keyword
https://read.qxmd.com/read/38419063/frequency-and-indication-of-non-musculoskeletal-examinations-a-cross-sectional-survey-of-quebec-chiropractors
#21
JOURNAL ARTICLE
Danikel Giroux, Chloé Branconnier, André Bussières, Jean Théroux, Marc-André Blanchette
BACKGROUND: Approximately 1% of low back pain is estimated to be caused by serious systemic diseases, including cancer, infection, or abdominal aortic dissection. This study aimed to determine the frequency of execution of non-MSK physical examination procedures among Quebec chiropractors and to identify the clinical context that prompts them to use these physical examination procedures. METHODS: Cross-sectional survey containing 44 questions administered to a random sample of Quebec chiropractors using a succession of online, postal and phone questionnaires...
February 28, 2024: Chiropractic & Manual Therapies
https://read.qxmd.com/read/38417611/newborn-resuscitation-timelines-accurately-capturing-treatment-in-the-delivery-room
#22
JOURNAL ARTICLE
Hanne Pike, Vilde Kolstad, Joar Eilevstjønn, Peter G Davis, Hege Langli Ersdal, Siren Irene Rettedal
OBJECTIVES: To evaluate the use of newborn resuscitation timelines to assess the incidence, sequence, timing, duration of and response to resuscitative interventions. METHOD: A population-based observational study conducted June 2019 - November 2021 at Stavanger University Hospital, Norway. Parents consented to participation antenatally. Newborns ≥28 weeks' gestation receiving positive pressure ventilation (PPV) at birth were enrolled. Time of birth was registered...
February 26, 2024: Resuscitation
https://read.qxmd.com/read/38410315/the-effectiveness-of-different-teaching-modalities-for-the-detection-of-heart-murmurs-in-undergraduate-medical-education-a-review
#23
REVIEW
Alvin Nagi, Rachel Boots, Omar Ajlouni, Sharad Nair, Abigail Werhan, Ryan Ivey, Paul Misasi
One of the many physical exam skills introduced to medical students during their pre-clerkship education is cardiac auscultation, one purpose of which is to teach the detection and identification of heart murmurs. Cardiac auscultation with a stethoscope has been the standard method of teaching. Another method, point-of-care ultrasound (POCUS), has been recently introduced as another modality by which students learn to detect and identify murmurs. The emerging popularity of POCUS in undergraduate medical curricula has led many institutions to include it in their curricula; however, doing so is challenging...
January 2024: Curēus
https://read.qxmd.com/read/38403603/-diagnosis-of-pulmonary-hypertension-associated-with-congenital-heart-disease-based-on-statistical-features-of-the-second-heart-sound
#24
JOURNAL ARTICLE
Xuankai Yang, Jing Sun, Hongbo Yang, Tao Guo, Jiahua Pan, Weilian Wang
Aiming at the problems of obscure clinical auscultation features of pulmonary hypertension associated with congenital heart disease and the complexity of existing machine-aided diagnostic algorithms, an algorithm based on the statistical characteristics of the high-frequency components of the second heart sound signal is proposed. Firstly, an endpoint detection adaptive segmentation method is employed to extract the second heart sounds. Subsequently, the high-frequency component of the heart sound is decomposed using the discrete wavelet transform...
February 25, 2024: Sheng Wu Yi Xue Gong Cheng Xue za Zhi, Journal of Biomedical Engineering, Shengwu Yixue Gongchengxue Zazhi
https://read.qxmd.com/read/38401826/frequent-pocus-and-auscultation-for-an-earlier-diagnosis-of-takotsubo-syndrome-and-unraveling-of-its-pathophysiology-the-possible-crucial-role-of-lvoto
#25
REVIEW
John E Madias
There is ample literature associating LVOTO with hypertension, AMI, LV hypertrophy, sigmoid septum, HCM, and TTS, particularly in midde aged/elderly/postmenopausal women, suggestive of a causal role for LVOTO in the pathophysiology of TTS. Although there is significant evidence that TTS is triggered by a sudden autonomic sympathetic nervous system surge and/or elevated blood-ridden catecholamines, the exact pathophysiologic trajectory leading to the clinical expression of the disease is still being debated...
