• 제목/요약/키워드: Vascular measurement

검색결과 121건 처리시간 0.031초

Ultrasonic Measurement of Tissue Motion for the Diagnosis of Disease

  • Beach Kirk W.
    • International Journal of Vascular Biomedical Engineering
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    • 제1권1호
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    • pp.3-12
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    • 2003
  • Ultrasonic pulsed Doppler velocimetry has become a standard international method of classifying carotid disease. Because the measured angle adjusted velocity increases as the Doppler angle increases, examinations should be performed at a convenient standard Doppler examination angle. An angle of 60 degrees is achievable throughout most examinations. Multiple Doppler viewing angles allow the acquisition of velocity vectors during the cardiac cycle, revealing the complex velocity patterns. Ultrasonic velocimetry (whether Doppler or time domain) is based on changes in the phase of the ultrasound echo. Other examinations can be done based on the echo phase. Slow motions of organs such as the brain can be used to monitor changes in edema. Measurements of tissue strain due to the pulsatile filling of the arterioles. This plethysmographic imaging method can display differences in tissue perfusion because of different tissue types and changes in autonomic activity.

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Impedance 방식을 이용한 체내수분 측정에 관한 연구 (Analysis of total body water by Impedance Measurement technique)

  • 이지웅;오중환;윤형로
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1993년도 추계학술대회
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    • pp.55-59
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    • 1993
  • 신체의 특정부위에 정전류를 흘리고 이에 의한 전압의 차이를 이용하여 임피던스를 측정한 후 체내수분을 구하는 방법은 안전하고, 비침습적이며 신속하고, 조작하기 쉽다. 더우기 측정기구의 이동이 용이하므로 실험실 밖에서도 측정이 가능하고 환자의 협조가 별로 없어도 쉽게 측정할 수 장점이 있기 때문에 이를 임상에 적용시키기가 용이하다. 본 연구에서는 설계한 임피던스 측정기는 8bit원칩 마이크로프로세서를 이용하여 다중 채널 주파수 선택이 가능하며 데이터의 입출력 및 통신까지도 가능하도록 설계하였고 이 장치에 대한 실험으로 100명(남자71명, 여자 29명, 평균나이 $34.1{\pm}18.4$세, 1-78세)을 대상으로 체내 임피던스의 기초적인 자료를 구하고 이를 바탕으로 수술전후 환자의 체내수분 변화량을 측정하였다. 실험결과, 수술전후 금식 및 수액투여에 따른 체수분 변화를 관찰할 수 있었다.

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동맥맥파의 특징점 검출 알고리즘 개선에 관한 연구 (Improvement of a characteristic point detection algorithm of arterial pulse)

  • 전영주;이전;김종열;이낙범;임재중
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 제38회 하계학술대회
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    • pp.1916-1917
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    • 2007
  • Aortic AIx(augmentation index) has been used to measure aortic stiffness and evaluate ventricular load quantitatively. Algorithm for the detection of augmentation point gradually increases the differential order to detect inflection point rather than detects the distinctive point that appears after a specific time. Developed algorithm for AIx is proved to provide more accurate results than the ones developed by previous studies with the deviation from $-11.5{\pm}14.34$ points to $-3.75{\pm}1.26$ points. Results could provide the basis for the measurement of aortic stiffness using easily-measurable radial artery pulse waves, and could be extended to develop a system for early diagnosis of various vascular diseases.

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Perspectives : Understanding the Pathophysiology of Intraventricular Hemorrhage in Preterm Infants and Considering of the Future Direction for Treatment

  • Young Soo Park
    • Journal of Korean Neurosurgical Society
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    • 제66권3호
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    • pp.298-307
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    • 2023
  • Remarkable advances in neonatal care have significantly improved the survival of extremely low birth weight infants in recent years. However, intraventricular hemorrhage (IVH) continues to be a major complication in preterm infants, leading to a high incidence of cerebral palsy and cognitive impairment. IVH is primarily caused by disruption of the fragile vascular network of the subependymal germinal matrix, and subsequent ventricular dilatation adversely affects the developing infant brain. Based on recent research, periventricular white matter injury is caused not only by ischemia and morphological distortion due to ventricular dilatation but also by free iron and inflammatory cytokines derived from hematoma and its lysates. The current guidelines for the treatment of posthemorrhagic hydrocephalus (PHH) in preterm infants do not provide strong recommendations, but initiating treatment intervention based on ultrasound measurement values before the appearance of clinical symptoms of PHH has been proposed. Moreover, in the past decade, therapeutic interventions that actively remove hematomas and lysates have been introduced. The era is moving beyond cerebrospinal fluid shunt toward therapeutic goals aimed at improving neurodevelopmental outcomes.

