Anatomy & Physiology: Current Research

Anatomy & Physiology: Current Research
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Research Article - (2018) Volume 8, Issue 5

Respiratory Disorders: Physiology and Patient Problems

Sebastião David Santos-Filho*
Faculdade Mauricio de Nassau, UNINASSAU, Natal, RN, Brazil
*Corresponding Author: Sebastião David Santos-Filho, Curso de Fisioterapia, Faculdade Mauricio de Nassau, Avenida Engenheiro Roberto Freire, Capim Macio, Natal, RN, Brazil, Tel: +55-21-25876432 Email:

Abstract

Respiratory disorders are worldwide studied. The aim of this study was to verify in scientific publications founded in PubMed database the disorders more common that affected the respiratory system and to evaluate the problems concerning to the patients. The methodology was using the words “respiratory disorders”, patient, problems, in the PubMed to find the publications that treat these words. We founded 3620 publications of “respiratory disorders”, 1422 were associated with patient, 94 publications were associated with the last research with problems. It was founded that out of 38 publications in last ten years 28 were associated with humans. The prevalence of respiratory disorders, like breathing and asthma problems, due to the difficulties faced by patients, were co-related with obesity and smoke mainly.

Keywords: Respiratory disorders; Patient; Physiology; Problems; PubMed

Introduction

Respiratory disorders are worldwide studied. The physiology of these disorders is complex and well described in the literature [1-3]. The main disorders are: asthma, obstructive disease, pneumoniae, bronquiolite and several restrictive diseases are bronquiectasias and lung abscess [1]. These disorders are characterising of lot secretion production and a long remission period without episodes [4,5]. The physiology of these respiratory disorders is related to the mechanism of respiration difficulties, as in inspiration, as in expiration ways, changing until obstructive to restrictive effects [4-7].

In the inspiration mode there are some disorders mainly obstructive diseases and asthma [4,5,7]. The physiology of the inspiration movement is described in a lot of books about respiratory system and in articles [6,8,9]. In the expiration mode there are a few disorders mainly restrictive diseases as bronquiectasias and lung abscess [4,6,10,11]. The physiology concerning to the expiration movement is done by some literature [6,8,9].

The similarity of the clinical picture of lung cancer and obstructive respiratory disorders may cause numerous problems for a proper and prompt diagnosis and the implementation of the appropriate treatment. The knowledge of common pathogenesis both of cancer and obstructive respiratory disorders and the mutual relations between them shall positively affect the diagnostic and therapeutic process in the high-risk patient groups [12].

The most common pulmonary disorders in patients with coronary artery bypass graft were restrictive. They presented an elevated level of generalized inflammatory response both before and after the isolated coronary artery bypass surgery [13]. Other condition is the obesity that could affect respiratory disorders and focuses on obesity hypoventilation syndrome, and it could explain how it can be treated with non-invasive ventilation [14].

The purpose of this work is to study these disorders, action mechanism, physiology, in the tentative to explain the problems faced by patients that have these disorders in the respiratory system.

Materials and Methods

The methodology was done using the words “respiratory disorders”, patient and problems, in the PubMed (https://www.ncbi.nlm.nih.gov/pubmed/) database to find the publications concerning these words. Then used this information to compare each other and to obtain parameters that justify this research. We chose principal problems that patients fight and results in a respiratory disorder.

Results

We founded 3620 publications of “respiratory disorders”, 1422 were associated with patients, 94 with last research with problems. Out of 38 publications in the last 10 years, 28 publications were associated only with humans. Figure 1 present the evolution of publications about “respiratory disorders” along the 10 last years, just the beginning until 2018.

anatomy-physiology-respiratory-disorders

Figure 1: Evolution of publications about respiratory disorders among the 10 last years.

The years of 2016 and 2015 showed more than 12% of publications each. Table 1 shows the percent of publications about patients and problems caused by the disorders. The problems smoke, obesity, breathing, infections, obstetric fistulae, sleep disorders, cardiovascular disorders and muscular disorders were listed. Breathing were the more frequent (32%) problem faced by patients.

