199 research outputs found
Development of a syllabus for postgraduate respiratory physiotherapy education: the Respiratory Physiotherapy HERMES project
No full textNot availabl
A core syllabus for postgraduate training in respiratory physiotherapy.
No full textPhysiotherapy contributes significantly to improving quality of life for patients with respiratory disease. Physiotherapists
specialised in dealing with respiratory pathology and its associated problems are not only central in the delivery of pulmonary rehabilitation but also provide strategies and
techniques for exercise testing, airway clearance, breathlessness management, mobility and function improvement and pain management. Published evidence-based recommendations have paved the way for standardised practice while also unravelling the extended scope of responsibilities of the respiratory physiotherapist.
The breakdown of traditional roles and allocation of new responsibilities is not confined to the respiratory physiotherapist within healthcare systems. Team-based
healthcare and interprofessional treatment of patients is prevalent in the provision of care across the globe. New methods of healthcare delivery indicate that tasks are
entrusted to those deemed competent to perform them. It has therefore been necessary to train allied health professionals to take over parts of clinical care
Introduction of the harmonised respiratory physiotherapy curriculum
No full textThe proposed curriculum describes the knowledge, skills and attitudes that must be mastered by a respiratory physiotherapist working with adults and/or children. It also provides indications for minimum clinical exposure, forms of learning and assessment
Farklı Fenotipteki Kronik Obstrüktif Akciğer Hastalarında Fonksiyonel Statünün Karşılaştırılması
No full textChronic obstructive pulmonary disease (COPD) is one of the major causes of morbidity and mortality. Besides its effects on lung, there are also systemic effects on exercise capacity and daily living activities. The purpose of this study was to evaluate and compare functional status in COPD patients with different phenotype. Sixty-five patients with COPD participated in this study. COPD phenotypes were determined according to risk classification GOLD (Global Initiative for Chronic Obstruction Lung Disease) classification and the number of exacerbation in the previous one year, classification of symptoms CAT (COPD Assessment Questionnaire). Sixteen phenotype A, 21 phenotype B, 2 phenotype C, and 26 phenotype D patients were included in the study. Physical and demographic characteristics of the subjects were recorded. Pulmonary function testing, inspiratory and expiratory muscle strength (MIP and MEP) measurement, peripheral muscle strength measurement, six-minute walk test (6MWT), Glittre Activities of Daily Living (ADL) testing were used. Modified Medical Research Council (MMRC) dyspnea scale to determine the dyspnea perception, London Chest Activities of Daily Living Questionnaire (LCADL) to assess ADL, Clinical COPD Questionnaire (CCQ) to measure functional status and symptoms were used. As a result, MMRC score, CCQ score, physical, recreation and total scores of LCADL in group A was significantly lower than group B and D (p0.05). In conclusion, it has been shown that different phenotypes of COPD patients have different functional status. Comprehensive evaluation of the patients with different phenotypes of COPD, a systemic disease, will contribute to program planning in pulmonary rehabilitation according to patients? needs.Kronik obstrüktif akciğer hastalığı (KOAH), majör morbidite ve mortalite nedenlerinden biridir. KOAH?ın akciğere olan etkilerinin yanında egzersiz kapasitesi ve günlük yaşam aktiviteleri üzerine sistemik etkileri de mevcuttur. Bu çalışmanın amacı, farklı fenotipteki KOAH hastalarının fonksiyonel durumunu değerlendirmek ve karşılaştırmaktı. Çalışmaya KOAH tanısı ile izlenen 65 birey katıldı. KOAH fenotipleri, risk sınıflaması GOLD (Küresel Obstrüktif Akciğer Hastalığı Girişimi) ve bir yılda geçirilen alevlenme sayısına, semptom sınıflaması CAT (KOAH Değerlendirme Anketi)?ne göre belirlendi. KOAH A fenotipinden 16, B fenotipinden 21, C fenotipinden 2 ve D fenotipinden ise 26 hasta alındı. Olguların fiziksel ve demografik özellikleri kaydedildi. Solunum fonksiyon testi, inspiratuar ve ekspiratuar kas kuvveti (MIP ve MEP) ölçümü, periferal kas kuvveti ölçümü, altı dakika yürüme testi (6DYT) ve Glittre günlük yaşam aktivitelerini (GYA) değerlendirme testi uygulandı. Dispne algılaması için Modifiye Medical Research Council (MMRC) dispne skalası, GYA için London Chest günlük yaşam aktivitelerini değerlendirme anketi (LCGYA), fonksiyonel durum ve semptomları ölçmek için ise, Klinik KOAH anketi (CCQ) kullanıldı. Çalışma sonucunda; A grubu olguların MMRC puanı, CCQ puanı, LCGYA fiziksel, boş vakit ve total puanı, B ve D grubuna göre anlamlı olarak daha düşük bulundu (p0.05). Çalışma sonucunda, farklı fenotiplere sahip KOAH hastalarının farklı fonksiyonel duruma sahip oldukları gösterildi. Sistemik bir hastalık olan KOAH?ta farklı fenotiplere sahip hastaların kapsamlı değerlendirmelerinin yapılması pulmoner rehabilitasyon programlarının hastaların ihtiyaçlarına göre planlanması açısından yön gösterici olabilir
A guide for respiratory physiotherapy postgraduate education : presentation of the harmonised curriculum
No full textThe ERS respiratory physiotherapy curriculum sets a new standard for postgraduate respiratory physiotherapy education. It was developed to promote evidence-based practice and physical skills for the respiratory physiotherapist
The relationship between cough-specific quality of life and abdominal muscle endurance, fatigue, and depression in patients with COPD
