Friday, April 24, 2015

Lovego Weekly report- COPD Lifestyle Changes

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COPD Lifestyle Changes

COPD is a serious disease, and it has been the fourth-leading cause of death worldwide. Individuals with COPD face both physical and mental challenges. Being difficult to walk due to short of breathless, being hard to do some housework, being easier to worry, sadness, leading to depression and anxiety and so on. If you or your love are suffering from the COPD, you know these better and deeper. Since the beginning, you’ll find many things in life have changed. And you have to change some habits and do more required activities to cope with it.

Quit smoking is the most important step you need to take, which smoking is the main factor that leads to the COPD. Quit smoking is very necessary even a must thing to treat the disease. If you have trouble quitting it, you can consider to consult your doctor, join a support group. Many hospitals, workplaces, and community groups offer classes to help people quit smoking. Ask your family members and friends to support you in your efforts to quit.

Also, try to avoid secondhand smoke and places with dust, fumes, or other toxic substances that you may inhale.

When having the COPD, you may have trouble eating enough because of your symptoms, such as shortness of breath and fatigue. (This issue is more common with severe disease.) As a result, you may not get all of the calories and nutrients you need, which can worsen your symptoms and raise your risk for infections. Under this situation, the small meals we ever talked will be helpful.
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Then, talk with your doctor about what types of activity are safe for you. You may find it hard to be active with your symptoms. However, physical activity can strengthen the muscles that help you breathe and improve your overall wellness.

Anyway, what you do shall be good to cope with the symptoms and make you feel better.

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Thursday, April 16, 2015

Lovego Weekly report-Why drug for severe COPD becomes less effective

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Why drug for severe COPD becomes less effective
                                                                                              
                                                                                     ---------From sciencedaily

Roflumilast, a drug recently approved in the United States to treat severe chronic obstructive pulmonary disease (COPD), increases the production of a protein that causes inflammation, which possibly results in patients developing a tolerance to the drug after repeated use and makes the drug less effective, according to researchers at Georgia State University, Kumamoto University and the University of Rochester Medical Center.

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The findings, published on March 23 in theProceedings of the National Academy of Sciences USA, may help explain the development of tolerance to roflumilast and may assist with developing new therapeutics to improve the efficacy of the drug.

COPD is the fourth-leading cause of death worldwide. This progressive disease causes airflow blockage and breathing-related problems, such as coughing that produces large amounts of mucus, wheezing, shortness of breath and chest tightness. Cigarette smoking is the leading cause of COPD, according to the National Heart, Lung and Blood Institute.

Roflumilast, a new drug class for the treatment of COPD, was approved by the U.S. Food and Drug Administration in 2011 to decrease the frequency of flare-ups or worsening of symptoms from severe COPD. The drug is known commercially as Daliresp.

"There is clinical evidence showing that patients could develop a tolerance if they keep taking repeated dosing of this drug, but why or how has been unknown. If we can figure out why people have a tolerance, we can probably improve the therapeutics," said Dr. Jian-Dong Li, director of the Institute for Biomedical Sciences at Georgia State and a Georgia Research Alliance Eminent Scholar in Inflammation and Immunity.

It is important to develop new therapeutics to improve the efficacy of roflumilast because there is no effective therapeutic for severe COPD, Li said.

Roflumilast was designed to inhibit the enzymatic activity of a protein called PDE4, but the study found the drug also undergoes a complicated, unwanted process to increase the production of PDE4B2. The surge of this protein increases inflammation in ways that are dependent and independent of enzymatic activity and may contribute to the patient developing a tolerance to roflumilast. The researchers concluded the drug, even at high concentrations, cannot fully suppress inflammation because it can't suppress inflammatory response that is independent of enzymatic activity.

"We found there is some inflammatory response which cannot be suppressed by the drug because it has little to do with the enzyme activity," Li said. "The patient keeps taking the drug and over time, you give more drug and you produce more target protein, which is even more counterproductive for suppressing inflammation. Over time, we develop a tolerance."

The researchers also identified an important protein called PKA-Cβ, which can be targeted to reduce the unwanted production of PDE4B2.

