• Archives of Pharmacal Research
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• 제29권11호
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• pp.977-983
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• 2006

The objective was to devise an animal model of myocardial infarction (MI) against which cardioprotective drugs might be tested. We describe the effects of nimesulide, a COX experience with development and validation of such a model. The rabbit was chosen in preference to rodents because its heart and cardiac circulation more closely resemble those of human. Thus, the cardiovascular system of anaesthetized male rabbits, 1 to 1.5 kg (n=11), was stressed by a single bolus intravenous injection of isoprenaline (ISP), 65 mg/kg. The effects of the injection were followed for sixteen days and were evaluated in four ways: 1) measurements of creatinine kinase isozyme and troponin-I (TPI) in serum 2) Electrocardiographic (ECG) changes (ST elevation and Q wave development) 3) Cardiac histopathology observed in tissue sections of the isolated of the heart. The histopathological analysis showed that rabbit heart on 2nd day after ISP injection showed changes of coagulation necrosis. Day 4 total coagulation with the loss of nuclear and striation associated with heavy interstitial infiltrate of neutrophils was found. Day 8 after infarction showed collagen deposition with capillary channels in between the remaining islands of myocytes in the infarcted area. On the 16th day scarring was complete. Coronary perfusion rates (CPR) and heart rate (HR) of the infarcted and nimesulide (a COX-2 inhibitor) treated rabbits displayed significant improvement (n=11) on each corresponding day after infarction as compared to the infarcted and saline treated rabbits (P<0.05). All four indices revealed similarities with effects commonly associated with MI in humans.

• 한국군사과학기술학회지
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• 제22권2호
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• pp.287-297
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• 2019

Monitoring for the physiological state of a solider is essential to the realization of individual combat system. Despite all efforts over the last decades, there is no report to point out the optimal location of the wearable biosensors considering both monitoring accuracy and operational robustness. In response, we quantitatively measure body temperature and heartrate from 34 body parts using 2 kinds of biosensor arrays, each of which consists of a thermocouple(TC) sensor and either a photoplethysmography(PPG) sensor or an electrocardiography(ECG) sensor. The optimal location is determined by scoring each body part in terms of signal intensity, convenience in use, placement durability, and activity impedance. The measurement leads to finding the optimal location of wearable biosensor arrays. Thumb and chest are identified as best body parts for TC/PPG sensors and TC/ECG sensors, respectively. The findings will contribute to the successful development of individual combat system.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2005년도 추계종합학술대회
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• pp.493-496
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• 2005

For home healthcare, the unconstrained measurement of physiological signal is highly required to avoid the inconvenience of users. The recording and analysis of the fundamental parameters during sleep like respiration and heart beat provide valuable information on his/her healthcare. Using the air mattress sensor system, the respiration and heart beat movements can be measured without any harness or sensor on the subject's body. The differential measurement technique between two air cells is adopted to enhance the sensitivity. The balancing tube between two air cells is used to increase the robustness against postural changes during the measurement period. The meaningful frequency range could be selected by the pneumatic filter with balancing tube. ECG (Electrocardiography) and respiration sensor (plethysmography) were measured for comparison with the signal from air mattress. To extract the heart beat information from air pressure sensor, digital signal processing technique was used. The accuracy for breathing interval and heart beat monitoring was acceptable. It shows the potentials of air mattress sensor system to be the unconstrained home sleep monitoring system.

• 전기학회논문지
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• 제58권5호
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• pp.1050-1056
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• 2009

Heart Rate Variability(HRV) is a parameter that represents monitoring variability of time intervals between R-peak in electrocardiography. HRV serves to various applications, such as indices of autonomic functions, prediction of cardiac sudden death, assessment of stress and emotional, etc. However, as measuring R-peak in ECG needs at least 3-electrodes, and it is inconvenient for end users. In this paper, we suggested the modified laplacian electrodes for measuring HRV at one-point, which are producted by MEMS fabrication and have the two circular electrodes on the pad. For optimal position and direction, we performed an experiment that compared with pearson correlation coefficient and the amplitude of signals, between standard lead II and proposed electrodes. We analyzed the HRV parameters, such as standard deviation of the NN interval(SDNN), high frequency(HF), low frequency(LF), LF/HF ratio. The result showed that the average correlation coefficient and amplitude are 0.967 and 0.685 mVpp at the position 2. The coeffiecient correlation between the standard HRV and proposed electrode-HRV is 0.999

