The undervaluation of evaluation and management professional services: the lasting impact of current procedural terminology code deficiencies on physician payment.

abstract：:A 75-year-old man with a history of resected colon carcinoma presented to his primary care physician because of a new onset of coughing. The patient had expectorated a small piece of solid tissue; pathologic examination of the tissue found it to be consistent with metastatic colon adenocarcinoma. After further work-up...

journal_title：Chest

authors： Zias EA,Owen RP,Borczuk A,Reichel J,Frater RW

更新日期：1998-01-01 00:00:00

abstract：BACKGROUND:Rhinovirus (RV)-induced pulmonary exacerbations are common in cystic fibrosis (CF) and have been associated with impaired virus clearance by the CF airway epithelium in vitro. Here, we assess in vivo the association of RV prevalence and load with antiviral defense mechanisms, airway inflammation, and lung fu...

journal_title：Chest

authors： Kieninger E,Singer F,Tapparel C,Alves MP,Latzin P,Tan HL,Bossley C,Casaulta C,Bush A,Davies JC,Kaiser L,Regamey N

更新日期：2013-03-01 00:00:00

abstract：:Although metastatic carcinoma from an unknown primary tumor is known to occur, the combination of squamous cell carcinoma histologic findings and a mediastinal location is quite unusual. The evaluation of a case of a patient with a posterior mediastinal mass, eventually shown to be metastatic squamous cell carcinoma o...

journal_title：Chest

authors： Blanco N,Kirgan DM,Little AG

更新日期：1998-09-01 00:00:00

abstract：:The ventilator discontinuation process is a critical component of ICU care. Ongoing ventilator dependency is caused by both disease factors (eg, respiratory, cardiac, metabolic, and neuromuscular) and clinician management factors (eg, failing to recognize discontinuation potential and inappropriate ventilator settings...

journal_title：Chest

authors： MacIntyre N

更新日期：2007-09-01 00:00:00

abstract：:Eighty-two patients with mitral stenosis underwent cardiac catheterization with coronary angiography. Twenty-one patients (26 percent) had coronary artery disease. Characteristics of the mitral valve area, cardiac output, pulmonary artery pressure, pulmonary vascular resistance, left ventricular end-diastolic pressure...

journal_title：Chest

authors： Chun PK,Gertz E,Davia JE,Cheitlin MD

更新日期：1982-01-01 00:00:00

abstract：BACKGROUND:In chronic obstructive pulmonary disease, both smaller and larger airways are affected. FEV1 mainly reflects large airways obstruction, while the later fraction of forced exhalation reflects reduction in terminal expiratory flow. In this study, the objective was to evaluate the relationship between spirometr...

journal_title：Chest

authors： Dilektasli AG,Porszasz J,Casaburi R,Stringer WW,Bhatt SP,Pak Y,Rossiter HB,Washko G,Castaldi PJ,Estepar RSJ,Hansen JE,COPDGene investigators.

更新日期：2016-11-01 00:00:00

abstract：BACKGROUND:Postnasal drip (PND) is a common symptom associated with upper respiratory tract disorders. It occurs without other symptoms or combined with chronic rhinosinusitis. However, the pathophysiology of PND is debated to this day, and an objective definition of PND has not been established. Therefore, we aimed to...

journal_title：Chest

authors： Bucher S,Schmid-Grendelmeier P,Soyka MB

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:The prevalence of COPD is estimated to 4 to 14%. According to the Global Initiative for Chronic Obstructive Lung Disease guidelines, COPD is divided into four stages. Patients with stage IV disease (very severe) have FEV1 < 30% of predicted values and/or respiratory insufficiency. The few studies that exist ...

journal_title：Chest

authors： Stenfors N

更新日期：2006-09-01 00:00:00

abstract：:Bronchoscopy is essential to the practice of pulmonary medicine. It is an important diagnostic and therapeutic tool for many disease processes. Bronchoscopy can be performed in a variety of clinical settings, from the bedside to an operating room. Although bronchoscopy has been practiced for more than a century, conse...

journal_title：Chest

authors： Mehta AC,Avasarala SK,Jain P,Deshwal H,Gildea TR

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Lung cancer screening (LCS) is an important secondary prevention measure to reduce lung cancer mortality. The goal of this study was to assess state-level variations in LCS among the US elderly during the first 3 years since Medicare began its LCS reimbursement policy in 2015. METHODS:This ecological study ...

