scholarly journals Effectiveness of Chest Physiotherapy on Cardio-Respiratory Signs & Symptoms in COVID-19 Positive Patients

2021 ◽  
Vol 11 (5) ◽  
pp. 284-289
Author(s):  
Ayesha Gadhawala ◽  
Sweety Shah
Keyword(s):  
Neurological Disorders ◽  
Vital Signs ◽  
Signs And Symptoms ◽  
Chest Physiotherapy ◽  
Exclusion Criteria ◽  
Sit To Stand ◽  
Significant Difference ◽  
Oxygen Supplement ◽  
Respiratory Signs And Symptoms

Introduction: Covid-19 is considered as world pandemic disease in which patient suffers from several respiratory impairments along with weakness which affects overall body functions, thus aim of this review is to highlight role of chest physiotherapy in improving respiratory signs/symptoms of Covid-19 positive patients. Method: The interventional study, convenient sampling with sample size of 41 subjects. Subjects of 35-80 years both male and female diagnosed with covid-19 positive were included in study. The exclusion criteria were any recent fracture, any medically diagnosed mental illness, neurological disorders and post covid-19 patients. The subjects are assessed of respiratory signs and symptoms like vital-signs, cough, dyspnea by American thoracic society grading of breathlessness, 1 minute sit to stand test, external oxygen supplement on the 1st day and again on 14th day physiotherapy administration for data analysis. The symptomatic chest physiotherapy was administered to each patient from day of reference until the discharge, 2 times in a day and 7 days/week. Results: There was decrease in mean ATS dyspnea scoring, respiratory rate, cough and oxygen supplement and increase in mean 1 minute sit to stand repetition, oxygen saturation (spo2) from 1st day to 14th day of physiotherapy treatment which is statistically significant comparing within groups. There was no significant difference noted in pre and post heart rate values comparing within groups. Conclusion: The study concluded that chest physiotherapy proved to be effective in improving the respiratory signs and symptoms and overall health of covid-19 positive patients. Key words: Covid-19 positive, chest physiotherapy, cough, dyspnea, oxygen supplement.

The Role of Chest Roentgenography in the Management of Febrile Children with Respiratory Signs and Symptoms

1989 ◽  
Vol 9 (3) ◽  
pp. 267-271 ◽  
Author(s):  
Emmanuel F. Ashong ◽  
Pravinchandra J. Patel ◽  
Ahmed Jarallah ◽  
Taiyewo M. Kolawole
Keyword(s):  
Signs And Symptoms ◽  
Respiratory Signs And Symptoms

Caring for the Patient and the Family in the Last Hours of Life

2008 ◽  
Vol 20 (5) ◽  
pp. 408-413 ◽  
Author(s):  
Karen A. Kehl
Keyword(s):  
Breathing Pattern ◽  
Vital Signs ◽  
Signs And Symptoms ◽  
Good Death ◽  
Home Setting ◽  
The Family ◽  
Basic Understanding ◽  
State Changes ◽  
Respiratory Signs And Symptoms ◽  
Cold Extremities

Recognition of the signs and symptoms that are common in the final hours of life and a basic understanding of how to manage these signs and symptoms are important to helping the patient and family experience a good death in the home setting. The most common signs and symptoms, including pain, dyspnea, and terminal restlessness or delirium, and their management are discussed. Also addressed are other signs and symptoms, such as cardiovascular signs and symptoms including cold extremities, mottling, and changes in vital signs; respiratory signs and symptoms such as changes in breathing pattern, noisy breathing, and mandibular breathing; and neurological signs and symptoms such as disorientation, sensory changes, and semicomatose state. Changes in metabolism such as fatigue, surge of energy, and increased temperature are presented, along with decreased intake, excretion, and communication changes.

scholarly journals Role of intrauterine tubo-peritoneal insemination and intrauterine insemination in the treatment of infertility

2017 ◽  
Vol 5 (5) ◽  
pp. 2057
Author(s):  
Disha Gupta ◽  
Asha Verma ◽  
Richa Gupta ◽  
Soniya Saini ◽  
Anuradha Salvi ◽  
...  
Keyword(s):  
Pregnancy Rate ◽  
Endometrial Thickness ◽  
Intrauterine Insemination ◽  
Clomiphene Citrate ◽  
Positive Outcome ◽  
Exclusion Criteria ◽  
Significant Difference ◽  
Infertile Patients ◽  
Urine Pregnancy Test

