Abstract:
INTRODUCTION:This study evaluates the impact of the ash cloud emitted in February 2010 during the eruption of the Soufrière Hill volcano of the island of Montserrat (70 km from Guadeloupe), on asthma exacerbations registered by the emergency hospital services in the archipelago of Guadeloupe in February 2010. METHODS:We first recorded the clinical features and outcome of each adult patient admitted as an emergency with an acute asthma exacerbation during this period, then compared the admission rates for asthma exacerbation, concentrations of particulates and chemical pollutants, and climatic parameters before, during, and after exposure to the ash cloud. Then, using a generalized linear model defined by a Poisson regression, we calculated the risks related to these factors. RESULTS:There was an increase in acute asthma admissions during and after exposure to the ash cloud (2.44/day versus 5.6/day, P<0.003). PM10 (particles<10 microns) were the major particulate pollution episodes (mean: 223 μg/m(3)). Asthmatics admitted acutely during the period of pollution were young adults (35 [18-49] years old), and the majority had asthma classified as intermittent (57%, n=27). In multivariate analysis, PM10 were a risk factor for acute asthma presentations during this period (aRR 2.89, 95% [from 1.69 to 4.93]). CONCLUSIONS:This study describes the clinical data and outcome of adult patients admitted to emergency asthma exacerbation during the eruption of the Soufrière Hills Volcano in Montserrat and indicates that there was a significant impact of the ash plume on respiratory health, mainly in patients with intermittent asthma.
journal_name
Rev Mal Respirjournal_title
Revue des maladies respiratoiresauthors
Cadelis G,Tourres R,Molinie J,Petit RHdoi
10.1016/j.rmr.2012.11.002subject
Has Abstractpub_date
2013-03-01 00:00:00pages
203-14issue
3eissn
0761-8425issn
1776-2588pii
S0761-8425(12)00999-0journal_volume
30pub_type
杂志文章abstract:INTRODUCTION:Cytomegalovirus (CMV) infection in the immunocompetent is generally silent or it may present as a mononucleosis like syndrome but, rarely, it can lead to symptomatic manifestations. CASE REPORT:An immunocompetent and previously healthy 43- year-old woman presented with fever, dyspnoea, liver cell necrosis...
journal_title:Revue des maladies respiratoires
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abstract::The measurement of non-allergic bronchial hyperreactivity brings limited information in the diagnosis of asthma, whether for epidemiological purposes or for an individual patient. Its sensitivity and specificity in the general population amount to 46 and 89% respectively. It follows that the positive and negative pred...
journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:
更新日期:1994-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
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更新日期:1986-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
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journal_title:Revue des maladies respiratoires
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更新日期:2020-06-01 00:00:00
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journal_title:Revue des maladies respiratoires
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journal_title:Revue des maladies respiratoires
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doi:
更新日期:2002-04-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:
更新日期:1995-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:
更新日期:1987-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
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doi:
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:
更新日期:2006-11-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:
更新日期:1998-09-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:
更新日期:2004-11-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:10.1016/j.rmr.2011.02.014
更新日期:2011-09-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:
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pub_type: 杂志文章,评审
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journal_title:Revue des maladies respiratoires
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:
更新日期:2002-02-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
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更新日期:2009-11-01 00:00:00
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journal_title:Revue des maladies respiratoires
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doi:
更新日期:1986-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
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doi:
更新日期:2003-12-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
abstract::Cardiopulmonary exercise testing (CPET) is the most comprehensive investigation for understanding the mechanisms responsible for dyspnea in patients with chronic respiratory disease. The two observations presented here illustrate how CPET can contribute to the management of patients with interstitial lung diseases. A ...
journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
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更新日期:2014-10-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
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更新日期:2008-12-01 00:00:00