Simplified prediction rule for prognosis of patients with severe community-acquired pneumonia in ICUs.

abstract：BACKGROUND:Some of the challenges in the delivery of high-quality end-of-life care in the ICU include the variability in the characteristics of patients with certain illnesses and the practice of critical care by different specialties. METHODS:We examined whether ICU attending specialty was associated with quality of ...

journal_title：Chest

authors： Kross EK,Engelberg RA,Downey L,Cuschieri J,Hallman MR,Longstreth WT Jr,Tirschwell DL,Curtis JR

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Childhood OSA is a prevalent condition associated with raised BP as documented in cross-sectional studies. This study aimed to determine whether baseline or change in OSA severity was associated with ambulatory BP at 4-year follow-up. METHODS:Children who participated in our previous OSA prevalence research...

journal_title：Chest

authors： Li AM,Au CT,Ng C,Lam HS,Ho CKW,Wing YK

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Population-based studies have documented an association between obesity and an increased prevalence of asthma in women. METHODS:We prospectively studied 58 obese women with a body mass index of > 30 kg/m(2), 24 of whom had asthma, who were enrolled in an intensive 6-month weight loss program to determine wh...

journal_title：Chest

authors： Aaron SD,Fergusson D,Dent R,Chen Y,Vandemheen KL,Dales RE

更新日期：2004-06-01 00:00:00

abstract：:A 57-year-old man with a history of exposure to silica for 32 years presented with pleural thickening of the lower lobe of the left lung and a chronic right-sided pleural effusion without any radiographic evidence of parenchymal nodules in either lung. Light microscopic examination of a left visceral pleural biopsy sp...

journal_title：Chest

authors： Zeren EH,Colby TV,Roggli VL

更新日期：1997-11-05 00:00:00

abstract：:We wished to identify the physiologic abnormalities that distinguish severely breathless (SB) patients with chronic airflow limitation (CAL) from mildly breathless (MB) patients. Thirty-seven patients with stable, advanced CAL (FEV1 = 38 +/- 10 percent predicted, mean +/- SD) were separated into two distinct groups, S...

journal_title：Chest

authors： O'Donnell DE,Webb KA

更新日期：1992-09-01 00:00:00

abstract：STUDY OBJECTIVES:To determine if soluble leukocyte selectin (sL-selectin) levels in serum and pleural fluid (PF) are an inflammatory marker that differentiates pleural effusion transudates from exudates. DESIGN:sL-selectin PF and serum levels were measured in consecutive patients and compared to established criteria. ...

journal_title：Chest

authors： Horvath LL,Gallup RA,Worley BD,Merrill GA,Morris MJ

更新日期：2001-08-01 00:00:00

abstract：:We studied hypoxic and hypercapnic ventilatory drives in 22 eucapnic obese subjects (14 female and eight male subjects) referred for weight reduction therapy and 23 normal subjects (eight female and 15 male subjects). In the female subjects, both occlusion pressure, currently used as an indicator of ventilatory drive,...

journal_title：Chest

authors： Kunitomo F,Kimura H,Tatsumi K,Kuriyama T,Watanabe S,Honda Y

更新日期：1988-05-01 00:00:00

abstract：:In two patients a documented Texas A2 influenza infection was associated with the development of interstitial pulmonary disease. One patient had an acute fulminating process resulting in respiratory failure and necessitating ventilatory assistance. Open lung biopsy revealed a histologic picture consistent with usual i...

journal_title：Chest

authors： Pinsker KL,Schneyer B,Becker N,Kamholz SL

更新日期：1981-08-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the clinical and radiographic findings of nontuberculous mycobacteria (NTM) other than Mycobacterium avium complex (MAC) and Mycobacterium kansasii in AIDS compared with non-AIDS patients. DESIGN:A retrospective chart review of all patients in whom NTM other than MAC complex and M kansasii...

journal_title：Chest

authors： El-Solh AA,Nopper J,Abdul-Khoudoud MR,Sherif SM,Aquilina AT,Grant BJ

更新日期：1998-07-01 00:00:00

abstract：STUDY OBJECTIVES:We sought to compare arterial oxygen partial pressure (PaO2) relationships between a 15.1% hypoxia inhalation test (HIT) at sea level and a hypobaric chamber exposure equivalent to 2,438 m (8,000 feet) of altitude above sea level in patients with chronic obstructive pulmonary disease (COPD) and healthy...

