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SPRING 2016    VOLUME 28 ISSUE 2

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Editorial

J. Alberto Neder, MD, PhD, FRCPC
Professor of Respiratory Medicine and Director, Laboratory of Clinical Exercise Physiology (LACEP), Kingston General Hospital and Pulmonary Function Laboratory (PFL), Hôtel Dieu Hospital, Division of Respiratory and Critical Care Medicine, Queen’s University


Dr Neder
J Alberto Neder
Dr. J. Alberto Neder is a Respirologist at Kingston General Hospital and Director at the Pulmonary Function Laboratory, Hôtel Dieu Hospital in Kingston, Ontario. He is a Professor with the Division of Respirology, Department of Medicine at Queen’s University. Dr. Neder is a member of the Better Breathing Planning Committee. His hobbies and interests are Spearfishing, travel with his wife Ana and enjoying wildlife with his 2 wonderful boys, Igor and Andrei.


Chronic obstructive pulmonary disease (COPD) has the peculiar characteristic of being defined by a physiological feature – the presence of airway obstruction. (1) Thus, anatomical abnormalities associated with chronic bronchitis (airway narrowing) and/or emphysema (loss of alveolar attachments to the small airways) limit the rate at which the lungs empty during expiration. Not unexpectedly, the concept that COPD is an “expiratory and resistive” disease which severity can be readily gradated by spirometry (e.g., FEV1) has become deeply embedded in our minds.(1)
Read more (PDF)

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Feature Article: Lung Hyperinflation in COPD: What the Clinician Needs to Know

Denis E. O'Donnell, MD, FRCP(C), FCCP, FERS,FRCP(I)
Professor of Medicine, Departments of Biomedical & Molecular Sciences (Physiology), Rehabilitation Medicine and Kinesiology & Health Studies, Queen’s University, Kingston, Ontario, Canada
Clinician Scientist and past Chair, Division of Respiratory and Critical Care Medicine and Director of the Respiratory Investigation Unit, Queen’s University


Dr. O'DonnellDenis O'Donnell
Dr. Denis E. O’Donnell is a Respirologist at Kingston General Hospital, Hôtel Dieu Hospital, St. Mary’s of the Lake Hospital, Kingston, Ontario and Professor, Department of Medicine at Queen’s University. Dr. O’Donnell was a member of the OTS Executive Committee (1990-97), OTS President (1995-96), and Chairman, Task Force on OTS Research Funding (1995-97). His hobbies and interests are traveling, reading, hiking, and playing Celtic tunes on the “squeeze box”. Dr. O’Donnell is a long-time member of the OTS and has gratefully received several Grants-In-Aid from the OTS/OLA during his career.


Lung hyperinflation, chronic dyspnea and reduced exercise capacity are inextricably linked and are independent predictors of increased mortality in COPD. It is no surprise, therefore, that a major goal of management is to reduce lung hyperinflation in the hope of improving dyspnea, exercise tolerance and related long term patient-centered outcomes. The negative effects of lung hyperinflation on respiratory muscle and cardio-circulatory function are now well established and the negative effects of acute dynamic hyperinflation during exacerbations and physical activity are increasingly recognized. Additional evidence of the importance of lung hyperinflation comes from multiple studies which have examined the clinical benefits of therapeutic interventions that reduce the effect of lung hyperinflation. The current review summarizes the causes and clinical consequences of lung hyperinflation and provides a strong rationale for its therapeutic reversal.
Read more (PDF)


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The Better Breathing Conference 2016 Highlights

The Better Breathing Conference is one of Canada’s leading respiratory meetings. Congratulations to Dr. Jane Batt and the planning committee for preparing an excellent program!

The theme was Innovations and Revelations. The Plenary Session featured Dr. Matthew Stanbrook, Respirologist and Staff physician at University Health Network. The session reviewed the evidence regarding the epidemiology and associated health effects of biomass smoke exposure. As well, Dr. Natasha Leighl, Lung Medical Oncologist  Site Group Lead Princess Margaret Hospital, gave a presentation Canada’s silent Cancer – a tidal wave of progress, which reviewed current data on lung cancer in Canada, to gain understanding of novel treatment options, and reviewed data of outcome improvement that lead us from nihilism to hope in this disease.

Scientific sessions continued throughout the day, providing participants with: a new e-health knowledge translation tool the Electronic Asthma Management System (EAMS) designed to facilitate delivery of guideline-based asthma care; introduction of a case-based approach to some of the newer modes of positive pressure therapy and the phases of a non-invasive ventilator, featuring of newer modes of non-invasive ventilation and clinical monitoring; explored the myths and realities of other forms of smoking.

In keeping with tradition, the Saturday sessions of the Better Breathing conference concluded with well-attended, highly educational and humorous debates.

Other highlights included our award recipients: Dr. Michelle Kho (McMaster University) as the recipient for the Breathe New Life Award, 2015-2016, Dr. Teresa To the Meritorious Service Award, 2015 and Dr. Joshua Wald (McMaster University) was presented with the 2016 Keith Morgan Award for Excellence.

