81. NeLH Toolkit - Care Pathways - Pathway - Chronic Obstructive Pulmonary Disease Pathway Details Topic, chronic obstructive pulmonary disease. Stage of Development,Piloting. Pathway Title, chronic obstructive pulmonary disease. Pathway summary, http://www.nelh.shef.ac.uk/nelh/kit/cps/paths.nsf/5deb3fd7aaec77dc80256bf4004f42

NHS Direct Online nhs.uk Department of Health Electronic Library for Social Care 31st Mar. 2003 NeLH Homepage Branch Libraries (kit based) Care Pathways Library Welcome List by title List by topic List on-line List by source List by user List by editor Search Knowledge View Pathways by.. Title Topic Available On-line Source Organisation User Organisation Editor Development Stage Jump to Topics Search Return to Welcome Back Organisational Details Organisation name Hinchingbrooke Hospital, Hinchingbrooke Healthcare NHS Trust Details Organisation Region/ Health Board England/ Eastern Pathway Details Topic Chronic obstructive pulmonary disease Stage of Development Piloting Care Setting Acute Pathway Title Chronic obstructive pulmonary disease Pathway summary Appraisal/ review Organisation that created the pathway. Hinchingbrooke Healthcare NHS Trust This Record creator - organisation RCN Top (Go to ) Form: Pathways

82. Quality Indicator Guides: Chronic Obstructive Pulmonary Disease The Cleveland Clinic. chronic obstructive pulmonary disease How DoYou Judge Quality? A Stepby-Step Guide This Hypertext document http://www.clevelandclinic.org/quality/08-28/

Chronic Obstructive Pulmonary Disease How Do You Judge Quality? A Step-by-Step Guide This Hypertext document helps you choose a doctor and hospital by: describing the elements of COPD; explaining how COPD is diagnosed; describing treatments lifestyle changes, medical therapy and surgical intervention; explaining six points that indicate quality; and providing questions and answers from the Cleveland Clinic that you can use to compare doctors and hospitals. Judging Quality Healthcare... Most of us do more research when we buy a car or television than when we choose a doctor or hospital. That may be because we don't know what questions to ask or on what to base our evaluation. Quality of care can be measured in many different ways, and no universal agreement exists on which should be used. At the Cleveland Clinic, however, we believe that you can use the following six points, or quality indicators, to compare health care providers: Credentials Experience Range of Services Participation in Research and Education Patient Satisfaction Outcome Choosing a doctor or hospital is often influenced by values. You may want to go to a hospital that is close to home. You may want a hospital with a specific religious affiliation. But when you need specialized care for COPD, you also should consider a doctor's qualifications and a hospital's outcome record. These quality indicators will help you make that kind of evaluation.

83. Quality Indicator Guides: Chronic Obstructive Pulmonary Disease...Explaining The Cleveland Clinic. Explaining chronic obstructive pulmonary diseasechronic obstructive pulmonary disease. Early Diagnosis for COPD http://www.clevelandclinic.org/quality/08-28/08-28a.htm

Explaining Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease Early Diagnosis for COPD Here are a few ways to recognize COPD: coughing shortness of breath (while at rest or during activity) sputum (mucus) production very rapid breathing wheezing weight loss from difficulty breathing Hereditary Emphysema An estimated 50,000 to 100,000 Americans living today were born with a deficiency of a protein called alpha 1-anti-trypsin which can lead to an inherited form of emphysema. The deficiency causes a chemical imbalance and the lungs lose the ability to protect themselves against the destruction of its system of elastic fibers. Blood tests are available through hospital laboratories that can detect the deficiency of this protein. Since this is a hereditary disease, people with relatives who developed emphysema in their 30s and 40s should be tested for alpha 1-antitrypsin deficiency. The Cleveland Clinic offers testing, treatment and counseling for hereditary emphysema. For more information, please call 216/444-3702 or toll-free at 800/223-2273, ext. 43702. COPD Chronic obstructive pulmonary disease describes two closely related diseases of the respiratory system: chronic bronchitis and emphysema.

