epidemiology pathophysiology andnbspprognosis of heart failure in the elderly
Tài liệu Manifestations of Pulmonary Tuberculosis in the Elderly: A Prospective Observational Study from North India pptx
... symptoms in elderly patients with TB This results in a delay in the presentation of the elderly to health care facilities, thereby resulting in a delay in the commencement of ATT The delay in presentation ... hence must be kept in mind during the diagnostic evaluation of elderly patients.11 Several findings of the current study are in accordance with the results of this meta-analysis In the present study, ... the groups DISCUSSION Tuberculosis is becoming increasingly common in the elderly and burden of the disease in them is likely to continue to increase substantially.3,4 Moreover, with increasing...
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Management of Bipolar Disease in the Elderly ppt
... illness Evaluation of Function Functional assessment Activities of daily living Feeding, Bathing, Dressing, Transferring, Toileting Instrumental activities of daily living Finances, Telephone, ... Phillipe Pinel, physician 1806 Citizen Pinel Orders Removal of the Chains of the Mad at the Salpêtriére Tony Robert-Fleury (1838–1911) 1876 painting Resources American Association of Geriatric ... therapy Individual psychotherapy Supportive psychotherapy Cognitive behavioral therapy Group therapy Family therapy Caregiver support group therapy Treatment Evidence-based research minimal Elderly...
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Bóa cáo y học: "Acute respiratory failure in the elderly: etiology, emergency diagnosis and prognosis" doc
... [10,11] The objectives of this study were therefore to determine the causes of ARF in elderly patients, the accuracy of the initial diagnosis suspected by the emergency physician, the impact of initial ... before the patient was leaving the emergency room for either the observation unit of our ED or another ward, including the ICU According to the final diagnosis made by the experts, an inaccurate ... appropriate At the time of the study, non-invasive ventilation or continuous positive airway pressure was not performed in the elderly in the ED, but they were performed in the ICU when the patients...
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Báo cáo y học: "Acute respiratory failure in the elderly" ppsx
... and therapeutic management of elderly patients should consider the multisystem involvement often present in the development of disease in such patients We should be committed to many more clinical ... overestimate the importance of age in survival from critical illness, and they underestimate the quality of life for elderly survivors To avoid an inappropriate utilization of ICUs for the elderly, ... identify during the early phase of their critical illness those elderly patients who may benefit from intensive care Finally, studies evaluating long-term outcomes, including quality of life and...
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Báo cáo y học: "Clinical review: Practical recommendations on the management of perioperative heart failure in cardiac surgery" pdf
... achieving adequate perfusion of the peripheral organs, thereby facilitating survival in the ICU, increasingly the objective of modern ventricular assist device therapy is to obtain a level of functionality ... is the principal investigator of the ongoing investigator initiated study: The TEAM-project: multi-center trial on the effect of anesthetics on morbidity and mortality in patients undergoing ... pump, used in the early 1980s (Hemopump®), provided flow rates in the range of 2.0 to 2.5 L/minute, but initial mechanical problems limited its clinical application in supporting the failing heart...
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Epidemiology of hypertension in the elderly pptx
... disease in the developed countries, whereas in some of these countries it occurs in the 20-30% of the adult population Arterial hypertension is highly prevalent in the Epidemiology of hypertension in ... Based on the Hellenic Society for the Study of Hypertension guidelines (2008) the aim of the screening of blood pressure in the hypertensive subjects under 65 years old is to maintain the blood ... conducted in the special infrastructures for the protection of the elderly in Greece, it has been reported that 72.9% of the males and 77.1% of females had high blood pressure 15, nevertheless,...
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báo cáo hóa học: " Differential aspects of stroke and congestive heart failure in quality of life reduction: a case series with three comparison groups" pot
... in the United States Stroke 2006, 37:2567-2572 16 Calvert MJ, Freemantle N, Cleland JGF: The impact of heart failure on health-related quality of life data acquired in the baseline phase of the ... participated in the acquisition of data for NIHSS and mBI PAPJ participated in the acquisition of data for NIHSS and stroke case definitions JOF conceived and coordinated the study, participated in its ... Pereira DF, Pinto E, Leite JP, Lopes AA, Oliveira-Filho J: Validation of the National Institutes of Health Stroke Scale, Modified Rankin Scale and Barthel Index in Brazil: the role of cultural...
