermittent treatment for asthma: the long-term effect

Objectives: Many asthmatics take therapy intermittently because of their scarce compliance. It is not known if this is effective in controlling and slowing down the lung function decline in asthma. Our aim was to compare the effect of a regular treatment and an intermittent one on some clinical aspects and on the forced expiratory volume 1 (FEV1) d....

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  29 Visite

Maggiori informazioni

Dott. Bruno Sposato svolge la propria attività presso l'Ospedale Misericordia di Grosseto, in via Senese 205.

Città:
Grosseto 58100 (Gr)
Indirizzo:
Via Senese 205
Telefono:
+39 0564 079414