Ventilator-associated pneumonia: impact of organisms on clinical resolution and medical resources utilization.

abstract：:Results of studies that use laboratory tests are often easy to interpret, because we are familiar with the units and how to interpret them. However, this is not the case when the results are presented as ORs, relative risks, correlation, or scores on an unfamiliar scale. This article explains these various indices of ...

journal_title：Chest

authors： Streiner DL,Norman GR

更新日期：2012-03-01 00:00:00

abstract：CASE PRESENTATION:An 84-year-old man without a history of smoking presented with progressive dyspnea of 6 months' duration accompanied by fatigue and unintentional weight loss. He denied fever, chills, chest pain, hemoptysis, rash, joint pains, or muscle aches. He had multiple hospitalizations for similar presentations...

journal_title：Chest

authors： Fakih HAM,Samra Y,Ataya A,Prasad A,Papierniak E,Wakefield D,Urbine D

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:Lymph node status is a major determinant of stage and survival in patients with lung cancer; however, little information is available about the expected yield of a mediastinal lymphadenectomy. METHODS:The American College of Surgeons Oncology Group Z0030 prospective, randomized trial of mediastinal lymph no...

journal_title：Chest

authors： Darling GE,Allen MS,Decker PA,Ballman K,Malthaner RA,Inculet RI,Jones DR,McKenna RJ,Landreneau RJ,Putnam JB Jr

更新日期：2011-05-01 00:00:00

abstract：BACKGROUND:Malignant pleural effusion is associated with short life expectancy and significant morbidity. A randomized controlled trial comparing indwelling pleural catheters (IPCs) with talc pleurodesis found that IPCs reduced in-hospital time and the need for additional procedures but were associated with excess adve...

journal_title：Chest

authors： Penz ED,Mishra EK,Davies HE,Manns BJ,Miller RF,Rahman NM

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Central venous pressure (CVP) is used almost universally to guide fluid therapy in hospitalized patients. Both historical and recent data suggest that this approach may be flawed. OBJECTIVE:A systematic review of the literature to determine the following: (1) the relationship between CVP and blood volume, (...

journal_title：Chest

authors： Marik PE,Baram M,Vahid B

更新日期：2008-07-01 00:00:00

abstract：STUDY OBJECTIVES:The physicians who initially evaluate patients with non-small cell lung cancer (NSCLC) strongly impact the course of therapy. Their beliefs in treatment and prognosis may contribute to practices of variable quality and appropriateness. We sought to better describe beliefs among pulmonologists and thora...

journal_title：Chest

authors： Schroen AT,Detterbeck FC,Crawford R,Rivera MP,Socinski MA

更新日期：2000-07-01 00:00:00

abstract：BACKGROUND:Although marital status has been shown to affect the outcomes of many conditions, there are limited data on the relationships between marital status and the presentation and outcomes of pneumonia. METHODS:We used Veterans Affairs administrative databases to identify a retrospective cohort of male veterans a...

journal_title：Chest

authors： Metersky ML,Fine MJ,Mortensen EM

更新日期：2012-10-01 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：:The objective was to determine if garnetting and raw cotton dusts differed in botanical composition. Estimates of dust composition were based on the contents of gross trash in cotton raw materials and the potential of each gross trash component to be converted into less than 10 mum particulate by a laboratory abrasion...

journal_title：Chest

authors： Morey PR

更新日期：1981-04-01 00:00:00

abstract：RATIONALE:Malnutrition in patients with COPD is associated with an impaired pulmonary status, reduced diaphragmatic mass, lower exercise capacity, and higher mortality rate when compared to adequately nourished individuals with COPD. Nutritional support may therefore be a useful part of their comprehensive care. PURPO...

journal_title：Chest

authors： Ferreira IM,Brooks D,Lacasse Y,Goldstein RS

更新日期：2000-03-01 00:00:00

abstract：STUDY OBJECTIVES:The goal of this study was to determine whether the survival of patients with pulmonary hypertension related to systemic sclerosis (SScPH) was different from that of patients with other forms of pulmonary arterial hypertension. DESIGN:Retrospective cohort study. SETTING:Tertiary care medical center. ...

