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Decision making of peripheral vascular disease patients threatened with limb loss a research report submitted in partial fulfillment ... Master of Science (Medical-Surgical Nursing) /Dzieciuch, Jennifer M. January 1990 (has links)
Thesis (M.S.)--University of Michigan, 1990.
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Decision making of peripheral vascular disease patients threatened with limb loss a research report submitted in partial fulfillment ... Master of Science (Medical-Surgical Nursing) /Dzieciuch, Jennifer M. January 1990 (has links)
Thesis (M.S.)--University of Michigan, 1990.
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The pathogenesis of hypertensive vascular diseaseGiese, Jørn. January 1966 (has links)
Thesis--Copenhagen. / Bibliography: p. 140-156.
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The pathogenesis of hypertensive vascular diseaseGiese, Jørn. January 1966 (has links)
Thesis--Copenhagen. / Bibliography: p. 140-156.
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Caracterização das flutuações do sinal doppler do fluxo microvascular / Characterization of laser doppler signal fluctuations in microvascular flowFOLGOSI CORREA, MELISSA S. 09 October 2014 (has links)
Made available in DSpace on 2014-10-09T12:34:00Z (GMT). No. of bitstreams: 0 / Made available in DSpace on 2014-10-09T14:01:05Z (GMT). No. of bitstreams: 0 / Tese (Doutoramento) / IPEN/D / Instituto de Pesquisas Energéticas e Nucleares - IPEN-CNEN/SP
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Caracterização das flutuações do sinal doppler do fluxo microvascular / Characterization of laser doppler signal fluctuations in microvascular flowFOLGOSI CORREA, MELISSA S. 09 October 2014 (has links)
Made available in DSpace on 2014-10-09T12:34:00Z (GMT). No. of bitstreams: 0 / Made available in DSpace on 2014-10-09T14:01:05Z (GMT). No. of bitstreams: 0 / O sinal de fluxo cutâneo obtido via fluxometria Laser Doppler (SFLD) tem flutuações de baixas frequências que estão relacionadas a mecanismos de controle do fluxo microvascular. Análises espectrais, via transformada de Fourier e transformada de wavelet, têm sido usadas para correlacionar as flutuações de SFLD com os seguintes mecanismos de controle de fluxo: metabólico, metabólico NO-dependente, neurogênico e miogênico, nos respectivos intervalos de frequência 0,005-0,0095 Hz, 0,0095-0,02 Hz, 0,02-0,05 Hz e 0,05-0,15 Hz. A potência do sinal, em cada intervalo de frequência, geralmente é usada como uma medida da atividade do mecanismo de controle microvascular relacionado. Uma vez que os métodos usados de análise são espectrais, as características das flutuações do SFLD, em cada intervalo de frequência, no domínio do tempo são desconhecidas. Como consequência, há ausência de critérios objetivos para medir adequadamente, em cada intervalo de frequência, os parâmetros hemodinâmicos relacionados. O objetivo deste trabalho foi caracterizar e quantificar flutuações temporais, espaciais e espaço-temporais do SFLD em cada faixa de frequência, usando um método no domínio do tempo. Os fluxos basais (320C) e termicamente estimulados à (420C) das regiões volares de antebraços de 20 voluntários saudáveis foram coletados em duas regiões próximas e analisados. As análises dos dados obtidos indicam que janelas temporais pequenas (1 minuto) são aceitáveis para a quantificação do fluxo médio, e que janelas temporais maiores são necessários para quantificar as flutuações de fluxo. A análise espaço-temporal revelou uma forte correlação entre sinais (em todas as bandas, exceto na banda B5) das duas regiões investigadas, durante longos intervalos de tempo, quando as duas regiões estudadas foram termicamente estimuladas, e menor variabilidade intragrupo quando comparada à obtida para os valores médios das flutuações, sugerindo que o intervalo de tempo de correlação é um parâmetro promissor para estudar mecanismos de controle do fluxo microvascular. / Tese (Doutoramento) / IPEN/D / Instituto de Pesquisas Energéticas e Nucleares - IPEN-CNEN/SP
