• Neonatal Medicine
• /
• 제18권2호
• /
• pp.320-327
• /
• 2011

목적: 조산아는 산화 방지 시스템이 미성숙하여 과산소증 및 저산소증에 노출되면 이차적으로 중추 신경계, 호흡계, 혈액계 등 다른 체내 기관에 손상이 올 수 있다. 저자들은 1,500 g 미만 또는 32주 미만의 조산아에서 동맥혈 산소 분압을 50-70mmHg근처로 유지하기 위하여 경피적 산소 포화도를 90-94%로 유지하여 과산소증 및 저산소증을 회피하는 전략 하에 치료하였던 군(T)과 고식적인 경피적 산소 포화도 감시를 하였던 군(C)에서 사망률, 입원 기간 및 이환율에 대해 비교하였다. 방법: 충남대학교병원 신생아 집중치료실에 입원하였던 신생아 중 1,500 g 미만 또는 32주 미만의 조산아를 대상으로 하였다. 2008년 8월부터 2010년 7월까지 경피적 산소포화도를 90-94%으로 유지하였던 조산아들을 T군으로 하였고 2007년 1월에서 2008년 8월까지 경피적 산소 포화도 감시의 지침 없이 고식적인 관리를 하였던 조산아들을 C군으로 하였다. 양 군 간에 입원 중 사망률, 입원기간, 만성폐질환으로 이행 및 치료 여부, 괴사성 장염, 미숙아 망막증, 뇌실 내 출혈, 동맥관 개존증 등을 후향적으로 비교하였다. 결과: 양 군의 기본 특징은 성별 외에 유의한 차이가 없었다. 사망률은 T군에서 C 군 보다 적은 경향은 보였으나 통계적 유의성은 없었다(5.3% vs. 16.7%, P=0.127). 두 군간에 입원기간, 만성폐질환, 산소 사용 기간과 괴사성 장염의 빈도는 차이가 없었다. ICROP 제 3기 이상의 중증 미숙아 망막증은 T군이 C군 보다 적은 경향을 보였으며(2.6% vs. 10%, P=0.203), 뇌실 내 출혈의 발생 빈도는 T군에서 C군 보다 낮은 경향을 보였다(18.4% vs. 40.0%, P=0.051). 치료가 필요하였던 동맥관 개존증의 빈도는 양 군에서 차이가 없었다. 결론: 극소 저체중 출생아 또는 극소 조산아에서 경피적 산소포화도를 90-94%으로 유지하는 전략은 과산소증 및 잠재적인 저산소증에의 노출을 최소화함으로서 합병증의 증가 없이 단기적 예후 개선에 기여할 수 있을 것이다.

• 디지털콘텐츠학회 논문지
• /
• 제11권2호
• /
• pp.277-282
• /
• 2010

본 연구에서는 생체 계측 모듈에서 획득된 혈중 산소 포화도(SpO2) 신호를 PC에 무선으로 전송할 수 있는 무선통신 모듈을 개발하였다. 개발된 무선통신 모듈은 개인의 의료정보 보안을 고려하여 지그비 또는 블루투스 등과 같은 개방형 프로토콜 대신 비개방형 프로토콜로 설계되었다. 또한 응급이송 시 전송된 혈중 산소 포화도 신호를 의료진에게 정보 손실 없이 다양한 형태의 데이터 및 그래프로 정보를 제공할 수 있도록 하는 디스플레이 프로그램을 개발하였다.

• Journal of Korean Biological Nursing Science
• /
• 제2권1호
• /
• pp.76-84
• /
• 2000

Recently, music therapy is widely used for various kinds of diseases. Music therapy has beneficial effects on emotional disorder and neuropsychiatric diseases in particular. This study was performed to evaluate the effect of singing on physiologic changes. We checked peripheral oxygen saturation and heart rate as indices of physiologic changes. The subjects were 19 control and 30 test group who were registered on the D welfare center for the elderly and agreed to join this study. They had been singing regularly for 6 months. The data were collected just before and after the singing. Data were analyzed with mean, t-test, and paired t-test using SPSS $PC^+$ program. The results were as follows: 1. Heart rate of the singing group decreased significantly after singing.(p<0.05) 2. Peripheral oxygen saturation of the singing group increased significantly after singing.(p<0.05) In conclusion, singing, a kind of aerobic exercise, has beneficial effects on cardiopulmonary system.

• 대한전자공학회:학술대회논문집
• /
• 대한전자공학회 2000년도 하계종합학술대회 논문집(5)
• /
• pp.117-120
• /
• 2000

Pulse oximetry is a well established non-invasive optical technique for monitoring the SpO$_2$ during anaesthesia, recovery and intensive care. Pulse oximeters determine the oxygen saturation level of blood by measuring the light absorption of arterial blood. The sensors consists of red and infrared light sources and photodetectors. In the measurement of the hemoglobin oxygen saturation, conventional method has required the technique of filtering of remove the noise, and of complex signal processing algorithm. So much time have required to signal processing. In this research, we separate AC signal and DC signal in the stage of signal detection. We filter the noise from each signal and convert A/D. We obtain the SpO$_2$ using the DSP algorithm.

