Screening by specialists to reduce unnecessary test ordering in patients evaluated for tuberculosis.

abstract：BACKGROUND:Matrix metalloproteinase (MMP)-7 was reported to be a key molecule in the pathogenesis of idiopathic pulmonary fibrosis (IPF) based on the result of microarray analysis and knockout mice. However, the role of MMP-7 has not been determined in other types of idiopathic interstitial pneumonia (IIP). The aim of ...

journal_title：Chest

authors： Huh JW,Kim DS,Oh YM,Shim TS,Lim CM,Lee SD,Koh Y,Kim WS,Kim WD,Kim KR

更新日期：2008-05-01 00:00:00

abstract：:The effects of filtration and concentration on the cellular and protein composition of bronchoalveolar lavage fluids were examined in ten normal subjects and 11 patients with asthma. Filtration of lavage fluid preferentially removed bronchial epithelial cells, resulting in a relative increase in the proportion of alve...

journal_title：Chest

authors： Lam S,LeRiche JC,Kijek K

更新日期：1985-06-01 00:00:00

abstract：:There have been no published reports of pneumopericardium complicating laparoscopy. Following an apparently uncomplicated laparoscopy, a 35-year-old woman developed pneumopericardium associated with subcutaneous emphysema of the neck. This resolved without specific therapy and without sequelae. ...

journal_title：Chest

authors： Nicholson RD,Berman ND

更新日期：1979-11-01 00:00:00

abstract：BACKGROUND:Childhood OSA is a prevalent condition associated with raised BP as documented in cross-sectional studies. This study aimed to determine whether baseline or change in OSA severity was associated with ambulatory BP at 4-year follow-up. METHODS:Children who participated in our previous OSA prevalence research...

journal_title：Chest

authors： Li AM,Au CT,Ng C,Lam HS,Ho CKW,Wing YK

更新日期：2014-06-01 00:00:00

abstract：:A patient with unruptured congenital aneurysm of the left coronary sinus of Valsalva presented with acute right-sided heart failure due to right ventricular outflow tract obstruction. The mechanism for such an acute presentation may have been a sudden increase in the size of the aneurysm. The surgical importance of th...

journal_title：Chest

authors： D'Silva SA,Dalvi BV,Lokhandwala YY,Kale PA,Tendolkar AG

更新日期：1992-02-01 00:00:00

abstract：CASE PRESENTATION:A 37-year-old man with poorly controlled type 2 diabetes presented with severe right-sided pleuritic chest pain, respiratory splinting, and cough. Two weeks earlier, he had been evaluated at an urgent care for cough and was prescribed a 5-day course of azithromycin for bronchitis. He then presented to...

journal_title：Chest

authors： Galant-Swafford J,Light M,Onaitis MW,Rawlings SA,Fierer J,Landsberg JW

更新日期：2019-07-01 00:00:00

abstract：:A 32-year-old man who presented with symptoms suggesting empyema was found at thoracotomy to have infarction of an extralobar pulmonary sequestration. He was completely relieved by excision of the sequestration after securing the systemic vascular pedicle which had undergone torsion. Recognition of the anomalous blood...

journal_title：Chest

authors： Maull KI,McElvein RB

更新日期：1975-07-01 00:00:00

abstract：:We report a patient with situs inversus and ischemic heart disease who had myocardial revascularization with anastomosis of the right mammary artery to the anterior descending coronary artery. ...

journal_title：Chest

authors： Abensur H,Ramires JA,Dallan LA,Jatene A

更新日期：1988-10-01 00:00:00

abstract：:Diagnosis of the hereditary disorder alpha 1-antitrypsin (alpha 1AT) deficiency is critically dependent on quantification of serum levels of alpha 1AT, a 52-kDa antiprotease that serves to protect the lung from destruction by neutrophil elastase. Although the measurement of serum alpha 1AT levels is not difficult, the...

journal_title：Chest

authors： Brantly ML,Wittes JT,Vogelmeier CF,Hubbard RC,Fells GA,Crystal RG

更新日期：1991-09-01 00:00:00

abstract：OBJECTIVE:To evaluate the clinical feasibility of using real-time measurements of work of breathing obtained at the bedside with a portable, commercially available respiratory monitor as an objective and quantifiable guideline for appropriately setting pressure support ventilation (PSV) to partially and totally unload ...

