Bulletin
No. 111 (October 2018)
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APSR News

23rd APSR Congress, Taipei
29 November – 2 December 2018

Respiratory Updates

The September issue (Vol 10.9) features Pneumonia:

  • Ceftazidime-Avibactam Versus Meropenem in Nosocomial Pneumonia, Including Ventilator-Associated Pneumonia (REPROVE): A Randomised, Double-Blind, Phase 3 Non-Inferiority Trial
  • Global Initiative for Methicillin-Resistant Staphylococcus aureus Pneumonia (GLIMP): an International, Observational Cohort Study
  • The Clinical Utility of Methicillin-Resistant Staphylococcus aureus (MRSA) Nasal Screening to Rule Out MRSA Pneumonia: A Diagnostic Meta-analysis With Antimicrobial Stewardship Implications
  • Prognostic and Pathogenic Role of Angiopoietin-1 and -2 in Pneumonia
  • Blood Eosinophil Count and Risk of Pneumonia Hospitalisations in Individuals with COPD
  • Procalcitonin-Guided Use of Antibiotics for Lower Respiratory Tract Infection
  • Procalcitonin as a Marker of Etiology in Adults Hospitalized With Community-Acquired Pneumonia
  • Prolonged Versus Short-Term Intravenous Infusion of Antipseudomonal β-lactams for Patients with Sepsis: A Systematic Review and Meta-Analysis of Randomised Trials
  • Effect of Oral Prednisolone on Symptom Duration and Severity in Nonasthmatic Adults with Acute Lower Respiratory Tract Infection: A Randomized Clinical Trial
  • Initial Inflammatory Profile in Community-Acquired Pneumonia Depends on Time since Onset of Symptoms
  • Serotype-Specific Effectiveness of 23-Valent Pneumococcal Polysaccharide Vaccine against Pneumococcal Pneumonia in Adults Aged 65 Years or Older: A Multicentre, Prospective, Test-Negative Design Study

Inside Respirology

In Respirology Vol. 23 Issue 10, the Editors have especially chosen to feature the following two articles:

  • Annual Southeast Asia haze increases respiratory admissions: A 2-year large single institution experience

    Satellite image of the 2015 SE-Asia haze
    10.1111/resp.13325

    Chew R Ming, Andrea Ban Yu-Lin, Mohammad F Abdul Hamid, Mohd T Latiff, Nurashikin Mohammad and Tidi Hassan

  • GeneXpert MTB/RIF for rapid diagnosis and rifampin resistance detection of endobronchial tuberculosis

    The research team from Shenyang, China, with the GeneXpert MTB/RIF system. From left to right: Xiao-han Wang, Chang Liu, Qin Zhang, Bing-qi Sun (front row); Qing Zhang, Gang Hou, An-na Su, Na Liu (Back row)
    10.1111/resp.13316

    Qin Zhang, Qing Zhang, Bing-Qi Sun, Chang Liu, An-Na Su, Xiao-Han Wang, Na Liu, Juan Zhang,3jian Kang and Gang Hou

Most cited

The following articles published in 2017 have been added to the publisher's webpage onlinelibrary.wiley.com/page/journal/14401843/homepage/MostCited.html, which lists all most-cited articles since 2012.

  • Global strategy for the diagnosis, management and prevention of chronic obstructive lung disease 2017 report
    Vogelmeier C F, Criner G J, Martinez F J, Anzueto A, Barnes P J, Bourbeau J, Celli B R, Chen R, Decramer M, Fabbri L M, Frith P, Halpin D M G, López Varela M V, Nishimura M, Roche N, Rodriguez-Roisin R, Sin D D, Singh D, Stockley R, Vestbo J, Wedzicha J A and Agusti A
    DOI: 10.1002/rcr2.346
  • Animal models of COPD: What do they tell us?
    Jones B, Donovan C, Liu G, Gomez H M, Chimankar V, Harrison C L, Wiegman C H, Adcock I M, Knight D A, Hirota J A and Hansbro P M
    DOI: 10.1111/resp.12908
  • Australian and New Zealand Pulmonary Rehabilitation Guidelines
    Alison J A, McKeough Z J, Johnston K, McNamara R J, Spencer L M, Jenkins S C, Hill C J, McDonald V M, Frith P, Cafarella P, Brooke M, Cameron-Tucker H L, Candy S, Cecins N, Chan A S L, Dale M, Dowman L M, Granger C, Halloran S, Jung P, Lee A, Leung R, Matulick T, Osadnik C, Roberts M, Walsh J, Wootton S, Holland A E on behalf of the Lung Foundation Australia and the Thoracic Society of Australia and New Zealand
    DOI: 10.1111/resp.13025
  • Co-morbidities in severe asthma: Clinical impact and management
    Porsbjerg C and Menzies-Gow A
    DOI: 10.1111/resp.13026
  • Severe asthma: Current management, targeted therapies and future directions - A roundtable report
    McDonald V M, Maltby S, Reddel H K, King G G, Wark P A B, Smith L, Upham J W, James A L, Marks G B and Gibson P G
    DOI: 10.1111/resp.12957
  • Pathogenesis of central and complex sleep apnoea
    Orr J E, Malhotra A and Sands S A
    DOI: 10.1111/resp.12927
  • Home-based telerehabilitation via real-time videoconferencing improves endurance exercise capacity in patients with COPD: The randomized controlled TeleR Study
    Tsai L L Y, McNamara R J, Moddel C, Alison J A, McKenzie D K and McKeough Z J
    DOI: 10.1111/resp.12966
  • Validation of the prognostic value of MMP-7 in idiopathic pulmonary fibrosis
    Tzouvelekis A, Herazo-Maya J D, Slade M, Chu J-h, Deiuliis G, Ryu C, Li Q, Sakamoto K, Ibarra G, Pan H, Gulati M, Ozterkis D O, Herzog E L and Kaminski N
    DOI: 10.1111/resp.12920
  • Severe asthma in children
    Bush A, Fleming L and Saglani S
    DOI: 10.1111/resp.13085
  • Microbiomes in respiratory health and disease: An Asia-Pacific perspective
    Chotirmall S H, Gellatly S L, Budden K F, Mac Aogain M, Shukla S D, Wood D L A, Hugenholtz P, Pethe K and Hansbro P M
    DOI: 10.1111/resp.12971

