A Study of the Effectiveness of Home-based Nursing Intervention in Increasing the Compliance with Nasal Continuous Positive Airway Pressure Therapy of Clients Diagnosed with Obstructive Sleep Apnea

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ISBN 13 :
Total Pages : 202 pages
Book Rating : 4.:/5 (346 download)

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Book Synopsis A Study of the Effectiveness of Home-based Nursing Intervention in Increasing the Compliance with Nasal Continuous Positive Airway Pressure Therapy of Clients Diagnosed with Obstructive Sleep Apnea by : Susan D. Beck

Download or read book A Study of the Effectiveness of Home-based Nursing Intervention in Increasing the Compliance with Nasal Continuous Positive Airway Pressure Therapy of Clients Diagnosed with Obstructive Sleep Apnea written by Susan D. Beck and published by . This book was released on 1995 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Use of Telemedicine to Improve Cpap Non-adherence in Patients with Obstructive Sleep Apnea, a Pilot Study

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Publisher :
ISBN 13 :
Total Pages : 38 pages
Book Rating : 4.:/5 (112 download)

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Book Synopsis Use of Telemedicine to Improve Cpap Non-adherence in Patients with Obstructive Sleep Apnea, a Pilot Study by :

Download or read book Use of Telemedicine to Improve Cpap Non-adherence in Patients with Obstructive Sleep Apnea, a Pilot Study written by and published by . This book was released on 2019 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract The aim of this project is to improve continuous positive airway pressure (CPAP) non-adherence in patients newly diagnosed with obstructive sleep apnea. Obstructive sleep apnea (OSA) is caused by recurrent collapse of the upper airway during sleep. Untreated, OSA is associated with co-morbidity and decreased quality of life. The standard for OSA treatment is CPAP. Adherence to CPAP is not optimal. Applying telemedicine technology to monitor adherence of CPAP treatment, allows for early intervention. Prior research has shown mixed results with use of telemedicine on non-adherence rates. This is a pilot study using telemedicine to monitor adherence data to trigger patient support throughout the first 3 months of CPAP therapy. In total, 56 newly diagnosed OSA patients were randomized to standard care (SC, n=23) or telemedicine (TM, n=33). SC received follow-up appointment at 6-weeks; those in TM had weekly data monitoring for the first 3 months, in addition to standard care. If CPAP use did not meet adherence criteria, a support phone call was conducted. Study results were compared to baseline non-adherence rates. Study results did not show significant improvement in CPAP non-adherence rates with telemedicine intervention compared to standard care (p=0.43). There was improvement in non-adherence rates in both TM (8.0%) and SC (15.8%) arms at 3-months, from baseline non-adherence rate (22.8%). Although the improvement seen in CPAP non-adherence rates was not significant, future studies with larger sample sizes may note more robust significance. Clinical significance related to increased adherence rates should not be undervalued.

Drug-Induced Sleep Endoscopy

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Publisher : Thieme
ISBN 13 : 3132403660
Total Pages : 442 pages
Book Rating : 4.1/5 (324 download)

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Book Synopsis Drug-Induced Sleep Endoscopy by : Nico de Vries

Download or read book Drug-Induced Sleep Endoscopy written by Nico de Vries and published by Thieme. This book was released on 2020-11-11 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers. Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more. Key Highlights Comprehensive video library highlights common and rare DISE findings A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse Discussion of controversial DISE applications including oral appliances and positional and combination therapies This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists.

Continuous Positive Airway Pressure Education on Adherence in Adults with Obstructive Sleep Apnoea

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Publisher : Open Dissertation Press
ISBN 13 : 9781361343098
Total Pages : pages
Book Rating : 4.3/5 (43 download)

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Book Synopsis Continuous Positive Airway Pressure Education on Adherence in Adults with Obstructive Sleep Apnoea by : Yuen-Kwan Agnes Lai

