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.

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.

Secondary Hypertension in Children and Adolescents: Novel Insights

2020 ◽  
Vol 16 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Katerina Chrysaidou ◽  
Athanasia Chainoglou ◽  
Vasiliki Karava ◽  
John Dotis ◽  
Nikoleta Printza ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Children And Adolescents ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Secondary Hypertension ◽  
Pressure Monitoring ◽  
Cardiovascular Morbidity And Mortality ◽  
Rising Incidence ◽  
Hypertension In Children

Hypertension is a significant risk factor for cardiovascular morbidity and mortality, not only in adults, but in youths also, as it is associated with long-term negative health effects. The predominant type of hypertension in children is the secondary hypertension, with the chronic kidney disease being the most common cause, however, nowadays, there is a rising incidence of primary hypertension due to the rising incidence of obesity in children. Although office blood pressure has guided patient management for many years, ambulatory blood pressure monitoring provides useful information, facilitates the diagnosis and management of hypertension in children and adolescents, by monitoring treatment and evaluation for secondary causes or specific phenotypes of hypertension. In the field of secondary hypertension, there are numerous studies, which have reported a strong association between different determinants of 24-hour blood pressure profile and the underlying cause. In addition, in children with secondary hypertension, ambulatory blood pressure monitoring parameters offer the unique advantage to identify pediatric low- and high-risk children for target organ damage. Novel insights in the pathogenesis of hypertension, including the role of perinatal factors or new cardiovascular biomarkers, such as fibroblast growth factor 23, need to be further evaluated in the near future.

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. 

scholarly journals An 8-year-old boy with renal artery stenosis and cerebral infarct

1970 ◽  
Vol 5 (1) ◽  
pp. 32-33
Author(s):  
Syed Dawood Md Taimur ◽  
Tamzeed Ahmed ◽  
Md Golam Muinuddin ◽  
Salma Jahan ◽  
Farzana Islam
Keyword(s):  
Blood Pressure ◽  
Renal Artery ◽  
Renal Artery Stenosis ◽  
Antihypertensive Drugs ◽  
Organ Damage ◽  
Secondary Hypertension ◽  
Cerebral Infarct ◽  
Artery Stenosis ◽  
Short Period ◽  
Hypertension In Children

Secondary hypertension is more common in children compared to that in adults, leading to organ damage and increased mortality. Renal artery stenosis could be a sequel to secondary hypertension in children and give rise to serious outcomes. A case of renal artery stenosis in an eight year old boy is presented in this study in whom PTA was performed with successful results. Blood pressure was controlled and all antihypertensive drugs could be withdrawn in a short period of time.Ibrahim Med. Coll. J. 2011; 5(1): 32-33 Indexing words: Secondary hypertension; children; renal artery stenosis; surgery.DOI: http://dx.doi.org/10.3329/imcj.v5i1.9862

scholarly journals Acute poisoning in children and adolescents hospitalized at the Institute of Child and Youth Health Care of Vojvodina between 2015-2017

2019 ◽  
Vol 72 (7-8) ◽  
pp. 209-215
Author(s):  
Katarina Katic ◽  
Aleksandra Stojadinovic ◽  
Vesna Mijatovic ◽  
Marijana Grujic
Keyword(s):  
Health Care ◽  
Children And Adolescents ◽  
Medical Records ◽  
Preventive Measures ◽  
Acute Poisoning ◽  
Medical Emergency ◽  
Toxic Substances ◽  
Youth Health ◽  
Youth Health Care ◽  
Poisoning In Children

Introduction. Acute pediatric poisoning has become an increasingly important medical emergency. This study was aimed at determining characteristics of acute poisoning in children and adolescents hospitalized at the Institute of Child and Youth Health Care of Vojvodina from 2015 to 2017. Material and Methods. Data were collected from medical records of all patients hospitalized for suspected acute intoxication at the Institute of Child and Youth Health Care of Vojvodina during the observed time. Results. This study included 519 patients hospitalized for suspected exposure to toxic substances. There were 49% male and 51% female patients. The intoxications had no seasonal features. The toxic substances were commonly taken orally. Medications were the most frequent cause of all poisonings, among which the most commonly reported were drugs for central nervous system disorders. Medications were the most frequent cause of poisoning in children and adolescents, as well as in children up to 10 years of age. In adolescents, the most prevalent cause of intoxication was alcohol abuse. Poisoning with suicidal intent and intentional self-poisoning without suicidal attempt were considerably more frequent in girls than in boys. There were no fatalities. Conclusion. It is of great importance to be familiar with the characteristics and circumstances of acute poisoning to plan and implement adequate preventive measures.

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.

