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At least 199 records · Page 11Linked to original sources

PubMed2006

GMP Wireless Medicine LifeSync wireless ECG system.

Wireless technology is a growing presence in medical applications. A recent entry in the field is the LifeSync Wireless ECG System manufactured by GMP Wireless Medicine. The LifeSync transmits electrocardiogram (ECG) and respiration waveforms wirelessly from the patient to a physiologic monitoring device (bedside monitor, transport monitor, or 12-lead ECG cart), allowing the elimination of traditional ECG leadwires connecting the patient to the monitoring device. This wireless ECG monitoring is designed to reduce restrictions on patient movement, ease transport, and simplify clinicians' lives compared to the use of traditional hardwired ECG systems. Our Evaluation examines whether, in fact, the LifeSync accomplishes these goals. Most of our findings focus on ease-of-use issues, although cost also carries significant weight in our judgments. The LifeSync's lead set, the LeadWear Disposable Cable Replacement System, is disposable and radiolucent, and its electrodes are all connected along a single cable rather than being separate strands. In addition to its use with the full LifeSync system, the LeadWear can also be used by itself--without the wireless component-in place of standard ECG leadwires. Our Evaluation includes a separate rating for using the LeadWear in this way, in what we call the LeadWear-only approach.

Electrocardiography↗

PubMed1990

Transplantation of the lung.

The introduction of cyclosporine as a highly effective immunosuppressive agent and the development of new techniques for heart-lung and lung transplantation have led to a new treatment for a wide range of fatal cardiopulmonary diseases. Indications for surgery are now becoming clear, together with major contra-indications. Suppurative lung disease, such as cystic fibrosis, can be effectively treated by heart-lung transplant (HLT). A whole new field of pulmonary medicine is emerging to provide the physiological monitoring and diagnostic techniques for major complications such as opportunistic lung infection and pulmonary rejection. Obliterative bronchiolitis, a consequence of frequent and severe rejection, still provides a major challenge to the immunological scientist and respiratory physician. Lung transplantation, by disrupting the vascular supply and innervation of the lung, is raising major questions about the generally accepted beliefs of regulation of breathing and pulmonary mechanics. Finally, as the survival rate improves beyond the current 50% at 3 yrs, lung transplantation will perhaps present further challenges to our understanding of the pathogenesis of various diseases such as asthma and cystic fibrosis.

Graft Rejection↗

PubMed1994

Effect of do-not-resuscitate orders on the nursing care of critically ill patients.

BACKGROUND: The effect of a do-not-resuscitate order on the standard of care of critically ill patients is of concern to practitioners, patients, and their families. Because "do not resuscitate" may be misconstrued to include more than "no cardiopulmonary resuscitation," it may influence the aggressiveness with which some patients are managed. Nurses play a central role in determining standards of care. Hence, confusion on their part as to the meaning of this term can have a significant impact on patient care. OBJECTIVES: To compare nurses' attitudes about standards of care for critically ill patients with and without a do-not-resuscitate order. METHOD: A quasi-experimental design using simulation measurement was used for this study. RESULTS: Nurses reported that they would be significantly less likely to perform a variety of physiologic monitoring modalities and interventions for patients with a do-not-resuscitate order than for patients without such an order. Patients with a do-not-resuscitate order were more likely to receive psychosocial interventions including assessment of their spiritual needs and more flexible visiting practices. CONCLUSIONS: Our findings suggest that "do-not-resuscitate" may be misinterpreted to include more than "no cardiopulmonary resuscitation" even if the patient is receiving aggressive medical management. Misinterpretation of orders not to resuscitate may be related to a variety of factors including lack of understanding about hospital policy and ethical and moral values of the staff. We suggest replacing orders such as "Do not resuscitate" with clearly defined resuscitation plans that are jointly determined by the multidisciplinary team, patient, and family.

Adult↗

PubMedDate not supplied

Preliminary report: changes in vital signs of term newborns during MR.

PURPOSE: To investigate the effect of the MR environment on vital signs of term neonates. METHODS: We retrospectively analyzed physiological monitoring data obtained from seven term infants (20 to 22 days old) undergoing a clinically indicated MR examination. They were monitored for heart rate, blood pressure, and oxygen saturation while sedated and physically quiet. Six control infants were monitored while sedated and resting in the magnet. RESULTS: All of the test infants exhibited substantial changes in blood pressure, heart rate, and/or oxygen saturation during the MR examination. No such changes were observed in the control infants. CONCLUSION: These preliminary results suggest that undergoing an MR examination may alter the vital signs of term newborn infants.

Arnold-Chiari Malformation↗

PubMed1998

A randomized, controlled trial of computerized physiologic trend monitoring in an intensive care unit.

