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https://www.readbyqxmd.com/read/27916238/variation-in-effectiveness-of-a-cardiac-auscultation-training-class-with-a-cardiology-patient-simulator-among-heart-sounds-and-murmurs
#1
Yutaka Kagaya, Masao Tabata, Yutaro Arata, Junichi Kameoka, Seiichi Ishii
BACKGROUND: Effectiveness of simulation-based education in cardiac auscultation training is controversial, and may vary among a variety of heart sounds and murmurs. We investigated whether a single auscultation training class using a cardiology patient simulator for medical students provides competence required for clinical clerkship, and whether students' proficiency after the training differs among heart sounds and murmurs. METHODS: A total of 324 fourth-year medical students (93-117/year for 3 years) were divided into groups of 6-8 students; each group participated in a three-hour training session using a cardiology patient simulator...
December 1, 2016: Journal of Cardiology
https://www.readbyqxmd.com/read/27913078/pulmonary-artery-dissection-following-balloon-valvuloplasty-in-a-dog-with-pulmonic-stenosis
#2
K A Grint, H B Kellihan
A 3-month-old, 9.9 kg, male pit bull cross was referred for evaluation of collapse. A left basilar systolic heart murmur graded V/VI and a grade IV/VI right basilar systolic heart murmur were ausculted. Echocardiography showed severe pulmonic stenosis characterized by annular hypoplasia, leaflet thickening, and leaflet fusion. After 1 month of atenolol therapy, a pulmonic valve balloon valvuloplasty procedure was performed, and the intra-operative right ventricular pressure was reduced by 43%. Echocardiography, performed the following day, showed apparent rupture of a pulmonary valve leaflet and a membranous structure within the pulmonary artery consistent with a dissecting membrane...
November 30, 2016: Journal of Veterinary Cardiology: the Official Journal of the European Society of Veterinary Cardiology
https://www.readbyqxmd.com/read/27870656/oscillometric-and-auscultatory-blood-pressure-measurement-methods-in-children-a-systematic-review-and-meta-analysis
#3
Stephanie L Duncombe, Christine Voss, Kevin C Harris
BACKGROUND: The phase-out of mercury from clinical settings calls for valid alternatives to assess blood pressure (BP) in children. Aneroid devices provide a mercury-free alternative to BP measurements by auscultation, whereas oscillometric (automated) devices are increasingly becoming the norm in clinical practice due to their ease of use. The aim of this systematic review and meta-analysis was to investigate the accuracy of oscillometric and aneroid BP devices compared with the mercury sphygmomanometer for the measurement of BP in children...
November 23, 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27853069/compression-of-the-right-ventricular-outflow-tract-due-to-straight-back-syndrome-clarified-by-low-dose-dual-source-computed-tomography
#4
Kohei Hasegawa, Tomofumi Takaya, Shumpei Mori, Tatsuro Ito, Sei Fujiwara, Tatsuya Nishii, Atsushi K Kono, Hiroyuki Shimoura, Hidekazu Tanaka, Ken-Ichi Hirata
A 23-year-old asymptomatic woman was referred to our hospital for further examination of a systolic ejection murmur with fixed splitting of the second heart sound auscultated at the third left sternal border. Initial echocardiography could not detect the cause. Subsequently performed low-dose computed tomography, however, ruled out the possibility of any congenital heart diseases, but revealed a markedly shortened anteroposterior diameter of the chest, which led us to a diagnosis of straight back syndrome. A vertically oriented "pancake" appearance of the heart, straight vertebral column, and compression of the right ventricular outflow tract were clearly demonstrated on the reconstructed images...
2016: Internal Medicine
https://www.readbyqxmd.com/read/27843027/investigation-of-the-efficacy-of-colorimetric-capnometry-method-used-to-verify-the-correct-placement-of-the-nasogastric-tube
#5
Saadet Erzincanli, Ayten Zaybak, Ayşe Güler
OBJECTIVES: This present study was designed to determine the efficacy of the colorimetric capnometry method used to verify the correct placement of the nasogastric tube. METHODS: The present study comprised forty patients who had a nasogastric tube inserted and were being monitored in the adult intensive care unit. After the insertion of the nasogastric tube, 40 colorimetric capnometry and 40 auscultation measurements were performed. Auscultation and colorimetric capnometry results were compared with tube placement results confirmed radiologically...
