scholarly journals A novel approach to educate hospitalized cardiovascular disease patients about lifestyle and behavior modifications

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Atiyeh Saboktakin ◽  
Mohammad Mehdi Sepehri ◽  
Roghaye Khasha
Keyword(s):  
Cardiovascular Disease ◽  
Multiple Criteria Decision Making ◽  
Training System ◽  
Nursing Workload ◽  
Structured Interviews ◽  
Process Maps ◽  
Risk Of Death ◽  
Novel Approach ◽  
Cardiovascular Patients ◽  
And Behavior

Abstract Background Cardiovascular diseases (CVDs) are always considered by healthcare specialists for different reasons, including extensive prevalence, increased costs, chronicity, and high risk of death. The control of CVDs is highly influenced by behavior and lifestyle and it seems necessary to train special abilities about lifestyle and behavior modification to improve self-care skills for patients, and their caregivers. As a result, the development of effective training systems should be considered by healthcare specialists. Methods Hence, in this study, a framework for improving cardiovascular patients’ education processes is presented. Initially, an existing training system for cardiovascular patients is reviewed. Using field observations and targeted interviews with hospital experts, all components of its educating processes are identified, and their process maps are drawn up. After that, challenges in the training system are extracted with the aid of in-depth semi-structured interviews with experts. Due to the importance and different influence of the identified challenges, they are prioritized using a Multiple Criteria Decision-making (MCDM) method, and then their root causes were investigated. Finally, a novel framework is proposed and evaluated with hospital experts' help to improve the main challenges. Results The most important challenges included high nursing workload and shortage of time, lack of understanding of training concepts by patients, lack of attention to training, disruption of the training processes by the patients’ caregivers, and patient's weakness in understanding the standard language. In identifying the root causes, learner, educator, and educational tools are the most effective in the training process; therefore, the improvement scenarios were designed accordingly in the proposed framework. Conclusions Our study indicated that presenting a framework with applying different quantitative and qualitative methods has great potential to improve the processes of patient education for chronic diseases such as cardiovascular disease.

scholarly journals A Novel Approach to Educate Hospitalized Cardiovascular Disease Patients about Lifestyle and Behavior Modifications

2020 ◽  
Author(s):  
Atiyeh Saboktakin ◽  
Mohammad Mehdi Sepehri ◽  
Roghaye Khasha
Keyword(s):  
Cardiovascular Disease ◽  
Multiple Criteria Decision Making ◽  
Training System ◽  
Nursing Workload ◽  
Structured Interviews ◽  
Process Maps ◽  
Risk Of Death ◽  
Novel Approach ◽  
Cardiovascular Patients ◽  
And Behavior

Abstract Background: Cardiovascular diseases (CVDs) are always considered by healthcare specialists for different reasons, including extensive prevalence, increased costs, chronicity, and high risk of death. The control of CVDs is highly influenced by behavior and lifestyle and it seems necessary to train special abilities about lifestyle and behavior modification to improve self-care skills for patients, and their caregivers. As a result, the development of effective training systems should be considered by healthcare specialists.Methods: Hence, in this study, a framework for improving cardiovascular patients’ education processes is presented. Initially, an existing training system for cardiovascular patients is reviewed. Using field observations and targeted interviews with hospital experts, all components of its educating processes are identified, and their process maps are drawn up. After that, challenges in the training system are extracted with the aid of in-depth semi-structured interviews with experts. Due to the importance and different influence of the identified challenges, they are prioritized using a Multiple Criteria Decision-making (MCDM) method, and then their root causes were investigated. Finally, a novel framework is proposed and evaluated with hospital experts' help to improve the main challenges.Results: The most important challenges included high nursing workload and shortage of time, lack of understanding of training concepts by patients, lack of attention to training, disruption of the training processes by the patients’ caregivers, and patient's weakness in understanding the standard language. In identifying the root causes, learner, educator, and educational tools are the most effective in the training process; therefore, the improvement scenarios were designed accordingly in the proposed framework.Conclusions: Our study indicated that presenting a framework with applying different quantitative and qualitative methods has great potential to improve the processes of patient education for chronic diseases such as cardiovascular disease.

