Bước đầu đánh giá hiệu quả hệ thống theo dõi SpO2 từ xa ở bệnh nhân Covid-19 mức độ nhẹ - trung bình

2022 ◽  
Author(s):  
An Vinh Bui-Duc
Keyword(s):  
Monitoring System ◽  
Clinical Symptoms ◽  
Health Care Systems ◽  
Care Center ◽  
Vital Role ◽  
Blood Oxygen Saturation ◽  
Runny Nose ◽  
Care Systems ◽  
The Mean ◽  
D Dimer

TÓM TẮT Đặt vấn đề: Đại dịch COVID-19 (coronavirus disease of 2019) do chủng vi rút Corona mới SARS-CoV-2 vẫn đang bùng phát trên toàn thế giới, gây gia tăng gánh nặng lên Hệ thống chăm sóc Y Tế các quốc gia. Chính vì vậy, việc phát triển hệ thống giúp hỗ trợ chẩn đoán và theo dõi bệnh nhân COVID-19 từ xa được xem là vấn đề cấp thiết hiện nay. Trong đó, chỉ số SpO2 có vai trò quan trọng đối với bệnh COVID-19 và được lựa chọn để theo dõi bệnh nhân tại các Cơ sở Y tế cũng như tại nhà. Nghiên cứu này được chúng tôi thực hiện với mục đích đánh giá hiệu quả ban đầu của hệ thống theo dõi SpO2từ xa trên các bệnh nhân COVID-19 mức độ nhẹ - trung bình. Đối tượng, phương pháp: Nghiên cứu cắt ngang, theo dõi dọc ngắn hạn các bệnh nhân COVID-19 mức độ nhẹ - trung bình điều trị tại Trung tâm Hồi sức Tích cực điều trị bệnh nhân COVID-19 trực thuộc Bệnh viện Trung Ương Huế tại TP. Hồ Chí Minh. Kết quả: Trong giai đoạn từ 8/2021 - 10/2021, 32 bệnh nhân COVID-19 được gắn thiết bị theo dõi chỉ số SpO2, trung bình là 34,2 ± 12,0 tuổi. Các yếu tố nguy cơ bao gồm: BMI xếp loại béo phì 25%, hút thuốc lá (18,8%), tăng huyết áp (15,6%) và đái tháo đường (12,5%). Phần lớn bệnh nhân vào viện do khó thở (71,9%) và chuyển từ tuyến dưới (62,5%). Triệu chứng lâm sàng chủ yếu là ho, hắt hơi, chảy mũi nước (40,6%), theo sau đó là giảm hoặc mất khứu giác, vị giác (25%). 81,3% có D-Dimer ≤ 500ng/mL. 62,5% bệnh nhân được phân độ COVID-19 mức trung bình. Tổng cộng 3.161 lượt đo SpO2, trong đó có 8 lượt cảnh báo SpO2 < 93%. SpO2 trung bình 98,1 ± 0,2 %. Tất cả bệnh nhân xuất viện thành công. Kết luận: Hệ thống theo dõi SpO2 từ xa bước đầu có hiệu quả giúp theo dõi các bệnh nhân COVID-19 mức độ nhẹ - trung bình. ABSTRACT INITIAL EFFECTIVENESS EVALUATION OF THE REMOTE SPO2 MONITORING SYSTEM IN PATIENTS WITH MILD - TO - MODERATE COVID-19 DISEASE Background: The COVID-19 pandemic affected by the new Coronavirus SARS-CoV-2 continues to spread globally, increasing the burden on countries’ Health Care systems. Therefore, generating a platform to help diagnose and monitor COVID-19 patients remotely is considered an essential issue today. In particular, the SpO2 index plays a vital role in COVID-19 disease and is selected to monitor patients at health facilities and homes. This study aimed to evaluate the initial effectiveness of the remote SpO2 monitoring system in patients with mild - to - moderate COVID-19 diseases. Methods: This cross - section study was conducted on mild - to - moderate COVID-19 patients treated at the COVID-19 Intensive Care Center operated by Hue Central Hospital in Ho Chi Minh City, Vietnam Results: From August 2021 to October 2021, 32 COVID-19 patients were applied with SpO2 monitoring smartwatches. The mean age was 34.2 ± 12.0. Risk factors including obesity (25%), smoking (18.8%), hypertension (15.6%), and diabetes (12.5%). Most patients were admitted to the center due to shortness of breath (71.9%) and transferred from lower - level hospitals (62.5%). The main clinical symptoms are coughing, sneezing, runny nose (40.6%), followed by a decrease or loss of smell and taste (25%). 81.3% of patients had D-Dimer ≤ 500 ng/mL. 62.5% of patients had moderate COVID-19 grades. A total of 3,161 SpO2 measurements, including 8 alarms < 93%. The average SpO2 was 98.1 ± 0.2 %. All patients were discharged successfully. Conclusion: A remote SpO2 monitoring system is considered to have preliminary effectiveness in monitoring mild - to - moderate COVID-19 patients. Keywords: COVID-19, blood oxygen saturation, smartwatch, health monitoring system.

