• Neonatal Medicine
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• v.18 no.2
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• pp.320-327
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• 2011

Purpose: To determine the effect of changing practice guidelines designed to avoid hyperoxia or hypoxia in very low birth weight or very preterm infants. Methods: We analyzed a database of <1,500 g birth weight or <32 weeks of gestation infants who were born and admitted to the neonatal intensive care unit of Chungnam National University Hospital from January 2007 to July 2010. First, we defined the relationship between arterial partial pressure of oxygen ($PaO_2$) and pulse oxygen saturation ($SpO_2$). When we evaluated 96 pairs of $PaO_2$ and $SpO_2$ measurements, oxygen saturation was 90-94% at a $PaO_2$ of 43-79 mmHg on the oxyhemoglobin dissociation curve, according to pulse oximetry. Based on this observation, a change in practice was instituted in August 2008 with the objective of avoiding hypoxia and hyperoxia in preterm infants with targeting a $SpO_2$ 90-94% (period II). Before the change in practice, high alarms for $SpO_2$ were set at 100% and low alarms at 95% (period I). Results: Sixty-eight infants the met enrollment criteria and 38 (56%) were born during period II, after the change in $SpO_2$ targets. Demographic characteristics, except gender, were similar between the infants born in both periods. After correcting for the effect of confounding factors, the rates for mortality, severe retinopathy of prematurity, and IVH attended to be lower than those for infants in period II. No difference in the rate of patent ductus arteriosus needed to treat was observed. Conclusion: A change in the practice guidelines aimed at avoiding low oxygen saturation and hyperoxia did not increase neonatal complication rates and showed promising results, suggesting decreased mortality and improvements in short term morbidity. It is still unclear what range of oxygen saturation is appropriate for very preterm infants but the more careful saturation targeting guideline should be considered to prevent hypoxemic events and hyperoxia.

• Progress in Medical Physics
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• v.11 no.2
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• pp.101-107
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• 2000

Pulse oximetry is a non-invasive optical method which measures arterial oxygen saturation with two different wavelength. We can obtain the pulsating component of the arterial blood superimposed on DC level attenuated by venous blood, skin and other nonpulsatile components. This study is based on computing algorithm of oxygen saturation using the integral ratio of pulsatile components. In this algorithm, we used the half cycle of the pulsatile signal rely on arterial contraction. It's period is about 1/4 in 1 cycle. In the result, Our algorithm with 1/4 period of 1 cycle is similar to existing model. Because of removal that A part have low amplitude and possession in long term from calculating, the effect of the motion-artifact is decrease.

• Korean Journal of Optics and Photonics
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• v.11 no.6
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• pp.452-456
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• 2000

A measurement unit and signal processing algorithm have been developed for predicting arterial oxygen saturation noninvasively. The measurement set-up was composed of a probe including light source and photodetector, optical signal processing section, LED driving circuit, PC interface software for data acquisition and data processing software. Light from the LED's was irradiated onto the finger nail bed and transmitted light was measured at different wavelengths. An effective baseline correction method was developed and measured data were analyzed by using various data processing methods and prediction algOlithms. For performance evaluation, a pulse oximeter simulator (Bio- Tek Instrument Inc.) was used as reference. The best performance in terms of the correlation coefficient and the standard deviation was obtained under the following conditions; when the arterial signals were computed in terms of area rather than peak-valley difference, and when the algorithm calculating by $In(I_p/I_v)/I_{avr}$ value for pulsation waveform was used. In in vivo test, prediction was improved when the developed baseline correction method was used. In addition, wavelengths of 660 nm and 940 nm provided better linearity and precision than wavelengths of 660 nm and 805 nm. 05 nm.

• The Journal of the Korea Contents Association
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• v.15 no.3
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• pp.174-183
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• 2015

The purpose of this study was to examine the effects of deep breathing with Incentive Spirometer on pulmonary function and O2 saturation by time process in patients with rib fracture. The participants were 25 patients with rib fracture admitted to a hospital in G city. Deep breathing with Incentive Spirometer was educated for participants. Data were collected from June to October, 2013. Pulmonary function and O2 saturation were measured by using Micro spirometer and pulse oximeter at admission one day and 1day, 2day, 3day, 4day, 5day and 6day after applying intervention.. The collected data was analyzed by SPSS (Statistical Package for the Social Science) 21.0 version program with descriptive statistics, and repeated measure ANOVA. The level of pulmonary function and O2 saturation after applying deep breathing with incentive spirometer were increased as time went on. Therefore, patients with rib fracture should be suggested the continuous deep breathing with incentive spirometer.

• Journal of the Korea Society of Computer and Information
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• v.15 no.3
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• pp.11-18
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• 2010

In this study, the pulse of radial artery and oxygen saturation are detected using photoelectric plethysmograph method. Using our device designed reflection type, we can detect the reflected light by radial artery and by switching circuit, we can also separate to 625nm band signal and 940nm band signals. The separated signals are converted as a pulse data by the pulse signal processing circuit. In this study, the reflection type of oxygen saturation calculation method is applied instead of the transmission type because of the reflection type sensor is used to measure the radial artery. As a result, we can detect about 97% accuracy of the oxygen saturation compare with the conventional method. For the accurate signals, the wrist band with sensor was designed and fixed on the radial artery. As a result, this wrist band type sensor was applicable to prevent position errors from motion artifact and could increase the accuracy during the measuring.