Background: Infertility management has become more substantial and relevant with an increase in the number of infertile patients as well as advances in the science of reproduction. The objective of our study was to assess the role of intrauterine tuboperitoneal insemination (IUTPI) and intrauterine insemination (IUI) in the treatment of infertile patients.Methods: 236 infertile patients, 118 in each group attending the infertility clinic, after applying both inclusion and exclusion criteria were enrolled in the present study. Patients in each study group were given clomiphene citrate for ovarian stimulation followed by injection hCG for triggering ovulation. Insemination with washed husband’s sperm was performed about 36-40 hours after hCG administration, using 10ml of  inseminate in IUTPI and 0.5ml inseminate in IUI. The patient was then called after 2 weeks for urine pregnancy test (UPT) which, if positive was considered as clinical pregnancy.Results: Out of the total 236 cases, 42 cases had a positive outcome. Out of these 42 positive cases, 27 were from IUTPI group whereas 15 from IUI group. The pregnancy rate was 22.88% in IUTPI and 12.71% in IUI (p=0.039), which was a statistically significant difference. Endometrial thickness, preovulatory follicle number and prewash sperm motility significantly affected positive outcome in IUTPI. Factors like patient’s age, BMI<25, bilateral patent tubes and decreased duration of infertility also positively affected the treatment outcome.Conclusions: Our study found IUTPI to have better pregnancy rate compared to IUI. IUTPI may become a first line option for treatment of infertile patients.

scholarly journals Clinical and laboratory findings and PCR results in severe and non-severe COVID19 patients based on CURB-65 and WHO severity indices

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Farnaz Karimi ◽  
Mahshid Saleh ◽  
Amir Abbas Vaezi ◽  
Mostafa Qorbani ◽  
Foroogh Alborzi Avanaki
Keyword(s):  
Oxygen Saturation ◽  
Vital Signs ◽  
Signs And Symptoms ◽  
National Guideline ◽  
Inclusion Criteria ◽  
Laboratory Findings ◽  
Cross Sectional ◽  
Chronic Heart Disease ◽  
Significant Difference ◽  
Severity Of The Disease

Abstract Background The importance of clinicolaboratory characteristics of COVID-19 made us report our findings in the Alborz province according to the latest National Guideline for the diagnosis and treatment of COVID-19 in outpatients and inpatients (trial five versions, 25 March 2020) of Iran by emphasizing rRT-PCR results, clinical features, comorbidities, and other laboratory findings in patients according to the severity of the disease. Methods In this study, 202 patients were included, primarily of whom 164 had fulfilled the inclusion criteria. This cross-sectional, two-center study that involved 164 symptomatic adults hospitalized with the diagnosis of COVID-19 between March 5 and April 5, 2020, was performed to analyze the frequency of rRT-PCR results, distribution of comorbidities, and initial clinicolaboratory data in severe and non-severe cases, comparing the compatibility of two methods for categorizing the severity of the disease. Results According to our findings, 111 patients were rRT-PCR positive (67.6%), and 53 were rRT-PCR negative (32.4%), indicating no significant difference between severity groups that were not related to the date of symptoms' onset before admission. Based on the National Guideline, among vital signs and symptoms, mean oxygen saturation and frequency of nausea showed a significant difference between the two groups (P < 0.05); however, no significant difference was observed in comorbidities. In CURB-65 groups, among vital signs and comorbidities, mean oxygen saturation, diabetes, hypertension (HTN), hyperlipidemia, chronic heart disease (CHD), and asthma showed a significant difference between the two groups (P < 0.05), but no significant difference was seen in symptoms. Conclusion In this study, rRT-PCR results of hospitalized patients with COVID-19 were not related to severity categories. From initial clinical characteristics, decreased oxygen saturation appears to be a more common abnormality in severe and non-severe categories. National Guideline indices seem to be more comprehensive to categorize patients in severity groups than CURB-65, and there was compatibility just in non-severe groups of National Guideline and CURB-65 categories.

Evaluating the Use of Phenobarbital for the Management of Alcohol Withdrawal Syndrome in Psychiatric Inpatients

2019 ◽  
Vol 33 (4) ◽  
pp. 477-480
Author(s):  
Erin Waldee ◽  
Stephanie V. Phan
Keyword(s):  
Alcohol Withdrawal ◽  
Withdrawal Syndrome ◽  
Vital Signs ◽  
Alcohol Withdrawal Syndrome ◽  
Psychiatric Inpatients ◽  
Signs And Symptoms ◽  
Altered Mental Status ◽  
Treatment And Prevention ◽  
Appropriate Therapy

