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Developments with artificial hearts
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It is essential to the human body that the heart pump sufficient nutrient rich blood to the body’s cells, because the body won’t be able to function normally otherwise. When a heart muscle is unable to pump enough blood through to meet the body’s regular demand it is characterized as heart failure. Heart failure can usually be treated through conventional heart therapies and symptom management strategies, however conventional therapies don’t work for all patients with heart failure, this is what is depicted as advanced heart failure or end-stage heart failure. In other words “End stage” heart failure is when the condition becomes so severe that all conventional treatments no longer work, the only treatment that works for end stage heart failure is to have a heart transplantation-surgery to remove a person's diseased heart and replace it with a healthy heart from a deceased donor. However there are two large encompassing problems with this treatment. The first problem is that the patient is subject to shortages in donor organ availability and thus possible further decompensation and potential death while awaiting transplantation. According to the American Heart Association, there are over 500,000 new cases of end-stage heart failure in the United States every year. With only 2200 donor hearts available every year nearly 20-30% of the patients who die while they await a transplant. The second problem with this mode of treatment is that not all patients qualify for heart transplantation. Patients who have another disease in addition to end-stage heart failure do not qualify for heart transplantation. The discrepancy between the clinical need for donor hearts and the total number of hearts available, as well as the lack of treatment o...
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...the best material for this application The future for the total artificial heart with respect to using polyurethanes comes in the form of thermoplastic polyurethane (TPU), also known as polyurethane elastomers that have molecular structures similar to that of human proteins. TPUs have slower protein absorption (protein absorption is the beginning of the blood clotting process) this makes TPUs ideal candidates in the manufacturing of the total artificial heart because it provides more adhesive strength and mimics certain elements within the body. Hence, biomedical polyurethanes can lead the way to eliminate some acute health challenges that the total artificial heart currently faces. By virtue of their range of properties, polyurethanes and their new applications will continue to play an important role in the future of the total artificial heart.
Medtronic (Minneapolis) and Edwards Lifesciences (Irvine, California) are not strangers to patent lawsuits. Edwards is specializing in the production of artificial heart valves and new hemodynamic monitoring technology, whereas Medtronic is specializing in the production of medical devices. In the past, the two companies have had problems in patent infringement lawsuits over annuloplasty procedures and endovascular grafts (1,2). However, the latest patent infringement lawsuit has been filed and reported between Medtronic and Edwards Lifesciences. Edwards claimed that it has prior intellectual property rights in the new transcatheter aortic valve technology.
Cardiomyopathy, by definition, means the weakening of the heart muscle. The heart is operated by a striated muscle that relies on the autonomic nervous system to function. Cardiomyopathy is diagnosed in four different ways based on what caused the illness and exactly what part of the heart is weakened. The four main types of cardiomyopathy are dilated cardiomyopathy, hypertrophic cardiomyopathy, restrictive cardiomyopathy, and arrhythmogenic right ventricular dysplasia. One other category of cardiomyopathy that is diagnosed is “unclassified cardiomyopathy.” Unclassified cardiomyopathy is the weakening of the heart that does not fit into the main four categories.
This systematic review conducted by Takeda A, Taylor SJC, Taylor RS, Khan F, Krum H, Underwood M, (2012) sourced twenty-five trials, and the overall number of people of the collective trials included was 5,942. Interventions were classified and assessed using the following headings.-
...y hired nurses on the heart failure floor since discharge education remains one of the responsibilities. I believe knowledge is an important factor to empower the patients about heart failure care and nurses spend nearly 24 hours a day with hospitalized patients; therefore, nurses can be patient advocates by reinforcing teaching. Most importantly, I believe that catering to the patient’s individual needs and establishing a good nurse-patient relationship enhances trust and learning which in the long run, is very beneficial to both nursing practice and the quality of life of the patient. Overall, what I discovered about heart failure is that there is no simple solution in preventing heart failure hospital readmission. Even with the recommended evidence-based practice suggestions, hospital readmission rates for HF still seem to remain high throughout the country.
Alumina and zirconia ceramics have been widely used in orthopaedic hip replacements for the past 30 years. The advantage of using these was lower wear rates than those observed using polymers and metals. Because of the ionic bonds and chemical stability of ceramics, they are relatively biocompatible and therefore more preferable to use than metals and polymers. Alumina is most commonly used as a femoral head component instead of a metal in a hip prosthesis because this would reduce the polyethylene wear that is generated. Alumina is a desirable biomaterial to use in hard tissue implants because of characteristics like excellent wear resistance, high hardness, bio inert, low abrasion rate and good frictional behaviour. Furthermore, it has excellent surface finish as well as high fatigue streng...
Congestive Heart Failure is when the heart's pumping power is weaker than normal. It does not mean the heart has stopped working. Blood moves through the heart and body at a slower rate, and pressure in the heart increases. This means the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body, or by becoming more stiff and thickened.
