The clinician's perspective on parapneumonic effusions and empyema.

abstract：BACKGROUND:COPD is a heterogeneous disease demonstrating inter-individual variation. A high COPD prevalence in Chinese populations is described, but little is known about disease clusters and prognostic outcomes in the Chinese population across Southeast Asia. We aim to determine if clusters of Chinese patients with CO...

journal_title：Chest

authors： Tiew PY,Ko FWS,Narayana JK,Poh ME,Xu H,Neo HY,Loh LC,Ong CK,Mac Aogáin M,Tan JHY,Kamaruddin NH,Sim GJH,Lapperre TS,Koh MS,Hui DSC,Abisheganaden JA,Tee A,Tsaneva-Atanasova K,Chotirmall SH

更新日期：2020-07-01 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：STUDY OBJECTIVE:To compare drug output from a vented nebulizer (Pari LC Jet Plus) with a traditional unvented nebulizer (Hudson 1730 T Up-Draft 11) using aerosolized tobramycin, which is frequently used in the treatment of cystic fibrosis. DESIGN:Six nebulizers of each type were filled with a 4 mL tobramycin (80 mg) s...

journal_title：Chest

authors： Coates AL,MacNeish CF,Lands LC,Meisner D,Kelemen S,Vadas EB

更新日期：1998-04-01 00:00:00

abstract：:Since 1986, the Emergency Medical Treatment and Labor Act (EMTALA) has imposed an obligation on hospitals and physicians to evaluate and stabilize patients who present to a hospital ED seeking care. Available sanctions for noncompliance include fines, damages awarded in civil litigation, and exclusion from Medicare. E...

journal_title：Chest

authors： Hyman DA,Studdert DM

更新日期：2015-06-01 00:00:00

abstract：:Considerable heterogeneity persists in the conduct and reporting of statistical analyses in the medical literature. Authors submitting manuscripts to CHEST are encouraged to adhere to the following guidelines where possible. ...

journal_title：Chest

authors： Kattan MW,Vickers AJ

更新日期：2020-07-01 00:00:00

abstract：:We describe two patients with AIDS who developed new diffuse pulmonary infiltrates during the course of their hospitalization. In both cases, the infiltrates were attributed to pulmonary hemorrhage complicating an existing condition rather than representing a new pulmonary process. Identification of pulmonary hemorrha...

journal_title：Chest

authors： Koziel H,Haley K,Nasser I,Filderman AE

更新日期：1994-12-01 00:00:00

abstract：:A 60-pack-year smoker presented with cough, dyspnea and orthopnea of three months' duration. Spirometry revealed severe reduction in maximal expiratory flow; CT of the chest and bronchoscopy demonstrated expiratory collapse of a mid-tracheal segment, and a presumptive diagnosis of tracheomalacia was made. A right late...

journal_title：Chest

authors： Dunn WF,Hubmayr RD,Pairolero PC,Sheedy PF,Edell ES,Nelson SB

更新日期：1990-04-01 00:00:00

abstract：:The effect of combined administration of different dose ratios of dobutamine (DB) and dopamine (DA) (DB/DA ratio of 1:1; 1.5:0.5; 2:0; 0.5:1.5; and 0:2), with the added dose kept constant (10 micrograms/kg/min-20 micrograms/kg/min), on right ventricular function (measured by the thermal washout method with the aid of ...

journal_title：Chest

authors： Imai T,Saitoh K,Kani H,Fujita T,Murata K

更新日期：1992-05-01 00:00:00

abstract：:Although patients with heart disease have successfully completed marathon runs, the immediate cardiac effects of similar and greater distance endurance exercise competition are unknown. Two such cases are presented, demonstrating that vigorous exercise and extreme levels of fitness are not precluded in the cardiac pat...

journal_title：Chest

authors： Douglas PS,Sigler A,O'Toole ML,Hiller WD

更新日期：1989-03-01 00:00:00

abstract：BACKGROUND:Cigarette smoking is associated with worse symptoms in asthma and abnormal segmental airways in healthy subjects. We tested the hypothesis that current symptom control in smokers with asthma is associated with altered segmental airway dimensions measured by CT scan. METHODS:In 93 subjects with mild, moderat...

journal_title：Chest

authors： Thomson NC,Chaudhuri R,Spears M,Messow CM,MacNee W,Connell M,Murchison JT,Sproule M,McSharry C

