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2. Capillary Refill Technology to Enhance the Accuracy of Peripheral Perfusion Evaluation in Sepsis

Author

Jordan Gillespie, Matthew Hansen, Ravi Samatham, Steven D. Baker, Scott Filer, and David C. Sheridan

Subjects
Adult, Male, Perfusion, Technology, Microcirculation, Sepsis, Hemodynamics, Humans, Female, Critical Care and Intensive Care Medicine
Abstract

Background: Monitoring of capillary refill time (CRT) is a common bedside assessment used to ascertain peripheral perfusion in a patient for a vast array of conditions. The literature has shown that a change in CRT can be used to recognize life-threatening conditions that cause decreased perfusion, such as sepsis, and aid in resuscitation. The current practice for calculating CRT invites subjectivity and produces a highly variable result. Innovative technology may be able to standardize this process and provide a reliable and accurate value for use in diagnostics and treatment. This study aimed to assess a new technology (DCR by ProMedix Inc.) for rapid, bedside, and noninvasive detection of CRT. Methods: This was a secondary analysis of a prospective observational study evaluating the accuracy of new technology towards CRT-guided diagnosis of sepsis. It was carried out in the adult emergency departments (ED) of an academic tertiary care medical center. Patients seeking care in the ED were determined eligible if they were > 18 years in age and exhibited chief complaints suggestive of possible sepsis. The CRT produced by the technology was compared to the gold standard manual waveform assessment. Results: 218 consecutive subject enrollments were included and multiple measurements were made on each patient. Data with irregular waveforms were excluded. A total of 692 waveforms were evaluated for CRT values by a pair of trained PhD biomedical engineers. The average age of the cohort was 50.62 and 51.4% female. Results showed a Pearson correlation coefficient of 0.91 for the device CRT compared to the CRT gold standard. The Pearson correlation coefficient for the two independent engineering review of the waveform data was 0.98. This device produces accurate, consistent results and eliminates the subjectivity of CRT measurements that is in practice currently.

Published
2022

4. Accuracy

Author

Jordan Gillespie and Jordan Gillespie

Abstract

New State: Book OneLife is cheap in the new American Republic, as officer-in-training Lailani Harris knows well. Any who break the oppressive government's rules end up as live target practice, and one day Lai sees a face she recognizes in her sights. Since she can't bring herself to execute her cousin, she recruits her best friend, and they undertake a daring rescue that lands all three of them on the run. As they uncover the true depths of corruption in the government and stumble into a resistance movement, Lai's destiny unfolds. It's hard to believe a single person can stand against such a powerful adversary, but she might be the one to turn the tide.

Published
2020

5. Harmonious Hearts 2015 - Stories From the Young Author Challenge

Author

Angelicque Bautista, Alice Blank, Erica Engelin, Melissa Dollison, Shaye Evans, Danielle Eyer, Jordan Gillespie, Juli Philippo, Zig, Hannah Irene, CJ, Sheila McIntosh, Gabriella Reeb, S. A. Star, Sara Stark, Laura Swogger, Imani J. Walton, Angelicque Bautista, Alice Blank, Erica Engelin, Melissa Dollison, Shaye Evans, Danielle Eyer, Jordan Gillespie, Juli Philippo, Zig, Hannah Irene, CJ, Sheila McIntosh, Gabriella Reeb, S. A. Star, Sara Stark, Laura Swogger, and Imani J. Walton

Abstract

Celebrate with Harmony Ink Press as we recognize the talented winners of our second annual Young Author Challenge. This anthology showcases the LGBTQ genre's best up-and-coming-authors between the ages of fourteen and twenty-one. The road from childhood to adulthood can be a bumpy one, especially for LGBTQ youth. Travel beside characters of all identities, orientations, and expressions as they search for a place to belong and people to love and support them just the way they are. From cities to the countryside, across diverse nations, and in fantastical realms of imagination, these young people struggle against society's expectations, judgment from friends and family, and their own confusion—all while trying to enjoy their teenage years. Join them as they find the strength to be the people they're meant to be and the courage to show their beauty to the world. Angelicque Bautista—Hummingbird HeartAlice Blank—I Wouldn't Let You DrownErica Engelin—My Friend, My SisterMelissa Dollison—Home Before the Moon TurnsShaye Evans—Boarding DiscoveryDanielle Eyer—The Love Song of Amalia SavageJordan Gillespie—Love in the Time of Figure SkatingJuli Philippo—CeilingsZig—The Three Poly TeensHannah Irene—Black RoseCJ—The Pirate and the PrincessSheila McIntosh—LeucippaGabriella Reeb—Just a Little Bit LateS. A. Star—Chance EncountersSara Stark—StardustLaura Swogger—This PhotographImani J. Walton—Three Stages of Agony

Published
2015

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