• 제목/요약/키워드: Heart Attack

검색결과 113건 처리시간 0.022초

성인과 노인 관상동맥증후군 초발 환자의 임상적 특성 및 치료추구행위 비교 (Comparison of Clinical Manifestations and Treatment-Seeking Behavior in Younger and Older Patients with First-time Acute Coronary Syndrome)

  • 황선영
    • 대한간호학회지
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    • 제39권6호
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    • pp.888-898
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    • 2009
  • Purpose: This study was conducted to examine and compare clinical manifestations and predicting factors for treatment-seeking delay among patients <65 and ${\geq}65\;yr$ with first-time acute coronary syndrome (ACS). Methods: A total of 288 patients who were diagnosed with ACS were individually interviewed at C university hospital in G-city from November 2007 to December 2008. Results: Median pre-hospital delays for younger and older patients were 5 and 12 hr, respectively. Younger patients were more likely to be current smokers, heavy drinkers, obese, stressed, and have an unhealthy diet and family history, and to complain of chest pain, left shoulder and arm pain, perspiration, and nausea. Older patients were more likely to have hypertension and diabetes, and to complain syncope and dyspnea. Logistic regression analyses showed that after adjustment for age, gender and education, progressive onset of symptom and no attribution to cardiac problem significantly predicted pre-hospital delay >3 hr in both younger and older patients. Low perceived health status was a significant independent predictor in older patients only. Conclusion: Health care providers should be concerned with different manifestations between younger and older adults, and educate people at risk for heart attack about symptoms and actions to get immediate help.

협착된 경동맥 내의 벽전단응력 및 혈관의 탄성적 거동 (Elastic Motion of the Blood Vessel and Wall Shear Stress in Carotid Artery with Stenosis)

  • 김창녕;오택열;최명진;정삼두
    • 한국정밀공학회지
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    • 제22권9호
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    • pp.179-187
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    • 2005
  • The characteristics of blood flow and the interaction between the blood vessel and blood flow play important roles in plaque cap rupture and the growth of atherosclerosis which may lead directly to a heart attack or a stroke. In this study, carotid arteries with different stenoses have been numerically simulated to investigate the wall shear stress(WSS) and the elastic motion of the vessel. Blood flow has been treated as physiological, laminar and incompressible flow. To model the shear thining behavior of the blood, the Carreau-Yasuda model has been employed but the viscoelasticity of blood has not been considered. The results show that the WSS of $severe(75\%)$ stenosis is much higher than those of $25\%\;and\;50\%$ stenosis in the region of stenosis. With the increase in the stenosis thickness, the expansion ratio of the center of the stenosis decreases while the expansion ratio of the upstream region of the stenosis increases.

운전자의 안전을 위한 도심지역 자동차 애드혹 통신망의 뇌파전송 성능평가 (Performance Evaluation of Transmitting Brainwave Signals for Driver's Safety in Urban Area Vehicular Ad-Hoc Network)

  • 조준모
    • 한국콘텐츠학회논문지
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    • 제11권6호
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    • pp.26-32
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    • 2011
  • 최근 U-health 분야에서는 EEG(Electroencephalograph) 뇌파를 전송하여 환자뿐만 아니라 일반 노약자를 대상으로 졸음운전이나 뇌졸중, 또는 심장마비와 같은 위기상황에 대처하기 위해 실시간으로 뇌파를 모니터링하는 시스템을 연구하고 있다. 이러한 시스템은 병원이나 요양원등 다양한 지역에 적용할 수 있다. 본 논문에서는 자동차 통신망에 적용하여 운전자의 뇌파를 실시간으로 모니터링하고 미연에 사고를 방지할 수 있는 통신망 시스템의 성능을 평가하고자 한다. 이를 위해 VANET환경에서 EEG뇌파 전송을 효율적으로 할 수 있도록 옵넷 시뮬레이터에서 제공하는 모바일 애드혹 노드를 사용하였다. 운전자의 뇌파를 노변기지국으로 전송하는 애드혹한 자동차 통신망을 설계하고 시뮬레이션을 통하여 도심 지역에 적합한 환경을 도출하였다.

