1. CHRONIC OBSTRUCTIVE PULMONARY DISEASE NON INVASIVE VENTILATION צום יום כיפור

2. Health effects of intermittent fasting: hormesis or harm
Health effects of intermittent fasting: hormesis or harm? A systematic review. Review article Horne BD, et al. Am J Clin Nutr
Clinical research studies of fasting with robust designs and high levels of clinical evidence are sparse in the literature. Whereas the few randomized controlled trials and observational clinical outcomes studies support the existence of a health benefit from fasting.

3. COPD Definition Clinical presentation
Remote organ effects (heart, kidney)
Nutritional profile
Non invasive mode of ventilation
conclusion

4. Definition
A disease state characterized by the presence of airflow obstruction due to chronic bronchitis or emphysema; the airflow obstruction is generally progressive, may be accompanied by airflow hyperactivity, and may be viewed as partially reversible.
Includes emphysema and chronic bronchitis

6. Prevalence COPD occurs in 4-6% of males, and 1-3% of adult females
The 4th most common cause of death in the United States
14.2 million people in U.S. have COPD
Highest mortality rate is in men

7. COPD

13. Goals for NIV Improve Ventilation Stabilize/Improve pH
Improve Oxygenation
Improve Ventilation
Stabilize/Improve pH
Reduce Work of Breathing

14. Oxygen

16. CPAP – Continuous Positive Airway Pressure

20. High Flow