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Does prematurity alter the course of respiratory syncytial virus infection? We compared previously healthy prematurely born infants with full-term infants hospitalized with respiratory syncytial virus (RSV) infection to evaluate the role of prematurity on the clinical course of the illness. During a 5-yr period (1984...
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1,401
7,912
Bilious pleural effusion following liver biopsy. Pleural effusions in patients with chronic liver disease are common and usually are of little consequence. Bilious pleural effusion can occur following percutaneous biopsy or cholangiography procedures if the pleura is traversed. This report emphasizes the role of bil...
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1,402
8,702
Acute pulmonary oedema following administration of ornithine-8-vasopressin. We report the case of a patient who developed acute pulmonary oedema following a short and uneventful surgical procedure. Among the differential diagnoses, the role of ornithine-8-vasopressin is emphasized.
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1,403
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Inhaler and spacer use in obstructive airway diseases. The role of inhaled aerosols in the treatment of obstructive airway diseases is increasing for both immediate bronchodilation and prophylactic anti-inflammatory effects. Inhaled aerosol agents are available in metered-dose inhaler and nebulizer forms. Maximum th...
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1,404
3,764
Rounded atelectasis complicated by obstructive pneumonia and pulmonary arterial thrombosis [published erratum appears in Chest 1991 Jun;99(6):1556] A patient with a history of asbestos exposure developed rounded atelectasis. The mass was associated with local bronchial obstruction, obstructive pneumonia and arterial ...
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1,405
4,438
Role of nasal allergy in chronic maxillary sinusitis--diagnostic value of nasal challenge with allergen. The role of nasal allergy in chronic maxillary sinusitis without an air-fluid level was studied in 37 patients. Seventy-three nasal provocation tests with various inhalant allergens were performed in 37 patients b...
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1,406
2,176
Bronchoalveolar lavage findings in a patient with the organic dust toxic syndrome. A previously healthy student developed the organic dust toxic syndrome after unloading a grain silo for one day. Bronchoalveolar lavage seven days later showed a total cell count six times normal with 70% lymphocytes. This suggests th...
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1,407
6,851
Surgical management of pulmonary metastatic leiomyosarcoma with gross endobronchial extension. Metastatic leiomyosarcoma occasionally is seen with gross endobronchial extension without invasion of the bronchial wall. These patients have major airway obstruction and partial or total atelectasis of the lung. Precise b...
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1,408
3,724
Pulmonary manifestations of disseminated cryptococcosis in patients with AIDS. Forty-eight patients with disseminated cryptococcosis and AIDS were retrospectively studied to define the pulmonary manifestations. Cryptococcus neoformans (CN) was first isolated from a pulmonary site in 12 patients. Disseminated disease...
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1,409
6,477
Ultrastructural localization of proteinase 3, the target antigen of anti-cytoplasmic antibodies circulating in Wegener's granulomatosis. To investigate the distribution of proteinase 3, the target antigen of anti-cytoplasmic antibodies (ACPA or C-ANCA), within the organelles of resting normal human polymorphonuclear l...
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1,410
7,374
Trends in lung cancer incidence and mortality--United States, 1980-1987 [published erratum appears in MMWR Morb Mortal Wkly Rep 1990 Dec 14;39(49):906] Lung cancer is the most common fatal malignant neoplasm in the United States. Based on current smoking patterns, the substantial public health burden of smoking-relat...
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1,411
6,026
Pleuropulmonary tularemia: successful treatment with erythromycin. A 64-year-old man had community-acquired pneumonia that was retrospectively diagnosed as pleuropulmonary tularemia. He was successfully treated with erythromycin. We review the case and briefly discuss the literature on this point.
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1,412
7,980
Acute bronchitis: general practitioners' views regarding diagnosis and treatment. A survey was conducted among 800 Dutch general practitioners to establish their views on the diagnosis and treatment of bronchitis and related disorders with reference to 12 theoretical patients. The answers of the 467 respondents (resp...
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1,413
402
Intravenous and oral corticosteroids for the prevention of relapse after treatment of decompensated COPD. Effect on patients with a history of multiple relapses To determine if a regimen of intravenous and oral corticosteroids reduces the relapse rate after treatment of decompensated COPD in the ED, 30 patients were ...
