The purpose of this study was to explore the process of self-management in elderly male patients with congestive heart failure among those who have had not needed re-hospitalization for more than 2 years. Semi-structured interviews were conducted with 10 male congestive heart failure patients. Interviews were audio-recorded and transcribed verbatim. Data were analysed using the modified grounded theory approach. As a result of the analysis, the core concept identified was a process of living life such that symptoms do not worsen, while balancing good choices and preferences. By trial and error, the men tried to find the limits of physical capacity and dietary choices that would lead to the worsening of symptoms, while also trying to maintain quality of life to the extent possible.
Fetus in fetu is an extremely rare condition in which a fetiform calcified mass is contained within the newborn or infant, often in the retroperitoneal cavity. We report a case of a fetus in fetu in the posterior mediastinum of a newborn. The prospective diagnosis was made by fetal US and MRI and confirmed by postnatal plain radiograph, CT and MRI.
Aim Advancements in telemonitoring (TM) for patients with heart failure (HF) are incongruous because of the effect of TM intervention and various types of TM. This study aimed to clarify patients’ experiences in using the TM tool. Methods This was a qualitative study. Data were evaluated using qualitative content analysis. Nine patients with heart failure → HF participated and completed the 1-month study period. Results The experience of this TM tool was determined using semi-structured interviews followed by qualitative content analysis. Finally, five themes emerged: habituation of self-care behaviour, no burden for use, a feeling of security, additional functions and advice rather than guidance. Conclusion This TM tool is easy to use and has the potential to promote self-management in patients with HF. Based on the aforementioned findings, we revised this tool and added some functions and will perform additional tests.
Algal growth potential (AGP) of Gymnodinium mikimotoi was examined at a sampling station situated in Gokasho Bay during a red tide period from 1991 to 1994. In the year 1991, 1992 and 1994 when the bloom of G. mikimotoi occurred, the high AGP of seawater at the depth of 1.0m above bot tom (B-1m) was observed at the order of 103 cells/ml before the peak of the algae. But the AGP did not increase during the period from June to August in 1993, the year of no development of G . mikimotoi. These results indicate the possibility of predicting red tide by AGP of seawater at the depth of B-1m. The growth limiting nutrients in Gokasho Bay were also studied using AGP assay. The growth yield of G. mikimotoi was enhanced by the addition of phosphorus to filtered seawater prior to de velopment of the algae. When the bloom of G. mikimotoi occurred, the lack of phosphorus was not found. Therefore, it was suggested that the nutrient factor which control development of G. mikimotoi red tide was phosphorus.
Objective:
This review aims to synthesize advance care planning experiences of patients with heart failure at stage C or D, and the experiences of their families.
Introduction:
The high incidence rates worldwide and the health burdens associated with heart failure indicate a need to implement end-of-life care for people with cardiovascular disease. Advance care planning is a core process in effective end-of-life cardiovascular care. Since the trajectory of heart failure is unique, it is necessary to establish patient-specific interventions focusing on their experiences, and develop effective advance care planning interventions. However, no previously published systematic reviews have integrated knowledge of the patient’s or the family’s experience. Therefore, more comprehensive analyses of the experiences of patients with heart failure and their families are required to conduct better interventions.
Inclusion criteria:
This review will consider qualitative studies on the experiences of adult patients with stage C or D heart failure who participated in advance care planning, and the experiences of their families. Studies conducted in all settings that accommodate patients with heart failure will be considered.
Methods:
PubMed, CINAHL, Web of Science, Science Direct, Cochrane Central Register of Controlled Trials, PsycINFO, ProQuest Dissertations and Theses Global, Google Scholar, and gray literature will be searched for articles that meet the inclusion criteria. Studies published in English from the inception of the database to the present will be considered. Eligible studies will be critically appraised using standardized JBI tools for qualitative synthesis. The findings will be pooled using a meta-aggregation approach. The final synthesized findings will be assessed according to the ConQual approach to establish confidence in qualitative research synthesis.
Systematic review registration number:
PROSPERO CRD42021229096
In the era of a super-aged society, along with the rapid development of medical techniques to treat cardiovascular disease, there are an increasing number of aged patients with heart failure (HF). To cope with this near pandemic, coordinated-HF management combining hospital-based optimal therapy and home-based care is required. Accordingly, the concept of “living with HF” is advocated and is widely accepted as a key to improve patients’ quality of life as well as prognosis. To achieve it, home visiting nursing services are essential. But these services have some difficulties. This chapter shows the importance of promoting self-management for patients with heart failure and intervention strategies in the home care setting.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.