• 제목/요약/키워드: heart rate variation

검색결과 75건 처리시간 0.021초

관상동맥우회술 시행환자의 중증도 보정 재원일수 변이에 관한 연구 (The Variation Factors of Severity-Adjusted Length of Stay in CABG)

  • 김선자;강성홍;김원중;김유미
    • 품질경영학회지
    • /
    • 제39권3호
    • /
    • pp.391-399
    • /
    • 2011
  • Our study was carried out to analyze the variation factors of severity-adjusted length of stay(LOS) in coronary artery bypass graft(CABG). The subjects were 932 CABG inpatients of the Korean National Hospital Discharge In-depth Injury Survey from 2004 through 2008. The data were analyzed using $x^2$ test and the severity-adjusted model was developed using data mining technique. The results of the study were as follows: male(71.1%), older than 61 years of age(61.6%), more than 500 beds(92.8%) and admitting via ambulatory care(70.0%) appeared to have higher rate than otherwise. In-hospital mortality of CABG inpatients was 2.8%. In addition, 46.4% of the patients received their care in other residence. The angina pectoris(45.6%) was found to be the highest in principle diagnosis, followed by chronic ischemic heart disease(36.9%) and acute myocardial infarction(12.0%). We developed severity-adjusted LOS model using the variables such as gender, age and comorbidity. Comparison of adjusted values in predicted LOS revealed that there were significant variations in LOS by location of hospital, bed size, and whether patients received the care in their residences. The variations of LOS can be explained as the indirect indicator for quality variation of medical process. It is suggested that the severity-adjusted LOS model developed in this study should be utilized as a useful method for benchmarking in hospital and it is necessary that national standard clinical practice guideline should be developed.

토노메트리 방식 맥파 측정의 가압 각도에 따른 변동성 평가 (Variation Factor Assessment of Radial Artery Pulse by the Tonometry Angle of the Pulse Pressure Sensor)

  • 정창진;조정희;전민호;전영주;김영민
    • 센서학회지
    • /
    • 제25권2호
    • /
    • pp.138-142
    • /
    • 2016
  • A pulse measurement by tonometry provides useful information for diagnosis, including not only blood pressure and heart rate but also parameters for estimating a condition of the cardiovascular system. Currently, various pulse measurement devices based on the tonometry have been developed. A reliability of these devices is determined by a positioning technic between the sensor and the blood vessel and a controlling technique of the pressurization level. An angle of the sensor for the pulse measurement seems to be highly related with a measured signal, however, the objective studies for this issue have been not published. In this paper, the variation of the pulse signals by tonometry direction was experimentally assessed according to the angle of the sensor. In order for guaranteeing the repeatability of the experiment, we used a pulse generator device, which can generate human pulse signal by using silicon tube and fluid pump, and developed a structure for precise adjustment of the angle and the pressurization level of the sensor. The angle of the sensor was acquired by an inclinometer, which was attached at the opposite side of the sensor. As results, a coefficient of variation (CV) of a maximum amplitude (MA) of the pulse wave was largely increased over the angle range of $-9{\sim}9^{\circ}$. Furthermore, the changes of the pulse shape showed different aspects according to the sign of the angle tilted along the blood vessel. It is expected that the results of this study can be helpful for developing more precise pulse measurement devices based on the tonometry and applying in clinic.

Effects of Heart Fatty Acid-binding Protein Genotype on Intramuscular Fat Content in Duroc Pigs Selected for Meat Production and Meat Quality Traits

