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Hermeneutic Phenomenology Research Approach: A Review of the Continuing Professional Development in the Clinical Speciality of Cardiology 解释学现象学研究方法——心脏病学临床专业继续专业发展述评
Pub Date : 2020-10-31 DOI: 10.33425/2639-8486.1082
Umaima Al-Raisi, I. Salmi, J. Magarey, P. Rasmussen, S. Hannawi
Background: The specialised clinical environment is very challenging and complex for nurses. Those working in such an environment need to constantly update their knowledge and skills in order to be proficient in their specialty. Phenomenology is a branch of philosophy and a research method used to reveal the unknown aspects of experience and explain phenomena. Nurse experience using online continuing professional development (CPD) provides an insight regarding this method of learning. Aims: This paper reviews the role of phenomenology as branch of philosophy and research method to reveal staff experience in developing their advanced clinical skills using online CPD activities. Results: There are several-reasons supporting the use of phenomenology as a research-methodology. First, the significance of phenomenology-research is to aid exploration of the lived-experience. This means exploring the originality of humanexistence, life as it is lived and the original-dimensions. Second, phenomenology is concerned with human-world, and the world cannot be described without referring to personal-consciousness and experience. Third, phenomenological-research helps to reveal the internal-structure of lived-experience or the essence of phenomena. The essence can be sensed through studying details and facts encountered in the lived-experience and the language used to describe it. Fourth, phenomenologicalresearch contextualises the lived-experience with deep and rich-meaning of the way that humans-act in their world. Fifth, phenomenological-research stimulates human thoughtfulness to wonder about life and perceive meanings for everyday-lifeevents. Finally, phenomenological-research is a poetising-project; poetising means talking, primally and ontologically, about original-experience, thus disclosing meaning of how it is like to be or exist in this life. Conclusion: Phenomenological research is the most suitable approach for exploring and further understanding of human experiences and other human phenomena. The hermeneutic interpretive approach allowed the researcher to reveal the deeper meanings of the online CPD experience. *Correspondence: Dr. Issa Al Salmi, MD, BA, BAO, Bch, MB (Trinity College), FRCPI, MRCP (U.K.), FRCP, MIPH, PhD (AUS), FASN (USA); The Royal Hospital, 23 July Street, P O Box 1331, code 111, Muscat, Oman and Oman Medical Specialty Board, Aziabah, Muscat, Oman, Telephone: 968 92709000, Fax: 968 245 99966, ORCID: 0000-0002-3443-5972, Research ID: J-4622-2014. Received: 25 August 2020; Accepted: 14 September 2020
背景:专业的临床环境对护士来说非常具有挑战性和复杂性。在这样的环境中工作的人需要不断更新自己的知识和技能,才能精通自己的专业。现象学是哲学的一个分支,是一种用来揭示经验的未知方面和解释现象的研究方法。使用在线持续专业发展(CPD)的护士经验提供了关于这种学习方法的见解。目的:本文回顾了现象学作为哲学分支和研究方法的作用,以揭示员工在利用在线CPD活动发展高级临床技能方面的经验。结果:有几个原因支持使用现象学作为一种研究方法。首先,现象学研究的意义在于有助于对生活经验的探索。这意味着探索人类存在的独创性、生活的本质和原始维度。第二,现象学关注的是人类世界,描述世界离不开个人意识和经验。第三,现象学研究有助于揭示生活经验的内部结构或现象的本质。通过研究生活体验中遇到的细节和事实以及描述它的语言,可以感知其本质。第四,现象学研究将生活体验置于背景中,对人类在世界中的行为方式具有深刻而丰富的意义。第五,现象学研究激发了人类对生活的思考,并感知日常生活事件的意义。最后,现象学研究是一个诗意化的工程;诗意化意味着从根本上和本体论上谈论原始的体验,从而揭示它在生活中的意义。结论:现象学研究是探索和进一步理解人类经验和其他人类现象的最合适的方法。解释学的解释方法使研究者能够揭示在线CPD体验的更深层次的含义*通信:Issa Al Salmi博士,医学博士、文学学士、BAO、Bch、MB(三一学院)、FRCPI、MRCP(英国)、FRCP、MIPH、PhD(澳大利亚)、FASN(美国);皇家医院,23 July Street,邮政信箱1331,代码111,阿曼马斯喀特和阿曼医学专业委员会,Aziabah,阿曼马斯卡特,电话:968 92709000,传真:968 245 99966,ORCID:0000-0002-3443-5972,研究ID:J-4622-2014。接收日期:2020年8月25日;接受日期:2020年9月14日
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引用次数: 1
Cephalic Vein Aneurysm: Report of a Case and Review of The Literature 头静脉动脉瘤1例报告及文献复习
Pub Date : 2020-10-31 DOI: 10.33425/2639-8486.1081
J. A. Aragão, I. Aragão, F. M. Aragão, F. Reis
Introduction Venous aneurysms are rare entities, especially in the upper extremities, which is why they are poorly documented in the literature [1,2]. Its etiology may involve several factors, which may be associated with trauma, inflammation, congenital weakness, degenerative changes in the venous wall, endophlebohypertrophy and endophleboesclerosis processes, in addition to dialysis arteriovenous fistula [2,3]. In this article, we report a case of cephalic vein aneurysm at the height of the elbow fold of 2.0 cm in maximum diameter and review of the literature.
