scholarly journals Long Distance Dual SpO2 Monitoring in Premature Babies Via Bluetooth Communication

Author(s):  
Priyambada Cahya Nugraha ◽  
Muhammad Ridha Mak'ruf ◽  
Lusiana ◽  
Sari Luthfiyah

Monitoring the baby's health status is very important, especially for babies born prematurely. Oxygen saturation levels in newborns are very important to know because when the oxygen saturation levels in newborns are low, it is necessary to watch out for hemodynamic abnormalities in the baby. Measurement of oxygen saturation levels in newborns can help detect congenital abnormalities in infants early. This study aims to design an equipment system to continuously monitor the condition of oxygen saturation in newborns. Where in this discussion a monitoring tool is used to monitor 2 premature babies in a baby incubator simultaneously using a Neonatal Fingertip sensor. The system will display the oxygen saturation (SpO2) value and signal. Monitoring on this tool is done wirelessly using the HC-05. Based on the results of tests and measurements in 5 different patients with a pulse oximeter comparison, the difference value of 1% in each patient's results was obtained. The results of this study will greatly help facilitate the work of paramedics in monitoring the vital conditions of newborn babies.

2020 ◽  
Vol 13 (1) ◽  
pp. 52-59
Author(s):  
Mirza Fissabila ◽  
Priyambada Cahya Nugraha ◽  
Muhammad Ridha Mak'ruf

Monitoring status kesehatan bayi merupakan hal yang sangat penting khususnya pada bayi yang lahir secara prematur. Pemantauan kadar saturasi oksigen pada bayi baru lahir dapat membantu mendeteksi dini kelainan-kelainan bawaan pada bayi tersebut. Tujuan dari penelitian ini adalah untuk membuat dan mendisain sebuah alat yang dapat  digunakan untuk melakukan pemantauan kondisi nilai Saturasi Oksigen (SpO2) beberapa pasien sekaligus secara kontinyu dengan jarak yg cukup jauh sehingga tenaga medis tidak perlu mendatangi satu persatu baby incubator secara berkala untuk melakukan pemantauan kadar nilai Saturasi Oksigen (SpO2)  pasien di dalam baby incubator. Dimana pada pembahasan penelitian kali ini akan membuat 2 modul  alat monitoring yang dapat digunakan untuk memantau 2 bayi prematur pada baby incubator secara bersamaan menggunakan 2 sensor berbeda, yaitu pada modul 1 akan menggunakan sensor Fingertip Neonatal dan pada modul 2 akan menggunakan sensor Max 30100. Alat ini akan menampilkan nilai dan sinyal saturasi oksigen (SpO2) pada sebuah PC secara bersamaan. Pemantauan pada alat ini dilakukan secara wireless menggunakan modul Bluetooth HC-05. Berdasarkan dari hasil pengujian dan pengukuran modul yang telah di buat, pada 5 pasien berbeda dengan menggunakan pembanding pulse oxymeter pada sensor Max 30100 didapatkan nilai selisih sebesar 1% pada masing-masing hasil pasien, pada sensor fingertip neonatal juga didapatkan nilai selisih 1% pada masing-masing pasien. Pada pengujian jarak, alat ini mampu memantau kondisi 2 pasien secara bersamaan dengan jarak maksimal 3,5 meter. Hasil penelitian ini dapat diimplementasikan pada sistem pemantauan pada ruang NICU untuk membantu mengurangi beban kerja tenaga medis dan untuk meningkatkan efektifitas pelayanan  Rumah Sakit. Monitoring the health status of babies is very important, especially for babies born prematurely. Monitoring oxygen saturation levels in newborns can help detect early congenital abnormalities in these babies. The purpose of this study is to create and design a tool that can be used to monitor the condition of Oxygen Saturation (SpO2) values ​​of several patients at once continuously with a great distance so that medical staff do not need to go one by one baby incubators periodically to monitor levels Oxygen Saturation (SpO2) value of the patient in the baby incubator. Where in the discussion of this study will make 2 monitoring tool modules that can be used to monitor 2 premature babies in a baby incubator simultaneously using 2 different sensors, namely in module 1 will use the Neonatal Fingertip sensor and in module 2 will use the Max 30100 sensor. it displays the value and oxygen saturation signal (SpO2) on a PC simultaneously. Monitoring on this device is carried out wirelessly using the Bluetooth module HC-05. Based on the test results and module measurements that have been made, in 5 different patients using a pulse oxymeter comparator on the Max 30100 sensor a difference of 1% was obtained in each patient's result, in the neonatal fingertip sensor also obtained a difference of 1% in each - each patient. In distance testing, this tool is able to monitor the condition of 2 patients simultaneously with a maximum distance of 3.5 meters. The results of this study can be implemented in a monitoring system in the NICU room to help reduce the workload of medical personnel and to improve the effectiveness of hospital services.


