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1
Winston, Joel S., and Geraint Rees. "Following your heart." Nature Neuroscience 17, no. 4 (March 26, 2014): 482–83. http://dx.doi.org/10.1038/nn.3677.
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Ip, Nancy Y. "Finding success by following your heart." Nature Cell Biology 20, no. 9 (August 28, 2018): 1003. http://dx.doi.org/10.1038/s41556-018-0159-3.
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Gustafson, Sandra M. "What's in a Date? Temporalities of Early American Literature." PMLA/Publications of the Modern Language Association of America 128, no. 4 (October 2013): 961–67. http://dx.doi.org/10.1632/pmla.2013.128.4.961.
Повний текст джерелаАнотація:
It's time for a pop quiz. you have ten minutes. (is your heart racing? take a deep breath.)What major events in American literature and American history took place in and around the following years?(1) 1789(2) 1800(3) 1820(4) 1830
4
Venkatappa, Shalini. "Never Let Failure Get Your Heart-A Case of Successfully Managed Peripartum Cardiomyopathy." Open Access Journal of Gynecology 8, no. 3 (July 5, 2023): 1–3. http://dx.doi.org/10.23880/oajg-16000265.
Повний текст джерелаАнотація:
Peripartum Cardiomyopathy (PPCM) is a form of idiopathic heart failure that develops most commonly in the last month of gestation or during the first five months post-partum. Here we present a case of successfully managed peripartum cardiomyopathy in a patient with preeclampsia with severe features with pulmonary oedema and intrauterine death of foetus. The patient was managed conservatively until stable along the lines of pulmonary oedema and preeclampsia with severe features keeping various other differentials in mind followed by which the diagnosis of peripartum cardiomyopathy was suggested by echocardiography. Termination of pregnancy was conducted by caesarean section following which both mother and baby were discharged in stable conditions.
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Ramachandran, M., Chinnasami Sivaji, and Soniya Sriram. "An Overview of Dental Implant and Its Bio Mineralization Screening." Pharmaceutical Sciences and Resarch 1, no. 1 (July 1, 2022): 34–41. http://dx.doi.org/10.46632/psr/1/1/6.
Повний текст джерелаАнотація:
Dental and oral health is yours overall health and well-being are an essential part. Poor oral hygiene cavities and gums lead to diseases and are associated with heart disease, cancer and diabetes. Healthy teeth and maintaining the gums is a lifelong duty. Brushing, brushing and sugar intake if you quickly learn proper oral hygiene habits such as restraint, Expensive dental treatments and long-term health problems can be easily avoided. And may include the following: Keeping mouth and teeth clean to prevent. Dental care is the maintenance of healthy teeth; Oral hygiene is a dental problem in maintaining healthy teeth and gums, proper brushing, plaque removal, oral hygiene. A specialized tooth the office runs where you can brush your teeth for free and get a 20 percent discount on other dental related services. Tooth decay is caused by eating too many sweets and not brushing your teeth afterward. The dental hygienist assists the dentist in cleaning patients' teeth before doing any other work.
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Smith, Elena B., Jodi Fitzgerald, Danielle Nelson, Madison Woodard, and Jeanette Andrade. "Reducing Your Risk for Heart Disease: The Power of Food." EDIS 2021, no. 1 (January 6, 2021): 8. http://dx.doi.org/10.32473/edis-fs426-2020.
Повний текст джерелаАнотація:
Heart disease is the #1 cause of death among men and women within the United States.
Heart disease is an umbrella term for the following heart conditions:
Angina
Irregular heartbeats
Heart attacks
Heart failure
Stroke
This new 8-page publication of the UF/IFAS Food Science and Human Nutrition Department describes the modifiable risk factors for heart disease and tips to reduce one’s risk for heart disease. Written by Elena B. Smith, Jodi Fitzgerald, Danielle Nelson, Madison Woodard, and Jeanette Andrade.https://edis.ifas.ufl.edu/fs426
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Choi, Kate. "The Waiting Room." After Dinner Conversation 4, no. 5 (2023): 80–89. http://dx.doi.org/10.5840/adc20234548.
Повний текст джерелаАнотація:
Should you abandon your dream to pursue where your true talents lie? Is a lifetime following your dream to be a painter a successful life if it turns out you simply don’t have an eye for art? Where do our dreams come from? When should they be abandoned? In this work of philosophical short story fiction, a young boy is in the government waiting room waiting to be assigned a new “dream.” He strikes up a conversation with other people in the waiting room. Some of them are anxious to get new dreams implanted into their brain as they have not found success. Others don’t want to let go of the failed dream they were originally assigned because they believe, in their heart of hearts, it is what they were born to do. The government is indifferent to the desires of the people. Society has needs, people have innate talents, and the government, as far as they are concerned, should focus on getting people to follow the dreams they are good at, as well as the dreams that are most needed by society. This story was the winner of the Fall 2020 After Dinner Conversation Writing Competition.
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Amatruda, O. "A misleading, underestimated side effect of a commonly used therapy. Following your stomach may hurt your heart." Journal of Medicine and the Person 8, no. 1 (April 2010): 31–33. http://dx.doi.org/10.1007/s12682-010-0041-y.
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Gillis, Bryan. "The Honor list of 2018 Prize-Winning Young Adult Books: Following Your Heart and Speaking Your Truth." English Journal 109, no. 1 (September 1, 2019): 97–102. http://dx.doi.org/10.58680/ej201930280.
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Nandita, Saksham Kumar, Sachinpal Bhatti, Nishchita Raj, and Brijesh Saran. "Diabetes mellitus type II with depression in geriatric population." Santosh University Journal of Health Sciences 9, no. 2 (2023): 168–71. http://dx.doi.org/10.4103/sujhs.sujhs_59_23.
Повний текст джерелаАнотація:
ABSTRACT Background: Several facets of daily life are impacted by mental health, including how you handle stress, think and feel, interact with people, and make decisions. It makes sense that having a mental health issue could make it more difficult to follow your diabetes treatment plan. Diabetes complications and untreated mental health concerns can both exacerbate each other’s effects. Depression is a medical condition that results in depressed feelings and frequently a loss of interest in previously enjoyed activities. It may interfere with your ability to manage your diabetes and perform effectively at work and at home. Your chance of developing diabetic complications including heart disease and nerve damage increases when you are unable to effectively manage your blood sugar levels. The daily routine traffic jams, family obligations, and daily diabetes care are all sources of stress. Methods: Articles searched from Pubmed central and other search engines for articles related to psychological therapeutic intervention. Results: Stress can manifest as an emotion, such as fear or rage, as a physical response, such as perspiration or a racing heart, or both. Blood sugar levels can be impacted as well because stress hormones cause blood sugar to fluctuate erratically and because stress from illness or injury can cause blood sugar to rise. Long-term stress might cause other health issues or exacerbate existing ones. The mind and body respond to stress by feeling anxious, which can include anxiety, fear, or tenseness. Anxiety is 20% more common among diabetics than among non-diabetics at some time in their lives. Conclusion: These overwhelming emotions, sometimes referred to as diabetes distress, might make you develop bad habits, stop monitoring your blood sugar, and even forget about scheduled doctor’s appointments. The majority of persons with diabetes experience it, frequently following years of effective control.
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Choi, Kate. "The Waiting Room." After Dinner Conversation 2, no. 1 (2021): 23–31. http://dx.doi.org/10.5840/adc2021214.
Повний текст джерелаАнотація:
Should you abandon your dream to pursue where you true talents lie? Is a lifetime following your dream to be a painter a successful life if it turns out you simply don’t have an eye for art? Where do our dreams come from? When should they be abandoned? In this work of philosophical short story fiction, a young boy is in the government waiting room waiting to be assigned a new “dream.” He strikes up a conversation with other people in the waiting room. Some of them are anxious to get new dreams implanted into their brain as they have not found success. Others don’t want to let go of the failed dream they were originally assigned because they believe, in their heart-of-hearts, it is what they were born to do. The government is indifferent to the desires of the people. Society has needs, people have innate talents, and the government, as far as they are concerned, should focus on getting people to follow the dreams they are good at, as well as the dreams that are most needed by society. This story was the winner of the Fall 2020 After Dinner Conversation Writing Competition.
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Mallet, ML. "Basic ultrasound skills should be a core component of training in the acute medicine curriculum." Acute Medicine Journal 7, no. 2 (April 1, 2008): 92–94. http://dx.doi.org/10.52964/amja.0206.
Повний текст джерелаАнотація:
6.30 pm Friday, and you are doing the afternoon intake round. A 33-year-old African woman presents with 2 months malaise, cough and dyspnoea. Her CXR shows an enlarged globular heart. HIV and TB are your first thoughts, but do you need to call in the cardiologist? 11 am Saturday on the Acute Medical Unit (AMU). A 35 year old man has been seen earlier this morning following a collapse, after being assaulted 2 days previously; the diagnosis is unclear. You spot him looking pale and tachycardic. Further examination shows bruising in the flanks. Is he bleeding internally?
