• Journal of Biomedical Engineering Research
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• v.25 no.2
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• pp.119-127
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• 2004

In this paper, an automatic external biphasic defibrillator that removes ventricular fibrillation efficiently with a low discharging energy has been developed. The system is composed of software including a fibrillation detection algorithm and a system control algorithm, and hardware including a high voltage charging/discharging part and a signal processing part. The stability of the developed system has been confirmed through continuous charging/discharging test of 160 times and the detection capability of the real-time fibrillation detection algorithm has been estimated by applying a total of 30 various fibrillation signals. In order to verify the clinical efficiency and safety, the system has been applied to five pigs before and after fibrillation inductions. Also, we have investigated the system efficiency in removing fibrillation by applying two different discharging waveforms, which have the same energy but different voltage levels.

• Journal of Fashion Business
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• v.12 no.6
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• pp.46-60
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• 2008

Lyocell is a regenerated cellulosic fiber manufactured by an environmentally friendly process. The major advantages of lyocell are the excellent drape forming property, the genuine bulkiness, smooth surface, and high dry/wet tenacities. However, one drawback of lyocell is its fibrillation property, which would degrade its aesthetic quality and lower the consumer satisfaction. In our previous studies, lyocell was treated with epichlorohydrin, a non-formalin based crosslinker, to reduce its fibrillation tendency. To investigate the changes of physical properties upon ECH-treatment, the hand characteristics of ECH-treated fabric were observed using KES-FB system and the 3D-virtual sewing image of the fabrics were obtained using 3D CAD simulation system in this study. Since epichlorohydrin(ECH) treatment was conducted in the alkaline medium, the weight reduction was observed in all treated lyocell. The treated lyocell became light, smooth and flexible in spite of ECH crosslinker application. LT and RT in tensile property upon the ECH treatment did not change significantly, however, EMT and WT in the tensile property increased. The significant decrease in bending rigidity was resulted in all ECH-treated lyocell, which is the result of the weight loss upon the alkali condition of ECH treatment. The bending rigidity increased again in the ECH 30% treated lyocell, however, the B value is still lower than the original. Therefore, the ECH-treated lyocell would be more stretchable and softer than the original. Shear rigidity was also decreased in all ECH-treated lyocell, which would result in more drape and body fitting when it is made as a garment. The ECH-treated fabric showed the softer smoother surface according to SMD value from KES evaluation. The virtual 3D sewing image of the ECH-treated lyocell did not show a significant change from that of the original except ECH 30% treated lyocell. ECH 30% treated lyocell showed a stiffer and more puckered image than the original.

• Proceedings of the KHMA Conference
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• 2000.10a
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• pp.151-151
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• 2000

• The Korean Journal of Physiology and Pharmacology
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• v.3 no.1
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• pp.47-52
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• 1999

Blood flow restoration to ischemic zone of the heart is essential to salvage of ischemic tissue. However, there is a large body of evidence documenting that the reperfusion can induce reperfusion injury like reperfusion-induced malignant arrhythmias. In the present study, employing a cat model of regional cardiac ischemia, we examined if reperfusion rendered in a gradual fashion could lower the incidence of reperfusion-induced ventricular fibrillation (VF), which usually precipitated within a few to several tens of seconds after abrupt reperfusion. The experiments were conducted with male mongrel cats (n=46, 2.5-5 kg). The animals in the control and 30 MIN groups were subjected to an episode of 20- and 30-min left anterior descending coronary artery occlusion, respectively, followed by abrupt reperfusion. The animals in 5 G and 10 G groups received gradual reperfusion over a 5- and 10-min period, respectively, following a 20-min occlusion. The proportion of animals that exhibited VF during the reperfusion phase was 11/15 in the control, 7/10 in the 30 MIN, 5/10 in the 5 G and 2/11 in the 10 G groups. The incidence of VF in the 10 G group was significantly lower than that in the control or 30 MIN group subjected to abrupt reperfusion. These results suggest that the gradual reperfusion is a useful procedure against reperfusion-induced VF.

