• 제목/요약/키워드: Pulse Pressure

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Effect of the respiratory rate on the pulse pressure variation induced by hemorrhage in anesthetized dogs

  • Dalhae, Kim;Won-Gyun, Son;Donghwi, Shin;Jiyoung, Kim;Inhyung, Lee
    • Journal of Veterinary Science
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    • v.23 no.6
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    • pp.68.1-68.8
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    • 2022
  • Background: Studies on anesthetized dogs regarding pulse pressure variation (PPV) are increasing. The influence of respiratory rate (RR) on PPV, in mechanically ventilated dogs, has not been clearly identified. Objectives: This study evaluated the influence of RR on PPV in mechanically ventilated healthy dogs after hemorrhage. Methods: Five healthy adult Beagle dogs were premedicated with intravenous (IV) acepromazine (0.01 mg/kg). Anesthesia was induced with alfaxalone (3 mg/kg IV) and maintained with isoflurane in 100% oxygen. The right dorsal pedal artery was cannulated with a 22-gauge catheter for blood removal, and the left dorsal pedal artery was cannulated and connected to a transducer system for arterial blood pressure monitoring. The PPV was automatically calculated using a multi-parameter monitor and recorded. Hemorrhage was induced by withdrawing 30% of blood (24 mL/kg) over 30 min. Mechanical ventilation was provided with a tidal volume of 10 mL/kg and a 1:2 inspiration-to-expiration ratio at an initial RR of 15 breaths/min (baseline). Thereafter, RR was changed to 20, 30, and 40 breaths/min according to the casting lots, and the PPV was recorded at each RR. After data collection, the blood was transfused at a rate of 10 mL/kg/h, and the PPV was recorded at the baseline ventilator setting. Results: The data of PPV were analyzed using the Friedman test followed by the Wilcoxon signed-rank test (p < 0.05). Hemorrhage significantly increased PPV from 11% to 25% at 15 breaths/min. An increase in RR significantly decreased PPV from 25 (baseline) to 17%, 10%, and 10% at 20, 30, and 40 breaths/min, respectively (all p < 0.05). Conclusions: The PPV is a dynamic parameter that can predict a dog's hemorrhagic condition, but PPV can be decreased in dogs under high RR. Therefore, careful interpretation may be required when using the PPV parameter particularly in the dogs with hyperventilation.

A study on the effect of injection pressure and ambient pressure for the growth of impinging spray (충돌 분무의 성장에 미치는 분사압과 배압의 영향에 관한 연구)

  • Cha, Geon-Jong;Seo, Gyeong-Il;Kim, Deok-Jul
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.21 no.11
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    • pp.1458-1465
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    • 1997
  • This study investigated the effects of pressure on the growth of an impinging spray. We obtained the frozen images which were scattered by Nd ; YAG laser light (pulse width : 7 ns) using synchronization circuit made in the laboratory. For an impinging spray a growth of the penetration length was progressed with increase of the injection pressure but an ambient pressure restrained its growth. The effect of an ambient pressure on penetration was larger than that of an injection pressure. The pressure ratio had an effect on the penetration growth rate. The thickness growth rate depended on both the injection pressure and the ambient pressure compositively. A lower injection pressure or a higher ambient pressure was required for spatial distribution of impinging spray.

Back Massage to Decrease State Anxiety, Cortisol Level, Blood Prsessure, Heart Rate and Increase Sleep Quality in Family Caregivers of Patients with Cancer: A Randomised Controlled Trial

  • Pinar, Rukiye;Afsar, Fisun
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8127-8133
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    • 2016
  • Background: The objective of this study was to evaluate the effect of back massage on the anxiety state, cortisol level, systolic/diastolic blood pressure, pulse rate, and sleep quality in family caregivers of patients with cancer. Materials and Methods: Forty-four family caregivers were randomly assigned to either the experimental or control group (22 interventions, 22 controls) after they were matched on age and gender. The intervention consisted of back massage for 15 minutes per day for a week. Main research outcomes were measured at baseline (day I) and follow-up (day 7). Unpaired t-test, paired t test and chi-square test were used to analyse data. Results: The majority of the caregivers were women, married, secondary school educated and housewife. State anxiety (p<0.001), cortisol level (p<0.05), systolic/diastolic blood pressure (p<0.001, p<0.01 respectively), and pulse rate (p<0.01) were significantly decreased, and sleep quality (p<0.001) increased after back massage intervention. Conclusions: The study results show that family caregivers for patients with cancer can benefit from back massage to improve state anxiety, cortisol level, blood pressure and heart rate, and sleep quality. Oncology nurses can take advantage of back massage, which is non-pharmacologic and easily implemented method, as an independent nursing action to support caregivers for patients with cancer.

