Year 2010 - Volume 36 - Issue 6 (November/December)

Editorial

1 - Time to turn the page

A hora da virada

Carlos R. R. Carvalho

J Bras Pneumol.2010;36(6):669-670

2 - Smoking in adolescence: Why do youths still smoke?

Tabagismo na adolescência: Por que os jovens ainda fumam?

Alberto José de Araújo

J Bras Pneumol.2010;36(6):671-673

Original Article

3 - Determinants of smoking experimentation and initiation among adolescent students in the city of Salvador, Brazil

Determinantes da experimentação do cigarro e do início precoce do tabagismo entre adolescentes escolares em Salvador (BA)

Adelmo de Souza Machado Neto, Tarcisio Matos Andrade, Carlos Napoli, Lilian Carine Souza de Lima Abdon, Mônica Rocha Garcia, Francisco Inácio Bastos

J Bras Pneumol.2010;36(6):674-682

4 - The Asthma Control Scoring System: Translation and cross-cultural adaptation for use in Brazil

Tradução e adaptação cultural do Asthma Control Scoring System (Sistema de Escore para Controle Abrangente da Asma) para uso no Brasil

Michelle Gonçalves de Souza Tavares, Márcia Margaret Menezes Pizzichini, Leila John Marques Steidle, Nazaré Otília Nazário, Cristiane Cinara Rocha, Maíra Chiaradia Perraro, Emílio Pizzichini

J Bras Pneumol.2010;36(6):683-692

5 - Exhaled breath temperature, a new biomarker in asthma control: A pilot study

Temperatura do ar exalado, um novo biomarcador no controle da asma: Um estudo piloto

Raul Emrich Melo, Todor A. Popov, Dirceu Solé

J Bras Pneumol.2010;36(6):693-699

6 - Predictors of hospital admission due to asthma in children and adolescents enrolled in an asthma control program

Fatores preditores de hospitalização por asma em crianças e adolescentes participantes de um programa de controle da asma

Heli Vieira Brandão, Constança Sampaio Cruz, Armênio Guimarães, Paulo Augusto Moreira Camargos, Álvaro Augusto Cruz

J Bras Pneumol.2010;36(6):700-706

7 - Risk factors for pulmonary complications in patients with sarcoma after the resection of pulmonary nodules by thoracotomy

Fatores de risco de complicações pulmonares em pacientes com sarcoma após toracotomia para a ressecção de nódulos pulmonares

Rogério Santos Silva, Paulo Sérgio Siebra Beraldo, Flávia Ferretti Santiago, Daniel Sammartino Brandão, Eduardo Magalhães Mamare, Thomas Anthony Horan

J Bras Pneumol.2010;36(6):707-715

Objective: To identify the risk factors for pulmonary complications after thoracotomy for the resection of pulmonary nodules in patients with sarcoma. Methods: A retrospective cohort study involving 68 consecutive patients diagnosed with sarcoma and submitted to a total of 174 thoracotomies for the resection of pulmonary nodules. The dependent variable was defined as the occurrence of any postoperative pulmonary complications. The independent variables were related to the patient, underlying diagnosis, and type of surgical procedure. We analyzed the data using a multivariate generalized estimating equations model with logistic link function and a symmetric correlation structure. Results: Complications were observed in 24 patients (13.8%, 95% CI: 9.0-19.8), and there was one death. The mean length of hospital stay was twice as long in the patients with postoperative complications as in those without (18.8 ± 10.0 days vs. 8.6 ± 6.0 days; p < 0.05). The variables that correlated with the outcome measure were the type of resection (wedge vs. anatomic; OR = 3.6; 95% CI: 1.5-8.8), the need for blood transfusion (OR = 9.8; 95% CI: 1.6-60.1), and the number of nodules resected (OR = 1.1; 95% CI: 1.0-1.1). The multivariate model showed an area under the ROC curve of 0.75 (95% CI: 0.65-0.85). Conclusions: Postoperative pulmonary complications were common after pulmonary nodule resection in patients with sarcoma, occurring in approximately 10% of the procedures. The occurrence of such complications can be expected when techniques other than wedge resection are employed, when blood transfusion is required, and when a great number of nodules are resected. Therefore, it is possible to identify patients at risk for pulmonary complications, who should be closely monitored in the immediate postoperative period. In such patients, all preventive measures should be taken.

