• Journal of Korea Multimedia Society
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• v.21 no.1
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• pp.34-44
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• 2018

An early detection of intravenous (IV) infiltration is essential to minimize the injuries during infusion therapy, which is one of the most important tasks for nurses in nursing settings. We report that bioelectrical impedance analysis is useful in the early detection of infiltration at puncture sites. When infiltration was intentionally induced in the vein of a pig's posterior ear, impedance parameters (R, $X_C$, $C_m$) showed significant differences before and after infiltration. In particular, the relative resistance ($R/R_{BI}$) decreased significantly at infiltration and then slowly decreased. This indicates that the vein in pig's ear is thin and the amount of surrounding subcutaneous tissue, and hence the infiltrated solution accumulates slowly after infiltration. However, when infiltration was induced in the vein of human's forearm, the relative resistance at 20 kHz decreased gradually over time. In the $R-X_C$ graph, the positions in the case of infiltration induced in the pig' ear shifted rapidly before and after infiltration, whereas the positions in the case of infiltration induced in the human's forearm moved gradually during infiltration. Our findings suggest that the impedance parameters (R, $R/R_{BI}$, $X_C$, R vs. $X_C$, and $C_m$) are effective indicators to detect the infiltration early in a non-invasive and quantitative manners.

• Journal of Gastric Cancer
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• v.7 no.4
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• pp.228-236
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• 2007

Purpose: We have evaluated changes of body composition for patients that underwent a radical gastrectomy for stomach cancer by the use of available bioelectrical impedance analysis during the first year following surgery. We plan to utilize these findings in nutritional and physiological studies. Materials and Methods: We evaluated clinical changes in body composition in patients using the bioelectrical impedance method (Inbody 4.0, Biospace, Korea), between November 2003 to November 2004. A total of 98 patients agreed to enroll in this study among all of the patients that underwent a radical gastrectomy. Results: The average weight decreased by 6.7%, and 9.4%, within the first and 6 months after surgery, respectively (P<0.01). The fat free mass (FFM) dropped by 4.9% within the first month and there were no more changes after this period (P<0.01). The fat mass (FM) and visceral fat area (VFA) decreased 24.3% and 14.1% within the first 6 months (P<0.01), respectively. The reduction effects for female patients were greater than for male patients for weight, FFM and VFA (P<0.05). The edema index was higher in patients with stage III-IV disease than in patients with stage I-II disease (P<0.05). There were significant differences for Billroth I and Billrothl II patients as compared to patients that underwent an esophagojejunostomy for a reduction of the FM, as measured in the in the 12th month after surgery (27.6%, 22.1%, and 41.2%, respectively; P<0.05). Conclusion: Since nutritional supplementation and an improvement in body weight loss after a radical gastrectomy is significantly related with quality of life, nutritional and physiological studies should be greatly considered. In this study, bioelectrical impedance analysis was very useful in analyzing the diminution of body composition and we hope this study on the nutritional and physiological aspects related to a radical gastrectomy will be useful for later studies.

• Proceedings of the KSME Conference
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• 2008.11a
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• pp.1629-1632
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• 2008

Rapid, real-time detection of pathogenic microorganisms is an emerging and quickly evolving field of research, especially with regard to microorganisms that pose a major threat to public health. Herein, a new method that uses bioimpedance and solid culture medium for the real-time detection of microorganisms is introduced. We fabricated a new impedimetric biosensor by integrating solid media and two plane electrodes attached on two facing sides of an acryl well. During bioelectrical impedance analysis, the solid medium showed the characteristics of a homogenous conductive material. In a real-time impedance measurement, our solid-medium biosensor could monitor bacterial growth in situ with a detection time of ${\sim}4$ hrs. Our data indicate that the solid-medium biosensor is useful for detecting airborne microorganisms, thereby providing a new analytical tool for impedance microbiology.

