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<title>Spirometry</title>

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<script type="text/javascript">
<!--
        function rnddec(num, ndec)
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         }
         else {xs="Blank";}
         return xs;
        }
        
        function GetCal()
        {
         var pfvc;
         var pfev;
         var pfef;
         var prat;
         var rat;
         var lfvc;
         var lfev;
         var lfef;
         var lrat;
         var age=CalForm.txAge.value;
         var ht=CalForm.txHt.value;
         var fvc=CalForm.txFVC.value;
         var fev=CalForm.txFEV.value;
         var fef=CalForm.txFEF.value;
         if (CalForm.lstHt.value=="one") {ht=2.54*ht;}
         if ((age < 12) || (age > 75)) {alert("An age of " + age + " is out of range!"); return};
         if ((ht < 50) || (ht > 220)) {alert("A height of " + ht + " cm is out of range!"); return};
         if (CalForm.lstSource.value=="one")
         {
          if (CalForm.lstSex.value=="one")
          {   // Males Knudson-1976
           if (age < 25)
           {
            pfvc=-5.508+0.05*ht+0.078*age;
            pfev=-4.808+0.046*ht+0.045*age;
            pfef=-5.334+0.059*ht;
            prat=103.64-0.087*ht-0.14*age;
           }
           else   // Knudson-males-age>= 25
           {
            pfvc=-5.459+0.065*ht-0.029*age;
            pfev=-4.203+0.052*ht-0.027*age;
            pfef=-1.864+0.045*ht-0.031*age;
            prat=103.64-0.087*ht-0.14*age;
           }
           if (age<36)
           {
            lfvc=0.815*pfvc;
            lfev=0.8175*pfev;
            lfef=0;
            lrat=0.8762*prat;
           }
           else
           {
            lfvc=0.7446*pfvc;
            lfev=0.7292*pfev;
            lfef=0;
            lrat=0.9188*prat;
           }
          }   // end Knudson males
          else
          {  // Females
           if (age < 20)
           {
            pfvc=-3.469+ht*0.033+age*0.092;
            pfev=-2.703+ht*0.027+age*0.085;
            prat=107.38+ht*-0.111+age*-0.109;
            pfef=-1.893+ht*0.025+age*0.121;
           }
           else
           {
            pfvc=-1.774+ht*0.037+age*-0.022;
            pfev=-0.794+ht*0.027+age*-0.021;
            pfef=1.171+ht*0.021+age*-0.024;
            prat=107.38+ht*-0.111+age*-0.109;
           }
           if (age<36)
           {
            lfvc=0.7575*pfvc;
            lfev=0.7138*pfev;
            lfef=0;
            lrat=0.8313*prat;
           }
           else
           {
            lfvc=0.6646*pfvc;
            lfev=0.694*pfev;
            lfef=0;
            lrat=0.8806*prat;
           }
          }
          if (CalForm.lstRace.value=="two")
          {
           pfvc=0.85*pfvc;
           pfev=0.85*pfev;
           pfef=0.85*pfef;
           lfvc=0.85*lfvc;
           lfev=0.85*lfev;
           CalForm.rfactor.value="* - A race correction factor of 0.85 has been applied to Caucasian values."
          }
          else {CalForm.rfactor.value="* - Caucasian predicted values are used -- no race factor needed."}
         }
         else
         {         // Hankinson-1999 begining
          if (CalForm.lstRace.value=="one")
          {      // Caucasians
           if (CalForm.lstSex.value=="one")
           {  // Hankinson-Caucasian-Males
            if (age < 20)
            {
             lfvc=-0.2584+ht*ht*0.00015695+age*-0.20415+age*age*0.010133;
             lrat=78.388+age*-0.2066;
             lfev=-0.7453+ht*ht*0.00011607+age*-0.04106+age*age*0.004477;
             prat=88.066+age*-0.2066;
             pfvc=-0.2584+ht*ht*0.00018642+age*-0.20415+age*age*0.010133;
