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276 Uppsatser om Heart - Sida 2 av 19

Effekter av befintliga och eventuella framtida läkemedelsbehandlingar på morbiditet och mortalitet hos patienter med hjärtsvikt.

Background:  Heart failure is a multidimensional phenomenon with high mortality. Heart failure is treated with angiotensin converting enzyme (ACE) - inhibitors or angiotensin receptor blockers (ARBs) that counteract neurohormonal stimuli that occur in Heart failure, as well as providing vessel dilatation, which reduces symptoms and the need for hospitalization and increases survival. Despite this, only about 50% of Heart failure patients survive 6 years after diagnosis with drug therapy, and as Heart failure is increasing globally, due to improved care and treatment and increasing life expectancy of the population, there is a great need for new drugs such as LCZ696 that acts by dual inhibition of the renin - angiotensin - aldosterone system and neprilysin inhibition.Objective: The aim of this literature study was to evaluate the efficacy of current treatment and possible future treatments on mortality and morbidity in Heart failure patients.Results: The examined articles show that treatment with ACE inhibitors in patients with symptomatic Heart failure reduces the risk of total mortality by 16% over 3.5 years, reduces all-cause mortality or hospitalization due to Heart failure with NNT (number needed to treat) = 10.4 over 3.5 years and increases median survival by 9.2 months over 12.1 years in patients with asymptomatic Heart failure. Treatments with high-dose ACE inhibitors reduce mortality and hospitalization because of cardiovascular causes and hospitalizations from any cause by NNT = 30 over 3 years. Beta-blockers reduce sudden death and total mortality and cardiac death or non - fatal myocardial infarction with NNT = 38 and NNT = 23, respectively, over 12 months.

Ger tillägg av ARB till redan pågående behandling med ACE-hämmare hos hjärtsviktspatienter bättre hälso- och kostnadseffekt?

Heart failure is a condition where the Heart is incapable of providing adequate blood supply to different organs in the body. The underlying causes of Heart failure is some kind of disorder in the Heart function, and require careful diagnostics. The basic symptoms that arise from Heart failure is difficulty in breathing, that aggravate when lying down, and fatigue. The patients? symptoms and impaired quality of life can be in different stages depending on the severity of the Heart failure.

Specialistssjuksköterskans erfarenheter av att främja hälsa för patienter med hjärtsvikt : En intervjustudie på vårdcentraler

Background:Chronic Heart failure (CHF) is a complex clinical condition. The higher survival rate after Heart attack and other Heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.

Ett sviktande hjärta : patientupplevelser av att leva med en kronisk hjärtsvikt

As the occurrence of obesity increases amongst young people, so increases the risk of more people suffering from Heart failure as early as during middle age. The aim is to describe the life experiences of middle aged persons living with chronic Heart failure. The literature study is based on twelve published, qualitative, and scientifically proved articles derived from MedLine and Cinahl using queries representing the subject, as well as from manual searching in ScienceDirect and LIBRIS. These articles have been analyzed from a life world perspective. Four main themes and four sub themes were identified from the articles' results.

Are changes in heart rate and/or arborisation of vaginal mucus useful parameters for detecting heat in heifers? :

The milk production per cow has increased considerably during the last 50 years and due to the breeding for higher milk production also brings decreased reproduction efficiency. In a Swedish study 1996 it was shown that on average only half of all estruses were detected. Every time a farmer fails to detect oestrus it costs the farmer about 1200 Swedish crones and the need of means of detecting oestrus is therofore large. With this study we wanted to investigate if Heart rate respectively crystallisation of vaginal mucus (arborisation) could be useful means of detecting oestrus. We monitored two oestrus cycles in four heifers.

En analys av Joseph Conrads roman Heart of Darkness samt novell An outpost of progress

Denna studie är en analys av romanen Heart of Darkness (1902) och novellen An outpost ofprogress (1898) av Joseph Conrad (1857-1924) i syfte att undersöka berättelsernashuvudsakliga tematik ur en postkolonial infallsvinkel samt vad Conrads avsikt tycks ha varitmed porträtteringen av elfenbensagenten Kurtz. För att genomföra denna analys har jag gjorten närläsning av Heart of Darkness samt An outpost of progress och samtidigt tolkathändelseförloppen.Tolkningarna är delvis mina egna samt delvis baserat på tidigare forskning. Efter att hagenomfört dessa närläsningar är min slutsats att Conrads huvudsakliga avsikt var att skildaden mänskliga moralens förfall genom den ondskefulla girigheten. Det är denna girighet somhan definierar som det mörka i en människas hjärta. Genom framställningen av Kurtz visarhan exempel på detta samt hur farlig en skicklig retoriker kan vara..

Vitamin- och mineraltillskott för barn : Utbud, innehåll samt kunskap och attityder kring dessa produkter hos personal vid apotek och hälsokosthandel

Background:Chronic Heart failure (CHF) is a complex clinical condition. The higher survival rate after Heart attack and other Heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.

