• 제목/요약/키워드: and heart

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청각 자극에 의한 안정화된 심박 패턴 유도 (Auditory impulse by Relaxed on Heart rate Pattern Guidance)

  • 김재경;박민호;장계선;정찬순;고일주
    • 한국HCI학회:학술대회논문집
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    • 한국HCI학회 2008년도 학술대회 1부
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    • pp.158-162
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    • 2008
  • 심박은 주위에 환경적, 신체적, 정신적 상태가 많은 영향을 끼친다. 실험에서 정서를 판단함에 있어서 안정된 상태를 만들어야 정확한 데이타를 얻을 수 있다. 사람은 하루 중 심박수가 시간 및 상태에 따라서 다르다. 그래서 심박수의 안정 상태를 만들어야 한다. 의학에서는 신체적으로 볼 때 낮아지는 심박수일수록 안정 상태이다. 하지안 사람마다 평균 심박수가 다르고 시간마다 심박수 평균이 달라진다. 그래서 심박수로는 안정 심박을 구하기가 힘들다. 심박 패턴을 추출할 때 장기 분석을 통한 검증이 정확하다. 하지만 장기 분석을 하지 않아도 피험자의 안정 상태를 유도 할 수 있다면 장기 분석을 하지 않아도 된다. 안정 심박 패턴을 유도하기 위해서 사용한 청각자극은 우리가 일반적으로 집중력과 스트레스 피로를 해소하는 MC Square와 모차르트 음악을 선정하였다. 두 개의 청각 자극이 안정된 심박을 유도 와 안정된 심박 패턴을 만들 수 있는지를 분석하여 유사점과 차이점을 비교하였다. 본 논문은 분당 심박수 변화와 심박 패턴분석으로 청각자극이 안정된 심박수를 유도하는 유의미한 결과 얻었으며 주위의 영향을 받지 않는 상태 즉, 평상심을 유도 할 수 있었다.

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머리 착용형 6축 가속도계를 사용한 심탄도 심박수 측정 (Ballistocardiographical Heart Rate Measurement Using Head Mounted 6-axis Accelerometer)

  • 김진만;국중진
    • 반도체디스플레이기술학회지
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    • 제23권2호
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    • pp.33-37
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    • 2024
  • Recently, wearable virtual reality devices are widely used. These instruments include a 3-axis accelerometer. User's heart rate information in virtual reality contents can be useful for measuring user experience. In this paper, we propose a method to measure the heart rate through a 3-axis accelerometer based on the principle of ballistocardiography without additional sensors. The angular velocity was successively measured in a time series by the 3-axis accelerometer mounted to the head. The frequency of the maximum magnitude is determined as the heart rate through frequency transform and band pass filtering of the time series signal. For verification, the heart rate calculated from photoplethysmography sensors acquired at the same time was compared as ground-truth. In the virtual reality, the user's heart rate information can be extracted without additional heart rate sensor, and the emotional state and fatigue can be measured.

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개심술 450례의 임상적 고찰 (Clinical Analysis of Open Heart Surgery -Review of 450 Cases)

  • 이서원;이계선
    • Journal of Chest Surgery
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    • 제30권8호
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    • pp.770-779
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    • 1997
  • 본원에서는 1985년 2월 부터 1996년 8월까지 450례의 개심술을 시행하였다. 450례중 선천성 심질환은 222례(49.3%), 후천성 심질환은 228례(50.7%)로 거의 비슷한 비율이었으며, 후반 기 5년간은 후천성 심질환이 더 많았다. 선천성 심질환은 비청색증심질환이 201례, 청색증 심질환이 21례를 차지 하였으며, 수술 사망율은 각각 5.5%와 38.1%를 차지하였다. 청색증 심질환은 대부분 활롯 4징증 이었다. 후천성 심질환 228례중 판막질환은 17례, 허혈성 심질환은 32례, 대동맥 질환은 12례, 심장종양은 6례 있었다. 판막질환은 승모판치환술이 87fll, 대동맥판막 치환술이 45례, 이중판막 치환술이 35례를 차지하였다. 허혈성 심장병의 평균문합순는 2.37개소 였으며, 사망율은 6.3%였다. 판막질환의 사망율은 10.8%, 대동맥질 환의 사망율은 16.7%였다. 전체 사망율은 9.6%이며, 선천성 심질환은 9.0%, 후천성 심질환은 10.1%였다.

