• 제목/요약/키워드: normal function

검색결과 3,978건 처리시간 0.038초

중복요관을 가진 소아환자의 99mTc-DMSA 검사에서 부분적 관심영역 설정에 따른 신기능 평가에 관한 연구 (Study on the Evaluation of Renal Function According to Set a Partial Region of Interest in 99mTc-DMSA scan of the Pediatric Patient with a Duplicated Ureter)

  • 남궁혁;오신현;김정열;최윤정;김재삼;이창호
    • 핵의학기술
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    • 제17권1호
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    • pp.43-47
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    • 2013
  • 중복요관은 요관이 두 개가 있는 선천성 신장 기형이다. 본원에서는 기형이 있는 신장 상극신의 중복요관을 하극신의 정상 요관에 연결시켜 신기능을 유지시키고자 하는 수술을 시행하고 있고, 수술 전과 후에 $^{99m}Tc-DMSA$ 검사를 시행하고 있다. 기존에는 검사 후 관심영역 설정 후 결과 도출 시에 기형이 있는 신장의 상극신과 하극신의 비교가 이루어지지 않고 정상 신장에 대한 기형이 있는 쪽 신장의 전체적인 상대적 섭취율만의 비교가 이루어졌다. 이에 본 연구는 수술 전과 후의 $^{99m}Tc-DMSA$ 검사 후 관심영역 설정 시에 기형이 있는 신장의 상극신과 하극신에 부분적인 관심영역을 각각 설정하여 기형이 있는 신장의 상극신 섭취율 변화를 통해 신실질 세포의 기능 회복 정도와 부분 관심영역 설정의 유용성에 대해 알아보고자 한다. 불완전중복요관의 기형을 가지고 수술 예정인 소아 환자 15명을 대상으로 하였다. 검사는 $^{99m}Tc-DMSA$를 1.5~1.9 MBq/kg 주사하고, 3~4시간 후에 검사하였고, 정상신장과 기형이 있는 신장의 상극신과 하극신의 관심영역을 각각 설정하였다. 관심영역은 방사선사 1명, 핵의학과 전공의 1명, 비뇨기과 전문의 1명이 동석하여 수술 전 영상과 수술 후 영상을 같은 조건과 방법으로 설정하였다. 수술 전과 후의 추적검사에서 기형이 있는 신장의 상극신 섭취율의 변화에 대해 정상신장(A), 기형이 있는 신장의 하극신(B), 상극신(C)의 섭취율비(A: B: C)를 통하여 비교해 보았다. 15명의 소아 환자에서 수술 전과 후의 기형이 있는 신장의 상극신 섭취율의 변화에 대해 정상신장(A), 기형이 있는 신장의 하극신(B), 상극신(C)의 섭취율비(A: B: C)를 통하여 비교해본 결과로 섭취율이 향상된 환자가 7명, 저하된 환자가 8명 이었다. 섭취율이 향상된 환자 7명중 2명은 수술 후 14개월, 4명은 12개월, 나머지 1명은 8개월 후에 추적검사를 하였고, 저하된 환자 8명중 4명은 수술 후 12개월, 3명은 6개월, 나머지 1명은 4개월 후에 추적검사를 한 것으로 나타났다. 기존에는 전체적인 좌.우 신장의 섭취율만을 이용하여 기형이 있는 신장의 정확한 섭취율 변화를 알아 볼 수 없었지만, 본 연구에서 제안한 부분적인 관심영역 설정방법을 이용하여 상극신과 하극신 각각의 섭취율 변화를 정확히 알아볼 수 있었다. 신장의 신실질 세포의 회복은 단기간에 평가를 하기가 어렵기 때문에 단기간의 추적검사를 통해서 기형이 있는 신장의 예후를 평가하기에는 한계가 있으며, 그렇기 때문에 장기간의 추적검사가 이루어져야 한다. 이에 부분적인 관심영역 설정방법이 유용하게 사용될 것이라고 사료된다.

