• Clinical and Experimental Pediatrics
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• v.45 no.9
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• pp.1114-1119
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• 2002

Purpose : The purposes of this study were to determine short- and long-term fractal correlation behavior of heart rates during daily activity in patients with neurocardiogenic syncope. Methods : Twenty five patients with histories of neurocardiogenic syncope episodes were included. Their analogue 24h ambulatory Holter electrocardiograms were analyzed. The tape was digitized and the digitized electrocardiograms were partioned into sections of one hour. Then their RR intervals were measured and 20,000 points of RRI were used. To quantify the fractal correlation behavior, we employed the detrended fluctuation analysis, and short-term($n{\leq}16$, ${\alpha}_1$) and long-term(n>16, ${\alpha}_2$) fractal scaling exponents were calculated. Results : When compared to control, 24-hour average values of ${\alpha}_1$ and all ${\alpha}_1$ values at quarters of each day were significantly higher in patients with syncope. On the contrary, their 24-hour average value of ${\alpha}_2$ and all ${\alpha}_2$ values at quarters of each day were lower in patients with syncope. However, statistical significances were found in 24-hour average value of ${\alpha}_2$ and in ${\alpha}_2$ value at MN-6AM. Conclusion : In the syncope patients with neurocardiogenic syncope, short-term fractal scaling exponents of RR interval was significantly high throughout the day. Therefore, their RR intervals were smoother in the short term scale and had a tendency to continue in the same direction of increase or decrease, which may contribute to persistent decrease in heart rate during a syncopal attack.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.1
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• pp.81-88
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• 2020

Objectives : This study aimed to compare autonomic nervous system (ANS) dysregulation and differential relationships with clinical severities between anxiety disorder, depressive disorder, and trauma·stressor related disorder using heart rate variability (HRV) parameters. Methods : We conducted a retrospective chart review of outpatients from 2017 to 2018 in Stress Clinic of National Center for Mental Health. Total 473 patients were included; 166 anxiety disorder; 184 depressive disorder ; 123 trauma·stressor related disorder. Parameters of 5-min analysis of HRV were compared in three groups. Additionally, we investigated the differential association of each parameters with Clinical Global Impression-Severity Scale (CGI-S) across each group. Results : No significant differences were found in all HRV parameters between the three groups. However, significant group interactions by CGI-S were found in standard deviation of all RR intervals (SDNN) and the square root of the mean squared differences of successive normal-to-normal intervals (RMSSD) (SDNN, p=0.017 ; RMSSD, p=0.034). A negative relationship between CGI-S and SDNN, RMSSD has been found in anxiety disorder and depressive disorder. However, a positive relationship between CGI-S and SDNN, RMSSD has been found in trauma·stressor related disorder. Conclusions : Despite of no significant differences of each HRV parameter, our findings suggested the differential associations of HRV parameters with clinical severity among anxiety disorder, depressive disorder and trauma·stressor related disorder. In trauma·stressor related disorder, the clinical severity and degree of ANS dysregulation may differ, so more aggressive treatment is suggested.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.19 no.7
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• pp.1728-1736
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• 2015

Several algorithms have been developed to classify arrhythmia which either rely on specific ECG(Electrocardiogram) database. Nevertheless personalized difference of ECG signal exist, performance degradation occurs because of carrying out diagnosis by general classification rule. Most methods require accurate detection of P-QRS-T point, higher computational cost and larger processing time. But it is difficult to detect the P and T wave signal because of person's individual difference. Therefore it is necessary to design efficient algorithm that classifies different arrhythmia in realtime and decreases computational cost by extracting minimal feature. In this paper, we propose arrhythmia classification method using QRS Pattern of ECG signal according to personalized type. For this purpose, we detected R wave through the preprocessing method and define QRS pattern of ECG signal by QRS feature Also, we detect and modify by pattern classification, classified arrhythmia duplicated QRS pattern in realtime. Normal, PVC, PAC, LBBB, RBBB, Paced beat classification is evaluated by using 43 record of MIT-BIH arrhythmia database. The achieved scores indicate the average of 99.98%, 97.22%, 95.14%, 91.47%, 94.85%, 97.48% in PVC, PAC, Normal, BBB, Paced beat classification.

