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At least 145 records · Page 8Linked to original sources

A gas monitoring system for ethylene oxide sterilizers with constant sample flow through a microwave cavity spectrometer.

This paper reports a measurement system for monitoring the gas concentrations of ethylene oxide (EO) within sterilizers. It samples gas from the sterilizer chamber at a constant flow into a microwave cavity spectrometer. The pressure in the cavity of the spectrometer is linearly proportional to that in the sterilizer chamber, hence the partial pressure (i.e. gas concentration) of the EO gas is linearly proportional to that in the chamber. Measurement of the gas concentration in the chamber can therefore take place without the need to monitor and interpret the chamber pressure. As a consequence the reliability of the sterilization process may be improved, thus enabling a reduction in the in-chamber concentration of EO during sterilization and, hence, EO residues. The microwave cavity spectrometer operates under conditions of power saturation, and there is a good linear correlation between the output signal and the concentration of EO in the gas cell (to within a standard error of 4%).

Equipment Design↗

Automatic control and remote monitoring system for biological nutrient removal on small wastewater treatment plants in Korea.

Many small-size wastewater treatment plants in Korea's rural communities are designed to remove organic and suspended matter only, and they generally show a large fluctuation in the influent loading compared to municipal wastewater treatment plants (MWWTPs). They also have no professional engineers stationed for efficient operation against mechanical breakdown. For those reasons, the wastewater treatment plants have low efficiency in treatment of nitrogen and phosphorus as well as organic matter. In order to solve those problems, this study developed an automatic control system and RMS (remote monitoring system), which can keep efficiency stable despite any change in the small plants' loading rates and are capable of removing nutrient materials such as nitrogen or phosphorus. According to the results of the Experimental SBR system of the automatic control program, complete nitrification was made under oxic conditions and denitrification occurred as NO3-N concentration decreased by 0.5 mg/l in anoxic conditions and excellent nitrogen removal efficiency was seen generally. The Experimental SBR system created "phosphate release and uptake" effectively and displayed phosphate-removing efficiency up to more than 80% as the concentration of effluent was kept low by 0.4 mg/l. RMS developed in this study transmits a plant's data and operation states to clients in remote locations in real-time interval through the Internet. Therefore, although you are in a remote location, it allows you to see if a plant is properly operated or there is any breakdown.

Automation↗

[Thyroidal 125I monitoring system using a survey meter for 125I].

This paper describes the counting efficiency and detection limit of a thyroidal 125I monitoring system. Two systems were used: (1) M1 was composed of only a survey meter for 125I (SM) having a NaI(T1) crystal of 2 in phi X 5 mmt and (2) M2 was composed of the SM having an output terminal for spectroscopy and a multichannel pulse height analyzer. The counting efficiency was determined by using an anthropomorphic neck phantom embedded four simulated thyroids of 17, 20.5, 31 and 40 ml including 125I solution. The counting efficiency between 0 degrees and 45 degrees to the direction from the center of the thyroid to the front of the neck coincided within -4%. The efficiency of M1 ranged from 7.9 to 1.8% as the distance between the probe and the neck increased from 0 to 5 cm. Similarly the efficiency of M2 ranged from 8.3 to 2.2%. The detection limit of M1 ranged from 7 to 34 Bq, and the limit of M2 ranged from 1 to 5.1 Bq. M2 system was applied to monitoring a worker performing iodination with Na125I of 74 MBq. Both monitoring systems proved to sensitively detect thyroidal 125I within the uncertainty +/- 10%.

Humans↗

Thyroidal 125I monitoring system using an NaI (Tl) survey meter.

This paper describes the counting efficiency and detection limit of a thyroidal 125I monitoring system. Two systems were used: (1) M1 was composed simply of one survey meter for 125I (SM) having an NaI (Tl) crystal of 5.08-cm diameter by 5-mm thick, and (2) M2 was composed of the SM having an output terminal for spectroscopy and a multichannel pulse height analyzer. The counting efficiency was determined by using four simulated thyroids of 17, 20.5, 31, and 40 mL containing 125I solution. The simulated thyroids were embedded in an anthropomorphic neck phantom. The counting efficiency between 0 degrees and 45 degrees to the normal of the thyroid (front of the neck) changed by +/-2%. The efficiency of M1 ranged from 1.8 to 7.9% as the distance between the probe and the neck increased from 0 to 5 cm. Similarly, the efficiency of M2 ranged from 2.2 to 8.3%. The detection limit ranged from 7 to 34 Bq for M1 and from 1 to 5.1 Bq for M2. The M2 system was applied to monitoring a worker performing iodination with 74 MBq Na 125I. Both monitoring systems provided the necessary sensitivity to detect thyroidal 125I within the uncertainty of +/-10%.

