Optimal filter bandwidth for pulse oximetry

NASA Astrophysics Data System (ADS)

Stuban, Norbert; Niwayama, Masatsugu

2012-10-01

Pulse oximeters contain one or more signal filtering stages between the photodiode and microcontroller. These filters are responsible for removing the noise while retaining the useful frequency components of the signal, thus improving the signal-to-noise ratio. The corner frequencies of these filters affect not only the noise level, but also the shape of the pulse signal. Narrow filter bandwidth effectively suppresses the noise; however, at the same time, it distorts the useful signal components by decreasing the harmonic content. In this paper, we investigated the influence of the filter bandwidth on the accuracy of pulse oximeters. We used a pulse oximeter tester device to produce stable, repetitive pulse waves with digitally adjustable R ratio and heart rate. We built a pulse oximeter and attached it to the tester device. The pulse oximeter digitized the current of its photodiode directly, without any analog signal conditioning. We varied the corner frequency of the low-pass filter in the pulse oximeter in the range of 0.66-15 Hz by software. For the tester device, the R ratio was set to R = 1.00, and the R ratio deviation measured by the pulse oximeter was monitored as a function of the corner frequency of the low-pass filter. The results revealed that lowering the corner frequency of the low-pass filter did not decrease the accuracy of the oxygen level measurements. The lowest possible value of the corner frequency of the low-pass filter is the fundamental frequency of the pulse signal. We concluded that the harmonics of the pulse signal do not contribute to the accuracy of pulse oximetry. The results achieved by the pulse oximeter tester were verified by human experiments, performed on five healthy subjects. The results of the human measurements confirmed that filtering out the harmonics of the pulse signal does not degrade the accuracy of pulse oximetry.

Optimal filter bandwidth for pulse oximetry.

PubMed

Stuban, Norbert; Niwayama, Masatsugu

2012-10-01

Pulse oximeters contain one or more signal filtering stages between the photodiode and microcontroller. These filters are responsible for removing the noise while retaining the useful frequency components of the signal, thus improving the signal-to-noise ratio. The corner frequencies of these filters affect not only the noise level, but also the shape of the pulse signal. Narrow filter bandwidth effectively suppresses the noise; however, at the same time, it distorts the useful signal components by decreasing the harmonic content. In this paper, we investigated the influence of the filter bandwidth on the accuracy of pulse oximeters. We used a pulse oximeter tester device to produce stable, repetitive pulse waves with digitally adjustable R ratio and heart rate. We built a pulse oximeter and attached it to the tester device. The pulse oximeter digitized the current of its photodiode directly, without any analog signal conditioning. We varied the corner frequency of the low-pass filter in the pulse oximeter in the range of 0.66-15 Hz by software. For the tester device, the R ratio was set to R = 1.00, and the R ratio deviation measured by the pulse oximeter was monitored as a function of the corner frequency of the low-pass filter. The results revealed that lowering the corner frequency of the low-pass filter did not decrease the accuracy of the oxygen level measurements. The lowest possible value of the corner frequency of the low-pass filter is the fundamental frequency of the pulse signal. We concluded that the harmonics of the pulse signal do not contribute to the accuracy of pulse oximetry. The results achieved by the pulse oximeter tester were verified by human experiments, performed on five healthy subjects. The results of the human measurements confirmed that filtering out the harmonics of the pulse signal does not degrade the accuracy of pulse oximetry.

Photonic textiles for pulse oximetry.

PubMed

Rothmaier, Markus; Selm, Bärbel; Spichtig, Sonja; Haensse, Daniel; Wolf, Martin

2008-08-18

Biomedical sensors, integrated into textiles would enable monitoring of many vitally important physiological parameters during our daily life. In this paper we demonstrate the design and performance of a textile based pulse oximeter, operating on the forefinger tip in transmission mode. The sensors consisted of plastic optical fibers integrated into common fabrics. To emit light to the human tissue and to collect transmitted light the fibers were either integrated into a textile substrate by embroidery (producing microbends with a nominal diameter of 0.5 to 2 mm) or the fibers inside woven patterns have been altered mechanically after fabric production. In our experiments we used a two-wavelength approach (690 and 830 nm) for pulse wave acquisition and arterial oxygen saturation calculation. We have fabricated different specimens to study signal yield and quality, and a cotton glove, equipped with textile based light emitter and detector, has been used to examine movement artifacts. Our results show that textile-based oximetry is feasible with sufficient data quality and its potential as a wearable health monitoring device is promising.

Pulse Oximetry Overestimates Oxygen Saturation in COPD.

PubMed

Amalakanti, Sridhar; Pentakota, Mohan Rao

2016-04-01

Measurement of oxygen saturation with a handheld pulse oximeter is widely practiced as a surrogate to invasive arterial blood gas analysis. Oxygen saturation is an important parameter in cases of COPD, but there are insufficient data on the role of pulse oximetry in patients with COPD, moreso in diseases across its spectrum, such as chronic bronchitis and emphysema. We assessed the performance of pulse oximetry in acute respiratory failure of patients with COPD. This was a cross-sectional, observational study. We studied 50 subjects with COPD admitted to the Government General Hospital, a 1,000-bed tertiary referral center in Guntur, India, from June 2013 to July 2013. Simultaneous reading of S(pO2) by a handheld pulse oximeter and S(aO2) by an automated arterial blood gas analyzer were taken. Pulse oximetry was sufficiently sensitive (84.60%) to hypoxemia in respiratory failure to be used in clinical situations. The mean difference (bias) between SaO2 and S(pO2) was -3.98 (95% CI -4.68 to 3.28). There was less sensitivity (82% vs. 85%) and positive predictive value (69% vs. 85%) of the pulse oximeter to respiratory failure in subjects with chronic bronchitis versus emphysema. Pulse oximetry performed poorly in comparison with the invasive arterial blood gas analysis. The variability of the readings was greater in the subjects with chronic bronchitis than in those with emphysema. Copyright © 2016 by Daedalus Enterprises.

Pulse oximeter as a sensor of fluid responsiveness: do we have our finger on the best solution?

PubMed Central

Monnet, Xavier; Lamia, Bouchra; Teboul, Jean-Louis

2005-01-01

The pulse oximetry plethysmographic signal resembles the peripheral arterial pressure waveform, and the degree of respiratory variation in the pulse oximetry wave is close to the degree of respiratory arterial pulse pressure variation. Thus, it is tempting to speculate that pulse oximetry can be used to assess preload responsiveness in mechanically ventilated patients. In this commentary we briefly review the complex meaning of the pulse oximetry plethysmographic signal and highlight the advantages, limitations and pitfalls of the pulse oximetry method. Future studies including volume challenge must be performed to test whether the pulse oximetry waveform can really serve as a nonivasive tool for the guidance of fluid therapy in patients receiving mechanical ventilation in intensive care units and in operating rooms. PMID:16277729

Rearfoot Transcutaneous Oximetry is a Useful Tool to Highlight Ischemia of the Heel

DOE Office of Scientific and Technical Information (OSTI.GOV)

Izzo, Valentina, E-mail: valentina-izzo@virgilio.it; Meloni, Marco, E-mail: meloni.marco@libero.it; Fabiano, Sebastiano, E-mail: sebas575@yahoo.it

PurposeTo demonstrate the usefulness of rearfoot transcutaneous oximetry to assess the peripheral arterial disease in diabetic patients with heel ulcer.MethodsFrom our database of 550 critical limb ischemia diabetic patients followed after a percutaneous transluminal angioplasty, we have selected patients with below the knee arterial disease. Patients were grouped according to the dorsal transcutaneous oximetry value (Group A < 30 mmHg; Group B ≥ 30 mmHg). Patients of Group B had a second oximetry performed at the rearfoot, close to the lesion localized in all cases at the heel. Finally, the analysis of the arterial pattern disease has been done.ResultsWe selected 191 patients: Group A (151 patients),more » dorsal transcutaneous oximetry of 11.8 ± 0.7 mmHg; Group B (40 patients), dorsal transcutaneous oximetry of 44.2 ± 10.1 mmHg. In Group B, rearfoot oximetry was 20.5 ± 5 mmHg, significantly lower than dorsal oximetry (p = 0.0179). The anterior tibial artery was involved in all patients of Group A. In Group B, the anterior tibial artery was involved in 15 subjects and never alone; the posterior tibial artery was involved in 20 subjects and in 11 cases alone. The peroneal artery was affected in 20 subjects and in 14 patients alone.ConclusionWhen a heel lesion is present and the transcutaneous oximetry recorded on the dorsum of the foot does not confirm the presence of critical limb ischemia (not ≤30 mmHg), a second oximetry recorded on the rearfoot is useful to point out ischemia of the peroneal artery and/or of the posterior tibial artery.« less

Fundus spectroscopy and studies in retinal oximetry using intravitreal illumination

NASA Astrophysics Data System (ADS)

Salyer, David Alan

This dissertation documents the development of a new illumination technique for use in the studies of retinal oximetry and fundus spectroscopy. Intravitreal illumination is a technique where the back of the eye is illuminated trans-sclerally using a scanning monochromator coupled into a fiber optic illuminator. Retinal oximetry is the process of measuring the oxygen saturation of blood contained in retinal vessels by quantitative measurement of the characteristic color shift seen as blood oxygen saturation changes from oxygenated blood (reddish) to deoxygenated blood (bluish). Retinal oximetry was first attempted in 1963 but due to a variety of problems with accuracy and difficulty of measurement, has not matured to the point of clinical acceptability or commercial viability. Accurate retinal oximetry relies in part on an adequate understanding of the spectral reflectance characteristics of the fundus. The use of intravitreal illumination allows new investigations into the spectral reflectance properties of the fundus. The results of much research in fundus reflectance and retinal oximetry is detailed in this document, providing new insight into both of these related fields of study. Intravitreal illumination has been used to study retinal vessel oximetry and fundus reflectometry resulting in several important findings that are presented in this document. Studies on enucleated swine eyes have provided new insight into the bidirectional reflectance distribution function of the fundus. Research on live swine has shown accurate measurement of retinal vessel oxygen saturation and provided the first in vivo spectral transmittance measurement of the sensory retina. A secondary discovery during this research suggests that vitrectomy alters the retinal vasculature, an finding that should spawn new research in its own right.

Quantitative evaluation of photoplethysmographic artifact reduction for pulse oximetry

NASA Astrophysics Data System (ADS)

Hayes, Matthew J.; Smith, Peter R.

1999-01-01

Motion artefact corruption of pulse oximeter output, causing both measurement inaccuracies and false alarm conditions, is a primary restriction in the current clinical practice and future applications of this useful technique. Artefact reduction in photoplethysmography (PPG), and therefore by application in pulse oximetry, is demonstrated using a novel non-linear methodology recently proposed by the authors. The significance of these processed PPG signals for pulse oximetry measurement is discussed, with particular attention to the normalization inherent in the artefact reduction process. Quantitative experimental investigation of the performance of PPG artefact reduction is then utilized to evaluate this technology for application to pulse oximetry. While the successfully demonstrated reduction of severe artefacts may widen the applicability of all PPG technologies and decrease the occurrence of pulse oximeter false alarms, the observed reduction of slight artefacts suggests that many such effects may go unnoticed in clinical practice. The signal processing and output averaging used in most commercial oximeters can incorporate these artefact errors into the output, while masking the true PPG signal corruption. It is therefore suggested that PPG artefact reduction should be incorporated into conventional pulse oximetry measurement, even in the absence of end-user artefact problems.

Clinical nurses' knowledge level on pulse oximetry: A descriptive multi-centre study.

PubMed

Milutinović, Dragana; Repić, Gordana; Aranđelović, Branimirka

2016-12-01

The aim of this study was to assess the level of knowledge on pulse oximetry among nurses. Understanding this is important because insufficient knowledge can lead to misinterpretation of pulse oximetry readings and consequently compromise patient safety. The study was cross-sectional and included a sample of 198 nurses. A modified questionnaire by Kiekkas et al. was used as the research tool. Intensive care units, anaesthesiology and emergency departments in two tertiary health care institutions in Serbia. Principles of pulse oximeter function and conditions that can affect accuracy and reliability of pulse oximetry readings. The lower percentage of correct responses about principles of pulse oximetry function was found in items related with the alarm reliability and understanding technical limitations. The factors that might affect pulse oximetry readings which were not identified by the nurses at a satisfactory level were the body position and specific kinds of ambient light. The mean scores of knowledge level were significantly different regarding departments (p=0.015). Since this study revealed a lower level of knowledge in some aspects of pulse oximetry, it can be concluded that the generally firm belief that "experience is everything" can be challenged. This fact is important for the quality of health care and the patient's safety. Copyright © 2016 Elsevier Ltd. All rights reserved.

The role of pulse oximetry in chiropractic practice: a rationale for its use

PubMed Central

Hall, Michael W.; Jensen, Anne M.

2012-01-01

Objective Pulse oximetry is used regularly to assess oxygen saturation levels. The objective of this commentary is to discuss a rationale for using pulse oximetry in chiropractic practice. Discussion Pulse oximetry may offer doctors of chiropractic a way to monitor patients' oxygen saturation levels. Quantification of saturation values with heart rate may give clinical aid to the management of chiropractic patients. Markedly reduced saturation levels may necessitate medical referral, whereas mildly reduced levels could lead to changes in chiropractic management. Conclusions Pulse oximetry has the potential to be an integral part of chiropractic practice. PMID:23204957

Spatial Variation of Surface Wave Q and Body Wave t* in North America

NASA Astrophysics Data System (ADS)

Hwang, Y.; Ritsema, J.

2007-12-01

We estimate the spatial variation of the seismic parameter t* using teleseismic (30°--90°) P wave recordings of about 300 deep (> 200 km) earthquakes at broadband stations in North America. We determine the P wave spectral ratio Rij for about 600,000 station pairs i-j with high signal-to-noise ratio P wave signals. The linear fit to lnRij between f= 0.1--1.0 Hz is measured to estimate differential Δt* assuming that lnRij is proportional to π fΔt* (e.g., Aki and Richards, 1980). The measurements are inverted for t* at each station by least-squares inversion. Preliminary inversions indicate that the variation of t* correlate with the tectonic terrains of North America. Predominantly low values of t* are obtained for stations in the Canadian Shield and high t* values in the North American Cordillera. This variation is similar to Q variations inferred from global surface wave amplitude data (e.g., Dalton and Ekström, 2006), suggesting that intrinsic attenuation is the common cause. We will discuss the robustness of our t* estimates (including the effects of scattering on P wave ratios) and make a detailed comparison with surface wave Q maps.

Comparison between pulse oximetry and transthoracic impedance alarm traces during home monitoring.

PubMed

Nassi, N; Piumelli, R; Lombardi, E; Landini, L; Donzelli, G; de Martino, M

2008-02-01

To compare transthoracic impedance (TTI/ECG) and pulse oximetry alarm traces detected during home monitoring in infants at risk of apnoea, bradycardia and hypoxaemia. A retrospective evaluation of the monitor downloads of 67 infants who had undergone either TTI/ECG or pulse oximetry home monitoring using a device which can detect both parameters. The patients were categorised as: apparent life-threatening events (n = 39), preterm infants (n = 21) and miscellaneous (n = 7). TTI/ECG and pulse oximetry alarm traces were scored as either true or false alarms. Classification criteria were based on visual analysis of the impedance and plethysmographic waveforms captured by the memory monitor every time alarm thresholds were violated. 5242 alarms occurred over 3452 days of monitoring: 4562 (87%) were false and 680 (13%) true. The mean duration of monitoring was 51 days (range 5-220 days). There were 2982 TTI/ECG false alarms (65% of the total) and 1580 pulse oximetry false alarms (35%) (p = 0.0042). Of the 680 true alarms, 507 (74%) were desaturations not attributable to central apnoea and 173 (26%) were true TTI/ECG alarms (p = 0.0013). Comparison of pulse oximetry and TTI/ECG alarm traces shows that true events were mostly attributable to desaturations, while false alarms were mainly provoked by TTI/ECG. The total number of false alarms is lower than reported in other studies using TTI/ECG only, thus indicating that monitoring using both pulse oximetry and TTI/ECG is suitable for home use. When the combination of both techniques is not feasible or not required, we recommend the use of motion resistant pulse oximetry alone.

Parental preference and perspectives on continuous pulse oximetry in infants and children with bronchiolitis

PubMed Central

Hendaus, Mohamed A; Nassar, Suzan; Leghrouz, Bassil A; Alhammadi, Ahmed H; Alamri, Mohammed

2018-01-01

Objective The purpose of the study was to investigate parental preference of continuous pulse oximetry in infants and children with bronchiolitis. Materials and methods A cross-sectional prospective study was conducted at Hamad Medical Corporation in Qatar. Parents of infants and children <24 months old and hospitalized with bronchiolitis were offered an interview survey. Results A total of 132 questionnaires were completed (response rate 100%). Approximately 90% of participants were 20–40 years of age, and 85% were females. The mean age of children was 7.2±5.8 months. Approximately eight in ten parents supported the idea of continuous pulse oximetry in children with bronchiolitis. Almost 43% of parents believed that continuous pulse-oximetry monitoring would delay their children’s hospital discharge. Interestingly, approximately 85% of caregivers agreed that continuous pulse oximetry had a good impact on their children’s health. In addition, around one in two of the participants stated that good bedside examinations can obviate the need for continuous pulse oximetry. Furthermore, 80% of parents believed that continuous pulse-oximetry monitoring would give the health-care provider a good sense of security regarding the child’s health. Finally, being a male parent was associated with significantly increased risk of reporting unnecessary fatigue, attributed to the sound of continuous pulse oximetry (P=0.031). Conclusion Continuous pulse-oximetry monitoring in children with bronchiolitis was perceived as reassuring for parents. Involving parents in decision-making is considered essential in the better management of children with bronchiolitis or any other disease. The first step to decrease continuous pulse oximetry will require provider education and change as well. Furthermore, we recommend proper counseling for parents, emphasizing that medical technology is not always essential, but is a complementary mode of managing a disease. PMID:29662305

Texas Pulse Oximetry Project: A Multicenter Educational and Quality Improvement Project for Implementation of Critical Congenital Heart Disease Screening Using Pulse Oximetry.

PubMed

Guillory, Charleta; Gong, Alice; Livingston, Judith; Creel, Liza; Ocampo, Elena; McKee-Garrett, Tiffany

2017-07-01

Objective  Critical congenital heart disease (CCHD) is a leading cause of death in infants. Newborn screening (NBS) by pulse oximetry allows early identification of CCHD in asymptomatic newborns. To improve readiness of hospital neonatal birthing facilities for mandatory screening in Texas, an educational and quality improvement (QI) project was piloted to identify an implementation strategy for CCHD NBS in a range of birthing hospitals. Study Design  Thirteen Texas hospitals implemented standardized CCHD screening by pulse oximetry. An educational program was devised and a tool kit was created to facilitate education and implementation. Newborn nursery nurses' knowledge was assessed using a pre- and posttest instrument. Results  The nurses' knowledge assessment improved from 71 to 92.5% ( p  < 0.0001). Of 11,322 asymptomatic newborns screened after 24 hours of age, 11 had a positive screen, with 1 confirmed case of CCHD. Pulse oximetry CCHD NBS had sensitivity of 100%, specificity of 99.91%, false-positive rate of 0.088%, positive predictive value of 9.09%, and negative predictive value of 100%. Conclusion  Our educational program, including a tool kit, QI processes, and standardized pulse oximetry CCHD NBS, is applicable for a range of hospital birthing facilities and may facilitate wide-scale implementation, thereby improving newborn health. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pulse Oximetry as a Medical Physics Practical on School Trips

ERIC Educational Resources Information Center

Gibson, Adam P.; Chandra, Elizabeth; Chandra, Manik

2009-01-01

We have measured blood oxygenation levels in a group of 14 people (8 young people and 6 adults) on a physically demanding expedition to Mt Kenya. Blood oxygenation was measured at 11 different altitudes between 1910 and 4985 m using pulse oximetry. We found that pulse oximetry was suitable for use on a youth expedition and we were able to show…

A theoretical model for optical oximetry at the capillary-level by optical coherence tomography (Conference Presentation)

NASA Astrophysics Data System (ADS)

Liu, Rongrong; Spicer, Graham; Chen, Siyu; Zhang, Hao F.; Yi, Ji; Backman, Vadim

2017-02-01

Oxygen saturation (sO2) of RBCs in capillaries can indirectly assess local tissue oxygenation and metabolic function. For example, the altered retinal oxygenation in diabetic retinopathy and local hypoxia during tumor development in cancer are reflected by abnormal sO2 of local capillary networks. However, it is far from clear whether accurate label-free optical oximetry (i.e. measuring hemoglobin sO2) is feasible from dispersed red blood cells (RBCs) at the single-capillary level. The sO2-dependent hemoglobin absorption contrast present in optical scattering signal is complicated by geometry-dependent scattering from RBCs. Here we provide a theoretical model to calculate the backscattering spectra of single RBCs based on the first-order Born approximation, considering the orientation, size variation, and deformation of RBCs. We show that the oscillatory spectral behavior of RBC geometries is smoothed by variations in cell size and orientation, resulting in clear sO2-dependent spectral contrast. In addition, this spectral contrast persists with different deformations of RBCs, allowing the sO2 of individual RBCs in capillaries to be characterized. The theoretical model is verified by Mie theory and experiments using visible light optical coherence tomography (vis-OCT). Thus, this study shows for the first time the feasibility of, and provides a theoretical model for, label-free optical oximetry at the single-capillary level by backscattering-based imaging modalities, challenging the popular view that such measurements are impossible at the single-capillary level. This is promising for in vivo backscattering-based optical oximetry at the single-capillary level, to measure local capillary sO2 for early diagnosis, progression monitoring, and treatment evaluation of diabetic retinopathy and cancer.

Rogue wave variational modelling through the interaction of two solitary waves

NASA Astrophysics Data System (ADS)

Gidel, Floriane; Bokhove, Onno

2016-04-01

The extreme and unexpected characteristics of Rogue waves have made them legendary for centuries. It is only on the 1st of January 1995 that these mariners' tales started to raise scientist's curiosity, when such a wave was recorded in the North Sea; a sudden wall of water hit the Draupner offshore platform, more than twice higher than the other waves, providing evidence of the existence of rogue or freak waves. Since then, studies have shown that these surface gravity waves of high amplitude (at least twice the height of the other sea waves [Dyste et al., 2008]) appear in non-linear dispersive water motion [Drazin and Johnson, 1989], at any depth, and have caused a lot of damage in recent years [Nikolkina and Didenkulova, 2011 ]. So far, most of the studies have tried to determine their probability of occurrence, but no conclusion has been achieved yet, which means that we are currently unenable to predict or avoid these monster waves. An accurate mathematical and numerical water-wave model would enable simulation and observation of this external forcing on boats and offshore structures and hence reduce their threat. In this work, we aim to model rogue waves through a soliton splash generated by the interaction of two solitons coming from different channels at a specific angle. Kodama indeed showed that one way to produce extreme waves is through the intersection of two solitary waves, or one solitary wave and its oblique reflection on a vertical wall [Yeh, Li and Kodama, 2010 ]. While he modelled Mach reflection from Kadomtsev-Petviashvili (KP) theory, we aim to model rogue waves from the three-dimensional potential flow equations and/or their asymptotic equivalent described by Benney and Luke [Benney and Luke, 1964]. These theories have the advantage to allow wave propagation in several directions, which is not the case with KP equations. The initial solitary waves are generated by removing a sluice gate in each channel. The equations are derived through a

Utility of Pulse Oximetry to Detect Aspiration: An Evidence-Based Systematic Review.

PubMed

Britton, Deanna; Roeske, Amy; Ennis, Stephanie K; Benditt, Joshua O; Quinn, Cassie; Graville, Donna

2018-06-01

Pulse oximetry is a commonly used means to measure peripheral capillary oxyhemoglobin saturation (SpO 2 ). Potential use of pulse oximetry to detect aspiration is attractive to clinicians, as it is readily available, quick, and noninvasive. However, research regarding validity has been mixed. This systematic review examining evidence on the use of pulse oximetry to detect a decrease in SpO 2 indicating aspiration during swallowing is undertaken to further inform clinical practice in dysphagia assessment. A multi-engine electronic search was conducted on 8/25/16 and updated on 4/8/17 in accordance with standards published by the Preferred Reporting for Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA). Inclusion criteria included use of pulse oximetry to detect aspiration with simultaneous confirmation of aspiration via a gold standard instrumental study. Keywords included dysphagia or aspiration AND pulse oximetry. Articles meeting criteria were reviewed by two blinded co-investigators. The search yielded 294 articles, from which 19 were judged pertinent and reviewed in full. Ten met the inclusion criteria and all were rated at Level III-2 on the Australian Diagnostic Levels of Evidence. Study findings were mixed with sensitivity ranging from 10 to 87%. Potentially confounding variables were observed in all studies reviewed, and commonly involved defining "desaturation" within a standard measurement error range (~ 2%), mixed populations, mixed viscosities/textures observed during swallowing, and lack of comparison group. The majority of studies failed to demonstrate an association between observed aspiration and oxygen desaturation. Current evidence does not support the use of pulse oximetry to detect aspiration.

The Effect of Area Variation on Wave Rotor Elements

NASA Technical Reports Server (NTRS)

Wilson, Jack

1997-01-01

The effect of varying the cross-sectional flow area of the passages of a wave rotor is examined by means of the method of characteristics. An idealized expansion wave, an idealized inlet port, and an idealized compression stage are considered. It is found that area variation does not have a very significant effect on the expansion wave, nor on the compression stage. For the expansion wave, increasing the passage area in the flow direction has the same effect as a diffuser, so that the flow emerges at a lower velocity than it would for the constant area case. This could be advantageous. The inlet is strongly affected by the area variation, as it changes the strength of the hammer shock wave, thereby changing the pressure behind it. In this case, reduction in the passage area in the flow direction leads to increased pressure. However, this result is dependent on the assumption that the inlet conditions remain constant with area variation. This may not be the case.

Prognostic value of nocturnal pulse oximetry in patients with heart failure.

PubMed

Rivera-López, Ricardo; Jordán-Martínez, Laura; López-Fernández, Silvia; Rivera-Fernandez, Ricardo; Tercedor, Luis; Sáez-Roca, Germán

2018-05-23

To analyze the prognostic value of nocturnal hypoxemia measured with portable nocturnal pulse-oximetry in patients hospitalized due to heart failure and its relation to mortality and hospital readmission. We included 38 patients who were admitted consecutively to our unit with the diagnosis of decompensated heart failure. Pulse-oximetry was considered positive for hypoxemia when more than 10 desaturations per hour were recorded during sleep. Follow-up was performed for 30.3 (standard deviation [SD] 14.2) months, the main objective being a combined endpoint of all-cause mortality and hospital readmission due to heart failure. The average age was 70.7 (SD 10.7) years, 63.3% were males. Pulse-oximetry was considered positive for hypoxemia in 27 (71%) patients. Patients with positive pulse-oximetry had the most frequent endpoint (9.1% [1] vs. 61.5% [16], P = 0.003). After multivariate analysis, continuous nocturnal hypoxemia was related to the combined endpoint (HR = 8.37, 1.19-68.4, P = 0.03). Patients hospitalized for heart failure and nocturnal hypoxemia measured with portable pulse-oximeter have an increased risk of hospital readmission and death. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

Longitudinal Variations of Low-Latitude Gravity Waves and Their Impacts on the Ionosphere

NASA Astrophysics Data System (ADS)

Cullens, C. Y.; England, S.; Immel, T. J.

2014-12-01

The lower atmospheric forcing has important roles in the ionospheric variability. However, influences of lower atmospheric gravity waves on the ionospheric variability are still not clear due to the simplified gravity wave parameterizations and the limited knowledge of gravity wave distributions. In this study, we aim to study the longitudinal variations of gravity waves and their impacts of longitudinal variations of low-latitude gravity waves on the ionospheric variability. Our SABER results show that longitudinal variations of gravity waves at the lower boundary of TIME-GCM are the largest in June-August and January-February. We have implemented these low-latitude gravity wave variations from SABER instrument into TIME-GCM model. TIME-GCM simulation results of ionospheric responses to longitudinal variations of gravity waves and physical mechanisms will be discussed.

Advances in Probes and Methods for Clinical EPR Oximetry

PubMed Central

Hou, Huagang; Khan, Nadeem; Jarvis, Lesley A.; Chen, Eunice Y.; Williams, Benjamin B.; Kuppusamy, Periannan

2015-01-01

EPR oximetry, which enables reliable, accurate, and repeated measurements of the partial pressure of oxygen in tissues, provides a unique opportunity to investigate the role of oxygen in the pathogenesis and treatment of several diseases including cancer, stroke, and heart failure. Building on significant advances in the in vivo application of EPR oximetry for small animal models of disease, we are developing suitable probes and instrumentation required for use in human subjects. Our laboratory has established the feasibility of clinical EPR oximetry in cancer patients using India ink, the only material presently approved for clinical use. We now are developing the next generation of probes, which are both superior in terms of oxygen sensitivity and biocompatibility including an excellent safety profile for use in humans. Further advances include the development of implantable oxygen sensors linked to an external coupling loop for measurements of deep-tissue oxygenations at any depth, overcoming the current limitation of 10 mm. This paper presents an overview of recent developments in our ability to make meaningful measurements of oxygen partial pressures in human subjects under clinical settings. PMID:24729217

A Novel Free Flap Monitoring System Using Tissue Oximetry with Text Message Alerts.

PubMed

Ricci, Joseph A; Vargas, Christina R; Lin, Samuel J; Tobias, Adam M; Taghinia, Amir H; Lee, Bernard T

2016-06-01

Background The time to detection of vascular compromise is a significant predictor of free flap salvage outcomes as early reexploration improves salvage rates. Continuous transcutaneous near-infrared tissue oximetry is an objective, quantitative method of detecting flap vascular compromise and has been shown to allow earlier reexploration and higher salvage rates than clinical assessment alone. We designed a novel text messaging system to improve communication using tissue oximetry monitoring. Methods A retrospective review was performed of a prospectively collected database of all microsurgical breast reconstructions from 2008 to 2015. A novel text messaging system was introduced in 2013 and programmed to send text messages alert when the tissue oximetry readings suggested potential flap compromise based on established thresholds. Patient demographics and complications, including rate of reexploration and flap loss were assessed. Results There were 900 autologous microsurgical breast free flaps during the study period: 614 were monitored with standard clinical monitoring and tissue oximetry compared with 286 flaps with the additional text messaging system. There were 27 unplanned returns to the operating room in the tissue oximetry group and 5 in the text messaging group with 1 complete flap loss in each group. Reexploration occurred sooner as a result of these text message alerts (17.5 vs. 26.6 hours postoperatively), however, it did not achieve statistical significance. Conclusions We were able to demonstrate the use of a novel text messaging system for tissue oximetry. This alert system shows promise in identifying impending flap loss with rapid notification of the surgical team. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Evaluation of Masimo signal extraction technology pulse oximetry in anaesthetized pregnant sheep.

PubMed

Quinn, Christopher T; Raisis, Anthea L; Musk, Gabrielle C

2013-03-01

Evaluation of the accuracy of Masimo signal extraction technology (SET) pulse oximetry in anaesthetized late gestational pregnant sheep. Prospective experimental study. Seventeen pregnant Merino ewes. Animals included in study were late gestation ewes undergoing general anaesthesia for Caesarean delivery or foetal surgery in a medical research laboratory. Masimo Radical-7 pulse oximetry (SpO(2) ) measurements were compared to co-oximetry (SaO(2) ) measurements from arterial blood gas analyses. The failure rate of the pulse oximeter was calculated. Accuracy was assessed by Bland & Altman's (2007) limits of agreement method. The effect of mean arterial blood pressure (MAP), perfusion index (PI) and haemoglobin (Hb) concentration on accuracy were assessed by regression analysis. Forty arterial blood samples paired with SpO(2) and blood pressure measurements were obtained. SpO(2) ranged from 42 to 99% and SaO(2) from 43.7 to 99.9%. MAP ranged from 24 to 82 mmHg, PI from 0.1 to 1.56 and Hb concentration from 71 to 114 g L(-1) . Masimo pulse oximetry measurements tended to underestimate oxyhaemoglobin saturation compared to co-oximetry with a bias (mean difference) of -2% and precision (standard deviation of the differences) of 6%. Accuracy appeared to decrease when SpO(2) was <75%, however numbers were too small for statistical comparisons. Hb concentration and PI had no significant effect on accuracy, whereas MAP was negatively correlated with SpO(2) bias. Masimo SET pulse oximetry can provide reliable and continuous monitoring of arterial oxyhaemoglobin saturation in anaesthetized pregnant sheep during clinically relevant levels of cardiopulmonary dysfunction. Further work is needed to assess pulse oximeter function during extreme hypotension and hypoxaemia. © 2012 The Authors. Veterinary Anaesthesia and Analgesia. © 2012 Association of Veterinary Anaesthetists and the American College of Veterinary Anesthesiologists.

Non-invasive assessment of cerebral oxygenation: A comparison of retinal and transcranial oximetry

PubMed Central

Van Keer, Jan; Barbosa Breda, João; Nassiri, Vahid; De Deyne, Cathy; Genbrugge, Cornelia; Abegão Pinto, Luís; Stalmans, Ingeborg; Vandewalle, Evelien

2018-01-01

measured by NIRS, approximates the established arterial:venous ratio of 30:70 closely, but shows substantial inter-individual variation. These findings provide a proof of concept for the role of retinal oximetry in evaluating cerebral oxygenation. PMID:29304150

EPR oximetry in three spatial dimensions using sparse spin distribution

NASA Astrophysics Data System (ADS)

Som, Subhojit; Potter, Lee C.; Ahmad, Rizwan; Vikram, Deepti S.; Kuppusamy, Periannan

2008-08-01

A method is presented to use continuous wave electron paramagnetic resonance imaging for rapid measurement of oxygen partial pressure in three spatial dimensions. A particulate paramagnetic probe is employed to create a sparse distribution of spins in a volume of interest. Information encoding location and spectral linewidth is collected by varying the spatial orientation and strength of an applied magnetic gradient field. Data processing exploits the spatial sparseness of spins to detect voxels with nonzero spin and to estimate the spectral linewidth for those voxels. The parsimonious representation of spin locations and linewidths permits an order of magnitude reduction in data acquisition time, compared to four-dimensional tomographic reconstruction using traditional spectral-spatial imaging. The proposed oximetry method is experimentally demonstrated for a lithium octa- n-butoxy naphthalocyanine (LiNc-BuO) probe using an L-band EPR spectrometer.

New spectral imaging techniques for blood oximetry in the retina

NASA Astrophysics Data System (ADS)

Alabboud, Ied; Muyo, Gonzalo; Gorman, Alistair; Mordant, David; McNaught, Andrew; Petres, Clement; Petillot, Yvan R.; Harvey, Andrew R.

2007-07-01

Hyperspectral imaging of the retina presents a unique opportunity for direct and quantitative mapping of retinal biochemistry - particularly of the vasculature where blood oximetry is enabled by the strong variation of absorption spectra with oxygenation. This is particularly pertinent both to research and to clinical investigation and diagnosis of retinal diseases such as diabetes, glaucoma and age-related macular degeneration. The optimal exploitation of hyperspectral imaging however, presents a set of challenging problems, including; the poorly characterised and controlled optical environment of structures within the retina to be imaged; the erratic motion of the eye ball; and the compounding effects of the optical sensitivity of the retina and the low numerical aperture of the eye. We have developed two spectral imaging techniques to address these issues. We describe first a system in which a liquid crystal tuneable filter is integrated into the illumination system of a conventional fundus camera to enable time-sequential, random access recording of narrow-band spectral images. Image processing techniques are described to eradicate the artefacts that may be introduced by time-sequential imaging. In addition we describe a unique snapshot spectral imaging technique dubbed IRIS that employs polarising interferometry and Wollaston prism beam splitters to simultaneously replicate and spectrally filter images of the retina into multiple spectral bands onto a single detector array. Results of early clinical trials acquired with these two techniques together with a physical model which enables oximetry map are reported.

Transcutaneous regional venous oximetry: a feasibility study.

PubMed

Thiele, Robert H; Tucker-Schwartz, Jason M; Lu, Yao; Gillies, George T; Durieux, Marcel E

2011-06-01

The arterial pulse oximeter, which was introduced clinically in the 1970s, is a convenient, useful, and now ubiquitous anesthesia monitor. Unfortunately, although percent saturation of arterial hemoglobin is, along with cardiac output and concentration of hemoglobin, one of 3 components of oxygen delivery, it does not indicate whether oxygen delivery to a region of interest is adequate. Knowledge of peripheral or regional venous oxygen saturation (Sxvo₂) may lend insight into analysis of regional oxygen supply and demand. Our goal was to assess the suitability of 3 anatomic sites for the transcutaneous assessment of Sxvo₂. Using a Nonin reflectance oximetry probe (provided by Nonin Medical, Plymouth, MN) placed directly over the antecubital, external jugular, and internal jugular veins in 10 volunteers, we measured the absorbance of red and infrared electromagnetic radiation. We performed fast Fourier transformation on these absorbance waveforms. The ratio of pulsatile absorbance of red and infrared radiation at different frequencies was compared with nonpulsatile absorption, and Sxvo₂ was calculated based on previously derived empiric correlations. Estimates of transcutaneous Sxvo₂ ranged from 41% to 97%, with mean values of 75%, 80%, and 80% at the antecubital, external jugular, and internal jugular veins, respectively. Overall, 93% of predicted Sxvo₂ values were < 90%. Validation and subsequent improvement of this technique requires correlation of our results with venous blood gas measurements, followed by incorporation of technologies from related fields in oximetry (fetal reflectance oximetry and near-infrared spectroscopy), as well as the development of advanced signal processing techniques.

The correlation of VLF propagation variations with atmospheric planetary-scale waves

NASA Technical Reports Server (NTRS)

Cavalieri, D. J.; Deland, R. J.; Potemra, T. A.; Gavin, R. F.

1973-01-01

Variations in the received daytime phase of long distance, cesium-controlled, VLF transmission were compared to the height variations of the 10-mb isobaric surface during the first three months of 1965 and 1969. The VLF phase values are also compared to height variations of constant electron densities in the E-region and to variations of f-min which have been shown to be well correlated with planetary-scale variations in the stratosphere by Deland and Cavalieri (1973). The VLF phase variations show good correlation with these previous ionospheric measurements and with the 10-mb surfaces. The planetary scale waves in the stratosphere are shown to be travelling on the average eastward in 1965 and westward in 1969. These correlations are interpreted as due to the propagation of travelling planetary scale waves with westward tilted wave fronts. Upward energy transport due to the vertical structure of those waves is also discussed. These correlations provide further evidence for the coupling between the lower ionosphere at about 70 km altitude (the daytime VLF reflection height and the stratosphere, and they demonstrate the importance of planetary wave phenomena to VLF propagation.

Cerebral oximetry in cardiac and major vascular surgery.

PubMed

Fischer, G W; Silvay, G

2010-01-01

We describe the development and current applications of cerebral oximetry (based on near-infrared reflectance spectroscopy) that can be used during cardiac and major vascular surgery to determined brain tissue oxygen saturation. There are presently three cerebral oximetry devices with FDA approval in the United States to measure and monitor cerebral tissue oxygen saturation. 1. INVOS (Somanetics Corporation, Troy, MI - recently COVIDIEN, Boulder, CO); FORE-SIGHT (CAS Medical Systems, Inc. Branford, CT); EQUANOX (Nonin Medical Inc.Minnesota, MN). All devices are portable, non-invasive and easy to use in operating room and intensive care unit. The data provided in these communication may provided information for improvement of perioperative neuromonitoring techniques, and may be crucial in the design of future clinical trials.

Noncontact simultaneous dual wavelength photoplethysmography: A further step toward noncontact pulse oximetry

NASA Astrophysics Data System (ADS)

Humphreys, Kenneth; Ward, Tomas; Markham, Charles

2007-04-01

We present a camera-based device capable of capturing two photoplethysmographic (PPG) signals at two different wavelengths simultaneously, in a remote noncontact manner. The system comprises a complementary metal-oxide semiconductor camera and dual wavelength array of light emitting diodes (760 and 880nm). By alternately illuminating a region of tissue with each wavelength of light, and detecting the backscattered photons with the camera at a rate of 16frames/wavelengths, two multiplexed PPG wave forms are simultaneously captured. This process is the basis of pulse oximetry, and we describe how, with the inclusion of a calibration procedure, this system could be used as a noncontact pulse oximeter to measure arterial oxygen saturation (SpO2) remotely. Results from an experiment on ten subjects, exhibiting normal SpO2 readings, that demonstrate the instrument's ability to capture signals from a range of subjects under realistic lighting and environmental conditions are presented. We compare the signals captured by the noncontact system to a conventional PPG signal captured concurrently from a finger, and show by means of a J. Bland and D. Altman [Lancet 327, 307 (1986); Statistician 32, 307 (1983)] test, the noncontact device to be comparable to a contact device as a monitor of heart rate. We highlight some considerations that should be made when using camera-based "integrative" sampling methods and demonstrate through simulation, the suitability of the captured PPG signals for application of existing pulse oximetry calibration procedures.

Motion resistant pulse oximetry in neonates

PubMed Central

Sahni, R; Gupta, A; Ohira-Kist, K; Rosen, T

2003-01-01

Background: Pulse oximetry is widely used in neonates. However, its reliability is often affected by motion artefact. Clinicians confronted with questionable oxygen saturation (SpO2) values often estimate the reliability by correlating heart rate (HR) obtained with the oximeter with that obtained by electrocardiogram. Objective: To compare the effects of motion on SpO2 and HR measurements made with Masimo signal extraction technology and those made with a Nellcor N-200. Design: Continuous pulse oximetry and HR monitoring were performed in 15 healthy, term infants (mean (SD) birth weight 3408 (458) g) undergoing circumcision, using Masimo and Nellcor pulse oximeters and a standard HR monitor (Hewlett-Packard). Simultaneous minute by minute behavioural activity codes were also assigned. Baseline data were collected for 10 minutes when the infant was quietly asleep and then continued during and after circumcision for a total duration of one hour. The oximeter HR and SpO2 values were compared and related to HR values obtained by ECG during all three periods. The effect of behavioural activity on SpO2 and HR was also evaluated. Results: When compared with results obtained with the Nellcor, the mean SpO2 and HR were higher and the incidence of artefact lower with the Masimo during all three periods. Masimo HR more accurately predicted HR obtained with a standard monitor, with lower residual error. SpO2 and HR values obtained with the Nellcor were lower and more variable during all behavioural states, especially crying, when excessive motion artefact was most likely. Conclusions: The data suggest that Masimo signal extraction technology may offer improvement in pulse oximetry performance, particularly in clinical situations in which extreme motion artefacts are likely. PMID:14602699

A hand-held EPR scanner for transcutaneous oximetry

NASA Astrophysics Data System (ADS)

Wolfson, Helen; Ahmad, Rizwan; Twig, Ygal; Blank, Aharon; Kuppusamy, Periannan

2015-03-01

Cutaneous (skin) oxygenation is an important prognostic factor for the treatment of chronic wounds, skin cancer, diabetes side effects, and limb amputation. Currently, there are no reliable methods for measuring this parameter. Oximetry, using electron paramagnetic resonance (EPR) spectroscopy, is emerging as a potential tool for clinical oximetry, including cutaneous applications. The problem with EPR oximetry, however, is that the conventional EPR design requires the use of a large magnet that can generate homogeneous field across the sample, making it unattractive for clinical practice. We present a novel approach that makes use of a miniature permanent magnet, combined with a small microwave resonator, to enable the acquisition of EPR signals from paramagnetic species placed on the skin. The instrumentation consists of a hand-held, modular, cylindrical probehead with overall dimensions of 36-mm diameter and 24-mm height, with 150-g weight. The probehead includes a Halbach array of 16 pieces (4×4×8 mm3) of Sm-Co permanent magnet and a loop-gap resonator (2.24 GHz). Preliminary measurements using a Hahn-echo pulse sequence (800 echos in 20 ms) showed a signalto- noise ratio of ~70 compared to ~435 in a homogenous magnet under identical settings. Further work is in progress to improve the performance of the probehead and to optimize the hand-held system for clinical use

An Electronic Patch for wearable health monitoring by reflectance pulse oximetry.

PubMed

Haahr, Rasmus G; Duun, Sune B; Toft, Mette H; Belhage, Bo; Larsen, Jan; Birkelund, Karen; Thomsen, Erik V

2012-02-01

We report the development of an Electronic Patch for wearable health monitoring. The Electronic Patch is a new health monitoring system incorporating biomedical sensors, microelectronics, radio frequency (RF) communication, and a battery embedded in a 3-dimensional hydrocolloid polymer. In this paper the Electronic Patch is demonstrated with a new optical biomedical sensor for reflectance pulse oximetry so that the Electronic Patch in this case can measure the pulse and the oxygen saturation. The reflectance pulse oximetry solution is based on a recently developed annular backside silicon photodiode to enable low power consumption by the light emitting components. The Electronic Patch has a disposable part of soft adhesive hydrocolloid polymer and a reusable part of hard polylaurinlactam. The disposable part contains the battery. The reusable part contains the reflectance pulse oximetry sensor and microelectronics. The reusable part is 'clicked' into the disposable part when the patch is prepared for use. The patch has a size of 88 mm by 60 mm and a thickness of 5 mm.

Hurricane Directional Wave Spectrum Spatial Variation at Landfall

NASA Technical Reports Server (NTRS)

Walsh, Edward J.; Wright, C. Wayne; Vandemark, Douglas C.; Krabill, William B.; Garcia, Andrew W.; Houston, Samuel H.; Powell, Mark D.; Black, Peter G.; Marke, Frank D.; Busalacchi, Antonio J. (Technical Monitor)

2000-01-01

On 26 August 1998, hurricane Bonnie was making landfall near Wilmington, NC. The NASA airborne scanning radar altimeter (SRA) carried aboard one of the NOAA WP-3D hurricane hunter aircraft at 2.2 km height documented the sea surface directional wave spectrum in the region between Charleston, SC and Cape Hatteras, NC. The aircraft ground track included both segments along the shoreline and Pamlico Sound as well as far offshore. An animation of the directional wave spectrum spatial variation at landfall will be presented and contrasted with the spatial variation when Bonnie was in the open ocean on 24 August 1998.

Hurricane Directional Wave Spectrum Spatial Variation at Landfall

NASA Technical Reports Server (NTRS)

Walsh, E. J.; Wright, C. W.; Vandemark, D.; Krabill, W. B.; Garcia, A. W.

1999-01-01

On 26 August 1998, hurricane Bonnie was making landfall near Wilmington, NC. The NASA airborne scanning radar altimeter (SRA) carried aboard one of the NOAA WP-3D hurricane hunter aircraft at 2.2 km height documented the sea surface directional wave spectrum in the region between Charleston, SC and Cape Hatteras, NC. The aircraft ground track included both segments along the shoreline and Pamlico Sound as well as far offshore. An animation of the directional wave spectrum spatial variation at landfall will be presented and contrasted with the spatial variation when Bonnie was in the open ocean on 24 August 1998.

Comparison between a Single-Channel Nasal Airflow Device and Oximetry for the Diagnosis of Obstructive Sleep Apnea

PubMed Central

Rofail, Lydia Makarie; Wong, Keith K.H.; Unger, Gunnar; Marks, Guy B.; Grunstein, Ronald R.

2010-01-01

Rationale: The most common single channel devices used for obstructive sleep apnea (OSA) screening are nasal airflow and oximetry. No studies have directly compared their role in diagnosing OSA at home. Study Objectives: To prospectively compare the diagnostic utility of home-based nasal airflow and oximetry to attended polysomnography (PSG) and to assess the diagnostic value of adding oximetry to nasal airflow for OSA. Design: Cross-sectional study Setting: Laboratory and home Participants: Sleep clinic patients with suspected OSA. Interventions: All patients had laboratory PSG and 2 sets of 3 consecutive nights on each device; nasal airflow (Flow Wizard, DiagnoseIT, Australia) and oximetry (Radical Set, Masimo, USA) at home in random order. Results: Ninety-eight of the 105 patients enrolled completed home monitoring. The accuracy of nasal airflow respiratory disturbance index (NF RDI) was not different from oximetry (ODI 3%) for diagnosing OSA (area under the ROC curve (AUC) difference, 0.04; 95% CI of difference −0.05 to 0.12; P = 0.43) over 3 nights of at-home recording. The accuracy of NF RDI was higher after 3 nights compared to one night (AUC difference, 0.05; 95% CI of difference, 0.01 to 0.08; P = 0.04). Addition of oximetry to nasal airflow did not increase the accuracy for predicting OSA compared to nasal airflow alone (P > 0.1). Conclusions: Nasal flow and oximetry have equivalent accuracy for diagnosing OSA in the home setting. Choice of device for home screening of sleep apnea may depend on logistical and service delivery issues. Citation: Makarie Rofail L; Wong KKH; Unger G; Marks GB; Grunstein RR. Comparison between a single-channel nasal airflow device and oximetry for the diagnosis of obstructive sleep apnea. SLEEP 2010;33(8):1106-1114. PMID:20815194

Variational modelling of extreme waves through oblique interaction of solitary waves: application to Mach reflection

NASA Astrophysics Data System (ADS)

Gidel, Floriane; Bokhove, Onno; Kalogirou, Anna

2017-01-01

In this work, we model extreme waves that occur due to Mach reflection through the intersection of two obliquely incident solitary waves. For a given range of incident angles and amplitudes, the Mach stem wave grows linearly in length and amplitude, reaching up to 4 times the amplitude of the incident waves. A variational approach is used to derive the bidirectional Benney-Luke equations, an asymptotic equivalent of the three-dimensional potential-flow equations modelling water waves. This nonlinear and weakly dispersive model has the advantage of allowing wave propagation in two horizontal directions, which is not the case with the unidirectional Kadomtsev-Petviashvili (KP) equation used in most previous studies. A variational Galerkin finite-element method is applied to solve the system numerically in Firedrake with a second-order Störmer-Verlet temporal integration scheme, in order to obtain stable simulations that conserve the overall mass and energy of the system. Using this approach, we are able to get close to the 4-fold amplitude amplification predicted by Miles.

Accuracy of noninvasive haemoglobin measurement by pulse oximetry depends on the type of infusion fluid.

PubMed

Bergek, Christian; Zdolsek, Joachim H; Hahn, Robert G

2012-12-01

Measurement of blood haemoglobin concentration by pulse oximetry could be of value in determining when erythrocytes should be transfused during surgery, but the effect of infusion fluids on the results is unclear. To study the effect of crystalloid and colloid fluid on the accuracy (bias) and precision of pulse oximetry haemoglobin estimation to indicate the venous haemoglobin concentration in volunteers. Open interventional crossover study. Single university hospital. Ten male volunteers aged 18-28 (mean 22) years. Each volunteer underwent three infusion experiments on separate days and in random order. The infusions were Ringer's acetate (20 ml kg), hydroxyethyl starch 130/0.4 (10 ml kg) and a combination of both. At the end of the infusions of Ringer's acetate, pulse oximetry haemoglobin concentration had decreased more than the true haemoglobin concentration (15 vs. 8%; P < 0.005; n = 10) whereas starch solution decreased pulse oximetry haemoglobin concentration less than true haemoglobin concentration (7 vs. 11%; P < 0.02; n = 20). The same differences were seen when the fluids were infused separately and when they were combined. The overall difference between all 956 pairs of pulse oximetry haemoglobin concentration and true haemoglobin concentrations (the bias) averaged only -0.7 g l whereas the 95% prediction interval was wide, ranging from -24.9 to 23.7 g l. In addition to the choice of infusion fluid, the bias was strongly dependent on the volunteer (each factor, P < 0.001). The bias of measuring haemoglobin concentration by pulse oximetry is dependent on whether a crystalloid or a colloid fluid is infused. Trial registration ClinicalTrials identifier: NCT01195025.

