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April-June 2018 Volume 2 | Issue 2
Page Nos. 35-59
Online since Thursday, August 22, 2019
Accessed 20,365 times.
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REVIEW ARTICLES |
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Physicians' dissatisfaction: A short review |
p. 35 |
Giuseppe Cocco DOI:10.4103/hm.hm_3_19 The review deals with “physicians' dissatisfaction (PD) due to working conditions.” The definition of PD is not standardized, and therefore, published papers report different data. It is, however, undeniable that the position of the physicians within the society has altered dramatically and that these changes are distressing. Every human deserves the right to be happy and fulfilled in his/her vocation. Too many physicians dislike their work after some years in practice. Of note, the financial aspect is not the first relevant cause of their dissatisfaction. The most important causes of dissatisfaction are the loss of autonomy, political mismanagement, and many bureaucratic hurdles. The increasing dissatisfaction among many physicians cannot simply be dismissed as inconvenient. The causes of their dissatisfaction are real because they interfere with a good medical care of patients. Dissatisfied physicians can negatively influence the workplace. Physicians should enjoy good working conditions and communities to which they can connect. This will allow them to devote time and energy building ties in their communities. There is an urgent need for all stakeholders to reconsider how to create a working environment that would reduce PD. |
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Research progress of hypertriglyceridemia and coronary heart disease |
p. 40 |
Yanyue Ji, Chunlin Bai DOI:10.4103/hm.hm_2_19 At present, the relationship between hypertriglyceridemia (HTG) and coronary heart disease (CHD) is still uncertain. In recent years, many researchers have tried to clarify the relationship between HTG, atherosclerosis, and CHD. This article will review the relationship between HTG and CHD from the aspects of epidemiology, pathogenesis, and cardiovascular benefits of HTG treatment to further understand the relationship between the two. Dyslipidemia is closely related to the occurrence and development of the atherosclerotic cardiovascular disease. Elevated low-density lipoprotein cholesterol (LDL-C) has been recognized as an independent risk factor for cardiovascular events. Statins can effectively reduce LDL-C and reduce the incidence of cardiovascular events. HTG is the most common dyslipidemia in China, and the correlation between HTG and CHD deserves attention. Therefore, as for the progress of HTG and CHD in recent years, we will make a review on the relationship between HTC and CHD, the mechanism of atherosclerosis and the cardiovascular benefits of treatment, so as to further clarify the role and significance of triglyceride in the process of atherosclerosis and provide new ideas for the prevention an d treatment of CHD. |
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The incremental role of cardiac magnetic resonance imaging as diagnostic and prognostic tool in cardiovascular diseases |
p. 45 |
Alberto Roghi, Patrizia Pedrotti DOI:10.4103/hm.hm_1_19 Cardiac Magnetic Resonance Imaging offers incremental value as diagnostic and prognostic tool in a wide range of cardiac diseases in front of the traditional non-invasive imaging techniques. Tissue characterization with and without non-nephrotoxic contrast-media offers the opportunity of precise assessment of myocardial fibrosis, edema and fatty infiltration. The quantitative assessment of myocardial mass, left and right ventricular volumes is considered a gold standard reference with important effects on clinical decision making and cost effectiveness ratio. The recent introduction of new sequences for mapping tissue resonance signal and myocardial strain will improve the diagnostic and prognostic accuracy for cardiovascular diseases. |
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CASE REPORTS |
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Case study: Adopting heart rate variability biofeedback to decrease workplace stress |
p. 51 |
Adrian Low, Isabella Wong DOI:10.4103/hm.hm_16_18 Stress is associated with negative outcomes and we all make effort to avoid it. Workplace stress is associated with poor performance, and organizations desire optimal performance from employees. In this case study, the researcher utilizes a heart rate variability biofeedback (HRVB) tool as a workplace stress intervention for his participant, a senior manager who works in a big company in Hong Kong. The researcher presents a review of each of the four sessions he has conducted with his participant. The participant was able to see directly how stressful thoughts and emotions can adversely affect his body. He was motivated to change from the visuals flaring up that he saw on the biofeedback. Stress reduction exercises (SREs) were used during the sessions, and the participant was able to profoundly shift his physiology. The present case demonstrated that emWave Pro Plus HeartMath tool can be used as an important HRVB and SRE tool in the future. |
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Cardiogenic shock from acute myocardial infarction induced by large-vessel Arteritis |
p. 57 |
Yanping Liu, Panpan Hao DOI:10.4103/hm.hm_15_18 Coronary artery involvement in large-vessel arteritis is not uncommon, but rarely fatal. Here, we present a case of a young female with arteritis who was admitted to our hospital with acute myocardial infarction-induced cardiogenic shock. Imaging and laboratory results demonstrate that anticardiolipin antibody-related large-vessel arteritis is a possible cause of coronary ostial stenosis in patients with no other risk factors. |
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