• 제목/요약/키워드: SpO2

검색결과 836건 처리시간 0.028초

만성폐쇄성폐질환자에서 기류제한 및 COPD 복합지수와 말초산소포화도의 연관성 (Association of Airflow Limitation and COPD Composite Index with Peripheral Oxygen Saturation in Patients with Chronic Obstructive Pulmonary Disease)

  • 이종성;신재훈;백진이;손혜림;최병순
    • 한국산업보건학회지
    • /
    • 제34권1호
    • /
    • pp.57-66
    • /
    • 2024
  • Objective: Chronic obstructive pulmonary disease (COPD) is characterized by progressive airflow obstruction that is only partly reversible, inflammation in the airways, and systemic effects. This study aimed to investigate the association between low peripheral oxygen saturation levels (SpO2), and composite indices predicting death in male patients with (COPD). Method: A total of 140 participants with post-bronchodilator FEV1/FVC ratio less than 0.7 were included. Three composite indices (ADO, DOSE, BODEx) were calculated using six variables such as age (A), airflow obstruction (O), body mass index (B), dyspnea (D), exacerbation history (E or Ex), and smoking status (S). Severity of airflow limitation was classified according to Global Initiative for Obstructive Lung Disease (GOLD) guidelines. SpO2 was measured by pulse oximetry, and anemia and iron deficiency were assessed based on blood hemoglobin levels and serum markers such as ferritin, transferrin saturation, or soluble transferrin receptor. Results: Participants with low SpO2 (<95%) showed significantly lower levels of %FEV1 predicted (p=0.020) and %FEV1/FVC ratio (p=0.002) compared to those with normal SpO2 levels. The mMRC dyspnea scale (p<0.001) and GOLD grade (p=0.002) showed a significant increase in the low SpO2 group. Receiver Operating Characteristic analysis revealed higher area under the curve for %FEV1 (p=0.020), %FEV1/FVC(p=0.002), mMRC dyspnea scale (p=0.001), GOLD grade (p=0.010), ADO (p=0.004), DOSE (p=0.002), and BODEx (p=0.011) in the low SpO2 group. Conclusion: These results suggest that low SpO2 levels are related to increased airflow limitation and the composite indices of COPD.

Induced Change in DNA Methylation of Fusarium oxysporum f. sp. niveum due to Successive Transfer

  • Kim, Dae-Hyuk
    • BMB Reports
    • /
    • 제30권3호
    • /
    • pp.216-221
    • /
    • 1997
  • Changes in pathogenicity of old and successively-cultured isolates of Fusarium oxysporum f. sp. niveum have been observed and the concept that such cultures will become attenuated is generally accepted. However, the genetic basis for this phenomenon has not been studied. In an effort to identify a DNA marker closely linked to variations, DNA methylation was investigated both before and after the successive transfers of F. o. f. sp. niveum isolates on artificial media. A sector of mycelium in F. o. f. sp. niveum race 2 isolate (TXXID) which showed variation in pigmentation and colonial morphology occurred after 18 successive weekly transfers on potato dextrose agar (PDA). The sector characteristics were stable and did not change after more successive transfers. It was shown that DNA methylation preexists in ribosomal RNA gene (rDNA) of F. o. f. sp. niveum and that additional changes in DNA methylation occurred during successive culturing.

  • PDF

생물학적 환경정화를 위한 고농도 페놀에서 생육할 수 있는 세균의 분리 및 특성 (Isolation and Characterization of Bacteria Able to Grow with Phenol at High Concentrations for Bioremediation)

  • 박연규;손홍주
    • 환경생물
    • /
    • 제19권1호
    • /
    • pp.87-92
    • /
    • 2001
  • For the biological treatment of industrial wastewater containing high concentration of phenol, isolation and characterization of phenol - degrading bacterium were carried out. A bacterial strain P2 capable of degrading phenol was isolated from contaminated soils by enrichment culture technique and identified as the genus Rhodococcus by morphological, cultural, biochemical characteristics, and Biolog system. The optimal medium composition and cultural conditions for the growth and degradation of phenol by Rhodococcus sp. P2 were 0.1% of (NH$_4$)$_2$SO$_4$, 0.2% of KH$_2$PO$_4$, 0.25% of Na$_2$HPO$_4$ㆍ12$H_2O$, 0.2% of MgSO$_4$ㆍ7$H_2O$, and 0.008% of CaC1$_2$ㆍ2$H_2O$ along with initial pH 8.5 at 3$0^{\circ}C$. Rhodococcus sp. P2 could grow with phenol as the sole carbon source up to 1,800 ppm in batch cultures, but did not grow in medium containing above 2,000 ppm of phenol. When 800 ppm phenol was given in the optimal media, Rhodococcus sp. P2 completely degraded it within 24 h. Meanwhile, 1,800 ppm of phenol was degraded within 9 days. Rhodococcus sp. P2 could utilize toluene, n-hexane, xylene and benzene as sole carbon source .

