81. Disease Index, Linus Pauling Institute's Micronutrient Information Center Cardiovascular Diseases. Carpal Tunnel Syndrome. Cataracts. chronic obstructive pulmonary disease (COPD) Fruits and Vegetables. Common Cold Depression. Diabetes. http://lpi.oregonstate.edu/infocenter/contdis/copd.html

Information Center Home LPI Home Nutrient Index Disease Index Alzheimer's Disease Asthma Athletic Performance Autoimmune Disease ... Cataracts Chronic Obstructive Pulmonary Disease (COPD) Fruits and Vegetables Common Cold Depression Diabetes ... Nutrient Index Disease Index

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

Clinical Trials: COPD (Chronic Obstructive Pulmonary Disease) Alabama Birmingham; Research Site Comparison of Study Drug With Alendroante on How it Effects Glucocorticoid-Induced Osteoporosis Arizona Phoenix; Lovelace Scientific Resources - AZ COPD Phoenix; Radiant Research - Phoenix North Are you or a loved one interested in participating in a clinical trial for Chronic Obstructive Pulmonary Disease (COPD)? Tucson; Research Site Comparison of Study Drug With Alendroante on How it Effects Glucocorticoid-Induced Osteoporosis Tucson; ACRC / Arizona Clinical Research Center, Inc. Chronic Obstructive Pulmonary Disease Study (COPD) (3) Tucson; ACRC / Arizona Clinical Research Center, Inc. Type 2 Diabetes Research Study Arkansas Searcy; Research Solutions A Clinical Research Study for the Treatment of Diabetes in Adults with Chronic Obstructive Pulmonary Disease. California Berkeley; Study Site A Randomized, Double-Blind, Parallel-Group Clinical Trial Evaluating the Effect of the Fluticasone Propionate/Salmeterol Combination Product 250/50mcg BID via DISKUS versus Salmeterol 50mcg BID via DISKUS on Bone Mineral Density in Subjects with Chronic Obstructive Pulmonary Disease (COPD) Fullerton; Study Site

83. Alaw.org · Lung Disease · Chronic Obstructive Pulmonary Disease chronic obstructive pulmonary disease (COPD). chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death behind http://www.alaw.org/lung_disease/chronic_obstructive_pulmonary_disease/

Join MyALAW.org ALAW.org - The website of the American Lung Association of Washington Search: Childhood Asthma Tobacco Control Air Quality Lung Disease ... Support ALAW Quicklinks: Donate Advocacy and Legislation Master Home Environmentalist Research Events: Asthma Walk Big Ride Breathe Easy Breakfast Climb for Clean Air ... Trek Tri Island Chronic Obstructive Pulmonary Disease (COPD) Chronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of death behind cardiovascular disease, cancers and stroke, claims the lives of 117,000 Americans annually and more than 2,500 lives in Washington state during 2000. COPD cannot be cured, but it can be controlled. Early diagnosis and treatment can slow its progression and greatly enhance a patient.s health and quality of life. An untreated person suffering from COPD weakens as the disease develops. People with COPD may eventually require supplemental oxygen and/or machines to assist with breathing. In later stages of the disease, heart failure and/or death can occur. Questions To Ask?

84. Ensure.com Nutrition For Special Health Concerns - Chronic Obstructive Pulmonary chronic obstructive pulmonary disease. Maintaining a healthful lifestyle is 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

85. Chronic Obstructive Pulmonary Disease A, B, C, D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W, X, Y, Z, Other characters, chronic obstructive pulmonary disease,. Print this article, (COPD http://www.amershamhealth.com/medcyclopaedia/medical/Volume V 1/CHRONIC OBSTRUCT

Amershamhealth.com Search for: Type a word or a phrase. All forms of the word are searchable. Browse entry words starting with: A B C D ... Other characters Chronic obstructive pulmonary disease, (COPD), a term that includes chronic bronchitis and emphysema , and is characterized by a persistent reduction in expiratory airflow only chronic bronchitis and emphysema , two diseases that often occur together and are indistinguishable clinically. COPD is the fourth leading cause of death in the United States. PG The Encyclopaedia of Medical Imaging Volume V:1 Contacts GE Healthcare Making Waves

