opd

COPD (Chronic Obstructive Pulmonary Disease)

Title: COPD (Chronic Obstructive Pulmonary Disease)
Category: Diseases and Conditions
Created: 12/31/1997 12:00:00 AM
Last Editorial Review: 5/6/2022 12:00:00 AM




opd

DigiShopDirect

DigiShopDirect - Ink Catridges and Cheap CDR's




opd

FDA’s OPDP Issues Second Regulatory Action Letter of 2023

In what has been a long period of relative low activity, FDA’s OPDP has taken the opportunity to remind us that low enforcement does not mean no enforcement when it comes to promotional speech by pharmaceutical companies. This past June … Continue reading




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FDA’s OPDP Issues Third Letter of 2023

For the second time this month and the third time this year, FDA’s OPDP has posted notice that it has taken an enforcement action. Last week, a Warning Letter was posted regarding a sales aid. This week it action came … Continue reading




opd

FDA’s OPDP Issues Two New Untitled Letters

While enforcement has been at a low ebb for quite some time with FDA’s Office of Prescription Drug Promotion (OPDP), this week took a different turn with the posting of two new untitled letters sent October 31. That brings the … Continue reading




opd

FDA’s OPDP Sends First Regulatory Letter of the Year Aimed at Rx Drug Promotion

Last week FDA’s Office of Prescription Drug Promotion issued its first regulatory action letter of the year. This was an Untitled Letter – a/k/a Notice of Violation Letter (NOV) – sent by the agency to Novartis in relation to promotional … Continue reading




opd

Use of disinfectants raises risk of COPD among nurses: study

Villejuif, France – Frequent use of workplace disinfectants may increase health care workers’ risk of developing chronic obstructive pulmonary disease, suggest researchers from France’s National Institute of Health and Medical Research.




opd

Use of disinfectants increase COPD risk among female nurses: study

Villejuif, France — Frequent use of common cleaning products and disinfectants at work may increase female nurses’ risk of developing chronic obstructive pulmonary disease by up to 38%, results of a recent study led by researchers from France’s National Institute of Health and Medical Research suggest.




opd

Cleaning workers face heightened risk of asthma, COPD: study

London — Workers who use cleaning and disinfecting products may be more likely to develop asthma and chronic obstructive pulmonary disease – 50% and 43%, respectively – than those who don’t, results of a recent study led by British and Italian researchers show.




opd

Construction workers at higher risk of COPD, study shows

Silver Spring, MD — Workers in construction trades are at “significantly” higher risk for chronic obstructive pulmonary disease than non-construction workers, according to the results of a recent study.




opd

Study links on-the-job pesticide exposure to increased risk of COPD

London — Workers exposed to pesticides may face a higher risk of developing chronic obstructive pulmonary disease, results of a recent study led by British researchers suggest.




opd

Workers in certain industries and jobs at higher risk of dying from COPD: CDC

Atlanta — An elevated risk of death linked to chronic obstructive pulmonary disease among workers in certain industries and occupations highlights the need for better employee health policies and targeted interventions, according to a new report from the Centers for Disease Control and Prevention.




opd

1st Class Medical Joins Forces with the American Lung Association and COPD Foundation to Promote Respiratory Health Awareness

This Partnership is a significant milestone in 1st Class Medical's commitment to advancing respiratory health awareness, education, and support for individuals affected by chronic obstructive pulmonary disease (COPD) and other lung conditions.




opd

Early COPD Treatment Slows Disease

Title: Early COPD Treatment Slows Disease
Category: Health News
Created: 8/28/2009 12:00:00 AM
Last Editorial Review: 8/28/2009 12:00:00 AM




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Health Tip: Recognizing COPD

Title: Health Tip: Recognizing COPD
Category: Health News
Created: 8/25/2010 10:10:00 AM
Last Editorial Review: 8/25/2010 12:00:00 AM




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Health Tip: Help Keep COPD in Check

Title: Health Tip: Help Keep COPD in Check
Category: Health News
Created: 8/31/2012 8:05:00 AM
Last Editorial Review: 8/31/2012 12:00:00 AM




opd

Comparing Highs and Flows in Patients With COPD With Chronic Hypercapnic Respiratory Failure




opd

Home Respiratory Strategies in Patients With COPD With Chronic Hypercapnic Respiratory Failure

