• 제목/요약/키워드: Vital sign

검색결과 300건 처리시간 0.032초

UWB 레이더와 비접촉 수면다원검사 (UWB Radar and Non-contact Polysomnography)

  • 변상선
    • 대한임베디드공학회논문지
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    • 제10권1호
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    • pp.33-40
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    • 2015
  • The number of people who are suffering from chronic sleep disorder has been growing dramatically in modern era. In order to diagonse the sleep disorder, sleep doctors perform polysomnography: Patients sleep with attaching several vital sign sensors on their body, and doctors monitor the patients in order to find the exact reason of the sleep disorder. Typical polysmonography makes patients sleep with several sensors on their bodies, which prevents the patients from making a comfortable sleep. Furthermore, it is impossible to have a long-term monitoring since the measurements should be done in sleep hosiptal within a few hours. In order to tackle these problems in the typical polysomnography, we envision the development of a non-contact long-term home polysomnography system using UWB radar and related technologies such as multi-modal signal processing.

외상 환자에서 안정화된 생체 징후에 대한 정의의 다양성: 전국적인 조사 결과 (Diversity of the Definition of Stable Vital Sign in Trauma Patients: Results of a Nationwide Survey)

  • 문성표;유영선
    • Journal of Trauma and Injury
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    • 제27권4호
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    • pp.115-125
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    • 2014
  • Purpose: Stable vital signs (SVSs) are thought to be the most important criteria for successful non-operative management (NOM) of blunt spleen injury (BSI). However, a consistent definition of SVSs has been lacking. We wanted to evaluate the diversity of the definitions of SVSs by using a nationwide survey. Methods: A questionnaire regarding the definition of SVSs was sent to the trauma surgeons working at the Department of Trauma Surgery and Emergency Medicine at a level-I trauma center between October 2011 and November 2011. Data were compared using analyses of the variance, t-tests, ${\chi}^2$ tests and logistic regressions. Results: Among 201 surgeons, 198 responded (98.2%). Of these 198 responses, 45 were incomplete, so only 153 (76.1%) were analyzed. In defining the SVSs, significant diversity existed on the subjects of type of blood pressure (BP), cut-off value for hypotension, technique for measuring BP, duration of hypotension, whether or not to use the heart rate (HR) as a determinant, cut-off value of hypotension when the patient had a comorbidity or when the patient was a child. Of the 153 surgeons whose responses were analyzed, 91.5% replied that they were confused when defining SVSs. Conclusion: Confusion exists regarding how to define SVSs. Most surveyed surgeons felt that a need existed to clarify both the definition of SVSs and the use of SVSs to determine hemodynamic stability for NOM.

주기적인 생리변수 측정과 전자건강설문을 이용한 재택건강관리서비스 (Home Health Care Service Using Routine Vital Sign Checkup and Electronic Health Questionnaires)

  • 박승훈;우응제;이광호;김종철
    • 대한의용생체공학회:의공학회지
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    • 제22권5호
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    • pp.469-477
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    • 2001
  • 본 논문은 가정에 있는 만성질환자, 퇴원한 환자 및 자신의 건강을 염려하는 정상인 등을 대상으로 매일 측정한 심전도. 혈압. 혈중 산소 포화농도 등과 같은 생리변수와 건강 설문에 대한 응답을 분석하여 건강상태를 지속적으로 파악하고, 비정상적인 상태가 발견될 경우에는 의사가 정확히 확인하여 필요한 조치를 조언하는 재택건강관리서비스에 대해서 기술하고 있다 재택건강관리서비스를 위해서 가입자는 재택건강관리단말기와 인터넷에 연결된 PC를 가정에 구비하여야 한다. 관제센터는 의사와 가입자의 기본정보와 가입자의 건강정보를 저장하기 위한 데이터베이스 시스템, 생체신호와 건강설문을 분석하여 현재상태의 비정상여부를 판단하는 건강상태자동평가시스템, 가입자와 의사들이 웹 브라우저를 사용하여 원하는 건강정보를 데이터베이스에서 검색, 조회하고. 그 내용을 수정. 편집하여 저장할 수 있는 웹 기반 건강정보관리시스템이 필요하다. 또한, 공중전화망 및 무선통신망을 이용한 음성 및 문자 전송과 인터넷을 이용한 전자우편에 의해 의사의 소견을 가입자에게 전달하는 통합 메시징 시스템 (UMS). 종합검진센터에서 의사가 검사결과와 문진 결과를 입력하기 위한 정보입력 PC. 병원에서 의사가 가입자의 정보를 조회하거나 정밀진단결과를 입력하기 위한 인터넷 PC 등이 설치되어야 한다. 일반에게 이러한 서비스를 널리 보급하기 위해서는, 생리변수들의 무구속 및 무자각 측정기술과 지능적인 건강평가 알고리즘의 개발에 대한 연구가 계속 수행되어야 할 것이다.

