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Angue, Michel, Didier Guyot-Walser, Kamel Ketari, Adrian Attard Trevisan, and Reinhard Henschler. "Télésurveillance automatique des signes vitaux pendant transfusion et prélèvements d’aphérèse." Transfusion Clinique et Biologique 28, no. 4 (November 2021): S91. http://dx.doi.org/10.1016/j.tracli.2021.08.266.
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Lecaros, Véronique. "Les oxymores religieux latino-américains. Étude sur l’enchantement et les processus de sécularisation au Pérou." Social Compass 67, no. 3 (June 12, 2020): 444–60. http://dx.doi.org/10.1177/0037768620922935.
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Le champ religieux péruvien (catholique et évangélique) se caractérise par la ferveur, la créativité et le dynamisme. Les spécialistes le considèrent comme spécifique d’une cosmovision enchantée. Cependant, certains d’entre eux, en particulier Casanova et aussi la hiérarchie catholique, notent des signes d’essoufflement et de transformation qu’ils considèrent comme un processus de sécularisation. Cet article se propose d’interpréter ces signes en contexte et de montrer comment ils révèlent un changement dans la relation fidèles-institutions religieuses. Celles-ci gardent leur présence et leur prestige et jouissent d’un pouvoir redéfini dans un environnement social et politique fragilisé, en mutation, mais elles ne structurent plus les rythmes vitaux individuels et les normes communautaires. Entre ferveur très souvent hors institution et brouillage de sphères, un processus de sécularisation est donc peu adéquat pour rendre compte des transformations religieuses en cours.
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Roncone, David P., and Scott A. Anthony. "Causes systémiques de la chimiose conjonctivale : série de cas." Canadian Journal of Optometry 82, no. 1 (February 21, 2020): 80–98. http://dx.doi.org/10.15353/cjo.v82i1.1707.
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La chimiose conjonctivale est une affection ophtalmique couramment observée qui présente divers degrés de gravité et un large éventail de symptômes, de signes et d’étiologies sous-jacentes. Bien que la plupart des cas soient de nature oculaire (allergie, infection, irritation), les manifestations atypiques comme la teinte empourprée de la conjonctive, les veines conjonctivales en tire-bouchon et l’œdème périorbital devraient inciter à chercher une cause systémique. Lorsque la chimiose est atypique, l’examen des antécédents médicaux et des médicaments du patient, l’examen physique du cœur et l’examen thoracique ainsi que la prise des signes vitaux (tension artérielle, pouls, poids) sont essentiels à l’identification de la source systémique potentielle. Cet article passe en revue les causes systémiques de la chimiose conjonctivale et présente des exemples de cas qui démontrent les techniques d’évaluation et de prise en charge permettant aux optométristes d’établir une distinction entre la chimiose conjonctivale oculaire et la chimiose conjonctivale systémique.
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Cornu, J. C., S. Laurent, V. Estève, C. Martinez, Y. Le Guillou, and J. C. Dron. "Prise en charge personnalisée et intégrée de patients BPCO sévères à leur domicile combinant télésurveillance des signes vitaux et éducation thérapeutique." Revue des Maladies Respiratoires Actualités 14, no. 1 (January 2022): 178. http://dx.doi.org/10.1016/j.rmra.2021.11.306.
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Farrell, Catherine A. "Le diagnostic et la prise en charge du sepsis grave chez le patient pédiatrique." Paediatrics & Child Health 25, no. 7 (November 2020): 476. http://dx.doi.org/10.1093/pch/pxz180.
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Abstract Le sepsis est une réponse inflammatoire systémique à une infection présumée ou démontrée. Puisque c’est une cause importante de morbidité et de mortalité, plusieurs sociétés professionnelles ont lancé des initiatives ces dernières années, lesquelles ont débouché sur la rédaction de directives pour déceler le sepsis et le traiter rapidement. Les principaux aspects des directives les plus récentes sont résumés dans le présent point de pratique. Ils incluent la détection de changements à l’état clinique et aux signes vitaux qui doivent évoquer la possibilité de sepsis, tels que la fièvre, la tachycardie et des modifications de la perfusion périphérique, de même que la stabilisation initiale des voies respiratoires, de la respiration et de la circulation. Ils englobent également l’administration opportune d’une thérapie antimicrobienne, l’utilisation de bolus liquidiens et de médicaments vasoactifs et des considérations particulières chez les patients atteints de troubles médicaux sous-jacents, comme l’emploi de corticoïdes pour traiter une possible insuffisance surrénalienne découlant d’une suppression de l’axe hypothalamo-surrénalien. Deux modifications sont apportées aux directives précédentes, soit une réévaluation clinique après chaque bolus liquidien en raison de la crainte d’une surcharge hydrique et le remplacement de la dopamine comme agent vasoactif initial chez les patients pédiatriques hypotendus par de l’adrénaline ou de la noradrénaline en fonction du contexte clinique. Le présent point de pratique porte principalement sur la prise en charge du sepsis chez les nourrissons plus âgés, les enfants et les adolescents.
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Desseilles, M., J. Antoine, M. Pietquin, P. Burton, Y. Gelders, and S. Heylen. "Le rispéridone chez les patients psychotiques: une étude en ouvert portant sur la détermination de la dose." Psychiatry and Psychobiology 5, no. 5 (1990): 319–24. http://dx.doi.org/10.1017/s0767399x00003825.
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RésuméDans le cadre d’une étude en ouvert portant sur la détermination de la posologie et après une période de sevrage thérapeutique d’une semaine, quarante patients adultes psychotiques chroniques sélectionnés selon les critères du DSM III, ont reçu pendant quatre semaines du rispéridone (R 64 766), antagoniste sélectif et spécifique des récepteurs S2 à la sérotonine et D2 à la dopamine. La dose moyenne quotidienne de rispéridone administrée à la fin de l’essai était de 5,6 mg. Le rispéridone présente un début d’action rapide; en effet dès la fin de la première semaine de traitement, il était déjà observé une diminution hautement significative (P < 0,001) du score total de la BPRS. De même, une réduction très significative (P < 0,001) des scores des items individuels de la BPRS concernant les symptômes positifs, négatifs et affectifs a été mesurée. En dépit de l’arrêt du traitement antiparkinsonien lors de la visite de sélection, une diminution hautement significative (P < 0,001) des symptômes extrapyramidaux (SEP) évalués à l’aide de l’échelle de Simpson et Angus a été observée. Tout comme les cotations de la BPRS, l’impression clinique globale présentait une amélioration continue tout au long de l’étude. Le rispéridone a été particulièrement bien toléré, si l’on excepte la réapparition chez un patient d’une dyskinésie tronculaire et une hypotension orthostatique symptomatique chez un autre. Seuls des effets secondaires légers ont été rapportés. Les signes vitaux, les paramètres de l’ECG et les analyses de laboratoire sont demeurés dans les limites des valeurs normales pendant le déroulement de l’essai clinique. Doté d’une activité antipsychotique, entraînant une amélioration des symptômes négatifs et affectifs chez les patients psychotiques et suscitant peu de SEP, le rispéridone semble se présenter dans cette étude comme une alternative possible aux neuroleptiques classiques dans le traitement des patients psychotiques chroniques.
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Gilmar Mendoza-OrdoÑez, M., R. Oscar Rebaza, P. C. Rufino Paucar-Chanca, V. Nicasio Valencia, and D. Olusegun D. Oshibanjo. "Vital signs of Cavia porcellus (Guinea pig) diagnosed with malignant hyperthermia using sevoflurane gas." Nigerian Journal of Animal Production 48, no. 5 (November 10, 2021): 69–76. http://dx.doi.org/10.51791/njap.v48i5.3222.
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Malignant hyperthermia (MH) is a life-threatening clinical syndrome of hypermetabolism involving the skeletal muscle. It is triggered in susceptible individuals primarily by volatile inhalational anesthetic agents and the muscle relaxant succinylcholine. MH affects humans, certain pig breeds, dogs, horses, and probably other animals. The classic signs of MH include A dramatic rise in body temperature, rigid or painful muscles, especially in the jaw, flushed skin, sweating, an abnormally rapid or irregular heartbeat, rapid breathing or uncomfortable breathing, brown or cola-colored urine, very low blood pressure (shock), confusion and muscle weakness or swelling after the event. The syndrome is likely to be fatal if untreated. This study therefore assessed the effects of sevoflurane gas on the vital signs of Cavia porcellus with malignant hyperthermia. For the determination of malignant hyperthermia, 50, 15 day-old weaned kits of Peru breed were placed in an anesthesia chamber for 5 minutes and subjected to a mixture of air with 3% sevoflurane gas. Only 6% of them reacted positively, while most of them, 94%, were negative. The average body temperature of the positive kits was 38.9ºC, oscillating between 38.7 and 39.1 ° C, while the negative ones averaged 37.9 ° C. The positive kits had an average of 142.3 breaths per minute compared to the negative ones, which was determined to be 83.7. The number of heart beats per minute in the kits with a positive reaction to sevoflurane averaged 205 and the negative ones 119.5. Muscle tremors were observed throughout the body during exposure of the positive kits to sevoflurane gas. It is concluded that for every 16 guinea pigs, 1 will react to the sevoflurane gas exposure positive due to the result obtained from the vital sign. Only the positive ones presented muscle tremors.
