• 센서학회지
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• 제22권2호
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• pp.136-143
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• 2013

In the study, novel blood pressure estimation method was proposed to improve the accuracy of oscillometric method. The proposed algorithm estimated the blood pressure by comparing and analyzing the point variation aspect of dicrotic notch on pulsating waveform during each cardiac cycle. The waveforms of each cardiac cycle were extracted by maximum points. The extracted pulsating waveforms were applied by re-sampling, end-matching, and normalization. The systolic and diastolic blood pressures were estimated by point variation aspect of dicrotic notch. The blood pressures, which were estimated from proposed algorithm, were compared and analyzed by blood pressures from oscillometric methods and auscultation. The systolic blood pressure from oscillometric methods were +0.88 mmHg more than proposed algorithm, and 1.875 less than the diastolic blood pressures from proposed algorithm. The systolic and diastolic blood pressures from auscultation were 2.89 mmHg and 3.44 mmHg less than the blood pressures from proposed algorithm. As the errors between blood pressures from proposed algorithm, oscillometric method and auscultation were less than 5 mmHg, the proposed algorithm was effective.

• 보건교육건강증진학회지
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• 제25권1호
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• pp.13-23
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• 2008

Objective: The current study was to test if the developed sphygmomanometer was working well and blood pressure information could be collected and monitored systematically through the internet. We tested if the sphygmomanometer and services for blood pressure controlled high blood pressure significantly and the ubiquitous monitoring could be used further. Methods: Kyungwon University, KT Co., Gil Medical Center, LIG Nex1 Co., and Sujeong Health Center conducted an ubiquitous high blood control project in Sujeong-gu, Sungnam, Korea from Mar. 5 to May 16. We developed and applied sphygmomanometer. We distributed the devices to 27 high blood pressure patients. The blood pressures of the residents were monitored through the internet when they measured blood pressures in their homes. A nurse monitored and consulted their blood pressures in the monitoring center in Kyungwon University during the demonstration period. The consultant called them and consulted on their blood pressures in few seconds they used the sphygmomanometers. For the significance of change in blood pressure, we tested statistically with Generalized Additive Model(GAM) and Multi-level Analysis. Results: Both GAM and Multi-level Analysis showed that the blood pressures of persons with ubiquitous blood pressure management decreased significantly as time passed. Conclusions: The internet monitoring and services are considered to be promising because most of the participants were satisfied especially because somebody was caring their health. The decrease of blood pressures was significant by GAM and Multi-level Analysis. Thus, we can apply ubiquitous blood pressure management to health promotion projects.

• Journal of Biosystems Engineering
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• 제33권6호
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• pp.438-445
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• 2008

The purpose of this study was to develop a measurement model based on PLS (Partial least square) method for blood pressures. Measurement system for blood pressure signals consisted of pressure sensor, va interface and embedded module. A mercury sphygmomanometer was connected with the measurement system through 3-way stopcock and used as reference of blood pressures. The blood pressure signals of 20 subjects were measured and tests were repeated 5 times per each subject. Total of 100 data were divided into a calibration set and a prediction set. The PLS models were developed to determine the systolic and the diastolic blood pressures. The PLS models were evaluated by the standard methods of the British Hypertension Society (BHS) protocol and the American Association for the Advancement of Medical Instrumentation (AAMI). The results of the PLS models were compared with those of MAA (maximum amplitude algorithm). The measured blood pressures with PLS method were highly correlated to those with a mercury sphygmomanometer in the systolic ($R^2=0.85$) and the diastolic blood pressure ($R^2=0.84$). The results showed that the PLS models were the effective tools for blood pressure measurements with high accuracy, and satisfied the standards of the BHS protocol and the AAMI.

• 대한의용생체공학회:의공학회지
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• 제27권3호
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• pp.89-93
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• 2006

A simple algorithm that can be used to estimate a healthy person's blood pressure using pulse transit time is proposed in this paper. Fifty healthy students participated in the experiment that was conducted in line with the study. The subjects were asked to exercise on several exercise levels using a bicycle ergometer. Their blood pressures during the succeeding rest period were measured. A simple method was proposed to illustrate the relationship between blood pressure and pulse transit time. The systolic blood pressures as well as the heights and weights of the subjects were regarded as the proper parameters, and a second-order regression curve was produced to estimate the subjects' blood pressures. The mean error of estimation was less than 10 mmHg, which was the mean error of manual measurement. Although our estimation model is so simple, it can be used to estimate continuous blood pressure measurement for bicycle ergometer exercise. The electrocardiograms, photoplethysmograms, and blood pressures, however, could not be measured simultaneously As such, their estimation may be slightly different from the results taken from simultaneous measurements.

