• The Transactions of The Korean Institute of Electrical Engineers
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• v.58 no.6
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• pp.1194-1199
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• 2009

Heart rate may be a very important parameter in human health. To extract heart rate, the electrocardiogram(ECG) is commonly used. But the ECG acquisition procedure is very complex. On the other hand, the acquisition of pulse wave or photoplethysmogram(PPG) is very easy. However, the peak of PPG is not so sharp as ECG. This study tries to enhance the performance of peak detection in PPG signal. The method uses the average slopes around the main peak. The crossing point of the increasing and the decreasing slopes is selected as the peak point of heart rate period. The proposed method showed smoothed heart rate graph and reduced irregularity in heart rate values.

• Journal of Biomedical Engineering Research
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• v.28 no.4
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• pp.441-448
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• 2007

Heart rate variability (HRV) in electrocardiogram (ECG) is an important index for understanding the health status of heart and the autonomic nervous system. Most HRV analysis approaches are based on the proper heart rate (HR) data. Estimation of heart rate is thus a key process in the HRV study. In this paper, we report an innovative method to estimate the heart rate. This method is mainly based on the concept of periodicity transform (PT) and instantaneous period (IP) estimate. The method presented is accordingly called the "PT-IP method." It does not require ECG R-wave detection and thus possesses robust noise-immune capability. While the noise contamination, ECG time-varying morphology, and subjects' physiological variations make the R-wave detection a difficult task, this method can help us effectively estimate HR for medical research and clinical diagnosis. The results of estimating HR from empirical ECG data verify the efficacy and reliability of the proposed method.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
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• v.7 no.1
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• pp.50-54
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• 2014

This study presents a method for heart rate detection using oscillation wave signal and tries to enhance the performance of peak detection. For this objective, the method uses the average slopes around the main peak. The crossing point of the increasing and the decreasing slopes is selected as the peak point of heart rate period. The proposed method showed smoothed heart rate graph and reduced irregularity in heart rate values.

• Proceedings of the KIEE Conference
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• 2009.07a
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• pp.1978_1979
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• 2009

Heart rate may be a very important parameter in human health. To extract heart rate, the electrocardiogram(ECG) is commonly used. But the ECG acquisition procedure is somewhat complex. On the other hand, the acquisition of pulse wave or photoplethysmogram(PPG) is very easy. However, the peak of PPG is not so sharp as ECG. This study tries to enhance the performance of period detection in PPG signal. The method uses the average slopes around the main peak. The crossing point of the increasing and the decreasing slopes is selected as the peak point of heart rate period. The proposed method showed smoothed heart rate graph and reduced irregularity in heart rate values.

• The Transactions of the Korean Institute of Electrical Engineers D
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• v.51 no.4
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• pp.167-174
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• 2002

This study describes a fetal heart rate(FHR) estimation algorithm using phonogram. Using a phonogram amplifier, various fetal heart sounds are collected in a university hospital. The FHR estimation algorithms consists of a lowpass filter, decimation, envelop detection, pitch detection, and post-processing. The post-processing is the FHR decision procedure using all informations of fetal heart rates. Using the algorithm and other parameters of fetal heart sound, a fetal monitoring software was developed. This can display the original signals, the FFT spectra, FHR and its trajectory. Even though the fetal phonogram amplifier detects the fetal heart sounds well, the sound quality is not so good as the ultrasonography. In case of very week fetal heart sound, autocorrelation of it showed clear periodicity. But two main peaks in one period is an obstacle in pitch detection and peaks are not so vivid. The proposed FHR estimation algorithm showed very accurate and stable results. Since the developed software displays multiple parameters in real time and has convenient functions, it will be useful for the phonogram-style fetal monitoring device.

