• 제목/요약/키워드: Diagnostic rate

검색결과 1,209건 처리시간 0.029초

세포 염색 방법을 이용한 결핵균 감수성 검사법 (Trial for Drug Susceptibility Testing of Mycobacterium tuberculosis with Live and Dead Cell Differentiation)

  • 류성원;김현호;방문남;박영길;박순희;심영수;강성만;배길한
    • Tuberculosis and Respiratory Diseases
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    • 제56권3호
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    • pp.261-268
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    • 2004
  • 연구배경 : 결핵치료에서 어려움을 주는 가장 중요한 요인의 하나가 약제 내성균에 감염된 경우이다. 근래 다제내성 결핵균의 증가는 신속한 결핵균 감수성검사방법 개발에 대한 필요성을 더욱 증가시키고 있다. 활발하게 개발이 진행되고 있는 분자생물학적 기법들도 신속한 내성여부의 구분에 많은 도움을 주고 있지만, 아직까지는 검사약제가 제한되어 있고 보완할 점들이 많이 남아있다. 따라서 저자들은 결핵균 세포 염색 방법에 의해 생균과 사균을 구분할 수 있는 신속하고도 정확한 결핵균 약제 감수성 검사 방법을 검토하여 보았다. 방 법 : 본 연구의 대상으로 대표적인 4가지 항결핵 약제(Isoniazid, Rifampicin, Streptomycin, Ethambutol)에 모두 내성인 임상분리 결핵균 20 균주와 모든 약제에 감수성인 임상분리 결핵균 20 균주를 사용하였다. 약제감수성검사시의 최소 희석배수였던 MacFarland #1 탁도로부터 10배 희석한 결핵균액을 7H9 배양액 $30m{\ell}$에 접종한 후 $37^{\circ}C$에서 24시간 배양한 다음, 핵산 염색액인 Syto 9 (MolecularProbes, USA)과 세포질 염색액인 프로피디움(propidium iodide, $C_{27}H_{34}I_2N_4$)을 결핵균과 잘 섞은 후 실온의 암소에서 15 분간 방치한 후 슬라이드에 $5{\mu}{\ell}$씩 점적하여 형광 현미경으로 관찰하였다. 결 과 : 실험에 사용한 약제내성 결핵균은 4가지의 항결핵약제의 각 농도가 함유된 7H9 배양액에서 사멸하지 않고 생존하고 있음을 형광 현미경상에서 확인 할 수 있었다. 프로피디움(propidium iodide)은 살아있는 세균의 경우 세포핵은 염색시키지 못하고 세포질만 염색함으로써 살아있는 결핵균은 형광현미경 시야에서 녹색을 띄게 되고, 세포의 핵산을 염색시키는 Syto 9 은 사멸한 세포의 세포질을 통과하여 결핵 약제에 감수성인 결핵균의 세포핵을 염색시켜 형광 현미경 시야에서 붉은 색으로 관찰 되었다. 결 론 : Acridin (Syto9)과 propidium 성분을 이용하여 세포를 형광 염색시켜 세포의 사멸 및 생육을 판단하는 방법을 결핵균 약제감수성검사에 적용한 결과, 간편하고도 신속하게 24시간 이내에 내성균과 감수성균을 구분할 수 있었다. 생균과 사균 세포의 판별법으로 기존의 결핵균 감수성 방법을 대체하기 위해서는 형광현미경을 비롯한 실험실 장비와 숙련된 검사자가 필요하지만, 배양된 균으로 검사하는 데만 4주 이상 소요되는 기존의 결핵균 감수성 검사 방법을 대체할 수 있는 매우 저렴하고도 간편한 검사방법으로 판단되었다.

