s of the 9th Annual Spring Meeting on Cardiovascular Nursing / European Journal of Cardiovascular Nursing 8 (2009) S1-S52 (DM), hypertension, hypercholesterolemia, body mass index (BMI), and smoking.Results: Patients have reported higher PCS and MCS vs. baseline, respectively: 54, 60 vs. 53,28; p<0,05, and 55,10 vs 54,20; p<0,05.We have noted higher QoL results in all domains of SF-36 scale.A multivariative analysis have shown that the following variables were associated with lower PCS results at 6 month follow-up: age >65, smoking, hypertension, and BMI>30 and with lower MCS results: age>65 and BMI>30.DM and clinical manifestations of ACS did not influence the QoL results.Conclusions: Patients with ACS treated by PCI reported higher QoL results at 6 month follow-up.Predictors that influenced PCS results at 6-months follow-up were: age>65, smoking, hypertension, and BMI>30.MCS results were influenced by: age >65 and BMI>30.DM and clinical manifestations of ACS did not influence the QoL results.
Journal Article Synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome and acne fulminans: are they part of the same disease spectrum? Get access S. L. Chua, S. L. Chua Department of Dermatology, Queen's Medical Centre University Hospital NHS Trust, Nottingham, NG7 2UH, UK E‐mail:janeteangus@hotmail.com Search for other works by this author on: Oxford Academic Google Scholar J. E. Angus, J. E. Angus Department of Dermatology, Queen's Medical Centre University Hospital NHS Trust, Nottingham, NG7 2UH, UK Search for other works by this author on: Oxford Academic Google Scholar J. Ravenscroft, J. Ravenscroft Department of Dermatology, Queen's Medical Centre University Hospital NHS Trust, Nottingham, NG7 2UH, UK Search for other works by this author on: Oxford Academic Google Scholar W. Perkins W. Perkins Department of Dermatology, Queen's Medical Centre University Hospital NHS Trust, Nottingham, NG7 2UH, UK Search for other works by this author on: Oxford Academic Google Scholar Clinical and Experimental Dermatology, Volume 34, Issue 7, 1 October 2009, Pages e241–e243, https://doi.org/10.1111/j.1365-2230.2008.03111.x Published: 01 October 2009 Article history Accepted: 06 May 2008 Published: 01 October 2009
increased congenital heart malformations' risk
Journal Article Usefulness of the QuantiFERON® test in the confirmation of latent tuberculosis in association with erythema induratum Get access J. Angus, J. Angus Departments of Dermatology and Histopathology, Queen's Medical Centre, Nottingham NG7 2UH, U.K. E‐mail: janeteangus@hotmail.com Search for other works by this author on: Oxford Academic Google Scholar C. Roberts, C. Roberts Departments of Dermatology and Histopathology, Queen's Medical Centre, Nottingham NG7 2UH, U.K. E‐mail: janeteangus@hotmail.com Search for other works by this author on: Oxford Academic Google Scholar K. Kulkarni, K. Kulkarni Departments of Dermatology and Histopathology, Queen's Medical Centre, Nottingham NG7 2UH, U.K. E‐mail: janeteangus@hotmail.com Search for other works by this author on: Oxford Academic Google Scholar I. Leach, I. Leach Departments of Dermatology and Histopathology, Queen's Medical Centre, Nottingham NG7 2UH, U.K. E‐mail: janeteangus@hotmail.com Search for other works by this author on: Oxford Academic Google Scholar R. Murphy R. Murphy Departments of Dermatology and Histopathology, Queen's Medical Centre, Nottingham NG7 2UH, U.K. E‐mail: janeteangus@hotmail.com Search for other works by this author on: Oxford Academic Google Scholar British Journal of Dermatology, Volume 157, Issue 6, 1 December 2007, Pages 1293–1294, https://doi.org/10.1111/j.1365-2133.2007.08227.x Published: 01 December 2007
Mastocytosis is a disorder characterised by abnormal mast cell proliferation. The diverse spectrum of clinical presentations is dependent on the tissues and organs involved. We report a rare case of aggressive systemic mastocytosis presenting in utero with diffuse cutaneous involvement, and haematological abnormalities. There is little published evidence to guide treatment.
Journal Article Two cases of delayed granulomatous reactions to the cosmetic filler Dermalive®, a hyaluronic acid and acrylic hydrogel Get access J.E. Angus, J.E. Angus Queen's Medical Centre, University Hospital NHS Trust, Nottingham NG7 2UH, U.K. E‐mail: janeteangus@hotmail.com Search for other works by this author on: Oxford Academic Google Scholar A.G. Affleck, A.G. Affleck Queen's Medical Centre, University Hospital NHS Trust, Nottingham NG7 2UH, U.K. E‐mail: janeteangus@hotmail.com Search for other works by this author on: Oxford Academic Google Scholar I.H. Leach, I.H. Leach Queen's Medical Centre, University Hospital NHS Trust, Nottingham NG7 2UH, U.K. E‐mail: janeteangus@hotmail.com Search for other works by this author on: Oxford Academic Google Scholar L.G. Millard L.G. Millard Queen's Medical Centre, University Hospital NHS Trust, Nottingham NG7 2UH, U.K. E‐mail: janeteangus@hotmail.com Search for other works by this author on: Oxford Academic Google Scholar British Journal of Dermatology, Volume 155, Issue 5, 1 November 2006, Pages 1077–1078, https://doi.org/10.1111/j.1365-2133.2006.07482.x Published: 01 November 2006
There has been a recent dramatic re-emergence of syphilis in the UK. This article describes the varied clinical manifestations of secondary syphilis and describes the diagnosis and current guidelines for treatment, especially in association with human immunodeficiency virus infection.