86. HealthCentral.com - Best Doctors - What Is Chronic Obstructive Pulmonary Disease What Is chronic obstructive pulmonary disease? April 17, 2000 chronic obstructive pulmonary disease is associated with smoking – but not all smokers get it. http://www.healthcentral.com/BestDoctors/BestDoctorsFulltext.cfm?ID=31980&storyt

87. BioSpace News Chronic Obstructive Pulmonary Disease Find DiseaseSpecific News BioSpace News chronic obstructive pulmonary disease. Office Test Aids Early Detection Of Lung Disease http://www.biospace.com/news_rxtarget.cfm?RxTargetID=53

88. NEJM -- Sign In Editorial from The New England Journal of Medicine Bacteria and Exacerbations of chronic obstructive pulmonary disease. http://content.nejm.org/cgi/content/full/347/7/526

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Access to this article requires sign-in. Subscribers have access to all content. Other registered users have access to research articles six months old and older. If you're a registered user or an activated subscriber SIGN IN User Name Password Forgot your Password? Click here and we'll e-mail it to you. If you do not use cookies, sign in here. Remember my User Name and Password. PURCHASE THIS ARTICLE Purchase a single article and get immediate online access for just $10. If you're a subscriber but have not yet activated your full online access If you'd like to purchase a subscription to NEJM If you're not a subscriber and want FREE limited access... ACTIVATE YOUR SUBSCRIPTION Subscribers to NEJM are entitled to full access to all online content and features, including 20 FREE online CME exams. OR Receive full access to ALL current content and online features including Personal Archives, PDF article downloads, PDA access, E-mail alerts and 20 FREE online CME exams. OR Receive FREE online access to NEJM Original and Special Articles 6 months after publication and choose to receive the Table of Contents and notification of early release articles via e-mail.

89. The DRM WebWatcher Chronic Obstructive Pulmonary Disease (COPD) A Disability Resources Monthly guide to the best online resources about chronic obstructive pulmonary disease (COPD). http://www.disabilityresources.org/COPD.html

Home WebWatcher Regional Librarians ... Contact Us The DRM WebWatcher Chronic Obstructive Pulmonary Disease (COPD) Updated 5/2004 A B C D ... About/Hint/Link According to the National Heart, Lung, and Blood Institute, "Chronic obstructive pulmonary disease (COPD), also called chronic obstructive lung disease, is a term that is used for two closely related diseases of the respiratory system: chronic bronchitis and emphysema. In many patients these diseases occur together, although there may be more symptoms of one than the other." Here are some valuable resources on COPD. American Association for Respiratory Care (AARC) This professional association's web site includes a variety of consumer fact sheets on COPD, such as Exercising Safely with COPD Lessening the Effects of COPD Eating Right: Tips for the COPD Patient , and Check Your Chronic Obstructive Pulmonary Disease I.Q Basic facts about what COPD is and how it is treated. Chronic Obstructive Pulmonary Disease An informative booklet from the National Heart, Lung, and Blood Institute that explains what COPD and its components are. Separate chapters cover causes, diagnosis, treatment, coping, and research.

90. Primary Care Screening Detects Chronic Obstructive Pulmonary Disease Primary care screening detects chronic obstructive pulmonary disease. 01 May 2004 http://www.medicalnewstoday.com/index.php?newsid=7828

91. Striking Lack Of Awareness Of Chronic Obstructive Pulmonary Disease Striking Lack of Awareness of chronic obstructive pulmonary disease. 11 May 2004 http://www.medicalnewstoday.com/index.php?newsid=8193

92. Ask The Experts - Chronic Obstructive Pulmonary Disease Ask the Experts chronic obstructive pulmonary disease. Use of Corticosteroids in chronic obstructive pulmonary disease. Response from Richard J. Martin, MD. http://www.medscape.com/pages/editorial/ate/public/index/1886

