a+handbook+for+practice+fourth+edition

... nursing on a day-to-day basis Over a 3-year period, an AHNA Task Force gathered data from the professional literature; educational and clinical programs; academic, clinical, and research content ... suggested that CAM therapies be defined as a broad set of health care practices (i.e., already available to the public), that are not readily integrated into the dominant health care model because they ... traditions and standards of personal and professional excellence and authenticity At another level, this work transcends nursing and has relevance for transdisciplinary education and practices, leading...

Ngày tải lên: 29/03/2014, 11:21

... engine with afterburner Jet aircraft at takeoff Turboprop at takeoff Prop aircraft at takeoff Loud rock band Small aircraft engine Blaring radio Car at highway speed Axial ventilating fan (2500 ... The performance curve also is a valuable tool when evaluating fan performance in the field Fan performance tables and curves are based on standard air density of 0.075 lb/ft3 When altitude and temperature ... from any airstream material that may be present in a system.” Standard Applications • Centrifugal Fans • Axial and Propeller Fans • Power Roof Ventilators This standard applies to ferrous and...

Ngày tải lên: 27/06/2014, 17:20

... engine with afterburner Jet aircraft at takeoff Turboprop at takeoff Prop aircraft at takeoff Loud rock band Small aircraft engine Blaring radio Car at highway speed Axial ventilating fan (2500 ... The performance curve also is a valuable tool when evaluating fan performance in the field Fan performance tables and curves are based on standard air density of 0.075 lb/ft3 When altitude and temperature ... from any airstream material that may be present in a system.” Standard Applications • Centrifugal Fans • Axial and Propeller Fans • Power Roof Ventilators This standard applies to ferrous and...

Ngày tải lên: 27/06/2014, 17:20

... simplest form, any such method involves a means for collecting data, an approach for analyzing and interpreting the data, and a method for feeding the data back to relevant individuals and groups ... upon as a combination and analysis of valid project data for all the company’s projects In this chapter we describe a model for measurement based improvement that can be used as an integrated part ... but have anticipated to hear something about” Analyze what you have learnt In this part of the meeting the project team analyses what they have learnt from the external assistants – what has work...

Ngày tải lên: 06/07/2014, 15:22

... PM Page i Cardiovascular Imaging A handbook for clinical practice BCIPR 6/17/05 9:53 PM Page ii BCIPR 6/17/05 9:53 PM Page iii THE ESC EDUCATION SERIES Cardiovascular Imaging A handbook for clinical ... transplanted heart, 235 Oberdan Parodi, Maria Frigerio, Benedetta De Chiara Chapter 20 Unusual cardiomyopathies — role of cardiac magnetic resonance imaging, 251 Sanjay K Prasad, Ravi G Assomull, ... including valvular disease, coronary artery disease, and myocardial and pericardial disease In these various pathologies, the incremental value of echocardiography, nuclear imaging, CMR and MSCT are...

Ngày tải lên: 13/08/2014, 12:20

... measured from a parasternal long axis view for calculation of a circular cross-sectional area LVOT velocity measured with pulsed wave Doppler from an apical view (for a parallel intercept angle) ... a catheter across the stenotic valve, which is associated with cerebral embolization Cardiac MRI has the potential to visualize and measure blood flow and allows calculation of valve area, analogous ... structures and may ultimately improve the facility of aortic valve repair Ascending aorta In all instances information about morphology and size of the ascending aorta are needed Aortic root and annular...

Ngày tải lên: 13/08/2014, 12:20

... diagnosing acute aortic syndromes, particularly for conditions confined to the ascending aorta Echocardiography Echocardiography (TTE and TEE) is a non-invasive and readily available modality for ... coronary arteries.7 Intramural hematoma appears as a crescent-shaped, high-attenuation signal within the wall of the aorta on non-contrast CT It may also present as localized thickening of the aortic ... evaluation of aortic dissection TTE can evaluate the aortic root and arch, but the distal ascending aorta and descending aorta are not well visualized TTE has low sensitivity for diagnosis of aortic...

Ngày tải lên: 13/08/2014, 12:20

... many laboratories, which is attributed predominantly to image attenuation artifacts and variance of normal that are interpreted as defects attributed to significant CAD.3 Breast attenuation artifacts ... 2.3 years after a normal scan was 0.6% per year.6 Conversely, the cardiac death and/or nonfatal myocardial infarction rate was 5.9% per annum in patients with high-risk scan variables as derived ... catheterization and have normal coronary angiograms This is because the majority of patients referred for angiography have abnormal scans, yielding an exaggerated referral of patients with false-positive...

Ngày tải lên: 13/08/2014, 12:20

... Patients with a normal dobutamine–atropine stress echocardiogram have a low annual event rate of cardiac death or non-fatal infarction.17 The rate of cardiac death or myocardial infarction in patients ... far as peripheral vascular disease is an important marker and a strong predictor for cardiovascular events, in particular myocardial infarction and stroke The diagnosis of peripheral vascular ... effectiveness and widespread availability Magnetic resonance angiography Gadolinium-enhanced magnetic resonance angiography (MRA) has proven valuable for the non-invasive assessment of peripheral vascular...

Ngày tải lên: 13/08/2014, 12:20

... echocardiogram in an 83-year-old man with acute pulmonary edema days after acute anterior myocardial infarction demonstrating anterior papillary muscle rupture (arrow) and flail anterior mitral valve ... four-chamber and (D) short-axis views shows a large septal and apical infarct BCI13 6/15/05 8:36 PM 156 Page 156 Chapter 13 of pericardial disease through characterization of pericardial anatomy and ... with pacemakers or implantable defibrillators and ferromagnetic cerebral aneurysm clips Irregular rhythms that often accompany acute heart failure can result in inadequate cardiac gating and suboptimal...

