Letter to the Editor - Response to: The effect of dental scaling noise during intravenous sedation on acoustic respiration rate

No abstract available.

The effect of dental scaling noise during intravenous sedation on acoustic respiration rate (RRa™)

BACKGROUND: Respiration monitoring is necessary during sedation for dental treatment. Recently, acoustic respiration rate (RRa™), an acoustics-based respiration monitoring method, has been used in addition to auscultation or capnography. The accuracy of this method may be compromised in an environment with excessive noise. This study evaluated whether noise from the ultrasonic scaler affects the performance of RRa in respiratory rate measurement. METHODS: We analyzed data from 49 volunteers who underwent scaling under intravenous sedation. Clinical tests were divided into preparation, sedation, and scaling periods; respiratory rate was measured at 2-s intervals for 3 min in each period. Missing values ratios of the RRa during each period were measuerd; correlation analysis and Bland-Altman analysis were performed on respiratory rates measured by RRa and capnogram. RESULTS: Respective missing values ratio from RRa were 5.62%, 8.03%, and 23.95% in the preparation, sedation, and scaling periods, indicating an increased missing values ratio in the scaling period (P < 0.001). Correlation coefficients of the respiratory rate, measured with two different methods, were 0.692, 0.677, and 0.562 in each respective period. Mean capnography-RRa biases in Bland-Altman analyses were −0.03, −0.27, and −0.61 in each respective period (P < 0.001); limits of agreement were −4.84–4.45, −4.89–4.15, and −6.18–4.95 (P < 0.001). CONCLUSIONS: The probability of missing respiratory rate values was higher during scaling when RRa was used for measurement. Therefore, the use of RRa alone for respiration monitoring during ultrasonic scaling may not be safe.

Aplicación y efecto de un recubrimiento comestible sobre la vida útil de la mora de castilla (Rubus glaucus Benth) / Edible coating application and effect on blackberry (Rubus glaucus Benth) shelf life

Antecedentes: En los últimos años ha incrementado el interés por el consumo de frutas en estado fresco debido al potencial nutricional que estas contienen. Además, por el alto consumo energético que se generan en la aplicación de una cadena en frío, se ha incursionado en la aplicación de recubrimientos comestibles como una técnica alternativa para la conservación de frutas. Objetivos: Por tal razón, este trabajo tuvo como objetivo aplicar un recubrimiento a base de hidroxipropil metilcelulosa con la inclusión de cera de abejas en mora de castilla y evaluar su efecto en la conservación de esta fruta. Métodos: Se trabajó con un diseño multifactorial categórico y el análisis estadístico utilizado fue el LSD de Fisher con un nivel de confianza del 95%; determinándose propiedades fisiológicas tales como respiración y pérdida de peso, propiedades fisicoquímicas como pH, acidez titulable, sólidos solubles totales e índice de maduración durante un periodo de 15 días a una temperatura de 4°C. Resultados: Se obtuvo diferencias significativas (p < 0,05) entre los tratamientos evaluados a partir del tercer día de almacenamiento tanto para los parámetros fisicoquímicos como fisiológicos. La acidez titulable tuvo un decrecimiento marcado en el tratamiento control (T5) con respecto a los tratamientos donde se aplicó los recubrimientos (T1, T2, T3, T4) donde el descenso de la acidez fue menor. Por otro lado, la pérdida de peso, los sólidos solubles totales, el pH, el índice de maduración y el índice de respiración incrementaron a medida que el tiempo de almacenamiento transcurrió, indicando que las moras tratadas con los recubrimientos tuvieron un incremento menor con respecto a las moras sin recubrimiento. Conclusiones: Los recubrimientos comestibles aplicados a la mora de castilla tuvieron un efecto positivo sobre las propiedades evaluadas, siendo los mejores tratamientos el T3 y T4. En general, la aplicación de un recubrimiento comestible a base de hidroxipropil metilcelulosa y cera de abejas logró aumentar la vida útil de la mora de castilla.

Background: On the last years the interest on fresh fruits consumption has been increased due to its nutritional potential as well as high energetic demand generated by the cold-chains storage. It is the reason why it has been dabbled on edible coating as an alternative method on fruits preservation. Objectives: This investigation focused on the coating application using a hydroxypropyl methylcellulose based with bees wax applied all over blackberry fruits in order to evaluate the effects on its preservation. Methods: A multifactorial categorical design was used through the Fisher LSD method as an statistical analysis with a confidence level of 95%; it were determined physiological properties such respiration and weight loss, and physicochemical properties like pH, titratable acidity, soluble solids, and ripeness index within a period of 15 days at 4°C. Results: It were obtained significant differences (p<0.05) between the evaluated treatments from the third storage day for physicochemical and physiological parameters. The titratable acidity has a marked decrease on the control treatment (T5) regarding treatments where coatings were applied (T1, T2, T3, T4) where a smaller decrease on acidity was obtained. In other hand, the weight loss, total soluble solids, pH, ripening and respiration index showed an increase over storage time. The blackberry fruits processed with edible coating presented a slight increase compared to control samples. Conclusions: Edible coatings applied on blackberry fruits had a positive effect in the evaluated properties, treatments T3 and T4. Generally, edible coatings with hydroxypropyl methylcellulose base and beeswax increase the shelf life of blackberry.

