• Title/Summary/Keyword: Vital signs

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Experiencing cardiac arrest during surgical exploration in hemodynamically stable patients with multiple stab wounds, including lower extremity in Korea: a case report

  • Jung Rae Cho;Dae Sung Ma
    • Journal of Trauma and Injury
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    • v.37 no.2
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    • pp.166-169
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    • 2024
  • Stab wounds, particularly those affecting multiple body regions, present considerable challenges in trauma care. This report describes a case of sustained self-inflicted stab injuries to the abdomen and thighs of a 23-year-old male patient. Although the patient's vital signs were stable and bleeding was minimal from thigh wounds without overt signs of vascular injury, the patient experienced a sudden, profound hemorrhage from the right thigh, leading to cardiac arrest. Successful resuscitation was followed by surgical repair of a right superficial femoral arterial injury accompanying a resuscitative endovascular balloon of the aorta. Subsequent lower extremity computed tomography angiography revealed no additional vascular abnormalities. The patient was discharged in stable condition on the 12th postoperative day. This case underscores the unpredictability of stab wound trajectories and the potential for hidden vascular injuries, even in the absence of immediate life-threatening signs. It also emphasizes the critical role of advanced imaging modalities, such as computed tomography angiography, in identifying concealed injuries, and the importance of strategic intraoperative techniques, including resuscitative endovascular balloon occlusion of the aorta, in achieving favorable patient outcomes.

Design of ICA to Extract Respiration Signal From PPG Signal

  • Lee, Ju-Won;Lee, Byeong-Ro
    • Journal of information and communication convergence engineering
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    • v.9 no.2
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    • pp.220-223
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    • 2011
  • Respiration signal of the vital signs is an important parameter in clinical parts. To extract the respiration signal from PPG signal for mobile healthcare system is difficult because the bands of the motion artifacts and respiration in the frequency domain are overlapped. This study to improve this problem suggested a respiration extraction method using the independent component analysis and evaluated its performances. In results of evaluation, the ICA method showed better performance than LPF suggested recently.

Hepatic Hemangioma Rupture Caused by Blunt Trauma

  • Kim, Gil Hwan;Kim, Jae Hun;Lee, Sang Bong
    • Journal of Trauma and Injury
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    • v.30 no.4
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    • pp.235-237
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    • 2017
  • Hepatic hemangioma is the most frequently occurring benign tumor of the liver. Hepatic hemangioma rupture is a rare phenomenon, which can lead to life-threatening conditions. Here, we report a case of hepatic hemangioma rupture caused by blunt trauma. Explorative laparotomy was performed due to unstable vital signs and abdominal massive hemoperitoneum revealed on computed tomography. We detected arterial bleeding from a hepatic hemangioma and performed primary suture of the liver and postoperative angiographic embolization.

A Multimedia Monitoring System for Patients at Home (멀티미디어를 이용한 재택 환자 모니터링 시스템)

  • Ko, Chang-Uk;Park, Seung-Hun;Woo, Eung-Je
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.11
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    • pp.48-51
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    • 1996
  • We developed a multimedia monitoring system for patients at home, equipped with video and audio-conferencing capabilities. It can also monitor biological signals in real-time with vital signs. The system has an extensible architecture to accommodate probable future needs easily.

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Analysis of ICU Treatment on Resection of Giant Tumors in the Mediastinum of the Thoracic Cavity

  • Kang, Nai-Min;Xiao, Ning;Sun, Xiao-Jun;Han, Yi;Luo, Bao-Jian;Liu, Zhi-Dong
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.6
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    • pp.3843-3846
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    • 2013
  • Objective: The purpose of this study was to assess prognosis after resection of giant tumors (including lobectomy or pneumonectomy) in the mediastinum. Materials and Methods: Patients with resection of a giant tumor in the mediastinum of the thoracic cavity received ICU treatment including dynamic monitoring of vital signs, arterial blood pressure and CVP detection, determination of hemorrhage, pulmonary function and blood gas assay, treatment of relevant complications, examination and treatment with fiber optic bronchoscopy, transfusion and hemostasis as well as postoperative removal of ventilators by invasive and non-invasive sequential mechanical ventilation technologies. Results: Six patients were rehabilitated successfully after ICU treatment with controlled postoperative errhysis and pulmonary infection by examination and treatment with fiber optic bronchoscopy without second application of ventilators and tubes after sequential mechanical ventilation technology. One patient died from multiple organ failure under ICU treatment due to postoperative active hemorrhage after second operative hemostasis. Conclusions: During peri-operative period of resection of giant tumor (including lobectomy or pneumonectomy) in mediastinum ofthe thoracic cavity, the ICU plays an important role in dynamic monitoring of vital signs, treatment of postoperative stress state, postoperative hemostasis and successful removal of ventilators after sequential mechanical ventilation.