Environmental Exposure↗

A serial interface design to integrate bedside devices into patient monitoring systems.

While substantial progress has been made toward the development of the Medical Information Bus (MIB), there is a pressing need, today, to integrate bedside devices into patient monitoring systems. To help meet this need, SpaceLabs Inc. has developed serial interfaces that integrate various stand-alone devices into a patient monitoring system. The company makes available a Universal Flexport Protocol to manufacturers who wish to make their devices compatible with the SpaceLabs patient monitoring systems. This paper describes the design of the Flexport serial interfaces and the Universal Flexport Protocol.

Computer Peripherals↗

[Multi-bed & multi-parameter central monitoring system based on TCP/IP protocol].

Communication is one of the key problems to a central monitoring system. In this paper we put forward a central monitoring system using TCP/IP as the network protocol, Windows NT4.0 as the platform, forming a Intranet in a hospital. We also discussed the communication problem between the bed-side monitoring station and the central monitoring station in detail and then put forward a new protocol--Hospital Central Monitor Protocol (HCMP) based on TCP/IP to transfer monitoring data. It is easy to achieve tele-monitoring through the current communication subsystem.

Computer Communication Networks↗

Real time fixation point monitoring system for photocoagulation of juxtafoveal neovascularisation.

BACKGROUND/AIMS: A new real time monitoring system has been developed to locate the fixation point during juxtafoveal laser photocoagulation. METHOD: The red diode laser beam is combined coaxially with the illumination beam to image a cross in the focal plane of the slit lamp, which allows projection of a red cross onto the patient's fundus. 27 patients with juxtafoveal choroidal neovascularisation were treated by photocoagulation using this system. RESULTS: 13 (48%) patients whose visual acuity ranged from 20/200 to 20/40 answered that it was easier to keep the focus on the cross target image than on the aiming beam. The patient maintained stable fixation throughout the treatment. The laser treatment was completed without foveal damage near the fixation point in all patients. CONCLUSION: The real time fixation monitoring system should allow surgeons to treat juxtafoveal lesions with laser photocoagulation more safely and accurately.

Choroidal Neovascularization↗

Space Station atmospheric monitoring systems.

A technology assessment study on atmospheric monitoring systems was performed by Battelle Columbus Division for the National Aeronautics and Space Administration's John F. Kennedy Space Center under Contract No. NAS 10-11033. In this assessment, the objective was to identify, analyze, and recommend systems to sample and measure Space Station atmospheric contaminants and identify where additional research and technology advancements were required. To achieve this objective, it was necessary to define atmospheric monitoring requirements and to assess the state of the art and advanced technology and systems for technical and operational compatibility with monitoring goals. Three technical tasks were defined to support these needs: Definition of Monitoring Requirements, Assessment of Sampling and Analytical Technology, and Technology Screening and Recommendations. Based on the analysis, the principal candidates recommended for development at the Space Station's initial operational capability were: (1) long-path Fourier transform infrared for rapid detection of high-risk contamination incidences, and (2) gas chromatography/mass spectrometry utilizing mass selective detection (or ion-trap) technologies for detailed monitoring of extended crew exposure to low level (ppbv) contamination. The development of a gas chromatography/mass spectrometry/matrix isolation-Fourier transform infrared system was recommended as part of the long range program of upgrading Space Station trace-contaminant monitoring needs.

Air Conditioning↗

[A computer-assisted monitoring system in intensive care units (author's transl)].

A microprocessor-based monitoring system is described which is currently being evaluated at out hospital. The microprocessor is capable of processing data from 32 channels from the patient's monitoring system as well as practically unlimited data from manual keyboard entries. At present 20 vital cardiopulmonary parameters are calculated in patients in the shock state (real time calculation).

Computers↗

Evaluation of an improved ileus monitoring system for intestinal motility.

To observe the recovery of normal intestinal movement and the effects of peristalsis-promoting agents in patients with intestinal obstruction, an ileus monitoring system using the balloon method was simultaneously compared with that using the infusion method in 24 patients. To initiate the balloon ileus monitoring system, measurement was started at a setting of 0 after connecting a transducer to the balloon inflation channel of a decompression tube. The recording sensitivity was 20 mmHg/cm, and the speed of recording was 5 mm/min. The sensitivity of the infusion method was found to be 0.70 +/- 0.17 times that of the balloon method, and therefore the balloon method was considered to be more accurate. The findings of this study show how useful this ileus monitoring system is for observing the motility of intestinal obstruction.

Endoscopes, Gastrointestinal↗

Day-to-day variability in acid reflux patterns using the BRAVO pH monitoring system.

