Peripheral muscle weakness is commonly found in patients with chronic obstructive pulmonary disease (COPD) and may play a role reducing exercise capacity. The purposes of this study were to evaluate, COPD: (1) the relationship between strength cross-sectional area (CSA), (2) distribution peripheral weakness, (3) severity lung disease. Thirty-four COPD 16 normal subjects similar age body mass index evaluated. Compared subjects, three groups (p < 0.05) right thigh CSA, evaluated by computed...

In this study, we examined the fiber-type proportions, cross-sectional areas (CSA), and capillarization from needle biopsies of vastus lateralis muscle in 20 patients with chronic obstructive pulmonary disease (COPD) (FEV1 = 37 +/- 11% predicted, peak VO2 13 4 mL.min-1.kg-1) nine age-matched normal subjects (peak 33 7 mL.min-1.kg-1). The effects endurance training on these parameters were also evaluated 11 COPD.The proportion Type I fiber was smaller COPD than normals (34 14% vs 58 16...

The purpose of this study was to evaluate whether strength training is a useful addition aerobic in patients with chronic obstructive pulmonary disease (COPD). Forty-five moderate severe COPD were randomized 12 wk alone (AERO) or combined (AERO + ST). AERO regimen consisted three weekly 30-min exercise sessions on calibrated ergocycle, and the ST included series eight 10 repetitions four weight lifting exercises. Measurements peripheral muscle strength, thigh cross-sectional area (MCSA) by...

<h3>Background</h3> The effects of written action plans on recovery from exacerbations chronic obstructive pulmonary disease (COPD) have not been well studied. aims this study were to assess the adherence a plan exacerbation time and unscheduled healthcare utilisation explore factors associated with adherence. <h3>Methods</h3> This was 1-year prospective cohort embedded in randomised controlled trial. Exacerbation data recorded for 252 patients COPD who received prompt treatment instructions...

Long-term oxygen therapy improves survival in patients with chronic obstructive pulmonary disease (COPD) and severe daytime hypoxemia. However, the efficacy of for management isolated nocturnal hypoxemia is uncertain.We designed this double-blind, placebo-controlled, randomized trial to determine, COPD who have arterial desaturation without qualifying long-term therapy, whether provided a period 3 4 years would decrease mortality or worsening such that meet current specifications therapy....

Premature lactic acidosis during exercise in patients with chronic obstructive pulmonary disease (COPD) may play a role intolerance. In this study, we evaluated whether the early exercise-induced these individuals can be explained by changes peripheral O2 delivery (O2). Measurements of leg blood flow thermodilution and arterial femoral venous gases, pH, lactate were obtained standard incremental test to capacity eight severe COPD age-matched controls. No significant difference was found...

Rationale - The optimal way of assessing the impact pulmonary rehabilitation on functional status in chronic obstructive disease (COPD) is currently unknown. minimal clinically important difference for constant workrate cycling exercise also needs to be investigated facilitate its interpretation. Objective – Evaluate changes 6-minute walking test and cycle endurance immediately following 1-year after rehabilitation, along with importance these term health patients COPD. Methods Patients COPD...

Bernard, Sarah; LeBlanc, Pierre; Whittom, Francois; Carrier, Guy; Jobin, Jean; Belleau, Roger; Maltais, Francois

We examined the influence of overweight and obesity on pulmonary function, exercise tolerance, quality life response to rehabilitation in COPD.261 patients with COPD were divided into three groups: normal body mass index (BMI), obese. Baseline post 6-min walking test (6MWT), endurance time during a constant workrate (CET) St. George's Respiratory Questionnaire (SGRQ) scores compared between all classes BMI.At baseline, obese had less severe airflow obstruction BMI patients. There was no...

Maintenance of physical activity following pulmonary rehabilitation remains a challenge for patients with chronic obstructive disease (COPD). The objectives this study were to identify patterns endurance after completion and characterise people who succeed those have difficulty maintaining activity. In longitudinal embedded within randomised clinical trial, 206 individuals COPD underwent 3-month programme. Weekly duration was assessed at 4, 6, 8 12 months the start rehabilitation. Trajectory...

