• 제목/요약/키워드: Blood Analysis

검색결과 4,870건 처리시간 0.037초

혈압 판별 분석 -위험요인을 중심으로- (The Discriminant Analysis of Blood Pressure - Including the Risk Factors -)

  • 오현수;서화숙
    • 대한간호학회지
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    • 제28권2호
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    • pp.256-269
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    • 1998
  • The purpose of this study was to evaluate the usefulness of variables which were known to be related to blood pressure for discriminating between hypertensive and normotensive groups. Variables were obesity, serum lipids, life style-related variables such as smoking, alcohol, exercise, and stress, and demographic variables such as age, economical status, and education. The data were collected from 400 male clients who visited one university hospital located in Incheon, Republic of Korea, from May 1996 to December 1996 for a regular physical examination. Variables which showed significance for discriminating systolic blood pressure in this study were age, serum lipids, education, HDL, exercise, total cholesterol, body fat percent, alcohol, stress, and smoking(in order of significance). By using the combination of these variables, the possibility of proper prediction for a high-systolic pressure group was 2%, predicting a normal-systolic pressure group was 70.3%, and total Hit Ratio was 70%. Variables which showed significance for discriminating diastolic blood pressure were exercise, triglyceride, alcohol, smoking, economical status, age, and BMI (in order of significance). By using the combination of these variables, the possibility of proper prediction for a high-diastolic pressure group was 71.2%, predicting a normal-diastolic pressure group was 71.3%, and total Hit Ratio was 71.3%. Multiple regression analysis was performed to examine the association of systolic blood pressure with life style-related variables after adjustment for obesity, serum lipids, and demographic variables. First, the effect of demographic variable alone on the systolic blood pressure was statistically significant (p=.000) and adjusted $R^2$was 0.09. Adding the variable obesity on demographic variables resulted in raising adjusted $R^2$to 0.11 (p=.000) : therefore, the contribution rate of obesity on the systolic blood pressure was 2.0%. On the next step, adding the variable serum lipids on the obesity and demographic variables resulted in raising adjusted R2 to 0.12(P=.000) : therefore, the contribution rate of serum lipid on the systolic pressure was 1.0%. Finally, adding life style-related variables on all other variables resulted in raising the adjusted $R^2$to 0.18(p=.000) ; therefore, the contribution rate of life style-related variables on the systolic blood pressure after adjustment for obesity, serum lipids, and demographic variables was 6.0%. Multiple regression analysis was also performed to examine the association of diastolic blood pressure with life style-related variables after adjustment for obesity, serum lipids, and demographic variables. First, the effect of demographic variable alone on the diastolic blood pressure was statistically significant (p=.01) and adjusted $R^2$was 0.03. Adding the variable obesity on demographic variables resulted in raising adjusted $R^2$to 0.06 (p=.000) ; therefore, the contribution rate of obesity on the diastolic blood pressure was 3.0%. On the next step, adding the variable serum lipids on the obesity and demographic variables resulted in raising the adjusted $R^2$ to 0.09(p=.000) ; therefore, the contribution rate of serum lipid on the diastolic pressure was 3.0%. Finally, adding life style-related variables on all other variables resulted in raising the adjusted $R^2$ to 0.12 (p=.000) : therefore, the contribution rate of life style-related variables on the systolic blood pressure after adjustment for obesity, serum lipids, and demographic variables was 3.0%.

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뇌경색 환자의 어혈변증과 동맥경직도의 관련성 연구 (Relationship between Blood Stasis and Arterial Stiffness in the Patient with Ischemic Stroke)

  • 신원준;박영민;정동원;홍진우;선종주;이준우;정우상;박성욱;문상관;박정미;고창남;조기호;김영석
    • 대한한의학회지
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    • 제27권3호
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    • pp.241-250
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    • 2006
  • Backgrounds: Blood stasis is hon as an important pathologic factor for vascular disorder in Oriental medicine. Despite its clinical importance there have been few objective tests for diagnosing blood stasis. Objectives: This study was designed to examine the relationship between blood stasis and arterial stiffness measured by cardio-ankle vascular index (CAVI). Methods: The subjects were 104 ischemic stroke patients with onset after 14 days. Their general characteristics, lipid profiles and uric acid were recorded. The degree of arterial stiffness was assessed by CAVI, and blood stasis was evaluated by diagnostic criteria. The data were analyze4 by chi-square test, student t-test, spearman correlation analysis, and pearson correlation analysis. Then, stepwise multiple logistic regression analysis was applied in order to exclude the interactions among several factors. Results: There were significant differences in right, left and higher CAVI between the blood stasis group and the non blood stasis group (p-value<0.01). Age, systolic blood pressure, triglyceride and CAVI had relationships with blood static scores. In multiple logistic regression analysis, the adjusted odds ratio of blood stasis for arterial stiffness with CAVI above 9 were 7.091 (95% confidence interval, $1.641\sim30.638$). Conclusions: The results demonstrated the relationship between blood stasis and arterial stiffness measured by CAVI. Therefore, we suggest that CAVI should be one of the objective tests for diagnosing blood stasis.

