Pub Date : 2009-09-01DOI: 10.1111/j.1751-7117.2009.00046.x
Barbara M Usher, Karen Cammarata
{"title":"Heart failure and family caregiver burden: an update.","authors":"Barbara M Usher, Karen Cammarata","doi":"10.1111/j.1751-7117.2009.00046.x","DOIUrl":"https://doi.org/10.1111/j.1751-7117.2009.00046.x","url":null,"abstract":"","PeriodicalId":77333,"journal":{"name":"Progress in cardiovascular nursing","volume":"24 3","pages":"113-4"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1751-7117.2009.00046.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28389220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-09-01DOI: 10.1111/j.1751-7117.2009.00043.x
Samar Noureddine
he nursing discipline is currentlywitnessing an intriguing para-dox. There is an international shortageof practicing nurses and nursing fac-ulty. At the same time developmentsin nursing, involving advanced practiceroles, graduate level education, and thesignificant knowledge developmentthrough research, isat itsearnest.Need-less to say that such developments varysubstantially among countries, wherein some nursing education is juststarting to move beyond technicaltraining and into university levels tothe most developed countries wheredoctorally prepared nurses are makingbreakthroughs in research and theorydevelopment.Some argue that globalization, withthe significant mobility of nurses, ad-vent of electronic information, and theWorld Wide Web, makes it impera-tive that nurses aim to improve globalhealth through their research.
{"title":"The American Heart Association-Council on Cardiovascular Nursing and European Society of Cardiology-Council on Cardiovascular Nursing and Allied Professions postdoctoral mentoring program in cardiovascular nursing: developing cardiovascular nursing research in Lebanon.","authors":"Samar Noureddine","doi":"10.1111/j.1751-7117.2009.00043.x","DOIUrl":"https://doi.org/10.1111/j.1751-7117.2009.00043.x","url":null,"abstract":"he nursing discipline is currentlywitnessing an intriguing para-dox. There is an international shortageof practicing nurses and nursing fac-ulty. At the same time developmentsin nursing, involving advanced practiceroles, graduate level education, and thesignificant knowledge developmentthrough research, isat itsearnest.Need-less to say that such developments varysubstantially among countries, wherein some nursing education is juststarting to move beyond technicaltraining and into university levels tothe most developed countries wheredoctorally prepared nurses are makingbreakthroughs in research and theorydevelopment.Some argue that globalization, withthe significant mobility of nurses, ad-vent of electronic information, and theWorld Wide Web, makes it impera-tive that nurses aim to improve globalhealth through their research.","PeriodicalId":77333,"journal":{"name":"Progress in cardiovascular nursing","volume":"24 3","pages":"102-4"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1751-7117.2009.00043.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28389217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-09-01DOI: 10.1111/j.1751-7117.2009.00045.x
S Jill Ley
ardiac arrest in someone who hasundergone heart surgery is quitedifferent than other patient popula-tions. While it seems obvious that apatient who has undergone a sterno-tomy, induced asystole, cardiopulmo-nary bypass, aortic cross-clamping,and hypothermia has uniquely differ-ent reasons for arrest (and methods tocorrect it) than others, little has beenwritten about this important issue. Upto 5000 cardiac surgery patients expe-rience a postoperative arrest situationannually in the United States andstandard resuscitation algorithms, de-signed primarily for those experiencingout-of-hospital events, have proven tobe inadequate and potentially harmful.With a greater appreciation ofimportant distinctions between thesepatients vs others, comes a new way ofthinking about their optimal arrestmanagement that is long overdue.CHEST COMPRESSIONSAdvanced cardiac life support (ACLS)has become a standard of care foremergency response in the acute caresetting. These algorithms advocateexternal cardiac compressions (ECC)as an essential component of initialresuscitation efforts for virtually all ar-rest situations, and healthcare workersare well conditioned to perform ECCupon finding an arrest victim.
