• 제목/요약/키워드: Systolic

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혈압 판별 분석 -위험요인을 중심으로- (The Discriminant Analysis of Blood Pressure - Including the Risk Factors -)

  • 오현수;서화숙
    • 대한간호학회지
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    • 제28권2호
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    • pp.256-269
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    • 1998
  • The purpose of this study was to evaluate the usefulness of variables which were known to be related to blood pressure for discriminating between hypertensive and normotensive groups. Variables were obesity, serum lipids, life style-related variables such as smoking, alcohol, exercise, and stress, and demographic variables such as age, economical status, and education. The data were collected from 400 male clients who visited one university hospital located in Incheon, Republic of Korea, from May 1996 to December 1996 for a regular physical examination. Variables which showed significance for discriminating systolic blood pressure in this study were age, serum lipids, education, HDL, exercise, total cholesterol, body fat percent, alcohol, stress, and smoking(in order of significance). By using the combination of these variables, the possibility of proper prediction for a high-systolic pressure group was 2%, predicting a normal-systolic pressure group was 70.3%, and total Hit Ratio was 70%. Variables which showed significance for discriminating diastolic blood pressure were exercise, triglyceride, alcohol, smoking, economical status, age, and BMI (in order of significance). By using the combination of these variables, the possibility of proper prediction for a high-diastolic pressure group was 71.2%, predicting a normal-diastolic pressure group was 71.3%, and total Hit Ratio was 71.3%. Multiple regression analysis was performed to examine the association of systolic blood pressure with life style-related variables after adjustment for obesity, serum lipids, and demographic variables. First, the effect of demographic variable alone on the systolic blood pressure was statistically significant (p=.000) and adjusted $R^2$was 0.09. Adding the variable obesity on demographic variables resulted in raising adjusted $R^2$to 0.11 (p=.000) : therefore, the contribution rate of obesity on the systolic blood pressure was 2.0%. On the next step, adding the variable serum lipids on the obesity and demographic variables resulted in raising adjusted R2 to 0.12(P=.000) : therefore, the contribution rate of serum lipid on the systolic pressure was 1.0%. Finally, adding life style-related variables on all other variables resulted in raising the adjusted $R^2$to 0.18(p=.000) ; therefore, the contribution rate of life style-related variables on the systolic blood pressure after adjustment for obesity, serum lipids, and demographic variables was 6.0%. Multiple regression analysis was also performed to examine the association of diastolic blood pressure with life style-related variables after adjustment for obesity, serum lipids, and demographic variables. First, the effect of demographic variable alone on the diastolic blood pressure was statistically significant (p=.01) and adjusted $R^2$was 0.03. Adding the variable obesity on demographic variables resulted in raising adjusted $R^2$to 0.06 (p=.000) ; therefore, the contribution rate of obesity on the diastolic blood pressure was 3.0%. On the next step, adding the variable serum lipids on the obesity and demographic variables resulted in raising the adjusted $R^2$ to 0.09(p=.000) ; therefore, the contribution rate of serum lipid on the diastolic pressure was 3.0%. Finally, adding life style-related variables on all other variables resulted in raising the adjusted $R^2$ to 0.12 (p=.000) : therefore, the contribution rate of life style-related variables on the systolic blood pressure after adjustment for obesity, serum lipids, and demographic variables was 3.0%.

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선천성 대동맥 협착증의 술전 및 술후 단기간의 수축말기 좌심실 내벽 스트레스의 변화 (Alterations in Left ventricular End-systolic Wall Stress During Short-term Follow-up After Correction of Isolated Congenital Aortic Stenosis)

  • 김시호
    • Journal of Chest Surgery
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    • 제33권10호
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    • pp.777-784
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    • 2000
  • Congenital aortic stenosis in children is characterized by "excessive" left ventricular hypertrophy with reduced left ventricular systolic wall stress that allows for supernormal ejection performance. We hypothesized that left ventricular wall stress was decreased immediately after surgical correction of pure congenital aortic stenosis. Also measuring postoperative left ventricular wall stress was a useful noninvasive measurement that allowed direct assessment for oxygen consumption of myocardium than measuring the peak systolic pressure gradient between ascending aorta and left ventricle for the assessment of surgical results. Material and Method: Between September 1993 and August 1999, 8 patients with isolated congenital aortic stenosis who underwent surgical correction at Yonsei cardiovascular center were evaluated. There were 6 male and 2 female patients ranging in age from 2 to 11 years(mean age, 10 years). Combined Hemodynamic-Ultrasonic method was used for studying left ventricular wall stress. We compared the wall stress peak systolic pressure gradient and ejection fraction preoperatively and postoperatively. Result: After surgical correction peak aortic gradient fell from 58.4${\pm}$17.6, to 23.7${\pm}$17.7 mmHg(p=0.018) and left ventricular ejection fraction decreased but it is not statistically significant. In the consideration of some factors that influence left ventricular end-systolic wall stress excluding one patient who underwent reoperation for restenosis of left ventricular outflow tract left ventricular end-systolic pressure and left ventricular end-systolic dimension were fell from 170.6${\pm}$24.3 to 143.7${\pm}$27.1 mmHg and from 1.78${\pm}$0.4 to 1.76${\pm}$0.4 cm respectively and left ventricular posterior wall thickness was increased from 1.10${\pm}$0.2, to 1.27${\pm}$0.3cm but it was not statistically singificant whereas left ventricular end-systolic wall stress fell from 79.2${\pm}$24.9 to 57.1${\pm}$27.6 kdynes/cm2(p=0.018) in 7 patients. For one patient who underwent reoperation peak aortic gradient fell from 83.0 to 59.7 mmHg whereas left ventricular end-systolic wall stress increased from 67.2 to 97.0 kdynes/cm2 The intervals did not change significnatly. Conclusion ; We believe that probably some factors that are related to left ventricular geometry influenced the decreased left ventricular wall stress immediately after surgical correction of isolated congenital aortic stenosis. Left ventricular wall stress is a noninvasive measurement and can allow for more direct assesment than measuring peak aortic gradient particularly in consideration of the stress and oxygen consumption of the myocardium therefore we can conclude it is a useful measurement for postoperative assessment of congenital aortic stenosis.

