Current issues in quality improvement in cystic fibrosis.

abstract：:The spectrum of HIV-associated pulmonary diseases is broad. Opportunistic infections, neoplasms, and noninfectious complications are all major considerations. Clinicians caring for persons infected with HIV must have a systematic approach. The approach begins with a thorough history and physical examination and often ...

journal_title：Clinics in chest medicine

authors： Tokman S,Huang L

更新日期：2013-06-01 00:00:00

abstract：:Two recent major guidelines on diagnosis and treatment of ventilator-associated pneumonia (VAP) recommend consideration of local antibiotic resistance patterns and individual patient risks for resistant pathogens when formulating an initial empiric antibiotic regimen. One recommends against invasive diagnostic techniq...

journal_title：Clinics in chest medicine

authors： Metersky ML,Kalil AC

更新日期：2018-12-01 00:00:00

abstract：:The clinical applications of bronchoalveolar lavage are assessed in regard to its current place as an aid for the practicing physician in the management of individual patients. ...

journal_title：Clinics in chest medicine

authors： Turner-Warwick M,Haslam PL

更新日期：1987-03-01 00:00:00

abstract：:Mechanical ventilation has become a very common and well-accepted practice in modern intensive care units. The use of the mechanical ventilator has progressed from being a support system during surgery and for acutely ill patients to being used in both moderate and long-term life support in patients with inadequate ve...

journal_title：Clinics in chest medicine

authors： Grum CM,Chauncey JB

更新日期：1988-03-01 00:00:00

abstract：:The pharmacologic treatment of chronic obstructive pulmonary disease (COPD) differs from that of asthma in several respects. Oral therapy should be the keystone, using a long-acting theophylline or a beta 2-sympathomimetic agent. The addition of a metered dose inhalant aerosol provides additive benefit with low toxici...

journal_title：Clinics in chest medicine

authors： Ziment I

更新日期：1990-09-01 00:00:00

abstract：:Because there is insufficient cellular energy for organisms to perform their functions at the same constant rate and at the same time, all biologic processes show rhythmicity, each with its own unique frequency, amplitude, and phase. Optimal sleep and wakefulness requires proper timing and alignment of desired sleep-w...

journal_title：Clinics in chest medicine

authors： Kanathur N,Harrington J,Lee-Chiong T Jr

更新日期：2010-06-01 00:00:00

abstract：:With the increasing threat of pandemic influenza and catastrophic bioterrorism, it is important for intensive care providers to be prepared to meet the challenge of large-scale airborne epidemics causing mass casualty respiratory failure. The severe acute respiratory syndrome outbreak exposed the vulnerability of heal...

journal_title：Clinics in chest medicine

authors： Phua GC,Govert J

更新日期：2008-06-01 00:00:00

abstract：:Polymerase chain reaction-based diagnosis has become the standard for viral pneumonia and other respiratory tract infections. Expansion of respiratory viral panels (RVPs) outside of influenza and, possibly, respiratory syncytial virus has led to the ability to diagnose viral infections for which no approved specific a...

journal_title：Clinics in chest medicine

authors： Wunderink RG

更新日期：2017-03-01 00:00:00

abstract：:Lung cancer is a leading cause of cancer-related death in the world, and it accounts for more deaths than breast, colon, and prostate cancer combined in the United States. From a historical perspective, the premise behind early lung cancer detection strategy is that early detection of lung cancer is justified if early...

journal_title：Clinics in chest medicine

authors： Colt HG,Murgu SD

更新日期：2010-03-01 00:00:00

abstract：:In summary, bacterial organisms are clinically relevant contributors to asthma exacerbations, and have received much less attention than viruses in this process. Streptococcus pneumoniae, Hemophilus influenzae, and Moraxella catarrhalis have been linked to asthma exacerbations, particularly when sinusitis is present. ...