Inside Respirology Case Reports

The following cases have been selected for inclusion in the October Respirology Case Reports. Here also is a sneak preview of cases selected for the November issue.

Volume 06 Issue 7
October 2018

Case Series

Exogenous lipoid pneumonia: an important cause of interstitial lung disease in infants
Diana Marangu, Komala Pillay, Ebrahim Banderker, Diane Gray, Aneesa Vanker, Marco Zampoli
DOI: 10.1002/rcr2.356

Exogenous lipoid pneumonia is an important cause of interstitial lung disease that often goes unrecognized.

Case Reports

Tracheobronchial involvement of mantle cell lymphoma
Lin Tong, Guixiang Gan, Chen Xu, Ling Yuan, Zhuozhe Li, Huayin Li
DOI: 10.1002/rcr2.346

A 65-year-old male presented with cough and dyspnoea, with irregular wall thickening of the trachea and bilateral bronchi on chest computed tomography (CT). A bronchoscopy revealed a diffuse irregular surface of the tracheal and bilateral bronchial mucosa and polyposis-like lesions. He was diagnosed as having mantle cell lymphoma (MCL) based on an endobronchial biopsy, and then, the diagnosis was confirmed with biopsy of the FDG-avid nasal mucosal soft tissue.

Pulmonary lymphangitic carcinomatosis with ground-glass opacities as presentation of prostate cancer
Makoto Hibino, Kazunari Maeda, Shigeto Horiuchi, Minoru Fukuda, Tetsuri Kondo
DOI: 10.1002/rcr2.347

We report an immunocompromised rheumatoid arthritis patient in respiratory failure with diffuse ground-glass opacities (GGOs), who was diagnosed with pulmonary lymphangitic carcinomatosis as the initial presentation of prostate cancer. He was successfully treated with chemohormonal androgen deprivation therapy, including bicalutamide, leuprorelin acetate, denosumab, and docetaxel. Metastatic pulmonary lymphangitis, rarely from the prostate, should always be considered in the differential diagnosis of GGOs, even when the patient has no known prior malignancies.

BK virus pneumonia following stem cell transplantation against diffuse large B-cell lymphoma
Akihiro Yoshimura, Taisuke Tsuji, Yuka Kawaji, Yoshiko Hirakawa, Hitoji Uchiyama, Noriya Hiraoka
DOI: 10.1002/rcr2.348

The patient with diffuse large B-cell lymphoma developed BK virus (BKV) pneumonia. We performed bronchoalveolar lavage (BAL), and BKV DNA load was elevated in BAL fluid (BALF). The detection of BKV DNA in BALF is useful for diagnosing BKV pneumonia.

Vinorelbine-induced acute respiratory distress syndrome treated with non-invasive ventilation and immunosuppressive therapy
Mário Bruno, Ribeiro de Oliveira, Santos Paulo Mergulhã
DOI: 10.1002/rcr2.349

Severe drug-induced lung disease, resistant to steroids, is a dramatic situation due to the absence of therapeutic alternatives. We describe a case of vinorelbine-induced acute respiratory distress syndrome that did not respond to supportive care plus high-dose steroids. Cyclophosphamide pulse therapy was initiated with subsequent clinical and radiological improvement, allowing the patient to be discharged the patient. We suggest that vinorelbine-induced lung toxicity is driven by a primarily immune-mediated mechanism and that it can respond favourably to immunosuppressive therapy.

The development of a polypoid intrapulmonary bronchogenic cyst in the bronchial lumen
Takamasa Hotta, Sun Rong, Yukari Tsubata, Yasuyuki Taooka, Noriaki Kurimoto, Takeshi Isobe
DOI: 10.1002/rcr2.350

Polypoid bronchogenic cysts are rare congenital bronchopulmonary malformations, commonly occurring in the mediastinum or occasionally in the intrapulmonary region. Herein, we report the case of polypoid intrapulmonary bronchogenic cyst successfully treated by bronchoscopic resection alone.

