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Vital Sign Monitor

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https://www.readbyqxmd.com/read/30515002/patient-survival-after-acute-voluntary-poisoning-with-a-huge-dose-of-oxcarbazepine-and-olanzapine
#1
Vasiliki Kalogera, Dimitrios Galopoulos, Gerasimos Eleftheriotis, Evangelia Meimeti, Ioannis Malios, Georgios Marathonitis, Chariclia Loupa
Introduction: Oxcarbazepine is a carbamazepine pre-drug with less drug interactions. Its adverse effects, including hyponatremia, somnolence and ataxia, are dose dependent. Olanzapine is an atypical antipsychotic drug most commonly used to manage psychoses and symptoms of irritability and aggressive behavior. Main side effects include extrapyramidal and anticholinergic symptoms, weight gain, and hyperglycemia. Case Report: In this manuscript a case of oxcarbazepine and olanzapine intoxication is discussed...
October 2018: Medical Archives
https://www.readbyqxmd.com/read/30501993/magnesium-sulphate-replacement-therapy-in-cardiac-surgery-patients-a-systematic-review
#2
REVIEW
Rebecca M Jedwab, Alison M Hutchinson, Bernice Redley
OBJECTIVE: The objective of this review was to identify evidence to inform clinical practice guidelines for magnesium sulphate (MgSO4 ) replacement therapy for postoperative cardiac surgery patients. DATA SOURCES: Three databases were systematically searched: CINAHL Complete, MEDLINE Complete, and EmBase. REVIEW METHOD USED: A systematic literature review method was used to locate, appraise, and synthesise available evidence for each step of the medication management cycle (indication, prescription, preparation, administration, and monitoring) for MgSO4 replacement therapy...
November 27, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30500093/paediatric-and-adult-bronchiectasis-monitoring-cross-infection-role-of-multidisciplinary-teams-and-self-management-plans
#3
REVIEW
Vidya Navaratnam, Douglas L Forrester, Kah Peng Eg, Anne B Chang
Bronchiectasis is a chronic lung disease associated with structurally abnormal bronchi, clinically manifested by a persistent wet/productive cough, airway infections and recurrent exacerbations. Early identification and treatment of acute exacerbations is an integral part of monitoring and annual review, in both adults and children, to minimize further damage due to infection and inflammation. Common modalities used to monitor disease progression include clinical signs and symptoms, frequency of exacerbations and/or number of hospital admissions, lung function (forced expiratory volume in 1 s (FEV1 )% predicted), imaging (radiological severity of disease) and sputum microbiology (chronic infection with Pseudomonas aeruginosa)...
November 30, 2018: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/30488483/weight-restoration-in-atypical-anorexia-nervosa-a-clinical-conundrum
#4
Jason M Nagata, Andrea K Garber, Sara M Buckelew
The determination of the treatment goal weight for adolescents with a restrictive eating disorder (ED) and a prior history of obesity, such as in atypical anorexia nervosa (AAN), represents an ongoing challenge for clinicians. This determination is particularly complex given competing interests of physical recovery from significant weight loss, mental recovery from ED psychopathology, and the medical comorbidities associated with obesity. We report the case of a 15-year old female with a history of obesity and irregular periods who presented with significant weight loss and absence of menses for 3 months...
November 28, 2018: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/30488380/first-real-world-experience-with-mobile-health-telemonitoring-in-adult-patients-with-congenital-heart-disease
#5
M A C Koole, D Kauw, M M Winter, D A J Dohmen, I I Tulevski, R de Haan, G A Somsen, M P Schijven, D Robbers-Visser, B J M Mulder, B J Bouma, M J Schuuring
BACKGROUND: Arrhythmias and heart failure are common and invalidating sequelae in adult patients with congenital heart disease (CHD). Mobile health (m-Health) enables daily monitoring and a timely response that might prevent deterioration. We present an observational prospective registry to evaluate feasibility of an m‑Health telemonitoring program for managing arrhythmia, heart failure and blood pressure in symptomatic adults with CHD. METHODS: Symptomatic adult patients with CHD are enrolled in an m‑Health telemonitoring program, which evaluates single-lead ECG, blood pressure and weight measurements...
