OBJECTIVE To define the terms "sepsis" and "organ failure" in a precise manner. DATA SOURCES Review of the medical literature and the use of expert testimony at a consensus conference. SETTING American College of Chest Physicians (ACCP) headquarters in Northbrook, IL. PARTICIPANTS Leadership members of ACCP/Society of Critical Care Medicine (SCCM). RESULTS An ACCP/SCCM Consensus Confere...

BACKGROUND Warfarin dramatically reduces the risk of stroke in patients with nonvalvular atrial fibrillation (NVAF) but increases the likelihood of bleeding. Accurately identifying patients who need anticoagulation is critical. We assessed the potential impact of prominent stroke risk classification schemes on this decision in a large sample of patients with NVAF. METHODS AND RESULTS We used ...

CHEST, 77: 4, APRIL 1980 to a reputable cessation clinic (previously evaluated by the medical profession) or by providing patienteducation aid.s directly or through local sources. The ACCP Committee on Smoking and Health has ouflined other measures which this College must undertake if we are to meet our responsibilities. In particular, the committee urges that we combat the increase of smoking ...

BACKGROUND & OBJECTIVES Venous thromboembolism (VTE) is a major health problem with substantial morbidity and mortality. It is often underdiagnosed due to lack of information on VTE risk and prophylaxis. The ENDORSE (Epidemiologic International Day for the Evaluation of Patients at Risk for Venous Thromboembolism in the Acute Hospital Care Setting) study aimed to assess the prevalence of VTE ri...

AT L A N TA — All adults with asthma should now receive pneumococcal immunization, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention voted June 25 at its summer meeting. The vote adds adults aged 1864 years with asthma to the list of individuals considered at increased risk for invasive pneumococcal disease (IPD). Current Advisory Committee on Im...

2006;129;250-259 Chest F. Dennis McCool and Mark J. Rosen Clinical Practice Guidelines Nonpharmacologic Airway Clearance Therapies: ACCP Evidence-Based This information is current as of March 8, 2006 http://www.chestjournal.org/cgi/content/full/129/1_suppl/250S located on the World Wide Web at: The online version of this article, along with updated information and services, is ISSN: 0012-3692. ...

Clinical pharmacy has continually evolved, with significant expansion in clinical pharmacists' qualifications and roles. However, this growth not necessarily correlated improved job satisfaction among pharmacists. A survey of practicing pharmacists performed by the American College Pharmacy (ACCP) Practice Affairs Committee identified low time allocated for activities, quality improvement, rese...

s automatically become eligible for scientific abstract awards from The CHEST Foundation. Abstract submissions are being accepted now through May 4. See thesubmissions are being accepted now through May 4. See the areas of interest at the right for guidance in topic selection. Submit online at www.chestnet.org, where you will also find useful abstract preparation guidelines to help you prepare ...

Cervical cancer is a significant health problem among women in developing countries. Contributing to the cervical cancer health burden in many countries is a lack of understanding and political will to address the problem. Broad-based advocacy efforts that draw on research and program findings from developing-country settings are key to gaining program and policy support, as are cost-effectiven...

Cervical cancer can be successfully prevented if timely identification of precancerous lesions is followed by effective treatment. In many developing countries, treatment of precancer is neglected because therapeutic services are unavailable, inaccessible, inappropriate, or inadequately linked to screening services. One of the main focuses of the Alliance for Cervical Cancer Prevention (ACCP) h...