The physical, symbolic and experiential aspects of receiving long-term care are examined in this paper using Bourdieu's concepts of habitus and field. We draw on data from an ethnographic study of home care in 16 homes in urban, rural and remote locations in Ontario, Canada. Across all cases, data about domestic and caregiving routines were gathered through observation, interviews with clients and/or the primary family caregiver, interviews with service providers and videotaped tours of the home. Based on the analysis of these data, we argue that a transposition of logics and practices occurred when the domestic and health care fields were superimposed within the spaces of the home. Although all of the care recipients and their family caregivers indicated a strong preference for home care over institutional care, their experiences and practices within their homes were disrupted and reconfigured by the insertion of logics emanating from the healthcare field. These changes were manifested in three main themes: the politics of aesthetics; the maintenance of order and cleanliness; and transcending the limitations of the home. In each of these dimensions, it became apparent that care recipients engaged in improvisatory social practices that reflected their ambiguous and changing habitus or social location. The material spaces of their homes signified, or prompted, altered or changing social placement.
The contribution of modifiable risk factors to the prevalence of coronary heart disease (CHD) has been well documented in the literature. A focus group component of a cardiovascular risk reduction project, The Community Outreach in Heart Health and Risk Reduction Trial was designed to explore issues that facilitate or constrain individual efforts to implement changes to health behaviours. Eight focus groups were conducted in urban, northern and rural sites in Ontario, Canada. In this article, we elaborate on the difficulties all group members experienced as they attempted to interpret their personal candidacy for CHD. For many participants, CHD was an undetectable or “sneaky disease” in its earlier stages, thus coronary risk was to them an abstract concept that could not ordinarily be detected through sensory perception. Participants drew on three possible strategies to determine their candidacy for CHD: they cognitively engaged in weighing risks, they relied on the interpretive powers of medical hermeneutics, or they waited for “the big event”. The findings suggest that lay understandings of the body and health differ from those of health professionals and educators, and that lay understandings differ according to SES and gender. This has implications for health literacy and must be considered in devising strategies for health education.
This paper examines the experiences of mothers who are wheelchair users in their roles of homemaking and parenting. A qualitative study using in-depth, focused interviews was conducted with a purposeful sample of 11 women with various physical disabilities. Three major themes were uncovered in the data: (a) lived space restricting personal autonomy, (b) advocacy strategies to secure appropriate housing, and (c) my wheelchair, my liberator, my sense of comfort. Findings from this study showed that women did not have the freedom or economic resources to seek out new living arrangements or make modifications to existing environments. Lack of space, stairs, difficult-to-reach spaces, poor transportation, and limited community access were barriers that women experienced. The study also points to the importance of recognizing that the women used many strategies to regain control over aspects of their environment to enable greater autonomy and participation for themselves. Sensitivity to the meaning of home and the relationship between the body and the environmental features that surround it may be a significant contribution of the clinician as he or she seeks to assist women wheelchair users.
Purpose: To describe nursing work life issues as portrayed in the media during the SARS crisis in Toronto.Methods: Content analysis of local and national news media documents in Canada. Media articles were sorted and classified by topic, and themes were identified.Findings: Themes were: (a) changing schemas of nursing practice: the new normal; (b) barriers to relational nursing work; (c) work life concerns: retention and recruitment; (d) nursing virtue: nurses as heroes and professionals; (e) paradoxical responses to nurses from the community; and (f) leadership in nursing during the SARS crisis.Conclusions: This analysis enhanced understanding of how nurses are portrayed in the media, but it indicated the significance of quality of work life and issues about work‐home life. Some descriptions of the care and caring of nurses have made nursing seem like an important and influential profession to potential applicants who might previously have dismissed nursing as a career.
This qualitative study investigated the conditions and experiences of mothers who used wheelchairs and scooters for full-time mobility. In focused, open-ended interviews, 11 mothers of children aged 6 months to 18 years described sociospatial obstacles and facilitators that influenced how they cared for their children and homes. Results suggest that mothering with a disability consists of embodied and emplaced practices. Women often felt 'out of place' as mothers given the relationship between mothering discourse and mobility devices. Furthermore, the embeddedness of mothering in place meant that the social and material conditions of place served not only as antecedents to mothering challenges, but also structured possible solutions.