• Title/Summary/Keyword: 누운 자세

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Statistical Study on Respiratory Stability Through RPM Signal Analysis according to Patient Position Under Radiation Therapy and Device (방사선 치료 환자의 자세 및 Device에 따른 RPM 신호 분석을 통한 호흡 안정성의 통계적 고찰)

  • Park, Myung-Hwan;Seo, Jeong-Min;Choi, Byeong-Gi;Shin, Eun-Hyeok;Song, Gi-Won
    • The Journal of Korean Society for Radiation Therapy
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    • v.23 no.2
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    • pp.83-90
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    • 2011
  • Purpose: This study statistically analyzed the difference of the stability of maintaining a respiratory period shown according to position and use of a device to search the tendency and usefulness of a device. Materials and Methods: The study obtained respiratory signals which maintained a respiratory period for 20 minutes each supine and prone position for 11 subjects. The study obtained respiratory signals in a state of using a belly board for 7 patients in a bad condition of a respiratory period in a prone position to analyze a change in respiration and the stability before and after the use of a device. Results: The supine part showed 54.5%, better than the prone part of 36.4% in a case that the stability for maintaining a respiratory period was in a good condition as a fixed respiratory period was well maintained according to the position. 6 patients (85%) showed a maintenance pattern of a respiratory period significantly different before the use and 4 patients showed a significantly good change in the stability for maintaining a respiratory period as a result that belly boards were used for 7 patients that the maintenance of a respiratory period was not in a good condition on a prone position. Conclusion: It seemed that this study could contribute to the maintenance of respiratory period and of respiratory stability as the optimal position for maintenance of respiration and the use of a device such as a belly board were decided through statistic analysis of respiratory signals and its application even if patient position and use of device were decided by the beam arrangement a treatment part of a patient, location of a target, and an expected plan.

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Contralateral Breast Doses Depending on Treatment Set-up Positions for Left-sided Breast Tangential Irradiation (좌측 유방암 환자의 방사선 치료 시 환자자세에 따른 반대편 유방의 산란선량 측정)

  • Joo, Chan Seong;Park, Su Yeon;Kim, JongSik;Choi, Byeong Gi;Chung, Yoonsun;Park, Won
    • The Journal of Korean Society for Radiation Therapy
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    • v.27 no.2
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    • pp.175-181
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    • 2015
  • Purpose : To evaluate Contralateral Breast Doses with Supine and Prone Positions for tangential Irradiation techniques for left-sided breast Cancer Materials and Methods : We performed measurements for contralateral doses using Human Phantom at each other three plans (conventional technique, Field-in-Field, IMRT, with prescription of 50 Gy/25fx). For the measurement of contralateral doses we used Glass dosimeters on the 4 points of Human Phantom surface (0 mm, 10 mm, 30 mm, 50 mm). For the position check at every measurements, we had taken portal images using EPID and denoted the incident points on the human phantom for checking the constancy of incident points. Results : The contralateral doses in supine position showed a little higher doses than those in prone position. In the planning study, contralateral doses in the prone position increased mean doses of 1.2% to 1.8% at each positions while those in the supine positions showed mean dose decreases of 0.8% to 0.9%. The measurements using glass dosimeters resulted in dose increases (mean: 2.7%, maximum: 4% of the prescribed dose) in the prone position. In addition, the delivery techniques of Field-in-field and IMRT showed mean doses of 3% higher than conventional technique. Conclusion : We evaluated contralateral breast doses depending on different positions of supine and prone for tangential irradiations. For the phantom simulation of set-up variation effects on contralateral dose evaluation, although we used humanoid phantom for planning and measurements comparisons, it would be more or less worse set-up constancy in a real patient. Therefore, more careful selection of determination of patient set-up for the breast tangential irradiation, especially in the left-sided breast, should be considered for unwanted dose increases to left lung and heart. In conclusion, intensive patient monitoring and improved patient set-up verification efforts should be necessary for the application of prone position for tangential irradiation of left-sided breast cancer.