A Trusted Ubiquitous Healthcare Monitoring System for Hospital Environment

2020 ◽  
pp. 579-592
Author(s):  
Durga Prasad ◽  
Niranjan N. Chiplunkar ◽  
K. Prabhakar Nayak
Keyword(s):  
Monitoring System ◽  
Service Providers ◽  
Health Care Systems ◽  
Hospital Environment ◽  
Physiological Data ◽  
Cloud Environment ◽  
Hospital Data ◽  
Body Sensors ◽  
Care Systems ◽  
Healthcare Monitoring

Wireless Body Sensor Network with wearable and implantable body sensors have been grabbing lot of interests among the researchers and healthcare service providers. These sensors forward physiological data to the personnel at the hospital, doctor or caretaker anytime, anywhere; hence the name of the network is Ubiquitous health monitoring system. The technology has brought Internet of Things into this system making it to get connected to the cloud based internet. This has made the retrieval of information to the expert and thus improving the happiness of elderly people and patients suffering from chronic diseases. This paper focuses on creating an android based application for monitoring patients in hospital environment. The necessity of sharing hospital data to the experts around the globe has brought the necessity of trust in Health care systems. The data sharing in the IOT environment is secured. The environment is tested in real-time cloud environment. The proposed android application serves to be better architecture for hospital monitoring.

Operations Research in Healthcare Supply Chain Management Under Fuzzy-Stochastic Environment

2020 ◽  
pp. 1833-1875
Author(s):  
S. Priyan ◽  
R Uthayakumar
Keyword(s):  
Customer Service ◽  
Operations Research ◽  
Health Care Systems ◽  
Good Condition ◽  
Vital Role ◽  
The People ◽  
Care Systems ◽  
Increase Productivity ◽  
The Right ◽  
Almost All

Operations research is for mankind in almost all aspects of our life. Applying the scientific method to the management of organizations, industry, government and other enterprises play a vital role in OR. It is used to increase productivity, to improve customer service, to improve quality and to reduce costs. Healthcare has attracted a great attention of governments in order to provide sufficient health services to the people. The provision of healthcare is very complicated and very responsible, that the right drug to the right people at the right time and in good condition to fight the disease. Today, the importance and significance of planning in healthcare can hardly be over emphasized when providing proper and adequate service continues to be a key concern of most countries. Operations research provides a wide range of methodologies that can help health care systems to significantly improve their operations. It helps to solve approximately all the problems involved in healthcare with its useful modeling techniques.

