• 한국통신학회논문지
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• 제37권6C호
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• pp.469-475
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• 2012

평균수명연장과 건강에 대한 관심 증가는 언제 어디서나 서비스 가능한 유헬스 산업을 활성화시키고 있으며, 표준화 역시 여러 국제표준기구를 통해 다뤄지고 있다. 그 중 IEEE 11073 PHD(Personal Health Devices) WG은 개인건강기기와 관리기기의 상호운용성 보장을 위해 개인건강기기 통신 프로토콜에 대한 표준화 작업을 진행하고 있다. 그동안 개인건강기기 기본 표준인 IEEE 11073-20601에 대한 분석과 유헬스 표준화 단체에 대한 연구는 많이 있었으나 개인건강기기별 표준에 대한 분석은 부족하여 해당 표준에 접근하는데 많은 어려움이 있었다. 따라서 본 논문에서는 개인건강기기 관련 국내외 표준화 기구와 현재 IEEE 11073 PHD WG에서 다뤄지는 표준화 현황을 언급하고 IEEE 11073-20601를 바탕으로 체온계, 체중계, 혈당계, 혈압계, 심전계 등 각 개인건강기기별 표준의 특징을 분석하였다.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2008년도 춘계종합학술대회 A
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• pp.505-508
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• 2008

Electrocardiogram (ECG) and blood pressure (BP) are main vital signs which are the standards in most medical settings in assessing the most basic body functions. Multi parameters are desired in providing more information for health professionals in order to detect or monitor medical problems of patients more precisely. This study urges us to develop a robust wireless healthcare monitoring system which has multiple physiological signs measurements on real time that applicable to various environments which integrates wireless sensor network technology and code division multiple access (CDMA) network with extended feature of locally standalone diagnosis algorithms that implemented in tell phone. ECG signal and BP parameter of the patients are routinely be monitored, processed and analyzed in details at cell phone locally to produce useful medical information to ease patients for tracking and future reference purposes. Any suspected or unknown patterns of signals will be immediately forwarded to hospital server using cell phone for doctors' evaluation. This feature enables the patients always recognize the importance of self-health checking so that the preventive actions can be taken earlier through this analytic information provided by this monitoring system because "Prevention is better than Cure".

• 대한임베디드공학회논문지
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• 제8권2호
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• pp.79-85
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• 2013

This paper proposes a system that utilizes USN(Ubiquitous Sensor Network), Bluetooth and smart phone to improve the function of senior houses. In typical approach, a system in a senior house either directly accesses the status of elderly people by its sensor or is alerted by elderly people who trigger an emergency bell, derive a decision and take an appropriate action. In addition, it is possible for a designated social worker to check the status of senior patients through monitoring system connected by UTP(Unshielded Uwisted Pair) cables, but the responsible person has to be present to monitor patients' status. However, the new system, suggested in this paper, embed Bluetooth function in a blood pressure gauge, thus the smart phone receives patients' health information such as blood pressure through Bluebooth, if any abnormal event occurs. Consequently, the smart phone sends SMS(Short Message Service) to a responsible social worker or a designated hospital. When this program in the paper becomes a reality, an unmanned system that is able to determine suitable actions for certain events will be established, even if a social worker were absence.

• Journal of Chest Surgery
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• 제25권12호
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• pp.1399-1403
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• 1992

