scholarly journals Deteksi 4 Tanda Vital Pasien Rumah Sakit Berbasis Fuzzy Database

2013 ◽  
Vol 4 (1) ◽  
pp. 529
Author(s):  
A Haris Rangkuti
Keyword(s):  
Blood Pressure ◽  
Information Technology ◽  
Information System ◽  
Fuzzy Logic ◽  
Pressure Pulse ◽  
Vital Signs ◽  
Average Percentage ◽  
Vital Signs Monitoring ◽  
Fuzzy Database ◽  
Monitoring Information

 To assist the performance of medical technicians in nursing patients effectively and efficiently, information technology appears as a dominant support. Utilizing information technology, patient’s diagnoses can be reported to a doctor as soon as possible, as well as the patient's condition which needs to be monitored regularly. It is necessary to build a monitoring information system of hospital that is able to present timely information regarding the patient's condition characterized by four vital signs which are temperature, blood pressure, pulse, and respiration. For the four vital signs monitoring, fuzzy logic concept is implemented. If vital signs approach 1, the patient is close to recovery. Conversely, if the signs are 0, the patient still needs medical treatment. This system also helps nurses in order to provide answers to the families of patients who want to know the development of the patient's condition, as well as the recovery based on the average percentage of Fuzzy max of four vital signs. By Fuzzy-based monitoring system, monitoring the patient's condition becomes simpler and easier. 

Advance Monitoring of Blood Pressure and Respiratory Rate Using De-Noising Auto Encoder

2021 ◽  
Author(s):  
Seung-Ho Park ◽  
Kyoung-Su Park
Keyword(s):  
Blood Pressure ◽  
Respiratory Rate ◽  
Vital Sign ◽  
Superficial Temporal Artery ◽  
Vital Signs ◽  
Pulse Signal ◽  
Temporal Artery ◽  
Sinus Arrhythmia ◽  
Vital Signs Monitoring ◽  
Vital Sign Measurement

Abstract As the importance of continuous vital signs monitoring increases, the need for wearable devices to measure vital sign is increasing. In this study, the device is designed to measure blood pressure (BP), respiratory rate (RR), and heartrate (HR) with one sensor. The device is in earphone format and is manufactured as wireless type using Arduino-based bluetooth module. The device measures pulse signal in the Superficial temporal artery using Photoplethysmograghy (PPG) sensor. The device uses the Auto Encoder to remove noise caused by movement, etc., contained in the pulse signal. Extract the feature from the pulse signal and use them for the vital sign measurement. The device is measured using Slope transit time (STT) method for BP and Respiratory sinus arrhythmia (RSA) method for RR. Finally, the accuracy is determined by comparing the vital signs measured through the device with the reference vital signs measured simultaneously.

scholarly journals Analysis and Discussion Concerning Death

2021 ◽  
Vol 2 (Issue 4) ◽  
pp. 1-8
Author(s):  
Joshua Juma Mugane
Keyword(s):  
Blood Pressure ◽  
Body Temperature ◽  
Pressure Pulse ◽  
Vital Signs ◽  
The Body ◽  
Human Beings ◽  
Chronic Pulmonary Obstructive Disease ◽  
Supernatural Power ◽  
The Dead ◽  
Unpleasant Smell

The analysis and discussion concerning death as intended by the Researcher depicts that death is an irreversible condition or state encountered by beings (all living creatures), due to a total dysfunction of the body organs. Such an irreversible condition is an enemy of human beings, which supersedes humanity, causing unexpected changes in life. It came as a punishment of abusing the supernatural power and finally it became a fact of not living forever. By the use of different literatures, Interviews and Documents, the research explored diverse concerns of death and drew its conclusion. Some of those concerns are “how is death detected? What are the causatives of death? Does death have its remedy? Where are dead people? Why do we bury the dead? And what is next after death?” The findings reveal that Doctors prove death by assessing and measuring the vital signs such as Blood Pressure, Pulse Rate, Respiratory Rate and Body Temperature. Moreover, the causatives of death include chronic pulmonary obstructive disease, ischemia, stroke, dehydration, infections and pain as well as old age. Those who encounter death are laid in the graves because God commanded it to be so and they produce unpleasant smell and stink. The remedy of it depends on the supernatural power that is believed to have ability of restoring the lost lives at consummation. That’s why Christians believe that on the second coming of Jesus Christ, all the dead shall rise. Hence, human beings have to be kin enough in lifetime, so that they may prolong a bit their lifespan through observance of health principles and guidelines.

