Abstract:
:Eighteen newly diagnosed cases of symptomatic cocidioidomycosis developed two to four weeks following exposure to a severe natural dust storm. The population at risk consisted of 26,000 residents of the San Joaquin Valley with access to health care at the Naval Hospital, Lemoore, Calif. Eight patients were white, and ten were nonwhite. The number of cases per 100,000 was estimated to be 36 for the white group and 254 for the nonwhite group. The disease was disseminated in four patients, and all were from the nonwhite group. One patient with disseminated disease, a black man, died. These data suggest that nonwhites may be relatively more susceptible to acquiring primary disease, in addition to developing disseminated disease. Dust storms of this magnitude must be considered a threat to health for populations living within areas endemic for coccidioidomycosis.
journal_name
Chestjournal_title
Chestauthors
Williams PL,Sable DL,Mendez P,Smyth LTdoi
10.1378/chest.76.5.566subject
Has Abstractpub_date
1979-11-01 00:00:00pages
566-70issue
5eissn
0012-3692issn
1931-3543pii
S0012-3692(16)41022-6journal_volume
76pub_type
杂志文章相关文献
CHEST文献大全abstract::As a follow-up to a previous assessment of complications of sleep-disturbed breathing in 265 patients, we have reevaluated measures of sleepiness and hypertension in patients with obstructive sleep apnea (OSA) (n = 518), central sleep apnea (n = 50), and subclinical sleep-disordered breathing (SDB) (n = 107). Both sub...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.4.966
更新日期:1995-10-01 00:00:00
abstract::The pathogenesis and clinical manifestations of COPD are not restricted to pulmonary inflammation and structural remodeling. Rather, this disorder is associated with clinically significant systemic alterations in biochemistry and organ function. The systemic aspects of COPD include oxidative stress and altered circula...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.121.5_suppl.127s
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:Population-based studies have documented an association between obesity and an increased prevalence of asthma in women. METHODS:We prospectively studied 58 obese women with a body mass index of > 30 kg/m(2), 24 of whom had asthma, who were enrolled in an intensive 6-month weight loss program to determine wh...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.125.6.2046
更新日期:2004-06-01 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
pub_type: 杂志文章
doi:10.1378/chest.08-2950
更新日期:2009-10-01 00:00:00
abstract:STUDY OBJECTIVES:Inspiratory capacity (IC) has been proposed as a simple method to assess acute changes in functional residual capacity (FRC) with bronchodilation, assuming that total lung capacity (TLC) is unchanged. This assumption is based on studies using body plethysmography, which may not accurately measure TLC i...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.6.2009
更新日期:2002-12-01 00:00:00
abstract:STUDY OBJECTIVES:To examine the main therapeutic response patterns to high doses of salbutamol and to determine the factors that contribute to outcome in acute severe asthma. SETTING:The emergency department (ED) of a large, urban hospital with primary and referral care responsibilities. PATIENTS AND DESIGN:One hundr...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.113.3.593
更新日期:1998-03-01 00:00:00
abstract:PURPOSES:Patients receiving prolonged acute mechanical ventilation (PAMV), although comprising a third of all mechanical ventilation (MV) patients, consume two-thirds of all the resources allocated to MV, and their numbers are projected to double by 2020. By virtue of their prolonged hospital length of stay (median LOS...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.09-0596
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:Male sex is an independent predictor of worse survival in pulmonary arterial hypertension (PAH). This finding might be explained by more severe pulmonary vascular disease, worse right ventricular (RV) function, or different response to therapy. The aim of this study was to investigate the underlying cause of...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.13-1291
更新日期:2014-06-01 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
pub_type: 杂志文章
doi:10.1378/chest.117.3.912
更新日期:2000-03-01 00:00:00
abstract::Phosphodiesterase 4 (PDE4) is a major cyclic adenosine-3',5'-monophosphate-metabolizing enzyme in immune and inflammatory cells, airway smooth muscle, and pulmonary nerves. Selective inhibitors of this enzyme have been available for a number of years and show a broad spectrum of activity in animal models of COPD and a...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.121.5_suppl.192s
更新日期:2002-05-01 00:00:00
abstract::Allergic bronchopulmonary aspergillosis (ABPA) is an immunologic pulmonary disorder caused by hypersensitivity to Aspergillus fumigatus. Clinically, a patient presents with chronic asthma, recurrent pulmonary infiltrates, and bronchiectasis. The population prevalence of ABPA is not clearly known, but the prevalence in...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.08-2586
更新日期:2009-03-01 00:00:00
abstract:STUDY OBJECTIVES:To evaluate cardiac autonomic modulation in patients with COPD during peak exercise. METHODS:Fifty-three patients with COPD (mean FEV(1), 35% predicted [SD, 11% predicted]; mean PaO(2), 68 mm Hg [SD, 11 mm Hg]; mean PaCO(2), 40 mm Hg [SD, 7 mm Hg]; mean age, 61 years [SD, 10 years]; 26 women and 27 me...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.124.3.863
更新日期:2003-09-01 00:00:00
abstract::Thirty-three patients with T3,N2,M0 or T4,N2,M0, non-small-cell lung cancer (NSCLC) took part in a phase 2 study in an attempt to evaluate the feasability of neoadjuvant chemotherapy followed by surgery and thoracic radiotherapy. Chemotherapy consisted of daily administration of the following treatment: etoposide, 100...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.106.5.1451
更新日期:1994-11-01 00:00:00
abstract::Lung cancer, the most prevalent cancer in the western world, is predominantly caused by smoking and thus perceived as a "self-inflicted" disease. Nevertheless, only 20% of smokers develop lung cancer. This review examines the concept of high-risk populations and screening. It looks at developments in the molecular epi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.109.5_supplement.125s
