• Title/Summary/Keyword: Electronic fetal monitoring

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Development and Effects of Supplementary Material about Electronic Fetal Monitoring for Nursing Students (간호대학생을 위한 전자태아감시 자가학습 교재의 개발 및 적용효과)

  • Yeom, Gye Jeong;Kim, Il-OK
    • Women's Health Nursing
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    • v.22 no.1
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    • pp.21-29
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    • 2016
  • Purpose: This study aimed to develop supplementary material about the electronic fetal monitoring for nursing students, and to test the effects on electronic fetal monitoring related knowledge and confidence on nursing performance in delivery room. Methods: Totally 58 nursing students were recruited either experimental group (n=30) or a control group (n=28). A non-equivalent control group pretest-posttest design was employed to test the effects on fetal monitoring related knowledge and confidence on nursing performance in delivery room. The supplementary material about the electronic fetal monitoring was developed based on Analysis, Design, Development, Implement and Evaluation (ADDIE) model. Fetal monitoring related knowledge and confidence on nursing performance in delivery room were self-reported by the scales that author developed. Data were collected at pre-test and after the 6-week intervention. Results: There was significant difference in confidence on nursing performance in delivery room between two groups after intervention. Conclusion: These findings suggest the importance of the supplementary material about the electronic fetal monitoring for nursing students to improve confidence on nursing performance in delivery room.

Development of Electronic Stethoscope System for Fetal Phonogram (태아 포노그램을 위한 전자청진장치의 개발)

  • Kim, Dong-Jun
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.2 no.3
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    • pp.9-15
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    • 2009
  • During delivery, fetal death rate is about 1%. Since fetal death or infection have been continuously occurred, low cost fetal monitoring techniques are required. This study proposes an electronic stethoscope system for fetal phonogram by developing an amplifier to detect fetal movement and heart sound from abdomen of the pregnant woman. Using the electronic stethoscope, it is possible to listen or record the fetal sound and to analyze or store the digitized signal. Through the performance test using the developed system with 30 pregnant women in university hospital, it was found that the developed amplifier showed low noise, high performance. The system can detect heart sound and periods of heartbeats of a 22-week fetus.

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Development and Clinical Application of Central Fetal Monitoring System with Visual Maternal Monitoring function based on Personal Computer (산모 영상감시 겸용 중앙집중식 태아 전자감시 시스템의 개발 및 임상적 응용)

  • Jun, John-B.;Lee, H.C.;Yoon, H.J.;Yang, S.I.;Kim, Y.M.;Lee, I.S.;Kim, Y.T.;Kim, A.;Nam, J.H.;Mok, J.E.
    • Proceedings of the KOSOMBE Conference
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    • v.1993 no.11
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    • pp.40-43
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    • 1993
  • Electronic fetal monitoring system is an easier ar d usual method in various prenatal and labor period fetal surveilence methods currently in use. But there haven't been enough cases of using the central monitoring system despite the fact that the bedside fetal monitoring system have already been widely in use in Korea as an essential medical equipment item. We have developed more efficient central fetal monitoring system based on the personal computer with the visual maternal monotoring device using infrared camera which processes the signals from existing bedside fetal monitoring systems such as H/P's 8040 series. And we have performed the clinical application on 41 pregnant women and the results were satisfactory. In conclusion, more efficient and familial fetal monitoring is possible with our PC based central fetal monitoring system which provides the medical personnel with the view of a selected pregnant woman on the same screen where the electronic waveforms and data are displayed.

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The development of Fetal Heart Rate monitoring system based on DSP processor (DSP 프로세서를 이용한 태아심음 및 자궁수축감시장치의 개발)

  • Jnag, D.P.;Kim, K.H.;Lee, Y.H.;Lee, Y.K.;Bak, M.I.;Lee, D.S.;Kim, S.I.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.05
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    • pp.320-324
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    • 1996
  • Digital fetal monitoring system based on the personal computer combined with the digital signal processing board was implemented. The DSP board acquires and digitally processes ultrasound fetal Doppler signal for digital rectification, FIR filtering, autocorrelation function calculation, its peak detection and MEDIAN filtering. The personal computer interfaced with the DSP board is in charge of graphic display, hardcopy, data transmission and on-line analysis of fetal heart rate change including and variability. I used a recursive technique for autocorrelation function computation method and MEDIAN filter which can greatly reduce the amount of calculation and accuracy. I also implemented analysis algorithm of fetal heart rate change based on normal fetal sample data in order to exact diagnosis.

