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1.
Med Biol Eng Comput ; 36(2): 241-5, 1998 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9684469

RESUMO

In the first days of life, the daily evaporative loss from premature neonates can reach up to 20% of body mass. Such loss can be reduced by increasing the air humidity inside the incubator. Neither passive humidification nor open loop systems allow high humidity rates to be maintained or easily controlled: at 34 degrees C, the maximum levels vary with the system from 40% to 77% of relative humidity. The skin evaporative exchanges between the neonate and the environment are directly proportional to the water vapour partial pressure difference between the neonate's skin and the air. An active closed loop system has been designed, which permits reliable and accurate control of humidity according to the water vapour partial pressure set, between 1 and 6 kPa, in an air temperature range of 28-39 degrees C. It is characterised by variations of about 0.05 kPa around the set value and a maximum humidification speed of 0.25 kPa min-1. The algorithm is based on optimal control and the dynamic programming principles. Test results place this active system above usual systems for its power, precision and adaptability. It is an exploitable tool in fundamental and clinical research, to precisely study the humidity effects on neonatal comfort and thermo-regulation evolution.


Assuntos
Algoritmos , Incubadoras para Lactentes , Software , Processamento Eletrônico de Dados , Humanos , Umidade , Recém-Nascido
2.
IEEE Trans Biomed Eng ; 45(1): 48-55, 1998 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9444839

RESUMO

The anatomy, physiology, and biochemistry of the human skin have been studied for a long time. A special interest has been shown in the water permeability of the premature infant's skin, which is known to be an important factor in the maintenance of a controlled water and heat balance. The rate of evaporative heat exchange between the skin surface of a very premature infant and the surrounding incubator air may be so high that evaporative heat loss alone may exceed the infant's total metabolic heat production. However, it has been demonstrated in several investigations published in recent years that basal evaporative water loss can be consistently reduced by increasing the ambient humidity. Nevertheless, the passive humidification system (water reservoir) used in most incubators cannot achieve high and steady humidity levels. In this paper, we propose an active humidification system. The algorithm is based on a combination of optimal control theory and dynamic programming approach. The relative-humidity (R.H.) regulation is performed in range of 35-90% at 33 degrees C with small oscillations (+/- 0.5% R.H.) around the reference value (i.e., prescribed R.H.).


Assuntos
Algoritmos , Umidade , Incubadoras para Lactentes , Regulação da Temperatura Corporal , Monitoramento Ambiental , Contaminação de Equipamentos/prevenção & controle , Desenho de Equipamento , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Modelos Teóricos , Permeabilidade , Pele/metabolismo , Propriedades de Superfície , Terapia Assistida por Computador
3.
Med Biol Eng Comput ; 36(4): 415-21, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10198523

RESUMO

Evoked potential mapping is a convenient technique to describe brain electrical activity using pictorial representation. A new interpolation method based on the diffuse approximation is applied to represent evoked potential distribution over the skull. The method retains most of the attractive features of the finite-element method but does not require explicit elements. In the simulation examples, the human head is assumed to be a single-layer sphere with homogeneous conductivity, and Ary eccentricity transformation is considered to approximate the more realistic three-shell model. The patterns shown in the computed maps suggest the ability of the proposed method to extract coherent information from the data from different electrodes. In the application protocol, visual evoked potentials are used to test the method with a realistic head shape.


Assuntos
Mapeamento Encefálico/métodos , Potenciais Evocados , Adulto , Potenciais Evocados Visuais , Cabeça , Humanos , Modelos Anatômicos
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