• Title/Summary/Keyword: 호흡기측정

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Statistical analyses in an occupational health study (산업보건연구에서의 통계학적 분석)

  • 백도명;최정근;손미아
    • The Korean Journal of Applied Statistics
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    • v.6 no.2
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    • pp.201-215
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    • 1993
  • The health status of workers in a foundry was analyzed in a study which consisted of evaluations of respiratory health together with environmental measurements. The results from environmental measurements showed values exceeding permissible exposure limits. A t-test was done with log transformed and untransformed data to examine the statistical significance for the noncompliance with exposure standards. For the analysis of categorical health outcomes, $\chi$-square test with 2 $\times$ 2 tables and logistic regression analysis were employed. For continuous variables, multiple linear regression was done against assessed risk factors. Pros and cons of different parameters in the compliance (or noncompliance) testing were presented. Respiratory function did not show any relation with occupational exposures, which may be due to the healthy worker effects. Strategies for controlling time dependent covariates were discussed in relation to the healthy worker effect. The scope of statistical analysis in occupational health studies is still limited in Korea without a suitable external comparison group such as credible vital statistics for the whole nation. Internal comparisons between different exposure status often result in unstable estimates of effect, and proportional morbidity study is discussed as an alternative potential research tool.

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Outcome and risk factors of pediatric hemato-oncology patients admitted in pediatric intensive care unit (소아 중환자실에 입실한 소아 종양/혈액 질환 환자의 예후 및 위험인자)

  • Kim, Bo Eun;Ha, Eun Ju;Bae, Keun Wook;Kim, Seon Guk;Im, Ho Joon;Seo, Jong Jin;Park, Seong Jong
    • Clinical and Experimental Pediatrics
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    • v.52 no.10
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    • pp.1153-1160
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    • 2009
  • Purpose:To evaluate the risk factors for mortality and prognostic factors in pediatric hemato-oncology patients admitted to the pediatric intensive care unit (PICU). Methods:We retrospectively reviewed the medical records of pediatric hemato-oncology patients admitted at the PICU of the Asan Medical Center between September 2005 and July 2008. Patients admitted at the PICU for perioperative or terminal care were excluded. Results:Total 88 patients were analyzed. Overall ICU mortality rate was 34.1%. Mean age at PICU admission was $7.0{\pm}5.7$ years and mean duration of PICU stay was $18.1{\pm}22.2$ days. Hematologic diseases contributed to 77.3% of all the primary diagnoses, and the primary cause of admission was respiratory failure (39.8%). The factors related to increased mortality were C-reactive protein level (P<0.01), ventilation or dialysis requirement (P<0.01), and hematopoietic stem cell transplantation (P<0.05). In all, 3 scoring systems were investigated [Number of Organ System Failures (OSF number), the Pediatric Risk of Mortality III (PRISM III) score, and the Sequential Organ Failure Assessment (SOFA) score]; higher score correlated with worse outcome (P<0.01). The Oncological Pediatric Risk of Mortality (O-PRISM) scores of the 21 patients who had received hematopoietic stem cell transplantation were higher among the non-survivors, but not statistically significant (P=0.203). Conclusion:The PRISM III and SOFA scores obtained within 24 hours of PICU admission were found to be useful as early mortality predictors. The highest OSF number during the PICU stay was closely related to poor outcome.

Reference values for respiratory system impedance using impulse oscillometry in school-aged children in Korea (학동기 소아에서 impulse oscillometry system로 측정한 폐기능 정상치)

  • Wee, Young Sun;Kim, Hyoung Yun;Jung, Da Wun;Park, Hye Won;Shin, Yoon Ho;Han, Man Yong
    • Clinical and Experimental Pediatrics
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    • v.50 no.9
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    • pp.862-867
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    • 2007
  • Purpose : The impulse oscillometry (IOS) is applicable to young children because it requires minimal cooperation and a non-invasive method to measure the mechanics of respiratory system. This study aimed to develop the reference values in school-aged children in Korea, using IOS which is a modification of forced oscillation technique (FOT). Methods : Measurements were performed in 92 previously untrained healthy children, aged 7 to 12 years old, using IOS. We analyzed the relationships between the data about their age, height, weight, body surface area (BSA), body mass index (BMI) and the result of IOS using the linear regression test. Results : The success rate of IOS was 92.4%. Stepwise multiple regression of resistance of respiratory system (Rrs) and reactance of respiratory system (Xrs) in natural form for age, height, weight, BSA, BMI showed that height was the most significant predictor and altogether of 5 variables explained the Rrs and Xrs most. Our regression equations at multiple frequencys were comparable to published reference values, especially about the Rrs obtained at 5 Hz. Conclusion : IOS is a feasible method to measure the respiratory resistance in untrained children. We got the reference values using IOS and it seems to be useful to diagnose a variety of respiratory diseases.

