One hundred and ten men undergoing coronary artery bypass grafting took part in a prospective randomised study comparing three physiotherapy protocols. All patients were taught self supported huffing and coughing by a physiotherapist and encouraged to move about. This comprised the sole treatment for the 37 control patients (group 3). Additional physiotherapy included breathing exercises for th...

pulmonary complications continue to be vexing problems during the postoperative period in patients undergoing major surgery. Using abdominal distention, pulmonary signs, and purulent sputum as criteria, Wightman’ reported an incidence of 21 percent for serious pulmonary complications in a prospective survey of patients undergoing surgery. Employing the same criteria together with abnormal chest...

Introduction: Severe pulmonary dysfunction is a commonly occurring postoperative complication following cardiac surgery. Resection of lung causes major anatomical and physiological changes. Shift the mediastinum reduction in respiratory function pneumonectomy makes surgery challenging not only for surgeon but also anaesthetist. The reported experience sparse patients with prior who are undergoi...

BACKGROUND Measurement of vital capacity (VC) by spirometry is the most widely used technique for lung function evaluation, however, this form of assessment is costly and further investigation of other reliable methods at lower cost is necessary. OBJECTIVE To analyze the correlation between direct vital capacity measured with ventilometer and with incentive inspirometer in patients in pre and...

OBJECTIVE To determine the ability of spirometry technicians in the World Trade Center Worker and Volunteer Medical Screening Program to meet American Thoracic Society spirometry quality goals. METHODS Spirometry technicians were trained centrally and performed spirometry sessions at 6 sites in the greater New York City area. We reviewed and graded the spirometry results for quality every mon...

Pavlovian cues for rewards become endowed with incentive salience, guiding "wanting" to their learned reward. Usually, cues are "wanted" only if their rewards have ever been "liked," but here we show that mesocorticolimbic systems can recompute "wanting" de novo by integrating novel physiological signals with a cue's preexisting associations to an outcome that lacked hedonic value. That is, a c...

OBJECTIVE To assess value-added service of a pharmacist-driven point-of-care spirometry clinic to quantify respiratory disease abnormalities within a primary care physicians office. METHODS This retrospective, cohort study was an analysis of physician referred patients who attended our spirometry clinic during 2008-2010 due to pulmonary symptoms or disease. After spirometry testing, data was ...