OBJECTIVE Cultural portrayals of physicians suggest an unclear and even contradictory role for humility in the physician-patient relationship. Despite the social importance of humility, however, little empirical research has linked humility in physicians with patient outcomes or the characteristics of the doctor-patient visit. The present study investigated the relationship between physician hu...

Pulmonary arterial hypertension (PAH) is a term that was coined in 1998 at the World Health Organization Symposium on Pulmonary Hypertension at Evian, France. Because a clinically useful classification for pulmonary hypertension was lacking, the late Alfred Fishman proposed a clinical classification system for pulmonary hypertension which has been widely adopted. Its purpose was to provide a gu...

Solitary pulmonary nodules (SPNs) can be manifested in a variety of disorders including neoplasms, infection, inflammation, and vascular or congenital abnormalities. In addition, they are often accompanied with other pulmonary pathologic lesions such as consolidations and several pulmonary disorders present as similar pulmonary nodular lesions simultaneously. Diagnostic workup is important for ...

Syndromes of respiratory disorders of sleep as well as nonpulmonary disorders of sleep are common and amenable to treatment (1). Obstructive sleep apnea hypopnea syndrome is the most common diagnosis found in the laboratory assessment of patients with sleep-related complaints (2). Anecdotal reports suggest that between 10 and 40% of a community outpatient practice of pulmonary medicine involves...

Truncus arteriosus (TA) is defined as a congenital cardiovascular malformation in which one great artery arises from the base of heart and gives origin to pulmonary systemic arteries. TA patients who become pregnant have high morbidity mortality rates because physiologic changes during pregnancy can worsen cardiopulmonary balance causing decompensation. In this case report we successful general...

Correspondence of the American College of Physicians . Am J Respir Crit Care Med . 1995 ; 151 ( 2 ): 282 287 . 4. Haponik EF , Shure D . Underutilization of transbronchial needle aspiration: experiences of current pulmonary fellows . Chest . 1997 ; 112 ( 1 ): 251 253 . 5. Pastis NJ , Nietert PJ , Silvestri GA ; American College of Chest Physicians Interventional Chest/Diagnostic Procedures Netw...

Solitary pulmonary nodules are common radiologic findings, typically discovered incidentally through chest radiography or computed tomography of the neck, chest, and abdomen. Primary care physicians must decide how to pursue an evaluation of a nodule once it has been identified. The differential diagnosis for pulmonary nodules includes benign and malignant causes. Diameter of 8 mm or more, "gro...

Although there is widespread agreement on the need to address the glaring health-care disparities that exist in underserved countries in the world, there has not been an accepted approach to address these disparities that has proven to be successful. The international agenda has chosen to focus on maternal/fetal needs and infectious disease-based illnesses. However, cardiovascular diseases rema...

conclusions primary extracranial meningiomas (pems) without intracranial origin are very rare and because of their slow growing nature are initially managed by primary care physicians. case presentation we report a case of slowly progressing extracranial meningioma that was presented in a young adult woman. the tumor was asymptomatic but large enough to cause cosmetic discomfort. patient underw...

conclusions the results of the present study revealed that patients are not highly satisfied with the communication skills of physicians and they were least satisfied only with the quality of examination processes by the physicians. in addition, patients with lower education showed lower satisfaction as well. thus, a higher quality and elaboration of examination, more patience and better commun...