J K Stoller

Summary

Affiliation: Cleveland Clinic Foundation
Country: USA

Publications

  1. ncbi Physician management and leadership education at the Cleveland Clinic Foundation: program impact and experience over 14 years
    James K Stoller
    Division of Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 55195, USA
    J Med Pract Manage 22:237-42. 2007
  2. ncbi A review of ?1-antitrypsin deficiency
    James K Stoller
    Cleveland Clinic Lerner School of Medicine, Cleveland Clinic Foundation, OH 44195, USA
    Am J Respir Crit Care Med 185:246-59. 2012
  3. ncbi Delay in diagnosis of alpha1-antitrypsin deficiency: a continuing problem
    James K Stoller
    Department of Pulmonary, Allergy, and Critical Care Medicine, Cleveland Clinic Foundation, A 90, 9500 Euclid Ave, Cleveland, OH 44195, USA
    Chest 128:1989-94. 2005
  4. ncbi Survey of methods of professional review for physicians in highly rated medical centers
    James K Stoller
    Cleveland Clinic Lerner College of Medicine, Department of Pulmonary, Allergy, and Critical Care Medicine, A90, Cleveland Clinic Foundation, 9500 Euclid Avenue, OH 44195, USA
    J Med Pract Manage 22:152-8. 2006
  5. ncbi An analysis of features of respiratory therapy departments that are avid for change
    James K Stoller
    Section of Respiratory Therapy, the Respiratory Institute, Cleveland Clinic, Cleveland, Ohio, USA
    Respir Care 53:871-84. 2008
  6. ncbi Key current clinical issues in alpha-1 antitrypsin deficiency
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, A90, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland OH 44195, USA
    Respir Care 48:1216-21; discussion 1221-4. 2003
  7. ncbi Long-term outcomes for patients discharged from a long-term hospital-based weaning unit
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    Chest 124:1892-9. 2003
  8. ncbi Inpatient consultation: results of a physician survey and a proposed improvement
    James K Stoller
    Section of Respiratory Therapy, Department of Pulmonary and Critical Care Medicine, Division of Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA
    J Healthc Qual 25:27-35. 2003
  9. ncbi Developing physician-leaders: a call to action
    James K Stoller
    Physician Leadership Development, Cleveland Clinic, Cleveland, OH 44195, USA
    J Gen Intern Med 24:876-8. 2009
  10. ncbi Weekly versus daily changes of in-line suction catheters: impact on rates of ventilator-associated pneumonia and associated costs
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, A 90, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland OH 44195, USA
    Respir Care 48:494-9. 2003

Detail Information

Publications94

  1. ncbi Physician management and leadership education at the Cleveland Clinic Foundation: program impact and experience over 14 years
    James K Stoller
    Division of Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 55195, USA
    J Med Pract Manage 22:237-42. 2007
    ....
  2. ncbi A review of ?1-antitrypsin deficiency
    James K Stoller
    Cleveland Clinic Lerner School of Medicine, Cleveland Clinic Foundation, OH 44195, USA
    Am J Respir Crit Care Med 185:246-59. 2012
    ..Promising novel therapies are under active investigation...
  3. ncbi Delay in diagnosis of alpha1-antitrypsin deficiency: a continuing problem
    James K Stoller
    Department of Pulmonary, Allergy, and Critical Care Medicine, Cleveland Clinic Foundation, A 90, 9500 Euclid Ave, Cleveland, OH 44195, USA
    Chest 128:1989-94. 2005
    ..We also determined whether individuals living near medical centers with an expressed interest in AAT deficiency experienced shorter diagnostic delays than those living at a distance...
  4. ncbi Survey of methods of professional review for physicians in highly rated medical centers
    James K Stoller
    Cleveland Clinic Lerner College of Medicine, Department of Pulmonary, Allergy, and Critical Care Medicine, A90, Cleveland Clinic Foundation, 9500 Euclid Avenue, OH 44195, USA
    J Med Pract Manage 22:152-8. 2006
    ..Many, but not all, reported expending large amounts of time conducting faculty reviews, presumably reflecting the perceived value of the process...
  5. ncbi An analysis of features of respiratory therapy departments that are avid for change
    James K Stoller
    Section of Respiratory Therapy, the Respiratory Institute, Cleveland Clinic, Cleveland, Ohio, USA
    Respir Care 53:871-84. 2008
    ....
  6. ncbi Key current clinical issues in alpha-1 antitrypsin deficiency
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, A90, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland OH 44195, USA
    Respir Care 48:1216-21; discussion 1221-4. 2003
    ..On that basis the standards document recommends intravenous augmentation therapy in specified clinical circumstances...
