Highlights from this issue
- Correspondence to Dr Andrew Bush, National Heart and Lung Institute, Imperial College, London, UK;
- Asthma guidelines
- cystic fibrosis
- exhaled airway markers
- lung physiology
- paediatric asthma
- paediatric lung disaese
- copd mechanisms
- asthma mechanisms
- copd exacerbations
Pre-word: you could not make it up!
The last issue of Thorax was tobacco themed, including three papers and an editorial about how exposure to smoking behaviour in films impacts adolescent smoking behaviour. Quoted in the Independent, a Department of Culture, Sports and Media SMOKESman said “The government believes that the current arrangements provide sufficient control on the depiction of smoking in films and a total ban would be a disproportionate interference. This action would undermine the credibility, and therefore the quality, of domestically produced films”. So children being lured into smoking are of lesser importance, and belief based government replaces evidence based (if it ever existed). So that's all right then.
A hole in the throat—a paradigm shift
Once upon a time, patients with neuromuscular disease usually died of untreated respiratory failure. It was controversial when nasal mask ventilation was offered to teenagers with Duchenne muscular dystrophy (DMD). However, it was soon appreciated that quality of life improved, and prolonged survival was common. Patients reported quality of life similar to COPD, rightly rejecting the ability of the non-disabled to pontificate on this issue. The next hurdle is tracheostomy, traditionally …