Kvinna Och Kropp. Två hinder vid en hjärtinfarkt

Purpose: To describe the gender impact on the situation of women at the onset of myocardial infarction and describe why women wait to contact medical caregivers when showing symptoms of myocardial infarction. Method: Literature review with a descriptive design. Articles was retrieved from PudMed and Cinahl. Findings: Women are affected more than men of the so-called atypical symptoms of a Heart attack. This means that they can not always relate the symptoms to a Heart attack.

Att vara förälder till ett barn med medfött hjärtfel : en litteraturstudie

Introduction : Structural cardiac malformations affects 0.8-1% of children born worldwide, in Sweden 800-1000 children per year. Most children with congenital Heart disease and their families will have frequent and lifelong contact with highly specialized care. Awareness of the parents experience is crucial in order to improve the nursing care. These experiences will be illustrated using a theoretical model of family-based nursing. Aim: The aim of this study was to describe experiences of being a parent to a child with a congenital Heart disease.

Hjärtfrekvensvariabilitet hos friska hundar

In healthy dogs, Heart rate fluctuates during the day. Heart rate variability (HRV) reflects the autonomic nervous system´s regulation of the cardiovascular unit. Heart rate variability shows the balance between the sympathetic and parasympathetic nervous system, also called sympathovagal balance. Heart rate variability can be measured by time domain - and frequency domain analysis. In a time domain analysis you study the beat-to-beat-interval (RR-interval) in an electrocardiogram (ECG), while a frequency domain analysis can be used to determine the size of the variability.

Tillvänjning av labradorer att skritta och trava på löpband :

The aim of this study was to determine a method to habituate treadmill-naive Labrador Retrievers to walk and trot on a treadmill. 17 Labradors was equipped with reflective markers glued to the skin. Their motions were captured with six 240 Hz infra-red cameras as they walked and trotted on a treadmill three times a day for two days. Also the Heart-rate was recorded. We then used QTM and custom built software to analyze the measurements.

Att vara äldre och leva med kronisk hjärtsvikt : En intervjustudie

Abstract Chronic Heart failure is a common disease in elderly, and is the most common reason for hospitalization in patients over 65 years of age. Research on the elderly and Heart failure often focus on treatment strategies, less research is available on patients' own experiences of living with chronic Heart failure. The purpose of this interview study, was to gain more knowledge about patients´ own experiences of living with chronic Heart failure. Nine patients were interviewed and the text was transcribed verbatim and it was then analyzed with a phenomenological hermeneutical method. From the analysis, three main themes emerged.

"Ska jag ta de här tabletterna?" : Behandling med statiner från kranskärlspatientens synvinkel, en kvalitativ intervjustudie

Background: Coronary Heart disease kills more than 7 million people worldwide each year. High levels of blood fat, cholesterol, contributes significantly to coronary Heart disease. Lifestyle changes combined with lipid-lowering drugs, statins, is an effective treatment. But adherence to statins is low, not even a myocardial infarction always contributes to adherence. Adherence requires patient education and good communication between patient and physician.

Hur kan designprocessen förbättras på reklambyrån Heart?

Då man på reklambyrån Heart i Stockholm beställde en kundundersökning visade resultatet en viss missnöjdhet hos företagets kunder. Ledningen på byrån bestämde sig då, i ett försök att bli bättre och effektivare, att över rutinerna på byrån. Syftet med denna rapport är därför att mkartlägga arbetet på Heart och genom detta arbete identifiera eventuella hinder och möjligheter i den process som används för designarbetet samt ge förslag på förbättringar.En designprocess består ofta av uppstart, nulägesanalys, designbrief, idégenerering, presentation samt utvärdering och uppföljning. Efter att ha undersökt arbetsprocessen på Heart kan man se att personalen på byrån arbetar med samtliga dessa delar, förutom regelbunden utvärdering och uppföljning. Trots detta kan flera hinder identifieras i den metod som används i designprocessen på Heart.Uppstarten vid projekt på Heart är inte så tydlig som de flesta kreatörer skulle vilja ha den, detta kan leda till missuppfattningar och slitningar i arbetsgrupperna.

Hjärtfrekvens och hjärtfrekvensvariabilitet som fysiologiskt mått på mental stress hos hästar

SAMMANFATTNING Denna litteraturstudie syftar till att utvärdera hjärtfrekvens och hjärtfrekvensvariabilitet som fysiologiska mått på mental stress hos häst. För att utvärdera detta har olika artiklar studerats. Artiklarna redovisar studier där hästar utsätts för framför allt mentala stressmoment. Under stressmomenten har antingen hjärtfrekvens (HR) eller hjärtfrekvens och hjärtfrekvensvariabilitet (HRV) registrerats. Hjärtfrekvensvariabiliteten kan omvandlas till ett antal parametrar, bland annat lågfrekvensband (LF) och högfrekvensband (HF).

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