How a cardiovascular patient education system can be improved: Introducing a novel model for identifying hospital educational challenges and solutions

2020 ◽  
Author(s):  
Atiyeh Saboktakin ◽  
Mohammad Mehdi Sepehri ◽  
Roghaye Khasha
Keyword(s):  
Process Model ◽  
Training System ◽  
Nursing Workload ◽  
Training Process ◽  
Structured Interviews ◽  
Process Maps ◽  
Training Systems ◽  
Risk Of Death ◽  
Educational Challenges ◽  
Cardiovascular Patients

Abstract Background: Cardiovascular diseases (CVDs) have always been considered by healthcare specialists for different reasons, including extensive prevalence, high cost, chronicity, and high risk of death. the recovery from CVDs is highly influenced by the behavior and lifestyle. As a result, it seems necessary to train and develop special abilities for patients and their companions, the development of efficient and effective training systems should be considered by healthcare specialists. Methods: Hence, in this study, an existing training system for cardiovascular patients is reviewed, and using field observation and targeted interviews with hospital experts, all aspects of its training process, including involved components, inputs, outputs, processes and interactions are extracted. Then the process maps of the training system are drawn up through the BPMN (Business Process Model and Notation) methodology. Next, its challenges and difficulties are identified with the aid of semi-structured interviews with experts, and due to the importance and different influence of the identified problems, these challenges are prioritized using the Multi Criteria Decision Making method (MCDM). Results: The most important identified challenges included high nursing workload and shortage of time, lack of understanding of training concepts by patients, lack of attention to training, disruption of training process by the patients’ companions, and patient's weakness in understanding the standard language. In identifying the root causes, learner, educator, and educational tools are the most effective in the training process; therefore, the improvement scenarios were designed accordingly. Conclusions: In the present study, a novel framework for cardiovascular patients' education has been designed and presented based on the analysis of the results of ranking the challenges and their root causes.

Diabetes without Manifest Cardiovascular Disease: A Novel Approach in Risk Stratification and Treatment Selection

2020 ◽  
Vol 16 (8) ◽  
pp. 869-873 ◽  
Author(s):  
Emile Andari ◽  
Samir Arnaout ◽  
Sami T. Azar ◽  
Elie Chammas ◽  
Selim Jambart ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
High Risk ◽  
Risk Stratification ◽  
Vascular Complication ◽  
Cvd Risk ◽  
Risk Of Death ◽  
Asymptomatic Patients ◽  
Novel Approach ◽  
Risk Patients

Background: Cardiovascular disease (CVD), the main macro vascular complication of type 2 diabetes (T2D), increases the risk of death significantly in patients with T2D. Introduction: Most of the patients with T2D do not have obvious CVD symptoms. Due to the paucity of data, CVD screening in asymptomatic patients with T2D remains highly controversial. Methods: This has driven a panel of experts to establish a novel consensus on how to approach patients with T2D at high CVD risk. The panel formulated a stepwise algorithm by which patients with T2D undergo initial risk stratification into low, intermediate and high risk using the ASCVD calculator. In patients with intermediate risk, coronary artery calcium measurement is used to further stratify those patients into new low and high-risk categories. Results and Conclusion: The panel recommends using standard diabetes care in low risk patients and using SGLT2 inhibitors and GLP1 agonists with cardio protective effect, on top of standard care, in high risk individuals.

