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Journal articles on the topic 'Cardiovascular discourse'

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Author: Grafiati
Published: 10 December 2022
Last updated: 29 January 2023

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1

Gonsalves, Christine A., and Kerry R. McGannon. "Constructing women’s heart health and risk: A critical discourse analysis of cardiovascular disease portrayals on Facebook by a US non-profit organization." Journal of Health Psychology 25, no. 13-14 (August 27, 2018): 2317–27. http://dx.doi.org/10.1177/1359105318796187.

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Women’s cardiovascular disease portrayals were explored on Facebook by the US non-profit organization Women’s Heart Alliance and public users in February 2017. Portrayals were explored using critical discourse analysis which also identified subject positions. Women’s cardiovascular disease was constructed within two central discourses: achieving health equity and healthism, with the following subject positions: altruistic fighters, health activists, and compliant patients and consumers. These findings affirmed and resisted problematic forms of cardiovascular disease risk reduction. Recommendations are made using discursive resources and subject positions within social media forms as concrete entry points of resistance and change to raise women’s cardiovascular disease awareness.
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Logan, Jeongok G., and Debra J. Barksdale. "Allostasis and allostatic load: expanding the discourse on stress and cardiovascular disease." Journal of Clinical Nursing 17, no. 7b (July 2008): 201–8. http://dx.doi.org/10.1111/j.1365-2702.2008.02347.x.

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Mendes, David José Murteira, Irene Pimenta Rodrigues, Carlos F. Baeta, and Carlos Solano-Rodriguez. "Extended Clinical Discourse Representation Structure for Controlled Natural Language Clinical Decision Support Systems." International Journal of Reliable and Quality E-Healthcare 4, no. 2 (April 2015): 1–11. http://dx.doi.org/10.4018/ijrqeh.2015040101.

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To support an end to end Question and Answering system to help the clinical practitioners in a cardiovascular healthcare environment, an extended discourse representation structure CIDERS is introduced. This extension of the well-known DRT (Discourse Representation Theory) structures, go beyond single text representation extending them to embrace the general clinical history of a given patient. Introduced is a proposed and developed ontology framework, Ontology for General Clinical Practice, enhancing the currently available state-of-the-art ontologies for medical science and for the cardiovascular specialty, It's shown the scientific and philosophical reasons of its present dual structure with a deeply expressive (SHOIN) terminological base (TBox) and a highly computable (EL++) assertions knowledge base (ABox).
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Subramanian, S., D. J. Corsi, M. A. Subramanyam, and G. Davey Smith. "Jumping the gun: the problematic discourse on socioeconomic status and cardiovascular health in India." International Journal of Epidemiology 42, no. 5 (April 5, 2013): 1410–26. http://dx.doi.org/10.1093/ije/dyt017.

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Offermann, Stefan. "“Now even Television is Promoting Health?” On the Intertwined History of Television and Cardiovascular Disease Prevention in the German Democratic Republic, 1950s–1970s." Gesnerus 76, no. 2 (November 6, 2019): 247–78. http://dx.doi.org/10.24894/gesn-en.2019.76012.

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This paper argues that the historical trajectories of television and cardiovascular disease prevention in the German Democratic Republic are interlocking. These diseases were largely understood as caused by an unhealthy modern lifestyle. Healthcare experts were convinced that health education was an effective strategy to persuade the population to follow a healthy lifestyle. With its rise as a new mass medium, health educators increasingly relied on television as a means to put their message across. Yet the new medium itself was a target of health education measures as excessive TV consumption was considered a potential threat to cardiovascular health. This article deals with the history of health-related problematizations of TV consumption. In the 1950s and early 1960s, during an animated discourse on the strain of a modern lifestyle television was considered a potential source of overstimulation of the nervous system. As this article argues, this interpretation was undermined by a modified concept of TV consumption within the discourse of empirical audience research.
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Gupta, P. C., and M. S. Pednekar. "Re: Jumping the gun: the problematic discourse on socioeconomic status and cardiovascular health in India." International Journal of Epidemiology 43, no. 1 (January 4, 2014): 276–78. http://dx.doi.org/10.1093/ije/dyt244.

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7

Diamond, George A., and Sanjay Kaul. "An Orwellian Discourse on the Meaning and Measurement of Noninferiority." American Journal of Cardiology 99, no. 2 (January 2007): 284–87. http://dx.doi.org/10.1016/j.amjcard.2006.07.090.

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8

Wilson, Ria, Mary Louise Adams, and Kyra E. Pyke. "Inclusion of female participants in cardiovascular research: a case study of Ontario NSERC-funded programs." Applied Physiology, Nutrition, and Metabolism 45, no. 8 (August 2020): 911–14. http://dx.doi.org/10.1139/apnm-2019-0693.

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This study explored inclusion of female participants in Natural Sciences and Engineering Research Council of Canada Discovery Grant (NSERC-DG)-funded human cardiovascular research at Ontario universities between 2010–2018. Ninety-six publications were examined and 4 principal investigators were interviewed. Females were excluded/underrepresented in 63% of publications with 49% male-only and 5% female-only samples. The sex-bias appears to be explained by dependence on research knowledge and methodologies that maintain and reproduce a firmly established discourse of the male norm. Novelty Female participants were underrepresented in NSERC DG-funded cardiovascular research at Ontario universities between 2010–2018.
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9

Dugan, Eunice, Rick Ferraro, Carine Hamo, Daniel Ambinder, and Amit Goyal. "The CardioNerds #CardsJC: How Twitter Journal Clubs Elevate the Scientific Discourse." Journal of Cardiac Failure 27, no. 9 (September 2021): 1034–36. http://dx.doi.org/10.1016/j.cardfail.2021.04.012.

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10

Fillmore, David. "Iatrogenic Vascular Injury: A Discourse on Surgical Technique." Journal of Vascular and Interventional Radiology 3, no. 3 (August 1992): 466. http://dx.doi.org/10.1016/s1051-0443(92)71991-5.

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11

Abd. Rasyid, Syamsul Bahri. "DISCOURSE ANALYSIS OF ONLINE NEWS MEDIA ON SEXUAL VIOLENCE IN NORTH MALUKU." Marwah: Jurnal Perempuan, Agama dan Jender 21, no. 2 (November 30, 2022): 44. http://dx.doi.org/10.24014/marwah.v21i2.17925.

