• 한국음향학회지
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• 제8권4호
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• pp.53-59
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• 1989

본 논문에서는 지금까지 연구 되어온 고역통과 필터및 적응 transversal LMS필터와는 달리 적응 격자 위너 필터를 이용하여 적응 잡음 제거기를 구성함으로써 폐음과 심음을 분리할 수 있는 새로운 방법을 제시하였다. 이를 위하여 실제로 폐음및 심전도 신호를 검출하였으며, 제2의 심음 제거 방법으로 T파검출 알고리즘을 이용하여 T파위치를 측정하였다. 실험결과, 분리를 위하여 적응 transversal LMS는 100-200차, 적응 transversal MLMS(modified LMS) 필터는 75-100차, 적응 격자 위너 필터는 10-20차가 필요하였고, 적응 펄터링이 고역통과 필터링보다 저주파 신호성분의 손실이 없는 것으로 정확도가 향상되었다.

• 전기학회논문지
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• 제66권4호
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• pp.715-720
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• 2017

This study tries to analyze morphology and formant frequencies of linear prediction spectra of stethoscope sounds for heart diseased children. For this object, heart diseased stethoscope sounds were collected in the pediatrics of an university hospital. The collected signals were preprocessed and analyzed by the Burg algorithm, a kind of linear prediction analysis. The linear prediction spectra and the formant frequencies of the spectra for the stethoscope sounds for the normal and the diseased children are estimated and compared. The spectra showed outstanding differences in morphology and formant frequencies between the normal and the diseased children. Normal children showed relatively low frequency of F1(the first formant) and small negative slope from F1. VSD children revealed stiff slope change around F1 to F3. Spectra of ASD children is similar with the normal case, but have negative values of F3. F1-F2 difference of the functional murmur children were relatively large.

• 센서학회지
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• 제30권1호
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• pp.47-50
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• 2021

Human hearing sensitivity is frequency-dependent. The sensitivity is low at both ends of the audible frequency, and the sensitivity is the highest in the middle band at 3000 Hz. The heart sound of a healthy person is concentrated at a low frequency of 200 Hz or less, and despite using a stethoscope, the hearing sensitivity of the human body is low, and the stethoscope sound is low. Amplifying the sound of the stethoscope is not effective in distinguishing heart sounds in noisy environments because it maintains the same signal-to-noise ratio. In this study, a method of enhancing auditory stimulation was developed by applying a method of moving the spectrum of auscultation sounds into a high-frequency region where the human body is highly sensitive to hearing. The spectrum of the auscultation sound was moved up by 500 Hz in the frequency domain, and an inverse fast Fourier transform (FFT) was performed to reconstruct the auscultation sound. The heart sounds reconstructed by moving the spectra were divided into the first heart and second heart sound components, as in the original heart sound, and it was confirmed that the intensity was large in the cochleagram representing auditory stimulation. Therefore, this study suggested that spectral shift is a method to enhance auditory stimulation during auscultation without increasing the intensity of the auscultation sound.

• 한국인터넷방송통신학회논문지
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• 제12권6호
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• pp.57-63
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• 2012

심장질환과 호흡기계 질환이 증가하는 가운데 기초진료를 위한 청진기의 성능 및 효과적인 사용은 매우 중요한 과정으로 적용되고 있다. 본 연구에서는 piezopolymer film을 사용하여 주위 소음을 최소화하고 5Hz까지의 저주파 대역을 수용할 수 있는 접촉형 진동센서를 개발하였고, 기존 전자청진기의 청진음보다 의사들이 익숙해 있는 청진음에 가깝도록 신호처리 기술을 적용하였다. 특히 저주파수 대역의 심음을 왜곡 없이 검출하고, 대부분의 전자청진기에서 취약한 호흡음의 질적 수준을 향상시켰으며, 블루투스를 적용하여 무선으로 송수신함으로써 u-헬스케어 환경에 적용이 가능한 전자청진시스템을 개발하였다. 본 연구의 결과는 일상생활중의 건강관리에 원격진료를 통한 의료산업 및 정보통신 산업 간의 융합기술 활성화에 적용될 수 있을 것이다.

• 융합신호처리학회논문지
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• 제2권1호
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• pp.108-112
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• 2001

Heart sound contains rich information regarding the dynamics of the heart and the auscultation has been a first choice of routine procedures for diagnosis of the heart. However, heart sounds captured using a conventional stethoscope are not often loud or clear enough for doctors to precisely classify their characteristics, especially, under the noisy environments of the hospital. A simple auscultation device that removed shortcomings of the conventional stethoscope was constructed in the study. The device employed a polymer based adherent differential output sensor which was on contact with skin through a coupling medium and appropriated electronic circuits for signal amplification and conditioning An ordinary headphone is taken to hear the captured heart sounds and the volume can be adjusted to hear well. It is also possible that the device sends the captured heart sound signals to a PC where the signals are further processed and viualized.