84. WileyEurope :: Chronic Obstructive Pulmonary Disease - Pathogenesis To Treatment WileyEurope, chronic obstructive pulmonary disease Pathogenesis to TreatmentNo. chronic obstructive pulmonary disease - Pathogenesis to Treatment No. http://www.wileyeurope.com/cda/product/0,,0471494372|desc|2807,00.html

Shopping Cart My Account Help Contact Us By Keyword By Title By Author By ISBN By ISSN WileyEurope Medical Sciences Cardiovascular Disease Chronic Obstructive Pulmonary Disease - Pathogenesis to Treatment No. 234 Related Subjects Endocrinology Imaging Immunology Oncology Related Titles By These Authors Plasminogen-Related Growth Factors - No. 212 (Hardcover) Ageing Vulnerability: Causes and Interventions - No. 235 (Hardcover) Alcohol and Cardiovascular Disease - Symposium No. 216 (Hardcover) Cancer and Inflammation - No. 256 (Hardcover) Cardiovascular Disease Hemodynamic Rounds, 2nd Edition (Paperback) Morton J. Kern (Editor) Geriatric Cardiology: Principles and Practice (Hardcover) Anthony Martin (Editor), A. John Camm (Editor) Angiotensin-Converting Enzyme Inhibitors: Scientific Basis for Clinical Use, 2nd Edition (Paperback) Lionel H. Opie Cardiac Problems in Pregnancy: Diagnosis and Management of Maternal and Fetal Heart Disease, 3rd Edition (Hardcover) Uri Elkayam (Editor), Norbert Gleicher (Editor) Congenital Heart Disease: A Diagrammatic Atlas (Paperback) Charles E. Mullins (Editor), David C. Mayer (Editor)

85. CorSolutions - Chronic Obstructive Pulmonary Disease Respiratory Solutions SM. chronic obstructive pulmonary disease ProgramSummary. Program Goals Studies have proven that smoking cessation http://www.corsolutions.com/programs/2.3.5_copd.html

Therapy goals in COPD are to induce bronchodilation, decrease the inflammatory reaction and facilitate expectoration. ATS guidelines recommend that beta2-agonists be used for relief of acute symptoms and anticholinergics for treatment of daily symptoms. The CorSolutions COPD Program has helped to achieve high medication compliance rates in addition to smoking cessation rate of nearly 10%. Respiratory Solutions SM Chronic Obstructive Pulmonary Disease Program Summary Program Goals Studies have proven that smoking cessation in conjunction with care plan compliance can lead to disease stabilization and improvement for people with COPD. The CorSolutions program helps participants achieve those goals, and works to reduce hospital admissions and emergency room visits by helping them control their symptoms. We provide the knowledge and guidance that empowers people to breathe easier, live healthier and avoid the triggers that can cause or make symptoms worse. Interventions Based on guidelines from the American Thoracic Society (ATS), our interventions address the following:

86. Chronic Obstructive Pulmonary Disease: On An Exponential Curve Of Progress chronic obstructive pulmonary disease On an Exponential Curve of Progress. Keywords chronic obstructive pulmonary disease, COPD. http://www.rcjournal.com/contents/05.02/05.02.0586.asp

Chronic Obstructive Pulmonary Disease: On an Exponential Curve of Progress John E Heffner MD Introduction Societal Impact of Chronic Obstructive Pulmonary Disease Response to the Epidemic of Chronic Obstructive Pulmonary Disease Definition Epidemiology Pathogenesis Natural History Etiologic Factors Diagnosis Patient Monitoring Pharmacologic Therapy of Stable Disease Advances in Surgical Therapy Nocturnal Noninvasive Ventilation Rehabilitation Acute Exacerbations of Chronic Obstructive Pulmonary Disease Noninvasive Positive-Pressure Ventilation for Acute Exacerbations Future Directions Key words: chronic obstructive pulmonary disease, COPD. [Respir Care 2002;47(5):586-607] Introduction To know chronic obstructive pulmonary disease (COPD) is to know pulmonaryand a large chunk of critical caremedicine. Those of us who were trained in pulmonary critical care during the 1970s gained much of our respiratory education through caring for COPD patients. We learned ventilator management and the importance of intrinsic positive end-expiratory pressure, principles of respiratory care, bronchodilator and corticosteroid pharmacotherapy, management of drug toxicity (thanks to the use of aminophylline), the importance of measuring health-related quality of life in monitoring disease, and the need for physicians to become skilled in palliative and end-of-life care. So I appreciate the opportunity at this stage of my career to pause and reflect on the progress we have made in our understanding of COPD. As I look back at the 30 years of my experience with this condition I conclude that we are on an exponential curve of improving our knowledge of COPD. In this paper I will highlight that progress by touching on those aspects of our understanding of COPD that have undergone the greatest change and those that offer the most promise for providing further insight into the disease.

