American Journal of Respiratory and Critical Care Medicine




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Inhaled Corticosteroid Use in Early Childhood: A Risk for High Body Mass Index?

Perdita Permaul 1,2 and Wanda Phipatanakul 3,4

doi : 10.1164/rccm.202105-1177ed

Volume 204, Issue 6, pp. 619–620

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Can Metformin Downshift the Gears of Aging to Slow Emphysema Progression?

Irina Petrache and Karina A. Serban

doi : 10.1164/rccm.202105-1273ed

Volume 204, Issue 6, pp. 621–622

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The Saga of Necroptosis in Chronic Obstructive Pulmonary Disease Continues

Alexandra C. Racanelli 1,2 and Augustine M. K. Choi 1,2

doi : 10.1164/rccm.202106-1378ed

Volume 204, Issue 6, pp. 622–624

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Nonpharmacological Interventions in Delirium: The Law of the Handicap of a Head Start

Arjen J. C. Slooter

doi : 10.1164/rccm.202106-1475ed

Volume 204, Issue 6, pp. 624–626

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Early Antibiotics in Cystic Fibrosis: Lessons from the Cystic Fibrosis Pig Model

Shiping Lu and Jay K. Kolls

doi : 10.1164/rccm.202106-1383ed

Volume 204, Issue 6, pp. 626–627

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Understanding Sleep Apnea Physiology: A Potential Path to Improving Positive Airway Pressure Effectiveness

Lucas M. Donovan 1,2 and Vishesh K. Kapur 1

doi : 10.1164/rccm.202106-1474ed

Volume 204, Issue 6, pp. 628–629

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The Reductionist Conundrum of an “Updated” Definition of Extensively Drug-Resistant Tuberculosis

Carole D. Mitnick 1,2, Jennifer J. Furin 1, and Catherine Hewison 3

doi : 10.1164/rccm.202106-1516ed

Volume 204, Issue 6, pp. 629–631

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Oxygen Toxicity in Critically Ill Adults

Chad H. Hochberg 1, Matthew W. Semler 2, and Roy G. Brower 1

doi : 10.1164/rccm.202102-0417ci

Volume 204, Issue 6, pp. 632–641

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Associations between Inhaled Corticosteroid Use in the First 6 Years of Life and Obesity-related Traits

Asja Kunøe 1, Astrid Sevelsted 1, Bo L. Chawes 1, Jakob Stokholm 1, Anders Eliasen 1, Martin Krakauer 2,3, Klaus Bønnelykke 1*, and Hans Bisgaard 1*

doi : 10.1164/rccm.202009-3537oc

Volume 204, Issue 6, pp. 642–650

Infants and young children might be particularly likely to experience the potential clinical side effects of inhaled corticosteroids (ICSs) on body mass index (BMI), adiposity rebound (AR), and body composition, but this has rarely been studied in long-term studies in this age group.

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Metformin: Experimental and Clinical Evidence for a Potential Role in Emphysema Treatment

Francesca Polverino 1*, Tianshi David Wu 2,3*, Joselyn Rojas-Quintero 4, Xiaoyun Wang 5, Jonathan Mayo 1, Michael Tomchaney 1, Judy Tram 1, Samuel Packard 1, Duo Zhang 6, Kristan H. Cleveland 7, Elizabeth Cordoba-Lanus 8, Caroline A. Owen 4, Ashraf Fawzy 9, Greg L. Kinney 10, Craig P. Hersh 11, Nadia N. Hansel 9, Kevin Doubleday 12, Maor Sauler 13, Yohannes Tesfaigzi 4, Julie G. Ledford 1, Ciro Casanova 8, Jaroslaw Zmijewski 14, John Konhilas 15, Paul R. Langlais 12, Rick Schnellmann 7, Irfan Rahman 16, Meredith McCormack 9‡, and Bartolome Celli 4‡

doi : 10.1164/rccm.202012-4510oc

Volume 204, Issue 6, pp. 651–666

Cigarette smoke (CS) inhalation triggers oxidative stress and inflammation, leading to accelerated lung aging, apoptosis, and emphysema, as well as systemic pathologies. Metformin is beneficial for protecting against aging-related diseases.