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Development of a Fetal Heart Rate Detection Algorithm using Phonogram (포노그램을 이용한 태아 심박률 검출 알고리즘의 개발)

  • Kim, Dong-Jun;Kang, Dong-Kee
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.51 no.4
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    • pp.167-174
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    • 2002
  • This study describes a fetal heart rate(FHR) estimation algorithm using phonogram. Using a phonogram amplifier, various fetal heart sounds are collected in a university hospital. The FHR estimation algorithms consists of a lowpass filter, decimation, envelop detection, pitch detection, and post-processing. The post-processing is the FHR decision procedure using all informations of fetal heart rates. Using the algorithm and other parameters of fetal heart sound, a fetal monitoring software was developed. This can display the original signals, the FFT spectra, FHR and its trajectory. Even though the fetal phonogram amplifier detects the fetal heart sounds well, the sound quality is not so good as the ultrasonography. In case of very week fetal heart sound, autocorrelation of it showed clear periodicity. But two main peaks in one period is an obstacle in pitch detection and peaks are not so vivid. The proposed FHR estimation algorithm showed very accurate and stable results. Since the developed software displays multiple parameters in real time and has convenient functions, it will be useful for the phonogram-style fetal monitoring device.

A Study on The Davelopement of Electronic Fetal Heart Rate Monitoring System Using Personal Computer (개인용 컴퓨터를 이용한 전자 태아심음 감시장치의 개발에 관한 연구)

  • 정지환;김선일
    • Journal of Biomedical Engineering Research
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    • v.12 no.3
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    • pp.209-214
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    • 1991
  • Digital fetal monitoring system based on the personal computer combined with the digital signal processing (DSP) board was implemented. The DSP board acquires and digitally processes ultra- sound fetal Doppler signal for digital signal conditioning, rectification, low -pass filtering, autocorrealtion function calculation and its peak detection. The personal computer interfaced with the DSP board is in charge of graphic display, hardcopy, data transmission and on -line analysis of fetal heart rate change including on - line warning system, base -line estmation, acceleration, deceleration and variability. It is one of the most suitable situation to apply the DSP chip for siganl conditioning, digital filtering of ultrasound fetal Dopier signal and fetal heart rate estimation using autocorrelation technique .

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The Development of Digital FHR Monitoring System Using PC and DSP (PC와 디지탈 신호 처리기를 이용한 디지탈 FHR 감시 장치의 개발)

  • Chung, Ji-H.;Kim, Sun-I.;Park, Moon-I.;Lee, Doo-S.
    • Proceedings of the KOSOMBE Conference
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    • v.1991 no.11
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    • pp.79-82
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    • 1991
  • Digital FHR monitoring system based on the personal computer combined wi th the digital signal processing (DSP) board was implemented. The DSP board acquires and digitally processes ultrasound fetal Doppler signal for digital rectification, envelope detection, autocorrealtion function calculation and its peak position detection. The personal computer interfaced with the DSP board is in charge of graphic display, hardcopy, data taransmission and on-line analysis of fetal heart rate change including on-line warning system, base-line estmation, acceleration, deceleration and variability. The advantages of PC-DSP based system can be summarized as follows: 1) Minimum hardware realization. 2) Increased flexibility. 3) Total care system.

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A Preliminary Study on the Algorithm of Signal Analysis of Electronic Fetal Monitoring System (전자 태아감시장치 신호 분석의 알고리듬(Algorithm)에 대한 예비적 연구)

  • Yoon, Hong-Jun;Kim, Yong-Man;Mok, Jung-Eun;Chung, Kyu-Sik
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.05
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    • pp.270-273
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    • 1995
  • 중앙 집중식 태아 전자감시 시스템은 태아의 안녕을 판정하는 중요한 평가방법이다. 그러나, 태아감시 시스템은 입력 신호의 장기간의 변동 추이를 검사해야 하며, 따라서 해석하는 사람의 집중력이 쉽게 저하될 수 있다. 컴퓨터를 이용한 태아 감시장치 신호의 자동해석은 분만장의 의사 및 간호사의 업무를 한층 부담없고 손쉽게 할 수 있다. 본 연구에서는 중앙 집중식 태아감시 시스템에서 간단하고 효율적으로 적용할 수 있는 신호 해석 알고리듬을 제시하고, 그에 따른 고속 프로그램을 구현하여 실제 시스템에 적용해 봄으로써 신호 해석 알고리듬의 실효성을 검토해 보고자 한다.

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Analysis of Nursing Interventions Performed by Chosunjok Nurses in Yanbian Using NIC (연변조선족 간호사가 수행하는 간호중재 분석)

  • ;;;;Li, Chun-Yu;Kim, Kyung-Yun;Huang, Zhen-Yu;Yuk, Moon-Ae
    • Journal of Korean Academy of Nursing
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    • v.31 no.5
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    • pp.793-806
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    • 2001
  • To identify nursing interventions performed by Chosunjok nurses in Yanbian using NIC. Methods: The sample consisted of 36 nurses working in 2 hospitals. The Nursing Interventions Use Questionnaire developed by the Iowa Intervention Project team was used for data collection. The instrument was translated to Korean using the method of back-translation. Results: Twenty-eight interventions were performed at least daily. Interventions in the Physiological: Basic domain were most frequently used at least daily. The most frequently used interventions was Positioning, followed by the interventions Pressure Ulcer Prevention, Intravenous (IV) Therapy, Hypothermia Treatment and Intravenous (IV) Insertion. The least frequently used interventions was Electronic Fetal Monitoring: Antepartum. Nurses working in special medical care units performed interventions most often, while nurses working in general surgical units performed them least. Nurses working in general medical, special medical and other care units performed interventions in the Physiological domain more often than the nurses working in general surgical units. Conclusion: Chosunjok nurses in Yanbian performed physiological interventions frequently. Further studies will be needed to compare interventions performed by nurses in two countries.

