Congestive Heart Failure Changing population trends

Congestive Heart Failure
Changing population trends
Clinical Scenario

download PPT version here

http://www.ziddu.com/download/7799915/CHF.ppt.html

JB is 75 and is a retired publican. First presented 12 yr ago with MI.
A strong family Hx of CVS disease. Father died at age 40 with Stroke. Mother had angina.
Subsequent LVF 5 yr ago with hospitalization. Echo dilated / asymmetrical contraction / dysynergy.
Ejection Fraction 35%. Effort Dyspnoea
What are the therapeutic options?
Congestive Heart Failure
Incidence and age
Congestive Heart Failure
Changing population trends

Combined all-cause mortality and morbidity (time to event)

Hospitalization for heart failure

Sudden death with resuscitation

Need for intravenous inotropes/vasodilators for worsening HF

All-cause mortality (time to event)

Hospitalization for heart failure

Signs and symptoms of heart failure

NYHA functional class (change from baseline)

Echocardiographic indices of left ventricular function (LVEF and LVIDd — change from baseline)

Quality of life score (Minnesota Living With Heart Failure score)

Mortality and Morbidity Analyses
Primary Endpoint Analyses
Primary Endpoint Sensitivity* Analyses
Effect of Valsartan on Morbidity Endpoint*
All-Cause Mortality:
Kaplan-Meier Analysis (Val-HeFT)*
Mortality by ACE Inhibitor/Beta Blocker Subgroups
HF-Related Hospitalizations*

READ MORE - Congestive Heart Failure Changing population trends

Congestive Heart Failure

download PPT MS powerpoint file

here

...
refference:

lSince the patient is a resident of a nursing home, it is vital to educate the nursing and support staff.
lProvide FREQUENT reminders
- Elevate lower extremities - I & O (as accurate as possible)
- Wear support stockings
- OBTAIN A DAILY WEIGHT EVERY MORNING!!!
- Enforce fluid restriction
lEnsure that the dietician is aware of the patients CHF and Dementia and prepares a diet that it LOW SODIUM, NAS,MECHANICAL SOFT
lContact in house rehab- have them assess the patient for appropriateness of a mild exercise program 3 times per week or as tolerated.
lEncourage the nursing and support staff to COMMUNICATE with the family as well as the physician/NP, ask questions, update each other on patient status

READ MORE - Congestive Heart Failure

Michael jackson is Dead?

Neverland Ranch Investigators Discover Corpse Of Real Michael ...

"Coroners have officially pronounced Michael Jackson dead. From what we can tell, he died between 18 and 20 years ago," forensic investigator Tim Holbrooke said. " ...

Forensic experts and music critics are postulating that Jackson was dead before the release of the multi-platinum album Bad. Detectives ...

When we got to Jackson's bedroom, one of them almost choked himself to death on his leash trying to get out through the window. Minutes ...

 

Michael Jackson Dies | TMZ.com

We\'ve just learned Michael Jackson has died. He was 50. Michael suffered a cardiac arrest earlier this afternoon at his Holmby Hills home and paramedics ...

Click here to live chat · MIchael Jackson. Filed under: Michael Jackson. Tags: cardiac arrest, CardiacArrest, dead, heart attack, heart failure, michael jackson, michael jackson dies, MichaelJackson, MichaelJacksonDies · Comments [1332] · Sphere · Bookmark and Share ...

 

Celebrity Gossip | Entertainment News | Celebrity News | TMZ.com

Michael Jackson Press Conference. Posted Jun 25th 2009 6:30PM by TMZ Staff. A press conference is scheduled to go down outside of UCLA hospital to discuss the death of Michael Jackson. ...

Michael Jackson Since news of Michael Jackson's death today, celebrity friends and fans have released the following reactions on their Twitter accounts: Ludacris: If it were not for Micheal Jackson I would not be where or who I am today.His ...