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)

The Sedation Could Consist in a Therapeutic Strategy in Advanced Cancer Conditions

2016 ◽  
Vol 33 (S1) ◽  
pp. S500-S500
Author(s):  
A. Tamarindo ◽  
C. Vogel ◽  
G. Hida ◽  
D. Malheiros ◽  
J. Ropero ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Advanced Cancer ◽  
Therapeutic Strategy ◽  
Vital Signs ◽  
Wilcoxon Test ◽  
Significance Level ◽  
Cns Depressant ◽  
Short Period ◽  
Competing Interest

IntroductionThe sedation could consist in a therapeutic strategy in advanced cancer conditions.ObjectiveTo study the drugs administered to patients under Palliative Care Sedation (PCS) audits effects on vital signs.MethodsOur retrospective study included 101 oncological patients with mean age of 66.5 ± 13.4 years old and mean weight of 48.5 ± 3.36 kg, under PCS. The data were analysed applying the test of Wilcoxon.ResultsThe drugs administered to these patients under PCS were morphine 55 mg/kg/day associated to midazolam 52.5 mg/kg/day (Morph/Midazo) or the association of morphine 55 mg/kg/day, midazolam 52.5 mg/kg/day and neuroleptics such as chlorpromazine 54.5 mg/kg/day or haloperidol 13.25 mg/kg/day (Morph/Midazo/Neurol). The values of vital signs of these patients when the sedation was initiated were: systolic blood pressure 116.55 ± 16.98 mmHg, diastolic bloodpressure73.17 ± 10.55 mmHg, heart rate 83.41 ± 16.25bpm, respiratory rate 19.39 ± 3.97 rpm and body temperature 35.91 ± 0.57 °C. No significant differences between these groups were observed. Vital signs measures were collected 48 hours before the patient's death. Significant reduction in systolic blood pressure 77.5 mmHg, diastolic blood pressure 43.3 mmHg were observed in the group (Morph/Benzo/Neurol). The Wilcoxon test for independent samples to a significance level of 5% we obtain a P-value of 0.01. The sedation period was 2.56 ± 0.23 days.ConclusionNeuroleptic, a central nervous system (CNS) depressant drug, when associated to other two depressants (morphine/midazolam), conducted to the patient's vital signs reduction.Considering the short period of time between the beginning of sedation and the patients’ death; and that palliative sedation should not include the hastening of patients’ death, we suggest a better drug association criteria.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Dynamics of acute poisoning with narcotic and psychotropic drugs in children

2021 ◽  
Vol 24 (5) ◽  
pp. 328-334
Author(s):  
Valeriy P. Kutsenko ◽  
Darya D. Kovaleva ◽  
Nana R. Mironova ◽  
Tatyana O. Rumyantseva
Keyword(s):  
Children And Adolescents ◽  
Psychotropic Drugs ◽  
Social Problem ◽  
Acute Poisoning ◽  
The State ◽  
Toxic Substances ◽  
Poisoning In Children

Introduction. Acute poisoning of chemical aetiology in children and adolescents is a significant medical and social problem. The average overall assessment of the state of the drug situation in St. Petersburg by all criteria is: in 2018 - 3.6 (pre-crisis condition), in 2019 - 3.5 (pre-crisis), in 2020 - 3.3 (severe). The aim of this work is to analyze the structure of acute poisoning with narcotic and psychodysleptic drugs in children of St. Petersburg. Materials and methods. An analysis was carried out of 4256 cases of acute chemical poisoning in children (form No. 64) admitted to the acute poisoning department of N.F. Filatov St. Petersburg State Children Hospital from 2016 to 2018. Results. The total number of chemical aetiology poisonings was 1441 cases in 2016, 1,527 in 2017 and 1,288 in 2018. Poisoning with narcotic and psychodysleptic drugs was (of the total number of poisonings) in 2016 - 3.1%, in 2017 - 5.8% and 2018 - 4.9%. The top place among poisonings with toxic substances of this group are opiates, methadone, LSD, hashish. The maximum poisoning with psychotropic drugs is psychostimulants such as methamphetamine - 2.6%, amphetamine - 1.4%, ecstasy - 1.2%. There was a significant increase in acute poisoning with unspecified psychotropic drugs from 0.7% (2016) to 4.6% (2018). Conclusions. The obtained results of the study revealed a decrease in the total number of acute chemical poisoning by 18.9%. On the background of a reduction in the total number of poisonings, there is an increase in the frequency of poisoning with neurodestructive substances (methadone, hashish, LSD, benzodiazepine, amphetamine, methamphetamine and ecstasy). The most frequent cause of acute chemical intoxication in children is poisoning with psychotropic drugs.

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