scholarly journals ’N ondersoek na parameters van prognostiese belang by die hoofbeseerde pasiënt

Curationis ◽  
1981 ◽  
Vol 4 (1) ◽  
Author(s):  
Margot Hugo

The increase in accidents and accompanying increase in severe head injuries, have led to research into various aspects of parameters of prognostic value in patients suffering from head injuries. The possible prognostic value of the observations undertaken by nurses was researched by the author. Some of the findings regarding temperature, pulse rate, blood pressure, ventilation, pupillary response and the type of injury are discussed in this article. The importance of accurate observations by nurses is stressed.

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Brigitte E Martin ◽  
Michael R Garrett

Early detection of viral infections, such as COVID-19 and flu, have the potential to reduce risk of morbidity, mortality, and disease transmission through earlier intervention strategies. Distinguishing patterns among vital signs, including body temperature, pulse rate, respiration rate, and blood pressure, can help to diagnose a potential respiratory virus more rapidly and accurately. The objective of this study was to utilize the University of Mississippi Medical’s extensive clinical database (EPIC) to investigate the potential association between temperature, pulse rate, blood pressure, and respiration with influenza and COVID-19. COVID-19 (March 3, 2020 to February 27, 2021) and flu (October 1, 2017 to September 30, 2018) diagnosed patients were identified from over 1 million patients (of a total population of 3 million) and 36 million encounters of Mississippi residents from the electronic health record. Data from patients with reported demographic dimensions (age, first race, and sex) and office visit dimensions (BMI, diastolic blood pressure (BP), pulse rate, respiration rate, systolic BP, and temperature) was obtained for 1,363 COVID-19 and 507 flu diagnosed patients, including day of diagnosis and additional encounter visits within 60 days before and after first unique viral disease diagnosis. Patients with COVID-19 or flu were disproportionately obese, with 93% of COVID-19 and 79% of flu patients with BMI ≥30. Most striking was that black women in 50-64 years disproportionately carried the burden of disease. For all patients at the time of infection, temperature was significantly increased for both respiratory viruses, pulse rate was significantly increased for flu, and BP was not significantly increased in either infection. We compared flu patients with no pre-existing diagnoses (n= 57) to those with essential (primary) hypertension (n= 234) and found significantly higher systolic BP at day of infection in flu only patients. Our findings show the need for more complete demographic and office visit dimension data from patients during epidemic and pandemic events.


