Patient Body Temperature Research Articles

Effect of medium with moderate temperature on patient's body temperature during percutaneous endoscopic lumbar discectomy

PurposeTo explore the influence of irrigating fluid at different temperatures on patients' body temperature and local inflammatory mediators during spinal endoscopy.Methods110 cases of intervertebral foramen surgery in our hospital from January 2019 to October 2021 were randomly divided into control group and observation group. Operations of both groups were performed by the same experienced chief physician. The observation group was irrigated with 37 °C constant temperature saline, while the control group was irrigated at room temperature. The effect was evaluated by monitoring the intraoperative temperature, postoperative VAS score and the levels of inflammatory factors, such as TNF-α, IL-1, IL-6 and IL-10 in drainage fluid.ResultsAfter 30 min of operation, overall temperature of the control group dropped significantly, and 50 cases (90.9%) had hypothermia, P < 0.05. There was no significant difference in preoperative VAS score between the two groups P > 0.05. The VAS score of observation group was significantly lower than that of control group at 6 h and 1 month after operation, P < 0.05. At 0, 3 and 6 h after operation, the values of TNF-α, IL-1, IL-6 and IL-10 in the observation group were significantly lower than those in the control group (P < 0.05).ConclusionsIsothermal flushing solution can reduce the incidence of hypothermia and effectively alleviate local inflammatory reaction.

Infant Warmer with Digital Scales for Auto Adjustment PID Control Parameters

Babies need temperatures that match the temperature of the mother's womb, which is between 35°C – 37°C. The latest research on infant warmer device used fuzzy method as a system for controlling temperature in infant warmers. The problem raised in the previous research is that the temperature was not evenly distributed throughout the bed at each predetermined temperature setting. When it reached the setting temperature, the warmer continued to turn on so that the bed got hotter. Therefore, the purpose of the current research is to make an infant warmer device equipped with digital scales with a temperature setting of 350C- 370C using PID control to stabilize the temperature and ensure that the heat is evenly distributed on the bed. In addition, skin temperature is also added, allowing the nurses know at which level of patient's body temperature is when observations should be made. The infant warmer in this module used an arduino microcontroller which is displayed in 7 segments, the skin sensor used is the DS18B20 temperature sensor to read the skin temperature, while the infant warmer temperature sensor used is LM35 as a PID control system. The results of the current research in making the device module were compared with the measurement results of the comparator. It was revealed that current research has obtained smallest error of 0% in temperature setting of 350C. For the comparison with the incu analyzer, the smallest error was obtained at the temperature setting of 370C with an error value of 0% on the T5 measurement. Meanwhile, the difference in skin temperature against the thermometer is 0.10C. The results showed that the temperature distributed on the module had different error values. Hence, this research can be implemented on the PID control of infant warmer system to improve the performance of infant temperature stability.

Evaluation Of The Use Prophylaxis Antibiotic In Cesarean Section Patients In The Central Surgical Installation

Background: Caesarean section is the delivery through a surgical incision in the abdomen and uterus with various risks, such as Surgical Site Infection (SSI). This research aims to evaluate the use of prophylactic antibiotics and observe the outcome of prophylactic antibiotic therapy in cesarean section patients.&#x0D; Methods: This non-experimental research used descriptive methods and the data were obtained retrospectively from medical records. The data covered the type of antibiotic used, the dose used, the route of administration, and the time of administration. The results of the study were compared with the ASHP Therapeutic Guidline which is then measured using the percentage formula.&#x0D; Results: The results showed from the 54 patients, most of them aged 20-34 years (63.0%) with a gestational age of 37-42 weeks (96.2%), and length of treatment of 4 days (72.2%). There are 5 types of indications in the cesarean section patients and the highest case is the patients with a history of cesarean section.&#x0D; Conclusion: Based on research on the use of prophylactic antibiotics in cesarean section patients at the Pertamina Bintang Amin Hospital Surgical Center Lampung in 2019 – 2020, it has not met the ASHP Therapy Guidelines. Because of the four analyzes, only the dose, route of administration, and time of administration met 100% of the ASHP Therapeutic Guidelines. Meanwhile, the analysis of the types of prophylactic antibiotics does not comply with the ASHP Therapeutic Guidelines. The therapeutic showed a good outcome based on the patient's body temperature.

