Background & Aim: Anxiety is one of the emotional conditions among patients scheduled for surgery that can result in increasing postoperative pain, increasing analgesic and anesthetic requirements and prolonging hospital stay. The aim of this study was to assess the effectiveness of acupressure (acupuncture without needle) in reducing patients' anxiety before abdominal surgeries.Methods & Materials: In this randomized, blinded, sham controlled trial, 70 patients who were scheduled to undergo abdominal surgery in Tehran University of Medical Sciences' hospitals were selected using convenience sampling method. The patients were randomized to an acupressure group (n=35) or a placebo group (n=35), receiving acupressure either at the right points (Yintang and Shen men) in acupressure group or at sham points in the placebo group for 10 min. Anxiety was recorded on a Visual Analog Scale (0-10). VITAL SIGNs were measured before and after pressure application in both groups.Results: The anxiety was decreased in both groups following pressure application for 10 min (P<0.001). The amount of anxiety was SIGNificantly different between the groups (P<0.001). The heart rate, respiratory rate, and diastole/systole pressure (P<0.001) were decreased in the case group. Only heart rate (P=0.016) and respiratory rate (P=0.007) were decreased in the placebo group. Changes in respiratory rate and systole pressure following pressure application were statistically SIGNificant between two groups.Conclusion: Acupressure at the right points can decrease anxiety before abdominal surgeries but it has no clinical effect on VITAL SIGNs.

Background: One of the VITAL organs that require regular check is heart. The representation of heart health can be identified through electrocardiogram (ECG) SIGNals, blood pressure (BP), heart rate, and oxygen saturation (SpO2). Monitoring the heart condition needs to be regularly done to prevent heart attack that can occur suddenly and very quickly particularly for someone who has had a heart attack before. Nevertheless, it raises the problem of cost, time efficient, and flexibility. It takes a high cost and much time to perform this examination. A VITAL SIGNal monitoring device is needed with low cost, wearable, accurate, and simple in use. Methods: This research deSIGNs and develops a device and application for monitoring human VITAL SIGNals including ECG, SpO2, BP, and heart rate. A multi‑ sensor system with a control unit was applied to the device which was then called the Armband VITAL SIGN Monitor. This device can be used to measure VITAL parameters simultaneously using multiplexing techniques programmed in the microcontroller. Armband VITAL SIGN monitor is also equipped with Bluetooth module as a communication media for further data processing and display. Results: Armband VITAL SIGN monitor produces >99% accuracy in body temperature measurements, ± 2 deviation values in SpO2 measurements, and systolic and diastolic deviations at ± 3– 8 mmHg. For EGC SIGNals, tests are performed by comparing SIGNals visually in graphical form, and EGC can be obtained properly as shown by the graph. Conclusion: In this study, an Armband VITAL SIGN device has been developed that can measure the body’ s VITAL parameters. The parameters which were measured included temperature, heart rate, BP, SpO2, and ECG. This device has small dimensions and can be put on the wrist. The device is also equipped with Bluetooth so monitoring can be conducted wirelessly.

Background: Early prediction of the outcome situation of COVID-19 patients can decrease mortality risk by assuring efficient resource allocation and treatment planning. This study introduces a very accurate and fast system for the prediction of COVID-19 outcomes using demographic, VITAL SIGNs, and laboratory blood test data. Methods: In this analytic study, which is done from May 2020 to June 2021 in Tehran, 41 features of 244 COVID-19 patients were recorded on the first day of admission to the Masih Daneshvari Hospital. These features were categorized into eight different groups, demographic and patient history features, VITAL SIGNs, and six different groups of laboratory blood tests including complete blood count (CBC), coagulation, kidney, liver, blood gas, and general. In this study, first, the SIGNificance of each of the extracted features and then the eight groups of features for prediction of mortality outcomes were considered, separately. Finally, the best combination of different groups of features was assessed. The statistical methods including the area under the receiver operating characteristic curve (AUC-ROC) based on binary Logistic Regression classification algorithm were used for evaluation. Results: The results revealed that red cell distribution width (RDW), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), and mean corpuscular volume (MCV) in CBC features have the highest AUC with values of 85. 29, 80. 96, 79. 94 and 79. 70, respectively. Then, blood oxygen saturation level (SPO2) in VITAL features has a higher AUC with a value of 79. 28. Moreover, combinations of features in the CBC group have the highest AUC with a value of 95. 57. Then, coagulation and VITAL SIGNs groups have the highest AUC with values of 85. 20 and 83. 84, respectively. Finally, triple combinations of features in CBC, VITAL SIGNs, and coagulation groups have the highest AUC with the value of 96. 54. Conclusion: Our proposed system can be used as an assistant acceptable tool for triage of COVID-19 patients to determine which patient will have a higher risk for hospitalization and intensive care in medical environments.