87. Online Health Analysis: Conditions: COPD (Chronic Obstructive Pulmonary Disease) COPD (chronic obstructive pulmonary disease), Being obese can aggravate COPD. Signs,symptoms indicators of COPD (chronic obstructive pulmonary disease) http://www.digitalnaturopath.com/cond/C419025.html

COPD (Chronic Obstructive Pulmonary Disease) Last updated: Jan 28, 2003 THE ANALYST TM Home FAQ Start The Analyst COPD (Chronic Obstructive Pulmonary Disease) Signs, symptoms and indicators Conditions that suggest it Contributing risk factors Other conditions that may be present ... Recommendations Known to many as chronic bronchitis or emphysema, Chronic Obstructive Pulmonary Disease (COPD) is estimated to affect 32 million persons the United States - it is also the fourth leading cause of death there. Patients typically have symptoms of both chronic bronchitis and emphysema, but the classic triad also includes asthma . Most of the time COPD is secondary to tobacco abuse, but other more rare conditions, such a cystic fibrosis , may be contributing factors. Men are more likely to have COPD than women and COPD occurs predominantly in individuals over 40. COPD is a mixture of 3 separate disease processes that together form the complete clinical picture. These processes are chronic bronchitis , emphysema and, to a lesser extent, asthma . While each case of COPD is unique in the blend of processes, two main types of the disease are recognized.

88. Chronic Obstructive Pulmonary Disease (COPD) chronic obstructive pulmonary disease (COPD) refers to the combination ofchronic bronchitis and emphysema, resulting in obstruction of airways. http://www.hollandandbarrett.com/Concern/COPD.htm

Chronic Obstructive Pulmonary Disease Also indexed as: Chronic Obstructive Lung Disease (COLD), Emphysema, Pulmonary Disease 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 can be fatal. Conventional treatment options: Doctors recommend that people with COPD stop smoking and avoid secondhand smoke. Medications such as bronchodilators, expectorants, and corticosteroids are commonly prescribed in oral or inhaled (using a nebulizer or inhaler) forms. Additional therapies may include pneumococcal (pneumonia) and flu vaccinations , supplemental oxygen therapy , and breathing rehabilitation programmes. In cases of severe COPD, lung volume reduction surgery or a lung transplant may be recommended.

89. Chronic Obstructive Pulmonary Disease chronic obstructive pulmonary disease. Patients with emphysema are being treatedby CLC surgeons with an innovative technique known as volume reduction surgery. http://www.upmc.edu/clc/copd.htm

Comprehensive Lung Center Comprehensive Lung Center Home Page Programs What's New Links to Other Lung Disease Sites Faculty Referring Patients Chronic Obstructive Pulmonary Disease Patients with emphysema are being treated by CLC surgeons with an innovative technique known as volume reduction surgery . Using a thoracoscopic approach, the surface of the emphysematous lung is "shaved" using a laser or stapling device. Removal of emphysematous tissue allows the chest wall and diaphragm to assume a more normal configuration,that helps ease labored breathing and dyspnea (breathlessness). Additional programs are available in the CLC for patients suffering from advanced emphysema and chronic bronchitis, including: pulmonary rehabilitation transtracheal oxygen nutritional support UPMC Presbyterian Home Page UPMC Health System Home Page About UPMC Find a Doctor ... Info for Staff © 2001 UPMC Health System

