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  • 1.
    Callerström, Emma
    KTH, School of Technology and Health (STH).
    Clinicians' demands on monitoring support in an Intensive Care Unit: A pilot study, at Capio S:t Görans Hospital2017Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Patients treated at intensive care units (ICUs) are failing in one or several organs and requireappropriate monitoring and treatment in order to maintain a meaningful life. Today clinicians inintensive care units (ICUs) manage a large amount of data generated from monitoring devices.The monitoring parameters can either be noted down manually on a monitoring sheet or, for some parameters, transferred automatically to storage. In both cases the information is stored withthe aim to support clinicians throughout the intensive care and be easily accessible. Patient datamanagement systems (PDMSs) facilitate ICUs to retrieve and integrate data. Before managinga new configuration of patient data system, it is required that the ICU makes careful analysis ofwhat data desired to be registered. This pilot study provides knowledge of how the monitoringis performed in an Intensive Care Unit in an emergency hospital in Stockholm.The aim of this thesis project was to collect data about what the clinicians require and whatequipment they use today for monitoring. Requirement elicitation is a technique to collectrequirements. Methods used to collect data were active observations and qualitative interviews.Patterns have been found about what the assistant nurses, nurses and physicians’ require of systems supporting the clinician’s with monitoring parameters. Assistant nurses would like tobe released from tasks of taking notes manually. They also question the need for atomized datacollection since they are present observing the patient bed-side. Nurses describe a demanding burden of care and no more activities increasing that burden of care is required. Physicians require support in order to see how an intervention leads to a certain result for individual patients.The results also show that there is information about decision support but no easy way to applythem, better than the ones used today. Clinicians state that there is a need to be able to evaluatethe clinical work with the help of monitoring parameters. The results provide knowledge about which areas the clinicians needs are not supported enough by the exciting tools.To conclude results show that depending on what profession and experience the clinicians have the demands on monitoring support di↵ers. Monitoring at the ICU is performed while observing individual patients, parameters from medical devices, results from medical tests and physical examinations. Information from all these sources is considered by the clinicians and is desired to be supported accordingly before clinicians commit to action resulting in certain treatment,diagnosis and/or care.

  • 2.
    Najar, salwan
    KTH, School of Technology and Health (STH).
    Simulering av 1-Wire sensorer2012Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The 1-wire bus is a communication bus system which is designed to provide data, signals and power over a single signal with low data rates, a high resolution and a long range. It is typically used to communicate with small inexpensive devices, as temperature sensors, which is worked as a slave with the master computer (PC).

    The 1-wire bus system provides the sufficient control and operation signal, a unique ID serial number of each sensor and it supports multiple temperature sensors by a driving power (Parasite Power) on single line.

    On the 1-Wire bus system, temperature sensors are supplied by two types of power supplies, external Power supply and Parasitic Power.

    The aim of this project is to program the microprocessor (Arduino) by using Arduino programming language to work as a temperature sensor type DS18B20 and also as a slave on the 1-Wire bus system.

    This report explains the 1-Wire bus system techniques and how the communication is achieved between the master and the slave (sensors) to measure the temperature values.

    The measured temperature values are collected from the output of each active sensor on the 1-Wire bus. These data are displayed by the personal computer (PC) which is worked as a master on the 1-Wire bus, and the data are represent the measured temperature values from twelve active sensors on the bus system.

    In this thesis, the temperature values from the 12 active sensors can be read and displayed on the master (PC) by using the following programs: Open Logger One Wire (OLOW) program, One Wire Viewer, DigiTemp and OWFS and I validated all the temperature values from these active sensors which are read and monitored by the drive bus programs. The comparison is done among the measured temperature values to see if the active sensors are given accurate temperature values with different drive bus programs.

    The project shows that the sensors can be connected in a network with the master, by using 1-Wire bus techniques. This thesis will be used by Karolinska University Hospital, and it can also be developed for different requirements in the future.

  • 3.
    Zheng, Miaomiao
    KTH, School of Technology and Health (STH), Medical Engineering, Medical Imaging.
    Ultrasound Contrast Agents: Fabrication, size distribution and visualization2011Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Ultrasound contrast agents composed of micro-bubble filled with gas are introduced to increase the backscattered power from blood. Their intravenously injection results in the improved contrast in the images.

    The aim of this master thesis project is to manufacture MB suspension at varied temperature and shear forces and to inspect the size distribution and concentration of the PVA-shelled micro-bubble with standard methods according to the developed protocol. A pulser-receiver (Panametrics PR 5072) setup combined with two transducers (2.25 MHz and 5 MHz) was used to investigate the backscattered enhancement of the micro-bubble suspension.

    Images were collected with transmission optical microscope (OLYMPUS IX71) with the aid of counting chamber. The diameter and concentration of the micro-bubbles were analyzed by Image J. The pulser-receiver setup was used to test the acoustic response.

    The mean diameter of micro-bubbles was from 2.03 to 4.38 µm with a standard deviation between 0.40 and 1.12 µm and the micro-bubble concentration varied from 0.07× to 5.22× MBs/ml. The enhancement of the ultrasound backscattered power was greater than 20 dB or even reached 30 dB when the energy was increased. 

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