  7. ncbi Long-term outcomes for patients discharged from a long-term hospital-based weaning unit
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    Chest 124:1892-9. 2003
    ....
  8. ncbi Inpatient consultation: results of a physician survey and a proposed improvement
    James K Stoller
    Section of Respiratory Therapy, Department of Pulmonary and Critical Care Medicine, Division of Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA
    J Healthc Qual 25:27-35. 2003
    ..We propose a novel process for requesting inpatient consultations that extends currently available hospital information systems but offers a process improvement that warrants development...
  9. ncbi Developing physician-leaders: a call to action
    James K Stoller
    Physician Leadership Development, Cleveland Clinic, Cleveland, OH 44195, USA
    J Gen Intern Med 24:876-8. 2009
    ..Furthermore, physicians' training can handicap their developing leadership skills. In this context, an emerging trend is for health-care institutions to offer physician-leadership programs...
  10. ncbi Weekly versus daily changes of in-line suction catheters: impact on rates of ventilator-associated pneumonia and associated costs
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, A 90, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland OH 44195, USA
    Respir Care 48:494-9. 2003
    ....
  11. ncbi Developing physician-leaders: key competencies and available programs
    James K Stoller
    Respiratory Institute, A90, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA
    J Health Adm Educ 25:307-28. 2008
    ..Greater attention is needed to assessing the impact and effectiveness of such programs in developing leaders and benefiting organizational outcomes...
  12. ncbi The effectiveness of respiratory care protocols
    James K Stoller
    Department of Pulmonary, Allergy, and Critical Care Medicine, The Cleveland Clinic Foundation, Cleveland OH 44195, USA
    Respir Care 49:761-5. 2004
    ..help optimize the process of weaning patients from mechanical ventilation, (3). help minimize waste of oxygen, (4). allocate respiratory care services better than does physician-directed care...
  13. ncbi alpha1-Antitrypsin deficiency . 5: intravenous augmentation therapy: current understanding
    J K Stoller
    Division of Medicine, Section of Respiratory Therapy, Cleveland Clinic Lerner School of Medicine, Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    Thorax 59:708-12. 2004
    ..The biochemical and clinical efficacy of intravenous augmentation therapy in alpha(1)-antitrypsin deficiency is reviewed, adverse events experienced with this treatment are considered, and its cost effectiveness is discussed...
  14. ncbi Coronary artery bypass graft and/or valvular operations following prior pneumonectomy: report of four new patients and review of the literature
    James K Stoller
    Department of Pulmonary, Allergy and Critical Care Medicine, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195, USA
    Chest 132:295-301. 2007
    ..To expand the experience with this challenging clinical intervention, we reviewed the reported patients with prior pneumonectomy who were undergoing cardiac surgery as well as the experience at the Cleveland Clinic...
  15. ncbi Concordance of respiratory care plans generated by protocols from different hospitals: a comparative study
    James K Stoller
    Department of Pulmonary, Allergy, and Critical Care Medicine, A90, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland OH 44195, USA
    Respir Care 52:1006-12. 2007
    ..Do protocols from different hospitals agree with regard to indications for respiratory care treatments and use of the Clinical Practice Guidelines from the American Association for Respiratory Care?..
  16. ncbi Lung volume reduction surgery in patients with emphysema and alpha-1 antitrypsin deficiency
    James K Stoller
    Division of Medicine, Section of Respiratory Therapy, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Ann Thorac Surg 83:241-51. 2007
    ..The role of lung volume reduction surgery (LVRS) for individuals with alpha-1 antitrypsin (AAT) deficiency is unclear...
  17. ncbi Alpha1-antitrypsin deficiency
    James K Stoller
    Department of Pulmonary, Allergy, and Critical Care Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    Lancet 365:2225-36. 2005
    ..Evidence suggests that this approach is safe, slows the decline of lung function, could reduce infection rates, and might enhance survival. However, uncertainty about the cost-effectiveness of this expensive treatment remains...
  18. ncbi Mortality in individuals with severe deficiency of alpha1-antitrypsin: findings from the National Heart, Lung, and Blood Institute Registry
    James K Stoller
    Department of Pulmonary, Allergy, and Critical Care Medicine, The Cleveland Clinic Foundation, 9500 Euclid Ave, A90, Cleveland, OH 44195, USA
    Chest 127:1196-204. 2005
    ..2 years)...
