• Title/Summary/Keyword: EKG

Search Result 190, Processing Time 0.025 seconds

Length of stay in PACU among surgical patients using data mining technique (데이터 마이닝을 활용한 외과수술환자의 회복실 체류시간 분석)

  • Yoo, Je-Bog;Jang, Hee Jung
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.14 no.7
    • /
    • pp.3400-3411
    • /
    • 2013
  • The data mining is a new approach to extract useful information through effective analysis of huge data in numerous fields. This study was analyzed by decision making tree model using Clementine C&RT(Classification & Regression Tree, CART) as data mining technique. We utilized this data mining technique to analyze medical record of 1,500 people. Whole data were assorted by length of stay in PACU and divided into 3 groups. The result extracted by C5.0 decision tree method showed that important related factors for lengh of stay in PACU are type of operation, preoperative EKG abnormality, anesthetics, operative duration, age.

Comparison of Therapeutic Efficacy and Tolerance Between Nemonapride and Haloperidol in-Schizophrenic Patients (정신분열증환자에서 Nemonapride와 Haloperidol의 치료결과 및 내약성에 대한 비교분석)

  • Sung, Sang Kyung;Hong, Kwang Wha
    • Korean Journal of Biological Psychiatry
    • /
    • v.2 no.1
    • /
    • pp.123-130
    • /
    • 1995
  • A single-blind comparative study was performed using haloperidol as a reference drug in order to evaluate the efficacy and safety of nemonapride, a new benzamide derivative, in sixty-nine Korean schizophrenic patients. the total period of the study was 8 weeks, maximum dosage of nemonapride was 36mg and that of haloperidol was 24mg. Psychopathology and extrapyramidal symptoms were assessed every week or four weeks until the end of the 8th week using the PANSS, BPRS, and 4 point general side effect check list, The drug safety was assessed every week until the end of the 8th week using vital sign, body weight, EEG, EKG, and blood chemistry. In total. one patient discontinued nemonapride treatment and seven patients discontinued haloperidol treatment before the end of the study. Therefore sixty-one patients(88 %) completed the study. PNASS and BPRS scores of the two groups on the end study point demonstrated a significant improvement compared with baseline score. The number of patients who had a clinical improvement of at least 20% in baseline score was similiar in both treatment groups. The difference of Simpson's rating scale socres were significant in both groups, and mean scores were more high in the haloperidol group than in nemonapride group. No significant EKG, EEG changes were induced, no relevant change in body weight or clinical laboratory parameters were observed in the sixty-one patients during 8 weeks and no Significant difference in the both groups. From these results, nemonapride is considered to be a clinically useful drug having a wide range of antipsychotic effect in schzophrenic patients.

  • PDF

Corelationship Study between Hwa-Byung and Type A Behavior Pattern, Cardiovascular Disease (화병과 A형 행동유형 및 심혈관질환과의 관련성 연구)

  • Jeong, Ha-Ryong;Koh, Sang-Baek;Park, Jong-Ku;Yu, Jun-Sang;Kong, Kyung-Hwan;Lee, Jae-Hyok
    • Journal of Oriental Neuropsychiatry
    • /
    • v.22 no.2
    • /
    • pp.27-37
    • /
    • 2011
  • Objectives : The purpose of this research is to investigate the corelationship between Hwa-Byung and type A behavior pattern (TABP), cardiovascular disease. Methods : 637 people participated in the community based cohort study in Wonju City of South Korea from July 2nd to August 30th in 2006. Educated investigators checked up EKG and surveyed Hwa-Byung Diagnostic Interview Schedule(HBDIS), Framingham Type A Pattern Score(FTA score). Collected data were analyzed by the chi-square test & t-test. Results : 1. TABP, Hwa-Byung group was 24(70.6%), non Hwa-Byung group was 288(27.8%) p-value was 0.016. Difference of the two group was valid. 2. FTA score, Hwa-Byung group was $5.77{\pm}2.25$, non Hwa-Byung group was $4.41{\pm}2.30$, p-value was 0.002. Difference of the two group was valid. Conclusions : TABP ratio, FTA score was high in Hwa-Byung group compared with non Hwa-Byung group.