핵의학 동적 신장팬텀시스템 개발 적용의 유용성 평가 (Development of Dynamic Kidney Phantom System and its Evaluation of Usability of Application in Nuclear Medicine)

  • 박훈희;이주영;김상욱;유광열;진계환
    • 대한방사선기술학회지:방사선기술과학
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    • 제36권1호
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    • pp.49-55
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    • 2013
  • 핵의학 검사 중 동적신장검사는 신장기능을 평가하는 가장 대표적인 검사법으로 방사성의약품을 이용하여 시간에 따른 신장의 기능을 평가하고 소변이 배설에 이르기까지의 질환 평가에 유용하다. 이러한 검사영상의 질 평가 및 정량분석에서 현재 상용화 된 팬텀은 정적 상황만 재현하고 평가할 수 있기 때문에 동적 팬텀을 통한 시간에 따른 신장의 기능적 상황과 혈류속도, 방사성의약품의 주입량에 따른 다양한 차이 등을 확인 할 수 있는 연구가 미비한 상황이다. 그러므로 본 연구를 통해 동적 신장팬텀시스템을 제작하여 신장의 동적 흐름을 통한 영상을 재현함으로써 핵의학에서 영상학적으로 유용성을 평가하고자 한다. 신장팬텀은 정상 성인 신장을 기준으로 제작하였고, 동적 상황을 재현하기 위하여 혈류의 속도를 조절할 수 있는 정량펌프를 적용하였으며, $^{99m}Tc$-pertechnate를 신장팬텀에 방사성의약품이 집적되고 방광으로 배설되도록 제작하였다. 사용된 방사성의약품은 각 신장팬텀에 각각 주입되도록 하였으며, 주입속도, 방사성의약품, 좌우 신장 팬텀에 다른 주입속도에 따른 변화를 확인하였다. 획득한 영상의 분석은 전면상과 후면상 각각의 신장과 방광에 관심영역을 그려 분석하였으며, 재현성을 확인하기 위하여 각 5회씩 반복하여 분석하였다. 주입속도 변화에 대해 30 stroke으로 펌프의 압력을 조절하였을 때 방사성의약품이 신장팬텀에 가장 많이 집적되었다가 배출되었고, 40 stroke으로 조절하였을 때 가장 적게 집적되었다가 배출되었다. 10 stroke으로 조절한 경우 좌우신장의 집적량이 최고치에 도달하지 못하였다. 방사성동위원소의 양에 따른 변화에서는 0.6 mCi (22.2 MBq), 0.8 mCi (29.6 MBq) 모두 유사한 성향을 나타냈으나, 0.8 mCi 를 주입한 결과에서는 0.6 mCi의 두배에 가까운 수치(count)를 나타냈다. 좌측신장모형은 20 stroke, 우측신장모형은 30 stroke으로 다른 조건으로 시행한 결과, 최고점에 이른 시간이 각각 다르게 형성되었으며, 이는 결과 영상에서도 육안으로 쉽게 구분할 수 있었다. 본 연구를 통하여 동적 신장팬텀시스템이 실제 임상의 동적 신장검사를 유사하게 재현이 가능한 것을 확인할 수 있었다. 특히 신장을 통해 방광으로 배설되는 흐름에 대해 시간에 따른 묘사가 충분하게 재현되었으며, 동적 영상의 질을 확인하는데 기초 자료로 활용이 가능하리라 사료된다. 또한 추후 기능적 영상 분야에 연구 및 정도관리 분야에도 도움이 되리라 여겨진다.

소아기 골 감염의 진단방법에 관한 조사 (Diagnostic Methods Used in the Bone Infections in Children)