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개심술 610례에 관한 임상적 고찰 (The Clinical Experience of 610 Cases Open Heart Surgery)

  • 정황규
    • Journal of Chest Surgery
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    • 제21권1호
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    • pp.36-47
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    • 1988
  • 610 cases of open heart surgery was performed in the Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital from July 1981 to September 1987. The clinical data was summarized as follows: 1. The age distribution of congenital heart surgery patients was 2 to 41 years old [mean; 13.2 years] and surgery for acquired heart disease was 10 to 57 years old [mean: 32.8 years]. 2. There were 389 cases [63.8%] of acyanotic congenital heart anomalies, 63 cases [10.3%] of cyanotic congenital anomalies and 158 cases [25.9%] of acquired heart disease. 3. For myocardial protection, Bretschneider and potassium glucose solution had been used as cardioplegic solution and then since 1983, GIK solution has been used with repeated infusion method once for every 20 to 30 minutes of time interval after starting initial cardioplegia during operation with excellent results. 4. The ingredient of the priming solution is Hartmann`s solution, sodium bicarbonate, mannitol, potassium chloride, fresh ACD whole blood, calcium chloride, heparin and dexamethasone. 5. There were 96 cases [15.7%] of mild hypothermia, 333 cases [54.6%] of moderate hypothermia and 181 cases [29.7%] of intermediate hypothermia. 6. The mortality rate was 2.3% [9 out of 389 cases] in acyanotic congenital heart disease, 36.5% [23 out of 63 cases] in cyanotic congenital heart disease and 10.8% [17 out of 158 cases] in acquired heart disease, with overall mortality rate of 8.0% [49 out of 610 cases].

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진공성형을 이용한 삼엽식 고분자 심장판막의 제작과 혈류역학적 성능평가 (Assessment of Hemodynamic Properties of Trileaflet Polymer Heart Valve Manufactured By Vacuum Forming Process)

  • 김경현;황창모;정기석;안치범;김범수;이정주;남경원;선경
    • 대한의용생체공학회:의공학회지
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    • 제27권6호
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    • pp.418-426
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    • 2006
  • In the artificial heart application, productivity and hemodynamic properties of artificial heart valves are crucial in successiful application to long term in vivo trials. This paper is about manufacture and assessment of trileaflet polymer heart valves using vacuum forming process(VFP). The VFP has many advantages such as reduced fabrication time, reproducibility due to relatively easy and simple process for manufacturing. Prior to VFP of trileaflet polymer heart valves, polyurethane(Pellethane 2363 80AE, Dow Chemical) sheet was prepared by extrusion. The sheets were heated and formed to mold shape by vacuum pressure. The vacuum formed trileaflet polymer heart valves fabrication is composed of two step method, first, leaflet forming and second, conduit forming. This two-step forming process made the leaflet-conduit bonding stable with any organic solvents. Hydrodynamic properties and hemocompatibility of the vacuum formed trileaflet polymer heart valves was compared with sorin bicarbon bileaflet heart valve. The percent effective orifice area of vacuum formed trileaflet polymer heart valves was inferior to bileaflet heart valve, but the increase of plasma free hemoglobin level which reflect blood damage was superior in vacuum formed trileaflet polymer heart valves Vacuum formed trileaflet polymer heart valves has high productivity, and superior hemodynamic property than bileaflet heart valves. Low manufacturing cost and blood compatible trileaflet polymer heart valves shows the advantages of vacuum forming process, and these results give feasibility in in vivo animal trials in near future, and the clinical artificial heart development program.

Korean Society of Heart Failure Guidelines for the Management of Heart Failure: Advanced and Acute Heart Failure

  • Junho Hyun;Jae Yeong Cho;Jong-Chan Youn;Darae Kim;Dong-Hyuk Cho;Sang Min Park;Mi-Hyang Jung;Hyun-Jai Cho;Seong-Mi Park;Jin-Oh Choi ;Wook-Jin Chung;Byung-Su Yoo;Seok-Min Kang;Korean Society of Heart Failure
    • Korean Circulation Journal
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    • 제53권7호
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    • pp.452-471
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    • 2023
  • The Korean Society of Heart Failure (KSHF) Guidelines provide evidence-based recommendations based on Korean and international data to guide adequate diagnosis and management of heart failure (HF). Since introduction of 2017 edition of the guidelines, management of advanced HF has considerably improved, especially with advances in mechanical circulatory support and devices. The current guidelines addressed these improvements. In addition, we have included recently updated evidence-based recommendations regarding acute HF in these guidelines. In summary, Part IV of the KSHF Guidelines covers the appropriate diagnosis and optimized management of advanced and acute HF.

Bronchus-Associated Lymphoid Tissue (BALT) Lymphoma of the Lung Showing Mosaic Pattern of Inhomogeneous Attenuation on Thin-section CT: A Case Report

  • In-Jae Lee;Sung Hwan Kim;Soo Hyun Koo;Hyun Beom Kim;Dae Hyun Hwang;Kwan Seop Lee;Yul Lee;Kee Taek Jang;Duck-Hwan Kim
    • Korean Journal of Radiology
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    • 제1권3호
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    • pp.159-161
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    • 2000
  • The authors present a case of histologically proven bronchus-associated lymphoid tissue (BALT) lymphoma of the lung in a patient with primary Sjögren's syndrome that manifested on thin-section CT scan as a mosaic pattern of inhomogeneous attenuation due to mixed small airway and infiltrative abnormalities

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신장이식 수혜자의 경험 (A Study on the Experience of Patients with Chronic Renal Failure who have Received a Kidney Transplant)