February 22, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38397287/referrals-and-determinant-factors-of-a-national-school-health-campaign-in-lebanon-on-children-aged-between-3-and-12-years-old
#26
JOURNAL ARTICLE
Peter Habchy, Léa Tahan, Charbel Moussi, Muhammad A Barakat, Laura Ghanem, Ogarite Kattan, Alain Njeim, Leila Abou Habib, Wassim El Bitar, Béchara El Asmar, Mirna N Chahine
In this extensive study examining the health of 7184 school children aged 3 to 12 in 27 Lebanese schools, screenings involved medical evaluation and interviews, complemented by phone interviews with 3880 parents. Notably, one in two students received a medical referral, revealing prevalent issues such as dental cavities (33%), under-vaccination (25%), undetected vision problems (13%), abnormal growth (6%), underweight (27%), and overweight (33%). Additional concerns encompassed abnormal vital signs (3%), abuse signs (0...
January 30, 2024: Children
https://read.qxmd.com/read/38394548/perioperative-care-of-neonates-with-critical-pulmonary-stenosis-case-report
#27
JOURNAL ARTICLE
Qiong He, Min Song, Yanping Huang, Ling Wan
RATIONALE: Summarizing the perioperative nursing experience in the successful treatment of 4 neonates with critical pulmonary stenosis (CPS). PATIENT CONCERNS: Of the 4 patients, 3 had postnatal shortness of breath and varying degrees of cyanosis, aggravated by crying and noise, and 1 had no obvious shortness of breath and cyanosis. The preoperative auscultation of the precordial region could be heard 3-4/6 systolic murmur; echocardiography was diagnosed as CPS, combined with patent ductus arteriosus, right ventricular dysplasia, and severe tricuspid regurgitation...
February 23, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38393859/hbnet-a-blended-ensemble-model-for-the-detection-of-cardiovascular-anomalies-using-phonocardiogram
#28
JOURNAL ARTICLE
Ann Nita Netto, Lizy Abraham, Saji Philip
BACKGROUND: Cardiac diseases are highly detrimental illnesses, responsible for approximately 32% of global mortality [1]. Early diagnosis and prompt treatment can reduce deaths caused by cardiac diseases. In paediatric patients, it is challenging for paediatricians to identify functional murmurs and pathological murmurs from heart sounds. OBJECTIVE: The study intends to develop a novel blended ensemble model using hybrid deep learning models and softmax regression to classify adult, and paediatric heart sounds into five distinct classes, distinguishing itself as a groundbreaking work in this domain...
February 1, 2024: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://read.qxmd.com/read/38390143/double-counting-heart-rate-littmann-sign-in-electrocardiogram
#29
Wei Wang, Mei-Yu Deng, Wen-Hui Zhai, Jian-Hui Ma, Ying Zhang, Jian-Xin Ma, Jin-Ping Zhang
This report highlights necessity of correctly and quickly identifying Littmann sign. Littmann sign is not common in clinical practice, which is easily overlooked by most physicians, leading to delays in the treatment of hyperkalemia. A 68 year old patient with hyperkalemia was found to have inconsistent heart rate displayed on electrocardiogram monitoring with cardiac auscultation and synchronous electrocardiogram in the early stages of onset. Hyperkalemia was highly suspected by the Littmann sign. After completing arterial blood gas analysis, hyperkalemia was identified and active potassium lowering treatment was immediately initiated...
February 29, 2024: Heliyon
https://read.qxmd.com/read/38390109/a-3d-scaling-law-for-supravalvular-aortic-stenosis-suited-for-stethoscopic-auscultations
#30
JOURNAL ARTICLE
Ahmed M Ali, Aly A Ghobashy, Abdelrahman A Sultan, Khalil I Elkhodary, Mohamed El-Morsi
In this study a frequency scaling law for 3D anatomically representative supravalvular aortic stenosis (SVAS) cases is proposed. The law is uncovered for stethoscopy's preferred auscultation range (70-120 Hz). LES simulations are performed on the CFD solver Fluent, leveraging Simulia's Living Heart Human Model (LHHM), modified to feature hourglass stenoses that range between 30 to 80 percent (mild to severe) in addition to the descending aorta. For physiological hemodynamic boundary conditions the Windkessel model is implemented via a UDF subroutine...
