PULMONARY DISEASE - CRITICAL CARE FELLOWSHIP
PROGRAM
The Fellowship
Program in Pulmonary Disease and Critical Care at the State University of New
York at Buffalo (SUNYAB) is designed to provide thorough clinical training as
well as research experience in Pulmonary Medicine and Critical Care. Brydon J
.B. Grant, M.D., is Head of the Division of Pulmonary and Critical Care
Medicine. M. Jeffery Mador, M.D. serves as Program Director for the Pulmonary
Disease/Critical Care Fellowship. The program is accredited by the ACGME.
The program utilizes
the four major teaching hospitals affiliated with SUNYAB School of Medicine.
These are the Erie County Medical Center (ECMC), the Buffalo Veterans Affairs
Medical Center (VAMC), and the Buffalo General Hospital (BGH). The SUNYAB Internal Medicine Residency
Training Program utilizes these hospitals, and all housestaff at these
institutions are part of SUNYAB training programs. All full time faculty at the
hospitals have University appointments. There are a total of eleven full time
pulmonary faculty. In addition, three part time pulmonary faculty participate
in teaching. At all three institutions, the Pulmonary Laboratories, Respiratory
Therapy Departments and Medical Intensive Care Units are under the direction of
the Pulmonary Disease Division. Both pulmonary function and ICU monitoring
equipment have been updated at each hospital, ensuring state of the art
facilities at all training program sites.
A maximum of two
fellowship positions is available for each year of the three-year training
program. Ample time for clinical training in all areas of pulmonary medicine
and critical care is scheduled. A dedicated research experience is scheduled
and, if desired, limited elective time may also be available. Flexibility is
maintained in scheduling fellow assignments in order to meet individual needs.
The fellow's schedule is divided into 13 four-week modules each year. During
the three-year training program, approximately half of the time is spent on
clinical service. In addition, there are 3 modules (one/year) for vacation, and
the first two initial modules of the first year are spent in an introduction to
the principals of pulmonary disease and critical care medicine. The remaining
time is dedicated to research. A general description of fellow responsibilities
during the various
rotations is listed
below.
Summary of the
Unique Features of the Fellowship Program
1. The
fellows are exposed to a diverse population of patients.
2. There
is diversity amongst the faculty. While most are trained in the United States,
others are trained in Canada, Lebanon, India, Philippines, and the United
Kingdom which provides an array of approaches to clinical problems that is
valuable for the fellows to compare and useful for international medical
graduates.
3. The
fellowship program provides interactions with pulmonary and critical care
physicians in the community through our volunteer faculty program that operates
at
4. There
is a wide range of research experience available to fellows in our
program. The disciplines include
molecular biology (Dr. Sanjay Sethi), cellular mechanisms and community
medicine (Dr. Lwebuga-Mukasa), research in respiratory muscles and pulmonary
rehabilitation (Drs. William Gibbons, Thomas Kufel and Jeffery Mador), sleep
physiology and clinical epidemiology (Drs. Ali El-Solh, Brydon Grant and
Archana Mishra).
5.
A core
curriculum has been developed for all fellows in internal medicine that covers
subjects of mutual interest such as health care economics, medical statistics,
medical decision making, clinical epidemiology, ethics, and an introduction to
molecular biology.
6.
A
special interest of the Division is to develop the use of computers in medicine
and to introduce their use to the fellows.
The Division has its own web page on the internet (http://www.smbs.buffalo.edu/pccm) an
intranet page for the medical school and an intranet page especially for
faculty and fellows.
7.
The
fellowship is fortunate to be able to provide fellows experience in a variety
of special clinical services such as interventional bronchoscopy at Roswell
Park Cancer Institute, sleep laboratories at Millard Fillmore (Gates) Hospital
and
8.
The
Division of Pulmonary and Critical Care Medicine has a long standing
relationship with the University Departments of Physiology and Biophysics,
Microbiology and Social and Preventive Medicine.