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기계식 인공심장판막의 경량화 구조설계를 위한 혈액유동과 상호작용하는 판막거동의 구조역학적 특성연구 (Structural Analysis on the Leaflet Motion Interacted with Blood Flow for Thickness Minimization Design of a Bileaflet Mechanical Heart Valve)

  • 권영주;방혜철;김창녕
    • 한국CDE학회논문집
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    • 제6권1호
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    • pp.59-68
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    • 2001
  • This paper investigates the structural analysis and design of mechanical heart valve through the numerical analysis methodology. In a numerical analysis methodology application to the thickness minimization structural design of mechanical heart valve, fluid analysis is performed for the blood flow through a bileaflet mechanical heart valve. Simultaneously the kinetodynamic analysis is carried out to obtain the appropriate structural condition for the structural analysis. Thereafter the structural static analysis is also carried out to confirm the thickness minimization structural condition(minimum thickness shape of leaflet).

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Stability analysis of drug delivery equipment in sports and exercise actions

  • Cuijuan Wang
    • Advances in nano research
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    • 제14권2호
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    • pp.165-177
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    • 2023
  • Nanomotors are gaining popularity as novel drug delivery methods since they can move rapidly, penetrate deeply into tissues, and be regulated. The ability of manufactured nanomotors to swiftly transport therapeutic payloads to their intended location constitutes a revolutionary nanomedicine strategy. The nanomotors for the drug delivery purpose are released in the blood flow under the different physical conditions, so the stability investigation of these devices is essential before the production, especially in the sport and physical exercise conditions that the blood flow enhances. As a result, using dynamic analysis, this article investigates the stability of the nanomotor released in the blood flow when sport and physical activity circumstances increase blood flow. The considered nanodevice is made of a central motor, and nanotubes are used for the nanomotor blade, which is the drug capsule. Finally, the stability examination of nanomotor as the drug delivery equipment is discussed in detail, and the proposed results can present beneficial results in designing and producing small-scale intelligent devices.

Genetic Polymorphisms of ARMC4, LRP4 and BCL2 Genes are Associated with Blood Pressure Traits and Hypertension in Korean Population

  • Park, Hye-Jeong;Jeon, Tae-Eun;Kim, Yong-Seob;Jin, Hyun-Soek;Park, Sangjung
    • 대한의생명과학회지
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    • 제26권1호
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    • pp.28-36
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    • 2020
  • High blood pressure (HTN) is a condition in which blood pressure is kept higher than normal. Blood pressure trait measures systolic blood pressure (SBP) which is the highest pressure and diastolic blood pressure (DBP) which is the lowest blood pressure. Pulse pressure (PP) is the difference between systolic and diastolic blood pressure. Hypertension is known as a disease caused by the interaction of the environment and genetic factors. To date, studies have been conducted to find genes associated with hypertension. Genome-Wide Association Study (GWAS) analysis using European data from the UK Biobank reported new 535 loci were associated with blood pressure trait. Among them, 12 genes have been reported to have a significant correlation with SBP, DBP and PP. In the study, 12 genes polymorphisms were extracted based on KARE (Korean association resource) and then we performed linear regression of blood pressure trait. As a result, 6 SNPs of the 3 genes (rs12355413 and rs11006736 of ARMC4, rs2290883, rs2290884 and rs11039014 of LRP4, rs7234941 of BCL2) showed statistically significant correlation (P<0.05) with blood pressure trait. Of the 3 genes, 6 SNPs in 2 genes (rs9651357, rs12355413, rs11006736, rs1889522 of ARMC4 and rs4987774, rs7234941 of BCL2) showed significant correlation with hypertension. These results suggest that genetic polymorphisms of ARMC4, LRP4 and BCL2 genes are associated with blood pressure traits and hypertension in Korean population. Moreover, we expected to help understand the pathogenesis of hypertension.