Health of Newcomers

2017 ◽  
Author(s):  
Patricia Illingworth ◽  
Wendy E. Parmet
Keyword(s):  
Health Care ◽  
Global Climate ◽  
Health Care Systems ◽  
Vital Role ◽  
Health Policies ◽  
Global Public Good ◽  
Policy Makers ◽  
Native Populations ◽  
Care Systems ◽  
The Right

Immigration and health are two of the most contentious issues facing policy makers today. Policies that relate to both issues—to the health of newcomers—often reflect misimpressions about immigrants, their health, and their impact on health care systems. Although immigrants are typically younger and healthier than natives, and many newcomers play a vital role in providing care in their new lands, natives are often reluctant to extend basic health care to immigrants. Likewise, many nations turn against immigrants when epidemics strike, falsely believing that native populations can be kept well by keeping immigrants out. This book demonstrates how such reactions thwart attempts to create efficient and effective health policies and efforts to promote public health. The book argues that because health is a global public good and people benefit from the health of neighbor and stranger alike, it is in everyone’s interest to ensure the health of all. Reviewing issues as diverse as medical repatriation, epidemic controls, the right to health, the medical brain drain, organ tourism, and global climate change, the book shows why solidarity between natives and newcomers is ethically required and in the service of health for all.

scholarly journals Radiological Diagnoses in the Context of Emigration: Infectious diseases

2017 ◽  
Vol 190 (02) ◽  
pp. 121-133 ◽  
Author(s):  
Marija Stojkovic ◽  
Jan Müller ◽  
Thomas Junghanss ◽  
Tim Weber
Keyword(s):  
Health Care ◽  
Infectious Diseases ◽  
Cystic Echinococcosis ◽  
Health Care Systems ◽  
Care Center ◽  
Medical Practitioners ◽  
Health Care Center ◽  
Care Systems ◽  
Care Problems ◽  
Visceral Leishmaniosis

Background Globalization and emigration impact on the spectrum of diseases challenging health care systems. Medical practitioners have to particularly prepare for infectious diseases. Methods The database of a health care center specialized on tropical medicine was screened for patients with history of migration and one of the following diagnoses: Cystic echinococcosis, tuberculosis, schistosomiasis, visceral leishmaniosis, and neurocysticercosis. Representative casuistics were prepared from select case histories. Radiological pertinent knowledge was compiled based on literature search. Results A small selection of frequently imported infectious diseases covers a considerable fraction of health care problems associated with migration. For cystic echinococcosis, schistosomiasis, and neurocysticercosis imaging is the most relevant diagnostic procedure defining also disease stages. Tuberculosis and visceral leishmaniosis are important differentials for malignant diseases. Conclusion Imaging plays a meaningful role in diagnosis, treatment stratification, and follow-up of imported infectious diseases. Radiological skills concerning these diseases are important for providing health care for patients in context of migration. Key Points  Citation Format

scholarly journals Internet of things based vital signs monitoring system: A prototype validity test

2021 ◽  
Vol 23 (2) ◽  
pp. 962
Author(s):  
Osman Yakubu ◽  
Emmanuel Wireko
Keyword(s):  
Internet Of Things ◽  
Monitoring System ◽  
Digital Health ◽  
Health Care Systems ◽  
Vital Signs ◽  
Data Repository ◽  
Storage Unit ◽  
Cloud Data ◽  
Vital Signs Monitoring ◽  
Care Systems

The advent of the internet of things (IoT) has resulted in an upsurge in the deployment of digital health care systems enabling patients’ health conditions to be remotely monitored. This article presents an intelligent and automated IoT-based vital signs monitoring system to aid in patient care. A the oretical framework was established to guide the development of a prototype. It encompasses the patient, IoT sensors, input and storage unit and data processing, analysis and data transmission. The prototype is equipped with the capability of sensing a patient’s body temperature, heart rate, and respiration rate in real time and transmits the data to a cloud data repository for storage and analysis. Alerts are sent to caregivers using SMS, email and voice calls where urgent attention is required for the patient. The voice call isto ensure a caregiver does not miss the alert since SMS and email may not be checked on time. To ensure privacy of patients, a caregiver has to be biometrically verified by either fingerprint or facial pattern. The experimental results confirmed the accuracy of the data gathered by the prototype, privacy of patients is also guaranteed compared to other benchmark systems.

