scholarly journals Web-Based Wireless Monitoring System on Patient’s Vital Sign

2019 ◽  
Vol 125 ◽  
pp. 25003
Author(s):  
Mery Subito ◽  
Alamsyah ◽  
Ardi Amir

Examination of vital signs such as blood pressure, heart rate, and body temperature is the most basic essential function of the body in determining the health status of the patient. In general, examining vital signs performed by a doctor or nurse uses an electrocardiogram, thermometer, and sphygmomanometer. However, this tool has a weakness in terms of time efficiency and accuracy of reading vital sign data. The process of taking vital sign data for a long time, the limited number of medical personnel in handling patients, and increasing administrative costs certainly become a concern for management in improving health services. To overcome this problem, we proposed a design that can monitor the health condition of patients' vital signs efficiently and in real time. The system used in this study consisted of an HRM-2511E type heartbeat sensor in pulse units per minute (bpm), DS18b20 body type temperature sensor in degrees Celsius (0C), and MPX5700AP sensor in mmHg units. This research is fundamental and is useful in helping medical personnel in monitoring patients' vital sign health conditions. The results of the proposed design showed that the heart rate, temperature, and blood pressure devices worked well with respective accuracy of 97.64%, 99.51%, and 97.53%.

2019 ◽  
Vol 15 (2) ◽  
pp. 173-177
Author(s):  
Zulkifli Ahmad ◽  
Mohd Najeb Jamaludin ◽  
Kamaruzaman Soeed

Vital sign monitoring is an important body measurement to identify health condition and diagnose any disease and illness. In sports, physical exercise will contribute to the changes of the physiological systems, specifically for the vital signs. Therefore, the objective of this study was to determine the effect of physical fatigue exercise on the vital sign parameters. This is significant for the fitness identification and prediction of each individual when performing an exercise. Five male subjects with no history of injuries and random BMI were selected from students of biomedical engineering, Universiti Teknologi Malaysia. Based on the relationship between physical movement and physiology, the parameters considered were heart rate, blood pressure, and body temperature. Subjects were required to run on the treadmill at an initial speed of 4 km/h with an increase of 1 km/h at every 2 minutes interval. The effect of exercise was marked according to the fatigue protocol where the subject was induced to the maximum condition of performance. All parameters were measured twice, for pre and post exercise-induced protocol. The analysis of relationship of each parameter between pre and post fatigue was p<0.05. The results revealed that the heart rate and gap between blood pressure’s systolic and diastolic were greater for all categories except underweight, where the systolic blood pressure dropped to below 100mmHg at the end of exercise. Also, the body temperature was slightly declined to balance the thermoregulatory system with sweating. Hence, the vigorous physical movement could contribute to the active physiological system based on body metabolism. Heart rate and blood pressure presented significant effects from the fatiguing exercise whereas the body temperature did not indicate any distinguishable impact. The results presented might act as the basis of reference for physical exercise by monitoring the vital sign parameters.


Author(s):  
Musyahadah Arum Pertiwi ◽  
I Dewa Gede Hari Wisana ◽  
Triwiyanto Triwiyanto ◽  
Sasivimon Sukaphat

Heart rate and body temperature can be used to determine the vital signs of humans. Heart rate and body temperature are two important parameters used by paramedics to determine the physical health condition and mental condition of a person. Because if your heart rate or body temperature is not normal then you need to make further efforts to avoid things that are not desirable. The purpose of this study is to design a heart rate and body temperature. In this study, the heart rate is detected using a finger sensor which placed on the finger. This sensor detects the heart rate pulses through infrared absorption of blood hemoglobin, and measure the body temperature using a DS18B20 temperature sensor which is placed axially. DS18B20 sensor works by converting temperature into digital data. The measurement results will be displayed on liquid crystal display (LCD) 2 x 16 and the data will be sent to android mobile phone via Bluetooth.  After the comparision beetwen the desain and the standart, the error is 0.46% for beats per minutes (BPM) parameters and 0.31 degrees Celsius for temperature parameters.