             pfef=-1.0863+ht*ht*0.00010345+age*0.13939;
             pfev=-0.7453+ht*ht*0.00014098+age*-0.04106+age*age*0.004477;
             lfef=-1.0863+ht*ht*5.2939999E-5+age*0.13939;
            }
            else
            {  // Hankinson-Caucasian-Males- Age>= 20
             pfef=-1.864+ht*0.045+age*-0.031;
             lfvc=-0.1933+ht*ht*0.00015695+age*0.00064+age*age*-0.000269;
             pfef=2.7006+ht*ht*0.00010345+age*-0.04995;
             pfvc=-0.1933+ht*ht*0.00018642+age*0.00064+age*age*-0.000269;
             lfev=0.5536+ht*ht*0.00011607+age*-0.01303+age*age*-0.000172;
             pfev=0.5536+ht*ht*0.00014098+age*-0.01303+age*age*-0.000172;
             prat=88.066+age*-0.2066;
             lfef=2.7006+ht*ht*5.2939999E-5+age*-0.04995;
             lrat=78.388+age*-0.2066;
            }
           }
           else
           {  // Hankinson-Caucasian-Females
            if (age < 18)
            {
             pfev=-0.871+ht*ht*0.00011496+age*0.06537;
             prat=90.809+age*-0.2125;
             pfvc=-1.2082+ht*ht*0.00014814999+age*0.05916;
             lfev=-0.871+ht*ht*9.283E-5+age*0.06537;
             lrat=81.015+age*-0.2125;
             lfvc=-1.2082+ht*ht*0.00012198+age*0.05916;
             pfef=-2.5284+ht*ht*6.9820002E-5+age*0.5249+age*age*-0.015309;
             lfef=-2.5284+ht*ht*2.302E-5+age*0.5249+age*age*-0.015309;
             prat=90.809+age*-0.2125;
             lrat=81.015+age*-0.2125;
            }
            else
            {    // Hankinson-Caucasian-Females >= 18
             pfef=2.367+ht*ht*6.9820002E-5+age*-0.01904+age*age*-0.0002;
             pfev=0.4333+ht*ht*0.00011496+age*-0.00361+age*age*-0.000194;
             pfvc=-0.356+ht*ht*0.00014814999+age*0.0187+age*age*-0.000382;
             lfev=0.4333+ht*ht*9.283E-5+age*-0.00361+age*age*-0.000194;
             lfvc=-0.356+ht*ht*0.00012198+age*0.0187+age*age*-0.000382;
             pfef=2.367+ht*ht*6.9820002E-5+age*-0.01904+age*age*-0.0002;
             lfef=2.367+ht*ht*2.302E-5+age*-0.01904+age*age*-0.0002;
             prat=90.809+age*-0.2125;
             lrat=81.015+age*-0.2125;
            }
           }
           CalForm.rfactor.value="* - Predicted are for race selected above -- no race correction factor needed."
          }
          if (CalForm.lstRace.value=="two")
          {   // Blacks
           if (CalForm.lstSex.value=="one")
           { // Hankinson-Black-Males
            if (age < 20)
            {
             pfef=-1.1627+ht*ht*0.00010461+age*0.12314;
             pfev=-0.7048+ht*ht*0.00013194+age*-0.05711+age*age*0.004316;
             prat=89.239+age*-0.1828;
             pfvc=-0.4971+ht*ht*0.00016643001+age*-0.15497+age*age*0.007701;
             lfef=-1.1627+ht*ht*4.8189999E-5+age*0.12314;
             lfev=-0.7048+ht*ht*0.00010561+age*-0.05711+age*age*0.004316;
             lrat=78.822+age*-0.1828;
             lfvc=-0.4971+ht*ht*0.00013669999+age*-0.15497+age*age*0.007701;
            }
            else
            {   // Hankinson-Black-Males >= 20
             pfef=2.1477+ht*ht*0.00010461+age*-0.04238;
             pfev=0.3411+ht*ht*0.00013194+age*-0.02309;
             pfvc=-0.1517+ht*ht*0.00016643001+age*-0.01821;
             lfef=2.1477+ht*ht*4.8189999E-5+age*-0.04238;
             lfev=0.3411+ht*ht*0.00010561+age*-0.02309;
             lfvc=-0.1517+ht*ht*0.00013669999+age*-0.01821;
             prat=89.239+age*-0.1828;
             lrat=78.822+age*-0.1828;
            }
           }
           else
           {  // Hankinson-Black-Females
            if (age < 18)
            {
             pfef=-2.5379+ht*ht*8.5719999E-5+age*0.43755+age*age*-0.012154;
