• Journal of Dental Anesthesia and Pain Medicine
• /
• 제17권1호
• /
• pp.71-76
• /
• 2017

Drug-induced sleep endoscopy (DISE) is used to identify areas of upper airway obstruction, which occurs when patients with obstructive sleep apnea (OSA) snore. DISE enables effective diagnosis and appropriate treatment of the obstruction site. Among surgical treatment methods for OSA, maxillomandibular advancement surgery (MMA) is performed to move a jaw forward; the surgery has a high success rate for OSA treatment. In DISE, anesthetics such as propofol and midazolam must be administered to induce snoring while the patient is deeply sedated for an accurate diagnosis to be made. When inducing deep sedation in a patient with OSA, airway obstruction may increase, causing oxygen saturation to drop; airway interventions are necessary in such cases. Effective DISE and MMA surgery can be performed by administering propofol through target-controlled infusion while monitoring the bispectral index (BIS).

• Journal of the Korea Institute of Information and Communication Engineering
• /
• 제21권1호
• /
• pp.193-198
• /
• 2017

Recently, as interest in health increases, various wearable devices such as smart watch and smart band which can measure user's biometric information are being studied. Conventional wearable devices service the measured biometric information in a form that provides simple monitoring, disease prevention, and exercise amount. However, the user is Lack to deal with the dangerous situation. In this paper, we propose a hazard notification system to address these problems. The biometric information measured by the acceleration sensor and the heart rate sensor is transmitted to the application through the Arduino in real time. It identifies the risk situation through sensor priority measurement and risk situation identification algorithm. If a dangerous situation occurs, a notification message is sent to the guardian indicating the current location of the user. Therefore, it can be expected that if a dangerous situation occurs to a user who needs protection, he can respond promptly.

• Journal of Chest Surgery
• /
• 제32권10호
• /
• pp.903-909
• /
• 1999

Background: The current study was undertaken to investigate the results of a modification in the conventional Maze III Procedure devised by the authors. The aim of the technical modification was in improving the left atrial contractility. Material and Method: Between July 1997 and December 1998, 34 patients with chronic atrial fibrillation for more than 1 year duration underwent a modified Maze III procedure. The assessment of the left atrial function was made by various echocardiographic measurements and SA nodal recovery was evaluated by HRV Holter monitoring. Result: All 34 patients were in sinus rhythm. On echocardiography, right atrial contraction was detected in 32 patients(94.1%) and left atrial contraction in 33 patients(97.1%). The echocardiographic A wave at 1, 6, and 12 months or more were 50.5$\pm$31.5, 62.1$\pm$25.1, 66$\pm$20.6 cm/sec, respectively, and the E wave measurements at the same time points were 152$\pm$31.1, 134.4$\pm$35.2, 133$\pm$27.5 cm/sec. The corresponding A/E ratios were 0.32$\pm$0.13, 0.48$\pm$0.18, 0.5$\pm$0.15, showing a rising trend. Treadmill evaluation at 6 months showed a mean 82% increase in heart rate after excising, and the SDNN and SDANN upon HRV Holter at 1 and 3 months postoperatively were 65.3$\pm$28.1/87.8$\pm$27.2 ms, and 60.0$\pm$24.1/83.4$\pm$25.7 ms, respectively, showing a predoinant autonomic recovery in the parasympathetic system(PSDNN = 0.01, PSDANN =0.015). Conclusion: The results of our data suggest that the current modification in the conventional Maze III Procedure was efective in enhancing the postoperative left atrial contractility.

