The laboratory-clinical interface: point-of-care testing.

abstract：BACKGROUND:COPD is a major cause of morbidity and mortality in the United States as well as throughout the rest of the world. An exacerbation of COPD (periodic escalations of symptoms of cough, dyspnea, and sputum production) is a major contributor to worsening lung function, impairment in quality of life, need for urg...

journal_title：Chest

authors： Criner GJ,Bourbeau J,Diekemper RL,Ouellette DR,Goodridge D,Hernandez P,Curren K,Balter MS,Bhutani M,Camp PG,Celli BR,Dechman G,Dransfield MT,Fiel SB,Foreman MG,Hanania NA,Ireland BK,Marchetti N,Marciniuk DD,Mularski

更新日期：2015-04-01 00:00:00

abstract：INTRODUCTION:CT scan-guided fine-needle aspiration (FNA) of lung nodules is a well-established diagnostic technique. In our institution, both FNA and tissue core biopsy (using a 20-gauge needle) under CT scan guidance are routinely performed during the same procedure, and a preliminary diagnosis (an immediate assessmen...

journal_title：Chest

authors： Chandan VS,Zimmerman K,Baker P,Scalzetti E,Khurana KK

更新日期：2004-09-01 00:00:00

abstract：:Ventilator-associated pneumonia (VAP), a major cause of ICU infection, results in high morbidity, mortality, and health-care costs. Multiple risk factors for VAP involve complex host factors and ubiquitous pathogens that require several different types of prevention strategies. Prevention efforts should focus on reduc...

journal_title：Chest

authors： Craven DE

更新日期：2006-07-01 00:00:00

abstract：:Idiopathic bronchiolitis obliterans with organizing pneumonia (BOOP) is a clinicopathologic syndrome characterized by an indolent course and favorable prognosis. This report describes five patients with a fulminating and life-threatening variant of this syndrome. Four patients presented with respiratory failure requir...

journal_title：Chest

authors： Nizami IY,Kissner DG,Visscher DW,Dubaybo BA

更新日期：1995-07-01 00:00:00

abstract：:Between November, 1965 and June, 1970, 175 patients underwent mitral valve replacement with the Smeloff-Cutter prosthesis (109 patients) or the toroidal valve (66 patients). The early mortality for patients with a toroidal mitral prosthesis was 18.2 percent (12 patients) and the late mortality 34.8 percent (23 patient...

journal_title：Chest

authors： Rees JR,Holswade GR,Carlson RG,Subramanian VA,Murphy TE,Lillehei CW

更新日期：1977-02-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the importance of fluid balance and changes in extravascular lung water (EVLW) on survival in the ICU and short-term outcome in patients with pulmonary edema. DESIGN:Retrospective analysis of data (sorting by survival and "treatment received") from a recent randomized controlled trial of fl...

journal_title：Chest

authors： Schuller D,Mitchell JP,Calandrino FS,Schuster DP

更新日期：1991-10-01 00:00:00

abstract：:Dieulafoy's disease is a vascular anomaly characterized by the presence of a dysplastic artery that is related to an epithelial ulcer. While it is most frequently a GI condition, occurrence in the bronchus has been reported previously in six cases. We present the case of a 51-year-old man with severe hemoptysis and ep...

journal_title：Chest

authors： Stoopen E,Baquera-Heredia J,Cortes D,Green L

更新日期：2001-01-01 00:00:00

abstract：STUDY OBJECTIVES:Patients with COPD have an increased sympathetic modulation and reduced baroreflex sensitivity (BRS). Therefore, we studied the effects of breathing 31% supplemental oxygen (SuppO(2)) on autonomic modulation in a group of COPD patients. DESIGN:We measured autonomic modulation before and during the adm...

journal_title：Chest

authors： Bartels MN,Gonzalez JM,Kim W,De Meersman RE

更新日期：2000-09-01 00:00:00

abstract：:A 66-year-old man with a history of COPD and Aspergillus fumigatus infection developed massive hemoptysis. Pulmonary artery angiography revealed an aneurysm which was successfully treated with coil embolization. This is the first known report of a pulmonary artery aneurysm causing massive hemoptysis in a patient with ...

journal_title：Chest

authors： Bowler RP,Durham J,Schwarz MI

更新日期：1998-04-01 00:00:00

abstract：BACKGROUND AND AIM:ARDS can occur from the following two pathogenetic pathways: a direct pulmonary injury (ARDSp); and an indirect injury (ARDSexp). The predisposing clinical factor can influence the pathogenesis and clinical outcome of ARDS. This metaanalysis was aimed at evaluating whether there is any difference in ...

