Search results for "DEVICES"
showing 10 items of 615 documents
Helmet continuous positive airway pressure and prone positioning: A proposal for an early management of COVID-19 patients
2020
In late December 2019, clusters of patients with interstitial pneumonia of unknown cause were reported by some local health facilities in Wuhan (China). The Chinese Centre for Disease Control conducted an epidemiologic and etiologic investigation, leading to the identification of a novel coronavirus (SARS-CoV-2).1, 2 On March 11th, the World Health Organization (WHO) declared the novel coronavirus disease (COVID-19) a pandemic. In the area of Wuhan, COVID-19 mainly affected male patients (around 60%), with a median age of about 50 years; 40% of patients developed Acute Respiratory Distress Syndrome (ARDS) 5% requiring intensive care. The mortality rate was around 2%.3, 4 However, Grasselli …
Tidal volume and helmet: Is the never ending story coming to an end?
2021
Noninvasive ventilation (NIV) has been increasingly used in acute care setting with various indications, but its use in patients with acute hypoxemic respiratory failure (AHRF) is controversial. In this setting, reliable monitoring of Vt and unintentional leaks is of the utmost importance. The aim of this article is to describe the importance of tidal volume measurement in the context of AHRF treated with NIV.
Use of Helmet CPAP in COVID-19 – A practical review
2021
Helmet CPAP (H-CPAP) has been recommended in many guidelines as a noninvasive respiratory support during COVID-19 pandemic in many countries around the world. It has the least amount of particle dispersion and air contamination among all noninvasive devices and may mitigate the ICU bed shortage during a COVID surge as well as a decreased need for intubation/mechanical ventilation. It can be attached to many oxygen delivery sources. The MaxVenturi setup is preferred as it allows for natural humidification, low noise burden, and easy transition to HFNC during breaks and it is the recommended transport set-up. The patients can safely be proned with the helmet. It can also be used to wean the p…
Influence of different interfaces on synchrony during pressure support ventilation in a pediatric setting: a bench study
2015
BACKGROUND: In adults and children, patient-ventilator synchrony is strongly dependent on both the ventilator settings and interface used in applying positive pressure to the airway. The aim of this bench study was to determine whether different interfaces and ventilator settings may influence patient-ventilator interaction in pediatric models of normal and mixed obstructive and restrictive respiratory conditions. METHODS: A test lung, connected to a pediatric mannequin using different interfaces (endotracheal tube [ETT], face mask, and helmet), was ventilated in pressure support ventilation mode testing 2 ventilator settings (pressurization time [Timepress]50%/cycling-off flow threshold [T…
The effect of tiotropium/olodaterol versus fluticasone propionate/salmeterol on left ventricular filling and lung hyperinflation in patients with COPD
2020
This exploratory, randomised, double-blind, double-dummy, multicentre, cross-over study explored the effect of 6 weeks of treatment with tiotropium/olodaterol (T/O) versus fluticasone propionate/salmeterol (F/S) on left ventricular filling in patients with chronic obstructive pulmonary disease with functional residual capacity (FRC) >120% predicted and postbronchodilator improvement of FRC ≥7.5%. Overall, 76 patients were randomised across nine sites. Treatment with T/O or F/S increased left ventricular end-diastolic volume index from baseline (adjusted mean change: T/O: 2.317 mL/m2, F/S: 2.855 mL/m2), with no statistically significant difference between treatments. However, T/O resulted…
The Poisson embedding approach to the Calderón problem
2020
We introduce a new approach to the anisotropic Calder\'on problem, based on a map called Poisson embedding that identifies the points of a Riemannian manifold with distributions on its boundary. We give a new uniqueness result for a large class of Calder\'on type inverse problems for quasilinear equations in the real analytic case. The approach also leads to a new proof of the result by Lassas and Uhlmann (2001) solving the Calder\'on problem on real analytic Riemannian manifolds. The proof uses the Poisson embedding to determine the harmonic functions in the manifold up to a harmonic morphism. The method also involves various Runge approximation results for linear elliptic equations.
Lipid-containing semipermeable membrane devices (SPMDs) as concentrators of toxic chemicals in the lower Fraser River, Vancouver, British Columbia.
1998
Abstract Semipermeable membrane devices (SPMDs) were deployed in the water column and in the sediments of the Lower Fraser River (B.C., Canada) to compare the levels and the congener profiles of polychlorinated dibenzo- p -dioxins (PCDDs), dibenzofurans (PCDFs) and non- ortho -chlorinated biphenyls (N-o,o′-PCBs) against those sampled by an Infiltrex resin column water sampler. Also the relationship between what was present in the ecosystem as sampled by SPMDs and what was accumulated in the tissue of resident benthic-feeding fish was explored. Only the lipid portion of the SPMDs was prepared for analysis, due to some technical difficulties in cleaning the polyethene tubing. The calculated w…
Narrative Medicine to integrate patients’, caregivers’ and clinicians’ migraine experiences: the DRONE multicentre project
2021
Abstract Background Although migraine is widespread and disabling, stigmatisation and poor awareness of the condition still represent barriers to effective care; furthermore, research on migraine individual and social impact must be enhanced to unveil neglected issues, such as caregiving burden. The project investigated the migraine illness experience through Narrative Medicine (NM) to understand daily life, needs and personal resources of migraneurs, their caregivers and clinicians, and to provide insights for clinical practice. Methods The project involved 13 Italian headache centres and targeted migraneurs, their caregivers and migraine specialists at these centres. Written narratives, c…
The class of languages recognizable by 1-way quantum finite automata is not closed under union
2000
In this paper we develop little further the theory of quantum finite automata (QFA). There are already few properties of QFA known, that deterministic and probabilistic finite automata do not have e.g. they cannot recognize all regular languages. In this paper we show, that class of languages recognizable by QFA is not closed under union, even not under any Boolean operation, where both arguments are significant.
Effects of Scientific Information Format on the Comprehension Self-Monitoring Processes: Question Generation
2013
RESUMEN: Formular preguntas es una de las acciones asociadas con procesos metacognitivos de regulación durante tareas de comprensión: los sujetos pueden generar preguntas destinadas a obtener información para salvar obstáculos de comprensión. Se realizaron dos experimentos para estimular, clasificar y analizar las preguntas de los estudiantes en tres condiciones diferentes: leer sobre el funcionamiento de dispositivos científicos experimentales, observarlos en un DVD o manipularlos en el Laboratorio. Las preguntas fueron clasificadas usando una taxonomía sencilla. Teniendo en cuenta los principios multimedia de aprendizaje, las ventajas de imágenes realistas animadas para el aprendizaje de …