L'hyperthermie maligne (HM) est un syndrome clinique d'hypermétabolisme mettant en jeu le pronostic vital impliquant le muscle squelettique. Elle est déclenchée chez les individus sensibles principalement par des agents anesthésiques volatils par inhalation et le relaxant musculaire succinylcholine. MH affecte les humains, certaines races de porcs, les chiens, les chevaux et probablement d'autres animaux. Les signes classiques de MH comprennent une augmentation spectaculaire de la température corporelle, des muscles rigides ou douloureux, en particulier dans la mâchoire, une peau rougeoyante, une transpiration, un rythme cardiaque anormalement rapide ou irrégulier, une respiration rapide ou une respiration inconfortable, une urine brune ou de couleur cola, très faible tension artérielle (choc), confusion et faiblesse ou gonflement musculaire après l'événement. Le syndrome estsusceptible d'être fatal s'il n'est pas traité. Cette étude a donc évalué les effets du gaz sévoflurane sur les signes vitaux de Cavia porcellus avec hyperthermie maligne. Pour la détermination de l'hyperthermie maligne, 50 chatons sevrés de 15 jours de race Pérou ont été placés dans une chambre d'anesthésie pendant 5 minutes et soumis à un mélange d'air avec 3% de sévoflurane. Seuls 6 % d'entre eux ont réagi positivement, alors que la plupart d'entre eux, 94 %, ont été négatifs. La température corporelle moyenne des kits positifs était de 38,9 ° C, oscillant entre 38,7 et 39,1 ° C, tandis que les kits négatifs étaient en moyenne de 37,9 ° C. Les kits positifs avaient une moyenne de 142,3 respirations par minute par rapport aux négatifs, ce qui a été déterminé à être 83,7. Le nombre de battements cardiaques par minute dans les kits avec une réaction positive au sévoflurane était en moyenne de 205 et ceux négatifs de 119,5. Des tremblements musculaires ont été observés dans tout le corps pendant l'exposition des kits positifs au sévoflurane. Il est conclu que pour 16 cobayes, 1 réagira positivement à l'exposition au gaz sévoflurane en raison du résultat obtenu à partir du signe vital. Seuls les positifs présentaient des tremblements musculaires.
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Zaraa, Inès, Imen Labbène, Sondes Trojjet, Dalila Mrabet, Nihel Meddeb, Ines Chelly, Slim Haouet, Mourad Mokni, Slaheddine Sellami, and Amel Ben Osman. "Endogenous Ochronosis with a Fatal Outcome." Journal of Cutaneous Medicine and Surgery 16, no. 5 (September 2012): 357–60. http://dx.doi.org/10.1177/120347541201600515.
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Background: Endogenous ochronosis (EO) is an autosomal recessive inherited disorder where there is incomplete oxidation of tyrosine and phenylalanine due to a lack of the enzyme homogentisic acid oxidase. Objective: We report a singular observation of EO with a fatal outcome. Case Report: We report the case of a 46-year-old man born to consanguineous parents with a medical history of recurrent renal colic and chronic nonspecific arthropathy. On clinical examination, slate blue pigmentation was seen on the cheeks, forehead, and nose, as well as blue-gray patches on all fingernails and bluish discoloration of the gums. Familial investigation revealed that his sister had similar pigmentation on the ears, hands, and fingernails. Histologic examination of a biopsy specimen from a pigmented lesion showed a dermal deposit of an acellular, eosinophilic material without cell reaction. Based on the clinical and histopathologic data, combined with the family medical history, our patient was considered to have EO with mucocutaneous, articular, and renal involvement. Unfortunately, the diagnosis was late because our patient died a few months later of terminal renal failure. Conclusion: Skin signs are the hallmarks of EO and must alert the clinician to look for involvement of vital organs. Renseignements de base: L'ochronose endogène (OE) est une affection héréditaire récessive autosomique où il se produit une oxydation incomplète de la tyrosine et de la phénylalanine en raison d'un manque d'oxydase de l'acide homogentisique. Objectif: Nous présentons une observation singulière d'OE dont l'issue a été fatale. Rapport de cas: Nous exposons le cas d'un homme de 46 ans né de parents consanguins ayant des antécédents médicaux de coliques néphrétiques récurrentes et une arthropathie chronique non spécifique. À l'examen clinique, nous avons observé une pigmentation bleu ardoise au niveau des joues, du front, et du nez, ainsi que des plaques bleu gris sur tous les ongles de doigts et une décoloration bleuâtre des gencives. Une étude des antécédents familiaux a révélé que sa sœur présentait une pigmentation semblable au niveau des oreilles, des mains, et des ongles de doigts. L'examen histologique de l'échantillon de la biopsie pratiquée sur une lésion pigmentée a montré un dépôt cutané de matériel éosinophile acellulaire sans réaction cellulaire. Selon les données cliniques et histopathologiques, combinées aux antécédents médicaux familiaux, notre patient présentait une OE avec une atteinte rénale, articulaire, et muco-cutanée. Malheureusement, le diagnostic a été tardif puisque notre patient est décédé quelques mois plus tard d'insuffisance rénale terminale. Conclusion: Les signes cutanés constituent les caractéristiques de l'OE et ceux-ci doivent alerter le clinicien de manière à ce qu'il cherche la contribution des organes vitaux.
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Cournoyer, A., V. Langlois-Carbonneau, R. Daoust, and J. Chauny. "LO29: Création dune règle de décision clinique pour le diagnostic dun syndrome aortique aigu avec les outils dintelligence artificielle : phase initiale de définition des attributs communs aux patients sans syndrome aortique aigu chez une population à risque." CJEM 20, S1 (May 2018): S16—S17. http://dx.doi.org/10.1017/cem.2018.91.
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Introduction: Les outils de prédiction disponibles (score clinique, ratio des neutrophiles sur lymphocytes et dosage des D-dimères) dans le diagnostic du syndrome aortique aigu (SAA) demeurent imparfaits. Dans ce contexte, avec lobjectif de développer une règle de décision clinique pour le diagnostic du SAA, la présente étude visait à définir un ensemble de variables discriminantes chez les patients souffrant ou non dun SAA en utilisant les outils dintelligence artificielle. Methods: À partir de lensemble des données cliniques disponibles chez les patients investigués pour douleur thoracique au département durgence avec une angiographie par tomodensitométrie (angioCT) visant à éliminer un SAA entre 2008 et 2014, un programme dapprentissage a été chargé de construire un arbre de décision (Clustering And Regression Tree) identifiant les patients ne souffrant pas dun SAA. La variable dintérêt était labsence de SAA et 23 attributs ont été testés. Le diagnostic de SAA était établi avec les résultats de langioCT. Des échantillons aléatoires de 70% de la population étudiée ont été testés de façon récursive (maximum de 100 itérations) pour construire larbre de décision. Six algorithmes dapprentissage (Reg Tree, LR, KNN, Naive B, Random Forest et CN2) ont été comparés et loptimisation du gain dinformation a été mesurée par les techniques de Gain Ratio et de Gini. Results: Un total de 198 patients (99 hommes et 99 femmes) dun âge moyen de 63 ans (±16) ont été inclus dans létude, parmi lesquels 26 (13%) souffraient dun SAA. Trois attributs ou regroupements dattributs ont permis de construire un arbre de décision permettant didentifier 114 patients sur 198 (57,6%) ayant une très faible probabilité de SAA (sensibilité visée de 100%). La sensibilité et spécificité de larbre de décision clinique était respectivement de 100% (intervalle de confiance [IC] 95% 86,7-100,0) et 70,4% (IC 95% 62,7-77,3). Les attributs en question étaient labsence de tout facteur de risque (e.g. syndrome de Marfan, chirurgie aortique ou valvulaire, histoire familiale), les signes vitaux (tension artérielle systolique, pouls et choc index) et les D-dimères. Le seuil de D-dimères utilisé pouvait varier entre 1114 et 1211 mcg/L selon lhémodynamie et la présence de facteur de risque. Les attributs suivants nétaient pas discriminants : le sexe, un antécédent de diabète, dhypertension artérielle ou de dyslipidémie, le tabagisme, avoir un déficit de perfusion, une différence de tension artérielle entre les deux bras ou un souffle dinsuffisance aortique et la formule sanguine. Conclusion: Les attributs les plus discriminants pour le SAA sont les facteurs à risque, lhémodynamie et les D-dimères. Une étude prospective multicentrique devrait être réalisé afin de développer une règle de décision clinique afin didentifier les patients à très bas risque de SAA à partir de ces attributs.
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Couceiro, Taciana Barros Sampaio, Amanda Tavares Xavier, Tâmara Mayara Rodrigues Burgos, Lívia Mirelly Ferreira de Lima, and Solange Queiroga Serrano. "Promoção de prática educativa: registro de sinais vitais em uma unidade traumato-ortopédica." Revista Recien - Revista Científica de Enfermagem 10, no. 30 (June 30, 2020): 191–97. http://dx.doi.org/10.24276/rrecien2020.10.30.191-197.