journal_title：Chest

authors： Banner MJ,Kirby RR,Gabrielli A,Blanch PB,Layon AJ

更新日期：1994-12-01 00:00:00

abstract：:A 60-year-old woman with recent onset of exertional chest pain, left anterior hemiblock and negative stress electrocardiogram was found to have hypoplasia of the coronary sinus with drainage of the major coronary venous blood by way of the Thebesian system into the left ventricle. This abnormality appeared to be of no...

journal_title：Chest

authors： Kinard SA

更新日期：1975-09-01 00:00:00

abstract：BACKGROUND:Acute myopathy following mechanical ventilation for near-fatal asthma (NFA) has been described recently, and some researchers have suggested that this complication is related to the use of neuromuscular blocking agents (NMBAs) and corticosteroids (CSs). OBJECTIVES:To determine the incidence of acute myopath...

journal_title：Chest

authors： Behbehani NA,Al-Mane F,D'yachkova Y,Paré P,FitzGerald JM

更新日期：1999-06-01 00:00:00

abstract：:We describe a patient who suffered from a bacterial pneumonia and had a left-sided infiltrate on his chest radiograph. He was found to be cytopenic and acute myeloid leukemia was diagnosed. A complete remission was achieved after chemotherapy, and the patient was scheduled to have autologous bone marrow transplantatio...

journal_title：Chest

authors： Sutedja T,Kwa B,van Kamp H,van Zandwijk N

更新日期：1993-06-01 00:00:00

abstract：BACKGROUND:Central sleep apnea (CSA) is common among patients with heart failure (HF) and is promoted by elevated CO2 chemosensitivity. Left atrial size is a marker of the hemodynamic severity of HF. The aim of this study was to determine if left atrial size predicts chemosensitivity to CO2 and CSA in patients with HF....

journal_title：Chest

authors： Calvin AD,Somers VK,Johnson BD,Scott CG,Olson LJ

更新日期：2014-07-01 00:00:00

abstract：:Alterations in peripheral vascular tone are presumed to contribute to circulatory failure during severe sepsis. Decreased venous tone with venous pooling may decrease effective circulatory blood volume, while decreased arterial tone with redistribution of systemic blood may compromise tissue nutrient flow. We compared...

journal_title：Chest

authors： Astiz ME,Rackow EC,Haydon P,Karras G,Weil MH

更新日期：1989-08-01 00:00:00

abstract：:In this pilot study, murine monoclonal anti-TNF antibody (2 mg/kg) was administered to ten patients within 24 h of septic shock which persisted after initial resuscitation with intravenous fluids and adrenergic agents. This treatment resulted in a reduction in heart rate (from 122 +/- 10 to 113 +/- 10 beats per minute...

journal_title：Chest

authors： Vincent JL,Bakker J,Marécaux G,Schandene L,Kahn RJ,Dupont E

更新日期：1992-03-01 00:00:00

abstract：:Large-scale, randomized clinical trials have produced over the last few years a wide consensus about the role of thrombolysis in the treatment of acute myocardial infarction (AMI). It has been estimated from the trials with broader inclusion criteria that about 40% of the patients admitted to coronary care units with ...

journal_title：Chest

authors： Franzosi MG,Maggioni AP,Tognoni G

更新日期：1992-04-01 00:00:00

abstract：STUDY OBJECTIVES:Direct current (DC) shocks to the heart cause morphologic and functional myocardial damage. Previous studies have suggested that acute DC shock injury is free radical mediated and that the administration of antioxidant enzymes superoxide dismutase and catalase can reduce the level of DC shock-induced f...

journal_title：Chest

authors： Pagan-Carlo LA,Garcia LA,Hutchison JL,Buettner GR,Kerber RE

更新日期：1999-08-01 00:00:00

abstract：:Providing artificial nutrition is an important part of caring for critically ill patients. However, because of a paucity of robust data, the practice has been highly variable and often based more on dogma than evidence. A number of studies have been published investigating many different aspects of critical care nutri...

journal_title：Chest

authors： Desai SV,McClave SA,Rice TW

更新日期：2014-05-01 00:00:00

abstract：STUDY OBJECTIVE:The primary objective of this study was to test whether an elevated systolic pulmonary artery (PA) pressure or an elevated pulmonary dead space fraction (Vd/Vt) in early acute lung injury (ALI) is associated with poor clinical outcomes in the era of lung-protective ventilation. DESIGN:Prospective obser...