A Novel Approach for Labelling Health Insurance Data for Cardiovascular Disease Risk Classification

2016 ◽  
Author(s):  
César L. C. Mattos ◽  
Amauri H. Souza Júnior ◽  
Ajalmar R. Rocha Neto ◽  
Guilherme A. Barreto ◽  
Ronaldo F. Ramos ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Health Insurance ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Risk Classification ◽  
Health Insurance Data ◽  
Novel Approach ◽  
Insurance Data

scholarly journals Delivering healthcare remotely to cardiovascular patients during COVID-19

2020 ◽  
Vol 19 (6) ◽  
pp. 486-494 ◽  
Author(s):  
Lis Neubeck ◽  
Tina Hansen ◽  
Tiny Jaarsma ◽  
Leonie Klompstra ◽  
Robyn Gallagher
Keyword(s):  
Cardiovascular Disease ◽  
Usual Care ◽  
Mobile Apps ◽  
Digital Health ◽  
Well Being ◽  
Search Terms ◽  
Cardiovascular Patients ◽  
Cardiovascular Morbidity And Mortality ◽  
Remote Healthcare ◽  
Healthcare Interventions

Background Although attention is focused on addressing the acute situation created by the COVID-19 illness, it is imperative to continue our efforts to prevent cardiovascular morbidity and mortality, particularly during a period of prolonged social isolation which may limit physical activity, adversely affect mental health and reduce access to usual care. One option may be to deliver healthcare interventions remotely through digital healthcare solutions. Therefore, the aim of this paper is to bring together the evidence for remote healthcare during a quarantine situation period to support people living with cardiovascular disease during COVID-19 isolation. Methods The PubMed, CINAHL and Google Scholar were searched using telehealth OR digital health OR mHealth OR eHealth OR mobile apps AND COVID-19 OR quarantine search terms. We also searched for literature relating to cardiovascular disease AND quarantine. Results The literature search identified 45 potentially relevant publications, out of which nine articles were included. Three overarching themes emerged from this review: (1) preparing the workforce and ensuring reimbursement for remote healthcare, (2) supporting mental and physical health and (3) supporting usual care. Conclusion To support people living with cardiovascular disease during COVID-19 isolation and to mitigate the effects of quarantine and adverse effect on mental and physical well-being, we should offer remote healthcare and provide access to their usual care.

scholarly journals The Evolving Phenotypes of Cardiovascular Disease during COVID-19 Pandemic

2021 ◽  
Author(s):  
Michele Correale ◽  
Francesca Croella ◽  
Alessandra Leopizzi ◽  
Pietro Mazzeo ◽  
Lucia Tricarico ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiovascular Disease ◽  
Acute Coronary Syndrome ◽  
New World ◽  
Therapeutic Options ◽  
Atrial Arrhythmias ◽  
Heart Failure Patients ◽  
Coronary Syndrome ◽  
Cardiovascular Patients

AbstractCOVID-19 pandemic has negatively impacted the management of patients with acute and chronic cardiovascular disease: acute coronary syndrome patients were often not timely reperfused, heart failure patients not adequately followed up and titrated, atrial arrhythmias not efficaciously treated and became chronic. New phenotypes of cardiovascular patients were more and more frequent during COVID-19 pandemic and are expected to be even more frequent in the next future in the new world shaped by the pandemic. We therefore aimed to briefly summarize the main changes in the phenotype of cardiovascular patients in the COVID-19 era, focusing on new clinical challenges and possible therapeutic options.

Corporate sustainability reporting in Japanese multinational enterprises: a threat to local legitimacy or an opportunity lost for corporate sustainability practices?

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Masayoshi Ike ◽  
Jerome Denis Donovan ◽  
Cheree Topple ◽  
Eryadi Kordi Masli
Keyword(s):  
Multinational Enterprises ◽  
Corporate Sustainability ◽  
Sustainability Reporting ◽  
Internal Communication ◽  
Structured Interviews ◽  
Host Countries ◽  
Content Type ◽  
The Sustainable Development ◽  
Novel Approach ◽  
Responsible Consumption

