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.
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