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Identificar as principais falhas no registro de sinais vitais de um hospital e construir um plano de educação para miniminzar esse déficit. Trata-se de uma pesquisa-ação realizada com os técnicos de enfermagem da unidade traumato-ortopédica de uma instituição de Saúde em Pernambuco. O estudo constituiu-se em três fases: investigação de registro dos sinais vitais e entrevista; pré-teste e oficina educativa; pós-teste. Os técnicos de enfermagem possuem conhecimento sobre a importância da mensuração correta e registro adequado dos sinais vitais, entretanto, possuíam dúvidas quanto a alguns conceitos do assunto. A realização de oficinas educativas proporcionou oportunidade de aprendizado e a técnica usada mostrou-se efetiva, sendo indicado atividades de capacitações para as instituições de saúde que buscam fornecer assistência adequada aos seus clientes.Descritores: Educação em Saúde, Equipe de Enfermagem, Sinais Vitais. Promotion of educational practice: registration of vital signs in a trauma-orthopedic unitAbstract: To identify the main flaws in the registry of vital signs of a hospital and to construct an education plan to reduce this deficit. This is an action research carried out with the nursing technicians of the trauma-orthopedic unit of a health institution in Pernambuco. The study consisted of three phases: investigation of vital signs registration and interview; pre-test and educational workshop; post-test. Nursing technicians have knowledge about the importance of correct measurement and adequate recording of vital signs, however, they had doubts about some concepts of the subject. The realization of educational workshops provided an opportunity for learning and the technique used proved to be effective, and training activities are indicated for health institutions that seek to provide adequate assistance to their clients.Descriptors: Health Education, Nursing, Team, Vital Signs. Promoción de la práctica educativa: registro de signos vitales en una unidad de traumatología y ortopediaResumen: Identificar fallas importantes en el registro de signos vitales en un hospital y construir un plan educativo para minimizar este déficit. Esta es una investigación de acción realizada con los técnicos de enfermería de la unidad de traumatología y ortopedia de una institución de salud en Pernambuco. El estudio consistió en tres fases: investigación del registro de signos vitales y entrevista; pretest y taller educativo; prueba posterior. Los técnicos de enfermería tienen conocimiento sobre la importancia de la medición correcta y el registro adecuado de los signos vitales, sin embargo, tenían dudas sobre algunos conceptos del tema. La realización de talleres educativos brindó una oportunidad de aprendizaje y la técnica utilizada fue efectiva, lo que indica actividades de capacitación para instituciones de salud que buscan brindar atención adecuada a sus clientes.Descriptores: Educación para la Salud, Personal de Enfermeira, Signos Vitales.
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Wang, Haopeng, Yufan Zhou, and Abdulmotaleb El Saddik. "VitaSi: A real-time contactless vital signs estimation system." Computers & Electrical Engineering 95 (October 2021): 107392. http://dx.doi.org/10.1016/j.compeleceng.2021.107392.
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Trust, Marc D., Morgan Schellenberg, Subarna Biswas, Kenji Inaba, Vincent Cheng, Zachary Warriner, Bryan E. Love, and Demetrios Demetriades. "Prehospital Vital Signs Accurately Predict Initial Emergency Department Vital Signs." Prehospital and Disaster Medicine 35, no. 3 (March 4, 2020): 254–59. http://dx.doi.org/10.1017/s1049023x2000028x.
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AbstractIntroduction:Prehospital vital signs are used to triage trauma patients to mobilize appropriate resources and personnel prior to patient arrival in the emergency department (ED). Due to inherent challenges in obtaining prehospital vital signs, concerns exist regarding their accuracy and ability to predict first ED vitals.Hypothesis/Problem:The objective of this study was to determine the correlation between prehospital and initial ED vitals among patients meeting criteria for highest levels of trauma team activation (TTA). The hypothesis was that in a medical system with short transport times, prehospital and first ED vital signs would correlate well.Methods:Patients meeting criteria for highest levels of TTA at a Level I trauma center (2008-2018) were included. Those with absent or missing prehospital vital signs were excluded. Demographics, injury data, and prehospital and first ED vital signs were abstracted. Prehospital and initial ED vital signs were compared using Bland-Altman intraclass correlation coefficients (ICC) with good agreement as >0.60; fair as 0.40-0.60; and poor as <0.40).Results:After exclusions, 15,320 patients were included. Mean age was 39 years (range 0-105) and 11,622 patients (76%) were male. Mechanism of injury was blunt in 79% (n = 12,041) and mortality was three percent (n = 513). Mean transport time was 21 minutes (range 0-1,439). Prehospital and first ED vital signs demonstrated good agreement for Glasgow Coma Scale (GCS) score (ICC 0.79; 95% CI, 0.77-0.79); fair agreement for heart rate (HR; ICC 0.59; 95% CI, 0.56-0.61) and systolic blood pressure (SBP; ICC 0.48; 95% CI, 0.46-0.49); and poor agreement for pulse pressure (PP; ICC 0.32; 95% CI, 0.30-0.33) and respiratory rate (RR; ICC 0.13; 95% CI, 0.11-0.15).Conclusion:Despite challenges in prehospital assessments, field GCS, SBP, and HR correlate well with first ED vital signs. The data show that these prehospital measurements accurately predict initial ED vitals in an urban setting with short transport times. The generalizability of these data to settings with longer transport times is unknown.
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Brasilino, Fernando Faitarone, Natália Sperli Geraldes Marin dos Santos Sasaki, Luciene Cavalcanti Rodrigues, Maria De Lourdes Sperli Geraldes Santos, and Fabrício Faitarone Brasilino. "Proposta de dispositivo de baixo custo para aferição de sinais vitais e monitoramento à distância." Revista Recien - Revista Científica de Enfermagem 11, no. 36 (December 22, 2021): 12–18. http://dx.doi.org/10.24276/rrecien2021.11.36.12-18.
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Desenvolver um dispotivo de baixo custo para a aferição de sinais vitais e monitoramento a distância. Pesquisa metodológica aplicada, com desenvolvimento do protótipo e testes em pessoas (n=30) em São José do Rio Preto, São Paulo, utilizou-se o protótipo desenvolvido e, dispositivos de uso rotineiro em residências e hospitais. As variáveis analisadas durante os testes do protótipo foram: Pulso, Saturação de Oxigênio, Pressão Arterial e Temperatura Corpórea, com a comparação entre o protótipo desenvolvido e os equipamentos de uso rotineiro, onde a diferença na leitura do pulso foi de 4,3%, na saturação de oxigênio de 0,9%, na pressão arterial sistólica apresentou 5,5% e a diastólica 7,9%, na temperatura 1% . Os resultados indicaram a relevância do protótipo em relação aos equipamentos de uso rotineiro em residências, porém a análise com equipamentos padrão ouro é necessária para uma comparação melhor bem como um número maior de pessoas para os testes.Descritores: Serviço de Assistência Domiciliar, Sinais Vitais, Telemonitoramento, Enfermagem. Proposed low-cost device for measuring vital signs and remote monitoringAbstract: To develop a low-cost device for measuring vital signs and monitoring at a distance. Applied methodological research, with development of the prototype and tests on people (n = 30) in São José do Rio Preto, São Paulo, the developed prototype was used, and devices for routine use in homes and hospitals. The variables analyzed during the prototype tests were: Pulse, Oxygen Saturation and Blood Pressure, with the comparison between the developed prototype and the equipment for routine use, where the difference in the reading of the pulse was 4.3%, in the oxygen saturation of 0.9%, systolic blood pressure showed 5.5% and diastolic blood pressure 7,9%, at temperature 1%. The results indicated the relevance of the prototype in relation to the equipment for routine use in homes, however the analysis with gold standard equipment is necessary for a better comparison as well as a larger number of people for the tests.Descriptors: Home Assistance Service, Vital Signs, Telemonitoring, Nursing. Dispositivo de bajo costo propuesto para medir signos vitales y monitoreo remotoResumen: Desarrollar una disposición de bajo costo para la medición de signos vitales y la monitorización a distancia. Investigación metodológica aplicada, con desarrollo del prototipo y pruebas en personas (n=30) en São José do Rio Preto, São Paulo, se utilizó el prototipo desarrollado y dispositivos de uso rutinario en residencias y hospitales. Las variables analizadas durante las pruebas del prototipo fueron: Pulso, Saturación de Oxígeno y Presión Arterial, con la comparación entre el prototipo desarrollado y los equipos de uso rutinario, donde la diferencia en la lectura del pulso fue de 4,3%, en la saturación de oxígeno de 0,9%, en la presión arterial sistólica presentó 5,5% y la diastólica 7,9%, en la temperatura 1%. Los resultados indicaron la relevancia del prototipo en relación a los equipos de uso rutinario en residencias, pero el análisis con equipos estándar oro es necesario para una comparación mejor así como un mayor número de personas para las pruebas.Descriptores: Servicio de Asistencia Domiciliaria, Signos Vitales, Telemento, Enfermería.
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Villegas González, Juliana, Oscar Alberto Villegas Arenas, and Valentina Villegas González. "Semiología de los signos vitales: Una mirada novedosa a un problema vigente:/Vitals sign semiology: the new look to an actual problem." Archivos de Medicina (Manizales) 12, no. 2 (December 15, 2012): 221–40. http://dx.doi.org/10.30554/archmed.12.2.10.2012.
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Abordaje desde los puntos de vista anatómico, físico, funcional y clínico de la toma e interpretación de los signos vitales (SV).Se diserta sobre los signos que el estado de salud de un individuo exteriorizan, a pesar de que pueden ser muchos conceptualmente hablando, se trabaja sobre aquellos que convencionalmente son tenidos en cuenta por su dinamismo ya que ante alteraciones del cuerpo humano, los cambios ocurren de inmediato y se detectan con facilidad.Se desarrollan los cambios fisiológicos, patológicos y en relación con las diferentes edades, de manifestaciones como la presión arterial, pulso arterial o frecuencia cardíaca, frecuencia respiratoria, temperatura, oximetría y reflejo pupilar que permiten comprender lo normal y patológico según las alteraciones más frecuentes de cada uno de ellos. Approach from the anatomical, physical, functional and clinical-making views andinterpretation of vital signs (VS).It expounds on the signs that the health status of an individual externalized, althoughmany can be conceptually speaking, work on those that are conventionally taken intoaccount for its dynamism as alterations to the human body, changes occur immediatelyand are easily detectable.They develop the physiological, pathological changes and in relation to different ages,events such as blood pressure, pulse pressure or heart rate, respiratory rate, temperature,Oximetry and pupillary reflex approach to understanding normal and pathologicalas the most frequent alterations of each of them.