The Effect of Foot Massage on Post operative Pain in Patients Following Abdominal Surgery (복부수술 환자의 수술후 통증에 미치는 발마사지의 효과)

  • Kim, Jin-Hee;Park, Kyung-Sook
    • Korean Journal of Adult Nursing
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    • v.14 no.1
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    • pp.34-43
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    • 2002
  • More and more non-injured operations are being implemented these days, thanks to the development of medical technology. Still, however, most operations leave direct scars on patient' bodies, as well as accompanying pain. The massage as an independent nursing intervention can stimulate the circulation of the blood of tissue and muscle and increase the relationship between a patient and a nurse. The purpose of this study is to investigate the effect of foot massage on pain in post abdominal operative patients. The nonequivalent control group, pre-post test design is used for this study. From July 7, 2000 to February 20, 2001, the 40 patients who were operated under general anesthesia in a university hospital in Seoul were studied. They were divided into two groups ; 20 patients were part of the experimental group, and the others, in the control group. In order to evaluate the effect of foot massage, severity of pain was checked with the VAS (Visual Analog Scale) and also each patients' vital signs were measured with pulse rate, systolic blood pressure and diastolic blood pressure. The collected datas were processed by SAS version 6.12 program and analyzed by the Chi-square, Fisher's exact test, t-test and repeated measures ANOVA. The results of this study were as follows. 1. The severity of pain decreased significantly in the experimental group as compared to the control group following foot massage (t=-3.317, p= .002). 2. Measured vital signs in the experimental group had more reduction of that than in the control group following foot massage. - The pulse rate in the experimental group was lower than that in the control group following foot massage (F=7.73, p=.008). - The systolic blood pressure in the experimental group was lower than that in the control group following foot massage (F=25.75, p=.000). - The diastolic blood pressure in the experimental group was lower than that in the control group following foot massage (F=15.27, p=.000). In conclusion, foot massage is an effective dependent nursing intervention for pain control of post abdominal operative patients.

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Effects of the Taeguk Gi Gong Exercise on Physical and Physiological Functions (태극건강기공체조(太極健康氣功體操)가 신체(身體)·생리적(生理的) 기능(機能)에 미치는 영향(影響))

  • Jun, Young Sun
    • Journal of Acupuncture Research
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    • v.21 no.4
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    • pp.107-124
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    • 2004
  • Objective : This The purpose of this study is to find out the effects of the Taeguk Gi Gong Exercise program on physical and physiological functions. Methods : The study is performed with one group pretest-posttest design. A total of 20 subjects are selected by convenience sampling, which are comprised of 11 researchers of a research center, and 9 nurses of a general hospital. The average age of the subjects is 26.3 years old. The Taeguk Gi Gong Exercise program is consisted of 30-minute main exercise and 10-minute finishing exercise. During the first two weeks, the 40 minute program was conducted in a group, 5 times per week. From the third week, it was conducted 3 times per week, twice in a group and once individually by watching video. All of the subjects were examined for the vital signs, blood sugar, body weight, and the flexibility of joint before and after conducting the program. Results : The results of the study are as follows: 1. After the Taeguk Gi Gong Exercise, the systolic blood pressure increased, and there is no change in the diastolic blood pressure, but all of them are not significant. 2. After the Taeguk Gi Gong Exercise, the pulse decreased, but not significant. 3. After the Taeguk Gi Gong Exercise, the blood sugar increased, but not significant. 4. After the Taeguk Gi Gong Exercise, the body weight reduced significantly. 5. After the Taeguk Gi Gong Exercise, the flexibility of waist significantly increased. 6. After the Taeguk Gi Gong Exercise, the flexibility of arm significantly increased(Left : t=-4.219, p=.000, Right : t=-2.74, p=.013). Conclusion : Based on the results described above, it is considered that the Taeguk Gi Gong Exercise program is clearly effective in decreasing body weight and flexibility of joint.