journal_title：Chest

authors： Kawut SM,Taichman DB,Archer-Chicko CL,Palevsky HI,Kimmel SE

更新日期：2003-02-01 00:00:00

abstract：PURPOSES:To determine the diagnostic accuracy of ultrasound in the diagnosis of pneumothorax in patients with COPD with particular regard to false-positive diagnoses. MATERIALS AND METHODS:This was a single-center, prospective, blinded study. Nine patients with pneumothorax, 9 patients with cystic fibrosis, 17 patient...

journal_title：Chest

authors： Slater A,Goodwin M,Anderson KE,Gleeson FV

更新日期：2006-03-01 00:00:00

abstract：STUDY OBJECTIVES:Vascular endothelial growth factor (VEGF) signaling may be required for maintenance of the alveolar structures, and alveolar septal cell apoptosis could contribute to the pathogenesis of COPD presenting emphysematous changes; however, the common mutation at position 936 in the 3' untranslated region of...

journal_title：Chest

authors： Sakao S,Tatsumi K,Hashimoto T,Igari H,Shino Y,Shirasawa H,Kuriyama T

更新日期：2003-07-01 00:00:00

abstract：:There is a general consensus that antimicrobial resistance in the hospital setting has emerged as an important variable influencing patient outcome and resource utilization. Hospitals worldwide are faced with increasingly rapid emergence and spread of antibiotic-resistant bacteria. Both antibiotic-resistant Gram-negat...

journal_title：Chest

authors： Kollef MH

更新日期：2003-05-01 00:00:00

abstract：STUDY OBJECTIVES:Black smokers have been reported to have higher serum cotinine levels than do white smokers, and have higher rates of most smoking-related diseases, despite smoking fewer cigarettes per day. Another striking racial difference is the preference for mentholated cigarettes among black smokers. The contrib...

journal_title：Chest

authors： Clark PI,Gautam S,Gerson LW

更新日期：1996-11-01 00:00:00

abstract：:We describe the management of bronchopleurobiliary fistula in a 56-year-old woman who underwent a (L) mastectomy with postoperative radio- and chemotherapy for advanced breast carcinoma and required insertion of inhabiliary Silastic stents for the relief of severe obstructive jaundice. During restaging of her carcinom...

journal_title：Chest

authors： Dasmahapatra HK,Pepper JR

更新日期：1988-10-01 00:00:00

abstract：:We tested the response characteristics of a dual transcutaneous (tc) PO2/PCO2 monitoring system in healthy subjects who breathed various gas mixtures, and we compared steady-state tc readings to simultaneous arterial blood gas analysis in 20 stable respiratory outpatients. The electrodes were simple to apply, required...

journal_title：Chest

authors： Kesten S,Chapman KR,Rebuck AS

更新日期：1991-05-01 00:00:00

abstract：:Persisting symptoms, consisting of palpitations, dizziness, or syncope, were found in 49 of 570 consecutively followed patients (8.6 percent) with permanent pacemakers (PM). Among 540 patients with ventricular PM, 19 had syncope and 24 dizziness; among 30 patients with dual-chamber PM, five had palpitations and one di...

journal_title：Chest

authors： Hoffman A,Jost M,Pfisterer M,Burkart F,Burckhardt D

更新日期：1984-02-01 00:00:00

abstract：BACKGROUND:An evidence-based approach is necessary for the localization and management of intraepithelial and microinvasive non-small cell lung cancer in the central airways. METHODS:Material appropriate to this topic was obtained by literature search of a computerized database. Recommendations were developed by the w...

journal_title：Chest

authors： Kennedy TC,McWilliams A,Edell E,Sutedja T,Downie G,Yung R,Gazdar A,Mathur PN,American College of Chest Physicians.

更新日期：2007-09-01 00:00:00

abstract：:This chapter about implementation strategies for practice guidelines is part of the 7th ACCP Conference on Antithrombotic and Thrombolytic Therapy: Evidence Based Guidelines. Grade 1 recommendations are strong and indicate that the benefits do, or do not, outweigh risks, burden, and costs. Grade 2 suggests that feasib...

journal_title：Chest

authors： Schünemann HJ,Cook D,Grimshaw J,Liberati A,Heffner J,Tapson V,Guyatt G

更新日期：2004-09-01 00:00:00

abstract：:Pneumocystis carinii pneumonia was suggested by a diffuse, bilateral pulmonary uptake of gallium-67 in an asymptomatic, homosexual male with the antibody to the immunodeficiency virus (HIV) who was undergoing staging evaluation for lymphoma clinically localized to a left inguinal lymph node. Chest radiograph and pulmo...