Studies on Intestinal Trematodes in Korea XI. Two Cases of Human Infection by Heterphyes heterphyes nocens (한국의 간흡충에 관한 연구 XI. Heterophyes heterphyes nocens의 인체감염 2례)

  • 채종일;서병설이순형
    • Parasites, Hosts and Diseases
    • /
    • v.22 no.1
    • /
    • pp.37-42
    • /
    • 1984
  • Two human cases of Heterophyes heterophyes nocens infection were proved by identifying adult worms after treatment with bithionol or praziquantel in 1983 in Korea. They are 37 (Case 1) and 24-year old (Case 2) males whose resi¬dence or native village is a southern coastal area in Kohiing-gun, Chollanam-do. The Case 1 had the gastrointestinal symptoms such as epigastric pain and indigestion, and the Case 2 heart problems such as arrhythmia and ventricular premature beat in EKG and digestive symptoms such as diarrhea and abdominal pain. After the treatments, 35 and 67 specimens of H. hetero¬phyes nocens respectively were collected from the diarrheal stools through stereomicroscopy. The Case 1 was concommitantly infected with Clonorchis sinensis and the Case 2 with 3 other kinds of heterophyid flukes and with Diphyllo¬bothrium latum. The cases said to have eaten raw brackish water fish such as mullets (Mugil cephalus), perches (Lateolabrax japonicus) and gobies (Acanthogobius flavimanus) which are the intermediate hosts of H. heterophyes nocens in Korea.

  • PDF

Association of Antipsychotic-Induced QTc Prolongation with 5-HTTLPR (항정신병약물로 인한 QTc 지연과 5-HTTLPR의 연관성)

  • Seo, Beom-Joo;Rhee, Jung-Goo;Park, Sung-Woo;Kong, Bo-Geum;Chung, Do-Oun;Kim, Young-Hoon
    • Korean Journal of Biological Psychiatry
    • /
    • v.11 no.1
    • /
    • pp.49-53
    • /
    • 2004
  • Objective:A Comparison of QTc prolongation for various antipsychotics and an analysis of QTc prolongation for the various types of serotonin transporter polymorphism were performed. Method:EKG was checked, followed by QTc measurement as Bazett's correction, and the serotonin transporter polymorphism was examined in 110 chronic schizophrenia patients were performed EKG before 24 weeks ago. We defiened QTc prolongation as over 450ms. The risk factor of sudden cardiac death were defiend as QTc prolongation and or 60ms in delta value. Result:The prevalence of QTc prolongation in this study was 7.3%, and the prevalence of over 60ms was 4.5%. Patients who had the risk factors were 10(9.1%). 6/52 who prescribed atypical antipsychotics and 2/58 who prescribed haloperidol showed QTc prolongation. The prevalence who had the risk factor of sudden cardiac death were 16% in atypical antipsychotics group, 3.4% in haloperidol group. QTc prolongation were observed more frequently in l/l type than s/s type. l allele frequency were 50% in QTc prolongated group, 19% in not prolongated group. l allele had an association with QTc prolongation(p<0.01). Conclusion:The prevalence of QTc prolongatin was frequent in chronic schizophrenia patients who were prescribed atypical antipsychotics. It has strong association with l allele of 5-HTTLPR.