{"title":"Cardiac surgery resuscitation: time for a new standard?","authors":"S Jill Ley","doi":"10.1111/j.1751-7117.2009.00045.x","DOIUrl":"https://doi.org/10.1111/j.1751-7117.2009.00045.x","url":null,"abstract":"ardiac arrest in someone who hasundergone heart surgery is quitedifferent than other patient popula-tions. While it seems obvious that apatient who has undergone a sterno-tomy, induced asystole, cardiopulmo-nary bypass, aortic cross-clamping,and hypothermia has uniquely differ-ent reasons for arrest (and methods tocorrect it) than others, little has beenwritten about this important issue. Upto 5000 cardiac surgery patients expe-rience a postoperative arrest situationannually in the United States andstandard resuscitation algorithms, de-signed primarily for those experiencingout-of-hospital events, have proven tobe inadequate and potentially harmful.With a greater appreciation ofimportant distinctions between thesepatients vs others, comes a new way ofthinking about their optimal arrestmanagement that is long overdue.CHEST COMPRESSIONSAdvanced cardiac life support (ACLS)has become a standard of care foremergency response in the acute caresetting. These algorithms advocateexternal cardiac compressions (ECC)as an essential component of initialresuscitation efforts for virtually all ar-rest situations, and healthcare workersare well conditioned to perform ECCupon finding an arrest victim.","PeriodicalId":77333,"journal":{"name":"Progress in cardiovascular nursing","volume":"24 3","pages":"110-2"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1751-7117.2009.00045.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28389219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-09-01DOI: 10.1111/j.1751-7117.2009.00048.x
Donna J Drown
Until recently, the importance of vitamin D deficiency has focused on the incidence of rickets occurring in children and on osteomalacia occurring in the adult population. In addition, past research efforts focusing on vitamin D deficiency has linked suboptimal serum levels to heart disease, cancer, infection, and poor health overall. Over the past 20 years serum levels of vitamin D (25)(OH) have dropped significantly in the US population. A research team lead by Dr Adit Ginde at the University of Colorado Denver School of Medicine examined serum vitamin D levels in a large group of individuals who resided in the United States. Different races were included. All participants’ data came from the Third National Health and Nutrition Examination Survey (NHANES 111). These investigators collected data from 18,883 individuals from 1988 through 1994 and from an additional group of 13,369 individuals whose date collection started in 2001 ending in 2004. Results were interesting. Dr Ginde stated that the team discovered ‘‘a marked increase in vitamin D deficiency’’ and that ‘‘three out of every 4 adult and adolescent individuals are deficient. Americans now have levels below what are believed to be necessary for optimal health’’ African Americans and Hispanics are at a particularly high risk. Nearly all have ‘‘suboptimal levels.’’ Additional findings revealed that the mean vitamin D levels averaged 30 ng/mL (95% CI) from 1988 through 1994 but dropped to an average of 24 ng/mL between 2001 and 2004. Current recommended daily intake set forth by the Institute of Health are as follows: 200 IU/d from birth to age 50, 400 IU/d for those aged 51 to 70 years, and 600 IU/d for those aged 71 years and over. At present acceptable optimal serum levels for vitamin D are 50 to 80 mg/mL. Dr Ginde states that ‘‘vitamin D is an important and unappreciated public health issue and may be responsible for some racial differences in health outcome.’’ Factors that contribute to lower serum levels are; the use of sun blocks, the age of an individual, body weight, percentage of body fat, skin color, season of the year, and the variation in sun exposure. In addition, Dr Ginde adds ‘‘ more Americans could use more vitamin D; and higher doses of supplementation than currently recommended’’ Ginde feels that 1000 to 2000 IU daily are like needed to raise the serum levels in many individuals. Obese individuals may require a higher intake because fat sequesters vitamin D. Equally important is to realize that those living at higher altitudes and in certain other geographic locations have limited exposure to sunlight; especially during winter months and need to be considered. Comment: Additional large, controlled randomized trials with eventual meta-analysis need to be done. Trials involving increase oral intake of vitamin D need to be conducted to look for changes in morbidity and mortality rates in the US population possibly attributed to suboptimal levels of this important vitamin. Fr
