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경직형 뇌성마비 유아의 초보운동단계 발달을 위한 음악치료활동 프로그램 개발 - 신경학적 음악치료의 기법을 활용하여 (A Study for Developing Music Therapy Activity Program for Development of Rudimentary Movement Phase of Spastic Cerebral Palsied Infant : Applying the techniques of Neurological Music Therapy)

  • 이윤진
    • 인간행동과 음악연구
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    • 제4권2호
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    • pp.84-105
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    • 2007
  • 뇌성마비는 중추신경계의 손상으로 인하여 운동장애 뿐 아니라 지능장애, 언어장애, 경련, 감각장애, 지각장애, 그리고 정서장애와 같은 중복적인 장애를 수반하는 장애이다. 최근 의학의 발달로 인하여 미숙아들의 생존율이 높아지면서 경직형 뇌성마비의 출현율도 높아지고 있음이 보고되고 있다. 뇌성마비 유아들에게는 생후 1년 사이의 치료적 중재가 특별히 중요하며, 7세 이후의 치료효과는 거의 나타나지 않는다. 그러므로 뇌성마비를 대상으로 하는 조기 중재의 필요성이 증가하고 있다. 따라서 본 연구에서는 신체 운동 영역에 장애를 가진 사람들의 신체재활을 목적으로 접근하는 음악치료 영역인 신경학적 음악치료(NMT)의 기법들을 활용하여 경직형 뇌성마비 유아들의 운동발달을 위한 음악치료활동 프로그램을 구성하여 제시하는 것을 목적으로 한다. 이를 위하여 본 연구에서는 일반 유아들이 0~2세에 가장 기본적인 운동 기능들을 습득하는 단계인 초보운동단계의 주요 발달과제들을 바탕으로 하고, 여기에 경직형 뇌성마비 유아의 발달적 특성을 적용하여 프로그램을 구성하였다. 본 음악치료활동 프로그램은 크게 안정성, 이동성, 그리고 조작기능의 세 가지 하위 범주로 나누어 구성되었다. 이렇게 구성된 음악치료활동 프로그램은 임상 현장에서 경직형 뇌성마비 유아를 대상으로 치료를 진행하고 있는 음악치료사들을 통하여 시행된 후 활동에 대한 타당성과 적용의 효율성을 평가받았다. 경직형 뇌성마비 유아의 운동 발달을 위한 음악치료활동 프로그램의 개발은 치료활동의 개발, 전문가의 검증, 치료활동의 수정 및 보완 세 단계로 진행되었다. 치료활동의 개발을 위하여 문헌조사와 인터뷰를 시행하였고, 전문가의 검증은 실제 임상 현장에서 경직형 뇌성마비 유아 혹은 아동을 대상으로 음악치료를 시행하고 있는 음악치료사 6명을 통하여 이루어졌다. 전문가들을 통한 음악치료활동 프로그램 검증에서는 활동의 내용상 타당도 및 실제 현장에서의 활용도를 살펴보았고, 이를 위하여 설문지를 사용하였다. 전문가들의 평가를 바탕으로 치료활동의 수정 및 보완작업이 진행되었으며 수정 및 보완의 결과에 대해서는 검증집단을 통하여 재확인과정을 거쳤다. 음악치료활동 프로그램의 평가 결과는 각 평가 항목별로 평가 값의 평균과 표준편차로 제시하였고, 활동별로 전문가들의 조언과 함께 수정 보완한 내용을 함께 제시하였다. 전문가들의 조언을 바탕으로 수정 및 보완된 음악치료활동 프로그램은 부록으로 첨부하였다. 본 연구의 결과를 요약하면 다음과 같다. 초보운동단계에서의 발달과제인 안정성, 이동성, 조작기능을 바탕으로 경직형 뇌성마비 유아의 운동 발달 특성을 적용한 음악치료활동 프로그램은 총 38개의 활동으로 구성되었다. 안정성 발달을 위한 음악치료활동이 14개, 이동성 발달을 위한 음악치료활동이 10개, 그리고 조작기능 발달을 위한 음악치료활동이 14개이다. 전체 음악치료활동 프로그램은 운동발달단계 적합성, 목표-내용 일치도, 적용 대상 적합성, 음악의 적절성, 악기사용의 적절성, 그리고 실제 활용의 유용성이라는 여섯 가지 평가에서 긍정적인 평가를 받았다. 이것은 본 연구의 결과가 경직형 뇌성마비 유아의 조기 중재 필요성이 증가하고 있으나 발달 단계별 음악치료활동 프로그램이 부족한 국내의 현실적 요구에 맞게 유용하게 활용될 수 있음을 시사한다.

