41. Ensure.com Nutrition For Special Health Concerns - Chronic Obstructive Pulmonary chronic obstructive pulmonary disease. Maintaining a healthful lifestyleis a good idea for everyone. But, if you are one of more http://www.ensure.com/SpecialHealthConcerns/Copd.asp

Chronic Obstructive Pulmonary Disease Maintaining a healthful lifestyle is a good idea for everyone. But, if you are one of more than 16 million Americans who have chronic obstructive pulmonary disease (COPD), you need to be especially aware of the ways in which your lifestyle, including your diet, affects your health. The information presented here is not intended to replace your doctor's advice. If he or she feels you need help in planning the right diet, you may be referred to a registered dietitian. COPD is a serious condition. Be sure to consult your health care team with any questions you have about your condition. COPD is the term used to describe a group of respiratory diseases. These diseases include emphysema and chronic bronchitis. Both of these conditions are characterized by difficulty getting air into and out of the body. Few people have pure chronic bronchitis or pure emphysema. Usually, both conditions are present at the same time. COPD does not include other conditions such as asthma. Managing COPD Eating Right Checking Your Weight Using Medical Nutritional Products ... Site Map

42. Health Conditions | Conditions & Treatments | DrugDigest Glossary. Senior Corner. Home. Express Scripts Member? Health Conditions,chronic obstructive pulmonary disease (COPD) Introduction http://www.drugdigest.org/DD/HC/HCIntro/0,4043,550287,00.html

Drug Library Check Interactions Compare Drugs Supplements Using Medicine Drug Comparisons Side Effect Comparisons Health Conditions Treatment Options Archived News Subscribe to eBulletins showLayer('mainNav'); Search Conditions Health Conditions Chronic Obstructive Pulmonary Disease (COPD) Introduction If you need yet another reason to quit smoking, chronic obstructive pulmonary disease, or COPD, is it. If you experience a chronic cough and shortness of breath that seems to be worsening over time, especially if you are a smoker or have lived in the presence of second-hand smoke for a number of years, you should learn more about this potentially deadly and devastating disease. COPD is one of the top five causes of death and decreased quality of life in the United States. COPD is not a completely reversible disease, but it is typically treatable. NOTE: The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist, or other healthcare professional. It is not intended to diagnose a health condition, but it can be used as a guide to help you decide if you should seek professional treatment or to help you learn more about your condition once it has been diagnosed. Learn About Introduction What is it?

43. Disease Category Listing (44): COPD (Chronic Obstructive Pulmonary Disease) CenterWatch Listing of Clinical Research Trials for COPD (Chronic Obstructive PulmonaryDisease). Clinical Trials COPD (chronic obstructive pulmonary disease). http://www.centerwatch.com/patient/studies/cat44.html

Clinical Trials: COPD (Chronic Obstructive Pulmonary Disease) Alabama Anniston; Pinnacle Research Group Birmingham; Research Site Comparison of Study Drug With Alendroante on How it Effects Glucocorticoid-Induced Osteoporosis Oxford; Center of Research Excellence, LLC Arizona Phoenix; Lovelace Scientific Resources - AZ COPD Phoenix; Phoenix Center for Clinical Research (PCCR) Are you or a loved one interested in participating in a clinical trial for Chronic Obstructive Pulmonary Disease (COPD)? Phoenix; Clinical Research Advantage, Inc. Do you have chronic bronchitis? Tempe; Clinical Research Advantage, Inc. Do you have chronic bronchitis? Tucson; ACRC / Arizona Clinical Research Center, Inc. Chronic Obstructive Pulmonary Disease Study (COPD) Tucson; Research Site Comparison of Study Drug With Alendroante on How it Effects Glucocorticoid-Induced Osteoporosis Arkansas Little Rock; University of Arkansas, Medical Sciences Searcy; Research Solutions A Clinical Research Study for the Treatment of Diabetes in Adults with Chronic Obstructive Pulmonary Disease. California Carmichael; Delbert Meyer, M.D.

