• 제목/요약/키워드: Urodynamics

검색결과 19건 처리시간 0.021초

유비쿼터스 기반 휴대용 방광기능 검사 장치 (Portable urodynamics monitoring system based on ubiquitous technology)

  • 김거식;안양수;송철규
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
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    • pp.43-45
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    • 2007
  • We developed a portable urodynamics monitoring system using personal digital assistance (PDA) and proposed a new method for measuring the abdominal pressure in non invasive mode using surface EMG signals. This system is consisted of a signal conditioning and control module and could measure the vesical, abdominal and detrusor pressure. The result showed a high correlation coefficient between the practical abdominal pressure, using a conventional rectal catheter and the estimated values, by our proposed algorithm (r=0.81). This system should prove a useful tool in the future evaluations of ambulatory urodynamics monitoring study.

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휴대용 하부요로기능 검사 장치의 설계 (Design of ambulatory urodynamics monitoring system)

  • 이상옥;김거식;윤대영;서정환;송철규
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2005년도 심포지엄 논문집 정보 및 제어부문
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    • pp.48-50
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    • 2005
  • Urodynamics describes a collection of tests designed to evaluate lower urinary tract function and can be performed using retrograde filling of the bladder within a room. In this study, we designed and calibrated the potable urodynamics monitoring system using DSP chip (TMS320VC33, Texas Instrument$^{TM}$, U.S.) and collected pressure and EMG using calibration kit (DPT9022K0122, Medtronics$^{TM}$, U.S.). This system can make patients more comportable and monitor spontaneous urination during daily life.

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휴대용 방광기능 검사 장치에 대한 연구 (Study for portable bladder function monitoring system)

  • 김거식;이상옥;이갑성;이태현;김길호;김형준;장춘환;윤성일;김종훈;채희창;송철규
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2005년도 학술대회 논문집 정보 및 제어부문
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    • pp.379-381
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    • 2005
  • Urodynamics describes a collection of tests designed to evaluate lower urinary tract function and can be performed using retrograde filling of the bladder within a room. In this study, we designed and calibrated the potable urodynamics monitoring system using DSP chip (TMS320VC33, Texas InstrumentTM, U.S.) and obtained signals of bladder(Pves) and bladder neck pressure(Pneck) and EMG using calibration kit (DPT9022K0122, MedtronicsTM, U.s,). This system monitor spontaneous urination during daily life and can make patients more comportable.

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비침습적 복압 측정을 위한 생체 임피던스 전극의 최적 위치 선정 (Optimum electrode selection for measuring the abdominal pressure using bio-impedance method)

  • 안양수;김거식;송철규
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
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    • pp.46-48
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    • 2007
  • In this study, we determined the optimum electrode pair for measuring the abdominal pressure using bio-impedance method. Because impedance changes differ from a weight, a height, contractile force, volume of muscle and blood other or whatever of individuals, it was quantified using values of impedance change, correlation coefficient and SNR. Our results showed the optimum electrode pair (1, 9) which could detect impedance changes due to an increase of the intensity of the abdominal pressure. The correlation coefficient and quadratic function between the RMS values of EMG and the impedance changes were 0.87 and $y=0.0014x^2$+0.0620x+0.6958, respectively. It demonstrated that the abdominal pressure could be measured non-invasively and simply using bio-impedance method. We propose that this optimum electrode configuration would be useful for future studies involving the convenient measurement of abdominal pressure by ambulatory urodynamics monitoring study.