Overweight⁄obesity is associated with longer survival in chronically ill patients, a phenomenon referred to as the 'obesity paradox'.To investigate whether obesity paradox patients chronic obstructive pulmonary disease (COPD) due fat accumulation or confounding factors.A total of 190 stable COPD who underwent mean (± SD) follow-up period 72±34 months were enrolled. Anthropometry, function tests, midthigh muscle cross-sectional area obtained using computed tomography (MTCSACT), arterial blood...

Patients with chronic obstructive pulmonary disease (COPD) complain of dyspnea and fatigue. We sought to estimate the prevalence high fatigue in this population determine whether individuals had a different response rehabilitation. This observational study was embedded within randomized trial. Participants underwent 3 months rehabilitation including education exercise training. divided 251 into low groups using normal scores SF-36 vitality domain. Baseline data included spirometry, 6-minute...

Guidelines for professionals practising in healthcare settings recommend that autistic people seeking care should receive neurodiversity-affirming support. However, education on neurodiversity is not widely included health professional training Australia. With a focus equity autistic, neurodivergent people, we conducted improvement initiative addressing the need an Australian tertiary hospital through change process. This project was from May to November 2022, led by neurodivergent, disabled...

Abstract Objectives Giant cell arteritis (GCA) carries an increased risk of stroke and blindness. International guidelines recommend older people receive routine comprehensive geriatric assessment (RCGA) during unplanned hospital admissions to improve health outcomes. This quality improvement study addressed the need for RCGA in with GCA at Australian tertiary hospital. The aims this were co‐design, implement evaluate a referral process hospitalised 65 years or new diagnosis changes...

Long-term oxygen therapy (LTOT) is the only component of management chronic obstructive pulmonary disease (COPD) that improves survival in patients with severe daytime hypoxemia. LTOT usually provided by a stationary concentrator and recommended to be used for at least 15-18 h day. Several studies have demonstrated deterioration arterial blood gas pressures saturation during sleep COPD, even those not qualifying LTOT. The suggestion has been made natural progression COPD its end stages...

New paradigms require new language. The term 'neurodiversity' is often misunderstood and used interchangeably with neurodivergence. Instead, neurodiversity describes the infinite, natural variation of neurocognitive functioning in human minds.1 'Neurodiverse' is, therefore, a societal descriptor, outlining this across population. By contrast, 'neurodivergent' refers to those who differ from societally perceived norms brain or mind function—or majority, are sometimes described as...

Long-term oxygen therapy (LTOT) has beneficial effects on survival in patients with chronic obstructive pulmonary disease (COPD) and severe hypoxemia at rest. Two landmark trials suggested that these benefits depend the time of exposure to oxygen. Patients are usually prescribed LTOT for least 15–18 hours/day. The primary objective this study was determine average daily supplemental severely hypoxemic COPD who were newly proportion adherent their prescription. secondary identify predictors...

En s’appuyant sur la théorie de l’échange social, cet article rend compte l’effet médiateur des différentes formes justice organisationnelle (distributive, procédurale, interactionnelle) dans relation entre les pratiques en gestion ressources humaines (GRH) inspirées du modèle Lawler (1986) et l’engagement affectif. Les 134 répondants sont directeurs aux services financiers d’une institution bancaire située au Québec. Des analyses régression, effectuées selon procédures Kenny, Kashy Bolger...

Aim To assess the effect of age‐adjusted Charlson Comorbidity Index ( CCI ) score on Functional Independence Measure FIM gain in older rehabilitation patients. Methods This prospective cohort study observed 306 patients admitted to a secondary hospital between February and April 2015. Groups were compared using cut‐offs ≤4, 5–6 ≥ 7. Results Complete data available for 280 The mean was 5.59 ± 1.96. An ≤4 correlated with higher scores at admission P = 0.015, discharge 0.002, but not greater...

Background and objective Transcutaneous pulse oximetry saturation ( S pO 2 ) is widely used to diagnose severe hypoxaemia prescribe long-term oxygen therapy (LTOT) in COPD. This practice not based on evidence. The primary of this study was determine the accuracy (false positive false negative rates) for prescribing LTOT or screening patients with Methods In a cross-sectional study, we correlated arterial aO COPD moderate (n=240) calculated rates at threshold ≤88% identify (arterial tension P...