• Title/Summary/Keyword: 기도 수축

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Effect of Modified Ultrafiltration on Pediatric Open Heart Surgery (소아 개심술시 변형 초여과법(Modified Ultrafiltration)의 효과)

  • 윤경찬;이광숙;유영선;박창권;최세영;최대융
    • Journal of Chest Surgery
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    • v.31 no.1
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    • pp.1-6
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    • 1998
  • Total body water is increased after cardiopulmonary bypass resulting in tissue edema and organ dysfunction. Ultrafiltration has been used to reduce this accumulation of water. We have carried out a prospective randomized study in 17 children undergoing open heart surgery, comparing modified ultrafiltration(MUF) with nonfiltered controls. MUF was carried out for about 10 minutes after completion of cardiopulmonary bypass to a hematocrit 36∼42%. Blood loss, blood transfused, hemodynamics, and laboratory data were recorded for 24 hours postoperatively. The results were analyzed using Mann-Whitney U test, comparing controls(n=7) to ultrafiltered(n=10). There was no death in each group. The mean filtrate volume(ml/kg) was 42(30∼68). Blood loss(ml/kg/24hr) was 14.5 mean(4.0∼26.6) in controls versus 12.1 mean(6.0∼21.5) in MUF(P>0.05) ; blood transfused(ml/kg/24hr) was 9.4 mean (6.0∼36.3) in controls versus 3.4 mean(0∼11.4) in MUF(P<0.05). There was rise in arterial blood pressure during MUF. Percent rise of systolic blood pressure was 4.2(0∼11.7) in controls versus 19.8(7.0∼36.9) in MUF(P=0.001). Percent rise of diastolic blood pressure was 10.0(1.6∼20.8) in controls versus 30.6(5.8∼73.3) in MUF(P<0.05). Platelet count, fibrinogen, and oncotic pressure rose after MUF. No complications directly attributable to the ultrafiltration were observed. Conclusively, MUF is safe, effective means of removing body water and beneficial to hemodynamics.

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A study on Blood pressure and Blood constituents of middle-Aged men Obesity (중년 남성 비만의 혈압 및 혈액 성상에 관한 연구)

  • 이현옥;박혜순;승정자
    • The Korean Journal of Food And Nutrition
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    • v.9 no.4
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    • pp.366-371
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    • 1996
  • The purpose of this study was to investigate blood pressure and blood constituents in middle-aged men obesity. All the measurements were taken from 1524(obese 453, control 1071) man's subjects. The body mass index BMI in obese group and control was 26.6$\pm$1.4kg/$m^2$ and 22.2$\pm$1.9kg/$m^2$ respectively. The mean systolic and diastolic blood pressure in obese group were significantly higher than control(p<0.001). The concentrations of serum total cholesterol, triglyceride, HDL-cholesterol, LDL-cholesterol and atherogenic index in obese group were 202.1$\pm$34.7mg/dl, 210.0$\pm$121.8mg/dl, 43.4$\pm$10.3mg/dl, 116.7$\pm$33.5mg/dl, 3.8$\pm$1.2, respectively. There was significance in the relation between cholesterol, triglyceride, LDL-cholesterol and BMI. The frequency of dyslipidemia (hypercholesterolemia and hypertriglyceridemia) in obese group was significantly more than control(p<0.001).

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Effects of Complex Training on Cardiovascular Risk Factors in Middle Aged Obese Women (복합트레이닝이 중년비만여성의 심혈관질환 위험인자에 미치는 영향)