Download or read book Continuous Positive Airway Pressure Education on Adherence in Adults with Obstructive Sleep Apnoea written by Yuen-Kwan Agnes Lai and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Continuous Positive Airway Pressure Education on Adherence in Adults With Obstructive Sleep Apnoea" by Yuen-kwan, Agnes, Lai, 賴婉君, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Poor adherence to continuous positive airway pressure (CPAP) treatment in patients with obstructive sleep apnoea (OSA) limits its therapeutic effectiveness and has a major impact on clinical outcomes. Effective education programme is important to enhance CPAP use. However, existing education programmes are either manpower or resource demanding and may not be feasible in clinical practice. Moreover, the Self-Efficacy Measure for Sleep Apnoea (SEMSA) has been widely adopted for assessing adherence-related cognitions on CPAP therapy in OSA patients, but it was not available for Chinese. The aims of this thesis are: (i) to perform linguistic and psychometric evaluation of a Chinese version of SEMSA (SEMSA-C); (ii) to examine the efficacy of brief motivational enhancement education programme in addition to standard care versus standard care only on improving adherence to CPAP treatment in patients with OSA. The SEMSA-C was obtained after the standard forward-backward translation process. A randomised controlled trial was then conducted on newly diagnosed OSA patients. Patients in the control group received standard care (SC) comprising advice on the importance of CPAP therapy and its care while those in the intervention group received SC plus motivational enhancement education programme (ME). ME focused to enhance subjects' knowledge, motivation and self-efficacy to use CPAP, comprising one 45-minute session on the day after CPAP titration and one 10-minute telephone follow-up shortly after commencing CPAP treatment. Epworth Sleepiness Scale (ESS), SEMSA-C, and quality of life were assessed. CPAP usage data were downloaded at the completion of this 3-month study. The primary outcome was the CPAP adherence. Furthermore, 21 patients were randomly sampled at baseline and completed the SEMSA-C at one week. 100 patients (Men: Women, 84: 16) with OSA indicated for CPAP treatment were recruited, with an average age of 5210 years, and apnoea hypopnoea index (AHI) of 36.222 events/hour. Factor analysis of SEMSA-C identified three factors: risk perception, outcome expectancies and treatment self-efficacy. Their corresponding internal consistency was high with Cronbach's alpha >0.88, which were larger than all correlations between subscales (Range: 0.14 to 0.58). The correlations between items and their hypothesized subscale (Range: 0.58 to 0.85) were generally higher than the correlations between items and their competing subscales (Range: -0.10 to 0.58). One-week test-retest intra-class correlation ranged from 0.70 to 0.82. CPAP adherence was associated with outcome expectancies and treatment self-efficacy at 3-month assessment. Furthermore, SEMSA-C demonstrated an improvement in self-efficacy (standardised response mean = 0.33, p = .044) but no significant changes were observed in the other two factors, after CPAP use. The 100 patients were followed for 3 months. The interventional effects maintained during the 3-month study period. There were a better CPAP use [higher daily CPAP usage of 2 hours/day (Cohen d = 1.33, p = 70% of days with >= 4 hours per day (p The traditional Chinese SEMSA-C possesses satisfact

Clinical Case Studies for the Family Nurse Practitioner

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Publisher : John Wiley & Sons
ISBN 13 : 1118277856
Total Pages : 432 pages
Book Rating : 4.1/5 (182 download)

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Book Synopsis Clinical Case Studies for the Family Nurse Practitioner by : Leslie Neal-Boylan

Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.

Pocket Book of Hospital Care for Children

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Publisher : World Health Organization
ISBN 13 : 9241548371
Total Pages : 442 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Pocket Book of Hospital Care for Children by : World Health Organization

Download or read book Pocket Book of Hospital Care for Children written by World Health Organization and published by World Health Organization. This book was released on 2013 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.

The Effectiveness and Cost-effectiveness of Nasal Continuous Positive Airway Pressure (nCPAP) in the Treatment of Obstructive Sleep Apnea in Adults

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Publisher :
ISBN 13 :
Total Pages : 104 pages
Book Rating : 4.:/5 (222 download)

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Book Synopsis The Effectiveness and Cost-effectiveness of Nasal Continuous Positive Airway Pressure (nCPAP) in the Treatment of Obstructive Sleep Apnea in Adults by : National Health and Medical Research Council (Australia). National Health Advisory Committee

Download or read book The Effectiveness and Cost-effectiveness of Nasal Continuous Positive Airway Pressure (nCPAP) in the Treatment of Obstructive Sleep Apnea in Adults written by National Health and Medical Research Council (Australia). National Health Advisory Committee and published by . This book was released on 1998 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medical-Surgical Nursing

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Publisher : Mosby Incorporated
ISBN 13 : 9780323026963
Total Pages : 2176 pages
Book Rating : 4.0/5 (269 download)

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Book Synopsis Medical-Surgical Nursing by : Sharon Mantik Lewis

Download or read book Medical-Surgical Nursing written by Sharon Mantik Lewis and published by Mosby Incorporated. This book was released on 2003-12-01 with total page 2176 pages. Available in PDF, EPUB and Kindle. Book excerpt: Package includes Medical-Surgical Nursing: Assessment and Management of Clinical Problems Two Volume text and Virtual Clinical Excursions 2.0

Respiratory Care: Patient Assessment and Care Plan Development

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Publisher : Jones & Bartlett Learning
ISBN 13 : 128420622X
Total Pages : 793 pages
Book Rating : 4.2/5 (842 download)

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Book Synopsis Respiratory Care: Patient Assessment and Care Plan Development by : David C. Shelledy

