• Title/Summary/Keyword: 생리적 검사

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The Clinical Value of Dual Time Point F-18 FDG PET/CT Imaging for the Differentiation of Colonic Focal Uptake Lesions (장관 내 국소 섭취증가 병소의 감별에 있어 추가 지연 F-18 FDG PET/CT의 임상적 유용성)

  • Kim, Jin-Suk;Lim, Seok-Tae;Jeong, Young-Jin;Kim, Dong-Wook;Jeong, Hwan-Jeong;Sohn, Myung-Hee
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.4
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    • pp.309-316
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    • 2009
  • Purpose: F-18 FDG can be accumulated in the liver, bowel, kidney, urinary tract, and muscles physiologically. The aim of this study was to evaluate the clinical value of dual time point 18F-FDG PET /8 imaging for the differentiation of the colonic focal uptake lesions. Materials and Methods: One hundred thirty two patients (M:F = 77:55, Age 62.8$\pm$11.6 years) underwent $^{18}$F-FDG PET/CT at two time points, prospectively: early image at 50-60 min and delayed image at 4-4.5 hours after the intravenous injection of $^{18}$F-FDG. Focally increased uptake lesions on early images but disappeared or shifted on delayed images defined a physiological uptake. For the differential evaluation of persistent focal uptake lesions on delayed images, colonoscopy and histopathologic examination were performed. SUVmax changes between early and delayed images were also compared. Results: Among the 132 patients, 153 lesions of focal colonic uptake were detected on early images of $^{18}$F-FDG PET/CT. Of these, 72 (47.1%) lesions were able to judge with physiological uptake because the focal increased uptake disappeared from delayed image. Among 81 lesions which was showed persistent increased uptake in delayed image, 61 (75.3%) lesions were confirmed as the malignant tumor and 14 (17.3%) lesions were confirmed as the benign lesions including adenoma and inflammatory disease. Remaining 6 (7.4%) lesions were confirmed as the physiological uptake because there was no particular lesion in the colonoscopy. In the malignant lesions, the calculated dual time point change for SUVmax ($\Delta$%SUVmax) was 20.8$\pm$18.7%, indicating a significant increase in SUVmax between the two point (p<0.01). In contrast, the change in SUVmax for the non-malignant lesions including benign lesions and physiological uptake was -13.7%$\pm$24.2%. For the differentiation of the malignant and non-malignant focal colonic uptake lesions, $\Delta$%SUVmax was the most effective parameter, and the cut-off value using -5% provided the best sensitivity, specificity, and accuracy. Conclusion: The dual time point $^{18}$F-FDG PET/CT imaging with SUVmax change evaluation could be an important noninvasive method for the differentiation of malignant and benign focal colonic uptake lesions including physiologic uptake.

An Analysis of the Healing Effects of Forest Therapy and Horticultural Therapy (숲치유와 원예치료의 치유효과 분석)

  • Park, Sun-A;Jeong, Moon-Sun;Lee, Myungwoo
    • Journal of the Korean Institute of Landscape Architecture
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    • v.43 no.3
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    • pp.43-51
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    • 2015
  • Stresses from desolate urban environments cause illnesses and worsen health conditions of urban residents, while natural environments have a positive influence on human. Natural healing programs such as forest therapy and horticultural therapy can be differentiated by the characteristic of activity space. However, previous studies of healing programs have focused on either forest therapy or horticulture therapy and there is a limit to comprehending the effects of adopting and connecting various healing programs. This study compares and analyzes the physiological and psychological effects of forest therapy and horticultural therapy to identify the effects and differences by types of healing programs. The before and after effects of horticultural therapy and forest therapy are measured by experiment and survey for 5 days with 5 subjects in each program. For physiological reaction, blood pressure, pulse, and cortisol levels are measured and the profile of moods states(POMS) is used to measure psychological reaction. Collected data are analyzed with the analysis of variance(ANOVA) and Paired-Sample T-test in SPSS 18.0. The results of this study are as follows: 1) forest therapy and horticultural therapy show positive effects in physiological and physiological aspects, 2) forest therapy is more effective than horticultural therapy in physiological relaxation and stress mitigation, 3) horticultural therapy has a tendency to alleviate depression more effectively than forest therapy. In conclusion, this study contributes to providing fundamental information for the development of healing programs and design guidelines for healing spaces through identifying the characteristics of each healing program.

