• Title/Summary/Keyword: Vital Sign

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Emergency Treatment and Nursing Activities of Severe Trauma Patients according to Elapsed Time and Vital Signs (중증외상환자의 치료경과 시간과 활력징후에 따른 응급처치 및 간호활동)

  • Kim, Myung Hee;Park, Jung Ha;Kim, Myung Hee;Koo, Ji Ehun
    • Journal of Korean Biological Nursing Science
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    • v.16 no.3
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    • pp.182-191
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    • 2014
  • Purpose: The aim of this study was to identify necessary emergency treatment and nursing activities for severe trauma patients according to elapsed time and vital signs. Methods: A survey was conducted with 121 patients over 15 points ISS on EMR from June 1, 2011 to May 31, 2012. Collected data were analyzed with descriptive statistics, applying McNemar's test using SPSS 12.0. Results: Almost all of the subjects were men and the mean age was 46.9. Run-time for primary diagnosis, treatment decision, and leaving for the hospital room was 0.19, 4.36, and 4.21 hours, respectively, and stayover time was 9 hours. Regardless of vital signs, emergency treatments involving ambu-bagging, intubation, ventilator, and central vein catheterization insertion were offered within an hour. Central venous pressure, Foley catheter/Levin tube preparation and maintenance were performed in cases of unstable vital sign patients within an hour. Unrelated to vital signs, nursing activities for consciousness assessment, skin assesment and wound care, bed sore/fall down assesment and care, intravenous injection insertion and maintenance were conducted for all severe trauma patients within an hour. Foley catheter/Levin tube drainage care was performed for patients who had unstable vital signs within an hour. Conclusion: Emergency treatment and nursing activities for severe trauma patients were specific according to elapsed time and vital signs.

A Model of Vital Signs Analysis based on Big Data using OCL (OCL을 이용한 빅데이터 기반의 생체신호 분석 모델)

  • Kim, Tae-Woong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.12
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    • pp.1485-1491
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    • 2019
  • As the type and size of vital signs become extensive at the moment lately, a research is actively progressing to define vital signs as big data and analyze it. We generally use a similar method of processing big data on social network as a way to treat vital signs as big data. Vital Sign Big Data should be extracted as feature data, stored separately, and analyzed with various analytical instruments. In other words, it should ensure interoperability and compatability of data, and the index expression in analytical tools should be concise. For this end, I defined the vital sign as the standard meta-model base of HL7 in this dissertation, and I propose a model for analyzing vital signs using OCL, the OMG's standard mathematical specification language. In addition, the proposed model can be confirmed the applicability by figuring out the consumption of calories using ECG data.

Analysis of causal factors and physical reactions according to visually induced motion sickness (시각적으로 유발되는 어지럼증(VIMS)에 따른 신체적 반응 및 유발 요인 분석)

  • Lee, Chae-Won;Choi, Min-Kook;Kim, Kyu-Sung;Lee, Sang-Chul
    • Journal of the HCI Society of Korea
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    • v.9 no.1
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    • pp.11-21
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    • 2014
  • We present an experimental framework to analyze the physical reactions and causal factors of Visually Induced Motion Sickness (VIMS) using electroencephalography (EEG) signals and vital signs. We studied eleven subjects who are voluntarily participated in the experiments and conducted online and offline surveys. In order to simulate videos including global motions that could cause the motion sickness, we extracted global motions by optical flow estimation method from hand-held captured video recordings containing intense motions. Then, we applied the extracted global motions to our test videos with action movies and texts. Each genre of video includes three levels of different motions depending on its intensity. EEG signal and vital sign that were measured by a portable electrocorticography device and an electronic monometer in real time while the subjects watch the videos including ones with the extracted motions. We perform an analysis of the EEG signals using Distance Map(DM) calculated by correlation among each channel of brain signal. Analysis using the vital signs and the survey results is also performed to obtain relationship between the VIMS and causal factors. As a result, we clustered subjects into three groups based on the analysis of the physical reaction using the DM and the correlation between vital sign and survey results, which shows high relationships between the VIMS and the intensity of motions.

