• Title/Summary/Keyword: ST segment

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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%.

Osstem Cardiotec Centum Stent Versus Xience Alpine Stent for De Novo Coronary Artery Lesion: A Multicenter, Randomized, Parallel-Designed, Single Blind Test

  • Chang-Hwan Yoon;Jihong Jang;Seung Ho Hur;Jun-Hee Lee;Seung Hwan Han;Soon-Jun Hong;Kiyuk Chang;In-Ho Chae
    • Korean Circulation Journal
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    • v.52 no.5
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    • pp.354-364
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    • 2022
  • Background and objectives: To compare the safety and efficacy of a new everolimus-eluting stent with an abluminal-coated biodegradable polymer (Osstem Cardiotec Centum) with those of the Xience Alpine stent (Xience). Methods: This randomized, prospective, multicenter, parallel-designed, single-blind trial was conducted among patients with myocardial ischemia undergoing percutaneous coronary intervention (PCI) from 21st September 2018 until 3rd July 2020. The primary efficacy endpoint was in-segment late lumen loss (LLL) at 270 days after the procedure and the primary safety endpoints were major adverse cardiac events (MACE), composite of cardiac death, myocardial infarction, and target lesion revascularization. Results: We enrolled 121 patients and analyzed 113 patients who finished 270 days of follow-up for the primary efficacy endpoint. The mean age of the participants was 66.8 years. As for the primary efficacy endpoint, LLL of the Osstem Cardiotec Centum group was 0.09±0.13 mm and that of the Xience group was 0.12±0.14 mm (upper limit of 1-sided 95% confidence interval, 0.02; p for non-inferiority, 0.0084). This result demonstrates the non-inferiority of the Osstem Cardiotec Centum. As for the primary safety endpoint, MACE occurred in one patient (1.59% of the Xience group). Meanwhile, no MACE occurred in the Osstem Cardiotec Centum group. Conclusions: The Osstem Cardiotec Centum is non-inferior to the Xience Alpine® stent and is confirmed to be safe. It could be safely and effectively applied to patients with coronary artery disease undergoing PCI.

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.

Structure stability study for existing subway tunnel segment of Seoul-Busan high-speed railroad (Daegu - Busan) construction (경부고속철도(대구-부산) 도심통과 노반신설 공사중 기존 지하철 터널구간의 구조적 안정성 검토)

  • Kong, Byung-Seung;Kim, Min-Ho
    • Proceedings of the KSR Conference
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    • 2007.05a
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    • pp.1752-1759
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    • 2007
  • In the new Seoul-Busan high speed railroad construction specially city center passage roadbed establishment is recommended the staibility for the existing subway tunnel segments of Busan subway line No. 1 and No.2. regarding the appearance condition, a quality condition and the durability of the objective facility site exact inspection, and it evaluates the numerical analysis which uses MIDAS GTS it leads and there is the objective of the place where the stability of the objective facility and this tunnel it investigates. To immediacy of the on-the-spot inspection result whole facility it is a condition where the reinforcement which is simple not to be hindrance is necessary, 2nd Line case it is a condition which transfer is good but the general defect and the damage which occur from the tunnel of NATM type were confirmed part. While roadbed establishment constructing that the continuous maintenance is necessary, it is judged. The result of 1st, 2nd Line maximum sinkage, unequal sinkage and the lining stress of numerical analysis are within permission and the damage degree is appearing with the fact that the degree it will can disregard it is slight. But it enforces necessary Pre-grouting in order to minimize an actual tunnel face conduct and when the tunnel is excavated it is judged with the fact that necessary to minimize the outflow possibility.

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Traumatic Coronary Artery Dissection in a Young Woman after a Kick to Her Back

  • Ipek, Emrah;Ermis, Emrah;Demirelli, Selami;Yildirim, Erkan;Yolcu, Mustafa;Sahin, Bingul Dilekci
    • Journal of Chest Surgery
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    • v.48 no.4
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    • pp.281-284
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    • 2015
  • We present the case of a 38-year-old woman admitted to our outpatient clinic with accelerating back pain and fatigue following a kick to her back by her husband. Upon arrival, we detected ST segment elevation in the D1, aVL, and V2 leads and accelerated idioventricular rhythm. She had pallor and hypotension consistent with cardiogenic shock. We immediately performed coronary angiography and found a long dissection starting from the mid-left main coronary artery and progressing into the mid-left anterior descending (LAD) and circumflex arteries. She was then transferred to the operating room for surgery. A saphenous vein was grafted to the distal LAD. Since the patient was hypotensive under noradrenaline and dopamine infusions, she was transferred to the cardiovascular surgery intensive care unit on an extracorporeal membrane oxygenator and intra-aortic balloon pump. During follow-up, her blood pressure remained low, at approximately 60/40 mmHg, despite aggressive inotropic and mechanical support. On the second postoperative day, asystole and cardiovascular arrest quickly developed, and despite aggressive cardiopulmonary resuscitation, she died.

Heart Failure Occurred during Endoscopic Transthoracic Sympathetic Cauterization -A case report- (흉강경하 교감신경절 소작술중 발생한 심부전 -증례 보고-)

  • Lee, Youn-Woo;Yoon, Duck-Mi;Ahn, Eun-Kyoung;Seouk, Mi-Ja
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.235-238
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    • 1996
  • Hyperhidrosis is the distressing condition of abnormal sweating which affects the palm, sole and axillary region. Transthoracic endoscopic sympathectomy is recommended as the treatment of choice for hyperhidrosis, especially when the upper limbs are affected. We experienced a case of accidental cauterization of right azygos vein in a healthy 23 year old male during endoscopic transthoracic sympathectomy. We changed the single lumen endotracheal tube to a double lumen tube which made it easier to perform the explo-thoracotomy and bleeder ligation under one lung ventilation. Crystalloid and colloid solutions, and packed RBC were loaded during explo-thoracotomy. Monitoring showed the signs indicating pulmonary edema. Pulmonary arterial catheterization revealed global heart failure. The patient was transfered to ICU for intensive management for heart failure. On the 4th postoperative day, pulmonary edema and heart failure were cured; and the patient was extubated. But in the evening of the same day ST-segment elevation and Q-wave were noted on ECG monitoring. On the 13th postoperative day coronary angiography was performed. This revealed left apex focal hypokinesia, patent coronary artery and accidental right coronary spasm, treated by vasodilator. On the 14 day, after surgery, he was discharged to return to work.

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