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Biomedical subjects

A Verderber

Publications and source records attributed to A Verderber.

8 recordsLinked to original sources

Pediatric cholesterol testing.

This article discusses a recent study in which current total cholesterol values of 295 adults were compared to baseline (childhood) values obtained 16 years earlier when subjects participated in a school health screening and intervention program. Results demonstrated that adult total cholesterol values were significantly related to childhood values. Findings do not support limiting pediatric cholesterol testing to children with positive familial histories of either hyperlipidemia or early manifestations of coronary artery disease. Current recommendations regarding pediatric cholesterol testing may soon require reevaluation.

Adult

Depression in the post-MI patient.

Current nursing research has focused on the psychosocial complications and adjustment following myocardial infarction (MI). Depression can impair optimal recovery by the patient and family after MI. This article reviews and critiques two nursing studies related to depression. The first study focuses on reliably assessing depression in the post-MI patient. The second study explores the psychophysiologic link between depression and hypoxia. Implications for practice and further research are discussed.

Depressive Disorder

Preparation for cardiac catheterization.

Cardiac catheterization is an invasive procedure often included in the medical evaluation of patients with ischemic heart disease. This article reviews one well-designed study that examines various approaches for preparing adults for a cardiac catheterization.

Adult

Cocaine abuse.

The Addiction Research Center at the National Institute on Drug Abuse is conducting a program of research focusing on both the acute and longer term effects of intravenous cocaine. This column reviews and critiques a pair of studies, conducted at the Center, that explore the direct biochemical effects of intravenous cocaine administration. Implications for nursing practice and research are discussed.

Cardiovascular System

Physiologic and psychologic responses to cardiac pacemakers.

Three studies are discussed in this column. In one, it is concluded that noninvasive temporary pacing is safe and effective for short-term uses. Another study showed that a structured teaching program on pacemaker implantation improved patient knowledge but did not affect their endocrine or psychologic responses. In the third study, it was concluded that children can experience healthy psychosocial adaptation to a pacemaker.

Adult

Variables influencing cardiovascular function.

Two studies are reviewed, one regarding the effects of music therapy on psychophysiologic stress in coronary care unit patients and one regarding the effects of age and gender on cardiovascular autonomic reactivity in healthy adults. Music therapy is determined to be safe for coronary care unit patients and effective in modulating the psychophysiologic manifestations of stress. The second study suggests that age--gender interactions may influence autonomic cardiovascular responsiveness. It is suggested that older adults be taught methods to reduce straining, so that rapid transient changes in blood pressure are avoided.

Adult

Monitoring right ventricular function.

A new catheter developed by Edwards Critical-Care Division measures right ventricular ejection fraction and calculates right ventricular stroke volume, end-systolic volume, and end-diastolic volume. The nurse can thus assess a patient's right ventricular function curves using the relationship between stroke volume and end-diastolic volume. This article critiques a study that used this new technology and discusses implications for clinical practice and nursing research.

Catheterization, Swan-Ganz

Coping and heart disease.

This column reviews three studies on coping that provide nurses with a base for identifying individuals with particular coping needs and styles. The studies focus on Type A behavior and coping. Type A behavior and gender differences, and responses of spouses of patients with a first myocardial infarction.

Adaptation, Psychological