Register Log In June 2, 2004 Ask the Experts - Chronic Obstructive Pulmonary Disease Medscape's Ask the Experts allows you to ask members of a panel of leading experts for advice or information. You also have the opportunity to share your own views and insights by clicking the "Discuss with Colleagues" link at the top of each response. Questions and Responses Use of Corticosteroids in Chronic Obstructive Pulmonary Disease Response from Richard J. Martin, MD Treatment in End-Stage COPD Response from Richard J. Martin, MD Expert Panel Richard J. Martin, MD , Professor of Medicine, National Jewish Medical and Research Center and University of Colorado Health Sciences Center, Denver; Head, Pulmonary Division and Vice-Chair, Department of Medicine, National Jewish Medical and Research Center, Denver, Colorado. Michael S. Niederman, MD , Chairman, Department of Medicine, Winthrop University Hospital, Mineola, New York; Professor of Medicine, Health Science Center - SUNY at Stony Brook, Stony Brook, New York. Andrew Shorr, MD, MPH

93. Use Of Corticosteroids In Chronic Obstructive Pulmonary Disease Ask the Experts about chronic obstructive pulmonary disease. from Medscape Pulmonary Medicine. Use of Corticosteroids in Chronic Obstructive http://www.medscape.com/viewarticle/472863

94. Health Spotlight: Chronic Obstructive Pulmonary Disease Health Spotlighchronic obstructive pulmonary disease. References chronic obstructive pulmonary disease. Information for Patients and the Public. http://www.hsrd.research.va.gov/news/spotlight/copd.cfm

Search: Contact Us Sitemap Overview Health Spotlight ... Spotlight Copd.cfm Health Spotligh:Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease (COPD), also called chronic obstructive lung disease, is an umbrella term used to describe airflow obstruction mainly related to two diseases: chronic bronchitis and emphysema . In many patients, these diseases occur together, but there may be more symptoms of one than the other. COPD attacks people at the height of their productive years (usually after age 40), disabling them with constant shortness of breath and disrupting their lives for as long as 20 years before death occurs. It is the leading cause of death, illness, and disability in the United States. In 2000, COPD caused 119,000 deaths, 726,000, hospitalizations, and 1.5 million hospital emergency department visits. Chronic Bronchitis and Emphysema Chronic bronchitis is diagnosed when a patient has excessive airway mucus secretion that results in a persistent, productive cough on most days for a minimum of 3 months for at least two successive years, or for 6 months during one year. There may also be narrowing of the large and small airways making it more difficult to move air in and out of the lungs. About 12.1 million Americans have chronic bronchitis. Emphysema causes irreversible lung damage by weakening and breaking the air sacs within the lungs. As a result, elasticity of the lung tissue is lost, causing airways to collapse and thus the obstruction of airflow. Emphysema usually develops in older persons with a long smoking history; however, there is a form of this disease that runs in families. An estimated 2 million Americans have emphysema.

95. Wiley InterScience: Book Table Of Contents: Chronic Obstructive Pulmonary Diseas WHO chronic obstructive pulmonary disease Location WHO WHO sites Observatory home Evidence chronic obstructive pulmonary disease. chronic obstructive pulmonary disease. http://www3.interscience.wiley.com/cgi-bin/booktoc/107613125

@import url(http://download.interscience.wiley.com/freeflow/css/wis.standards.css); Skip to Content The browser you are using to view this site does not support basic internet standards. Upgrading to a newer or different browser (such as the latest versions of , Internet Explorer for Windows or Macintosh , or Opera ) will improve your browsing experience on Wiley InterScience.com. However, it is not imperative that you upgrade immediately. This site will continue to function satisfactorily in your current browser, although the visual design may be sub-par. Home Medicine and Healthcare Medicine (general) Book Collection: Medical Sciences Chronic Obstructive Pulmonary Disease: Pathogenesis to Treatment Series: Novartis Foundation Symposia Published Online: 09 Feb 2004 Editor(s): Derek Chadwick, Jamie A. Goode Series Editor(s): Novartis Foundation Print ISBN: Online ISBN: Recommend to Your Librarian Save Title to My Profile Purchase a Print Copy Front Matter (p i-ix) get_link("/summary/107613128/SUMMARY", "Summary"); get_pdf_link("/booktext/107613128/BOOKPDFSTART", "PDF", "91");

