• Title/Summary/Keyword: vital signs

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

  • 박승훈;우응제;이광호;김종철
    • Journal of Biomedical Engineering Research
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    • v.22 no.5
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    • pp.469-477
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    • 2001
  • In this Paper. we describe a home health care service using electronic health questionnaires and routine checkup of vital signs Including ECG (Electrocardiography) , blood pressure. and SpO$_2$ (Oxygen Saturation) . This system is for patients at home with chronic diseases, discharged Patients, or any normal people for the Prevention of disease The service requires a home health care terminal and a PC with Interned connection installed at Patient home. The distance health care management center is equipped with a vital-sign and questionnaire interpreter as well as database, Web, and notification servers with UMS (Unified Messaging System). Participating Physician can access the servers at the center using a Web browser running on a PC available to them at any time. These components are linked together through various kinds of data and voice communication channels including PSTN (Public Switched Telephone Network) . CATV(Community Antenna TV) . Interned. and mobile communication network. Following the Physician's direction given to a Patient. he or she uses the home health care terminal to collect vital signs and fill out the questionnaire. When the terminal automatically transmits these data to the management center. the data interpreter and servers at the center process the information fo1lowing the Protocol implemented on the system. Physicians can retrieve and review data corresponding to their Patients and send back their diagnostic reports to the center. UMS at the center delivers the physician 's recommendation to the corresponding patient through the notification server. Patients can also reprieve and review their own records as well as diagnostic reports from physicians. The system Provides a new way of collecting diagnostic information and delivering doctor's recommendation to patients at home for their health management. Future works are needed in the development of new technology for measurements and interpretations of various vital signs .

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Effect of Music Therapy on Vital Signs, Anxiety, Cortisol and Pain of Cataract Surgery Patients in Elderly (음악요법이 노인백내장 수술환자의 활력징후, 불안, 코티졸 및 통증에 미치는 효과)

  • Park, Jung-Hae;Park, Kwang-Hi
    • Journal of Digital Convergence
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    • v.13 no.8
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    • pp.549-558
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    • 2015
  • Purpose of this study was to investigate the effect of music therapy on vital signs, anxiety, cortisol, and pain of Cataract Surgery Patients in elderly. Non equivalent control group pre-post test design was adopted. The number of subjects consists of 41 elderly having cataract surgery, 21 in the experimental group and 20 in the control group. Data were analyzed by $x^2$ test, Fisher's exact test, independent sample t-test, and Mann-Whitney U test. Results were: 1) there was no difference between two groups in their vital signs changes 2) anxiety, cortisol in the saliva, and pain of the experimental group decreased more significantly than those of the control group. This study confirmed the ability of music therapy to relieve pain and anxiety in cataract surgery, and suggested that music therapy could be used effectively in various interventions for the elderly.

The Classification and Investigation of Smart Textile Sensors for Wearable Vital Signs Monitoring (웨어러블 생체신호 모니터링을 위한 스마트텍스타일센서의 분류 및 고찰)

  • Jang, Eunji;Cho, Gilsoo
    • Fashion & Textile Research Journal
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    • v.21 no.6
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    • pp.697-707
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    • 2019
  • This review paper deals with materials, classification, and a current article investigation on smart textile sensors for wearable vital signs monitoring (WVSM). Smart textile sensors can lose electrical conductivity during vital signs monitoring when applying them to clothing. Because they should have to endure severe conditions (bending, folding, and distortion) when wearing. Imparting electrical conductivity for application is a critical consideration when manufacturing smart textile sensors. Smart textile sensors fabricate by utilizing electro-conductive materials such as metals, allotrope of carbon, and intrinsically conductive polymers (ICPs). It classifies as performance level, fabric structure, intrinsic/extrinsic modification, and sensing mechanism. The classification of smart textile sensors by sensing mechanism includes pressure/force sensors, strain sensors, electrodes, optical sensors, biosensors, and temperature/humidity sensors. In the previous study, pressure/force sensors perform well despite the small capacitance changes of 1-2 pF. Strain sensors work reliably at 1 ㏀/cm or lower. Electrodes require an electrical resistance of less than 10 Ω/cm. Optical sensors using plastic optical fibers (POF) coupled with light sources need light in-coupling efficiency values that are over 40%. Biosensors can quantify by wicking rate and/or colorimetry as the reactivity between the bioreceptor and transducer. Temperature/humidity sensors require actuating triggers that show the flap opening of shape memory polymer or with a color-changing time of thermochromic pigment lower than 17 seconds.