90. Chronic Obstructive Pulmonary Disease (COPD) - Links Our News Releases 14 January 2003 Most Significant Advance in 20 Years Specificallyto Treat chronic obstructive pulmonary disease (COPD) Approved in Canada. http://www.boehringer-ingelheim.ca/ethical/resp_links.asp

Patient Links Emphysema Foundation www.emphysemafoundation.org The Lung Association: www.lung.ca/breathworks/ Physician Links Internet based continuing education program for physicians: register for RSP003 www.discoverycampus.com Pharmacist Links Internet based continuing education program for pharmacists. www.lungcare.com Respiratory Therapist Links The Canadian Society of Respiratory Therapists www.csrt.com Other Health Care Professional Links Information on how to complete Self-Directed Learning Modules on COPD created by the Michener Institute. www.michener.ca COPD Professional: New international website providing original articles, abstracts, reviews, conference coverage, interactive case studies, video and audio for health professionals interested in COPD. www.COPDprofessional.org General Link Our News Releases: 14 January 2003 - Most Significant Advance in 20 Years Specifically to Treat Chronic Obstructive Pulmonary Disease (COPD) Approved in Canada 19 November 2002 - Launch of the Boehringer Ingelheim COPD Communication Award "Eloquium" for journalists 16 September 2002 - Boehringer Ingelheim, Pfizer to conduct long-term study with Spiriva ® (TIOTROPIUM) FOR Chronic Obstructive Pulmonary Disease 16 September 2002 - SPIRIVA ®(TIOTROPIUM) offers important new treatment option for patients with Chronic Obstructive Pulmonary Disease (COPD) ... 11 April 2001 - Boehringer Ingelheim, Pfizer to Jointly Market Once-A-Day SPIRIVA® for Chronic Obstructive Pulmonary Disease

91. Chronic Obstructive Pulmonary (Lung) Disease: Emphysema And Bronchitis Overview. chronic obstructive pulmonary disease (COPD) is also calledchronic obstructive lung disease. When we think of diseases http://www.stayinginshape.com/3osfcorp/libv/i36.shtml

HEART CANCER WOMEN CHILDREN ... LOOK IT UP Chronic Obstructive Pulmonary (Lung) Disease: Emphysema and Bronchitis Overview Emphysema Bronchitis Treatment and prevention ... Pulmonary hypertension Overview Chronic obstructive pulmonary disease (COPD) is also called chronic obstructive lung disease. When we think of diseases that obstruct the lungs, many people may think of asthma (Read about " Asthma ") but the National Heart, Lung, and Blood Institute (NHLBI) says COPD specifically refers to two other respiratory diseases: chronic bronchitis and emphysema. These two diseases often, though not always, appear together in the same patient. According to NHLBI, one other thing chronic bronchitis and emphysema have in common is this: many patients with these diseases have a long history of heavy cigarette smoking. In fact, the American Medical Association says cigarette smoking is the most important risk factor for COPD. (Read about " Quit Smoking ") Other risk factors include: age heredity exposure to air pollution in the environment or the workplace (Read about "

92. Chronic Obstructive Pulmonary Disease Location WHO WHO Sites Observatory Home Evidence Chronic ObstructivePulmonary Disease. chronic obstructive pulmonary disease. http://www.who.int/entity/chronic_conditions/evidence/copd/en

English Search Home Countries Health Topics ... Contact us Observatory on Health Care for Chronic Conditions Location: WHO WHO Sites Observatory Home Evidence Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease Bourbeau J, Julien M, Maltais F, Rouleau M, Beaupr© A, B©gin R, Renzi P, Nault D, Borycki E, Schwartzman K, Singh R, Collet JP. Reduction of Hospital Utilization in Patients With Chronic Obstructive Pulmonary Disease: A Disease-Specific Self-management Intervention. Arch Intern Med Full text Poole PJ, Chase B, Frankel A, Black PN. Case management may reduce length of hospital stay in patients with recurrent admissions for chronic obstructive pulmonary disease. Respirology Full text ... Committed to health care improvement SPOTLIGHT Evidence This section presents some examples from the literature on innovative programmes for chronic conditions. More information Best Practices Database The best practices database provides examples of care for chronic conditions that have demonstrated positive outcomes from different parts of the world. More information The Network of Innovators Links people worldwide to WHO's network of experts, researchers and country teams who are involved in improving health care for chronic conditions.