Problem Percent of Publications
Smoke 4
Obesity 8
Breathing 32
Infections 12
Obstetric fistulae 4
Sleep disorders 28
Cardiovascular disorders 4
Muscular disorders 8
The percentage of publications were calculated with the division of the number of publications by the total of publications.

Table 1: Problems faced by patients that have respiratory disorders.

Table 2 shows the disorders that are present in patients that presented respiratory problems. Asthma and Chronic Obstructive Pulmonary Disease (COPD) were more frequent (33.33%), followed by emphysema (16.67%).

Disorder Percent of Publications
Influenza 0
Pneumonia 8.33
Tuberculosis 0
Asthma 33.33
Chronic obstructive pulmonary disease (COPD) 33.33
Bronchitis 8.33
Emphysema 16.67
The percentage of publications were calculated with the division of the number of publications by the total of publications.

Table 2: Disorders that are present in patients that showed respiratory problems.

Discussion

The respiratory disorders were researched in all the world [15-17]. Association with mitochondrial disorders were presented [17]. The association also occurs with breathing [18] and muscular disorders [19]. The most common pathogenesis were cancer and obstructive respiratory disorders and the mutual correlations between it positively affect the diagnostic and therapeutic process in the high-risk patient groups [12]. A as a biomarker, lung tissue elasticity will lead to new end points for clinical trials and new targeted treatment for COPD subgroups [20].

Our results showed that the prevalence of publication in the years of 2015 and 2016, exceeded the number of more than 13000 articles. The published articles have the efforts to explain these mechanisms [21,22].

We listed some problems faced by patients: smoke, obesity, breathing, infections, obstetric fistulae, sleep disorders, cardiovascular disorders and muscular disorders. Breathing appears as the more frequent problem followed by sleep disorders. In the literature breathing was associated with gastroesophageal reflux [23], high fat disease [24] and obesity [25].

The patients that presented respiratory problems as asthma, COPD and emphysema were more frequent in our research. Asthma has high correlation with obesity [25] and smoke [26]. The risk of sepsis and death in patients having COPD is presented by literature [27,28].

Conclusion

The prevalence of respiratory disorders, like breathing and asthma problems, due to the difficulties faced by patients, were co-related with obesity and smoke mainly.

Acknowledgement

The author is thankful to UNIP and UNINASSAU for their support in execution this research.

Conflict of Interest

The author declares no conflict of interest.

