Early and long-term functional outcomes following lung volume reduction surgery.

abstract：:Patients with diagnosed or suspected lung cancer first require appropriate staging and proven anatomic resectability. Excellent pre-operative spirometric data (FEV1 > 2.0 L, > 60% predicted) should recommend the patient for surgery immediately without further testing. Those whose preoperative FEV1 is less than 60% pre...

journal_title：Clinics in chest medicine

authors： Gilbreth EM,Weisman IM

更新日期：1994-06-01 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：:Pulmonary hypertension is a frequently encountered problem in older patients. True idiopathic pulmonary arterial hypertension can also be seen and requires careful exclusion in older patients. Institution of therapies must be tempered with an appreciation of individual comorbidities and functional limitations that may...

journal_title：Clinics in chest medicine

authors： McArdle JR,Trow TK,Lerz K

更新日期：2007-12-01 00:00:00

abstract：:This article assesses the role of pharmacotherapy in the management of respiratory muscle dysfunction. It focuses on two classes of drugs, the methylxanthines and the sympathomimetic agents. A prospective section focuses also on the particularities of the diaphragm among the skeletal striated muscles. In addition, a n...

journal_title：Clinics in chest medicine

authors： Aubier M

更新日期：1988-06-01 00:00:00

abstract：:Interventional pulmonology encompasses diagnostic and therapeutic bronchoscopic procedures, and pleural interventions. In the last 10 years older techniques have been refined and exciting new technologies have extended the reach and application of the instruments used. The main areas within pulmonary medicine for whic...

journal_title：Clinics in chest medicine

authors： Morgan RK,Ernst A

更新日期：2011-03-01 00:00:00

abstract：:Complications of tracheotomy are largely preventable. Although some authors cite these complications as indications for prolonged endotracheal intubation to avoid tracheotomy, others believe that the laryngotracheal complications of prolonged endotracheal intubation warrant early tracheotomy. Obviously, unnecessary tr...

journal_title：Clinics in chest medicine

authors： Wood DE,Mathisen DJ

更新日期：1991-09-01 00:00:00

abstract：:Pulmonary alveolar proteinosis (PAP) is a rare syndrome characterized by the accumulation of surfactant in alveoli and terminal airways resulting in respiratory failure. PAP comprises part of a spectrum of disorders of surfactant homeostasis (clearance and production). The surfactant production disorders are caused by...

journal_title：Clinics in chest medicine

authors： Suzuki T,Trapnell BC

更新日期：2016-09-01 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：:Pregnancy induces significant physiologic stresses on the pulmonary and cardiovascular systems that may precipitate respiratory compromise. In addition, certain disease states that are unique to the pregnant woman, such as amniotic fluid emboli syndrome, may be associated with respiratory failure. The physiologic chan...

journal_title：Clinics in chest medicine

authors： Pereira A,Krieger BP

更新日期：2004-06-01 00:00:00

abstract：:Available data show that Africa, together with the Americas and western and central Europe, reported the lowest prevalence of multidrug-resistant tuberculosis (MDR-TB). However, sub-Saharan Africa has a high TB incidence and the highest human immunodeficiency virus (HIV) prevalence in the world, and because of the hig...

journal_title：Clinics in chest medicine

authors： Schaaf HS,Moll AP,Dheda K

更新日期：2009-12-01 00:00:00

abstract：:Bullectomy for giant bullae, lung volume reduction surgery, and lung transplantation are three surgical therapies that may benefit highly selected patients with advanced chronic obstructive pulmonary disease. In this article, each procedure is reviewed, with an emphasis on guidelines for patient selection and clinical...

journal_title：Clinics in chest medicine

authors： Lederer DJ,Arcasoy SM

更新日期：2007-09-01 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：:As specialized laboratory tests became more widely available, Legionella species were found to be common causes of nosocomial and community-acquired pneumonia. Patients with chronic lung disease and organ transplants are at greatest risk. Clinical manifestations are non-specific, although fever greater than 39 degrees...

journal_title：Clinics in chest medicine

authors： Nguyen ML,Yu VL

更新日期：1991-06-01 00:00:00

abstract：:Given that poor asthma management leads to such devastating rates of morbidity and mortality in this country, efforts must be made to increase the knowledge, skills, and behaviors of persons with asthma. The suggestions and recommendations provided here represent a blend of academic opinion and practical advice on met...

journal_title：Clinics in chest medicine

authors： Kohler CL,Davies SL,Bailey WC

更新日期：1995-12-01 00:00:00

abstract：:Many pathologists and pulmonologists have trained and practiced in an era during which therapeutic options for patients have increased manyfold with regard to pharmacologic agents. Toxicity to the lung may be recognized as data accumulate in the form of case reports and clinical reviews to document the clinical and pa...