Quantifying the effect of adipose tissue in muscle oximetry by near infrared spectroscopy

PubMed Central

Nasseri, Nassim; Kleiser, Stefan; Ostojic, Daniel; Karen, Tanja; Wolf, Martin

2016-01-01

Change of muscle tissue oxygen saturation (StO2), due to exercise, measured by near infrared spectroscopy (NIRS) is known to be lower for subjects with higher adipose tissue thickness. This is most likely not physiological but caused by the superficial fat and adipose tissue. In this paper we assessed, in vitro, the influence of adipose tissue thickness on muscle StO2, measured by NIRS oximeters. We measured StO2 of a liquid phantom by 3 continuous wave (CW) oximeters (Sensmart Model X-100 Universal Oximetry System, INVOS 5100C, and OxyPrem v1.3), as well as a frequency-domain oximeter, OxiplexTS, through superficial layers with 4 different thicknesses. Later, we employed the results to calibrate OxyPrem v1.3 for adipose tissue thickness in-vivo. PMID:27895999

Theoretical model for optical oximetry at the capillary level: exploring hemoglobin oxygen saturation through backscattering of single red blood cells

NASA Astrophysics Data System (ADS)

Liu, Rongrong; Spicer, Graham; Chen, Siyu; Zhang, Hao F.; Yi, Ji; Backman, Vadim

2017-02-01

Oxygen saturation (sO2) of red blood cells (RBCs) in capillaries can indirectly assess local tissue oxygenation and metabolic function. For example, the altered retinal oxygenation in diabetic retinopathy and local hypoxia during tumor development in cancer are reflected by abnormal sO2 of local capillary networks. However, it is far from clear whether accurate label-free optical oximetry (i.e., measuring hemoglobin sO2) is feasible from dispersed RBCs at the single capillary level. The sO2-dependent hemoglobin absorption contrast present in optical scattering signal is complicated by geometry-dependent scattering from RBCs. We present a numerical study of backscattering spectra from single RBCs based on the first-order Born approximation, considering practical factors: RBC orientations, size variation, and deformations. We show that the oscillatory spectral behavior of RBC geometries is smoothed by variations in cell size and orientation, resulting in clear sO2-dependent spectral contrast. In addition, this spectral contrast persists with different mean cellular hemoglobin content and different deformations of RBCs. This study shows for the first time the feasibility of, and provides a theoretical model for, label-free optical oximetry at the single capillary level using backscattering-based imaging modalities, challenging the popular view that such measurements are impossible at the single capillary level.

Retinal oximetry measures systemic hypoxia in central nervous system vessels in chronic obstructive pulmonary disease

PubMed Central

Bragason, David; Hardarson, Sveinn Hakon; Vacchiano, Charles; Gislason, Thorarinn; Kristjansdottir, Jona Valgerdur; Kristjansdottir, Gudrun; Stefánsson, Einar

2017-01-01

Background Determination of the blood oxyhemoglobin saturation in the retinal vessels of the eye can be achieved through spectrophotometric retinal oximetry which provides access to the state of oxyhemoglobin saturation in the central nervous system circulation. The purpose of this study was to test the capability of the Oxymap T1 oximeter to detect systemic hypoxemia and the effect of supplemental oxygen on retinal vessel oxyhemoglobin saturation. Methods Oxygen saturation of hemoglobin in retinal arterioles and venules was measured in 11 subjects with severe chronic obstructive pulmonary disease (COPD) on long term oxygen therapy. Measurements were made with and without their daily supplemental oxygen. Eleven healthy age and gender matched subjects were measured during ambient air breathing for comparison of oxyhemoglobin saturation in retinal arterioles and venules. Retinal arteriolar oxyhemoglobin saturation in COPD subjects inspiring ambient air was compared with finger pulse oximetry and blood samples from radial artery. Results COPD subjects had significantly lower oxyhemoglobin saturation during ambient air breathing than healthy controls in both retinal arterioles (87.2%±4.9% vs. 93.4%±4.3%, p = 0.02; n = 11) and venules (45.0%±10.3% vs. 55.2%±5.5%, p = 0.01). Administration of their prescribed supplemental oxygen increased oxyhemoglobin saturation in retinal arterioles (87.2%±4.9% to 89.5%±6.0%, p = 0.02) but not in venules (45.0%±10.3% to 46.7%±12.8%, p = 0.3). Retinal oximetry values were slightly lower than radial artery blood values (mean percentage points difference = -5.0±5.4, 95% CI: -15.68 to 5.67) and finger pulse oximetry values (-3.1±5.5, 95% CI: -14.05 to 7.84). Conclusions The noninvasive Oxymap T1 retinal oximetry detects hypoxemia in central nervous system vessels in patients with severe COPD compared with healthy controls. The instrument is sensitive to changes in oxygen breathing but displays slightly lower measures than finger

Mobile, Multi-modal, Label-Free Imaging Probe Analysis of Choroidal Oximetry and Retinal Hypoxia

DTIC Science & Technology

2015-10-01

eyes and image choroidal vessels/capillaries using CARS intravital microscopy Subtask 3: Measure oxy-hemoglobin levels in PBI test and control eyes...AWARD NUMBER: W81XWH-14-1-0537 TITLE: Mobile, Multi-modal, Label-Free Imaging Probe Analysis of Choroidal Oximetry and Retinal Hypoxia...4. TITLE AND SUBTITLE Mobile, Multimodal, Label-Free Imaging Probe Analysis of Choroidal Oximetry and Retinal Hypoxia 5a. CONTRACT NUMBER W81XWH

Impact of extracranial contamination on regional cerebral oxygen saturation: a comparison of three cerebral oximetry technologies.

PubMed

Davie, Sophie N; Grocott, Hilary P

2012-04-01

Cerebral oximetry is a noninvasive technology using near-infrared spectroscopy (NIRS) to estimate regional cerebral oxygen saturation. Although NIRS cerebral oximetry is being increasingly used in many clinical settings, interdevice technologic differences suggest potential variation in the ability to accurately acquire brain oxygenation signals. The primary objective of this study was to determine if NIRS-derived regional cerebral oxygen saturation measurements accurately account for oxygen saturation contamination from extracranial tissue. Twelve healthy volunteers had each of three NIRS devices (FORE-SIGHT [CAS Medical Systems Inc; Brandford, CT], INVOS 5100C-PB [Covidien; Boulder, CO], and EQUANOX Classic 7600 [Nonin Medical Inc; Plymouth, MN]) randomly applied to the forehead. After this, a circumferential pneumatic head cuff was positioned such that when inflated, hypoxia-ischemia would be produced in the extracranial scalp tissue beneath the NIRS cerebral oximeters. Comparisons among the three devices were made of the NIRS measurements before and following hypoxia-ischemia produced in the scalp tissue with inflation of the head cuff. The induction of extracranial hypoxia-ischemia resulted in a significant reduction in regional cerebral oxygen saturation measurements in all three NIRS devices studied. At 5 min postinflation of the pneumatic head cuff, the INVOS demonstrated a 16.6 ± 9.6% (mean ± SD) decrease from its baseline (P = 0.0001), the FORE-SIGHT an 11.8 ± 5.3% decrease from its baseline (P < 0.0001), and the EQUANOX a 6.8 ± 6.0% reduction from baseline (P = 0.0025). Extracranial contamination appears to significantly affect NIRS measurements of cerebral oxygen saturation. Although the clinical implications of these apparent inaccuracies require further study, they suggest that the oxygen saturation measurements provided by cerebral oximetry do not solely reflect that of the brain alone.

Determination of wave-function functionals: The constrained-search variational method

NASA Astrophysics Data System (ADS)

Pan, Xiao-Yin; Sahni, Viraht; Massa, Lou

2005-09-01

In a recent paper [Phys. Rev. Lett. 93, 130401 (2004)], we proposed the idea of expanding the space of variations in variational calculations of the energy by considering the approximate wave function ψ to be a functional of functions χ , ψ=ψ[χ] , rather than a function. A constrained search is first performed over all functions χ such that the wave-function functional ψ[χ] satisfies a physical constraint or leads to the known value of an observable. A rigorous upper bound to the energy is then obtained via the variational principle. In this paper we generalize the constrained-search variational method, applicable to both ground and excited states, to the determination of arbitrary Hermitian single-particle operators as applied to two-electron atomic and ionic systems. We construct analytical three-parameter ground-state functionals for the H- ion and the He atom through the constraint of normalization. We present the results for the total energy E , the expectations of the single-particle operators W=∑irin , n=-2,-1,1,2 , W=∑iδ(ri) , and W=∑iδ(ri-r) , the structure of the nonlocal Coulomb hole charge ρc(rr') , and the expectations of the two particle operators u2,u,1/u,1/u2 , where u=∣ri-rj∣ . The results for all the expectation values are remarkably accurate when compared with the 1078-parameter wave function of Pekeris, and other wave functions that are not functionals. We conclude by describing our current work on how the constrained-search variational method in conjunction with quantal density-functional theory is being applied to the many-electron case.

Identifying individual sleep apnea/hypoapnea epochs using smartphone-based pulse oximetry.

PubMed

Garde, Ainara; Dekhordi, Parastoo; Ansermino, J Mark; Dumont, Guy A

2016-08-01

Sleep apnea, characterized by frequent pauses in breathing during sleep, poses a serious threat to the healthy growth and development of children. Polysomnography (PSG), the gold standard for sleep apnea diagnosis, is resource intensive and confined to sleep laboratories, thus reducing its accessibility. Pulse oximetry alone, providing blood oxygen saturation (SpO2) and blood volume changes in tissue (PPG), has the potential to identify children with sleep apnea. Thus, we aim to develop a tool for at-home sleep apnea screening that provides a detailed and automated 30 sec epoch-by-epoch sleep apnea analysis. We propose to extract features characterizing pulse oximetry (SpO2 and pulse rate variability [PRV], a surrogate measure of heart rate variability) to create a multivariate logistic regression model that identifies epochs containing apnea/hypoapnea events. Overnight pulse oximetry was collected using a smartphone-based pulse oximeter, simultaneously with standard PSG from 160 children at the British Columbia Children's hospital. The sleep technician manually scored all apnea/hypoapnea events during the PSG study. Based on these scores we labeled each epoch as containing or not containing apnea/hypoapnea. We randomly divided the subjects into training data (40%), used to develop the model applying the LASSO method, and testing data (60%), used to validate the model. The developed model was assessed epoch-by-epoch for each subject. The test dataset had a median area under the receiver operating characteristic (ROC) curve of 81%; the model provided a median accuracy of 74% sensitivity of 75%, and specificity of 73% when using a risk threshold similar to the percentage of apnea/hypopnea epochs. Thus, providing a detailed epoch-by-epoch analysis with at-home pulse oximetry alone is feasible with accuracy, sensitivity and specificity values above 73% However, the performance might decrease when analyzing subjects with a low number of apnea/hypoapnea events.

Continuous, noninvasive, and localized microvascular tissue oximetry using visible light spectroscopy.

PubMed

Benaron, David A; Parachikov, Ilian H; Friedland, Shai; Soetikno, Roy; Brock-Utne, John; van der Starre, Peter J A; Nezhat, Camran; Terris, Martha K; Maxim, Peter G; Carson, Jeffrey J L; Razavi, Mahmood K; Gladstone, Hayes B; Fincher, Edgar F; Hsu, Christopher P; Clark, F Landon; Cheong, Wai-Fung; Duckworth, Joshua L; Stevenson, David K

2004-06-01

The authors evaluated the ability of visible light spectroscopy (VLS) oximetry to detect hypoxemia and ischemia in human and animal subjects. Unlike near-infrared spectroscopy or pulse oximetry (SpO2), VLS tissue oximetry uses shallow-penetrating visible light to measure microvascular hemoglobin oxygen saturation (StO2) in small, thin tissue volumes. In pigs, StO2 was measured in muscle and enteric mucosa during normoxia, hypoxemia (SpO2 = 40-96%), and ischemia (occlusion, arrest). In patients, StO2 was measured in skin, muscle, and oral/enteric mucosa during normoxia, hypoxemia (SpO2 = 60-99%), and ischemia (occlusion, compression, ventricular fibrillation). In pigs, normoxic StO2 was 71 +/- 4% (mean +/- SD), without differences between sites, and decreased during hypoxemia (muscle, 11 +/- 6%; P < 0.001) and ischemia (colon, 31 +/- 11%; P < 0.001). In patients, mean normoxic StO2 ranged from 68 to 77% at different sites (733 measures, 111 subjects); for each noninvasive site except skin, variance between subjects was low (e.g., colon, 69% +/- 4%, 40 subjects; buccal, 77% +/- 3%, 21 subjects). During hypoxemia, StO2 correlated with SpO2 (animals, r2 = 0.98; humans, r2 = 0.87). During ischemia, StO2 initially decreased at -1.3 +/- 0.2%/s and decreased to zero in 3-9 min (r2 = 0.94). Ischemia was distinguished from normoxia and hypoxemia by a widened pulse/VLS saturation difference (Delta < 30% during normoxia or hypoxemia vs. Delta > 35% during ischemia). VLS oximetry provides a continuous, noninvasive, and localized measurement of the StO2, sensitive to hypoxemia, regional, and global ischemia. The reproducible and narrow StO2 normal range for oral/enteric mucosa supports use of this site as an accessible and reliable reference point for the VLS monitoring of systemic flow.

Accuracy of pulse oximetry in assessing heart rate of infants in the neonatal intensive care unit.

PubMed

Singh, Jasbir K S B; Kamlin, C Omar F; Morley, Colin J; O'Donnell, Colm P F; Donath, Susan M; Davis, Peter G

2008-05-01

To determine the accuracy of pulse oximetry measurement of heart rate in the neonatal intensive care unit. Stable preterm infants were monitored with a pulse oximeter and an ECG. The displays of both monitors were captured on video. Heart rate data from both monitors, including measures of signal quality, were extracted and analysed using Bland Altman plots. In 30 infants the mean (SD) difference between heart rate measured by pulse oximetry and electrocardiography was -0.4 (12) beats per minute. Accuracy was maintained when the signal quality or perfusion was low. Pulse oximetry may provide a useful measurement of heart rate in the neonatal intensive care unit. Studies of this technique in the delivery room are indicated.

Density variation effect on multi-ions with kinetic Alfven wave around cusp region—a kinetic approach

NASA Astrophysics Data System (ADS)

Tamrakar, Radha; Varma, P.; Tiwari, M. S.

2018-01-01

The kinetic Alfven waves in the presence of homogeneous magnetic field plasma with multi-ions effect are investigated. The dispersion relation and normalised damping rate are derived for low-β plasma using kinetic theory. The effect of density variation of H+, He+ and O+ ions is observed on frequency and damping rate of the wave. The variation of frequency (ω) and normalised damping rate (γ / Ω_{H^{ +}} ) of the wave are studied with respect to k_{ \\bot} ρj, where k_{ \\bot} is the perpendicular wave number, ρj is the ion gyroradius and j denotes H+, He+ and O+ ions. The variation with k_{ \\bot} ρj is considered over wide range. The parameters appropriate to cusp region are used for the explanation of results. It is found that with hydrogen and helium ions gyration, the frequency of wave is influenced by the density variation of H+ and He+ ions but remains insensitive to the change in density of O+ ions. For oxygen ion gyration, the frequency of wave varies over a short range only for O+ ion density variation. The wave shows damping at lower altitude due to variation in density of lighter H+ and He+ ions whereas at higher altitude only heavy O+ ions contribute in wave damping. The damping of wave may be due to landau damping or energy transfer from wave to particles. The present study signifies that the both lighter and heavier ions dominate differently to change the characteristics of kinetic Alfven wave and density variation is also an important parameter to understand wave phenomena in cusp region.

Trans-abdominal monitoring of fetal arterial blood oxygenation using pulse oximetry

NASA Astrophysics Data System (ADS)

Zourabian, Anna; Siegel, Andrew M.; Chance, Britton; Ramanujam, Nirmala; Rode, Martha; Boas, David A.

2000-10-01

Pulse oximetry (oxygen saturation monitoring) has markedly improved medical care in many fields, including anesthesiology, intensive care, and newborn intensive care. In obstetrics, fetal heart rate monitoring remains the standard for intrapartum assessment of fetal well being. Fetal oxygen saturation monitoring is a new technique currently under development. It is potentially superior to electronic fetal heart rate monitoring (cardiotocography) because it allows direct assessment of both the fetal oxygen status and fetal tissue perfusion. Here we present the analysis for determining the most optimal wavelength selection for pulse oximetry. The wavelengths we chose as the most optimal are the first in the range of 670 - 720 nm and the second in the range of 825 - 925 nm. Further, we discuss the possible systematic errors during our measurements and their contribution to the obtained saturation results. We present feasibility studies for fetal pulse oximetry, monitored noninvasively through the maternal abdomen. Our preliminary experiments show that the fetal pulse can be discriminated from the maternal pulse and thus, in principle, the fetal arterial oxygen saturation can be obtained. We present the methodology for obtaining these data, and discuss the dependence of our measurements on the fetal position with respect to the optode assembly.

Simultaneous use of intrapartum fetal pulse oximetry and amnioinfusion in meconium stained amniotic fluid.

PubMed

Halvax, László; Szabó, István; Vizer, Miklós; Csermely, Tamás; Ertl, Tibor

2002-09-10

Fetal pulse oximetry is a minimally invasive, simple technique which continuously helps to reflect in utero well-being. The presence of meconium in the amniotic fluid may be a clinical sign of fetal hypoxaemia. Amnioinfusion has a beneficial effect on the incidence of meconium aspiration syndrome (MAS), and the presence of meconium below the level of the vocal cords. We studied the impact of amnioinfusion combined with fetal pulse oximetry on the incidence of meconium aspiration syndrome and operative delivery. The retrospective analysis revealed that the presence of meconium below the level of vocal cords was significantly reduced. The frequency of cesarean section is decreased, however, it did not reach statistical significance. Fetal pulse oximetry may be used in combination with amnioinfusion and cardiotocography (CTG) to reduce the risk of meconium aspiration syndrome and the number of instrumental deliveries and improve perinatal outcome. Copyright 2002 Elsevier Science Ireland Ltd.

Study protocol for the PHANTOM study: prehospital assessment of noninvasive tissue oximetry monitoring.

PubMed

Weatherall, Andrew; Garner, Alan; Lovell, Nigel; Redmond, Stephen; Lee, Anna; Skowno, Justin; Egan, Jonathan

2014-10-03

Traumatic brain injury is a major cause of mortality and morbidity worldwide. It can be worsened by secondary injury particularly with hypoxia or hypotension. Current prehospital guidelines emphasise regular measurement of peripheral oxygen saturation and blood pressure but there is no monitor in use to provide direct information relating to blood flow or oxygen delivery to the brain tissue. This prospective cohort study will assess the utility of near-infrared spectroscopy monitoring in prehospital medicine in demonstrating injury, pathophysiology and associations with long-term functional outcomes. A prospective cohort study will be conducted in prehospital services where physician/paramedic teams respond rapidly to patients suffering significant traumatic injuries. A study observer accompanying the clinical team will apply non-invasive near-infrared spectroscopy tissue oximetry using a Nonin EQUANOX 7610 Regional Oximetry monitor (TM Nonin Medical, Inc.). This will be applied to patients with traumatic injuries less than 30 minutes old requiring transport. Measurements will be taken at two sites on the forehead and one on the forearm. Clinical teams will be blinded to all monitoring values. Near-infrared spectroscopy tissue oximetry parameters of oxyhaemoglobin%, deoxyhaemoglobin%, total tissue haemoglobin index and regional oxygen saturation will be recorded. Separate statistical analysis relating to time spent with cerebral regional oxygen saturation values < 45% and time series analysis will be performed to demonstrate associations with acute phase outcomes including injuries seen on cerebral imaging, and long-term functional outcomes measured by Glasgow Outcome Score and Extended Glasgow Outcome Score will then be undertaken. This prospective cohort study will demonstrate associations evident from the earliest stages of prehospital treatment between near-infrared spectroscopy tissue oximetry values and both acute and long-term outcomes of patients

Intravenous injection of indocyanine green results in an artificial transient desaturation by pulse oximetry.

PubMed

Ediriwickrema, Lilangi S; Francis, Jasmine H; Arslan-Carlon, Vittoria; Dalecki, Paul H; Brodie, Scott E; Marr, Brian P; Abramson, David H

2015-01-01

To describe a case series of transient oxygen desaturation measured by pulse oximetry during the intravenous infusion of indocyanine green to enhance transpupillary thermotherapy in treating retinoblastoma after ophthalmic artery chemosurgery. Retrospective descriptive case series. The intravenous administration of indocyanine green for ophthalmic angiography resulted in a transient drop in oxygen saturation as measured by Nellcor fingertip pulse oximetry in three children with retinoblastoma receiving indocyanine green-guided transpupillary thermotherapy. The magnitude of reduction ranged from 92% to 94% from an initial reading of 99% to 100% in each case, with an average duration of 3 minutes. Concurrent measurement of blood pressure, pulse, and expired CO2 showed no changes during this process. Administration of intravenous indocyanine green resulted in a transient desaturation by oximetry during transpupillary thermotherapy for children with retinoblastoma under anesthesia because of the fluorescent dye's absorption of red light in a manner similar to that of deoxygenated hemoglobin, thereby leading to transient instrument misinterpretation and miscalculation of arterial oxygenation.

Review of splanchnic oximetry in clinical medicine

NASA Astrophysics Data System (ADS)

Bailey, Sean M.; Mally, Pradeep V.

2016-09-01

Global tissue perfusion and oxygenation are important indicators of physiologic function in humans. The monitoring of splanchnic oximetry through the use of near-infrared spectroscopy (NIRS) is an emerging method used to assess tissue oxygenation status. Splanchnic tissue oxygenation (SrS) is thought to be potentially of high value in critically ill patients because gastrointestinal organs can often be the first to suffer ischemic injury. During conditions of hypovolemia, cardiac dysfunction, or decreased oxygen-carrying capacity, blood flow is diverted toward vital organs, such as the brain and the heart at the expense of the splanchnic circulation. While monitoring SrS has great potential benefit, there are limitations to the technology and techniques. SrS has been found to have a relatively high degree of variability that can potentially make it difficult to interpret. In addition, because splanchnic organs only lie near the skin surface in children and infants, and energy from currently available sensors only penetrates a few centimeters deep, it can be difficult to use clinically in a noninvasive manner in adults. Research thus far is showing that splanchnic oximetry holds great promise in the ability to monitor patient oxygenation status and detect disease states in humans, especially in pediatric populations.

Hyperspectral imaging with near-infrared-enabled mobile phones for tissue oximetry

NASA Astrophysics Data System (ADS)

Lin, Jonathan L.; Ghassemi, Pejhman; Chen, Yu; Pfefer, Joshua

2018-02-01

Hyperspectral reflectance imaging (HRI) is an emerging clinical tool for characterizing spatial and temporal variations in blood perfusion and oxygenation for applications such as burn assessment, wound healing, retinal exams and intraoperative tissue viability assessment. Since clinical HRI-based oximeters often use near-infrared (NIR) light, NIR-enabled mobile phones may provide a useful platform for future point-of-care devices. Furthermore, quantitative NIR imaging on mobile phones may dramatically increase the availability and accessibility of medical diagnostics for low-resource settings. We have evaluated the potential for phone-based NIR oximetry imaging and elucidated factors affecting performance using devices from two different manufacturers, as well as a scientific CCD. A broadband light source and liquid crystal tunable filter were used for imaging at 10 nm bands from 650 to 1000 nm. Spectral sensitivity measurements indicated that mobile phones with standard NIR blocking filters had minimal response beyond 700 nm, whereas one modified phone showed sensitivity to 800 nm and another to 1000 nm. Red pixel channels showed the greatest sensitivity up to 800 nm, whereas all channels provided essentially equivalent sensitivity at longer wavelengths. Referencing of blood oxygenation levels was performed with a CO-oximeter. HRI measurements were performed using cuvettes filled with hemoglobin solutions of different oxygen saturation levels. Good agreement between absorbance spectra measured with mobile phone and a CCD cameras were seen for wavelengths below 900 nm. Saturation estimates showed root-mean-squared-errors of 5.2% and 4.5% for the CCD and phone, respectively. Overall, this work provides strong evidence of the potential for mobile phones to provide quantitative spectral imaging in the NIR for applications such as oximetry, and generates practical insights into factors that impact performance as well as test methods for performance assessment.

Sensitivity of Gravity Wave Fluxes to Interannual Variations in Tropical Convection and Zonal Wind.

PubMed

Alexander, M Joan; Ortland, David A; Grimsdell, Alison W; Kim, Ji-Eun

2017-09-01

Using an idealized model framework with high-frequency tropical latent heating variability derived from global satellite observations of precipitation and clouds, the authors examine the properties and effects of gravity waves in the lower stratosphere, contrasting conditions in an El Niño year and a La Niña year. The model generates a broad spectrum of tropical waves including planetary-scale waves through mesoscale gravity waves. The authors compare modeled monthly mean regional variations in wind and temperature with reanalyses and validate the modeled gravity waves using satellite- and balloon-based estimates of gravity wave momentum flux. Some interesting changes in the gravity spectrum of momentum flux are found in the model, which are discussed in terms of the interannual variations in clouds, precipitation, and large-scale winds. While regional variations in clouds, precipitation, and winds are dramatic, the mean gravity wave zonal momentum fluxes entering the stratosphere differ by only 11%. The modeled intermittency in gravity wave momentum flux is shown to be very realistic compared to observations, and the largest-amplitude waves are related to significant gravity wave drag forces in the lowermost stratosphere. This strong intermittency is generally absent or weak in climate models because of deficiencies in parameterizations of gravity wave intermittency. These results suggest a way forward to improve model representations of the lowermost stratospheric quasi-biennial oscillation winds and teleconnections.

An analysis on the theory of pulse oximetry by Monte Carlo simulation

NASA Astrophysics Data System (ADS)

Fan, Shangchun; Cai, Rui; Xing, Weiwei; Liu, Changting; Chen, Guangfei; Wang, Junfeng

2008-10-01

The pulse oximetry is a kind of electronic instrument that measures the oxygen saturation of arterial blood and pulse rate by non-invasive techniques. It enables prompt recognition of hypoxemia. In a conventional transmittance type pulse oximeter, the absorption of light by oxygenated and reduced hemoglobin is measured at two wavelength 660nm and 940nm. But the accuracy and measuring range of the pulse oximeter can not meet the requirement of clinical application. There are limitations in the theory of pulse oximetry, which is proved by Monte Carlo method. The mean paths are calculated in the Monte Carlo simulation. The results prove that the mean paths are not the same between the different wavelengths.

The Accuracy of Noninvasive Peripheral Pulse Oximetry After Palliative Cardiac Surgery in Patients With Cyanotic Congenital Heart Disease.

PubMed

Scrimgeour, Gemma E; Griksaitis, Michael J; Pappachan, John V; Baldock, Andrew J

2017-01-01

Children with cyanotic congenital heart disease (CCHD) live with oxyhemoglobin saturations that are typically expressed as percentages in the range of 70s and 80s. Peripheral pulse oximetry (measurement of SpO 2 ) performs poorly in this range and yet is widely used to inform clinical decisions in these patients. The reference standard is co-oximetry of arterial samples (SaO 2 ). In this study, 515 paired measurements of SpO 2 and SaO 2 were taken from 19 children who had undergone palliative cardiac surgery. SpO 2 (Masimo SET LNCS Neo pulse oximeter) overestimated oxyhemoglobin saturation in 82% of measurements (mean 4.6% ± 6.6%). There was a strong negative correlation between mean bias and SaO 2 ( r = -.96, P = .002, 95% confidence interval: -0.99 to -0.68). The results raise a concern that critical hypoxemia may go undetected and untreated if pulse oximetry is relied upon as the primary means of assessing oxyhemoglobin saturation in children with CCHD. Strong preference must be given to co-oximetry of arterial samples.

Classification methods to detect sleep apnea in adults based on respiratory and oximetry signals: a systematic review.

PubMed

Uddin, M B; Chow, C M; Su, S W

2018-03-26

Sleep apnea (SA), a common sleep disorder, can significantly decrease the quality of life, and is closely associated with major health risks such as cardiovascular disease, sudden death, depression, and hypertension. The normal diagnostic process of SA using polysomnography is costly and time consuming. In addition, the accuracy of different classification methods to detect SA varies with the use of different physiological signals. If an effective, reliable, and accurate classification method is developed, then the diagnosis of SA and its associated treatment will be time-efficient and economical. This study aims to systematically review the literature and present an overview of classification methods to detect SA using respiratory and oximetry signals and address the automated detection approach. Sixty-two included studies revealed the application of single and multiple signals (respiratory and oximetry) for the diagnosis of SA. Both airflow and oxygen saturation signals alone were effective in detecting SA in the case of binary decision-making, whereas multiple signals were good for multi-class detection. In addition, some machine learning methods were superior to the other classification methods for SA detection using respiratory and oximetry signals. To deal with the respiratory and oximetry signals, a good choice of classification method as well as the consideration of associated factors would result in high accuracy in the detection of SA. An accurate classification method should provide a high detection rate with an automated (independent of human action) analysis of respiratory and oximetry signals. Future high-quality automated studies using large samples of data from multiple patient groups or record batches are recommended.

Performance evaluation of photoacoustic oximetry imaging systems using a dynamic blood flow phantom with tunable oxygen saturation

NASA Astrophysics Data System (ADS)

Vogt, William C.; Zhou, Xuewen; Andriani, Rudy; Wear, Keith A.; Garra, Brian S.; Pfefer, Joshua

2018-02-01

Photoacoustic Imaging (PAI) is an emerging technology with strong potential for broad clinical applications from breast cancer detection to cerebral monitoring due to its ability to compute maps of blood oxygen saturation (SO2) distribution in deep tissues using multispectral imaging. However, no well-validated consensus test methods currently exist for evaluating oximetry-specific performance characteristics of PAI devices. We have developed a phantombased flow system capable of rapid SO2 adjustment to serve as a test bed for elucidation of factors impacting SO2 measurement and quantitative characterization of device performance. The flow system is comprised of a peristaltic pump, membrane oxygenator, oxygen and nitrogen gas, and in-line oxygen, pH, and temperature sensors that enable real-time estimation of SO2 reference values. Bovine blood was delivered through breast-relevant tissue phantoms containing vessel-mimicking fluid channels, which were imaged using a custom multispectral PAI system. Blood was periodically drawn for SO2 measurement in a clinical-grade CO-oximeter. We used this flow phantom system to evaluate the impact of device parameters (e.g.,wavelength-dependent fluence corrections) and tissue parameters (e.g. fluid channel depth, blood SO2, spectral coloring artifacts) on oximetry measurement accuracy. Results elucidated key challenges in PAI oximetry and device design trade-offs, which subsequently allowed for optimization of system performance. This approach provides a robust benchtop test platform that can support PAI oximetry device optimization, performance validation, and clinical translation, and may inform future development of consensus test methods for performance assessment of photoacoustic oximetry imaging systems.

Hurricane Directional Wave Spectrum Spatial Variation in the Open Ocean and at Landfall

NASA Technical Reports Server (NTRS)

Walsh, E. J.; Wright, C. W.; Vandemark, D.; Krabill, W. B.; Garcia, A. W.; Houston, S. H.; Powell, M. D.; Black, P. G.; Marks, F. D.; Busalacchi, Antonio J. (Technical Monitor)

2000-01-01

The sea surface directional wave spectrum was measured for the first time in all quadrants of a hurricane in open water using the NASA airborne scanning radar altimeter (SRA) carried aboard one of the NOAA WP-3D hurricane hunter aircraft at 1.5 km height. The SRA measures the energetic portion of the directional wave spectrum by generating a topographic map of the sea surface. At 8 Hz, the SRA sweeps a radar beam of 1 E half-power width (two-way) across the aircraft ground track over a swath equal to 0.8 of the aircraft height, simultaneously measuring the backscattered power at its 36 GHz (8.3 mm) operating frequency and the range to the sea surface at 64 positions. These slant ranges are multiplied by the cosine of the incidence angles to determine the vertical distances from the aircraft to the sea surface. Subtracting these distances from the aircraft height produces the sea surface elevation map. The sea surface topography is interpolated to a uniform grid, transformed by a two-dimensional FFT, and Doppler corrected. The open-ocean data were acquired on 24 August 1998 when hurricane Bonnie was east of the Bahamas and moving slowly to the north. Individual waves with heights up to 18 m were observed and the spatial variation of the wave field was dramatic. The dominant waves generally propagated at significant angles to the downwind direction. At some positions there were three different wave fields of comparable energy crossing each other. The NOAA aircraft spent over five hours within 180 km of the hurricane Bonnie eye, and made five eye penetrations. A 3-minute animation of the directional wave spectrum spatial variation over this period will be shown as well as summary plots of the wave field spatial variation. On 26 August 1998, the NOAA aircraft flew at 2.2 km height when hurricane Bonnie was making landfall near Wilmington, NC, documenting the directional wave spectrum in the region between Charleston, SC and Cape Hatteras, NC. The aircraft ground track

Wavelength selection method with standard deviation: application to pulse oximetry.

PubMed

Vazquez-Jaccaud, Camille; Paez, Gonzalo; Strojnik, Marija

2011-07-01

Near-infrared spectroscopy provides useful biological information after the radiation has penetrated through the tissue, within the therapeutic window. One of the significant shortcomings of the current applications of spectroscopic techniques to a live subject is that the subject may be uncooperative and the sample undergoes significant temporal variations, due to his health status that, from radiometric point of view, introduce measurement noise. We describe a novel wavelength selection method for monitoring, based on a standard deviation map, that allows low-noise sensitivity. It may be used with spectral transillumination, transmission, or reflection signals, including those corrupted by noise and unavoidable temporal effects. We apply it to the selection of two wavelengths for the case of pulse oximetry. Using spectroscopic data, we generate a map of standard deviation that we propose as a figure-of-merit in the presence of the noise introduced by the living subject. Even in the presence of diverse sources of noise, we identify four wavelength domains with standard deviation, minimally sensitive to temporal noise, and two wavelengths domains with low sensitivity to temporal noise.

Global operating theatre distribution and pulse oximetry supply: an estimation from reported data.

PubMed

Funk, Luke M; Weiser, Thomas G; Berry, William R; Lipsitz, Stuart R; Merry, Alan F; Enright, Angela C; Wilson, Iain H; Dziekan, Gerald; Gawande, Atul A

2010-09-25

Surgery is an essential part of health care, but resources to ensure the availability of surgical services are often inadequate. We estimated the global distribution of operating theatres and quantified the availability of pulse oximetry, which is an essential monitoring device during surgery and a potential measure of operating theatre resources. We calculated ratios of the number of operating theatres to hospital beds in seven geographical regions worldwide on the basis of profiles from 769 hospitals in 92 countries that participated in WHO's safe surgery saves lives initiative. We used hospital bed figures from 190 WHO member states to estimate the number of operating theatres per 100,000 people in 21 subregions throughout the world. To estimate availability of pulse oximetry, we sent surveys to anaesthesia providers in 72 countries selected to ensure a geographically and demographically diverse sample. A predictive regression model was used to estimate the pulse oximetry need for countries that did not provide data. The estimated number of operating theatres ranged from 1·0 (95% CI 0·9-1·2) per 100,000 people in west sub-Saharan Africa to 25·1 (20·9-30·1) per 100,000 in eastern Europe. High-income subregions all averaged more than 14 per 100,000 people, whereas all low-income subregions, representing 2·2 billion people, had fewer than two theatres per 100,000. Pulse oximetry data from 54 countries suggested that around 77,700 (63,195-95,533) theatres worldwide (19·2% [15·2-23·9]) were not equipped with pulse oximeters. Improvements in public-health strategies and monitoring are needed to reduce disparities for more than 2 billion people without adequate access to surgical care. WHO. Copyright © 2010 Elsevier Ltd. All rights reserved.

First day of life pulse oximetry screening to detect congenital heart defects.

PubMed

Meberg, Alf; Brügmann-Pieper, Sabine; Due, Reidar; Eskedal, Leif; Fagerli, Ingebjørg; Farstad, Teresa; Frøisland, Dag Helge; Sannes, Catharina Hovland; Johansen, Ole Jakob; Keljalic, Jasmina; Markestad, Trond; Nygaard, Egil Andre; Røsvik, Alet; Silberg, Inger Elisabeth

2008-06-01

To evaluate the efficacy of first day of life pulse oximetry screening to detect congenital heart defects (CHDs). We performed a population-based prospective multicenter study of postductal (foot) arterial oxygen saturation (SpO(2)) in apparently healthy newborns after transfer from the delivery suite to the nursery. SpO(2) < 95% led to further diagnostic evaluations. Of 57,959 live births, 50,008 (86%) were screened. In the screened population, 35 CHDs were [corrected] classified as critical (ductus dependent, cyanotic). CHDs were prospectively registered and diagnosed in 658/57,959 (1.1%) [corrected] Of the infants screened, 324 (0.6%) failed the test. Of these, 43 (13%) had CHDs (27 critical), and 134 (41%) had pulmonary diseases or other disorders. The remaining 147 infants (45%) were healthy with transitional circulation. The median age for babies with CHDs at failing the test was 6 hours (range, 1-21 hours). For identifying critical CHDs, the pulse oximetry screening had a sensitivity rate of 77.1% (95% CI, 59.4-89.0), specificity rate of 99.4% (95% CI, 99.3-99.5), and a false-positive rate of 0.6% (95% CI, 0.5-0.7). Early pulse oximetry screening promotes early detection of critical CHDs and other potentially severe diseases. The sensitivity rate for detecting critical CHDs is high, and the false-positive rate is low.

Intraseasonal to interannual variations in the tropical wave activity revealed in reanalyses and their potential impact on the QBO

NASA Astrophysics Data System (ADS)

Kim, Young-Ha; Yoo, Changhyun

2017-04-01

We investigate activities of tropical waves represented in reanalysis products. The wave activities are quantified by the Eliassen-Palm (EP) flux at 100 hPa, after decomposed into the following four components: equatorially trapped Kelvin waves and mixed Rossby-gravity waves, gravity waves, and Rossby waves. Monthly EP fluxes of the four waves exhibit considerable temporal variations at intraseasonal and interannual, along with seasonal, time scales. These variations are discussed with the tropical large-scale variabilities, including the Madden-Julian Oscillation (MJO), the El Ninõ-Southern Oscillation, and the stratospheric quasi-biennial oscillation (QBO). We find that during boreal winter, the interannual variation of Kelvin wave activity is in phase with that of the MJO amplitude, while such a simultaneous variation cannot be seen in other seasons. The gravity wave is dominated by a semi-annual cycle, while the departure from its semi-annual cycle is largely correlated with the QBO phase in the stratosphere. Potential impacts of the variations in the wave activity upon the QBO properties will be assessed using a simple one-dimensional QBO model.

Optimal spacing between transmitting and receiving optical fibres in reflectance pulse oximetry

NASA Astrophysics Data System (ADS)

Hickey, M.; Kyriacou, P. A.

2007-10-01

Splanchnic ischaemia can ultimately lead to cellular hypoxia and necrosis, and may well contribute to the development of multiple organ failures and increased mortality. Therefore, it is of utmost importance to monitor abdominal organ blood oxygen saturation (SpO2). Pulse oximetry has been widely accepted as a reliable method for monitoring oxygen saturation of arterial blood. Animal studies have also shown it to be effective in the monitoring of blood oxygen saturation in the splanchnic region. However, commercially available pulse oximeter probes are not suitable for the continuous assessment of SpO2 in the splanchnic region. Therefore, there is a need for a new sensor technology that will allow the continuous measurement of SpO2 in the splanchnic area pre-operatively, operatively and post-operatively. For this purpose, a new fibre optic sensor and processing system utilising the principle of reflectance pulse oximetry has been developed. The accuracy in the estimation of SpO2 in pulse oximetry depends on the quality and amplitude of the photoplethysmographic (PPG) signal and for this reason an experimental procedure was carried out to examine the effect of the source-detector separation distance on the acquired PPG signals, and to ultimately select an optimal separation for the final design of the fibre-optic probe. PPG signals were obtained from the finger for different separation distances between the emitting and detecting fibres. Good quality PPG signals with large amplitudes and high signal-to-noise ratio were detected in the range of 3mm to 6mm. At separation distances between 1mm and 2mm, PPG signals were erratic with no resemblance to a conventional PPG signal. At separation distances greater than 6mm, the amplitudes of PPG signals were very small and not appropriate for processing. This investigation indicates the suitability of optical fibres as a new pulse oximetry sensor for estimating blood oxygen saturation (SpO2) in the splanchnic region.

Development and clinical evaluation of a new sensor design for buccal pulse oximetry in horses.

PubMed

Reiners, J K; Rossdeutscher, W; Hopster, K; Kästner, S B R

2018-03-01

The use of pulse oximetry in horses is limited due to inadequate readings with conventional transmission sensor probes. The objectives of this study were to 1) develop an improved sensor design for horses to be used at an appropriate anatomical site, and 2) evaluate this design in an experimental study. In vivo experiment. A new sensor design for reflectance pulse oximetry at the buccal mucosa was developed. A conventional Nonin 2000SL sensor for transmission pulse oximetry was included into this design. Three different prototypes (N1, N2a, N2b) were constructed and used with the Nonin 2500A Vet pulse oximetry monitor. Thirteen anaesthetised warmblood horses were included into a desaturation protocol (100-70% SaO 2 ). SpO 2 and pulse frequency values were recorded, using SaO 2 calculated from blood gas analysis and invasive pulse frequency measurements as reference methods. Bias and precision were evaluated by calculations of the root mean square deviation (A rms ). The agreement of the methods was tested with Bland-Altman analysis. The quality of the pulse frequency readings determined the quality of the SpO 2 -readings. Good pulse signal strength resulted in a SpO 2 -accuracy comparable to that of the original sensor (Nonin 2000SL: A rms = 3%; N1: A rms = 3.60%; N2b: A rms = 3.46%). Especially at heart rates ≤30 bpm, pulse rate readings that were about twice as high as the reference value occurred. Their exclusion from the dataset resulted in a pulse rate accuracy similar to that of the original sensor. Bland-Altman plots showed limits of agreement typical of pulse oximeters. The pulse frequency accuracy requires further improvement. The usability in clinical cases needs to be tested. The new sensor design has been shown to be suitable for buccal pulse oximetry in horses. © 2017 EVJ Ltd.

Use of shear horizontal waves to distinguish adhesive thickness variation from reduction in bonding strength.

PubMed

Predoi, Mihai Valentin; Ech Cherif El Kettani, Mounsif; Leduc, Damien; Pareige, Pascal; Coné, Khadidiatou

2015-08-01

The capability of shear horizontal (SH) guided waves, to evaluate geometrical imperfections in a bonding layer, is investigated. SH waves are used in a three-layer structure in which the adhesive layer has variable thickness. It is proven that the SH waves are adapting to the local thickness of the adhesive layer (adiabatic waves). This is particularly useful in case of small thickness variations, which is of technical interest. The influence of thickness and stiffness of the adhesive layer on the wavenumbers are investigated. The selected SH2 mode is proven to be very sensitive to the adhesive layer thickness variation in the given frequency range and considerably less sensitive to the adhesive stiffness variation. This property is due to its specific displacement field and is important in practical applications, such as inspection techniques based on SH waves, in order to avoid false alarms.

Seasonal variation in Rayleigh-to-Love wave ratio in the secondary microseism

NASA Astrophysics Data System (ADS)

Tanimoto, T.; Hadziioannou, C.; Igel, H.; Wassermann, J. M.; Schreiber, U.; Gebauer, A.; Chow, B.

2015-12-01

The Ring Laser (the G-ring) at Wettzell (WET), Germany, is a rotation-measurement instrument that can monitor tiny variations in seismic noise. It essentially records only SH-type signals. Combined with a co-located seismograph (three-component seismograph STS-2), we can monitor the amount of Love waves from this instrument and that of Rayleigh waves from the STS seismograph. We report on seasonal variation of Rayleigh-to-Love wave ratio in the secondary microseism. The first step in our analysis is to obtain stacked Fourier spectra that were least affected by earthquakes. We used two earthquake catalogues to do this; the GCMT (Global Centroid Moment Tensor, Earthquakes M > 5.5) catalogue and the EMSC (European-Mediterranean Seismic Centre) catalogue for regional earthquakes (distance < 1000 km) with M > 4.5. We then created monthly averages of noise Fourier spectra for the frequency range 0.13-0.30 Hz using both the G-ring and STS data from 2009 to 2015. Monthly spectra show clear seasonal variations for the secondary microseism. We obtained surface vertical acceleration from STS and surface transverse acceleration from G-ring from which we can directly measure the Rayleigh-to-Love wave ratio. The procedure is the same with an account in our recent GRL paper (Tanimoto et al., 2015). Comparison between vertical acceleration and transverse acceleration shows that Rayleigh-wave surface amplitudes are about 20 percent larger than Love waves but in terms of kinetic energy this ratio will be different. We converted these ratios of surface amplitude to those of kinetic energy using an available earth model (Fichtner et al., 2013). The averaged ratio over the frequency band 0.13-0.30 Hz shows is in the range 0.6-0.8 in spring, autumn and winter but it increases to about 1.2 in summer. Except for the summer, the amount of Love waves are higher but the amount of Rayleigh waves increases in summer and appears to exceed that of Love waves.

Hurricane Directional Wave Spectrum Spatial Variation in the Open Ocean

NASA Technical Reports Server (NTRS)

Wright, C. W.; Walsh, E. J.; Vandemark, D.; Krabill, W. B.; Garcia, A. W.

1999-01-01

The sea surface directional wave spectrum was measured for the first time in all quadrants of a hurricane in open water using the NASA airborne scanning radar altimeter (SRA) carried aboard one of the NOAA WP-3D hurricane hunter aircraft at 1.5 km height. The SRA measures the energetic portion of the directional wave spectrum by generating a topographic map of the sea surface. At 8 Hz, the SRA sweeps a radar beam of 1 deg half-power width (two-way) across the aircraft ground track over a swath equal to 0. 8 of the aircraft height, simultaneously measuring the backscattered power at its 36 GHz (8.3 mm) operating frequency and the range to the sea surface at 64 positions. These slant ranges are multiplied by the cosine of the incidence angles to determine the vertical distances from the aircraft to the sea surface. Subtracting these distances from the aircraft height produces the sea surface elevation map. The sea surface topography is interpolated to a uniform grid, transformed by a two-dimensional FFT, and Doppler corrected. The data presented were acquired on 24 August 1998 when hurricane Bonnie was east of the Bahamas and moving slowly to the north. Wave heights up to 18 m were observed and the spatial variation of the wave field was dramatic. The dominant waves generally propagated at significant angles to the downwind direction and at times there were wave fields traveling at right angles to each other. The NOAA aircraft spent over five hours within 180 km of the hurricane Bonnie eye, and made five eye penetrations. A 2-minute animation of the directional wave spectrum spatial variation over this period will be shown.

Critical congenital heart disease screening with a pulse oximetry in neonates.

PubMed

Hamilçıkan, Şahin; Can, Emrah

2018-02-23

To compare the results of pulse oximetry screening for critical congenital heart disease (CCHD) in newborn infants performed at <24 h and >24 h following. Measurements were taken for each group at <24 h and >24 h following birth. Echocardiography was performed if the SpO2 readings remained abnormal results. A total of 4518 newborns were included in this prospective descriptive study. Of these, 2484 (60.3%) were delivered vaginally and 1685 (39.7%) by cesarean section. Median time points of the screening were 25.4 (25.3-25.5) vs. 17.3 (12.2-22.4) hours after birth. In 4109 infants screened 24 h after birth, the mean pre- and postductal oxygen saturations (SpO2) were 96.5±1.99 and 97.7±1.98, while 127 infants screened within 24 h of mean preductal and postductal SpO2 were 91.33±2.64 and 94.0±4.44. No CCHD was detected during the study period. Pulse oximetry screening was false positive for CCHD in 9 of 4109 infants (0.02%); of these, six infants were referred to pediatric cardiology and three cases were diagnosed as other significant, non-cardiac pathology. There were two cases with AVSD (atrioventricular septal defect, three cases with ventricular septal defect (VSD), and one case with patent ductus arteriosus (PDA). Saturation values are different between <24-h and >24-h neonates in pulse oximetry screening. The screening in this study identified infants with other important pathologies, this forms an added value as an assessment tool for newborn infants.

Seismic Velocity and Its Temporal Variations of Hutubi Basin Revealed by Near Surface Trapped Waves

NASA Astrophysics Data System (ADS)

Ji, Z.; Wang, B.; Wang, H.; Wang, Q.; Su, J.

2017-12-01

Sedimentary basins amplify bypassing seismic waves, which may increase the seismic hazard in basin area. The study of basin structure and its temporal variation is of key importance in the assessment and mitigation of seismic hazard in basins. Recent investigations of seismic exploration have shown that basins may host a distinct wave train with strong energy. It is usually named as Trapped Wave or Whispering Gallery (WG) Phase. In this study, we image the velocity structure and monitor its temporal changes of Hutubi basin in Xinjiang, Northwestern China with trapped wave generated from an airgun source. Hutubi basin is located at mid-segment of the North Tianshan Mountain. Hutubi aigun signal transmitting station was constructed in May 2013. It is composed of six longlife airgun manufactured by BOLT. Prominent trapped waves with strong energy and low velocity are observed within 40km from the source. The airgun source radiates repeatable seismic signals for years. The trapped waves have relative low frequency 0.15s-4s and apparent low velocities of 200m/s to 1000m/s. In the temporal-frequency diagram, at least two groups of wave train can be identified. Based on the group velocity dispersion curves, we invert the S-wave velocity profile of Hutubi basin. The velocity structure is further verified with synthetic seismogram. Velocity variations and Rayleigh wave polarization changes are useful barometers of underground stress status. We observed that the consistent seasonal variations in velocity and polarization. According to the simulate results, we suggest that the variations may be related to the changes of groundwater level and the formation and disappearance of frozen soil.

Assessing diabetic foot ulcer development risk with hyperspectral tissue oximetry

NASA Astrophysics Data System (ADS)

Yudovsky, Dmitry; Nouvong, Aksone; Schomacker, Kevin; Pilon, Laurent

2011-02-01

Foot ulceration remains a serious health concern for diabetic patients and has a major impact on the cost of diabetes treatment. Early detection and preventive care, such as offloading or improved hygiene, can greatly reduce the risk of further complications. We aim to assess the use of hyperspectral tissue oximetry in predicting the risk of diabetic foot ulcer formation. Tissue oximetry measurements are performed during several visits with hyperspectral imaging of the feet in type 1 and 2 diabetes mellitus subjects that are at risk for foot ulceration. The data are retrospectively analyzed at 21 sites that ulcerated during the course of our study and an ulceration prediction index is developed. Then, an image processing algorithm based on this index is implemented. This algorithm is able to predict tissue at risk of ulceration with a sensitivity and specificity of 95 and 80%, respectively, for images taken, on average, 58 days before tissue damage is apparent to the naked eye. Receiver operating characteristic analysis is also performed to give a range of sensitivity/specificity values resulting in a Q-value of 89%.