In addition, they found roflumilast works with the major bacterial pathogen that causes symptoms to worsen in severe COPD to increase production of the unwanted protein PDE4B2 in a synergistic manner.

Li said the counterproductive activity of roflumilast is similar to using a fire extinguisher to bring down a fire, but at the same time, the fire extinguisher itself is increasing the amount of flammable material causing the fire

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Thursday, April 9, 2015

Lovego weekly report-Reducing Household Dangers for COPD in daily life

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When having COPD, you’ll be firstly informed that smoking or being around secondhand smoke can make your condition worse. So stop smoking is important and keeping your home smoke-free will be helpful. But smoking is not the only COPD triggers, there are some other triggers may be lurking around your house as well. Following contents are about these common household hazards — and how to sidestep them.
1.     Avoid aerosol spray cans. Many health, cleaning, and beauty products come in aerosol cans. These may emit chemicals linked to respiratory problems. Whenever possible, opt for pump sprays or lotions instead.
2.     Watch for mold. Mold is a danger to respiratory health. Prevent mold by keeping your kitchen and bathroom well-ventilated. Seal your basement from water leaks. And make sure indoor humidity levels stay between 30% and 50%.
3.     Keep harmful chemicals out. Harmful chemicals may be found in several household items — from paint and pesticides to car exhaust. Whenever possible, reduce or eliminate them. Don’t let your car idle in the garage. Remove air fresheners, and keep your house well-ventilated
4.     Don't use a fireplace. In addition to maintaining a smoke-free house, you may need to put out the flames in your hearth, as well. Avoid using the fireplace. If you do, make sure it is properly ventilated.
5.     Clean naturally. Although keeping your house clean is important, cleaning supplies can be full of toxic chemicals. Products containing volatile organic compounds — as well as ammonia, bleach, and even some fragrances — can be harmful. Instead, clean with natural ingredients, like baking soda, or vinegar and water.
6.     Service your appliances. Home appliances can release harmful gases and other irritants. Make sure they’re inspected and cleaned regularly. This includes furnaces and central air conditioning.
7.     Avoid dusty activities. If possible, leave your house and get someone else to do chores that are extra dusty, such as vacuuming. If you must do the cleaning, reduce airborne particles as much as possible. Using a damp cloth or mop when dusting can be helpful.
8.     Be wary of carpet. If you can, remove carpeting from your home. New carpet and carpet padding can emit toxic gases. Old carpeting can collect pollutants like dust, mold spores, and pesticides. If you can’t get rid of your carpeting, be sure to keep it clean and dry. Regular vacuuming can help
9.     Monitor for carbon monoxide. If you don’t already, start monitoring your home for carbon monoxide gas — an odorless gas caused by the burning of fuels. Breathing in the gas can cause serious health problems and even death. People with respiratory problems are especially at risk. Install carbon monoxide alarms near sleeping areas.
10.   Consider cleaning the air. Some air purifiers on the market can produce air that’s 99% particle-free. Just be sure to research your options, if you choose to buy one. Not all available products are effective.

Above is References from Gina Garippo


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Thursday, April 2, 2015

Lovego weekly report-The first killer to elders-Lung infection

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Nowadays, the higher attention that most elders pay to are the Cardiovascular and Tumour, neglecting the Lung often. Actually, Lung is the internal organs that contact the outside world directly. The refered disease as well as the chronic disease may induce the lung infection, and with high mortality rate.

The Lung infection has been the first killer to elders. It ranks third for the cause of death. Especially, When the elders have COPD, it will be much easier for them to get it like bronchitis and pneumonia(The most common infections of the lungs). Also, it will be quite serious as it can lead to COPD exacerbation that may result in hospitalization and death.

If having the symptoms like Fever, Increased Shortness of Breath, Productive Cough, Changes in Mucus and Pleuritic Chest Pain, it should alert you to contact your doctor as soon as possible.

