• Journal of the Institute of Electronics Engineers of Korea SC
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• v.45 no.3
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• pp.68-79
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• 2008

Aortic AIx(augmentation index) has been used to measure aortic stiffness quantitatively and even to evaluate ventricular load. However, in order to calculate aortic AIx catheters should be inserted to the subjects' artery, which hampers its clinical usage. To overcome such limitation, aortic AIx has been indirectly calculated by estimating aortic pressure wave from the peripheral arterial pulse by applying transfer functions. In this study, central aortic pressure waves using Millar catheter and radial artery pulse waves using tonometry pressure sensor were measured to establish transfer functions for an estimation of central aortic pressure waves from radial artery pulse waves. Also, an algorithm which detects augmentation point for the calculation of AIx were developed. Developed 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. Transfer functions were established using 10th order ARX model and were verified for the stability of the transfer function through residual analysis. Evaluation of an algorithm for the detection of augmentation point were performed by comparing the augmentation points obtained from developed algorithm with the known augmentation points synthesized in various conditions. In addition, developed algorithm for the AIx is proved to provide more accurate results than the ones developed by previous studies. The significance of the study was in two folds. Firstly, the results could provide the basis for the measurement of aortic stiffness using easily-measurable radial artery pulse waves, and secondly, extension of the study may enable the early diagnosis of various vascular diseases.

• Journal of Yeungnam Medical Science
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• v.29 no.1
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• pp.61-64
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• 2012

The left aortic arch with an aberrant right subclavian artery, or arteria lusoria, is the most common aortic arch anomaly, occurring in 0.5-2.5% of individuals. In such cases, the angular course of the arteria lusoria to the ascending aorta imposes difficulty in passing a guide wire to the ascending aorta during right transradial catheterization. Here, the case of a 53-year-old woman with intermittent chest tightness and coughing is reported. Aberrant right subclavian artery (arteria lusoria) was diagnosed via aortogram during right transradial coronary angiography. Compression of the esophagus and trachea by the aberrant right subclavian artery was demonstrated by chest computed tomography (CT).

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.4 no.2
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• pp.84-87
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• 2011

We had applied Doppler ultrasound guided modified Allen's test for a Volkmann's ischemic contracture patient who had ulnar artery constriction which was not detected with acoustic Doppler and CT-angiogram preoperatively. We report this case of Volkmann's ischemic contracture with brief review of literatures for awareness of the Doppler-ultrasound guided modified Allen's test.

• Proceedings of the KIEE Conference
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• 2009.07a
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• pp.1968_1969
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• 2009

한의학에서 맥진을 하는 위치인 좌, 우 요골동맥상의 촌(寸), 관(關), 척(尺) 위치는 손목에 있는 요골 경상돌기(styloid preocess) 부근의 볼록한 지점인 고골(高骨)을 기준으로 맥이 느껴지는 위치를 검지, 중지, 약지를 이용해 찾는다. 각각의 위치는 한의학적인 관점에서 각기 다른 장부의 기능과 연결되며 그 차이를 인지하여 맥을 진단하는데 그 결과에 따라 병증을 진단하는 요소로 활용되게 된다. 그러나 생리학적으로 좌, 우 요골동맥의 차이는 크지 않다고 알려져 있으며 차이에 대한 연구도 많지 않다. 본 연구에서는 기존연구에서 밝혀진 좌, 우 요골동맥의 혈류속도의 차이를 근거로 한의사 맥진시 센서 역할을 하는 손가락에서 감지된 좌, 우 맥진위치의 차이가 실제 맥진기에서도 나타나는지를 측정을 통해 확인 해 보고자 한다. 건강한 20대 남자 135명을 대상으로 맥파를 측정하여 맥파 파라메터 중 차이를 보이는 파라메터를 통계분석하였다. 그 결과, 11개의 파라메터가 좌, 우 맥진위치에서 차이를 보이는 것을 확인하였다. 차이를 보이는 변수는 특정 변수로 한정되지 않고 맥압과 관련된 (h1~5) 변수와 피크가 나타나는 시간의 변수, 맥파 파형의 면적 등 다양한 변수에서 차이를 확인할 수 있었다.

• Proceedings of the IEEK Conference
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• 2001.06b
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• pp.9-12
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• 2001

In oriental medicine, it is possible to classify each person into eight kinds of constitutions based on the eight constitutional medicine theory. We developed a piezoelectric 3-channel tactile sensor using PVDF (polyvinylidene fluoride) film for pulse detection of the radial artery. High frequency buffer (impulse buffer), amplifier, 60 Hz noise notch filter and low pass filter were integrated on three sheets of PCB board. The pulses of the radial artery at three points were checked using our system. Each constitution of the eight ones has different combinations of pulses.

