• Title/Summary/Keyword: Blood pressure

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Improvement of the Accuracy of Wrist Noninvasive Blood Pressure Measurement Using Multiple Bio-signals (다중 생체 신호를 통한 손목 혈압 측정의 정확도 향상)

  • Jung, Woon-Mo;Sim, Myeong-Heon;Jung, Sang-O;Kim, Min-Yong;Yoon, Chan-Sol;Jung, In-Chol;Yoon, Hyung-Ro
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.60 no.8
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    • pp.1606-1616
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    • 2011
  • The blood pressure measuring equipment, which is being supplied and used most widely by being recognized convenience and accuracy now generally, is oscillometric blood pressure monitor. However, a change in blood pressure is basically influenced by diverse elements such as each individual's physiological status and physical condition. Thus, the measurement of blood pressure, which used single element called oscillation in blood pressure of being conveyed to cuff, is not considered on physiological elements such as cardiovascular system status and blood vessel stiffness index, and on external elements, thereby being quite in error. Accordingly, this study detected diverse bio-signals and body informations in each individual as the measurement subject such as ECG, PPG, and Korotkoff Sound in order to enhance convenience and accuracy of measuring blood pressure in the complex measurement equipment, thereby having extracted regression method for compensation in error of oscillometric blood pressure measurement on the wrist, and having improved accuracy of measuring blood pressure. To verify a method of improving accuracy, the blood pressure value in each of SBP, DBP, MAP was acquired through 4-stage experimental procedure targeting totally 51 subjects. Prior to experiment, the subjects were divided into two groups such as the experimental group for extracting regression method and the control group for verifying regression method. Its error was analyzed by comparing the reference blood pressure value, which was obtained through the auscultatory method, and the oscillometric blood pressure value on the wrist. To reduce the detected error, the blood pressure compensation regression method was calculated through multiple linear regression analysis on elements of blood pressure, individual body information, PTT, HR, K-Sound PSD change. Verification was carried out on improving significance and accuracy by applying the regression method to the data of control group. In the experimental results, as a result of confirming error on the reference blood pressure value in SBP, DBP, and MAP, which were acquired through applying regression method, the results of $-0.47{\pm}7.45$ mmHg, $-0.23{\pm}7.13$ mmHg, $0.06{\pm}6.39$ mmHg could be obtained. This is not only the numerical value of satisfying the sphygmomanometer reference of AAMI, but also shows the lower result than the numerical value in SBP : $-2.5{\pm}12.2$ mmHg, DBP : $-7.5{\pm}8.4$ mmHg, which is the mean error in the experimental results of Brram's research for verifying accuracy of Omron RX-M, which shows relatively high accuracy among wrist sphygmomanometers. Thus, the blood pressure compensation could be confirmed to be made within significant level.

Circadian Biorhythmicity in Normal Pressure Hydrocephalus - A Case Series Report

  • Herbowski, Leszek
    • Journal of Korean Neurosurgical Society
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    • v.65 no.1
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    • pp.151-160
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    • 2022
  • Continuous monitoring of intracranial pressure is a well established medical procedure. Still, little is known about long-term behavior of intracranial pressure in normal pressure hydrocephalus. The present study is designed to evaluate periodicity of intracranial pressure over long-time scales using intraventricular pressure monitoring in patients with normal pressure hydrocephalus. In addition, the circadian and diurnal patterns of blood pressure and body temperature in those patients are studied. Four patients, selected with "probable" normal pressure hydrocephalus, were monitored for several dozen hours. Intracranial pressure, blood pressure, and body temperature were recorded hourly. Autocorrelation functions were calculated and cross-correlation analysis were carried out to study all the time-series data. Autocorrelation results show that intracranial pressure, blood pressure, and body temperature values follow bimodal (positive and negative) curves over a day. The cross-correlation functions demonstrate causal relationships between intracranial pressure, blood pressure, and body temperature. The results show that long-term fluctuations in intracranial pressure exhibit cyclical patterns with periods of about 24 hours. Continuous intracranial pressure recording in "probable" normal pressure hydrocephalus patients reveals circadian fluctuations not related to the day and night cycle. These fluctuations are causally related to changes in blood pressure and body temperature. The present study reveals the complete loss of the diurnal blood pressure and body temperature rhythmicities in patients with "probable" normal pressure hydrocephalus.

