• Title/Summary/Keyword: Point of care ultrasound

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Development of a Mobile Ultrasound Scanner for Point-of-care Applications (현장 진단 응용을 위한 모바일 초음파 스캐너 개발)

  • Cho, Jeong;Sohn, Hak-Yeol;Kim, Gi-Duck;Song, J.H.;Song, Tai-Kyong
    • Journal of Biomedical Engineering Research
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    • v.30 no.1
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    • pp.66-78
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    • 2009
  • A mobile ultrasound scanner developed for use in point-of-care applications is introduced, which can not only provide ultrasound images but can also measure various bio-signals. The mobile ultrasound scanner is also designed to meet the demanding requirements for point-of-care diagnosis, such as battery-powered operation, portability in terms of size and weigh, and real-time wireless communications capability for remote diagnosis. To meet these requirements, an efficient beamforming method for high resolution imaging with a small number of active elements, a hardware efficient beamformer architecture, and echo processing algorithms with greatly reduced computational complexity have been developed. Experimental results show that the prototype mobile ultrasound scanner is fully functional and satisfies most of the design requirements.

Ultrasonographic Assessment of the Cutaneous Changes Induced by Topical Use of Novel Peptides Comprising Laminin 5

  • Park, Kyong Chan;Kim, Se Young;Khan, Galina;Park, Eun Soo
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.304-309
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    • 2022
  • Background Laminin 5, which is found in the basement membrane of dermal-epidermal junction (DEJ), is a major adhesive component and associated with proliferating and migrating keratinocytes. In this study, we hypothesized that the topical application of the skin care products containing the novel peptides might restore the DEJ structure by deriving deposition of laminin 5 and promoting the keratinocyte migration. Here, we evaluated the restoration of DEJ by measuring the skin thickness. Methods Single-center retrospective analysis was performed on a total of 13 patients who underwent skin care using Baume L.C.E. (France, Laboratories d' Anjou) between January and March 2021. All patients applied the skin care agent for 2 weeks only on their left hand dorsum. Before the initiation of the application and after 2 weeks, both their hands were evaluated on photography and ultrasound. And the patients were asked to rate their satisfaction with the questionnaire after 2 weeks. Results There was no obvious improvement in photographic assessment and questionnaire. The post-pre difference of skin thickness in ultrasound images was, in left hand, 0.1 ± 0.37 in distal point and 0.1 ± 0.35 in proximal point; and, in right hand, 0 ± 0.17 in distal point and 0 ± 0.15 in proximal point, respectively. The pre-post difference was statistically significant in proximal point (p = 0.035). Conclusion Topical application of novel peptide derivative comprising laminin 5 demonstrated cutaneous changes including skin thickness, as assessed by ultrasound. Further studies using other modalities including dermal density measurement, three-dimensional photography, optical coherence tomography, or skin biopsy would be helpful to determine the skin-improving effects.

Is a Training Program in Pediatric Abdominal Ultrasonography Necessary for Pediatricians?

  • Soon Chul Kim
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.27 no.6
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    • pp.333-335
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    • 2024
  • Despite being an essential specialty, pediatrics in South Korea faces the threat of collapse. While the declining birth rate is an important contributor to the decrease in the pediatric population, a more critical issue lies in the dysfunctional healthcare system. Primary care pediatricians are troubled by the lack of patients, whereas tertiary care specialists are concerned about the shortage of doctors. Although the absolute number of pediatric specialists is not small, there is a scarcity of doctors willing to specialize in pediatrics. Recently, pediatric abdominal ultrasonography has been conducted in tertiary hospitals. However, there is an argument that this responsibility should be shifted to primary care pediatricians. As someone who has been performing pediatric abdominal ultrasound examinations for years, I am committed to educating pediatric specialists in this field. My aim is to contribute, albeit modestly, to improving the South Korean healthcare system.

International Health Project for Improving the Level of Mother and Child Health in Developing Countries: Focusing on KOICA CTS Cases in Vietnam (개발도상국 모자보건 수준 향상을 위한 국제보건사업: 베트남 KOICA CTS 사례를 중심으로)

  • Choung, Yoo-Chan;Shin, Jae-wan
    • Journal of Appropriate Technology
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    • v.6 no.1
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    • pp.45-50
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    • 2020
  • We developed the world's first wireless ultrasound diagnostic device. For the smooth delivery of pregnant women, the WHO requires four prior examinations, and the use of ultrasound diagnostic devices is essential for this purpose. However, income levels and medical facilities in developing countries are falling short. We conducted KOICA's CTS program in Vietnam using a self-developed radio ultrasound diagnostic device. We supplied Sonon300C, a portable wireless ultrasound diagnostic device, to health centers and hospitals in Huong-Hoa district, Vietnam, and conducted an outreach program in an effort to further enhance business performance. As a result, the rate of ultrasound diagnostics in the region reached 100% and the percentage of trained graduates increased to 59%.

