• 제목/요약/키워드: breath-by-breath

검색결과 480건 처리시간 0.023초

협심증 환자의 증상경험과 관련요인에 관한 연구 (Symptom Experience and Related Factors in Patients with Angina Pectoris)

  • 우수희;엄애용;오의금
    • 기본간호학회지
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    • 제13권3호
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    • pp.447-456
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    • 2006
  • Purpose: This study was done to examine symptom experiences and related factors in angina patients. Method: The participants were 92 patients admitted to C university hospital between October and December 2004. The tools used were a questionnaire on symptom experience related to angina developed by Gensini(Coronary Angiographic Gensini Score). Global Assessment of Recent Stress Scale and a tool measuring performance of health behavior. Results: The mean score for symptom experience was relatively low (M=27.65, SD=18.44) as was the score for coronary severity (Gensini score) was 16.30 point (SD=18.04). The mean score for perceived stress was moderate (M=30.16, SD=12.26). Compliance was relatively good in these patients with angina (M=61.55, SD=7.60). Analysis of the correlation of symptom experience showed a statistically significant positive relationship with perceived stress (r=.410, p=.000). There was significant negative relationship (r=-.251, p=.016) between symptom experience and compliance. In the regression analysis, symptom experience was found to be significantly influenced by stress ($R^2$=.168, p=.000), age ($R^2$=.057, p=.002), and economic status ($R^2$=.061, p=.007). These variables explained 26.2% of the variance in symptom experience. Conclusion: The results of this study provide evidence that symptoms of angina can present not only as chest pain itself but also with fatigue, shortness of breath, and sleep disturbance as the most common symptoms.

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제왕절개술후 경막외 통증조절경험 1,054예 (Postoperative Epidural Pain Control Evaluation of 1,054 Patients Undergoing Cesarean Section)

  • 양수정;윤오준;박경수;이재휴
    • The Korean Journal of Pain
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    • 제11권1호
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    • pp.91-95
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    • 1998
  • Background: Quality of postoperative care may be improved by management of postoperative pain. Epidural anesthesia and analgesia have several advantages over general anesthesia and parenteral analgesics in managing the postoperative pain. We retrospectively reviewed records of obstetrical patients who underwent the cesarean sections under epidural anesthesia to evaluate perioperative analgesic use, side effects, and complications. Methods: All patients received epidural anesthesia consisting of 0.25% bupivacaine, 2% lidocaine and 100 ${\mu}g$ fentanyl, followed by epidural analgesia with 0.1% bupivacaine and 12.5 ${\mu}g$/ml fentanyl at rate of 2 ml/hr for 48 hours. Patients' records were reviewed for: medications administered for pain relief, incidence of nausea and vomiting and pruritus, and presence of respiratory or cardiovascular depression. Results: Over 18 months, 1,054 patients' records were reviewed. Average age was 27.8 years (18~43 years). 768 patients (72.9%) received no additional drugs for the pain relief. Intramuscular analgesics, ketoprofens, were one time administered to 247 patients (23.4%), 39 patients (3.7%) received two more dosages. The time of administration was $8.3{\pm}4.3$ hours postoperatively. Antiemetics, for example, low-dose droperidol, were administerd one time for 160 patients (15.2%), 5 patients (0.5%) received two or more administrations. The medication was administered $5.1{\pm}4.2$ hours postoperatively. Drugs for relief of pruritus, low-dose naloxone, were administered one time for 108 patients (10.2%), 10 patients (0.9%) received 2 or more dosages. The time of administration was $6.3{\pm}4.2$ hours postoperatively. None of the patients experienced cardiovascular nor respiratory (<8 breath/min) depression. Conclusions: Postoperative continuous epidural analgesia in combination with bupivacaine and fentanyl is an effective method of providing postoperative analgesia with low incidence of side effects.