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한국인 성인의 교근 두께에 관한 초음파검사적 연구 (Ultrasonographic study on the masseter muscle thickness of adult Korean)

  • 차봉근;박인우;이연희
    • 대한치과교정학회지
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    • 제31권2호통권85호
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    • pp.225-236
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    • 2001
  • 일반적으로 골의 형태와 구조는 부착 근육의 활성과 밀접한 관련이 있다고 알려져 있으며,특히 악안면 형태와 저작근 기능과의 관계는 많은 임상 및 동물 실험을 통해 연구되어 왔다. 초음파검사는 임상적 적용이 용이하고 비용이 저렴할 뿐만 아니라 환자에 대한 유해성이 적어 의학분야의 여러 영역에서 널리 이용되고 있다. 이 연구의 목적은 교근의 두께와 악안면 골격 형태와의 상관성을 평가하는 것으로, 강릉대학교 치과대학 남학생 35명과 여학생 15명을 대상으로 하였다. 교근의 두께 측정에는 7.5MHz의 고해상도 직선 탐촉자에 의한 초음파진단장치가 사용되었고, 악안면 골격 형태의 결정은 측방 두부계측방사선사진 분석을 통해 이루어졌다. 이상의 계측치로부터 얻어진 결론은 다음과 같다. 1 남자에서 교근의 평균 두께는 안정 상태에서는 13.8${\pm}$1.71mm, 최대 교합 상태에서 14.8${\pm}$1.77mm였으며 여자에서는 안정 상태에서 11.6${\pm}$1.58mm, 최대 교합 상태에서 12.4${\pm}$1.47mm로 나타났다. 2. 교근의 두께는 남녀모두 안정 상태보다 최대 교합 상태에서 유의하게 증가하였다(P<0.05). 3. 교근의 두께는 안정 상태와 최대 교합 상태 모두에서 남자가 여자보다 유의하게 두꺼웠다(P<0.05). 4. 교근의 두께는 남자에서 안정 상태와 최대 교합 상태 모두 하악평면각과는 음의 상관 관계가 있고 하악지 고경, 전두개저 길이와는 양의 상관 관계가 있음을 알 수 있었다(P<0.05). 5. 여자에서는 교근 두께와 유의한 상관 관계가 있는 두부계측방사선사진 분석 항목을 찾을 수 없었다(P<0.05). 이로써초음파검사는 악골 근육의 기능을 평가하는 전통적인 방법에 대해 추가적인 정보를 제공해 줄 수 있을 것으로 사료된다.골 상실 증가에 따른 압하시 pure intrusion을 위한 후방견인력 변화는 다음과 같다. 1) 2 전치군과 4 전치군의 후방 견인력은 6 전치군의 후방 견인력에 비해 낮게 나타났다. 2) 치조골이 상실됨에 따라 각 치아군 후방견인력은 증가됨을 보였다. 4. 상악 전치부 치아군과 치조골 높이에 따른 저항중심의 수평적, 수직적 위치간 상관관계는 다음과 같다. 1) 2 전치군일 때, 치조골 상실에 따른 저항중심의 수직적 위치변화에 대한 수평적 위치 변화가 가장 크게 나타났다. 치아 수가 증가할수록 치조골 상실에 따른 저항중심의 수직적 위치 변화에 대한 수평적 위치변화는 작아지는 경향을 보였다. 2) 치조골 상실량이 커짐에 따라서는, 치아 수에 관계 저항중심의 수직적 위치변화에 대해 수평적 위치변화가 커졌다.라 일관성 있게 감소하였고, 제거속도는 Cu가 다른 원소에 비해 빨랐다. 제거속도는 FW 3개 수조 중 FW5&6에서 세 원소 모두 가장 느렸고, SW 3개 수조 중에서는 SW1&2에서 가장 빨랐다. SW와 FW간 제거속도 차이는 세 원소 모두 명확치 않았다 Cr은 FW에서 전반적으로 감소하는 경향을 보였지만 SW에서는 실험 초기에 감소하다 24시간 이후에는 증가 후 일정한 양상을 보였다. Pb은 FW에서 전반적으로 감소했지만 SW에서는 초기에 급격히 증가 후 다시 급격히 감소하는 양상을 보였다 Pb 또한 Cu, Cd, As와 마찬가지로 SW1&2에서 제거속도가 가장 빠르게 나타났다. FW 상층수 중 Hg는 시간에 따라 급격히 감소했고, 제거속도는 Fw5&6에서 가장 느렸다. 이러한 결과에 근거할 때 벼가 자라고 있고 이분해성 유기물이 풍부한 FW1&2, FW3&4 토양과 상층수에서는 유기물의 분해 활동이 활발하였지만, 벼가 경작되지 않는 FW5&6과 SW 에서는 유기물이 상대적으로 결핍되어 유기물의 분해활동이 적었을 것으로 판단된다.