Evaluation of Relationship between Depression and Anxiety, Self Esteem, BMI, Blood Types, Blood Pressure of University Students (대학생의 우울경향과 불안감, 자아존중감, 비만도, 혈액형, 혈압과의 연관성 평가)

  • Choi, You-Kyung;Park, Jong-Hyeong
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.3
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    • pp.91-102
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    • 2013
  • Objective : This study aimed to evaluate the relation ship between depression and anxiety, self esteem, BMI, blood types, blood pressure, scoliosis of spine. Method : We analyzed the results Health examination of 5619 university students (included BDI, BAI, SES, BMI, Blood Types, Blood Pressure, X-ray of whole spine). All the data were analyzed statistically by descriptive statistics, t-test, ANOVA and regression analysis. Result : Female's BMI score and BAI score are higher than Male's. And Senior Group showed higher score than Freshman Group. There were positive correlation between BAI, and BDI. but negative correlation between SES, Blood Pressure and BDI. BMI, Blood types and Scoliosis of spine were not related to depression. Conclusion : There were correlation between BAI, SES, Blood Pressure and BDI. It is necessary to study about depression with many other effective factors of various psychological and physical subjects.

The Depressive Effect of Hwa-acupuncture Treatment in Hypertension Patients (고혈압 환자에서 화침법(和針法)의 혈압강하 효과)

  • Han, Chang-Hyun;Park, Kyung-Ho;Shin, Mi-Suk;Shin, Seon-Hwa;Choi, Sun-Mi
    • Journal of Acupuncture Research
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    • v.23 no.6
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    • pp.165-176
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    • 2006
  • Objectives : Aim of this study was to investigate the antihypertensive effect of Korean Hwa-Acupuncture in hypertensive patients. Methods: We measured the blood pressure of 14 patients who were admitted in the Oriental Medical Clinic of Balance & Harmony Korean Acupuncture Association from 25th March 2006 to 21th July 2006. Eligible participants had systolic blood pressure ${\geq}120mmHg$ diastolic blood $pressure{\geq}80mmHg$. Blood pressure and pulse rate measurements were after the patient had been bed rest for at least 30 min. 10 times of Hwa-Acupuncture treatment over 3 weeks period were performed in the patiants. To evaluate the effect of the Hwa-Acupuncture, the blood pressure, pulse rate were measured 2 times before and after each acupuncture treatment for total of 10 times. Results : After 3 weeks, there were significant decreased in the systolic blood pressure(P<0.0297) and significant decreased in diastolic blood pressure(P<0.0223) treated by Hwa-Acupuncture 10 times but pulse rate was failed to decreased. The effects of Hwa-Acupuncture by measuring time on blood pressure were as follows : systolic blood pressure were deceased significantly from 1st to 10th visit (P<0.0207) but diastolic blood pressure and pulse rate was not decreased significantly. Conclusion : The results suggest that Hwa-Acupuncture is effective in decreasing the systolic blood pressure.

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Gogoon acupuncture for hypertension (고혈압 환자에서 곡운침법의 혈압강하 효과)

  • Han, Chang-Hyun;Song, Ttae-Won;Shin, Mi-Suk;Shin, Seon-Hwa;Choi, Sun-Mi
    • Korean Journal of Acupuncture
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    • v.24 no.1
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    • pp.27-41
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    • 2007
  • Objectives : The aim of this study was to investigate the antihypertensive effect of Korean Gogoon Acupuncture in hypertensive patients. Methods : We measured the blood pressure of 17 patients who were admitted in the Oriental Medical Clinic of Gogoon Institute from 14th April 2006 to 29th August 2006. Eligible participants had systolic blood pressure ${\geq}120$ mmHg or diastolic blood $pressure{\geq}80$ mmHg. Blood pressure and pulse rate measurements were after the patient had been in bed rest for at least 30 min. Six sessions of Gogoon Acupuncture treatment over three weeks were performed in the patients. Blood pressure and pulse rate were measured twice before and after each acupuncture treatment. Results : After 3 weeks, there were significant decreases in systolic blood pressure(p=0.0028), diastolic blood pressure (p=0.0111) and pulse rate (p=0.0150). The effects of Gogoon Acupuncture by measuring time on blood pressure were as follows : In a systolic blood pressure (p<.0001) and diastolic blood pressure (p=0.0028) was gradually deceased significantly from 1st to 6th but pulse rate was not significantly decreased. Conclusions : Controlled trials investigating the efficacy of Gogoon acupuncture for lowering blood pressure are warranted.