Electrocephalographic Manifestations of Transient Stress Responses While Performing a Memory Task With Background White Noise (배경 백색소음하에서 기억과제를 수행할 때 겪는 단기 스트레스의 뇌파 특성)

  • ;Estate Sokhadze
    • Science of Emotion and Sensibility
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    • v.2 no.1
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    • pp.137-145
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    • 1999
  • 열 두 명의 피험자가 안정상태 일 때, 백색 소음에 노출되었을 때, 백색 소음 하에서 기억과제에 주의를 기울일 때, 백색 소음 하에서 기억 검사를 받을 때, 기록된 뇌파에 대해 relative power spectrum 분석을 하였다. 뇌파는 전두, 측두, 후두 영역에서 단극 유도법으로 기록되었다. 분석 결과, 백색 소음에만 노출되었을 때나, 백색 소음 하에서 기억과제에 주의를 기울일 때나 비슷한 전기피질(electrocortical) 반응이 나타났다. 즉, delta power의 증가, 알파 blocking, fast beta power의 증가, 스트레스를 일으킨다고 피험자들이 평정한 배색 소음 하에서 기억검사를 받을 때에도 동일한 뇌파 패턴이 나타났지만 그 크기가 유의하게 컸다. 정보를 지각할 때 전형적으로 나타나는 반응을 유발하는 스트레스원에 수동적으로 노출되었을 때("intaki"상황)의 생리 반응과 스트레스 상황에 적극적으로 대처할 때("rejection")의 생리 반응을 구분하는 이론 틀 아래서 데이터를 해석하였다. 스트레스 후 기간에 대부분의 뇌파 변수들이 기저선 수준으로 회복된 것으로 보아 사용한 스트레스 유발 모델은 단기적 스트레스 반응만을 유발한 것으로 보인다. 이는, 더 장기적으로 지속되는 스트레스원을 사용하게 되면, tonic상태의 전기피질 반응이 나타날 것을 시사한다.기피질 반응이 나타날 것을 시사한다.

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기류 저지법을 이용한 발성시의 공기역학적 검사법 제1보, 정상성인 남녀의 검사치

  • 문영일;김종남;정성민;박미향;이지애;민정하
    • Proceedings of the KSLP Conference
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    • 1994.06b
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    • pp.83-83
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    • 1994
  • 발성기구의 생리학적 연구나 발성장애의 병태를 검사함에 있어서 폐로부터 송출되는 호기의 에너지가 성문에 있어서 어느 정도로 목소리의 음원으로 변환되는 지를 아는 것은 대단히 중요하다. 이것을 알기 위해서는 발성시의 호기류율과 함께 성문하에 있어서의 호기압을 측정하여 발성된 목소리의 강도와의 관계를 조사할 필요가 있다. 기류 저지법을 이용한 발성시의 공기역학적 검사법은 발성장애에 대한 공기역학적 검사의 한 방법으로, 기류 저지법을 사용한 발성시의 호기압(폐내압)측정을 호기류율, 목소리 강도, 높이의 측정과 조합시키는 방법으로 장치는 기류저지용의 회전 셧터를 발성기능 검사장치의 mouth piece에 접촉시킨 것이다. (중략)

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Factors associated with surgical polysomnography and Videofluoroscopy in patients with obstructive sleep apnea (폐쇄성수면무호흡증 환자에 있어서 수면다원검사 및 Videofluoroscopy의 수술적 인자와의 연관성)

