• 대한한의학회지
• /
• 제23권1호
• /
• pp.92-99
• /
• 2002

Objectives : To investigate the role of Meridian flow on acupuncture effect, we observed the therapeutic effects of electroacupuncture (EA) after Meridian blocking with pressure in arthritic rats. Methods : To make reliable and local monoarthritis, $40{\;}{\mu}l$ complete Freund's adjuvant was injected into the tibio-tarsal joint. EA was applied on acupoint GB30 while 5 Pascal pressure was added to the middle of the Gall bladder Meridian around GB31 between acupoint GB30 and arthritic foci (ipsilateral meridian blocking: IB) or opposite part of IB (contralateral part blocking: CB). To observe the change of arthritis, extension and flexion pain scores and circumferential differences were evaluated once a week. Results : EA stimulation without blocking reduced arthritic pain significantly. IB abolished the acupuncture effects and there was no statistical difference with the arthritic control group, whereas the CB group still showed the therapeutic effects of acupuncture. Conclusions : This finding strongly supports that the Meridian blocking with local pressure reduced the therapeutic effect of EA.

• 대한의용생체공학회:의공학회지
• /
• 제24권4호
• /
• pp.281-286
• /
• 2003

혈압은 사람의 건강상태를 알 수 있는 가장 기본적인 의학적 파라메터 중 하나이며, 오실로메트릭 방법을 사용한 혈압측정 시스템은 팔 동맥에서 커프를 통해 나타나는 압력을 측정함으로써 혈압수치를 비침습적으로 모니터링 하는 장치이다. 된 논문에서는 커프에 공기를 주입하면서 혈압을 측정하는 가압식 손목형 혈압측정 시스템을 설계하였다 설계한 혈압측정 시스템은 전원부와 압력을 가하는 공기주머니를 포함하는 커프, 신호검출부, 신호처리부, 무선 송수신부 그리고 디스플레이부로 구성된다. 설계한 자동 혈압측정 시스템은 기존에 일반적으로 사용되고 있는 자동혈압측정 시스템과의 수축기, 이완기 혈압 및 심박동수의 비교분석을 통해 신뢰성을 평가하였다. 수축기 혈압과 이완기 혈압을 결정하기 위해 MAA (Maximum Amplitude Algorithm)를 사용하였고, 적용한 특성비율은 0.436. 0.671이 었다.

• Archives of Plastic Surgery
• /
• 제34권4호
• /
• pp.531-534
• /
• 2007

Purpose: Plastic surgeons are responsible for the management of spinal cord injury patients with upper and lower extremity reconstruction, pressure sore, and wounds. Derailment of autonomic nervous systems caused by injury to the spinal cord may result in fatal autonomic dysreflexia. Autonomic dysreflexia is a syndrome of massive imbalance of reflex sympathetic discharge occurring in patients with spinal cord lesion above the splanchnic outflow(T6). It is characterized by a sudden onset and severe increase in blood pressure and is potentially life threatening. The other classic symptoms are headache, chest pain, sweating, and bradycardia. In order to lower the blood pressure, it is important to remove the noxious stimulus for autonomic dysreflexia. If such symptoms last for more than 15 minutes despite conservative interventions, antihypertension drugs are recommended. Methods: In this case study, we report an autonomic dysreflexia case that developed in a 45 year-old tetraplegia patient with sacral pressure sore. When he got bladder irrigation, his blood pressure went up very high and his mentality became stuporous. He was sent to ICU for his blood pressure and mental care. ICU care made his vital sign stabilized and his mentality alert. Results: After the patient underwent proper treatment like inotropic agent, he was transferred to the general ward and his pressure sore on sacral area was coveraged with gluteus maximus myocutaneous advancement flap. Conclusion: If treatment is not effective, the patients have to undergo sudden, severe hypertension, which can cause stroke or death. To provide safe and effective care, plastic surgeons should be able to recognize and treat autonomic dysreflexia.

