J Natl Med Assoc
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Proper pulmonary function is a vital part of the physiological adjustment of the patient subjected to radical surgical procedures. The pathophysiology, diagnosis, and treatment of acute respiratory failure are discussed as well as the use of mechanical ventilation, PEEP, CPAP, and IMV and the indications for intubation and extubation.
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Case Reports
High-frequency jet ventilation in a patient with sarcoidosis and bilateral bronchopleural fistulae.
A patient with sarcoidosis developed bilateral bronchopleural fistulae and was managed with high-frequency ventilation. A review of this technique along with other mechanical ventilatory measures is presented.
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Data were collected on a cohort of 435 black medical students whose attendance at Meharry Medical College fell within the period 1958 to 1965, providing baseline measurements on multiple possible hypertension precursors. Relevant family history, sociodemographic, and clinical characteristics were obtained. Fifty percent of the students had at least one of the following possible precursors of hypertension: systolic blood pressure >120 mmHg; diastolic blood pressure >80 mmHg; pulse >80 beats/min; and relative body weight >120 percent of ideal body weight. ⋯ Students whose parents had a positive history of hypertension or stroke were likely to have higher diastolic blood pressures. Of the 24 students found to be hypertensive on survey (1981), 73 percent had a positive parental history of hypertension or stroke compared with only 40 percent of a control group matched by age and sex. A 17-year follow-up is currently underway to develop a risk profile for hypertension among black professionals.