• 한국의류학회지
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• 제34권1호
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• pp.112-125
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• 2010

A Holter monitor is used for ECG monitoring of ambulatory daily life in hospital. However, the use of this apparatus causes skin allergies and discomfort in patients because of the attachment gel and tapes used to attach disposable electrodes to the skin. In this study, the development of tight-fitting clothing connected to a portable Holter monitor was proposed. In addition, the use of conductive fabrics as electrodes was proposed; this will enable the use of garments in u-health care for measuring ECG signals. The male subjects were university students in the ages of 20 to 24. Subjective wear sensations of the experimental garments were rated using seven Likert scales. A Likert type scale was used for the evaluation and a 7 point score indicates that it provided the best fit as a tight-fitting upper clothing. Clothing pressure was measured using an air-pack-type pressure sensor (model AMI 3037-2) at 4 locations (the conductive fabric electrode) As results, a male basic sloper for upper clothing was developed and that pattern was manipulated to the tight fit pattern by considering the reduction rate of the percentage stretch in the fabric. The developed tight-fitting garment was superior in terms of subjective sensation and 6t. The mean pressure of the garment with reduction rates of 40% in width and of 50% in length was 8.45gf/$cm^2$. A conductive fabric electrode was developed by considering the sewing method and the developed electrode was detected well. The ECG data were recorded for 13 hr 19 min 44 sec and the artifacts in the ECG signals were recorded for 9 hr 3 min 46 sec (total time: 22 hr 23 min 23 sec). The artifacts data were obtained during heavy activities.

• 대한의용생체공학회:의공학회지
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• 제7권1호
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• pp.53-58
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• 1986

This paper represent the design of a digital modem which transmits the ECG data from an ambulatory arrhythmia monitor over the telephone lines to a large hospital for the instantaneous interpretations. The digital modem provides on-line communications between the patient and the central computer located near cardiologists. For commercial telephone lines, the transmitting error rates of the digital modem were measured 200 times at a speed of 300 baud. In those measurements, the block errors-results, due to the misinterpretation of start and stop bits, did not occur, The data bit errors which were due to a single bit interpreted incorrectly were 0.78 (bits/10 ) . Since the acceptable data bit error limit is 10 per 106 bits transmitted, the digital modem designed in this paper can be used for the clinical applications without any difficulty.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1996년도 추계학술대회
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• pp.207-212
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• 1996

In this paper, we designed a Holter analysis system using the visual programming method. It differs from the existing analysis system in that the various signal processing algorithms represented by icons were designed by GUI concept which provide unskilled user with easy and convenient analysis environment. In order to analysis ECG signal, we only select the icon representing a algorithm to be applied by mouse and arrange the selected icons upon the order to be processed on screen. As a result it provides a convenient usage and flexibility of analysis. Finally, we can find the optimal algorithm for the ambulatory ECG analysis by comparing the several results obtained from the various analysis configuration.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1986년도 하계학술대회논문집
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• pp.209-211
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• 1986

This paper describes the design of portable arrhythmia monitor and associated algorithm for automated diagnosis based-on micro-computer in the ambulatory ECG recording, analysis, and transmitting to a hospital host computer immediately through the telephone system.

• 한국의학물리학회지:의학물리
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• 제5권2호
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• pp.27-34
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• 1994

현재 임상에서의 추세는 감시 장비의 증가와 인력의 부족으로 인하여 각 환자마다에 부착되어있는 장비들을 감시하는 것이 상당한 부분을 차지하고 있으므로 시간과 인력적인 요소를 보완하기 위하여 본 연구에서는 원격으로 감시 할 수 있는 디지탈 통신 방식에 의한 심전도 텔레메트리 시스템을 제작하였다. 환자로부터 추출된 심전도 신호는 A/D변환하여 디지탈 형태로 오차 감시 방법을 적용한 새로운 데이타로 변환한다. 변환된 데이타는 기존의 아날로그 통신방식에서의 잡음과 혼신에 의한 부정확한 데이타전송을 극복하였다. 그리고 동일 주파수대를 사용함으로써 주파수의 낭비를 제거하였으며, 주파수 공용으로 인한 cross over의 단점은 본 논문에 제안한 송, 수신 gateway 방식을 채용 함으로써 해결하였다.