9.
The
Center for Sleep Disorders Research provides associations with not only the
Department of Physiology and Biophysics but also with the Departments of
Neurology, Pediatrics, Psychology, Physical Therapy and Exercise Science,
Social and Preventive Medicine.
Introduction
During the first
year of fellowship, the initial two modules are spent introducing the basis and
basics of both pulmonary disease and critical care. One module is dedicated to
each of these general areas, and instruction takes place at each of the three
institutions. During this time, the fellow receives extensive training in the
performance and interpretation of pulmonary function tests. Didactic sessions
with various faculty members are held daily. Pertinent physiologic and clinical
literature related to pulmonary function and critical care is reviewed. In addition, an introduction to techniques of
pulmonary flotation catheter insertion and bronchoscopy is also presented at
this time. Respiratory Therapy techniques and ventilator management are
presented. In the latter part of the lab time, stress is placed on specialized
testing such as body plethysmography, exercise and sleep studies. Also included
is an introduction to pulmonary pathology.
ECMC - Clinical
Service
During this rotation
the fellow's major responsibility is directed towards the Medical Intensive
Care Unit. The fellow supervises the two medical residents assigned to the 10
bed MICU Service, making work rounds and directing the care of all patients.
Daily attending rounds are held to review all aspects of patient care. The
fellow also performs procedures on these ICU patients such as pulmonary
flotation catheter and bronchoscopy. In addition, about 25% of the time is
spent performing pulmonary consultations at the ECMC.
On average there are
about 20 cases per module. Medical residents and fourth year students may also
be assigned to the consult service. All consults are presented to the Attending
Physician during consultation rounds. The fellow under the supervision of the
attending physician performs all procedures such as bronchoscopy, transthoracic
needle biopsies and other diagnostic tests. In addition, the fellow, in
conjunction with an attending physician, interprets all pulmonary lab studies.
VA - Clinical
Service
During this rotation
the fellow's main responsibility involves evaluating inpatient consults at the
VAMC. Approximately 40 to 50 consults will be seen during the four-week period.
Medical residents and fourth year students are also assigned to the
Consultation Service. All cases are presented to an attending physician during
daily consultation rounds. The fellow under supervision of the attending physician
performs all procedures such as bronchoscopy, transthoracic needle biopsies and
other diagnostic tests.
In addition, the
fellow oversees the care, on a consultative basis, of respiratory patients in a
fourteen-bed ICU. The fellow will work directly with the housestaff in
formulating plans for care of these patients. A pulmonary attending is also
assigned to the Critical Care Service and advises and supervises the fellow. In
addition, the fellow, in conjunction with an attending physician, interprets all
pulmonary lab studies and cardiopulmonary exercise tests.
BGH - Clinical
Service
During this rotation
the fellow will be involved in the evaluation of 40 to 50 inpatient consults
per month. All cases are presented to an attending physician during daily
consultation rounds. The fellow and the attending perform consultations and
daily work rounds in the 10 bed Medical Intensive Care Unit. The fellow, under
supervision of the attending, performs invasive procedures such as pulmonary
arterial flotation catheter insertion, pleural biopsy and thoracentesis. The
fellows can also gain experience in evaluation and management of patients with
sleep apnea syndrome and in lung transplantation. The fellow presents and
discusses cases at the weekly management conference held jointly with the
Thoracic Surgery Department and the twice weekly morning report to housestaff
on the Medicine service which is supervised by the Pulmonary Division. The
fellow supervises medical residents and fourth year medical students rotating
on the pulmonary service. The fellow under supervision of the attending
physician performs procedures such as bronchoscopy and other diagnostic tests.
Critical Care
The clinical
critical care experience is derived from rotations of ECMC, BGH and the VA. One
additional rotation of clinical critical care experience is also included.
