• Title/Summary/Keyword: Systolic pressure

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On Employing Nonparametric Bootstrap Technique in Oscillometric Blood Pressure Measurement for Confidence Interval Estimation

  • Lee, Yong-Kook;Lee, Im-Bong;Chang, Joon-Hyuk;Lee, Soo-Jeong
    • Journal of Korea Multimedia Society
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    • v.17 no.2
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    • pp.200-207
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    • 2014
  • Blood pressure (BP) is an important vital signal for determining the health of an individual subject. Although estimation of mean arterial blood pressure is possible using oscillometric blood pressure techniques, there are no established techniques in the literature for obtaining confidence interval (CI) for systolic blood pressure (SBP) and diastolic blood pressure (DBP) estimates obtained from such BP measurements. This paper proposes a nonparametric bootstrap technique to obtain CI with a small number of the BP measurements. The proposed algorithm uses pseudo measurements employing nonparametric bootstrap technique to derive the pseudo maximum amplitudes (PMA) and the pseudo envelopes (PE). The SBP and DBP are then derived using the new relationships between PMA and PE and the CIs for such estimates. Application of the proposed method on an experimental dataset of 85 patients with five sets of measurements for each patient has yielded a smaller Cl than the conventional student t-method.

Blood Pressure Measurement using the Modified Step-wise Deflation Method (개선된 계단 배기 방법을 이용한 혈압 측정)

  • Oh, Hong-Sic;Lee, Jong-Shill;Chee, Young-Joon;Kim, In-Young
    • Journal of Biomedical Engineering Research
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    • v.31 no.5
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    • pp.351-358
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    • 2010
  • In the automatic non-invasive blood pressure measurement device, the oscillometric method iswidely used. In the oscillometric method, the step-wise deflation has the advantage of the robustness for the motion artifacts than the linear deflation method. But it has the disadvantage of its longer measurement time because we need to detect two or more pulses in a certain cuff pressure step. In this study, we suggest the modified step-wise deflation method to overcome this limitation while maintaining the general concept of step-wise deflation. Using one valid pulse in each step and the deflating valve control during the diastolic period, the measurement time could be reduced. In order to verify the accuracy of the proposed algorithm, we compared the blood pressure values from the suggested method and the blood pressure values from the conventional auscultation method. The mean and standard deviation were -0.50${\pm}$5.3mmHg and 2.08${\pm}$4.75mmHg, for systolic and diastolic blood pressure respectively. The measurement time can be reduced up to the half of conventional step-wise deflation method.

The Effect of Guided Imagery on Blood Pressure and Pulse Rate - In Nursing Students - (지시적 심상요법이 혈압과 맥박에 미치는 효과 - 간호대학생을 대상으로 -)

  • Choi, Eun-Ok;Lee, Dong-Suk
    • Journal of Korean Biological Nursing Science
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    • v.5 no.2
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    • pp.31-39
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    • 2003
  • The purpose of this study was to test the effect of guided imagery on blood pressure and pulse rate. The subjects were thirty-nine nursing students in I university located in Busan, Korea To enhance the effect of treatment, they were trained getting themselves absorbed in guided imagery on three different occasions before the study. Actually in the study, the subjects were given instruction in Mason's guided imagery for 19 minutes and 58 seconds. Blood pressure and pulse rate were measured before and after guided imagery application. The data were analyzed through paired t-test. The Results were as follows : 1) There was a significant decrease in systolic blood pressure after the use of guided imagery. 2) There was no significant decrease in diastolic blood pressure after the use of guided imagery. 3) There was a significant decrease in pulse rate after the use of guided imagery. These results indicate that guided imagery is a helpful technique for decreasing blood pressure and pulse rate, which are increased in stress condition.