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MIYAZAKI, HARUHIRO. "The Fifth Vital Sign." Juntendo Medical Journal 52, no. 2 (2006): 197–206. http://dx.doi.org/10.14789/pjmj.52.197.
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Viehbeck, Jana, Michael Wiehl, Paul Jarvers, and Rainer Brück. "Investigation to Detect the Hydration State with Continuous Monitoring of Vital Signs." International Journal of Pharma Medicine and Biological Sciences 10, no. 4 (October 2021): 148–52. http://dx.doi.org/10.18178/ijpmbs.10.4.148-152.
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Sumbul, Warisha, Ammar Faisal Khan, and Asfaque Khan. "Pre and Post Effect of Segmental Breathing on Vital Signs by Six Minute Walk Test among Healthy Males and Females." International Journal of Health Sciences and Research 12, no. 2 (February 4, 2022): 76–82. http://dx.doi.org/10.52403/ijhsr.20220210.
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To find out the effectiveness of segmental breathing on vital signs by six-minute walk test among healthy male and females. In this study, 30 subjects were participated. Participant had been confirmed that they fulfill inclusion and exclusion criterion of the study. Study was performed at the Integral university.30 subject was randomly assigned in this study. Start from assessment of the subjects and vitals checkup and then proceed by 6-minute walk test then again measure vitals and give segmental breathing and rest for 10 minutes then again repeat the procedure of six-minute walk test with pre and post vital measure. The study indicated that the result represents that there has been significant improvement in post segmental breathing 6MWT and also there is significant decrease in rate of perceive exertion by Borg scale. The study concluded that segmental breathing is effective on vitals. There has been significant improvement in after segmental breathing 6MWT and also there is significant decrease in rate of perceive exertion by Borg scale. Key words: Six-minute walk test (SMWT), segmental breathing. Vital signs, Borg Scale.
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Martins, José Carlos Amado, Helisamara Mota Guedes, Cristiane Chaves de Souza, and Tânia Couto Machado Chianca. "Associação entre sinais vitais e Sistema Manchester de Triagem: estudo observacional retrospectivo." Online Brazilian Journal of Nursing 16, no. 4 (August 31, 2018): 379. http://dx.doi.org/10.17665/1676-4285.20175876.
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Aim: To evaluate the association between vital signs collected at the patient's entrance to the emergency department and the risk levels of the Manchester Triage System (MTS). Method: This is a retrospective observational study; whose sample was 154,714 patients. The exposure factor was the vital signs data, and the primary endpoint was the level of risk of MTS. Statistical, descriptive and inferential analyzes were conducted. Results: The most evaluated vital data was pain intensity; blood pressure was the least evaluated. Changes in heart rate to more or less of physiological patterns have increased the clinical priority of patients. Discussion: The higher the level of severity of MTS, the greater the variability of the mean of the vital signs evaluated. Conclusion: More severe patients tend to present greater variation in terms of vital signs on admission to the emergency department.
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Rajeshri R., Mehta, Gohil Jayendra R., Patel Rhushita M., and Agarwal Tushar. "The Effects of Music on Vital Signs, Weight, and Wellbeing of Premature Infants." Indian Journal of Maternal-Fetal and Neonatal Medicine 3, no. 2 (2016): 73–79. http://dx.doi.org/10.21088/ijmfnm.2347.999x.3216.3.
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Leggatt, L., M. Davis, M. Columbus, J. McGuire, and A. Spadafora. "P079: Comparison of vital sign documentation for pre-hospital “lift-assist” calls and non “lift-assist” calls." CJEM 18, S1 (May 2016): S105. http://dx.doi.org/10.1017/cem.2016.255.
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Introduction: When an individual requires assistance with mobilization, emergency medical services (EMS) may be called. If treatment is not administered and the patient is not transported to hospital, it is referred to as a “Lift Assist” (LA) call. We have previously shown that LA are associated with morbidity and mortality. Subtle pathology may exist in those who require LAs and they may benefit from being transported to the Emergency Department for medical evaluation. Given that the majority of LA calls result in no-transport, there may be a bias towards not upholding the same standards of care as patients who are transported to hospital. Objective: To determine if there is a difference in Ambulance Call Record (ACR) documentation of vitals signs between LA calls and non-LA calls. Methods: All LA calls from a single EMS agency were collected over a one-year period (Jan - Dec 2013). A control group of randomly selected calls of low acuity (Canadian Triage Acuity Scale 3,4,5) from the same time period was collected for comparison. ACRs from these calls were reviewed for missing vital sign documentation. Results: Of 42, 055 EMS calls, 808 (1.9%) were LA calls. A comparison of 784 randomly-selected non-LA control calls were reviewed. There were significantly more missing vitals (12.08% vs 6.64% p < 0.001) and refused vitals (1.87% vs 0.51% p = 0.013). Conclusion: There is a significant discrepancy in the complete documentation of vital signs in LA calls vs non-LA calls. There were also significantly more patient refusals for obtaining vitals compared to transported patients. Abnormal vital signs may be a clue to a subtle disease process that has resulted in a LA call, thus care should be taken to ensure that these patients are treated with the same standards of care and documentation as those patients calling EMS for overt medical reasons.
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Cliche, Hélène. "Le Circuit féminin de l’épistolaire chez Colette. Une respiration vitale." Études littéraires 26, no. 1 (April 12, 2005): 57–71. http://dx.doi.org/10.7202/501031ar.
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Le luxe est envisagé dans l'optique du plaisir d'un «faire en plus» vérifiable dans l'échange épistolaire qui constitue un réseau signifiant dans l'oeuvre de Colette, une circulation affective de signes, particulièrement entre des sujets-femmes. Le pacte d'intimité s'ouvre à la narration des états singuliers du corps, des événements ténus du quotidien et met à jour une résistance à la création littéraire qui sous-tend un idéal du style à quoi l'énonciation s'efforce de répondre. On y retrouve également la sensualité de l'auteure et sa fantasmatique, mises en scène dans l'espace intersubjectif de la correspondance, principe énergétique d'un langage qui est à la fois un don et une prise en charge de l'autre, la nécessité d'un partage réciproque, une éthique du désir.
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Murthy, Keshav, and Aruna C. Ramesh. "Are Vital Signs Strongly Associated with Criteria Predictive for Admission to the Intensive Care Unit." Indian Journal of Emergency Medicine 5, no. 4 (2019): 239–45. http://dx.doi.org/10.21088/ijem.2395.311x.5419.4.
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McLaughlin, Katharine, Amanda Stojcevski, Abdulkadir Hussein, Indryas L. Woldie, and Caroline Hamm. "Trends in Vital Signs in Relation to Patient Outcomes during Induction Phase in Treatment of Acute Leukemia." Blood 132, Supplement 1 (November 29, 2018): 5195. http://dx.doi.org/10.1182/blood-2018-99-116891.
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Abstract Introduction Windsor Regional Hospital (WRH) treats approximately 17 patients per year with acute myeloid leukemia (AML). During the induction phase, patients remain at WRH for about four weeks. While hospitalized, patients are monitored and vitals are taken every 4-12 hours. Despite this, mortality in patients treated for acute leukemia is as high as 60% depending on patient factors and diagnosis (Garcia et al., 2013). Hypothesis and Rationale Studies have shown that patients with AML who are admitted to the intensive care unit (ICU) earlier have better outcomes than those admitted later (Lengliné et al., 2012). The correlation between patient's vitals and ICU admission would show if better patient outcomes could result from more frequent monitoring. Data and results will be used in a pilot project testing wireless outpatient monitoring technology for patients with acute leukemia. Methods A retrospective chart review was conducted of patients diagnosed with AML during 2015 - 2017. Patients were included in the ICU group if they were admitted to the ICU during induction chemotherapy and excluded if they were admitted to the ICU prior to induction. The control group consisted of patients who had undergone induction and were not admitted to the ICU. Data Analysis Vital signs were analyzed over the 24 hours prior to ICU admission for the ICU group, and over the 24 hour period 5 days post-induction chemotherapy for the control group. This time period was chosen as it was the average number of days post-chemotherapy that patients were admitted to the ICU. An unpaired T-test was done to compare the number of vitals recorded in the 24 hour period between both groups, and a one-way ANOVA was done to compare the proportion of missed vitals within the ICU group. Results Sample size of ICU group, n=7. Mean age at diagnosis = 51. Sample size of Control group, n=30. Mean age at diagnosis = 63. Statistically there was no difference in age between the two groups. During the 24 hours prior to ICU admission, respiratory rate (RR) and fraction of inspired oxygen (FiO2) demonstrated the greatest changes in patients compared to temperature (T), blood pressure (BP), heart rate (HR) and oxygen saturation (O2Sat). The average number of vitals taken in the 24 hours prior to ICU admission was 8.86. The average number of vitals taken in a 24 hour period five days post-induction chemotherapy in control patients was 2.67. No significant differences in number of vital signs were observed between the groups during these periods when compared using a two-tailed T-test assuming unequal variances (p=0.07). Isolated missed vital signs were recorded as a percentage of total vital signs taken in the 24 hours prior to ICU admission. Average percentage of missed vital signs are as follows: T, 43.6%, BP, 16.8%, RR, 30%, HR, 19.3%, O2Sat, 15.2%. Reasons for ICU admission were recorded and the results were as follows: 85.71% respiratory issues, 57.14% infection, 14.29% cardiac issues and 14.29% nephrology issues. Discussion In the 24 hours prior to ICU admission, T, HR and BP did not significantly change in patients. Therefore, changes in these vital signs may not accurately predict if an AML patient will be admitted to the ICU. In the same patients, an increase in RR and, particularly, FiO2, often occurred in the 24 hours prior to admission. This suggests an increase in RR or FiO2 may be predictive of ICU admission during induction chemotherapy. The average number of vital signs taken was not significantly different between the ICU and control groups. However, this could have been due to small sample size of the ICU group resulting in a large variance between the patients. Although the difference was not statistically significant, RR was recorded the least in the 24 hours prior to ICU admission when compared to HR, BP and O2Sat. T was excluded as it is not recorded on ICU consults. Recording RR more often may be able to better help health teams recognize which patients need to be admitted to the ICU and admit them promptly which will lead to improved survival. Reason for ICU admission was predominantly related to respiratory failure, highlighting the need for increased measurement of related vital signs such as RR and O2Sat. Conclusion RR and FiO2 demonstrated the greatest changes in the 24 hours prior to a patient with acute leukemia being admitted to the ICU. Therefore, greater attention needs to be taken to monitor this parameter both in the inpatient setting and the outpatient setting. Disclosures No relevant conflicts of interest to declare.