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This study aims to describe the phenomenon of sexual violence in North Maluku with discourse analysis, based on reports made by Tribunnews.com, Kompas.com, Kumparan.com, Malutpost.id, Halmaherapost.com, and Tandaseru.com, in 2020 and 2021. Qualitative-descriptive research was used in this study. The results showed that from the media chosen by the author, the media with the highest number of reports in the 2020-2021 period was Tandaseru.com. Meanwhile, on average, the intensity of reporting based on the type of sexual violence most frequently mentioned by the news media is rape. The relationship between the perpetrator and the victim also varies, ranging from close people, people who are known, actors who are in state institutions, to people (perpetrators) who are not known. In addition, the cluster analysis in NVivo 12 plus shows that each media has a relationship with a different level of relationship closeness value, which indicates that each media has produced narratives and opinions related to sexual violence in North Maluku.
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12

Tardy, C. "Moderators of cardiovascular reactivity to speech: discourse production and group variations in blood pressure and pulse rate." International Journal of Psychophysiology 29, no. 3 (August 1, 1998): 247–54. http://dx.doi.org/10.1016/s0167-8760(98)00003-8.

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13

Griggs, Steven, and David Howarth. "Discourse and practice: using the power of well being." Evidence & Policy: A Journal of Research, Debate and Practice 7, no. 2 (May 19, 2011): 213–26. http://dx.doi.org/10.1332/174426411x579234.

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14

Narayan, K. V., and M. K. Ali. "Commentary: Shielding against a future inferno: the not-so-problematic discourse on socioeconomic status and cardiovascular health in India." International Journal of Epidemiology 42, no. 5 (September 5, 2013): 1426–29. http://dx.doi.org/10.1093/ije/dyt082.

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15

Hunter, Judy, and Margaret Franken. "Health Literacy as a Complex Practice." Literacy and Numeracy Studies 20, no. 1 (May 30, 2012): 25–44. http://dx.doi.org/10.5130/lns.v20i1.2618.

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As attention to health literacy grows as an area for policy intervention,policy discourse continues to draw on skills deficit and patient compliance, buttressed by the dominant political discourse of individual responsibility. But for patients, the health domain is interwoven with linguistic challenges, significant affective issues, underlying cultural dimensions, political and economic exigencies, variable access to resources, and cognitive and situated complexity. From these perspectives, this article reports on findings of an ongoing study of health literacy demands in the Midlands region of the North Island of New Zealand, an area of high ethnic and socio-economic diversity.The study focuses on patients with diabetes and cardiovascular disease - two chronic areas strongly associated with ‘failure to care’ and identifed as having reached epidemic proportions. It analyses work to date:health professionals’ conceptions of and responses to perceived patients’ health literacy needs, and health information documents for patients. Implications of the study support the need for improvement in language and literacy skills among patients, but also the recognition of complexity and a collective responsibility for effective health communication.
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Norris, C. M., M. Clark, K. R. McGannon, T. R. Berry, W. C. Rodgers, and J. C. Spence. "Hard Truths About the Red Dress: A Discourse Analysis of the Heart Truth Campaign in Canada." Canadian Journal of Cardiology 32, no. 4 (April 2016): S4. http://dx.doi.org/10.1016/j.cjca.2016.02.014.

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17

Gonsalves, C., K. McGannon, and A. Pegoraro. "A CRITICAL DISCOURSE ANALYSIS OF TWITTER POSTS REGARDING THE MEANINGS CANADIANS ASCRIBE TO CARDIOVASCULAR DISEASE (CVD), HEALTH IDENTITIES, AND HEALTH-RELATED BEHAVIOURS." Canadian Journal of Cardiology 34, no. 10 (October 2018): S98. http://dx.doi.org/10.1016/j.cjca.2018.07.259.

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18

Lichtenstein, Alice H. "Dietary Fat and Cardiovascular Disease: Ebb and Flow Over the Last Half Century." Advances in Nutrition 10, Supplement_4 (November 1, 2019): S332—S339. http://dx.doi.org/10.1093/advances/nmz024.

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ABSTRACT Dietary modification has been the cornerstone of cardiovascular disease (CVD) prevention since the middle of the last century when the American Heart Association (AHA) first issued recommendations. For the vast majority of that time the focus has been on saturated fat, with or without concomitant guidance for total or unsaturated fat. Over the past few years there has been a renewed debate about the relation between dietary saturated fat and CVD risk, prompted by a series of systematic reviews that have come to what appears to be different conclusions. This triggered a robust discourse about this controversy in the media that in turn has led to confusion in the general public. The genesis of the different conclusions among the systematic reviews has been identified in several studies on the basis of isocaloric substitution analyses. When the data were analyzed on the basis of polyunsaturated fat replacing saturated fat, there was a positive relation between dietary saturated fat and CVD. When the data were analyzed on the basis of carbohydrate replacing saturated fat, there was a null relation between dietary saturated fat and CVD. When the substitution macronutrient was not taken into consideration, the differential effects of the macronutrient substitution went unrecognized and the relations judged as null. The lack of distinction among substituted macronutrients accounted for much of what appeared to be discrepancies. Dietary guidance consistent with replacing foods high in saturated fat with foods high in unsaturated fat, first recommended more than 50 y ago, remains appropriate to this day.
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Ekendahl, Mats. "The construction of maintenance treatment legitimacy: a discourse analysis of a policy shift." Evidence & Policy: A Journal of Research, Debate and Practice 5, no. 3 (August 1, 2009): 247–65. http://dx.doi.org/10.1332/174426409x463794.

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20

Nadliroh, Tri Amanatun. "Relasi Agama dan Negara Perspektif Muhammad Amien Rais." Mizan: Journal of Islamic Law 6, no. 1 (April 17, 2022): 145. http://dx.doi.org/10.32507/mizan.v6i1.1199.

