The obese patient in the ICU.

abstract：BACKGROUND:In response to the Agency for Healthcare Research and Quality statement questioning the usefulness of “screening spirometry,” the National Heart, Lung, and Blood Institute and the COPD Foundation held a consensus conference in June 2008 to establish a procedure to detect cases of COPD in the general populati...

journal_title：Chest

authors： Nelson SB,LaVange LM,Nie Y,Walsh JW,Enright PL,Martinez FJ,Mannino DM,Thomashow BM

更新日期：2012-08-01 00:00:00

abstract：:A 55-year-old woman had bilateral hilar lymphadenopathy and retinouveitis. Microscopic examination of a biopsy specimen from a mediastinal lymph node revealed noncaseating epithelioid cell granulomas. Since granulomatous diseases of infectious origin and sarcoid reaction were reasonably excluded, she was diagnosed as ...

journal_title：Chest

authors： Yamaguchi E,Haneda H,Okazaki N,Abe S,Kawakami Y,Nojima T

更新日期：1989-01-01 00:00:00

abstract：:A 26-year-old woman presented with abnormal findings on a chest radiograph. She had no significant history other than a fever 4 months prior to presentation that had resolved without a definite cause identified. She denied cough, shortness of breath, chest pain, history of smoking, environmental exposures, or prior pr...

journal_title：Chest

authors： Albores J,Smith MI

更新日期：2016-03-01 00:00:00

abstract：BACKGROUND:The effects of regular inhaled beta-agonist treatment on lung function remain a controversial issue. In an earlier study, the administration of regular inhaled salbutamol resulted in negative changes in FEV1 not only in asthmatics, but also in nonasthmatic atopic subjects. OBJECTIVE:The aim of this study wa...

journal_title：Chest

authors： Boothman-Burrell D,Jones D,Herbison GP,Taylor DR

更新日期：1997-07-01 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：:Proteomics is the study of the entire protein complement of the genome (the proteome) in a biological system. Proteomic studies require a multidisciplinary approach and have only been practical with the convergence of technical and methodologic improvements including the following: advances in mass spectrometry and ge...

journal_title：Chest

authors： Bowler RP,Ellison MC,Reisdorph N

更新日期：2006-08-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether standard clinical and transthoracic echocardiographic criteria considered to be suggestive of the presence of endocarditis-associated paravalvular abscess are predictive of which patients would benefit from reliable but invasive transesophageal echocardiographic investigations for a...

journal_title：Chest

authors： Blumberg EA,Karalis DA,Chandrasekaran K,Wahl JM,Vilaro J,Covalesky VA,Mintz GS

更新日期：1995-04-01 00:00:00

abstract：:The adverse effects of prolonged immobility are due primarily to gravitational effects on blood flow and ventilation, impairment of the normal mucociliary escalator and possibly an increase in extravascular lung water. However, CLRT theoretically should reverse these abnormalities. The sequence of events that culminat...

journal_title：Chest

authors： Sahn SA

更新日期：1991-05-01 00:00:00

abstract：STUDY OBJECTIVE:Estimating lung volume using inspiratory capacity (IC) maneuvers is a useful way of tracking dynamic hyperinflation. An understanding of the repeatability of the IC in a clinical setting is important when evaluating an individual's response to a therapeutic intervention that might influence lung volume....

journal_title：Chest

authors： Dolmage TE,Goldstein RS

更新日期：2002-03-01 00:00:00

abstract：:The preponderance of evidence indicates that high airway pressure is not by itself injurious to the lung. Rather, overdistention of the lung appears to be the fundamental mechanism underlying VALI. The physician must bear in mind the factors (ie, flow-resistive pressure losses, respiratory muscle activity, and abnorma...

journal_title：Chest

authors： Manning HL

更新日期：1994-01-01 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：:Pulmonary function test results of individuals with the acquired immunodeficiency syndrome (AIDS) were analyzed to determine the prevalence of abnormally low forced expiratory flow rates and bronchial hyperreactivity. Of 99 individuals with AIDS, a total of 44 (44 percent) had either low forced expiratory flow rates o...

