• 제목/요약/키워드: and heart

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ECG를 이용한 심박수 자동측정기기 개발에 관한 실험적 연구 (Experimental Research for Auto Measuring Machine of Heart Rate from ECG)

  • 차샘;조은석;이기영
    • 한국정보전자통신기술학회논문지
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    • 제3권1호
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    • pp.13-18
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    • 2010
  • 본 연구에서는 ECG를 통하여 심박수를 R-R 간격을 이용한 방법으로 자동 추출하는 방법에 관하여 연구하였다. 육안으로 측정한 심박수를 기준으로, 2차 미분을 이용하여 심박수를 추출하는 방법, 자기상관함수를 이용하여 심박수를 추출하는 방법을 비교하여 고찰하였다. 실험 데이터는 MIT/BIH database를 이용하였다. 이를 바탕으로 직접 ECG 측정기를 제작하여 심박수를 자동 측정하여 보고 기존의 환자감시장치(ICU)와 비교하여 보았다.

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심장에 대한 2 차 수술로서의 개심술 (Open Heart Surgery as the Second Operation)

  • 송명근
    • Journal of Chest Surgery
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    • 제12권3호
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    • pp.263-268
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    • 1979
  • In the course of treating approximately 740 patients with open heart surgery, we experienced 38 patients who underwent open heart surgery as the second operation after initial operation on heart at Seoul National University Hospital. Twenty four cases of congenital 14 acquired heart disease were found. There was 14 operative death of 38 patients, resulting in overall mortality 36.8 %; 8 death [33.3 %] in congenital group, 6 [42.9 %] in acquired group. Principal causes of death were lower cardiac output syndrome and congestive heart failure. Compared with foreign report, as this data shows still high overall mortality, this review suggests that second open heart surgery can be performed safely with reasonable operative mortality and satisfactory prognostic outlook in the near future.

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2 mm 흉강경을 이용한 동맥관 개존증 폐쇄술 -1례보고- (PDA Clipping by Using 2mm Thoracoscope)

  • 문승철;양진영;구원모;이건;이헌재;임창영
    • Journal of Chest Surgery
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    • 제33권1호
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    • pp.85-87
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    • 2000
  • Patent ductus arteriosus(PDA) is a common congenital heart disease encountered in premature neonates infants and children. Patent ductus arteriosus was the first surgically managed congenital heart disease,. Classic surgical interruption of patent ducturs arteriosus was partially replaced by a transcatheter endovascular closure, After a 5-7 mm video-assisted thoracoscopic interruption of the patent ductus arteriosus first applied in 1991, this minimally invasive technique came to be used in many centers, Video-assisted thoracoscopic interruption of the patent ductus arteriosus is feasible in low-weight infants whereas transcatheter endovascular closure of the ductus is usually not possible. We experienced successful outcome for the treatment of patent ductus arteriosus with 2 mm video-assisted thoracoscopic titanium clipping, We believed that this technique is a simple safe and rapid method for closure of the patent arteriosus.

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심장기능 평가를 위한 견 적출심장 관류장치의 설계 (Isolated Working Canine Heart Perfusion Apparatus for Evaluation of Myocardial Protection Methods)

  • 이종국
    • Journal of Chest Surgery
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    • 제21권2호
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    • pp.246-253
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    • 1988
  • An in vitro model providing with a recirculating perfusion apparatus using an isolated canine heart and its autogenous blood, which was prepared for study of myocardial protection method. This apparatus was easily used by quick connect system and maintained well heart function for about 2 hours. The Langendorff perfusion was initiated for a 10 minute period by introducing perfusate at 37` into the aorta from aortic reservoir located 100 cm above the heart. The isolated perfused working canine heart model was a left heart preparation in which oxygenated perfusion medium [at 37K] entered the cannulated left atrium at a constant flow rate [900ml/ min] under 20 mmHg overflow system and was spontaneously ejected[no electrical pacing] via an cannula against a hydrostatic pressure of 80 cm H2O. During this working period, various indices of cardiac function were measured. The cardiac functions were stable for over 2 hours with perfusion of Krebs-Henseleit solution and autologous blood[1:1] mixture in volume and maintained heart rate ]]3-122/bpm peak systolic pressure 109-113 mmHg, cardiac output 900 ml / min and left atrial mean pressure 8-9 mmHg. In this model, the efficiency of myocardia] protection could be easily measured by means of functional, enzymatic, biochemical and ultrastructural assessment. And also, we believe this model to be a useful assessment screening model of recovery state after long duration of myocardial preservation of donor heart without difficult transplantation procedures.