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Pedersen, Susan. "Hannah More Meets Simple Simon: Tracts, Chapbooks, and Popular Culture in Late Eighteenth-Century England." Journal of British Studies 25, no. 1 (January 1986): 84–113. http://dx.doi.org/10.1086/385855.
Повний текст джерелаАнотація:
During the winter of scarcity of 1794, Hannah More wrote “a few moral stories,” drew up a plan for publication and distribution, and sent the package around to her evangelical and bluestocking friends. Their response was enthusiastic; even Horace Walpole abandoned his usual teasing to write back, “I will never more complain of your silence; for I am perfectly convinced that you have no idle, no unemployed moments. Your indefatigable benevolence is incessantly occupied in good works; and your head and your heart make the utmost use of the excellent qualities of both…. Thank you a thousand times for your most ingenious plan; may great success reward you!” Walpole then sent off copies of the plan to the duchess of Gloucester and other aristocratic friends. Following Wilberforce's example, such wealthy philanthropists subscribed over 1,000 pounds to support the project during its first year. Henry Thornton agreed to act as treasurer and Zachary Macaulay as agent, and the ball was rolling.In March 1795, the Cheap Repository of Moral and Religious Tracts issued its first publications. Prominent evangelicals and gentry worked to distribute them to the rural poor, booksellers, and hawkers and among Sunday schools and charity children. During the Repository's three-year existence, the fifty or so tracts written by Hannah More were supplemented by contributions from fellow evangelicals Thornton, Macaulay, John Venn, and John Newton, the poet William Mason, More's literary friend Mrs. Chapone, her protégée Selina Mills, and her sisters Sally and Patty More and by reprints of old favorites by Isaac Watts and Justice John Fielding.
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Mikels, Joseph A., Corinna E. Löckenhoff, Sam J. Maglio, Laura L. Carstensen, Mary K. Goldstein, and Alan Garber. "Following your heart or your head: Focusing on emotions versus information differentially influences the decisions of younger and older adults." Journal of Experimental Psychology: Applied 16, no. 1 (2010): 87–95. http://dx.doi.org/10.1037/a0018500.
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Cornali, Claudia. "“Below as Above”. A Transpersonal Psychologist in Afghanistan." Integral Transpersonal Journal 7, no. 7 (December 2015): 105. http://dx.doi.org/10.32031/itibte_itj_7-cc5.
Повний текст джерелаАнотація:
What follows is a tale by a woman, a psychologist, a soul who had a journey of transformation and grace through the flowing and hard path of suffering. In the following pages there are some facts which took place in the last days on Afghanistan soil, lessons learnt and the awareness of the value of teaching given by Biotransenergetics- the way with a heart- which were precious allies to remember there’s no real boundary between reality and the worlds, but only in the way you take your place in the world. KEYWORDS Biotransenergetica, transpersonal psychology, emergency psychology
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Swisher, Anne K. "Linda Crane Lecture 2020: Following Your Heart (and Lungs) as a Path to Professional Development." Cardiopulmonary Physical Therapy Journal 31, no. 3 (May 29, 2020): 88–93. http://dx.doi.org/10.1097/cpt.0000000000000143.
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Prell, Rebecca, Katrin Starcke, and Martina Anna Maggioni. "Following your heart: Cardiac autonomic modulation as a feature of decision-making under ambiguity and risk." Personality and Individual Differences 226 (August 2024): 112686. http://dx.doi.org/10.1016/j.paid.2024.112686.
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Hutchesson, Melinda J., Rachael Taylor, Vanessa A. Shrewsbury, Lisa Vincze, Linda E. Campbell, Robin Callister, Felicity Park, Tracy L. Schumacher, and Clare E. Collins. "Be Healthe for Your Heart: A Pilot Randomized Controlled Trial Evaluating a Web-Based Behavioral Intervention to Improve the Cardiovascular Health of Women with a History of Preeclampsia." International Journal of Environmental Research and Public Health 17, no. 16 (August 10, 2020): 5779. http://dx.doi.org/10.3390/ijerph17165779.
Повний текст джерелаАнотація:
This pilot randomized controlled trial (RCT) aimed to determine the acceptability and preliminary efficacy of a web-based cardiovascular disease (CVD) prevention intervention for women following preeclampsia. Australian women with a recent history (≤4 years post diagnosis) of preeclampsia were randomized into two study arms: (1) Be Healthe for your Heart, a web-based behavioral intervention or; (2) Control, access to the National Heart Foundation website. Assessments were conducted at baseline, and after three months. Intervention acceptability and impact on absolute CVD 30-year risk score, CVD risk markers and health behaviors were assessed. Twenty-four of 31 (77.4%) women completed the three-month assessment. Eleven out of 13 intervention participants (84.6%) agreed/strongly agreed they were satisfied with the program, with a mean score of 4.2 ± 0.9 (maximum of five). There were no significant between or within group differences in absolute CVD risk, CVD risk markers or health behaviors from baseline to three months. Women with a history of preeclampsia were successfully recruited and retained and they reported high levels of acceptability with the Be Healthe for your Heart program. Further research is therefore needed from powered trials to determine the impact of web-based lifestyle interventions on CVD risk in this at-risk group.
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Memeti, Shaban, Saimir Kuci, Alfred Ibrahimi, Marsela Goga, Altin Veshti, Sokol Buba, and Arben Baboci. "Perioperative Management of a Child with Hypoplastic Left Heart Syndrome Undergoing Cryptorchidism Surgery." Open Access Macedonian Journal of Medical Sciences 10, no. C (September 24, 2022): 272–75. http://dx.doi.org/10.3889/oamjms.2022.9869.
Повний текст джерелаАнотація:
Hypoplastic left heart syndrome (HLHS) is a complex congenital heart condition which includes abnormal development of left sided cardiac structures leading to inadequate systemic perfusion following postnatal closure of the patent ductus arteriosus (PDA).
Surgical palliation may be accomplished through a 3 staged process
-Norwood procedure. This surgery is usually done within the first two weeks of your child's life
-Bidirectional Glenn procedure. This procedure is generally the second surgery. It's done when your child is between 3 and 6 months of age.
-Fontan procedure. This surgery is usually done when your child is between 18 months and 4 years of age.
Patients with HLHS may need to undergo other non-cardiac surgical procedures during the first years of life posing a real challenge to the anesthesiologist, surgeon and the entire medical team.
We present the case of a 18-months old, 9 kg infant who presented for cryptorchidism surgery. Cryptorchidism or undescended testis (UDT) is one of the most common pediatric disorders of the male endocrine glands and the most common genital disorder identified at birth. The main reasons for treatment of cryptorchidism include increased risks of impairment of fertility potential, testicular malignancy, torsion and/or associated inguinal hernia.
The intraoperative implications of the hybrid anatomy are discussed, options for anesthetic care presented, and previous reports of anesthetic care for such patients reviewed.
Conclusion: LMA combined with local anesthesia was effective to maintaining optimal cardiac function of this child patient with HLHS
In summary, children with palliated HLHS have anesthetic considerations that must be followed in order to reduce perioperative morbidity and mortality in this high-risk pathology.
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Mikels, Joseph A., Corinna E. Löckenhoff, Sam J. Maglio, Mary K. Goldstein, Alan Garber, and Laura L. Carstensen. ""Following your heart or your head: Focusing on emotions versus information differentially influences the decisions of younger and older adults": Correction to Mikels et al. (2010)." Journal of Experimental Psychology: Applied 16, no. 2 (2010): 157. http://dx.doi.org/10.1037/a0020076.
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Valenza, S., G. Pastore, L. Marcantoni, F. Deluca, G. Porcelli, and F. Zanon. "THROW YOUR LEAD OVER THE OBSTACLE: A CHALLENGING CRT UPGRADING." European Heart Journal Supplements 26, Supplement_2 (April 2024): ii108—ii109. http://dx.doi.org/10.1093/eurheartjsupp/suae036.267.
Повний текст джерелаАнотація:
Abstract High percentage of right ventricular pacing could lead to pacing induced cardiomyopathy in a non–negligible proportion of patients. Cardiac resynchronization therapy upgrading could represent an option to improve ventricular function, reducing heart failure hospitalizations. A 82 yo male was admitted to hospital with symptomatic heart failure. He had history of complete AV block treated with dual chamber pacemaker implantation five years earlier following coronary artery bypass graft surgery, bioprosthetic aortic valve replacement and septal myectomy. He had also history of cardiac arrest occurred in the context of acute coronary syndrome treated with PCI so that ICD implant was not considered at that time, and two more HF hospitalizations in previous years. Progressive LVEF decline was documented since PM impantation until last echo showed severe left ventricular dysfunction (EF 20% from baseline EF 60%). The ECG showed sinus rhythm and wide paced QRS (206 ms) with 100% pacing percentage. A CRT device upgrading was planned. Baseline venography initially showed pervious axillary–subclavian left axis, but unfortunately the guidewire encountered a complete occlusion before entering the superior vena cava. Nevertheless, dye contrast injection documented the presence of a proximal collateral branch (fig A) having a vertical course in the thorax and reaching the lateral wall of the left ventricle with an extrapericardic course then entering the right heart through inferior vena cava. Using a IM 5Fr sheath (usually used by interventional cardiologists to cannulate internal mammary artery) we could reach this branch, inserting a guidewire and finally advancing a quadripolar lead (Fig B–C) which reached the lateral left ventricular wall. LV capture was confirmed when pacing from the three proximal poles, while the distal one caused phrenic nerve capture. The quadripolar lead was connected to the LV port of a three chamber PM along with previous implanted leads thus obtaining biventricular pacing. QRS paced was 50 ms shorter than baseline. No peri–procedural complications occurred. Lead–related venous occlusion might represent an obstacle to CRT upgrade requiring high technical expertise. The presence of a complete venous occlusion might cause procedural failure, particularly in hospitals without surgical facility. In this case, the presence of a collateral branch reaching the lateral wall of the left ventricle allowed to successfully complete the CRT upgrade.