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Analysis of Lower-Limbs Muscle Activity during Cycle Exercise in Spine Position (누운 자세에서의 자전거 운동 시 하지 근활성도 분석)

  • Shin, S.H.;Yu, M.;Cho, K.S.;Jeong, H.C.;Hong, J.P.;Hong, C.W.;Kwon, T.K.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.4
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    • pp.331-337
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    • 2015
  • This research was to develop the cycling system of lower limbs for rehabilitation during cycle exercise in supine position. Also we analyzed the muscular activity of lower-limbs at various exercise conditions according to exercise mode, load, velocity. 42 healthy subjects(ages 20-60 years) were participated. We measured the muscular activities of right lower limb muscle in rectus femoris, biceps femoris, tibialis anterior, medial gastrocnemius, soleus. Results, medial gastrocnemius shows high value on load 10 stage than load 1 and 5 stage. And all muscular activity except medial gastrocnemius was decreased as increase of velocity. We have found that there is a difference of lower limbs activity depending on exercise mode and method. This study could be applied to reference data to develop cycle system of lower limbs for rehabilitation.

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Analysis of the Convergence Pulmonary Function in the 20s Men of Mild Intellectual Disabilities with Obesity According to Position Changes (경도 지적장애를 가진 20대 남성 비만인의 자세변화에 따른 융합적인 폐기능에 대한 비교)

  • Park, Seung-Hwan;Kim, Ok-Ki;Seo, Kyo-Chul
    • Journal of the Korea Convergence Society
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    • v.10 no.10
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    • pp.67-74
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    • 2019
  • The purpose of this study was to determine whether changes of position might effect the convergence pulmonary function of the 20s men of mild intellectual disabilities with obesity. Ten subjects of mild intellectual disabilities with obesity(fat group) and ten contrary subjects without obesity(control group) were participated in the experiment. Subjects were assessed for their pulmonary function by using Fit mate according to the position changes(supine position, 45 lean sitting position, 90 sitting position). One-way repeated ANOVA analyzed each region data of pulmonary function of both the fat group and the control group according to their position changes. The result of the experiment showed that the 20s men of mild intellectual disabilities with obesity have lower pulmonary function than the contrary subjects in the each given posture. In comparison with three experimental positions, supine position was the lowest in the pulmonary function. This study showed the 20s men of mild intellectual disabilities with obesity have lower function of pulmonary volume than the control group, and thus, it suggests that the pulmonary functional data of 20s men of mild intellectual disabilities with obesity in this experiment can be used as a basic respiratory one for the various exercise programs in the area of the physical activities.

Consideration of Shoulder Joint's Image with the Changed Tube Angle of the Shoulder Oblique Projection in Supine Position (Supine 자세에서 Shoulder oblique촬영시 Tube angle 변화에 따른 Shoulder joint에 대한 고찰)

  • Seo, Jae-Hyun;Choi, Nam-Gil
    • Journal of radiological science and technology
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    • v.31 no.2
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    • pp.109-114
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    • 2008
  • There is a standard shoulder oblique method (Grashey method) available to view the shoulder joint. This method projects AP view of the shoulder joint so that the Humerus head's subuxation or joint degeneration can be easily visualized. However, in this view, the patients, with supine or sitting or erect position, have to keep their body obliquely. Whereas, the patients who are not well or operated, usually feel very uncomfortable to keep their body in this position and hence, we need other persons' help and much efforts will be needed to get the good quality shoulder joint view. Therefore, we thought of examining a method which shows the joint well by angling the tube to Medio-Lateral direction and without keeping the patients' one side upward in supine position. For this study, total 15 subjects with no history of neurological or psychiatric illness, were recruited for examinations. They consisted of 9 males and 6 females. Statistic group analysis was performed with ANOVA test. Scores of the evaluation of the experts were $1.10{\pm}0.54$ at $25^{\circ}$, $2.50{\pm}0.50$ at 30^{\circ}$, $2.85{\pm}0.36$ at $35^{\circ}$ and $2.33{\pm}0.47$ at $40^{\circ}$, respectively, and they were significant(p<0.05, Table 1). Joint space of the Humerus head and Scapula were well distinguished at $35^{\circ}$, $30^{\circ}$ and $40^{\circ}$ with the almost same score. However, the degree of distortion at $40^{\circ}$ was more severe than that at $30^{\circ}$. Ultimately, $30-35^{\circ}$ views were shown to yield good quality shoulder oblique images. In conclusion, this method may be very useful for the patients who are uncomfortable and for the emergency patients. In order to get similar or comparable view, the same X-tube angle is recommended to be used before and after the operation. Therefore, we hope that this new angled method seems to be efficient.