Towards the end of the third year of fellowship, one rotation is spent in the
Surgical ICU as part of the care delivery team. Fellows may choose from a wide
range of experiences, including coronary critical care, burn unit, trauma ICU,
cardiac surgery ICU, neurology-neurosurgery ICU and others. Specific experience
with medical ethics is also provided.
Research
The program is
designed to provide an intensive research experience. Research activities take
place at all hospitals as well as the basic science departments of the
Elective Time
Elective time, if
requested, reduces the number of modules available for research, and is
therefore limited. Limited time may be
available, and is arranged on an individual basis through the Directors of the
training program.
Vacation
One module (four
weeks of vacation time) is available each year. It is taken either as a block
or split into several periods. This is usually done in conjunction with
elective or research time.
Clinic
In addition to the
other responsibilities listed above each fellow has one weekly pulmonary
clinic. This is either a morning or afternoon clinic at the ECMC or VA.
Pulmonary attendings are also present in clinic, and are available to discuss
findings and review plans.
Conferences
Conferences are held
during one weekly conference block lasting from
Fellow's Conference,
Pulmonary Case Conference, Sleep Case Conference, Basic Science Conference
alternating with Sleep Medicine Lectures, Pulmonary Medicine Review Series,
Critical Care Medicine Review Series. In addition, Research Conference is held
on the first Monday of the month and Journal Club is held on the third Thursday
of the month.
Conferences rotate
between four teaching hospitals:
For details of our conferences,
visit our web site: http://www.smbs.buffalo.edu/pccm/regconf.html
Stipend
Fellowship
applicants are normally required to have three years of postgraduate training
in an accredited Internal Medicine Program. Fellows are paid at a salary level
of fourth, fifth and sixth year graduate trainees. Since non-federal funds are utilized for most
salary support, acceptance of the Fellowship does not commit the individual to
specific career goals, such as academic medicine or hospital based teaching
positions.
FACULTY
The division is comprised of thirteen full time faculty (Drs A.T.
Aquilina, L.A. Campbell, A. A. El-Solh, W.J. Gibbons, B.J.B.Grant, T.J. Kufel,
G. M. Loewen, J.S. Lwebuga-Mukasa, M.J. Mador, A. Mishra, L. Pineda, S. Sethi,
E Ten Brock), three faculty with substantial commitments outside the division
(Drs R.A. Klocke, S.H. Schwartz, H.J. Schünemann and A.R. Saltzman) and three
volunteer faculty ( Drs. H. Boepple, N. H. Rabadi and S. M. Sherif).
Division Head:
Brydon J.B. Grant, M.D. Professor of Medicine, Physiology &
Biophysics, and of Social & Preventive Medicine, Adjunct Professor of
Biostatistics. Special interests: clinical epidemiology, sleep, pulmonary gas
exchange and pulmonary hemodynamics. (email: grant@buffalo.edu)
Alan T. Aquilina, M.D. Professor of Clinical Medicine. Special interests: asthma, and sleep disorders. (email: aquilina@buffalo.edu)
Lucy A. Campbell, M.D. Associate Professor of Clinical Medicine. Special
interests: lung transplantation, pulmonary hypertension and medical education.
(email: LCampbell@KaleidaHealth.org)
Ali A. El-Solh, M.D., M.P.H. Assistant Professor of Medicine. Special
interests: cellular mechanisms of disease, clinical epidemiology. (email: solh@buffalo.edu)
William J. Gibbons, M.D. Assistant Professor of Medicine. Special
interests: lung transplantation, pulmonary rehabilitation and muscle
pathophysiology. (email: WGibbons@KaleidaHealth.org)
Robert A. Klocke, M.D. Professor of Medicine and Physiology. Special
interests: pulmonary gas exchange and pulmonary circulation. (email:
rklocke@adelphia.net)
Thomas J. Kufel, M.D. Assistant Professor of Clinical Medicine. Special
interests: respiratory muscles, exercise. (email: Thomas.Kufel@med.va.gov )
Gregory M. Loewen, D.O. Associate Professor of Clinical Medicine. Special
interests: pulmonary oncology and clinical exercise testing. (email:
loewen@sc3101.med.buffalo.edu)
Jamson S. Lwebuga-Mukasa, M.D., Ph.D. Associate Professor of Medicine.