scholarly journals Lived Experiences of Iranian ICU Nurses In The Care of Patients With Covid-19: A Phenomenological Study

2020 ◽  
Author(s):  
Mehraban shahmari ◽  
Alireza Nikbakht Nasrabadi ◽  
Akram ghobadi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Work Experience ◽  
Lived Experiences ◽  
Phenomenological Study ◽  
Health Care Systems ◽  
Professional Challenges ◽  
Care Systems ◽  
The Mean ◽  
Depth Interviews

Abstract Background: Covid-19 pandemic with its sudden and widespread global outbreak has stunned health care systems. Nurses are at the forefront of fight against this pandemic, and Intensive care unit (ICU) nurses are more at risk of infection as they have a greater interaction with infected patients. Therefore, the present study was conducted to explore the lived experiences of Iranian ICU nurses in the care of patients with covid-19.Methods: This is an interpretive phenomenological study in which, 15 ICU nurses were purposefully selected. Semi-structured in-depth interviews were used to collect data. The transcripts of the interviews were recorded and then analyzed by Diekelmann (1989) method with hermeneutic approach.Results: Ten of the samples were female and five were male. The mean age of participants was 32 years and their average work experience in the intensive care unit was 6 years. Three main themes were obtained from data analysis, including beyond usual care, the emergence of a new image of nursing and the Realization of professional challenges. Conclusion: Working in difficult and unknown conditions with many challenges caused mental and physical depreciation of nurses in the intensive care unit. However, the nurses showed a spirit of self-sacrifice and did not give up their relentless efforts to fight this unknown enemy, and fulfilled their professional responsibilities to provide the best care to patients. By doing so, the nurses showed a new image of nursing to the society. Therefore, full support should be provided to healthcare workers, especially nurses by the authorities in order to prepare them to respond to unwanted crises.

A Trusted Ubiquitous Healthcare Monitoring System for Hospital Environment

2020 ◽  
pp. 239-252
Author(s):  
Durga Prasad ◽  
Niranjan N. Chiplunkar ◽  
K. Prabhakar Nayak
Keyword(s):  
Monitoring System ◽  
Service Providers ◽  
Health Care Systems ◽  
Hospital Environment ◽  
Physiological Data ◽  
Cloud Environment ◽  
Hospital Data ◽  
Body Sensors ◽  
Care Systems ◽  
Healthcare Monitoring

Wireless Body Sensor Network with wearable and implantable body sensors have been grabbing lot of interests among the researchers and healthcare service providers. These sensors forward physiological data to the personnel at the hospital, doctor or caretaker anytime, anywhere; hence the name of the network is Ubiquitous health monitoring system. The technology has brought Internet of Things into this system making it to get connected to the cloud based internet. This has made the retrieval of information to the expert and thus improving the happiness of elderly people and patients suffering from chronic diseases. This paper focuses on creating an android based application for monitoring patients in hospital environment. The necessity of sharing hospital data to the experts around the globe has brought the necessity of trust in Health care systems. The data sharing in the IOT environment is secured. The environment is tested in real-time cloud environment. The proposed android application serves to be better architecture for hospital monitoring.

A Trusted Ubiquitous Healthcare Monitoring System for Hospital Environment

2017 ◽  
Vol 8 (2) ◽  
pp. 14-26 ◽  
Author(s):  
Durga Prasad ◽  
Niranjan N. Chiplunkar ◽  
K. Prabhakar Nayak
Keyword(s):  
Monitoring System ◽  
Service Providers ◽  
Health Care Systems ◽  
Hospital Environment ◽  
Physiological Data ◽  
Hospital Data ◽  
Health Monitoring System ◽  
Body Sensors ◽  
Care Systems ◽  
Healthcare Monitoring