• Journal of information and communication convergence engineering
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• v.11 no.3
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• pp.199-206
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• 2013

An emergency monitoring system for the elderly, which uses acceleration data measured with an accelerometer, angular velocity data measured with a gyroscope, and heart rate measured with an electrocardiogram, is proposed. The proposed fall detection algorithm uses multiple parameter combinations in which all parameters, calculated using tri-axial accelerations and bi-axial angular velocities, are above a certain threshold within a time period. Further, we propose an emergency detection algorithm that monitors the movements of the fallen elderly person, after a fall is detected. The results show that the proposed algorithms can distinguish various types of falls from activities of daily living with 100% sensitivity and 98.75% specificity. In addition, when falls are detected, the emergency detection rate is 100%. This suggests that the presented fall and emergency detection method provides an effective automatic fall detection and emergency alarm system. The proposed algorithms are simple enough to be implemented into an embedded system such as 8051-based microcontroller with 128 kbyte ROM.

• Proceedings of the PSK Conference
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• 2002.10a
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• pp.421.3-422
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• 2002

Carvedilol is a nonselective $\beta$-adrenoblocking agent with vasodilating activities. The pharmacokinetics and pharmacodynamics of carvedilol were studied in healthy volunteers following single oral administration. After oral administration of carvedilol 25mg. blood samples were collected for a period of 30 hours. Plasma concentrations of carvedilol were determined by HPLC with spectrofluorometric detection. The effects of carvedilol on systolic and diastolic blood pressure (BP) and heart rate (HR) were measured during the same period. (omitted)

• Journal of the Institute of Electronics and Information Engineers
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• v.50 no.5
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• pp.242-250
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• 2013

In this paper, R-wave detection algorithm using refractory period to reflect the depolarization and repolarization of the myocardial cells of the heart is proposed. The proposed algorithm detects R-peaks using the features of R-wave and variable refractory period. First, the proposed algorithm extracts candidate R-peaks that have a relatively high potential and calculates the refractory period based on the kurtosis and potential for candidate R-peaks. Next, R-peak is determined by morphological features of the R-wave within the refractory period. In addition, due to less computation in the proposed algorithm, real-time processing is possible. The algorithm is applied to all records of the MIT-BIH arrhythmia database and the obtained results show a competitive detection rate of over 99.7%.

• Quality Improvement in Health Care
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• v.4 no.2
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• pp.230-240
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• 1997

Background : Hypercholesterolemia is a major independent risk factor of coronary heart disease. Practice guidelines for management of hypercholesterolemia had been made in several developed countries. This study was undertaken to assess the effect of practice guideline reminders and flow-sheets to improve the quality of management of hypercholesterolemia. Methods: Practice guideline reminders and flow-sheets based on National Cholesterol Education Program Adult Treatment Panel II guidelines, were placed on the office desks of outpatient department of family medicine at the Asan Medical Center. Before this intervention, we educated the doctors to use these reminders and flow-sheets. The charts of all patients who had cholesterol levels greater than or equal to 240 mg/dl during 4 months before and after introduction of reminders and flow-sheets, were reviewed retrospectively. We compared the performances of physicians about management of hypercholesterolemia between pre-intervention period and post-intervention period. Results: The detection rate of hypercholesterolemia in post-intervention period was increased to 83.2% compared by 71.5% in pre-intervention period. Risk factor analysis for coronary heart disease increased significantly from 16.9% to 68.7%. Adequacy of management was 19.2% in pre-intervention period and 78.0% in post-intervention period. It showed statistically significant improvement in management of hypercholesterolemia. Conclusion : This study suggested that practice guideline reminders and flow-sheets were the effective methods in improving the quality in management of hypercholesterolemia.

• Journal of Life Science
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• v.13 no.1
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• pp.42-46
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• 2003

Photoplethysmogram is widely used to measure heart rate and arterial blood oxygen saturation in human. This paper describes radial pulse waves recorded by photoplethysmogram with 940 nm wavelength infra red light. Radial pulse waves were varied according to the recording site. When recorded on the skin over radial artery, the radial pulse wave was inverted, comparing to the photoplethysmogram at fingertip. The mechanism of inverted pulse wave seemed to be caused by the change of the blood volume in the subcutaneous tissue between radial artery and the skin, which was reduced during systolic period and increased during diastolic period of the cardiac cycle. These results suggest that radial arterial wall may reflect infra red ray.