Reason-Giving and Medical Futility: Contrasting Legal and Social Discourse in the United States With the United Kingdom and Ontario, Canada.

abstract：:We report two patients with non-conventional thyroiditis whose chief complaint was chronic persistent cough. Cough was attributed to thyroiditis only after extensive diagnostic evaluations failed to uncover another cause and only after cough and thyroiditis disappeared simultaneously with suppressive therapy for the l...

journal_title：Chest

authors： Irwin RS,Pratter MR,Hamolsky MW

更新日期：1982-03-01 00:00:00

abstract：:A bird fancier who had only been exposed to native birds, mostly owls, developed a sever hypersensitivity pneumonitis with a very insidious onset. ...

journal_title：Chest

authors： Kokkarinen J,Tukiainen H,Seppä A,Terho EO

更新日期：1994-10-01 00:00:00

abstract：OBJECTIVE:In patients with acute myocardial infarctions (MIs), cholesterol levels are no longer valid after 24 h from presentation because acute MI causes a rapid decline in serum levels of total cholesterol, low-density lipoprotein (LDL) cholesterol, and high-density lipoprotein (HDL) cholesterol. The objective of thi...

journal_title：Chest

authors： Wattanasuwan N,Khan IA,Gowda RM,Vasavada BC,Sacchi TJ

更新日期：2001-10-01 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

authors： Stevens TP,Sinkin RA

更新日期：2007-05-01 00:00:00

abstract：BACKGROUND:Among patients hospitalized for community-acquired pneumonia (CAP), the risk factors for short-term hospital readmission after discharge are unknown. METHODS:We conducted a prospective observational study of 1,117 patients who had been discharged alive after hospitalization for CAP. We collected variables a...

journal_title：Chest

authors： Capelastegui A,España Yandiola PP,Quintana JM,Bilbao A,Diez R,Pascual S,Pulido E,Egurrola M

更新日期：2009-10-01 00:00:00

abstract：:In airway diseases such as asthma and COPD, specific structural changes may be observed, very likely secondary to an underlying inflammatory process. Although it is still controversial, airway remodeling may contribute to the development of these diseases and to their clinical expression and outcome. Airway remodeling...

journal_title：Chest

authors： Bergeron C,Boulet LP

更新日期：2006-04-01 00:00:00

abstract：PURPOSE:This study attempts to determine the distribution of transudates vs exudates in pathologically proved malignant pleural effusions and the necessity for cytologic studies in patients with a transudative effusion. MATERIALS AND METHODS:A retrospective review of all cytologically positive malignant pleural effusi...

journal_title：Chest

authors： Assi Z,Caruso JL,Herndon J,Patz EF Jr

更新日期：1998-05-01 00:00:00

abstract：:The efficacy of a nasopharyngeal tube was evaluated in 44 patients with obstructive sleep apnea syndrome. Twenty-four of these patients underwent repeated polysomnographic studies with the nasopharyngeal tube in place. They had a 62.3 percent decrease in apnea index and a 39.2 percent decrease in disordered breathing ...

journal_title：Chest

authors： Nahmias JS,Karetzky MS

更新日期：1988-12-01 00:00:00

abstract：:A 60-year-old man with massive hemoptysis was treated successfully by modified bronchoscopic balloon tamponade technique. Compared with previously reported techniques, the modified technique requires no special catheter, no complicated maneuver, and is able to be applied to more massive bleeding. ...

journal_title：Chest

authors： Kato R,Sawafuji M,Kawamura M,Kikuchi K,Kobayashi K

更新日期：1996-03-01 00:00:00

abstract：BACKGROUND:The implementation of workplace smoking bans has contributed to a significant reduction in the incidence of acute coronary syndrome admissions, but their influence on adult acute pulmonary disease admissions is unclear. We sought to assess the impact of a national smoking ban on nationwide admissions of indi...

journal_title：Chest

authors： Kent BD,Sulaiman I,Nicholson TT,Lane SJ,Moloney ED

更新日期：2012-09-01 00:00:00

abstract：BACKGROUND:Research on the effects of cigarette smoking on sleep architecture is limited. The objective of this investigation was to examine differences in sleep EEG between smokers and nonsmokers. METHODS:Smokers and nonsmokers who were free of all medical comorbidities were matched on different factors, including ag...

