• 임상간호연구
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• 제20권1호
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• pp.113-122
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• 2014

Purpose: The purpose of this study was to examine the effects of drinking water on the change in blood pressure after spinal surgery. Methods: A quasi-experimental nonequivalent control group, pretest and posttest design was employed. Subjects were consisted of 40 elderly patients who underwent spine surgery (20 in the experimental group, 20 in the control group). Data were collected from May 9th to September 30th, 2013. The experimental design involved patients drinking 400 mL of water in 5 mins after surgery and the blood pressure was measured in a standing position following the first 30 minutes after surgery. Control group received the same treatment and care as experimental group, except for the water intake. Data were analyzed using SPSS WIN 19.0 for $x^2-test$, t-test and independent t-test. Results: Experimental group with water intake demonstrated a significant higher level of systolic blood pressure compared to the control group (t=9.065, p=.005), but showed a non-significant level of diastolic blood pressure. Conclusion: This study indicates that water intake can be utilized as a useful nursing intervention to monitor changes in systolic blood pressure in elderly patients after spinal surgery.

• 한국식품영양과학회지
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• 제24권4호
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• pp.493-501
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• 1995

To investigate an effect of dietary sodium and potassium on blood pressure, 418 adolescents living in Kangwha area were studied. Two measurements were taken on each blood pressure(diastolic, systolic) and the average of the two readings was used in the analysis. Sodium and potassium intake were estimated by the determination of those electrolytes in 24hr urine. Not only dietary factors but also physical growth factors such as weight, height, arm-circumference and skinfold-thickness were induced in the stepwise multiple regression analysis to indentify the relative importance between the factors. The variation of blood pressure both in systolic and diastolic in both sexes was inconsistent with the levels of sodium and potassium intake. The results of multiple regression analysis showed that the physical growth were more influential than nutrient factor. It suggested that hypertension risk factors observed form the adults, may not be identical with that of the growing aged population. After control of the physical growth, there was no significant variation observed by the level of sodium and potassium intake on blood pressure. In summary, the results indicate that growth has been more influential than dietary factor on blood pressure for growing aged population.

• 대한의생명과학회지
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• 제26권1호
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• pp.28-36
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• 2020

High blood pressure (HTN) is a condition in which blood pressure is kept higher than normal. Blood pressure trait measures systolic blood pressure (SBP) which is the highest pressure and diastolic blood pressure (DBP) which is the lowest blood pressure. Pulse pressure (PP) is the difference between systolic and diastolic blood pressure. Hypertension is known as a disease caused by the interaction of the environment and genetic factors. To date, studies have been conducted to find genes associated with hypertension. Genome-Wide Association Study (GWAS) analysis using European data from the UK Biobank reported new 535 loci were associated with blood pressure trait. Among them, 12 genes have been reported to have a significant correlation with SBP, DBP and PP. In the study, 12 genes polymorphisms were extracted based on KARE (Korean association resource) and then we performed linear regression of blood pressure trait. As a result, 6 SNPs of the 3 genes (rs12355413 and rs11006736 of ARMC4, rs2290883, rs2290884 and rs11039014 of LRP4, rs7234941 of BCL2) showed statistically significant correlation (P<0.05) with blood pressure trait. Of the 3 genes, 6 SNPs in 2 genes (rs9651357, rs12355413, rs11006736, rs1889522 of ARMC4 and rs4987774, rs7234941 of BCL2) showed significant correlation with hypertension. These results suggest that genetic polymorphisms of ARMC4, LRP4 and BCL2 genes are associated with blood pressure traits and hypertension in Korean population. Moreover, we expected to help understand the pathogenesis of hypertension.

