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Alveolar Gas Equation
The alveolar gas equation is the method for calculating partial pressure of alveolar oxygen (PAO2). The equation is used in assessing if the lungs are properly transferring oxygen into the blood. The alveolar air equation is not widely used in clinical medicine, probably because of the complicated appearance of its classic forms. The partial pressure of oxygen (pO2) in the pulmonary alveoli is required to calculate both the alveolar-arterial gradient of oxygen and the amount of right-to-left cardiac shunt, which are both clinically useful quantities. However, it is not practical to take a sample of gas from the alveoli in order to directly measure the partial pressure of oxygen. The alveolar gas equation allows the calculation of the alveolar partial pressure of oxygen from data that is practically measurable. It was first characterized in 1946. Assumptions The equation relies on the following assumptions: * Inspired gas contains no carbon dioxide (CO2) * Nitrogen (and any other g ...
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Partial Pressure
In a mixture of gases, each constituent gas has a partial pressure which is the notional pressure of that constituent gas as if it alone occupied the entire volume of the original mixture at the same temperature. The total pressure of an ideal gas mixture is the sum of the partial pressures of the gases in the mixture (Dalton's Law). The partial pressure of a gas is a measure of thermodynamic activity of the gas's molecules. Gases dissolve, diffuse, and react according to their partial pressures but not according to their concentrations in gas mixtures or liquids. This general property of gases is also true in chemical reactions of gases in biology. For example, the necessary amount of oxygen for human respiration, and the amount that is toxic, is set by the partial pressure of oxygen alone. This is true across a very wide range of different concentrations of oxygen present in various inhaled breathing gases or dissolved in blood; consequently, mixture ratios, like that of breathab ...
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Respiratory Exchange Ratio
The respiratory exchange ratio (RER) is the ratio between the metabolic production of carbon dioxide (CO2) and the uptake of oxygen (O2). The ratio is determined by comparing exhaled gases to room air. Measuring this ratio can be used for estimating the respiratory quotient (RQ), an indicator of which fuel (e.g. carbohydrate or fat) is being metabolized to supply the body with energy. Using RER to estimate RQ is only accurate during rest and mild to moderate aerobic exercise without the accumulation of lactate. The loss of accuracy during more intense anaerobic exercise is among others due to factors including the bicarbonate buffer system. The body tries to compensate for the accumulation of lactate and minimize the acidification of the blood by expelling more CO2 through the respiratory system. An RER near 0.7 indicates that fat is the predominant fuel source, a value of 1.0 is indicative of carbohydrate being the predominant fuel source, and a value between 0.7 and 1.0 suggests ...
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Anesthesiology
Anesthesiology, anaesthesiology, or anaesthesia is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine. A physician specialized in anesthesiology is called an anesthesiologist, anaesthesiologist, or anaesthetist, depending on the country. In some countries, the terms are synonymous, while in other countries they refer to different positions, and ''anesthetist'' is only used for non-physicians, such as nurse anesthetists. The core element of the specialty is the study and use of anesthesia to safely support a patient's vital functions through the perioperative period. Since the 19th century, anesthesiology has developed from an experimental area with non-specialist practitioners using novel, untested drugs and techniques into what is now a highly refined, safe and effective field of medicine. In some countries anesthesiol ...
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Respir Care
''Respiratory Care'' is a monthly peer-reviewed medical journal published by the American Association of Respiratory Care. It is abstracted and indexed in ''Index Medicus''/PubMed and the '' Science Citation Index Expanded''. The editor-in-chief is Dean R. Hess ( Massachusetts General Hospital and Harvard Medical School). The journal publishes original research, reviews (narrative and systematic), short reports, correspondence, and editorial articles. It was established in 1956 as ''Inhalation Therapy'' and obtained its current title in 1970. According to the ''Journal Citation Reports'', the journal has a 2020 impact factor of 2.258. See also *List of medical journals *List of healthcare journals This is a list of academic journals on health care. General *''Health Affairs'' *''Health and Human Rights'' *''Human Resources for Health'' *'' Health Service Journal'' *'' Milbank Quarterly'' Epidemiology *'' American Journal of Epidemiology ... References External links *{{ ...
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The Lancet
''The Lancet'' is a weekly peer-reviewed general medical journal and one of the oldest of its kind. It is also the world's highest-impact academic journal. It was founded in England in 1823. The journal publishes original research articles, review articles ("seminars" and "reviews"), editorials, book reviews, correspondence, as well as news features and case reports. ''The Lancet'' has been owned by Elsevier since 1991, and its editor-in-chief since 1995 has been Richard Horton. The journal has editorial offices in London, New York City, and Beijing. History ''The Lancet'' was founded in 1823 by Thomas Wakley, an English surgeon who named it after the surgical instrument called a lancet (scalpel). Members of the Wakley family retained editorship of the journal until 1908. In 1921, ''The Lancet'' was acquired by Hodder & Stoughton. Elsevier acquired ''The Lancet'' from Hodder & Stoughton in 1991. Impact According to the ''Journal Citation Reports'', the journal has a 202 ...