• Acute and Critical Care
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• 제33권4호
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• pp.271-275
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• 2018

We experienced a case of severe intraoperative hyperkalemia during laparoscopic radical nephrectomy in a 60-year-old male patient with renal insufficiency, whose hypertension had been managed by preoperative angiotensin II receptor blocker (ARB) and adrenergic beta-antagonist. After renal vessel ligation, his intraoperative potassium concentration suddenly increased to 7.0 mEq/L, but his electrocardiography (ECG) did not show any significant change. While preoperative ARB therapy has been regarded as a contributing factor for further aggravation of underlying renal insufficiency, we assumed that nephrectomy itself and rhabdomyolysis caused by surgical trauma also aggravated the underlying renal dysfunction and resulted in sudden hyperkalemia. Hyperkalemia was managed successfully with calcium gluconate, insulin, furosemide and crystalloid loading during the intraoperative and immediate postoperative periods, and potassium concentration decreased to 5.0 mEq/L at 8 hours after the operation. The patient's hospital course was uncomplicated, but his renal function deteriorated further.

• 전자공학회논문지
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• 제50권10호
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• pp.207-216
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• 2013

본 연구의 목적은 수면상태 분석을 위한 분류기를 설계해줌과 동시에 생체신호를 기반으로 하여 수면상태 판별에 유효한 주요 특징벡터들을 추출함에 있다. 수면은 인간의 삶에 중요한 영향을 끼친다. 따라서 사람들이 수면부족 혹은 수면장애를 겪게 되면 집중력 감퇴, 인지기능 장애 등의 문제를 가질 우려가 생기게 되므로, 수면단계 판별에 관한 많은 연구들이 이루어지고 있다. 본 연구에서는 피험자가 수면을 취하는 동안 피험자의 생체신호를 획득하였다. 획득 된 생체신호로부터 필터링 등의 전처리 과정을 통하여 특징들을 추출하여 주었다. 추출된 특징들은 유전 알고리즘과 신경망을 결합하여 만든 새로운 알고리즘의 입력으로 사용되었으며, 알고리즘은 수면단계 분석을 위하여 높은 가중치를 가지는 특징을 선택하여 주었다. 이에 따른 결과로 뇌파 신호와 심전도 신호 모두 사용 시 알고리즘의 정확도는 약 90.26%가 나왔으며, 선택되어진 특징은 뇌파 신호의 ${\alpha}$파와 ${\delta}$파의 주파수 파워와 심전도 신호의 SDNN(Standard deviation of all normal RR intervals)이다. 선택된 특징은 수면상태를 분류하는데 중요한 역할을 함을 알고리즘을 반복적으로 수행하여 확인하였고, 이 연구는 추후 수면장애의 진단 혹은 수면분석의 지침을 만드는데 사용가능할 것으로 사료된다.

• 고신대학교 의과대학 학술지
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• 제33권3호
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• pp.328-336
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• 2018

Objectives: Electrocardiograhy (ECG) is the first step in hypertrophic cardiomyopathy (HCMP) diagnosis. For various reasons, the T wave inversion (TWI) and ECG change with time and HCMP is not easy to diagnosis. The aim of this retrospective study was to investigate the association between TWI on ECG and apical HCMP. Methods: A total of 4,730 ECGs presenting TWI from January 2011 to March 2013 in Pusan National University Hospital were enrolled. 133 patients who were examined by both echocardiography and coronary angiogram were analyzed. Patients were divided into two groups: Group A (TWI ${\geq}$ 10 mm) and Group B (5 mm ${\leq}$ TWI < 10 mm). HCMP is defined by a wall thickness ${\geq}15mm$ in one or more LV myocardial segments. Apical HCMP is defined to be hypertrophy that is confined to LV apex. The patients who had ECGs with at least one month interval were divided 3 groups: Normal T wave, Abnormal T wave, and Persistent TWI. The prevalence of Apical HCMP and coronary artery disease (CAD) was reviewed among the three groups. Results: In this study there were a total 133 patients, with patients divided into Group A which had 15 patients and Group B which had 118 patients. Among the 23 patients with apical HCMP, three patients were Group A and twenty patients were Group B (P = 0.769). Regarding constancy of TWI, persistent TWI group was higher in apical HCMP than in other groups (P = 0.038). CAD had no difference between groups (P = 0.889). Conclusions: T wave negativity was not associated with incidence of apical HCMP. However, apical HCMP was diagnosed more frequently in patients with persistent TWI. Further follow up echocardiographic study is needed to evaluate the progression of apical HCMP in patients with TWI.