November 28, 2018: Netherlands Heart Journal
https://www.readbyqxmd.com/read/30481865/-artificial-liver-support-system-for-acute-on-chronic-liver-failure-combined-with-successful-liver-transplantation-in-stage-iii-iv-hepatic-encephalopathy-an-analysis-of-14-cases
#6
Y H Wang, X Zhu, D Y Feng, B Q Wu
Objective: To evaluate the effect of plasma exchange combined with high-dose continuous venovenous hemodiafiltration method (CVVHDF) in the treatment of patients with acute-on-chronic liver failure with stage III-IV hepatic encephalopathy and the feasibility of pre-operative preparation for liver transplantation. Methods: Clinical data of 14 cases of medical intensive care unit of our hospital with acute-on- chronic liver failure accompanied with stage III-IV hepatic encephalopathy that underwent plasma exchange combined with high-dose CVVHDF from March 2015 to September 2017 were retrospectively summarized...
September 20, 2018: Zhonghua Gan Zang Bing za Zhi, Zhonghua Ganzangbing Zazhi, Chinese Journal of Hepatology
https://www.readbyqxmd.com/read/30478523/acoustic-respiration-rate-and-pulse-oximetry-derived-respiration-rate-a-clinical-comparison-study
#7
Michal E Eisenberg, Dalia Givony, Raz Levin
Respiration rate (RR) is a critical vital sign that provides early detection of respiratory compromise. The acoustic technique of measuring continuous respiration rate (RRa ) interprets the large airway sound envelope to calculate respiratory rate while pulse oximetry-derived respiratory rate (RRoxi ) interprets modulations of the photoplethsymograph in response to hemodynamic changes during the respiratory cycle. The aim of this study was to compare the performance of these technologies to each other and to a capnography-based reference device...
November 26, 2018: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/30472663/simplified-management-protocol-for-term-neonates-after-prolonged-rupture-of-membranes-in-a-setting-with-high-rates-of-neonatal-sepsis-and-mortality-a-quality-improvement-study
#8
Diana Olita'a, Roland Barnabas, Gamini Vali Boma, Wendy Pameh, John Vince, Trevor Duke
In low-income and middle-income countries, courses of antibiotics are routinely given to term newborns whose mothers had prolonged rupture of membranes (PROM). Rational antibiotic use is vital given rising rates of antimicrobial resistance and potential adverse effects of antibiotic exposure in newborns. However missing cases of sepsis can be life-threatening.This is a quality improvement evaluation of a protocol for minimal or no antibiotics in term babies born after PROM in Papua New Guinea. Asymptomatic, term babies born to women with PROM >12 hours prior to birth were given a stat dose of antibiotics, or no antibiotics if the mother had received intrapartum antibiotics, reviewed and discharged at 48-72 hours with follow-up...
November 24, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/30459021/body-temperature-and-clinical-thermometry
#9
Charmaine Childs
In this chapter, the nuance of body temperature is explored in the context of contemporary clinical medicine and technology. It takes the reader through the concept of body and shell as a route to explain the variety of temperature measurements that are observed in health and disease and the interdependence between skin and core temperature in maintaining thermal stability and thermal comfort perception. Methods for the measurement of temperature using different thermometer devices are discussed from the perspective of fundamental clinical assessment and vital signs, temperature monitoring and measurement for life-critical decision making, thermometry in mass screening, and to the future with advances in thermometry and thermography in new applications for diagnosis...
