The mucosal sparing approach and surgical method of extirpation are discussed in detail. To the authors’ knowledge 4EGI-1 in vitro this is the first description of a submucosal coblation technique being used as treatment for pharyngeal LMs. (C) 2013 Elsevier Ireland Ltd. All rights reserved.”
“BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a costly condition that frequently causes permanent work disabilities. Little information exists regarding the impact of COPD on work force participation and the indirect costs of the disease in developing countries.
OBJECTIVE: To examine the frequency of paid employment and factors influencing
it in a Latin-American population-based study.
METHODS: Post-bronchodilator FEV(1)/FVC < 0.70 (forced expiratory
volume in 1 s/forced vital capacity) was used to define COPD. Information regarding paid work was assessed by the question ‘At any time in the past year, have you worked for payment?’
RESULTS: Interviews were conducted with 5571 subjects; 5314 (759 COPD and 4554 non-COPD) subjects underwent spirometry. Among the COPD subjects, 41.8% reported having paid work vs. 57.1% of non-COPD (P < 0.0001). The number of months with paid work was reduced in COPD patients (10.5 +/- 0.17 vs. 10.9 +/- 0.06, P < 0.05). The main factors associated with having paid work in COPD patients were male sex (OR 0.33, 95% CI 0.23-0.47), higher education level (OR 1.05, 95% CI 1.01-1.09) and younger age (OR 0.90, 95% CI 0.88-0.92). www.sellecn.cn/products/AZD0530.html COPD was not a significant contributor to employment (OR 0.83, 95% CI 0.69-1.00, TPCA-1 P = 0.054) in the entire population.
CONCLUSIONS: Although the proportion of persons with paid work is lower in COPD, having COPD appears not to have a significant impact on obtaining paid employment in the overall population of developing
countries.”
“Objective: Current guidelines recommend a multidisciplinary systematic integrated approach to patient with chronic cough in which nowadays otolaryngologists play an increasingly valuable role as new procedures are used for evaluation and treatment. Surgery has been never taken into consideration to treat refractory chronic cough. Method: We present a rare case of arytenoid mucosa oedema inducing stridor and cough, lasting 8 months, that critically affected the quality of life of a 15-year-old adolescent arrived to our emergency department with prominent arytenoid oedema causing paroxysmal cough and laryngeal stridor and that was successfully treated by laryngeal debridement. Results: In this case report we observed that prominent swelling of arytenoid mucosa might sustain a vicious cycle of cough persistence and that laryngeal surgical debridement might interrupt it resolving the particular clinical condition.