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Wireless stethoscope for auscultation of the heart and lungs in critically ill patients: a systematic review

2025-06-20T02:59:19Z

Title: Wireless stethoscope for auscultation of the heart and lungs in critically ill patients: a systematic review Authors: Ismail, Suhartini; Prawira, Ricky; Johan, Andrew; Ismail, Rifky Abstract: Introduction: Examining the heart and lungs is necessary for critically ill patients, as these individuals may have abnormalities with either or both of these organs. This review systematically determined how the auscultation of the heart and lungs using a wireless stethoscope affected the results. Methods: The research design used was a systematic review following preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Databases were searched using the search terms “auscultation," "critical patients," and "stethoscope wireless” and associated MeSH terms. The abstracts of the selected articles were examined independently by two researchers. A systematic search was conducted through several databases (Scopus, PubMed, JSTOR, and Springer-link), which were published from July 2012 to July 2022 .After reading the full content of the included studies, key themes and concepts were extracted and synthesized. Results: In total 142 articles were screened. Five articles met the inclusion criteria and were analyzed. The analysis revealed that wireless stethoscopes have increased sensitivity with indicators capable of diagnosing abnormal auscultation results in patients who have abnormal aucultation results on the gold standard. Three out of five studies suggested that the auscultation of the heart and lungs by wireless stethoscopes are more sensitive, while two other studies stated that wireless stethoscopes have the same sensitivity as manual acoustic stethoscopes. Conclusions: Based on this systematic review, a wireless stethoscope may be more sensitive than an acoustic one. Nevertheless, due to limited studies, a more well-controlled human study is warranted to be done.

A systematic review of illness representations in patients with mild traumatic brain injury

2025-06-20T02:56:59Z

Title: A systematic review of illness representations in patients with mild traumatic brain injury Authors: Mulyadi, Mulyadi; Imanuel Tonapa, Santo; Amir, Heriyana; Lee, Bih-O Abstract: Introduction: Little is known about the cognitive and emotional perceptions of patients with mild traumatic brain injury, although studies showed patients experiencing difficulties in cognitive functioning and psychological impacts following their injury. This systematic review aims to identify the current literature regarding illness representation dimensions in mild traumatic brain injury and their related factors. Methods: A search of electronic databases was completed using PubMed, CINAHL, Embase, and Web of Science, which were published from 2002 to April 2020. Studies were assessed for quality and bias, and data were analyzed using narrative synthesis. Results: The initial search yielded 155 studies, and ten were included. The results showed that patients had negative perceptions toward their mild traumatic brain injury. Some dimensions of illness representation were found to have relationships to their post-concussion symptoms, post-traumatic stress disorder, and quality of life of mild traumatic brain injury patients. Conclusions: The illness representations can be applied to such patients because it is able to explain symptoms and related factors that indicate their recovery process. The findings help trauma nurses to build interventions based on the dimensions of illness representations to generate appropriate perceptions after injury, and may to enhance the recovery process and outcomes.

The experience of nurses in providing holistic nursing care for COVID-19 patients at Banyuwangi Hospital

2025-06-20T02:54:35Z

Title: The experience of nurses in providing holistic nursing care for COVID-19 patients at Banyuwangi Hospital Authors: Pramesti Wilujeng, Atik; Yanuar Fahmi Pamungkas, Akhmad; Rizal Mahardika, Dwiky; Sonontiko, Essy Abstract: Introduction: COVID-19 is a new virus that was discovered at the end of December 2019 and has marked a global pandemic around the world. Not only has a high-risk infection, nurses as health workers who have the most contact with COVID-19 patients are also at risk of experiencing physical and emotional stress. Anxiety and nurses' fear about the risk of contracting the COVID-19 virus can lead to unprofessional attitudes and behavior of nurses in providing holistic nursing care to the patients. This study aimed to explore the experience of nurses in providing holistic nursing care to COVID-19 patients. Methods: This research used phenomenological qualitative research. Data collection was done by in-depth interview. The participants in this study were 7 nurses who served in the isolation room of Blambangan Hospital, Banyuwangi. Purposive sampling method was used to select participants according to the inclusion criteria. Descriptions of nurses' experiences were analyzed using the Colaizzi approach. Results: The study result revealed 6 themes; changes in the emotional status of nurses while caring for COVID-19, social stigma against COVID-19 nurses, support during caring for COVID-19 patients, expectations during caring for COVID-19, challenges during caring for COVID-19 patients, and fulfillment holistic nursing care for COVID-19 patients. Conclusions: The nurses’ experience in treating COVID-19 patients showed that when caring for patients, they have to go through ups and downs. This research was expected to improve nursing services, prepare nurses to adapt to the growing pandemic, and as a reference for further research related to the experience of nurses in treating COVID-19 patients.

GABRA6 and SLC6A4 genotypes are correlated with the fasting blood glucose and physical fitness in the seemingly healthy young adults

2025-06-20T02:52:15Z

Title: GABRA6 and SLC6A4 genotypes are correlated with the fasting blood glucose and physical fitness in the seemingly healthy young adults Authors: P. Kalajanti, Viskasari; Wahjudi, Mariana; E. Purwantari, Kusuma; Visuddho, Visuddho; Nawangsasi, Peppy; T. Oktariza, Rury; A. Pradana, Krisnawan; Rahmawan, Dzanuar; E. Suwito, Bambang Abstract: Introduction: We examined environmental and genetic factors potentially correlated with the blood glucose and physical fitness in Kediri, East Java, Indonesia to elucidate the predominant cardiovascular disease risk. Methods: This was a cross-sectional study on 68 adults aged 18-22 years. Direct interview was conducted to get socio-economy, daily diets (rice/ R, snacks and sweets/ SS, veggies and fruits/ VF), daily activity (locomotors and non-locomotors) data. Peripheral blood-GABRA6 and SLC6A4 polymorphisms, fasting blood glucose (FBG), blood pressure, 3 fitness parameters (1 min push-up, 3 minutes step up, pulse rate after 3 minutes step-up) were measured by 2 independent and pre-trained medical doctors. Kruskal-Wallis, Chi-Square, and eta-coefficient tests were used to seek differences between genotypes and correlation strength between variables, respectively (significant if p<0.05). Results: Both gene’s genotypes showed significant correlations with the FBG (p=0.042, p=0.013, respectively); GABRA6 polymorphism significantly correlated with SU (p=0.033). There was a significant difference in the FBG between 2 VF subgroups (p=0.02). Strongest association was found between FBG and SLC6A4 (η=0.3); PR and GABRA6 (η=0.168), PU and SLC6A4 (η=0.38); SU and Locomotors (η=0.237). Conclusions: In these seemingly healthy young adults, daily diets and the genotypes of both genes have a good association with the FBG and physical fitness levels.