Development of Standard Protocol-based Healthcare Services for Optimized Health Management (최적화된 건강관리를 위한 표준 프로토콜 기반 헬스케어 서비스 개발)

  • Park, Hyun-Sang;Kim, Hyun-Young;Kim, Hwa-Sun
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.67 no.7
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    • pp.969-975
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    • 2018
  • The purpose of this study is to develop a healthcare service based on standard protocol and information communication technology for mother's sustainable postpartum care. The developed service was consisted of a client area where mothers measure, manage and transmit their vital signs using their own smartphone and personal health devices, and a server area that manages and shares with the received mother's vital signs and the results of examination results and personal health records. The client area collects vital signs through the IEEE 11073 Personal Health Device (PHD) using the m-health application of the previous study and Continua Health alliance certified personal health devices and transfers to Health Level Seven (HL7) V2.4, Continuity of Care Record (CCR) and Continuity of Care Document (CCD). The server area consists of a mobile web that manages and shares the HL7 Fast Healthcare Interoperability Resources (FHIR)-compliant personal health records to ensure interoperability of examination results, and a mobile web where the postpartum caregiver enters and manages the results of the mother's examination results and provides it to the mother. In this way, the healthcare service of this study securing continued exchanges between the mother and postpartum caregiver improves the quality of life of the mother not only to satisfy the needs of the mother who was discharged but also through self-management and postpartum. In the future, we will conduct a study applying mothers and postpartum caregiver after approval of a clinical trail at a university hospital to evaluate developed healthcare services.

Effects of Electroacupuncture at Zusanli (ST36) on Ultrasonographic Gastric Emptying: A Pilot Study in Healthy Adults (족삼리 전침 자극이 초음파로 측정된 위배출능에 미치는 영향 : 건강인 대상 예비연구)

  • Ha, Na-yeon;Park, Jae-woo;Kim, Jin-sung
    • The Journal of Internal Korean Medicine
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    • v.39 no.3
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    • pp.426-442
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    • 2018
  • Objective: This study aimed to compare the effects of Zusanli and nonacupoint electroacupuncture stimulation on ultrasonographic gastric emptying and vital signs in eight healthy participants. Gastric emptying and its rate of change were analyzed to search for correlation with physical characteristics such as body mass index (BMI), sternocostal angle, and abdominal wall thickness. Methods: Eight healthy participants with no gastrointestinal disorders were enrolled in this study. Each participant went through three abdominal sonographies for gastric emptying assessment. At the second and third visits, participants received Zusanli and nonacupoint electroacupuncture stimulation in a random order. During the study period, we examined the BMI, sternocostal angle, and abdominal wall thickness of all participants. Vital signs (blood pressure, heart rate, and temperature) were also examined before and after the electroacupuncture stimulation. Results: Electroacupuncture stimulation at Zusanli significantly improved gastric emptying when compared to nonacupoint stimulation. Gastric emptying showed a positive correlation with BMI, sternocostal angle, and abdominal wall thickness, but this correlation was statistically insignificant. The improvement rate of gastric emptying by Zusanli electroacupuncture stimulation showed a positive correlation with BMI and sternocostal angle and a negative correlation with abdominal wall thickness. However, such results were also statistically insignificant. Among vital signs, only heart rate showed a significant decrease according to Zusanli electroacupuncture stimulation. Conclusions: A significant effect of Zusanli electroacupuncture was confirmed through ultrasonographic gastric emptying in healthy participants.

