• Title/Summary/Keyword: Systolic pressure

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The Association of Blood Concentrations of Healvy Metals and Blood Pressure in Residents Living Near Janghang Copper Smelter in Korea (제련소 주변 지역 주민들의 혈중 중금속 농도와 혈압과의 관련성)

  • Eom, Sang-Yong;Yim, Dong-Hyuk;Moon, Sun-In;Ochirpurev, Bolormaa;Choi, Young-Sook;Park, Choong-Hee;Kim, Guen-Bae;Yu, Seung-Do;Choi, Byung-Sun;Park, Jung-Duck;Kim, Yong-Dae;Kim, Heon
    • Journal of agricultural medicine and community health
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    • v.42 no.1
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    • pp.13-23
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    • 2017
  • Objectives: This study was conducted to evaluate a relationship between the blood concentrations of toxic metals and the blood pressure in people living near the copper smelter. Methods: The study included 570 adults living within 4km of the smelter. We compared systolic and diastolic blood pressure between tertiary groups for blood cadmium, mercury and lead levels, respectively. Multiple regression analysis was performed to identify risk factors affecting systolic and diastolic blood pressures. Results: In male subjects, there is a significant difference in the mean of systolic and diastolic blood pressure between tertiary groups of blood cadmium and mercury levels, but in women, there was no significant difference in the mean systolic and diastolic blood pressures in all tertiary groups of heavy metals. The results of multiple regression analysis showed that age, BMI, and cadmium concentration in men were risk factors for blood pressure. In women, age and BMI, drinking and smoking, and blood mercury were significantly influenced to blood pressure. Conclusions: Residents living near the Janghang smelter showed high concentrations of blood lead and cadmium, suggesting that they were exposed to high concentrations of heavy metals released from the smelter in the past. Such exposure may have caused some blood pressure increase. Especially, the concentration of cadmium in the case of men and the concentration of mercury in blood in the case of women were found to be significantly related to the increase of blood pressure. The local population should be advised to make efforts to reduce exposure to environmental contaminants, in order to minimize cardiovascular disease, and to pay close attention to any health problems possibly related to toxic metal exposure.

Factors Affecting Blood Pressure of Aged People in Rural Area (일부농촌지역노인(一部農村地域老人)들의 혈압(血壓)과 관계(關係)된 제요인분석(諸要因分析))

  • Kil, Sang-Sun;Ki, No-Suk;Hwang, In-Dam
    • Journal of agricultural medicine and community health
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    • v.10 no.1
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    • pp.42-48
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    • 1985
  • This study was carried out to obtain the basic data for epdemiological survey of hypertension in old population (60 years or more). From May, 1983 to April, 1984, 365 males and 335 females who inhabit in Ko-Chang Gun, Chonbuk Province were investigated for several factors as their socio-econmic status and laboratory examinations with blood pressure, and which factors were analysed by simple correlation and multiple regression analysis. The results are summarized as follows; 1) Sample size of this study is equivalent to 5.2%(male;6.7%, female;4.3%) of population in 60 years or more age group, and the mean age of samples is 70.6${\pm}$5.3 (yr.) in males and 71.4${\pm}$5.3 (yr.) in female (P>0.05). 2) Mean blood pressure of males are 135.9${\pm}$21.3mm Hg in systolic and 85.3${\pm}$13.4mm Hg in diastolic phase and in female, 131.0${\pm}$23.6 mm Hg and 84.1${\pm}$19.9 mm Hg (P < 0.01). Their prevalence rates of hypertension (${\geq}$ 140 mm Hg in systolic, ${\geq}$ 95 mm Hg in diastolic phases) are 33.7% in males, 40.6% in females (P < 0.01). 3) Serum cholesterol levels and other independent variables are revealed in normal ranges, and except to Vervaeck index (89.4${\pm}$5.6 in males, 87.5${\pm}$6.7 in females, p<0.01), other are not significant sexual differences (P>0.05). 4) In the simple correlation analysis, the main factors that affect to blood pressure are serum cholesterol levels (P < 0.05) and Vervaeck index (P < 0.01) in males, age (P <0.05) and Vervaeck index (P <0.01) in females. 5) In multiple regression analysis, prediction equations for blood pressure are calculated as follows; Ysm=-64.55+0.161(X1)+0.124(X2)-0.047(X3)+1.953(X4) Ydm=18.61-0.125(X1)+0.060(X2)+0.032(X3)+0.720(X4) Ysf=-0.22+0.536(X1)+0.134(X2)+0.068(X3+0.788(X4) Yaf=-14.46+0.685(X1)+0.033(X2)+0.176(X3)+0.362(X4) Ysm : Systolic blood pressure in male, Ydm : Diastolic blood pressure in male, Ysf : Systolic blood pressure in female, Ydf : Diastolic blood pressure in female. X1 : Age(year), X2 : Serum cholesterol level (mg%), X3 : Fastin blood sugar (mg% ), X4 : Vervaeck index.