引言静脉瘤是一种罕见的实体瘤,尤其是在上肢,这就是为什么文献中对其记录不足的原因[1,2]。其病因可能涉及几个因素,除了透析动静脉瘘外,这些因素可能与创伤、炎症、先天性虚弱、静脉壁退行性变化、肝内肥大和肝内硬化过程有关[2,3]。在这篇文章中,我们报告了一例头静脉瘤,其高度为肘部最大直径2.0厘米,并对文献进行了回顾。
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引用次数: 1
Review of 10 Years of Practical RT-3DTEE (2010-2020) RT-3DTEE实用10年回顾(2010-2020)
Pub Date : 2020-08-30 DOI: 10.33425/2639-8486.1076
Nguyen Tuan Vu
Objectives: Background: Real-time three dimensional transesophageal echocardiography or RT-3DTEE, with advances in image processing and display, has increased the availability and utility of TEE to a variety of clinical settings as diagnosis and catheter intervention. Patients & Methods: We study all Patients with RT-3DTEE, presented in MEDIC HCMC from October 2010 to May 2020. Results: From October 2010 to May 2020, in MEDIC HCM, we have already performed 1276 cases ofReal-time 3DTEE: Mitral Stenosis (31%), Atrial Septal Defects (16%) and other diseases of the heart.The display of three dimensional images of 3DTEE providing important information’s to assess the anatomical structures and the severity of diseases prior to perform interventional procedure. Conclusion: Real-time 3DTEE overcomes the limitations of 2DTEE in making diagnosis and guiding the catheter intervention.
目的:背景:随着图像处理和显示的进步,实时三维经食管超声心动图(RT-3DTEE)增加了TEE在各种临床环境中的可用性和实用性,如诊断和导管干预。患者和方法:我们研究了2010年10月至2020年5月在MEDIC HCMC中出现的所有RT-3DTEE患者。结果:从2010年10月到2020年5月,在MEDIC HCM中,我们已经进行了1276例实时3DTEE:二尖瓣狭窄(31%)、心房间隔缺损(16%)和其他心脏疾病。3DTEE三维图像的显示为在进行介入手术之前评估解剖结构和疾病严重程度提供了重要信息。结论:实时3DTEE克服了2DTEE在诊断和指导导管介入方面的局限性。
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引用次数: 0
LV Myxoma on Real-time 3DTTE in a Young Patient with Dilated Cardiomyopathy and Apical Thrombus 一名年轻扩张型心肌病和顶端血栓患者的左心室粘液瘤实时3DTTE检查
Pub Date : 2020-08-30 DOI: 10.33425/2639-8486.1077
N. Vu
Introduction LV myxoma is extremely rare disease, surgical resection of myxoma always indicated because of high risk embolic events. LV myxoma may be occasionally detected or by the symptoms caused by embolic events or valvular orifice obstructing. Previously 2DTTE was used to make diagnosis prior to respect the tumor. Currently, 3DTTE overcomes the limitations of 2DTTE in description of shape, size, pedicle, location, relationship with around structures, especially the surface aspect of myxoma.