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The state of Indonesia is a unitary state, with different religions, ethnicities, races, cultures, and customs but still one. However, the discourse on the relationship between religion and the state is a discourse that has never been completed since ancient times even today. Islam and the state are issues of ijtihadiyah. This study aims to identify and understand Muhammad Amien Rais's thoughts regarding the relationship between religion and the state. The research method uses qualitative methods with a literature approach. The results of the study state that the relationship between religion and the state according to Amien Rais is the realization of the teachings of Islam that have been explained in the Shari'a, but still requires a state as the authority holder that implements the law that has been determined and applies to its people. In the view of Islam, the state is the guardian of sharia so that it does not experience distortions and deviations as well as with principles such as good deliberation, justice, democracy, and so on, as long as they do not conflict with the rules of syara' contained therein.Keywords: Relationship; Religion; Country AbstrakNegara Indonesia adalah negara kesatuan, berbeda-beda agama, suku, ras, budaya, dan adat akan tetapi tetap satu. Akan tetapi diskursus tentang relasi agama dan negara adalah suatu wacana yang tidak pernah selesai dari zaman dahulu bahkan sampai saat ini. Agama Islam dan negara merupakan persoalan ijtihadiyah. Penelitian ini bertujuan untuk mengetahui dan memahami pemikiran Muhammad Amien Rais terkait relasi antara agama dan negara. Metode penelitian menggunakan metode kualitatif dengan pendekatan literatur. Hasil penelitian menyatakan bahwa relasi antara agama dan negara menurut Amien Rais adalah realisasi ajaran-ajaran agama Islam yang telah dijelaskan dalam syariat, namun tetap membutuhkan suatu negara sebagai pemegang otoritas yang melaksanakan penerapan hukum yang telah ditentukan dan berlaku untuk masyarakatnya. Dalam pandangan agama Islam, negara adalah penjaga syariah supaya tidak mengalami distoris dan penyelewengan serta dengan prinsip-prinsip seperti musyawarah yang baik, keadilan, demokrasi, dan sebagainya, selama tidak bertentangan dengan aturan syara’ yang terkandung didalamnya.Kata Kunci: Relasi; Agama; Negara
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21

Sabadukha, Volodymyr. "Philosophical and religious personalism on the way to cooperation (reflections on the discourse with Richard Gorban)." Good Parson: scientific bulletin of Ivano-Frankivsk Academy of John Chrysostom. Theology. Philosophy. History, no. 17 (May 30, 2022): 120–40. http://dx.doi.org/10.52761/2522-1558.2022.17.12.

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The article provides a comparative analysis of philosophical and religious personalism. Richard Horban's personalistic ideas are analyzed and their relevance is proved. The philosophical exhaustion of humanism in the conditions of anthropological-global catastrophe is clarified. The significance of philosophical and religious personalism in the conditions of exhaustion of spiritual principles of human and social existence is substantiated. Based on the author's - metaphysical - theory of personality, it is proved that philosophical and religious personalism orient man and society to the improvement and realization of the priority of the spiritual over the material.
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Nicholas, Graeme, Jeff Foote, Kirsten Kainz, Gerald Midgley, Katrin Prager, and Cristina Zurbriggen. "Towards a heart and soul for co-creative research practice: a systemic approach." Evidence & Policy: A Journal of Research, Debate and Practice 15, no. 3 (August 1, 2019): 353–70. http://dx.doi.org/10.1332/174426419x15578220630571.

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The language of co-creation has become popular with policy makers, researchers and consultants wanting to support evidence-based change. However, there is little agreement about what features a research or consultancy project must have for peers to recognise the project as co-creative, and therefore for it to contribute to the growing body of practice and theory under that heading. This means that scholars and practitioners do not have a shared basis for critical reflection, improving practice and debating ethics, legitimacy and quality. While seeking to avoid any premature defining of orthodoxy, this article offers a framework to support researchers and practitioners in discussing the boundaries and the features that are beginning to characterise a particular discourse, such as the one that is unfolding around the concept of co-creation. The paper is the outcome of an online and face-to-face dialogue among an international group of scholars. The dialogue draws on Critical Systems Heuristics’ (Ulrich, 1994) questions concerning motivation (revealing assumptions about its purpose and value), power (interrogating assumptions about who has control and is therefore able to define success), knowledge (surfacing assumptions about experience and expertise) and legitimacy (disclosing moral assumptions). The paper ends by suggesting important areas for further exploration to contribute to the emerging discourse of co-creation in ways that support critical reflection, improved practice, and provide a basis for debating ethics and quality.
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Paul, Katharina T., and Thomas Palfinger. "Walking the (argumentative) talk using citizen science: involving young people in a critical policy analysis of vaccination policy in Austria." Evidence & Policy: A Journal of Research, Debate and Practice 16, no. 2 (May 1, 2020): 229–47. http://dx.doi.org/10.1332/174426419x15752578285791.

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Background:Vaccination policy has grown increasingly polarised, and concerns about vaccination practices are often articulated jointly with fears over declining trust in scientific expertise and the demise of evidence-based policy. This has led to a discursive deadlock in which evidence comes to denote something that is crafted and monopolised by a trained élite, with no role to play for the workings of democracy. Our own methodologies tend to accentuate this epistemic hierarchy, for much qualitative research relies on élite interviews with officials and scientific experts. The introduction of the vaccine against Human Papilloma Virus (HPV), on which we report in this paper, is a case in point. Objectives and methods:With this study, we intervene in this discursive and methodological deadlock using unconventional methods: inspired by the participatory spirit of the ‘argumentative turn’ in policy analysis, we experimented with citizen science to produce critical knowledge about HPV policy in Austria and simultaneously intervene in this expert-driven policy discourse. Specifically, we involved adolescents in analysing HPV policy discourse using press releases and a combination of inductive and deductive textual coding. Findings and conclusions:Our results point to the sidelining of sexuality and gender in the presentation of scientific evidence on HPV in press releases, and highlight the dominance of the pharmaceutical industry in shaping the political-administrative decision to offer the HPV vaccine to all children in 2014. Our study points to ways of integrating citizen science in the social sciences and contributes to a rethinking of methodologies in qualitative policy analysis.
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24

Bołdyrew, Aneta, and Agnieszka Wałęga. "Edukacja zawodowa młodzieży a wyzwania modernizacji w dyskursie prasowym w Królestwie Polskim w latach 1905–1918." Kwartalnik Pedagogiczny, no. 67/1 (July 10, 2022): 35–54. http://dx.doi.org/10.31338/2657-6007.kp.2022-2.2.