• Journal of Biomedical Engineering Research
• /
• 제23권1호
• /
• pp.73-79
• /
• 2002

The goals of this study are twofold: To investigate non-phobics'and Phobics'Physiological response in virtual environments. and to analyze the trend of phobics' Physiology during virtual reality treatment. As a measure of Physiology. heart rate, skin resistance. and skin temperature were acquired. The data of two group subjects were analyzed: twenty-two non-Phobic subjects (M=32.94 years). thirty-six subjects with fear of flying (M=40.12 yearn) who met the DSM-lV criteria for a fear of flying. As a result. skin resistance showed significant differences between non-Photics and phobics. T(56) =2.978, P〈0.01 And the physiological responses of 33 subjects among the Phobics. who succeed to fly without medicine after virtual reality treatment, showed a gradual trend toward the non-Phobics Physiological responses as therapy sessions went on. In this study. Physiological monitoring. skin resistance appeared to be useful both in understanding the Physiological state of Phobic individuals and in evaluating the results of treatment in virtual reality Psychotherapy.

• The Journal of Society for e-Business Studies
• /
• 제22권2호
• /
• pp.1-18
• /
• 2017

Recently, identification of the extremely stressed condition of children is an essential skill for real-time recognition of a dangerous situation because incidents of children have been dramatically increased. In this paper, therefore, we present a model based on machine learning techniques for stress status identification of a child by using bio-signals such as voice and heart rate that are major factors for presenting a child's emotion. In addition, a smart band for collecting such bio-signals and a mobile application for monitoring child's stress status are also suggested. Specifically, the proposed method utilizes stress patterns of children that are obtained in advance for the purpose of training stress status identification model. Then, the model is used to predict the current stress status for a child and is designed based on conventional machine learning algorithms. The experiment results conducted by using a real-world dataset showed that the possibility of automated detection of a child's stress status with a satisfactory level of accuracy. Furthermore, the research results are expected to be used for preventing child's dangerous situations.

• International Journal of Internet, Broadcasting and Communication
• /
• 제11권4호
• /
• pp.71-75
• /
• 2019

Sleep apnea is a disease that causes various complications, and the polysomnography is expensive and difficult to measure. The purpose of this study is to develop an unrestricted wearable monitoring system so that patients can be examined in a familiar environment. We used a method to detect sleep apnea events and to determine sleep satisfaction by non-constrained method using SpO2 measurement sensor and 3-axis acceleration sensor. Heart rate and SpO2 were measured at the finger using max30100. After acquiring the SpO2 data of the user in real time, the apnea measurement algorithm was used to transmit the number of apnea events of the user to the mobile phone using Bluetooth (HC-06) on the wrist. Using the three-axis acceleration sensor (mpu6050) attached to the upper body, the number of times of tossing and turning during sleep was measured. Based on this data, this algorithm evaluates the patient's tossing and turning during sleep and transmits the data to the mobile phone via Bluetooth. The power source used 9 volts battery to operate Arduino UNO and sensors for portability and stability, and the data received from each sensor can be used to check the various degree between sleep apnea and sleep tossing and turning on the mobile phone. Through thisstudy, we have developed a wearable sleep apnea measurement system that can be easily used at home for the problem of low sleep efficiency of sleep apnea patients.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
• /
• 한국해양정보통신학회 2009년도 춘계학술대회
• /
• pp.899-902
• /
• 2009

As computer network and wireless technology continue to grow rapidly, a wide range of remote application has been applied to medical field such as remote medical consulting and remote patient monitoring. This research aims to design RF telecommunication-based healthcare application to collect and manage patient's physiological data, and describe the overall procedure of experiment. MySQL database is designed to record patient's physiological data including temperature, blood pressure and heart rate and save information about medical behaviors such as doctor's prescription for patients. Therefore, users approved by healthcare application can query patient's data and collected data can be used to reorganize data for clinical test. As a result, temperature and humidity of patient's room which must be checked frequently can be processed automatically through ubiquitous sensor network. The information entered from mobile phones or web is saved in database, ensuring systematical management through computer. Moreover, patient's family members can easily access hospital data, improving their experience with medical service.