BACKGROUND:Home noninvasive ventilation (NIV) may improve chronic hypercarbia in COPD and patient-important outcomes. The efficacy of home high-flow nasal cannula (HFNC) as an alternative is unclear.METHODS:We searched MEDLINE, Embase, Cochrane CENTRAL, Scopus, and ClinicalTrials.gov for randomized trials of subjects from inception to March 31, 2023, and updated the search on July 14, 2023. We performed a frequentist network meta-analysis and assessed the certainty of the evidence using the Grading of Recommendations Assessment, Development, and Evaluation approach. We analyzed randomized controlled trials (RCTs) comparing NIV, HFNC, or standard care in adult subjects with COPD with chronic hypercapnic respiratory failure. Outcomes included mortality, COPD exacerbations, hospitalizations, and quality of life (St George Respiratory Questionnaire [SGRQ]).RESULTS:We analyzed 24 RCTs (1,850 subjects). We found that NIV may reduce the risk of death compared to standard care (relative risk 0.82 [95% CI 0.66–1.00]) and probably reduces exacerbations (relative risk 0.71 [95% CI 0.58–0.87]). HFNC probably reduces exacerbations compared to standard care (relative risk 0.77 [0.68–0.88]), but its effect on mortality is uncertain (relative risk 1.20 [95% CI 0.63–2.28]). HFNC probably improves SGRQ scores (mean difference −7.01 [95% CI −12.27 to −1.77]) and may reduce hospitalizations (relative risk 0.87 [0.69–1.09]) compared to standard care. No significant difference was observed between HFNC and NIV in reducing exacerbations.CONCLUSIONS:Both NIV and HFNC reduce exacerbation risks in subjects with COPD compared to standard care. HFNC may offer advantages in improving quality of life.




opd

The noninvasive ventilation outcomes score in patients requiring NIV for COPD exacerbation without prior evidence of airflow obstruction

Introduction

Exacerbation of COPD complicated by respiratory acidaemia is the commonest indication for noninvasive ventilation (NIV). The NIV outcomes (NIVO) score offers the best estimate of survival for those ventilated. Unfortunately, two-thirds of cases of COPD are unrecognised, and patients may present without COPD having been confirmed by spirometry.

Methods

In the 10-centre NIVO validation study there was no pre-admission spirometry in 111 of 844 consecutive patients (termed "clinical diagnosis" patients). We compared the performance of the NIVO, DECAF and CURB-65 scores for in-hospital mortality in the clinical diagnosis cohort. Usual clinical practice was not influenced, but confirmation of COPD in the year following discharge was captured.

Results

In the clinical diagnosis cohort, in-hospital mortality was 19.8% and rose incrementally across the NIVO risk categories, consistent with the NIVO validation cohort. NIVO showed good discrimination in the clinical diagnosis cohort: area under the receiver operating curve 0.724, versus 0.79 in the NIVO validation cohort. At 1 year after discharge, 41 of 89 clinical diagnosis patients had undertaken diagnostic spirometry; 33 of 41 had confirmation of airflow obstruction (forced expiratory volume in 1 s/(forced) vital capacity <0.7), meaning the diagnosis of COPD was incorrect in 19.5% of cases.

Discussion

These data support the use of the NIVO score in patients with a "clinical diagnosis" of COPD. NIVO can help guide shared decision-making, assess risk-adjusted outcomes by centre and challenge prognostic pessimism. Accurate diagnosis is critical to ensure that acute and long-term treatment is optimised; this study highlights failings in the follow-up of such patients.




opd

Type 2 inflammation in COPD: is it just asthma?

COPD is a heterogeneous condition, with tobacco smoking being the main environmental risk factor. The presence of type 2 (T2) inflammation is a well-recognised feature of asthma; however, it is now apparent that a subset of COPD patients also displays evidence of T2 inflammation with respect to elevated eosinophil counts and altered gene and protein expression of several T2 inflammatory mediators. T2 inflammatory mediators represent an attractive therapeutic target in both COPD and asthma; however, the efficacy of pharmaceutical interventions varies between diseases. Furthermore, the nature of some shared clinical features also differs. We provide a narrative review of differences in the nature of T2 inflammation between COPD and asthma, which may partly explain phenotypic differences between diseases. We focus on evidence from studies of pulmonary histopathology, sputum and epithelial gene and protein expression, and response to pharmacological interventions targeted at T2 inflammation.