• 융합신호처리학회 학술대회논문집
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• 한국신호처리시스템학회 2000년도 하계종합학술대회논문집
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• pp.185-188
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• 2000

Heart sound contains rich information regarding the dynamics of the heart and the auscultation has been a first choice of routine procedures for diagnosis of the heart. However, heart sounds captured using a conventional stethoscope are not often loud or clear enough for doctors to precisely classify their characteristics, especially, under the noisy environments of the hospital. A simple auscultation device that removed shortcomings of the conventional stethoscope was constructed in the study. The device employed a polymer based adherent differential output sensor which was on contact with skin through a coupling medium and appropriated electronic circuits for signal amplification and conditioning. An ordinary headphone is taken to hear the captured heart sounds and the volume can be adjusted to hear well. It is also possible that the device sends the captured heart sound signals to a PC where the signals are further processed and viualized.

• 한국음향학회지
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• 제25권3호
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• pp.144-150
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• 2006

심장병이 있는 환자들을 진료할 때 의사들은 청진기를 이용하여 심음 (heart sound)을 듣고 이를 기준으로 환자의 병의 유무나 질환의 종류에 대한 기초적인 판단을 하게 된다. 하지만, 심음은 환자의 상태나 외부 잡음의 영향에 따라서 신호의 특성이 변하고 또한 정상적인 심음과 질병을 나타내는 심음과의 차이가 비교적 구분하기 어려울 정도로 작기 때문에 숙달된 전문의가 아니면, 진단의 정확도가 떨어질 가능성이 있다. 따라서 신호처리 기법을 이용하여 심음을 분석해서 심음이 정상적인지의 유무를 자동으로 판단할 수 있다면, 진단을 하는 의사들에게 유용한 정보가 될 것이라 생각된다. 본 연구에서는 심음의 질병유무와 질병종류를 자동으로 판단하기 위해서 기존에 많이 사용되었던 artificial neural network (ANN) 대신에 hidden Markov model (HMM)을 사용하는 방법을 제안하였으며, 기초적인 실험결과 상당히 우수한 성능을 보임을 알 수 있었다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2016년도 춘계학술대회
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• pp.252-255
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• 2016

심음은 가장 쉽게 추출, 보관이 가능하고 가장 빨리 심장 질환을 진단하는데 도움을 줄 수 있기에 많이 사용되고 있다. 심음은 청진, 전자 청진을 통하여 얻어지는데 질환의 판정을 위해서는 전문의 많은 경험에 의존하고 있고, 자동 진단을 위한 장비는 매우 고가이며, 이를 위하여 심음의 정량화 과정이 선행되어야 한다. 본 연구에서는 심음의 한 종류인 심잡음을 심장 질환 별로 추출하여 정량화하여 자동 진단에 도움을 주고자 하였다. 심잡음은 심잡음 에너지율을 계산하여 정량화에 이용하였다. 추출된 심잡음 에너지의 파워 스펙트럼은 심장 질환별로 분류 가능한 형태학적 특징을 나타내었다.

• 대한전기학회논문지:시스템및제어부문D
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• 제51권4호
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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.

• Child Health Nursing Research
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• 제16권3호
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• pp.211-219
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• 2010

Purpose: The study was done to measure the effects of maternal heart sound on body weight, physiologic reactions (heart rate [HR] and cortisol) and behavioral states of preterm infants. Methods: Thirty-five preterm infants were recruited from a neonatal intensive care unit at a university hospital. Institutional Review Board approval and informed consent were obtained. The infants were assigned to an experimental group (n=18) with an auditory stimulation for 7 days of life, a continuous delivery of maternal heart sound using MP3 attached inside the incubator, or to a control (n=17) without any auditory stimulation. The outcome variables, daily variations in weight, HR and behavioral states, and differences in cortisol were analyzed. Results: There were differences in variations of daily weights (F=3.431, p=.011) and in cortisol (t=3.184, p=.006) between groups, but no difference in variations of daily HR (F=0.331, p=.933) and behavioral states (F=1.842, p=.323). Conclusion: The findings support the safety of continuous maternal heart sound as no changes in HR and behavioral states occurred, and the efficacy as weight increased and cortisol decreased. This auditory simulation may lead to more efficient utilization of energy in preterm infants by consistently providing familiar sounds from intrauterine life and blocking noxious sounds from NICU environments.