"Dr. François Haas is an unusually gifted scientist and a compassionate human being."–HOWARD A. RUSK, M.D. Founder and Chairman, Rusk Institute

The bestselling guide for chronic bronchitis and emphysema sufferers–newly revised and expanded. For the millions of people diagnosed with chronic bronchitis and/or emphysema, this bestselling guide is now revised and expanded to offer the most up-to-date information available. From helping you understand your disease and its proper care to showing you how to restore vitality and satisfaction to your relationships, Dr. François Haas and Dr. Sheila Sperber Haas provide you with the facts and information needed to find the right treatment and take full advantage of it. Written in a clear and helpful style, The Chronic Bronchitis and Emphysema Handbook now includes current information on useful complementary approaches–including herbal therapy–plus effective exercises and the latest medical advances. You’ll discover:

• How to find the right doctor for you and discuss your treatment options
• How to deal with HMOs and the companies that provide supplemental oxygen
• Which new surgical techniques are most promising
• How to manage stress and anxiety
• How to slow your disease and substantially improve your quality of life
• A variety of helpful resources accessible by phone or web
• The newsletters written by experts that will keep you up-to-date

Dr. Francois Haas is an unusually gifted scientist and a compassionate human being.-HOWARD A. RUSK, M.D. Founder and Chairman, Rusk Institute
The bestselling guide for chronic bronchitis and emphysema sufferers-newly revised and expanded. For the millions of people diagnosed with chronic bronchitis and/or emphysema, this bestselling guide is now revised and expanded to offer the most up-to-date information available. From helping you understand your disease and its proper care to showing you how to restore vitality and satisfaction to your relationships, Dr. Francois Haas and Dr. Sheila Sperber Haas provide you with the facts and information needed to find the right treatment and take full advantage of it. Written in a clear and helpful style, The Chronic Bronchitis and Emphysema Handbook now includes current information on useful complementary approaches-including herbal therapy-plus effective exercises and the latest medical advances. You'll discover:
* How to find the right doctor for you and discuss your treatment options
* How to deal with HMOs and the companies that provide supplemental oxygen
* Which new surgical techniques are most promising
* How to manage stress and anxiety
* How to slow your disease and substantially improve your quality of life
* A variety of helpful resources accessible by phone or web
* The newsletters written by experts that will keep you up-to-date

Chronic obstructive pulmonary disease (COPD) is an increasingly important health problem world-wide. Whereas most other leading diseases have shown a decline in the past decades, COPD morbidity and mortality is on a steady increase. Exacerbations are usually defined as an increase in cough, a change in the colour or quantity of sputum, and a worsening dyspnea. The role of bacterial infections and the efficacy of antimicrobial therapy in acute exacerbations of chronic bronchitis (AECD) is still controversial. Exacerbations of chronic bronchitis are a common occurrence in clinical practice and are a leading cause of antibiotic prescription among respiratory infections. It is still uncertain whether each new exacerbation may deteriorate the natural history of chronic bronchitis. Undoubtedly, every episode includes a temporary worsening in lung function and may therefore pose the threat of respiratory failure or death in more severely obstructed patients.

Gastroesophageal reflux (GER) refers to symptoms and events that result from abnormal regurgitation of gastric contents into the esophagus. GER is a common clinical problem that affects large segments of the general population. The spectrum of problems associated with GER is now known to also involve extra-esophageal sites. Respiratory diseases, in particular bronchial asthma, can be exacerbated by multiple triggers, including GER. The relationship between the occurrence of gastroesophageal disorders and changes in respiratory function has been known for over a century, but the mechanism by which intraesophageal acid regurgitation can produce respiratory symptoms is still debated. The reasons for these concurrent pathological events are also not fully understood. Determining, for instance, whether reflux itself initiates or exacerbates asthma, or whether asthma or its treatment primarily causes GER is a matter of current investigation.

The ?Understanding Asthma chart takes a look at the causes, symptoms, risk factors and treatments for asthma. The anatomy of airways and gas exchange is graphically depicted, along with a peak flow chart. Images of normal and asthmatic bronchioles are shown for comparison in the asthma attack section. Heavy gauge 3ml lamination with sealed edges and two metal eyelets for hanging makes chart highly durable. Write-on/wipe-off with dry erase marker (not included).

