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113 records – page 1 of 12.

The 2012 Canadian hypertension education program recommendations for the management of hypertension: blood pressure measurement, diagnosis, assessment of risk, and therapy.

https://arctichealth.org/en/permalink/ahliterature124290
Source
Can J Cardiol. 2012 May;28(3):270-87
Publication Type
Article
Date
May-2012
Author
Stella S Daskalopoulou
Nadia A Khan
Robert R Quinn
Marcel Ruzicka
Donald W McKay
Daniel G Hackam
Simon W Rabkin
Doreen M Rabi
Richard E Gilbert
Raj S Padwal
Martin Dawes
Rhian M Touyz
Tavis S Campbell
Lyne Cloutier
Steven Grover
George Honos
Robert J Herman
Ernesto L Schiffrin
Peter Bolli
Thomas Wilson
Ross D Feldman
M Patrice Lindsay
Brenda R Hemmelgarn
Michael D Hill
Mark Gelfer
Kevin D Burns
Michel Vallée
G V Ramesh Prasad
Marcel Lebel
Donna McLean
J Malcolm O Arnold
Gordon W Moe
Jonathan G Howlett
Jean-Martin Boulanger
Pierre Larochelle
Lawrence A Leiter
Charlotte Jones
Richard I Ogilvie
Vincent Woo
Janusz Kaczorowski
Luc Trudeau
Simon L Bacon
Robert J Petrella
Alain Milot
James A Stone
Denis Drouin
Maxime Lamarre-Cliché
Marshall Godwin
Guy Tremblay
Pavel Hamet
George Fodor
S George Carruthers
George Pylypchuk
Ellen Burgess
Richard Lewanczuk
George K Dresser
Brian Penner
Robert A Hegele
Philip A McFarlane
Mukul Sharma
Norman R C Campbell
Debra Reid
Luc Poirier
Sheldon W Tobe
Author Affiliation
Division of General Internal Medicine, McGill University, Montreal, Québec, Canada. stella.daskalopoulou@mcgill.ca
Source
Can J Cardiol. 2012 May;28(3):270-87
Date
May-2012
Language
English
Publication Type
Article
Keywords
Adult
Aged
Antihypertensive Agents - therapeutic use
Blood Pressure Determination - methods
Canada
Cardiovascular Diseases - etiology - prevention & control
Education, Medical, Continuing - standards
Evidence-Based Medicine - standards
Female
Health Education - standards
Humans
Hypertension - complications - diagnosis - therapy
Male
Middle Aged
Monitoring, Physiologic - methods
Practice Guidelines as Topic - standards
Prognosis
Risk assessment
Treatment Outcome
Abstract
We updated the evidence-based recommendations for the diagnosis, assessment, prevention, and treatment of hypertension in adults for 2012. The new recommendations are: (1) use of home blood pressure monitoring to confirm a diagnosis of white coat syndrome; (2) mineralocorticoid receptor antagonists may be used in selected patients with hypertension and systolic heart failure; (3) a history of atrial fibrillation in patients with hypertension should not be a factor in deciding to prescribe an angiotensin-receptor blocker for the treatment of hypertension; and (4) the blood pressure target for patients with nondiabetic chronic kidney disease has now been changed to
PubMed ID
22595447 View in PubMed
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Acidification of distal esophagus and sleep-related breathing disturbances.