Jurnal NERS ◽  
2019 ◽  
Vol 14 (2) ◽  
pp. 137
Author(s):  
Ayu Prawesti ◽  
Etika Emaliyawati ◽  
Ristina Mirwanti ◽  
Aan Nuraeni

Introduction: Stress experienced by the baby will affect the body’s function by increasing the body’s metabolism. Nesting is used to reduce stress in premature babies. Nesting can be done in a supine or prone position. Few studies have examined the effects of body position on body weight and oxygen saturation. The objective of the study was to determine the difference in oxygen saturation and weight change on the use of nesting in the prone and supine positions in premature babies.Methods: The research used a quasi-experimental design. The sample consisted of 30 premature babies, which was obtained using a consecutive sample technique. The independent variables were nesting positioning (supine and prone), and the dependent variables were oxygen saturation and body weight. The data of oxygen saturation and the baby’s weight were collected using pulse oximetry; the baby’s weight scale used observation sheets. The data was analysed using the t-test, Wilcoxon Sign Ranks Test, and Mann Whitney U Test.Results: The results showed that there was a difference in oxygen saturation before and after the use of nesting in the supine (p=0.001) and prone position (p=0.000). There was a weight difference before and after the use of nesting in both supine (p=0.000) and prone position (p=0.000). There was no difference in oxygen saturation value and infant weight, before or after, between the supine position and the prone position (p=0.18; p=0.9).Conclusion: The use of nesting in both positions (supine or prone) can increase oxygen saturation and infant weight. Researchers recommend the use of nesting with supine or prone positions routinely in premature babies.


Author(s):  
Lamidi Lamidi ◽  
Abd Kholiq ◽  
Muslim Ali

A baby incubator is a heating device for premature babies so that the baby's temperature matches the temperature in the mother's womb. Premature babies are babies born in abnormal conditions where the baby's body size is below average or the gestational age has not reached 9 months. The aim of this study was to create a compact system at a low cost in an infant incubator. Apart from stabilizing the temperature, it can also calculate the premature baby's heart rate and oxygen saturation value. The contribution of the system being built can detect the early symptoms of congenital abnormalities so that abnormalities detection becomes more practical. The temperature stability in this system uses a threshold system, where the sensor readings are compared with the set point value. Meanwhile, the SpO2 system uses a finger sensor attached to the baby's finger to detect oxygen saturation and heart rate. The signal from the sensor is processed in a signal conditioning circuit consisting of an astable circuit, filter and amplifier, LPF, and demultiplexer. Based on the results of testing and measurement, the difference produced by this tool is only 0.13 - 0.182 ° C. The biggest error in the system is 0.517%. Measurement of skin temperature was carried out on 10 respondents with an average value of 34.825 ° C. so that the difference generated from this tool is only 0.175 ° C, the difference on the Humidity parameter is 0.21%. The average BPM reading of respondent 1 was 81 beats per minute and the average SpO2 value was 97%. The average BPM reading of respondent 2 was 83 beats per minute and the average SpO2 value was 98%. You can see that the module with the Arduino control system can work automatically and is able to adjust the stability of the baby incubator according to the settings. In addition, the BPM and SpO2 systems are within tolerance so they can be used for patient measurements


Author(s):  
Elena Belloni ◽  
Stefania Tentoni ◽  
Ilaria Fiorina ◽  
Chandra Bortolotto ◽  
Olivia Bottinelli ◽  
...  