更新日期：2015-03-01 00:00:00

abstract：:The ability of mixed venous oxygen saturation (SvO2) monitoring to reflect changes in cardiac index (CI) with therapy in critically ill patients is unclear. To this end, SvO2 and CI were measured before and during an infusion of enoximone and/or dobutamine in 30 patients with advanced heart failure. A nonlinear relati...

journal_title：Chest

authors： Jain A,Shroff SG,Janicki JS,Reddy HK,Weber KT

更新日期：1991-06-01 00:00:00

abstract：:Two rules of good graphs are presented and explicated. ...

journal_title：Chest

authors： Green J

更新日期：2006-08-01 00:00:00

abstract：STUDY OBJECTIVES:There have been many studies on the physical characteristics at the time of contraction of a primary spontaneous pneumothorax (PSP), but it has not been shown when and how such physical characteristics develop. These issues were investigated. PATIENTS AND DESIGN:Physical development of 27 male patient...

journal_title：Chest

authors： Fujino S,Inoue S,Tezuka N,Hanaoka J,Sawai S,Ichinose M,Kontani K

更新日期：1999-10-01 00:00:00

abstract：OBJECTIVES:To evaluate the diagnostic use of pleural fluid adenosine deaminase (ADAPF) levels in tuberculous pleuritis (TBpl), with a special reference to HIV coinfection and a Bayesian analysis. METHODS:We investigated a total of 216 patients with pleural effusion, including 100 with TBpl, 68 with malignant effusion,...

journal_title：Chest

authors： Riantawan P,Chaowalit P,Wongsangiem M,Rojanaraweewong P

更新日期：1999-07-01 00:00:00

abstract：OBJECTIVES:Physician productivity, practice expense, resource allocation, facilities, staff, and malpractice are variables in medical practice profitability. The ongoing challenge of collecting reliable and consistent data created an opportunity in 2001 for the American College of Chest Physicians (ACCP) Practice Admin...

journal_title：Chest

authors： Bauer JS,French KD

更新日期：2006-09-01 00:00:00

abstract：BACKGROUND:Early high-dose IV vitamin C is being investigated as adjuvant therapy in patients who are critically ill, but the optimal dose and infusion method are unclear. The primary aim of this study was to describe the dose-plasma concentration relationship and safety of four different dosing regimens. METHODS:This...

journal_title：Chest

authors： de Grooth HJ,Manubulu-Choo WP,Zandvliet AS,Spoelstra-de Man AME,Girbes AR,Swart EL,Oudemans-van Straaten HM

更新日期：2018-06-01 00:00:00

abstract：STUDY OBJECTIVES:We sought to determine the indicators of asthma severity among children in the United States with high and low levels of tobacco smoke exposure. DESIGN:Cross-sectional study. SETTING:Nationally representative survey of participants in the Third National Health and Nutrition Examination Survey (from 1...

journal_title：Chest

authors： Mannino DM,Homa DM,Redd SC

更新日期：2002-08-01 00:00:00

abstract：:The association between pulmonary impairment and all-cause mortality was investigated among white subjects in a follow-up study of a large national cohort. Pulmonary function was measured during the National Health and Nutrition Examination Survey (NHANESI) (1971 to 1975); subsequent mortality information was obtained...

journal_title：Chest

authors： Bang KM,Gergen PJ,Kramer R,Cohen B

更新日期：1993-02-01 00:00:00

abstract：BACKGROUND:Heparin-induced thrombocytopenia (HIT) is an antibody-mediated adverse drug reaction that can lead to devastating thromboembolic complications, including pulmonary embolism, ischemic limb necrosis necessitating limb amputation, acute myocardial infarction, and stroke. METHODS:The methods of this guideline f...

journal_title：Chest

authors： Linkins LA,Dans AL,Moores LK,Bona R,Davidson BL,Schulman S,Crowther M

更新日期：2012-02-01 00:00:00

abstract：:As previous studies have suggested that inhaled furosemide may have a protective effect against certain types of provocative challenges in asthmatic subjects, we investigated the role of furosemide in treating acute asthma exacerbations. Twenty-four patients (n = 24) with acute asthma were entered into the study on pr...

