• Journal of Korean Foot and Ankle Society
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• v.18 no.4
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• pp.178-182
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• 2014

Purpose: The purpose of this study was to evaluate the frequency of troughing and stress fracture, which are the major complications of scarf osteotomy, and to suggest methods to prevent these complications. Materials and Methods: We reviewed 243 cases of 137 patients treated with the scarf osteotomy for hallux valgus from January 2005 to December 2012. The mean follow-up period was 2.8 years. During the scarf osteotomy, a long oblique longitudinal osteotomy was performed in order to decrease the possibility of troughing and stress fracture. Radiographs of lateral view of the foot were obtained and the thicknesses of the first metatarsal base at the sagittal plane were measured and compared. Results: There was no troughing during fragment translation and screw fixation intraoperatively. Radiographs of lateral view of the foot taken preoperatively and at the last follow-up showed that the mean thickness of the first metatarsal was 22.4 mm preoperatively and 21.6 mm at the last follow-up, with a mean difference of 0.8 mm. And no stress fracture was observed. Conclusion: To prevent troughing and stress fracture, a long oblique longitudinal cut, parallel to the first metatarsal plantar surface, was performed, making both ends of the proximal segment truncated cone-shape, and securing the strong bony strut of the proximal segment. No troughing or stress fracture was experienced with scarf osteotomy.

• The korean journal of orthodontics
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• v.23 no.4 s.43
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• pp.619-631
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• 1993

Tooth movement by segment is one of the means which are frequently used in daily orthodontic practice. When we retract or intrude a tooth or teeth, we should recognize the center of resistance of the certain tooth or teeth. There have been many studies about the center of resistance of a single tooth, not so much was about the tooth-segment. At the present study the center of resistance of the maxillary anterior segment is experimentally investigated by using laser reflection technique and metal splints on the human dry skull. The variables of intrusive force magnitude are divided into two groups, 50g and 100g groups. The results were as follows ; 1. The center of resistance of the maxillary anterior segment composed of the central and lateral incisors was at the mesial portion of canine crown at the coronal level. 2. The center of resistance of the maxillary anterior segment composed of the central and lateral incisors and canines is between the canine and the 1st premolar crowns at the coronal level.

• 제어로봇시스템학회:학술대회논문집
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• 2001.10a
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• pp.55.4-55
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• 2001

Analyzing the ECG signal, we can find heart disease. Myocardial ischemia is a disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. Myocardial ischemia is inscribed on ST-segment of the ECG during and after patient takes exercise or is under stress, but after long time past, the ECG pattern is return to steady state. Therefore, it is necessary to monitor and analyze the ECG signal continuously for patient or aged people. Our primary purpose is the detection of temporary change of the ST-segment of ECG automatically. In the signal processing, the wavelet transform decomposes the ECG signal into high and low frequency components using wavelet function. Recomposing the high frequency bands including QRS complex, we can detect QRS complex more easily ...

• 제어로봇시스템학회:학술대회논문집
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• 2002.10a
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• pp.77.3-77
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• 2002

In this paper, the algorithm for detecting the transient change of ST-segment and the device for measuring ECG from patient without restriction of activity are introduced. ST-segment elevation and depression is considered as the main characteristic in diagnosis of myocardial ischemia, but the change of pattern is also important. To consider all of the former and the latter, we used polynomial approximation for diagnosis of ECG. The feature points(R, S and T are detected through the signal processing processes including wavelet transform, and then R-S and S-T are approximated to polynomial. This method allows comparison of two signals that have different sampling time or different numbers of...

• Proceedings of the Korea Information Processing Society Conference
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• 2006.11a
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• pp.365-368
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• 2006

심장의 활동을 기록한 심전도는 심장의 상태에 대한 가치 있는 임상 정보를 제공한다. 지금까지 심전도를 이용한 심장 질환 진단 알고리즘에 대한 많은 연구가 진행되어 왔으나, 심장 질환에 대한 진단 결과의 부 정확성으로 인해 외국의 진단 알고리즘을 사용하고 있다. 이 논문에서는 원시 심전도 데이터로부터 심장 질환 진단의 파라미터인 ST-segment 추출 방법을 제안한다. ST-segment는 관상동맥질환 예측에 활용되므로 데이터마이닝의 분류기법을 적용하여 질환을 예측한다. 또한 연관규칙 마이닝을 통해 환자들의 임상 데이터로부터 심장 질환자들의 임상적 특징을 예측한다.

