The significance of distal bronchial samples with commensals in ventilator-associated pneumonia: colonizer or pathogen?

abstract：BACKGROUND:Ultrasound enables the visualization of pleural-based lesions with a poor correlation to specific pathology. At this time, there are no data about the diagnostic value of contrast-enhanced sonography (CES) in pleural lesions. METHODS:From August 2004 to January 2005, 25 consecutive patients with clinical sy...

journal_title：Chest

authors： Görg C,Bert T,Görg K

更新日期：2005-12-01 00:00:00

abstract：:Nineteen patients were treated at the Los Angeles County Harbor/UCLA Medical Center between 1971 and 1986 for tuberculosis of the spine. Fourteen were immigrants, a high-risk group. A high index of suspicion is required for Pott's disease, which occurs in fewer than 1 percent of patients with tuberculosis, often prese...

journal_title：Chest

authors： Omari B,Robertson JM,Nelson RJ,Chiu LC

更新日期：1989-01-01 00:00:00

abstract：OBJECTIVE:To ascertain the differences in smoking characteristics between a group of smokers with COPD and another group of healthy smokers, both of which were identified in a population-based epidemiologic study. DESIGN AND PARTICIPANTS:This is an epidemiologic, multicenter, population-based study conducted in seven ...

journal_title：Chest

authors： Jiménez-Ruiz CA,Masa F,Miravitlles M,Gabriel R,Viejo JL,Villasante C,Sobradillo V

更新日期：2001-05-01 00:00:00

abstract：BACKGROUND:Solitary pulmonary nodule (SPN) evaluation based on analyses of combined wash-in (WI) and washout (WO) values obtained by helical dynamic CT (HDCT) scanning is useful for malignant SPN characterization, because this method has higher specificity and accuracy than that based on analyses of WI values only. How...

journal_title：Chest

authors： Lee KS,Yi CA,Jeong SY,Jeong YJ,Kim S,Chung MJ,Kim HY,Kim YK,Lee KH

更新日期：2007-05-01 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：:Twenty-one patients with malignant pleural effusion (MPE) were prospectively entered into a nonrandomized, single-armed study to evaluate the efficacy and safety of recombinant interferon (IFN) alpha-2b (INTRON A; Schering-Plough; Kenilworth, NJ) as an intrapleural palliative agent. From March 1989 through February 19...

journal_title：Chest

authors： Wilkins HE 3rd,Connolly MM,Grays P,Marquez G,Nelson D

更新日期：1997-06-01 00:00:00

abstract：:The severity of pulmonary hypertension was evaluated by right cardiac catheterization in 89 patients with stable chronic obstructive pulmonary disease, both at rest and during maximum treadmill exercise. Thirty-one patients were found to have pulmonary hypertension at rest, defined as a mean pulmonary arterial pressur...

journal_title：Chest

authors： Keller CA,Shepard JW Jr,Chun DS,Vasquez P,Dolan GF

更新日期：1986-08-01 00:00:00

abstract：STUDY OBJECTIVE:To characterize clinical, radiographic, and CT findings of chronic necrotizing pulmonary aspergillosis (CNPA) in patients with pneumoconiosis. METHODS:We studied 10 patients with pneumoconiosis who were seen at Asahi Rosai Hospital and received a clinical diagnosis of CNPA during a 15-year period, and ...

journal_title：Chest

authors： Kato T,Usami I,Morita H,Goto M,Hosoda M,Nakamura A,Shima S

更新日期：2002-01-01 00:00:00

abstract：AIMS:This study investigated whether right ventricular (RV) diastolic function is impaired in pulmonary hypertension (PH) patients, and whether it is related to RV mass and afterload. In addition, the effects of an acute reduction of RV afterload by the oral intake of sildenafil were studied. Finally, we assessed wheth...

journal_title：Chest

authors： Gan CT,Holverda S,Marcus JT,Paulus WJ,Marques KM,Bronzwaer JG,Twisk JW,Boonstra A,Postmus PE,Vonk-Noordegraaf A

更新日期：2007-07-01 00:00:00

abstract：:The preoperative physiologic assessment of a patient being considered for surgical resection of lung cancer must consider the immediate perioperative risks from comorbid cardiopulmonary disease, the long-term risks of pulmonary disability, and the threat to survival due to inadequately treated lung cancer. As with any...

journal_title：Chest

authors： Beckles MA,Spiro SG,Colice GL,Rudd RM,American College of Chest Physicians.

