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Detection of Arrhythmia Using Heart Rate Variability and A Fuzzy Neural Network (심박수 변이도와 퍼지 신경망을 이용한 부정맥 추출)

  • Jang, Hyoung-Jong;Lim, Joon-Shik
    • Journal of Internet Computing and Services
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    • v.10 no.5
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    • pp.107-116
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    • 2009
  • This paper presents an approach to detect arrhythmia using heart rate variability and a fuzzy neural network. The proposed algorithm diagnoses arrhythmia using 32 RR-intervals that are 25 seconds on average. We extract six statistical values from the 32 RR-intervals, which are used to input data of the fuzzy neural network. This paper uses the neural network with weighted fuzzy membership functions(NEWFM) to diagnose arrhythmia. The NEWFM used in this algorithm classifies normal and arrhythmia. The performances by Tsipouras using the 48 records of the MIT-BIH arrhythmia database was below 80% of SE(sensitivity) and SP(specificity) in both. The detection algorithm of arrhythmia shows 88.75% of SE, 82.28% of SP, and 86.31% of accuracy.

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Carotid Artery Disease in Duplex Sonography: 3 Cases (이중초음파에서 관찰된 목동맥 질환: 3례)

  • Han, Minho;Choi, Junghye;Seo, Gang Sik;Nam, Hyo Suk
    • Korean Journal of Clinical Laboratory Science
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    • v.51 no.1
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    • pp.114-118
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    • 2019
  • Duplex sonography has been used to non-invasively diagnose carotid artery disease and to follow up patients with this disease. In carotid artery disease, carotid mobile thrombus and dissection are rarely detected by duplex sonography in patients with cerebrovascular events. In particular, carotid dissection occurs when a small tear forms in the tunica intima and makes 2 lumens in the carotid artery, including true and false lumens. This study reports 3 rare cases of carotid mobile thrombus, spontaneous carotid dissection, and carotid dissection in Takayasu arteritis.

Retrograde Aortic Dissection after Thoracic Endovascular Aortic Repair for Descending Aorta - 2 case reports- (하행 대동맥 내 스텐트-도관 삽입 후 발생한 역행성 대동맥 박리 - 2예 보고 -)

  • Hong, Soon-Chang;Kim, Jung-Hwan;Lee, Hee-Jeong;Youn, Young-Nam
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.758-763
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    • 2010
  • In current era, thoracic endovascular aortic repair (TEVAR) has gained popularity. But, it bears the risk of serious complications such as treatment failure from endoleak, retrograde aortic dissection caused by injury of aortic wall at landing zone, or aortic rupture resulting from stent graft infection. We report two cases of surgical repair of retrograde aortic dissection after TAVAR applied to acute Stanford type B aortic dissection or traumatic aortic disruption.

A Case Report of Acute Type II Aortic Dissection in a Patient with Marfan's Syndrome and Who Was 24 Weeks Pregnant - A case report - (임신 24주 Marfan 증후군 환자에서의 급성 제II형 대동맥 박리 - 1예 보고 -)

  • Hwang, Ui-Dong;Ryu, Yang-Gi;Lim, Ju-Yong;Chung, Cheol-Hyun
    • Journal of Chest Surgery
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    • v.40 no.7 s.276
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    • pp.508-511
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    • 2007
  • The causes of aortic dissection are usually hypertension, connective tissue disease such as Marfan syndrome, congenital valvular abnormality such as bicuspid aortic valve, iatrogenic injury, pregnancy and drugs. Previous studies have shown that 50% of all dissections in women less than 40 years age were associated with pregnancy. Almost all aortic dissections during pregnancy occur during the third trimester or during labor and delivery. Marfan's syndrome is a particularly important predisposing factor for aortic dissection during pregnancy. We report here on a case of surgical treatment for acute type II aortic dissection in a Marfan syndrome patient who was 24 weeks pregnant, and we include a review of literature.

Effects of Dietary Quartz Porphyry Supplementation on Moisture Content of Excreta, Intestinal Ammonia Contents and Blood Composition of Growing Broilers (사료내 맥반석의 첨가가 성장중인 육계의 배설물 수분함량, 장내 암모니아 함량 및 혈액성상에 미치는 영향)

  • 손장호;박창일
    • Korean Journal of Poultry Science
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    • v.24 no.4
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    • pp.179-184
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    • 1997
  • Seven-day-old 40 broiler chicks of both sexes were fed the conventional diet containing 0, 0.3, 6 and 0.9% Quartz porphyry(QP) and water ad libitum until 28 days of age. The excreta water content and nitrogen balance were measured during the experimental period. At the end of the trial, blood samples were collected to measure ammonia, glucose, triglyceride, and total cholesterol concentrations. In addition, intestinal ammonia concentrations were measured. The excreta moisture contents decreased significantly(P < 0.05) as QP levels increased(r= -0.96). Ammonia contents in the intestine tended to increase as QP levels increased, but the ammonia concentration in the blood was not affected by the QP levels. The blood glucose concentration was not changed but blood triglyceride concentration was lower in the 0.3% QP treatment than the other groups(P < 0.05), Total cholesterol concentration in the blood tended to increase as QP levels increased. The QP 0.3% treatment showed somewhat higher positive N balance than the other groups. The results of this experiment indicate that the dietary supplementation of QP could offer some benefits to broiler growers.