Special interests: lung growth, epidemiology of asthma (email:
jlwebuga@buffalo.edu)
Pulmonary and Critical Care Fellowship Program Director:
M. Jeffery Mador, M.D. Associate Professor of Medicine. Special
interests: respiratory muscles and mechanical ventilation. (email:
mador@acsu.buffalo.edu)
Archana Mishra, M.D., M.S. Research Assistant Professor of Medicine.
Special interests: asthma and clinical epidemiology. (email:
amishra@ams.ecmc.edu)
Lillibeth Pineda, M.D., Assistant Professor of Medicine. Special interests: COPD. (email:
lpineda@buffalo.edu)
Alan R. Saltzman, M.D., M.B.A. Professor of Clinical Medicine. Special
interests: pulmonary function, lung mechanics, and medical economics. (email:
asaltzma@buffalo.edu)
Susan H. Schwartz, M.D. Professor of Clinical Medicine. Special
interests:
critical care medicine, asthma. (email: SSchwartz@KaleidaHealth.org)
Holger J. Schünemann M.D., Ph.D., M.S. Assistant Professor of Medicine.
Special interests: respiratory epidemiology, clinical epidemiology, guidelines
and recommendations. (email: hjs@buffalo.edu)
Sanjay Sethi, M.D. Associate Professor of Medicine. Special interests:
pulmonary infection, chronic bronchitis. (email: ssethi@buffalo.edu)
Sleep Fellowship Program Director:
Eric Ten Brock, M.D. Professor of Clinical Medicine and Neurology.
Special interests: Critical care medicine, sleep disorders, ethics, clinical
exercise testing. (email: ETenbrock@KaleidaHealth.org)
RECENT PUBLICATIONS
RECENT PUBLICATIONS
NOTE: All publications are articles, editorials or chapters published
since
An asterisk next to names indicates that the work was done by fellows
during their SUNYAB Pulmonary Disease - Critical Care Fellowship Program.
1994
Grant BJB. Noninvasive tests for acute venous thromboembolism. Am J Resp
Crit Care Med., 149:1044-1047, 1994.
Lieber BB, Li Z and Grant BJB. Beat by beat changes of the viscoelastic
and inertial properties of the pulmonary arteries. J. Appl. Physiol.
76:2348-2355, 1994.
Lwebuga-Mukasa JS. Mn++ enhanced, RGD dependent adhesion technique for
isolation of adult rat type II alveolar epithelial cells for immediate
functional studies. Am J Respir Cell Mol Biol; 10: 347-354, 1994.
Lwebuga-Mukasa JS. (1994). Mechanisms of Lung Injury and Repair. In
"Internal Medicine.” Jay H. Stein, Editor; 4th Edition, Mosby-Year Book,
Inc.,
Mador MJ. Assist-control ventilation. In: Principles and practice of
mechanical ventilation. MJ Tobin, editor.
Mador MJ, Magalang UJ, Kufel TJ. Twitch potentiation following voluntary
diaphragmatic contraction. Am J Respir Crit Care Med. 149:739-743, 1994.
Sigurdson SL, Lwebuga-Mukasa JS. Divalent cation-dependent regulation of
rat alveolar epithelial cell adhesion and spreading. Exp Cell Res;
213(1):71-79, 1994.
Szczepkowski M, Shalin V, Bertram D, Drury C, Aquilina AT, Ten Brock E.
Observable measures of physician mental workload in medical intensive care
Communications General 6:229-231, 1994.
1995
El-Solh AA*, Ameen K* and Sherif S. Endobronchial non-Hodgkin's lymphoma
in an AIDS patient. Resp Med 89:697-699, 1995.