References

  1. Laumbach RJ, Kipen HM (2012) Respiratory health effects of air pollution: Upadate on biomass smoke and traffic pollution. J Allergy Clin Immunol 129: 3-13.
  2. Smith SM, Sonego S, Ketcheson L, Larson JL (2014) A review of the effectiveness of psychological interventions used for anxiety a depression in chronic obstructive pulmonary disease. Respiratory research.
  3. Ahmed R, Robinson R, Mortmer K (2017) The epidemiology of noncommunicable respiratory disease in sub-Saharan Africa, the Middle East and North Africa. Malawi Med J 29: 203-211.
  4. Macklem PT (1998) The mechanism of breathing. American J Resp Critical Care Med 157: S88-S94.
  5. Lowhagen O (1999) Asthma and asthma-like disorders. Resp Med 93: 851-855.
  6. Woo SD, Kim TH, Lim JY (2016) The effects of breathing with mainly inspiration or expiration on pulmonary function and chest expansion. J Phys Ther Sci 28: 927-931.
  7. Antoniu SA (2010) Descriptors of dyspnea in obstructive lung diseases. Multidisciplinary Resp Med 5: 216.
  8. Guyton AC, Hall JE (2006) Tratado de Fisiologia Médica, 4th edn. Elsevier: Rio de Janeiro.
  9. Vander (2001) Human physiology: The mechanism of body function. The MacGraw-Hill Co.
  10. Pohlson EC, McNamara JJ, Char C, Kurata L (1985) Lung abscess: A chaging pattern of the disease. Am J Surg 150: 97-101.
  11. Wojsuk-Banaszak L, Krenke K, Joríczyk-Potoczna K, Ksepko K, Wielebska A, et al. (2018) Long-term sequelae after lung abscess in children-two tertiary centers’ experience. J Infect Chemother 24: 376-382.
  12. Tyl M, Domagala-Kulawik J (2017) Lung cancer and COPD-growing clinical problem. Pol Merkur Lekarski 43: 5-9.
  13. Szyliríska A, Listewnik MJ, Rotter I, RyI A, Biskupski A, et al. (2017) Analysis of the influence of respiratory disorders observed in preoperative spirometry on the dynamics of early inflammatory response in patients undergoing isolated coronary artery bypass grafting. Clin Interv Aging 12: 1123-1129.
  14. Wheatley I (2015) Treatment of obesity hypoventilation syndrome. Nurs Times 111: 18-20.
  15. Armand S, Mande SS (2018) Diet, microbiota and gut-lung connection. Front Microbiol 9: 2147.
  16. Uittenbogaard M, Chiaramello A (2015) Mitochondrial respiratory disorders: A perspective on their metabolic biomarkers and implications for clinical diagnosis and therapeutic intervention. Biomark J.
  17. Pelcloya D, Zdimal V, Komarc M, Vlckova S, Fenckova P, et al. (2018) Deep airway inflammation and respiratory disorders in nanocomposite workers. Nanomaterials (Basel) 8: E731.
  18. Ribeiro R, Brandão D, Noronha J, Lima C, Fregonezi G, et al. (2018) Breath-stacking and incentive spirometry in Parkinson’s disease: Randomized crossover clinical trial. Respir Physiol Neurobiol 255: 11-16.
  19. Barreiro E, Jaitovich A. (2018) Muscle atrophy in chronic pulmonary disease: Molecular basis and potential therapeutic targets. J Thorac Dis 10: S1415-S1424.
  20. Hasse K, Neylon J, Min Y, O’Connell D, Lee P, et al. (2018) Fessibility of deriving a novel imaging biomarker based on patient-specific lung elasticity for characterizing the degree of COPD in lung SBRT patients. Br J radiol.
  21. Shepherd JG, Chapman ALN (2016) Assessment and management of active and latent TB. Practitioner 260: 21-24.
  22. Wesolowska M, Gorman GS, Alston CL, Pajak A, Pyle A, et al. (2015) Adult onset leigh syndrome in the intensive care setting: A novel presentation of a C12orf65 related mitochondrial disease. J Neuromuscul Dis 2: 409-419.
  23. Wang Z, Bonella F, Li W, Boerner EB, Guo Q, et al. (2018) Gastroesophageal reflux disease in idiopathic pulmonary fibrosis: Uncertainties and controversies. Respiration 11: 1-17.
  24. Speretta GF, Lemes E, Vendramini RC, Menani JV, Zoccal DB, et al. (2018) High-fat diet increases respiratory frequency and abdominal expiratory motor activity during hypercapnia. Respr Physiol Neurobiol S1569-9048.
  25. Liu Y, Zheng J, Zhang HP, Zhang X, Wang L, et al. (2018) Obesity-associated metabolic signatures correlate to clinical and inflammatory profiles of asthma: A pilot study. Allergy Asthma Immunol Res 10: 628-647.
  26. Kim JH, Chang HS, Shin SW, Baek DG, Son JH, et al. (2018) Lung function trajectory types in never-smoking adults with asthma: Clinical features and inflammatory patterns. Allergy Asthma Immunol Res 10: 614-627.
  27. Lai CC, Wang YH, Wang CY, Wang HC, Yu CJ, et al. (2018) Risk of sepsis and mortality among patients with chronic obstructive pulmonary disease treated with angiotensin-converting enzyme inhibitors or angiotensin receptor blockers. Crit Care Med.
  28. Roversi S, Boschetto P, Beghe' B, Schito M, Garofalo M, et al. (2018) Breathlessness, but not cough, suggests chronic obstructive pulmonar disease in elderly smokers with stable heart failure. Multidiscip Respir Med 13: 35.
Citation: Filho SDS (2018) Respiratory Disorders: Physiology and Patient Problems. Anat Physiol 8: 307.

Copyright: © 2018 Filho SDS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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