  • 이은실;최광해
    • Pediatric Infection and Vaccine
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    • 제4권2호
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    • pp.210-217
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    • 1997
  • 목 적 : 골 감염의 조기 진단 및 적절한 치료는 감염의 만성화와 영구적 신체 장애를 예방하는데 중요하며, 조기 진단에는 동위 원소 검사가 가장 도움이 된다고 알려져 있다. 이에 저자는 세균학적으로 확진된 소아기 골 감염 환자들의 진단에 이용되었던 방법들을 검토하여 골 감염의 조기 진단에 가장 유용하였다고 생각되는 방법을 찾아 보고자 하였다. 방 법 : 1991년 1월부터 1997년 6월까지 6년 5개월간 영남대학교 의과대학 부속병원에 골 감염을 의심하여 입원했던 소아 환아 중 압통 부위 천자 후 검체를 배양하여 세균학적으로 증명된 급성 화농성 골수염 및 급성 화농성 관절염을 가졌던 29명을 대상으로 병록지 검토와 방사선학적 검사 및 동위원소 검사의 결과를 분석하는 후향적 연구를 시행하였다. 결과: 1) 대상 환아 29명의 연령 분포는 생후 4주 이내의 신생아가 5례(17.2%), 4주에서 l년 이내의 영아가 l례(3.4%), 1 세에서 15세 미만이 23례(79.3%)였고 남녀비는 1.4:1 이었다. 2) 진단시 진찰 소견으로는 국소 압통이 29례(100.0%) 전례에서 관찰되어 가장 흔한 소견이었고 그 외 환부종창, 관절 운동 제한, 열, 국소 열강 등의 순으로 많았으며 병적 골절도 1례에서 있었다. 3) 증상 발현 후 1주 이내 내원한 경우가 15례(51.7%)였고 29례(100.0%) 모두는 15일 이내에 내원하였다. 4) 검사소견으로 입원 당시 말초혈액 총 백혈구 수는 증가된 경우는 17례(58.6%)에 불과하였으나, 적혈구 침강 속도가 증가된 경우는 28례(96.6%)였고 CRP는 27례(93.1 %)에서 증가되었다. 5) 천자한 검체에사 배양된 균주는 Staphylococcus aureus가 전체 29례중에서 25례(86.0%)로 가장 많았다. 6) 단순 방사선 소견이 정상이거나 연부조직 종창만 보인 경우가 15례(51.7%), 골의 변화를 동반한 경우가 14례(48.3%)였다. 단순 방사선 소견이 정상이었던 환아 중에서 동위원소 검사를 시행했던 경우가 6례 있었으며, 이 중 동위 원소의 흡수 증가가 관찰된 경우가 5례였다 단순 방사선 검사상 비특이적 소견만 보인 1 례에서 시행한 골 자기 공명 촬영에서 골막하 농양이 관찰되었다. 결 론 : 골 감염의 조기 진단시 단순 방사선 검사에서 특이 소견을 관찰할 수 있는 경우는 48.3%에 지나지 않았고 동위 원소 검사 역시 6례 중 1례에서는 음성 소견을 보였다. 따라서 소아에서 임상적으로 골 감염이 의심되는 경우에는 압통 부위의 천자를 시행하여 세균학적 검사를 시행한 후 즉시 치료를 시작하는 것이 골 감염의 진단과 치료에 유용하다고 생각되며, 방사성 동위 원소 검사와 자기 공명 촬영이 조기 진단에 도움이 되는 검사이기는 하나 진단이 모호할 경우 치료를 시작한 후 시행해도 무방할 것으로 생각된다.

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소아 신농양의 임상적 고찰 (A Clinical Study of Renal Abscesses in Children)