journal_title：Chest

authors： Reiss TF,Golden J

更新日期：1990-05-01 00:00:00

abstract：:To examine whether changes in respiratory chemosensitivity during the menstrual cycle are related to worsening of airway functions, hypoxic and hypercapnic ventilatory and P0.1 responses, airway function, and serum progesterone levels were studied in 11 female asthmatic patients in both the follicular and luteal phase...

journal_title：Chest

authors： Munakata M,Yamamoto H,Akiyama Y,Inaba S,Kawakami Y

更新日期：1993-12-01 00:00:00

abstract：BACKGROUND:C-reactive protein (CRP) has been well recognized as a strong independent predictor of short-term and long-term mortality after non-ST-segment elevation acute coronary syndromes. However, limited studies have been conducted correlating CRP levels within 6 h following the onset of ST-segment elevation (ST-se)...

journal_title：Chest

authors： Yip HK,Hang CL,Fang CY,Hsieh YK,Yang CH,Hung WC,Wu CJ

更新日期：2005-03-01 00:00:00

abstract：STUDY OBJECTIVES:Nasal polyps frequently appear in patients with cystic fibrosis (CF). The aims of this study were to focus on what problems (symptoms, endoscopic findings, and laboratory correlates) nasal polyps cause the CF patient, and how these correlate to the total health situation of this patient group. PATIENT...

journal_title：Chest

authors： Henriksson G,Westrin KM,Karpati F,Wikström AC,Stierna P,Hjelte L

更新日期：2002-01-01 00:00:00

abstract：OBJECTIVE:To compare the utilization and outcomes of critical care services in a cohort of hospitals in the United States and Japan. DESIGN:Prospective data collection on 5,107 patients and detailed organizational characteristics from each of the participating Japanese study hospitals between 1993 and 1995, with compa...

journal_title：Chest

authors： Sirio CA,Tajimi K,Taenaka N,Ujike Y,Okamoto K,Katsuya H

更新日期：2002-02-01 00:00:00

abstract：:We present two cases of sarcoidosis complicated by HIV infection. Each case had a different level of sarcoidosis activity and coexisted with either an AIDS-related infection or a HIV-positive state. Manifestations of sarcoidosis were not apparent in the patient with the AIDS-defining opportunistic infection, but were ...

journal_title：Chest

authors： Amin DN,Sperber K,Brown LK,Chusid ED,Teirstein AS

更新日期：1992-05-01 00:00:00

abstract：:Negative pressure pulmonary edema (NPPE) is an important cause of noncardiogenic pulmonary edema but is rarely reported in the setting of bronchospasm. A 43-year-old woman with severe reactive airway disease suffered an episode of severe bronchospasm after endotracheal extubation following an otherwise uneventful gene...

journal_title：Chest

authors： Krodel DJ,Bittner EA,Abdulnour RE,Brown RH,Eikermann M

更新日期：2011-11-01 00:00:00

abstract：UNLABELLED:STUDY OBJECTIVES AND DESIGN: Health-related quality of life (QoL) instruments are generally used for studies of asthma in specialized settings. For primary care use, there is a need for brief and simple questionnaires for structured patient-reported outcomes. We validated the Mini-Asthma Quality of Life Ques...

journal_title：Chest

authors： Ehrs PO,Nokela M,Ställberg B,Hjemdahl P,Wikström Jonsson E

更新日期：2006-04-01 00:00:00

abstract：OBJECTIVE:An overdiagnosis bias occurs with the diagnosis of a disease that does not produce signs or symptoms before the patient dies from other causes. We sought to determine whether overdiagnosis bias is a factor when screening for squamous cell carcinoma of the lung. DESIGN:Retrospective study of the Miyagi Popula...

journal_title：Chest

authors： Sato M,Saito Y,Endo C,Sakurada A,Feller-Kopman D,Ernst A,Kondo T

更新日期：2004-07-01 00:00:00

abstract：:Pulmonary disease due to talc, a group of hydrous magnesium silicates, is almost exclusively encountered after occupational exposure. One form of this rare disorder is talc granulomatosis. In varying degrees, hypercalcemia is typical of granulomatous disease but has not yet been reported in talcosis. We report the cas...

journal_title：Chest

authors： Woywodt A,Schneider W,Goebel U,Luft FC

更新日期：2000-04-01 00:00:00