journal_title：Chest

authors： Karpel JP,Dworkin F,Hager D,Feliciano S,Shapiro D,Posner L,Luks D

更新日期：1994-11-01 00:00:00

abstract：:We studied the value of pleural fluid neuron-specific enolase as a possible diagnostic marker for pleurisy of small cell lung cancer by using enzyme immunoassay. Pleural fluid NSE levels in 12 patients with carcinomatous pleurisy due to small cell lung cancer were compared with those in 37 patients with carcinomatous ...

journal_title：Chest

authors： Shimokata K,Niwa Y,Yamamoto M,Sasou H,Morishita M

更新日期：1989-03-01 00:00:00

abstract：:Cardiac and pulmonary disease are so closely interrelated that it is often difficult to determine in young infants which is the primary offender. As illustrated in these case reports, failure to recognize the true nature of the disease process may lead to unnecessary procedures and delays which can be life-threatening...

journal_title：Chest

authors： Moss AJ,McDonald LV

更新日期：1977-02-01 00:00:00

abstract：:The aim of this prospective study was to determine the rate of recurrence for spontaneous pneumothorax (SP) after tetracycline pleurodesis (TCP), using that of observation, tube thoracostomy alone, and thoracotomy as references. From 1985 to the end of 1991, 78 patients were treated with tetracycline pleurodesis and 1...

journal_title：Chest

authors： Alfageme I,Moreno L,Huertas C,Vargas A,Hernandez J,Beiztegui A

更新日期：1994-08-01 00:00:00

abstract：:We present a case of adult acute epiglottitis that was successfully managed by endotracheal intubation without the need for subsequent tracheostomy. ...

journal_title：Chest

authors： Ward CF,Benumof JL,Shapiro HM

更新日期：1977-01-01 00:00:00

abstract：:Four patients with elevated creatine phosphokinase (CPK) values and recurrent chest pain were found to have thoracic outlet syndrome. This association of abnormal CPK levels and chest pain due to thoracic outlet syndrome has not been previously reported. Symptoms and CPK values improved with anti-inflammatory medicati...

journal_title：Chest

authors： Godfrey NF,Halter DG,Minna DA,Weiss M,Lorber A

更新日期：1983-03-01 00:00:00

abstract：BACKGROUND:There is a need for a more complete classification system of lung cancer. To address this issue, we assessed whether the new staging could differentiate patients with early-stage cancers who have poorer prognosis and improve the unbalanced patient numbers with overlapping prognoses arising from the current T...

journal_title：Chest

authors： Tsuchiya T,Hashizume S,Akamine S,Muraoka M,Honda S,Tsuji K,Urabe S,Hayashi T,Yamasaki N,Nagayasu T

更新日期：2007-07-01 00:00:00

abstract：:This study was designed to compare the efficacy of coronary thrombolysis obtained with i.v. administration of three dose regimens of recombinant tissue plasminogen activator (rtPA). Although many studies have confirmed the efficacy of thrombolytic therapy in treatment of acute myocardial infarction, few prospective st...

journal_title：Chest

authors： Prewitt RM,Schick U,Ducas J

更新日期：1996-02-01 00:00:00

abstract：:Colonization of the lower respiratory tract by enteric Gram-negative bacilli (EGNB) has been a frequent finding in patients with long-term tracheostomies; however, the association of hospitalization and certain features of serious illness with this phenomenon has not been clearly established. Because such factors can ...

journal_title：Chest

authors： Niederman MS,Ferranti RD,Zeigler A,Merrill WW,Reynolds HY

更新日期：1984-01-01 00:00:00

abstract：:Benign thymic hyperplasia (BTH) is a known feature of hyperthyroidism, but is infrequently appreciated by clinicians. In most cases thymic enlargement is minimal; however, it may occasionally present as an appreciable anterior mediastinal mass. While surgical resection is a common approach to such a mass, recognition ...

journal_title：Chest

authors： White SR,Hall JB,Little A

更新日期：1986-11-01 00:00:00

abstract：:The use of physiologic pacing utilizing transvenous atrial and ventricular electrodes has recently taken on increased importance. A simple, safe, technique for electrode implantation has been used in 14 patients and enabled the implanting physicians to establish permanent atrioventricular (A-V) sequential pacing with ...

journal_title：Chest

authors： Fox S,Toonder FG

更新日期：1981-12-01 00:00:00