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Wolf, Casper J. H., Harmen Beurmanjer, Boukje A. G. Dijkstra, Alexander C. Geerlings, Marcia Spoelder, Judith R. Homberg, and Arnt F. A. Schellekens. "Characterization of the GHB Withdrawal Syndrome." Journal of Clinical Medicine 10, no. 11 (May 26, 2021): 2333. http://dx.doi.org/10.3390/jcm10112333.
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The gamma-hydroxybutyric acid (GHB) withdrawal syndrome can have a fulminant course, complicated by severe complications such as delirium or seizures. Detoxification by tapering with pharmaceutical GHB is a safe way to manage GHB withdrawal. However, a detailed description of the course of the GHB withdrawal syndrome is currently lacking. This study aimed to (1) describe the course of GHB withdrawal symptoms over time, (2) assess the association between vital signs and withdrawal symptoms, and (3) explore sex differences in GHB withdrawal. In this observational multicenter study, patients with GHB use disorder (n = 285) were tapered off with pharmaceutical GHB. The most reported subjective withdrawal symptoms (SWS) were related to cravings, fatigue, insomnia, sweating and feeling gloomy. The most prevalent objective withdrawal symptoms (OWS) were related to cravings, fatigue, tremors, sweating, and sudden cold/warm feelings. No association between vital signs and SWS/OWS was found. Sex differences were observed in the severity and prevalence of specific withdrawal symptoms. Our results suggest that the GHB withdrawal syndrome under pharmaceutical GHB tapering does not strongly differ from withdrawal syndromes of other sedative drugs. The lack of association between vital signs and other withdrawal symptoms, and the relative stability of vitals over time suggest that vitals are not suitable for withdrawal monitoring. The reported sex differences highlight the importance of a personalized approach in GHB detoxification.
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Gély, Suzanne. "La religion de l'antique, de Cicéron à Chateaubriand : le signe et le sens." Vita Latina 120, no. 1 (1990): 31–42. http://dx.doi.org/10.3406/vita.1990.1628.
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Khan, Faheem, Asim Ghaffar, Naeem Khan, and Sung Ho Cho. "An Overview of Signal Processing Techniques for Remote Health Monitoring Using Impulse Radio UWB Transceiver." Sensors 20, no. 9 (April 27, 2020): 2479. http://dx.doi.org/10.3390/s20092479.
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Non-invasive remote health monitoring plays a vital role in epidemiological situations such as SARS outbreak (2003), MERS (2015) and the recently ongoing outbreak of COVID-19 because it is extremely risky to get close to the patient due to the spread of contagious infections. Non-invasive monitoring is also extremely necessary in situations where it is difficult to use complicated wired connections, such as ECG monitoring for infants, burn victims or during rescue missions when people are buried during building collapses/earthquakes. Due to the unique characteristics such as higher penetration capabilities, extremely precise ranging, low power requirement, low cost, simple hardware and robustness to multipath interferences, Impulse Radio Ultra Wideband (IR-UWB) technology is appropriate for non-invasive medical applications. IR-UWB sensors detect the macro as well as micro movement inside the human body due to its fine range resolution. The two vital signs, i.e., respiration rate and heart rate, can be measured by IR-UWB radar by measuring the change in the magnitude of signal due to displacement caused by human lungs, heart during respiration and heart beating. This paper reviews recent advances in IR- UWB radar sensor design for healthcare, such as vital signs measurements of a stationary human, vitals of a non-stationary human, vital signs of people in a vehicle, through the wall vitals measurement, neonate’s health monitoring, fall detection, sleep monitoring and medical imaging. Although we have covered many topics related to health monitoring using IR-UWB, this paper is mainly focused on signal processing techniques for measurement of vital signs, i.e., respiration and heart rate monitoring.
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Govil, Priya, and Kishalay Datta. "Validation of Emergency Severity Index and its Association with Patients' Vital Signs at Triage: A Prospective Observational Study." Indian Journal of Emergency Medicine 5, no. 2 (2019): 73–80. http://dx.doi.org/10.21088/ijem.2395.311x.5219.2.
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Aragon, Luis Eduardo Ponciano. "Fibromialgia: perspectivas de um campo problemático." Interface - Comunicação, Saúde, Educação 14, no. 32 (March 2010): 155–69. http://dx.doi.org/10.1590/s1414-32832010000100013.
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Este trabalho está ligado a pesquisas a respeito de processos de subjetivação e adoecimento contemporâneos, pela abordagem afirmativa e não reducionista da fibromialgia. Formula-se uma metodologia chamada de afirmação do campo problemático, a qual procura resistir à abordagem dialética e à negativação dos sinais e sintomas, para captar a processualidade do jogo de afetos e da produção de signos de hoje, fazendo uso de instrumental psicanalítico, filosófico e clínico. A indiscernibilidade dos limites, a multiplicação de superfícies e a alienação dos ritmos participantes dos processos vitais de individuação surgem como resultados da pesquisa e propõe-se abordar um corpo-questão como território de incidência política, ética e clínica.
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Bögelein, Verena, Frank Duzaar, and Christoph Scheven. "Higher integrability for the singular porous medium system." Journal für die reine und angewandte Mathematik (Crelles Journal) 2020, no. 767 (October 1, 2020): 203–30. http://dx.doi.org/10.1515/crelle-2019-0038.
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AbstractIn this paper we establish in the fast diffusion range the higher integrability of the spatial gradient of weak solutions to porous medium systems. The result comes along with an explicit reverse Hölder inequality for the gradient. The novel feature in the proof is a suitable intrinsic scaling for space-time cylinders combined with reverse Hölder inequalities and a Vitali covering argument within this geometry. The main result holds for the natural range of parameters suggested by other regularity results. Our result applies to general fast diffusion systems and includes both, non-negative and signed solutions in the case of equations. The methods of proof are purely vectorial in their structure.
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Ghimire, Nisha, Renu Yadav, and Soumitra Mukhopadhyay. "Comparative Study of Heart Rate, Blood Pressure and Selective Attention of Subjects Before and After Music." Birat Journal of Health Sciences 4, no. 1 (May 3, 2019): 625–28. http://dx.doi.org/10.3126/bjhs.v4i1.23935.
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Introduction: Studies have shown different views regarding the effect of music in vitals e.g Heart rate (HR), Blood pressure (BP) and atiention. The effect of preferred music with lyrics in vitals and reaction time in stroop test has not been performed in Nepalese students so, we conducted the study.
Objective: To find out the change in HR, BP and reaction time in Stroop test before and after their preferred music with lyrics.
Methodology Thirty male medical and paramedical students aged 25.27 ± 2.0 participated in study. The vital signs and reaction time in Stroop test before and after music was taken.
Results Paired-t test was used to compare means before and after exposure to music. The means are expressed as Mean ± SD. Heart rate (HR) increased after exposure to music (66.33±9.51 Vs 67.2±8.44) (p<.05). The error in Stroop test was less after music (.66±.49 Vs.63±.66) (p<.05). The reaction time after error correction decreased post exposure to music (24.117±4.61Vs23.29±4.45) (p<.05).
Conclusion The heart rate increased after exposure to music. The errors decreased after listening to music which also decreased reaction time.
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Filson, Kristen, Colleen Atherholt, Meredith Simoes, Michael DiPalma, Susheela John, Robin Reynolds, and Joanne McGovern. "Post-operative vital signs: How often is too often?" Journal of Clinical Oncology 36, no. 30_suppl (October 20, 2018): 210. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.210.