Ngày tải lên: 13/08/2014, 12:20

... Conventional echocardiographic parameters Table 15.1 provides an overview on the available conventional parameters that are valuable for the assessment of dyssynchrony before CRT implantation and for ... hypertrophy from pathologic hypertrophy of the heart The mitral apparatus The mitral apparatus is visualized in its integrity from parasternal and apical long-axis as well as parasternal short-axis projections ... it has not been systematically validated in patients with advanced heart failure and LV-based pacing Most centers today use a simplified, iterative approach for AV delay optimization The transmitral...

Ngày tải lên: 13/08/2014, 12:20

... located in the RA or atrial septum They arise from the endocardial surface and have a broad base of attachment Lipomas have the same signal intensity as subcutaneous and epicardial fat on all ... improved imaging of smaller masses, particularly in the atria, atrial appendages, or associated with valvular structures Contrast-enhanced echocardiography improves visualization of intracardiac masses ... Hoffman U, Globits S, Schima W, et al Usefulness of magnetic resonance imaging of cardiac and paracardiac masses Am J Cardiol 2003;92:890 Further reading Araoz PA, Mulvagh SL, Tazlaar HD, et al...

Ngày tải lên: 13/08/2014, 12:20

... PM Page 235 CHAPTER 19 Evaluation of the transplanted heart Oberdan Parodi, Maria Frigerio, and Benedetta De Chiara Introduction Cardiac transplantation is an established treatment for advanced ... transplant vasculopathy CAV, coronary allograft vasculopathy; CMV, cytomegalovirus Table 19.1 Clinical symptoms and signs of acute cardiac allograft rejection None Malaise, fatigue Fever Tachycardia ... prognostic value of serial dobutamine stress echocardiography for non-invasive assessment of cardiac allograft vasculopathy: comparison with coronary angiography and intravascular ultrasound Circulation...

Ngày tải lên: 13/08/2014, 12:20

... 46–52 ) A pacemaker was implanted at the age of 17 years because of sick sinus syndrome and paroxysmal atrial tachycardia Cardiac catheterization at the age of 36 years showed an abnormal site ... cardiovascular MRI AJR Am J Roentgenol 2004;182:1333–9 Masui T, Katayama M, Kobayashi S, et al Gadolinium-enhanced MR angiography in the evaluation of congenital cardiovascular disease pre- and ... filling as markers of abnormal right ventricular diastolic function.5 Aortic coarctation Coarctation of the aorta accounts for 5% of all CHD and is defined as a congenital narrowing of the aorta, most...

Ngày tải lên: 13/08/2014, 12:20

... Brigham and Women’s Hospital, Boston, MA, USA Gaetano Thiene, MD, Department of Cardiology and Pathology, University of Padua, Italy Alec Vahanian, MD, Cardiology Department, Bichat Hospital, Paris, ... integrating with the pathophysiology of the acute coronary syndrome As data applicable to an expanded epidemiological approach evolves, it will call for a conceptual transformation of the sequential ... except by a reviewer who may quote brief passages in a review First published 2006 Library of Congress Cataloging-in-Publication Data Sudden cardiac death: a handbook for clinical practice/ edited...

Ngày tải lên: 14/08/2014, 07:20

... significantly associated with the primary study endpoint (arrhythmic death or cardiac arrest) after adjustment for clinical covariates Patients with an abnormal SAECG had a 28% incidence of primary ... La Rovere MT, et al The ATRAMI Investigators Heart rate turbulence-based predictors of fatal and nonfatal cardiac arrest (The Autonomic Tone and Reflexes After Myocardial Infarction substudy) Am ... Mortara A, Schwartz PJ on behalf of the ATRAMI Investigators A preserved autonomic balance identifies among MADIT II patients a subgroup at low risk for implantable cardioverterdefibrillator discharge...

Ngày tải lên: 14/08/2014, 07:20

... myocardial ischemia triggers a ventricular tachyarrhythmia in patients who may or may not have a preexisting myocardial scar, and (2) a ventricular tachyarrhythmia occurs in the setting of a myocardial ... exercise, alcohol intake, and the ratio of ApoB/ApoA1 [8] Although no data are available specifically documenting that treatment strategies favorably impacting on the constellation of risk factors ... revascularization in patients scheduled for CABG with an ejection fraction less than 36% and an abnormal signal-averaged ECG (SAECG) After cardiopulmonary bypass, patients were randomized to a control...

Ngày tải lên: 14/08/2014, 07:20

... [5,6] that is characterized by syndactyly, cardiac malformations, mental retardation, and other phenotypes in addition to long-QT intervals and arrhythmias As many as 35% of LQTS cases appear to ... function mutations cause an accelerated repolarization that predisposes to atrial arrhythmias Atrial fibrillation may also occur in families in the presence of cardiac channelopathies such as the long-QT ... stable patients However, pulmonary or systemic embolization, bradyarrhythmia, and electromechanical dissociation (EMD) are also important precipitants, particularly in advanced disease Cardiac arrest...

Ngày tải lên: 14/08/2014, 07:20

... syndrome: a familial cause of sudden death Circulation 2003; 108: 965–970 47 Morita H, Kusano-Fukushima K, Nagase S, et al Atrial fibrillation and atrial vulnerability in patients with Brugada syndrome ... valvular heart disease in the general population increases the importance of sudden cardiac death and valvular heart disease as a clinical entity In this chapter, we present the currently available ... available data regarding the incidence and determinants of sudden death for each major organic valvular disease, that is, aortic stenosis, aortic regurgitation, mitral regurgitation, and mitral...

Ngày tải lên: 14/08/2014, 07:20