• Title/Summary/Keyword: Lead block

Search Result 232, Processing Time 0.029 seconds

Electrocardiography as an early cardiac screening test in children with mitochondrial disease

  • Baik, Ran;Chae, Jung-Hyun;Lee, Young-Mock;Kang, Hoon-Chul;Lee, Joon-Soo;Kim, Heung-Dong
    • Clinical and Experimental Pediatrics
    • /
    • v.53 no.5
    • /
    • pp.644-647
    • /
    • 2010
  • Purpose: To evaluate myocardial conductivity to understand cardiac involvement in patients with mitochondrial disease. Methods: We performed retrospective study on fifty-seven nonspecific mitochondrial encephalopathy patients with no clinical cardiac manifestations. The patients were diagnosed with mitochondrial respiratory chain complex defects through biochemical enzyme assays of muscle tissue. We performed standard 12-lead electrocardiography (ECG) on all patients. Results: ECG abnormalities were observed in 30 patients (52.6%). Prolongation of the QTc interval (>440 ms) was seen in 19 patients (33.3%), widening of the corrected QRS interval in 15 (26.3%), and bundle branch block in four (7.0%). Atrioventricular block, premature atrial contraction and premature ventricular contraction were seen in two patients each (3.5%) and Wolff-Parkinson-White syndrome in one patient (1.8%). Conclusion: Given this finding, we recommend active screening with ECG in patients with mitochondrial disease even in patients without obvious cardiac manifestation.

One Case Treated Dyspnea with Cerebellar Infarction (소뇌경색 경과 중 호홉곤란이 발생한 환자(患者) 치험(治驗) 1례(例))

  • Ko, Jae-Chul;Ko, Seung-Hi;Lee, Chung-Jung-Hye;Park, Se-Ki;Kim, Dong-Woo;Han, Yang-Hee;Jun, Chan-Yong;Park, Chong-Hyeong;Choi, You-Kyung
    • The Journal of Internal Korean Medicine
    • /
    • v.21 no.4
    • /
    • pp.687-691
    • /
    • 2000
  • In this case report regarding one patient with complete left bundle branch block and mild hypokinesia of left ventricle, who had cebebellar infarction and therefore showed the symptoms of cerabellar dyskinesia followed by dyspnea, chest discomfortness, insomnia and dry cough. From the point of oriental diagnostic criteria, the patient s clinical conditions were all classified as $^{\circ}AEdeprivation$ of kidney essence' and treated accordingly. He showed no change in EKG monitoring but above symptoms were removed markedly after following treatment. Further elaboration of oriental diagnostic classification could possibly lead to the fundamental treatment.

  • PDF

Postsurgical Pain Syndrome after Radical Neck Dissection in a Tonsil Cancer Patient -A case report- (편도암환자의 근치적 경부청소술후 발생한 수술후 통증 증후군 -증례 보고-)

  • Jung, Seong-Won;Yoo, Hong-Seong;Yoon, Young-Joon
    • The Korean Journal of Pain
    • /
    • v.12 no.1
    • /
    • pp.132-135
    • /
    • 1999
  • Although the vast majority (about 70%) of patients with cancer will have pain directly related to neoplastic invasion into pain-sensitive bone and soft tissue structures,as many as 20% of the adults will have pain caused directly by cancer therapy. Treatment related pain problems are important for several reasons; their appearance may be confused with more omnious pain syndromes associated with tumor recurrence or progression that may be directly lead to death of the patient; when severe, compliance with recommandations for further therapy may be adversely affected. Now, we report a case of postsurgical pain syndrome after radical neck dissection in a patient with tonsilar cancer. The pain after radical neck dissection result from injury to the cervical plexus,cranial nerve,and cervical sympathetics. In our case, we ruled out soft tissue infection and tumor recurrence,and successfully treated with gasserian ganglion block with pure alcohol in the patient having neuropathic pain in the mandible and preauricular region after radical neck dissection.

  • PDF

Study on Thickness Measurement about Insulation Rubber of Steel Motor Case Using Ultrasonic Resonance (초음파 공진을 이용한 스틸 연소관의 내열 고무 두께 측정 기법 연구)

  • Kim, Dong-Ryun;Kim, Jae-Hoon
    • Proceedings of the Korean Society of Propulsion Engineers Conference
    • /
    • 2012.05a
    • /
    • pp.562-569
    • /
    • 2012
  • The rubber side could be contaminated using the existing pulse echo method because the ultrasonic wave was incident on the rubber side from the interior of the steel motor case, which could lead to the critical disbond defect. To develop the test method which can be replaced the existing method, the ultrasonic wave was incident on steel face of the steel/rubber adhesive test block. Rubber resonance frequencies measured from the steel/rubber adhesive test block were in good agreement with theoretically predicted rubber resonance frequencies. This paper was described about the ultrasonic resonance method to convert the rubber resonance frequency into the rubber thickness.

