• Journal of Chest Surgery
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• 제22권1호
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• pp.67-73
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• 1989

Forty two patients with chronic constrictive pericarditis, who were admitted to the Yonsei University College of medicine over a period of 18 years from January, 1970 to August, 1988, were analyzed retrospectively. Mean age of the patient was 33.5 year ranging from 6.8 to 60 years old. Male to female ratio was 1.3 to 1. Twenty-one cases [50%] were tuberculous origin [based on either associated pulmonary tuberculosis and/or caseous necrosis in thickened pericardial specimen] and 17 cases [40.5%] were idiopathic [non specific chronic inflammatory change was considered to be idiopathic]. Dyspnea on exertion was evident in 30 cases [71.4%] and abdominal distention in 21 cases [50%]. On physical examination, hepatomegaly [83.3%], neck vein distention [54.8%], distant heart sound [47.6%] and ascites were found. Thirty-nine patients showed low voltage of QRS and/or T wave flattening or inversion on EKG. Thirty-one cases had undergone cardiac catheterization which showed data compatible with chronic constrictive pericarditis. Midsternostomy group [n=15] had shown the most remarkable CVP decline [12.20 mmHg] as compared with bilateral submammary incision group [n=25, 8.96 mmHg] and left thoracotomy group [n=2, 7.75 mmHg] but difference was not significant statistically There was four early death among 42 patients [9.5%] including 3 cases of left ventricular failure and one cardiac tamponade. Main postoperative complications were wound infection [6 cases] and arrhythmia [3 cases]. Follow-up of 24 patients [mean; 55.3 months, ranging from 2 months to 155 months] revealed good functional status.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
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• pp.467-468
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• 2007

In this paper, we have proposed a new method to extract the fetal ECG from a pregnant woman's abdominal signal using least square acceleration (LSA) filter and adaptive impulse correlation (AIC) filter. To evaluate the performance, the proposed method and other fetal ECG extraction techniques were processed using the real ECG data and then the results were compared. According to comparative results, the proposed method is powerful and successful for extracting the fetal ECG. It was able to separate perfectly even though the fetal beats overlap with the QRS wave of the maternal beats and to extract fetal ECG using any single-channel abdominal signal measured from pregnant woman's abdominal surface. Also, it could be implemented easily by fast computation time and simple structure. It is sure that our method could be useful for portable fetal monitoring system.

• 사상체질의학회지
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• 제14권3호
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• pp.85-96
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• 2002

The purpose of this study is to examine the effects of sasang constitutional herbal extracts such as Yangkyuksanhwatang(YST) on EKG. For this purpose, 3 hospitalized Soyangin patients having heart disease history was selected. and changes of the symptoms and EKGs was investigated. We measured and observed EKG changes of before YST medication and after medication. The results of these experiments were as follows. 1. The activity of HR, PR, QRS was decreased on EKG2 comparison to EKG1 after Yangkyuksanhwatang(YST) medication 2. QT, QTC interval was prolonged after YST medication 3. RR time was prolonged after YST medication 4. The voltage of Q wave was decreased after YST medication From the above results, it is suggested that Yangkyuksanhwatang(YST) have influenced on EKG.

• 한국임상수의학회지
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• 제14권2호
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• pp.338-348
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• 1997

