• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.6
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• pp.70-80
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• 2016

This study was conducted to investigate the effects of an integrated recreation program on mood states, flexibility, and stress of elderly women. The integrated recreation program was applied to dance as a physical activity and songs and art as emotional activities in consideration of the characteristics of the elderly activities. The subjects were 50 elderly women aged 65 years or older who reside in K-do. The examination period was December 2 in 2014 to February 17 in 2015, during which time mood states, flexibilities, density of the salivary cortisol, variations in heartbeats, and stress were measured. The integrated recreation program had positive effects on mood, flexibility and stress reduction in elderly women. Based on these results, the integrated recreation program is considered to increase mood states and flexibility of elderly women while lowering stress. Therefore, the integrated recreation program developed in this study not only helps the physical and mental health of elderly women, but can also be widely utilized as a health promotion program for the elderly.

• Journal of Korea Association of Health Promotion
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• v.4 no.1
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• pp.28-38
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• 2006

Background : Phentermine classified by "sympathomimmetic amie", is a stimulant of sympatheic tone But there has been no concrete study which presents the influence of phentermine on autonomic nervous system. Analysis of Heart rate variability is reliable, non-invasive and very useful for evaluating function of autonomic nervous system. We tried to elucidate the influence of phentermine on autonomic nervovs system by heart rate variability. MethodsAmong the 70 candidates who participated in the double-blind case control study whichwas designed in purpose of approving whether- Adipekⓓ is effective for treatment of obesity, 45persons were folled up. From April, 2005 to May 2005, HRV of the candidates who takes phentermine or placebo for 1month, was recorded using BFM-5000ⓓ(medi-core) for 5 minutes in resting state. HRV measures were assessed by time-domain and by frequency- domain analysis. Time domain parameters contain SDNN(Standard Deviation of NN intervals) and RMSSD(Root-Mean-Square of Successive Differences), etc and frequency domain Parameters contain Total Power(TP), Low frequency(LF'0.04-0.15Hz) power. High Frequency(HF:0.15-0.4Hz) power and LF/HF ratio etc. Results: Intakes of phentermine reduce HRV significant1y. SDNN & RMSSD, the main tine domain parameters of HRV, were decreased significantly(P=0.007. 0.016). PSI(Physical Stress Index of Pressure Index) was increase significantly(P=0.002)The main frequency domain parameters(TP, LF & VLF), also decreased significantly. (P=0.024,0.033, 0.015)Conclusion: The result showed that intakes of phentermine reduce heart rate variability and influence on most parameters of HRV. So phentermine not only accelerates sympathetic tone, but also inhibit the balance and function of autonomic nervous system.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.3
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• pp.507-512
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• 2019

To study how illuminance affects cognitive ability of the elderly, the elderly's EEG, concentration, HRV and vibra image were measured in a test room with temperature $25[^{\circ}C]$, relative humidity 50[RH%] and air flow speed 0.02[m/sec] by varying illuminance to 100[lux], 300[lux], 600[lux], 1000[lux] and 1500[lux]. Ten active elderly males were selected as subjects. Experiment condition was fixed as 1met of activity amount where the subject is seated and relaxed with cloth amount of 0.7clo. As a result, 1000[lux] was found out to be the most pleasant illuminance for the elderly, because $M{\beta}$ increased by 66.35%, and $S{\alpha}$ increased by 31.57% when the elderly was under 1000[lux] of illuminance. Also, concentration under 1000[lux] increased by 8.83% compared to 100[lux], and the pattern of concentration maintained uniformly. SDNN increased by 74.94% under 1000[lux] compared to 100[lux]. Nervousness decreased by 97.23% under 1000[lux] compared to 100[lux]. Moreover, HRT notably increased and aggression remarkably decreased under illuminance of 1000[lux]. Thus, based on the fact that comfort, concentration and heart stability of the elderly reach the highest under 1000[lux], it is determined that the illuminance has to be considered foremost in designing the elderly's welfare facilities to raise their safety and level of independence.