96. Chronic Respiratory Diseases - Centre For Chronic Prevention And Control chronic obstructive pulmonary disease (COPD). chronic obstructive pulmonary disease is a common and important health problem among seniors in Canada. http://www.hc-sc.gc.ca/pphb-dgspsp/ccdpc-cpcmc/crd-mrc/copd_e.html

Home Asthma Chronic Obstructive Pulmonary Disease (COPD) Facts and figures ... Coming events Centre for Chronic Prevention and Control Chronic Respiratory Diseases Chronic Obstructive Pulmonary Disease (COPD) Chronic Obstructive Pulmonary Disease is a common and important health problem among seniors in Canada. The number of individuals with COPD will likely increase in the future because of the aging population. While cigarette smoking is the principal cause of COPD, workplace exposures and outdoor air pollution contribute to the development or the exacerbation of COPD. Exposure of the fetus and young child to environmental tobacco smoke and repeated respiratory infections contributes to a decrease in lung function that can contribute to COPD in later life. As their disease progresses, individuals with COPD experience a reduced quality of life due to limited activity levels caused by an increase in shortness of breath. Their families face not only the challenge of providing an increasing level of care, but also the difficulty of watching the relentless progression of the disease in their loved one. The costs associated with COPD affect the family, the health care system, and the community as a whole with loss in productivity and the need for additional services. The greatest gains in terms of the prevention of COPD lie in smoking prevention and cessation, and environmental control to reduce secondary exposure to tobacco smoke, as well as a reduction in outdoor air pollution. The management of COPD must include:

97. CHF/COPD Congestive Heart Failure And Chronic Obstructive Pulmonary Disease Information on CHF/COPD Congestive Heart Failure (CHF) and chronic obstructive pulmonary disease (COPD). Growth House Logo http://www.growthhouse.org/chfcopd.html

Search the IICN Public Library for heart failure/CHF/COPD Find web sites for CHF/COPD. Recommended Books: Handbook for Mortals Read the online version of this authoritative guide to end of life. Related: Hospice Care Find A Hospice Professional Forum Fast Facts ... Send Us Mail Heart Failure (CHF and COPD) Caregiver Guides Download helpful guides to living with Advanced Congestive Heart Failure or Advanced Lung Disease in PDF format provided by the Center for Palliative Care Studies Diseases of the heart and circulatory system are the leading cause of death in the United States. Congestive heart failure (CHF) is a progressively debilitating illness that eventually will lead to death. In this disease the heart gradually loses its ability to pump blood effectively. Without a good blood supply, muscles and organs don't get enough oxygen, causing various problems. Because blood doesn't circulate as it should, fluid backs up in the lungs and lower parts of the body. That's why people with this disease often have swelling in the feet and legs. The body is "congested" with fluid, which is why this disease is called congestive heart failure.

98. WHSIC Consumer Health - Chronic Obstructive Pulmonary Disease chronic obstructive pulmonary disease (COPD). Optimizing Control of chronic obstructive pulmonary disease Video Wegner Electronic W1 NE235T no.720 1997. http://www.usd.edu/wegner/consumerhealth/topicpages/chronicobstructivepulmonaryd

Wegner Health Science Information Center Consumer Health Digital Library CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) Description - from the Center for Disease Control, National Center for Environmental Health Chronic obstructive pulmonary disease, or COPD, refers to a group of diseases that cause airflow blockage and breathing-related problems. It includes emphysema, chronic bronchitis, and in some cases asthma. COPD is a leading cause of death, illness, and disability in the United States. In 2000, 119,000 deaths, 726,000 hospitalizations, and 1.5 million hospital emergency departments visits were caused by COPD. An additional 8 million cases of hospital outpatient treatment or treatment by personal physicians were linked to COPD in 2000. In the United States, tobacco use is a key factor in the development and progression of COPD, but asthma, exposure to air pollutants in the home and workplace, genetic factors, and respiratory infections also play a role. In the developing world, indoor air quality is thought to play a larger role in the development and progression of COPD than it does in the United States. In the United States, an estimated 10 million adults were diagnosed with COPD in 2000, but data from a national health survey suggest that as many as 24 million Americans are affected.