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Impairment of calcitonin gene-related peptide (CGRP)-induced hypotensive responses in vivo and vasorelaxant responses in vitro in rat models of aging, diabetes mellitus and ovariectomy.January 2001 (has links)
Chan Hoi-Huen. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2001. / Includes bibliographical references (leaves 104-123). / Abstracts in English and Chinese. / Abstract --- p.i / Acknowledgements --- p.v / Publications --- p.vi / Table of contents --- p.viii / List of Figures --- p.xii / List of Tables --- p.xiv / Abbreviations --- p.xv / Chapter Chapter 1 --- Introduction --- p.1 / Chapter 1.1 --- Blood vessels and blood pressure --- p.1 / Chapter 1.2 --- Smooth muscle --- p.2 / Chapter 1.3 --- Endothelium --- p.3 / Chapter 1.4 --- Vasodilation and Vasoconstriction --- p.5 / Chapter 1.5 --- Calcitonin gene-related peptide (CGRP) --- p.6 / Chapter 1.5.1 --- Discovery of CGRP --- p.6 / Chapter 1.5.2 --- Localization and distribution of CGRP --- p.7 / Chapter 1.5.3 --- Structure profile of CGRP --- p.8 / Chapter 1.5.4 --- CGRP and the vascular system --- p.10 / Chapter 1.6 --- Nitric oxide --- p.11 / Chapter 1.6.1 --- Production of NO by nitric oxide synthase (NOS) --- p.12 / Chapter 1.6.2 --- Actions of NO in smooth muscle --- p.14 / Chapter 1.6.3 --- Synergism with CGRP --- p.14 / Chapter 1.7 --- Other research of CGRP in the laboratory of Professor Ronald R. Fiscus --- p.15 / Chapter 1.8 --- "Aging, diabetes mellitus, sex hormones and cardiovascular system" --- p.16 / Chapter 1.9 --- Aim of study --- p.18 / Chapter Chapter 2 --- Methods and materials --- p.19 / Chapter 2.1 --- General experimental methods --- p.19 / Chapter 2.1.1 --- Measurement of blood pressure in anaesthetized rats --- p.19 / Chapter 2.1.2 --- Tissue bath experiments --- p.20 / Chapter 2.1.2.1 --- Preparation of isolated rat aortic rings --- p.20 / Chapter 2.1.2.2 --- Measurement of contractile and relaxant responses in the rat aortic rings --- p.21 / Chapter 2.1.3 --- Culture of aortic rat vascular smooth muscle cells --- p.22 / Chapter 2.1.4 --- Immunostaining for smooth muscle α-actin in cultured smooth muscle cells --- p.23 / Chapter 2.1.5 --- Determination of nitrite levels in smooth muscle cell culture media --- p.24 / Chapter 2.1.6 --- Measurement of protein contents --- p.25 / Chapter 2.1.7 --- Reversed Transcription- Polymerase Chain Reaction (RT-PCR) --- p.26 / Chapter 2.1.7.1 --- mRNA isolation --- p.26 / Chapter 2.1.7.2 --- Reverse transcription (RT) --- p.27 / Chapter 2.1.7.3 --- Polymerase chain reaction (PCR) --- p.27 / Chapter 2.1.7.4 --- Agarose slab gel electrophoresis --- p.29 / Chapter 2.1.7.5 --- Capillary electrophoresis --- p.29 / Chapter 2.2 --- Reagents --- p.30 / Chapter Chapter 3 --- Impairment of hypotension to calcitonin gene-related peptide in female rats with streptozotocin-induced diabetes mellitus or ovariectomy --- p.40 / Chapter 3.1 --- Introduction --- p.40 / Chapter 3.2 --- Methods --- p.45 / Chapter 3.2.1 --- Animal Preparation --- p.45 / Chapter 3.2.2 --- Statistical analysis --- p.46 / Chapter 3.3 --- Results --- p.47 / Chapter 3.3.1 --- "Body weight, blood glucose and initial blood pressure" --- p.47 / Chapter 3.3.2 --- Hypotensive responses to CGRP