44. Advanced Respiratory - Chronic Obstructive Pulmonary Disease chronic obstructive pulmonary disease, Print Version. Chronic ObstructivePulmonary Disease (COPD) is a major worldwide health problem. http://www.abivest.com/conditions/copd/default.asp?gs=patients

45. Chronic Obstructive Pulmonary Disease chronic obstructive pulmonary disease Chronic obstructive pulmonary (or lung)disease (COPD or COLD) is caused by emphysema or chronic bronchitis. http://www.americanheart.org/presenter.jhtml?identifier=4508

46. Chronic Obstructive Pulmonary Disease (COPD) - Asthma Care Guide Asthma Care Guide chronic obstructive pulmonary disease (COPD). Chronicobstructive pulmonary disease (COPD) refers to chronic lung http://www.drgreene.com/21_1317.html

QUICK SEARCH A - Z Guide Allergies Allergy Care Guide Asthma Care Guide Bedwetting Breastfeeding Childhood Obesity Diabetes Care Guide Ear Infections Genetics Immunizations Infectious Diseases Parenting Potty Training Rashes Safety Sleep DrGreene.com Topic Centers Mission Reviews Awards Readers Comments Press Room Partners and Supporters Contact Us Pediatric Information A-Z Guide Allergy Care Guide Asthma Care Guide Diabetes Care Guide DrGreene´s Chats FAQ Fast Facts Feature Articles Guidelines Pediatric Updates Special Feature Top Tips Community Activty Guide Advanced Search Community Central Chat Chat Schedule Cute Faces Family Friendly Recipes Parent-to-Parent Resources The DrGreene Team Newsletter Prenatal Newborn Infants Toddlers Pre-Schoolers School Age Teens / Adolescents Multimedia Library Children's Health Fertility Chronic Obstructive Pulmonary Disease (COPD) Chronic obstructive pulmonary disease (COPD) refers to chronic lung disorders that result in blocked air flow in the lungs. The two main COPD disorders are emphysema and chronic bronchitis , the most common causes of respiratory failure. Both result from damage to the lungs over many years and predominantly affect former and current smokers. Emphysema occurs when the walls between the lung's air sacs become weakened and collapse. Chronic bronchitis occurs when the airways in the lungs become swollen and partially clogged with mucus. Chronic bronchitis may also involve muscle spasms in the airways. Many people with COPD have both emphysema and chronic bronchitis. According to the American Lung Association, COPD is the fourth leading cause of death in the United States, with over 9 million Americans suffering from it, and over 100,000 Americans dying from it annually. Asthma is not usually considered a form of COPD because asthma can be easily treated and the lungs returned to a healthy state. The damage to the airways from COPD usually is more permanent and irreversible.

47. MANAGEMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE(COPD)-Medfacts-National Jewi Management of chronic obstructive pulmonary disease MedFact From NationalJewish Medical and Research Center 1 Respiratory Hospital in America. http://www.nationaljewish.org/medfacts/management.html

Management of Chronic Obstructive Pulmonary Disease (COPD) What is COPD? Chronic Obstructive Pulmonary Disease or COPD for short, is a progressive lung disease that affects millions of people each year. COPD is a general term used to describe specific diseases such as emphysema and chronic bronchitis. Emphysema involves destruction of the walls of the air sacs (alveoli) in the lungs. This results in a smaller number of larger air sacs that have poor gas exchange capabilities. Chronic bronchitis is characterized by a chronic cough and chronic mucus production without another known cause. A person with COPD may have either emphysema or chronic bronchitis, but most have both. Some people with COPD may also have an "asthma-like" or reactive component to their pulmonary disease. What are the Goals of Treatment? At National Jewish, health care professionals believe people with COPD can lead active and full lives. By diagnosing the disease early, treating symptoms, reducing the risk of complications and educating patients and families about COPD, doctors and nurses hope to improve the patients' quality of life. Our goal is to help people with COPD take charge of their breathing and regain or maintain control of their lives. How is COPD Managed?