CHANGES IN THE PATIENT'S VITAL SIGNS RELATED TO THE TOOTH REMOVAL PROCEDURE

Tooth extraction is the act of removing a tooth from its socket. Before tooth extraction, it is necessary to examine the patient's vital signs, including blood pressure, pulse, respiratory rate, body temperature, and oxygen saturation, to identify abnormalities that may affect treatment and healing. The administration of local anaesthetics and tooth extraction procedures can cause stress and disrupt the patient's systemic condition, affecting the patient's vital signs. This study aimed to determine the changes in the patient's vital signs that occurred during tooth extraction treatment, namely before, during, and after tooth extraction. This research method measures the patient's vital signs consisting of blood pressure, pulse, respiratory rate, body temperature, and oxygen saturation before, during, and after tooth extraction. The data obtained were then analyzed statistically using the one-way ANOVA method and continued with the Tukey-Kramer post hoc test. Thirty-three data met the inclusion criteria, with subjects consisting of 39.4% males and 60.6% females. The data analysis results showed a significant decrease in the patient's body temperature between the procedure and after the tooth extraction and a substantial reduction in oxygen saturation between the patient before and during the tooth extraction. However, no significant changes were found in the patient's blood pressure, pulse, and respiration, either before, during, or after the tooth extraction procedure. Conclusion: Body temperature can decrease after tooth extraction, and oxygen saturation can decrease during tooth extraction.

Keeping Balance Body Temperature With The Application Of Hyperthermia Management

Background: Hyperthermia is a common nursing problem found in patients with typhoid fever. Nursing implementation through a nursing care approach is given to assist in decreasing body temperature. The purpose of this case study is to describe the implementation of hyperthermia management in patients with impaired body temperature balance. Methods: This research method is descriptive using the case study method. Implementation includes monitoring body temperature, and warm compresses, recommending bed rest, and collaborating on intravenous fluids and electrolytes. The research was conducted at a hospital in Palembang for typhoid fever patients with hyperthermia problems. Implementation is carried out 5 days in patient 1 and 3 days in patient 2. Result: the case study results showed a decrease in patient's body temperature, patient 1 from 38,5°C to 36,5°C while patient 2 from 39°C to 36,3 °C. Conclusion: The problem of hyperthermia in patients with typhoid fever can be resolved through an implementation approach to hyperthermia management.

Fog Computing Service in the Healthcare Monitoring System for Managing the Real-Time Notification.

A new computing paradigm that has been growing in computing systems is fog computing. In the healthcare industry, Internet of Things (IoT) driven fog computing is being developed to speed up the services for the general public and save billions of lives. This new computing platform, based on the fog computing paradigm, may reduce latency when transmitting and communicating signals with faraway servers, allowing medical services to be delivered more quickly in both spatial and temporal dimensions. One of the necessary qualities of computing systems that can enable the completion of healthcare operations is latency reduction. Fog computing can provide reduced latency when compared to cloud computing due to the use of only low-end computers, mobile phones, and personal devices in fog computing. In this paper, a new framework for healthcare monitoring for managing real-time notification based on fog computing has been proposed. The proposed system monitors the patient's body temperature, heart rate, and blood pressure values obtained from the sensors that are embedded into a wearable device and notifies the doctors or caregivers in real time if there occur any contradictions in the normal threshold value using the machine learning algorithms. The notification can also be set for the patients to alert them about the periodical medications or diet to be maintained by the patients. The cloud layer stores the big data into the cloud for future references for the hospitals and the researchers.

Penatalaksanaan awal pada pasien dengan cedera otak traumatik

Traumatic brain injury is a major cause of morbidity and mortality, and the third most common cause of injury that causes death. 69 million people suffer from traumatic brain injuries each year. Initial treatment was carried out on a man aged 21 years, with a weight of 62 kg and a height of 160 cm. The patient came to the emergency unit brought by his family because of a traffic accident with a motor vehicle, when the accident the patient was not under the influence of drugs and was not drunk. The patient's GCS was E2V2M4. The patient was given initial management in the form of an airway evaluation by installing an oropharyngeal airway (OPA) for airway patency, breathing at a respiratory rate of 22 times/minute, and circulation with a blood pressure of 133/78 mmHg and a pulse rate of 102 times/minute, the patient's body temperature was 36. ,50 C. The patient was diagnosed with extensive subarachnoid hemorrhage based on radiological examination with non-contrast CT scan of the head requiring craniotomy for evacuation of bleeding by a neurosurgeon specialist. Initial management of the patient is carried out in the emergency unit by evaluating the primary survey and secondary survey. Evaluation of the patient is carried out while monitoring the patient's hemodynamic state remains stable. Speed and accuracy in providing initial treatment to traumatic brain injury patients play a very important role in preventing the development of primary injury to secondary injury and can provide a better prognosis for patients.

Unroofed Coronary Sinus: Incidentally Detected on Pulmonary Computed Tomography Angiography

A 56-year-old female presented to the Emergency Department with palpitations and shortness of breath. The patient had a history of hypertension, diabetes mellitus, and hyperthyroidism. The patient's body temperature was 36.7°C and blood pressure was 125/80 mmHg. On electrocardiogram, negative T-waves were observed in the right precordial leads. Laboratory analysis revealed low haemoglobin value (11.4 g/dL; reference, 12–14 g/dL), high fasting blood glucose (185 mg/dL; reference, 74–106 mg/dL), and elevated D-dimer level (788 ng/mL; reference, <280 ng/mL).

Warm Compress on Lowering Body Temperature Among Hyperthermia Patients: A Literature Review

Hyperthermia increased the core human body temperature above normal 36.7-37.5 °C, usually caused by infection, resulting in fever, and was the most common manifestation. One of the efforts that could be done to overcome the symptoms of hyperthermia was the application of warm compresses to the frontal, axillary, and dorsalis pedis. The study aimed to describe body temperature changes in hyperthermic patients after warm compress was applied. This study used a descriptive design with a literature review approach. Twelve articles were included in this review by six journal databases: PubMed, JSTOR, Wiley Online Library, Sage Journal, Taylor and Francis Online, and Google Scholar. The selection was carried out by assessing articles that met the inclusion criteria, including the publication range for 2008-2021, English and Indonesian languages ??, and open access to full-text pdf. The critical assessment was carried out by using the Critical Appraisal Skills Programmed instrument. The review results showed that the warm compress method had a positive effect in lowering body temperature in the nursing process in patients with hyperthermia. Based on the literature from the reviewed articles, it could be concluded that a warm compress intervention needed to be given to hyperthermic patients to lower the patient's body temperature whether they were undergoing treatment or not

Analisis dan Evaluasi Kamera Thermal Untuk Pengukuran Suhu Badan

The use of thermal cameras is currently very widespread in both the industrial and health world. Application in the health sector, especially for measuring the patient's body temperature, certainly requires a good level of accuracy so that the patient's temperature reading results are reliable. In this study, two types of thermal cameras were evaluated, namely the MLX 90640 and AMG8833. The MLX 90640 thermal camera is connected to a raspberry pi and the scanned image is displayed on the monitor screen. The two thermal cameras were evaluated in terms of the accuracy of temperature readings and the resolution of the images. The test results of the two thermal cameras, the average accuracy of MLX90640 = 3,7% while for AMG8833 = 21,9%. In terms of image resolution, the MLX90640 temperature scan is better than the AMG8833.

Infant Warmer Design with PID Control for Stability and Equal Temperature Distribution Equipped with Digital Scales for Prevention of Hypothermia in Newborns

Babies need temperatures that match the temperature in the mother's womb, which is between 35°C – 37°C. the latest research on infant warmer equipment uses the fuzzy method as a system for temperature control in infant warmers, The problem in previous research is that at each temperature setting, the temperature is not evenly distributed throughout the bed, when it reaches the setting temperature, the heater continues to turn on so that the bed gets hotter. The purpose of this research is to make an infant warmer equipped with digital scales, with temperature settings of 350C, 360C, and 370C using PID control to stabilize the temperature and ensure the spread of heat on the bed evenly, then the addition of skin temperature aims to make nurses know what the patient's body temperature is when observations were made. The infant warmer in this module uses an arduino microcontroller which is displayed in 7segment, then the skin sensor used is the DS18B20 temperature sensor to read the skin temperature, and the infant warmer temperature sensor used is LM35 as a PID control system. The results of the research in making the tool module were compared with the measurement results against the comparator. This research has obtained the results of the smallest error in the measurement of setting temperature of 350C with an error of 0%. For comparison with the incu analyzer, the smallest error is obtained at the setting temperature of 370C with an error value of 0% on the T5 measurement, the difference in skin temperature against the thermometer is 0.10C. The results showed that the temperature spread on the module had different error values. So that this research can be implemented on the PID control infant warmer system to improve performance on infant temperature stability.

RANCANG BANGUN ALAT MONITORING KONDISI SUHU TUBUH DAN JANTUNG PASIEN SAAT PERAWATAN BERBASIS INTERNET OF THINGS (IOT)

Monitoring realizes efforts to improve the quality of health services. To obtain information on patient condition data during treatment. The monitoring process is done manually. So that it has an impact on the service and condition of the patient during treatment. The design of monitoring the patient's body temperature and heart during treatment with IoT can be controlled through the NodeMCU sensor ESP8266, MLX9014, MAX30100 sensor and Arduino IDE software program. Furthermore, it can detect the patient's temperature and the patient's heart rate during treatment. And processed by the NodeMCU ESP8266, the data from the two sensors is displayed on the SSD1306 OLED LCD and also to the smartphone of the medical officer on duty via Blynk. In order for the tool to work properly and optimally, it is necessary to adjust the pin placement so that it can work optimally. The problem of internet connection interference causes delays, resulting in a mismatch between the measurement of the test equipment and the standard tool. Data values are taken with an accuracy of 70%-93% for the MAX30100 sensor, for the temperature sensor it is close to optimal with a value that is read on a standard tool with an accuracy of 97%-99%.

The effect of analytical temperature on thromboelastography tracings in dogs.

Viscoelastic testing methods such as thromboelastography (TEG) are becoming increasingly available to veterinarians in a clinical setting. TEG is useful in determining therapeutic transfusion needs and assessing global abnormalities of hemostasis of patients, given that it provides a more comprehensive assessment of coagulation than traditional tests. TEG is standardly performed at 37°C, which is considered a normal body temperature for human patients; however, 37°C is lower than normal body temperature for most canine patients. In an in vitro study, we investigated the potential effect that this difference in body temperature and test temperature might have on TEG results. Citrated blood samples were collected from clinically normal, as well as sick, dogs with various body temperatures. Samples were analyzed concurrently at the patient's body temperature and at 37°C. There was very high correlation between TEG performed at body temperature and at 37°C for R (min) and MA (mm), high correlation for K (min) and alpha angle (deg), and moderate correlation for LY30 (%) and LY60 (%). For canine patients with normal to mildly abnormal body temperatures, performance of TEG at the standard 37°C is acceptable.