Purpose This paper aims to investigate whether Japanese manufacturing multinational enterprises (MNEs) maintain local legitimacy in their host countries through adequate informing of local stakeholders with targeted corporate sustainability (CS) reporting. Design/methodology/approach The paper first identified specific CS activities that were considered important in four Association of Southeast Asian Nations host countries, through semi-structured interviews with 58 participants of 16 Japanese manufacturing MNEs. The degree of establishment of local legitimacy was then measured through the number of references made to these CS activities and other activities specific to the respective host countries in the CS reports of the MNEs across a five-year period. Findings The majority of MNEs in the sample were under-reporting items of specific interest to localhost country stakeholders potentially undermining the MNEs’ image. There were found to be differences on the topics published in CS reports compared to those mentioned in the interviews indicating potential issues with regard to internal communication between the subsidiary and headquarters offices. Originality/value A novel approach is taken to investigate the degree of local legitimacy established by MNEs through comparing the contents of interviews held at subsidiaries with their respective CS reports. This paper highlights the importance of considering MNE subsidiaries when addressing Target 12.6 of the Sustainable Development Goal 12: responsible consumption and production.

Targeting Trained Innate Immunity With Nanobiologics to Treat Cardiovascular Disease

2021 ◽  
Author(s):  
Abraham J.P. Teunissen ◽  
Mandy M.T. van Leent ◽  
Geoffrey Prevot ◽  
Eliane E.S. Brechbuhl ◽  
Carlos Pérez-Medina ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Myeloid Cells ◽  
Myeloid Cell ◽  
Apolipoprotein A1 ◽  
New Paradigm ◽  
Trained Immunity ◽  
Atherosclerosis Progression ◽  
Cardiovascular Patients ◽  
Cellular Pathways

The innate immune system plays a key role in atherosclerosis progression and the pathogenesis of cardiovascular disease. Trained immunity, an epigenetically regulated hyperresponsive state of myeloid cells, is a driving force underlying chronic inflammation in atherosclerosis. Therapeutically targeting innate trained immunity therefore may mature into a compelling new paradigm for the effective treatment of cardiovascular patients, which would require effective engagement of myeloid cells. For over a decade, we have worked on apolipoprotein A1-based nanomaterials, referred to as nanobiologics, which we have utilized for myeloid cell-directed immunotherapy. Here, we review the application of our nanobiologic immunotherapies in treating vascular disease. The design of nanobiologic therapeutics, as well as their use in targeting myeloid cells and cellular pathways related to trained immunity, is discussed. Furthermore, we show that nanobiologic biocompatibility and in vivo behavior are conserved across species, from mice to larger animals, including rabbits, pigs, and nonhuman primates. Last, we deliberate on the hurdles that currently prevent widespread translation of trained immunity targeting cardiovascular nanotherapies.

scholarly journals A Taxonomy in Robot-Assisted Training: Current Trends, Needs and Challenges

Technologies ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 119 ◽  
Author(s):  
Konstantinos Tsiakas ◽  
Maria Kyrarini ◽  
Vangelis Karkaletsis ◽  
Fillia Makedon ◽  
Oliver Korn
Keyword(s):  
Training Session ◽  
Training System ◽  
Human Robot Interaction ◽  
Design Development ◽  
Robot Assisted ◽  
Robot Interaction ◽  
Training Systems ◽  
Robot Perception ◽  
Educational Environments ◽  
And Behavior

In this article, we present a taxonomy in Robot-Assisted Training; a growing body of research in Human–Robot Interaction which focuses on how robotic agents and devices can be used to enhance user’s performance during a cognitive or physical training task. Robot-Assisted Training systems have been successfully deployed to enhance the effects of a training session in various contexts, i.e., rehabilitation systems, educational environments, vocational settings, etc. The proposed taxonomy suggests a set of categories and parameters that can be used to characterize such systems, considering the current research trends and needs for the design, development and evaluation of Robot-Assisted Training systems. To this end, we review recent works and applications in Robot-Assisted Training systems, as well as related taxonomies in Human–Robot Interaction. The goal is to identify and discuss open challenges, highlighting the different aspects of a Robot-Assisted Training system, considering both robot perception and behavior control.

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