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Effect of Aroma Hand Massage on Anxiety and Immune Function in Patients with Gynecology Surgery under Local Anesthesia (향 요법 손 마사지가 국소마취 부인과 수술 환자의 불안과 면역기능에 미치는 효과)

  • Kim, Yun Ah;Sung, Mi Hae
    • Women's Health Nursing
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    • v.20 no.2
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    • pp.126-136
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    • 2014
  • Purpose: The purpose of this study was to examine the effects of aroma hand massage on anxiety and immune function in patients who had gynecology surgery under local anesthesia. Methods: The research design was a nonequivalent control group with pre-and posttest design. Data were collected from June 5 to October 6, 2010. Participants included 20 patients in the aroma hand massage group, 20 patients in a hand massage group, and 20 in a control group. As an experimental treatment, hand massage was carried out following the hand massage protocol. Measures consisted of the State Trait Anxiety, Numeric Rating Scale (NRS) for anxiety, vital signs (systolic and diastolic blood pressure, pulse rate), and salivary cortisol for anxiety, and immunoglobulin A for immune function. Results: Aroma hand massage and hand massage group showed lower levels in NRS for anxiety, systolic and diastolic blood pressure, and pulse rate (p<.001) compared to controls. No group differences were found for state anxiety, salivary cortisol and immunoglobulin A. Conclusion: The results indicate that aroma hand massage and hand massage are effective in reducing anxiety and can be complementary alternative interventions for women having gynecology surgery under local anesthesia.

The Effect of Music Therapy on Anxiety in Neurotic Patients (음악요법이 신경증 환자의 불안에 미치는 영향)

  • 김소야자;한금선
    • Journal of Korean Academy of Nursing
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    • v.26 no.4
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    • pp.889-902
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    • 1996
  • The purpose of this study was to identify the effects of music therapy on anxiety in neurotic patients. The subjects of the study were 41 patients that had been diagnosed as having anxiety disorder, neurotic depression, or somatization disorder and were admitted to one general hospital in Seoul. The 41 research subjects were assigned to an experimental (22 clients) and a control (19clients) group. Data were gathered from September. 25, 1995 to December. 15, 1995 using a questionnaire and physiological measurement tool. Data were analyzed with the SAS package using frequency, t-test, paired t-test and Pearson correlation coefficients. The results of this study are as follows ; 1. There were significant differences between two groups on systolic and diastolic blood pressure, and pulse rate after treatment. In the experimental group, Systolic and diastolic blood pressure, and pulse rate decreased significantly after Music Therapy. 2. There were no significant differences between the two groups on the pre and post psychological anxiety score. But, after music therapy, experimental group had a lower psychological anxiety score than the control group. From these results, it is concluded that the music therapy can be effective in decreasing anxiety in neurotic patients.