Keywords: Sarcoma; Neoplasm metastasis; Risk; Thoracotomy; Thoracic surgery.

8 - Surgical treatment of children with necrotizing pneumonia

Tratamento cirúrgico de crianças com pneumonia necrosante

Fernando Luiz Westphal, Luís Carlos de Lima, José Corrêa Lima Netto, Eugênio Tavares, Edson de Oliveira Andrade, Márcia dos Santos da Silva

J Bras Pneumol.2010;36(6):716-723

9 - Thrombosis in small and medium-sized pulmonary arteries in Wegener's granulomatosis: A confocal laser scanning microscopy study

Trombose em artérias pulmonares pequenas e médias em granulomatose de Wegener: Um estudo com microscopia confocal a laser

Alfredo Nicodemos Cruz Santana, Alexandre Muxfeldt Ab`Saber, Walcy Rosolio Teodoro, Vera Luiza Capelozzi, Carmen Silvia Valente Barbas

J Bras Pneumol.2010;36(6):724-730

10 - Clinical, nutritional and spirometric evaluation of patients with cystic fibrosis after the implementation of multidisciplinary treatment

Avaliação clínica, nutricional e espirométrica de pacientes com fibrose cística após implantação de atendimento multidisciplinar

Lídia Torres, Jenny Libeth Jurado Hernandez, Giseli Barbiero de Almeida, Liana Barbaresco Gomide, Valéria Ambrósio, Maria Inez Machado Fernandes

J Bras Pneumol.2010;36(6):731-737

Objective: Cystic fibrosis (CF) is a chronic multisystemic hereditary disease for which a multidisciplinary approach must be taken. The objective of this study was to show the evolution of a group of patients with CF after the implementation of multidisciplinary treatment. Methods: A retrospective study involving 19 patients (6-29 years of age) under clinical follow-up treatment at the University of São Paulo at Ribeirão Preto School of Medicine Hospital das Clínicas, located in the city of Ribeirão Preto, Brazil. The patients were divided into two groups: 6-12(6-12 years of age) and 13+ (> 12 years of age). We collected data regarding body mass index (BMI), Zscore, Shwachman score (SS), number of exacerbations/year, chronic colonization by Pseudomonas aeruginosa, and spirometric measurements (FVC, FEV1, FEV1%, and FEF25-75%). Data were collected at two different time points (before and after the implementation of the multidisciplinary treatment) and were analyzed with the Wilcoxon signed rank test. Results: The median age at the onset of symptoms was 10 months. In the 6-12 group, only BMI and FVC increased significantly. Although the other spirometric values increased, the differences were not significant. In the 13+ group, there were no significant differences between the two time points. There was a borderline significant decrease in SS and less than significant decreases in the spirometric measurements. However, the number of patients with alterations in volumes and flows decreased in both groups. Conclusions: Although our patient sample was small, the lack of changes in the spirometric parameters might reflect clinical and functional stability. In all of the patients evaluated, clinical, functional, and nutritional parameters remained stable throughout the study period. The implementation of a multidisciplinary approach might have contributed to this result.

Keywords: Cystic fibrosis; Spirometry; Body mass index; Physical therapy modalities.

11 - Diaphragmatic mobility in healthy subjects during incentive spirometry with a flow-oriented device and with a volume-oriented device

Mobilidade diafragmática durante espirometria de incentivo orientada a fluxo e a volume em indivíduos sadios

Wellington Pereira dos Santos Yamaguti, Eliana Takahama Sakamoto, Danilo Panazzolo, Corina da Cunha Peixoto, Giovanni Guido Cerri, André Luis Pereira Albuquerque

J Bras Pneumol.2010;36(6):738-745

12 - Accelerated lung aging in patients with morbid obesity

Envelhecimento pulmonar acelerado em pacientes com obesidade mórbida

Saulo Maia D'Ávila Melo, Valdinaldo Aragão de Melo, Enaldo Vieira de Melo, Raimundo Sotero de Menezes Filho, Vinicius Leite de Castro, Matheus Santana Paes Barreto