  • 황유식;이영준;안선영;한상원;이재승
    • Childhood Kidney Diseases
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    • 제9권1호
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    • pp.64-68
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    • 2005
  • 목 적 : 신농양은 증상, 징후가 다양하여 진단이 잘못 되거나 늦어질 수 있고, 그로 인한 신손상이 증가할 수 있다. 본 연구의 목적은 소아 신농양의 증상과 진단방법, 배양결과, 치료 등의 임상적 양상을 분석하여 조기진단과 성공적 치료를 위한 정보를 얻는데 있다. 방 법 1985년 1월부터 2004년 7월까지 연세대학교 의과대학 세브란스병원에 입원한 15세 미만의 소아환자 중 신농양으로 진단된 12명을 대상으로 하였다. 입원시 증상, 나이, 성별, 소인,진단방법, 배양 결과, 방사선과적 결과, 치료 방법에 대하여 의무기록을 통하여 후향적으로 조사하였다. 결 과 : 소아 신농양 환자의 평균나이는 6년 6개월이었고 남녀 비율은 동일하였다. 입원시 증상으로는 발열이 가장 흔하였으며, 복통, 측복부통증, 늑골척추각 압통, 오심, 구토의 순이었다. 12명의 신농양 환아 중 5명에서 신농양의 선행요인으로 방광요관역류가 관찰되었다. 5명의 환아에서는 소변배양에서, 2명의 환아에서는 혈액배양에서 그람 음성균이 동정되었으며, 농양 흡인을 시행한 4례 중 3례에서 균이 동정되었다. 8명의 환아는 정맥 항생제 투여만으로 치료하였고, 3명은 경피적 흡인을, 1명은 경피적 배농을 함께 시행하였다. 입원 전, 발열 등의 증상지속 기간은 평균 5일이었고, 항생제를 사용한 후 발열의 지속 기간은 평균 11일이었다. 신농양 환아의 평균입원 기간은 30일이었다. 결 론 : 장기간 발열을 보이는 소아 환자에서, 특별한 원인을 생각할 수 없을 때 신농양을 감별진단으로 생각하여야 하며, 이의 빠른 진단을 위해서 복부 초음파 검사 또는 복부 전산화단층촬영을 조기에 시행해야 할 것이다.형성과 관련 있었으며 이중 방광요관 역류가 가장 높은 연관을 보였다. 결 론 : 소아의 발열성 첫 요로 감염에서 치료 전 발열 기간이 24시간 이내라도 신 반흔을 완전히 예방할 수 없었고 이에 관여하는 주된 인자는 방광요관 역류였다.시행 이후 그 진단이 현저히 증가되었다. 가족력상 진행성 신질환이 있는 경우나 사구체 기저막에 국소적인 중복이 있는 경우는 알포트증후군의 확진이 필요하며, 지속적인 추적관찰이 필요하다고 생각된다.%, 골다공증은 11%로 상당수에서 골상태가 비정상임을 알 수 있었다. 본 연구에서는 스테로이드 사용기간 및 축적용량이 골상내의 변화에 특별한 영향을 미치지 않는 것으로 나타났다. 동일 환자들의 골상태의 변화관찰과 신질환 관련 골감소의 요인을 밝혀내기 위한 추가적인 연구가 필요할 것으로 사료된다. 정확한 진단 및 동반된 질환을 감별하기 위한 노력이 필요하다.심되나 X-ray VCUG로 발견되지 않은 경우에는 RI VCUG를 꼭 시행하는 것이 방광요관역류의 정확한 진단을 하는데 도움이 된다..25% sodium 식이 enalapril군에서 사구체여과율이 증가됨을 관찰할 수 있었다. 4) 신절제술후 남아 있는 신조직무게를 비교하여 보면 24주째 0.25% sodium 식이군, 0.25% sodium 식이 enalapril군, 0.25% sodium 식이 nicardipine군에서 16주째 0.49% sodium 식이군, 0.49% sodium 식이 enalapril군, 0.49% sodium 식이 nicardipine 군보다 의의있게 신조직무게가 증가됨을 관찰할 수 없었다. 5) 0.25% sodium 식이군은 0.49% sodium 식이군과

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미세 단백뇨기의 당뇨병 환자에서 $^{99m}Tc$-DMSA 신섭취율은 감소하는가? (Is the Renal Uptake of $^{99m}Tc$-DMSA Decreased in Microalbuminuric Diabetic Patient?)