• 한국의료질향상학회지
• /
• 제3권1호
• /
• pp.94-103
• /
• 1996

Background : Blood pressure is an important indicator in diagnosis and assessing treatment of a patient. Clinical staffs use blood pressure on the assumption that measured value is accurate and reliable. However, whether measured blood pressure is accurate has been rarely investigated in Korea. Objectives : The aims of this study are to evaluate clinical staffs' knowledge and technique as well as accuracy of sphygmomanometer. Also the program to improve the measurement is developed. Methods : Seventy-three registered nurses were asked nine multiple choice questions including Korotkoff sound, cuff size, and deflation rate. Simultaneously characteristics of nurses were examined, age, working place, duration of employment and academic degree. A testing videotape(Standardizing Measurement Video-Tutored Course) was used for evaluating the accuracy of measurement. Testees were to read and record the 12 cases of blood pressure measurement, watching a falling mercury column and hearing Korotkoff sounds. After 10 minutes' education, they were again tested with the same cases. Additionally, 83 mercury sphygmomanometers were checked to find defects such as inaccurate calibration and zero setting, leaky bladder, etc. Results: For the knowledge testing correct response rate was 41.1%. They were the lowest in selecting the proper cuff size and Korotkoff sound. In examining accuracy of blood pressure with videotape, nurses had 67.7% correct response rate. The correct response rate was significantly improved by a session of education. About 23% of sphygmomanometers was without discernable defects. Conclusion : The knowledge and skill of clinical staffs along with the accuracy of equipment have to be improved. A properly designed education program would contribute to the accuracy improvement of blood pressure measurement. Also, more concerns should be given to the precision and maintenance of equipment.

• Journal of Korean Neurosurgical Society
• /
• 제51권2호
• /
• pp.81-85
• /
• 2012

Objective : The purpose of this prospective study was to evaluate the effects of body mass index (BMI) on intra-abdominal pressure (IAP) and intraoperative blood loss (IBL) during lumbar spinal surgery. Methods : Thirty patients scheduled for single level posterior lumbar interbody fusion were allocated equally to a normal group (Group 1, BMI;$18.5-22.9kg/m^2$), an overweight group (Group 2, BMI; $23-24.9kg/m^2$), and an obese group (Group 3, BMI; $25.0-29.9kg/m^2$) according to BMI. IAP was measured using a urinary bladder catheter; 1) supine after anesthesia induction, 2) prone at skin incision, 3) prone at the end of surgery. In addition, IBL was also measured in the three groups. Results : IAP in the supine position was not significantly different in groups 1, 2, and 3 (2.7 mm Hg, 3.0 mm Hg, and 4.2 mm Hg, respectively) ($p$=0.258), and IAP in the prone position at incision increased to 7.8 mm Hg, 8.2 mm Hg, and 10.4 mm Hg, respectively, in the three groups, and these intergroup differences were significant, especially for Group 3 ($p$=0.000). IAP at the end of surgery was slightly lower (7.0 mm Hg, 7.7 mm Hg, and 9.2 mm Hg, respectively). IBLs were not significantly different between the three groups. However, IBLs were found to increase with IAP in the prone position ($p$=0.022) and BMI ($p$<0.05). Conclusion : These results show that BMI affects IAP in the prone position more than in the supine position during lumbar spinal surgery. In addition, IBLs were found to increase with IAP in the prone position and with BMI. Thus, IBLs can be expected to be higher in morbidly obese patients due to an increased IAP.

• 한국인터넷방송통신학회논문지
• /
• 제15권2호
• /
• pp.203-211
• /
• 2015

신약개발이나 동물연구 등에서 연구대상 동물이 케이지(cage) 안에서 자유롭게 움직이고 있는 상태에서 무선으로 다량의 데이터를 수집하는 장치는 실험동물 신체 내부에 배터리로 구동되는 소형발신기를 내장시켜 혈압, 온도, 심박수, Electrocardiogram(ECG), Electroencephalography(EEG) 등의 정보를 근접통신을 통해 근처의 수신기로 전달하게 된다. 이러한 장비는 한정된 내부의 배터리를 이용하기 때문에 측정시간의 한계가 있으며, 이러한 문제를 해결하기 위해서 전자기유도방식의 단점인 발신부와 수신부사이의 거리가 멀어질 때 발생하는 효율저하문제를 극복하기 위하여 다중코일 구조를 이용한 무선전력전송 구동 드라이버를 제안하였으며, 다중코일 중 수신부가 놓인 코일을 선택하기 위한 수신부 감지 장치도 제시되었다. 또한 실험을 통하여 제안된 구동드라이버 및 수신부 감지 회로의 구동 조건 선정 과정을 제시하였다.

• 한국자연치유학회지
• /
• 제7권2호
• /
• pp.47-50
• /
• 2018

목적: 세계에서 가장 아름다운 노래 아리랑 노래가 자연치유와 만나 시너지효과를 높이는 것이 중요하다. 그래서 본 연구에서는 아리랑 노래와 자연치유는 서로 다른 경계를 넘나들며 아리랑 음악 치유라는 분야에 아리랑과 새로운 체조를 접목해서 새로운 품새를 개발하는 것이 목적이었다. 방법: 아리랑체조를 개선하는 방법을 사용하였다. 결과: 사용한 아리랑 노래는 서울, 해주, 밀양, 강원도, 진도아리랑을 후렴과 본절 1절을 사용하였다. 기존의 아리랑 체조를 새로이 개발한 신 아리랑체조는 아리랑음악치유의 일부분으로 6개 동작으로 구성되어 있다. 품새를 보면 서울아리랑에 맞추어 준비운동을 시작으로 명치와 간담, 비장과 위장을 지압한다. 해주아리랑에 맞추어 복부의 오른쪽 간담, 왼쪽 비장과 위장, 위쪽(위장)과 아래쪽 방광을 맛사지해 준다. 밀양아리랑에 맞추어 단전과 방광, 심장과 폐를 두드린다. 다음에는 강원도 아리랑에 맞추어 양팔과 어깨를 스트레칭하고 양손을 엇갈려 뒤에서 만나게 한다. 그리고 진도아리랑에 맞추어 어깨와 손목을 돌린다. 결론: 새로운 품새를 이용한 신 아리랑과 체조에 맞추어 하는 유산소운동은 건강과 몸과 마음의 치유에 유용하다.