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The article describes the main directions of the discussion on the vocational education of young people in the context of the challenges of modernisation, conducted in the pages of Polish magazines in the Kingdom of Poland at the beginning of the 20th century. This period brought intensive development and new forms of vocational education, and new contexts, problems and arguments about the legitimacy of further development of this form of education appeared in the journalistic discussion. In 1905–1918, in the public debate about the modernisation of education in the Kingdom of Poland the constantly raised issue was the vocational education of young people, which was supposed to respond to the rapidly changing reality of social life. So far, these issues had not been the subject of historical and pedagogical analyses, while the discussion about vocational education at the beginning of the 20th century was conducted in various periodicals. The first part of the article attempts to analyse the ideological contexts of the discussion on practical education. The subsequent parts are devoted to the two issues particularly important in the press discourse after 1905 – the vocational education of peasants and the professional educationof girls and women. These problems are discussed on the basis of extensive press research.
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Miller, Kristin S., Kristin Myers, and Michelle Oyen. "Bioengineering in women's health: part I." Interface Focus 9, no. 4 (June 14, 2019): 20190042. http://dx.doi.org/10.1098/rsfs.2019.0042.

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This theme issue of Interface Focus is the first of two sets of articles on the topic of bioengineering in women's health. Although there is a long history of collaboration between engineers and medical professionals in orthopaedics and cardiovascular medicine, there has been growing interest in the last decade for interdisciplinary collaborations in other areas of medical science. This growth is particularly true in the case of women's health, a traditionally underserved area of research in the scientific community where fundamental knowledge of female physiology is still needed. Women's health is a broad category encompassing reproduction, fertility, maternal health, normal and abnormal pregnancy and the sequelae associated with a difficult childbirth. Women's health also includes sex-associated pathology associated with cancer, pain, cardiac disease, osteoporosis and other diseases. This list is not exhaustive with new scientific frontiers developing based on the evolving discourse of medicine for all. This first issue in the series focuses on bioengineering advances in the study of the non-pregnant woman, and the articles highlight important developments in pelvic floor disorders, biomedical devices, fertility, breast implant failure and breast cancer. The second issue in the series focuses on pregnancy.
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26

Wood, Lisa, Trevor Shilton, Lyn Dimer, Julie Smith, and Timothy Leahy. "Beyond the rhetoric: how can non-government organisations contribute to reducing health disparities for Aboriginal and Torres Strait Islander people?" Australian Journal of Primary Health 17, no. 4 (2011): 384. http://dx.doi.org/10.1071/py11057.

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The prevailing disparities in Aboriginal health in Australia are a sobering reminder of failed health reforms, compounded by inadequate attention to the social determinants shaping health and well-being. Discourse around health reform often focuses on the role of government, health professionals and health institutions. However, not-for-profit health organisations are also playing an increasing role in health policy, research and program delivery across the prevention to treatment spectrum. This paper describes the journey of the National Heart Foundation of Australia in West Australia (Heart Foundation WA hereafter) with Aboriginal employees and the Aboriginal community in taking a more proactive role in reducing Aboriginal health disparities, focusing in particular on lessons learnt that are applicable to other non-government organisations. Although the Heart Foundation WA has employed and worked with Aboriginal people and has long identified the Aboriginal community as a priority population, recent years have seen greater embedding of this within its organisational culture, governance, policies and programs. In turn, this has shaped the organisation’s response to external health reforms and issues. Responses have included the development of an action plan to eliminate disparities of cardiovascular care in the hospital system, and collaboration and engagement with health professional groups involved in delivery of care to Aboriginal people. Examples of governance measures are also described in this paper. Although strategies and the lessons learnt have been in the context of cardiovascular health disparities, they are applicable to other organisations across the health sector. Moreover, the most powerful lesson learnt is universal in its relevance; individual programs, policies and reforms are more likely to succeed when they are underpinned by whole of organisation ownership and internalisation of the need to redress disparities in health.
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Starzak, Monika, Agata Stanek, Grzegorz K. Jakubiak, Armand Cholewka, and Grzegorz Cieślar. "Arterial Stiffness Assessment by Pulse Wave Velocity in Patients with Metabolic Syndrome and Its Components: Is It a Useful Tool in Clinical Practice?" International Journal of Environmental Research and Public Health 19, no. 16 (August 19, 2022): 10368. http://dx.doi.org/10.3390/ijerph191610368.

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Metabolic syndrome (MS) is not a single disease but a cluster of metabolic disorders associated with increased risk for development of diabetes mellitus and its complications. Currently, the definition of MS published in 2009 is widely used, but there are more versions of the diagnostic criteria, making it difficult to conduct scientific discourse in this area. Increased arterial stiffness (AS) can predict the development of cardiovascular disease both in the general population and in patients with MS. Pulse wave velocity (PWV), as a standard method to assess AS, may point out subclinical organ damage in patients with hypertension. The decrease in PWV level during antihypertensive therapy can identify a group of patients with better outcomes independently of their reduction in blood pressure. The adverse effect of metabolic disturbances on arterial function can be offset by an adequate program of exercises, which includes mainly aerobic physical training. Non-insulin-based insulin resistance index can predict AS due to a strong positive correlation with PWV. The purpose of this paper is to present the results of the review of the literature concerning the relationship between MS and its components, and AS assessed by PWV, including clinical usefulness of PWV measurement in patients with MS and its components.
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Raber, Margaret, Haley Allen, Sophia Huang, and Deborah Thompson. "#mediterraneandiet: A Content Analysis of Mediterranean Diet – Related Information on TikTok." Current Developments in Nutrition 6, Supplement_1 (June 2022): 391. http://dx.doi.org/10.1093/cdn/nzac054.046.