48. Chronic Obstructive Pulmonary Disease chronic obstructive pulmonary disease (COPD) refers to the combination of chronicbronchitis and emphysema, resulting in obstruction of airways. http://www.mycustompak.com/healthNotes/Concern/COPD.htm

Chronic Obstructive Pulmonary Disease Also indexed as: Chronic Obstructive Lung Disease (COLD), COPD, Emphysema, Pulmonary Disease Introduction Checklist Symptoms Treatments ... References Chronic obstructive pulmonary disease (COPD) refers to the combination of chronic bronchitis and emphysema, resulting in obstruction of airways. Although chronic bronchitis and emphysema are distinct conditions, smokers and former smokers often have aspects of both. In chronic bronchitis, the linings of the bronchial tubes are inflamed and thickened, leading to a chronic, mucus-producing cough and shortness of breath. In emphysema, the alveoli (tiny air sacs in the lungs) are damaged, also leading to shortness of breath. COPD is generally irreversible and may even be fatal. Checklist for Chronic Obstructive Pulmonary Disease Rating Nutritional Supplements Herbs N-acetyl cysteine (for bronchitis) L-carnitine Ivy leaf Coenzyme Q10 Fish oil (EPA/ DHA Magnesium Vitamin C Anise ... Eucalyptus Gumweed Lobelia Mullein Wild cherry Yerba santa Reliable and relatively consistent scientific data showing a substantial health benefit.

49. Postgraduate Medicine: Symposium: Diagnosing Chronic Obstructive Pulmonary Disea Diagnosing chronic obstructive pulmonary disease. Standards for the diagnosisand care of patients with chronic obstructive pulmonary disease. http://www.postgradmed.com/issues/1998/04_98/martinez.htm

Diagnosing chronic obstructive pulmonary disease The importance of differentiating asthma, emphysema, and chronic bronchitis Fernando J. Martinez, MD VOL 103 / NO 4 / APRIL 1998 / POSTGRADUATE MEDICINE This page is best viewed with a browser that supports tables This is the first of five articles on advances in COPD Preview : In patients with chronic obstructive pulmonary disease (COPD), a thorough understanding on the clinician's part of the pathophysiologic basis of airflow limitation greatly enhances decisions regarding care. Differences in prognosis among the major types of COPD have become clear, and identification of airway inflammation has dramatically altered medical therapy. Dr Martinez, who coordinated this symposium, here explains the importance of judiciously applying findings from history taking, physical examination, laboratory studies (particularly pulmonary function testing), and radiographic studies to all aspects of disease management. The remaining four symposium articles address specific avenues for treatment of emphysema and chronic bronchitis. C hronic obstructive pulmonary disease (COPD) is characterized by airflow obstruction from various causes that markedly impairs quality of life. In 1991, 85,544 deaths in the United States were attributed to COPD, ranking it as the fourth leading cause of death (1).

50. Postgraduate Medicine: Chronic Obstructive Pulmonary Disease chronic obstructive pulmonary disease. Preview Chronic obstructive pulmonarydisease has traditionally been considered incurable and progressive. http://www.postgradmed.com/issues/2000/12_00/fraser.htm

Chronic obstructive pulmonary disease Prevention, early detection, and aggressive treatment can make a difference Kristin L. Fraser, MD; Kenneth R. Chapman, MD VOL 108 / NO 7 / DECEMBER 2000 / POSTGRADUATE MEDICINE CME learning objectives To recognize chronic obstructive pulmonary disease (COPD) in the general practice clinic To learn a stepwise approach to the treatment of symptoms in patients with COPD To be familiar with available treatments for COPD and their benefits and limitations The authors disclose no financial interests in this article. This page is best viewed with a browser that supports tables. Preview : Chronic obstructive pulmonary disease has traditionally been considered incurable and progressive. However, new treatment options may improve quality of life and extend survival. In this article, Drs Fraser and Chapman offer guidelines for accurate and early diagnosis and describe the latest treatment options to alleviate symptoms, help with smoking cessation, and increase survival rates. Fraser KL, Chapman KR. Chronic obstructive pulmonary disease: prevention, early detection, and aggressive treatment can make a difference. Postgrad Med 2000;108(7):103-16

51. Medstar Health - Medical Matters COPD (chronic obstructive pulmonary disease) . Saturday, July 29, 2000.Dr. Tammy COPD (chronic obstructive pulmonary disease). COPD (or http://www.medstarhealth.org/medicalmatters/week3.cfm