journal_title：Chest

authors： Liu B,Dharmarajan K,Henschke CI,Taioli E

更新日期：2020-04-01 00:00:00

abstract：:High-frequency jet ventilation (HFJV) is FDA-approved for ventilating patients with bronchopleural fistulae (BPF), yet little is known about its effect on the fistula airleak. We quantitated a patient's BPF airleak during both conventional volume-cycled ventilation and HFJV. The effect of chest-tube suction (CTS) on B...

journal_title：Chest

authors： Roth MD,Wright JW,Bellamy PE

更新日期：1988-01-01 00:00:00

abstract：:The eosinophil count and concentrations of eosinophil cationic protein (ECP) were measured in bronchoalveolar lavage fluid (BALF) from patients with idiopathic pulmonary fibrosis (IPF), pulmonary fibrosis associated with a collagen vascular disorder (PF-CVD), sarcoidosis, and healthy controls. The patients with IPF an...

journal_title：Chest

authors： Fujimoto K,Kubo K,Yamaguchi S,Honda T,Matsuzawa Y

更新日期：1995-07-01 00:00:00

abstract：BACKGROUND:Tranexamic acid (TA) is an antifibrinolytic drug currently used systemically to control bleeding. To date, there have been no prospective studies of the effectiveness of inhaled TA for the treatment of hemoptysis. OBJECTIVES:The goal of this study was to prospectively assess the effectiveness of TA inhalati...

journal_title：Chest

authors： Wand O,Guber E,Guber A,Epstein Shochet G,Israeli-Shani L,Shitrit D

更新日期：2018-12-01 00:00:00

abstract：BACKGROUND:The objective of this study was to systematically review and quantitatively synthesize all randomized controlled trials (RCTs), comparing important outcomes in ventilated critically ill patients who received an early or late tracheotomy. METHODS:A systematic literature search of PubMed, Cumulative Index to ...

journal_title：Chest

authors： Wang F,Wu Y,Bo L,Lou J,Zhu J,Chen F,Li J,Deng X

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:We designed and conducted this multicenter randomized active-controlled open-label trial to evaluate the efficacy of acupuncture, auricular point pressing, and nicotine replacement therapy (NRT) on tobacco cessation in the Chinese population. METHODS:This randomized controlled trial was conducted in seven h...

journal_title：Chest

authors： Wang YY,Liu Z,Wu Y,Yang L,Guo LT,Zhang HB,Yang JS,Chinese Acupuncture for Tobacco Cessation Research Team.

更新日期：2018-03-01 00:00:00

abstract：BACKGROUND:In patients who have experienced acute myocardial infarction (MI), primary percutaneous coronary intervention (PCI) has been shown to be of benefit in terms of clinical outcomes. However, the value of performing routine PCI in patients with early MI (ie, an MI occurring > 12 h to < or = 7 days before patient...

journal_title：Chest

authors： Yip HK,Wu CJ,Yang CH,Chang HW,Chen SM,Hung WC,Hang CL

更新日期：2004-07-01 00:00:00

abstract：:To determine if respiratory maneuvers may enhance the response to inhaled bronchodilator drugs, we evaluated the bronchodilator responses when isoproterenol was: inhaled as a bolus high (80 percent VC) compared to low (20 percent VC) lung volumes, and inhaled as a single 800 microgram dose compared to four 200 microgr...

journal_title：Chest

authors： Riley DJ,Liu RT,Edelman NH

更新日期：1979-11-01 00:00:00

abstract：:A study of 26 men with bronchogenic cancer demonstrated high serum calcitonin levels in 62 percent (16). Levels were particularly high in patients with small-cell cancer and adenocarcinoma. Two varieties of hypercalcitonemia have been encountered: (1) ectopic hypercalcitonemia, in which the hormone is secreted by the ...

journal_title：Chest

authors： Silva OL,Becker KL,Primack A,Doppman JL,Snider RH

更新日期：1976-04-01 00:00:00

abstract：:We studied hemodynamic and oxygen transport parameters in 12 stable critically ill patients on assist control (ACV), synchronized intermittent mandatory (SIMV), and pressure support (PSV) ventilatory modes. Patients were optimally ventilated on ACV, were awake, and capable of spontaneous breathing. After baseline meas...

journal_title：Chest

authors： Sternberg R,Sahebjami H

更新日期：1994-06-01 00:00:00

abstract：:Short-course chemotherapy (SCC) for pulmonary tuberculosis for nine months with isoniazid (INH) and rifampin (RIF) is well established. However, there is still no report on results of such therapy in pleural disease. From January 1976 through December 1984, we treated 201 patients (average age 61.6 years) for pleural ...

