• Title/Summary/Keyword: systole

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The Echocardiographic Assessment and clinical Application of Cardiac Disease in Korean Jin-do dog (진돗개에서 심장초음파 측정치의 평가와 임상적 응용 I. 심장초음파 측정치)

  • 박인철;강병규;손창호
    • Journal of Veterinary Clinics
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    • v.17 no.1
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    • pp.178-186
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    • 2000
  • Echocardiography was performed on 29 normal Korea Jin-do dogs(21 adults and 8 prematures) and the images were taken from chordae tendineae level short-axis view, left ventricular outflow tract long-axis view and 4-chamber long-axis view, respectively. The following cardiac parameters, in systole and diastole, were measured on the echoocardographic images: aortic dimension(AO), left atrial dimension(LA), left ventricular internal dimention at end-diastole (LVIDd), left ventricular internal dimention at end-systole(LVIDs), interventricular septal wall thickness at end-diastole(IVSd), interventricular septal wall thickness at end-systole(IVSs), left ventricular wall at end-diastole(LVWd), left ventricular wall at end-systole(LVWs). The cardiac parameters were not significantly different between sex and among imaging planes. The size of cardiac parameters increaed as regression lines according to body weights. These results suggest that the chordae tendineae level short-axis view, left ventricular outflow tract long-axis view and 4-chamber long-axis view can be utilized for the left cardiac examination, and these cardiac parameters can be used to basic dat for diagnosing the cardiac diseases in Korea Jin-do dog.

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TUBES IN SINGULAR SPACES OF NONPOSITIVE CURVATURE

  • Chai, Young-Do;Lee, Doo-Hann
    • Journal of the Korean Mathematical Society
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    • v.43 no.5
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    • pp.1129-1142
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    • 2006
  • In this paper, we estimate area of tube in a CBA(0)-space with extendible geodesics. As its application, we obtain an upper bound of systole in a nonsimply connected space of nonpositive curvature. Also, we determine a relative growth of a ball in a CBA(0)-space to the corresponding ball in Euclidean plane.

인조신경망을 이용한 좌심실보조장치의 동적 모델링

  • 김훈모
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1996.04a
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    • pp.346-350
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    • 1996
  • This paper presents a Neural Network Identification (NNI) method for modeling of highly complicated nonlinear and time varing human system with a pneumatically driven mock circulation system of Left Ventricular Assist Device(LVD). This system consists of electronic circuits and pneumatic driving circuits. The initation of systole and the pumping duration can be determined by the computer program. The line pressure from a pressure transducer inserted in the pneumatic line was recorded. System modeling is completed using the adaptively trained backpropagation learning algorithms with input variables, Heart Rate(HR), Systole-Diastole Rate(SDR), which can vary state of system, and preload, afterload, which indicate the systemic dynamic characteristics and output parameters are preload, afterload.

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Surgical Treatment of Patent Ductus Aretriosus: Report of 40 cases (개방성 동맥관 수술 보고 (40 예))

  • 노중기
    • Journal of Chest Surgery
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    • v.12 no.2
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    • pp.105-109
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    • 1979
  • Since 1973, 40 patients with Patent Ductus Arteriosus were operated in The Department of Thoracic and Cardiovascular Surgery, Korea University Medical College. Clinical analysis of these cases: 1. Age ranged from 8 months old to 28 years old Sex ratio was 22 females to 18 males. 2. Pulse pressure widening above 50 mmHg was appeared in 27 patients. In 31 patients, continuous machinery murmur was heard on left second and third intercostal space, but 9 patients has holosystolic murmur on left sternal border. 3. Retrograde Aortography was performed in 11 patients and right heart catheterization, 17 patients, In 8 patients, pulmonary hypertension [above 30 mmHg in` systole] was noted. 3 out of 8 patients was combined with Ventricular Septal Defect. Severe pulmonary hypertension [above 80mmHg in systole] was presented in 3 patients. 4. In 38 patients, operative method was performed with multiple suture ligation of PDA, and in 2 patients, suture closure through pulmonary arteriotomy under cardiopulmonary bypass. 5. One operative death occurred in a patient in this group. Cause of death was right heart failure after multiple suture ligation of PDA and pulmonary artery bandings.

