• Title/Summary/Keyword: ST segment

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Dorsal Angulation after Proximal Dome Osteotomy for Hallux Valgus (무지 외반증 치료로 사용된 제1 중족골 근위 반월형 절골술 후 발생한 제1 중족골 족배측 각형성 정도)

  • Suh, Dong-Hyun;Park, Yong-Wook;Kim, Do-Young;Lee, Sang-Soo;Seo, Young-Jin;Park, Hyun-Chul;Kang, Seung-Wan
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.2
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    • pp.121-125
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    • 2004
  • Purpose: We try to retrospectively evaluated the amount of dorsal angulation angle of the first metatarsal commonly occurring as the complication of proximal dome osteotomy for hallux valgus. Materials and Methods: Between January 2004 and March 2004, 34 patients who underwent proximal dome osteotomy for moderate to severe hallux valgus. Two of 34 patients were male, and thirty-two were female. The average age was 57.6 years. We measured and compared hallux valgus angle, 1st-2nd intermetatarsal angle, dorsal angulation angle of 1st metatarsal on preoperative, postoperative, postoperative 3 weeks', postoperative 3 months' X-ray. Results: Osteotomy sites were completely united on plane X-ray in all cases. The hallux valgus angle averaged $41.2^{\circ}$ ($30{\sim}60^{\circ}$) at preoperative, $4.3^{\circ}$ ($-10{\sim}20^{\circ}$) at postoperative, $5.5^{\circ}$ ($-1{\sim}20^{\circ}$) at 3 weeks after operation, $7.8^{\circ}$ ($-2{\sim}20^{\circ}$) at 3 months after operation. The 1st-2nd intermetatarsal angle averaged $17.1^{\circ}$ ($12{\sim}24^{\circ}$) at preoperative, $6.3^{\circ}$ ($0{\sim}13^{\circ}$) at postoperative, $7.2^{\circ}$ ($0{\sim}15^{\circ}$) at 3 weeks after operation, $8.7^{\circ}$ ($0{\sim}18^{\circ}$) at 3 months after operation. The dorsal angulation angle averaged $0.4^{\circ}$ ($0{\sim}3^{\circ}$) at postoperative, $1.6^{\circ}$ ($0{\sim}7^{\circ}$) at 3 weeks after operation, $2.1^{\circ}$ ($0{\sim}8^{\circ}$) at 3 months after operation. There were no statistically correlation between increase of dorsal angulation angle of the distal segment of the first metatarsal and increase of hallux valgus angle or 1st-2nd intermetatarsal angle. Conclusion: Our results shows that the dorsal angulation of distal fragment occurring after the proximal dome osteotomy in the treatment of hallux valgus may be minimized with meticulous surgery and patient's education.

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Effect of Hvperkalemia and Hypothermia on Endothelium-dependent Relaxation of the Rat Aorta (고칼륨과 저온이 흰쥐 대동맥의 내피세포의존성이 완능에 미치는 영향)

  • 이응배;전상훈
    • Journal of Chest Surgery
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    • v.29 no.12
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    • pp.1299-1305
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    • 1996
  • The rat thoracic aorta was harvested to determine whether either hyperkalemla or hypothermia impairs the endothelium-dependent re axation of the vascular smooth muscle. Isolated thoracic aorta segments were studied in five groups(n=10 in each group). In group I(control), the isolated aortic seglnents were suspended in organ bath without any intervention. In group ll(endotheilum removAl). the endothelium of the aortic segment was removed by gentle rubbing of the intimal surface with a pair of forceps. In group III(457), IV(4mST), and V(3757), the aortic segments were exposed for 45minutes to 4$^{\circ}C$ St. Thomas hospital cardioplegic solution(57 : NaCl, 144.3; KCI, 19.6, MgCl:, 15.7 : CaCl, 2.2 mmol/L).4$^{\circ}C$ modified St. Thomas hospital cardioplegic solution(NaCl, 144.3 : KCI. 140.0 : MgCl:, 15.7; CaCl:. 2.2 mmol/L). and 37$^{\circ}C$ 57, before suspending in the organ bath, respectively. Then, aorta segments were suspended in organ baths(physiologic salt solution, 37$^{\circ}C$, 95% oxygen and 5% carbon dioxide) for Isometric tension recording. The vasodilatation to acetylcholine (10-2 to 10-2mol/L) was not impaired in control, 457, 4mST, nd 3757 groups. The vasodilatation to acetylcholine was impaired in endothelium removal group. The vasodilatation to sodium nitroprusslde (10-2 to 10-2 mol/L) was not impaired in all groups. In conclusion, both hyperkalemia and hypothermia do not alter irreversibly the function of the rondothelium of the thoracic aorta of the rat.