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Factors Influencing Subjective Happiness Index of Health Behavior, Suicidal Ideation among College Professor and Staff (대학교 교직원의 건강행태, 자살생각지수가 주관적 행복지수에 미치는 영향)

  • Nam, Mun-Hee;Min, Kyeong-Ha
    • Journal of Korean Clinical Health Science
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    • v.2 no.2
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    • pp.79-89
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    • 2014
  • Purpose. This study was conducted to provide basic data on the subjective happiness index and identify factors influencing college professor and staff by describing their perception of general characteristics, health behavior, suicidal ideation, and subjective happiness index. Methods. A survey was conducted with 198 professor and staff who were working University on K city. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression with SPSS window 18.0 program. Result. The Mean scores of Subjective happiness in college professor and staff was 4.66 on a scale of 7. There were significant differences on the subjective happiness Index for the followings: age, breakfast for 2 day, blood pressure (Lt systolic), health status index (EQ-VAS). There was a negative correlation between the subjective happiness Index and suicidal ideation. Factors influencing of subjective happiness in college professor and staff were identified as age (${\beta}=.201$), breakfast for 2 day (${\beta}=-.180$), blood pressure (Lt systolic) (${\beta}=-.244$), health status index (EQ-VAS) (${\beta}=.408$). These factors explained 35.1% of variance in subjective happiness in college professor and staff. Conclusion. Results indicate that factors influencing subjective happiness are suggesting the need to establish policies of health behavior. health behavior program for a life of happiness among college professor and staff.

Clinical and Hemodynamic Investigation of Atrial Septal Defect (심방중격결손증의 혈류역학적 상관관계 및 임상적 고찰)

  • 정상조
    • Journal of Chest Surgery
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    • v.24 no.5
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    • pp.445-450
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    • 1991
  • Forty eight patients diagnosed as atrial septal defect, had been operated from April 1986 to December 1990 at the Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, were analysed retrospectively. Of the 48 patients, 12 patients, were male and 36 patients were female, Their ranged from 8 months to 51 years old, and the mean was 18.0 years old. The proceeding two symptoms were exertional dyspnea and frequent upper respiratory infection. But 10 patients [20.8%] were asymptomatic. Electrocardiographic findings were regular sinus rhythm in 100.0%, RVH in 29.2%, incomplete RBBB in 27.1%, and first degree AV block in 2.1%. Hemodynamic studies were performed in 38 of 48 patients. Significant pulmonary hypertension[over 50mmHg in systolic pulmonary arterial pressure], which is the most serious risk factor, was developed in 4 patients[8.3%]. There was statistical significance between size of defect[cm2/BSA-M2] and systolic pulmonary arterial pressure[sPAP] retrospectively[p=0.036]. We could not find the correlationship between age and Qs % size. Anatomically, secundum type constituted 97.9%, in which 43 patients were PFO type[91.6%] and 3 patients were IVC type[6.3%]. 38 of 48 ASD patients were repaired with patch closure[72.9%] and remains were repaired with direct closure[27.1%]. The operative result was excellent except two cases of transient postoperative arrhythmia. There was no operative mortality.

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Analysis of Ventricular Septal Defect (심실중격결손증의 외과적 고찰)

  • 신제균
    • Journal of Chest Surgery
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    • v.18 no.2
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    • pp.151-156
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    • 1985
  • A clinical analysis was done on 50 cases of ventricular septal defect, operated from April 1981 to March 1984 at the department of Thoracic and Cardiovascular Surgery, School of Medicine, Keimyung University. Among 50 cases, 34 cases were males and 16 cases were females. Their age ranged from 1 to 26 years and the mean age was 9.7 years. The main symptoms at admission were frequent upper respiratory infection [50%], exertional dyspnea [42%] and palpitation [34%]. In anatomical classification by Kirklin, type I constituted 20%, type II 76%, type IV 4%. Associated congenital cardiac lesions were pulmonic stenosis [6 cases], patent foramen ovale [5 cases], aortic insufficiency [3 cases] and persistent left superior vena cava [1 case]. When a normal electrocardiogram pattern was present, Qp/Qs, Rp/Rs and pulmonary artery systolic pressure and Pp/Ps were relatively low. Among cases of above 1 cm2/M2 BSA in size of defect, Pp/Ps and pulmonary artery systolic pressure were increased than the cases of below 1 cm2/M2 BSA [P=0.01]. The postoperative right bundle branch block was occurred in 21 cases [75%] among 28 cases of right ventriculotomy approach. The operative mortality was 2% [1 case] among 50 cases and complication rate was 14% [7 cases].