Management of the intensive care patient afflicted by respiratory insufficiency requires knowledge of the pathophysiological basis for altered functions. The etiology and therapy of pulmonary diseases, such as acute respiratory distress syndrome (ARDS) and chronic obstructive pulmonary disease (COPD) are highly complex. While physiologists and pathophysiologists work prevalently with theoretical modes, clinicians employ sophisticated ventilation support technologies in the attempt to understand the pathophysiological mechanisms of the pulmonary diseases which can present with varying grades of severity. Despite the availability of advanced technologies it is common to personalize the treatment protocol according to the patient's physiologic structure.Given the complexity and difficulties of treating respiratory disease, a strong collaboration between clinicians and physiologists is of fundamtental importance.

The traditional Vienna Asthma Forum was held in early June 1996 and th was the 6 in a biennial mode within 10 years. This time it was dedicated to the long-acting beta-2-agonists, which were registered (or just about to be) in most European countries. The introduction of this therapeutic principle into routine praxis of asthma therapy was so successful that a closer view on the subject from a scientific point was warranted. Salmeterol, shortly afterwards formo- terol are the drugs available for the inhalative route, while bambuterol serves as an oral agent. The scientists particularly involved in the design and pharma- cokinetics of these drugs were invited, and we were lucky that Malcolm Johnson (Glaxo), Leif Svensson (Astra) and Gary Anderson (Ciba- Geigy) delivered fascinating contributions. However, drug therapy of this kind can only be effective if based on a thorough understanding of the molecular biology of cells and receptors, which was superbly covered by Sheila Collins (Durham) and Ian M. Adcock (London). The pediatric indications for beta-2-agonists were commented by Manfred G6tz (Vienna), and a large spectrum of clinical studies, reported by G. Boyd (Glasgow), A.P. Greening (Edinburgh), M.

This book discriminates and emphasizes approaches that are likely to be productive in terms of understanding the causation and mechanisms of occupational lung diseases. It benefits research academicians in the field of lung diseases, and government and public health authorities.

Updated to reflect the latest scientific advances and technologies in the diagnosis and treatment of pleural diseases, this new Second Edition explores the structure and function of these diseases and malignancies, from tuberculosis and asbestos to pleurisy and pneumothorax. Edited by leading international authorities in pulmonary medicine, this comprehensive guide is an invaluable resource for pulmonologists, radiologists, and critical care physicians. Pleural Disease, Second Edition highlights: molecular and diagnostic approaches interventional applications, including pleural thoracentesis and closed biopsy, chest tube insertion, pleural lavage, medical thoracoscopy, and VATS biomarkers and proteomics translational medicine approaches, new treatment methodologies, and clinical manifestations various diagnostic tests and the importance of clinical evaluation in the differential diagnosis of a pleural effusion new surgical and non-surgical techniques to identify and diagnose pleural diseases, including: medical thoracoscopy, pleural lavage, intrapleural fibrinolytics, image-guided small bore catheters, video-assisted thoracoscopic surgery (VATS), pleuroperitoneal shunt, and extrapleural pneumonectomy

A must have resource for clinicians and investigators interested in pulmonary embolism and deep venous thrombosis * Highly illustrated with numerous tables and graphs alongside clear concise text * Includes chapters addressing pulmonary embolism (PE) and deep venous thrombosis (DVT) in relation to diseases and disorders such as; chronic heart failure, cancer, diabetes, stroke, chronic obstructive pulmonary disease (COPD) and many more * Discusses the role the different tools offered in imaging for PE, including echocardiography, multidetector computed tomography (CT), single photon emission computed tomography (SPECT), ventilation-perfusion (V-Q) imaging, dual energy CT, and magnetic resonance angiography * Contains 29 new chapters and includes new content on epidemiology of deep venous thrombosis; use of the new anticoagulants (dabigatran, rivaroxaban, and apixaban) for DVT and PE; indications and results with thrombolytic therapy and with vena cava filters; and information and indications for invasive mechanical thrombectomy and thrombolysis * Written by an internationally recognized and respected expert in the field