journal_title：Chest

authors： Dutt AK,Moers D,Stead WW

更新日期：1986-07-01 00:00:00

abstract：:On the occasion of this Fourth World Conference on Lung Cancer, I am privileged to present the opening keynote address. This presentation has been sponsored by the Ontario Cancer Treatment and Research Foundation. In 1952, the Foundation established an annual lectureship in memory of one of their prominent physicians....

journal_title：Chest

authors： Pearson FG

更新日期：1986-04-01 00:00:00

abstract：:The incidence of distal esophageal adenocarcinoma and primary proximal gastric carcinoma has increased substantially in the past 15 years, particularly in North America and in some European countries. Patients with curatively resected cancer consistently have a 10 to 20% 5-year survival rate. Radiation therapy alone s...

journal_title：Chest

authors： Ajani JA

更新日期：1998-01-01 00:00:00

abstract：:In small-cell lung cancer, the optimal combination of chemotherapy and radiotherapy is not clearly established. To assess the value of delayed thoracic radiotherapy, we performed a randomized clinical trial in 53 complete responder patients after eight courses of chemotherapy. Twenty-seven patients received a mean of ...

journal_title：Chest

authors： Lebeau B,Chastang C,Brechot JM,Capron F

更新日期：1993-09-01 00:00:00

abstract：STUDY OBJECTIVES:To detect intravascular hemolysis in patients with cardiac valve prostheses. Erythrocyte creatine, a marker of erythrocyte age that increases with shortening erythrocyte survival, was evaluated with other hemolytic markers and hemodynamic parameters. DESIGN:Prospective study. PATIENTS AND MEASUREMENT...

journal_title：Chest

authors： Okumiya T,Ishikawa-Nishi M,Doi T,Kamioka M,Takeuchi H,Doi Y,Sugiura T

更新日期：2004-06-01 00:00:00

abstract：BACKGROUND:Black smokers have earlier development of lung disease as well as poorer sleep health than whites. RESEARCH QUESTION:In a sample of black smokers, to what extent does sleep health modify the association between smoking level and functional exercise capacity? DESIGN AND METHODS:Cross-sectional data from 209...

journal_title：Chest

authors： Gangemi AJ,Satti A,Zantah M,Blair R,Brewer B,Ma G,Grandner MA,Davey A,Criner GJ,Patterson F

更新日期：2020-10-01 00:00:00

abstract：:The disease concept of idiopathic BOOP has emerged from a study of many open lung biopsy cases of diffuse infiltrative lung disease. The histopathologic features of idiopathic BOOP have several components: bronchiolitis obliterans, organizing pneumonia, accumulation of foamy cells in the peripheral air spaces, and int...

journal_title：Chest

authors： Kitaichi M

更新日期：1992-07-01 00:00:00

abstract：BACKGROUND:Current management guidelines for pulmonary arterial hypertension (PAH) recommend a treatment choice based primarily on World Health Organization (WHO) functional class. This study was designed to assess how the incorporation of readily obtained clinical and test-based information may significantly improve t...

journal_title：Chest

authors： Kane GC,Maradit-Kremers H,Slusser JP,Scott CG,Frantz RP,McGoon MD

更新日期：2011-06-01 00:00:00

abstract：BACKGROUND:In the current economic climate, hospitals and academic institutions demand that medical departments function in an efficient and cost-effective manner. Detailed business plans are necessary to build new clinical programs, and institutions have learned that new programs are associated with significant costs ...

journal_title：Chest

authors： Lunn W,Garland R,Gryniuk L,Smith L,Feller-Kopman D,Ernst A

更新日期：2005-04-01 00:00:00

abstract：:In a prospective study murmurs increased in intensity with carotid sinus pressure in 18 of 26 patients with hypertrophic obstructive cardiomyopathy (HOCM) (sensitivity, 69.2 percent for the 26 patients, 85.7 percent for the 21 patients in whom heart rate and blood pressure decreased with carotid sinus pressure). On th...

journal_title：Chest

authors： Klein HO,DiSegni E,Dean H,Beker B,Bakst A,Kaplinsky E

更新日期：1988-04-01 00:00:00

abstract：:Tracheal aspirates from four previously healthy infants with acute pulmonary hemorrhage, and small volume bronchial lavages from children undergoing flexible fiberoptic bronchoscopy were examined for pulmonary alveolar macrophages (PAM) containing hemosiderin. Hemosiderin formation was also studied in vitro. Macrophag...

journal_title：Chest

authors： Sherman JM,Winnie G,Thomassen MJ,Abdul-Karim FW,Boat TF

更新日期：1984-09-01 00:00:00