• 제목/요약/키워드: variability(deviation)

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만성 외상 후 스트레스 장애 환자에서 심박변이도와 증상과의 상관관계 : 외상증상과 심박변이도 관계 (The Relationship between Heart Rate Variability and Symptoms in Subjects with Chronic Posttraumatic Stress Disorder)

  • 박진수;강석훈;박주언;최진희;소형석;김기원;최하연
    • 대한불안의학회지
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    • 제16권2호
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    • pp.83-90
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    • 2020
  • Objective : Heart rate variability (HRV) is known to reflect autonomic nervous system activity. Individuals with posttraumatic stress disorder (PTSD) are reported to have lower HRVs. We attempted to find HRV indices with head up tilt position that reflect the symptoms well in order to evaluate PTSD symptoms. Methods : Sixty-seven patients with PTSD and 72 patients without PTSD were assessed using the PTSD Checklist for DSM-5 (PCL-5), the Beck Depression Inventory, the Beck Anxiety Inventory and the Pittsburgh Sleep Quality Index. HRV was measured in the head-up tilt position. We collected data regarding heart rate (HR), standard deviation of the NN intervals (SDNN), the square root of the mean squared differences of successive NN intervals (RMSSD), log low-frequency (LNLF) and log high-frequency (LNHF). Results : The value of LNHF was different according to presence or absence of PTSD after head-up tilt position. In the findings of the association between PTSD symptoms and HRV indices as based on head-up tilt, LNHF had a significant correlation with the total score of PCL-5. Conclusion : The reduction of the high-frequency component of HRVs in the PTSD group might reflect more PTSD symptoms.

동양학에서 명리학과 육효학의 환경변화도 예측 분석연구 (Environment variability predictive analysis of Myeongri Study and Yookhyo Study in Oriental studies)

  • 이옥화;조성제
    • 한국산학기술학회논문지
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    • 제14권6호
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    • pp.2653-2659
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    • 2013
  • 기존의 환경변화 예측연구에서는 동양학을 적용한 연구가 대부분이였다. 특히 명리학만 적용하여 환경변화 예측을 연구하였다. 이 두 학문을 적용하여 환경변화 예측연구를 하여온 경우는 없다. 그래서 본 연구는 명리학과 육효학을 적용하여 환경변화 예측의 정확성에 대하여 연구하고자 한다. 연구방법은 2012년 8월부터 12월까지 직장인을 대상으로 설문조사를 실시하였다. 분석한 결과를 살펴보면 두 학문을 분리해서 하는 경우 보다는 동시에 같이 했을 때 환경변화 예측이 더 정확하였다. 응답자의 일반적 특성에 따른 관계의 평균과 표준편차는 높았다. 환경변화도의 영역별은 평균이 높을수록 좋은 결과가 유사한 차이로 나타났다. 따라서 환경변화도에 대한 예측의 효율성이 증대하였음을 판단된다.

흉추 가동성 운동프로그램이 만성 요통 환자의 통증과 심박 변이도 및 우울증에 미치는 영향 (Effects of Thoracic Flexibility Exercise Program on Pain, Heart Rate Variability, and Depression in Patients with Chronic Low Back Pain)

  • 박동환;이은혁;이강성
    • 대한통합의학회지
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    • 제7권4호
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    • pp.161-170
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    • 2019
  • Purpose : This study aimed to investigate the effects of a thoracic flexibility exercise program on pain, heart rate variability (HRV), and depression in patients with chronic low back pain. Methods : Fifty patients with chronic low back pain participated in this study. Each participant performed a pre-test and post-test. The outcome measures evaluated were a visual analog scale, HRV test results (automatic activity, standard deviation normal to normal [SDNN], low frequency [LF], high frequency [HF], and LF/HF ratio), and the Beck Depression Inventory. Patients underwent conventional physiotherapy for 35 minutes per session. In addition, a thoracic flexibility exercise program (trunk rotation exercise, McKenzie exercise, and supine thoracic extension exercise) were performed 3 times per week for 4 weeks. Results : After the training period, the visual analog scale results showed a significant decrease in the post-test compared to the pre-test. Automatic activity, SDNN, LF, HF, and LF/HF ratio significantly increased in the post-test compared to the pre-test. The Beck depression inventory results significantly decreased in the post-test compared to the pre-test. Conclusion : This study demonstrated that a thoracic flexibility exercise program improves a visual analog scale, HRV (automatic activity, SDNN, LF, HF, and LF/HF ratio), and the Beck Depression Inventory in patients with chronic low back pain.