Use of low-cost three-dimensional printer to simulate grasping of bronchial foreign body
Masayuki Nakayama, Shinichi Yamamoto, Naoki Kaneko, Naoko Mato, Takuji Suzuki, Koichi Hagiwara
DOI: 10.1002/rcr2.351

When removing a bronchial foreign body by flexible bronchoscopy, choosing the most suitable device and a short intervention time are very important, particularly in older patients or those in critical condition. However, identification of the foreign body before bronchoscope insertion is often difficult. Three-dimensional (3D) printing is a promising new technology for medical education development and can create sophisticated patient-specific models from imaging databases. Here, we report a case involving simulated grasping and the removal of a bronchial foreign body with several forceps using a low-cost 3D printer.

Azygos vein varix mimicking bronchial cysts
Hiroyuki Miura, Jun Miura, Hiroshi Hirano
DOI: 10.1002/rcr2.353

Azygos vein varix is a very rare disease associated with a risk of rupture or thrombosis. We report a case of azygos vein varix in a 79-year old female presenting with abnormal shadows on a chest X-ray. A plain computed tomography (CT) scan showed a well-defined tumour behind the trachea, which was diagnosed as a bronchogenic cyst in the absence of a contrast-enhanced CT scan. Thoracoscopy revealed a dark purple-red saccular tumour continuing on to the azygos vein.

Pembrolizumab-induced myasthenia gravis with myositis in a patient with lung cancer
Makoto Hibino, Kazunari Maeda, Shigeto Horiuchi, Minoru Fukuda, Tetsuri Kondo
DOI: 10.1002/rcr2.355

Here, we report the first case of pembrolizumab-induced myasthenia gravis (MG) and myositis in a patient with lung cancer. The patient developed symptoms after the second infusion of pembrolizumab and was successfully treated with systemic corticosteroid therapy. With the accelerated development of immune checkpoint inhibitors as mono- or combination therapies for various malignancies, clinicians should closely monitor patients for important immune-related adverse events, such as MG, especially during the early phase of the treatment.

Disseminated Cryptococcus gattii infection preceding onset of pulmonary alveolar proteinosis
Jessica Quah Teck, Boon Low, Raymond Fong
DOI: 10.1002/rcr2.357

We describe a middle-aged man who presented with disseminated Cryptcococus gattii infection. This preceded the onset of pulmonary alveolar proteinosis (PAP). Opportunistic infections are known to occur concurrently with PAP due to alveolar macrophage dysfunction.

Surgical resection of extramedullary haematopoiesis in the posterior mediastinum
Ryoichi Matsumoto, Koichi Yoshiyama, Shintaro Yokoyama, Masahiro Mitsuoka, Shinzo Takamori, Yoshito Akagi
DOI: 10.1002/rcr2.358

This is a report of the case of a patient in whom lateral posterior mediastinal masses were incidentally detected during treatment for hereditary spherocytosis. We performed a video-assisted thoracic surgery. The pathological findings were consistent with intrathoracic extramedullary haematopoiesis.

Multi-focal, multi-centric granular cell tumours: a management dilemma
Lokesh Yagnik, Hilman Harryanto, Mei Hui Eleanor Koay, Ben Dessauvagie, Matthew Salamonsen
DOI: 10.1002/rcr2.359

Granular cell tumours are rare tumours of neural/Schwann cell origin and occur at any site. The tumours are typically benign and run an indolent clinical course, with malignancy being rare. In the absence of distant or nodal metastases, establishing malignant potential is challenging.

First reported case of afatinib-associated toxic megacolon
Wang Chun Kwok, Terence Chi Chun, Tam David Chi Leung Lam
DOI: 10.1002/rcr2.360

We report the first case of toxic megacolon associated with afatinib use, which is a potentially fatal complication, with risks of colonic perforation. In this case, the condition improved on stopping afatnib. Clinicians need to be alert of this rare but fatal adverse effect and to avoid anti-diarrhoeal agents, which can worsen toxic megacolon.

Multifocal thymic cysts with cholesterol granuloma
Shunichi Nagata, Misa Ishihara, Mitsugu Omasa, Takao Nakanishi, Hideki Motoyama
DOI: 10.1002/rcr2.361

We report a rare case of a patient whose histopathology presented a series of cholesterol granuloma formations.

Clinical Images

Influenza infection presenting with pulmonary congestion: influenza myocarditis
Masahiro Yamasaki, Takenori Okada, Yoji Sumimoto, Noboru Hattori
DOI: 10.1002/rcr2.352

Influenza myocarditis is a rare but life-threatening complication of influenza infection. The primary treatment for influenza myocarditis is supportive intervention. We report a case of influenza myocarditis diagnosed from pulmonary congestion observed on chest computed tomography (CT), and that recovered after intensive care using percutaneous cardiopulmonary support (PCPS) and intra-aortic balloon pumping (IABP).

Volume 06 Issue 8
November 2018

Case Series

Management of rifampicin mono-resistant tuberculosis in Queensland, Australia: a retrospective case series
Justine Gibson, Ellen Donnan, Geoffrey Eather
DOI: 10.1002/rcr2.366

Exogenous lipoid pneumonia is an important cause of interstitial lung disease that often goes unrecognized.

