• 제목/요약/키워드: Pulse Classification

검색결과 110건 처리시간 0.03초

Clinical Factors Associated with the Non-Operative Airway Management of Patients with Robin Sequence

  • Albino, Frank P.;Wood, Benjamin C.;Han, Kevin D.;Yi, Sojung;Seruya, Mitchel;Rogers, Gary F.;Oh, Albert K.
    • Archives of Plastic Surgery
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    • 제43권6호
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    • pp.506-511
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    • 2016
  • Background The indications for surgical airway management in patients with Robin sequence (RS) and severe airway obstruction have not been well defined. While certain patients with RS clearly require surgical airway intervention and other patients just as clearly can be managed with conservative measures alone, a significant proportion of patients with RS present with a more confusing and ambiguous clinical course. The purpose of this study was to describe the clinical features and objective findings of patients with RS whose airways were successfully managed without surgical intervention. Methods The authors retrospectively reviewed the medical charts of infants with RS evaluated for potential surgical airway management between 1994 and 2014. Patients who were successfully managed without surgical intervention were included. Patient demographics, nutritional and respiratory status, laboratory values, and polysomnography (PSG) findings were recorded. Results Thirty-two infants met the inclusion criteria. The average hospital stay was 16.8 days (range, 5-70 days). Oxygen desaturation (<70% by pulse oximetry) occurred in the majority of patients and was managed with temporary oxygen supplementation by nasal cannula (59%) or endotracheal intubation (31%). Seventy-five percent of patients required a temporary nasogastric tube for nutritional support, and a gastrostomy tube placed was placed in 9%. All patients continued to gain weight following the implementation of these conservative measures. PSG data (n=26) demonstrated mild to moderate obstruction, a mean apneahypopnea index (AHI) of $19.2{\pm}5.3events/hour$, and an oxygen saturation level <90% during only 4% of the total sleep time. Conclusions Nonsurgical airway management was successful in patients who demonstrated consistent weight gain and mild to moderate obstruction on PSG, with a mean AHI of <20 events/hour.

8체질(體質) 진단(診斷) 전문가(專門家) 시스템 개발을 위한 기초연구(基礎硏究) (A Fundamental Study for 8 Constitution Medicine Diagnosis Expert System Development)

  • 신용섭;박영배;박영재;김민용;이상철;오환섭
    • 대한한의진단학회지
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    • 제11권1호
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    • pp.25-47
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    • 2007
  • Background and Purpose: There was seldom study about method that diagnose 8 Constitution beside method of pulse diagnosis in 8 Constitution Medicine. Objectives: This study is to make out check list for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning). Methods: Review of literatures about special quality element of 8 Constitution and supplement learning advice of 8 Constitution Medicine Experts constructed knowledge base. And then, knowledge base divided through AHP(Analytic Hierarchy Process), and made out check list with this. Results: Knowledge base based on special quality element of 8 Constitution was divided by 5 greate classification and 25 bisection kind, and check list consisted of 251 item was made out through this. Conclusion: Based on this research, cases necessary to make 8 Constitution Medicine Diagnosis Expert System can be gathered through check list, and further study for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning) is needed to supplement this research.

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계단 주파수 변조된 펄스 도플러 기법을 이용한 고해상도 전방 충돌 회피용 차량 레이다 성능 분석 (High Resolution Forward-Looking Collision Avoidance Automotive Radar Using Stepped-Frequency Pulsed-Doppler(SFPD) Technique)

  • 우성철;곽영길
    • 한국전자파학회논문지
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    • 제20권8호
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    • pp.784-790
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    • 2009
  • 전방 감시 차량용 레이다에서 표적 거리와 속도 정보를 얻기 위해서는 일반적으로 주파수 변조된 연속파형(FMCW)이나 펄스 도플러(PD) 파형을 사용하고 있다. 그러나 고해상도의 표적 정보를 얻기 위해서는 펄스 폭이 매우 좁고 넓은 대역폭을 사용하여야 하므로 상대적으로 높은 첨두 전력이 필요하고 고속의 디지털 변환 처리속도가 요구된다. 본 논문에서는 계단 주파수 변조된 펄스 도들러 파형을 이용하여 고해상도의 표적 정보를 획득할 수 있는 SFPD(Stepped-frequency Pulsed-Doppler) 처리 기법을 제시한다. 제안된 SFPD 기법은 시뮬레이션을 통하여 기존의 FMCW 및 펄스 도플러 파형 방식과 비교 분석하였다. 본 기법은 필요에 따라서 거리 및 도플러 해상도를 가변할 수 있는 장점이 있기 때문에 이론적으로 고해상도의 표적 영상 형성이 가능하여 향후 정밀한 차량 충돌 방지를 위한 표적 식별에 활용할 수 있을 것으로 기대한다.

