• 제목/요약/키워드: Respiratory Monitoring

검색결과 294건 처리시간 0.023초

기계적 환기기 사용중 그래픽 모니터링의 활용 (The Use of Graphic Monitoring during Mechanical Ventilation)

  • 손동우
    • Neonatal Medicine
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    • 제17권1호
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    • pp.1-12
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    • 2010
  • Graphic monitoring assists the clinician at the bedside in several ways. It can be helpful in fine-tuning or adjusting ventilator parameters. Graphic monitoring may help to determine the patient's response to pharmacologic agents. The clinician also has the ability to trend monitored events over a prolonged period of time. The neonatal patient's self respiration, synchrony to ventilator and respiratory efforts can be well recognized with graphic monitoring. Of all, it may enable detection of complications before they become clinically apparent. This article introduces the basics of real-time graphics.

인덕턴스 호흡감시 시스템의 개발 (Development of Respiratory Monitoring System by Inductive Plethysmography)

  • 김덕원;연동수;김수찬
    • 대한의용생체공학회:의공학회지
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    • 제16권3호
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    • pp.353-358
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    • 1995
  • 현재 환자의 호흡 감시를 위해 사용되고 있는 임피던스 호흡측정법(impedance pneumography)은 측정법이 간편하며 비관혈적이라는 장점등이 있으나, motion artifact에 민감하고 장애 무호흡(obstructive apnea)을 감지하는데 둔감하다는 단점이 있다. 본 연구에서 개발된 3채널 RIP(respiratory inductive plethysmograghy)는 흉부나 복주에 인덕턴스 밴드를 부착하여 호흡에 의한 단면적의 변화를 인덕턴스의 변화로 호흡을 감지하는 방법으로서 임피던스 호흡측정법에 비해 각종 motion artifact에 덜 민감하며 장애 무호흡 감자에는 민감함을 확인하였다.

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의복착용형 무선 호흡모니터 시스템 (Wearable wireless respiratory monitoring system)

  • 이인광;김성식;장종찬;김군진;김경아;이태수;차은종
    • 센서학회지
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    • 제17권2호
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    • pp.133-142
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    • 2008
  • Respiration is induced by muscular contraction of the chest and abdomen, resulting in the abdominal volume change. Thus, continuous measurement of the abdominal dimension enables to monitor breathing activity. Conductive rubber cord has been previously introduced and tested to develop wearable application for respiratory measurements. The present study implemented wireless wearable respiratory monitoring system with the conductive rubber cord in the patient's pants. Signal extraction circuitry was developed to obtain the abdominal circumference changes reflecting the lung volume variation caused by respiratory activity. Wireless transmission was followed based on the zigbee communication protocol in a size of 65mm${\times}$105mm easily put in pocket. Successful wireless monitoring of respiration was performed in that breathing frequency was accurately estimated as well as different breathing patterns were easily recognized from the abdominal signal. $CO_2$ inhalation experiment was additionally performed in purpose of quantitative estimation of tidal volume. Air mixed with $0{\sim}5%\;CO_2$was inhaled by 4 normal males and the respiratory air flow rate, abdominal dimension change, and end tidal $CO_2$ concentration were simultaneously measured in steady state. $CO_2$ inhalation increased the tidal volume in normal physiological state with a correlation coefficient of 0.90 between the tidal volume and the end tidal $CO_2$ concentration. The tidal volume estimated from the abdominal signal linearly correlated with the accurate tidal volume measured by pneumotachometer with a correlation coefficient of 0.88 with mean relative error of approximately 8%. Therefore, the tidal volume was accurately estimated by measuring the abdominal dimension change.

한국 도시의 만성호흡기 질환 이환율에 영향을 주는 요인 (Factors Affecting the Morbidity Related to Respiratory Dieseases in Urban Korea)

  • 한성현;박재성;서승희;윤지은;지선하
    • 한국인구학
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    • 제28권2호
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    • pp.205-217
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    • 2005
  • 이호흡기 질환에 영향을 미치는 요인을 규명 하고져 대기오염 측정망이 있는 우리나라 52개 주요 도시의 오존 측정 자료와, 전국 건강보험 자료에서 같은 도시의 만성 호흡기 질환 이환율을 측정하고, 통계청 자료를 이용하여 52개 도시를 생태적 특성으로 분류하였고 52개 도시를 분석단위로 생태적 연구를 실시하였다. 연구 결과 우리나라 주요도시의 만성 호흡기 질환 이환율은 서울이나 수도권 보다 해안 산업화 도시가 높은 경향을 보였다. GIS에 의한 만성 호흡기 질환 이환율과 오존농도의 분포는 매우 유사하였다. 호흡기질환에 영향을 주는 요인은 호흡기 질환 입원율과 외래 방문을 모두 오존 농도와 해안지역이 영향을 미친 것으로 보이나 노인인구 비율 변수를 추가하면 노인인구 비율이 높은 영향을 미쳤고 흡연비율과 해안지역이 영향을 미치는 것으로 분석되었다. 본 연구 결과로 만성호홉기질환에 영향을 주는 요인은 노인인구비율은 물론이고, 오존농도와 흡연비율, 해안 도시 등이 위험요인으로 작용할 가능성 있는 것으로 보이지만 이 연구결과 만으로 단정 하기는 어렵다. 따라서 향후 만성호흡기 질환관리를 위하여 보다 구체적인 위험요인 규명이 필요하다고 생각된다.