• Korean Circulation Journal
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• v.48 no.12
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• pp.1033-1080
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• 2018

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in the general population. The Korean Heart Rhythm Society organized a Korean AF Management Guideline Committee and analyzed all available studies regarding the management of AF, including studies on Korean patients. This guideline is based on recent data of the Korean population and the recent guidelines of the European Society of Cardiology, European Association for Cardio-Thoracic Surgery, American Heart Association, and Asia Pacific Heart Rhythm Society. Expert consensus or guidelines for the optimal management of Korean patients with AF were achieved after a systematic review with intensive discussion. This article provides general principles for appropriate risk stratification and selection of anticoagulation therapy in Korean patients with AF. This guideline deals with optimal stroke prevention, screening, rate and rhythm control, risk factor management, and integrated management of AF.

• Journal of the Korean Society of Clothing and Textiles
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• v.26 no.12
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• pp.1749-1755
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• 2002

본연구의 목적은DP가공에 의한 가교화를 통해 텐셀의 피브릴화를 조절할 때 DP가공 방법 및 NaOH전처리 효과를 물성, 표면형태, 역학적 성질 및 태의 변화의 관점에서 고찰하는데 있다. SEM 분석결과DP가공에 의해 피브릴 발생 정도는 감소하였다. DP가공 방법에 있어 서 WF법과 PDC법에 따른 물성의 차이는 나타나지 않았다. 역학적특성의 경우 DP가공은 DP가공 방법에 상관없이 효소처리한 직물의 인장선형성에는 큰 영 향을 주지 않았으나 인장에 너지, 굽힘 강성, 압축선형성, 압축 레질리언스, 기하학적 거칠기는 감소시켰고 인장 레질리언스, 굽힘이력, 압축에너지는 증가시켰다. 전단특성은 WF법에서는 증가한 반면, PDC법에서는 감소하여 DP가공 방법에 따른 차이를 나타내었다. WF법이 PDC법보다 더 높은 Koshi, Numeri, Fukurami 값을 보였으며, 종합태 값은 비슷하게 나타났다. NaOH 전처 리에 의해 수지부착량은 감소하였으나 감량률은 증가하였으며, DP성/물성은 더 낮게 나타났다. NaOH 전처리에 의해 인장선형성, 인장에너지, 압축 레질리언스, 전단 및 굽힘특성은 증가하였으나 인장레질리언스와 압축선형성, 압축에너지, 표면특성은 감소하였다. NaOH 전처리한 경우 Koshi는 증가하였고, Numrei와 Fukuramil는 감소하였으며, 종합태 값은 가장 낮았다. 처리한 시료들은 각각 다른 감성과 촉감을 나타냈다.

• International Journal of Arrhythmia
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• v.19 no.3
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• pp.186-234
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• 2018

Catheter and surgical ablation of atrial fibrillation (AF) have evolved from investigational procedures to their current role as effective treatment options for patients with AF. Surgical ablation of AF is available in most major hospitals throughout the world. Catheter ablation of AF is even more widely available, and is now the most commonly performed catheter ablation procedure. Management of patients with AF has traditionally consisted of three main components: (1) anticoagulation for stroke prevention; (2) rate control; and (3) rhythm control. With the emergence of large amounts of data, which have both defined and called attention to the interaction between modifiable risk factors and the development of AF and outcomes of AF management, we believe it is time to include risk factor modification as the fourth pillar of AF management. Catheter and surgical ablation of AF are highly complex procedures, therefore a decision to perform catheter or surgical AF ablation should only be made after a patient carefully considers the risks, benefits, and alternatives to the procedure.

