Reducing COPD Readmissions: Strategies for the Pulmonologist to Improve Outcomes.

abstract：BACKGROUND:Patients admitted to the medical ICU (MICU) are often subjected to multiple radiologic studies. We hypothesized that some endure radiation dose exposure (cumulative effective dose [CED]) in excess of annual US federal occupational health standard limits (CED ≥ 50 mSv) and 5-year cumulative limit (CED ≥ 100 m...

journal_title：Chest

authors： Krishnan S,Moghekar A,Duggal A,Yella J,Narechania S,Ramachandran V,Mehta A,Adhi F,Vijayan AKC,Han X,Wang X,Dong F,Martin C 3rd,Guzman J

更新日期：2018-05-01 00:00:00

abstract：STUDY OBJECTIVES:We sought to determine the adaptability and effectiveness of a new esophageal balloon technique to measure changes in esophageal pressure (Pes) as a reflection of pleural pressure with progressive incremental exercise testing in normal subjects. DESIGN:An 8F (0.9 cm) esophageal balloon catheter (Smart...

journal_title：Chest

authors： Thomas AM,Turner RE,Tenholder MF

更新日期：1997-09-01 00:00:00

abstract：BACKGROUND:COPD is a heterogeneous disease characterized by airflow obstruction and diagnosed by lung function. CT imaging is emerging as an important, noninvasive tool in phenotyping COPD. However, the use of CT imaging in defining the disease heterogeneity above lung function is not fully known. METHODS:Seventy-five...

journal_title：Chest

authors： Bafadhel M,Umar I,Gupta S,Raj JV,Vara DD,Entwisle JJ,Pavord ID,Brightling CE,Siddiqui S

更新日期：2011-09-01 00:00:00

abstract：:Serum levels of a high molecular weight circulating antigen KL-6, detected by means of a sandwich assay using a monoclonal antibody KL-6 against a sialylated carbohydrate antigen, were evaluated for usefulness in monitoring the activity of interstitial pneumonitis. Abnormally high levels of KL-6 antigen were observed ...

journal_title：Chest

authors： Kohno N,Kyoizumi S,Awaya Y,Fukuhara H,Yamakido M,Akiyama M

更新日期：1989-07-01 00:00:00

abstract：:To determine the efficacy of doxycycline as a pleural sclerosing agent, we examined the outcomes in 31 patients (aged 31 to 87 years) receiving doxycycline (500 to 1,000 mg) through a chest tube for malignant pleural effusions or persistent bronchopleural fistulae. Of the 27 patients with malignant pleural effusions, ...

journal_title：Chest

authors： Heffner JE,Standerfer RJ,Torstveit J,Unruh L

更新日期：1994-06-01 00:00:00

abstract：:The authors believe this to be the first case report of atrial fibrillation following pulse methylprednisolone therapy in an adult. The literature regarding the complications of pulse methylprednisolone therapy is reviewed, with particular emphasis on the incidence and pathogenesis of arrhythmias. ...

journal_title：Chest

authors： McLuckie AE,Savage RW

更新日期：1993-08-01 00:00:00

abstract：:Intra- and interobserver variations in the measurement of systolic time intervals (STIs) by three experienced cardiologists were investigated in 20 tracings on which phonocardiograms, carotid pulse and electrocardiograms were recorded simultaneously. The STIs studied were the time interval from the Q wave to the aorti...

journal_title：Chest

authors： Ishikawa K,Ishikawa M,Morihara H,Yanagisawa A,Muramatsu J,Sawayama T,Maeda K

更新日期：1982-03-01 00:00:00

abstract：RATIONALE:Malnutrition in patients with COPD is associated with an impaired pulmonary status, reduced diaphragmatic mass, lower exercise capacity, and higher mortality rate when compared to adequately nourished individuals with COPD. Nutritional support may therefore be a useful part of their comprehensive care. PURPO...

journal_title：Chest

authors： Ferreira IM,Brooks D,Lacasse Y,Goldstein RS

更新日期：2000-03-01 00:00:00

abstract：BACKGROUND:The burden of children's chronic cough to parents is largely unknown. The objectives of this study were as follows: (1) to determine the burden of chronic cough using a purposely designed questionnaire, and (2) to evaluate psychological (child's anxiety and parental emotional distress) and other influences o...

