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정운모(Woon-Mo Jung),심명헌(Myeong-Heon Sim),정상오(Sang-O Jung),김민용(Min-Yong Kim),윤찬솔(Chan-Sol Yoon),정인철(In-Chol Jung),윤형로(Hyung-Ro Yoon) 대한전기학회 2011 전기학회논문지 Vol.60 No.8
The blood pressure measuring equipment, which is being supplied and used most widely by being recognized convenience and accuracy now generally, is oscillometric blood pressure monitor. However, a change in blood pressure is basically influenced by diverse elements such as each individual’s physiological status and physical condition. Thus, the measurement of blood pressure, which used single element called oscillation in blood pressure of being conveyed to cuff, is not considered on physiological elements such as cardiovascular system status and blood vessel stiffness index, and on external elements, thereby being quite in error. Accordingly, this study detected diverse bio-signals and body informations in each individual as the measurement subject such as ECG, PPG, and Korotkoff Sound in order to enhance convenience and accuracy of measuring blood pressure in the complex measurement equipment, thereby having extracted regression method for compensation in error of oscillometric blood pressure measurement on the wrist, and having improved accuracy of measuring blood pressure. To verify a method of improving accuracy, the blood pressure value in each of SBP, DBP, MAP was acquired through 4-stage experimental procedure targeting totally 51 subjects. Prior to experiment, the subjects were divided into two groups such as the experimental group for extracting regression method and the control group for verifying regression method. Its error was analyzed by comparing the reference blood pressure value, which was obtained through the auscultatory method, and the oscillometric blood pressure value on the wrist. To reduce the detected error, the blood pressure compensation regression method was calculated through multiple linear regression analysis on elements of blood pressure, individual body information, PTT, HR, K-Sound PSD change. Verification was carried out on improving significance and accuracy by applying the regression method to the data of control group. In the experimental results, as a result of confirming error on the reference blood pressure value in SBP, DBP, and MAP, which were acquired through applying regression method, the results of -0.47±7.45 ㎜Hg, -0.23±7.13 ㎜Hg, 0.06±6.39 ㎜Hg could be obtained. This is not only the numerical value of satisfying the sphygmomanometer reference of AAMI, but also shows the lower result than the numerical value in SBP : -2.5±12.2 ㎜Hg, DBP : -7.5±8.4 ㎜Hg, which is the mean error in the experimental results of Brram’s research for verifying accuracy of Omron RX-M, which shows relatively high accuracy among wrist sphygmomanometers. Thus, the blood pressure compensation could be confirmed to be made within significant level.
제왕절개술 후 복벽반흔에 발생한 자궁내막증 환자에서 mesh를 이용한 복부근막재건술
김수미 ( Su Mi Kim ),김현경 ( Hyun Kyoung Kim ),남궁정 ( Jung Nam Kung ),송재연 ( Jae Yeon Song ),정인철 ( In Chol Jung ),조현희 ( Hyun Hee Cho ),권동진 ( Dong Jin Kwon ),유영옥 ( Young Oak Lew ),김은중 ( Eun Jung Kim ),김장흡 ( J 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.7
Endometriosis is defined by the presence of endometrial glands and stroma outside uterine cavity showing variable clinical symptoms under effect of estrogen. The occurrence rate of abdominal wall endometriosis after cesarean section is rare making diagnosis difficult. The case of a 36-year-old female presenting with the very painful mass and pain arising in the caesarean section scar is reported. The curable treatment of abdominal wall endometriosis is the surgical removal of all the pathological tissue, through a large excision. The involved fascia was widely excised and the abdominal wall was reconstructed using polypropylene mesh.