in ovariectomized rats --- p.48 / Chapter 3.3.3 --- Hypotensive responses to CGRP in diabetic rats --- p.49 / Chapter 3.3.4 --- Hypotensive responses to CGRP in rats with diabetes and ovariectomy --- p.50 / Chapter 3.4 --- Discussion --- p.50 / Chapter 3.5 --- Conclusions --- p.56 / Chapter Chapter 4 --- Severe impairment of CGRP-induced hypotension in vivo and vasorelaxation in vitro in elderly rats --- p.61 / Chapter 4.1 --- Introduction --- p.61 / Chapter 4.2 --- Methods --- p.64 / Chapter 4.2.1 --- Tissue preparation for vascular rings --- p.64 / Chapter 4.2.2 --- Vasorelaxation studies in vitro --- p.65 / Chapter 4.2.3 --- Animal preparation for in vivo studies --- p.65 / Chapter 4.2.4 --- Measurement of hypotensive responses to CGRP --- p.66 / Chapter 4.2.5 --- Statistical analysis --- p.66 / Chapter 4.3 --- Results --- p.67 / Chapter 4.3.1 --- Effect of age on CGRP-induced vasorelaxations in rings of thoracic aorta and caudal arteries --- p.67 / Chapter 4.3.2 --- Effect of age on acetylcholine-induced responses in aortic rings --- p.68 / Chapter 4.3.3 --- CGRP-induced hypotension in young female and male rats --- p.68 / Chapter 4.3.4 --- CGRP-induced hypotension in elderly female and male rats --- p.68 / Chapter 4.3.5 --- CGRP-induced hypotension in elderly female rats with ovariectomy --- p.69 / Chapter 4.4 --- Discussion --- p.69 / Chapter 4.5 --- Conclusions --- p.73 / Chapter Chapter 5 --- "Effects of CGRP on interleukin-Iβ-, lipopolysaccharides- and ginseng extract-induced production of nitrite oxide in vascular smooth muscle cells of elderly rats" --- p.82 / Chapter 5.1 --- Introduction --- p.82 / Chapter 5.2 --- Methods --- p.83 / Chapter 5.2.1. --- Animal model --- p.83 / Chapter 5.2.2. --- Culture of vascular smooth muscle cells --- p.84 / Chapter 5.2.3 --- Extraction of total RNA --- p.84 / Chapter 5.2.4 --- Reverse transcription and polymerase chain reaction (RT-PCR) --- p.35 / Chapter 5.2.5 --- Capillary electrophoresis with laser-induced fluorescence detector (CE-LIF) --- p.85 / Chapter 5.2.6 --- Determination of nitrite levels in smooth muscle cell culture media --- p.85 / Chapter 5.2.7 --- Measurement of protein contents --- p.86 / Chapter 5.3 --- Results --- p.86 / Chapter 5.3.1 --- "Effects of IL-Iβ, alone and in combination with CGRP, on NO production in young and elderly VSMCs" --- p.86 / Chapter 5.3.2 --- "Effects of LPS, alone and in combination with CGRP, on NO production in young and elderly VSMCs" --- p.89 / Chapter 5.3.3 --- "Effects of ginseng extract, alone and in combination with CGRP, on NO production in VSMCs" --- p.89 / Chapter 5.4 --- Discussion --- p.90 / Chapter 5.5 --- Conclusions --- p.93 / Chapter Chapter 6 --- General discussion and Conclusions --- p.100 / References --- p.104
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Experiências e expectativas de enfermeiras em relação ao cuidado à mulher com úlcera venosa crônica / Nursing experiences and expectations relating to the care of women with venous leg ulcersSilva, Marcelo Henrique da 13 August 2012 (has links)
O cuidado com feridas crônicas faz parte do cotidiano do enfermeiro, o que torna relevante o conhecimento de sua experiência e expectativas em relação ao tratamento de pessoas com úlcera venosa crônica (UVC). Este estudo, com abordagem da Fenomenologia Social de Alfred Schutz, teve como objetivo compreender a experiência e as expectativas do enfermeiro em relação ao cuidado à mulher com úlcera venosa crônica na Atenção Primária à Saúde. Foi realizado com sete enfermeiras que atuam em Unidades de Atenção Primária à Saúde de Juiz de Fora, Minas Gerais. A obtenção dos depoimentos ocorreu em janeiro de 2012, e foi utilizada a