The evaluation of the effectivess of ongoing cardiopulmonary resucitation efforts is dependent on the commonly used methods, such as the presence of femoral or carotid artery pulsations, arterial blood gas determinations, peripheral arterial pressure and intracardiac pressure monitoring. But recent studies suggest that end-tidal carbon dioxide tension serves as a non-invasive measurement of pulmonary blood flow and therefore cardiac output under constant ventilation. A prospective clinical study was done to determine whether end-tidal carbon dioxide monitoring in open heart surgery under cardiopulmonary bypass could be used as a prognostic indicator of bypass weaning. We monitored end-tidal PCO2 values continuously during cardiopulmonary bypass in 30 patients. "Ohmeda 5210 CO-2 monitor" under infrared absorption method were incorperated into the ventilator circuit by means of a side point adaptor between endotracheal tube and ventilator tubing. 18 patients[Group I ] were res-ucitated from partial bypass followed by aorta cross clamp off and 12 patients[Group II ] from aorta cross clamp off followed by partial bypass. But there was no difference between two groups[p>0.05]. The value of end-tidal carbon dioxide tension during ventricular fibrillation or nearly arrest state was 6.6$\pm$2.9 mmHg, and at the time of spontaneous beating was 19.3$\pm$5.6 mmHg[Mean$\pm$Standard deviation], In conclusion end-tidal carbon dioxide tension monitoring provides clinically useful, continous, noninvasive and supplementary prognostic indicator during cardiopulmonary bypass weaning procedures.rocedures.

• Journal of Korean Biological Nursing Science
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• 제17권2호
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• pp.114-122
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• 2015

Purpose: This study attempted to test whether there are differences in the level and hemodynamic side effects (blood pressure, heart rate, $O_2$ saturation), and nausea & vomiting of spinal anesthesia using hyperbaric bupivacaine according to position (supine, lateral, and prone positions) in orthopedic surgery patients who received podiatric surgery under spinal anesthesia. Methods: This study was conducted with 53 patients who had received orthopedic surgery under spinal anesthesia at I General Hospital. Data were analyzed using SPSS 20.0 through repeated-measures ANOVA, post-hoc test, Chi-test, and Fisher's exact test. Results: The change of position after spinal anesthesia with hyperbaric bupivacaine caused a change in the level of spinal anesthesia (F=12.768, p<.001). However, no difference of blood pressure, heart rate, $O_2$ saturation and nausea and vomiting caused by the change in anesthesia level was observed, and in prone position, drug was administered for the correction of side effects. Conclusion: As expected, recognizing that there can be a change in the level of spinal anesthesia after the change of position in surgical patients, nurse anesthetists should monitor their conditions carefully and continuously.

• 대한임베디드공학회논문지
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• 제8권5호
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• pp.273-283
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• 2013

The traditional medical equipments are devices used by medical professionals but not used in public environment. Common people, however, require light-weight medical devices to make healthcare for themselves nowadays. Those medical devices are used to monitor personal health status such as blood pulse, blood pressure, diabetes. Also, some of them are operated in mobile environment called u-healthcare. This paper implements a portable healthcare system composed of $SpO_2$(Saturation of Partial Pressure Oxygen) sensors and a gateway for detecting hypoxemia during people's leasure activity such as climbing or hiking. The $SpO_2$ sensor is designed as watch style to support dynamic exercise and the gateway is designed as necklace style to support the elderly. The result of a performance evaluation shows that the performance of the $SpO_2$ sensor using reflection technology is not lower than that of a clairvoyant styled $SpO_2$ sensor.

• 기본간호학회지
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• 제21권3호
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• pp.226-234
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• 2014

Purpose: This study was done to present guidelines for deciding appropriate times for measuring blood pressure (BP) in patients with neurological disorders who had surgery due to brain damage. Method: It was a repeated measures-experimental research on time variants in BP after nursing care. SBP (Systolic BP) and DBP (Diastolic) were measured every 2 minutes up to 5 times using an EKG patient monitor. Measured data were analyzed using repeated measures ANOVA and paired t-test. Results: For suctioning, there were significantly higher differences for SBP averages after 2 min. (138mmHg, p<0.01) and 4 min. (133mmHg, p<0.01) compared to before suctioning (120mmHg). For position change, there were significant differences in SBP averages after 2 min. (136mmHg, p<0.01) and 4 min. (130mmHg, p=0.01) compared to before changing position (121mmHg). For position change followed by suctioning there were significant differences in SBP averages after 2 min. (136mmHg, p<0.01), 4 min. (136mmHg, p<0.01) and 6 min. (125mmHg, p=0.003) compared to before the interventions (121mmHg). Conclusions: Results indicate that there are significant differences in SBP and DBP over time during nursing interventions, suggesting clinical measurement of BP after 6 min. or 8 min. be done for patients with neurological disorders in neurosurgery clinics.