2018: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/30457268/-acoustic-pollution-in-neonatal-and-paediatric-intensive-care-units-a-literature-review
#10
Ilaria de Barbieri, Eugenia de Anna, Veronica Strini
AIM: The purpose of this review is to describe acoustic pollution in neonatal and paediatric intensive care units, sources and effects of noise on patients and health care professions and interventions to reduce it. METHOD: The literature review was carried out using four main databanks from November 2016 to December 2016 through variously combined keywords and Mesh. 237 papers were detected. Presence of full text and pertinence were selection criteria. OUTCOME: 43 papers and 2 guidelines were selected...
July 2018: Professioni Infermieristiche
https://www.readbyqxmd.com/read/30456150/a-qualitative-study-exploring-nurses-attitudes-confidence-and-perceived-barriers-to-implementing-a-traumatic-brain-injury-nursing-chart-in-uganda
#11
Leslie Wynveen, Miriam Gamble, Josephine Nabulime, Tonny Luggya, Joseph K Kalanzi, Hani Mowafi
Introduction: In Africa, traumatic brain injuries frequently result from road traffic injuries and assaults. Despite limited resources and the high costs of life-saving neurosurgical interventions, secondary brain injury prevention has the potential for improving outcomes. However, nurses and other medical personnel infrequently monitor vital signs, blood sugar, and pulse oximetry and only sporadically re-assess neurological status. Methods: In one-on-one, semi-structured interviews, 27 nurses from Mulago Hospital's emergency centre, a tertiary care trauma hospital in Kampala, Uganda, provided feedback regarding a traumatic brain injury-focused education session and use of a nursing chart for detecting secondary brain injury...
June 2018: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
https://www.readbyqxmd.com/read/30443828/multiband-ultra-thin-flexible-on-body-transceivers-for-wearable-health-informatics
#12
Mubasher Ali, Junaid Zafar, Haroon Zafar, Martin O'Halloran, Faisal Sharif
Substantial concentration has been associated to the monitoring of vital signs and human activity using wireless body area networks. However, one of the key technical challenges is to characterize an optimized transceiver geometry for desired isolation/bandwidth and specific absorption rate (SAR) characteristics, independent of transceiver chip on-body location. A microwave performance evaluation of monopole wearable transceiver was completed and results presented. A novel on-body antenna transceiver was designed, simulated and fabricated using an ultra-thin substrate RO 3010 (h = 250 µm) that ensures compactness and enhanced flexibility...
November 15, 2018: Australasian Physical & Engineering Sciences in Medicine
https://www.readbyqxmd.com/read/30441705/modelling-and-synthesizing-motion-artifacts-in-unobtrusive-multimodal-sensing-using-copulas
#13
Felix Berief, Steffen Leonhardt, Christoph Hoog Antink
The use of non-contact sensing modalities to estimate apatient's vital signs is a promising approach to improve remote monitoring. One of the main challenges in non-contact sensing are motion artifacts, which can cause severe problems and must not be disregarded when designing non-contact systems. Combining multiple sensors and using intelligent sensor-fusion algorithms can reduce the influence of motion artifacts and improve the robustness of the vital sign estimation. Training and validating algorithms are important parts of the development process, but acquiring real data is usually a time-consuming task...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/30441686/vital-sign-monitoring-using-capacitive-sensing
#14
Emil Jovanov
Unobtrusive vital sign monitoring is essential for most wearable monitoring applications. This paper presents a new method for unobtrusive vital sign monitoring based on the change in capacitance of passive sensors in contact with the user's body. Unlike traditional capacitive coupling that is commonly used for elimination of the DC component of bioamplifiers, we propose monitoring of heart rate using galvanically isolated capacitive sensors. This paper presents the theory of operation and the implementation of a prototype device for heart rate monitoring...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/30441185/channel-loss-in-contactless-human-body-communication
#15
Jingna Mao, Huazhong Yang, Yong Lian, Bo Zhao
