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https://www.readbyqxmd.com/read/28227974/heart-rate-variability-as-a-biomarker-for-sedation-depth-estimation-in-icu-patients
#1
Sunil B Nagaraj, Sowmya M Ramaswamy, Siddharth Biswal, Emily J Boyle, David W Zhou, Lauren M Mcclain, Eric S Rosenthal, Patrick L Purdon, M Brandon Westover, Sunil B Nagaraj, Sowmya M Ramaswamy, Siddharth Biswal, Emily J Boyle, David W Zhou, Lauren M Mcclain, Eric S Rosenthal, Patrick L Purdon, M Brandon Westover, M Brandon Westover, Sunil B Nagaraj, Siddharth Biswal, Sowmya M Ramaswamy, Lauren M Mcclain, David W Zhou, Emily J Boyle, Patrick L Purdon, Eric S Rosenthal
An automated patient-specific system to classify the level of sedation in ICU patients using heart rate variability signal is presented in this paper. ECG from 70 mechanically ventilated adult patients with administered sedatives in an ICU setting were used to develop a support vector machine based system for sedation depth monitoring using several heart rate variability measures. A leave-one-subject-out cross validation was used for classifier training and performance evaluations. The proposed patient-specific system provided a sensitivity, specificity and an AUC of 64%, 84...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227823/smartphone-based-swallowing-monitoring-and-feedback-device-for-mealtime-assistance-in-nursing-homes
#2
Naomi Kuramoto, Dushyantha Jayatilake, Kikue Hidaka, Kenji Suzuki, Naomi Kuramoto, Dushyantha Jayatilake, Kikue Hidaka, Kenji Suzuki, Kenji Suzuki, Kikue Hidaka, Dushyantha Jayatilake, Naomi Kuramoto
As many of the elderly are prone to dysphagia, preventing aspirations during mealtime assistance is a huge concern, especially for institutions operated with limited staff. Two of the main course of actions that are taken usually to prevent aspiration are the altering of bolus consistency and altering of the swallowing posture. To assist prevention of pneumonia, we have been developing a smartphone-based wearable technology that can evaluate swallowing ability in real-time. In this paper we will introduce modified version of Swallwoscope adding a posture detection system and a remote swallowing activity visualisation system to our previous work...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227725/gistelemed-an-online-based-gis-approach-to-epidemiological-analysis-in-telemedicine-systems
#3
Andrei de Souza Inacio, Alexandre Savaris, Joao Marcus Alves, Aldo von Wangenheim, Andrei de Souza Inacio, Alexandre Savaris, Joao Marcus Alves, Aldo von Wangenheim, Andrei De Souza Inacio, Joao Marcus Alves, Aldo Von Wangenheim, Alexandre Savaris
Large-scale telemedicine systems provide extensive amounts of data that can be used to gather epidemiological information. Epidemiologists have been using GIS systems for the easy and quick visualization of data and to perform georeferenced epidemiological analysis. This paper presents GISTelemed, a georeferenced epidemiological analysis tool developed as part of the Santa Catarina State Integrated Telemedicine and Telehealth System (STT/SC), a statewide telemedicine infrastructure in Brazil. The GISTelemed module offers an architecture supporting real-time recovery, information visualization and epidemiological analysis from structured and semi-structured data...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227685/graphical-user-interface-for-a-robotic-workstation-in-a-surgical-environment
#4
A Bielski, C P Lohmann, M Maier, D Zapp, M A Nasseri, A Bielski, C P Lohmann, M Maier, D Zapp, M A Nasseri, M A Nasseri, M Maier, D Zapp, C P Lohmann, A Bielski
Surgery using a robotic system has proven to have significant potential but is still a highly challenging task for the surgeon. An eye surgery assistant has been developed to eliminate the problem of tremor caused by human motions endangering the outcome of ophthalmic surgery. In order to exploit the full potential of the robot and improve the workflow of the surgeon, providing the ability to change control parameters live in the system as well as the ability to connect additional ancillary systems is necessary...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227034/a-novel-algorithm-for-reducing-false-arrhythmia-alarms-in-intensive-care-units