For elders, taking more and proper exercise is a very necessary way to prevent lung infection, as it will help to cough and sputum excretion



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Thursday, March 26, 2015

Lovego weekly report-Mini meals for COPD

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Weekly report


Taking a proper diet is important to manage the symptoms of COPD, just as we wrote before, we shall know what to eat and what to avoid. While eating, we can take several small meals to ease the pressure.
As suffering from the COPD, it increases the burden of the muscles to breathe. They have to work harder and use more energy so we need to eat more calories to supply the energy they need and to keep the muscles from becoming weaker. To this, keeping a good weight and asking the health care provider what our weight should be and how many calories we should eat each day are important too. (Weight loss is common in people who have COPD. We should see our health care provider if we lose more that 10 percent of our weight in six months, or more than 5 percent in one month.)
By eating small meals throughout the day can help provide the energy our body needs. Even if we aren't underweight, eating smaller meals that have the recommended number of calories has its advantages. A large meal in the stomach presses on the diaphragm, leaving the lungs less room to expand. Digesting a large meal also pulls blood and oxygen into the stomach and away from the rest of the body.
Aim for 4 or 6 mini-meals rather than 2 or 3 large meals throughout the day. These tips can help:
l  Build each mini-meal around two or three healthy foods: fruits and vegetables, whole grains and cereals, dairy products, and protein. Be sure to eat a balance of these foods.
l  Limit foods with empty calories. Foods that are high in sugar, white flour, and fat provide calories but no vitamins and minerals.
l  Go easy on salt (sodium). Too much sodium causes fluid buildup, making breathing more difficult. Avoid foods with more than 300 mg sodium per serving.
l  Avoid foods that cause gas or bloating, such as fried or greasy foods, beans, and some fruits and vegetables. These can make it harder to breathe.

And below are some easy-to-prepare mini-meals:
One scrambled egg, whole-grain toast, and a melon slice
Half a turkey sandwich and vegetable soup
Baby carrots, rye crackers, and cheddar cheese
Vanilla yogurt and thawed, frozen blueberries




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Thursday, March 19, 2015

Lovego Weekly Report- Travel Tips for People With COPD

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Weekly report


Travel is a very beautiful thing in our life, get close to the natural, far away from the city, climb mountains, see rivers, how wonderful the outdoor times. However, if you’re fighting with COPD, there are many constraints, as easy to be short of breath, you may be reluctant to go out and spend most of time stay at home. This is true for many people under this condition. But if you make the proper and well preparations, there's no reason you can't travel anywhere you'd like, be it for a few hours or a few weeks.

1.Before the travel, you shall need a smart plan, it is important to talk it with your doctor first. As changes in altitude and climate can affect breathing. The doctor will give you advices and tell you more cautions. Like Is it safe for you to travel? When traveling to areas of higher elevation, will your oxygen requirements change? How soon can you travel after lung surgery? What to do in case of infection? How to do if happen emergency things? ect.
2. Also, ask you doctor to recommend the local doctors or hospitals of destinations. Print it on paper.
3. Check with your insurance company before you travel to avoid any insurance mishaps along the way.
4. You should well prepare the things took for the travel.
A.    A full supply of your COPD medications and take the a list of your medications. If possible, get copies of your prescriptions and keep the medical record,
B.     Water or beverage to take medicine
C.     Bring an adequate supply of oxygen. Maybe take the oxygen tanks or portable oxygen concentrator.
D. Bring a hand sanitizer . This helps kill germs and prevent infection.

5. Choose a suitable transport and make sure to be familiar with the transport policies, as you need travel with oxygen
6. If possible, don’t travel alone, be accompany with families or friends
7. Don’t forget the right meal, regular exercise during the trip.
8. While on your trip, remember to pace yourself and make sure you get the proper rest.

With a good plan and well preparation, you can have an enjoyable time and  see as much as you are able.




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Thursday, March 12, 2015

Lovego weekly report-Chronic obstructive pulmonary disease – Two real stories

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Weekly report

Chronic obstructive pulmonary disease – Two real stories


COPD is a leading cause of morbidity and mortality worldwide, many people are facing and fighting with the disease. No matter how hard are the daily life, we have the reasons to be active and positive.
This week we share two stories from the NHS, many of the people with the COPD have the similar experience. Anyway, COPD won’t scared us, we shall learn to how to manage the conditions.

