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심장(心臟) 질환(疾患) 진단(診斷)을 위한 한의학적 청진(聽診) 기반의 설음(舌音) 분석
김봉현,조동욱,허성호,Kim, Bong-Hyun,Cho, Dong-Uk,Her, Sung-Ho 한국통신학회 2009 韓國通信學會論文誌 Vol.34 No.8b
다양한 진단 기기들의 개발로 인해 발전을 거듭하고 있는 서양의학에 비해, 한의학은 임상의의 직관에 의존하여 환자들에게 시각적이며 객관적으로 질환 상태를 표현해줄 수 있는 정량화된 진단 데이터들이 부족한 실정이다. 이를 위해 본 논문에서는 한의학적 진단 방법의 시각화를 통한 객관화를 구현하기 위해 먼저, 한의학에서 몸을 다스리는 중심기관이며 생명과 정신의 근원처로 간주하고 있는 심장과 음성 신호와의 관계를 한방에 기초하여 규명하고 분석하였다. 따라서 심장은 오관 중 혀와 관련이 되어 있어 음성과 연계하여 생각하면 심장 질환자는 설음(舌音), 즉 혓소리의 발음이 불명확하다는 것에 초점을 맞추어 심장 질환의 유무를 판단하는 방법을 설계하였다. 이를 위해 심장 질환자와 정상인으로 피실험자 집단을 구성하고 이들의 음성에서 헛소리에 해당하는 부분에 대한 제2포먼트 주파수의 통계적 대역폭 분석과 형태적 모델링 분석을 수행하여 상호간의 비교, 분석을 수행하였다. 최종적으로 설계한 방법에 대해 실험 결과를 통한 상관성을 분석하였다. Oriental medicine lacks diagnosis data in fixed quantity possible to express visually to patients by depending on clinician's intuition than Western medicine that continues to development by various diagnosis devices. For that, this paper intends to examine relation between heart and voice signal regarded as center organ and source of life and mind in order to implement objectification through the visualization of oriental diagnosis method above all. According to because the heart is related to the tongue among five organs, by thinking with sounds, we would design the way of identifying existence of heart diseases focused on the fact that lingual sound pronunciation of heart patient is inexact. For this, we achieved a comparison, analysis of statistical bandwidth and morphological modeling of the second formants frequency about a lingual sound for their voice constituted subject group of heart diseases and normal people. Finally, we analyzed interrelationship to the result of experiment by designed method.
증례 : 순환기 ; 성인에서 폐동맥판협착과 난원공개존증을 동반한 동맥관개존증 1예
김선아 ( Seon A Kim ),허성호 ( Sung Ho Her ),박만원 ( Mahn Won Park ),나수진 ( Soo Jin Na ),김형덕 ( Hyung Duk Kim ),김지은 ( Ji Eun Kim ),김우현 ( Woo Hyeon Kim ) 대한내과학회 2013 대한내과학회지 Vol.85 No.4
저자들은 중증 폐동맥판협착과 난원공개존증이 있음에도 동맥관개존증이 동반되어 무증상으로 나타난 성인에서의 증례를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다. Pulmonary valve stenosis (PS) is the 3rd most common form of adult congenital heart disease. The patient was a 56-year-old woman, with known congenital heart disease but who was not receiving any treatment as she was not functionally limited. A two-dimensional echocardiogram showed severe right ventricular hypertrophy, pulmonary valve thickening and systolic doming. A color Doppler revealed a retrograde flow from the aorta to the left pulmonary artery. She had severe heart failure on the right hand side from a PS but did not display any symptoms. We hypothesized that she had a retrograde flow to the pulmonary circulation through a patent ductus arteriosus (PDA), through which oxygenated blood could be supplied to the systemic circulation and, hence, no hypoxia. We attempted a balloon valvuloplasty for the PS followed by a device closure for the PDA. Here we report on this adult female with severe PS but lacking any symptoms, due to the presence of a PDA. (Korean J Med 2013;85:406-410)
장경윤,박경선,최유아,김지희,전부석,허성호 이화여자대학교 의과학연구소 2012 EMJ (Ewha medical journal) Vol.35 No.1
Arterial remodeling is commonly observed in human atherosclerosis. It is a heterogeneous response ranging from positive remodeling to negative remodeling. Negative remodeling is a condition in which the vessel area decreases in size, often as a result of a structural change in the coronary vessel wall. But its contribution to myocardial ischemia in a de novo lesion has not been clearly shown. A 51-year-old female with exertional angina was admitted to our hospital. Coronary angiography was performed, revealing a severe stenosis at the middle part of the right coronary artery (RCA). Although we predilated ballooning at the middle RCA, the degree of stenosis did not improve. Thus intravascular ultrasound (IVUS) was performed. The lesion was not nearly showed plaque burden and severe negative remodeling. Though the cross-sectional narrowing percentage was significant, we decided to medical treatment for fearing coronary perforation by stenting. This case report intends to emphasize that severe coronary stenosis should be performed IVUS before the stenting. We describe a rare case with severe negative remodeling at the middle part of the RCA without atheroma plaque.