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Abstract Objectives The Mediterranean diet (MD) is associated with reduced cardiovascular disease risk and is widely recommended by heart-health organizations. A consistent definition of MD in the literature is lacking; thus, misinformation and consumer confusion about MD is likely. To examine how the MD is interpreted in popular discourse, we conducted a social media content analysis of MD-related video posts. Methods This is one of the first nutrition studies to apply content analysis techniques to TikTok, a social media app with over a billion active global users offering continuous streams of curated short-form videos. In August 2021, two independent coders downloaded the first-appearing 200 TikTok videos under the hashtag #mediterraneandiet. This approach resulted in a pre-varied sample that mirrored the natural experience of a new TikTok user. Each video was coded for 62 variables across four main categories: account details of posters, engagement statistics, video characteristics, and video content specific to the MD. Results Intercoder reliability across two coders was high (k = .84). Preliminary results suggest two main interpretations of the MD on TikTok. One set of posts presents the MD as a heart-healthy eating pattern, dominated by posters claiming medical or nutrition credentials. The other set of posts presents the MD as cuisines from countries surrounding the Mediterranean Sea. Clear examples emerged of individuals conflating these two concepts, with dieters actively promoting the MD for health, yet promoting cultural foods that are not typically considered part of the MD dietary pattern (i.e., lamb kebab and pita bread). Conclusions Although promoting the MD dietary pattern may benefit those at risk of cardiovascular disease, there remains consumer confusion on social media about what the MD entails. As the internet is the primary source of nutrition information for many Americans, innovative strategies are needed to help consumers navigate potentially-misleading online content. Funding Sources This research was supported in part by the U.S. Department of Agriculture/Agricultural Research Service (USDA/ARS) under Cooperative Agreement No. 58-3092-0-001.
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Ekman, Inger, and Carola Skott. "Developing Clinical Knowledge through a Narrative-Based Method of Interpretation." European Journal of Cardiovascular Nursing 4, no. 3 (September 2005): 251–56. http://dx.doi.org/10.1016/j.ejcnurse.2005.01.006.

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The results of research using a narrative analysis provide new clinical knowledge, but the methods used are unknown to many readers. In this paper we present an example of how an analysis may be performed in practice. The purpose of the interpretation of this specific story was to develop clinical knowledge of how it is to live with chronic heart failure from a daily life perspective. The steps in the interpretation process, within the framework of Paul Ricoeur's Interpretation theory, were: (1) general or naïve reading, (2) distancing, (3) examination of discourse, (4) conjectures and questions, and (5) reflection over the whole. The demonstrated interpretation of the interview resulted in a theme called: “Struggling to comprehend medical information”. This systematic way of working with narratives makes implicit assumptions about the relationship between meaning and language explicit. These themes can be used in everyday practice as clinical tools. Because of the interpretative nature of human understanding the experienced health professional will be capable of integrating evidence-based research findings and individual illness experience.
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MACKENZIE, MHAIRI, MAGGIE REID, FIONA TURNER, YINGYING WANG, JULIA CLARKE, SANJEEV SRIDHARAN, STEPHEN PLATT, and CATHERINE O'DONNELL. "Reaching the Hard-to-Reach: Conceptual Puzzles and Challenges for Policy and Practice." Journal of Social Policy 41, no. 3 (March 22, 2012): 511–32. http://dx.doi.org/10.1017/s0047279412000074.

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AbstractThe concept of systematic inequalities in social and health outcomes has come to form part of contemporary policy discourse. This rhetoric is deployed even in the face of policy decisions widely viewed as iniquitous. Moreover, there is a widespread view, expressed across the political spectrum, that those in more deprived circumstances are less likely than their more affluent counterparts to be in receipt of optimal public services. Such individuals and communities are variously described as excluded, disadvantaged, underserved or hard to reach. Across countries and policy domains the term ‘hard to reach’ is used to refer to those deemed not to be in optimal receipt of public sector services which are intended to increase some aspect of material, social or physical wellbeing. It is increasingly used in health policy documents which aim to address health inequalities. However, it is an ill-defined and contested term. The purpose of this paper is two-fold. First, it offers a critical commentary on the concept of hard-to-reachness and asks: who are viewed as hard to reach and why? Second, using a case-study of a Scottish health improvement programme that explicitly aims to reach and engage the ‘hard to reach’ in preventive approaches to cardiovascular disease, it tests the policy and practice implications of the concept. It finds that a lack of conceptual clarity leads to ambiguous policy and practice and argues for possible theoretical refinements.
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Begg, Stephen J. "Health in a ‘post-transition’ Australia: adding years to life or life to years?" Australian Health Review 38, no. 1 (2014): 1. http://dx.doi.org/10.1071/ah13114.

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Objective To explore the likely impact of future trajectories of morbidity and mortality in Australia. Methods Estimates of mortality and morbidity were obtained from a previous assessment of Australia’s health from 1993 to 2003, including projections to 2023. Outcomes of interest were the difference between life expectancy (LE0) and health-adjusted life expectancy (i.e. absolute lost health expectancy (ALHE0)), ALHE0 as a proportion of LE0 and the partitioning of changes in ALHE0 into additive contributions from changes in age- and cause-specific mortality and morbidity. Results Actual and projected trajectories of mortality and morbidity resulted in an expansion of ALHE0 of 1.22 years between 1993 and 2023, which was equivalent to a relative expansion of 0.7% in morbidity over the life course. Most (93.8%) of this expansion was accounted for by cardiovascular disease, diabetes and cancer; of these, the only unfavourable trend of any note was increasing morbidity from diabetes. Conclusions Time spent with morbidity will most likely increase in terms of numbers of years lived and as a proportion of the average life span. This conclusion is based on the expectation that gains in LE0 will continue to exceed gains in ALHE0, and has important implications for public policy. What is known about the topic? Although the aging of Australia’s population as a result of declining birth and death rates is well understood, its relationship with levels of morbidity is not always fully appreciated. This is most noticeable in the policy discourse on primary prevention, in which such activities are sometimes portrayed as having unrealised potential with respect to alleviating growth in health service demand. What does this paper add? This paper sheds new light on these relationships by exploring the likely impact of future trajectories of both morbidity and mortality within an additive partitioning framework. The results suggest a modest expansion of morbidity over the life course, most of which is accounted for by only three causes. In two of these (cardiovascular disease and cancer), the underlying trends in both mortality and morbidity have been favourable for some time due, at least in part, to success in primary prevention. What are the implications for practitioners? Although there may be good arguments in favour of a greater focus on primary prevention as currently practiced, reducing overall demand for health services is unlikely to be one of them. To make such an argument valid, policy makers should consider shifting their attention to the effectiveness of primary prevention as it relates to causes other than cardiovascular disease and cancer, particularly those with a predominantly non-fatal impact, such as diabetes and degenerative diseases of old age.
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Louise, Locock, and Boaz Annette. "Drawing straight lines along blurred boundaries: qualitative research, patient and public involvement in medical research, co-production and co-design." Evidence & Policy: A Journal of Research, Debate and Practice 15, no. 3 (August 1, 2019): 409–21. http://dx.doi.org/10.1332/174426419x15552999451313.