First story:
"I thought, I can either be miserable or I can live life to the full"
Lynn Ashton was having a happy Christmas dinner until a candle set her plastic tablecloth alight.
“We were taking a break after the main course when one of my children said she could smell something funny,” says Lynn.
"I rushed into the dining room to find the plastic tablecloth and the dining room in flames. I threw the tablecloth on to the patio, but by then I had inhaled a lot of toxic fumes.”
She sat outside trying to get her breath. Initially, she didn’t go to the doctor. But over the next few weeks, her breathing got worse. She was already an asthmatic and smoked around 15-20 cigarettes a day.
“I spent the next four months in and out of hospital with chest infections,” says Lynn. “At times, my breathing was so bad I could barely bend down to tie my shoelaces.”
Lynn was diagnosed with COPD and bronchiectasis, an abnormal widening of the air sacs in the lungs. It was a shattering blow and she stopped smoking immediately. Lynn was determined to stay strong. Her daughter was pregnant with her first grandchild.
“My prognosis wasn’t good at first,” she says. "I thought, I can either sit around and be miserable or I can live life to the full. I wanted to see my grandchild grow up. I wanted to help other people with COPD. I believe things happen for a reason.”
Lynn is on a treatment regimen which includes six different drugs and a nebuliser. Two years ago, she had a small catheter fitted which passes from the lower neck into the windpipe and delivers oxygen directly into her lungs. It’s held on by a discreet chain around her neck. “I clean it several times a day and it’s wonderful,” she says.
Lynn now helps other people who have COPD. She joined a local support group in Huntingdon called Hunts Breathe for Life, which she now chairs, and started to raise money for the cause.
“I started off doing some short walks. Then it occurred to me that I’d love to do the London Marathon. I called the British Lung Foundation and they were very enthusiastic and offered me a place. But when I told them I had COPD and was on oxygen, they were rather worried.”
Lynn started her training by walking for just one minute on a treadmill at her local gym. Gradually, under the supervision of her nurse, she increased the time until she was ready to realise her dream.
“It took me five days to finish the marathon,” she says. “I had a trolley to help me walk and had my oxygen with me at all times. Every afternoon I’d go back to the hotel and rest. It was a wonderful experience. I raised over £14,000.”
Lynn believes in living life to the full. “There was a time when I was very angry and that’s normal. I still have bad days. But when I look around, I see that there’s always someone worse off than me.”

Second story:
"When I woke up, I could hardly breathe"
With a little help, Eddie Brownlow realised he could manage his COPD and get on with life.
Having served in the navy and the army as a paratrooper, Eddie Brownlow was fit when he left the forces aged 47. However, he had smoked about 15 cigarettes a day for most of his life.
It was the done thing back then. It relaxed me after a parachute jump,” says Eddie.
After retiring from a second career as a sales manager, Eddie was getting breathless whenever he had to lift something heavy or exert himself. He ignored the fact that he was feeling a “bit puffy” all the time and carried on.
However, by 1998, he couldn't ignore it any more. “We were in Mexico on holiday and I had booked a marlin fishing trip," says Eddie. "But when I woke up, I could hardly breathe. Luckily I recovered, but when I got back home I picked up a chest infection.”
He went to his GP, who referred him to hospital. He was diagnosed with COPD. He followed a rehabilitation programme, which he describes as excellent. He learned about his medication, how to exercise and how to improve his diet.
Eddie says, “I realised there was no need to panic. You just need to learn to manage your condition. There's advice available.”
One important thing Eddie knew he had to do was give up smoking. It took him quite a while, but with patches, advice and support from his wife, he finally kicked the habit.
He also got involved with his local British Lung Foundation group, Breathe Easy, a voluntary organisation that supports people with breathing conditions such as COPD. Within a few months of joining, he took over his group and built up the membership.
Eddie now makes it his job to raise awareness of breathing conditions and, through his efforts, the town's mayor selected his branch of Breathe Easy as his chosen charity recently.


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