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1,414
5,284
Angioedema from angiotensin converting enzyme inhibitors: a cause of upper airway obstruction. Angiotensin-converting enzyme (ACE) inhibitors have several side effects of concern to the otolaryngologist. Angioedema is a rare, but potentially lethal adverse effect when associated with upper airway obstruction. Four c...
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1,415
9,285
Radiologic detection of pleural thickening. The purpose of this study was to investigate four aspects of the radiologic detection of pleural thickening: the specificity of chest X-rays read by B readers, the effects of threshold definitions of positivity, the extent of variability among different X-ray readers, and th...
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1,416
711
Changes in self-concept during pulmonary rehabilitation, Part 2. This two-part study describes changes in self-concept during pulmonary rehabilitation. A 20-item semantic meaning differential scale was administered to 37 patients with severe chronic obstructive pulmonary disease who were participating in a multidisci...
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1,417
2,785
Functional character and augmentation of lymphocytes in regional lymph nodes of patients with lung cancer. It appears that lymph node metastases are more frequent in lung cancer than in other cancers because of impaired defensive mechanisms in the regional lymph nodes. However, little is known about the immunologic f...
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1,418
4,566
Developmental expression of plasminogen activator inhibitor type 1 by human alveolar macrophages. Possible role in lung injury. Urokinase activity is regulated by the specific endogenous plasminogen activator inhibitors type 1 (PAI-1) and type 2 (PAI-2). One of these inhibitors, PAI-1, has been directly implicated in...
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1,419
5,625
Current epidemiology of pertussis in Japan. Since the introduction of whole cell pertussis vaccine into general use as part of the routine immunization in 1947 under the Preventive Immunization Law, a steady decrease in reported cases of pertussis was noted until 1974. At that time the number of reported cases reache...
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1,420
7,859
Respiratory response and pharmacokinetics of intravenous salbutamol in infants with bronchopulmonary dysplasia. The effects of iv salbutamol on respiratory mechanics were studied in six infants with bronchopulmonary dysplasia. Salbutamol was infused at a dose of 30 micrograms/kg over 30 min in five infants; a sixth i...
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1,421
3,021
Strapless oral-nasal interface for positive-pressure ventilation. A custom-fabricated strapless oral-nasal interface (SONI) is described. It was used in the long-term administration of intermittent positive-pressure ventilation (IPPV) by 18 patients with paralytic or restrictive pulmonary insufficiency. This interfa...
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1,422
9,186
Failure to limit quantities of benzodiazepine hypnotic drugs for outpatients: placing the elderly at risk. PURPOSE: The long-term use of benzodiazepine hypnotics by the elderly is associated with serious side effects, and prescriptions of large quantities of these agents allow such use. Therefore, we determined the q...
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1,423
9,974
A lethal complication of papaverine-induced priapism. A large series of patients was treated for impotence with intracorporeal injections of papaverine and phentolamine with no major complications and no deaths reported. We report on a 45-year-old black man with advanced multiple sclerosis who died after such therapy...
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1,424
5,475
Subdural hematoma associated with metastatic neoplasms. Two cases of subdural hematoma, one acute and the other chronic, associated with cancer metastatic to the dura are reported. Various mechanisms of the association of hematomas with cancer are reviewed.
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1,425
408
Quality of life in elderly patients with chronic nonspecific lung disease seen in family practice. We studied the quality of life of elderly patients with chronic nonspecific lung disease (CNSLD) in family practice. We also investigated the relationship between patients' somatic condition and their quality of life. ...
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1,426
5,299
An in vivo canine model for testing treatment effects in laryngeal hyperadduction disorders. Adductor spastic dysphonia is a voice disorder characterized by a strained, squeezed, effortful voice produced by true and false cord hyperadduction. An in vivo canine model has been developed to simulate hyperadduction of th...
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1,427
7,590
Midfacial hypoplasia associated with long-term intubation for bronchopulmonary dysplasia. Six preterm infants with bronchopulmonary dysplasia were nasotracheally intubated for 68 to 243 days. Gestational age at birth ranged from 24 to 35 weeks. Endotracheal tube size was changed to account for growth and varied from...
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1,428
2,424
Arterial oxygen desaturation during gastrointestinal endoscopy This prospective study evaluated the incidence and severity of arterial oxygen desaturation during gastrointestinal endoscopy. Following pulmonary function testing, 115 male patients underwent esophagogastroduodenoscopy (EGD), colonoscopy, or colonoscopy...