journal_title：Chest

authors： Marchant JM,Newcombe PA,Juniper EF,Sheffield JK,Stathis SL,Chang AB

更新日期：2008-08-01 00:00:00

abstract：:Pulmonary hypertension and related pulmonary vascular diseases cause significant morbidities and high mortality and present many unique challenges toward improving outcomes in neonates, infants, and children. Differences between pediatric and adult disease are reflected in controversies regarding etiologies, classific...

journal_title：Chest

authors： Hopper RK,Abman SH,Ivy DD

更新日期：2016-07-01 00:00:00

abstract：BACKGROUND:No studies have attempted to examine the genetic influence on the habit of snoring. The aim of the present study was to examine whether an association existed between self-reported snoring and family history of snoring and a number of genetic markers. MATERIAL AND METHODS:The data were derived from a primar...

journal_title：Chest

authors： Jennum P,Hein HO,Suadicani P,Sørensen H,Gyntelberg F

更新日期：1995-05-01 00:00:00

abstract：:Results of studies that use laboratory tests are often easy to interpret, because we are familiar with the units and how to interpret them. However, this is not the case when the results are presented as ORs, relative risks, correlation, or scores on an unfamiliar scale. This article explains these various indices of ...

journal_title：Chest

authors： Streiner DL,Norman GR

更新日期：2012-03-01 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

authors： Piet AH,Lagerwaard FJ,Kunst PW,van Sörnsen de Koste JR,Slotman BJ,Senan S

更新日期：2007-06-01 00:00:00

abstract：:If we hope to repair damaged lung tissue associated with a variety of acquired and developmental diseases, we must first gain a full appreciation of normal lung development. As an approach, we have utilized Affymetrix (Santa Clara, CA) high-density, oligonucleotide-based microarrays to generate an expression profile o...

journal_title：Chest

authors： Mariani TJ,Shapiro SD

更新日期：2002-03-01 00:00:00

abstract：BACKGROUND:The World Trade Center (WTC) collapse on September 11, 2001, produced airflow obstruction in a majority of firefighters receiving subspecialty pulmonary evaluation (SPE) within 6.5 years post-September 11, 2001. METHODS:In a cohort of 801 never smokers with normal pre-September 11, 2001, FEV1, we correlated...

journal_title：Chest

authors： Nolan A,Naveed B,Comfort AL,Ferrier N,Hall CB,Kwon S,Kasturiarachchi KJ,Cohen HW,Zeig-Owens R,Glaser MS,Webber MP,Aldrich TK,Rom WN,Kelly K,Prezant DJ,Weiden MD

更新日期：2012-08-01 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：:Before and after percutaneous transvenous mitral commissurotomy (PTMC), pulmonary function studies were performed in 25 patients with mitral stenosis, in order to determine the effects of pulmonary hemodynamics on pulmonary function in patients with mitral stenosis. After PTMC, dramatic improvements in pulmonary hemod...

journal_title：Chest

authors： Yoshioka T,Nakanishi N,Okubo S,Kunieda T,Ishikura F,Nagata S

更新日期：1990-08-01 00:00:00

abstract：:The resurgence of tuberculosis (TB) in the early 1990s, including multidrug-resistant strains, led health officials to recommend the use of involuntary detention for persistently nonadherent patients. Using a series of recently published articles on the subject, this paper offers some opinions on how detention program...

journal_title：Chest

authors： Lerner BH

更新日期：1999-01-01 00:00:00

abstract：BACKGROUND:A novel approach to estimate the severity of COPD exacerbation and predict its outcome is the use of biomarkers. We assessed circulating levels of copeptin, the precursor of vasopressin, C-reactive protein (CRP), and procalcitonin as potential prognostic parameters for in-hospital and long-term outcomes in p...

journal_title：Chest

authors： Stolz D,Christ-Crain M,Morgenthaler NG,Leuppi J,Miedinger D,Bingisser R,Müller C,Struck J,Müller B,Tamm M

更新日期：2007-04-01 00:00:00

abstract：BACKGROUND:The leading cause of pericardial effusion in urban hospitals is now AIDS-related pathologies. Clinically, these effusions are a diagnostic and management dilemma. In our institution, pericardial biopsy and operative drainage have become part of the diagnostic and management plan. Surgical intervention, howev...

journal_title：Chest

authors： Flum DR,McGinn JT Jr,Tyras DH

更新日期：1995-06-01 00:00:00

abstract：:A median sternotomy approach was used for closure of patent ductus arteriosus associated with a hypoplastic right lung. The anterior approach to the left ductus is indicated if left thoracotomy is contraindicated. ...