• Journal of Biomedical Engineering Research
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• v.20 no.5
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• pp.567-572
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• 1999

혈관내 맥검출 센서인 MPX2300DT1을 요골동맥상에서 무침습적으로 맥파를 검출할 수 있도록 실리콘 고무를 부착하여 맥진 센서로 활용하였다. 또한 추의 무게에 의해 압력을 조절하여 그것에 따른 맥파의 변화를 볼 수 있는 맥진 시스템을 제작하였다. 맥진 센서의 압력에 따른 출력전압의 선형성을 확인하였으며 추의 무게에 따른 맥파의 진폭과 주기 변화를 조사하였다.

• Journal of Chest Surgery
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• v.39 no.10 s.267
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• pp.754-758
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• 2006

Background: Surgical role for acute coronary syndrome has been reduced in recent years due to development of drug eluting stent. We evaluated the surgical results of acute coronary syndrome in our hospital. Material and Method: Between January 2001 and August 2005, 416 patients underwent coronary artery bypass grafting (CABG) under diagnosis of non-ST-elevation acute coronary syndrome (NSTE ACS). Mean age was $61.8{\pm}9.0$ years and 276 (66.3%) patients were male. 324 (77.9%) patients had triple vessel disease and 92 (22.1%) had left main disease at angiographic study. 236 (56.7%) patients had hypertension and 174 (41.8%) had diabetes mellitus. Conventional on-pump CABG was performed in 194 patients (46.6%) and off-pump CABG in 222 (53.4%). Total arterial revascularization with no touch technique was done in 97 patients (23.3%). The number of total distal anastomosis was 1,306 and the number per patient was $3.21{\pm}1.71$. Result: Surgical mortality rate was 1.0% (4 patients) and postoperative complication rate was 15.6% (65 patients). Graft patency was checked at mean $3.7{\pm}7.6$ months (from 1 to 37 months) postoperatively with multi-directional computed tomography in 152 patients. Left internal mammary artery was patent in 95.3%, right internal mammary artery in 98.1%, radial artery in 92.2% and saphenous vein in 89.0%. Conclusion: The surgical treatment of NSTE ACS showed relatively low mortality rate and good graft patency rate. Further study is needed to compare the long term results with drug eluting stent.

• Journal of Korean Academy of Nursing
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• v.48 no.4
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• pp.465-474
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• 2018

Purpose: This study aimed to determine the effect of hand massage in patients who underwent transradial percutaneous coronary intervention. Methods: This was a quasi-experimental study with a nonequivalent control group and non-synchronized design. The study included 30 patients in the experimental group and 30 in the control group. Hand massage was performed 2 times for 5 minutes each in the experimental group and the control group only received usual nursing interventions. Pain, level of discomfort, and vital signs were defined as key outcome measures, and the data were analyzed using the chi-square test, an independent t-test, Mann-Whitney U test, repeated-measures analysis of variance, and Friedman test. Results: Significant differences were observed between the 2 groups in the pain score (F=7.91, p=.003), discomfort score (F=18.15, p<.001), pulse (F=12.92, p<.001), and respiration rate (${\times}^2=19.35$, p<.001). Conclusion: Hand massage can be a helpful nursing intervention for transradial percutaneous coronary intervention by reducing pain and discomfort to a considerable degree.

• Journal of Chest Surgery
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• v.32 no.10
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• pp.891-896
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• 1999

Increasing interest in the use of arterial conduites is based on the better patency of the internal thoracic artery(ITA) than the saphenous vein graft and the hope that other arterial conuits will perform similarly over the long term. Material and Method: Between May 1997 and July 1998, 43 patients underwent coronary artery bypass grafting with ITA and the radial artery(RA). There were 28 men and 15 women with a mean age of 61.5 years(range, 35 to 78). In 43 patents, 30 bilateral ITA(including 7 diabetes mellitus, 5 more older 70 years), 8 bilateral ITA only, 2 left ITA and both RA, 11 left ITA and left RA and 22 both ITA and left RA were used. Result: There was 1 hospital mortality. Of the 42 patients alive, 39 patients are asymptomatic. Postoperative complications were postoperative bleeding in 1 patients, and low cardiac output syndrome in 3. Follow-up angiography was performed in 5 patients after the operation(mean 3 months), and all ITA & RA grafts showed excellent results. Conclusion: We conclude that complete arterial revascularization with internal thoracic artery and radial artery is technically feasiale with low mortality and morbidity, and but long term follow-up is needed.

• Journal of Korean Clinical Nursing Research
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• v.18 no.2
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• pp.275-283
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• 2012

Purpose: This study was conducted to compare pain, sense, bleeding, and hematoma that patients feel depending on the process of eliminating air of pressure band that was applied to patients after percutaneous coronary intervention (PCI) through radial artery. Methods: It was a nonequivalent control group pretestposttest design to compare pain, sense, bleeding, and hematoma by amount and time of eliminating air of pressure band after PCI through radial artery. Results: On arrival at Coronary Care Unit, meaningful difference didn't exist between pain and sense, however, after two hours of starting eliminating air, the points of pain and sense were meaningfully low (p<.001). Also, there was meaningful difference in reciprocal action between group and time (p<.001). Conclusion: After PCI, the conclusion showed there is positive effect in decreasing wrist pain and sense without any influence of bleeding by eliminating air from patients' pressure bands.