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건축디자인과정에서 문제해결의 특성에 관한 연구 (A study on the characteristic of problem solving process in the architectural design process)

  • 김용일;한재수
    • 한국디지털건축인테리어학회논문집
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    • 제11권3호
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    • pp.53-59
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    • 2011
  • In creative design, it is necessary to understand the characteristic of architectural design. In the world of design problem, a distinction can be made between those that are well-defined and those that are ill-defined. Well-defined problems are those for which the ends or goal, are already prescribed and apparent, their solution requires the provision of appropriate means. For ill-defined problems, on the other hand, both the ends and the means of solution are unknown at the outset of the problem solving exercise, at least in their entirety. Most of design problems is ill-defined, which is unknown at the beginning of the problem solving exercise. In order to solve the design problem, Designers take advantage of the search methods of problem space, such as global-search-methods(depth-first-methods, breath-first-methods), local-search-methods(generate and test, heuristics, hill-climbing, reasoning) and visual thinking, which is represented through sketching. Sketching is a real part of design reasoning and it does so through a special kind of visual imagery. Also in the design problem solving it have been an important means of problem exploration and solution generation. By sketching, they represent images held in the mind as well as makes graphic images which help generate mental images of entity that is being designed. The search methods of problem space and a visual thinking have been crucially considered in the architectural design. The purpose of this paper is to explore the property of design by means of the pre-existed-experiment data and literature research. The findings will help design the architectural design for more creative results.

저농도 알코올 측정을 위한 다공질 실리콘 센서에 관한 연구 (Study on Porous Silicon Sensors to Measure Low Alcohol Concentration)

  • 김성진
    • 전기화학회지
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    • 제2권3호
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    • pp.130-133
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    • 1999
  • 본 연구에서는 음주 측정에 적용할 수 있는 다공질 실리콘층으로 된 저농도의 캐퍼시턴스형 알코올 가스 측정용 센서를 제작하고, 상온에서 그 특성을 측정하였다. 기존의 $SnO_2$등의 금속 산화물 반도체를 이용한 센서는 저농도의 알코올을 정확하게 검지하기에 어려울 뿐만 아니라 감도를 높이기 위해 $200\~400^{\circ}C$로 가열이 필요하였다. 이에 비해 다공질 실리콘층을 이용한 센서는 넓은 표면적을 갖고 있어 상온에서도 감도가 양호할 뿐만 아니라 집적화 센서로 제작이 용이한 점을 갖고 있다. 실험은 증류수에 희석한 알코올 수용액을 체온과 같은 $36^{\circ}C$를 비롯하여 25와 $45^{\circ}C$로 유지한 상태에서 0에서 $0.5\%$의 농도범위에 대해서 $0.05\%$의 간격으로 120 Hz와 1 kHz의 두 주파수에서 측정하였다. 그 결과, 양호한 선형성과 함께 120 Hz의 주파수에서 측정하였을 때, $0.1\%$의 알코올 농도의 증분마다 $25,\;36,\;45^{\circ}C$의 알코올 수용액의 온도에 대해 각각 1.1, 2.6 및 $4.6\%$로 캐퍼시턴스의 증가율을 보였다.

Efficacy of Korean Red Ginseng Supplementation on Eradication Rate and Gastric Volatile Sulfur Compound Levels after Helicobacter pylori Eradication Therapy

  • Lee, So-Jung;Park, Ji-Young;Choi, Ki-Seok;Ock, Chan-Young;Hong, Kyung-Sook;Kim, Yoon-Jae;Chung, Jun-Won;Hahm, Ki-Baik
    • Journal of Ginseng Research
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    • 제34권2호
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    • pp.122-131
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    • 2010
  • This clinical study was performed to evaluate whether supplementation of proton pump inhibitor (PPI)-based triple therapy with Korean red ginseng can enhance Helicobacter pylori (H. pylori) eradication and reduce levels of halitosis-associated volatile sulfur compounds (VSCs) in the stomach. Seventy-six patients were randomized into an eradication regimen-only group (n=45) or an eradication regimen plus 10 weeks of Korean red ginseng supplementation group (n=31). The eradication regimen consisted of PPI b.i.d., clarithromycin 500 mg b.i.d., and amoxicillin 1 g b.i.d.. for seven days. Korean red ginseng supplementation commenced on the last day of the eradication regimen. $^{13}C$-urea breath test and halimeter measurements were performed prior to protocol repetition. By intention-to-treat analysis, the H. pylori eradication rate in the Korean red ginseng group (77.4%, 24 of 31) was higher than that in the control group (45.0%, 26 of 45). However, by per protocol analysis, the eradication rate in the Korean red ginseng group was significantly higher than that in the control group (92.3%, 24/26 vs. 69.4%, 26/38; p<0.05). H. pylori infection was significantly associated with increased VSC levels. However, VSC levels decreased significantly in the Korean red ginseng group (p<0.05). In conclusion, supplementation of triple therapy with Korean red ginseng increased the H. pylori eradication rate and led to significant reductions in VSC levels, suggesting the usefulness of this substance in combating H. pylori infection.