  • PDF

Multi-view Clustering by Spectral Structure Fusion and Novel Low-rank Approximation

  • Long, Yin;Liu, Xiaobo;Murphy, Simon
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • v.16 no.3
    • /
    • pp.813-829
    • /
    • 2022
  • In multi-view subspace clustering, how to integrate the complementary information between perspectives to construct a unified representation is a critical problem. In the existing works, the unified representation is usually constructed in the original data space. However, when the data representation in each view is very diverse, the unified representation derived directly in the original data domain may lead to a huge information loss. To address this issue, different to the existing works, inspired by the latest revelation that the data across all perspectives have a very similar or close spectral block structure, we try to construct the unified representation in the spectral embedding domain. In this way, the complementary information across all perspectives can be fused into a unified representation with little information loss, since the spectral block structure from all views shares high consistency. In addition, to capture the global structure of data on each view with high accuracy and robustness both, we propose a novel low-rank approximation via the tight lower bound on the rank function. Finally, experimental results prove that, the proposed method has the effectiveness and robustness at the same time, compared with the state-of-art approaches.

Localization and size estimation for breaks in nuclear power plants

  • Lin, Ting-Han;Chen, Ching;Wu, Shun-Chi;Wang, Te-Chuan;Ferng, Yuh-Ming
    • Nuclear Engineering and Technology
    • /
    • v.54 no.1
    • /
    • pp.193-206
    • /
    • 2022
  • Several algorithms for nuclear power plant (NPP) break event detection, isolation, localization, and size estimation are proposed. A break event can be promptly detected and isolated after its occurrence by simultaneously monitoring changes in the sensing readings and by employing an interquartile range-based isolation scheme. By considering the multi-sensor data block of a break to be rank-one, it can be located as the position whose lead field vector is most orthogonal to the noise subspace of that data block using the Multiple Signal Classification (MUSIC) algorithm. Owing to the flexibility of deep neural networks in selecting the best regression model for the available data, we can estimate the break size using multiple-sensor recordings of the break regardless of the sensor types. The efficacy of the proposed algorithms was evaluated using the data generated by Maanshan NPP simulator. The experimental results demonstrated that the MUSIC method could distinguish two near breaks. However, if the two breaks were close and of small sizes, the MUSIC method might wrongly locate them. The break sizes estimated by the proposed deep learning model were close to their actual values, but relative errors of more than 8% were seen while estimating small breaks' sizes.

Unusual Lower Back Pain on the Non-Articulated Side in Patient with Bertolotti's Syndrome (가관절을 이루고 있지 않은 편측의 통증을 호소한 베르톨로티 증후군)

  • Kim, Inah;Lee, Jong In;Jang, Yongjun;Park, Hae-Yeon
    • Clinical Pain
    • /
    • v.20 no.1
    • /
    • pp.49-52
    • /
    • 2021
  • Bertolotti's syndrome (BS) refers to chronic low back pain (LBP) associated with lumbosacral transitional vertebrae (LSTV). Many studies suggest that the anomalous articulation alters biomechanics, resulting in discomfort on the ipsilateral side. Herein, we present an unusual case of BS presenting pain on the non-articulated side. A 46-year-old man visited our clinic with history of chronic LBP, refractory to treatment of analgesics, modalities and manual therapies. Electrodiagnostic studies showed no evidence of lumbosacral radiculopathy. Radiographies noted unilateral pseudoarticulation of L5~S1 vertebrae, on the contralateral side of his pain. The pain improved dramatically after sacroiliac joint block and facet joint block with iliolumbar ligament infiltration on the non-articulated side. Clinicians should be cautious that the unaffected joint in BS may serve an important role in altered lumbopelvic biomechanism, since it might eventually lead to intractable chronic LBP when overlooked.