입원초기에 적용된 상지수동운동이 뇌혈관질환자의 환측 관절가동범위, 근력 및 상지 경직에 미치는 효과 (Effects of Passive Upper Arm Exercise on Range of Motion, Muscle Strength, and Muscle Spasticity in Hemiplegic Patients with Cerebral Vascular Disease)

  • 신동순;송라윤;신은경;서성주;박정은;한승연;정회용;류춘지
    • 대한간호학회지
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    • 제42권6호
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    • pp.783-790
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    • 2012
  • Purpose: The purpose of this study was to investigate the effects of passive upper arm exercise on range of motion, muscle strength, and muscle spasticity in hemiplegic patients with cerebral vascular disease. Methods: A quasi-experimental design with nonequivalent control group was utilized. According to inclusion criteria, 25 patients were assigned to the control group with routine care, followed by 25 to the intervention group with passive exercise for 30 minutes per session, twice a day for 2 weeks. Eighteen patients in the intervention group and 17 in the control group completed the posttest measurement, including range of motion for upper arm joints, manual muscle test, and Modified Ashworth Scale for muscle spasticity. Results: The intervention group had a significantly improved range of motion in the shoulder and wrist joints. No interaction effect was found for the elbow joint. No significant differences were found in muscle strength or muscle spasticity between the groups. Conclusion: Results of the study indicate that passive exercise safely applied for two weeks improves range of motion in joints of the upper arm in these patients. Further study with long-term follow-up is needed to verify the role of passive exercise in preventing muscle spasticity in this population.

김치제조용 배추의 구조와 조직감 측정에 관한 연구 (Macro-and Microstructure of Chinese Cabbage Leaves and Their Texture Measurements)

  • 이철호;황인주;김정교
    • 한국식품과학회지
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    • 제20권6호
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    • pp.742-748
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    • 1988
  • 김치제조에 사용되는 결구포합형 배추의 구조와 그 조직감 특성을 조사하는 방법을 연구하였으며 소금절임, 가열데침 공정등에 의한 배추임의 구조적 변화와 조직감 변화를 조사하였다. 배추잎의 형성순서에 따라 잎의 길이와 두께는 비례적으로 증가하였으며 두께는 최외엽에서 다소 감소하는 현상을 나타내었다. 배추잎의 미세구조는 밀집된 유관속조직 주위에 유조직 세포가 쌓여있는 형태로서 절단시험에서 외피와 유관속조직의 특징적인 절단력 곡선들을 나타내었다. 절임과 데침처리에 의하여 배추잎의 절단력은 증가하였으며 이것은 주로 세포벽의 구조적 변형에 따라 포개짐에 의한 절단면의 수적 증가에 의한 것이었다.

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EFFECTS OF GINSENG SAPONIN ON ENDOTHELIUM - DEPENDENT VASCULAR RELAXATION IN RAT AORTA AND HYPERCHOLESTEROLEMIC RABBIT AORTA

  • Kim N.D.;Kang S.Y.
    • 고려인삼학회:학술대회논문집
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    • 고려인삼학회 1993년도 학술대회지
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    • pp.40-48
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    • 1993
  • Intravenous administration of saponin extracted from the root of Panax ginseng lowered the blood pressure dose-dependently (10-200 mg/kg, B.W) in anesthetized rats. Therefore, experiments were designed to study the hypothesis that the lowering of blood pressure is associated with the release of endothelium-derived relaxing factor and the accumulation of guanosine 3, 5-cyclic monophosphate (cGMP). Rings of thoracic aorta with and without endothelium were suspended for the measurement of isometric tension in organ chamber and the tissue content of cGMP was measured by radioimmunoassay. All experiments were performed in the presence of $indomethacin(10^{-5}M).$ Ginseng saponin $(10^{-5}-3{\times}10^{-6}g/ml)$ relaxed contractions induced by phenylephrine $10^{-6}M)$ in the aorta with endothelium but not in that without endothelium. Treatment of aortic rings with $N^G$ monomethyl-L-arginine (L-NMMA, $10^{-4}M$ for 30 min), a competitive inhibitor of nitric oxide synthase, and methylene blue $(MB,\;3{\times}10^{-7}M$ for 30 min). an inhibitor of soluble guanylate cyclase, diminished the relaxation induced by Ginseng saponin. Ginseng saponin $10^{-4}g/ml$ for 2 min) increased the accumulation of cGMP in rings with endothelium. L-NMMA and MB inhibited the accumulation of cGMP induced by Ginseng saponin. These data suggest that vascular relaxations induced by Ginseng saponin are mediated by release of endothelium-derived relaxing factor and the accumulation of cGMP. The effect of Ginseng saponin on endothelial function in hypercholesterolemic rabbits was examined. In hypercholesterolemic rabbits fed with $2\%$ cholesterol for 8 weeks, relaxation of aortic rings to acetylcholine was impaired. The impaired relaxations of aortic rings in hypercholesterolemic rabbits were improved by dietary supplementation of Ginseng saponin, probably because of an improved release of endothelium - derived relaxing factor.

