Abstract:
:There is now a new pathway and examination for sleep medicine, sponsored by the American Board of Internal Medicine, and a number of accredited sleep medicine fellowship programs through the Accreditation Council for Graduate Medical Education. This review takes an historical approach to discuss the process of education for sleep physiology and disorders not only in the postgraduate period but also at all levels of instruction. In reality, there is a continuum of knowledge that needs to be reinforced up and down the educational system, of which Sleep Medicine subspecialty training is just one part. Although progress has been made at all educational levels up to this point, the future of training and education will depend on a sustained effort at several levels from undergraduate to postgraduate continuing medical education and will be facilitated by professional societies and other specialties who will collectively promote the value of and outcomes for clinical sleep medicine.
journal_name
Chestjournal_title
Chestauthors
Strohl KPdoi
10.1378/chest.10-0783subject
Has Abstractpub_date
2011-05-01 00:00:00pages
1221-1231issue
5eissn
0012-3692issn
1931-3543pii
S0012-3692(11)60248-1journal_volume
139pub_type
历史文章,杂志文章,评审相关文献
CHEST文献大全abstract::Autopsy findings and a morphometric study of the lungs were compared in 18 subjects receiving nocturnal oxygen and 15 receiving continuous oxygen in the National Heart, Lung, and Blood Institute Nocturnal Oxygen Therapy Trial (about half of those who died). The emphysema score, average interalveolar wall distance, cen...
journal_title:Chest
pub_type: 临床试验,杂志文章
doi:10.1378/chest.86.2.230
更新日期:1984-08-01 00:00:00
abstract:STUDY OBJECTIVES:The objective of this study was to evaluate the feasibility of the sentinel lymph node (SLN) biopsy in peripheral clinically stage I or II non-small cell lung cancer (NSCLC) using (99m)Tc colloid and a hand-held gamma detection probe, associated with a blue dye technique. DESIGN:Prospective study. SE...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.127.2.443
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:There are no recommendations on how to measure arm exercise capacity in individuals with COPD. The objectives of this study were (1) to synthesize the literature on measures of arm exercise capacity in individuals with COPD, (2) to describe the psychometric properties and the target construct of each measure...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.11-0475
更新日期:2012-01-01 00:00:00
abstract::Surfactant replacement therapy (SRT) has a proven role in the treatment of neonatal respiratory distress syndrome and severe meconium aspiration syndrome in infants, and may have a role in the treatment of pediatric patients with ARDS. Although newer delivery mechanisms and strategies are being studied, the classic su...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.06-2371
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:To examine the effect of preoperative smoking behavior on postoperative pulmonary complications. DESIGN:Prospective cohort study. SETTING:The Veterans Administration Medical Center, Syracuse, NY. PARTICIPANTS:Patients scheduled for noncardiac elective surgery (n=410). MEASUREMENTS AND RESULTS:Smoking stat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.113.4.883
更新日期:1998-04-01 00:00:00
abstract::Epidemiologic research has revealed a substantial portion of the general population with abnormal spirometry results that are characterized by decreased FEV1 and FVC but a preserved FEV1/FVC ratio. This restrictive spirometry pattern (RSP) is inconsistently defined in the literature and not well addressed by current g...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.15-1045
更新日期:2016-01-01 00:00:00
abstract:STUDY OBJECTIVES:Cardiac surgery with cardiopulmonary bypass (CPB) is associated with major inflammatory triggers that cause marked activation of the microcirculation. This inflammatory response is associated with significant organ dysfunction. How this response causes organ dysfunction is not well understood; conseque...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.1.229