更新日期:1996-05-01 00:00:00
abstract::Acetazolamide treatment ameliorates the symptoms of AMS; however, the mechanism by which this occurs is unclear. To examine the effects of acetazolamide on oxygenation, CO2 responsiveness and ventilatory pattern during acute exposure to HA, we studied two groups of subjects at SL and following rapid (less than 8 h) tr...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.101.3.736
更新日期:1992-03-01 00:00:00
abstract::The history holds the central role in distinguishing among asthma, chronic bronchitis, and emphysema. A personal or family history of atopy, a history of seasonal worsening of disease in response to a known environmental agent, perhaps seasonal, and marked variability in the severity of airflow obstruction, often with...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.87.1.35s
更新日期:1985-01-01 00:00:00
abstract::Platelet-derived growth factor (PDGF) was shown to modulate fibroblast activity in interstitial lung diseases like idiopathic pulmonary fibrosis (IPF). The role of PDGF in fibrosing mechanisms in histiocytosis X is unclear. Eight patients with histiocytosis X, five patients with idiopathic pulmonary fibrosis (IPF), an...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.3.701
更新日期:1995-03-01 00:00:00
abstract:STUDY OBJECTIVES:Significant morbidity and mortality offset the benefits of lung volume reduction surgery (LVRS) for emphysema. By contributing to distal lung collapse, bronchoscopic placement of valved prostheses has the potential to noninvasively replicate the beneficial effects of LVRS. The purpose of this study was...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.124.3.1073
更新日期:2003-09-01 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
pub_type: 杂志文章
doi:10.1378/chest.117.5.1271
更新日期:2000-05-01 00:00:00
abstract::A critically-ill 73-year-old man was admitted with simultaneous mitral valve endocarditis and aortic stenosis. Balloon aortic valvuloplasty was performed successfully and without complications and was followed by prompt clinical improvement. Balloon aortic valvuloplasty should be considered in patients with aortic ste...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.99.6.1534
更新日期:1991-06-01 00:00:00
abstract:STUDY OBJECTIVE:The inotropic, lusitropic, and electrophysiologic effects of acute hypercapnia in humans are not known. Although the effects of hypercapnia on the systemic circulation have been well documented, there is still some debate as to whether hypercapnia causes true pulmonary vasoconstriction in vivo. We have ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.109.5.1215
更新日期:1996-05-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the clinical and radiographic findings of nontuberculous mycobacteria (NTM) other than Mycobacterium avium complex (MAC) and Mycobacterium kansasii in AIDS compared with non-AIDS patients. DESIGN:A retrospective chart review of all patients in whom NTM other than MAC complex and M kansasii...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.114.1.138
更新日期:1998-07-01 00:00:00
abstract::As the actual mortality and morbidity of obstructive sleep apnea syndrome (OSAS) have been unknown heretofore, we undertook a follow-up study of 198 OSAS patients seen at the Stanford Sleep Disorders Clinic between 1972 and 1980, for whom either tracheostomy (71 patients) or weight loss (127 patients) had been recomme...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.94.6.1200
更新日期:1988-12-01 00:00:00
abstract::99mTechnetium macroaggregated albumin has successfully been used to define severe postoperative pulmonary vasoconstriction in a four-month-old boy with D-transposition of the great vessels who had undergone a Blalock-Hanlon surgical atrial septectomy. Radionuclide imaging documented clinically suspected pulmonary vaso...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.76.3.274
更新日期:1979-09-01 00:00:00
abstract::A 31-year-old man with legionnaires' disease, who presented with severe pneumonia and hypoxemia, later developed severe bronchospasm and marked hypercapnia, a complication not previously reported in Legionella infection. He responded to therapy with erythromycin and a bronchodilator. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.82.3.382
更新日期:1982-09-01 00:00:00
abstract::Important alterations in respiratory function have been observed after open cholecystectomy. These include a decrease in the abdominal tidal volume, forced vital capacity, and forced expiratory volume at 1 s. Laparoscopic cholecystectomy is a new procedure allowing removal of the gallbladder without a subcostal or mid...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.4.1173
更新日期:1993-04-01 00:00:00
abstract::We initiated the present study to predict interstitial lung involvement in rheumatoid arthritis (RA) by means of logistic regression analysis of clinical data, lung function, chest roentgenogram, and serologic parameters. Fifty-eight nonsmoking patients with RA were randomized from the rheumatologic unit and sent for ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.2.391
更新日期:1992-08-01 00:00:00
abstract:BACKGROUND:We suspected, based on clinical experience, that the prevalence of both intracardiac and pulmonary arteriovenous malformations (PAVMs) is higher than previously reported in a healthy population when using modern ultrasound technology combined with a rigorous saline contrast echocardiogram (SCE) protocol. We ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.09-2797
更新日期:2010-08-01 00:00:00
abstract::Tests of overall lung function often reveal abnormalities in elderly smokers, but lung function is less consistently deranged in young smokers. Since airway closure at higher than normal lung volumes is thought to be an early indicator of lung dysfunction in asymptomatic smokers, we used 133xenon to measure regional r...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.79.1.12
更新日期:1981-01-01 00:00:00
abstract::We report 4 cases of Churg-Strauss syndrome (CSS) that occurred in patients being treated with corticosteroids for a diagnosis of asthma. One patient had asthma, eosinophilia, and eosinophilic lymphadenopathy that regressed with higher doses of corticosteroids. The second patient had both eosinophilic tissue infiltrat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.2.320
更新日期:1995-08-01 00:00:00