OBJECTIVE:

To determine the perspectives of patients, parents and providers on transition preparation.METHODS:

Patients aged nine to 18 years SBE-β-CD supplier with congenital heart defects and their respective parent(s) participated in semistructured interviews. Health care providers completed a self-administered survey.RESULTS:

A total of 23 patients, 22 parents and 45 health care providers were enrolled in the study. Only 36% of patients demonstrated a clear understanding of transition and its implications for their cardiac care. Parents were extensively involved in care activities, with 95% accompanying their child to visits at the clinic, 68% staying with their child for

the entire visit and 45% administering their medication. Children more knowledgeable about their diagnosis demonstrated a better understanding about their transition to adult care (100% versus 7%, respectively; P<0.01) and were more likely to communicate directly with their providers

than those who were less or not knowledgeable (88% versus 33%, respectively; P=0.03). Nurses were more likely than physicians to view increased parental involvement in care activities as a barrier to transition preparation (37% versus 5%, respectively; P=0.02).CONCLUSIONS:

A lack of clear role expectations indicates a need for the pediatric health care setting to adapt appropriately to address the shifting needs of adolescent and young adult patients and their families. A formalized approach to transition

preparation for Volasertib adolescents with congenital heart disease needs to emphasize comprehensive education. A delegation of explicit responsibilities and the clear definition of roles for parents, providers and patients Elacridar molecular weight are necessary to provide young adults with the resources and support necessary to achieve a successful transition to adult care.”
“A 74-year-old pacemaker-dependent male patient, who underwent a pacemaker generator change due to elective replacement indicator, had a 4-second pause during interrogation of the new pacemaker generator out of the device pocket due to a specific feature that was programmed on called “”enhanced transtelephonic monitoring.”" ( PACE 2009; 32: 949-951)”
“BACKGROUND:

Nocturnal blood pressure abnormalities are independently associated with an increased risk of death and cardiovascular disease. It is unclear, however, whether they are related to the presence or severity of hypertension.OBJECTIVES:

To determine and compare the prevalence of sleep pattern disturbances in normotensive (NT) and hypertensive patients.METHODS:

The present cross-sectional study assessed the nocturnal blood pressure profiles from 24 h ambulatory blood pressure monitoring of refractory hypertensive (RH) (n=26), controlled hypertensive (CH) (n=52) and NT (n=52) subjects who were matched for age, sex and body mass index.