• Clinical and Experimental Pediatrics
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• 제49권9호
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• pp.937-945
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• 2006

The population of adult patients with congenital heart disease(CHD) has increased dramatically because of improved survival of infants and children with CHD. There are still a substantial number of adults with unrepaired CHD. Many adult patients do not know the possible problems of their disease such as ventricular dysfunction, arrhythmia, and what they should pay attention to. They often consider themselves "cured" or "healthy" if only they don't have overt symptoms, and visit hospitals only after deterioration of their problems. Some patients are neglected because they cannot be corrected surgically although careful medical support can improve their survival and quality of life. It is, therefore, essential that the patients, their families, and physicians understand the potential problems of CHD and need for regular follow-up. In this paper we will take a brief review for common medical problems of repaired or unrepaired CHD and also mention a few specific diseases which are common in adults.

• Journal of Chest Surgery
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• 제37권3호
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• pp.275-278
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• 2004

9개월 된 남환이 우연히 발견된 심장 종괴 때문에 내원하였다. 환자는 특별한 증상은 없었으며, 혈역학적 이상 증상도 없었다. 심초음파 검사상 상당히 커다란 좌심실 자유벽의 종괴가 보였으며, 그 종괴는 좌심실 유출로를 막고 있지는 않았다. 좌심실 자유벽 종괴를 최대한 절제하였고, 병리학적 진단은 심장 섬유종이었다. 수술 후 7개월 간의 추적 관찰 기간 동안 부정맥이나 종양의 재발은 보이지 않고 있다.

• 전기학회논문지
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• 제60권12호
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• pp.2380-2385
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• 2011

With the advent of ubiquitous healthcare technology to provide a patient with the necessary medical services in anywhere and anytime scheme, the importance of securing safe communication without tampering the medical data by the unauthorized users is getting more emphasized. With this aim, a novel method for constructing encryption keys on the basis of biometrical measurement of electrocardiogram (ECG) is suggested in this study. The experiments on MIT/BIH database show that our proposed method can achieve safe communication by successfully ciphering and deciphering ECG data including premature ventricular contraction arrhythmia signal with compromising its fiducial features as biometric key to transmit the data via the internet network.

• Journal of Chest Surgery
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• 제53권5호
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• pp.310-312
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• 2020

Transcatheter leadless pacemaker dislodgment is a rare and potentially fatal complication of leadless device implantation. We present the first case of multidetector computed tomography images of leadless pacemaker migration and embolization in the pulmonary middle lobe artery. The patient was managed by percutaneous retrieval of the dislodged device and re-implantation in the appropriate position.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2005년도 추계종합학술대회
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• pp.453-456
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• 2005

일반적으로 심전도는 심장계통의 질환을 판단할 때 사용된다. 이러한 심장질환의 이상 유무를 자동으로 진단하기 위해서는 QRS파형 검출을 필요로 하며, 이를 위하여 웨이블렛변환 방법이나 템플릿매칭, 룰 베이스 방법 등 여러 가지 방법들이 쓰이고 있으나, 심전도 신호가 표준화된 형태를 갖지 않는 경우는 검출 능력에 많은 한계를 갖고 있다. 본 논문은 파형의 베이스라인(baseline)을 기준으로 진폭 값에 절대치을 취하는 방법으로 파형의 R피크값을 검출하는 알고리즘을 제안한다. 결과를 검증하기 위해 MIT-BIH 데이타베이스에서 제공하는 데이터와 R피크값을 본 논문의 알고리즘으로 추출된 R피크값과 비교한 결과 96.7%의 검출률을 보였다.

