Contextualizing history is heavily intertwined with the development and shaping of Los Angeles as a whole. Los Angeles has always been deemed to be one of the hardest cities to develop in being one of the greatest cities in the world. This comes as a result of all of the history behind the buildings in the city. In addition, many of the buildings in the great city (both historical structures and regular buildings) are being renovated and reshaped to keep up with modern trends. Throughout the course of the growth of the city of Los Angeles, the city has seen a lot of growth in terms of infrastructure and population. There has been a recent growth in the popularity and demand for mixed use development. Mixed use development is a very hot
These discoveries prompted change and allowed the National Institute of Health and Clinical Excellence (NICE), to set standards to reduce unnecessary detriment to patients. Many tools were introduced to assist in the consistency and accuracy of observations of patients’ physiological conditions. ViEWS (VitalPac Early Warning Score) is a standardized and high-tech scoring system that helps recognize and respond to deteriorating patients. It is the basis of the newest warning system, appropriately named National Early Warning System or NEWS (Featherstone, Prytherch, Schmidt & Smith, 2010).
Heart failure (HF) is one of the leading causes of hospital admissions and readmissions in the United States (Desai & Stevenson, 2012; Gheorghiade, Vaduganathan, Fonarow, & Bonow, 2013). It is a condition that accounts for a very high morbidity and mortality (Bakal, McAlister, Liu, & Ezekowitz, 2014). Every hospital admission for heart failure patients results in disease progression and poor prognosis. For chronic HF patients, a hospitalization is one of the strongest prognostic predictors for increased mortality (Gheorghiade et al., 2013). Factoring in re-hospitalizations, especially at 30-day to 90-day mark, it is increasingly detrimental to patient prognosis.
43 percent of alarm conditions indicated non-critical, and “generally non-actionable,” events; 38 percent of alarm conditions indicated premature ventricular complexes (PVCs), which, since a landmark 1988 Cardiac Arrhythmic Suppression Trial (CAST) study, are no longer treated; and 3.6 percent of alarm
Improving quality of health care for patients being discharged from the hospital with heart failure requires performance measures. A number of cardiac care programs have combined improvement interventions with clinical indicators to close the gaps between routine patient care and evidence-based care (Hickey, Scott, Denaro, Stewart, Bennett, & Theile, 2004). Process indicators are mainly aimed at improving clinical activities and assess what the health care team did for the patient (Wollersheim, Hermens, Hulscher, Braspenning, Ouwens, Schouten, Marres, Dijkstra, & Grol, 2007). In clinical indicators, the word process denotes
Lack of adequate blood flow to the human body can disturb critical components of homeostasis. Despite significant progress in our understanding of CHF, there is no specific therapy that works for every patient. Therefore, health care providers must approach patients with a clear understanding of the disorder. Moreover, treat each patient on an individual basis. Hopefully, with new health models as powerful predictors of heart failure and forward moving technologies and treatments for the care of heart failure, patients may have meaningful outcomes and
The research team hopes to use the numerical model they have designed to link modifications that take place at the cellular and tissue level when a heart fails to a numerically computed ECG. This, they wish, will assist to determine what it is that triggers ventricular fibrillation (VF), and to recognize the risk of VF.
When you’re in love, you feel it in your heart, so why not show your heart some love as well? The key to preventing cardiovascular disease is to manage your risk factors – high blood pressure, total cholesterol, and blood glucose levels. These negative risk factors can lead to coronary artery disease (CAD) and even a heart attack.
The results demonstrated that the extent of LGE was associated with an increased risk of sudden cardiac death events. The estimated risk of SCD events at 5 years increased incrementally with respect to %LGE, ranging from 4.9% in patients with 10% LGE to 6.9% in patients with 20% LGE. It concluded that extensive LGE measured by contrast-enhanced cardiovascular magnetic resonance (CMR) provided additional information for assessing SCD event risk among HCM patients.
To help with the early recognition of clinical decline, members of the multidisciplinary teams in acute care and emergency rooms track and score the physiologic parameters such as blood pressure, respiratory rate, heart rate, temperature and neurological status (Urban et al., 2015). The MEWS assigns a number between 0 and 3 to the five physiological categories obtained from the patient based on MEWS score card. Each item on the score card has a weighted value and a score of 0 as the ideal score. If one of the values falls into an abnormal range, it is given a score depending on the deviation from the patient’s norm (Urban et al., 2015). Individual scores from all parameters are added up to give the total MEWS score. The higher the MEWS score the more unstable a patient is. Several research studies indicate that the use of MEWS has aided in
Left Ventricular Assistant Devices or LVAD are the new means of delaying death from end stage cardiac failure when all other means such as medicines, and other procedures have failed. Patients who are option to have the LVAD must meet key indicators to qualify, which is discussed and determined by their physician (Cleveland Clinic 2014). While there is still much research out there being done on LVAD and the short term, as well as long term effects, certain types of machines such as the HeartMate II have been stamped with the go ahead from the FDA. (FDA 2012). While it is not certain exactly how long it will take for perfection, improvements in methods and procedures have been seen. Extended survival rates meeting the time for transplants have
Further analysis leads us to the top indication groups in secondary CV prevention where doctors would prefer polypill like CAD / T2DM /HTN: 23%, HTN with IHD: 17%, CAD/HTN/ Chronic Heart Failure (CHF): 15% (Fig.2) Results from our survey also showed that 90% Doctors believe that Polypill Improve Compliance and adherence to the treatment.
The complex shape of the right ventricle makes it challenging for most imaging modalities. This is especially true for the right ventricle outflow tract (RVOT), which is important for many congenital diseases, but has an even more complex anatomy and function. (Saremi et al, 2013)