https://arctichealth.org/en/permalink/ahliterature179752
Source
Chest. 2004 Jun;125(6):2101-6
Publication Type
Article
Date
Jun-2004
Author
Soren Berg
Victor Hoffstein
Thorarinn Gislason
Author Affiliation
Lund Sleep Study Group, Department of Oto-Rhino-Laryngology, Head and Neck Surgery, University of Lund, Sweden.
Source
Chest. 2004 Jun;125(6):2101-6
Date
Jun-2004
Language
English
Publication Type
Article
Keywords
Adult
Aged
Cohort Studies
Comorbidity
Disorders of Excessive Somnolence - epidemiology - etiology
Esophagus - physiopathology
Follow-Up Studies
Gastroesophageal Reflux - diagnosis - epidemiology
Humans
Hydrogen-Ion Concentration
Male
Middle Aged
Monitoring, Physiologic - methods
Polysomnography - methods
Pressure
Probability
Risk assessment
Severity of Illness Index
Sleep Apnea, Obstructive - diagnosis - epidemiology
Sleep Stages
Abstract
To investigate whether distal esophageal acidification occurs during sleep in patients suspected of sleep-disordered breathing, and whether such acidification is related to respiratory abnormalities.
Fourteen middle-aged, snoring men all complaining of daytime sleepiness and suspected of having obstructive sleep apnea.
Sleep laboratory, Pulmonary Department, Landspitali University Hospital, Reykjavik, Iceland.
Each patient underwent full nocturnal polysomnography testing, which included continuous monitoring of esophageal pressure (Pes) and pH. We identified all pH events, which were defined as a reduction in esophageal pH of >/= 1.0. During each pH event, the respiratory recordings where examined for the presence of apneas or hypopneas, and Pes was recorded. The data were analyzed to determine the possible relationships between pH events and respiratory events, and between changes in pH and changes in Pes. We found that there were more respiratory events than pH events. The mean (+/- SD) number of apneas and hypopneas per hour of sleep was 33 +/- 22, whereas the mean number of pH events per hour of sleep was 7 +/- 6. Overall, 81% of all pH events were associated with respiratory events. Correlation analysis did not reveal any significant relationship between pH events and the magnitude of Pes or apnea-hypopnea index.
Episodes of esophageal acidification are common in patients with sleep apnea, and are usually associated with respiratory and pressure events. However, changes in pH were independent of the magnitude of the Pes.
PubMed ID
15189928 View in PubMed
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Acute myocardial infarction patients' chest pain as monitored and evaluated by ambulance personnel.

https://arctichealth.org/en/permalink/ahliterature55133
Source
Intensive Crit Care Nurs. 1992 Jun;8(2):113-7
Publication Type
Article
Date
Jun-1992
Author
B. Fridlund
B. Carlsson
Source
Intensive Crit Care Nurs. 1992 Jun;8(2):113-7
Date
Jun-1992
Language
English
Publication Type
Article
Keywords
Allied Health Personnel - standards
Chest Pain - diagnosis - drug therapy - etiology
Evaluation Studies
Humans
Monitoring, Physiologic - methods - standards
Myocardial Infarction - complications - diagnosis - therapy
Outcome Assessment (Health Care)
Research Support, Non-U.S. Gov't
Sweden
Abstract
A delicate duty for ambulance personnel is to care for patients who suffer from chest pain, caused by acute myocardial infarction (AMI-patient). In Sweden pain-relieving drugs may be administered, such as: oxygen, entonox, or morphine according to the skill of the ambulance personnel. The aim of this study was to find out if AMI-patients' expressions of pain were monitored and evaluated, in which way the AMI-patients received pain-relief, and to which degree they were relieved of pain. Examinations of the records of the ambulance personnel's observations during transport of AMI-patients revealed that nine tenths of those who complained about chest pain received pain-relieving drugs. The results of the treatments varied, however, from a good rate of response to morphine to less responses to oxygen and entonox. In order to treat AMI-patients who are in need of pain-relief during their transit to hospital the ambulance personnel must possess thorough knowledge of both pain theory and communication theory. Furthermore, they need tools for assessment of pain and for administering adequate pain-relieving drugs in clinical practice. In the future it may be necessary to differentiate between ambulance personnel in routine service and those in emergency service according to their levels of education.
PubMed ID
1611285 View in PubMed
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[Acute pulmonary dysfunction in adults. Adult respiratory distress syndrome--ARDS].

https://arctichealth.org/en/permalink/ahliterature228393
Source
Tidsskr Nor Laegeforen. 1990 Sep 10;110(21):2752-6
Publication Type
Article
Date
Sep-10-1990
Author
J L Svennevig
J. Pillgram-Larsen
H. Moen
P. Halvorsen
A. Skulberg
Author Affiliation
Kirurgisk Avdeling, Ullevål sykehus, Oslo.
Source
Tidsskr Nor Laegeforen. 1990 Sep 10;110(21):2752-6
Date
Sep-10-1990
Language
Norwegian
Publication Type
Article
Keywords
Adult
Age Factors
Aged
Female
Humans
Male
Middle Aged
Monitoring, Physiologic - methods
Norway
Postoperative Complications - diagnosis - physiopathology - therapy
Prognosis
Respiration, Artificial
Respiratory Distress Syndrome, Adult - diagnosis - physiopathology - therapy
Wounds and Injuries - complications
Abstract
During a 3-year period 0.1% of all patients undergoing surgery and 0.3% of the patients submitted for trauma developed ARDS. The diagnosis was based on strict criteria. Mortality among the 42 patients was 45.2%. Abdominal sepsis was associated with high mortality, trauma with a much better prognosis. Swan-Ganz catheters were used in 81% of the patients. The measurements were characterized by high pulmonary vascular resistance and increased intrapulmonary shunting. However, the initial recordings showed only small differences between survivors and fatal cases as regards haemodynamics and blood gas parameters. Mortality was associated with low diuresis, heart failure, need of inotropic support and on age of over 50 years. The significance of invasive central monitoring is discussed.
PubMed ID
2219047 View in PubMed
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Addressing challenges in future surveillance after surgery for early-stage cervical cancer.