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관상동맥 우회로 수술 환자에서 심근의 탄성도 변화 (Improvement in Regional Contractility of Myocardium after CABG)

  • 이병일;팽진철;이동수;이재성;정준기;이명철;최흥국
    • 대한핵의학회지
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    • 제39권4호
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    • pp.224-230
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    • 2005
  • 목적: 심근의 최대탄성도는 전부하 후부하에 독립적인 지표로서 SPECT를 이용하여 좌심실의 국소탄성도($rE_{max}$)를 비침습적으로 측정하였다. 게이트 심근 SPECT 영상에서 국소부피변화를 얻고, 요골동맥 긴장도를 측정하여 중심동맥의 압력 곡선을 얻어 측정한 최대탄성도를 관상동맥우회로 수술 전후 환자를 대상으로 수술전후 관류 및 기능지표와 비교하여보았다. 대상 및 방법: 관상동맥우회로 수술이 결정되어 시행한 환자 21명(남:여=17:4, $58{\pm}12$세)을 대상으로 $^{201}TI$ 휴식기 영상과 디피리다몰 부하 $^{99m}Tc$-sestamibi 게이트 SPECT를 수술전과 수술 후 3개월째 시행하였다. 동시에 요골동맥으로부터 압력곡선을 얻었다. 기능과의 관계를 보기 위해서 관류와 심벽두꺼워짐을 탄성도와 비교하였으며, 심벽두꺼워짐이 20%미만일 때 수술 후 10%이상 호전되지 않는 기능이상 분절에 대해 수술 전후의 탄성도를 비교하였다. 결과: 수술 전 탄성도가 $2.41{\pm}1.64$ mmHg/mL에서 $2.78{\pm}1.83$ mmHg/mL 으로 수술 후에 증가하였으나, 관류와 심벽두꺼워짐과는 낮은 상관성을 보였다. (r=0.35, p<0.001). 관류 60% 이상의 분절에서는 $2.65{\pm}1.67$ mmHg/mL 이었으나, 관류나 낮은 분절의 탄성도는 $1.30{\pm}1.24$ mmHg/mL 였다. 심벽두꺼워짐이 40% 이상 되는 분절의 수술 전 탄성도는 $3.01{\pm}1.92$ mmHg/mL 였고, 기능이 조금 약한 부분인 40%에서 20% 사이의 심벽두꺼워짐 값을 가진 분절에서는 $2.40{\pm}1.19$ mmHg/mL로 심각한 기능이상을 반영하는 20%미만 분절의 탄성도는 $1.13{\pm}0.89$ mmHg/mL의 분포를 보였다. 수술 전 심벽두꺼워짐이 20% 미만일 때 수술 후 10%이상 회복을 보인 생존심근와 그렇지 않은 비생존심근사이의 수술 전후 탄성도는 $1.27{\pm}1.07$ mmHg/mL에서 $1.79{\pm}1.48$ mmHg/mL, $0.97{\pm}0.59$ mmHg/mL에서 $1.22{\pm}0.71$ mmHg/mL로 생존심근의 수술 후 값의 향상이 조금 더 높았다. 그러나, 심벽두꺼워짐의 정도가 탄성도 높아짐의 정도 사이에는 상관성이 없었다(r=0.007). 결론: 수술 전 $rE_{max}$는 관류와 심벽두꺼워짐과 상관성이 약하게 있었다. 기능이상이면서 생존능이 있는 심근의 탄성도는 수술 후 증가하였지만 심벽두꺼워짐의 향상과는 상관성이 없었다. 심근기능의 전부하 후부하에 독립적인 지표인 탄성도는 실제 부피의 증가와 연관되지 않으면서도 생존능이 있는 심근의 기준과 일치하는 양상을 보였으므로 독립적인 매개변수로 사용될 수 있을 것으로 기대한다.