Author(s):  
Alamsyah Alamsyah ◽  
Mery Subito ◽  
Mohammad Ikhlayel ◽  
Eko Setijadi

Wireless network technology-based internet of things (IoT) has increased significantly and exciting to study, especially vital sign monitoring (body temperature, heart rate, and blood pressure). Vital sign monitoring is crucial to carry out to strengthen medical diagnoses and the continuity of patient health. Vital sign monitoring conducted by medical personnel to diagnose the patient's health condition is still manual. Medical staff must visit patients in each room, and the equipment used is still cable-based. Vital sign examination like this is certainly not practical because it requires a long time in the process of diagnosis. The proposed vital sign monitoring system design aims to assist medical personnel in diagnosing the patient's illness. Vital sign monitoring system uses HRM-2511E sensor for heart detection, DS18b20 sensor for body temperature detection, and MPX5050DP sensor for blood pressure detection. Vital sign data processing uses a raspberry pi as a data delivery media-based internet of things (IoT). Based on the results of the vital sign data retrieval shows that the tool designed functioning correctly. The accuracy of the proposed device for body temperature is 99.51%, heart rate is 97.90%, and blood pressure is 97.69%.


Author(s):  
N. F. A. Jamal ◽  
K. A. Sidek

<p>This study investigates the feasibility of photoplethysmogram (PPG) signals in monitoring health condition and designing a portable health monitoring kit which is suitable for home use. The aim of this study is to ease people in monitoring their health continuously without the need to go to the hospital which can save a lot of time. The focus of this study is to find heart rate and blood pressure recording. The type of PPG sensor used in this project is a non-invasive PPG which measures the blood volume changes in any part of the body. A total of 16 subjects consisting of male and female with age range of 20 to 60 years old were involved in this research. The heart rate and blood pressure for each subject were acquired and analyzed. Based on the result, it shows that higher heart rate reading is associated with female and younger age groups. Meanwhile, for blood pressure value, male subjects tend to have higher blood pressure as compared to female subjects. However, there is no specific pattern for blood pressure in terms of the age group. In the case of HRV analysis based on Kubios software, the SDNN value is higher for male and older age subjects. Meanwhile, the RMSSD value is lower for male and older age subjects. Therefore, PPG signal has the capability to monitor the health status of an individual, which acts as an alternative biological signal for the existing health monitoring systems.</p>


Iproceedings ◽  
10.2196/16250 ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. e16250
Author(s):  
Nicole Polanco ◽  
Sharon Odametey ◽  
Neda Derakhshani ◽  
Mark Khachaturian ◽  
Connor Devoe ◽  
...  

Background Wellness devices for health tracking have gained popularity in recent years. Additionally, portable and readily accessible wellness devices have several advantages when compared to traditional medical devices found in clinical environments The VitalWellness device is a portable wellness device that can potentially aide vital sign measuring for those interested in tracking their health. Objective In this diagnostic accuracy study, we evaluated the performance of the VitalWellness device, a wireless, compact, non-invasive device that measures four vital signs (blood pressure (BP), heart rate (HR), respiratory rate (RR), and body temperature using the index finger and forehead. Methods Volunteers age ≥18 years were enrolled to provide blood pressure (BP), heart rate (HR), respiratory rate (RR), and body temperature. We recruited participants with vital signs that fell within and outside of the normal physiological range. A sub-group of eligible participants were asked to undergo an exercise test, aerobic step test and/or a paced breathing test to analyze the VitalWellness device’s performance on vital signs outside of the normal physiological ranges for HR and RR. Vital signs measurements were collected with the VitalWellness device and FDA-approved reference devices. Mean, standard deviation, mean difference, standard deviation of difference, standard error of mean difference, and correlation coefficients were calculated for measurements collected; these measurements were plotted on a scatter plot and a Bland-Altman plot. Sensitivity analyses were performed to evaluate the performance of the VitalWellness device by gender, skin color, finger size, and in the presence of artifacts. Results 265 volunteers enrolled in the study and 2 withdrew before study completion. Majority of the volunteers were female (62%), predominately white (63%), graduated from college or post college (67%), and employed (59%). There was a moderately strong linear relationship between VitalWellness BP and reference BP (r=0.7, P<.05) and VitalWellness RR and reference RR measurements (r=0.7, P<.05). The VitalWellness HR readings were significantly in line with the reference HR readings (r=0.9, P<.05). There was a weaker linear relationship between VitalWellness temperature and reference temperature (r=0.3, P<.05). There were no differences in performance of the VitalWellness device by gender, skin color or in the presence of artifacts. Finger size was associated with differential performance for RR. Conclusions Overall, the VitalWellness device performed well in taking BP, HR, and RR when compared to FDA-approved reference devices and has potential serve as a wellness device. To test adaptability and acceptability, future research may evaluate user’s interactions and experiences with the VitalWellness device at home. In addition, the next phase of the study will evaluate transmitting vital sign information from the VitalWellness device to an online secured database where information can be shared with HCPs within seconds of measurement.