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Effects of Covering Newborn's Head after Bath on Body Temperature, Heart Rate and Arterial Oxygen Saturation

  • Kim, Dong-Yeon;Park, Ho-Ran
    • Child Health Nursing Research
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    • 제18권4호
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    • pp.201-206
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    • 2012
  • Purpose: In this study changes were observed in body temperature, heart rate and arterial oxygen saturation (SaO2) of newborns after bathing and to determine the effects of covering their heads with cotton hats after bathing. Methods: Participants were 58 newborn infants, 31 in the experimental group had their heads covered with cotton hats after their bath while 27 in the control group did not. Body temperature, arterial oxygen saturation and heart rate were measured at 8 consecutive times after bathing. Data were analyzed using t-test and repeated measures ANOVA. Results: Body temperature declined shortly after bathing. The experimental group showed faster recovery (p<.001). Heart rate increased after bathing in both groups. Heart rate in the experimental group decreased for 120 minutes and gradually increased to baseline (p<.001). In the control group, heart rate decreased for 180 minutes and then increased but did not reach the baseline (p<.001). Arterial oxygen saturation decreased shortly after bathing and recovery to the baseline was more rapid in the experimental group (30 minutes vs. 60 minutes) (p<.001). Conclusion: With significant changes observed in newborns' body temperature, arterial oxygen saturation and heart rate, covering the head right after bathing is effective in stabilizing infants' physiological system.

작업 현장에서 육체적 작업 강도를 평가하는 도구로서 Borg's Scale과 심박 수의 비교 (Comparison between Heart Rates and Borg's Scale as a Tool to Evaluate Physical Workload)

  • 김병훈;박지영;탁상우
    • 한국산업보건학회지
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    • 제29권3호
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    • pp.368-374
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    • 2019
  • Objectives: To examine the associations of borg's scale with actual heart rates of workers and energy consumption during their physical work. Methods: A total of 72 workers performing physical activities in postal service, ceramic manufacturing, and metal manufacturing participated in heart rate measurement for 1 work shift using the activity meter(A360) and responded to a borg's scale questionnaire. Results: In consistent with previous findings, we presented high correlation between borg's scale and energy consumption measures among workers performing physical activities(r=0.89) while post-work average heart rate showed nearly no correlation with post-work borg's scale (r=0.09). We proposed a set of adjustments when using borg's scale to estimate physical workload for those workers engaged in physical activities during the majority of their work shift. Conclusions: Our findings suggest that a caution should be paid to when using Borg's scale to estimate heart rates during physical activities as well as energy consumption as the product of heart rate measurements.

변형 구개 유경 판막을 이용만 상하악 전방골 본절 성형술 : 증례 보고 (Anterior segmental maxillary osteotomy using a modified Couper's method with circumcrevicular incision : A Case Report)

  • 박영주;남정훈;연병무;송준호;노경록;방은오;김다영;김준현;안장훈;강태인
    • 대한치과의사협회지
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    • 제47권6호
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    • pp.373-378
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    • 2009
  • This article presents a modified palatal pedicled incision design in anterior segmental maxillary osteotomy. This method included the circumcrevicular incisions and two vertical relaxing incisions. Then, it is different from the Couper's method with vestibular horizontal incision and other anterior segmental osteotomy techniques. The main advantages of this method are an improved visibility of surgical field and favorable preservation of palatal pedicle. A patient who had been operated by anterior segmental maxillary and mandibular osteotomy without pre operative orthodontic treatment was analyzed for advantages and complications during the intraoperative and early post operative period. There are no specific major complications such as infection, gingival recession and dehiscence. And the patient had a pleasing esthetic facial appearance.

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Reliability and responsiveness of Equivital Lifemonitor and photoplethysmography based wristwatch for the assessment of physiological parameters during a simulated fatigue task