Objectives To describe the potential role of phenobarbital as appropriate therapy in the treatment and prevention of alcohol withdrawal syndrome (AWS) among medically cleared psychiatric inpatients. Methods This was a single-center, retrospective, observational study of adult patients admitted to the psychiatric unit and administered phenobarbital for the treatment or prevention of AWS. Changes in vital signs and signs and symptoms of AWS were observed to assess the safety and efficacy of phenobarbital. The primary outcome was safety of phenobarbital for AWS as measured by change in the respiratory rate (RR). Results A total of 122 patients were included in the study. There were no significant changes in RR among patients who received phenobarbital for AWS. Significant reductions in blood pressure and heart rate were observed. Of patients with documented signs and symptoms of AWS upon admission, 94% had improvement in the signs and symptoms during phenobarbital therapy. Approximately 12% of patients had documented sedation or altered mental status during phenobarbital therapy. No patients required transfer to a medical or critical care unit. Conclusions Phenobarbital was safe, not leading to severe adverse effects or requiring a higher level of care, and efficacious for the prevention and treatment of AWS in this cohort of psychiatric inpatients.

The Role of Antibiotic Prophylaxis in Clean Incised Hand Injuries: A Prospective Randomized Placebo Controlled Double Blind Trial

2005 ◽  
Vol 30 (2) ◽  
pp. 162-167 ◽  
Author(s):  
J. P. WHITTAKER ◽  
J. D. NANCARROW ◽  
G. D. STERNE
Keyword(s):  
Controlled Trial ◽  
Hand Injuries ◽  
Infection Rates ◽  
Exclusion Criteria ◽  
Double Blind ◽  
Clinical Criteria ◽  
Significant Difference ◽  
Group A ◽  
Group B

A prospective, randomized, double blind, placebo controlled trial was designed to investigate the effect of prophylactic flucloxacillin on the infection rate in clean incised hand injuries, which included trauma to skin, tendon and nerve in adults. Using strict exclusion criteria, a total of 170 patients were recruited into one of three trial groups; Group A – intravenous flucloxacillin on induction followed by an oral placebo; Group B – intravenous flucloxacillin on induction followed by an oral flucloxacillin course or Group C – oral placebo. Thirteen of the patients were subsequently withdrawn, leaving 92% available to complete the trial. Infection was diagnosed using clinical criteria. The infection rates in the three groups were Group A – 13%, Group B – 4% and Group C – 15%. Strictly, the results demonstrate no statistically significant difference in the infection rates between the groups.

scholarly journals The role of smart monitoring digital health care system based on smartphone application and personal health record platform for patients diagnosed with coronavirus disease 2019

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jong Hun Kim ◽  
Won Suk Choi ◽  
Joon Young Song ◽  
Young Kyung Yoon ◽  
Min Ja Kim ◽  
...  
Keyword(s):  
Health Care ◽  
Digital Health ◽  
Personal Health Record ◽  
Vital Signs ◽  
Signs And Symptoms ◽  
Smartphone Application ◽  
Personal Health ◽  
Health Record ◽  
Health Care Monitoring

Abstract Background The massive outbreak of the novel coronavirus disease 2019 (COVID-19) in Daegu city and Gyeongsangbuk-do, Republic of Korea (ROK), caused the exponential increase in new cases exceeding 5000 within 6 weeks. Therefore, the community treatment center (CTC) with a digital health care monitoring system based on the smartphone application and personal health record platform (PHR) was implemented. Thus, we report our experience in one of the CTCs to investigate the role of CTC and the feasibility of the digital health care monitoring system in the COVID-19 pandemic. Methods The Gyeongbuk-Daegu 2 CTC was set up at the private residential facility. Admission criteria were 1) patients < 65 years with COVID-19, 2) patients without underlying medical comorbidities, and 3) COVID-19 disease severity of mild class. Admitted patients were placed under monitoring of vital signs and symptoms. Clinical information was collected using the smartphone application or telephone communication. Collected information was displayed on the PHR platform in a real-time fashion for close monitoring. Results From Mar 3, 2020, to Mar 26, 2020, there was a total of 290 patients admitted to the facility. Males were 104 (35.9%). The median age was 37 years. The median time between the COVID-19 diagnosis and admission was 7 days. Five patients were identified and were transferred to the designed COVID-19 treatment hospital for their urgent medical needs. The smartphone application usage to report vital signs and symptoms was noted in 96% of the patients. There were no deaths of the patients. Conclusions Our results suggest that implementation of the CTC using a commercial residence facility and digital health care technology may offer valuable solutions to the challenges posed by the COVID-19 outbreak.

scholarly journals The role of plasma presepsin levels in determining the incidence of septic shock and mortality in patients with sepsis

