• Title/Summary/Keyword: 운동분절

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Clinical Significance of Reverse Redistribution Phenomenon on Delayed Tc-99m Tetrofosmin Myocardial Perfusion Imaging in Patients with Acute Myocardial Infarction (급성 심근경색 환자의 Tc-99m Tetrofosmin 심근 관류 지연영상에서 관찰되는 역재분포 현상의 임상적 의의)

  • Park, Soon-Ah;Kim, Dae-Weung;Kim, Chang-Guhn;Jeong, Jin-Won;Kim, Nam-Ho;Yun, Kyeong-Ho
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.2
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    • pp.112-119
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    • 2009
  • Purpose: This study was performed to investigate the clinical significance of reverse redistribution(RR) phenomenon detected on delayed Tc-99m tetrofosmin myocardial single photon emission computed tomography(SPEG) in patients with acute myocardial infarction after revascularization. Materials and Methods: A Tc-99m tetrofrosmin myocardial SPECT was performed in 67 consecutive patients after revascularization for acute myocardial infarction. Myocardial SPECT imaging was performed for early imaging at 40 min and for delayed imaging at 180 min after reinjection at myocardial stress. Regional myocardial uptakes were scored by 4-point scoring in the left ventricular wall divided into 17 segments. Reverse redistribution was defined as an increase of more than 2 point in the activity score on the delayed image. Follow-up myocardial SPECT and coronary angiography(CAG) were performed 9 months later. Results: On myocardial SPECT performed following revascularization, RR was observed in 100 of all 319 segments(31%) and in 43 patients(64%). The abnormalities of perfusion and regional wall motion were more severe in the patients with RR compared to those without RR(p<0.05). On follow-up myocardial SPECT, the myocardial perfusion, regional wall motion, and myocardial thickness were significantly improved in the patients with RR(p<0.05) however, these changes were not significant in those without RR. There was no significant difference between the patients with RR and those without RR in the occurrence of restenosis on CAG. Conclusions: In patients with acute myocardial infarction, the regions showing the RR phenomenon on delayed Tc-99m tetrofosmin SPECT may reflect viable myocardium and indicate recovery of salvaged myocardium.

Quaternary Fault Activity of the Yangsan Fault Zone in the Samnam-myeon, Ulju-gun, Ulsan, Korea (울산광역시 울주군 삼남면 일대에 발달한 양산단층대의 제4기 단층운동)

  • Yang, Joo-Seok;Lee, Hee-Kwon
    • Economic and Environmental Geology
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    • v.47 no.1
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    • pp.17-27
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    • 2014
  • We investigated space-time patterns of Quaternary fault activity of the Yangsan fault zone using ESR ages in the Samnam-myeon region, Ulsan, Korea. Some of fault gouge zones consist of well-defined bands which added to the older gouge band, indicative of reactivation. During addition of new bands, the older gouge band was inactive, which represents the type I faulting mode. ESR analyses of each band of the gouge zone allow us to construct history of fault movement. The entire fault gouge zones were reactivated by type III faulting mode giving us ESR ages of the lastest reactivation. ESR dates show temporal clustering into active and inactive periods analogous to historic and paleoseismic fault activities. ESR ages and dates of fault movements indicate migration of fault activities along the Yangsan Fault Zone. Segments of the Quaternary faults in the study area are branched in the south of Sangcheon site. The earliest record of activity in segmented faults is recorded from the western segment to the northern segment. Before 750~850 ka ago, the fault gouge zone from the western segment to the northern segment were active. At 750~850 ka ago, the fault gouge zone from the eastern segment to the northern segment were active. During 630~660 ka and 480~540 ka only the northern segment was active. After 340 ka ago, the fault gouge zone from the western segment to the northern segment were active again.

Effect of Physical Training on Electrocardiographic Amplitudes and the QRS Vector (체력단련(體力鍛練)이 심전도파고(心電圖波高)와 QRS벡타에 미치는 효과(效果))