Author(s):  
Jesika Wulandari ◽  
Meirina Ernawati

ABSTRACT Effects heat stress on physiological responses can be seen on increase body temperature, pulse rate and blood pressure (systole and diastole) and also weight loss. The aim of this study is to analyze the physiological responses of workers exposed to heat in confined space heater PT Nippon Shokubai Indonesia. This was an observational study with cross-sectional design. The sample was all of population (10 workers). Data was collected by measuring heat stress (WBGT), physiological responses before and after working and also questionnaire of individual factors. The result of heat stress measurement show that average of WBGT is above the Threeshold Limit Value (34,9OC) with the workload of the workers was in the heavy category (461,94 ccal) and work time category 0-25%. The result showed that the average body themperature before working was 36,73oC and after working was 38,13oC. The average pulse rate before working was 90,85 beats per minute and after working was 96,1 beats per minutes. The average systolic and diastolic blood pressure before working was 124,85 mmHg and 72,05 mmHg and the average after working was 126,05 mmHg and 72,45 mmHg. On the other hand, the average weight before working was 59,58 kg and after working was 58,3 kg. Hence, there were difference on the result of body temperature, pulse rate, blood pressure and weight before and after working in CS heater.Keyword:   Heat stress, physiological response, confined spaceABSTRAKEfek dari iklim kerja panas pada respon fisiologis tenaga kerja dapat dilihat pada peningkatan suhu tubuh, denyut nadi, tekanan darah (sistolik dan diastolik) dan juga penurunan berat badan. Tujuan dari penelitian ini adalah untuk menganalisis respon fisiologis tenaga kerja akibat iklim kerja panas di confined space heater PT. Nippon Shokubai Indonesia. Penelitian ini bersifat observasional dengan desain cross-sectional. Besar sampel adalah keseluruhan populasi yaitu 10 orang. Data didapatkan dari pengukuran mengukur iklim kerja panas (ISBB), respon fisiologis sebelum dan sesudah bekerja dan juga kuesioner faktor individu. Hasil pengukuran iklim kerja panas menunjukkan bahwa rerata nilai ISBB sebesar 34,9OC sehingga telah melebihi Nilai Ambang Batas dengan beban kerja berat yaitu 461,94 kkal dan kategori waktu kerja 0-25%. Hasil menunjukkan bahwa rerata suhu tubuh sebelum bekerja adalah 36,73oC dan sesudah bekerja adalah 38,13oC. Rerata denyut nadi sebelum bekerja adalah 90,85 denyut per menit dan sesudah bekerja adalah 96,1 denyut per menit. Kemudian rerata tekanan darah sistolik dan diastolik sebelum bekerja adalah 124,85 mmHg dan 72,05 mmHg, dan rerata sesudah bekerja adalah 126,06 mmHg dan 72,45 mmHg. Selain itu rerata berat badan sebelum bekerja adalah 59,85 kg dan sesudah bekerja adalah 58,3 kg. Oleh karena itu, terdapat perbedaan antara suhu tubuh, denyut nadi, tekanan darah (sistolik dan diastolik) dan berat badan sebelum dan sesudah bekerja di CS heater.Kata kunci : Iklim kerja panas, respon fisiologis, ruang terbatas


2019 ◽  
Vol 43 (1) ◽  
pp. 21-25
Author(s):  
Mohammed Senna Hassan

   Twenty Iraqi ducks hearts ( 10 male and 10 female ) have been  used for   demonstration  and illustration of heart's valves  and chambers  as well as  anatomical   and morphological site of view to explain what modifications had been take place for ducks heart  to perform  his normal life at the  circumstances  of  high  blood  pressure  and  pulse  rate. The heart  which has distinctly pointed  apex  was  built   in simple  manner located  in a transparent  taught  heart  pericardial  sac. It   was pyramidal in shape  externally  and  has a longitudinal  salcus  passing  to the  right  side, the  anterior of  the   heart  is  divided  into two  unequal  anterior  chamber  similar  to  those of mammalian  hear  .The heart valves are modified  in  order to  minimize  the  fraction  that occur as a result of  high  blood  pressure  and  pulse  rate  of  the  duck  heart , also  the  muscular  trabeculae   replace  the  chordate  tendineae  , which  were  present in the  mammalian    heart  in order to  minimize  the  fraction  resulting  from high  pulse  rate..    


2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Elisa Mejía-Mejía ◽  
James M. May ◽  
Mohamed Elgendi ◽  
Panayiotis A. Kyriacou

AbstractHeart rate variability (HRV) utilizes the electrocardiogram (ECG) and has been widely studied as a non-invasive indicator of cardiac autonomic activity. Pulse rate variability (PRV) utilizes photoplethysmography (PPG) and recently has been used as a surrogate for HRV. Several studies have found that PRV is not entirely valid as an estimation of HRV and that several physiological factors, including the pulse transit time (PTT) and blood pressure (BP) changes, may affect PRV differently than HRV. This study aimed to assess the relationship between PRV and HRV under different BP states: hypotension, normotension, and hypertension. Using the MIMIC III database, 5 min segments of PPG and ECG signals were used to extract PRV and HRV, respectively. Several time-domain, frequency-domain, and nonlinear indices were obtained from these signals. Bland–Altman analysis, correlation analysis, and Friedman rank sum tests were used to compare HRV and PRV in each state, and PRV and HRV indices were compared among BP states using Kruskal–Wallis tests. The findings indicated that there were differences between PRV and HRV, especially in short-term and nonlinear indices, and although PRV and HRV were altered in a similar manner when there was a change in BP, PRV seemed to be more sensitive to these changes.


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