• 제목/요약/키워드: Hypertension Monitoring

검색결과 93건 처리시간 0.026초

경기도지역 어린이집과 유치원 급식의 소금함량 및 유아 식사준비자의 나트륨 섭취관련 식태도 조사 (A Survey on the Salt Content of Kindergarten Lunch Meals and Meal Providers' Dietary Attitude to Sodium Intake in Gyeonggi-do Area)

  • 김진남;박서연;안소현;김혜경
    • 대한지역사회영양학회지
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    • 제18권5호
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    • pp.478-490
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    • 2013
  • Dietary habit of excess sodium consumption is formed mainly by excessive salt intake from the younger age and this may lead to hypertension, stroke, and stomach cancer. This study was performed to estimate the salt content in kindergarten meals and provide basic data on meal providers' dietary attitude to sodium intake for nutrition education. We collected data on161 food items from 16 institutions in Gyeonggi-do and salt content was calculated from salinity and weight of individual food items. The average salt content from lunch meals was 2.2 g, which was about daily adequate intake of sodium for children aged 3 to 5 years old. Greatest contributor to the salt content in a meal was soup and stew (47.8%). The most salty dishes were sauces and kimchi followed by stir-fried food, deep-fried food, braised food, and grilled food. The salt content was higher in soup and stew despite of low salinity, due to the large quantity per serving. The salt contents of soups and kimchi were 40.6% and 14.3%, respectively of the total salt content in dish groups. Staff members and caregivers at home who prepared food for the child showed preference for one-dish rice meal, dried fish and salted mackerel, and broth when eating soup, stew, and noodles. Caregivers showed higher sodium index score and had higher preference for processed food such as Ramen, canned food, and ham compared with staff members (p < 0.05). These results suggested that monitoring salt content of kindergarten meals and nutrition education for those prepare meals for children are needed to lower sodium intake in childhood.

노인의 스마트 홈 헬스케어 이용 경험 (Older Adults' Experience of Smart-home Healthcare System)

  • 이영주;이주희;나지영
    • 한국콘텐츠학회논문지
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    • 제15권5호
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    • pp.414-425
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    • 2015
  • 목적: 최근 고령화, 만성질환의 증가로 가정 내 소형 정보통신기기를 비치하고 네크워크로 연결하여 건강상태를 모니터링하며 지속적인 건강관리를 가능하게 하는 기술 및 서비스가 시도되고 있다. 본 연구는 서울시 영구임대아파트 단지에서 시행한 스마트 홈 헬스케어 기술을 제공받은 노인들을 대상으로 이용 경험을 파악하기 위해 시행되었다. 방법: 고혈압 또는 당뇨를 가진 총 7명의 노인(평균연령 75세)에게 2013년 7월, 2회에 걸친 포커스그룹 인터뷰를 통해 자료수집이 이루어졌으며, 질적 내용분석방법으로 분석하였다. 결과: 총 27개의 의미있는 자료가 추출되어 코드화 한 후 비교, 대조, 분류 과정을 통해 10개의 카테고리로 재구성하였고, 추상화를 거쳐 총 6개의 주제를 도출하였다. 도출된 주제는 '언제 어디서나 자가 측정으로 건강상태호전을 경험함', '가정에서 전문가 도움을 받는 흥미로운 체험', '잦은 시스템 및 통신장애로 사용하기에 답답함', '노인사용자에게 측정기기는 낯설고 불편함', '활성화를 위한 체계적인 전략보완이 요구됨', '고령 친화적 측정기기 및 프로그램의 업그레이드 필요'이다. 결론: 향후 스마트 홈 헬스케어를 활성화하기 위해서는 노인사용자의 특성을 고려한 고령 친화적인 측정기기 및 프로그램이 개발되고 최적의 전문인력 배치 및 관련단체의 적극적인 지원 속에서 추진되어야 할 것이다.

