• 제목/요약/키워드: Physiological study

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첫 1년간 혈액투석 환자의 식사 관련 생리적 지표 변화 분석 (Analysis of Physiological Indicators Related to Dietary Regimen during the First Year in Patients on Hemodialysis)

  • 정희진;구자선;김진동;박진선
    • 임상간호연구
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    • 제23권1호
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    • pp.91-99
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    • 2017
  • Purpose: The purpose of this study was to determine the time and content of dietary education by analyzing the physiological indicators of hemodialysis patients during their first year and to present baseline data related to dietary education for patients on hemodialysis. Methods: For this retrospective study physiological indicators for 73 patients on hemodialysis were analyzed. Data included levels of potassium, phosphorus, albumin and the IDWG rate, and Kt/V during the first year after starting hemodialysis. Repeated-measure ANOVA was used for statistical analysis. Results: Serum levels of phosphorus (p<.006), albumin (p<.001) and the IDWG rate (p<.001) increased significantly in the 7 months from the start of hemodialysis. Conclusion: The results indicate that the period in which diet related educational intervention is necessary is before physiological changes, that is, after 6 months of dialysis. The contents for effective education should include phosphorus-limited and weight control dietary restrictions at 6 months.

Physiological Predictors of Treatment Response to Biofeedback in Patients With Panic Disorder

  • Seongje Cho;In-Young Yoon;Ji Soo Kim;Minji Lee;Hye Youn Park
    • 정신신체의학
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    • 제31권1호
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    • pp.19-24
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    • 2023
  • Objectives : Biofeedback is a useful non-pharmacological treatment for panic disorder (PD), but no studies have identified physiological markers related to the treatment response. This study investigated predictors of the treatment response for biofeedback in patients with PD. Methods : A retrospective study based on the electronic medical records of 372 adult patients with PD was performed. Patients received biofeedback treatment at least once, and physiological markers including heart rate, heart rate variability, respiratory rate, skin conductance, skin temperature, and electromyography were collected before the treatment began. The patients were classified as responders or non-responders based on the change in Clinical Global Impression-Severity (CGI-S) score. Results : The response rate to biofeedback treatment was 30.4%. Multivariable logistic regression analysis revealed that a higher CGI-S score at baseline and fewer benzodiazepine prescriptions were associated with a better response to biofeedback treatment. According to subgroup analyses, the baseline CGI-S score, dose of benzodiazepines, and skin conductance are candidate predictors of the response to biofeedback treatment in men, while only baseline disease severity was associated with the treatment response in women. Conclusions : The present results suggest that skin conductance may be target marker and predictor for biofeedback in male patients with PD.

신경망을 이용한 다중 심리-생체 정보 기반의 부정 감성 분류 (Classification of Negative Emotions based on Arousal Score and Physiological Signals using Neural Network)

  • 김아영;장은혜;손진훈
    • 감성과학
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    • 제21권1호
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    • pp.177-186
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    • 2018
  • 감성은 복잡하고 다양한 요인들에 의해 영향을 받기 때문에 다각적인 측면에서 고려되어야 한다. 본 연구에서는 심리 평가 척도의 하나인 각성(arousal) 지표와 다중 생체신호에서 추출된 생체지표 반응을 이용하여 중립 및 부정 감성(슬픔, 공포, 놀람)의 분류하였다. 이를 위하여 감성에 따른 생체지표 반응의 차이를 확인하였고, 다중 신경망 알고리즘 기반의 감성 인식기를 적용하여 이들 감성이 얼마나 정확하게 분류되는가를 확인하였다. 총 146명의 실험 참가자(평균 연령 $20.1{\pm}4.0$, 남성 41%)를 대상으로 감성 유발 자극을 제시하고 동시에 생체신호(심전도, 혈류맥파, 피부전기활동)를 측정하였다. 또한 감성 유발 자극에 대한 심리 반응을 감성 평가 척도로 평가하였다. 측정된 생체신호에서 심박률(HR), NN 간격의 표준편차(SDNN), 혈류량(BVP), 맥파전달시간(PTT), 피부전도수준(SCL), 피부전도반응(SCR)을 추출하였다. 결과 분석을 위하여 감성 자극에 대한 각성도와 안정 상태와 감성 상태의 생체지표 반응을 활용하였다. 또한 감성 분류를 위하여 다중 신경망 기반의 감성 인식기를 활용하였다. 그 결과, 감성에 따른 생체지표 반응의 차이를 확인하였고, 이들 감성의 분류 성능은 각성도와 모든 생체지표 특징들을 조합하였을 때 정확도가 가장 높음(86.9%)을 확인하였다. 본 연구는 심리 및 생체지표 추출과 기계학습 기술의 적용을 통하여 부정 감성을 분류할 수 있음을 제안하며, 이는 인간의 감성을 탐지하는 감성 인식 기술을 확립하는데 기여할 것으로 예상한다.