A model for technology assessment applied to pulse oximetry. The Technology Assessment Task Force of the Society of Critical Care Medicine.

PubMed

1993-04-01

To test a model for the assessment of critical care technology. To develop practice guidelines for the use of pulse oximetry. A computer-assisted search of the English language literature and interviews with recognized experts in the field of pulse oximetry. Those studies that addressed one or more of the seven questions contained in our technology assessment template were analyzed. Study design was not a factor in article selection. However, the lack of well-designed clinical outcome studies was an important factor in determining the method of practice policy development we utilized. A focus person summarized the data from the selected studies that related to each of the seven assessment questions. The preliminary data summary developed by the focus person was further analyzed and refined by the task force and then sent to 16 expert reviewers for comment. These expert comments were considered by the task force, and this final consensus report was developed. Pulse oximetry combines the principles of spectrophotometry and plethysmography to noninvasively measure oxygen saturation with a high degree of accuracy over the range of 80% to 100% saturation, assuming the device is being used according to the manufacturer's instructions and without any adverse operating conditions. The appropriate clinical uses of pulse oximetry fall into one of two broad categories: as a warning system based on continuous real-time measurement of arterial desaturation, or as an end-point for titration of therapeutic interventions. There are no published studies that allow for definitive, outcome-based conclusions concerning either the clinical impact or cost-benefit ratio of pulse oximetry. The model developed for technology assessment proved to be appropriate for assessing pulse oximetry. The available data have allowed us to develop an evidence-based practice policy for the use of pulse oximetry in critical care. Critical care clinicians, researchers, and industry have a shared

Electron Paramagnetic Resonance Oximetry as a Quantitative Method to Measure Cellular Respiration: A Consideration of Oxygen Diffusion Interference

PubMed Central

Presley, Tennille; Kuppusamy, Periannan; Zweier, Jay L.; Ilangovan, Govindasamy

2006-01-01

Electron paramagnetic resonance (EPR) oximetry is being widely used to measure the oxygen consumption of cells, mitochondria, and submitochondrial particles. However, further improvement of this technique, in terms of data analysis, is required to use it as a quantitative tool. Here, we present a new approach for quantitative analysis of cellular respiration using EPR oximetry. The course of oxygen consumption by cells in suspension has been observed to have three distinct zones: pO2-independent respiration at higher pO2 ranges, pO2-dependent respiration at low pO2 ranges, and a static equilibrium with no change in pO2 at very low pO2 values. The approach here enables one to comprehensively analyze all of the three zones together—where the progression of O2 diffusion zones around each cell, their overlap within time, and their potential impact on the measured pO2 data are considered. The obtained results agree with previously established methods such as high-resolution respirometry measurements. Additionally, it is also demonstrated how the diffusion limitations can depend on cell density and consumption rate. In conclusion, the new approach establishes a more accurate and meaningful model to evaluate the EPR oximetry data on cellular respiration to quantify related parameters using EPR oximetry. PMID:17012319

Electron paramagnetic resonance oximetry as a quantitative method to measure cellular respiration: a consideration of oxygen diffusion interference.

PubMed

Presley, Tennille; Kuppusamy, Periannan; Zweier, Jay L; Ilangovan, Govindasamy

2006-12-15

Electron paramagnetic resonance (EPR) oximetry is being widely used to measure the oxygen consumption of cells, mitochondria, and submitochondrial particles. However, further improvement of this technique, in terms of data analysis, is required to use it as a quantitative tool. Here, we present a new approach for quantitative analysis of cellular respiration using EPR oximetry. The course of oxygen consumption by cells in suspension has been observed to have three distinct zones: pO(2)-independent respiration at higher pO(2) ranges, pO(2)-dependent respiration at low pO(2) ranges, and a static equilibrium with no change in pO(2) at very low pO(2) values. The approach here enables one to comprehensively analyze all of the three zones together-where the progression of O(2) diffusion zones around each cell, their overlap within time, and their potential impact on the measured pO(2) data are considered. The obtained results agree with previously established methods such as high-resolution respirometry measurements. Additionally, it is also demonstrated how the diffusion limitations can depend on cell density and consumption rate. In conclusion, the new approach establishes a more accurate and meaningful model to evaluate the EPR oximetry data on cellular respiration to quantify related parameters using EPR oximetry.

Desaturation Patterns Detected by Oximetry in a Large Population of Athletes

ERIC Educational Resources Information Center

Garrido-Chamorro, Raul P.; Gonzalez-Lorenzo, Marta; Sirvent-Belando, Jose; Blasco-Lafarga, Cristina; Roche, Enrique

2009-01-01

Optimal exercise performance in well trained athletes can be affected by arterial oxygen saturation failure. Noninvasive detection of this phenomenon when performing a routine ergometric test can be a valuable tool for subsequent planning of the athlete's training, recovery, and nutrition. Oximetry has been used to this end. The authors studied…

Evaluating the Use of Tissue Oximetry to Decrease Intensive Unit Monitoring for Free Flap Breast Reconstruction.

PubMed

Ricci, Joseph A; Vargas, Christina R; Ho, Olivia A; Lin, Samuel J; Tobias, Adam M; Lee, Bernard T

2017-07-01

Postoperative free flap care has historically required intensive monitoring for 24 hours in an intensive care unit. Continuous monitoring with tissue oximetry has allowed earlier detection of vascular compromise, decreasing flap loss and improving salvage. This study aims to identify whether a fast-track postoperative paradigm can be safely used with tissue oximetry to decrease intensive monitoring and costs. All consecutive microsurgical breast reconstructions performed at a single institution were reviewed (2008-2014) and cases requiring return to the operating room were identified. Data evaluated included patient demographics, the take back time course, and complications of flap loss and salvage. A cost-benefit analysis was performed to analyse the utility of a postoperative intensive monitoring setting. There were 900 flaps performed and 32 required an unplanned return to the operating room. There were 16 flaps that required a reexploration within the first 24 hours; the standard length of intensive unit monitoring. After 4 hours, there were 7 flaps (44%) detected by tissue oximetry for reexploration. After 15 hours of intensive monitoring postoperatively, cost analysis revealed that the majority (15/16; 94%) of failing flaps had been identified and the cost of identifying each subsequent failing flap exceeded the cost of another hour of intensive monitoring. The postoperative paradigm for microsurgical flaps has historically required intensive unit monitoring. Using tissue oximetry, a fast-track pathway can reduce time spent in an intensive monitoring setting from 24 to 15 hours with significant cost savings and minimal risk of missing a failing free flap.

Hardness variation of welded boron steel using continuous wave (CW) and pulse wave (PW) mode of fiber laser

NASA Astrophysics Data System (ADS)

Yaakob, K. I.; Ishak, M.; Idris, S. R. A.; Aiman, M. H.; Khalil, N. Z.

2017-09-01

Recent car manufacturer requirement in lightweight and optimum safety lead to utilization of boron steel with tailor welded blank approach. Laser welding process in tailor welded blank (TWB) production can be applied in continuous wave (CW) of pulse wave (PW) which produce different thermal experience in welded area. Instead of microstructure identification, hardness properties also can determine the behavior of weld area. In this paper, hardness variation of welded boron steel using PW and CW mode is investigated. Welding process is conducted using similar average power for both welding mode. Hardness variation across weld area is observed. The result shows similar hardness pattern across weld area for both welding mode. Hardness degradation at fusion zone (FZ) is due to ferrite formation existence from high heat input applied. With additional slower cooling rate for CW mode, the hardness degradation is become obvious. The normal variation of hardness behavior with PW mode might lead to good strength.

Beyond Critical Congenital Heart Disease: Newborn Screening Using Pulse Oximetry for Neonatal Sepsis and Respiratory Diseases in a Middle-Income Country.

PubMed

Jawin, Vida; Ang, Hak-Lee; Omar, Asma; Thong, Meow-Keong

2015-01-01

Studies on pulse oximetry screening for neonatal sepsis and respiratory disease in a middle-income country are lacking. Newborn screening for critical congenital heart disease (CCHD) using pulse oximetry is an effective and life-saving strategy in developed countries. While most studies have reported false-positive results during CCHD screening, they have not elaborated on the detected disease types. We studied the effectiveness and outcomes of pulse oximetry newborn screening for non-cardiac hypoxemic diseases such as neonatal sepsis, respiratory diseases, and CCHD in a middle-income country. In a pilot study performed at the University Malaya Medical Centre (UMMC), Malaysia, all apparently healthy term newborns, delivered at UMMC were screened pre-discharge using pulse oximetry. Echocardiography was performed for newborns that had positive screening results on two separate occasions, 1-h apart. Newborns with normal echocardiograms were evaluated and treated for other non-cardiac diseases. Fifteen of 5247 term newborns had positive screening results. The median age at screening was 20 h. Thirteen newborns (0.24%) had significant non-cardiac diseases: sepsis (n = 2) and respiratory diseases (n = 11) that required hospitalization and treatment. The remaining two newborns with normal antenatal ultrasonograms had positive screening test and confirmed to have CCHD. Another 18 newborns with negative screening test were later admitted for treatment of sepsis (n = 16) and penumonia (n = 2). All newborns were treated and alive at the end of the study. The sensitivity and specificity of pulse oximetry screening for non-cardiac diseases were 42% and 99.9% respectively, and 100% and 99.7% for CCHD, respectively. Routine pulse oximetry screening test was effective in identifying newborns with CCHD and other hypoxemia illnesses, which may led to potential life-threatening condition. This study showed that the expanded use of pulse oximetry has immediate implications for low

Muscle Oximetry in Sports Science: A Systematic Review.

PubMed

Perrey, Stephane; Ferrari, Marco

2018-03-01

Since the introduction (in 2006) of commercially available portable wireless muscle oximeters, the use of muscle near-infrared spectroscopy (NIRS) technology is gaining in popularity as an application to observe changes in muscle metabolism and muscle oxygenation during and after exercise or training interventions in both laboratory and applied sports settings. The objectives of this systematic review were to highlight the application of muscle oximetry in evaluating oxidative skeletal muscle performance to sport activities and emphasize how this technology has been applied to exercise and training. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed in a systematic fashion to search, assess and synthesize existing literature on this topic. The Scopus and MEDLINE/PubMed electronic databases were searched to 1 March 2017. Potential inclusions were screened against eligibility criteria relating to recreationally trained to elite athletes, with or without training programs, who must have assessed physiological variables monitored by commercial oximeters or NIRS instrumentation. Of the 14,609 identified records, only 57 studies met the eligibility criteria. This systematic review highlighted a number of key findings in 16 sporting activities. Overall, NIRS information can be used as a marker of skeletal muscle oxidative capacity and for analyzing muscle performance factors. Although NIRS instrumentation is promising in evaluating oxidative skeletal muscle performance when used in sport settings, there is still the need for further instrumental development and randomized/longitudinal trials to support the detailed advantages of muscle oximetry utilization in sports science.

Day-night fluctuation of pulse oximetry: an exploratory study in pediatric inpatients.

PubMed

Vargas, Mario H; Heyaime-Lalane, Jorge; Pérez-Rodríguez, Liliana; Zúñiga-Vázquez, Guillermo; Furuya, María Elena Y

2008-01-01

Pulse oximetry is a simple and non-invasive procedure widely used nowadays in the clinical practice. However, it is unclear if SpO2 values are constant throughout the 24 hours of the day or have periodic fluctuations. In the present study we evaluated if progressive day-night variations of SpO, values occur in children. Pulse oximetry (Nonin 2500) was carried out approximately every 2 hours during a 24-hours period in pediatric patients hospitalized due to different diseases but without acute or chronic respiratory diseases. Measurements were analyzed through the cosinor method (sinusoidal curve fitting). A total of 131 patients (23 days to 16 years old) were studied. A sinusoidal fitting of the SpO2 values was accomplished in 84.7% of children. According to these curves, maximal SpO2 values occurred in the late afternoon [4:53 PM (3:49-5:32 PM), median (quartile 1-quartile 3)], while minimal values appeared in the first hours of the day [3:06 AM (2:12-4:08 AM)]. This pattern was the same in sleeping or awake children. More than half of these sinusoidal curves had a period near to 24 hours (between 20 and 28 hours). An additional finding was that maximal and minimal SpO2 values diminished with age (approximately 0.15 and approximately 0.13% SpO2 per year, respectively). In children less than six years old 5th percentile of SpO2 values were 93.8% in the late afternoon and 89.8% in the early hours of the day, while corresponding figures for older children were 91.0% and 88.5%, respectively. Our results suggested that, regardless of the sleep influence, in most children the SpO2 follows a progressive fluctuation during a 24-hours cycle, a pattern which is suggestive of a circadian rhythm. A prospective study in healthy children is warranted.

Velocity variations and uncertainty from transdimensional P-wave tomography of North America

NASA Astrophysics Data System (ADS)

Burdick, Scott; Lekić, Vedran

2017-05-01

High-resolution models of seismic velocity variations constructed using body-wave tomography inform the study of the origin, fate and thermochemical state of mantle domains. In order to reliably relate these variations to material properties including temperature, composition and volatile content, we must accurately retrieve both the patterns and amplitudes of variations and quantify the uncertainty associated with the estimates of each. For these reasons, we image the mantle beneath North America with P-wave traveltimes from USArray using a novel method for 3-D probabilistic body-wave tomography. The method uses a Transdimensional Hierarchical Bayesian framework with a reversible-jump Markov Chain Monte Carlo algorithm in order to generate an ensemble of possible velocity models. We analyse this ensemble solution to obtain the posterior probability distribution of velocities, thereby yielding error bars and enabling rigorous hypothesis testing. Overall, we determine that the average uncertainty (1σ) of compressional wave velocity estimates beneath North America is ∼0.25 per cent dVP/VP, increasing with proximity to complex structure and decreasing with depth. The addition of USArray data reduces the uncertainty beneath the Eastern US by over 50 per cent in the upper mantle and 25-40 per cent below the transition zone and ∼30 per cent throughout the mantle beneath the Western US. In the absence of damping and smoothing, we recover amplitudes of variations 10-80 per cent higher than a standard inversion approach. Accounting for differences in data coverage, we infer that the length scale of heterogeneity is ∼50 per cent longer at shallow depths beneath the continental platform than beneath tectonically active regions. We illustrate the model trade-off analysis for the Cascadia slab and the New Madrid Seismic Zone, where we find that smearing due to the limitations of the illumination is relatively minor.

Influence of sleep-disordered breathing assessed by pulse oximetry on long-term clinical outcomes in patients who underwent percutaneous coronary intervention.

PubMed

Yatsu, Shoichiro; Naito, Ryo; Kasai, Takatoshi; Matsumoto, Hiroki; Shitara, Jun; Shimizu, Megumi; Murata, Azusa; Kato, Takao; Suda, Shoko; Hiki, Masaru; Sai, Eiryu; Miyauchi, Katsumi; Daida, Hiroyuki

2018-03-31

Sleep-disordered breathing (SDB) has been recognized as an important risk factor for coronary artery disease (CAD). However, SDB was not fully examined, because sleep studies are limited. Nocturnal pulse oximetry has been suggested to be a useful tool for evaluating SDB. Therefore, the aim of this study was to investigate the influence of SDB assessed by nocturnal pulse oximetry on clinical outcomes in patients who underwent percutaneous coronary intervention (PCI). We conducted a prospective, multicenter, observational cohort study, wherein SDB was assessed by finger pulse oximetry in patients who underwent PCI from January 2014 to December 2016. SDB was defined as 4% oxygen desaturation index of 5 and higher. The primary endpoint was major adverse cardiac or cerebrovascular event (MACCE), defined as a composite of all-cause mortality, acute coronary syndrome, and/or stroke. Of 539 patients, 296 (54.9%) had SDB. MACCE occurred in 32 patients (5.8%) during a median follow-up of 1.9 years. The cumulative incidence of MACCE was significantly higher in patients with SDB (P = 0.0134). In the stepwise multivariable Cox proportional model, the presence of SDB was a significant predictor of MACCE (hazard ratio 2.26; 95% confidence interval 1.05-5.4, P = 0.036). SDB determined by nocturnal pulse oximetry was associated with worse clinical outcomes in patients who underwent PCI. Screening for SDB with nocturnal pulse oximetry was considered to be important for risk stratification in patients with CAD.

A paramagnetic implant containing lithium naphthalocyanine microcrystals for high-resolution biological oximetry

PubMed Central

Meenakshisundaram, Guruguhan; Pandian, Ramasamy P.; Eteshola, Edward; Lee, Stephen C.; Kuppusamy, Periannan

2009-01-01

Lithium naphthalocyanine (LiNc) is a microcrystalline EPR oximetry probe with high sensitivity to oxygen (Pandian et al. J. Mater. Chem., 19, 4138, 2009). However, direct implantation of the crystals in the tissue for in vivo oxygen measurements may be hindered by concerns associated with their direct contact with the tissue/cells and loss of EPR signal due to particle migration in the tissue. In order to address these concerns, we have developed encapsulations (chips) of LiNc microcrystals in polydimethyl siloxane (PDMS), an oxygen-permeable, bioinert polymer. Oximetry evaluation of the fabricated chips revealed that the oxygen sensitivity of the crystals was unaffected by encapsulation in PDMS. Chips were stable against sterilization procedures or treatment with common biological oxidoreductants. In vivo oxygen measurements established the ability of the chips to provide reliable and repeated measurements of tissue oxygenation. This study establishes PDMS-encapsulated LiNc as a potential probe for long-term and repeated measurements of tissue oxygenation. PMID:20006529

Effect of Helical Slow-Wave Circuit Variations on TWT Cold-Test Characteristics

NASA Technical Reports Server (NTRS)

Kory, Carol L.; Dayton, J. A., Jr.

1998-01-01

Recent advances in the state of the art of computer modeling offer the possibility for the first time to evaluate the effect that slow-wave structure parameter variations, such as manufacturing tolerances, have on the cold-test characteristics of helical traveling-wave tubes (TWT's). This will enable manufacturers to determine the cost effectiveness of controlling the dimensions of the component parts of the TWT, which is almost impossible to do experimentally without building a large number of tubes and controlling several parameters simultaneously. The computer code MAFIA is used in this analysis to determine the effect on dispersion and on-axis interaction impedance of several helical slow-wave circuit parameter variations, including thickness and relative dielectric constant of the support rods, tape width, and height of the metallized films deposited on the dielectric rods. Previous computer analyzes required so many approximations that accurate determinations of the effect of many relevant dimensions on tube performance were practically impossible.

Effect of Helical Slow-Wave Circuit Variations on TWT Cold-Test Characteristics

NASA Technical Reports Server (NTRS)

Kory, Carol L.; Dayton, James A., Jr.

1997-01-01

Recent advances in the state of the art of computer modeling offer the possibility for the first time to evaluate the effect that slow-wave structure parameter variations, such as manufacturing tolerances, have on the cold-test characteristics of helical traveling-wave tubes (TWT's). This will enable manufacturers to determine the cost effectiveness of controlling the dimensions of the component parts of the TWT, which is almost impossible to do experimentally without building a large number of tubes and controlling several parameters simultaneously. The computer code MAFIA is used in this analysis to determine the effect on dispersion and on-axis interaction impedance of several helical slow-wave circuit parameter variations, including thickness and relative dielectric constant of the support rods, tape width, and height of the metallized films deposited on the dielectric rods. Previous computer analyses required so many approximations that accurate determinations of the effect of many relevant dimensions on tube performance were practically impossible.

Effect of Helical Slow-Wave Circuit Variations on TWT Cold-Test Characteristics

NASA Technical Reports Server (NTRS)

Kory, Carol L.; Dayton, James A., Jr.

1998-01-01

Recent advances in the state of the art of computer modeling offer the possibility for the first time to evaluate the effect that slow-wave structure parameter variations, such'as manufacturing tolerances, have on the cold-test characteristics of helical traveling-wave tubes (TWT's). This will enable manufacturers to determine the cost effectiveness of controlling the dimensions of the component parts of the TWT, which is almost impossible to do experimentally without building a large number of tubes and controlling several parameters simultaneously. The computer code MAxwell's equations by the Finite Integration Algorithm (MAFIA) is used in this analysis to determine the effect on dispersion and on-axis interaction impedance of several helical slow-wave circuit parameter variations, including thickness and relative dielectric constant of the support rods, tape width, and height of the metallized films deposited on the dielectric rods. Previous computer analyzes required so many approximations that accurate determinations of the effect of many relevant dimensions on tube performance were practically impossible.

Finger blood content, light transmission, and pulse oximetry errors.

PubMed

Craft, T M; Lawson, R A; Young, J D

1992-01-01

The changes in light emitting diode current necessary to maintain a constant level of light incident upon a photodetector were measured in 20 volunteers at the two wavelengths employed by pulse oximeters. Three states of finger blood content were assessed; exsanguinated, hyperaemic, and normal. The changes in light emitting diode current with changes in finger blood content were small and are not thought to represent a significant source of error in saturation as measured by pulse oximetry.

Type III home sleep testing versus pulse oximetry: is the respiratory disturbance index better than the oxygen desaturation index to predict the apnoea-hypopnoea index measured during laboratory polysomnography?

PubMed

Dawson, Arthur; Loving, Richard T; Gordon, Robert M; Abel, Susan L; Loewy, Derek; Kripke, Daniel F; Kline, Lawrence E

2015-06-30

In its guidelines on the use of portable monitors to diagnose obstructive sleep apnoea, the American Academy of Sleep Medicine endorses home polygraphy with type III devices recording at a minimum airflow the respiratory effort and pulse oximetry, but advises against simple pulse oximetry. However, oximetry is widely available and simple to use in the home. This study was designed to compare the ability of the oxygen desaturation index (ODI) based on oximetry alone with a stand-alone pulse oximeter (SPO) and from the oximetry channel of the ApneaLink Plus (ALP), with the respiratory disturbance index (RDI) based on four channels from the ALP to predict the apnoea-hypopnoea index (AHI) from laboratory polysomnography. Cross-sectional diagnostic accuracy study. Sleep medicine practice of a multispecialty clinic. Patients referred for laboratory polysomnography with suspected sleep apnoea. We enrolled 135 participants with 123 attempting the home sleep testing and 73 having at least 4 hours of satisfactory data from SPO and ALP. Participants had home testing performed simultaneously with both a SPO and an ALP. The 2 oximeter probes were worn on different fingers of the same hand. The ODI for the SPO was calculated using Profox software (ODI(SOX)). For the ALP, RDI and ODI were calculated using both technician scoring (RDI(MAN) and ODI(MAN)) and the ALP computer scoring (RDI(RAW) and ODI(RAW)). The receiver-operator characteristic areas under the curve for AHI ≥ 5 were RDI(MAN) 0.88 (95% confidence limits 0.81-0.96), RDI(RAW) 0.86 (0.76-0.94), ODI(MAN) 0.86 (0.77-0.95), ODI(RAW) 0.84 (0.75-0.93) and ODI(SOX) 0.83 (0.73-0.93). We conclude that the RDI and the ODI, measured at home on the same night, give similar predictions of the laboratory AHI, measured on a different night. The differences between the two methods are small compared with the reported night-to-night variation of the AHI. Published by the BMJ Publishing Group Limited. For permission to use (where not

Theoretical considerations to optimize transabdominal monitoring of fetal arterial blood oxygenation using pulse oximetry

NASA Astrophysics Data System (ADS)

Zourabian, Anna; Boas, David A.

2001-06-01

Pulse oximetry (oxygen saturation monitoring) has markedly improved medical care in many fields, including anesthesiology, intensive care, and newborn intensive care. In obstetrics, fetal heart rate monitoring remains the standard for intrapartum assessment of fetal well being. Fetal oxygen saturation monitoring is a new technique currently under development. It is potentially superior to electronic fetal heart rate monitoring (cardiotocography) because it allows direct assessment of both fetal oxygen status and fetal tissue perfusion. Here we present the analysis for determining the most optimal wavelength selection for pulse oximetry. The wavelengths we chose as the most optimal are: the first in the range of 670-720nm and the second in the range of 825-925nm. Further we discuss the possible systematic errors during our measurements, and their contribution to the obtained saturation results.

A Comparative Evaluation of EPR and OxyLite Oximetry Using a Random Sampling of pO2 in a Murine Tumor

PubMed Central

Vikram, Deepti S.; Bratasz, Anna; Ahmad, Rizwan; Kuppusamy, Periannan

2015-01-01

Methods currently available for the measurement of oxygen concentrations (oximetry) in viable tissues differ widely from each other in their methodological basis and applicability. The goal of this study was to compare two novel methods, particulate-based electron paramagnetic resonance (EPR) and OxyLite oximetry, in an experimental tumor model. EPR oximetry uses implantable paramagnetic particulates, whereas OxyLite uses fluorescent probes affixed on a fiber-optic cable. C3H mice were transplanted with radiation-induced fibrosarcoma (RIF-1) tumors in their hind limbs. Lithium phthalocyanine (LiPc) microcrystals were used as EPR probes. The pO2 measurements were taken from random locations at a depth of ~3 mm within the tumor either immediately or 48 h after implantation of LiPc. Both methods revealed significant hypoxia in the tumor. However, there were striking differences between the EPR and OxyLite readings. The differences were attributed to the volume of tissue under examination and the effect of needle invasion at the site of measurement. This study recognizes the unique benefits of EPR oximetry in terms of robustness, repeatability and minimal invasiveness. PMID:17705635

Diagnostic value of QRS and S wave variation in patients with suspicion of acute pulmonary embolism.

PubMed

Çağdaş, Metin; Karakoyun, Süleyman; Rencüzoğulları, İbrahim; Karabağ, Yavuz; Artaç, İnanç; İliş, Doğan; Hamideyin, Şerif; Karayol, Sibel; Çiftçi, Handan; Çınar, Tufan

2018-03-29

This study aimed to investigate the diagnostic value of QRS and S wave variation in patients admitted to the emergency department with suspicion of acute pulmonary embolism (APE). Computerized tomographic pulmonary angiography (CTPA) was performed in 118 consecutive patients to evaluate patients with suspected APE, and 106 subjects with appropriate electrocardiogram and CT images constituted the study population. Using CTPA, APE was diagnosed in 48.1% (n:51) of the study population. The comparison of patients with APE and those without APE revealed that increased heart rate, right axis deviation of QRS axis, complete or incomplete right bundle branch block, prominent S wave in lead D1, increased QRS duration, percentage of QRS (9,8[4,8-19,0] vs 3,8[2,7-71]; p<0,001), S wave variation (22,3[9,6-31,9] vs 4,8 [2-8]; p<0,001) and ΔS wave amplitude (1.1[0.5-1.5] vs 0.2[0.1-0.5]; p<0.001) were significantly associated with APE, but no relationship was detected with respect to the presence of atrial arrhythmias, clockwise rotation of the horizontal axis, fragmentation, ST segment deviation, T wave inversion, and S1Q3T3 and S1S2S3 patterns. The percentage of S wave variation (OR: 1072 per 1% increase, 95% CI:1011-1137) was found to be an independent predictor of APE. ΔS wave amplitude>0.5mm predicted APE with a sensitivity of 72.6% and a specificity of 74.6% (AUC:0.805, 95% CI: 0.717-0.876; p<0.001). The present study demonstrated that QRS and S wave variation could be useful electrocardiographic signs for the diagnosis of APE. Copyright © 2018. Published by Elsevier Inc.

Spatial and temporal variations of wave energy in the nearshore waters of the central west coast of India

NASA Astrophysics Data System (ADS)

Amrutha, M. M.; Sanil Kumar, V.

2016-12-01

Assessment of wave power potential at different water depths and time is required for identifying a wave power plant location. This study examines the variation in wave power off the central west coast of India at water depths of 30, 9 and 5 m based on waverider buoy measured wave data. The study shows a significant reduction ( ˜ 10 to 27 %) in wave power at 9 m water depth compared to 30 m and the wave power available at 5 m water depth is 20 to 23 % less than that at 9 m. At 9 m depth, the seasonal mean value of the wave power varied from 1.6 kW m-1 in the post-monsoon period (ONDJ) to 15.2 kW m-1 in the Indian summer monsoon (JJAS) period. During the Indian summer monsoon period, the variation of wave power in a day is up to 32 kW m-1. At 9 m water depth, the mean annual wave power is 6 kW m-1 and interannual variations up to 19.3 % are observed during 2009-2014. High wave energy ( > 20 kW m-1) at the study area is essentially from the directional sector 245-270° and also 75 % of the total annual wave energy is from this narrow directional sector, which is advantageous while aligning the wave energy converter.

Coherent molecular transistor: control through variation of the gate wave function.

PubMed

Ernzerhof, Matthias

2014-03-21

In quantum interference transistors (QUITs), the current through the device is controlled by variation of the gate component of the wave function that interferes with the wave function component joining the source and the sink. Initially, mesoscopic QUITs have been studied and more recently, QUITs at the molecular scale have been proposed and implemented. Typically, in these devices the gate lead is subjected to externally adjustable physical parameters that permit interference control through modifications of the gate wave function. Here, we present an alternative model of a molecular QUIT in which the gate wave function is directly considered as a variable and the transistor operation is discussed in terms of this variable. This implies that we specify the gate current as well as the phase of the gate wave function component and calculate the resulting current through the source-sink channel. Thus, we extend on prior works that focus on the phase of the gate wave function component as a control parameter while having zero or certain discrete values of the current. We address a large class of systems, including finite graphene flakes, and obtain analytic solutions for how the gate wave function controls the transistor.

A Variational Reduction and the Existence of a Fully Localised Solitary Wave for the Three-Dimensional Water-Wave Problem with Weak Surface Tension

NASA Astrophysics Data System (ADS)

Buffoni, Boris; Groves, Mark D.; Wahlén, Erik

2017-12-01

Fully localised solitary waves are travelling-wave solutions of the three- dimensional gravity-capillary water wave problem which decay to zero in every horizontal spatial direction. Their existence has been predicted on the basis of numerical simulations and model equations (in which context they are usually referred to as `lumps'), and a mathematically rigorous existence theory for strong surface tension (Bond number {β} greater than {1/3} ) has recently been given. In this article we present an existence theory for the physically more realistic case {0 < β < 1/3} . A classical variational principle for fully localised solitary waves is reduced to a locally equivalent variational principle featuring a perturbation of the functional associated with the Davey-Stewartson equation. A nontrivial critical point of the reduced functional is found by minimising it over its natural constraint set.

A Variational Reduction and the Existence of a Fully Localised Solitary Wave for the Three-Dimensional Water-Wave Problem with Weak Surface Tension

NASA Astrophysics Data System (ADS)

Buffoni, Boris; Groves, Mark D.; Wahlén, Erik

2018-06-01

Fully localised solitary waves are travelling-wave solutions of the three- dimensional gravity-capillary water wave problem which decay to zero in every horizontal spatial direction. Their existence has been predicted on the basis of numerical simulations and model equations (in which context they are usually referred to as `lumps'), and a mathematically rigorous existence theory for strong surface tension (Bond number {β} greater than {1/3}) has recently been given. In this article we present an existence theory for the physically more realistic case {0 < β < 1/3}. A classical variational principle for fully localised solitary waves is reduced to a locally equivalent variational principle featuring a perturbation of the functional associated with the Davey-Stewartson equation. A nontrivial critical point of the reduced functional is found by minimising it over its natural constraint set.

Quasi-biennial variation of equatorial waves as seen in satellite remote sensing data

NASA Astrophysics Data System (ADS)

Chen, Zeyu

The quasi-biennial oscillation (QBO) in zonal winds in the lower stratosphere at the Equator is the most prominent inter-annual variation signal in the middle atmosphere. Theoretically, it is driven by the drag from the damping of equatorial waves including the equatorially trapped planetary scale waves, such as Kelvin waves propagating eastward and Rossby-gravity waves propagating westward, inertio-gravity waves and gravity waves. In current research, the tem-perature data collected by the SABER/TIMED mission in 2002-2009 are used to investigate the equatorial waves activities. The Fast Fourier Synoptic Mapping (FFSM) method is applied to delineate planetary wave components with the zonal wavenumber spanning over -6 to +6, hereby, positive (negative) wavenumber is assigned to westward (eastward) propagating waves. Limited by the SABER/TIMED sampling scheme, only the waves with periods longer than one day can be resolved. Focusing on the height region 70-10 hPa where the QBO signal is most significant, it is clearly observed that the composite activity of all the eastward waves exhibit QBO like variation. Specifically, for each QBO cycle, the activity at 50 hPa level is characterized by the occurrence of a substantially clear minimum that coincides to the fast downward propagation of the westerly phase, the typical pattern of the QBO phenomenon. Phase speed spectra are derived by using the FFSM analysis results. And vertical shear of the zonal wind is derived by using the rawinsonde data at Singapore. Comparison of the phase speed spectra and the wind shear indicates that the minimum is due to the westerly shear below 30 hPa. Between the minimum, significant wave activities emerge, thus the property for the components are investigated. Results show that in height range 70-10 hPa, both wave 1 to wave 3 are prominent during the inter-minimum period for each QBO cycle. At 50 hPa level, wave 1 component exhibits amplitude spectral peak at three kinds of period, 8, 11

Pulse oximetry in the pulmonary tissue for the non-invasive measurement of mixed venous oxygen saturation.

PubMed

Nitzan, Meir; Nitzan, Itamar

2013-08-01

The oxygen saturation of the systemic arterial blood is associated with the adequacy of respiration, and can be measured non-invasively by pulse oximetry in the systemic tissue. The oxygen saturation of the blood in the pulmonary artery, the mixed venous blood, reflects the balance between oxygen supply to the systemic tissues and their oxygen demand. The mixed venous oxygen saturation has also clinical significance because it is used in Fick equation for the quantitative measurement of cardiac output. At present the measurement of the mixed venous oxygen saturation is invasive and requires insertion of a Swan-Ganz catheter into the pulmonary artery. We suggest a noninvasive method for the measurement of the mixed venous oxygen saturation in infants, pulmonary pulse oximetry. The method is similar to the systemic pulse oximetry, which is based on the different light absorption curves of oxygenated and deoxygenated hemoglobin and on the analysis of photoplethysmographic curves in two wavelengths. The proposed pulmonary pulse oximeter includes light-sources of two wavelengths in the infrared, which illuminate the pulmonary tissue through the thoracic wall. Part of the light which is scattered back from the pulmonary tissue and passes through the thoracic wall is detected, and for each wavelength a pulmonary photoplethysmographic curve is obtained. The pulmonary photoplethysmographic curves reflect blood volume increase during systole in the pulmonary arteries in the lung tissue, which contain mixed venous blood. The ratio R of the amplitude-to-baseline ratio for the two wavelengths is related to the mixed venous oxygen saturation through equations derived for the systemic pulse oximetry. The method requires the use of extinction coefficients values for oxygenated and deoxygenated hemoglobin, which can be found in the literature. Copyright © 2013 Elsevier Ltd. All rights reserved.

Application of NIR laser diodes to pulse oximetry

NASA Astrophysics Data System (ADS)

Lopez Silva, Sonnia M.; Giannetti, Romano; Dotor, Maria L.; Sendra, Jose R.; Silveira, Juan P.; Briones, Fernando

1999-01-01

A transmittance pulse oximeter based on near-infrared laser diodes for monitoring arterial blood hemoglobin oxygen saturation has been developed and tested. The measurement system consists of the optical sensor, sensor electronics, acquisition board and personal computer. The system has been tested in a two-part experimental study involving human volunteers. A calibration curve was derived and healthy volunteers were monitored under normal and apnea conditions, both with the proposed system and with a commercial pulse oximeter. The obtained results demonstrate the feasibility of using a sensor with laser diodes emitting at specific near-infrared wavelengths for pulse oximetry.

Assessment of clinical application of pulse oximetry probes in llamas and alpacas.

PubMed

Grubb, Tamara L; Anderson, David E

2017-08-01

The placement and accuracy of pulse oximeter probes can vary markedly among species. For our study, we aimed to assess the accuracy of pulse oximetry and to determine the most clinically useful sites for probe placement in llamas and alpacas. The objectives included an analysis of pulse oximetry probes for accurate assessment of llamas and alpacas and to determine the best placement of the probes to achieve accurate readings. For study 1, saturation of haemoglobin with oxygen was measured in 184 arterial blood gas samples (SaO 2 ) using a co-oximeter and compared to saturation of haemoglobin with oxygen simultaneously measured using a pulse oximeter (S p O 2 ). The bias and precision for the SpO 2 -S a O 2 difference was calculated and plotted on a Bland-Altman plot. For study 2, S p O 2 data was collected 624 times from a variety of sites [tongue (T), nasal septum (NS), lip (L), vulva (V), prepuce (P), ear (E), and scrotum (S)] and recorded based upon a percentage of successful readings. Results for study 1 revealed that S p O 2 was consistently 0 to -6% points different than S a O 2 . The bias and precision of the S p O 2 -S a O 2 difference was -2.6 ± 1.7%. Results for study 2 uncovered that 540 recordings were successful readings and were obtained from the tongue and nasal septum with 97% accuracy, the lip 80%, vulva 62%, prepuce 59%, ear and scrotum < 50%. We concluded that pulse oximetry probes provide reliable estimates of arterial haemoglobin oxygen saturation in llamas and alpacas and is most accurately read when placed on the nasal septum or tongue.

Can we Replace Arterial Blood Gas Analysis by Pulse Oximetry in Neonates with Respiratory Distress Syndrome, who are Treated According to INSURE Protocol?

PubMed Central

Niknafs, Pedram; Norouzi, Elahe; Bahman Bijari, Bahareh; Baneshi, Mohammad Reza

2015-01-01

Neonates with respiratory distress syndrome (RDS), who are treated according to INSURE protocol; require arterial blood gas (ABG) analysis to decide on appropriate management. We conducted this study to investigate the validity of pulse oximetry instead of frequent ABG analysis in the evaluation of these patients. From a total of 193 blood samples obtained from 30 neonates <1500 grams with RDS, 7.2% were found to have one or more of the followings: acidosis, hypercapnia, or hypoxemia. We found that pulse oximetry in the detection of hyperoxemia had a good validity to appropriately manage patients without blood gas analysis. However, the validity of pulse oximetry was not good enough to detect acidosis, hypercapnia, and hypoxemia. PMID:25999627

Quantitative impact of small angle forward scatter on whole blood oximetry using a Beer-Lambert absorbance model.

PubMed

LeBlanc, Serge Emile; Atanya, Monica; Burns, Kevin; Munger, Rejean

2011-04-21

It is well known that red blood cell scattering has an impact on whole blood oximetry as well as in vivo retinal oxygen saturation measurements. The goal of this study was to quantify the impact of small angle forward scatter on whole blood oximetry for scattering angles found in retinal oximetry light paths. Transmittance spectra of whole blood were measured in two different experimental setups: one that included small angle scatter in the transmitted signal and one that measured the transmitted signal only, at absorbance path lengths of 25, 50, 100, 250 and 500 µm. Oxygen saturation was determined by multiple linear regression in the 520-600 nm wavelength range and compared between path lengths and experimental setups. Mean calculated oxygen saturation differences between setups were greater than 10% at every absorbance path length. The deviations to the Beer-Lambert absorbance model had different spectral dependences between experimental setups, with the highest deviations found in the 520-540 nm range when scatter was added to the transmitted signal. These results are consistent with other models of forward scatter that predict different spectral dependences of the red blood cell scattering cross-section and haemoglobin extinction coefficients in this wavelength range.

[transcutaneous oximetry--between theory and practice].

PubMed

Zulec, Mirna

2014-10-01

Transcutaneous oximetry is a procedure used to measure the pressure of oxygen in tissue and to determine oxygenation level. It is essential to determine the state of microcirculation and is used to assess the necessity and level of amputation and the effect of revascularization procedures, as a predictor of wound healing and hyperbaric oxygen therapy (HBOT) effectiveness tool. The measurement is done by the application electrode measuring point and the result is measured in mm Hg. Tissue with adequate oxygen level has a value greater than 50 mm Hg. Values between 20 and 40 mm Hg are considered hypoxic, while those below 20 mm Hg indicate extreme hypoxia. In Croatia, TcPO2 is commonly used for HBOT assessment but there is the need of broader application to objectify and facilitate procedures in the care of persons with impaired microcirculation.

Pulse Oximetry in the Physics Lab: A Colorful Alternative to Traditional Optics Curricula

ERIC Educational Resources Information Center

Kutschera, Ellynne; Dunlap, Justin C.; Byrd, Misti; Norlin, Casey; Widenhorn, Ralf

2013-01-01

We designed a physics laboratory exercise around pulse oximetry, a noninvasive medical technique used to assess a patient's blood oxygen saturation. An alternative to a traditional optics and light lab, this exercise teaches the principles of light absorption, spectroscopy, and the properties of light, while simultaneously studying a common…

Plateau Waves of Intracranial Pressure and Multimodal Brain Monitoring.

PubMed

Dias, Celeste; Maia, Isabel; Cerejo, Antonio; Smielewski, Peter; Paiva, José-Artur; Czosnyka, Marek

2016-01-01

The aim of this study was to describe multimodal brain monitoring characteristics during plateau waves of intracranial pressure (ICP) in patients with head injury, using ICM+ software for continuous recording. Plateau waves consist of an abrupt elevation of ICP above 40 mmHg for 5-20 min. This is a prospective observational study of patients with head injury who were admitted to a neurocritical care unit and who developed plateau waves. We analyzed 59 plateau waves that occurred in 8 of 18 patients (44 %). At the top of plateau waves arterial blood pressure remained almost constant, but cerebral perfusion pressure, cerebral blood flow, brain tissue oxygenation, and cerebral oximetry decreased. After plateau waves, patients with a previously better autoregulation status developed hyperemia, demonstrated by an increase in cerebral blood flow and brain oxygenation. Pressure and oxygen cerebrovascular reactivity indexes (pressure reactivity index and ORxshort) increased significantly during the plateau wave as a sign of disruption of autoregulation. Bedside multimodal brain monitoring is important to characterize increases in ICP and give differential diagnoses of plateau waves, as management of this phenomenon differs from that of regular ICP.

Intraoperative colonic pulse oximetry in left-sided colorectal surgery: can it predict anastomotic leak?

PubMed

Salusjärvi, Johannes M; Carpelan-Holmström, Monika A; Louhimo, Johanna M; Kruuna, Olli; Scheinin, Tom M

2018-03-01

An anastomotic leak is a fairly common and a potentially lethal complication in colorectal surgery. Objective methods to assess the viability and blood circulation of the anastomosis could help in preventing leaks. Intraoperative pulse oximetry is a cheap, easy to use, fast, and readily available method to assess tissue viability. Our aim was to study whether intraoperative pulse oximetry can predict the development of an anastomotic leak. The study was a prospective single-arm study conducted between the years 2005 and 2011 in Helsinki University Hospital. Patient material consisted of 422 patients undergoing elective left-sided colorectal surgery. The patients were operated by one of the three surgeons. All of the operations were partial or total resections of the left side of the colon with a colorectal anastomosis. The intraoperative colonic oxygen saturation was measured with pulse oximetry from the colonic wall, and the values were analyzed with respect to post-operative complications. 2.3 times more operated anastomotic leaks occurred when the colonic StO 2 was ≤ 90% (11/129 vs 11/293). The mean colonic StO 2 was 91.1 in patients who developed an operated anastomotic leak and 93.0 in patients who did not. With logistic regression analysis, the risk of operated anastomotic leak was 4.2 times higher with StO 2 values ≤ 90%. Low intraoperative colonic StO 2 values are associated with the occurrence of anastomotic leak. Despite its handicaps, the method seems to be useful in assessing anastomotic viability.

Assessment of automated analysis of portable oximetry as a screening test for moderate-to-severe sleep apnea in patients with chronic obstructive pulmonary disease.

PubMed

Andrés-Blanco, Ana M; Álvarez, Daniel; Crespo, Andrea; Arroyo, C Ainhoa; Cerezo-Hernández, Ana; Gutiérrez-Tobal, Gonzalo C; Hornero, Roberto; Del Campo, Félix

2017-01-01

The coexistence of obstructive sleep apnea syndrome (OSAS) and chronic obstructive pulmonary disease (COPD) leads to increased morbidity and mortality. The development of home-based screening tests is essential to expedite diagnosis. Nevertheless, there is still very limited evidence on the effectiveness of portable monitoring to diagnose OSAS in patients with pulmonary comorbidities. To assess the influence of suffering from COPD in the performance of an oximetry-based screening test for moderate-to-severe OSAS, both in the hospital and at home. A total of 407 patients showing moderate-to-high clinical suspicion of OSAS were involved in the study. All subjects underwent (i) supervised portable oximetry simultaneously to in-hospital polysomnography (PSG) and (ii) unsupervised portable oximetry at home. A regression-based multilayer perceptron (MLP) artificial neural network (ANN) was trained to estimate the apnea-hypopnea index (AHI) from portable oximetry recordings. Two independent validation datasets were analyzed: COPD versus non-COPD. The portable oximetry-based MLP ANN reached similar intra-class correlation coefficient (ICC) values between the estimated AHI and the actual AHI for the non-COPD and the COPD groups either in the hospital (non-COPD: 0.937, 0.909-0.956 CI95%; COPD: 0.936, 0.899-0.960 CI95%) and at home (non-COPD: 0.731, 0.631-0.808 CI95%; COPD: 0.788, 0.678-0.864 CI95%). Regarding the area under the receiver operating characteristics curve (AUC), no statistically significant differences (p >0.01) between COPD and non-COPD groups were found in both settings, particularly for severe OSAS (AHI ≥30 events/h): 0.97 (0.92-0.99 CI95%) non-COPD vs. 0.98 (0.92-1.0 CI95%) COPD in the hospital, and 0.87 (0.79-0.92 CI95%) non-COPD vs. 0.86 (0.75-0.93 CI95%) COPD at home. The agreement and the diagnostic performance of the estimated AHI from automated analysis of portable oximetry were similar regardless of the presence of COPD both in-lab and at

Assessment of oximetry-based statistical classifiers as simplified screening tools in the management of childhood obstructive sleep apnea.

PubMed

Crespo, Andrea; Álvarez, Daniel; Kheirandish-Gozal, Leila; Gutiérrez-Tobal, Gonzalo C; Cerezo-Hernández, Ana; Gozal, David; Hornero, Roberto; Del Campo, Félix

2018-02-16

A variety of statistical models based on overnight oximetry has been proposed to simplify the detection of children with suspected obstructive sleep apnea syndrome (OSAS). Despite the usefulness reported, additional thorough comparative analyses are required. This study was aimed at assessing common binary classification models from oximetry for the detection of childhood OSAS. Overnight oximetry recordings from 176 children referred for clinical suspicion of OSAS were acquired during in-lab polysomnography. Several training and test datasets were randomly composed by means of bootstrapping for model optimization and independent validation. For every child, blood oxygen saturation (SpO 2 ) was parameterized by means of 17 features. Fast correlation-based filter (FCBF) was applied to search for the optimum features. The discriminatory power of three statistical pattern recognition algorithms was assessed: linear discriminant analysis (LDA), quadratic discriminant analysis (QDA), and logistic regression (LR). The performance of each automated model was evaluated for the three common diagnostic polysomnographic cutoffs in pediatric OSAS: 1, 3, and 5 events/h. Best screening performances emerged using the 1 event/h cutoff for mild-to-severe childhood OSAS. LR achieved 84.3% accuracy (95% CI 76.8-91.5%) and 0.89 AUC (95% CI 0.83-0.94), while QDA reached 96.5% PPV (95% CI 90.3-100%) and 0.91 AUC (95% CI 0.85-0.96%). Moreover, LR and QDA reached diagnostic accuracies of 82.7% (95% CI 75.0-89.6%) and 82.1% (95% CI 73.8-89.5%) for a cutoff of 5 events/h, respectively. Automated analysis of overnight oximetry may be used to develop reliable as well as accurate screening tools for childhood OSAS.

Combining Probability Distributions of Wind Waves and Sea Level Variations to Assess Return Periods of Coastal Floods

NASA Astrophysics Data System (ADS)

Leijala, U.; Bjorkqvist, J. V.; Pellikka, H.; Johansson, M. M.; Kahma, K. K.

2017-12-01

Predicting the behaviour of the joint effect of sea level and wind waves is of great significance due to the major impact of flooding events in densely populated coastal regions. As mean sea level rises, the effect of sea level variations accompanied by the waves will be even more harmful in the future. The main challenge when evaluating the effect of waves and sea level variations is that long time series of both variables rarely exist. Wave statistics are also highly location-dependent, thus requiring wave buoy measurements and/or high-resolution wave modelling. As an initial approximation of the joint effect, the variables may be treated as independent random variables, to achieve the probability distribution of their sum. We present results of a case study based on three probability distributions: 1) wave run-up constructed from individual wave buoy measurements, 2) short-term sea level variability based on tide gauge data, and 3) mean sea level projections based on up-to-date regional scenarios. The wave measurements were conducted during 2012-2014 on the coast of city of Helsinki located in the Gulf of Finland in the Baltic Sea. The short-term sea level distribution contains the last 30 years (1986-2015) of hourly data from Helsinki tide gauge, and the mean sea level projections are scenarios adjusted for the Gulf of Finland. Additionally, we present a sensitivity test based on six different theoretical wave height distributions representing different wave behaviour in relation to sea level variations. As these wave distributions are merged with one common sea level distribution, we can study how the different shapes of the wave height distribution affect the distribution of the sum, and which one of the components is dominating under different wave conditions. As an outcome of the method, we obtain a probability distribution of the maximum elevation of the continuous water mass, which enables a flexible tool for evaluating different risk levels in the

Seasonal variations of reflexibility and transmissibility of ULF waves propagating through the ionosphere of geomagnetic mid-latitudes

NASA Astrophysics Data System (ADS)

Prikner, K.

Using reference models of the daytime and night ionosphere of geomagnetic mid-latitudes in a quiescent period in summer, autumn and winter, the seasonal variation of ULF frequency characteristics of amplitude and energy correction factors of the ionosphere - vertical reflexibility, transmissibility, are studied. The existence of two frequency bands within the ULF range with different properties of ionospheric wave filtration is pointed out: (1) continuous band f 0.1-0.2 Hz with the mirror effect of the ionosphere with respect to the incident wave, but with small ionospheric absorption of wave energy; (2) the f 0.2 Hz band with resonance frequency windows and wave emissions with a sharply defined frequency structure. The seasonal variation from summer to winter indicates a decrease in wave energy absorption in the ionosphere and a slight displacement of the resonances towards higher frequencies.

Lateral variation in crustal and mantle structure in Bay of Bengal based on surface wave data

NASA Astrophysics Data System (ADS)

Kumar, Amit; Mukhopadhyay, Sagarika; Kumar, Naresh; Baidya, P. R.

2018-01-01

Surface waves generated by earthquakes that occurred near Sumatra, Andaman-Nicobar Island chain and Sunda arc are used to estimate crustal and upper mantle S wave velocity structure of Bay of Bengal. Records of these seismic events at various stations located along the eastern coast of India and a few stations in the north eastern part of India are selected for such analysis. These stations lie within regional distance of the selected earthquakes. The selected events are shallow focused with magnitude greater than 5.5. Data of 65, 37, 36, 53 and 36 events recorded at Shillong, Bokaro, Visakhapatnam, Chennai and Trivandrum stations respectively are used for this purpose. The ray paths from the earthquake source to the recording stations cover different parts of the Bay of Bengal. Multiple Filtering Technique (MFT) is applied to compute the group velocities of surface waves from the available data. The dispersion curves thus obtained for this data set are within the period range of 15-120 s. Joint inversion of Rayleigh and Love wave group velocity is carried out to obtain the subsurface information in terms of variation of S wave velocity with depth. The estimated S wave velocity at a given depth and layer thickness can be considered to be an average value for the entire path covered by the corresponding ray paths. However, we observe variation in the value of S wave velocity and layer thickness from data recorded at different stations, indicating lateral variation in these two parameters. Thick deposition of sediments is observed along the paths followed by surface waves to Shillong and Bokaro stations. Sediment thickness keeps on decreasing as the surface wave paths move further south. Based on velocity variation the sedimentary layer is further divided in to three parts; on top lay unconsolidated sediment, underlain by consolidated sediment. Below this lies a layer which we consider as meta-sediments. The thickness and velocity of these layers decrease from north

Instant Variations in Velocity and Attenuation of Seismic Waves in a Friable Medium Under a Vibrational Dynamic Loading

NASA Astrophysics Data System (ADS)

Geza, N.; Yushin, V.

