Contact dermatitis to self-adhesive ECG electrodes

Accurate Heart Rate and Respiration Rate Detection Based on a Higher-Order Harmonics Peak Selection Method Using Radar Non-Contact Sensors

Vital signs such as heart rate and respiration rate are among the most important physiological signals for health monitoring and medical applications. Impulse radio (IR) ultra-wideband (UWB) radar becomes one of the essential sensors in non-contact vital signs detection. The heart pulse wave is easily corrupted by noise and respiration activity since the heartbeat signal has less power compared with the breathing signal and its harmonics. In this paper, a signal processing technique for a UWB radar system was developed to detect the heart rate and respiration rate. There are four main stages of signal processing: (1) clutter removal to reduce the static random noise from the environment; (2) independent component analysis (ICA) to do dimension reduction and remove noise; (3) using low-pass and high-pass filters to eliminate the out of band noise; (4) modified covariance method for spectrum estimation. Furthermore, higher harmonics of heart rate were used to estimate heart rate and minimize respiration interference. The experiments in this article contain different scenarios including bed angle, body position, as well as interference from the visitor near the bed and away from the bed. The results were compared with the ECG sensor and respiration belt. The average mean absolute error (MAE) of heart rate results is 1.32 for the proposed algorithm.

Iatrogenic skin injury in hospitalized patients

Iatrogenic skin injuries in hospitalized patients range from drug-related complications to those related to procedures. Common drug complications include drug reaction with eosinophilia and systemic symptoms (DRESS), linear immunoglobulin (Ig) A bullous dermatosis, Stevens-Johnson syndrome/toxic epidermal necrolysis, and acute generalized exanthematous pustulosis. Contact dermatitis can result from surgical preparations of chlorhexidine and povidone-iodine, medical adhesives, topical postsurgical ointments, most commonly neomycin and bacitracin, and internal prostheses, including coronary stents, pacemakers, and metal joints. Complications arising from procedures include thrombosis caused by placement of peripherally inserted central catheters, pyoderma gangrenosum from sites of dermal trauma, and anetoderma of prematurity from cutaneous monitoring devices in neonates. Calcinosis cutis and decubitus ulcers are also hospital problems.