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By M. Cazzola, S. Sethi, F. Blasi, A. Anzueto

The mentioned variability within the prevalence and severity of power breathing illnesses resembling bronchial asthma and COPD, makes powerful remedy more challenging, and the social and fiscal bills of those ailments the entire better. Acute exacerbations are multi-factorial in beginning, and are recognized to be associated with a couple of components together with allergens, atmospheric pollutants and infectious brokers. potent remedy calls for a equally complicated technique that addresses all of the part reasons. this article brings jointly present wisdom of the epidemiology and pathophysiology of those episodes, and the most recent experimental types through which researchers are searching for to enhance our realizing in their prevalence and development. The ebook concludes with a evaluation of the most recent principles on remedy for exacerbations. The authors assessment the person efficacy of present remedies within the mild of this information and current new options for formulating powerful healing regimes.

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Example text

Interestingly, in patients with COPD, the percentage of neutrophils in the distal airspace is positively correlated with the severity of airway obstruction, as assessed by the worsening of the FEV1/FVC (forced vital capacity) ratio with increasing neutrophil inflammation [50]. This observation suggests that neutrophil recruitment during exacerbations may play a significant role in the progression of COPD and that patients experiencing several exacerbations may be more prone to the development of a more rapid decline of lung function [16].

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