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Crombie Angus, Fionn, and Jonathan Angus. "Exploring My Life Path by Asking 600 People What They Love about Theirs." Social Sciences 11, no. 12 (November 27, 2022): 551. http://dx.doi.org/10.3390/socsci11120551.
Повний текст джерелаАнотація:
A young man with Down syndrome and an early adopter of self-managed supports wanted to have a great life, but he needed to be sure what a great life was for him. He decided to ask successful people, “What do you love about your life?”, which he felt was a question that gets right to the heart of the matter. In this paper the young man and his father will outline their journey as co-researchers in collecting/filming 600 stories across ten countries, with some interviews prearranged but many occurring spontaneously at music, film, and arts festivals. The initial findings of “what people loved about their lives” fall into the following categories: Family, Work, Home, Travel, Health, Pets, and Life Itself. Positive side effects for the young man covered: self-confidence, ability to connect with people, opportunities, working relationships, and ongoing friendship. The implications of taking a social journalism approach to collecting stories will be discussed in line with the question “What makes for good inclusive research”? The journey of the co-researchers speaks to the outcome that it is worthwhile to research your life path, accessing elders’ wisdom. The tools of inclusive research are powerful when applied to a citizen’s life questions. Each person values their life in unique ways, yet there are many commonalities.
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Wells, Sue, Andrew Kerr, Elizabeth Broadbent, Craig MacKenzie, Karl Cole, and Andy McLachlan. "Does Your Heart Forecast help practitioner understanding and confidence with cardiovascular disease risk communication?" Journal of Primary Health Care 3, no. 1 (2011): 4. http://dx.doi.org/10.1071/hc11004.
Повний текст джерелаАнотація:
INTRODUCTION: Explaining what cardiovascular disease (CVD) risk means and engaging in shared decision-making regarding risk factor modification is challenging. An electronic CVD risk visualisation tool containing multiple risk communication strategies (Your Heart Forecast) was designed in 2009. AIM: To assess whether this tool facilitated explaining CVD risk to primary care patients. METHODS: Health professionals who accessed a Primary Health Organisation website or who attended educational peer groups over a three-month period were invited to complete questionnaires before and after viewing a four-minute video about the tool. Respondents were asked to make an informed guess of the CVD risk of a 35-year-old patient (actual CVD risk 5%) and rate the following sentence as being true or false: If there were 100 people like Mr Andrews, five would go on to have a cardiac event in the next five years. They also were asked to rank their understanding of CVD risk and confidence in explaining the concept to patients. RESULTS: Fifty health professionals (37 GPs, 12 practice nurses, one other) completed before and after questionnaires. Respondents CVD risk estimates pre-video ranged from <5% to 25% and nine rated the sentence as being false. After the video, all respondents answered these questions correctly. Personal rankings from zero to 10 about understanding CVD risk and confidence in explaining risk reduced in range and shifted towards greater efficacy. Discussion: Whether this tool facilitates discussions of CVD risk with patients and improves patient understanding and lifestyle behaviour needs to be evaluated in a randomised trial. KEYWORDS: Cardiovascular disease; risk communication.
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Siregar, Esron Mangatas. "Prinsip Pelaksanaan Puasa Menurut Yoel 2: 12-17 Bagi Kekristenan Masa Kini." Manna Rafflesia 8, no. 2 (April 30, 2022): 449–74. http://dx.doi.org/10.38091/man_raf.v8i2.218.
Повний текст джерелаАнотація:
This research is motivated by the existence of problems in Christianity that reject the implementation of fasting, differences in the concept of implementing fasting, a less firm basis in understanding fasting in the Christian concept, and wrong motives in carrying out fasting. Through qualitative research methods and descriptive analysis through literature studies, specifically the text of the Book of Joel 2:12-17. The results of the analysis show that Joel 2:12-17 calls for fasting with the first principle: following the word of God because God is merciful and merciful, God is long-suffering and abundant in faithfulness. Second, turn to God with all your heart, cry and moan. Third, tear the heart and Fourth humble yourself. Thus there is a restoration of the relationship between man and God and a focus on God's will, all of which straighten out the wrong practice of fasting.
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Inker, Jennifer, Sarah Marrs, Madeline McIntyre, Leland Waters, and Tracey Gendron. "My Heart Has Always Been Set on Pediatrics, and Other Insights From First-Year Medical Students." Innovation in Aging 4, Supplement_1 (December 1, 2020): 1. http://dx.doi.org/10.1093/geroni/igaa057.002.
Повний текст джерелаАнотація:
Abstract Senior mentoring programs provide medical students exposure to a community-dwelling older adult mentor with whom they meet multiple times throughout the program. The goal of these programs is to expose students to healthy older adults, increase their knowledge of topics in geriatrics and aging, and increase the likelihood that students will pursue geriatric specialties. Though research findings show that senior mentoring programs have the potential to increase medical students’ attitudes towards older adults (Samra et al., 2013) and their willingness to consider working with older patients in the future (McManus et al., 2017), a critical shortage of doctors who specialize in geriatrics still exists. Moreover, the demand for geriatrically-trained physicians is expected to continue to increase (American Geriatrics Society, 2018). In order to develop avenues for successfully fostering interest in and pursuit of geriatrics specialties, we need to fully understand students’ perceptions of working with older adults. The purpose of this qualitative content analysis was to explore first-year medical students’ (n = 216) perceptions of working with older adults. We asked students to respond to the following reflection at the beginning and end of their Senior Mentoring program: How do you feel about working with older patients after you complete your training? Our findings suggest that while students feel more comfortable with and open to caring for older adults, they do not feel compelled to pursue geriatrics. Themes and sub-categories emerging from the data provide insight into why students continue to dismiss pursuing geriatrics.
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Splevins, Katie, and Anna Daiches. "‘Health on the road to your heart’: Crosslanguage and cross-cultural challenges in consulting on mental health with a Cambodian orphanage." Clinical Psychology Forum 1, no. 230 (February 2012): 44–48. http://dx.doi.org/10.53841/bpscpf.2012.1.230.44.
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Shearkhani, Sara, Kelly Smith, and Rishma Pradhan. "Implementation and Evaluation of Innovation in Integrated Care: Strategies to Overcome the Challenge of Work as Imagined." International Journal of Integrated Care 23, S1 (December 28, 2023): 166. http://dx.doi.org/10.5334/ijic.icic23383.
Повний текст джерелаАнотація:
Health system learning is an iterative process. The six phases of a learning health system (LHS) are problem identification, design, implementation, evaluation, modification, and dissemination. In theory, evaluation is supposed to inform design and implementation and in turn implementation process and modification as the direct result of the evaluation endeavour set the direction for future evaluation. In other words, evaluation and implementation go hand-in-hand. In practice, however, when designing an integrated model of care, more often than not in the fast-paced environment of the healthcare where lives are literally at stake, both evaluation and implementation planning are sacrificed. This happens for many reasons, from lack of resources to lack of expertise. One main reason that work as imagined is perceived as work as done is that those who run the program are smart and dedicated people who are well aware of the needs of their communities and clients, and have their best interest at heart.
East Toronto Health Partners (ETHP) has invested in evaluations since 2018 to create a learning health system by embedding rapid cycles of evaluation to support learning, knowledge transfer, and decision making for scale and spread of their new models of care. One of the main findings of our evaluation work was that implementation planning and monitoring the implementation process raised the likelihood of a successful evaluation which in turn resulted in tangible improvement in the program.
In our poster presentation, we will focus on both implementation and evaluation. We showcase the link between the logic model/evaluation plan and the implementation plan. We will cover the following questions:
Why having an implementation plan is necessary to bring an idea for an intervention to a reality?
How an implementation plan helps you to carry out your evaluation plan more successfully?
What questions you should be thinking about when you are developing your implementation plan?
We will share examples of best practices. The poster will also provide practical implementation templates that can be used in different setting.