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아로마 흡입요법이 요역동학검사 환자의 불안과 심박변이도에 미치는 효과 (The Effects of Aroma Inhalation Therapy on Anxiety and Heart Rate Variability in the Patients Undergoing Urodynamic Study)

  • 김명완;유양숙;조옥희;조성준
    • Journal of Korean Biological Nursing Science
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    • 제11권1호
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    • pp.32-41
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    • 2009
  • Purpose: This study was to identify the effects of aroma inhalation therapy on heart rate variability and anxiety in the context of urodynamics study. Method: The data were collected from 64 patients who were receiving urodynamics at the C University Medical Center in Seoul, 23 in the experimental group, 22 in the placebo group and 19 in the control group. In the experiment, the subjects of the experimental group inhaled a mixture of lavender and bergamot for 5 min, the subjects of the placebo group inhaled geranyl acetate oil for 5 min and the subjects of the control group relaxed for 5 min. The instruments used in this study included the state anxiety inventory and heart rate variability. Result: The score of state anxiety was no significant differences between the three groups after aroma-inhalation. Also, the sympathetic nerve activity and parasympathetic nerve activity was no significant differences between the three groups after aroma-inhalation. Autonomic nerve balance was maintained significantly in the experimental group as compared to the control groups after aroma-inhalation. Conclusion: The aroma inhalation therapy was very effective in balancing the autonomic nervous system in the patients undergoing urodynamic study.

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Integrated Effect of Non-Invasive Neuromodulation on Bladder Capacity in Traumatic Spinal Cord Injury Patient: Single Case Report

  • Priyanka Dangi;Narkeesh Arumugam;Dinesh Suman
    • Physical Therapy Rehabilitation Science
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    • 제13권1호
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    • pp.86-94
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    • 2024
  • Objective: To evaluate the changes in bladder capacity and storage through non-invasive neuromodulation by application of repetitive Trans magnetic stimulation (rTMS) and genital nerve stimulation (GNS) in traumatic spinal cord survivors. Design: A Single Case Study. Method: The Patient was registered in trail with the clinical trial registry of India (CTRI/2022/05/042431). The Patient was interposed with rTMS on lumbar area, from T11-L4 vertebrae with 1 Hz and the intensity was 20% below that elicited local paraspinal muscular contraction for 13 minutes. GNS was placed over dorsum of the penis with the cathode at the base and anode 2 cm distally at 20 Hz, 200 microseconds, Continuous and biphasic current was delivered and amplitude of stimulation necessary to elicit the genito-anal reflex. For assessment, Neurological examination was done for peri-anal sensation (PAS), voluntary anal contraction (VAC) and bulbocavernous reflex (BCR), deep anal pressure (DAP), and American Spinal Injury Association Impairment Scale (ASIA scale). Outcome assessment was done using Urodynamics, Spinal Cord Independence Measure Scale Version-III (SCIM-III), American Spinal Injury Association Impairment Score (ASIA Score), Beck's Depression Inventory Scale (BDI). The baseline evaluation was taken on Day 0 and on Day 30. Results: The pre-and post-data were collected through ASIA score, SCIM-III, BDI and Urodynamics test which showed significant improvement in bladder capacity and storage outcomes in the urodynamics study across the span of 4 weeks. Conclusion: rTMS along with GNS showed improvement in bladder capacity & storage, on sensory-motor score, in functional independence of individual after SCI.

하부요로 폐색진단을 위한 비침습적 방광내압 계측 시스템의 구현 및 평가 (Implementation and estimation of the noninvasive vesical pressure measurement system for diagnosis of lower urinary tract symptom)

  • 정도운;전계록
    • 센서학회지
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    • 제15권2호
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    • pp.139-147
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    • 2006
  • Lower urinary tract symptoms (LUTS) affect self-assessed quality of life. The prevalence of LUTS is commonly high in the elderly. The purpose of urodynamic investigation is to obtain information on the function of the urinary system. One of the most frequently used measurement procedures in urodynamics is filling and voiding cystometry. But in this system transurethral catheter is used and it makes patients uncomfortable. The aim of this study is to implement the system that could evaluate noninvasively the function of urinary tract. A new system has been developed to analyze urine flow rate and vesical pressure during voiding. These signals were recorded simultaneously and transmitted to a PC. For system evaluation, a model for the lower urinary system of men was constructed. From the evaluation of the model, vesical pressure was correlated with the occlusion degree. In a pilot study with five male subjects, maximum of standard deviation was 1.26, error rate was 3.49 and coefficient of variation was 3.48.