• 소성∙가공
• /
• 제24권2호
• /
• pp.89-94
• /
• 2015

Medical catheter tubes are disposable devices that are inserted into the body cavities such as the pleura, trachea, esophagus, stomach, urinary bladder, ureter, or blood vessels for surgical procedures. Each hole of the inner tube is called a lumen, which is used as a passage for drug injections, waste discharge, polypus removal, blood transport, or injection of a camera or sensor. The catheter tube is manufactured by extrusion. The flow in the inner extrusion die affects the thickness and diameter of the tube. In the current study computer simulation of flow in an extrusion die for catheter tubing was performed. Velocity, pressure, shear rate, and shear stress were investigated and the die design was examined.

• 대한물리치료과학회지
• /
• 제3권2호
• /
• pp.1011-1019
• /
• 1996

The incidence of spinal cord injury increase due to traffic accident, industrial accident and leisure sports. Spinal cord injury damages motor and sensory function below the injury level, also affects autonomic functions associated with voiding and defecation. Sexual dysfunction and psychosocial, vocational maladaptations are also some of the unwanted consequences of injury. The purpose of this study is look for means to prevent and to manage complications in spinal cord injury through investigation and analysis. The subjects of this study in spinal cord injured patients were admitted to the department of physical therapy, Kwangju christian Hospital, Nam Kwang Hospital, Chun Nam university Hospital and Cho Sun university Hospital, from April, 1, 1995 to March, 31, 1996. The results are as follows: 1. The subjects comprised 96 cases of spinal cord injury, ranging from 17 to 85(mean-40.8 yrs) and included 72 males and 24 females. Among these patients, 58 were cervical injury, 20 were thoracic injury and 18 were lumbar injury. 2. As for a major causative of spinal cord injury were traffic accident(59.4%), fall down (27.1 %), and motocycle(4.2%).. 3. The bladder control were taken by indwelling cathetar(41.7%), Crede maneuver(37.5%) and self voiding(16.7%). The bowel control were taken by all aid(61.5%), assitance(32.3%) and self defecation(6.2%). 4. Possible of sexual function were 35 cases (47.9%). 5. The device of transfer used wheel chair(69.8%) and bed(16.7%). 6. The patients with higher cord lesion got more serious pain than lower cord lesion. Also the patients with higher cord lesion got a serious spasticity. 7. The incidence of decubitus ulcer among 96 patients were in case 46(47.9%). The largest group of the pressure sore sites were sacral portion(82.0%), less than 1 month of onset occured a large numbers(50%). Incidence of pressure sore by spasticity occured many patients in case of mild or moderate. Incidence of pressure sore by pain occured many patients in case of severe pain.

• 한국임상수의학회지
• /
• 제33권4호
• /
• pp.237-242
• /
• 2016

A 1.86 kg, 3-year-old, female, Maltese was presented to the Veterinary Medical Teaching Hospital of Seoul National University after being hit by a car. The patient was diagnosed with urinary bladder rupture, diaphragmatic hernia and fracture of ilium, tibia and fibula. Repair surgery was performed after stabilizing treatment. During the surgery, hypoxia was identified and it worsened after positive pressure ventilation (partial pressure of oxygen in arterial blood ($PaO_2$): 52 mmHg, pulse oximetry ($SpO_2$): 87%, arterial hemoglobin oxygen saturation ($SpO_2$): 85.8%). In addition to hypoxia, blood pressure decreased to 30 mmHg. Positive pressure ventilation was discontinued because hypoxia and hypotension were aggravated. After suturing the diaphragm, air was withdrawn to form negative pressure within the thorax. However, negative pressure was not attained despite continuous withdrawal of air. A thoracostomy tube was placed because tension pneumothorax was strongly suspected. The patient recovered through close monitoring with the tube for 3 days. Due to limitation of evaluation of the lung, predicting occurrence of tension pneumothorax is difficult in patient of diaphragmatic hernia. Therefore, it is recommended that indicators of tension pneumothorax should be closely monitored during diagnosis and repair procedures of diaphragmatic hernia.