Quantitative Measurement of Surfactant Protein B mRNA by Filter Hybridization (Filter Hybridization 방법에 의한 Surfactant Protein B mRNA의 정량측정)

  • Park, Sung-Soo;Lee, Dong-Hoo;Shin, Dong-Ho;Lee, Jung-Hee
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.3
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    • pp.242-247
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    • 1992
  • Background: The ability to precisely measure specific mRNA levels by hybridization to complementary DNA probes is an important tool for analyzing the regulation of gene expression. Surfactant proteins have important roles in regulating surfactant metabolism as well as in determing its physical properties. Method: The complete coding regions for rat surfactant protein complementary DNA of surfactant protein B were subcloned into pGem 3Z or 4Z such that either antisense or sense transcripts were obtained by using SP 6 RNA polymerase. Surfactant protein B mRNA was measured by filter hybridization. Results: Equation of standard curve between counts per minute (Y) and surfactant protein B mRNA transcript input (X) was Y=2034.9 X+159.1. Correlation coefficient was 1.0. Couclusions: Filter hybridization assay is suited to situation when rapid, accurate quantitation of multiple samples is required.

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Factor Analysis of Health Risk Behaviors in Adolescents: Focusing on Daegu and Gyeongbuk provinces (사춘기청소년의 건강위험행동에 대한 요인분석: 대구·경북지역을 중심으로)

  • Kum, Chang-Ae;Suh, Kyung-Do;Han, Sang-Chul
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.421-430
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    • 2018
  • The purpose of this study is to analyze the scale of health risk behaviors among adolescents in Daegu area. The purpose of this study was to develop a health risk behavior measurement item for the adolescent adolescents in Korea and to analyze the validity (CVR) of the existing THI measurement items and then to quantify the health risk behavior Were compared and analyzed. As a result of the analysis, the reliability of the health risk behavior scale of adolescents developed through the factor analysis was verified to derive measurement items such as general condition, respiratory, circulatory, digestive, mental health and other items. The reliability and validity of the developed health risk behavior scale were found to be fairly good. Through these studies, it will be possible to develop a preventive program that can reduce the risk of health related adolescents' youth, and to devise a strategy that can provide basic data for policy formulation.

A Development of Design Prototype of Smart Clothing for Healthcare Based on Sensing Technology of Vital Signs (생체 신호 측정기술에 기반한 건강관리용 스마트 의류 디자인 프로토타입 개발)

  • Cho, Hyun-Yee;Lee, Joo-Hyeon;Lee, Chung-Keun;Lee, Myoung-Ho
    • 한국HCI학회:학술대회논문집
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    • 2006.02b
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    • pp.227-232
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    • 2006
  • 스마트 의류의 발달은 pc 를 분산, 부착한 웨어러블 컴퓨터의 연구로부터 진행되어 왔으며, 1990 년대 후반 이후 착용자 감성을 고려해 더욱 편안하며, 의복과 유사한 외관을 디자인 하려는 노력이 전개되고 있다. 스마트 의류는 엔터테인먼트, 비즈니스, 스포츠, 의료 분야에 적용 등 다양한 애플리케이션으로 연구, 개발되고 있으며, 최근 들어서는 생체신호 센서를 이용한 건강관리용 스마트 의류의 연구가 주목 받고 있다. 건강에 대한 관심과 라이프 스타일의 변화, 고령화 사회의 예상으로 인해 건강복지에 대한 필요성이 증가하는 최근 트렌드를 볼 때, 건강 관리용의 스마트 의류의 수요는 증가될 것으로 예상된다. 이에 본 연구에서는 기본적인 생체신호 뿐 아니라 심장 질환, 호흡기 질환을 측정할 수 있는 건강 개념의 스마트 의류 디자인을 개발하였다. 이 스마트 의류는 기존의 의복의 형태와 착용감은 그대로 유지하면서 의복 착장 시 생체 신호를 전송, 모니터링 할 수 있도록 설계하였다. 개발된 의복은 심전도, 체온 센서로 구성되어 있으며, 이를 통해 심전도, 호흡량, 맥박, 체온 등의 생체신호를 얻을 수 있다. 디자인 프로토타입의 기기 위치 선정은 선행 연구에서 제시한 '착용성 향상을 위한 웨어러블 컴퓨터 디자인 지침' 을 기반으로 설계하여 착장 시 기기로 인한 이물감이 느껴지지 않도록 하였으며 또한, 기기의 하중을 최소화 하였다. 의복의 디자인은 센서의 안정된 부착과 활동성, 센서의 정확한 측정을 고려하여 표피의 면적 변화를 고찰하여 디자인하였다. 이 스마트 의류는 노인, 건강 이상자, 통원 치료자에게 평상시의 건강을 체크 함으로써 보다 원활한 치료의 가능으로 의료 복지에 기여할 것으로 예상되며, 디자인 프로토타입의 개발을 통하여 센서기반 스마트 의류의 가능성을 제시했다는 점에서 이 연구의 의의가 있다.