농촌 중년여성의 건강행위와 관련요인 (Middle-aged Women's Health Behavior and Its related Factors in Rural Area)

  • 김귀진;박재용;한창현
    • 농촌의학ㆍ지역보건
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    • 제26권1호
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    • pp.81-103
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    • 2001
  • 농촌지역 중년여성의 건강행위와 이에 영향을 미치는 요인을 알아보기 위해 경상북도 예천군의 4개 보건진료소 담당지역에 거주하고 있는 40-64세 사이 여성 468명을 대상으로 2000년 3월 1일부터 3월 31일까지 조사하였다. 대상자들의 본인건강에 대한 관심도는 17.5%가 높다고 하였고 만성질환이 있는 경우가 없는 경우보다 관심도가 높았다. 그리고 핵가족이 대가족보다, 개방적 가족분위기에서 본인건강에 대한 관심도가 높았다. 본인건강에 대한 가족의 관심도는 15.4%가 높다고 하였는데, 교육정도가 높을수록 높았고 개방적 가족분위기에서 유의하게 높았다. 자기효능점수는 최대 평점 68점 중, 대상자들의 평균점수는 49.90점이었고 종교, 학력, 배우자 동거유무, 경제상태, 본인의 건강관심도와 유의한 차이가 있었으며, 가족형태, 가족분위기, 자신건강에 대한 가족들의 관심도도 자기효능의 유의한 영향변수였다. 가족기능점수는 최대 평점 10점에 평균 5.51점으로 연령, 학력, 직업, 경제상태, 본인의 건강관심도에 따라 유의한 차이가 있었고, 가족분위기 및 자신건강에 대한 가족의 관심도에 따라 가족기능점수에 유의한 차이를 보였다. 건강행위 실천율은 비흡연율 89.5%, 비음주율 63.0%, 운동실천율 6.6%, 정상수면율 75.6%, 아침식사율 91.7%, 비간식율 18.2%, 표준BMI 69.2%였다. 건강행위빈도는 Breslow Index가 0-3점이 4.5%, 4-5점이 53.2%, 6-7점이 42.3%였고, 건강행위 점수는 최대 평점 7점에 평균 5.20이었는데, 배우자동거유무, 경제상태, 만성질환유무, 그리고 가족분위기가 유의한 변수였다. 건강행위를 종속변수로 한 다중회귀분석 결과 건강행위는 배우자동거유무, 경제상태, 가족분위기가 유의한 영향변수였으며, 배우자가 없는 경우, 경제상태가 좋을수록, 가족분위기가 개방적일수록 건강행위를 잘 하고 있었다. 자기효능이 높을수록, 가족기능이 낮을수록 건강행위를 잘 했으나 유의한 변수는 아니었다. 본 연구에서 사용한 건강행위측정도구는 외국에서 개발된 도구이므로 앞으로는 우리나라 사람에게 알맞은 표준화된 측정도구를 개발하여 반복 연구해 볼 필요가 있다. 그리고, 농촌 여성들을 대상으로 하는 지역사회 보건사업에 있어, 모든 대상자들에게 일률적으로 같은 건강증진 프로그램을 제공할 것이 아니라 먼저 개개인건강행위를 파악하고 배우자동거유무, 경제상태 및 가족분위기 등을 파악하여 건강증진 프로그램을 마련해야 할 것으로 생각된다.

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흰쥐의 갑상선기능(甲狀腺機能)이 비유(泌乳)에 미치는 영향(影響) (Effects of Thyroid Function on Lactation in Female Rats)