  • Won, Ho-Sam;Yang, Joung-Ok
    • Journal of Life Science
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    • v.20 no.6
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    • pp.885-893
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    • 2010
  • This study measured physical characteristics and physical composition of 16 middle-aged obese women using a body composition analyzer. TC, TG, HDL-C and LDL-C were investigated in order to analyze components of serum liquids. The study also compared changes regarding cardiovascular risk factors before and after a 12-week exercise program by measuring insulin and intensity of TNF-$\alpha$. To examine such changes, the study carried out a 12-week, complex training program for middle-aged obese women who did not regularly exercise. The results of the study were as follows: 1) after 12 weeks of complex training, in changes of physical characteristics, weight, BMI and WHR were significantly reduced. Systolic blood pressure and diastolic blood pressure increased, but there were no significant differences; 2) after 12 weeks of complex training, in changes of physical composition, body fat mass and body fat rate were significantly reduced and fat free mass was significantly increased; 3) after 12 weeks of complex training, in changes of serum liquids, TC, TG and LDL-C were significantly reduced. HDL-C increased, but this was not statistically significant; 4) after 12 weeks of complex training, in changes of cardiovascular risk factors, insulin and TNF-$\alpha$ were significantly reduced.

Changes in Saponin Composition and Microstructure of Ginseng by Microwave Vacuum Drying (수삼의 마이크로파 진공 건조 후 사포닌 조성 및 미세구조의 변화)

  • Kum, Jun-Seok;Park, Kwang-Jang;Lee, Chang-Ho;Kim, Yong-Hwan
    • Korean Journal of Food Science and Technology
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    • v.31 no.2
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    • pp.427-432
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    • 1999
  • Changes in saponin composition and microstructure of ginseng by microwave vacuum drying were determined. Korean fresh ginsengs were subjected to four different processing : 3 min microwave vacuum drying and 2 min holding-24 hrs drying (MWVD1), 5 min microwave vacuum drying and 2.5 min holding-24 hrs drying (MWVD2), 3 min microwave vacuum drying and 2 min holding-12 hrs drying after hot air drying for 12 hrs drying at $45^{\circ}C$ (HMWVD1), 5 min microwave vacuum drying and 2.5 min holding-12 hrs drying after hot air drying for 12 hrs at $45^{\circ}C$ (HMWVD2). The water content was decreased until 16.82% without shrinkage and water activity was 0.54 after microwave vacuum drying. The lipid content was decreased after microwave vacuum drying (MVD). Glucose was increased after MVD while sucrose decreased. Ginsenoside-Rb1 and ginsenoside-Rc were decreased after MVD. Ginsenoside-Rg1 for MWVD2 and HMWVD2 was higher than that of MWVD1 AND HMWVD1. MWVD1 AND HMWVD1 dried ginsengs showed a more compact structure than the HMWVD2 and HMWVD2 ginsengs.

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A COMPARATIVE STUDY ON THE VITAL SIGN AND BEHAVIOR APPEARANCE DEPENDING ON THE ROUTE OF FLUMAZENIL ADMINISTRATION IN CONSCIOUS SEDATION BY MIDAZOLAM (Midazolam을 이용한 의식진정시 flumazenil의 투여경로에 따른 생징후 및 행동양상의 비교 연구)

  • Kim, Hyun-Sik;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.2
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    • pp.159-167
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    • 2002
  • The purpose of this study was to evaluate the efficacy and safety depending on the route of flumazenil, as an antagonist against midazolam. The subjects of this study were 15 volunteers of $22{\sim}24$ years old. They were sedated with midazolam 0.2mg/Kg intranasal spray, and then 40 minutes after midazolam administration, they were given flumazenil 0.2mg intranasal spray for their reversal. For evaluation of the efficacy and safety of intranasal spray for flumazenil, they were monitored with pulse-oxymeter(Nellcor symphony N-3000, Nellcor Puritan CO. USA) and electric sphygmomanometer (Heartcare 200, National CO. Japan), and were assessed themselves using visual analogue scale(VAS) for tranquilization, sleep, fatigue and attitude. All of these subjects were reduced completely without any undesired situations. The results from this study can be summarized as follows ; 1. Nasaly administered flumazenil using spray device produced much more rapid reduction than intravenously administered flumazenil, but soon after fell in more deep sedated state than intravenously administered flumazenil. 2. There were no considerable side effects or bad influence on vital signs of both nasaly administered flumazenil and intravenously administered flumazenil. These results suggested that the flumazenil administered nasaly using spray device for reversal, we could treat patients safely and effectively under conscious sedation using midazolam administration. But, We will have to research about its optimal dosages for flumazenil, used as intranasal spray for reversal agents against the midazolam by evaluating the blood plasma concentration of midazolam and flumazenil.

