• Title/Summary/Keyword: Tonometer

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Characteristic Radial Pulse Properties of Elderly Females according to Sasang Constitution-based Health Level (고령자 여성의 체질건강수준에 따른 맥파 특성 연구)

  • Kim, Jae Uk;Bae, Jang Han;Ku, Bon Cho;Jeon, Young Ju;Kim, Keun Ho;Kim, Jong Yeol;Kim, Young Min
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.6
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    • pp.970-975
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    • 2012
  • In Sasang constitutional medicine, doctors diagnose and treat patients according to their Sasang consitutition (SC) type. In this work, by a clinical test with a radial pulse tonometer, we investigated radial pulse properties which were significant in distinguishing unhealthy subjects from healthy subjects for each SC type. We measured radial pulse properties on left and right Gwan locations with a pulse tonometer for 299 elderly female subjects of age of 50 years old or above. We used a newly developed SCAT system to determine subjects' SC types. Subjects' health levels of either healthy or unhealthy were determined independently by two Korean medical doctors. To investigate the statistical differences, we used either of Student's t-test or Mann-Whitney U test depending on the normality of distribution of test statistic. For TE type, unhealthy subjects were characterized with significant increases in heart rate, systolic to diastolic period, pulse depth, while they showed significant decreases in width of pulse in normal direction, pulse area in diastolic period, and high harmonic components (6th, 7th) of power spectral density. For SE type, unhealthy subjects were characterized with significant increases in pulse pressure and pulse depth, while no significant differences were found for SY type. We investigated the characteristic differences in radial pulse properties due to change in health levels on each SC type for elderly females. Pulse variables which were significantly different between healthy subjects and unhealthy subjects were found to vary between SC types. For TE type subjects, many variables were found significant at the left Gwan location, which is in support of the theory of hyperactive liver functioning for TE type. Irrespective of the constitution, the related changes in the pulse properties due to worsened health level were in support of elevated blood flow amount in compensation with weakened blood circulatory function.

Digital Blood Pressure Estimation with the Differential Value of the Arterial Pulse Waveform (맥파의 차동값에 의한 디지털 방식의 혈압 추정 기법)

  • Kim, Boyeon;Chang, Yunseok
    • KIPS Transactions on Computer and Communication Systems
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    • v.5 no.6
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    • pp.135-142
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    • 2016
  • We proposed the new method to estimate the blood pressure with the differential value of the digital arterial pulse waveform and BP relation equation. To get the digital arterial pulse waveform, we use the arterial pulse waveform measurement system that has digital air-pressure sensor device and smart phone. The acquired digital arterial pulse waveforms are classified as hypertension group, normal group, and hypotension group, and we can derive the average differential value between the highest point and lowest point of a single waveform of individuals along with the group. In this study, we found the functional correlation between the blood pressure and differential value as a form of BP relation equation through the regression process on the average of differential value and blood pressure value from a tonometer. The Experimental results show the BP relation equation can give easy blood pressure estimation method with a high accuracy. Although this estimation method has over 66 % error rate and does not give the high level of the accuracy for the diastolic compares to the commercial tonometer, the estimation results for the systolic show the high accuracy that has less than 10 % error rate.

A Case of Transpalpebral Enucleation in Shih-tzu with Chronic Unilateral Glaucoma (편측성 만성 녹내장을 지닌 Shih-tzu의 안구적출술 치유예)

  • 정순욱;정월순
    • Journal of Veterinary Clinics
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    • v.16 no.1
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    • pp.203-209
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    • 1999
  • A 4-year-old female Shih-tzu with severe episcleral congestion and buphthalmos in left eye was referred to the Veterinary Teaching Hospital, Chonnam National University in October 1998. During two months in local veterinary clinics, the dog had been treated unsuccessfully with tarsorrhaphy and antibiotics. By history taking, cause of the glaucoma was ascertained as accidental nonpenetrated cornea trauma by owner, Ophthalmic examination revealed that the left eye was buphthalmic with severe episcleral congestion, pain and fever. The direct pupillary light response could not be evaluated in the left eye, but right eye had normal reaction. The intraocular pressure was 4.5 mmHg in the right eye and 33 mmHg in the left eye, as measured with a Schiotz tonometer, Ultrasonographic finding revealed hyperechoic vitrous body and central echofree material. The Schirmer tear test showed 20 mm in the left eye and 8 mm in the right eye. The hematologic examination revealed monocytosis. The initial medical treatment was admitted, but there was no response. Transpalpebral enucleation in the left eye under inhalation anesthesia with enflurane 1.2 vol% in oxygen was performed. The day after operation the left eye ravealed no exudate, and pain, and the systemic vital signs were normal. The prognosis is excellent.