https://arctichealth.org/en/permalink/ahliterature267055
Source
Int J Gynecol Cancer. 2015 Feb;25(2):309-14
Publication Type
Article
Date
Feb-2015
Author
Katrine Fuglsang
Lone Kjeld Petersen
Jan Blaakaer
Source
Int J Gynecol Cancer. 2015 Feb;25(2):309-14
Date
Feb-2015
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Carcinoma, Squamous Cell - mortality - pathology - surgery
Denmark - epidemiology
Female
Follow-Up Studies
Humans
Middle Aged
Monitoring, Physiologic - methods
Neoplasm Staging
Recurrence
Retrospective Studies
Risk assessment
Survival Analysis
Uterine Cervical Neoplasms - mortality - pathology - surgery
Watchful Waiting
Young Adult
Abstract
This study examines surveillance after early-stage cervical cancer surgery. Since the 1980s, the value of surveillance has been discussed continuously. The main question explored is whether surveillance serves the purpose of ensuring early diagnosis of recurrence.
A retrospective cohort study included 389 women with cervical cancer who underwent surgery as the primary treatment modality at the Department of Obstetrics and Gynecology, Aarhus University Hospital, Denmark, from 1996 to 2011. We used data from patient files and the Danish National Pathology Data Bank. The cumulative risk was estimated by the Kaplan-Meier method and tested by the log-rank test.
Forty-three women (11%) had recurrence. Only 27% of the recurrent cases were diagnosed at a scheduled surveillance appointment, but they were often asymptomatic and seemed to have a better outcome after treatment compared with the recurrent cases diagnosed at self-referral.The 5-year survival was overall 91.3%, recurrence-free survival was 96%, and cancer-specific survival was 54%. The median recurrence-free interval was 23 months (range, 4-144) for the symptomatic patients and 14 months (range, 4-48) for the asymptomatic patients. The median survival after recurrence was 12 months (range, 2-132) for the symptomatic patients and 156 months (range, 40-180) for the asymptomatic patients.
At the moment, neither the value of surveillance nor the significance of self-referral related to survival after recurrence is known. In this study, those who are diagnosed with recurrence before symptom onset seem to fare better in terms of 5-year survival than those who are diagnosed after self-referral because of symptoms.
PubMed ID
25594142 View in PubMed
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[An analysis of using the graphic monitoring of ventilation for an optimal choice of respiratory management parameters in patients with acute respiratory distress syndrome]

https://arctichealth.org/en/permalink/ahliterature63317
Source
Anesteziol Reanimatol. 2004 Jul-Aug;(4):59-63
Publication Type
Article
Author
A I Gritsan
A P Kolesnichenko
A Iu Skorobogatov
G V Gritsan
Source
Anesteziol Reanimatol. 2004 Jul-Aug;(4):59-63
Language
Russian
Publication Type
Article
Keywords
Blood Gas Analysis
Eclampsia - complications
English Abstract
Female
Genital Diseases, Female - complications
Humans
Monitoring, Physiologic - methods
Pre-Eclampsia - complications
Pregnancy
Respiration, Artificial - instrumentation - methods
Respiratory Distress Syndrome, Adult - therapy
Shock, Septic - complications
Ventilators, Mechanical
Abstract
The potentialities of graphic ventilation monitoring (graphic monitor "Servo Screen 390", Siemens Elema, Sweden) were analyzed for optimizing the respiratory management parameters in 48 obstetric and gynecology patients with acute respiratory distress syndrome (ARDS). The ventilation loops and curves, ALV parameters, mechanical lung properties, gas blood composition and gas indices were dynamically evaluated during examination stages. The graphic ventilation monitoring, when used for respiratory management in patients with ARDS, provides for optimizing, in the real time mode, the PEEP and Vt levels, which is in line with the AVL "safety" concept.
PubMed ID
15468562 View in PubMed
Less detail

Applicability of IG/TCR gene rearrangements as targets for minimal residual disease assessment in a population-based cohort of Swedish childhood acute lymphoblastic leukaemia diagnosed 2002-2006.