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K P, Monica, Kavya Nagarajan, and Sulochana Bhat. "The Practice of Yoga and Ayurveda in the Management of Anxiety, Hypertension and Diabetes Mellitus." International Research Journal of Ayurveda & Yoga 06, no. 01 (2023): 15–22. http://dx.doi.org/10.47223/irjay.2023.6103.
Повний текст джерелаАнотація:
Ayurveda is a comprehensive system that concentrates on repeated consciousness. Hypertension, also known as high or raised blood pressure, is a condition in which the blood vessels have persistently raised pressure.It stands to be the most focused diseasedue to its high mortality rate. Diabetes is a metabolic disorder that stands second to hypertension as a great concern repeatedyoga practice and following Ayurveda together show wonderful results in treating various diseases. And this technique can help with long-term stress or stress related to various health problems such as heart disease.Relaxation techniques are a great way to help with stress management. It’s the process that decreases the stress effects on your mind and body.Yoga, a form of physical activity, is rapidly gaining in popularity and has many health benefits. In this study, the effect of yoga therapy, and how it worked in controlling hypertension immediately after the Deep Relaxation Technique (DRT) and Ayurveda medicines on Hypertension (HTN) and Diabetes Mellitus (DM) have been discussed
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Williams, Nefyn H., Brendan Collins, Terence J. Comerford, Susanna Dodd, Michael Fisher, Ben Hardwick, Sophie Hennessy, et al. "Effectiveness and cost-effectiveness of a web-based cardiac rehabilitation programme for people with chronic stable angina: protocol for the ACTIVATE (Angina Controlled Trial Investigating the Value of the ‘Activate your heart’ Therapeutic E-intervention) randomised controlled trial." BMJ Open 14, no. 3 (March 2024): e084509. http://dx.doi.org/10.1136/bmjopen-2024-084509.
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IntroductionChronic stable angina is common and disabling. Cardiac rehabilitation is routinely offered to people following myocardial infarction or revascularisation procedures and has the potential to help people with chronic stable angina. However, there is insufficient evidence of effectiveness and cost-effectiveness for its routine use in this patient group. The objectives of this study are to compare the effectiveness and cost-effectiveness of the ‘Activate Your Heart’ cardiac rehabilitation programme for people with chronic stable angina compared with usual care.Methods and analysisACTIVATE is a multicentre, parallel-group, two-arm, superiority, pragmatic randomised controlled trial, with recruitment from primary and secondary care centres in England and Wales and a target sample size of 518 (1:1 allocation; allocation sequence by minimisation programme with built-in random element). The study uses secure web-based allocation concealment. The two treatments will be optimal usual care (control) and optimal usual care plus the ‘Activate Your Heart’ web-based cardiac rehabilitation programme (intervention). Outcome assessment and statistical analysis will be performed blinded; participants will be unblinded. Outcomes will be measured at baseline and at 6 and 12 months’ follow-up. Primary outcome will be the UK version of Seattle Angina Questionnaire (SAQ-UK), physical limitations domain at 12 months’ follow-up. Secondary outcomes will be the remaining two domains of SAQ-UK, dyspnoea, anxiety and depression, health utility, self-efficacy, physical activity and the incremental shuttle walk test. All safety events will be recorded, and serious adverse events assessed to determine whether they are related to the intervention and expected. Concurrent economic evaluation will be cost–utility analysis from health service perspective. An embedded process evaluation will determine the mechanisms and processes that explain the implementation and impacts of the cardiac rehabilitation programme.Ethics and disseminationNorth of Scotland National Health Service Research Ethics Committee approval, reference 21/NS/0115. Participants will provide written informed consent. Results will be disseminated by peer-reviewed publication.Trial registration numberISRCTN10054455.
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D. Patel, Hetvi, and Dr Sambhaji B. Gunja. "Assessing the Effect of Six-Weeks of Moderate Intensity Exercise Training on Cardiovascular Fitness among Young Obese Adults." International Journal of Science and Healthcare Research 7, no. 2 (June 30, 2022): 348–53. http://dx.doi.org/10.52403/ijshr.20220448.
Повний текст джерелаАнотація:
Aim – To determine the effectiveness of 6 weeks of moderate intensity exercise training & To provide an appropriate measure of cardiovascular fitness. The YMCA 3minute step test is based on how quickly your heart rate recovers following a short bout of exercise. Hence the purpose was to provide a submaximal measure of cardiovascular fitness after six-weeks of moderate intensity exercise training among young obese adults. Methodology - According to simple random sampling 50 participants were included in the study after screening for the inclusion criteria. Thereafter They were explained the purpose of the study and the procedure involved in the study. Informed Consent was obtained and a YMCA 3-minute step test was done. Heart rate measures were recorded at the end of the 3-min step test Pre & Post intervention. Data analysis was done at the end of the study. Results – Post intervention 10 students (20%) out of 50 had good cardiovascular fitness level, 22 students (44%) had an above average cardiovascular fitness, 13 students (26%) had average fitness & 5 students (10%) had below average level of cardiovascular fitness. Conclusion- This study concluded that, six weeks of moderate intensity exercise training improved cardiovascular fitness and lowered the risk of developing cardiovascular disease in obese young adults. Keywords: Cardiovascular fitness, YMCA 3minute step test, Moderate intensity exercise training.
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Prakash, E. S., Madanmohan, and Gopal Krushna Pal. "What is the ultimate goal in neural regulation of cardiovascular function?" Advances in Physiology Education 28, no. 3 (September 2004): 100–101. http://dx.doi.org/10.1152/advan.00013.2004.
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We used the following multiple-choice question after a series of lectures in cardiovascular physiology in the first year of an undergraduate medical curriculum ( n = 66) to assess whether students had understood the neural regulation of cardiovascular function. In health, neural cardiovascular mechanisms are geared toward maintaining A) cardiac output, B) total peripheral resistance (TPR), C) arterial blood pressure (BP), D) tissue blood flow. The same question was administered to 275 graduates preparing for postgraduate exams (but not following the same series of lectures as the undergraduates). In both groups, we found a large proportion of incorrect answers (70% in undergraduates and 85% in graduates) and sorted this out by offering a step-by-step explanation and two examples and found it successful: 1) What happens to BP and heart rate (HR) when a person loses 500 ml of blood (∼10% of blood volume) in one minute? 2) What happens to your BP and HR as you get out of bed after a night’s sleep? Flow = perfusion pressure/resistance to flow; cardiac output = BP/TPR; BP = cardiac output × TPR = [stroke volume (SV) × HR] × TPR. In both examples, BP decreases and is rapidly brought into the normal range by the arterial baroreflex mechanism. TBF is regulated chiefly by varying local vascular resistance (autoregulation). In summary, the ultimate goal of all neural cardiovascular reflex mechanisms is to maintain arterial BP within a range in which tissues can regulate their own blood flows. Cardiovascular control during exercise was used as an example to emphasize these facts. A discussion of this kind triggered interest in the minds of students and graduates, helping them get rid of a major misconception in about 20–40 minutes.
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Ifwandi, Dewi Saputri, Liana Rahmayani, Pocut Aya Sofya, Syahrial, and Zelcha Savira Haridhi. "OVERVIEW OF COGNITIVE FUNCTION IN THE ELDERLY WITH VARIATIONS OF TOTAL REMAINING TEETH REVIEW FROM MINI-MENTAL STATE EXAMINATION." International Journal of Research -GRANTHAALAYAH 9, no. 11 (December 6, 2021): 168–81. http://dx.doi.org/10.29121/granthaalayah.v9.i11.2021.4389.
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When a person reaches the elderly phase, the function of the body's organs decreases, which causes an increased risk of disease and death. Including dental infections such as caries and periodontal disease which are the main factors for tooth loss. Tooth loss does not only affect the impact of mastication but also affects a person's cognitive function. This condition occurs because when a person loses teeth, the function of the Periodontal Mechanoreceptors decreases, disrupting the function of the hippocampus which is important for memory in the brain. Loss of a large number of teeth tends to indicate low cognitive function, but several factors affect cognitive function, namely education level, Diabetes Mellitus, Hypertension, heart disease, depression, sleep disorders, head injury, physical activity, and a history of smoking. Mini-Mental State Examination (MMSE) is a tool to assess a person's cognitive function. This study aims to see the description of cognitive function in the elderly at the Geunaseh Sayang Nursing Home with variations in the number of tooth losses. This study was conducted with 43 research subjects with interviews and intra-oral examination methods. Based on the results of the study, it can be concluded that the elderly who only have fewer teeth show a higher decline in cognitive function compared to the elderly with more teeth in the oral cavity. This is following the theory which states that the more teeth you lose, the lower your cognitive function will be.
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Magnon, Valentin, Jordan Mille, Frédéric Dutheil, and Guillaume Vallet. "« Mettre du coeur/corps à l’ouvrage » : une approche psycho-physiologique de la cognition incarnée." Intellectica. Revue de l'Association pour la Recherche Cognitive 74, no. 1 (2021): 51–78. http://dx.doi.org/10.3406/intel.2021.1985.