• Proceedings of the Korea Water Resources Association Conference
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• 2017.05a
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• pp.414-414
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• 2017

토양수분은 지면환경에서 일어나는 수문 및 에너지 순환을 이해하는 데 있어 중요한 기상인자이다. 토양수분 현장관측은 땅속에 매설된 센서에 의해 상당히 정확하게 이루어지만, 관측점 수가 충분치 않아 공간적 연속성을 확보하지 못하는 어려움이 존재한다. 이에 광역적 및 연속적 관측이 가능한 마이크로파 위성센서가 토양수분 정보 획득을 위한 보조수단으로서 그 중요성이 부각되고 있다. 마이크로파 위성센서는 구름 등 기상조건의 제약을 받지 않으며, 1978년 이래 현재까지 여러 위성에 의해 25 km 및 10 km 해상도의 전지구 토양수분자료가 생산되어 왔다. 마이크로파 센서를 이용한 토양수분자료는 동일지점에 대하여 하루 2회 정도 산출되므로 적절한 시간분해능을 가지지만, 공간해상도가 최고 10 km로서 지역규모의 수문분석에 적용하기에는 충분치 않다. 이러한 토양수분자료의 공간해상도 문제 해결을 위하여 다양한 지면환경요소를 활용한 통계적 다운스케일링이 대안으로 제시되었다. 최근의 선행연구들은 대부분 방정식을 이용한 결합모형을 통해 통계적 다운스케일링을 수행하였는데, 회귀식과 같은 선형결합뿐 아니라 신경망이나 기계학습 등의 비선형결합에서도, 불가피하게 발생할 수밖에 없는 잔차(residual)로 인하여 다운스케일링 전후의 공간분포 패턴이 달라져버리는 문제를 안고 있었다. 회귀분석에 잔차의 공간내삽을 결합시킨 회귀크리깅(regression kriging)은 잔차보정을 통해 이러한 문제를 해결함으로써 다운스케일링 전후의 공간분포 일관성을 보장하는 기법이다. 이 연구에서는 회귀크리깅을 이용하여 일자별 AMSR2(Advanced Microwave Scanning Radiometer 2) 토양수분 자료를 10 km에서 1 km 해상도로 다운스케일링하고, 다운스케일링 전후의 자료패턴 일관성을 평가한다. 지면온도(LST), 지면온도상승률(RR), 식생온도건조지수(TVDI)는 일자별로 DB를 구축하였고, 식생지수(NDVI), 수분지수(NDWI), 지면알베도(SA)는 8일 간격으로 DB를 구축하였다. 이러한 8일 간격의 자료를 일자별로 변환하기 위하여 큐빅스플라인(cubic spline)을 이용하여 시계열내삽을 수행하였다. 또한 상이한 공간해상도의 자료는 최근린법을 이용하여 다운스케일링 목표해상도인 1 km에 맞도록 변환하였다. 우선 저해상도 스케일에서 추정치를 산출하기 위해서는 저해상도 픽셀별로 이에 해당하는 복수의 고해상도 픽셀을 평균화하여 대응시켜야 하며, 이를 통해 6개의 설명변수(LST, RR, TVDI, NDVI, NDWI, SA)와 AMSR2 토양수분을 반응변수로 하는 다중회귀식을 도출하였다. 이식을 고해상도 스케일의 설명변수들에 적용하면 고해상도 토양수분 추정치가 산출되는데, 이때 추정치와 원자료의 차이에 해당하는 잔차에 대한 보정이 필요하다. 저해상도 스케일로 존재하는 잔차를 크리깅 공간내삽을 통해 고해상도로 변환한 후 이를 고해상도 추정치에 부가해주는 방식으로 잔차보정이 이루어짐으로써, 다운스케일링 전후의 자료패턴 일관성이 유지되는(r>0.95) 공간상세화된 토양수분 자료를 생산할 수 있다.

