Robert L. Wilkins

Bio: Robert L. Wilkins is an academic researcher from Loma Linda University. The author has contributed to research in topics: Respiratory care & Respiratory sounds. The author has an hindex of 9, co-authored 16 publications receiving 411 citations.

Egan's Fundamentals of Respiratory Care

Abstract: Section 1: Foundations of Respiratory Care Quality Respiratory Care Patient Safety, Communication, And Recordkeeping Principles of Infection Control Ethical and Legal Implications of Practice Section 2: Technological Bases for Respiratory Care Physical Principles in Respiratory Care Computers Applications in Respiratory Care Section 3: Applied Anatomy & Physiology The Respiratory Care System The Cardiovascular System Ventilation Oxygen Transport and Delivery (Gas Exchange) Solutions, Body Fluids, And Electrolytes Acid-Base Balance Regulation of Breathing Section 4: Assessment of Respiratory Disorders Bedside Assessment Ecg and Laboratory Assessment Analysis and Monitoring of Gas Exchange Pulmonary Function Testing Thoracic Imaging: Chest X-Ray, Ct, And Mri Section 5: Synopsis of Cardiopulmonary Disease Pulmonary Infections Obstructive Lung Disease: Copd, Asthma, Bronchiectasis, And Related Conditions Interstitial Diseases Pleural Disease Pulmonary Vascular Disease Acute Lung Injury, Pulmonary Edema, And Multiple System Organ Failure Lung Neoplasms Neuromuscular and Other Diseases of the Chest Wall Disorders of Sleep Section 6: Basic Therapeutics Airway Pharmacology Airway Management Emergency Life Support Humidity and Bland Aerosol Therapy Aerosol Drug Administration Storage and Delivery of Medical Gases Medical Gas Therapy Lung Expansion Therapy Airway Clearance Techniques Section 7: Acute and Critical Care Respiratory Therapy and the Need for Ventilatory Support Ventilatory Modes and Functions Physics/Physiology of Ventilatory Support Initiating and Adjusting Ventilatory Support Patient Management and Monitoring Discontinuing Ventilatory Support Neonatal and Pediatric Critical Care Section 8: Preventive and Long Term Care Patient Education and Health Promotion Nutritional Aspects of Health and Disease Cardiopulmonary Rehabilitation Respiratory Care in Alternative Settings Appendices

Greek gems and finger rings: Early Bronze Age to late Classical;

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Clinical assessment in respiratory care

Abstract: 1. Preparing for the Patient Encounter 2. The Medical History and the Interview 3. Cardiopulmonary Symptoms 4. Vital Signs 5. Fundamentals of Physical Examination 6. NEW! Neurological Assessment of the Respiratory Care Patient 7. Clinical Laboratory Studies 8. Interpretation of Blood Gases 9. Pulmonary Function Testing 10. Clinical Application of the Chest Radiograph 11. Interpretation of the Electrocardiogram 12. Assessment of the Neonatal and Pediatric Patient 13. Assessment of the Older Patient 14. Respiratory Monitoring in the Intensive Care Unit 15. Assessment of Cardiac Output 16. Assessment of Hemodynamic Pressures 17. Flexible Fiberoptic Bronchoscopy 18. Nutritional Assessment of Patients with Respiratory Disease 19. Assessment of Sleep and Breathing 20. Assessment of the Home Care Patient 21. Documentation of the Patient Assessment Appendix NEW! Procedure Checklists Glossary

Peruvian mothers' knowledge and recognition of pneumonia in children under 5 years of age

