Pan pneumo: an unusual complication following pacemaker implantation.

Implantation of cardiac devices is usually considered to be a safe procedure. Rare complications, such as pneumothorax, may occur after the procedure. The association with pneumopericardium or pneumomediastinum is even more uncommon.

[Cocaine-induced acute myocarditis].

Cocaine is a potent sympathomimetic drug usually associated with cardiotoxicity, including ventricular arrhythmia, systemic hypertension and acute myocardial infarction. It constitutes the most frequent cause of drug-related death reported by medical examiners in the US, and these events are most often related to the cardiovascular manifestations of the drug. However; to the best of our knowledge; cocaine induced acute myocarditis has very rarely been reported.

[Renal denervation for resistant hypertension without general anesthesia: advantage of a MEOPA morphine protocol. Preliminary experience].

Unlabelled: Renal denervation using the technique of radiofrequency is used only recently for the treatment of resistant hypertension. Normally, it is done under general anesthesia because the ablation point technique is painful. We suggest an alternative to general anesthesia comprising an association of morphin 0.

[Coronary artery spasm during dobutamine stress echocardiography: prevalence, clinical and echocardiographic characteristics and prognosis].

Objectives: To assess the prevalence of coronary artery spasm during dobutamine stress chocardiography (DSE), to describe clinical and echocardiographic characteristics and prognosis.

Patients And Methods: We evaluated all the patients with known or suspected coronary artery disease (CAD) referred to our echocardiography laboratory for dobutamine stress test between January 2004 and June 2012, (10013 exams). Those with abnormal DSE underwent coronary angiograms with a systematic methylergometrine intracoronary injection in case of absence of significant coronary stenosis or spontaneous occlusive coronary spasm.

Coronary artery spasm and dobutamine stress echocardiography.

Aims: The aim of this article was to assess whether abnormal dobutamine stress echocardiography (DSE) can be due to a dobutamine-induced coronary spasm in patients with angiographically documented vasospastic coronary arteries.

Methods And Results: Between January 2004 and April 2008, we prospectively evaluated all patients with known or suspected coronary artery disease (CAD) referred to the echocardiography laboratory for dobutamine stress tests (6061 examinations). Those with abnormal DSE underwent coronary angiogram with a systematic methylergometrine intracoronary injection in the case of absence of significant coronary stenosis or spontaneous occlusive coronary spasm.

In search of happiness.

Unlike other 'talking' therapies, psychotherapy centres on transferance. While it can be a painful experience, people feel and function better for it.

Intimacy in nursing.

There are many definitions of intimacy in nursing but what they all have in common is the need for communicated empathy, for nursing that is not just caring for but also caring about.

Developing a new generation of nurse entrepreneurs.

This article reviews the policy implications associated with the creation of nurse entrepreneurs, the levels of progress achieved and the major obstacles to developing these roles. International experience and the cultural climate of the NHS in the U.K.

Going global.

TRADITIONALLY, nurse leaders in the UK have tended to shy away from professional visits abroad.

The impact of the LEO programme.

Effective leadership is essential if health services are to modernize and provide improvements for patients. The Leading an Empowered Organisation programme is providing tens of thousands of clinical staff with the tools to achieve these goals. This study provides evidence that the programme is empowering clinical staff to promote new ways of working, and as a result advances in service delivery and patient care are being made.

Valuing 'voices from below'.

The publication of Commission for Health Improvement (CHI) reports in recent years have revealed that employees attempted to blow the whistle on abuse, corruption or malpractice but were largely ignored by senior members of staff. The CHI report into the North Lakeland National Health Service (NHS) Trust (November 2000), for instance, states that an initial failure among management to listen to the concerns of student nurses led to the sustained abuse of patients. To protect patients from incompetent and unethical practitioners and improve standards of care, an environment needs to be created where health care professionals feel able to express legitimate concerns openly and honestly to senior staff, safe in the knowledge that senior managers will take their concerns seriously and act accordingly.

Barriers to healthy eating in the nursing profession: Part 1.

Aim: The aim of this study commissioned by the NHS Executive North West was to identify the main areas of the nurse's working environment that prevent healthy eating, to ascertain if nurses have enough nutritional knowledge to make informed choices, and to review sources, availability and quality of food provided for nursing staff.

Method: A purposive sample size of 126 nurses from across eight healthcare sites in the North West region completed questionnaires.

Results: Shift patterns and failure to take breaks were identified as the two main barriers to healthy eating by respondents.