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R M Peters

Publications and source records attributed to R M Peters.

144 records · Page 8Linked to original sources
PubMedDate not supplied

Identification of cardiovascular risk: use of a cardiovascular-specific genogram.

Cardiovascular disease (CVD) affects nearly 50 million Americans of all ages, races, and educational levels. Many of the risk factors for CVD are modifiable and public health nurses (PHNs) are in unique position to impact this major health problem because of their access to individuals, families, and groups. Addressing this major health problem requires early identification of those at risk for CVD. This article describes the implementation of a cardiovascular-specific genogram (CVSG) which can be used to identify persons at risk for CVD. Rationale for the development of this disease-specific tool and suggestions for its clinical application are discussed. The genogram was distributed to the parents of 100 6th grade students. All of the respondents reported cardiovascular risk factors present in at least one of three generations examined. The risk factors in the two younger generations were at the primary and secondary levels of prevention and were modifiable with intervention. Only the older generation in this sample had tertiary level risk factors. The CVSG can easily be incorporated into all aspects of public health nursing practice, from assessment for case finding to planning and implementing disease management strategies. The CVSG can identify individuals, families, and groups at risk for CVD allowing the nurse to focus attention on those most at risk, and to implement proactive assessment, screening, and educational programs.

Cardiovascular Diseases↗
PubMedDate not supplied

Measuring lung volumes from chest films using equations derived from computed tomography.

Computed tomographic scans show true cross-sectional area of a segment of the chest. Measurement of the cross-sectional area of the lung at several adjacent levels permits calculation of a geometrically defined volume. CT scans from 26 cases were used to derive equations to predict regional volume from measurements which can be obtained from plain PA and lateral chest films. Separate equations were derived for slices above and below the top of the diaphragm. The best correlation between linear dimensions and true volume was obtained with equations that used lung width and antero-posterior (AP) diameter of each scan, maximum AP lung diameter, and relative scan level (apex to base). These equations predicted the volumes of individual slices above the diaphragm with a correlation coefficient (r) of 0.99 on the right, 0.97 on the left. Below top of the diaphragm, r was 0.91 on the right, 0.92 on the left. Total lung volume was predicted with an r of 0.98 (s.e. 4.8%) on the right and 0.97 (s.e. 5.3%) on the left. Using total chest width instead of AP diameter of each slice reduced r to 0.96 for the volume of either lung. This method compares favorably with previous regression or geometric approximation methods for total lung volume and also makes it possible to obtain estimates of portions of lung volume from chest films.

Humans↗
PubMedDate not supplied

Using NOC outcome of risk control in prevention, early detection, and control of hypertension.

Hypertension is a major health problem addressed by nurses in all settings. This article reviews long-term hypertension outcomes and asserts the need to use intermediate outcomes focusing on prevention and early detection to effect change in the prevalence of hypertension and its complications. The Nursing Classification Outcome of Risk Control is presented as a framework to evaluate the state of the science and to develop a research agenda related to hypertension "Risk Control."

Humans↗