Critical care rationing: international comparisons.

abstract：:Incidence and potential risk factors for pneumonia due to Haemophilus influenzae in adults treated with mechanical ventilation in a medical-surgical ICU were investigated. Diagnosis was established in 91 episodes and H influenzae was isolated in 20 of them. Mean onset of ventilator-associated pneumonia (VAP) due to H ...

journal_title：Chest

authors： Rello J,Ricart M,Ausina V,Net A,Prats G

更新日期：1992-11-01 00:00:00

abstract：:In this study, pleural calcifications prevailing in the inhabitants of some villages and towns around Diyarbakir, a city in southeast Turkey, have been found to be caused by the inhalation of chrysotile asbestos, the mineral commonly used indiscriminately to paint the walls and floors of houses. There were no industri...

journal_title：Chest

authors： Yazicioglu S

更新日期：1976-07-01 00:00:00

abstract：:Pulmonary function studies were conducted one to two days prior to, two weeks after, and an average of 116 days after coronary artery revascularization surgery. Preoperation it was found that 11 of 19 patients had mild to moderate obstruction, 8 of 17 had diffusing capacity less than 80 percent of predicted, and 9 of ...

journal_title：Chest

authors： Braun SR,Birnbaum ML,Chopra PS

更新日期：1978-03-01 00:00:00

abstract：:Between December 1985 and August 1988, there were 115 patients at 13 centers who were entered on a randomized comparison of tetracycline and bleomycin for treatment of malignant pleural effusions. Fifteen patients were not treated, primarily due to rapid progression of systemic cancer. Fifteen patients entered on a hi...

journal_title：Chest

authors： Ruckdeschel JC,Moores D,Lee JY,Einhorn LH,Mandelbaum I,Koeller J,Weiss GR,Losada M,Keller JH

更新日期：1991-12-01 00:00:00

abstract：BACKGROUND:We investigated whether artificial neural networks (ANNs) could diagnose pathology of lymph nodes by feeding B-mode images from convex-type echobronchoscopy to ANNs. METHODS:Subjects comprised 91 patients who had undergone endobronchial ultrasonography transbronchial needle aspiration at our hospital betwee...

journal_title：Chest

authors： Tagaya R,Kurimoto N,Osada H,Kobayashi A

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:The Centers for Medicare and Medicaid Services stipulate shared decision-making (SDM) counseling as a prerequisite to lung cancer screening (LCS) reimbursement, despite well-known challenges implementing SDM in practice. RESEARCH QUESTION:How have health-care organizations implemented SDM for LCS? STUDY DE...

journal_title：Chest

authors： Alishahi Tabriz A,Neslund-Dudas C,Turner K,Rivera MP,Reuland DS,Elston Lafata J

更新日期：2021-01-01 00:00:00

abstract：:In November 2007, the Josiah Macy, Jr. Foundation convened a conference to address a number of complex issues concerning continuing education (CE) in the health professions. Participants concluded that CE, as currently practiced, does not focus adequately on improving clinician performance and patient care, is too dep...

journal_title：Chest

authors： Leach DC,Fletcher SW

更新日期：2008-12-01 00:00:00

abstract：:The goal of this article is to provide an update on recent changes to current procedural terminology codes used for billing physician services for mechanical ventilation in chronic care facilities. In addition to billing information, background data relevant to prolonged mechanical ventilation are reviewed. Topics cov...

journal_title：Chest

authors： White AC,O'Connor HH,Kirby K

更新日期：2008-02-01 00:00:00

abstract：:Pancreaticopleural fistula secondary to chronic pancreatitis is a rare cause of recurrent pleural effusion. The demonstration of the fistula with endoscopic retrograde pancreatography and CT is invasive or limited. We report in two patients the use of magnetic resonance pancreatography as a noninvasive alternative to ...

journal_title：Chest

authors： Materne R,Vranckx P,Pauls C,Coche EE,Deprez P,Van Beers BE

更新日期：2000-03-01 00:00:00

abstract：:We report a case of pleural dissemination of invasive thymoma, which was successfully treated with intrathoracic chemothermotherapy following panpleuropneumonectomy. Intrathoracic chemothermotherapy in combination with surgery may be a hopeful adjuvant treatment to control pleural disseminated lesions of invasive thym...

journal_title：Chest

authors： Higashiyama M,Doi O,Kodama K,Yokouchi H

更新日期：1994-06-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the incidence and mortality as well as to analyze the clinical and pathologic changes of aortic dissection. DESIGN AND SETTING:A population-based longitudinal study over 27 years on a study population of 106,500, including 66 hospitalized and 18 nonhospitalized consecutively observed pati...