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A Descriptor Design for the Video Retrieval Combining the Global Feature of an Image and the Local of a Moving Object (영상의 전역 특징과 이동객체의 지역 특징을 융합한 동영상 검색 디스크립터 설계)

  • Jung, Byung-Man;Lee, Kyu-Won
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.18 no.1
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    • pp.142-148
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    • 2014
  • A descriptor which is suitable for motion analysis by using the motion features of moving objects from the real time image sequence is proposed. To segment moving objects from the background, the background learning is performed. We extract motion trajectories of individual objects by using the sequence of the 1st order moment of moving objects. The center points of each object are managed by linked list. The descriptor includes the 1st order coordinates of moving object belong to neighbor of the pre-defined position in grid pattern, The start frame number which a moving object appeared in the scene and the end frame number which it disappeared. A video retrieval by the proposed descriptor combining global and local feature is more effective than conventional methods which adopt a single feature among global and local features.

(A Design of Adaptive Neural Network Filter to Remove the Baseline Wander of ECG) (심전도 신호의 기저선 잡음 제거를 위한 적응 신경망 필터 설계)

  • Lee, Geon-Gi;Kim, Yeong-Il;Lee, Ju-Won;Jo, Won-Rae
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.39 no.1
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    • pp.76-84
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    • 2002
  • In this paper, it is studied to remove the baseline wander and to minimize the distortion of ST segment in the noise filtering of ECG. In general, the standard filter and adaptive filter are used to remove the baseline wander of the ECG. But the standard filter is limited because the frequency of the baseline signal is variable and the apative filter is difficult to select the reference signal in case of using the adaptive filter. So we proposed a new method of the structure without reference signal using neural networks. To be convinced of the performance of this method, we used ECG data of MIT-BIHs. and obtained the result of the high performance,(-53.3[dB]) than standard filter(-16.3[dB]) and adaptive filter (-44.9[dB]).

A preliminary study on women's anginal pain induced by exercise stress test (운동부하검사로 유발된 여성의 협심통증에 대한 예비연구)

  • Choe, Myoung-Ae;An, Kyung-Ae;Choo, Ji-Na;Choi, Yoon-Sik
    • Journal of Korean Biological Nursing Science
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    • v.4 no.2
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    • pp.5-18
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    • 2002
  • Purpose: Women have been often underdiagnosed and undertreated when they have as high mortality as men of ischemic heart disease, such as angina. One of the reasons of women's under treatment is associated with either vague, non-traditional symptoms or longer delay in seeking professional help when they experience ischemic heart disease. This study was conducted to investigate the characteristics of women's anginal pain induced by the treadmill test and to explore the potential relationship(s) between anginal pain and other psycho-physiologic factors. Methods: Of 22 female patients referred to treadmill test, 7 with positive finding participated in this study. Anginal pain in the past was analyzed by Rose questionnaire, whereas anginal pain induced by the treadmill test was identified by McGill pain scale, visual analogue scale and present pain index. Results: Women expressed more heaviness than sharp pain, and complained splitting more often than subjects in previous study that included both men and women. Pain intensity by VAS $3.64{\pm}3.94$, Pain rating index was $5.14{\pm}7.29$, present pain index was $1.57{\pm}1.81$, duration of pain was $5.14{\pm}4.8$ min. Exercise intensity was $6.0{\pm}4.63$ METs, exercise duration was $364.29{\pm}141.39$ sec, ST change was -2.0mm and rate of perceived exertion was $16.29{\pm}2.06$. The relationships between pain intensity and pain duration, ST segment changes were significant. Correlation among pain measures was significant. Conclusion: Generalization of these pilot findings may be inappropriate, and therefore, further larger study is needed.

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A motion descriptor design combining the global feature of an image and the local one of an moving object (영상의 전역 특징과 이동객체의 지역 특징을 융합한 움직임 디스크립터 설계)

  • Jung, Byeong-Man;Lee, Kyu-Won
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2012.10a
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    • pp.898-902
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    • 2012
  • A descriptor which is suitable for motion analysis by using the motion features of moving objects from the real time image sequence is proposed. To segment moving objects from the background, the background learning is performed. We extract motion trajectories of individual objects by using the sequence of the $1^{st}$ order moment of moving objects. The center points of each object are managed by linked list. The descriptor includes the $1^{st}$ order coordinates of moving object belong to neighbor of the per-defined position in grid pattern, the start frame number which a moving object appeared in the scene and the end frame number which it disappeared. A video retrieval by the proposed descriptor combining global and local feature is more effective than conventional methods which adopt a single feature among global and local features.

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Diagnosis of Coronary Artery Disease in Patients with Chest Pain by Means of Magnetocardiography (흉통환자에서 심자도를 이용한 관상동맥질환의 진단)

  • Kwon, H.;Kim, K.;Kim, J.M.;Lee, Y.H.;Kim, T.E.;Lim, H.K.;Park, Y.K.;Ko, Y.G.;Chung, N.
    • Progress in Superconductivity
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    • v.8 no.1
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    • pp.46-53
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    • 2006
  • Magnetocardiography(MCG) has been proposed as a novel and non-invasive diagnostic tool for the detection of cardiac electrical abnormality associated with myocardial ischemia. In our previous study, we have proposed a new classification method of MCG parameters, based on the different populations of the parameters between coronary artery disease(CAD) patients, symptomatic patients and healthy volunteers. We used four parameters, representing the directional changes of the electrical activity in the period of an R-ST-T interval. In patients with chest pain and without ST-segment elevation, who were selected consecutively from all patients admitted to the hospital in 2004, the patients with CAD could be classified with a higher sensitivity than conventional methods, showing that the proposed method can be useful for the diagnosis of CAD with MCG. In this study, we examined the validity of the algorithm with the prior probability distribution in diagnosis of new patients admitted to the hospital in 2005. In the results, presence of CAD could be found with sensitivity and specificity of 81.3% and 71.4%, respectively, in patients with chest pain and non-diagnostic ECG findings.