• Journal of Chest Surgery
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• 제5권2호
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• pp.97-106
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• 1972

We will report 6 cases of cardiac tamponade treated surgically at Severance Hospital during the past 9 years from 1964 to 1972 and reviewed literatures on cardiac tamponade. The age of patients was from 13 years to 45 years old. The male was 4 cases and the female 2 cases. The sites of injury were right atrium; 1 case, right ventricle; 2 cases, right ventricle and coronary artery; 1 case, left atrium; 1 case, and left ventricle; 1 case. 2 cases of cardiac tamponade developed following chest injury, 2 cases following pericardiocentesis,1 case due to continuous bleeding from sutured cardiotomy wound of left atrium following open mitral commissurotomy using cardiopulmonary bypass machine, and 1 case due to traumatic penetration of polyethylene catheter through right ventricle to pericardial sac, introduced via right jugular vein in order to monitor the central venous pressure. Central venous pressure was checked preoperatlvely in 5 cases. In all cases, central venous pressure was rised [the range of central venous pressure was 240 to 330 mmHg]. Immediately after operation,central venous pressure lowered to normal [the range was 80-100 mmHg]. Recently serial gas analysis of arterial blood were checked pre- and post-operatively for the evaluation of hemodynamic change of cardiac tamponade, but our data was not enough for evaluation. It should be studied further.

• 대한한의학회지
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• 제30권1호
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• pp.95-108
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• 2009

Objectives: Uwhangchungsim-won (DC) has been used in various medical fields such as stroke, hypertension, atherosclerosis, autonomic imbalance and mental instability, etc. The aim of this study was to evaluate the effect of UC on cerebral hemodynamics and estimate the appropriate dose of UC. Methods: We studied changes of hyperventilation-induced cerebrovascular reactivity and mean blood flow velocity of middle cerebral arteries (MCA) using transcranial Doppler. We observed the changes of mean blood pressure, pulse rate and expiratory CO2 using S/5 Compact Anesthesia Monitor from 10 healthy young volunteers who were administered UC twice a day in the 1 st section and then once a day in the 2nd section. Results: Mean blood pressure tended to decrease at 1 hour and pulse rate tended to decrease at 2 hours after second administration. After 2 hours, mean blood pressure rose to state before administration, but pulse rate maintained from 2 hours to 4 hours. The changes were not statistically significant. Cerebral blood flow velocity in middle cerebral artery was not statistically significant after second administration. Cerebrovascular reactivity increased from 2 hours to 4 hours after second administration. Conclusions: This study provides that administration of UC twice a day is more effective on hyperventilation-induced cerebrovascular reactivity than administration of UC once a day.

• Journal of Computing Science and Engineering
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• 제5권3호
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• pp.246-256
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• 2011

Due to the increasingly aging population, there is a rising demand for assistive living technologies for the elderly to ensure their health and well-being. The elderly are mostly chronic patients who require frequent check-ups of multiple vital signs, some of which (e.g., blood pressure and blood glucose) vary greatly according to the daily activities that the elderly are involved in. Therefore, the development of novel wearable intelligent systems to effectively monitor the vital signs continuously over a 24 hour period is in some cases crucial for understanding the progression of chronic symptoms in the elderly. In this paper, recent development of Wearable Intelligent Systems for e-Health (WISEs) is reviewed, including breakthrough technologies and technical challenges that remain to be solved. A novel application of wearable technologies for transient cardiovascular monitoring during water drinking is also reported. In particular, our latest results found that heart rate increased by 9 bpm (P < 0.001) and pulse transit time was reduced by 5 ms (P < 0.001), indicating a possible rise in blood pressure, during swallowing. In addition to monitoring physiological conditions during daily activities, it is anticipated that WISEs will have a number of other potentially viable applications, including the real-time risk prediction of sudden cardiovascular events and deaths.