entrevista fenomenológica, com as seguintes questões norteadoras: como é para você cuidar de mulheres com UVC? Fale-me das suas expectativas quando cuida de uma mulher com UVC. A análise compreensiva permitiu tipificar a enfermeira como aquela profissional que identifica as dificuldades da mulher para realizar seu autocuidado, considerando as questões inerentes a seu cotidiano, a baixa autoestima e a falta de suporte da família para o prosseguimento do tratamento. Ela percebe limitações na terapêutica, que é prejudicada por valores e crenças relacionadas à ferida, desmotivação da mulher e a própria frustração, principalmente em face da recidiva da lesão. Refere-se também à falta de insumos e tecnologia, de trabalho interdisciplinar e capacitação da equipe de enfermagem como fatores limitantes para o tratamento. Tem como expectativa a adesão da mulher ao tratamento da UVC e realça a necessidade do cuidado contínuo, as orientações para o autocuidado e a padronização de condutas no tratamento de feridas para evitar as recidivas da lesão, propiciando-se à mulher obter maior qualidade de vida. Evidenciou-se que os limites e as possibilidades que permeiam o cuidado se relacionam a diversos sujeitos, instituições e políticas de saúde nele envolvidos. Espera-se que esta pesquisa possibilite reflexões e ações no âmbito assistencial, do ensino e da pesquisa no que tange ao cuidado à mulher com UVC. Estas devem fundamentar a aplicação do conhecimento deste estudo nos referidos âmbitos, valorizando os diversos aspectos objetivos e subjetivos entremeados no cuidado a essa mulher. / The care of chronic wounds is part of daily nursing, being relevant to know your experience and expectations regarding the treatment of people with chronic venous ulcers (CVU). A study used the approach of Social Phenomenology by Alfred Schutz to understand the experiences and expectations of nurses who cared for women with Chronic Venous Leg Ulcers (CVLU) in primary health care. This study was conducted with seven nurses who were working in Primary Health Care units, Juiz de Fora, Minas Gerais. The taking of statements took place in January 2012, utilizing the phenomenological interview approach, asking the following questions: How do you take care of women with CVLU? What are your expectations when caring for a woman with CVLU? The comprehensive analysis resulted in classifying the professional nurse as one who identifies the difficulties of women to perform self-care, considering the issues inherent in their daily life, low self-esteem and lack of family support for the continuation of treatment. Perceived limitations in therapy are affected by values and beliefs related to the condition and the woman\'s and nurses frustration, mainly due to reoccurrence of the wounds. The study also refers to the lack of inputs and technology, interdisciplinary work and training of nursing staff as limiting factors for treatment. The expectation is that the treatment of CVLU, underlining the necessity of continuous care, self care guidelines and standardization of ducts to treat wounds and preventing recurrences of the injury, thereby allows women to achieve a better quality of life. It was evident that the limits and possibilities that permeate the care of this disease are due to various situations, including institutions and health policies related to it. It is hoped that this research allows will result in reflections and actions in health care, education and research regarding the care of women with CVLU. This research should support the application of knowledge in these areas of study, highlighting the various objective and subjective aspects woven into the care of woman.
