Aim To investigate the effects of carbocisteine treatment in the reduction of frequency of productive cough episodes, preventing disease progression and improving the quality of life as well as the tolerability of the administered treatment and patient compliance during the study. Methods This observational, non-interventional, multicenter, cohort study included 501 patients with chronic obstructive pulmonary disease (COPD) who were administrated carbocisteine capsules 375 mg and followed up during the next 15 days. The patients were observed at 3 points, baseline and two additional assessments. General clinical condition of patients, along with the spirometry testing at all three points were examined. Thr quality of life was assessed on the 1st and 3rd observation with Leicester Cough Questionnaire. Tolerability and patient compliance were measured throughout the study. Results There was a significant change of forced expiratory volume in 1 second (FEV1) status between the second and third observation (p=0.002). Examination of general symptoms showed a statistically significant reduction in cough by 74.9%, in sputum production by 48.5%, in dyspnea by 29% and in fatigue by 50%. After the administration of carbocisteine the median value of overall quality of life was 3.79 (3.63 - 3.89). Conclusion 375mg carbocisteine capsules were found to be effective and well-tolerated in the treatment of COPD, with a small percentage of reported mild adverse reactions and with a significant improvement of quality of life.

Although two-lane roundabouts theoretically exhibit excellent operating performance, in practice, safety problems arise because of inappropriate driving behavior. Turbo roundabouts, which are characterized by a much higher level of safety, are alternatives to classic two-lane roundabouts, but the capacity-related benefits derived from such roundabouts remain an open issue. Accordingly, this study uses an equilibrium traffic flow allocation approach to evaluate multi-lane roundabout capacity based on gap acceptance theory. Capacity levels are calculated and compared for different gap acceptance parameters, including local parameters, and different traffic flow scenarios. It is found that the capacity of minor approaches on turbo roundabouts is always higher than on two-lane roundabouts, but that the main approaches on two-lane roundabouts exhibit better performance in terms of fully equilibrium traffic allocation. This state, however, cannot be achieved for every demand scenario. The results depend strongly on traffic movements and gap acceptance parameters indicating the need for local calibration processes.