• Science of Emotion and Sensibility
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• v.22 no.1
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• pp.55-64
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• 2019

Stress is accompanied by changes in the responses of the autonomic nervous system, and the heart rate variability (HRV) index is a quantitative marker that reflects autonomic responses induced by stressors. In this study, we observed changes in the autonomic responses induced by combinations of 30% oxygen administration and color light for stress relaxation. In all, 42 participants produced stress symptoms over the preceding two weeks, as rated on the stress response scale. After stress assessment, they were exposed to three therapeutic conditions, and electrocardiogram (ECG) signals were recorded before, during, and after therapy. The three therapy conditions consisted of only 30% oxygen administration with white light, a combination of 30% oxygen and orange light, and a combination of 30% oxygen and blue light. The HRV indices extracted from ECG signals were heart rate (HR), the standard deviation of the RR interval (SDNN), the mean square root of consecutive RR interval difference values (RMSSD), the low frequency component of HRV (LF), the high frequency component (HF), and the LF/HF ratio. These indicators were used to compare mean values before and after therapy. The results showed that HR and the LF/HF ratio were significantly lower after therapy than before it. In particular, the condition with 30% oxygen and blue light yielded significantly greater RMSSD and HF increases, as well as decreases in LF/HF ratio than in other two conditions. Our results suggest that therapy with 30% oxygen and blue light is the most effective for the relaxation of stress, which implies autonomic balance by parasympathetic activation.

• Science of Emotion and Sensibility
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• v.8 no.2
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• pp.95-101
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• 2005

This study is based on previous information regarding reduced cardiac vagal activity in patients with coronary artery disease(CAD), on reduced variance(SDNN : standard deviation of all normal RR intervals), low-frequency power(LF), and the complexity of heart rate variability(HRV) in patients with chronic heart failure(CHF), and on the normalized high-frequency power of HRV is the highest in the right lateral decubitus position among 3 recumbent postures in patients with CAD, However, nothing is known about the nonlinear dynamics of HRV for the 3 recumbent postures in patients with CAD. To investigate the linear and non-linear characteristics of HRV in patients with CAD, 29 patients as CAD group and 23 patients as control group were studied. Electrocardiogram(ECG) with lead II channel was measured on these patients for 3 recumbent postures in random order. The HRV from ECG was analyzed with linear method(for time and frequency domains) and nonlinear method. The lower the high-frequency power in normalized unit(nHF) in the supine or left lateral decubitous position, the higher the increase in nHF when the position was changed from supine or left lateral decubitous to right lateral decubitous. Among the 3 recumbent postures in patients with severe CAD, the right lateral decubitus position was observed to induce the highest vagal modulation, the lowest sympathetic modulation, and the highest complexity of human physiology system.

• Clinical and Experimental Pediatrics
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• v.46 no.10
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• pp.996-1002
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• 2003

Purpose : In Rett syndrome patients, the incidence of sudden death is greater than that of the general population, and cardiac electrical instability including fatal cardiac arrhythmia is a main suspected cause. In this study, we are going to find out the possible cause of the higher risk of sudden death in Rett patients by the evaluation of heart rate variability, a marker of cardiac autonomic activity and corrected QT intervals. Methods : Diagnosis of Rett syndrome was made by molecular genetic study of Rett syndrome (MECP2 gene) or clinical diagnostic criteria of Rett syndrome. Heart rate variability and corrected QT intervals were measured by 24 h-Holter study in 12 Rett patients, and in 30 age-matched healthy children with chief complaints of chest pain or suspected heart murmurs. The were compared with the normal age-matched control. Results : Patients with total Rett syndrome, classic Rett syndrome, and Rett variants had significantly lower heart rate variability(especially rMSSD)(P<0.05) and longer corrected QT intervals than age-matched healthy children(P<0.05). Sympathovagal balance expressed by the ratio of high to low frequency(LF/HF ratio) also showed statistically significant differences between the three groups considered(P<0.05). Conclusion : A significant reduction of heart rate variability, a marker of autonomic disarray, suggests a possible explanation of cardiac dysfunction in sudden death associated with Rett syndrome.