Case Reports

Transient elevation of squamous cell carcinoma antigen levels with influenza virus infection
Atsushi Sano
DOI: 10.1002/rcr2.362

Squamous cell carcinoma antigen (SCCA) is a glycoprotein that is used as a tumor marker of squamous cell carcinoma of the neck, esophagus, lung, and cervix uteri. However, it is a non-specific test and SCCA levels are also elevated due to other conditions. Herein, we report a case of SCCA elevation due to influenza B infection in a patient with a history of surgery for lung cancer.

Nintedanib prevented fibrosis progression and lung cancer growth in idiopathic pulmonary fibrosis
Kentaro Fukunaga, Shinya Yokoe, Satoru Kawashima, Yasuki Uchida, Hiroaki Nakagawa, Yasutaka Nakano
DOI: 10.1002/rcr2.363

Nintedanib prevented progression of IPF and the associated squamous cell carcinoma simultaneously as a result of its diverse mechanisms of action.

Congenital cystic adenomatoid malformation in adults detected after infection
Hiroyuki Kagawa, Keisuke Miki, Mari Miki, Koji Urasaki, Seigo Kitada
DOI: 10.1002/rcr2.364

Congenital cystic adenomatoid malformation (CCAM) is a benign congenital tumour in which a part of the lung becomes polycystic. Although CCAM in adults is very rare, it should be considered in the differential diagnosis of cases with repeated pneumonia due to suspected congenital cystic disease. CCAM is better detectable with chest computed tomography and requires active surgical treatment.

Spontaneous fracture of indwelling pleural catheter
Lokesh Yagnik, Ranjan Shrestha
DOI: 10.1002/rcr2.365

We report the first case of spontaneous fracture of indwelling permanent pleural catheter (IPCs) used for the management of symptomatic malignant pleural effusion. Unexpected damage during insertion, loss of material integrity, and/or external shearing forces are suggested causes in the absence of any evidence of a manufacturing defect. Successful retrieval with medical pleuroscopy is feasible.

Mycoplasma hominis empyema following caesarean section
Masatoshi Yamazoe, Hiromi Tomioka, Shuji Yamashita, Kazusa Egami, Kouji Oh
DOI: 10.1002/rcr2.367

We herein report the first case of M. hominis empyema following caesarean section.

Persistent air leak successfully treated with endobronchial valves and digital drainage system
Thomas James Altree, Hubertus Jersmann, Phan Nguyen
DOI: 10.1002/rcr2.368

A 62-year old man with pneumothorax and persistent air leak was treated with a combination of endobronchial valves and the use of a digital chest drainage system. In cases of persistent air leak, digital drainage systems can play an important role in decision-making regarding endobronchial valve placement, and timing of intercostal catheter removal, based on objective air leak flow measurements. These benefits are in addition to a digital drainage system's ability to provide suction at a regulated pressure.

Multi-drug-resistant tuberculosis with galaxy and cluster signs on high-resolution computed tomography
Keitaro Nakamoto, Yuka Sasaki, Hiroyuki Kokuto, Masao Okumura, Takashi Yoshiyama, Hajime Goto
DOI: 10.1002/rcr2.369

Galaxy and cluster signs are considered useful signs indicative of pulmonary sarcoidosis. However, pulmonary tuberculosis may also show these findings. We report a patient with multidrug-resistant tuberculosis with galaxy and cluster signs requiring differentiation from sarcoidosis on high-resolution computed tomography.

APSR session at the ERS 2018 Congress World Village


Dr Vu Van Giap (Viet Nam Respiratory Society) "For a clean air world – activities in Viet Nam"

Dr Arifin Nawas (Indonesian Society of Respirology) "For a clean air world – activities in Indonesia"

Dr Bodhika Samarasekera (Sri Lanka College of Pulmonologists) "For a clean air world – activities in Sri Lanka"
 

Dr Wilson Yee Kwok Sang (Hong Kong Thoracic Society) "Air pollution's impact on Hong Kong and steps taken by HKTS to help"

Dr Puah Ser Hon (Singapore Thoracic Society) "Air pollution's impact on Singapore and steps taken by STS to help"

Click any image to enlarge.

More photos taken at APSR events can be seen at the APSR's Twitter account @APSRapsr.

We were very fortunate to have the help of Dr John Ray T Galamay from Philippines, who kindly uploaded Tweets throughout the ERS Congress. Here is his report:

Philippines is one of the countries slammed by super typhoon Mangkhut which tore across Northern Luzon bringing heavy rains, flooding, landslides and causing widespread power, telecommunications outages, buildings have been damaged, roofs were blown away and cancelled flights. But this doesn't hinder me from attending my duties and responsibilities in the European Respiratory Society as the APSR volunteer.

When I was a kid, the first lesson I got from my grade school teacher was about one of the positive traits of Filipinos that to never lose faith. After any storm, Filipinos will pick up the pieces and readily start life anew. Yes, as long as there is life, there is hope.

Volunteering is one of the most rewarding things you can do. I gained confidence by giving me the chance to try something new and build a real sense of achievement. It made me appreciate that it can have a real and valuable positive affect on people, communities and society in general through social media platforms such as Twitter, Facebook and Instagram.

It helped me learn new skills and gain experience. I realized, through these tasks, you can challenge yourself to try something different, achieve personal goals, practice using your skills and discover hidden talents. It also helped me meet different kinds of people and made new friends.