             pfev=-0.963+ht*ht*0.00010846+age*0.05799;
             prat=91.655+age*-0.2039;
             pfvc=-0.6166+ht*ht*0.00013606+age*-0.04687+age*age*0.003602;
             lfef=-2.5379+ht*ht*3.3799999E-5+age*0.43755+age*age*-0.012154;
             lfev=-0.963+ht*ht*8.546E-5+age*0.05799;
             lrat=80.978+age*-0.2039;
             lfvc=-0.6166+ht*ht*0.00010916+age*-0.04687+age*age*0.003602;
            }
            else
            {  // Hankinson-Black-Females-Age>18
             pfef=2.0828+ht*ht*8.5719999E-5+age*-0.03793;
             pfev=0.3433+ht*ht*0.00010846+age*-0.01283+age*age*-9.7E-5;
             pfvc=-0.3039+ht*ht*0.00013606+age*0.00536+age*age*-0.000265;
             lfef=2.0828+ht*ht*3.3799999E-5+age*-0.03793;
             lfev=0.3433+ht*ht*8.546E-5+age*-0.01283+age*age*-9.7E-5;
             lfvc=-0.3039+ht*ht*0.00010916+age*0.00536+age*age*-0.000265;
             prat=91.655+age*-0.2039;
             lrat=80.978+age*-0.2039;
            }
           }
           CalForm.rfactor.value="* - Predicted are for race selected above -- no race correction factor needed."
          }  // end Blacks
          if (CalForm.lstRace.value=="three")
          {  // Hispanic
           if (CalForm.lstSex.value=="one")
           {  // Hankinson-Hispanic-Males
            if (age < 20)
            {
             pfef=-1.3592+ht*ht*0.00014473+age*0.10529;
             pfev=-0.8218+ht*ht*0.00015104+age*-0.04248+age*age*0.004291;
             prat=90.024+age*-0.2186;
             pfvc=-0.7571+ht*ht*0.00017823+age*-0.0952+age*age*0.006619;
             lfef=-1.3592+ht*ht*9.0200003E-5+age*0.10529;
             lfev=-0.8218+ht*ht*0.0001267+age*-0.04248+age*age*0.004291;
             lrat=80.925+age*-0.2186;
             lfvc=-0.7571+ht*ht*0.00014947+age*-0.0952+age*age*0.006619;
            }
            else
            {   // Hankinson-Hispanic-Males >= 20
             pfef=1.7503+ht*ht*0.00014473+age*-0.05018;
             pfev=0.6306+ht*ht*0.00015104+age*-0.02928;
             pfvc=0.2376+ht*ht*0.00017823+age*-0.00891+age*age*-0.000182;
             lfef=1.7503+ht*ht*9.0200003E-5+age*-0.05018;
             lfev=0.6306+ht*ht*0.0001267+age*-0.02928;
             lfvc=0.2376+ht*ht*0.00014947+age*-0.00891+age*age*-0.000182;
             prat=90.024+age*-0.2186;
             lrat=80.925+age*-0.2186;
            }
           }
           else
           {  // Hankinson-Hispanic-Females
            if (age < 18)
            {
             pfef=-2.1825+ht*ht*9.6099997E-5+age*0.42451+age*age*-0.012415;
             pfev=-0.9641+ht*ht*0.00012154+age*0.0649;
             prat=92.36+age*-0.2248;
             pfvc=-1.2507+ht*ht*0.00014246001+age*0.07501;
             lfef=-2.1825+ht*ht*4.594E-5+age*0.42451+age*age*-0.012415;
             lfev=-0.9641+ht*ht*9.8899996E-5+age*0.0649;
             lrat=83.044+age*-0.2248;
             lfvc=-1.2507+ht*ht*0.0001157+age*0.07501;
            }
            else
            {  // Hankinson-Hispanic-Females-Age>18
             pfef=1.7456+ht*ht*9.6099997E-5+age*-0.01195+age*age*-0.000291;
             pfev=0.4529+ht*ht*0.00012154+age*-0.01178+age*age*-0.000113;
             pfvc=0.121+ht*ht*0.00014246001+age*0.00307+age*age*-0.000237;
             lfef=1.7456+ht*ht*4.594E-5+age*-0.01195+age*age*-0.000291;
             lfev=0.4529+ht*ht*9.8899996E-5+age*-0.01178+age*age*-0.000113;
             lfvc=0.121+ht*ht*0.0001157+age*0.00307+age*age*-0.000237;
             prat=92.36+age*-0.2248;
             lrat=83.044+age*-0.2248;
            }
           }
          }  // end of hispanic
          CalForm.rfactor.value="* - Predicted are for race selected above -- no race correction factor needed."
         }
         
