Development and impact of exercise program on postoperative pulmonary complications following lung resection

To develop and implement an exercise program for patients undergoing lung resection as well as to assess the impact of this exercise program on postoperative pulmonary complication following lung resection. 59 patients underlying lung resection were subjected to: preoperative assessment [including history taking, general laboratory tests, arterial blood gases [ABG], pulmonary function tests, 12-lead surface ECG and color Doppler echocardiography as well as postoperative pulmonary function [3 months postoperative] and hospital stay. Postoperative pulmonary complications were noted according to a precise definition. Thery were divided to two groups 35 as control and 24 as cases. Cases were subjected to preoperative two weeks physiotherapy. The risk of PPCs associated with selected factors was evaluated. The operations performed included 13 RUL, 9RML, 13RLL, 15LUL and 9 LLL. fifty-nine patients were studied [35 patients as control and 24 patients as cases]. They were age, sex, BMI, pulmonary function, ABG, and general lab matched. They were also matched regarding preoperative cardiovascular evaluation criteria. PPCs occurred in [12] cases of [35] patients [34.3%] in control group and [2] patients in intervention group [8.3%]. The number of days in the hospital postoperatively decreased with the intervention group. There was no significant difference between cases developed postoperative complication and non-complicated cases regarding pre and postoperative pulmonary function tests. Exercise program evaluated in this study can decrease PPCs and postoperative hospital stay. In addition preoperative pulmonary function tests do not appear to contribute to the identification of high-risk patients

Impact of an exercise program on postoperative complications and hospital stay following lung resection

To develop and implement an exercise program for patients undergoing lung resection and to assess the impact of this exercise program on postoperative pulmonary complications and hospital stay following lung resection. 59 patients underlying lung resection were included in the study. Patients were randamly assigned to two groups 35 as controls and 24 as intervention group. All patients had preoperative assessment [including history taking physical examination, general laboratory tests, arterial blood gases, pulmonary function tests, 12-lead surface ECG and color Doppler echocardiography as well as postoperative pulmonary function tests [3 months postoperative] and hospital stay. Postoperative pulmonary complications were noted according to a precise definition. The intervention group was subjected to pre- and postoperative exercise program. The risk of PPC's associated with selected factors was evaluated. The operations performed included 13 RUL, 9RML, 13RLL, 15LUL and 9 LLL. Fifty-nine patients were studied [35 patients as control and 24 patients as intervention]. There were no differences between the 2 groups regarding age, sex, BMI, pulmonary functions tests ABG, and general laboratory results also had preoperative cardiovascular evaluation criteria that did not differ between the 2 groups. PPCs occurred in 12 patients of controls [34.3%] compared to 2 patients in intervention group [8.3%]; a difference that was highly statistically significant [p<0.001]. The hospital slay was significantly shorter in the intervention group compared to controls [p<0.001] There was no significant difference between patients with and without postoperative complications regarding results of pulmonary function tests. Exercise program developed and evaluated in this study could decrease the frequency of PPCs and shorten hospital stay. Preoperative pulmonary function tests did not contribute to the identification of high-risk patients

Sleep disorders in Egyptian hemodialysis patients in Mansoura Urology and Nephrology center

Many patients with kidney failure undergoing dialysis therapy suffer from sleep disturbances. The prevalence of such sleep disorders is higher when compared to the general population. Patients were recruited from the 3 haemodilaysis units of Urology and Nephrology Center, Mansoura University, Egypt over 4 months period. Eighty eight patients [41.59 +/- 16.3 years] who satisfied our inclusion criteria were enrolled in our study. The demographic and clinical data including insomnia as well as the biochemical parameters were collected by the attending nephrologists. Other sleep disorders such as restless leg syndrome [RLS], obstructive sleep apnoea syndrome [OSAS], excessive daytime sleepiness [EDS], narcolepsy and sleep walking were investigated by questionnaire of the International Restless Legs Syndrome Study Group [IRLSSG], the Berlin Questionnaire, Italian version of Epworth Sleepiness Scale, International Classification of Sleep Disorders [ICSD] and the specific questions of Hatoum's sleep questionnaire, respectively. Sleep disorders were prevalent in our patients [79.5%] and such prevalence was statistically significant [Chi-squared=30.7, p=<0.0001]. The most common sleep abnormality was insomnia [65.9%], followed by RLS [42%], OSAS [31.8%], snoring [27.3%], EDS [27.3%] and narcolepsy [15.9%] while the least was sleep walking [3.4%]. Insomnia correlated with anemia [r=o.31, p=0.003], anxiety [r=0.279, p=0.042], depression [r=0.298, p=0.24] and RLS [r=0.327, p=0.002]. Also, RLS correlated with hypoalbuminemia [r=0.41, p=<0.0001], anemia [r=0.301 and p=0.046], hyperphosphatemia [r=0.343 and p=0.001], and excessive daytime sleepiness correlated with OSAS [r=0.5, p=<0.0001], snoring [r=0.341, p=0.001], and social worry [r=0.27, p=0.011]. Of note, no correlation was observed between the evaluated sleep disorders and patients' gender. The indicatives for insomnia among our study population were inadequate dialysis [OR=8.71, p=0.001], anemia [OR=3.58, p=0.012], hypoalbuminemia [OR=2.71, p=0.044] and RLS [OR=8.50, p=0.0003]. However, anemia [OR=2.67, p=0.034], malnurishment [OR=9.23, p=0.0002] and hyperphosphatemia [OR=5.14, p=0.0005] were the associates of RLS. Sleep disorders are quite common in the Egyptian hemodialysis populations especially those who are anemic, malnourished; and underdialyzed. Assessment of sleep quality, preferably with polysomnography, is necessary to confirm our results and population-specific sleeppromoting interventions during clinical practice are warranted

Diagnostic criteria for house dust mites sensitized allergic patients

House dust mites [HDM] contain a large number of components that react with IgE in individuals with allergies and induced sensi-tization and allergic diseases. The work aimed to correlate between clinical manifestations of HDM allergic patients and skin prick test [SPT] grading, and to clarify some markers denoting allergic disorders caused by HDM exposure. Thirty allergic patients with positive SPT reaction to HDM were selected, grading of disease severity according to SPT and clinical presentations. The results revealed bronchial asthma [40%], atopic dermatitis [26.7%], rhinitis 20%] and conjunctivitis [13.3%]. Serum ALISA-IgE showed mean level of 398.42 +/- 84.73, 369.87 +/- 86, 332.16 +/- 65.57 and 300.25 +/- 79.39 IU/ml respectively, with highly statistically significant difference between cases and controls [p