• Title/Summary/Keyword: 평균혈압

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Current Status of Children on Peritoneal Dialysis in Korea : A Cross-Sectional Multicenter Study (소아복막투석의 현황: 다기관 공동연구 결과보고)

  • Youn, Ji-Seok;Lee, Joo-Hoon;Park, Young-Seo;Yim, Hyung-Eun;Paik, Kyung-Hoon;Yoo, Kee-Hwan;Ha, Il-Soo;Cheong, Hae-Il;Choi, Yong
    • Childhood Kidney Diseases
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    • v.13 no.2
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    • pp.176-188
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    • 2009
  • Purpose : Peritoneal dialysis (PD) is the major form of dialysis in use for infants and children with end-stage renal disease (ESRD). The aim of this study was to gain insight into the current status of children on PD in Korea. Methods : In May 2008, questionnaires were sent to the pediatric nephrologists via e-mail. Four centers replied and those data were reviewed. Results : A total of 103 patients were included in this study. Male to female ratio was 1.6:1. Mean age was $11.5{\pm}4.9$ years (0-19 years). Primary renal diseases diagnosed were as follows: primary glomerular disease (34%), chronic pyelonephritis-reflux nephropathy (14.6%), systemic disease (9.7%), renal hypoplasia/dysplasia (8.7%), heredofamilial disease (6.8%), vascular disease (3.9%), drug-induced nephropathy (1.0%), and unknown (12.6%). PD modalities were as follows: CAPD (42.7%), CCPD (27.2%), NIPD (11.7%), and Hybrid (18.4%). Weekly total Kt/V was $2.1{\pm}0.7$ (0.3-4.1). Results of peritoneal equilibrium test were as follows: low 36.8%, low average 31.6%, high average 19.7%, and high 11.8%. Z-score for weight was $-1.00{\pm}1.20$ (-4.54~+2.50). Z-score for height was $-1.55{\pm}1.65$ (-9.42~+1.87). Growth hormone was administered in 24.3% of patients. Anti-hypertensive drugs were administered in 64.0% of patients. Laboratory findings were as follows: hemoglobin $10.5{\pm}1.4$ g/dL, calcium $9.7{\pm}0.7$ mg/dL, phosphorus $5.4{\pm}1.4$ mg/dL, and parathyroid hormone $324.2{\pm}342.8$ pg/mL. Conclusion : Primary glomerular disease was the most common cause of ESRD. CAPD was the most prevalent PD modality. Low and low average peritoneal transport type were common. Growth disturbance were noted in many patients. Some patients had hypertension even with anti- hypertensive drugs. Calcium-phosphorus levels were maintained adequately, but many patients had secondary hyperparathyroidism.

Enhancement of Heart Rate Detection using Oscillometric Method (오실로메트릭 측정법을 사용한 심박주기 검출 성능 개선)

  • Kim, Dong-Jun
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.7 no.1
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    • pp.50-54
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    • 2014
  • This study presents a method for heart rate detection using oscillation wave signal and tries to enhance the performance of peak detection. For this objective, the method uses the average slopes around the main peak. The crossing point of the increasing and the decreasing slopes is selected as the peak point of heart rate period. The proposed method showed smoothed heart rate graph and reduced irregularity in heart rate values.

Estimation of the Cost of Hypertension Disease Loss in 2010-2017 Using Cohort at Diagnosis Age and Treatment Time (진단나이 및 치료시점 코호트를 활용한 2010~2017년 고혈압 질환 손실비 추계)