		 document.getElementById("pfvc").innerHTML=rnddec(pfvc,2);
		
         
		 document.getElementById("pfev").innerHTML=rnddec(pfev,2);
		 
		 
        
		 document.getElementById("pfef").innerHTML=rnddec(pfef,2);
		 
         
		 document.getElementById("lfvc").innerHTML=rnddec(lfvc,2);
		 
        
		 document.getElementById("lfev").innerHTML=rnddec(lfev,2);
		 
         
		 document.getElementById("lfef").innerHTML=rnddec(lfef,2);
		 
         
		 document.getElementById("prat").innerHTML=rnddec(prat, 1);
		 
		 
         
		 document.getElementById("lrat").innerHTML=rnddec(lrat,1);
		 
		 
         if ((pfvc > 0) && (fvc > 0)) {
			
			document.getElementById("ppfvc").innerHTML=rnddec(100*fvc/pfvc,1);
		}
         else {
			
			document.getElementById("ppfvc").innerHTML="Blank"; 
		 }
		 
         if ((pfev > 0) && (fev > 0)) {
			
			document.getElementById("ppfev").innerHTML=rnddec(100*fev/pfev,1);
		 }
         else {
			
			document.getElementById("ppfev").innerHTML="Blank"; 
		 }
		 
         if ((pfef > 0) && (fef > 0)) {
		
			document.getElementById("ppfef").innerHTML=rnddec(100*fef/pfef,1);
		}
         else {
			
			document.getElementById("ppfef").innerHTML="Blank"; 
		}
		
         if (fvc > 0) {rat=100*fev/fvc;}
         else {rat=0;}
         if (rat > 0)
         {
          CalForm.rat.value=rnddec(rat,1);
          if (prat > 0) {
			
			document.getElementById("pprat").innerHTML=rnddec(100*rat/prat,1);
		  }
          else{
		  document.getElementById("pprat").innerHTML="Blank"; 
		  }
         }
         else
         {
          CalForm.rat.value="Blank";}
         if (fvc==0) {CalForm.txFVC.value="Blank";}
         else {CalForm.txFVC.value=rnddec(fvc, 2);}
         if (fev==0) {CalForm.txFEV.value="Blank";}
         else {CalForm.txFEV.value=rnddec(fev, 2);}
         if (fef==0) {CalForm.txFEF.value="Blank";}
         else {CalForm.txFEF.value=rnddec(fef, 2);}
        }</script><script>
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<table border="0" width="750"><!--Top Table//-->
<tr><td width="100%">
<img src="../IM/logo.gif" align="right">
<h2><font color="#DDA0DD"><b>АТОПИЧЕСКИЕ АЛЛЕРГИЧЕСКИЕ БОЛЕЗНИ</b></font></h2>
<p align="left"><font color="green" size="5">Учебный спирометрический калькулятор</font>