journal_title：Chest

authors： Mészáros I,Mórocz J,Szlávi J,Schmidt J,Tornóci L,Nagy L,Szép L

更新日期：2000-05-01 00:00:00

abstract：:A rare form of paroxysmal supraventricular tachycardia (SVT), associated with swallowing solid food, is described. Repeated triggering of the arrhythmia during esophagoscopy was produced by mechanical stimulation of the anterior esophageal wall, 30 cm from the incisors. Treatment with verapamil abolished this tachycar...

journal_title：Chest

authors： Abinader EG,Cooper M

更新日期：1979-10-01 00:00:00

abstract：:Disputes regarding life-prolonging treatments are stressful for all parties involved. These disagreements are appropriately almost always resolved with intensive communication and negotiation. Those rare cases that are not require a resolution process that ensures fairness and due process. We describe three recent cas...

journal_title：Chest

authors： Bosslet GT,Baker M,Pope TM

更新日期：2016-09-01 00:00:00

abstract：:A V/Q lung scan was obtained in a patient with LLL collapse who was receiving IPPV and PEEP. This revealed absent ventilation and hyperperfusion to the collapsed lobe. After a reduction in PEEP from 12 to 5 cm H2O, a repeat V/Q scan showed a more even distribution of pulmonary perfusion. Arterial hypoxemia improved. ...

journal_title：Chest

authors： Hawker FH,Torzillo PJ,Southee AE

更新日期：1991-04-01 00:00:00

abstract：OBJECTIVE:To estimate the incidence of work disability among adults with asthma and to evaluate a clinically based illness severity score as a predictor of such disability. DESIGN:Baseline and follow-up telephone interviews and medical record review. SETTING:University-based outpatient pulmonary specialty practice. ...

journal_title：Chest

authors： Blanc PD,Jones M,Besson C,Katz P,Yelin E

更新日期：1993-11-01 00:00:00

abstract：:The selection of appropriate chemotherapeutic and/or radiation therapy for small cell lung cancer should be done after careful diagnosis and staging workup. A patient with small cell lung cancer is presented and explanation given for each step in diagnosis and staging. ...

journal_title：Chest

authors： O'Donnell WJ

更新日期：1995-06-01 00:00:00

abstract：:The literature on pulmonary function testing in sarcoidosis is critically reviewed. The results indicate that pulmonary function tests are not a reliable means for detecting the presence of parenchymal sarcoidosis, nor do they provide an accurate estimate of the extent of parenchymal disease. There are at present no k...

journal_title：Chest

authors： Winterbauer RH,Hutchinson JF

更新日期：1980-10-01 00:00:00

abstract：:The Bayesian analysis was used in this study to investigate the diagnostic value of the bronchial provocation test with methacholine in patients with asthma. The best cutoff value of accumulated concentration of methacholine administered that caused a 20 percent fall in FEV1 post-saline (PC20) in our sample, determine...

journal_title：Chest

authors： Perpiñá M,Pellicer C,de Diego A,Compte L,Macián V

更新日期：1993-07-01 00:00:00

abstract：BACKGROUND:COPD is accepted to be a multicomponent disease with various comorbidities. To our knowledge, the contribution of the GI tract to the systemic manifestation of COPD has never been investigated. This metabolically active organ may experience recurring local oxygen deficits during daily life, leading to distur...

journal_title：Chest

authors： Rutten EPA,Lenaerts K,Buurman WA,Wouters EFM

更新日期：2014-02-01 00:00:00

abstract：:Beta-2-integrins belong to a family of leukocyte surface glycoproteins that are essential for immune functions of bronchoalveolar cells. The expression of three alpha chains designed as CD11a, CD11b, CD11c, a common beta chain CD18, and of a ligand for several integrins CD54 (ICAM-1) was studied on alveolar macrophage...

journal_title：Chest

authors： Striz I,Wang YM,Kalaycioglu O,Costabel U

更新日期：1992-09-01 00:00:00

abstract：:Despite major advances in our understanding of the pathophysiologic processes leading to pulmonary arterial hypertension and recent developments in therapeutic approaches, the long-term prognosis for patients with pulmonary arterial hypertension remains unsatisfactory. Early detection and adequate clinical classificat...

