Decision making in obstructive sleep-disordered breathing. Putting it all together.

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：: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：:Our understanding of chronic bronchitis has been hampered by the fact that the diagnosis is based upon historical evidence of recurrent cough and sputum without any requirement that certain physiologic or microscopic criteria be met. Despite the fact that epidemiological studies have implicated viruses, bacteria, and ...

journal_title：Clinics in chest medicine

authors： Sachs FL

更新日期：1981-01-01 00:00:00

abstract：:Sjögren's syndrome is one of the most common systemic rheumatic diseases. Pulmonary disease is prevalent in Sjögren's syndrome; respiratory manifestations include chronic cough, obstructive airways disease, pulmonary lymphoma, and interstitial lung disease that may progress to severe pulmonary fibrosis. ...

journal_title：Clinics in chest medicine

authors： Cain HC,Noble PW,Matthay RA

更新日期：1998-12-01 00:00:00

abstract：:Nonresolving pneumonia is a common and frequently misunderstood problem faced by the practicing pulmonologist. While radiographic resolution of most infections is relatively long and lags behind clinical signs of recovery, data suggest that a variety of host defense problems are a consequence of systemic illness and a...

journal_title：Clinics in chest medicine

authors： Fein AM,Feinsilver SH,Niederman MS,Fiel S,Pai PB

更新日期：1987-09-01 00:00:00

abstract：:Nontuberculous mycobacteria (NTM) are important emerging cystic fibrosis (CF) pathogens, with estimates of prevalence ranging from 6% to 13%. Diagnosis of NTM disease in patients with CF is challenging, as the infection may remain indolent in some, without evidence of clinical consequence, whereas other patients suffe...

journal_title：Clinics in chest medicine

authors： Martiniano SL,Nick JA,Daley CL

更新日期：2016-03-01 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：:ICU-acquired weakness is a common problem and carries significant morbidity. Despite evidence that early mobility can mitigate this, implementation outside of the research setting is lagging. Understanding barriers at the systems as well as individual level is a crucial step in successful implementation of an ICU mobi...

journal_title：Clinics in chest medicine

authors： Honiden S,Connors GR

更新日期：2015-09-01 00:00:00

abstract：:Although Burkholderia cepacia colonizes a relatively small proportion of individuals with cystic fibrosis (CF), it is associated with significant morbidity and mortality, and has had a profound impact on infection control practices. This article reviews the current understanding of the epidemiology of B. cepacia infec...

journal_title：Clinics in chest medicine

authors： LiPuma JJ

更新日期：1998-09-01 00:00:00

abstract：:The hyperventilation seen in asthma is due to an increase in respiratory drive. This may be reflected by increased neural output to the respiratory muscles and probably by alterations in the respiratory pattern. This increased respiratory drive is most likely in response to irritant receptor stimulation in the lung. O...

journal_title：Clinics in chest medicine

authors： Schiff M

更新日期：1980-01-01 00:00:00

abstract：:Because the AIDS epidemic continues to grow, there is a sense of urgency to develop new treatment strategies, both for HIV infection and for AIDS-related illnesses. The rapid gathering of basic information related to HIV type 1 biology and opportunistic infections has led to an explosion in physicians' ability to diag...

journal_title：Clinics in chest medicine

authors： Polsky B

更新日期：1996-12-01 00:00:00

abstract：:The long-term ventilated patient is at high risk for developing nosocomial pneumonia or tracheobronchitis. In general, the frequency of infection increases with the duration of mechanical ventilation, but the risk appears to be greatest in the first week of intubation. Although these types of infection are common and ...

journal_title：Clinics in chest medicine

authors： Ahmed QA,Niederman MS

更新日期：2001-03-01 00:00:00

abstract：:In general, lung involvement in connective tissue disorders has not been as well defined as has isolated interstitial lung disease; this applies particularly to bronchiolitis, which occurs infrequently. The low prevalence of bronchiolitis may reflect difficulties in making the diagnosis in mild to moderate disease; at...

journal_title：Clinics in chest medicine

authors： Wells AU,du Bois RM

更新日期：1993-12-01 00:00:00

abstract：:The treatment of idiopathic pulmonary fibrosis (IPF) remains controversial. The benefits of conventional treatment with corticosteroids plus either azathioprine or cyclophosphamide have not been established in randomized, controlled trials. Other treatment strategies have been suggested as understanding of the pathoge...

journal_title：Clinics in chest medicine

authors： Nathan SD

更新日期：2006-03-01 00:00:00

abstract：:Lung cancer is a leading cause of cancer-related death in the world, and it accounts for more deaths than breast, colon, and prostate cancer combined in the United States. From a historical perspective, the premise behind early lung cancer detection strategy is that early detection of lung cancer is justified if early...

journal_title：Clinics in chest medicine

authors： Colt HG,Murgu SD

更新日期：2010-03-01 00:00:00

abstract：:Cellular dysfunction is a commonplace sequelum of sepsis and other systemic inflammatory conditions. Impaired energy production (related to mitochondrial inhibition, damage, and reduced protein turnover) appears to be a core mechanism underlying the development of organ dysfunction. The reduction in energy availabilit...