Background & Objective: Ectopic pregnancy is a main cause of maternal death and is 10-15% of referred patint to first trimester emergency ward. Due to importance of early detection and prevention of excessive blood loss in Ectopic pregnancy this study deSIGNed that evaluated the correlation between VITAL SIGNs and quantity of hemo-peritoneum and except of traditional VITAL SIGN another method with more sensivity can be used in detection of tubal rupture and nessersirily of Emergency surgery.Materials & Methods: This study is a analytic cross sectional deSIGN in 105 patients had diagnosis of ruptured ectopic pregnancy in fatemieh hospital. Positive predictive value and sensitivity and specify of pulse rate, BP and shock Index (SI) in correlation to ruptured Ectopic pregnancy and hemoperitoneum evaluated.Results: Hundred five patients were studied (70 ruptured EP and 35 unrauptured EP). Mean of shock index in unruptured and ruptured EP was 0.6±0.29 and 0.94±0.22 respectively that was nonSIGNificant. (p<0.05) Sensitivity of pulse rate, systolic pressure and shock Index (Pulse/SBP) was 17.6%±9%, 32.4 %±10% and 91.4%±6% respectively. Negative predictive value was 34.1%, 38.7 % and 50% respectively. Mean primary Hb had no difference in two groups.Conclusion: Normal VITAL SIGN alone are poor predictors of ruptured ectopic pregnancy and shock Index (Pulse/SBP) Correlate best with the quantity of intaperitoneal hemorrhage.

Background and Objective: Hysterectomy is stressful in women operation, due to increased release the level of catecholamines some physiological reactions including increase in breathing, heart rate and blood pressure are clinically observed. Massage therapy helps to improve the nervous and cardiovascular system and modifies physiological responses. This study was done to determine the effect of foot massage on the VITAL SIGNs of patients after hysterectomy.Methods: In this clinical trial study 60 women underway hysterectomy were randomly divided into intervention (n=28) and control (n=29) groups. Subjects in intervention group were received a 20 minute foot massage according to the mentioned method in two sessions first and second day after surgery, with 24-hours interval. Before and 30 minutes after intervention, VITAL SIGN including systolic and diastolic blood pressure, pulse, breathing were recorded for each subject.Results: In the intervention group, all of the SIGNs of VITAL SIGNs before and after massage in the first and second days after the operation showed a SIGNificant decrease (P<0.05). The number of pulses and diastolic blood pressure in the first and second day after surgery and systolic blood pressure on the second day in the control group showed a SIGNificant reduction (P<0.05). At the end of the first day after the intervention group, the systolic blood pressure and respiratory rate showed a SIGNificant decrease compared to the control group (P<0.05).Conclusion: Foot massage improves systolic blood pressure and breathing at the first day after hysterectomy, which may indicate an increase in parasympathetic activity.

Background: Opioid poisoning has a high prevalence in Iran. Due to the SIGNificant mortality rate of opioid intoxication, recognizing the VITAL SIGNs in these patients can help with early diagnosis and treatment. Methods: In this cross-sectional study, data of opioid-poisoned patients, including personal information, type of poisoning, VITAL SIGNs upon arrival, and 3 and 6 hours after admission, was collected and analyzed. Findings: In this study, 204 patients poisoned with opioids were examined, including 150 (73.5%) men and 54 (26.5%) women. The average age of the patients was 37.28 ± 16.62 years, with the most common cause of hospitalization being methadone and tramadol poisoning. A SIGNificant difference was found between the average systolic blood pressure at the time of admission and the type of opioids (P = 0.035). No SIGNificant relationship was observed between the mean VITAL SIGNs of men and women who used opioids at different hours. However, a SIGNificant relationship was seen between the mean systolic and diastolic blood pressures on arrival and the respiration rate at 3 and 6 hours, as well as the percentage of arterial blood oxygen saturation at arrival and 3 hours after hospitalization, based on the history of addiction and whether naloxone was received. Conclusion: The results of the present study show that in opioid abuse, the VITAL SIGNs of patients of all ages and both sexes are often within the normal range.