Vital Signs Investigation in Subjects Undergoing Magnetic Resonance Imaging (자기공명검사 시 활력 징후의 변화)

  • Jeong, Mi-Ae;Choi, Kwan-Woo
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.412-417
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    • 2019
  • This study was proposed to investigate vital signs in subjects undergoing high magnetic field (3T) MR imaging for provide basic data on causes of claustrophobia as few previous studies were conducted on this special issue. Vital signs of 104 patients were monitored before and during the clinically indicated MR examinations to identify any relationship between MR scanning and the vital signs. An increase of systolic, diastolic blood pressure and pulse pressure were observed. However, they were not statistically significant(p>0.05), which meant the vital signs measured before and during the MRI scanning showed no significant change. This study is considered to be meaningful basic data for analyzing the links between vital sign fluctuations on claustrophobia during routine clinical MR examinations.

ICU Real-Time Sign Information Transmission System using TMO in Distributed Network Systems (분산 네트워크 시스템에서 TMO를 이용한 ICU 실시간 생체정보 전송 시스템)

  • Oh, Seung-Jae
    • The Journal of the Korea institute of electronic communication sciences
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    • v.4 no.3
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    • pp.230-235
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    • 2009
  • The TMO may contain two types of methods, time-triggered methods(also called the spontaneous methods of SpMs) which are clearly separated from the conventional service methods (SvMs). The SpM executions are triggered upon design time whereas the SvM executions are triggered by service request message from clients. In this paper, we describes the application environment as the patient monitor telemedicine system with TMO structure. Vital sign information web viewer systems is also the standard protocol for medical image and transfer. We have to design to obtain useful vital sign information, which is generated at parsing data receiver modulor of HIS with TMO structure, that is offered by the central monitor of ICU. In order to embrace new technologies as telemedicine service, it is important to develope the standard protocol between different systems in the hospital, as well as the communication with external hospital systems.

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Vital Sign Monitoring System with Routing and Query of Wireless Sensor Node on Mobile Environment (모바일 환경에서 질의응답이 가능한 무선센서노드 라우팅 생체신호 모니터링 시스템)

  • Lee, Seung-Chul;Toh, Sing-Hui;Do, Kyeong-Hoon;Chung, Wan-Young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2008.10a
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    • pp.357-360
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    • 2008
  • Vital sign monitoring system using IEEE 502.IS.4 based wireless sensor network(WSN) is designed and developed on mobile environment and sensor node platform. WSN and CDMA are integrated to create a wide coverage to support various environments like inside and outside. We developed query processor to use selective any devices(ECG, Blood pressure and sugar module) and control of the self-organizing network of sensor nodes in a wireless sensor network. Vital sign from wireless medical any devices are analysed in cell phone first for real time signal analyses and the abnormal vital signs are sent and save to hospital server for detail signal processing. wireless signal traffic in wireless sensor network environment or data communication inside the cell phone is reduced.

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Effect of Music Therapy on Anxiety and Vital Sign of Nasal Closed Reduction Under General Anesthesia (전신마취 하 비골골절 수술 환자에서 음악요법이 환자의 불안 및 활력징후에 미치는 영향)

  • Suh, Bum-Sin;Na, Young-Cheon
    • Archives of Plastic Surgery
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    • v.37 no.4
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    • pp.369-374
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    • 2010
  • Purpose: Most of the patients who underwent surgery feels variable kinds of fear or anxiety; an uncomfortable mood state that happens without specific object affects patient's satisfaction before and after the surgery. As music therapy is rather noninvasive method generally used in reducing patient's anxiety, the authors researched about the extent of anxiety with the change of vital sign before the operation while comparing with the cases of patients who took the music therapy at closed reduction under general anesthesia. Method: We divided the patients in 4 groups; A with the premedication (Midazolam, Dormicum$^{(R)}$) before the operation, B with the premedication and music therapy, C with only music therapy, D with no premedication or therapy. And we measured the vital signs after the arrival at the operation room, after induction and 20 minutes after the operation. Also we observed the changes of anxiety index with the STAI (State Trait Anxiety Inventory)-K (Korea)YZ 1 hour before and 8 hours after the surgery. Result: The group B showed the least changes in blood pressure as the group D showed the highest change. Both group C and A showed increase in blood pressure but the upswing in group A was lower than group C. At the change of pulse rate group B showed the lowest upswing also group D showing the highest. Group B showed quite a few upswing but lower than group D, but, at the same time, group A showed lower upswing when comparing two cases. After analysis of STAI-KYZ score, the anxiety relatively decreased in group B and C in comparison with group D. And the index of anxiety state of group A showed just as much to group D. Conclusion: The music therapy is better healthcare method compared to other therapies in reducing anxiety also with satisfying effect who underwent operation. The authors recommend music therapy assisted with use of premedication for better relief of anxiety.

