• 제목/요약/키워드: 체표 변화

검색결과 114건 처리시간 0.029초

단순 이차성 심방 중격 결손의 자연 경과와 성장에 따른 결손의 크기 변화 (The Natural Course and Size Change of Atrial Septal Defect Secundum)

  • 최덕영;최재영;김미진;설준희;이승규
    • Clinical and Experimental Pediatrics
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    • 제46권9호
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    • pp.871-875
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    • 2003
  • 목 적 : 소아에서 두 번째로 빈도가 높은 심방 중격 결손의 조기진단이 점차 증가하면서 그 자연 경과에 대한 재조명이 이루어지고 있으나 아직 미흡한 부분이 많으며 특히 결손의 크기 변화가 어떻게 되는지에 대해 보고가 많지 않은 현실이다. 이에 저자들은 소아에서 다른 선천성 심질환이 없는 순수한 이차성 심방 중격 결손 환아의 심초음파 추적 관찰을 통해 성장에 따른 결손크기의 변화에 대해 알아보고자 본 연구를 시행하였다. 방 법 : 1996년 1월부터 2000년 12월까지 5년간 연세 심장 혈관 병원 심장 소아과에서 새롭게 심방 중격 결손증으로 진단 받은 272명의 환아 중 다른 선천성 심질환이 있거나, 추적 관찰기간이 12개월 미만이었거나, 추적 관찰 도중 어떠한 이유든 수술이나 중재적 심도자술을 시행 받은 환아들을 제외한 89명을 대상으로 심초음파적 추적 관찰을 시행하였다. 심초음파적 크기는 늑골하 장, 단축면상에서 얻은 것으로 통일하였다. 진단 시 결손크기에 따라, 나이에 따라 각각 4개 군으로 나누어 각각의 군에서 결손의 자연 폐쇄 여부와 시간경과에 따른 결손의 크기변화(mm/월)를 알아보았다. 또한 폐쇄군과 비폐쇄군으로 나누어 각각의 군의 특징에 대해서 알아보았다. 결 과 : 대상 환아 89명 중 결손의 크기가 5 mm 미만인 군은 총 25명(28%), 이중 22명(88%)이 자연폐쇄 되었으며 평균 결손의 크기 변화는 -0.206(mm/월)이었다. 5-8 mm인 군은 총 22명(24.7%), 이중 10명(45.5%)이 자연 폐쇄되었으며 평균 결손의 크기변화는 -0.067이었다. 9-12 mm인 군은 총 26명(29.3%), 이중 3명(11.5%)이 자연 폐쇄되었으며 평균 결손의 크기변화는 +0.058이었다. 12 mm 초과인 군은 총 16명(18%), 이중 자연폐쇄는 없었으며 평균 결손의 크기변화는 +0.155이었다. 연령에 따른 분류에서 1, 2, 3, 5세를 기준으로 각각 기준 이하와 초과의 군으로 나누었을 때 3세까지는 자연 폐쇄와 결손의 크기변화가 통계학적으로 유의하게 차이가 있었으며(P<0.05) 5세가 되면 차이가 없어지는 것으로 조사되었다. 결손이 폐쇄된 군은 총 35명(39.3%), 폐쇄되지 않은 군은 54명(60.7%)으로 두 군 사이의 통계학적 차이는 진단 시 결손의 크기였다. 비폐쇄군의 절대적인 결손 크기변화는 +0.116(mm/월)으로서 통계학적으로 의미 있게 결손의 크기가 증가된 것으로 조사되었으나(P<0.005), 이를 체표면적으로 환산하였을 경우 통계학적 의미는 없었다. 결 론 : 소아의 단순 심방 중격 결손증에서 첫 진단 시 결손의 크기가 작을수록, 연령이 어릴수록 자연 폐쇄의 가능성이 높으며 자연 폐쇄되지 않는 경우 결손의 절대적 크기가 증가되나 체표면적으로 환산시 통계학적 의의는 없다. 결손의 자연 폐쇄는 평균 26.2개월에 이루어져 진단 후 약 2년 이상의 추적관찰이 필요하다.