journal_title：Chest

authors： Rao B,Gootman N,Silbert D,Wisoff BG

更新日期：1976-06-01 00:00:00

abstract：:Acute hypoxemic respiratory failure (AHRF) can result from diverse lung insults. Toxic oxygen metabolites have been implicated in this clinical condition and in animal models of pulmonary edema. Hydrogen peroxide (H2O2), an oxygen metabolite, mediates tissue injury. We measured H2O2 levels by a spectrophotometric tech...

journal_title：Chest

authors： Sznajder JI,Fraiman A,Hall JB,Sanders W,Schmidt G,Crawford G,Nahum A,Factor P,Wood LD

更新日期：1989-09-01 00:00:00

abstract：:KL-6, a mucinous high-molecular weight glycoprotein, expressed on type II pneumonocytes, is elevated in the serum of patients with active interstitial pneumonia. Forty-seven patients with histologically confirmed sarcoidosis were analyzed by chest radiography, CT, 67Ga scintigraphy, BAL fluid (BALF), and serum KL-6. S...

journal_title：Chest

authors： Kobayashi J,Kitamura S

更新日期：1996-05-01 00:00:00

abstract：:The chest wall is an uncommon localization for hydatid cyst. In this article, six patients were operated on because of chest wall hydatid cysts between the years 1989 to 1991 have been reported. Four of them had previously undergone surgery for pulmonary or hepatic hydatidosis; the chest wall was the primary site in t...

journal_title：Chest

authors： Ozdemir N,Akal M,Kutlay H,Yavuzer S

更新日期：1994-04-01 00:00:00

abstract：BACKGROUND:Among patients awaiting cadaveric lung transplantation, patients with idiopathic interstitial pneumonia (IIP) have been demonstrated to have the highest mortality rate. Contraindications to cadaveric lung transplantation include current high-dose systemic corticosteroid therapy because it may increase airway...

journal_title：Chest

authors： Date H,Tanimoto Y,Goto K,Yamadori I,Aoe M,Sano Y,Shimizu N

更新日期：2005-09-01 00:00:00

abstract：BACKGROUND:COPD, the fifth-leading cause of death worldwide, is characterized by chronic inflammation. However, no available agent can effectively cure this inflammation. A dietary supplement containing omega-3 polyunsaturated fatty acids (PUFAs) has anti-inflammatory effects. In this study, we hypothesized that nutrit...

journal_title：Chest

authors： Matsuyama W,Mitsuyama H,Watanabe M,Oonakahara K,Higashimoto I,Osame M,Arimura K

更新日期：2005-12-01 00:00:00

abstract：BACKGROUND:Induced sputum cytology and protein biomarkers can be used to assess airways inflammation. Increases in sputum iron have been described in inflammatory lung disease. We hypothesized that other sputum metals may be affected by airways inflammation and investigated their potential value as biomarkers. METHODS...

journal_title：Chest

authors： Gray RD,Duncan A,Noble D,Imrie M,O'Reilly DS,Innes JA,Porteous DJ,Greening AP,Boyd AC

更新日期：2010-03-01 00:00:00

abstract：:Medical malpractice with its associated costs, including insurance premiums, impact on practice, consequences for career and insurability, and emotional toll, is a reality of practicing medicine in the United States. Understanding the types of claims that may be asserted, the issues to consider when securing insurance...

journal_title：Chest

authors： Nepps ME

更新日期：2008-11-01 00:00:00

abstract：STUDY OBJECTIVES:COPD patients run a risk of developing nocturnal oxygen desaturation. When evaluating patients with nocturnal hypoxemia, an unfamiliar hospital environment and the monitoring equipment may cause sleep disturbances. It was hypothesized that increased sleep disruption will lead to fewer instances of desa...

journal_title：Chest

authors： Brijker F,van den Elshout FJ,Heijdra YF,Folgering HT

更新日期：2001-06-01 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

authors： Himes BE,Klanderman B,Ziniti J,Senter-Sylvia J,Soto-Quiros ME,Avila L,Celedón JC,Lange C,Mariani TJ,Lasky-Su J,Hersh CP,Raby BA,Silverman EK,Weiss ST,DeMeo DL

更新日期：2011-09-01 00:00:00