الفهرس 
Chronic obstructive pulmonary disease (COPDOnly 14 pages are availabe for public view
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Abstract
Background :
Diseases of the respiratory system are an important public health problem in all countries.
The occurrence of respiratory system diseases varies widely wound the world. Among children under 5 years of age, about 33% of all deaths were due to acute respiratory infections.
Chronic diseases of the respiratory tract also are a major cause of morbidity and mortality among adults.
Aim of the Work :
The aim of the work was to study the pattern of variable chest diseases including tuberculosis in Qena chest hospital for all the in patients admitted in the period from January 2006 till the end of June 2008.
Subjects and Methods :
Subjects :
This study included the total number of in patients admitted to Qena chest hospital in the period from January 2006 to June 2008. Those patients were suffering from variable chest diseases and classified into 8 groups of patients according to their diagnosis.
Methods :
1. Choice of the patients of the study.
2. Collection of data.
3. Statistical methodology.
Results :
The total number of the in patients admitted to Qena chest hospital in the studied period was 2700 patients. The most common diagnosis was bronchial asthma (37% of the studied cases). It was found that males take the upper hand compared to females as regard different diseases. It was found also that the majority of cases with COPD and cancer lung were smokers.
The frequency of MDR was 12% among the studied cases of T.B% and more than 40% of cancer lung cases are died.
Conclusion :
It can be concluded from the current study :
• Lack of statistical data about the epidemiology of chest diseases in Egypt.
• The great need and importance of performance of accurate statistical records in our hospital.
• Financial expresses on smoking are still high reflecting on the disease occurrence and severity.
• Lack of advanced investigations in Qena chest hospital, which make diagnosis of some chest disease very difficult.
• The epidemiology, demographic, clinical characteristics of the patients in our study vary significantly than studied in different countries.
• There is a real problem of MDR not only in Qena chest hospital but in Egypt and allover the world.
• Some cases were referred to other chest centers either due to not diagnosed or due to lack of facilities of treatment.
Recommendations :
• Statistical documentation of our data in all hospitals.
• Smoking cessation should be encouraged as it is single most effective way to reduce exposure to multiple chest diseases.
• Advanced investigations should be present in our chest hospital.
• Physicians should be aware of international standard of practice for better diagnosis and management of patients.
• Similar multicentic studies are needed to assess state of chest diseases in our country.
• Timing of physicians on recent and advanced management of MDR.