Gibson KF, Aguayo SM, Flowers JC, Ford JG, Jackson JH, Lwebuga-Mukasa JS,
Roman J, Samet JM, Thomas Jr., AV, Young RC, Ram JS and Hurd SS. Respiratory
Disease Disproportionately Affecting Minorities. Chest; 108:1380-1392, 1995.
Grant BJB and El-Solh AA*. Thromboembolic disease: optimizing
recognition. Hospital Medicine, 31: 14-24, 1995.
Grant BJB and El-Solh AA*. Venous thromboembolic disease: decisions in
treatment and prophylaxis. Hospital Medicine, 31:33-37, 1995.
Grant BJB. Lower extremity noninvasive testing for assessing venous
thromboembolic disease. UPTODATE in Pulmonary and Critical Care Medicine,
American Thoracic Society CD-ROM, Falling LJ and Weinberger SE, Eds. 1995.
Hsiao CB, Sethi S* and Murphy TF. Outer membrane protein CD of
Branhamella catarrhalis: sequence conservation in strains recovered from the
human respiratory tract. Microbial Pathogenesis 19: 215-225, 1995.
Klocke RA (editor) Lung Disease: State of the Art.
Klocke RA, Schünemann HJ and Grant BJB. Distribution of pulmonary
capillary transit times. Am J Resp Crit Care Med, 152:2014-2020, 1995.
Li Z, Grant BJB and Lieber BB. Pulmonary arterial input impedance via
wavelet decomposition. J. Appl. Physiol., 78: 2309-2319, 1995.
Loewen GM, Stomper P, Mercurio J, Wilkes J, Takita H, Raghavan D.
Bronchioalveolar cell carcinoma: A retrospective clinical and radiographic
review. Am J Respir Crit Care Med. 151:4,A846, 1995.
Mador MJ, Tobin MJ. Acute respiratory failure. In: Chronic obstructive
pulmonary diseases. PMA Calverley, NB Pride, editors. Chapman & Hall:
Mador MJ. Work of breathing measurements. Can they help identify patients
who can be successfully extubated. Chest. 108:893-894, 1995.
Mador MJ, Rodis A*, Magalang, UJ*. Reproducibility of Borg scale
measurements of dyspnea in patients with chronic obstructive pulmonary disease
during exercise. Chest. 107:1590-1597, 1995.
Magalang UJ* and Grant BJB. Determination of gas exchange threshold by
nonparametric regression. Am J Resp Crit Care Med, 151:98-106, 1995.
Sethi S*, Hill SL and Murphy TF. Serum Antibodies to Outer Membrane
Proteins of Moraxella (Branhamella) catarrhalis in patients with
Bronchiectasis: Identification of OMP B1 as an important antigen. Infection and
Immunity 63: 1516-1520, 1995.
Zhang S,
79(1):113-120, 1995.
1996
El-Solh AA*, Stubeusz DL, Grant GB, Grant BJB. Outcome of patients with
AIDS requiring mechanical ventilation predicted by recursive partitioning.
Chest, 109:1584-1590, 1996.
El-Solh AA* and Grant BJB. A comparison of severity of illness scoring
systems for critically ill obstetric patients. Chest, 110:1299-1304, 1996.
Grant BJB and Lieber BB. Clinical significance of pulmonary arterial
input impedance. (editorial) European Respiratory Journal, 9: 2196-99, 1996.
Grant BJB. Lower extremity noninvasive testing for assessing venous
thromboembolic disease. UPTODATE in Pulmonary and Critical Care Medicine,
American Thoracic Society CD-ROM, Falling LJ and Weinberger SE, Eds. 1996.
Mador MJ, Rodis A*, Diaz J*. Diaphragmatic fatigue following voluntary
hyperpnea. Am J Respir Crit Care Med. 154:63-67, 1996.
Mador MJ, Rodis A*, Magalang UJ*, Ameen K*. Comparison of cervical
magnetic and transcutaneous magnetic nerve stimulation before and after
threshold loading. Am J Respir Crit Care Med. 154:448-453, 1996.