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1,429
9,293
Methacholine responsiveness among working populations. Relationship to smoking and airway caliber. It has been suggested that the development of bronchial hyperresponsiveness (BHR) in some smokers may be an intermediate event in the progression to chronic obstructive pulmonary disease in this group. If this is true, ...
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1,430
5,916
Pulmonary and disseminated infection due to Mycobacterium kansasii: a decade of experience. Fifty-five patients with Mycobacterium kansasii isolates (47 pulmonary and eight disseminated) were identified at a large Texas hospital from 1975 to 1985. The mean age of patients was 60 years, and there was a slight male pre...
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1,431
7,897
Prostacyclin but not phentolamine increases oxygen consumption and skin microvascular blood flow in patients with sepsis and respiratory failure. Inadequate tissue oxygenation may occur in critically ill patients with sepsis despite an apparently adequate O2 transport (QO2), and this may contribute to the development ...
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1,432
2,593
Viral bronchiolitis during early life induces increased numbers of bronchiolar mast cells and airway hyperresponsiveness. The objectives of this study were to determine the kinetics of Sendai virus-induced increases in bronchiolar mast cells and to determine whether virus-induced increases in bronchiolar mast cells we...
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1,433
2,165
Use of biological glue to control pulmonary air leaks. Biological glue is a natural adhesive generated by the interaction between fibrinogen (pre-glue) and thrombin to produce fibrin. The pre-glue is prepared from a single donor (to avoid the problems of pooled plasma) and stored as cryoprecipitate. Before being use...
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1,434
9,185
Ofloxacin treatment of Chlamydia pneumoniae (strain TWAR) lower respiratory tract infections. PURPOSE: Limited data suggest that tetracycline or erythromycin is the antibiotic of choice for treating Chlamydia pneumoniae infection, but they are not always effective or well tolerated. Because the fluoroquinolone ofloxa...
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1,435
3,006
Mucinous cystadenoma of the lung. A report of two cases with immunohistochemical and ultrastructural analysis. We describe two patients who presented with solitary pulmonary masses that consisted of unilocular cysts lined by columnar mucinous epithelium. The cysts contained copious mucus. The epithelial lining of th...
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1,436
3,726
Exercise performance of polycythemic chronic obstructive pulmonary disease patients. Effect of phlebotomies. The purpose of this study was to determine the effects of phlebotomy on the exercise tolerance and right and left ventricular ejection fraction of polycythemic patients with chronic obstructive pulmonary diseas...
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419
Three mixed venous saturation catheters in patients with circulatory shock and respiratory failure Thirty-one critically ill patients with acute respiratory failure and circulatory shock were divided into three groups. Group 1 included 11 patients with an inserted mixed venous saturation (SvO2) catheter using three-...
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1,438
8,844
Childhood pulmonary function following hyaline membrane disease. Hyaline membrane disease per se is not associated with abnormal lung function or increased nonspecific airway reactivity in childhood or adulthood. Very-low-birth-weight infants who survive almost routinely in neonatal ICUs are at risk, however, for dev...
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1,439
4,198
An unusual late complication following surgical repair of tetralogy of Fallot. A case is presented of extrusion of right ventricular outflow tract patch material through a mediastino-cutaneous fistula occurring five years after repair of tetralogy of Fallot. The focus of the mediastinal infection was an infected epic...
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1,440
3,592
Chest infection following head and neck surgery: a pilot study. This paper reports the results of a pilot study which examined factors associated with chest infection following head and neck surgery. The overall rate of chest infection was 11%, but was 20% in those patients having a tracheotomy. No infection develop...
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1,441
9,279
Surfactant replacement improves lung recoil in rabbit lungs after acid aspiration. We tested the hypothesis that surfactant replacement would be beneficial in the acid-aspiration model of acute lung injury. HCl (0.1 N, 2 ml/kg) was injected into the trachea of excised rabbit lungs (n = 8). Control lungs (n = 4) had ...
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1,442
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Permeability pulmonary edema following lung resection. The etiology of edema associated with pulmonary resection was investigated in five patients during the immediate postoperative period. Three patients received pneumonectomy while two patients had one lobe resected. All patients suffered from severe respiratory d...
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1,443
2,759
Oral gold therapy in steroid-dependent asthma, nasal polyposis, and aspirin hypersensitivity. Eight patients are described who fulfill the criteria for the triad of asthma, nasal polyposis, and aspirin hypersensitivity who have been treated with oral chrysotherapy from 7 to 17 months. Patient diary and symptom scores...