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심장수술시 백혈구의 폐내정체와 스테로이드의 예방적 효과에 관한 연구 (A Clinical Study on Transpulmonary Leukostasis and Prophylactic Effects of Steroid in Cardiac Surgery)

  • 최석철
    • 대한의생명과학회지
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    • 제2권2호
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    • pp.133-151
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    • 1996
  • 심장수술후 흔히 발생하는 다양한 술후 합병증들은 체외순환으로 인한 체액성 및 세포성 면역계의 손상이 깊이 연루되어 일어나는 것으로 인식되어져 왔다. 특히, 술후 종종 경험하게되는 폐기능 부전은 보체계 활성화 및 염증반응에 따른 백혈구의 폐내 정체(pulmonary leukostasis)가 이와 같은 합병증의 주된 요인으로 알려져 있다. 일부 연구들은 체외순환 실시전 항 염증 약제인 부신피질 호르몬제를 투여함으로써 보체계 및 백혈구 활성화가 억제되어 술후 폐기능 부전의 발생을 예방시켜 주었다고 보고하고 있다. 이에 본 연구의 저자는 체외순환을 이용한 심장수술 동안과 술후, 백혈구의 숫적 변화 및 폐내 정체를 관찰하였다. 술후 시기에 있어 폐기능 평가의 한 지표로 동맥혈 산소분압을 측정하여 술전치와 비교하였고 흉부 X-선 필름을 통한 폐부종 징후와 발열유무, 그리고 그외 여러 변수들을 분석하였다. 또한 체외순환 실시전 투여한 부신피질 호르몬제(solu-Medrol; 30mg/kg)가 이러한 변수들에 어떤 영향을 미치며 과거의 연구에서 설명된 여러가지 예방적 효과가 과연 있는지를 함께 규명하였다. 연구는 무작위로 선정된 심장수술환자 50명을 대상으로 전향적 맹검법(blind fashion)으로 시행하였다 연구의 목적상 전체 환자를 placebo 군(n=25)과 steroid 군(n=25)으로 분류하였고 연구를 통해 다음과 같은 결과를 얻었다. 1. 체외순환은 말초혈액의 총백혈구수를 유의하게 변화시키는데 초기엔 그 수를 저하시켰고 시간이 경과할수록 점차 상승시켰으며 유의한 상승은 술후 7일까지 지속되었다(P<0.05). 이러한 총 백혈구의 숫적 변화는 호중구수의 절대적 변화에 기인한 것이었다. 2. 부분체외순환 동안 placebo 군은 백혈구의 폐내정체가 일어났으나, steroid 군은 예방되었다. 3. 양 군 모두에 있어 체외순환 동안 임파구수는 의미있게 변화되지 않고 체외순환 종료후부터 3일 동안 유의한 감소를 보였으나(p<0.05) 술후 7일엔 완전히 기준치로 회복되었다. 4. 단구수는 양 군 모두 체외순환 초기엔 큰 변화가 없다가 이후 점차 상승하여 술후 7일까지 유의한 증가가 지속되었다(P<0.05) .5. 술후 동맥혈 paO$_2$는 placebo 군은 술전치에 비해 감소되었으나(P=0.01) steroid 군은 유의한 감소가 없었다(P=0.90). 폐부종 발생환자는 placebo 군에 비해 steroid 군이 보다 의미있게 낮았고(P=0.001)술후 발열환자 역시 steroid 군이 placebo 군 보다 훨씬 낮았다(P=0.01). 그러나 기계호흡 보조시간과중환자실에서 머문 시간은 양 군 간에 유의한 차이가 없었다(P>0.05).이상의 연구결과를 통해 저자는 체외순환을 이용한 심장수술 동안 백혈구의 활성화로 인한 숫적변화와 폐내 정체를 관찰하였고 스테로이드의 사용이 보다 높은 호중구 수의 보존효과를 가져다 주었으며 백혈구의 폐내 정체를 예방해주고 술후의 일부 관류후 증후군을 경감시켜줌을 확인할 수 있었다. 그러나 술후 시기에 있어 양 군 모두 임파구의 숫적 감소가 3일간 지속됨으로 해서 임파구와 연관된 면역계의 손상이 여전히 우려되는바 이므로 향후 이 부분에 대한 예방적 수단과 스테로이드의 술후 면역학적 기능에 미치는 영향에 관한 연구 역시 더 필요할 것으로 사료된다.

