Early lung cancer: methods for detection.

abstract：:In the United States, trauma is the leading cause of death in people under 40 years of age. Chest trauma is a relatively common but potentially lethal injury and requires a high level of suspicion, rapid diagnosis, and appropriate therapy. Methods for the assessment, diagnosis, and treatment of chest trauma are discus...

journal_title：Clinics in chest medicine

authors： Kshettry VR,Bolman RM 3rd

更新日期：1994-03-01 00:00:00

abstract：:Occupational and environmental exposures contribute to the development and progression of most lung diseases, yet their impact is greatly under-recognized in clinical practice. Clinicians caring for patients with respiratory diseases should maintain a high index of suspicion for occupational and environmental contribu...

journal_title：Clinics in chest medicine

authors： James E,Linde B,Redlich CA

更新日期：2020-12-01 00:00:00

abstract：:Continuous mechanical ventilation used for life support is accepted as standard practice in nearly every hospital in the United States today. The history of the evolution of techniques that we take virtually for granted today is fascinating. This article recounts some of the highlights in the development of modern-day...

journal_title：Clinics in chest medicine

authors： Marini JJ

更新日期：1988-03-01 00:00:00

abstract：:Airway inflammation due to exposure to a wide variety of agents encountered in the workplace is a major cause of occupational asthma. This article reviews major examples of occupational asthma linked to airway inflammation, including their epidemiology, pathophysiology, and clinical course. ...

journal_title：Clinics in chest medicine

authors： Fine JM,Balmes JR

更新日期：1988-12-01 00:00:00

abstract：:The process of smoking cessation involves progression through five stages of change: precontemplation, contemplation, preparation, action, and maintenance. Most patients are not prepared to take action on their smoking, yet most smoking cessation programs are designed for smokers who are so prepared. Small percentages...

journal_title：Clinics in chest medicine

authors： Prochaska JO,Goldstein MG

更新日期：1991-12-01 00:00:00

abstract：:Pulmonary rehabilitation is an art of medical practice incorporating many therapeutic modalities with the goal of improving the patient's functional ability. The gains to be realized and the basis for improvement following pulmonary rehabilitation are detailed in this article. ...

journal_title：Clinics in chest medicine

authors： Make BJ

更新日期：1986-12-01 00:00:00

abstract：:Recognition and management of agitation, delirium, and pain are key areas. Reduced use of sedatives is an important measure that must be coupled with increased patient engagement, mobilization, and exercise. Use of low tidal volumes and low mean airway pressures during mechanical ventilation is helpful. A key hemodyna...

journal_title：Clinics in chest medicine

authors： Gelinas JP,Walley KR

更新日期：2016-06-01 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：UNLABELLED:VAP is a complex nosocomial infection, the disease expression and resulting patient outcome of which is dependent on host factors, the causative organism, the timing and adequacy of treatment, and the presence of intrinsic or inducible antibiotic resistance. Significant improvements have been achieved in our...

journal_title：Clinics in chest medicine

authors： Kollef MH

更新日期：1999-09-01 00:00:00

abstract：:Pulmonary thromboembolism is a major cause of maternal mortality. DVT causes significant morbidity in pregnancy and in later life owing to the post-thrombotic syndrome. Obstetricians must have an understanding of the risk factors for VTE, the appropriate use of prophylaxis, the need for objective diagnosis in women wi...

journal_title：Clinics in chest medicine

authors： Greer IA

更新日期：2003-03-01 00:00:00

abstract：:Prophylaxis for DVT unequivocally is beneficial in patients identified to be at high risk. Heparin prophylaxis with subcutaneous low-dose UFH is adequate in some clinical settings but less effective in others. LMWH preparations are effective and safe as prophylaxis in certain medical patients as well as in general sur...

journal_title：Clinics in chest medicine

authors： Tapson VF,Hull RD

更新日期：1995-06-01 00:00:00

abstract：:This article summarizes the health effects of indoor air pollutants and the modalities available to control them. The pollutants discussed include active and passive exposure to tobacco smoke; combustion products of carbon monoxide; nitrogen dioxide; products of biofuels, including wood and coal; biologic agents leadi...

journal_title：Clinics in chest medicine

authors： Gold DR

更新日期：1992-06-01 00:00:00

abstract：:Hemodynamic monitoring is a diagnostic tool. Because hemodynamic monitoring often requires invasive procedures, it can be associated with an increased incidence of untoward events. Like any diagnostic tool, its ability to improve outcome will be primarily related to the survival benefit enjoyed by specific therapies t...

journal_title：Clinics in chest medicine

authors： Pinsky MR

更新日期：2003-12-01 00:00:00

abstract：:Host defense mechanisms spaced along the respiratory tree and in the alveolar spaces effectively remove or contend with micro-organisms that enter the airways, so serious lung infections occur rarely in healthy people. Special circumstances, such as virgin exposure to a virulent microbe or a large innoculum of a patho...