Abstract: Objective. To assess Peruvian mothers' knowledge and recognition of pneumonia in children under 5 years of age, the mothers' attitude toward seeking medical help if they had a child with signs of pneumonia, and their perception of a Government of Peru pneumonia campaign. Methods. In this cross-sectional study, 501 mothers were selected randomly from 20 low-income communities of the metropolitan area of Lima, Peru, and were interviewed between June and August 2000. Using SPSS software, descriptive statistics were applied to summarize the demographic data and the data regarding the mothers' knowledge of pneumonia and recognition of signs of the disease. Cross-tabulations and chi-squares were done to assess relationships between variables and to make comparisons. Results. About 84% of the mothers said that they knew what pneumonia is. Most believed that pneumonia is dangerous. A majority (58.7%) indicated that pneumonia is caused by lack of parental care. Only 28.9% believed that a virus causes the disease. More than 80% correctly picked rapid breathing and/or chest retraction from a list of possible signs and symptoms of pneumonia, and 94.6% said they were ready to take their child to the closest health center if they thought their child had pneumonia. Although 57.1% said they had heard about the Government of Peru pneumonia campaign, 69.3% of these mothers said they could not recall the motto of the campaign. Mothers who reported having heard of the campaign through TV were more likely than other mothers to correctly recognize the two major signs of pneumonia presented in the campaign. Conclusions. Although the percentage of mothers believing they can recognize pneumonia through rapid breathing and chest retraction seems to have increased in recent years, there is still a sizable percentage of mothers who remain uninformed about pneumonia and its possible fatal consequences. Efforts need to continue to educate Peruvian mothers about the causes, recognition of the signs, and treatment of pneumonia. The results suggest that the Government of Peru pneumonia campaign should use television much more, as well as the health centers, where most of the mothers receive medical attention and health information.

Therapeutic Exercise: Foundations and Techniques

Abstract: Part I: General Concepts 1. Therapeutic Exercise: Foundational Concepts 2. Prevention and Wellness Part II: Applied Science of Exercise and Techniques 3. Range of Motion for Impaired Movement 4. Resistance Exercise for Impaired Muscle Performance 5. Aerobic Exercise for Impaired Cardiopulmonary Capacity 6. Stretching for Impaired Connective Tissue and Muscle Mobility 7. Peripheral Joint Mobilization for Impaired Joint Mobility 8. Aquatic Exercise 9. Exercises for Impaired Balance Part III: Principles of Intervention for Soft Tissue, Joint and Nerve Pathologies 10. Soft Tissue Injury, Repair, and Management 11. Arthritis, Fibromyalgia, Myofascial Pain Syndrome, Osteoporosis, and Fracture Management 12. Surgery: Pre and Post-operative Management 13. Nerve injury, Nerve Tension, and Sympathetically Maintained Pain Part IV: Exercise Interventions for Impairments by Body Region 14. Shoulder 15. Elbow 16. Wrist & Hand 17. Hip 18. Knee 19. Ankle & Foot 20. The Spine: Structure, Function, and Postural Relationships 21: The Spine: Impairments, Diagnoses, and Management Guidelines 22. The Spine: Exercise Interventions for the Neck and Trunk Part V: Special Areas of Therapeutic Exercise 23. Principles of Exercise for the Obstetric Patient 24. Management of Vascular Disorders of the Extremities 25. Management of Pulmonary Conditions Appendix.

Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients.