BACKGROUND & GOALS: The wireless pH monitoring system such as the BRAVO pH system is a significant advancement in the evaluation of patients with gastroesophageal reflux because of its potentially better tolerability and the ability to record data over a 48-hour period. The aim of our study was to evaluate safety, performance, tolerability, and day-to-day variability in acid reflux patterns using the BRAVO pH system. METHODS: A total of 90 consecutive patients (48 men and 42 women) with persistent reflux symptoms underwent BRAVO pH capsule placement from October 2002 to August 2003 at a tertiary care hospital. The BRAVO pH capsule was deployed 6 cm proximal to the squamocolumnar junction under endoscopic guidance. The pH recordings over 48 hours were obtained after uploading data to a computer from the pager-like device that recorded pH signals from the BRAVO pH capsule. RESULTS: Successful pH data over 48 hours was obtained in 90% of patients. Nearly two thirds of patients experienced a variety of symptoms ranging from a foreign body sensation to chest discomfort or pain. Four patients had severe chest pain, 3 of whom required endoscopic removal of the BRAVO pH capsule. In 74.4% of patients, number of reflux events as well as time (%) pH<4 correlated from the first 24-hour period to the second 24-hour period. However, in 28% of patients, no predictable pattern of (%) time pH<4 in the supine position was reproduced from one 24-hour period to the next 24-hour period. CONCLUSIONS: The BRAVO pH system appears a safe and effective method of recording esophageal acid exposure. It is an acceptable alternative for patients who are unwilling or unable to tolerate nasopharyngeal catheter-based pH studies, and it has a potential advantage of the 2-day recording period.

Adolescent↗

The fast flush test measures the dynamic response of the entire blood pressure monitoring system.

The fast flush test (FT) is the only test that allows clinicians to determine in vivo the natural frequency (fn) and damping coefficient (zeta) of an invasive blood pressure monitoring system. The underlying assumption to the validity of the FT is that it activates the whole system including the distal catheter. We devised an in vitro model of a typical invasive blood pressure monitoring system to determine whether this assumption was true. The model consisted of a conventional transducer with a flush device attached to various lengths of connecting tubing (91.4, 182.9, and 274.3 cm) terminated by four different diameter catheters (5.1 cm 14 G, 16 G, 18 G, and 20 G). A microtipped transducer catheter was inserted into the distal catheter tubing system. A FT was performed and the fn and zeta were recorded from the conventional transducer and simultaneously from the microtipped transducer catheter. Similar studies were conducted using the ROSE damping device as well as with systems including 0.1 ml of air near the conventional transducer. These studies utilized 18- and 20-G catheters with each of the three lengths of connecting tubing. All measurements of fn and zeta at the proximal conventional transducer were identical to those measurements as recorded by the distal microtipped transducer catheter. We conclude that the FT activates the whole monitoring system and that fn and zeta are the same throughout the system including the distal catheter.

Blood Pressure Monitors↗

[Development and evaluation of the ambulatory relative metabolic rate (RMR) realtime monitoring system].

Development of an ambulatory RMR monitoring system for evaluating the physical work-load is presented. This system can be used under special conditions where it is difficult to use the traditional "Douglas" method. The main features of this system are: Using an improved turbin-spirometer to measure expiratory gas volume, data-processing procedure is simplified by converting a 0.1 iota expiratory gas volume to an electric pulse signal. Utilizing a Galvanic-cell type sensor, a kind of porlarograph electrode, to measure oxygen concentration in expiratory gas, the temperature of the electrode is maintained constantly at 40 degrees C in order to stabilize the output of the sensor against change in environmental and expiratory gas temperature. To improve the accuracy measurement of oxygen concentration and to prevent the teflon membrane at the top of the electrode from chilling and vibrating by direct expiratory gas flow, the bypass stream line is led to the electrode and a small portion of expiratory gas is introduced to measure oxygen concentration. It is possible to measure the time-sequential RMR value for several hours by minimizing and lightening the measuring instruments. It is possible to measure the time-sequential changing characteristics of the physical work-load (RMR), heart rate, breathing rate, and skin temperature under the actual work environment by a telemetring or portable recording method.

Energy Metabolism↗

A computerized X-ray dose-monitoring system.

An x-ray dose-monitoring system using a small digital computer is described. Initially, and for every 6 months afterward, the system is calibrated using an exposure meter. For each exposure, the computer receives values of x-ray technique and beam geometry from the x-ray generator through a specially designed electronic interface. Then, by means of calibration data, entrance exposure, area exposure product, and integral dose are obtained and printed for each patient examined. The overall accuracy of the system is better than +/- 20%. Operation is semiautomatic, requiring minimum operator intervention. Over 2,000 patients have been monitored with the device. Because the system is computer-based, it offers the opportunity for statistical analysis of the data base created, as the results for each patient are stored on computer disk.