As of February 2000 there were in the United States 67,340 people waiting for organ transplants.8 In 1998, 4,855 Americans on that list died waiting.8 Against this backdrop of critical need, physicians in Wisconsin are using a controversial drug, Regitine, to preserve organs from patients on life support who still have brain activity, but who are not expected to survive their injury or illness.4 These donors, who typically die of cardiac arrest following the removal of life-sustaining technologies, are called non-heart-beating donors (NHBDs) and differ from traditional "brain-dead" donors in that the cessation of heart beat is sufficient to declare death and begin organ removal.3
They have now invented a “beating heart transplant.” It consists of a mechanical system to keep the heart beating, while it is being transferred to the candidate. Statistics have proven that these candidates have a higher recovery rate, because of the “beating heart.” Throughout reading above, it is a given that organ donation is vital to saving lives, but it is not deemed proper to be made mandatory.
The basic function of a working kidney is to remove toxic waste from the bloodstream, balances body fluids and forms urine. (WebMd, 2013) When the kidney, which is an essential part of the human body fails and blood flow is compromised by electrolyte and acid base abnormalities this is Acute Renal Failure (ARF) also known as Acute Kidney Injury. There are three major causes of acute renal failure. First being Prerenal, which is primarily a severe drop in blood pressure and cessation of blood flowing to the kidneys caused by a traumatic injury or a severe illness. Secondly, another cause is Intrarenal which is the Middle stage of renal Failure, manifested by edema, toxins, drugs and decreased blood supply. Lastly, Postrenal is when the urine flow is compromised due to an enlarged prostate, stones, and/or a bladder tumor. According to the American Family Physician (2000) 60 to 70 percent of cases are prerenal causes.
Coronary heart disease or coronary artery disease affects 16.8 million people in the United States and causes more than 607,000 deaths annually (Lemone, chap.30). It is caused by atherosclerosis which is the accumulation of fatty deposits in the arteries causing impaired blood flow to the myocardium. CAD or coronary artery syndrome is usually without symptoms but may induce heart attack, angina and acute coronary syndrome if not properly treated. There are many risk factors associated with CAD like obesity, high cholesterol diet, hereditary, physical inactivity, just to name a few. Patients with CAD may be unable to identify and manage their risks factors. It is imperative for nurses to educate the patient about CAD and measures to enhance their health.
Many animals, such as Winter the dolphin, have inspired great innovations in human prosthetics. After Winter lost her tale in a crab trap accident scientist began creating a custom prosthetics. While in the process they created a rubbery sock made of thermoplastic elastomer, now called Winter’s gel. Today this is used with a number of patients as a less irritating version of prosthetic liner. It is especially helpful for amputee athletes as it doesn’t slip when it gets
Congested Heart Failure is a chronic condition that affects pumping power of the heart muscle. Sometimes it is just referred to “heart failure”, sometimes people without specifying can understand different. Congested heart Failure specify talks about where the fluids build up around the heart causing it to pump inefficiently. In the heart we have four chambers in which the ventricle is the one that pumps blood to the organs. Congested Heart Failure also known as CHF starts to develop when the ventricles cannot pump enough blood to the whole body. As that starts to happen the blood starts to back up inside the lungs, liver, abdomen, and lower body. As everyone knows CHF can be life threatening.
Oxygen was first admitted to the client with chest pain over 100 years ago (Metcalfe, 2011). Chest pain is a large bracket that can contain many different conditions, but for the purpose of this analysis it is focused manly upon a myocardial infarction. A myocardial infarction is mainly referred to as a heart attack, and occurs when one or more coronary arteries leading to the heart reduce or completely stop blood flow (Tuipulotu, 2013 ). Administering high concentrations of oxygen to patients with chest pain is now embedded in guidelines, protocols and care pathways, even with a lack of clear supporting evidence (Nicholson, 2004 ). High concentration of oxygen means that up to 60% is administered (Knott, 2012). More recent research has suggested that the use of oxygen in this scenario is unnecessary and can lead to unwanted side effects, especially in normoxic cardiac patients (Moradkham & Sinoway, 2010 ). The aim of this comparative analysis is to dismantle and understand both the benefits and risks of the commonly known practice of administration of oxygen to the client with chest pain. Through completing this analysis using recent and appropriate evidence a more improved practice can be given and understood.
Is it really possible to die of a broken heart? When people hear about broken heart, they typically think that you have broken up with a boyfriend/girlfriend, and believe that the phrase “broken heart” is just that, a phrase. Those thoughts are incorrect because a broken heart is a real thing. Many people haven’t heard of “Broken Heart Syndrome” or “Takotsubo Cardiomyopathy.” What is broken heart syndrome? It is a syndrome that occurs when there is a sudden heart failure that occurs about an emotional trauma. This syndrome was first recognized by Japanese doctors in the 1990’s. The reason it got its name is because of the shape of the heart muscle is when it occurs, the shape resembles a Japanese octopus trap, which is called “Takotsubo.”
Besides, the survival rate of heart transplant keeps rising due to the advancement of biomedical technology from time to time. It is believed that heart transplant will bring great improvement to the patients’ lives. They would be able to enjoy the daily activities after the recovery period.