• Journal of Biomedical Engineering Research
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• v.19 no.3
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• pp.269-278
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• 1998

This paper describes a development of efficient stress ECG signal analysis algorithm. The algorithm consists of wavelet adaptive filter(WAF), QRS detector and ST segment detector. The WAF consists of a wavelet transform and an adaptive filter. The wavelet transform decomposed the ECG signal into seven levels using wavelet function for each high frequency bank and low frequency bank. The adaptive filter used the signal of the seventh lowest frequency band among the wavelet transformed signals as primary input. For detection of QRS complex, we made summed signals that are composed of high frequency bands including frequency component of QRS complex and applied the adaptive threshold method changing the amplitude of threshold according to RR interval. For evaluation of the performance of the WAF, we used two baseline wandering elimination filters including a standard filter and a general adaptive filter. WAF showed a better performance than compared filters in the noise elimination characteristics and signal distortion. For evaluation of WAF showed a better performance than compared filters in the noise elimination characteristics and signal distortion. For evaluation of results of QRS complex detection, we compared our algorithm with existing algorithms using MIT/BIH database. Our algorithm using summed signals showed the accuracy of 99.67% and the higher performance of QRS detection than existing algorithms. Also, we used European ST-T database and patient data to evaluate measurement of the ST segment and could measure the ST segment adaptively according to change of heart rate.

• Radiation Oncology Journal
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• v.16 no.2
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• pp.99-106
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• 1998

Purpose : We conducted clonogenic assay using human cancer cell lines (MKN-45, PC-14, Y-79, HeLa) to investigate a correlation between the parameters of radiosensitivity. Materials and Methods : Human cancer cell lines were irradiated with single doses of 1, 2, 3, 5, 7 and 10Gy for the study of radiosensitivity and subrethal damage repair capacity was assessed with two fractions of 5Gy separated with a time interval of 0, 1, 2, 3, 4, 6 and 24 hours. Surviving fraction was assessed with clonogenic assay using $Sperman-H\"{a}rbor$ method and mathematical analysis of survival curves was done with linear-quadratic (LQ) , multitarget-single hit(MS) model and mean inactivation dose$(\v{D})$. Results : Surviving fractions at 2Gy(SF2) were variable among the cell lines, ranged from 0.174 to 0.85 The SF2 of Y-79 was lowest and that of PC-14 was highest(p<0.05, t-test). LQ model analysis showed that the values of $\alpha$ for Y-79, MKN-45, HeLa and PC-14 were 0.603, 0.356, 0.275 and 0.102 respectively, and those of $\beta$ were 0.005, 0.016, 0.025 and 0.027 respectively. Fitting to MS model showed that the values of Do for Y-79. MKN-45, HeLa and PC-14 were 1.59. 1.84. 1.88 and 2.52 respectively, and those of n were 0.97, 1.46, 1.52 and 1 69 respectively. The $\v{D}s$ calculated by Gauss-Laguerre method were 1.62, 2.37, 2,01 and 3.95 respectively So the SF2 was significantly correlated with $\alpha$, Do and $\v{D}$. Their Pearson correlation coefficiencics were -0.953 and 0,993. 0.999 respectively(p<0.05). Sublethal damage repair was saturated around 4 hours and recovery ratios (RR) at plateau phase ranged from 2 to 3.79. But RR was not correlated with SF2, ${\alpha}$, ${\beta}$, Do, $\v{D}$. Conclusion : The intrinsic radiosensitivity was very different among the tested human cell lines. Y-79 was the most sensitive and PC-l4 was the least sensitive. SF2 was well correlated with ${\alpha}$, Do, and $\v{D}$. RR was high for MKN-45 and HeLa but had nothing to do with radiosensitivity parameters. These basic parameters can be used as baseline data for various in vitro radiobiological experiments.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.14 no.9
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• pp.2099-2104
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• 2010

In this paper, HRV signal which was appeared RR intervals from ECG was analyzed using return-map during anesthesia. We intended to estimate the depth of anesthesia observing the change of autonomic nervous activity(ANS) because HRV showed change of cardio-vascular system of the body according to state of ANS. Return-map analysis is to reconstruct time series of HRV to phase space after calculating delay time and embedded time. After approximating the signal distribution which was reconstructed in phase space in elliptic, we calculated the lengths of major and minor axises of the elliptic and the values was used to estimate the depth of anesthesia. Stages of the anesthesia were 7 levels to evaluate the depth of anesthesia. At induction stage of strong external stimulation, the length of major and minor axis were statistically high and at the operation stage of non-external stimulation, the values were statistically low. Conclusively, the stages of anesthesia were discriminated by HRV signal mapped in the phase space during operation.