• Title/Summary/Keyword: vital signs

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High concentration of calcium represses osteoblast differentiation in C2C12 cells

  • Lee, Ye Jin;Han, Younho
    • International Journal of Oral Biology
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    • v.45 no.4
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    • pp.162-168
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    • 2020
  • Calcium is the most abundant stored mineral in the human body and is especially vital for bone health; thus, calcium deficiency can cause bone-related diseases, such as osteopenia and osteoporosis. However, a high concentration of serum calcium, which is commonly known as hypercalcemia, can also lead to weakened bones and, in severe cases, osteosarcoma. Therefore, it is necessary to maintain the concentration of calcium that is appropriate for bone biology. In the present study, we aimed to elucidate the effects of high concentration of calcium, approximately 2 folds the normal calcium level, on osteoblast differentiation. The CaCl2 treatment showed dose-dependent suppression of the alkaline phosphatase activity and mineralized nodule formation. Calcium showed cytotoxicity at an extremely high concentration, but a moderately high concentration of calcium that results in inhibitory effects to osteoblast differentiation showed no signs of cytotoxicity. We also confirmed that the CaCl2 treatment repressed the mRNA expression and protein abundance of various osteogenic genes and transcriptional factors. Considered together, these results indicate that a high concentration of calcium negatively regulates the osteoblast differentiation of C2C12 cells.

A Novel Homozygous CLCNKB Mutation of Classic Bartter Syndrome Presenting with Renal Cysts in 6-year-Old Identical Twin Boys : A Case Report

  • Son, Min Hwa;Yim, Hyung Eun;Yoo, Kee Hwan
    • Childhood Kidney Diseases
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    • v.25 no.1
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    • pp.35-39
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    • 2021
  • Bartter syndrome is an autosomal recessive hypokalemic salt-losing tubulopathy, and classic Bartter syndrome is associated with mutations in the CLCNKB gene. While chronic hypokalemia is known to induce renal cyst formation in different renal diseases, renal cyst formation in Bartter syndrome is rarely reported. Russian six-year-old identical male twins were referred to our hospital for the evaluation of renal cysts, which were incidentally detected on abdominal sonography due to diarrhea. Both twins had shown symptoms of polydipsia, polyuria, and nocturia since they were one year olds. Vital signs including blood pressure were normal in both twins. Renal sonography revealed nephromegaly, increased echogenicity of renal cortex, and various sized multiple cysts in both kidneys for both twins. Laboratory findings included hyponatremia, hypokalemia, hypochloremia, and metabolic alkalosis. Bartter syndrome with renal cysts were suspected. Genetic analysis for both twins confirmed a homozygous c.1614delC deletion on exon 15 of the CLCNKB gene, which was confirmed as a previously unreported variant to the best of our knowledge. They were managed with potassium chloride, nonsteroidal anti-inflammatory drugs, and angiotensin-converting-enzyme inhibitors. Metabolic alkalosis, hypokalemia, hypochloremia, and polyuria partially improved during the short course of treatment. This is the first report of a homozygous mutation in the CLCNKB gene in an identical twin, presenting with renal cysts.

Study on Real-Time Monitoring Platform for Countermeasures for Heatwave (폭염재난 대응 실시간 관제 플랫폼에 관한 연구)

  • Jung, Kang Hee;Kwak, Chang Hyeok
    • KIPS Transactions on Computer and Communication Systems
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    • v.11 no.4
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    • pp.113-118
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    • 2022
  • Global warming has also increased the number of casualties caused by heat-related diseases caused by heat waves along with an increase in global temperature. The vulnerable groups from heat wave damage are outdoor workers and the elderly in particular, and it is necessary to respond the increasing heat wave damage. We propose a real-time control platform in order to reduce casualties of the vulnerable group from heatwaves, this research collects and analyzes user's vital signs data from wearable devices that generates alarms out of the suspected victims who are expected to be affected by heat-related illness and to respond quickly.