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Biomedical research policy in many countries has adopted the principle of active involvement in research. However, how different approaches to involvement such as patient and public involvement/engagement (PPIE), qualitative research, participatory research, co-design and co-production sit alongside each other, is contentious and unclear. There has also been a subtle shift in the discourse, with the language of co-design and co-production used more widely in debates about involvement. This shift has surfaced once again debates about what counts as meaningful involvement. In this paper we seek to contribute to this debate by exploring boundaries and overlaps between them. We suggest that they share some underpinning philosophies and all are prone to be challenged on the grounds of tokenism despite avowed good intentions. We argue that these different approaches are not necessarily as distinct as is often advocated and question whether there is merit in this family of marginalised approaches working more collaboratively to give patient voices greater traction. At the same time, we recognise that this creates challenges and tensions.
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LEWIS, G. "Should Doctors Discourage Nutritional Supplementation?A cardiovascular perspective." Heart, Lung and Circulation 13, no. 3 (September 2004): 245–51. http://dx.doi.org/10.1016/s1443-9506(04)00182-9.

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Constans, J. "Discours du Président." Journal des Maladies Vasculaires 35, no. 4 (July 2010): 217–19. http://dx.doi.org/10.1016/j.jmv.2010.04.001.

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35

Markowska, Anna. "Aquatic Imagination or Unweaving the Rainbow: Introduction to Hydro-Stories about American Art." Ikonotheka, no. 31 (September 20, 2022): 167–84. http://dx.doi.org/10.31338/2657-6015ik.31.7.

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As early as the 1940s, the French philosopher Gaston Bachelard was convinced that the eye itself is weary of solids. It was obvious to some American artists almost at the same time, because aquatic imagination has accompanied American art at least since the discovery of the fluidity of paint and the oceanic boundlessness of Pollock’s paintings. However, only Robert Smithson has opened the water discourse in contemporary art, which is not about the representation of water but about the specific relation between the subject and its background. Moreover, a liquid mind opens up to the unplanned. This also happens in Ellen Gallagher’s art, because her counter-memories from the future evoke sea creatures, their mutations and their post-human condition.
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Quéré, I. "Discours de la présidente du congrès." Journal des Maladies Vasculaires 33, no. 3 (September 2008): 121–23. http://dx.doi.org/10.1016/j.jmv.2008.06.001.

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37

Lazareth, I. "Discours de la Présidente : Isabelle Lazareth." Journal des Maladies Vasculaires 36, no. 4 (July 2011): 225–27. http://dx.doi.org/10.1016/j.jmv.2011.05.003.

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38

Al-Harahsheh, Ahmad Mohammad. "Cohesion and coherence shift in Jabra’s translation of Hamlet." Onomázein Revista de lingüística filología y traducción, no. 56 (2022): 122–43. http://dx.doi.org/10.7764/onomazein.56.07.

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This research aims at studying the cohesion and coherence shifts in Jabra’s translation of Shakespeare’s Hamlet in Arabic. A translator is a mediator between the source text (ST) and the target readers who expect an adequate and a coherent translation of the ST. The shift of cohesion and coherence can disrupt the continuity of the target text (TT). The sample of the research consisted of 172 lines taken from different acts and scenes involving potential problems in cohesion and coherence from Shakespeare’s Hamlet, translated by Jabra Ibrahim Jabra. Blum-Kulka’s approach of cohesion and coherence shifts in translation was employed as a theoretical framework. The data analysis was based on meaning shift and explicitness shift in discourse and their effects on the continuity and understanding of the TT. The study concluded that the shift of cohesion and coherence in translation does not only affect the continuity of thoughts and events but disrupts the understanding of the target readers as well.
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39

Pham, David Q., and Roda Plakogiannis. "Vitamin E Supplementation in Cardiovascular Disease and Cancer Prevention: Part 1." Annals of Pharmacotherapy 39, no. 11 (November 2005): 1870–78. http://dx.doi.org/10.1345/aph.1g211.

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OBJECTIVE To review clinical trials evaluating the safety and efficacy of vitamin E supplementation in cardiovascular disease and cancer prevention. DATA SOURCES Using the MeSH search terms alpha-tocopherol, tocopherols, vitamin E, cardiovascular diseases, cancer, malignancy, and clinical trials, a literature review was conducted to identify peer-reviewed articles in MEDLINE (1966–July 2005). STUDY SELECTION AND DATA EXTRACTION Published materials including original research, and previous meta-analyses were included. Only English-language articles and trials on vitamin E alone or in combination with other vitamins or minerals were reviewed. Emphasis was placed on prospective, randomized, double-blind, placebo-controlled clinical trials. DATA SYNTHESIS Eight clinical studies demonstrated contradicting results regarding the benefits of vitamin E in the prevention of cardiovascular disease and cancer. There is enough evidence from large, well-designed studies to discourage the use of vitamin E in the primary prevention of cardiovascular disease. Secondary prevention requires more adequate clinical trials with selected populations to examine protective effects of vitamin E in cardiovascular disease. The findings of the studies reviewed do not provide evidence that vitamin E may reduce the risk of cancer; thus, at the present time, we do not recommend daily vitamin E intake for cancer prevention is not recommended. CONCLUSIONS Available data do not support the supplementation of vitamin E in cardiovascular disease and cancer prevention.
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Rabino, Martina, Sara Mallia, Elisa Castiglioni, Davide Rovina, Giulio Pompilio, and Aoife Gowran. "The Endocannabinoid System and Cannabidiol: Past, Present, and Prospective for Cardiovascular Diseases." Pharmaceuticals 14, no. 9 (September 17, 2021): 936. http://dx.doi.org/10.3390/ph14090936.