• Journal of dental hygiene science
• /
• 제23권2호
• /
• pp.176-184
• /
• 2023

Background: Recently, a piezoelectric ultrasonic scaler based on a feedback control mechanism was introduced for pain relief. This study aimed to investigate the effects of a new ultrasonic scaler in reducing pain and discomfort in adults. Methods: A newly introduced ultrasonic scaler (Master 700^®) was used as the test device and a conventional ultrasonic scaler device (PIEZON^®) was used as the control device. Forty-one healthy adults visited the dental clinic for dental scaling but did not undergo scaling or periodontal treatment within 6 months. Intraoral examinations were performed before scaling and 3 months later; before scaling, both devices were randomly assigned on the left or right side of each dentition (split-mouth model) and scaling was performed by a registered dental hygienist. The levels of pain and discomfort during scaling were evaluated subjectively and objectively using the visual analog scale (VAS) and physiological monitoring of the heart rate (HR), respectively. Time was measured for each device. Results: All clinical indicators, except bleeding on probing, significantly improved with both devices. The treatment times were 7 minutes, 13 minutes (control) and 6 minutes, 59 minutes (test). VAS scores for pain were 4.89±2.12 (control) and 4.58±2.77 (test) points out of 10; for noise, these were 4.68±2.33 (control) and 4.55±2.55 (test), and for vibration, the values were 4.26±2.0 (control) and 4.18±2.48 (test). HR averages were 72.34±3.39 (control) and 75.97±9.78 (test) beats/min. No statistically significant differences were observed between the devices. Conclusion:The pain, discomfort levels, and scaling time of the new piezoelectric ultrasonic scaler did not differ from those of the conventional device. Further research and development are necessary for more prominent pain-relief effects of scaling devices.

• Journal of Veterinary Clinics
• /
• 제32권5호
• /
• pp.422-425
• /
• 2015

This study evaluated the myocardial performance on echocardiography after the sedation/anesthesia of medetomidine (D), the combination of medetomidine and tiletamine/zolazepam (DZ), and the combination of medetomidine, tiletamine/zolazepam and tramadol (DZT) in Beagle dogs. Ten healthy adult Beagle dogs (weighing $8.6{\pm}1.0kg$) were enrolled in this study. Heart rate (HR), fractional shortening (%FS), left ventricular ejection fraction (%LVEF), stroke volume (SV), cardiac output (CO), left ventricular internal diameter in systole (LVIDs) and left ventricular internal diameter in diastole (LVIDd) using M-mode echocardiography were measured prior to anesthesia, then every 10 min for 60 min. The HR, %FS, %LVEF, SV and CO were significantly decreased during sedation/anesthesia with D, DZ and DZT combination of anesthesia. Although those anesthetic protocols provided acceptable quality of sedation/anesthesia, levels of cardiovascular suppression were substantial and persistent and thus the continuous monitoring on vital signs should be accompanied in any situation. Close attention is required for dogs with pre-existing heart diseases, when those anesthetic protocols were applied.

• The Journal of Korea Assosiation for Disability and Oral Health
• /
• 제14권1호
• /
• pp.36-40
• /
• 2018

CATCH22 syndrome or DiGeorge syndrome is a medical acronym of cardiac defects, abnormal facial appearances, thymic hypoplasia, cleft palate, and hypocalcemia. Patients with CATCH22 syndrome are susceptible to infection due to an absent or hypoplastic thymus and often have difficulties in maintaining good oral hygiene, which may require dental treatment. We present a case of dental treatment for the uncooperative child with CATCH22 syndrome under general anesthesia. A 4-year-old, 14.8 kg boy with CATCH22 syndrome visited Seoul National University Dental Hospital for dental check up. The patient had multiple caries requiring dental treatment. He experienced the corrective heart surgery due to Tetralogy of Fallot a few years ago. General anesthesia was planned because his heart rate and vital sign had shown unstable during the previous conscious sedation procedure. Dental restorative treatments were successfully performed and no complications were observed during and after the procedure. Safe and effective dental management of the patients with CATCH22 syndrome could be performed with the help of general anesthesia and careful monitoring.