• 대한약리학회지
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• 제6권1호
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• pp.1-7
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• 1970

The effects of ouabain and diphenylhydantoin on ATPase activity in rat erythrocyte membranes were studied and also influence of K on ATPase activity was studied. The ATPase activity of rat erythrocyte membrane has been shown to consist of two components. The first component requires the Mg but occurs in the absence of Na or K (Mg-ATPase) and is not inhibited by ouabain and stimulated by diphenylhydantoin. The second component requires the presence of Mg and also Na or K (Na-K-Mg-ATPase). It is inhibited by ouabain and is stimulated by diphenylhydantoin in low Na concentration and inhibited in high Na concentration. K inhibit Na-K-Mg-ATPase which is inhibited by ouabain. Ouabain and diphenylhydantoin show reversed effect to Na-K-Mg-ATPase activity. It suggest that the therapeutic effect of diphenylhydantoin on digitalis induced cardiac arrhythmia may be resulted from their effect on ion transport mechanism of cell membrance. And the relevance of these findings to the action of ouabain and diphenylhydantoin on membrane transport mechanism is discussed.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2004년도 학술대회 논문집 정보 및 제어부문
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• pp.325-327
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• 2004

ECG limb lead II signal widely used to diagnosis heart diseases and it is essential to detect ECG events (onsets, offsets and peaks of the QRS complex P wave and T wave) and extract them from ECG signal for heart diseases diagnoses. However, it is very difficult to develop standardized feature extraction formulas since ECG signals are varying on patients and disease types. In this paper, simple feature extraction method from normal and abnormal types of ECG signals is proposed. As a signal features, heart rate, PR interval, QRS interval, QT interval, interval between S wave and baseline, and T wave types are extracted. To show the validity of proposed method, Right Bundle Branch Block (RBBB), Left Bundle Branch Block (LBBB), Sinus Bradycardia, and Sinus Tachycardia data from MIT-BIH arrhythmia database are used for feature extraction and the extraction results showed higher extraction capability compare to conventional formula based extraction method.

• 한국지능시스템학회:학술대회논문집
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• 한국퍼지및지능시스템학회 2005년도 추계학술대회 학술발표 논문집 제15권 제2호
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• pp.110-113
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• 2005

본 논문은 가중 퍼지소속함수 기반 신경망(Neural Network with Weighted fuzzy Membership Funcstions, NEWFM)을 이용하여 심전도 신호로부터 조기심실수축(Premature Ventricular Contraction, PVC)을 판별하는 퍼지규칙을 추출하고 있다. NEWFM은 자기적응적(self adaptive) 가중 퍼지소속함수를 가지고 주어진 입력 데이터로부터 학습하여 퍼지규칙을 생성하고 이를 기반으로 정상 파형과 PVC 파형을 구분한다. 분류 성능 평가를 위하여 MIT/BIH 부정맥 데이터 베이스를 사용하였으며, NEWFM의 입력은 심전도의 파형에 웨이블릿 변환을 적용하여 추출된 웨이블릿 계수를 사용하였다. 여기에 비중복면적 분산 측정법을 적용하여 중요도가 낮은 계수를 제거하면서 최소의 m 개 특징입력만을 사용한 하이퍼박스로 단순화 시킨다. 이러한 방법으로 추출된 2개의 웨이블릿 계수를 사용한 퍼지규칙은 $96\%$의 PVC 분류성능을 보여준다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제20권2호
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• pp.89-93
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• 2020

We experienced an unusual case of accelerated junctional rhythm with severe hypotension after infiltration of lidocaine containing epinephrine during dental surgery under general anesthesia. The patient's electrocardiogram exhibited retrograde P-waves following the QRS complex, which could be misinterpreted as ST-segment depression. As a temporary measure, administration of ephedrine restored the patient's blood pressure to normal levels. The importance of this case lies in its demonstration of an unexpected and serious side effect of commonly used epinephrine infiltration. This case also highlights the need for accurate interpretation of the electrocardiogram and comprehensive understanding of best practices for patient management.

• 생약학회지
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• 제35권2호통권137호
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• pp.128-133
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• 2004

Aconitum triphyllum Nakai, the Korean spontaneous perennial herb, is one of the most important materials of oriental drug Fu-zi(aconite) and has long been used as cardiotonic for arrhythmia, analgesic and antiinflammatory drug in oriental countries. Although the plant is widely used for the preparation of aconite, the composition and amount of the toxic aconitine type alkaloids have not studied so far. As the preliminary study for seasonal variation of major constituents in mother tuber and daughter tuber of the plant, the authors tried to elucidate phytochemical characteristics of $C_{19}-diterpenoid alkaloids by $^{13}C-NMR$ spectra and seasonal variation of the alkaloidal contents by high performance liquid chromatography.