Medical Matters Home 08/17/02 - In vitro Fertilization 08/10/02 - Back Pain 08/03/02 - Advances in Knee Replacement Surgery ... 7/15/00 - Advances in Skin Cancer Vaccine Research "COPD (Chronic Obstructive Pulmonary Disease)" Saturday, July 29, 2000 Dr. Tammy Kile Emergency Department Harbor Hospital For additional information about The Lung Center at Harbor Hospital, or to register for a free seminar on chronic lung disorders, call 1-877-FOR-LUNG. COPD (Chronic Obstructive Pulmonary Disease) COPD (or Chronic Obstructive Pulmonary (lung) Disease) is a term generally applied to chronic bronchitis and/or emphysema and currently affects 16 million people in the United States. Over the years, the number of lives claimed by COPD has increased sharply. In 1979, it accounted for roughly 50,000 deaths, and by 1995 the number reached over 97,000 making COPD the fourth leading cause of death in the United States. Chronic Bronchitis and Emphysema Bronchitis is an inflammation of the lining of the bronchial tubes, or bronchi, which connect the windpipe with the lungs. When the bronchi are inflamed and/or infected, air is often less able to flow to and from the lungs and a heavy mucus or phlegm is coughed up. Chronic bronchitis is defined by the presence of a mucus-producing cough most days of the month, three months of a year for two successive years without other underlying disease to explain the cough. It may precede or accompany pulmonary emphysema.

52. THE MERCK MANUAL, Sec. 6, Ch. 68, Chronic Obstructive Airway Disorders Topics. General. Asthma. chronic obstructive pulmonary disease. Giant Bullae.click here for navigation help. chronic obstructive pulmonary disease. http://www.merck.com/pubs/mmanual/section6/chapter68/68c.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 6. Pulmonary Disorders Chapter 68. Chronic Obstructive Airway Disorders Topics [General] Asthma Chronic Obstructive Pulmonary Disease Giant Bullae Chronic Obstructive Pulmonary Disease A disease characterized by chronic bronchitis or emphysema and airflow obstruction that is generally progressive, may be accompanied by airway hyperreactivity, and may be partially reversible. Chronic bronchitis is characterized by chronic productive cough for at least 3 mo in each of 2 successive yr for which other causes, such as infection with Mycobacterium tuberculosis , carcinoma of the lung, or chronic heart failure, have been excluded. Emphysema is characterized by abnormal permanent enlargement of the airspaces distal to the terminal bronchioles with destruction of their walls and without obvious fibrosis. Destruction is defined as irregular enlargement of respiratory airspaces; the orderly appearance of the acinus and its components is disturbed and may be lost. Asthma is characterized by airway inflammation that is manifested by airway hyperresponsiveness to a variety of stimuli and by airway obstruction that is reversible spontaneously or in response to treatment; reversibility may be incomplete in some patients.

53. THE MERCK MANUAL OF GERIATRICS, Sec. 10, Ch. 78, Chronic Obstructive Pulmonary D Chapter 78. chronic obstructive pulmonary disease. Contributor PeterB. Terry A group of diseases, usually defined as including http://www.merck.com/pubs/mm_geriatrics/sec10/ch78.htm

Section 10. Pulmonary Disorders this section includes Chapter 75. Aging and the Lungs Chapter 76. Pulmonary Infections Chapter 77. Pulmonary Embolism Chapter 78. Chronic Obstructive Pulmonary Disease ... Chapter 82. Pulmonary Rehabilitation Chapter 78. Chronic Obstructive Pulmonary Disease Contributor: Peter B. Terry A group of diseases, usually defined as including chronic bronchitis and emphysema, characterized by chronic airflow obstruction with reversible or irreversible components or both. Chronic bronchitis is a clinical diagnosis and is characterized by a productive cough occurring most days of the month for at least 3 months of the year for 2 consecutive years. Emphysema is a pathologic diagnosis and is characterized by enlarged alveolar spaces and destructive changes in the alveolar walls that reduce the surface area for gas exchange. Epidemiology and Etiology The prevalence of chronic obstructive pulmonary disease (COPD) in North America may be as high as 10% in persons aged 55 to 85. Over the past 15 years, the incidence of COPD has risen more rapidly than that of any of the other nine leading causes of death. COPD ranks second to coronary artery disease as a Social Security-compensated disability. About 3% of the U.S. population have chronic bronchitis, whereas 4 to 7% of elderly persons have it. About 1% of the U.S. population have emphysema. However, only 5% of persons with chronic bronchitis and about 40% of persons with emphysema have clinically significant airway obstruction.