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“Put your Heart/Body into it”: a Psycho-Physiological Approach of the Embodied Cognition. Cognition is rooted in the body according to embodied cognition view. Research within this approach has studied the body primarily under the scope of motricity (e. g. effect of gesture, posture). Studies in the field of psychophysiology have investigated the role of physiological variables in the functioning of the central nervous system without proposing an "embodied" reading. Bridges between these fields could be built through an integrative approach of these data within an embodied epistemic framework. This article thus proposes an integrative interpretation of the psycho-physiological mechanisms involved in the self-regulation of the cognitive system during interaction with the environment (i. e. autopoiesis). The main originality of this proposal is to defend epigenetics as a bodily memory that would be one of the main drivers of this self-regulation because of its influence on physiology following the interaction with the environment and the possible repercussion of this influence on the cognitive system.
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Beltran, Roman A., Kyle J. Zemeir, Chase R. Kimberling, Mary S. Kneer, Michelle D. Mifflin, and Tom L. Broderick. "Is a PCSK9 Inhibitor Right for Your Patient? A Review of Treatment Data for Individualized Therapy." International Journal of Environmental Research and Public Health 19, no. 24 (December 16, 2022): 16899. http://dx.doi.org/10.3390/ijerph192416899.
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Introduction: In the United States, a significant amount of the population is affected by hyperlipidemia, which is associated with increased levels of serum low-density lipoprotein (LDL-C) and risk of cardiovascular disease. As of 2019, the guidelines set by the American College of Cardiology/American Heart Association advocate for the use of statins as the major contributor to lowering serum LDL-C. While proven to be effective, side effects, including muscle-related symptoms and new-onset diabetes mellitus, can make patients unable to tolerate statin therapy. Additionally, there is a subset of the population which does not approach a recommended LDL-C goal on statin treatment. Due to these findings, it was deemed necessary to review the literature of current statin-alternative lipid-lowering therapies. Methods: A systematic review of preclinical and clinical papers, and a current meta-analysis, was performed using PubMed and Google Scholar. Following the literature review, a meta-analysis was conducted using ProMeta 3. Results: Through systematic review and meta-analysis of the current literature, it is suggested that newer lipid-lowering therapies such as proprotein convertase subtilsin-kixen type 9 (PCSK9) inhibitors are a safe and effective statin alternative for the population with statin intolerance. PCSK9 inhibitors were shown to have no significant effect in causing myalgia in patients and showed no increase in adverse cardiovascular outcomes compared to a control of a current antilipemic medication regimen. Discussion: There are many statin-alternative therapies that should be investigated further as a potential replacement for patients with statin intolerance or as an addition for patients with statin resistance.
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Malshe, Rujuta, and Sambhaji B. Gunjal. "Assessment of Cardiovascular Fitness amongst College Students Involved in Sport Activities and Dance." International Journal of Science and Healthcare Research 6, no. 2 (June 29, 2021): 302–7. http://dx.doi.org/10.52403/ijshr.20210454.
Повний текст джерелаАнотація:
Purpose- To provide an appropriate measure of cardiovascular fitness. The YMCA 3minute step test is based on how quickly your heart rate recovers following a short bout of exercise. Hence the purpose was to provide a submaximal measure of endurance fitness between the students who are involved in sport activities and dance. Methodology- According to simple random sampling 40 participants were included in the study after screening for the inclusion criteria. Thereafter the Participants were divided into 2 groups. 20 participants included in sports group and 20 in dance group. They were explained the purpose of the study and the procedure involved in the study. Informed Consent was obtained and a YMCA 3minute step test was done. Heart rate measures were recorded in both the groups of population. Data analysis was done at the end of the study. Results – 12 students in the sports group had a good to above average fitness level, and 3 students in dancing group had a above average fitness. No student in dance had a good fitness. Further 7 students in dance had a average fitness compared to 2 students in sports who had average fitness. 6 students involved in sports had below average to very poor fitness and 10 students involved in dance had their fitness in this category. Conclusion- It was concluded from the results obtained that the students involved in sport activities had a significantly good cardiovascular fitness than students involved in dance. Keywords: cardiovascular fitness, sports, dance, YMCA 3minute step test.
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Cohen, Jonathan D. "This is Your Hometown: Collective Memory, Industrial Flight, and the Fate of Freehold, New Jersey." New Jersey Studies: An Interdisciplinary Journal 2, no. 1 (January 13, 2016): 185. http://dx.doi.org/10.14713/njs.v2i1.27.
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<p><span>Established in 2012, the New Jersey Studies Academic Alliance (NJSAA) Graduate Student Award recognizes excellence in graduate writing about New Jersey history. It is presented for a paper written by a graduate student that best represents significant research and writing about any aspect of New Jersey history. The 2015 award went to Mr. Cohen. </span></p><p><span>***</span></p><p><span>Freehold, New Jersey faced two major moments of deindustrialization in the post-World War II period. In the late 1950s, the rug mill that sat at the center of the town’s economic and cultural life began to close down. In 1986, a 3M audio-visual tape plant that had helped the town avoid economic ruin shut down as well. This paper illustrates the continuities between these closings, challenging the dogma in labor history that plant closings occur because of management’s desire to avoid an entitled and demanding workforce. Though workers at both plants were unionized, neither the rug mill nor the 3M workers made major demands on their employers in the postwar period. This paper analyzes the conditions that prompted shutdowns in Freehold, illustrating the role of broader market forces as well as internal company dynamics in driving capital flight. Furthermore, a close look at the 3M closing reveals the importance of culture in workers’ responses to deindustrialization. Following 3M’s announcement of its plans to shut down the Freehold plant, workers began a national media campaign to save their jobs. At the heart of this campaign was the memory of the rug mill that had closed 25 years earlier, as represented by their campaign anthem, Bruce Springsteen’s 1984 song “My Hometown.” This paper demonstrates the role of memory and music in shaping workers’ experience with deindustrialization as well as the struggles of unions to codify the relationship between capital and community in the twentieth century.</span></p>
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O'Malley, Ellen, Joshua Phelps, Christi Arthur, and Reza Hakkak. "Investigating Effectiveness of a Pritikin-Based Cardiac Rehabilitation Program on Patients with Heart Disease." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 58. http://dx.doi.org/10.1093/cdn/nzaa040_058.
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Abstract Objectives The primary objectives of this study were to: assess change in dietary habits and health outcomes [body mass index (BMI), weight loss, waist circumference (WC), blood pressure, low-density lipoprotein (LDL), high-density lipoprotein (HDL), total cholesterol (TC), and Hemoglobin A1c (A1C)] among patients following completion of an intensive cardiac rehabilitation (CR) program. Methods This retrospective cohort study involved de-identified data obtained from an electronic medical record (EMR) program and from an excel spreadsheet maintained at a hospital in Arkansas. Data were available from 138 adults, age 29 to 89 years, with a pre-existing heart condition or event, and who completed a 12-week CR program at the hospital's Clinic. Dietary habits were evaluated using the 24-question Rate Your Plate (RYP) survey at initial visit, and discharge. RYP and weight data were also available for a group of patients (n = 18) completing a 3-month follow-up visit. Results There was a statistically significant (P < .0001) mean increase (8.24; 95% CI, 7.03 to 9.45) from the pre-RYP score (51.05 ± 7.43) to the post-RYP score (59.29 ± 6.58). There was a statistically significant (P < .0005) median decrease in weight (−2.00 lbs.) after post-intervention (193.50 lbs.) compared to pre-intervention (195.50 lbs.). There were also significant (P < .05) differences between pre- and post-measurements of BMI, WC, LDL, total cholesterol, and triglycerides. Follow-up data indicated significant changes in the RYP score (P < .0001) and weight (P = .020) were maintained at 3-months follow-up. Conclusions A 12-week CR program including nutrition education and counseling is effective to help patients with CVD or previous heart events improve their dietary habits. There were noticeable changes in diet scores, WC, BMI, and weight loss, with patients being able to sustain weight loss at their three-month follow-up visit (a 5% weight loss). Funding Sources N/A.
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Dutt, Rachana, and Payal Mahajan. "Assessment of Nutritional Status Using Anthropometric Methods and Assessment of Knowledge and Attitude of Nursing Mothers towards Breast Feeding Practices." NeuroQuantology 20, no. 5 (May 18, 2022): 832–43. http://dx.doi.org/10.14704/nq.2022.20.5.nq22241.