November 11, 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27834785/physiological-effects-of-a%C3%A2-single-chest-physiotherapy-session-in-mechanically-ventilated-and-extubated-preterm-neonates
#6
Y Mehta, J Shetye, R Nanavati, A Mehta
OBJECTIVE: To assess the changes on various physiological cardio-respiratory parameters with a single chest physiotherapy session in mechanically ventilated and extubated preterm neonates with respiratory distress syndrome. STUDY DESIGN: This is a prospective observational study in neonatal intensive care unit setting. Sixty preterm neonates with respiratory distress syndrome, thirty mechanically ventilated and thirty extubated preterm neonates requiring chest physiotherapy were enrolled in the study...
November 9, 2016: Journal of Neonatal-perinatal Medicine
https://www.readbyqxmd.com/read/27830392/acoustic-and-perceptual-profiles-of-swallowing-sounds-in-children-normative-data-for-4-36-months-from-a-cross-sectional-study-cohort
#7
Thuy T Frakking, Anne B Chang, Kerry-Ann F O'Grady, Julie Yang, Michael David, Kelly A Weir
Limited data on cervical auscultation (CA) sounds during the transitional feeding period of 4-36 months in healthy children exist. This study examined the acoustic and perceptual parameters of swallowing sounds in children aged 4-36 months over a range of food and fluid consistencies. Using CA, swallowing sounds were recorded from a microphone as children ate or drank. Acoustic parameters of duration, peak frequency and peak intensity were determined. Perceptual parameters of swallowing/breath sounds heard pre-, during and post-swallow were rated ('present', 'absent', 'cannot be determined') for each texture...
November 9, 2016: Dysphagia
https://www.readbyqxmd.com/read/27817779/-identification-of-a-novel-jag1-mutation-in-a-family-affected-by-alagille-syndrome
#8
Ying Cheng, Shu-Tao Zhao, Li Guo, Mei Deng, Qing Zhou, Yuan-Zong Song
Alagille syndrome (ALGS) is an autosomal dominant disorder which is mainly caused by JAG1 gene mutation and can affect multiple systems including the liver, heart, eyes, skeleton and face. This paper reports the clinical and genetic features of an ALGS patient. A 2-year-and-9-month-old boy was referred to the hospital with the complaint of abnormal liver function and heart murmur discovered over two years. Jaundice of the skin and sclera was not observed. The child had a prominent forehead, left esotropia, depressed nasal bridge and micromandible...
November 2016: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/27800590/implementation-of-the-world-health-organization-trauma-care-checklist-program-in-11-centers-across-multiple-economic-strata-effect-on-care-process-measures
#9
Angela Lashoher, Eric B Schneider, Catherine Juillard, Kent Stevens, Elizabeth Colantuoni, William R Berry, Christina Bloem, Witaya Chadbunchachai, Satish Dharap, Sydney M Dy, Gerald Dziekan, Russell L Gruen, Jaymie A Henry, Christina Huwer, Manjul Joshipura, Edward Kelley, Etienne Krug, Vineet Kumar, Patrick Kyamanywa, Alain Chichom Mefire, Marcos Musafir, Avery B Nathens, Edouard Ngendahayo, Thai Son Nguyen, Nobhojit Roy, Peter J Pronovost, Irum Qumar Khan, Junaid Abdul Razzak, Andrés M Rubiano, James A Turner, Mathew Varghese, Rimma Zakirova, Charles Mock
BACKGROUND: Trauma contributes more than ten percent of the global burden of disease. Initial assessment and resuscitation of trauma patients often requires rapid diagnosis and management of multiple concurrent complex conditions, and errors are common. We investigated whether implementing a trauma care checklist would improve care for injured patients in low-, middle-, and high-income countries. METHODS: From 2010 to 2012, the impact of the World Health Organization (WHO) Trauma Care Checklist program was assessed in 11 hospitals using a stepped wedge pre- and post-intervention comparison with randomly assigned intervention start dates...
October 31, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27798326/traumatic-arteriovenous-fistula-between-the-extracranial-middle-meningeal-artery-and-the-pterygoid-plexus-a-case-report-and-literature-review
#10
Jinlu Yu, Yunbao Guo, Zhongxue Wu, Kan Xu
The formation of a traumatic arteriovenous fistula (AVF) between the extracranial middle meningeal artery (MMA) and the pterygoid plexus (PP) is very rare, and understanding of this condition is limited. This paper reports the case of an 8-year-old who suffered minor injuries after a high fall four months prior to admission and showed good recovery after one month. However, the child gradually developed exophthalmos of the left eye and conjunctival redness one month prior to admission. Auscultation revealed an intracranial murmur near the left side of the face, in the temporal region...