  • 김성장;김인주;김용기
    • 대한핵의학회지
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    • 제33권4호
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    • pp.398-404
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    • 1999
  • 목적: 당뇨병성 신증은 말기 신부전증의 가장 흔한 원인으로서 그 빈도가 증가되고 있다. $^{99m}Tc$-DMSA는 신피질용 방사성 의약품으로 개발되었으며 신피질의 기능 손상 유무를 형태적으로 관찰하기가 용이하다. 저자들은 $^{99m}Tc$-DMSA 신섭취율이 당뇨병 환자에서 단백뇨의 정도에 따라 차이가 있는지를 확인하고, 당뇨병성 신증의 조기 예측인자로서 유용한 지를 알아보고자 하였다. 대상 및 방법: 1996년 1월부터 1997년 12월까지 당뇨병으로 본원에 입원한 145명(남자 64, 여자 81, 평균연령 56세)의 환자를 대상으로 $^{99m}Tc$-DMSA 신스캔을 시행하고 신섭취율을 구하였다. 환자를 24시간 소변의 단백배설량에 따라 정상 단백뇨군(1군), 미세단백뇨군(2군), 현성단백뇨군(3군)으로 구분하여 $^{99m}Tc$-DMSA 신섭취율의 차이 및 $^{99m}Tc$-DMSA 신섭취율과 다른 임상지표들과의 관계를 비교, 분석하였다. 결과: $^{99m}Tc$-DMSA 신섭취율은 2군에서 $40.8{\pm}11.0%$로 1군의 $54.4{\pm}6.3%$보다 의미 있게 낮았으며(p<0.001), 3군의 $27.7{\pm}12.0%$보다는 유의하게 높았다(p<0.001). 각 군에서 $^{99m}Tc$-DMSA 신섭취율은 혈청 크레아티닌치와는 유의한 음의 상관이 있었으며(r=-0.62, p<0.001), 크레아티닌 제거율과는 의미 있는 양의 상관관계를 나타내었다(r=0.70, p<0.001). 결론: 미세단백뇨기 당뇨병 환자의 $^{99m}Tc$-DMSA 신섭취율은 정상 단백뇨를 보인 당뇨병 환자에서보다 유의하게 감소되어 있었으며, 현성단백뇨기의 환자보다 유의하게 높은 것으로 관찰되었다. 따라서 $^{99m}Tc$-DMSA 스캔은 당뇨병 환자에서 당뇨병성 신증을 조기에 진단할 수 있는 객관적인 검사방법으로 유용하다고 생각된다.

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기능성 소화불량 한의 변증 표준화를 위한 이중탕, 평위산 및 시호소간탕 투여 : 무작위 배정, 평가자 눈가림, 3군 비교, 평행 설계, 공개, 다기관 임상시험 프로토콜 (Administration of Yijung-tang, Pyeongwi-san, and Shihosogan-tang for Standardization of Korean Medicine Pattern Identification for Functional Dyspepsia: A Study Protocol of a Randomized, Assessor-blind, 3-Arm, Parallel, Open-label, Multicenter Clinical Trial)

  • 이보람;조민진;최영은;권오진;임미영;고석재;김소연;김용주;남동현;최동준;이준환;박재우;김호준
    • 대한한방내과학회지
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    • 제43권6호
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    • pp.1105-1121
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    • 2022
  • Objectives: The purpose of this study is to explore the effectiveness and safety of frequently used clinical herbal medicines (Yijung-tang [Lizhong-tang, LJT], Pyeongwi-san [Pingwei-san, PWS], and Shihosogan-tang [Chaihu Shugan-tang, SST]) in patients with functional dyspepsia (FD) when administered according to herbal medicine and Korean medicine pattern identification. The results of this study will be used to standardize the diagnostic instrument used in Korean medicine and to investigate biomarkers of Korean medicine pattern identification. Methods: This study will be a randomized, assessor-blind, 3-arm, parallel, open-label, multi-center clinical trial. A total of 300 FD participants will be recruited from 3 Korean medical hospitals and assigned to the LJT (n=100), PWS (n=100), and SST (n=100) groups according to FD pattern identification. The patients will take the medication for 8 weeks, 3 times a day, before or between meals. The primary outcome will be total dyspepsia symptom (TDS) and the secondary outcomes will be adequate relief (AR) for dyspepsia, overall treatment effect (OTE), visual analogue scale (VAS), functional dyspepsia-related quality of life (FD-QoL), gastrointestinal symptom score (GIS), and pattern identification questionnaires. For the exploratory outcomes, we will analyze blood and fecal metabolome profiles, microbiota from fecal and saliva samples, single nucleotide polymorphism (SNP), and results of Korean medicine diagnosis device measurements (heart rate variability, and tongue, pulse, and abdominal diagnosis). Conclusions: The results of this study will prove objectivity for Korean medicine pattern identifications, and the effectiveness and safety of herbal medicines for the population with FD.