  • Noh, Yun-Gon;Lee, Sang-Ho;Choi, Kyungsik;Song, Tae Min
    • The Journal of the Korea Contents Association
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    • v.22 no.2
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    • pp.782-793
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    • 2022
  • The rise in chronic disease not only has a negative effect on people's lives, but it also increases the cost of medical care owing to the increased usage of medical care as health and medical technology improves, life expectancy rises, and rapid population ageing. In such context, this study examined the difference in the disease cost of hypertension according to demographic information and the effect of the initial diagnosis age and treatment period on the cost. This study used the Korean Health Panel Survey from 2010 to 2017, and selected subjects based on health insurance beneficiaries between the ages of 30 and under 80. With the selected data, the direct and indirect costs of disease loss were calculated according to the cost of illness approach, and we constructed a disease-loss ratio cohort considering the age of diagnosis and time of treatment for hypertension. From the results of the study, the annual cost of disease loss for hypertensive patients differed by gender by 110,107 won, and it was found that the cost increased by 1.8 times as the treatment time increased. In addition, when comparing disease loss ratios between the same age groups, it was found that the disease loss ratios between those in their 60s and 70s were affected by treatment time. This study confirmed that hypertension significantly affects the cost of the disease, and not only requires early diagnosis and management, but also preventive efforts to lower the incidence of hypertensive disease must be strengthened.

Factors Affecting Blood Pressure of Aged People in Rural Area (일부농촌지역노인(一部農村地域老人)들의 혈압(血壓)과 관계(關係)된 제요인분석(諸要因分析))

  • Kil, Sang-Sun;Ki, No-Suk;Hwang, In-Dam
    • Journal of agricultural medicine and community health
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    • v.10 no.1
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    • pp.42-48
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    • 1985
  • This study was carried out to obtain the basic data for epdemiological survey of hypertension in old population (60 years or more). From May, 1983 to April, 1984, 365 males and 335 females who inhabit in Ko-Chang Gun, Chonbuk Province were investigated for several factors as their socio-econmic status and laboratory examinations with blood pressure, and which factors were analysed by simple correlation and multiple regression analysis. The results are summarized as follows; 1) Sample size of this study is equivalent to 5.2%(male;6.7%, female;4.3%) of population in 60 years or more age group, and the mean age of samples is 70.6${\pm}$5.3 (yr.) in males and 71.4${\pm}$5.3 (yr.) in female (P>0.05). 2) Mean blood pressure of males are 135.9${\pm}$21.3mm Hg in systolic and 85.3${\pm}$13.4mm Hg in diastolic phase and in female, 131.0${\pm}$23.6 mm Hg and 84.1${\pm}$19.9 mm Hg (P < 0.01). Their prevalence rates of hypertension (${\geq}$ 140 mm Hg in systolic, ${\geq}$ 95 mm Hg in diastolic phases) are 33.7% in males, 40.6% in females (P < 0.01). 3) Serum cholesterol levels and other independent variables are revealed in normal ranges, and except to Vervaeck index (89.4${\pm}$5.6 in males, 87.5${\pm}$6.7 in females, p<0.01), other are not significant sexual differences (P>0.05). 4) In the simple correlation analysis, the main factors that affect to blood pressure are serum cholesterol levels (P < 0.05) and Vervaeck index (P < 0.01) in males, age (P <0.05) and Vervaeck index (P <0.01) in females. 5) In multiple regression analysis, prediction equations for blood pressure are calculated as follows; Ysm=-64.55+0.161(X1)+0.124(X2)-0.047(X3)+1.953(X4) Ydm=18.61-0.125(X1)+0.060(X2)+0.032(X3)+0.720(X4) Ysf=-0.22+0.536(X1)+0.134(X2)+0.068(X3+0.788(X4) Yaf=-14.46+0.685(X1)+0.033(X2)+0.176(X3)+0.362(X4) Ysm : Systolic blood pressure in male, Ydm : Diastolic blood pressure in male, Ysf : Systolic blood pressure in female, Ydf : Diastolic blood pressure in female. X1 : Age(year), X2 : Serum cholesterol level (mg%), X3 : Fastin blood sugar (mg% ), X4 : Vervaeck index.

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Captopril-Induced Cough (Captopril 유발 기침)

  • In, Kwang-Ho;Kang, Kyung-Ho;Yoo, Se-Hwa
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.1
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    • pp.24-27
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    • 1992
  • Background: Captopril is an angiotensin-converting enzyme inhibitor that has been widely used in treating hypertension. Cough has been recognized as a side effect, but has little attention in the pulmonary literature. Method: To emphasize that angiotensin-converting enzyme inhibitor should be considered among possible etiology of chronic cough, we report clinical investigation about 15 patients with captopril-induced cough. Results: The age range of the 15 patients was 48 to 82 years (mean 58.5 years). There were 5 men and 10 women. Captopril dosage in patients with cough was 25-75 mg (mean 43.3 mg). Onset of cough after starting a captopril ranged from 5 days to 180 days (mean 55.2 days), and cessation of cough after discontinuation of the drug was as early as one day and no longer than 7 days. Conclusion: It is necessary to recognize that chronic cough is not uncommon with the use of captopril.