PURPOSE: To retrospectively evaluate the prevalence of reported and unreported potentially important incidental findings in consecutive nonenhanced abdominal CTs performed specifically for renal colic in the urgent setting. METHOD: One radiologist, blinded to the finalized report, retrospectively re-evaluated nonenhanced abdominal CTs performed from January through December 2017 on adult patients from the Emergency Department with the specific request of urgent evaluation for renal colic, searching for potentially important incidental findings. RESULTS: The CTs of 312 patients were included in the study. Thirty-eight findings were reported in 38 different CTs, whereas the re-evaluation added 47 unreported findings in 47 different CTs, adding to total of 85 findings (27%). The difference in the proportion of reported and unreported potentially important incidental findings between the original report and re-evaluation was significant (P<.001). No significant difference was found between the age of patients with and without reported findings. The proportion of potentially important findings did not vary significantly among the three shifts neither in the original report nor in the re-evaluation. The most frequent findings, both reported and unreported, were pleural effusion, lymphadenopaties and liver nodules. CONCLUSIONS: Potentially important additional findings are frequently present in urgent nonenhanced abdominal CTs performed for renal colic, and many are not described in the finalized reports. Radiologists should take care not to under report potentially important incidental findings even in the urgent setting because of the possible consequences on the patient’s health status and in order to avoid legal issues, while satisfying the need for timely and efficient reporting.


PEDIATRICS ◽  
1956 ◽  
Vol 18 (6) ◽  
pp. 959-978
Author(s):  
Hugh W. Josephs

In this work the author has attempted to gain insight into the significance of iron depletion by the use of 4 simple calculations, justification for which is found in recent articles. These are: (a) iron with which the infant is born; (b) iron retained from the food; (c) iron being used by the tissues and therefore unavailable for hemoglobin, and (d) iron combined with the total mass of hemoglobin. With these 4 figures it is possible to estimate the iron still potentially available for use (the "reserves" or "stones"). When the difference between a + b and c + d has reached about zero, depletion is considered to exist. The following characteristics of depletion may be emphasized: Depletion is the result of gain in weight and maximum possible usage of iron. It is therefore a normal result of growth and need not be associated with anemia. As soon as depletion has occurred, the organism is thereafter dependent on current absorption of iron. This is ordinarily sufficient, even with a diet of milk alone, to maintain an adequate concentration of hemoglobin after about 8 to 10 months of age. Severe anemia due to depletion alone is practically confined to premature babies whose relative gain in weight is rapid. Severe anemia in other than premature babies is the result of a number of factors by which iron becomes unavailable or is actually diverted from hemoglobin to storage. Response to iron medication is considerably better in infants with depletion than in those in whom some factor is present that interferes with iron utilization, and which is not connected by the mere giving of iron. The dependence on current absorption, whether the result of depletion or non-availability, introduces a certain precariousness which is apparently characteristic of this time of life. The organism gets along from day to day if nothing happens, but may not be able to meet an emergency, whether this appears as a rapid gain in weight, or a necessity to repair damage done by severe infection. If we consider iron deficiency as the cause of anemia, we can think of deficiency as due to a number of factors of which depletion is only one. The development and characteristics of depletion have been considered in this paper; other factors in iron deficiency will be considered in subsequent papers.


2007 ◽  
Vol 47 (4) ◽  
pp. 150 ◽  
Author(s):  
M. Tatang Puspanjono ◽  
Abdul Latief ◽  
Alan R. Tumbelaka ◽  
Sudigdo Sastroasmoro ◽  
Hartono Gunardi