• Sleep Medicine and Psychophysiology
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• v.25 no.1
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• pp.15-20
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• 2018

Objectives: This study was designed to assess the change of heart rate variability (HRV) at resting, upright, and psychological stress states in depressive disorder patients. Methods: HRV was measured at resting, upright, and psychological stress states in 62 depressive disorder patients. We used visual analogue scale (VAS) score to assess tension and stress severity. Beck depression inventory (BDI) and state trait anxiety inventories I and II (STAI-I and II) were used to assess depression and anxiety severity, respectively. Differences between HRV indices and VAS score were evaluated using paired t-tests. Gender difference analysis was conducted with ANCOVA. Results: SDNN (standard deviation of normal to normal intervals), LF/HF (low frequency/high frequency), and VLF (very low frequency) were significantly increased, while NN50 and pNN50 were significantly decreased in the upright position compared to resting state. SDNN, RMSSD (root mean square of the differences of successive normal to normal intervals), and VLF were significantly increased, while pNN50 was significantly decreased in the psychological stress state compared to resting state. SDNN, NN50, and pNN50 were significantly lower in an upright position compared to a state of psychological stress, and LF, HF, and LF/HF showed no significant differences Conclusion: The LF/HF ratio was significantly increased after physical stress in depressive disorder. However, the LF/HF ratio was not significantly increased after psychological stress, and the change in LF/HF ratio after physical stress and psychological stress did not significantly differ from each other. Significant increase in SDNN, NN50, and pNN50 in an upright posture compared to psychological stress suggests that depressive patients react more sensitively to physical stress than psychological stress.

• Korean Security Journal
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• no.35
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• pp.125-149
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• 2013

In this study changes in biorhythm are observed by measuring heart rate variabilities in order to verify, compare, and evaluate stresses in guard duties of guards and CCTV monitoring works of staffs serviced in practical guard sites. Guard duties and CCTV monitoring works similar to a practical situation are implemented for nine students in the department of security at K University over 150 minutes. In the results of observing heart rate variabilities and autonomic function tests for six times with an interval of 30 minutes, the heart rate variability (HRV) in CCTV monitoring works represents lower levels than that of guard duties. Also, in a stable condition the guard duties for 30 and 60 minutes exhibit lower levels than that of 90, 120, and 150 minutes. Regarding SDNN, CCTV monitoring works show higher levels that guard duties and the guard duties for 30 and 60 minutes represent lower levels than that of 150 minutes. In autonomic function tests, there are no differences in TP between groups according to guard duties and CCTV monitoring works. Also, the guard duties for 150 minutes represent more differences in TP compared to that of 30 minutes. The interaction between the duty type and the duty duration is presented. In the case of LF, guard duties for 150 minutes show large differences in duty duration compared to that of 60 minutes. In the case of HF, the CCTV monitoring work group shows higher levels than the guard duty group in which the guard duties for 120 and 150 minutes represent higher levels than that of 30 minutes. The interaction between the duty type and the duty duration is presented. In the case of the LF/HF ratio, the guard duty group exhibits higher levels than the CCTV monitoring group. Also, there is an interaction between the duty type and the duty duration including the difference in durations. The CCTV monitoring works represent lower heart function activities than the guard duties according to increases in parasympathetic nervous activities. It shows that the long-term CCTV monitoring duty repeated everyday shows a high possibility of increasing the exposures of VDT syndrome and nervous breakdown.