만성 뇌졸중 환자의 보행에 보행보조기가 미치는 영향 (The Effect of Walking Aid on Chronic Hemiplegic Gait)

  • 김원호
    • 한국전문물리치료학회지
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    • 제13권3호
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    • pp.67-74
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    • 2006
  • The purpose of this study was to investigate the effects of walking aid on hemiplegic gait of chronic stroke patients. Twelve stroke patients participated in this study. Physiological cost index (PCI), gait speed, and climbing stairs with and without walking aid were measured and analyzed. The results showed that walking with walking aid significantly improved gait speed and reduced physiological cost index and time needed to climb stair (height 7 cm) in comparison with a walking without walking aid. In conclusion, walking aid may improve the speed and efficiency of hemiplegic gait in chronic stroke patients.

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생리장해 인삼의 Saponin 함량과 조직 및 세포학적 특성 (Saponin Contents, Histological and Cytological Characteristics of Ginseng Root with Physiological Disorder)

  • 안상득
    • Journal of Ginseng Research
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    • 제16권1호
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    • pp.44-52
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    • 1992
  • This study investigated ginsenosides and tissue characteristics of roots injured by physiological disorder, rusty and rough skin. After separation to cortex and stele parts of healthy, rusty (red) and rough skin roots, respectively, the contents of saponin and ginsenosides were analyzed. And also, the histological and cytological characteristics of cortex and stele parts were investigated. Crude saponin contents were little different among healthy, rusty (red) and rough skin root and ginsenesides as - Rgl, - Re and - Rbl were largely detected both in stele and cortex part. The ratio of PT/PD showed about 1:1 in three kinds of root. In histological study, destoryed cells in epidermis of rusty(red) root, and those in epidermis and exodermis of rough skin root were observed. The cells in cortex of rusty (red) and rough skin root have generally nucleus with unfixed shape, unequal cell wall, large number of vacuole and mitochondris, and unidentified dark substances compared to healthy root. But in cell of stele tissue, most of organellE seems to be normal except a small number of cells in rough skin root.

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만성 뇌졸중 환자의 임상적 특성이 보행 시 생리적 부담지수에 미치는 영향 (The Effects of Clinical Characteristics of Chronic Stroke Patients on Physiological Cost Index During Walking)

  • 김원호
    • 한국전문물리치료학회지
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    • 제13권1호
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    • pp.32-37
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    • 2006
  • The purpose of this study was to investigate the effects of clinical characteristics of chronic stroke patients on physiological cost index (PCI) during walking. Fourteen stroke patients participated in this study. To investigate the clinical characteristics, Fugl-Meyer score (FMS), gait velocity (GV), muscle strength of the knee extensor, modified Ashworth scale (MAS) of ankle plantar flexor, devices, and gait patterns during walking were measured and analyzed. The results were as follows: Firstly, use of devices and high MAS of the ankle plantar flexor significantly increased PCI. Secondly, PCI was significantly correlated with the FMS and MAS of the ankle plantar flexor. In conclusion, inhibition of spasticity of the ankle plantar flexor is considered to reduce PCI during walking for chronic stroke patients.

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알코중독 치료를 위한 Web 환경 시스템과 분석에 대한 연구 (A Study on Analysis and 3D Web Environment for the Treatment Alcoholism)

  • 백승은
    • 정보학연구
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    • 제9권1호
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    • pp.9-19
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    • 2006
  • Medications or conitive-behavior methods have been mainly used as a treatment of alcoholism. lately the virtualy technology has been applied to the kink of alcoholic disorders. A virtual environment makes him having avility to over come the drink. In this study, we were implemented by making panorama images and 3D object modules using 3D MAX, VRML, JAVA. And the BAR stimulator that composed with a position sensor, head mount display, and audio system, is suggested. To illustrate the physiological difference between a person who has a alcoholism and without a liquor bottle, heart rate was measured during experiment, and also measured a person's HR after the virtual reality training. The system measures the Physiological signals such as ECG, Temperature, analyzes those data automatically. The system has two parts, one is physiological data acquisition part which gets the body signal, and the other one is mobile nuit which includes signal processing and transmission functions, And Bluetooth allows two parts to communicate with each other. we demonstrated the subjective effectiveness of virtual reality psychotherapy through the clinical experiment.