  • PDF

A study of the communication transfer mode of physical signal (EKG, PPG) (생체신호(EKG, PPG)의 통신전송 모드에 대한 연구)

  • Kim, Jeong-Lae;Kim, Gwan-Seok;Kim, Jae-Yoon;Kim, Han-Na;Jang, Eun-Yiu
    • The Journal of the Convergence on Culture Technology
    • /
    • v.3 no.2
    • /
    • pp.55-59
    • /
    • 2017
  • We are confirmed to the transfer degree of physical signal with the communication code on the wireless communication system. The physical transfer system was consisted of such as ECG, PPG and Bluetooth part that received signal. Communication method was take the international standard level of IEEE802.15.1 forms, the frequency transition was needed the bandwidth of communication for transfer signal with the band-communication method. The program was expressed to receive with wireless communication condition that was consisted of such as the serial chart, processing and app inventor. Their signal was identified to transfer certainly the corrected signal. Therefore, signal processing for coding by the real-time graphing and using processing by a standard capacity of serial-chart graphing that will be possible to progress the improvement effectiveness of wireless communication system.

A Study on the Left Ventricular Wall Motion with EKG Gated Cardiac Blood Pool Scan (방사성동위원소(放射性同位元素) gated cardiac blood pool scan을 이용(利用)한 좌심실벽(左心室壁) 운동(運動)에 관(關)한 연구(硏究))

  • Ahn, Yong-Tae;Kim, Byung-Tae;Park, Young-Bae;Lee, Myung-Chul;Cho, Bo-Youn;Seo, Jung-Don;Lee, Young-Woo;Koh, Chang-Soon;Lee, Mun-Ho
    • The Korean Journal of Nuclear Medicine
    • /
    • v.17 no.2
    • /
    • pp.25-33
    • /
    • 1983
  • Left ventricular wall motion was observed with EKG gated cardiac blood pool scan in 71 various cardiac diseases and 10 normal controls to evaluate its diagnostic and clinical significance in them. 1) In the presence of left ventricular dysfunction, visual evaluation of the left ventricular wall motion was useful to determine whether it was due to localized or diffuse abnormalities. In cardiomyopathy, marked left ventricular dilatation and severe hypokinesia were noted. 2) In myocardial infarction, regional wall motion abnormalities well represented the location of infarcted areas in majority of cases. Patients with inferior wall infarction had smaller decrease of the left ventricular ejection fraction and wall motion grade than anterior or combined groups. In whom persistent left ventricular failure was present, wall motion analysis with gated cardiac scan provided valuable information for the detection of ventricular aneurysms. 3) Evaluation of the left ventricular wall motion and its grading provided a reliable estimate of the left ventricular function. In conclusion, visual evaluation of left ventricular wall motion and its grading provided valuable information for analyzing the characteristics of regional and global left ventricular dysfunction.

  • PDF

Changes of Myocardial Ultrastructure During Open Heart Surgery (개심수술중 심근 미세구조의 변화)

  • Hur, Jin;Kong, Joon-Hyuk;Lee, Jong-Tae
    • Journal of Chest Surgery
    • /
    • v.33 no.9
    • /
    • pp.707-715
    • /
    • 2000
  • Background: Cold blood cardioplegic solution has been used to protect myocardium during open heart surgery with the hypothesis stating that it provides more oxygen supply to myocardium compared to crystalloid caridoplegic solution. We repeatedly infused cold blood cardioplegic solution to achieve myocardial protection. We biopsied a small portion of papillary muscle of patients with mitral valve replacement or double valve replacement during aortic cross-clamp time and evaluated the method of myocardial protection through the observation of changes in ultrastructure. We then analysed the relationship between changes in ultrasructure and peak postoperative CK-MB value and SGOT value. Material and method: We report observation on changes of myocardial ultrastructure, postoperative CK-MB and SGOT, and electrocardiogram in 31 patients who underwent cardiac operation. There were 11 males and 20 females, and they ranging in age from 28 to 69 years(mean score was 2.08$\pm$0.560, it was 2.37$\pm$0.558 at 40 minutes, and it was 2.36$\pm$0.523 at 70minutes. Mitochondrial score increased significant at 40 minutes. Mean value of postoperative peak CK-MB and SGOT were 37.3$\pm$17.061IU, 144.5$\pm$125.5IU respectively. We were not able to find any new Q were in EKG after the operation. There was no significant relationship between myocardium mitochondrial score and mean value of postoperative peak CK-MB and SGOT. Conclusion: In conclusion, with this study the cold blood cardioplegic solution was incomplete in preserving ultrastructure of myocardium even with satisfactory results in serum enzyme and EKG evaluation.