• 산업기술연구
• /
• 제33권A호
• /
• pp.49-54
• /
• 2013

The U-healthcare is increasingly important as there is a growing tendency for elderly people to acquire chronic disease such as heart problems and high blood pressure. In this paper, we implemented an oximeter which can interact and communicate with the smart devices such as smartphones through which users can manage their measuring data. The designed pulse oximeter is capable of detecting hemoglobin saturation levels in the range of 70-100% and the heart beat rate(BPM) in the range of 30-240 BPM.

• 중환자간호학회지
• /
• 제2권1호
• /
• pp.15-25
• /
• 2009

Purpose: This study investigated the effects of chest physiotherapies on intensive care unit patients mechanical ventilated. Methods: Good lung down position, chest percussion, postural drainage was applied to patients who admitted to ICU. Each patients divided into four groups and each group received different treatments. Sputum amount, lung compliance, tidal volume and oxygen saturation were measured before treatment and immediately, and time flowing. Data was analyzed with frequency, percentage, ANOVA and paired t-test using via SPSSWIN 12.0 program. Results: There were significant differences in variables each characteristics of subjects. Chest percussion increased tidal volume, static lung compliance for the mean time. Desaturation related to suction. Conclusion: Chest percussion influences on lung compliance. Based on this study results and limitation, this study suggests repeated studies in various groups

• 대한후두음성언어의학회지
• /
• 제31권1호
• /
• pp.31-34
• /
• 2020

Tracheostomy is considered as a first treatment, when oral intubation seems to be difficult in patient who present severe upper airway obstruction. Generally, tracheostomy is performed in supine position. But if airway obstruction is severe enough to cause dyspnea, low oxygen saturation and inability to maintain supine position, tracheostomy should be performed in sitting position. The authors report a case of successful tracheostomy using high flow nasal cannula which help to maintain stable oxygen saturation and respiration in patients with laryngeal cancer.

• 대한의용생체공학회:의공학회지
• /
• 제27권5호
• /
• pp.274-281
• /
• 2006

In this paper, we propose a ubiquitous $SaO_2$ monitoring system for patients using oxygen therapy. For these patients, the ability to monitor oxygen saturation ubiquitously is very important fur accurate adjustment of ventilator's flow rate to match the patient's time-varying requirements with the shortest lag time possible. We have developed a portable device to measure $SaO_2$ and transmit it to hospital in real-time or in store-and-forward mode through the integration of $Bluetooth^{TM}$ technology and the code division multiple access (CDMA) cellular network. We also developed software for doctors to receive and manage the patients' $SaO_2$ information. Performance of the developed system was evaluated as acceptable by assessing the accuracy of the measured oxygen saturation value and the stability of communication network. Test results in real clinical setting demonstrate that our system is feasible for immediate use in home oxygen therapy.

• 한국진공학회:학술대회논문집
• /
• 한국진공학회 2010년도 제39회 하계학술대회 초록집
• /
• pp.61-61
• /
• 2010

By using high resolution x-ray photoelectron spectroscopy, we show that inelastic scattering of photoelectron at low temperature (30K~50K) generates two kinds of oxygen species on Pt (111) surface. Intense synchrotron radiation source dissociates oxygen molecules into chemisorbed atomic oxygen and induces the formation of PtO on surface. Estimated coverage of dissociated atomic oxygen is 0.5 ML, suggesting possible formation of p($2{\times}1$) surface structure, while PtO coverage shows saturation coverage of 0.5 ML. Molecular oxygen dosed at 30 K undergoes thermally activated transition from physisorbed to chemisorbed state at around 40K.

• Biotechnology and Bioprocess Engineering:BBE
• /
• 제3권2호
• /
• pp.109-111
• /
• 1998

The effect of dissolved oxygen concentration on the metabolism of glucose in Pseudomonas putida BM014 was investigated. Glucose was completely converted to 2-ketogluconate via extracellular oxidative pathway and then taken up for cell growth under the condition of sufficient dissolved oxygen concentration. On the other hand, oxygen limitation below dissolved oxygen tension (DOT) value of 20% of air saturation caused the shift of glucose metabolism from the extracellular oxidative pathway to the intracellular phosphorylative pathway. Specific activities of hexokinase and gluconate kinase in intracellular phosphorylation pathway decreased as the DOT increased, while 2-ketogluconokinase activity in extracellular oxidative pathway increased under the same condition. This result can be usefully applied to microbial transformation of glucose to 2-ketogluconate, the synthetic precursor for iso-vitamine C, with almost 100% yield via extracellular oxidation by simple DOT control.