  • Yu, Wan-Sik;Hwang, Soo-Kwan;Kim, Hyeong-Jin;Choo, Young-Eun
    • The Korean Journal of Physiology
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    • v.18 no.1
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    • pp.51-65
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    • 1984
  • In an effort to elucidate the effect of physical training on the electrocardiographic amplitudes, QRS vector, axis and QRS vector amplitude, electrocardiograms were recorded before and 1, 5 and 10 minutes after 3 minute rebounder exercise in 23 healthy male students aged between 18 and 21 years in two groups of athletes and non-athletes. ECG amplitudes were measured from lead I, $V_1$ and $V_5$ and axis and amplitudes of QRS vectors were measured from lead I and III in frontal plane, from lead $V_2$ and lead $V_6$ in horizontal plane. The results obtained are summarized as follows. ECG amplitudes: The R wave amplitude was $23.38{\pm}1.14\;mm$ in athletes which was higher than $17.91{\pm}2.00\;mm$ in non-athletes. After exercise, the difference in two groups remained significant throughout the recovery period. The S wave amplitude was increased significantly, and the T wave amplitude was decreased in both groups after exercise. The P wave amplitude was increased in both groups after exercise, and it was lower in athletes than in non-athletes. The PQ segment amplitude was zero in athletes but negative in non-athletes than in the resting state. The J point amplitude was positive in resting state and was negative after exercise in both groups. J+0.08 sec point amplitude was also lowered after exercise, and it was higher in athletes than in non-athletes. Therefore the whole ST segment was proved to be decreased after exercise. The summated amplitude of R in $V_5$ plus S in $V_1$ was $38.74{\pm}2.71\;mm$ in athletes which was higher than $32.82{\pm}2.90\;mm$ in non-athletes. After exercise, it was also significantly higher in athletes than in non-athletes. Axis of QRS vector: In frontal plane, axis of QRS vector was $62.7{\pm}7.36^{\circ}$ in athletes, it showed no significant difference between the two groups. In horizontal plane, axis of QRS vector was $-23.5{\pm}7.2^{\circ}$ in athletes which was significantly higher than $-38.8{\pm}8.2^{\circ}$ in non-athletes. After exercise, it was significantly higher than the resting state in both groups. Amplitude of QRS vector : In frontal plane, amplitude of QRS vector was $13.86{\pm}1.44\;mm$ in athletes which was significantly higher than $9.62{\pm}0.97\;mm$ in non-athletes. After exercise, it was also significantly higher in athletes than in non-athletes. In horizontal plane, amplitude of QRS vector was $19.82{\pm}2.10\;mm$ in athletes which was significantly higher than $16.90{\pm}1.39\;mm$ in non-athletes. After exercise, it was also significantly higher in athletes than in non-athletes. From the above, these results indicate that R wave amplitude in athletes was significantly higher than in non-athletes before and after exercise, and that the summated amplitude of R in $V_5$ plus S in $V_1$ in athletes was also $38.74{\pm}2.71\;mm$ suggesting a left ventricular hypertrophy We should note that the PQ segment and ST segment amplitude were higher in athletes than in non-athletes, and they were decreased with exercise in both groups. In particular, the fact that amplitudes of QRS vector in frontal plane or in horizontal plane were significantly greater in athletes than in non-athletes may be an index in evaluating athletes.

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Kinematic Analysis of the Badminton Drive Motion (배드민턴 드라이브 동작의 운동학적 분석)

  • Wei, Lin-Lin;Oh, Cheong-Hwan;Jeong, Ik-Su;Park, Chan-Ho;Lee, Jeong-Tae
    • Korean Journal of Applied Biomechanics
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    • v.19 no.1
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    • pp.77-85
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    • 2009
  • This study is aimed at providing information on injury prevention and skill improvement by inducing the accurate movements in exercise as well as understanding the principles of badminton drive movements. Movement displacement of racket head showed the similar patterns among those surveyed but, it seemed that slight differences resulted from external factors such as height, length of brachial and forearm and individual trend of swing locus. Regarding upper joint angle per phase, the angles of shoulder joint, elbow joint and wrist joint were closely associated in taking drive movements and they supported the segment order theory that power was conveyed from proximal into distal. It was shown that angular velocity of upper joint became larger in follow through movement after impact among all those surveyed, which meant the importance of follow through in racket sports such as badminton. In conclusion, this follow through movement acts as an important factor in racket sports in terms of pose stability maintenance, pose correction of movements and injury prevention of joints. In summary, when swings are made according to segment order theory, efficient movements can be taken.

Myocardial Tracer Uptake in SPECT Images after Direct Intracoronary Injection Of TI-201: Comparison with Stress-Reinjection Images (관동맥내 주사 TI-201 SPECT에서 심근 분절의 섭취: 부하-재주사 TI-201 영상과의 비교)