https://arctichealth.org/en/permalink/ahliterature98771
Source
Eur J Haematol. 2010 Feb 1;84(2):117-27
Publication Type
Article
Date
Feb-1-2010
Author
Ingrid Thörn
Erik Forestier
Britt Thuresson
Carina Wasslavik
Maria Malec
Aihong Li
Elenor Lindström-Eriksson
Johan Botling
Gisela Barbany
Stefan Jacobsson
Tor Olofsson
Anna Porwit
Christer Sundström
Richard Rosenquist
Author Affiliation
Department of Genetics and Pathology, Rudbeck Laboratory, Uppsala University, Uppsala, Sweden.
Source
Eur J Haematol. 2010 Feb 1;84(2):117-27
Date
Feb-1-2010
Language
English
Publication Type
Article
Keywords
Adolescent
Alleles
Antineoplastic Combined Chemotherapy Protocols - administration & dosage
Child
Child, Preschool
Female
Gene Rearrangement, B-Lymphocyte
Gene Rearrangement, T-Lymphocyte
Humans
Infant
Infant, Newborn
Male
Monitoring, Physiologic - methods
Neoplasm, Residual
Polymerase Chain Reaction
Precursor Cell Lymphoblastic Leukemia-Lymphoma - drug therapy - metabolism
Retrospective Studies
Sensitivity and specificity
Sweden
Abstract
Minimal residual disease (MRD) detection during the early treatment phase has become an important stratification parameter in many childhood acute lymphoblastic leukaemia (ALL) treatment protocols. Here, we aimed to address the applicability of rearranged antigen-receptor genes as potential MRD markers using real-time quantitative polymerase chain reaction (RQ-PCR) in a Swedish population-based cohort. From 334 childhood ALL cases diagnosed during 2002-2006, we analysed 279 diagnostic samples (84%) by screening for rearranged immunoglobulin (IG) and T-cell receptor (TCR) genes. Allele-specific oligonucleotides were designed, and the sensitivity and quantitative level was determined for each target. Overall, clonal IG/TCR rearrangements were detected in 97% (236/244) of B-cell precursor ALL (BCP ALL) and 94% (33/35) of T-ALL. A sensitive RQ-PCR analysis ( or = 10(-3), which is applied in the current Nordic treatment protocol (NOPHO-ALL 2008) for the identification of high-risk patients, 93% of BCP ALL and 86% of T-ALL reached this quantitative range by at least one target gene. Taken together, this national retrospective study demonstrates that an IG/TCR target for MRD monitoring can be identified in the majority of childhood ALL cases, whereas identification of a second sensitive target gene needs to be improved.
PubMed ID
19895569 View in PubMed
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[Approaches potentiating cardioprotective effect of ambulatory physical training in patients with ischemic heart disease and multivessel coronary artery involvement after coronary stenting].

https://arctichealth.org/en/permalink/ahliterature261053
Source
Kardiologiia. 2014;54(10):19-25
Publication Type
Article
Date
2014
Author
N P Liamina
E V Kotel'nikova
E A Biziaeva
É S Karpova
Source
Kardiologiia. 2014;54(10):19-25
Date
2014
Language
Russian
Publication Type
Article
Keywords
Cardiotonic Agents - administration & dosage
Coronary Vessels - physiopathology - surgery
Echocardiography - methods
Electrocardiography - methods
Exercise Therapy - methods
Exercise Tolerance
Female
Home Care Services, Hospital-Based - organization & administration
Humans
Male
Middle Aged
Monitoring, Physiologic - methods
Myocardial Ischemia - diagnosis - physiopathology - surgery
Percutaneous Coronary Intervention - methods - rehabilitation
Prospective Studies
Russia
Severity of Illness Index
Stents
Treatment Outcome
Trimetazidine - administration & dosage
Vasodilator Agents - administration & dosage
Abstract
Cardiorehabilitation of patients with multivessel coronary lesions is an obligatory component of ambulatory stage of care. With the aim of potentiating cardioprotective and antiischemic impact of rehabilitative preventive measures in 36 patients with ischemic heart disease (IHD) and multivessel coronary artery involvement who had undergone percutaneous coronary intervention we studied cardioprotective and antiischemic effect of long-term (24 weeks) administration of 70 mg/day trimetazidine in combination with moderate intensity physical training with the use of distance surveillance by a physician. The chosen therapeutic approach in patients with residual ischemia after incomplete anatomical revascularization provided early persistent formation of cardioprotective and antiischemic effect proven by increase of tolerance to physical exercise, improvement of diastolic function, and positive dynamics of both ECG parameters and biochemical markers of myocardial ischemia.
PubMed ID
25675716 View in PubMed
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113 records – page 1 of 12.