  • Uemoto, Yoshinobu;Suzuki, Keiichi;Kobayashi, Eiji;Sato, Syushi;Shibata, Tomoya;Kadowaki, Hiroshi;Nishida, Akira
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제20권5호
    • /
    • pp.622-626
    • /
    • 2007
  • Using multi-trait animal model BLUP, selection was conducted over seven generations for growth rate (DG), real-time ultrasound loin-eye muscle area (LEA), backfat thickness (BF), and intramuscular fat content (IMF) to develop a new line of purebred Duroc pigs with enhanced meat production and meat quality. This study was intended to investigate the relationship between restriction fragment length polymorphism (RFLP) of a heart fatty acid-binding protein (H-FABP) gene and intramuscular fat content (IMF) of this Duroc purebred population. The present experiment examined the RFLP of 499 slaughtered pigs. The DNA was separated from the blood or ear tissue of the pigs, which were slaughtered at 105 kg of body weight. Intramuscular fat content of the longissimus muscle was measured using chemical analysis. A significant difference was detected in the breeding value of IMF among the H-FABP PCR RFLP genotypes. The AA genotype has a significantly larger positive effect on the IMF breeding value than do the Aa and aa genotypes for the MspI RFLP. In addition, the DD genotype has a significantly greater positive effect on IMF breeding value than the Dd and dd genotypes for the HaeIII RFLP. For the HinfI RFLP, the hh genotype has a significantly larger positive effect on IMF breeding value than the HH genotype. Multiple regression analysis was performed using the IMF breeding values as the dependent variable and the three H-FABP genotypes as independent variables. Results revealed that the contribution of the genotypes to variation in IMF breeding values was approximately 40%. These results demonstrated that H-FABP RFLPs affect IMF in this Duroc population.

인지능력 저하노인에 대한 HRV 측정기법에 관한 연구 (A Study on measurement Technique of HRV for elder with reduced cognitive abilities)

  • 김완규
    • 한국전자통신학회논문지
    • /
    • 제10권1호
    • /
    • pp.125-132
    • /
    • 2015
  • 본 논문은 인지능력이 저하된 노인들에게 침과 뜸 요법을 시행하고 HRV 측정값을 통하여 그 효과를 분석한다. 인지능력이 저하되거나 상실된 사람들에게 자주 사용되었던 주요한 경혈을 고문헌에서 조사하였다. 인지능력이 저하된 노인들에게 침과 뜸을 시술한 후 HRV 측정기를 이용하여 여러 가지 변화를 측정하였다. 측정된 값들을 상호 비교하여 자율신경계와 심박동수의 변화에 침과 뜸이 어떤 영향을 주는지 효능을 측정하였다. 연구 결과 침과 뜸이 인지능력의 개선에 긍정적이 효과가 있다는 것을 HRV 분석을 통해 확인할 수 있었다.

How Many Parameters May Be Displayed on a Large Scale Display Panel\ulcorner

  • Lee, Hyun-chul;Sim, Bong-Shick;Oh, In-suk;Cha, Kyoung-ho
    • 한국원자력학회:학술대회논문집
    • /
    • 한국원자력학회 1995년도 추계학술발표회논문집(1)
    • /
    • pp.254-259
    • /
    • 1995
  • Large scale display panel(LSDP) is a main component in the next generation main control rooms. LSDP is located at the front of VDU-based operator's workstation and plays an important role in providing operators with overall information of plant status through mimic diagram, text/digit, graph, and so on. A critical matter determined at the first stage of LSDP design is how much information is displayed, because the information density of LSDP affects operator's performance. Many human factors guidelines recommend low information density of displays to avoid degrade of operator's performance, but doesn't provide a useful limit of information density. In this paper, we considered information density as the number of plant parameters and investigated the proper number of plant parameters through a human factors experiment. The experiment with 4 subjects was carried out and response time, error, and heart rate variation as criterion measures were recorded and analyzed. As the results, it is identified that the proper number of parameters in a LSDP is about thirty.

  • PDF

한국 성인에게 적용한 산림치유요법 고찰 (Literature Review of Forest Healing Therapy on Korean Adults)

  • 채영란;김주현;강현욱
    • Journal of Korean Biological Nursing Science
    • /
    • 제20권2호
    • /
    • pp.122-131
    • /
    • 2018
  • Purpose: This study was conducted to ascertain the effectiveness of forest healing therapy by analyzing researches on forest healing therapy applied to Korean adults and to confirm that forest healing therapy can be used as a therapeutic intervention program for elderly nursing or rehabilitation nursing. Methods: We searched 972 research papers on forest therapy applied to Korean adults. We reviewed appropriate 25 research papers with experimental design among them in the final analysis. Results: Forest healing therapy had physiological and psychosocial effects. First of all, it showed physiological effects to reduce stress index such as heart rate variation. Forest therapy also improved melatonin level in blood of middle-aged women with menopause and increased alpha wave in electroencephalogram and decreased lipid level and superoxide dismutase in blood. Second, forest healing therapy showed psychosocial effects to reduce depression and to improve mental health. But the effects appeared differently depending on the implementing type, period of forest healing therapy, and the professionalism of therapists. Therefore, if forest healing therapy would be applied to nursing, it should be based on its key principle, in other words, its principle of action-interaction-response of forest healing therapy. Conclusion: The results of this study could be used to develop a forest healing program as an intervention of nursing.