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Development of Functional Tea Products for Hypertension Patients with the Mixed Medicinal Herbal Extracts (고혈압 환자에 도움을 줄 수 있는 한방 다류 개발)

  • Ahn, Byung-Yong
    • Journal of the East Asian Society of Dietary Life
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    • v.19 no.6
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    • pp.1049-1053
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    • 2009
  • This study was carried out to investigate the effects of Eucommia ulmoides Oliver (Du-Zhong) as a main ingredient in a mixture of various medicinal herbal extracts on blood pressure, serum lipid concentrations, and hematological variables in hypertensive patients. After 4 weeks on drinking the mixed medicinal herbal teas, systolic blood pressure remarkably decreased from 167.14 to 134.86 mmHg and diastolic blood pressure decreased from 100.00 to 87.10 mmHg. In terms of serum lipid profiles, there were no differences in total-cholesterol, HDL-cholesterol, LDL-cholesterol level, and atherogenic index, However, the level of triglycerol was significantly reduced from 237.1 before the experiment to 145.00 mg/dL after 4 weeks on drinking the mixed medicinal herbal teas. Serum triglyceride were remarkably reduced from 237.1 to 145.00 mg/dL in the hypertensive patients who had taken the combined medicinal herbal extracts. Compared with data obtained from the patients before the experiment, there were no differences in hematological variables (RBC, WBC, hematocrit, hemoglobin, platlets and homocysteine) after the 4 weeks experiments, but mean corpuscular hemoglobin concentration was significantly increased by 2.70% (p<0.05) in the blood samples. Based on these findings, it can be presumed that the examined mixed medicinal herbal tea may be effective in lowering blood pressure and in increasing mean corpuscular hemoglobin concentration due to reduced serum triglyceride levels in hypertension patients.

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The Effects of Different Types of Tai Chi Exercise on Blood Variable and Physical Fitness in Obese Women (태극권 운동이 중년비만여성의 혈액성분과 체력변인에 미치는 영향)

  • Kwak, Yi-Sub;Kim, Yi-Soon;Kim, Kyung-Chul
    • Journal of Life Science
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    • v.19 no.11
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    • pp.1575-1580
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    • 2009
  • Tai Chi is a slow and gentle exercise which is suitable for obese women with chronic diseases. Tai Chi can improve the health of a senior without exacerbating existing impairments, including obese patients. The purpose of this study was to evaluate the effects of different types of Tai Chi exercise on blood variables (glucose, cholesterol, TG, HDL, LDL, cortisol) and physical fitness (muscle strength, flexibility, muscle endurance, agility, balance). Thirty obese women were recruited from a public health center. They were divided into Yang style (YS: n=15) and 12 (12KS: n=15). The Tai Chi exercise group participated in a training program for 12 weeks (3times/week). There was significant improvement in muscle strength, flexibility, and muscle endurance in both groups. Agility was significantly increased in YS, more than in 12KS. However, there was no improvement in balance in both groups. There was significant improvement in cholesterol, HDL, LDL, and cortisol in both groups. However there was no improvement in blood glucose levels in either group. From the results, there was no significant difference in either Tai Chi exercises. The Tai Chi exercise program was effective in improving cholesterol related variables and physical fitness, except balance, in both groups. Further study is needed in this area.

A Survey on the Food Habit and Health of the Aged in a Middle City (중소도시지역 노인의 식습관 및 건강상태에 관한 연구)

