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COVID-19 Pandemic and Traditional Chinese Medicines
Published in Hanadi Talal Ahmedah, Muhammad Riaz, Sagheer Ahmed, Marius Alexandru Moga, The Covid-19 Pandemic, 2023
Roheena Abdullah, Ayesha Toor, Hina Qaiser, Afshan Kaleem, Mehwish Iqtedar, Tehreema Iftikhar, Muhammad Riaz, Dou Deqiang
Auscultation refers to examination of peculiar sounds as the sound of someone’s voice is indicator of health. TCM particularly classifies sounds into five different types: laughing, singing, groaning, weeping, and shouting. Auscultation also outstretches to olfaction which is examination of body odor despite it being considered separate from sound in Western Medicine [17, 18].
Gastrointestinal Disease
Published in John S. Axford, Chris A. O'Callaghan, Medicine for Finals and Beyond, 2023
Gareth Davies, Chris Black, Keeley Fairbrass
Auscultation is of limited value in GI diagnosis. Bowel sounds may be accentuated in obstruction and diminished or absent in paralytic ileus. An aortic bruit may be normal in thin patients.
General assessment
Published in Tracy Lapworth, Deborah Cook, Clinical Assessment, 2022
Auscultation – this involves listening for sounds with a stethoscope to determine presence or absence of sound and quality and nature of sound. It is generally performed at the end except in the examination of the abdomen. The head of the stethoscope has two surfaces: the bell and the diaphragm. The bell detects low sounds, the diaphragm high: bell-low, di-high! When using the stethoscope, the diaphragm needs to be pressed firmly on the skin; when using the bell, it needs to be placed lightly on the skin to form a seal. The tubing of the stethoscope should be 38 cm at its maximum length and have snug ear plugs that need to point towards the nose when in place. It will also have both a diaphragm and bell or the two will be integrated
Predominant aspects of knowledge and practical skills among medical students with online learning during the COVID-19 pandemic era
Published in Medical Education Online, 2023
Visuddho Visuddho, David Nugraha, Rezy Ramawan Melbiarta, Rimbun Rimbun, Abdul Khairul Rizki Purba, Irmi Syafa’ah, Arief Bakhtiar, Purwo Sri Rejeki, Achmad Chusnu Romdhoni
The lung examination skill score was better in the offline group compared to the online group [28]. This examination is performed in the wider area of palpation, percussion, and auscultation, including the chest and the back. Therefore, this examination takes more time compared to HT and HPE. If there are any technical problems in the given 6 minutes, physical examination would be difficult to carry out properly thus reducing student’s performance during skill examination. Moreover, hands-on practice may benefit the students by providing them with the opportunity to learn from their mistakes and observe directly from the tutor’s simulation yet at the same time get instant feedback and correction from the tutor [29]. This will enrich their experiences and translate their practical knowledge into the actual setting, thus providing better outcomes for their performances. This might be the main reason for challenges in performing online LPE skill examinations and why their offline practice scores are higher.
The effect of chewing gum on bowel function postoperatively in patients with total laparoscopic hysterectomy: a randomised controlled trial
Published in Journal of Obstetrics and Gynaecology, 2022
Pinar Kadirogullari, Kerem Doga Seckin, Pinar Yalcin Bahat, Zubeyde Aytufan
Before the operation, the patients were informed about the post-operative follow-up protocol. Both groups were treated with routine post-operative routine follow up protocol. None of the patients in both groups was prescribed enema for bowel cleansing. All patients were operated on under general anaesthesia. The patients who are included in the study group were asked to chew sugar-free gum for 15 min every 2 h starting from the post-operative 4th hour. Since each patient was completely recovered from general anaesthesia, pharyngeal reflexes were normal. These patients were given eight gums in a plastic bag attached to the patient file. Each gum was numbered. After the patient describes gas discharge the remaining gums were returned to the health professional. The number of the last gum chewed was recorded. The patients in the control group did not chew gum and standard postoperative care was followed. The in-patient unit physician in the research team performed auscultation every 2 h starting from post-operative third hour. The patients were asked to keep the attached plastic bags among personal belongings. The physicians analysing result parameters were blinded to group information.
Stethoscope – An essential diagnostic tool or a relic of the past?
Published in Hospital Practice, 2021
Shahraz Qamar, Aysun Tekin, Pahnwat Tonya Taweesedt, Joseph Varon, Rahul Kashyap, Salim Surani
The discovery of auscultation was a momentous milestone that has played a key part in advancing medicine. Auscultation, which comes from the Latin verb auscultare ‘to listen’, refers to the practice of listening to the internal sounds of the body. Identifying and analyzing the various sounds that are produced by the body are integral to the training of a physician. It is said that Hippocrates (c.460-c.370BC) used to directly apply his ear to the chest of a patient to detect the accumulation of fluid within the chest [1]. This practice of laying the ear directly against the patient’s body came to be known as ‘immediate auscultation’. Immediate auscultation was used frequently by many people to diagnose diseases such as Robert Hooke (1635–1703), of Hooke’s Law fame, who was familiar with heart sounds and recognized the importance of auscultation, and Allan Burns (1781–1813), a cardiologist, who used it to described heart murmurs [2].