AFRICA CARDIOVASCULAR JOURNAL OF AFRICA • Kenya Cardiac Society July 2023 14 Submission ID: 16 FIRST KENYAN – MADE LOW COST AND PORTABLE ECG MONITOR ALICE MUHUHU1, BERNARD SAMIA2, MOHSEN GABALLA2, FESC FSCAI 1 UNIVERSITY OF NAIROBI 2 MP SHAH HOSPITAL Introduction The World Health Organizations Global Status Report on Noncommunicable Diseases (NCDs) indicated that chronic diseases, including cardiovascular disease, contributed to 74% of all deaths in 2012. Unsurprisingly, 77% of NCD deaths occurred in middle- and lowincome countries, with the majority caused by cardiovascular disease. The rapid rise in NCD is predicted to impede poverty reduction initiatives in LMIC. Lack of adequate Results The high salt group had a significant increase in intima-media thickness (p=0.002). The administration of Beta vulgaris juice limited this effect(p=0.05). Furthermore, prolonged high salt administration was associated with a significant increase in smooth muscle density(p=0.023). This effect was ameliorated by the administration of Beta vulgaris juice (p= 0.22). Moreover, there was a progressive decrease in elastic fiber density (p= 0.004). This effect was ameliorated by Beta vulgaris juice administration(p=0.066). Conclusion The administration of Beta vulgaris juice is protective against structural effects caused by prolonged administration of high salt diets. Therefore, Beta vulgaris juice can be indicated as a dietary supplement to the control of hypertension. Figure. 1.1 Figure. 1.2 Figure. 1.3 Figure 1.1 – Image of the pocketsize wireless ECG devices. Figure 1.2 – Image demonstrating the wearable ECG device with electrode adhesives. Figure 1.3 – Dashboard showing real time ECG data, BPM, HRV, GSR, Steps, Acceleration and Temperature (BLE data transmission from hardware to software interface). primary care, including access to physicians, technologies, and treatments, contributes to poor CVD outcomes. ECG devices have traditionally been used in large city hospitals in screening, diagnosis, and monitoring the treatment of cardiovascular disease. However, these devices are still largely inaccessible and unaffordable to most regions in Kenya. Objective To assess the implementation and impact of a low-cost wireless ECG device in remote urban areas in Kenya. We demonstrated the primary diagnostic capability and safety of a newly developed adhesive ECG monitoring device. Methodology This device provided similar diagnostic accuracy with superior noise-signal ratio and image acquisition reliability compared to conventional currently market-available ECG monitoring systems. It could distinguish various arrhythmias, including atrial flutter/ fibrillation, ventricular premature beat, sinus pause, and AV block. Inter-device variability with other adhesive ECG monitoring devices was not significant. Results In this study, we demonstrated the primary diagnostic capability and safety of a newly developed adhesive ECG monitoring device. This device provided similar diagnostic accuracy and superior noise control and image acquisition reliability compared to conventional ECG monitoring systems. It could distinguish various arrhythmias, including atrial flutter/fibrillation, ventricular premature beat, sinus pause, and Mobitz type I second degree AV block in a similar fashion as other commercial devices (Phillips and GE). Conclusion In this preliminary study, we proved that the new portable ECG monitoring device demonstrated comparable results with conventional ECG monitoring devices in detecting arrhythmias. Submission ID: 17 MEDICATION ADMINISTRATION ERRORS FOR PATIENTS ADMITTED AT JAKAYA KIKWETE CARDIAC INSTITUTE DAR ES SALAAM TANZANIA ADAM NDAMAYAPE Background medication administration errors are among the most common type in medication error. They are the most common health threatening mistakes that affect the health and safety of the patient. Such mistakes are considered as a global problem which increases mortality rates, length of hospital stays, and related costs. Objective: To explore the types, causes and why medication administration errors are not reported. Methods The present descriptive cross-sectional study was conducted on 75 nurses randomly selected from Jakaya Kikwete Cardiac Institute working in wards and intensive care units. A four-part questionnaire was used. The first part was on the participant demographic characteristics. The second part consisted of 15 questions on why medication errors occur. The third part consisted of 8 items asking on why medication errors are not reported and the fourth part comprised of 9 items on percent of each type of error reported. Data were analyzed using SPSS software version 20. The significant p-value was considered less than 0.05. Results Majority of the participants were female 72%, male 28%. The mean age was 34.5+-1.93, the majority had diploma level 65.4%, bachelor degree 29.3%, and master degree 5.3%. The most reported error was wrong time of administration and omission error. The most possible cause of error was tiredness due to excess work,
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