관상동맥 석회화점수 감소 요인 분석 (Factor Analysis of Decreased Score on Coronary Artery Calcium Score)

  • 심재구;김연민;김진우
    • 한국방사선학회논문지
    • /
    • 제10권4호
    • /
    • pp.285-290
    • /
    • 2016
  • 이 연구는 관상동맥 CT 석회화점수 검사를 2회 이상 받은 자 중에서, 이전에 비하여 점수가 낮아진 원인을 후향적으로 분석하였다. 건강검자 환자 100명(남자 85명 $60.6{\pm}6.9$세, 여자 15명 $67.2{\pm}7.3$세)을 대상으로 하였다. 석회화점수 감소가 발생한 경우를 Agatston의 분류 방법에 따라 minimal (1-10), mild(11-100), moderate(101-400), severe (400< ) 4개 그룹으로 분류하였다. Mild 그룹에서 49명으로 가장 많았으며, minimal 그룹에서 감소율 변동이 가장 크게 나타났다. 석회화점수 감소 요인은 Scan location 불일치 51%, Motion artifact 26%, 장비변동 14%, 작업자의 실수 5%, 입력 miss 2%, Image loss 1%, 부정맥 1% 로 나타났다. Scan location의 불일치는 scan된 석회화의 slice 위치에 따른 부분체적 효과로 생각되며, 관상동맥 석회화 점수가 작은 100 이하 그룹에서는 높은 변화폭(19.7%)이 나타났고 100 이상의 그룹에서는 낮은 변화폭(2.2%)을 보여 석회화 점수에 따라 허용될 수 있는 변화폭이 달라진다는 것을 알 수 있었다. Motion artifact 요인은 26%로 나타났으며, 이는 높은 심박동에 의한 것으로 심박동이 높거나 검사 전 폐기능, 운동부하 등 심박동에 영향을 미치는 선행검사와 밀접한 관련이 있었다.

TDP(time-dependent parameters)를 적용하여 분석한 자율신경계 반응에 의한 감성인식에 대한 연구 (The study on emotion recognition by time-dependent parameters of autonomic nervous response)

  • 김종화;황민철;김영주;우진철
    • 감성과학
    • /
    • 제11권4호
    • /
    • pp.637-644
    • /
    • 2008
  • 감성을 인식하고 반응하는 감성컴퓨터를 개발하기 위한 감성인식에 대한 연구가 활발하다. 본 연구는 2차원으로 정의한 감성을 측정하기 위해서 시간에 따른 생리신호의 반응 변수를 정의하고 그 변수로 인한 감성을 구분하고자 하였다. 10명의 대학생에게 16장의 감성을 유발시킬 수 있는 이미지를 제시하였다. 그리고 자율신경계 반응으로 ECG(electrocardiogram), PPG(photoplethysmogram), GSR(Galvanic skin response), RSP (respiration), 그리고 SKT(skin temperature)를 측정하였다. 본 연구는 자율신경계 반응에 대해 Delay, Activation, Half recovery 그리고 Full recovery로 이루어진 TDP(Time Dependent Parameters)를 정의하고 감성을 구분할 수 있는지에 대한 통계적 유의성을 검증하였다. 그 결과, TDP가 감성을 구분할 수 있는 유의미한 변수로 확인하였고 특징적 경향을 보임을 알 수 있었다. 그러므로 본 연구는 TDP가 감성 인식을 위한 유효한 변수일 가능성을 보였다.

