• Title/Summary/Keyword: 검사자세

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Effect of Palm Facing Forward Posture on SpinoPelvic Parameters on the Whole Spine Lateral Radiography (척추 전장 측면 방사선검사 시 손바닥 정면 자세가 척추골반지표에 미치는 영향)

  • Joo, Young-Cheol;Kim, Han-Yong;Kim, Dong-Hwan
    • Journal of radiological science and technology
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    • v.45 no.5
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    • pp.391-396
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    • 2022
  • The purpose of this study was to investigate the effect of cross arms and palms facing forward on spinopelvic parameters during the whole spine lateral radiography. In addition, we would like to present the usefulness of a posture with the palm facing forward during whole spine lateral radiography of the spine using EOS. The subjects of this study were images of a total of 50 patients (18 males, 32 females) who whole spine lateral radiography using the conventional method and the EOS method from October 2020 to March 2021. The posture used in this study was set as 'CAP' for cross arms and 'PUSH' for posture with palms facing forward. In this study, among the spinal stability factors, thoracic kyphosis (thoracic vertebrae 4 to 12), lumbar lordosis (lumbar vertebrae 1 to sacrum 1), sagittal vertical axis, sacral slope, and shoulder flexion angle were compared on average. The mean thoracic kyphosis was 34.52±12.46° for CAP and 28.46±10.81° for PUSH (p<0.01). The lumbar lordosis of CAP was 42.45±17.45°and that of PUSH was 40.56±16.14°(p>0.57). The sagittal vertical axis was 26.59±34.34 mm in CAP and 21.21±35.41 mm in PUSH (p>0.44). In CAP, the sacral slope was 30.96±10.29°, and in PUSH, it was 31.01±10.19° (p>0.98). shoulder flexion angle was 38.31±8.24° for CAP and 26,08±6.71° for PUSH(p<0.01). As a result of this study, the PUSH posture is considered to be a posture that can minimize the shoulder flexion angle and can perform a stable examination while minimizing changes in spino-pelvic parameter.

The Study of Effectiveness in a Modified Rib Oblique Projection View Using a Chest Phantom (흉부팬텀을 이용한 변형된 늑골 사방향 검사의 유용성에 관한 연구)

  • Um, Ki-Tae;Lee, Min-Su;Kang, Sung-Jin
    • Journal of the Korean Society of Radiology
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    • v.12 no.4
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    • pp.525-532
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    • 2018
  • This study is filmed by applying the axial angle variation of the X-ray tube instead of the patient's position change during the perimetric examination of the ribs. A Reference image with the rib oblique examination using a chest phantom and experimental images applied with a six-phase variation in the axial angle by increasing $5^{\circ}$ tube angle each from $5^{\circ}{\sim}30^{\circ}$ from the vertical incident direction of the chest phantom to the right horizontal axis were obtained. For the quantitative comparative evaluation of the images, SNR and CNR were calculated for regions of interest in the experimental images based on the reference image. Also, the left-right rib ratio in the reference image and the left-right rib ratio in the experimental images are measured and compared. As a result of the study, the experimental images with a tube angle of $25^{\circ}$ were best shown in the measurements of the SNR, CNR and left-right rib ratio compared to the reference image with a standard examination method. The modified rib examinations will consider useful, if it is difficult to maintain the patient's examination position.

The Study of Grashey Method Viewing the Glenohumeral(shoulder) Joint (어깨관절의 접시오목을 나타내는 Grashey법에 대한 연구)

  • Lee, Jaeseob;Kim, Youngjae
    • Journal of the Korean Society of Radiology
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    • v.9 no.6
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    • pp.331-335
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    • 2015
  • Consideration of Glenohumeral joint's image with the Changed Body angle of the Glenohumeral joint's Oblique Position in Erect Position. Glenohumeral joint's of Grashey method is a shoulder oblique method available to view the shoulder joint. Grashey method projects AP view of the Glenohumeral joint's so that the Humerus head's subluxation or joint degeneration can be easily visualized. However in this view, the patients, erect position, have to keep their body obliquely. Oblique position is will be needed to get the good quality Glenohumeral joint's view. Therefore, we thought of examining a method which shows the Glenohumeral joint's well by angling the patient one side upward in erect position. For this study, total 20 subject with no history of neurological or psychiatric illness, were recruited for examinations. They consisted of 13 mails and 7 femails, Statistic group analysis was performed with ANOVA test. Score of the evaluation of the expects were $30^{\circ}$ at $0.40{\pm}0.499$, $35^{\circ}$ at $1.34{\pm}0.657$, $40^{\circ}$ at $1.84{\pm}0.573$, $45^{\circ}$ at $0.76{\pm}0.649$, and they were significant(P<0.05). The degree of $40^{\circ}$ views were shown to yield good quality shoulder oblique images.