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랫드에서 TCDD 투여에 의해 유도된 생체독성의 고려홍삼 추출물에 의한 억제 효과 (Protective Effects of Korean Panax Ginseng Extracts against TCDD-induced Toxicities in Rat)

  • 최수진;손형옥;신한재;현학철;이동욱;송용범;이수현;강동호;임학섭;이철원;문자영
    • Journal of Ginseng Research
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    • 제32권4호
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    • pp.382-389
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    • 2008
  • TCDD가 실험동물에 노출되었을 때 유발되는 생체독성을 예방 또는 억제할 수 있는 고려홍삼 추출물의 효과를 탐색하였다. 이를 위하여 TCDD($25\;{\mu}g/kg$ bw, 1회 투여)와 홍삼추출물(100 mg/kg bw, 격일투여)을 각각 단독 또는 병행 복강 투여한 다음 32일 동안에 체중과 각 장기들의 무게의 변화, 뇨 분석, 혈액학적 및 혈액화학적 변화를 관찰하였다. TCDD의 단독투여에 의하여 체중의 증가정도가 정상군 또는 홍삼단독 투여군의 체중증가율에 비하여 상당히 감소하였다. TCDD와 홍삼추출물을 병행 투여한 흰쥐에서의 체중증가율은 TCDD 단독투여에 의해 감소된 체중증가율을 다소 회복 시키는 결과를 나타내었다. TCDD를 단독 투여한 실험군에서는 간의 무게가 TCDD 투여 후 2, 5, 및 16일째에 대조군에 비하여 특이적으로 증가하는 특징을 보였으나, 홍삼추출물을 단독 투여한 실험군에서의 간의 무게는 대조군의 간의 무게에 비하여 다소 감소하였다. TCDD와 홍삼추출물이 병행 투여된 흰쥐에서의 간의 무게의 증가정도는 TCDD을 단독투여한 흰쥐 간의 무게에 비하여 약간 감소하였다. TCDD를 단독투여한 흰쥐에서의 신장(Kidney)의 무게는 대조군에 비하여 다소 감소하였으나 통계적으로는 유의하지 않았다. TCDD와 홍삼추출물을 병행투여한 흰쥐에서의 신장의 무게의 변화는 TCDD를 단독 투여한 흰쥐에서의 결과와 차이가 없었다. 홍삼추출물 단독 투여군에서의 신장의 무게는 실험초기(1-2일)에 대조군에 비하여 다소 감소하는 경향을 보였으나 5일 째부터는 대조군과 같은 수준으로 회복되었다. Spleen은 TCDD의 단독투여에 의해 2-3일 이내에 일시적인 감소가 있었으나 노출기간이 증가할수록 대조군 수준으로 회복되었다. 홍삼추출물단독 투여군과 TCDD와 홍삼추출물의 병행투여군에서 spleen의 무게는 대조군에 비하여 투여 후 16일 이후에는 유의적으로 증가하였다. TCDD와 홍삼추출물의 단독 또는 병행 투여군에서의 뇌의 무게는 유의적인 변화를 보이지 않았다. 실험동물 뇨에서의 specific gravity는 대조군에서 주령에 상관없이 대체적으로 1.030 이상의 수준을 유지하였으나 홍삼추출물을 단독 투여한 흰쥐에서는 투여 후 14일부터 specific gravity가 1.02 수준으로 낮아지는 경향이 나타났다. TCDD 단독 투여군에서는 투여 초기에 specific gravity가 1.02 수준으로 감소하는 경향이 있었으나 홍삼추출물을 병행투여했을때 1.02 수준으로 감소하는 경향이 14일 이후에 나타났다. 실험동물 뇨에서의 Total protein 함량은 대조군에서 전체 실험기간 동안에 $100\;{\mu}g/dL$ 수준을 유지하였으나, TCDD 단독 투여군과 TCDD와 홍삼추출물의 병행 투여군에서는 $300\;{\mu}g/dL$ 이상의 함량을 나타내는 개체수가 증가하는 현상을 보였다. 한편, 홍삼추출물 단독 투여군에서는 대조군에서와 비슷한 Total protein 함량의 수준을 나타내었다. 뇨에서 ketone body의 함량은 대조군에서 주령의 증가에 따라 높아지는 경향을 나타내었으나 실험군 간의 차이는 나타나지 않았다. Glucose, ketone, bilirubin, Occult blood, nitrite 및 urobilinogen의 함량은 모든 실험군에서 거의 유사하게 나타났으며, pH 값은 주령의 증가에 따라 높아지는 경향이 특징적이었으나 실험군간의 차이는 나타나지 않았다. 혈액화학적 검사결과 TCDD의 단독투여에 의한 AST는 대조군에 비하여 전 실험기간에 걸쳐서 전반적으로 높게 나타났으며, 특히 32일 실험군에서 가장 높은 AST 값을 나타내었다. 홍삼추출물의 단독 투여에 의한 AST는 TCDD의 단독 투여군과는 대조적으로 오히려 노출기간이 경과할수록 감소하였다. 그리고 TCDD의 투여에 의해 증가된 AST는 홍삼추출물을 병행투여 한 지 16일부터 정상 수준으로 회복되었다. TCDD를 단독 투여한 흰쥐 혈청 ALT의 활성은 16일 까지는 대조군의 ALT 활성과 비슷한 수준이었으나 32일 째에는 대조군에 비하여 상당히 증가하였다. 이에 비하여 TCDD와 홍삼추출물을 병행 투여한 실험군에서는 16일군과 32일군에서 ALT의 활성이 급격히 감소하여 대조군의 ALT 활성보다 낮게 나타났다. 홍삼을 단독 투여한 실험군에서의 ALT 활성은 전 실험기간동안에 ALT 활성에 영향을 주지 않았다.