journal_title：Chest

authors： Cepkova M,Kapur V,Ren X,Quinn T,Zhuo H,Foster E,Liu KD,Matthay MA

更新日期：2007-09-01 00:00:00

abstract：:This report describes the cross-sectional echocardiographic features of a left ventricular diverticulum. The echocardiographic findings are illustrated and discussed in relation to the diagnostic capabilities of this noninvasive imaging technique. ...

journal_title：Chest

authors： Estevez CM,Weyman AE,Feigenbaum H

更新日期：1976-04-01 00:00:00

abstract：STUDY OBJECTIVES:Pacing-induced asynchrony may deteriorate left ventricular function; however, limited data exists in humans. The aim of our study was to compare left ventricular hemodynamics during short-term atrioventricular sequential pacing from the right ventricular apex and from the outflow tract of the right ven...

journal_title：Chest

authors： Kolettis TM,Kyriakides ZS,Tsiapras D,Popov T,Paraskevaides IA,Kremastinos DT

更新日期：2000-01-01 00:00:00

abstract：:A case of amiodarone pulmonary toxicity (APT) occurring within days of the start of therapy and presenting with hemoptysis is reported. Both the very early onset and the presenting symptom are highly unusual in this entity. Implications in the diagnosis of APT are discussed. ...

journal_title：Chest

authors： Goldstein I,Topilsky M,Segev D,Isakov A,Heller I

更新日期：1997-05-01 00:00:00

abstract：BACKGROUND:Current guidelines recommend the use of inhaled corticosteroids (ICSs) added to long-acting beta(2)-agonists (LABAs) for treatment of symptomatic patients with severe and very severe COPD. However, the evidence has been inconclusive. The aim of this review was to assess the safety and efficacy of LABAs/ICSs ...

journal_title：Chest

authors： Rodrigo GJ,Castro-Rodriguez JA,Plaza V

更新日期：2009-10-01 00:00:00

abstract：OBJECTIVE:To highlight the incidence of subglottic stenosis (SGS) as a complication of surgery for congenital heart disease and the role of single-stage laryngotracheoplasty in treating this complication. DESIGN:Retrospective case series. SETTING:University-based referral center specializing in surgery for congenital...

journal_title：Chest

authors： Pereira KD,Mitchell RB,Younis RT,Lazar RH

更新日期：1997-06-01 00:00:00

abstract：STUDY OBJECTIVES:Recent studies combining medical and surgical patients have suggested that mortality is higher for mechanically ventilated women than for men. This study was designed to determine whether there are gender-based differences in outcomes in mechanically ventilated medical ICU (MICU) patients. DESIGN AND ...

journal_title：Chest

authors： Epstein SK,Vuong V

更新日期：1999-09-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the indications for preoperative localization of a small indeterminate pulmonary nodule. DESIGN:In this retrospective study, univariate and multivariate analyses were performed by the logistic regression procedure. SETTING:A single National Cancer Center Hospital in Japan. PATIENTS:A ser...

journal_title：Chest

authors： Suzuki K,Nagai K,Yoshida J,Ohmatsu H,Takahashi K,Nishimura M,Nishiwaki Y

更新日期：1999-02-01 00:00:00

abstract：:Solitary extramedullary plasmacytomas are uncommon neoplasms. They occur most frequently in the upper aerodigestive tract and account for 4% of the nonepithelial tumors in this site. The evolution of a plasmacytoma is unsteady and symptoms at presentation have included dystonia, dysphagia, oral pain, cough, and dyspne...

journal_title：Chest

authors： Byrd RP Jr,Roy TM,Bentz W,Mehta JB

更新日期：1996-06-01 00:00:00

abstract：:Hemianomalous pulmonary venous connection is a rare congenital abnormality that leads to significant left-to-right shunt and complications related to that. Earlier surgical correction of this disorder was associated with the problem of stenosis at the anastomotic site with the left atrium. We describe the diagnosis of...

journal_title：Chest

authors： Murali VP,Bahuleyan CG,Jayakumar K,Ramanarayan PV,Nair GR

更新日期：1992-06-01 00:00:00

abstract：:Urticaria with systemic effects occurred in a patient being treated with propranolol and was reproducible upon rechallenge with the drug; Successful beta-adrenergic blocking therapy was achieved using a new agent, tolamolol, with no evidence of any adverse effects. ...

journal_title：Chest

authors： Seides SF,Ruskin JN,Damato AN

更新日期：1975-04-01 00:00:00