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Surgical Experience of the Remnant Thoracoabdominal Aortic Replacement after Aortic Surgery (대동맥수술 후 잔존 흉복부대동맥치환술에 대한 임상 경험)

  • Cho, Kwang-Jo;Woo, Jong-Su;Choi, Pil-Jo;Bang, Jung-Hee
    • Journal of Chest Surgery
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    • v.41 no.1
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    • pp.49-54
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    • 2008
  • Background: Aortic diseases tend to involve the entire aorta. Hence, there is the constant possibility of the need for a secondary operation at the remnant aorta. This study analyzed our cases of secondary aortic surgery in order to determine its characteristics and problems. Material and Method: Between April 2003 and June 2007, 12 patients (6 male and 6 female) underwent thoracoabdominal aortic replacement as a secondary aortic operation. Their clinical courses were analyzed. Four of the patients underwent lower thoracobadominal aortic replacement under the normothermic femorofemoral bypass, and the others underwent an entire thoracobdominal aortic replacement under deep hypothermic circulatory arrest. Result: There was no death or paraplegia. As local complications, there were 3 cases of wound infection and 2 cases of an immediate reoperation caused by bleeding and one case of delayed wound. revision for a contaminated perigraft hematoma. As a systemic complication, there was one case of renal insufficiency, which required hemodialysis and one case of respiratory insufficiency that needed prolonged ventilator care. The mean admission period was $30{\pm}21$ days. All the patients were followed up for $626{\pm}542$ days without reoperation or other problems. Conclusion: Using properly selected patients and a careful approach, thoracoabdominal aortic replacement can be performed safely as a secondary aortic surgery.

Effect of Cultural Environments on ${\beta}-Glucan$ Contents and ${\beta}-Glucanase$ Activities on Malting Barley Varieties (재배환경(栽培環境)이 맥주맥(麥酒麥)의 ${\beta}-Glucan$ 함량(含量)과 ${\beta}-Glucanase$ 활성(活性)에 미치는 영향(影響))

  • Kim, Won-Il;Chang, Hyun-Se;Park, Ro-Dong;Kim, Kwang-Sik
    • Applied Biological Chemistry
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    • v.29 no.3
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    • pp.266-272
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    • 1986
  • The contents of water soluble ${\beta}-glucan$ were $1.4{\sim}4.0%$ in grains of 4 recommended varieties, and $0.3{\sim}0.6%$ in their malt. The ${\beta}-glucan$ content was subject to environmental factors such as cultivating region and nitrogen fertilizer level. The ${\beta}-glucan$ content of grains was positively correlated with the viscosity, but negatively with the protein and total gum contents. The ${\beta}-glucanase$ activity was $11.0{\sim}20.0$ sec as the reduced flow time in malt of 4 recommended varieties and was also subject to environmental factors. ${\beta}-Glucanase$ activity showed the highest level after the 6th day during malting. The ${\beta}-glucanase$ activity in malt was positively correlated with malt extract, but negatively with the residual ${\beta}-glucan$ content. The protein content in malt was negatively correlated with malt extract, but positively with the diastatic power.

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Single Stage Replacement of Entire Thoracic Aorta for Chronic Aortic Dissection (만성 대동맥 박리 환자에서 전 흉부 대동맥 동시 치환)

  • 최진호;박계현;전태국;이영탁;박표원
    • Journal of Chest Surgery
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    • v.34 no.11
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    • pp.865-869
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    • 2001
  • Operations for extensive aortic aneurysm are generally performed as staged operations with or without elephant trunk technique. However, we must consider single stage replacement in cases that are unsuitable for elephant trunk technique. We report a case of successful sing1e stage replacement of the entire thoracic aorta from the aortic valve to the level of diaphragm. The patient was a 35-year-old male who had Marfanoid features and had previously undergone replacement of the ascending aorta for aortic dissection. He recovered without neurologic complication and was discharged on 29th day after the operation. .

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Pulmonary Autograft Replacement in Native Aortic Root Abscess (대동맥 판막 및 근부 심내막염에서 자가폐동맥판을 이용한 대동맥근부치환술)

  • 나찬영;김수철;오삼세;김욱성;정철현;정도현;김웅한;이창하;이영탁
    • Journal of Chest Surgery
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    • v.31 no.10
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    • pp.1009-1013
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    • 1998
  • Bacterial endocarditis of the native aortic valve is associated with significant morbidity and mortality despite aggressive medical and surgical treatment, especially when perivalvular tissue was invaded and destructed. The pulmonary autograft is full viable and immune compatible tissue. This paper describes successful Ross operation as total root replacement in 38 years old native valve endocarditis patient with aortic root abscess.

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One-Stage Ascending, Arch. and Descending Thoracic Aorta Replacement Through Median Sternotomy (정중 흉골 절개술을 통한 상행, 궁부, 하행 대동맥 동시 치환 수술례)

  • 이재원;이용직;이상권;주석중;윤석원
    • Journal of Chest Surgery
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    • v.35 no.9
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    • pp.675-679
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    • 2002
  • In patient with severe adhesion between lung and aorta, there is some limitation in approaching the distal arch or descending thoracic aorta through the usual left thoracotomy. We report a case of a successfully managed distal arch and descending thoracic aortic aneurysm through the median sternotomy without any manipulations of the lung in a 66 year old man who presented hemoptysis.