  • 서길웅;김덕임
    • 농업과학연구
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    • 제19권1호
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    • pp.51-64
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    • 1992
  • 본(本) 실험(實驗)은 수유중(泌乳中)인 흰쥐를 대상(對象)으로 갑상선기능(甲狀腺機能)이 체중(體重)과 수유(泌乳)에 미치는 영향(影響)을 구명(究明)코져 실시(實施)하였는 바 체중 250g 정도(程度)의 정상분만(正常分娩)한 암흰쥐 105마리를 thyroxine 처리군(處理群)(THY.군(群)), propylthiouracil 처리군(處理群)(PTU군(群)) 및 정상대조(正常對照) 군(群)(CON.군(群))의 3개군(個群)으로 나누어 35마리씩 배치(配置)한 다음 THY.군(群)에서는 L-thyroxine을 체중 100g당(當) $30{\mu}m$씩 3일(日) 간격(間隔)으로 주사(注射)하였고 PTU군(群)에서는 음수(飮水)를 0.03%의 propylthiouracil 용액(溶液)으로 만들어 자유급수(J自由給水)시켰다. 또한 각(各) 군별(群別)로 시간(時間)의 경과(經過)에 따라 3, 6, 9, 12, 15, 18 및 21일(日)에 체중(體重)을 측정(測定)하였고 도살(屠殺) 후(後)에 갑상선(甲狀腺)의 중량측정(重量測定), 갑상선(甲狀腺)과 유선(乳腺)의 조직학(組織學)적 검색(檢索)을 실시(實施)하였으며 아울러 혈청중(血淸中) prolactin의 농도(濃度)를 측정(測定)하여 비교(比較) 검토(檢討)한 결과(結果)는 다음과 같다. 1. 체중(體重)은 처리후(處理後) 3일(日)과 6일(日) 그리고 15일(日)과 18일(日)에서 비교군간(比較群間) 유의성(有意性)이 인정(認定)되는 변화(變化)를 보였는데 PTU군(群)이 CON.군(群)과 THY.군(群)에 비(比)하여 낮은 중량치(重量値)를 나타냈다. 2 갑상선(甲狀腺)의 중량(重量)은 처리(處理) 9일(日) 후(後)부터 비교군간(比較群間)에 유의성(有意性)이 인정(認定)되었는데 PTU군(群)은 CON.군(群)과 THY.군(群)에 비(比)하여 고도(高度)의 유의성(有意性)이 인정(認定)되는 높은 중량치(重量値)를 나타냈다. 3. 갑상선(甲狀腺)의 조직상(組織象)은 PTU군(群)의 경우 처리(處理) 6일(日) 후(後)부터 농포상피세포(濃胞上皮細胞)가 증식(增殖).비대(肥大)를 동반(同伴)한 원주화(圓柱化) 현상(現象)이 나타나기 시작하였고 이러한 현상(現象)은 수유말기(泌乳末期)까지 계속되었다 THY.군(群)은 처리(處理) 9일(日) 후(後)부터 핵농축(核濃縮)을 동반(同伴)한 농포상피세포(農胞上皮細胞)가 편평화(扁平化)되는 퇴행성(退行性) 변화(變化)를 나타냈다. 4. CON.군(群)의 prolactin 농도(濃度)는 처리(處理) 18일후(日後)에 최고치(最高値)를 보였고 THY.군(群)은 처리(處理) 12일후(日後)에 고도(高度)의 유의성(有意性)이 인정(認定)되는 높은 농도(濃度)를 나타냈으며 PTU군(群)은 전(全) 실험기간(實驗其間)동안 다른 실험군(實驗群)에 비(比)하여 낮은 농도(濃度)를 나타냈다. 5. 유선(乳腺)의 조직학적(組織學的) 변화(變化)는 CON.군(群)과 THY.군(群)은 처리(處理) 12일후(日後)까지는 유선상피세포(乳腺上皮細)가 입방화(立方化)되는 조직상(組織象)을 나타냈으나 처리(處理) 후(後) 15일(日)부터는 THY.군(群)이 CON.군(群)보다 유선조직(乳腺組織)의 분화(分化)가 빠른 속도(速度)로 진행(進行)되었으며 PTU군(群)은 처리(處理) 후(後) 시간(時間)이 경과(經過)할수록 유선조직(乳腺組織)의 퇴행성(退行性) 변화(變化)가 야기(惹起)되어 처리(處理) 15일후(日後)부터는 유선상피세포(乳腺上皮細胞)의 탈락현상(脫落現象)과 유선포(乳腺胞)의 위축(萎縮)이 인지(認知)되는 조직소견(組織所見)이었다. 6. 신생자(新生仔)의 체중(體重)은 처리(處理) 후(後) 시간(時間)이 경과(經過)할수록 모든 실험군(實驗群)이 점차(漸次) 증가(增加)하였으나 PTU군(群)은 다른 실험군(實驗群)에 비(比)하여 유의성(有意性)이 인정(認定)되는 낮은 체중치를 나타냈다.

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스마트폰 다종 데이터를 활용한 딥러닝 기반의 사용자 동행 상태 인식 (A Deep Learning Based Approach to Recognizing Accompanying Status of Smartphone Users Using Multimodal Data)