뜸의 열적효과를 구현하기 위한 심부 열 자극 시스템 개발 (Development of Deep-Heating Stimulation System for Substituting the Heat Effect of Moxibustion)

  • 차지영;명현석;조성필;이경중
    • 전자공학회논문지SC
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    • 제46권6호
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    • pp.50-57
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    • 2009
  • 본 논문에서는 뜸의 열적 효과를 구현할 수 있는 심부 열 자극 시스템을 제작하고 뜸 자극에 의한 온도변화와 유사한 자극 프로토콜을 설계하고 평가하였다. 뜸은 질병에 대한 면역력을 높이고 질병을 치유하는데 사용하지만, 체표면에 화상을 입히는 부작용 및 열 자극의 세기를 조절하기 힘든 한계점이 있다. 이런 한계점을 극복하기 위해 자극의 세기 조절이 용이한 고주파 심부 열 자극 시스템을 개발하고, 심부에 뜸과 동일한 열 자극을 전달할 수 있는 프로토콜을 제안하여 뜸의 심부온도와 비교 하였다. 심부의 온도측정은 고주파의 영향을 받지 않는 적외선 열 센서를 사용해 측정하였고, 적외선 열 카메라 및 thermometer를 이용해 온도를 측정하고 비교하였다. 뜸과 심부 열 자극 시스템을 이용하여 심부에 자극을 인가한 후 측정한 온도변화를 비교한 결과, 표피에 가까울수록 유사한 온도 변화 패턴을 보여준 반면 심부로 내려갈수록 심부 열 자극 시스템의 열적효과가 뜸에 비해 더 효과적인 것을 알 수 있었다. 이를 통해 제작한 심부 열 자극 시스템과 열 자극 프로토콜의 유용성을 확인 할 수 있었다.

체표 온도 변화에 대한 문헌 고찰 (A literature study on change of surperficial temperature)

  • 김상록;이창훈;조정훈;장준복;이경섭
    • 대한한방체열의학회지
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    • 제4권1호
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    • pp.54-60
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    • 2005
  • Object: A study on the changes of superficial temperature as the ambient temperature varies. Method: After performing research on the physiologic mechanism of heat loss from skin, heat transfer to skin and heat productions of body, the conclusions would be drawn from experiments on temperature changes in every parts of the body as ambient temperature varies . Result and conclusion: Superficial temperature is in equilibrium with ambient temperature after a certain period. Part of the body with big change in superficial temperature tends to have slower temperature change and longer time for adaptation than the part with small change in superficial temperature. The temperature difference between left and right side of the body needs no attention. If adequate adaptation time, a short-period living supervision prior to measurements and appropriate indoor environment management are provided, meaningful conclusion would be attained for infrared thermal diagnosis.

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인삼 복용 전후 체표온도의 변화에 관한 임상적 연구 (A Clinical Study on the Effect of Ginseng to Control Superficial Body Temperature)

  • 최가야;조정훈;장준복;이경섭
    • 대한한방체열의학회지
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    • 제2권1호
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    • pp.49-55
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    • 2003
  • In Oriental medicine, Ginseng had been used for many diseases widely. It's main effects are suppling Qi and Promoting metastasis. The objective of this study is to examine the effect of Ginseng on control of body temperature. We conducted this study with 24 volunteers who had no problem in their health from November 2002 to January 2003. The body temperature were measured by DITI and thermometer before taking Ginseng and after 30minutes of the taking Ginseng extract 15g. We observed the difference of temperature among face chest and upper abdomen. All data were coded for computer analysis and significance were tested by Paired t-test and independent-t-test. According to our study, the axillary temperature show no signifiant change between two groups. The difference of temperature$({\Delta}T)$ between face and upper abdomen significantly increase after taking Ginseng extract(p<0.01). The difference of temperature$({\Delta}T)$ between face and chest significantly increase after taking Ginseng extract(p<0.05).