Research of the examination method of ET-CO2 based on high speed operation chip ADμC7026 / 国际生物医学工程杂志

Objective To develop one kind of mainstream ET-CO2 (carbon dioxide of the expiration tip)detector which provides accurate and real-time testing results. Methods Applying ADμC7026 as central processing unit for data pre-processing, temperature compensation algorithm and non-linear correction, the ETCO2 concentration, respiration waveform and respiration rate were obtained. Results The analyzing results of the experimental data shows that the system meets the design requirements with fine stability, rapid response, good repeatability and high accuracy. Conclusion ET-CO2 detector based on ADμC7026 makes the detection of CO2 more accurate and reliable, which provides more accurate real-time data for critical patient monitoring, anesthetic care, pediatric respiratory care and so on.

Factors Associated with In-hospital Mortality of Emergency Department Intubation for Non-traumatic Patients

PURPOSE: Although, urgent intubation is commonly thought to be associated with a high complication rate and poor outcome, early intubation before deterioration and airway compromise is recommended. We designed a study to evaluate the factors associated with the mortality rate of non-traumatic patients intubated in an emergency department (ED). METHODS: Data were retrieved retrospectively from the patient registry for patients >15-years-of-age who had received ED intubation from June 1, 2007 to June 30, 2008. Patient demographic data, clinical and laboratory findings, vital signs, and specific data concerning intubation procedures were included. Acute physiologic and chronic health evaluation (APACHE) II scores were calculated for every patient. RESULTS: From the initial 241 non-traumatic ED intubated patients, 115 were excluded for out-of-hospital arrests, inadequate data, and undetected esophageal intubation. The remaining 126 patients were enrolled in this study. Sixty (47.6%) patients died during hospital treatment. From multivariate logistic regression analysis, respiratory rate and the time from ED arrival to intubation were associated with increased mortality, which showed an odds ratio (95% Cl) of 1.081 (1.026~1.141) and 1.428 (1.066~1.91), respectively. CONCLUSION: The increase in respiratory rate and the time interval of intubation from ED arrival to intubation in non-traumatic patients are related to increased in-hospital mortality.

The Relationship of Self-reported Pain Scores with Vital Signs in Ureter Stone Patients

PURPOSE: Some studies indicate that vital signs such as blood pressure, heart rate, respiration rate, body temperature correlate with each other. However, no study has rigorously confirmed the correlations between vital signs due to study limitations. The aim of this study is to determine the relationship of pain to vital sings and to assess its clinical utility in ureter stone patients. METHODS: All 371 patients with ureter stone admitted to the Emergency Department (ED) at Kyung Hee University Hospital from September 1, 2005 to August 31, 2006 were prospectively involved in our study. We recorded vital signs of all patients 3 times every 10 minutes before analgesic injection and determined mean values. We analyzed the data by using the SPSS 13.0 statistics program. RESULTS: The means for systolic and diastolic blood pressure, heart rate and respiration rate were significantly different in pain score (p<0.05), but were not different by body temperature. Correlations of pain grade to vital signs were calculated, and blood pressure, heart rate and respiration rate showed positive correlation with pain grade (p<0.05). In multivariate analysis by general linear analysis, only systolic blood pressure and respiration rate were significantly associated with pain scores (p<0.05). CONCLUSION: In general, we have a tendency to underestimate the importance of the respiration rate relative to blood pressure, heart rate, and body temperature except in special circumstances, such as COPD or asthma exacerbation. Self-reported pain scores of patients correlate with vital signs, especially blood pressure and respiration rate.

Effect of Soil Drought Stress on Part Physiological Activities of Masson Pine of Different Family / 浙江中医药大学学报

We detect the effect of soil drought stress on part physiological activities of Masson pine of different family.The dark respiration rate of Masson pine will decrease with different range of the decrease of leaf water potential.The photosynthesis rate will increase with the descendant leaf potential and soil potential,which demonstrates that Masson pine has much higher productivity of drought stress.Meanwhile,the relative plasma membrane permeability plasma will be enlarged and the membrane will be hurt more deeply when Masson pine meets with higher drought stress.The relationship between relative plasma membrane permeability and leaf potential shows significant linear correlation.