journal_title：Chest

authors： Agarwal R,Srinivas R,Nath A,Jindal SK

更新日期：2008-06-01 00:00:00

abstract：:A 64-year-old patient was admitted to the hospital with a history of two syncopal episodes. The results of the physical examination, resting electrocardiogram and His-bundle study were all normal. Study with a 24-hour ECG monitor (Holter) was at first interpreted as demonstrating periods of sinus arrest. However, more...

journal_title：Chest

authors： Kronzon I,Schloss M,Bear G

更新日期：1975-10-01 00:00:00

abstract：:Important alterations in respiratory function have been observed after open cholecystectomy. These include a decrease in the abdominal tidal volume, forced vital capacity, and forced expiratory volume at 1 s. Laparoscopic cholecystectomy is a new procedure allowing removal of the gallbladder without a subcostal or mid...

journal_title：Chest

authors： Shulman SM,Chuter T,Weissman C

更新日期：1993-04-01 00:00:00

abstract：:We conducted a prospective study to determine the effectiveness of protected bronchoalveolar lavage (PBAL) in diagnosing pneumonia in ventilated patients and the usefulness of bronchoscopic data in treating ventilated patients. Entrance criteria were (1) fever and a new or progressive infiltrate on chest roentgenogram...

journal_title：Chest

authors： Meduri GU,Wunderink RG,Leeper KV,Beals DH

更新日期：1992-02-01 00:00:00

abstract：:We examined the degree of ventilatory constraint in patients with a history of chronic heart failure (CHF; n = 11; mean +/- SE age, 62 +/- 4 years; cardiac index [CI], 2.0 +/- 0.1; and ejection fraction [EF], 24 +/- 2%) and in control subjects (CTLS; n = 8; age, 61 +/- 5 years; CI, 2.6 +/- 0.3) by plotting the tidal f...

journal_title：Chest

authors： Johnson BD,Beck KC,Olson LJ,O'Malley KA,Allison TG,Squires RW,Gau GT

更新日期：2000-02-01 00:00:00

abstract：:Heart rate and the variability of the heart rate, indices of autonomic control, were studied during sleep in an infant with prolonged Q-T interval (Romano-Ward syndrome) and were compared to the heart rate and variability of heart rate in 18 normal infants studied at monthly intervals during the first four months of l...

journal_title：Chest

authors： Leistner HL,Haddad GG,Lai TL,Mellins RB

更新日期：1983-08-01 00:00:00

abstract：:The dynamics of cerebral blood flow velocity (CBFV) during sleep were investigated in the right middle cerebral artery of 10 patients with sleep apnea syndrome (SAS) (mean age, 37 years) and 10 healthy control subjects (mean age, 32 years) throughout the entire sleep period. A computer-assisted pulsed (2 MHz) transcra...

journal_title：Chest

authors： Hajak G,Klingelhöfer J,Schulz-Varszegi M,Sander D,Rüther E

更新日期：1996-09-01 00:00:00

abstract：:Dyspnea after polio can occur for a variety of reasons, including neuromuscular disease and upper airway abnormalities resulting from prolonged intubation, including tracheal stenosis, tracheomalacia, and vocal cord paralysis. Routine studies such as spirometry and maximum voluntary ventilation (MVV) measurements can ...

journal_title：Chest

authors： Knobil K,Becker FS,Harper P,Graf LB,Wolf GT,Martinez FJ

更新日期：1994-03-01 00:00:00

abstract：STUDY OBJECTIVES:To evaluate the long-term clinical course of patients with idiopathic pulmonary fibrosis (IPF) complicated with pulmonary arterial hypertension. DESIGN:Prospective analysis of consecutive IPF patients undergoing initial workup with right-heart catheterization (RHC) and pulmonary function testing (PFT)...

journal_title：Chest

authors： Hamada K,Nagai S,Tanaka S,Handa T,Shigematsu M,Nagao T,Mishima M,Kitaichi M,Izumi T

更新日期：2007-03-01 00:00:00

abstract：:An unusual case of arteriovenous communication between the left inferior epigastric artery, a branch of the femoral artery, and the superior vena cava is presented. The communication caused a continuous murmur at the lower parasternal area and was responsible for a significant left-to-right shunt. Surgical treatment, ...

journal_title：Chest

authors： Bashour T,Kabbani S,Cheng TO

更新日期：1978-08-01 00:00:00

abstract：OBJECTIVE:To evaluate the effect of repeated thoracenteses on the fluid characteristics and the levels of various cytokines, including tumor necrosis factor (TNF)-alpha, interleukin (IL)-1beta, IL-5, IL-6, and IL-8, and of plasminogen activator inhibitor type 1 (PAI-1) and tissue type plasminogen activator in malignant...