{"title":"Vitamin D deficiency in the United States: a growing epidemic with serious health consequences.","authors":"Donna J Drown","doi":"10.1111/j.1751-7117.2009.00048.x","DOIUrl":"https://doi.org/10.1111/j.1751-7117.2009.00048.x","url":null,"abstract":"Until recently, the importance of vitamin D deficiency has focused on the incidence of rickets occurring in children and on osteomalacia occurring in the adult population. In addition, past research efforts focusing on vitamin D deficiency has linked suboptimal serum levels to heart disease, cancer, infection, and poor health overall. Over the past 20 years serum levels of vitamin D (25)(OH) have dropped significantly in the US population. A research team lead by Dr Adit Ginde at the University of Colorado Denver School of Medicine examined serum vitamin D levels in a large group of individuals who resided in the United States. Different races were included. All participants’ data came from the Third National Health and Nutrition Examination Survey (NHANES 111). These investigators collected data from 18,883 individuals from 1988 through 1994 and from an additional group of 13,369 individuals whose date collection started in 2001 ending in 2004. Results were interesting. Dr Ginde stated that the team discovered ‘‘a marked increase in vitamin D deficiency’’ and that ‘‘three out of every 4 adult and adolescent individuals are deficient. Americans now have levels below what are believed to be necessary for optimal health’’ African Americans and Hispanics are at a particularly high risk. Nearly all have ‘‘suboptimal levels.’’ Additional findings revealed that the mean vitamin D levels averaged 30 ng/mL (95% CI) from 1988 through 1994 but dropped to an average of 24 ng/mL between 2001 and 2004. Current recommended daily intake set forth by the Institute of Health are as follows: 200 IU/d from birth to age 50, 400 IU/d for those aged 51 to 70 years, and 600 IU/d for those aged 71 years and over. At present acceptable optimal serum levels for vitamin D are 50 to 80 mg/mL. Dr Ginde states that ‘‘vitamin D is an important and unappreciated public health issue and may be responsible for some racial differences in health outcome.’’ Factors that contribute to lower serum levels are; the use of sun blocks, the age of an individual, body weight, percentage of body fat, skin color, season of the year, and the variation in sun exposure. In addition, Dr Ginde adds ‘‘ more Americans could use more vitamin D; and higher doses of supplementation than currently recommended’’ Ginde feels that 1000 to 2000 IU daily are like needed to raise the serum levels in many individuals. Obese individuals may require a higher intake because fat sequesters vitamin D. Equally important is to realize that those living at higher altitudes and in certain other geographic locations have limited exposure to sunlight; especially during winter months and need to be considered. Comment: Additional large, controlled randomized trials with eventual meta-analysis need to be done. Trials involving increase oral intake of vitamin D need to be conducted to look for changes in morbidity and mortality rates in the US population possibly attributed to suboptimal levels of this important vitamin. Fr","PeriodicalId":77333,"journal":{"name":"Progress in cardiovascular nursing","volume":"24 3","pages":"117-8"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1751-7117.2009.00048.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28389222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-09-01DOI: 10.1111/j.1751-7117.2009.00044.x
Christopher R Ensor, William D Cahoon
{"title":"Current controversies in the pharmacogenomics of clopidogrel.","authors":"Christopher R Ensor, William D Cahoon","doi":"10.1111/j.1751-7117.2009.00044.x","DOIUrl":"https://doi.org/10.1111/j.1751-7117.2009.00044.x","url":null,"abstract":"","PeriodicalId":77333,"journal":{"name":"Progress in cardiovascular nursing","volume":"24 3","pages":"105-9"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1751-7117.2009.00044.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28389218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-06-01DOI: 10.1111/j.1751-7117.2009.00035.x
Karyn Holm
{"title":"Toward an understanding of ethical perspectives.","authors":"Karyn Holm","doi":"10.1111/j.1751-7117.2009.00035.x","DOIUrl":"https://doi.org/10.1111/j.1751-7117.2009.00035.x","url":null,"abstract":"","PeriodicalId":77333,"journal":{"name":"Progress in cardiovascular nursing","volume":"24 2","pages":"64-5"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1751-7117.2009.00035.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28241340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-06-01DOI: 10.1111/j.1751-7117.2009.00031.x
Linda K Daley, Anne F Fish, David J Frid, G Lynn Mitchell
Many women with elevated blood pressure who seek exercise opportunities require a flexible program with systematic follow-up. The study framework included motivational readiness (exercise stage of change) from the Transtheoretical Model and self-efficacy theory. This pilot study, which used a one-group repeated measures design, tested the feasibility of a stage-specific education/counseling intervention aimed at improving exercise outcomes in women with elevated blood pressure. Forty women completed a 2.5-hour session including prescription for moderate-vigorous exercise on their own, practice on equipment, maintenance of an exercise diary, and contracting; three follow-up calls (Weeks 1, 2, 3); a visit (Week 4); and a final call (Week 5). After the intervention, 85% of women moved to or remained in the action or maintenance stages of change, the highest levels of readiness; none relapsed. Exercise self-efficacy and benefits increased and barriers decreased (P<.05); 70% of participants increased exercise performance. The intervention was feasible. Further testing is warranted using larger samples and including a control group.
