ABSTRACT
The authors realized an anthropometric and spirometric study in Senegalese children and adolescents, 119 males and 82 females were selected. They studied the statural and thoracic rate of growth with age and the consequences on lung function growth. The correlations between each spirometric parameter and each anthropometric parameter were calculated in order to determine the best regression equations of pulmonary volumes and flows according to height, weight and other anatomical parameters. Results were compared to literature. The spirometric values were very close to Black American and African ones but the spirometric volumes were about 20% less than Caucasian values. The differences in forced expiratory flows were smaller (10%). The explanation is mainly anatomic: African children have smaller thorax with long limbs as it was shown largely in adults. The rate of somatic and lung growth was not similar to Caucasian children, thus we have proposed our regression equations as spirometric reference values for African children and adolescents.
Subject(s)
Black People , Growth , Lung/physiology , Respiration/physiology , Adolescent , Adult , Anthropometry , Body Height , Body Weight , Child , Cross-Sectional Studies , Female , Humans , Lung/growth & development , Lung Volume Measurements , Male , Pulmonary Ventilation/physiology , Senegal , Spirometry , Thorax/anatomy & histology , Thorax/growth & development , White PeopleABSTRACT
Spirometric volumes and expiratory flows were measured among 448 Senegalese males and females of 25-80 yrs of age. The values obtained are similar to those reported for black Africans and black Americans in the literature. Volumes are 15-25% lower in males and 23% lower in females than in Caucasians. Forced expiratory flow between 25-75% of vital capacity (VC), (FEF25-75) is 5-18% lower in males and 19% lower in females. FEF25-75/VC ratio is higher in blacks than in Whites, but the forced expiratory volume in one second FEV1/VC ratio is similar in black and white subjects. However, we cannot use proportional factors to determine spirometric black standards from white reference values, so, equations of regression and nomograms with age and height are proposed for black Africans.
Subject(s)
Black People , Spirometry , Adult , Age Factors , Aged , Anthropometry , Body Height , Female , Forced Expiratory Flow Rates , Humans , Lung Volume Measurements , Male , Middle Aged , Reference Values , SenegalABSTRACT
Knowledge of the vital role of adenosine deaminase in lymphatic tissues has led to the development of enzyme inhibitors for treatment of lymphoid neoplasms. Deoxycoformycin is a potent ADA inhibitor and has been shown to be active in acute lymphoblastic leukemia at high doses but associated with unpredictable toxicity. In indolent lymphocytic leukemia or lymphoma with low ADA concentrations, this drug is effective at low doses with mild toxicity. The on-going EORTC trial shows that pentostatin is highly effective in hairy cell leukemia and can achieve durable complete remissions even if interferon alpha has failed. It will probably play an important role in the treatment of prolymphocytic leukemia, T- and B-cell chronic lymphocytic leukemia and Sézary syndrome.