  • 조영숙;임현숙
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.20 no.4
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    • pp.346-353
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    • 1991
  • This survey was carried out to study the food habit and several health indicators of 438 persons (male ; 179, female ; 259) aged over 60 years old living in a middle city, The results obtained were as follows. The food habit of male was better significantly than that of female, the eating frequencies of fruits, eggs, meats and fishes, and legumes of male were higher than those of female. The mean weights and heights of both male and female were low in comparison to the Korean standard, but the mean BMIs of both male and female showed normal range and the mean obesity rates of male and female were 3.5% and 8.2%, respectively, The mean hemoglobin content and hematocrit were 13.1g/100m1 and 39.8% in male, and 12.4g/100m1 and 37.8% in female, respectively, The anemia rate judged by the WHO level of hemoglobin content was 42.0% in male and 34.7% in female. The mean systolic and diastolic blood pressures of both male and female showed normal range; But the incidence of hypertension judged by the WHO level was 15. 6% in male and 16.7% in female. The subjects suffering from diseases were 78.2% in male and 86.7% in female. Common diseases were neuralgia, circulatory system diseases, respiratory system diseases, diabetes mellitus, and athritis. There were positive correlations between the score of food habit and body weight, height, hemoglobin content, and hematocrit. And there was a negative correlation between the food habit score and obesity rate. Systolic and diastolic blood pressures were correlated positively to skinfold thickness and the incidence of suffering from diseased.

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Human and Animal Study on the Natural Food for Obesity and Metabolic Syndrome Risk Factors (비만 및 대사성증후군 위험인자에 대한 천연물 식품의 인체 및 동물 효능연구)

  • 문근아;최선미;김선형;김성수;강지연;윤유식
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.32 no.8
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    • pp.1394-1400
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    • 2003
  • In this study a natural composition containing oriental herbs, KSH28, for reducing obesity and metabolic syndrome was constructed and its efficacy was evaluated in animal and human. To investigate the anti-obesity effect of KSH28, animal study was conducted using high fat diet-induced obese mice. KSH28 significantly decreased body weight and adipose tissue in high fat diet-fed obese mice. The mean size of fat cells in adipose tissue was significantly reduced. Glucose and triglyceride levels were also significantly decreased. To elucidate its efficacy in human, a natural food containing KSH28 with grains, vegetables, vitamins, minerals and dietary fibers was constructed and 40 subjects (8 male and 32 female) were tested for the change of body composition, blood pressure and blood lipid profile. All subjects had 2 pack (309 each) of natural food per day for 4 weeks. Compared to the baseline value, body fat was significantly reduced, however, water, protein and mineral contents in the body were not changed, suggesting selective reduction of fat tissue. Blood pressure and serum lipid profile were significantly decreased to reduce risk for metabolic syndrome. Serum GPT, a liver function indicator, was not changed and no significant side effects were detected. Therefore, it was shown that the KSH28 is a safe and effective composition for reducing obesity and metabolic syndrome.

Automatic Left Ventricle Segmentation by Edge Classification and Region Growing on Cardiac MRI (심장 자기공명영상의 에지 분류 및 영역 확장 기법을 통한 자동 좌심실 분할 알고리즘)

  • Lee, Hae-Yeoun
    • The KIPS Transactions:PartB
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    • v.15B no.6
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    • pp.507-516
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    • 2008
  • Cardiac disease is the leading cause of death in the world. Quantification of cardiac function is performed by manually calculating blood volume and ejection fraction in routine clinical practice, but it requires high computational costs. In this study, an automatic left ventricle (LV) segmentation algorithm using short-axis cine cardiac MRI is presented. We compensate coil sensitivity of magnitude images depending on coil location, classify edge information after extracting edges, and segment LV by applying region-growing segmentation. We design a weighting function for intensity signal and calculate a blood volume of LV considering partial voxel effects. Using cardiac cine SSFP of 38 subjects with Cornell University IRB approval, we compared our algorithm to manual contour tracing and MASS software. Without partial volume effects, we achieved segmentation accuracy of $3.3mL{\pm}5.8$ (standard deviation) and $3.2mL{\pm}4.3$ in diastolic and systolic phases, respectively. With partial volume effects, the accuracy was $19.1mL{\pm}8.8$ and $10.3mL{\pm}6.1$ in diastolic and systolic phases, respectively. Also in ejection fraction, the accuracy was $-1.3%{\pm}2.6$ and $-2.1%{\pm}2.4$ without and with partial volume effects, respectively. Results support that the proposed algorithm is exact and useful for clinical practice.