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Biomedical subjects

D Malone

Publications and source records attributed to D Malone.

24 records · Page 2Linked to original sources
PubMed1981

Cardiac arrhythmias in end-stage renal disease.

In 16 patients with end-stage renal disease (ESRD), 24-hour electrocardiographic recordings showed an incidence of supraventricular and ventricular arrhythmias similar to that in patients who had had myocardial infarction and in low-risk subjects. Eight patients (50%) with ESRD had supraventricular complexes. This incidence was significantly higher than that after myocardial infarction (P < .001). Fifteen ESRD patients (94%) had premature ventricular complexes (PVCs), including nine (56%) with complex PVCs (multiform PVCs, couplets, or runs). The incidence of PVCs as well as complex PVCs in patients with ESRD was comparable to that of the patients who had had myocardial infarction but was significantly higher than that found in low-risk subjects (P less than .005 for PVCs and P less than .05 for complex PVCs). The high incidence of complex PVCs in patients with ESRD may predispose them to increased cardiovascular death, and further investigation of this finding is indicated.

Adolescent↗
PubMed1981

Left ventricular function in end-stage renal disease: echocardiographic classification.

We used echocardiography (ECHO) to detect pericardial effusions and assess left ventricular (LV) function in 39 patients with end-stage renal disease (ESRD). Pericardial effusions were present in 24 patients (62%). Thirty-one patients (79%) had concentric hypertrophy and 20 patients (51%) had decreased LV compliance. The majority of patients with concentric hypertrophy and decreased LV compliance had normal LV internal dimensions and contractility. Six patients (15%) had ECHO results compatible with congestive cardiomyopathy. An echocardiographic distinction between congestive heart failure, decreased LV compliance, and salt and water overload in ESRD has allowed an appropriate therapeutic decision as to whether to administer cardiac glycosides or increase ultrafiltration as a treatment for pulmonary congestion. ECHO is a safe, convenient, and noninvasive method of assessing serial LV function, and it can be used to document progressive deterioration of LV function in ESRD.

Adolescent↗
PubMed1978

A coronary teaching program in a community hospital.

In conclusion, the teaching program we developed appears to meet the needs originally established by the audit. Nurses are provided with a method of assessment, evaluation, and documentation. The program also provides a means of teaching continuity while following a structured time schedule that allows for recognition and satisfaction of individual patient needs. The patient teaching record provides the final tool as a reference and ongoing source of evaluation.

Coronary Disease↗
PubMedDate not supplied

Factors associated with anger in cancer patients and their caregivers.

In this descriptive, longitudinal study, the authors explored the emotional symptom of anger among cancer patients and their caregivers at home. Anger was measured using an abbreviated version of the Siegel Multidimensional Anger Inventory during three interviews over a 6-month period. The sample consisted of 165 adults with solid tumors and 73 caregivers. Descriptive and inferential statistics were used to measure the severity of anger and its association with selected demographic factors, symptom distress, functional status, physical caregiving responsibilities, and depression. Findings included overall low, stable anger scores for both patients and their caregivers; and significant associations among anger and symptom distress, age, depression, and church attendance for patients. These findings suggest that anger may be perceived as an unacceptable emotion and may appear in other forms such as symptom distress and depression. Alternative ways for measuring anger need examination and patients and caregivers may need guidance in addressing their anger.

Adult↗