As our population continues to grow, more and more patients are becoming dependent on long-term ventilatory support. Therefore, the need for quality options such as home mechanical ventilation is fast becoming a necessity. Ventilatory Support For Chronic Respiratory Failure (CRF) is the first resource to authoritatively address the needs of the acute or chronic respiratory patient through the transition from the hospital to the home-care setting. This reference covers best practices in the management of CRF patients who are: clinically stable ventilator dependent in an institutional setting transitioning back to the community likely to require home-based care Covering ethical and economic management issues, as well as perspectives from renowned national and international specialists, this guide: guides clinicians through transitional care stages, from weaning in the acute care setting to long-term ventilation in the home discusses topics rarely detailed in acute care texts, such as physical therapy and secretion clearance contains a chapter focused on the special care needs of the CRF patient including nutritional concerns, pressure ulcers, pneumonia, and speech challenges

The only source to describe the lung surfactant as a complex membranous system, this guide analyzes lung surfactant function from the aspects of molecular biology, biophysics, membrane science, and surface and interface analysis and reviews the latest basic and clinical issues relating to lung disease and (dys)function.

A flood of data indicate the importance and the relevance in both respiratory and extrapulmonary disease of Chlamydia pneumoniae infection today. Antibody prevalence rates in Western countries reach 50% in the adult population and remain high in old age suggesting a high rate of reinfection. Chlamydia pneumoniae can cause upper respiratory tract infections, like pharyngitis and sinusitis as well as bronchitis and more than 10% of community-acquired pneumonia. Recent data suggest a possible association of Chlamydia pneumoniae infection with wheezing and adult-onset asthma. However, the most intriguing hypothesis pertains the possible association between Chlamydia pneumoniae infection and atherosclerosis.

The number of asthma sufferers has risen sharply since the mid 1980s, with 10 million sufferers in the US and 3.7 million in the UK. Although many people are able to control their condition with drugs, it is still a serious condition- every six hours somebody dies from asthma in the UK.

In Yoga Beats Asthma, qualified nurse and experienced yoga teacher Stella Weller reveals how yoga can help sufferers move away from reliance on powerful drugs for treatment.

The powerful breathing techniques and exercises outlined in the book show sufferers how to support their respiratory system and help prevent, control and lessen the severity of an attack .

This essential resource is ideal for sufferers of all ages, as well as parents of asthmatic children who want to help treat the problem naturally.

The book includes an explanation of the breathing system, helping readers to understand what asthma is and how it is triggered. The yoga approach to asthma and how and why it works is also clearly explained.

This highly practical and accessible guide includes: ? physical exercises (asanas) ? breathing exercises (pranayama) ? mind power ? coping with anxiety and panic to prevent attacks ? relaxation exercises ? nutritional advice.

In this issue of Clinics in Chest Medicine, guest editors Drs. Clemente J. Britto and Jennifer L. Taylor-Cousar bring their considerable expertise to Advances in Cystic Fibrosis. Top experts in the field cover key topics such as genetics of cystic fibrosis (CF): clinical implications; innate and adaptive immunity in CF; novel applications of biomarkers and personalized medicine to define the spectrum of CF; emerging approaches to understand CF pathogenesis; and more. Contains 18 relevant, practice-oriented topics including novel approaches to multidrug resistant infections in CF; clinical outcomes of highly-effective modulator therapy; nontuberculous mycobacterial infections in CF; management of mental health in CF; sexual and reproductive health in CF; nutritional management in CF; transitions of care in CF; and more. Provides in-depth clinical reviews on advances in cystic fibrosis, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Die strukturellen Veranderungen der Bronchialschleimhaut beim Asthma sind zwar Folge der zellularen Interaktionen, aber wesentlich trager als diese und bilden die Basis fur spater irreversible Funktionsstorungen. Daher ist die fruhe antientzundliche Therapie so wichtig. Fur diese wieder scheint das Theophyllin zunehmend interessant zu werden, wie aus neuesten in vitro und in vivo Untersuchungen hervorgeht."