  • 이숙희;김경희;정혜경
    • 기본간호학회지
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    • 제6권1호
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    • pp.78-95
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    • 1999
  • The grafting of a kidney has been found to be the best medical treatment for patients who have renal insufficiency failure, but the patients still have experienced much trouble and apprehension. This study was done to further nursing theory developing for patients who have has a kidney graft from another person. The research method followed grounded theory methodology of Strauss and Corbin. The subjects were three female and four male patients. This study done befween Oct. 1997 and Mar. 1998. All of the subjects were interviewed by the author. Interview were done by the long interview technique and observation. In the process of data analysis, 'heart-boiling' was found to be the core phenomenon. The results were composed to 101 concepts. These concepts were grouped into nineteen categories, and then to twelve categories. There were 12 super-class categories as follows ; 'pain', 'heart-boiling', 'experience of dialysis', 'term of admission to a hospital', 'support of other person', 'dependence on God', 'direction', 'negative reaction', 'positive reaction', 'comfortable', 'lacking', 'acceptance'. In this process, 14 hypotheses were derived from the categories as follows ; (1) The more experience with dialysis that the patients have, the stronger the heart-boiling will tend to be. (2) The less experience with dialysis the patients have, the weaker the heart-boiling will tend to be. (3) The longer admission to hospital the patients have, the stronger the heart-boiling will be. (4) The shorter the admission to hospital the patients have, the weaker the heart-boiling will be. (5) The weaker the intense-grief is, the more positive the reaction to heart-boiling the patients wll have. (6) The stronger the intense-grief is, the more negative the reaction to heart-boiling the patients will have. (7) The stronger the support of other persons that the patients have, the more positive the reaction to heart-boiling the patients will have. (8) The weaker the support of other person that the patients have, the more negative the reaction to heart-boiling the patients will have. (9) The stronger the dependence on God that the patients have, the mure positive reaction to heart-boiling the patients will have. (10) The weaker the dependence on God that the patients have, the more negative reaction to heart-boiling the patients will have. (11) The more positive thoughts that the patients have, the more positive reaction to heart-boiling the patinets will have. (12) The more negative thoughts that the patients have, the more negative reaction to heart-boiling the patients will have. (13) The more positive reaction the patients have, the more free from heart-boiling the patients tend to be. (14) The more negative reaction the patients have, the less free from heart-boiling the patients tend to be. From the analysis of observed data and comparing each class, I concluded that there are four formula relation types between reaction of patients and heart-boiling. (1) If patients have the experience of dialysis, have a long term admission to hospital, are strong in heart-boiling, depend on God, have positive thoughts and another's strong support, they experience release by positive reaction to the intense-grief. (2) If patients have the experience of dialysis, have a short term admission to hospital, are weak in heart-boiling, do not depend on God, have negative thoughts, and have few supports from others, they experience attachment to heart-boiling though a negative reaction. (3) If patients have the experience of dialysis, have a long term admission to hospital, are strong in heart-boiling, do not depend on God, and have negative thoughts, they experience attachment to heart-boiling through negative reaction in spite of support from another. (4) If patients have the experience of dialysis, have a long term admission into hospital, are strong in heart-boiling and satisfaction is low, but they have positive thoughts, then they experience acceptance and harmony through the positive reaction to heart-boiling. The results of this study are expected to help the way nurses care for patients who have had a kidney graft from another.

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심장 상태와 발음간의 연관성 분석을 위한 성대 진동의 변화율 추출 (Change Rate Extraction of Vocal Fold Vibration for Heart Conditional and Pronunciation of Correlative Analysis)

  • 김봉현;조동욱
    • 한국통신학회논문지
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    • 제35권2B호
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    • pp.191-196
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    • 2010
  • 흡연, 당뇨, 비만 및 스트레스 등에 의한 심장 질환이 증가됨에 따라 이로 인한 사망률이 늘어나면서 심장 질환은 현대 사회에서 조기 진단의 필요성을 제시하고 있는 실정이다. 특히 심장 질환에 대한 사람들의 무지와 무관심 때문에 발병율이 급격히 증가하고 있다. 따라서 이와 같은 심장 질환에 대한 사회적 현상을 해결하기 위해 본 논문에서는 동의보감에서 제시하고 있는 심장 상태에 대한 진단 이론을 기반으로 심장 질환의 조기 진단에 필요한 객관적 출력 변수를 설계하였다. 특히 심장 질환에 따른 발음의 부정확성을 입증하기 위해 성대의 진동 변화율을 추출하여 실험 집단간의 비교, 분석을 수행하였다. 이를 위해 본 논문에서는 표준어를 구사하는 성인 남성 중에서 심장 질환을 앓고 있는 환자들과 심장에 이상이 없는 정상인들로 피실험자 집단을 구성하고 이들의 음성을 수집하여 성대 진동의 변화율에 대한 비교, 분석을 통해 심장 질환에 대한 조기 진단 방법을 제안하였다.