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뇌졸중 환자에서 사암침의 혈압강하에 대한 고찰 (The Depressive effect of Sa-Am Acupuncture(膀胱正格) treatment in Stroke Patients)

  • 박영수;김은미;김영일;홍권의;이현
    • Journal of Acupuncture Research
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    • 제21권4호
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    • pp.217-223
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    • 2004
  • Objective: The aim of this research was to investigate the depressive effect of Sa-am Acupuncture(膀胱正格) in stroke patients. Methods: We measured the blood pressure of the patients who were admitted in the Oriental Medical hospital of Dae-Jeon University from June. 2003. to September. 2003. If systolic blood pressure was over 160mmHg or diastolic blood pressure was over 100 mmHg, 40 patients were treated by Sa-am Acupuncture(膀胱正格) and the other 20 patients were taken a rest in bed. Then 30 minutes and 60 minutes later, systolic, diastolic blood pressure were measured. Results: After 30 minute treatment, Sa-am Acupuncture(膀胱正格) significantly depressed the systolic and diastolic blood pressure, but bedrest can't do it. After 60 minute treatment, both Sa-am Acupuncture(膀胱正格) and bedrest significantly depressed the systolic and diastolic bood pressure. Conclusion: These results suggest that Sa-am Acupuncture(膀胱正格) is effective in depressing the systolic and diastolic blood pressure.

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지역사회 성인의 혈압측정횟수 및 연령에 따른 혈압의 차이 (Differences in Blood Pressure among Adults in the Community according to Blood Pressure Measurement Time and Age)

  • 박경연
    • Journal of Korean Biological Nursing Science
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    • 제21권4호
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    • pp.275-282
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    • 2019
  • Purpose: This study aimed to identify the differences in blood pressure among adults in the community according to age and time of the blood pressure measurement. Methods: This was a secondary analysis study, using data from a 2015 community health survey, conducted by the Korea Centers for Disease Control and Prevention. The data of three-time-measured blood pressure were collected from 337 subjects, 25, 35, 45, 55, 65, 75 years old, which are median ages by each age group. Results: The primary systolic pressure was significantly higher than the secondary systolic pressure (t= 3.46, p= .001) and the tertiary systolic pressure (t= 4.83, p= .001). The secondary systolic pressure was higher than the tertiary measurement (t= 2.05, p= .041). There was no significant difference between the three-time-measured values for diastolic pressure. There was a significant interaction between measurement times and age in the systoic blood pressure readings (F= 1.95, p= .036). However, there was no significant interaction between measurement times and age in the diastolic blood pressure readings (F= 1.03, p= .418). Conclusion: The findings suggest that attention must be paid to the use of blood pressure values in studies or one-time-measured clinical blood pressure values. In particular, the differences in systolic pressure readings taken at different times in the older age groups were significant. Therefore, it is more important to carefully assess blood pressure in adults over the age of 45 compared to other age groups.

덧셈과 쉬프트 연산을 사용한 MP3 IMDCT의 저전력 Systolic 구조 (A low-power systolic structure for MP3 IMDCT Using addition and shift operation)

  • 장영범;이원상
    • 한국통신학회논문지
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    • 제29권10C호
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    • pp.1451-1459
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    • 2004
  • 이 논문에서는 MP3에 사용되는 32-point IMDCT 블록의 저전력 hard-wired 구조를 제안하였다. 행렬의 재배열을 통하여 16, 8, 4, 2, 1 cycle에 동작하는 5개의 multirate block을 유도함으로서 저전력 systolic 구조를 제안하였다. 각각의 sub-block들의 곱셈 구현은 덧셈기와 쉬프트로 구현하는 CSD(Cainmic signed digit) 방식을 채택하여 덧셈의 수를 줄임으로서 전력소모를 감소시켰다. 또한 각각의 sub-block들의 전력소모를 더욱 감소시키기 위하여 common sub-expression sharing 방식을 채용함으로서 덧셈의 연산량을 더욱 감소시킨 구조를 제안하였다. 그 결과, 2의 보수형을 사용하는 구조와 비교하여 58.4%의 상대 전력소모를 줄일 수 있었다. 또한 하드웨어 구현을 Verilog-HDL코팅을 통하여 시뮬레이션 함으로서 구조가 정확하게 동작함을 확인하였다.