93. Pulmonary Disease, Chronic Obstructive COPD chronic obstructive pulmonary disease, This interactive tutorial COPD chronic obstructive pulmonary disease, This patient information http://omni.ac.uk/browse/mesh/detail/C0024117L0008704.html

Pulmonary Disease, Chronic Obstructive [up] Related topics: broader Lung Diseases, Obstructive other Asthma Bronchitis COPD : chronic obstructive pulmonary disease This interactive tutorial on chronic obstructive pulmonary disease (COPD) has been produced by the Patient Education Institute, and made available on the Web by the National Library of Medicine MEDLINEplus service. The tutorial provides background information on COPD, and covers anatomy, causes, symptoms, diagnosis and treatment. Viewing this tutorial requires Flash plug-in. Patient Education Handout [Publication Type] Pulmonary Disease, Chronic Obstructive Teaching Materials COPD : chronic obstructive pulmonary disease This patient information leaflet (PIL) on chronic obstructive pulmonary disease is published here by PRODIGY (Prescribing RatiOnally with Decision-support In General-practice studY), which is based at the Sowerby Centre for Health Informatics, University of Newcastle and funded by the NHS Executive. It explains what COPD is, the prevelance, causes and symptoms, the difference between COPD and asthma, diagnosis, and treatment. Patient Education Handout [Publication Type] Pulmonary Disease, Chronic Obstructive

94. Influenza Vaccine For Patients With Chronic Obstructive Pulmonary Disease (Cochr Influenza vaccine for patients with chronic obstructive pulmonary disease(Cochrane Review). Poole PJ, Chacko E, WoodBaker RWB, Cates CJ. ABSTRACT http://www.cochrane.org/cochrane/revabstr/ab002733.htm

Abstract from The Cochrane Library , Issue 1, 2003 Click here to order the full review Influenza vaccine for patients with chronic obstructive pulmonary disease (Cochrane Review) Poole PJ, Chacko E, Wood-Baker RWB, Cates CJ ABSTRACT A substantive amendment to this systematic review was last made on 27 May 2000. Cochrane reviews are regularly checked and updated if necessary. Background: Influenza vaccinations are currently recommended in the care of people with COPD, but these recommendations are based largely on evidence from observational studies with very few randomised controlled trials (RCTs) reported. Influenza infection causes excess morbidity and mortality in COPD patients but there is also the potential for influenza vaccination to cause adverse effects or not to be cost effective. Objectives: To evaluate the evidence from RCTs for a treatment effect of influenza vaccination in COPD subjects. Outcomes of interest were exacerbation rates, hospitalisations, mortality, lung function and adverse effects. Search strategy: We searched the Cochrane Airways Group trials register and reference lists of articles. References were also provided by a number of drug companies we contacted.

95. Lung Disease - Chronic Obstructive Pulmonary Disease (COPD) Health Wellness, Lung Disease chronic obstructive pulmonary disease(COPD). COPD Education. Program for adults and family members http://www.clarian.org/clinical/healthandwellness/lung.jhtml

Patients Physicians Employees Sunday March 30, 2003 Register Now to use My Clarian for personal healthcare management. User Name Password Arthritis Care Center Cancer Center Cardiovascular Center Dermatology ... Women's Services Lung Disease - Chronic Obstructive Pulmonary Disease (COPD) COPD Education Program for adults and family members who have chronic lung disease. Learn more about emphysema, chronic bronchitis, bronchiectasis and COPD. Contact: Debbie Koehl, (317) 962-5060 Pulmonary Rehabilitation and Patient Education Rehabilitation program for those with lung disease who want to become more active and learn to manage their disease. Contact: Debbie Koehl, (317) 962-5060 Better Breather Club Lung disease support group for individuals and families. Presented in conjunction with the American Lung Association. Contact: Debbie Koehl, (317) 962-5060 Looking for a great doctor in your local area? Check out our Find A Doctor page. Interested in more details about this topic? Check out the A-Z Health Library for more articles and information about this and many other health-related issues. Find out more >> Privacy Site Map