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The Supplementary Effects of Harvesting Lentinus edodes at Different Times on Treating Blood Pressure and Serum Lipid Levels in Spontaneously Hypertensive Rats (채취 시기가 다른 표고버섯의 첨가가 SHR 흰쥐의 혈압 및 혈청 지질 수준에 미치는 영향)

  • 이성현;박홍주;조용식;조수묵;김미자
    • The Korean Journal of Community Living Science
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    • v.15 no.2
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    • pp.65-71
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    • 2004
  • Many studies have shown that Letinus edodes has some effect on reducing blood pressure and lipid levels of animals with high pressure and hyperlipidemia. The cost of Letinus edodes varies depending on when it is harvested, and yet there has been no data collected on the bio-functional effects of Letinus edodes harvested at different times. This study was conducted to investigate the supplementary effects of Letinus edodes harvested at different times on blood pressure and blood lipid levels of hypertensive rats. Three kinds of experimental diets - control (CO), early harvested Lentinus deodes (EL), and late harvested Lentinus edodes (LL) - were supplied to spontaneously hypertensive rats (SHR) for eight weeks. The diet intake, body weight, organ weight, and serum lipid levels were subsequently measured. No significant difference was observed in diet intake and in the respective weights of the body, liver, and epididymal fat pad among experimental groups. The levels of systolic and disastolic blood pressure were significantly lower in the LE and LL groups than those in the CO group; and the concentration of serum total cholesterol was also lower in the LE and LL groups than in the CO group. These results confirm that Lentinus edodes reduces blood pressure levels and serum total cholesterol concentration in spontaneously hypertensive rats. But the effects of Lentinus edodes did not differ significantly based on whether the Lentinus edodes was harvested early or late.

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Time for Young Adults to Reach Resting Blood Pressure after Walking as measured by an Automatic and a Mercury Sphygmomanometer (20대 성인의 보행 후 휴식시간에 따른 진동식 자동혈압계와 수은혈압계의 안정혈압 도달 시점)

  • Choi, Min-Jung;Sohng, Kyeong-Yae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.4
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    • pp.370-379
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    • 2014
  • Purpose: The purpose of this study was to identify the time for young adults to reach resting blood pressure after walking as measured by an automatic and a mercury sphygmomanometer. Methods: Participants were 33 nursing students in their 20s. Blood pressure after walking was measured every minute on both arms simultaneously for a total of 6 times after walking for 12 minutes on a treadmill at ratings of perceived exertion (RPE) of 11. Data were analyzed using paired t-test, Bland-Altman plots and repeated measures ANOVA. Results: Systolic blood pressure after walking was the same as measurements corresponding to resting blood pressure after 3 minutes of resting if measured with the automatic sphygmomanometer and 4 minutes of resting if measured with the mercury sphygmomanometer. Conclusions: In order to measure the resting blood pressure for healthy young adults who performed low-density walking for 12 minutes on flat land, the measurement needs to be made after a resting time of at least 3 minutes in the case of an automatic sphygmomanometer and 4 minutes in the case of a mercury sphygmomanometer.

The Effects of Tai Chi Exercise Program on Blood Pressure, Total Cholesterol and Cortisol Level in Patients with Essential Hypertension (태극권운동 프로그램이 본태성 고혈압 환자의 혈압, 총 콜레스테롤 및 코티졸에 미치는 효과)

  • 이은남
    • Journal of Korean Academy of Nursing
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    • v.34 no.5
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    • pp.829-837
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    • 2004
  • Purpose: The purpose of this study was to determine the effects of a 6-week Tai Chi exercise program on reducing blood pressure for hypertensive patients. Method: A non-equivalent pretest-posttest experimental design was used. Participants were recruited from the Community Health Center in Busan, Korea. Twenty-eight hypertensive patients participated in this study. Among them, fourteen were in the experimental group and the rest are in the control group. Members in the experimental group participated in a 6- week program of Tai Chi exercise. In order to evaluate the effects of the Tai Chi program, blood pressure, total cholesterol, and cortisol level were measured before and after week 6. Result: After the 6-week Tai Chi program, there were significant differences in systolic pressure (t=-3.13, p=.004) and diastolic blood pressure (t=-4.75, p=.000) in the experimental group when compared to the control group. However there were no significant differences in the total cholesterol (t=1.07, p=.294) and cortisol level (F=1.35, p=.256). Conclusion: These results suggest that a 6-week Tai Chi program can be utilized as an effective nursing program to reduce blood pressure for hypertensive patients.

