• 대한의용생체공학회:의공학회지
• /
• 제20권1호
• /
• pp.75-80
• /
• 1999

홀터 심전계는 일반 심전계와 달리 활동중의 심전도를 기록하므로서 복잡한 심장질환을 효과적으로 모니터링할 수 있으나 24시간 동안의 심전도를 수집하여 진단하기 때문에 급작스런 심장질환에 대해서는 대처할 수 없다. 따라서 본 논문에서는 홀터 심전계와 같은 이동형 심전도 단말기에 900Mhz 대역을 사용하는 부선 데이터 통신망 인터페이스를 첨가하여 심장 이상으로 인한 급사위험이 있는 환자를 감시${\cdot}$관리할 수 있는 보행형 감시 시스템 모델을 제안하고 이동형 심전도 단말기와 담당 의사를 위한 휴대형 단말기를 구현함으로써 무선 데이터 통신망을 이용한 보행형 감시 시스템이 구현될 수 있음을 검증하였다.

• 대한의용생체공학회:학술대회논문집
• /
• 대한의용생체공학회 1997년도 춘계학술대회
• /
• pp.330-333
• /
• 1997

In this paper, we designed a low power and small-sized, light weighted intelligent ambulatory monitoring system using a flash memory card. The system's hardware specifications are as follows: 2 channels, 8bit/250Hz sampling rate, 20M byte storage capacity, a single-chip microcontroller (68HC11E9). To easily interface with PC based system, FFS(Flash File System) was used. We obtained the QRS detection rate of 99.14 through the evaluation with MIT/BIH database.

• 대한의용생체공학회:의공학회지
• /
• 제12권4호
• /
• pp.277-284
• /
• 1991

This study describes the ambulatory ECG monitoring system for the remote autom atic diagnosis. System: tlardware is based on one chip microcomputer(80c31) and its peripherals which consists of A/D, EPROM, RAM, LCD display and two preamplifiers, Power circuits, control logic circuits. A/D converted data were differentiated and low pass filtered. The detection of QRS complex and R point were accomplished by software algorithm based on adaptive threshold computed on low pass fi:leered signal. Rhythm analysis is performed by RR interval and average RR interval. The performance of QRS detection algorithm is evaluated by using MIT/BIH data base. Using this system, the trends of the arrythmia during the long term could be saved and displayed.

• 대한전기학회:학술대회논문집
• /
• 대한전기학회 2003년도 학술회의 논문집 정보 및 제어부문 B
• /
• pp.920-923
• /
• 2003

An wearable electrocardiogram (ECG) monitoring system is a widely used non-invasive diagnostic tool for ambulatory patient who may be at risk from latent life-threatening cardiac abnormalities. In this paper, we have a portable ECG monitoring system with conductive fiber which was characterized by the small-size and the low power consumption. The system consists of conductive fibers, one-chip microcontroller, ECG preprocessing circuit, and monitoring software to be able to record and analyze in PC. ECG preprocessing circuit is made of pre-amplifier with gain of 10, band-pass filter with bandwidth of 0.5-120Hz and 2.5V offset circuit for A/D conversion. ECG signals obtained by sensor are included with corrupted noises such as a baseline wandering, 60 Hz power noise and interference noise by body movement. For cancellation corrupted noises in signals obtained by conductive fiber, we used the wavelet decomposition of wavelet transforms in MATLAB toolbox.

• 대한전기학회:학술대회논문집
• /
• 대한전기학회 2005년도 심포지엄 논문집 정보 및 제어부문
• /
• pp.48-50
• /
• 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.

• 보건행정학회지
• /
• 제13권1호
• /
• pp.98-115
• /
• 2003

Concerns about growing health insurance expenditures became a national Issue in 2001 when the National Health Insurance went into a deficit. Increases in spending for ambulatory care shared the largest portion of the problem. Methods and systems to control the spending should be developed and a system to measure case mix of providers is one of core components of the control system. The objectives of this article is to examine the feasibility of applying Korean Diagnosis Related Groups (KDRGs) to classify health insurance claims for ambulatory care and to identify problem areas of the classification. A database of 11,586,270 claims for ambulatory care delivered during January 2002 was obtained for the study, and the final number of claims analyzed was 8,319,494 after KDRG numbers were assigned to the data and records with an error KDRG were excluded from the study. The unit of analysis was a claim and resource use was measured by the sum of charges incurred during a month at a department of a hospital of at a clinic. Within group variance was assessed by th coefficient of variation (CV), and the classification accuracy was evaluated by the variance reduction achieved by the KDRG classification. The analyses were performed on both all and non-outlier data, and on a subset of the database to examine the validity of study results. Data were assigned to 787 KDRGs among 1,244 KDRGs defined in the classification system. For non-outlier data, 77.4％ of KDRGs had a CV of charges from tertiary care hospitals less than 100％ and 95.43％ of KDRGs for data from clinics. The variance reduction achieved by the KDRG classification was 40.80％ for non-outlier claims from tertiary care hospitals, 51.98％ for general hospitals, 40.89% for hospitals, and 54.99% for clinics. Similar results were obtained from the analyses performed on a subset of the study database. The study results indicated that KDRGs developed for a classification of inpatient care could be used for ambulatory care, although there were areas where the classification should be refined. Its power to predict tile resource utilization showed a potential for its application to measure case mix of providers for monitoring and managing delivery of ambulatory care. The issue concerning the quality of diagnostic information contained in insurance claims remains to be improved, and significance of future studies for other classification systems based on visits or episodes is guaranteed.

• 전기학회논문지
• /
• 제56권6호
• /
• pp.1170-1176
• /
• 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.

• 전기학회논문지
• /
• 제56권6호
• /
• pp.1139-1143
• /
• 2007

For the possible application of monitoring or diagnosing heart sounds in an ubiquitous healthcare environment. a small and light electro-stethoscope that can be attached in human body should be exploited. With this aim, this study proposes a new style of electro-stethoscope device that is composed of four hardware modules in wearable style. For this ambulatory heart sound collecting device, the several tests must be performed to check portability and material capability for collecting heart sounds. It turned out to be that the multi-channel electro-stethoscope can detect heart sound signals well even if it is not pinpointed in the accurate stethoscope point on a heart. Consequently, our ambulatory electro-stethoscope hardware system can be applied to monitor or diagnose abnormal heart sounds in the ubiquitous healthcare system.

• 대한전기학회:학술대회논문집
• /
• 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
• /
• pp.43-45
• /
• 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.

• 농촌의학ㆍ지역보건
• /
• 제36권3호
• /
• pp.157-166
• /
• 2011

이번 연구는 일개 사업장 근로자를 대상으로 24시간 활동혈압에 따른 고혈압군과 정상군의 불안과 우울정도를 비교하고 불안증상과 우울증상에 따른 혈압 양상을 비교 분석하고자 하였다. 일개 사업장 근로자 107명을 대상으로 2009년 12월 10일부터 2010년 3월 20일까지 사업장을 방문하여 BAI와 BDI로 불안과 우울정도를 조사하였고 임상혈압과 24시간 AMBP로 활동혈압을 측정하였다. 임상혈압과 24시간 AMBP에서 고혈압군과 정상군의 BAI와 BDI 점수는 모두 유의한 차이가 없었지만, 우울증상군에서 정상군보다 야간 이완기혈압 비강하 발생위험도가 6.85배 (CI 1.50-30.01)높았다. 고혈압 치료를 시작하거나 치료 중인 환자에서 치료순응율을 향상시키고 심혈관계 질환 예방을 위해서는 심리적인 중재도 필요하다고 판단되어진다.