Prognostic Significance of Left Axis Deviation in Acute Heart Failure Patients with Left Bundle branch block: an Analysis from the Korean Acute Heart Failure (KorAHF) Registry

  • Choi, Ki Hong;Han, Seongwook;Lee, Ga Yeon;Choi, Jin-Oh;Jeon, Eun-Seok;Lee, Hae-Young;Lee, Sang Eun;Kim, Jae-Joong;Chae, Shung Chull;Baek, Sang Hong;Kang, Seok-Min;Choi, Dong-Ju;Yoo, Byung-Su;Kim, Kye Hun;Cho, Myeong-Chan;Park, Hyun-Young;Oh, Byung-Hee
    • Korean Circulation Journal
    • /
    • v.48 no.11
    • /
    • pp.1002-1011
    • /
    • 2018
  • Background and Objectives: The prognostic impact of left axis deviation (LAD) on clinical outcomes in acute heart failure syndrome (AHFS) with left bundle branch block (LBBB) is unknown. The aim of this study was to determine the prognostic significance of axis deviation in acute heart failure patients with LBBB. Methods: Between March 2011 and February 2014, 292 consecutive AHFS patients with LBBB were recruited from 10 tertiary university hospitals. They were divided into groups with no LAD (n=189) or with LAD (n=103) groups according to QRS axis <-30 degree. The primary outcome was all-cause mortality. Results: The median follow-up duration was 24 months. On multivariate analysis, the rate of all-cause death did not significantly differ between the normal axis and LAD groups (39.7% vs. 46.6%, adjusted hazard ratio, 1.01; 95% confidence interval, 0.66, 1.53; p=0.97). However, on the multiple linear regression analysis to evaluate the predictors of the left ventricular ejection fraction (LVEF), presence of LAD significantly predicted a worse LVEF (adjusted beta, -3.25; 95% confidence interval, -5.82, -0.67; p=0.01). Right ventricle (RV) dilatation was defined as at least 2 of 3 electrocardiographic criteria (late R in lead aVR, low voltages in limb leads, and R/S ratio <1 in lead V5) and was more frequent in the LAD group than in the normal axis group (p<0.001). Conclusions: Among the AHFS with LBBB patients, LAD did not predict mortality, but it could be used as a significant predictor of worse LVEF and RV dilatation (Trial registry at KorAHF registry, ClinicalTrial.gov, NCT01389843).

Linear Unequal Error Protection Codes based on Terminated Convolutional Codes

  • Bredtmann, Oliver;Czylwik, Andreas
    • Journal of Communications and Networks
    • /
    • v.17 no.1
    • /
    • pp.12-20
    • /
    • 2015
  • Convolutional codes which are terminated by direct truncation (DT) and zero tail termination provide unequal error protection. When DT terminated convolutional codes are used to encode short messages, they have interesting error protection properties. Such codes match the significance of the output bits of common quantizers and therefore lead to a low mean square error (MSE) when they are used to encode quantizer outputs which are transmitted via a noisy digital communication system. A code construction method that allows adapting the code to the channel is introduced, which is based on time-varying convolutional codes. We can show by simulations that DT terminated convolutional codes lead to a lower MSE than standard block codes for all channel conditions. Furthermore, we develop an MSE approximation which is based on an upper bound on the error probability per information bit. By means of this MSE approximation, we compare the convolutional codes to linear unequal error protection code construction methods from the literature for code dimensions which are relevant in analog to digital conversion systems. In numerous situations, the DT terminated convolutional codes have the lowest MSE among all codes.

A Study on the Dose Distribution of Various Field and Penumbra Shield in the Telecobalt-60 (코발트-60의 조사야(照射野) 변형(變形) 및 반음영(半陰影) 차폐(遮蔽)효과에 따른 선량분포(線量分布)에 관한 연구(硏究))

  • Kim, Young-Il;Lee, Hye-Kyong
    • Journal of radiological science and technology
    • /
    • v.8 no.2
    • /
    • pp.71-72
    • /
    • 1985
  • This study was performed on the dose distribution of various field size and the effect of penumbra shield in the telecobalt unit. The results obtained are as follows. 1. Errors of the light and ${\gamma}-ray$ field size was below the regulation as 0.52 percentage. 2. The coefficient of field area was increased with the larger field area, and this coefficient was showed the more difference in larger SSD. 3. The rectangular field areas, which were described by level of the same percentage depth does, were decreased with the more elongation factor. At the same elongation factor, the compensating factor was decreased with the larger field size. 4. The lead block or extension collimator was able to shield r-ray exposure of outside field size from 50 to 80 percentage. 5. On the matching adjacent fields, while the gap between beam edges are contacted, that overlapped beam edges indicated up to 140 percentage, and while the gap was 1 cm, it could be reduced to 90 Percentage. The lead-libocking on the overlapped area was more effective to lower dose, as 80 percentage in this case. 6. Percentage depth dose of various trimming field sizes were increased linearlly according to area 1 perimeter size, but the center split field size did not maintain linearlly.

  • PDF