scholarly journals Comprehensive pregnancy monitoring with a network of wireless, soft, and flexible sensors in high- and low-resource health settings

2021 ◽  
Vol 118 (20) ◽  
pp. e2100466118
Author(s):  
Dennis Ryu ◽  
Dong Hyun Kim ◽  
Joan T. Price ◽  
Jong Yoon Lee ◽  
Ha Uk Chung ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Body Position ◽  
Vital Signs ◽  
Blood Oxygenation ◽  
Morbidity And Mortality ◽  
Low Resource Settings ◽  
Low Resource ◽  
Vital Signs Monitoring ◽  
Wide Range

Vital signs monitoring is a fundamental component of ensuring the health and safety of women and newborns during pregnancy, labor, and childbirth. This monitoring is often the first step in early detection of pregnancy abnormalities, providing an opportunity for prompt, effective intervention to prevent maternal and neonatal morbidity and mortality. Contemporary pregnancy monitoring systems require numerous devices wired to large base units; at least five separate devices with distinct user interfaces are commonly used to detect uterine contractility, maternal blood oxygenation, temperature, heart rate, blood pressure, and fetal heart rate. Current monitoring technologies are expensive and complex with implementation challenges in low-resource settings where maternal morbidity and mortality is the greatest. We present an integrated monitoring platform leveraging advanced flexible electronics, wireless connectivity, and compatibility with a wide range of low-cost mobile devices. Three flexible, soft, and low-profile sensors offer comprehensive vital signs monitoring for both women and fetuses with time-synchronized operation, including advanced parameters such as continuous cuffless blood pressure, electrohysterography-derived uterine monitoring, and automated body position classification. Successful field trials of pregnant women between 25 and 41 wk of gestation in both high-resource settings (n = 91) and low-resource settings (n = 485) demonstrate the system’s performance, usability, and safety.

Vital signs monitoring using fuzzy logic rules

2018 ◽  
Author(s):  
Małgorzata Szatkowska ◽  
Oleg A. Khorozov ◽  
Iurii V. Krak ◽  
Veda S. Kasianiuk ◽  
Kalamkas Begaliyeva
Keyword(s):  
Fuzzy Logic ◽  
Vital Signs ◽  
Vital Signs Monitoring

scholarly journals Wearable devices for remote vital signs monitoring in the outpatient setting: an overview of the field

2020 ◽  
Vol 6 (2) ◽  
pp. 55-71 ◽  
Author(s):  
Stephanie Soon ◽  
Hafdis Svavarsdottir ◽  
Candice Downey ◽  
David George Jayne
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Oxygen Saturation ◽  
Vital Signs ◽  
Wearable Devices ◽  
Outpatient Setting ◽  
Future Research ◽  
Validity And Reliability ◽  
Vital Signs Monitoring ◽  
Improve Patient

Early detection of physiological deterioration has been shown to improve patient outcomes. Due to recent improvements in technology, comprehensive outpatient vital signs monitoring is now possible. This is the first review to collate information on all wearable devices on the market for outpatient physiological monitoring.A scoping review was undertaken. The monitors reviewed were limited to those that can function in the outpatient setting with minimal restrictions on the patient’s normal lifestyle, while measuring any or all of the vital signs: heart rate, ECG, oxygen saturation, respiration rate, blood pressure and temperature.A total of 270 papers were included in the review. Thirty wearable monitors were examined: 6 patches, 3 clothing-based monitors, 4 chest straps, 2 upper arm bands and 15 wristbands. The monitoring of vital signs in the outpatient setting is a developing field with differing levels of evidence for each monitor. The most common clinical application was heart rate monitoring. Blood pressure and oxygen saturation measurements were the least common applications. There is a need for clinical validation studies in the outpatient setting to prove the potential of many of the monitors identified.Research in this area is in its infancy. Future research should look at aggregating the results of validity and reliability and patient outcome studies for each monitor and between different devices. This would provide a more holistic overview of the potential for the clinical use of each device.

