• The Korean Journal of Physiology
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• v.10 no.1
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• pp.49-54
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• 1976

The change of heart rates during Flack Test was observed in the pregnant women, $24{\sim}48$weeks, of gestational age, to analyze mechanical and neural regulatory factors in responses to the positive lung inflation. The results obtained were summarized as followings: 1) Endurance tine of Flack Test was 37.6 sec, in the nonpregnant women, and 25.1 sec. in the pregnant women. 2) When Flack Test was employed, heart rate was decreased in early stage of Flack Test in the pregnant women, while heart rate was increased in the nonpregnant women. 3) In the pregnant women bradycardia due to abdominal mechanical intervention in early stage of Flack Test was prominent, while tachycardia was found in the nonpregnant women. 4) During Flack Test, tachycardia due to sympathetic central reflex activation was observed immediately after bradycardia in early stage of Flack Test. 5) It may be noted that Flack Test employed in the present study is a useful model to evaluate and analyze the neural and mechanical abdominal intervention factor in response to the positive inflation of lung in pregnant women.

• Archives of Craniofacial Surgery
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• v.22 no.1
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• pp.38-44
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• 2021

Background: The free flap surgical method is useful for the reconstruction of head and neck defects. This study retrospectively analyzed the results of head and neck reconstructions using various types of free flaps over the past 30 years. Methods: Between 1989 and 2018, a total of 866 free flap procedures were performed on 859 patients with head and neck defects, including 7 double free flaps. The causes of vascular crisis and salvage rate were analyzed, and the total flap survival rate calculated among these patients. Additionally, the survival and complication rates for each flap type were compared. Results: The 866 cases included 557 radial forearm flaps, 200 anterolateral thigh flaps, 39 fibular osteocutaneous flaps, and 70 of various other flaps. The incidence of the vascular crisis was 5.1%; its most common cause was venous thrombosis (52.3%). Salvage surgery was successful in 52.3% of patients, and the total flap survival rate was 97.6%. The success rate of the radial forearm flap was higher than of the anterolateral flap (p< 0.01), and the primary sites of malignancy were the tongue, tonsils, and hypopharynx, respectively. Conclusion: The free flap technique is the most reliable method for head and neck reconstruction; however, the radial forearm free flap showed the highest success rate (98.9%). In patients with malignancy, flap failure was more common in the anterolateral thigh (5.5%) and fibular (5.1%) flaps.

• IEMEK Journal of Embedded Systems and Applications
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• v.18 no.6
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• pp.277-283
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• 2023

Vital signals provide essential information regarding the health status of individuals, thereby contributing to health management and medical research. Present monitoring methods, such as ECGs (Electrocardiograms) and smartwatches, demand proximity and fixed postures, which limit their applicability. To address this, Non-contact vital signal measurement methods, such as CW (Continuous-Wave) radar, have emerged as a solution. However, unwanted signal components and a stepwise processing approach lead to errors and limitations in heart rate detection. To overcome these issues, this study introduces an integrated neural network approach that combines noise removal, demodulation, and dominant-frequency detection into a unified process. The neural network employed for signal processing in this research adopts a MLP (Multi-Layer Perceptron) architecture, which analyzes the in-phase and quadrature signals collected within a specified time window, using two distinct input layers. The training of the neural network utilizes CW radar signals and reference heart rates obtained from the ECG. In the experimental evaluation, networks trained on different datasets were compared, and their performance was assessed based on loss and frequency accuracy. The proposed methodology exhibits substantial potential for achieving precise vital signals through non-contact measurements, effectively mitigating the limitations of existing methodologies.

• Korean Circulation Journal
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• v.53 no.9
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• pp.594-605
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• 2023

Acute myocardial infarction (AMI) is a major cause of morbidity and mortality in the Asia-Pacific region, and mortality rates differ between countries in the region. Systems of care have been shown to play a major role in determining AMI outcomes, and this review aims to highlight pre-hospital and in-hospital system deficiencies and suggest possible improvements to enhance quality of care, focusing on Korea, Japan, Singapore and Malaysia as representative countries. Time to first medical contact can be shortened by improving patient awareness of AMI symptoms and the need to activate emergency medical services (EMS), as well as by developing robust, well-coordinated and centralized EMS systems. Additionally, performing and transmitting pre-hospital electrocardiograms, algorithmically identifying patients with high risk AMI and developing hospital networks that appropriately divert such patients to percutaneous coronary intervention-capable hospitals have been shown to be beneficial. Within the hospital environment, developing and following clinical practice guidelines ensures that treatment plans can be standardised, whilst integrated care pathways can aid in coordinating care within the healthcare institution and can guide care even after discharge. Prescription of guideline directed medical therapy for secondary prevention and patient compliance to medications can be further optimised. Finally, the authors advocate for the establishment of more regional, national and international AMI registries for the formal collection of data to facilitate audit and clinical improvement.

