scholarly journals The Importance of Religiosity / Spirituality in the Prognosis of Heart Patients: An Approach to the Covid-19 Pandemic

2021 ◽  
pp. 10-17
Author(s):  
Marcelo Melo Martins ◽  
◽  
Bernardo Pessoa de Assis ◽  
Danilo Lopes Assis ◽  
Max Paulo Pimentel de Jesus ◽  
...  
Keyword(s):  
Rehabilitation Programs ◽  
Heart Patients ◽  
Cardiac Procedures ◽  
Obesity And Diabetes ◽  
Patients At Risk ◽  
Therapeutic Measures ◽  
Short And Long Term ◽  
Religiosity And Spirituality ◽  
Difficult Situations

Introduction: Religious and spiritual beliefs have long been held to deal with difficult situations. Studies have shown that psychiatric disorders in the short and long term can be reduced by the practice of religiosity and spirituality (R/S). R/S can influence cardiovascular and pro-inflammatory markers, hypertension, obesity, and diabetes. Studies have shown an 18-25% reduction in mortality rates with R/S practices. Objective: This chapter sought to bring together the main results published on the influence of religiosity and spirituality on the cardiac health of patients at risk during the COVID-19 pandemic. Development: R/S practices may be associated with clinical outcomes with less progression of CVD, being a protective predictor. However, R/S is in most medical services neglected in cardiac rehabilitation programs. The results showed that increases in religiosity were associated with increases in weight and QoL in patients who underwent cardiac procedures. The findings suggested that higher levels of R/S might be related to improved QoL among patients with CVD. Conclusion: The studies covered in this chapter revealed that religiosity and spirituality can act positively on several fronts in the COVID-19 pandemic, influencing the mental and physical health of patients with heart and cardiovascular diseases, in addition to helping to develop preventive and therapeutic measures. Health professionals and managers must be able to address these beliefs, seeking to understand them in each of their patients, offering comprehensive care.

scholarly journals Preventing Contrast-induced Renal Failure: A Guide

2016 ◽  
Vol 11 (2) ◽  
pp. 98 ◽  
Author(s):  
Michela Faggioni ◽  
◽  
Roxana Mehran ◽  
Keyword(s):  
Risk Factors ◽  
Renal Damage ◽  
Preventive Measures ◽  
Kidney Injury ◽  
Coronary Intervention ◽  
Kidney Dysfunction ◽  
Percutaneous Coronary ◽  
Patients At Risk ◽  
Short And Long Term

Contrast-induced acute kidney injury (CI-AKI) is characterised by a rapid deterioration of renal function within a few days of parenteral administration of contrast media (CM) in the absence of alternative causes. CI-AKI is the most common form of iatrogenic kidney dysfunction with an estimated prevalence of 12 % in patients undergoing percutaneous coronary intervention. Although usually selfresolving, in patients with pre-existing chronic kidney disease (CKD) or concomitant risk factors for renal damage, CI-AKI is associated with increased short- and long-term morbidity and mortality. Therefore, risk stratification based on clinical and peri-procedural characteristics is crucial in selecting patients at risk of CI-AKI who would benefit the most from implementation of preventive measures.

scholarly journals Nutrition support in critically ill COVID-19 patients

2020 ◽  
Vol 4 (1-3) ◽  
pp. 8
Author(s):  
Abdolreza Norouzy
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Critically Ill ◽  
Diagnosis And Treatment ◽  
Nutrition Support ◽  
Patients At Risk ◽  
Short And Long Term ◽  
Long Term Prognosis ◽  
Poor Outcomes

Diagnosis and treatment of malnutrition should be considered in the management of COVID-19 patients to improve both short- and long-term prognosis. Patients at risk for poor outcomes and higher mortality following infection with COVID-19, namely older adults and polymorbid individuals, should be checked for malnutrition through screening and assessment.

scholarly journals Acute Kidney Injury Definition and Diagnosis: A Narrative Review

2018 ◽  
Vol 7 (10) ◽  
pp. 307 ◽  
Author(s):  
Joana Gameiro ◽  
Jose Agapito Fonseca ◽  
Sofia Jorge ◽  
Jose Lopes
Keyword(s):  
Acute Kidney Injury ◽  
Treatment Strategies ◽  
Kidney Injury ◽  
Diagnostic Methods ◽  
Common Diagnosis ◽  
Patients At Risk ◽  
Short And Long Term ◽  
Patient Prognosis ◽  
Care Costs