비정상 호흡 감지를 위한 신호 분석 (Signal Analysis for Detecting Abnormal Breathing)

  • 김현진;김진현
    • 센서학회지
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    • 제29권4호
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    • pp.249-254
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    • 2020
  • It is difficult to control children who exhibit negative behavior in dental clinics. Various methods are used for preventing pediatric dental patients from being afraid and for eliminating the factors that cause psychological anxiety. However, when it is difficult to apply this routine behavioral control technique, sedation therapy is used to provide quality treatment. When the sleep anesthesia treatment is performed at the dentist's clinic, it is challenging to identify emergencies using the current breath detection method. When a dentist treats a patient that is under the influence of an anesthetic, the patient is unconscious and cannot immediately respond, even if the airway is blocked, which can cause unstable breathing or even death in severe cases. During emergencies, respiratory instability is not easily detected with first aid using conventional methods owing to time lag or noise from medical devices. Therefore, abnormal breathing needs to be evaluated in real-time using an intuitive method. In this paper, we propose a method for identifying abnormal breathing in real-time using an intuitive method. Respiration signals were measured using a 3M Littman electronic stethoscope when the patient's posture was supine. The characteristics of the signals were analyzed by applying the signal processing theory to distinguish abnormal breathing from normal breathing. By applying a short-time Fourier transform to the respiratory signals, the frequency range for each patient was found to be different, and the frequency of abnormal breathing was distributed across a broader range than that of normal breathing. From the wavelet transform, time-frequency information could be identified simultaneously, and the change in the amplitude with the time could also be determined. When the difference between the amplitude of normal breathing and abnormal breathing in the time domain was very large, abnormal breathing could be identified.

Distributions and Incidences of Elementary School Children with Lactose Intolerance Symptoms after Drinking Milk in Korea

  • Kim, Ki-Hwan;Choi, Ji-A;Kang, Seung-Beom;Lee, Kyung-Sang;Yoon, Sung-Sik
    • 한국축산식품학회지
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    • 제31권6호
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    • pp.893-898
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    • 2011
  • Milk contains a number of nutrients required for human growth and development, such as disaccharide lactose which is significantly contained in milk and dairy products. About two thirds of world populations are reportedly suffering from lactose intolerance after drinking milk. Lactose intolerance is defined as a maldigestion of lactose in the human intestine with typical symptoms of abdominal pains, bloating, and diarrhea. In this study, incidence of lactose intolerance has been investigated for the elementary school children for 1 year from July, 2010 to June, 2011. It is found that about 70% of the total elementary students have joined the school milk program. Out of 636 total students that participated in this study, 449 were from the metropolis, 85 from middle-sized city, and 102 from the small town including rural areas (small town/rural areas). For distributions of lactose intolerance, 154 students (24.2%) were found to be positive among the total 636 subjects. Based on the size of the city, the symptoms were the most prevalent for the students in the small town/rural areas at 31.4% (32/102), followed by 30.6% (26/85) in middle-sized city, and 21.4% (96/449) in the metropolis. On the other hand, gender had no significant effect on the incidence of lactose intolerance, shown those for boys and girls were 24.8% (77/310), 23.6% (77/326), respectively. Further research is needed to confirm the correct incidence of lactose intolerance symptoms as the frequency is significantly affected by subject's digestive functions including irritable bowel syndrome.