#5
Chandan Srivastava, Sonal Sharma, Ali Jalali, Chandan Srivastava, Sonal Sharma, Ali Jalali, Ali Jalali, Chandan Srivastava, Sonal Sharma
Alarm fatigue in intensive care units (ICU) is one of the top healthcare issues in the US. False alarms in ICU will decrease the quality of care and staff response time over the alarms. Normally, false alarm will cause desensitization of the clinical staff which leads to warnings and misleading, if the triggered alarm is true. In this study, we have proposed a multi-model ensemble approach to reduce the false alarm rate in monitoring systems. We have used 750 patient records from PhysioNet database. At First arrhythmia based features from electrocardiogram (ECG), arterial blood pressure (ABP) and photoplethysmogram (PPG) features were extracted from the records...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226348/-the-key-points-of-prevention-for-special-surgical-complications-after-radical-operation-of-gastric-cancer
#6
Hao Xu, Weizhi Wang, Panyuan Li, Diancai Zhang, Li Yang, Zekuan Xu
Incidence of gastric cancer is high in China and standard radical operation is currently the main treatment for gastric cancer. Postoperative complications, especially some special complications, can directly affect the prognosis of patients, even result in the increase of mortality. But the incidences of these special complications are low, so these complications are often misdiagnosed and delayed in treatment owing to insufficient recognition of medical staff. These special complications include (1) Peterson hernia: It is an abdominal hernia developed in the space between Roux loop and transverse colon mesentery after Roux-Y reconstruction of digestive tract...
February 25, 2017: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/28226017/-evaluation-of-psychosocial-care-centers-structure-in-the-region-of-m%C3%A3-dio-paraopeba-minas-gerais-brazil
#7
Sarah Nascimento Silva, Marina Guimarães Lima
OBJECTIVE: to evaluate the physical facilities, human resources and activities developed in the Psychosocial Care Centers (CAPS) in the region of Médio Paraopeba, Minas Gerais, Brazil, in 2014. METHODS: this is an evaluation study of the dimensions of structure and processes proposed by Donabedian, based on recommendations of the Ministry of Health and current laws; semi-structured forms were used to interview health managers; direct observation of mental health services was performed...
January 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28224458/bridging-the-training-practice-gap-in-interprofessional-student-supervision
#8
Priya Martin, Saravana Kumar, LuJuana Abernathy
BACKGROUND: Workforce recruitment and retention issues are common in highly dispersed regions such as Queensland in Australia. Provision of student placements in these non-metropolitan areas is one way of promoting staff recruitment. However, healthcare professionals in these areas face a number of challenges in accessing training opportunities including student supervision training. Funding was made available to develop and run a series of targeted, evidence-based, interprofessional student supervision workshops in non-metropolitan Queensland...
February 21, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28224275/the-english-national-screening-programme-for-diabetic-retinopathy-2003-2016
#9
Peter H Scanlon
The aim of the English NHS Diabetic Eye Screening Programme is to reduce the risk of sight loss amongst people with diabetes by the prompt identification and effective treatment if necessary of sight-threatening diabetic retinopathy, at the appropriate stage during the disease process. In order to achieve the delivery of evidence-based, population-based screening programmes, it was recognised that certain key components were required. It is necessary to identify the eligible population in order to deliver the programme to the maximum number of people with diabetes...