No full textHulya Arikan,1 Sema Savci,2 Ebru Calik-Kutukcu,1 Naciye Vardar-Yagli,1 Melda Saglam,1 Deniz Inal-Ince,1 Lutfi Coplu31Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey; 2School of Physiotherapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey; 3Department of Chest Medicine, Faculty of Medicine, Hacettepe University, Ankara, TurkeyBackground: Cough is a prevalent symptom that impacts quality of life in COPD. The aim of this study was to assess the relationship between cough-specific quality of life, abdominal muscle endurance, fatigue, and depression in stable patients with COPD.Methods: Twenty-eight patients with COPD (mean age 60.6±8.7 years) referred for pulmonary rehabilitation participated in this cross-sectional study. Sit-ups test was used for assessing abdominal muscle endurance. Leicester Cough Questionnare (LCQ) was used to evaluate symptom-specific quality of life. Fatigue perception was evaluated with Fatigue Impact Scale (FIS). Beck Depression Inventory (BDI) was used for assessing depression level.Results: The LCQ total score was significantly associated with number of sit-ups; BDI score; FIS total; physical, cognitive, and psychosocial scores (P<0.05). Scores of the LCQ physical, social, and psychological domains were also significantly related with number of sit-ups, FIS total score, and BDI score (P<0.05). FIS total score and number of sit-ups explained 58% of the variance in LCQ total score (r=0.76, r2=0.577, F(2–20)=12.296, P<0.001).Conclusion: Chronic cough may adversely affect performance in daily life due to its negative effect on fatigue and decrease abdominal muscle endurance in patients with COPD. Decreased cough-related quality of life is related with increased level of depression in COPD patients. Effects of increased abdominal muscle endurance and decreased fatigue in COPD patients with chronic cough need further investigation.Keywords: cough, quality of life, depression, fatigue, chronic obstructive pulmonary diseas
Functional capacity, physical activity, and quality of life in hypoxemic patients with chronic obstructive pulmonary disease
No full textMelda Saglam,1 Naciye Vardar-Yagli,1 Sema Savci,2 Deniz Inal-Ince,1 Ebru Calik Kutukcu,1 Hülya Arikan,1 Lutfi Coplu3 1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey; 2School of Physiotherapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey; 3Department of Chest Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey Background: The risk of hypoxemia increases with the progression of chronic obstructive pulmonary disease (COPD) and the deterioration of pulmonary function. The aim of this study was to compare functional capacity, physical activity, and quality of life in hypoxemic and non-hypoxemic patients with COPD.Methods: Thirty-nine COPD patients (mean age: 62.0±7.03 years) were included in this study. Arterial blood gas tensions were measured, and patients were divided into two groups according to oxygen partial pressure (PaO2), the hypoxemic COPD (PaO2 <60 mmHg) (n=18), and the control (PaO2 ≥60 mmHg) (n=21) groups. Functional exercise capacity was evaluated using the 6-minute walk test (6MWT). Oxygen saturation, dyspnea, and fatigue perception were measured before and after the 6MWT. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ) and an accelerometer. Quality of life was assessed using the St George’s Respiratory Questionnaire (SGRQ).Results: The number of emergency visits and hospitalizations were higher in hypoxemic patients (P<0.05). Lung function parameters, 6MWT distance, exercise oxygen saturation, IPAQ total score, and energy expenditure during daily life were significantly lower, but percentage of maximum heart rate reached during the 6MWT was significantly higher, in hypoxemic COPD patients than in controls (P<0.05).Conclusion: Hypoxemia has a profound effect on functional capacity and physical activity in patients with COPD. Keywords: COPD, hypoxemia, 6-minute walk tes
Determinants of cross-country income inequality : an augmented Kuznets hypothesis
No full textWhy does income inequality differ among countries? Using a sample of 80 countries from the 1980s, the author shows that two types of factors explain variations in income inequality. The first are factors that are, in the short term, independent of economic policies and are included in the standard formulation of the Kuznets'curve: the level of per capita income and the country's regional heterogeneity. From the viewpoint of economic policy, these are"given"factors, resulting in a"given inequality."The second group of factors are the social-choice factors reflected in the sizeof social transfers and of state sector employment, both of which reduce inequality. For this sample, the reduction amounts to about a quarter of"given"inequality. The importance of social-choice factors rises as the level of income rises. The divergence between actual inequality and the inequality predicted by the standard Kuznets'curve therefore systematically widens as a society develops. This discrepancy is systematic, the author contends. Inequality in richer societies decreases not only because of economic factors but also because societies choose less inequalities as they grow richer.Inequality,Poverty Impact Evaluation,Environmental Economics&Policies,Services&Transfers to Poor,Safety Nets and Transfers
Broadband Trailing-Edge Noise Reduction Using Permeable Metal Foams
No full textAircraft Noise and Climate EffectsWind EnergyNovel Aerospace Material
COMPUTERIZED WATER DISTRIBUTION MANAGEMENT FOR THE UPPER PAMPANGA RIVER PROJECT, PHILIPPINES
No full textRights Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author
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