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1,444
4,671
Pilot trial of selective decontamination for prevention of bacterial infection in an intensive care unit. Selective decontamination of the oropharynx and gastrointestinal tract with nonabsorbable antimicrobials and sucralfate, a stress ulcer prophylactic that maintains the normal gastric acid bacterial barrier, were c...
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1,445
388
Confluence of pulmonary veins simulating a pulmonary mass. Confluence of the pulmonary veins commonly appears on the frontal view of the chest and generally is easily recognized as such. On plain film tomography, computerized tomography, and pulmonary angiography, the anatomy of convergence of pulmonary veins prior t...
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1,446
2,804
Manual ventilation bags as a source for bacterial colonization of intubated patients. A group of 14 intensive care unit (ICU) patients were studied to determine if manual ventilation bags (MVB) could serve as a source of bacterial or fungal pathogens that could colonize the respiratory tract of intubated patients. A ...
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1,447
7,833
Chylothorax after posterior spinal instrumentation and fusion. Chylothorax occurred in a 16-year-old girl after posterior spinal fusion and instrumentation for idiopathic scoliosis. Nonoperative management, including chest tube drainage for 26 days and total parenteral nutrition, successfully treated this unusual com...
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1,448
4,304
Importance of sampling method in DNA analysis of lung cancer. Lung carcinomas are characterised by considerable histological variation within the tumour. The possible effects of this morphological heterogeneity on the estimation of tumour ploidy were investigated. Multiple tissue blocks were systematically taken fro...
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1,449
7,869
Prototype volume-controlled resuscitator for neonates and infants. Twenty-five infants receiving assisted ventilation in an ICU were manually ventilated for 5-min periods using either a new prototype volume-controlled resuscitator (VCR) or a standard self-inflating resuscitator (SIR). Variables monitored during these...
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1,450
6,054
The contributions of John B. Murphy to thoracic surgery. John B. Murphy was a prominent surgeon who lived in Chicago from the 1880s until his death in 1916. During his career, he was associated with both Rush Presbyterian and Northwestern Medical Schools. He was responsible for popularizing the use of an artificial...
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1,451
2,022
MR imaging of the bird's nest filter. The appearance of the Bird's Nest inferior vena cava filter on magnetic resonance (MR) images of 11 patients is described. No complication or symptomatic filter displacement was encountered as a result of MR imaging performed at 1.5 T. The filters created significant local artif...
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1,452
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Diagnosis and treatment of pneumonia in the surgical intensive care unit [published erratum appears in Surg Gynecol Obstet 1991 Apr;172(4):324] It is often difficult to detect the onset of parenchymal pulmonary infection (pneumonia) in a surgical intensive care unit (SICU) setting. Clinical and laboratory parameters ...
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1,453
3,768
Pulmonary malignant angioendotheliomatosis. Presentation with fever and syndrome of inappropriate antidiuretic hormone. A 64-year-old man presented with protracted fever, hyponatremia, and mononeuritis multiplex. Inappropriate antidiuretic hormone secretion was established. The absence of pulmonary infiltrates precl...
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1,454
3,243
Foam cuffed tracheal tubes: clinical and laboratory assessment. The efficiency of a foam cuffed tracheal tube has been studied in protecting the pulmonary tree from aspiration of oropharyngeal and gastric contents. Following instillation of methylene blue dye above the cuff, subsequent fibreoptic bronchoscopy reveale...
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1,455
40
Influence of Doppler sample volume location on the assessment of changes in mitral inflow velocity profiles. Previous studies that have validated Doppler indexes of mitral inflow have used pulsed wave sample volume locations either at the level of the mitral valve anulus or at the tips of the mitral valve leaflets. A...
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1,456
6,478
Inhibition of angiogenesis and tumor growth in the brain. Suppression of endothelial cell turnover by penicillamine and the depletion of copper, an angiogenic cofactor. Microvascular proliferation, a hallmark of malignant brain tumors, represents an attractive target of anticancer research, especially because of the q...
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1,457
7,909
Pneumomediastinum, pneumothorax and subcutaneous emphysema following the measurement of maximal expiratory pressure in a normal subject. Mediastinal and subcutaneous emphysema have been reported as a consequence of deliberate manipulations of the breathing pattern producing a Valsalva-like maneuver in healthy subjects...