journal_title：Clinics in chest medicine

authors： Singer M

更新日期：2008-12-01 00:00:00

abstract：:Management of acute lung injury (ALI) and the acute respiratory distress syndrome (ARDS) is largely supportive, with the use of mechanical ventilation being a central feature. Recent advances in the understanding of ALI/ARDS and mechanical ventilation have revealed that lung-protective ventilation strategies may atten...

journal_title：Clinics in chest medicine

authors： Fan E,Stewart TE

更新日期：2006-12-01 00:00:00

abstract：:Fungal pneumonias cause unacceptable morbidity among patients with hematologic malignancies (HM) and recipients of hematopoietic stem cell transplantation (HSCT). The high incidence of fungal pneumonias in HM/HSCT populations arises from their frequently severe, complex, and persistent immune dysfunction caused by the...

journal_title：Clinics in chest medicine

authors： Young AY,Leiva Juarez MM,Evans SE

更新日期：2017-09-01 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：:This article reviews several important noninfectious pulmonary complications that threaten survival, pulmonary function, and quality of life after lung transplantation. Topics reviewed include primary graft dysfunction (PGD), native lung hyperinflation, anastomotic complications, phrenic nerve injury, pleural complica...

journal_title：Clinics in chest medicine

authors： Ahya VN,Kawut SM

更新日期：2005-12-01 00:00:00

abstract：:Viral pneumonia is a common complication for patients with hematologic malignancies and after hematopoietic cell transplantation causing significant morbidity, and often mortality. Infections are predominantly caused by herpes viruses, either by reactivation of latent infection, or less commonly primary infection, or ...

journal_title：Clinics in chest medicine

authors： Green ML

更新日期：2017-06-01 00:00:00

abstract：:The optimal surgical use of laser devices requires an understanding of the interaction mechanisms of laser radiation with biologic tissue. This article will review the physical and biologic factors that have an impact on surgical applications of the laser. It is hoped that this review can lead to improved surgical app...

journal_title：Clinics in chest medicine

authors： Sliney DH

更新日期：1985-06-01 00:00:00

abstract：:Individualized management of asthma requires consideration of single or combined pharmacologic alternatives. This article reviews experimental and clinical data on the efficacy, safety, mode of action, and therapeutic indications for cromolyn and related inhalational compounds; ketotifen; alpha-adrenergic blockers; ca...

journal_title：Clinics in chest medicine

authors： Falliers CJ,Tinkelman DG

更新日期：1986-09-01 00:00:00

abstract：:Traditional tuberculosis (TB) infection control focuses on the known patient with TB, usually on appropriate treatment. A refocused, intensified TB infection control approach is presented. Combined with active case finding and rapid molecular diagnostics, an approach called FAST is described as a convenient way to cal...

journal_title：Clinics in chest medicine

authors： Nardell EA

更新日期：2019-12-01 00:00:00

abstract：:Thoracic imaging is widely used to detect lower respiratory tract infections, identify their complications, and aid in differentiating infectious from noninfectious thoracic disease. Less commonly, the combination of imaging findings and a clinical setting can favor infection with a specific organism. This confluence ...

journal_title：Clinics in chest medicine

authors： Ketai L,Jordan K,Busby KH

更新日期：2015-06-01 00:00:00

abstract：:Lung function testing has undisputed value in the comprehensive assessment and individualized management of chronic obstructive pulmonary disease, a pathologic condition in which a functional abnormality, poorly reversible expiratory airway obstruction, is at the core of its definition. After an overview of the physio...

journal_title：Clinics in chest medicine

authors： Neder JA,de-Torres JP,Milne KM,O'Donnell DE

更新日期：2020-09-01 00:00:00

abstract：:Patient adherence to prescribed tuberculosis regimens must be assured to prevent relapse, acquired resistance, and transmission. Directly observed therapy (DOT), an outpatient management strategy designed to ensure adherence, is not widely used because it is perceived to be inordinately expensive. The primary focus of...

journal_title：Clinics in chest medicine

authors： Weis SE

更新日期：1997-03-01 00:00:00

abstract：:Systemic lupus erythematosus (SLE) is a potentially severe, frequently disabling autoimmune disease with multiorgan involvement and a typically waxing and waning course. SLE is often considered the prototypical autoimmune disease. Although SLE has the potential to affect any organ, the lungs are commonly involved late...

journal_title：Clinics in chest medicine

authors： Kamen DL,Strange C

更新日期：2010-09-01 00:00:00

abstract：:From our studies, it is clear that diaphragm muscle neuromotor control is responsive to alterations in innervation and activation. These adaptations to altered use appear to be most pronounced among fast-twitch motor units composed of type II muscle fibers. Because the plasticity involves diminished contractile streng...

journal_title：Clinics in chest medicine

authors： Sieck GC

更新日期：1994-12-01 00:00:00

abstract：:Although they are complex, the pulmonary-renal syndromes can be readily understood and managed using a clinical approach firmly grounded in the fundamental pathophysiology of these disorders. Several important principles must be borne in mind. First, therapeutic intervention must be preceded by making as firm a diagno...

journal_title：Clinics in chest medicine

authors： Young KR Jr

更新日期：1989-12-01 00:00:00