Michael Jackson is dead [Updated] | L.A. Now | Los Angeles Times

[Updated at 3:15 p.m.: Pop star Michael Jackson was pronounced dead by doctors this afternoon after arriving at a hospital in a deep coma, city ...

Those who insult Michael Jackson even after his death are cowards because he can't defend himself. Get a life and show respect to a man who contributed much ...

I was listening to Michael Jackson's Thriller when I received the call Michael was dead. I am in shock. I love his music. How did this happen?! ...

READ MORE - Michael jackson is Dead?

us education statics against Indonesia education statics

us education statics against Indonesia education statics,  that was a good sample titel for you make education statistic thesis. Indonesia education statistic,- ged,  books comparing education around the world,  world education statistics comparison, comparingeducation around the world, comparison on education techniques around the world.
global education digest (ged) 2007
us education statics against world education statics
"102 - 1 = 99" puzzle
ged thailand
global education digest: comparing education statistics across the world
mf51 play 1 2053
statistic global education standard
michael bruneforth uis
world school dropout statics
global educational expenditure
world statistics education 2007
"katja frostell
compare the impact of globalization between trinidad and tobago and barbadoes
st lucia education statistical digest
global education digest 2008 readers guide
america education statistic
hp monitor 684909
unesco global education digest 2005
unesco education report- statics for world
key data on education in europe 2007
where to take the ged near 19525
global education digest readers guide
curriculum trends in education+global education in the philippines
policy why students drops-out in tertiary education in namibia
venezuela "private education expenditure"
education stats in the world
"comparing education systems"

possibly related source to make reference for it:

Fundamental right to education, Bill pending with standing - Gross enrollment ratio from Class I to VIII was 94.9 percent and from Class I to XII 77 percent (Educational Statistics at a Glance 2005-06, the Ministry of HRD, 2008). The Government primarily relies on these data to project its claim ...

Obama's Documented Lies: 158 and remarkably still growing -  108 Obama says the US economy has failed under Bush; World Bank stats proves Obama's been lying; US a world leader in growth, employment, incomes; 107 Obama claims if you are born into poverty in America you are on your own: there are ...

Your daily e-mail from the BBC - North Korea threatens a 'thousand-fold' military strike against the US and its allies if it is provoked. Indonesia leader's in-law jailed A corruption court in Indonesia jails a relative of President Susilo Bambang Yudhoyono for four ...

Pedophilia and Sexual Abuse Internet Resources  (To order back issues of Principal magazine, call NAESP’s Educational Products Department, 1-800-38-NAESP.) Statistics about Child Abuse Offenders and Victims. Statistics and facts documented with citations to articles in the research SAVE INDONESIAN CHILDREN'S

READ MORE - us education statics against Indonesia education statics

CEE Kerala Entrance Results | Medical Entrance Kerala Engineering - Exam | Kerala Engineering - Results Medical Exam Entrance 2009, KEAM 2009 Results | KEAM 2009 | cee.kerala.gov.in keralaresults.nic.in results.kerala.nic.in

CEE Kerala Entrance Results | Medical Entrance Kerala Engineering - Exam | Kerala Engineering - Results Medical Exam Entrance 2009, KEAM 2009 Results | KEAM 2009 | cee.kerala.gov.in keralaresults.nic.in results.kerala.nic.in

The results of Kerala manufacturing and Medical Entrance theory test for entrance to qualified Degree Courses(KEAM) 2009 shall be public open at 9.30 am on 15-June-2009

The results will be accessible on websites below:

http://www.results.kerala.nic.in/

http://www.cee.kerala.gov.in/

http://www.keralaresults.nic.in/

wish you Luck Buddy!!!!!!

related article :

Kerala Entrance Results 2009, KEAM 2009 Results, Kerala CEE 2009... - KEAM 2009 Results (Kerala CEE 2009 Results) will available in the following websites: http://keralaresults.nic.in/ [link] http://cee.kerala.gov.in/ [link] http://results.kerala.nic.in/ [link] Kerala Entrance Results 2009, KEAM 2009 .

kerala cee 2009 results are declared today  kerala Common Entrance Examination Results in Engineering and Medical stream are Declared today Click here for Engineering/Medical Entrance Examination Results 2009 Results can be viewed in the following websites ...

kerala cee results 2009,kcee results 2009,cee kerala results - cee kerala results 2009,kerala cee results 2009, cee kerala entrance results,kerala entrance results 2009 , cee , cee results ,kcee results,cee results websitesThe Office of the Commissioner For Entrance Examinations is discharging a ...