대한경락경혈학회지 연구동향 (Trends of Studies in Korean Journal of Acupuncture)

  • 송지청;황성연;안성훈;엄동명
    • Korean Journal of Acupuncture
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    • 제33권1호
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    • pp.1-11
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    • 2016
  • Objectives : When we understand the characters of certain person or object, we try to follow each one's or its past up. Korean Journal of Acupuncture is one of the most significant journal in acupuncture study fields in Korea. To understand the trends of study in acupuncture study fields, I made a subject with Korean Journal of Acupuncture. Methods : I made an evaluation and classification for all 713 articles' headline from vol. 17(2000 year) to vol.32(2015 year). Results : 1. Experimental Reseach : There were major portion articles for pharmaco-acupuncture study out of studies for acupuncture, moxibustion, chiropratics, devices and so on. 2. Bibliographical Research and Basic Theory Research : There were major portion articles for medians and acu-point study out of studies for article review and text book itself. Also, there were major portion articles for meridian and acupuncture study out of studies for Qigong, pulse, anatomy and so on. 3. Clinical Research : There were major portion articles for acupuncture study out of studies for moxibustion, chiropratics, devices, complex treatments and so on. 4. Others : There were major portion articles for diagnosis and measurement devices out of acupuncture, laser, pulsing device and so on. Also, there were surveys for recognition of patients and medical services and evaluations for measuring diagnosis utility and those effects. Conclusions : With thise results, I hope that several researchers could consider scope and subject when they submit articles for Korean Journal of Acupuncture.

안면형태(顔面形態) 유형분류(類型分類)에 근거한 “치미병(治未病)” 예방의학정신과의 상관성에 대한 연구 (Study on the Interrelationship of the Preventive Public-health and the Classification on the Body Form's Type)

  • 이정원;김훈;신순식;이해웅;이용태;김경철
    • 동의생리병리학회지
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    • 제22권1호
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    • pp.194-198
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    • 2008
  • The treatment before growing into disease is the highest level of the spirit of oriental preventive public medicine. Specially the treatmentt is very important in the life style disease of the aged society, and it is closely connected the human body-form diagnosis reflecting the character of individual physiology and pathology. The human body-form diagnosis explain systematically the color of face, the form and movement of the body, the smell and the taste, the mentality, many or few of $Yin{\cdot}Yang$, the state of pulse, the Meridian, the state of pathology and the direction of the treatment, and therefore the human body-form diagnostis method has also the practical ity on classifying the type. As the spirit of oriental preventive public medicine is based on the Meridian control method and food cooking control method, it has an important effect on the general management of the disease, the making on the beautiful face and the healthy body, the prolongation of life, the management of the individual-ordered health.

능동 표적신호 합성 (MOving Spread Target signal simulation)

  • 성낙진;김재수;이상영;김강
    • 한국음향학회지
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    • 제13권2호
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    • pp.30-37
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    • 1994
  • 최근 표적의 고속화와 저표적강도화 추세에 따라 표적 탐지의 정확성이 요구되고 있다. 본 연구는 이에 부합하여 표적 운동 해석, 표적 분류, 소나 성능 예측 모델의 개발에 필수적인 표적 산란 잔향 신호의 주파수 및 시간별 특성의 파악과 그러한 특성을 포함한 표적 신호 시뮬레이션에 목적을 두고 있다. 표적 신호 시뮬레이션에는 음향 변환자 배열의 음원 준위와 빔패턴으로 구성되는 음원모델, 전달 손실 예측부인 환경모델, 복합 표적에 의한 신호의 신장 및 표적 강도와 음원과 표적의 상대운동을 표현하는 도플러 현상이 고려된 표적모델, 수신기의 감도 및 빔패턴과 각 채널의 시간이 고려된 수신 모델 등 주요한 4부분의 모델이 필요하다. 개발된 MOST(MOving Spread Target) 신호합성기는 환경모델을 제외한 3가지 모델로 구성 되어 있으며, 음원과 표적의 운동에 의한 신호 특성 시뮬레이션 등의 기능을 갖추고 있어, 소나 운용 체계 개발의 한 단계인 HILS(Hardware In the Loop Simulation)와 표적 상태 추정을 위한 신호 특성 분석 및 앞에서 언급한 각종 모델에서 신호 발생 장치로 이용될 수 있다.

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20 MHz pulsed NMR을 이용한 국내산과 수입산 콩의 판별 (Discriminating Domestic Soybeans from Imported Soybeans by 20 MHz Pulsed NMR)

  • 노정해;이선민;김영붕;이택수
    • 한국식품과학회지
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    • 제35권4호
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    • pp.653-659
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    • 2003
  • 황색콩과 검은콩의 원산지를 판별하기 위하여 일반성분 및 20 MHz pulsed NMR을 이용하여 자기완화시간을 측정하였다. 일반성분으로는 황색콩은 조지방 함량 만이 원산지별 차이를 나타내었고, 검은콩의 경우에는 수분과 단백질 함량이 원산지별 차이를 보였다. 20 MHz pulsed NMR을 이용하여 자기완화시간 및 고형지방함량을 측정한 결과 황색콩은 고형지방함량과 $T_2-CPMG$ 측정시 원산지에 따라 유의적인 차이를 나타내었으며, 검은콩은 $T_1-SR$을 제외한 모든 측정항목에서 원산지별 차이를 나타내었다. 황색콩과 검은콩의 원산지 판별 분석시 일반성분만으로 정준판별분석을 시행한 결과 $70{\sim}91.7%$의 정확도를 나타내었으나, NMR 자기완화시간 및 고형지방함량을 이용한 경우 100%의 정확성으로 원산지를 판별해낼 수 있었다.

