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https://www.readbyqxmd.com/read/28620635/pioneering-strategies-for-relieving-dental-anxiety-in-hearing-impaired-children-a-randomized-controlled-clinical-study
#1
Shalini Chandrasekhar, Ghanashyam Prasad Madu, Naga Radhakrishna Ambati, Pavani Reddy Suravarapu, Kalyani Uppu, Deepthi Bolla
STATEMENT OF THE PROBLEM: Hearing impaired children have a problem in understanding and comprehending with dental treatments. Visual language is the sensible answer of how to improve communication with them. PURPOSE: To evaluate the applicability of dental sign language in Hearing impaired children in relieving anxiety during stressful dental treatment by improving their means of communication. MATERIALS AND METHOD: This randomized clinical trial was carried out in the Department of Pedodontics and Preventive Dentistry which included 40 Hearing Impaired children meeting inclusion criteria...
June 2017: Journal of Dentistry
https://www.readbyqxmd.com/read/28619185/high-prevalence-of-restless-legs-syndrome-willis-ekbom-disease-rls-wed-among-people-living-at-high-altitude-in-the-indian-himalaya
#2
Ravi Gupta, Jan Ulfberg, Richard P Allen, Deepak Goel
BACKGROUND: At high altitude, prevalence of restless legs syndrome has been found to be greater than expected in small population-based studies, which did not use validated tools for identification of RLS. However, it is not known as to whether this increased prevalence is associated with altitude or increased risk factors for RLS in these populations or errors in identification of RLS. METHOD: This population based, door-to-door study was conducted at low altitude (400 m above sea level) and high altitudes (1900-2000 m and 3200 m above sea level) using random stratified sampling in Himalayan and sub-Himalayan region of India...
July 2017: Sleep Medicine
https://www.readbyqxmd.com/read/28607210/tachypnea-and-other-danger-signs-vs-pulse-oximetry-for-prediction-of-hypoxia-in-severe-pneumonia-very-severe-disease
#3
Varun Alwadhi, Pooja Dewan, Rajeev Kumar Malhotra, Dheeraj Shah, Piyush Gupta
OBJECTIVE: To compare the performance of respiratory rate and other clinical signs against pulse oximetry for predicting hypoxia in children with Severe pneumonia/Very severe disease as per integrated management of neonatal and childhood illness (IMNCI) classification. DESIGN: Cross-sectional study. SETTING: Pediatric emergency department of a tertiary-care hospital in Delhi, India. SUBJECTS: 112 hospitalized children (2 mo - 5 y) with Severe pneumonia/Very severe disease as per IMNCI classification...
June 4, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28579770/proteasome-activity-related-with-the-daily-physical-activity-of-copd-patients
#4
Kang-Yun Lee, Tzu-Tao Chen, Ling-Ling Chiang, Hsiao-Chi Chuang, Po-Hao Feng, Wen-Te Liu, Kuan-Yuan Chen, Shu-Chuan Ho
BACKGROUND: COPD is a debilitating disease that affects patients' daily lives. One's daily physical activity (DPA) decreases due to multifactorial causes, and this decrease is correlated with a poor prognosis in COPD patients. Muscle wasting may at least be partly due to increased activity of the ubiquitin proteasome pathway and apoptosis. METHODS: This study investigated the relationships among DPA, circulating proteasome activity, and protein carbonyl in COPD patients and healthy subjects (HSs)...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28575484/comprehensive-analysis-of-liberal-and-restrictive-transfusion-strategies-in-pediatric-intensive-care-unit
#5
Basak Akyildiz, Nazan Ulgen Tekerek, Ozge Pamukcu, Adem Dursun, Musa Karakukcu, Nazmi Narin, Mehmet Yay, Ferhan Elmali
Background: We prospectively compared restrictive and liberal transfusion strategies for critically ill children regarding hemodynamic and laboratory parameters. Methods: A total of 180 children requiring packed red blood cells (PRBCs) were randomized into two groups: the liberal transfusion strategy group (transfusion trigger < 10 g/dL, Group 1) and the restrictive transfusion strategy group (transfusion trigger ≤ 7 g/dL, Group 2). Basal variables including venous/arterial hemoglobin, hematocrit and lactate levels; stroke volume; and cardiac output were recorded at the beginning and end of the transfusion...
May 30, 2017: Journal of Tropical Pediatrics
https://www.readbyqxmd.com/read/28560111/clonidine-or-remifentanil-for-adequate-surgical-conditions-in-patients-undergoing-endoscopic-sinus-surgery-a-randomized-study
#6
Laurent Bairy, Marie Vanderstichelen, Jacques Jamart, Edith Collard
BACKGROUND: Deliberate hypotension is one way to achieve a bloodless surgical field in endoscopic sinus surgery (ESS). We compared two anaesthesia regimens to induce deliberate hypotension and attempted to determine the most efficient one. METHODS: Fifty-nine patients undergoing ESS were minimized into two groups. In the CLO group, patients received I.V. sufentanil 0.15 µg/kg together with I.V. clonidine 2-3 µg/kg. In the REMI group, patients received remifentanil at a rate of up to 1 µg/kg/min...