국제항공화물운송에 관한 운송증서의 요건 및 효력 (The Requirement and Effect of the Document of Carriage in Respect of the International Carriage of Cargo by Air)

  • 이강빈
    • 항공우주정책ㆍ법학회지
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    • 제23권2호
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    • pp.67-92
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    • 2008
  • 본 연구의 목적은 몬트리올협약 및 IATA 항공화물운송약관상의 관련규정과 국내 및 외국의 법원판례를 중심으로 국제항공화물운송에 관한 운송증서인 항공화물운송장과 화물수령증의 작성 교부 요건 효력에 관하여 고찰하는데 있다. 몬트리올협약 제4조에 의하면, 항공화물의 운송에 관하여 항공화물운송장을 교부하여야 한다. 한편 이행될 운송에 관한 기록을 보존하는 다른 수단으로 항공화물운송장의 교부를 대체할 수 있으며, 이러한 다른 수단이 사용되는 경우, 운송인은 송하인의 요청에 따라 송하인에게 적송품을 증명하는 화물수령증을 교부하여야 한다. 몬트리올협약 제7조에 의하면, 항공화물운송장은 송하인에 의하여 원본 3통이 작성된다. 제1원본에는 "운송인용"이라고 기재하고 송하인이 서명한다. 제2원본에는 "수하인용"이라고 기재하고 송하인 및 운송인이 서명한다. 제3원본에는 운송인이 서명하고 화물을 인수받은 후 송하인에게 그것을 인도한다. 만약 송하인의 청구에 따라 운송인이 항공화물운송장을 작성하였을 경우, 반증이 없는 한 운송인은 송하인을 대신하여 그렇게 한 것으로 간주한다. 몬트리올협약 제5조에 의하면, 항공화물운송장 또는 화물수령증에는 (1) 출발지 및 도착지의 표시, (2) 출발지 및 도착지가 단일 당사국 영역내에 있거나 약정기항지가 다른 국가의 영역내에 있을 경우 최소한 한곳의 기항지의 표시, (3) 적송품의 중량의 표시 등을 기재하여야 한다. 몬트리올협약 제10조에 의하면, 송하인은 본인 또는 그의 대리인이 제공한 기재사항의 불비, 부정확 또는 불완전으로 인하여 운송인 또는 운송인이 책임을 부담하는 타인이 입은 모든 손해에 대하여 운송인에게 보상한다. 몬트리올협약 제9조에 의하면, 동 협약 제4조 내지 제8조의 운송증서에 관한 요건을 준수하지 아니하는 경우 운송계약의 존재 또는 효력에 영향을 미치지 아니하며, 책임제한에 관한 규정을 포함한 이 협약의 규정들이 적용된다. 항공화물운송장은 유가증권이나 유통증권이 아니다. 몬트리올협약 제11조에 의하면, 항공화물운송장 또는 화물수령증은 계약의 체결, 화물의 인수 및 운송의 조건에 관한 추정적 증거가 된다. 몬트리올협약 제12조에 의하면, 운송인은 항공화물운송장 또는 화물수령증의 제시를 요구하지 아니하고 화물의 처분에 관한 송하인의 지시를 따른 경우, 이로 인하여 항공화물운송장 또는 화물수령증의 정당한 소지인에게 발생된 손해에 대하여 책임을 진다. 우리 대법원 판례에 의하면, 운송인으로서 운송주선인은 보세창고업자가 항공화물 운송장상의 통지처(실수입자)에게 화물을 불법인도한데 대해 책임을 지지 아니하는바, 그 이유는 운송주선인이 보세창고를 지정하지 아니하였으며, 보세창고업자에 대한 고용자의 입장에 있지 않았기 때문이다. 결론적으로, 우리나라 관세청은 항공화물서류의 전자화 사업인 e-Freight를 오는 2012년완결을 목표로 적극 추진해 나갈 계획이다 따라서 향후 항공화물운송에서 전자 운송서류의 사용이 활발해 질 것이므로 운송인 및 운송주선인은 전자 운송서류의 작성요건 및 법적 효력에 세심한 관심을 가져야 할 것이다.