The OTS thanks the OLA, and all Better Breathing delegates for helping to make this conference successful. We look forward to seeing you all at Better Breathing 2017 on January 27–28.

Plenary Board
Plenary Session. From left to right: Dr. Jane Batt, Dr. Natasha Leigh, Dr. Matthew Stanbrook, Dr. Tom Kovesi and Dr. Hedy Ginzberg

OTR Morning Session
OTR Morning Session. From left to right: At the table: Dr. Marcel Tunks, Dr. Douglas McKim and Dr. Samir Gupta
At the podium Dr. Tom Kovesi 

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Breathing Matters - An Update from the Ontario Lung Association

Patients First:   The Ontario Lung Association responded to the Ministry of Health’s discussion paper, Patient First: A Proposal to Strengthen Patient-Centred Health Care in Ontario, with input from health-care providers, patients and caregivers. 

One of the key government recommendations was the expansion of the role of Local Health Integration Networks, including a greater role in primary care, home and community care, and public health.  The Ontario Lung Association believes that our Lung Health Action Plan can provide an evidence-based framework to assist the LHINs in planning services for lung health patients.   Our advocacy priority of adding Certified Respiratory Educators to the health-care system is well aligned with the objectives of Patients First.  You can view our full submission here:  http://www.on.lung.ca/patients-first-submission

E-cigarettes and Medical Marijuana:  The Ontario Lung Association is publicly supporting proposed legislation to restrict the use of e-cigarettes and medical marijuana in public places.   We want to ensure that all Ontarians are protected from any vapour or smoke that might be harmful to our lungs.  You can view our statement here:  http://www.on.lung.ca/new-regulations-for-e-cigarettes


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Join or Renew Your Membership

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ONTARIO THORACIC SOCIETY (OTS) MEMBERSHIP TERM: APRIL 1, 2016 TO MARCH 31, 2017

OTS Active membership is open to individuals with a medical degree and scientists holding a PhD or equivalent degree of training. The 2016-2017 fee is $95.00.
The OTS Associate Membership is available to interns, residents or graduate students in medical or allied health science, and to fellows during their period of training. Associate members do not pay fees and may not vote or hold office in the Society but enjoy all the benefits of a membership.

To join the OTS or renew your membership for 2015-2016:
1.    ONLINE: http://www.on.lung.ca/page.aspx?pid=492
2.    CALL: (416) 864-9911 ext. 254
3.    OR BY MAIL:  Download OTS membership application & mail with payment
                        Ontario Thoracic Society
                        401-18 Wynford Dr.
                        Toronto ON M3C 0K8
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Events

Better Breathing Conference

2017 BETTER BREATHING CONFERENCE
SAVE THE DATE!


Join us for the Better Breathing Conference, taking place at the
Marriott Hotel Downtown Eaton Centre from January 27-28, 2017

Registration will open in the fall.

www.betterbreathing.ca



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Critical Care Forum

Mark your calendars for CCCF 2017

Pre-Conference Day
Monday, October 2, 2017
Main Conference
Tuesday, October 3 - Thursday, October 5, 2017
Sheraton Centre Toronto

http://www.criticalcarecanada.com/


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TB Conference 2016

TB Conference

For the full poster, click here or the banner above.
For more information, see the web site here.

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MI Workshops

Motivational Interviewing in Respiratory Health Care:
A Knowledge Translation Initiative

Are you a health care professional interested in Motivational Interviewing skills, or refreshing your MI skills?

Motivational Interviewing (MI) is a “collaborative, person-centered form of guiding to elicit and strengthen motivation for change” (Miller and Rollnick, 2009). MI has a robust evidence base across a range of health behaviours, including respiratory health care. This workshop addresses the foundation skills and underlying philosophy of MI using case-based learning, hands-on practice and take-away resources.
Opportunities to recognize and integrate MI skills into practice are also provided.


Workshops are available in full or half day sessions
Full Day: Breakfast and lunch included.
Half Day: Lunch included.

To set up a free workshop for your team or organization

Please contact:
Leahanne LeGrow
Manager, Provider Education Program
Ontario Lung Association
llegrow@on.lung.ca
416-864-9911 x296


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Donate

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The Ontario Thoracic Review is an official publication of the  Ontario Thoracic Society, a medical section of the Ontario Lung Association

CONTACT INFORMATION

18 Wynford Drive, Suite 401
Toronto OM M3C 0K8
Local callers:
(416) 864-9911 ext.254
Toll free:
1(888)344-5864(lung)
Fax
(416) 864-9916
E-mail:
orcs@on.lung.ca
ots@on.lung.ca
Internet: www.on.lung.ca/ots
CO-EDITORS

Dr. Christopher Li
Dr. Mark Soth

OTR Editorial Board
OTS Executive Committee
MISSION STATEMENT

To Promote Respiratory Health through Medical Research and Education

Ontario Thoracic Society
Ontario Lung Association

Ontario Thoracic Society Publications

Ontario Thoracic Society Publications