scholarly journals MYOCARDIAL INFARCTION WITHOUT OBSTRUCTIVE CORONARY DISEASE: ROLE OF IMAGES

2022 ◽  
Vol 13 (2) ◽  
pp. 40-41
Author(s):  
Vitorino Modesto dos Santos ◽  
Laura Campos Modesto
Keyword(s):  
Myocardial Infarction ◽  
Coronary Disease ◽  
Coronary Arteries ◽  
Health Workers ◽  
Primary Health

This manuscript about myocardial infarction with nonobstructive coronary arteries (MINOCA) based on published studies aims to enhance the awareness of primary health workers about this potentially serious condition that often poses diagnostic challenges. Two Brazilian, one Chilean, and one Turkish studies are commented on, and the role of imaging evaluations to establish the diagnosis is emphasized.

scholarly journals Correlations Between Heparinated Blood Glucose Determined with Automatic Analyzers and the Severity of the Acute Coronary Disease

2019 ◽  
Vol 70 (8) ◽  
pp. 2923-2925
Author(s):  
Maria Cristina Vladeanu ◽  
Iris Bararu Bojan ◽  
Iuliana Ardeleanu ◽  
Andrei Bojan ◽  
Dan Iliescu ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Unstable Angina ◽  
Coronary Disease ◽  
Coronary Arteries ◽  
Arterial Stenosis ◽  
Vessel Disease ◽  
Coronary Lesions ◽  
Artery Disease ◽  
Severity Of The Disease ◽  
Acute Coronary Artery Disease

Diabetes is one of the most important cardiovascular risk factors. Hyperglycemia leads to several metabolic alterations, thus creating conditions for a poor cardiovascular outcome. Our study phocussed on the prevalence of glucidic metabolism alterations in the acute coronary disease, as well as the association between hyperglycemia, diabetes and severe coronary lesions. We performed a study on 58 patients with acute coronary artery disease, divided in two groups, unstable angina and acute myocardial infarction and we evaluated the severity of the disease based on the angiographical results: no vessel disease (no significant lesions), one-vessel disease (one arterial stenosis/occlusion), two-vessel disease (two stenotic coronary arteries) and three-vessel disease (lesions of all three coronary arteries). Blood samples were collected in heparinated tubes and rapidly transferred to the laboratory for analysis, using automated glucose analyzers, in order to prevent errors due to glycolysis. More than half of the patients were diabetic and glycemic values were significantly higher in patients with myocardial infarction (126.67 vs 163.64 mg/dL). The prevalence of diabetes was significantly higher among the three vessel disease patients, both with unstable angina (38.9%; p=0.037) and with myocardial infarction (35.1%; p=0.345). In conclusion, diabetes and hyperglycemia create the setting for acute coronary disease, especially with lesions of all the three coronary arteries.

scholarly journals HOME VISIT FOR APPLYING FAMILY NURSING: A PERSPECTIVE

2019 ◽  
Vol 8 (2) ◽  
pp. 69-71
Author(s):  
Kusuma Wijaya Ridi Putra
Keyword(s):  
Paradigm Shift ◽  
Home Visit ◽  
Health Workers ◽  
Public Awareness ◽  
Public Welfare ◽  
Community Nurse ◽  
Community Based ◽  
Family Nursing ◽  
Primary Health

The paradigm shift from hospital-based care to community-based care lead role of health workers in Primary Health Care became an important part in improving public welfare through the field of health. A community nurse is required to be able to make approaches to the community, including conducting a home visit, in order to increase public awareness and concern for their health level.Keywords: Home visit, family empowering, family nursing

What are the roles of community health workers? Looking back at the philosophies of primary health care

2019 ◽  
Vol 27 (2) ◽  
pp. 117-120
Author(s):  
Marietou Niang
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Development ◽  
Health System ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Primary Health ◽  
Looking Back

This commentary discusses the different roles of community health workers (CHWs), their challenges and limitations in a historical perspective of primary health care (PHC). We first try to show that the comprehensive philosophy of PHC promulgated in Alma-Ata proposed the role of CHWs as actors who work in community development. On the other hand, in the 1980s, with the emergence of the selective philosophy of PHC, CHWs’ role was more affiliated with the health system. We conclude our pitch about the balance that can exist between these different roles by suggesting that CHWs can work in continuity with the health system, but they should not be considered as affordable labor. Also, they must be supported in their activities to develop their communities, allowing them to participate effectively in programs and policies that concern them and their community.

scholarly journals The Role of Cardiac Magnetic Resonance in Myocardial Infarction and Non-obstructive Coronary Arteries

2022 ◽  
Vol 8 ◽  
Author(s):  
Kate Liang ◽  
Eleni Nakou ◽  
Marco Giuseppe Del Buono ◽  
Rocco Antonio Montone ◽  
Domenico D'Amario ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Differential Diagnosis ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Coronary Arteries ◽  
Acute Myocarditis ◽  
Clinical Value ◽  
Diagnostic Dilemma ◽  
Non Invasive

Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) accounts for 5–15% of all presentations of acute myocardial infarction. The absence of obstructive coronary disease may present a diagnostic dilemma and identifying the underlying etiology ensures appropriate management improving clinical outcomes. Cardiac magnetic resonance (CMR) imaging is a valuable, non-invasive diagnostic tool that can aide clinicians to build a differential diagnosis in patients with MINOCA, as well as identifying non-ischemic etiologies of myocardial injury (acute myocarditis, Takotsubo Syndrome, and other conditions). The role of CMR in suspected MINOCA is increasingly recognized as emphasized in both European and American clinical guidelines. In this paper we review the indications for CMR, the clinical value in the differential diagnosis of patients with suspected MINOCA, as well as its current limitations and future perspectives.

PENINGKATAN PENGETAHUAN DAN KETRAMPILAN KONSELING MENYUSUI MELALUI PELATIHAN MENGGUNAKAN MEDIA DUKESI (MODUL PAKET ASI)

2020 ◽  
Vol 1 (1) ◽  
pp. 36
Author(s):  
Murti Ani ◽  
Anjar Astuti ◽  
Bekti Putri Harwijayanti ◽  
Ristiana Ristiana
Keyword(s):  
Health Workers ◽  
Knowledge Level ◽  
Educational Facilities ◽  
The Third ◽  
Primary Health ◽  
Breastfeeding Counseling ◽  
Counseling Technique ◽  
And Training ◽  
Paired T Test

Breastfeeding is very beneficial for babies, mothers and families. However, not all mothers provide breastfeeding exclusively to their babies, because there are very limited breastfeeding counselors and the low availability of educational facilities and infrastructure on breastfeeding. The solution offered is to provide assistance and training to midwives who have not become breastfeeding counselors to be able to provide breastfeeding counseling using the Dukesi media (Breastfeeding Package Module). Dukesi is a module that makes it easier for mothers to get various information about breastfeeding. The training was attended by 26 midwives from 26 Primary Health Care in Blora District, conducted for 3 meetings. The first meeting was the pretest, delivering material on the role of health workers to increase exclusive breastfeeding coverage, use of health education media, material on the breastfeeding package module. The second meeting was providing material on breastfeeding counseling technique skills. The third meeting is the practice of breastfeeding counseling, posttest and evaluation. Based on the paired t-test, it was found that there was an effect of training using dukesi media on the knowledge level of 0.000 (<0.05) and there was an effect of training using dukesi media on breastfeeding counseling skills at 0.000 (<0.05). Keywords: breastfeeding; counseling; dukesi; module; training

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