성인병 환자들의 건강과 관련된 자기조절에 대한 현상학적 연구 (Phenomenological Approach of Self Regulation Related to Health of patients with Adult Disease)

  • 김숙영
    • 대한간호학회지
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    • 제25권3호
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    • pp.562-580
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    • 1995
  • This research was an attempt to make it possible to provide nursing care and health education meet- ing the need not of care givers but of patients by identifying the nature of patients' self regulation experiences. The specific objective of this study was : 1) to explore self regulation experiences of patients with adult disease. The phenomenological approach in qualitative studies is used to serve this purpose. Colaizzi's method is used for the phenomenological analysis of the data in this study, which were collected from 25 patients hospitalized in the internal medical ward and oriental medical ward of a Seoul hospital, suffering from adult disease such as hypertension, arteriosclerosis and diabetes mellitus. The research was conducted over a period of March to September, 1994. The investigator conducted participated observations and in-depth unstructured interviews which were audiotaped under the permission of patients. The investigator read the data repeatedly to identify and categorize significant statements, formulating meanings, themes and theme clusters. The result is categorized as follows : Self regulation activities, their barriers and predisposing factors of a disease. Thirteen theme clusters of self regulation activities related to health identified were. “maintaining diet regimen”, “maintaining exercise regimen”, “maintaining medication regimen”, “maintaining oriental medical regimen”, “maintaining health monitoring regimen”, “maintaining self effort”, “maintaining religious life”, “maintaining social sup-port systems”, “maintaining peaceful mind”, “maintaining moderation in life”, “maintaining sincere attitude in life”, “maintaining natural life”, and “maintaining folk remedy” This findings confirm the fact that self regulation is complicatedly and diversely influenced by oriental medicine and folk remedy, and Korean traditional ideas melted in Confucianism, Buddhism, Taoism and Shamanism, and modern medical care and western culture. Seven theme clusters of self regulation barriers identified were : "lack of knowledge and self aware-ness", "lack of social supports", "lack of awareness of need in continuous regimen and treatment", "dissatisfaction with hospital and health care provider", "lack of self management ", "lack of will to combat illness", and "overconfidence in folk remedy" Four theme clusters of predisposing factors of a disease were : "cumulation of stressors", "fatalism", "careless life style", and "family history". In conclusion, this. study will prove helpful not only in understanding clients in light of our traditional culture but also in providing them with the kind of nursing care and health education satisfying their demands and particularly cultural needs.

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호텔 종사자들에서 불안 및 우울과 24시간 활동혈압 관련성 (The Relationship between Anxiety, Depression and 24-hour Ambulatory Blood Pressure in Hotel Employees)

  • 배준호;사공정규;김상규
    • 농촌의학ㆍ지역보건
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    • 제36권3호
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    • pp.157-166
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    • 2011
  • 이번 연구는 일개 사업장 근로자를 대상으로 24시간 활동혈압에 따른 고혈압군과 정상군의 불안과 우울정도를 비교하고 불안증상과 우울증상에 따른 혈압 양상을 비교 분석하고자 하였다. 일개 사업장 근로자 107명을 대상으로 2009년 12월 10일부터 2010년 3월 20일까지 사업장을 방문하여 BAI와 BDI로 불안과 우울정도를 조사하였고 임상혈압과 24시간 AMBP로 활동혈압을 측정하였다. 임상혈압과 24시간 AMBP에서 고혈압군과 정상군의 BAI와 BDI 점수는 모두 유의한 차이가 없었지만, 우울증상군에서 정상군보다 야간 이완기혈압 비강하 발생위험도가 6.85배 (CI 1.50-30.01)높았다. 고혈압 치료를 시작하거나 치료 중인 환자에서 치료순응율을 향상시키고 심혈관계 질환 예방을 위해서는 심리적인 중재도 필요하다고 판단되어진다.

한국 성인 근로자의 성별에 따른 제 2형 당뇨병 유병률과 위험요인 (Prevalence and Risk Factors of Type 2 Diabetes According to Gender among Korean Employees)

  • 김상아;박웅섭;유수정;채영란;최동희
    • 한국산학기술학회논문지
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    • 제16권11호
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    • pp.7589-7598
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    • 2015
  • 본 연구의 목적은 2007년부터 2011년의 보건복지부 질병관리본부 국민건강영양조사 자료를 이용하여 30세 이상 성인 근로자에서 성별에 따른 제 2형 당뇨병 유병률과 위험요인을 파악하는 것이다. SPSS 다변량 Survey logistic 분석결과, 남성이 여성보다 제 2형 당뇨병의 유병율이 유의하게 높았으나, 여성에서 육체노동을 하는 경우 남성보다 제 2형 당뇨병의 비차비가 유의하게 증가하였다. 또한 '남성', '50세 이상', '육체노동', '비만', '고혈압이 있는 경우', '고지혈증이 있는 경우'에서 제 2형 당뇨병이 발생할 위험이 증가하였다. 본 연구결과를 통해 규명된 위험 요인을 예방하고, 지속적으로 모니터링하여 제 2형 당뇨병 유병률을 조절하기 위한 기초자료로 활용할 수 있다.