Effect of Passive Leg Range of Motion Exercise in Hemiplegic Patients

OBJECTIVE: The purpose of this study was to examine the change of heart rate, mean arterial pressure, respiration rate, and spasticity at passive leg range of motion exercise for one month in hemiplegic patients. METHOD: Subjects were composed of twenty hemiplegic patients who had spasticity above two grade in modified Ashworth scale. Passive leg range of motion exercise was performed with passive cycle leg exerciser (Autocybex) at the speed of 40 rpm. Training program consisted of two sessions a day, and each session was done for twenty minutes. The heart rate, mean arterial pressure, and respiration rate were checked for each subject before and after passive leg range of motion exercise at initial state and after one month. Spasticity was measured at knee joint of the affected side at initial state and after one month. RESULTS: The resting heart rate, mean arterial pressure and respiration rate were significantly decreased after one month (p<0.05). The changes of heart rate, mean arterial pressure, and respiration rate after passive leg range of motion exercise were significantly decreased after one month (p<0.05). The grade of spasticity was decreased after one month (p<0.05). CONCLUSION: We concluded that passive leg range of motion exercise during one month stabilized heart rate, mean arterial pressure, and respiration rate, and reduced spasticity.

Effects of Short Time Water Immersion at the Tempeature of 27.DEG.C., 34.DEG.C., and 38.DEG.C. on Cardiac Autonomic Nerve Activity. A study considering the effect of respiration / 日本温泉気候物理医学会雑誌

We have been proceeding with studies on the effects of water immersion on autonomic nerve activity using the power spectral analysis of heart rate variability. The results obtained so far suggest that cardiac parasympathetic nerve activity is enhanced and sympathetic nerve activity is suppressed during immersion at temperatures between 25°C and 34°C and that parasympathetic nerve activity is suppressed and sympathetic nerve activity is enhanced during immersion at temperatures around 38°C. However, water immersion affects the respiration rate and tidal volume, and though the change in the respiration rate does not affect the real cardiac autonomic nerve activity, it affects the index of autonomic nerve activity as assessed by the power spectral analysis of heart rate variability. Therefore, this study examined the changes in cardiac autonomic nerve activity during water immersion with the tidal volume measured and its changes considered while controlling the respiration to a certain level. Eight healthy young males (ages: 19 to 28) sat calmly for 20 minutes before immersion and then soaked in water at the subaxillary level in sitting position for 15 minutes while controlling their respiration rate to 15cycles/min. Autonomic nerve activity was estimated by the power spectral analysis of the heart rate together with the Fast Fourier Transformation. Integral values of power were obtained in the high frequency (HF; 0.15 to 0.50Hz) and low frequency (LF; 0.04 to 0.15Hz) component areas. HF was used as the index of cardiac parasympathetic nerve activity, and the ratio of LF to HF (LF/HF), as the index of cardiac sympathetic nerve activity. During immersion at 34°C, HF increased significantly and the heart rate and LF/HF decreased slightly though not at a statistically significant level. During immersion at 27°C, HF increased significantly and the heart rate and LF/HF decreased significantly. During immersion at 38°C, the heart rate increased significantly while HF decreased and LF/HF varied slightly with no statistical significance. The tidal volume increased significantly during immersion at 27°C and 34°C, and it increased during immersion at 38°C though it was not statistically significant.<br>These results suggest that cardiac parasympathetic nerve activity is enhanced while sympathetic nerve activity is suppressed during immersion at 27°C, because the remarkable increase in HF that occurred during immersion cannot be accounted for by the increase in the tidal volume per breathing cycle alone. However, it is possible that the increase in the tidal volume enhanced the increase in HF. It was suggested, however, that autonomic nerve activities did not change significantly during water immersion at 38°C though there is possibility that the changes in HF were underestimated due to the increase in the tidal volume.

THE SEASONAL DYNAMICS OF SOIL MICROBIAL NUMBER AND RESPIRATION RATE IN HEPTACODIUM MICONIOIDES COMMUNITY / 微生物学通报

The seasonal dynamics of the soil microbial growth and soil net respir ation rate were studied in the imminent Heptacodium miconioides community T he results indicate that the numbers of bacteria and actynomices of rhizosphere soil or that of bacteria ,fungi and actynomices of non rhizosphere soil as well as net respiration rate of soil maintain similar seasonal dynamics in which dis play mono peak curves and their biggest values occure in September but the bi ggest nu mber of fungi of rhizosphere soil is in October The microbial numbers of soil,e s pecially that of soil fungi ,are greatly affected by the water content and tempe rature of soil The net respiration rate of soil closely relate not only with t h e water content and temperature of soil,but also with the soil microbial numbers of non rhizosphere soil which are mostly responsible for the net respiration r ate of soil