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November 2020 Imaging Case of the Month: Cause and Effect? 2020年11月月度影像病例:因果关系?
Southwest journal of pulmonary & critical care Pub Date : 2020-11-01 DOI: 10.13175/swjpcc058-20
P. Panse, C. Jokerst, M. Gotway
{"title":"November 2020 Imaging Case of the Month: Cause and Effect?","authors":"P. Panse, C. Jokerst, M. Gotway","doi":"10.13175/swjpcc058-20","DOIUrl":"https://doi.org/10.13175/swjpcc058-20","url":null,"abstract":"No abstract available. Article truncated after 150 words. Clinical History: A 36 -year-old woman with Crohn’s disease and ulcerative colitis diagnosed approximately 1 year earlier, was initially treated with adalimumab, but later switched to prednisone and budesonide when subcutaneous nodules and migraines were attributed to this medication. Subsequently a flare of gastrointestinal symptoms prompted hospitalization with colonoscopy which showed severe pancolitis consistent with ulcerative colitis. One month following hospital discharge, the patient then presented to the Emergency Department with continued complaints of nausea, diarrhea, abdominal pain, intermittent fever (self-measured to 101º F), joint pain, and a pruritic rash all over her body. These symptoms had occurred following her hospitalization 2 months earlier. She also complained of 25 lbs. weight loss over the previous year. In addition to prednisone and budesonide, the patient’s medications included hydroxyzine, famotidine, vitamin C, and hydrocodone-acetaminophen. The patient denies allergies and did not smoke nor use drugs. Physical examination showed the patient to be …","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"21 1","pages":"108-120"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43358781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correct Scoring of Hypopneas in Obstructive Sleep Apnea Reduces Cardiovascular Morbidity 阻塞性睡眠呼吸暂停低通气的正确评分可降低心血管疾病的发病率
Southwest journal of pulmonary & critical care Pub Date : 2020-10-19 DOI: 10.13175/swjpcc059-20
J. Parish, D. Baratz
{"title":"Correct Scoring of Hypopneas in Obstructive Sleep Apnea Reduces Cardiovascular Morbidity","authors":"J. Parish, D. Baratz","doi":"10.13175/swjpcc059-20","DOIUrl":"https://doi.org/10.13175/swjpcc059-20","url":null,"abstract":"No abstract available. Article truncated after 150 words. Obstructive Sleep Apnea (OSA) is a life-altering disease with a prevalence of 10% in men and 9% in women (1). In some groups (severe obesity, BMI > 40 kg/m2) the prevalence may be as high as 40% (2). One of the most controversial areas in the field of sleep medicine for many years has been the definition of the syndrome. Investigators who first identified OSA created the apnea index (AI), the number of apnea events per hour. An apnea was defined as a complete cessation of airflow for at least 10 seconds. When continuous positive airway pressure (CPAP) treatment for OSA was first introduced, a definition that third-party payors, such as the Center for Medicare and Medicaid Services (CMS), could use to determine which patients qualified for treatment was needed. The definition at that time was 30 apnea events during a 6-hour recording, which corresponded to an AI of 5 …","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47991446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medical Image of the Month: Severe Left Ventricular Hypertrophy 本月医学影像:严重左心室肥厚
Southwest journal of pulmonary & critical care Pub Date : 2020-10-02 DOI: 10.13175/SWJPCC052-20
April Olson, N. Blackstone, Benjamin Jarrett, J. Campion
{"title":"Medical Image of the Month: Severe Left Ventricular Hypertrophy","authors":"April Olson, N. Blackstone, Benjamin Jarrett, J. Campion","doi":"10.13175/SWJPCC052-20","DOIUrl":"https://doi.org/10.13175/SWJPCC052-20","url":null,"abstract":"","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"21 1","pages":"80-81"},"PeriodicalIF":0.0,"publicationDate":"2020-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44965669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
October 2020 Critical Care Case of the Month: Unexplained Encephalopathy Following Elective Plastic Surgery 2020年10月本月重症监护病例：选择性整形手术后不明原因的脑病
Southwest journal of pulmonary & critical care Pub Date : 2020-10-01 DOI: 10.13175/SWJPCC041-20
N. Held, C. Welsh
{"title":"October 2020 Critical Care Case of the Month: Unexplained Encephalopathy Following Elective Plastic Surgery","authors":"N. Held, C. Welsh","doi":"10.13175/SWJPCC041-20","DOIUrl":"https://doi.org/10.13175/SWJPCC041-20","url":null,"abstract":"","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"21 1","pages":"73-79"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47545354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Results of the SWJPCC Telemedicine Questionnaire SWJPCC远程医疗问卷调查结果
Southwest journal of pulmonary & critical care Pub Date : 2020-09-30 DOI: 10.13175/SWJPCC049-20
R. Robbins, Phoenix Pulmonary, Julene R. Robbins
{"title":"Results of the SWJPCC Telemedicine Questionnaire","authors":"R. Robbins, Phoenix Pulmonary, Julene R. Robbins","doi":"10.13175/SWJPCC049-20","DOIUrl":"https://doi.org/10.13175/SWJPCC049-20","url":null,"abstract":"","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"21 1","pages":"66-72"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44355646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The Association Between Obstructive Sleep Apnea Defined by 3 Percent Oxygen Desaturation or Arousal Definition and Self-Reported Cardiovascular Disease in the Sleep Heart Health Study 在睡眠心脏健康研究中，3%氧饱和度或觉醒定义的阻塞性睡眠呼吸暂停与自我报告的心血管疾病之间的关系
Southwest journal of pulmonary & critical care Pub Date : 2020-09-23 DOI: 10.1101/2020.09.22.20199745