journal_title：Chest

authors： Provencher S,Jais X,Yaici A,Sitbon O,Humbert M,Simonneau G

更新日期：2005-12-01 00:00:00

abstract：:Oxygen uptake (VO2) reflects the rate of aerobic regeneration of high-energy phosphate compounds (primarily adenosine triphosphate [ATP]). Since lactate increase is thought to result from an inadequate rate of aerobic ATP regeneration, it might be expected that lactate increase would be associated with a delayed attai...

journal_title：Chest

authors： Zhang YY,Wasserman K,Sietsema KE,Ben-Dov I,Barstow TJ,Mizumoto G,Sullivan CS

更新日期：1993-03-01 00:00:00

abstract：:Investigators have validated an abbreviated protocol for testing nonspecific bronchial reactivity with methacholine. We performed a similar validation study with histamine, another bronchoprovocative agent known to induce airflow obstruction. Histamine is pharmacologically distinct from methacholine and, under some ci...

journal_title：Chest

authors： Schmidt LE,Thorne PS,Watt JL,Schwartz DA

更新日期：1992-01-01 00:00:00

abstract：:The toxic-oil syndrome (TOS) is a multisystem disorder whose etiology and pathogenesis are as yet unknown. Lung alterations persist in a significant number of TOS patients due to the underlying vascular lesion. Computer-assisted 67Ga scanning and bronchoalveolar lavage (BAL) studies were performed in 14 TOS patients w...

journal_title：Chest

authors： De la Cruz JL,Oteo LA,López C,Curto LM,Burgaleta C,Campos A,Sueiro A

更新日期：1985-09-01 00:00:00

abstract：BACKGROUND:The antisynthetase syndrome consists of interstitial lung disease (ILD), arthritis, myositis, fever, mechanic's hands, and Raynaud phenomenon in the presence of an antisynthetase autoantibody, most commonly anti-Jo-1. It is believed that all the antisynthetases are associated with a similar clinical profile,...

journal_title：Chest

authors： Kalluri M,Sahn SA,Oddis CV,Gharib SL,Christopher-Stine L,Danoff SK,Casciola-Rosen L,Hong G,Dellaripa PF,Highland KB

更新日期：2009-06-01 00:00:00

abstract：BACKGROUND:Therapist-implemented protocols have been used to extubate or wean patients in the ICU setting. Barlow Respiratory Hospital (BRH) functions as a center for weaning patients from prolonged mechanical ventilation (PMV) in the post-ICU setting of a long-term acute-care (LTAC) facility. A therapist-implemented p...

journal_title：Chest

authors： Scheinhorn DJ,Chao DC,Stearn-Hassenpflug M,Wallace WA

更新日期：2001-01-01 00:00:00

abstract：:In patients with chronic obstructive pulmonary disease (COPD) studied at rest, nifedipine releases hypoxic pulmonary vasoconstriction (HPV) and worsens gas exchange. During exercise, this drug lowers pulmonary hypertension, but the effects of this lower pulmonary vascular tone on ventilation-perfusion (VA/Q) relations...

journal_title：Chest

authors： Agustí AG,Barberá JA,Roca J,Wagner PD,Guitart R,Rodriguez-Roisín R

更新日期：1990-02-01 00:00:00

abstract：:We report three cases of organophosphate (OP) poisoning. One patient was a 19-year-old woman who drank OP compounds in an attempt at suicide. The other two patients became intoxicated on the way to the hospital during mouth-to-mouth breathing. The first patient died in the emergency department, and the other two were ...

journal_title：Chest

authors： Koksal N,Buyukbese MA,Guven A,Cetinkaya A,Hasanoglu HC

更新日期：2002-08-01 00:00:00

abstract：BACKGROUND:Asthma is a worldwide problem. It cannot be prevented or cured, but it is possible, at least in principle, to control asthma with modern management. Control usually is assessed by history of symptoms, physical examination, and measurement of lung function. A practical problem is that these measures of contro...

journal_title：Chest

authors： Green RJ,Klein M,Becker P,Halkas A,Lewis H,Kitchin O,Moodley T,Masekela R

更新日期：2013-01-01 00:00:00

abstract：STUDY OBJECTIVE:To assess whether myocardial contrast echocardiography (MCE) using harmonic power Doppler (HPD) in conjunction with the transvenous contrast agent SHU 563A would be useful in detecting stunned but viable myocardium. DESIGN:Acute coronary occlusion (2 to 3 h) followed by 1 h of reperfusion was created i...

journal_title：Chest

authors： Teupe C,Takeuchi M,Yao J,Avelar E,Pandian N

更新日期：2001-08-01 00:00:00