• Title/Summary/Keyword: 비침습식

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The study on Focused Extracorporeal Shock Wave Prostate Therapy Apparatus using MCU and Spiral Coil (MCU와 나선형 코일을 이용한 촛점식 체외 충격파 전립선 치료 장치에 관한 연구)

  • Ryoo, Hee-Soo;Son, Byeong-Rae
    • The Journal of the Korea institute of electronic communication sciences
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    • v.16 no.1
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    • pp.203-210
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    • 2021
  • Difficulties in treating chronic prostatitis cause physical pain and mental problems not only for the treating doctor, but also for the patient. Accordingly, the device of the present research was developed to help patients suffering from prostate symptoms due to the vibration effect of shock wave energy caused by thermal and mechanical interaction of the external shock wave. The purpose of this study is to provide an effective treatment means for prostatitis and BPH(Benign prostatic hyperplasia) by devising an extracorporeal shockwave therapy device that effectively applies the heat and vibration effects of concentrated energy by MCU and spiral coil module.

A Case of Mitochondrial Myopathy Showing Severe Hypoxemia during REM Sleep (렘수면중 심한 저산소혈증을 보인 사립체근병증 1례)

  • Kim, Ju-Sang;Kim, Sung-Kyung;Lee, Sang-Haak;Ahn, Joong-Hyun;Kim, Chi-Hong;Moon, Hwa-Sik
    • Sleep Medicine and Psychophysiology
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    • v.14 no.1
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    • pp.49-53
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    • 2007
  • Mitochondrial myopathy is characterized by variable clinical manifestations from mild limb weakness to fatal respiratory failure and central nervous system sequela. But it is a rare event that sleep disordered breathing become a clue of diagnosis for mitochondrial myopathy. We report a case of a 21 year-old man who was diagnosed as mitochondrial myopathy during the investigation for the possible cause of chronic hypoventilation syndrome. Before being admitted to our hospital, he was suspected as having sleep apnea syndrome in another hospital. We re-evaluated the history, physical examination, laboratoy findings and polysomnography in detail. Severe hypoxemia was noted during REM sleep on nocturnal polysomnography and the diagnosis of mitochondrial myopathy was made by muscle biopsy in rectus abdominis muscle. We treated him with bilevel positive airway pressure therapy during sleep and it could reverse the hypoxemia during REM sleep. He could be discharged with improved condition and is being well with the use of this ventilatory assistance.

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The Utility of Chest CT in Staging of Esophageal Cancer (식도암의 병기 결정에 있어 흉부 CT의 유용성)

  • 홍성범;장원채;김윤현;김병표;최용선;오봉석
    • Journal of Chest Surgery
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    • v.37 no.12
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    • pp.992-998
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    • 2004
  • Background: The decision of staging of esophageal cancer have great effect on the resectability of the lesion and estimation of the patient's prognosis. Today, CT is one of the most popular modality for staging of esophageal cancer. However, it has some limitations because of false-positive or false-negative findings on cancer staging. The purpose of this study was to analyze the efficacy of CT in preoperative staging of esophageal cancer. Material and Method: We retrospectively analysed the difference of staging of esophageal cancer between CT and histopathological findings for the 114 patients with histologically proven esophageal cancer who underwent operation at the department of thoracic and cardiovascular surgery, Chonnam national university hospital, between January 1999 and June 2003. We evaluated the efficacy of chest CT in the staging of esophageal cancer compared to postoperative histopathologic findings by calculating sensitivity, specificity, accuracy, and reproducibility of chest CT to detect abnormality. Result: The reproducibilities between chest CT and histopathologic findings were 0.32 (p<0.01) for primary tumor (T), 0.36 (p<0.01) for lymph node invasion (N), and 0.62 (p<0.01) for distant metastasis (M). The reproducibilities between chest CT and histopathologic findings for lymph node invasion (N) and distant metastasis (M) were superior to that of primary tumor (T). The accuracy of primary tumor (T) was 65.8% and 98.2% in group III and IV, which was significantly higher than that of group I and II (78.9% and 62.3%). In general, specificity of chest CT for TNM staging was superior to sensitivity. Conclusion: In conclusion, preoperative CT scanning can provide important information on lymph node invasion and metastasis of lesion than primary tumor invasion.

End-to-End Anastomosis for Benign Esophageal Stricture-2 Cases (양성 식도협착에 대한 단단문합술 치험 2예)

  • Lee, Song-Am;Kim, Kwang-Taik;Son, Ho-Sung;Lee, Sung-Ho;Sun, Kyung;Kim, Tae-Sik;Kim, Yo-Han
    • Journal of Chest Surgery
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    • v.37 no.7
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    • pp.617-621
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    • 2004
  • End-to-end anastomosis for benign esophageal stricture (BES) is technically easier and relatively lower in morbidity than esophago-enterostomy. We performed segmental resection and end-to-end anastomosis in 2 cases of short segmental BES who were failed repeated endoscopic dilatation. A 13-month-old female with postoperative stricture was treated successfully. However, a 27-year-old female with corrosive stricture required second operative management of esophago-colo-gastrostomy following end-to-end anastomosis. Our experiences suggested that end-to-end anastomosis for BES could be used as a valid procedure for well selected patients. However, further studty is needed to compare with esophago-enterostomy.