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In the past, cannabis was commonly associated with mysticism and illegality. Fortunately, in recent years perspectives and discourses have changed. More prominence has been given to the rigorous scientific effort that led to the discovery of cannabis’ many physiological actions and endogenous signalling mechanisms. The endocannabinoid system is a complex and heterogeneous pro-homeostatic network comprising different receptors with several endogenous ligands, numerous metabolic enzymes and regulatory proteins. Therefore, it is not surprising that alterations and dysfunctions of the endocannabinoid system are observed in almost every category of disease. Such high degree of pathophysiological involvement suggests the endocannabinoid system is a promising therapeutic target and prompted the translation of resurgent scientific findings into clinical therapies. Shifting attitudes toward cannabis also raised other matters such as increased patient awareness, prescription requests, self-medication, recreational use, recognition of new knowledge gaps, renewed scientific activity, and seemingly exponential growth of the cannabis industry. This review, following a general overview of cannabis and the endocannabinoid system, assiduously describes its role within the context of cardiovascular diseases, paying particular attention to the Janus influence that endocannabinoid system modulators can have on the cardiovascular system.
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41

Jang, Hyeon-jeong. "Exploring communication-centered multicultural teaching and learning methods that use narrative text as a mechanism for social interpretation." Korean Association for Literacy 13, no. 4 (August 31, 2022): 117–54. http://dx.doi.org/10.37736/kjlr.2022.08.13.4.04.

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This study designed the ‘discourse synthesis’ activity using narrative text as a ‘social interpretation mechanism’ as a prototype based on communication-centered multicultural teaching and learning components. The first step in the process of using the narrative text as a ‘social interpretation mechanism’ is to recognize the tacit references and prejudices of society by interpreting the interrelationship between characters in the text and society in the text world. The second step was to recognize the establishment of one's own values by interpreting the interrelationships of society at the time of creation. The third step was to search for a desirable community by interpreting the interrelationship between the reader and the society with regard to the text acceptance. After in-depth reading of the narrative text, the learner writes a ‘process log’ and a ‘critical essay’, imagining different levels of readers and forming internal communication with them. In this case, the first reader is ‘the self as audience’ corresponding to the learner himself, and the second reader is the real existence ‘audience addressed’ All objects existing in the classroom directly conducting the class. Correspondingly, the last reader refers to a large number of unspecified readers who are thought to be able to read the learner’s text as ‘audience invoked’ including fictional beings. Through this, learners will be able to find a desirable community in a multicultural society.
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42

Lewis, Gerald R. J. "Should Doctors Discourage Nutritional Supplementation?" Heart, Lung and Circulation 13, no. 3 (September 2004): 245–51. http://dx.doi.org/10.1016/j.hlc.2004.06.012.

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43

Kulkarni, Aditya D., and Singaravel Saranya. "From the Hridaya to the heart. Contributions by the ancient Indian masters of Ayurveda to the discovery of the cardiovascular system." Archivos de Patologia 3, no. 1 (May 18, 2022): 7–10. http://dx.doi.org/10.47579/ap.v3.i1.0083.

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The history of discovery of the cardiovascular system (CVS) is a fascinating story full of twists, wrong turns and insightful revelations, contributed to by philosophers and physicians the world over. However, whenever this history is discussed, the contributions described in Ayurveda, the traditional healthcare discipline of India, are overlooked. Ayurveda is one of the oldest traditional healthcare systems in the world with sound theoretical and practical foundations. The ancient masters of Ayurveda discoursed prolifically on all aspects of medicine and surgery, including the structure and function of the heart and circulatory system. In this short article, we discuss the history of discovery of various aspects of the CVS, highlighting the many contributions of the Ayurvedic School of Medicine.
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Silva, S. R. A. Melo e., E. A. Tudury, V. B. Albuquerque, F. P. Araújo, T. F. B. Souza, P. I. Nóbrega Neto, and M. A. Bonelli. "Cardiovascular and respiratory alterations in dogs during cervical myelography using ioversol." Arquivo Brasileiro de Medicina Veterinária e Zootecnia 65, no. 4 (August 2013): 1024–32. http://dx.doi.org/10.1590/s0102-09352013000400013.

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Subarachnoid infusion of most contrast mediums and the steps involved in performing a cervical myelography have adverse affects that can discourage its use in the radiographic diagnosis of spinal cord diseases. Thus, the cardiovascular and respiratory alterations associated with neck flexion, subarachnoid puncture, and cerebrospinal fluid drainage during subarachnoid infusion of ioversol (320mgI/mL) in dogs under general anesthesia using isoflurane were evaluated. The dogs received subarachnoid infusion of autologous cerebrospinal fluid kept at 38°C - control group (GC); ioversol 0.3mL/kg at 25°C (GI25) and ioversol 0.3mL/kg heated to 38°C (GI38). Each dog had its heart rate (HR), systolic arterial pressure (SAP), diastolic arterial pressure (DAP), respiratory rate (RR), oxyhemoglobin saturation (SaO2) and electrocardiography readings (PR and QT intervals) recorded. Group comparisons showed no statistical difference regarding neck positioning, subarachnoid puncture, and subarachnoid infusion of contrast medium on HR, RR and SaO2, cardiac rhythm or conduction. However, isoflurane significantly increased PR and QT intervals. Based on these findings, it is concluded that the steps involved in cervical myelography and the use of ioversol 320mgI/mL at 0.3mL/kg (25ºC and 38ºC) during cervical myelography did not result in relevant cardiovascular and respiratory alterations, except for an elevation in arterial pressure after injection of ioversol.
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45

Reddy, K. Srinath, and Martijn B. Katan. "Diet, nutrition and the prevention of hypertension and cardiovascular diseases." Public Health Nutrition 7, no. 1a (February 2004): 167–86. http://dx.doi.org/10.1079/phn2003587.

