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Évaluation de l'équilibre neurovégétatif chez le nourrisson 婴儿神经植物平衡的评估
Pub Date : 1999-12-01 DOI: 10.1016/S0222-0776(00)87255-7
A. de Broca , J. Ducrocq , M. Abdiche , B. Kabeya , I. Aubron , L. Leke , H.G. Farges
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引用次数: 0
La diffusion des informations de GMAO via Intranet et SOPHIE 9000 通过内部网和SOPHIE 9000传播cmms信息
Pub Date : 1999-12-01 DOI: 10.1016/S0222-0776(09)88970-0
C. Rapin, M. Pommier, A. Petit
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引用次数: 1
Réanimation
Pub Date : 1999-12-01 DOI: 10.1016/S0222-0776(09)88968-2
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引用次数: 0
La diffusion des informations de gmao via intranet et sophie 9000 通过内部网和sophie 9000传播cmms信息
Pub Date : 1999-12-01 DOI: 10.1016/S0222-0776(09)88970-0
Christian Rapin , Marc Pommier , Agnès Petit
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引用次数: 1
L'environnement sonore des nourrissons placés en incubateur dans les hôpitaux 医院培养箱中婴儿的声音环境
Pub Date : 1999-12-01 DOI: 10.1016/S0222-0776(00)87251-X
M. Abdiche , G. Farges , J.M. Ville , J.P. Libert

The knowledge of the neonate's saund environment in incubators has the aim to better define the ways to protect neonates of nose effects and to improve their acoustic comfort The present study, realized in 9 hospitals, constitutes a sound database at 216 hows of recording made and outside of neonate's compartments, allowing valid statistical analysis end characterisation. The statistical index analysis of sound data shows that continuous noises are generally higher inside of incubators (50 ± 3 dBA) than outside (42 ± 8 dB A) Thar origins are mainly the incubator itself and the external medical devices sometimes used Or the contrary impulsive noises are far more frequent. and intense outside ot the incubator than inside Most of these noises come from the hospital activity for 88% of the time and are essentially produced by medical staff and nurses Furthermore. 25 incubators witnout neonate are evaluated with respect to the NF EN 60601-2-19 standard. Among these incubators, one is out of standard tor the internal level, an other is also out of standard for the internal alam sound, white all tested incubators are out of standard for alarm sound perceived outside. The protection of neonates and the improvement at their acoustic comfort can be achieved by instrumental, human and architectural proposals .

本研究在9家医院开展,建立了216种录音方式和新生儿室外录音方式的声音数据库,允许有效的统计分析和表征。对声音数据的统计指标分析表明,恒温箱内的连续噪声(50±3 dBA)普遍高于体外的连续噪声(42±8 dBA),其来源主要是恒温箱本身和有时使用的外部医疗器械,反之,脉冲噪声则更为频繁。这些噪音88%的时间来自医院的活动,主要是由医务人员和护士产生的。此外,根据NF EN 60601-2-19标准对25个新生儿进行了评估。在这些孵化器中,一个内部水平不符合标准,另一个内部报警声音也不符合标准,白色所有被测试的孵化器都不符合外部感知的报警声音标准。新生儿的保护和改善他们的声学舒适度可以通过仪器,人类和建筑的建议来实现。
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引用次数: 0
Influence du niveau d'humidité de l'air sur le sommeil du nouveau-né en incubateur 空气湿度水平对培养箱新生儿睡眠的影响
Pub Date : 1999-12-01 DOI: 10.1016/S0222-0776(00)87249-1
F. Telliez , V. Bach , S. Delanaud , H. M'Baye , A. Leke , A. Apédoh , M. Abdiche

Evaporative water losses am very important during the first weeks after birth m premature newborns. Humidity levels recommended in the literature are loca ted between 65 and 90% of relative humidity In most of the commercialised incubators, humidity is regulated in relative humidity although the evaporative water losses are inversely proportional to the gradient of water vapour partial pressure between the skin and the environment in our study, in order to pease physiological effects of humidity. we have used an active humidification system, controlling the water vapour partial pressure. By using our servocontrolled skm derivative heating device., the incubator air temperature level is spectfic to neonate is thermal needs ehowing to maintain body temperature constant independently of humidity level. With this system we have tested the effects of humidity level on sleep, heart rate and respiratory frequency m 9 neonates without inducing modifications of their thermal balance. A high humidity level of 4000 Pa (80% at 32%C) did not induce any disruption of sleep or cardiac and respiratory frequencies if thermal equilibrium of the neonate is maintained. This is observed when an inciease of the humidity level is accompanied by a decrease of incubator air temperature of 0.35 °C·kPa−1.

对于早产儿来说,在出生后的最初几周,蒸发水分的损失是非常重要的。文献中推荐的湿度水平位于相对湿度的65%至90%之间。在大多数商业化的恒温箱中,湿度被调节为相对湿度,尽管在我们的研究中,蒸发水分损失与皮肤和环境之间的水蒸气分压梯度成反比,以缓解湿度的生理影响。我们使用了主动加湿系统,控制水蒸气分压。采用我们的伺服控制skm导数加热装置。,培养箱的空气温度水平是特定于新生儿的热需求,如何保持体温恒定独立于湿度水平。我们用这个系统测试了湿度水平对9名新生儿睡眠、心率和呼吸频率的影响,而不会引起他们热平衡的改变。如果保持新生儿的热平衡,4000pa的高湿度水平(32%℃下80%)不会引起睡眠或心脏和呼吸频率的中断。当湿度水平的增加伴随着培养箱空气温度的降低0.35°C·kPa−1时,可以观察到这一点。
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引用次数: 9
Accréditation EN 45001 au service biomédical 生物医学服务EN 45001认证
Pub Date : 1999-12-01 DOI: 10.1016/S0222-0776(09)88966-9
G. Farges
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引用次数: 4
Vers une segmentation optimale d'images cardiaques acquises par RMN pour une reconstruction tridimensionnelle du cœur 用于心脏三维重建的核磁共振成像的最佳分割
Pub Date : 1999-12-01 DOI: 10.1016/S0222-0776(00)87256-9
M. Makki , Y. Maingourd , J.F. Lerallut , V. Bach , J.P. Libert
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引用次数: 0
La matériovigilanceEn direct de ecriEn direct de l'ecri 来自ecri的材料监控直接来自ecri
Pub Date : 1999-12-01 DOI: 10.1016/s0222-0776(09)88964-5
Pierre Guizier
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引用次数: 1
Systèmes de documentation informatisée de l'anesthésie (et de la réanimation) 麻醉(和复苏)计算机化文件系统
Pub Date : 1999-12-01 DOI: 10.1016/S0222-0776(09)88967-0
S. Largiwére (Ingénieur en chef, CHU d'Amiens)
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引用次数: 0
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