An estimating method for systolic blood pressure by using pulse transit time and physical characteristic parameters (맥파전달시간과 신체특징 파라미터를 이용한 수축기 혈압측정)

  • Lee Sangmin;Park Eun Kyung;Kim In Young;Kim Sun I.
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.42 no.3 s.303
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    • pp.41-46
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    • 2005
  • In this paper, we proposed noninvasive and continous measurement of blood pressure using pulse transit time(PTT) and physical characteristic parameters and verified its clinical effectiveness. PTT can be obtained by electrocardiogram and phtoplethysmogram. There are many researches for estimating blood pressure using PTT which can be used for individual. However, it is not enough for extracting general regression equation which can estimate blood pressure for unspecified people. In this study, we suggested the regression equatin using PTT and physical characteristic parameters related to blood pressure and did measure blood pressure of many people. we compared the performance between two methods. As the results, we knew that the regressin model using PTT combined with physical characteristic parameters can estimate blood pressure more acurately and is closer to American National Standards Institute of the Association of the Advancement of Medical Instrument(ANSI/AAMI).

Design of the Blood Pressure Measurement System Using the Inflatable Oscillometric Method (가압식 오실로메트릭 방법을 사용한 혈압측정 시스템의 설계)

  • 노동곤;이윤선;지정호;박성빈;이계형;김해관
    • Journal of Biomedical Engineering Research
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    • v.24 no.4
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    • pp.281-286
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    • 2003
  • Blood Pressure is one of the most fundamental Parameters which reflects physical conditions medically and the blood pressure measurement system using oscillometric method is a Non-Invasive Blood Pressure measurement device by measuring arterial Pressure through a cuff. In this paper. we designed a inflatable wrist blood pressure system which measures blood Pressure during the stepping inflation in the wrist cuff. The hardware system consists of a main power unit, a bladder in cuff unit, signal detection units, signal Processing units. a wireless data transmission unit, and a data display unit. We evaluated the reliability of this system by comparing and analyzing systolic. diastolic blood Pressure, and heart rate with other commercial blood Pressure measurement devices. Characteristic ratio values used to determine systolic and diastolic blood Pressure using MAA(Maximum Amplitude Algorithm) were 0.436 and 0.671 respectively.

Treatment of Stomach Cancer Involving Esophagogastric Junction (식도-위 경계부위를 침범한 위암의 치료)

  • 이종목;백희종;박종호;임수빈;조재일
    • Journal of Chest Surgery
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    • v.34 no.12
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    • pp.930-936
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    • 2001
  • Background: The origin site of carcinoma invading esophagogastric junction is variable. It may arise from squamous cell carcinoma of low esophagus, adenocarcinoma arising from Barrett's esophagus, adenocarcinoma of gastric cardia, or extension from proximal stomach cancer. In Korea, the majority of adenocarcinoma invading esophago-gastric junction seems to arise from proximal gastric carcinoma. Material and Method: We reviewed the data of surgically-resected gastric adenocarcinoma involving esophagogastric junction in KCCH between 1988 and 1999. Result: There were 212 cases. Male to female ratio was 156 to 56. Age distribution was between 22 and 78. Variable surgical approaches including median laparotomy, laparotomy with left or right thoracotomy, left thoracotomy, and thoracoabdominal approach were used. Postoperative pathologic stages were : Stage IA-7, IB-11, Ⅱ-25, ⅢA-73, ⅢB-34, and Ⅳ-57. Curative resection was performed in 199 patients, and total gastrectomy was performed in 200 patients. There were 77.4%(164 cases) with esophageal involvement, 74.1%(157 cases) with tumor involvement in the abdominal LN, and 8%(17 cases) with mediastinal LN metastasis. Operative mortality was 3.3%, and over-all 5 year survival rate was 35%. Conclusion: There are various surgical approaches and many things to consider for surgical resection, thoracic and abdominal approach may need for obtain proper resection margin and adequate lymph node dissection in stomach cancer invading esophagogastric junction.