  • Seo, Ji-Hyoung;Kang, Seong-Min;Bae, Jin-Ho;Lee, Yong-Jin;Lee, Sang-Woo;Yoo, Jeong-Soo;Ahn, Byeong-Cheol;Cho, Yong-Geun;Lee, Jae-Tae
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.4
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    • pp.291-298
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    • 2007
  • Purpose: To investigate the feasibility of TI-201 SPECT with intra coronary injection (lC-I) in the detection of viable myocardium, we have performed SPECT imaging after direct intracoronary injection of TI-201 and images were compared with those of stress-reinjection (Re-I) SPECT. Methods: Fourteen coronary artery disease patients (male 11, mean age 54 years) who had myocardial infarction or demonstrated left ventricular wall motion abnormality on echocardiography were enrolled. Three mCi of TI-201 was injected into both coronary arteries during angiography and images were acquired between 6- and 24-hour after injection. Reinjection imaging with 1 mCi of TI-201 was performed at 4-hour after adenosine stress imaging with 3 mCi of TI-201. Images were interpreted according to 4-grade visual scoring system (grade 0-3). Segments with mild to moderated uptake (${\leq}$grade 1), and upgraded more than one score with reinjection, and were defined as viable myocardium. Results: Image quality was poor in two cases with IC-I. Numbers of non-viable segments were 60 (23.8%) with IC-I, and 38 (15.1%) with Re-I, respectively. Overall agreement for perfusion grade per myocardial segment in each IC-I and Re-I was 76.5%. Overall agreement for viable segment between IC-I and Re-I was 90.5%. Only one out of 38 segments interpreted as non-viable with Re-I were interpretated as viable with IC-I. And 23 out of 214 segments interpreted as viable with Re-I were interpreted as non-viable with IC-I. Conclusion: Intracoronary TI-201 SPECT seemed to be not advantageous over stress-rest reinjection imaging in the assessment of myocardial viability, mainly due to low count statistics at 6-hour or 24-hour delayed time points. The feasibility of intracoronary TI- 201 SPECT is considered to be limited.

Kinematic Analysis of Airborne Movement of Dismount from High Bar(I) (철봉 내리기 공중 동작의 운동학적 분석(I))

  • Choi, Ji-Young;Kim, Youg-Ee;Jin, Young-Wan
    • Korean Journal of Applied Biomechanics
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    • v.12 no.2
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    • pp.159-177
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    • 2002
  • The purpose of this study was to investigate the relations between the segments of the body, the three dimensional anatomical angle and the angular velocity of the air born phase and understand the control mechanism of the high-bar movement, the somersault, the double somersault, the double somersault with full twist. For this study seven well trained university gymnastic volunteered, Zatsiorky and Seluyanov(1983, 1985)'s sixteen segment system anatomical model was used for this study. For the movement analysis three dimensional cinematographical method(Arial Performance Analysis System : APAS) was used and for the calculation of the kinematic variables a self developed program was used with the LabVIEW 5.1 graphical profromming(Johnson, 1999) program. By using Eular's equations the three dimensional anatomical Cardan angles of the joint and angular velocity were defined. As a result of this study 1. As the rotation of the body increased in the air born phase the projection angle of the CM of the total increased, this resulted the increased of the max hight of the CM. 2. In three dimensional angular velocity the Z axis(vertical direction) projection angular velocity increased as the rotation of the body increased in the airborn phase, but the Y axis and the X axis projection angular velocity did not show significant differences. 3. As the rotation of the body increased in the air born phase the angular movement of the shoulder and the hip showed significant change. These movement act as the starter in the preparation phase. 4. The somersault angle, the twist angle, the tilt angle of the upper body related to the global reference frame in the releas phase the average somersault angle of the three types of high-bar movement was $57.7^{\circ}$, $38.8^{\circ}$, $39.7^{\circ}$, the average tilt angle was $-1.5^{\circ}$, $-5.4^{\circ}$, $-8.4^{\circ}$, the average twist angle was $13.4^{\circ}$, $10.6^{\circ}$, $23.3^{\circ}$. This result showed that the somersault with full twist had the largest movement.

The Process of the Kinematic Coordination and Control of Dollyochagi Motion in Taekwondo (태권도 돌려차기 동작의 운동학적 협응 및 제어과정)

  • Yoon, Chang-Jin;Chae, Woen-Sik
    • Korean Journal of Applied Biomechanics
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    • v.18 no.2
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    • pp.95-104
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    • 2008
  • The purpose of this study was to investigate kinematic coordination and control of lower segments in skill process. For the investigation, we examined the difference of resultant linear velocity of segments and angle vs angle graph. Novice subjects were 9 male middle school students who has never been experienced a taekwondo and expert subjects were 7 university taekwondo players. We analyzed kinematic variables of Dollyochagi motion through videographical analysis and the conclusion were as follows. 1. Examining the graph of novice subjects' maximal resultant linear velocity of the thigh, shank, and foot segment, as it gets closer to the end of the training, the maximal resultant linear velocity in each segment increased. Statistical analysis showed the following results; thigh segment caused the increase of speed, using the trunk segment's momentum in the latter term of learning, while the shank segment utilized the momentum of the adjacent proximal segment at the beginning of learning, and the foot segment in the middle of learning. 2. Until the point where the knee joint angle is minimum, as the novice group learn the skill, the flexion of knee and hip joints has changed into the form of coordination pattern in phase. On the other hand, the expert group showed continual coordination pattern in phase that the movement sequences were smooth. From the knee joint maximal flexion to impact timing, all novice and expert groups showed coordination pattern out of phase. 3. From the knee joint maximal flexion to impact timing, the ankle joint was fixed and the knee joint was extended to all the novice stages and expert subjects.