• 대한의용생체공학회:의공학회지
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• 제29권6호
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• pp.466-476
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• 2008

The more people use ambulatory electrocardiogram(ECG) for arrhythmia detection, the more researchers report the automatic classification algorithms. Most of the previous studies don't consider the un-balanced data distribution. Even in patients, there are much more normal beats than abnormal beats among the data from 24 hours. To solve this problem, the hierarchical classification using 21 features was adopted for arrhythmia abnormal beat detection. The features include R-R intervals and data to describe the morphology of the wave. To validate the algorithm, 44 non-pacemaker recordings from physionet were used. The hierarchical classification model with 2 stages on domain knowledge was constructed. Using our suggested method, we could improve the performance in abnormal beat classification from the conventional multi-class classification method. In conclusion, the domain knowledge based hierarchical classification is useful to the ECG beat classification with unbalanced data distribution.

• Biomedical Engineering Letters
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• 제8권4호
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• pp.365-371
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• 2018

Uninterrupted monitoring of multiple subjects is required for mass causality events, in hospital environment or for sports by medical technicians or physicians. Movement of subjects under monitoring requires such system to be wireless, sometimes demands multiple transmitters and a receiver as a base station and monitored parameter must not be corrupted by any noise before further diagnosis. A Bluetooth Piconet network is visualized, where each subject carries a Bluetooth transmitter module that acquires vital sign continuously and relays to Bluetooth enabled device where, further signal processing is done. In this paper, a wireless network is realized to capture ECG of two subjects performing different activities like cycling, jogging, staircase climbing at 100 Hz frequency using prototyped Bluetooth module. The paper demonstrates removal of baseline drift using Fast Fourier Transform and Inverse Fast Fourier Transform and removal of high frequency noise using moving average and S-Golay algorithm. Experimental results highlight the efficacy of the proposed work to monitor any vital sign parameters of multiple subjects simultaneously. The importance of removing baseline drift before high frequency noise removal is shown using experimental results. It is possible to use Bluetooth Piconet frame work to capture ECG simultaneously for more than two subjects. For the applications where there will be larger body movement, baseline drift removal is a major concern and hence along with wireless transmission issues, baseline drift removal before high frequency noise removal is necessary for further feature extraction.

• 전기학회논문지
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• 제61권10호
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• pp.1518-1523
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• 2012

In this study, the novel digital filtering algorithms are implemented to suppress the noisy characteristics embedded in ambulatory electrocardiogram signals by an android smartphone platform. With this aim, Graphical User Interface (GUI) is designed and implemented by utilizing multithread-Java programming to realize Finite Impulse Response and Infinite Impulse Response filter. With simulating our implemented digital filters built in an android smartphone, we can find the fact that we can efficiently suppresses the noisy characteristics due to baseline wandering and 60 Hz powerline source fluctuations especially in electrocardiograms.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
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• pp.479-480
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• 2007

고령사회에 접어들면서 연속적으로 심전도를 관찰할 필요가 있는 만성 심장 질환 환자의 수가 증가함에 따라, 이동형 심전도 측정 모듈을 활용하여 심전도를 분석하는 진단 시스템의 필요성이 크게 증가하고 있다. 이에 따라서 본 연구에서는 무구속 패치형 심전도 측정 모듈을 이용하여 심전도를 획득하고, 획득한 심전도를 무선으로 전송받아 Matched Filter를 이용하여 잡음을 제거하고 R-peak 검출을 수행하여 심장활동을 모니터링하고자 하였다.

• Journal of Preventive Medicine and Public Health
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• 제37권2호
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• pp.182-189
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• 2004

Objectives : The objective of this study is to compare the circadian patterns of heart rate variability assessed by 24-hour ambulatory electrocardiographic (ECG) recordings during day shift and night shift among the workers in the 5 days-concecutive-12-hour shift in an automobile factory in Korea. Methods : The study population consisted 300 workers, who were randomly selected among the 8700 total workers in one car factory. To analyse circadian variation, the 24-hour ECG recordings (Marquette) were measured during day shift (08:00-20:00 h) and night shift (20:00-08:00 h). Analysis was performed for all time and frequency domain measures of HRV. 233 workers completed taking 24-hour ECG recordings. Results : This study shows that the 24 hourcircadian variation mainly follows work/sleep cycle rather than day/night cycle among shift workers. This study also shows that among the night shift, the circadian variation between work and sleep cycle decreased compared to the work/sleep cycle among day shift workers. All time and frequency domain parameters (except LF/HF ratio) show significantly different between work and sleep in the day shift and night shift. Conclusion : These changes in heart rate variability circadian rhythms reflect significant reductions in cardiac parasympathetic activity with the most marked reduction in normal vagal activity among the shift workers. Especially, it suggests the circadian rhytm has blunted among the night workers. The quantification of the circadian variation in HRV can be a surrogates of workers' potential health risk, as well as suggests possible mechanisms through which the shift works compromise workers' health.