Download or read book Respiratory Care: Patient Assessment and Care Plan Development written by David C. Shelledy and published by Jones & Bartlett Learning. This book was released on 2021-02-08 with total page 793 pages. Available in PDF, EPUB and Kindle. Book excerpt: Respiratory Care: Patient Assessment and Care Plan Development, Second Edition describes the purpose of patient assessment and then guides the reader through the process of reviewing existing data in the medical record

STOP, THAT and One Hundred Other Sleep Scales

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Publisher : Springer Science & Business Media
ISBN 13 : 1441998926
Total Pages : 403 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis STOP, THAT and One Hundred Other Sleep Scales by : Azmeh Shahid

Download or read book STOP, THAT and One Hundred Other Sleep Scales written by Azmeh Shahid and published by Springer Science & Business Media. This book was released on 2012-01-06 with total page 403 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are at least four reasons why a sleep clinician should be familiar with rating scales that evaluate different facets of sleep. First, the use of scales facilitates a quick and accurate assessment of a complex clinical problem. In three or four minutes (the time to review ten standard scales), a clinician can come to a broad understanding of the patient in question. For example, a selection of scales might indicate that an individual is sleepy but not fatigued; lacking alertness with no insomnia; presenting with no symptoms of narcolepsy or restless legs but showing clear features of apnea; exhibiting depression and a history of significant alcohol problems. This information can be used to direct the consultation to those issues perceived as most relevant, and can even provide a springboard for explaining the benefits of certain treatment approaches or the potential corollaries of allowing the status quo to continue. Second, rating scales can provide a clinician with an enhanced vocabulary or language, improving his or her understanding of each patient. In the case of the sleep specialist, a scale can help him to distinguish fatigue from sleepiness in a patient, or elucidate the differences between sleepiness and alertness (which is not merely the inverse of the former). Sleep scales are developed by researchers and clinicians who have spent years in their field, carefully honing their preferred methods for assessing certain brain states or characteristic features of a condition. Thus, scales provide clinicians with a repertoire of questions, allowing them to draw upon the extensive experience of their colleagues when attempting to tease apart nuanced problems. Third, some scales are helpful for tracking a patient’s progress. A particular patient may not remember how alert he felt on a series of different stimulant medications. Scale assessments administered periodically over the course of treatment provide an objective record of the intervention, allowing the clinician to examine and possibly reassess her approach to the patient. Finally, for individuals conducting a double-blind crossover trial or a straightforward clinical practice audit, those who are interested in research will find that their own clinics become a source of great discovery. Scales provide standardized measures that allow colleagues across cities and countries to coordinate their practices. They enable the replication of previous studies and facilitate the organization and dissemination of new research in a way that is accessible and rapid. As the emphasis placed on evidence-based care grows, a clinician’s ability to assess his or her own practice and its relation to the wider medical community becomes invaluable. Scales make this kind of standardization possible, just as they enable the research efforts that help to formulate those standards. The majority of Rating Scales in Sleep and Sleep Disorders:100 Scales for Clinical Practice is devoted to briefly discussing individual scales. When possible, an example of the scale is provided so that readers may gain a sense of the instrument’s content. Groundbreaking and the first of its kind to conceptualize and organize the essential scales used in sleep medicine, Rating Scales in Sleep and Sleep Disorders:100 Scales for Clinical Practice is an invaluable resource for all clinicians and researchers interested in sleep disorders.

Cumulated Index Medicus

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Publisher :
ISBN 13 :
Total Pages : 1400 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Cumulated Index Medicus by :

Download or read book Cumulated Index Medicus written by and published by . This book was released on 1990 with total page 1400 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Evidence-Based Geriatric Nursing Protocols for Best Practice

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Publisher : Springer Publishing Company
ISBN 13 : 0826171672
Total Pages : 751 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Evidence-Based Geriatric Nursing Protocols for Best Practice by : Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN

Download or read book Evidence-Based Geriatric Nursing Protocols for Best Practice written by Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN and published by Springer Publishing Company. This book was released on 2016-03-28 with total page 751 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of one of the premier references for geriatric nurses in hospital, long-term, and community settings delivers current guidelines, real-life case studies, and evidence-based protocols developed by master educators and practitioners. With a focus on improving quality of care, cost-effectiveness, and outcome, the fifth edition is updated to provide the most current information about care of common clinical conditions and issues in older patients. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments. Additionally, chapters have been reorganized to enhance logical flow of content and easy information retrieval. Protocols, systematically tested by more than 300 participating NICHE (Nurses Improving Care for Health system Elders) hospitals‚ are organized in a consistent format and include an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, protocols are embedded within chapter text, providing the context and detailed evidence for each. Chapter objectives, annotated references,and evidence ratings for each protocol are provided along with resources for additional study. New to the Fifth Edition: Reorganized to enhance logical flow of information and ease of use Updated and revised Includes new contributions from expert educators and practitioners Provides new chapters on perioperative and postoperative care, general surgical care, care of hip fracture, palliative care, and the senior-friendly emergency department Key Features: Includes PowerPoints and a test bank for instructors Delivers evidence-based, current guidelines and protocols for care of common clinical conditions in the older person Illustrates the application of clinical protocols to real-life practice through case studies and discussion Edited by nationally known geriatric leaders who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles

Non-Invasive Respiratory Support Techniques

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Publisher : John Wiley & Sons
ISBN 13 : 1444309609
Total Pages : 224 pages
Book Rating : 4.4/5 (443 download)

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Book Synopsis Non-Invasive Respiratory Support Techniques by : Glenda Esmond

Download or read book Non-Invasive Respiratory Support Techniques written by Glenda Esmond and published by John Wiley & Sons. This book was released on 2009-03-17 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Respiratory support techniques for treating respiratory failure - including oxygen therapy, non-invasive ventilation (NIV) and continuous positive airway pressure (CPAP) - are used in a variety of healthcare settings, which include intensive care units, high dependency units, respiratory wards and the community. In response to national guidelines there are growing numbers of patients being considered for non-invasive respiratory support techniques, both as a short and long term treatment, resulting in an increasing number of healthcare professionals requiring knowledge and skills to provide care. Written for qualified healthcare professionals with experience of caring for patients with respiratory conditions, this text provides a practical guide to oxygen therapy, NIV and CPAP, clearly defining how and when the various treatments are used and including ideas on developing protocols to support practice.

Comprehensive Hypertension E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323070671
Total Pages : 1247 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Comprehensive Hypertension E-Book by : Gregory Y. H. Lip

Download or read book Comprehensive Hypertension E-Book written by Gregory Y. H. Lip and published by Elsevier Health Sciences. This book was released on 2007-06-28 with total page 1247 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here is today's most in-depth reference for any cardiologist, internist, or nephrologist interested in hypertension. Drawing from international experience in cardiology, physiology, and nephrology, Drs. Lip and Hall have assembled a group of section editors and contributors second to none. You'll find the long-term effects of primary and secondary hypertension and a lengthy section on hypertensions for special populations featured prominently. Prevention and treatment of hypertension are covered in detail, from lifestyle and diet issues to drug choice and delivery, and the section on comparison of guidelines is unique to this book. Find comprehensive coverage of hypertension including pathogenesis, prevention, and treatment all in one practical volume. See the complete systemic problems of hypertension at a glance with detailed, full-color illustrations of cellular and clinical manifestations. Simplify navigating the complexities of hypertension using algorithms for clinical exam and diagnosis. Get specific insight into prevention and treatment of hypertension in special populations. Go global with a comprehensive section on worldwide guidelines and the application of clinical material to local standards of practice.

The Effectiveness of Nasal Continuous Positive Airway Pressure (nCPAP) in Obstructive Sleep Apnoea in Adults

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Author :
Publisher :
ISBN 13 : 9780642455802
Total Pages : 129 pages
Book Rating : 4.4/5 (558 download)

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Book Synopsis The Effectiveness of Nasal Continuous Positive Airway Pressure (nCPAP) in Obstructive Sleep Apnoea in Adults by : National Health and Medical Research Council (Australia)

Download or read book The Effectiveness of Nasal Continuous Positive Airway Pressure (nCPAP) in Obstructive Sleep Apnoea in Adults written by National Health and Medical Research Council (Australia) and published by . This book was released on 2000 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Acute Heart Failure

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Publisher : Springer Science & Business Media
ISBN 13 : 1846287820
Total Pages : 922 pages
Book Rating : 4.8/5 (462 download)

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Book Synopsis Acute Heart Failure by : Alexandre Mebazaa

Download or read book Acute Heart Failure written by Alexandre Mebazaa and published by Springer Science & Business Media. This book was released on 2009-12-24 with total page 922 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many years, there has been a great deal of work done on chronic congestive heart failure while acute heart failure has been considered a difficult to handle and hopeless syndrome. However, in recent years acute heart failure has become a growing area of study and this is the first book to cover extensively the diagnosis and management of this complex condition. The book reflects the considerable amounts of new data reported and many new concepts which have been proposed in the last 3-4 years looking at the epidemiology, diagnostic and treatment of acute heart failure.

Compliance with Nasal Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea Syndrome

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Publisher :
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.:/5 (61 download)

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Book Synopsis Compliance with Nasal Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea Syndrome by : Yiming Li

Download or read book Compliance with Nasal Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea Syndrome written by Yiming Li and published by . This book was released on 1995 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: