Use Of Wristbands Research Articles

Improving Patient Safety Practices in Critical Care Departments, Ibb Hospitals (Yemen): An Intervention Study

Background: Safety of health care is now a major global concern, it is likely that millions of people suffer harms related to medical care thus medical care related harms is now considered a global public health problem particularly in developing countries. Aim: To improve patient safety knowledge and practices in two Intensive Care Units (ICUs) in Ibb governorate (Yemen). Methods: The study was an intervention study conducted in two ICUs (one private and one governmental) in Ibb's hospitals. It passed through three stages; initial assessment of patient safety situation within studied ICUs, intervention stage including training, use of wrist band, verbal order documentation and critical values reporting, then re-evaluation to assess the changes happened after implementation of the intervention. Results: A total of 53 healthcare providers were enrolled in to the study; 31 in the private ICU and 22 in the governmental ICU. Less than half of healthcare personnel had good knowledge (45.2% in the private ICU and 40.9% in the governmental ICU), after implementation of intervention the knowledge improved significantly to be 100% and 95.5% in the private and governmental ICUs respectively. Patient safety practices also improved significantly after intervention. Conclusion: The overall patient safety situation in the studied ICUs was weak and it significantly improved after intervention conduction. Patient safety should be a top strategic priority for policy makers, managers and leaders. Institutional support, continuous monitoring, incidents' reporting as well as communication of the feedback to all staff members about patient safety performance are extremely crucial.

Development of an IoT-Based Drowning Detection System for Private Swimming Pools

Drowning is among the top three leading causes of unintentional death worldwide, accounting for over 8% of all injury-related deaths. Annually, over 22,000 deaths occur due to drowning in adults, teenagers, and children. The highest rate is among children aged 0–15 years. Available solutions to this murder (drowning) involve traditional fencing of swimming pools, the use of wrist bands with RF connections, heartbeat sensors, monitoring systems using LASER and LDR, etc. These methods are not sufficient to solve the problems, as past methods involve wearable buildings systems. This paper proposes a method that is dependent on the swimming pool (the swimmer does not need to wear any device). The proposed system utilizes multiple sensor technology and IoT technology; PIR sensor for motion detection and Raspberry Pi module v3 for capturing and detecting possible drowning events via a trained model using yolo v5 architecture integrated into Raspberry Pi 4 8GB RAM. The system sends an email message to the authorized user if it senses motion around the swimming pool environment, detects a human in an un-save zone, and sends an alert of possible drowning.

The use of wearable technology in a comprehensive chronic pain management programme

Technology is increasingly used to promote physical activity and reduce sedentary behaviour in the general population, but the possibility of using it to support physical activity in chronic pain patients is still sparse. Physical activity is crucial for improving quality of life of chronic pain patients. However, long-term physical activity goals widely depend on pain perception, actual or anticipated pain exacerbation, and lack of confidence when doing physical activity. We aimed to determine whether wearable technology can improve management of chronic pain. Full protocol of this 8-week clinical trial is available in the Clinical Trials Registry (NCT 03837080). In short, chronic pain patients enrolled in the 4-week multidisciplinary chronic pain management programme wore fitness wristbands during the 4-week programme (0-4 weeks) and during the follow-up (4-8 weeks). Fitness wristbands measured physical activity and sleep patterns. Additionally, anthropometric measurements and psychological condition of patients (by using Pain Catastrophizing Scale and Depression, Anxiety and Stress Scale – 21 Items questionnaires) was measured. The number of steps and average time of activity per day increased, as well as deep sleep time per day but without reaching statistical significance. Significant improvements in waist circumference and waist-to-hip ratio and waist-to-height ratio with longer deep sleep time were found. No significant correlation was found between physical activity, sleep quality and psychological characteristics or catastrophizing. By wearing fitness wristbands, patients feel actively involved in their chronic pain management. In a clinical/research setting, wristbands provide better, continuous oversight of patient’s progress end enables tailoring of individualized strategies. However, the use of wristbands requires some level of IT knowledge, and sudden malfunctions of the wristband and/or the software can be expected. Additionally, some individual characteristics (i.e., demographics, psychosocial factors, lack of motivation) can also be obstacles to their use.

The use of wearable technology in a comprehensive chronic pain management programme

Technology is increasingly used to promote physical activity and reduce sedentary behaviour in the general population, but the possibility of using it to support physical activity in chronic pain patients is still sparse. Physical activity is crucial for improving quality of life of chronic pain patients. However, long-term physical activity goals widely depend on pain perception, actual or anticipated pain exacerbation, and lack of confidence when doing physical activity. We aimed to determine whether wearable technology can improve management of chronic pain. Full protocol of this 8-week clinical trial is available in the Clinical Trials Registry (NCT 03837080). In short, chronic pain patients enrolled in the 4-week multidisciplinary chronic pain management programme wore fitness wristbands during the 4-week programme (0-4 weeks) and during the follow-up (4-8 weeks). Fitness wristbands measured physical activity and sleep patterns. Additionally, anthropometric measurements and psychological condition of patients (by using Pain Catastrophizing Scale and Depression, Anxiety and Stress Scale – 21 Items questionnaires) was measured. The number of steps and average time of activity per day increased, as well as deep sleep time per day but without reaching statistical significance. Significant improvements in waist circumference and waist-to-hip ratio and waist-to-height ratio with longer deep sleep time were found. No significant correlation was found between physical activity, sleep quality and psychological characteristics or catastrophizing. By wearing fitness wristbands, patients feel actively involved in their chronic pain management. In a clinical/research setting, wristbands provide better, continuous oversight of patient’s progress end enables tailoring of individualized strategies. However, the use of wristbands requires some level of IT knowledge, and sudden malfunctions of the wristband and/or the software can be expected. Additionally, some individual characteristics (i.e., demographics, psychosocial factors, lack of motivation) can also be obstacles to their use.

Evaluation of Patient Identification in Laras Hati Clinic

The aim of this research was to evaluate the implementation of patient identification in Laras Hati Clinic. The type of research used in this study is descriptive with qualitative approach. The subject of this study consist of nurse and midwife in Laras Hati Clinic. This research has been carried out since August 2018 until October 2018. The Implementation of identification patient in Laras Hati Clinic has not implemented optimally. patient identification wristbands are not completely available. There were no operational procedure in the use of wristbands and procedures for implementing patient identification. It has been implemented but the implementation has not been optimal. It caused by the unavailability of policies and standard operational procedures in the implementation of patient identification and identification patient wristbands, and also the patient safety culture has not yet been established in this clinic. Keyword : Evaluation, Patient Identification

SUN-199 PHLEBOTOMY PRACTICE IN A TERTIARY CARE PEDIATRIC HOSPITAL - AUDIT FOR IMPLEMENTING "SAVE YOUR VEINS" INITIATIVE

Venipuncture is often done indiscriminately in hospitals leading to phlebitis and stenosis of veins. Patients with chronic diseases have difficult venous access and it is catastrophic in pediatric patients, more specifically those with chronic kidney diseases, hematological disease and cancers. Due to long life expectancy for paediatric chronic kidney patients, now all efforts must be focused on vein preservation for future use. Campaigns to preserve veins in kidney patients have been conducted worldwide, but not in developing countries. No paediatric specific data or campaigns are available. Hence, we reviewed the current practice of venipuncture in our pediatric department with special focus on nephrology patients. We aimed to assess the knowledge about vein preservation among our phlebotomists, nurses and junior doctors and review the current phlebotomy practice in pediatric patients in our center. A survey designed to test the knowledge among phlebotomists, nurses and junior doctors regarding vein preservation, assess current practice and willingness to get training was conducted and data was collected. Simultaneously we noted all venipunctures performed at the emergency department(ED), paediatric ward (PW) and paediatric outpatient department (OPD) in our hospital for 30 days. Data on admitting department, diagnosis, type of venipuncture (needle stick or cannula), purpose (sample collection or drug instillation), number of pricks and site preferred were collected. Outcomes like percentage of phlebotomies done by each group of health care personnel, preferred site and department or diagnosis associated with difficult venous access (2 or more attempts) were analysed. Out of 320 venipunctures recorded, 203 were considered for analysis (117 - insufficient data). The mean age of patients was 4.7 years. 85 (41.9%), 85(41.9%) and 33(16.2%) procedures were done in OPD, ED and PW respectively. General paediatrics department (n=116, 57.1%) had most patients, followed by nephrology (n= 34, 16.7%) and hematooncology (n= 33, 16.2%). 84/203 (41.3%) children were suffering from chronic disease. Nurses performed 103(50.7%), followed by phlebotomists (90 (44.3%)) and junior doctors (10(4.9%)). Only 17.2% requests had physician instruction regarding vascular access. 124 patients (61.1%) had needle stick and 79 patients (38.9%) had cannula placed. The preferred site used for needle stick method was cubital fossa (n=62, 50%) followed by dorsum of hand (n= 60, 48.3%). For cannula placement, 77/79 venipuncture attempts were made in dorsum of hand. 7% of patients required more than 1 attempt to obtain sufficient blood samples. Of 203 patients, 46 had difficult access and all these patients (100%) who had this difficult venous access were chronic disease patients (Kidney 50%, hematology 37.5%, endocrine 12.5% ). Only 60% of doctors and 33.3% of phlebotomists preferred dorsum of hand as first site. Vein preservation education is lacking and should be implemented in all hospitals. This strategy benefits children with chronic disease most, especially kidney disease. Interventions like flagging patients with chronic disease, use of wrist bands and bracelets, educating parents/children on vein preservation can help these patients.

Arterial access and arteriotomy site closure devices.

Arterial access and haemostasis are fundamental aspects of procedures performed in the cardiac catheterization laboratory. The first description of arterial access for cardiac catheterization was in 1948, when surgical cut-down was used to access the radial artery. Over the next 2 decades, the preferred arteriotomy method transitioned from the Sones approach of brachial artery cut-down to the Seldinger and Judkins technique of percutaneous femoral artery access. Compared with the femoral approach, percutaneous transradial access results in reduced access-site bleeding, faster time to ambulation, and greater patient comfort. Several large-scale, randomized trials have also reported a survival advantage in patients with acute coronary syndromes treated with radial compared with femoral access. However, inconsistencies exist between the completed trials, and the underlying mechanism of a reduction in mortality with radial access is uncertain. Femoral artery haemostasis can be achieved with either manual compression or vascular closure devices, with recent studies suggesting improved outcomes with the use of active closure systems. Radial artery haemostasis is achieved through the use of wristbands that mimic manual compression, and 'non-occlusive' haemostasis reduces the risk of radial artery occlusion. Newer arterial access routes and closure approaches for large-bore devices are being actively investigated. Expertise in both femoral and radial artery access and intervention is essential for contemporary interventional cardiologists.

Use of identification wristbands among patients receiving inpatient treatment in a teaching hospital.

OBJECTIVE: to evaluate the use of identification wristbands among patients hospitalized in inpatient units. METHOD: quantitative, descriptive and transversal research, with a sample of 385 patients. Data collection occurred through the observational method through the filling out of a structured questionnaire which aimed to check the presence of the identification wristband and the identifiers used. Descriptive statistics with absolute and relative frequencies was used for analysis. RESULTS: it was obtained that 83.9% of the patients were found to have the correctly identified wristband, 11.9% had a wristband with errors, and 4.2% of the patients were without a wristband. The main nonconformities found on the identification wristbands were incomplete name, different registration numbers, illegibility of the data and problems with the physical integrity of the wristbands. CONCLUSION: the study demonstrated the professionals' engagement in the process of patient identification, evidencing a high rate of conformity of the wristbands. Furthermore, it contributed to identify elements in the use of wristbands which may be improved for a safe identification process.

The Effect of Holographic Wristbands on Proprioception

Context: Wearing wristbands embedded with holograms at certain frequencies are believed to increase proprioception. There has been very little research to determine if holographic wristbands have any physiological effect on the body. Objective: To determine if the holograms embedded in the wristbands will improve proprioception during a single leg stance test on the dominant foot. Design and Setting: Controlled Athletic Training laboratory study. Participants: Twenty-four healthy college students of different activity levels (7 men, 17 women; age = 22.6 ± 1.2 years, height = 170.18 ± 12.10 cm, mass = 69.51 ± 15.63 kg) without any lower extremity injuries in the past three months participated. The subjects were also excluded if they have worn a holographic wristband in the past three months. Intervention(s): Each subject completed two trials under three protocols (holographic wristband, placebo wristband, no wristband) in a counter-balanced order for a total of six different tests with each test lasting 30 seconds. Subjects tested under each protocol using a single leg stance test on their dominant leg, hands on their hips, and looking forward at a fixed point on the wall. Main Outcome Measure(s): Balance analysis of the subjects was performed using an AMTI AccuSway Force Platform measuring Center of Pressure velocity and Center of Pressure Area 95. A statistical analysis of the data was done using repeated measures to test for differences between each condition. Results: The results showed no significant differences between protocols for Center of Pressure velocity (F = 1.130, P = .332). We also found no significant differences between protocols for Center of Pressure Area 95 (F = 1.271, P = .290). Conclusions: The results showed that the use of the holographic wristbands or a placebo wristband did not appear to have an impact on static balance. Overall, the results show that the use of the wristbands did not appear to have an impact on proprioception.

Does a mineral wristband affect balance? A randomized, controlled, double-blind study.

BackgroundHaving good balance is a facilitating factor in the performance of everyday activities. Good balance is also essential in various sport activities in order to both get results and prevent injury. A common measure of balance is postural sway, which can be measured both antero-posteriorly and medio-laterally. There are several companies marketing wristbands whose intended function is to improve balance, strength and flexibility. Randomized controlled trials have shown that wristbands with holograms have no effect on balance but studies on wristbands with minerals seem to be lacking.ObjectiveThe aim of this study was to investigate if the mineral wristband had any effect on postural sway in a group of healthy individuals.Study designRandomized, controlled, double-blind study.Material/MethodsThe study group consisted of 40 healthy persons. Postural sway was measured antero-posteriorly and medio-laterally on a force plate, to compare: the mineral wristband, a placebo wristband, and without any wristband. The measurements were performed for 30 s, in four situations: with open eyes and closed eyes, standing on a firm surface and on foam. Analyses were made with multilevel technique.ResultsThe use of wristband with or without minerals did not alter postural sway. Closed eyes and standing on foam both prolonged the dependent measurement, irrespective if it was medio-lateral or antero-posterior. Wearing any wristband (mineral or placebo) gave a small (0,22-0,36 mm/s) but not statistically significant reduction of postural sway compared to not wearing wristband.ConclusionThis study showed no effect on postural sway by using the mineral wristband, compared with a placebo wristband or no wristband. Wearing any wristband at all (mineral or placebo) gave a small but not statistically significant reduction in postural sway, probably caused by sensory input.

Injuries in Artistic Gymnasts

Lately, artistic gymnastics has been passing through many changes, either in quality and training volume, athlete's performance, or on differentiated preparation of the practitioners for the competitions. In this direction, injuries are consequence of such changes, and mainly because of the equipment evolution. PURPOSE: To Identify the causes and effects of injuries caused by the practice of artistic gymnastics, its frequency, as well as relate them with the used apparatus. METHODS: 28 participant athletes from the training center of Osasco, Yashi academy and club AABB were investigated. It was used a questionary with 13 closed questions adapted from the technique of inquiry of related morbity (Ghirotto, 1992). RESULTS: The injury found with most frequency is hand blisters (30.6%), mostly caused by the excecution of bars. The entorses totalize 16.9% identified by the floor exercices, and most located at lower limbs, as for the fractures; the found frequency was 13.2% with no predominance of affected body structure or device. Regarding the use of individual protection equipment, men stand out with 69.4%, where the grips and wrist band correspond to 68% among other equipments. As for the women, it's worth pointing the use of wristband (63%) and band of crepe (36.3%) as the only equipments used.Table 1: Distribution of male and female injuries, according to gymnastics equipmentCONCLUSIONS: Although men are the only ones to use hands protection equipment, blisters are representative in both sexes, what allows us to presume that this occurrence happens due to the hand requeriment on almost every equipment. Other aspects to take into consideration are the ankle entorses accented by the floor exercices, which are the basics to all the other aparratus.

Acupressure therapy for morning sickness A controlled clinical trial

A prospective, controlled clinical trial examined the efficacy of acupressure therapy for morning sickness, using a two group, random assignment, crossover design. Subjects in Group 1 (N = 8) used acupressure wristbands for five days, followed by five days without therapy. Subjects in Group 2 (N = 8) had no therapy for five days, followed by five days use of wristbands. The Multiple Affect Adjective Checklist and Sickness Impact Profile were used, and extent of nausea was assessed at baseline, day five, and day ten. Use of acupressure wristbands relieved morning sickness for 12 of 16 subjects ( χ 2 = 5.31 with Yates' correction factor, df = 1, p < .025). Acupressure therapy resulted in statistically significant ( p < .05) reductions in anxiety, depression, behavioral dysfunction, and nausea. Limitations of the study and suggestions for future research are presented.