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Application of a Textile-based Inductive Sensor for the Vital Sign Monitoring

  • Gi, Sun Ok;Lee, Young Jae;Koo, Hye Ran;Khang, Seonah;Kim, Kyung-Nam;Kang, Seung-Jin;Lee, Joo Hyeon;Lee, Jeong-Whan
    • Journal of Electrical Engineering and Technology
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    • 제10권1호
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    • pp.364-371
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    • 2015
  • In this study, we developed a feasible structure of a textile-based inductive sensor using a machine embroidery method, and applied it to a non-contact type vital sign sensing device based on the principle of magnetic-induced conductivity. The mechanical heart activity signals acquired through the inductive sensor embroidered with conductive textile on fabric were compared with the Lead II ECG signals and with respiration signals, which were simultaneously measured in every case with five subjects. The analysis result showed that the locations of the R-peak in the ECG signal were highly associated with sharp peaks in the signals obtained through the textile-based inductive sensor (r=0.9681). Based on the results, we determined the feasibility of the developed textile-based inductive sensor as a measurement device for the heart rate and respiration characteristics.

발진기의 2채배 고조파 주파수 천이를 이용한 생체신호 측정센서 (Vital Sign Sensor Based on Second Harmonic Frequency Drift of Oscillator)

  • 구기영;홍윤석;이희조;윤기호;육종관;김강욱
    • 한국전자파학회논문지
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    • 제27권3호
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    • pp.299-306
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    • 2016
  • 본 논문에서는 공진기와 인체와의 거리에 따른 근접 전자기장 변화에 의한 공진기 임피던스의 변화를 토대로 사람의 호흡 및 심박신호를 검출할 수 있는 센서를 제안한다. 제안된 생체신호 측정센서는 패치형 공진기가 결합된 발진기, 발진주파수의 2채배 주파수만 통과시키기 위한 다이플렉서, 증폭기, SAW 필터 및 RF 검출기로 구성되어 있다. 호흡과 심박신호와 같은 인체의 주기적인 움직임은 근접 전자기장 영역 안에서 공진기의 임피던스 변화를 야기하며, 발진기의 주파수를 변화시킨다. 감도를 향상시키기 위해 발진주파수의 2채배 주파수 천이를 SAW 필터의 저지대역에 위치시킴으로써, 제안된 센서의 검출 거리를 2배로 확장시킬 수 있다. 제안된 센서의 측정결과, 최대 40 mm까지 호흡 및 심박신호가 안정적으로 측정되는 것을 확인하였다.