2020 ◽  
Author(s):  
Meixia Du ◽  
Jie Zhao ◽  
Xiaochun Yin ◽  
Nadi Zhang ◽  
Guisen Zheng

Background: Assessing the impact of vital signs (blood pressure, body temperature, heart rate, respiratory rate, and oxygen saturation) on the death of patients with new coronavirus pneumonia would provide a simple and convenient method for the monitoring of subsequent illness, and therefore, in some degree reduce treatment costs and increase the cure rate clinically. Methods: Six databases were retrieved. The software R 3.6.2 was used for meta-analysis of the included literature. Results: 12 studies were included, which comprise 8996 patients affected with COVID-19 infection. The meta-analysis study found that blood pressure (MAP, SBP and DBP), heart rate, respiration rate and SpO2 are the risk factors for disease progression in patients with COVID-19. Among them, the increase in MAP and the decrease in SpO2 have the greatest impact on the death of patients with COVID-19 [MAP: MD = 5.66, 95% CI (0.34, 10.98), SpO2: MD = -5.87, 95% CI (-9.17, -2.57), P = 0.0005]. However, comparing the body temperature of the death group and the survival group found that the body temperature was not statistically significant between the two groups [body temperature: MD = 0.21, 95% CI (-0.01, 0.43), P = 0.0661]. Conclusion: The increase in MAP, heart rate and respiratory rate, as well as the decrease in SBP, DBP and SpO2 are all independent risk factors for death in patients with COVID-19. These factors are simple and easy to monitor, and individualized treatment can be given to patients in time, reducing the mortality rate and improving treatment efficiency.


Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Mini M Jose

Introduction: Visceral adiposity and metabolic syndrome have an earlier onset among Hispanic women due to genetic susceptibility. This study aimed to determine the association between changes in BMI, body weight and heart rate (HR) among Hispanic women aged 31-49years who met the ATP III criteria for metabolic syndrome and Obesity. Hypotheses: 1. There is a positive relationship between changes in BMI and Basal Heart rate 2. Patients with higher BMI will have a higher heart rate. Methods: In this retrospective study conducted in a community clinic, patient records meeting eligibility criteria were screened for three complete readings of anthropometric measurements and Vital signs. The readings taken when the patients had elevated temperature, respiratory rate, Blood pressure or when they were on Beta blockers were excluded. Final sample consisted of 61 records. Results: The sample BMI varied from 25 to 55 (Mean 34; SD 6) and the body weight ranged from 118lbs to 282lbs (Mean 188lbs; SD 35). The BMI change was between -4 to +4 (mean 1.15; SD 1.6), body weight change was from-30lbs to 22lbs (Mean 6.08 and SD 8.7) and the HR varied from -12 to 25 (mean 4.76; SD 8.38) Over 34 months. First hypothesis was accepted because Spearman Rho showed a significant positive correlation (r.298 p<.05) between changes in BMI and HR and between changes in body weight and HR (r.304 p<.05). A BMI change of one point raised the heart rate by 2beats/minute or 120beats/ hour accounting for 2,880 times/day. There was a no significant correlation between BMI and HR at all three data points leading reject the second hypothesis and conclude that the patients with highest BMI may not have the highest HR. Conclusions: The data showed that patients with metabolic syndrome and obesity suffer significant sympathetic stimulation raising basal HR, even when their blood pressure is controlled causing deleterious effect on already compromised heart with hypertension and atherosclerosis in metabolic syndrome. Patients with highest BMI may not have the highest HR due to failure to evoke an adequate sympathetic response and autonomic neuropathy signaling progressive chronic illnesses.


Blood ◽  
2020 ◽  
Vol 136 (Supplement 1) ◽  
pp. 59-60
Author(s):  
Solomon Johnson ◽  
Victor R. Gordeuk ◽  
Roberto Machado ◽  
J Simon R Gibbs ◽  
Mariana Hildesheim ◽  
...  

