• 대한전기학회:학술대회논문집
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• 대한전기학회 1988년도 전기.전자공학 학술대회 논문집
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• pp.731-733
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• 1988

This paper describes a design of hardware system for real time automatic diagnosis of ECG arrhythmia based on pipeline processor consisting of the three microcomputer. ECG data is acquisited by 12 bit A/D converter with hardware QRS triggered detector. Four diagnostic parameters - heart rate, morphology, axis, and ST segment - are used for the classification and the diagnosis of arrhythmia. The functions of the main CPU were distributed and processed with three microcomputers. There-fore the effective data process and the real time process using microcomputer can be obtained. The interconnection structure consisting of two common memory units is designed to decrease the delay time caused by data transfer between processors and by which the delay time can be taken 1 % of one clock period.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1996년도 추계학술대회
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• pp.213-216
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• 1996

In this research we would like to develop an exercise ECG signal analysis algorithm using the wavelet transform, which is possible to analyze the time and the frequency simultaneously. Wavelet transform has an advantage of dividing the nonstationary signals into the high frequency and low frequency band successively. Thus, it can separates the unnecessary noises from the frequency band of QRS complex and then using the selected frequency band we could detect the QRS complex and ST segment.

• Journal of Korean Neurosurgical Society
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• 제55권3호
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• pp.152-155
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• 2014

Dural ateriovenous fistula (DAVF) at the craniocervical junction is rare. We report a patient presenting with brainstem dysfunction as an uncommon onset. Brainstem lesion was suggested by magnetic resonance image study. Angiogram revealed a DAVF at a high cervical segment supplied by the meningeal branch of the right vertebral artery, with ascending and descending venous drainage. Complete obliteration of the fistula was achieved via transarterial Onyx embolization. Clinical cure was achieved in the follow-up period; meanwhile, imaging abnormalities of this case disappeared. Accordingly, we hypothesize that a brainstem lesion of this case was caused by craniocervical DAVF, which induced venous hypertension. Thus, venous drainage patterns should be paid attention to because they are important for diagnosis and theraputic strategy.

• Journal of Yeungnam Medical Science
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• 제35권2호
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• pp.227-231
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• 2018

Left main coronary artery (LMCA) thrombosis is rare and the cause should be determined. A previously healthy young man presented with severe chest pain and dyspnea. The electrocardiogram showed typical ST-segment elevation myocardial infarction with clinical instability. Emergency coronary angiography revealed complete LMCA occlusion by thrombosis. After reperfusion, the patient was admitted to the cardiac care unit. He was diagnosed with hemolytic anemia and tested positive for antinuclear antibodies. Systemic lupus erythematosus (SLE) and LMCA disease due to systemic thrombosis were diagnosed. Steroids were started and the patient was discharged without complications. We report this rare case of LMCA thrombosis as an initial presentation of SLE.

• Investigative Magnetic Resonance Imaging
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• 제16권2호
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• pp.152-158
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• 2012

목적: 뇌내 정맥혈관을 평가하기 위한 조영 증강 자기공명 정맥촬영술의 arterial trigger 와 venous trigger 방법으로 시행한 영상의 차이점을 비교 분석하고자 한다. 대상과 방법: 건강검진을 목적으로 자기공명정맥촬영술을 시행한 41명의 환자들을 대상으로 해면부위의 내경 동맥에서 arterial triggering하여 6초 후에 얻은 영상 (n = 20) 과 상시상 정맥동에서 venous triggering (n = 21) 방법으로 시행한 영상을 후향적으로 분석하였다. 영상은 가돌리늄 조영제 ($Magnevist^{(R)}$, Schering, Germany)를 0.1 mmol/kg 정맥주입하여 시행하였고, 두개강 전반에 대하여 시상영상을 fast spoiled gradiend echo sequence로 시행하였다 (TR/TE 5.2/1.5, matrix $310{\times}310$, 절편수 124 절편, 두께 15 cm). 두 그룹의 영상을 해부학적 정맥 혈관 구조에 따라 17 정맥구역에 대하여 평가하였고, 정맥의 영상품질은 세 단계 (안보임, 일부 보임, 완전히 보임)로 나눠서 평가하였다. 결과: 정맥이 완전히 보인 구역은 arterial triggering 자기공명 정맥 촬영술에서 84% (272/323), venous triggering 자기 공명 정맥촬영술에서 91% (310/340) 이다. Venous triggering 자기공명촬영술과 arterial 자기 공명 정맥촬영술을 비교하였을 때 뇌내 정맥 구조를 평가하는데 있어 venous triggering 방법이 통계적으로 유의하게 높았다 (Fisher exact test, p<0.006). 결론: 조영 증강 자기공명 정맥 촬영술은 정맥 혈관 구조에 대한 고화질의 이미지를 제공하였고 arterial triggering 방법보다 venous triggering 방법이 뇌내 정맥 구조 평가에 우월한 것으로 나타났다.