99. Department Of Medicine: Pulmonary & Critical Care chronic obstructive pulmonary disease, or COPD, is an umbrella term for two respiratory illnesses chronic obstructive bronchitis and/or emphysema. http://www.med.miami.edu/med/pulmonarymed/COPD.asp

on error resume next If MSDetect = "true" Then If Not(IsObject(CreateObject("ShockwaveFlash.ShockwaveFlash"))) Then flashinstalled = 1 Else flashinstalled = 2 End If End If Wednesday, June 2, 2004 WELCOME FACULTY Faculty Profiles Affiliated Faculty PATIENT INFORMATION Appointment Information Asthma Interventional Bronchoscopy Smoking Cessation Information ... Clinical Trials RESEARCH Programs and Locations Clinical Trials FELLOWSHIPS Critical Care CALENDAR Return to the Division Selection Page SEARCH COPD Chest X-ray showing emphysema Flow volume curve in emphysema GENERAL INFORMATION RESEARCH/CLINICAL TRIALS General Information on COPD Chronic obstructive pulmonary disease, or COPD, is an umbrella term for two respiratory illnesses - chronic obstructive bronchitis and/or emphysema. There are 16 million Americans who have been diagnosed with COPD, of whom 14 million have chronic bronchitis and 2 million have emphysema. COPD results primarily from smoking tobacco. Smoking causes damage to the airways and the lungs. This lung damage continues to progress with the use of tobacco. Average current and former smokers will likely not notice or acknowledge symptoms for several years as this is a slowly progressing disease, characterized by a decreased ability of the lungs to provide the body's oxygen demand and remove carbon dioxide. Affected individuals typically notice their first symptoms (shortness of breath) when they reach their 40s or 50s. However, earlier signs of COPD are often present. These include chronic cough and increased mucus production. Recognizing these early signs is important because lifestyle modifications, such as

100. Monitor Chronic Obstructive Pulmonary Disease (COPD) At Home With HomMed chronic obstructive pulmonary disease (COPD) is a term that is used for two closely related diseases of the respiratory system chronic bronchitis and emphysema http://www.hommed.com/pressroom/chronic.asp

Chronic obstructive pulmonary disease (COPD) is a term that is used for two closely related diseases of the respiratory system: chronic bronchitis and emphysema. In chronic bronchitis, the trachea and bronchial tubes become irreversibly inflamed, restricting airflow, causing excessive mucous secretion leading to a persistent cough. In emphysema there is permanent destruction of the tiny elastic air sacs of the lung (called alveoli), which cause collapse or narrowing of the smallest air passages (called bronchioles), limiting airflow out of the lung. The walls of the alveoli are where the blood flow and airflow make their gas exchange. Without this exchange, carbon dioxide builds up in the blood and blood oxygen diminishes. COPD gradually worsens over time. The main symptoms are coughing, wheezing, expectoration and labored breathing/shortness of breath. Although at first, there is mild shortness of breath, and occasional coughing with clear, colorless sputum. The lack of oxygen and too much carbon dioxide affects the nervous system causing problems including headache, inability to sleep, impaired mental ability/confusion, and irritability. Patients with severe lung damage sleep in a semi-sitting position because they are unable to breathe when lying down. Exacerbations of COPD can happen several times per year and are sometimes brought on by respiratory infections, such as pneumonia and influenza. If the patient and medical team develop and adhere to a program of complete respiratory care, disability can be minimized, acute episodes prevented, hospitalizations reduced, and early death avoided. A combination of treatments are used to impact COPD. The medications commonly prescribed are bronchodilators, which help open narrowed airways, and corticosteroids, to lessen inflammation of the airway walls. These can be inhaled, injected, given intravenously, or taken by mouth. Diuretics are also used to excrete excess fluid associated with right-sided heart failure (cor pulmonale). Antibiotics are used to treat bacterial infections. Expectorants are used at times, but do not affect clinical improvement. Painkillers and sleeping pills are sometimes prescribed, but with caution, as they tend to depress the breathing to some extent.

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