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1,458
3,319
Wegener's granulomatosis presenting during first trimester of pregnancy. We describe a case of Wegener's granulomatosis in a lady who presented acutely with pulmonary haemorrhage, fever and breathlessness during her early pregnancy. She responded well to aggressive medical treatment.
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1,459
2,164
Trends in lung cancer, chronic obstructive lung disease, and emphysema death rates for England and Wales 1941-85 and their relation to trends in cigarette smoking Trends in smoking associated respiratory diseases in England and Wales during 1941-85 have been studied, with careful attention to problems caused by chang...
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1,460
9,953
Multiple organ failure: inflammatory priming and activation sequences promote autologous tissue injury. Systemic inflammation promotes multiple organ failure through the induction of diffuse microvascular leak. Inflammatory cells such as neutrophils propagate this process. Tissue injury by neutrophils may be viewed ...
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1,461
7,878
Diagnostic value of maximal exercise tidal volume. Though breathing pattern is frequently analyzed during clinical exercise testing, there is little information regarding its usefulness in the differential diagnosis of impaired exercise tolerance. This study tested the hypothesis that differences in peak tidal volume...
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1,462
8,848
Approaches to the patient with aspiration and swallowing disabilities. Aspiration, or soiling of the tracheobronchial tree, can produce life-threatening pulmonary disease. Intermittent or persistent aspiration may cause symptoms including cough, intermittent fever, recurrent tracheobronchitis, atelectasis, pneumonia,...
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1,463
365
Role of prostaglandin E1 in reducing pulmonary vascular resistance in an experimental model of acute lung injury. To determine the role and efficacy of prostaglandin E1 (PGE1) on the cardiopulmonary derangements induced by glass bead embolism, two studies were performed. In the first study, a dose response of PGE1 wa...
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1,464
8,064
Pulmonary blood volume and edema in postpneumonectomy lung growth in rats. After pneumonectomy in young animals, the contralateral lung undergoes compensatory growth and generally attains the same weight and air space volume as both lungs in age-matched controls. In this study, we determined the contribution of lung ...
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1,465
7,901
Pneumothorax following cytotoxic chemotherapy in malignant lymphoma. Pneumothorax occurring as a complication of the antitumor effect of cytotoxic chemotherapy has been reported in occasional cases of a variety of tumors. Its occurrence in malignant lymphoma has not been reported heretofore. In this report, we descr...
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1,466
8,295
Carcinosarcoma and spindle cell carcinoma of the lung. Clinicopathologic and immunohistochemical studies. We examined pulmonary carcinomas with prominent sarcoma-like lesions both clinicopathologically and immunohistochemically. Grossly, two tumors had predominantly endobronchial growths, four bulky parenchymal growt...
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1,467
2,754
Additive effect of albuterol and ipratropium bromide in the treatment of bronchospasm in children. Inhaled albuterol (A) (salbutamol) alone and albuterol plus ipratropium bromide (IB) were administered to 12 asthmatic children. Following administration of A alone or in combination with IB, there was a significant inc...
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1,468
2,950
Results in 104 patients undergoing bronchoplastic procedures for bronchial lesions. Bronchoplastic procedures were used in 104 patients with various bronchial disorders. Ten had benign lesions and 94, malignant tumors. The principal operative procedures were sleeve lobectomy and sleeve pneumonectomy for bronchogenic...
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1,469
5,338
Pancreaticopleural fistula. Report of 7 patients and review of the literature. Pancreaticopleural fistula is an uncommon clinical condition. Its presentation is often confusing because of the paucity of clues suggestive of pancreatic disease and the preponderance of pulmonary symptoms and signs. Most patients are al...
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1,470
7,892
Pulmonary vascular steal in chronic thromboembolic pulmonary hypertension. After pulmonary thromboendarterectomy, performed for relief of chronic thromboembolic pulmonary hypertension, perfusion lung scans have frequently disclosed new perfusion defects in segments served by undissected pulmonary arteries. Our hypoth...
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1,471
3,589
Trimming of the inferior turbinates: a prospective long-term study. The aim of this study was to determine whether the initial benefits of radical trimming and anterior trimming of the inferior turbinates on nasal airflow persisted in the long term. Radical trimming significantly reduced nasal resistance at 2 months ...