96. Self-management Education For Chronic Obstructive Pulmonary Disease (Cochrane Re Oxford Update Software Ltd. All rights reserved. Selfmanagement educationfor chronic obstructive pulmonary disease (Cochrane Review). http://www.update-software.com/abstracts/ab002990.htm

From The Cochrane Library, Issue 1, 2003 Self-management education for chronic obstructive pulmonary disease (Cochrane Review) Monninkhof EM, van der Valk PDLPM, van der Palen J, van Herwaarden CLA, Partidge MR, Walters EH, Zielhuis GA ABSTRACT Order full review View and/or submit comments What's new in this issue Search abstracts ... About The Cochrane Library A substantive amendment to this systematic review was last made on 16 July 2002. Cochrane reviews are regularly checked and updated if necessary. Background: In asthma, self-management programmes have been proven to be effective. In COPD, their value is not clear. Objectives: To assess the efficacy of COPD self-management/ education programmes on health outcomes and use of health services Search strategy: We searched the Cochrane Airways Group trial registers, MEDLINE (January 1985 to October 2001), reference lists, and abstracts of medical conferences. We also contacted research groups in the field for ongoing trials and unpublished material. Selection criteria: Controlled trials (randomised and non-randomised) of self-management education in patients with COPD. Studies focusing mainly on physical pulmonary rehabilitation were excluded.

97. Ambulatory Oxygen For Chronic Obstructive Pulmonary Disease (Cochrane Review) Ambulatory oxygen for chronic obstructive pulmonary disease (Cochrane Review). Ambulatoryoxygen for chronic obstructive pulmonary disease (Cochrane Review). http://www.update-software.com/abstracts/ab000238.htm

From The Cochrane Library, Issue 1, 2003 Ambulatory oxygen for chronic obstructive pulmonary disease (Cochrane Review) Ram FSF, Wedzicha JA ABSTRACT Order full review View and/or submit comments What's new in this issue Search abstracts ... About The Cochrane Library A substantive amendment to this systematic review was last made on 27 November 2001. Cochrane reviews are regularly checked and updated if necessary. Background: Little is known about the effectiveness of ambulatory domicilary oxygen therapy. At present ambulatory oxygen in the UK is provided with small oxygen cylinders but in other countries such as the USA and Italy, liquid oxygen systems with higher oxygen carrying capacity are widely used. Both these systems are used without adequate evidence of their effectiveness. Objectives: To determine the effectiveness of long-term ambulatory domicilary oxygen therapy in patients with chronic obstructive pulmonary disease. Search strategy: The Cochrane Airways Group specialised trials register was searched. In addition, bibliographies of each trial retrieved were also searched for additional papers that may contain further studies. Authors of identified trials were contacted for other published and unpublished studies. Selection criteria: Only randomised controlled trials in patients with chronic obstructive pulmonary disease were considered for inclusion. Trials must have randomised patients into long-term ambulatory oxygen therapy or placebo while at home. Ambulatory oxygen can be provided either through portable oxygen cylinders or with liquid oxygen canisters and the placebo group using compressed or liquid air.