  19. ncbi Primary care diagnosis of alpha-1 antitrypsin deficiency: issues and opportunities
    James K Stoller
    Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, USA
    Cleve Clin J Med 74:869-74. 2007
    ..The authors discuss impediments to diagnosis and drivers to making the diagnosis of alpha-1 antitrypsin deficiency, and they suggest several measures to enhance clinicians' recognition of the condition...
  20. ncbi Quality-assurance research: studying processes of care
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, A90, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    Respir Care 49:1175-80. 2004
    ..We discuss several examples of QA studies, and we offer a checklist for the process of considering, designing, executing, presenting, and publishing a QA study...
  21. ncbi Anomalous hepatic venous drainage into the left atrium: an unusual cause of hypoxemia
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, OH 44195, USA
    Respir Care 48:58-62. 2003
    ....
  22. ncbi Missed bronchodilator medication treatments in respiratory therapy: frequency and underlying causes
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, A 90, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland OH 44195, USA
    Respir Care 48:110-4. 2003
    ....
  23. ncbi Team-building and change management in respiratory care: description of a process and outcomes
    James K Stoller
    Department of Pulmonary, Allergy, and Critical Care Medicine, Respiratory Institute, A90, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    Respir Care 55:741-8. 2010
    ..quot; This study describes an intervention that fostered teamwork among 4 separate respiratory therapy (RT) departments within a single hospital...
  24. ncbi Formation and current results of a patient-organized registry for alpha(1)-antitrypsin deficiency
    J K Stoller
    Department of Pulmonary Medicine, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    Chest 118:843-8. 2000
    ....
  25. ncbi The impact of a respiratory therapy consult service on house officers' knowledge of respiratory care ordering
    J K Stoller
    Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, Ohio 44195, USA
    Respir Care 45:945-52. 2000
    ....
  26. ncbi Implementing change in respiratory care
    James K Stoller
    Department of Pulmonary, Allergy, and Critical Care Medicine, Respiratory Institute, A90, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland OH 44195, USA
    Respir Care 55:749-57. 2010
    ..To anchor change in our profession, greater attention should be given to developing a pipeline of respiratory care clinicians who, by virtue of their advanced training, have the skills to innovate in respiratory care in various ways...
  27. ncbi The hospital oxygen supply: an "O2K" problem
    J K Stoller
    Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Ohio 44195, USA
    Respir Care 45:300-5. 2000
    ....
  28. ncbi Clinical practice. Acute exacerbations of chronic obstructive pulmonary disease
    James K Stoller
    Division of Medicine and the Section of Respiratory Therapy, Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    N Engl J Med 346:988-94. 2002
  29. ncbi Bedside spirometry in a tertiary care hospital: the cleveland clinic experience
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, Section of Respiratory Therapy, The Cleveland Clinic Foundation, Ohio 44195, USA
    Respir Care 47:578-82. 2002
    ..A 1998 audit of bedside spirometry tests at our hospital showed that American Thoracic Society acceptability and reproducibility criteria were infrequently met (15% of instances)...
  30. ncbi Oxygen and air travel
    J K Stoller
    Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, OH 44195, USA
    Respir Care 45:214-21; discussion 221-2. 2000
    ..Significant current variation among commercial air carriers in policies regarding providing oxygen, related equipment, and the cost of in-flight oxygen poses challenges to the prospective air traveler and warrants attention...
  31. ncbi Biochemical efficacy and safety of a new pooled human plasma alpha(1)-antitrypsin, Respitin
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    Chest 122:66-74. 2002
    ..Augmentation therapy with pooled human plasma-derived alpha(1)-antitrypsin (AAT) has been shown to have biochemical efficacy in restoring serum AAT levels above the protective threshold. Also, clinical efficacy has been suggested...
  32. ncbi Impact of a radio frequency management information system on the process and timing of providing respiratory care services
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, A 90, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    Respir Care 47:893-7. 2002
    ..Having used a hand-held-device-based management information system in our Respiratory Therapy Section for 16 years, we assessed the impact of an RF system on the delivery of respiratory therapy (RT) services...
  33. ncbi The impact of turnover among respiratory care practitioners in a health care system: frequency and associated costs
    J K Stoller
    Section of Respiratory Therapy, Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    Respir Care 46:238-42. 2001
    ..Despite the widely shared goal of minimal turnover, neither the annual rate nor the associated expense of turnover for RTs has been described...
  34. ncbi 2000 Donald F. Egan Scientific Lecture. Are respiratory therapists effective? Assessing the evidence
    J K Stoller
    Department of Pulmonary and Critical Care Medicine, Division of Medicine, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland OH 44195, USA
    Respir Care 46:56-66. 2001
    ..Finally, the respiratory therapy community must continue to cultivate and suppport investigative expertise to assure continued inquiry...