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An Implementation of Spirometry System Based Differential Pressure Method (차동 압력 방식을 이용한 호흡측정 시스템 구현)

  • 김요한;신창민;김영길
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2002.11a
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    • pp.440-447
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    • 2002
  • This paper considerated about exact flow volume calculation method from factors having an influence on measurement and introduced in anesthesia ventilator realized spirometry system. System used differential pressure sensing method with factors, that is temperature, pressure, gas density, humidity and mucus etc. System optimized for low power system for mobile system. System composed analog interface part, signal processing part, display part. Analog interface part have differential pressure flow sensor and defferential pressure sensor. Signal processing part have AVR processor for low power system display part use serial port (RS232, SPT). so it display at pc monitor or send to anesthesia ventilator. System is stable by linearizing 2th characteristics of flow-differential pressure, auto correction of sensor. Noise reduced by algorithm with analog filter and digital processing. Small, light, low power system is good at mobile system and applied to patient in emergency or mobile. and, System is useful at anesthesia ventilator by using flow sensor.

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Development of fecal coliform prediction model using random forest method (랜덤포레스트기법을 이용한 분변성대장균 예측모델 개발)

  • Seo, Il Won;Choi, Soo Yeon
    • Proceedings of the Korea Water Resources Association Conference
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    • 2016.05a
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    • pp.124-124
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    • 2016
  • 하천에서의 분변성대장균은 분변성 오염 정도를 나타내는 지표로서, 이 농도가 높을수록 오염된 하천수와의 접촉을 통한 호흡기, 소화기 및 피부 관련 질병의 발발 확률이 높다고 알려져 있다. 따라서 하천에서의 수영, 수상스키 등과 같은 입수형 친수활동을 할 때, 분변성대장균 농도가 농도 기준 이하인지를 확인하고 이러한 정보를 친수활동에 이용할 필요가 있다. 그러나 분변성대장균의 경우, 현재 자동수질측정망에서 측정되고 있는 다른 수질인자들과는 달리 실시간 측정이 불가능하다고 알려져 있다. 분변성대장균을 측정하는데 있어 최소 18시간 이상이 필요하며, 이러한 분변성대장균 측정 방식은 하천 이용자들이 안전한 친수활동을 영위하는데 있어 적절한 수질 정보를 제공하지 못한다. 그러므로 분변성대장균을 예측하는 모델을 개발하고, 이를 이용하여 실시간 분변성대장균 정보를 생성하여 하천 이용자들에게 제공할 필요가 있다. 본 연구에서는 친수활동이 활발하게 이루어지는 곳 중 하나인 북한강의 대성리 지점에 대해 데이터 기반 모델을 이용하여 분변성대장균을 예측하였다. 데이터 기반 모델은 물리 기반 모델에서 필요한 지형데이터나 비점오염원 등의 초기 오염물의 양에 대한 데이터를 필요로 하지 않고, 대신 독립변수로 사용되는 기상 및 수질데이터를 필요로 한다. 이러한 기상 및 수질데이터는 기존 기상관측소, 수질관측소에서 매일 자동으로 측정되기 때문에 데이터 기반 모델은 물리 기반 모델에 비해 입력데이터를 구성하기가 쉽다는 장점을 지닌다. 이러한 데이터 기반 모델 중 분류 모델은 회귀 모델과 달리 분변성대장균 농도가 일정 수질기준 이상을 넘는지를 바로 예측할 수 있다. 본 연구에서는 분류 모델 중 높은 예측력을 가진다고 알려진 랜덤포레스트(random forest) 기법을 이용하여 분변성대장균 예측 모델을 개발하였다. 분변성대장균 예측 모델은 주어진 기상 및 수질 조건에 대해 분변성대장균이 200 CFU/100ml가 넘는지를 예측하였다. 예측된 분변성대장균이 기준을 넘는 경우를 2등급, 넘지 않는 경우를 1등급으로 명명하였다. 모델을 개발하기 위하여 북한강 대성리 인근 측정소에서 2010년부터 2015년까지 측정된 기상 및 수질데이터를 수집하였다. 수집한 데이터를 훈련 및 검증데이터로 샘플링하였으며, 이 때 샘플링한 데이터가 기존 데이터가 가지고 있던 등급별 비율을 유지하기 위하여 층화샘플링을 하였다. 본 연구에서는 샘플링에 의한 불확실성을 줄이기 위하여 랜덤하게 50번 샘플링된 각각의 훈련데이터에 대해 모델을 개발하였다. 50개의 모델의 검증 결과를 종합한 결과, 전체 예측률은 0.139로 나타났다.