journal_title：Chest

authors： Dillard TA,Moores LK,Bilello KL,Phillips YY

更新日期：1995-02-01 00:00:00

abstract：BACKGROUND:Patients with sarcoidosis frequently complain of fatigue, even when sarcoidosis has come into clinical remission. The primary aim of this study was to assess the severity of fatigue in patients with sarcoidosis in clinical remission and to characterize it according to the international criteria for chronic f...

journal_title：Chest

authors： Korenromp IHE,Heijnen CJ,Vogels OJM,van den Bosch JMM,Grutters JC

更新日期：2011-08-01 00:00:00

abstract：BACKGROUND:Signs of both motor and sensory nervous lesions have previously been shown in the upper airway of patients with OSA and habitual snorers. Snoring per se may damage all upper airway neurons over time, thereby causing progression to manifest sleep apnea. To test this hypothesis, nonsnoring subjects, untreated ...

journal_title：Chest

authors： Svanborg E,Ulander M,Broström A,Sunnergren O

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND:The diagnosis of sarcoidosis is made by the combination of clinical features and biopsy results. The clinical features of sarcoidosis can be quite variable. We developed a Sarcoidosis Diagnostic Score (SDS) to summarize the clinical features of patients with possible sarcoidosis. METHODS:Biopsy-confirmed pa...

journal_title：Chest

authors： Bickett AN,Lower EE,Baughman RP

更新日期：2018-11-01 00:00:00

abstract：:Radiation therapy has been the usual initial treatment for mediastinal seminoma in the past. However, 25 to 40 percent of patients are not cured by this therapy, and other therapy is needed. Review of case reports show that vinblastine, bleomycin, and cis-platinum are effective therapy for metastatic disease, advanced...

journal_title：Chest

authors： Clamon GH

更新日期：1983-02-01 00:00:00

abstract：:This is the first reported case of discrete fibrous subaortic stenosis in tetralogy of Fallot. Transaortic excision of the subaortic membrane was readily accomplished. To detect this and other forms of left ventricular outflow-tract obstruction in tetralogy of Fallot before surgery, routine selective left ventriculogr...

journal_title：Chest

authors： Sanders JH,Van Praagh R,Sade RM

更新日期：1976-04-01 00:00:00

abstract：BACKGROUND:In a rodent model of cardiac arrest and resuscitation in which the inspired gas mixture was enriched with oxygen, resuscitability and survival were unaffected by positive pressure ventilation. In the present study, in a larger animal model, tidal volumes generated during precordial compression and with spont...

journal_title：Chest

authors： Noc M,Weil MH,Tang W,Turner T,Fukui M

更新日期：1995-09-01 00:00:00

abstract：STUDY OBJECTIVES:To validate a previously developed multisystem organ failure (MSOF) score with and without the addition of the lactate dehydrogenase (LDH) level as a predictor of survival to hospital discharge in patients with AIDS-related Pneumocystis carinii pneumonia (PCP) and acute respiratory failure (ARF). DESI...

journal_title：Chest

authors： Forrest DM,Djurdjev O,Zala C,Singer J,Lawson L,Russell JA,Montaner JS

更新日期：1998-07-01 00:00:00

abstract：:We describe a ten-month-old patient in whom intermittent patency and closure of the dectus arteriosus was observed clinically, and in whom this observation was uniquely demonstrated at the time of cardiac catheterization. The hemodynamics of this patient and the physiology of ductal closure are discussed. ...

journal_title：Chest

authors： DuBrow IW,Fisher E,Hastreiter A

更新日期：1975-07-01 00:00:00

abstract：:We report two cases of pneumothorax detected by echographic examination immediately after ultrasonically guided aspiration biopsy and confirmed by chest x-ray film. The pneumothorax was characterized by the disappearance of the lung tumor. In the real-time image, the respiratory excursions of the visceral pleura also ...

journal_title：Chest

authors： Targhetta R,Bourgeois JM,Chavagneux R,Balmes P

更新日期：1992-03-01 00:00:00

abstract：:Bronchodilator responses to both nebulized albuterol (salbutamol) and ipratropium bromide and aerosol delivery to the tracheobronchial tree have been assessed in eight patients with chronic stable asthma (mean baseline FEV1, 50 percent; reversibility greater than 20 percent). Two commercially available nebulizer syste...