October 26, 2016: Interventional Neuroradiology
https://www.readbyqxmd.com/read/27786168/computerized-respiratory-sound-analysis-in-people-with-dementia-a-first-step-towards-diagnosis-and-monitoring-of-respiratory-conditions
#11
Vânia Rocha, Cristina Melo, Alda Marques
Computerized respiratory sound analysis has been shown to be an objective and reliable way to assess respiratory diseases. However, its application in non-collaborative populations, such as people with dementia, is still unknown. Therefore this study aimed to characterize normal and adventitious respiratory sounds (NRS; ARS) in older people with and without dementia. A cross-sectional study including two groups of 30 subjects with dementia and 30 subjects without dementia was performed. Digital auscultation was used to record NRS and ARS per breathing-phase (inspiration/expiration) at trachea and thorax...
November 2016: Physiological Measurement
https://www.readbyqxmd.com/read/27783322/classifying-syndromes-in-chinese-medicine-using-multi-label-learning-algorithm-with-relevant-features-for-each-label
#12
Jin Xu, Zhao-Xia Xu, Ping Lu, Rui Guo, Hai-Xia Yan, Wen-Jie Xu, Yi-Qin Wang, Chun-Ming Xia
OBJECTIVE: To develop an effective Chinese Medicine (CM) diagnostic model of coronary heart disease (CHD) and to confifirm the scientifific validity of CM theoretical basis from an algorithmic viewpoint. METHODS: Four types of objective diagnostic data were collected from 835 CHD patients by using a self-developed CM inquiry scale for the diagnosis of heart problems, a tongue diagnosis instrument, a ZBOX-I pulse digital collection instrument, and the sound of an attending acquisition system...
November 2016: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/27777252/predicting-the-presence-of-bacterial-pathogens-in-the-airways-of-primary-care-patients-with-acute-cough
#13
Jolien Teepe, Berna D L Broekhuizen, Katherine Loens, Christine Lammens, Margareta Ieven, Herman Goossens, Paul Little, Chris C Butler, Samuel Coenen, Maciek Godycki-Cwirko, Theo J M Verheij
BACKGROUND: Bacterial testing of all patients who present with acute cough is not feasible in primary care. Furthermore, the extent to which easily obtainable clinical information predicts bacterial infection is unknown. We evaluated the diagnostic value of clinical examination and testing for C-reactive protein and procalcitonin for bacterial lower respiratory tract infection. METHODS: Through a European diagnostic study, we recruited 3104 adults with acute cough (≤ 28 days) in primary care settings...
October 24, 2016: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/27760225/family-practitioners-advice-about-taking-time-off-work-for-lower-respiratory-tract-infections-a-prospective-study-in-twelve-european-primary-care-networks
#14
Maciek Godycki-Cwirko, Marek Nocun, Christopher C Butler, Paul Little, Theo Verheij, Kerenza Hood, Nils Fleten, Anna Kowalczyk, Hasse Melbye
BACKGROUND: Acute cough and lower respiratory tract infections (LRTIs) are one of the most important causes of lost working hours. AIM: to explore variation and predictors in family practitioners (FPs) advice to patients with LRTIs about taking time off work in different European countries. METHODS: Prospective observational study in primary care networks in 12 countries, with multilevel mixed-effects binomial logistic regression. RESULTS: 324 FPs recruited 1616 employed adults who presented to primary care with LRTIs...
2016: PloS One
https://www.readbyqxmd.com/read/27758794/severe-human-monocytic-ehrlichiosis-presenting-with-altered-mental-status-and-seizures
#15
Christian Geier, Jessica Davis, Marc Siegel
A previously healthy 66-year-old woman living in the Mid-Atlantic USA presented to the hospital with lethargy, ataxia and slurred speech. 2 weeks prior she had removed a tick from her right groin. She reported malaise, fevers, diarrhoea, cough and a rash. Physical examination revealed a maculopapular rash on her chest, and lung auscultation revealed bi-basilar rales. Laboratory tests were remarkable for hyponatraemia, leucopenia and thrombocytopenia. Chest X-ray demonstrated bilateral pleural effusions with pulmonary oedema...