A Cross-Country Comparison of Knowledge, Attitudes and Practices about Tobacco Use: Findings from the Global Adult Tobacco Survey

  • Gupta, Bhawna;Kumar, Narinder
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권12호
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    • pp.5035-5042
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    • 2014
  • Background: Knowledge and individual perceptions about adverse effects of all forms of tobacco exert direct influence on the level of tobacco consumption in various socio-demographic groups. The objective of this study was to determine the nature, extent and demographic correlates of knowledge, attitudes and perceptions of use of tobacco among adults in low and middle income countries. Materials and Methods: The Global Adult Tobacco Survey, conducted in fourteen different countries from 2008-2010, was sourced for the data analyzed in this study. Descriptive statistical analyses were conducted to determine the prevalent knowledge and individual perceptions amongst adults about all forms of tobacco consumption. Results: There was relatively high awareness about the harmful effects of smoking tobacco with main awareness being about its relationship with lung cancer (>90% in most countries). In contrast, there was relatively low awareness about harmful effects of smokeless tobacco (< 90% in all countries except India and Bangladesh), and observed correlation of smoking tobacco with heart attack (40.6% in China, 65.1% in India) and stroke (28.2% in China, 50.5% in India). Conclusions: A large proportion of adults living in low and middle income countries possess adequate knowledge about smoking tobacco but have inadequate awareness as well as false perceptions about smokeless forms of tobacco. Popular beliefs of inverse relationships of tobacco consumption with knowledge, attitudes and perception of populations towards tobacco are challenged by the findings of this study.

Beliefs, benefits, barriers, attitude, intake and knowledge about peanuts and tree nuts among WIC participants in eastern North Carolina

  • Pawlak, Roman;Colby, Sarah;Herring, Julia
    • Nutrition Research and Practice
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    • 제3권3호
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    • pp.220-225
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    • 2009
  • The objective of this study was to assess beliefs (e.g. advantages, disadvantages, benefits, barriers) and knowledge about eating peanuts and tree nuts. Personal interviews based on the Theory of Planned Behavior were conducted to elicit beliefs about eating nuts. Then, a cross-sectional survey was administered to WIC participants from one county in North Carolina. One-hundred-twenty-four WIC participants (mean (SD) age=28.39 (8.09) completed the study. Most were Caucasian (51.6%) females (96%). About one third believed that eating nuts may help to lower cholesterol level. However, only about one forth believed that nuts can lower a risk of a heart attack or diabetes. More than one third believed that eating nuts will cause weight gain. The knowledge of respondents' about nutrient content of nuts was low with correct answers to most questions about 20% or below. The mean (SD) positive attitude, negative attitude, benefits and barriers scores, based on a range from 1 to 5, were 2.53 (0.91), 3.25 (0.89), 2.97 (0.85) and 2.90 (0.76), respectively. WIC participants' beliefs regarding the health effects of nuts are inconsistent with the most recent research findings. They are in a need to education about benefits of eating nuts.

미.이라크 전쟁시기에 나타난 복고풍 경향의 토탈패션 연구 (A Study on Total Fashion of Retro Trend During the US-Iraq War)

  • 석은경;채금석
    • 한국패션뷰티학회지
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    • 제3권3호
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    • pp.24-30
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    • 2005
  • If one can say that 'Retro' is a revived mode of the style, which was popular in the past, it is confirmed that various complex social and cultural factors have been reflected to making the current and new mode by accepting the past style. By investigating the impact of hippie style, which was popular during the Vietnam War on cosmetics and beauty culture, and the retro-tendency NEO-Hippie style fashion phenomenon appeared at around the time of the US and Iraq War, a theoretical foundation of cosmetics and beauty culture in the 2000s was established, and periodical circulation of fashion was tried to be understood. The 9.11 terrorists' attack and US-Iraq War devastated the heart of modern people, and for this, a retro trend having a meaning to revive the past style with nostalgia of the old things started to be handled with major interests in cosmetics and beauty culture. The retro-style, which is revived in the 2000s, is not the unchanging imitation mode in the '60s and '70s during the Vietnam War, but a newly transformed type of style.

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경피적 관상동맥성형술후 응급 관상동맥 우회로 조성술 경험 (Emergency Coronary Artery Bypass Following Unsuccessful Percutaneous Transluminal Coronary Angioplasty -A Case Report-)

  • 안욱수
    • Journal of Chest Surgery
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    • 제21권2호
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    • pp.373-378
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    • 1988
  • Since the introduction of percutaneous; transluminal coronary angioplasty[PTCA] by Grunt-zig in 1977, this is widely used in some patients with coronary artery disease and is an effective alternative to surgery for many patients. Indications for emergency coronary artery bypass graft[CABG] after PTCA are prolonged chest pain, worsening of coronary artery obstruction, "current of injury" by electrocardiogram, cardiogenic shock, and in a lesser incidence, ventricular fibrillation, coronary artery dissection[without obstruction], heart block, and intractable cardiac arrest. Recently, we have experienced one case of emergency CABG following unsuccessful PTCA. The patient was 54 year-old male and admitted with complaint of angina pectoris. The routine electrocardiogram revealed within normal limit. The treadmill test revealed severe chest pain after 2 min. exercise. Coronary cineangiogram revealed 95% segmental stenosis of the proximal right coronary artery. Our cardiologist was planned PTCA. During PTCA, severe chest pain and ischemic pattern on electrocardiogram were developed. But they were not relieved even by morphine and nitroglycerin till 90 min. So we performed emergency single coronary artery bypass graft from aorta to proximal right coronary artery with great saphenous vein. The patient had an excellent postoperative recovery and was free from anginal attack. He has shown striking improvement in general status[NYHA functional class 1] during 6 months after operation.operation.