Continuous non-invasive remote automated blood pressure monitoring with novel wearable technology: A Validation Study (Preprint)

2020 ◽  
Author(s):  
Michael McGillion ◽  
Nazari Dvirnik ◽  
Stephen Yang ◽  
Emilie Belley-Côté ◽  
Andre Lamy ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Vital Signs ◽  
Standard Of Care ◽  
Non Invasive ◽  
Vital Signs Monitoring ◽  
Measuring Devices ◽  
Cuffless Blood Pressure

BACKGROUND Background: Continuous hemodynamic monitoring is the standard of care for patients intraoperatively, but vital signs monitoring is performed only periodically on post-surgical wards, and patients are routinely discharged home with no surveillance. Wearable continuous monitoring biosensor technologies have the potential to transform postoperative care with early detection of impending clinical deterioration. OBJECTIVE Objective: Our aim was to validate the accuracy of the Cloud DX Vitaliti™ Continuous Vital Signs Monitor (CVSM) continuous non-invasive blood pressure measurements in post-surgical patients. Usability of the Vitaliti™ CVSM was also examined. METHODS Methods: Included patients were recovering from surgery in a cardiac intensive care unit. Validation procedures were according to AAMI - ISO 81060-2 2013 standards for Wearable, Cuffless Blood Pressure Measuring Devices. In static (seated in bed) and supine positons, three 30-second cNIBP measurements were taken for each patient with the Vitaliti™ CVSM and an invasive arterial catheter. The errors of these determinations were calculated. Participants were interviewed about device acceptability RESULTS Results: Data for 21 patients were included in the validation analysis. The overall mean and SD of the errors of determination for the static position were -0.784 mmHg (SD 4.594) for systolic blood pressure and 0.477 mmHg (SD 1.668) for diastolic blood pressure. Errors of determination were slightly higher for the supine position at 3.533 mmHg (SD 6.335) for systolic blood pressure and 3.050 mmHg (SD 3.619) for diastolic blood pressure. The majority rated the Vitaliti™ CVSM as comfortable. CONCLUSIONS Conclusion: The Vitaliti™ CVSM was compliant with AAMI-ISO 81060-2:2013 standards and well-received by patients. CLINICALTRIAL Trial Registration: ClinicalTrials.gov (NCT03493867)

scholarly journals A preliminary assessment of vital-signs-integrated patient-assisted intravenous opioid analgesia (VPIA) for postsurgical pain: a case series

2019 ◽  
Author(s):  
Ban Leong SNG ◽  
Daryl Jian'an Tan ◽  
Chin Wen TAN ◽  
Nian-Lin Reena HAN ◽  
Rehena SULTANA ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Pain Relief ◽  
Oxygen Saturation ◽  
Infusion Pump ◽  
Vital Signs ◽  
Case Series ◽  
Oxygen Desaturation ◽  
Opioid Analgesia ◽  
Average Percentage ◽  
Vital Signs Monitoring

Abstract Background We developed a Vital-signs-integrated Patient-assisted Intravenous opioid Analgesia (VPIA) analgesic infusion pump, a closed-loop vital signs monitoring and drug delivery system which embodies in a novel algorithm that takes into account patients’ vital signs (oxygen saturation, heart rate). The system aims to allow responsive titration of personalized pain relief to optimise pain relief and reduce the risk of respiratory depression. Moreover, the system will be important to enable continuous monitoring of patients during delivery of opioid analgesia.Methods Nineteen patients who underwent elective gynecological surgery with postoperative patient controlled analgesia (PCA) with morphine were recruited. The subjects were followed up from their admission to the recovery room/ ward for up to 24 hours until assessment of patient satisfaction on the VPIA analgesic infusion pump.Results The primary outcome measure of incidence of oxygen desaturation showed all patients had at least one episode of oxygen desaturation (<95%) during the study period. Only 6 (31.6%) patients had oxygen desaturation that persisted for more than 5 minutes. The average percentage time during treatment that oxygen saturation fell below 95% was 4.6%. Fourteen (73.7%) out of 19 patients encountered safety pause, due to transient oxygen desaturation or bradycardia. The patients’ median [IQR] pain scores at rest and at movement after post-op 24 hours were 0.0 [2.0] and 3.0 [2.0] respectively. The average ± SD morphine consumption in the first 24 hours was 12.5 ± 7.1mg. All patients were satisfied with their experience with the VPIA analgesic infusion pump.Conclusions We have demonstrated the potential of VPIA analgesic infusion pump to increase the safety and patient satisfaction by incorporating vital signs monitoring to intravenous opioid analgesia.

scholarly journals Semiología de los signos vitales: Una mirada novedosa a un problema vigente:/Vitals sign semiology: the new look to an actual problem

2012 ◽  
Vol 12 (2) ◽  
pp. 221-240
Author(s):  
Juliana Villegas González ◽  
Oscar Alberto Villegas Arenas ◽  
Valentina Villegas González
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Health Status ◽  
Human Body ◽  
Pulse Pressure ◽  
Pressure Pulse ◽  
Vital Signs ◽  
Pathological Changes ◽  
Pupillary Reflex ◽  
Actual Problem