다목적 안과용 레이저 시스템 안전성 성능평가 및 임상적 유효성평가 가이드라인 수립을 위한 연구 (A Study on Safety, Performance and Clinical effectiveness Test Guideline of Versatile Ophthalmic Laser System)

  • 김유림;유우진;박호준;장원석
    • 대한의용생체공학회:의공학회지
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    • 제40권6호
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    • pp.250-259
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    • 2019
  • Ophthalmic Laser System is widely used in Selective Laser Trabeculoplasty of Open Angle Glaucoma and Ocular Hypertension. Versatile ophthalmic laser system is a medical device with technology that checks the condition of the treatment area by irradiating a continuous laser pulse on the treatment area, and monitoring the microbubble reaction caused by the temperature increase of the melanosome through the ultrasonic signal and the optical signal sensor. It performs selective laser treatment without damaging the photoreceptor by controlling the wavelength of the laser when microbubbles are detected. This study aims to suggest a guideline for evaluating safety, performance and clinical effectiveness of Versatile Ophthalmic Laser System in accordance with the growing technology. International Standards, Regulations, and Clinical Trial Protocols were investigated and analyzed for this study. As a result of this study, the safety, performance and clinical effectiveness test guideline for Versatile Ophthalmic Laser System were proposed. This guideline will ensure the safety and efficacy of Medical device, and furthermore it is expected to be able to promote the development of technology development by supporting a clinical trial plan.

소아 청소년 만성 콩팥병의 진행 억제 (Slowing the Progression of Chronic Kidney Disease in Children and Adolescents)

  • 하일수;최용
    • Childhood Kidney Diseases
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    • 제14권1호
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    • pp.1-9
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    • 2010
  • 긴 잔여 수명을 가진 소아-청소년기에 발생한 만성 콩팥병의 진행을 억제하는 것은 매우 중요하다. 콩팥 기능의 변화는 공식을 이용하여 혈청 크레아틴이나 시스타틴 C 치를 이용한 사구체 여과율의 추정치를 계산하는 것이 비교적 정확하고 편리하다. 고혈압과 단백뇨는 엄격하게 조절되어야 하며 빈혈은 에리트로포이에틴으로 교정되어야 한다. 혈압이 정상인 경우에도 특별한 금기사항이 없는 한 ACE 억제제나 안지오텐신 수용체 차단제를 사용하는 것이 필요하나 부작용의 발생에 주의할 필요가 있다. 만성 콩팥병의 진행 억제를 위한 노력은 만성 콩팥병이 확인되는 대로 가능한 일찍 시작되어야 하며 콩팥 이식을 받을 때까지 잔여 신기능이 남아 있는 한 계속되어야 한다. 온라인 한국 소아 만성 콩팥병 등록 시스템이 만성 콩팥병의 진료에 도움을 준다.

제7기 국민건강영양조사 자료를 활용한 한국 성인의 악력 분포 및 영향요인 분석 (An Analysis on Distribution of Handgrip Strength and Associated Factors in Korean Adults)