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상지체표변화에 따른 인간공학적 소매설계에 관한 연구 (A Stydy on the Ergonomic Sleeve Design by Body Surface Changes at Upper Extremity)

  • 최해주
    • 한국의류학회지
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    • 제19권6호
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    • pp.911-923
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    • 1995
  • The zone of expansion and contraction of arm surfaces was analyzed, the correlation between arm surface changes was studied, and ergonomic sleeve designs were presented in which the consideration of body surface changes is emphasized. Experiments were carried out which include 43 upper extremity segments, 21 motions and 35 female subjects. The major conclusions of the study are as follows : 1. As a sleeve drafting method, detailed measures should be applied on the base of the sensitivity of body surface changes. The range of arm surface changes can be divided into three zones : concentrated expansion zone, zone of little change, and contraction part. The maximum expansion zone was the upper part of elbow. 2. The correlations were higher in lengths than in circumferences. Arm lengths were mainly correlated with upper arms. The more detailed the arm surface was, the lower the correlations between surface changes were. So there was not a lot of relation between segment changes. Tendency of body surface changes depended on the anatomical structure of the upper extremity and the movements of arm muscles. 3. As an application of measures and ease, ergonomic sleeve designs weve presented in which arm surface changes were considered. Ergonomic sleeve designs are recommended for working clothes and sports wear.

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청년기($18{\sim}24$세) 여자의 상지 동작에 따른 체표 변화 연구 (A Study on the Variation of the Body Surface according to Arm-movements for Women (Age group between 18 and 24))

  • 장정아;김주애;김나영
    • 복식문화연구
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    • 제13권3호
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    • pp.439-451
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    • 2005
  • This study was to provide the fundamental data for the ease necessary to design clothes by investigating the variation of the upper body surface with the method of surgical tape. The subject were 8 young women in the standard somatotype. In the form of body surface according to arm movements, the shape of armscye circumference became gentle from the sunken form for the standing posture; scye depth became lower; lateral shoulder moved and rose toward the front center as the angle of arm movement became larger; scye depth is greatest in the standing. The items of horizontal ware largest in the standing posture except for front neck base circumference and front interscye breadth for side $90^{\circ}$ movement. In the items of vertical, while most of the front items increased but back ones generally decreased for all movement compared to the standing. After comparing differences in actual values between the form of body surface in the standing posture and the direct measurement, the following ease were suggested considering minimum measures to accommodate daily movements. Bust circumference/2 = 3cm; waist circumference/2 = 1.5cm; front interscye breadth/2 = 0.6cm; back interscye breadth/2 = 0.6cm; and underarm depth = 1.5cm

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$Moir\'{e}$ Photography법에 의한 동작시 체표면 형태 변화에 관한 연구 -상지 및 견갑골 부위를 중심으로- (A Study on the Variation of the Skin Surface According to Arm Movement by $Moir\'{e}$ Photography Method -In the area of uppearm and shoulder blade-)

  • 김혜경;조정미;서추연
    • 한국의류학회지
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    • 제14권4호
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    • pp.292-304
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    • 1990
  • The surface change of upperarm and shoulder blade area are caused by the extensive upper limb movement, thus it is necessary to measure the amount of change for constructing the clothing. Moire photography was taken after plastic casters of upperarm and shoulder blade area was prepared. 1. For the shoulder blade area, subjects showed the same change of surface area for the various limb positions, wherease, for the upperarm only at the $0^{\circ}\;and\;180^{\circ}$ limb position, same change was observed. 2. As the movement of the upperarm was increased, surface area of axillary part was increased and that of shoulder part was decreased. 3. To make a bodice pattern, the minimum size of the back with the ease were $\frac{B}{4}$+3.13 cm R for normal wear and $\frac{B}{4}$+5.75 cm for active wear. 4. As the movement of the arm was increased, the cross section for the upperarm were changed to elliptical shape. 5. For each horizontal basic line, there was a positive correlation between the amount of change of shoulder blad area and that of upperarm area.