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epidemiology of nosocomial pneumonia in the intensive care unit of bach mai hospital, 2008-2009
... patients, positioning the patient supine with the head elevated 30–45 degrees, suctioning measures including continuous suctioning of subglottic secretions, and minimizing the use of sedating or paralytic ... characteristics of pathogens causing HAP These findings suggest areas for intervention and for developing guideline for prevention and control of HAP in HCFs THESIS STRUCTURE The thesis consists of 129 ... contaminated respiratory equipment According to the findings of some studies conducted in the United States and in the Europe, the mortality rate in the patients with of HAP caused by common multi-antibiotic...
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Báo cáo y học: "Cold hands — strained heart? Advances in the management of Raynaud’s phenomenon and pulmonary hypertension" ppt
... Since there are commonalities in the pathophysiology of PAH and RP, particularly in the context of connective tissue disease, inhibition of the renin–angiotensin system may prove effective in ... than nifedipine in reducing both the frequency and the severity of attacks [14] PDE type V inhibitors such as sildenafil inhibit the degradation of cGMP, which mediates the signalling of several ... combine vasodilator and antiproliferative activity include angiotensin-converting enzyme inhibitors, angiotensin receptor blockers and PDE type V inhibitors [5] The use of angiotensin-converting...
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Báo cáo y học: "urgical correction of unsuccessful derotational humeral osteotomy in obstetric brachial plexus palsy: Evidence of the significance of scapular deformity in the pathophysiology of the medial rotation contracture" ppt
... the surgical plan The design of the Triangle Tilt procedure aims at improving the position of the humeral head in the glenoid fossa by eliminating the impingement occurring in the SHEAR deformity ... osteotomy of the acromion process, with the body of the acromion process and the medial margin of the acromion rapidly separating, and the distal segment moving both inferiorly and posteriorly The ... determine version The degree of humeral head subluxation was determined using the same scapular line and a perpendicular line traversing the humeral head at its greatest diameter The distance of the...
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báo cáo khoa học: "Patient Care Teams in treatment of diabetes and chronic heart failure in primary care: an observational networks study" pptx
... included in the other activity-specific networks of this patient as well If the response of a health professional was missing, it was substituted by the response of the other individuals in the ... testing, i.e., monitoring of kidney functioning Clinical research has confirmed the relevance of this in both diabetes patients and CHF patients In diabetes, testing for creatinine is important in ... of involved health professionals From a clinical perspective, it is worth mentioning that the variation in our outcome ‘disease monitoring’ was mainly related to varying levels of creatinine...
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ABC of heart failure History and epidemiology - part 1 potx
... incidence of heart failure with each decade of ageing, reaching 3% in those aged 85-94 years The recent Hillingdon study examined the incidence of heart failure, defined on the basis of clinical ... incidence of heart failure of 0.14% in women and 0.23% in men Survival in the women is generally better than in the men, leading to the same point prevalence There is an approximate doubling in the incidence ... studies of the epidemiology of heart failure and left ventricular dysfunction have been conducted, including a study of the incidence of heart failure in one west London district (Hillingdon heart failure...
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ABC of heart failure History and epidemiology - part 3 doc
... cardiomyopathy Ann Intern Med 1974;80:293-7 x The Task Force of the Working Group on Heart Failure of the European Society of Cardiology Guidelines on the treatment of heart failure Eur Heart J 1997;18:736-53 ... trial of losartan versus captopril in patients over 65 with heart failure Lancet 1997;349:747-52 x Remme WJ The treatment of heart failure The Task Force of the Working Group on Heart Failure of the ... www.bmj.com 495 Clinical review Other inotropes The potential role of inotropic agents other than digoxin in chronic heart failure has been addressed in several studies Although these drugs seem...