I would like to formally take this chance to express my heartfelt thanks to the APSR for giving me the opportunity to work with the society. I really appreciate the time that I spent working with the staff. I have certainly learned a lot. Again, thank you so much for the opportunity and I'm looking forward to work on such a meaningful milieu.

John Ray T Galamay MD
Philippine Heart Center
Division of Pulmonary and Critical Care Medicine

Regional society news

The spotlight this month is on

PHILIPPINES

Each month we share details of activities of a particular country, region or society.

If you would like the spotlight to be on your country, region or society next month, contact the Bulletin Coordinator or APSR Secretariat.

Article on Advocacy

The Philippines' National August Lung Month Celebration

August has always been celebrated as National Lung Month in the Philippines based on the Presidential Proclamation No. 176 since 1973. For the past couple of years, the Philippine College of Chest Physicians (PCCP), the acknowledged professional society of respiratory specialists in the country, has been spearheading this month-long celebration to heighten the awareness of the public about lung diseases.

The theme for this year's National Lung Month was "Healthy Lungs, Happy Life". The PCCP jumpstarted the campaign on August 1 with a multi-organization collaboration summit entitled "Multisectoral Consensus on Asthma, COPD & Smoking Cessation Clinical Pathway Formulation". During this forum, key medical societies brainstormed on the general plan of action to combat these non-communicable diseases and on how to proceed with the creation of simple clinical pathways for these illnesses. This was followed by different activities of the 9 chapters of our College in the different parts of the country from Luzon, Visayas and Mindanao throughout the whole month. The activities organized by the different chapters highlighted the common lung diseases and diagnostic tests such as COPD, Lung Cancer, Asthma, Smoking Cessation or Spirometry. The formats used in these activities ranged from lay fora, screening, video presentation, media interviews to simple educational posters.

A tree-planting activity was also held at a water reservoir area within the densely populated Metro Manila area. A second summit was conducted at the end of the month that focused this time on the National Research Agenda on Lung Health.

The involvement of the social media through the Council on Health Informatics and Social Media by Facebook, YouTube and Twitter has given this particular event a special flavor. The different chapters, training institutions and even celebrities were also made to present cough etiquette videos and infographics. A tweetchat with a hashtag #Philpulmo garnered a staggering 500,000 likes and shares.

The culminating event was a mini health fair with a Zumba exercise activity in the early morning of 26 August 2018 at a popular park area in Metro Manila. All the pulmonary fellowship training institutions set up educational booths focused on screening and prevention of common pulmonary diseases. There were several fun activities and prizes at all the booths. A total of 900 participants joined the affair.

The Filipinos are known for their cheerfulness and hospitality and this year's August Lung Month Celebration epitomized these national traits. The Philippine College of Chest Physicians will continue to spearhead the effort of lessening the burden of lung diseases in the country and will not pause even to catch its breath.

Written by Janeth Samson MD., FPCCP

Other notable society events and news:

Australia

Asian Pacific Congress for Bronchology (APCB) 2019

Venue:Gold Coast, Australia
Dates:28–30 March 2019
Detailswww.apcb2019.com

The Asian Pacific Congress on Bronchology and Interventional Pulmonology (APCB 2019) will take place at the Gold Coast Exhibition and Convention Centre, Australia, 28–30 March 2019, preceding the TSANZSRS Annual Scientific Meeting (30 March – 2 April).

It will attract a distinguished audience comprised of researchers and clinicians in the field of bronchology and interventional pulmonology. The theme is "Case Based Training – Practice and Theory" and it will have a novel design with a hands-on focus; workshops will provide the core part of the Congress.

APCB 2019 promises to offer an exceptional learning opportunity. Case-based learning will take centre stage and local and international faculty have developed a range of interesting and informative cases across 9 key topics. As part of your registration package you will get to choose 4 half-day courses, which will include theory as well as plenty of time to gain hands-on practice in key procedural points relevant to the particular topic.

REGISTER NOW

For more information, or to sign up to receive updates, please go to www.apcb2019.com

We look forward to seeing you on the Gold Coast!

2019 Local Organising Committee
David Fielding
Congress President
Asia Pacific Congress of Bronchology 2019

Bangladesh

World Lung Day 2018 celebration by Bangladesh Lung Foundation (BLF)

World Lung Day 2018 was observed by the Bangladesh Lung Foundation (BLF) on 25 September 2018 (Tuesday), at Bangabandhu International Conference Center (BICC) in Dhaka.

The event was chaired by Prof. Md. Rashidul Hassan; President of the BLF. It was participated by a large number of pulmonologists and specialists from different disciplines. The welcome speech was delivered by Dr Asif Mujtaba Mahmud, Treasurer of the BLF. He mentioned the significance of observing World Lung Day by the BLF since its induction as an en bloc society of the APSR. Prof. Shakil Ahmed, General Secretary, Bangladesh Pediatric Pulmonology Forum (BPPF) gave a goodwill speech. He congratulated the BLF for organizing the programme and expressed solidarity of the BPPF with the BLF. He stated that pneumonia still remained a major killer diseases for children.