OBJECTIVE: To assess whether the provision of computerized physiologic trend data could improve outcome in newborn infants requiring intensive care. DESIGN: Randomized, controlled trial, with subsidiary questionnaire studies. SETTING: Tertiary neonatal intensive care unit with 12 intensive care cots. PATIENTS: All infants admitted between January 1991 and September 1993 who were < or =32 wks gestation or >32 wks gestation, and ventilated for >4 hrs or asphyxiated. INTERVENTIONS: Randomization to one of four groups for first 7 days of life: A) no display of trend data; B) continuous display of trend data; C1) alternating 24-hr display of trend data, starting with display in first 24 hrs; and C2) alternating 24-hr display of trend data, starting with no display in first 24 hrs. MEASUREMENTS AND MAIN RESULTS: The short-term effects of monitoring on patient outcome was judged by volume of colloid given, number of blood gases taken, and by measurement taken from cranial Doppler ultrasound. Medium-term measures included time ventilated, time given supplemental oxygen, death, time to death or discharge, and cranial ultrasound at discharge. Long-term outcome was assessed by neurodevelopmental status at age 1 to 4 yrs of age. Staff and parent questionnaires assessed their respective attitudes to the introduction of this technology. None of the patient outcome measures, short-, medium-, or long-term, demonstrated any significant benefit from the provision of computerized physiologic trend monitoring. Staff questionnaires demonstrated an acceptance of the system and an improved understanding of neonatal physiology as a result of computerized physiologic trends. Parent questionnaires demonstrated increased anxiety caused by the system in 11% of parents, although only 1% of parents continued to have concerns if the system were able to help their child. CONCLUSIONS: A randomized, controlled trial was unable to demonstrate any benefit to patients resulting from the introduction of a computerized physiologic trend monitoring system. Benefits of the system have been recognized, however, in subsidiary studies, staff education, and research studies.

Attitude of Health Personnel↗

PubMed2003

Three-year follow-up for virtual reality exposure for fear of flying.

Thirty participants who had been treated for aviophobia with virtual reality graded exposure therapy with physiological monitoring and visual feedback (VRGETpm), virtual reality graded exposure therapy with physiological monitoring only (VRGETno), or imaginal exposure therapy (visualization) with physiological monitoring only (IET) between January 1998 and January 1999 were contacted in January 2002 for a 3-year posttreatment follow-up assessment. Of the participants in the VRGETpm group who had flown successfully by the end of treatment, all had maintained their ability to fly at follow-up. Of the participants in the VRGETno group who had flown successfully by the end of treatment, two were no longer able to fly. Of the participants in the IET group who had flown successfully, all were still able to fly. It appears that the addition of teaching self-control via visual feedback of physiological signals may serve to maintain treatment gains in long-term follow-up.

Adult↗

PubMed2005

Characterisation of operation conditions and online monitoring of physiological culture parameters in shaken 24-well microtiter plates.

A new online monitoring technique to measure the physiological parameters, dissolved oxygen (DO) and pH of microbial cultures in continuously shaken 24-well microtiter plates (MTP) is introduced. The new technology is based on immobilised fluorophores at the bottom of standard 24-well MTPs. The sensor MTP is installed in a sensor dish reader, which can be fixed on an orbital shaker. This approach allows real online measurements of physiological parameters during continuous shaking of cultures without interrupting mixing and mass transfer like currently available technologies do. The oxygen transfer conditions at one constant shaking frequency (250 1/min) and diameter (25 mm) was examined with the chemical sulphite oxidation method. Varied filling volumes (600-1,200 microL) of Escherichia coli cultures demonstrated the importance of sufficient oxygen transfer to the culture. Cultures with higher filling volumes were subjected to an oxygen limitation, which influenced the cell metabolism and prolongated the cultivation time. The effects could be clearly monitored by online DO and pH measurements. A further study of different media in an E. coli fermentation elucidated the different growth behaviour in response to the medium composition. The MTP fermentations correlated very well with parallel fermentations in shake flasks. The new technique gives valuable new insights into biological processes at a very small scale, thus enabling parallel experimentation and shorter development times in bioprocessing.

Cell Culture Techniques↗

PubMed2001

Cardiopulmonary monitoring at home: the CHIME monitor.

