Impact of emergency management in a simulated home environment for caregivers of children who are tracheostomy dependent

2020 ◽

Vol 63 (11) ◽

pp. 3877-3892

Author(s):

Ashley Parker ◽

Candace Slack ◽

Erika Skoe

Keyword(s):

Home Environment ◽

Signal To Noise Ratio ◽

Auditory Brainstem ◽

Auditory Brainstem Responses ◽

Single Family ◽

Adult Participants ◽

Simulated Home Environment ◽

Brainstem Response ◽

Research Populations ◽

Response Consistency

Purpose Miniaturization of digital technologies has created new opportunities for remote health care and neuroscientific fieldwork. The current study assesses comparisons between in-home auditory brainstem response (ABR) recordings and recordings obtained in a traditional lab setting. Method Click-evoked and speech-evoked ABRs were recorded in 12 normal-hearing, young adult participants over three test sessions in (a) a shielded sound booth within a research lab, (b) a simulated home environment, and (c) the research lab once more. The same single-family house was used for all home testing. Results Analyses of ABR latencies, a common clinical metric, showed high repeatability between the home and lab environments across both the click-evoked and speech-evoked ABRs. Like ABR latencies, response consistency and signal-to-noise ratio (SNR) were robust both in the lab and in the home and did not show significant differences between locations, although variability between the home and lab was higher than latencies, with two participants influencing this lower repeatability between locations. Response consistency and SNR also patterned together, with a trend for higher SNRs to pair with more consistent responses in both the home and lab environments. Conclusions Our findings demonstrate the feasibility of obtaining high-quality ABR recordings within a simulated home environment that closely approximate those recorded in a more traditional recording environment. This line of work may open doors to greater accessibility to underserved clinical and research populations.

Download Full-text

MobileNet SSDv2 Inference Approach of Smoke Hazard Detection and Alert System: A Smoke-Induced Simulated Home-Environment

International Journal of Advanced Trends in Computer Science and Engineering ◽

10.30534/ijatcse/2020/2991.32020 ◽

2020 ◽

Vol 9 (1.3) ◽

pp. 197-202 ◽

Cited By ~ 4

Author(s):

Alvin Sarraga Alon

Keyword(s):

Home Environment ◽

Alert System ◽

System A ◽

Hazard Detection ◽

Simulated Home Environment

Download Full-text

Fluralaner, a novel isoxazoline, prevents flea (Ctenocephalides felis) reproduction in vitro and in a simulated home environment

Parasites & Vectors ◽

10.1186/1756-3305-7-275 ◽

2014 ◽

Vol 7 (1) ◽

pp. 275 ◽

Cited By ~ 26

Author(s):

Heike Williams ◽

David R Young ◽

Tariq Qureshi ◽

Hartmut Zoller ◽

Anja R Heckeroth

Keyword(s):

Home Environment ◽

Ctenocephalides Felis ◽

Simulated Home Environment

Download Full-text

Tracheostomy in Infants: Parent Education for Home Care

Neonatal Network The Journal of Neonatal Nursing ◽

10.1891/0730-0832.30.4.231 ◽

2011 ◽

Vol 30 (4) ◽

pp. 231-242 ◽

Cited By ~ 21

Author(s):

Rachel A. Joseph

Keyword(s):

Home Care ◽

Airway Management ◽

Emergency Management ◽

Parent Education ◽

Home Environment ◽

Care Setting ◽

Quality Care ◽

Acute Care Setting ◽

Pediatric Nurses ◽

Home Ventilation

Children with tracheostomies are increasingly discharged home for continued care by their parents. Nurses are responsible for providing these parents with the extensive education required for a smooth and successful transition to home care. This article is intended to help neonatal and pediatric nurses to effectively prepare the parents of an infant with a tracheostomy to provide safe, quality care to their child after being discharged from an acute care setting to their home. This article discusses the knowledge, attitudes, and skills the parents are required to acquire prior to the infant’s discharge. Home ventilation, airway management, suctioning, tracheostomy care, emergency management, safe home environment, equipment for continuous or intermittent ventilation, and supplies necessary for care are some of the topics discussed.

Download Full-text