J Bras Pneumol.2010;36(6):746-752

13 - Thoracic catheter-related infections

Infecções relacionadas a cateteres torácicos

Ekrem Senturk, Murat Telli, Serdar Sen, Salih Cokpinar

J Bras Pneumol.2010;36(6):753-758

14 - Pleurodese nos derrames pleurais malignos: Um inquérito entre médicos em países da América do Sul e Central

Pleurodese nos derrames pleurais malignos: Um inquérito entre médicos em países da América do Sul e Central

Evaldo Marchi, Francisco Suso Vargas, Bruna Affonso Madaloso, Marcus Vinicius Carvalho, Ricardo Mingarini Terra, Lisete Ribeiro Teixeira

J Bras Pneumol.2010;36(6):759-767

15 - University of São Paulo Reasons for Smoking Scale: a new tool for the evaluation of smoking motivation

Escala Razões para Fumar da Universidade de São Paulo: um novo instrumento para avaliar a motivação para fumar

Elisa Sebba Tosta de Souza, José Alexandre de Souza Crippa, Sonia Regina Pasian, José Antônio Baddini Martinez

J Bras Pneumol.2010;36(6):768-778

Brief Communication

16 - Surgical treatment of pulmonary aspergilloma

Tratamento cirúrgico de aspergiloma pulmonar

Raul Lopes Ruiz Júnior, Frederico Henrique Sobral de Oliveira, Bruno Luiz Burgos Piotto, Felipe Antunes e Silva de Souza Lopes Muniz, Daniele Cristina Cataneo, Antonio José Maria CataneoResumo

J Bras Pneumol.2010;36(6):779-783

Review Article

17 - Occupational lung cancer

Câncer de pulmão ocupacional

Eduardo Algranti, José Tarcísio Penteado Buschinelli, Eduardo Mello De Capitani

J Bras Pneumol.2010;36(6):784-794

18 - Diagnosis and treatment of pulmonary hypertension: an update*

Diagnóstico e tratamento da hipertensão pulmonar: uma atualização

Susana Hoette, Carlos Jardim, Rogério de Souza

J Bras Pneumol.2010;36(6):795-811

Case Series

19 - Descending necrotizing mediastinitis: minimally invasive thoracic surgical treatment

Mediastinite descendente necrosante: tratamento cirúrgico torácico minimamente invasivo

Cromwell Barbosa de Carvalho Melo, Petrúcio Abrantes Sarmento, Carlos Jogi Imaeda, Danilo Félix Daud, Fábio Nishida Hasimoto, Luiz Eduardo Villaça Leão

J Bras Pneumol.2010;36(6):812-819

Case Report

20 - Castleman's disease associated with follicular dendritic cell sarcoma and myasthenia gravis

Doença de Castleman associada a sarcoma de células dendríticas foliculares e miastenia gravis

Fernando Luiz Westphal, Luís Carlos de Lima, Luiz Carlos Lopes Santana, José Corrêa Lima Netto, Vanise Campos Gomes Amaral, Márcia dos Santos da Silva

J Bras Pneumol.2010;36(6):819-823

Letter to the Reader

21 - A rare case of pyopneumothorax

Um caso raro de piopneumotórax

Vanda Areias, Jose Romero, Isabel Ruivo, Ulisses Brito

J Bras Pneumol.2010;36(6):824-825

Index of Issues

22 - Índice remissivo de assuntos do volume 36 (1-6), 2010

J Bras Pneumol.2010;36(6):

Index of Authors

23 - Índice remissivo de autores do volume 36 (1-6), 2010

J Bras Pneumol.2010;36(6):

List of reviewers

24 - Relação de revisores - 2010

J Bras Pneumol.2010;36(6):

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Year 2010 - Volume 36 - Issue 6 (November/December)

Editorial

Original Article

Brief Communication

Review Article

Case Series

Case Report

Letter to the Reader

Index of Issues

Index of Authors

List of reviewers

Indexes

Official publication

Newsletters