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Statistical methods for evaluating the tracking phenomenon of blood pressure (혈압의 역학적 연구와 지속성(tracking)에 대한 통계학적 분석)

  • Suh, Il;Nam, Chung-Mo;Kang, Hyung-Gon
    • The Korean Journal of Applied Statistics
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    • v.6 no.2
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    • pp.191-200
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    • 1993
  • This study introduced speical characteristics of an epidemiologic study on blood pressure and compared several statistical methods for evaluating the tracking phenomenon of blood pressure for Korean children. While correlation coefficients adjusted for measurement error are commonly used for the evaluation of tracking, it is hard to interpretate the results when correlation functions for lag-difference are not monotonous. McMahan defined a tracking as maintenance of relative rank over time and calculated tracking index usng growth curve model. The tracking index in McMahan's model is complicate to calculate, and it is hard to determine the degree of growth curve parameter. Blomqvist showed the relationship between the rate of change and the initial value. This concept could be extended for the evaluation of tracking. However, it is not so easy to interpretate the estimates in his model when those are non-positive.

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A Study on Health Behaviors of the Young Adults and the Elderly with Hypertension: A Secondary Analysis of the 2018 Korea Health Panel Data (고혈압이 있는 청장년층과 노년층의 건강행위 분석: 2018년 한국의료패널조사 자료활용)

  • Keum Sook, Kim
    • Journal of Industrial Convergence
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    • v.20 no.11
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    • pp.141-148
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    • 2022
  • The purpose of this study was to investigate the health behavior performance between the young adults and the elderly with hypertension. The research data were analyzed using 2018 Korea Medical Panel data. The subjects of this study were 3,117 persons without disabilities or activity disorders among those diagnosed with hypertension. As a result of the study, first, it was found that the medical utilization rate and drug adherence were high overall. Second, the average body mass index(BMI) and obesity over 25 kg/m2 were found to be higher among the young adults. Third, smoking and drinking were higher in young adults in terms of experience and smoking and alcohol consumption. Fifth, the subjective health status was found to be perceived more positively by the young adults. Based on the results of this study, it is necessary to raise awareness of the need for customized health care from a young age and to develop sustainable and effective programs.

Prevalence of Lower Urinary Tract Symptoms and Association of Hypertension with I-PSS (국제 전립선 증상 점수(I-PSS)를 이용한 하부요로증상의 유병률 및 고혈압과의 관계)

  • Ha, Jee-Young;Cho, Dong-Young;Yang, Sang-Kuk;Chang, Soung-Hoon;Lee, Kun-Sei;Lee, Won-Jin;Yu, Byung-Yeon
    • Journal of agricultural medicine and community health
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    • v.25 no.2
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    • pp.265-273
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    • 2000
  • Benign prostatic hyperplasia (BPH) is a highly prevalent, age-related disorder in men which place a considerable burden on health care resources worldwide. While BPH and hypertension are apparently diverse disease processes, they have some features in common(e.g. underlying etiology of the sympathetic nervous system). The purpose of this study is to estimate the prevalence of lower urinary tract symptoms using I-PSS(international prostate symptom score) and to investigate the association of hypertension with I-PSS. This study was carried out to 390 men(40~86 year old) at 3 Myun in Chungju City from July to August, 1997. Subjects answered on questionnaire for I-PSS and were checked age, education, marital status, annual income, blood pressure. The mean age of subjects was 59.8 year old. The mean of I-PSS were increased by age decades(40~49, 50~59, 60~69, 70~86) and it's scores were 4.4, 7.0, 8.2, 12.3 respectively. Strong correlations were observed between the I-PSS and the QUL(quality of life)(P=0.0001). I-PSS(mean-value) were 7.85 in hypertensive group and 8.39 in normotensive group but there was no statistically significance between the two groups(P>0.05). The proportion of mean scoring greater than 8 was 42.5%. There have been reports of association between lower urinary tract symptoms and hypertension, but there was no consistent suggestion that such an association could be casual. The need for high-quality epidemiological information and consequent increased prospects for prevention is obvious.