Human body communication (HBC) utilizes human body as the transmission medium to facilitate data communications in a wireless body area network (WBAN). It normally uses a pair of transmitting (Tx) and receiving (Rx) electrodes clinging to the body surface to form a low-loss body channel, so a higher energy efficiency can be achieved in comparison to conventional wireless communications. In HBC, the Tx electrode can be shared with vital sign monitoring electrode, such as ECG electrode or EEG electrode, to inject the signal into body...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/30440706/fully-disposable-wireless-patch-sensor-for-continuous-remote-patient-monitoring
#16
Nandakumar Selvaraj, Gabriel Nallathambi, Rod Moghadam, Arshan Aga
Continuous remote monitoring with convenient wireless sensors is attractive for early detection of patient deterioration, preventing adverse events and leading to better patient care. This article presents an innovative sensor design of VitalPatch, a fully disposable wireless biosensor, for remote continuous monitoring, and details the performance assessments from bench testing and laboratory validation in 57 subjects. The bench testing results reveal that VitalPatch's QRS detection had a positive predictive value of $> 99$% from testing with ECG databases...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/30440702/polymer-coated-fiber-optic-probe-for-the-monitoring-of-breathing-pattern-and-respiratory-rate
#17
S Iacoponi, C Massaroni, D Lo Presti, P Saccomandi, M A Caponero, R DrAmato, E Schena
In recent years, no-invasive and small size systems are meeting the demand of the new healthcare system, in which the vital signs monitoring is gaining in importance. In this context, Fiber Bragg grating (FBG) sensors are becoming very popular and FBG-based systems could be used for monitoring vital signs. At the same time, FBG could be able to sense chemical parameters by the polymer functionalization. The aim of our study was investigating the ability of a polymer-coated FBG-based probe for monitoring breathing patterns and respiratory rates...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/30440691/long-distance-vital-signs-monitoring-with-person-identification-for-smart-home-solutions
#18
M Szankin, A Kwasniewska, T Sirlapu, M Wang, J Ruminski, R Nicolas, M Bartscherer
Imaging photoplethysmography has already been proved to be successful in short distance (below 1m). However, most of the real-life use cases of measuring vital signs require the system to work at longer distances, to be both more reliable and convenient for the user. The possible scenarios that system designers must have in mind include monitoring of the vital signs of residents in nursing homes, disabled people, who can't move, constant support for people regardless of the performed activity (e.g., during sleeping), infants, etc...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/30440524/non-contact-remote-measurement-of-heart-rate-variability-using-near-infrared-photoplethysmography-imaging
#19
Xinchi Yu, Michael Paul, Christoph Hoog Antink, Boudewijn Venema, Vladimir Blazek, Cornelius Bollheimer, Steffen Leonhardt, Daniel Teichmann
Heart rate variability (HRV) is an important clinical parameter associated with the autonomous nervous system (ANS), age, as well as many diseases such as myocardial infarction, diabetes or renal failure. Gold standard for measurement of HRV is a high-resolution electrocardiogram (ECG). With the current trend towards non-contact and unobtrusive monitoring of vital signs, HRV has also become an interesting and important parameter for non-contact monitoring. In this paper, we present an approach towards non-contact and unobtrusive monitoring of heart rate variability using the camera-based technology of photoplethysmography imaging (PPGI)...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/30440510/pose-invariant-face-detection-by-replacing-deep-neurons-with-capsules-for-thermal-imagery-in-telemedicine
#20
A Kwasniewska, J Ruminski, M Szankin, K Czuszynski
The aim of this work was to examine the potential of thermal imaging as a cost-effective tool for convenient, nonintrusive remote monitoring of elderly people in different possible head orientations, without imposing specific behavior on users, e.g., looking toward the camera. Illumination and pose invariant head tracking is important for many medical applications as it can provide information, e.g., about vital signs, sensory experiences, injuries, wellbeing. In the performed experiments, we investigated the influence of different modifications of images (rotation, displacement of facial features, and displacement of facial quarters) on the prediction accuracy...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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