• Journal of Yeungnam Medical Science
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• 제36권3호
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• pp.208-218
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• 2019

Background: The anatomy of middle cerebral artery (MCA) aneurysms has been noted to be unfavorable for endovascular treatment. The purpose of this study was to assess the feasibility and efficacy of coiling for MCA aneurysms. Methods: From January 2004 to December 2015, 72 MCA aneurysms (38 unruptured and 34 ruptured) in 67 patients were treated with coils. Treatment-related complications, clinical outcomes, and immediate and follow-up angiographic outcomes were retrospectively analyzed. Results: Aneurysms were located at the MCA bifurcation (n=60), 1st segment (M1, n=8), and 2nd segment (M2, n=4). Sixty-nine aneurysms (95.8%) were treated by neck remodeling techniques using multi-catheter (n=44), balloon (n=14), stent (n=8), or combination of these (n=3). Only 3 aneurysms were treated by single-catheter technique. Angiographic results were 66 (91.7%) complete, 5 (6.9%) remnant neck, and 1 (1.4%) incomplete occlusion. Procedural complications included aneurysm rupture (n=1), asymptomatic coil migration to the distal vessel (n=1), and acute thromboembolism (n=10) consisting of 8 asymptomatic and 2 symptomatic events. Treatment-related permanent morbidity and mortality rates were 4.5% and 3.0%, respectively. There was no bleeding on clinical follow-up (mean, 29 months; range, 6-108 months). Follow-up angiographic results (mean, 26 months; range, 6-96 months) in patients included 1 major and 3 minor recanalizations. Conclusion: Coiling of MCA aneurysms could be a technically feasible and clinically effective treatment strategy with acceptable angiographic and clinical outcomes. However, the safety and efficacy of this technique as compared to surgical clipping remains to be ascertained.

• Archives of Plastic Surgery
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• 제49권1호
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• pp.70-75
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• 2022

Background Fingertip injuries are very common; however, the reconstruction of volar pulp defects with nail bed defects is challenging in the absence of the amputated segment. We reconstructed fingertip amputations with nail bed defects using a new surgical approach: a subcutaneous flap and composite graft. Methods We treated 10 fingertip amputation patients without an amputated segment, with exposed distal phalangeal bone and full-thickness nail bed defects between February 2018 and December 2020. All patients underwent two-stage surgery: in the first stage, a subcutaneous flap was performed to cover the exposed distal phalanx, and in the second stage, a composite graft, consisting of nail bed, hyponychium, and volar pulp skin, was applied over the subcutaneous flap. Results All flaps survived and all composite grafts were successful. The wounds healed without any significant complications, including the donor site. The average follow-up duration was 11.2 months (range, 3-27 months). The new nail and the shape of the volar pulp were evaluated during follow-up. All patients were satisfied with their natural fingertip shapes and the new nails did not have any serious deformities. Conclusions A subcutaneous flap in combination with a composite graft fitting the shape of the defect could be another option for fingertip injuries without amputated segments.

• Journal of Preventive Medicine and Public Health
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• 제31권2호
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• pp.183-198
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• 1998