2007-12-01

Instant variations of the velocities and attenuation of seismic waves in a friable medium subjected to dynamic loading have been studied by new experimental techniques using a powerful seismic vibrator. The half-space below the operating vibrator baseplate was scanned by high-frequency elastic waves, and the recorded fluctuations were exposed to a stroboscopic analysis. It was found that the variations of seismic velocities and attenuation are synchronous with the external vibrational load but have phase shift from it. Instant variations of the seismic waves parameters depend on the magnitude and absolute value of deformation, which generally result in decreasing of the elastic-wave velocities. New experimental techniques have a high sensitivity to the dynamic disturbance in the medium and allow one to detect a weak seismic boundaries. The relaxation process after dynamic vibrational loading were investigated and the results of research are presented.

[SEASONAL VARIATION OF MICROVOLT T-WAVE ALTERNANS IN PATIENTS WITH CARDIOVASCULAR DISEASE AND HEALTHY SUBJECTS].

PubMed

Halabi, Gh; Bulanova, N; Aleksandrova, S; Ivanov, G; Aleksandrova, M

2018-05-01

Objective - to access seasonal variation of microvolt T-wave alternans of ECG dispersion mapping in patients with cardiovascular disease and healthy subjects. ECG data of the three groups of healthy subjects have been compared: inhabitants of Beirut, Lebanon (n=51), inhabitants of Moscow, Russia (n=94) and ECG data of healthy subjects (n=44) from the testing ECG database of the PTB - The National Metrology Institute of Germany as well as a group of patients with cardiovascular disease (n=138), inhabitants of Beirut, Lebanon. Microvolt T-wave alternans of ECG dispersion mapping was evaluated in three points - Tbeginning, Tmaximum, Tend. In healthy subjects, the seasonal variation of ECG dispersion mapping microvolt T-wave alternans was nonexistent. Myocardial lesion is characterized by an increase in Tbeg, Tmax, Tend in relation to the healthy individuals. Tbeg values are minimal in winter and summer and increase in spring and autumn. Tend values were reversed - they were maximal in winter and summer, decreasing in spring-autumn period. Seasonal variation of Tmax - Tbeg, and Tmax -Tend was detected: Tmax - Tbeg increased in the winter-summer period and decreased in spring and autumn, Tmax-Tend - increased in the spring-autumn period in relation to the winter-summer period. In patients with cardiovascular disease, in contrast to the healthy, there is a seasonal variation in microvolt T-wave alternans of ECG dispersion mapping, with the maximum differences in the winter and spring seasons, which should be taken into account when applying the method in clinical practice.

Inaccurate pulse CO-oximetry of carboxyhemoglobin due to digital clubbing: case report.

PubMed

Harlan, Nicole; Weaver, Lindell K; Deru, Kayla

2016-01-01

Newer pulse CO-oximeters provide a non-invasive and quick means of measuring oxyhemoglobin, carboxyhemoglobin and methemoglobin. Clubbing has been reported to cause inaccuracy in pulse oximeters. We present a case of inaccurate carboxy-hemoglobin measurement by pulse CO-oximetry due to digital clubbing. An 18-year-old man with a history of cystic fibrosis presented after a suicide attempt by inhalation of exhaust. At the initial emergency department evaluation, his blood carboxyhemoglobin was 33%. He was intubated, placed on 100% oxygen and transferred to our facility. Upon arrival, we placed three different pulse CO-oximeters on different fingers and toes. Carboxyhemoglobin levels measured by these meters ranged from 9%-11%. A venous blood gas drawn on arrival showed a carboxyhemoglobin level of 2.3% after four hours on 100% oxygen by endotracheal tube. Thirty minutes later, we checked arterial blood gas, which revealed a COHb level of 0.9%. Again, non-invasive carboxyhemoglobin measurements read 10%. The patient was treated with hyperbaric oxygen for carbon monoxide poisoning. This case suggests that non-invasive measurements of carboxyhemoglobin should be correlated with the clinic history and with an arterial or venous blood gas oximetry analysis.

Seasonal variations of reflexibility and transmissibility of ULF waves propagating through the ionosphere of geomagnetic mid-latitudes

NASA Astrophysics Data System (ADS)

Prikner, K.

Using reference models of the daytime and night ionosphere of geomagnetic mid-latitudes in a quiescent period in summer, autumn and winter, the seasonal variation of ULF frequency characteristics of amplitude and energy correction factors of the ionosphere - vertical reflexibility, transmissibility and absorption, are studied. The existence of two frequency bands within the ULF range with different properties of ionospheric wave filtration is pointed out: (a) continuous band f of less than 0.1 to 0.2 Hz with the mirror effect of the ionosphere with respect to the incident wave, but with small ionospheric absorption of wave energy; and (b) a Hz band of greater than 0.2 Hz with resonance frequency windows and wave emissions with a sharply defined frequency structure. The seasonal variation from summer to winter indicates a decrease in wave energy absorption in the ionosphere and a slight displacement of the resonances towards higher frequencies.

Variational stereo imaging of oceanic waves with statistical constraints.

PubMed

Gallego, Guillermo; Yezzi, Anthony; Fedele, Francesco; Benetazzo, Alvise

2013-11-01

An image processing observational technique for the stereoscopic reconstruction of the waveform of oceanic sea states is developed. The technique incorporates the enforcement of any given statistical wave law modeling the quasi-Gaussianity of oceanic waves observed in nature. The problem is posed in a variational optimization framework, where the desired waveform is obtained as the minimizer of a cost functional that combines image observations, smoothness priors and a weak statistical constraint. The minimizer is obtained by combining gradient descent and multigrid methods on the necessary optimality equations of the cost functional. Robust photometric error criteria and a spatial intensity compensation model are also developed to improve the performance of the presented image matching strategy. The weak statistical constraint is thoroughly evaluated in combination with other elements presented to reconstruct and enforce constraints on experimental stereo data, demonstrating the improvement in the estimation of the observed ocean surface.

Effects of temperature variations on guided waves propagating in composite structures

NASA Astrophysics Data System (ADS)

Shoja, Siavash; Berbyuk, Viktor; Boström, Anders

2016-04-01

Effects of temperature on guided waves propagating in composite materials is a well-known problem which has been investigated in many studies. The majority of the studies is focused on effects of high temperature. Understanding the effects of low temperature has major importance in composite structures and components which are operating in cold climate conditions such as e.g. wind turbines operating in cold climate regions. In this study first the effects of temperature variations on guided waves propagating in a composite plate is investigated experimentally in a cold climate chamber. The material is a common material used to manufacture rotor blades of wind turbines. The temperature range is 25°C to -25°C and effects of temperature variations on amplitude and phase shift of the received signal are investigated. In order to apply the effects of lowering the temperature on the received signal, the Baseline Signal Stretch (BSS) method is modified and used. The modification is based on decomposing the signal into symmetric and asymmetric modes and applying two different stretch factors on each of them. Finally the results obtained based on the new method is compared with the results of application of BSS with one stretch factor and experimental measurements. Comparisons show that an improvement is obtained using the BSS with the mode decomposition method at temperature variations of more than 25°C.

Assessment of continuous acoustic respiratory rate monitoring as an addition to a pulse oximetry-based patient surveillance system.

PubMed

McGrath, Susan P; Pyke, Joshua; Taenzer, Andreas H

2017-06-01

Technology advances make it possible to consider continuous acoustic respiratory rate monitoring as an integral component of physiologic surveillance systems. This study explores technical and logistical aspects of augmenting pulse oximetry-based patient surveillance systems with continuous respiratory rate monitoring and offers some insight into the impact on patient deterioration detection that may result. Acoustic respiratory rate sensors were introduced to a general care pulse oximetry-based surveillance system with respiratory rate alarms deactivated. Simulation was used after 4324 patient days to determine appropriate alarm thresholds for respiratory rate, which were then activated. Data were collected for an additional 4382 patient days. Physiologic parameters, alarm data, sensor utilization and patient/staff feedback were collected throughout the study and analyzed. No notable technical or workflow issues were observed. Sensor utilization was 57 %, with patient refusal leading reasons for nonuse (22.7 %). With respiratory rate alarm thresholds set to 6 and 40 breaths/min., the majority of nurse pager clinical notifications were triggered by low oxygen saturation values (43 %), followed by low respiratory rate values (21 %) and low pulse rate values (13 %). Mean respiratory rate collected was 16.6 ± 3.8 breaths/min. The vast majority (82 %) of low oxygen saturation states coincided with normal respiration rates of 12-20 breaths/min. Continuous respiratory rate monitoring can be successfully added to a pulse oximetry-based surveillance system without significant technical, logistical or workflow issues and is moderately well-tolerated by patients. Respiratory rate sensor alarms did not significantly impact overall system alarm burden. Respiratory rate and oxygen saturation distributions suggest adding continuous respiratory rate monitoring to a pulse oximetry-based surveillance system may not significantly improve patient deterioration detection.

Variation in Differential and Total Cross Sections Due to Different Radial Wave Functions

ERIC Educational Resources Information Center

Williamson, W., Jr.; Greene, T.

1976-01-01

Three sets of analytical wave functions are used to calculate the Na (3s---3p) transition differential and total electron excitation cross sections by Born approximations. Results show expected large variations in values. (Author/CP)

A physical model study of converted wave amplitude variation in a reservoir of systematically aligned vertical fractures

NASA Astrophysics Data System (ADS)

Chang, C.; Sun, L.; Lin, C.; Chang, Y.; Tseng, P.

2013-12-01

The existence of fractures not only provides spaces for the residence of oils and gases reside, but it also creates pathways for migration. Characterizing a fractured reservoir thus becomes an important subject and has been widely studied by exploration geophysicists and drilling engineers. In seismic anisotropy, a reservoir of systematically aligned vertical fractures (SAVF) is often treated as a transversely isotropic medium (TIM) with a horizontal axis of symmetry (HTI). Subjecting to HTI, physical properties vary in azimuth. P-wave reflection amplitude, which is susceptible to vary in azimuth, is one of the most popular seismic attributes which is widely used to delineate the fracture strike of an SAVF reservoir. Instead of going further on analyzing P-wave signatures, in this study, we focused on evaluating the feasibility of orienting the fracture strike of an SAVF reservoir using converted (C-) wave amplitude. For a C-wave is initiated by a downward traveling P-wave that is converted on reflection to an upcoming S-wave; the behaviors of both P- and S-waves should be theoretically woven in a C-wave. In our laboratory work, finite offset reflection experiments were carried out on the azimuthal plane of a HTI model at two different offset intervals. To demonstrate the azimuthal variation of C-wave amplitude in a HTI model, reflections were acquired along the principal symmetry directions and the diagonal direction of the HTI model. Inheriting from phenomenon of S-wave splitting in a transversely isotropic medium (TIM), P-waves get converted into both the fast (S1) and slow (S2) shear modes at all azimuths outside the vertical symmetry planes, thus producing split PS-waves (PS1 and PS2). In our laboratory data, the converted PS1- (C1-) wave were observed and identified. As the azimuth varies from the strike direction to the strike normal, C1-wave amplitude exhibits itself in a way of weakening and can be view from the common-reflection-point (CRP) gathers

Assessment of automated analysis of portable oximetry as a screening test for moderate-to-severe sleep apnea in patients with chronic obstructive pulmonary disease

PubMed Central

Andrés-Blanco, Ana M.; Álvarez, Daniel; Crespo, Andrea; Arroyo, C. Ainhoa; Cerezo-Hernández, Ana; Gutiérrez-Tobal, Gonzalo C.; Hornero, Roberto

2017-01-01

Background The coexistence of obstructive sleep apnea syndrome (OSAS) and chronic obstructive pulmonary disease (COPD) leads to increased morbidity and mortality. The development of home-based screening tests is essential to expedite diagnosis. Nevertheless, there is still very limited evidence on the effectiveness of portable monitoring to diagnose OSAS in patients with pulmonary comorbidities. Objective To assess the influence of suffering from COPD in the performance of an oximetry-based screening test for moderate-to-severe OSAS, both in the hospital and at home. Methods A total of 407 patients showing moderate-to-high clinical suspicion of OSAS were involved in the study. All subjects underwent (i) supervised portable oximetry simultaneously to in-hospital polysomnography (PSG) and (ii) unsupervised portable oximetry at home. A regression-based multilayer perceptron (MLP) artificial neural network (ANN) was trained to estimate the apnea-hypopnea index (AHI) from portable oximetry recordings. Two independent validation datasets were analyzed: COPD versus non-COPD. Results The portable oximetry-based MLP ANN reached similar intra-class correlation coefficient (ICC) values between the estimated AHI and the actual AHI for the non-COPD and the COPD groups either in the hospital (non-COPD: 0.937, 0.909–0.956 CI95%; COPD: 0.936, 0.899–0.960 CI95%) and at home (non-COPD: 0.731, 0.631–0.808 CI95%; COPD: 0.788, 0.678–0.864 CI95%). Regarding the area under the receiver operating characteristics curve (AUC), no statistically significant differences (p >0.01) between COPD and non-COPD groups were found in both settings, particularly for severe OSAS (AHI ≥30 events/h): 0.97 (0.92–0.99 CI95%) non-COPD vs. 0.98 (0.92–1.0 CI95%) COPD in the hospital, and 0.87 (0.79–0.92 CI95%) non-COPD vs. 0.86 (0.75–0.93 CI95%) COPD at home. Conclusion The agreement and the diagnostic performance of the estimated AHI from automated analysis of portable oximetry were similar

The detection of T-wave variation linked to arrhythmic risk: an industry perspective.

PubMed

Xue, Joel; Rowlandson, Ian

2013-01-01

Although the scientific literature contains ample descriptions of peculiar patterns of repolarization linked to arrhythmic risk, the objective quantification and classification of these patterns continues to be a challenge that impacts their widespread adoption in clinical practice. To advance the science, computerized algorithms spawned in the academic environment have been essential in order to find, extract and measure these patterns. However, outside the strict control of a core lab, these algorithms are exposed to poor quality signals and need to be effective in the presence of different forms of noise that can either obscure or mimic the T-wave variation (TWV) of interest. To provide a practical solution that can be verified and validated for the market, important tradeoffs need to be made that are based on an intimate understanding of the end-user as well as the key characteristics of either the signal or the noise that can be used by the signal processing engineer to best differentiate them. To illustrate this, two contemporary medical devices used for quantifying T-wave variation are presented, including the modified moving average (MMA) for the detection of T-wave Alternans (TWA) and the quantification of T-wave shape as inputs to the Morphology Combination Score (MCS) for the trending of drug-induced repolarization abnormalities. © 2013 Elsevier Inc. All rights reserved.

Effects of the magnetic field variation on the spin wave interference in a magnetic cross junction

NASA Astrophysics Data System (ADS)

Balynskiy, M.; Chiang, H.; Kozhevnikov, A.; Dudko, G.; Filimonov, Y.; Balandin, A. A.; Khitun, A.

2018-05-01

This article reports results of the investigation of the effect of the external magnetic field variation on the spin wave interference in a magnetic cross junction. The experiments were performed using a micrometer scale Y3Fe5O12 cross structure with a set of micro-antennas fabricated on the edges of the cross arms. Two of the antennas were used for the spin wave excitation while a third antenna was used for detecting the inductive voltage produced by the interfering spin waves. It was found that a small variation of the bias magnetic field may result in a significant change of the output inductive voltage. The effect is most prominent under the destructive interference condition. The maximum response exceeds 30 dB per 0.1 Oe at room temperature. It takes a relatively small bias magnetic field variation of about 1 Oe to drive the system from the destructive to the constructive interference conditions. The switching is accompanied by a significant, up to 50 dB, change in the output voltage. The obtained results demonstrate a feasibility of the efficient spin wave interference control by an external magnetic field, which may be utilized for engineering novel type of magnetometers and magnonic logic devices.

The Effect of Skin Pigmentation on the Accuracy of Pulse Oximetry in Infants with Hypoxemia.

PubMed

Foglia, Elizabeth E; Whyte, Robin K; Chaudhary, Aasma; Mott, Antonio; Chen, Jodi; Propert, Kathleen J; Schmidt, Barbara

2017-03-01

To compare pulse oximetry measurement bias between infants with hypoxemia with either dark skin or light skin with Masimo Radical 7 and Nellcor Oximax. There was no significant difference in systematic bias based on skin pigment for either oximeter. Copyright © 2016 Elsevier Inc. All rights reserved.

A feasibility study of cerebral oximetry during in-hospital mechanical and manual cardiopulmonary resuscitation*.

PubMed

Parnia, Sam; Nasir, Asad; Ahn, Anna; Malik, Hanan; Yang, Jie; Zhu, Jiawen; Dorazi, Francis; Richman, Paul

2014-04-01

A major hurdle limiting the ability to improve the quality of resuscitation has been the lack of a noninvasive real-time detection system capable of monitoring the quality of cerebral and other organ perfusion, as well as oxygen delivery during cardiopulmonary resuscitation. Here, we report on a novel system of cerebral perfusion targeted resuscitation. An observational study evaluating the role of cerebral oximetry (Equanox; Nonin, Plymouth, MI, and Invos; Covidien, Mansfield, MA) as a real-time marker of cerebral perfusion and oxygen delivery together with the impact of an automated mechanical chest compression system (Life Stat; Michigan Instruments, Grand Rapids, MI) on oxygen delivery and return of spontaneous circulation following in-hospital cardiac arrest. Tertiary medical center. In-hospital cardiac arrest patients (n = 34). Cerebral oximetry provided real-time information regarding the quality of perfusion and oxygen delivery. The use of automated mechanical chest compression device (n = 12) was associated with higher regional cerebral oxygen saturation compared with manual chest compression device (n = 22) (53.1% ± 23.4% vs 24% ± 25%, p = 0.002). There was a significant difference in mean regional cerebral oxygen saturation (median % ± interquartile range) in patients who achieved return of spontaneous circulation (n = 15) compared with those without return of spontaneous circulation (n = 19) (47.4% ± 21.4% vs 23% ± 18.42%, p < 0.001). After controlling for patients achieving return of spontaneous circulation or not, significantly higher mean regional cerebral oxygen saturation levels during cardiopulmonary resuscitation were observed in patients who were resuscitated using automated mechanical chest compression device (p < 0.001). The integration of cerebral oximetry into cardiac arrest resuscitation provides a novel noninvasive method to determine the quality of cerebral perfusion and oxygen delivery to the brain. The use of automated mechanical

ROx3: Retinal oximetry utilizing the blue-green oximetry method

NASA Astrophysics Data System (ADS)

Parsons, Jennifer Kathleen Hendryx

The ROx is a retinal oximeter under development with the purpose of non-invasively and accurately measuring oxygen saturation (SO2) in vivo. It is novel in that it utilizes the blue-green oximetry technique with on-axis illumination. ROx calibration tests were performed by inducing hypoxia in live anesthetized swine and comparing ROx measurements to SO 2 values measured by a CO-Oximeter. Calibration was not achieved to the precision required for clinical use, but limiting factors were identified and improved. The ROx was used in a set of sepsis experiments on live pigs with the intention of tracking retinal SO2 during the development of sepsis. Though conclusions are qualitative due to insufficient calibration of the device, retinal venous SO2 is shown to trend generally with central venous SO2 as sepsis develops. The novel sepsis model developed in these experiments is also described. The method of cecal ligation and perforation with additional soiling of the abdomen consistently produced controllable severe sepsis/septic shock in a matter of hours. In addition, the ROx was used to collect retinal images from a healthy human volunteer. These experiments served as a bench test for several of the additions/modifications made to the ROx. This set of experiments specifically served to illuminate problems with various light paths and image acquisition. The analysis procedure for the ROx is under development, particularly automating the process for consistency, accuracy, and time efficiency. The current stage of automation is explained, including data acquisition processes and the automated vessel fit routine. Suggestions for the next generation of device minimization are also described.

Wave behaviour of sporadic E-layer variations at the latitudes 30-70N

NASA Astrophysics Data System (ADS)

Ryabchenko, E. Yu.; Sherstyukov, O. N.

A wave behaviour of sporadic E-layer variations was investigated by analysing time series of twenty European ionosonde stations (30°N--80°N, 15°W--45°E) for 1985-1988. Wavelet transform was used to explore 3-30 periodicities in variations of Es-layer relative electron density δ NEs defined here as (foEs2--foE2)/foE2. Such compound parameter allowed us to partly exclude solar ionisation factor and concentrate on meteorological nature of Es-layer synoptical oscillations. A typical synoptical atmospheric 3-30 day oscillations were discovered in foEs and also in δ NEs. Due to nonorthgonal wavelet transform used in this work, it is advisable to divide frequency domain into several optimal intervals. Five periods 4,6,10,16 and 24 day were chosen which cover 3-5, 5-7, 8-12, 13-20 and 20-30 day intervals. Low value of oscillation amplitude not greater than 1.5 is typical for most of European ionospheric stations in January-March and September-December. A higher values were observed at latitudes higher than 60°N. A wave vortex were discovered during the analysis of dynamics of δ NEs spatio-temporal variations in summer for each period interval. In May and June we observed wave penetration from north and south into the middle latitudes 45°N--55°N with amplitudes up to 5.0 for the most of considered years. In Jule and August all amplitudes reach their average values.

A model for seasonal changes in GPS positions and seismic wave speeds due to thermoelastic and hydrologic variations

USGS Publications Warehouse

Tsai, V.C.

2011-01-01

It is known that GPS time series contain a seasonal variation that is not due to tectonic motions, and it has recently been shown that crustal seismic velocities may also vary seasonally. In order to explain these changes, a number of hypotheses have been given, among which thermoelastic and hydrology-induced stresses and strains are leading candidates. Unfortunately, though, since a general framework does not exist for understanding such seasonal variations, it is currently not possible to quickly evaluate the plausibility of these hypotheses. To fill this gap in the literature, I generalize a two-dimensional thermoelastic strain model to provide an analytic solution for the displacements and wave speed changes due to either thermoelastic stresses or hydrologic loading, which consists of poroelastic stresses and purely elastic stresses. The thermoelastic model assumes a periodic surface temperature, and the hydrologic models similarly assume a periodic near-surface water load. Since all three models are two-dimensional and periodic, they are expected to only approximate any realistic scenario; but the models nonetheless provide a quantitative framework for estimating the effects of thermoelastic and hydrologic variations. Quantitative comparison between the models and observations is further complicated by the large uncertainty in some of the relevant parameters. Despite this uncertainty, though, I find that maximum realistic thermoelastic effects are unlikely to explain a large fraction of the observed annual variation in a typical GPS displacement time series or of the observed annual variations in seismic wave speeds in southern California. Hydrologic loading, on the other hand, may be able to explain a larger fraction of both the annual variations in displacements and seismic wave speeds. Neither model is likely to explain all of the seismic wave speed variations inferred from observations. However, more definitive conclusions cannot be made until the model

Hurricane Directional Wave Spectrum Spatial Variation in the Open Ocean and at Landfall

NASA Technical Reports Server (NTRS)

Walsh, Edward J.; Wright, C. Wayne; Vandemark, Douglas C.; Krabill, William B.; Garcia, Andrew W.; Houston, Samuel H.; Powell, Mark D.; Black, Peter G.; Marks, Frank D.

2000-01-01

The sea surface directional wave spectrum was measured for the first time in all quadrants of a hurricane in open water using the NASA airborne scanning radar altimeter (SRA) carried aboard one of the NOAA WP-3D hurricane hunter aircraft at 1.5 km height. The SRA measures the energetic portion of the directional wave spectrum by generating a topographic map of the sea surface. At 8 Hz, the SRA sweeps a radar beam of 1' half-power width (two-way) across the aircraft ground track over a swath equal to 0.8 of the aircraft height, simultaneously measuring the backscattered power at its 36 GHz (8.3 mm) operating frequency and the range to the sea surface at 64 positions. These slant ranges are multiplied by the cosine of the off-nadir angles to determine the vertical distances from the aircraft to the sea surface. Subtracting these distances from the aircraft height produces the sea surface elevation map. The sea surface topography is interpolated to a uniform grid, transformed by a two dimensional FFT, and Doppler corrected. The open-ocean data were acquired on 24 August 1998 when hurricane Bonnie was east of the Bahamas and moving toward 330 deg at about 5 m/s. Individual waves up to 18 m height were observed and the spatial variation of the wave field was dramatic. The dominant waves generally propagated at significant angles to the downwind direction. At some positions there were three different wave fields of comparable energy crossing each other. The NOAA aircraft spent over five hours within 180 km of the eye, and made five eye penetrations. On 26 August 1998, the NOAA aircraft flew at 2.2 km height when hurricane Bonnie was making landfall near Wilmington, NC, documenting the directional wave spectrum in the region between Charleston, SC and Cape Hatteras, NC. The aircraft flight lines included segments near and along the shoreline as well as far offshore. Animations of the directional wave spectrum spatial variation along the aircraft tracks on the two flights

Projection of heat waves variation over a warming climate in China

NASA Astrophysics Data System (ADS)

Yue, X.; Wu, S.; Pan, T.

2016-12-01

Heat waves (HW) have adverse impacts on economies, human health, societies and environment, which have been observed around the world and are expected to increase in a warming climate. However, the variations of HW under climate change over China are not clear yet. Using the HadGEM2-ES RCP4.5 and RCP8.5 daily maximum temperature and humidity dataset, variation of heat waves in China for 2021-2050 comparing to 1991-2000 as baseline were analyzed. The CMA-HI (Heat Index standardized by China Meteorological Administration) index was used to calculate the frequency and intensity of head waves. This paper classified the HW into three intensity levels including mild HW, moderate HW and severe HW , and defined a heat wave event (HWE) as that CMA-HI are all above or equal to 2.8 and keep at a intensity level more than five consecutive days. Results show that during 2021to 2050, the distribution area, frequency and duration of each intensity level have an increasing trend over China, and those of severe HW will increase mostly. The distribution area of mild, moderate and severe HW will increase 18%, 22%, 35% respectively. Average HWE frequency of each level will concentrate on 0.5-1instead of 0-0.3 in baseline period. Maximum frequency of each intensity can reach to almost 3 times a year. During 1991-2000, the average frequency of mild HW, moderate HW and severe HW kept a downward sequence. But it will change to increase in the future, and the shift occurs during 2031-2040. In addition, only severe HW duration will increase in the future. Its average value will increase from 9days to 13days, and keep a maximum duration of 42days.While the average duration of mild HW and moderate HW just keep almost 6 days and 8 days as usual. Regionally, both the frequency and duration will keep high value in the region of eastern China, central China, southern China and central Xinjiang autonomous region in the future. And only severe HW has a great change in distribution. Under RCP 8

Longitudinal Variation and Waves in Jupiter's South Equatorial Wind Jet

NASA Technical Reports Server (NTRS)

Simon-Miller, Amy A.; Choi, David; Rogers, John H.; Gierasch, Peter J.; Allison, Michael D.; Adamoli, Gianluigi; Mettig, Hans-Joerg

2012-01-01

A detailed study of the chevron-shaped dark spots on the strong southern equatorial wind jet near 7.5 S planetographic latitude shows variations in velocity with longitude and time. The presence of the large anticyclonic South Equatorial Disturbance (SED) has a profound effect on the chevron velocity, causing slower velocities to its east and accelerations over distance from the disturbance. The chevrons move with velocities near the maximum wind jet velocity of approx 140 m/s, as deduced by the history of velocities at this latitude and the magnitude of the symmetric wind jet near 7 N latitude. Their repetitive nature is consistent with a gravity-inertia wave (n = 75 to 100) with phase speed up to 25 m/s, relative to the local flow, but the identity of this wave mode is not well constrained. However, for the first time, high spatial resolution movies from Cassini images show that the chevrons oscillate in latitude with a 6.7 +/- 0.7-day period. This oscillating motion has a wavelength of approx 20 and a speed of 101 +/- 3 m/s, following a pattern similar to that seen in the Rossby wave plumes of the North Equatorial Zone, and possibly reinforced by it. All dates show chevron latitude variability, but it is unclear if this larger wave is present during other epochs, as there are no other suitable time series movies that fully delineate it. In the presence of mUltiple wave modes, the difference in dominant cloud appearance between 7 deg N and 7.5 deg S is likely due to the presence of the Great Red Spot, either through changes in stratification and stability or by acting as a wave boundary.

Wave groupiness variations in the nearshore

USGS Publications Warehouse

List, J.H.

1991-01-01

This paper proposes a new definition of the groupiness factor, GF, based on the envelope of the incident-wave time series. It is shown that an envelope-based GF has several important advantages over the SIWEH-based groupiness factor, including objective criteria for determining the accuracy of the envelope function and well-defined numerical limits. Using this new GF, the variability of incident wave groupiness in the field is examined both temporally, in unbroken waves at a fixed location, and spatially, in a cross-shore array through the surf zone. Contrary to previous studies using the SIWEH-based GF, results suggest that incident wave groupiness may not be an independent parameter in unbroken waves; through a wide range of spectral shapes, from swell to storm waves, the groupiness did not vary significantly. As expected, the groupiness decreases rapidly as waves break through the surf zone, although significant wave height variability persists even through a saturated surf zone. The source of this inner surf zone groupiness is not identified; however, this observation implies that models of long wave generation must account for nonsteady radiation stress gradients landward of some narrow zone near the mean breakpoint. ?? 1991.

Variational approach to studying solitary waves in the nonlinear Schrödinger equation with complex potentials

DOE PAGES

Mertens, Franz G.; Cooper, Fred; Arevalo, Edward; ...

2016-09-15

Here in this paper, we discuss the behavior of solitary wave solutions of the nonlinear Schrödinger equation (NLSE) as they interact with complex potentials, using a four-parameter variational approximation based on a dissipation functional formulation of the dynamics. We concentrate on spatially periodic potentials with the periods of the real and imaginary part being either the same or different. Our results for the time evolution of the collective coordinates of our variational ansatz are in good agreement with direct numerical simulation of the NLSE. We compare our method with a collective coordinate approach of Kominis and give examples where themore » two methods give qualitatively different answers. In our variational approach, we are able to give analytic results for the small oscillation frequency of the solitary wave oscillating parameters which agree with the numerical solution of the collective coordinate equations. We also verify that instabilities set in when the slope dp(t)/dv(t) becomes negative when plotted parametrically as a function of time, where p(t) is the momentum of the solitary wave and v(t) the velocity.« less

Variational approach to studying solitary waves in the nonlinear Schrödinger equation with complex potentials

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mertens, Franz G.; Cooper, Fred; Arevalo, Edward

Here in this paper, we discuss the behavior of solitary wave solutions of the nonlinear Schrödinger equation (NLSE) as they interact with complex potentials, using a four-parameter variational approximation based on a dissipation functional formulation of the dynamics. We concentrate on spatially periodic potentials with the periods of the real and imaginary part being either the same or different. Our results for the time evolution of the collective coordinates of our variational ansatz are in good agreement with direct numerical simulation of the NLSE. We compare our method with a collective coordinate approach of Kominis and give examples where themore » two methods give qualitatively different answers. In our variational approach, we are able to give analytic results for the small oscillation frequency of the solitary wave oscillating parameters which agree with the numerical solution of the collective coordinate equations. We also verify that instabilities set in when the slope dp(t)/dv(t) becomes negative when plotted parametrically as a function of time, where p(t) is the momentum of the solitary wave and v(t) the velocity.« less

The efficacy of noninvasive hemoglobin measurement by pulse CO-oximetry in neonates.

PubMed

Jung, Young Hwa; Lee, Juyoung; Kim, Han-Suk; Shin, Seung Han; Sohn, Jin A; Kim, Ee-Kyung; Choi, Jung-Hwan

2013-01-01

To evaluate clinical applicability of noninvasive hemoglobin (Hb) measurement with a pulse CO-oximeter in neonates. Prospective comparison study. Neonatal ICU. Fifty-six preterm and term infants with median age = 20 days (range = 1-98 days) and median weight = 1,440 g (range = 530-4,230 g). Hb measurements by Pulse CO-Oximetry (Masimo Radical-7) were recorded immediately prior to venous samplings. The collected data were compared with the corresponding venous Hb level obtained in laboratory testing, and a total of 137 data pairs were analyzed. Noninvasive Hb values measured with a pulse CO-oximeter were significantly correlated with the venous Hb levels (correlation coefficient, r = 0.758; p < 0.001). Hb values measured with a pulse CO-oximeter were higher than those measured with a laboratory hematology analyzer (13.3 ± 2.6g/dL vs. 12.5 ± 3.1g/dL). In terms of the agreement between the laboratory analyzer and the pulse CO-oximeter, 94.8% of the measurements fell within two standard deviations of the mean difference. Noninvasive Hb measurements with Pulse CO-Oximetry provide clinically acceptable accuracy, and they were significantly correlated with laboratory Hb measurement in neonates. In terms of the clinical applicability, noninvasive Hb monitoring with a pulse CO-oximeter could be useful in the early detection of Hb changes in neonates.

Detection of Anterior Circulation Large Artery Occlusion in Ischemic Stroke Using Noninvasive Cerebral Oximetry.

PubMed

Flint, Alexander C; Bhandari, Shiv G; Cullen, Sean P; Reddy, Adhikari V; Hsu, Daniel P; Rao, Vivek A; Patel, Minal; Pombra, Jasmeen; Edwards, Nancy J; Chan, Sheila L

2018-02-01

Large artery occlusion (LAO) in ischemic stroke requires recognition and triage to an endovascular stroke treatment center. Noninvasive LAO detection is needed to improve triage. Prospective study to test whether noninvasive cerebral oximetry can detect anterior circulation LAO in acute stroke. Interhemispheric ΔBrSO 2 in LAO was compared with controls. In LAO stroke, mean interhemispheric ΔBrSO 2 was -8.3±5.8% (n=19), compared with 0.4±5.8% in small artery stroke (n=17), 0.4±6.0% in hemorrhagic stroke (n=14), and 0.2±7.5% in subjects without stroke (n=19) ( P <0.001). Endovascular stroke treatment reduced the ΔBrSO 2 in most LAO subjects (16/19). Discrimination of LAO at a -3% ΔBrSO 2 cut had 84% sensitivity and 70% specificity. Addition of the G-FAST clinical score (gaze-face-arm-speech- time) to the BrSO 2 measure had 84% sensitivity and 90% specificity. Noninvasive cerebral oximetry may help detect LAO in ischemic stroke, particularly when combined with a simple clinical scoring system. © 2018 American Heart Association, Inc.

Gaussian variational ansatz in the problem of anomalous sea waves: Comparison with direct numerical simulation

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ruban, V. P., E-mail: ruban@itp.ac.ru

2015-05-15

The nonlinear dynamics of an obliquely oriented wave packet on a sea surface is analyzed analytically and numerically for various initial parameters of the packet in relation to the problem of the so-called rogue waves. Within the Gaussian variational ansatz applied to the corresponding (1+2)-dimensional hyperbolic nonlinear Schrödinger equation (NLSE), a simplified Lagrangian system of differential equations is derived that describes the evolution of the coefficients of the real and imaginary quadratic forms appearing in the Gaussian. This model provides a semi-quantitative description of the process of nonlinear spatiotemporal focusing, which is one of the most probable mechanisms of roguemore » wave formation in random wave fields. The system of equations is integrated in quadratures, which allows one to better understand the qualitative differences between linear and nonlinear focusing regimes of a wave packet. Predictions of the Gaussian model are compared with the results of direct numerical simulation of fully nonlinear long-crested waves.« less

All-organic optoelectronic sensor for pulse oximetry

NASA Astrophysics Data System (ADS)

Lochner, Claire M.; Khan, Yasser; Pierre, Adrien; Arias, Ana C.

2014-12-01

Pulse oximetry is a ubiquitous non-invasive medical sensing method for measuring pulse rate and arterial blood oxygenation. Conventional pulse oximeters use expensive optoelectronic components that restrict sensing locations to finger tips or ear lobes due to their rigid form and area-scaling complexity. In this work, we report a pulse oximeter sensor based on organic materials, which are compatible with flexible substrates. Green (532 nm) and red (626 nm) organic light-emitting diodes (OLEDs) are used with an organic photodiode (OPD) sensitive at the aforementioned wavelengths. The sensor’s active layers are deposited from solution-processed materials via spin-coating and printing techniques. The all-organic optoelectronic oximeter sensor is interfaced with conventional electronics at 1 kHz and the acquired pulse rate and oxygenation are calibrated and compared with a commercially available oximeter. The organic sensor accurately measures pulse rate and oxygenation with errors of 1% and 2%, respectively.

Depth variations of P-wave azimuthal anisotropy beneath East Asia

NASA Astrophysics Data System (ADS)

Wei, W.; Zhao, D.; Xu, J.

2017-12-01

We present a new P-wave anisotropic tomographic model beneath East Asia by inverting a total of 1,488,531 P wave arrival-time data recorded by the regional seismic networks in East Asia and temporary seismic arrays deployed on the Tibetan Plateau. Our results provide important new insights into the subducting Indian, Pacific and Philippine Sea plates and mantle dynamics in East Asia. Our tomographic images show that the northern limit of the subducting Indian plate has reached the Jinsha River suture in eastern Tibet. A striking variation of P-wave azimuthal anisotropy is revealed in the Indian lithosphere: the fast velocity direction (FVD) is NE-SW beneath the Indian continent, whereas the FVD is arc parallel beneath the Himalaya and Tibetan Plateau, which may reflect re-orientation of minerals due to lithospheric extension, in response to the India-Eurasia collision. The FVD in the subducting Philippine Sea plate beneath the Ryukyu arc is NE-SW(trench parallel), which is consistent with the spreading direction of the West Philippine Basin during its initial opening stage, suggesting that it may reflect the fossil anisotropy. A circular pattern of FVDs is revealed around the Philippine Sea slab beneath SE China. We suggest that it reflects asthenospheric strain caused by toroidal mantle flow around the edge of the subducting slab. We find a striking variation of the FVD with depth in the subducting Pacific slab beneath the Northeast Japan arc. It may be caused by slab dehydration that changed elastic properties of the slab with depth. The FVD in the mantle wedge beneath the Northeast Japan and Ryukyu arcs is trench normal, which reflects subduction-induced convection. Beneath the Kuril and Izu-Bonin arcs where oblique subduction occurs, the FVD in the mantle wedge is nearly normal to the moving direction of the downgoing Pacific plate, suggesting that the oblique subduction together with the complex slab morphology have disturbed the mantle flow.

Kinetic Alfven wave with density variation and loss-cone distribution function of multi-ions in PSBL region

NASA Astrophysics Data System (ADS)

Tamrakar, Radha; Varma, P.; Tiwari, M. S.

2018-05-01

Kinetic Alfven wave (KAW) generation due to variation of loss-cone index J and density of multi-ions (H+, He+ and O+) in the plasma sheet boundary layer region (PSBL) is investigated. Kinetic approach is used to derive dispersion relation of wave using Vlasov equation. Variation of frequency with respect to wide range of k⊥ρi (where k⊥ is wave vector across the magnetic field, ρi is gyroradius of ions and i denotes H+, He+ and O+ ions) is analyzed. It is found that each ion gyroradius and number density shows different effect on wave generation with varying width of loss-cone. KAW is generated with multi-ions (H+, He+ and O+) over wide regime for J=1 and shows dissimilar effect for J=2. Frequency is reduced with increasing density of gyrating He+ and O+ ions. Wave frequency is obtained within the reported range which strongly supports generation of kinetic Alfven waves. A sudden drop of frequency is also observed for H+ and He+ ion which may be due to heavy penetration of these ions through the loss-cone. The parameters of PSBL region are used for numerical calculation. The application of these results are in understanding the effect of gyrating multi-ions in transfer of energy and Poynting flux losses from PSBL region towards ionosphere and also describing the generation of aurora.

Repeated assessment of orthotopic glioma pO2 by multi-site EPR oximetry: A technique with the potential to guide therapeutic optimization by repeated measurements of oxygen

PubMed Central

Khan, Nadeem; Mupparaju, Sriram; Hou, Huagang; Williams, Benjamin B.; Swartz, Harold

2011-01-01

Tumor hypoxia plays a vital role in therapeutic resistance. Consequently, measurements of tumor pO2 could be used to optimize the outcome of oxygen-dependent therapies, such as, chemoradiation. However, the potential optimizations are restricted by the lack of methods to repeatedly and quantitatively assess tumor pO2 during therapies, particularly in gliomas. We describe the procedures for repeated measurements of orthotopic glioma pO2 by multi-site electron paramagnetic resonance (EPR) oximetry. This oximetry approach provides simultaneous measurements of pO2 at more than one site in the glioma and contralateral cerebral tissue. The pO2 of intracerebral 9L, C6, F98 and U251 tumors, as well as contralateral brain, were measured repeatedly for five consecutive days. The 9L glioma was well oxygenated with pO2 of 27 - 36 mm Hg, while C6, F98 and U251 glioma were hypoxic with pO2 of 7 - 12 mm Hg. The potential of multi-site EPR oximetry to assess temporal changes in tissue pO2 was investigated in rats breathing 100% O2. A significant increase in F98 tumor and contralateral brain pO2 was observed on day 1 and day 2, however, glioma oxygenation declined on subsequent days. In conclusion, EPR oximetry provides the capability to repeatedly assess temporal changes in orthotopic glioma pO2. This information could be used to test and optimize the methods being developed to modulate tumor hypoxia. Furthermore, EPR oximetry could be potentially used to enhance the outcome of chemoradiation by scheduling treatments at times of increase in glioma pO2. PMID:22079559

Physiological variation in left atrial transverse orientation does not influence orthogonal P-wave morphology.

PubMed

Petersson, Richard; Mosén, Henrik; Steding-Ehrenborg, Katarina; Carlson, Jonas; Faxén, Lisa; Mohtadi, Alan; Platonov, Pyotr G; Holmqvist, Fredrik

2017-03-01

It has previously been demonstrated that orthogonal P-wave morphology in healthy athletes does not depend on atrial size, but the possible impact of left atrial orientation on P-wave morphology remains unknown. In this study, we investigated if left atrial transverse orientation affects P-wave morphology in different populations. Forty-seven patients with atrial fibrillation, 21 patients with arrhythmogenic right ventricular cardiomyopathy, 67 healthy athletes, and 56 healthy volunteers were included. All underwent cardiac magnetic resonance imaging or computed tomography and the orientation of the left atrium was determined. All had 12-lead electrocardiographic recordings, which were transformed into orthogonal leads and orthogonal P-wave morphology was obtained. The median left atrial transverse orientation was 87 (83, 91) degrees (lower and upper quartiles) in the total study population. There was no difference in left atrial transverse orientation between individuals with different orthogonal P-wave morphologies. The physiological variation in left atrial orientation was small within as well as between the different populations. There was no difference in left atrial transverse orientation between subjects with type 1 and type 2 P-wave morphology, implying that in this setting the P-wave morphology was more dependent on atrial conduction than orientation. © 2016 Wiley Periodicals, Inc.

Prompt Disappearance and Emergence of Radiation Belt Magnetosonic Waves Induced by Solar Wind Dynamic Pressure Variations

NASA Astrophysics Data System (ADS)

Liu, Nigang; Su, Zhenpeng; Zheng, Huinan; Wang, Yuming; Wang, Shui

2018-01-01

Magnetosonic waves are highly oblique whistler mode emissions transferring energy from the ring current protons to the radiation belt electrons in the inner magnetosphere. Here we present the first report of prompt disappearance and emergence of magnetosonic waves induced by the solar wind dynamic pressure variations. The solar wind dynamic pressure reduction caused the magnetosphere expansion, adiabatically decelerated the ring current protons for the Bernstein mode instability, and produced the prompt disappearance of magnetosonic waves. On the contrary, because of the adiabatic acceleration of the ring current protons by the solar wind dynamic pressure enhancement, magnetosonic waves emerged suddenly. In the absence of impulsive injections of hot protons, magnetosonic waves were observable even only during the time period with the enhanced solar wind dynamic pressure. Our results demonstrate that the solar wind dynamic pressure is an essential parameter for modeling of magnetosonic waves and their effect on the radiation belt electrons.

Using India Ink as a Sensor for Oximetry: Evidence of its Safety as a Medical Device.

PubMed

Flood, Ann Barry; Wood, Victoria A; Swartz, Harold M

2017-01-01

Clinical EPR spectroscopy is emerging as an important modality, with the potential to be used in standard clinical practice to determine the extent of hypoxia in tissues and whether hypoxic tissues respond to breathing enriched oxygen during therapy. Oximetry can provide important information useful for prognosis and to improve patient outcomes. EPR oximetry has many potential advantages over other ways to measure oxygen in tissues, including directly measuring oxygen in tissues and being particularly sensitive to low oxygen, repeatable, and non-invasive after an initial injection of the EPR-sensing material is placed in the tumor. The most immediately available oxygen sensor is India ink, where two classes of carbon (carbon black and charcoal) have been identified as having acceptable paramagnetic properties for oximetry. While India ink has a long history of safe use in tattoos, a systematic research search regarding its safety for marking tissues for medical uses and an examination of the evidence that differentiates between ink based on charcoal or carbon black has not been conducted. Using systematic literature search techniques, we searched the PubMed and Food and Drug Administration databases, finding ~1000 publications reporting on adverse events associated with India/carbon based inks. The detailed review of outcomes was based on studies involving >16 patients, where the ink was identifiable as carbon black or charcoal. Fifty-six studies met these criteria. There were few reports of complications other than transient and usually mild discomfort and bleeding at injection, and there was no difference in charcoal vs. carbon black India ink. India ink was generally well tolerated by patients and physicians reported that it was easy to use in practice and used few resources. The risk is low enough to justify its use as an oxygen sensor in clinical practice.

Evaluation of peripheral microcirculation improvement of foot after tarsal tunnel release in diabetic patients by transcutaneous oximetry.

PubMed

Trignano, Emilio; Fallico, Nefer; Chen, Hung-Chi; Faenza, Mario; Bolognini, Alfonso; Armenti, Andrea; Santanelli Di Pompeo, Fabio; Rubino, Corrado; Campus, Gian Vittorio

2016-01-01

According to recent studies, peripheral nerve decompression in diabetic patients seems to not only improve nerve function, but also to increase microcirculation; thus decreasing the incidence of diabetic foot wounds and amputations. However, while the postoperative improvement of nerve function is demonstrated, the changes in peripheral microcirculation have not been demonstrated yet. The aim of this study is to assess the degree of microcirculation improvement of foot after the tarsal tunnel release in the diabetic patients by using transcutaneous oximetry. Twenty diabetic male patients aged between 43 and 72 years old (mean age 61.2 years old) suffering from diabetic peripheral neuropathy with superimposed nerve compression underwent transcutaneous oximetry (PtcO2) before and after tarsal tunnel release by placing an electrode on the skin at the level of the dorsum of the foot. Eight lower extremities presented diabetic foot wound preoperatively. Thirty-six lower extremities underwent surgical release of the tibialis posterior nerve only, whereas four lower extremities underwent the combined release of common peroneal nerve, anterior tibialis nerve, and posterior tibialis nerve. Preoperative values of transcutaneous oximetry were below the critical threshold, that is, lower than 40 mmHg (29.1 ± 5.4 mmHg). PtcO2 values at one month after surgery (45.8 ± 6.4 mmHg) were significantly higher than the preoperative ones (P = 0.01). The results of postoperative increase in PtcO2 values demonstrate that the release of the tarsal tunnel determines a relevant increase in microcirculation in the feet of diabetic patients. © 2015 Wiley Periodicals, Inc.

Understanding the variation in the millimeter-wave emission of Venus

NASA Technical Reports Server (NTRS)

Fahd, Antoine K.; Steffes, Paul G.

1992-01-01

Recent observations of the millimeter-wave emission from Venus at 112 GHz (2.6 mm) have shown significant variations in the continuum flux emission that may be attributed to the variability in the abundances of absorbing constituents in the Venus atmosphere. Such constituents include gaseous H2SO4, SO2, and liquid sulfuric acid (cloud condensates). Recently, Fahd and Steffes have shown that the effects of liquid H, SO4, and gaseous SO2 cannot completely account for this measured variability in the millimeter-wave emission of Venus. Thus, it is necessary to study the effect of gaseous H2SO4 on the millimeter-wave emission of Venus. This requires knowledge of the millimeter-wavelength (MMW) opacity of gaseous H2SO4, which unfortunately has never been determined for Venus-like conditions. We have measured the opacity of gaseous H2SO4 in a CO2 atmosphere at 550, 570, and 590 K, at 1 and 2 atm total pressure, and at a frequency of 94.1 GHz. Our results, in addition to previous centimeter-wavelength results are used to verify a modeling formalism for calculating the expected opacity of this gaseous mixture at other frequencies. This formalism is incorporated into a radiative transfer model to study the effect of gaseous H2SO4 on the MMW emission of Venus.

Evaluating the diagnostic gap: statewide incidence of undiagnosed critical congenital heart disease before newborn screening with pulse oximetry.

PubMed

Mouledoux, Jessica H; Walsh, William F

2013-10-01

Screening for critical congenital heart disease (CCHD) using pulse oximetry has been endorsed by the American Academy of Pediatrics and the American Heart Association. We sought to determine the incidence of undetected CCHD in Tennessee and the diagnostic gap of CCHD in Middle Tennessee prior to screening implementation. The Tennessee Initiative for Perinatal Quality Care (TIPQC) Undetected CCHD Registry is a quality improvement initiative established to identify neonates discharged from the nursery with undetected CCHD. The TIPQC database was queried and a simultaneous review of all neonates with CCHD in the Middle Tennessee region was performed to define the incidence and identify the pre-screen diagnostic gap of undetected CCHD at the time of hospital discharge. In 2011, of 79,462 live births in Tennessee, 12 newborns had undiagnosed CCHD (incidence 15 per 100,000; 95 % CI 9-26 per 100,000). Nine of 12 (75 %) had coarctation of the aorta (CoA). There were no deaths due to undiagnosed CCHD. In the Middle Tennessee region, 6 of 45 neonates with CCHD were missed, for a diagnostic gap of 13 % (95 % CI 6-26 %). Prior to implementation of CCHD screening using pulse oximetry, 12 Tennessee neonates with CCHD were missed by prenatal ultrasound and newborn examination. CoA was the most common lesion missed and is also the CCHD most likely to be missed despite addition of screening using pulse oximetry. Continued evaluation of the diagnostic gap with particular attention to missed diagnoses of CoA should accompany institution of CCHD screening programs.

Assessment of Pulp Oxygen Saturation Levels by Pulse Oximetry for Pulpal Diseases -A Diagnostic Study.