  • Anwer, Shahnawaz;Li, Heng;Umer, Waleed;Antwi-Afari, Maxwell Fordjour;Wong, Arnold YL
    • 국제학술발표논문집
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    • The 8th International Conference on Construction Engineering and Project Management
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    • pp.257-264
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    • 2020
  • Objective: To investigate test-retest reliability and responsiveness of Equivital Lifemonitor and photoplethysmography based wristwatch tools in assessing physiological parameters during a simulated fatigue task. Methods: Ten university students (Mean age, 30.6 ± 1.7 years) participated in this pilot study. Participants were asked to perform a 30-minute of a simulated fatigue task in an experimental setup in a lab. The physiological parameters (e.g., heart rate, heart rate variability, respiratory rate, electrodermal activity, and skin temperature) were measured at baseline and immediately after the fatigue task. An intraclass correlation coefficient (ICC2,1) was used to evaluate the test-retest reliability of each tool in assessing physiological measures. In addition, the responsiveness of each tool to measure changes from baseline to posttest was calculated using a standardized response mean. Results: The Equivital Lifemonitor has shown good to excellent test-retest reliability for the assessment of heart rate (ICC, 0.97), heart rate variability (ICC, 0.86), respiratory rate (ICC, 0.77), and local skin temperature (ICC, 0.76). However, photoplethysmography based wristwatch showed moderate to good test-retest reliability for the assessment of heart rate (ICC, 0.71), heart rate variability (ICC, 0.73), electrodermal activity (ICC, 0.80), and skin temperature (ICC, 0.72). A large standardized response mean (>0.8) indicates that both tools can capture the changes in heart rate, heart rate variability, respiratory rate, skin temperature, and electrodermal activity after a 30-minute of fatigue task. Conclusions: The Equivital Lifemonitor and photoplethysmography based wristwatch devices are reliable in measuring physiological parameters after the fatigue task. Additionally, both devices can capture the fatigue response after a simulated construction task. Future field studies with a larger sample should investigate the sensitivity and validity of these tools in measuring physiological parameters for fatigue assessment at construction sites.

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Clinical Usefulness of Serum Uric Acid and Resting Heart Rate in the Diagnosis of Metabolic Syndrome in Korean Adults

  • Shin, Kyung-A
    • 대한의생명과학회지
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    • 제23권2호
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    • pp.118-127
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    • 2017
  • Elevated serum uric acid and resting heart rate are risk factors and predictors of metabolic syndrome. However, few studies have examined the optimal cutoff value for serum uric acid and resting heart rate to predict metabolic syndrome in Korean adults. Subjects for this study were 22,302 adults (average age 45 years old), who underwent health screening examination from January 2010 to December 2012 at the Health Promotion Center of one hospital in Gyeonggi-do for general health check-up. The uric acid and resting heart rate cutoff values were calculated by ROC analysis for metabolic syndrome. Elevated serum uric acid and resting heart rate were associated with an increased prevalence of metabolic syndrome in Korean adults. The optimal cutoff value for uric acid level to predict metabolic syndrome in adults was 4.95 mg/dL (male 6.35, female 4.55) and optimal cutoff value for resting heart rate to predict metabolic syndrome was 68 beats per minute (male 66, female 68). However, serum uric acid and resting heart rate were found to have limitations for the diagnosis of metabolic syndrome.

순환기 기능 조절기능을 가진 신경내분비계 작용물질이 참굴의 심장 수축기능에 미치는 영향 (Effects of Cardiovascularly Acting Neuroendocrine Agents on Heart Beatings of Pacific Oyster, Crassostrea gigas)

  • 박관하
    • 한국패류학회지
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    • 제25권1호
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    • pp.15-22
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    • 2009
  • Because it is known that bivalve hearts contain various modulatory systems activated by neuroendocrine substances, it was examined whether different classes of endogenous and synthetic drugs of neuroendocrinological importance can influence cardiac functions of the Pacific oyster Crassostrea gigas. Cholinergically active agents acetylcholine and carbachol increased heart rates while diminishing cardiac contractility. Adrenergically active substances norepinephrine (NE) and epinephrine (Epi) also induced heart rate increase and contractility decrease. An $\alpha_1$-adrenergic receptor-selective agonist phenyephrine (PE) failed to modulate either parameter. The Epi-induced heart rate increase and contractile depression were both blocked significantly by non-selective $\beta_1/\beta_2$-adrenergic antagonist propranolol. A $\beta_1$-selective antagonist atenolol prevented Epi-induced heart rate decrease but not the contractile depression, suggesting possible $\beta_2$ receptors for Epi-induced contractile depression. The three autacoids examined exerted discrete responses: histamine increased heart rate and depressed contraction; $\gamma$-amino-butyric acid increased both parameters; serotonin failed to change either parameter. The 5 piscine anesthetic agents examined, MS-222, benzocaine, quinaldine, urethane, pantocaine and pentobarbital, all failed to influence the cardiac function of oysters. Collectively, activities of neuroendocrinologically acting agents in mammals showed unexpected and distinct activities from those in mammalian cardiovascular systems. These results obtained from substances of different physiological functions can serve as a basis for understanding neuroendocrine control of the heart function in Pacific oyster.

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