• Journal of Electrical Engineering and Technology
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• v.10 no.5
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• pp.2126-2134
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• 2015

The present study suggests a localization method for the first (S₁) and the second (S₂) feature of heart sounds, based on an algorithm involving frequency filtering, energy detection, and interval regulation. Localization accuracy was evaluated by comparing the algorithm with the traditional Hilbert transform-based localization method. Results show that the sensitivity and the positive predictivity value of proposed method, respectively, were 97.27 % and 99.94 % in S₁ detection and 94.99 % and 100 % in S₂ detection.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.62 no.10
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• pp.1444-1450
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• 2013

Esophageal stethoscope is used for monitoring the heart sounds and breath sounds of patients during surgery under a general anesthesia. Recently, an electronic esophageal stethoscope (EES)[1] has been developed for the purpose of real-time monitoring these information visually. This system uses only a microphone as the sound sensor. A drawback of the EES system is that it may be difficult to distinguish the first sound ($S_1$) and the second sound ($S_2$) of heart, because their periods are irregular depending on patients. In this paper, we propose an improved EES system in which the infrasound is measured by adding a pressure sensor as well as a sound sensor. We investigate some correlations between the infrasound and characteristics of the heart sound. The proposed system has been tested on 15 patients. The results show that the new system is capable of detecting the first sound more reliably and easily determining the heart rate and breathing period.

• Journal of Korean Medical classics
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• v.19 no.2 s.33
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• pp.97-107
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• 2006

From the study on the relation of voice and O-jang(五臟廳), the conclusion is as follows. The function of breathing out in larynx is involved with lung and kidney. Lung press out the air, at the same time, kidney supports that to maintenance the density of air constantly. So the person who has short breathing can not make strong voice, and also if having a weak kidney in upper Cho[下蕉], their voice will be changed so very softly to cannot make hard type of voice and lingering sounds. Opening and Closing of vocal cords are controled by liver and spleen. when vocal cords are contracted, liver makes tension, whereas spleen does in slackness. So liver is likely to make high-piched sounds in tension of vocal cords, and spleen is the same to do smoothy and husky sounds through relaxing the vocal cords. In the rising condition of liver function, the temp of speech become fast, and more the pronunciation is clearer, it means that the function of thinking by spleen is operated well. Otherwise, indistinct pronunciation means that in the body seup-sa(濕邪) spreads. Also depression of emotion in speech often makes Gi(氣) of heart weaker, whereas it means regular condition of heart including Simpo(心包) that expression of emotion looks happy.

• The Journal of the Acoustical Society of Korea
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• v.28 no.2E
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• pp.72-78
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• 2009

Heart sound segmentation into its components, S1, systole, S2 and diastole is the first step of analysis and the most important part in the automatic diagnosis of heart sounds. Conventionally, the Shannon energy envelope peak detection method has been popularly used due to its superior performance in locating S1 and S2. Recently, the HMM has been shown to be quite suitable in modeling the heart sound signal and its use in segmenting the heart sound signal has been suggested with some success. In this paper, we compared the two methods for heart sound segmentation using a common database. Experimental tests carried out on the 4 different types of heart sound signals showed that the segmentation accuracy relative to the manual segmentation was 97.4% in the HMM based method which was larger than 91.5% in the peak detection method.

• Science of Emotion and Sensibility
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• v.18 no.3
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• pp.63-70
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• 2015

This study identified heart response of participants while listening to sounds which have 1/f fluctuations with exponent ${\alpha}$ gradient. The participants were engaged in emotional stress work. Prior studies related to 1/f fluctuation sound have reported that sound source can alleviate psychological and physiological state of users. Subjects of this study were exposed to sound with three levels of ${\alpha}$ gradient. Heart response of subjects were measured with Photoplethysmography(PPG) sensor simultaneously. The dependent variables of this study were beat per minute(BPM), very low frequency percent of pulse rate variability (VLF percent), the standard deviation of all normal RR intervals (SDNN), and high frequency power(HF power). Subject showed arousal response when exposed to sound with exponent ${\alpha}$ gradient of 3 whereas the sound with exponent ${\alpha}$ gradient of 1 and 2 resulted in relax effect. The characteristic of 1/f fluctuation sounds can be applied to alleviate stress for employers under emotional labor.