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1,472
2,378
Characterization of the morphonuclear features and DNA ploidy of typical and atypical carcinoids and small cell carcinomas of the lung. The authors analyzed several cytomorphonuclear parameters related to chromatin distribution and DNA ploidy in typical and atypical carcinoids and in small cell lung cancers. Nuclear ...
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1,473
5,950
Cytomegalovirus infections after allogeneic bone marrow transplantation. Cytomegalovirus (CMV) infection occurs in approximately 50% of all recipients of allogeneic bone marrow transplants and is seen more frequently in CMV-seropositive patients than in CMV-seronegative patients. Sources of infection include reactiva...
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1,474
5,380
A controlled trial of early adjunctive treatment with corticosteroids for Pneumocystis carinii pneumonia in the acquired immunodeficiency syndrome. California Collaborative Treatment Group. BACKGROUND. Pneumocystis carinii pneumonia remains a common cause of serious morbidity and mortality in patients with the acquir...
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1,475
8,655
Corticosteroids in primary tuberculosis with bronchial obstruction. The usefulness of prednisolone in combination with the modern potent antituberculous drugs has been studied in 29 children with primary lung tuberculosis and hilar adenopathy causing bronchial obstruction. These children were divided at random in two...
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1,476
7,906
Septic pulmonary embolism complicating a central venous catheter. Bacteremia is a recognized complication in patients with indwelling central venous catheters. More recently pulmonary embolism in such patients has also been described. Despite abundant clinical experience with these devices, to our knowledge, septic ...
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1,477
2,020
Therapeutic embolization: enhanced radiolabeled monitoring. Radiolabeling of Ivalon (polyvinyl alcohol sponge) particles permits localization of injected particles during embolization through the use of a portable gamma camera and provides a means to prevent potentially fatal complications such as pulmonary embolizati...
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1,478
7,365
A palmar dermatosis linked to occult carcinoma of the upper thorax, head and neck: Bazex's syndrome and tripe palm. An unusual, persistent, corregated-to-honeycombed thickening of the palms accompanied by tenderness around the fingernails was found to be a cutaneous marker for internal malignancy. This combination of...
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1,479
2,394
Isolation of measles virus in primary rhesus monkey cells from a child with acute interstitial pneumonia who cytologically had giant-cell pneumonia without a rash. The isolation of measles virus in primary Rhesus monkey kidney cells (PRMK) in patients with documented giant-cell pneumonia who have presented without a r...
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1,480
7,485
Small cell lung cancer: staging with MR imaging. Small cell lung cancer is an aggressive neoplasm; metastases are detected in two-thirds of patients at diagnosis with use of conventional staging, which includes bilateral bone marrow biopsy, bone scintigraphy, and computed tomography (CT) of the head and abdomen. In 2...
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1,481
3,434
Thromboembolism. A complication of weekly chemotherapy in the treatment of non-Hodgkin's lymphoma. In a retrospective survey of 85 patients who received chemotherapy as treatment for non-Hodgkin's lymphomas, the authors found that clinically apparent thromboembolic disorders occurred in four of 11 patients receiving w...
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1,482
8,707
Effect of oral omeprazole on intragastric pH and volume in women undergoing elective caesarean section We have studied in obstetric patients the efficacy of omeprazole in increasing intragastric pH to more than 2.5 and reducing volume to less than 25 ml. Omeprazole 40 mg was given orally the night before and again o...
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1,483
387
Mucoid impaction of upper lobe bronchi in the absence of proximal bronchiectasis. Mucoid impaction is a complication of asthma and is frequently recurrent in patients with allergic bronchopulmonary aspergillosis (ABPA). This report describes a patient with asthma and recurrent bilateral well-circumscribed densities o...
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1,484
3,742
Bronchoalveolar lavage in liquid paraffin pneumonitis. We evaluated cells and lipids recovered in the bronchoalveolar lavage fluid from seven patients with liquid paraffin pneumonitis. For each patient, the BALF was whitish with oil droplets on the surface. Alveolar macrophages contained numerous, large vacuoles tha...
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1,485
9,665
Nicardipine reduces the cardio-respiratory toxicity of intravenously administered bupivacaine in rats. The purpose of our study was to examine the effect of intravenous (IV) nicardipine pretreatment (30 micrograms.kg-1), given three minutes before an IV bolus of bupivacaine to determine its effect on the incidence of ...