  35. ncbi Physician-ordered respiratory care vs physician-ordered use of a respiratory therapy consult service: early experience at The Cleveland Clinic Foundation
    J K Stoller
    Cleveland Clinic Foundation, OH 44195
    Respir Care 38:1143-54. 1993
    ..Whether the RTCS fulfills its goal of ameliorating misallocation of respiratory care has yet to be proven and awaits the completion of other studies currently under way...
  36. ncbi Cost impact of metered dose inhalers vs small volume nebulizers in hospitalized patients: the Cleveland Clinic experience
    D K Orens
    Cleveland Clinic Foundation, OH
    Respir Care 36:1099-114. 1991
    ..To extend this analysis of costs to other institutional settings, we present an analysis of projected changes in institutional costs when the volume of bronchodilator therapies and the percentage administered by MDI varies...
  37. ncbi Augmentation therapy with alpha1-antitrypsin: patterns of use and adverse events
    James K Stoller
    Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, OH, USA
    Chest 123:1425-34. 2003
    ..However, the large percentage of subjects with FEV(1) <80% predicted not receiving augmentation therapy and the frequent use of 2- to 3-week or monthly dosing reflects variation of practice from suggested treatment guidelines...
  38. ncbi A review of alpha-1 antitrypsin deficiency
    Justin Ranes
    Department of Pulmonary, Allergy, and Critical Care Medicine/A90, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    Semin Respir Crit Care Med 26:154-66. 2005
    ....
  39. ncbi Cost-effectiveness analysis of augmentation therapy for severe alpha1-antitrypsin deficiency
    Thomas R Gildea
    Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, OH 44195, USA
    Am J Respir Crit Care Med 167:1387-92. 2003
    ..These results should encourage the development of more clinically and cost-effective therapies for alpha1-antitrypsin deficiency...
  40. ncbi The utility of spirometry in diagnosing pulmonary restriction
    Saiprakash B Venkateshiah
    Department of Pulmonary, Critical Care and Sleep Medicine, Creighton University, 601 North 30th Street, Suite 3820, Omaha, Nebraska 68131, USA
    Lung 186:19-25. 2008
    ..7%). Also, a spirometric diagnosis of "restriction" (FVC<LLN and FEV1/FVC>or=LLN) had a positive predictive value of 26.3-73.9%. On this basis, normal FVC can be regarded as excluding restriction with high reliability...
  41. ncbi The influence of mentorship and role modeling on developing physician-leaders: views of aspiring and established physician-leaders
    Christine A Taylor
    Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    J Gen Intern Med 24:1130-4. 2009
    ..g., grantsmanship, publications, etc.). In contrast, little attention has been given to the career development of physician-leaders (e.g., communication, vision, team-building, etc.)...
  42. ncbi Frequency and impact of pulmonary hypertension in patients with obstructive sleep apnea syndrome
    Omar A Minai
    Respiratory Institute, Cleveland Clinic, Ohio, USA
    Am J Cardiol 104:1300-6. 2009
    ..Female gender, younger age, obesity, and nocturnal desaturation were associated with PH. PH can cause functional limitations and increased mortality in patients with OSA...
  43. ncbi Long-term outcome in a patient with pulmonary hypertension and hereditary hemorrhagic telangiectasia
    Omar A Minai
    Department of Pulmonary, Allergy, and Critical Care Medicine, A90, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195, USA
    Chest 131:984-7. 2007
    ..To our knowledge, this case represents only the second with a 10-year follow-up reported and demonstrates that aggressive therapy can lead to long-term improvement in clinical parameters and survival...
  44. ncbi Pulmonary hypertension in lung diseases: survey of beliefs and practice patterns
    Omar A Minai
    Department of Pulmonary, Allergy, and Critical Care, Cleveland Clinic, Cleveland, OH, USA
    Respir Med 104:741-8. 2010
    ..Pulmonary hypertension can be associated with decreased functional capacity and poor prognosis in patients with parenchymal lung diseases (PLD). Yet, little attention has been given to current beliefs and practice patterns...
  45. ncbi Exploring leadership competencies in established and aspiring physician leaders: an interview-based study
    Christine A Taylor
    Faculty Development, Cleveland Clinic Lerner College of Medicine, Cleveland, OH 44195, USA
    J Gen Intern Med 23:748-54. 2008
    ..We designed this exploratory study to better understand specific perceived leadership needs of physicians from the perspective of "aspiring" and "established" leaders within our institution...