Mador MJ, Dahuja M. Mechanisms for diaphragmatic fatigue following high
intensity leg exercise. Am J Respir Crit Care Med. 154:1484-1489, 1996.
Mensah EA, Kumar NM, Nielsen L, Lwebuga-Mukasa JS. Distribution of
alveolar type II cells in neonatal and adult rat lung revealed by RT-PCR-In-
situ. Am J Physiol 271 (Lung Cell & Mol Physiol 15): L178 -L185, 1996.
Moxey-Mims MM, Nielsen L, Noble B, Lwebuga-Mukasa JS. Monocyte
chemoattractant protein-1 in chronic proliferative immune complex nephritis.
Clin Immunol Immunopath 80:123-128, 1996.
Nair MPN, Kumar NM, Monaco G, Tang Y, Lwebuga-Mukasa JS, Schwartz SA.
Alcohol inhibits lipopolysaccharide (LPS)-induced tumor necrosis factor alpha
(TNFa) gene expression by peripheral blood mononuclear cells as measured by
RT-PCR in situ hybridization. Clin Diag Lab Immunol 3: 392-398, 1996.
Sethi S, Murphy TF and Klingman KL. Diagnosis, Epidemiology and
Pathogenesis of Bacterial Infections in the Molecular Era. Journal of Clinical
Pathology: Molecular Pathology 49: M1-M7, 1996.
1997
Bhushan R, Kirkham C, Sethi S, and Murphy TF. Antigenic characterization
and analysis of the human immune response to outer membrane protein E of
Branhamella catarrhalis. Infection and Immunity 65: 2668-2675, 1997.
El-Solh A*, Kumar NM, Nair MPN, Schwartz SA, Lwebuga-Mukasa. An RGD
containing peptide from HIV-1 Tat-(65-80) modulates protooncogene expression in
human bronchoalveolar carcinoma cell line, A549. Immunol Invest. 26(3):
351-370, 1997.
El-Solh A*, Mylotte J, Sherif SM, Serghani J and Grant BJB. Validity of a
decision tree for predicting active pulmonary tuberculosis from clinical and
radiographic data. Amer J Resp Crit Care Med, 155:1711-1716, 1997.
Gowda MS, Klocke RA. Variability of indices of hypoxemia in ARDS. Crit
Care Med. 1997.
Grant BJB. Lower extremity noninvasive testing for assessing venous
thromboembolic disease. UPTODATE in Pulmonary and Critical Care Medicine,
American Thoracic Society CD-ROM, Falling LJ and Weinberger SE, Eds. 1997.
Klocke RA. CO2 Transport. In: The Lung: Scientific Foundation, 2nd ed.,
vol. 2 edited by R.G. Crystal and JB West.
Klocke RA. Diffusion, chemical reactions involving respiratory gases, and
diffusing capacity. In: Pulmonary Diseases and
Disorders, 3rd ed., edited by AP Fishman, JA Elise, JA Fishman, MA
Grippe, LR Kaiser and RM Senior.
Kufel TJ and Grant BJB. Arterial blood gas monitoring: respiratory
assessment. In: Principles and Practice of Intensive Care Monitoring, MJ Tobin,
ed. McGraw-Hill, New York, p197-215, 1997.
Jubran A, Grant BJB and Tobin MJ. Effect of hyperoxic hypercapnia on
variational activity of breathing. Amer J Resp Crit Care Med, 156:1129-39,
1997.
Lwebuga-Mukasa JS. Preparation of type II pneumocytes. In "Methods
in Pulmonary Research." Eds S. Uhlig and A.E. Taylor, Birkhäuser Verlag AG,
Mador MJ, Wendel T, Kufel TJ. Effect of acute hypercapnia on
diaphragmatic and limb muscle contractility. Am J Respir Crit Care Med.
155:1590-1595, 1997.