The electrocardiographic (ECG) parameters on unipolar precordial chest leads in the normal Korean native goat of 343 heads as to CV$_{6}$LU, CV$_{6}$LL CV$_{6}$RU, CV$_{6}$RL and V10 have been measured with a 3-channel Elertrocardiograph and computed, analysed. All wave types as positive, negatives biphasic and flatting in the P and T waves appeared in all leads but any special wave type was not shown more than 60%. Average amplitudes with the highest frequent rate in P wave were 81.4$\pm$32.0 $\mu $V (52.3%), 59.6$\pm $ 27.5 $\mu $V (50.5 %) of Positive type in leads CV$_{6}$LU and CV$_{6}$LL, and -5fl.5$\pm $22.6 $\mu $V (44.0%) of negative type in leads VIO, and 51.3% and 44% of flatting type in leads CV$_{6}$RU and CV$_{6}$RL, but flatting type of clinic form appeared frequent rate between 53% and 77% in all leads. In T wave, average amplitudes with the highest frequent rate were 265.0$\pm $97.1 $\mu $V (54.0%) and 212.2$\pm $90.7 $\mu $V (57.0%) of positive type in leads CV$_{6}$LL and CV$_{6}$RL, and -252.8$\pm $90.7 $\mu $V (56.6%) of negative in lead V10, but amplitudes of T waves that positive and negative type appeared similarity frequent ra蛇 ware 208.7$\pm $99.7 $\mu $V (42.1%), -159.0$\pm $81.6 (43.8%) in lead CV$_{6}$LU and 153.2$\pm $139.0 $\mu $V (47.3%), -130.0$\pm $81.4 (43.2%) in lead CV$_{6}$RU, Amplitudes of QRS complex wave forms showed the highest frequent rate were 218.2$\pm $96.4 $\mu $V (47.8%), 308.3$\pm $135.2 $\mu $V (46.8 %), 232.8$\pm $126.5 $\mu $V (58.5%) and 225.3$\pm $89.6 $\mu $V (54.9%) of R type in the leeds CV$_{6}$LU, CV$_{6}$LL, CV$_{6}$RU and CV$_{6}$RL, and were -92.5$\pm $79.1 $\mu $V,479.0 $\pm $116.6 $\mu $V (33.2%) and 212.1 $\pm $86.7 $\mu $V (32.8%) of QR and 05 type in the lead V10. These results in the V10, CV$_{6}$RU, CV$_{6}$RL, CV$_{6}$LU, CV$_{6}$LL. may be not starve to purpose of unipolar precordial chest leads.

• 한국의류학회지
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• 제31권2호
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• pp.292-299
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• 2007

Development of portable device measuring the vital sign continuously with no limit of time and space is absolutely prerequisite for the U-health care that grafts the ubiquitous concept into medical system. Accordingly, it requires to develop a garment style apparatus for measuring vital-sign that is easy to wear on for a long time period. This study suggests a method to improve the insulation of electric cable and the skin adhesion of electrode by integrating the electric conductive material to garment, in order to develop a garment apparatus for measuring ECG for U-health care. Results of the research are as follows; In order to provide the adjacent conductive yarns with insulation, braid with narrow woven end was interlaced using polyester yarn. As a result, the direct contact between electric conductive yarns was restrained, which would be interposed into pin-tuck structured cable. Washable silicone gel applied around the electrode made of electric conductive fabric improved the adhesion, which prevents electrodes from dropping off from the skin surface during body movement. ECG signals on the human subject were tested using the garment apparatus developed by the above method. And the result was that the clear QRS wave formation in the typical form of ECG could be measured in both conditions of still and moving state as well. The result of this study is expected to contribute for the production of U-health care related medical apparatus by accelerating the practical uses of the garment measuring vital sign at a reasonable price.

• 센서학회지
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• 제13권5호
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• pp.383-391
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• 2004

In this study, we implemented the pulse transit time (PTT) system to examine usefulness of the monitoring method of distensibility and elasticity using photoplethysmography sensor in vivo. PTT is defined as the time interval between the peak of QRS complex in ECG signal and the maximum slope point of photoplethysmography. these two signals were converted to digital data by means of AID converter, then PTT was evaluated by heartbeat using PC. Results of analysis were displayed as a graph using spline interpolation method. The variance of PTT was measured repetitiously to verify efficiency of PTT system in resting state and hyperemic state. Repeated measurement of PTT was not same value but showed that coefficients of correlation were related with each other as 0.8302 (P<0.01) in resting state. And also repeated measurement of PTT showed significant correlation as 0.868 (P<0.01) in the hyperemic state. These result showed that PTT is reflect on transient pressure variance in the artery and is very useful method for the evaluation of prognosis of the hypertension and arteriosclerosis.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2007년도 춘계종합학술대회
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• pp.347-350
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• 2007