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Plasma homocysteine, atheromatous vascular disease and platelet function. / CUHK electronic theses & dissertations collection / Digital dissertation consortiumJanuary 2002 (has links)
Fan Boli. / "January 2002." / Thesis (Ph.D.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (p. 219-248). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. Ann Arbor, MI : ProQuest Information and Learning Company, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Abstracts in English and Chinese.
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A randomized study of the effect of hormone replacement therapy on peripheral blood flow in surgically postmenopausal women.January 1997 (has links)
Wan Din. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1997. / Includes bibliographical references (leaves 155-175). / ABSTRACT --- p.1 / ACKNOWLEDGMENTS --- p.3 / LIST OF TABLES --- p.5 / LIST OF FIGURES --- p.7 / LIST OF ABBREVIATIONS --- p.8 / Chapter I. --- INTRODUCTION --- p.9 / Chapter I.A. --- Menopause --- p.9 / Chapter I.A.1. --- Definition of the Menopause --- p.9 / Chapter I.A.2. --- Pathophysiology of Ovarian Failure --- p.10 / Chapter I.B. --- Effects of the Menopause --- p.13 / Chapter I B.1. --- Acute Effects --- p.13 / Chapter I.B.2. --- Medium Term Effects --- p.14 / Chapter I.B.3. --- Chronic Effects --- p.15 / Chapter I.B.3.a. --- Osteoporosis --- p.15 / Chapter I.B.3.b. --- Coronary Artery Disease (CAD) --- p.17 / Chapter I.C. --- Management of the Menopause --- p.19 / Chapter I.C.1. --- Hormone Replacement Therapy --- p.21 / Chapter I.C.2. --- Oestrogens --- p.22 / Chapter I.C.2.a. --- Oral Oestrogens --- p.22 / Chapter I.C.3. --- Progestogens --- p.24 / Chapter I.C.3.a. --- Combined Oestrogen and Progestogen Therapy --- p.24 / Chapter I.C.4. --- Complications and Contraindications to Hormone Replacement Therapy --- p.26 / Chapter II. --- LITERATURE REVIEW --- p.34 / Chapter II.A. --- Atherosclerosis --- p.35 / Chapter II.B. --- Risk Factors for Coronary Artery Disease --- p.37 / Chapter II.B.1. --- Age and Sex --- p.38 / Chapter II.B.2. --- Age at Menopause --- p.38 / Chapter II.B.3. --- Family History --- p.38 / Chapter II.B.4. --- Serum Lipids --- p.39 / Chapter II.B.5. --- Blood Pressure --- p.39 / Chapter II.B.6. --- Smoking --- p.40 / Chapter II.B.7. --- Diabetes Mellitus --- p.40 / Chapter II.C. --- The Effect of the Menopause on Risk Factors for Coronary Heart Disease --- p.41 / Chapter II.C.1. --- The Effect of the Menopause on Lipids and Lipoproteins --- p.41 / Chapter II.C.2. --- The Effect of the Menopause on Glucose and Insulin Metabolism --- p.43 / Chapter II.C.3. --- The Effect of the Menopause on Coagulation --- p.44 / Chapter II.C.4. --- The Effect of the Menopause on the Arterial Wall --- p.45 / Chapter II.D. --- The Risk of Coronary Artery Disease After the Menopause --- p.46 / Chapter II.D.1. --- The Effect of the Menopause on Peripheral Vascular Disease (PVD) --- p.47 / Chapter II.E. --- The Effect of the Hormone Replacement Therapy on Coronary Artery Disease Risk --- p.49 / Chapter II.F. --- The Mechanism of Cardioprotection of Oestrogen --- p.63 / Chapter II.F.1. --- The Indirect Effect of the Hormone Replacement