Pulmonary Hypertensive Crises After Surgery for Congenital Heart Defects in Children (소아 선천성 개심수술후의 폐동맥 고혈압 발작증)

  • 서필원
    • Journal of Chest Surgery
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    • v.22 no.6
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    • pp.944-950
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    • 1989
  • Children with congenital cardiac defects associated with high pulmonary artery pressure may die despite accurate surgery. Postoperative mortality and morbidity have been attributed to acute rises in pulmonary artery pressure and resistance. Acute pulmonary hypertensive crisis is defined as a paroxysmal event in which pulmonary arterial systolic pressure rises to or above systemic levels followed by a rapid fall in systemic pressure and a minor pulmonary hypertensive event is defined as an acute rise in pulmonary arterial pressure to more than 80 % of systemic levels but without a fall in systemic pressure. From Oct. 1988 to Jul. 1989, we experienced 23 patients who showed many pulmonary hypertensive crises after operation in the Department of Thoracic and Cardiovascular Surgery, Seoul National University Children\ulcorner Hospital. Their preoperative PAP/SAPs were 53 to 123 %[mean 93.3%] and diagnoses were VSD[7], TAPVR[5], TGA[4], AVSD[3], MS[1], DORV[1], Truncus arteriosus[1], and AP window[l]. There were 9 deaths among 23 patients and they showed many pulmonary hypertensive crisis episodes during postoperative intensive care, which was managed by sedation, hyperventilation, oxygen, and acidosis correction and which decreased after using tolazoline. In view of our experience, we recommend that pulmonary artery pressure should be monitored in congenital heart defected patient with preoperative pulmonary hypertension to confirm and to manage the pulmonary hypertensive crisis accurately and using tolazoline is helpful in the treatment of pulmonary hypertensive crisis.

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Effect of Individual Low Sodium Dialysate on Blood Pressure, Interdialytic Weight Gain, Thirst and Intradialytic Discomfort In End-Stage Renal Disease Patients (개별적 저 나트륨 투석 액 적용이 말기 신부전증 환자의 혈압, 투석 간 체중 증가, 갈증 및 투석 중 불편감에 미치는 영향)

  • Kim, Sangsuk;Choi, Youngsil
    • Journal of Korean Biological Nursing Science
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    • v.21 no.3
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    • pp.169-177
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    • 2019
  • Purpose: The purpose of this paper was to identify blood pressure, interdialytic weight gain, thirst and intradialytic discomfort in subjects after applying individual low-sodium dialysis fluid (1,2,3 mEq/L) to hemodialysis patients for 12 weeks. Methods: This study was a non-equivalent pre-post design. For 12 weeks, dialysate concentration was maintained at 1 mEq/L or 2 mEq/L or 3 mEq/L based on average sodium concentration of each individual, and the difference was compared after applying individually. Results: Change in blood pressure significantly decreased in the group where in pre-hemodialysis systolic pressure decreased the gradient of sodium concentration in serum sodium and dialysis solution by 2mEq/L. Interdialytic weight gain, and thirst showed significant decrease in all three groups. But in all three groups, intradialytic discomfort among dialysis showed no significant changes. Conclusion: Although application of low sodium dialysis fluid showed no change in intradialytic discomfort, lowered blood pressure, thirst, and interdialytic weight gain, which could be used for individual showing increased interdialytic weight gain and increased blood pressure. There is need for continued study on this.