journal_title：Chest

authors： Zhang L,Samet J,Caffo B,Bankman I,Punjabi NM

更新日期：2008-02-01 00:00:00

abstract：:Positron emission tomography (PET) imaging is an important tool to refine the diagnosis and staging approach in patients with a possible lung cancer. In addition, other applications of PET imaging are being explored. Data consistently show that the intensity of uptake on a PET scan correlates with the biological aggre...

journal_title：Chest

authors： Detterbeck FC,Vansteenkiste JF,Morris DE,Dooms CA,Khandani AH,Socinski MA

更新日期：2004-11-01 00:00:00

abstract：STUDY OBJECTIVE:Doppler-derived myocardial performance index (MPI), a measure of combined systolic and diastolic myocardial performance, was assessed at rest and after low-dose dobutamine administration in patients with idiopathic or ischemic dilated cardiomyopathy. MPI also was correlated with other conventional echoc...

journal_title：Chest

authors： Parthenakis FI,Kanakaraki MK,Kanoupakis EM,Skalidis EI,Diakakis GF,Filippou OK,Vardas PE

更新日期：2002-06-01 00:00:00

abstract：:Acute left ventricular (LV) dysfunction is common in the critical care setting and more frequently affects the elderly and patients with comorbidities. Because of increased mortality and the potential for significant improvement with early revascularization, the practitioner must first consider acute coronary syndrome...

journal_title：Chest

authors： Chockalingam A,Mehra A,Dorairajan S,Dellsperger KC

更新日期：2010-07-01 00:00:00

abstract：STUDY OBJECTIVE:Low-grade systemic inflammation may cause a chronic catabolic state that may affect trainability in patients with COPD as has been seen previously in healthy elderly. Therefore, the aim of the present study was to study the relationship between baseline circulating levels of inflammatory markers and the...

journal_title：Chest

authors： Spruit MA,Gosselink R,Troosters T,Kasran A,Van Vliet M,Decramer M

更新日期：2005-11-01 00:00:00

abstract：:OSA is a common yet underdiagnosed disorder encountered in everyday practice. The disease is a unique physiologic stressor that contributes to the development or progression of many other disorders, particularly cardiovascular conditions. The pulmonary circulation is specifically affected by the intermittent hypoxic a...

journal_title：Chest

authors： Ismail K,Roberts K,Manning P,Manley C,Hill NS

更新日期：2015-03-01 00:00:00

abstract：STUDY OBJECTIVES:To validate a previously developed multisystem organ failure (MSOF) score with and without the addition of the lactate dehydrogenase (LDH) level as a predictor of survival to hospital discharge in patients with AIDS-related Pneumocystis carinii pneumonia (PCP) and acute respiratory failure (ARF). DESI...

journal_title：Chest

authors： Forrest DM,Djurdjev O,Zala C,Singer J,Lawson L,Russell JA,Montaner JS

更新日期：1998-07-01 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：OBJECTIVE:Patients with COPD are at risk for cardiovascular events. This is attributed to increased systemic inflammation. The course of COPD is punctuated by exacerbations, which further increase systemic inflammation, but the risk of vascular events in the postexacerbation period has never been defined. METHODS:We a...

journal_title：Chest

authors： Donaldson GC,Hurst JR,Smith CJ,Hubbard RB,Wedzicha JA

更新日期：2010-05-01 00:00:00

abstract：:Forty-seven cases of quadricuspid semilunar valves which were autopsied were reviewed. The ratio of quadricuspid pulmonic valve to quadricuspid aortic valve was 5:1. Among the 35 patients with quadricuspid pulmonic valves, there were ten patients with clinical and pathologic evidence of coexisting congenital cardiac d...

journal_title：Chest

authors： Davia JE,Fenoglio JJ,DeCastro CM,McAllister HA Jr,Cheitlin MD

更新日期：1977-08-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the efficacy of small-bore (12 French vanSonnenberg) catheters compared with standard large-bore chest tubes in the drainage and sclerotherapy of malignant pleural effusions. DESIGN:Retrospective review. SETTING:An academic tertiary care hospital. PATIENTS:Adult patients with documented n...

journal_title：Chest

authors： Parulekar W,Di Primio G,Matzinger F,Dennie C,Bociek G

更新日期：2001-07-01 00:00:00

abstract：OBJECTIVE:The objective of the present study was to compare antibiotic prescribing practices and survival in the ICU for patients with pneumococcal severe community-acquired pneumonia (SCAP) between 2000 and 2013. METHODS:This was a matched case-control study of two prospectively recorded cohorts in Europe. Eighty pat...

journal_title：Chest

authors： Gattarello S,Borgatta B,Solé-Violán J,Vallés J,Vidaur L,Zaragoza R,Torres A,Rello J,Community-Acquired Pneumonia en la Unidad de Cuidados Intensivos II Study Investigators*.

