Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
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Showing 1 to 20 of 58 for “"chest pain"”.
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Chest Pain Protocol Order Set
<p>The goal of this project is to implement a chest pain protocol order set in order to increase the nurse-initiated chest pain protocol by 50%. The project was implemented in a Emergency Department (ED) that has problems with understaffing and patient crowding. RN-initiated chest pain orders are …
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POTENTIALLY AVOIDABLE CHEST PAIN OBSERVATION UNIT UTILIZATION: ADMISSION OF VERY-LOW-RISK PATIENTS
Chest Pain Observation Units (CPOUs) have objective criteria to prevent placement of excessively high-risk patients into these units. However, similar criteria do not exist to identify very-low-risk patients who could potentially avoid CPOU admission. The objective of this study was to quantify the …
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RANDOMIZED COST COMPARISON OF CARDIAC MRI USE IN EMERGENCY DEPARTMENT PATIENTS WITH CHEST PAIN
… cost among patients with intermediate-risk chest pain managed with two diagnostic strategies: an observation unit (OU) cardiac MRI (CMR) strategy and inpatient care. Methods A single center clinical trial randomized 110 patients with intermediate-risk chest pain (TIMI ≥2 or clinical …
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A Novel accelerated diagnostic protocol to identify emergency department patients with chest pain who may be suitable for discharge after a single high-sensitivity troponin TRUST:Triage Rule-out Using high-sensitivity Troponin Chest Pain Study.
Background Chest pain makes up a quarter of medical admissions in the United Kingdom. A diagnostic strategy that prevents unnecessary hospital admission in a large proportion of this patient group would have significant benefits for healthcare services by reducing hospital admission rates, ED …
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The influence of masculinity on white and south Asian men's help seeking behaviour for chest pain
… masculinity on their help-seeking behaviour for chest pain. This thesis aims to address this gap in the literature by exploring how masculinities influence white and South Asian men's decision to seek or delay-seeking medical help for acute chest pain. A modified grounded theory methodology …
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Pictogram use during chest pain nurse specialist consultations in regional New Zealand: Patient experiences and clinical outcomes
… in New Zealand are currently in place to support Chest Pain Clinics. One of the purposes of this clinic is to review symptoms and determine whether further investigations for detecting medically important coronary artery disease are required. Chest pain is subjective and is the patient’s …
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Improving Stress Echocardiogram Access for Patients with Low-Risk Chest Pain in the Emergency Department Clinical Decision Unit
… scheduling access for patients with low-risk chest pain in the Emergency Department Clinical Decision Unit.</p>
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The Clinical Nurse Leader as Outcomes Manager in the Emergency Department: Improving Door-to-ECG Time for Patients Presenting with Chest Pain
… benchmark for walk-in patients presenting with chest pain or chest discomfort. Based on Lewin’s theory of change and utilizing the Institute for Healthcare Improvement’s model for improvement, a change package of practical interventions was developed and implemented to achieve improved outcomes. …
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Predicting Obstructive Coronary Artery Disease in Patients Undergoing Coronary Angiography for Stable Angina
… artery disease (CAD) in patients presenting with chest pain is key in determining the next steps in management. The Diamond-Forrester model, or an updated version, are currently recommended to calculate a patient’s pre-test probability of obstructive CAD in both the American and European …
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An exploration of the help-seeking experiences of men and women referred to a rapid access chest pain clinic (a cardiac physiologist-managed clinic)
… to services for potential CHD (e.g. Rapid Access Chest Pain Clinics). Research has shown that these public health targets have caused decreases in morbidity and mortality rates for CHD in the UK. However, despite these improvements health services are still limited by help-seeking practices of …
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INVESTIGATION OF INOSINE AND HYPOXANTHINE AS BIOMARKERS OF CARDIAC ISCHEMIA IN PLASMA OF NON-TRAUMATIC CHEST PAIN PATIENTS AND A RAPID ANALYTICAL SYSTEM FOR ASSESSMENT
… 7-8 million patients with non-traumatic chest pain visit hospital emergency departments (ED) for medical evaluation. It is estimated that approximately 2-5% of these patients are experiencing acute cardiac ischemia, but due to the shortcomings of current test methods, they are incorrectly …
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Clinical Insights into The NOCA Syndromes
… specifically focuses on the clinical features, chest pain characteristics, diagnostic investigations, underlying pathogenesis and outcomes of patients with non-obstructive coronary arteries (NOCA, stenosis <50%). The specific objectives of this Thesis include: Chapter II. To compare the clinical …
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Retrospective review of the incidence of venous thromboembolism in pregnancy and the puerperium and identification of presenting complaints of pregnancy-related venous thromboembolism at Groote Schuur Maternity Centre, Cape Town between 1 January 2016 and 31 December 2016
… frequently reported symptoms and signs were leg pain (66.7%), leg swelling (66.7%) and tachycardia (66.7%). Patients without deep venous thrombosis presented more with leg swelling (76.3%), red discolouration (10.5%) and cellulites (10.5%). The only presenting clinical features that were …
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Development of rate related exercise-induced myocardial ischemia and risk of selected coronary disease endpoints
… dysrhythmias (PVC), and exercise induced chest pain. Chi-square analyses showed no significant changes across the serial tests for any of the variables examined in either the CE or NE groups (P)0.05). Nevertheless, the CE group had significantly more 8Tsegment depression, ST/HR slope, and …
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Urinary Biomarkers and Patient Outcome in Chronic Kidney Disease and Atherosclerotic Heart Disease: The value of IgM-uria and IgG-uria
… consecutive patients who presented with acute chest pain to the emergency department of Lund University Hospital were followed for up to 2 years. Patients with acute coronary syndrome had significantly higher baseline IgM-uria than those with non-specific chest pain. Chest pain patients with …
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The efficacy of the exercise treadmill test in patients with mild cardiovascular risk in a regional New Zealand population
… cardiovascular risk are seen in the researcher's chest pain clinic and undergo assessment for coronary artery disease using exercise treadmill testing. Due to the current fiscal and resource constraints in the public health system it is important to know that local resources are being utilised in …
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A descriptive study of the use of troponin I testing at a Cape Town district hospital
… patient care in patients presenting with chest pain. The tests are expensive, however, and so their rational use becomes extremely important in a budget-constrained public health sector. The aim of this study was to describe how Troponin I tests are used throughout Victoria Hospital, by a …
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A retrospective description of a 12 month caseload at four private emergency centres in South Africa
… respiratory issues, fever, traffic accidents and chest pain. Conclusion This study is the first description of the caseload and case mix in private EDs in South Africa. The most common presenting complaints were gastrointestinal and respiratory, with chest pain being the commonest red triaged …
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Primary care patients’ preferred roles in treatment decision-making in an era of increased health information
… two vignettes: ‘current health condition’ and ‘chest pain’. T-tests compared the perceived health information literacy and trust in physician scores between shared and passive patients. A binary logistic regression was computed to see whether trust in physician and perceived health information …
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