신보강화학요법 후 유방암의 병리학적 완전 관해 예측 및 잔류 암 평가: 유방자기공명영상의 정확도 및 영향인자 분석 (Evaluation of Post-Neoadjuvant Chemotherapy Pathologic Complete Response and Residual Tumor Size of Breast Cancer: Analysis on Accuracy of MRI and Affecting Factors)

  • 안현수;안영이;전예원;서영진;최현주
    • 대한영상의학회지
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    • 제82권3호
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    • pp.654-669
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    • 2021
  • 목적 신보강화학요법을 시행한 유방암 환자에서 병리학적 관해와 잔류 암의 크기를 평가하는 데 있어 유방자기공명영상의 정확도를 분석하고 이에 영향을 미치는 인자들이 무엇인지 알아본다. 대상과 방법 2010년부터 2017년까지 본원에서 신보강화학요법 후 수술을 시행한 88명의 유방암 환자를 대상으로 하였다. 병리학적 관해는 수술 병리 결과에서 침윤성 유방암이 발견되지 않는 것으로 정의하였고 자기공명영상과 병리 조직의 잔류 암 크기 차이는 최대 직경으로 비교하였다. 병리학적 관해 및 자기공명영상과 병리 조직에서의 잔류 암 크기 차이에 영향을 미치는 인자를 알아보기 위해 통계분석을 시행하였다. 결과 전체 환자의 10%가 병리학적 관해에 도달하였다. 자기공명영상으로 관해를 예측할 때의 정확도와 곡선하부면적은 각각 90.91%, 0.8017이었다. 신보강화학요법 시행 후 유방자기 공명영상과 병리 조직에서 측정한 잔류 암의 크기는 매우 강한 연관성을 보였고(r = 0.9, p < 0.001), 특히 영상에서 단일 종괴로 보였던 병변에서(p = 0.047) 그러하였다. 자기공명영상과 병리 조직 간의 잔류 암 크기는 내강형(p = 0.023), 그리고 자기공명영상에서 다초점 종괴 및 비종괴성 조영증강을 보인(p = 0.047) 환자군에서 유의미하게 큰 차이를 보였다. 결론 자기공명영상은 유방암의 병리학적 완전 관해와 잔류 암 크기의 평가에 있어서 정확도가 높은 검사이다. 유방암 아형과 병변의 영상의학적 소견이 자기공명영상의 정확도에 영향을 미친다.

Sensory Information Processing

  • Yoshimoto, Chiyoshi
    • 대한의용생체공학회:의공학회지
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    • 제6권2호
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    • pp.1-8
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    • 1985
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70$\pm$1.32mmHg/min)compared to CF dialyzers(4.32$\pm$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500, 550, 570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500, 550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100, 300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3, 000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.SpO2 with Plethysmograph.

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High Resolution HC$_3$N Observations toward the Central Region of Sagittarius B2

  • H.S-Ching;Oh, M.ishi;M.Morimoto
    • 한국우주과학회:학술대회논문집(한국우주과학회보)
    • /
    • 한국우주과학회 1993년도 한국우주과학회보 제2권2호
    • /
    • pp.17-17
    • /
    • 1993
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70${\pm}$1.32mmHg/min)compared to CF dialyzers(4.32${\pm}$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500,550,570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500,550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100,300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.