Therapy on the Cardiovascular System --- p.64 / Chapter II.F.1.a. --- The Effect on Lipids and Lipoproteins --- p.64 / Chapter II.F.1.b. --- The Effect on Coagulation and Fibrinolysis --- p.66 / Chapter II.F.1.c. --- The Effect on Insulin and Glucose Metabolism --- p.67 / Chapter II.F.2. --- The Direct Effects of the Hormone Replacement Therapy on the Cardiovascular System --- p.67 / Chapter II.F.2.a. --- The Effect of Oestrogen on Vascular Contractility --- p.68 / Chapter II.F.2.b. --- The Effect of Oestrogen on Endothelial Dysfunction --- p.69 / Chapter II.F.2.C. --- Other Possible Direct Actions of Oestrogen --- p.72 / Chapter II.G. --- The Effects of Oestrogen on Blood Flow --- p.73 / Chapter III. --- RESEARCH PLAN --- p.78 / Chapter III.A. --- Formation of Research Hypothesis --- p.78 / Chapter III B. --- Research Hypothesis --- p.80 / Chapter III.C. --- Plan of Studies --- p.81 / Chapter III.C.1. --- Pilot Study --- p.81 / Chapter III.C.2. --- Randomized Controlled Study --- p.81 / Chapter IV. --- METHODOLOGY --- p.84 / Chapter IV.A. --- Pilot Study --- p.84 / Chapter IV.B. --- Study Population --- p.87 / Chapter IV.B.1. --- Recruitment of Cases --- p.88 / Chapter IV.B.1.a. --- Patients' Consent --- p.88 / Chapter IV.B.1.b. --- Method of Recruitment --- p.88 / Chapter IV.B.1.e. --- Research Methodology --- p.89 / Chapter IV.C. --- Ethical Considerations --- p.90 / Chapter IV.D. --- Samples Size Calculation --- p.92 / Chapter IV.E. --- Statistical Analysis --- p.93 / Chapter IV.F. --- Physical Principles of the Measurement of Peripheral Resistance --- p.94 / Chapter IV.F.1. --- The Arterial Analogue Waveform --- p.97 / Chapter IV.F.2. --- Peak Systolic Velocity --- p.98 / Chapter IV.G. --- Measurement of Pulsatility Index --- p.100 / Chapter IV.G.1. --- Establishment of Methodologies Used to Measure Peripheral Blood Flow --- p.105 / Chapter IV.G.2. --- Training of the Investigator --- p.107 / Chapter IV.H. --- Assay for Serum Oestradiol --- p.108 / Chapter IV.H.1. --- Principles --- p.108 / Chapter IV.H.2. --- Reagents --- p.109 / Chapter IV.H.3. --- Sample Dilution --- p.111 / Chapter IV.H.4. --- Calibration --- p.112 / Chapter IV.H.5. --- Quality Control --- p.112 / Chapter IV.H.6. --- Assay Validation --- p.113 / Chapter V. --- RESULTS --- p.115 / Chapter V.A. --- Pilot Study --- p.115 / Chapter V.B. --- Study Population --- p.118 / Chapter V.B.1. --- Characteristics of the Patients at Recruitment --- p.120 / Chapter V.B.2. --- Doppler Measurements --- p.123 / Chapter V.B.3. --- Pulsatility Index and Serum Oestradiol --- p.135 / Chapter VI. --- DISCUSSION --- p.137 / Chapter VI.A. --- Overview --- p.132 / Chapter VI.A.1. --- The Pilot Study --- p.133 / Chapter VI.B. --- Study Population --- p.136 / Chapter VI.C. --- Doppler Ultrasound as a Measurement of Vascular Resistance and Blood Flow --- p.142 / Chapter VI.C.1. --- Reliability of Doppler Study --- p.143 / Chapter VI.D. --- Pulsatility Index and Hormone Replacement Therapy --- p.146 / Chapter VI.E. --- Effects of Oestrogen on Pulsatility Index --- p.150 / Chapter VI.F. --- Conclusions --- p.152 / Chapter VI.G. --- Future Directions --- p.153 / REFERENCES --- p.155 / APPENDIX1 --- p.176
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