• 한국임상수의학회지
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• 제22권4호
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• pp.396-400
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• 2005

13년령의 암컷 말티즈견이 5개월간의 일시적인 기절현상 (syncope)을 주증상으로 내원하였다. 환축은 병력 청취 신체검사 심장검사 총혈액검사, 혈액 화학적 검사, 방사선학적 검사, 심전도 검사, 아트로핀 반응 검사 (atropine response test), 호르몬 검사, 심전도 검사 등을 통해 심장의 문제가 있는 것으로 진단되었다. 본 증례에서 심전도 검사는 아트로핀 투여에 의한 심전도 기록을 통해 sick sinus syndrome을 확진 하는데 중요한 역할을 하였다. 임상 증상은 테오필린 (THEOLANi, 근화제약, 서울, 한국, 20mg/kg, 경구 투여, 1일 2회)을 복용하면서 개선되었다. 환축은 10개월을 생존하였으나 지역 병원에서 복강의 종괴를 제거하는 수술을 받는 중 호흡곤란과 쇼크로 사망하였다. 사망 후 보호자의 반대로 부검은 이루어지지 않았다.

• Clinical and Experimental Pediatrics
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• 제61권11호
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• pp.362-365
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• 2018

Purpose: This study aimed to analyze changes in QRS duration and cardiothoracic ratio (CTR) following pulmonary valve replacement (PVR) in patients with tetralogy of Fallot (TOF). Methods: Children and adolescents who had previously undergone total repair for TOF (n=67; median age, 16 years) who required elective PVR for pulmonary regurgitation and/or right ventricular out tract obstruction were included in this study. The QRS duration and CTR were measured pre- and postoperatively and postoperative changes were evaluated. Results: Following PVR, the CTR significantly decreased (pre-PVR $57.2%{\pm}6.2%$, post-PVR $53.8%{\pm}5.5%$, P=0.002). The postoperative QRS duration showed a tendency to decrease (pre-PVR $162.7{\pm}26.4$ msec, post-PVR $156.4{\pm}24.4$ msec, P=0.124). QRS duration was greater than 180 msec in 6 patients prior to PVR. Of these, 5 patients showed a decrease in QRS duration following PVR; QRS duration was less than 180 msec in 2 patients, and QRS duration remained greater than 180 msec in 3 patients, including 2 patients with diffuse postoperative right ventricular outflow tract hypokinesis. Six patients had coexisting arrhythmias before PVR; 2 patients, atrial tachycardia; 3 patients, premature ventricular contraction; and 1 patient, premature atrial contraction. None of the patients presented with arrhythmia following PVR. Conclusion: The CTR and QRS duration reduced following PVR. However, QRS duration may not decrease below 180 msec after PVR, particularly in patients with right ventricular outflow tract hypokinesis. The CTR and ECG may provide additional clinical information on changes in right ventricular volume and/or pressure in these patients.

• 한국산학기술학회논문지
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• 제14권8호
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• pp.3925-3932
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• 2013

감성은 인간의 삶과 밀접한 관련을 가지고 있으며 이는 집중력, 학습능력 등 많은 부분에 영향을 주어 다양한 행동 패턴을 가지게 한다. 따라서 본 논문의 목적은 부정감성을 구분하기 위하여 생체신호를 기반으로 주요한 특징들을 추출하는 것이다. 이를 위해 본 논문에서는 심전도, 뇌파, 피부 온도와 피부전도도를 기반으로 생체신호를 측정한 후, 선형분류기와 유전 알고리즘의 조합으로 정확하고 신속한 알고리즘 개발하고, 주요 특징을 추출하였다. 그 결과, 알고리즘은 최대 96.4%의 정확도를 가짐을 확인할 수 있었고, 추출된 파라미터는 심박변이도의 Mean, RMSSD, NN50과 뇌파의 전두엽 영역에서의 ${\sigma}$파와 ${\alpha}$파의 주파수 파워, 두정엽 영역에서 ${\alpha}$파, ${\beta}$파, ${\gamma}$파와 의 주파수 파워, 그리고 피부온도의 평균과 표준편차 값이었다. 이에 따라 각 각의 생체신호를 기반으로 한 추출 된 특징들은 부정감성의 분류에 있어 중요한 역할을 함을 확인할 수 있었다.