54. Chronic Obstructive Pulmonary Disease (COPD) chronic obstructive pulmonary disease. ( Heaves ). Introduction. Chronic obstructivepulmonary disease (COPD) is an equine lung disease similar to human asthma. http://www.cvm.msu.edu/RESEARCH/pulmon/COPD.htm

Dr. N. Edward Robinson's Upcoming Talks on Equine Airway Disease Chronic Obstructive Pulmonary Disease ("Heaves") Introduction Etiology of COPD Hay contains microorganisms such as bacteria and fungi as well as tiny particles of feed grains, plants, feces, dander, and pollen (see the photomicrograph of a clean hay sample in Figure 2). These tiny particles become aerosolized in hay dust and elicit an allergic response when they are inhaled by COPD horses. While it is believed that the hypersensitivity reaction seen in COPD horses is in response to many different allergens, the primary microorganisms involved in the etiology of heaves are Aspergillus fumigatus, Thermoactinomyces vulgaris, and Faenia rectivirgula Aspergillus fumigatus is a mold that grows on dead and decaying matter such as poorly cured hay. It is thermophilic ("heat-loving") and can thrive in the high temperatures achieved in decomposing vegetation. A. fumigatus forms spores which become airborne and can be inhaled. These spores are antigenic (they are recognized as "foreign" by the immune system and provoke an immune response) and allergenic. Both Thermoactinomyces vulgaris and Faenia rectivirgula are bacteria which produce spores that become airborne and can be inhaled. All three of these species of microorganisms are numerous in moldy hay (Figure 3 is a photomicrograph of moldy hay).

55. Respiratory Disorders - Chronic Obstructive Pulmonary Disease - Methodist Health chronic obstructive pulmonary disease (COPD) COPD is a term that refers to alarge group of lung diseases which can interfere with normal breathing. http://www.methodisthealth.com/pulmonary/copd.htm

Respiratory Disorders Home Page Los Trastornos Respiratorios (en español) Clinical Services The Methodist Hospital Methodist Diagnostic Hospital Sleep Disorder Center Methodist Sugar Land Hospital Methodist Willowbrook Hospital ... Spirometers Upper Respiratory Infections: Common cold Influenza Pharyngitis/Tonsillitis Sinusitis ... Appointment Chronic Obstructive Pulmonary Disease (COPD) COPD is a term that refers to a large group of lung diseases which can interfere with normal breathing. It is estimated that 11 percent of the US population has COPD. The two most common conditions of COPD are chronic bronchitis and emphysema. The causes of COPD are not fully understood. It is generally agreed that the most important cause of chronic bronchitis and emphysema is cigarette smoking. Causes such as air pollution and occupational exposures may play a role, especially when combined with cigarette smoking. Heredity also plays a contributing role in some patients' emphysema, and is especially important in a rare form due to alpha 1 anti-trypsin deficiency. Symptoms Patients with chronic bronchitis usually have a cough and sputum production for many years before they develop shortness of breath.

56. BioSpace : CCIS : Search Results For Indication = 'Chronic Obstructive Pulmonary 43 Search Results for Indication = 'chronic obstructive pulmonary disease'.Patients See Clinical Research Studies currently enrolling http://www.biospace.com/ccis/search.cfm?RXTargetID=53

57. BioSpace News: Chronic Obstructive Pulmonary Disease above or subscribe. BioSpace News chronic obstructive pulmonary disease.Walking Helps Weakened Lungs Exercise is good for people http://www.biospace.com/ccis/news_rxtarget.cfm?RXTargetID=53

58. NIOSH/NORA Posters/Occupational Asthma And Chronic Obstructive Pulmonary Disease Occupational Asthma and chronic obstructive pulmonary disease. Mission.Asthma and chronic obstructive pulmonary disease (COPD) are http://www2.cdc.gov/NORA/teamposters/psacops.html

