RESUMO
Progress toward understanding the biochemical basis of human individuality spans centuries, but tissue rejection remains the primary clinical challenge of organ transplantation. This article highlights the chronology of scientific discoveries made in the quest to overcome the rejection associated with transplantation. The purposes of this review are to raise clinicians' awareness of the advances in surgery, genetics, immunology, and immunosuppression that have contributed to the current knowledge of tissue rejection and to indicate potential new directions in this challenging field.
Assuntos
Rejeição de Enxerto/história , Transplante de Órgãos/história , Animais , Genética Médica/história , Sobrevivência de Enxerto , História do Século XVI , História do Século XVIII , História do Século XIX , História do Século XX , História Antiga , Humanos , Terapia de Imunossupressão/história , Imunologia de Transplantes , Transplante Heterólogo/históriaRESUMO
The purpose of this paper is to describe the development of the database and its usefulness in describing clinical nurse specialist (CNS) practice, providing the CNS with clinical information about specific patients, and identifying patterns and trends about the care for the specialty patient population during a 3-month pilot period. The pilot revealed that the database, which included elements of clinical encounters between the CNS and patients, was useful in organizing clinical information about patients and the specialty population and in describing the nature of the CNS practice. It provided a quantitative description of the process of CNS functioning that, when combined with data about actions and outcomes, will allow relations to be drawn. The organizing framework of the database may be replicated by CNSs who are interested in describing the nature of their clinical practice.
Assuntos
Bases de Dados Factuais , Aplicações da Informática Médica , Enfermeiros Clínicos , Software , Especialidades de Enfermagem/métodos , HumanosRESUMO
Although nurses routinely perform activities that prevent or detect vascular complications following a cardiac catheterization, determining patient readiness for ambulation has received minimal research attention. Educating nurses to determine patient readiness for ambulation is a safe and effective way to promote patient comfort.
Assuntos
Cateterismo Cardíaco/enfermagem , Avaliação em Enfermagem/métodos , Enfermagem Perioperatória/métodos , Cuidados Pós-Operatórios/métodos , Assistência Ambulatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , CaminhadaRESUMO
In this report we describe the case of a patient with a significant coronary artery dissection following percutaneous transluminal coronary angioplasty (PTCA) in whom serial coronary arteriograms were obtained over a 6-week period. These demonstrated healing of the dissected vessel and correlated with abatement of the patient's angina.