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고도난청아(高度難聽兒)에 대(對)한 잔존청력(殘存聽力) (A Study on Residual Hearing of Hearing Impaired Children)

  • 이규식;김두희
    • Journal of Preventive Medicine and Public Health
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    • 제6권1호
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    • pp.51-63
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    • 1973
  • 고도난청아(高度難聽兒)에 대(對)한 잔존청력(殘存聽力)을 조사(調査)하기 위(爲)하여 1973년(年) 3월(月) 10일(日)부터 동년(同年) 11월(月) 28일(日)까지 한사대(韓社大) 부속(附屬) 농학교(聾學校) 재학생(在學生) 207명(名)(초등(初等) 138명(名), 중등(中等) 47명(名), 고등(高等) 22명(名)), 즉(卽) 남(男) 135명(名), 여(女) 72명(名)을 대상(對象)으로 문진(問診)을 통(通)한 사회의학적(社會醫學的) 배경조사(背景調査)와 특수교육연구소(特殊敎育硏究所) 방음실(防音室)에서 AS-105형(型) 진단용(診斷用) TRIO 청력측정기(聽力測定器)에 의(依)한 청력검사결과(聽力檢査結果), 다음과 같은 성적(成績)을 얻었으므로 이에 보고(報告)하는 바이다. (1) 의무교육(義務敎育)은 초등교육(初等敎育)의 취학률(就學率)도 정상아(正常兒)에 있어서와 달리 난청출현율(難聽出現率)에 비례(比例)하여 고도난청아(高度難聽兒)에 있어서는 여자(女子)쪽이 현저(顯著)히 낮은 경향(傾向)이었고, 상분학교(上粉學校)(중(中),고(高))에 진학(進學)할수록 더욱 심(甚)한 격차(隔差)를 보였다. (2) 적령기(適齡期)(초등(初等) 만(滿) 6세(歲), 중등(中等) 12세(歲), 고등(高等) 15세(歲))에 입학(入學)한 학생(學生)은 11.3%, 학령기(學齡期)(초(初) 6세(歲)${\sim}11$세(歲), 중(中)12(세)歲${\sim}14$(세)歲, 고(高)15세(歲)${\sim}17$세(歲))에 재학(在學)하고 있는 학생(學生)은 45.9% (남(男) 43.7%, 여(女) 50%)이였다. 이러한 현상(現象)은 현장교육(現場敎育)이 기대(期待)에 부응(副應)치 못하며 장해아동(障害兒童)을 기피(忌避)하고 임상적(臨床的)으로만 청력(聽力)을 개선(改善)할려는 부모(父母)의 학력(學歷), 직업(職業)(농업(農業)과 판매업(販賣業)이 50.8%)및 심리적(心理的)인 현상(現象)과 대부분(大部分)의 이비과병원(耳鼻科病院)에 잔존청력(殘存聽力)을 정확(正確)히 판단(判斷)할 수 있는 유아청력검사(幼兒聽力檢査) 시설(施設)이 없으므로 조기발견(早期發見)과 대책(對策)을 강구(講究)치 않는데 기인(基因)된다고 사료(思料)된다. (3) 실청(失聽)이 될수 있었던 원인(原因)은 대개(大槪) 선천성(先天性) 23.6%(유전성(遺傳性) 13.5%, 임신시이상(姙娠時異常) 10.1%), 후천성(後天性)47.9%(경련(痙攣) 11.6%, 홍역(紅疫) 7.7%, 열병(熱病) 7.7%) 약물중독(藥物中毒) 3.4%, 뇌막염(腦膜炎) 2.4%, 뇌염(腦炎) 1.5%, 기타(其他) 31.3%), 불명(不明) 28.5%인 경향(傾向)이었다. (4) 실청시기(失聽時期)는 6개월(個月) 