Pleural diseases are very common and of increasing prevalence. This brand new title in the ABC series covers a wide range of conditions including pneumothorax, pleural effusions, pleural infections, chylothorax and mesothelioma.

Written by a team of specialists this overview of pleural diseases is a practical guide for the management of pleural diseases including general practitioners, junior doctors, specialist nurses, radiologists and all healthcare professionals working within chest medicine.

Questo libro riporta lo stato dell'arte delle piu comuni malattie dell'apparato respiratorio. La prima parte e dedicata all'anatomia del polmone, alla regolazione della respirazione e alla meccanica respiratoria, seguita dall'esame funzionale del paziente respiratorio e dalla diagnostica invasiva e non invasiva, inclusa la diagnostica per immagini in pneumologia.

Nella descrizione delle malattie particolare importanza e stata data nel chiarire il "perche" dei diversi sintomi e segni clinici mentre l'approccio terapeutico, confrontato con le linee guida internazionali, fa comunque riferimento alla vasta esperienza clinica degli autori.

L'obiettivo principale di questo libro e quindi quello di riportare le piu recenti acquisizioni nella fisiologia, fisiopatologia e clinica delle malattie dell'apparato respiratorio, inclusa la ventilazione meccanica non invasiva, l'ossigenoterapia e la riabilitazione respiratoria, e di combinare una chiara descrizione della fisiopatologia respiratoria con enfasi alla sua applicazione clinica.

Il volume e rivolto sia agli studenti del corso di laurea specialistica in medicina e chirurgia, sia agli specializzandi in malattie dell'apparato respiratorio. Rappresenta inoltre un valido riferimento per il medico di medicina generale, soprattutto quando quest'ultimo intenda aumentare le proprie conoscenze cliniche, diagnostiche e terapeutiche nel settore delle patologie respiratorie, branca che sempre piu frequentemente coinvolge il medico e lo specialista nella risoluzione di casi anche molto complessi.

This book demonstrates practical and clinical applications to child management in fields such as intensive care, neonatology, diagnostic radiology and cardiothoracic and respiratory medicine. Highly illustrated, extensively referenced text is an essential guide for physiotherapitsts, nurses, students and other health professionals working with children.

Das Konzept des allergischen Asthma hat lange Zeit so sehr dominiert, daA die Immunotherapie vielfach ohne gesicherte diagnostische Grundlage, halbherzig oder ohne die Feinheiten der Allergenvermeidung angewendet wurde. Die Forschung der letzten zehn Jahre hat uns eine derartige Ausweitung unseres Wissenshorizontes beschert, daA es an der Zeit schien, maAgebliche Autoren zur gemeinsamen Diskussion der neuen Aspekte einzuladen. Das Buch berichtet von den neuesten Erkenntnissen A1/4ber zellulAres Verhalten, unterschiedliche Zytokinmuster und autoimmunologische Aspekte bis hin zur modernen Allergenvermeidung, aber auch von der wirksamen medikamentAsen Therapie der eosinophilen EntzA1/4ndung The concept of asthma being an "allergic disorder only" has dominated above others to an extent, that a re-evaluation of this issue in the light of very recent results from research in immunopathology seemed more than overdue. This volume provides a current concept of theory and clinical practice of immunopathology and therapy of asthma, comprising extensive and brand new laboratory data on atopy, intrinsic asthma, aspects of autoimmunology, as well as guidelines for allergen avoidance, immunotherapy and - last not least - pharmacological treatment of eosinophilic inflammation.

Aims and approach In order to chart the way for long-tenn policies in the field of public health, the Dutch government needs to have the best possible insight into potential future trends and the problems to which these could give rise. It was with a view to compiling a number of long-range studies that the independent Steering Committee on Future Health Scenarios was set up in 1983. In 1988 this body appointed a board of experts to sUivey the future of Chronic Diseases. Three chronic diseases have been selected: diabetes mellitus, CNSLD (chronic non-specific lung disease) and rheumatoid arthritis (a chronic disorder of the joints). In close consultation with this board, the study has been conducted by the Department of Epidemiology of the National Institute of Public Health and Environmental Protection in Bilthoven. This report contains the results of the research into CNSLD. The report on diabetes mellitus was published in March 1990, while that on rheumatoid arthritis followed shortly (1991). The series has been concluded with a fmal report (spring 1992), in which, among other things, the results of the three reports have been brought together with a view to arriving at an overall picture of chronic diseases. The research had two main objectives: 1.