Development of Respiration Sensors Using Plastic Optical Fiber for Respiratory Monitoring Inside MRI System

  • Yoo, Wook-Jae;Jang, Kyoung-Won;Seo, Jeong-Ki;Heo, Ji-Yeon;Moon, Jin-Soo;Park, Jang-Yeon;Lee, Bong-Soo
    • Journal of the Optical Society of Korea
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    • 제14권3호
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    • pp.235-239
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    • 2010
  • In this study, we have fabricated two types of non-invasive fiber-optic respiration sensors that can measure respiratory signals during magnetic resonance (MR) image acquisition. One is a nasal-cavity attached sensor that can measure the temperature variation of air-flow using a thermochromic pigment. The other is an abdomen attached sensor that can measure the abdominal circumference change using a sensing part composed of polymethyl-methacrylate (PMMA) tubes, a mirror and a spring. We have measured modulated light guided to detectors in the MRI control room via optical fibers due to the respiratory movements of the patient in the MR room, and the respiratory signals of the fiber-optic respiration sensors are compared with those of the BIOPAC$^{(R)}$ system. We have verified that respiratory signals can be obtained without deteriorating the MR image. It is anticipated that the proposed fiber-optic respiration sensors would be highly suitable for respiratory monitoring during surgical procedures performed inside an MRI system.

인플루엔자 등 급성 호흡기계 질환과 의약품 사용의 계절적 상관성 분석 (Assessing Seasonality of Acute Febrile Respiratory Tract Infections and Medication Use)

  • 박주희;최원석;이혜영;김경훈;김동숙
    • 보건행정학회지
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    • 제28권4호
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    • pp.402-410
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    • 2018
  • Background: Monitoring appropriate medication categories can provide early warning of certain disease outbreaks. This study aimed to present a methodology for selecting and monitoring medications relevant to the surveillance of acute respiratory tract infections, such as influenza. Methods: To estimate correlations between acute febrile respiratory tract infection and some medication categories, the cross-correlation coefficient (CCC) was used and established. Two databases were used: real-time prescription trend of antivirals, anti-inflammatory drugs, antibiotics using Drug Utilization Review Program between 2012 and 2015 and physicians' number of encounters with acute febrile respiratory tract infections such as influenza outbreaks using the national level health insurance claims data. The seasonality was also evaluated using the CCC. Results: After selecting six candidate diseases that require extensive monitoring, influenza with highly specific medical treatment according to the health insurance claims data and its medications were chosen as final candidates based on a data-driven approach. Antiviral medications and influenza were significantly correlated. Conclusion: An annual correlation was observed between influenza and antiviral medications, anti-inflammatory drugs. Suitable models should be established for syndromic surveillance of influenza.

휴대형 심전도 모니터링 장치에서의 2가지 호흡 검출 알고리즘 (Two algorithms for detecting respiratory rate from portable patient monitoring device)

  • 김종명;홍주현;김남진;차은종;이태수
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2006년도 심포지엄 논문집 정보 및 제어부문
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    • pp.36-38
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    • 2006
  • In this study, two algorithms for detecting respiratory rate from Portable ECG device were presented. The first algorithms counts the number of ECG samples between R-R peaks, which varies according to respiratory states of patients, such as, exhalation and inhalation. The second algorithms detects the rate by measuring the size of R wave, which also varies according to the respiratory status of patient. These two algorithms were programmed to the laboratory developed ECG device and their usefulness was verified in laboratory environment.