2021 ◽  
Vol 15 (01) ◽  
pp. 123-130
Author(s):  
Ugur Kahveci ◽  
Seda Ozkan ◽  
Adem Melekoglu ◽  
Eren Usul ◽  
Gulfer Ozturk ◽  
...  
Keyword(s):  
Emergency Department ◽  
Septic Shock ◽  
Vital Signs ◽  
Sepsis Group ◽  
Control Group ◽  
Significant Difference ◽  
Healthy Control ◽  
Demographic Attributes ◽  
Sepsis And Septic Shock

Introduction: The present study aimed to investigate the role of plasma presepsin in the early detection of septic shock and in determining the prognosis and mortality of patients with sepsis. Methodology: The study was conducted in the emergency department between 1 January 2017 and 1 July 2017. A total of 106 patients 18 years of age or older who were diagnosed with sepsis according to the quick sequential organ failure assessment (qSOFA) criteria were included in this prospective study. The patients’ symptoms, vital signs, additional diseases, demographic attributes, laboratory results, Mortality in Emergency Department Sepsis (MEDS) scores, imaging findings and treatments were recorded. Moreover, the patients’ blood samples were collected to measure plasma presepsin, procalcitonin and CRP levels. Results: In total, 55.7% of the patients were female. The median age of the patients was 78 (24–103) years, and their 30-day mortality rate was 67%. The presepsin level was significantly higher in the sepsis group than in the healthy control group (p < 0.001). The presepsin levels did not differ significantly between the sepsis and septic shock groups (p = 0.12). Similarly, the procalcitonin levels did not differ significantly between the sepsis and septic shock groups (p > 0.05). There was no significant difference in the presepsin, procalcitonin and CRP levels between survivor and non-survivor patients (p = 0.74). Conclusions: The plasma presepsin level was found to be ineffective in determining the incidence of septic shock and mortality in patients with sepsis in the emergency department.

scholarly journals The role of prophylactic antibiotics in nasal packing for epistaxis

2019 ◽  
Vol 15 (1) ◽  
pp. 52-55
Author(s):  
Mohamed Ibrahim Ali ◽  
Chassan Hassan Raheem
Keyword(s):  
Acute Otitis Media ◽  
Signs And Symptoms ◽  
Prophylactic Antibiotics ◽  
Nasal Packing ◽  
First Year ◽  
Toxic Shock ◽  
Exclusion Criteria ◽  
Second Year ◽  
Infective Complications

Background: This study is to evaluate the necessity of prescribing prophylactic antibiotics for nasal packing in spontaneous epistaxis. There are few published papers of infective complications in such patients. Methods: This prospective study analysed 149 consecutive patients admitted to AL-Kindy teaching hospital with spontaneous, epistaxis, who underwent nasal packing  over 2 years period . in the first  year, 78 patients received prophylactic antibiotics , In the second  year 71 patients were not given prophylatic antibiotics.  Exclusion criteria included antibiotics prescribed for unrelated  pathology and post-operative epistaxis. Signs and symptoms of acute otitis media, sinusitis and toxic shock syndrome were assessed using clinical examination and a questionnaire. Results: :Fourteen out of 149 patients experienced otalgia, mostly following posterior nasal packing. No patient in both groups had evidence of any infective complication. Conclusion: we do not recommend the use of prophylactic antibiotics for patients undergoing nasal packing for spontaineous epistaxis.

Role of Teachers in Building the Concept of Sustainable Development: Success or Failure

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Ayaz Muhammad Khan ◽  
Amber Jamshaid ◽  
Tayyibah Roohi ◽  
Amna Ramzan
Keyword(s):  
Sustainable Development ◽  
Primary School ◽  
Sampling Technique ◽  
School Teachers ◽  
Primary School Teachers ◽  
Primary Level ◽  
Significant Difference ◽  
Role Of Teachers ◽  
Major Factors

Sustainable Development (SD) is a rich, challenging and thought-provoking construct in social sciences. The main purpose of this paper was to identify and explore the role played by primary school teachers in building up the idea of sustainable development (SD) among students. This paper was intended to identify that how a teacher can successfully execute the concept of SD by influencing students’ minds at the primary level. Quantitative survey technique were utilized for data collection. All the primary school teachers of Lahore division comprised the population of the study. Through multistage sampling technique, 352 primary school teachers were selected as participants of the study. A self-developed SD questionnaire incorporating four major factors (teachers’ awareness, pedagogy, curricular and co-curricular activities) with Cronbach’s alpha value = .93 was used to measure the role of teachers in building the sustainability concept among students at primary level. The results indicated a significant mean score difference among SD scores of teachers, sector wise (private and public). Furthermore, the results also reconnoitered the significant difference (p=.04) between the mean scores of female and male teachers in building up the SD concept in students’ minds.

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