한방소아과 설문지 및 검사에 관한 임상현황연구 (Clinical Investigation of Survey and Test in Korean Oriental Pediatrics)

  • 황영준;김기봉;민상연;김장현
    • 대한한방소아과학회지
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    • 제22권1호
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    • pp.25-34
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    • 2008
  • Objectives The purpose of this study is to investigate whether Korean oriental pediatrics hospitals are using their feedback surveys to improve their medical conditions. Methods We selected 24 oriental medicine university hospitals and sent surveys to investigate. 15 of those surveys were analyzed. Results The results were classified as follows; Only 9 of university hospital said that they are currently using their feedback surveys to improve their services. Question for asking the purpose of doing their feedback surveys, 58.3% of hospital responded to get some information for diagnosis, 25% of them said to see the progress of treatment of specific disease, and 16.7% answered for using their data to the further studies. The question about the reason why hospital were need to make these feedback surveys, 46.2% of them answered to apply better service, 38.4% of them said to post medical journal. The question for asking what do oriental medical hospitals check from feedback surveys, 40% of them said they check Ryodoraku, 33.3% was pulse diagnostic apparatus, EAV(Electro-puncture According to Voll) was 26.7%. The classification according to purpose of test resulted as follows; information for diagnosis was 48.1%, the progress of a disease was 37.3%. In addition oriental medical test there were blood test, radiological test, brain waves test, Hair Tissue Mineral Analysis(HTMA), ultrasonic test, body composition analysis. Conclusions Further clinical research is necessary for improvement of using the feedback survey effectively.

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심병증 진단요건의 표준 설정을 위한 연구 (Study on Establishment of criteria for Heart Disease in Oriental Medicine)

  • 최선미;박경모;정찬길;성현제;안규석
    • 동의생리병리학회지
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    • 제17권4호
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    • pp.845-851
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    • 2003
  • The objective is to establish the standard of criteria for differential diagnosis of signs and symptoms. This study selected signs and symptoms related to heart which stands for Fire(火) as a kind of five phase(五行). Eleven experts was asked to evaluate the adequateness of criteria which was developed by Korea Institute of Oriental Medicine(KIOM) and to suggest the amendment of them. To implement the study, we used the questionnaire which asks about the diagnosis criteria for an insufficiency of the heart-qi(心氣虛證), deficiency of the heart blood(心血氣證), deficiency of the heart-yin(心陰虛證), insufficiency of the heart-yang(心陽虛證), exuberant fire due to hyperactivity of the heart(心火亢盛證), stagnation of the heart blood(心血瘀阻證), heart disturbed by phlegm-fire(痰火擾心證), attack of the heart by retainedfluid(水氣凌心證). Every criteria consists of primary symptoms, secondary symptoms, tongue findings. and pulse findings. In perspectives of the classification of patterns for signs and symptoms and criteria for diagnosis, the result shows that the previous standard doesn't have so many problem. So many of experts were agree with the criteria which was suggested but the trend is that they use, in their actual practice, less than the criteria. Additionally, they pointed that every element in a criterion should have the different weight value, criteria for the overlapped pattern should be added, and, in future, criteria which are based on clinical investigation should be established.

건강군과 질환군의 한열지표 차이에 관한 고찰 (Differences of Cold-heat Patterns between Healthy and Disease Group)

  • 김지은;이승기;유화승;박경모
    • 동의생리병리학회지
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    • 제20권1호
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    • pp.224-228
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    • 2006
  • The pattern identification of exterior-interior syndrome and cold-heat syndrome is one of the diagnostic methods using most frequently in Oriental medicine. There was no systematic studies analyzing the characteristics of the 'exterior-interior and cold-heat' between healthy and disease group. In this study, cold-heat pattern, blood pressure, pulse rate, height and weight are recorded from 100 healthy subjects and 196 disease subjects with age ranging from 30 to 59 years. To analyze the differences between healthy and disease group, we used the descriptive statistics. And linear regression function, linear support vector machine and bayesian classifier were used for distinguishing healthy group from disease group. The score of both exterior-heat and interior-cold in healthy group is higher than the score in disease group. This means that if one belongs to the disease group, his(or her) exterior gets cold and his interior gets hot. And also, these result have no relevance to age. But, the attempt to classify healthy group from disease group with a exterior-interior and cold-heat and other vital signs did not have good performance. It mean that even though they have a different trend each other, only these kinds of information couldn't classify healthy group and disease group.