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진안 평지리 이팝나무군(천연기념물 제214호)의 생육진단 및 관리방안 (A Study on the Growth Diagnosis and Management Prescription for Population of Retusa Fringe Trees in Pyeongji-ri, Jinan(Natural Monument No. 214))

  • 노재현;오현경;한상엽;최영현;손희경
    • 한국전통조경학회지
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    • 제36권3호
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    • pp.115-127
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    • 2018
  • 천연기념물 제214호 진안 평지리 이팝나무군의 고사(枯死) 및 쇠약(衰弱) 요인의 명확한 진단(診斷)과 처방(處方)을 통한 천연기념물로서의 가치 존속(存續) 방안을 강구하고자 시도된 본 연구의 결과는 다음과 같다. 첫째, 1968년 13그루의 천연기념물 지정 이후, 1973년을 시작으로 근년까지 계속적으로 고사가 진행되어 현재는 3주만 생존하고 있다. 특히 2010년 이후 마령초등학교 담장 후퇴 등 정비과정에서 복토된 토양의 일부 제거에도 불구하고, 계속적으로 고사가 이루어진 것으로 확인된다. 둘째, 지정목 중 1 3번 생존목 또한 고사된 가지가 많고, 잎이 왜소하며, 엽량이 적었다. 1번목은 수세가 '극히 불량'하고 다량의 가지가 이미 고사하였으며, 금년에는 단지 2개 가지에서만 개화가 이루어졌으며 엽량 또한 현저히 적은 상태이다. 2번목 또한 '불량'상태로 잎이 작고 엽밀도도 낮으며 수형의 변형이 이루어지는 등 수세가 쇠약한 상태이다. 현존하는 가장 큰 1번목은 논토양으로 추정되는 점질토가 복토되어 있어 우려를 더하고 있다. 셋째, 평지리 이팝나무군의 토성 분석결과, '미사질양토[微砂質壤土, Silt loam(SiL)]'로 밝혀짐에 따라 미사(Silt)의 성분비가 높음을 알 수 있다. 또한 1번목 북측의 토양산도는 pH 6.6으로 다른 부위의 흙과는 편차가 컸는데 이는 원지반 토양이 아닌 외부에서 반입된 토양으로 복토되었음에 기인한 것으로 판단된다. 더불어 유기물함량은 적정범위보다 높게 나타났는데 이는 보호관리를 위한 시비가 계속적으로 이루어진 결과가 반영된 것이라고 판단된다. 넷째, 진안 평지리 이팝나무군의 고사 및 생육 불량의 근본적 원인으로는 복토(覆土)로 인한 심각한 생리저하의 만성적 증후군으로 판단된다. 이는 신규로 식재된 후계목 또한 일부 고사된 것에서도 그 원인을 찾을 수 있다. 다섯째, 1차적으로 기존 고사의 원인으로 추정되는 복토 부분에 대한 점진적 제거가 시급하다. 무엇보다도 근계부에 복토된 점질토양의 제거를 건의한다. 복토부를 제거한 후 굵은 모래로 치환하고 뿌리의 호흡 개선을 위해 유공관을 설치한다. 그리고 고사한 4번 고사목과 5 6번의 고사흔적인 밑둥은 제근하고, 하층식생은 예초한다. 생존목은 상부 고사지를 제거, 수피 이탈부는 외과수술을 시행하는 한편 생장점 아래에서 전정하여 맹아의 발생을 유도해야 할 것이다. 여섯째, 지하부 뿌리를 확인하여 부패근 절단 및 토양호흡 개선방안을 마련한다. 근계 전반에 대한 추적 굴취 등으로 썩은 뿌리부를 단근하여 새 뿌리의 발생을 유도한다. 일곱째, 이후 잡초 발생과 답압 억제 그리고 토양 보습효과 유지를 위한 멀칭을 시도한다. 또한 지속적 영양공급을 위한 무기양료 엽면시비 및 영양제 나무주사, 무기양료의 토양관주를 고려한다. 향후 모니터링과 예찰방안을 마련하여 계속적으로 변화상을 체크해야 할 것이다.