February 29, 2024: Heliyon
https://read.qxmd.com/read/38382200/cardiovascular-disease-in-central-bearded-dragons-pogona-vitticeps-54-cases-2007-2022
#31
JOURNAL ARTICLE
Sarah M Ozawa, Kursten V Pierce, Amy B Alexander, Krista A Keller, Danielle K Tarbert, David Sanchez-Migallon Guzman, Miranda J Sadar, Julie D Sheldon, Danielle M Meritet
OBJECTIVE: To describe the clinical features, histopathologic lesions, and outcome of cardiovascular disease in central bearded dragons. ANIMALS: 54 bearded dragons. METHODS: Retrospective evaluation of captive bearded dragons with antemortem imaging or postmortem diagnosis of cardiovascular disease from 2007 to 2022 from 6 hospitals. RESULTS: The total prevalence of cardiovascular disease was 3.3% (54/1,655). Physical examination findings were available in 46 cases with change in mentation being the most common finding (n = 28/46 [60...
February 23, 2024: American Journal of Veterinary Research
https://read.qxmd.com/read/38380082/clinical-decision-support-system-using-a-machine-learning-model-to-assist-simultaneous-cardiopulmonary-auscultation-open-label-randomized-controlled-trial
#32
JOURNAL ARTICLE
Takanobu Hirosawa, Tetsu Sakamoto, Yukinori Harada, Kazuki Tokumasu, Taro Shimizu
BACKGROUND: The utility of a clinical decision support system using a machine learning (ML) model for simultaneous cardiac and pulmonary auscultation is unknown. OBJECTIVE: This study aimed to develop and evaluate an ML system's utility for cardiopulmonary auscultation. METHODS: First, we developed an ML system for cardiopulmonary auscultation, using cardiopulmonary sound files from our previous study. The technique involved pre-processing, feature extraction, and classification through several neural network layers...
2024: Digital Health
https://read.qxmd.com/read/38374868/comparison-of-upper-airway-ultrasonography-against-quantitative-waveform-capnography-for-validating-endotracheal-tube-position-in-a-south-indian-population
#33
JOURNAL ARTICLE
Swaroop Malamal Pradeep, Honey Ann Benny
INTRODUCTION: The utilization of ultrasonography (USG) is progressively growing to verify the accurate positioning of the endotracheal tube (ETT). Non-detection of the esophageal intubation can be fatal. Various techniques are employed to confirm the placement of the ETT, but none of them are considered optimal. Quantitative waveform capnography (qWC) is often regarded as the most reliable method for this purpose; however, it may not necessarily be accessible and can be expensive. Hence, this investigation was carried out to contrast the use of bedside upper airway USG with qWC in order to confirm the accurate positioning of the ETT following intubation...
January 2024: Curēus
https://read.qxmd.com/read/38371003/henry-ingersoll-bowditch-the-prominent-physician-who-introduced-thorax-examination-and-trocar-thoracentesis-in-the-united-states-of-america
#34
REVIEW
Theoni Zougou, Nikolaos Pappas, Evaggelos Mavrommatis
Born in a wealthy family with a tradition in science, Henry Ingersoll Bowditch (1808-1882) with studies at Harvard Medical School and in Europe had succeeded in leaving his mark in the American history of medicine. He had been a pioneer in the stethoscope's use, which was promoted and suggested to all physicians of his era. He had widely used thoracentesis, an ancient procedure, for pleuritic effusions, diagnosed with a stethoscope. Inside his most popular treatise "The Young Stethoscopist," he had given a plethora of data concerning the auscultation of the lungs, heart, and vessels; obstetrics; and veterinary...
January 2024: Curēus
https://read.qxmd.com/read/38369685/lung-ultrasound-is-a-promising-screening-tool-to-rule-out-interstitial-lung-disease-in-patients-with-rheumatoid-arthritis
#35
JOURNAL ARTICLE
M Otaola, F Paulin, M Rosemffet, J Balcazar, M Perandones, P Orausclio, T Cazenave, S Rossi, S Marciano, E Schneeberger, G Citera
BACKGROUND AND OBJECTIVE: It is still controversial how to screen for interstitial lung disease (ILD) in patients with rheumatoid arthritis (RA). We aimed to evaluate the performance of lung ultrasound (LUS) as a screening tool for RA-ILD and to compare it with the performance of chest auscultation, chest x-ray and pulmonary function tests (PFTs). METHODS: Cross-sectional study of consecutive RA patients evaluated at a Rheumatology Clinic in Buenos Aires between January and December 2022...