CT Scan Positioning시 고객의 검사진행의 이해를 돕기 위한 시청각 자료의 유용성 (Usefulness of Audio-visual Methods that is used to Customer to Help Smooth Public Prosecutor at CT Examination)

  • 안형택;전중근
    • 대한디지털의료영상학회논문지
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    • 제10권2호
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    • pp.17-22
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    • 2008
  • It is to improve customer satisfaction measurement and CT Scan process without delay of examination time when is using Scan positioning time(Planning time) that time is happened always between research reactor CT examination to increase fear and examination satisfaction by the customer's comprehension tribe which get the latest contrast enhancement CT examination. Needs and interests that customer wants to compose visual and auditory Contents to be played to Scan positioning time did questionnaire about curiosity later before CT examination to 600 people for October - November 2 months of 2006 to customer whole that get CT examination on source. Data getting through questionnaire investigated examination comprehension and satisfaction through questionnaire after experiment Scan Positioning to 500 coming to help customers to be source CT examination for 3 months February December - 2007 year in 2006 manufacturing Voice and Visual announce media for reference. To customer who interest degree appeared, and answers preparatory audit from preparatory audit about curiosity of CT examination customer to order of examination time required(43%), contrast media side effect(26%), examination region(20%), breath(10%), etc..(1.5%) audio-visual materials in questionnaire that attain after do reclamation among examination age, sex, reception type of irrelatively in 91% of target increase of hailing degree and examination satisfaction appear. Searched that customer hailing and satisfaction are increased greatly when use of audio-visual materials in satisfaction result that use CT Positioning delay time. In experiment process, It took lacking part by method that use hearing in case of do not use sight as is unavoidable in subject position or old age. Through this, audio-visual materials could analogize that it is more useful method that use sight and hearing at the same time.

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스마트 실버 헬스케어를 위한 비접촉 인체감지 IOT 센서 개발 (A Development of Non-Invasive Body Monitoring IOT Sensor for Smart Silver Healthcare)

  • 강병욱;김상희
    • 융합신호처리학회논문지
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    • 제19권1호
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    • pp.28-34
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    • 2018
  • 본 논문은 적외선 온도센서를 이용한 재실인원 측정을 통한 출입자 관리 시스템, 방 내부의 움직임 파악하기 위한 PIR센서 모듈, 그리고 취침 상태를 판별하기 위한 스마트 호흡감지 모듈로 구성된다. 센싱부와 알고리즘 구동 부를 일체화 한 임베디드 형태의 센서 모듈과 통신 시스템으로 구성하였다. 고령화 사회가 가속화, 고급화됨에 따라 실버케어에 대한 사회적 비용이 증가하고 프라이버시를 보호하기 위해선 효율적인 실버케어기기 개발을 통하여 비용 감소가 필요하다. 제안된 비 영상 인체감지 IOT 센서 시스템은 하드웨어와 소프트웨어로 구현하였고 기존의 영상에 의한 감시 방법과 비교하여 우수한 성능을 확인하였다.

미숙아와 만삭아 울음의 음향 및 생리학적 특성 (Acoustic and Physiological Characteristics of Pre-term and Full-term Infants' Cries)

  • 이현숙;배재연;고도흥
    • 말소리와 음성과학
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    • 제2권2호
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    • pp.37-42
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    • 2010
  • The purpose of this study is to first discriminate and assess those infants who appear healthy in appearance but who could face possible risk factors in the future and, secondly, to identify those infants who may have difficulties in their developmental stages. The subjects of this study consisted of 35 full-term infants (39-40 weeks) and 33 pre-term infants (34-35 weeks). The infants' voices were recorded for three minutes, for which EDIROL by Roland and a stand-type microphone made by SONY were used. This was done to discern the value of the Breath unit (B-unit) and the fundamental frequencies ($F_0$). It was found that there were significant differences in terms of F0 since the pre-term infants had higher F0 than the full-term infants, showing a result of 436.4 Hz for the full-term infants and 460 Hz for the pre-term infants (p<.05) There was an average rate of 4.01 for the full-term infants and 4.02 (SD=1.69) for the pre-term infants in shimmer. For NHR, it was observed .44 for the full-term infants and .50 for the pre-term infants, thus revealing no significant differences in these observations. This study shows that the crying of newborn babies is related to their physical conditions and it is a sensatory response to these conditions. Furthermore, this study could be helpful for the early detection and measurement of newborn babies who look clinically healthy but could be at risk through acoustic and physiological analyses.

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