Dataset Information

Practical approach lung health-global alliance against chronic respiratory diseases (PAL-GARD) initiative in Brazil.

ABSTRACT:

Background

To evaluate the impact of training primary care physicians (PCPs) in the use of the practical approach lung health-global alliance against chronic respiratory diseases (PAL-GARD) upon their diagnostic skills.

Methods

In this real-life three-phase study, PCPs were allocated to a PAL-GARD training or control group. Patients who sought a primary care health facility due to cough, dyspnea and/or wheezing were eligible. The clinical diagnoses made by PCPs during the baseline and post-intervention phase were audited by a panel of pulmonologists. Kappa inter-rater statistics was used to compare agreement between PCPs and pulmonologists.

Results

Thirty PCPs evaluated 536 patients, 358 in the intervention and 178 in the control group. According to Kappa, there was an increase in the agreement in the diagnosis of asthma (from 0.546 to 0.638), tuberculosis (from 0.393 to 0.655) and acute respiratory infections (ARI) (from 0.577 to 0.584) was observed in the PAL-GARD group, but there was a reduction in chronic obstructive pulmonary disease (COPD) (from 0.430 to 0.284).

Conclusions

In this setting, PAL-GARD-based guide and training improved the clinical diagnosis of common respiratory diseases with the exception of COPD.

SUBMITTER: Sao Jose BP

PROVIDER: S-EPMC9344410 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Publications

Practical approach lung health-global alliance against chronic respiratory diseases (PAL-GARD) initiative in Brazil.

São José Bruno Piassi BP Bateman Eric E Botelho Cláudia Myriam Amaral CMA de Seixas Maciel José Geraldo Félix JGF Mancuzo Eliane Viana EV Camargos Paulo A M PAM Corrêa Ricardo Amorim RA

Journal of thoracic disease 20220701 7

<h4>Background</h4>To evaluate the impact of training primary care physicians (PCPs) in the use of the practical approach lung health-global alliance against chronic respiratory diseases (PAL-GARD) upon their diagnostic skills.<h4>Methods</h4>In this real-life three-phase study, PCPs were allocated to a PAL-GARD training or control group. Patients who sought a primary care health facility due to cough, dyspnea and/or wheezing were eligible. The clinical diagnoses made by PCPs during the baseline ...[more]

PMID: 35928608

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Project description:BACKGROUND:The growing public health concern caused by non-communicable diseases in urban surroundings cannot be solved by health care alone; therefore a multidisciplinary approach is mandatory. This study aimed to evaluate the airborne aerosol pollution level in primary schools as possible factor influencing origin and course of the diseases in children. METHODS:Seasonal aerosol particle number concentration (PNC) and mass concentration (PMC) were studied in the randomly selected eleven primary schools in the Lithuanian capital, Vilnius, as model of a middle-size Eastern European city. Total PNC in the size range from 0.01 to >1.0 ?m in diameter was measured using a condensation particle counter. Using an optical particle sizer, PNC was measured and PMC estimated for particles from 0.3 to 10.0 ?m. A descriptive statistics was used to estimate the aerosol pollution levels. RESULTS:During all seasons, local cafeterias in the absence of ventilation were the main sources of the elevated levels of indoor PMC and PNC (up to 97,500 particles/cm). The other sources of airborne particulates were the children's activity during the lesson breaks with PMC up to 586 ?g/m. Soft furniture, carpets in the classrooms and corridors were responsible for PMC up to 200 ?g/m. Outdoor aerosol pollution (up to 18,170 particles/cm) was higher for schools in city center. Elevated air pollution in classrooms also resulted from intermittent sources, such as construction work during classes (200-1000 ?g/m) and petrol-powered lawn trimmers (up to 66,400 particles/cm). CONCLUSION:The results of our survey show that even in a relatively low polluted region of Eastern Europe there are big differences in aerosol pollution within middle-sized city. Additional efforts are needed to improve air quality in schools: more frequent wet cleaning, monitoring the operation of ventilation systems, a ban on construction works during school year, on a use of sandblasting mechanisms in the neighborhood of schools.

Dataset Information

Practical approach lung health-global alliance against chronic respiratory diseases (PAL-GARD) initiative in Brazil.

Background

Methods

Results

Conclusions

Publications

Practical approach lung health-global alliance against chronic respiratory diseases (PAL-GARD) initiative in Brazil.

Similar Datasets

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