更新日期:2005-07-01 00:00:00
abstract::Residual volume (RV) was obtained by subtracting vital capacity from total lung capacity determined by the single breath helium dilution (TLCsb) to measure CO diffusing capacity in 2,680 subjects (8 to 64 years old) of a general population sample. There were 712 normal subjects (243 male and 469 female subjects) selec...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.4.1209
更新日期:1992-10-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate gas exchange, pulmonary function, and lung histology during gas ventilation of the perfluorocarbon-filled lung compared with gas ventilation of the gas-filled lung in severe respiratory failure. STUDY DESIGN:Application of gas (GV) or partial liquid (PLV) ventilation in lung-injured sheep. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.2.500
更新日期:1995-08-01 00:00:00
abstract:STUDY OBJECTIVE:To determine if animals with abnormally low albumin levels are more susceptible to the effects of hypercapnia on BP compared to normal animals. DESIGN:Prospective, controlled laboratory experiment. SETTING:University research laboratory. ANIMALS:Eighteen male Sprague-Dawley rats: 6 rats 10 to 12 week...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.06-2069
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Lung transplantation is a good therapeutic option for end-stage lung disease. Data on thromboembolic complications following lung transplantation are scarce. STUDY OBJECTIVES:To evaluate the incidence of thromboembolic events following lung transplantation, and to determine their possible association with h...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.129.2.412
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Lung cancer is the most common cause of cancer death in the United States. Cigarette smoking is the main risk factor. Former smokers are at a substantially increased risk for lung cancer compared with lifetime never-smokers. Chemoprevention is the use of specific agents to reverse, suppress, or prevent the p...
journal_title:Chest
pub_type: 杂志文章,实务指引
doi:10.1378/chest.07-1348
更新日期:2007-09-01 00:00:00
abstract::The effect of smoking three cigarettes in rapid succession on maximal and partial expiratory flow rates was studied in ten healthy smokers. The mean decrease in maximal midexpiratory flow and partial midexpiratory and end-expiratory flow was statistically significant. The response was maximal after the first cigarette...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.72.5.610
更新日期:1977-11-01 00:00:00
abstract::Mechanical ventilation was able to induce a decrease in cardiac output and regional blood flow, especially hepatic flow. Thus, hepatic elimination of drugs with a high hepatic-extraction ratio, which was linked to alteration in hepatic blood flow, could be reduced during mechanical ventilation. The aim of this work wa...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.90.6.837
更新日期:1986-12-01 00:00:00
abstract:BACKGROUND:In observational studies using acute lung injury (ALI) as an outcome, a spectrum of lung injury and difficult-to-interpret chest radiographs (CXRs) may hamper efforts to uncover risk factor associations. We assessed the impact of excluding patients with difficult-to-classify or equivocal ALI diagnosis on cli...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.09-2697
更新日期:2010-11-01 00:00:00
abstract::Several reports have implicated pregnancy as a cause of deterioration in patients with pulmonary arteriovenous fistulas. We report a 27-year-old woman with multiple pulmonary arteriovenous fistulas who required coil spring embolotherapy in her 24th week of pregnancy due to a spontaneous hemothorax and hypoxemia. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.6.1522
更新日期:1990-12-01 00:00:00
abstract:BACKGROUND:It has been postulated that right ventricular (RV) function may improve after lung volume reduction surgery (LVRS) for severe emphysema due to improvement in lung elastic recoil. Improved lung elastic recoil after LVRS is hypothesized to "tether" open extraalveolar vessels, thereby leading to a decrease in p...
