• Title/Summary/Keyword: Self respiration monitoring

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

  • Son, Dong-Woo
    • Neonatal Medicine
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    • v.17 no.1
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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.

Cardiac dose reduction with breathing adapted radiotherapy using self respiration monitoring system for left-sided breast cancer

  • Sung, KiHoon;Lee, Kyu Chan;Lee, Seung Heon;Ahn, So Hyun;Lee, Seok Ho;Choi, Jinho
    • Radiation Oncology Journal
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    • v.32 no.2
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    • pp.84-94
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    • 2014
  • Purpose: To quantify the cardiac dose reduction during breathing adapted radiotherapy using Real-time Position Management (RPM) system in the treatment of left-sided breast cancer. Materials and Methods: Twenty-two patients with left-sided breast cancer underwent CT scans during breathing maneuvers including free breathing (FB), deep inspiration breath-hold (DIBH), and end inspiration breath-hold (EIBH). The RPM system was used to monitor respiratory motion, and the in-house self respiration monitoring (SRM) system was used for visual feedback. For each scan, treatment plans were generated and dosimetric parameters from DIBH and EIBH plans were compared to those of FB plans. Results: All patients completed CT scans with different breathing maneuvers. When compared with FB plans, DIBH plans demonstrated significant reductions in irradiated heart volume and the heart $V_{25}$, with the relative reduction of 71% and 70%, respectively (p < 0.001). EIBH plans also resulted in significantly smaller irradiated heart volume and lower heart $V_{25}$ than FB plans, with the relative reduction of 39% and 37%, respectively (p = 0.002). Despite of significant expansion of lung volume using inspiration breath-hold, there were no significant differences in left lung $V_{25}$ among the three plans. Conclusion: In comparison with FB, both DIBH and EIBH plans demonstrated a significant reduction of radiation dose to the heart. In the training course, SRM system was useful and effective in terms of positional reproducibility and patient compliance.

A Study of Sensing Locations for Self-fitness Clothing base on EMG Measurement (셀프 피트니스 의류 개발을 위한 근전도 센싱 위치 연구)

  • Cho, Hakyung;Cho, Sangwoo
    • Fashion & Textile Research Journal
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    • v.18 no.6
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    • pp.755-765
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    • 2016
  • Recently, interest in monitoring health and sports is growing because of the emphasis on wellness, which is accelerating the development and commercialization of smart clothing for biosignal monitoring. In addition to exerciseeffect monitoring clothing that tracks heart rate and respiration, recently developed clothing makes it possible to monitor muscle balance using electromyogram (EMG). The electrode for EMG have to attached to an accurate location in order to obtain high-quality signals in surface EMG measurement. Therefore, this study develops monitoring clothing suitable for different types of human bodies and aims to extract suitable range of EMG according to movements in order to develop self-fitness monitoring clothing based on EMG measurement. This study identified and attached electrodes on six upper muscles and two lower muscles of ten males in their 20s. After selecting six main motions that create a load on muscles, the 8-ch wireless EMG system was used to measure amplitude value, noise, SNR and SNR (dB) in each part and statistical analysis was conducted using SPSS 20.0. As a result, the suitable range for EMG measurement to apply to clothing was identified as four parts in musculus pectoralis major; three parts in muscle rectus abdominis, two parts each in shoulder muscles, backbone erector, biceps brachii, triceps brachii, and musculus biceps femoris; and four part in quadriceps muscle of thigh. This was depicted diagrammatically on clothing, and the EMG-monitoring sensing locations were presented for development of self-fitness monitoring.

Development of a SRP(Stress Relaxation Program) Game using HRV(Heart Rate Variability) (심장박동수 변이성을 이용한 스트레스 이완용 게임개발)

  • Choi, Sam-Ha;Joe, Young-Sin;Kim, Kyung-Sik
    • Journal of Korea Game Society
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    • v.2 no.1
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    • pp.77-83
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    • 2002
  • Cases of applying game in the medical area are increasing thesedays. This game has been developed to prevent disease in self-nervous system through the control of respiration after monitoring the mental stress and physical stress from the heart rate variability (HRV) of the game user. The game is a kind of a stress relaxation program (SRP) designed not to avoid boring or rejecting mind of users by traditional simple training of continuous repetition, but to increase interaction which is a unique feature of games.

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RGB-LED-based Optical Camera Communication using Multilevel Variable Pulse Position Modulation for Healthcare Applications

  • Rachim, Vega Pradana;An, Jinyoung;Pham, Quan Ngoc;Chung, Wan-Young
    • Journal of Sensor Science and Technology
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    • v.27 no.1
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    • pp.6-12
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    • 2018
  • In this paper, a 32-variable pulse position modulation (32-VPPM) scheme is proposed to support a red-green-blue light-emitting-diode (RGB-LED)-based optical camera communication (OCC) system. Our proposed modulation scheme is designed to enhance the OCC data transmission rate, which is targeted for the wearable biomedical data monitoring system. The OCC technology has been utilized as an alternative solution to the radio frequency (RF) wireless system for long-term self-healthcare monitoring. Different biomedical signals, such as electrocardiograms, photoplethysmograms, and respiration signals are being monitored and transmitted wirelessly from the wearable biomedical device to the smartphone receiver. A common 30 frames per second (fps) smartphone camera with a CMOS image sensor is used to record a transmitted optical signal. Moreover, the overall proposed system architecture, modulation scheme, and data demodulation are discussed in this paper. The experimental result shows that the proposed system is able to achieve > 9 kbps using only a common smartphone camera receiver.

A Clinical Study of Ventilator Weaning Following Open Heart Surgery (개심술후의 Ventilator Weaning 에 관한 임상적 고찰)

  • Kim, Kyou-Tae;Han, Sung-Sae;Lee, Chong-Tae
    • Journal of Chest Surgery
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    • v.14 no.3
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    • pp.187-194
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    • 1981
  • Cardiac surgery is generally followed by a period of routine ventilator support. When the patient seems hemodynamically stable and relatively alert following surgery, respiratory adequacy is tested by the weaning trial. In this study, physiological and clinical prediction of postoperative respiratory adequacy, including values of pulmonary function tests, were examined in an attempt to identity those few variables which predicted the outcome of the ventilator weaning trial following surgery. Our series comprised 27 patients who underwent elective open intracardiac operations at the Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, from October 1979 to July, 1980. The pulmonary function tests performed on all patients included the following; forced vital capacity [FVC], forced expiratory volume [FEV1.0], forced expiratory flow [FEF 25--75~], residual volume [RV], and functional residual capacity [FRC], measured with a helium dilution technique. Of our 27 patients, 8 were successfully weaned within 20 hours of operation. All patients with cyanotic heart diseases or acquired heart diseases were unsuccessfully weaned. The bypass time in the successful weaning group was shorter in the mean value [82.8 minutes]than in the unsuccessful weaning group [120.5 minutes]. There was a relatively significant difference in the mean values for the two groups in arterial pressure, bleeding amounts and FiO2 among the postoperative monitoring variables, and in forced vital capacity [FVC]. The postoperative clinical assessments appeared vague but corresponded reasonably well to appraisal of success in weaning, especially in variables of cough and self-respiration efforts.

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