journal_title：Chest

authors： Chung CL,Chen YC,Chang SC

更新日期：2003-04-01 00:00:00

abstract：:The self-expandable stainless steel stents (Gianturco, William Cook, Bjaeverskov, Denmark) used extensively in biliary ducts and the vascular system have recently been modified for use in the tracheobronchial tree. Between March 1991 and September 1992, six patients with unresectable tracheobronchial and mediastinal d...

journal_title：Chest

authors： Zannini P,Melloni G,Chiesa G,Carretta A

更新日期：1994-07-01 00:00:00

abstract：:Thromboendarterectomy is the treatment of choice for chronic large vessel thromboembolic pulmonary hypertension. To identify the mechanisms responsible for the improvement in gas exchange following thromboendarterectomy, we studied nine patients with chronic thromboembolic pulmonary hypertension before and eight to 18...

journal_title：Chest

authors： Kapitan KS,Clausen JL,Moser KM

更新日期：1990-07-01 00:00:00

abstract：:Coronary bypass patients less than 40 years of age were identified and compared with a control group previously studied at our hospital. In patients less than 40 years, the average age was 35 years. Men comprised 90.1 percent of group 1, and 83.4 percent of group 2. Operative mortality was 2.89 percent for group 1 and...

journal_title：Chest

authors： Kelly ME,DeLaria GA,Najafi H

更新日期：1988-12-01 00:00:00

abstract：:We describe two patients who develop torsades de pointes in a temporal relationship to the intravenous administration of erythromycin lactobionate in the absence of other drugs or metabolic abnormalities known to cause the arrhythmia. We also review the current literature regarding this topic, including other case his...

journal_title：Chest

authors： Gitler B,Berger LS,Buffa SD

更新日期：1994-02-01 00:00:00

abstract：:Sacrococcygeal teratoma is rarely diagnosed in adults. Pulmonary mass as the presenting clinical form of the malignant variety of this germ-cell tumor is exceptional. We report herein such a case with the noticeable peculiarity of showing the air meniscus sign on chest roentgenographic examination. ...

journal_title：Chest

authors： Roig J,Aguilar X,Maestre J,Domingo C,Morera J

更新日期：1991-08-01 00:00:00

abstract：:Mitral, aortic, and coronary arterial disease have been described in the various mucopolysaccharidoses. We report the first successful combined aortic and mitral valve replacement in an adult female patient with severe aortic and mitral stenosis due to Scheie's syndrome, a mucopolysaccharide storage disease. Both annu...

journal_title：Chest

authors： Butman SM,Karl L,Copeland JG

更新日期：1989-07-01 00:00:00

abstract：STUDY OBJECTIVE:The diagnostic value of tumor markers in pleural fluid is subject to debate. The aim of this study was to evaluate the diagnostic performance of several tumor markers in common use for detecting malignant pleural disease. DESIGN:Blinded comparison of four tumor markers in pleural fluid with a confirmat...

journal_title：Chest

authors： Porcel JM,Vives M,Esquerda A,Salud A,Pérez B,Rodríguez-Panadero F

更新日期：2004-12-01 00:00:00

abstract：OBJECTIVE:To compare sublingual PCO(2) (PslCO(2)) measurements with gastric intramucosal PCO(2) (PimCO(2)) as well as with the traditional indexes of tissue oxygenation in hemodynamically unstable ICU patients. DESIGN:A prospective, validation study. SETTING:The medical and coronary ICUs of a community teaching hospi...

journal_title：Chest

authors： Marik PE

更新日期：2001-09-01 00:00:00

abstract：:There is a small population of peripheral T cells bearing the gamma delta T-cell receptor, which may be involved in the defense against invading microorganisms and tumor cells. The present study was designed to evaluate the levels of gamma delta T cells in patients with pulmonary tuberculosis, bacterial pneumonia, chr...

journal_title：Chest

authors： Ito M,Kojiro N,Ikeda T,Ito T,Funada J,Kokubu T

更新日期：1992-07-01 00:00:00

abstract：:Investigators have validated an abbreviated protocol for testing nonspecific bronchial reactivity with methacholine. We performed a similar validation study with histamine, another bronchoprovocative agent known to induce airflow obstruction. Histamine is pharmacologically distinct from methacholine and, under some ci...

journal_title：Chest

authors： Schmidt LE,Thorne PS,Watt JL,Schwartz DA

更新日期：1992-01-01 00:00:00