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In this book the lectures of the first course of the International School of Cardiology at Ettore Majorana are presented. It is difficult to reflect in a publication of this kind the atmosphere and spirit of this postgraduate course. Moreover, the beautiful scenery of Erice and its surroundings, celebrated by ancient Greek poets, can never be described by the editors of this book. The purpo~e of this course was to deepen our knowledge accumulated todate on the subjects of non-invasive cardio circulatory assessment and the analysis of the comprehensive approach to cardiac rehabilitation. The clinical value of exercise testing, echo-cardiography, scintigraphy, systolic time intervals have been discussed, as well as the tasks of exercise training, surgery and drugs in the secondary prevention of coronary heart disease. The problems of arrhythmias and the prevention of sudden death have been touched on, as well as early m~bilization after myocardial infarction, the use of digoxin and beta blockers and finally, the controversies in cardiac rehabilitation.
This book provides physiotherapists and exercise professionals with a comprehensive resource on the exercise components and skills of constructing and teaching CR exercise. It addresses the scope of knowledge and skills required by exercise specialists developing, delivering and teaching exercise based CR programmes. It has an evidence-based framework, and provides practical advice and suggestions based on the clinical experience of the contributing authors. Among the topics covered are assessment, exercise monitoring, the use of music, safety, teaching skills and maintaining physical activity. Thus the book provides a comprehensive and practical text that can be used to plan, develop and deliver all phases of exercise based CR. "...provides a virtual pharmacopoeia of exercise guidelines for patients with cardiovascular disease, with specific reference to exercise prescription, risk stratification, exercise physiology, monitoring techniques, and leadership and organizational skills. The authors represent a prestigious group of scientists, clinicians, researchers, and teachers, who are authorities in their respective fields. Clearly, the contributors have painstakingly worked to summarize, in a clear and concise manner, the latest research findings in each area, highlighting patient care and related applications. A "must-read" for clinicians in the field of cardiac rehabilitation. I highly recommend this extraordinary text !" —Barry A. Franklin, PhD, Director, Cardiac Rehabilitation and Exercise Laboratories, William Beaumont Hospital, Royal Oak, Michigan USA; Professor of Physiology, Wayne State University, School of Medicine, Detroit, Michigan
This edition addresses the cost effectiveness of interventions that educate and motivate patients to assume personal responsibility for long-term disease prevention.
Because many patients reduce exercise following outpatient cardiac rehabilitation (CR), we developed an intervention to assist with the transition and evaluated its feasibility and preliminary efficacy using a one-group pretest–posttest design. Five CR patients were enrolled ~1 month prior to CR discharge and provided an activity tracker. Each week during CR they received a summary of their physical activity and steps. Following CR discharge, participants received an individualized report that included their physical activity and step history, information on specific features of the activity tracker, and encouraging messages from former CR patients for each of the next 6 weeks. Mixed model trajectory analyses were used to test the intervention effect separately for active minutes and steps modeling three study phases: pre-intervention (day activity tracking began to CR discharge), intervention (day following CR discharge to day when final report sent), and maintenance (day following the final report to ~1 month later). Activity tracking was successfully deployed and, with weekly reports following CR, may offset the usual decline in physical activity. When weekly reports ceased, a decline in steps/day occurred. A scaled-up intervention with a more rigorous study design with sufficient sample size can evaluate this approach further.
AACVPR Cardiac Rehabilitation Resource Manual is the companion text to Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs. It complements and expands on the guidelines book by providing additional background material on key topics, and it presents new material concerning cardiac rehabilitation and secondary prevention. AACVPR Cardiac Rehabilitation Resource Manual combines reference-based data with practical information from the field. It applies current position statements, recommendations, and scientific knowledge from medical and scientific literature to aid in designing and developing safe, effective, and comprehensive cardiac rehabilitation programs. Useful for practitioners as well as students and instructors who are learning and teaching key concepts, AACVPR Cardiac Rehabilitation Resource Manual provides strong background support to topics addressed in the guidelines, such as risk factors for coronary heart disease, secondary prevention, psychosocial issues, and patients with special considerations. In addition, each chapter opens with a cross-reference box so that readers know where to reference the topic in the guidelines book. In addition to supporting information for the guidelines, the manual contains new information to help round out cardio programs. Topics include the atherosclerotic disease process, cardiovascular and exercise physiology, exercise prescription, and the electrocardiogram. AACVPR Cardiac Rehabilitation Resource Manual is divided into three parts. Part I examines the development and prevention of coronary artery disease, including reduction of risk factors, psychosocial issues and strategies, and contemporary procedures for revascularization. Part II delineates the role of exercise in heart disease, including the exercise and coronary artery disease connection, cardiovascular and exercise physiology, and exercise prescription. Part III focuses on special considerations, including heart disease as it relates to women and to the elderly and considerations for people with diabetes, chronic heart failure, and heart transplants. AACVPR Cardiac Rehabilitation Resource Manual contains pertinent, detailed information on the topics involved in contemporary cardiac rehabilitation and secondary prevention of coronary artery disease. Teamed with Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, the book provides professionals and students with the full range of guidelines and background materials needed for teaching and understanding the key issues in cardiac rehabilitation and secondary prevention.