Occupational Asthma and Chronic Obstructive Pulmonary Disease Mission Asthma and chronic obstructive pulmonary disease (COPD) are two important respiratory disorders that have substantial occupational determinants. The mission of the NORA Occupational Asthma and Chronic Obstructive Pulmonary Disease Team is to identify and prioritize needs and opportunities for occupationally-relevant research relating to the prevention of asthma and COPD. Team members further actively engage in and promote activities that take advantage of the opportunities to address the identified needs. Research Support The Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH), announce the availability of fiscal year (FY) 1999 funds for grant applications for research related to some of the priority areas identified in the National Occupational Research Agenda (NORA) that is described in the RESEARCH OBJECTIVES section. Two types of grants will be supported: traditional research projects and demonstration projects. Asthma and Chronic Obstructive Pulmonary Disease (COPD) are leading respiratory diseases in the U.S. and major causes of morbidity and mortality. Although both diseases have nonoccupational causes, workplace exposures also contribute to their development, persistence, and exacerbation. More research is needed to guide efforts to prevent and reduce the occupational contribution to these diseases.

59. Asthma, COPD, Chronic Obstructive Pulmonary Disease, Bronchitis, Chronic Bronchi There are many ways to classify drugs for asthma and COPD. The classification offered here is based Category Health Conditions and Diseases Treatment...... COMMENT ON CLASSIFICATION. There are many ways to classify drugs forasthma and COPD (chronic obstructive pulmonary disease). The http://www.mtsinai.org/pulmonary/books/breathe/ASTHMADR.htm

Updated 2002 Lawrence Martin, M.D., FACP, FCCP Pulmonary Division University Mednet Mentor, Ohio 44060 Associate Professor of Medicine Case Western Reserve University School of Medicine Cleveland, Ohio Return to Pulmonary Division home page Index to all of Dr. Martin's web sites Click here for drugs used to treat rhinitis and sinusitis Go Directly to Drug Classification COMMENT ON CLASSIFICATION. There are many ways to classify drugs for asthma and COPD (chronic obstructive pulmonary disease). The classification offered here is based on their mechanism of action in improving the basic problem (which is airway obstruction) and by their route of administration (oral or pill form, by inhalation, or by injection). Our lungs contain many branching airways that deliver fresh air to the blood. The phrase "drugs for asthma and COPD" means drugs that help open up the airways when they become narrowed due to disease. (Note that these are generally different from medications used to treat upper airway problems (rhinitis and sinusitis); see the link above for a table of those drugs.) Other drugs may be used in people with asthma and COPD, such as antibiotics for infection, but they are not used to directly "open up" the airways. When it comes to drugs for "opening up" the airways, all available medications can be classified by one of two basic mechanisms of action: bronchodilation and anti-inflammatory.

60. Asthma, COPD, Chronic Obstructive Pulmonary Disease, Bronchitis, Chronic Bronchi all but the mildest attacks require treatment with corticosteroids; this is alsotrue for asthmatic exacerbations of chronic obstructive pulmonary disease (COPD http://www.mtsinai.org/pulmonary/Asthma-Rx.htm

Drugs for Asthma/COPD - A Medical Primer for Physicians Updated February 1999 Lawrence Martin, M.D., FACP, FCCP martin@lightstream.net Chief, Division of Pulmonary and Critical Care Medicine Mt. Sinai Medical Center Cleveland, Ohio 44106 Phone 216-421-3708 Fax 216-421-6952 Associate Professor of Medicine Case Western Reserve University School of Medicine Cleveland, Ohio Return to Pulmonary Division home page SUMMARY OF KEY POINTS Asthma is an inflammatory airways disease and all but the mildest attacks require treatment with corticosteroids; this is also true for asthmatic exacerbations of chronic obstructive pulmonary disease (COPD). For exacerbations of asthma or COPD, preferentially start an inhaled bronchodilator drug (beta-adrenergic or anti-cholinergic) along with the oral or intravenous corticosteroids. Theophylline is no longer a first-line drug in the treatment of asthma or exacerbations of COPD; it is a second or third-line drug for this indication. The role of anti-leukotriene drugs in chronic asthma management is not yet clearly defined. These drugs are not to be used for therapy of acute asthma exacerbations. When air flow improvement is expected with treatment, monitor some measurement of air flow: peak flow or spirometry. Arterial blood gases are not necessary to manage most asthmatics; they are most useful when peak flow is repeatedly less than 35% of predicted.

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