신장증 환아의 신생검후 모래주머니 적용시간에 따른 활력징후, 통증 및 출혈에 관한 연구 (A Study on Sandbag Management, vital sign, Pain and Hemorrhage after Kidney Biopsy in Children with Nephrotic Syndrome)

  • 조결자;백승남;박순희
    • Child Health Nursing Research
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    • 제9권1호
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    • pp.28-35
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    • 2003
  • Purpose: The purpose of this study is to investigate correlations in vital sign changes, the severity of pain, signs of complications, and the duration of sandbag management in order to suggest a standardized practice related to sandbag management in children with Nephrotic Syndrome(NS). Method: From October 2000 to May 2001, seventy children with NS who underwent kidney biopsy were interviewed at one hospital in Seoul Korea, and participated in this study. Result: 1) The average sandbag applying time after kidney biopsy was 18.1 hours. 2) Systolic blood pressure and respiration increased until 15 minutes after kidney biopsy, after then, they decreased signifi- cantly (systolic BP, p= .006; respiration, p= .029). However, no significant changes were noted in diastolic blood pressure and pulse. 3) Pain was reported minimal for 1 hour after kidney biopsy. The severity of pain increased until 12 hours after the procedure, then, decreased significantly(p= .0001). 4) Reported complications were hematuria (74.7%) and abnormal sonogram (32.9%). No apparent bleeding on the biopsy region was reported in any children. Conclusion: From these findings, it is possible to change the protocols of the duration of absolute bed rest time and sandbag application management shortly after kidney biopsy. But it is needed to study the fit protocols for kidney biopsy. Several implications in nursing practice are suggested. 1) Replicated studies for more participants are needed. 2) Further research on the effect of sandbag application after kidney biopsy is required. 3) The best duration of sandbag application management after kidney biopsy need to be investigated.

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간호사의 가정간호를 위한 교육요구 분석 (A study on educational need of nurses for home care)

  • 문정순
    • 한국보건간호학회지
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    • 제5권2호
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    • pp.5-25
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    • 1991
  • This study was conducted from July to December 1990, in order to diagnose nurses' educational need for home care. The study subjects consisted of 145 nursing educators, and the 3 groups of nurses, namely 250 senior nursing students of diploma and collegiate program, 235 health center nurses, 521 university' hospital nurses in Seoul. Four types of questionaires were formulated by Delphi method. Two questionaires for the nursing educators were designed to measure their expectations of nurses' knowledge and of their skill for home care, and another two questionaires for the nurses to measure their actual home care knowledge and skill. The results of the study were as follows : 1) The mean scores of educators' expectation for home care knowledge were 17.68 for the care of dependence on medical equipment, 17.44 for the care of mobility impairment patient, 16.56 for the care of cardiopulmonary impairment patient, 16.40 for the care of nutrition and elimination impairment patient, '1.20 for the care of psychiatric disorder patient and 9.03 for the care of cancer and terminally ill patient,. 2) The mean scores of nurses' home care knowledge tested by 20 items were 14.36 for the care of mobility impairment patient, 13.28 for the c8;re of dependence on medical equipment, 13.78 for the care of cardiopulmonary impairment patient, 12.92 for the care of nutrition and elimination impairment patient, and those of tested by 10 items were 7.08 for the care of psychologic disorder patient, 7.80 for the care of cancer and terminally ill patient. The sum of means marked 69.23. As for the nurses' home care knowledge categorized by tasks in terms of the group, significant difference were shown in the care of mobility impairment(P=0.00), cancer and terminally ill(P=0.03), nutrition and elimination impairment(P=0.00) and psychologic disorder patient(P=0.00). No significant difference were shown in the care of dependence on medical equipment and cardiopulmonary impairment patient. 3) Regard to educational need of nurses' home care knowledge categorized by task according to the group it was found that all sampled nurses had educational need in the care of mobility impairment, dependence on medical equipment, cardiopulmonary impairment, cancer and terminally ill patient. It was found that health center nurses had educational need in the care of psychologic disorder. No educational need were found in the health center nurses whose career less than 2 years, in the care of mobility impairment, cardiopulmonary impairment and psychologic disorder patient, and in those of career with 2-5 year in the care of psychologic disorder patient. No educational need were found in the hospital nurses whose career more than 15 years, in the care of cardiopulmonary impairment patient and in those of career with 11-15 year, in the care of cancer and terminally ill patient. 4) The mean scores of educators' expectation for home care skill measured by Likert 5 points scale were 4. 21 for assessing, 4.49 for planning, 4.29 for basic care, 4.42 for curative care, 4.40 for rehabilitative care, 4.36 for emergency care, 4.53 for medication, 4.31 for nutritional care, 4.32 for other means for care, and 4.38 for evaluation. 5) Regard to nurses' home care skill measured by Likert 5 points scale of self evaluation, there was a significant difference between the nurses' home care skill and group(P=0.00l). The higher scores reported by students were vital sign checking and basic care while the scores of below medium were curative care and emergency care. The higher scores reported by health center nurses were vital sign checking, other means for care and care of specimen while the scores below medium were curative, emergency and nutritional care. The higher scores reported by hospital nurses were vital sign checking, care of specimen and basic care, while the score below medium was emergency care. 6) Regard to educational need of nurses' home care skill by nursing process activity according to the group it was found that health center nurses had educational need in all nursing skills including vital sign checking, care of specimen, health assessment, socioeconomic assessment, nursing diagnosis, care plan, basic care, curative care, rehabiitative care, psychological care, emergency care, medication, nutritional care, other means for care and evaluation. And students had educational need in all nursing skills except vital sign checking, and hospital nurses had educational need in all nursing skills except vital sign checking, care of specimen and basic care. 7) In short, the result of this study suggests that the curriculum should be organized in accordence with nurses' educational background and their career for the education of nurses for home care. It should be considered to develop the short term educational program focused on curative and rehabilitative care for health center nurse or community health nurse practitioner and which was focused on family care for hospital nurse. Concerning about this field practice for home care nurse, they are required not only community practice but also . clinical practice including emergency, curative and rehabilitative care.