Effects of Combined Exercise Training on Physical Performance, Falling Risk and Balance in Elderly Women (복합운동이 여성노인의 낙상관련 건강체력, 낙상위험도, 자세균형에 미치는 영향)

  • Park, Hyeok;Kim, Daeyeol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.371-378
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    • 2021
  • This study examined the effects of combined exercise training for preventing falls on the physical performance, falling index, and balance in elderly women. All subjects (N = 32) were recruited and divided randomly to either a combined exercise group (n= 16, EX) or non-exercise control group (n = 16, CON). During 12 weeks of training, the subjects in the EX performed the combined exercise programs (three times/week, 60min/session), and the subjects in the CON maintained their ordinary lives. At the PRE, MID, POST tests, All subjects completed senior fitness tests(dynamic balance, two minutes walking, sit and stand for 30 seconds), tests for falling risk with Tetrax, and tests for posture balance with the spine balance 3D. After the baseline tests, two-way repeated-measures ANOVA with contrast testing was used with SPSS 21.0. Alpha was set to 0.05. In the results, the dynamin balance (p=.001), two minutes walking (p=.001), sit and stand for 30 seconds (p=.001), falling risk (p=.002), and posture balance (p=.034) in the EX were significantly different, but not in the CON. Thus, elderly females who performed combined exercise training for 12 weeks can increase their physical fitness & posture stability and reduce their falling risk.

Comparison of Radiologic Parameters between Weight Bearing Affected Both Ankle and Single Ankle in Ankle Exam (체중부하 상태의 족관절 검사시 양측 족관절 동시 검사와 편측 족관절 검사의 방사선학적 비교)

  • Cha, Sangyoung;Shin, Jaehan;Choi, Namgil
    • Journal of the Korean Society of Radiology
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    • v.10 no.8
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    • pp.603-610
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    • 2016
  • This study was performed to analyze the results of radiologic parameters compared both leg weight bearing position to single leg weight bearing position in ankle osteoarthritis. Between January 2016 and June 2016, 25 patients (50 ankles) who visited our Hospital to treat ankle pain. In radiographic assessment, We masured tibial anterior surface angle(TAS), tibial medial malleolar angle(TMM), talar tilting angle(TT), joint space width(JSW), tibiotalar joint space, fibulotalar joint space of ankle as radiologic parameters. On the right leg of the both leg weight bearing position, TAS was $87.24^{\circ}$, TT was $6.44^{\circ}$, TMM was $26.76^{\circ}$, fibulotalar joint space was 0.98mm. Right leg of the single leg weight bearing position, TAS was $88.93^{\circ}$, TT was $2.41^{\circ}$, TMM was $19.77^{\circ}$, fibulotalar joint space was 1.6mm. And then, on the left leg of the both leg weight bearing position, TAS was $87.25^{\circ}$, TT was $5.71^{\circ}$, TMM was $23.92^{\circ}$, fibulotalar joint space was 1.22 mm and left leg of the single weight bearing position, TAS was 88.75, TT was $3.19^{\circ}$, TMM $21.45^{\circ}$, fibulotalar joint space was 1.22 mm. There are unsimilarity between measure values of TAS and tibiotalar joint space. As the result of test of weight bearing ankle study, it would be more exact to examine to measure one side in the first time rather than both to conclude on accurate measurement.

Persistent Right Aortic Arch in a Dog (우대동맥궁 잔존)

  • 최지혜;박성민;조태현;김현욱;최민철;윤정희
    • Journal of Veterinary Clinics
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    • v.17 no.2
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    • pp.450-453
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    • 2000
  • 식후 만성적인 구토 증상을 보이는 3개월령 암컷 Schunauzer가 본 (주)해마루 소동물 임상 의학 연구소에 내원하였다. 신체 검사시 비정상직인 소견은 보이지 않았으나, 유동식을 공급하는 중에도 식 후 1시간 이내에 포말성 역류 증상을 보였고, 기립 자세에서 식이를 공급 해도 증상은 호전되지 않았다 일반 방사선 검사에서 전반적인 식도 확장이 관찰되었고. 식도 조영술을 실시하여 심기저부 앞부분의 협착과 협착부 전후의 식도 확장을 확인하고 우대동백궁 잔존증으로 진단하였다. 수술을 통해 식도를 압박하고 있는 인대를 제기하고 유동식을 공급하였다. 술 후 임상 증상은 다소 호전이 되었으나 여전히 고형식은 섭취하지 못하고 방사선 검사상 소견도 술전과 큰 차이를 보이지 않았다

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Dependability Modeling of Software Fault Tolerance Techniques (소프트웨어 결함허용 기법들의 의존도 모델링)

