• Proceedings of the KIEE Conference
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• 2007.10a
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• pp.101-102
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• 2007

Heart diseases are critical and should be detected as soon as possible. A stethoscope is a simple device to find cardiac disorder but requires keen experiences in heart sounds. We evaluate a cardiac disorder classifier by using heart sounds recorded by a digital wireless stethoscope developed in this work. The classifier uses hidden Markov models with circular state transition to model the heart sounds. We train the classifier using two kinds of data: One recorded by using our stethoscope and the other sampled from a clean heart sound database. In classification experiments using 165 sound clips, the classifier shows the classification accuracy of 82% in classifying 6 cardiac disorder categories.

• The Journal of the Acoustical Society of Korea
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• v.28 no.1
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• pp.32-43
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• 2009

In this paper, we improve the performance of cardiac disorder classification by continuous heart sound signals using automatic segmentation and extreme learning machine (ELM). The accuracy of the conventional cardiac disorder classification systems degrades because murmurs and click sounds contained in the abnormal heart sound signals cause incorrect or missing starting points of the first (S1) and the second heart pulses (S2) in the automatic segmentation stage, In order to reduce the performance degradation due to segmentation errors, we find the positions of the S1 and S2 pulses, modify them using the time difference of S1 or S2, and extract a single period of heart sound signals. We then obtain a feature vector consisting of the mel-scaled filter bank energy coefficients and the envelope of uniform-sized sub-segments from the single-period heart sound signals. To classify the heart disorders, we use ELM with a single hidden layer. In cardiac disorder classification experiments with 9 cardiac disorder categories, the proposed method shows the classification accuracy of 81.6% and achieves the highest classification accuracy among ELM, multi-layer perceptron (MLP), support vector machine (SVM), and hidden Markov model (HMM).

• The Journal of the Acoustical Society of Korea
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• v.30 no.3
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• pp.149-157
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• 2011

In this paper, we propose a new cardiac disorder classification method using an support vector machine (SVM) to combine hidden Markov model (HMM) and murmur existence information. Using cepstral features and the HMM Viterbi algorithm, we segment input heart sound signals into HMM states for each cardiac disorder model and compute log-likelihood (score) for every state in the model. To exploit the temporal position characteristics of murmur signals, we divide the input signals into two subbands and compute murmur probability of every subband of each frame, and obtain the murmur score for each state by using the state segmentation information obtained from the Viterbi algorithm. With an input vector containing the HMM state scores and the murmur scores for all cardiac disorder models, SVM finally decides the cardiac disorder category. In cardiac disorder classification experimental results, the proposed method shows the relatively improvement rate of 20.4 % compared to the HMM-based classifier with the conventional cepstral features.

• The Journal of the Acoustical Society of Korea
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• v.29 no.2
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• pp.133-140
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• 2010

We improve the performance of cardiac disorder classification by adding new temporal features extracted from continuous heart sound signals. We add three kinds of novel temporal features to a conventional feature based on mel-frequency cepstral coefficients (MFCC): Heart sound envelope, murmur probabilities, and murmur amplitude variation. In cardiac disorder classification and detection experiments, we evaluate the contribution of the proposed features to classification accuracy and select proper temporal features using the sequential feature selection method. The selected features are shown to improve classification accuracy significantly and consistently for neural network-based pattern classifiers such as multi-layer perceptron (MLP), support vector machine (SVM), and extreme learning machine (ELM).

• Journal of Sensor Science and Technology
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• v.21 no.1
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• pp.39-45
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• 2012

Recently the convergence of healthcare technology is used for daily life healthcare monitoring. Cardiac arrhythmia is presented by the state of the heart irregularity. Abnormal heart's electrical signal pathway or heart's tissue disorder could be the cause of cardiac arrhythmia. Fatal arrhythmia could put patient's life at risk. Therefore arrhythmia detection is very important. Previous studies on the detection of arrhythmia in various ECG analysis and classification methods had been carried out. In this paper, an ECG signal processing techniques to detect abnormal ECG based on DTW minimum accumulation distance through the template matching for normalized data and variable threshold method for ECG R-peak detection. Signal processing techniques able to determine the occurrence of normal ECG and abnormal ECG. Abnormal ECG detection algorithm using DTW minimum accumulation distance method is performed using MITBIH database for performance evaluation. Experiment result shows the average percentage accuracy of using the propose method for Rpeak detection is 99.63 % and abnormal detection is 99.60 %.

• The Korean Journal of Rehabilitation Nursing
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• v.4 no.1
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• pp.94-104
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• 2001

The purpose of this study was to analysis of nursing interventions performed by the ICU nurses to the patients with cerebrovascular disorder practically from one university hospital in Seoul. The data were collected from 15 nurses with 86 cerebrovascular disorder cases from one ICU with the questionaire to write frequency of nursing care done by the surveyee from May, 2, 2000 to July, 3, 2000 and the list of 66 nursing interventions selected out of 433 NIC(Nursing Interventions Classification) of Iowa University which were translated into Korean (44 items) and core nursing interventions by ICU nurses (22 items; KIm, Su-Jin, 1997). The data were analysed with SPSS program. The results are as follow : 1. The most frequently used nursing interventions were vital sign monitoring, fall prevention, cerebral edema management, dysreflexia management, neurologic monitoring, cardiac care, communication enhancement, technology management, bed rest care, respiratory monitoring in rank. 2. The most frequently used nursing intervention domains were 'Physiological : Complex', 'Physiological : basic', 'Behavior', 'Safty', 'Health system' in rank. In the domain of physiological : basic, the most frequently used nursing interventions were bed rest care, urinary elimination management, tube care : urinary, physical restraints in rank. In the domain of physiological : complex, the most frequently used nursing interventions were cerebral edema management, dysreflexia management, neurologic monitoring, cardiac care in rank. In the domain of behavior, the most frequently used nursing interventions were communication enhancement, touch, active listening in rank. In the domain of safty, the most frequently used nursing interventions were vital sign monitoring, fall prevention in rank. In the domain of health system, the most frequently used nursing interventions were technology management, specimen management in rank. 3. some difference of the frequency practicing the nursing interventions according to the shift of duties was found. For example, medication administration was common at day duty, touch was practiced at evening duty, temperature regulation was performed.