journal_title：Chest

authors： O'Donnell CR,Bader MB,Zibrak JD,Jensen WA,Rose RM

更新日期：1988-11-01 00:00:00

abstract：:A review of 121 culture-positive cases of pulmonary tuberculosis from 1979 to 1984, including both Korean and American patients, at the major US military hospital in Korea indicated that most antituberculosis drug resistance occurred in patients with a history of previous antituberculosis therapy. The 98 patients with...

journal_title：Chest

authors： Etzkorn ET,Lillis PK,McAllister CK

更新日期：1986-08-01 00:00:00

abstract：BACKGROUND:Architectural design of health-care facilities can influence patient safety; however, it is unknown whether patient outcomes are significantly affected by ICU design. METHODS:Six hundred sixty-four patients admitted to the medical ICU (MICU) of Columbia University Medical Center during 2008 were included in...

journal_title：Chest

authors： Leaf DE,Homel P,Factor PH

更新日期：2010-05-01 00:00:00

abstract：:The purpose of our study was to determine the frequency of cardiac ectopy during the performance of flow-volume loops. The performance of an adequate flow-volume loop entails significant shifts in intrathoracic pressure and oxyhemoglobin saturation that could heighten myocardial arrhythmogenicity and lead to increased...

journal_title：Chest

authors： Fields CL,Byrd RP Jr,Ossorio MA,Roy TM,Michaels MJ,Vogel RL

更新日期：1993-04-01 00:00:00

abstract：BACKGROUND:Growing evidence suggests that no-reflow reperfusion after direct percutaneous coronary intervention (d-PCI) is associated with an unfavorable clinical outcome. The purpose of this study was to evaluate whether prerevascularization angiographic morphologic features of infarct-related arteries (IRAs) and time...

journal_title：Chest

authors： Yip HK,Chen MC,Chang HW,Hang CL,Hsieh YK,Fang CY,Wu CJ

更新日期：2002-10-01 00:00:00

abstract：BACKGROUND:In a rodent model of cardiac arrest and resuscitation in which the inspired gas mixture was enriched with oxygen, resuscitability and survival were unaffected by positive pressure ventilation. In the present study, in a larger animal model, tidal volumes generated during precordial compression and with spont...

journal_title：Chest

authors： Noc M,Weil MH,Tang W,Turner T,Fukui M

更新日期：1995-09-01 00:00:00

abstract：BACKGROUND:Some of the challenges in the delivery of high-quality end-of-life care in the ICU include the variability in the characteristics of patients with certain illnesses and the practice of critical care by different specialties. METHODS:We examined whether ICU attending specialty was associated with quality of ...

journal_title：Chest

authors： Kross EK,Engelberg RA,Downey L,Cuschieri J,Hallman MR,Longstreth WT Jr,Tirschwell DL,Curtis JR

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Patients with common variable immunodeficiency (CVID) suffer from respiratory infections leading over time to permanent lung damage. Increased radiosensitivity has been described, and clinicians should consider a risk-benefit assessment when ordering a CT scan, in that the exact level of "safe" radiation exp...

journal_title：Chest

authors： Serra G,Milito C,Mitrevski M,Granata G,Martini H,Pesce AM,Sfika I,Bonanni L,Catalano C,Fraioli F,Quinti I

更新日期：2011-12-01 00:00:00

abstract：:The influence of positive expiratory pressure (PEP) applied during inhalation of a beta 2-agonist in treatment of bronchial asthma was investigated in a randomized crossover study with two-week treatment periods. In one period, two puffs (0.5 mg) of terbutaline was given from a metered dose inhaler and inhaled through...

journal_title：Chest

authors： Frischknecht-Christensen E,Nørregaard O,Dahl R

更新日期：1991-08-01 00:00:00

abstract：:The last 5 years have brought dramatic changes to the care of patients with severe sepsis. While early diagnosis remains a challenge and, regrettably, a rapid, sensitive, and specific diagnostic test is still lacking, the methods to identify those critically ill patients who are likely to die have become clearer. The ...