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Design of U-healthcare System for Real-time Blood Pressure Monitoring (실시간 혈압 모니터링 u-헬스케어 시스템의 설계)

  • Cho, Byung-Ho
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.4
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    • pp.161-168
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    • 2018
  • High blood pressure is main today's adult disease and existing blood pressure gauge is not possible for real-time blood pressure measurement and remote monitoring. But real-time blood pressure monitoring u-healthcare system makes effect health management. In my paper, for monitoring real-time blood pressure, an architecture of real-time blood pressure monitoring system which consisted of wrist type-blood pressure measurement, smart-phone and u-healthcare server is presented. And the analog circuit architecture which is major core function for pulse wave detection and digital hardware architecture for wrist type-blood pressure measurement is presented. Also for software development to operate this hardware system, UML analysis method and flowcharts and screen design for this software design are showed. Therefore such design method in my paper is expected to be useful for real-time blood pressure monitoring u-healthcare system implementation.

Macronutrient Intake and Blood Pressure of Adolescents in Rural Korea (청소년기의 열량영양소 섭취양상과 혈압)

  • Kim, Young-Ok;Suh, Il;Nam, Chung-Mo;Kim, Suk-Il;Park, Im-Soo;Ahn, Hong-Seok
    • Korean Journal of Community Nutrition
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    • v.1 no.3
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    • pp.366-375
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    • 1996
  • The effect of carbohydrates, fat and protein consumption on the blood pressure of adolescents was investigated from the cross sectional data. The two major areas of inquiry were : 1)measuring the variation of blood pressure at various levels of macronutient intake. 2)measuring the relative importance between the factor of nutrient intake and physical growth. A total of 726 students(341 boys and 385 girls) in the first grade of middle school in Kangwha country were studied for their dietary consumption and physical growth as well as blood pressure. Multiple regression analysis was used as the analytical method to identify the relative importance between the factors. Besides the macronutrient consumption, other nutrients such as vitamin and mineral intakes were included in the regression model. The results showed a variation of blood pressure by macronutrient intake level was in consistant both in blood pressure and by gender. Systolic and diastolic blood pressure decreased with increasing protein intake for girls(p<0.05). However, it was not observed in the case of boys. The systolic blood pressure of boys showed a tendency to decrease with fat intake increase, while their diastolic blood pressure showed the opposite trend. Results of the regression analysis showed that physical growth was a more influential factor than nutrition on blood pressure for both sexes. This could imply that the dietary hypertension factors observed in adults may not be operative generally in a population with normotensive blood pressure during growth.

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Toward a More Complete Understanding of the Effects of Korean Ginseng (Panax ginseng) on Blood Pressure (고려인삼의 혈압에 미치는 영향에 대한 이해)

  • Nam, Ki Yeul;Yang, Byung Wook;Shin, Wang Soo;Park, Jong Dae
    • Korean Journal of Pharmacognosy
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    • v.48 no.2
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    • pp.97-107
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    • 2017
  • There is no doubt that the effect of ginseng on blood pressure could be different depending upon the type of ginseng employed for the experiment and methodology, thereby can exert bilateral modulatory activity on blood pressure. It has been reported that ginseng induced no significant change in blood pressure in those subjects with normal blood pressure, but had a normalizing effect on the subjects with abnormal blood pressure. Especially, experimental evidence indicates that ginsenoside Rg3, a major component of red ginseng, has been found to lower blood pressure, which is mediated by release of endothelium-derived NO, enhancing the accumulation of cGMP in the rat aorta. This clinical results further support the beneficial effect of Korean ginseng on blood pressure elucidated by animal experiment. As expected, a multicentric non-controlled clinical study shows that the effect of ginseng consumption has been found to normalize blood pressure in hypertensive or hypotensive individuals as compared to virtually no effect in normotensives. In addition, ginseng has been known to exhibit blood pressure decreased with no significant side effect and deteriorated QOL during the combination therapy of ginseng and anti-hypertensive drugs. This review provides a comprehensive overview on the effects of Korean ginseng on blood pressure.