February 22, 2017: Acta Diabetologica
https://www.readbyqxmd.com/read/28224038/single-incision-laparoscopically-assisted-appendectomy-performed-by-residents-is-safe-and-feasible-a-single-institution-retrospective-case-series
#10
Masaki Wakasugi, Naoto Tsujimura, Yujiro Nakahara, Takashi Matsumoto, Hiroyoshi Takemoto, Ko Takachi, Kiyonori Nishioka, Satoshi Oshima
INTRODUCTION: To confirm the safety and feasibility of single-incision laparoscopically assisted appendectomy (SILA) performed by resident doctors. MATERIALS AND METHODS: We retrospectively analyzed 86 consecutive patients who underwent SILA between August 2010 and August 2016 at Kinki Central Hospital. During this period, 9 residents and 6 board-certified attending surgeons performed SILA. Data on the patients' characteristics and perioperative complications were collected from their medical records...
March 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28220558/supporting-patients-with-type-1-diabetes-using-continuous-subcutaneous-insulin-infusion-therapy-difficulties-disconnections-and-disarray
#11
Lin Perry, Steven James, Robyn Gallagher, Janet Dunbabin, Katharine Steinbeck, Julia Lowe
RATIONALE, AIMS, AND OBJECTIVES: Use of continuous subcutaneous insulin infusion therapy in type 1 diabetes management is high. However, the incorporation of this technology into self-care is not without challenges, and the support of an appropriately skilled health care team is recommended. This study aimed to examine the support context for patients using continuous subcutaneous insulin infusion therapy from the health care professional perspective, as well as contextual influences for health care professionals and their patients...
February 21, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28219581/development-of-a-reliable-and-valid-organ-tissue-donation-and-transplantation-knowledge-scale
#12
G Ozturk Emiral, B Isıktekin Atalay, H Altunok, M E Gokler, M F Onsuz, S Metintas
INTRODUCTION: Knowledge has an important role in an individual's willingness to donate organs upon death. Knowledge enables clarification of false beliefs, which can increase willingness to consent to organ donation. The purpose of the study was to describe and examine the validity and reliability of the Organ-Tissue Donation and Transplantation Knowledge Scale (ODTKS). METHODS: We performed a comprehensive literature review and chose 23 items for the scale according to specialists' recommendations...
March 2017: Transplantation Proceedings
https://www.readbyqxmd.com/read/28219392/meaning-and-barriers-to-quality-care-service-provision-in-child-and-adolescent-mental-health-services-qualitative-study-of-stakeholder-perspectives
#13
Nadzeya Svirydzenka, Pablo Ronzoni, Nisha Dogra
BACKGROUND: Defining quality in health presents many challenges. The Institute of Medicine (IOM) defined quality clinical care as care that is equitable, timely, safe, efficient, effective and patient centred. However, it is not clear how different stakeholders within a child and adolescent mental health service (CAMHS) understand and/or apply this framework. This project aims to identify key stakeholders" understanding of the meaning of quality in the context of CAMHS. METHOD: The study sample comprised of three groups: (i) patients and carers, (ii) CAMHS clinical staff, and (iii) commissioners (Total N = 24)...
February 20, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28217177/an-overview-of-current-practice-in-external-beam-radiation-oncology-with-consideration-to-potential-benefits-and-challenges-for-nanotechnology
#14
REVIEW
Raymond B King, Stephen J McMahon, Wendy B Hyland, Suneil Jain, Karl T Butterworth, Kevin M Prise, Alan R Hounsell, Conor K McGarry
Over the past two decades, there has been a significant evolution in the technologies and techniques employed within the radiation oncology environment. Over the same period, extensive research into the use of nanotechnology in medicine has highlighted a range of potential benefits to its incorporation into clinical radiation oncology. This short communication describes key tools and techniques that have recently been introduced into specific stages of a patient's radiotherapy pathway, including diagnosis, external beam treatment and subsequent follow-up...
2017: Cancer Nanotechnology
https://www.readbyqxmd.com/read/28216078/checklist-to-improve-informed-consent-process-in-pediatric-surgery-a-pilot-study
#15
Mohammed Firdouse, Amy Wajchendler, Martin Koyle, Annie Fecteau
PURPOSE: The purpose of this study was to develop and validate a checklist to standardize surgical informed consent process. METHODS: A checklist was created following a literature search. Consent processes were observed from general surgery (GS) and urology (US) in the pre- and post-intervention phases. Competent patients/guardians were asked to complete a satisfaction questionnaire. All trainees and staff surgeons were interviewed on the checklist's utility. RESULTS: 73 observations (GS=39, US=34) and 66 observations (GS=30, US=36) were made in the pre- and post-intervention phase, respectively...