• Nutrition Research and Practice
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• v.5 no.3
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• pp.246-252
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• 2011

Bioelectrical impedance analysis (BIA) models must be validated against a reference method in a representative population sample before they can be accepted as accurate and applicable. The purpose of this study was to compare the eight-electrode BIA method with DEXA as a reference method in the assessment of body composition in Korean adults and to investigate the predictive accuracy and applicability of the eight-electrode BIA model. A total of 174 apparently healthy adults participated. The study was designed as a cross-sectional study. FM, %fat, and FFM were estimated by an eight-electrode BIA model and were measured by DEXA. Correlations between BIA_%fat and DEXA_%fat were 0.956 for men and 0.960 for women with a total error of 2.1%fat in men and 2.3%fat in women. The mean difference between BIA_%fat and DEXA_%fat was small but significant (P < 0.05), which resulted in an overestimation of $1.2{\pm}2.2$%fat (95% CI: -3.2-6.2%fat) in men and an underestimation of $-2.0{\pm}2.4$%fat (95% CI: -2.3-7.1%fat) in women. In the Bland-Altman analysis, the %fat of 86.3% of men was accurately estimated and the %fat of 66.0% of women was accurately estimated to within 3.5%fat. The BIA had good agreement for prediction of %fat in Korean adults. However, the eight-electrode BIA had small, but systemic, errors of %fat in the predictive accuracy for individual estimation. The total errors led to an overestimation of %fat in lean men and an underestimation of %fat in obese women.

• Korean Journal of Human Ecology
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• v.13 no.6
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• pp.1037-1046
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• 2004

Age-dependent changes in body fat can often be observed in normal population. A series of indirect body fat estimates, such as hydrodensitometry, Bioelectrical Impedance Analysis(BIA), and anthropometry equation for body fat, have been developed. The BIA made it possible to analyze body fat mass more related to hydrodensitometry than anthropometry. This study is to compare the body composition analysis between bioelectrical impedance analysis(BIA) and anthropometric measurements of women. The subjects were a group of Daejeon residents including 32 young-aged women($21.50{\pm}1.44$), 30 middle-aged women($50.33{\pm}5.27$), and 40 old-aged women($69.22{\pm}5.74$). We used BIA(inbody 3.0, Biospace Korea) to determine body fat and other body composition. We also measured weight, height, circumference for 12 parts, and skinfold thickness for 9 parts of all subjects' body. The results are as follows: The subjects' height by the age group were $161.74{\pm}0.94cm$ in the young-aged women, $154.16{\pm}1.09cm$ in the middle-aged, and $148.60{\pm}0.78cm$ in the old-aged respectively. BMI were, in order, $21.68{\pm}0.49,\;22.87{\pm}0.89,\;and\;23.85{\pm}0.55$. Relative body fat determined by BIA was, also in order, $29.06{\pm}0.92%,\;26.35{\pm}1.02%,and\;29.35{\pm}1.07%$. Circumference and skinfold that showed the highest correlation with body fat by BIA was waist in the young-aged(r=0.738) and bast in the middle- and old-aged(r=0.844, r=0.804), and triceps in the young-and old-aged(r=0.538, r=0.798), and subcostal in the middle-aged(r=0.872). Body fat Estimations by BIA were the highest correlation with Caucasian women's equation(r=0.588) in young-aged women, Siri's equation with Durnin & Womesley's body density measurement(r=0.875) in middle aged women and Caucasian women' equation(r=0.872) in old aged women. We need to develop specific anthropometric equations based on sex and age to determine body fat.

• Journal of Physiology & Pathology in Korean Medicine
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• v.23 no.2
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• pp.433-437
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• 2009

The purpose of this study was to measure circumference of four body parts of each Sasang groups with Bioelectrical Impedance Analysis (BIA), and evaluate its usefulness for Sasang type diagnostic test. We obtained the circumference measures of neck (CN), chest (CC), waist (CW), and hip (CH) of 91 college students using BIA and standardized by sex and age. The validity of Sasang group prediction with CC was evaluated. The Tae-Eum group (104.87${\pm}$5.19, 108.47${\pm}$4.96, 116.00${\pm}$9.39, 110.4${\pm}$5.29. neck, chest, waist and hip, respectively) has significantly (p<0.001) bigger circumferences than So-Yang (97.79${\pm}$3.82, 100.02${\pm}$4.21, 101.02${\pm}$7.88, 101.95${\pm}$4.06) and So-Eum (95.63${\pm}$4.67, 96.93${\pm}$4.80, 97.63${\pm}$7.72, 99.86${\pm}$4.40) groups at very four measures. Discriminant functions with CC can be used for Tae-Eum Sasang type diagnostic test with 91.2% of overall Percentage Correctly Predicted (PCP). Tae-Eum type-specific sensitivity was 73.3% and Tae-Eum type-specific specificity was 94.7%. The strength and weakness of measurement and standardization methods for Sasang type diagnostic test, and the methods for the standardization of physical traits with sex and age were discussed. Our study showed distinctive physical features of Tae-Eum type and the usefulness of BIA for the Sasang type diagnosis.

