3 research outputs found
Hotels : estudi estrat猫gic de reconversi贸 urban铆stica del sector tur铆stic a Barcelona
Sol路licitant de l鈥檌nforme: Ger猫ncia d'Urbanism
Early detection of deterioration in COVID-19 patients by continuous ward respiratory rate monitoring: a pilot prospective cohort study
BackgroundTachypnea is among the earliest signs of pulmonary decompensation. Contactless continuous respiratory rate monitoring might be useful in isolated COVID-19 patients admitted in wards. We therefore aimed to determine whether continuous monitoring of respiratory patterns in hospitalized patients with COVID-19 predicts subsequent need for increased respiratory support.MethodsSingle-center pilot prospective cohort study in COVID-19 patients who were cared for in routine wards. COVID-19 patients who had at least one escalation of pulmonary management were matched to three non-escalated patients. Contactless respiratory monitoring was instituted after patients enrolled, and continued for 15鈥塪ays unless hospital discharge, initiation of invasive mechanical ventilation, or death occurred. Clinicians were blinded to respiratory rate data from the continuous monitor. The exposures were respiratory features over rolling periods of 30鈥塵in, 24鈥塰, and 72鈥塰 before respiratory care escalation. The primary outcome was a subsequent escalation in ventilatory support beyond a Venturi mask.ResultsAmong 125 included patients, 13 exhibited at least one escalation and were each matched to three non-escalated patients. A total of 28 escalation events were matched to 84 non-escalation episodes. The 30-min mean respiratory rate in escalated patients was 23 breaths per minute (bpm) ranging from 13 to 40鈥塨pm, similar to the 22鈥塨pm in non-escalated patients, although with less variability (range 14 to 31鈥塨pm). However, higher respiratory rate variability, especially skewness over 1鈥塪ay, was associated with higher incidence of escalation events. Our overall model, based on continuous data, had a moderate accuracy with an AUC 0.81 (95%CI: 0.73, 0.88) and a good specificity 0.93 (95%CI: 0.87, 0.99).ConclusionOur pilot observational study suggests that respiratory rate variability as detected with continuous monitoring is associated with subsequent care escalation during the following 24 h. Continuous respiratory monitoring thus appears to be a valuable increment over intermittent monitoring.Strengths and limitationsOur study was the initial evaluation of Circadia contactless respiratory monitoring in COVID-19 patients who are at special risk of pulmonary deterioration. The major limitation is that the analysis was largely post hoc and thus needs to be confirmed in an out-of-sample population
Aplec de materials multim猫dia per a l'脿rea d'Educaci贸 F铆sica
Resumen tomado parcialmente del autorSe presenta una recopilaci贸n de materiales de Educaci贸n F铆sica para los niveles de Primaria y Secundaria con los contenidos siguientes: 1, v铆deos de cursos hechos en a帽os anteriores; 2, presentaciones de contenidos sobre deportes: bicicleta de monta帽a, balonmano, hockey, b茅isbol, juegos, y h谩bitos saludables: nutrici贸n, cuidado del cuerpo, orientaci贸n... El objetivo de este material es facilitar la comunicaci贸n y el intercambio de informaci贸n de recursos y experiencias entre el profesorado del 谩rea de Educaci贸n F铆sica de diferentes centros educativos. En el proyecto participaron 23 profesores que se encargaron de explorar y crear materiales multimedia de utilidad did谩ctica, trabajar y analizar software, profundizar en el conocimiento de los recursos y en su aplicaci贸n al aula y reflexionar sobre los cambios metodol贸gicos y did谩cticos que comporta el uso de estos recursos en el 谩rea de Educaci贸n F铆sicaBalearesES