• Sleep Medicine and Psychophysiology
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• v.9 no.1
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• pp.34-40
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• 2002

Objectives: The gold standard for diagnosing obstructive sleep apnea syndrome (OSAS) is nocturnal polysomnography (NPSG). This is rather expensive and somewhat inconvenient, however, and consequently simpler and cheaper alternatives to NPSG have been proposed. Oximetry is appealing because of its widespread availability and ease of application. In this study, we have evaluated whether oximetry alone can be used to diagnose or screen OSAS. The diagnostic performance of an analysis algorithm using arterial oxygen saturation ($SaO_2$) base on 'dip index', mean of $SaO_2$, and CT90 (the percentage of time spent at $SaO_2$<90%) was compared with that of NPSG. Methods: Fifty-six patients referred for NPSG to the Division of Sleep Studies at Seoul National University Hospital, were randomly selected. For each patient, NPSG with oximetry was carried out. We obtained three variables from the oximetry data such as the dip index most linearly correlated with respiratory disturbance index (RDI) from NPSG, mean $SaO_2$, and CT90 with diagnosis from NPSG. In each case, sensitivity, specificity and positive and negative predictive values of oximetry data were calculated. Results: Thirty-nine patients out of fifty-six patients were diagnosed as OSAS with NPSG. Mean RDI was 17.5, mean $SaO_2$ was 94.9%, and mean CT90 was 5.1%. The dip index [4%-4sec] was most linearly correlated with RDI (r=0.861). With dip index [4%-4sec]${\geq}2$ as diagnostic criteria, we obtained sensitivity of 0.95, specificity of 0.71, positive predictive value of 0.88, and negative predictive value of 0.86. Using mean $SaO_2{\leq}97%$, we obtained sensitivity of 0.95, specificity of 0.41, positive predictive value of 0.79, and negative predictive value of 0.78. Using $CT90{\geq}5%$, we obtained sensitivity of 0.28, specificity of 1.00, positive predictive value of 1.00, and negative predictive value of 0.38. Conclusions: The dip index [4%-4sec] and mean $SaO_2{\leq}97%$ obtained from nocturnal oximetry data are helpful in diagnosis of OSAS. CT90${\leq}$5% can be also used in excluding OSAS.

• The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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• v.11 no.3
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• pp.117-123
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• 2006

The water quality before and after a typhoon was investigated as a part of a study on the increase of organic matter and on the fundamental measures to counter chemical oxygen demand (COD) in the eutrophic Soho coastal seawaters of Gamak Bay. The dissolved oxygen (DO) saturations were <54% when water column was stratified. The DO saturation was similar at surface and in the bottom layer after a typhoon $(78\sim88%)$, and a very high DO saturation (234%) was observed in the surface water after mass phytoplankton growth. The highest values of $NH_4-N,\;NO_3-N,\;PO_4-P$, and $SiO_2-Si$ were 18.22, 38.90, 1.58, and $52.10{\mu}M$, respectively, when freshwater entered after heavy rainfall events. In addition, high concentrations of $NH_4-N,\;PO_4-P$, and $SiO_2-Si$ were detected with low DO saturations in bottom water (>5m). A maximum chlorophyll (Chl.) concentration of $311.0{\mu}gl^{-1}$ was observed after typhoon, when a high-density Scrippsiella trochoidea red tide occurred with cell density of 42,000 cells $ml^{-1}$. The algal growth potential (AGP) was high after the typhoon. Nitrogen was always a limiting nutrient for phytoplankton growth. The highest COD level was $10.55mgl^{-1}$, and the main reason of the variation in COD was likely to be phytoplankton growth $(r^2=0.612,\;p=0.000)$. Organic matter, which entered the water column when the typhoon stirred the sediments, seems to have little effects on COD increase.

• The Journal of the Korea institute of electronic communication sciences
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• v.7 no.4
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• pp.931-936
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• 2012

In this paper, the module which can measure body fat, heart rate and $SpO_2$ has been developed for being mounted on widespread bidets in the home. This moudule was manufactured by a structure that can be mounted on a bidet, users such as elderly, patients with chronic fatigue, heart disease and overworked workers checking their health status in every life through monitoring their body fat, heart rate and $SpO_2$ and preventing of sudden death.

• Journal of Industrial Technology
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• v.33 no.A
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• pp.49-54
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• 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.

• Journal of the Korean Society of Safety
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• v.22 no.6
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• pp.87-90
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• 2007

The effects of static magnetic field on the human biological system are becoming increasingly more important with the adaption of static magnet in the medical community. It is the goal of this paper to review the effects of static magnetic fields on oxygen saturation level in blood. The results of this paper show that the oxygen saturation level increased in the blood in index finger when the static magnetic dipole was fitted on index finger.