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퍼지규칙을 이용한 AED 시스템 (AED System using Fuzzy Rules)

  • 이희택;홍유식;이상석
    • 한국인터넷방송통신학회논문지
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    • 제13권4호
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    • pp.215-220
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    • 2013
  • 최근 심장마비로 사망한 사례가 전 세계적으로 급속도로 늘고 있다. 그러므로 이러한 문제점을 개선하기 위해서, 공항, 학교, 가정에서에도 자동제세동기 설치가 의무화 되었고 AED 설치를 의무화 하고 있는 추세이다. 그러나, AED는 응급상황에서 사용 시 오작동이나 장비의 고장이 생긴 경우 AED가 비치되어 있어도 무용지물이 될 수 있다. 본 논문에서는, 이러한 문제점을 개선하기위해서, AED Simulator를 이용한 퍼지기법 시뮬레이션은 기존의 방법과 비교해서 외부 온도 조건 및 Tilt 조건을 고려 해서, 자가 진단시에 이상 검출 유무를 판단하는 지능형 모의 실험을 개발하였다. 모의실험 결과, 기존의 방법보다 고장 검출 확률이 30 % 정도 개선되는 것을 확인하였다.

구안괘사의 원인(原因)에 대(對)한 문헌적(文獻的) 고찰(考察) (Reference research for the cause of facial nerve paralysis)

  • 유한철;김한성
    • 혜화의학회지
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    • 제9권1호
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    • pp.243-258
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    • 2000
  • From the reference research, the results obtained were as follows. 1. Until the "Song" dynasty, the predominant cause of facial nerve paralysis was the attack of Pathogenic Wind to "the Stomach Channel of Foot Yangming, (St.C.); and "the Small Intestine Channel of Hand Taiyang, (S.I.C.). They recognized the facial paralysis as an aspect of palsy. 2. In the period of Jin-Yuan(金元), the predominant cause was described as "Xuexu"(the deficiency of blood) and phlegm. They recognized that the facial palsy was a palsy. However, they also acceded to the possibility that there could be other explanations. 3. In the period of "Ming & Qing", there were numerous kinds of causes. For example, the following were identified as attacking the Meridian: the Pathogenic Cold; Pathogenic Heat; "Xinxu"(the deficiency in the heart); Fire and Heat combined as a pathogenic factor; "Pixu"(the deficiency in the spleen); and, "Xinxu"(the deficiency of blood). 4. In the past, Koreans have explained the facial paralysis according to the Chinese theories mentioned. However, recently there has been an emergence of another Chinese theory; whereby, facial paralysis is classified into causes and symptoms, and then medical treatment is applied accordingly. 5. From the occident medical perspective, the facial paralysis is categorized into two causes. The first is called central facial nerve paralysis and the second is called peripheral facial nerve paralysis. The latter is mainly caused by Bell's palsy, Herpez zoster oticus, and trauma.

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이명(耳鳴)에 관한 정신의학적 문헌고찰(文獻考察) (Study of oriental medical science documentory records of tinnitus and neuropsychiatric aspect of hiccup)

  • 장영주;정인철;이상룡
    • 혜화의학회지
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    • 제18권1호
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    • pp.67-81
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    • 2009
  • 1. According to causes of attack and symptoms, tinnitus is divided into two categories; deficiency and excess. Causes of excess syndrome of tinnitus were wind fire in the liver and gallbladder, phlegm fire, blood stagnation, and heat in meridian system and the causes of deficiency syndrome of tinnitus were qi deficiency or blood deficiency after an illness or delivery, yin deficiency of liver and kidney, and deficiency of sea of the marrow. 2. Tinnitus was related to the vicera and bowels, especially to liver, gallbladder and urinary bladder. 3. In regard of method of treatment, tonify kidney, nourish heart, clear the liver and discharge heat are used according to visera and bowel theory. Clear phlegm and downbear fire are used for phlegm fire. Tonify spleen and kidney is used for ancestral vessel deficiency. Dispel wind and dissipate fire can be used according to theory of five elements' motion and six kinds of natural factors. 4. The basal meridian of acupuncture and moxibustion treatment were the channels of Shaoyang.. 5. Regarding neuropsychiatric aspect of tinnitus, sudden anger and depression of mind were the main mechanism of disease and liver fire was the main cause. The prescriptions for neuropsychiatric tinnitus were Dangguiyonghuehwan, and Yongdamsagantang.

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