98. Selected Abstracts From Chest 2002 On Chronic Obstructive Pulmonary Disease Annual Scientific Assembly of the American College of Chest Physicians SelectedAbstracts From Chest 2002 on chronic obstructive pulmonary disease November 2 http://www.medscape.com/viewprogram/2128

Focus On... ADHD ALLHAT Alzheimer's Disease Anthrax Asthma Biologic Therapies Bipolar Disorder Breast Cancer Depression Erectile Dysfunction Genital Herpes GERD Geriatric Care Heart Failure Heart Failure: CRT Hepatitis C HIPAA Home Defib in SCA Hyperlipidemia IBS InfluenZone Insulin Pump Tx Kidney Disease Menopause Micro Complications Multiple Sclerosis Osteoporosis Ovarian Cancer Pain Management Pancreatic Cancer Patient Safety Rheum Arthritis Schizophrenia Secondary Anemia Serious Mental Ill Sports Medicine UTI-Zone Weight Management Related Topics Health Diversity Hospice Care Medical Privacy Welcome, March 30, 2003 Return to Medscape coverage of: CHEST 2002: 68th Annual Scientific Assembly of the American College of Chest Physicians CHEST 2002: 68th Annual Scientific Assembly of the American College of Chest Physicians Selected Abstracts From Chest 2002 on Chronic Obstructive Pulmonary Disease November 2 - 7, 2002, San Diego, California This activity is not sanctioned by, nor a part of, the 68th Annual Scientific Assembly of the American College of Chest Physicians. Contents Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in the United States. Smoking is recognized as the major risk factor for the development of COPD; however, a number of factors contribute to individual susceptibility. Approximately 20% of COPD patients in the United States are nonsmokers, and the mechanisms that lead to disease in this group are, as yet, unclear.

99. Pulmonary Rehabilitation Rehabilitation Institute of Chicago's pulmonary rehabilitation program treats patientswith chronic obstructive pulmonary disease (COPD), emphysema, chronic http://www.rehabchicago.org/patient/services/pulm.php

Pulmonary The Rehabilitation Institute of Chicago's pulmonary rehabilitation program offers a personalized comprehensive assessment followed by treatment designed to educate patients, increase breathing capacity, improve ability to perform daily activities, integrate medication management as well as decrease anxiety, panic and stress. Capabilities include inpatient, outpatient and day rehabilitation services for: chronic obstructive pulmonary disease (COPD), emphysema, chronic asthma , sarcoidosis, pre- and post-lung transplant ,chronic lung disease and lung cancer Programs adhere to the guidelines developed by the American Thoracic Society of the American Lung Society. Services provided at The Rehabilitation Institute of Chicago's Main Campus, located at 345 E. Superior Street, in Chicago, maintain a strong relationship with pulmonary specialists at Northwestern Memorial Hospital. Other supportive resources include: RIC's Breath of Life Support Group , and the Helen M. Galvin Center for Health and Fitness Comprehensive pulmonary rehabilitation services are offered at several RIC locations. For more information, call our Toll Free Referral and Information Line: 1-800-354-REHAB (7342), or visit

100. BBC Health - Features - Chronic Obstructive Pulmonary Disease (COPD) Feature. chronic obstructive pulmonary disease By Dr Rob Hicks What causes COPD?What happens? How do people with COPD feel? Can anything be done about it? http://www.bbc.co.uk/health/features/copd.shtml

CATEGORIES TV RADIO COMMUNICATE ... INDEX SEARCH MONDAY 31st March 2003 Text only BBC Homepage Health Homepage Ask the Doctor ... Help Like this page? Send it to a friend! Feature Chronic Obstructive Pulmonary Disease By Dr Rob Hicks What causes COPD? What happens? How do people with COPD feel? ... Can anything be done about it? Chronic Obstructive Pulmonary Disease (COPD) is the overall term now used to describe a variety of illnesses that used to be called "chronic bronchitis", "emphysema", and chronic obstructive airways disease. People with COPD have permanently damaged lungs, usually through smoking, and find it difficult to breathe most of the time. What causes COPD? COPD is the overall term for... - Chronic bronchitis - Emphysema - Chronic Obstructive Airways Disease (COAD) - Chronic Airflow Limitation - Some cases of Chronic Asthma At the end of the airways in the lungs are tiny air sacs called alveoli, which are like broccoli to look at. It's here that oxygen from the air is absorbed into the blood stream, ready to be transported around the body. In the vast majority of cases, it's smoking that has caused the problem. Smoke from cigarettes causes inflammation in the lungs and destroys the elasticity that allows the lungs to expand and contract as we breathe in and out.

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