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"Your well-being will be determined by the type of food you eat," according to a popular adage. In any case, a powerful eating regimen consists of really important upgrades in the appropriate degree. It inhibits the onset of illnesses such as obesity, diabetes, heart disease, illness, and stroke, to name a few examples. Infants and small children dealing with practices are crucial in maintaining nutritional status of children aged 0 to 2 years, who are frequently influenced by daily practices. There is a correlation between children's apparent lack of solid meals and the country's child persistence rates. It is vital for children's growth and success to focus on further improving these behaviours. During the peak period of development in the first two years of life, illness and poor health have an impact on children's advancement potential. Breastfeeding is a basic human behaviour that benefits the infant and the mother's health, as well as providing a considerable financial incentive for families and social orders. The goal of the current study was to acquire a deeper grasp of the promising findings and perspectives on breast milk among rural nursing moms. A total of 200 nursing women from the city and 200 from the rural would be included in the research. A purposeful random sampling approach was used to acquire data. The information was acquired from nursing mothers using a coordinated overview to look at their food habits and attitudes. Following data collection, processing, analysis, and the post-intervention included substantial information on breastfeeding practices and their relevance. Then, under numerous areas, their nutritional knowledge and attitude, as well as nutritional health anthropometric parameters, were examined again. To code, information and attitude were employed. The content and measurable investigation was then completed, and the operating frequency was determined.
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Rao, M. S. "Tools and techniques to boost the eloquence of your body language in public speaking." Industrial and Commercial Training 49, no. 2 (February 6, 2017): 75–79. http://dx.doi.org/10.1108/ict-04-2016-0023.
Повний текст джерелаАнотація:
Purpose The purpose of this paper is to offer tools and techniques to boost the eloquence of your body language in public speaking. Design/methodology/approach The paper explains the importance of body language to influence and inspire others. It offers tools while speaking on microphone. It outlines the importance of body language. Findings It concludes that if you can invite the attention of your audience members and win their minds and hearts, you can grow as an accomplished orator. Practical implications The tools and techniques adopted by speakers can be applied in any industry and in any size of organization. Social implications The social implications of this research suggest that speakers and presenters can deliver their presentations successfully by following these dos and don’ts in body language. Originality/value It unveils the importance of mirroring your body language in public speaking. It implores to take feedback to improve your public speaking skills. It reminds that presenting a positive body language to your audience members conveys a message that you are strong in your content.
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Amin, Sanjiv B., Jeffrey M. Devries, Patricia McQuilkin, Nathalie Quion, and Thomas G. DeWitt. "INDEX OF SUSPICION." Pediatrics In Review 16, no. 9 (September 1, 1995): 349–51. http://dx.doi.org/10.1542/pir.16.9.349.
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This section of Pediatrics in Review reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to write possible diagnoses for each case before turning to the discussion, which is on the following page. We invite readers to contribute case presentations and discussions. Case 1 Presentation A 15-year-old girl comes to your office complaining that she has experienced intermittent, sudden episodes of chest pain, fatigue, palpitations, and sensations of difficulty breathing and lightheadedness for 2 months. These episodes occur several times daily and are unaccompanied by other symptoms such as syncope, wheezing, swelling of the extremities, or fever. She denies being worried, but reports that her parents are very frightened because a 16-year-old male cousin died recently while playing soccer, and two other relatives, a 27-year-old cousin and a 29-year-old uncle, died suddenly during exercise. The physical examination reveals a somewhat anxious girl complaining of mild precordial chest pain. Her temperature is 36.9°C(98.4°F) orally, respiratory rate is 16 breaths/min, heart rate is 110 beats/min, and blood pressure is 100/60 mm Hg; weight and height are at the 75th percentile.
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Sasikumar, Salini, and Jomet Georg. "Peripheral Artery Disease and Buerger-Allen Exercise." Innovational Journal of Nursing and Healthcare 08, no. 02 (2023): 14–16. http://dx.doi.org/10.31690/ijnh.2023.v09i02.005.
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Diabetes mellitus (DM) is a chronic metabolic disorder characterized by high blood sugar levels resulting from the body’s inability to produce or effectively use insulin. It can lead to various complications, including peripheral artery disease (PAD). PAD is a condition characterized by the narrowing or blockage of arteries that supply blood to the limbs, typically the legs. Exercise plays a crucial role in managing both DM and PAD. Buerger-Allen exercises (BAEs), also known as lower extremity exercises, are specific exercises designed to improve circulation in the legs and feet. These exercises are particularly beneficial for individuals with PAD, as they help increase blood flow to the affected limbs, reduce symptoms, and improve overall cardiovascular fitness. BAE has the following steps elevating the legs, pumping the feet, rotating the ankles, bending the knees, and lowering the legs. The exercise starts by elevating the legs to a level above the heart. This position helps to reduce swelling and improve blood flow. These exercises are typically performed in a controlled manner, with multiple repetitions of each movement. The frequency and duration of BAEs may vary based on an individual’s condition and their healthcare provider’s recommendations. It is essential to consult a healthcare professional before starting any exercise regimen, especially if the patient has DM or PAD, to ensure that the exercises are safe and suitable for your specific situation. Many research studies proved that BAE is very effective in reducing PAD among DM patients.
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Sasikumar, Salini, and Jomet George. "Peripheral Artery Disease and Buerger-Allen Exercise." Innovational Journal of Nursing and Healthcare 08, no. 02 (2023): 14–16. http://dx.doi.org/10.31690/ijnh.2023.v09i02.004.
Повний текст джерелаАнотація:
Diabetes mellitus (DM) is a chronic metabolic disorder characterized by high blood sugar levels resulting from the body’s inability to produce or effectively use insulin. It can lead to various complications, including peripheral artery disease (PAD). PAD is a condition characterized by the narrowing or blockage of arteries that supply blood to the limbs, typically the legs. Exercise plays a crucial role in managing both DM and PAD. Buerger-Allen exercises (BAEs), also known as lower extremity exercises, are specific exercises designed to improve circulation in the legs and feet. These exercises are particularly beneficial for individuals with PAD, as they help increase blood flow to the affected limbs, reduce symptoms, and improve overall cardiovascular fitness. BAE has the following steps elevating the legs, pumping the feet, rotating the ankles, bending the knees, and lowering the legs. The exercise starts by elevating the legs to a level above the heart. This position helps to reduce swelling and improve blood flow. These exercises are typically performed in a controlled manner, with multiple repetitions of each movement. The frequency and duration of BAEs may vary based on an individual’s condition and their healthcare provider’s recommendations. It is essential to consult a healthcare professional before starting any exercise regimen, especially if the patient has DM or PAD, to ensure that the exercises are safe and suitable for your specific situation. Many research studies proved that BAE is very effective in reducing PAD among DM patients.
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Kalinina, A. S. "Peculiarities of the embodiment of H. Heine’s poetry translations in the vocal cycle of D. Klebanov." Aspects of Historical Musicology 13, no. 13 (September 15, 2018): 74–87. http://dx.doi.org/10.34064/khnum2-13.06.