이내(以內)가 31.4%(선천성(先天性) 24.2%), 생후(生後) $2{\sim}3$년(年) 14.0%, $6{\sim}12$개월(個月) 11.6%, $1{\sim}2$년(年) 9.7% 순(順)으로 생후(生後) 3년내(年內) 실청(失聽)된 학생(學生)이 약(約) 90%(138명(명))로 대부분(大部分)이었다. (5) 난청원인(難聽原因)에 따른 청력손실도(聽力損失度)와 실청시기(失聽時期)와는 일정관계(一定關係)를 발견(發見)할수 없었으며 난청종류별(難聽種類別)로는 전음성(傳音性)이 2명(名), 혼합성(混合性)이 8명(名)이고 감음성(感音性)이 97.5%(197명(名))로서 대부분(大部分)이었다. (6) 500 Hz. 중심(中心)$(B=\frac{a+2b+c}{4})$의 평균(平均) 청력손실도(聽力損失度)에 따른 잔청실태(殘聽實態)는 정상청력자(正常聽力者) 2명(名)(자폐증(自閉症) 1명(名), 고도(高度)의 언어장해아(言語障害兒) 1명(名)), $41{\sim}55\;dB$의 잔청(殘聽)을 가진 학생(學生)이 4.8%(10명). $56{\sim}70\;dB$가 19.3%(40명(名)), $71{\sim}90\;dB$가 18.4%(38명(名)), scale out(91 dB 이상)가 단지 23.3%(48명(名))였고, 검사불능(檢査不能)이 33.3%(69명(名))였는데 대부분(大部分)이 초등(初等) $1{\sim}2$년생(年生)과의 정신박약(精神薄弱)을 겸한 중복장해아(重複障害兒)도 다소(多小)있다. 따라서 75 dB 이상(以上)의 많은 잔청(殘聽)을 가진 학생(學生)이 약(約) 30%(62명(名))나 되므로, 조기발견(早期發見)과 보청기착용(補聽器着用)에 의(依)한 적당(適當)한 훈련(訓練)을 실시(實施)하였다면 정상아(正常兒)와 유사(類似)하게 일반학교(一般學校)에서 재학(在學)이 가능(可能)한 상당수(相當數)의 학생(學生)이 학교(學校), 사회(社會), 부모(父母)의 잘못으로 인하여 농(聾)이 아닌 상당수(相當數)의 학생(學生)을 청능(聽能)의 개발(開發)과 개선(改善)을 시켜주지 못하여 수화(手話)에 의존(依存)하는 농학생(壟學生)으로 만들었다고 생각하지 않을 수 없다. (7) 보청기장용자(補聽器裝用者)는 12%(207명중(名中) 26명(名))에 불과(不過)했으며 이를 잔청별(殘聽別)로 보면 $41{\sim}55\;dB$의 잔청(殘聽)을 가진 학생(學生)은 60%(10명중(名中) 9명(名)), $56{\sim}70\;dB$ 학생(學生)은 20%(40명중(名中) 8명(名)), $71{\sim}90\;dB$ 학생(學生)은 13%(38명중(名中) 5명(名)). scale out는10%(48명중(名中) 5명(名)), 검사불능자(檢査不能者)는 3%(69명중(名中) 2명(名))로 보청효과(補聽 果)를 즉시(卽時) 인식(認識)할수 있는 잔청(殘聽)을 가진 자(者)는 비교적(比較的)으로 많은 학생(學生)이 장용(裝用)하고 있으나, 단시일(短時日)에 보청효과(補聽效果)를 기대(期待)키 어려운 잔청(殘聽)이 적은 학생(學生)은 장용(裝用)치 않고 있는 경향(傾向)이었다. 이 현상(現象)은 대부분(大部分)의 학생(學生)이 음(音)에 대(對)한 경청태도(傾聽態度)마저되어 있지 않아 교사(敎師)와 가정(家庭)의 보청기(補聽器)에 대(對)한 이해(理解)와 Acoustic mettled에 의(依)한 청능훈련(聽能訓練)에 대(對)한 충분(充分)한 지식(知識)이 결여(缺如)된데 기인(基因)된다고 추정(推定)된다.

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