PubMed

Anusha, Bander; Madhusudhana, Koppolu; Chinni, Suneel Kumar; Paramesh, Yelloji

2017-09-01

Diagnosis of pulpal inflammation is a key to endodontics. Pulse oximetry is a true vitality testing device which relies on oxygen saturation levels of pulp and helps in diagnosis of different pulpal conditions. The aim of the study was to analyse oxygen saturation levels of different pulpally inflamed teeth by using pulse oximetry. Hundred patients were included in the study and categorized into five groups based on pulpal status of the test tooth by using heat test and cold test. Twenty patients were recruited in each of the experimental groups i.e., Reversible Pulpitis (RP), Irreversible Pulpitis (IP), Pulpal Necrosis (PN), Positive Control (PC, healthy teeth), and Negative Control (NC, endodontically treated teeth). Oxygen saturation levels of all the groups were measured along with each patient index finger oxygen saturation readings. Results were analysed by using ANOVA and Tukey HSD tests. The mean oxygen saturation levels of RP, IP, PN, PC and NC were 85.4%, 81.6%, 70.7%, 94.6% and 0 respectively. There was significant difference in the oxygen saturation levels between all the groups. Pulse oximeter is an effective tool in diagnosing different pulpal pathologies especially PN which was interpreted inaccurately by thermal tests.

Diagnostic accuracy of a mathematical model to predict apnea-hypopnea index using nighttime pulse oximetry

NASA Astrophysics Data System (ADS)

Ebben, Matthew R.; Krieger, Ana C.

2016-03-01

The intent of this study is to develop a predictive model to convert an oxygen desaturation index (ODI) to an apnea-hypopnea index (AHI). This model will then be compared to actual AHI to determine its precision. One thousand four hundred and sixty-seven subjects given polysomnograms with concurrent pulse oximetry between April 14, 2010, and February 7, 2012, were divided into model development (n=733) and verification groups (n=734) in order to develop a predictive model of AHI using ODI. Quadratic regression was used for model development. The coefficient of determination (r2) between the actual AHI and the predicted AHI (PredAHI) was 0.80 (r=0.90), which was significant at a p<0.001. The areas under the receiver operating characteristic curve ranged from 0.96 for AHI thresholds of ≥10 and ≥15/h to 0.97 for thresholds of ≥5 and ≥30/h. The algorithm described in this paper provides a convenient and accurate way to convert ODI to a predicted AHI. This tool makes it easier for clinicians to understand oximetry data in the context of traditional measures of sleep apnea.

Is pulse oximetry an essential tool or just another distraction? The role of the pulse oximeter in modern anesthesia care.

PubMed

Shah, Amit; Shelley, Kirk H

2013-06-01

Since the discovery of anesthetic agents, patient monitoring has been considered one of the core responsibilities of the anesthesiologist. As depicted in Robert Hinckley's famous painting, The First Operation with Ether, one observes William Thomas Green Morton carefully watching over his patient. Since its founding in 1905, 'Vigilance' has been the motto of the American Society of Anesthesiologists (ASA). Over a hundred years have passed, and one would think we would be clear regarding what we are watching for and how we should be watching. On the contrary, the introduction of new technology and outcome research is requiring us to re-examine our fundamental assumptions regarding what is and what is not important in the care of the patient. A vast majority of anesthesiologists would refuse to proceed with an anesthetic without the presence of a pulse oximeter. On the other hand, outcome studies have failed to demonstrate an improvement in patient care with their use. For that matter, it can be argued that outcome studies have yet to demonstrate an unambiguous role for any monitor of any type (i.e. blood pressure cuff or ECG), as outcome studies may fail to capture rare events. Because of the increased safety that has been attributed to pulse oximetry, it is unlikely that further studies can or will be conducted. As we enter a new era of clinical monitoring, with an emphasis on noninvasive cardiovascular monitoring, it might be of benefit to examine the role of the pulse oximeter in clinical care. This article reviews the available evidence for pulse oximetry. Further, it discusses contemporary issues, events, and perceptions that may help to explain how and why pulse oximetry may have been adopted as a standard of care despite the lack of supportive. Lastly, it discusses less obvious benefits of pulse oximetry that may have further implications on the future of anesthesia care and perhaps even automated anesthesia.

Effects of the planetary-scale waves on the temporal variations of the O2-1.27μm nightglow in the Venusian upper atmosphere

NASA Astrophysics Data System (ADS)

Hoshino, N.; Fujiwara, H.; Takagi, M.; Kasaba, Y.; Takahashi, Y.

2009-12-01

The O2-1.27 μm nightglow distribution, which has the peak intensity in the depression region of the day-to-night flow, gives us information of the wind field at about 95 km in Venus. The past nightglow observations [Crisp et al., 1996] showed that the intensity of the nightglow in the brightness region changed by 20 % in about one hour, and the brightness region disappeared in less than one day. The observation results obtained by Venus Express (VEX) also showed the temporal variations of the nightglow emission. Some simulation studies suggested contributions of gravity waves generated in the cloud deck (50-70 km) to the temporal variations. However, the causes of the temporal variations are still unknown. In recent years, the importance of planetary-scale waves for the dynamics of the Venusian atmosphere has been recognized. For example, Takagi and Matsuda [2006] suggested that the atmospheric superrotation was driven by the momentum transport due to the vertical propagation of the thermal tides generated in the Venus cloud deck. In order to estimate effects of the planetary-scale waves on the temporal variations of the nightglow, we have performed numerical simulations with a general circulation model (GCM), which includes the altitude region of 80 - about 200 km. The planetary-scale waves (thermal tides, Kelvin wave and Rosbby wave) are imposed at the lower boundary. The amplitudes and phase velocities of the waves are assumed from the study by Del Genio and Rossow [1990]. The nightglow intensity and its global distribution are calculated from the GCM results assuming the chemical equilibration. In this study, we investigate contributions of the planetary-scale waves on the temporal variations of the nightglow shown by past observations. In addition, we show the characteristics of the wave propagation and the interactions between the waves in the Venusian upper atmosphere. Venus Climate Orbiter (VCO), which will be launched in 2010 as the second Japanese

Repeated assessment of orthotopic glioma pO(2) by multi-site EPR oximetry: a technique with the potential to guide therapeutic optimization by repeated measurements of oxygen.

PubMed

Khan, Nadeem; Mupparaju, Sriram; Hou, Huagang; Williams, Benjamin B; Swartz, Harold

2012-02-15

Tumor hypoxia plays a vital role in therapeutic resistance. Consequently, measurements of tumor pO(2) could be used to optimize the outcome of oxygen-dependent therapies, such as, chemoradiation. However, the potential optimizations are restricted by the lack of methods to repeatedly and quantitatively assess tumor pO(2) during therapies, particularly in gliomas. We describe the procedures for repeated measurements of orthotopic glioma pO(2) by multi-site electron paramagnetic resonance (EPR) oximetry. This oximetry approach provides simultaneous measurements of pO(2) at more than one site in the glioma and contralateral cerebral tissue. The pO(2) of intracerebral 9L, C6, F98 and U251 tumors, as well as contralateral brain, were measured repeatedly for five consecutive days. The 9L glioma was well oxygenated with pO(2) of 27-36 mm Hg, while C6, F98 and U251 glioma were hypoxic with pO(2) of 7-12mm Hg. The potential of multi-site EPR oximetry to assess temporal changes in tissue pO(2) was investigated in rats breathing 100% O(2). A significant increase in F98 tumor and contralateral brain pO(2) was observed on day 1 and day 2, however, glioma oxygenation declined on subsequent days. In conclusion, EPR oximetry provides the capability to repeatedly assess temporal changes in orthotopic glioma pO(2). This information could be used to test and optimize the methods being developed to modulate tumor hypoxia. Furthermore, EPR oximetry could be potentially used to enhance the outcome of chemoradiation by scheduling treatments at times of increase in glioma pO(2). Copyright © 2011 Elsevier B.V. All rights reserved.

Diurnal Variation in Gravity Wave Activity at Low and Middle Latitudes

NASA Technical Reports Server (NTRS)

Andrioli, V. F.; Fritts, D. C.; Batista, P. P.; Clemesha, B. R.; Janches, Diego

2013-01-01

We employ a modified composite day extension of the Hocking (2005) analysis method to study gravity wave (GW) activity in the mesosphere and lower thermosphere using 4 meteor radars spanning latitudes from 7deg S to 53.6deg S. Diurnal and semidiurnal modulations were observed in GW variances over all sites. Semidiurnal modulation with downward phase propagation was observed at lower latitudes mainly near the equinoxes. Diurnal modulations occur mainly near solstice and, except for the zonal component at Cariri (7deg S), do not exhibit downward phase propagation. At a higher latitude (SAAMER, 53.6deg S) these modulations are only observed in the meridional component where we can observe diurnal variation from March to May, and semidiurnal, during January, February, October (above 88 km) and November. Some of these modulations with downward phase progression correlate well with wind shear. When the wind shear is well correlated with the maximum of the variances the diurnal tide has its largest amplitudes, i.e., near equinox. Correlations exhibiting variations with tidal phases suggest significant GW-tidal interactions that have different characters depending on the tidal components and possible mean wind shears. Modulations that do not exhibit phase variations could be indicative of diurnal variations in GW sources.

Studies on Charge Variation and Waves in Dusty Plasmas

NASA Astrophysics Data System (ADS)

Kausik, Siddhartha Sankar

Plasma and dust grains are both ubiquitous ingredients of the universe. The interplay between them has opened up a new and fascinating research domain, that of dusty plasmas, which contain macroscopic particles of solid matter besides the usual plasma constituents. The research in dusty plasmas received a major boost in the early eighties with Voyager spacecraft observation on the formation of Saturn rings. Dusty plasmas are defined as partially or fully-ionized gases that contain micron-sized particles of electrically charged solid material, either dielectric or conducting. The physics of dusty plasmas has recently been studied intensively because of its importance for a number of applications in space and laboratory plasmas. This thesis presents the experimental studies on charge variation and waves in dusty plasmas. The experimental observations are carried out in two different experimental devices. Three different sets of experiments are carried out in two different experimental devices. Three different sets of experiments are carried out to study the dust charge variation in a filament discharge argon plasma. The dust grains used in these experiments are grains of silver. In another get of experiment, dust acoustic waves are studied in a de glow discharge argon plasma. Alumina dust grains are sprinkled in this experiment. The diagnostic tools used in these experiments are Langmuir probe and Faraday cup. The instruments used in these experiments are electrometer, He-Ne laser and charge coupled device (CCD) camera. Langmuir probe is used to measure plasma parameters, while Faraday cup and electrometer are used to measure very low current (~pA) carried by a collimated dust beam. He-Ne laser illuminates the dust grains and CCD camera is used to capture the images of dust acoustic waves. Silver dust grains are produced in the dust chamber by gas-evaporation technique. Due to differential pressure maintained between the dust and plasma chambers, the dust grains move

Echocardiographic nomograms for upper abdominal aorta Doppler systolic wave values and systo-diastolic diameters variations in children.

PubMed

Cantinotti, Massimiliano; Giordano, Raffaele; Corsini, Iuri; Dani, Carlo; Scalese, Marco; Murzi, Bruno; Assanta, Nadia; Spadoni, Isabella; Molinaro, Sabrina; Kutty, Shelby; Iervasi, Giorgio; Franchi, Eliana

2018-04-01

Abdominal aorta pulsatility and blood flow patterns are important diagnostic indicators in congenital heart disease. Reference values for these indexes are lacking. We prospectively studied abdominal aorta pulsed-wave Doppler systolic peak velocity, deceleration time, and wave duration, and two-dimensional vessel diameters in systole and diastole in healthy Caucasian children. Heteroscedasticity was accounted for by White or Breusch-Pagan test. Age, weight, height, heart rate (HR), and body surface area (BSA) were used as independent variables in different analyses to predict the mean values of each measurement. Structured Z-scores were then computed. In all, 853 subjects (age 0 days to 17 years; 45% females; BSA 0.12-2.12m 2 ) were studied. The predicted values and Z-score boundaries are presented. Data are also presented as mean±2 SDs for a given BSA. We report paediatric echocardiographic nomograms for multiple proximal abdominal aorta parameters including pulsed-wave Doppler systolic velocities, deceleration time, wave duration, and two-dimensional vessel diameter variations. Significant variations in these functional indexes with age were found that should be taken into account in clinical practice. At lower ages, steeper and shorter pulsed-wave Doppler peak velocity and limited pulsatility should be expected as physiologic findings. Copyright © 2017 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.

[Pulse oximetry screening of critical congenital heart defects in the neonatal period. The Spanish National Neonatal Society recommendation].

PubMed

Sánchez Luna, Manuel; Pérez Muñuzuri, Alejandro; Sanz López, Ester; Leante Castellanos, José Luis; Benavente Fernández, Isabel; Ruiz Campillo, César W; Sánchez Redondo, M Dolores; Vento Torres, Máximo; Rite Gracia, Segundo

2018-02-01

Due to its severity, as well as the consequences of a late diagnosis, critical congenital heart defects (CCHD) represent a challenging situation, making an early diagnosis necessary and ideally before symptoms appear when circulatory collapse or death of the newborn can occur. Due to this, a prenatal and very early postnatal diagnosis is very important. Prenatal ultrasound screening and physical examination of the newborn can miss a considerable number of CCHD cases. Pulse oximetry screening has been demonstrated to be an effective, non-invasive, inexpensive, and well accepted tool in the early diagnosis of CCHD. The Spanish National Society of Neonatology, through its Standards Committee, and based on the current evidence, recommend the implementation of pulse oximetry screening of CCHD in Spain, and then to offer the best therapy possible to these newborn infants. Copyright © 2017 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

Automated Screening of Children With Obstructive Sleep Apnea Using Nocturnal Oximetry: An Alternative to Respiratory Polygraphy in Unattended Settings

PubMed Central

Álvarez, Daniel; Alonso-Álvarez, María L.; Gutiérrez-Tobal, Gonzalo C.; Crespo, Andrea; Kheirandish-Gozal, Leila; Hornero, Roberto; Gozal, David; Terán-Santos, Joaquín; Del Campo, Félix

2017-01-01

Study Objectives: Nocturnal oximetry has become known as a simple, readily available, and potentially useful diagnostic tool of childhood obstructive sleep apnea (OSA). However, at-home respiratory polygraphy (HRP) remains the preferred alternative to polysomnography (PSG) in unattended settings. The aim of this study was twofold: (1) to design and assess a novel methodology for pediatric OSA screening based on automated analysis of at-home oxyhemoglobin saturation (SpO2), and (2) to compare its diagnostic performance with HRP. Methods: SpO2 recordings were parameterized by means of time, frequency, and conventional oximetric measures. Logistic regression models were optimized using genetic algorithms (GAs) for three cutoffs for OSA: 1, 3, and 5 events/h. The diagnostic performance of logistic regression models, manual obstructive apnea-hypopnea index (OAHI) from HRP, and the conventional oxygen desaturation index ≥ 3% (ODI3) were assessed. Results: For a cutoff of 1 event/h, the optimal logistic regression model significantly outperformed both conventional HRP-derived ODI3 and OAHI: 85.5% accuracy (HRP 74.6%; ODI3 65.9%) and 0.97 area under the receiver operating characteristics curve (AUC) (HRP 0.78; ODI3 0.75) were reached. For a cutoff of 3 events/h, the logistic regression model achieved 83.4% accuracy (HRP 85.0%; ODI3 74.5%) and 0.96 AUC (HRP 0.93; ODI3 0.85) whereas using a cutoff of 5 events/h, oximetry reached 82.8% accuracy (HRP 85.1%; ODI3 76.7) and 0.97 AUC (HRP 0.95; ODI3 0.84). Conclusions: Automated analysis of at-home SpO2 recordings provide accurate detection of children with high pretest probability of OSA. Thus, unsupervised nocturnal oximetry may enable a simple and effective alternative to HRP and PSG in unattended settings. Citation: Álvarez D, Alonso-Álvarez ML, Gutiérrez-Tobal GC, Crespo A, Kheirandish-Gozal L, Hornero R, Gozal D, Terán-Santos J, Del Campo F. Automated screening of children with obstructive sleep apnea using nocturnal

A retrospective analysis of the effect of blood transfusion on cerebral oximetry entropy and acute kidney injury.

PubMed

Engoren, Milo; Brown, Russell R; Dubovoy, Anna

2017-01-01

Acute anemia is associated with both cerebral dysfunction and acute kidney injury and is often treated with red blood cell transfusion. We sought to determine if blood transfusion changed the cerebral oximetry entropy, a measure of the complexity or irregularity of the oximetry values, and if this change was associated with subsequent acute kidney injury. This was a retrospective, case-control study of patients undergoing cardiac surgery with cardiopulmonary bypass at a tertiary care hospital, comparing those who received a red blood cell transfusion to those who did not. Acute kidney injury was defined as a perioperative increase in serum creatinine by ⩾26.4 μmol/L or by ⩾50% increase. Entropy was measured using approximate entropy, sample entropy, forbidden word entropy and basescale4 entropy in 500-point sets. Forty-four transfused patients were matched to 88 randomly selected non-transfused patients. All measures of entropy had small changes in the transfused group, but increased in the non-transfused group (p<0.05, for all comparisons). Thirty-five of 132 patients (27%) suffered acute kidney injury. Based on preoperative factors, patients who suffered kidney injury were similar to those who did not, including baseline cerebral oximetry levels. After analysis with hierarchical logistic regression, the change in basescale4 entropy (odds ratio = 1.609, 95% confidence interval = 1.057-2.450, p = 0.027) and the interaction between basescale entropy and transfusion were significantly associated with subsequent development of acute kidney injury. The transfusion of red blood cells was associated with a smaller rise in entropy values compared to non-transfused patients, suggesting a change in the regulation of cerebral oxygenation, and these changes in cerebral oxygenation are also associated with acute kidney injury.

In-vitro model for evaluation of pulse oximetry

NASA Astrophysics Data System (ADS)

Vegfors, Magnus; Lindberg, Lars-Goeran; Lennmarken, Claes; Oberg, P. Ake

1991-06-01

An in vitro model with blood circulating in a silicon tubing system and including an artificial arterial bed is an important tool for evaluation of the pulse oximetry technique. The oxygen saturation was measured on an artificial finger using a pulse oximeter (SpO2) and on blood samples using a hemoximeter (SaO2). Measurements were performed at different blood flows and at different blood hematocrits. An increase in steady as well as in pulsatile blood flow was followed by an increase in pulse oximeter readings and a better agreement between SpO2 and SaO2 readings. After diluting the blood with normal saline (decreased hematocrit) the agreement was further improved. These results indicate that the pulse oximeter signal is related to blood hematocrit and the velocity of blood. The flow-related dependance of SpO2 was also evaluated in a human model. These results provided evidence that the pulse oximeter signal is dependent on vascular changes.

Accuracy of noninvasive multiwave pulse oximetry compared with carboxyhemoglobin from blood gas analysis in unselected emergency department patients.

PubMed

Roth, Dominik; Herkner, Harald; Schreiber, Wolfgang; Hubmann, Nina; Gamper, Gunnar; Laggner, Anton N; Havel, Christof

2011-07-01

Accurate and timely diagnosis of carbon monoxide (CO) poisoning is difficult because of nonspecific symptoms. Multiwave pulse oximetry might facilitate the screening for occult poisoning by noninvasive measurement of carboxyhemoglobin (COHb), but its reliability is still unknown. We assess bias and precision of COHb oximetry compared with the criterion standard blood gas analysis. This was a prospective diagnostic accuracy study according to STARD (Standards for the Reporting of Diagnostic accuracy studies) criteria, performed at a tertiary care hospital emergency department. We included all patients for whom both invasive and noninvasive measurement within 60 minutes was available, regardless of their complaints, during a 1-year period. One thousand five hundred seventy-eight subjects were studied, of whom 17 (1.1%) received a diagnosis of CO poisoning. In accordance with this limited patient cohort, we found a bias of 2.99% COHb (1.50% for smokers, 4.33% for nonsmokers) and a precision of 3.27% COHb (2.90% for smokers, 2.98% for nonsmokers), limits of agreement from -3.55% to 9.53% COHb (-4.30% to 7.30% for smokers, -1.63% to 10.29% for nonsmokers). Upper limit of normal cutoff of 6.6% COHb had the highest sensitivity in screening for CO poisoning. Smoking status and COHb level had the most influence on the deviation between measurements. Multiwave pulse oximetry was found to measure COHb with an acceptable bias and precision. These results suggest it can be used to screen large numbers of patients for occult CO poisoning. Copyright © 2011 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.

Examiner's finger-mounted fetal tissue oximetry.

PubMed

Kanayama, Naohiro; Niwayama, Masatsugu

2014-06-01

The best way to assess fetal condition is to observe the oxygen status of the fetus (as well as to assess the condition of infants, children, and adults). Previously, several fetal oximeters have been developed; however, no instrument has been utilized in clinical practice because of the low-capturing rate of the fetal oxygen saturation. To overcome the problem, we developed a doctor's finger-mounted fetal tissue oximeter, whose sensor volume is one hundredth of the conventional one. Additionally, we prepared transparent gloves. The calculation algorithm of the hemoglobin concentration was derived from the light propagation analysis based on the transport theory. We measured neonatal and fetal oxygen saturation (StO₂) with the new tissue oximeter. Neonatal StO₂ was measured at any position of the head regardless of amount of hair. Neonatal StO₂ was found to be around 77%. Fetal StO₂ was detected in every position of the fetal head during labor regardless of the presence of labor pain. Fetal StO₂ without labor pain was around 70% in the first stage of labor and around 60% in the second stage of labor. We concluded that our new concept of fetal tissue oximetry would be useful for detecting fetal StO₂ in any condition of the fetus.

Examiner's finger-mounted fetal tissue oximetry

NASA Astrophysics Data System (ADS)

Kanayama, Naohiro; Niwayama, Masatsugu

2014-06-01

The best way to assess fetal condition is to observe the oxygen status of the fetus (as well as to assess the condition of infants, children, and adults). Previously, several fetal oximeters have been developed; however, no instrument has been utilized in clinical practice because of the low-capturing rate of the fetal oxygen saturation. To overcome the problem, we developed a doctor's finger-mounted fetal tissue oximeter, whose sensor volume is one hundredth of the conventional one. Additionally, we prepared transparent gloves. The calculation algorithm of the hemoglobin concentration was derived from the light propagation analysis based on the transport theory. We measured neonatal and fetal oxygen saturation (StO2) with the new tissue oximeter. Neonatal StO was measured at any position of the head regardless of amount of hair. Neonatal StO was found to be around 77%. Fetal StO was detected in every position of the fetal head during labor regardless of the presence of labor pain. Fetal StO without labor pain was around 70% in the first stage of labor and around 60% in the second stage of labor. We concluded that our new concept of fetal tissue oximetry would be useful for detecting fetal StO in any condition of the fetus.

Pre-clinical evaluation of OxyChip for long-term EPR oximetry.

PubMed

Hou, Huagang; Khan, Nadeem; Gohain, Sangeeta; Kuppusamy, M Lakshmi; Kuppusamy, Periannan

2018-03-16

Tissue oxygenation is a critical parameter in various pathophysiological situations including cardiovascular disease and cancer. Hypoxia can significantly influence the prognosis of solid malignancies and the efficacy of their treatment by radiation or chemotherapy. Electron paramagnetic resonance (EPR) oximetry is a reliable method for repeatedly assessing and monitoring oxygen levels in tissues. Lithium octa-n-butoxynaphthalocyanine (LiNc-BuO) has been developed as a probe for biological EPR oximetry, especially for clinical use. However, clinical applicability of LiNc-BuO crystals is hampered by potential limitations associated with biocompatibility, biodegradation, or migration of individual bare crystals in tissue. To overcome these limitations, we have embedded LiNc-BuO crystals in polydimethylsiloxane (PDMS), an oxygen-permeable biocompatible polymer and developed an implantable/retrievable form of chip, called OxyChip. The chip was optimized for maximum spin density (40% w/w of LiNc-BuO in PDMS) and fabricated in a form suitable for implantation using an 18-G syringe needle. In vitro evaluation of the OxyChip showed that it is robust and highly oxygen sensitive. The dependence of its EPR linewidth to oxygen was linear and highly reproducible. In vivo efficacy of the OxyChip was evaluated by implanting it in rat femoris muscle and following its response to tissue oxygenation for up to 12 months. The results revealed preservation of the integrity (size and shape) and calibration (oxygen sensitivity) of the OxyChip throughout the implantation period. Further, no inflammatory or adverse reaction around the implantation area was observed thereby establishing its biocompatibility and safety. Overall, the results demonstrated that the newly-fabricated high-sensitive OxyChip is capable of providing long-term measurements of oxygen concentration in a reliable and repeated manner under clinical conditions.

How to develop a business case to establish a neonatal pulse oximetry programme for screening of congenital heart defects.

PubMed

Ewer, Andrew K

2012-12-01

Pulse oximetry screening for critical congenital heart defects (CCHDs) is a highly specific, moderately sensitive test which is cost effective, acceptable to both clinical staff and parents and meets the criteria for universal screening. Pulse oximetry screening is gaining considerable worldwide support and last year was added to the recommended uniform screening panel in the USA following endorsement by the Health and Human Services Secretary. There is significant heterogeneity in published screening protocols and it is important to consider all available evidence and also take local factors into account when developing a screening programme, whether it is within an individual hospital, neonatal network or even at a national level. This paper presents available options based both on the published evidence and personal practice experience which will aid those considering the introduction of screening to make the right decisions both from a clinical and financial perspective. Copyright © 2012 Elsevier Ltd. All rights reserved.

Real-time pulse oximetry artifact annotation on computerized anaesthetic records.

PubMed

Gostt, Richard Karl; Rathbone, Graeme Dennis; Tucker, Adam Paul

2002-01-01

Adoption of computerised anaesthesia record keeping systems has been limited by the concern that they record artifactual data and accurate data indiscriminately. Data resulting from artifacts does not reflect the patient's true condition and presents a problem in later analysis of the record, with associated medico-legal implications. This study developed an algorithm to automatically annotate pulse oximetry artifacts and sought to evaluate the algorithm's accuracy in routine surgical procedures. MacAnaesthetist is a semi-automatic anaesthetic record keeping system developed for the Apple Macintosh computer, which incorporated an algorithm designed to automatically detect pulse oximetry artifacts. The algorithm labeled artifactual oxygen saturation values < 90%. This was done in real-time by analyzing physiological data captured from a Datex AS/3 Anaesthesia Monitor. An observational study was conducted to evaluate the accuracy of the algorithm during routine surgical procedures (n = 20). An anaesthetic record was made by an anaesthetist using the Datex AS/3 record keeper, while a second anaesthetic record was produced in parallel using MacAnaesthetist. A copy of the Datex AS/3 record was kept for later review by a group of anaesthetists (n = 20), who judged oxygen saturation values < 90% to be either genuine or artifact. MacAnaesthetist correctly labeled 12 out of 13 oxygen saturations < 90% (92.3% accuracy). A post-operative review of the Datex AS/3 anaesthetic records (n = 8) by twenty anaesthetists resulted in 127 correct responses out of total of 200 (63.5% accuracy). The remaining Datex AS/3 records (n = 12) were not reviewed, as they did not contain any oxygen saturations <90%. The real-time artifact detection algorithm developed in this study was more accurate than anaesthetists who post-operatively reviewed records produced by an existing computerised anaesthesia record keeping system. Algorithms have the potential to more accurately identify and annotate

Full-wave effects on shear wave splitting

NASA Astrophysics Data System (ADS)

Lin, Yu-Pin; Zhao, Li; Hung, Shu-Huei

2014-02-01

Seismic anisotropy in the mantle plays an important role in our understanding of the Earth's internal dynamics, and shear wave splitting has always been a key observable in the investigation of seismic anisotropy. To date the interpretation of shear wave splitting in terms of anisotropy has been largely based on ray-theoretical modeling of a single vertically incident plane SKS or SKKS wave. In this study, we use sensitivity kernels of shear wave splitting to anisotropic parameters calculated by the normal-mode theory to demonstrate that the interference of SKS with other phases of similar arrival times, near-field effect, and multiple reflections in the crust lead to significant variations of SKS splitting with epicentral distance. The full-wave kernels not only widen the possibilities in the source-receiver geometry in making shear wave splitting measurements but also provide the capability for tomographic inversion to resolve vertical and lateral variations in the anisotropic structures.

Use of pulse co-oximetry as a screening and monitoring tool in mass carbon monoxide poisoning.

PubMed

Bledsoe, Bryan E; Nowicki, Kevin; Creel, James H; Carrison, Dale; Severance, Harry W

2010-01-01

Carbon monoxide (CO) poisoning remains a common cause of poisoning in the United States. We describe a case where responding fire department personnel encountered a sick employee with a headache at an automotive brake manufacturing plant. Using both atmospheric CO monitoring and pulse CO-oximetry technology, fire department personnel were able to diagnose the cause of the patient's illness and later identify the source of CO in the plant.

Exact solitary wave solution for higher order nonlinear Schrodinger equation using He's variational iteration method

NASA Astrophysics Data System (ADS)

Rani, Monika; Bhatti, Harbax S.; Singh, Vikramjeet

2017-11-01

In optical communication, the behavior of the ultrashort pulses of optical solitons can be described through nonlinear Schrodinger equation. This partial differential equation is widely used to contemplate a number of physically important phenomena, including optical shock waves, laser and plasma physics, quantum mechanics, elastic media, etc. The exact analytical solution of (1+n)-dimensional higher order nonlinear Schrodinger equation by He's variational iteration method has been presented. Our proposed solutions are very helpful in studying the solitary wave phenomena and ensure rapid convergent series and avoid round off errors. Different examples with graphical representations have been given to justify the capability of the method.

The Feasibility and Validity of a Remote Pulse Oximetry System for Pulmonary Rehabilitation: A Pilot Study

PubMed Central

Tang, Jonathan; Mandrusiak, Allison; Russell, Trevor

2012-01-01

Pulmonary rehabilitation is an effective treatment for people with chronic obstructive pulmonary disease. However, access to these services is limited especially in rural and remote areas. Telerehabilitation has the potential to deliver pulmonary rehabilitation programs to these communities. The aim of this study was threefold: to establish the technical feasibility of transmitting real-time pulse oximetry data, determine the validity of remote measurements compared to conventional face-to-face measures, and evaluate the participants' perception of the usability of the technology. Thirty-seven healthy individuals participated in a single remote pulmonary rehabilitation exercise session, conducted using the eHAB telerehabilitation system. Validity was assessed by comparing the participant's oxygen saturation and heart rate with the data set received at the therapist's remote location. There was an 80% exact agreement between participant and therapist data sets. The mean absolute difference and Bland and Altman's limits of agreement fell within the minimum clinically important difference for both oxygen saturation and heart rate values. Participants found the system easy to use and felt confident that they would be able to use it at home. Remote measurement of pulse oximetry data for a pulmonary rehabilitation exercise session was feasible and valid when compared to conventional face-to-face methods. PMID:23049549

The accuracy of noninvasive hemoglobin measurement by multiwavelength pulse oximetry after cardiac surgery.

PubMed

Nguyen, Ba-Vinh; Vincent, Jean-Louis; Nowak, Emmanuel; Coat, Michelle; Paleiron, Nicolas; Gouny, Pierre; Ould-Ahmed, Mehdi; Guillouet, Maité; Arvieux, Charles Christian; Gueret, Gildas

2011-11-01

In March 2008, a new multiwavelength pulse oximeter, the Radical 7 (Rad7; Masimo Corp., Irvine, CA), was developed that offers noninvasive measurement of hemoglobin concentration. Accuracy has been established in healthy adults and some surgical patients, but not in cardiac surgery intensive care patients, a group at high risk of postoperative bleeding events and anemia in whom early diagnosis could improve management. In this prospective, observational study conducted in a cardiovascular intensive care unit, we compared hemoglobin concentrations shown by the Rad7 with arterial hemoglobin concentrations determined by an automated hematology analyzer, XE-2100 (Roche, Neuilly sur Seine, France). Two software versions of Rad7 (V 7.3.0.1 [42 points of comparison in 14 patients] and the updated V 7.3.1.1 [61 points of comparison in 27 patients]) were studied during two 1-week periods. Bias, defined as the difference between the 2 methods (Masimo SpHb-XE-2100 laboratory hemoglobin), was calculated. A negative bias indicated that the Masimo underestimated hemoglobin compared with the laboratory analyzer. Correlation between the perfusion index given by Rad7 and the hemoglobin bias was also studied. Correlations between Rad7 and XE-2100 were weak for both software versions (R2=0.11 for V 7.3.0.1 and R2=0.27 for V 7.3.1.1). Mean bias was -1.3 g/dL for V 7.3.0.1 and -1.7 g/dL for V 7.3.1.1, with wide 95% prediction intervals for the bias (respectively, -4.6 to 2.1 g/dL and -5.7 to 2.3 g/dL). The absolute hemoglobin bias tended to increase when the perfusion index decreased. For the V 7.3.0.1 software, the average absolute bias was 1.9 g/dL for perfusion index<2 and 0.8 g/dL for perfusion index>2 (P=0.03). For V 7.3.1.1, the mean absolute bias was 2.1 g/dL when the perfusion index was <2, and 1.6 g/dL when the perfusion index was >2 (P=0.26). Our study demonstrates poor correlation between hemoglobin measured noninvasively by multiwavelength pulse oximetry and a laboratory

Depth variations of P-wave azimuthal anisotropy beneath Mainland China

PubMed Central

Wei, Wei; Zhao, Dapeng; Xu, Jiandong; Zhou, Bengang; Shi, Yaolin

2016-01-01

A high-resolution model of P-wave anisotropic tomography beneath Mainland China and surrounding regions is determined using a large number of arrival-time data recorded by the China seismic network, the International Seismological Centre (ISC) and temporary seismic arrays deployed on the Tibetan Plateau. Our results provide important new insights into the subducted Indian plate and mantle dynamics in East Asia. Our tomographic images show that the northern limit of the subducting Indian plate has reached the Jinsha River suture in eastern Tibet. A striking variation of P-wave azimuthal anisotropy is revealed in the Indian lithosphere: the fast velocity direction (FVD) is NE-SW beneath the Indian continent, whereas the FVD is arc parallel beneath the Himalaya and Tibetan Plateau, which may reflect re-orientation of minerals due to lithospheric extension, in response to the India-Eurasia collision. There are multiple anisotropic layers with variable FVDs in some parts of the Tibetan Plateau, which may be the cause of the dominant null splitting measurements in these regions. A circular pattern of FVDs is revealed around the Philippine Sea slab beneath SE China, which reflects asthenospheric strain caused by toroidal mantle flow around the edge of the subducting slab. PMID:27432744

Depth variations of P-wave azimuthal anisotropy beneath Mainland China

NASA Astrophysics Data System (ADS)

Wei, Wei; Zhao, Dapeng; Xu, Jiandong; Zhou, Bengang; Shi, Yaolin

2016-07-01

A high-resolution model of P-wave anisotropic tomography beneath Mainland China and surrounding regions is determined using a large number of arrival-time data recorded by the China seismic network, the International Seismological Centre (ISC) and temporary seismic arrays deployed on the Tibetan Plateau. Our results provide important new insights into the subducted Indian plate and mantle dynamics in East Asia. Our tomographic images show that the northern limit of the subducting Indian plate has reached the Jinsha River suture in eastern Tibet. A striking variation of P-wave azimuthal anisotropy is revealed in the Indian lithosphere: the fast velocity direction (FVD) is NE-SW beneath the Indian continent, whereas the FVD is arc parallel beneath the Himalaya and Tibetan Plateau, which may reflect re-orientation of minerals due to lithospheric extension, in response to the India-Eurasia collision. There are multiple anisotropic layers with variable FVDs in some parts of the Tibetan Plateau, which may be the cause of the dominant null splitting measurements in these regions. A circular pattern of FVDs is revealed around the Philippine Sea slab beneath SE China, which reflects asthenospheric strain caused by toroidal mantle flow around the edge of the subducting slab.

Respiratory rate and pulse oximetry derived information as predictors of hospital admission in young children in Bangladesh: a prospective observational study

PubMed Central

Garde, Ainara; Zhou, Guohai; Raihana, Shahreen; Dunsmuir, Dustin; Karlen, Walter; Dekhordi, Parastoo; Huda, Tanvir; Arifeen, Shams El; Larson, Charles; Kissoon, Niranjan; Dumont, Guy A; Ansermino, J Mark

2016-01-01

Objective Hypoxaemia is a strong predictor of mortality in children. Early detection of deteriorating condition is vital to timely intervention. We hypothesise that measures of pulse oximetry dynamics may identify children requiring hospitalisation. Our aim was to develop a predictive tool using only objective data derived from pulse oximetry and observed respiratory rate to identify children at increased risk of hospital admission. Setting Tertiary-level hospital emergency department in Bangladesh. Participants Children under 5 years (n=3374) presenting at the facility (October 2012–April 2013) without documented chronic diseases were recruited. 1-minute segments of pulse oximetry (photoplethysmogram (PPG), blood oxygen saturation (SpO2) and heart rate (HR)) and respiratory rate were collected with a mobile app. Primary outcome The need for hospitalisation based on expert physician review and follow-up. Methods Pulse rate variability (PRV) using pulse peak intervals of the PPG signal and features extracted from the SpO2 signal, all derived from pulse oximetry recordings, were studied. A univariate age-adjusted logistic regression was applied to evaluate differences between admitted and non-admitted children. A multivariate logistic regression model was developed using a stepwise selection of predictors and was internally validated using bootstrapping. Results Children admitted to hospital showed significantly (p<0.01) decreased PRV and higher SpO2 variability compared to non-admitted children. The strongest predictors of hospitalisation were reduced PRV-power in the low frequency band (OR associated with a 0.01 unit increase, 0.93; 95% CI 0.89 to 0.98), greater time spent below an SpO2 of 98% and 94% (OR associated with 10 s increase, 1.4; 95% CI 1.3 to 1.4 and 1.5; 95% CI 1.4 to 1.6, respectively), high respiratory rate, high HR, low SpO2, young age and male sex. These variables provided a bootstrap-corrected AUC of the receiver operating characteristic

Automated graphic assessment of respiratory activity is superior to pulse oximetry and visual assessment for the detection of early respiratory depression during therapeutic upper endoscopy.

PubMed

Vargo, John J; Zuccaro, Gregory; Dumot, John A; Conwell, Darwin L; Morrow, J Brad; Shay, Steven S

2002-06-01

Recommendations from the American Society of Anesthesiologists suggest that monitoring for apnea using the detection of exhaled carbon dioxide (capnography) is a useful adjunct in the assessment of ventilatory status of patients undergoing sedation and analgesia. There are no data on the utility of capnography in GI endoscopy, nor is the frequency of abnormal ventilatory activity during endoscopy known. The aims of this study were to determine the following: (1) the frequency of abnormal ventilatory activity during therapeutic upper endoscopy, (2) the sensitivity of observation and pulse oximetry in the detection of apnea or disordered respiration, and (3) whether capnography provides an improvement over accepted monitoring techniques. Forty-nine patients undergoing therapeutic upper endoscopy were monitored with standard methods including pulse oximetry, automated blood pressure measurement, and visual assessment. In addition, graphic assessment of respiratory activity with sidestream capnography was performed in all patients. Endoscopy personnel were blinded to capnography data. Episodes of apnea or disordered respiration detected by capnography were documented and compared with the occurrence of hypoxemia, hypercapnea, hypotension, and the recognition of abnormal respiratory activity by endoscopy personnel. Comparison of simultaneous respiratory rate measurements obtained by capnography and by auscultation with a pretracheal stethoscope verified that capnography was an excellent indicator of respiratory rate when compared with the reference standard (auscultation) (r = 0.967, p < 0.001). Fifty-four episodes of apnea or disordered respiration occurred in 28 patients (mean duration 70.8 seconds). Only 50% of apnea or disordered respiration episodes were eventually detected by pulse oximetry. None were detected by visual assessment (p < 0.0010). Apnea/disordered respiration occurs commonly during therapeutic upper endoscopy and frequently precedes the development

Modeling the blockage of Lg waves from 3-D variations in crustal structure

NASA Astrophysics Data System (ADS)

Sanborn, Christopher J.; Cormier, Vernon F.

2018-05-01

Comprised of S waves trapped in Earth's crust, the high frequency (2-10 Hz) Lg wave is important to discriminating earthquakes from explosions by comparing its amplitude and waveform to those of Pg and Pn waves. Lateral variations in crustal structure, including variations in crustal thickness, intrinsic attenuation, and scattering, affect the efficiency of Lg propagation and its consistency as a source discriminant at regional (200-1500 km) distances. To investigate the effects of laterally varying Earth structure on the efficiency of propagation of Lg and Pg, we apply a radiative transport algorithm to model complete, high-frequency (2-4 Hz), regional coda envelopes. The algorithm propagates packets of energy with ray theory through large-scale 3-D structure, and includes stochastic effects of multiple-scattering by small-scale heterogeneities within the large-scale structure. Source-radiation patterns are described by moment tensors. Seismograms of explosion and earthquake sources are synthesized in canonical models to predict effects on waveforms of paths crossing regions of crustal thinning (pull-apart basins and ocean/continent transitions) and thickening (collisional mountain belts), For paths crossing crustal thinning regions, Lg is amplified at receivers within the thinned region but strongly disrupted and attenuated at receivers beyond the thinned region. For paths crossing regions of crustal thickening, Lg amplitude is attenuated at receivers within the thickened region, but experiences little or no reduction in amplitude at receivers beyond the thickened region. The length of the Lg propagation within a thickened region and the complexity of over- and under-thrust crustal layers, can produce localized zones of Lg amplification or attenuation. Regions of intense scattering within laterally homogeneous models of the crust increase Lg attenuation but do not disrupt its coda shape.

New laser system for highly sensitive clinical pulse oximetry

NASA Astrophysics Data System (ADS)

Hamza, Mostafa; Hamza, Mohammad

1996-04-01

This paper describes the theory and design of a new pulse oximeter in which laser diodes and other compact laser sources are used for the measurement of oxygen saturation in patients who are at risk of developing hypoxemia. The technique depends upon illuminating special sites of the skin of the patient with radiation from modulated laser sources at selected wavelengths. The specific laser wavelengths are chosen based on the absorption characteristics of oxyhemoglobin, reduced hemoglobin and other interfering sources for obtaining more accurate measurements. The laser radiation transmitted through the tissue is detected and signal processing based on differential absorption laser spectroscopy is done in such a way to overcome the primary performance limitations of the conventionally used pulse oximetry. The new laser pulse oximeter can detect weak signals and is not affected by other light sources such as surgical lamps, phototherapy units, etc. The detailed description and operating characteristics of this system are presented.

Anomalous width variations for ion acoustic rarefactive solitary waves in a warm ion plasma with two electron temperatures

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ghosh, S.S.; Sekar Iyengar, A.N.

1997-09-01

Anomalous width{endash}amplitude variations were observed in large amplitude rarefactive solitary waves which show increasing width with increasing amplitude, contrasting the usual reciprocal relation between the square of the width and the amplitude, beyond a certain value of the plasma parameters [S. S. Ghosh, K. K. Ghosh, and A. N. Sekar Iyengar, Phys. Plasmas, {bold 3}, 3939 (1996)]. For the limiting maximum amplitude, the {open_quotes}increasing width{close_quotes} solitary wave tends to a double layer-like solution. The overall variation was found to depend crucially on the specific parameter space. From a detailed investigation of the above behavior, a plausible physical explanation has beenmore » presented for such increases in the width. It is found that the ions{close_quote} initial kinetic energies and the cold electron concentration within the perturbed region play a significant role in determining the observed width{endash}amplitude variation. This contradicts the investigation of Sayal, Yadav, and Sharma [Phys. Scr. {bold 47}, 576 (1993)]. {copyright} {ital 1997 American Institute of Physics.}« less

Pressures, flow, and brain oxygenation during plateau waves of intracranial pressure.

PubMed

Dias, Celeste; Maia, Isabel; Cerejo, António; Varsos, Georgios; Smielewski, Peter; Paiva, José-Artur; Czosnyka, Marek

2014-08-01

Plateau waves are common in traumatic brain injury. They constitute abrupt increases of intracranial pressure (ICP) above 40 mmHg associated with a decrease in cerebral perfusion pressure (CPP). The aim of this study was to describe plateau waves characteristics with multimodal brain monitoring in head injured patients admitted in neurocritical care. Prospective observational study in 18 multiple trauma patients with head injury admitted to Neurocritical Care Unit of Hospital Sao Joao in Porto. Multimodal systemic and brain monitoring of primary variables [heart rate, arterial blood pressure, ICP, CPP, pulse amplitude, end tidal CO₂, brain temperature, brain tissue oxygenation pressure, cerebral oximetry (CO) with transcutaneous near-infrared spectroscopy and cerebral blood flow (CBF)] and secondary variables related to cerebral compensatory reserve and cerebrovascular reactivity were supported by dedicated software ICM+ ( www.neurosurg.cam.ac.uk/icmplus) . The compiled data were analyzed in patients who developed plateau waves. In this study we identified 59 plateau waves that occurred in 44% of the patients (8/18). During plateau waves CBF, cerebrovascular resistance, CO, and brain tissue oxygenation decreased. The duration and magnitude of plateau waves were greater in patients with working cerebrovascular reactivity. After the end of plateau wave, a hyperemic response was recorded in 64% of cases with increase in CBF and brain oxygenation. The magnitude of hyperemia was associated with better autoregulation status and low oxygenation levels at baseline. Multimodal brain monitoring facilitates identification and understanding of intrinsic vascular brain phenomenon, such as plateau waves, and may help the adequate management of acute head injury at bed side.

Conservation laws of wave action and potential enstrophy for Rossby waves in a stratified atmosphere

NASA Technical Reports Server (NTRS)

Straus, D. M.

1983-01-01

The evolution of wave energy, enstrophy, and wave motion for atmospheric Rossby waves in a variable mean flow are discussed from a theoretical and pedagogic standpoint. In the absence of mean flow gradients, the wave energy density satisfies a local conservation law, with the appropriate flow velocity being the group velocity. In the presence of mean flow variations, wave energy is not conserved, but wave action is, provided the mean flow is independent of longitude. Wave enstrophy is conserved for arbitrary variations of the mean flow. Connections with Eiiassen-Palm flux are also discussed.

Conservation laws of wave action and potential enstrophy for Rossby waves in a stratified atmosphere

NASA Technical Reports Server (NTRS)

Straus, D. M.

1983-01-01

The evolution of wave energy, enstrophy, and wave motion for atmospheric Rossby waves in a variable mean flow are discussed from a theoretical and pedagogic standpoint. In the absence of mean flow gradients, the wave energy density satisfies a local conservation law, with the appropriate flow velocity being the group velocity. In the presence of mean flow variations, wave energy is not conserved, but wave action is, provided the mean flow is independent of longitude. Wave enstrophy is conserved for arbitrary variations of the mean flow. Connections with Eliassen-Palm flux are also discussed.

Potential for adaptation to climate change: family-level variation in fitness-related traits and their responses to heat waves in a snail population.

PubMed

Leicht, Katja; Seppälä, Katri; Seppälä, Otto

2017-06-15

On-going global climate change poses a serious threat for natural populations unless they are able to evolutionarily adapt to changing environmental conditions (e.g. increasing average temperatures, occurrence of extreme weather events). A prerequisite for evolutionary change is within-population heritable genetic variation in traits subject to selection. In relation to climate change, mainly phenological traits as well as heat and desiccation resistance have been examined for such variation. Therefore, it is important to investigate adaptive potential under climate change conditions across a broader range of traits. This is especially true for life-history traits and defences against natural enemies (e.g. parasites) since they influence organisms' fitness both directly and through species interactions. We examined the adaptive potential of fitness-related traits and their responses to heat waves in a population of a freshwater snail, Lymnaea stagnalis. We estimated family-level variation and covariation in life history (size, reproduction) and constitutive immune defence traits [haemocyte concentration, phenoloxidase (PO)-like activity, antibacterial activity of haemolymph] in snails experimentally exposed to typical (15 °C) and heat wave (25 °C) temperatures. We also assessed variation in the reaction norms of these traits between the treatments. We found that at the heat wave temperature, snails were larger and reproduced more, while their immune defence was reduced. Snails showed high family-level variation in all examined traits within both temperature treatments. The only negative genetic correlation (between reproduction and antibacterial activity) appeared at the high temperature. However, we found no family-level variation in the responses of most examined traits to the experimental heat wave (i.e. largely parallel reaction norms between the treatments). Only the reduction of PO-like activity when exposed to the high temperature showed family

A Comparison of Pulse-Oximetry, Near-Infrared Spectroscopy (NIRS), and Gas Sensors for In-Cockpit Hypoxia Detection

DTIC Science & Technology

2012-08-29

Pulse Oximetry: Arterial oxygen saturation (SpO2) at the index finger on the left hand was measured with a finger oximeter (Model 3900 P, Datex...minutes or until their finger O2 saturation levels dropped below 50%. Oxygen saturation was measured via the left index finger with a pulse oximeter ... saturation . Pulse oximeters have two light emitting diodes, using red (600-750 nm) and near infrared (850-1000 nm) light that penetrates the skin

Pulse oximetry recorded from the Phone Oximeter for detection of obstructive sleep apnea events with and without oxygen desaturation in children.

PubMed

Garde, Ainara; Dehkordi, Parastoo; Wensley, David; Ansermino, J Mark; Dumont, Guy A

2015-01-01

Obstructive sleep apnea (OSA) disrupts normal ventilation during sleep and can lead to serious health problems in children if left untreated. Polysomnography, the gold standard for OSA diagnosis, is resource intensive and requires a specialized laboratory. Thus, we proposed to use the Phone Oximeter™, a portable device integrating pulse oximetry with a smartphone, to detect OSA events. As a proportion of OSA events occur without oxygen desaturation (defined as SpO2 decreases ≥ 3%), we suggest combining SpO2 and pulse rate variability (PRV) analysis to identify all OSA events and provide a more detailed sleep analysis. We recruited 160 children and recorded pulse oximetry consisting of SpO2 and plethysmography (PPG) using the Phone Oximeter™, alongside standard polysomnography. A sleep technician visually scored all OSA events with and without oxygen desaturation from polysomnography. We divided pulse oximetry signals into 1-min signal segments and extracted several features from SpO2 and PPG analysis in the time and frequency domain. Segments with OSA, especially the ones with oxygen desaturation, presented greater SpO2 variability and modulation reflected in the spectral domain than segments without OSA. Segments with OSA also showed higher heart rate and sympathetic activity through the PRV analysis relative to segments without OSA. PRV analysis was more sensitive than SpO2 analysis for identification of OSA events without oxygen desaturation. Combining SpO2 and PRV analysis enhanced OSA event detection through a multiple logistic regression model. The area under the ROC curve increased from 81% to 87%. Thus, the Phone Oximeter™ might be useful to monitor sleep and identify OSA events with and without oxygen desaturation at home.

Wave Effects Related to Altitude Variations in the Ion Composition of the Ionosphere

NASA Astrophysics Data System (ADS)

Vavilov, D. I.; Shklyar, D. R.

2016-12-01

Properties of the waves, which can propagate in a magnetized plasma in the frequency range below the proton gyrofrequency, depend strongly on the ion composition of the plasma. Addition of a new sort of ions leads to the appearance of a new resonance frequency, at which the refractive index becomes infinite, and a new cutoff frequency, at which the refractive index becomes zero. In this case, the topology of frequency dependence of the squared refractive index changes. Specifically, a new oscillation branch appears, which is located above the cutoff frequency. A question arises whether these oscillations are excited if radiation with the corresponding frequency, which propagates in a different mode, is present in the plasma. A linear transformation of the waves is another important effect, which is related to variations in the ion plasma composition. These two issues, which are directly related to the theory of formation of proton whistlers in the ionosphere, where the ion composition varies with altitude, are considered in this work.