Left Atrial Rupture with Stable Vital Signs - A case report - (정상인 활력증후를 보인 좌심방 파열 - 1예 보고 -)

  • Jeong, Jae-Han;Cho, Sung-Woo;Shin, Yoon-Cheol;Lee, Hee-Sung;Kim, Kun-Il
    • Journal of Chest Surgery
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    • v.41 no.5
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    • pp.633-635
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    • 2008
  • Cardiac rupture after blunt chest trauma is a relatively uncommon diagnosis, and it is associated with a very high mortality rate. A 41-years-old man crashed his car into a guardrail and he was then transported to hospital. Although unstable vital signs are the most common symptoms of cardiac injury, this patient had stable vital signs. The chest CT scan showed pericardial effusion, and echocardiography did not clearly reveal cardiac tamponade, but the right atrium was slightly collapsed. Cardiac injury was suspected, and surgery was commenced for obtaining the diagnosis and treatment. A 2cm laceration at the junction of the left atrium and the lefl inferior pulmonary vein was discovered and this was repaired with $4{\sim}0$ Polypropylne monofilament sutures. We report here on the successful management of a patient with left atrial rupture following blunt chest trauma.

Articaine (4%) with epinephrine (1:100,000 or 1:200,000) in inferior alveolar nerve block: Effects on the vital signs and onset, and duration of anesthesia

  • Lasemi, Esshagh;Sezavar, Mehdi;Habibi, Leyla;Hemmat, Seyfollah;Sarkarat, Farzin;Nematollahi, Zahra
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.15 no.4
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    • pp.201-205
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    • 2015
  • Background: This prospective, randomized, double-blind, clinical study was conducted to compare the effects of 4% articaine with 1:100,000 epinephrine (A100) and 4% articaine with 1:200,000 epinephrine (A200) on the vital signs and onset and duration of anesthesia in an inferior alveolar nerve block (IANB). Methods: In the first appointment, an IANB was performed by injecting A100 or A200 in 1 side of the mouth (right or left) randomly in patients referred for extraction of both their first mandibular molars. In the second appointment, the protocol was repeated and the other anesthetic solution was injected in the side that had not received the block in the previous session. Systolic and diastolic blood pressures (SBP and DBP) and pulse rate were measured during and 5 min after the injection. The onset and duration of anesthesia were also evaluated. Data were analyzed using t-test and Mann-Whitney U-test, and p-value was set at 0.05. Results: SBP and pulse rate changes were slightly more with A100; however, DBP changes were more with A200, although the differences were not significant (P > 0.05). There were no statistically significant differences in the parameters evaluated in this study. The onset and duration of anesthesia, and the changes in SBP, DBP, and pulse rate during and 5 min after the injection were the same in both the groups. Conclusions: For an IANB, A200 and A100 were equally efficient and successful in producing the block. Epinephrine concentration did not influence the effects of 4% articaine.

Effects of Hand Massage with Nail Art on Depression, Self-esteem, and Vital signs of Elderly Women living in a Nursing Home (손마사지를 병행한 네일아트가 시설 여성 노인의 우울, 자존감 및 활력증상에 미치는 효과)

  • Kim, Joo Hyun;Hyun, Hye Jin;Kang, So Yean;Nam, Hye Ri;Shin, Mi Jin;Lee, Hyun Jung;Chae, Young Ran
    • Journal of Korean Biological Nursing Science
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    • v.18 no.3
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    • pp.169-175
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    • 2016
  • Purpose: The aim of this study was to examine the effects of hand massage with nail art on depression, self-esteem and vital signs of elderly women. Methods: The research design was one group pre and post test experimental design. Data were collected from December 7 to December 14, 2015. All participants had hand massage with nail art for 10 minutes. Depression, self-esteem and vital signs were measured before, immediately after the hand massage with nail art and one week later. Data were analyzed using descriptive statistics and repeated measures ANOVA with SPSS/Win 12.0 Program. Results: Depression (F=30.80, p<.001), self-esteem (F=60.02, p<.000), diastolic pressure (F=29.56, p<.001) and body temperature (F=13.87, p<.001) were significantly different compared to pre-study values. Systolic pressure (F=3.85, p=.059) and pulse rate (F=0.32, p=.576) had no significant difference compared to pre-study values. Conclusion: The findings of this research show that hand massage with nail art has positive effects on decreasing depression and improving self-esteem for senior women who chose nail polish colour by themselves.