Pressure Ripple Reduction in High Speed On-Off Solenoid Valves Driven by PWM Control (PWM 제어 고속 온-오프 전자밸브에서 발생하는 압력맥동 저감)

  • Kim D.T.;Lee S.K.
    • Transactions of The Korea Fluid Power Systems Society
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    • v.2 no.2
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    • pp.8-13
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    • 2005
  • This paper investigates a fast, accurate and inexpensive hydraulic motor speed control system using high speed on-off solenoid valves. In order to retain the advantages of the two position valve and obtain better performance, the valves are operated by pulse width modulation(PWM) control. PWM signal is generated from a LabWIEW program in microcomputer in order to set up various duty ratio and frequency of carrier wave in PWM signal with varying system parameters. As the results of experiments, the speed control of a hydraulic motor was successfully implemented using on-off solenoid valves. In order to attenuate the pressure ripple and speed variation due to discontinuously controlled flow through the on-off valves, a resonator hose fabricated for automobile power steering system was connected between the valve and a hydraulic motor. From experimental results obtained in the hydraulic motor system with a resonator hose, it was ascertained that the resonator hose showed excellent performances in reducing pressure ripple and motor speed variation.

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전자기 성형에서의 테이퍼진 지속집중기의 자기압력에 관한 연구

  • Choe, Jae-Chan;Jo, Yong-Cheol;Lee, Jong-Su;Hwang, Un-Seok;Kim, Nam-Hwan
    • Journal of the Korean Society for Precision Engineering
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    • v.7 no.2
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    • pp.14-27
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    • 1990
  • Electromagnetic Pulse Forming is the one of the high velocity forming method. When the electric energy which is charged in the capacitor bank is suddenly discharged into the electromagnetic coil, the high magnetic field occurs at the airgap between the electromagnetic coil and workpiece. Thus we can obtain the high electromagnetic pressure, which is proportional to the square of magnetic flux density. This is the basic principle of the electromagnetic pulse forming. In this paper, the equivalent L-R-C circuit is derived by computing the magnetic field and its loss of the total system. Thus, the values of the magnetic flux density and pressure can be obtained from the equation of this circuit. As a result, the computed and measured values of the maximum magnetic flux density and pressure are compared and the characteristics of the tapered field shaper are further discussed as follows; 1) The strength of magnetic flux density and pressure can be controlled by the charged energy and the size of the airgap between the inner field shaper and the workpiece. 2) During the design of the tapered field shaper, the penetration of the magnetic flux through the sharp edge should be considered.

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Development of Indentation Training System for Pulse Diagnosis (맥진 가압 트레이닝 시스템 개발)

  • Lee, Jeon;Lee, Yu-Jung;Jeon, Young-Ju;Woo, Young-Jae;Kim, Jong-Yeol
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.45 no.6
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    • pp.117-122
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    • 2008
  • Although the pulse diagnosis is the one of the most important diagnostic process to traditional medical doctors, there is no proper communication tool between experts and trainees. In this paper, we have developed a indentation training system which consists of a hardware measuring indent pressure on artificial arm quantitatively and a software providing a indentation training program. The hardware for measurement of indent pressure profile includes 3 load cells embedded in the artificial arm, signal amplification part and digitization part, NI-USB 6009 with 200Hz sampling rate. For setting up a relationship table between weights and output voltages, 8 standard weights were used. To evaluate this hardware, 3 oriental medical specialists were involved and their indent pressure profile were recorded three times respectively. From these, it was found that pulse diagnosis process could be divided into 3 periods and the maximum load were $500g{\cdot}f$ approximately while doctors perform a pulse diagnosis. The indentation training program was implemented with LabView and designed to monitor the differences between the pressure profile of a expert and that of a trainee so to offer some visual feedback to the trainee. Also, this program could provide the trends of training performances. With this developed system, the education of pulse diagnosis is expected to be more quantitative and effective.

Estimation of the Central Aortic Pulse using Transfer Function and Improvement of an Augmentation Point Detection Algorithm (전달함수를 이용한 대동맥 맥파 추정 및 증강점 검출 알고리즘 개선에 관한 연구)

  • Im, Jae-Joong
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.45 no.3
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    • pp.68-79
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    • 2008
  • Aortic AIx(augmentation index) has been used to measure aortic stiffness quantitatively and even to evaluate ventricular load. However, in order to calculate aortic AIx catheters should be inserted to the subjects' artery, which hampers its clinical usage. To overcome such limitation, aortic AIx has been indirectly calculated by estimating aortic pressure wave from the peripheral arterial pulse by applying transfer functions. In this study, central aortic pressure waves using Millar catheter and radial artery pulse waves using tonometry pressure sensor were measured to establish transfer functions for an estimation of central aortic pressure waves from radial artery pulse waves. Also, an algorithm which detects augmentation point for the calculation of AIx were developed. Developed algorithm for the detection of augmentation point gradually increases the differential order to detect inflection point rather than detects the distinctive point that appears after a specific time. Transfer functions were established using 10th order ARX model and were verified for the stability of the transfer function through residual analysis. Evaluation of an algorithm for the detection of augmentation point were performed by comparing the augmentation points obtained from developed algorithm with the known augmentation points synthesized in various conditions. In addition, developed algorithm for the AIx is proved to provide more accurate results than the ones developed by previous studies. The significance of the study was in two folds. Firstly, the results could provide the basis for the measurement of aortic stiffness using easily-measurable radial artery pulse waves, and secondly, extension of the study may enable the early diagnosis of various vascular diseases.