{"title":"Stage-specific education/counseling intervention in women with elevated blood pressure.","authors":"Linda K Daley, Anne F Fish, David J Frid, G Lynn Mitchell","doi":"10.1111/j.1751-7117.2009.00031.x","DOIUrl":"https://doi.org/10.1111/j.1751-7117.2009.00031.x","url":null,"abstract":"<p><p>Many women with elevated blood pressure who seek exercise opportunities require a flexible program with systematic follow-up. The study framework included motivational readiness (exercise stage of change) from the Transtheoretical Model and self-efficacy theory. This pilot study, which used a one-group repeated measures design, tested the feasibility of a stage-specific education/counseling intervention aimed at improving exercise outcomes in women with elevated blood pressure. Forty women completed a 2.5-hour session including prescription for moderate-vigorous exercise on their own, practice on equipment, maintenance of an exercise diary, and contracting; three follow-up calls (Weeks 1, 2, 3); a visit (Week 4); and a final call (Week 5). After the intervention, 85% of women moved to or remained in the action or maintenance stages of change, the highest levels of readiness; none relapsed. Exercise self-efficacy and benefits increased and barriers decreased (P<.05); 70% of participants increased exercise performance. The intervention was feasible. Further testing is warranted using larger samples and including a control group.</p>","PeriodicalId":77333,"journal":{"name":"Progress in cardiovascular nursing","volume":"24 2","pages":"45-52"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1751-7117.2009.00031.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28241336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-06-01DOI: 10.1111/j.1751-7117.2009.00033.x
Susan Wagner, James Herrick, Linda M Shecterle, John A St Cyr
The incidence of congestive heart failure continues to escalate worldwide, taxing health care systems. Current therapies focus on clinical management. Current accepted regimens have provided some success; however, most patients show progression of their disease. Because of this failure, research continues to explore therapies directed at stabilization of their disease and hopefully to improve the downward spiral. Publications have asserted that the failing heart is energy starved. D-ribose, a naturally occurring pentose carbohydrate and a key component in the adenosine triphosphate (ATP) molecule, has demonstrated an ability to replenish ATP levels and improve diastolic dysfunction following myocardial ischemia, which has been shown to improve the clinical state of patients afflicted with congestive heart failure. D-ribose may provide the necessary metabolic substrate to benefit this energy-deficient state found in heart failure.
{"title":"D-ribose, a metabolic substrate for congestive heart failure.","authors":"Susan Wagner, James Herrick, Linda M Shecterle, John A St Cyr","doi":"10.1111/j.1751-7117.2009.00033.x","DOIUrl":"https://doi.org/10.1111/j.1751-7117.2009.00033.x","url":null,"abstract":"<p><p>The incidence of congestive heart failure continues to escalate worldwide, taxing health care systems. Current therapies focus on clinical management. Current accepted regimens have provided some success; however, most patients show progression of their disease. Because of this failure, research continues to explore therapies directed at stabilization of their disease and hopefully to improve the downward spiral. Publications have asserted that the failing heart is energy starved. D-ribose, a naturally occurring pentose carbohydrate and a key component in the adenosine triphosphate (ATP) molecule, has demonstrated an ability to replenish ATP levels and improve diastolic dysfunction following myocardial ischemia, which has been shown to improve the clinical state of patients afflicted with congestive heart failure. D-ribose may provide the necessary metabolic substrate to benefit this energy-deficient state found in heart failure.</p>","PeriodicalId":77333,"journal":{"name":"Progress in cardiovascular nursing","volume":"24 2","pages":"59-60"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1751-7117.2009.00033.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28241338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-06-01DOI: 10.1111/j.1751-7117.2009.00034.x
Elaine Laws, Fondazione G Monasterio
{"title":"Cardiovascular nursing in Italy: facing new challenges.","authors":"Elaine Laws, Fondazione G Monasterio","doi":"10.1111/j.1751-7117.2009.00034.x","DOIUrl":"https://doi.org/10.1111/j.1751-7117.2009.00034.x","url":null,"abstract":"","PeriodicalId":77333,"journal":{"name":"Progress in cardiovascular nursing","volume":"24 2","pages":"61-3"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1751-7117.2009.00034.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28241339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-06-01DOI: 10.1111/j.1751-7117.2009.00036.x
Eileen M Stuart-Shor, Susan S Stengrevics
{"title":"Preventing the progression of heart failure from syndrome to disease: if not you, who?","authors":"Eileen M Stuart-Shor, Susan S Stengrevics","doi":"10.1111/j.1751-7117.2009.00036.x","DOIUrl":"https://doi.org/10.1111/j.1751-7117.2009.00036.x","url":null,"abstract":"","PeriodicalId":77333,"journal":{"name":"Progress in cardiovascular nursing","volume":"24 2","pages":"66-7"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1751-7117.2009.00036.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28241341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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