  • 김길호;최상우;채문정;박희웅;이재홍;박종헌
    • 지능정보연구
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    • 제25권1호
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    • pp.163-177
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    • 2019
  • 스마트폰이 널리 보급되고 현대인들의 생활 속에 깊이 자리 잡으면서, 스마트폰에서 수집된 다종 데이터를 바탕으로 사용자 개인의 행동을 인식하고자 하는 연구가 활발히 진행되고 있다. 그러나 타인과의 상호작용 행동 인식에 대한 연구는 아직까지 상대적으로 미진하였다. 기존 상호작용 행동 인식 연구에서는 오디오, 블루투스, 와이파이 등의 데이터를 사용하였으나, 이들은 사용자 사생활 침해 가능성이 높으며 단시간 내에 충분한 양의 데이터를 수집하기 어렵다는 한계가 있다. 반면 가속도, 자기장, 자이로스코프 등의 물리 센서의 경우 사생활 침해 가능성이 낮으며 단시간 내에 충분한 양의 데이터를 수집할 수 있다. 본 연구에서는 이러한 점에 주목하여, 스마트폰 상의 다종 물리 센서 데이터만을 활용, 딥러닝 모델에 기반을 둔 사용자의 동행 상태 인식 방법론을 제안한다. 사용자의 동행 여부 및 대화 여부를 분류하는 동행 상태 분류 모델은 컨볼루션 신경망과 장단기 기억 순환 신경망이 혼합된 구조를 지닌다. 먼저 스마트폰의 다종 물리 센서에서 수집한 데이터에 존재하는 타임 스태프의 차이를 상쇄하고, 정규화를 수행하여 시간에 따른 시퀀스 데이터 형태로 변환함으로써 동행 상태분류 모델의 입력 데이터를 생성한다. 이는 컨볼루션 신경망에 입력되며, 데이터의 시간적 국부 의존성이 반영된 요인 지도를 출력한다. 장단기 기억 순환 신경망은 요인 지도를 입력받아 시간에 따른 순차적 연관 관계를 학습하며, 동행 상태 분류를 위한 요인을 추출하고 소프트맥스 분류기에서 이에 기반한 최종적인 분류를 수행한다. 자체 제작한 스마트폰 애플리케이션을 배포하여 실험 데이터를 수집하였으며, 이를 활용하여 제안한 방법론을 평가하였다. 최적의 파라미터를 설정하여 동행 상태 분류 모델을 학습하고 평가한 결과, 동행 여부와 대화 여부를 각각 98.74%, 98.83%의 높은 정확도로 분류하였다.

Sensory Information Processing

  • Yoshimoto, Chiyoshi
    • 대한의용생체공학회:의공학회지
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    • 제6권2호
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    • pp.1-8
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    • 1985
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70$\pm$1.32mmHg/min)compared to CF dialyzers(4.32$\pm$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500, 550, 570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500, 550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100, 300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3, 000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.SpO2 with Plethysmograph.

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High Resolution HC$_3$N Observations toward the Central Region of Sagittarius B2

  • H.S-Ching;Oh, M.ishi;M.Morimoto
    • 한국우주과학회:학술대회논문집(한국우주과학회보)
    • /
    • 한국우주과학회 1993년도 한국우주과학회보 제2권2호
    • /
    • pp.17-17
    • /
    • 1993
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70${\pm}$1.32mmHg/min)compared to CF dialyzers(4.32${\pm}$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500,550,570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500,550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100,300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.

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만성기침 환자의 원인적 고찰 및 기관지 과민성 (Airway hyperresponsiveness and etiology in patients with chronic cough)