동북아시아 계단식 논의 명승지정 현황 및 보전방안 (The Present Status and the Preservation Method of the Rice Terrace as Scenic Sites Resources in Northeast Asia)

  • 윤경숙;이창훈;김형대;서우현;이재근
    • 한국전통조경학회지
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    • 제29권4호
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    • pp.111-123
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    • 2011
  • 본 연구는 한국, 중국, 일본의 계단식 논의 현황 및 보전관리방안을 중점적으로 살펴보고, 한국 계단식 논이 명승자원으로 보전되고, 지속적으로 연구될 수 있는 기초자료 제시를 목적으로 하며, 본 연구에서 도출한 결과는 다음과 같다. 첫째, 우리 선조들은 경사지를 개간하면서도 경관의 훼손을 최소화 하며 다랑이 논을 축조하는 방법을 전수하였으며, 다랑이 논은 한국 고유의 전통 경관으로 가치를 지니고 있다. 그러나 경작의 운용면에서 불리한 환경에 놓여있어, 휴경(休耕)되거나 폐경(廢耕)되어 사라져가는 다랑이 논의 면적이 증가하고 있는 추세이다. 이러한 문제에 대하여 정부는 소실되어가는 전통 경관인 다랑이 논의 보전을 위해서 '한국 다랑이 논 데이터베이스 구축'을 실시하여 우수 경관자원 발굴의 토대를 마련해야 할 것이다. 문화 경관적 가치가 높다고 판단되는 다랑이 논은 명승지나 기념물로 지정 관리되어 법적 보호를 받을 필요가 있다. 둘째, 한국 계단식 논의 효율적 관리와 지속적인 연구를 위한 국 내외 문헌조사 분석의 결과는 다음과 같다. 관련 법규 부분에서 계단식 논은 문화재보호법에 의해 명승으로 지정 관리되고 있을 뿐, 그 외에 경관법 및 농어촌관련법은 계단식 논 경관계획 수립을 위한 참고사항으로 법적 구속력 및 실효성이 없는 상태이다. 이에 계단식 논의 효율적 보전과 관리를 위해서는 계단식 논 관련법의 제정, 제도의 보완과 확립이 반드시 이뤄져야 할 것으로 판단된다. 셋째, 본 연구에서 한국, 중국, 일본 계단식 논의 조사분석 결과가 시사하는 바는 다음과 같다. 계단식 논의 보전을 위한 관련 법규는 조금씩 국가별 차이를 보이고 있으나, 우수한 경관자원의 보전과 보호에 바탕을 두고 지정 관리하고 있다는 점에서 유사하다. 국가별 계단식 논 관련 법규의 조사결과로 일본의 문화재보호법과 경관법의 연동, 중국의 자치지구 법규 등의 제도 도입을 통한 한국 계단식 논 경관의 보전 방안이 보완되어야 할 것이다. 넷째, 한국 계단식 논의 효율적 보전을 위해 주민 자체의 교육을 통한 인식 향상과 함께 계단식 논 관리를 위한 마을 단위 조직을 운영해야 한다. 한국 계단식 논 마을주민들의 자발적 참여를 위한 대책들을 도입할 경우, 각 지역의 마을에서 주민들의 합의나 논의 관리, 주변 환경미화 등의 부분에서 서로 일체감을 유발하여 마을의 활성화가 가능할 것으로 사료된다. 또한 마을단위 주민자치 운영회는 문화재청 관계자, 대학교수 등 전문가 집단의 자문 기구를 두어 운영에 대한 자문 및 지원을 쉽게 받을 수 있는 시스템을 구축해야 하며, 도시 주민과의 교류를 통한 계단식 논 지역의 활성화 또한 중요하다고 사료된다.