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The Effect of Microcurrent Electrical Stimulation on the Articular Cartilage Recovery in Osteoarthritis (비침습식 미세전류자극이 실험적으로 유발된 흰쥐의 골관절염 회복에 미치는 영향)

  • Bang, Hyun-Soo;Kang, Jong-Ho;Cheon, Song-Hee;Kim, Min-Hee;Park, Soo-Jin;Kim, Jin-Sang;Park, Rae-Joon
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.2
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    • pp.151-159
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    • 2007
  • Purpose : The purpose of the study was to investigate the effect of cold application on knee joint in rats induced by osteoarthritis. Methods : Osteoarthritis was induced in female Sprague-Dowley rats by injecting into articular cavity of knee joint with 4% Kaolin, 2% carrageenan. Rats were divided randomly into the control and MES applicated group. The Experimental group was applicated MES in rat knee joint for 30 minutes. Results : Recovery of articular cartilage surface and thickness of articular cartilage increased after MES application. And chondrocytes were distributed widely throughout the cartilage matrix. The physical effects of Microcurrent Electrical Stimulation. Decrease in blood flow. Delay of neurotransmitter velocity Decrease in metabolism activity and inhibit the progress of the infection. Decrease in pain and muscle rigidity, inhibition of circulation Conclusion : This study shows that MES application affects articular cartilage recovery in osteoarthritis.

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Review : Effectiveness of transcranial direct current stimulation in rodent models of Alzheimer's disease (알츠하이머병 쥐 모델에서 경두개 직류 전기자극의 효용성 검토)

  • Kim, Ji-Eun;Park, Ye-Eun;Jeong, Jin-Hyoung;Lee, Sang-Sik
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.14 no.5
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    • pp.403-412
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    • 2021
  • Alzheimer's disease (AD) is the most common cause of dementia, showing progressive neurodegeneration. Although oral medications for symptomatic improvement still take a huge part of treatment, there are several limitations caused by pharmacology-based real world clinic. In this respect, non-pharmacologic treatment for AD is rising to prominence. Transcranial direct current stimulation (tDCS) is a one of the non-invasive neuromodulation technique, using low-voltage direct current. In terms of safety, tDCS already has been proven through numerous previous reports. This review focused on behavioral, neurophysiologic and histopathologic improvement by applying tDCS in AD rodent models, thereby suggesting reliable background evidence for human-based tDCS study.

Gastric Emptying in Patients with Diabetes: Gastric Emptying Time, Retention Rate and Effect of Cisapride (당뇨병 환자의 위배출능 : 위배출시간, 위저류율 및 Cisapride의 영향)

  • Chung, Byung-Chun;Choi, Chung-Il;Gwak, Dong-Suck;Lee, Jae-Tae;Lee, Kyu-Bo;Kim, Bo-Wan;Chung, Jun-Mo
    • The Korean Journal of Nuclear Medicine
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    • v.26 no.2
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    • pp.299-306
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    • 1992
  • Gastic emptying scan in diabetic patients is widely used to assess the degree of motility disturbance and the symtoms such as nausea, vomiting, bloating, abdominal pain and early gastric fullness which we can't find anatomic lesion by fiberoscopic or barium study In order to determine the relationship among diabetic gastropathy, neropathy, retinopathy and disease duration, gastric emptying scan using $^{99m}Tc-tin$ colloid labeled scramble egg in hamburger was performed in 10 healty male controls and 50 diabetic patients which were subdivided to no neuropathy, peripheral neuropathy and autonomic neuropathy groups according to the degree of diabetic neuropathy and no retinopathy, background retinopathy and proliferative retinopathy groups according to the degree of diabetic retinopathy. After medication of cisapride for 2 weeks, we observed the presence of improvement of gastric motility in diabetics. The results were as following: 1) In controls, gastric emptying time (GET1/2) was $75{\pm}13.6$ min and 2 hour gastric retension rate (GRR2) was $32{\pm}11.1%$. 2) In diabetics, GET/2 was prolonged more than 2 hours and GRR2 was $58{\pm}23.1%$. According to degree of neuropathy, GET1/2 was prolonged more than 2 hours in all three groups and GRR2 was $54{\pm}24.1%$ in no neuropathy group, $57{\pm}24.3%$ in peripheral neuropathy group and $69{\pm}24.6%$ in autonomic neuropathy group. According to degree of retinopathy, GET1/2 was $110{\pm}23.4$ min in no retinopathy group and prolonged more than 2 hours in other two groups and GRR2 was $45{\pm}21.6%$ in no retinopathy group, $71{\pm}19.7%$ in background retinopathy group and $73{\pm}21.5%$ in proliferative retinopathy group. 3) After cisapride medication for 2 weeks, GET1/2 and GRR2 were improved as $90{\pm}14.6$ min and $40{\pm}13.8%$ (initial GET1/2 and GRR2 were above 2 hours and $61{\pm}15.4%$). We can conclude from above findings that gastropathy in diabetic neuropathy suggesting main underlying factor in motility disorder The degree of retinopathy and disease duration were correlated with severity of gastropathy in diabetics. From the results of gastric emptying scan, we can conclude that cisapride was useful drug for improving diabetic gastropathy and gastric emptying scan was valuable for assessing severity of diabetic gastropathy as non-invasive method.

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