• Journal of Chest Surgery
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• v.30 no.4
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• pp.383-389
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• 1997

From March, 1992 to March, 1996, a total of 279 patients underwent coronary bypass surgery at the Sejong General Hospital, Puchon. We selected 22 patients with severe left ventricular(LV) dysfunction from them. The criteria were the presence of global or segmental abnormalities of left ventricular contraction and LV ejection fraction(EF) less than 35% based on biplane LV angiography by planimetry method. The mean age of 17 male and 5 female patients was 60$\pm$5.6years(range:47~73 years). All had the anginas, which were Canadian class II in 6, class 111 in 12 and class IV in 4. All patients except one had the history of previous myocardial infarction more than once. Seven of them had the symptoms and signs of congestive heart failure, such as dyspnea on excertion and increased pulmonary vascular markings. Their mean LVEF was 29.4$\pm$4 5%(range : 18~35%) and mean LV end-diastolic pressure was 18.7 $\pm$8. 2mmHg(range:10~42mmHg). 21 patients had 3 vessel-disease and 1 had 2 vessel-disease. Complete revascularization was tried with the use of 16 internal mammary arteries and 60 sapheuous veins and 3 radial arteries grafts. The mean number of distal anastomosis was 3.5$\pm$ 1.1. Concomitantly, one mitral valvuloplasty and annuloplasty was performed in the patient with moderate mitral regurtigation. The hospital mortality was 4.5%. During the follow-up, there were 3 late deaths. Of 18 survivors, 2 patients were lost in follow-up 24 and 27 month respectively after operation and the remaining 16 patients have bcen followed up with an average of 30.4 $\pm$ 13.4 months.15 patients had improvement with respect to angina but 8 patients still have the continuing or progressing heart failure. The 1-year, 2-year and 3-year actuarial survival rate was 85.2, 69.1, 46.1%, respectively. This study indicates that coronary artery bypass sur ery can be performed in the patients with severe LV dysfunction at acceptable risk but does not greatly contribute to the improvement of congestive heart failure.

• Journal of Chest Surgery
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• v.34 no.12
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• pp.901-908
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• 2001

Background : Coronary artery bypass graft(CABG) in patients with advanced left ventricular dysfunction has often been regarded as having high mortality rate, despite the great improvement in operative result of CABG. With recent advances in surgical technique and myocardial protection, surgical revascularization improved the symptom and long-term survival of these high risk patients more than the medical conservative treatment. Material and Methold : Clinical data of 31(4.1％) patients with preoperative ejection fraction less than 30% among 864 CABGs performed between January 1995 and March 1999 were retrospectively analyzed and pre- and postoperative changes of the ejection fraction on echocardiography were analyzed. There were 26 men and 5 women. The mean age was 60.7 years(range 41 to 72 years). History of myocardial infarction(30 cases, 98％) was the most common preoperative risk factor. There were seven irreversible myocardial infarction on thallium scan. Most patients had triple vessel diseases(26 cases, 84％) and first degree of Rentrop classification(16 cases, 52％) on coronary angiography. The mean number of distal anastomosis during CABG was per patient was 4.9${\pm}$0.8 sites in each patient. In addition to long saphenous veins, the internal mammary artery was used in 20 patients. Total bypass time was 244.7${\pm}$3.7 minutes(range, 117 to 567 minutes), and mean aortic cross-clamp time was 77.9 ${\pm}$ 1.6 minutes(range, 30 to 178 minutes). There were five other reparative procedures such as two left ventricular aneurysrmectomy, two mitral repair, and one aortic valve replacement. There were twelve postoperative complications such as three cardiac arrhythmia, two bleeding(re-operation), one delayed sternal closure, eleven usage of intra-aortic balloon counterpulsation for low cardiac output. Two patients died, postoperative mortality was 6.5% . Twenty-nine patients were relieved of chest pain and left ventricular ejection fraction after operation was significantly higher(38.5${\pm}$11.6%, p 0.001) as compared with preoperative left ventricular ejection fraction(25.3${\pm}$2.3%). The follow up period of out patient was 25. 3 months. Conclusion: In patients with coronary artery disease and advanced left ventricular dysfunction, coronary artery bypass grafting can be performed relatively safely with improvement in left ventricular function, but it will be necessary to study long term results.