Calibration↗

Response characteristics of a dual transcutaneous oxygen/carbon dioxide monitoring system.

We tested the response characteristics of a dual transcutaneous (tc) PO2/PCO2 monitoring system in healthy subjects who breathed various gas mixtures, and we compared steady-state tc readings to simultaneous arterial blood gas analysis in 20 stable respiratory outpatients. The electrodes were simple to apply, required very little skin preparation, and had trivial signal drift. In healthy subjects, tcPCO2 lag time during CO2 rebreathing was 16.8 seconds, with a 90 percent response time of 77.9 seconds after CO2 breathing was discontinued. The 90 percent response times of the O2 electrode when subjects breathed a hypoxic mixture was 257 seconds after a lag of 31 seconds. When inhaled gas mixtures were changed from hypoxia to room air, the lag time was shorter (12.5 seconds), but 90 percent response time exceeded 5 minutes. In stable patients with respiratory disease, tcPCO2 and tcPO2 were linearly related to PaCO2 (range, 19 to 53 mm Hg) and PaO2 (range, 45 to 99 mm Hg), respectively (tcPCO2 = 1.4 PaCO2-9.44, with r = 0.90 and SEE = 5.35 mm Hg; tcPO2 = 0.56 PaO2 + 20.4, with r = 0.53 and SEE = 11.7 mm Hg). We conclude that the response of the dual transcutaneous monitoring system is more rapid for the CO2 than the O2 electrode and may be rapid enough to be useful in some clinical settings; however, the O2 system fails to offer the response characteristics and accuracy that would allow it to be substituted for arterial gas tensions in unstable clinical situations.

Blood Gas Monitoring, Transcutaneous↗

[Clinical experience of long-distance electronic fetal heart rate monitoring system by telephone].

OBJECTIVE: To explore the value of the long-distance electronic fetal heart rate monitoring system by telephone and explore a new way of self-monitoring at home for pregnant woman. METHOD: 204 high risk pregnant women came to our clinic were enrolled in this study. Complications included pregnancy induced hypertension (PIH), intrauterine growth retardation (IUGR), anemia, diabetes, hemolysis, nephropathy. In the study group, 97 women took the terminal part of the fetal heart rate monitoring system home and were requested to auscultate and count fetal heart rate three times a day, while another 107 cases did the self monitoring by fetal movement counting daily and served as control group. For the study group, whenever woman felt any abnormality of her baby, she could contact the long-distance electronic fetal heart rate (FHR) monitoring center in hospital by telephone immediately. The signal of fetal heart beat and fetal movement was converted and analyzed in the electronic FHR monitoring center by computer at the same time. The fetal heart rate curve was printed out, and diagnosis and management could be made. Age, gestational weeks, high risk factors, abnormal non-stress test (NST), Apgar score and birth weight of newborn were analyzed between the experimental and control group retrospectively. RESULTS: There were no obviously differences in age, gestational weeks, weight of newborn, high risk factors between the 2 groups. The incidence of abnormal NST and Apgar score of newborn were significantly higher in the study group than that in the control group, while the incidence of neonatal asphyxia was significantly lower. CONCLUSIONS: This study suggested that the long-distance electronic FHR monitoring by telephone was a reliable, sensitive and applicable method of self-monitoring for pregnant woman at home, use of this system could decrease the incidence of fetal distress, brain damage and perinatal mortality, thus improves the quality of perinatal care.

Adult↗

Computerized monitoring system in neurosurgical intensive care.

A computerized monitoring and analyzing system for neurosurgical intensive care has been developed. The system continuously monitors the function of the central nervous, cardiovascular and respiratory systems. Correlation between such parameters can be analyzed automatically. The electroencephalogram (EEG) and intracranial pressure (ICP) were monitored as parameters for CNS function and condition. The cardiovascular and respiratory systems were monitored by heart rate, systemic blood pressure, central venous pressure, pulmonary arterial pressure, respiratory rate, and expiratory O2 and CO2 pressures. Body temperature was also monitored continuously. Sequential changes of those parameters were displayed on time-dependent trend graphs, and correlations between each parameter were automatically analyzed by linear regression equations. The clinical applicability of the system was demonstrated in the postoperative treatment of cerebral vasospasm following subarachnoid hemorrhage due to ruptured intracranial aneurysm. In such a case, EEG slowing was observed in this system prior to clinical deterioration, and had a correlation with a decrease of pulmonary arterial pressure. Thus, the necessity for restoration of intravascular volume was realized before clinical deterioration progressed.

Aged↗