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210 Background: Current protocol for post-operative patients admitted to medical-surgical/telemetry units from post anesthesia care units states vital signs are taken every 15 minutes for 1 hour, every 30 minutes for 2 hours and then, every 4 hours for 24 hours. To date, published evidence-based research regarding the frequency and duration of vital signs to safely monitor post-operative patients is limited. The goal is to determine best practice in post-operative vital sign monitoring to ensure safe patient care. The purpose of this review is to determine what frequency and duration of vital signs is required to identify a deviation greater than 20% of patient baseline to ensure safe post-operative monitoring of patients. Methods: A total of 742 post-operative patients’ charts were evaluated. A time frame in which vital signs deviated greater than 20% from patient baseline was established from the data collected. A chart was created depicting these results; listing the total deviations by individual vital sign and time frame. Results: Results show blood pressure and heart rate are the vital signs that have the greatest deviation from baseline followed by pulse-oximetry. Temperature deviations are widespread, while changes in respiratory rate are seen within the first hour. When looking at specific percentages, it was noted that 65% of the total patients reviewed had a 20% deviation from their baseline vital signs. Blood pressures made up 50% of those deviations, while heart rates made up 45%. A total of 27% of the deviations occurred 4-8 hours after admission, 13% of deviations occurred 8-12 hours after admission, 9% of deviations occurred 1.5 hours after admission, and 7% of deviations occurred 12-16 hours after admission. Conclusions: Based on these results, the best times to take post-operative vitals to ensure deviations are detected are: every 15 minutes for 30 minutes upon admission, 1.5 hours after admission, 4 hours after admission, and then every 4 hours for 20 hours. Findings indicate vital signs can safely be taken less frequently in post-operative patients admitted to medical-surgical/telemetry units.
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Martins, Anabela, and Isabel Andrade. "Adaptação cultural e validação da versão portuguesa de Newest Vital Sign." Revista de Enfermagem Referência IV Série, no. 3 (December 12, 2014): 75–83. http://dx.doi.org/10.12707/riii1399.
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Roncone, David P., and Scott A. Anthony. "Conjunctival chemosis: A case series of systemic causes." Canadian Journal of Optometry 82, no. 1 (February 21, 2020): 63–79. http://dx.doi.org/10.15353/cjo.v82i1.727.
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Conjunctival chemosis is a common ophthalmic finding that presents with a wide range of severity, symptoms, signs, and underlying etiologies. Although most cases of conjunctival chemosis are ocular in nature (allergy, infection, irritation), atypical presentations such as dusky conjunctival hue, corkscrew conjunctival veins, and periorbital edema, should prompt further investigation for a systemic cause. In atypical cases, reviewing the patient’s medical history and medications, physically examining and auscultating the patient’s heart and lungs, and obtaining vitals (i.e. blood pressure, pulse, weight), are crucial parts of the investigation for a potential systemic source. This article reviews systemic causes for conjunctival chemosis and provides case examples to demonstrate evaluative and management techniques for optometrists to make a distinction between ocular and systemic conjunctival chemosis.
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Souza Ferraz, Adriano H. de, and Sandro Kobol Fornazari. "A produção desejante na cultura afro-brasileira: uma leitura de Barravento." Viso: Cadernos de estética aplicada 11, no. 20 (March 12, 2017): 1–15. http://dx.doi.org/10.22409/1981-4062/v20i/215.
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O presente artigo pretende fazer uma leitura do filme Barravento, de Glauber Rocha, de modo a evidenciar aspectos analíticos para além da dialética materialista e do jogo fetichista da cultura afro-brasileira. Na multiplicidade de sentidos que se encontram na composição das cenas e imagens desta obra, existe uma crítica ao materialismo vulgar dentro do próprio sistema de signos do devir-primitivo. Isto nos leva a postular as ambiguidades próprias da vida brasileira no entrechoque do arcaico com o moderno, evidenciando os arcaísmos próprios da modernidade ilustrada e engajada, bem como uma forte percepção das forças sociais vitais na cultura primitiva, capazes inclusive de resistir frontalmente à axiomatização capitalista. Os autores que fornecem as ferramentas conceituais para esta articulação são Deleuze e Guattari em seu O Anti-Édipo.
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Shukla, S., N. Acharya, S. Acharya, DP Rajput, and S. Vagha. "Fictitious pseudo Meig’s syndrome: A medical emergency." Journal of College of Medical Sciences-Nepal 7, no. 1 (March 3, 2012): 57–64. http://dx.doi.org/10.3126/jcmsn.v7i1.5975.
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The present case scenario deals with an acute on chronic symptomatology, and collapsed state of the patient with poor vitals on admission in casualty. Clinical work up pointing to an elevated serum CA 125 levels and USG pelvis suggesting peritoneal adhesions with cystic to firm mass in left ovary and minimal free fluid in abdomen and cul de sac, X Ray chest suggesting right sided Pleural effusion. It was after careful evaluation of the case, with past and present history along with signs, symptommatology and intraoperative findings that differentials like Chronic granulomatous lesions, endometriosis, Neoplastic lesions with metastasis and Meig’s syndrome or Pseudo Meig’s were evaluated. Finally, a diagnosis of genital tuberculosis with enodmetriosis was confirmed on histopathological evaluation. DOI: http://dx.doi.org/10.3126/jcmsn.v7i1.5975 JCMSN 2011; 7(1): 57-64
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Helfinstein, Sarah, Mokshada Jain, Banadakoppa Manjappa Ramesh, James Blanchard, Hannah Kemp, Vikas Gothalwal, Vasanthakumar Namasivayam, Pankaj Kumar, and Sema K. Sgaier. "Facilities are substantially more influential than care providers in the quality of delivery care received: a variance decomposition and clustering analysis in Kenya, Malawi and India." BMJ Global Health 5, no. 8 (August 2020): e002437. http://dx.doi.org/10.1136/bmjgh-2020-002437.
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IntroductionImproving the quality of care during childbirth is essential for reducing neonatal and maternal mortality. One barrier to improving quality of care is understanding the appropriate level to target interventions. We examine quality of care data during labour and delivery from multiple countries to assess whether quality varies primarily from nurse to nurse within the same facility, or primarily between facilities.MethodsTo assess the relative contributions of nurses and facilities to variance in quality of care, we performed a variance decomposition analysis using a linear mixed effect model on two data sources: (1) the number of vital signs assessed for women in labour from a study of nurse practices in Uttar Pradesh, India; 2) broad-scale indices of respectful and competent care generated from Service Provision Assessments in Kenya and Malawi. We used unsupervised clustering, a data mining technique that groups objects together based on similar characteristics, to identify groups of facilities that displayed distinct patterns of vital signs assessment behaviour.ResultsWe found 3–10 times more variance in quality of care was explained by the facility where a patient received care than by the nurse who provided it. The unsupervised clustering analysis revealed groups of facilities with highly distinct patterns of vital signs assessment, even when overall rates of vital signs assessments were similar (eg, some facilities consistently test fetal heart rate, but not other vitals, others only blood pressure).ConclusionFacilities within a region can vary substantially in the quality of care they provide to women in labour, but within a facility, nurses tend to provide similar care. This holds true both for care that can be influenced by equipment availability and technical training (eg, vital signs assessment), as well as cultural aspects (eg, respectful care).
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Silva, Mariana Cardoso da, Thayná Czempik Lima, Lucas Agostini, Fernando Fabrizzi, and André Jokura. "AVALIAÇÃO DE SINAIS VITAIS E GLICEMIA CAPILAR EM DIFERENTES PADRÕES ALIMENTARES/ ASSESSMENT OF VITAL SIGNS AND CAPILLARY GLYCEMIA IN DIFFERENT PATTERNS DIETARY." Brazilian Journal of Development 7, no. 2 (2021): 12384–404. http://dx.doi.org/10.34117/bjdv7n2-045.
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dos Santos Gonsalves, Alexandre, and Robson Augusto Siscoutto. "SOLUÇÃO DE BAIXO CUSTO PARA O MONITORAMENTO DE SINAIS VITAIS, EM TEMPO REAL, FAZENDO USO DE SENSORES E ARDUINO." COLLOQUIUM EXACTARUM 12, no. 2 (September 4, 2020): 102–18. http://dx.doi.org/10.5747/ce.2020.v12.n2.e322.
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The health monitoring system has become indispensable in the treatment of patients, especially for those who have chronic illnesses and need real-time observation from doctors and specialists. This article presents a low-cost wireless solution for monitoring, in real time, vital signs such as cardiac beats, breathing and blood pressure, collecting and sending data to a remote computer. During development, a wireless sensor box was created, using Arduino Nano and bluetooh sensors, where this box is attached to the patient's body, respecting the patient's flexibility and mobility during physical exercises. During the monitoring, the captured data is transmitted via the bluetooh network. The box uses a battery for its food. After the evaluation, the solution obtained a performance and correctness of the data close to 100%, being considered fit for use. Several experiments were carried out to analyze, quantify and qualify the solution, being discussed and presented in this paper.
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Askin, Debbie Fraser. "What Is a Hero?" Neonatal Network 24, no. 6 (November 2005): 7. http://dx.doi.org/10.1891/0730-0832.24.6.7.
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ACCORDING TO WEBSTER’S NEW COLLEGIATE Dictionary, a hero is “someone who is admired for his achievements and qualities or one that shows great courage.” Since the onslaught of Hurricane Katrina, we have heard many stories of heroism—stories about rescues, giving, and surviving against formidable odds. As with any event of this magnitude, there are many more unsung heroes—people who quietly go about doing what needs to be done because that’s what they do. People who stayed behind in empty cities to take care of patients who couldn’t leave, and people who sat by the bedside to keep ventilators running, vitals signs monitored, and treatments given. People who accepted admission after admission, sometimes without full paperwork. People who are the men and women of the NICUs in Mississippi, Louisiana, Alabama, and Texas—the neonatal nurses, neonatologists, RTs, and others who worked tirelessly to ensure the safety and well-being of their patients.
