The paper addresses the shift in architectural education regarding the need to develop new approaches in teaching methodology, improve curricula, and make advancements in new learning arenas and digital environments. The research is based on the assumption that online workshops could offer a unique learning experience for students in higher education. Accordingly, workshops are considered an essential element in teaching emergency design. As a result, this can produce broader and more innovative solutions to COVID-19 challenges regarding social distancing, limited movements, regulated use of public space, and suspended daily activities. The theoretical notions of emergency design and education for sustainable design enabled the identification of research perspectives and spatial levels to be taken as a starting point of the workshop “COVID-19 Challenges: Architecture of Pandemic” that was conducted by the University of Belgrade—Faculty of Architecture in April 2020. The critical review of the workshop’s procedural and substantial aspects led to identifying four main COVID-19 design challenges perceived in performance, innovation, alteration, and inclusion. Additionally, the paper’s findings concern the identification of learning potentials and limitations arising from a current topic affecting global society, for which neither solutions nor adequate answers in the field of architecture and urbanism have been found.
IntroductionThe aim of this study was to assess the effects of preoperative pulmonary rehabilitation (PPR) on preoperative clinical status changes in patients with chronic obstructive pulmonary disease (COPD) and non-small cell lung cancer (NSCLC), and net effects of PPR and cancer resection on residual pulmonary function and functional capacity.Material and methodsThis prospective single group study included 83 COPD patients (62 ±8 years, 85% males, FEV1 = 1844 ±618 ml, Tiffeneau index = 54 ±9%) with NSCLC, on 2–4-week PPR, before resection. Pulmonary function, and functional and symptom status were evaluated by spirometry, 6-minute walking distance (6MWD) and Borg scale, on admission, after PPR and after surgery.ResultsFollowing PPR significant improvement was registered in the majority of spirometry parameters (FEV1 by 374 ml, p < 0.001; VLC by 407 ml, p < 0.001; FEF50 by 3%, p = 0.003), 6MWD (for 56 m, p < 0.001) and dyspnoeal symptoms (by 1.0 Borg unit, p < 0.001). A positive correlation was identified between preoperative increments of FEV1 and 6MWD (r s = 0.503, p = 0.001). Negative correlations were found between basal FEV1 and its percentage increment (r s = –0.479, p = 0.001) and between basal 6MWD and its percentage change (r s = –0.603, p < 0.001) during PPR. Compared to basal values, after resection a significant reduction of most spirometry parameters and 6MWD were recorded, while Tiffeneau index, FEF25 and dyspnoea severity remained stable (p = NS).ConclusionsPreoperative pulmonary rehabilitation significantly enhances clinical status of COPD patients before NSCLC resection. Preoperative increase of exercise tolerance was the result of pulmonary function improvement during PPR. The beneficial effects of PPR were most emphasized in patients with initially the worst pulmonary function and the weakest functional capacity.
STOP-Bang showed good measurement properties, supporting its further use in OSA screening of commercial drivers. Int J Occup Med Environ Health 2016;30(5):751-761.
Influence of physiotherapy on the outcome of the lung resection is still controversial. Study aim was to assess the influence of physiotherapy program on postoperative lung function and effort tolerance in lung cancer patients with chronic obstructive pulmonary disease (COPD) that are undergoing lobectomy or pneumonectomy. The prospective study included 56 COPD patients who underwent lung resection for primary non small-cell lung cancer after previous physiotherapy (Group A) and 47 COPD patients (Group B) without physiotherapy before lung cancer surgery. In Group A, lung function and effort tolerance on admission were compared with the same parameters after preoperative physiotherapy. Both groups were compared in relation to lung function, effort tolerance and symptoms change after resection. In patients with tumors requiring a lobectomy, after preoperative physiotherapy, a highly significant increase in FEV1, VC, FEF50 and FEF25 of 20%, 17%, 18% and 16% respectively was registered with respect to baseline values. After physiotherapy, a significant improvement in 6-minute walking distance was achieved. After lung resection, the significant loss of FEV1 and VC occurred, together with significant worsening of the small airways function, effort tolerance and symptomatic status. After the surgery, a clear tendency existed towards smaller FEV1 loss in patients with moderate to severe, when compared to patients with mild baseline lung function impairment. A better FEV1 improvement was associated with more significant loss in FEV1. Physiotherapy represents an important part of preoperative and postoperative treatment in COPD patients undergoing a lung resection for primary lung cancer.Key words: pulmonary rehabilitation, preoperative physiotherapy, lung cancer, lobectomy, pneumonectomy During the previous decade, functional assessment of patients that were diagnosed with lung cancer that are undergoing surgery significantly changed. Cut-off values of ventilatory parameters that are used in treatment planning particularly forthe safe resection have been changed, along with improvement of postoperative lung function prediction and operative risk assessment methods [1][2][3]. In addition, as it was convincingly demonstrated that age itself is not a contraindication for surgery, there is increasing evidence of safe surgical treatment in septuagenarians and even in octogenarians [4,5].
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