Management of Postoperative Intra-Abdominal Hypertension in a Dog Undergoing Cervical Disc Surgery

  • Kim, Dongseok;Choi, Geonho;Lee, Sang-Kwon;Lee, Kija;Lee, Won-Jae;Yun, Sung-Ho;Kwon, Young-Sam;Jang, Min
    • Journal of Veterinary Clinics
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    • v.39 no.5
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    • pp.277-281
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    • 2022
  • The dog with tetraplegia was presented for magnetic resonance imaging and cervical ventral slot decompression. Intra-abdominal pressure (IAP) was measured every hour after surgery, along with respiratory rate, heart rate, and arterial pressure. Three hours after surgery, abdominal distension with agitation and respiratory distress were observed, and IAP rose to 12 mmHg, indicating mild intra-abdominal hypertension (IAH). Additional fentanyl and ketamine CRI did not alleviate IAH and acepromazine (0.01 mg/kg, IV) was administered to alleviate the agitation and respiratory distress. After acepromazine administration, the agitation subsided and IAP dropped to 4 mmHg. During the next 24 hours, the patient's vital signs and IAP remained stable, with normal urine output. This case report suggests the possibility of postoperative IAH monitoring in dogs. However, considering the nature of a single surgical case of cervical ventral slot, further study is required for indication of IAH monitoring.

Development of Plantar Pressure Measurement System and Personal Classification Study based on Plantar Pressure Image

  • Ho, Jong Gab;Kim, Dae Gyeom;Kim, Young;Jang, Seung-wan;Min, Se Dong
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.11
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    • pp.3875-3891
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    • 2021
  • In this study, a Velostat pressure sensor was manufactured to develop a plantar pressure measurement system and a C#-based application was developed to monitor and collect plantar pressure data in real time. In order to evaluate the characteristics of the proposed plantar pressure measurement system, the accuracy of plantar pressure index and personal classification was verified by comparing with MatScan, a commercial plantar pressure measurement system. As a result, the output characteristics according to the weight of the Velostat pressure sensor were evaluated and a trend line with the reliability of r2 = 0.98 was detected. The Root Mean Square Error(RMSE) of the weighted area was 11.315 cm2, the RMSE of the x coordinate of Center of Pressure(CoPx) was 1.036 cm and the RMSE of the y coordinate of Center of Pressure(CoPy) was 0.936 cm. Finally, inaccuracy of personal classification, the proposed system was 99.47% and MatScan was 96.86%. Based on the advantage of being simple to implement and capable of manufacturing at low cost, it is considered that it can be applied to various fields of measuring vital signs such as sitting posture and breathing in addition to the plantar pressure measurement system.

Traumatic hematoma-based pseudoaneurysm of the superficial temporal artery in a 7-year-old boy: a case report

  • Dae Hwan Park;June Key Lee;Bong Soo Baik;Wan Suk Yang;Sun Young Kim
    • Archives of Craniofacial Surgery
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    • v.24 no.1
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    • pp.32-36
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    • 2023
  • The superficial temporal artery (STA), the terminal branch of the external carotid artery, is divided into the frontal (anterior) and parietal (posterior) branches. The frontal branch of the STA is located superficially on the anterior region of the scalp, making it especially susceptible to trauma. Here, we report a traumatic pseudoaneurysm of the STA in a 7-year-old boy who was injured in a minor car accident. A physical examination showed only a small bruise on the patient's forehead, and all vital signs were stable at the emergency room of our medical center. A facial computed tomography scan showed no significant findings. However, the boy later re-visited the hospital with slight swelling on the right forehead, and an ultrasonography scan revealed a hematoma near the right temporal artery. The resected hematoma (approximately 2 cm) was diagnosed as a traumatic pseudoaneurysm. Awareness of the possibility of a traumatic pseudoaneurysm in the STA may prevent a circumspect diagnosis in the future.

The Implementation of a Patient Data Management System with Real-time Vital Signs Monitoring (실시간 모니터링 및 생체정보 수집 환자 케어시스템 구현)

  • Kim, Sea-Jung;Yoo, Seo-Bin;Byeon, Jung-Hun;O, Ye-eun;Ryu, Jong Hyun;Jun, Hong Young;Jeong, Kil Hwan;Kim, Kou Gyeom
    • Proceedings of the Korea Information Processing Society Conference
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    • 2020.05a
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    • pp.314-317
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    • 2020
  • 환자의 생체신호 측정 및 관찰, 영상 위생 등을 포함하는 직접간호는 간호사들의 총 간호활동 시간 중 내과는 48%, 외과는 40% 로 간호사들의 업무 부담이 되고 있다. 또한 의료기관에서 사용되는 의료기기들은 여러 회사에서 구매하여 사용되기 때문에 각 회사마다 상이한 프로토콜을 가지고 있어 하나의 시스템으로 생체신호를 모으기가 쉽지 않다. 따라서 여러 장비에서 생체신호를 실시간으로 취득하여 통합 관리할 수 있는 시스템 개발을 통해 간호사의 직접간호 업무량을 줄여 간호사의 근무환경 개선뿐만 아니라 중증환자의 경우 환자 생체신호에 대한 실시간 원격감시가 가능하고 환자에게서 발생된 모든 생체신호가 데이터베이스 시스템으로 기록관리 됨으로 인해 환자의 생체 신호에 대한 이력 추적관리가 가능함으로써, 양질의 의료 서비스가 가능한 환자케어시스템을 개발하고자 한다.