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Statement of the problem. There are a lot of works in the national musicology focusing on the study of vocal chamber music for voice and piano by Ukrainian composers of the 20th century. Researchers cover quite a wide range of issues regarding vocal pieces and touch upon the problems of cyclocreation, dramaturgy, features of musical and linguistic means, etc. However, they rarely pay attention to translation, though there are many vocal opuses, in which composers use foreign poetry. In this case, the specifi c choice of the translated sample helps to determine the principles of the composer’s approach to the embodiment of the poetic text, especially in comparison with other works based on the same sources. Hence separate songs from D. Klebanov’s vocal cycle on the poems of H. Heine did not become an exception, thereby confi rming the relevance of the proposed topic. The purpose of the article is to determine specifi c features of the embodiment of H. Heine’s poetry translations in the vocal cycle of D. Klebanov on the basis of two romances – “In a grove, on a wild path”, “My love, lay your hand on my heart”, as compared to the works of other composers of the twentieth century . To achieve the research objectives the following methods were used: historical, structural-functional, genre-style and comparative. Results. Under consideration are peculiarities of the embodiment of H. Heine’s poetry translations in the vocal cycle of D. Klebanov, one of the founders of Kharkiv composition school. For this work the author took eight verses from the fi rst two cycles of the “Book of Songs” by the German poet. They were based on the motives of love poems with vivid images of nature; sometimes the poems are full of sadness, a sense of loneliness. When D. Klebanov was choosing certain samples from different poetic cycles, he tried to stick to the plot of the “Book of Songs”, since he ordered the poems in the same way they were written in the collection. Another indicator of the composer’s relation to Heiner’s texts is the choice of poetic works which are given in the cycle in Ukrainian and Russian languages. The composer’s individual vision of Heine’s lyric poetry is clearly seen when compared to the vocal works of other composers of the twentieth century, M. Medtner and E. Denisov, written on the same poetic texts. In cross-romances, similar musical-linguistic means are used, including the metrical principle of vocalization of the poetic text, homophonic-harmonic structure, harmony of classical-romantic type. However, each of the composers renders the fi gurative and semantic implications of the poems in their own way. M. Medtner builds his romance “My love, lay your hand on my heart” according to the crescendo principle. Beginning with a quieter dynamics, the composer gradually increases the volume of the sound, which at the end leads to a general climax that moves from the point of the golden section. D. Klebanov chose a different way – to reinforce the dramatism of the poem. This was possible thanks to various musical and linguistic means: a strict, intense melody in the bass doubled in the sixth with a chromatic motion and semiquavers at the end of each bar in the last line of the fi rst stanza, designation Meno mosso, chromaticized vocal melody. The composers’ choice of poetic translations depends on the place and role of the romance in the general structure of the cycle. The eight-part composition of D. Klebanov is based on the wave principle of the plot development. The original four romances pave the way to the fi rst climax – unrequited love in the fi rst romance (“Every morning I awake and ask”), painful memories in the second one (“In a grove, on a wild path”), a tragic image in the third one (“My love, lay your hand on my heart “), and an attempt to overcome the pain in the fourth romance (“First I was afraid of darkness”). Further on, the development is based on contrast: the image of death in the fi fth romance (“Your lovely face, so fair and dear”), a subtle feeling of love in the sixth one (“Oh, let me plunge my heart”), worries because of the marriage of a loved one to another guy in the seventh romance (“I hear the fl ute and the fi ddle”) and disappointment in her spiritual values in the last one (“The violets blue”). Such a location of the third romance justifi es the choice of translation, where the colours are thickening and the content becomes even darker. Such kind of a fi gurative and semantic plot resembles the tradition of a romantic vocal cycle, in which the emotional state of the lyrical character, his emotional collisions сome to the fore. In this perspective, “ 3 Poems of H. Heine” by D. Medtner demonstrate another relationship between the romances of the cycle. All of them have feelings of sorrow, despair circle, a no-go. At the same time, distancing from the immediate events is felt, as if it is a look at someone else’s life, which is evidenced by the storytelling from the third person in the second and third romances. Therefore, the fi rst romance, based on the poem “My love, lay your hand on my heart”, is a kind of “preface” to the cycle, which involves some personal detachment. This leads to the selection of softened content in the translated version of the poem. The second romance, “In a grove, on a wild path”, has a similar function in the vocal cycle of D. Klebanov as it became the preparation for the climax of the third one. The semantic line of his poem is based on two storylines: the external one is the “theme of the journey” that is refl ected in the image of nature, and the internal one is the “theme of sadness”, which focuses on the feelings of the lyrical hero. The composer here, like Анна in the third romance, deepens the line of inner experiences. This became possible thanks to the Tranquillo tempo, fl at minor tonality, massive discordant accompaniment chords, variable measure, melody of the recitative-oratorial type. H. Heine’s poem, presented in the work of D. Klebanov, became the basis of the fi fth romance of E. Denisov’s vocal opus. Like the Ukrainian master, E. Denisov builds his cycle in the spirit of the romantic tradition, but in revealing the fi gurative structure of the poem he goes a different way. He makes a clear distinction between two fi gurativesemantic lines. This is refl ected in the form of a romance that has the features of binarity and variability, the embodiment of the metro-rhythmic structure of the verse based on two opposing principles - metric and cantilena, as well as other means of musical expression. Thus, choosing the same poem by H. Heine, D. Klebanov and E. Denisov represent their own vision of its content. Conclusions The comparative analysis of the embodiment of Heine’s texts by D. Klebanov and other composers of the twentieth century helps to highlight the individual approach of the Ukrainian artist. Despite the fact that the composer chooses similar means of musical expression, he fi nds his own way of refl ecting the semantics of the poetic source. In the above mentioned romances – “In a grove, on a wild path” and “My love, lay your hand on my heart” – the author focuses on the inner confl icts of the lyrical hero, his experiences. Attention paid to the sensory side of the poems also determined the selected translations, since the rejection of translators from the original results in a certain deformation of its meaning and fi gurative structure, which infl uences the musical embodiment of the poetic source.
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Wabuda, Susan. "Shunamites and Nurses of the English Reformation: the Activities of Mary Glover, Niece of Hugh Latimer." Studies in Church History 27 (1990): 335–44. http://dx.doi.org/10.1017/s0424208400012158.
Повний текст джерелаАнотація:
‘Mistress Glover … you are a woman hearty in God’s cause’, wrote Nicholas Ridley in 1555 to Mary Glover of Baxterley in JL? JL Warwickshire. Hearing that her husband had been incarcerated ‘for God’s word sake’, and that ‘old father Latimer is your uncle’, Ridley commended her own zealous commitment to the reformed faith, and her assistance of others: ‘… you be hearty in God’s cause, and hearty to your master Christ, in furthering of his cause and setting forth his soldiers to his wars to the uttermost of your power’. In the past twenty-five years we have begun to determine why women on the Continent and in England were attracted to, encouraged, or inhibited the spread of religious change, but there is still much to be done to understand the role of individual women and women generally during the Reformation. Mary Glover, despite her association with prominent figures, is almost unknown to historians. The purpose of this paper is to describe a type of patronage which had important local and national implications, and a distinct role exercised by Mary Glover and others in the sixteenth and following centuries: the practical assistance which women offered to itinerant preachers.
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Оshovskyy, V. I., and N. M. Antonenko. "Prenatal perineal findings and possible clinical scenario." Reproductive health of woman 1 (February 26, 2021): 29–32. http://dx.doi.org/10.30841/2708-8731.1.2021.229708.
Повний текст джерелаАнотація:
The fetus’s perineal area has not traditionally been the focus for the prenatal echoscopy, mainly because adequate visualization depends on fetus’s position. However, it is precisely thanks to the targeted attention to the perineal area that we sometimes manage to find not only quite curious but clinically significant findings.Sacrococcygeal teratoma can grow large and affect the natural birth process. When localized in the perineal region, it sometimes leads to defecation and micturition disorders. In addition, intestinal loops may be located in the tumor structure, which leads to deformation and the risk of hernia formation. In the presence of a giant sacrococcygeal teratoma, the following events may occur: heart failure leading to fetal hydrops, obstruction of the urinary tract, obstruction of the gastrointestinal tract, impaired innervation of organs due to compression, intratumoral hemorrhage, intrauterine anemia. Hymenal pathology is quite rare in everyday clinical practice. Usually, it is one of the two most common nosologies: hymenal polyp or imperforate hymen. These two anomalies occur almost exclusively in childhood or immediately after menarche. At a later age, the preserved or dysmorphic hymen can present difficulties in diagnosing and treating intravaginal pathological processes. In this article, we would like to bring to your attention two clinical cases with different prognosis to draw colleagues’ attention to the need for a targeted assessment of the perineal area and correct prenatal counseling for a couple, because the ranking of the severity of the probable consequences is significant. Thus, some findings will require only adequate monitoring in childhood, others – may be the cause of premature birth, changes in delivery tactics or immediate surgery after birth.
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Centerwall, Willard R. "USEFUL BOOKLETS." Pediatrics 83, no. 6 (June 1, 1989): A56. http://dx.doi.org/10.1542/peds.83.6.a56.
Повний текст джерелаАнотація:
Introduction to Your Child series of booklets. Willard R. Centerwall, MD, medical editor. Medic Publishing Co, PO Box 89, Redmond, WA 98073, 10-24 pages, $.75 to $.95 per single copy; quantity discounts to 50%. This series of booklets covers the following topics: Asthma Hydrocephalus Achondroplasia Hyperkinesis-Hyperactivity Autism Learning Disability Behavior Problem Leukemia Cerebral Palsy Low Birth Weight Cleft Lip &/or Palate Mental Retardation Club Foot Muscular Dystrophy Congenital Heart Disease Nephrosis Congenital Hip Dislocation Neurofibromatosis Cystic Fibrosis Partial Sight or Blindness Diabetes Phenylketonuria Down Syndrome Speech Disorder Epilepsy Spina Bifida Hearing Impairment Strabismus Help Through Play Turner Syndrome These inexpensive booklets inform parents about their child's possibly handicapping condition. The style tends to be easier to read and less technical than in many patient booklets. Content is, nonetheless, rather comprehensive—more so than with most material. For many of the titles, all issues appear to be addressed in detail. The text is arranged in a question-and-answer format. It reinforces the answers already given by the physician on such topics as etiology and heredity. It adds those questions and answers which may not have been discussed, such as on education and social aspects. The parent's responsibilities in treatment are stressed, making compliance more likely. The role of the physician is also described, and the importance of follow-up visits is emphasized. There are helpful illustrations, many of which can be used to aid the doctor's communication with the family. The most recently expanded and revised editions include Asthma, Hearing Impairment, Low Birth Weight, and Hyperkinesis (ADHD). These and all the other titles are available from one source—a distinct advantage to the practicing physician.
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Chidley, Jon, and Neville Pritchard. "Drivers for creating value and enhancing customer experience through people." Industrial and Commercial Training 46, no. 6 (August 26, 2014): 293–301. http://dx.doi.org/10.1108/ict-04-2014-0026.