기울증(氣鬱症)으로 진단된 2-30대 환자의 심박변동 분석 (Heart Rate Variability in Kiwooljeung with the Age Group between Twenties and Thirties)

  • 김보영;이승희;권순주;정대규;곽민아;이지인
    • 동의신경정신과학회지
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    • 제14권2호
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    • pp.135-143
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    • 2003
  • Objectives : The purpose of this study is to analyze and compare heart rate variability(HRV) of patient of twenties and thirties diagnosed as Kiwooljeung with healthy controls'. Methods : We measured HRV of 35 patient(20 to 39 years old, male 14, female 11) diagnosed as Kiwooljeung and 40 healthy controls(male 24, female 16). HRV was measured by SA-3000P(Medicore, Korea) for 5 minutes after 5 minutes resting. Results : 1. In time domain analysis, Mean pulse rate(PRT) in Kiwooljeung group was higher than healthy controls. Standard deviation of all normal N-N intervals (SDNN) in Kiwooljeung group was lower and the results of twenties and thirties were same. 2. In frequency domain analysis, total power(TP), very low frequency(VLF), low frequency(LF), high frequency(HF), Ln TP, Ln VLF, Ln LF, Ln HF in Kiwooljeung group were lower than healthy controls but LF/HF ratio was higher than healthy controls. 3. Comparing gender in Kiwooljeung group, LF/HF ratio in male was higher than female. Conclusions : This study suggests lower activity and imbalance of cardiac autonomous nervous system in Kiwooljeung with the age group between twenties and thirties.

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요통 환자의 심박변이도 특성에 대한 임상적 연구 (Clinical Study for Characteristics of Heart Rate Variability in Low Back Pain Patients)

  • 류지미;김성수;정석희
    • 한방재활의학과학회지
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    • 제19권2호
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    • pp.241-250
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    • 2009
  • Objectives : To study autonomic nervous system dysfunction of Low Back Pain(LBP) patients, using spectral analysis of Heart Rate Variability(HRV). Methods : HRV of 190 patients was measured and seperated into two groups, those with LBP(n=95) and healthy controls(n=95). HRV was measured by SA-6000(Medicore, Korea) for 5 minutes after 5 minutes' resting. Results : 1. Mean heart rate(MHRT) of the experimental group was slightly higher than that of the control group, but did not show significant difference(P=0.428). The square root of the mean squared differences of successive normal-to-normal intervals(RMSSD), logarithmic very low frequency power(Ln VLF) and low frequency power/high frequency power ratio(LH/HF ratio) were not significantly low between experimental group and control group(P=0.16, 0.130, 0.537). 2. The standard deviation of all the normal-to-normal intervals(SDNN), logarithmic total power(Ln TP), logarithmic low frequency power(Ln LF) and logarithmic high frequency power(Ln HF) were significantly low between experimental group and control group(P=0.03, 0.005, 0.001, 0.007). 3. Ln LF of acute group was significantly low compared with those of chronic group(P= 0.039). Conclusions : This study suggests the activity and imbalance of autonomic nervous system in LBP is low. Also sympathetic nervous system of acute LBP is lower than that of chronic LBP. Further study of HRV related to LBP is needed in the clinical medicine.

AOGCM에 의해 모의된 동아시아지역의 강수 연변동성에 대한 불확실성 평가 (An Uncertainty Assessment for Annual Variability of Precipitation Simulated by AOGCMs Over East Asia)

  • 신진호;이효신;김민지;권원태
    • 대기
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    • 제20권2호
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    • pp.111-130
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    • 2010
  • An uncertainty assessment for precipitation datasets simulated by Atmosphere-Ocean Coupled General Circulation Model (AOGCM) is conducted to provide reliable climate scenario over East Asia. Most of results overestimate precipitation compared to the observational data (wet bias) in spring-fall-winter, while they underestimate precipitation (dry bias) in summer in East Asia. Higher spatial resolution model shows better performances in simulation of precipitation. To assess the uncertainty of spatiotemporal precipitation in East Asia, the cyclostationary empirical orthogonal function (CSEOF) analysis is applied. An annual cycle of precipitation obtained from the CSEOF analysis accounts for the biggest variability in its total variability. A comparison between annual cycles of observed and modeled precipitation anomalies shows distinct differences: 1) positive precipitation anomalies of the multi-model ensemble (MME) for 20 models (thereafter MME20) in summer locate toward the north compared to the observational data so that it cannot explain summer monsoon rainfalls across Korea and Japan. 2) The onset of summer monsoon in MME20 in Korean peninsula starts earlier than observed one. These differences show the uncertainty of modeled precipitation. Also the comparison provides the criteria of annual cycle and correlation between modeled and observational data which helps to select best models and generate a new MME, which is better than the MME20. The spatiotemporal deviation of precipitation is significantly associated with lower-level circulations. In particular, lower-level moisture transports from the warm pool of the western Pacific and corresponding moisture convergence significantly are strongly associated with summer rainfalls. These lower-level circulations physically consistent with precipitation give insight into description of the reason in the monsoon of East Asia why behaviors of individually modeled precipitation differ from that of observation.