Report of 5 Clinical Cases of Visiting Korean Medicine Care for Community in 2020 (2020년 지역사회 한의학 방문돌봄사업 5례 임상증례 보고)

  • Dae Sung Jung;Jae Ryong Bae;Jae Heung Lee
    • Journal of Korean Medical Ki-Gong Academy
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    • v.21 no.1
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    • pp.22-42
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    • 2022
  • Objective : The researcher participated in the visiting treatment project organized by OO City in 2020 and showed the advantages of visiting Korean Medicine, so I would like to report it. Methods : A comprehensive Korean Medicine intervention method was performed for each symptom, and changes in basic physical strength were observed through vital signs, NRS, Single Leg Stance (SLS), and Chair Stand Test (CST) tests. Results : It can be seen that the NRS level, a pain scale for chronic pain, generally decreased at the last treatment compared to the beginning of treatment. Satisfaction with Project Information (PI) was relatively low at 3.20±1.30, but Ease of Participation (EoP), Intention to Participate Again (IPA), Expansion of Project (ExP), and Overall Satisfaction (OS) were high at 5.00±0.00. Conclusions : Summarizing the advantages of visiting Korean Medicine is that the treatment satisfaction for chronic pain is high, the patient's satisfaction is high, the treatment tool is easy to carry, and various visiting treatment services can be implemented.

Architecture for Integrated Real-Time Health Monitoring using Wireless/Mobile Devices

  • Ryoo, Boong Yeol;Choi, Kunhee
    • International conference on construction engineering and project management
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    • 2015.10a
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    • pp.336-338
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    • 2015
  • This research is to propose an applicable framework for real-time health surveillance and safety monitoring at construction sites. First this study aims at finding (1) a framework for health surveillance that is likely to benefit employers and employees in the industry, (2) a valid way to identify factors or conditions with potential health concerns that can occur under particular work conditions, (3) An effective way to apply wireless/mobile sensors to construction workers using real-time/live data transmission methods, and (4) A relationship between a worker's vital signs and job site environment. Biosensors for physiological response and devices for weather/work related data are to collect real-time data. Relationships between jobs and physiological responses are analyzed and factors that touched particularly contributing to certain responses are identified. When data are incorporated with tasks, factors affecting tasks can be identified to estimate the magnitude of the factors. By comparing work and normal responses possible precautionary actions can be considered. In addition, the study would be lead to improving (1) trade-specific dynamic work schedules for workers which would be based on various factors affecting worker health level and (2) reevaluating worker productivity with health status and work schedule, thereby seeking ways to maximize worker productivity. Through a study, the paper presents expected benefits of implementing health monitoring.

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General Anesthesia and Endoscopic Upper Gastrointestinal Tumor Resection (전신 마취와 내시경적 상부위장관 종양절제술)

  • Seung Hyun Kim
    • Journal of Digestive Cancer Research
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    • v.11 no.3
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    • pp.125-129
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    • 2023
  • Appropriate sedation and analgesia are crucial for successful endoscopic procedures, patient safety, and satisfaction. Endoscopic resection for upper gastrointestinal tumors requires a deep sedation level because the procedure is lengthy and induces moderate to severe pain. Continuous patient consciousness assessment and vigilant vital signs monitoring are required for deep sedation. General anesthesia may unintentionally occur even during deep sedation for endoscopic tumor resection, which may cause unexpected complications, especially in high-risk patients. Previous studies have revealed that general anesthesia increases the en bloc resection rate and decreases the procedure time. Complications, such as perforation, aspiration pneumonia, and cardiopulmonary instability, including hypoxemia, hypotension, and arrhythmia, occurred more frequently in patients with sedation compared to those with general anesthesia. Therefore, general anesthesia demonstrated potential benefits in endoscopic treatment results and patient safety. General anesthesia should be considered a useful alternative for sedation in patients undergoing endoscopic gastrointestinal tumor resection. However, more high-quality prospective studies are required to determine the safety and effectiveness of general anesthesia in endoscopic upper gastrointestinal tumor resection because most studies comparing general anesthesia and sedation in these procedures have been retrospectively conducted and the results were inconsistent.