Reference values for pulse oximetry at high altitude

PubMed Central

Gamponia, M; Babaali, H; Yugar, F; Gilman, R

1998-01-01

OBJECTIVE—To determine reference values for oxygen saturation (SaO2) in healthy children younger than 5 years living at high altitude.
DESIGN—One hundred and sixty eight children were examined for SaO2 at 4018 m during well child visits. Physiological state was also noted during the examination.
RESULTS—The mean SaO2 was 87.3% (95% confidence intervals (CI) 86.7%, 87.9%) with a median value of 87.7%. A significant difference was observed in SaO2 between children younger than 1 year compared with older children, although the difference was no longer demonstrable when sleeping children were excluded.
CONCLUSIONS—This study has provided a reference range of SaO2 values for healthy children under 5 years old so that pulse oximetry may be used as an adjunct in diagnosing acute respiratory infections. Younger children were also shown to have a lower mean SaO2 than older children living at high altitude, which suggests physiological adaptation to high altitude over time. In addition, sleep had a lowering effect on SaO2, although the clinical importance of this remains undetermined.

 PMID:9659095

Important considerations for the newborn: access to postdischarge newborn care, pulse oximetry screening for congenital heart disease, and circumcision.

PubMed

Pattishall, Amy E; Spector, Nancy D; McPeak, Katie E

2014-12-01

This article addresses three areas in which new policies and research demonstrate the opportunity to impact the health of neonates: access to postdischarge newborn care, pulse oximetry screening for congenital heart disease, and circumcision. Recent research has identified that child healthcare providers are not typically adhering to the recommended first newborn visit within 48 h of hospital discharge. Despite its benefits, cost-effectiveness, and the recommendation that routine screening for cyanotic congenital heart disease be added to the panel of universal newborn screening, adoption of this practice is variable. Evidence suggests a significant reduction in the transmission of HIV linked to circumcision, leading professional organizations to generate new policy statements on neonatal male circumcision. Pediatric healthcare providers should pay careful attention to the timing of the first newborn outpatient follow-up visit. Pulse oximetry screening for cyanotic congenital heart disease is specific, sensitive and meets criteria for universal screening, and providers should utilize well designed screening protocols. In addition, healthcare providers for newborns, especially those who perform circumcisions, should provide nonbiased, up-to-date information on the medical, financial, and ethical aspects of the procedure.

Cerebral Oxygenation of the Cortex and Striatum following Normobaric Hyperoxia and Mild Hypoxia in Rats by EPR Oximetry using Multi-Probe Implantable Resonators

PubMed Central

Hou, Huagang; Li, Hongbin; Dong, Ruhong; Mupparaju, Sriram; Khan, Nadeem; Swartz, Harold

2013-01-01

Multi-site electron paramagnetic resonance (EPR) oximetry, using multi-probe implantable resonators, was used to measure the partial pressure of oxygen (pO2) in the brains of rats following normobaric hyperoxia and mild hypoxia. The cerebral tissue pO2 was measured simultaneously in the cerebral cortex and striatum in the same rats before, during, and after normobaric hyperoxia and mild hypoxia challenges. The baseline mean tissue pO2 values (±SE) were not significantly different between the cortex and striatum. During 30 min of 100% O2 inhalation, a statistically significant increase in tissue pO2 of all four sites was observed, however, the tissue pO2 of the striatum area was significantly higher than in the forelimb area of the cortex. Brain pO2 significantly decreased from the baseline value during 15 min of 15% O2 challenge. No differences in the recovery of the cerebral cortex and striatum pO2 were observed when the rats were allowed to breathe 30% O2. It appears that EPR oximetry using implantable resonators can provide information on pO2 under the experimental conditions needed for such a study. The levels of pO2 that occurred in these experiments are readily resolvable by multi-site EPR oximetry with multi-probe resonators. In addition, the ability to simultaneously measure the pO2 in several areas of the brain provides important information that could potentially help differentiate the pO2 changes that can occur due to global or local mechanisms. PMID:21445770

Interannual and Decadal Variations of Planetary Wave Activity, Stratospheric Cooling, and Northern Hemisphere Annular Mode.

NASA Astrophysics Data System (ADS)

Hu, Yongyun; Kit Tung, Ka

2002-07-01

Using NCEP-NCAR 51-yr reanalysis data, the interannual and decadal variations of planetary wave activity and its relationship to stratospheric cooling, and the Northern Hemisphere Annular mode (NAM), are studied. It is found that winter stratospheric polar temperature is highly correlated on a year-to-year basis with the Eliassen-Palm (E-P) wave flux from the troposphere, implying a dynamical control of the former by the latter, as often suggested. Greater (lower) wave activity from the troposphere implies larger (smaller) poleward heat flux into the polar region, which leads to warmer (colder) polar temperature. A similar highly correlated antiphase relationship holds for E-P flux divergence and the strength of the polar vortex in the stratosphere. It is tempting to extrapolate these relationships found for interannual timescales to explain the recent stratospheric polar cooling trend in the past few decades as caused by decreased wave activity in the polar region. This speculation is not supported by the data. On timescales of decades the cooling trend is not correlated with the trend in planetary wave activity. In fact, it is found that planetary wave amplitude, E-P flux, and E-P flux convergence all show little statistical evidence of decrease in the past 51 yr, while the stratosphere is experiencing a cooling trend and the NAM index has a positive trend during the past 30 yr. This suggests that the trends in the winter polar temperature and the NAM index can reasonably be attributed to the radiative cooling of the stratosphere, due possibly to increasing greenhouse gases and ozone depletion. It is further shown that the positive trend of the NAM index in the past few decades is not through the inhibition of upward planetary wave propagation from the troposphere to the stratosphere, as previously suggested.

Contributions of aortic pulse wave velocity and backward wave pressure to variations in left ventricular mass are independent of each other.

PubMed

Bello, Hamza; Norton, Gavin R; Ballim, Imraan; Libhaber, Carlos D; Sareli, Pinhas; Woodiwiss, Angela J

2017-05-01

Aortic pulse wave velocity (PWV) and backward waves, as determined from wave separation analysis, predict cardiovascular events beyond brachial blood pressure. However, the extent to which these aortic hemodynamic variables contribute independent of each other is uncertain. In 749 randomly selected participants of African ancestry, we therefore assessed the extent to which relationships between aortic PWV or backward wave pressures (Pb) (and hence central aortic pulse pressure [PPc]) and left ventricular mass index (LVMI) occur independent of each other. Aortic PWV, PPc, forward wave pressure (Pf), and Pb were determined using radial applanation tonometry and SphygmoCor software and LVMI using echocardiography; 44.5% of participants had an increased left ventricular mass indexed to height 1.7 . With adjustments for age, brachial systolic blood pressure or PP, and additional confounders, PPc and Pb, but not Pf, were independently related to LVMI and left ventricular hypertrophy (LVH) in both men and women. However, PWV was independently associated with LVMI in women (partial r = 0.16, P < .001), but not in men (partial r = 0.03), and PWV was independently associated with LVH in women (P < .05), but not in men (P = .07). With PWV and Pb included in the same multivariate regression models, PWV (partial r = 0.14, P < .005) and Pb (partial r = 0.10, P < .05) contributed to a similar extent to variations in LVMI in women. In addition, with PWV and Pb included in the same multivariate regression models, PWV (P < .05) and Pb (P < .02) contributed to LVH in women. In conclusion, aortic PWV and Pb (and hence pulse pressure) although both associated with LVMI and LVH produce effects which are independent of each other. Copyright © 2017 American Society of Hypertension. Published by Elsevier Inc. All rights reserved.

Noninvasive quantification of left-to-right shunt by phase contrast magnetic resonance imaging in secundum atrial septal defect: the effects of breath holding and comparison with invasive oximetry.

PubMed

Yamasaki, Yuzo; Kawanami, Satoshi; Kamitani, Takeshi; Sagiyama, Koji; Sakamoto, Ichiro; Hiasa, Ken-Ichi; Yabuuchi, Hidetake; Nagao, Michinobu; Honda, Hiroshi

2018-01-16

To investigate the effect of breath-holding on left-to-right shunts in patients with a secundum atrial septal defect (ASD). Thirty-five consecutive patients with secundum ASDs underwent right heart catheterization and invasive oximetry. Phase-contrast magnetic resonance imaging (MRI) was performed for the main pulmonary artery and ascending aorta. All measurements were obtained during free breathing (FB) (quiet breathing; no breath-hold), expiratory breath-hold (EBH), and inspiratory breath-hold (IBH). Pulmonary circulation flow (Qp) and systemic circulation flow (Qs) were calculated by multiplying the heart rate by the stroke volume. Measurements during FB, EBH, and IBH were compared, and the differences compared to invasive oximetry were evaluated. There were significant differences among the measurements during FB, EBH, and IBH for Qp (FB, 7.70 ± 2.68; EBH, 7.18 ± 2.34; IBH, 6.88 ± 2.51 l/min); however, no significant difference was found for Qs (FB, 3.44 ± 0.74; EBH, 3.40 ± 0.83; IBH, 3.40 ± 0.86 l/min). There were significant differences among the measurements during FB, EBH, and IBH for Qp/Qs (FB, 2.38 ± 1.12; EBH, 2.24 ± 0.95; IBH, 2.14 ± 0.97). Qp/Qs during FB and EBH correlated better with Qp/Qs measured by invasive oximetry than did IBH. The limit of agreement was smaller for EBH than for FB and IBH. In patients with secundum ASDs, Qp/Qs significantly decreased with breath-holding. The accuracy of the Qp/Qs measurement by MRI compared with invasive oximetry during EBH was higher than during FB and IBH.

Opportunities and barriers in paediatric pulse oximetry for pneumonia in low-resource clinical settings: a qualitative evaluation from Malawi and Bangladesh

PubMed Central

Boyd, Nicholas; Walker, Isabeau; Zadutsa, Beatiwel; Baqui, Abdullah H; Ahmed, Salahuddin; Islam, Mazharul; Kainja, Esther; Nambiar, Bejoy; Wilson, Iain; McCollum, Eric D

2018-01-01

Objective To gain an understanding of what challenges pulse oximetry for paediatric pneumonia management poses, how it has changed service provision and what would improve this device for use across paediatric clinical settings in low-income countries. Design Focus group discussions (FGDs), with purposive sampling and thematic analysis using a framework approach. Setting Community, front-line outpatient, and hospital outpatient and inpatient settings in Malawi and Bangladesh, which provide paediatric pneumonia care. Participants Healthcare providers (HCPs) from Malawi and Bangladesh who had received training in pulse oximetry and had been using oximeters in routine paediatric care, including community healthcare workers, non-physician clinicians or medical assistants, and hospital-based nurses and doctors. Results We conducted six FGDs, with 23 participants from Bangladesh and 26 from Malawi. We identified five emergent themes: trust, value, user-related experience, sustainability and design. HCPs discussed the confidence gained through the use of oximeters, resulting in improved trust from caregivers and valuing the device, although there were conflicts between the weight given to clinical judgement versus oximeter results. HCPs reported the ease of using oximeters, but identified movement and physically smaller children as measurement challenges. Challenges in sustainability related to battery durability and replacement parts, however many HCPs had used the same device longer than 4 years, demonstrating robustness within these settings. Desirable features included back-up power banks and integrated respiratory rate and thermometer capability. Conclusions Pulse oximetry was generally deemed valuable by HCPs for use as a spot-check device in a range of paediatric low-income clinical settings. Areas highlighted as challenges by HCPs, and therefore opportunities for redesign, included battery charging and durability, probe fit and sensitivity in paediatric

Pulse oximetry findings in newborns with antenatally diagnosed congenital heart disease.

PubMed

Mawson, Isabel E; Babu, Pratusha L; Simpson, John M; Fox, Grenville F

2018-05-01

A retrospective review of admission preductal oxygen saturations of neonates with antenatally diagnosed critical congenital heart disease (CCHD) was performed to investigate the differences in newborn pulse oximetry (Pulsox) by specific CCHD diagnosis. Saturations were recorded at median of < 1 h (range < 1-9 h) after delivery. Data was stratified by CCHD diagnosis and analysed according to the three different admission Pulsox thresholds, ≤ 90, ≤ 92 and ≤ 95%. Of the 276 neonates studied, 208 were clinically well at admission, with no co-morbidities, gestation > 34 weeks and birth weight > 1.8 kg. A statistically significant increase in the proportion with low admission saturations was seen using ≤ 95% saturation threshold (72% (95% CI 66-78)) compared to ≤ 92% (52% (95% CI 46-59)) and ≤ 90% (46% (95% CI 39-52)). Sub-group analysis found the proportion of neonates with low saturations varied according to the specific CCHD diagnosis with only 20-42% of neonates with aortic stenosis, coarctation of the aorta and pulmonary stenosis having saturations ≤ 95%. The proportion of neonates with low admission oxygen saturation varied by CCHD diagnosis with those without critically reduced pulmonary blood flow not having low admission saturations, in general, even using the ≤ 95% threshold which had the highest proportions of abnormal saturations. This data may assist developing Pulsox screening policies. What is Known: • The addition of pulse oximetry (Pulsox) screening to the routine newborn examination increases the sensitivity of CCHD detection. Pulsox screening is also highly specific for CCHD in asymptomatic neonates, with low false-positive rates. • Early diagnosis of CCHD improves patient outcomes in relation to both morbidity and mortality. What is New: • The proportion of affected infants with an abnormal Pulsox result varies by CCHD diagnosis and screening threshold. In our study using the ≤ 95% threshold gave

Crustal thickness variations in the Zagros continental collision zone (Iran) from joint inversion of receiver functions and surface wave dispersion

NASA Astrophysics Data System (ADS)

Tatar, M.; Nasrabadi, A.

2013-10-01

Variations in crustal thickness in the Zagros determined by joint inversion of P wave receiver functions (RFs) and Rayleigh wave group and phase velocity dispersion. The time domain iterative deconvolution procedure was employed to compute RFs from teleseismic recordings at seven broadband stations of INSN network. Rayleigh wave phase velocity dispersion curves were estimated employing two-station method. Fundamental mode Rayleigh wave group velocities for each station is taken from a regional scale surface wave tomographic imaging. The main variations in crustal thickness that we observe are between stations located in the Zagros fold and thrust belt with those located in the Sanandaj-Sirjan zone (SSZ) and Urumieh-Dokhtar magmatic assemblage (UDMA). Our results indicate that the average crustal thickness beneath the Zagros Mountain Range varies from ˜46 km in Western and Central Zagros beneath SHGR and GHIR up to ˜50 km beneath BNDS located in easternmost of the Zagros. Toward NE, we observe an increase in Moho depth where it reaches ˜58 km beneath SNGE located in the SSZ. Average crustal thickness also varies beneath the UDMA from ˜50 km in western parts below ASAO to ˜58 in central parts below NASN. The observed variation along the SSZ and UDMA may be associated to ongoing slab steepening or break off in the NW Zagros, comparing under thrusting of the Arabian plate beneath Central Zagros. The results show that in Central Iran, the crustal thickness decrease again to ˜47 km below KRBR. There is not a significant crustal thickness difference along the Zagros fold and thrust belt. We found the same crystalline crust of ˜34 km thick beneath the different parts of the Zagros fold and thrust belt. The similarity of crustal structure suggests that the crust of the Zagros fold and thrust belt was uniform before subsidence and deposition of the sediments. Our results confirm that the shortening of the western and eastern parts of the Zagros basement is small and

Comparing the Robustness of High-Frequency Traveling-Wave Tube Slow-Wave Circuits

NASA Technical Reports Server (NTRS)

Chevalier, Christine T.; Wilson, Jeffrey D.; Kory, Carol L.

2007-01-01

A three-dimensional electromagnetic field simulation software package was used to compute the cold-test parameters, phase velocity, on-axis interaction impedance, and attenuation, for several high-frequency traveling-wave tube slow-wave circuit geometries. This research effort determined the effects of variations in circuit dimensions on cold-test performance. The parameter variations were based on the tolerances of conventional micromachining techniques.

Nano-emulsions of fluorinated trityl radicals as sensors for EPR oximetry

NASA Astrophysics Data System (ADS)

Charlier, N.; Driesschaert, B.; Wauthoz, N.; Beghein, N.; Préat, V.; Amighi, K.; Marchand-Brynaert, J.; Gallez, B.

2009-04-01

This article reports the development and evaluation of two nano-emulsions (F45T-03/HFB and F15T-03/PFOB) containing fluorinated trityl radicals dissolved in perfluorocarbons. Preparation with a high-pressure homogenizer conferred sub-micronic size to both nano-emulsions. In vitro and in vivo EPR spectroscopy showed that the nano-emulsions had much greater oxygen sensitivity than the hydrophilic trityl, CT-03. In vivo experiments in rodents confirmed the ability of the nano-emulsions to follow the changes in oxygen concentration after induced ischemia. Histological evaluation of the tissue injected with the nano-emulsions revealed some acute toxicity for the F45T-03/HFB nano-emulsion but none for the F15T-03/PFOB nano-emulsion. These new formulations should be considered for further EPR oximetry experiments in pathophysiological situations where subtle changes in tissue oxygenation are expected.

Variational Optimization of the Second-Order Density Matrix Corresponding to a Seniority-Zero Configuration Interaction Wave Function.

PubMed

Poelmans, Ward; Van Raemdonck, Mario; Verstichel, Brecht; De Baerdemacker, Stijn; Torre, Alicia; Lain, Luis; Massaccesi, Gustavo E; Alcoba, Diego R; Bultinck, Patrick; Van Neck, Dimitri

2015-09-08

We perform a direct variational determination of the second-order (two-particle) density matrix corresponding to a many-electron system, under a restricted set of the two-index N-representability P-, Q-, and G-conditions. In addition, we impose a set of necessary constraints that the two-particle density matrix must be derivable from a doubly occupied many-electron wave function, i.e., a singlet wave function for which the Slater determinant decomposition only contains determinants in which spatial orbitals are doubly occupied. We rederive the two-index N-representability conditions first found by Weinhold and Wilson and apply them to various benchmark systems (linear hydrogen chains, He, N2, and CN(-)). This work is motivated by the fact that a doubly occupied many-electron wave function captures in many cases the bulk of the static correlation. Compared to the general case, the structure of doubly occupied two-particle density matrices causes the associate semidefinite program to have a very favorable scaling as L(3), where L is the number of spatial orbitals. Since the doubly occupied Hilbert space depends on the choice of the orbitals, variational calculation steps of the two-particle density matrix are interspersed with orbital-optimization steps (based on Jacobi rotations in the space of the spatial orbitals). We also point to the importance of symmetry breaking of the orbitals when performing calculations in a doubly occupied framework.

Does variation in mineral composition alter the short-wave light scattering properties of desert dust aerosol?

NASA Astrophysics Data System (ADS)

Smith, Andrew J. A.; Grainger, Roy G.

2014-01-01

Mineral dust aerosol is a major component of natural airborne particulates. Using satellite measurements from the visible and near-infrared, there is insufficient information to retrieve a full microphysical and chemical description of an aerosol distribution. As such, refractive index is one of many parameters that must be implicitly assumed in order to obtain an optical depth retrieval. This is essentially a proxy for the dust mineralogy. Using a global soil map, it is shown that as long as a reasonable refractive index for dust is assumed, global dust variability is unlikely to cause significant variation in the optical properties of a dust aerosol distribution in the short-wave, and so should not greatly affect retrievals of mineral dust aerosol from space by visible and near-infrared radiometers. Errors in aerosol optical depth due to this variation are expected to be ≲ 1 %. The work is framed around the ORAC AATSR aerosol retrieval, but is equally applicable to similar satellite retrievals. In this case, variations in the top-of-atmosphere reflectance caused by mineral variation are within the noise limits of the instrument.

Downward Link of Solar Activity Variations Through Wave Driven Equatorial Oscillations (QBO and SAO)

NASA Technical Reports Server (NTRS)

Mengel, J. G.; Mayr, H. G.; Chan, K. L.; Porter, H. S.; Einaudi, Franco (Technical Monitor)

2000-01-01

Signatures of the 11-year solar activity/irradiance cycle are observed in the Quasi Biennial Oscillation (QBO) of the lower stratosphere. At these altitudes, the QBO is understood to be the result of "downward control" exerted by the wave mean flow interactions that drive the phenomenon. It is reasonable then to speculate that the QBO is a natural conduit to lower altitudes of solar activity variations in radiance (SAV). To test this hypothesis, we conducted experiments with a 2D version of our Numerical Spectral Model that incorporates Hines' Doppler Spread Parameterization for small-scale gravity waves (GW). To account for the SAV, we change the solar heating rate on a logarithmic scale from 0.1% at the surface to 1% at 50 kin to 10% at 100 km. With the same GW flux, we then conduct numerical experiments to evaluate the magnitude of the solar activity irradiance effect (SAE) on the zonal circulation at low latitudes. The numerical results obtained show that, under certain conditions, the SAE is significant in the zonal circulation and does extend to lower altitudes where the SAV is small. The differences in the wind velocities can be as large as 5 m/s at 20 kin. We carried out two numerical experiments with integrations over more than 20 years: 1) With the QBO period "tuned" to be 30 months, of academic interest but instructive, the seasonal cycle in the solar forcing [through the Semi-annual Oscillation (SAO)] acts as a strong pacemaker to produce a firm lock on the period and phase of the QBO. The SAE then shows up primarily as a distinct but relatively weak amplitude modulation. 2) With the QBO period between 30 and 34 (or less than 30, presumably) months, the seasonal phase lock is weak compared with (1). The SAV in the seasonal cycle then causes variations in the QBO period and phase, and this amplifies the SAE to produce relatively large variations in the wind field. We conclude that, under realistic conditions as in (2), the solar seasonal forcing, with

Dynamic changes in oxygenation of intracranial tumor and contralateral brain during tumor growth and carbogen breathing: A multisite EPR oximetry with implantable resonators

PubMed Central

Hou, Huagang; Dong, Ruhong; Li, Hongbin; Williams, Benjamin; Lariviere, Jean P.; Hekmatyar, S.K.; Kauppinen, Risto A.; Khan, Nadeem; Swartz, Harold

2013-01-01

Introduction Several techniques currently exist for measuring tissue oxygen; however technical difficulties have limited their usefulness and general application. We report a recently developed electron paramagnetic resonance (EPR) oximetry approach with multiple probe implantable resonators (IRs) that allow repeated measurements of oxygen in tissue at depths of greater than 10 mm. Methods The EPR signal to noise (S/N) ratio of two probe IRs was compared with that of LiPc deposits. The feasibility of intracranial tissue pO2 measurements by EPR oximetry using IRs was tested in normal rats and rats bearing intracerebral F98 tumors. The dynamic changes in the tissue pO2 were assessed during repeated hyperoxia with carbogen breathing. Results A 6–10 times increase in the S/N ratio was observed with IRs as compared to LiPc deposits. The mean brain pO2 of normal rats was stable and increased significantly during carbogen inhalation in experiments repeated for 3 months. The pO2 of F98 glioma declined gradually, while the pO2 of contralateral brain essentially remained the same. Although a significant increase in the glioma pO2 was observed during carbogen inhalation, this effect declined in experiments repeated over days. Conclusion EPR oximetry with IRs provides a significant increase in S/N ratio. The ability to repeatedly assess orthotopic glioma pO2 is likely to play a vital role in understanding the dynamics of tissue pO2 during tumor growth and therapies designed to modulate tumor hypoxia. This information could then be used to optimize chemoradiation by scheduling treatments at times of increased glioma oxygenation. PMID:22033225

Elevated Carboxyhaemoglobin Concentrations by Pulse CO-Oximetry is Associated with Severe Aluminium Phosphide Poisoning.

PubMed

Mashayekhian, Mohammad; Hassanian-Moghaddam, Hossein; Rahimi, Mitra; Zamani, Nasim; Aghabiklooei, Abbas; Shadnia, Shahin

2016-09-01

In pulse CO-oximetry of aluminium phosphide (ALP)-poisoned patients, we discovered that carboxyhaemoglobin (CO-Hb) level was elevated. We aimed to determine whether a higher CO level was detected in patients with severe ALP poisoning and if this could be used as a prognostic factor in these patients. In a prospective case-control study, 96 suspected cases of ALP poisoning were evaluated. In the ALP-poisoned group, demographic characteristics, gastric and exhalation silver nitrate test results, average CO-Hb saturation, methaemoglobin saturation, and blood pressure and blood gas analysis until death/discharge were recorded. Severely poisoned patients were defined as those with systolic blood pressure ≤80 mmHg, pH ≤7.2, or HCO3 ≤15 meq/L or those who died, while patients with minor poisoning were those without any of these signs/symptoms. A control group (37 patients) was taken from other medically ill patients to detect probable effects of hypotension and metabolic acidosis on CO-Hb and methaemoglobin saturations. Of 96 patients, 27 died and 37 fulfilled the criteria for severe poisoning. All patients with carbon monoxide saturation >18% met the criteria to be included in the severe poisoning group and all with a SpCO >25% died. Concerning all significant variables in univariate analysis of severe ALP toxicity, the only significant variable which could independently predict death was carbon monoxide saturation. Due to high mortality rate and need for intensive care support, early prediction of outcome is vital for choosing an appropriate setting (ICU or ordinary ward). CO-oximetry is a good diagnostic and prognostic factor in patients with ALP poisoning even before any clinical evidence of toxicity will develop. © 2016 Nordic Association for the Publication of BCPT (former Nordic Pharmacological Society).

Effect of regional cerebral oximetry to estimate neurologic prognostic outcomes in patients administered targeted temperature management.

PubMed

Sarıtaş, Aykut; Çinleti, Burcu Acar; Zincircioğlu, Çiler; Uzun, Uğur; Köse, Işıl; Şenoğlu, Nimet

2018-04-09

The aim of our study is to research the role and efficacy of cerebral oximetry in predicting neurologic prognosis when applied during TTM to patients experiencing coma after CA. This study was performed on surviving adult comatose patients after CA treated with TTM. The average scores of rSO 2 was measured at 6h intervals for the first 2days and once a day for the following 3days with a NIRS device during TTM. The CPC scale was used to define the neurologic outcomes of patients. We compared the correlations of rSO 2 values between good (CPC 1-2) and poor (CPC 3-5) neurologic outcomes in CA patients. There was no statistically significant difference identified between the prognosis groups in terms of rSO 2 , CPR durations, hemoglobin values and admission body temperature (p>0.05). When the variation in rSO 2 values over time is investigated, though there was no significant difference between the good and poor prognosis groups, it appeared to fall in the first 6h in both prognosis groups. The median NT-proBNP and lactate values were observed to be higher in the poor prognosis group. There is no significant correlation between rSO 2 values and neurologic outcomes. Multimodal monitoring methods may be useful and further studies with a larger patient population are necessary in this area. Copyright © 2018. Published by Elsevier Inc.

Theory of inhomogeneous quantum systems. III. Variational wave functions for Fermi fluids

NASA Astrophysics Data System (ADS)

Krotscheck, E.

1985-04-01

We develop a general variational theory for inhomogeneous Fermi systems such as the electron gas in a metal surface, the surface of liquid 3He, or simple models of heavy nuclei. The ground-state wave function is expressed in terms of two-body correlations, a one-body attenuation factor, and a model-system Slater determinant. Massive partial summations of cluster expansions are performed by means of Born-Green-Yvon and hypernetted-chain techniques. An optimal single-particle basis is generated by a generalized Hartree-Fock equation in which the two-body correlations screen the bare interparticle interaction. The optimization of the pair correlations leads to a state-averaged random-phase-approximation equation and a strictly microscopic determination of the particle-hole interaction.

Effect of a topical vasodilator on tumor hypoxia and tumor oxygen guided radiotherapy using EPR oximetry.

PubMed

Hou, Huagang; Abramovic, Zrinka; Lariviere, Jean P; Sentjurc, Marjeta; Swartz, Harold; Khan, Nadeem

2010-05-01

We sought to reduce tumor hypoxia by topical application of a vasodilator, benzyl nicotinate (BN), and investigated its effect on the growth of tumors irradiated at times when tumor pO(2) increased. EPR oximetry was used to follow the changes in the tissue pO(2) of subcutaneous radiation-induced fibrosarcoma (RIF-1) tumors during topical applications of 1.25-8% BN formulations for 5 consecutive days. The RIF-1 tumors were hypoxic with a tissue pO(2) of 4.6-7.0 mmHg. A significant increase in tumor pO(2) occurred 10-30 min after BN application. The formulation with the minimal BN concentration that produced a significant increase in tumor pO(2) was used for the radiation study. The tumors were irradiated (4 Gy x 5) at the time of the maximum increase in pO(2) observed with the 2.5% BN formulation. The tumors with an increase in pO(2) of greater than 2 mmHg from the baseline after application of BN on day 1 had a significant growth inhibition compared to the tumors with an increase in pO(2) of less than 2 mmHg. The results indicate that the irradiation of tumors at the time of an increase in pO(2) after the topical application of the 2.5% BN formulation led to a significant growth inhibition. EPR oximetry provided dynamic information on the changes in tumor pO(2), which could be used to identify responders and non-responders and schedule therapy during the experiments.

Micro-scale environmental variation amplifies physiological variation among individual mussels.

PubMed

Jimenez, Ana Gabriela; Jayawardene, Sarah; Alves, Shaina; Dallmer, Jeremiah; Dowd, W Wesley

2015-12-07

The contributions of temporal and spatial environmental variation to physiological variation remain poorly resolved. Rocky intertidal zone populations are subjected to thermal variation over the tidal cycle, superimposed with micro-scale variation in individuals' body temperatures. Using the sea mussel (Mytilus californianus), we assessed the consequences of this micro-scale environmental variation for physiological variation among individuals, first by examining the latter in field-acclimatized animals, second by abolishing micro-scale environmental variation via common garden acclimation, and third by restoring this variation using a reciprocal outplant approach. Common garden acclimation reduced the magnitude of variation in tissue-level antioxidant capacities by approximately 30% among mussels from a wave-protected (warm) site, but it had no effect on antioxidant variation among mussels from a wave-exposed (cool) site. The field-acclimatized level of antioxidant variation was restored only when protected-site mussels were outplanted to a high, thermally stressful site. Variation in organismal oxygen consumption rates reflected antioxidant patterns, decreasing dramatically among protected-site mussels after common gardening. These results suggest a highly plastic relationship between individuals' genotypes and their physiological phenotypes that depends on recent environmental experience. Corresponding context-dependent changes in the physiological mean-variance relationships within populations complicate prediction of responses to shifts in environmental variability that are anticipated with global change. © 2015 The Author(s).

Wave Tank Studies of Strong Modulation of Wind Ripples Due To Long Waves

NASA Astrophysics Data System (ADS)

Ermakov, S.; Sergievskaya, I.; Shchegolkov, Yu.

Modulation of wind capillary-gravity ripples due to long waves has been studied in wave tank experiment at low wind speeds using Ka-band radar. The experiments were carried out both for clean water and the water surface covered with surfactant films. It is obtained that the modulation of radar signals is quite strong and can increase with surfactant concentration and fetch. It is shown that the hydrodynamic Modulation Transfer Function (MTF) calculated for free wind ripples and taking into account the kinematic (straining) effect, variations of the wind stress and variations of surfactant concentration strongly underestimates experimental MTF-values. The effect of strong modulation is assumed to be connected with nonlinear harmonics of longer dm-cm- scale waves - bound waves ("parasitic ripples"). The intensity of bound waves depends strongly on the amplitude of decimetre-scale waves, therefore even weak modulation of the dm-scale waves due to long waves results to strong ("cascade") modulation of bound waves. Modulation of the system of "free/bound waves" is estimated using results of wave tank studies of bound waves generation and is shown to be in quali- tative agreement with experiment. This work was supported by MOD, UK via DERA Winfrith (Project ISTC 1774P) and by RFBR (Project 02-05-65102).

EPR Oximetry for Investigation of Hyperbaric O2 Pre-treatment for Tumor Radiosensitization.

PubMed

Williams, Benjamin B; Hou, Huagang; Coombs, Rachel; Swartz, Harold M

A number of studies have reported benefits associated with the application of hyperbaric oxygen treatment (HBO) delivered immediately prior to radiation therapy. While these studies provide evidence that pre-treatment with HBO may be beneficial, no measurements of intratumoral pO2 were carried out and they do not directly link the apparent benefits to decreased hypoxic fractions at the time of radiation therapy. While there is empirical evidence and some theoretical basis for HBO to enhance radiation therapy, without direct and repeated measurements of its effects on pO2, it is unlikely that the use of HBO can be understood and optimized for clinical applications. In vivo EPR oximetry is a technique uniquely capable of providing repeated direct measurements of pO2 through a non-invasive procedure in both animal models and human patients. In order to evaluate the ability of pretreatment with HBO to elevate tumor pO2, a novel small animal hyperbaric chamber system was constructed that allows simultaneous in vivo EPR oximetry. This chamber can be placed within the EPR magnet and is equipped with a variety of ports for multiplace gas delivery, thermoregulation, delivery of anesthesia, physiologic monitoring, and EPR detection. Initial measurements were performed in a subcutaneous RIF-1 tumor model in C3H/HeJ mice. The mean baseline pO2 value was 6.0 ± 1.2 mmHg (N = 7) and responses to two atmospheres absolute pressure HBO varied considerably across subjects, within tumors, and over time. When an increase in pO2 was observed, the effect was transient in all but one case, with durations lasting from 5 min to over 20 min, and returned to baseline levels during HBO administration. These results indicate that without direct measurements of pO2 in the tissue of interest, it is likely to be difficult to know the effects of HBO on actual tissue pO2.

WINDII atmospheric wave airglow imaging

NASA Technical Reports Server (NTRS)

Armstrong, W. T.; Hoppe, U.-P.; Solheim, B. H.; Shepherd, G. G.

1996-01-01

Preliminary WINDII nighttime airglow wave-imaging data in the UARS rolldown attitude has been analyzed with the goal to survey gravity waves near the upper boundary of the middle atmosphere. Wave analysis is performed on O[sub 2](0,0) emissions from a selected 1[sup 0] x 1[sup 0] oblique view of the airglow layer at approximately 95 km altitude, which has no direct earth background and only an atmospheric background which is optically thick for the 0[sub 2](0,0) emission. From a small data set, orbital imaging of atmospheric wave structures is demonstrated, with indication of large variations in wave activity across land and sea. Comparison ground-based imagery is discussed with respect to similarity of wave variations across land/sea boundaries and future orbital mosaic image construction.

Seasonal variation of wave activities near the mesopause region observed at King Sejong Station (62.22°S, 58.78°W), Antarctica

NASA Astrophysics Data System (ADS)

Lee, Changsup; Kim, Yong Ha; Kim, Jeong-Han; Jee, Geonhwa; Won, Young-In; Wu, Dong L.

2013-12-01

We analyzed the neutral wind data at altitudes of 80-100 km obtained from a VHF meteor radar at King Sejong Station (KSS, 62.22°S, 58.78°W), a key location to study wave activities above the stratospheric vortex near the Antarctic Peninsula. The seasonal behavior of the semidiurnal tides is generally consistent with the prediction of Global Scale Wave Model (GSWM02) except in the altitude region above ~96 km. Gravity wave (GW) activities inferred from the neutral wind variances show a seasonal variation very similar to the semidiurnal tide amplitudes, suggesting a strong interaction between gravity waves and the tide. Despite the consistent seasonal variations of the GW wind variances observed at the adjacent Rothera station, the magnitudes of the wind variance obtained at KSS are much larger than those at Rothera, especially during May-September. The enhanced GW activity at KSS is also observed by Aura Microwave Limb Sounder (MLS) from space in its temperature variance. The observed large wind variances at KSS imply that the Antarctic vortex in the stratosphere may act as an effective filter and source for the GWs in the upper atmosphere.

The accuracy of pulse oximetry in emergency department patients with severe sepsis and septic shock: a retrospective cohort study.

PubMed

Wilson, Ben J; Cowan, Hamish J; Lord, Jason A; Zuege, Dan J; Zygun, David A

2010-05-05

Pulse oximetry is routinely used to continuously and noninvasively monitor arterial oxygen saturation (SaO2) in critically ill patients. Although pulse oximeter oxygen saturation (SpO2) has been studied in several patient populations, including the critically ill, its accuracy has never been studied in emergency department (ED) patients with severe sepsis and septic shock. Sepsis results in characteristic microcirculatory derangements that could theoretically affect pulse oximeter accuracy. The purposes of the present study were twofold: 1) to determine the accuracy of pulse oximetry relative to SaO2 obtained from ABG in ED patients with severe sepsis and septic shock, and 2) to assess the impact of specific physiologic factors on this accuracy. This analysis consisted of a retrospective cohort of 88 consecutive ED patients with severe sepsis who had a simultaneous arterial blood gas and an SpO2 value recorded. Adult ICU patients that were admitted from any Calgary Health Region adult ED with a pre-specified, sepsis-related admission diagnosis between October 1, 2005 and September 30, 2006, were identified. Accuracy (SpO2 - SaO2) was analyzed by the method of Bland and Altman. The effects of hypoxemia, acidosis, hyperlactatemia, anemia, and the use of vasoactive drugs on bias were determined. The cohort consisted of 88 subjects, with a mean age of 57 years (19 - 89). The mean difference (SpO2 - SaO2) was 2.75% and the standard deviation of the differences was 3.1%. Subgroup analysis demonstrated that hypoxemia (SaO2 < 90) significantly affected pulse oximeter accuracy. The mean difference was 4.9% in hypoxemic patients and 1.89% in non-hypoxemic patients (p < 0.004). In 50% (11/22) of cases in which SpO2 was in the 90-93% range the SaO2 was <90%. Though pulse oximeter accuracy was not affected by acidoisis, hyperlactatementa, anemia or vasoactive drugs, these factors worsened precision. Pulse oximetry overestimates ABG-determined SaO2 by a mean of 2.75% in

Long-term variation of horizontal phase velocity and propagation direction of mesospheric and thermospheric gravity waves by using airglow images obtained at Shigarkai, Japan

NASA Astrophysics Data System (ADS)

Takeo, D.; Kazuo, S.; Hujinami, H.; Otsuka, Y.; Matsuda, T. S.; Ejiri, M. K.; Yamamoto, M.; Nakamura, T.

2016-12-01

Atmospheric gravity waves generated in the lower atmosphere transport momentum into the upper atmosphere and release it when they break. The released momentum drives the global-scale pole-to-pole circulation and causes global mass transport. Vertical propagation of the gravity waves and transportation of momentum depend on horizontal phase velocity of gravity waves according to equation about dispersion relation of waves. Horizontal structure of gravity waves including horizontal phase velocity can be seen in the airglow images, and there have been many studies about gravity waves by using airglow images. However, long-term variation of horizontal phase velocity spectrum of gravity waves have not been studied yet. In this study, we used 3-D FFT method developed by Matsuda et al., (2014) to analyze the horizontal phase velocity spectrum of gravity waves by using 557.7-nm (altitude of 90-100 km) and 630.0-nm (altitude of 200-300 km) airglow images obtained at Shigaraki MU Observatory (34.8 deg N, 136.1 deg E) over 16 years from October 1, 1998 to July 26, 2015. Results about 557.7-nm shows clear seasonal variation of propagation direction of gravity waves in the mesopause region. Between summer and winter, there are propagation direction anisotropies which probably caused by filtering due to zonal mesospheric jet and by difference of latitudinal location of wave sources relative to Shigaraki. Results about 630.0-nm shows clear negative correlation between the yearly power spectrum density of horizontal phase velocity and sunspot number. This negative correlation with solar activity is consistent with growth rate of the Perkins instability, which may play an important role in generating the nighttime medium-scale traveling ionospheric disturbances at middle latitudes.

Numerical Assessment of Four-Port Through-Flow Wave Rotor Cycles with Passage Height Variation

NASA Technical Reports Server (NTRS)

Paxson, D. E.; Lindau, Jules W.

1997-01-01

The potential for improved performance of wave rotor cycles through the use of passage height variation is examined. A Quasi-one-dimensional CFD code with experimentally validated loss models is used to determine the flowfield in the wave rotor passages. Results indicate that a carefully chosen passage height profile can produce substantial performance gains. Numerical performance data are presented for a specific profile, in a four-port, through-flow cycle design which yielded a computed 4.6% increase in design point pressure ratio over a comparably sized rotor with constant passage height. In a small gas turbine topping cycle application, this increased pressure ratio would reduce specific fuel consumption to 22% below the un-topped engine; a significant improvement over the already impressive 18% reductions predicted for the constant passage height rotor. The simulation code is briefly described. The method used to obtain rotor passage height profiles with enhanced performance is presented. Design and off-design results are shown using two different computational techniques. The paper concludes with some recommendations for further work.

Trityl radicals in perfluorocarbon emulsions as stable, sensitive, and biocompatible oximetry probes.

PubMed

Dhimitruka, Ilirian; Alzarie, Yasmin Alsayed; Hemann, Craig; Samouilov, Alexandre; Zweier, Jay L

2016-12-01

EPR oximetry with the use of trityl radicals can enable sensitive O 2 measurement in biological cells and tissues. However, in vitro cellular and in vivo biological applications are limited by rapid trityl probe degradation or biological clearance and the need to enhance probe O 2 sensitivity. We synthesized novel perfluorocarbon (PFC) emulsions, ∼200nm droplet size, containing esterified perchlorinated triphenyl methyl (PTM) radicals dispersed in physiological aqueous buffers. These formulations exhibit excellent EPR signal stability, over 20-fold greater than free PTM probes, with high oxygen sensitivity ∼17mG/mmHg enabling pO 2 measurement in aqueous solutions or cell suspensions with sensitivity >0.5mmHg. Thus, PFC-PTM probes hold great promise to enable combined O 2 delivery and sensing as needed to restore or enhance tissue oxygenation in disease. Copyright © 2016 Elsevier Ltd. All rights reserved.

Upper atmospheric planetary-wave and gravity-wave observations

NASA Technical Reports Server (NTRS)

Justus, C. G.; Woodrum, A.

1973-01-01

Previously collected data on atmospheric pressure, density, temperature and winds between 25 and 200 km from sources including Meteorological Rocket Network data, ROBIN falling sphere data, grenade release and pitot tube data, meteor winds, chemical release winds, satellite data, and others were analyzed by a daily-difference method, and results on the magnitude of atmospheric perturbations interpreted as gravity waves and planetary waves are presented. Traveling planetary-wave contributions in the 25-85 km range were found to have significant height and latitudinal variation. It was found that observed gravity-wave density perturbations and wind are related to one another in the manner predicted by gravity-wave theory. It was determined that, on the average, gravity-wave energy deposition or reflection occurs at all altitudes except the 55-75 km region of the mesosphere.

Middle Atmosphere Dynamics with Gravity Wave Interactions in the Numerical Spectral Model: Tides and Planetary Waves

NASA Technical Reports Server (NTRS)

Mayr, Hans G.; Mengel, J. G.; Chan, K. L.; Huang, F. T.

2010-01-01

As Lindzen (1981) had shown, small-scale gravity waves (GW) produce the observed reversals of the zonal-mean circulation and temperature variations in the upper mesosphere. The waves also play a major role in modulating and amplifying the diurnal tides (DT) (e.g., Waltersheid, 1981; Fritts and Vincent, 1987; Fritts, 1995a). We summarize here the modeling studies with the mechanistic numerical spectral model (NSM) with Doppler spread parameterization for GW (Hines, 1997a, b), which describes in the middle atmosphere: (a) migrating and non-migrating DT, (b) planetary waves (PW), and (c) global-scale inertio gravity waves. Numerical experiments are discussed that illuminate the influence of GW filtering and nonlinear interactions between DT, PW, and zonal mean variations. Keywords: Theoretical modeling, Middle atmosphere dynamics, Gravity wave interactions, Migrating and non-migrating tides, Planetary waves, Global-scale inertio gravity waves.

Usefulness of Wave Data Assimilation to the WAVE WATCH III Modeling System

NASA Astrophysics Data System (ADS)

Choi, J. K.; Dykes, J. D.; Yaremchuk, M.; Wittmann, P.

2017-12-01

In-situ and remote-sensed wave data are more abundant currently than in years past, with excellent accuracy at global scales. Forecast skill of the WAVE WATCH III model is improved by assimilation of these measurements and they are also useful for model validation and calibration. It has been known that the impact of assimilation in wind-sea conditions is not large, but spectra that result in large swell with long term propagation are identified and assimilated, the improved accuracy of the initial conditions improve the long-term forecasts. The Navy's assimilation method started with the simple Optimal Interpolation (OI) method. Operationally, Fleet Numerical Meteorology and Oceanography Center uses the sequential 2DVar scheme, but a new approach has been tested based on an adjoint-free method to variational assimilation in WAVE WATCH III. We will present the status of wave data assimilation into the WAVE WATCH III numerical model and upcoming development of this new adjoint-free variational approach.

Miniaturized Battery-Free Wireless Systems for Wearable Pulse Oximetry.

PubMed

Kim, Jeonghyun; Gutruf, Philipp; Chiarelli, Antonio M; Heo, Seung Yun; Cho, Kyoungyeon; Xie, Zhaoqian; Banks, Anthony; Han, Seungyoung; Jang, Kyung-In; Lee, Jung Woo; Lee, Kyu-Tae; Feng, Xue; Huang, Yonggang; Fabiani, Monica; Gratton, Gabriele; Paik, Ungyu; Rogers, John A

2017-01-05

Development of unconventional technologies for wireless collection, storage and analysis of quantitative, clinically relevant information on physiological status is of growing interest. Soft, biocompatible systems are widely regarded as important because they facilitate mounting on external (e.g. skin) and internal (e.g. heart, brain) surfaces of the body. Ultra-miniaturized, lightweight and battery-free devices have the potential to establish complementary options in bio-integration, where chronic interfaces (i.e. months) are possible on hard surfaces such as the fingernails and the teeth, with negligible risk for irritation or discomfort. Here we report materials and device concepts for flexible platforms that incorporate advanced optoelectronic functionality for applications in wireless capture and transmission of photoplethysmograms, including quantitative information on blood oxygenation, heart rate and heart rate variability. Specifically, reflectance pulse oximetry in conjunction with near-field communication (NFC) capabilities enables operation in thin, miniaturized flexible devices. Studies of the material aspects associated with the body interface, together with investigations of the radio frequency characteristics, the optoelectronic data acquisition approaches and the analysis methods capture all of the relevant engineering considerations. Demonstrations of operation on various locations of the body and quantitative comparisons to clinical gold standards establish the versatility and the measurement accuracy of these systems, respectively.

Waves on radial film flows

NASA Astrophysics Data System (ADS)

Cholemari, Murali R.; Arakeri, Jaywant H.

2005-08-01

We study the stability of surface waves on the radial film flow created by a vertical cylindrical water jet striking a horizontal plate. In such flows, surface waves have been found to be unstable and can cause transition to turbulence. This surface-wave-induced transition is different from the well-known Tollmien-Schlichting wave-induced transition. The present study aims at understanding the instability and the transition process. We do a temporal stability analysis by assuming the flow to be locally two-dimensional but including spatial variations to first order in the basic flow. The waves are found to be dispersive, mostly unstable, and faster than the mean flow. Spatial variation is the major destabilizing factor. Experiments are done to test the results of the linear stability analysis and to document the wave breakup and transition. Comparison between theory and experiments is fairly good and indicates the adequacy of the model.

Comparison of oxygen saturation values and measurement times by pulse oximetry in various parts of the body.

PubMed

Yönt, Gülendam Hakverdioğlu; Korhan, Esra Akin; Khorshid, Leyla

2011-11-01

The aim of this study, which included 40 patients, was to compare the values pulse oximetry and the measurement times in various regions of the body. Data were analyzed using intraclass correlation coefficient test and paired-sample test. The confidence power value was found to be .81 for the comparison of oxygen saturation values by arterial blood gas analysis and measurement by the forehead probe. It was found that the time for oxygen saturation measurement using the forehead probe was shorter than those using the finger and toe probes. Copyright © 2011 Elsevier Inc. All rights reserved.

Transcranial oximetry as a new monitoring method for HEMS (Helicopter EMS).

PubMed

Burillo-Putze, Guillermo; Herranz, Ignacio; Pérez, Vicente; Redondo, Faustino; Fernández, Francisco; Jiménez-Sosa, Alejandro; Alvarez, Jesús

2002-01-01

Transcranial oximetry (TCO) is a new method to measure continuous changes in brain blood oxygen saturation (rSO2) by using near-infrared spectroscopy (NIRS). To our knowledge, no studies about TCO in air medical transport have been published. Twenty healthy volunteers (HEMS medical crew) were investigated during flight missions without patients. We measured oxygen saturation (SpO2), cardiac rate, and rSO2 with an INVOS 4100 Cerebral Oximeter at sea level and at each 1000 feet until we reached a flight level of 5000 feet. The oximeter did not produce any interference with medical or aeronautical equipment. Subjects' SpO2 showed a slight decrease with altitude (P < 0.010), but rSO2 remained constant (P = 0.28), with little delay in the physiological correction of SpO2 and rSO2 values. TCO may play an important role in the development of new monitoring methods for critical patients in air medical transport. Further studies with large sample sizes and patients are necessary to generalize findings.

Tunnel effect wave energy detection

NASA Technical Reports Server (NTRS)

Kaiser, William J. (Inventor); Waltman, Steven B. (Inventor); Kenny, Thomas W. (Inventor)

1995-01-01

Methods and apparatus for measuring gravitational and inertial forces, magnetic fields, or wave or radiant energy acting on an object or fluid in space provide an electric tunneling current through a gap between an electrode and that object or fluid in space and vary that gap with any selected one of such forces, magnetic fields, or wave or radiant energy acting on that object or fluid. These methods and apparatus sense a corresponding variation in an electric property of that gap and determine the latter force, magnetic fields, or wave or radiant energy in response to that corresponding variation, and thereby sense or measure such parameters as acceleration, position, particle mass, velocity, magnetic field strength, presence or direction, or wave or radiant energy intensity, presence or direction.

Short and long periodic atmospheric variations between 25 and 200 km

NASA Technical Reports Server (NTRS)

Justus, C. G.; Woodrum, A.

1973-01-01

Previously collected data on atmospheric pressure, density, temperature and winds between 25 and 200 km from sources including Meteorological Rocket Network data, ROBIN falling sphere data, grenade release and pitot tube data, meteor winds, chemical release winds, satellite data, and others were analyzed by a daily difference method and results on the distribution statistics, magnitude, and spatial structure of gravity wave and planetary wave atmospheric variations are presented. Time structure of the gravity wave variations were determined by the analysis of residuals from harmonic analysis of time series data. Planetary wave contributions in the 25-85 km range were discovered and found to have significant height and latitudinal variation. Long period planetary waves, and seasonal variations were also computed by harmonic analysis. Revised height variations of the gravity wave contributions in the 25 to 85 km height range were computed. An engineering method and design values for gravity wave magnitudes and wave lengths are given to be used for such tasks as evaluating the effects on the dynamical heating, stability and control of spacecraft such as the space shuttle vehicle in launch or reentry trajectories.

The role of axis embedding on rigid rotor decomposition analysis of variational rovibrational wave functions.

