• The Korean Journal of Emergency Medical Services
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• v.20 no.1
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• pp.83-94
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• 2016

Purpose: This study aimed to assess defibrillator pad positioning by the general public and healthcare providers during basic life support (BLS) renewal education (RE). Methods: A total 130 subjects performed defibrillation using an automated external defibrillator (AED) equipped with electrode pads developed by the researchers and male resuscitation manikins, in order to assess electrode pad placement (EPP) before BLS RE. Subjects included 54 Healthcare providers (HP) and 76 members of the general public (GP). Results: The apex EPP was positioned in the risk area (RA), more than 5 cm distant from the area recommended, by 63.2% of the GP (n = 48). The apex EPP was positioned in the RA by 44.4% of the HP (n = 23). The distance from the apex (GP $5.27{\pm}2.21cm$, HP $4.18{\pm}1.71cm$) was statistically significant, using Student's t-test. Conclusion: For both GP and HP, apex EPP was significantly in error. Thus, to prevent defibrillation failures, EPP education and practice for GP and HP in all BLS education programs should be improved, and incorrect Korean cardiopulmonary resuscitation guidelines and related literature should be revised and corrected.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.57 no.6
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• pp.1102-1108
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• 2008

Wearable physiological signal monitoring systems are regarded as an important sensing unit platforms in ubiquitous/mobile healthcare application. In this paper, we suggested the modified bipolar electrodes implemented on the portable heart activity monitoring system, which minimized the distance of electrodes formed on a attachable pad. The proposed electrode configuration is useful in mobile measurement environments, but has a disadvantage of reduced amplitude of the heart action potential. In order to overcome the shortcoming of the suggested electrode configuration, we implemented the amplifying circuit to increase the signal-gain and decrease the artifacts. For evaluations, we analyzed the specificity of measured cardiography using the proposed electrodes through the comparing of heart activity monitoring system with standard clinical ECG(lead2) by pearson correlation coefficients. The result showed that the average correlation coefficient is $0.903{\pm}0.036,\;0.873{\pm}0.072$ at V3, V4 chest lead position, respectively. Thus, the modified bipolar electrode is quite suitable to monitor the electrical activity of the heart in the situation of the mobile environment, and could be considered having high similarity with standard clinical ECG.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.58 no.5
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• pp.1050-1056
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• 2009

Heart Rate Variability(HRV) is a parameter that represents monitoring variability of time intervals between R-peak in electrocardiography. HRV serves to various applications, such as indices of autonomic functions, prediction of cardiac sudden death, assessment of stress and emotional, etc. However, as measuring R-peak in ECG needs at least 3-electrodes, and it is inconvenient for end users. In this paper, we suggested the modified laplacian electrodes for measuring HRV at one-point, which are producted by MEMS fabrication and have the two circular electrodes on the pad. For optimal position and direction, we performed an experiment that compared with pearson correlation coefficient and the amplitude of signals, between standard lead II and proposed electrodes. We analyzed the HRV parameters, such as standard deviation of the NN interval(SDNN), high frequency(HF), low frequency(LF), LF/HF ratio. The result showed that the average correlation coefficient and amplitude are 0.967 and 0.685 mVpp at the position 2. The coeffiecient correlation between the standard HRV and proposed electrode-HRV is 0.999