Analysis of Changed Bio-Signal to Radiation Exposure of Nuclear Medicine Worker (핵의학 종사자의 방사선 피폭에 따른 생체신호 변화 분석)

  • Lee, Hwun-Jae;Lee, Sang-Bock
    • Journal of Radiation Protection and Research
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    • v.32 no.1
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    • pp.27-34
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    • 2007
  • In this paper, We are evaluated about bio-signal between general workers and nuclear medicine workers which is more radiation exposure relatively. In order to reciprocal evaluated two group, we experimented nuclear medicine workers in Chung-Buk National University Hospital at department of nuclear medicine and worker in Chon-Nam National University Hospital at CT room, general radiographic room, medical recording room, receipt room, general office room. Used of experimental Equipments as follows, for a level of radiation measurement by pocket dosimeter which made by Arrow-Tech company, for heart rate and blood pressure measurement by TONOPORT V which made by GE medical systems company, for heat flux and skin temperature and energy expenditure measurement by Armband senseware 2000 which made by Bodymedia company. Result of experiment obtains as follows: 1) Individual radiation exposure is recorded 3.05 uSv at department of nuclear medicine and order as follows CT room, general radiograpic room, medical recording room, receipt room, general office room. Department of nuclear medicine more 1.5 times than other places. 2) Radiation accumulated dose is not related to Heat flux, Skin temperature, Energy expenditure. 3) Blood pressure is recorded equal to nuclear medical workers, general officer, general people about systolic blood pressure and diastolic blood pressure. Compared to blood pressure between nuclear medical works which is more radiation exposure and other workers was not changed. Consequently, more radiation exposed workers at nuclear medicine field doesn't have hazard.

The Effects of Self-efficacy Promotion and Education Program on Self-efficacy, Self-Care Behavior, and Blood Pressure for Elderly Hypertensives (자기효능증진 교육프로그램이 고혈압 노인의 자기효능감, 자가간호행위 및 혈압에 미치는 효과)

  • Yu, Su Jeong;Song, Mi Soon;Lee, Yun Jung
    • Korean Journal of Adult Nursing
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    • v.13 no.1
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    • pp.108-122
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    • 2001
  • The cause of essential hypertension is yet unknown, but in general is caused by interaction of hereditary factors, diet, obesity, lack of exercise and stress. The aging process influences various physiological mechanism related to regulation of blood pressure. So elderly hypertensives have a tendancy to consider the disease as a result of the physiological aging process. This attitude causes many complications, worsening of the disease and even early death because of inappropriate care. In order to improve self-management of elderly hypertensives in this study the researcher examined the effect of blood pressure regulation by an education program that improves self-care behavior, through increasing self-efficacy. The education program consisted of group education on hypertension and self-care strategies, and encouraging and reinforcing self-efficacy resources such as verbal persuation, performance accomplishment and vicarious experiences. A quasi-experimental pre-and post-test design was used. Thirty-two elderly hypertensives participated in the study. Eighteen in the education group and fourteen in the control group. The education program consisted of eight sessions twice a week for four weeks. There was no intervention for the control group. Data were analysed using SPSS for Windows(Version 8.0). The results were as follows. 1. There was a significant decrease in systolic and diastolic blood pressure between the experimental group and control group over three different times, and interaction by groups and over time. 2. There was no significant difference in the level of self-care behavior between the experimental group and control group over three different times, and interaction by groups and over time. 3. There was significant difference in selfefficacy of experimental and control group, depending on the measuring period, but there was no difference between these groups on interaction by groups and over time. 4. There was positive correlation between self efficacy and self care behavior depending on the measuring period. There was negative correlation between diastolic blood pressure and self-care behavior on the posttest of the program, and between systolic blood pressure and self-care behavior on the follow-up test of the program. Findings indicate that this study will contribute to develop nursing strategies for the regulation of blood pressure for the elderly, which is easy for the elderly to learn as a nonpharmacologic approach.

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