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Development of Personalized Respiratory Training Device with Real-time Feedback for Respiratory Muscle Strengthening

  • Merve Nur Uygun;Yeong-geol Bae;Yejin Choi;Dae-Sung Park
    • Physical Therapy Rehabilitation Science
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    • 제12권3호
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    • pp.251-258
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    • 2023
  • Objective: The practice of breathing exercises involves altering the depth and frequency of respiration. Strengthening respiratory muscles plays a crucial role in maintaining overall health and well-being. The efficiency of the respiratory system affects not only physical activity but also various physiological processes including cardiovascular health, lung function, and cognitive abilities. The study evaluated the reliability of the developed device for inspiratory/expiratory training using pressure sensors and Bluetooth connectivity with a smartphone application. Design: Design & development research Methods: The research methodology involved connecting a custom-made respiratory sensor to an IMT-PEP BIC Breath device. Various pressure conditions were measured, and statistical analyses were performed to assess reliability and consistency. Results showed high Intraclass Coefficient Correlation (ICC) values for both inspiratory and expiratory pressures, indicating strong test-retest reliability. The device was designed for ease of use and wireless monitoring through a smartphone app. Results: This study conducted at expiratory pressure confirmed the proper operation of the IMT/PEP breathing trainer at the specified pressure setting in the product. The pressure sensor demonstrated high test-retest reliability with an ICC value of 0.999 for both expiratory and inspiratory pressure measurements. Conclusions: The developed respiratory training device measured and monitored inspiratory and expiratory pressures, demonstrating its reliability for respiratory training. The system could be utilized to record training frequency and intensity, providing potential benefits for patients requiring respiratory interventions. Further research is needed to assess the full potential of the device in diverse populations and applications.

동물(젖소) 건강 Monitoring System 모델 개발 III. 목장에서 빈발하는 질병의 비용 평가 (Development of a Model for a National Animal Health Monitoring System in Gyeongnam III. Cost Estimates of Selected Dairy Cattle Diseases)

  • 김종수;김용환;이효종;김곤섭;김충희;박정희;하대식;최민철
    • 한국임상수의학회지
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    • 제16권2호
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    • pp.428-438
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    • 1999
  • A study was conducted to estimate cost of major dairy cattle diseases. Forty (n=40) of the 167 dairy herds in Gyeongnam (Chinju) area were stratified and selected randomly for participation in the national animal health monitoring system. Gyeongsnag University veterinarians, Gyeongnam Livestock Promotion Institute veterinarians and clinic veterinarian visited each herd once a month for a total periods of 12 months. At a each visit data on disease, production, management, finance, treatments, preventive activities, animal events, and any other relevant events were collected. Monthly and annual cost estimates of disease treatment were in computed in each herd and stratum(including cost of prevention). Results were expressed as cost per head and given separately for cows, young stock, and calves. In cows, the most expensive seven diseases entities (from the most to the least) were : (1) clinical mastitis; (2) breeding problems; (3)gastrointestinal problems; (4) multiple system problem; (5) birth problems; (6) metabolic/nutritional disease; (7) lameness. In young stock, the most costly disease were the multiple system problems, breeding problems, respiratory disease, gastrointestinal disease, and lameness. In calves, the most costly disease problems were gastrointestinal problems, respiratory disease, integumental, multiple system problems, and metabolic/nutritional problems.

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Transcriptome profiling identifies immune response genes against porcine reproductive and respiratory syndrome virus and Haemophilus parasuis co-infection in the lungs of piglets

  • Zhang, Jing;Wang, Jing;Zhang, Xiong;Zhao, Chunping;Zhou, Sixuan;Du, Chunlin;Tan, Ya;Zhang, Yu;Shi, Kaizhi
    • Journal of Veterinary Science
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    • 제23권1호
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    • pp.2.1-2.18
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    • 2022
  • Background: Co-infections of the porcine reproductive and respiratory syndrome virus (PRRSV) and the Haemophilus parasuis (HPS) are severe in Chinese pigs, but the immune response genes against co-infected with 2 pathogens in the lungs have not been reported. Objectives: To understand the effect of PRRSV and/or HPS infection on the genes expression associated with lung immune function. Methods: The expression of the immune-related genes was analyzed using RNA-sequencing and bioinformatics. Differentially expressed genes (DEGs) were detected and identified by quantitative real-time polymerase chain reaction (qRT-PCR), immunohistochemistry (IHC) and western blotting assays. Results: All experimental pigs showed clinical symptoms and lung lesions. RNA-seq analysis showed that 922 DEGs in co-challenged pigs were more than in the HPS group (709 DEGs) and the PRRSV group (676 DEGs). Eleven DEGs validated by qRT-PCR were consistent with the RNA sequencing results. Eleven common Kyoto Encyclopedia of Genes and Genomes pathways related to infection and immune were found in single-infected and co-challenged pigs, including autophagy, cytokine-cytokine receptor interaction, and antigen processing and presentation, involving different DEGs. A model of immune response to infection with PRRSV and HPS was predicted among the DEGs in the co-challenged pigs. Dual oxidase 1 (DUOX1) and interleukin-21 (IL21) were detected by IHC and western blot and showed significant differences between the co-challenged pigs and the controls. Conclusions: These findings elucidated the transcriptome changes in the lungs after PRRSV and/or HPS infections, providing ideas for further study to inhibit ROS production and promote pulmonary fibrosis caused by co-challenging with PRRSV and HPS.