General reviews
The role of modern imaging techniques in the investigation of COPD related respiratory lesions
Ioana Ungurean, Voicu Tudorache, Monica MarcThe role of modern imaging techniques in the investigation of COPD related respiratory lesions
Abstract
Chronic obstructive pulmonary disease (COPD) is a common disease (4-6% of adults), with insidious onset and slow progression, which is why the disease remains under diagnosed especially in early stages. Most patients get medical attention in stage III, IV of disease, according to GOLD classification (Global Obstructive Lung Diseases). According to GOLD, priority in staging the disease severity is the evaluation of respiratory function, rectae the FEV1.
However radiographic evaluation of patients with risk (smokers or those working in polluted environment) may represent a first step in marking the changes in the lung and especially comorbidities.
Since this disease is mostly disabilitating and a powerful socioeconomic problem, modern investigations, such as spiral computerised tomography (CT), multidetector computerised tomography (MDCT) and magnetic resonance (MRI) may be alternatives in diagnosis and early detection of disease.
Key words: COPD, underdiagnosed, comorbidities, radiography, CT, MDCT, MRI
The impact of continuous positive pressure on systemic consequences and quality of life in obstructive sleep apnea syndrome patients
Doina Todea, Andreea Herescu, Loredana Rosca, Natalia NeagoeThe impact of continuous positive pressure on systemic consequences and quality of life in obstructive sleep apnea syndrome patients
Abstract
Obstructive sleep apnea syndrome (OSAS) is a complex disease, which frequently links and interacts with other conditions, such as cardiovascular disease, cerebrovascular disease, chronic obstructive pulmonary disease, erectile dysfunction.
OSAS has a significant response on daily activities, including an increased risk for acute cardiovascular events, metabolic and respiratory events and a higher rate of road accidents.
In this article, we intend to present some data about the impact of continuous positive pressure therapy (CPAP) on quality of life of patients with OSAS and it's systemic comorbidities, while trying to draw a warning as to the importance of early initiation of CPAP treatment, which, despite the increased cost, remains the gold standard in treating patients with OSAS.
Keywords: obstructive sleep apnea syndrome, positive pressure, comorbidities, quality of life.