{"id":259,"date":"2019-05-05T17:26:26","date_gmt":"2019-05-05T17:26:26","guid":{"rendered":"http:\/\/www.infirmary-integrated.com\/?p=259"},"modified":"2019-05-05T17:26:26","modified_gmt":"2019-05-05T17:26:26","slug":"v-0-99-03-advanced-cardiac-modeling-axis-deviation-pulsus-paradoxus-and-alternans","status":"publish","type":"post","link":"https:\/\/www.infirmary-integrated.com\/?p=259","title":{"rendered":"Version 0.99.03: Advanced cardiac modeling (axis deviation, pulsus paradoxus and alternans)"},"content":{"rendered":"\n<p><a href=\"https:\/\/www.infirmary-integrated.com\/download\/\">Available for download now!<\/a><\/p>\n\n\n\n<p>Continuing in beta testing and bug fixing while implementing new features.<\/p>\n\n\n\n<p>Major implementations since last release (v0.97):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>All personal data (usage statistics and statistics for patient mirroring) uploaded to server are anonymous, hashed with MD5<\/li><li>Cardiac axis deviation implemented: modeled normal, left physiologic, left pathologic, right, extreme, and indeterminate.<\/li><li>Pulsus paradoxus modeled and displays on waveforms and arterial blood pressure reading<\/li><li>Pulsus alternans modeled and displays on waveforms<\/li><li>Realism adjustments and dampening to waveforms based on intrathoracic pressure (respiratory rhythm, ventilation status)<\/li><li>Vital sign clamping for respiratory rhythms separate from cardiac rhythm vital sign clamping<\/li><li>Waveform variation implemented (for realism)<\/li><li>Localization strings all updated (for all 15 languages)<\/li><\/ul>\n\n\n\n<p>Beta testing bug fixes:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Fixed multiple Strip drawing bugs\/issues including<ul><li>Flatline delay on rhythm change<\/li><li>Forward (future) Strip buffer length to fix brady waveforms disappearing\/failing to complete polygon<\/li><li>Remedied delayed changes of future Strip drawing (by dynamically changing forward Strip buffer according to updates on HR\/RR)<\/li><\/ul><\/li><li>Fixed multiple issues with pacemaker including<ul><li>Pacemaker spikes spamming Strip when rate turned to 0 (&#8220;divide by 0&#8221; bug)<\/li><li>Pacemaker no longer turns on when switching modes (timer was reset\/restarted bug)<\/li><\/ul><\/li><li>Miscellaneous bug fixes and improvements:<ul><li>Resetting switches\/counters for cardiac aberrancy that were remaining on during rhythm changes<\/li><li>Numerics update at dynamic times based on every 2nd beat and breath<\/li><li>Drawing of pacer spikes fixed as actual spikes (not ramps)<\/li><li>Code styling for solution saved\/tracked; CodeMaid cleaning up code.<\/li><li>Mirror accession key TextBox filtered for alphanumeric input (making it safe for SQL queries)<\/li><li>Mirror password TextBoxes changed to PasswordBox for password masking<\/li><\/ul><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Available for download now! Continuing in beta testing and bug fixing while implementing new features. Major implementations since last release (v0.97): All personal data (usage statistics and statistics for patient mirroring) uploaded to server are anonymous, hashed with MD5 Cardiac axis deviation implemented: modeled normal, left physiologic, left pathologic, right, extreme, and indeterminate. Pulsus paradoxus &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.infirmary-integrated.com\/?p=259\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Version 0.99.03: Advanced cardiac modeling (axis deviation, pulsus paradoxus and alternans)&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-259","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.infirmary-integrated.com\/index.php?rest_route=\/wp\/v2\/posts\/259","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.infirmary-integrated.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infirmary-integrated.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infirmary-integrated.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infirmary-integrated.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=259"}],"version-history":[{"count":0,"href":"https:\/\/www.infirmary-integrated.com\/index.php?rest_route=\/wp\/v2\/posts\/259\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.infirmary-integrated.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=259"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infirmary-integrated.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=259"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infirmary-integrated.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=259"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}