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Prediction Formulas of Pulmonary Function Parameters Derived from the Forced Expiratory Spirogram for Healthy Nonsmoking and Smoking Adults and Effect of Smoking on Pulmonary Function Parameters (비흡연 및 흡연 성년 한국인에서의 노력성호기곡선을 이용한 폐활량측정법 검사지표들의 추정상치 및 이에 대한 흡연의 효과)

  • Cho, Won-Kyoung;Kim, Eun-Ok;Myung, Seung-Jae;Kwak, Seung-Min;Koh, Youn-Suck;Kim, Woo-Sung;Lee, Moo-Song;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.5
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    • pp.521-530
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    • 1994
  • Background : The past studies on prediction formulas of pulmonary function parameters in healthy nonsmoking Korean adults have been performed in relatively small number of subjects and the reported results were restricted on a few parameters. Also there was no systematic investigation into the effect of smoking on pulmonary function parameters in smokers who have no respiratory symptoms. Therefore we attempted to establish prediction formulas of pulmonary function parameters and examined the effect of smoking on pulmonary function parameters. Methods We analyzed the result of parameters derived from the forced expiratory spirogram in 1,067 nonsmoking subjects from June in 1990 to December in 1991. They consisted of 306 males and 761 females and had neither respitatory symptoms nor history of respiratory disease. We derived prediction formulas by multiple linear regression method from their age, heights, and weights in each sex. To examine the effect of smoking on pulmonary function parameters, we classified 383 smoking men into three groups according to the past amount of smoking as follows : i.e. group of smokers who have smoked below 10 pack-years, 10-20 pack-years and above 20 pack-years. Regarding each group of past smoking as an independent dummy variable, we analyzed pulmonary function parameters including nonsmoking men as a baseline by multiple linear regression. We evaluated the smoking effect on pulmonary function parameters according to estimated p-value. Result : 1) Prediction formulas for pulmonary function parameters in each sex were derived. 2) The past smoking less than 10 pack-years does not give any effect on pulmonary function parameters. The past smoking of 10~20 pack-years showed significant negative correlation with $FEV_1$/FVC and FEF 25~75%, and the smoking above 20 pack years showed negative correlation with $FEV_1$ and $FEV_1$/FVC. Conclusion : We have got prediction formulas of pulmonary function parameters which is driven from forced expiratory spirogram in nonsmoking Korean adults by multiple linear regression from age, heights and weights of subjects. The past smoking more than 10 pack-years showed negative correlation with some pulmonary function parameters of airflow obstruction.

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The Time Responses of Spirometric Values in Response to Single Doses of Inhaled Salbutamol (기관지확장제 사용 후 시간에 따른 폐활량 측정치의 변화)

  • Park, Sun Hyo;Choi, Won-Il;Lee, Sang Won;Park, Hun Pyo;Seo, Yong Woo;Ku, Duk Hee;Lee, Mi Young;Lee, Choong Won;Jeon, Young June
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.2
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    • pp.144-150
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    • 2004
  • Background : An assessment of the presence and the degree of reversibility of airflow obstruction is clinically important in patients with asthma or chronic obstructive pulmonary disease. However, the time responses of spirometric parameters in response to bronchodilator have not been well investigated. Methods: We studied 15 patients with asthma. Spirometric and mini-Wright peak expiratory flow measurements were performed at 15, 30, 45, and 60 minutes after using single dose($200{\mu}g$) of inhaled bronchodilator, salbutamol. Results : The mean values of forced expiratory volume in one second($FEV_1$) and forced vital capicaty(FVC) were significantly increased at 60 minutes after using bronchodilator in comparison to 15 minutes. And peak expiratory flow rate measured by either mass flow sensor or mini-Wright peak flow meter were significantly increased at 45 minutes after using bronchodilator in comparison to 15 minutes. Conclusions : To appropriate evaluation of the bronchodilator response in patients with reversible airflow limitation, it would be useful measuring either $FEV_1$ or PEF at the later time point 60 or 45 minutes in comparison to 15 minutes after using bronchodilator.