고속 모듈러 승산의 비교와 확장 가능한 시스톨릭 어레이의 설계 (Comparison of High Speed Modular Multiplication and Design of Expansible Systolic Array)

  • 추봉조;최성욱
    • 한국정보처리학회논문지
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    • 제6권5호
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    • pp.1219-1224
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    • 1999
  • This paper derived Montgomery's parallel algorithms for modular multiplication based on Walter's and Iwamura's method, and compared data dependence graph of each parallel algorithm. Comparing the result, Walter's parallel algorithm has small computational index in data dependence graph, so it is selected and used to computed spatial and temporal pipelining diagrams with each projection direction for designing expansible bit-level systolic array. We also evaluated internal operation of proposed expansible systolic array C++ language.

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순환 알고리즘의 Processor Array에로의 합성 및 구현 (The Synthesizing Implementation of Iterative Algorithms on Processor Arrays)

  • 이덕수;신동석
    • 한국항해학회지
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    • 제14권4호
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    • pp.31-39
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    • 1990
  • A systematic methodology for efficient implementation of processor arrays from regular iterative algorithms is proposed. One of the modern parallel processing array architectures is the Systolic arrays and we use it for processor arrays on this paper. On designing the systolic arrays, there are plenty of mapping functions which satisfy necessary conditions for its implementation to the time-space domain. In this paper, we sue a few conditions to reduce the total number of computable mapping functions efficiently. As a results of applying this methodology, efficient designs of systolic arrays could be done with considerable saving on design time and efforts.

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Systolic Array를 이용한 3×3 Convolution 연산기 설계 (Design 3×3 Convolution Calculator with Systolic Array)

  • 김형순;이준희;서영호
    • 한국방송∙미디어공학회:학술대회논문집
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    • 한국방송∙미디어공학회 2021년도 추계학술대회
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    • pp.221-222
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    • 2021
  • 본 연구는 Convolution Neural Network에서 사용되는 Convolution 연산기를 Systolic Array를 이용하여 구현한다. 두 개의 층으로 나뉜 연산기에 고정 소수점 값을 가지는 커널 값과 연속적인 입력을 넣고 정확한 출력이 나오는지 확인한다. 연산기 구현은 Verilog HDL로 하였으며 대조 연산은 Python에서 진행하였다.

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중풍칠처혈(中風七處穴) 자침(刺鍼)이 뇌혈류(腦血流)에 미치는 영향 (Effect of Seven Points of CVA Acupuncture on Cerebral Blood Flow)

  • 이순호;신경호;김종욱
    • Journal of Acupuncture Research
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    • 제21권3호
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    • pp.83-97
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    • 2004
  • Objective : This study was performed to evaluate the effect acupuncture on cerebral blood flow by Transcranial Doppler Ultrasonography(TCD). Methods : Monitoring of TCD was examined in stroke patients before and after acupuncture on seven points of CVA. Mean Velocity, pulsatility index, systolic velocity, diastolic velocity values are analyzed from TCD at middle cerebral artery. Results : The results showed a insignificant(p>0.05: Paired T-test) decrease in mean velocity, pulsatility index, systolic velocity, diastolic velocity, which was measured at normal middle cerebral artery. The results showed a significant($p{\leq}0.05$: Paired T-test) decrease in mean velocity, pulsatility index, systolic velocity, which was measured at injuried middle cerebral artery, except diastolic velocity. Conclusion : These results suggest that acupuncture could have a specific effect on injuried cerebral artery.

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타원곡선 암호를 위한 시스톨릭 Radix-4 유한체 곱셈기의 설계 (Design of a systolic radix-4 finite-field multiplier for the elliptic curve cryptosystem)

  • 김주영;박태근
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2005년도 추계종합학술대회
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    • pp.695-698
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    • 2005
  • The finite-field multiplication can be applied to the wide range of applications, such as signal processing on communication, cryptography, etc. However, an efficient algorithm and the hardware design are required since the finite-field multiplication takes much time to compute. In this paper, we propose a radix-4 systolic multiplier on $GF(2^m)$ with comparative area and performance. The algorithm of the proposed standard-basis multiplier is mathematically developed to map on low-cost systolic cell, so that the proposed systolic architecture is suitable for VLSI design. Compared to the bit-serial and digit-serial multipliers, the proposed multiplier shows relatively better performance with low cost. We design and synthesis $GF(2^{193})$ finite-field multiplier using Hynix $0.35{\mu}m$ standard cell library and the maximum clock frequency is 400MHz.

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