신생아에서 모세혈 가스분석 검사의 유용성 (Availability of Capillary Blood Gas Analysis in Neonate)

  • 정종태;윤수영;이란;현재호;정귀영
    • Clinical and Experimental Pediatrics
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    • 제45권4호
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    • pp.449-453
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    • 2002
  • 목 적 : 동맥혈 가스 분석은 신생아 집중 치료실에서 환아의 상태를 평가하기 위해 자주 시행하는 검사이나 제대 동맥 카테테르를 이용할 수 없는 경우에는 동맥 천자를 반복해야 되는데 기술적인 어려움과 위험성이 따르게 된다. 이에 저자들은 간편히 시행할 수 있는 모세혈 가스 분석 검사로 동맥혈 가스치를 추정하는 것이 타당성을 가지는지 조사하기 위해 이 연구를 시행하였다. 방 법: 2001년 4월부터 8월까지 방지거병원 신생아 집중 치료실에 입원하여 치료받은 환아 중 2주 이상된 신생아로서 동맥내 카테테르를 삽입하지 않은 상태에서 환기와 대사 상태 평가를 위해 혈액 가스 검사를 시행한 환아를 대상으로 하였다. 대상아들은 발뒤꿈치를 가온한 뒤 모세혈을 채혈하였고 곧 이어 동맥 천자를 시행하여 얻은 동맥혈과 함께 바로 검사실로 보내어 가스 분석하여 각 수치를 비교하였다. 결 과 : 1) 조사된 24명의 신생아의 재태 연령은 32-41주로 채혈은 모두 생후 2주일 이후에 시행되었다. 2) 모세혈과 동맥혈의 $pCO_2$, pH 사이에는 높은 상관 관계가 있었다(P<0.05). 3) 모세혈과 동맥혈의 $pO_2$ 사이에도 유의한 상관관계를 보였으나(P<0.05), 절대값의 차이는 92%에서 10 mmHg 이상이었다. 4) 모세혈과 동맥혈 가스의 상관 관계는 pH, $pCO_2$, $pO_2$의 순으로 유의하였다. 결 론 : 이상의 결과로 보아 동맥혈화된 말초혈액을 이용한 모세혈 가스 분석은 동맥혈 채혈이 어려운 경우에 유용한 대체 수단이 될 수 있을 것으로 생각된다.

한국인에게서 ATP2B1 유전 변이가 비만 정도에 따른 수축기 혈압과 이완기 혈압에 미치는 영향 (Effects of ATP2B1 Variants on the Systolic and Diastolic Blood Pressure according to the Degree of Obesity in the South Korean Population)

  • 김기태;김인식;지선하;설재웅
    • 대한임상검사과학회지
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    • 제52권1호
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    • pp.45-52
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    • 2020
  • 고혈압은 종종 심혈관 질환 및 신장 질환으로 이어지며 전 세계적으로 중요한 문제이다. 유전적으로 많은 단일 염기 다형성이 고혈압과 관련이 있다. 많은 GWAS 연구에서 ATP2B1 유전자가 혈압과 연관성이 높다는 것을 발견했다. 본 연구에서는 한국인 994명을 대상으로 수축기 혈압, 이완기 혈압과 ATP2B1 유전자의 SNP와 연관성을 분석하였다. 또한, BMI수치에 따라 하위그룹으로 계층화하여 차이가 있는지 확인하고자 하였다. 다중선형회귀분석에서 수축기 혈압 및 이완기 혈압과 가장 높은 통계적 유의성을 보인 SNP를 선정하였다. 수축기 혈압과 이완기 혈압에서의 one-way analysis of variance를 시행하였고, 고혈압 발생 위험에 대한 다중로지스틱회귀분석을 시행하였다. 다중로지스틱회귀분석은 연령 기준으로 구분하여 시행하였으며, 연령, BMI, 공복 시 혈당을 통제한 방법에서 비교하였다. 수축기 혈압에서는 4개의 SNP (rs10506974, rs7136259, rs17249754, rs17836882)가, 이완기 혈압에서는 6개의 SNP(rs10506974, rs10777237, rs7136259, rs17249754, rs1371075, rs10506983)가 유의하게 관련성을 보였다. 추가적으로, 유전자형(genotype)에 따른 분석에서는 남성에게서 고혈압 위험에 대한 유의한 odd ratio 값을 보였다. 본 연구는 ATP2B1 다형성이 수축기 혈압과 이완기 혈압에 영향을 미치는 것을 제안한다.