Background Dengue shock syndrome (DSS) mortality is still high.Monitoring of blood lactate level is important to evaluate shock.Objectives The study were to review the difference between bloodlactate level of DSS and that of dengue hemorrhagic fever (DHF),to correlate blood lactate level with hypoxia state as shock riskfactors (PaO 2 , oxygen saturation, and anion gap) and to determinethe cut-off point of blood lactate level to predict shock.Methods The study was carried out at the Department of ChildHealth, Medical School, University of Indonesia, CiptoMangunkusumo Hospital, Jakarta, from January until July 2006.Three mL venous blood specimen was collected from all subjectsfor peripheral blood, blood gasses, serology, and blood lactateexaminations. This study consisted of a retrospective cohort anda cross sectional method. Data were analyzed with Chi-squaretest. Continous data tested using Mann-Whitney method. Toknow the correlation between blood lactate level and shock riskfactors we use logistic regression test.Results In DSS group, 73% shows hyperlactatemia (lactate =2mmol/L). Conversion of lactate means between two groups issignificantly different from day one to day two and three. Therewas a negative correlation between lactate level and pO 2 andoxygen saturation. Oxygen saturation is the only value that hasclinical correlation. Regressions analysis can be applied using Y= 7.05–0.05 X equation. The cut-off point of lactate level asmarker for shock by using ROC curve is 32.015 mmol/L with 70%sensitivity and 83.3% specificity.Conclusions Hyperlactatemia in DSS can be considered as a signfor unappropriate treatment of shock. Blood lactate level can beused as a biochemical marker for tissue hypoxia, to assess severityof the disease, as monitoring of treatment, and has prognosticvalue of DHF cases.


Author(s):  
Estrella Paterson ◽  
Penelope Sanderson ◽  
Neil Paterson ◽  
David Liu ◽  
Robert Loeb

In the operating theatre, anesthesiologists monitor an anesthetized patient’s oxygen saturation (SpO2) with a visual display but also with an auditory tone, or sonification. However, if the anesthesiologist must divide their attention across tasks, they may be less effective at recognising their patient’s SpO2 level. Previous research indicates that a sonification enhanced with additional sound dimensions of tremolo and brightness more effectively supports participants’ identification of SpO2 ranges than a conventional sonification does. This laboratory study explored the effect of a secondary task on participants’ ability to identify SpO2 range when using a conventional sonification (LogLinear sonification) versus an enhanced sonification (Stepped Effects sonification). Nineteen non-clinician participants who used the Stepped Effects sonification were significantly more effective at identifying SpO2 range ( Md = 100%) than were 18 participants using the LogLinear sonification ( Md = 80%). Range identification performance of participants using the Stepped Effects sonification tended to be less disrupted by a concurrent arithmetic task (drop from Md = 100% to 95%) than it was for participants using the LogLinear sonification (drop from Md = 80% to 73%). However, the disruption effect in each case was small, and the difference in disruption across sonifications was not statistically significant. Future research will test the sonifications under more intense cognitive load and in the presence of ambient noise.