The six-minute walk test (6MWT) is a well-established assessment of the cardiopulmonary function of sickle cell disease (SCD) patients. The test is used for people with SCD who are suspected of having hypoxia or an elevated estimated pulmonary arterial systolic pressure, which increases the risk for early death. Low 6MWT distances are associated with cardiopulmonary compromise. Six-minute walk distance examination has been proposed as a screening test, used in conjunction with plasma levels of brain natriuretic peptide and Doppler-echocardiography, through which to identify high-risk patients. Post-exercise tachycardia or lack of heart rate recovery following a 6MWT has been shown to be a predictor of pulmonary hypertension and mortality in people with pulmonary fibrosis. A rise in blood pressure after exercise is associated with impaired capacity for vasodilation in ischemic heart disease. The prognostic significance of patterns of vital sign change in adult SCD patients completing the 6MWT is currently unknown. In this study, we aimed to assess the distribution and predictors of vital sign change during 6MWT in adult SCD patients and test the association of these changes with patient survival. Data from a multinational observational study of SCD patients (Walk-PhassT), was used to calculate the change in vital signs (heart rate, O2 saturation, systolic blood pressure, diastolic blood pressure, pulse pressure) normalized for walk distance, after a 6MWT. Bivariate and LASSO regression analyses were performed to ascertain the significant predictors of change in each vital sign, in addition to Cox proportional hazard analysis to assess the impact of vital sign change and time to death. The median age of the 630 adult SCD patients was 37 years. 47% were male, 77% had the HbSS phenotype, and 22 (3.7% of 592 with follow-up data) died during a median time of follow up of 29 months. The most frequent changes in vital signs identified were increases in the heart rate (90%) followed by increases in systolic blood pressure (77%, Table 1b). Bivariate analysis revealed significant but weak positive correlations between tricuspid regurgitation velocity (TRV) and increases in both heart rate (r= 0.08; p&lt;0.05) and systolic blood pressure (r=0.13; p=0.002), as well as decreases in O2 saturation (r=-0.09; p=0.03). Significant positive correlations were also identified between increases in pulse pressure and TRV (r=0.14; p=0.001), left ventricular mass index (r=0.10, p=0.02), and a composite index of hemolysis (r=0.09; p =0.03). Pulse pressure increased more during 6MWT in patients with self-reported pulmonary hypertension than patients without pulmonary hypertension (median 1.6 vs. 1.3 per 100-meter walk, p=0.04); while heart rate increased less (median 3.4 vs. 4.3 per 100-meter walk, p=0.04). LASSO models selected TRV and markers of hemolysis as predictors of O2 desaturation, while higher left ventricular ejection fraction and non-SS genotypes were predictors of lesser O2 desaturation, during the 6MWT. Both older age and higher left ventricular volume were associated with reduction of diastolic blood pressure during 6MWT (Table 1a). In survival analysis, after adjusting for TRV and N-terminal pro-brain natriuretic peptide concentration, any increase in systolic blood pressure during the 6MWT was associated with better survival (hazard ratio=0.3, p=0.019, Table 1b). These findings support links between changes of vital signs during the 6MWT and established markers of hemolysis and cardiovascular dysfunction in SCD patients. Evidence of a protective effect of increased systolic pressure is a novel finding. This might indicate that the ability to increase systolic pressure during submaximal exercise relates to cardiac output and conveys a physiological advantage for SCD patients. These findings could be used as the basis for future mechanistic studies of exercise effects on cardiovascular function in SCD patients. Disclosures Gordeuk: Imara: Research Funding; Global Blood Therapeutics: Consultancy, Research Funding; Novartis: Consultancy; CSL Behring: Consultancy, Research Funding; Ironwood: Research Funding. Gibbs:Pfizer: Consultancy; United Therapeutics: Consultancy; MSD: Consultancy; GSK: Consultancy; Complexa: Consultancy; Bayer: Consultancy; Actelion: Consultancy; Acceleron: Consultancy. Little:BioChip Labs: Patents & Royalties: SCD Biochip (patent, no royalties); GBT: Membership on an entity's Board of Directors or advisory committees; NHLBI: Research Funding; Hemex Health, Inc.: Patents & Royalties: Microfluidic electropheresis (patent, no royalties); Bluebird Bio: Research Funding; GBT: Research Funding.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 914.2-914
Author(s):  
S. Boussaid ◽  
M. Ben Majdouba ◽  
S. Jriri ◽  
M. Abbes ◽  
S. Jammali ◽  
...  