THE CHANGE OF VITAL SIGNS IN STEPS WHEN IT IS EXTRACTED A THIRD MOLOR OF MANDIBLE (제3대구치 발치시 단계별 생체징후(vital sign)의 변화에 대한 연구)

  • Oh, Hae-Soo;Kang, Hee-In;Choi, Bin;Park, Jun-Woo;Sin, Sung-Soo;Choi, Je-Won;Lee, Sun-Keun;Kim, Mi-Ja
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.2
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    • pp.142-150
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    • 2006
  • PURPOSE : The 3rd molar extraction of mandible is common in out-patient office of oral and maxillofacial surgery. And it is dynamic minor operation with changes of vital signs. most of patients are already sensitive about their dental treatment. The changes of emotion are reached to the highest level when patients is laid down to be treated on unit chair. It can be induced to undesirable accidents as to this fear. The undesirable complications are nausea, vomiting, hyperventilation, dyspnea, syncope, shock and so on. The severe changes of vital signs may influence their behavior and make serious medical malpractice or suit such as fracture of dental instruments and injury of proximal area. METHOD AND PATIENTS : A total of 99 selected normal patients were reviewed. Among this, 70 patients(43 men, 27 women with statistical significance) were included in this study. Each steps(pre-anesthesis, 5 minutes after anesthesis, just after mucogingival incision, just after tooth section, just after suture and gauze biting) were investigated for a change of a vital signs. It is analyzed to 2 categories,"Means" and "Tendency". The "Means" is the amount of vital signs changed in comparison with pre-step during operation. That means is the amount of vital changes by each step operation. Next, " Tendency" is changes of vital signs in comparison with step1 during operation. RESULT : This is the changing tendency of vital signs with time. That is active effect of fear and pain. Thus this "Means" and "Tendency" will present a sudden changes of vital signs and it can lead to more safe treatment. CONCLUSION : Thus, the purpose of this study is, through careful operation in each step, to less on patients' complication and increase trust between patient and OMFS. This study is a first article shown with the amount of "Means" and "Tendency" in vital signs, when a third molar of mandible is extracted. This study will be base study of patients with general diseases, because it selected only patients without general diseases.

The Change of the Vital Sign by the Variables of Stimulated Areas in Interferential Current Treatment (간섭 전류 치료의 자극부위에 따른 활력징후의 변화)

  • Park, Young-Han
    • Journal of Korean Physical Therapy Science
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    • v.16 no.3
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    • pp.1-9
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    • 2009
  • Background: The purpose of this study is to have examined the influence on the blood circulation by comparing the differences between stimulating the sympathetic ganglion and the muscle group among the stimulation variables in interferential current stimulation. Method: The object of the study is the twenties(M=8, F=12), who are in great condition and have no pathological report for the blood circulation influence. The intensity of the inferential current stimulation is the medium degree, 100 bps constant current, which is the comfort and degree to confirm the muscle contraction. The areas stimulated are the stellate ganglion area in the seventh cervical vertebrae and the forearm muscle area. Results: We have made sure that there is no change in blood pressure and pulse and that the change in the skin temperature occurred highly. Conclusion: In considering the change of the blood circulation in case of stimulation area by the inferential current stimulation, we have seen that stimulating the sympathetic ganglion area is more effective than stimulating muscle area directly.

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