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Necroptosis Signaling Promotes Inflammation, Airway Remodeling, and Emphysema in Chronic Obstructive Pulmonary Disease

Zhe Lu 1*, Hannelore P. Van Eeckhoutte 2*, Gang Liu 1,3, Prema M. Nair 1, Bernadette Jones 1, Caitlin M. Gillis 3,4,5, B. Christina Nalkurthi 3, Fien Verhamme 2, Tamariche Buyle-Huybrecht 2, Peter Vandenabeele 4,5, Tom Vanden Berghe 4,5,6, Guy G. Brusselle 2, Jay C. Horvat 1, James M. Murphy 7,8, Peter A. Wark 1, Ken R. Bracke 2*, Michael Fricker 1*, and Philip M. Hansbro 1,3*

doi : 10.1164/rccm.202009-3442oc

Volume 204, Issue 6, pp. 667–681

Necroptosis, mediated by RIPK3 (receptor-interacting protein kinase 3) and MLKL (mixed lineage kinase domain-like), is a form of regulated necrosis that can drive tissue inflammation and destruction; however, its contribution to chronic obstructive pulmonary disease (COPD) pathogenesis is poorly understood.

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The Impact of Nursing Delirium Preventive Interventions in the ICU: A Multicenter Cluster-randomized Controlled Clinical Trial

Paul J. T. Rood 1,2, Marieke Zegers 1,2, Dharmanand Ramnarain 3, Matty Koopmans 4, Toine Klarenbeek 5, Esther Ewalds 6, Marijke S. van der Steen 7, Annemarie W. Oldenbeuving 3, Michael A. Kuiper 4, Steven Teerenstra 8, Eddy Adang 9, Lex M. van Loon 1,10, Annelies Wassenaar 1,2, Hester Vermeulen 2,11, Peter Pickkers 1,12, Mark van den Boogaard 1,2, and the UNDERPIN-ICU Study Investigators

doi : 10.1164/rccm.202101-0082oc

Volume 204, Issue 6, pp. 682–691

Delirium is common in critically ill patients and is associated with deleterious outcomes. Nonpharmacological interventions are recommended in current delirium guidelines, but their effects have not been unequivocally established.

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Early Lung Disease Exhibits Bacteria-Dependent and -Independent Abnormalities in Cystic Fibrosis Pigs

Drake C. Bouzek 1*, Mahmoud H. Abou Alaiwa 1,2*, Ryan J. Adam 1,3, Alejandro A. Pezzulo 1,2, Leah R. Reznikov 1‡, Daniel P. Cook 1, Maria I. Aguilar Pescozo 1, Patrick Ten Eyck 4, Chaorong Wu 4, Thomas J. Gross 1, Douglas B. Hornick 1, Eric A. Hoffman 3,5, David K. Meyerholz 6, and David A. Stoltz 1,2,3,7

doi : 10.1164/rccm.202102-0451oc

Volume 204, Issue 6, pp. 692–702

Although it is clear that cystic fibrosis (CF) airway disease begins at a very young age, the early and subsequent steps in disease pathogenesis and the relative contribution of infection, mucus, and inflammation are not well understood.

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Physiological Traits and Adherence to Sleep Apnea Therapy in Individuals with Coronary Artery Disease

Andrey V. Zinchuk 1, Jen-hwa Chu 1,2, Jiasheng Liang 1, Yeliz Celik 3, Sara Op de Beeck 4,5, Nancy S. Redeker 6, Andrew Wellman 7, H. Klar Yaggi 1,8, Yüksel Peker 3,9,10,11*, and Scott A. Sands 7*

doi : 10.1164/rccm.202101-0055oc

Volume 204, Issue 6, pp. 703–712

Untreated obstructive sleep apnea (OSA) is associated with adverse outcomes in patients with coronary artery disease (CAD). Continuous positive airway pressure (CPAP) is the most common treatment, but despite interventions addressing established adherence determinants, CPAP use remains poor.

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Evidence-based Definition for Extensively Drug-Resistant Tuberculosis

Maroussia Roelens 1*, Giovanni Battista Migliori 2*, Liudmila Rozanova 1*, Janne Estill 1,3*, Jonathon R. Campbell 4,5*, J. Peter Cegielski 6, Simon Tiberi 7,8, Domingo Palmero 9, Greg J. Fox 10, Lorenzo Guglielmetti 11,12, Giovanni Sotgiu 13, James C. M. Brust 14, Didi Bang 15,16, Christian Lienhardt 17,18, Christoph Lange 19,20,21‡, Dick Menzies 4,5‡, Olivia Keiser 1‡, and Mario Raviglione 22‡

doi : 10.1164/rccm.202009-3527oc

Volume 204, Issue 6, pp. 713–722

Until 2020, extensively drug-resistant tuberculosis (XDR-TB) was defined as TB with resistance to rifampicin and isoniazid (multidrug-resistant TB [MDR-TB]), any fluoroquinolone (FQ), and any second-line injectable drug (SLID). In 2019, the World Health Organization issued new recommendations for treating patients with drug-resistant TB, substantially limiting the role of SLIDs in MDR-TB treatment and thus putting the definition of XDR-TB into question.