Acute kidney injury (AKI) is a complex syndrome characterized by a decrease in renal function and associated with numerous etiologies and pathophysiological mechanisms. It is a common diagnosis in hospitalized patients, with increasing incidence in recent decades, and associated with poorer short- and long-term outcomes and increased health care costs. Considering its impact on patient prognosis, research has focused on methods to assess patients at risk of developing AKI and diagnose subclinical AKI, as well as prevention and treatment strategies, for which an understanding of the epidemiology of AKI is crucial. In this review, we discuss the evolving definition and classification of AKI, and novel diagnostic methods.

scholarly journals Diabetes in Pregnancy and MicroRNAs: Promises and Limitations in Their Clinical Application

2018 ◽  
Vol 4 (4) ◽  
pp. 32 ◽  
Author(s):  
Adriana Ibarra ◽  
Begoña Vega-Guedes ◽  
Yeray Brito-Casillas ◽  
Ana Wägner
Keyword(s):  
Gestational Diabetes ◽  
Maternal Diabetes ◽  
Long Term Outcomes ◽  
Pregnant Rats ◽  
Diagnostic Biomarkers ◽  
Obesity And Diabetes ◽  
Increased Risk ◽  
Short And Long Term

Maternal diabetes is associated with an increased risk of complications for the mother and her offspring. The latter have an increased risk of foetal macrosomia, hypoglycaemia, respiratory distress syndrome, preterm delivery, malformations and mortality but also of life-long development of obesity and diabetes. Epigenetics have been proposed as an explanation for this long-term risk, and microRNAs (miRNAs) may play a role, both in short- and long-term outcomes. Gestation is associated with increasing maternal insulin resistance, as well as β-cell expansion, to account for the increased insulin needs and studies performed in pregnant rats support a role of miRNAs in this expansion. Furthermore, several miRNAs are involved in pancreatic embryonic development. On the other hand, maternal diabetes is associated with changes in miRNA both in maternal and in foetal tissues. This review aims to summarise the existing knowledge on miRNAs in gestational and pre-gestational diabetes, both as diagnostic biomarkers and as mechanistic players, in the development of gestational diabetes itself and also of short- and long-term complications for the mother and her offspring.

Relationship Between Short- and Long-Term Measurements of Heart Rate Variahility in Patients at Risk of Sudden Cardiac Death

1994 ◽  
Vol 17 (11) ◽  
pp. 2194-2200 ◽  
Author(s):  
LU FEI ◽  
DEBORAH J. STATTERS ◽  
MARK H. ANDERSON ◽  
MAREK MALIK ◽  
A. JOHN CAMM
Keyword(s):  
At Risk ◽  
Heart Rate ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Patients At Risk ◽  
Short And Long Term

scholarly journals High Dose Intravenous Fish Oil Reduces Inflammation—A Retrospective Tale from Two Centers

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2865
Author(s):  
Stanislaw Klek ◽  
Dorota Mankowska-Wierzbicka ◽  
Lucyna Scislo ◽  
Elzbieta Walewska ◽  
Magdalena Pietka ◽  
...  
Keyword(s):  
At Risk ◽  
Fish Oil ◽  
Liver Dysfunction ◽  
Intestinal Failure ◽  
Critical Factor ◽  
High Dose ◽  
Inflammatory Parameters ◽  
Patients At Risk ◽  
Short And Long Term