Evaluation of Significance on the Brachial-ankle arterial pulse wave velocity And Cerebral Artery Vascular Stenosis (상완-발목 맥파 전달 속도와 뇌동맥 혈관 협착과의 유의성 평가)

  • Kim, Ji-Yul;Ye, Soo-Young
    • Journal of the Korean Society of Radiology
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    • v.13 no.6
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    • pp.873-878
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    • 2019
  • Cerebrovascular disease is one of the three major causes of death in Korea. Since these diseases are associated with atherosclerosis, the diagnosis of atherosclerotic factors should be presented. In this study, we evaluated the relationship between brachial-ankle arterial pulse wave velocity, cerebral artery vascular stenosis, blood pressure, obesity, and abdominal obesity by age group. The significance of cerebral artery stenosis and age group. The risk factors of atherosclerosis, such as blood pressure, obesity, and abdominal obesity, were significant in all age groups. When the pulse wave velocity of the brachial-ankle artery was increased, the cerebral artery stenosis was distributed in 57.3% of the total test subjects. If the arterial stiffness is suspected during the measurement of the pulse wave velocity of the brachial ankle artery, We recommend suspected vascular stenosis and perform a cerebral artery angiography. It is suggested that the data will be used as a baseline data for similar studies after evaluating the significance of blood pressure, obesity, and abdominal obesity as risk factors of atherosclerosis.

The Effects of Sa-am Acupuncture on Radial Pulse in Healthy Human Subjects: A Comparative Study on Tonifications of Kidney and Urinary Bladder (신정격 및 방광정격 자침이 정상 성인의 맥파 변화에 대한 비교 연구)

  • Kwak, Kyu In;Kang, Jae Hui;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.32 no.2
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    • pp.105-121
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    • 2015
  • Objectives : The purpose of this study is to observe the effects of Sa-am acupuncture with tonifications of kidney and urinary bladder on radial pulse in healthy subjects. Methods : Sixty healthy subjects participated in this study, and were divided into a kidney tonifying acupuncture group(KI group), urinary bladder tonifying acupuncture group(BL group) and control group. Radial pulse was measured by 3 dimensional pulse imaging system(DMP-3000) before, immediately after, 30 minutes after, and 60 minutes after acupuncture at Cun, Guan, and Chi in each time. Results : 1. BL group exhibited significantly reduced T1 / T, T4 / T, T4 / (T-T4), T5 / T and increased(T-T4) / T compared to KI group. 2. BL group showed increase of radial augmentation index / heart rate(RAI / HR) in left Cun, H5, Ad / Ap in left Chi, H1, As / Ap in right Chi compared to KI group. BL group showed decrease of As / Ap, Aw / Ap in left Chi, H1, pulse depth, Ad / Ap in right Chi compared to KI group. 3. KI group showed increase of Aw / Ap, H1, H2, H4, pulse area in right Guan, pulse depth in right Chi compared to BL group. KI group showed decrease of RAI in left Cun, applied pressure, pulse depth in left Guan, Aw / Ap in right Chi compared to BL group. Conclusions : The effects of Sa-am acupuncture with tonifications of kidney and urinary bladder in healthy humans have been observed on various parameters. The parameters analysed in this study can be used to differentiate the effects of Sa-am acupuncture with tonifications of kidney and urinary bladder on radial pulse.

A Study on Efficiency Improvement and Optimization of Operating Characteristics of Pulsed $CO_2$ Laser System using Ring Blower (링 블로우를 이용한 펄스형 $CO_2$ 레이저 시스템의 효율 향상과 동작 특성에 관한 연구)

  • Kim, D.H.;Chung, H.J.;Park, S.J.;Joung, J.H.;Lee, D.H.;Kim, H.J.;Cho, J.S.
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2000.05b
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    • pp.57-60
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    • 2000
  • In this paper, it is purpose to develop a pulsed $CO_2$ laser with stable output at pulse repetition rate range of 2 KHz. We used a IGBT as a switching device. The laser cavity was fabricated as an axial and water cooled type. It was used a ring blower to increase a cooling effect The laser performance characteristics as parameters, such as pulse repetition rate, gas pressure have been investigated. The experiment was done under 3 electrode-type instead of 2 electrode-type. To achieve 3 electrode-type, we used two pulse-transformers which is operated parallel. As a result, the maximum output was about 28 W at the total pressure of 20 Torr, the gas mixture $Co_2$:$N_2$:He=1:9:15 and the pulse repetition rate of 1300 Hz.

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