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Am J Physiol
The ''American Journal of Physiology'' is a peer-reviewed scientific journal on physiology published by the American Physiological Society. Vols. for 1898–1941 and 1948-56 include the Society's proceedings, including abstracts of papers presented at the 10th-53rd annual meetings, and the 1948-56 fall meetings. Subjournals The ''American Journal of Physiology'' has seven subjournals; according to the 2019 Journal Citation Reports their impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a scientometric index calculated by Clarivate that reflects the yearly mean number of citations of articles published in the last two years in a given journal, as i ...s vary from 2.992 to 4.406: * ''AJP-Cell Physiology'' * ''AJP-Endocrinology and Metabolism'' * ''AJP-Gastrointestinal and Liver Physiology'' * ''AJP-Heart and Circulatory Physiology'' * ''AJP-Lung Cellular and Molecular Physiology'' * ''AJP-Regulatory, Integrative and Comparative Phys ...
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Undersea Biomed Res
The underwater environment is the region below the surface of, and immersed in, liquid water in a natural or artificial feature (called a body of water), such as an ocean, sea, lake, pond, reservoir, river, canal, or aquifer. Some characteristics of the underwater environment are universal, but many depend on the local situation. Liquid water has been present on Earth for most of the history of the planet. The underwater environment is thought to be the place of the origin of life on Earth, and it remains the ecological region most critical to the support of life and the natural habitat of the majority of living organisms. Several branches of science are dedicated to the study of this environment or specific parts or aspects of it. A number of human activities are conducted in the more accessible parts of the underwater environment. These include research, underwater diving for work or recreation, and underwater warfare with submarines. It is hostile to humans in many ways an ...
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Ideal Gas Law
The ideal gas law, also called the general gas equation, is the equation of state of a hypothetical ideal gas. It is a good approximation of the behavior of many gases under many conditions, although it has several limitations. It was first stated by Benoît Paul Émile Clapeyron in 1834 as a combination of the empirical Boyle's law, Charles's law, Avogadro's law, and Gay-Lussac's law. The ideal gas law is often written in an empirical form: pV = nRT where p, V and T are the pressure, volume and temperature; n is the amount of substance; and R is the ideal gas constant. It can also be derived from the microscopic kinetic theory, as was achieved (apparently independently) by August Krönig in 1856 and Rudolf Clausius in 1857. Equation The state of an amount of gas is determined by its pressure, volume, and temperature. The modern form of the equation relates these simply in two main forms. The temperature used in the equation of state is an absolute temperature: the appropria ...
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Pulmonary Alveolus
A pulmonary alveolus (plural: alveoli, from Latin ''alveolus'', "little cavity"), also known as an air sac or air space, is one of millions of hollow, distensible cup-shaped cavities in the lungs where oxygen is exchanged for carbon dioxide. Alveoli make up the functional tissue of the mammalian lungs known as the lung parenchyma, which takes up 90 percent of the total lung volume. Alveoli are first located in the respiratory bronchioles that mark the beginning of the respiratory zone. They are located sparsely in these bronchioles, line the walls of the alveolar ducts, and are more numerous in the blind-ended alveolar sacs. The acini are the basic units of respiration, with gas exchange taking place in all the alveoli present. The alveolar membrane is the gas exchange surface, surrounded by a network of capillaries. Across the membrane oxygen is diffused into the capillaries and carbon dioxide released from the capillaries into the alveoli to be breathed out. Alveoli are pa ...
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Cardiac Shunt
A cardiac shunt is a pattern of blood flow in the heart that deviates from the normal circuit of the circulatory system. It may be described as right-left, left-right or bidirectional, or as systemic-to-pulmonary or pulmonary-to-systemic. The direction may be controlled by left and/or right heart pressure, a biological or artificial heart valve or both. The presence of a shunt may also affect left and/or right heart pressure either beneficially or detrimentally. Terminology The left and right sides of the heart are named from a dorsal view, i.e., looking at the heart from the back or from the perspective of the person whose heart it is. There are four chambers in a heart: an atrium (upper) and a ventricle (lower) on both the left and right sides. In mammals and birds, blood from the body goes to the right side of the heart first. Blood enters the upper right atrium, is pumped down to the right ventricle and from there to the lungs via the pulmonary artery. Blood going to the lungs ...
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