Kerala CEE KEAM 2009 Entrance Test Admit Card   till 23rd May 2009 should report before the Liaison officer between 10 am and 1 pm on 24th May 2009 (Sunday) with a passport size photograph. For More Details Visit : http://www.cee-kerala.org/engmed/2009/examnoti/adcard_enoti.pdf.

CEE Kerala Entrance Results | Kerala Entrance Results 2009 | CEE CEE Results 2009 | Kerala Engineering - Medical Entrance Exam | Kerala Engineering - Medical Entrance Exam Results 2009 | KEAM | KEAM 2009 | KEAM 2009 Results | keralaresults.nic.in | cee.kerala.gov.in | results.kerala.nic.in ...

READ MORE - CEE Kerala Entrance Results | Medical Entrance Kerala Engineering - Exam | Kerala Engineering - Results Medical Exam Entrance 2009, KEAM 2009 Results | KEAM 2009 | cee.kerala.gov.in keralaresults.nic.in results.kerala.nic.in

Contoh Proposal usaha | sample bisnis Proposal

As we know that to start business and to make sure our future business running is good plan and good business proposal to ensure the fund easily withdrawn (he he Satan smile mode : ON)

Contoh proposal usaha kecil ayam kampung - Persiapkan proposal usaha sebelum anda memulai usaha dengan para pemodal, di bawah ini adalah contoh proposal usaha kecil ayam kampung untuk bisnis usaha yang menggiurkan. Anda dapat memodifikasi contoh proposal usaha di bawah sesuai

contoh proposal usaha | contoh proposal usaha kecil - Artikel komplit mengenai contoh proposal usaha, bagaimana membuat usaha bahkan ada yang langsung di download aja. contoh proposal usaha ini dibikin dengan susah payah jadi jangan sembarangn mengkopas ya? ...butuh pinjaman modal peribadi swasta

Contoh Proposal Usaha toko Percetakan - PROPOSAL USAHA. business strategy as sun-tzu (maybe):. Sample Business Proposal digital Printing - BUSINESS proposal. Business strategy. 1. Precondition: there is no similar businesses are running around the mention area ; The products or services that mutually reinforce each other and cover available in the area; not know the season… and bla bla bla..

Prepare a business proposal before you start the business with the financier, Sample Proposal below is an example of small business for the chicken business / poultry farming, which now is becoming trends. You can modify the sample business proposals under the appropriate GPL (hue he he GPL apaan ya?)

READ MORE - Contoh Proposal usaha | sample bisnis Proposal

Artikel Manajemen Resiko | Risk Management in Forex

Artikel Manajemen Resiko. Berhati-hatilah, karena uang anda akan bisa meleleh dan menghilang jika anda tidak memperhatikan manajemen resiko di forex trading. Ingatlah bahwa Forex trading tergolong High risk investment dimana anda bisa merugi seratus % walaupun bisa untung 100 persen dalam sehari atau sejam saja. dan lagi Forex trading termasuk satu di antara financial investment yang resikonya terbesar.

Apa saja yang harus anda ketahui dalam bermain valas atau forex trading untuk pemula?

1. BIsa merugi 100%

2. Uang bisa menguap dengan kecepatan yang tidak terbayang. Sudah banyak yang terkapar dalam forex trading, anda masih nekad ingin bermain?

lanjutannya di artikel-manajemen-resiko-risk-management-in-forex

READ MORE - Artikel Manajemen Resiko | Risk Management in Forex