Echocardiography

2020 ◽  
pp. 3314-3326
Author(s):  
James D. Newton ◽  
Adrian P. Banning ◽  
Andrew R.J. Mitchell

Ease of use, rapid data provision, portability, and safety mean that echocardiography has become the principal investigation for almost all cardiac conditions. A modern transthoracic echocardiography examination combines real-time two-dimensional (2D) imaging of the myocardium and valves with information about velocity and direction of blood flow obtained by Doppler and colour-flow mapping. A complete examination can be performed in most patients in less than 30 min. There are three main echocardiographic techniques: two-dimensional (cross-sectional), M-mode, and Doppler. Despite the rapid and substantial advances in ultrasound technology and the widespread use of echocardiography, it is important to recognize and understand the limitations of the technique. These include reliance on acoustic windows, evaluation at rest, subjective assessments, evaluation of complex structures such as the right ventricle remains a major challenge, and the fact that the scope of an ‘echo’ is broad.

Author(s):  
Adrian P. Banning ◽  
Andrew R.J. Mitchell ◽  
James D. Newton

For video material relating to echocardiography, please go to Echocardiography Videos. Ease of use, rapid data provision, portability, and safety mean that echocardiography has become the principal investigation for almost all cardiac conditions. A modern transthoracic echocardiography examination combines real-time two-dimensional (2D) imaging of the myocardium and valves with information about velocity and direction of blood flow obtained by Doppler and colour-flow mapping. A complete examination can be performed in most patients in less than 30 min....


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kochu Therisa Karingada ◽  
Michael Sony

PurposeThe COVID-19 pandemic lockdown has caught many educational institutions by surprise and warranted an abrupt migration from offline to online learning. This has resulted in an education change, without any time for due consideration, as regards its impact on musculoskeletal disorders (MSD) on students. The purpose of this study is to investigate MSD related to online learning during the COVID-19 pandemic lockdown.Design/methodology/approachA cross-sectional study was conducted on undergraduate students in India. In total, 261 students participated in this online survey.FindingsThe study finds that around 80% of students have reported some symptom in the head, neck and eyes since they started online learning. In total, 58% have reported MSD symptom in the right shoulder and 56% in the right hand fingers. Besides, more than 40 % of students experienced some MSD symptoms, in almost all the body parts studied, due to online learning. Correlation analysis is conducted between time spent on online learning per day and MSD symptoms.Originality/valueThis is the first study conducted on MSD and online learning during COVID-19 pandemic.


PEDIATRICS ◽  
1970 ◽  
Vol 46 (1) ◽  
pp. 25-27
Author(s):  
William J. Garrett ◽  
David E. Robinson

In the course of routine, two-dimensional ultrasonic echoscopy, echograms have been obtained which show the outline of the fetal heart and interventricular septum. Measurements of the echograms show the fetal heart to occupy 21% of the cross-sectional area of the chest at its widest transverse diameter and to occupy 52% of the transverse diameter of the chest at the same level. The ratio of the tranverse diameter of the left ventricle to that of the right (L.V. ÷ R.V.) is 1.23. The fetal heart grows at the same rate as the fetal chest in the last 8 weeks of pregnancy.


2019 ◽  
Vol 3 (3) ◽  
pp. 194
Author(s):  
Arinda Lironika Suryana ◽  
Mailia Yunda Suryadi