  • 정정원;박소영;김현아
    • 한국임상약학회지
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    • 제31권3호
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    • pp.231-236
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    • 2021
  • Background: Sarcopenia is a skeletal muscle disorder that involves the loss of muscle mass and function. Handgrip strength (HGS) is the most commonly used tool to assess muscle strength to diagnose sarcopenia. HGS is also associated with various diseases and health outcomes. Thus, we aimed this study to examine the HGS status in Korean adults and relevant factors of HGS. Methods: Data was obtained from the 7th Korea National Health and Nutrition Examination Survey (KNHANES), a population-based nationwide survey. The estimated mean value of HGS was calculated in each age group. The mean HGS in men and women aged over 40 was compared according to the household income level, lifestyle factors, and comorbidities. Results: A total of 16,708 participants were included in this study. The mean HGS showed a maximum value in the 30s for both men and women, and then tended to decrease with increasing age. When analyzed for people aged 40 or older, the mean HGS was significantly higher in the current or past smoker, drinker, and aerobic exercise groups in both men and women. The mean HGS was lower in the group with comorbidities such as hypertension, dyslipidemia, type 2 diabetes, and bone diseases. Conclusion: Our study found that the mean HGS was significantly different between those with and without underlying chronic diseases. In groups with relevant comorbidities, close monitoring for the development of sarcopenia and taking preventive measures such as exercise and nutritional support may be recommended.

Investigating Non-Laboratory Variables to Predict Diabetic and Prediabetic Patients from Electronic Medical Records Using Machine Learning

  • Mukhtar, Hamid;Al Azwari, Sana
    • International Journal of Computer Science & Network Security
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    • 제21권9호
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    • pp.19-30
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    • 2021
  • Diabetes Mellitus (DM) is one of common chronic diseases leading to severe health complications that may cause death. The disease influences individuals, community, and the government due to the continuous monitoring, lifelong commitment, and the cost of treatment. The World Health Organization (WHO) considers Saudi Arabia as one of the top 10 countries in diabetes prevalence across the world. Since most of the medical services are provided by the government, the cost of the treatment in terms of hospitals and clinical visits and lab tests represents a real burden due to the large scale of the disease. The ability to predict the diabetic status of a patient without the laboratory tests by performing screening based on some personal features can lessen the health and economic burden caused by diabetes alone. The goal of this paper is to investigate the prediction of diabetic and prediabetic patients by considering factors other than the laboratory tests, as required by physicians in general. With the data obtained from local hospitals, medical records were processed to obtain a dataset that classified patients into three classes: diabetic, prediabetic, and non-diabetic. After applying three machine learning algorithms, we established good performance for accuracy, precision, and recall of the models on the dataset. Further analysis was performed on the data to identify important non-laboratory variables related to the patients for diabetes classification. The importance of five variables (gender, physical activity level, hypertension, BMI, and age) from the person's basic health data were investigated to find their contribution to the state of a patient being diabetic, prediabetic or normal. Our analysis presented great agreement with the risk factors of diabetes and prediabetes stated by the American Diabetes Association (ADA) and other health institutions worldwide. We conclude that by performing class-specific analysis of the disease, important factors specific to Saudi population can be identified, whose management can result in controlling the disease. We also provide some recommendations learnt from this research.

사용자의 스마트 주거 기술 선호와 수용에 관한 연구 (Users' Preference and Acceptance of Smart Home Technologies)

  • 조명은;김미정
    • 대한건축학회논문집:계획계
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    • 제34권11호
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    • pp.75-84
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    • 2018
  • This study analyzed users' acceptance and intention to use in addition to needs and preferences of smart home technologies, and identified the differences in technology preference and acceptance by different factors. The subjects were residents in the 40s and 60s residing in the Seoul or suburbs of Seoul, and questionnaires were conducted in the 40s while interviews with questionnaires were conducted in the 60s. A total of 105 questionnaires were used as data, and frequency, mean, crossover, independent sample t test, one-way ANOVA and multiple regression analysis were performaed using SPSS23. The results of this study are as follows. First, hypertension, hyperlipidemia and hypercholesterolemia were the most common diseases among respondents and if there was no discomfort, they would like to continue living in the homes of the current residence. Therefore, the direction of smart home development should support the daily living and health care so that residents can live a healthy life for a long time in their living space. Second, the technologies that residents most need were a control technology of residential environments and a monitoring technology of residents' health and physiological changes. The most preferred sensor types are motion sensors and speech recognition while video cameras have a very low preference. Third, technology anxiety was the most significant factor influencing intention to accept smart home technology. The greater the technology anxiety is, the weaker the acceptance of technology. Fourth, when applying smart residential technology in homes, various resident characteristics should be considered. Age and technology intimacy were the most influential variables, and accordingly there were differences in technology preference and acceptance. Therefore, a user-friendly smart home plan should be done in the consideration of the results.