January 28, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28215964/implementation-of-the-surgical-safety-checklist-at-a-tertiary-academic-center-impact-on-safety-culture-and-patient-outcomes
#16
Areg Zingiryan, Jennifer L Paruch, Turner M Osler, Neil H Hyman
BACKGROUND: The impact and efficacy of the World Health Organization Surgery Safety Checklist (SSC) is uncertain. We sought to determine if the SSC decreases complications and examined the attitudes of the surgical team members following implementation of the SSC. METHODS: A 28-question survey was developed to assess perspectives of surgical team members at the University of Vermont Medical Center (UVMC). The University Health System Consortium database was examined to compare the rates of nine complications before and after SSC implementation using Chi square analysis and Fisher's exact test...
November 30, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/28215755/changing-the-culture-of-long-term-care-through-narrative-care-individual-interpersonal-and-institutional-dimensions
#17
Feliciano Villar, Rodrigo Serrat
Interest in the practice of narrative care with older adults is continuing to grow (Kenyon & Randall, 2015). Significant attention has been paid thus far to various formal interventions or programs that enhance the narrative development of individuals in later life by helping them to express and explore their unique life story. Comparatively little, however, has been paid to the many informal opportunities for practicing narrative care in long term settings that occur amidst everyday interpersonal interactions - e...
January 2017: Journal of Aging Studies
https://www.readbyqxmd.com/read/28215055/occupational-hazards-for-home-care-nurses-across-the-rural-to-urban-gradient-in-ontario-canada
#18
Matthew Wong, Margaret Saari, Erin Patterson, Martine Puts, Ann E Tourangeau
The purpose of this paper was to describe occupational hazards for nurses working in home care (HC) and explore how they differ across the rural-to-urban gradient. Responses (n = 823) from a cross-sectional survey conducted in 2012 of HC nurses registered to practise nursing in the Province of Ontario, Canada were used. Using chi-square analysis and posthoc pairwise tests with a Bonferroni correction, 14 occupational hazards were individually tested for differences between four geographical settings (rural, town, suburban or urban areas)...
February 19, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28215044/developing-caring-conversations-in-care-homes-an-appreciative-inquiry
#19
Belinda Dewar, Tamsin MacBride
Relationship-centred practice is key to delivering quality care in care homes. Evidence is strong about the centrality of human interaction in developing relationships that promote dignity and compassion. The Caring Conversations framework is a framework for delivering compassionate care based on human interactions that was developed in the acute healthcare setting. The key attributes are: be courageous, connect emotionally, be curious, consider other perspectives, collaborate, compromise and celebrate. This paper reports on a study to explore its relevance to the care home setting and the development of an educational intervention, based on the framework, to enhance development of human interaction...
February 19, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28214665/when-are-night-shifts-effective-for-nursing-student-clinical-learning-findings-from-a-mixed-method-study-design
#20
Alvisa Palese, Felix Basso, Elena Del Negro, Illarj Achil, Annamaria Ferraresi, Marzia Morandini, Renzo Moreale, Irene Mansutti
BACKGROUND: Some nursing programmes offer night shifts for students while others do not, mainly due to the lack of evidence regarding their effectiveness on clinical learning. OBJECTIVES: The principal aims of the study were to describe nursing students' perceptions and to explore conditions influencing effectiveness on learning processes during night shifts. DESIGN: An explanatory mixed-method study design composed of a cross-sectional study (primary method, first phase) followed by a descriptive phenomenological study design (secondary method, second phase) in 2015...
February 11, 2017: Nurse Education Today
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