• 대한의용생체공학회:의공학회지
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• 제29권5호
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• pp.371-375
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• 2008

In blood pressure measurement, the oscillometric method detects and analyzes the pulse pressure oscillation while deflating the cuff around the arm. For its principle, one has to inflate cuff pressure above the subject's systolic pressure and deflate below the diastolic pressure. Most of the commercialized devices inflate until the fixed target pressure and deflate until the fixed completion pressure because there is no way to know the systolic and diastolic pressure before measurement. Too high target pressure makes stress to the subject and too low target pressure makes big error or long measurement time because of re-inflation. There are similar problems for inadequate completion pressure. In this study, we suggest new algorithm to set proper target and completion pressure for each subject by analyzing pressure waveform while inflating period. We compared our proposed method and auscultation method to see the errors of estimation. The differences between the two measurements were -4.02$\pm$4.80mmHg, -10.50$\pm$10.57mmHg and -0.78$\pm$5.l7mmHg for mean arterial pressure, systolic pressure and diastolic pressure respectively. Consequently, we could set the target pressure by 30 mmHg higher than our estimation and we could stop at 20mmHg lower than our estimated diastolic pressure. Using this method, we could reduce the measurement time.

• 대한지역사회영양학회지
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• 제18권3호
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• pp.269-282
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• 2013

This study was carried out to investigate bone mineral density (BMD), blood pressure, calcium, sodium intake and related biochemical variables, and to analyze the relationship between BMD, and blood pressure, physical characteristics, nutrient intakes of Korean adult women. The study subjects were 30~80years old, 513 women living in Seoul and Kyunggi area who participated in 2011 KNHANES. The study subjects were divided into three BMD groups; normal, n = 259 (50.4%), osteopenia, n = 169 (32.9%), and osteoporosis, n = 85 (16.7%). Average height and weight and fat free mass decreased with a decrease in BMD. Average BMD of normal, osteopenia, osteoporosis were 0.87, 0.79, $0.70g/cm^2$, and T-score were 0.42, -0.66, -1.62, respectively. Higher systolic blood pressure, alkaline phosphatase, and triglyceride were significantly associated with a decrease in the BMD. The rates of hypertension were significantly increased from normal to osteoporosis. i.e. 18.5% in normal, 34.3% in osteopenia and 63.5% in osteoporosis. Average nutrientintakes such as protein, fat, calcium, phosphorus, iron, sodium, potassium, vitamin A, vitamin B, vitamin B2, and vitamin C were significantly lower in subjects with lower BMD.n. Average calcium intake of normal, osteopernia and osteoporosis were 528.50, 416.96, 389.56 mg, respectively. There were significant negative correlations between calcium, phosphorus and age, systolic blood pressure, triglyceride. Also, there were negative correlation systolic blood pressure (incomplete sentence). In this study, we found low BMD according to low calcium intake increase the risk of osteoporosis and hypertension rather than sodium intake, also calcium intake decreased with increase age. Therefore, in order to prevent osteoporosis and hypertension, subjects need to be educated regarding the importance of calcium nutrients in diet.

• 디지털융복합연구
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• 제15권5호
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• pp.471-478
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• 2017

본 연구에서는 제주 해녀를 대상으로 식이성 톳 섭취가 혈압 및 총콜레스테롤 변화에 미치는 영향에 대해 알아보고자 하였다. 20명의 현직해녀지원자를 10명씩 나누어 톳 섭취 집단과 톳을 섭취하지 않을 집단으로 구분한 후, 8주 간톳 섭취 집단에게 일일 100g의 식이성 톳을 밥과 함께 섭취케 하여 차이를 비교하였다. 그 결과 첫째, 톳을 섭취한 집단의 수축기 혈압은 유의하게 감소하였다. 둘째, 이완기 혈압은 두 집단 모두 유의한 감소를 보였으며, 집단 간 차이는 없었다. 셋째, 수축기-이완기 혈압 차이는 톳을 섭취한 집단은 유의한 감소를 보였으며, 톳을 섭취하지 않은 집단은 증가하였다. 넷째, 총콜레스테롤은 톳을 섭취한 집단에서 유의한 감소가 나타났지만 톳을 섭취하지 않은 집단은 증가하였다. 이상의 결과는 톳을 일일 100g씩 밥과 함께 섭식함으로써 총콜레스테롤 감소 및 수축기 혈압 감소에 효과가 있었음을 나타낸다.