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Congestive Heart Failure–associated Chronic Diffuse Alveolar Hemorrhage

Akihito Okazaki 1, Yoshihiro Takeda 1, Masaru Kiyama 2, Kazuyasu Okeie 2, and Kazuhiko Shibata 1

doi : 10.1164/rccm.202008-3149im

Volume 204, Issue 6, pp. 723–724

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Luminal Findings of a Bronchogenic Cyst

Satoru Yanagisawa and Satoshi Wasamoto

doi : 10.1164/rccm.202101-0127im

Volume 204, Issue 6, pp. e59–e60

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 Inspiratory Effort and Lung Mechanics in Spontaneously Breathing Patients with Acute Respiratory Failure due to COVID-19: A Matched Control Study

Roberto Tonelli 1,2*, Stefano Busani 1*, Luca Tabbì 1,2, Riccardo Fantini 1,2, Ivana Castaniere 1,2, Emanuela Biagioni 1, Cristina Mussini 2, Massimo Girardis 1, Enrico Clini 1,2‡§, and Alessandro Marchioni 1,2‡

doi : 10.1164/rccm.202104-1029le

Volume 204, Issue 6, pp. 725–728

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 Rodin’s Thinker: An Alternative Position in Awake Patients with COVID-19

Anna Coppo 1*, Dario Winterton 2,3*, Annalisa Benini 1, Anna Monzani 1, Gabriele Aletti 1, Barbara Cadore 1, Stefano Isgrò 1, Jonata Pizzagalli 1, Giacomo Bellani 1,3‡, and Giuseppe Foti 1,3

doi : 10.1164/rccm.202104-0915le

Volume 204, Issue 6, pp. 728–730

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 Fractional Exhaled Nitric Oxide Nonsuppression Identifies Corticosteroid-Resistant Type 2 Signaling in Severe Asthma

Simon Couillard 1,2*, Rahul Shrimanker 1, Rekha Chaudhuri 3, Adel H. Mansur 4, Lorcan P. McGarvey 5, Liam G. Heaney 5, Stephen J. Fowler 6, Peter Bradding 7, Ian D. Pavord 1, and Timothy S. C. Hinks 1; in collaboration with the MRC UK Refractory Asthma Stratification Programme (RASP-UK)

doi : 10.1164/rccm.202104-1040le

Volume 204, Issue 6, pp. 731–734

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Selective Modulation of the Pulmonary Innate Immune Response Does Not Change Lung Microbiota in Healthy Mice

Jezreel Pantaleón García 1, Kevin J. Hinkle 2, Nicole R. Falkowski 2, Scott E. Evans 1*, and Robert P. Dickson 2,3*‡

doi : 10.1164/rccm.202104-0836le

Volume 204, Issue 6, pp. 734–736

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 Always Say Never: Why Studies of Timing of Invasive Ventilation Should Compare “Early versus Late/Never” as Opposed to “Early versus Late”

Michael C. Sklar 1,2 and Christopher J. Yarnell 2,3*

doi : 10.1164/rccm.202104-0860le

Volume 204, Issue 6, pp. 737–738

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 Staying Awake in Severe Acute Respiratory Distress Syndrome: A Perspective on Immunocompromised Patients

Klaus Stahl 1*, Heiko Schenk 1, Benjamin Seeliger 1, Christian Kühn 1, Olaf Wiesner 1, Marius M. Hoeper 1, and Sascha David 2

doi : 10.1164/rccm.202105-1160le

Volume 204, Issue 6, pp. 738–739

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Reply to Sklar and Yarnell and to Stahl et al.

Guillaume Dumas *, Elie Azoulay , and Michael Darmon ; on the behalf of all the authors

doi : 10.1164/rccm.202104-1072le

Volume 204, Issue 6, pp. 739

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 Should “Cardiopulmonary Resuscitation–associated Lung Edema” Be Diagnosed More Cautiously?

Yarong He 1,2*, Peng Yao 1,2*, Yaxiong Zhou 1,2*, Ping Xu 1,2,3, Tingyuan Zhou 1,2, and Yu Cao 1,2‡

doi : 10.1164/rccm.202104-0960le

Volume 204, Issue 6, pp. 740–741

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Reply to He et al.

Aurora Magliocca 1,2, Emanuele Rezoagli 3, Giacomo Bellani 3,4*, and Giuseppe Ristagno 2,5

doi : 10.1164/rccm.202105-1187le

Volume 204, Issue 6, pp. 741–743

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PAP Therapy–Quick Tips for Troubleshooting to Address Problems with Use

Helena Schotland

doi : 10.1164/rccm.2046p11

Volume 204, Issue 6, pp. P11–P12

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