Streptococcus Pharyngitis with Anaerobes Infection Misdiagnosed as Mycobacterium Tuberculosis Infection: A Case Report

Introduction: Pulmonary infection is a common disease in respiratory department. Different pathogens may lead to the same clinical symptoms and imaging changes, and the same pathogen may also lead to different clinical symptoms and imaging changes. It is often difficult to identify specific pathogens in pulmonary infection. Sometimes the patient’s condition is delayed due to the doctor’s inability to judge the specific pathogen well and the failure to carry out targeted treatment. We share this case and hope that doctors can enhance their understanding of this disease, minimize misdiagnosis and enhance the accuracy of disease diagnosis. Case report: This case reported a patient with recurrent fever, which was misdiagnosed as Mycobacterium tuberculosis infection and developed high fever after diagnostic anti-tuberculosis treatment. The posterior pleural effusion next-generation sequencing (NGS) confirmed that the patient was empyema caused by streptococcus pharyngitis combined with anaerobic infection. After anti-infection with teicoplanin and levofloxacin, the patient's body temperature was normal, lung shadow and pleural effusion were completely absorbed. Discussion/Conclusions: In clinical work, we should be vigilant against false positive T cell spot test (T-SPOT.TB), make rational use of NGS and other detection methods, identify specific pathogens as soon as possible, and carry out reasonable targeted treatment.

A Smart System for Health Caregiver Based on IoMT: Toward Tele-Health Caregiving

This manuscript introduces the designing and emulation of a wireless, intelligent health surveillance device based on the internet of medical things, with GSM alert technology by health caregivers. In hospitals or medical centers where the body temperature of the patient needs to be constantly checked or other vital signs have to be checked, this is normally achieved by a specialist or another paramedicine personnel by continuously checking the temperature, pulse rate and keeping records of these arguments. This approach is really repetitive and can be very tiring, especially in medical centers crowded with patients. The main system task is to surveillance the patient's body pulse rate and the patient's body temperature and sending the information to the specialists wirelessly via the liquid crystal display. The transmitting unit of this suggested system continuously surveillance the patient's body temperature, as well as the heart rate with digital sensors, and ultimately, displays the outcomes on the liquid crystal display transmitter to present to the specialists. The receiver device is placed in the specialist chamber for continuous wireless surveillance of the patient's body temperature and heart rate. At the receiver end where the specialist will be, an alarm is often triggered and triggered When the patient's heart rate or temperature is below/above the normal human threshold of 37 ° C and 70 beats/min (bpm), then, send an SMS to the specialist if he or she is absent as a means of continuous update. The suggested framework was implemented utilizing Proteus Tools and programs, composed in Embedded C. The obtained outcomes indicate an effective way to relay details on duty to the specialists for urgent patient care.

STUDI KASUS IMPLEMENTASI EVIDENCE-BASED NURSING: WATER TEPID SPONGE BATH UNTUK MENURUNKAN DEMAM PASIEN TIFOID

Typhoid is an acute febrile illness caused by a bacterial infection of salmonella typhi and its endotoxin stimulates the synthesis and release of pyrogens by leukocytes in inflamed tissue resulting in hyperthermia. A non-pharmacological technique that can be used to reduce the increase in body temperature in hyperthermic patients is by doing a water tepid sponge bath, this technique is still rarely found in the field. Nurses tend to give antipyretics more often when children experience hyperthermia. This case study aims to present the results of implementing the evidence-based nursing water tepid sponge bath as an effort to reduce fever in typoid patients. Physical examination was performed using the head to toe method in typoid patients. The North American Nursing Diagnosis Association (NANDA) is used to determine nursing diagnoses. Meanwhile, nursing intervention refers to the Nursing Intervention Classification (NIC) and the Nursing Outcomes Classification (NOC). A hyperthermic nursing diagnosis with a diagnosis number 00007 is given a nursing intervention in the form of a water tepid sponge bath. After being given nursing intervention for 7 days, hyperthermia was resolved by the criteria that the patient's body temperature returned to normal 36.2 °C. Water tepid sponge bath is effective in reducing body temperature in typoid patients

Application value of lung ultrasound in the diagnosis and severity assessment of ventilator-associated pneumonia