<tr><td width="100%"><br><p align="justify"><font size="4">Настоящий калькулятор, созданный в CDC (США), может быть 
использован только для учебных целей. <br>
<font color="green" size="3"><b>FVC (Forced vital capacity)</b></font><font size="3"> - лёгочный объём (форсированная 
жизненная ёмкость лёгких, ФЖЁЛ) при полном вдохе до максимального форсированного выдоха. Снижается  при рестриктивном типе 
нарушений проходимости дыхательных путей, а также при обструктивном, если отмечается задержка воздушного потока.<br>
<font color="green"><b>FEV<sub>1</sub></font><font size="3" color="green"> (Forced expiratory volume in one second)</b></font>
<font size="3"> - объём форсированного выдоха в первую секунду (ОФВ<sub>1</sub><font><font size="3">). Снижается как при рестриктивном, 
так и обструктивном типах нарушений.<br>
<font color="green"><b>FEF 25-75% (Forced expiratory flow between 25-75%)</b></font><font size="3"> - усреднённый 
показатель выдыхаемого воздуха в середине форсированного выдоха. Это более чувствительный индикатор состояния 
средних и нижних дыхательных путей. Не изменяется при рестриктивном типе нарушений.<br>
<font color="green"><b>FEV<sub>1</sub></font><font size="3" color="green">/FVC (Forced expiratory ratio)</b></font><font size="3">
 - процент выдыхаемого воздуха в первую секунду форсированного выдоха от форсированной жизненной ёмкости. Похожий 
показатель, рассчитываемый как процент FEV<sub>1</sub></font><font size="3"> от SVC (Slow vital capacity), известен 
как <i>Tiffneau Index.</i></font><font size="3"> Оба параметра не изменяются при рестриктивном типе, но снижаются 
при обструктивном нарушении проходимости дыхательных путей. Однако FEV<sub>1</sub></font><font size="3">/FVC в 
настоящее время является более употребительным.

</td></tr>

</table><!--Top Table end//-->

<form name="CalForm">

<!--<label class="CalculatorLabel" for=""></label>//-->
<input type="hidden" select id="" name="lstSource" size="1">
<!--<option selected value="two">NHANES III (Hankinson-1999)</option>
<option value="one">Knudson-1976</option>
</select>//-->              
	      

<p align="center">
<div id="wrap">
<div class="cont_order">
<center><fieldset style="width:700px">
<table width="700" border="0" background="../IM/bg1.jpg"><!--Frame Table//-->
<tr><td width="100%"><br>

<table width="695" border="0" background="../IM/bg1.jpg"><!--Calc Table//-->
<tr><td width="2%">&nbsp;</td>
<td width="96%">

<table width="660" border="0" bgcolor=""><!--Internal Upper Table//-->
<tr><td width="22%"><label class="CalculatorLabel" for="lstSex">Пол:</label></td>
<td width="12%"><select id="lstSex" name="lstSex" size="1">
<option selected value="one">Мужчина</option>
<option value="two">Женщина</option>
</select>
</td>
<td width="10%">&nbsp;</td>
<td width="56%" rowspan="7">&nbsp;<img src="../IM/resp_function.jpg" width="367" height="233" align="right"></td></tr>

<tr><td width="22%"><label class="CalculatorLabel" for="lstRace">Раса:</label></td>
<td width="12%"><select id="lstRace" name="lstRace" size="1">
<option selected value="one">Белый</option>
<option value="two">Чернокожий</option>
<option value="three">Латинос</option>
</select></td>
<td width="10%">&nbsp;</td>
<td width="56%">&nbsp;</td></tr>


<tr><td width="22%"><label class="CalculatorLabel" for="txAge">Возраст:</label></td> 
<td width="12%"><input id="txAge" tabindex="1" name="txAge" size="5" type="text"></td>

<td width="10%">&nbsp;</td></tr>
<!--<td width="56%">&nbsp;</td></tr>//-->

<tr><td width="22%"><label class="CalculatorLabel" for="txHt">Рост:</label> 
<td width="12%"><input id="txHt" tabindex="2" name="txHt" size="5" type="text">
<td width="10%"><select id="lstHt" name="lstHt" size="1">
<option selected value="one">дюймы</option>
<option value="two">см</option>
</select></td>


<tr><!--<td width="56%">&nbsp;</td></tr>//-->

<tr><td width="22%"><label class="CalculatorLabel" for="txFVC">FVC (л):</label></td> 
<td width="12%"><input id="txFVC" tabindex="3" name="txFVC" size="5" type="text"></td>