Reproducibility of an Automatic Quantitation of Regional Myocardial Wall Motion and Systolic Thickening on Gated Tc-99m-MIBI Myocardial SPECT (게이트 Tc-99m-MIBI SPECT에서 국소 심근운동과 수축기 심근두꺼워짐 자동정량화법의 재현성)

  • Paeng, Jin-Chul;Lee, Dong-Soo;Cheon, Gi-Jeong;Kim, Yu-Kyeong;Chung, June-Key;Lee, Myung-Chul
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.6
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    • pp.487-496
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    • 2000
  • Purpose: The aim of this study is to investigate the reproducibility of the quantitative assessment of segmental wall motion and systolic thickening provided by an automatic quantitation algorithm. Materials and Methods: Tc-99m-MIBI gated myocardial SPECT with dipyridamole stress was performed in 31 patients with known or suspected coronary artery disease (4 with single, 6 with two, 11 with triple vessel disease; ejection fraction $51{\pm}14%$) twice consecutively in the same position. Myocardium was divided into 20 segments. Segmental wall motion and systolic thickening were calculated and expressed in mm and % increase respectively, using $AutoQUANT^{TM}$ software. The reproducibility of this quantitative measurement of wall motion and thickening was tested. Results: Correlations between repeated measurements on consecutive gated SPECT were excellent for wall motion (r=0.95) and systolic thickening (r=0.88). On Bland-Altman analysis, two standard deviation was 2 mm for repeated measurement of segmental wall motion, and 20% for that of systolic thickening. The weighted kappa values of repeated measurements were 0.807 for wall motion and 0.708 for systolic thickening. Sex, perfusion, or segmental location had no influence on reproducibility. Conclusion: Segmental wall motion and systolic thickening quantified using $AutoeUANT^{TM}$ software on gated myocardial SPECT offers good reproducibility and is significantly different when the change is more than 2 mm for wall motion and more than 20% for systolic thickening.

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Application of Stiffness Matrix Element for Finite Element Analysis of Spine (척추의 유한 요소 해석을 위한 강성 행렬 요소의 적용)

  • 정일섭;안면환
    • Journal of the Korean Society for Precision Engineering
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    • v.20 no.10
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    • pp.226-232
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    • 2003
  • Difficulties in the finite element modeling of human spine are evaded by using a stiffness matrix element whose properties can be characterized from experimentally measured stiffness of functional spinal units. Relative easiness is in that inter-vertebral discs, ligaments, and soft tissues connecting vertebrae do not need to be modeled as they are. The remarkable coupling effect between distinct degrees of freedom induced by the geometric complexity can be accommodated without much effort. An idealized block model with simple geometry for vertebra is employed to assess the feasibility of this method. Analyses are performed in both levels of motion segment and spinal column, and the result is compared with that from detail model. As far as the global behavior of spine is concerned, the simplification is found not to aggravate inaccuracy only if sufficient experimental data is provided and interpreted properly.

Angular Kinematic and Cross-correlation Analysis between Body Segments and Ski among Alpine Ski Turning Techniques (알파인 스키 회전기술에 따른 인체분절과 스키 간 각운동학 및 상호상관분석)

  • Kim, Joo-Nyeon
    • Korean Journal of Applied Biomechanics
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    • v.30 no.3
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    • pp.205-215
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    • 2020
  • Objective: The purpose of this study was to investigate the relative angles and cross-correlation between body segments and ski among four alpine ski turning techniques. Method: 19 alpine ski instructors participated in this study. Each skier asked to perform 4- types of turning technique, classified by radius and level. 8 inertial measurement units were used to measure orientation angle of segment and ski on the anteroposterior and vertical axis. Results: Significant differences were found between types of turning in the segments-ski relative angle on the anteroposterior and vertical axis (p<.05). Although, cross-correlation showed a high correlation between angles of segment and ski, there were significant differences between types of turning. Conclusion: Based on our results, the relative movement and timing between each segment and ski is different according to the turning techniques, so the training methods should be applied differently.