  • Kim, Ki-Jeong;Jung, Hong-Ryang
    • Proceedings of the Korea Contents Association Conference
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    • 2015.05a
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    • pp.145-146
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    • 2015
  • 폐쇄성수면무호흡증(Obstructive sleep apnea syndrome : OSAS)은 신경근육계, 호흡계, 심혈관계의 복합적인 질환으로서 사회적, 생리학적으로 심각한 문제를 발생시킬 수 있는 질병이다. 수술적치료를 결정하기에 앞서 환자의 증상 및 징후, 신체 상태와 습관 등을 정밀검사하고, 기도폐쇄가 일상생활 및 정신건강에 미치는 영향을 고려하여 수술여부를 결정하여야 한다. 폐쇄성수면무호흡증후군의 진단에 유용한 검사인 수면다원검사와 Videofluoroscopy의 검사결과를 바탕으로 수술소견을 비교분석하고자 하였다.

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DNA Ploidy as a Predictive Index of Therapeutic Response in Lung Cancer (폐암환자에서 치료에 대한 반응 예측지표로서의 DNA Ploidy)

  • Choi, In-Seon;Lee, Shin-Seok;Yang, Jae-Beom;Park, Kyung-Ok;Jung, Sang-Woo
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.2
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    • pp.150-158
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    • 1992
  • Background: Although many authors have reported that the median survival time of surgically resected non-small cell lung cancer (NSCLC) was shorter in aneuploid than in diploid determined by flow cytometry, there are few reports about DNA ploidy using bronchial brushing material in all types of lung cancer. Method: The DNA ploidy test results of 109 consecutive patients with lung cancer were analyzed to find the relationship of DNA ploidy and anatomic or physiologic stage. And the differences of the response to various therapeutic modalities according to DNA ploidy were evaluated at least 8 weeks after the begining of the therapy. Results: Numbers of patients with DNA aneuploid pattern or high proliferative activity (S+G2M>22%) were not different among the various cell types of lung cancer. The relationship of DNA ploidy and anatomic or physiologic stage was not significant. However, NSCLC patients with high proliferative activity showed more advanced anatomic stage than those without that (p<0.05). The short-term response rate to therapy depended on the anatomic (p<0.005) or physiologic stages (p<0.05) in patients with NSCLC, and not on DNA ploidy or proliferative activity. Conclusion: DNA ploidy test using bronchial brushing material revealed that high proliferative activity means advanced anatomic stage, but it was not useful to predict the therapeutic response.

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Ultrasonographic Findings and Usefulness in Ulnar Neuropathy at the Elbow (주관절부 척골 신경병증에서의 초음파 소견 및 유용성)

  • Kim, Dong-Hu;Cho, Chul-Hyun;Lee, Kyung-Rak
    • Clinics in Shoulder and Elbow
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    • v.15 no.2
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    • pp.109-116
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    • 2012
  • Purpose: The aim of this study was to evaluate preoperative ultrasonographic findings and usefulness in ulnar neuropathy around elbow. Materials and Methods: Twenty-two patients with ulnar neuropathy were performed preoperative ultrasonogram. The route, location, thickness of the ulnar nerve and space occupying lesion through longitudinal scan were evaluated. Cross-sectional areas of the ulnar nerve were measured at the level of medial epicondyle and 3 cm proximal and distal to the medial epicondyle through axial scan. Correlations between swelling ratio of ulnar nerve and eletrophysiologic study and preoperative Dellon's assessment were checked. Results: In 21 cases (95.6%) of total 22 cases, diffuse swelling of the ulnar nerve around elbow were identified. 4 cases had space occupying lesions including 3 ganglionic cysts and 1 heterotopic ossification. Cross sectional areas at the level of medial epicondyle were significantly larger than at the level of 3 cm proximal and distal to the medial epicondyle (p<0.05). There were no statistically significant correlations between swelling ratio of ulnar nerve and eletrophysiologic study and preoperative clinical assessment (p>0.05). Conclusion: This study showed that ultrasonography was helpful to detect etiology of ulnar neuropathy around elbow such as space occupying lesion, morphological change or dislocation of ulnar nerve. It could be useful tool for diagnosis and treatment in patients with ulnar neuropathy at elbow.

