Complexity and Challenges in the Diagnosis and Treatment of Chronic Respiratory Diseases

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Molecular and Translational Medicine".

Deadline for manuscript submissions: closed (30 April 2024) | Viewed by 962

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Guest Editor
Institute of Physical Chemistry of the Polish Academy of Sciences, 01-224 Warsaw, Poland
Interests: chronic obstructive pulmonary disease diagnostic; molecular biology; cancer biology; antitumoral compounds; zebrafish; cap analog-mRNA; aging; 3D culture; microfluidic; bioprinting
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Special Issue Information

Dear Colleagues,

Humans are exposed to numerous infections, toxins, and irritants daily, resulting in persistent inflammation. Chronic respiratory diseases (CRDs) pose a major public health problem, with an estimated 3.9 million deaths in 2017, accounting for 7% of all deaths worldwide. Chronic lung disease (COPD) and asthma are the most common respiratory conditions, but others, such as pneumoconiosis, interstitial lung disease, fibrosis, pulmonary sarcoidosis, and lung cancer, are also global public health concerns.

CRD is heterogeneous in its clinical presentation and has a variable and unpredictable clinical course. The challenges in the diagnosis and management of patients with CRDs require a multidisciplinary and individualized approach to care, including an in-depth understanding of the complex molecular basis,  new biomarker detection, and implementation of combination/personalized treatments.

Several studies have shown abnormally developed lung structure, genetic alterations, and environmental interactions to be factors in susceptibility to lung diseases such as COPD, cystic fibrosis, and asthma. Molecular factors, epigenetic regulations, and pathogenesis are connected, indicating the need to identify more biomarkers at the early stages of the disease, improve the diagnosis, and develop more efficient targeted treatment strategies. The early diagnosis and management of lung diseases are crucial to preventing the progression of the disease and reducing the risk of complications.

We seek research papers that will consolidate our understanding of this field. The Special Issue will publish full research articles and comprehensive reviews on all aspects related to the theme of CRD, from its molecular and genetic factors to novel prediction, diagnostic, and therapeutic approaches, are welcome.

Dr. Magdalena Radecka
Guest Editor

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Keywords

  • biomarkers
  • signaling pathways
  • epigenetics
  • inflammation
  • chronic pulmonary diseases
  • lung fibrosis
  • lung cancer
  • airway remodeling
  • diagnostic algorithms
  • therapy

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Published Papers (1 paper)

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Research

16 pages, 896 KiB  
Article
Quality of Life in Follow-Up up to 9 Months after COVID-19 Hospitalization among the Polish Population—A Prospective Single Center Study
by Ewa Pietruszka-Wałęka, Michał Rząd, Renata Rożyńska, Piotr Miklusz, Emilia Zieniuk-Lesiak, Magdalena Żabicka and Karina Jahnz-Różyk
Biomedicines 2024, 12(6), 1282; https://doi.org/10.3390/biomedicines12061282 - 10 Jun 2024
Viewed by 685
Abstract
The consequences of COVID-19 constitute a significant burden to healthcare systems worldwide. Conducting an HRQoL assessment is an important aspect of the evaluation of the impact of the disease. The aim of this study was to investigate the prevalence of persistent symptoms and [...] Read more.
The consequences of COVID-19 constitute a significant burden to healthcare systems worldwide. Conducting an HRQoL assessment is an important aspect of the evaluation of the impact of the disease. The aim of this study was to investigate the prevalence of persistent symptoms and their impact on HRQoL and health status in COVID-19 convalescents. The study group consists of 46 patients who required hospitalization due to respiratory failure and who were subsequently evaluated 3 and 9 months after hospital discharge. At the follow-up visits, the patients were asked to assess their HRQoL using the EQ-5D-5L questionnaire. The results of chest CT, 6MWT, as well as the severity of the course of COVID-19 were also considered in the analysis. The obtained results have identified fatigue as the most common persistent symptom. The majority of the convalescents reported an impairment of HRQoL in at least one domain (80% and 82% after 3 and 9 months, respectively), of which the most common was that of pain/discomfort. The presence of ongoing symptoms may affect HRQoL in particular domains. The 6MWT outcome correlates with HRQoL 3 months after hospital discharge. Therefore, it may be useful in identifying patients with reduced HRQoL, allowing early interventions aimed at its improvement. Full article
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