Schünemann HJ, Muti P, Freudenheim JL, Armstrong D, Browne R, Klocke RA,
Trevisan M. Oxidative stress and lung function. American Journal of
Epidemiology. 146(11):939-48, 1997.
Sethi S, Surface JM and Murphy TF. Antigenic heterogeneity and molecular
analysis of CopB of Branhamella (Moraxella) catarrhalis. Infection and Immunity
65:3666-3671, 1997.
Yi K, Sethi S and Murphy TF. Human immune response to nontypeable
Haemophilus influenzae in chronic bronchitis. Journal of Infectious Disease
176:1247-1252, 1997.
1998
Cook RD, Fradet G, Casu C, Gibbons WJ, Ostrow DN, Partovi N, Levy RD.
Influence of lung functional exercise capacity following lung transplantation.
J Heart Lung Transplant. 115: 410-7, 1998.
El-Solh AA, Abul-Khoudoud M*, Sherif SM, Aquilina AT, Grant BJB. Clinical
and radiographic features of uncommon pulmonary nontuberculous mycobacterial
disease. Chest, 114:138-145, 1998.
Hicks W, Hall L III, Sigurdson SL, Stewart C, Hard R, Winston J,
Lwebuga-Mukasa JS. Isolation and characterization of basal cells from
human upper respiratory epithelium. Exp Cell Res. 237: 357-363, 1998
Mador MJ Weaning from mechanical ventilation: what have we learned and
what do we still need to know? Chest 114(3):672-4, 1998.
Schünemann HJ, Dillon D, Nielsen LC, Lwebuga-Mukasa JS. Modulation of
laminin integrin receptors in the postnatal and adult rat lung.
Differentiation. 63(4):181-91, 1998.
Sethi S. Is chronic bronchitis an infectious disease? Mediguide to
Pulmonary Medicine. 5: Issue1, 1998.
Sethi S. The etiology of AECB. What role does infection play?
Postgraduate Medicine, S8-S13, 1998.
Sethi S. Management of exacerbations of chronic bronchitis. Infectious
Diseases in Clinical Practice. 7: S300-8, 1998.
Sigurdson SL, Lwebuga-Mukasa JS. Adhesive characteristics of type II
pneumocyte subpopulations from saline- and silica-treated rats. Experimental
Lung Research. 24(3):307-20, 1998.
1999
El-Solh A, Mador J, Ten-Brock E, Schucard D, Grant BJB. Validity of an
artificial neural network in predicting sleep apnea. Sleep 22:105-111, 1999.
El-Solh A, Hsiao CB, Goodnough S, Serghani J, Grant BJB. Predicting active pulmonary tuberculosis
using an artificial neural network.
Chest 116:968-73, 1999.
Hicks W Jr, Sigurdson L, Gabalski E, Hard R, Hall L 3rd, Gardella J,
Powers C, Kumar N, Lwebuga-Mukasa J.
Does cartilage down-regulate growth factor expression in tracheal
epithelium? Arch Otol Head Neck Surg, 125(11):1239-43, 1999.
Murphy TF, Sethi S, Klingman KL,
Murphy TF, Kirkham C, DeNardin E, Sethi S. Analysis of the antigenic structure and human
immune response to outer membrane protein CD of Moraxella catarrhalis.
Infection and Immunity. 67:4578-85, 1999.
Patel PA and Grant BJB. Application of prediction systems to individual
intensive care units. Intensive Care Medicine 25:977-82, 1999
Ramos-Barbon D, Fitchett D, Gibbons WJ, Latter DA,
Sethi S. Infectious exacerbations of chronic bronchitis: diagnosis and
management. J Antimicrobial Chemotherapy 43: SA 97-105, 1999.
Sethi S. Etiology and management
of infection in COPD. Clinical Pulmonary
Medicine. 6:327-32, 1999.