In order to determine the prevalence rate and find out the sexual difference of abnormal electrocardiographic findings manifested by computerized EKG, which is equipped with auto-analyzing function, a total of 2,083 electrocardiograms that were taken from population over 20 years-old from October 1996 to February 1997 were studied according to their age, gender and blood pressure. 1. Using the electrocardiography with auto-analyzing function, 33 kinds of abnormal findings were manifested. The prevalence rate of abnormal findings was 52.8% in male and 43.7% in female. Among them, the most common finding was sinus brady-cardia found in 17.6% of male and 15.4% of female. Left ventricular hypertrophy by voltage criteria, minimal voltage of left ventricular hypertrophy, left axis deviation and atrial fibrillation were more common in male than in female statistically. Both of nospecific T wave and ST segment abnormality were more common in female than in male statistically. 2. Thirty-three kinds of abnormal findings were manifested. They revealed one abnormal finding alone or combined with some other ones making 128 kinds of abnormal finding. The most common abnormal finiding that manifested alone was right axis deviation (100%), then myocardial ischemia (95.7%) the next. The most common abnormal finding that complexed with other abnormal findings were left anterior fascicular block(percentage of single manifestation, 26.2%) and nonspecific T wave abnormality(percentage of single manifestation; 32.9%). Also, combination of sinus bradycardia and minimal voltage of left ventricular hypertrophy, and combination of sinus bradycardia and left ventricular hypertrophy were included in 25th sequences of abnormal findings. 3. The prevalence rate of abnormal electrocardiographic findings were higher in older group, hypertensive group, and the group of higher systolic or diastolic pressure in both sexes. 4. Abnormal findings that commonly manifested with sinus bradycardia were voltage criteria or minimal voltage of left ventricular hypertrophy(38.6%): sinus arrhythmia(10.5%): nonspecific T wave or ST segment abnormality(18.4%) and first degree AV block(7.2%) in descending order. 5. The most common site which manifested myocardial ischemia was posterior and inferior wall with equal percentage of 23.4%. And then anterior wall(19.1%), and antero-lateral wall and septum with equal percentage of 10.6% was noted in descending order.

• Journal of Chest Surgery
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• 제41권4호
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• pp.439-446
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• 2008

배경: 본 연구의 목적은 좌심실 수축기능, 용적, 질량과 QT dispersion간의 관계를 알아보고, 관상동맥 협착이 있는 환자와 없는 환자에서 비교하는 것이다. 대상 및 방법: 174명의 ST분절 및 심근효소 이상소견이 없는 전형적인 안정성 협심증을 호소하는 환자들을 대상으로 하였다. Group I은 심혈관 촬영상 관상동맥 협착이 50%이상(n=101), Group II는 심혈관 촬영상 관상동맥 협착이 50%이하(n=73)인 환자로 나누었다. 심혈관 촬영 전에 좌심실 구출율, 용적, 질량을 심초음파로 측정하였고 QT dispersion측정을 위해 12-lead 심전도를 측정하였다. 결과: QT dispersion은 Group I에서 Group II보다 유의하게 길었다(39.8 ms vs. 33.3 ms; p<0.05). 모든 환자에서 좌심실용적, 질량은 QT dispersion과 통계학적으로 유의한 상관관계가 있었으며, 좌심실 질량은 유일한 독립적 관계요소였다.(p<0.05). 그런데 Group I에서만 보면 초음파상에 나타난 어떤 결과도 QT dispersion과 유의한 상관 관계가 없었으며, Group II에서는 좌심실 용적, 질량은 QT dispersion과 유의한 상관관계가 있었으며, 좌심실 질량은 여전히 독립적 관계 요소였다(p<0.05). 결론: 우리의 연구는 좌심실용적, 질량 등은 안정성 협심증환자에서 QT dispersion과 유의한 상관관계를 나타냈다. 이런 소견들은 저명한 관상동맥 협착이 없는 환자들에서만 나타난다.

• 한국산림과학회지
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• 제101권1호
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• pp.138-147
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• 2012

본 연구는 맹종죽 임분의 현존량을 추정하기 위하여 적절한 줄기 절단부위를 파악하고, 죽령에 따른 지상부 및 지하부의 각 기관별 현존량을 비교분석하였다. 5개 죽령급 별 총 9개의 조사구(각 0.04 ha)에서 표준죽에 대한 상대수고에 의한 결정간별 건중비를 군집분석한 0~55% 구간)과 제 6~8 결정간(수고의 55~100% 구간)으로 두 개의 큰 집단으로 구분되었다. 일반적인 임목에서 매 2m 단위의 결정간을 각각 측정하는 조사 방법에 비하여 대나무의 경우 수고의 55~70% 구간을 기준으로 상단부와 하단부의 2개 결정간에 대한 각 1 kg 시료의 현존량을 조사하는 것이 더욱 효율적이라고 분석되었다. 결정계수가 가장 높은 맹종죽의 생체량 추정식은 $W=aD+bD^2$ 이었으며, 각 수령별 지상부 추정치를 합산한 총량과 수령별 구분 없이 추정한 총량 간에 유의적인 차이가 없었다. 맹종죽의 지상부 바이오메스는 총 57.77 ton/ha로서 줄기 40.47 ton/ha, 가지 9.29 ton/ha, 잎 8.01 ton/ha으로서 줄기부위가 가장 높게 나타났다. 지하부의 생체량은 53.35 ton/ha으로 나타났다.