更新日期：2014-07-01 00:00:00

abstract：:Gastrointestinal complications requiring surgical correction following cardiopulmonary bypass most frequently involve the upper gastrointestinal tract. Surgical diseases of the colon are quite unusual in this setting. We recently performed cardiac surgery on three patients who developed acute diverticulitis requiring ...

journal_title：Chest

authors： Burton NA,Albus RA,Graeber GM,Lough FC

更新日期：1986-05-01 00:00:00

abstract：:Pulmonary manifestations of pyoderma gangrenosum are relatively rare. We report the case of a 45-year-old patient with multiple pulmonary nodules with central necrosis as assessed by CT scan. The patient had a 4-year history of pyoderma gangrenosum with only minor skin manifestations. A CT-guided, fine-needle biopsy o...

journal_title：Chest

authors： Krüger S,Piroth W,Amo Takyi B,Breuer C,Schwarz ER

更新日期：2001-03-01 00:00:00

abstract：STUDY OBJECTIVES:To develop a simplified prognostic prediction rule for patients admitted to ICUs for severe community-acquired pneumonia (CAP). SETTING:Six ICUs in the north of France. PATIENTS:Five hundred five patients admitted to ICUs over a 9-year period (from 1987 to 1995) for severe CAP. INTERVENTIONS:Retrosp...

journal_title：Chest

authors： Leroy O,Devos P,Guery B,Georges H,Vandenbussche C,Coffinier C,Thévenin D,Beaucaire G

更新日期：1999-07-01 00:00:00

abstract：BACKGROUND:Limited data are available on the impact of time to ICU admission and outcomes for patients with severe community acquired pneumonia (CAP). Our objective was to examine the association of time to ICU admission and 30-day mortality in patients with severe CAP. METHODS:A retrospective cohort study of 161 ICU ...

journal_title：Chest

authors： Restrepo MI,Mortensen EM,Rello J,Brody J,Anzueto A

更新日期：2010-03-01 00:00:00

abstract：:The efficacy of continuous positive airway pressure (CPAP) administered with a face mask was compared to oxygen supplementation in 40 patients with acute cardiogenic pulmonary edema. Baseline arterial blood gas values and pH, heart rate, respiratory rate, and blood pressure were recorded after patients breathed 28 per...

journal_title：Chest

authors： Väisänen IT,Räsänen J

更新日期：1987-09-01 00:00:00

abstract：:A report of pulmonary edema following acute upper airway obstruction in an adult is presented, and the literature involving 25 additional cases is reviewed. This form of pulmonary edema appears to be related to markedly negative intrathoracic pressure due to forced inspiration against a closed upper airway resulting i...

journal_title：Chest

authors： Willms D,Shure D

更新日期：1988-11-01 00:00:00

abstract：:A patient's tolerance of fiberoptic bronchoscopy depends on the effectiveness of local anesthesia. This study compares the three different methods of local anesthesia in common use After sedation, patients (n = 53) received either 4 ml of 2.5 percent cocaine by intratracheal injection (TI) (n = 18), by bronchoscopic i...

journal_title：Chest

authors： Graham DR,Hay JG,Clague J,Nisar M,Earis JE

更新日期：1992-09-01 00:00:00

abstract：STUDY OBJECTIVE:To reevaluate whether it is possible to reliably differentiate malignant mediastinal lymph nodes from benign nodes by size, and to determine the frequency of metastases to normal-sized mediastinal lymph nodes that directly affects the sensitivity for detecting malignant mediastinal lymph nodes (N2 nodes...

journal_title：Chest

authors： Arita T,Matsumoto T,Kuramitsu T,Kawamura M,Matsunaga N,Sugi K,Esato K

更新日期：1996-10-01 00:00:00