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Anaphylactic Shock Following Nonionic Contrast Medium during Caudal Epidural Injection

  • Lee, Sang Hyun;Park, Jae Woo;Hwang, Byeong Mun
    • The Korean Journal of Pain
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    • v.28 no.4
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    • pp.280-283
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    • 2015
  • Caudal epidural injection is a common intervention in patients with low back pain and sciatica. Even though the complications of fluoroscopically directed epidural injections are less frequent than in blind epidural injections, complications due to contrast media can occur. We report a case of anaphylactic shock immediately after injection of an intravenous nonionic contrast medium (iohexol) during the caudal epidural injection for low back pain and sciatica in a patient without a previous allergic history to ionic contrast media (ioxitalamate). Five minutes after the dye was injected, the patient began to experience dizziness, and the systolic blood pressure dropped to 60 mmHg. Subsequently, the patient exhibited a mild drowsy mental state. About 30 minutes after the subcutaneous injection of 0.2 mg epinephrine, the systolic blood pressure increased to 90 mmHg. The patient recovered without any sequela. Life-threatening complications after injection of intravenous contrast medium require immediate treatment.

Effect on the Human Thermoregulation of Wear Training in Air Condition (여름철 냉방 조건에서의 착의 훈련이 인체의 체온 조절 반응에 미치는 효과)

  • Kim, Mi-Kyung;Choi, Jeong-Wha;Yeom, Hee-gyong
    • Journal of the Korean Society of Clothing and Textiles
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    • v.19 no.3
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    • pp.504-515
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    • 1995
  • This study was performed to investigate that wear training using thermal insulation with clothes has the effect on the human thermoregulatory response, especially on the heat tolerance. Twelve men and women in twenties wert divided into the control group, the training groups and each group except the control group had participated in wear training. The heat tolerance was assessed in all subjects who had participated in the experiment carried out in hot environment(40$\pm$1$^{\circ}C$, 50$\pm$5%RH) by such parameters as rectal temperature, skin temperature, systolic blood pressure, diastolic blond pressure, plume rate, total sweat volume, local sweat volume, subjective sensation, and the differences of heat tolerance in each group were compared. The results were as follows: In hot environment(4$0^{\circ}C$) the changing width of rectal temperature was decreased in the control and the heavy clothing group. Forehead and abdomen temperature in hot environment were significantly decreased after the training. Sweat rate was higher after the training than before. In all experimental groups, systolic and diastolic blood pries.;uses in hot environment(4$0^{\circ}C$) were significantly decreased after the training.

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Stroke Risk and Knowledge in Women with Prehypertension (고혈압 전 단계 성인여성의 뇌졸중 위험과 뇌졸중 지식)

  • Song, Hee-Young
    • Journal of Korean Biological Nursing Science
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    • v.10 no.2
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    • pp.121-130
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    • 2008
  • Purpose: This study was undertaken to identify stroke risk with risk factors and knowledge of stork in women with prehypertension. Methods: A total of 46 pre-hypertensive women in urban area aged 44.8 (SD 11.4) yr old in average were selected by a convenient sampling. Demographic data, risk factors, and knowledge of stroke were assessed through face to face interview. Stroke risk scores were calculated based on points given to age, systolic blood pressure, smoking, DM, and heart disease in Framingham stroke risk score. Data were analyzed by SPSS WIN 12.0 using descriptive statistics, two sample t-test, and Pearson's correlation coefficient. Results: The mean systolic blood pressure of participants was 133.11 mmHg, and HDL cholesterol was lower than the recommended level, although rest of physiologic risk factors were within normal. Of the participants, 82% did not do regular physical activity and 75% did not control fat intake persistently. Mean stroke risk points and knowledge scores were 4.48 and 29.15, respectively, which were significantly different between women with and without persistent controlling fat intake. Conclusion: Results indicate stroke prevention intervention for prehypertensive women should address comprehensively modifying lifestyle as well as physiologic factors, and information focusing on stroke risk factors and warning symptoms.

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