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Left ventricular aneurysm (Two cases report) (좌심실에 발생한 진성심실류 (2례 보고))

  • 이철세
    • Journal of Chest Surgery
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    • v.16 no.2
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    • pp.175-183
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    • 1983
  • Ventricular aneurysm which was first described by John Hunter on 18th century, has been experienced by many surgeons after successful using of cardiopulmonary bypass by Cooley on 1958. According to Gorlin, the definition of ventricular aneyrysm is portion of the ventricle which is not motile at systole (akinesis) or which has paradoxical dilatation at systole(dyskinesis). The ventricular aneurysm is classified to anatomical and functional. The anatomical ventricular aneurysm is devided into true or false again. Average age incidence is ranged from 49 to 60 and male predominance is reported. The cause is ischemic coronary artery disease in almost cases but hypertropoc cardiomyopathy, congenital abscence of myocardium, complication after mitral valvular replacement and trauma may also cause the ventricular aneurysm. Angina pectoris and congestive heart failure are most common clinical manifestations Ventricular tachycardia and systemic embolization are also complained. Using cardiopulmonary bypass, aneurysmectomy alone or combination with coronary artery revasculization are currently done for surgical treatment with steady improvenment of mortality. The first patient was 33 years old man who had true type of ventricular aneurysm on inferior wall the left ventricle near apex with protruded huge organized thrombus. The thromboembolic phenomenon was noted on both lower extremities. Under cardiopulmonary bypass, aneurysmectomy and thrombectomy were done. The aneurysmal orifice was repaired with Teflon buttless suture. The second patient was 30 years old female who had large true type of ventricular aneurysm on inferior wall of the left ventricle. Under cardiopulmonary bypass, aneurysmectomy with repair of aneurysmmal orifice defect by means of double layered Dacron patch was done with reinforce by outer silastic sheet covering. She was discharged from hospoital at post op. 15th day uneventfully.

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Adaptively Trained Artificial Neural Network Identification of Left Ventricular Assist Device (적응 학습방식의 신경망을 이용한 좌심실보조장치의 모델링)

  • Kim, Sang-Hyun;Kim, Hun-Mo;Ryu, Jung-Woo
    • Journal of Biomedical Engineering Research
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    • v.17 no.3
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    • pp.387-394
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    • 1996
  • This paper presents a Neural Network Identification(NNI) method for modeling of highly complicated nonlinear and time varing human system with a pneumatically driven mock circulatory system of Left Ventricular Assist Device(LVAD). This system consists of electronic circuits and pneumatic driving circuits. The initiation of systole and the pumping duration can be determined by the computer program. The line pressure from a pressure transducer inserted in the pneumatic line was recorded System modeling is completed using the adaptively trained backpropagation learning algorithms with input variables, heart rate(HR), systole-diastole rate(SDR), which can vary state of system. Output parameters are preload, afterload which indicate the systemic dynamic characteristics. Consequently, the neural network shows good approximation of nonlinearity, and characteristics of left Ventricular Assist Device. Our results show that the neural network leads to a significant improvement in the modeling of highly nonlinear Left Ventricular Assist Device.

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The Effect of an Information using Computer Orogram on the Reduction of Anxiety in Coron Angiogram Subjects (컴퓨터를 이용한 정보제공이 관상동맥조영술 대상자의 검사 전 불안감소에 미치는 영향)

  • Jeong, Kyung-In;Choi, Soon-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.9 no.1
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    • pp.115-125
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    • 2003
  • This study was conducted to investigate whether a computer information offered in advance of the test would decrease anxiety degree in coronary angiogram subjects. The study design was a nonequivalent control group, none-synchronized design. The subjects of study were 53 patients who were admitted at C hospital in K city for coronary angiogram. The 53 subjects were assigned to experimental(25) and control(28) groups. The computer information set up by researcher was used as the experimental treatment and 10 minutes long. Spielberger's state anxiety scale translated by Kim and Shin(1978) and sphygmomanometer were used for data collection. The data were collected from July 1, 2000 to March 31, 2001, and analyzed by chi-square, paried t-test, t-test, ANCOVA, and Pearson's Correlation Coefficients using SPSS/PC+. The results of this study were summarized as follows : 1. The first hypothesis that 'post-test state anxiety score will be lower than pre-test state anxiety score in experimental group' was supported(t=2.40, p=.020). 2. The second hypothesis that 'post-test systole will be lower than pre-test systole in experimental group' was not supported(t=-.30, p=.765). 3. The third hypothesis that 'post-test Diastole will be lower than pre-test diastole in experimental group' was not supported'(t=-1.42, p=.161). 4. The fifth hypothesis that 'the experimental group who is given the computer information will be lower in state anxiety score than the control group who is not given the computer information' was supported(F=9.17, p=.004). 5. The sixth hypothesis that 'the experimental group who is given the computer information will be lower in systole than the control group who is not given the computer information' was supported (F=7.16, p=.010). 6. The seventh hypothesis that 'the experimental group who is given the computer information will be lower in diastole than the control group who is not given the computer information' was not supported'(F=.55, p=.462). 7. The eleventh hypothesis that 'the lower the post-test state anxiety, the lower the uneasiness score during the test' was not supported(r=-.013, p=.926). 8. The eighth hypothesis that 'the lower the post-test state anxiety, the lower the nervousness score during the test' was supported(r=.326, p=.017).