• Fibers and Polymers
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• v.7 no.4
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• pp.450-456
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• 2006

The objectives of this study were to investigate physiological and psychological responses to the rustling sound of Korean traditional silk fabrics and to figure out objective measurements such as sound parameters and mechanical properties determining the human responses. Five different traditional silk fabrics were selected by cluster analysis and their sound characteristics were observed in terms of FFT spectra and some calculated sound parameters including level pressure of total sound (LPT), Zwicker's psychoacoustic parameters - loudness(Z), sharpness(Z), roughness(Z), and fluctuation strength(Z), and sound color factors such as ${\Delta}L\;and\;{\Delta}f$. As physiological signals, the ratio of low frequency to high frequency (LF/HF) from the power spectrum of heart rate variability, pulse volume (PV), heart rate (HR), and skin conductance level (SCL) evoked by the fabric sounds were measured from thirty participants. Also, seven aspects of psychological state including softness, loudness, sharpness, roughness, clearness, highness, and pleasantness were evaluated when each sound was presented. The traditional silk fabric sounds were likely to be felt as soft and pleasant rather than clear and high, which seemed to evoke less change of both LF/HF and SCL indicating a negative sensation than other fabrics previously reported. As fluctuation strength(Z) were higher and bending rigidity (B) values lower, the fabrics tended to be perceived as sounding softer, which resulted in increase of PV changes. The higher LPT was concerned with higher rating for subjective loudness so that HR was more increased. Also, compression linearity (LC) affected subjective pleasantness positively, which caused less changes of HR. Therefore, we concluded that such objective measurements as LPT, fluctuation strength(Z), bending rigidity (B), and compression linearity (LC) were significant factors affecting physiological and psychological responses to the sounds of Korean traditional silk fabrics.

• Journal of the Institute of Electronics Engineers of Korea SC
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• v.47 no.1
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• pp.47-55
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• 2010

Although heart auscultation is an important tool for the diagnosis of heart disease, it is seen that the human ear is poorly suited for cardiac auscultation such as the paradoxical split of S2, the split of S2, and the summation of S2 and S3 gallop. In this paper, the analysis-synthesis method that is suitable for the characteristics of PCG is proposed to classify the heart sound. In analyzing the PCG according to matching pursuit method and synthesizing the PCG in each bandwidth based on the frequency characteristics, it sorts normal hearts with abnormal hearts that is difficult to classify as cardiac auscultation. The result shows that it qualifies the appearance of split in S2 and the paradoxical split of S2 and also can estimate the delay between the two components.

• Journal of Korea Multimedia Society
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• v.19 no.3
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• pp.557-566
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• 2016

Heart sounds generated by the beating heart and blood flow reflect the turbulence created when the heart valves snap shut. Cardiac diagnosis is typically started by an auscultation using a stethoscope, from which a medical doctor, depending on his hearing capabilities and training, listens and interprets the acoustic signal. This method of diagnostic is uncertain, mostly due to the fact that human ear loses the acoustic frequency sensitivity through the years. Even though an auscultation has some weaknesses like uncertainty, it is considered as a primary tool due to its simplicity. In this paper, heart murmur detection algorithm is proposed using time and frequency characteristics of heart sound. The propose heart murmur detection method adapted conventional primary heart sound detection method in time domain and modified spectral flatness method in frequency domain for detecting heart murmurs. From experimental results, it is confirmed that the proposed algorithm detect the heart murmurs efficiently.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.33 no.4
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• pp.367-374
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• 2007

Purpose: The diagnostic relevancies and characteristics and of clinical methods in the diagnosis of internal derangement(ID) were tested by comparing the results of them with those of magnetic resonance imaging(MRI). Methods: 75 patients(150 temporomandibular joints; TMJs), who were suspected to have ID by clinical diagnoses, were included. Clinical diagnoses including mouth opening pathway and TMJ sound were conducted and MRI takings were done. Accuracies, sensitivities, specificities, positive predictive values, and negative predictive values of clinical diagnosis, mouth opening pathway, and TMJ sound were calculated by comparing with diagnoses with MRIs. Results: Accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of clinical diagnosis were 59.3%, 83%, 49%, 81%, and 51%. They were 59%, 82%, 25%, 73%, and 35% for mouth opening pathways. Although deviation was somewhat accurate for representing disc displacement with reduction(ADDWR), other discrepancies on opening pathways were not clinically relevant. Accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of clicking sounds were 85%, 49%, 78%, 85%, and 37%. TMJs with crepitus were only three. But all TMJs with crepitus were diagnosed to have disc displacement without reduction(ADDWOR). Conclusion: When compared with diagnoses with MRIs, clinical diagnoses for ID were not so accurate. But they were suitable for screening tests for ID. Opening pathways and TMJ sounds were not so relevant in the diagnoses of IDs and so it was concluded that considerations for other factors must be included in the diagnoses of IDs.

• Journal of Veterinary Clinics
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• v.16 no.2
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• pp.478-481
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• 1999

A 8 years old male Pomeranian weighing 4 kg was referred because of coughing of 4 months' duration. Heart sounds and cardiac apex beat were showed more intense on the right side. On radiographic views, loss of normal line of the diaphragm, gas-containing intestines and stomach in thoracic cavity, and right displacement of heart were observed. Ultrasonography revealed that liver located adjacent to the heart. Although the dog died due to severe respiratory disorder in surgical procedure, in thoracic and abdominal surgery, a large defect was found in the left and right ventral muscular portion and left central tendon of the diaphragm, extending from the esophageal hiatus to rib. Left and right cranial lobe of liver, small intestines, stomach and spleen were herniated in the thoracic cavity. Because of the size and chronicity of the defect in the diaphragm, closure was impossible with an abdominal muscle graft.