First multi-year cumulation covers six years: 1965-70.
Dedicated to Michael Pollack (1936-1998), a preeminent scientist in the field, and intended as an up-to-date reference to both scientific and clinical topics, this volume comprises 34 contributed chapters combining the expertise of physicians with that of specialists in exercise and behavioral science. Early chapters discuss the history of cardiovascular rehabilitation, the epidemiology of cardiovascular disease, exercise as medicine from antiquity to the present, risk factor intervention, and clinical practice guidelines. Following are chapters on pathophsiology, diagnosis, and medical management; lifestyle management; common comorbidities and complications; and rehabilitation.
This volume is a report of the proceedings of the Third International Nephro-Lrological Course held in the Ettore Majorana Centre for Scientific Culture, Erice, Sicily, from 12th to 18th May 1980. Contributions were accepted on the understanding that the editors could make certain changes leading towards a uniformity of style but accepting as a Driority the importance of early publi cation, if necessary at the expense of stylistic perfection. The meeting, directed by A. Vercellone (Torino), R. Maiorca (Brescia) and M. Pavone-Macaluso (Palermo), was sponsored by: the Italian Associations of Nephrology, Immunology and Urology; the Ministries of Scientific Research and Public Education of the Republic of Italy; the Sicilian Regional Government; the National Research Council and the University of Palermo. Immunologic problems in renal disease Rnd metabolic and medical aspects of urolithiasis were the two subjects of the Congress, which was attended by numerous invi~ed speakers and participants. The first part was introduced by A. Vercellone (Torino), who discussed the major steps in the development and the present per spectives of nephrology, a relatively newly born science, recognized as such only in 1960. He called attention to the great significance of our present knowledge of the immunologic mechanisms (circulating immune complexes or in situ mounting, cellular immunity, activation of complement) which are involved in the pathogenesis of glomerulo nephritis.
Though much thought is given to nutritional aspects of infant feeding, the complex immunological aspects have not been considered adequately, not only in the acceptance of the change to artificial feeding during this century, but also in developing feeds for total or supplementary feeding which will do minimal immunological damage. Besides food, mother's milk gives an orchestra of complex interacting bacteriostatic, bactericidal and anti-viral substances which contribute to the establishment of the normal intestinal flora. These mechanisms probably explain the many reports that breast fed babies get fewer infections than those fed artificially; deprivation from this effect of artificial feeding can be devastating in developing countries, with limited hygienic facilities, bad water supplies and sanitation. Infection is also more frequent in artificially fed infants in developed countries. Ingesting antigens is an important step in initiating the immune response, but the reSponse to such antigens is a controlled one, and besides antibody and cell mediated responses, partial tolerance, and immune exclusion (reduction of subsequent entry of antigen) occur. It is likely that food allergy, grossly neglected until recently, arises from disturbance of such mechanisms in the genetically vulnerable (immunodeficient) child.
This volume documents the proceedings of a symposium on "Lung in its Environment" held at the Ettore Majorana 'Center for Scientific Culture, in Erice, Sicily, between 16th June and 21st June 1980. This was attended by about 200 participants drawn from Europe as a whole, but the majority were from Southern Europe. The discussion was recorded either in English or Italian and the tapes were reduced to a verbatim typescript by the Ente Nazionale Interpreti Congresso. The verbatim typescript has been edited using a few guiding principles as follows:- 1. Titles and honorifics have been eliminated unless the statement is addressed to a specific person. 2. The style of the speakers in the discussion has been preserved as far as possible and not reduced to a strictly grammatical format. 3. Where references to illustrations (e.g., on the blackboard) are made, the comments have been left unaltered and many are understandable. Removing them detracted from the sense. 4. The air of informality in the proceedings has been preserved so far as possible. 5. The responsibility for the discussion rests solely with the editors, and no contributor has had the opportunity of correcting what he said. 6. No manuscript was received from two participants, but the discussion of their presentations has been included since it contains some points of substance. 7.