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Eisenkraft, Arik, Yasmin Maor, Keren Constantini, Nir Goldstein, Dean Nachman, Ran Levy, Michael Halberthal, et al. "Continuous Remote Patient Monitoring Shows Early Cardiovascular Changes in COVID-19 Patients." Journal of Clinical Medicine 10, no. 18 (September 17, 2021): 4218. http://dx.doi.org/10.3390/jcm10184218.
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COVID-19 exerts deleterious cardiopulmonary effects, leading to a worse prognosis in the most affected. This retrospective multi-center observational cohort study aimed to analyze the trajectories of key vitals amongst hospitalized COVID-19 patients using a chest-patch wearable providing continuous remote patient monitoring of numerous vital signs. The study was conducted in five COVID-19 isolation units. A total of 492 COVID-19 patients were included in the final analysis. Physiological parameters were measured every 15 min. More than 3 million measurements were collected including heart rate, systolic and diastolic blood pressure, cardiac output, cardiac index, systemic vascular resistance, respiratory rate, blood oxygen saturation, and body temperature. Cardiovascular deterioration appeared early after admission and in parallel with changes in the respiratory parameters, showing a significant difference in trajectories within sub-populations at high risk. Early detection of cardiovascular deterioration of COVID-19 patients is achievable when using frequent remote patient monitoring.
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Sandhu, Tavleen, Edgardo G. Szyld, Michael P. Anderson, and Birju A. Shah. "Effect of rotating providers on chest compression performance during simulated neonatal cardiopulmonary resuscitation." PLOS ONE 17, no. 3 (March 14, 2022): e0265072. http://dx.doi.org/10.1371/journal.pone.0265072.
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Objective Simulation studies in adults and pediatrics demonstrate improvement in chest compression (CCs) quality as providers rotate every two minutes. There is paucity of studies in neonates on this matter. This study hypothesized that frequent rotation while performing CCs improves provider performance and decreases fatigue. Study design Prospective randomized, observational crossover study where 51 providers performed 3:1 compression-ventilation CPR as a pair on a term manikin. Participants performed CCs as part of 3 simulation models, rotating every 3, 5 and 10 minutes. Data on various CC metrics were collected. Participant vitals were recorded at multiple points during the simulation and participants reported their level of fatigue at completion of simulation. Results No statistically significant difference was seen in any of the compression metrics. However, differences in the providers’ fatigue scores were statistically significant. Conclusion CC performance metrics did not differ significantly, however, providers’ vital signs and self-reported fatigue scores significantly increased with longer CC durations.
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Costa, Marciel Dos Santos, Luciana Gonzaga dos Santos Cardoso, and Silmar Maria Da Silva. "Conhecimento dos enfermeiros sobre ações de enfermagem e complicações em procedimentos invasivos coronarianos / Knowledge of nurses about nursing actions and complications in coronary invasive procedures." Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo 64, no. 2 (June 26, 2019): 76. http://dx.doi.org/10.26432/1809-3019.2019.64.2.076.
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Objetivo: Verificar o conhecimento de enfermeiros que atuam no setor de hemodinâmica sobre ações de enfermagem e complicações em procedimentos invasivos coronarianos. Método: Pesquisa de campo, descritiva e de análise quantitativa, realizada em dois setores de Hemodinâmica, com 16 enfermeiros que responderam a um formulário contendo questões sobre ações de enfermagem antes, durante e após os procedimentos invasivos coronarianos, orientações para alta e possíveis complicações. Resultados: As ações de enfermagem antes do procedimento mais citadas foram: Orientar o paciente, verificar o tempo de jejum, monitorizar os sinais vitais, verificar histórico de alergias, histórico de doenças prévias, realizar entrevista de enfermagem e verificar a disponibilidade de materiais, equipamentos e medicamentos. Durante o procedimento: Monitorizar o paciente, realizar controle de materiais e medicamentos e verificar a ocorrência de sinais e sintomas. Após o procedimento: Monitorizar os sinais vitais, atentar para a retirada do introdutor, observar o curativo, avaliar o membro puncionado e orientar o paciente. As orientações para a alta mais citadas pelos enfermeiros foram: Atentar para sinais de sangramento ou hematomas, manter repouso ou evitar esforço físico e procurar pronto socorro próximo de casa em caso de hemorragia. As complicações citadas com maior frequência foram: Pseudoaneurisma, hematoma, hemorragia e parada cardiorrespiratória. Conclusão: O presente estudo foi útil para a identificação de fragilidades na assistência de enfermagem aos pacientes submetidos ao CC ou ATCP, que podem ser corrigidas por meio de orientações ou treinamentos, com a finalidade de reduzir possíveis erros durante a realização dos cuidados de enfermagem a estes pacientes. Descritores: Enfermeiras e enfermeiros, Cuidados de enfermagem, Conhecimento, Serviço hospitalar de cardiologia, HemodinâmicaABSTRACT:Objective: To evaluate the nurse knowledge in the Hemodynamic area regarding the nursing care and complications in coronary invasive procedures. Method: A descriptive and quantitative fieldwork performed in two Hemodynamic areas involving 16 nurses who had answered a form containing nurse care questions before, during and after the coronary invasive procedures, guidance concerning the discharge and the possible complications. Results: The most cited nursing care items before the procedures were: to guide the patient, check the fast time, monitor the vital signs, check the allergy history, the previous diseases history, make a nursing interview and check the material, equipment and drugs availability. During the procedure: to monitor the patient, control the material and drugs and check the occurrence of signs and symptoms. After the procedure: to monitor the vital signs, be attentive to the introducer removal, observe the dressing, assess the punctured limb and guide the patient. Regarding the discharge guidance, the most cited ones by the nurses were: to be attentive to the bleeding signs or hematomas, keep at rest or avoid physical effort and go to the nearest emergency unit in case of hemorrhage. The most frequent cited complications were: pseudo aneurysm, hematoma, hemorrhage and cardiopulmonary arrest. Conclusion: The current study was relevant to identify the fragilities in the nursing care regarding the patients undergone to CC or PTCA which may be corrected through the nursing guidance or training, aiming to diminish the possible mistakes occurred during the nursing care given to these patients.Keywords: Nurses; Nursing care; Knowledge; Cardiology service, hospital; Hemodynamics
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Metcalf, Meredith, Jill Hamilton-Reeves, Martin DeRuyter, David Bishop, Lauren Hand, Jeffrey M. Holzbeierlein, and Eugene Lee. "Application-based perioperative management of the radical cystectomy patient." Journal of Clinical Oncology 36, no. 6_suppl (February 20, 2018): 480. http://dx.doi.org/10.1200/jco.2018.36.6_suppl.480.
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480 Background: Radical cystectomy patients are a vulnerable population, with up to 65% suffering complications and 26% readmitted within 90 days. Perioperative education, early identification of patients at risk, and discharge transitions remain central to improving outcomes. This project aimed to examine the feasibility of using LifeScience Technologies tablet-based application (LST app) for perioperative patient education, transition care communications, and post-discharge monitoring. Methods: We initiated a prospective feasibility pilot trial (NCT NCT02942121) in 20 patients undergoing radical cystectomy. Participants were provided an iPad preloaded with the LST app and equipment to measure vital signs during the study. Patient education videos tailored to each individual based on gender and diversion type were sent via the app for viewing preoperatively. Postoperatively participants were asked to log medication compliance and vital signs. Vital equipment was wirelessly transmittable, and the study team was alerted to any abnormal patient data. Compliance with watching videos and recording vital signs was the primary aim of the study. Results: Twenty patients were enrolled between 2/2017 and 10/2017. Two patients discontinued due to difficulty with electronics, two due to oncologic restaging, and two await surgery. Patients watched 155/235 (66%) of assigned education videos. On average, each video was viewed 2.1 times (range 0-3.7), and 16/18 (89%) of all videos were watched more than once. Excluding the patients who did not complete the trial, compliance in video watching was 143/193 (74%). Complete vital signs were logged on 181/227 (70%) of patient study days. Excluding patients who did not complete the trial, compliance in vital sign recording was 175/216 (81%). Conclusions: Tablet-based applications are emerging as adjuncts to traditional clinical practice. This protocol demonstrates patient compliance with assigned tasks and was feasible for extending educational content beyond the office while allowing for repetition of viewing, vital for improving comprehension and recall. Additionally, patients were compliant with recording vitals while at home, demonstrating feasibility of this novel technology. Clinical trial information: NCT02942121.
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Ghanghoriya, Pawan, Purusharth Srivastava, and Praveen K. Bharti. "Study clinical response and parasite clearance response to Artemisinins in severe malaria in children." International Journal of Contemporary Pediatrics 5, no. 3 (April 20, 2018): 905. http://dx.doi.org/10.18203/2349-3291.ijcp20181511.