편액과 시문으로 본 요월정원림(邀月亭園林)의 입지 및 조영 해석 (The Location and Landscape Composition of Yowol-pavilion Garden Interpreted from Tablet & Poetry)

  • 이현우;김상욱;임근홍
    • 한국전통조경학회지
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    • 제32권3호
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    • pp.32-45
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    • 2014
  • 본 연구는 편액과 시문이 과거 누정원림의 고유한 입지 및 조영 특성 추론의 중요한 준거(準據)가 된다는 전제 하에, 요월정원림(邀月亭園林)을 대상으로 과거 시점의 입지 및 조영 해석을 고구(考究)하기 위해 시도되었다. 요월정원림이 갖는 의미와 문화재적 위상과 가치의 진정성 제고 및 보존의 당위성을 논의할 목적으로 시도된 연구결과는 다음과 같다. 첫째, 요월정원림은 정원주 김경우(金景遇)를 비롯한 당대 거유들이 교유한 시율풍류의 현장이었다. "조선환여승람 호남읍지(湖南邑誌) 장성읍지(長城邑誌)" 등 고문헌을 통해 사화(士禍)를 피해 머문 은신처로서의 성격과 함께 지역정체성을 형성한 교두보로서의 장소성이 확인되었다. 또한 "요월정원운(邀月亭原韻)"을 통해 누정원림 작정(作庭) 의도 및 조영 동기를 확인한 바, 요월정원림은 세속과 탈속 그리고 현실과 이상이 뒤섞여 길항(拮抗)한 공간으로 해석된다. 둘째, 당호 요월(邀月)은 누정에서 조망했을 때의 승경적 요인 및 자연현상과 관련된 명칭으로, 마주한 '월봉산에 뜨는 달을 맞이함'을 함의하는 어휘로, 이는 자연의 섭리이자 풍류로서 탈속의 이미지와 맞닿아 있다. 즉 요월정은 세속의 희비를 벗어나 자연의 섭리를 따르려한 조영 의도를 반영한 당호로 해석된다. 셋째, 요월정원림의 입지는 "영광속수여지승람(靈光續修輿地勝覽)"을 통해 조영자가 퇴관 후 휴식을 위해 마련한 처소였으며, 월봉산을 마주하여 황룡강(黃龍江)이 굽이쳐 흐르던 승경지였음을 고문헌과 다수의 시문을 통해 확인하였다. 특히, 수호인 인터뷰에 따르면 요월정원림에서 야경의 시지각 빈도(頻度)는 수호인 거처인 고직사에서 요월정을 향해 황룡강 방향인 동쪽을 숙시각(熟視角)으로 조망했을 때가 가장 높다고 한다. 또한 시지각 강도(强度)가 가장 높고 아름다운 풍경은 요월정 좌측 배후면에서 달이 부상하여 요월정 전면(前面)의 배롱나무동산을 가로질러 요월정과 마주한 월봉산 사이에 남중한 때로 증언한 바 있다. 현재 요월정원림의 좌향은 $SE\;141.2^{\circ}$로서 거의 남동향 하고 있는데, 이와 같은 요월정 좌향 설정은 지형조건뿐 아니라 달의 궤적을 유상(遊賞)하기에 최적화된 방향과 시계(視界)를 확보하기 위한 기도(企圖)가 담겼다고 판단된다. 나아가 전면의 황룡강 수면 위로 남중한 달빛이 투영됨으로써, 하늘의 달과 황룡강 강물에 투영된 달이 동시에 감지되게끔 고려된 것으로 추론된다. 넷째, 현재 요월정원림은 요월정과 광산김씨문숙공파종회각(光山金氏文肅公派宗會閣) 및 고직사(庫直舍)로 구성된 '내원 권역'과 진입부를 아우른 배롱나무동산 및 소나무 배후림이 포함된 '외원 권역'으로 구분된다. 나아가 '용소 및 수생식물원 권역' 및 최근 조성된 '황룡정과 공원 권역'으로 외연(外緣)이 확산되면서 교란되고 변용되었다. 다섯째, 조영 당시 요월정원림은 누정에서 조망한 풍경을 안아 들여 누정을 중심으로 지근거리의 일정한 자연을 점유한 방식인 '경계 없는 산수원림'이었으나, 현재 복합경관은 과거 원형경관과는 괴리된 '이질화 분절화 파편화된' 경관으로 파악된다. 마지막으로, 요월정원림이 문화재지정보호구역임을 감안할 때, 편액과 기문에 묘사된 완전한 원형경관으로의 복원은 아니더라도 최소한 원림권역에서의 경관적 악영향과 시각적 훼손을 최소화하기 위한 대책수립이 요망된다.