<td width="10%">&nbsp;</td></tr>
<!--<td width="56%">&nbsp;</td></tr>//-->

<tr><td width="22%"><label class="CalculatorLabel" for="txFEV">FEV<sub>1</sub></font><font size="4"> (л):</label></td> 
<td width="12%"><input id="txFEV" tabindex="4" name="txFEV" size="5" type="text"></td>
<td width="10%">&nbsp;</td></tr>
<!--<td width="56%">&nbsp;</td></tr>//-->

<tr><td width="22%"><label class="CalculatorLabel" for="txFEF">FEF25-75% (л/сек):</label></td> 
<td width="12%"><input id="txFEF" tabindex="5" name="txFEF" size="5" type="text"></td>

<td width="10%">&nbsp;</td></tr>
<!--<td width="56%">&nbsp;</td></tr>//-->

<tr><td width="100%" colspan="4"><br><h3 align="left"><font color="green">Результаты спирометрии</font></h3></td></tr>

<tr><td width="22%"><label class="CalculatorLabel" for="rat">FEV<sub>1</sub></font><font size="4">/FVC (%):</label></td> 
<td width="12%"><input id="rat" name="rat" readonly size="5" type="text" value=""></td>

<div class="col-md-12">
<td width="10%">&nbsp;</td>
<td width="56%">&nbsp;</td></tr>
</table><!--Internal Upper Table end//-->


<!--<table id="calculatedValues" class="table table-striped table-striped-light">

//-->


<table width="660" border="1" bgcolor="#FAEBD7"><!--Internal Result Table//-->
<tbody>

<tr>
<td><p align="center"><i>Показатели</i></font></td>

<td><p align="center"><i>FVC (л)</i></font></td>

<td><p align="center"><i>FEV<sub>1</sub></font><font size="4"> (л)</i></font></td>

<td><p align="center"><i>FEV<sub>1</sub></font><font size="4">/FVC (%)</i></font></td>

<td><p align="center"><i>FEF25-75%<br> (л/сек)</i></font></td>
</tr>

<tr>
<td><p align="left">&nbsp;Прогнозируемые показатели</td>

<td><p align="center"><span id="pfvc"></span></td>

<td><p align="center"><span id="pfev"></span></td>

<td><p align="center"><span id="prat"></span></td>

<td><p align="center"><span id="pfef"></span></td>
</tr>

<tr>
<td><p align="left">&nbsp;Прогнозируемый процент</td>

<td><p align="center"><span id="ppfvc"></span></td>

<td><p align="center"><span id="ppfev"></span></td>

<td><p align="center"><span id="pprat"></span></td>

<td><p align="center"><span id="ppfef"></span></td>
</tr>

<tr>
<td><p align="left">&nbsp;Нижняя граница нормы</td>

<td><p align="center"><span id="lfvc"></span></td>

<td><p align="center"><span id="lfev"></span></td>

<td><p align="center"><span id="lrat"></span></td>

<td><p align="center"><span id="lfef"></span></td>
</tr>

</tbody>

</table><!--Internal Result Table end//-->


<p><input type="hidden" name="rfactor" readonly size="73" type="text" value=""></p>

<input id="calc" name="sbCal" class="btn" type="button" value="Рассчитать" onclick="GetCal()">&nbsp;&nbsp;
<input id="clear" name="clear" class="btn" type="Reset" value="Сброс" onclick="window.location.reload()">&nbsp;&nbsp;
</div>

</form>


</td>
<td width="2%">&nbsp;</td></tr>
<tr><td width="100%" colspan="3">&nbsp;</td></tr>
</table><!--Calc Table end//-->

</td></tr></table><!--Frame Table end//-->
</fieldset>
</div>
</div><!--End of wrap-->

<p id="disclaimer"></p>

<p align="right"><font size="2">&#169 Hankinson Consulting, Inc. 2003-2006&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
&nbsp;&nbsp;&nbsp;&nbsp;					
</div>										
</div>
</div>

</td></tr>
</table><!--Main Table end//-->
</body>
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