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Numerical Studies of Flow Across End-to-Side Distal Vascular Bypass Graft Anastomoses

  • Kim, Y.H.;Kim, J.H.;Shin, J.W.
    • Journal of Biomedical Engineering Research
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    • v.13 no.4
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    • pp.339-352
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    • 1992
  • A numerical simulation of the steady and pulsatile flow across the end-to-side anastomosis was performed In order to understand the role of flow dynamics in the preferential bevel opment of distal anastomotic intimal hyperplasla. The finite element technique was employed to solve two-dimensional unsteady pulsatile flow in that region. The results of the steady flow revealed that low shear stresses occur at the proximally occluded host artery and at the recirculation region in the Inner wall just distal to the toe region of the anastomosis. The nor- mal;zed wall shear rate was increased, as was the recirculation zone size in the host artery of the by-pass graft anastomosis, with increased anastomotic junction angle. In order to min imize the size of the low wall shear region which might result in the intimal hyperplasia in the by-pass graft anastomosis, a smaller anastomotic junction angle is recommended. The pulsatile flow simulation revealed flow that regions of low and ascillating mali shear do exist near the anastomosis as In the steady simulation. The shift of stagnation point depends on the pulsation of the flow. As the flow was accelerated at systole, the stagnation point moved downstream, disappered at early diastole and reappeared during late diastole. Low shear stress was also found along both walls of the occluded proximal artery. However, the diastolic flow behavior is quite different from the steady results. The vortex near the occluded artery moved downstream and inwardly during late systole, and disappeared during diastole. Recirculations proximal to the toe and heel regions were significant during diastole. Shear stress oscillation was found along the opposite wall. The results of the present study revealed that tow shear occurs at the proximally occluded host artery aud the recirculation region in the inner wall Just dlstal to the toe region of the anastomosis. The present study suggested that the regions of fluctuated wall shear stress wit flow separation is correlated with the preferential developing regions of anastomosis neointial fibrous hyperplasia.

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Study for Correlation of 3D-MAC and DSOM with ABR-2000 (피부전기저항측정기(ABR-2000)의 맥진기(3D-MAC) 및 한방진단시스템(DSOM)과의 상관성 연구)

  • Song, Jung-Oh;Kim, Min-Ae;Lee, In-Seon
    • The Journal of Korean Obstetrics and Gynecology
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    • v.31 no.1
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    • pp.57-83
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    • 2018
  • Purpose: This research has been carried out to find out correlation between test results of ABR-2000 and other diagnostic equipments to enhance significance of accurate diagnosis and clinical usage of ABR-2000. Methods: Duration of the 31 months from December 2012 to June 2015, records of 564 outpatients at gynecology department have been selected. The 564 patients were tested, using all 3 different test equipments of ABR-2000, DSOM, and 3D Blood Pressure Pulse Analyzer (3D-MAC) without test errors or mis-recordings. Correlation between 3D Blood pressure Pulse Analyzer, DSOM and ABR-2000 were analyzed by frequency & ratio factor of statistic data records of patients groups devided by 8 different disease symptom and by comparison of the groups in the form of Regulation and Graph presented on ABR-2000 equipment. Results: 1. The indicator L in all 1, 2, and 3 quadrant in the graph means the activity and reactivity of the upper body biodynamics detection rate is low and which result is very common symptom among gynecological patients. 2. The portion of patients with hypermenorrhea, endometritis, and menstrual pain symptom among the indicator L group in the reactivity 1-3 quadrantin is significantly high. 3. When 3D Mac analyzer indicates H, diastole decreases while systole increases and tachycardia increases then the blood circulation is expected to increase. In case of indication L, diastole increases and systole decreases then, the blood circulation is expected to decrease.