Abstract: † In this study of patients after cardiac surgery, HFNC increased end-expiratory lung impedance, suggesting increased lung volumes and functional residual capacity. † Oxygenation improved and the benefits were greatest in patients with high BMIs. † Further data are required to assess the clinical significance of these data. Background. High-flow nasal cannulae (HFNCs) create positive oropharyngeal airway pressure, but it is unclear how their use affects lung volume. Electrical impedance tomography allows the assessment of changes in lung volume by measuring changes in lung impedance. Primary objectives were to investigate the effects of HFNC on airway pressure (Paw) and end-expiratory lung volume (EELV) and to identify any correlation between the two. Secondary objectives were to investigate the effects of HFNC on respiratory rate, dyspnoea, tidal volume, and oxygenation; and the interaction between BMI and EELV. Methods. Twenty patients prescribed HFNC post-cardiac surgery were investigated. Impedance measures, Paw, Pao2 /FIo2 ratio, respiratory rate, and modified Borg scores were recorded first on low-flow oxygen and then on HFNC. Results. A strong and significant correlation existed between Paw and end-expiratory lung impedance (EELI) (r¼0.7, P,0.001). Compared with low-flow oxygen, HFNC significantly increased EELI by 25.6% [95% confidence interval (CI) 24.3, 26.9] and Paw by 3.0 cm H2O (95% CI 2.4, 3.7). Respiratory rate reduced by 3.4 bpm (95% CI 1.7, 5.2) with HFNC use, tidal impedance variation increased by 10.5% (95% CI 6.1, 18.3), and Pao2 /FIo2 ratio improved by 30.6 mm Hg (95% CI 17.9, 43.3). A trend towards HFNC improving subjective dyspnoea scoring (P¼0.023) was found. Increases in EELI were significantly influenced by BMI, with larger increases associated with higher BMIs (P,0.001). Conclusions.ThisstudysuggeststhatHFNCsreducerespiratoryrateandimproveoxygenation byincreasingbothEELVandtidalvolumeandaremostbeneficialinpatientswithhigherBMIs.

Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient

Abstract: ### Steering group Julia Bott (Chair), support to Section 6, Consultant Physiotherapist, Surrey PCT NW Locality Sheric Ellum, support to Section 5, Consultant Physiotherapist, Guy's & St Thomas' NHS Trust, London Dr Rachel Garrod, support to Section 1, Reader, School of Physiotherapy, Faculty of Health and Social Care Sciences, Kingston University and St George's, University of London. Dr Jennifer Pryor, support to Sections 3 and 4, Senior Research Fellow in Physiotherapy, Royal Brompton & Harefield NHS Trust Dr Lesley Rimington, support to Section 2, Lecturer School of Health and Rehabilitation, Keele University ### Section 1—COPD Sharon Baines, Clinical Specialist Physiotherapist, Chronic Lung Disease Service, NHS Central Lancashire Amanda Dryer, Physiotherapy Clinical Lead in Respiratory Care, Central Manchester and Manchester Children's University Hospital Robert Goddard, Superintendent Physiotherapist, County Durham and Darlington NHS Foundation Trust Catherine Thompson, Senior Lecturer, York St John University Dr John White (Chair), Respiratory Physician, York Hospitals NHS Trust ### Section 2—Asthma and disordered breathing Caroline Falconer (Co-Chair), Senior Physiotherapist, Papworth Hospital NHS Foundation Trust Lianne Jongepier, Respiratory Specialist Physiotherapist, Service Lead COPD Team, Primary Care Centre, Colchester Melanie Lincoln (Co-Chair), Team Leader Physiotherapist, Papworth Hospital NHS Foundation Trust Christine Mikelsons, Consultant Respiratory Physiotherapist, Royal Free Hospital Dr Mike Thomas, General Practitioner, Asthma UK Senior Research Fellow, University of Aberdeen Jo Williams, Senior Pulmonary Rehabilitation Specialist Glenfield Hospital, University Hospitals of Leicester NHS Trust ### Section 3—Cystic fibrosis On behalf of the Association of Chartered Physiotherapists in Cystic Fibrosis Penny Agent, Service Lead Physiotherapist, Royal Brompton & Harefield NHS Trust Gillian Davie, Senior I Physiotherapist, Cystic Fibrosis Team, Aberdeen Royal Infirmary Mary Dodd, Consultant Physiotherapist in Cystic Fibrosis, University Hospital of South Manchester NHS Foundation Trust Dr Sarah Elkin, Respiratory Physician, St Mary's Hospital, London Tracey Hughes (Chair), Senior I Physiotherapist, Leeds Regional Adult Cystic Fibrosis Unit, Leeds Teaching Hospitals NHS Trust Margaret MacLeod, Senior I Physiotherapist, Cystic Fibrosis Team, Aberdeen Royal Infirmary Nicola …