A video on "Challenges of air pollution" was presented. An interactive session was held with "Airway friends" participated by role models, celebrities, patients and care-givers. This session was conducted by Dr Mohammad Abdus Shakur Khan, Joint Secretary of the BLF. The well-known celebrities expressed their commitment to raising awareness among the public about the importance of lung diseases and increasing access of patients for quality-based lung health. They also expressed their concern about the prevailing situation of air pollution and called for urgent measures to control this grave threat to lung health. The day was marked by festivities including hoisting special festoons and releasing balloons by the participants.

Mr Yasutomi Yamanaka, Executive Manager of the APSR headquarters gave an elaborate presentation on various opportunities for BLF members as en bloc society members. He expressed his belief that the BLF members would utilize these opportunities and build stronger relationship with other societies under the APSR umbrella.

A scientific presentation on the lung health situation in Bangladesh was delivered by Prof. Dr Md. Ali Hossain; Secretary General, BLF. He provided an overview of the various challenges to lung health prevailing in the country. He emphasized the importance of optimum management of the major killer disease Chronic Obstructive Pulmonary Disease (COPD).

The programme was marked by the formal launching of Onriva plus, a dual bronchodilator which would be available to patients at a reasonable price. In a vote of thanks, Dr Kazi Saifuddin Bennoor, International Affairs Secretary of the BLF expressed his gratitude to all the participants. He also profusely thanked the APSR leadership for sending Mr Yamanaka to join the celebration as the APSR representative. The whole seminar and event were telecast live to audiences in Chittagong and Sylhet in Bangladesh.


(Click image to enlarge)

A very fruitful leadership meeting between Mr Yamanaka and the BLF leadership followed right after the event. It was attended by the members of extended executive committee of the BLF. The meeting was chaired by Prof. Rashidul Hassan and moderated by Dr Asif Mujtaba Mahmud. The members and Mr Yamanaka exchanged our future collaboration productively.

Dr Asif Mujtaba Mahmud, MBBS, DTCD, Ph.D
Consultant, Respiratory Medicine,
Asgar Ali Hospital, Dhaka, Bangladesh Treasurer, Bangladesh Lung Foundation

China

Lung Cancer Summit and APSREE
New date and updated programme

This APSR-endorsed Educational Event (APSREE) will be held on Friday 16 November 2018 at Hilton, Xiamen, China

An intensive, full-day programme, packed with the following sessions:

Chairpersons for morning sessions:
  • Chunxue Bai
    Professor, Fudan University, China
  • David Lam
    Associate Professor, Hong Kong University, China
  • Charles A Powell
    Professor, Icahn School of Medicine at Mount Sinai in New York
08:30–09:00Welcome and Introduction Chunxue Bai
Professor, Fudan University, China
09:00–09:30Advances in immunotherapy M Patricia Rivera
Professor of Medicine Co-Director, Multidisciplinary Thoracic Oncology Programme
09:30–10:00Telehealth for lung cancer assessment (16th) Kwun Fong
President of APSR, Professor, University of Queensland School of Medicine
10:00–10:30Lung cancer biology, histology, and biomarkersCharles A Powell
Professor, Icahn School of Medicine at Mount Sinai in New York
10:30–11:00Precision medicine in lung cancer David Lam
Associate Professor, Hong Kong University, China
11:00–11:30CT screening for lung cancer: What's the evidence?Pyng Lee
Associate Professor, Yong Loo Lin School of Medicine, National University of Singapore
11:30–12:00Satellite meeting
12:00–13:30Lunch
Chairpersons for afternoon sessions:
  • David Lam
    Associate Professor, Hong Kong University, China
  • James R Jett
    Professor of Medicine, Emeritus National Jewish Health, Denver Colorado
  • Pyng Lee
    Associate Professor, Yong Loo Lin School of Medicine, National University of Singapore
14:00–14:30Clinical practice consensus guidelines for evaluation of pulmonary nodules for Asia and its implementation in ChinaChunxue Bai
Professor, Fudan University, China
14:30–15:00Circulating biomarkers in lung cancer David Lam
Associate Professor, Hong Kong University, China
15:00–15:30Early detection of lung cancer and evaluation of the indeterminate pulmonary noduleJames R Jett
Professor of Medicine, Emeritus National Jewish Health, Denver Colorado
15:30–16:00Ebus for staging of lung cancer; Pyng Lee
Associate Professor, Yong Loo Lin School of Medicine, National University of Singapore
16:00–16:30New Generation ENB Improves Early Lung Cancer DiagnosisEric Lamont Flenaugh
Associate Professor of Medicine, Co-Vice Chair of Internal Medicine Department, University of Texas HSC Houston
16:30–17:00Probe-based confocal laser bronchoscopy Jie Hu
Fudan University, China
17:00–17:30A robotic guided bronchoscopy system for early detection and treatment of lung cancerJiayuan Sun
Chest Hospital, Shanghai
17:30–18:00Augmented reality based modern education system for pulmonary nodule diagnosis and managementDawei Yang/ Chunxue Bai
Fudan University, China

Further details will appear at apsresp.org/education/esap/esap-201811-china.html when available.

