Case Study—Training: Vital Signs

Author(s):  
T GARRAND
Keyword(s):  
1996 ◽  
Vol 2 (4) ◽  
pp. 185-191 ◽  
Author(s):  
W G Scanlon ◽  
N E Evans ◽  
G C Crumley ◽  
Z M Mccreesh

Radio-based signalling devices will play an important role in future generations of remote patient monitoring equipment, both at home and in hospital. Ultimately, it will be possible to sample vital signs from patients, whatever their location and without them necessarily being aware that a measurement is being taken. This paper reviews current methods for the transmission by radio of physiological parameters over ranges of 0.3, 3 and 30 m, and describes the radiofrequency hardware required and the carrier frequencies commonly used. Future developments, including full duplex systems and the use of more advanced modulation schemes, are described. The paper concludes with a case study of a human temperature telemeter built to indicate ovulation. Clinical results clearly show the advantage to be had in adopting radio biotelemetry in this instance.


2019 ◽  
Vol 6 (2) ◽  
pp. 121
Author(s):  
Ayu Larasati ◽  
Rosdiana Pakpahan

Sedentary/passive behavior has increased the risk of non-communicable disease, which incites the need to promote an active lifestyle through outdoor physical activities. However, green open space (GOS) amount and design that focus as health promoter have not yet been sufficient. Therefore, design evaluation is conducted to acknowledge recent issues and potential solutions as design considerations for next GOS that focuses on health. Evaluation of GOS design quality uses design indicators that are extracted from Salutogenic Five Vital Signs to identify and assess design quality at selected GOS as a case study.  The data for this study is gathered through site surveys, two months observations, and user interviews: 25 visitors, two staff, and three entrepreneurs. Evaluation at selected GOS highlights the importance of forest setting as major attractions because it provides comfortable shades of trees. Also, GOS should be located at a strategic point to be easily accessed by different kind of transportation modes and routes. Moreover, legibility is achieved highly by movement network: path and clear main entrance, and permeability are achieved through the selection of more than five meters height of trees that clear the visual obstacles, clear spots of activities (pods), and transparent fences.EVALUASI RUANG TERBUKA HIJAU SEBAGAI PROMOTOR KESEHATAN DENGAN PENDEKATAN SALUTOGENIC: TAMAN KOTA BSD I SEBAGAI STUDI KASUSPerilaku sedentary/pasif telah meningkatkan resiko terkena non-communicable disease yang menimbulkan munculnya kebutuhan untuk mendorong aktivitas fisik aktif yang dilakukan di ruang terbuka. Akan tetapi, kuantitas ruang terbuka hijau (RTH) belum memenuhi proporsi minimum 30% dari total luas area dan kualitas desain RTH sebagai promotor aktivitas fisik aktif (kesehatan) belum memiliki referensi desain. Oleh karena itu, evaluasi desain dilakukan untuk mengetahui permasalahan, potensi solusi, dan strategi yang terdapat pada RTH sekarang ini sebagai panduan rancang yang mendorong kegiatan fisik aktif. Metode penelitian yang digunakan adalah metode kualitatif yang dilakukan melalui empat tahap, yaitu: 1. studi pustaka mengenai lima tanda vital salutogenic (diversity, vitality, nature, authenticity, dan legacy) untuk mengidentifikasi parameter evaluasi (kriteria perancangan dan indikator desain), 2. pemilihan objek studi, 3. pengumpulan data melalui survey, observasi dan wawancara, dan 4. identifikasi dan evaluasi kualitas desain RTH. Objek studi terpilih merupakan RTH yang berpotensi memenuhi lima tanda vital salutogenic, yaitu Taman Kota BSD I (TK I), Tangerang Selatan. Hasil evaluasi RTH adalah pentingnya mengintegrasikan unsur alam sebagai setting RTH karena karakteristiknya yang spesifik menjadi daya tarik utama untuk beraktivitas aktif. Selain itu, RTH perlu menyediakan fasilitas lengkap dan pemeliharaannya untuk seluruh kategori usia dan skala aktivitas dari personal hingga komunitas. Secara keseluruhan, RTH perlu mengembangkan program dan strategi implementasi untuk mengembangkan aktivitas edukasi dan preservasi yang melibatkan komunitas secara aktif.