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THE CURRENT STATUS OF BIOMEDICAL ENGINEERING IN THE USA

  • Webster, John G.
    • Proceedings of the KOSOMBE Conference
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    • v.1992 no.05
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    • pp.27-47
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    • 1992
  • Engineers have developed new instruments that aid in diagnosis and therapy Ultrasonic imaging has provided a nondamaging method of imaging internal organs. A complex transducer emits ultrasonic waves at many angles and reconstructs a map of internal anatomy and also velocities of blood in vessels. Fast computed tomography permits reconstruction of the 3-dimensional anatomy and perfusion of the heart at 20-Hz rates. Positron emission tomography uses certain isotopes that produce positrons that react with electrons to simultaneously emit two gamma rays in opposite directions. It locates the region of origin by using a ring of discrete scintillation detectors, each in electronic coincidence with an opposing detector. In magnetic resonance imaging, the patient is placed in a very strong magnetic field. The precessing of the hydrogen atoms is perturbed by an interrogating field to yield two-dimensional images of soft tissue having exceptional clarity. As an alternative to radiology image processing, film archiving, and retrieval, picture archiving and communication systems (PACS) are being implemented. Images from computed radiography, magnetic resonance imaging (MRI), nuclear medicine, and ultrasound are digitized, transmitted, and stored in computers for retrieval at distributed work stations. In electrical impedance tomography, electrodes are placed around the thorax. 50-kHz current is injected between two electrodes and voltages are measured on all other electrodes. A computer processes the data to yield an image of the resistivity of a 2-dimensional slice of the thorax. During fetal monitoring, a corkscrew electrode is screwed into the fetal scalp to measure the fetal electrocardiogram. Correlations with uterine contractions yield information on the status of the fetus during delivery To measure cardiac output by thermodilution, cold saline is injected into the right atrium. A thermistor in the right pulmonary artery yields temperature measurements, from which we can calculate cardiac output. In impedance cardiography, we measure the changes in electrical impedance as the heart ejects blood into the arteries. Motion artifacts are large, so signal averaging is useful during monitoring. An intraarterial blood gas monitoring system permits monitoring in real time. Light is sent down optical fibers inserted into the radial artery, where it is absorbed by dyes, which reemit the light at a different wavelength. The emitted light travels up optical fibers where an external instrument determines O2, CO2, and pH. Therapeutic devices include the electrosurgical unit. A high-frequency electric arc is drawn between the knife and the tissue. The arc cuts and the heat coagulates, thus preventing blood loss. Hyperthermia has demonstrated antitumor effects in patients in whom all conventional modes of therapy have failed. Methods of raising tumor temperature include focused ultrasound, radio-frequency power through needles, or microwaves. When the heart stops pumping, we use the defibrillator to restore normal pumping. A brief, high-current pulse through the heart synchronizes all cardiac fibers to restore normal rhythm. When the cardiac rhythm is too slow, we implant the cardiac pacemaker. An electrode within the heart stimulates the cardiac muscle to contract at the normal rate. When the cardiac valves are narrowed or leak, we implant an artificial valve. Silicone rubber and Teflon are used for biocompatibility. Artificial hearts powered by pneumatic hoses have been implanted in humans. However, the quality of life gradually degrades, and death ensues. When kidney stones develop, lithotripsy is used. A spark creates a pressure wave, which is focused on the stone and fragments it. The pieces pass out normally. When kidneys fail, the blood is cleansed during hemodialysis. Urea passes through a porous membrane to a dialysate bath to lower its concentration in the blood. The blind are able to read by scanning the Optacon with their fingertips. A camera scans letters and converts them to an array of vibrating pins. The deaf are able to hear using a cochlear implant. A microphone detects sound and divides it into frequency bands. 22 electrodes within the cochlea stimulate the acoustic the acoustic nerve to provide sound patterns. For those who have lost muscle function in the limbs, researchers are implanting electrodes to stimulate the muscle. Sensors in the legs and arms feed back signals to a computer that coordinates the stimulators to provide limb motion. For those with high spinal cord injury, a puff and sip switch can control a computer and permit the disabled person operate the computer and communicate with the outside world.

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