Indonesia

Special scientific meeting ISR 2018

There will be a special scientific meeting of the Indonesian Society of Respirology (ISR) (Pertemuan Ilmiah Khusus PDPI 2018) with the theme Current approach in respiratory medicine – Special issues in interventional pulmonology and thoracic oncology

Venue:Crowne Plaza Hotel Semarang, Central Java, Indonesia
Dates:23–27 October 2018
Secretariat:pikpdpi2018@gmail.com
Tel: +62 81313563575
Detailswww.pikpdpi2018.com
Avisena Dutha Pratama: avissena_dp@yahoo.com
Erlang Samoedro: erlangsamoedro@gmail.com

Japan

Japanese Respiratory Society

The 59th Annual Meeting of the Japanese Respiratory Society will be held on 12-14 April 2019 at the Tokyo International Forum.

The Meeting's president will be Prof. Koichiro Tatsumi (Department of Respirology, Chiba University)

Details: www.jrs.or.jp/english/?content_id=27

Philippines

Philippine College of Chest Physicians

Please see the Spotlight report above

UAE

Dubai International Asthma, Allergy and COPD Forum

If you are attending the International Asthma, Allergy and COPD Forum in Dubai on 5–6 October 2018, use code ACOPD18APSR when you register to get your 25% discount for being an APSR member.

Further details at www.cvent.com/Events/Info/EmailToPlanner.aspx?e=eee8c7ce-1334-4756-9549-8919fd27cf7f

Health news

China

China is re-assigning 60,000 troops – to plant trees

As the People's Liberation Army looks to downsize, significant numbers of soldiers are being tasked with non-military missions.

China will plant new forests covering an area of 84,000 square kilometers, roughly the size of Ireland, in 2018, as it aims to increase forest coverage to 23% of total landmass by the end of the decade, China Daily reported last week. The current forested area stands at 21%.

Meanwhile, a separate source in the Central Military Commission said a large regiment of the People's Liberation Army – in addition to the nation's armed police force, which has just been absorbed into the commission – have been withdrawn from northern border areas and tasked with a new mission: planting trees.

The actual number of soldiers mobilized is said to be over 60,000.

The armed police force has a specially designated forestry branch to patrol and exercise jurisdiction in forested areas such as the northeastern Greater Khingan mountain range – dubbed 'China's green lungs' – in Heilongjiang and Inner Mongolia provinces.

Zhang Jianlong, head of the State Forestry Administration, said at a meeting last week that China would aim to grow at least 6.66 million hectares of new forest this year.

China's total forested area is now around 208 million hectares, with 33.8 million hectares having been added in the past five years.

Heavily polluted Hebei province, which encircles Beijing, has pledged to raise its total forest coverage to 35% by the end of 2020, and the bulk of the troops pulled back from the frontlines will be dispatched there for afforestation in a province that is seen as the major culprit in producing the fumes and smog that blanket not only Beijing but also large parts of northern China in cold seasons.

In 2015, Beijing announced a plan to lay off 300,000 soldiers and many PLA personnel have been re-assigned to non-military missions such as planting trees and revving up key state-level infrastructure projects.

Posts on online forums popular among veterans and military aficionados reveal that soldiers covet being re-stationed inland, away from the frigid northern border areas, in order to plant trees, so long as their ranks and entitlements remain unchanged.

(Extracted from Asia Times, 7 February 2018)

Letter from Malaysia

The country is witnessing significant political changes following the recent transfer of power. And as with all such popular changes, there is hope this will benefit the lives of the population.

Respiratory healthcare workers are hopeful there will be a similarly significant change in air quality for the benefit of its population.

Read Dr Li-Cher Loh's Letter from Malaysia doi.org/10.1111/resp.13382 and the bright future he envisions.

Letter from Vietnam

According to the Global Adults Tobacco Survey (GATS) in 2015, tobacco was used in Vietnam by 45.3% of men and 1.1% of women, and 22.5% overall (15.6 million adults) currently smoked tobacco.

Ageing of the population, urbanization, industrialization and environmental pollution are also responsible for the high burden of asthma and chronic obstructive pulmonary disease (COPD) in Vietnam.

The slogan of the Vietnam Respiratory Society in 2018 is 'Co-operation for Healthy Lungs'. These are not just words; the VNRS have been, and are, very active in promoting healthy lugs in the country.

Read Dr Giap Van Vu's Letter from Vietnam doi.org/10.1111/resp.13403 on the success of education delivered to date and the challenges ahead.

Vietnam is hosting the APSR Congress in 2019, in the capital city of Hanoi.

Education

New educational articles

The following article has recently been selected from Respirology for its specific educational value. Previous articles on further topics can be seen at apsresp.org/education/articles/index.html

Annual Southeast Asia haze increases respiratory admissions: A 2-year large single institution experience Chew R Ming, Andrea Ban Yu-Lin, Mohammad F Abdul Hamid, Mohd T Latiff, Nurashikin Mohammad and Tidi Hassan
onlinelibrary.wiley.com/doi/10.1111/resp.13325 (Oct 2018)

Comment by Dr Mark Lavercombe:
The authors review two years of data from their Malaysian hospital for correlation between respiratory admissions and local haze conditions. The findings demonstrate significantly increased rates of admission with respiratory symptoms during a haze, particularly in those with chronic lung or cardiac disease, and those with obesity. Length of stay and requirement for intensive care also increased in the haze periods.