Background:Music therapy is based on ancient cross-cultural beliefs that music can have a “healing” effect on mind and body. Research determined that listening to music can increase comfort and relaxation, relieve pain, lower distress, reduce anxiety, improve positive emotions and mood, and decrease psychological symptoms. Music therapy has been used greatly in various medical procedures to reduce associated anxiety and pain. Patients have a high level of anxiety when they are in the hospital, this is the case of patients with rheumatic diseases who consult regularly to have intravenous infusion of biological therapies.Objectives:The purpose of this study was to examine the effectiveness of music therapy on pain, anxiety, and vital signs among patients with chronic inflammatory rheumatic diseases during intravenous infusion of biological drugs.Methods:Fifty patients were divided into two groups: The experimental group G1 (n=25) received drug infusion while lestening to soft music (30 minutes); and the control group G2 (n=25) received only drug infusion. Measures include pain, anxiety, vital signs (blood pressure, heart rate and respiratory rate). The pain was measured using visual analogic scale (VAS). The state-trait anxiety inventory (STAI) was used for measuring anxiety, low anxiety ranges from 20 to 39, the moderate anxiety ranges from 40 to 59, and high anxiety ranges from 60 to 80. Vital signs (systolic blood pressure [SBP], diastolic blood pressure [DBP], heart rate [HR], and respiratory rate [RR]) were measured before, during and immediately after the infusion.Statistical package for social sciences (SPSS) was used for analysis.Results:The mean age in G1 was 44.45 years (26-72) with a sex ratio (M/F) of 0.8. Including the 25 patients, 12 had rheumatoid arthritis, 10 had ankylosing spondylitis and 3 had psoriatic arthritis. The mean disease duration was 8 years. In G2, the mean age was 46 years (25-70) with a sex ratio (M/F) of 0.75, 12 had rheumatoid arthritis, 11 had ankylosing spondylitis and 2 had psoriatic arthritis. The mean disease duration was 7.5 years. The biological drugs used were: Infliximab in 30 cases, Tocilizumab in 12 cases and Rituximab in 8 cases.Before the infusion, the patients of experimental group had a mean VAS of 5/10±3, a mean STAI of 50.62±6.01, a mean SBP of 13.6 cmHg±1.4, a mean DBP of 8.6 cmHg±1, a mean HR of 85±10 and a mean RR of 18±3. While in control group the mean VAS was 5.5±2, the mean STAI was 50.89±5.5, the mean SBP was 13.4±1.2, the mean DBP was 8.8±1.1, the mean HR was 82±8 and the mean RR was 19±2.During the infusion and after music intervention in G1, the mean STAI became 38.35±5 in G1 versus 46.7±5.2 in G2 (p value=0.022), the mean SBP became 12.1±0.5 in G1 versus 13±1 in G2 (p=0.035), the mean DBP became 8.1±0.8 in G1 versus 8.4±0.9 in G2 (p=0.4), the mean HR became 76±9 in G1 versus 78±7 in G2 (p=0.04) and the mean RR became 17.3±2.1 in G1 versus 18.2±1.7 in G2 (p=0.39).This study found a statistically significant decrease in anxiety, systolic blood pressure and heart rate in patients receiving music interventions during biological therapies infusion, but no significant difference were identified in diastolic blood pressure and respiratory rate.Conclusion:The findings provide further evidence to support the use of music therapy to reduce anxiety, and lower systolic blood pressure and heart rate in patients with rheumatic disease during biological therapies infusion.References:[1] Lin, C., Hwang, S., Jiang, P., & Hsiung, N. (2019).Effect of Music Therapy on Pain After Orthopedic Surgery -A Systematic review and Meta-Analysis. Pain Practice.Disclosure of Interests:None declared


1967 ◽  
Vol 46 (2) ◽  
pp. 307-315 ◽  
Author(s):  
E. DON STEVENS ◽  
D. J. RANDALL

1. Changes in blood pressure in the dorsal aorta, ventral aorta and subintestinal vein, as well as changes in heart rate and breathing rate during moderate swimming activity in the rainbow trout are reported. 2. Blood pressures both afferent and efferent to the gills increased during swimming and then returned to normal levels within 30 min. after exercise. 3. Venous blood pressure was characterized by periodic increases during swimming. The pressure changes were not in phase with the body movements. 4. Although total venous return to the heart increased during swimming, a decreased blood flow was recorded in the subintestinal vein. 5. Heart rate and breathing rate increased during swimming and then decreased when swimming ceased. 6. Some possible mechanisms regulating heart and breathing rates are discussed.


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