  46. ncbi Caring for VIPs: nine principles
    Jorge A Guzman
    Medical Intensive Care Unit, Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195, USA
    Cleve Clin J Med 78:90-4. 2011
    ..Caring for VIP patients requires innovative solutions so that their VIP status does not adversely affect the care they receive. We offer nine guiding principles in caring for VIP patients...
  47. ncbi A comparison of respiratory care workload with 2 different nebulizers
    Edward R Hoisington
    Respiratory Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A90, Cleveland OH 44195, USA
    Respir Care 54:495-9. 2009
    ..We studied the workload effect of adopting a faster nebulizer. We hypothesized that time saved by faster SVN treatment can be used by respiratory therapists for other patient-care activities...
  48. ncbi Detection of upper airway obstruction with spirometry results and the flow-volume loop: a comparison of quantitative and visual inspection criteria
    Ariel M Modrykamien
    Respiratory Institute, A90, Cleveland Clinic, 9500 Euclid Avenue, Cleveland OH 44195, USA
    Respir Care 54:474-9. 2009
    ..There are important gaps in our understanding of the epidemiology and diagnosis of upper-airway obstruction...
  49. ncbi Laboratory evaluation of the Vortran Automatic Resuscitator Model RTM
    Mark D Babic
    Respiratory Care Services, Fairview Hospital, 18101 Lorain Avenue, Cleveland OH 44111, USA
    Respir Care 52:1718-27. 2007
    ..One device that has been proposed to address the need for emergency ventilation is the Vortran Automatic Resuscitator...
  50. ncbi An analysis of needs for respiratory therapists in northeast Ohio and development of strategies to meet increased recruitment demands
    Douglas K Orens
    Section of Respiratory Therapy, M 56, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland OH 44195, USA
    Respir Care 52:1767-73. 2007
    ..At the Cleveland Clinic an expected hospital expansion of 350 beds by 2008 has increased the need for RT staff. This report describes a strategy by which we developed a plan, in concert with local RT colleges, to recruit RTs...
  51. ncbi Physician alert suggesting alpha-1 antitrypsin deficiency testing in pulmonary function test (PFT) results
    Franck Rahaghi
    Department of Medicine, Cleveland Clinic Florida Fort Lauderdale Weston, 2950 Cleveland Clinic Blvd, Fort Lauderdale Weston, FL 33331, USA
    COPD 6:26-30. 2009
    ..The incomplete rate of testing suggests the need for additional strategies to enhance clinicians' detection of individuals with AATD...
  52. ncbi Detection of alpha-1 antitrypsin deficiency: a review
    Loutfi S Aboussouan
    Cleveland Clinic Foundation, Respiratory Institute, OH 44195, USA
    Respir Med 103:335-41. 2009
    ....
  53. ncbi Women with ulcerating, painful skin lesions
    Melissa P Piliang
    Department of Dermatology, Cleveland Clinic Foundation, OH 44195, USA
    Cleve Clin J Med 75:414, 418, 422. 2008
  54. ncbi Augmentation therapy in alpha-1 antitrypsin deficiency
    Gustavo A Heresi
    Respiratory Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA
    Expert Opin Biol Ther 8:515-26. 2008
    ..Alpha-1 antitrypsin deficiency is a genetic disorder that leads to early-onset emphysema. Recently, exogenous supplementation of the enzyme has become a therapeutic alternative...
  55. ncbi Pneumonia due to Cryptococcus neoformans in a patient receiving infliximab: possible zoonotic transmission from a pet cockatiel
    Rabin K Shrestha
    Division of Microbiology, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    Respir Care 49:606-8. 2004
    ..A temporally related exposure history raised the possibility that our patient acquired the infection from his pet cockatiel. It seems prudent to advise patients receiving infliximab to avoid exposure to pet avian excreta...
  56. ncbi Small cell carcinoma with paraneoplastic polyneuropathy and tumor embolization: a case report and literature review
    Manica Sodhi
    Department of Pulmonary and Critical Care Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA
    Respiration 79:77-80. 2010
    ..To our knowledge, this patient represents only the second individual to be described with tumor embolization complicating small cell cancer and reminds clinicians of the extended spectrum of this disease...
  57. ncbi Pulmonary venous thrombosis and infarction complicating pulmonary venous stenosis following radiofrequency ablation
    Jose Yataco
    Department of Pulmonary, Allergy, and Critical Care Medicine, A90, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland OH 44195, USA
    Respir Care 49:1525-7. 2004
    ....