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No OPD services in Jipmer on November 15




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Post COVID-19, corporates begin offering OPD benefits to employees

Of the 251 IT, manufacturing, pharma, engineering, financial and other companies studied, only 40 were providing out-patient department (OPD) benefits in 2019, per the latest report by AON India




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Bopdev Ghat gangrape: Arrested accused gave false name of third accomplice, say police




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Chappals accused wore at time of crime recovered: Police on Bopdev Ghat gangrape case




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COVID-19: How Does It Affect People With Chronic Obstructive Pulmonary Disease (COPD)?

Chronic obstructive pulmonary disease, COPD, is a progressive lung disease that makes breathing hard. It can turn fatal if not properly treated. Smoking and exposure to air pollution are considered as some of the main causes of COPD. Some




opd

COVID-19: PGI-Chandigarh shuts OPD services




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STOPDecrypter

STOPDecrypter is a ransomware decryptor created by Michael Gillespie that decrypts files encrypted by the STOP Ransomware. Using this decryptor, victims who have paid the ransom or were encrypted by an offline key can recover their files for free without having to pay a ransom. [...]




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COPD exacerbations lead to lung function decline, particularly among those with mild COPD

Acute exacerbations of chronic obstructive pulmonary disease, or COPD, are associated with significant long-term lung function loss, according to research published online, ahead of print in the American Thoracic Society's American Journal of Respiratory and Critical Care Medicine.

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  • Health & Medicine

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Clinical Trials Research Announces Start of New COPD Clinical Trial in Sacramento

Individuals with Severe COPD Encouraged to Inquire About Participation in the Study




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OPDAT Strengthens Central American Coordination against MS-13 and 18th Street Gangs

On February 27, in Antigua, Guatemala, OPDAT hosted an Operation Regional Shield meeting with prosecutors, investigators, and analysts from Honduras, El Salvador, Guatemala, and Mexico.




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OPDAT-Created Courtroom Security Manual Presented in Malaysia

On March 4, in Kuala Lumpur, Malaysia, the country’s first Manual on Courtroom Security in Terrorism Cases was presented to the Chair of Malaysia’s National Judicial Security Committee (NJSC) for consideration and adoption.




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Float left variable width dropdown menus - CENTERED!!

At last a stable cross browser method of centering a variable width float left dropdown menu.




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Professional centered dropdown with flyout images

A centered dropdown menu, using the latest centering technique, with flyout images




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Centered sliding doors dropline, dropdown, flyout

A centered dropline, dropdown, flyout menu, using the latest centering technique, with current selection option




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Professional dropdown flyout left/right menu

A dropdown menu with any width sub menus and the option of left or right dropdown/flyouts.




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Professional multi-column dropdown

A single level dropdown menu with multi-columns, headings and curved corners using sliding doors techniques for the dropdowns.




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Professional anywidth centered dropdown menu

A single level dropdown anywidth menu with dropdown that are centered beneath the top level links.




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Professional anywidth centered dropdown/flyout menu

A multi level dropdown flyout anywidth menu with dropdown and flyouts that are centered beneath the top level links, with the ability to have a left or right flyout.




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A Dropline, Dropdown and two level Flyout menu

A version 2 of the dropline, dropdown and flyout hybrid menu.




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Anywidth dropline/dropdown centered

A dropline with dropdown menu which has widths automatiaclly set to suit content, the top level centered and all sub levels centered beneath the parent item.




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FINALLY a new CSS only dropdwon meu

Afer all this time there is finally a dropdown menu that doesn't use javascript, table, conditional comments, hacks, extra markup and works in all the major browsers including IE6.




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New horizontal dropdown menu

For those who prefer nested unordered lists for their menus, again with no hacks, table, conditional comments or javascript.




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A dropdown menu in shades of grey and black.

A dropdown menu with top level centered and sub menus dynamic widths to fit the longest text, and all in shades of grey and black.




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A dropdown menu with current page override.

A dropdown menu with current page styling and the ability to override the current page style when hovering other items.




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A simple image dropdown menu

A simple method of replacing all text with images in a single level dropdown menu with rollover.




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A more complex image dropdown menu

A more complex method of replacing all text with images in a single level dropdown menu using individual png images.




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Image information dropdown menu

A dropdown menu using top level png images with the submenu used for image information.




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Multi-level, multi-line dropdown menu

A dropdown version of the previous multi-line flyout menu




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Single level dropdown button menu

Using the no hacks dropdown system and a little extra styling to produce a dropdown button menu with highlight on hover.




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Re-styled no hacks dropdown/flyout menu

The no hacks, no javascript, no tables and no conditional comments dropdown/flyout menu restyled to work correctly in all browsers, with tabbing.