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.

scholarly journals SECONDARY HYPERTENSION IN ACUTE POISONING IN CHILDREN AND ADOLESCENTS

2015 ◽  
Vol 64 (2) ◽  
pp. 145-149
Author(s):  
Cristina Iolanda Vivisenco ◽  
◽  
Coriolan Emil Ulmeanu ◽  
◽  
◽  
...  
Keyword(s):  
Blood Pressure ◽  
Children And Adolescents ◽  
Vital Signs ◽  
Acute Poisoning ◽  
Secondary Hypertension ◽  
Reference Ranges ◽  
Organophosphate Insecticides ◽  
Vital Signs Monitoring ◽  
Short Period ◽  
Poisoning In Children

Introduction. Exposure to various cardiovascular and non-cardiovascular drugs, drugs of abuse, chemicals and plants may cause secondary hypertension. The authors report their personal experience related to secondary hypertension due to acute poisoning in children and adolescents. Materials and methods. We conducted a 24 month prospective study that included 151 children and adolescents with acute poisoning who developed cardiovascular abnormalities. In order to detect cases of secondary hypertension, vital signs were assessed on admission and in evolution, considering the normal values by age. Results. 11.1% of all cases with acute poisoning admitted and treated in our department have associated cardiovascular impairment. Of these, 18.5% were cases of secondary hypertension. The main cause of hypertension in the study group was exposure to organophosphate insecticides, followed by exposure to sympathomimetic drugs. We noticed a dual effect exerted by organophosphate insecticides. At the beginning patients experienced a short period of tachycardia and hypertension, followed by the installation of the classic cholinergic feature of acute poisoning with organophosphate insecticides, with bradycardia and / or hypotension. All cases of hypertension were transient, self-limiting elevations of blood pressure, which did not require association of antihypertensive agents in the therapeutic approach. Conclusion. In children and adolescents, acute poisoning may be complicated by hypertension, which is mostly mild and transient. Vital signs monitoring is essential to address these cases. Medical staff must know thoroughly age peculiarities, including reference ranges for blood pressure in children and adolescents.

scholarly journals A preliminary assessment of vital-signs-integrated patient-assisted intravenous opioid analgesia (VPIA) for postsurgical pain: a case series

2019 ◽  
Author(s):  
Ban Leong SNG ◽  
Daryl Jian'an Tan ◽  
Chin Wen TAN ◽  
Nian-Lin Reena HAN ◽  
Rehena SULTANA ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Pain Relief ◽  
Oxygen Saturation ◽  
Infusion Pump ◽  
Vital Signs ◽  
Case Series ◽  
Oxygen Desaturation ◽  
Opioid Analgesia ◽  
Average Percentage ◽  
Vital Signs Monitoring

Abstract Background We developed a Vital-signs-integrated Patient-assisted Intravenous opioid Analgesia (VPIA) analgesic infusion pump, a closed-loop vital signs monitoring and drug delivery system which embodies in a novel algorithm that takes into account patients’ vital signs (oxygen saturation, heart rate). The system aims to allow responsive titration of personalized pain relief to optimise pain relief and reduce the risk of respiratory depression. Moreover, the system will be important to enable continuous monitoring of patients during delivery of opioid analgesia. Methods Nineteen patients who underwent elective gynecological surgery with postoperative patient controlled analgesia (PCA) with morphine were recruited. The subjects were followed up from their admission to the recovery room/ ward for up to 24 hours until assessment of patient satisfaction on the VPIA analgesic infusion pump. Results The primary outcome measure of incidence of oxygen desaturation showed all patients had at least one episode of oxygen desaturation (<95%) during the study period. Only 6 (31.6%) patients had oxygen desaturation that persisted for more than 5 minutes. The average percentage time during treatment that oxygen saturation fell below 95% was 4.6%. Fourteen (73.7%) out of 19 patients encountered safety pause, due to transient oxygen desaturation or bradycardia. The patients’ median [IQR] pain scores at rest and at movement after post-op 24 hours were 0.0 [2.0] and 3.0 [2.0] respectively. The average ± SD morphine consumption in the first 24 hours was 12.5 ± 7.1mg. Majority of patients were satisfied with their experience with the VPIA analgesic infusion pump. Conclusions We have demonstrated the potential of VPIA analgesic infusion pump to increase the safety and patient satisfaction by incorporating vital signs monitoring to intravenous opioid analgesia.

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