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A New Method for Unconstrained Pulse Arrival Time (PAT) Measurement on a Chair

  • Kim Ko-Keun;Chee Young-Joon;Lim Yong-Gyu;Choi Jin-Wook;Park Kwang-Suk
    • Journal of Biomedical Engineering Research
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    • v.27 no.3
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    • pp.83-88
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    • 2006
  • A new method of measuring pulse arrival time (PAT), which is usually used for the estimation of systolic blood pressure, in an unconstrained manner using a chair, is proposed. The capacitive-coupled ECG (CC-ECG) measurement system and the air cushion with balancing tubes system were used for unconstrained PAT measurement. Firstly, the correlation between the standard PAT (S-PAT) from the photoplethysmography (PPG) and the PAT measured in an unconstrained manner (U-PAT) was evaluated. It was observed that U-PAT, which is the time delay from the R-peak of ECG to the steepest decent point of air cushion pressure wave, is significantly correlated with the S-PAT. Secondly, systolic blood pressure (SBP) measured by the radial tonometer is compared to the U-PAT. The ten-beat averaged U-PAT removed respiration effects and demonstrated a high intra-subject correlation with SBP in all participants. Finally, the tonometry SBP was estimated from these U-PAT values for one participant intermittently during half a day.

Effects of Intravitreal Centamicin Injection on the Clinically Normal Canine Eye (개에서 초자체내 겐타마이신 주사의 영향)

  • 강선미;이충호;김완희;우흥명;권오경
    • Journal of Veterinary Clinics
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    • v.19 no.3
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    • pp.333-336
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    • 2002
  • This experiment was carried out to investigate the optimal dose of intravitreal gentamicin that decreases intraocular pressure effectively and minimizes complications in dog. After inhalation anesthesia, gentamicin was injected intravitreally into the left eyes at doses of 10, 15 and 20 mg with 1 mg dexamethasone, respectively. Sterilized isotonic saline and dexamethasone mixture into the right eyes for control. Six dogs were used in each group. Intraocular pressures were measured using applanation tonometer(Mentore, Tono-Pen) until 5 months after injection of gentamicin. Ocular examinations were performed using direct ophthalmoscopy. The ocular volumes of both eyes were measured. Intraocular pressures of eyes injected with 10. 15 and 20 mg of gentamicin were decreased significantly compared with control eyes. Severe corneal opacity and neovascularization occurred in 20 mg treated group. Intraocular hemorrhage was observed in 3 dogs of 20 mg treated group. Ocular volume was significantly decreased(p <0.05) in 20 mg treated group, compared with 10 and 15 mg treated group. It is considered that intravitreal gentamicin injection at dose of 10 mg or 15 mg decrease intraocular pressure effectively and minimize complications such as corneal opacity, hyphema and phthisis bulbus.

Analysis of Correlation by Myopic Refractive Errors and Intraocular Pressure (근시성 굴절이상과 안압의 상관관계 분석)

  • Kim, Bo-Yun;Lee, Eun-Hee;Jung, Mi-A
    • Journal of the Korea Convergence Society
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    • v.11 no.8
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    • pp.317-321
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    • 2020
  • This study researched the correlation between myopic refractive errors and intraocular pressure. The study population comprised 39 adults(17 of males, 22 of females). We measured the intraocular pressure using a Non-Contact Tonometer(NCT) and the correlation between myopic refractive errors was analyzed by dividing into three groups: mild, moderate, high myopia. The gender of subjects showed no statistically difference between the intraocular pressure and refractive errors, but as the refractive errors increased, the intraocular pressure incereased, which showed a statistically significant difference. In addition, the higher intraocular pressure in moderate and high myopia than mild myopia can cause glaucoma, that can develop at a young age. it is need to sufficient recognition and understanding correlation between intraocular pressure and myopic refractive errors in the middle-aged high myopia.

Refractive Error Shift in Nuclear, Cortical, and Subcapsular Cataract (핵, 피질 그리고 낭 백내장의 굴절이상 전환)

  • Park, Sang-Chul;Lee, Soek-Ju;Sung, A-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.8 no.1
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    • pp.41-45
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    • 2003
  • The researchers have studied on the effect of three main morphological types(nuclear, cortical, and subcapsular cataract) of age related cataract on refractive error. We also identified that spherical and cylinderical shift in each type of morphological cataract accoding to their locations and effect of intraocular pressure before and after cataract surgery. Nuclear cataract showed myopic shift while cortical cataract showed hyperopic shift, and subcapsular cataract showed not significant changes on both direction. Age related cataract subjects(120 eyes) only were recruited from sun-cheon area. We use optic section of slit lamp biomicroscope to identify the anatomical location of cataract, and optimal refractive correction determined by objective(retinoscope) and subjective refraction then spherical changes were calculated from the spherical eqivalent value. Intra-ocular pressure were measured by auto-tonometer before and 7 days after cataract has been replaced by IOL. The change in cylindrical power, usually A-P diameter decreased according to increases of age, A-P diameter increased because intra-ocular pressure rises by progression of cataract and this convertion with the rule astigmatism to against the rule astigmatism and this increases more by intra-ocular pressure.