2017: PeerJ
https://www.readbyqxmd.com/read/28554589/the-popop-puffing-on-pulse-oximeter-probe-sign-of-ethanol-withdrawal
#7
Sean M Bryant
No abstract text is available yet for this article.
May 22, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28527965/perfusion-index-an-indicator-of-success-during-endoscopic-thoracic-sympathectomy-for-hyperhidrosis
#8
Eric I-Hun Jeng, Nikolaus Gravenstein, Charles T Klodell
BACKGROUND: Endoscopic thoracic sympathectomy (ETS) is indicated for refractory hyperhidrosis. The pulse oximetry-derived perfusion index (PI) quantifies pulsatile blood flow at the oximeter. Thoracic sympathectomy increases blood flow; thus we postulate it will reliably increase PI. We evaluated the ipsilateral finger PI as a predictor of successful sympathectomy during ETS. METHODS: After institutional review board approval and informed consent, 100 adult patients undergoing bilateral ETS were studied...
May 17, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28526082/proof-of-concept-non-invasive-estimation-of-peripheral-venous-oxygen-saturation
#9
Musabbir Khan, Chris G Pretty, Alexander C Amies, Joel Balmer, Houda E Banna, Geoffrey M Shaw, J Geoffrey Chase
BACKGROUND: Pulse oximeters continuously monitor arterial oxygen saturation. Continuous monitoring of venous oxygen saturation (SvO2) would enable real-time assessment of tissue oxygen extraction (O2E) and perfusion changes leading to improved diagnosis of clinical conditions, such as sepsis. METHODS: This study presents the proof of concept of a novel pulse oximeter method that utilises the compliance difference between arteries and veins to induce artificial respiration-like modulations to the peripheral vasculature...
May 19, 2017: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28500462/perfusion-index-and-left-ventricular-output-correlation-in-healthy-term-infants
#10
Iuri Corsini, Alessandra Cecchi, Caterina Coviello, Carlo Dani
Perfusion index (PI) is a non-invasive marker of peripheral perfusion which is detected by an oximeter. We aimed to assess the correlation between PI and left ventricular output (LVO) in healthy term infants at the time of the screening for congenital heart disease (CHD). PI was measured at 48 ± 2 h of life in the infant's right hand (PIrh) and in 1 foot (PIf) contemporary to SpO2 for CHD screening. Heart ultrasound was performed immediately after the screening procedure for measuring LVO. Forty-nine healthy term infants were studied...
May 12, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28496029/a-newly-established-severity-scoring-system-in-predicting-the-prognosis-of-patients-with-severe-fever-with-thrombocytopenia-syndrome
#11
Bo Yang, Xiaoli Wang, Yaping Li, Anzhao Wu, Qian Liu, Yuyin Lu, Chengmin Yuan, Mingming Wang
Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease caused by novel Bunyavirus. Due to the peculiarity of SFTS, accurate assessment is difficult to achieve with the current score systems. This study aimed to establish a new severity scoring system in predicting the prognosis of patients with SFTS. We included 123 patients with SFTS: 92 patients (45 males and 47 females), aged 59 ± 12 years, in survive group and 31 patients (17 males and 14 females), aged 61 ± 10 years, in death group...
May 2017: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/28486654/oxygen-availability-and-nursing-capacity-for-oxygen-therapy-in-ugandan-paediatric-wards
#12
Juliet Nabwire, Sophie Namasopo, Michael Hawkes
Oxygen is essential, life-saving, supportive treatment for children with hypoxaemia but is not available in many resource-constrained health facilities. We conducted a cross-sectional survey of oxygen availability and nurses' skills for oxygen administration at the paediatric wards of 11 district hospitals in eastern Uganda. Functional oxygen delivery was available at the paediatric wards of only 2 of 11 (18%) hospitals. Of the six concentrators found, two did not function at all and two produced a stream of O2 <80% pure...
May 8, 2017: Journal of Tropical Pediatrics
https://www.readbyqxmd.com/read/28485694/childhood-pneumonia-diagnostics-community-health-workers-and-national-stakeholders-differing-perspectives-of-new-and-existing-aids
#13
Hollie Spence, Kevin Baker, Alexandra Wharton-Smith, Akasiima Mucunguzi, Lena Matata, Tedila Habte, Diana Nanyumba, Anteneh Sebsibe, Thol Thany, Karin Källander
BACKGROUND: Pneumonia heavily contributes to global under-five mortality. Many countries use community case management to detect and treat childhood pneumonia. Community health workers (CHWs) have limited tools to help them assess signs of pneumonia. New respiratory rate (RR) counting devices and pulse oximeters are being considered for this purpose. OBJECTIVE: To explore perspectives of CHWs and national stakeholders regarding the potential usability and scalability of seven devices to aid community assessment of pneumonia signs...