journal_title：Chest

authors： Johnson MA,Newman SP,Bloom R,Talaee N,Clarke SW

更新日期：1989-07-01 00:00:00

abstract：:In most studies, many statistical tests are performed. They can be run to compare the groups at baseline, look at relationships among the various measures, and, for intervention trials, examine more than one end point. As the number of tests increases, so does the probability of finding at least one of them to be stat...

journal_title：Chest

authors： Streiner DL,Norman GR

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:International time trends in asthma mortality have played an important sentinel role in the identification of two epidemics of asthma mortality in some countries in the 1960s and the 1970s and 1980s. Since then, little attention has been paid to the ongoing international time trends. METHODS:Country-specifi...

journal_title：Chest

authors： Wijesinghe M,Weatherall M,Perrin K,Crane J,Beasley R

更新日期：2009-04-01 00:00:00

abstract：:The therapeutic effects of cuirass ventilation were studied in two patients with bilateral diaphragm paralysis. Negative inspiratory and positive expiratory pressure applied to the cuirass shell was transmitted to the abdominal and thoracic cavities. Diaphragm excursion was enhanced. Nocturnal cuirass ventilation appe...

journal_title：Chest

authors： Driver AG,Blackburn BB,Marcuard SP,Austin EH Jr

更新日期：1987-10-01 00:00:00

abstract：:Clinically apparent myocardial disease is infrequent in sarcoidosis. However, autopsy data show myocardial involvement in up to 30 percent of patients. Unexplained exertional symptomatology is a common complaint in patients with sarcoidosis. In this study, we investigated whether abnormal cardiac function might limit ...

journal_title：Chest

authors： Gibbons WJ,Levy RD,Nava S,Malcolm I,Marin JM,Tardif C,Magder S,Lisbona R,Cosio MG

更新日期：1991-07-01 00:00:00

abstract：BACKGROUND:Lidocaine is used to alleviate procedural pain but paradoxically increases pain during injection. Pain perception can be modulated by non-noxious stimuli such as temperature or touch according to the gate control theory of pain. We postulated that lidocaine dripped onto the skin prior to injection would cool...

journal_title：Chest

authors： Patel BK,Wendlandt BN,Wolfe KS,Patel SB,Doman ER,Pohlman AS,Hall JB,Kress JP

更新日期：2018-10-01 00:00:00

abstract：:To determine if the timing of interposed abdominal compressions (IAC) affects the augmented blood flow during this form of cardiopulmonary resuscitation (CPR), we performed early-onset or late-onset abdominal compressions at three vascular volumes in nine dogs. Early-onset IAC began immediately following chest compres...

journal_title：Chest

authors： Einagle V,Bertrand F,Wise RA,Roussos C,Magder S

更新日期：1988-06-01 00:00:00

abstract：:The utility of the apnea index (number of apneic events per hour of sleep) in diagnosing sleep apnea syndrome is reviewed. Data from currently extant reports indicate that many otherwise normal, aging subjects may be classified as having sleep apnea syndrome based on the current diagnostic threshold of five apneic epi...

journal_title：Chest

authors： Berry DT,Webb WB,Block AJ

更新日期：1984-10-01 00:00:00

abstract：CASE PRESENTATION:A man in his 20s presented to the ED after several months of progressive dyspnea, dry cough, and night sweats. He had no chest pain, fevers, weight loss, or sick contacts. He was previously healthy and took no medications. Social history was notable for 5 pack-years of tobacco use. The patient was sex...

journal_title：Chest

authors： Sonnick MA,Weisman S,Borczuk AC,Turetz ML

更新日期：2019-12-01 00:00:00

abstract：:Bronchoscopic examination to diagnose lung metastases has not been as rewarding as in primary lung cancer. Despite a lower expected yield, we believe the procedure has value in certain patients, ie, those with clinical findings of endobronchial disease. To determine better the value of bronchoscopy in this population,...

journal_title：Chest

authors： Poe RH,Ortiz C,Israel RH,Marin MG,Qazi R,Dale RC,Greenblatt DG

更新日期：1985-07-01 00:00:00

abstract：STUDY OBJECTIVES:To assess the effectiveness of pulse oximetry and radioisotope measurement of right-to-left (R-L) shunt for the early detection of pulmonary arteriovenous malformations (PAVMs) in patients with hereditary hemorrhagic telangiectasia (HHT). DESIGN:Patients with HHT had serial measurements of the followi...

journal_title：Chest

authors： Thompson RD,Jackson J,Peters AM,Doré CJ,Hughes JM

更新日期：1999-01-01 00:00:00