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TREATMENT OF MIDFACE DEFICIENCY ON ADULT CLEFT LIP AND PALATE INDIVIDUALS BY DISTRACTION OSTEOGENESIS : CASE REPORT (골신연술에 의한 성인 구순구개열자의 중안면함몰의 개선: 증례보고)

  • Son, Woo-Sung;Kang, Sang-Wook;Kang, Dae-Geun;Kim, Jong-Ryoul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.1
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    • pp.53-60
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    • 2009
  • Maxillary deficiency, anterior cross bite, constriction of maxillary arch, malaligned teeth are frequently observed in patients with cleft lip and palate. Surgery and orthodontics, combined intervention are needed to correct maxillary deficiency. Distraction osteogenesis that currently used has many advantages like less relapse tendency, more advancement of maxilla, capable in growing patients. In case 1, 18 years old girl with BCLP had severe midfacial deficiency and multiple missing of teeth. LeFort I osteotomy, followed by maxillary distraction osteogenesis utilizing rigid external distraction device(RED) system, was performed. After a 6-day latency period, distraction proceeded at a rate of 1mm per day (at 1st week, 1.5mm/day). Total advancement was 19mm. The RED device left in place for the additional 4 weeks for consolidation. After the RED device was removed, face mask was applied with elastic traction for 5 weeks. After achieving acceptable facial appearance and occlusion, orthodontic appliance was removed. The results after 4 years follow-up was sustained pretty well without aggravation of velopharyngeal function. In case 2, 22 years old man with UCLP had severe midfacial deficiency and palatally erupted upper 2nd premolars due to arch length discrepancy, but the anterior segment of maxillary did not show constriction and crowding. patient had no arch width discrepancy, crowding was concentrated on premolar region. Segmental LeFort I osteotomy was performed. After a 6 - day latency period, using internal distraction device, distraction proceeded at a 0.5mm per day(at 1st week, 0.75 - 1 mm/day). Total advancement was 15mm. After internal distraction device was removed, face mask was applied with elastic traction for 4 weeks. After surgical-orthodontic treatment, facial appearance and occlusion was improved pretty good, and after 46 months follow-up the result was retained well.

T Wave Detection Algorithm based on Target Area Extraction through QRS Cancellation and Moving Average (QRS구간 제거와 이동평균을 통한 대상 영역 추출 기반의 T파 검출 알고리즘)

  • Cho, Ik-sung;Kwon, Hyeog-soong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.2
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    • pp.450-460
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    • 2017
  • T wave is cardiac parameters that represent ventricular repolarization, it is very important to diagnose arrhythmia. Several methods for detecting T wave have been proposed, such as frequency analysis and non-linear approach. However, detection accuracy is at the lower level. This is because of the overlap of the P wave and T wave depending on the heart condition. We propose T wave detection algorithm based on target area extraction through QRS cancellation and moving average. For this purpose, we detected Q, R, S wave from noise-free ECG(electrocardiogram) signal through the preprocessing method. And then we extracted P, T target area by applying decision rule for four PAC(premature atrial contraction) pattern another arrhythmia through moving average and detected T wave using RT interval and threshold of RR interval. The performance of T wave detection is evaluated by using 48 record of MIT-BIH arrhythmia database. The achieved scores indicate the average detection rate of 95.32%.

Kinematic Analysis of the Linking Motion from the Swallow Skill to the Nakayama Skill on the Rings (링의 스왈로에서 나까야마 기술로의 연결 동작에 대한 운동학적 분석)

  • Chung, Nam-Ju
    • Korean Journal of Applied Biomechanics
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    • v.14 no.2
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    • pp.1-14
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    • 2004
  • This study was intended to contribute to allowing athletes to raise a technical understanding of two motions of high difficulty such as the Swallow motion and the Nakayama motion and enhance their competitive power by analysing the kinematical factors required to link those two motions on the competitive scene on the rings for current national athletes. For this purpose, the game of the ring event was videotaped for male heavy gymnasts participating in the final elimination match of the 2004 Athens Olympic Games. This study attempted to select the performing motions of the final 1st-and 2nd-place athletes performing the linking motions from the Swallow motion and the Nakayama motion using the DLT(direct linear transformation) method. As a result, it arrived at the following conclusion : A1 properly performed the flexing and extending movements using the angular velocity of the segment and joint as the switching motion using the body at the time of linking the motion from the Swallow skill to the Nakayama skill. A2 was evaluated to perform the skill taking the form of depending on the force at the static state. Therefore, it is thought that A1 should take care of shaking at the time of using the elasticity of the body. It is thought that in case of A2 the proper use of the elasticity of the body take care of shaking at the switching motion while taking advantage of the force will contribute to his competitive power.