The Effect of Korean version of Mindfulness-Based Stress Reduction Program on Chronic Pain of Workers. (한국형 마음 챙김 명상에 기반한 스트레스 감소 프로그램이 만성통증에 미치는 효과)

  • Susie Kim ;Sang-sub Ahn
    • Korean Journal of Culture and Social Issue
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    • v.15 no.3
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    • pp.359-375
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    • 2009
  • This study developed a program that integrated MBSR-K and progressive muscular relaxation for the health and well-being of patients with chronic pain, and proved its effectiveness by studying 40 chronic pain patients. This program used nature of mind, body scanning meditation, breath meditation, mindfulness meditation, Hatha yoga and progressive muscular relaxation to ease chronic pain. Whenever negative feelings and emotions such as fear, anxiety, and pain occurred, the program focused on those emotions and observed the outcome. This program, which was based on the results of the preceding studies, was composed of eight courses. Major findings of the study are as follows: First, the meditation group that was composed of patients with chronic pain had significant decrease of physical symptoms compared to the control group. Second, to confirm the outstanding features of the participating patients with chronic pain that brought change in the effect of the program, characteristics of clients were analysed. Third, the program factor that influenced the effectiveness of the treatment process was evident when the training was performed twice a week rather than having once a week of training and second week for homework.

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Association analysis between sports talent test scores and KOSTASS scores (스포츠영재성 검사 항목과 코스타스 점수간의 연관성 분석)

  • Park, Cheol-Yong;Lee, Mi-Sook
    • Journal of the Korean Data and Information Science Society
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    • v.22 no.1
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    • pp.57-64
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    • 2011
  • The Korea Sport Talent Search System (KOSTASS) can easily assess potential of Korean youth in 23 sport events and to identify sports talents who have high potential in track-and-field, swimming and gymnastics. The purpose of present study was to analysis relationship between sports talent test scores and KOSTASS scores. Physique, physical fitness, motor ability and physiological tests including skeletal age were administrated. Data of 201 elementary students who aged 7 to 12 living in Seoul area were collected. For pure association analysis, Pearson correlation coefficient and partial correlation coefficient are used and stepwise regression analysis is used for selecting important sports talent test scores. The results show that skeletal age, weight, chest circumference, 50-meter run, and half-squat jump have relatively low impact on six KOSTASS scores. The KOSTASS program would contribute to identify talented youth in sports among Korean youth population and success for international sports competition.

A Study of Physiological Changes by The Types of Paralysis Model in Activity Daily of Living (마비모델 유형별 일상생활활동 수행 시 생리적 변화 연구)

  • Sim, Kyoung-Bo;Kim, Dong-Hyun;Kim, Hee-Jung;Moon, Jung-In;Kim, Hyoung-Min
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.2
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    • pp.21-30
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    • 2011
  • The previous studies were prevalent a study of treatment like a environmental modification or compensative approach and intervention which used in today to paralyzed patients. These interventions were related with occupational therapy widely. The purpose of this study is to provide a basic datum for environmental modification, compensative approach, and intervention observing physiological changes which is shown in early paralyze patients. The subjects were 40 students who were 20 female and 20 male in a college. The students were devided into hemiplegic and paraplegic model. The model was designed using a experimental cloths. A instrument to measure body composition was a precision instrument. The results of the study were as follow: First, there was no different homogeneity between activity daily of living of hemiplegic and paraplegic model. Second, there was a significant different body water and basal metabolic rate between before and after activity daily of living of hemiplegic model. Third, there was a significant different body water and basal metabolic rate between before and after activity daily of living of paraplegic model. Forth, there were no significant different physiological change between after activity daily of living of hemiplegic model and paraplegic model. We observed early changes of body composition using a hemiplegic and paraplegic model. We could know it was reduced body water rate and basal metabolic rate in regardless of type of paralysis. Therefore, it is important to know these physiological changes of paralyzed patients and improve body water and basal metabolic rate of the patients.

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