October 6, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27754183/hw-02-1-is-it-the-end-of-a-long-and-productive-era-the-future-of-the-mercury-sphygmomanometer-and-the-stethoscope
#16
Jinho Shin
Arterial pulsation which had long been studied for estimation of blood pressure or mean blood pressure was replaced by the measurement of systolic and diastolic blood pressure using Korotkoff sound detected by stethoscope in the beginning of the previous century. In the meantime, vast of modern knowledge of human hypertension from epidemiology to randomized clinical trial had been built on the Korotkoff sound and stethoscope methodology. Hypertension is very special clinical entity in terms of the diagnosis is solely dependent on the manual blood pressure measurement by a physician or nurse...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27734441/evaluation-of-two-junctional-tourniquets-used-on-the-battlefield-combat-ready-clamp%C3%A2-versus-sam%C3%A2-junctional-tourniquet
#17
Jean-Guillaume Meusnier, Charles Dewar, Erti Mavrovi, Frederic Caremil, Pierre-Francois Wey, Jean-Yves Martinez
BACKGROUND: Junctional hemorrhage (i.e., between the trunk and limbs) are too proximal for a tourniquet and difficult to compress. These hemorrhages are responsible for 20% of preventable deaths by bleeding on the battlefield. The majority of these involve the groin area. Devices allowing a proximal compression for arterial axes have been recently developed. OBJECTIVE: The purpose of this study was to compare the use of two junctional- tourniquet models, the Combat Ready Clamp (CRoC®) and the SAM® Junctional Tourniquet (SJT), in simulated out-of-hospital trauma care when tourniquets were ineffective to stop the arterial flow...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/27733926/wearable-multimodal-vitals-acquisition-unit-for-intelligent-field-triage
#18
Christoph Beck, Julius Georgiou
In this Letter, the authors describe the characterisation design and development of the authors' wearable, multimodal vitals acquisition unit for intelligent field triage. The unit is able to record the standard electrocardiogram, blood oxygen and body temperature parameters and also has the unique capability to record up to eight custom designed acoustic streams for heart and lung sound auscultation. These acquisition channels are highly synchronised to fully maintain the time correlation of the signals. The unit is a key component enabling systematic and intelligent field triage to continuously acquire vital patient information...
September 2016: Healthcare Technology Letters
https://www.readbyqxmd.com/read/27729962/the-effects-of-oral-ibuprofen-on-medicinal-closure-of-patent-ductus-arteriosus-in-full-term-neonates-in-the-second-postnatal-week
#19
Mohammad Reza Alipour, Mansooreh Mozaffari Shamsi, Seyedeh Mahdieh Namayandeh, Zohreh Pezeshkpour, Fatemeh Rezaeipour, Mohammadtaghi Sarebanhassanabadi
BACKGROUND: The arterial ductus is a major communicative pathway which is naturally patent in the fetus, connecting the body of the major pulmonary artery to the descending aorta. Although usually closing on its own, the patent ductus arteriosus (PDA) may remain open in the second postnatal week due to a lack of prompt diagnosis in the initial days of life or an absence of prompt treatment. OBJECTIVES: To prevent the untoward sequelae of patency of the ductus arteriosus, and to avoid invasive surgery at higher ages, the researchers in the present study embarked on determining the effects of oral ibuprofen during the second postnatal week on newborns with patent ductus arteriosus...
August 2016: Iranian Journal of Pediatrics
https://www.readbyqxmd.com/read/27703956/burden-of-hypertension-and-abnormal-glomerular-permeability-in-hypertensive-school-children
#20
Adebukola B Ajite, Theophilus A Aladekomo, Temilade Aderounmu, Wasiu A Olowu
BACKGROUND: Childhood hypertension has been associated with target-organ damage in young adults. It is often asymptomatic in both children and adolescents; when persistent, and long-standing, it could be a significant risk factor for kidney damage and increased glomerular permeability. OBJECTIVES: Burden of hypertension and its impact on glomerular permeability were prospectively determined in randomly recruited primary school children. PATIENTS AND METHODS: Blood pressure (BP) measurement was performed by the auscultation method, and abnormal glomerular permeability was assessed by dipstick testing of urine for persistent proteinuria and/or hematuria for ≥ three months in hypertensive children...
July 2016: Nephro-urology Monthly
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