생체 임피던스 방법을 이용하여 복압을 측정하기 위한 최적 전극위치 선정 (Optimum Electrode Selection for Measuring Abdominal Pressure using Bio-Impedance Method)

  • 김거식;이상옥;서정환;김경섭;송철규
    • 전기학회논문지
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    • 제56권7호
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    • pp.1339-1342
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    • 2007
  • In this study, we determined the optimum electrode pair for measuring the abdominal pressure using bio-impedance method and compared with conventional methods. Because impedance changes differ from a weight, a height, contractile force, volume of muscle and blood other or whatever of individuals, it was quantified using values of impedance change, correlation coefficient and SNR. Our results showed the optimum electrode pair (1, 9) which could detect impedance changes due to an increase of the intensity of the abdominal pressure. The correlation coefficient and quadratic function between the RMS values of EMG and the impedance changes were 0.87 and $y=0.0014x^2+0.0620x+0.6958$, respectively. It demonstrated that the abdominal pressure could be measured noninvasively and simply using bio-impedance method. We propose that this optimum electrode configuration would be useful for future studies involving the convenient measurement of abdominal pressure by ambulatory urodynamics monitoring study.

요역동학 측정시스템을 위한 새로운 복압측정 기법 (A New Approach Method of Measuring Abdominal Pressure for Urodynamic Monitoring System)

  • 서정환;김거식;안양수;김경섭;송철규
    • 전기학회논문지
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    • 제56권6호
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    • pp.1170-1176
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    • 2007
  • The conventional urodynamic monitoring is fulfilled by artificially filling a bladder with saline. Generally. it is difficult to evaluate the physiological functions of the storage and voiding of a bladder. With this aim, we constructed an ambulatory urodynamic monitoring (AUM) system and proposed a novel method estimating abdominal pressure by measuring bio-impedance variations. Our system was clinically evaluated for 10 patients. It turned out to be that as the intensity of the abdomen contraction increased, the amplitude of bio-impedance signal and the RMS value of EMG increased more as compared to those who observed during the rest mode. Also, we determined the optimum electrode pair for estimating the abdominal pressure using bio-impedance method and consequently compared with the conventional methods. Because impedance changes differ from a weight, a height, contractile force, volume of muscle and blood other or whatever of individuals, it was quantified in terms of impedance change, correlation coefficient and SNR Our results showed the optimum electrode pair (1,9) which could detect impedance changes due to the increase of the intensity in the abdominal pressure. The correlation coefficient and quadratic function between the RMS values of EMG and the impedance changes were 0.87 and $y=0.0014x^2+0.0620x+0.6958$, respectively. Thus, our system demonstrated that the abdominal pressure could be measured noninvasively and conveniently by simply estimating bio-impedance values. We propose that this optimum electrode configuration would be useful for the future studies involving the handy measurements of abdominal pressure with our suggested ambulatory urodynamics monitoring system.

휴대용 요역동학 검사 시 근전도 신호를 이용한 복압측정 방법 (A Non-invasive Measurement of Abdominal Pressure on Ambulatory Urodynamics Study Using Surface Electromyography)

  • 김거식;송철규;서정환
    • 전자공학회논문지SC
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    • 제45권6호
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    • pp.132-140
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    • 2008
  • 복압 측정을 위한 기존의 카데터 방법은 배뇨압에 영향을 줄 수 있는 많은 오차를 유발할 수 있으며 환자에게 불편함을 야기한다. 이러한 문제점을 해결하기 위해, 본 연구에서는 표면 근전도를 이용하여 비침습적으로 복압을 측정할 수 있는 새로운 방법을 개발하였다. 연구 결과, 기존 직장 카테터를 이용하여 측정된 복압과 복압측정 알고리즘을 이용하여 추정된 복압 간의 상관계수는 $0.79{\pm}0.06$이었으며, 두 신호간의 오차는 $0.10{\pm}0.07$이었다. 본 연구에서 개발된 복압추정 알고리즘을 이용하면 휴대용 요역동학 검사 시 편리하게 간접적으로 복압을 측정할 수 있을 것으로 생각된다.