Background : The hospital food acceptance is still a serious problem. The patient’s acceptance is indicated by the least amount of plate waste. High plate waste causes an intake incompatibility with nutritional needs, which ultimately affects malnutrition. The patient’s plate waste in obstetric and surgical room is still high ≥20%. The distribution timetable and food taste maybe a contributing factor.Objectives : To analyzed the correlation of distribution timetable and food taste with patient’s plate waste at obstetric and surgicall room in dr. Soebandi Hospital, JemberMethods: This study was an analytical survey with a cross sectional design. The sample was 51 subjects, taken by a purposive sampling. Sample were obstetric and surgical patients aged 18-60 years, received regular food and were in a conscious. The distribution timetable was obtained by observing the accuracy of food distribution time span from the kitchen of nutrition instalation untill food arrived at the patient for 3 days. Food taste was obtained through interviews and questionnaires. Plate waste was measured by visual comstock. Data were analyzed by Rank Spearman test.Results : The average plate waste of patients is 27.6%. The plate waste in male and female patient was significantly different (p=0.001). 52.9% subjects with large amounts of plate waste, get hospital food with the right distribution time. The distribution timetable wasn’t significantly correlated with plate waste (p=0.218). Subjects who considered their food taste good, almost all (71.4%) left little food. There was a significant positive correlation between taste of food and plate waste (p=0.001; r=0.471).Conclusions: Food distribution timetable isn’t related to patient’s plate waste. However, food taste is correlated with plate waste. The better of taste food, the less plate waste.ABSTRAK Latar Belakang : Penerimaan makanan rumah sakit masih menjadi masalah serius. Daya terima pasien ditunjukkan dengan banyak sedikitnya makanan tersisa. Tingginya sisa makanan menyebabkan ketidaksesuaian asupan dengan kebutuhan gizi yang akhirnya berdampak malnutrisi. Sisa makanan pasien di ruang obgyn dan bedah masih tinggi ≥20%. Jadwal distribusi dan citarasa makanan kemungkinan menjadi faktor penyebabnya.Tujuan : Menganalisis hubungan jadwal distribusi dan citarasa makanan dengan sisa makanan pasien di ruang perawatan obgyn dan bedah RSD. dr Soebandi Jember.Metode : Jenis penelitian ini survey analitik dengan rancangan cross sectional study. Sampel berjumlah 51 orang, diambil dengan teknik purposive samping. Sampel adalah pasien obsgyn dan bedah berumur 18-60 tahun, mendapat makanan biasa dan kondisi sadar. Jadwal distribusi didapatkan dengan mengamati ketepatan waktu distribusi makanan mulai dari dapur instalazi gizi hingga makanan sampai kepada pasien selama 3 hari. Citarasa makanan diperoleh melalui wawancara dan kuesioner. Pengukuran sisa makanan menggunakan visual comstock. Data dianalisis dengan uji korelasi Rank Spearman.Hasil : Rata-rata sisa makanan pasien di ruang obgyn dan bedah 27,6%. Sisa makanan pada pasien laki-laki dan perempuan berbeda signifikan (p=0,001). Sebanyak 52,9% pasien yang sisa makanannya banyak, mendapatkan makanan dengan jadwal distribusi yang tepat. Jadwal distribusi tidak berhubungan signifikan dengan sisa makanan (p=0,218). Subyek yang menilai citarasa makanannya baik, hampir semuanya (71,4%) menyisakan sedikit makanan. Terdapat korelasi positif yang signifikan antara citarasa makanan dengan sisa makanan (p=0,001; r=0,471).Kesimpulan : Jadwal distribusi makanan tidak berhubungan dengan sisa makanan pasien. Namun, citarasa makanan berhubungan dengan sisa makanan. Semakin baik citarasa makanan semakin sedikit sisa makanan.


2020 ◽  
Vol 5 (2) ◽  
pp. 110-116
Author(s):  
Novita Nirmalasari ◽  
Yessi Angga Novitasari

Background: Elderly is a decrease in cardiovascular function. Sstructural and functional changes occur in the peripheral vascular system responsible for variations in blood pressure. The study aims at finding out attitude, family supervision, level of knowledge, and efforts to control hypertension in working area Puskesmas Saptosari Gunungkidul. Method: The study was descriptive research with cross-sectional. Samples were selected using a purposive sampling. The number of the sample 38 repondent. The research instrument used a questionnaire. The data analysis used was univariate. Result: The majority of women (94.7%), aged 60-70 years (84.2%), and hypertension stage I (68.4%). Most of the attitudes have the right attitude (94,7%), family supervision (89,5%), and inadequate level of knowledge (76,3%). In controlling efforts, most were in a good category (94,7%). Conclusion: Almost all respondents have the right attitude and supervision from the family. Even though they have an inadequate level of knowledge, control efforts are mostly reasonable.