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AbstractCardiovascular diseases (CVD) are growing contributors to global disease burdens, with epidemics of CVD advancing across many regions of the world which are experiencing a rapid health transition. Diet and nutrition have been extensively investigated as risk factors for major cardiovascular diseases like coronary heart disease (CHD) and stroke and are also linked to other cardiovascular risk factors like diabetes, high blood pressure and obesity. The interpretation of evidence needs to involve a critical appraisal of methodological issues related to measurement of exposures, nature of outcome variables, types of research design and careful separation of cause, consequence and confounding as the basis for observed associations.Adequate evidence is available, from studies conducted within and across populations, to link several nutrients, minerals, food groups and dietary patterns with an increased or decreased risk of CVD. Dietary fats associated with an increased risk of CHD include trans–fats and saturated fats, while polyunsaturated fats are known to be protective. Dietary sodium is associated with elevation of blood pressure, while dietary potassium lowers the risk of hypertension and stroke. Regular frequent intake of fruits and vegetables is protective against hypertension, CHD and stroke. Composite diets (such as DASH diets, Mediterranean diet, ‘prudent’ diet) have been demonstrated to reduce the risk of hypertension and CHD. Sufficient knowledge exists to recommend nutritional interventions, at both population and individual levels, to reduce cardiovascular risk. That knowledge should now be translated into policies which promote healthy diets and discourage unhealthy diets. This requires coordinated action at the level of governments, international organizations, civil society and responsible sections of the food industry.
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Neczypor, Evan W., Matthew J. Mears, Arunava Ghosh, M. Flori Sassano, Richard J. Gumina, Loren E. Wold, and Robert Tarran. "E-Cigarettes and Cardiopulmonary Health: Review for Clinicians." Circulation 145, no. 3 (January 18, 2022): 219–32. http://dx.doi.org/10.1161/circulationaha.121.056777.

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Electronic cigarettes (e-cigarettes) are battery powered electronic nicotine delivery systems that use a propylene glycol/vegetable glycerin base to deliver vaporized nicotine and flavorings to the body. E-cigarettes became commercially available without evidence regarding their risks, long-term safety, or utility in smoking cessation. Recent clinical trials suggest that e-cigarette use with counseling may be effective in reducing cigarette use but not nicotine dependence. However, meta-analyses of observational studies demonstrate that e-cigarette use is not associated with smoking cessation. Cardiovascular studies reported sympathetic activation, vascular stiffening, and endothelial dysfunction, which are associated with adverse cardiovascular events. The majority of pulmonary clinical trials in e-cigarette users included standard spirometry as the primary outcome measure, reporting no change in lung function. However, studies reported increased biomarkers of pulmonary disease in e-cigarette users. These studies were conducted in adults, but >30% of high school–age adolescents reported e-cigarette use. The effects of e-cigarette use on cardiopulmonary endpoints in adolescents and young adults remain unstudied. Because of adverse clinical findings and associations between e-cigarette use and increased incidence of respiratory diseases in people who have never smoked, large longitudinal studies are needed to understand the risk profile of e-cigarettes. Consistent with the Centers for Disease Control and Prevention recommendations, clinicians should monitor the health risks of e-cigarette use, discourage nonsmokers and adolescents from using e-cigarettes, and discourage smokers from engaging in dual use without cigarette reduction or cessation.
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Quiñones, Miguel A., Micheal R. Zile, Barry M. Massie, and David A. Kass. "Chronic Heart Failure: A Report From the Dartmouth Diastole Discourses." Congestive Heart Failure 12, no. 3 (May 2006): 162–65. http://dx.doi.org/10.1111/j.1527-5299.2006.04790.x.

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48

Bissacco, Daniele, Chiara Malloggi, Maurizio Domanin, Santi Trimarchi, and Renato Casana. "It is time to score and not to discourage!" Journal of Vascular Surgery 75, no. 6 (June 2022): 2102–3. http://dx.doi.org/10.1016/j.jvs.2022.02.017.

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49

Ponticelli, Claudio, and Evaldo Favi. "Physical Inactivity: A Modifiable Risk Factor for Morbidity and Mortality in Kidney Transplantation." Journal of Personalized Medicine 11, no. 9 (September 18, 2021): 927. http://dx.doi.org/10.3390/jpm11090927.

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In patients with chronic kidney disease, sedentary behavior is widely recognized as a significant risk factor for cardiovascular disease, diabetes, obesity, osteoporosis, cancer, and depression. Nevertheless, the real impact of physical inactivity on the health of kidney transplant (KT) recipients remains uncertain. Over the last decade, there has been a renewed interest in exploring the effects of regular physical exercise on transplant-related outcomes. There is now mounting evidence that physical activity may reduce the burden of cardiovascular risk factors, preserve allograft function, minimize immunosuppression requirement, and ameliorate the quality of life of KT recipients. Many positive feedbacks can be detected in the early stages of the interventions and with a minimal exercise load. Despite these encouraging results, the perceived role of physical activity in the management of KT candidates and recipients is often underrated. The majority of trials on exercise training are small, relatively short, and focused on surrogate outcomes. While waiting for larger studies with longer follow-up, these statistical limitations should not discourage patients and doctors from initiating exercise and progressively increasing intensity and duration. This narrative review summarizes current knowledge about the deleterious effects of physical inactivity after KT. The benefits of regular physical exercise are also outlined.
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Wetton, Abigail R., Rebecca Radley, Angela R. Jones, and Mark S. Pearce. "What Are the Barriers Which Discourage 15-16 Year-Old Girls from Participating in Team Sports and How Can We Overcome Them?" BioMed Research International 2013 (2013): 1–8. http://dx.doi.org/10.1155/2013/738705.

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Given the clear benefits of regular physical activity (such as reduced risks of cardiovascular disease and obesity, as well as other benefits including those related to mental health), exploration of the reasons that adolescent girls give for not taking part in team sports may be particularly valuable for enhancing later rates of participation. We combined questionnaires () and semistructured interviews () to assess the barriers that prevent 15-16-year-old girls from participating in extracurricular team games and what can be done to overcome these barriers and improve physical activity levels. Four barriers became prominent as to why girls in this sample do not participate: Internal Factors, Existing Stereotypes, Other Hobbies and Teachers. Methods to overcome these barriers were identified; changing teachers’ attitudes and shifting the media’s focus away from male sport. Following the successful summer Olympics and Paralympics in the UK, and the resulting positive focus on some of the nation’s female athletes, a shift in focus may be possible. However, this needs to be maintained to allow girls more opportunities, role models and motivation to participate in sport.
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