• Food Science and Biotechnology
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• 제17권1호
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• pp.156-160
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• 2008

This study was conducted to evaluate the hypotensive properties of the extract of Chinese balloon flower (Platycodon grandiflorum)'s root. In the studies for calcium channel-blocking using Xenopus oocytes, the ethanol-extract ($26.2{\pm}5.2%$) showed higher activity than water-extract. Twenty female rats were fed 25, 35, and 45 mg/kg BW/day of the ethanol-extract for 14 days to observe the changes in blood pressures and heart pulses. Ethanol-extract decreased the systolic, diastolic, and mean blood pressures of the rats. Especially, the rats fed with 45 mg/kg BW/day of the ethanol-extract showed significant decreases in the blood pressures. These results suggested that a decrease in blood pressures was due to the extension of a blood vessel with calcium channel-blocking by ethanol-extract of Chinese balloon flower. Forty %-ethanol showed the highest efficiency for ethanol-extraction of Chinese balloon flower.

• Journal of Chest Surgery
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• 제27권10호
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• pp.815-823
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• 1994

This study was undertaken to hemodynamically determine the differences of myocardial protective effect between crystalloid and blood cardioplegic solution. Twenty nine children undergoing cardiac operations due to cyanotic congenital heart diseases were randomized into two groups receiving crystalloid or blood cardioplegia. Cardiac indices and other hemodynamic datum were examined postoperatively. Although there was no statistical differences between groups, postoperative stroke volume indices and left ventricular stroke work indices were slightly better with blood cardioplegia. We also found that postoperative left atrial pressures[p=0.0003], central venous pressures[p=0.004], and heart rates[p=0.014] were significantly lower with blood cardioplegia. The fact that relatively lower ventricular preloads [left atrial pressure and central venous pressure] were required to provide adequate cardiac output in blood cardioplegia group suggested superior myocardial protective effect of blood cardioplegic solution.

• 한국보건간호학회지
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• 제27권2호
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• pp.267-279
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• 2013

Purpose: This study was conducted to identify blood pressure control rate and related factors in hypertensive patients. Methods: Data were collected using face to face survey with measuring blood pressure from 268 hypertensive patients. Results: Subjects without spouses were 2.19 times more likely to control their blood pressures (p=.002). Whenever subjects came up 1 score in the low sodium diet score, they were 1.37 times more likely to control their blood pressures (p=.044). The possibility of blood pressure control rose 1.58 times per point in the stress management score (p=.011) and the sleep and rest score (p=.002). Conclusion: It is important to develop education and intervention program of lifestyle regarding low sodium diet, stress management and sleep and rest, in order to improve the blood pressure control.

• Journal of Pharmaceutical Investigation
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• 제8권3호
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• pp.16-23
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• 1978