  • PDF

ISO/IEEE 11073 표준 프로토콜 기반의 산소포화도 전송 에이전트 설계 (Design of an $SpO_2$ Transmission Agent based on ISO/IEEE 11073 Standard Protocol)

  • 박주건;임승현;박기현
    • 한국정보통신학회:학술대회논문집
    • /
    • 한국해양정보통신학회 2011년도 추계학술대회
    • /
    • pp.462-465
    • /
    • 2011
  • 맥박산소측정기는 비침습적으로 사용자의 혈중 산소포화도(percentage oxygen saturation of haemoglobin: SpO2)를 측정 및 모니터링 하는 기기이다. 맥박산소측정기를 포함한 대부분의 개인건강기기 (Personal Health Device: PHD) 들은 데스크톱 컴퓨터에 비해 제한된 리소스를 가지므로, 측정한 데이터를 근거리의 매니저 (스마트폰, PC)에 전송하고, 매니저를 통해 원격의 모니터링 서버로 전송하는 방식을 사용한다. 따라서 개인건강기기와 매니저 간의 통신 프로토콜은 상호호환성의 관점에서 중요한 연구 분야이다. 이에 본 논문에서는 개인건강기기에 관한 국제 표준인 ISO/IEEE 11073 (X73) 프로토콜 기반 산소포화도 전송 에이전트의 설계 결과를 제시한다. 본 논문의 에이전트는 맥박산소측정기가 측정한 사용자의 산소포화도 및 맥박 수를 X73 메시지로 생성하여 매니저에게 전송하는 임베디드 프로그램으로 세션핸들러, 메시지 핸들러, 그리고 메모리 핸들러로 구성된다. 세션 핸들러는 원격 모니터링 서버와의 통신 세션 연결, 해제를 담당하고, 메시지 핸들러는 X73 메시지의 생성 및 해석을 담당한다. 메모리 핸들러는 맥박산소측정기 메모리에 저장된 맥박 및 산소포화도를 추출한다. 본 논문의 산소포화도 전송 에이전트를 사용함으로써, 맥박산소측정기는 x73 표준을 따르는 여러 매니저들과의 통신이 가능하게 되며, 이를 통해 맥박산소측정기와 매니저 간 상호호환성을 보장할 수 있다.

  • PDF

산소포화도 측정을 위한 모듈형 펄스 옥시메터 개발 (A Development of Pulse Oximeter module for Measurement of $SpO_2$)

  • 이한욱;이주원;이종회;조원래;이건기
    • 한국정보통신학회논문지
    • /
    • 제4권3호
    • /
    • pp.575-583
    • /
    • 2000
  • 펄스 옥시메터는 수술실, 회복실, 집중 치료실 등에서 사용되는 산소포화도($SpO_2$)를 측정하는 방법 중 광흡수도를 이용하여 비관혈적인 방법으로 산소포화도륵 측정하는 장비이다. 펄스 옥시메터는 동맥혈의 광흡수도를 측정함으로써 혈액의 산소포화도를 나타낼 수 있다. 산소포화도를 측정하는 기존의 방법은 잡음을 제거하는 필터링 기술과 복잡한 처리 알고리즘, 그리고 많은 연산 수행 시간을 필요로 한다. 본 연구에서는 신호 검출 단계에서 적색광과 적외선광 각각의 AC 성분과 DC 성분을 분리하여 처리함으로써, 연산 알고리즘을 단순화 할 수 있었다. 그리고 시스템을 구현한 결과 기존의 방법(로그연산법, 미분법) 보다 속도향상과 0.3% 이상의 성능개선을 보였다.

  • PDF

개방형과 폐쇄형 기관지 흡인술이 호흡곤란 미숙아의 산소포화도와 심박동수에 미치는 영향에 대한 비교연구 (The Effects of Open Endotracheal Suctioning(ETS) and Close ETS on Oxygen Saturation and Heart Rate in Premature Infants with Respiratory Distress Syndrome)

  • 김미순;안영미;박인옥;최숙자;유미영
    • 대한간호학회지
    • /
    • 제28권3호
    • /
    • pp.529-539
    • /
    • 1998
  • Prematurity is the main cause for respiratory distress syndrome (RDS) in neonates. The goal in the treatment of RDS is to maintain respiration with adequate oxygenation. ETS needs to be performed to remove lung secretions in the ventilated premature infants with RDS. Oxygen saturation(SpO$_2$) and heart rate(HR) were compared in 22 premature infants with RDS using two types of ETS : open ETS versus close ETS. The results showed there was no significant difference in the SpO$_2$ and HR responses between open ETS and close ETS. The SpO$_2$ and HR returned to the baseline within 1 minute after suctioning. But in some case, there was a significantly greater incidence in the decrease of SpO$_2$ below 90% occured in the open ETS than in the close ETS. It implies that closed ETS may be beneficial to the premature infants who tend to develop desaturation easily.