Robust Pelvic Coordinate System Determination for Pose Changes in Multidetector-row Computed Tomography Images

  • Kobashi, Syoji;Fujimoto, Satoshi;Nishiyama, Takayuki;Kanzaki, Noriyuki;Fujishiro, Takaaki;Shibanuma, Nao;Kuramoto, Kei;Kurosaka, Masahiro;Hata, Yutaka
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • 제10권1호
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    • pp.65-72
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    • 2010
  • For developing navigation system of total hip arthroplasty (THA) and evaluating hip joint kinematics, 3-D pose position of the femur and acetabulum in the pelvic coordinate system has been quantified. The pelvic coordinate system is determined by manually indicating pelvic landmarks in multidetector-row computed tomography (MDCT) images. It includes intra- and inter-observer variability, and may result in a variability of THA operation or diagnosis. To reduce the variability of pelvic coordinate system determination, this paper proposes an automated method in MDCT images. The proposed method determines pelvic coordinate system automatically by detecting pelvic landmarks on anterior pelvic plane (APP) from MDCT images. The method calibrates pelvic pose by using silhouette images to suppress the affect of pelvic pose change. As a result of comparing with manual determination, the proposed method determined the coordinate system with a mean displacement of $2.6\;{\pm}\;1.6$ mm and a mean angle error of $0.78\;{\pm}\;0.34$ deg on 5 THA subjects. For changes of pelvic pose position within 10 deg, standard deviation of displacement was 3.7 mm, and of pose was 1.28 deg. We confirmed the proposed method was robust for pelvic pose changes.

특정 호흡수에서 행한 통제호흡이 심박변이도에 미치는 영향 (The Effects of Paced Breathing in Specific Respiration Rate on Heart Rate Variability)

  • 김지환;김병수;박성식;이용재;금나래;배효상
    • 사상체질의학회지
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    • 제28권2호
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    • pp.123-131
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    • 2016
  • Objectives We observed what effects of Paced Breathing(PB) in specific respiration rate have on heart rate variability (HRV) according to Sasang Constitution.Methods HRV of 72 healthy participants in sitting position was recorded while they carried out usual breathing, 0.2Hz, 0.1Hz, and 0.05Hz PB each 5 minutes in consecutive order. Five minute of relaxation was permitted between each breathing. Finally, HRV indices were statictically analyzed of 32 participants (SOEUM: 11, SOYANG: 10, TAEEUM: 11) after data out of accord with respiration rate or outliers were excluded.Results and Conclusions According to respiration rates, there was no statistical significance of HRV among Sasang Constitution. Regardless of Sasang Constituion, 0.2Hz PB increased mean heart rate and decreased natural logarithmic low frequency(lnLF) oscillation of HRV without the change of natural logarithmic high frequency(lnHF), while 0.1Hz PB increased lnLF and standard deviation of N-N interval(SDNN), and slightly decreased lnHF without the change of mean heart rate. 0.05 Hz PB also showed the same effect as 0.1Hz PB, but was impracticable.

색채자극에 따른 심박변이도 변화와 한열조습변증의 상관성 (Variable Heart Rate Variability Measurements Induced by Wearing Color Glasses and Their Relationship with Hanyeol or Joseup Patterns of Korean Medicine Diagnostics, a Preliminary Observation)

  • 인창식;김선현;이능기;이우철;고형균;박영배;전세일
    • 대한한의진단학회지
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    • 제10권2호
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    • pp.79-87
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    • 2006
  • Objective : Biologic responses to color stimulation was observed and analyzed in relation with Korean medicine diagnostics. Methods : Twelve volunteers participated and completed the questionnaire on Hanyeol or Joseup patterns of Korean medicine diagnostics. Standard deviation of RR intervals (SDNN), an overall indicator of heart rate variability, was measured while wearing partially transparent acetate film glasses of various colors: (1) transparency or black, (2) red, green, or blue, or (3) cyan, or yellow. Results : Different responses to the color environmental stimulation were observed. Yeol pattern score was inversely related with the SDNN value under red color stimulation. Conclusion : This line of observations may serve as a basis of clinical application of color therapy, in particular, in relation with pattern diagnosis of Korean medicine, and may be applied in combination with existing electrodermal meridian measurement systems for better evaluation of Gi (life energy) phenomenon.

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주요우울장애 환자에서 생애초기스트레스와 연관된 심박변이도의 특성 (Characteristics in Heart Rate Variability associated with Early Life Stress in Patients with Major Depressive Disorder)

  • 이치헌;김민경;최선우;박해인;석정호
    • 우울조울병
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    • 제15권3호
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    • pp.117-122
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    • 2017
  • Objectives : Early life stress (ELS) may have impact on functions of the autonomic nervous system. Heart rate variability (HRV) is a reliable psychophysiological marker for functions of the autonomic nervous system. The purpose of this study was to investigate characteristics of HRV associated with ELS in patients with major depressive disorder (MDD). Methods : We compared HRV measures of MDD patients with ELS and without ELS in a 5-minute resting-state electrocardiogram recoding. Forty subjects participated in the study (25 with ELS, 15 without ELS). The Mann-Whitney test was conducted to identify group differences. Results : We found significant group differences in standard deviation of the NN interval (SDNN) and total power (TP). SDNN was lower in the ELS group (M=38.80 ms, SD=13.05 ms) than in the Non-ELS group (M=53.53 ms, SD=19.47 ms). TP was lower in the ELS group ($M=7.07ms^2$, $SD=0.69ms^2$) than in the Non-ELS group ($M=7.72ms^2$, $SD=0.77ms^2$). Conclusion : ELS may have a negative impact on the autonomic nervous system function in patients with MDD. ELS and dysfunction of autonomic nervous system should be considered in treatment for patients with MDD.