  58. ncbi Estimating FVC from FEV2 and FEV3: assessment of a surrogate spirometric parameter
    Octavian C Ioachimescu
    Department of Pulmonary, Allergy, and Critical Care Medicine, The Cleveland Clinic Foundation, 9500 Euclid Ave A90, Cleveland, OH 44195, USA
    Chest 128:1274-81. 2005
    ..In the context that accurate measurement of FVC is important in diagnosing airflow obstruction and in assessing restriction, strategies to achieve reliable and accurate FVC measurement have drawn much attention...
  59. ncbi A review of physician turnover: rates, causes, and consequences
    Anita D Misra-Hebert
    Department of General Internal Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Am J Med Qual 19:56-66. 2004
    ..Our review suggests that greater attention to physician turnover is needed to clarify its frequency and predictors, and strategies to lessen its occurrence...
  60. ncbi Respiratory care continuing education
    Lucy Kester
    Respiratory Therapy Section of the Pulmonary, Allergy, and Critical Care Medicine Department, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    Respir Care Clin N Am 11:505-15. 2005
    ..Evaluation methods for continuing education programs have focused on attendees' ratings but should be revised to emphasize the impact of the educational program on beneficial changes in practice...
  61. ncbi Severe agitation among ventilated medical intensive care unit patients: frequency, characteristics and outcomes
    Jeffery C Woods
    Critical Care and Step-down Nursing, Huron Hospital, Cleveland, Ohio, USA
    Intensive Care Med 30:1066-72. 2004
    ..CONCLUSION: Severe agitation occurs commonly in critically ill patients and is associated with adverse events including longer ICU stays, duration of mechanical ventilation and self-extubation...
  62. ncbi Smoking cessation
    Scott P Marlow
    Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Respir Care 48:1238-54; discussion 1254-6. 2003
    ..However, since respiratory therapists interact with smokers frequently, we believe it is particularly important for respiratory therapists to show leadership in implementing smoking cessation...
  63. ncbi Basilar hyperlucency in a patient with emphysema due to hypocomplementemic urticarial vasculitis syndrome
    Ziad Ghamra
    Department of Pulmonary and Critical Care Medicine, A90, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland OH 44195, USA
    Respir Care 48:697-9. 2003
    ..To the extent that basilar hyperlucency has not been well recognized as a feature of hypocomplementemic urticarial vasculitis syndrome, this report extends the spectrum of causes of this unusual radiographic pattern of emphysema...
  64. ncbi Low levels of nitric oxide and carbon monoxide in alpha 1-antitrypsin deficiency
    Roberto F Machado
    Department of Pulmonary and Critical Care Medicine, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Appl Physiol 93:2038-43. 2002
    ..Demonstration of lower than normal CO and NO levels may be useful as an additional noninvasive method to evaluate alpha(1)-AT deficiency in individuals with a severe, early onset of obstructive lung disease...
  65. ncbi The bronchopulmonary pathology of alpha-1 antitrypsin (AAT) deficiency: findings of the Death Review Committee of the national registry for individuals with Severe Deficiency of Alpha-1 Antitrypsin
    Joseph F Tomashefski
    Department of Pathology, MetroHealth Medical Center and Case Western Reserve University School of Medicine, Cleveland, OH 44109-1998, USA
    Hum Pathol 35:1452-61. 2004
    ....
  66. ncbi Right-to-left anatomic shunt associated with a persistent left superior vena cava: the importance of injection site in demonstrating the shunt
    Nandhitha N Thaiyananthan
    Pulmonary, Critical Care and Sleep Medicine Division, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH, USA
    Chest 136:617-20. 2009
    ..This case reminds pulmonary clinicians, who are frequently called on to assess the cause of hypoxemia, that specifying a contrast injection into the left arm is required in the pursuit of this specific shunt-producing anomaly...
  67. ncbi Use of noninvasive positive-pressure ventilation on the regular hospital ward: experience and correlates of success
    Samar Farha
    Department of Pulmonary, Allergy, and Critical Care Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    Respir Care 51:1237-43. 2006
    ....
  68. ncbi Emphysema in nonsmokers: alpha 1-antitrypsin deficiency and other causes
    Pyng Lee
    Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, OH 44195, USA
    Cleve Clin J Med 69:928-9, 933, 936 passim. 2002
    ....
  69. ncbi Cost-effectiveness of population screening for alpha-1 antitrypsin deficiency: a decision analysis
    Kenneth M Shermock
    Center for Pharmaceutical Outcomes and Policy, The Johns Hopkins Hospital, Cleveland, Ohio, USA
    COPD 2:411-8. 2005
    ..While population-based screening for AAT deficiency is not cost-effective under current conditions, cost-effectiveness criteria could be satisfied when case-finding in a high prevalence population is undertaken...