  • 김용규;김성수
    • Proceedings of the Korean Information Science Society Conference
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    • 1999.10a
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    • pp.614-616
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    • 1999
  • 신뢰도 높은 소프트웨어 개발의 필요성은 전혀 새로운 것이 아니다. 요즘 들어, 소프트웨어의 크기와 복잡도가 증가함으로 인해 소프트웨어의 결함 때문에 발생하는 시스템 고장이 전체 시스템 고장에서 많은 비중을 차지하고 있다. 고 신뢰도를 요구하는 시스템의 소프트웨어는 복구블록, 분산 복구블록, N-버전 프로그래밍, N 자기검사 프로그래밍과 같은 소프트웨어 결함허용 기법들을 사용하고 있다. 이러한 소프트웨어 결함허용 기법들에 대한 연구와 함께 소프트웨어 결함허용 기법들의 의존도 측정에 관한 연구 또한 매우 중요하다. 이에 본 논문에서는 마르코프 모델을 사용해서 소프트웨어 결함허용 기법들의 보다 자세한 신뢰도 모델링과 가용도, 안전도 등에 관한 모델링을 제시한다. 제안된 모델 분석 결과 같은 수의 대체블록이 있을 때는 분산 복구블록, 복구 블록, N 자기검사 프로그래밍, N-버전 프로그래밍 순으로 의존도가 높음을 알 수 있다. 또한 소프트웨어 결함허용 기법들의 신뢰도민감성 분석에서는 복구블록과 분산 복구블록인 경우는 적응검사의 결함발생율에, N-버전 프로그래밍인 경우는 프로그램 버전의 결함발생율에 더 민감한 영향을 받는 것을 알 수 있다.

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A Study of Radiation Incidence Angle in Cervical Vertebra Anteroposterior(AP) Examination by Position (자세에 따른 목뼈 정면 입사각에 대한 연구)

  • Kwak, Jonghyeok
    • Journal of the Korean Society of Radiology
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    • v.9 no.2
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    • pp.101-107
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    • 2015
  • In anteroposterior radiation test for cervical vertebra, it is general that the incidence angle of X-ray is $15^{\circ}$ to $20^{\circ}$ degrees to head regardless of position. So this study suggests appropriate incidence angle of cervical vertebra depended on the position. From 1 January 2013 to 31 December 2013, cervical spine radiographys and magnetic resonance imaging was performed in 107 people who visited P Hospital located in Pusan. Among them, 39 people(men 24, women 15) were below 80 above 20 years old(average age 54 years) with normal cervical lordosis(normal $40^{\circ}{\pm}5^{\circ}$). In erect position, the incidence angle of cervical vertebra is measured from lateral radiographic images. And in supine position, it measured from MRI sagittal images. Results based on gender, the incidence angle of cervical vertebra in erect position was $25.9^{\circ}$ for men, women was $23.1^{\circ}$, showed statistically significant (p<0.05). And the angle in supine was $11.6^{\circ}$ for men, women was $12.6^{\circ}$, showed not statistically significant (p>0.05) An analysis of age group shows, the incidence angle of cervical vertebra in erect position was $24.6^{\circ}$ under 50, and $25.0^{\circ}$ over 50. The angle in supine was $12.0^{\circ}$ under 50, and $11.9^{\circ}$ over 50. And all of them showed not statistically significant (p>0.05). At all ages, the average of incidence angles in erect position were $24.8^{\circ}$, and the angle in supine was $12.0^{\circ}$, showed statistically significant (p<0.05). The cervical vertebra incidence angle for X-ray was $15^{\circ}$ to $20^{\circ}$ degrees to head in general. But, through the results, it is recommended that the angle is $24.8^{\circ}$ in erect and $12.0^{\circ}$ in supine position. It could be shown true anteroposterior(AP) view of cervical vertebra and accurate intervertebral fusion fixing devices.

Suggestions for the Effective Intraoperative Neurophysiological Monitoring in Microvascular Decompression Surgery of Hemifacial Spasm (편측성 안면경련 환자의 미세혈관 감압수술에서 효과적인 수술 중 신경계 감시검사를 위한 제안)

  • Lim, Sung-Hyuk
    • Korean Journal of Clinical Laboratory Science
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    • v.48 no.3
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    • pp.262-268
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    • 2016
  • Hemifacial spasm is a disease caused by involuntary facial muscles with repeated unilateral convulsive spasms. It involves contraction of multiple muscles at the same time (synkinesia). The pathogenesis appears to be the pressure on the vessel by the facial nerve. This study included hemifacial spasm patients, who received microvascular decompression surgery. Brainstem auditory evoked potential and the examination time were carefully noted when using brain surgical retractor. The facial nerve electromyography tests for the identification of artifacts and EMG waveform when the facial nerve damage, about the importance of the maintenance of anesthesia in the lateral spread response and in a somatosensory evoked potential propose a new method. Based on the above test, it will be more effective.

Intervention based on Biomechanical Frame of Reference for Balance and Manual Function: a Single Subject Research (생체역학 모델을 통한 균형능력과 상지기능의 중재: 단일대상연구)

  • Kim, Tae-Hoon
    • The Journal of the Korea Contents Association
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    • v.9 no.11
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    • pp.231-239
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    • 2009
  • The purpose of this study was to investigate changes in balance and upper extremity (UE) function associated with reaching training for children with quadriplegic cerebral palsy based on Biomechanical Frame of Reference. The baseline (phase A) lasted one week. The therapeutic protocol consisted of three reaching training (Phase B) for 40 minutes three times a week. Intervention phases lasted 4 weeks. The CMS-70P (Zebris Medizintechnik Gmbh, Germany) was used to evaluate the qualitative changes in UE function and Pediathc Berg Balance Scale was used to test the balance. The observed performance changes seem to be associated with the presence of intervention and suggest that biomechanical training can be a useful intervention to improve not only manual function but also balance.