PubMed

Szidarovszky, Tamás; Fábri, Csaba; Császár, Attila G

2012-05-07

Approximate rotational characterization of variational rovibrational wave functions via the rigid rotor decomposition (RRD) protocol is developed for Hamiltonians based on arbitrary sets of internal coordinates and axis embeddings. An efficient and general procedure is given that allows employing the Eckart embedding with arbitrary polyatomic Hamiltonians through a fully numerical approach. RRD tables formed by projecting rotational-vibrational wave functions into products of rigid-rotor basis functions and previously determined vibrational eigenstates yield rigid-rotor labels for rovibrational eigenstates by selecting the largest overlap. Embedding-dependent RRD analyses are performed, up to high energies and rotational excitations, for the H(2) (16)O isotopologue of the water molecule. Irrespective of the embedding chosen, the RRD procedure proves effective in providing unambiguous rotational assignments at low energies and J values. Rotational labeling of rovibrational states of H(2) (16)O proves to be increasingly difficult beyond about 10,000 cm(-1), close to the barrier to linearity of the water molecule. For medium energies and excitations the Eckart embedding yields the largest RRD coefficients, thus providing the largest number of unambiguous rotational labels.

A Variational Formulation for the Finite Element Analysis of Sound Wave Propagation in a Spherical Shell

NASA Technical Reports Server (NTRS)

Lebiedzik, Catherine

1995-01-01

Development of design tools to furnish optimal acoustic environments for lightweight aircraft demands the ability to simulate the acoustic system on a workstation. In order to form an effective mathematical model of the phenomena at hand, we have begun by studying the propagation of acoustic waves inside closed spherical shells. Using a fully-coupled fluid-structure interaction model based upon variational principles, we have written a finite element analysis program and are in the process of examining several test cases. Future investigations are planned to increase model accuracy by incorporating non-linear and viscous effects.

Charge-transfer excited states: Seeking a balanced and efficient wave function ansatz in variational Monte Carlo

DOE PAGES

Blunt, Nick S.; Neuscamman, Eric

2017-11-16

We present a simple and efficient wave function ansatz for the treatment of excited charge-transfer states in real-space quantum Monte Carlo methods. Using the recently-introduced variation-after-response method, this ansatz allows a crucial orbital optimization step to be performed beyond a configuration interaction singles expansion, while only requiring calculation of two Slater determinant objects. As a result, we demonstrate this ansatz for the illustrative example of the stretched LiF molecule, for a range of excited states of formaldehyde, and finally for the more challenging ethylene-tetrafluoroethylene molecule.

Results of Computing Amplitude and Phase of the VLF Wave Using Wave Hop Theory

NASA Astrophysics Data System (ADS)

Pal, Sujay; Basak, Tamal; Chakrabarti, Sandip K.

2011-07-01

We present the basics of the wave hop theory to compute the amplitude and phase of the VLF signals. We use the Indian Navy VTX transmitter at 18.2 kHz as an example of the source and compute the VLF propagation characteristics for several propagation paths using the wave-hop theory. We find the signal amplitudes as a function of distance from the transmitter using wave hop theory in different bearing angles and compare with the same obtained from the Long Wave Propagation Capability (LWPC) code which uses the mode theory. We repeat a similar exercise for the diurnal and seasonal behavior. We note that the signal variation by wave hop theory gives more detailed information in the day time. We further present the spatial variation of the signal amplitude over whole of India at a given time including the effect of sunrise and sunset terminator and also compare the same with that from the mode theory. We point out that the terminator effect is clearly understood in wave hop results than that from the mode theory.

An analysis of intrinsic variations of low-frequency shear wave speed in a stochastic tissue model: the first application for staging liver fibrosis

NASA Astrophysics Data System (ADS)

Wang, Yu; Wang, Min; Jiang, Jingfeng

2017-02-01

Shear wave elastography is increasingly being used to non-invasively stage liver fibrosis by measuring shear wave speed (SWS). This study quantitatively investigates intrinsic variations among SWS measurements obtained from heterogeneous media such as fibrotic livers. More specifically, it aims to demonstrate that intrinsic variations in SWS measurements, in general, follow a non-Gaussian distribution and are related to the heterogeneous nature of the medium being measured. Using the principle of maximum entropy (ME), our primary objective is to derive a probability density function (PDF) of the SWS distribution in conjunction with a lossless stochastic tissue model. Our secondary objective is to evaluate the performance of the proposed PDF using Monte Carlo (MC)-simulated shear wave (SW) data against three other commonly used PDFs. Based on statistical evaluation criteria, initial results showed that the derived PDF fits better to MC-simulated SWS data than the other three PDFs. It was also found that SW fronts stabilized after a short (compared with the SW wavelength) travel distance in lossless media. Furthermore, in lossless media, the distance required to stabilize the SW propagation was not correlated to the SW wavelength at the low frequencies investigated (i.e. 50, 100 and 150 Hz). Examination of the MC simulation data suggests that elastic (shear) wave scattering became more pronounced when the volume fraction of hard inclusions increased from 10 to 30%. In conclusion, using the principle of ME, we theoretically demonstrated for the first time that SWS measurements in this model follow a non-Gaussian distribution. Preliminary data indicated that the proposed PDF can quantitatively represent intrinsic variations in SWS measurements simulated using a two-phase random medium model. The advantages of the proposed PDF are its physically meaningful parameters and solid theoretical basis.

Cosmological gravitational waves

NASA Technical Reports Server (NTRS)

Linder, Eric V.

1988-01-01

A cosmological background of gravitational waves would alter the propagation of radiation, inducing redshift fluctuations, apparent source position deflections, and luminosity variations. By comparing these astrophysical effects with observations, it is possible to deduce upper limits on the energy density present in gravitational waves. Emphasis is placed on microwave background anisotropy from the redshift deviations and galaxy clustering correlation functions from the angular deviations. Many of the gravitational wave effects are shown to be generalizations of the gravitational lensing formalism.

Does the estimation of light attenuation in tissue increase the accuracy of reflectance pulse oximetry at low oxygen saturations in vivo?

PubMed

Kisch-Wedel, H; Bernreuter, P; Kemming, G; Albert, M; Zwissler, B

2009-09-01

A new technique was validated in vivo in reflectance pulse oximetry for measuring low oxygen saturations. Two pairs of light emitter/detector diodes allow for estimation of light attenuation (LA) in tissue, which is assumed to be responsible for the inaccuracy of pulse oximetry at less than 70 % arterial oxygen saturation. For validation, 17 newborn piglets were desaturated stepwise from 21 % to 1.25 % inspiratory oxygen concentration during general anesthesia, and arterial oxygen saturation was measured with the reflectance pulse oximeter adjusted for LA in tissue, with a standard transmission pulse oximeter and a hemoximeter. LA in tissue could be quantified and was different between snout and foreleg (probability level (p) < 0.05). At arterial oxygen saturations above 70 %, the bias between the methods was at 0 %-1 % and the variability 4 %-5 %. From 2 % to 100 % arterial oxygen saturation, the reflectance pulse oximeter estimated oxyhemoglobin saturation more accurately than a conventional transmission pulse oximeter (p < 0.05). At low oxygen saturations below 70 %, the bias and variability of the reflectance pulse oximeter calibration were closer to the hemoximeter measurements than the transmission pulse oximeter (p < 0.05). The variability of the reflectance pulse oximeter was slightly lower than the traditional oximeter by taking into account the LA in tissue (9 % versus 11 % -15 %, ns), and thus, the quality of the individual calibration lines improved (correlation coefficient, p < 0.05).

Spectra of Baroclinic Inertia-Gravity Wave Turbulence

NASA Technical Reports Server (NTRS)

Glazman, Roman E.

1996-01-01

Baroclinic inertia-gravity (IG) waves form a persistent background of thermocline depth and sea surface height oscillations. They also contribute to the kinetic energy of horizontal motions in the subsurface layer. Measured by the ratio of water particle velocity to wave phase speed, the wave nonlinearity may be rather high. Given a continuous supply of energy from external sources, nonlinear wave-wave interactions among IG waves would result in inertial cascades of energy, momentum, and wave action. Based on a recently developed theory of wave turbulence in scale-dependent systems, these cascades are investigated and IG wave spectra are derived for an arbitrary degree of wave nonlinearity. Comparisons with satellite-altimetry-based spectra of surface height variations and with energy spectra of horizontal velocity fluctuations show good agreement. The well-known spectral peak at the inertial frequency is thus explained as a result of the inverse cascade. Finally, we discuss a possibility of inferring the internal Rossby radius of deformation and other dynamical properties of the upper thermocline from the spectra of SSH (sea surface height) variations based on altimeter measurements.

Monitoring oxygen levels in orthotopic human glioma xenograft following carbogen inhalation and chemotherapy by implantable resonator-based oximetry.

PubMed

Hou, Huagang; Krishnamurthy Nemani, Venkata; Du, Gaixin; Montano, Ryan; Song, Rui; Gimi, Barjor; Swartz, Harold M; Eastman, Alan; Khan, Nadeem

2015-04-01

Hypoxia is a critical hallmark of glioma, and significantly compromises treatment efficacy. Unfortunately, techniques for monitoring glioma pO2 to facilitate translational research are lacking. Furthermore, poor prognosis of patients with malignant glioma, in particular glioblastoma multiforme, warrant effective strategies that can inhibit hypoxia and improve treatment outcome. EPR oximetry using implantable resonators was implemented for monitoring pO2 in normal cerebral tissue and U251 glioma in mice. Breathing carbogen (95% O2 + 5% CO2 ) was tested for hyperoxia in the normal brain and glioma xenografts. A new strategy to inhibit glioma growth by rationally combining gemcitabine and MK-8776, a cell cycle checkpoint inhibitor, was also investigated. The mean pO2 of left and right hemisphere were ∼56-69 mmHg in the normal cerebral tissue of mice. The mean baseline pO2 of U251 glioma on the first and fifth day of measurement was 21.9 ± 3.7 and 14.1 ± 2.4 mmHg, respectively. The mean brain pO2 including glioma increased by at least 100% on carbogen inhalation, although the response varied between the animals over days. Treatment with gemcitabine + MK-8776 significantly increased pO2 and inhibited glioma growth assessed by MRI. In conclusion, EPR oximetry with implantable resonators can be used to monitor the efficacy of carbogen inhalation and chemotherapy on orthotopic glioma in mice. The increase in glioma pO2 of mice breathing carbogen can be used to improve treatment outcome. The treatment with gemcitabine + MK-8776 is a promising strategy that warrants further investigation. © 2014 UICC.

Predicting location-specific extreme coastal floods in the future climate by introducing a probabilistic method to calculate maximum elevation of the continuous water mass caused by a combination of water level variations and wind waves

NASA Astrophysics Data System (ADS)

Leijala, Ulpu; Björkqvist, Jan-Victor; Johansson, Milla M.; Pellikka, Havu

2017-04-01

Future coastal management continuously strives for more location-exact and precise methods to investigate possible extreme sea level events and to face flooding hazards in the most appropriate way. Evaluating future flooding risks by understanding the behaviour of the joint effect of sea level variations and wind waves is one of the means to make more comprehensive flooding hazard analysis, and may at first seem like a straightforward task to solve. Nevertheless, challenges and limitations such as availability of time series of the sea level and wave height components, the quality of data, significant locational variability of coastal wave height, as well as assumptions to be made depending on the study location, make the task more complicated. In this study, we present a statistical method for combining location-specific probability distributions of water level variations (including local sea level observations and global mean sea level rise) and wave run-up (based on wave buoy measurements). The goal of our method is to obtain a more accurate way to account for the waves when making flooding hazard analysis on the coast compared to the approach of adding a separate fixed wave action height on top of sea level -based flood risk estimates. As a result of our new method, we gain maximum elevation heights with different return periods of the continuous water mass caused by a combination of both phenomena, "the green water". We also introduce a sensitivity analysis to evaluate the properties and functioning of our method. The sensitivity test is based on using theoretical wave distributions representing different alternatives of wave behaviour in relation to sea level variations. As these wave distributions are merged with the sea level distribution, we get information on how the different wave height conditions and shape of the wave height distribution influence the joint results. Our method presented here can be used as an advanced tool to minimize over- and

Intraoperative pulse oximetry: frequency and distribution of discrepant data.

PubMed

Pan, P H; Gravenstein, N

1994-01-01

To determine the types of discrepant data during intraoperative pulse oximetry and their frequency and duration. Prospective study. University medical center. 46 consecutive ASA physical status I-III patients undergoing general anesthesia for elective surgical operations. With an integrated computer algorithm on the pulse oximeter and another computer linked to it, data were screened and the frequency and distribution of the following oximeter signals recorded: absent; low quality or interrupted, as detected by the pulse oximeter algorithm; nonphysiologic, identified by the personal computer as a heart rate change greater than 10 beats per minute within 2 consecutive 2-second samples, with no similar abrupt change reported simultaneously on ECG. The number of episodes per hour of discrepant oximeter data and the duration of the episodes were recorded by phase of anesthesia: induction, maintenance, and emergence. Discrepant data occurred most frequently and lasted longest during emergence (p < 0.05); the majority of episodes of discrepant data during emergence lasted less than 12 seconds. Excluding discrepant data that lasted less than 12 seconds decreased the frequency of discrepant data by 63% and excluding those that lasted less than 30 seconds decreased the frequency of discrepant data by 93%. Pulse oximeters frequently report discrepant data intraoperatively, most frequently during emergence from anesthesia. An alarm delay triggered by discrepant data and lasting 12 to 30 seconds would keep most discrepant data from becoming false alarms and, thus, may reduce distracting sound pollution in the operating room.

Near-surface compressional and shear wave speeds constrained by body-wave polarization analysis

NASA Astrophysics Data System (ADS)

Park, Sunyoung; Ishii, Miaki

2018-06-01

A new technique to constrain near-surface seismic structure that relates body-wave polarization direction to the wave speed immediately beneath a seismic station is presented. The P-wave polarization direction is only sensitive to shear wave speed but not to compressional wave speed, while the S-wave polarization direction is sensitive to both wave speeds. The technique is applied to data from the High-Sensitivity Seismograph Network in Japan, and the results show that the wave speed estimates obtained from polarization analysis are compatible with those from borehole measurements. The lateral variations in wave speeds correlate with geological and physical features such as topography and volcanoes. The technique requires minimal computation resources, and can be used on any number of three-component teleseismic recordings, opening opportunities for non-invasive and inexpensive study of the shallowest (˜100 m) crustal structures.

Wave-function functionals

NASA Astrophysics Data System (ADS)

Pan, Xiao-Yin; Slamet, Marlina; Sahni, Viraht

2010-04-01

We extend our prior work on the construction of variational wave functions ψ that are functionals of functions χ:ψ=ψ[χ] rather than simply being functions. In this manner, the space of variations is expanded over those of traditional variational wave functions. In this article we perform the constrained search over the functions χ chosen such that the functional ψ[χ] satisfies simultaneously the constraints of normalization and the exact expectation value of an arbitrary single- or two-particle Hermitian operator, while also leading to a rigorous upper bound to the energy. As such the wave function functional is accurate not only in the region of space in which the principal contributions to the energy arise but also in the other region of the space represented by the Hermitian operator. To demonstrate the efficacy of these ideas, we apply such a constrained search to the ground state of the negative ion of atomic hydrogen H-, the helium atom He, and its positive ions Li+ and Be2+. The operators W whose expectations are obtained exactly are the sum of the single-particle operators W=∑irin,n=-2,-1,1,2, W=∑iδ(ri), W=-(1)/(2)∑i∇i2, and the two-particle operators W=∑nun,n=-2,-1,1,2, where u=|ri-rj|. Comparisons with the method of Lagrangian multipliers and of other constructions of wave-function functionals are made. Finally, we present further insights into the construction of wave-function functionals by studying a previously proposed construction of functionals ψ[χ] that lead to the exact expectation of arbitrary Hermitian operators. We discover that analogous to the solutions of the Schrödinger equation, there exist ψ[χ] that are unphysical in that they lead to singular values for the expectations. We also explain the origin of the singularity.

Measurements of wind-waves under transient wind conditions.

NASA Astrophysics Data System (ADS)

Shemer, Lev; Zavadsky, Andrey

2015-11-01

Wind forcing in nature is always unsteady, resulting in a complicated evolution pattern that involves numerous time and space scales. In the present work, wind waves in a laboratory wind-wave flume are studied under unsteady forcing`. The variation of the surface elevation is measured by capacitance wave gauges, while the components of the instantaneous surface slope in across-wind and along-wind directions are determined by a regular or scanning laser slope gauge. The locations of the wave gauge and of the laser slope gauge are separated by few centimeters in across-wind direction. Instantaneous wind velocity was recorded simultaneously using Pitot tube. Measurements are performed at a number of fetches and for different patterns of wind velocity variation. For each case, at least 100 independent realizations were recorded for a given wind velocity variation pattern. The accumulated data sets allow calculating ensemble-averaged values of the measured parameters. Significant differences between the evolution patterns of the surface elevation and of the slope components were found. Wavelet analysis was applied to determine dominant wave frequency of the surface elevation and of the slope variation at each instant. Corresponding ensemble-averaged values acquired by different sensors were computed and compared. Analysis of the measured ensemble-averaged quantities at different fetches makes it possible to identify different stages in the wind-wave evolution and to estimate the appropriate time and length scales.

Experimental and Numerical Studies on Wave Breaking Characteristics over a Fringing Reef under Monochromatic Wave Conditions

PubMed Central

2014-01-01

Fringing reefs play an important role in protecting the coastal area by inducing wave breaking and wave energy dissipation. However, modeling of wave transformation and energy dissipation on this topography is still difficult due to the unique structure. In the present study, two-dimensional laboratory experiments were conducted to investigate the cross-shore variations of wave transformation, setup, and breaking phenomena over an idealized fringing reef with the 1/40 reef slope and to verify the Boussinesq model under monochromatic wave conditions. One-layer and two-layer model configurations of the Boussinesq model were used to figure out the model capability. Both models predicted well (r 2 > 0.8) the cross-shore variation of the wave heights, crests, troughs, and setups when the nonlinearity is not too high (A 0/h 0 < 0.07 in this study). However, as the wave nonlinearity and steepness increase, the one-layer model showed problems in prediction and stability due to the error on the vertical profile of fluid velocity. The results in this study revealed that one-layer model is not suitable in the highly nonlinear wave condition over a fringing reef bathymetry. This data set can contribute to the numerical model verification. PMID:25276853

Experimental and numerical studies on wave breaking characteristics over a fringing reef under monochromatic wave conditions.

PubMed

Lee, Jong-In; Shin, Sungwon; Kim, Young-Taek

2014-01-01

Fringing reefs play an important role in protecting the coastal area by inducing wave breaking and wave energy dissipation. However, modeling of wave transformation and energy dissipation on this topography is still difficult due to the unique structure. In the present study, two-dimensional laboratory experiments were conducted to investigate the cross-shore variations of wave transformation, setup, and breaking phenomena over an idealized fringing reef with the 1/40 reef slope and to verify the Boussinesq model under monochromatic wave conditions. One-layer and two-layer model configurations of the Boussinesq model were used to figure out the model capability. Both models predicted well (r (2) > 0.8) the cross-shore variation of the wave heights, crests, troughs, and setups when the nonlinearity is not too high (A 0/h 0 < 0.07 in this study). However, as the wave nonlinearity and steepness increase, the one-layer model showed problems in prediction and stability due to the error on the vertical profile of fluid velocity. The results in this study revealed that one-layer model is not suitable in the highly nonlinear wave condition over a fringing reef bathymetry. This data set can contribute to the numerical model verification.

Full wave description of VLF wave penetration through the ionosphere

NASA Astrophysics Data System (ADS)

Kuzichev, Ilya; Shklyar, David

2010-05-01

Of the many problems in whistler study, wave propagation through the ionosphere is among the most important, and the most difficult at the same time. Both satellite and ground-based investigations of VLF waves include considerations of this problem, and it has been in the focus of research since the beginning of whistler study (Budden [1985]; Helliwell [1965]). The difficulty in considering VLF wave passage through the ionosphere is, after all, due to fast variation of the lower ionosphere parameters as compared to typical VLF wave number. This makes irrelevant the consideration in the framework of geometrical optics, which, along with a smooth variations of parameters, is always based on a particular dispersion relation. Although the full wave analysis in the framework of cold plasma approximation does not require slow variations of plasma parameters, and does not assume any particular wave mode, the fact that the wave of a given frequency belongs to different modes in various regions makes numerical solution of the field equations not simple. More specifically, as is well known (e.g. Ginzburg and Rukhadze [1972]), in a cold magnetized plasma, there are, in general, two wave modes related to a given frequency. Both modes, however, do not necessarily correspond to propagating waves. In particular, in the frequency range related to whistler waves, the other mode is evanescent, i.e. it has a negative value of N2 (the refractive index squared). It means that one of solutions of the relevant differential equations is exponentially growing, which makes a straightforward numerical approach to these equations despairing. This well known difficulty in the problem under discussion is usually identified as numerical swamping (Budden [1985]). Resolving the problem of numerical swamping becomes, in fact, a key point in numerical study of wave passage through the ionosphere. As it is typical of work based on numerical simulations, its essential part remains virtually hidden

Annual variation of gravity-wave activity at middle and high latitudes in a high-resolution GCM

NASA Astrophysics Data System (ADS)

Becker, E.

2017-12-01

A high-resolution version of the Kuehlungsborn Mechanistic general Circulation Model (KMCM) with resolved gravity waves (GWs) is employed to analyze the annual variation of GW activity in both hemispheres at middle and high latitudes. The geographical distributions of GW hotspots in the winter stratosphere are consistent with existing satellite data. Vertical profiles up to the lower thermosphere agree with ground-based measurements for both season. The model confirms the semi-annual variation of GW energy in the upper mesosphere that was found previously in radar-measurements in the northern hemisphere Furthermore, the GW potential energy per unit mass during winter shows two maxima, one around 50-70 km and one around 80-100 km. We interpret the upper maximum as a result of secondary GWs that are generated in the stratopause region due to the intermittent body forces of primary GWs. In a recent study we showed that these secondary GWs produce a significant eastward drag in the mesopause region during austral winter. This mechanism is found to be important in the northern winter as well.

Electromagnetic wave energy converter

NASA Technical Reports Server (NTRS)

Bailey, R. L. (Inventor)

1973-01-01

Electromagnetic wave energy is converted into electric power with an array of mutually insulated electromagnetic wave absorber elements each responsive to an electric field component of the wave as it impinges thereon. Each element includes a portion tapered in the direction of wave propagation to provide a relatively wideband response spectrum. Each element includes an output for deriving a voltage replica of the electric field variations intercepted by it. Adjacent elements are positioned relative to each other so that an electric field subsists between adjacent elements in response to the impinging wave. The electric field results in a voltage difference between adjacent elements that is fed to a rectifier to derive dc output power.

Annual and inter-annual variations of 6.5-day-planetary-waves in MLT observed by TIMED/SABER

NASA Astrophysics Data System (ADS)

Huang, Yingying; Li, Huijun; Li, Chongyin; Zhang, Shaodong

2017-04-01

Annual and inter-annual variations of 6.5DWs in 20-110 km, 52°S-52°N, 2002-2016 are studied by using v2.0 TIMED/SABER kinetic temperature data. Firstly, global annual variations of 6.5DW's spectral power and amplitudes are obtained. Strong wave amplitudes emerge in 30°S/N-50°S/N, and peaks in altitude separate in stratosphere (40-50 km), mesosphere (80-90 km) and the lower thermosphere (100-110 km), respectively. Their annual variations are similar in both hemispheres, but different in altitude. In 40-50 km, the annual maximums emerge mostly in winters: Dec.-Jan. in the NH and Jul.-Aug. in the SH. In MLT, annual peaks arise twice in each half of year. In 80-90 km, they're mainly in equinoctial seasons and winters: May, Aug.-Sep. and Jan. in the NH and Feb., Nov. and May in the SH. In 100-110 km, they emerge mainly in equinoctial seasons: Apr.-May and Aug.-Sep. in the NH and Feb.-Mar. and Oct.-Nov. in the SH. Then, inter-annual variations of 6.5DW amplitudes during the 14-year period are studied. Frequency spectra of monthly-mean amplitudes show that, main dynamics in long-term variations of 6.5DWs are AO and SAO in both hemispheres. Besides, QBO are visible in both hemispheres and 4-month period signals are noticed in the NH in MLT. Amplitudes of SAO, AO and QBO are obtained by bandpass filter. Their amplitudes are comparable in stratosphere and mesosphere, and QBO signals are weaker than the others in the LT. Vertical variations both of SAO and AO amplitudes are very stable. AO structures have little inter-annual changes, while inter-annual variations of SAO are significant and are related with 6.5DW. It means that annual and inter-annual variations of 6.5DW are mainly controlled by AO and SAO, respectively. Although QBO signals are weaker and their variations are less regular than AO and SAO, their phases seems to relate with inter-annual variations of 6.5DW as well.

Correlation of fetal oxygen saturation to fetal heart rate patterns. Evaluation of fetal pulse oximetry with two different oxisensors.

PubMed

Luttkus, A K; Friedmann, W; Homm-Luttkus, C; Dudenhausen, J W

1998-03-01

The purpose of this study was the correlation of fetal oxygen saturation values to various fetal heart rate patterns, as well as to oxygen saturation values obtained by fetal blood analysis. These objectives need to be evaluated from the perspective that two generations of fetal oxisensors have been used. Two different oxisensor systems (FS10: 660+890 nm and FS14: 735+890 nm) and a blinded pulse oximeter (type N400, Nellcor Puritan Bennett) were utilized to monitor 112 fetuses. All data, including oxygen saturation, fetal heart rate patterns, signal and contact quality were stored on a personal computer and evaluated after delivery. The following median fetal oxygen saturation values were obtained: during reassuring fetal heart rate sequences 54% with the oxisensor FS10 and 48% with the newer FS14 oxisensor, during intervals of variable decelerations 43% with the FS10 oxisensor and 40% with the FS14 oxisensor. These differences between values obtained during normal and abnormal fetal heart rate patterns are significant. Due to non-reassuring fetal heart rate patterns 81 fetal blood analyses were performed. The values of pulse oximetry were 9% higher (6% for the FS14) than those of spectrophotometry. Correlation of both methods was r=0.66 (0.74 for the FS14). In combination with fetal heart rate monitoring, fetal pulse oximetry promises a better differentiation between low and high risk heart rate patterns. Oxygen saturation values from intermittent fetal blood sampling reassure the clinician concerning the accuracy of this new method of intrapartum fetal surveillance and underline the increased quality of the new generation of oxisensor using light of a wavelength of 735 and 890 nm.

Modeling the Observed Solar Cycle Variations of the Quasi-biennial Oscillation (QBO): Amplification by Wave Forcing

NASA Technical Reports Server (NTRS)

Mayr, Hans G.; Mengel, John G.; Huang, Frank T.; Chan, Kwing L.

2007-01-01

In several papers, the solar cycle (SC) effect in the lower atmosphere has been linked observationally to the Quasi-biennial Oscillation (QBO) of the zonal circulation, which is generated primarily by small-scale gravity waves (GW). Salby and Callaghan (2000) in particular analyzed the QBO, covering more than 40 years, and discovered that it contains a large SC signature at 20 km. With our Numerical Spectral Model (NSM), we conducted a 3D study to describe the QBO under the influence of the SC, and some results have been published (Mayr et al., GRL, 2005,2006). For a SC period of 10 years, the relative amplitude of radiative forcing is taken to vary exponentially with height, i.e., 0.2% at the surface, 2% at 50 km, 20% at 100 km and above. Applying spectral analysis to filter out and identify the SC signature, the model generates a relatively large modulation of the QBO, which reproduces the observations qualitatively. Our numerical results demonstrate that the modulation of the QBO, with constant phase relative to the SC, persist at least for 60 years. The same model run generates in the seasonal variations a hemispherically symmetric Equatorial Annual Oscillation (EAO, with 12-month period), which is confined to low latitudes like the QBO and is also modulated by the SC. Although the amplitude of the EAO is relatively small, its SC modulation is large, and it is in phase with that of the QBO. The SC modulated EAO is evidently the pathway and pacemaker for the solar influence on the QBO. To shed light on the dynamical processes involved, we present model results that show how the seasonal cycle induces the SC modulations of the EAO and QBO. Our analysis further demonstrates that the SC modulations of the QBO and EAO are amplified by the GW interaction with the flow. The GW momentum source clearly shows a SC modulation that is in phase with the corresponding modulations of the QBO and EAO. By tapping the momentum from the upward propagating GWs, the QBO and EAO

Variation of Fundamental Mode Surface Wave Group Velocity Dispersion in Iran and the Surrounding Region

NASA Astrophysics Data System (ADS)

Rham, D. J.; Preistley, K.; Tatar, M.; Paul, A.

2006-12-01

We present group velocity dispersion results from a study of regional fundamental mode Rayleigh and Love waves propagating across Iran and the surrounding region. Data for these measurements comes from field deployments within Iran by the University of Cambridge (GBR) and the Universite Joseph-Fourier (FRA) in conjunction with International Institute of Earthquake Engineering and Seismology (Iran), in addition to data from IRIS and Geofone. 1D path- averaged dispersion measurements have been made for ~5500 source-receiver paths using multiple filter analysis. We combine these observations in a tomographic inversion to produce group velocity images between 10 and 60 s period. Because of the dense path coverage, these images have substantially higher lateral resolution for this region than is currently available from global and regional group velocity studies. We observe variations in short-period wave group velocity which is consistent with the surface geology. Low group velocities (2.00-2.55 km/s) at short periods (10-20 s), for both Rayleigh and Love waves are observed beneath thick sedimentary deposits; The south Caspian Basin, Black Sea, the eastern Mediterranean, the Persian Gulf, the Makran, the southern Turan shield, and the Indus and Gangetic basins. Somewhat higher group velocity (2.80-3.15 km/s for Rayleigh, and 3.00-3.40 km/s for Love) at these periods occur in sediment poor regions, such as; the Turkish-Iranian plateau, the Arabian shield, and Kazakhstan. At intermediate periods (30-40 s) group velocities over most of the region are low (2.65-3.20 km/s for Rayleigh, and 2.80-3.45 km/s for love) compared to Arabia (3.40-3.70 km/s Rayleigh, 3.50-4.0 km/s Love). At longer periods (50-60 s) Love wave group velocities remain low (3.25-3.70 km/s) over most of Iran, but there are even lower velocities (2.80-3.00 km/s) still associated with the thick sediments of the south Caspian basin, the surrounding shield areas have much higher group velocities (3

Laser Doppler Flowmetry and Transcutaneous Oximetry in Chronic Skin Ulcers: A Comparative Evaluation.

PubMed

Raposio, Edoardo; Bertozzi, Nicolò; Moretti, Rebecca; Grignaffini, Eugenio; Grieco, Michele P

2017-07-01

Laser Doppler Flowmetry (LDF) and transcutaneous oximetry (TcpO2) are established methods for investigating cutaneous perfusion. To date, no study previously performed has compared data obtained from these 2 methodologies in cases of chronic cutaneous ulcers. Laser Doppler Flowmetry and TcpO2 were performed in 25 consecutive outpatients with chronic lower limb ulcers (group A, experimental; 9 women and 16 men; mean age 67 years [range, 52-81 years]) and 25 age- and sex-matched healthy control subjects (group B, control) enrolled for the study. Ulcer aetiologies included 12 peripheral arterial occlusive disease, 9 chronic venous insufficiencies, and 4 pressure ulcers. Data were analyzed with Shapiro-Wilk and Wilcoxon-Mann-Whitney tests. A statistically significant difference (P < .05) was found between LDF values of the 2 groups. No statistically significant differences were found between the 2 groups regarding the TcpO2 measurements. The data confirmed the soundness of LDF while investigating local perfusion in patients with chronic cutaneous ulcers. The same diagnostic accuracy was not obtained by means of TcpO2.

Fabrication and physical evaluation of a polymer-encapsulated paramagnetic probe for biomedical oximetry

PubMed Central

Meenakshisundaram, Guruguhan; Eteshola, Edward; Pandian, Ramasamy P.; Bratasz, Anna; Kuppusamy, Periannan

2009-01-01

Lithium octa-n-butoxynaphthalocyanine (LiNc-BuO) is a promising probe for biological electron paramagnetic resonance (EPR) oximetry and is being developed for clinical use. However, clinical applicability of LiNc-BuO may be hindered by potential limitations associated with biocompatibility, biodegradation, and migration of individual crystals in tissue. To overcome these limitations, we have encapsulated LiNc-BuO crystals in polydimethyl siloxane (PDMS), an oxygen-permeable and bioinert polymer, to fabricate conveniently implantable and retrievable oxygen-sensing chips. Encapsulation was performed by a simple cast-molding process, giving appreciable control over size, shape, thickness and spin density of chips. The in vitro oxygen response of the chip was linear, reproducible, and not significantly different from that of unencapsulated crystals. Cast-molding of the structurally-flexible PDMS enabled the fabrication of chips with tailored spin densities, and ensured non-exposure of embedded LiNc-BuO, mitigating potential biocompatibility/toxicological concerns. Our results establish PDMS-encapsulated LiNc-BuO as a promising candidate for further biological evaluation and potential clinical application. PMID:19291409

Retinal oximetry in patients with ischaemic retinal diseases.

PubMed

Rilvén, Sandra; Torp, Thomas Lee; Grauslund, Jakob

2017-03-01

The retinal oximeter is a new tool for non-invasive measurement of retinal oxygen saturation in humans. Several studies have investigated the associations between retinal oxygen saturation and retinal diseases. In the present systematic review, we examine whether there are associations between retinal oxygen saturation and retinal ischaemic diseases. We used PubMed and Embase to search for retinal oxygen saturation and retinal ischaemic diseases. Three separate searches identified a total of 79 publications. After two levels of manual screening, 10 studies were included: six about diabetic retinopathy (DR) and four about retinal vein occlusion. No studies about retinal artery occlusion were included. In diabetes, all studies found that increases in retinal venous oxygen saturation (rvSatO 2 ) were associated with present as well as increasing levels of DR. Four of six studies also found increased retinal arterial oxygen saturation (raSatO 2 ) in patients with DR. In patients with central retinal vein occlusion (CRVO), all studies found that rvSatO 2 was reduced, but raSatO 2 remained unchanged. Branch retinal vein occlusion was not associated with changes in retinal oxygen saturation, but this was based on a single study. In conclusion, DR is associated with increased rvSatO 2 and might also be related to increased raSatO 2 . Central retinal vein occlusion (CRVO) is correlated with increased rvSatO 2 but unrelated to raSatO 2 . Prospective studies are needed to expand these findings. These would tell whether retinal oximetry could be a potential tool for screening or a biomarker of treatment outcome in patients with ischaemic retinal diseases. © 2016 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Amplitude variations during SIDs in 10.2 and 13.6 kHz waves propagating long distances in the subionospheric waveguide - Theoretical interpretation

NASA Astrophysics Data System (ADS)

Charcosset, G.; Tixier, M.

1981-12-01

During sudden ionospheric disturbances (SIDs), vertical electric field amplitude variations of waves emitted at 10.2 and 13.6 kHz in Norway and Liberia and observed in France were found to result in a regular decrease at the former wavelength and more complex behavior at the latter, where amplitude behavior depends on the importance of the SID. A theoretical interpretation employing a waveguide mode hypothesis of long distance wave propagation is presented, in which it is assumed that the D-region ionization enhancement produced by the solar X-ray flux during SID can be represented by a decrease of the waveguide height in which the shape of the density profile remains unchanged.

Trend analysis of the wave storminess: the wave direction

NASA Astrophysics Data System (ADS)

Casas Prat, M.; Sierra, J. P.; Mösso, C.; Sánchez-Arcilla, A.

2009-09-01

Climate change has an important role in the current scientific research because of its possible future negative consequences. Concerning the climate change in the coastal engineering field, the apparent sea level rise is one of the key parameters as well as the wave height and the wave direction temporal variations. According to the IPCC (2007), during the last century the sea level has been increasing with a mean rate of 1.7 ± 0.5 mm/yr. However, at local/regional scale the tendency significantly differs from the global trend since the local pressure and wind field variations become more relevant. This appears to be particularly significant in semi-enclosed areas in the Mediterranean Sea (Cushman-Roisin et al., 2001). Even though the existing unsolved questions related to the sea level rise, the uncertainty concerning the wave height is even larger, in which stormy conditions are especially important because they are closely related to processes such as coastal erosion, flooding, etc. Therefore, it is necessary to identify possible existing tendencies of storm related parameters. In many studies, only the maximum wave height and storm duration are analysed, remaining the wave direction in a second term. Note that a possible rotation of the mean wave direction may involve severe consequences since most beach and harbour defence structures have been designed assuming a constant predominant wave incidence. Liste et al. (2004) illustrated this fact with an example in which a rotation of only 2 degrees of the mean energy flux vector could produce a beach retreat of 20 m. Another possible consequence would be a decrease of the harbour operability: increased frequency of storms in the same direction as the harbour entrance orientation would influence the navigability. The present study, which focuses in the Catalan coast (NW Mediterranean Sea), aims to improve the present knowledge of the wave storminess variations at regional scale, specially focusing on the wave

California heat waves: their spatial evolution, variation, and coastal modulation by low clouds

NASA Astrophysics Data System (ADS)

Clemesha, Rachel E. S.; Guirguis, Kristen; Gershunov, Alexander; Small, Ivory J.; Tardy, Alexander

2018-06-01

We examine the spatial and temporal evolution of heat waves through California and consider one of the key modulating factors of summertime coastal climate—coastal low cloudiness (CLC). Heat waves are defined relative to daytime maximum temperature (Tmax) anomalies after removing local seasonality and capture unseasonably warm events during May—September. California is home to several diverse climate regions and characteristics of extreme heat events are also variable throughout these regions. Heat wave events tend to be shorter, but more anomalously intense along the coast. Heat waves typically impact both coastal and inland regions, although there is more propensity towards coastally trapped events. Most heat waves with a strong impact across regions start at the coast, proceed inland, and weaken at the coast before letting up inland. Typically, the beginning of coastal heat waves are associated with a loss of CLC, followed by a strong rebound of CLC starting close to the peak in heat wave intensity. The degree to which an inland heat wave is expressed at the coast is associated with the presence of these low clouds. Inland heat waves that have very little expression at the coast tend to have CLC present and an elevated inversion base height compared with other heat waves.

Measuring arterial oxygenation in a high altitude field environment: comparing portable pulse oximetry with blood gas analysis.

PubMed

Ross, Elliot M; Matteucci, Michael J; Shepherd, Matthew; Barker, Matthew; Orr, Lance

2013-06-01

High altitude environments present unique medical treatment challenges. Medical providers often use small portable pulse oximetry devices to help guide their clinical decision making. A significant body of high altitude research is based on the use of these devices to monitor hypoxia, yet there is a paucity of evidence that these devices are accurate in these environments. We studied whether these devices perform accurately and reliably under true mountain conditions. Healthy unacclimatized active-duty military volunteers participating in mountain warfare training at 2100 m (6900 feet) above sea level were evaluated with several different pulse oximetry devices while in a cold weather, high altitude field environment and then had arterial blood gases (ABG) drawn using an i-STAT for comparison. The pulse oximeter readings were compared with the gold standard ABG readings. A total of 49 individuals completed the study. There was no statistically significant difference between any of the devices and the gold standard of ABG. The best performing device was the PalmSAT (PS) 8000SM finger probe with a mean difference of 2.17% and SD of 2.56 (95% CI, 1.42% to 2.92%). In decreasing order of performance were the PS 8000AA finger probe (mean ± SD, 2.54% ± 2.68%; 95% CI, 1.76% to 3.32%), the PS 8000Q ear probe (2.47% ± 4.36%; 95% CI, 1.21% to 3.75%), the Nonin Onyx 9500 (3.29% ± 3.12%; 95% CI, 2.39% to 4.20%), and finally the PS 8000R forehead reflectance sensor (5.15% ± 2.97%; 95% CI, 4.28% to 6.01%). Based on the results of this study, results of the newer portable pulse oximeters appear to be closely correlated to that of the ABG measurements when tested in true mountain conditions. Copyright © 2013 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

Wave Dynamics and Transport in the Stratosphere

NASA Technical Reports Server (NTRS)

Holton, James R.; Alexander, M. Joan

1999-01-01

The report discusses: (1) Gravity waves generated by tropical convection: A study in which a two-dimensional cloud-resolving model was used to examine the possible role of gravity waves generated by a simulated tropical squall line in forcing the quasi-biennial oscillation was completed. (2) Gravity wave ray tracing studies:It was developed a linear ray tracing model of gravity wave propagation to extend the nonlinear storm model results into the mesosphere and thermosphere. (3) tracer filamentation: Vertical soundings of stratospheric ozone often exhibit laminated tracer structures characterized by strong vertical tracer gradients. (4) Mesospheric gravity wave modeling studies: Although our emphasis in numerical simulation of gravity waves generated by convection has shifted from simulation of idealized two-dimensional squall lines to the most realistic (and complex) study of wave generation by three-dimensional storms. (5) Gravity wave climatology studies: Mr. Alexander applied a linear gravity wave propagation model together with observations of the background wind and stability fields to compute climatologies of gravity wave activity for comparison to observations. (6) Convective forcing of gravity waves: Theoretical study of gravity wave forcing by convective heat sources has completed. (7) Gravity waves observation from UARS: The objective of this work is to apply ray tracing, and other model technique, in order to determine to what extend the horizontal and vertical variation in satellite observed distribution of small-scale temperature variance can be attributed to gravity waves from particular sources. (8) The annual and interannual variations in temperature and mass flux near the tropical tropopause. and (9) Three dimensional cloud model.

Oximetry in children recovering from deep hypothermia for cardiac surgery.

PubMed

Macnab, A J; Baker-Brown, G; Anderson, E E

1990-10-01

Although pulse oximetry is a potentially useful diagnostic tool in the treatment of children after major open heart surgery, there are concerns regarding its reliability for measuring oxygen saturation (SaO2) in hypothermic or low perfusion states. To test pulse oximeter reliability in children under these conditions, our study compared 187 SaO2 pulse oximeter readings (Biox 3700) with simultaneous hemoximeter (OSM2, Radiometer) readings from 56 children rewarming after open heart surgery. Ages ranged from 4 months to 18 yr; temperatures ranged from 23.5 degrees to 38 degrees C (toe) and 31.3 degrees to 40.8 degrees C (core). The mean pulse oximeter SaO2 reading was 94.90% (SD 7.18, range 54% to 100%), mean hemoximeter reading was 96.07% (SD 7.06; minimum 54%; maximum 100%). The correlation between the readings was high (r = .88, p less than .005), and was not affected by low core temperature. When oximeter and cardiac monitor pulse rates coincided, the oximeter SaO2 value was within +/- 5% (p less than .05). We conclude that the Biox 3700 oximeter is reliable for noninvasive SaO2 monitoring in mild to moderately hypothermic children after open heart surgery, particularly when oximeter and cardiac heart rates coincide. Further studies are needed to confirm our findings in children with core temperatures less than 31.3 degrees C, and when other oximeters are used.

Sensitivity of a Wave Structure to Initial Conditions

NASA Technical Reports Server (NTRS)

Duval, Walter M. B.; Duval, Walter M. B. (Technical Monitor)

2000-01-01

Microgravity experiments aimed at quantifying effects of gentler via controlled sinusoidal forcing transmitted on the interface between two miscible liquids have shown the evolution of a quasi -stationary four-mode wave structure oriented vertically. The sensitivity of the wave structure to phase angle variation is investigated computationally. We show that a slight variation of the phase angle is sufficient to cause a bifurcation to a two-mode structure. The dependence of phase angle on wave structure is attributed to sensitivity on initial conditions due to the strong nonlinearity of the coupled field equations for the parametric space of interest.

Climate-driven variations in thermal forcing across a nearshore reef system during a marine heat wave and its potential impact on coral calcification

NASA Astrophysics Data System (ADS)

Falter, J.; Zhang, Z.; Lowe, R.; Foster, T.; McCulloch, M. T.

2016-02-01

We examined the oceanic and atmospheric forces driving seasonal and spatial variability in water temperature across backreef and lagoonal habitats at Coral Bay at Ningaloo Reef, Western Australia before, during, and after a historically unprecedented marine heat wave and resulting mass bleaching event in 2010-2011. Local deviations in the mean daily temperature of nearshore reef waters from offshore values were a linear function of the combined effect of net atmospheric heating and offshore wave height and period . While intra-annual variation in local heat exchange was driven mainly by seasonal changes in short-wave radiation; intra-annual variation in local cooling was driven mostly by changes in relative humidity (r2 = 0.60) and wind speed (r2 = 0.31) which exhibited no apparent seasonality. We demonstrate good agreement between nearshore reef temperatures modeled from offshore sea surface temperatures (SST), offshore wave forcing, and local atmospheric heat fluxes with observed temperatures using a simple linear model (r2 = 0.31 to 0.69, root-mean-square error = 0.4°C to 0.9°C). Using these modeled nearshore reef temperature records, we show that during the heat wave local thermal stresses across the reef reached as high as 18-34 °C-weeks and were being both intensified and accelerated by regional climate forcing when compared with offshore waters (12.6 °C-weeks max). Measurements of coral calcification made in Coral Bay following the bleaching event appear to lack any distinct seasonality; possibly due to the long-term effects of acute thermal stress. However, similarly minimal seasonality in calcification rates had also been observed in an Acropora-dominated community at Ningaloo years before the heat wave as well as more recently in coral from regions in WA that had avoided mass bleaching. These observations, in conjunction with observations that most of the bleached communities within Coral Bay had recovered their color within 3-6 months of the

The Impact of Averaging Window Length on the “Desaturation” Indexes Obtained Via Overnight Pulse Oximetry at High Altitude

PubMed Central

Cross, Troy J.; Keller-Ross, Manda; Issa, Amine; Wentz, Robert; Taylor, Bryan; Johnson, Bruce

2015-01-01

Study Objectives: To determine the impact of averaging window-length on the “desaturation” indexes (DIs) obtained via overnight pulse oximetry (SpO2) at high altitude. Design: Overnight SpO2 data were collected during a 10-day sojourn at high altitude. SpO2 was obtained using a commercial wrist-worn finger oximeter whose firmware was modified to store unaveraged beat-to-beat data. Simple moving averages of window lengths spanning 2 to 20 cardiac beats were retrospectively applied to beat-to-beat SpO2 datasets. After SpO2 artifacts were removed, the following DIs were then calculated for each of the averaged datasets: oxygen desaturation index (ODI); total sleep time with SpO2 < 80% (TST < 80), and the lowest SpO2 observed during sleep (SpO2 low). Setting: South Base Camp, Mt. Everest (5,364 m elevation). Participants: Five healthy, adult males (35 ± 5 y; 180 ± 1 cm; 85 ± 4 kg). Interventions: N/A. Measurements and Results: 49 datasets were obtained from the 5 participants, totalling 239 hours of data. For all window lengths ≥ 2 beats, ODI and TST < 80 were lower, and SpO2 low was higher than those values obtained from the beat-to-beat SpO2 time series data (P < 0.05). Conclusions: Our findings indicate that increasing oximeter averaging window length progressively underestimates the frequency and magnitude of sleep disordered breathing events at high altitude, as indirectly assessed via the desaturation indexes. Citation: Cross TJ, Keller-Ross M, Issa A, Wentz R, Taylor B, Johnson B. The impact of averaging window length on the “desaturation” indexes obtained via overnight pulse oximetry at high altitude. SLEEP 2015;38(8):1331–1334. PMID:25581919

Probing pre-inflationary anisotropy with directional variations in the gravitational wave background

DOE Office of Scientific and Technical Information (OSTI.GOV)

Furuya, Yu; Niiyama, Yuki; Sendouda, Yuuiti, E-mail: furuya@tap.st.hirosaki-u.ac.jp, E-mail: niiyama@tap.st.hirosaki-u.ac.jp, E-mail: sendouda@hirosaki-u.ac.jp

We perform a detailed analysis on a primordial gravitational-wave background amplified during a Kasner-like pre-inflationary phase allowing for general triaxial anisotropies. It is found that the predicted angular distribution map of gravitational-wave intensity on large scales exhibits topologically distinctive patterns according to the degree of the pre-inflationary anisotropy, thereby serving as a potential probe for the pre-inflationary early universe with future all-sky observations of gravitational waves. We also derive an observational limit on the amplitude of such anisotropic gravitational waves from the B -mode polarisation of the cosmic microwave background.

High-Resolution Rayleigh Wave Group Velocity Variation Beneath Greenland

NASA Astrophysics Data System (ADS)

Pourpoint, Maeva; Anandakrishnan, Sridhar; Ammon, Charles J.

2018-02-01

We present a high-resolution group velocity model of Greenland from the analysis of fundamental mode Rayleigh waves. Regional and teleseismic events recorded by the Greenland Ice Sheet Monitoring Network seismic network were used and we developed a group velocity correction method to estimate the dispersion within our region of study. The global dispersion model GDM52 from Ekström (2011, https://doi.org/10.1111/j.1365-246X.2011.05225.x) was used to calculate group delays from the earthquake to the boundaries of our study area. An iterative reweighted generalized least squares approach was then used to invert for the regional group velocity variations between periods of 25 s and 180 s. The group delay correction method helps alleviate the limitations of the sparse Greenland seismic network in a region with poor seismicity. Both the ray coverage and resolution of our model are significantly better than similar studies of Greenland using two-station methods. Spike tests suggest that features as small as 200 km can be resolved across Greenland. Our dispersion maps are consistent with previous studies and reveal many signatures of known geologic features including known sedimentary basins in Baffin Bay, the West and East Greenland flood basalt provinces, the East and South Greenland Archean blocks. Our model also contains two prominent features: a deep high-velocity anomaly extending from northwestern to southwestern Greenland that could be the signature of a cratonic root and a low-velocity anomaly in central eastern Greenland that correlates with the Icelandic plume track and could be associated with lithospheric thinning and upwelling of hot asthenosphere material.

Density Wave Signatures In VIMS Spectral Data

NASA Astrophysics Data System (ADS)

Nicholson, Philip D.; Hedman, M. M.; Cassini VIMS Team

2012-10-01

Spectral scans of Saturn's rings by the Cassini VIMS instrument have revealed both regional and local variations in the depths of the water ice bands at 1.5 and 2.0 microns, which have been interpreted in terms of variations in regolith grain size and the amount of non-icy "contaminants" (Filacchione et al. 2012; Hedman et al. 2012). Noteworthy among the local variations are distinctive patterns associated with the four strong density waves in the A ring. Within each wavetrain there is a peak in band strength relative to the surrounding material, while extending on both sides of the wave is a "halo" of reduced band strength. The typical width of these haloes is 400-500 km, about 2-3 times the visible extent of the density waves. The origin of these features is unknown, but may involve enhanced collisional erosion in the wave zones and transport of the smaller debris into nearby regions. A similar pattern of band depth variations is also seen at several locations in the more opaque B ring in association with the strong 3:2 ILRs of Janus, Pandora and Prometheus. The former shows a pattern just like its siblings in the A ring, while the latter two resonances show haloes, but without central peaks. In each case, the radial widths of the halo approaches 1000 km, but stellar occultation profiles show no detectable density wavetrain. We suggest that this spectral signature may be a useful diagnostic for the presence of strong density waves in regions where the rings are too opaque for occultations to reveal a typical wave profile. More speculatively, the displacement of the haloes' central radii from the calculated ILR locations of 600-700 km could imply a surface density in the central B ring in excess of 500 g/cm^2. This research was supported by the Cassini/Huygens project.

Improved techniques for outgoing wave variational principle calculations of converged state-to-state transition probabilities for chemical reactions

NASA Technical Reports Server (NTRS)

Mielke, Steven L.; Truhlar, Donald G.; Schwenke, David W.