2017: Global Health Action
https://www.readbyqxmd.com/read/28471970/evaluation-of-pulse-oximeter-derived-photoplethysmographic-signals-for-obstructive-sleep-apnea-diagnosis
#14
Yan Li, He Gao, Yan Ma
High prevalence of obstructive sleep apnea (OSA) has increased the demands for more convenient and accessible diagnostic devices other than standard in-lab polysomnography (PSG). Despite the increasing utility of photoplethysmograph (PPG), it remains understudied in underserved populations. This study aimed to evaluate the reliability of a standard pulse oximeter system with an automated analysis based on the PPG signal for the diagnosis of OSA, as compared with PSG derived measures.Consecutive out-patients with suspect OSA completed a PPG monitoring simultaneous with an overnight in-lab standard PSG...
May 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28469670/the-effect-of-tracheal-intubation-induced-autonomic-response-on-photoplethysmography
#15
Pekka Talke
Introduction. Intraoperative stress responses and postoperative pain can be monitored using photoplethysmography (PPG). PPG signal has two components, AC and DC. Effects of noxious stimuli-induced stress responses have not been studied on the DC component of PPG. The aim of this study was to investigate the effect of a known noxious stimulus (endotracheal intubation) on both the AC and DC components of PPG. Methods. 15 surgical patients having general anesthesia were enrolled into this clinical study. PPG was recorded electronically from a pulse oximeter...
2017: Anesthesiology Research and Practice
https://www.readbyqxmd.com/read/28455198/residence-at-moderate-versus-low-altitude-is-effective-at-maintaining-higher-oxygen-saturation-during-exercise-and-reducing-acute-mountain-sickness-following-fast-ascent-to-4559-m
#16
Eva Bernardi, Luca Pomidori, Davide Cavallari, Gaia Mandolesi, Annalisa Cogo
OBJECTIVE: To continuously monitor oxygen saturation (SpO2) by pulse oximeter and assess the development of acute mountain sickness (AMS) using the Lake Louise Score (LLS) during ascent from 1154 to 4559 m in 2 groups of subjects: 10 moderate-altitude residents (MAR; ≥1000-≤2500 m) and 34 low-altitude residents (LAR). MAR are reported to have a lower incidence of AMS during ascent to higher altitudes compared with LAR. Whether this is related to higher SpO2 is still open to debate...
April 25, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28452901/effect-of-pain-and-analgesia-on-compensatory-reserve
#17
Carmen Hinojosa-Laborde, Jessie Renee D Fernandez, Gary W Muniz, Corinne D Nawn, Rebecca K Burns, Thuan H Le, Kathy B Porter, John T Hardy, Victor A Convertino
BACKGROUND: The measurement of the body's capacity to compensate for reduced blood volume can be assessed with a compensatory reserve measurement (CRM). The CRM, which is calculated from changes in features of the arterial waveform, represents the integration of compensatory mechanisms during states of low tissue perfusion and oxygenation, such as hemorrhage. This study was designed to test the hypothesis that pain which activates compensatory mechanisms and analgesia that result in reduced blood pressure are associated with lower compensatory reserve...
July 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28447860/remote-sensing-of-physiological-signs-using-a-machine-vision-system
#18
Ali Al-Naji, Kim Gibson, Javaan Chahl
The aim of this work is to remotely measure heart rate (HR) and respiratory rate (RR) using a video camera from long range (> 50 m). The proposed system is based on imperceptible signals produced from blood circulation, including skin colour variations and head motion. As these signals are not visible to the naked eye and to preserve the signal strength in the video, we used an improved video magnification technique to enhance these invisible signals and detect the physiological activity within the subject...
July 2017: Journal of Medical Engineering & Technology
https://www.readbyqxmd.com/read/28445548/assessing-the-severity-of-sleep-apnea-syndrome-based-on-ballistocardiogram
#19
Zhu Wang, Xingshe Zhou, Weichao Zhao, Fan Liu, Hongbo Ni, Zhiwen Yu
BACKGROUND: Sleep Apnea Syndrome (SAS) is a common sleep-related breathing disorder, which affects about 4-7% males and 2-4% females all around the world. Different approaches have been adopted to diagnose SAS and measure its severity, including the gold standard Polysomnography (PSG) in sleep study field as well as several alternative techniques such as single-channel ECG, pulse oximeter and so on. However, many shortcomings still limit their generalization in home environment. In this study, we aim to propose an efficient approach to automatically assess the severity of sleep apnea syndrome based on the ballistocardiogram (BCG) signal, which is non-intrusive and suitable for in home environment...
2017: PloS One
https://www.readbyqxmd.com/read/28439886/lifebox-pulse-oximeter-implementation-in-malawi-evaluation-of-educational-outcomes-and-impact-on-oxygen-desaturation-episodes-during-anaesthesia
#20
V Albert, S Mndolo, E M Harrison, E O'Sullivan, I H Wilson, I A Walker
Pulse oximetry is an essential monitor for safe anaesthesia but is often not available in low-income countries. The aim of this study was to determine whether the introduction of pulse oximetry with training was feasible and could reduce the incidence of oxygen desaturation during anaesthesia in a low-income country. Pulse oximeters were donated, with training, to 83 non-physician anaesthetists in Malawi. Knowledge was tested immediately before and after training and at follow-up. Providers were asked to record the lowest peripheral oxygen saturation (SpO2 ) for the first 100 cases anaesthetised after training...
April 24, 2017: Anaesthesia
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