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Difference in Rotation Pattern of Toric Soft Contact Lenses with Different Axis Stabilization Design (축 안정화 디자인이 상이한 토릭소프트콘택트렌즈의 회전 양상 차이)

  • Park, So Hyun;Kim, Dong Yeon;Choi, Joo Hee;Byun, Hyun Young;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.2
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    • pp.133-140
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    • 2015
  • Purpose: It was investigated whether two different stabilization designs of toric contact lenses changed the rotational axis and degree of toric lenses according to body posture and gaze direction in the present study. Methods: Toric soft contact lenses with Lo-Torque$^{TM}$ design and ASD design (accelerated stabilized design) were fitted on 52 eyes aged in 20s-30s. Then, rotational degree was measured at the five gaze directions including front gaze and the lying position. Results: When gazing the front and vertical directions in the upright posture, lens was much rotated to nasal side for the Lo-Torque$^{TM}$ design and temporal side for the ASD design. When gazing horizontal direction, both design lenses were rotated against to the gaze direction. Rotation degree was the smallest at superior direction gaze and the largest at nasal gaze. In case of the rotation degree less than $5^{\circ}$, Lo-Torque$^{TM}$ design was more frequent when gazing front and vertical directions, and ASD design was more frequent when gazing horizontal direction. In addition, the lens with Lo-Torque$^{TM}$ design was lesser rotation degree than with ASD design immediately after lying. On the other hand, the lens with ASD design was lesser rotation degree than with Lo-Torque$^{TM}$ design 1 minute later after lying. Conclusions: This study confirmed that axis rotation of the lens induced by gaze direction and posture was different according to axis stabilization design during wearing toric soft contact lens.

Comparison of Dosimetric Parameters of Patient with Large and Pendulous Breast Receiving Breast Radiotherapy in the Prone versus Supine Position (유방 크기가 큰 유방암 환자의 방사선 치료 시 환자의 자세에 따른 선량 비교)

  • Moon, Sun Young;Yoon, Myonggeun;Chung, Weon Kuu;Chung, Mijoo;Shin, Dong Oh;Kim, Dong Wook
    • Progress in Medical Physics
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    • v.26 no.4
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    • pp.234-240
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    • 2015
  • The purpose of this study is to analyze dosimetric parameters of patient with large and pendulous breast receiving breast radiotherapy in the prone versus supine position. The patient underwent computed tomography simulation in both prone and supine position. The homogeneity index (HI), conformity index (CI), coverage index (CVI) to the left breast as planning target volume (PTV) and the doses to the lung, heart, and right breast as organ at risk (OAR) were compared by using dose-volume histogram. The lifetime attributable risk (LAR) according to the prone and supine position was measured for the lung and right breast. The HI, CI of the PTV decreased 21.7%, 6.49%, respectively and the CVI increased 10.8% with the prone position. The mean and maximum dose to the left lung decreased 91.6%, 87.0%, respectively and the volume parameters also decreased over 99% with the prone position. The parameters to the right lung were same regardless of the position. The mean and maximum dose to the heart decreased 51.6%, 14.2% with the prone position. But the mean and maximum dose to the right breast increased unlike the other OARs. The LARs to the lung decreased 80.3% (left), 24.2% (right) but the LAR to the right breast doubled with the prone position. The prone position is a favorable alternative for irradiation of breast in patients with large and pendulous breasts.

Suggestion of Modified Y-View in Supine Position (Supine Position에서 Modified Y-View의 제안)

  • Shin, Seong-Gyu;Baek, Seong-Min;Lee, Hyo-Yeong
    • Journal of radiological science and technology
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    • v.35 no.2
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    • pp.103-107
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    • 2012
  • This study was performed to design a modified Y-View as an imaging method for the Y-View in supine position for patients who requires Y-View imaging for the diagnosis of shoulder impingement syndrome but having trouble for the positioning of patients complaining of shoulder pain. On the result of comparative analysis of the images obtained by changing the lateral-medio degree of X-ray tube into $35^{\circ}$, $40^{\circ}$, and $45^{\circ}$ while patient is in supine position, $40^{\circ}$ of X-ray tube in lateral-medio direction produced the most valuable image for the diagnosis by best describing the shapes of acromion, clavicle space, and coracoacromial arch. Therefore, patients who have difficulty in Y-View position to obtain Y-View image, modified Y-View can be applied as a useful alternative method. By this study, various applications not only in shoulder impingement syndrome but also in diverse omarthralgia diseases are expected.