• Journal of the Korea Convergence Society
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• v.8 no.2
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• pp.121-126
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• 2017

In this study, we measured the bioelectrical impedance of whole body in various frequency bands by non-invasive method by four electrode method using a portable small impedance measurement system developed to understand the bioimpedance characteristics of intracellular fluid and extracellular fluid components through a skin equivalent model. The measurements were performed on 10 male subjects (mean age $24{\pm}3.0$, body mass index(BMI) $20.3kg/m^2$) for four weeks and the bioimpedances were measured at multi-frequencies (1 kHz, 5 kHz, 50 kHz, 70 kHz, 100 kHz and 500 kHz). Experimental results show that the impedance is the highest in the low frequency range of 1 kHz and the lowest in the high frequency range of 500 MHz. Especially, it was confirmed through experiments that the impedance is rapidly lowered above 50 kHz band. In addition, it was confirmed that similar characteristics to the measured values of the bioimpedance measuring system were obtained in the simulations for understanding the impedance characteristics of the intracellular fluid and the extracellular fluid through the skin equivalent circuit model.

• The Korean Journal of Medicine
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• v.93 no.6
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• pp.548-555
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• 2018

Background/Aims: Assessment of fluid status in hemodialysis patents is very important. Overhydration in hemodialysis is associated with generalized edema, cardiovascular complications, and hypertension. The aim of this study was to determine the factors correlated with mortality of hemodialysis patients, assessing body muscle mass and fluid status using bioelectrical impedance analysis (BIA). Methods: This study enrolled 93 patients who underwent hemodialysis between January 2010 and May 2015 at CHA Bundang Medical Center. Medical records of enrollees up to June 2017 were reviewed retrospectively. These included laboratory results (serum albumin, C-reactive protein [CRP], lipid profile, etc.) and BIA data (extracellular water, intracellular water, total body water, soft lean mass, fat free mass, skeletal muscle mass, etc.). Results: Eleven of 93 patients had expired by May 2017. Among the surviving subjects, mean age was younger, CRP levels were lower, albumin levels were higher, and extracellular water/total body water (ECW/TBW) ratios were lower than in the expired patient group. Kaplan-Meier survival analysis revealed that overhydration (ECW/TBW > 0.4) was associated with higher mortality. Conclusions: In hemodialysis patients, overhydration is an important factor in mortality, and BIA could be a reliable modality in its assessment. We suggest that, for hemodialysis patients, overhydration is more of a risk factor for mortality than is muscle wasting.

• Journal of Korean Medicine Rehabilitation
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• v.19 no.2
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• pp.289-302
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• 2009

Objectives : This study was performed in order to investigate the relation of body composition analysis and radiological parameter(lumbosacral angle, lumbar lordortic angle, lumbar gravity line). Methods : This study was carried out with the data from comprehensive medical testing. 75 subject aged 20-59 performed the segmental bioelectrical impedance analysis, questionnaire. And lumbosacral angle, lumbar lordortic angle and lumbar gravity line were measured in the standing position x-ray. Then we analyzed the data. Results : Low back pain(LBP) prevalence in high obesity index(Body Mass Index(BMI), Percentage of Body Fat(PBF), Waist Hip Ratio(WHR)) group was higher than LBP prevalence in normal obesity index group(p<0.01). In LBP group, lumbosacral angle, lumbar lordortic angle were significantly lager than Non-LBP group(p<0.001). And 75% of LBP group indicated abnormal lumbar gravity line ratio(0.67 < Normal lumbar gravity line ratio <1.00). When it comes to analyze relation between obesity index and radiological parameter, no-significant change was seen. Conclusions : This study carried as following research after the study on relation of obesity, LBP and trunk muscle strength. Results from this investigation showed positive correlation between obesity and LBP prevalence. But obesity index didn't indicate significant correlation with structural changes of lumbar vertebrae. When considering prior research, trunk muscle strength changes were more related to LBP prevelence in obese people. This results are expected to explain causes of LBP in obese group.

• Proceedings of the KIEE Conference
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• 2005.07d
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• pp.2705-2707
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• 2005

본 논문은 4 전극법을 이용한 BIA (Bioelectrical Impedance Analysis)측정 기술로 측정된 신체의 내부 임피던스와 중량, 그리고 신장의 데이터를 활용하여 서로의 상관관계를 밝히고, 내부 임피던스와 중량의 관계로부터 신장을 측정하는 실험에 관한 것이다.