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6
May
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- Article wrote by
Daniel Amsel
Several therapeutic modalities are currently available for malignant airway occlusion. These include external beam radiation, laser therapy, and endobronchial radiation. To our knowledge, no randomized study has evaluated these modalities prospectively. Although laser therapy achieves immediate airway recanalization, the duration of response is unlikely to be long, as considerable endobronchial as well as extrabronchial tumor [...]
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5
May
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- Article wrote by
Daniel Amsel
Thirty-three patients showed at least a one-level improvement in PS, 17 remained unchanged, and five showed at least a one-level deterioration one month following EBRT (Table 1A). A total of 166 symptoms were present prior to therapy; 131 of these resolved or improved, 20 remained unchanged, and 15 worsened (Table 1С). When measured as an [...]
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4
May
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- Article wrote by
Daniel Amsel
With more than 150,000 cases every year, lung cancer represents today s major oncologic challenge. There are more than 120,000 deaths annually and most therapeutic approaches result in a high incidence of local failure that frequently manifests as malignant airway occlusion. According to one estimate, 20 to 30 percent of newly diagnosed lung malignant neoplasms [...]
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20
Apr
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- Article wrote by
Daniel Amsel
We read with interest the recent case report and review of post- obstructive pulmonary edema by Willms and Shure. A recent case at our hospital prompted a review of the anesthesia-related literature. We note that these authors implicate post-anesthesia laryngo- spasm as the most common cause of this syndrome in adults. Although they reported that [...]
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19
Apr
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- Article wrote by
Daniel Amsel
We read with great interest the study by Jackson et al on the trends in asthma mortality in 14 different countries. As stated by these authors, “it is clearly of considerable importance to ascertain in countries with increasing reported asthma mortality rates, whether these trends are real or due to changes in accuracy of certification [...]
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8
Apr
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- Article wrote by
Daniel Amsel
Few contolled data are available on the bronchodilating effect of intravenous MgS04 in bronchial asthma. In 1987, Okayama et al showed that MgS04 relieved bronchoconstriction in mild asthma in a dose-dependant manner. Maximal responses were similar to the effects of additional albuterol inhalation. Bronchodilation occurred soon after the beginning of MgS04 infusion and reached its [...]
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7
Apr
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- Article wrote by
Daniel Amsel
Patient characteristics are listed in Table 1. The changes in FEV, during MgS04 infusion and during albuterol inhalation on two consecutive days are shown in Figure 1. On day 1 as well as on day 2, there was a significant (p<0.05) improvement in FEV1 after MgS04 infusion, as well as a subjective improvement of dyspnea [...]