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ABC of heart failure History and epidemiology - part 4 ppt
... nurses in the management of heart failure has been relatively neglected in Britain In the United States the establishment of a nurse managed heart failure clinic in South Carolina resulted in a ... remained Similar findings have been reported in the echocardiographic heart of England screening (ECHOES) study, in which only about 22% of the patients with a diagnosis of heart failure in their ... 20% reduction in mortality Nurse management of heart failure has implications for the provision of care in patients with chronic heart failure, sharing the increasing burden of heart failure Specialist...
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Báo cáo y học: "Role of pathophysiology of patellofemoral instability in the treatment of spontaneous medial patellofemoral subluxation: a case report" docx
... release, Quervain et al [12] claimed that medial patellofemoral instability is mostly caused by the insufficiency of the lateral retinaculum following the release of the patellotibial and the epicondylopatellar ... structures of the knee joint, long-term overdominancy of vastus medialis to vastus lateralis was probably playing a major role in the pathophysiology of medial subluxation as in our the case of our ... examination at intervals of three months By the end of the sixth week of the surgery he achieved full range of motion Meanwhile, full Figure The patellofemoral relationship of our patient at supine position...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 1 potx
... permission from the copyright owner Printed in the Netherlands Table of Contents List of Contributors vii Introduction by Wilbert J Keon xi Pathophysiology of Contractile Dysfunction in Heart Failure ... the overall knowledge of the management of the heart failure patient and provides a useful and worthwhile read for every cardiac surgeon of the day Wilbert J Keon University of Ottawa Heart Institute ... dysfunction, the potential for recovery of function via grai\ing continued to add luster to the challenge The very definition of "hibernating muscle", coined originally by Rahimtoola, embodies the concept...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 2 pdf
... both on the etiology of congestive heart failure and the stage of the heart failure Tlie activation of the sympathetic nervous system is accompanied by the activation of the renin-angiotensin-aldosterone ... beneficial to the failing heart. *' In addition, changes of contractile proteins are not confined to the myosin heavy chains because in human heart failure, a marked decrease in the myosin light chain a)ntent ... heart and in the aging heart, also undergo apoptosis.'^ Furthermore, p5,3, a gene involved in apoptosis, is involved in the failing heart and the cytokine tumor necrosis factor-a, an inducer of apoptosis...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 3 doc
... difficult to characterize in this setting because of the unloading effect of the regurgitation into the low-pressoire left atnum For the same degree of volume overload and increase in end-diastolic volume, ... apparatus in tcmis of cardiac energetics and systolic mechanics in the ejecting canine heart J Clin Invest 1991; 87:247-51 37 David T\'„ I 'den DE, Strauss HD The importance of the mitral apparatus in ... ventricular septum or t(K) far away from the LAD and damaging the anterior papillan," muscle." Once an initial incision IS made into the apex of the aneurysm the inside of the aneiiiAsm Left Ventricular...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 4 pot
... aroiMid the entire circumference of tlie base of the aiiemysin at tlie junction of scar and noirnal myocardiuriL The degi^ee of tigblening of this suture will detenmne the final size of the remaining ... taper of the distal septum and the stabilized septum subsequently remains as part of the wall of the left ventricular wall The technique of Dor however excludes the aneurysmal portion of the distal ... from the combination of hydralazme and oral nitrate therapy,* Tailoring of therapy for hemodynamic goals in class IV heart failure often leads to dramatic improvement in hemodynamics and clinical...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 5 pot
... On the other hand, the same result would be an indication for the listing of a patient who is referred on a stable regimen of angiotensin-converting-enzyme inhibitors, diuretics and digoxin with ... with the cost of immediate disappointment preventing the tragedy of protracted postoperative misery prior to death, and the tragedy of the premature end of a donor heart, fransplantation for otherwise ... doomed patients, however, is often the most rewarding, with the infinite relative increment in both quality and length of life (l-igure 3) Increasing availability of mechanical circulatoiy support...
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