journal_title：Clinics in chest medicine

authors： Kraft M

更新日期：2000-06-01 00:00:00

abstract：:Photodynamic therapy is an investigational treatment of various types of carcinoma. It involves a photosensitizing agent which, when exposed to light of the proper wavelength, forms toxic oxygen radicals that result in cell death. This article describes its current use in the management of bronchogenic carcinoma. ...

journal_title：Clinics in chest medicine

authors： Edell ES,Cortese DA

更新日期：1995-09-01 00:00:00

abstract：:Clinically apparent involvement of the heart and nervous system occurs in a relatively small number of patients with sarcoidosis. The diagnosis of myocardial and neurological sarcoidosis is difficult because anatomic presence of granulomas without clinical dysfunction is an important feature of sarcoidosis. The chest ...

journal_title：Clinics in chest medicine

authors： Sharma OP

更新日期：1997-12-01 00:00:00

abstract：:An older smoker tends to be asked less often to quit although he or she has much to gain from achieving a nonsmoking status. Multiple barriers may interfere with attempting to quit including nicotine withdrawal, doubted self-efficacy, other smokers in one's environment, or misperceptions of little gain from quitting. ...

journal_title：Clinics in chest medicine

authors： Cox JL

更新日期：1993-09-01 00:00:00

abstract：:The features characterizing pneumonia due to Mycoplasma pneumoniae are described. Typical cases, along with chest radiographs of laboratory-documented cases, are presented. ...

journal_title：Clinics in chest medicine

authors： Luby JP

更新日期：1991-06-01 00:00:00

abstract：:A comprehensive assessment is the foundation of a successful pulmonary rehabilitation programme. There is a broad selection of outcome measures that tend to be categorized into measures of exercise performance (including measures of strength) quality of life (health status), psychological well-being, nutritional statu...

journal_title：Clinics in chest medicine

authors： Singh S

更新日期：2014-06-01 00:00:00

abstract：:Military personnel can be exposed to toxicants and conditions that can contribute to lung diseases. This article describes what is known about these exposures and diseases, focusing on the Iraq and Afghanistan wars. Adverse lung health outcomes have been reported in US military personnel deployed to Iraq and/or Afghan...

journal_title：Clinics in chest medicine

authors： Rose CS

更新日期：2012-12-01 00:00:00

abstract：:Pulmonary complications occur in 40% to 60% of recipients of bone marrow trans-plants, account for more than 90% of mortality, and develop during identifiable phases. Phase 1 (Days 1-30) includes pulmonary edema; diffuse alveolar hemorrhage; and various bacterial, fungal, and viral infections; Phase 2 (Days 31-100) us...

journal_title：Clinics in chest medicine

authors： Yen KT,Lee AS,Krowka MJ,Burger CD

更新日期：2004-03-01 00:00:00

abstract：:Recent events have underscored the importance of proper diagnosis and management of patients with inhalation injury. Clinicians who care for individuals who have sustained inhalation damage to their respiratory tract need to take a careful exposure history and be alert to possibilities of delayed effects and clinical ...

journal_title：Clinics in chest medicine

authors： Rabinowitz PM,Siegel MD

更新日期：2002-12-01 00:00:00

abstract：:The features of cardiovascular and pulmonary disease in exercise testing are described. In general, ventilatory limitation is the most common factor in lung disease. An early anaerobic threshold and a decreased VO2 mix in the absence of ventilatory limitation is the usual feature of severe heart disease. ...

journal_title：Clinics in chest medicine

authors： Kanarek DJ,Hand RW

更新日期：1984-03-01 00:00:00

abstract：:Although primarily a lung disease, chronic obstructive pulmonary disease (COPD) is now recognized to have extrapulmonary effects on distal organs, the so-called systemic effects and comorbidities of COPD. Skeletal muscle dysfunction, nutritional abnormalities including weight loss, cardiovascular complications, metabo...

journal_title：Clinics in chest medicine

authors： Choudhury G,Rabinovich R,MacNee W

更新日期：2014-03-01 00:00:00

abstract：:Pulmonary hypertension is a frequently encountered problem in older patients. True idiopathic pulmonary arterial hypertension can also be seen and requires careful exclusion in older patients. Institution of therapies must be tempered with an appreciation of individual comorbidities and functional limitations that may...

