• Title/Summary/Keyword: 조기 수축

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Screening Test for Heart Diseases in the First Grade Elementary School Children in Busan (부산 지역 초등학교 1학년 학생들의 심장질환의 집단검진에 관한 연구)

  • Oh, Jae Min;Park, Hee Ju
    • Clinical and Experimental Pediatrics
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    • v.46 no.5
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    • pp.490-494
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    • 2003
  • Purpose : We'd like to determine the incidence of congenital heart disease and arrhythmia in elementary school children in Busan, and to provide adequate prevention and treatment. Methods : A total of 23,802(male 12,909, female 10,893) 1st grade elementary school children living in Busan were studied. All children were 7-8 years old. We obtained their medical history by questionnaire and checked elecrocardiography(ECG). Subsequent screening tests including a 2nd ECG, chest X-ray, phonocardiogram and CBC for the students who had abnormal findings at the first screening test. The third screening test was done for students who had cardiac murmurs or abnormal ECG findings in the second screening test by echocardiogram, treadmill test and 24-hour Holter monitoring. Results : Among 23,802 children participants, 605(2.54%) had abnormal ECG findings at the first screening test. Q wave abnormality(0.58%) was observed most frequently, and complete right bundle branch block(RBBB)(0.26%), sinus tachycardia(0.24%), right axis deviation(0.22%) and ventricular premature contraction(VPC)(0.21%) followed in order. Four hundred and twenty four children participated in the second ECG screening test. Two hundred and two children(47.6%) had an abnormality such as sinus tachycardia(18.8%), VPC(17.8%), or complete RBBB(17.3%). After completing the third examination including echocardiogram, we couldn't find the students with ventricular tachycardia (VT) or SVT at the third arrhythmia screening test. Conclusion : A high incidence of arrhythmia was found in the 1st grade elementary school children in Busan despite their healthy appearances, although fatal heart diseases were not noted. Early diagnosis, adequate preventative measures and treatment will prevent and decrease the frequency of emergent situations like syncope and sudden death.

Arrhythmia Classification based on Binary Coding using QRS Feature Variability (QRS 특징점 변화에 따른 바이너리 코딩 기반의 부정맥 분류)

  • Cho, Ik-Sung;Kwon, Hyeog-Soong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.17 no.8
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    • pp.1947-1954
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    • 2013
  • Previous works for detecting arrhythmia have mostly used nonlinear method such as artificial neural network, fuzzy theory, support vector machine to increase classification accuracy. Most methods require accurate detection of P-QRS-T point, higher computational cost and larger processing time. But it is difficult to detect the P and T wave signal because of person's individual difference. Therefore it is necessary to design efficient algorithm that classifies different arrhythmia in realtime and decreases computational cost by extrating minimal feature. In this paper, we propose arrhythmia detection based on binary coding using QRS feature varibility. For this purpose, we detected R wave, RR interval, QRS width from noise-free ECG signal through the preprocessing method. Also, we classified arrhythmia in realtime by converting threshold variability of feature to binary code. PVC, PAC, Normal, BBB, Paced beat classification is evaluated by using 39 record of MIT-BIH arrhythmia database. The achieved scores indicate the average of 97.18%, 94.14%, 99.83%, 92.77%, 97.48% in PVC, PAC, Normal, BBB, Paced beat classification.

Blood Pressure of Healthy Newborns in the First Week of Life (분당 차병원에서 출생한 신생아 혈압치 비교)

  • Lee Jung-Sun;Park Shin-I;Park Hye-Won;Kim Se-Hyun;Hah Tae-Sun;Lee Jun-Ho
    • Childhood Kidney Diseases
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    • v.9 no.1
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    • pp.8-14
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    • 2005
  • Purpose : This study was peformed to study normative blood pressure data in full-term neonates that may be used to facilitate Identification of neonatal hypertension.Methods : 383 newborns born in our hospital from May 2003 to January 2004 were enrolled in this study Using an oscillometric device(BP-88 NEXT, COLIN Corp.), their blood pressures were measured more than one time within a week after birth. According to each clinical variable such as sex, delivery mode, birth weight, gestational age and presence of maternal disease or perinatal problems, we divided the population into groups and calculated the mean blood pressures of each group. We compared mean blood pressures between the divided groups according to each clinical variable statistically.Results : Mean systolic and diastolic blood pressure of the Population was 70.8$\pm$ 10.9 mmHg and 43.4 $\pm$ 8.0 mmHg, respectively. There was no satistically significant difference in blood pressure according to clinical variables. Mean systolic pressure showed positive correlation with birth weight and gestational age(r=0.1420, 0.03130).Conclusion : Our results are almost in agreement with Zubrow's data from 695 newborns in U.S.A, 1995. Our data may be helpful for early detection and management of neonatal hypertension, thereby maintaining renal function ,and preventing possible complications of renal disease.