본 연구는 무선 센서네트워크를 활용하여 환자 또는 고령자를 위한 ECG, 활동량 모니터링 시스템을 설계 및 구현하였다. 심전도 변화는 사람의 활동, 뛰거나 걷기 등의 움직임에 따라 조금씩 변화한다. 그래서 종종 자세, 행동에 따른 ECG변화의 기록은 중요시되며 이를 위해 매일 활동하는 환자의 활동 모니터링 시스템이 필요하다. ECG와 활동량 데이터는 자동 알림기능을 지원하는 시스템에 저장되고 긴급 상황 발생 시 보다 빠르게 초기 활동을 할 수 있게 한다. 몸에서 계측된 ECG 데이터와 활동량 데이터는 무선 센서네트워크를 통해 베이스테이션과 연결된 서버에 전송되며 서버에서 비정상적 상황을 판별시 발생 의사의 PDA 또는 서버에 데이터를 전송한다.

• Progress in Superconductivity
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• 제10권2호
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• pp.139-143
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• 2009

We have fabricated a low-noise 61-channel axial-type first-order gradiometer system for measuring fetal magnetocardiography(MCG) signals. Superconducting quantum interference device(SQUID) sensor was based on double relaxation oscillation SQUID(DROS) for detecting biomagnetic signal, such as MCG, magnetoencphalogram(MEG) and fetal-MCG. The SQUID sensor detected axial component of fetal MCG signal. The pickup coil of SQUID sensor was wound with 120 ${\mu}m$ NbTi wire on bobbin(20 mm diameter) and was a first-order gradiometer to reject the environment noise. The sensors have low white noise of 3 $fT/Hz^{1/2}$ at 100 Hz on average. The fetal MCG was measured from $24{\sim}36$ weeks fetus in a magnetically shielded room(MSR) with shielding factor of 35 dB at 0.1 Hz and 80 dB at 100 Hz(comparatively mild shielding). The MCG signal contained maternal and fetal MCG. Fetal MCG could be distinguished relatively easily from maternal MCG by using independent component analysis(ICA) filter. In addition, we could observe T peak as well as QRS wave, respectively. It will be useful in detecting fetal cardiac diseases.

• 한국임상수의학회지
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• 제31권4호
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• pp.325-328
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• 2014

A 8-month-old female Maltese dog was presented with a history of heart murmur. In physical examination, grade 4/6 systolic murmur heard at the left heart base. Electrocardiography showed sinus arrhythmia, right axis deviation, deep S wave and splintered QRS complex. Thoracic radiography revealed enlarged right side heart and bulging of the main pulmonary artery. Echocardiography showed mild hypertrophy of right ventricle, a supravalvular stenosis, marked post-stenotic dilation of the main pulmonary artery and a moderately increased pulmonary arterial velocity through the stenotic area (4.4 m/s, pressure gradient of 78.7 mmHg). The dog was diagnosed with supravalvular pulmonic stenosis based on the diagnostic imaging findings. Medical management using ${\beta}1$-blocker and ACE inhibitor was started in this dog and this is first case report described diagnostic characteristic features of supravalvular pulmonic stenosis in korea.

• 대한전기학회논문지:시스템및제어부문D
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• 제55권7호
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• pp.335-343
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• 2006

We have designed the system that measure one channel ECG by two electrode and extract real-time EDR with more related resipiration and comportable to subject by using conductive textile. On the assumption that relation between RL electrode and potential measurement electrode is coupled with RC connected model, we designed RL drive output to feedback two electrode for reduction of common mode signal. The conductive textile which was used for two ECG electrode was offered more comfort during night sleep in bed than any other method using attachments. In the method of single-lead EDR, R wave point or QRS interval area could be used for EDR estimation in traditional method, it is, so to speak, the amplitude modulation(AM) method for EDR. Alternatively, R-R interval could be used for frequency modulation(FM) method based on Respiratory Sinus Arrhythmia(RSA). For evaluation of performance on AM EDR and FM EDR from 14 subject, ECG lead III was measured. Each EDR was compared with both temperature around nose(direct measurement of respiration) and respiration signal from thoracic belt(indirect measurement of respiration) on mean squared error(MSE), cross correlation(Xcorr), and Coherence. The upsampling interpolation technique of multirate signal processing is applied to interpolating data instead of cubic spline interpolation. As a result, we showed the real-time EDR extraction processing to be implemented at micro-controller.