혈액영상에서 병리진단을 위한 적혈구 세포의 자동분류에 관한 연구 (A Study on Automatic Classification System of Red Blood Cell for Pathological Diagnosis in Blood Digitial Image)

  • 김경수;김동현
    • 한국컴퓨터정보학회논문지
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    • 제4권1호
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    • pp.47-53
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    • 1999
  • 의학분야에서 컴퓨터는 병원에서 발생하는 각종 업무데이터의 전산화에서 진단을 위해 사용하는 검사 의료기기들의 자동화, 그리고, 각종 의학영상들을 디지털화하여 처리하는 단계까지 활발하게 활용되고 있는 실정이다. 이러한 시점에서 본 논문에서는 병원의 임상병리과에서 늘어나고 있는 혈액검사를 자동화하기 위한 것으로 혈구영상으로부터 적혈구를 분석하여 정상세포를 비롯한 비정상세포를 16부류로 나누어 분류하였다. 이를위해 UNL푸리에 특징과 불변 모멘트 알고리즘을 사용하여 세그먼트된 적혈구 영상으로부터 특징을 추출하고 이를 인식하기 위한 다단계 신경망을 구축하였다. 실제 임상에서 10명의 환자를 대상으로 실험한 결과 검사자가 참조가능 형태의 결과를 얻을 수 있었다.

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Determination of Ethanol in Blood Samples Using Partial Least Square Regression Applied to Surface Enhanced Raman Spectroscopy

  • Acikgoz, Gunes;Hamamci, Berna;Yildiz, Abdulkadir
    • Toxicological Research
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    • 제34권2호
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    • pp.127-132
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    • 2018
  • Alcohol consumption triggers toxic effect to organs and tissues in the human body. The risks are essentially thought to be related to ethanol content in alcoholic beverages. The identification of ethanol in blood samples requires rapid, minimal sample handling, and non-destructive analysis, such as Raman Spectroscopy. This study aims to apply Raman Spectroscopy for identification of ethanol in blood samples. Silver nanoparticles were synthesized to obtain Surface Enhanced Raman Spectroscopy (SERS) spectra of blood samples. The SERS spectra were used for Partial Least Square (PLS) for determining ethanol quantitatively. To apply PLS method, $920{\sim}820cm^{-1}$ band interval was chosen and the spectral changes of the observed concentrations statistically associated with each other. The blood samples were examined according to this model and the quantity of ethanol was determined as that: first a calibration method was established. A strong relationship was observed between known concentration values and the values obtained by PLS method ($R^2=1$). Second instead of then, quantities of ethanol in 40 blood samples were predicted according to the calibration method. Quantitative analysis of the ethanol in the blood was done by analyzing the data obtained by Raman spectroscopy and the PLS method.

냉혈 및 온혈 심정지액의 연속관류시 심근대사에 대한 임상연구 (A Clinical Study on Myocardial Metabolism in Warm Versus Cold Continuous Blood Cardioplegia)

  • 백완기
    • Journal of Chest Surgery
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    • 제27권6호
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    • pp.427-434
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    • 1994
  • A clinical study was designed to evaluate myocardial metabolism during continuous cold blood cardioplegia [Group A, n=10] in comparison with continuous warm blood cardioplegia [Group B, n=10], in a prospective randomized manner. Myocardial metabolism was assessed in two ways: either by collecting blood from coronary sinus before and after cardiopulmonary bypass or by collecting blood from cardioplegic affluent and effluent simultaneously at the beginning and at the end of cardioplegia. The former samples were assayed for gas analysis, lactic acid and cardiac enzyme [CK, LDH, SGOT] and the latter for gas analysis and lactic acid as a maker of anaerobic metabolism. The results were as follows. 1] Myocardial metabolism was shown to be continued in the state of cardioplegia at lower temperature as evidenced by high oxygen extraction of cardioplegic solution in Group A. 2] Anaerobic metabolism occurring at lower temperature in spite of continuous cold blood cardioplegia can be significantly reduced by continuous perfusion of normothermic blood cardioplegics as evidenced by significant reduction of lactate production in Group B [p〈0.05]. 3] Better myocardial protection can be achieved by employing continuous warm blood cardioplegia as evidenced by less cardiac enzyme release in Group B after cardiopulmonary bypass.

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