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혈액투석환자의 피로와 관련 요인에 관한 연구 (Fatigue and its Related Factors in Patients on Hemodialysis)

  • 김혜령
    • 대한간호학회지
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    • 제26권1호
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    • pp.53-72
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    • 1996
  • The Purpose of this study was to identify characteristics of fatigue and the relationship between fatigue and related factors in patients on hemodialysis. This study was a survey study using a cross-sectional design. The subjects for this study were 101 patients on hemodialysis who were registered in the six hemodialysis clinics among a total of eleven clinics in Seoul. The period of data collection was from February 28, 1995 to May 2, 1995. Data were collected through an interview with a structured packet and the physiological data. The tools used in this study were the Visual Analogue Scale-Fatigue developed by Lee et al(1990) and translated by Lee(1991), the fatigue interview schedule developed by this researcher, Zung's self rating depression scale(Zung, 1965), the self-efficacy scale developed by Sherer et al(1982) and the Norbeck Social Support Questionnaire(NSSQ) translated by Oh(1984). The collected data were analyzed using descriptive statistics(mean, standard deviation, frequency, range), Pearson correlation coefficients and Stepwise multiple regression. The results were as follows ; 1. Characteristics of Fatigue of hemodialysis patients : 1) 79 of 101 hemodialysis patients complained fatigue. 2) The mean fatigue score as measured by the VAS-F was 36.2mm. 3) The mean duration of fatigue was 2.9 hours 2. Characteristics of fatigue related factors : 1) The physiologic factor which included Hgb, Hct, BUN, creatinine, potassium and interdialytic weight gain deviated from normal range. 2) The psychological factor which included depression and self-efficacy was about the same level as for patients with other chronic diseases. 3) The environmental factor which included social support had wide variation. 3. The relationship between fatigue and related factors : 1) Interdialytic weight gain in the physiologica factor was the only valuable with fatigue (p<.05) 2) The relationship between fatigue and the psychological factor of depression showed a positive and strong correlation(p<.05). According to the findings of this study, fatigue was highly correlated with the depression. This indicates that nurses should try to assess and control psychological factors when patients complain of fatigue rather than just considering physiological factors. Nursing has to develop effective nursing interventions to reduce fatigue in patients with chronic diseases using the relationship between fatigue and physiological, psychological and environmental factors.

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간호중재분류체계(NIC)에 근거한 간호중재 수행분석 - 신경외과 간호단위 간호사를 중심으로 - (Analysis of the Nursing Interventions performed by neurosurgery unit using NIC)

  • 오명선;박경숙
    • 성인간호학회지
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    • 제14권2호
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    • pp.265-275
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    • 2002
  • Pursose: The purpose of this study was to evaluate the selected nursing interventions and to describe the most common nursing interventions used by neurosurgery unit nurses. Method: The data was collected from 65 nurses of 5 general hospitals from Jan. 8, 2001 to Feb. 28, 2001. The instrument for this study was the Korean translation of 486 nursing intervention classifications, developed by MacClosky & Bluecheck in 2000. In the 486 nursing interventions 310 nursing interventions were selected, 8 from among the 10 professional nurses group in the neurosurgery care unit. The 310 nursing interventions were used in a secondary questionnaire. In the secondary questionnaire, all 310 intervention lables and definitions were listed. The data was analysed with SPSS program. Result: The results of this study are as follows. 1. The most frequently used nursing intervention domains were "physiological: complex", "physiological: basic", "Health system", "Behavior", "Safety", "Family". 2. Neurosurgery care unit core nursing interventions were performed several times a day by 50% or more of the Neurosurgery care unit. Neurosurgery core nursing intervention, 5 domain ("physiological: complex", "physiological: basic", "Health system", "Safety", "Behavior"), 16 class, 48 core nursing intervention. The most frequently used Neurosurgery core nursing interventions were Intravenous Therapy, Pressure ulcer prevention, Documentation, Airway suctioning, Medication: intravenous, Pain management, Medication: intramuscular, Shift report, Intravenous insertion, Positioning, Aspiration precaution, Pressure management, Physician support, Pressure ulcer care. 3. Compared with carrier and age of nurses, the more effective nursing interventions were "Family", Compared with the nursing place and the use of nursing interventions of nurses the most effective nursing interventions were "Health system" performed by nurse in university hospital. Conclusion: The purpose of this study was to analysis the nursing intervention performed by neurosurgery unit nurses. This study analyses nursing intervention and core nursing interventions performed by neurosurgery unit nurses. Basis on this study result, neurosurgery nursing interventions will be systematized, and progression of qualitative nursing, data of computerized nusing information system will be utilized.

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인체 전기 신호 해석을 통한 광인식시의 최적 광량 설정에 관한 연구 (A study about setting optimum Intensity on sensing of light by analysing human electrical signal)

  • 전윤정;박형준;윤양웅
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2000년도 하계학술대회 논문집 D
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    • pp.3222-3226
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    • 2000
  • In this study, the variations of human physiological signals(EEG and ERG) were measured on a various optic stimulation. From the analysis of the physiological signals, it was cleared that the optimum intensity of light exits at its sensing.

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