Although the proportion of persons with paid work is lower in COPD, having COPD appears not to have a significant impact on obtaining paid employment in the overall population of developing countries.

Considering that [symbol: see text]L was not identified in approximately one third of the patients and there was ample variability on HR [symbol: see text]L as %AHR, %PHR, and %HRR, the use of HR and [symbol: see text]L targets for routine exercise prescription does not seem to be clinically justifiable in patients with COPD submitted to pulmonary rehabilitation.

Alterations in the respiratory function in the postoperative period of elective spinal surgery by posterior access for tumor removal or herniated disc were related to surgical time > or =240 minutes, tumor, or cervicothoracic surgical access.

Uncontrolled type 1 diabetes mellitus is associated with recognized short-and long-term complications. The authors describe a case of a female adolescent, with history of poorly controlled type 1 diabetes mellitus, who presented with tender hepatomegaly and elevated liver enzymes. Her growth and pubertal development were appropriated for age. After excluding infectious and autoimmune causes of liver disease, a liver biopsy was performed and histology revealed glycogenosis. Glycogenic hepatopathy is characterized by abnormal glycogen accumulation in hepatocytes. It is a reversible condition, with good glycemic control, and is not known to progress to fibrosis. This entity should be distinct from other causes of hepatomegaly and elevated liver enzymes, in diabetic patients, such as nonalcoholic fatty liver disease. Although glycogenic hepatopathy is a major cause of hepatomegaly in type 1 diabetes mellitus, is rare and likely under-recognized, the diagnosis has implications in the management and outcome.

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