A new physiologic monitor for use in the home has been developed and used for the Collaborative Home Infant Monitor Evaluation (CHIME). This monitor measures infant breathing by respiratory inductance plethysmography and transthoracic impedance; infant electrocardiogram, heart rate and R-R interval; haemoglobin O2 saturation of arterial blood at the periphery and sleep position. Monitor signals from a representative sample of 24 subjects from the CHIME database were of sufficient quality to be clinically interpreted 91.7% of the time for the respiratory inductance plethysmograph, 100% for the ECG, 99.7% for the heart rate and 87% for the 16 subjects of the 24 who used the pulse oximeter. The monitor detected breaths with a sensitivity of 96% and a specificity of 65% compared to human scorers. It detected all clinically significant bradycardias but identified an additional 737 events where a human scorer did not detect bradycardia. The monitor was considered to be superior to conventional monitors and, therefore, suitable for the successful conduct of the CHIME study.

Cardiography, Impedance↗

PubMed1996

Fiberoptic technique for 24-hour bile reflux monitoring. Standards and normal values for gastric monitoring.

Physiologic bile reflux was assessed in 27 in vivo test with healthy volunteers to define a standardized protocol and normal values for 24-hour enterogastric bile reflux monitoring (protocol with supine, upright, and meal phases and a free diet avoiding alcohol, smoking, and coffee, evaluation with different thresholds of absorbance units: 0.14, 0.25). In vitro tests with bile-sodium solutions demonstrated a linear dependence of absorbance for bilirubin up to 600 mumol/liter (range of the fiberoptic device: 0.0-1.0). Fluids and food might interfere with absorbances below 0.25 (exception: coffee). In vivo bile often remains in the stomach for more than 1 hr; these events were defined as reflux episodes. The upper limits for physiologic bile reflux are a percentage of total time of bile reflux of 28.2% and an average absorbance during a reflux episode of 0.62 (95th percentile with threshold 0.25). Comparing bile with pH monitoring (absorbance > 0.25 and/or pH > 4), an increase of bilirubin was found most frequently with constant pH (45%) or an increase of pH with constant bilirubin (36%). The hypothesis was drawn that bile and duodenal or pancreatic secretions may separately contribute to duodenogastric reflux.

Adult↗

PubMed2004

An implantable telemetry platform system for in vivo monitoring of physiological parameters.

This paper describes a microcontroller-based multichannel telemetry system, suitable for in vivo monitoring of physiological parameters. The device can digitalize and transmit up to three analog signals coming from different sensors. The telemetry transmission is obtained by using a carrier frequency of 433.92 MHz and an amplitude-shift keying modulation. The signal data rate is 13 kb/s per channel. The digital microcontroller provides good flexibility and interesting performance, such as the threshold monitoring, the transmission error detection, and a low power consumption, thanks to the implementation of a sleep mode. The small overall size (less than 1 cm3), the power density compatible with current regulations for the design of implantable devices, and the dedicated packaging make the system suitable for in vivo monitoring in humans. The design, fabrication, operation, packaging, and performance of the system are described in this paper. An in vivo pressure monitoring case study is described as well.

Electronics, Medical↗

PubMed2006

Stress detection in computer users through non-invasive monitoring of physiological signals.

he emerging discipline of Affective Computing pursues the development of computers that could interact with their users taking their affective states into account. For example, if a computer could detect when its user is experiencing stress, it could change the colors and sounds of its user interface to try to calm him/her down. Similarly, the pace of instruction in a computer-based training system could be adapted according to the stress level sensed in the pupil. The research described in this paper aims at the development of a stress detection approach based on automatic monitoring of physiological signals in the computer user. The paper describes the three main aspects of our work: experiment setup for physiological sensing, signal processing to detect the affective state and affective recognition using a learning system. Four signals: Galvanic Skin Response (GSR), Blood Volume Pulse (BVP), Pupil Diameter (PD) and Skin Temperature (ST) are monitored and analyzed to differentiate affective states in the user, in a non-invasive fashion. Results indicate that the physiological signals monitored do, in fact, have a strong correlation with the changes in emotional state of our experimental subjects when stress stimuli are applied to the interaction environment.

Adult↗

PubMed2004

In vivo visualization of Tradescantia leaf tissue and monitoring the physiological and morphological states under different water supply conditions using optical coherence tomography.

The optical coherence tomography (OCT) capabilities of plants were evaluated using leaves of Tradescantia pallida (Rose) D. Hunt. The internal structure of the leaf tissues was visualized in vivo and the physiological and morphological states of the tissues under different water supply conditions were monitored using OCT. The OCT technique provides non-invasive two-dimensional images directly on intact plants. The acquisition time of a two-dimensional image with a size of 200x200 pixels and a spatial resolution of 15 microm is 1-3 s. It was shown that OCT is a useful tool for monitoring the physiological and morphological states of plant tissues supplied with varying amounts of water and under the influence of different chemical factors.

Dehydration↗

PubMed1985

Real-time blood pressure monitoring in physiological experiments using an Apple II microcomputer.