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수종의 약침제제 견정혈 자입이 활력징후 변화에 미치는 영향;황기 약침, 산삼 약침, 생지황 약침을 중심으로 (The Effects of Distilled Astragali Radix Herbal Acupuncture, Wild Ginseng Herbal Acupuncture and Rehmannia Glutinosa Herbal Acupuncture on Vital Sign;A Randomized, Placebo-controlled, Double-blind Clinical Trial)

  • 이휘용;유정석;육태한;홍권의
    • Journal of Acupuncture Research
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    • 제24권5호
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    • pp.207-217
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    • 2007
  • Objectives: We investigated the safty of distilled Astragali Radix Herbal Acupuncture, Wild Ginseng Herbal Acupuncture and Rehmannia glutinosa Herbal Acupuncture on vital sign -BP, pulse, resperation-in adult man. Methods : We investigated on 106 healthy volunteers consisted of each 30 subjects in experiment (distilled Astragali Radix Herbal Acupuncture, Wild Ginseng Herbal Acupuncture and Rehmannia glutinosa Herbal Acupuncture) group and 30 subjects in control(Normal Saline) group. Study form was a randomized, placebo-controlled, double-blind clinical trial. 30 subjects in each experiment group were injected distilled Astragali Radix Herbal Acupuncture, Wild Ginseng Herbal Acupuncture, Rehmannia glutinosa Herbal Acupuncture at $GB_{21}$(Kyonjong) and 30 subjects in control group were injected Normal Saline at $GB_{21}$ (Kyonjong). except of 2 subjects(in control group) who can't be measured and 10 subjects(6 in experiment group and 4 in control group) who move or make unforceable error during measuring. Finally each 25. subject, subject, subject in experiment group and 24 subject in control group are studied. We measured resperation by PolyG-I and BP & pulse by electric manometer on 5 times : before injection per 5 minutes during and after injection per 10 minutes during 35 minutes. The SPSS 13.0 for windows was used to analyze the data and the Student t test(between two groups) were used to verify the result. Results : 1. After distilled Astragali Radix Herbal Acupuncture injection, Wild Ginseng Herbal Acupuncture and Rehmannia glutinosa Herbal Acupuncture , systolic BP is not significantly change in all experiment time. 2. After distilled Astragali Radix Herbal Acupuncture injection, Wild Ginseng Herbal Acupuncture and Rehmannia glutinosa Herbal Acupuncture , diastolic BP is not significantly change in all experiment time. 3. After distilled Astragali Radix Herbal Acupuncture injection, Wild Ginseng Herbal Acupuncture and Rehmannia glutinosa Herbal Acupuncture , pulse is not significantly change in all experiment time. 4. After distilled Astragali Radix Herbal Acupuncture injection, Wild Ginseng Herbal Acupuncture and Rehmannia glutinosa Herbal Acupuncture , resperation is not significantly change in all experiment time. Conclusions : The results suggest that distilled Astragali Radix Herbal Acupuncture, Wild Ginseng Herbal Acupuncture and Rehmannia glutinosa Herbal Acupuncture in healthy adult man don't influence vital sign within normal range. This result is derived from that distilled Astragali Radix Herbal Acupuncture, Wild Ginseng Herbal Acupuncture and Rehmannia glutinosa Herbal Acupuncture in healthy adult man are safety.