Changes in the Saliva Cortisol Concentration and Blood Pressure of Patients with High Blood Pressure and Diabetes After Participating in Agro-healing Activities

  • Jang, Hye Sook;Yoo, Eunha;Jeong, Sun-Jin;Kim, Jae Soon;Gim, Gyung Mee;Ryu, Doo Young
    • Journal of People, Plants, and Environment
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    • v.22 no.5
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    • pp.445-454
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    • 2019
  • This study was conducted to find out physical changes in the blood pressure and saliva cortisol of patients with high blood pressure and diabetes after participating in agro-healing activities. The saliva cortisol and blood pressure of 14 males and females aged 49.79±10.48 on average were measured after participating in agro-healing activities. The saliva collection system was used, and their satisfaction level for the program was also surveyed. Changes in the values before and after participating in the agro-healing activities were compared and analyzed. The cortisol concentration, a stress hormone, was reduced from 6.76nmol/L before the program to 4.86nmol/L after the program, down by 1.9nmol/L, which was a statistically significant difference (z=-3.170, p<.01). In addition, the cortisol concentration was gradually reduced through the entire program from Session 1 to Session 7. Changes in the blood pressure of subjects before and after participating in agro-healing activities were examined, and the total systolic and diastolic blood pressure continuously decreased after participating in agro-healing activities through the entire program from Session 1 to Session 7. Their systolic blood pressure was reduced statistically significantly (z=-1.947, p<.05). Also, participants' satisfaction was analyzed and it was found that more than 95% of participants answered 'satisfied' and 'very satisfied' with agro-healing activities. Therefore, these results indicate that agro-healing activities performed in the healing-farm had a positive impact on the cortisol concentration and blood pressure of patients with chronic diseases such as diabetes and high blood pressure. In addition, their high satisfaction for this program seemed to improve the psychological and physiological conditions of subjects.

Changes in Blood Pressures, Blood Profiles and Physical Conditions among Adults in the Daejeon Area (대전지역 일부 직장인의 혈압, 혈액성분 및 체위의 변화)

  • Kang, Hae-Kyung
    • Korean Journal of Community Nutrition
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    • v.10 no.5
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    • pp.633-644
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    • 2005
  • The body mass index, blood pressures and blood profiles of adults, who worked at three colleges in the Daejeon area, were evaluated for use in developing well-balanced menus at their workplace cafeterias and/or in creating nutrition education programs tailored to their health statuses. The data analyzed were from physical examinations performed in 2002 and in 2004 by the National Health Insurance Corporation. Overall, levels of systolic and diastolic blood pressure and serum cholesterol were lower in the 2004 samples than in those of 2002, but most samples in 2004 showed higher levels of SGOT. In 2002, statistical differences occured in the levels of blood pressure and serum cholesterol among age groups, but not in 2004. And in 2004, the older the age group, the higher the BMI. Among subjects in their twenties, three variables (systolic and diastolic blood pressure, and serum cholesterol) showed statistical differences; this increased to four variables (systolic and diastolic blood pressure, blood glucose and serum cholesterol) among subjects in their thirties and to six variables (Hb, SGOT, systolic and diastolic blood pressure, blood glucose and serum cholesterol) among those in their forties, followed by a decline to four variables (systolic and diastolic blood pressure, Hb and serum cholesterol) among subjects in their fifties. In general, the results of physical examinations showed improvements in blood pressure and blood profiles in 2004 in comparison with results in 2002. The level of SGOT was the exception. Despite these improvements, of those employees who had physical examinations in 2004, $5.2\%$ had high blood glucose and $18.1\%$ hypertension, $27.9\%$ hypercholesterolemia, $8.3\%$ registered abnormal liver functions, and $31.3\%$ were classified as overweight and obese. Moreover, because some vulnerable blood profiles were found in the older age groups, various programs, including nutrition education, and/or development of healthful diets as well as excercise activities, may be needed within their workplaces.