引言左心室粘液瘤是一种极为罕见的疾病,由于栓塞事件的高危性,手术切除粘液瘤总是很有必要的。左心室粘液瘤可能偶尔被发现,或由栓塞事件或瓣膜口阻塞引起的症状引起。以前2DTTE用于在尊重肿瘤之前进行诊断。目前,3DTTE克服了2DTTE在描述黏液瘤的形状、大小、椎弓根、位置、与周围结构的关系,特别是表面方面的局限性。
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引用次数: 0
Beta-3 Adrenoreceptor: Boon or Bane in Heart Failure? -3肾上腺素受体:对心力衰竭有利还是有害?
Pub Date : 2020-08-30 DOI: 10.33425/2639-8486.1079
G. Paas, Jeremy Owen G. Go, Ezekiel Morena S. Rivera, Margarita Ysabel S. Mangahas, Eunice Marie Perez-Trajano, Raul D. Jara
Inclusion criteria We included published studies on humans, review articles, and experimental studies in human tissues published in PubMed, MEDLINE, Herdin, and Cochrane which discussed the effects ABSTRACT Background: In a recent publication, four beta blockers—Metoprolol, Carvedilol, Bisoprolol, and Nebivolol have shown good effects in heart failure. Published studies on the role of beta-3 receptor (B3AR) agonism over the past 3 decades had conflicting results. Recent experimental studies described its role in coupling mechanisms with nitric oxide, offering protection in damaged cardiac myocytes.
摘要背景:在最近发表的一篇文章中,四种受体阻滞剂——美托洛尔、卡维地洛、比索洛尔和内比洛尔在心力衰竭中显示出良好的疗效。在过去的30年里,关于β -3受体(B3AR)激动作用的已发表的研究结果相互矛盾。最近的实验研究描述了它在与一氧化氮偶联机制中的作用,为受损的心肌细胞提供保护。
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引用次数: 0
Primary Osteolytic Tumor Revealing A Deep Vein Thrombosis Of The Right Lower Limb In One Case 原发性溶骨性肿瘤伴右下肢深静脉血栓1例
Pub Date : 2020-08-30 DOI: 10.33425/2639-8486.1080
Soumaoro Morlaye, Barry Ibrahima Sory, S. Aly, Baldé El Hadj Yaya, Camara Abdoulaye, K. Diara, Samoura Sana, B. Abdoulaye, Koivogui Kokoulo, Toure Demba, K. Moussa, Sow Aminata, Baldé Mamadou Dadhi, Condé Mamadi
Introduction Venous thromboembolism is a unique entity which groups together two main clinical expressions: deep vein thrombosis (DVT) and pulmonary embolism (PE) Deep vein thrombosis of the lower limb is a multifactorial disorder characterized by the formation of a thrombus of fibrino cruori which can be partial or total [1]. Primary bone tumors are rare and can be divided into two groups. Primary malignant bone tumors represent less than 1% of cancers. They develop especially in children and adolescents as well as in young adults. After 50 years, they should be the first to think of metastasis. Benign bone tumors are more common and can be seen at any age although they are most commonly seen in children, adolescents and young adults. As with any bone tumor, it is first ABSTRACT Introduction: Venous thromboembolism is a unique entity which groups together two main clinical expressions: deep vein thrombosis (DVT) and pulmonary embolism (PE) Deep vein thrombosis of the lower limb is a multifactorial disorder characterized by the formation of a thrombus of fibrino cruori which can be partial or total [1]. Objective of this study was to make a detailed description of this disease association.