journal_title:Chest
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1378/chest.07-0041
更新日期:2007-11-01 00:00:00
abstract::Byssinosis first became compensatable in Great Britain in May 1941. The claimants were examined by a specially constituted board consisting of chest physicians and medical specialists from the Manchester area. Following the Industrial Injuries Act of 1946, which became operative in July 1948, the examinations were tak...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.79.4_supplement.124s
更新日期:1981-04-01 00:00:00
abstract::The coronary arteriogram of a 52-year-old man with Basedow's disease and who was suffering from myocardial infarction following rapid atrial fibrillation, showed severe myocardial squeezing without organic stenosis. Angiographically, the functional obstructive lesion was always observed both at systole and diastole du...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.73.3.431
更新日期:1978-03-01 00:00:00
abstract::Coronary arteriovenous fistula is an uncommon, although not rare, congenital cardiac malformation, especially in the adult. Most such reported such cases have involved but a single coronary vessel. This report documents the second case of coronary arteriovenous fistulae involving the right and circumflex coronary vess...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.72.5.656
更新日期:1977-11-01 00:00:00
abstract:BACKGROUND:The "Dutch hypothesis" suggests that asthma and COPD have common genetic determinants. The serpin peptidase inhibitor, clade E (nexin, plasminogen activator inhibitor type 1), member 2 (SERPINE2) gene previously has been associated with COPD. We sought to determine whether SERPINE2 is associated with asthma ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.10-2973
更新日期:2011-09-01 00:00:00
abstract::A series of 15 patients with life threatening, massive hemoptysis is reported. Thirteen of these patients underwent immediate operative treatment with only three deaths. One died after bronchoscopic identification of the bleeding site while awaiting elective thoracotomy. The other patient left the hospital against med...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.67.2.152
更新日期:1975-02-01 00:00:00
abstract:BACKGROUND:Bedside ultrasound examination could be used to assess jugular venous pressure (JVP), and thus central venous pressure (CVP), more reliably than clinical examination. METHODS:The study was a prospective, blinded evaluation comparing physical examination of external jugular venous pressure (JVPEXT), internal...
journal_title:Chest
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1378/chest.10-1301
更新日期:2011-01-01 00:00:00
abstract:AIMS:We assessed early and long-term pulmonary function changes after percutaneous balloon mitral valvotomy (PBMV). METHODS AND RESULTS:Mitral area, lung function, and exercise capacity were evaluated before, immediately after, and 3 months, 6 months, and 12 months after successful PBMV in 24 patients. PBMV resulted i...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.127.1.40
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:The diagnostic yields with transbronchial needle aspiration (TBNA) for mediastinal nodes are highly variable. Nodal positions, as assessed on a breath-hold conventional CT scan, do not account for nodal motion. We studied nodal motion on four-dimensional (4D) CT scans. METHODS:A total of 47 mediastinal node...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.06-2964
更新日期:2007-06-01 00:00:00
abstract::Urticaria with systemic effects occurred in a patient being treated with propranolol and was reproducible upon rechallenge with the drug; Successful beta-adrenergic blocking therapy was achieved using a new agent, tolamolol, with no evidence of any adverse effects. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.67.4.496
更新日期:1975-04-01 00:00:00
abstract::COPD is a significant public health challenge, notably set to become the third leading cause of death and fifth leading cause of chronic disability worldwide by the next decade. Skeletal muscle impairment is now recognized as a disabling, extrapulmonary consequence of COPD that is associated with reduced quality of li...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1016/j.chest.2015.11.021
更新日期:2016-05-01 00:00:00
abstract::The use of neuromuscular blocking agents, particularly pancuronium, in patients receiving mechanical ventilation has been reported to cause prolonged paralysis and atrophy. We describe two mechanically ventilated patients with asthma who developed prolonged muscular weakness and atrophy after receiving the shorter-act...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.100.3.877
更新日期:1991-09-01 00:00:00
abstract::Two recent epidemiologic case-control studies suggested that fenoterol, a selective beta-adrenergic agonist, was associated with an increase in the risk of asthma death. The results of these studies were criticized because of methodologic problems in the choice and selection of control subjects; the different methods ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.100.6.1586
更新日期:1991-12-01 00:00:00
abstract::A nationwide study of acute myocardial infarction in Israel was carried out during a one-year period. There were 2,504 new and 968 repeated attacks. Annual incidence rate of first attacks was 0.9 per 1,000 (1.3 in men and 0.5 in women). Incidence was highest among the European born in both sexes. But, while the patter...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.2.214
更新日期:1975-08-01 00:00:00