S. Quan, R. Budhiraja, Sogol Javaheri, S. Parthasarathy, R. Berry
{"title":"The Association Between Obstructive Sleep Apnea Defined by 3 Percent Oxygen Desaturation or Arousal Definition and Self-Reported Cardiovascular Disease in the Sleep Heart Health Study","authors":"S. Quan, R. Budhiraja, Sogol Javaheri, S. Parthasarathy, R. Berry","doi":"10.1101/2020.09.22.20199745","DOIUrl":"https://doi.org/10.1101/2020.09.22.20199745","url":null,"abstract":"Background: Studies have established that OSA defined using a hypopnea definition requiring a >4% oxygen desaturation (AHI4%) is associated with cardiovascular (CVD) or coronary heart (CHD) disease. This study determined whether OSA defined using a hypopnea definition characterized by a >3% oxygen desaturation or an arousal (AHI3%A) is associated with CVD/CHD. Methods: Data were analyzed from 6307 Sleep Heart Health Study participants who had polysomnography. Self-reported CVD included angina, heart attack, heart failure, stroke or previous coronary bypass surgery or angioplasty. Self-reported CHD included the aforementioned conditions but not stroke or heart failure. The association between OSA and CVD/CHD was examined using logistic regression models with stepwise inclusion of demographic, anthropometric, social/behavioral and co-morbid medical conditions. A parsimonious model in which diabetes and hypertension were excluded because of their potential to be on the causal pathway between OSA and CVD/CHD also was constructed. Results: For CVD, the odds ratios and 95% confidence intervals for AHI3%A >30/hour were 1.39 (1.03-1.87) and 1.45 (1.09-1.94) in the fully adjusted and parsimonious models. Results for CHD were 1.29 (0.96-1.74) and 1.36 (0.99-1.85). In participants without OSA according to more stringent AHI4% criteria but with OSA using the AHI3%A definition, similar findings were observed. Conclusion: OSA defined using an AHI3%A is associated with both CVD and CHD. Use of a more restrictive AHI4% definition will misidentify a large number of individuals with OSA who have CVD or CHD. These individuals may be denied access to therapy, potentially worsening their underlying CVD or CHD.","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"22 1","pages":"86-103"},"PeriodicalIF":0.0,"publicationDate":"2020-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75209624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Medical image of the month: glioblastoma multiforme 本月医学影像：多形性胶质母细胞瘤
Southwest journal of pulmonary & critical care Pub Date : 2020-09-02 DOI: 10.13175/swjpcc046-20
C. Roose, Michael Larson
{"title":"Medical image of the month: glioblastoma multiforme","authors":"C. Roose, Michael Larson","doi":"10.13175/swjpcc046-20","DOIUrl":"https://doi.org/10.13175/swjpcc046-20","url":null,"abstract":"","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"21 1","pages":"64-65"},"PeriodicalIF":0.0,"publicationDate":"2020-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48287480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
September 2020 pulmonary case of the month: an apeeling example 2020年9月肺病例:一个引人注目的例子
Southwest journal of pulmonary & critical care Pub Date : 2020-09-01 DOI: 10.13175/swjpcc048-20
L. Wesselius
{"title":"September 2020 pulmonary case of the month: an apeeling example","authors":"L. Wesselius","doi":"10.13175/swjpcc048-20","DOIUrl":"https://doi.org/10.13175/swjpcc048-20","url":null,"abstract":"","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"21 1","pages":"56-63"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45924679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Poisoning by hand sanitizers 洗手液中毒
Southwest journal of pulmonary & critical care Pub Date : 2020-08-18 DOI: 10.13175/swjpcc047-20
R. Robbins
{"title":"Poisoning by hand sanitizers","authors":"R. Robbins","doi":"10.13175/swjpcc047-20","DOIUrl":"https://doi.org/10.13175/swjpcc047-20","url":null,"abstract":"","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"21 1","pages":"54-55"},"PeriodicalIF":0.0,"publicationDate":"2020-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47189739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute type A aortic dissection in a young weightlifter: a case study with an in-depth literature review 一名年轻举重运动员的急性A型主动脉夹层：一个病例研究和深入的文献综述
Southwest journal of pulmonary & critical care Pub Date : 2020-08-07 DOI: 10.13175/swjpcc025-20
S. Pak, Edinen Asuka
{"title":"Acute type A aortic dissection in a young weightlifter: a case study with an in-depth literature review","authors":"S. Pak, Edinen Asuka","doi":"10.13175/swjpcc025-20","DOIUrl":"https://doi.org/10.13175/swjpcc025-20","url":null,"abstract":"In spite of the continuing efforts of researchers and practitioners, the mortality rate for acute type A aortic dissection remains relatively high at about 20-50%. Conventional risk factors associated with acute type A aortic dissection include a family history or prior history of aortic disease, connective tissue disease, smoking, alcohol use, substance abuse, diabetes mellitus type II, and age of 40 or greater. With the growing awareness for fitness in our society, vigorous exercise is emerging as a novel risk factor for acute type A Aortic dissection. Herein, we present a non-trauma related acute type A aortic dissection secondary to weight-lifting in a young man. We also reviewed several articles in order to provide a comprehensive literature overview for readers, clinicians and future researchers.","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"21 1","pages":"39-53"},"PeriodicalIF":0.0,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43719395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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