2018 ◽  
Vol 1 (3) ◽  
pp. 061-066
Author(s):  
Fajar Novianto ◽  
Agus Triyono ◽  
Peristiwan R Widhi Astana

Pasien geriatri adalah pasien usia lanjut yang memiliki karakteristik multipatologi, daya faali menurun, dan dengan tanda penyakit yang tidak khas. Terapi pengobatan yang diterima pasien geriatri sangat kompleks sehingga sering menimbulkan Drug Related Problem terutama pada organ ginjal. Jamu menjadi terapi alternatif pada pasien geriatri yang memerlukan terapi jangka lama. Tujuan studi kasus ini adalah untuk melihat pengaruh pemberian jamu pada pasien geriatri yang sudah berobat dalam jangka waktu 45 bulan terhadap fungsi ginjal. Metode penelitian ini merupakan studi kasus berdasarkan data rekam medis di Rumah Riset Jamu Tawangmangu terhadap pasien geriatri yang secara rutin kontrol dan periksa ureum atau kreatinin selama 45 bulan dan masih mengkonsumsi jamu hingga bulan April 2018. Untuk melihat pengaruh jamu pada ginjal dilakukan pemeriksaan Glomerulus Filtration Rate (GFR). Hasil: Seorang laki-laki umur 61 tahun dengan keluhan tangan kanan merasa kesemutan. Pasien memiliki riwayat penyakit hipertensi dan diabetes mellitus lebih dari 15 tahun. Tekanan darah 140/90 mmHg dan tanda vital serta pemeriksaan fisik lainnya dalam batas normal. Pemeriksaan laboratorium Gula Darah Puasa (GDP) 227 mg/dL, ureum dan kreatinin diperiksa setelah bulan kelima pasien minum jamu yaitu ureum 35 mg/dL dan kreatinin 0,89 mg/dL. Selama minum jamu terjadi fluktuasi nilai GFR pasien tetapi tidak sampai menurun hingga kategori berat. Pada akhir bulan ke-45 meskipun terjadi penurunan GFR pasien dibanding pemeriksaan GFR yang pertama tetapi masih dalam kategori yang sama dengan nilai GFR pertama kali periksa (kategori ringan). Kesimpulan: Pemberian jamu dalam jangka waktu 45 bulan secara berturut-turut pada pasien geriatri tidak menyebabkan penurunan GFR signifikan.   Geriatric patients are elderly patients who have the characteristics of multi pathology, decreased physiology, and atypical symptom of a disease. Treatment received by geriatric patients is very complex so it often leads to Drug-Related Problems, especially in the kidney organs. Jamu is an alternative therapy for geriatric patients who need long-term therapy. The objective of this case study was to evaluate the effect of Jamu (herbs) on kidney function of geriatric patients who have been treated for 45 months. The research method was a case study based on the medical record of geriatric patients at Jamu Research Center in Tawangmangu who routinely control and examine for their urea or creatinine levels for 45 months and still consume herbs until April 2018. In order to evaluate the effect of jamu on the kidney, Glomerulus Filtration Rate (GFR) was examined. Results:  A 61-year-old male with a right hand feeling tingling. Patients have a medical history of hypertension and diabetes mellitus for more than 15 years. His blood pressure was 140/90 mmHg, meanwhile, the vital signs and other physical examinations were within normal levels. Laboratory tests of Fasting Blood Sugar (GDP) showed a level of 227 mg / dL, urea and creatinine levels were examined after the fifth month consumed jamu, the urea level was 35 mg / dL and creatinine level was 0.89 mg / dL. During jamu consumption there was a fluctuation in the patient's GFR but not until the severe category. At the end of the 45th month, despite a decrease in the patient's GFR compared to the first GFR examination but still in the same category as the first GFR score (mild category). Conclusion: Jamu consumption for 45 consecutive months in geriatric patients did not cause a significant reduction in GFR


2020 ◽  
Vol 8 (1) ◽  
pp. 61-68
Author(s):  
Nova Yustisia ◽  
Titin Aprilatutini ◽  
Helda Desfianty