• Journal of Yeungnam Medical Science
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• v.18 no.2
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• pp.267-276
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• 2001

Background: P wave dispersion(PWD) is defined as the difference between the maximum and minimal P wave duration in any of the 12 leads of the surface ECG. The prolongation of atrial conduction time and the inhomogeneous propagation of sinus impulse are known electrophysiologic features in patients with paroxysmal atrial fibrillation(PAF). The purpose of this study was to determine the role of P wave dispersion for the prediction of PAF and to evaluate the effectiveness of prophylactic antiarrhythmic therapy. Materials and Methods: The study population included 20 patients with a history of idiopathic PAF and 20 age and sex matched healthy control subjects. We measured the maximum P wave duration(P maximum) and P wave dispersion from 12 lead ECG. Results: P maximum and P dispersion in idiopathic PAF were significantly higher than normal control group($97.2{\pm}12$, $48.5{\pm}9$ msec vs, $76.5{\pm}11$, $21{\pm}8$ msec, respectively p<0.001, <0.001). After 12-month follow up period P maximum and P dispersion were significantly reduced than those of initial state($77.2{\pm}13$, $26.4{\pm}9$ msec vs. $97.2{\pm}12$, $48.5{\pm}9$ msec, respectively p<0.001,<0.001). Conclusion: P dispersion and P maximum were significantly different between patients with idiopathic PAF and healthy control group. Those are easily accessible, non-invasive simple electrocadiographic markers that could be used for the prediction and prognostic factors of idiopathic PAF.

• The Korean Journal of Physiology and Pharmacology
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• v.26 no.5
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• pp.313-323
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• 2022

Atrial fibrillation (AF) is the most common supraventricular arrhythmia, and it corresponds highly with exercise intensity. Here, we induced AF in mice using acetylcholine (ACh)-CaCl₂ for 7 days and aimed to determine the appropriate exercise intensity (no, low, moderate, high) to protect against AF by running the mice at different intensities for 4 weeks before the AF induction by ACh-CaCl₂. We examined the AF-induced atrial remodeling using electrocardiogram, patch-clamp, and immunohistochemistry. After the AF induction, heart rate, % increase of heart rate, and heart weight/body weight ratio were significantly higher in all the four AF groups than in the normal control; highest in the high-ex AF and lowest in the low-ex (lower than the no-ex AF), which indicates that low-ex treated the AF. Consistent with these changes, G protein-gated inwardly rectifying K⁺ currents, which were induced by ACh, increased in an exercise intensity-dependent manner and were lower in the low-ex AF than the no-ex AF. The peak level of Ca²⁺ current (at 0 mV) increased also in an exercise intensity-dependent manner and the inactivation time constants were shorter in all AF groups except for the low-ex AF group, in which the time constant was similar to that of the control. Finally, action potential duration was shorter in all the four AF groups than in the normal control; shortest in the high-ex AF and longest in the low-ex AF. Taken together, we conclude that low-intensity exercise protects the heart from AF, whereas high-intensity exercise might exacerbate AF.

• The Korean Journal of Physiology and Pharmacology
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• v.4 no.4
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• pp.319-324
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• 2000

The causal relationship between heat shock protein (HSP) and second window of cardioprotective effect is still undetermined. In the present study, we assessed whether HSP-producing substances, amphetamine and ketamine, afforded protection against reperfusion-induced ventricular fibrillation (VF) and these protective effect remained after the inhibition of HSP72 production by quercetin, a mitochondrial ATPase inhibitor. Adult mongreal male cats $(n=60,\;2.5{\sim}4\;kg)$ were used in this study. Experimental animals were divided into five groups; control group (n=15), amphetamine ('A', n=11) group, ketamine ('K', n=9) group, amphetamine-ketamine ('AK', n=16) group and amphetamine-ketamine-quercetin ('AKQ', n=9) group. Twenty-four hours after the drug treatment, an episode of 20-min coronary artery occlusion was followed by 10-min reperfusion. The incidence of reperfusion-induced VF in the AK and AKQ groups was significantly lower than that in control group (p＜0.01). After the ischemia/reperfusion procedure, western blot analysis of HSP72 expression in the myocardial tissues resected from each group was performed. HSP72 production in the AK group was marked, whereas HSP72 was not detected in the AKQ and control groups. These results suggest that the suppressive effect against reperfusion-induced VF induced by amphetamine and ketamine is not mediated by myocardial HSP72 production but by other mechanisms.