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Background: The research was conducted to study the clinical response and parasite clearance response to Artesunate therapy, in children admitted with severe malaria at a tertiary care centre in Central India.Methods: It is a prospective analytical study. 18 microscopy positive children diagnosed with severe malaria were included. Baseline blood samples collected for microscopy and biochemical tests. All patients were administered standard intravenous Artesunate therapy and were watched every 12 hourly for: 1. Resolution of clinical signs and symptoms. Clinical parameters included level of consciousness in form of GCS, vital signs like pulse rate, respiration, signs of bleeding, development of icterus, pallor, urine output and laboratory parameters included blood sugar levels, renal and liver function tests. 2. Time taken for conversion of microscopic Smear positive to Smear negative.Results: The mean age was 8.34±4.35 years. Males and females were equally affected. 61% of severe malaria patients were infected by P. falciparum and remaining were infected by P. vivax. The most common clinical features were Pallor: 100%, Respiratory distress: 66.7%, Cerebral malaria: 55.6%. After giving Artesunate therapy, Mean GCS in Cerebral malaria patients showed improvement (on admission: 9±1.15, at 72 hours: 12.5±3.7). Effect was marginally better in P. vivax cases. Respiratory distress and tachycardia improved in majority of patients (75% and 80% respectively). The number of patients with icterus progressively increased. Improvement in liver function and renal function was minimal. 100% parasite clearance was achieved. The mean parasite clearance time is 46±9.43 hours. 72.2% were successfully discharged, 22.2% took Leave Against Medical Advice (LAMA) and 5.6% certified dead.Conclusions: Artesunate is an effective drug in severe malaria patients in terms of rapid improvement of cerebral function, improvement and stabilization of vitals, parasite clearance with favorable long-term outcome. There is no evidence of plasmodium resistance to Artesunate currently as per the present study.
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Dudar, Karly, Shalyn Littlefield, and Meghan Garnett. "Clinical and laboratory characteristics of patients presenting to a tertiary care center emergency department with invasive group A streptococcal infections." CJEM 22, no. 3 (February 3, 2020): 368–74. http://dx.doi.org/10.1017/cem.2019.457.
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ABSTRACTObjectivesThe aim of this study was to describe the clinical and laboratory characteristics of invasive group A streptococcal infections in a geographic area that sees a high volume of cases.MethodsWe conducted a health records review of consecutive patients presenting to the Thunder Bay Regional Health Sciences Centre Emergency Department (ED) in 2016–2017 with a diagnosis of invasive group A streptococcal infection using ICD-10 codes. Patient demographics, host characteristics, triage vital signs, laboratory values, culture sites, and disposition were described using univariate and bivariate statistics.ResultsForty-four adult cases were identified over 2 years, with a median age of 44 years (interquartile range, 35–52). The most prevalent risk factors were diabetes mellitus (45%), current or previous alcohol abuse (39%), and current or previous intravenous drug use (34%). The two most abnormal triage vitals signs were a heart rate ≥ 100 beats per minute in 32 (73%) cases and a respiratory rate ≥ 20 breaths per minute in 27 (63%) cases. The temperature was ≥ 38°C in only 14 (32%) of cases. The C-reactive protein (CRP) was always elevated when measured, and greater than 150 mg/L in 20 (71%) of cases. One-third of patients had an ED visit in the preceding 7 days before the diagnosis of invasive group A Streptococcus.ConclusionsInvasive group A streptococcal infections often present insidiously in adult patients with mild tachycardia and tachypnea at triage. The CRP was the most consistently abnormal laboratory investigation.
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Hossain, Mokarrom. "An Advanced Architecture & Instrumentation for Developing the System of Monitoring a Vital Sign (Oxygen Saturation) of a Patient." International Journal of Engineering and Technology 2, no. 6 (2010): 598–602. http://dx.doi.org/10.7763/ijet.2010.v2.188.
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Dashi, G., N. McGraw, A. Szulewski, R. Egan, A. Hall, D. Dagnone, and D. Howes. "P031: Assessing differences between high- and low-performing resuscitation team leaders using gaze-tracking technology." CJEM 18, S1 (May 2016): S88—S89. http://dx.doi.org/10.1017/cem.2016.207.
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Introduction: Crisis decision-making is an important responsibility of the resuscitation team leader but a difficult process to study. The purpose of this study was to evaluate visual and behavioural differences between team leaders with different objective performance scores using gaze-tracking technology. Methods: Twenty-eight emergency medicine residents in different stages of training completed four simulated resuscitation scenarios. Participants wore gaze-tracking glasses during each station. An outside expert blinded to participant training level assessed performances using a validated assessment tool for simulation scenarios. Several visual endpoints were measured, including time, frequency, order, and latency to observation of task-relevant and task-redundant items. Non-visual endpoints included behaviours such as summarizing, verbalizing concerns, and calling for definitive treatments, among others. Results: Preliminary findings suggest significant differences between high and low performers. High performers check vitals signs faster, and look at patients and vital signs more often than low performers. Low-performing leaders display a more fixed gaze when starting a scenario. Lastly, high performers summarize, verbalize concerns, predict and prepare for future steps, and call for definitive treatment more often than low performers. Conclusion: There are significant differences between high and low-performing resuscitation team leaders in terms of their visual and behavioural patterns. These differences identify potential focus points for competency evaluations, and may direct educational interventions that could facilitate more efficient development of expertise. The potential to study crisis decision-making behaviours and performances using the methods and metrics identified, both in simulated and real-world settings, is substantial.
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DeFreese, J. D., Michael J. Baum, Julianne D. Schmidt, Benjamin M. Goerger, Nikki Barczak, Kevin M. Guskiewicz, and Jason P. Mihalik. "Effects of College Athlete Life Stressors on Baseline Concussion Measures." Journal of Sport Rehabilitation 29, no. 7 (September 1, 2020): 976–83. http://dx.doi.org/10.1123/jsr.2018-0378.
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Context: Concussion baseline testing helps injury evaluation by allowing postinjury comparisons to preinjury measures. To facilitate best practice, common neurocognitive, balance, and symptom report metrics used in concussion baseline testing merit examination relative to participant life stressors. Objective: The purpose of this study was to determine if life stressors are associated with college athlete neurocognitive function, postural control, and symptom scores at preseason baseline assessment. Design: All study variables were collected in a single laboratory session where athletes completed valid and reliable psychometrics as well as a computerized neurocognitive and balance assessments. Setting: Sports medicine research center on an American university campus. Participants: A convenience sample of 123 college student-athletes: 47 females (age = 18.9 [4.3] y) and 76 males (age = 19.4 [1.6] y). Main Outcome Measures: Participants were categorized into low, moderate, or high life stressors groups using scores from the Social Readjustment Rating Scale-Revised. Dependent variables included outcomes from the CNS Vitals Signs test, the Sensory Organization Test, and the graded symptom checklist indexing neurocognition, balance, and symptom severity, respectfully. Results: One-way analysis of variance revealed that the moderate life stressors group performed significantly worse than the low life stressors group on the baseline verbal memory domain of the CNS Vital Signs (F2,119 = 3.28; P = .04) only. Conclusion: In the current college athlete sample, few baseline concussion assessment variables were found to be significantly associated with life stressors. Considering the clinical significance of these variables, psychological life stressors may not be a confounding factor in concussion evaluation.
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Xiao, Yan, Colin F. Mackenzie, Judith Orasanu, Richard Spencer, and Vajira Gunawardane. "Visual Scanning Patterns during Remote Diagnosis." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 42, no. 3 (October 1998): 272–76. http://dx.doi.org/10.1177/154193129804200319.
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Through audio-video-data linkage, remotely situated experts can potentially provide supervisory advice to on-going events and activities and participate in dynamic decision making. Previous studies showed, however, that domain experts often missed critical cues necessary for assessing remote situations and thereby were unable to anticipate needed interventions and to provide effective supervision. Questions arose about the process whereby remote decision makers extracted information from audio-video-data linkage. This paper reports a study of the visual scanning patterns of domain experts during remote diagnosis of trauma patient resuscitation through audio-video-data linkages. Eye-gaze data were collected from decision makers of different domain expertise as well as from novices. The results indicated that (1) experts tended to focus on regions of the video scene corresponding to their respective real-life roles in a multidisciplinary team; (2) the majority of eye fixations were on the face or the head of the people in the video, regardless of viewers' experience backgrounds; (3) large individual differences existed in how systematically the subjects scanned various parts of the video scene which included vitals signs of the patient.
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Woolum, Jordan, Nicholas Mancuso, Philip W. Rutter, Regan A. Baum, and Peter Akpunonu. "Chomping at the Bit: A Descriptive Report on Pediatric Clenbuterol Ingestion." Journal of Pharmacy Practice 33, no. 3 (January 22, 2019): 386–89. http://dx.doi.org/10.1177/0897190018823114.
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Introduction: Clenbuterol hydrochloride is a selective beta-2 adrenergic agonist with uses in both humans and animals. Ingestions occurring within the United States are generally due to incidental ingestion of a veterinary product, use as a cutting agent for illicit substances, or illegal use for performance-enhancing purposes. Case Report: A four-and-a-half year-old male presented approximately two-and-a-half hours after an accidental ingestion of an unknown quantity of clenbuterol. Initial laboratory results and electrocardiogram were remarkable for hyperglycemia, hypokalemia, and hypophosphatemia, with an electrocardiogram demonstrating sinus tachycardia. Heart rate ranged from 126 to 147 beats per minute while other vitals remained within normal limits. The patient was observed for 24 hours and discharged with normalized vital signs, laboratory results, and electrocardiogram. Discussion: Clenbuterol hydrochloride is a beta-agonist with high potency, extended half-life, and bioavailability of 70% to 80%. Tachycardia occurs due to beta-1 receptor stimulation, as well as a homeostatic reflex to peripheral vasodilation. Hyperglycemia is not uncommon in exposures and intracellular shifting of potassium causes hypokalemia. Treatment is primarily supportive in nature, with hemodynamic management representing the primary focus of initial triage.