Anemia is a health problem in the whole world. Anemia cannot be ignored. Treatment varies depending on the cause, if anemia is severe treatment is given with a blood transfusion. Blood transfusion is an interdependent action that must be given according to standard operating procedures (SOP). The purpose of this study was to determine the description of the procedure for blood transfusion in anemic patients in Jasmine Room Dr. M. Yunus Bengkulu. This research is a qualitative descriptive study with a case study approach, involving 10 informants / research subjects. Data collection through interviews and observation of transfusion procedures by nurses. Data analysis techniques used include interview transcripts, data reduction, analysis, data interpretation and triangulation, data which is then concluded. The results of the study showed that the preparation phase of 9 informants prepared complete tools and preparation of patients 2 did not identify the client. The stage of transfusion installation 10 procedures to re-identify patients not in accordance with the SOP, 4 did not wash hands, 1 did not wear gloves. Post-transfusion stage 10 procedures not in accordance with the SOP on the item paying attention to reactions / complications of transfusion and observation of vital signs. Conclusion blood transfusion installation procedures have been carried out according to the SOP, but have not been implemented properly and perfectly, supervision is still lacking and support facilities are inadequate. It is recommended that the results of the study become a baseline for hospitals in improving the quality of services by increasing routine structured supervision, conducting technical training procedures for transfusion installation, and completing supporting facilities. Keywords: SOP, Blood Transfusion, Anemia


2010 ◽  
pp. 121-133 ◽  
Author(s):  
Brian O’Flaherty ◽  
John O’Donoghue

This case study explores the application of the Lead-user method in the development of medical applications based on Wireless Sensor Network (WSN) technology by three independent research teams. This exercise produced surprising results, with the emergence of diverse WSN technology product concepts applied to Geriatric Falls Detection & Analysis, Sport Cardiac Screening and Critical Care Vital signs within accident and emergency environments. This case highlights the segmented nature of medical areas and the difficulty in applying a generic WSN technology to meet the functional requirements of the broader individual medical domains. It questions the appropriateness of applying ‘total’ highly functional technologies broadly across highly specialised niche medical areas.


2018 ◽  
Vol 3 (1) ◽  
pp. 50-59
Author(s):  
Putri Miseri Cordias Domini Hulu ◽  
Oktafiana Manurung

According to Word Health Organization (WHO) data, infant mortality caused by Succedaneum Caput infection decreased by 0.05% from 4 million infants who died at 30 days (advanced neonatal). While in Indonesia the infant mortality rate due to infection of Caput succedaneum in 2013 amounted to 11% from 35 per 1000 live births. Goals: To have real experience in implementing Care of Newborn Gynecology Born on By. Mrs. S age of 1 day with Caput Succedaneum at Santa Elisabeth Lubuk Baja Batam Hospital in 2017. Method: Based on a case study on By. Mrs. S, the method uses Varney Midwifery Management approach, for data collection that is primary data consisting of physical examination include examination of caput extension, general condition, vital signs, and anthropometry. Result: Based on By case. Mrs. S with Caput Succedaneum performed handling and treatment for 4 days at Santa Elisabeth Hospital Batam. After the treatment of Caput Succedaneum and giving 20 gram Trombophop gel therapy, the baby's condition has improved and the caput problem has been resolved. Conclusion: Based on By case. Mrs. S after the management of Succedaneum Caput and minimize the removal of baby's head, the baby's condition has improved.


2015 ◽  
Vol 5 (5) ◽  
pp. 1108-1115 ◽  
Author(s):  
Simon Fong ◽  
Shirley W. I. Siu ◽  
Suzy Zhou ◽  
Jonathan H. Chan ◽  
Sabah Mohammed ◽  
...  

2015 ◽  
Author(s):  
Alexandre Souza ◽  
João Lopes ◽  
Leonardo João ◽  
Patrícia Davet ◽  
Rodrigo Souza ◽  
...  

This paper proposes a software architecture targeted at Ubiquitous Computing (UbiComp) for providing awareness of the current situation of patients in hospitals. As a central contribution, this work provides the monitoring of the patient’s vital signs, allowing the physician to confirm that it is being reached desired effect with the administration of medications. In the developed architecture, this effect desired by physicians in vital parameters is named Therapeutic Goal. The evaluation of the architecture was done through a case study, higlighting the technologies used, and the prototypes developed.


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