• Genomics & Informatics
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• 제8권3호
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• pp.103-107
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• 2010

The imputation of untyped SNPs enables researchers to validate association findings across SNP arrays and also enables them to test a large number of SNPs to reveal the fine structure of the association peak, facilitating interpretation of the results and the location of causal polymorphisms. In this study, we applied the imputation method to a genomewide association study and recapitulated the previously associated gene loci of blood pressure traits in Korean cohorts. A total of 1,827,004 SNPs were imputed by the IMPUTE program, and we conducted a genomewide association study for systolic and diastolic blood pressure. While no SNPs passed the Bonferroni correction p-value (p=$2.74{\times}10^{-8}$ for 1,827,004 SNPs), 12 novel loci for systolic blood pressure and 16 novel loci for diastolic blood pressure were detected by imputed SNPs, with $10^{-5}$ < p-value < $10^{-4}$. Moreover, 7 regions (ATP2B1, 10p15.1, ARHGEF12, ALX4, LIPC, 7q31.1, and TCF7L2) out of 14 genetic loci that were previously reported revealed that the imputed SNPs had lower p-values than those of genotyped SNPs. Moreover, a nonsynonymous SNP in the CSMD1 gene, one of the 14 genes, was found to be associated with systolic blood pressure (p<0.05). These results suggest that the imputation method can facilitate the discovery of novel SNPs as well as enhance the fine structure of the association peak in the loci.

• 한국융합학회논문지
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• 제10권8호
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• pp.53-58
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• 2019

최근 만성질환자 건강관리의 목적으로 혈압측정에 대한 접근성을 높이는 제품 연구가 지속적으로 이루어지고 있다. 기존 연구에서는 심전도(ECG)와 광전용전맥파(PPG)를 분석하여 수축기혈압과 이완기 혈압을 산출하는 방식을 사용하고 있다. 주 과제는 정확도와 재현성을 위한 분석 알고리즘 개발이다. 본 연구에서는 초소형 혈압측정장치를 개발하는 단계에서 장치의 크기를 줄이고 측정방법도 간단히 하는 동시에 알고리즘도 두 개의 PPG만을 이용하여 최고혈압(SBP)을 추출하고 이에 따른 최저혈압(DBP)을 구하고자 하였다. 이를 위해 두 개의 PPG에서 얻은 측정값과 SBP, DBP 관계를 통계적으로 추적하여 상호관계를 분석하였다. PPG의 차이 값인 DF_P는 SBP와 반비례 관계가 있으며, DBP와는 비례적 관계가 성립되어 알고리즘에 의해 혈압값을 유추할 수 있으며, SBP를 통해 DBP를 추적할 수 있다.

• 대한의용생체공학회:의공학회지
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• 제27권3호
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• pp.89-93
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• 2006

A simple algorithm that can be used to estimate a healthy person's blood pressure using pulse transit time is proposed in this paper. Fifty healthy students participated in the experiment that was conducted in line with the study. The subjects were asked to exercise on several exercise levels using a bicycle ergometer. Their blood pressures during the succeeding rest period were measured. A simple method was proposed to illustrate the relationship between blood pressure and pulse transit time. The systolic blood pressures as well as the heights and weights of the subjects were regarded as the proper parameters, and a second-order regression curve was produced to estimate the subjects' blood pressures. The mean error of estimation was less than 10 mmHg, which was the mean error of manual measurement. Although our estimation model is so simple, it can be used to estimate continuous blood pressure measurement for bicycle ergometer exercise. The electrocardiograms, photoplethysmograms, and blood pressures, however, could not be measured simultaneously As such, their estimation may be slightly different from the results taken from simultaneous measurements.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권6호
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• pp.556-559
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• 2001

The aim of the present study was to evaluate the influences of epinephrine and pain on the changes of blood pressure and pulse rates in mandibular 3rd molar extraction. A total of 80 patients(aged between 10 and 30) without systemically compromised conditions were selected and divided into two groups(I, II). 2% lidocaine with 1:100,000 epinephrine was administered in group I (male 20, female 20), and 2% lidocaine without epinephrine was administered in group II (male 20, female 20). Systolic blood pressure and pulse rates were checked by a digital monitor during the pre-local anesthesia state(stage 1), 5 minute later in the post-local anesthesia state(stage 2), the extraction state(during odontectomy, stage 3), and during the post-suture state(stage 4). The measurement of pain perceived by patients was made using a three-point visual analog scale. The results suggest that local anesthetic with epinephrine is better at decreasing pain preventing the severe elevation of systolic blood pressure than local anesthetic without epinephrine. However, these results should be confirmed by additional studies on cardiac patients.