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선호 음악요법이 전신마취 산부인과 수술 환자의 불안과 활력 징후에 미치는 효과 (Effect of favorite music therapy on anxiety and vital sign in patients undergoing gynecologic surgery using the general anesthesia)

  • 양정임;노민영;양경희
    • 한국산학기술학회논문지
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    • 제16권2호
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    • pp.1189-1199
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    • 2015
  • 본 연구의 목적은 산부인과 전신마취 수술환자의 불안과 활력징후에 선호음악이 미치는 효과를 검증하는 것이다. 연구 설계는 비동등성 대조군 전후 시차설계이다. 연구기간은 2013년 5월 1일부터 7월 30일까지이며, 대상자는 W대학병원의 산부인과 수술환자로 실험군 21명, 대조군 23명, 총 44명이다. SPSS Win 18.0을 활용하여 Repeated measures ANOVA로 자료를 분석하였다. 연구 결과 선호음악을 제공받은 실험군과 제공받지 않은 대조군 간의 불안은 수술실 입실 시와 마취직전 사이 및 마취 직전과 의식 회복 후(p=.003; p=.011)의 시점에서 유의한 차이를 보였다. 수축기 혈압은 의식 회복 후와 회복실 퇴실 시 사이에 유의한 차이를 보였으며(p=.023), 맥박은 마취 직전과 의식 회복 후 사이에서 유의한 차이가 있었다(p=.016). 향후 선호음악 요법은 산부인과 전신마취 수술환자의 불안 감소 및 안정된 활력징후를 유지를 위한 효과적인 간호중재로 적용될 수 있다.

음한(陰寒)에 대(對)한 문헌적(文獻的) 고찰(考察) (The literature on the genital cold sign(陰寒))

  • 김두희;조충식;김철중
    • 혜화의학회지
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    • 제9권1호
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    • pp.399-407
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    • 2000
  • According to the literature on the genital cold sign, results were as follows. 1. Genital cold sign is that patient feel cold the part outer reproductive system. 2. The primary cause of genital cold sign is the kidney yang vacuity, and the others are the spleen vacuity, fulling down damp-heat, vacuity consumption, frenetic movement of ministerial fire, dedilitation of kidney yin, insecurity of kidney yang, impairment spleen with vacuity consumption, 3. The primary treatment of genital cold sign is warming and recuperating kidney, and the others are enrich yin and norishing blood, supplement the vital energy and enrich blood, clearing away dampness, etc. 4. For the medical prescriptions are used PalMiHyan(八味丸), GeJiGaYongGolMoReoTang(桂枝加龍骨牡蠣湯), GoJinTang(固眞湯), GaGamNaiGoHyan(加減內固丸), SipBoHyan(十補丸), YoSuYuTang(吳茱萸湯), ChungHonTang(淸魂湯), HuiChunSan(回春散), JoYangSan(助陽散), ChungHonTang(淸魂湯), YoncDamSaGanTane(龍膽瀉肝湯), SiHo-SoengSoepTang(柴胡勝濕湯).

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