  • PDF

호흡곤란 환자 응급간호 관리를 위한 알고리즘 개발 연구 (Development of an Algorithm for Emergency Nursing Care of Dyspneic Patients)

  • 양진주;장금성
    • 간호행정학회지
    • /
    • 제15권4호
    • /
    • pp.491-505
    • /
    • 2009
  • Purpose: This study was to develop an algorithm for emergency nursing care of dyspneic patients. Methods: This methodological study was done through reviews of medical records and literatures, checklists of emergency nursing care for dyspneic patients, interviews with nurses, and experts' validity. Results: Firstly, the initial assessment confirmed the identification of airway patency, accessory muscle usage, RR, $SpO_2$, v/s, skin color, and mental status. Immediate emergency care provided oxygen, checked ABG, EKG, and chest X-ray, established a semi-fowler position, maintained IV routes, administered medication orders, and conducted careful monitoring. Secondly, if the patient exhibited $SpO_2$ of less than 90%, the nurse considered the patient's condition to be aggravated. Thirdly, if the patient showed improvement of more than 90% $SpO_2$, the nurse administered secondary assessment and carried out specific nursing care. However, if the patient continuously showed $SpO_2$ of less than 80%, the nurse assisted the intubation and then executed ventilator therapy. Conclusions: This study suggests that the algorithm is an effective decision tool and utilizing the algorithm is expected to improve the emergency nursing care for dyspneic patients.

  • PDF

Robust Design of Pulse Oximeter Using Dynamic Control and Motion Artifact Detection Algorithms

  • Cho, Jung Hyun;Kim, Jong Cheol;Yoon, Gil Won
    • Journal of Electrical Engineering and Technology
    • /
    • 제9권5호
    • /
    • pp.1780-1787
    • /
    • 2014
  • Arterial oxygen saturation ($SpO_2$) monitoring for newborns requires special attention in neonatal intensive care units (NICUs). Newborns have very low photo-plethysmogram (PPG) amplitudes and their body movements are difficult to contain. Hardware design and its associated signal processing algorithms should be robust enough so that faulty measurements can be avoided. In this study, improved designs were implemented to deal with low perfusion, motion artifact, and the influence of ambient light. Dynamic range was increased by using different LED intensities and a feedback system. To minimize the effects of motion artifact and to discard other unqualified data, four additional algorithms were used, which were based on dual-trace detection, continuity of DC level, morphology of PPG, and simultaneity check of $SpO_2$. Our $SpO_2$ system was tested with newborns with normal respiration in the NICU. Our system provided fast, real-time responses and 100% artifact detection was accomplished under 84% of $SpO_2$.

Streptomyces sp. SL-387에 의한 Aminopeptidase M 저해제 MR-387A 및 B의 생산 배지 최적화 (Media Optimization for the Production of Aminopeptidase M Inhibitors MR-387A and B by Streptomyces sp. SL-387)

  • 정명철;전효곤;이호재;이충환;김수일;고영희
    • Applied Biological Chemistry
    • /
    • 제38권2호
    • /
    • pp.100-105
    • /
    • 1995
  • 토양으로부터 분리한 Streptomyces sp. SL-387 균주에 의하여 신규 aminopeptidase M 저해제 MR-387A 및 B를 생산하기 위한 최적 배지 조건을 검토하였다. 최적 배지 조건으로 glucose 1%, soybean meal 3%, yeast extract 0.2%, beef extract 0.1%, NaCl 0.3%, $K_2HPO_4$ 0.01%, $CaCO_3$ 0.03%, $MnCl_2{\cdot}4H_2O$ 0.001%, $ZnCl_2{\cdot}7H_2O$ 0.001%, $MgSO_4{\cdot}7H_2O$ 0.0005%, pH 7.0가 적당한 것으로 나타났다. 이 배지를 발효용 배지로 사용하였을때 저해제의 생산은 배양 120시간에 최대에 도달하였으며, 그때의 최대 생산성(total productivity)은 909.1 U/ml이었다.

  • PDF

고호염성 Haloarcular sp. EH-1으로 부터 amylase 생산 (Amylase Production from Haloarcular sp. EH-1)

  • 정명주
    • 생명과학회지
    • /
    • 제12권5호
    • /
    • pp.570-576
    • /
    • 2002
  • 천일염에서 분리된 고호염성균인 Hainrcular sp. EH-1 으로부터 amylase 생성을 위한 배양조건을 검토하여 최적조건을 설정하였다. 그 결과는 다음과 같다. 아밀라아제 생산을 위한 배양 조건은 4$0^{\circ}C$, pH 7.5이었으며, 최적 생육배지를 soluble starch 1.5%, yeast extract 1.0%, MgSO$_4$7$H_2O$ 2.0%, KCI 0.1%, NaCl 25%로 조성하여 500 $m\ell$ 삼각 플라스크에 100 $m\ell$ 씩 분주하여 110 rpm/min으로 진탕 배양시켰다. 생육과 효소활성은 9일 배양 후 최대치를 나타내어서, 균의 생육정도와 효소생산 사이에서 증식연관형을 나타내었다.