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At least 127 records · Page 7Linked to original sources
PubMed1984

Inspiratory muscle training in clinical practice. Physiologic conditioning or habituation to suffocation?

Six healthy volunteers and 19 patients with stable chronic obstructive pulmonary disease underwent a multistage, maximal, ventilatory stress test, ie, serial imposition of increasingly severe resistances to inspiration by means of a commercially available device (Pflex Inspiratory Trainer). Patients consistently underventilated and suffered desaturation during the test; healthy individuals did not. Eight patients completed three weeks or more of daily training stints using the inspiratory resistive device. There was no significant improvement in performance of the test after training. Those individuals whose condition improved showed no discernible change in ventilatory pattern but did suffer further desaturation.

Aged↗
PubMed2000

Suffocated prone: the iatrogenic tragedy of SIDS.

Epidemiologic research has shown that prone sleeping is a major risk factor for sudden infant death syndrome (SIDS). In a public health review from Sweden, we explored the historical background of the SIDS epidemic, starting with the view of the Catholic Church that sudden infant deaths were infanticides and ending with the slowly disseminated recommendation of a prone sleeping position during the 1960s, 1970s, and 1980s. The story of the SIDS epidemic illustrates a pitfall of preventive medicine--the translation of health care routines for patients to general health advice that targets the whole population. False advice, as well as correct advice, may have a profound effect on public health because of the many individuals concerned. Preventive measures must be based on scientific evidence, and systematic supervision and evaluations are necessary to identify the benefits or the harm of the measures. The discovery of the link between prone sleeping and SIDS has been called a success story for epidemiology, but the slow acceptance of the causal relationship between prone sleeping and SIDS illustrates the weak position of epidemiology and public health within the health care system.

Asphyxia↗