journal_title：Clinics in chest medicine

authors： Reynolds HY

更新日期：1987-09-01 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：:Most gravidas with asthma can be managed with an inhaled beta-adrenergic agonist (terbutaline or epinephrine) and beclomethasone dipropionate. The administration of prednisone to control exacerbation of asthma is appropriate and should not be withheld if current medications are inadequate. The outcome of pregnancy in ...

journal_title：Clinics in chest medicine

authors： Greenberger PA

更新日期：1992-12-01 00:00:00

abstract：:Several medications have been associated with the development of the BOOP lesion. Often, symptoms include nonproductive cough and shortness of breath with bilateral crackles by examination. Occasionally, there is fever and rash, and, rarely, eosinophilia. The chest radiograph usually shows bilateral patchy infiltrates...

journal_title：Clinics in chest medicine

authors： Epler GR

更新日期：2004-03-01 00:00:00

abstract：:Infections due to the rapidly growing mycobacteria are being identified with increasing frequency, especially in the southern coastal United States. Cutaneous disease, including both community-acquired infections and nosocomial diseases such as augmentation mammaplasty wound infections and sternal wound infections, ar...

journal_title：Clinics in chest medicine

authors： Wallace RJ Jr

更新日期：1989-09-01 00:00:00

abstract：:Although Burkholderia cepacia colonizes a relatively small proportion of individuals with cystic fibrosis (CF), it is associated with significant morbidity and mortality, and has had a profound impact on infection control practices. This article reviews the current understanding of the epidemiology of B. cepacia infec...

journal_title：Clinics in chest medicine

authors： LiPuma JJ

更新日期：1998-09-01 00:00:00

abstract：:Pseudomonas aeruginosa remains an important cause of pulmonary disease in patients who have cystic fibrosis. The development of antimicrobial therapy directed against this organism has resulted in the preservation of lung function and improved longevity. Efficacy has been demonstrated with agents administered via pare...

journal_title：Clinics in chest medicine

authors： Lahiri T

更新日期：2007-06-01 00:00:00

abstract：:Both chylothorax and pseudochylothorax are characterized by milky or turbid pleural effusions. The importance of distinguishing these two conditions cannot be overemphasized because the prognosis and management are different. ...

journal_title：Clinics in chest medicine

authors： Sassoon CS,Light RW

更新日期：1985-03-01 00:00:00

abstract：:Chronic lung diseases, including chronic obstructive pulmonary disease (COPD) and pulmonary hypertension (PH), are unusually prevalent among persons infected with human immunodeficiency virus (HIV). Often these disease states are identified at younger ages than would be expected in the general population. Recent epide...

journal_title：Clinics in chest medicine

authors： Fitzpatrick M,Crothers K,Morris A

更新日期：2013-06-01 00:00:00

abstract：:The pathogenic importance of cytomegalovirus (CMV) infection in AIDS-associated pneumonitis is controversial. Uncertainty regarding the significance of CMV isolation from pulmonary secretions of AIDS patients results in part from the difficulty in distinguishing CMV infection from CMV disease and from the high frequen...

journal_title：Clinics in chest medicine

authors： Jacobson MA,Mills J

更新日期：1988-09-01 00:00:00

abstract：:The host response to microbial invasion in the lung must be sufficiently vigorous to allow for microbial eradication but appropriately controlled to prevent spillover of the response into the systemic circulation. Although inflammatory responses in pneumonia are generally compartmentalized, microbial and host factors ...

journal_title：Clinics in chest medicine

authors： Deng JC,Standiford TJ

更新日期：2005-03-01 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：: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：:This article focuses primarily on the recent literature on abdominal compartment syndrome (ACS) and the definitions and recommendations published by the World Society for the Abdominal Compartment Syndrome. The definitions regarding increased intra-abdominal pressure (IAP) are listed and are followed by an overview of...

journal_title：Clinics in chest medicine

authors： Malbrain ML,De laet IE

更新日期：2009-03-01 00:00:00

abstract：:The authors attempt to demonstrate those circumstances for which perfusion scintigraphy, by itself, or in combination with ventilation scintiscanning, offers the best adjunctive information in excluding or confirming the presence of pulmonary embolism. They then identify those circumstances in which scintiscanning doe...

journal_title：Clinics in chest medicine

authors： Polak JF,McNeil BJ

更新日期：1984-09-01 00:00:00

abstract：:There will be many changes in the sleep field in the next 5 to 10 years. These will include increments in our knowledge of the basic neurobiologic mechanisms driving sleep and the impact of sleep loss on general health. The technology used in the sleep laboratory will likely change as well, leading to a larger range o...

journal_title：Clinics in chest medicine

authors： White DP

更新日期：1998-03-01 00:00:00

abstract：:Pulmonary embolism remains a leading cause of morbidity and mortality in the United States. However, with improved recognition and diagnosis, the risk of death diminishes. The diagnosis depends on the clinician's suspicion. Pulmonary emboli are categorized into low, intermediate, or high risk based on the scoring scal...

journal_title：Clinics in chest medicine

authors： Islam EA,Winn RE,Test V

更新日期：2018-09-01 00:00:00