  70. ncbi A comparative analysis of arranging in-flight oxygen aboard commercial air carriers
    J K Stoller
    Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, OH 44106, USA
    Chest 115:991-5. 1999
    ..On the premise that such variation may cause confusion by prospective air travelers, we undertook the current study to describe individual air carriers' policies and practices and to provide guidance to future air travelers...
  71. ncbi Spirometry: a key diagnostic test in pulmonary medicine
    J K Stoller
    Department of Pulmonary Disease, Cleveland Clinic Foundation, OH 44195
    Cleve Clin J Med 59:75-8. 1992
    ..As a simple, inexpensive, and informative test, spirometry should be used liberally in assessing patients with respiratory symptoms...
  72. ncbi Exogenous granulocyte-macrophage colony-stimulating factor administration for pulmonary alveolar proteinosis
    M S Kavuru
    Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Am J Respir Crit Care Med 161:1143-8. 2000
    ..We conclude that GM-CSF appears to benefit a subset of patients with adult PAP, and may represent an alternative to whole-lung lavage in treating the disease...
  73. ncbi Frequency and causes of combined obstruction and restriction identified in pulmonary function tests in adults
    Enrique Diaz-Guzman
    Department of Pulmonary and Critical Care Medicine, Respiratory Institute, The Cleveland Clinic, Cleveland, Ohio 44195, USA
    Respir Care 55:310-6. 2010
    ..Moreover, although the causes of combined-obstruction-and-restriction patterns are known, the frequency of the various etiologies has received little attention...
  74. ncbi Impact of an annual retreat on process improvement in a respiratory therapy section
    Vincent T Roberts
    Section of Respiratory Therapy, Department of Pulmonary, Allergy, and Critical Care Medicine, The Cleveland Clinic Foundation, OH 44195, USA
    Respir Care 50:1654-8. 2005
    ....
  75. ncbi Changing patterns of inpatient respiratory care services over a decade at the Cleveland Clinic: challenges posed and proposed responses
    Douglas K Orens
    Department of Pulmonary, Allergy and Critical Care Medicine, The Cleveland Clinic Foundation, Ohio 44195, USA
    Respir Care 50:1033-9. 2005
    ..We believe that a focus on the process of care, including enhanced professionalism, communication, and participation, has permitted a favorable response to these rising demands...
  76. ncbi Augmentation therapy for alpha(1)-antitrypsin deficiency
    Georges S Juvelekian
    Department of Pulmonary, Allergy, and Critical Care Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Drugs 64:1743-56. 2004
    ..Despite its high cost, intravenous AAT augmentation therapy remains the only US FDA-approved treatment option for patients with AAT deficiency. Research into new and evolving treatments is currently underway...
  77. ncbi Right hemidiaphragmatic elevation with a right-to-left interatrial shunt through a patent foramen ovale: a case report and literature review
    S Ghamande
    Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    Chest 120:2094-6. 2001
    ....
  78. ncbi Pulmonary involvement in Niemann-Pick disease: case report and literature review
    O A Minai
    Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, Ohio 44195, USA
    Respir Med 94:1241-51. 2000
    ..This case is unique in that it provides the longest physiological follow-up in the literature, and provides data on the natural history of pulmonary involvement in NPD...
  79. ncbi Successful lecturing: a prospective study to validate attributes of the effective medical lecture
    H L Copeland
    Division of Education, Cleveland Clinic Foundation, OH 44195, USA
    J Gen Intern Med 15:366-71. 2000
    ..We believe our findings are useful for lecturers wanting to improve their effectiveness and for educators who design continuing medical education curricula...
  80. ncbi Impact of a clinical decision support system in an electronic health record to enhance detection of ??-antitrypsin deficiency
    Anil Jain
    Internal Medicine and Information Technology Division, Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA
    Chest 140:198-204. 2011
    ..Because ?(1)-antitrypsin deficiency (AATD) is underrecognized, strategies to enhance guideline-based diagnostic testing are warranted...
  81. ncbi Asthma features in severe alpha1-antitrypsin deficiency: experience of the National Heart, Lung, and Blood Institute Registry
    Edward Eden
    James P Mara Center for Lung Disease, St Luke s Roosevelt Hospital Center, New York, NY 10019, USA
    Chest 123:765-71. 2003
    ..To describe asthma features in a cohort with alpha(1)-antitrypsin (AAT) deficiency, and determine the impact of asthma on FEV(1) decline...
