Estimation of instantaneous venous blood saturation using the Photoplethysmograph (PPG) waveform

Non-invasive estimation of regional venous saturation (SxvO2) using a conventional pulse oximeter could provide a means of obtaining clinically relevant information. This study was carried out in order to investigate the hypothesis that SxvO2 could be estimated by utilising the modulations created by positive pressure ventilation in the photoplethysmograph (PPG) signals. The modulations caused by the mechanical ventilator were extracted from oesophageal PPG signals obtained from 12 patients undergoing cardiothoracic surgery. The signals analysed in this work were acquired in a previous study. For the purpose of this analysis the raw PPG signal was considered to have three major components, ac PPG signal (cardiac related component), a static component or dc PPG signal (created mostly by the absorption of light by surrounding tissue) and the ventilator modulation component. These components were then used to estimate instantaneous arterial blood oxygen saturation (SpO2) and SxvO2 by utilising time-frequency analysis technique of smoothed-pseudo Wigner–Ville distribution (SPWVD). The results showed that there was no significant difference in the traditionally-derived (time-domain) arterial saturation and the instantaneous arterial saturation. However, the instantaneous venous saturation was found to be significantly lower than the estimated time-domain and instantaneous arterial saturation (P=<0.001, n=12)

Memory texts and memory work: Performances of memory in and with visual media

The online version of this article can be found at: http://mss.sagepub.com/content/early/2010/05/24/175069801037003

From antiferromagnetism to superconductivity in Fe 1+y(Te1-x,Sex) (0 < x < 0.20): a neutron powder diffraction analysis

The nuclear and magnetic structure of Fe1+y(Te1-x,Sex) (0 < x < 0.20) compounds was analyzed between 2 K and 300 K by means of Rietveld refinement of neutron powder diffraction data. Samples with x < 0.075 undergo a tetragonal to monoclinic phase transition at low temperature, whose critical temperature decreases with increasing Se content; this structural transition is strictly coupled to a long range antiferromagnetic ordering at the Fe site. Both the transition to a monoclinic phase and the long range antiferromagnetism are suppressed for 0.10 < x < 0.20. The onset of the structural and of the magnetic transition remains coincident with the increase of Se substitution. The low temperature monoclinic crystal structure has been revised. Superconductivity arises for x > 0.05, therefore a significant region where superconductivity and long range antiferromagnetism coexist is present in the pseudo-binary FeTe - FeSe phase diagram.Comment: 33 pages, 4 tables, 13 figure

Grassland Management–The PROGRAZE™ Approach

Three courses PROGRAZE™, PROGRAZE™ Plus and STOCKPLAN® have been developed to provide a complete package to assist farmers manage their variable grassland grazing systems. As each package is separate the farmer can use the relevant tool to help them work through major issues they are dealing with at any point in time. All courses are based on the same principle, they do not give answers but rather provide training in skills development, provide key background knowledge and a framework to assist farmers plan and if needed to work through their problems to reach a solution they are comfortable with

Development and evaluation of a photometric fibre-optic sensor for monitoring abdominal organ photoplethysmographs and blood oxygen saturation

A two wavelength photometric fibre-optic reflectance sensor was developed for assessing abdominal organ perfusion. In vitro tests showed that reliable photoplethysmographic (PPG) signals and blood oxygen saturation (SpO2) values were recorded when the separation between emitting and receiving fibres was at 3mm and the emitting current was between 20mA-40mA. In a clinical study, good quality PPG signals were obtained from the small and large bowel of a patient undergoing laparotomy. Abdominal organ SpO2 were in good agreement with those obtained from a commercial device. These observations suggest that the fibre-optic sensor may be suitable for monitoring abdominal organ perfusion

In-Vivo Evaluation of a Fiber-Optic Splanchnic Photoplethysmographic Sensor during Open Laparotomy

There is a need for a reliable and continuous monitoring of abdominal organ oxygen saturation (SpO2). Splanchnic ischemia may ultimately lead to cellular hypoxia and necrosis and may well contribute to the development of multiple organ failures and increased mortality. A new prototype reflectance fiber optic photoplethysmographic sensor and signal processing system was evaluated on six anaesthetized patients undergoing elective laparotomy. PPG signals were obtained from various organs, including large and small bowel, liver, and stomach. The normalized amplitudes of the splanchnic PPG signals were in good agreement with those obtained from the periphery using an identical fiber optic sensor. Furthermore, average SpO2 values were in good agreement and showed correlation with those obtained from a commercial system. These preliminary results suggest that a miniaturized `indwelling' fiber optic sensor may be a suitable method for pre-operative and post-operative evaluation of splanchnic organ SpO2 and their health

A new fibre optic pulse oximeter probe for monitoring splanchnic organ arterial blood oxygen saturation

A new, continuous method of monitoring splanchnic organ oxygen saturation (SpO2) would make the early detection of inadequate tissue oxygenation feasible, reducing the risk of hypoperfusion, severe ischaemia, and, ultimately, death. In an attempt to provide such a device, a new fibre optic based reflectance pulse oximeter probe and processing system were developed followed by an in vivo evaluation of the technology on seventeen patients undergoing elective laparotomy. Photoplethysmographic (PPG) signals of good quality and high signal-to-noise ratio were obtained from the small bowel, large bowel, liver and stomach. Simultaneous peripheral PPG signals from the finger were also obtained for comparison purposes. Analysis of the amplitudes of all acquired PPG signals indicated much larger amplitudes for those signals obtained from splanchnic organs than those obtained from the finger. Estimated SpO2 values for splanchnic organs showed good agreement with those obtained from the finger fibre optic probe and those obtained from a commercial device. These preliminary results suggest that a miniaturized ‘indwelling’ fibre optic sensor may be a suitable method for pre-operative and post-operative evaluation of splanchnic organ SpO2 and their health

A New Fibre Optic Pulse Oximeter Probe for Monitoring Splanchnic Organ Arterial Blood Oxygen Saturation

a new continuous method of monitoring splanchnic organ oxygen saturation (SpO2) would make the early detection of inadequate tissue oxygenation feasible, reducing the risk of hypoperfusion, severe ischaemia, and, ultimately, death. In an attempt to provide such a device, a new fiber optic based reflectance pulse oximeter probe and processing system were developed followed by an in vivo evaluation of the technology on seventeen patients undergoing elective laparotomy. Photoplethysmographic (PPG) signals of good quality were obtained from the small bowel, large bowel, liver and stomach. Simultaneous peripheral PPG signals from the finger were also obtained for comparison purposes. Analysis of the amplitudes of all acquired PPG signals indicated much larger amplitudes for those signals obtained from splanchnic organs than those obtained from the periphery. Estimated SpO2 values for splanchnic organs showed good agreement with those obtained from the peripheral fibre optic probe and those obtained from a commercial device. These preliminary results suggest that a miniaturized ‘indwelling’ fibre optic sensor may be a suitable method for pre-operative and post-operative evaluation of splanchnic organ SpO2 and their health