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Study on the Hydration and Strength Properties of Fly-ash Modified Cement Paste and Mortar Using a CSA and Pulp Ash (CSA 및 제지애쉬를 혼합재료 사용한 플라이애쉬 시멘트 모르타르의 수화 및 강도 특성에 관한 연구)

  • Song, Tae-Hyeob;Lee, Sea-Hyun;So, Chee-Ho
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.1 no.1
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    • pp.81-88
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    • 2005
  • The fly ash has been widely used in the latest to complement the performance and economical efficiency of the concrete which uses only a normal portland cement, the pulp ash gained through the incineration of paper sludge is possible to be used as the material of concrete because it contains the properties similar to the previous fly ash in ingredients and physical characteristics. Therefore, this research has tested physical characteristics by replacing 20% of fly ash used with the paper ash to solve the problem which lowers the early strength caused when the fly ash was used. As a result, it showed that the fluidity becomes lower and the compressive strength becomes increased by using paper ash. In addition, after mixing the paper ash with the fly ash, it showed that time and heating amount of the 2nd peak of the minor heat of hydration affecting the revelation of strength was equivalent to the combination for normal portland cement, and also indicated that the compressive strength for 3 days is superior to the combination of the fly ash. Therefore, if the paper ash having a regular fineness is used, it was effective in improving the early strength of concrete used the fly ash.

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Studies on Combine Harvesting Methods of Barley in Double Cropping Paddy I. Determination of Optimum Harvesting Date Based on Grain Yield and Quality (답리작 맥류 기계수확방법 확립에 관한 연구 제1보 안전 조기수확 한계기 구명에 관하여)

  • 박문수;이강세;신용화
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.27 no.2
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    • pp.123-129
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    • 1982
  • To determine the optimum harvesting date with good grain yield and quality, six different harvesting dates were tested from 25 to 50 days heading with five days intervals, using two varieties of Baekdong, naked barley and Olmil, wheat. The dates when grain yield, 1,000 grain weight and grain/whole spike weight ratio were reached to the highest were 35 and 40 days after heading for Baekdong and Olmil, respectively. Various grain qualities such as unhulled grain, plumpness, protein content and whiteness of grain were also very good at that times. One day earlier harvesting before the optimum dates resulted in yield decreases by 3.9% for Baekdong and 4.4% for Olmil. And it might be delayed for each 5 days with Combine harvesting.

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Measurement and Prediction of Long-term Deflection of Flat Plate Affected by Construction Load (시공하중에 의한 플랫 플레이트의 장기처짐 계측 및 해석)

  • Hwang, Hyeon-Jong;Park, Hong-Gun;Hong, Geon-Ho;Kim, Jae-Yo;Kim, Yong-Nam
    • Journal of the Korea Concrete Institute
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    • v.26 no.5
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    • pp.615-625
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    • 2014
  • Excessive long-term slab deflection caused by construction load is a critical issue for the design of concrete slabs, as long span flat plates become popular for tall buildings. In the present study, the effect of construction load causing early slab cracking on the long-term deflection was theoretically studied. On the basis of the result, a numerical analysis method was developed to predict the long-term deflection of flat plates. In the proposed method, immediate deflection due to slab cracking and long-term effect of creep and shrinkage were considered. To verify the construction load effect, long-term slab deflections were measured in actual flat plate buildings under construction. The results showed that the immediate deflection due to the construction load increased significantly the long-term deflection. The proposed method was used to predict the deflections of the buildings. The results were compared with the measurement results. The predictions agree well with the long-term deflections of flat plate affected by construction load.

Fundamental Properties of Alumina Cement Mortar by Insulation Curing Method under Low Temperature (저온환경에서 알루미나시멘트를 사용한 모르타르의 단열양생에 따른 기초물성 평가)

  • Park, Jung-Hoon;Ki, Kyoung-Kuk
    • Journal of the Korea Institute of Building Construction
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    • v.17 no.5
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    • pp.419-427
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    • 2017
  • In order to examine the possibility of practical use of aluminate cement concrete at low-temperature environment with insulation method, an experimental studies on flowability, setting time, freezing temperature, size variation and compressive strength of the mortar at low-temperature were conducted. Compressive strength was increased in use of CSA, aluminate cement with gypsum. Workability and physical properties were improved by using aluminate cement and gypsum. In addition, freezing resistance and physical properties were improved by applying the insulation curing method. Especially, when alumina cement and gypsum were used together, the insulation curing method was more effective in improving the compressive strength.