  82. ncbi IL10 polymorphisms are associated with airflow obstruction in severe alpha1-antitrypsin deficiency
    Dawn L DeMeo
    Brigham and Women s Hospital, Channing Laboratory, 181 Longwood Avenue, Boston, MA 02115, USA
    Am J Respir Cell Mol Biol 38:114-20. 2008
    ..Haplotype analysis of IL10 SNPs suggested the strongest association with IL10 promoter SNPs. IL10 is likely an important modifier gene for the development of COPD in individuals with severe AAT deficiency...
  83. ncbi Alpha-1 antitrypsin deficiency: an under-recognized but important issue for respiratory therapists
    James K Stoller
    Respir Care 48:1022-4. 2003
  84. ncbi Risk factors for symptom onset in PI*Z alpha-1 antitrypsin deficiency
    Annyce S Mayer
    Division of Environmental and Occupational Health Sciences National Jewish Medical and Research Center, Denver, CO 80206, USA
    Int J Chron Obstruct Pulmon Dis 1:485-92. 2006
    ..Age of symptom onset has not been well studied in relationship to other environmental exposures...
  85. ncbi Respiratory therapists' attitudes about participative decision making: relationship between managerial decision-making style and job satisfaction
    Shane S Blake
    Section of Respiratory Therapy, Department of Pulmonary, Allergy, and Critical Care Medicine, The Cleveland Clinic Foundation, Ohio 44195, USA
    Respir Care 49:917-25. 2004
    ..These findings offer guidance for organizing optimal work environments for RTs...
  86. ncbi Diffuse alveolar hemorrhage: diagnosing it and finding the cause
    Octavian C Ioachimescu
    Division of Pulmonary, Critical Care, and Sleep Medicine, Emory University, Atlanta, GA, USA
    Cleve Clin J Med 75:258, 260, 264-5 passim. 2008
    ..Its many causes and presentations pose an important challenge to the clinician...
  87. ncbi Results of a survey of patients with alpha-1 antitrypsin deficiency
    Charlie Strange
    Division of Pulmonary and Critical Care Medicine, Department of Medicine, Medical University of South Carolina, Charleston, 29425, USA
    Respiration 73:185-90. 2006
    ..alpha(1)-Antitrypsin deficiency (AATD) is an uncommon genetic disease which occurs in 1-2.5% of Americans with chronic obstructive pulmonary disease (COPD). Little is known about current demographics of AATD...
  88. ncbi alpha1-Antitrypsin augmentation therapy for PI*MZ heterozygotes: a cautionary note
    Robert A Sandhaus
    National Jewish Medical and Research Center, Denver, CO, USA
    Chest 134:831-4. 2008
    ..This commentary discusses the treatment of AAT deficiency and the concerns regarding treatment of PI*MZ individuals. We conclude that clinicians should avoid prescribing augmentation therapy for this heterozygote population...
  89. ncbi Role of flexible bronchoscopy in immunocompromised patients with lung infiltrates
    Prasoon Jain
    Department of Medicine, Louis A. Johnson Veterans Affairs Medical Center, Clarksburg, WV, USA
    Chest 125:712-22. 2004
    ..CONCLUSIONS: FB has a high diagnostic yield in immunocompromised patients with pulmonary infiltrates. Based on our results, we recommend performing TBB in these patients, whenever possible...
  90. ncbi Determinants of airflow obstruction in severe alpha-1-antitrypsin deficiency
    Dawn L DeMeo
    Channing Laboratory, 181 Longwood Avenue, Boston, Massachusetts 02115, USA
    Thorax 62:806-13. 2007
    ..A study was undertaken to assess the impact of chronic bronchitis, pneumonia, asthma and sex on the development of COPD in individuals with severe AAT deficiency...
  91. ncbi Disease management as an evolving role for respiratory therapists
    James K Stoller
    Respir Care 51:1400-2. 2006
  92. ncbi A 45-year-old woman with systemic lupus erythematosus and progressive dyspnea
    Drew Allen
    Department of Pulmonary, Allergy, and Critical Care Medicine, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44124, USA
    Chest 131:1252-5. 2007
  93. ncbi Impact of a program to provide patients with comparative information about providers of durable medical equipment for home respiratory care
    Edward R Hoisington
    Section of Respiratory Therapy, Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, OH 44195, USA
    Respir Care 49:1309-15. 2004
    ..The trend toward prompter respiratory therapists' visits to the home and better availability of oxygen canisters for at-home patients suggested benefits from the enhanced information program...
  94. ncbi Teambuilding and leadership training in an internal medicine residency training program
    James K Stoller
    Department of Pulmonary, Allergy and Critical Care Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Gen Intern Med 19:692-7. 2004
    ..In the context that this 1-day retreat was deemed useful by faculty and residents alike, further study is needed to assess the impact of this learning on actual clinical practice and the durability of these lessons...