2021 ◽  
Vol 8 ◽  
Author(s):  
Phasamon Saisawart ◽  
Somchin Sutthigran ◽  
Kumpanart Soontornvipart ◽  
Chutimon Thanaboonnipat ◽  
Damri Darawiroj ◽  
...  

Diaphragmatic excursion (DE) has been utilized for detecting respiratory related problems in humans. However, several factors should be considered such as the ultrasound technique and factors intrinsic to patients. Nevertheless, knowledge of the effect of these factors on DE in dogs is still lacking. The aim of this study was to evaluate the proper ultrasound technique by varying postures and diaphragmatic locations for DE measurement and to explore intrinsic factors such as diaphragmatic sides, sex, and body weight of dogs on DE. The prospective, analytic, cross-sectional study included 44 healthy dogs; 12 beagles and 32 dogs of other breeds. The experiment was divided into (i) an exploration of the proper ultrasound technique by varying postures (supine, standing, and recumbent in each of the right and left lateral positions), diaphragmatic locations (middle crus and proximal to the last rib), and diaphragmatic sublocations (xiphoid, mid, and proximal rib) for detection of DE and (ii) the evaluation of canine intrinsic factors affecting DE. The results show that the mid-diaphragmatic sublocation in the middle crus area in almost all positions revealed the highest percentage DE detection. However, DEs were revealed to be more accessible in the supine position. There was no significant difference in DE between the right and the left diaphragms or between the sexes of beagle dogs. However, body weight was significantly correlated with the DE among dogs of various sizes. In conclusion, the posture of the dogs and the diaphragmatic location can affect DE evaluation. Neither sex nor diaphragmatic side had an influence, but body weight was revealed as a major factor in DE in dogs.


2017 ◽  
Vol 6 (3) ◽  
pp. 186-194
Author(s):  
Deby Zulkarnain Rahadian Syah ◽  
Muhamat Nofiyanto

Background: Nurses in charge of the Emergency Room are required to have more ability than nurses serving patients in other units. Emergency Room is an initial service in a hospital. One's leadership style will greatly affect the effectiveness of a leader. The selection of the right leadership style can lead to the achievement of individual or organizational goals. Objective: To know the various leadership style used by the head of room in improving the performance of nurses of Emergency Room RSUD in in Special Region of Yogyakarta. Method: This research includes quantitative research type, using cross sectional approach. The population of this study was the head of the treatment room. Secondary data of nurse's performance is taken from nursing care which is written in medical record file of Emergency Room of RSUD in Special Region of Yogyakarta. Results: The performance of nurses at Emergency Room RSUD A in the good category was 100%. The performance of nurses at Emergency Room RSUD B in the enough category was 45%. The performance of nurses at Emergency Room C in good category was 80%. The performance of nurses at Emergency Room RSUD D in good category was 55%. The performance of nurses at RSUD E in the good category was 95%. The result of cross tabulation between leadership style and nurse performance of RSUD in the whole DIY with good performance is leader who use democratic leadership style equal to 35%. Conclusion: Most of the nurse's good performance in Emergency Room is followed by democratic leadership style of head of space.  Keyword: leadership style, head of space, performance of nurses