The paper describes a program used for real-time blood pressure monitoring. A simple method allowing interactive control of the decision criteria is used for upstroke detection. The blood pressure signal is characterized by means of 8 parameters, computed for every cycle. The program offers two graphic modes: plotting (a) the original signal and (b) the computed variables. Other useful programs are presented together with the BP/MONITOR to allow use of the Apple II as a digital memory scope in different working modes.

Animals↗

PubMed1984

Adolescents' compliance with self-monitoring and physiological assessment of smoking in natural environments.

Brief daily telephone calls were evaluated as a method of enhancing adolescents' compliance with self-monitoring and physiological assessments of cigarette smoking in the natural environment. Seven direct and indirect measures of compliance were devised. Results indicated that subjects receiving telephone calls complied significantly more than control subjects in providing saliva samples and recording detailed self-monitoring data.

Adolescent↗

PubMed2000

Monitoring the physiological status in bioprocesses on the cellular level.

The trend in bioprocess monitoring and control is towards strategies which are based on the physiological status of the organism in the bioprocess. This requires that the measured process variables should be biologically meaningful in order to apply them in physiologically based control strategies. The on-line monitoring equipment available today mostly derives information on the physiological status indirectly, from external variables outside the cells. The complementary approach reviewed here is to analyse the microbial cells directly, in order to obtain information on the internal variables inside the cells. This overview covers methods for analysis of whole cells (as a population or as a single cell), for groups of cellular components, and for specific compounds which serve as markers for a certain physiological status. Physico-chemical separation methods (chromatography, electrophoresis) and reactive analysis can be used to analyse elemental and macromolecular composition of cells. Spectroscopic methods (mass, dielectric, nuclear magnetic, infrared, and Raman) have only recently been applied to such complex multicomponent mixtures such as microbial cells. Spectroscopy and chemical separation methods produce large amounts of data, which can often be used in the best way by applying chemometrics. Some of the methods can yield information not just on the average of the microbial cell population, but also on the distribution of sub-populations. The suitability of the methods for on-line coupling to the bioprocess is discussed. Others not suitable for on-line coupling can be established in routine off-line analysis procedures. The information gained by the methods discussed can mainly be used to establish better knowledge of the basis for monitoring and control strategies. Some are also applicable in real-time monitoring and control.

Adenosine Triphosphate↗

PubMed1992

Neonatal physiological trend monitoring by computer.

A premature baby born up to four months early is a fragile patient dependent on intensive care. The body systems are physiologically immature and so tolerate stress badly. The tendency of these infants to rapidly deteriorate, has led us to use a cotside computer monitoring system which displays physiological trends. Information from standard neonatal monitors is accessed by individual cotside PC's linked to a central network server and Doctors terminal. Trend graphs can be easily manipulated, displaying from 7 minutes to 3 days of physiological information on a single screen. Pathology may be observed in real time as it occurs. The system has 3 main areas of use, (a) as a real time clinical aid to patient management, e.g. apnoea of the newborn; (b) as a research tool, demonstrating the effects of procedures on physiology; (c) for educating members of staff about how physiological events develop. Data is saved for the whole of each neonates intensive care stay. Assessment of staff and parent attitudes by questionnaire have been favourable.

Humans↗

PubMed1989

Monitoring of physiological parameters during high frequency ventilation (HFV).

Non-biological descriptors such as jet feeding pressure and oscillator stroke volume are often used to describe HFV. This results in confusion and hinders acceptance of HFV. The goal of this paper is to show how physiological parameters which are valid during HFV can be monitored. Airway pressure measured in narrow tubes with high linear flow rates is underestimated. A relevant airway pressure must be measured well below the tracheal tube. Pressure measured higher up should be validated against peripheral pressure measurements. Minute ventilation and expired CO2 concentration can be determined with a ServoVentilator and a CO2 analyzer arranged at its exit port. Minute ventilation and CO2 elimination can thereby be continuously monitored during high frequency jet ventilation or so-called "combined high frequency jet ventilation" to prevent undetected disturbance of ventilation and perfusion. Physiological dead space can be studied for optimization of ventilatory pattern. The principle of gas analysis at the exit port of the ventilator may be used for FRC determinations with sulfur-hexafluoride.

Animals↗

PubMed1993

A data acquisition system for long-term monitoring of physiological and video signals.

We developed a system for interleaving digitized physiological signals and video images of subjects onto digital media in a standard file format. The system consists of a framegrabber used to digitize video signals, a microcomputer used to digitize analog signals and send the resulting signals over a parallel interface, and a host laboratory computer to gather and store the video and analog data in an interleaved format as a single file. The system allows for digital storage, search and display of video signals concurrently with physiological signals.

Brain↗