This study was carried out for the purpose of observing the effect of Korean Acanthopanax Radicis Cortex on renal hypertension and to clarify the mechanism of this effect, making use of its ethanol extract. Adult male or female rats, weighing 180-250g, were divided into 3 groups; the first for normotensive control, the second for hypertensive control and the third for hypertensive Acantopanax-treatment. Rats in the normotensive and hypertensive control group were administered 0.9% saline subcutaneously only, whereas those in the Acanthopanax-treated hypertensive group were administered 50mg/kg Acanthopanax ethanol extract subcutanously once a day. Changes of original blood pressure, and responses of blood pressure to various 4gents(norepinephrine, angiotensin, acetylcholine, serotonin and histamine) were recorded for each group on the initial, 18th, 32nd and 46th days of the experiment. The results obtained in this experiment are as follows: 1) The initial blood pressure was $102.6{\pm}7.6mmHg$ on the average. The blood pressures of the normotensive control group were not observed to alter significantly at any period in the course of the experiment. 2) The mean blood pressures in the hypertensive control group were recorded at $120.3{\pm}10.4mmHg$ on the 18th day, at $134.5{\pm}9.2$ on the 32nd day and at $138.8{\pm}8.3$ on the 46th day, thus revealing significant elevation in comparison with the corresponding normotensive control group blood pressures. On the other hand, the mean blood pressures in Acanthopanax-treated hypertensive group on the 18th, 32nd and 46th days were $118.3{\pm}9.7,\;129.9{\pm}8.3\;and\;120.2{\pm}8.3mmHg$ respectively. The blood pressures of the hypertensive-Acanthopanax group recorded. on the 46th day revealed a significant difference as compared with those of the corresponding hypertensive control group. 3) On the 46th day of this experiment, the responses of blood pressure to acetylcholine in the hypertensive-Acanthopanax group were suppressed significantly as compared with those of the hypertensive control group, and in the latter group, angiotensin was decreased markedly as compared with the corresponding normotensive control group. In contrast, pressor action of norepinephrine and depressor action of serotonin and histamine did not differ significantly among the three groups. These results suggest that Acanthopanax ethanol extract suppresses the induction of renal hypertension by means of a cholinergic action such as that caused by acetylcholine.

• Journal of Nutrition and Health
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• 제21권5호
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• pp.305-316
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• 1988

The purpose of this research was to determine the relationship of the dietary nutrients to blood pressure among preschool children in Seoul and to concurrently study the effect of seasonal variance on the aforementioned relationship. The subjects of the study consisted of 203 preschool children aged four to six years. Anthropometric measurements of height, weight, pulse rate and blood pressure, urinary excretion of five cations(Na, K, Ca, P, Mg), creatinine and urea nitrogen and dietary questionaires concerning sodium, potassium calcium and phosphorus were taken during the two periods of summer(Aug. 1986)and winter(Feb, 1987). The results obtained are summarized as follows: 1) The daily urinary excretion of five cations, creatinine and urea nitrogen is summer and winter was as follows; The sodium content was 57.8 mEq in the summer and 59.4 mEq in the winter ; potassium 20.4 mEq and 23.0 mEq, respectively ; calcium, 5.5 mEq and 3.6 mEq, respectively ; and phosphorus, 27.4 mEq and 19.9 mEq, respectively. Only calcium and phosphours excretions in the urine showed significant differences per season(p<0.05). 2) The average dietary intake per day of sodium was 2349mg in the summer and 2155mg in the winter ; potassium consumption was 1425mg in the summer and 1448mg in the winter ; intake of calcium was 472mg in the summer and 500mg in the winter ; and phosphours consumption was 642mg in the summer and 634mg in hte winter. The sodium-to-potassium consumption ratio 1.6 and 1.5, respectively, in the summer and in the winter and the calcium-to-phosphorus ration was 0.7 in the summer and 0.8 in the winter. The dietary calcium intake showed significant differences between the seasons. 3) The principal source of sodium consumption among preschool children was from seasoning-including talbe salt, soy sauce and instant sauce-which accounted for higher then 45% of the sodium intake in both seasons. The main source of potassium was frutis and vegetables which accounted for 29.6% of the potassium intake in the summer and 25.7% in the winter. Milk and milk products were the primary dource of calcium(higher then 40% in both seasons) 4) In the summer, urinary phosphours levels were weakly reated to systolic blood pressures. (0.05

• 대한의용생체공학회:의공학회지
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• 제30권6호
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• pp.510-515
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• 2009

In this paper, variable characteristic ratio algorithm based on oscillometric method is proposed to enhance the accuracy of blood pressure measurement. We combined the slope-based approach and fuzzy inference technique to change the characteristic ratios of height-based method. The proposed algorithm was assessed on 255 measurements from 85 subjects and compared with the conventional height-based algorithm. The testing results showed that the developed algorithm achieved an overall grade A for both systolic and diastolic blood pressures according to the BHS protocol. And, mean standard deviation between the observers and the developed algorithm were 5.71mmHg and 6.29mmHg for systolic and diastolic pressures respectively, which also fulfilled the AAMI criteria. In conclusion, this algorithm was successfully developed and recommended for further clinical trials with the wider adult population.