2020 ◽  
Author(s):  
Kristin Natal Riang Gea

AbstrakKeselamatan pasien merupakan dasar dari pelayanan kesehatan yang baik. Pengetahuan tenaga kesehatan dalam sasaran keselamatan pasien terdiri dari ketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatan keamanan obat yang perlu diwaspadai, kepastian tepat lokasi, prosedur, dan tepat pasien operasi, pengurangan risiko infeksi, pengurangan risiko pasien jatuh. Tujuan penelitian untuk mengetahui hubungan antara pengetahuan dengan penerapan keselamatan pasien pada petugas kesehatan di Puskesmas Kedaung Wetan Kota Tangerang. Metode Penelitian menggunakan deskriptif korelasi menggunakan pendekatan cross sectional. Populasi sebanyak 50 responden. Teknik pengambilan sampel menggunakan total sampling. Instrumen yang digunakan berupa lembar kuesioner. Teknik analisa diatas menggunakan analisa Univariat dan Bivariat. Hasil Penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien pada Petugas Kesehatan, dengan hasil, p value sebesar 0,013 < 0,05 maka dapat disimpulkan bahwa ada Hubungan Pengetahuan dengan Penerapa Keselamatan Pasien pada Petugas Kesehatan. Kesimpulan penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien.. AbstrackPatient safety is the basis of good health services. Knowledge of health personnel in patient safety targets consists of accurate patient identification, increased effective communication, increased safety of the drug that needs to be watched, certainty in the right location, procedure, and precise patient surgery, reduction in risk of infection, reduction in risk of falling patients. The purpose of this study was to determine the relationship between knowledge and the application of patient safety to health workers in the Kedaung Wetan Health Center, Tangerang City. The research method uses descriptive correlation using cross sectional approach. The population is 50 respondents. The sampling technique uses total sampling. The instrument used was a questionnaire sheet. The analysis technique above uses Univariate and Bivariate analysis. The results of the study there is a Relationship of Knowledge with the Implementation of Patient Safety in Health Officers, with the result, p value of 0.013 <0.05, it can be concluded that there is a Relationship between Knowledge and Patient Safety Implementation in Health Officers. The conclusion of the study is the Relationship between Knowledge and the Implementation of Patient Safety.Keywords Knowledge, Patient safety, Health workers


2014 ◽  
Vol 12 (2) ◽  
pp. 24-30
Author(s):  
Simone Christensen Hald ◽  
Ditte Aagaard Sondergaard

Background In 2002, the Nepalese abortion law went from being highly restrictive to fully liberal. This study aimed to explore a local community’s perception of the situation for unmarried Nepalese women wanting to practice their legal right to abortion.Methods The study comprised a cross-sectional survey and in-depth interviews with men and women above the age of 16 years living in the Makwanpur District, Nepal. The final data included 55 questionnaires and 16 interviews. The questionnaire data was univariate analysed, while a condensation of meaning analysis was carried out on the interviews.Results The overall awareness of abortion being legal was high, although the extent of knowledge of the specific legal grounds varied. Unmarried women were believed to have access to abortion services, although they risked stigmatisation due to their marital status. The community attitude towards these women having abortions was very negative, hence it differed from the legal acceptance of all women having the right to abortion. This was explained by societal norms on premarital sexual activity. Generally, the participants felt that changing attitudes would be difficult but possible over time.Conclusion A considerable gap exists between the legal acceptance of abortion and community attitudes when it comes to unmarried women as this group encounters barriers when wanting to practice their right. Therefore, these barriers need to be addressed to allow unmarried Nepalese women access to safe abortion services without the risk of being stigmatised.One possible alternative is educational initiatives such as disseminating information vigorously through mass media to create awareness.DOI: http://dx.doi.org/10.3126/hprospect.v12i2.9869 Health Prospect Vol.12(2) 2013: 24-30


2014 ◽  
pp. 73-77
Author(s):  
Van Chuong Nguyen ◽  
Thi Kim Anh Nguyen

Background: A Research glomerular filtration rate (GFR) of 61 patients with type 2 diabetes mellitus with renal scanning 99mTc-DTPA glomerular filtration rate at the hospital 175. Objective: (1) To study characteristics of imaging of renal function. (2) Understanding the relationship between GFR with blood sugar, HbA1c, blood pressure and albuminuria in patients with type 2 diabetes. Methods: Descriptive, prospective, cross-sectional study. Clinical examination, Clinical tests and 99mTc-DTPA GFR gamma - camera renography for patients. Result: GFR of the study group was 75,4 ± 22,3 ml/phut/1,73m2, the left kidney was 35,0 ± 13,0 is lower than the right kidney and 39,8 ± 11,9; p <0,01. There is no correlation between GFR with blood glucose and HbA1c, the risk of reduced GFR in hypertensive group associated is OR = 6,5 with p<0,01; albuminuria (+) is OR = 4,2 with p <0,01; and disease duration > 10 years is OR = 3,5 with p <0.01. Conclusion: GFR of the left kidneys is lower than the right kidney; correlation decreased GFR associated with hypertension, albuminuria and disease duration. Keywords: GFR, diabetes, albuminuria


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