2000
El-Solh A, Saltzman S, Ramadan F, Naughton B. Validity of artificial
neural network in predicting discharge destination from a post acute geriatric
rehabilitation unit. Archives of Physical Medicine and Rehabilitation
81:1388-93, 2000.
El-Solh A, Sikka P*, Draw A*. Pulmonary and Critical Pearls: A 58
year-old woman with recurrent productive cough and diarrhea. Chest
118:1194-1197, 2000.
Gibbons WJ: Idiopathic pulmonary fibrosis. In: Thoracic Surgery Secrets.
Edited by HL Karamanoukian, PR Soltoski & TA Salerno. Hanley & Belfus,
Inc.,
Lwebuga-Mukasa, JS, Dunn-Georgiou E. 2000. The prevalence of asthma in
elementary school children in
Mador MJ, Kufel TJ, Pineda L*, Sharma GK.
Diaphragmatic fatigue and high intensity exercise in patients with
COPD. Am J Respir Crit Care Med.
161:118-123, 2000.
Mador MJ, Kufel TK, Pineda L*.
Quadriceps fatigue following cycle exercise in patients with COPD. Am J
Respir Crit Care Med. 161:447-453, 2000.
Mador, MJ, Kufel TK, Pineda LA*.
Quadriceps and diaphragmatic function after exhaustive cycle exercise in
the healthy elderly. Am J Respir Crit
Care Med. 162:1760-1766, 2000.
Murphy TF, Sethi S and Neiderman M.
The role of bacteria in exacerbations of COPD: A constructive view.
Chest. 118:204-209, 2000.
Schünemann HJ, Dorn J, Grant BJB, Winkelstein, Jr. W, Trevisan M.
Pulmonary function is a long-term predictor of mortality in the general
population: 29 years follow-up of the Buffalo Health Study. Chest, 118:656-664,
2000.
Sethi S, Muscarella KA, Evans N, Klingman KL, Grant BJB and TF
Murphy. Acute bacterial exacerbations of
COPD are associated with greater airway inflammation than non-bacterial
exacerbations. Chest. 118:1557-65, 2000.
Sikka P*, Jaafar W, Bozkanat E, El-Solh A. A comparison of severity of
illness scoring systems for elderly patients with severe pneumonia. Intensive
Care Med, 26: 1803-1810, 2000.
2001
Almeida JP, Lwebuga-Mukasa JS. Geographic variations in asthma mortality
in
El-Solh A, Sikka P*, Ramadan F, Davies J. Etiology of severe pneumonia in
the very elderly. American Journal of
Respiratory and Critical Care Medicine 163:645-651, 2001.
El-Solh A, Sikka P*, Jaafar W, Bozkanat E. Outcome of critically obese
patients admitted to the medical intensive care unit. Chest 120(6):1989-97,
2001.
El-Solh A, Sikka P*, Ramadan F. Outcome of severe pneumonia in the
elderly predicted by recursive partitioning. Journal of American Geriatric
Society 49(12):1614-21, 2001.
Gibbons WJ, Fruchter N, Sloan S, Levy RD. Reference values for a multiple
repetition 6-minute walk test in healthy adults older than 20 years. J
Cardiopulm Rehabil. 21:87-93, 2001.
Kufel TJ, Pineda LA*, Mador MJ. Comparison of potentiated and
unpotentiated twitches as an index of muscle fatigue. Muscle and Nerve, 21:87-93,
2001.
Lee SD, Magalang UJ, Krasney JA, Farkas GA. Opiodergic modulation of
ventilatory response to sustained hypoxia in obese Zucker rats. Obes Res. 9:
407-13, 2001.
Lwebuga-Mukasa JS, Pszonak R. Patterns of inpatient and outpatient
care
for asthma in
Asthma; 38(2):155 -160, 2001.
Mador MJ, Kufel TJ, Pineda LA*, Steinwald A, Aggarwal A*, Upadhyay AM.,
Khan MA*. Effect of pulmonary rehabilitation on quadriceps fatigability during
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