To explore the value of bedside lung ultrasound in the early diagnosis and severity assessment of ventilator-associated pneumonia (VAP). A prospective observational study was conducted in 60 patients with VAP (VAP group) and 62 patients without VAP (control group) who were admitted to department of intensive care unit of General Hospital of Ningxia Medical University from September 2018 to July 2020. The gender, age and underlying diseases of non-VAP group were matched with VAP group. The general clinical data such as gender, age, underlying diseases, department source of the patient, acute physiology and chronic health evaluation II (APACHE II) score, sequential organ failure assessment (SOFA) score were recorded. The body temperature, white blood cell count (WBC), procalcitonin (PCT), oxygenation index (PaO2/FiO2), alveolar artery oxygen differential pressure (PA-aDO2) were recorded. During mechanical ventilation, the patient's body temperature, WBC, sputum characteristics, and the change of the lung ultrasound were dynamically observed. With or without dynamic air bronchogram, lung ultrasound was considered to be positive as long as there were small subpleural consolidation or tissue-like sign. Ventilator-associated pneumonia lung ultrasound score (VPLUS) and lung ultrasound score (LUSS) were performed, and chest CT scan was completed on the same day. Use positive chest CT scan as the standard to evaluate the diagnostic efficacy of lung ultrasound, VPLUS score, and the combination of the two with PCT for VAP. LUSS was used to assess the severity of disease in patients with VAP. The correlation between LUSS and PaO2/FiO2, PA-aDO2, APACHE II score and SOFA score were analyzed. (1) General information: compared with non-VAP group, VAP group had more emergency surgery patients [51.7% (31/60) vs. 33.9% (21/62), P = 0.047], APACHE II score and SOFA score were significantly higher (APACHE II score: 15.4±5.7 vs. 13.4±3.4, P = 0.021; SOFA score: 8.8±4.2 vs. 6.3±3.3, P < 0.001), body temperature tended to rise (centigrade: 38.3±0.8 vs. 38.0±0.9, P = 0.054), more patients had airway purulent secretions [65.0% (39/60) vs. 41.9% (26/62), P = 0.011], and mechanical ventilation time and length of ICU stay were longer [mechanical ventilation time (days): 10.5 (6.6, 15.0) vs. 4.3 (3.0, 6.0), P < 0.001; length of ICU stay (days): 14.8 (9.0, 18.0) vs. 6.0 (4.0, 9.1), P < 0.001], 28-day mortality rate was higher [31.7% (19/60) vs. 9.7% (6/62), P = 0.003]. (2) Diagnostic efficacy evaluation: when lung ultrasound was positive, VPLUS ≥ 3 and PCT > 0.5 μg/L were used separately for the diagnosis of VAP, the sensitivity was 73.3%, 75.0%, 61.7%, respectively; the specificity was 80.6%, 58.1% and 59.7%, respectively; the 95% confidence interval (95%CI) was 0.685-0.842, 0.574-0.748, 0.514-0.694, respectively,all P < 0.05, positive lung ultrasound had good sensitivity and specificity. When positive lung ultrasound or VPLUS ≥ 3 were combined with PCT > 0.5 μg/L for tandem test, the specificity of VAP diagnosis was increased to 95.2% and 83.9%, respectively; but the specificity of VAP diagnosis of positive lung ultrasound combined with PCT > 0.5 μg/L was higher than VPLUS ≥ 3 combined with PCT > 0.5 μg/L (95.2% vs. 83.9%, P < 0.05). (3) Correlation analysis: LUSS showed a significant positive correlation with APACHE II and SOFA score (r values were 0.407, 0.399, P values were 0.001, 0.002, respectively), LUSS had no relation with PaO2/FiO2 and PA-aDO2 (r values were 0.189, -0.064, P values were 0.629, 0.149, respectively). Lung ultrasound can early detect VAP , and its diagnostic specificity is significantly improved when combined with PCT > 0.5 μg/L. LUSS is closely related to the severity of disease in VAP patients, therefore, lung ultrasound may be an effective method for early diagnosis and efficacy evaluation of VAP patients.

Thrombotic microangiopathy led to acute kidney injury in an infant with hemophagocytic lymphohistiocytosis: A case report.