호흡부전을 동반한 중증천식환자의 사망 예측 인자 (The Predictable Factors for the Mortality of Fatal Asthma with Acute Respiratory Failure)

  • 박주헌;문희범;나주옥;송헌호;임채만;이무송;심태선;이상도;김우성;김동순;김원동;고윤석
    • Tuberculosis and Respiratory Diseases
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    • 제47권3호
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    • pp.356-364
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    • 1999
  • 연구배경: 천식은 발병 기전의 규명과 새로운 치료 방법의 개발에도 불구하고 그 사망률은 줄지 않고 있다. 천식의 사망과 관련이 추정되어 온 몇몇 인지들이 알려져 있으나 중환자실 입실 시점에서 호흡부전을 동반한 천식 환자들의 사망과 관련된 예후 인자들에 대해서는 잘 알려져 있지 않았다. 본 내과계중환자실로 입실하였던 중증천식환자들을 대상으로 중환자실 입실 시점에서 사망과 관련될 수 인자들을 알아보고자 하였다. 방법: 내과계중환자실에 호흡부전을 동반한 기관지 천식으로 입실하였던 59명(나이 $55.9{\pm}18.0 $세, 남:여 32:25)을 대상으로 하였다. 중환자실 입실 당시와 24-48 시간째의 활력 증후, 동맥혈가스검사, 투약 상황, 동반 질환, 인공호흡기의 사용 여부, APACHE III 점수 및 입원 경과 중 발생한 합병증 등을 후향적으로 분석하였다. 결과: 전체 사망률은 32.2%였고 사망군은 생존군에 비하여 연령($66.2{\pm}10.5$, $51.0{\pm}18.8$세)이 높았고 입원 전폐기능 검사(내원 1년 이내 최고치)는 FVC($59.2{\pm}21.1$, $77.6{\pm}23.3%$)및 $FEV_1$($41.4{\pm}18.8$, $61.l:{\pm}23.3%$) 이 사망군이 생존군에 비하여 낮았다. 입실 당시 활력증후, $PaCO2_2$, $PaO_2/FiO_2$, $AaDO_2$는 두군 사이에 유의한 차이가 없었으나 입실 당시 APACHE III치 ($74.5{\pm}48.3$, $48.8{\pm}20.5$)는 사망군에서 높았고 내원 2일째 맥박수($121.6{\pm}22.3$, $105.2{\pm}19.4$회/분), $PaCO_2$ ($50.1{\pm}16.5$, $41.8{\pm}12.2 mm Hg$), $PaO_2/FiO_2$($160.8{\pm}59.8$, $256.6{\pm}78.3 mm Hg$), $AaDO_2$($l81.5{\pm}79.7$, $98.6{\pm}47.9 mm Hg$), 및 APACHE III치 ($57.6{\pm}21.1$, $20.3{\pm}13.2$)등이 유의한 차이가 있었다 (p<0.05). 폐렴, 허혈성 뇌손상, 병 경과 중 패혈증이 동반된 경우 사망률이 높았다(p<0.05). 연령 (>60세), 입실 당시와 입실 후 2일째 $PaO_2/FiO_2$비 (<200 mm Hg), APACHE III($\geq$40), 및 입실 당시 폐렴 여부를 사용한 다변수 분석에서 $PaO_2/FiO_2$비(< 200 mm Hg, 대응위험도 12.7) 및 APACHE III($\geq$40, 대응위험도 21.7) 가 사망과 관련된 지표로 나타났다(P<0.05). 결론: 호흡부전을 동반한 중증천식환자의 예후는 입실 시정의 임상 양상 보다 천식치료의 반응에 따른 중화자실 내원 2일째 $PaO_2/FiO_2$비 (200 mm Hg 미만)와 APACHE III점수 ($\geq$40 점 이상)가 사망의 가능성을 예측할 수 있는 유용한 지표로 사료되었다.

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Sensory Information Processing

  • Yoshimoto, Chiyoshi
    • 대한의용생체공학회:의공학회지
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    • 제6권2호
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    • pp.1-8
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    • 1985
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70$\pm$1.32mmHg/min)compared to CF dialyzers(4.32$\pm$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500, 550, 570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500, 550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100, 300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3, 000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.SpO2 with Plethysmograph.

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High Resolution HC$_3$N Observations toward the Central Region of Sagittarius B2

  • H.S-Ching;Oh, M.ishi;M.Morimoto
    • 한국우주과학회:학술대회논문집(한국우주과학회보)
    • /
    • 한국우주과학회 1993년도 한국우주과학회보 제2권2호
    • /
    • pp.17-17
    • /
    • 1993
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70${\pm}$1.32mmHg/min)compared to CF dialyzers(4.32${\pm}$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500,550,570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500,550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100,300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.

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