Practical Approach of Laryngeal Ultrasonography (후두초음파의 임상적 활용)

  • Cho, Woojin
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.29 no.1
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    • pp.19-23
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    • 2018
  • Ultrasonography has increasingly moved from being a modality confined to the radiology department to an active diagnostic and therapeutic aid available to the head and neck at the point of patient care. However, the application of ultrasonography to the laryngeal disorder is very rare due to progressive age-related ossification of laryngeal cartilage and the presence of air in the lumen, which contribute to difficult conditions for transmission of the ultrasonic waves. The observation about the movements of larynx or surrounding structures is important to understand the physiology of phonation or swallowing and to diagnose the disease. Ultrasonography is a noninvasive and safe imaging technique that can be used to investigate the anatomic structures of the head and neck. Recently, the development of high-frequency ultrasonography makes it possible to apply the ultrasound in the evaluation of larynx.

Risk Factors for Predicting Hypoxia in Adult Patients Undergoing Bronchoscopy under Sedation

  • Choi, Ji Soo;Lee, Eun Hye;Lee, Sang Hoon;Leem, Ah Young;Chung, Kyung Soo;Kim, Song Yee;Jung, Ji Ye;Kang, Young Ae;Park, Moo Suk;Chang, Joon;Kim, Young Sam
    • Tuberculosis and Respiratory Diseases
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    • v.83 no.4
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    • pp.276-282
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    • 2020
  • Background: Flexible bronchoscopy is one of the essential procedures for the diagnosis and treatment of pulmonary diseases. The purpose of this study was to identify the risk factors associated with the occurrence of hypoxia in adults undergoing flexible bronchoscopy under sedation. Methods: We retrospectively analyzed 2,520 patients who underwent flexible bronchoscopy under sedation at our tertiary care university hospital in South Korea January 1, 2013-December 31, 2014. Hypoxia was defined as more than 5%-point reduction in the baseline percutaneous oxygen saturation (SpO2) or SpO2 <90% for >1 minute during the procedure. Results: The mean age was 64.7±13.5, and 565 patients developed hypoxia during the procedure. The mean sedation duration and midazolam dose for sedation were 31.1 minutes and 3.9 mg, respectively. The bivariate analysis showed that older age, a low forced expiratory volume in one second (FEV1), use of endobronchial ultrasound, the duration of sedation, and the midazolam dose were associated with the occurrence of hypoxia during the procedure, while the multivariate analysis found that age >60 (odds ratio [OR], 1.32), a low FEV1 (OR, 0.99), and a longer duration of sedation (>40 minutes; OR, 1.33) were significant risk factors. Conclusion: The findings suggest that patients older than age 60 and those with a low FEV1 tend to develop hypoxia during the bronchoscopy under sedation. Also, longer duration of sedation (>40 minutes) was a significant risk factor for hypoxia.

A Study on the Design and Fabrication of Fat Emulsification Adapted Focused Ultrasonic Transducer (지방 조직 유화를 위한 집속형 초음파 변환기 설계 및 제작에 관한 연구)

  • Kim, Ju-Young;Kim, Jae-Young;Jung, Hyun-Du;Noh, Si-Cheol;Mun, Chang-Su;Mun, Chi-Woong;Choi, Heung-Ho
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.11
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    • pp.127-134
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    • 2015
  • Tissue stimulation technique using ultrasound has been continuously studied and developed. Recently, as a increment of interests for obesity treatment and cosmetic care, a various studies on ultrasonic fat emulsification has been conducted. In this study, the fat emulsification adapted ultrasonic transducer was designed. And using designed transducer, the simulation for the shape of focal area and thermal degradation region was conducted. The dimensions were verified by the simulation results. And the effectiveness was confirmed by evaluating measured radiation characteristic and heating characteristic. In addition, we estimated the ultrasonic heating characteristics in composite structure medium. The shape of focal point and heating characteristic of the proposed transducer were determined to be sufficient to emulsify the fat. The results of this study are considered to be used as basic research in more efficient and safe ultrasonic fat removal.

Construction of Static 3D Ultrasonography Image by Radiation Beam Tracking Method from 1D Array Probe (1차원 배열 탐촉자의 방사빔추적기법을 이용한 정적 3차원 초음파진단영상 구성)

  • Kim, Yong Tae;Doh, Il;Ahn, Bongyoung;Kim, Kwang-Youn
    • Journal of the Korean Society for Nondestructive Testing
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    • v.35 no.2
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    • pp.128-133
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    • 2015
  • This paper describes the construction of a static 3D ultrasonography image by tracking the radiation beam position during the handy operation of a 1D array probe to enable point-of-care use. The theoretical model of the transformation from the translational and rotational information of the sensor mounted on the probe to the reference Cartesian coordinate system was given. The signal amplification and serial communication interface module was made using a commercially available sensor. A test phantom was also made using silicone putty in a donut shape. During the movement of the hand-held probe, B-mode movie and sensor signals were recorded. B-mode images were periodically selected from the movie, and the gray levels of the pixels for each image were converted to the gray levels of 3D voxels. 3D and 2D images of arbitrary cross-section of the B-mode type were also constructed from the voxel data, and agreed well with the shape of the test phantom.