  • 김경호;이규택;박성우;오제호;기신영;문승혁;정성환;김현태;어수택;김용훈;박춘식;진병원
    • Tuberculosis and Respiratory Diseases
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    • 제44권1호
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    • pp.146-153
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    • 1997
  • 연구배경 : 만성기침은 비흡연 성인호흡기환자의 14% - 23%에서 관찰되는 흔한 호흡기 증상이다. 만성기침의 원인으로는 후비루증후군이 가장 흔하며 기침형 천식도 만성기침 환자의 29%에서 보고되고 있지만 우리나라의 정확한 통계는 없다. 이에 저자들은 기관지과민성을 측정하여 만성기침의 원인이 되는 후비루 증후군, 기침형 천식, 단순 기관지염의 빈도를 조사하였고, 각 질환군에서 아토피와 흡연의 영향을 분석하였다. 대상 및 방법 : 3주이상의 만성기침을 주소로 내원하여 흉부청진과 단순 흉부사진에서 정상소견을 보이는 46명의 만성기침 환자와 기관지천식 환자 45명, 알레르기성비염 환자 16명, 정상대조군 25명을 대상으로 병력의 문진, 진찰소견, 폐기능 검사, 비특이적 기관지 유발검사, 즉시형 피부반응검사를 시행하였고 단순 흉부사진 및 부비동 사진을 촬영하였다. 결 과 : 만성기침 환자에서 기침형 천식은 17.4%, 단순기관지염은 21.7%, 후비루 증후군은 35%, 원인을 규명하지 못한 경우가 25.9% 였다. 만성기침환자중 기관지 과민반응의 양성율은 35% 로 정상 대조군과 알레르기성 비염군과 비교하여 의미있게 기관지 과민성이 증가되어 있었고, 후비루 증후군이 있는 환자중 44% 에서 기관지 과민반응에 양성이었다. 만성기침환자에서 기관지 과민성에 영향을 주는 요인으로 동반된 호흡기 증상의 유무와 관련성 있는 경향을 보일뿐, 후비루 증후군, 코증상, 흡연, 폐환기 기능이상, 피부반응검사, 부비동염의 유무와는 무관하였다. 또한 각 질환군에서 아토피나 흡연과의 연관성은 없었다. 결 론 : 만성기침환자는 정상대조군과 알레르기성 비염에 비해 기관지 과민성이 증가되어 있었으나 기관지 과민성에 영향을 주는 요인은 호흡기 증상의 유무만이 관련성 있는 경향을 보였으며 아토피와 흡연과의 연관성은 관찰할 수 없었다.

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Optimization of the Flip Angle and Scan Timing in Hepatobiliary Phase Imaging Using T1-Weighted, CAIPIRINHA GRE Imaging

  • Kim, Jeongjae;Kim, Bong Soo;Lee, Jeong Sub;Woo, Seung Tae;Choi, Guk Myung;Kim, Seung Hyoung;Lee, Ho Kyu;Lee, Mu Sook;Lee, Kyung Ryeol;Park, Joon Hyuk
    • Investigative Magnetic Resonance Imaging
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    • 제22권1호
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    • pp.1-9
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    • 2018
  • Purpose: This study was designed to optimize the flip angle (FA) and scan timing of the hepatobiliary phase (HBP) using the 3D T1-weighted, gradient-echo (GRE) imaging with controlled aliasing in parallel imaging results in higher acceleration (CAIPIRINHA) technique on gadoxetic acid-enhanced 3T liver MR imaging. Materials and Methods: Sixty-two patients who underwent gadoxetic acid-enhanced 3T liver MR imaging were included in this study. Four 3D T1-weighted GRE imaging studies using the CAIPIRINHA technique and FAs of $9^{\circ}$ and $13^{\circ}$ were acquired during HBP at 15 and 20 min after intravenous injection of gadoxetic acid. Two abdominal radiologists, who were blinded to the FA and the timing of image acquisition, assessed the sharpness of liver edge, hepatic vessel clarity, lesion conspicuity, artifact severity, and overall image quality using a five-point scale. Quantitative analysis was performed by another radiologist to estimate the relative liver enhancement (RLE) and the signal-to-noise ratio (SNR). Statistical analyses were performed using the Wilcoxon signed rank test and one-way analysis of variance. Results: The scores of the HBP with an FA of $13^{\circ}$ during the same delayed time were significantly higher than those of the HBP with an FA of $9^{\circ}$ in all the assessment items (P < 0.01). In terms of the delay time, images at the same FA obtained with a 20-min-HBP showed better quality than those obtained with a 15-min-HBP. There was no significant difference in qualitative scores between the 20-min-HBP and the 15-min-HBP images in the non-liver cirrhosis (LC) group except for the hepatic vessel clarity score with $9^{\circ}$ FA. In the quantitative analysis, a statistically significant difference was found in the degree of RLE in the four HBP images (P = 0.012). However, in the subgroup analysis, no significant difference in RLE was found in the four HBP images in either the LC or the non-LC groups. The SNR did not differ significantly in the four HBP images. In the subgroup analysis, 20-min-HBP imaging with a $13^{\circ}$ FA showed the highest SNR value in the LC-group, whereas 15-min-HBP imaging with a $13^{\circ}$ FA showed the best value of SNR in the non-LC group. Conclusion: The use of a moderately high FA improves the image quality and lesion conspicuity on 3D, T1-weighted GRE imaging using the CAIPIRINHA technique on gadoxetic acid, 3T liver MR imaging. In patients with normal liver function, the 15-min-HBP with a $13^{\circ}$ FA represents a feasible option without a significant decrease in image quality.