February 18, 2024: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://read.qxmd.com/read/38366301/increased-resting-and-peak-exercise-systolic-blood-pressure-in-children-throughout-the-covid-19-pandemic
#36
JOURNAL ARTICLE
Julie C Fernie, Kevin A Pettit, Michal Schaffer, Christopher M Rausch
The COVID-19 pandemic created significant disruptions to daily life. Lockdown effects resulted in decreased exercise capacity and increased blood pressure in adults and adolescents in the first year of the pandemic. We examined changes in exercise capacity (peak workload, ventilatory anaerobic threshold-VAT, and VO2 peak), resting BP, and peak exercise BP in children before the COVID-19 pandemic and throughout five 6-month intervals of the pandemic. 951 maximal cardiopulmonary exercise tests completed by healthy children aged ≤ 18 years were analyzed retrospectively...
February 16, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38364038/risk-factors-and-effect-of-dyspnea-inappropriate-treatment-in-adults-emergency-department-a-retrospective-cohort-study
#37
JOURNAL ARTICLE
Frederic Balen, Sebastien Lamy, Léa Froissart, Thomas Mesnard, Benjamin Sanchez, Xavier Dubucs, Sandrine Charpentier
Dyspnea is a frequent symptom in adults' emergency departments (EDs). Misdiagnosis at initial clinical examination is common, leading to early inappropriate treatment and increased in-hospital mortality. Risk factors of inappropriate treatment assessable at early examination remain undescribed herein. The objective of this study was to identify clinical risk factors of dyspnea and inappropriate treatment in patients admitted to ED. This is an observational retrospective cohort study. Patients over the age of 15 who were admitted to adult EDs of the University Hospital of Toulouse (France) with dyspnea were included from 1 July to 31 December 2019...
February 16, 2024: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://read.qxmd.com/read/38363259/fetal-heart-rate-auscultation-4th-edition
#38
Kirsten Wisner, Carrie Holschuh
Intermittent auscultation (IA) is an evidence-based method of fetal surveillance during labor for birthing people with low-risk pregnancies. It is a central component of efforts to reduce the primary cesarean rate and promote vaginal birth (American College of Obstetricians and Gynecologists, 2019; Association of Women's Health, Obstetric and Neonatal Nurses, 2022a). The use of intermittent IA decreased with the introduction of electronic fetal monitoring, while the increased use of electronic fetal monitoring has been associated with an increase of cesarean births...
February 15, 2024: Nursing for Women's Health
https://read.qxmd.com/read/38363241/fetal-heart-rate-auscultation-4th-edition
#39
Kirsten Wisner, Carrie Holschuh
Intermittent auscultation (IA) is an evidence-based method of fetal surveillance during labor for birthing people with low-risk pregnancies. It is a central component of efforts to reduce the primary cesarean rate and promote vaginal birth (American College of Obstetricians and Gynecologists, 2019; Association of Women's Health, Obstetric and Neonatal Nurses, 2022a). The use of intermittent IA decreased with the introduction of electronic fetal monitoring, while the increased use of electronic fetal monitoring has been associated with an increase of cesarean births...
February 14, 2024: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://read.qxmd.com/read/38347537/maternal-and-perinatal-outcomes-of-oligohydramnios-in-late-term-and-post-term-pregnancies-at-public-hospitals-in-ethiopia-a-cross-sectional-study
#40
JOURNAL ARTICLE
Matiyas Asrat Shiferaw, Ananya Solomon, Sintayehu Getachew, Wondimu Gudu
BACKGROUND: The prevalence of oligohydramnios ranges from 12 to 14% after 41 weeks to as high as 30% in post term pregnancies. Oligohydramnios poses a dilemma in the choice of mode of labor and delivery in a setup where there is lack of continuous electronic fetal monitoring during labor. The condition also puts the mother at risks of operative interventions and cesarean delivery. We aimed to asses the maternal and perinatal outcomes in pregnancies with oligohydramnios in late term and post term pregnancy in this study...
February 12, 2024: BMC Women's Health
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