Effects of Preferred Music Intervention on Anxiety, Vital Signs and Blood Sugar of Surgical Patients Undergoing Operation Using Spinal Anesthesia (환자 선호도를 고려한 음악중재가 척추 마취 환자의 수술 중 불안, 활력 징후 및 혈당에 미치는 영향)

  • Jung, Hyang-Mi;Park, Mal-Young;Lee, Su-Jin;Kim, Nam-Hee
    • Journal of East-West Nursing Research
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    • v.20 no.1
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    • pp.9-20
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    • 2014
  • Purpose: The purpose of this research was to examine the effects of preferred music intervention on anxiety, vital signs and blood sugar of surgical patients undergoing spinal anesthesia. Methods: A quasi-experimental research with non-equivalent control group non-synchronized design was carried out. Subjects consisted of 40 patients (experimental group 20, control group 20) who were scheduled to undergo surgery with spinal anesthesia. During the operation, music individual patients preferred was provided to the experimental group. The data were collected from July 4 to November 10, 2011 and analyzed with descriptive statistics, t-test, chi-square test, ANCOVA and repeated measured ANCOVA using SAS (ver 9.2). Results: 1) Patient anxiety during the operation of the experimental group was significantly lower than the control group (F=93.77, p<.001). 2) There was no significant difference in diastolic blood pressure (F=.00, p=.979), Systolic blood pressure (F=.19, p=.668), heart rate (F=.00, p=.955), and blood sugar (F=.73, p=.399) between the experimental group and the control group. Conclusion: Letting patients hear their preferred music during surgery is an effective nursing intervention to relieve anxiety of patients undergoing surgery with spinal anesthesia.

Part 4. Clinical Practice Guideline for Surveillance and Imaging Studies of Trauma Patients in the Trauma Bay from the Korean Society of Traumatology

  • Chang, Sung Wook;Choi, Kang Kook;Kim, O Hyun;Kim, Maru;Lee, Gil Jae
    • Journal of Trauma and Injury
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    • v.33 no.4
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    • pp.207-218
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    • 2020
  • The following recommendations are presented herein: All trauma patients admitted to the resuscitation room should be constantly (or periodically) monitored for parameters such as blood pressure, heart rate, respiratory rate, oxygen saturation, body temperature, electrocardiography, Glasgow Coma Scale, and pupil reflex (1C). Chest AP and pelvic AP should be performed as the standard initial trauma series for severe trauma patients (1B). In patients with severe hemodynamically unstable trauma, it is recommended to perform extended focused assessment with sonography for trauma (eFAST) as an initial examination (1B). In hemodynamically stable trauma patients, eFAST can be considered as the initial examination (2B). For the diagnosis of suspected head trauma patients, brain computed tomography (CT) should be performed as an initial examination (1B). Cervical spine CT should be performed as an initial imaging test for patients with suspected cervical spine injury (1C). It is not necessary to perform chest CT as an initial examination in all patients with suspected chest injury, but in cases of suspected vascular injury in patients with thoracic or high-energy damage due to the mechanism of injury, chest CT can be considered for patients in a hemodynamically stable condition (2B). CT of the abdomen is recommended for patients suspected of abdominal trauma with stable vital signs (1B). CT of the abdomen should be considered for suspected pelvic trauma patients with stable vital signs (2B). Whole-body CT can be considered in patients with suspicion of severe trauma with stable vital signs (2B). Magnetic resonance imaging can be considered in hemodynamically stable trauma patients with suspected spinal cord injuries (2B).