  • PDF

반추수(反芻獸)의 창상성간염(創傷性肝炎) 및 비염(脾炎)에 관한 실험적(實驗的) 연구(硏究) (Studies on Experimentally Induced Traumatic Hepatitis and Splenitis in Ruminants)

  • 정창국;성재기;남치주
    • 대한수의학회지
    • /
    • 제22권2호
    • /
    • pp.265-272
    • /
    • 1982
  • The traumatic hepatitis and splenitis were experimentally induced in Korean native goats. General examinations, hematological and blood biochemical findings were investigated up to 10 days after induction of traumatic hepatitis and splenitis. Body weight of goats with traumatic hepatitis and splenitis showed no change or only a slight decrease. Changes in body temperature and respiratory rate were not noted in both experimental groups. Heart rate hart not been changed in traumatic splenitis group but were a little increased in traumatic hepatitis group. Erythrocytic series such as erythrocyte counts, hemoglobin concentration and packed cell volume showed same variation within normal range during the period of observation. Total leucocyte counts showed the considerable increase in both experimental groups. The increase of the percentage of neutrophil and the decrease of the percentage of lymphocyte were more remarkable in traumatic hepatitis group than that of traumatic splenitis group. Serum aspartate transferase activity was increased in both experimental groups after surgery, while serum alkaline phosphatase activity has been decreased conciderably up to 7 days after surgery. Serum lactic dehydrogenase activity has been increased up to 3 days after operation and thereafter the activity has returned to normal level in traumatic hepatitis group and the activity increased only the first day after surgery in traumatic splenitis group. There were no changes in total protein and albumin contents in both experimental groups during the period of observation. Serum total cholesterol contents showed a slight increase in both experimental groups and the range of increase in traumatic hepatitis group was more wide. Serum bilirubin contents were net changed in traumatic hepatitis group, but showed a slight increase in traumatic splenitis group.

  • PDF

자세와 수면 박탈이 심박 변이도에 미치는 영향 (The Effects of Posture and Sleep Deprivation on Heart Rate Variability)

  • 심영우;양동인;김남현;김덕원
    • 전자공학회논문지SC
    • /
    • 제47권2호
    • /
    • pp.43-49
    • /
    • 2010
  • 자율신경계는 불수의적 활동 기능을 조절해 주는 신경계통으로, 자율신경계의 활성 정도를 정량적으로 평가하기 위해 심박 변이도가 이용된다. 그러나 심박 변이도는 환경 변화나 심리 상태의 변화 등에 민감하게 반응하며, 자세와 수면 박탈에 의해서도 심박 변이도가 달라질 수 있다. 특히 전자파 자원자 연구에서는 자각 증상 및 인지 여부에 의한 수면 박탈로 심박 변이도가 달라질 수 있다. 이에 본 연구에서는 자세에 따른 수면 박탈 횟수와 심박 변이도를 30분간 6 stage에서 측정하였고, 앉은 자세와 누운 자세에서 측정된 심박 변이도를 비교하여 앉은 자세나 누운 자세에서 심박 변이도를 측정하는 실험에 어떠한 자세가 적합한지 결정하고자 하였다. 심박 변이도 분석은 전력 스펙트럼을 이용한 주파수 영역에서의 LF (low frequency) / HF(high frequency)를 이용하였고, stage 1을 100%로 하여 개인 및 성별에 따른 초기 LF/HF 차이를 상쇄시켜 주었다. LF/HF 증가는 교감 신경의 활성 증가를 나타내고 감소는 교감 신경의 활성 감소를 나타낸다. 교차 분석 결과 수면 박탈은 자세의 영향을 받는 것으로 나타났으며 (p=0.002), LF/HF에 대하여 자세만을 변수로 고려하였다. 앉은 자세에서 수면 박탈 횟수는 모든 stage에서 누운 자세보다 유의하게 적었다 (p<0.05). 자세는 LF/HF에 유의한 영향을 끼쳤으며 (p=0.033), 앉은 자세에서는 stage 1과 비교하여 LF/HF가 stage 4, 5, 6에서 유의하게 증가하였고 (p<0.05), 누운 자세에서는 stage 1과 비교하여 모든 stage에서 LF/HF가 유의하게 증가하였다 (p<0.05). 따라서 앉은 자세가 누운 자세보다 수면 박탈 횟수가 적고 LF/HF 변화가 작기 때문에 피험자가 깨어 있어야 하는 심박 변이도 측정 실험에 있어서 더 적합한 자세라고 사료된다.