Hemophagocytic lymphohistiocytosis (HLH) is a rare but fatal clinical syndrome frequently complicated by acute kidney injury (AKI) and acute tubular necrosis. Renal thrombotic microangiopathy (TMA) is a specific pathological feature of childhood HLH and few cases have been reported among infants. The present study presents a rare case of HLH with TMA in an infant. A 15-month-old infant with a week-long history of fever was admitted to hospital. The infant presented with AKI and subsequently a reduction in platelet and hemoglobin levels. TMA was diagnosed by kidney biopsy and the clinical, laboratory and bone marrow biopsy findings met the criteria of HLH. Due to a progressive increase in serum creatinine levels, hemodialysis was initiated on the second day following admission. Dexamethasone was administered to treat both the fever and HLH. The patient's body temperature returned to a normal range and platelet and hemoglobin levels were stable after 14 days of admission. Renal function stabilized on day 21. The results of genetic testing did not identify any disease-related variations. Childhood HLH is a severe condition and mortality can be reduced by early diagnosis and correct treatment. For patients with HLH and AKI, the possible role of TMA should be considered. Renal biopsy can help to identify the cause of AKI and can be performed when the patient's condition is stable.

Prevalence of Inadvertent Perioperative Hypothermia and Associated Factors: A Cross-Sectional Study.

Inadvertent perioperative hypothermia, defined as a body temperature <36.0°C, is a common outcome of anesthesia that can cause serious consequences to patients. The aim of this study is to determine the prevalence of inadvertent hypothermia among surgical procedures from two referral centers in Brazil and to identify sociodemographic, clinical, or surgery-related predictors of hypothermia. This is a cross-sectional study, conducted at two public hospitals in Brasília, Brazil. After the exclusion of 109 patients, 312 subjects (American Society of Anesthesiologists [ASA] physical status I-III) were enrolled from July 2016 through July 2018. The main outcome measures were the prevalence of hypothermia and its predictors. The mean age of the 312 patients was 43.2 (18.2) years (range 18-85 years), and 186 (59.6%) were female. The prevalence of inadvertent hypothermia was 56.7%. Predictors of hypothermia were perioperative chills (p = 0.026), patient's body temperature on arrival in the operating room (p < 0.001), diabetes (p < 0.001), ASA status III (p < 0.001), systolic blood pressure (p < 0.001), general anesthesia (p < 0.001), medical specialty (p < 0.001), fentanyl-based anesthesia (p = 0.002), and surgery time (p < 0.001). The multivariable model prediction model for hypothermia showed fairly good discrimination (area under the receiver operating characteristic: 79.0%, 95% confidence interval 68.0 to 80.1). Approximately 6 in 10 patients undergoing surgery developed inadvertent perioperative hypothermia. The risk of hypothermia is influenced by a myriad of factors that can be used in simple and low-cost predictive models with adequate discriminatory power.

A review on health monitoring system using iot

Nowadays, health care is dominated by technology. Humans are confronting an issue of untimely mortality owing to a lack of timely medical treatment. As a result, a bodily health monitoring system must be developed. A patient will be carrying hardware with sensors and an Android phone application in the proposed system. The sensors will detect the patient's body temperature and heart rate, and this information will be sent to an Android smartphone through Bluetooth/Wi-Fi. The system includes a cloud database that saves all information about a patient's health, and physicians use this data to diagnose symptoms and prescribe medication. The suggested method is adaptable since it enables the patient to roam about freely while still being monitored. This study proposes a dependable, energy efficient patient monitoring system that uses a mix of web and android applications. The patient's health is constantly monitored in the present proposed system using a separate sensor linked to the Ardiuno board, and the collected data is sent to the server via an Ethernet shield coupled to the Ardiuno board. An alarm is sent to the doctor through an Android application placed on the doctor's smart phone if any of the parameter values exceed the threshold value. The Internet of Things (IoT) enables the integration of various devices capable of connecting to the internet and giving information on the state of health of patients as well as real-time information to physicians who help.