Aim: Patients on parenteral nutrition (PN) are prone to inflammation. This may aggravate an existing proinflammatory state and become a critical factor in the development of liver dysfunction (LD). Intravenous fish oil may attenuate this inflammatory state, but data on its use in adults are scarce. The aim of this study was to investigate the effects of adding a pure fish oil intravenous lipid emulsion (ILE) into short- and long-term PN in patients either at risk of, or with existing, inflammation. Methods: A retrospective analysis of 61 patients (32 female, 29 male, mean age 51.5 ± 12.6 years) who received all-in-one PN, including amino acids, glucose, and lipids supplemented with pure fish oil ILE, was performed. Pure fish oil ILE (Omegaven®, Fresenius Kabi, Bad Homburg, Germany) was used along with the standard ILE to reach a fish oil dose of 0.4–0.5 g fish oil/kg/d. Diagnoses were chronic intestinal failure (CIF, n = 20), Crohn’s disease (CD, n = 22), and ulcerative colitis (UC, n = 19). The observation period was 12 months for CIF and 21 days for UC and CD. Results: A reduction in inflammation was noticeable in all patients and became statistically significant in CD (hsCRP p < 0.0001, ESR p = 0.0034, procalcitonin p = 0.0014, Il-6 p = 0.001) and UC groups (hsCRP and ESR p < 0.0001, Il-6 p = 0.0001, TNF-α p = 0.0113). In the CIF group, the total bilirubin concentration (p = 0.2157) and aspartate transaminase SGOT (p = 0.1785) did not vary over time. Conclusions: PN with pure fish oil ILE reduces some inflammatory parameters in IBD and maintains liver function parameters in CIF patients. Fish oil might become a valuable ingredient in both short- and long-term PN in patients at risk of liver dysfunction.

Relationship of Short- and Long-Term Heart Rate Variability in Patients at Risk of Sudden Death

1994 ◽  
Vol 87 (s31) ◽  
pp. 28P-28P
Author(s):  
L FEi ◽  
MH ANderson ◽  
M MAjoka ◽  
M MAlik ◽  
AJ CAmm
Keyword(s):  
At Risk ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Sudden Death ◽  
Patients At Risk ◽  
Short And Long Term ◽  
Relationship Of

Short- and Long-Term Results of Total vs Subtotal Thyroid- ectomies in the Surgical Treatment of Graves' Disease

Swiss Surgery ◽  
2001 ◽  
Vol 7 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Robert ◽  
Mariéthoz ◽  
Pache ◽  
Bertin ◽  
Caulfield ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Long Term Results ◽  
Graves Disease ◽  
Laryngeal Nerve Palsy ◽  
Short And Long Term

Objective: Approximately one out of five patients with Graves' disease (GD) undergoes a thyroidectomy after a mean period of 18 months of medical treatment. This retrospective and non-randomized study from a teaching hospital compares short- and long-term results of total (TT) and subtotal thyroidectomies (ST) for this disease. Methods: From 1987 to 1997, 94 patients were operated for GD. Thirty-three patients underwent a TT (mostly since 1993) and 61 a ST (keeping 4 to 8 grams of thyroid tissue - mean 6 g). All patients had received propylthiouracil and/or neo-mercazole and were in a euthyroid state at the time of surgery; they also took potassium iodide (lugol) for ten days before surgery. Results: There were no deaths. Transient hypocalcemia (< 3 months) occurred in 32 patients (15 TT and 17 ST) and persistent hypocalcemia in 8 having had TT. Two patients developed transient recurrent laryngeal nerve palsy after ST (< 3 months). After a median follow-up period of seven years (1-15) with five patients lost to follow-up, 41 patients having had a ST are in a hypothyroid state (73%), thirteen are euthyroid (23%), and two suffered recurrent hyperthyroidism, requiring completion of thyroidectomy. All 33 patients having had TT - with follow-ups averaging two years (0.5-8) - are receiving thyroxin substitution. Conclusions: There were no instances of persistent recurrent laryngeal nerve palsy in either group, but persistent hypoparathyroidism occurred more frequently after TT. Long after ST, hypothyroidism developed in nearly three of four cases, whereas euthyroidy was maintained in only one-fourth; recurrent hyperthyroidy was rare.

Short- and long-term memory tasks predict working memory performance, and vice versa.

2019 ◽  
Vol 73 (2) ◽  
pp. 79-93 ◽  
Author(s):  
Ian Neath ◽  
Jean Saint-Aubin ◽  
Tamra J. Bireta ◽  
Andrew J. Gabel ◽  
Chelsea G. Hudson ◽  
...  
Keyword(s):  
Working Memory ◽  
Memory Performance ◽  
Long Term Memory ◽  
Term Memory ◽  
Short And Long Term
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