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혈관성 발기부전의 진단을 위한 방사성핵종 음경촬영술 (Radionuclide Penogram in Diagnosis of Vasculogenic Impotence)

  • 이재태;김광원;하승우;이규보;황기석;윤여득;박윤규
    • 대한핵의학회지
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    • 제23권2호
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    • pp.209-214
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    • 1989
  • Yasculogenic impotence is produced by abnormalities of vascular blood supply or drainage, and is the most common cause of various organic impotences. An increasing awareness of vascular causes of impotence has resulted from development of various diagnostic tests, but precise measurement of penile blood flow is difficult. Radionuclide penogram has been introduced recently to diagnose vasculogenic impotence. Forty-one impotent patients and 12 normal men were studied with radionuclide erection penogram using Tc-99m pertechnetate and an intracavernous injection of papaverine. We defined arteriogenic impotence as arterial index less than 0.66, and venogenic impotence as venous index greater than 0.09. By this criteria, the false positive ratio in normal men was 17%, and the false negative ratio in radically cystectomized patients was 0%. Side effects were small purpura of the penile shaft and dull pain during injection of papaverine. The radionuclide erection penogram was noninvasive and gave a dynamic evaluation of the arterial supply, venous drainage, and blood flow in the corporeal bodies. This method should be considered as a valuable adjunct to evaluate patients with vasculogenic impotence.

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Polyurethane과 Poly(Ethylene Oxide)를 이용한 hybrid 나노섬유 지지체의 제작 (Dual Electrospinning to Manufacture Hybrid Nanofibrous Scaffold using Polyurethane and Poly(Ethylene Oxide))

  • 신지원;신호준;허수진;김지희;황영미;김동화;신정욱
    • 대한의용생체공학회:의공학회지
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    • 제27권5호
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    • pp.224-228
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    • 2006
  • The object of this study is to investigate the potential of dual-electrospun polymer based structure for vascular tissue engineering, especially for the medium or small sue blood vessels. Polyurethane(PU), which is known to be biocompatible in this area, was electrospun with poly(ethylene oxide) (PEO). Concentration of PU was fixed at 20wt%, while that of PEO was set from 15 to 35wt%. Morphological features were observed by SEM image and measurement of porosity and cellular responses were tested before and after extracting PEO from the hybrid scaffolds by immersing the scaffolds into distilled water. The diameter of PEO fibers were ranged from 200nm to 500nm. The lower concentration of PEO tended to show beads. The porosity of the scaffolds after extracting PEO was highly increased with higher concentration of PEO as expected. Also, higher proliferation rate of smooth muscle cells was observed at higher concentration of PEO than at the lower concentration and without PEO. As conclusions, this dual electrospinning technique combined with PU and PEO is expected to overcome the current barrier of cell penetration by providing more space for cells to proliferation.

흉곽출구증후군 환자에서 Current Perception Threshold (CPT) 사용 경험 (The Experience of Using Current Perception Threshold in Bilateral Thoracic Outlet Syndrome (TOS) Patient -A case report-)

  • 최정환;최진환;성춘호;박종욱
    • The Korean Journal of Pain
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    • 제13권1호
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    • pp.97-100
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    • 2000
  • Thoracic outlet syndrome (TOS) is a combination of signs and symptoms caused by the compression of the vital neurovascular structure at the thoracic outlet region. It may stem from a number of abnormalities, including degenerative or bony disorders, trauma to cervical spine, fibromuscular bands, vascular abnormalities and spasm of the anterior scalene muscle. CPT (current perception threshold) is defined as the minimum amount of current applied transcutaneously that an individual consciously perceives. It enables quantification of the hyperesthesia that precedes progressive nerve impairment, as well as hypoesthetic conditions. We experienced a case of thoracic outlet syndrome caused by fibrosis of anterior scalene muscle. The patient was a 30 years old woman with a 3 years history of numbness on the ulnar side, progressive weakness and coldness of both hand, tiredness in the left arm, nocturnal pain in the left forearm, and pain in the left elbow, shoulder and neck. Conservative treatment, stellate ganglion block, cervical epidural block, anterior scalene block and previous operation, including both carpal tunnel release, provided no remarkable relief to the patient. A left scalenectomy and first rib resection were performed by transaxillary approach and left cervical root neurolysis was done. After surgery, we measured CPT using neurometer and found conditions worsening in the opposite arm. We performed the same procedure on right side, and followed by CPT measurement. This case suggests that CPT is a useful measurement of recovery and progression of TOS.

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