Wireless Body Sensor Network with wearable and implantable body sensors have been grabbing lot of interests among the researchers and healthcare service providers. These sensors forward physiological data to the personnel at the hospital, doctor or caretaker anytime, anywhere; hence the name of the network is Ubiquitous health monitoring system. The technology has brought Internet of Things into this system making it to get connected to the cloud based internet. This has made the retrieval of information to the expert and thus improving the happiness of elderly people and patients suffering from chronic diseases. This paper focuses on creating an android based application for monitoring patients in hospital environment. The necessity of sharing hospital data to the experts around the globe has brought the necessity of trust in Health care systems. The data sharing in the IOT environment is secured. The environment is tested in real-time cloud environment. The proposed android application serves to be better architecture for hospital monitoring.

scholarly journals Novel strategies for the prevention of dementia from Alzheimer's disease

2009 ◽  
Vol 11 (2) ◽  
pp. 129-134
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Early Detection ◽  
Disease Progression ◽  
Clinical Symptoms ◽  
Health Care Systems ◽  
Detection Methods ◽  
Health Crisis ◽  
Care Systems ◽  
Treatment Research

As the world's population continues to age, Alzheimer's disease presents a looming public health crisis that, left unchecked, threatens to overwhelm health care systems throughout the developed world. In order to significantly tackle the most catastrophic and devastating symptom of Alzheimer's disease (AD)--dementia--we must be able to detect the disease prior to the onset of clinical symptoms, and be able to offer patients preventative treatments that block or significantly slow disease progression. This review summarizes a variety of the most promising early detection methods for Alzheimer's disease (AD) and mild cognitive impairment (MCI) that could be used to identify those at high risk of developing the disease and used for monitoring disease progression and response to investigational treatments. In addition, treatment research programs that could be developed into disease-modifying treatments that significantly delay the development of dementia are highlighted. These potential treatments target many different pathways, and may one day be dosed in combination to increase efficacy and prevent cognitive deterioration in patients with AD. While we still face numerous challenges, AD researchers have made great progress in understanding disease mechanisms. As we have seen in the treatment of heart disease, even modest preventative treatments can have hugely significant clinical outcomes and drastically reduce disease prevalence on a population scale. Therefore, there is hope that the development of prophylactic treatments, combined with improved early detection methods, will provide dramatic relief for millions of aging individuals threatened by the specter of Alzheimer's disease.

scholarly journals Diagnosing COPD in primary care: what has real life practice got to do with guidelines?

2019 ◽  
Vol 14 ◽  
Author(s):  
Greta Ragaišienė ◽  
Rūta Kibarskytė ◽  
Rasa Gauronskaitė ◽  
Monika Giedraitytė ◽  
Agnė Dapšauskaitė ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Records ◽  
Health Care Systems ◽  
Care Center ◽  
Real Life ◽  
Daily Practice ◽  
Care Physician ◽  
Primary Care Center ◽  
Care Systems ◽  
Copd Diagnosis

Background: The role of primary care physician in COPDmanagement varies in different health care systems. According to the researches in various countries, extent of spirometry use in diagnosing and grading COPD frequently remains insufficient. Inaccurate diagnosis results in mistreatment and disease progression. The aims of our study were to investigate the accuracy of COPD diagnosis, grading, and treatment according to guidelines in daily practice of primary care. Methods: A retrospective analysis of ambulatory records in a large primary care center was conducted. Digital medical records of current patients were screened for ICD-10-AM codes J44.0, J44.1, J44.8 and J44.9. All medical records starting from the first visit in this primary care center were reviewed. Results: Two hundred twenty-eight patients diagnosed with COPD were included in the study, 118 male, mean age 67 yrs. (SD 14). A spirometry report was available to 58% of the patients, 75% of them met the guidelines for COPD diagnosis. The grade was correct for 56.8% of the patients. 54% were consulted by the pulmonologist at least once. After re-analyzing spirometry, correcting the diagnosis, and grading, it was determined that only 70% of the patients were receiving appropriate treatments. Sixteen per cent of patients were undertreated and 14% were overtreated. Conclusions: COPD care in primary practice remains suboptimal. Incorrect approach often leads to incorrect grading and mistreatment. Points for improvement should be identified in further studies.

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