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Pulse wave velocity and ankle brachial index in normal adolescents (정상 청소년에서 맥파 속도와 발목 상완 동맥압 지수에 대한 연구)

  • Kim, Ji Hye;Gil, Tae Young;Lee, Hee Woo;Hong, Young Mi
    • Clinical and Experimental Pediatrics
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    • v.50 no.6
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    • pp.549-555
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    • 2007
  • Purpose : Pulse wave velocity (PWV) and ankle brachial index (ABI) are simple, non-invasive methods to assess arterial stiffness. These parameters are also known to be closely related to cardiovascular risk factors and diseases. The purposes of this study were to measure blood pressure, PWV, ABI in healthy Korean adolescents, set up their normal values and assess their correlations. Methods : Three hundred ninety two healthy adolescents (213 boys and 179 girls) underwent measurement of brachial ankle pulse wave velocity (baPWV), ABI, body mass index(BMI) and blood pressure from four extremities. Linear regression analysis was performed to reveal the correlations between PWV, ABI and independent variables. Results : Blood pressure and PWV were significantly higher in all extremities in males compared to females. Blood pressure of both brachial and ankle showed positive correlation with body weight, height, and BMI, whereas ABI showed no correlation with any of these indices. Conclusion : Blood pressure increases as body weight, height and BMI increases. PWV shows positive correlation with blood pressure. It will be helpful to predict the risks of cardiovascular diseases in adolescents.

A Study of Serum Lipid Levels, Blood Sugar, Blood Pressure of Buddhist nuns in Vegetarians and Non-Vegetarians (I) - Based on BMI, WHR, %BF- (채식을 하는 스님과 비채식 일반인의 혈중 지질수준, 혈당, 혈압에 관한 연구(I) -체질량지수, 체지방 분포형태, 체지방 함량을 중심으로-)

  • 차복경
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.31 no.5
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    • pp.862-870
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    • 2002
  • The purpose of this study is to verify the relation between vegetarian diet and the risk factors of cardiovascular disease. The subjects of the study were 127 Buddhist nuns (age:23~79y) from Oonmoon Temple in Choungdo District Gyeongsang Bookdoo Province and 118 Buddhist nuns practicing Zen meditation at Soodeok Temple in Yeosan District Chongcheong namdoo Province. For control subjects, 235 healthy female adults (age:23~79y) were selected. They were the teachers, the nurses of the hospital of Gyeongsang National university and the housekeepers living in chinju Gyeongsang Namdoo Province. The period of this study was from October 1996 to February 1997. The contents were consisted of food consumption survey, anthropometric measurement, estimating amount of energy expenditure, physical activity and clinical examination. Results were summarized as follows: The mean ages of the subjects were 44.2y for vegetarians and 40.5y for non-vegetarians, respectively. average body mass index (BMI) of vegetarians and non-vegetarians were 22.47 adn 21.08, WHR 0.85 and 0.84, percentage of body fat 28.79 and 26.55 respectively. The average duration of vegetarian diet of the vegetarians was 13.16 years. Levels of total cholesterol, LDL-cholesterol, atherogenic index (AI), diastolic blood pressure, blood sugar and HDL-cholesterol of non-vegetarians were significantly higher (p<0.01) than those of vegetarians, but ration of HDLcholesterol/total-cholesterol was lower in non-vegetarians. In both of subjects, BMI, WHR, RBW, %BF had sig-nificant positive correlations with triglyceride, total cholesterol, LDL-cholesterol and AI. BMI, WHR had sig-nificant positive correlation with systolic blood pressure. BMI, WHR had significant negative correlation with HDL-cholesterol. In summary, vegetable diet can contribute to lowering serum lipid level, atherogenic index (AI),systolic blood pressure, blood sugar.