静脉血栓栓塞是一种独特的实体,它将两种主要的临床表现:深静脉血栓形成(DVT)和肺栓塞(PE)组合在一起。下肢深静脉血栓形成是一种多因素疾病,其特征是纤维蛋白凝块的形成,可以是部分或全部的血栓。原发性骨肿瘤很少见,可分为两类。原发性恶性骨肿瘤占癌症的比例不到1%。他们尤其在儿童和青少年以及年轻人中发展。50年后,他们应该是第一个想到癌细胞转移的人。良性骨肿瘤更常见,可以在任何年龄看到,尽管它们最常见于儿童、青少年和年轻人。摘要简介:静脉血栓栓塞是一种独特的实体,它将两种主要的临床表现组合在一起:深静脉血栓形成(DVT)和肺栓塞(PE)下肢深静脉血栓形成是一种多因素疾病,其特征是纤维蛋白凝块的形成,可以是部分或全部血凝块。本研究的目的是详细描述这种疾病的相关性。
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引用次数: 0
Accuracy of Dobutamine Stress Echocardiography as A Predictor for Major Adverse Cardiovascular Events in Patients with Reduced Exercise Capacity Undergoing Major Non-Cardiac Surgery 多巴酚丁胺负荷超声心动图作为运动能力下降患者主要心血管不良事件的预测指标的准确性
Pub Date : 2020-08-30 DOI: 10.33425/2639-8486.1078
M. Tabl, Ahmad Youssif Nammour
Introduction Death and complication rates after major non cardiac surgeries are not rare, major morbidity complicates 3–16% of all inpatient surgical procedures in developed countries, with permanent disability or death rates of about 0·4–0·8%. Nearly half of the adverse events in these studies were identified as preventable [1]. Annually about 10 million patients develop major adverse cardiac events (MACE) within 30 days post major surgeries [2]. Proper preoperative cardiovascular evaluation could minimize this risk and should assess the decision‐making regarding risk reduction and optimal timing of surgery [3]. Previous guidelines recommended cardiac stress testing for patients with estimated preoperative risk of MACE >1% and poor exercise tolerance of less than four metabolic equivalents (METS) [4]. The role of DSE in preoperative risk assessment in patients undergoing non-cardiac surgery has been evaluated in several studies [5]. ABSTRACT Background: Before major non cardiac surgeries, non-invasive functional testing widely indicated for evaluating patients with reduced exercise capacity.
重大非心脏手术后的死亡和并发症发生率并不罕见,在发达国家,主要并发症占所有住院外科手术的3-16%,永久性残疾或死亡率约为0.4% - 0.8%。在这些研究中,近一半的不良事件被确定为可预防的bbb。每年约有1000万患者在大手术后30天内发生重大心脏不良事件(MACE)。适当的术前心血管评估可以最大限度地减少这种风险,并应评估有关降低风险和最佳手术时机的决策。先前的指南建议术前估计MACE风险为1%,运动耐量低于4代谢当量(METS)的患者进行心脏负荷测试。一些研究已经评估了DSE在非心脏手术患者术前风险评估中的作用[b]。背景:在重大非心脏手术前,非侵入性功能测试被广泛用于评估运动能力降低的患者。
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引用次数: 0
Clinical Implications of Persistence of Left Sided Superior Vena Cava 左侧上腔静脉持续性的临床意义
Pub Date : 2019-12-25 DOI: 10.33425/2639-8486.1061
M. Kaur, Prema Bezwada, Aahana Gaur, V. Dhulipala, C. Rodríguez, Sarath Reddy
Persistent left superior vena cava (PLSVC) is a rare congenital vascular anomaly [1,2]. It is usually asymptomatic and found incidentally during imaging or identified while obtaining a vascular access for placing pacemakers [3,4]. Recently, it has been identified as a focus for Atrial fibrillation (AF) origin [5]. It is a congenital remnant of left sided pacemaker tissue, which can be visualized on a TTE have been identified to be the cause of refractory AF.
持续性左上腔静脉(PLSVC)是一种罕见的先天性血管异常[1,2]。它通常是无症状的,在成像过程中偶然发现或在获得血管通道放置起搏器时被发现[3,4]。最近,它已被确定为心房颤动(AF)起源的焦点。它是左侧起搏器组织的先天性残余,可以在TTE上看到,已被确定为难治性房颤的原因。
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引用次数: 0
Catheter Directed Thrombolytic Therapy for Massive Pulmonary Embolism in Nigeria: Case Report 尼日利亚大面积肺栓塞的导管导向溶栓治疗1例报告
Pub Date : 2019-09-30 DOI: 10.33425/2639-8486.1057
Edafe Ea, Odia Oj
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引用次数: 0
Twin Pregnancies Revealing Rheumatic Mitro-Aortic Poly-Valvulopathies in a 20-Year-Old Woman in Cardiology CHU Ignace Deen from Guinea Conakry 来自几内亚科纳克里的CHU Ignace Deen心脏病科一名20岁女性的双胎妊娠揭示风湿性二尖瓣-主动脉多瓣膜病
Pub Date : 2019-09-30 DOI: 10.33425/2639-8486.1055
Soumaoro Morlaye, S. Aly, Samoura Sana, Camara Abdoulaye, Barry Ibrahima Sory, D. Yaya, K. Diara, Doumbouya Mohamed, Baldé El Hadj Yaya, Béavogui Mariama, Baldé Mamadou Dadhi, Condé Mamady
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引用次数: 0
期刊
Cardiology & vascular research (Wilmington, Del.)
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