R Wave Detection Algorithm Based Adaptive Variable Threshold and Window for PVC Classification (PVC 분류를 위한 적응형 문턱치와 윈도우 기반의 R파 검출 알고리즘)

  • Cho, Ik-Sung;Kwon, Hyeog-Soong
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.34 no.11B
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    • pp.1289-1295
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    • 2009
  • Premature ventricular contractions are the most common of all arrhythmias and may cause more serious situation like ventricular fibrillation and ventricular tachycardia in some patients. Therefore, the detection of this arrhythmia becomes crucial in the early diagnosis and prevention of possible life threatening cardiac diseases. Particularly, in the healthcare system that must continuously monitor people's situation, it is necessary to process ECG signal in realtime. In other words, design of algorithm that exactly detects R wave using minimal computation and classifies PVC is needed. So, R wave detection algorithm based adaptive threshold and window for the classification of PVC is presented in this paper. For this purpose, ECG signals are first processed by the usual preprocessing method and R wave was detected and adaptive window through R-R interval is used for efficiency of the detection. The performance of R wave detection and PVC classification is evaluated by using MIT-BIH arrhythmia database. The achieved scores indicate 99.33%, 88.86% accuracy respectively for R wave detection and PVC classification.

Development of Holter ECG Monitor with Improved ECG R-peak Detection Accuracy (R 피크 검출 정확도를 개선한 홀터 심전도 모니터의 개발)

  • Junghyeon Choi;Minho Kang;Junho Park;Keekoo Kwon;Taewuk Bae;Jun-Mo Park
    • Journal of the Institute of Convergence Signal Processing
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    • v.23 no.2
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    • pp.62-69
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    • 2022
  • An electrocardiogram (ECG) is one of the most important biosignals, and in particular, continuous ECG monitoring is very important in patients with arrhythmia. There are many different types of arrhythmia (sinus node, sinus tachycardia, atrial premature beat (APB), and ventricular fibrillation) depending on the cause, and continuous ECG monitoring during daily life is very important for early diagnosis of arrhythmias and setting treatment directions. The ECG signal of arrhythmia patients is very unstable, and it is difficult to detect the R-peak point, which is a key feature for automatic arrhythmias detection. In this study, we develped a continuous measuring Holter ECG monitoring device and software for analysis and confirmed the utility of R-peak of the ECG signal with MIT-BIH arrhythmia database. In future studies, it needs the validation of algorithms and clinical data for morphological classification and prediction of arrhythmias due to various etiologies.

The Feasibility of the DKUH-75 Left Ventricular Assist Device for Acute Cardiogenic Shock in Pigs (돼지의 급성 심인성 쇼크 모델에서 DKUH-75 좌심실보조키의 유용성에 관한 연구)

  • Park, Seong-Sik
    • Journal of Chest Surgery
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    • v.40 no.3 s.272
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    • pp.168-179
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    • 2007
  • Background: The recent trend of an increasing number of patients with acute cardiogenic shock or chronic congestive heart failure following myocardial infarction, as well as the considerable number who can not be weaned from cardiopulmonary bypass after open heart surgery, call for immediate efforts to develop affordable ventricular assist devices that are suitable for the Korean physique. Recently, a pneumatic pulsatile ventricular assist device (VAD), named DKUH-75, has been developed by the Department of Biomedical Engineering, in collaboration with the Department of Thoracic and Cardiovascular Surgery of Dankook University College of Medicine. The feasibility of the DKUH-75 VAD was evaluated on the bases of common hemodynamic variables and echocardiographic measurements in pigs, which are subjected to an acute cardiogenic shock state following myocardial infarction, using a novel coronary artery ligation method employing the ischemic preconditioning concept. Material and Method: Acute cardiogenic shock was induced in 10 Yorkshire Landrace Duroc strain pigs by ligating the left anterior descending coronary artery via an ischemic preconditioning process. The hemodynamic variables were monitored, with epicardial echocardiographic measurements performed before and one hour after the ligation. The DKUH-75 VAD was implanted into 5 pigs one hour after the onset of the shock. The hemodynamic variables and echocardiographic measurements were taken one hour after installation of the VAD. Result: The systolic, diastolic and mean systemic arterial pressures were significantly decreased in all the experimental animals one hour after the ligation. The systolic, diastolic and mean pulmonary arterial pressures were increased (Eds note: this completely contradicts the preceding statement? However, if you mean the non-experimental animals this should be stated?). The left ventricular end diastolic pressure (LVEDP) was increased, but the cardiac index decreased, An increase in the left ventricular end systolic dimension and decreases in the fractional shortening and ejection fraction were observed all animals one hour after the coronary artery ligation. In all 5 of the VAD implanted pigs, the systolic and mean systemic arterial pressures were increased, and the pulmonary arterial pressures decreased one hour after the implantation; the LVEDP decreased, but the cardiac index was significantly increased, In the echocardiographic measurements, the left ventricular end systolic dimension decreased after the implantation of the VAD, but the fractional shortening and ejection fraction significantly increased. Conclusion: Significant improvements in the hemodynamic variables and echocardiographic measurements were observed in the 5 VAD implanted animals one hour after installation, which had been subjected to an acute cardiogenic shock state by ligation of the coronary artery, indicating that the DKUH-75 VAD could help in the recovery of the myocardial function. This suggests that the DKUH-75 VAD is feasible in the short term in relation to an acute cardiogenic shock state due to myocardial infarction.