更新日期：2003-01-01 00:00:00

abstract：:Over the past 10 years, significant strides have been made in the understanding, development, and availability of sleep disorder therapeutics. In this review series, we discuss the current evidence surrounding the mechanisms of actions, indications, efficacy, and adverse side effects associated with the available arma...

journal_title：Chest

authors： Gulyani S,Salas RE,Gamaldo CE

更新日期：2012-12-01 00:00:00

abstract：:Streptococcus pneumoniae has been known for > 100 years as the most important bacterial pathogen of the respiratory tract in adults and children. In recent years, the pneumococcus has begun to exhibit increasing resistance to antimicrobial agents. Because of the huge number of infections caused by this organism, the d...

journal_title：Chest

authors： Harwell JI,Brown RB

更新日期：2000-02-01 00:00:00

abstract：PURPOSES:To determine the diagnostic capabilities of dynamic high-resolution electron-beam (HREB) CT scanning for diagnosing bronchiolitis obliterans syndrome (BOS) in lung transplant recipients. MATERIALS AND METHODS:At the time of follow-up examinations after lung transplantation, 52 patients were examined by dynami...

journal_title：Chest

authors： Knollmann FD,Kapell S,Lehmkuhl H,Schulz B,Böttcher H,Hetzer R,Felix R

更新日期：2004-08-01 00:00:00

abstract：:A 55-year-old woman underwent bronchoscopic evaluation for hemoptysis. A small polypoid endotracheal nodule was discovered approximately 2.0 cm distal to the left true vocal cord. The lesion was sampled with a cytologic brush. Epithelioid histiocytes and numerous giant cells with asteroid bodies were seen, and there w...

journal_title：Chest

authors： McCarthy MP,Gideon JK,Schnadig VJ

更新日期：1993-07-01 00:00:00

abstract：:A case of acute tuberculous pneumonia diagnosed by transbronchial biopsy is presented. We postulate that the unusually rapid progression was due to an exudative hypersensitivity reaction to aspirated tuberculoprotein. ...

journal_title：Chest

authors： Septimus EJ,Awe RJ,Greenberg SD,Raleigh JW

更新日期：1977-06-01 00:00:00

abstract：STUDY OBJECTIVES:Small-cell lung cancer (SCLC) has an unfavorable prognosis, especially when the disease is extensive at presentation. Accurate staging procedures are therefore needed for treatment planning. Positron emission tomography (PET) is a modern noninvasive imaging technique, the value of which for the staging...

journal_title：Chest

authors： Hauber HP,Bohuslavizki KH,Lund CH,Fritscher-Ravens A,Meyer A,Pforte A

更新日期：2001-03-01 00:00:00

abstract：BACKGROUND:COPD and hypertension both increase the risk of congestive heart failure (CHF). Current clinical trials do not inform the selection of combination antihypertensive therapy among patients with COPD. We performed a comparative effectiveness study to investigate whether choice of dual agent antihypertensive the...

journal_title：Chest

authors： Herrin MA,Feemster LC,Crothers K,Uman JE,Bryson CL,Au DH

更新日期：2013-05-01 00:00:00

abstract：:Human lung mast cells have been reported recently to contain small amounts of the elastolytic protease present in the neutrophil and implicated in the pathogenesis of alveolar wall destruction in emphysema. Since mast cells are numerous within alveolar walls, release of inflammatory mediators (and possibly elastase) b...

journal_title：Chest

authors： Kalenderian R,Raju L,Roth W,Schwartz LB,Gruber B,Janoff A

更新日期：1988-07-01 00:00:00

abstract：:In recent months, medical institutions across the United States redoubled their efforts to examine the history of race and racism in medicine, in classrooms, in research, and in clinical practice. In this essay, I explore the history of racialization of the spirometer, a widely used instrument in pulmonary medicine to...

journal_title：Chest

authors： Braun L

更新日期：2020-10-24 00:00:00

abstract：:Hyperinflation with intrinsic positive end-expiratory pressure (PEEPi) loads the respiratory muscles and causes dyspnea in obstructive lung disease. Continuous positive airway pressure (CPAP) has shown some efficacy in reducing inspiratory work and dyspnea. However, in obstructive lung disease, inspiratory work and dy...

journal_title：Chest

authors： Fessler HE,Brower RG,Permutt S

更新日期：1995-08-01 00:00:00

abstract：BACKGROUND:Long-term outcomes of awakened survivors of out-of-hospital cardiac arrest (OHCA) are poorly known. RESEARCH QUESTION:What are the month (M) 18 outcomes of survivors of out-of-hospital cardiac arrest (OHCA) who awakened during the first 2 weeks' post-OHCA and their poor-outcome risk factors? STUDY DESIGN A...

journal_title：Chest

authors： Peskine A,Cariou A,Hajage D,Deye N,Guérot E,Dres M,Sonneville R,Lafourcade A,Navarro V,Robert H,Azouvi P,Sharshar T,Bayen E,Luyt CE,Hanox Study Group.