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Anaphylactoid Reaction Induced by Administration Dirofilaria immitis Extracts (개 심장사상충 추출액 투여에 의한 Anaphylactoid Reaction)

  • Lee, Jee-young;Song, Kun-ho;Kwon, Hyun-ju;Kim, Myung-cheol;Yun, Hyo-in;Kim, Duek-hwan
    • Korean Journal of Veterinary Research
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    • v.43 no.3
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    • pp.507-516
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    • 2003
  • This study was performed to clarify the induction possibility of anaphylactoid reactions by the administration with the heartworm extracts, and, if any, to elucidate different virulences in terms of the protein concentrdtions and sexes of Dirofilaria immitis. Twenty three clinically healthy D. immitis-free adult dogs were used in the present study. The experimental animals were divided into 5 groups. Group A (5 heads) was administered with an female heartworm extract containing 0.1 g/dl protein concentration. Group B (4 heads) was administered with an male heartworm extract containing 0.1g/dl protein concentration. Group C (5 heads) was administered with an female heartworm extract containing 0.2 g/dl protein concentration. Group D (4 heads) was administered with an male heartworm extract containing 0.2 g/dl protein concentration. Group E (5 heads) was administered with an female heartworm extract containing 0.4 g/dl protein concentration. The changes of clinical symptoms and vital signs (body temperature, heart rate and respiration rate) were examined before and 5 minutes, 15 minutes, 30 minutes, 1 hour, 2 hours and 24 hours after injection with the extracts, respectively. In addition, the changes of hematological values (RBC, PCV and total leukocytes counts), serum chemical values (ALP and CK) were determined. It was considered that heartworm extract could induce anaphylactoid reaction and adult female heartworm extract was more affective than those of adult male heartworm extract in the changes of clinical symptoms, vital signs, hematological values and serum chemical values.

Wearable Intelligent Systems for E-Health

  • Poon, Carmen C.Y.;Liu, Qing;Gao, Hui;Lin, Wan-Hua;Zhang, Yuan-Ting
    • Journal of Computing Science and Engineering
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    • v.5 no.3
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    • pp.246-256
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    • 2011
  • Due to the increasingly aging population, there is a rising demand for assistive living technologies for the elderly to ensure their health and well-being. The elderly are mostly chronic patients who require frequent check-ups of multiple vital signs, some of which (e.g., blood pressure and blood glucose) vary greatly according to the daily activities that the elderly are involved in. Therefore, the development of novel wearable intelligent systems to effectively monitor the vital signs continuously over a 24 hour period is in some cases crucial for understanding the progression of chronic symptoms in the elderly. In this paper, recent development of Wearable Intelligent Systems for e-Health (WISEs) is reviewed, including breakthrough technologies and technical challenges that remain to be solved. A novel application of wearable technologies for transient cardiovascular monitoring during water drinking is also reported. In particular, our latest results found that heart rate increased by 9 bpm (P < 0.001) and pulse transit time was reduced by 5 ms (P < 0.001), indicating a possible rise in blood pressure, during swallowing. In addition to monitoring physiological conditions during daily activities, it is anticipated that WISEs will have a number of other potentially viable applications, including the real-time risk prediction of sudden cardiovascular events and deaths.

Comparison of the Effect of Music and Noise Blocking on Postoperative Pain, Length of Stay at Post Anesthetic Care Unit and Satisfaction after a Laparoscopic Colectomy (음악요법과 소음차단요법이 수술 후 통증, 진통제 투여량, 회복실 체류시간 및 만족도에 미치는 효과 비교)

  • Seo, Eunju;Yoon, Haesang
    • Journal of Korean Biological Nursing Science
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    • v.17 no.4
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    • pp.315-323
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    • 2015
  • Purpose: This study compared the effect of music and noise blocking on the vital signs, postoperative pain, analgesic use, length of stay in the Post Anesthesia Care Unit (PACU) and satisfaction after a laparoscopic colectomy. Methods: This randomized controlled trial was performed in a 555-bed National Cancer Center, from February 13 through May 31, 2012. Subjects consisted of 69 patients who underwent a laparoscopic colectomy under general anesthesia, and were recruited by informed notices. The inclusion criteria were patients between the ages of 35-75, with an American Society Anesthesiologist physical classification I or II. The subjects were randomly allocated to three groups; music therapy group (MTG), noise blocking group (NBG) and control group (CG). Collected data were analyzed using Repeated measures ANOVA, one-way ANOVA and Kruskal-Wallis test through IBM SPSS (Version 19.0). Results: There were no significant differences in vital signs among the three groups. Postoperative pain in MTG (p<.05) and NBG (p<.05) was significantly decreased compared to CG. The amount of analgesics (p=.030) and length of stay at PACU (p=.021) in MTG was significantly decreased compared to NBG or CG; satisfaction in MTG and NBG was significantly higher compared to CG. Conclusion: Music seems to reduce postoperative pain, the amount of analgesics, and the length of stay at PACU. Therefore, music therapy is considered to be included in nursing intervention for postoperative patients at PACU.