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진동둘레선 설계를 위한 진동체표변화에 관한 연구 (Body Surface Changes at Armhole Area for the Pattern of Armhole Line)

  • 이정란;임원자
    • 한국의류학회지
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    • 제20권5호
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    • pp.930-942
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    • 1996
  • This study was done to provide the characteristics of body surface changes at armhole area. Experiments were carried out at upper arm and upper body inchuding 67 items, 74 segments by the stanard posture and arm movements. The subjects were 15 females of twenty aged. The major conclusions of this study are; 1. On the circumference items of upper arm, armhole circumference was decreased by all arm movement, especially high contracted on front armhole line. The most contracted segments of armhole circumference were from the shonlder point to front and back interscye breadth point. Axillary circumference was increased 5 cm to the utmost, so the function of sleeve pattern would be decided by axillary circumference. 2. The lengths of upper arm were decreased near center line, sleeve cap length was contracted 3∼4 cm. Posterior armpit point area was increased both length and breadth. According to the rates of expansion and contraction, the diagram of expansion and contraction of upper arm was suggested. 3. On upper body, back side chest breadth was increased exceedingly and shoulder length was decreased most. It was apparent that surface changes of upper body were greatly larger as far away from center front and center back line. The rates of expansion and contraction of upper body were also represented as a diagram of surface changes.

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하복의 체표변화에 따른 동작적합성에 관한 연구 -하복동작 및 체형을 중심으로- (A Study on the Movement-Fitness according to the Surface changing of Lower-Limb -On the Movements and Shapes of Lower-limb-)

  • 박영득;서영숙
    • 한국의류학회지
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    • 제20권2호
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    • pp.257-269
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    • 1996
  • The puropose of this study was to investigate the movement-fitness according to the surface changing of lower limb The experimental items were divided into the lower limb movements (5) and body-shapes (7). This study was done by the expansion and contraction rate consideration of length, girth Also, the lower half of body shape-change on the movements and body-shapes by flat shell was done simultaneously. The summarized findings resulted from experiments and investigation are suggested as follows; First, when commpared the expansion and contraction rate of the length and girth items, the expansion rate of the back crotch length (14~20%), hip girth (10~ 21%) and knee girth (6.2~18.5%) in rabbit leap movement was the most notable among all variables considered in this experimentation. On the others hand, the front croth length (-22~-52%) contracted remarkably. And big-thigh type was the most notable on the body-shape comparision. Second, in comparision of the expansion and contraction rate of the area on the blocks, the expansion of the hip (50~200%) and knee (51~74%) block was the most remarkable. Especially, in the sit on knees movement of the hip-down type expanded 209.4%. Third, in comparision of the lower half of body shape-change, on the movements and body- shapes by the flat shell, under the influence of knee-joint and hip-joint the shape-changs of the hip and knee block was the most notable. But the shape-change of the waist, abdomen, calf, and ankle was feeble.

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석고법에 의한 남성 상반신 체표면변화에 관한 피복인간공학적 연구 (A Study on the Upper Part of the Body Form Variation According to Arm Movements for Male by Plater Gypsum Experiments)

  • 김미경
    • 대한가정학회지
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    • 제30권3호
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    • pp.63-77
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    • 1992
  • The purpose of this study is to improve clothing construction by analyzing form variation of upper trunk & upper arms with the use of plaster cast. Experimental research was performed by plaster gypsum method. The subjects were males between age 21 and 25, classified Standard somatotype by their bust size and Rorher Index. Arm movements were consisted of 5 types(0$^{\circ}$, 45$^{\circ}$, 90$^{\circ}$, 135$^{\circ}$, 180$^{\circ}$) to each vertical motion in front. The statistical analyses used in this study were mean, standard deviation, repeated mesure design. The result obtained from this study were as follows; 1. As a result of investigating into the rate of the expantion and contraction of basic body-surfact-lines, the side seam length showed the maxium rate of expantion in 180$^{\circ}$ degrees, the shoulder length showed the maxium contraction in the same degrees. 2. The variation of the upper part of the body form by increasing the upper limb motions, shoulder point was moved to be the inside or upside. And the anterior armfit point, posterior armfit point and armfit point were moved to upside. The form of the armhole-line in Drafts of a body surface was differently changed by increasing the movements. 3. Increasing the upper limb motions, the height of sleeve cap decresed and width of the sleeve decreased but girths of the sleeve cap was not show consistant change.

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