更新日期：2020-07-20 00:00:00

abstract：BACKGROUND:The use of infrared thermometry to measure temperatures in hospitalized patients is increasing. Although infrared thermometers have been proven to be accurate when they are used by well-trained personnel, no previous studies have examined their accuracy during routine hospital use. OBJECTIVE:To determine th...

journal_title：Chest

authors： Amoateng-Adjepong Y,Del Mundo J,Manthous CA

更新日期：1999-04-01 00:00:00

abstract：:This study describes the extent of agreement in classification of chest radiographs using the International Labor Organization (ILO) classification among six readers from the United States and Canada. A set of 119 radiographs was created and read by three Canadian and three US readers. The two ratings of interest were...

journal_title：Chest

authors： Welch LS,Hunting KL,Balmes J,Bresnitz EA,Guidotti TL,Lockey JE,Myo-Lwin T

更新日期：1998-12-01 00:00:00

abstract：STUDY OBJECTIVES:The purpose of this study was to investigate the test-retest reliability, repeatability, and sensitivity of the modified shuttle test (MST) in adult patients with cystic fibrosis (CF). DESIGN:: Prospective study. SETTING:Adult CF Unit, Belfast City Hospital. PATIENTS:: Adult patients with CF. INTER...

journal_title：Chest

authors： Bradley J,Howard J,Wallace E,Elborn S

更新日期：2000-06-01 00:00:00

abstract：:A 48-year-old man with unipolar depression and a psychosexual problem concerning his body image was injecting his scrotum repeatedly with olive oil to increase the size of his genitals. He developed respiratory failure following accidental intravenous injection of olive oil and was found to have lipogranulomatous lesi...

journal_title：Chest

authors： Bhagat R,Holmes IH,Kulaga A,Murphy F,Cockcroft DW

更新日期：1995-03-01 00:00:00

abstract：BACKGROUND:Pulmonary aspiration is an important recognized cause of ARDS. Better characterization of patients who aspirate may allow identification of potential risks for aspiration that could be used in future studies to mitigate the occurrence of aspiration and its devastating complications. METHODS:We conducted a s...

journal_title：Chest

authors： Lee A,Festic E,Park PK,Raghavendran K,Dabbagh O,Adesanya A,Gajic O,Bartz RR,United States Critical Illness and Injury Trials Group.

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Cigarette smoking is associated with worse symptoms in asthma and abnormal segmental airways in healthy subjects. We tested the hypothesis that current symptom control in smokers with asthma is associated with altered segmental airway dimensions measured by CT scan. METHODS:In 93 subjects with mild, moderat...

journal_title：Chest

authors： Thomson NC,Chaudhuri R,Spears M,Messow CM,MacNee W,Connell M,Murchison JT,Sproule M,McSharry C

更新日期：2015-03-01 00:00:00

abstract：:This report describes a patient who developed pulmonary hypertension 6 years after lung transplantation for primary pulmonary hypertension (PPH). Evaluation with right heart catheterization followed by pulmonary angiography, however, demonstrated that the pulmonary hypertension was secondary to an anastomotic narrowin...

journal_title：Chest

authors： Soriano CM,Gaine SP,Conte JV,Fairman RP,White C,Rubin LJ

更新日期：1999-08-01 00:00:00

abstract：KEY POINTS:1. Historically, medical ethics focused on the proper conduct of physicians as members of a profession. 2. Bioethics has emerged as a distinct field over the past several decades and has a broader scope than traditional medical ethics. The field of bioethics includes research ethics, public health ethics, or...

journal_title：Chest

authors： Carrese JA,Sugarman J

更新日期：2006-12-01 00:00:00

abstract：STUDY OBJECTIVES:To investigate intracranial pressure (ICP) changes and their mechanisms in chronic hypercapnia. DESIGN:After 12 male Wistar rats were maintained in CO2-mixed air (mean PaCO2, 71.0 mm Hg) for 21 weeks, their ICP levels were measured during the breathing of 0, 5, 10, 12, and 14% CO2-mixed air before and...

journal_title：Chest

authors： Kondo T,Kumagai M,Takei F,Ohta Y

更新日期：1999-05-01 00:00:00