In spite of years of tuition and examination, newly qualified doctors are often left inadequately prepared for real-world clinical practice. The major concern is that 'book knowledge' gleaned at medical school does not always translate to safe and effective practical knowhow.Based on the author's many years of expertise as an educator globally, this book helps final-year students make the difficult transition to first-year doctors. Drawing on the latest evidence-based information, it focuses on aspects important to clinical practice in the areas of gastroenterology, cardiology and respiratory medicine such as differentials, investigations and management with full references provided throughout. Also detailed are examination skills; although not the routine form of how to examine but what to be thinking when asked to examine: what conditions should be prevalent in a doctor's mind? And how can these conclusions be reached before even seeing the patient? Practical knowledge like this defines an effective clinician.Clear, concise and rigorous in its approach, this comprehensive volume is indispensable companions to any new doctor in the above fields.

While specialists often guide the care to lung cancer patients, it is often a general radiologist who is left to interpret studies that impact patient care and management. Lung Cancer Imaging provides a comprehensive guide to the diagnosis, staging and overview of the management of lung cancer relevant to practicing radiologists so that they can better understand the decision making issues and provide more directed and useful communication to the treating physicians. It Primary Care physicians will also find this book valuable to understand the relevant issues that they face when one of their patients is being treated for lung cancer.

The Austrian Pneumological Society held its 33th Workshop on "Clinical Respiratory Physiology" at Graz, November 1 st -3rd, 1990. Bronchial hyperresponsiveness has been known nearly as long as asthma bronchia Ie itself. During the last two decades while exploring the inflammatory nature of asthma bronchiale we have learned a lot about measuring and modifying this phenomenon. Because of the practical relevance and owing to the high competence of the authors we hope that the lectures and discussions we had at Graz will inform and enjoy the interested reader. I want to express my deep gratitude to all the authors for providing us with the manuscripts and graphs. Finally I am especially grateful to Mrs. H. Weber for her secreterial work and to Mrs. Mag. A. Lahrmann-Ramharter for correcting the written version of the speeches and preparing a manuscript that was ready for the press. Prim. Dr. Hartmut Zwick Contents Barnes P. : Cellular and Biochemical Aspects of Airway Hyperresponsiveness. . . . . . . . . . 1 Hargreave F. E. : Airway Hyperresponsiveness and Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Ingram R. H. : Physiologic Correlates of Increased Airway Responsiveness . . . . . . . . . . . . . . . . 36 K errebijn K F. : Bronchial Provocation Testing in Children -Methods and Clinical Relevance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Tattersfield A. E. : Bronchial Provocation Testing in Adults -Is There Clinical Relevance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Kummer F. : Principles and Approaches in Asthma Therapy. . . . . . . . . . . . . . . . . . . . . . . . . .

The Austrian Pneumological Society held its 33th Workshop on "Clinical Respiratory Physiology" at Graz, November 1st - 3rd, 1990. Sleep related breathing disorders have been known for many years to be an important cause of daytime disability I a huge amount of literature about this topic has been written in the last ten or fifteen years. Because of the practical relevance owing to the high competence of the authors we hope that the lectures and discussions we had at Graz will enjoy and inform the interested reader. I want to express my deep gratitude to all the authors for providing us with the manuscripts and graphs. I am especially grateful to Mrs. H. Weber for her secreterial work and to Mrs. Mag. A. Lahrmann-Ramharter for correcting the written version of the speeches and preparing a manuscript that was ready for the press. Prim. Dr. Hartmut Zwick Contents Douglas J. N.: Breathing During Sleep................... 1 Krieger J.: Pulmonary Hemodynamics in Sleep Apnea .................................16 Peter J. H.: Epidemiology of Sleep Related Breathing Disorders with Obstruction of the Upper Airways.....................