Coughing fits, asthma, breathing problems: After Deonar fire, there is trouble in the air – The Indian Express


The Indian Express

Coughing fits, asthma, breathing problems: After Deonar fire, there is trouble in the air
The Indian Express
For three days, owner of a tiny gulab-jamun stall, Shivnath Rathore, would lie on his mattress at night, suffering bouts of asthma as a heavy layer of smoke settled over the cluttered 10X15-feet houses spanning eastwards of Deonar dumping ground.

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Concomitant MAZE procedure during cardiac surgical procedures, is there any survival advantage in conversion to sinus rhythm?

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Concomitant MAZE procedure during cardiac surgical procedures, is there any survival advantage in conversion to sinus rhythm?

Minerva Cardioangiol. 2014 Oct 30;

Authors: Neragi-Miandoab S, Skripochnik E, Michler RE, Friedman P, D’alessandro DA

Abstract
BACKGROUND: The MAZE procedure, or concomitant intraoperative ablation, is an effective technique to restore long–term sinus rhythm (SR). The survival benefit of conversion to SR has been questioned recently.
METHODS AND RESULTS: We retrospectively evaluated the conversion rate to SR and its correlation with long–term survival in 209 patients with chronic AF, who had a MAZE procedure during cardiac surgical procedures between the years 2006 and 2011 at our institution. The mean age was 67.2 ± 12.0 years and 52.2% were female (n=109). Perioperative mortality was 5.74% (n=12). In univariate analysis, significant risk factors for perioperative mortality were age (p=0.0033), duration of perfusion time (p=0.0093), elevated creatinine (?1.6 mg/dL, p=.02), and cross clamp time (p=0.016). In multivariate analysis age (HR 2.97) and duration of perfusion time (HR 1.48) were the only independent predictors of perioperative mortality. The overall one and five–year survival rates were 88%±2.2%, and 76%±3.3%, respectively. The one and five–year survival rates for patients who converted and were in sinus rhythm (SR) upon discharge (n=154) were 88%±2.6% and 80%±3.5%, respectively. While the one and five–year survival rates for patients who were still in AF upon discharge (n=55) were 94%±3% and 82%±6.6%, respectively, this survival difference was not statistically significant (p=0.24). Significant risk factors for long–term mortality included DM (p=0.023), preoperative MI (p=0.043), preoperative renal insufficiency (creatinine, ?1.6 mg/dL, p=0.02) and asthma/COPD (p=0.040). In multivariate analysis, age (HR 1.048) and preoperative MI (HR 1.948) were the only independent predictors of long–term mortality.
CONCLUSION: The surgical MAZE procedure has a high conversion rate, however, our data did not show improved survival in patients who converted to SR prior to discharge.

PMID: 25358018 [PubMed – as supplied by publisher]

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In Overweight Kids, There Are Mistaken Asthma Symptoms – And Overuse Of … – Science 2.0


Counsel & Heal

In Overweight Kids, There Are Mistaken Asthma Symptoms – And Overuse Of
Science 2.0
When obese children with asthma run out of breath it could be due to poor physical health related to weight, yet it is considered asthma often enough that there could be high and unnecessary use of rescue medications, finds a paper in the Journal of
Overweight Asthmatic Children Risk Overusing MedicationCounsel & Heal

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There are better ways to fight asthma, school absenteeism than proposed EPA … – Washington Examiner

There are better ways to fight asthma, school absenteeism than proposed EPA
Washington Examiner
For example, the White House claims the new rules would stop 150,000 asthma attacks by cutting carbon emissions. But it fails to note many of the substances that can trigger asthma and its associated attacks are naturally occurring. According to the

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Girl, 12, dies of an asthma attack because there was no school nurse due to … – Daily Mail


Daily Mail

Girl, 12, dies of an asthma attack because there was no school nurse due to
Daily Mail
Laporshia Massey, 12, died of an asthma attack on Sept.25 after staff members at Bryant Elementary School in Cobbs Creek, PA didn't provide immediate rescue. The school only has a nurse on staff two days a week. This is due to Philadelphia budget cuts
Sixth-grader dies from asthma complications, no school nurse on dutyUPI.com (blog)
Sixth-grader's death adds to fears over Philly layoffs of school nursesNewsworks.org
Girl's Death Allegedly Linked To Cash-Strapped School DistrictMyFox Philadelphia
Philly.com (blog) –Forbes –Washington Post (blog)
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Asthma patients don’t have to be alone and suffer/help is there: Mike Holzheimer – Plain Dealer (blog)

Asthma patients don't have to be alone and suffer/help is there: Mike Holzheimer
Plain Dealer (blog)
Again, I hope these words will be an inspiration for adults and children who suffer with asthma. I have known such suffering throughout my lifetime. However, had it not been for one man, and his medical talents, my breathing difficulties would easily

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