1981 ◽  
Vol 21 (06) ◽  
pp. 679-686 ◽  
Author(s):  
W.H. Seitzer

Abstract In a concentric cylinder viscometer. Utah shale oils have different characteristics, both at equilibrium flow and during start-up from rest, depending on whether the wax has crystallized as needles or spherulites. Compared with waxy crude oils, which are thixotropic, shale oil had the added rheological property of being antithixotropic. Introduction The most likely liquid synthetic fuel to be produced initially in the U.S. will be raw shale oil from western oil shale. This abundant resource is located principally in the western Rocky Mountain states of Colorado. Utah. and Wyoming (Fig. 1). Ultimate commercial production probably will be transported to marketing, distribution, and refining centers by pipeline. It has been reported that Utah shale oils produced by the Union "B" and Paraho DH retorting processes gave similar physical and chemical properties. Some properties of the two Utah shale oils are given in Table 1. The only major difference is that the Union shale oil has a pour point of - 1 degree C compared with a pour point of 25 degrees C for the Paraho oil. Wax Crystallization The difference in the pour points of the oils from the Utah shale retorted by Union Oil Co of California and Paraho is caused mainly by the difference in how the wax in the respective oils crystallizes. In the high- pour-point (25 degrees C) Paraho DK oil, the wax, under a microscope, appears as fine (1 to 10 m) needles, as expected for normal paraffins. However, the wax in the low-pour-point (−1 degrees C) Union oil forms small spherulites.Wax spherulites have not been reported before: however, this type of crystal is seen commonly in polymer. Spherulites show up as round areas containing a maltese cross when observed between crossed polars under a microscope.Photomicrographs of these crystals are shown in Figs. 2 and 3. The former, showing spherulites, is of the Union oil. In contrast, they are very different from the customary needles as typified by the Paraho oil in the latter micrograph. Presumably, these highly ordered spheres are made up of wax needles grown out radially from the center as described by Hartshorne and Stuart. The polarized light is scattered only by those needles not parallel nor perpendicular to the plane of polarization. Viscometer Measurements To understand the effect of these spherulites on the flow characteristics of raw shale oil at flow conditions expected in a long-distance pipeline, typical stress-rate measurements were made in a rotating cylinder viscometer, the Haake Rotovisco RV3 with MK500 measuring head and MVI coaxial cylinder sensor having an 82-mm cup and radii ratio of 0.95. This equipment has provisions for varying shear rate continuously at selected values down to 23.4 sec(−1)/min and can produce and record shear stress as a function of either shear rate or time. Calibration of the sensor was verified with a sucrose/water solution at several temperatures.Changes in temperature always were made from lower to higher to keep the sensor full of oil. Also, the shear-stress/ shear-rate curves were obtained by starting at high shear, down to zero, and then back up. SPEJ P. 679^


Vaccines ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 90
Author(s):  
Yi Kong ◽  
Hao Jiang ◽  
Zhisheng Liu ◽  
Yi Guo ◽  
Dehua Hu

Objective: To investigate the uptake and vaccination willingness of the COVID-19 vaccine among Chinese residents and analyze the difference and factors that impact vaccination. Methods: The snowball sampling method was used to distribute online questionnaires. Relevant sociodemographic data along with the circumstances of COVID-19 vaccination were collected from the respondents. The χ2 test, independent samples t test and binary logistic regression analysis were used to analyze the data. Results: Among 786 respondents, 84.22% had been vaccinated. Over 80% of the vaccinated population have completed all the injections because of supporting the national vaccination policies of China, while the unvaccinated population (23.91%) is mainly due to personal health status. Meanwhile, statistical analysis revealed that the main predictors of not being vaccinated were younger age (3 to 18 years old), personal health status, and lower vaccinated proportion of family members and close friends (p < 0.05). Conclusions: There was a high level of uptake of the COVID-19 vaccine in China, and people who have not been vaccinated generally had a low willingness to vaccinate in the future. Based on our results, it suggested the next work to expand the coverage of the COVID-19 vaccination should be concentrated on targeted publicity and education for people who have not been vaccinated.


2018 ◽  
Vol 14 (2) ◽  
pp. 56-64
Author(s):  
Dwi Suyatmi ◽  
Dwi Eni Purwati

Service Activities Dental and Oral Health Care is part of the School Dental Health Enterprises (UKGS) which aims to improve the knowledge, attitude and the ability to behave in the field of healthy living oral health. These activities include outreach, shared toothbrushes and dental examinations, but oral health care has no knowledge, so the researchers are interested to know the difference before and after the service activities of oral health care on knowledge, attitude, oral health status elementary students. The purpose of this research is to know the difference before and aftercare service activities against oral health knowledge, attitudes, and oral health status of elementary school students. This study used a quasi-experimental method with the design of One Group Pre-test - Post-test Design. The population in this study were elementary school students in the area of ​​Gamping Sleman Yogyakarta with a sample of 179 students. Sampling techniques using saturation sampling. Results: Based on the analysis of different test (paired sample t-test) showed significant differences in knowledge, attitudes, oral hygiene, decay and Decay students between the before and after care service oral health (p<0.05). Conclusions: 1). Knowledge, attitude and degree of oral hygiene students after health care services increased oral better 2). There was a decrease in rate-test decay (teeth better ) and Decay (permanent teeth ) on the student after the service of oral health care.


Sign in / Sign up

Export Citation Format

Share Document