• Korean Circulation Journal
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• v.53 no.1
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• pp.34-46
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• 2023

Background and Objectives: Diabetes mellitus (DM)-associated heart failure (HF) causes high morbidity and mortality. In this study, we established a zebrafish larvae model for in vivo research on diabetic HF. Methods: DM-like phenotypes were induced by treating zebrafish larvae with a combination of D-glucose (GLU) and streptozotocin (STZ). HF was induced by treatment with terfenadine (TER), a potassium channel blocker. Additionally, myocardial contractility, motility, and viability were evaluated. Results: The zebrafish larvae treated with a combination of GLU and STZ showed significantly higher whole-body glucose concentrations, lower insulin levels, and higher phosphoenolpyruvate carboxykinase levels, which are markers of abnormal glucose homeostasis, than the group treated with only GLU, with no effect on viability. When treated with TER, DM zebrafish showed significantly less myocardial fractional shortening and more irregular contractions than the non-DM zebrafish. Furthermore, in DM-HF with reduced ejection fraction (rEF) zebrafish, a significant increase in the levels of natriuretic peptide B, a HF biomarker, markedly reduced motility, and reduced survival rates were observed. Conclusions: We established a DM-HFrEF zebrafish model by sequentially treating zebrafish larvae with GLU, STZ, and TER. Our findings indicate the potential utility of the developed zebrafish larvae model not only in screening studies of new drug candidates for DM-HFrEF but also in mechanistic studies to understand the pathophysiology of DM-HFrEF.

• The Korean Journal of Applied Statistics
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• v.11 no.1
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• pp.163-175
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• 1998

The change of hazard rates at some unknown time point has been the interest of many statisticians. But it was restricted to the constant hazard rates which correspond to the exponential distribution. In this paper we generalize the change-point model in which any specific functional forms of hazard rates are net assumed. The assumed model includes various types of changes before and after the unknown time point. The Nelson estimator of cumulative hazard function is introduced. We estimate the change-point maximizing slope changes of Nelson estimator. Consistency and asymptotic distribution of bootstrap estimator are obtained using the martingale theory. Through a Monte Carlo study we check the performance of the proposed method. We also explain the proposed method using the Stanford Heart Transplant Data set.

• Journal of electromagnetic engineering and science
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• v.5 no.3
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• pp.132-139
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• 2005

Wireless bio-signal sensing system, which is based on the principle of Doppler radar, can measure a respiration and heart rates with a periodic movement of skin and muscle near the heart. Though the sensing monostatic system using a circulator has been studied, this bistatic system can be improved by using a circular polarized antenna which has a high isolation between transmitter and receiver. In this paper, we measured the bio-signal without the direct contact with the person. The design of each system and experimental results are discussed.

• Journal of Chest Surgery
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• v.36 no.6
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• pp.431-435
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• 2003

Deep sternal wound infection (with or without acute mediastinitis) is a serious complication of open heart surgery, with high rates of associated morbidity and mortality, and prolonged hospitallization. The result of treatment largely depends on timely diagnosis and appropriate surgical management. Postoperative deep sternal wound infections in 4 cases were successfully treated with extensive debridement, pressurized jet irrigation with antibiotic solution, sternal refixation by Robicsek method, and dilute antibiotic irrigation via irrigation-suction system. We report 4 cases with review of articles.

• Journal of electromagnetic engineering and science
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• v.3 no.1
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• pp.45-49
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• 2003

Wireless life signal detecting system is implemented with using the mechanism of Doppler Effect. This system can measure the respiration and heart rates with the periodic movement of skin and muscle near the heart. The system is consisted of antenna, RF transmitter, receiver, and display part. We did use two operating frequencies at 1.9 ㎓ and 10 ㎓. Firstly, the link budget about detecting system is analyzed and the signal detected from the system is compared with electrocardiogram(ECG) of monitor which is using for patient monitoring in hospital. Secondly, the detection of vital sign is also performed according to the different distances, and including behind the wall.

• International journal of advanced smart convergence
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• v.6 no.3
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• pp.22-28
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• 2017

With the recent development of technologies to manage vast amounts of data, data mining technology has had a major impact on all industries.. Data mining is the process of discovering useful correlations hidden in data, extracting executable information for the future, and using it for decision making. In other words, it is a core process of Knowledge Discovery in data base(KDD) that transforms input data and derives useful information. It extracts information that we did not know until now from a large data base. In the decision tree, c4.5 algorithm was used. In addition, the C4.5 algorithm was used in the decision tree to analyze the difference between frequency and mortality in the region. In this paper, the frequency and mortality of percutaneous coronary intervention for patients with heart disease were divided into regions.