Are oxygen-conserving devices effective for correcting exercise hypoxemia?

Background: Correction of exercise hypoxemia in advanced lung diseases is crucial and often challenging. However, oxygen-conserving devices have been introduced in the market with limited evidence of effectiveness. In the present study the efficacy of 2 oxygen-conserving devices, a pulse demand oxygen delivery (DOD) system and pendant reservoir cannula (PRC), were evaluated in subjects with COPD and interstitial lung disease (ILD).

[The validity and sensitivity to change of the Spanish self-administered version of the chronic respiratory questionnaire (CRQ-SAS)].

Introduction: The interviewer-administered chronic respiratory questionnaire (CRQ-IA) is widely used and has demonstrated excellent properties for measuring health-related quality of life (HRQL) in patients with chronic obstructive pulmonary disease (COPD). However, the self-administered version (CRQ-SAS) in Spanish has not been validated. The aim of this trial was to evaluate the validity and the sensitivity of the Spanish version of the CRQ-SAS in patients with COPD.

Continuous elimination of Pb2+, Cu2+, Zn2+, H+ and NH4 + from acidic waters by ionic exchange on natural zeolites.

A study of breakthrough curves for cations usually found in acid mine drainage (Pb(2+), Cu(2+), Zn(2+) and H(+)) and municipal wastewater (NH(4)(+)) have been conducted on some natural zeolitic tuffs. The zeolitic tuffs used in this study are: three zeolitic tuffs from Cayo Formation, Guayaquil (Ecuador), characterized by X-ray diffraction as clinoptilolite (sample CLI-1) and heulandite (samples HEU-1 and HEU-2)-rich tuffs, and two zeolitic tuffs from Parnaiba Basin, Belem do Pará (Brazil), characterized as stilbite-rich tuffs (samples STI-1 and STI-2). The clinoptilolite sample CLI-1 shows an exceedingly good exchange capacities for Pb(2+) and NH(4)(+) as received, and also a very high exchange capacity for Cu(2+) and Zn(2+) when conditioned with 2M sodium chloride, with much higher values than those reported in the literature for other clinioptilolite ores.

Impact of pulmonary rehabilitation on psychosocial morbidity in patients with severe COPD.

Study Objective: To assess the effect of pulmonary rehabilitation (PR) on psychosocial morbidity, functional exercise capacity, and health-related quality of life (HRQL) in patients with severe COPD.

Design: A prospective, randomized, controlled trial with blinding of outcome assessment and data analysis.

Setting: A tertiary-care respiratory service.

[Efficacy of the 6-minute walk test in evaluating ambulatory oxygen therapy].

Objective: To compare oxyhemoglobin saturation (SpO2) observed during the 6-minute walk test with that of pulse oximetry carried out during activities of daily living (ADLs). The efficacy of the 6-minute walk test for determining adequate oxygen flow to prevent arterial desaturation during ADLs was also analyzed.

Patients And Methods: We studied 37 patients diagnosed with chronic obstructive pulmonary disease (COPD)--mean (SD) forced expiratory volume in 1 second, 26% (9%) of predicted--and compared SpO2 values obtained in the 6-minute walk test with those obtained with ambulatory pulse oximetry during ADLs.