APSR Membership

Donations received

  • Dr Yoichi Nakanishi (Japan)
  • Dr Anand Singh (India)
have kindly sent their donations towards the Society's goals, as outlined at apsresp.org/members/donors.php.

The APSR is profoundly grateful for their generosity.

New Fellows of the APSR

Congratulations to the following members who have recently become APSR Fellows.

  • Dr Sudhir Gopinathan Nair FAPSR (India)
  • Dr Brijesh Prajapat FAPSR (India)
  • Dr Anand Singh FAPSR (India)

New assembly members

A warm welcome to the following members who have recently joined APSR assemblies. They will undoubtedly enjoy working with and networking with their assembly colleagues.

Assemblies
Saroj Chowdhury
(Bangladesh)
Clinical Respiratory Medicine
Respiratory Infections (non-tuberculous)
Bronchoscopy and Interventional Techniques
John Ray Galamay
(Philippines)
Critical Care Medicine
Bronchoscopy and Interventional Techniques
COPD
Satish Chandra Kilaru
(India)
Clinical Respiratory Medicine
Interstitial Lung Disease
Asthma
Le Thi Tuyet Lan
(Vietnam)
COPD
Asthma
Respiratory Structure and Function
Trang Le Thi Thu
(Vietnam)
COPD
Asthma
Lung Cancer
Sachcha Md Arman Faisal
(Bangladesh)
COPD
Tuberculosis
Asthma
Sheikh AHM Mesbahul Islam
(Bangladesh)
Interstitial Lung Disease
COPD
Critical Care Medicine
Muhammad Riaz Mowjood
(Sri Lanka)
Clinical Respiratory Medicine
Asthma
Respiratory Neurobiology and Sleep
Sudhir Gopinathan Nair
(India)
Clinical Respiratory Medicine
Tuberculosis
Interstitial Lung Disease
Dung Nguyen Tien
(Vietnam)
Paediatric Lung Disease
Respiratory Infections (non-tuberculous)
Asthma
Shmuel Zeev Porch
(Israel)
Clinical Respiratory Medicine
Tuberculosis
COPD
Brijesh Prajapat
(India)
Clinical Respiratory Medicine
Bronchoscopy and Interventional Techniques
Respiratory Infections (non-tuberculous)
Vu Tran Thien Quan
(Vietnam)
Clinical Respiratory Medicine
COPD
Asthma
Mohammed Abul Quasem
(Bangladesh)
Tuberculosis
Asthma
COPD
Antony Rawindraraj
(USA)
Critical Care Medicine
Bronchoscopy and Interventional Techniques
Respiratory Structure and Function
Jose Ruel Serrano
(Philippines)
COPD
Critical Care Medicine
Bronchoscopy and Interventional Techniques
Sadia Sultana
(Bangladesh)
Tuberculosis
Clinical Respiratory Medicine
Se-ran Yang
(Republic of Korea)
Cell and Molecular Biology
Environmental & Occupational Health and Epidemiology
Respiratory Infections (non-tuberculous)

Future Pulmonology Events

Here are the main respiratory events in Asia-Pacific region for the next few months. You can see our full listing on the APSR Calendar.

  • XXIV World Congress of Asthma (WCA 2018)
    3–6 October 2018, Keio Plaza Hotel, Tokyo, Japan (Details)
  • 4th Annual Scientific Meeting of the Malaysian Association for Bronchology and Interventional Pulmonology
    12–14 October 2018, Alor Setar, Kedah, Malaysia (Details)
  • Special scientific meeting ISR 2018 (Pertemuan Ilmiah Khusus PDPI 2018)
    23–27 October 2018, Semarang, Indonesia (Details)
  • 126th Conference of the KATRD
    8–9 November 2018, Seoul, Republic of Korea (Details)
  • Lung Cancer Summit and APSREE
    16 November 2018 (new date), Xiamen, china Details)
  • Asthma & COPD Outpatient Care Unit (ACOCU) Network Day
    18 November 2018, Ho Chi Minh City, Vietnam (Details)
  • World COPD Day
    21 November 2018, Worldwide (Details)
  • 23rd Congress of the APSR
    29 November – 2 December 2018, Taipei, Taiwan (Details)
  • World AIDS Day
    1 December 2018, Worldwide (Details)
  • Cardiopulmonary diagnostics and pediatric pulmonary function testing
    11-12 January 2019, Ho Chi Minh City, Vietnam
    Details)
  • World TB Day
    24 March 2019, Worldwide
    Details)
  • Asian Pacific Congress for Bronchology (APCB) 2019
    28-30 March 2019, Gold Coast, Australia
    Details)

For more pulmonology events, see apsresp.org/calendar.html
(These events are for information only and APSR endorsement should not be assumed.)

Contact

If you have any news or announcement that could be of interest to other APSR members, please submit details to the APSR Bulletin coordinators: Dr Arata Azuma (a-azuma@nms.ac.jp), Dr David C L Lam (dcllam@hku.hk), Dr Shu Hashimoto (hashimoto.shu@nihon-u.ac.jp), or APSR Bulletin (bulletin@apsresp.org).


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