journal_title：Clinics in chest medicine

authors： Smith GJ

更新日期：1990-03-01 00:00:00

abstract：:Military personnel can be exposed to toxicants and conditions that can contribute to lung diseases. This article describes what is known about these exposures and diseases, focusing on the Iraq and Afghanistan wars. Adverse lung health outcomes have been reported in US military personnel deployed to Iraq and/or Afghan...

journal_title：Clinics in chest medicine

authors： Rose CS

更新日期：2012-12-01 00:00:00

abstract：:Flexible fiberoptic bronchoscopy is the most useful invasive technique for diagnosing lung cancer. This article details the use and efficacy of bronchoscopy with such established techniques as forceps biopsy, brush biopsy, and bronchial washing in the diagnosis and staging of bronchoscopically visible central lung can...

journal_title：Clinics in chest medicine

authors： Arroliga AC,Matthay RA

更新日期：1993-03-01 00:00:00

abstract：:Chronic thromboembolic pulmonary hypertension is one of the few forms of pulmonary hypertension that is surgically curable. It is likely underdiagnosed and must be considered in every patient presenting with pulmonary hypertension to avoid missing the opportunity to cure these patients. This article discusses the epid...

journal_title：Clinics in chest medicine

authors： Auger WR,Kim NH,Trow TK

更新日期：2010-12-01 00:00:00

abstract：:Millions of people worldwide engage in leisure or occupational activities in extreme environments. These environments entail health risks even for normal subjects. The presence of lung disease, or other conditions, further predisposes to illness or injury. Patients who have lung conditions should, but often do not, co...

journal_title：Clinics in chest medicine

authors： Dillard TA,Khosla S,Ewald FW Jr,Kaleem MA

更新日期：2005-09-01 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：:Polymerase chain reaction-based diagnosis has become the standard for viral pneumonia and other respiratory tract infections. Expansion of respiratory viral panels (RVPs) outside of influenza and, possibly, respiratory syncytial virus has led to the ability to diagnose viral infections for which no approved specific a...

journal_title：Clinics in chest medicine

authors： Wunderink RG

更新日期：2017-03-01 00:00:00

abstract：:The specialty has the knowledge and technology to change the outcome of lung cancer. Lung cancer, diagnosed in early stages, is as curable as all other cancers. Sputum cytology is the initial step in diagnosing roentgenographically occult lung cancer. Sputum cytology is complementary to CT scanning. Sputum cytology id...

journal_title：Clinics in chest medicine

authors： Petty TL,Tockman MS,Palcic B

更新日期：2002-03-01 00:00:00

abstract：:A poor therapeutic response may be explained by incomplete or erroneous diagnostic assessment, by failure to employ optimal drug doses and combinations, or by inadequate attention to the non-pharmacologic aspects of management. Poor compliance and counterproductive patient attitudes may need to be addressed. These pro...

journal_title：Clinics in chest medicine

authors： Branscomb BV

更新日期：1984-12-01 00:00:00

abstract：:Inhaled particles are cleared from the airways by ciliary transport of a discontinuous mucous layer. The effectiveness of this process depends on the viscoelastic properties of the secretion, which in turn depend on the composition and interaction of the glycoprotein constituents. In human airways, two major cell type...

journal_title：Clinics in chest medicine

authors： Basbaum CB

更新日期：1986-06-01 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：:Elevated serum IgE has many etiologies including parasitic infection, allergy and asthma, malignancy, and immune dysregulation. The hyper-IgE syndromes caused by mutations in STAT3, DOCK8, and PGM3 are monogenic primary immunodeficiencies associated with high IgE, eczema, and recurrent infections. These primary immuno...

journal_title：Clinics in chest medicine

authors： Freeman AF,Olivier KN

更新日期：2016-09-01 00:00:00

abstract：:Massive hemoptysis is a rare, but life-threatening event. Death from massive hemoptysis is usually due to aspiration of blood. Thus, the initial evaluation should occur simultaneously with efforts to control the patient's airway and respiratory status. Therapeutic interventions can be directed with an understanding of...

journal_title：Clinics in chest medicine

authors： Thompson AB,Teschler H,Rennard SI

更新日期：1992-03-01 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：:Sleep-related breathing disorders are strongly associated with increased risk of stroke independent of known risk factors. The direction of causation favors sleep-disordered breathing leading to stroke rather than the other way around, although definitive proof of this awaits the results of prospective cohort studies....

journal_title：Clinics in chest medicine

authors： Yaggi H,Mohsenin V

更新日期：2003-06-01 00:00:00

abstract：:In summary, the evaluation of the tired patient requires an awareness of the various meanings of tiredness. Furthermore, it is important to differentiate normal sleepiness that is a product of circadian rhythm variation in vigilance from pathologic sleepiness. Sleepiness that results from faulty habits, e.g., altered ...

journal_title：Clinics in chest medicine

authors： Moldofsky H

更新日期：1992-09-01 00:00:00