  • PDF

Results Analysis of CPR in Emergency Center by In-Hospital Utstein Style (In-Hospital Utstein Style에 의한 응급의료센터의 심폐소생술 결과 분석 - 심정지 상태로 내원한 환자를 대상으로 -)

  • Roh, Sang-Gyun;Park, Jin-Ok
    • The Korean Journal of Emergency Medical Services
    • /
    • v.9 no.1
    • /
    • pp.79-87
    • /
    • 2005
  • Purpose: Investigates the results of CPR operation in visited patients with arrest state, and element to affect the results, and it is checks a problem, and it is made to promote. Methods: As for this study, analysis studied the results that operation CPR with the object arrest patients of 69 visited Jecheon Seoul hospital emergency center for during the period from January 2002 to February 2005. It was played writing partly changed In-hospital Utstein Style, and to stick a record in it. Paramedic which participated in CPR directly did the record of a variable, As for the data processing, use SPSS Version 12.0 for Windows. Results: It was male 68.1% female 31.9% for 69 people, and the sex ratio didn't affect return of spontaneous circulation, with female 8 people to male 16 people for ROSC(Return of spontaneous circulation) 24 people. with female 14 people to male 31 people for NROSC(Non-return of spontaneous circulation) 45 people(p>0.05). The initial EKG rhythm was asystole 34.8%, VF 31.9%, The case that initial EKG was VF compared it to a patient of asystole, and a survivor had a lot of VF and there were a lot of survivors(p<0.05). The wasn't relativity between VF and PEA(p>0.05), The CPR lead time was short in ROSC with NROSC $25.0{\pm}15.0$ minutes, ROSC $11.9{\pm}10.7$ minutes(p<0.01). Epinephrine administer time was NROSC $3.0{\pm}4.1$ minutes, ROSC $2.1{\pm}1.9$ minutes(p>0.05). It was survivor 18 people(21.1%) than 24 hours and the PAM Index affected in ROSC. with $9.0{\pm}1.2$ points NROSC, with $1.6{\pm}1.7$ points ROSC(p<0.01). A correlation was high between a CPR lead time and PAM Index(p<0.02), a correlation was examined by being high between ROSC and a CPR lead time, PAM Index(p<0.01).

  • PDF

Myocardial Protective Effect of Histidine-Tryptophan-Ketoglutarate Solution and Cold Blood Cardioplegic Solution in Pediatric Cardiac Surgery (소아 개심술에서 Histidine-Tryptophan-Ketoglutarate 용액과 냉혈심정지액의 심근보호 효과)

  • Jung, Tae-Eun;Lee, Dong-Hyup;Han, Sung-Sae
    • Journal of Yeungnam Medical Science
    • /
    • v.23 no.1
    • /
    • pp.19-25
    • /
    • 2006
  • Background: There is limited data on comparisons between the effect of histidin-etryptophan-ketoglutarate (HTK) solution and cold blood cardioplegic (CBC) solution in pediatric cardiac surgery. The purpose of this study was to compare the myocardial protective effect of HTK solution and CBC solution in patients undergoing pediatric cardiac surgery. Materials and Methods: We selected 49 patients with ventricular septal defect and atrial septal defect. HTK solution was used in 21 patients and CBC solution was used in 28 patents. HTK solution was given as a single dose, whereas CBC solution was used in the usual multi-dose method. The incidence of EKG change and concentration of Troponin T and CK-MB were compared for the evaluation of myocardial damage. Results: There were no significant differences in the incidence of ST, T segment change by EKG and serial cardiac enzyme levels between two groups. Conclusion: These results suggested that the myocardial protective effect of HTK solution was similar to CBC solution in simple pediatric cardiac surgery.

  • PDF