journal_title：Chest

authors： Wheeler AP

更新日期：2007-12-01 00:00:00

abstract：:A 66-year-old woman was cared for at two referral institutions following a witnessed cardiac arrest in a local emergency department. Despite aggressive initial care, she failed to regain consciousness during a 28-day course. Based on an erroneous neurologic diagnosis of anoxic encephalopathy, pessimism regarding likel...

journal_title：Chest

authors： Dunn WF,Adams SC,Adams RW

更新日期：2008-05-01 00:00:00

abstract：:The selection of appropriate chemotherapeutic and/or radiation therapy for small cell lung cancer should be done after careful diagnosis and staging workup. A patient with small cell lung cancer is presented and explanation given for each step in diagnosis and staging. ...

journal_title：Chest

authors： O'Donnell WJ

更新日期：1995-06-01 00:00:00

abstract：:Breathing against positive expiratory pressure has been used to improve gas exchange in many forms of pulmonary edema, and forced expiration against resistance during exercise has been advocated for climbing at high altitude as a method to optimize performance. To evaluate the effect of expiratory positive airway pres...

journal_title：Chest

authors： Schoene RB,Roach RC,Hackett PH,Harrison G,Mills WJ Jr

更新日期：1985-03-01 00:00:00

abstract：BACKGROUND:Cystic fibrosis (CF) airway secretions are abnormal, contributing to decreased clearance and a cycle of infection and inflammation. CF sputum properties may predict disease progression. We hypothesized that sputum viscoelasticity and clearance abnormalities would inversely correlate with pulmonary function d...

journal_title：Chest

authors： Ma JT,Tang C,Kang L,Voynow JA,Rubin BK

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND:There remains debate over the best invasive diagnostic modality for mediastinal nodal evaluation. Prior studies have limited generalizability and insufficient power to detect differences in rare adverse events. We compared the risks and costs of endobronchial ultrasound (EBUS)-guided nodal aspiration and med...

journal_title：Chest

authors： Verdial FC,Berfield KS,Wood DE,Mulligan MS,Roth JA,Francis DO,Farjah F

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:The longitudinal associations between depression or anxiety and COPD, and their comorbid effect on prognosis, have not been adequately addressed by previous reviews. We aimed to systematically assess these associations to inform guidelines and practice. METHODS:We searched electronic databases for articles ...

journal_title：Chest

authors： Atlantis E,Fahey P,Cochrane B,Smith S

更新日期：2013-09-01 00:00:00

abstract：:The results of computed chest tomograms (CT) and chest roentgenograms (CR) were compared in 32 patients who presented with hemoptysis. The CT demonstrated roentgenographic abnormalities more often than CR (p less than 0.01), providing new diagnostic information in 15 patients (46.9 percent), and clarifying CR abnormal...

journal_title：Chest

authors： Haponik EF,Britt EJ,Smith PL,Bleecker ER

更新日期：1987-01-01 00:00:00

abstract：BACKGROUND:alpha(1)-Antitrypsin (AAT)-Z deficiency is a risk factor for the development of COPD. Compared to wild-type M, AAT-Z has an increased tendency to polymerize, rendering it inactive as a serine proteinase inhibitor. It has been demonstrated that wild-type M- and Z-deficiency AAT polymers are chemotactic for hu...

journal_title：Chest

authors： Persson C,Subramaniyam D,Stevens T,Janciauskiene S

更新日期：2006-06-01 00:00:00

abstract：:There is increasing clinical, radiologic, and pathologic recognition of the coexistence of emphysema and pulmonary fibrosis in the same patient, resulting in a clinical syndrome known as combined pulmonary fibrosis and emphysema (CPFE) that is characterized by dyspnea, upper-lobe emphysema, lower-lobe fibrosis, and ab...

journal_title：Chest

authors： Jankowich MD,Rounds SIS

更新日期：2012-01-01 00:00:00