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A Study of the Intraocular Pressure of Korean Youth (한국인 청년의 안압 측정)

  • Kim, Sang-Moon
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.2
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    • pp.91-97
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    • 2006
  • The intraocular pressure for Korean youth were measured by using tonometer (AT555-Reichert). The relative frequency distributions of intraocular pressures have been studied for samples of 1,027 persons(475 males, 552 females). The most commonly recorded IOP for both men and women was around 14.5mmHg and 17.5mmHg, respectively. They were in the range of 7 to 23mmHg(males) and 7 to 22mmHg(females). The median pressure(cumulative frequency=0.5%) is 13.0~16.5mmHg for males and 16.5~18.5mmHg for females, so the values for females are slightly higher than males. The mean pressure is 15.2mmHg for males and 15.8mmHg for females, respectively. The 98% of population was in the range of the normal IOP. There are long-term diurnal variation in mean intraocular pressure and the IOP was decreased as a function of time from morning to night. The measured IOP was affected by several factors: exercise made to decrease the IOP and tight collars, dark places and posture of decubitus position got to elevate the IOP.

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Intraocular Pressure Changes in the Uneventful Extra-capsular Cataract Extraction and Extra-capsular Cataract Extraction with Vitreous Loss followed by the Anterior Chamber Lens Implantation (계획적 수정체낭외적출술과 합병증이 동반된 수정체낭외적출술후 전방렌즈의 삽입술시 안압의 변화)

  • Park, Young-Hoon;Lee, Kyoo-Won;Hahn, Duk-Kee
    • Journal of Yeungnam Medical Science
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    • v.6 no.1
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    • pp.81-86
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    • 1989
  • These days the posterior chamber lens implantation following the extracapsular cataract extraction has become the standard procedure except those patients who can not take it in one reason or another. In past, however, the anterior chamber lens implantation was popular for sometimes. Even now in those patient complicated by vitreous loss, the anterior chamber lens implantation following anterior vitrectomy is indicated in some cases. We have become interested in the difference of the intraocular pressure change in the patients who underwent the uneventful extra-capsular cataract extraction followed by anterior chamber lens implantation in routine manner and in those whose extra-capsular cataract extraction were complicated by vitreous loss and eventually needed the anterior vitrectomy before the anterior chamber lens implantation. We reviewed the medical records of 15 cases of the former group and 11 cases of the latter one in 1986 through 1988. There was some difference in the postoperative pressure in the two groups, but it was not statistically significant.

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Correlation between Corneal Ablation Amount and Intraocular Pressure after Corneal Refractive Surgery (각막굴절교정수술 후 각막절삭량과 안압변화의 상관관계)

  • Jung, Mi-A;Lee, Eun-Hee
    • The Korean Journal of Vision Science
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    • v.20 no.4
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    • pp.543-551
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    • 2018
  • Purpose : The purposes of this study were to evaluate the changes of intraocular pressure according to corneal ablation amount after corneal refractive surgery and the changes of intraocular pressure according to refractive errors before corneal refractive surgery. Methods : The mean age of adults who underwent LASIK corneal refractive surgery were $37.34{\pm}7.42years$, and 108 adults(48 males, 60 females) were participated in this study. Refractive errors, intraocular pressure, and corneal ablation amount were measured using an autorefractor, a noncontact tonometer, and an excimer laser. All test values were considered statistically significant when p<0.05. Results : The mean intraocular pressure before corneal refractive surgery was $15.08{\pm}2.60mmHg$ in males and $14.16{\pm}2.67mmHg$ in females. The decrease of intraocular pressure after corneal refractive surgery were 4.22mmHg in males and 3.61mmHg in females. Spherical equivalent power were $-3.89{\pm}2.17D$ in males and $-4.45{\pm}2.92D$ in females before corneal refractive surgery, and $-0.10{\pm}0.46D$ in males and $-0.04{\pm}0.46D$ in females after corneal refractive surgery. The corneal ablation amount after corneal refractive surgery were statistically significant, with $53.95{\mu}m$ in males and $61.26{\mu}m$ in females. There was significant correlation between corneal ablation amount and decrease of intaocluar pressure(r=0.2299, p<0.001). As the growth of corneal ablation amount in males, the decrease of intraocular pressure was significantly increased. As the growth of refractive error, the amount of decrease in intraocular pressure was also significant. The decrease of intraocualr pressure were $3.04{\pm}2.18mmHg$ in low refractive error, $4.10{\pm}2.16mmHg$ in middle refractive error, and $4.65{\pm}3.29mmHg$ in high refractive error. Conclusion : We found that intraocular pressure decreased after corneal refractive surgery by noncontact tonometer and the change of intraocular pressure which is an important index for glaucoma diagnosis, may affect the judgment of eye disease. We think that a preliminary questionnaire whether corneal refractive surgery is necessary for the measurement of intraocular pressure.