Повний текст джерелаАнотація:
Purpose – Using the staff and customers as a starting point, the purpose of this paper is to describe a framework that helps board and senior management identify key drivers that generate value for their organisation and for their customers. Design/methodology/approach – With research into the range of customer experience metrics available the authors identified a lack of consideration within the staff directly involved. The paper explores the considerations that lie behind how staff impact upon customer experience within any process framework. Findings – The approach to customer service is based around: “Treat customers well and they’ll come back, spend more and recommend your company”. To achieve this following the research the authors now subscribe to a “customer third” edict that recognises that people are at the heart of that experience not processes. If individuals are motivated to serve well, if teams around them work in an encouraging environment then the customer will usually believe they are coming first. The health check now developed recognises the impacting factors on staff and their provision of a great customer experience. Practical implications – The authors find that a focus on staff will positively impact their levels of productivity, absenteeism, engagement and tenure. In customer experience, tenure with enhanced motivation to serve realises a positive impact to financials. Social implications – Reducing stress in the workplace should positively impact the whole life balance for individuals. Originality/value – Appropriate focus on people rather than process within customer service industries will reduce unnecessary investment in process and system change and deliver enhanced results within existing frameworks. Change driven by the people within the process is positive.
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Fattinnanzi, Enrico. "The role of valuation in the construction industry of the post-Covid era / Il ruolo del settore delle costruzioni nell’epoca del dopo corona virus." Valori e Valutazioni 26 (December 19, 2020): 3–9. http://dx.doi.org/10.48264/vvsiev-20202602.
Повний текст джерелаАнотація:
Following the pandemic, investments in theconstruction sector are destined to reach exceptionallevels, with noteworthy effects on economicproduction, all while providing a very real opportunityto carry out projects that could resolve a good many ofthe critical problems currently affecting the towns, citiesand surrounding territory of Italy: problems such asaccessibility, the distribution of public resources andservices, and seismic and hydrogeological safety;foremost among these are problems plaguing structuralfunctions, as well as the lack of social and economicintegration in outlying urban areas. And yet there is arisk that pursuit of these objectives could be seriouslyhampered by distressing levels of inefficiency in theoverall organisation of the processes of intervention, aswell as the unwarranted influence of special interests,including, in some cases, infiltration by organised crime.The resulting situation presents an unacceptable ratioof resources allocated to the quality of results. Thispaper illustrates why significantly different forms ofgovernance should be adopted, together with a totallynew, innovative approach to organising the processesof intervention. A reference found to be especially useful in formulatingthe considerations developed in the paper was a criticalanalysis of the results - ultimately judged to be positive- of the project to replace the Morandi Bridge in Genoa,though mention was also made of the factors thatrender a generalised application of this example tofuture investments unfeasible. Instead we have focussed on certain aspects that, as wesee it, may prove useful in arriving at a new approach tomanaging project programs: first of all, theestablishment, at the heart of any project, and especiallythose that are particularly demanding in terms of sizeand/or quality, of a strong management function that,being in possession of all the necessary powers andknow-how, is responsible for successful performance ofthe work, meaning proper use of the availableresources, compliance with deadlines and pursuit of allthe objectives and standards of performance that gaverise to investment in the first place. To this end, planningquality is held to be of the utmost importance, and soplanning decisions should be supported by effectiveevaluation procedures. And such procedures, the paperargues, prove all the more effective when they supportfor each and every one of the phases of decision-making involved in planning, covering governance ofthe entire process, up to and including the actualexecution of the project.AbstractYou delight in laying down laws, Yet you delight more in breaking them.Like children playing by the ocean who build sand-towerswith constancy and then destroy them with laughter...... But while you build your sand-towers the ocean brings more sand to the shore.From The ProphetKhalil Gibran
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Ben-David, Shalev, and Or Sattath. "Quantum Tokens for Digital Signatures." Quantum 7 (January 19, 2023): 901. http://dx.doi.org/10.22331/q-2023-01-19-901.
Повний текст джерелаАнотація:
The fisherman caught a quantum fish. "Fisherman, please let me go", begged the fish, "and I will grant you three wishes". The fisherman agreed. The fish gave the fisherman a quantum computer, three quantum signing tokens and his classical public key. The fish explained: "to sign your three wishes, use the tokenized signature scheme on this quantum computer, then show your valid signature to the king, who owes me a favor". The fisherman used one of the signing tokens to sign the document "give me a castle!" and rushed to the palace. The king executed the classical verification algorithm using the fish's public key, and since it was valid, the king complied. The fisherman's wife wanted to sign ten wishes using their two remaining signing tokens. The fisherman did not want to cheat, and secretly sailed to meet the fish. "Fish, my wife wants to sign ten more wishes". But the fish was not worried: "I have learned quantum cryptography following the previous story (The Fisherman and His Wife by the brothers Grimm). The quantum tokens are consumed during the signing. Your polynomial wife cannot even sign four wishes using the three signing tokens I gave you". "How does it work?" wondered the fisherman. "Have you heard of quantum money? These are quantum states which can be easily verified but are hard to copy. This tokenized quantum signature scheme extends Aaronson and Christiano's quantum money scheme, which is why the signing tokens cannot be copied". "Does your scheme have additional fancy properties?" the fisherman asked. "Yes, the scheme has other security guarantees: revocability, testability and everlasting security. Furthermore, if you're at sea and your quantum phone has only classical reception, you can use this scheme to transfer the value of the quantum money to shore", said the fish, and swam away.
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Massimo, Erika Azevedo, Daclé Vilma Carvalho, Talline Arêdes Hang-Costa, and Danilo Ulisses Oliveira. "Evolução histórica da ressuscitação cardiopulmonar: estudo de revisão." Revista de Enfermagem UFPE on line 3, no. 3 (July 3, 2009): 709. http://dx.doi.org/10.5205/reuol.149-181-1-rv.0303200936.
Повний текст джерелаАнотація:
ABSTRACTObjective: this review aimed to describe the historical development of cardiopulmonary resuscitation, following the history of this therapeutic modality. Method: the methodology consists of a review of the databases Medline and Lilacs looking for articles published in the last 20 years about the history and establishment of cardiopulmonary resuscitation as a therapeutic option for reversal of cardiorespiratory arrest. Results: there are historical antecedents of cardiopulmonary resuscitation from the Biblical era until the establishment of the committee of the American Heart Association. As this committee, currently, a reference in teaching and research in cardiopulmonary resuscitation in the world, its investment allowed from 2000, the development of a global consensus of resuscitation guidelines that generated international attention only on the cardiopulmonary resuscitation. Conclusion: it was noted that over the years the techniques of PCR produced an impact on modern society to the point of generating new expectations facing life and death, revealing is essential that the healthcare professional who understands your technical and scientific competence for a parade heart can make a difference between life and death of a patient. Descriptors: history; cardiopulmonary resuscitation; stop heart attack.RESUMOObjetivo: esta revisão teve como objetivo descrever a evolução histórica da ressuscitação cardiopulmonar, acompanhando o percurso histórico dessa modalidade terapêutica. Método: a metodologia consiste em uma revisão bibliográfica aos bancos de dados Medline e Lilacs buscando artigos publicados nos últimos 20 anos sobre a história e o estabelecimento da ressuscitação cardiopulmonar como possibilidade terapêutica para reversão da parada cardiorrespiratória. Resultados: destacam-se os antecedentes históricos da ressuscitação cardiopulmonar desde a época bíblica até a criação do comitê da American Heart Association. Sendo este comitê, atualmente, referência no ensino e pesquisa em ressuscitação cardiopulmonar no mundo, seu investimento possibilitou a partir do ano 2000, o desenvolvimento de um consenso mundial de ressuscitação que gerou diretrizes internacionais únicas sobre o atendimento a ressuscitação cardiopulmonar. Conclusão: notou-se que ao longo dos anos as técnicas de RCP produziram um impacto na sociedade moderna a ponto de gerar novas expectativas frente a vida e a morte, revelando ser fundamental que o profissional de saúde compreenda que sua competência técnico-científica em relação a uma parada cardíaca pode fazer diferença entre a vida e a morte de um paciente. Descritores: história; ressuscitação cardiopulmonar; parada cardíaca. RESUMENObjetivo: Esta revisión tiene por objeto describir el desarrollo histórico de la reanimación cardiopulmonar, a raíz de la historia de esta modalidad terapéutica. Método: la metodología consiste en una revisión de las bases de datos Medline y Lilacs en busca de los artículos publicados en los últimos 20 años sobre la historia y el establecimiento de la resucitación cardiopulmonar como una opción terapéutica para la inversión de paro cardiorrespiratorio. Resultados: hay antecedentes históricos de la reanimación cardiopulmonar de la época bíblica hasta la creación de la comisión de la Asociación Americana del Corazón. En esta comisión, en la actualidad, una referencia en la enseñanza y la investigación en la resucitación cardiopulmonar en el mundo, permite su inversión a partir de 2000, el desarrollo de un consenso mundial de que la reanimación directrices sólo genera la atención internacional sobre la reanimación cardiopulmonar. Conclusión: se observó que en los últimos años las técnicas de PCR produce un impacto en la sociedad moderna hasta el punto de generar nuevas expectativas frente a la vida y la muerte, revelando es esencial que el profesional de la salud que comprende a su competencia técnica y científica para un desfile corazón puede hacer una diferencia entre la vida y la muerte de un paciente. Descriptores: historia; resucitación cardiopulmonar; parada cardíaca.