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1,486
4,986
Effect of endotoxin and a burn injury on lung and liver lipid peroxidation and catalase activity. Both endotoxin and a burn alone produce oxidant-induced tissue lipid peroxidation. The endotoxin response is due in large part to hydrogen peroxide. The combination of endotoxin after a burn results in an increased live...
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1,487
5,952
Successful strategy for prevention of cytomegalovirus interstitial pneumonia after human leukocyte antigen-identical bone marrow transplantation. Cytomegalovirus (CMV) interstitial pneumonia is a frequent and often fatal complication of allogeneic bone marrow transplantation. Because therapy for CMV pneumonia was, un...
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1,488
401
Diagnostic value of nonfluoroscopic percutaneous lung needle aspiration in patients with pneumonia. In forty-one patients (mean [+/- SD] age 51 +/- 19 years; range, 11 to 88 years; seven female and 34 male) with clinical signs and symptoms of pneumonia, we performed a nonfluoroscopic percutaneous lung needle (22 gauge...
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1,489
7,862
Pentoxifylline attenuates edema formation in proteolytic enzyme-induced lung injury. Ex vivo canine lung lobes were exposed to a pancreatic proteolytic enzyme (chymotrypsin) alone or chymotrypsin after pretreatment with a continuous infusion with pentoxifylline. The lobes exposed to chymotrypsin gained 133 g, while t...
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1,490
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Bronchoscopy in critically ill patients. When is it appropriate? Fiberoptic bronchoscopy is a valuable diagnostic and therapeutic tool for use in carefully selected patients with serious pulmonary disease. The authors review the benefits and risks of fiberoptic bronchoscopy and discuss the essentials of nursing care ...
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1,491
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The relative value of conventional staging procedures for developing prognostic models in extensive-stage small-cell lung cancer. Published prognostic models for small-cell lung cancer (SCLC) have either combined limited- and extensive-stage patients or have not included standard anatomic staging information to assess...
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1,492
6,854
Giant chest wall tumor resulting from tissue reaction to foreign bodies. Three patients are reported in whom chest wall tumors developed 19 to 28 years after thoracoplasty and increased in size with time. The tumors could be removed operatively with good results. All tumors were composed of hematoma and necrotic mat...
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1,493
7,631
Mast cell heterogeneity in chronic idiopathic urticaria. Patients with chronic urticaria are more sensitive to codeine skin testing than other allergic individuals. Nonlesional skin in most patients with chronic urticaria was found to contain increased numbers of both total and atypical mast cells. The presence of i...
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1,494
7,873
Utility of fiberoptic bronchoscopy in nonresolving pneumonia Although fiberoptic bronchoscopy (FOB) has been traditionally used to evaluate nonresolving pneumonia, its efficacy is unknown. We, therefore, reviewed FOB in 35 consecutive patients who had (1) a roentgenographic infiltrate, (2) cough, (3) either temperat...
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1,495
5,684
Let's stop the comeback of tuberculosis. Best drug regimens for prevention and treatment. Tuberculosis has been on the increase in recent years, so physicians need to be aware of it once again. Very effective drugs are available to treat the disease. Pharmacokinetics, dosing schedule, and adverse reactions of each a...
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1,496
7,059
Metastasizing pleomorphic adenoma of the nasal septum. Pleomorphic adenoma is the most common benign tumor of glandular tissue occurring in the head and neck region. There have been several reports of metastasis of this benign-appearing tumor from the salivary glands to distant sites, suggesting hematogenous spread a...
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1,497
6,718
Bronchodilator response to ipratropium bromide in infants with bronchopulmonary dysplasia. Although the muscarinic antagonist Ipratropium bromide is used clinically as a bronchodilator in infants ventilated because of bronchopulmonary dysplasia (BPD), no studies have compared the response or efficacy of different dosa...
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1,498
6,733
Colobronchial fistula: a rare complication of Crohn's colitis. A 29-yr-old white woman presented with chronic pneumonia in the left lower lobe and with left pleural effusion. She was known to have inflammatory bowel disease, but she was asymptomatic under maintenance treatment with 5-ASA. She received numerous antib...
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1,499
6,725
Respiratory health effects of the indoor environment in a population of Dutch children. The effect of indoor exposure to nitrogen dioxide on respiratory health was studied over a period of 2 yr in a population of nonsmoking Dutch children 6 to 12 yr of age. Lung function was measured at the schools, and information o...
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