• Proceedings of the KOSOMBE Conference
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• v.1996 no.05
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• pp.293-297
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• 1996

For the representative beat calculation and efficient rhythm analysis new method, that is, QRS typification were proposed. A problem that were resulted from pattern classification based on binary logic could be solved out by the fuzzy clustering and classification nodes could be reduced by using the proposed new feature vector. The accurate representative beat could be obtained by excluding the ST-T segment that happened outlier through ST-T segment typification procedure.

• Journal of Korean Neurosurgical Society
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• v.52 no.5
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• pp.452-458
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• 2012

Objective : In the present study, we evaluated the effect, safety and radiological outcomes of cervical hybrid surgery (cervical disc prosthesis replacement at one level, and interbody fusion at the other level) on the multilevel cervical degenerative disc disease (DDD). Methods : Fifty-one patients (mean age 46.7 years) with symptomatic multilevel cervical spondylosis were treated using hybrid surgery (HS). Clinical [neck disability index (NDI) and Visual Analogue Scale (VAS) score] and radiologic outcomes [range of motion (ROM) for cervical spine, adjacent segment and arthroplasty level] were evaluated at routine postoperative intervals of 1, 6, 12, 24 months. Review of other similar studies that examined the HS in multilevel cervical DDD was performed. Results : Out of 51 patients, 41 patients received 2 level hybrid surgery and 10 patients received 3 level hybrid surgery. The NDI and VAS score were significantly decreased during the follow up periods (p<0.05). The cervical ROM was recovered at 6 and 12 month postoperatively and the mean ROM of inferior adjacent segment was significantly larger than that of superior adjacent segments after surgery. The ROM of the arthoplasty level was preserved well during the follow up periods. No surgical and device related complications were observed. Conclusion : Hybrid surgery is a safe and effective alternative to fusion for the management of multilevel cervical spondylosis.

• Journal of Cardiovascular Imaging
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• v.30 no.3
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• pp.197-201
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• 2022

• Korean Journal of Adult Nursing
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• v.27 no.1
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• pp.83-93
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• 2015

Purpose: This study was to investigate the relationship among the symptom recognition, health behavior compliance, and the hospital arrival time to identify factors influencing the hospital arrival time in patient with acute myocardial infarction (AMI). Methods: The subjects of this study were 200 patients with AMI in C hospital in D city. Data were analyzed using descriptive statistics, independent t-test, One way ANOVA, Pearson's correlation coefficients, and stepwise multiple liner regression tests. Results: Level of symptom recognition and health behavior compliance was low. The median value of hospital arrival time was 4.48 hours (ST-segment Elevation Ml was 2.43 hours and Non ST-segment Elevation MI was 7.83 hours). Among the studied factors, only symptom recognition had a statistically significant positive correlation with health behavior compliance (r=0.38, p<.001). Factors influencing the hospital arrival time were MI classification, diabetes mellitus (DM) and transport vehicle to the 1st hospital, and they accounted for 13% of the variance for hospital arrival time in AMI patients. Conclusion: To prevent the delay of hospital arrival time in MI patients, a more robust nursing strategic intervention according to MI classification and DM is necessary; further education on the importance of transportation utilization is also mandated.

• Journal of Biomedical Engineering Research
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• v.16 no.4
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• pp.517-524
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• 1995

This paper is a study on the design of the cascade adaptive filter (CAF) for baseline wandering elimination in order to enhance the performance of the detection of ST segments in ECG. The CAF using Least Mean Square (LMS) algorithm consists of two filters. The primary adaptive filter which has the cutoff frequency of 0.3Hz eliminates the baseline wandering in raw ECG The secondary adaptive filter removes the remnant baseline wandering which is not eliminated by the primary adaptive filter. The performance of the CAF was compared with the standard filter, the recursive filter, and the adaptive impulse correlated filter (AICF). As a result, the CAF showed a lower signal distortion than the standard filter and the AICF. Also, the CAF showed a better perf'ormance in noise elimination than the standard filter and the recursive filter. In conclusion, considering the characteristics of the noise elimination and the signal distortion, the CAF shows a better performance in the removal of the baseline wandering than the other three Otters and suggests the high performance in the detection of ST segment.