1991-01-01

Improved techniques and well-optimized basis sets are presented for application of the outgoing wave variational principle to calculate converged quantum mechanical reaction probabilities. They are illustrated with calculations for the reactions D + H2 yields HD + H with total angular momentum J = 3 and F + H2 yields HF + H with J = 0 and 3. The optimization involves the choice of distortion potential, the grid for calculating half-integrated Green's functions, the placement, width, and number of primitive distributed Gaussians, and the computationally most efficient partition between dynamically adapted and primitive basis functions. Benchmark calculations with 224-1064 channels are presented.

Correlation of Fiber Composite Tensile Strength with the Ultrasonic Stress Wave Factor

NASA Technical Reports Server (NTRS)

Vary, A.; Lark, R. F.

1978-01-01

An ultrasonic-acoustic technique was used to indicate the strength variations of tensile specimens of a graphite-epoxy composite. A stress wave factor was determined and its value was found to depend on variations of the fiber-resin bonding as well as fiber orientation. The fiber orientations studied were 0 deg (longitudinal), 10 deg (off-axis), 90 deg (transverse), 0 deg + or - 45 deg/0 deg symmetrical, and + or - 45 deg] symmetrical. The stress wave factor can indicate variations of the tensile and shear strengths of composite materials. The stress wave factor was also found to be sensitive to strength variations associated with microporosity and differences in fiber-resin ratio.

Wave equation datuming applied to S-wave reflection seismic data

NASA Astrophysics Data System (ADS)

Tinivella, U.; Giustiniani, M.; Nicolich, R.

2018-05-01

S-wave high-resolution reflection seismic data was processed using Wave Equation Datuming technique in order to improve signal/noise ratio, attenuating coherent noise, and seismic resolution and to solve static corrections problems. The application of this algorithm allowed obtaining a good image of the shallow subsurface geological features. Wave Equation Datuming moves shots and receivers from a surface to another datum (the datum plane), removing time shifts originated by elevation variation and/or velocity changes in the shallow subsoil. This algorithm has been developed and currently applied to P wave, but it reveals the capacity to highlight S-waves images when used to resolve thin layers in high-resolution prospecting. A good S-wave image facilitates correlation with well stratigraphies, optimizing cost/benefit ratio of any drilling. The application of Wave Equation Datuming requires a reliable velocity field, so refraction tomography was adopted. The new seismic image highlights the details of the subsoil reflectors and allows an easier integration with borehole information and geological surveys than the seismic section obtained by conventional CMP reflection processing. In conclusion, the analysis of S-wave let to characterize the shallow subsurface recognizing levels with limited thickness once we have clearly attenuated ground roll, wind and environmental noise.

Standing Waves in an Elastic Spring: A Systematic Study by Video Analysis

NASA Astrophysics Data System (ADS)

Ventura, Daniel Rodrigues; de Carvalho, Paulo Simeão; Dias, Marco Adriano

2017-04-01

The word "wave" is part of the daily language of every student. However, the physical understanding of the concept demands a high level of abstract thought. In physics, waves are oscillating variations of a physical quantity that involve the transfer of energy from one point to another, without displacement of matter. A wave can be formed by an elastic deformation, a variation of pressure, changes in the intensity of electric or magnetic fields, a propagation of a temperature variation, or other disturbances. Moreover, a wave can be categorized as pulsed or periodic. Most importantly, conditions can be set such that waves interfere with one another, resulting in standing waves. These have many applications in technology, although they are not always readily identified and/or understood by all students. In this work, we use a simple setup including a low-cost constant spring, such as a Slinky, and the free software Tracker for video analysis. We show they can be very useful for the teaching of mechanical wave propagation and the analysis of harmonics in standing waves.

Comparison of infant heart rate assessment by auscultation, ECG and oximetry in the delivery room.

PubMed

Murphy, Madeleine C; De Angelis, Laura; McCarthy, Lisa K; O'Donnell, Colm Patrick Finbarr

2018-05-25

Clinical assessment of an infant's heart rate (HR) in the delivery room (DR) has been reported to be inaccurate. We compared auscultation of the HR using a stethoscope with electrocardiography (ECG) and pulse oximetry (PO) for determining the HR in 92 low-risk newborn infants in the DR. Caregivers auscultated the HR while masked to the HR on the monitor. Auscultation underestimated ECG HR (mean difference (95% CI) by -9 (-15 to -2) beats per minute (bpm)) and PO HR (mean difference (95% CI) by -5 (-12 to 2) bpm). The median (IQR) time to HR by auscultation was 14 (10-18) s. As HR was determined quickly and with reasonable accuracy by auscultation in low-risk newborns, study in high-risk infants is warranted. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Wind-waves interactions in the Gulf of Eilat

NASA Astrophysics Data System (ADS)

Shani-Zerbib, Almog; Liberzon, Dan; T-SAIL Team

2017-11-01

The Gulf of Eilat, at the southern tip of Israel, with its elongated rectangular shape and unique diurnal wind pattern is an appealing location for wind-waves interactions research. Results of experimental work will be reported analyzing a continuous, 50 hour long, data. Using a combined array of wind and waves sensing instruments, the wave field statistics and its response to variations of wind forcing were investigated. Correlations between diurnal fluctuations in wind magnitude and direction and the wave field response will be discussed. The directional spread of waves' energy, as estimated by the Wavelet Directional Method, showed a strong response to small variations in wind flow direction attributed to the unique topography of the gulf surroundings and its bathymetry. Influenced by relatively strong winds during the light hours, the wave field was dominated by a significant amount of breakings that are well pronounced in the saturation range of waves spectra. Temporal growth and decay behavior of the waves during the morning and evening wind transition periods was examined. Sea state induced roughness, as experienced by the wind flow turbulent boundary layer, is examined in view of the critical layer theory. Israel Science Foundation Grant # 1521/15.

Evaluation of pulse-oximetry oxygen saturation taken through skin protective covering

PubMed Central

James, Jyotsna; Tiwari, Lokesh; Upadhyay, Pramod; Sreenivas, Vishnubhatla; Bhambhani, Vikas; Puliyel, Jacob M

2006-01-01

Background The hard edges of adult finger clip probes of the pulse oximetry oxygen saturation (POOS) monitor can cause skin damage if used for prolonged periods in a neonate. Covering the skin under the probe with Micropore surgical tape or a gauze piece might prevent such injury. The study was done to see if the protective covering would affect the accuracy of the readings. Methods POOS was studied in 50 full-term neonates in the first week of life. After obtaining consent from their parents the neonates had POOS readings taken directly (standard technique) and through the protective covering. Bland-Altman plots were used to compare the new method with the standard technique. A test of repeatability for each method was also performed. Results The Bland-Altman plots suggest that there is no significant loss of accuracy when readings are taken through the protective covering. The mean difference was 0.06 (SD of 1.39) and 0.04 (SD 1.3) with Micropore and gauze respectively compared to the standard method. The mean difference was 0.22 (SD 0.23) on testing repeatability with the standard method. Conclusion Interposing Micropore or gauze does not significantly affect the accuracy of the POOS reading. The difference between the standard method and the new method was less than the difference seen on testing repeatability of the standard method. PMID:16677394

Evaluation of pulse-oximetry oxygen saturation taken through skin protective covering.

PubMed

James, Jyotsna; Tiwari, Lokesh; Upadhyay, Pramod; Sreenivas, Vishnubhatla; Bhambhani, Vikas; Puliyel, Jacob M

2006-05-06

The hard edges of adult finger clip probes of the pulse oximetry oxygen saturation (POOS) monitor can cause skin damage if used for prolonged periods in a neonate. Covering the skin under the probe with Micropore surgical tape or a gauze piece might prevent such injury. The study was done to see if the protective covering would affect the accuracy of the readings. POOS was studied in 50 full-term neonates in the first week of life. After obtaining consent from their parents the neonates had POOS readings taken directly (standard technique) and through the protective covering. Bland-Altman plots were used to compare the new method with the standard technique. A test of repeatability for each method was also performed. The Bland-Altman plots suggest that there is no significant loss of accuracy when readings are taken through the protective covering. The mean difference was 0.06 (SD of 1.39) and 0.04 (SD 1.3) with Micropore and gauze respectively compared to the standard method. The mean difference was 0.22 (SD 0.23) on testing repeatability with the standard method. Interposing Micropore or gauze does not significantly affect the accuracy of the POOS reading. The difference between the standard method and the new method was less than the difference seen on testing repeatability of the standard method.

In vivo evidence of methamphetamine induced attenuation of brain tissue oxygenation as measured by EPR oximetry

DOE Office of Scientific and Technical Information (OSTI.GOV)

Weaver, John, E-mail: jmweaver@salud.unm.edu; Department of Pharmaceutical Sciences, College of Pharmacy, University of New Mexico Health Sciences Center, Albuquerque, NM 87131; Yang, Yirong

2014-03-01

Abuse of methamphetamine (METH) is a major and significant societal problem in the US, as a number of studies have suggested that METH is associated with increased cerebrovascular events, hemorrhage or vasospasm. Although cellular and molecular mechanisms involved in METH-induced toxicity are not completely understood, changes in brain O{sub 2} may play an important role and contribute to METH-induced neurotoxicity including dopaminergic receptor degradation. Given that O{sub 2} is the terminal electron acceptor for many enzymes that are important in brain function, the impact of METH on brain tissue pO{sub 2}in vivo remains largely uncharacterized. This study investigated striatal tissuemore » pO{sub 2} changes in male C57BL/6 mice (16–20 g) following METH administration using EPR oximetry, a highly sensitive modality to measure pO{sub 2}in vivo, in situ and in real time. We demonstrate that 20 min after a single injection of METH (8 mg/kg i.v.), the striatal pO{sub 2} was reduced to 81% of the pretreatment level and exposure to METH for 3 consecutive days further attenuated striatal pO{sub 2} to 64%. More importantly, pO{sub 2} did not recover fully to control levels even 24 h after administration of a single dose of METH and continual exposure to METH exacerbates the condition. We also show a reduction in cerebral blood flow associated with a decreased brain pO{sub 2} indicating an ischemic condition. Our findings suggests that administration of METH can attenuate brain tissue pO{sub 2}, which may lead to hypoxic insult, thus a risk factor for METH-induced brain injury and the development of stroke in young adults. - Highlights: • Explored striatal tissue pO{sub 2}in vivo after METH administration by EPR oximetry. • pO{sub 2} was reduced by 81% after a single dose and 64% after 3 consecutive daily doses. • pO{sub 2} did not recover fully to control levels even 24 h after a single dose. • Decrease in brain tissue pO{sub 2} may be associated with a

Internal wave observations made with an airborne synthetic aperture imaging radar

NASA Technical Reports Server (NTRS)

Elachi, C.; Apel, J. R.

1976-01-01

Synthetic aperture L-band radar flown aboard the NASA CV-990 has observed periodic striations on the ocean surface off the coast of Alaska which have been interpreted as tidally excited oceanic internal waves of less than 500 m length. These radar images are compared to photographic imagery of similar waves taken from Landsat 1. Both the radar and Landsat images reveal variations in reflectivity across each wave in a packet that range from low to high to normal. The variations point to the simultaneous existence of two mechanisms for the surface signatures of internal waves: roughening due to wave-current interactions, and smoothing due to slick formation.

Wind waves climatology of the Southeast Pacific Ocean

NASA Astrophysics Data System (ADS)

Aguirre, Catalina; Rutllant, José; Falvey, Mark

2017-04-01

The Southeast Pacific coast still lacks a high-resolution wave hindcast and a detailed description of its wave climatology. Since buoy wave measurements are particularly scarce along the coast of South America, a model hindcast forced with wind information derived from atmospheric Reanalysis seems an attractive way to generate a wave climatology in this poorly studied region, providing far better spatial and temporal coverage than can be achieved using observational data alone. Here, the climatology of wind waves over the Southeast Pacific is analyzed using a 32-year hindcast from the WaveWatch III model, complemented by satellite-derived Significant Wave Height (SWH) and buoy measurements for validation. Using partitioned spectral data, a regional climatology of wind sea and swell parameters was constructed. In general, the simulated SWH shows a good agreement with satellite and in-situ SWH measurements. The spatial pattern of SWH is clearly influenced by the meridional variation of mean surface wind speed, where the stronger winds over the Southern Ocean play a significant role generating higher waves at higher latitudes. Nevertheless, regional features are observed in the annual variability of SWH, which are associated with the existence of atmospheric coastal low-level jets off the coast of Peru and central Chile. In particular, the seasonal variation of these synoptic scale jets shows a direct relationship with the annual variability of SWH. Off the coast of Peru at 15°S the coastal low-level jet is strongest during austral winter, increasing the wind sea SWH. In contrast, off central Chile, there is an important increase of wind sea SWH during summer. The seasonal variation of the wind sea component leads to a contrasting seasonal variation of the total SWH at these locations: off Peru the coastal jet amplifies the annual variability of SWH, while off Central Chile the annual variability of SWH is suppressed by the presence of the coastal jet.

In situ Observations of Magnetosonic Waves Modulated by Background Plasma Density

NASA Astrophysics Data System (ADS)

Yu, X.; Yuan, Z.; Huang, S.; Wang, D.; Funsten, H. O.

2017-12-01

We report in situ observations by the Van Allen Probe mission that magnetosonic (MS) waves are clearly relevant to appear relevant to the background plasma number density. As the satellite moved across dense and tenuous plasma alternatively, MS waves occurred only in lower density region. As the observed protons with 'ring' distributions provide free energy, local linear growth rates are calculated and show that magnetosonic waves can be locally excited in tenuous plasma. With variations of the background plasma density, the temporal variations of local wave growth rates calculated with the observed proton ring distributions, show a remarkable agreement with those of the observed wave amplitude. Therefore, the paper provides a direct proof that background plasma densities can modulate the amplitudes of magnetosonic waves through controlling the wave growth rates.

Equatorial waves in the stratosphere of Uranus

NASA Technical Reports Server (NTRS)

Hinson, David P.; Magalhaes, Julio A.

1991-01-01

Analyses of radio occultation data from Voyager 2 have led to the discovery and characterization of an equatorial wave in the Uranus stratosphere. The observed quasi-periodic vertical atmospheric density variations are in close agreement with theoretical predictions for a wave that propagates vertically through the observed background structure of the stratosphere. Quantitative comparisons between measurements obtained at immersion and at emersion yielded constraints on the meridional and zonal structure of the wave; the fact that the two sets of measurements are correlated suggests a wave of planetary scale. Two equatorial wave models are proposed for the wave.

Novel wave power analysis linking pressure-flow waves, wave potential, and the forward and backward components of hydraulic power.

PubMed

Mynard, Jonathan P; Smolich, Joseph J

2016-04-15

Wave intensity analysis provides detailed insights into factors influencing hemodynamics. However, wave intensity is not a conserved quantity, so it is sensitive to diameter variations and is not distributed among branches of a junction. Moreover, the fundamental relation between waves and hydraulic power is unclear. We, therefore, propose an alternative to wave intensity called "wave power," calculated via incremental changes in pressure and flow (dPdQ) and a novel time-domain separation of hydraulic pressure power and kinetic power into forward and backward wave-related components (ΠP±and ΠQ±). Wave power has several useful properties:1) it is obtained directly from flow measurements, without requiring further calculation of velocity;2) it is a quasi-conserved quantity that may be used to study the relative distribution of waves at junctions; and3) it has the units of power (Watts). We also uncover a simple relationship between wave power and changes in ΠP±and show that wave reflection reduces transmitted power. Absolute values of ΠP±represent wave potential, a recently introduced concept that unifies steady and pulsatile aspects of hemodynamics. We show that wave potential represents the hydraulic energy potential stored in a compliant pressurized vessel, with spatial gradients producing waves that transfer this energy. These techniques and principles are verified numerically and also experimentally with pressure/flow measurements in all branches of a central bifurcation in sheep, under a wide range of hemodynamic conditions. The proposed "wave power analysis," encompassing wave power, wave potential, and wave separation of hydraulic power provides a potent time-domain approach for analyzing hemodynamics. Copyright © 2016 the American Physiological Society.

Experimental study of temporal evolution of waves under transient wind conditions

NASA Astrophysics Data System (ADS)

Zavadsky, Andrey; Shemer, Lev

2016-11-01

Temporal variation of the waves excited by nearly sudden wind forcing over an initially still water surface is studied in a small wind-wave flume at Tel Aviv University for variety of fetches and wind velocities. Simultaneous measurements of the surface elevation using a conventional capacitance wave-gauge and of the surface slope in along-wind and cross-wind directions by a laser slope gauge were performed. Variation with time of two components of instantaneous surface velocity was measured by particle tracking velocimetry. The size of the experimental facility and thus relatively short characteristic time scales of the phenomena under investigation, as well as an automated experimental procedure controlling the experiments made it possible to record a large amount of independent realizations for each wind-fetch condition. Sufficient data were accumulated to compute reliable ensemble averaged temporal variation of governing wave parameters. The essentially three-dimensional structure of wind-waves at all stages of evolution is demonstrated. The results obtained at each wind-fetch condition allowed to characterize the major stages of the evolution of the wind-wave field and to suggest a plausible scenario for the initial growth of the wind-waves.

Numerical modeling of the effects of wave energy converter characteristics on nearshore wave conditions

DOE PAGES

Chang, G.; Ruehl, K.; Jones, C. A.; ...

2015-12-24

Modeled nearshore wave propagation was investigated downstream of simulated wave energy converters (WECs) to evaluate overall near- and far-field effects of WEC arrays. Model sensitivity to WEC characteristics and WEC array deployment scenarios was evaluated using a modified version of an industry standard wave model, Simulating WAves Nearshore (SWAN), which allows the incorporation of device-specific WEC characteristics to specify obstacle transmission. The sensitivity study illustrated that WEC device type and subsequently its size directly resulted in wave height variations in the lee of the WEC array. Wave heights decreased up to 30% between modeled scenarios with and without WECs formore » large arrays (100 devices) of relatively sizable devices (26 m in diameter) with peak power generation near to the modeled incident wave height. Other WEC types resulted in less than 15% differences in modeled wave height with and without WECs, with lesser influence for WECs less than 10 m in diameter. Wave directions and periods were largely insensitive to changes in parameters. Furthermore, additional model parameterization and analysis are required to fully explore the model sensitivity of peak wave period and mean wave direction to the varying of the parameters.« less

Sixteen year variation of horizontal phase velocity and propagation direction of mesospheric and thermospheric waves in airglow images at Shigaraki, Japan

NASA Astrophysics Data System (ADS)

Takeo, D.; Shiokawa, K.; Fujinami, H.; Otsuka, Y.; Matsuda, T. S.; Ejiri, M. K.; Nakamura, T.; Yamamoto, M.

2017-08-01

We analyzed the horizontal phase velocity of gravity waves and medium-scale traveling ionospheric disturbances (MSTIDs) by using the three-dimensional fast Fourier transform method developed by Matsuda et al. (2014) for 557.7 nm (altitude: 90-100 km) and 630.0 nm (altitude: 200-300 km) airglow images obtained at Shigaraki MU Observatory (34.8°N, 136.1°E, dip angle: 49°) over ˜16 years from 16 March 1999 to 20 February 2015. The analysis of 557.7 nm airglow images shows clear seasonal variation of the propagation direction of gravity waves in the mesopause region. In spring, summer, fall, and winter, the peak directions are northeastward, northeastward, northwestward, and southwestward, respectively. The difference in east-west propagation direction between summer and winter is probably caused by the wind filtering effect due to the zonal mesospheric jet. Comparison with tropospheric reanalysis data shows that the difference in north-south propagation direction between summer and winter is caused by differences in the latitudinal location of wave sources due to convective activity in the troposphere relative to Shigaraki. The analysis of 630.0 nm airglow images shows that the propagation direction of MSTIDs is mainly southwestward with a minor northeastward component throughout the 16 years. A clear negative correlation is seen between the yearly power spectral density of MSTIDs and F10.7 solar flux. This negative correlation with solar activity may be explained by the linear growth rate of the Perkins instability and secondary wave generation of gravity waves in the thermosphere.

The effect of wind waves on spring-neap variations in sediment transport in two meso-tidal estuarine basins with contrasting fetch

NASA Astrophysics Data System (ADS)

Hunt, Stephen; Bryan, Karin R.; Mullarney, Julia C.

2017-03-01

Higher-energy episodic wind-waves can substantially modify estuarine morphology over short timescales which are superimposed on lower-energy but long-term tidal asymmetry effects. Theoretically, wind waves and tidal currents change the morphology through their combined influence on the asymmetry between bed shear stress, τmax, on the flood and ebb tide, although the relative contribution of such wind-wave events in shaping the long-term morphological evolution in real estuaries is not well known. If the rising tide reaches sufficiently high water depths, τmax decreases as water depth increases because of the depth attenuation of wave orbital velocities. However, this effect is opposed by the increase in τmax associated with the longer fetch occurring at high tide, which allows the generation of larger waves. Additionally, these effects are superimposed on the spring-neap variations in current associated with changes to tidal range. By comparing two mesotidal basins in the same dendritic estuary, one with a large fetch aligned with the prevailing wind direction and one with only a small fetch, we show that for a sufficiently large fetch even the small and frequently occurring wind events are able to create waves that are capable of changing the morphology ('morphologically significant'). Conversely, in the basin with reduced fetch, these waves are generated less frequently and therefore are of reduced morphological significance. Here, we find that although tidal current should be stronger during spring tides and alter morphology more, on average the reduced fetch and increased water depth during spring tides mean that the basin-averaged intertidal τmax is similar during both spring and neap tides. Moreover, in the presence of wind waves, the duration of slack water is reduced during neap tides relative to spring tides, resulting in a reduced chance for accretion during neap tides. Finally, τmax is lower in the subtidal channels during neaps than springs but of

Momentum flux of convective gravity waves derived from an off-line gravity wave parameterization: Spatiotemporal variations at source level

NASA Astrophysics Data System (ADS)

Kang, Min-Jee; Chun, Hye-Yeong; Kim, Young-Ha

2017-04-01

Spatiotemporal variations in momentum flux spectra of convective gravity waves (CGWs) at the source level (cloud top), including nonlinear forcing effects, are examined using an off-line version of CGW parameterization and global reanalysis data. We used 1-hourly NCEP Climate Forecast System Reanalysis (CFSR) forecast data for a period of 32 years (1979-2010), with a horizontal resolution of 1° x1°. The cloud-top momentum flux (CTMF) is not solely proportional to the convective heating rate but is affected by the wave-filtering and resonance factor (WFRF), background stability and temperature underlying the convection. Consequently, the primary peak of CTMF is in the winter hemisphere midlatitude in association with storm-track region where secondary peak of convective heating exists, whereas the secondary peak of CTMF appears in the summer hemisphere tropics and intertropical convergence zone (ITCZ), where primary peak of convective heating exists. The magnitude of CTMF fluctuates largely with 1 year and 1 day periods, commonly in major CTMF regions. At low latitudes and Pacific storm track region, a 6-month period is also significant, and the decadal cycle appears in the Asian summer monsoon region and the Andes Mountains. The equatorial eastern Pacific region exhibits substantial inter-annual to decadal scale of variability with decreasing trend that is described as statistically significant. Interestingly, the correlation between convective heating and the CTMF is relatively lower in the equatorial region than in other regions. The CTMF spectra in the large-CTMF regions reveal that the spectrum shape and width changes with season and location, along with anisotropic shape of the CTMF spectrum, caused by changes in wind speed at the cloud top and the moving speed of convection. The CTMF in the 10°N to 10°S during the period of February to May 2010, when the PreConcordiasi campaign held, approximately follows a lognormal distribution but with a slight

Shear-wave velocity and site-amplification factors for 50 Australian sites determined by the spectral analysis of surface waves method

USGS Publications Warehouse

Kayen, Robert E.; Carkin, Bradley A.; Allen, Trevor; Collins, Clive; McPherson, Andrew; Minasian, Diane L.

2015-01-01

One-dimensional shear-wave velocity (VS ) profiles are presented at 50 strong motion sites in New South Wales and Victoria, Australia. The VS profiles are estimated with the spectral analysis of surface waves (SASW) method. The SASW method is a noninvasive method that indirectly estimates the VS at depth from variations in the Rayleigh wave phase velocity at the surface.

The 27-day versus 13.5-day variations in the solar Lyman-alpha radiation and the radio wave absorption in the lower ionosphere over Europe

NASA Technical Reports Server (NTRS)

Delamorena, B. A.; Lastovicka, Jan; Rapoport, Z. TS.; Alberca, L.

1989-01-01

In order to clarify the question of solar periods in absorption, the pattern was studied of the solar Lyman-alpha radiation (the principal ionizing agent of the lower ionosphere) and of the radio wave absorption at five widely spaced places in Europe. When the solar Lyman-alpha flux variability is very well developed, then it dominates in the lower ionospheric variability. The most pronounced Lyman-alpha variation on time scale day-month is the solar rotation variation (about 27 days). When the Lyman-alpha variability is developed rather poorly, as it is typical for periods dominated by the 13.5 day variability, then the lower ionospheric variability appears to be dominated by variations of meteorological origin. The conclusions hold for all five widely spaced placed in Europe.

Novel high-gain, improved-bandwidth, finned-ladder V-band Traveling-Wave Tube slow-wave circuit design

NASA Technical Reports Server (NTRS)

Kory, Carol L.; Wilson, Jeffrey D.

1994-01-01

The V-band frequency range of 59-64 GHz is a region of the millimeter-wave spectrum that has been designated for inter-satellite communications. As a first effort to develop a high-efficiency V-band Traveling-Wave Tube (TWT), variations on a ring-plane slow-wave circuit were computationally investigated to develop an alternative to the more conventional ferruled coupled-cavity circuit. The ring-plane circuit was chosen because of its high interaction impedance, large beam aperture, and excellent thermal dissipation properties. Despite these advantages, however, low bandwidth and high voltage requirements have, until now, prevented its acceptance outside the laboratory. In this paper, the three-dimensional electrodynamic simulation code MAFIA (solution of MAxwell's Equation by the Finite-Integration-Algorithm) is used to investigate methods of increasing the bandwidth and lowering the operating voltage of the ring-plane circuit. Calculations of frequency-phase dispersion, beam on-axis interaction impedance, attenuation and small-signal gain per wavelength were performed for various geometric variations and loading distributions of the ring-plane TWT slow-wave circuit. Based on the results of the variations, a circuit termed the finned-ladder TWT slow-wave circuit was designed and is compared here to the scaled prototype ring-plane and a conventional ferruled coupled-cavity TWT circuit over the V-band frequency range. The simulation results indicate that this circuit has a much higher gain, significantly wider bandwidth, and a much lower voltage requirement than the scaled ring-plane prototype circuit, while retaining its excellent thermal dissipation properties. The finned-ladder circuit has a much larger small-signal gain per wavelength than the ferruled coupled-cavity circuit, but with a moderate sacrifice in bandwidth.

Spin-Label Oximetry at Q- and W-Band

PubMed Central

Subczynski, W.K.; Mainali, L.; Camenisch, T.G.; Froncisz, W.; Hyde, J.S.

2011-01-01

Spin-lattice relaxation times (T1s) of both small water-soluble spin labels in the aqueous phase as well as lipid-type spin labels in membranes increase when the microwave frequency increases from 2 to 35 GHz (Hyde et al., J. Phys. Chem. B 108 [2004] 9524–9529). The T1 measured at W-band (94 GHz) for the water-soluble spin labels CTPO and TEMPONE (Froncisz et al., J. Magn. Reson. 193 [2008] 297–304) is, however, shorter than when measured at Q-band (35 GHz). In this paper, the decreasing trends at W-band have been confirmed for commonly used lipid-type spin labels in model membranes. It is concluded that the longest values of T1 will generally be found at Q-band, noting that long values are advantageous for measurement of bimolecular collisions with oxygen. The contribution of dissolved molecular oxygen to the relaxation rate was found to be independent of microwave frequency up to 94 GHz for lipid-type spin labels in membranes. This contribution is expressed in terms of the oxygen transport parameter W = T1−1(Air) − T1−1(N2), which is a function of both concentration and translational diffusion of oxygen in the local environment of a spin label. The new capabilities in measurement of the oxygen transport parameter using saturation-recovery (SR) EPR at Q- and W-band have been demonstrated in saturated (DMPC) and unsaturated (POPC) lipid bilayer membranes with the use of stearic acid (n-SASL) and phosphatidylcholine (n-PC) spin labels, and compared with results obtained earlier at X-band. SR EPR spin-label oximetry at Q- and W-band has the potential to be a powerful tool for studying samples of small volume, ~30 nL. These benefits, together with other factors such as a higher resonator efficiency parameter and a new technique for canceling free induction decay signals, are discussed. PMID:21277814

Transcutaneous oximetry: normal values for the lower limb.

PubMed

Blake, Denise F; Young, Derelle A; Brown, Lawrence H

2014-09-01

Current guidelines for transcutaneous oximetry measurement (TCOM) for the lower limb define tissue hypoxia as a transcutaneous oxygen partial pressure < 40 mmHg. Values obtained with some newer machines and current research bring these reference values into question. To determine 'normal' TCOM values for the lower limb in healthy, non-smoking adults using the TCM400 oximeter with tc Sensor E5250. Thirty-two healthy, non-smoking volunteers had TCOM performed at six positions on the lower leg and foot. Measurements were taken with subjects lying supine breathing air, then with leg elevated and whilst breathing 100 % oxygen. Room-air TCOM values (mean mmHg, 95 % confidence interval (CI) ) were: lateral leg 41.3, CI 37.8 to 44.7; lateral malleolus 38.6, CI 34.1 to 43.1; medial malleolus 43.9, CI 40.2 to 47.6; dorsum, between first and second toe 39.3, CI 35.9 to 42.7; dorsum, proximal to fifth metatarsal-phalangeal joint 46.4, CI 43.4 to 49.3; plantar 52.3, CI 49.6 to 55.1. Using the currently accepted value of less than 40 mmHg for tissue hypoxia, 24 of our 32 'healthy' subjects had at least one air sensor reading that would have been classified as hypoxic. Seventeen subjects had TCOM values less than 100 mmHg when breathing 100 % normobaric oxygen. Normal lower limb TCOM readings using the TCOM400 with tc Sensor E5250 may be lower than 40 mmHg, used to define tissue hypoxia, but consistent with the wide range of values found in the literature. Because of the wide variability in TCOM at the different sensor sites we cannot recommend one TCOM value as indicative of tissue hypoxia. A thorough clinical assessment of the patient is essential to establish appropriateness for hyperbaric oxygen treatment, with TCOM used as an aid to help guide this decision, but not as an absolute diagnostic tool.

Pulse Oximetry and Auscultation for Congenital Heart Disease Detection.

PubMed

Hu, Xiao-Jing; Ma, Xiao-Jing; Zhao, Qu-Ming; Yan, Wei-Li; Ge, Xiao-Ling; Jia, Bing; Liu, Fang; Wu, Lin; Ye, Ming; Liang, Xue-Cun; Zhang, Jing; Gao, Yan; Zhai, Xiao-Wen; Huang, Guo-Ying

2017-10-01

Pulse oximetry (POX) has been confirmed as a specific screening modality for critical congenital heart disease (CCHD), with moderate sensitivity. However, POX is not able to detect most serious and critical cardiac lesions (major congenital heart disease [CHD]) without hypoxemia. In this study, we investigated the accuracy and feasibility of the addition of cardiac auscultation to POX as a screening method for asymptomatic major CHD. A multicenter prospective observational screening study was conducted at 15 hospitals in Shanghai between July 1, 2012, and December 31, 2014. Newborns with either an abnormal POX or cardiac auscultation were defined as screen positive. All screen-positive newborns underwent further echocardiography. False-negative results were identified by clinical follow-up, parents' feedback, and telephone review. We assessed the accuracy of POX plus cardiac auscultation for the detection of major CHD. CHD screening was completed in all 15 hospitals, with a screening rate of 94.0% to 99.8%. In total, 167 190 consecutive asymptomatic newborn infants were screened, of which 203 had major CHD (44 critical and 159 serious). The sensitivity of POX plus cardiac auscultation was 95.5% (95% confidence interval 84.9%-98.7%) for CCHD and 92.1% (95% confidence interval 87.7%-95.1%) for major CHD. The false-positive rate was 1.2% for detecting CCHD and 1.1% for detecting major CHD. In our current study, we show that using POX plus cardiac auscultation significantly improved the detection rate of major CHD in the early neonatal stage, with high sensitivity and a reasonable false-positive rate. It provides strong evidence and a reliable method for neonatal CHD screening. Copyright © 2017 by the American Academy of Pediatrics.

Periodic variations in stratospheric-mesospheric temperature from 20-65 km at 80 N to 30 S

NASA Technical Reports Server (NTRS)

Nastrom, G. D.; Belmont, A. D.

1975-01-01

Results on large-scale periodic variations of the stratospheric-mesospheric temperature field based on Meteorological Rocket Network (MRN) measurements are reported for a long-term (12-year) mean, the quasi-biennial oscillation (QBO), and the first three harmonics of the annual wave (annual wave, semi-annual wave, and terannual wave or 4-month variation). Station-to-station comparisons are tabulated and charted for amplitude and phase of periodic variations in the temperature field. Masking and biasing factors, such as diurnal tides, solar radiation variations, mean monthly variations, instrument lag, aerodynamic heating, are singled out for attention. Models of the stratosphere will have to account for these oscillations of different periods in the thermal field and related properties of the wind fields, with multilayered horizontal stratification with height taken into account.-

Excitation Location and Seasonal Variation of Transoceanic Infragravity Waves Observed at an Absolute Pressure Gauge Array

NASA Astrophysics Data System (ADS)

Tonegawa, T.; Fukao, Y.; Shiobara, H.; Sugioka, H.; Ito, A.; Yamashita, M.

2018-01-01

An array of 10 absolute pressure gauges (APGs) deployed in deep water 50 km east of Aogashima, an island in southern Japan, observed several isolated signals in the infragravity wave (IGW) frequency band (0.002-0.03 Hz) during boreal summer, whereas relatively high IGW energy persisted during boreal winter. The isolated IGW shows dispersion with a delay time of 4-5 days as a function of frequency. Here we estimate the excitation locations of IGWs for the two seasons with estimated incoming direction of IGW, calculation of transoceanic IGW trajectories and propagation times, and spatiotemporal variations of significant wave heights from WAVEWATCH III. In boreal summer, the isolated IGWs are primarily caused by IGW energies excited at the shoreline of South America, based on the following three observations: IGWs observed at the array originated from the east: the easterly ray path from the array reaches South America: and an event-like IGWs were observed at the array when a storm approaches eastward to the shoreline of South America, in which the observed delay time of 4-5 days was also supported by the frequency-dependent calculation of IGW propagation times. In boreal winter, the incessant IGWs consist of transoceanic IGW energies leaked from the shoreline, primarily from North America, and secondly from South America and the western Aleutian Islands.

MAVEN Observations of Solar Wind-Driven Magnetosonic Waves Heating the Martian Dayside Ionosphere

NASA Astrophysics Data System (ADS)

Fowler, C. M.; Andersson, L.; Ergun, R. E.; Harada, Y.; Hara, T.; Collinson, G.; Peterson, W. K.; Espley, J.; Halekas, J.; Mcfadden, J.; Mitchell, D. L.; Mazelle, C.; Benna, M.; Jakosky, B. M.

2018-05-01

We present Mars Atmosphere and Volatile EvolutioN observations of large-amplitude magnetosonic waves propagating through the magnetosheath into the Martian ionosphere near the subsolar point on the dayside of the planet. The observed waves grow in amplitude as predicted for a wave propagating into a denser, charged medium, with wave amplitudes reaching 25 nT, equivalent to ˜40% of the background field strength. These waves drive significant density and temperature variations (˜20% to 100% in amplitude) in the suprathermal electrons and light ion species (H+) that correlate with compressional fronts of the magnetosonic waves. Density and temperature variations are also observed for the ionospheric electrons, and heavy ion species (O+ and O2+); however, these variations are not in phase with the magnetic field variations. Whistler waves are observed at compressional wave fronts and are thought to be produced by unstable, anistropic suprathermal electrons. The magnetosonic waves drive significant ion and electron heating down to just above the exobase region. Ion heating rates are estimated to be between 0.03 and 0.2 eVs-1 per ion, and heavier ions could thus gain escape energy if located in this heating region for ˜10-70 s. The measured ionospheric density profile indicates severe ionospheric erosion above the exobase region, and this is likely caused by substantial ion outflow that is driven by the observed heating. The effectiveness of these magnetosonic waves to energize the plasma close to the exobase could have important implications for the long-term climate evolution for unmagnetized bodies that are exposed to the solar wind.

Two Day Wave Traveling Westward With Wave Number 1 During the Sudden Stratospheric Warming in January 2017

NASA Astrophysics Data System (ADS)

Xiong, Jiangang; Wan, Weixing; Ding, Feng; Liu, Libo; Hu, Lianhuan; Yan, Chunxiao

2018-04-01

Quasi-two day wave propagating westward with wave number 1 (W1) in January 2017 is studied using global temperature observed by Sounding of the Atmosphere using Broadband Emission Radiometry and wind observed by a meteor radar at Fuke, China (19.0°N, 109.8°E). The amplitude of W1 significantly enhances during January 2017, when two stratospheric warming events occur. The temperature perturbation of W1 reaches maximum amplitude of more than 6 K at latitude ±15° around 84 km and 95 km. The structure of temperature W1 is symmetric with regard to the equator. The temporal variation of W1 is consistent with the stationary planetary wave with wave number 2 (SPW2), but contrary to the quasi-two day wave propagating westward with wave number 3 (W3). When SPW2 is large during two sudden stratospheric warming events, energy transfers from W3 to W1. Two bursts of the 2 day wave in meridional wind observed by the meteor radar are just corresponding to the local maxima of W3 and W1, respectively. We conclude that during January 2017, W1 is generated by the nonlinear interaction between SPW2 and W3. SPW2 which is modulated by the quasi-16 day perturbation in the stratosphere plays a key role in the energy transmission from W3 to W1, and it is responsible for the 16 day variation of W1.

Seasonal variation of the stratospheric circulation

NASA Technical Reports Server (NTRS)

Hirota, I.; Shiotani, M.

1985-01-01

An extensive analysis is made of the extratropical stratospheric circulation in terms of the seasonal variation of large-scale motion fields, with the aid of height and temperature data obtained from the TIROS satellite. Special attention is paid to a comparison of climatological aspects between the Northern Hemisphere (NH) and the Southern Hemisphere (SH). In order to see the general picture of the annual mach of the upper stratosphere, the zonal mean values of geopotential height of the 1 mb level at 70 deg N and 70 deg S were plotted on the daily basis throughout a year. It is observed that, during the winter, the zonal mean 1 mb height in the NH is much more variable than that in the SH. It is also notable that the SH height is rather oscillatory throughout the longer period from midwinter to early summer. Since the zonal mean height in the polar latitude is a rough measure of the mean zonal flow in extratropical latitudes, the difference of the seasonal variation between the two hemispheres mentioned above is considered to be due mainly to the planetary wave-mean flow interaction in the middle atmosphere. The wave activity in the middle atmosphere is represented more rigorously by the Eliassen-Palm flux associated with vertically propagating planetary waves forced from below. The day-to-day variation of the EP flux in the upper stratosphere shows that the wave activity varies intermittently with a characteristic time scale of about two weeks.

A multimodal wave spectrum-based approach for statistical downscaling of local wave climate

USGS Publications Warehouse

Hegermiller, Christie; Antolinez, Jose A A; Rueda, Ana C.; Camus, Paula; Perez, Jorge; Erikson, Li; Barnard, Patrick; Mendez, Fernando J.

2017-01-01

Characterization of wave climate by bulk wave parameters is insufficient for many coastal studies, including those focused on assessing coastal hazards and long-term wave climate influences on coastal evolution. This issue is particularly relevant for studies using statistical downscaling of atmospheric fields to local wave conditions, which are often multimodal in large ocean basins (e.g. the Pacific). Swell may be generated in vastly different wave generation regions, yielding complex wave spectra that are inadequately represented by a single set of bulk wave parameters. Furthermore, the relationship between atmospheric systems and local wave conditions is complicated by variations in arrival time of wave groups from different parts of the basin. Here, we address these two challenges by improving upon the spatiotemporal definition of the atmospheric predictor used in statistical downscaling of local wave climate. The improved methodology separates the local wave spectrum into “wave families,” defined by spectral peaks and discrete generation regions, and relates atmospheric conditions in distant regions of the ocean basin to local wave conditions by incorporating travel times computed from effective energy flux across the ocean basin. When applied to locations with multimodal wave spectra, including Southern California and Trujillo, Peru, the new methodology improves the ability of the statistical model to project significant wave height, peak period, and direction for each wave family, retaining more information from the full wave spectrum. This work is the base of statistical downscaling by weather types, which has recently been applied to coastal flooding and morphodynamic applications.

Effect of pressurization on helical guided wave energy velocity in fluid-filled pipes.

PubMed

Dubuc, Brennan; Ebrahimkhanlou, Arvin; Salamone, Salvatore

2017-03-01

The effect of pressurization stresses on helical guided waves in a thin-walled fluid-filled pipe is studied by modeling leaky Lamb waves in a stressed plate bordered by fluid. Fluid pressurization produces hoop and longitudinal stresses in a thin-walled pipe, which corresponds to biaxial in-plane stress in a plate waveguide model. The effect of stress on guided wave propagation is accounted for through nonlinear elasticity and finite deformation theory. Emphasis is placed on the stress dependence of the energy velocity of the guided wave modes. For this purpose, an expression for the energy velocity of leaky Lamb waves in a stressed plate is derived. Theoretical results are presented for the mode, frequency, and directional dependent variations in energy velocity with respect to stress. An experimental setup is designed for measuring variations in helical wave energy velocity in a thin-walled water-filled steel pipe at different levels of pressure. Good agreement is achieved between the experimental variations in energy velocity for the helical guided waves and the theoretical leaky Lamb wave solutions. Copyright © 2016 Elsevier B.V. All rights reserved.

Alfvén wave interactions in the solar wind

NASA Astrophysics Data System (ADS)

Webb, G. M.; McKenzie, J. F.; Hu, Q.; le Roux, J. A.; Zank, G. P.

2012-11-01

Alfvén wave mixing (interaction) equations used in locally incompressible turbulence transport equations in the solar wind are analyzed from the perspective of linear wave theory. The connection between the wave mixing equations and non-WKB Alfven wave driven wind theories are delineated. We discuss the physical wave energy equation and the canonical wave energy equation for non-WKB Alfven waves and the WKB limit. Variational principles and conservation laws for the linear wave mixing equations for the Heinemann and Olbert non-WKB wind model are obtained. The connection with wave mixing equations used in locally incompressible turbulence transport in the solar wind are discussed.

A two centre observational study of simultaneous pulse oximetry and arterial oxygen saturation recordings in intensive care unit patients.

PubMed

Ebmeier, S J; Barker, M; Bacon, M; Beasley, R C; Bellomo, R; Knee Chong, C; Eastwood, G M; Gilchrist, J; Kagaya, H; Pilcher, J; Reddy, S K; Ridgeon, E; Sarma, N; Sprogis, S; Tanaka, A; Tweedie, M; Weatherall, M; Young, P J

2018-05-01

The influence of variables that might affect the accuracy of pulse oximetry (SpO₂) recordings in critically ill patients is not well established. We sought to describe the relationship between paired SpO₂/SaO₂ (oxygen saturation via arterial blood gas analysis) in adult intensive care unit (ICU) patients and to describe the diagnostic performance of SpO₂ in detecting low SaO₂ and PaO₂. A paired SpO₂/SaO₂ measurement was obtained from 404 adults in ICU. Measurements were used to calculate bias, precision, and limits of agreement. Associations between bias and variables including vasopressor and inotrope use, capillary refill time, hand temperature, pulse pressure, body temperature, oximeter model, and skin colour were estimated. There was no overall statistically significant bias in paired SpO₂/SaO₂ measurements; observed limits of agreement were +/-4.4%. However, body temperature, oximeter model, and skin colour, were statistically significantly associated with the degree of bias. SpO₂ <89% had a sensitivity of 3/7 (42.9%; 95% confidence intervals, CI, 9.9% to 81.6%) and a specificity of 344/384 (89.6%; 95% CI 86.1% to 92.5%) for detecting SaO₂ <89%. The absence of statistically significant bias in paired SpO₂/SaO₂ in adult ICU patients provides support for the use of pulse oximetry to titrate oxygen therapy. However, SpO₂ recordings alone should be used cautiously when SaO₂ recordings of 4.4% higher or lower than the observed SpO₂ would be of concern. A range of variables relevant to the critically ill had little or no effect on bias.

Comparison of variational real-space representations of the kinetic energy operator

NASA Astrophysics Data System (ADS)

Skylaris, Chris-Kriton; Diéguez, Oswaldo; Haynes, Peter D.; Payne, Mike C.

2002-08-01

We present a comparison of real-space methods based on regular grids for electronic structure calculations that are designed to have basis set variational properties, using as a reference the conventional method of finite differences (a real-space method that is not variational) and the reciprocal-space plane-wave method which is fully variational. We find that a definition of the finite-difference method [P. Maragakis, J. Soler, and E. Kaxiras, Phys. Rev. B 64, 193101 (2001)] satisfies one of the two properties of variational behavior at the cost of larger errors than the conventional finite-difference method. On the other hand, a technique which represents functions in a number of plane waves which is independent of system size closely follows the plane-wave method and therefore also the criteria for variational behavior. Its application is only limited by the requirement of having functions strictly localized in regions of real space, but this is a characteristic of an increasing number of modern real-space methods, as they are designed to have a computational cost that scales linearly with system size.

Mesospheric gravity-wave climatology at Adelaide

NASA Technical Reports Server (NTRS)

Vincent, R. A.

1986-01-01

The MF Adelaide partial-reflection radar has been operating continuously since November 1983. This has enabled a climatology of gravity-wave activity to be constructed for the mesosphere. The data have been analyzed for a medium-period range of 1 to 8 hr. and a longer period range between 8 and 24 hr. covering the inertio-period waves. The tidal motions have been filtered out prior to analysis. For the data analyses so far (Nov. 1983 to Dec. 1984), a number of interesting features emerged. Firstly, the wave activity at heights above 80 km shows a small seimannual variation with season with the activity being strongest in summer and winter. At heights below 80 km however, there is a similar but more marked variation with the weakest amplitudes occurring at the time of the changeovers in the prevailing circulation. If breaking gravity waves are responsible for much of the turbulence in the mesosphere, then the periods March to April and September to October might also be expected to be periods of weak turbulence. The wave field appears to be partially polarized. The meridional amplitudes are larger than the zonal amplitudes, especially in water. It is found that the degree of polarization is about 15% in summer and 30% in winter. The polarized component is found to propagate in the opposite direction to the background flow in the stratosphere, which suggests that the polarization arises through directional filtering of the waves as they propagate up from below.

Gravity waves

NASA Technical Reports Server (NTRS)

Fritts, David

1987-01-01

Gravity waves contributed to the establishment of the thermal structure, small scale (80 to 100 km) fluctuations in velocity (50 to 80 m/sec) and density (20 to 30%, 0 to peak). Dominant gravity wave spectrum in the middle atmosphere: x-scale, less than 100 km; z-scale, greater than 10 km; t-scale, less than 2 hr. Theorists are beginning to understand middle atmosphere motions. There are two classes: Planetary waves and equatorial motions, gravity waves and tidal motions. The former give rise to variability at large scales, which may alter apparent mean structure. Effects include density and velocity fluctuations, induced mean motions, and stratospheric warmings which lead to the breakup of the polar vortex and cooling of the mesosphere. On this scale are also equatorial quasi-biennial and semi-annual oscillations. Gravity wave and tidal motions produce large rms fluctuations in density and velocity. The magnitude of the density fluctuations compared to the mean density is of the order of the vertical wavelength, which grows with height. Relative density fluctuations are less than, or of the order of 30% below the mesopause. Such motions may cause significant and variable convection, and wind shear. There is a strong seasonal variation in gravity wave amplitude. Additional observations are needed to address and quantify mean and fluctuation statistics of both density and mean velocity, variability of the mean and fluctuations, and to identify dominant gravity wave scales and sources as well as causes of variability, both temporal and geographic.

The amplitude effects of sedimentary basins on through-passing surface waves

NASA Astrophysics Data System (ADS)

Feng, L.; Ritzwoller, M. H.; Pasyanos, M.

2016-12-01

Understanding the effect of sedimentary basins on through-passing surface waves is essential in many aspects of seismology, including the estimation of the magnitude of natural and anthropogenic events, the study of the attenuation properties of Earth's interior, and the analysis of ground motion as part of seismic hazard assessment. In particular, knowledge of the physical causes of amplitude variations is important in the application of the Ms:mb discriminant of nuclear monitoring. Our work addresses two principal questions, both in the period range between 10 s and 20 s. The first question is: In what respects can surface wave propagation through 3D structures be simulated as 2D membrane waves? This question is motivated by our belief that surface wave amplitude effects down-stream from sedimentary basins result predominantly from elastic focusing and defocusing, which we understand as analogous to the effect of a lens. To the extent that this understanding is correct, 2D membrane waves will approximately capture the amplitude effects of focusing and defocusing. We address this question by applying the 3D simulation code SW4 (a node-based finite-difference code for 3D seismic wave simulation) and the 2D code SPECFEM2D (a spectral element code for 2D seismic wave simulation). Our results show that for surface waves propagating downstream from 3D sedimentary basins, amplitude effects are mostly caused by elastic focusing and defocusing which is modeled accurately as a 2D effect. However, if the epicentral distance is small, higher modes may contaminate the fundamental mode, which may result in large errors in the 2D membrane wave approximation. The second question is: Are observations of amplitude variations across East Asia following North Korean nuclear tests consistent with simulations of amplitude variations caused by elastic focusing/defocusing through a crustal reference model of China (Shen et al., A seismic reference model for the crust and uppermost

Discontinuity-free edge-diffraction model for characterization of focused wave fields.

PubMed

Sedukhin, Andrey G

2010-03-01

A model of discontinuity-free edge diffraction is proposed that is valid in the framework of the scalar Debye approximation and describes the formation process and approximate structure of the stationary diffracted field of a monochromatic converging spherical wave of limited angular opening throughout the whole space about the focus. The field is represented semianalytically in terms of the sum of a direct quasi-spherical wave and two edge quasi-conical waves of the zeroth and first order. The angular spectrum amplitudes of all these waves have smooth continuous variations of the real and imaginary parts in polar angle and radius, the separable nonanalytic functions defining the polar-angle variations of the amplitudes being found by optimization techniques.

Small-scale open ocean currents have large effects on wind wave heights

NASA Astrophysics Data System (ADS)

Ardhuin, Fabrice; Gille, Sarah T.; Menemenlis, Dimitris; Rocha, Cesar B.; Rascle, Nicolas; Chapron, Bertrand; Gula, Jonathan; Molemaker, Jeroen

2017-06-01

Tidal currents and large-scale oceanic currents are known to modify ocean wave properties, causing extreme sea states that are a hazard to navigation. Recent advances in the understanding and modeling capability of open ocean currents have revealed the ubiquitous presence of eddies, fronts, and filaments at scales 10-100 km. Based on realistic numerical models, we show that these structures can be the main source of variability in significant wave heights at scales less than 200 km, including important variations down to 10 km. Model results are consistent with wave height variations along satellite altimeter tracks, resolved at scales larger than 50 km. The spectrum of significant wave heights is found to be of the order of 70>>2/>(g2>>2>) times the current spectrum, where >> is the spatially averaged significant wave height, >> is the energy-averaged period, and g is the gravity acceleration. This variability induced by currents has been largely overlooked in spite of its relevance for extreme wave heights and remote sensing.