journal_title：Clinics in chest medicine

authors： McArdle JR,Trow TK,Lerz K

更新日期：2007-12-01 00:00:00

abstract：:Bronchiectasis is a persistent and progressive condition characterized by inflammation and infection causing damage that potentiates impaired mucociliary clearance. The rationale for promoting airway clearance is so that purulent secretions are removed from the airways, ameliorating the inflammation and improving cont...

journal_title：Clinics in chest medicine

authors： Flude LJ,Agent P,Bilton D

更新日期：2012-06-01 00:00:00

abstract：:Quantitative assessment of pulmonary metabolic function has been shown to be a novel and important approach to obtaining specific and subtle biochemical information regarding endothelial cell function in the normal and diseased lung. A primary consideration in this measurement of whole organ metabolism, whether it be ...

journal_title：Clinics in chest medicine

authors： Pitt BR,Lister G

更新日期：1989-03-01 00:00:00

abstract：:Patient adherence to prescribed tuberculosis regimens must be assured to prevent relapse, acquired resistance, and transmission. Directly observed therapy (DOT), an outpatient management strategy designed to ensure adherence, is not widely used because it is perceived to be inordinately expensive. The primary focus of...

journal_title：Clinics in chest medicine

authors： Weis SE

更新日期：1997-03-01 00:00:00

abstract：:Gram-negative bacteria gain access to the bloodstream by evading host defenses. Once in circulation, lipopolysaccharide interacts with the host receptor CD14 and initiates the host's immune response. Lipolysaccharide stimulates the host to produce a cascade of mediators that activate and target leukocytes, opsonize th...

journal_title：Clinics in chest medicine

authors： Marsh CB,Wewers MD

更新日期：1996-06-01 00:00:00

abstract：:In the last few years, there has been considerable progress in our understanding of the mechanisms of action and resistance to antimycobacterials. To date, there is information about 11 genes involved in resistance in M. tuberculosis. This has prompted the development of novel tests for the rapid identification of res...

journal_title：Clinics in chest medicine

authors： Telenti A

更新日期：1997-03-01 00:00:00

abstract：:Sjögren's syndrome is one of the most common systemic rheumatic diseases. Pulmonary disease is prevalent in Sjögren's syndrome; respiratory manifestations include chronic cough, obstructive airways disease, pulmonary lymphoma, and interstitial lung disease that may progress to severe pulmonary fibrosis. ...

journal_title：Clinics in chest medicine

authors： Cain HC,Noble PW,Matthay RA

更新日期：1998-12-01 00:00:00

abstract：:Endobronchial ablative therapies, such as mechanical debulking, laser therapy, electrocautery, argon plasma coagulation, cryotherapy, brachytherapy, photodynamic therapy, microdebrider bronchoscopy, resector balloon deobstruction, and intratumoral chemotherapy, are performed through a rigid or flexible bronchoscope in...

journal_title：Clinics in chest medicine

authors： Bilaçeroğlu S

更新日期：2018-03-01 00:00:00

abstract：:Pulmonary function testing (PFT) is used extensively by pulmonary specialists to address two common clinical questions: (1) What is the risk of a postoperative pulmonary complication in an individual with lung disease? and (2) Will the patient be able to tolerate lung resection surgery? Today, there are numerous tests...

journal_title：Clinics in chest medicine

authors： Powell CA,Caplan CE

更新日期：2001-12-01 00:00:00

abstract：:HIV-AIDS has disproportionately affected minority populations in the United States. Significant disparities in case rates and mortality have been noted. This article reviews the magnitude of the problem and the many factors involved in the development and perpetuation of these disparities. Possible measures to help co...

journal_title：Clinics in chest medicine

authors： Robles AM,Stringer HG Jr

更新日期：2006-09-01 00:00:00