• Title/Summary/Keyword: 흉곽

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Effects of Chest Expansion Resistance Exercise on Chest Expansion and Maximal Inspiratory Pressure in Patients with Stroke (흉곽확장저항운동이 뇌졸중 환자의 흉곽가동범위와 최대흡기압에 미치는 영향)

  • Kim, Chang-Beom;Choi, Jong-Duk
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.1
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    • pp.15-21
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    • 2015
  • PURPOSE: This study compared the effects of chest expansion resistance exercise (CERE) and breathing retraining (BRT) on stroke patients' chest expansion and maximal inspiratory pressure(MIP), thereby intending to present an effective intervention method for enhancing their respiratory functions. METHODS: The subjects were 30 stroke patients and randomly and equally assigned to a CERE group (10), a BRT group (10), and a control group (10). The intervention was applied to each group five times per week, 30 minutes per each time, for six weeks. A tapeline was used to measure upper and lower chest expansion and MIP prior to and after the intervention and the results were compared. RESULTS: After the intervention, the upper and lower chest expansion was considerable in the CERE group (p<.01), significant in the BRT group (p<.05) but was not significant in the control group (p>.05). According to the post-hoc test result, the upper and lower chest of the CERE group and the BRT group significantly expanded compared to that of the control group (p<.05) and the upper and lower chest of the CERE group statistically significantly expanded relative to that of the BRT group (p<.05). According to the MIP evaluation result, the CERE group saw considerable improvement (p<.01) and the BRT group underwent significant changes (p<.05), but there were no significant changes in the control group (p>.05). The post-hoc test result was that the CERE group and the BRT group saw significant improvement compared to the control group (p<.05) and the CERE group experienced statistically significant enhancement relative to the BRT group (p<.05). CONCLUSION: As an intervention for respiratory function improvement, CERE is considered effective for strengthening respiratory muscles and promoting chest expansion through manual resistance by a therapist.

Studies on a Korean Unrecorded Phamphilid -sawfly (Hymenoptera, Symphyta) Feeding on Korean Pine. taxonomical and Morphological Studies (잣나무를 식해한는 한국미기록종 넓적잎벌(막혈목, 고아요아목) 에 관한 연구 (I)-형태 및 분류학적 연구)

  • 이덕상
    • The Korean Journal of Zoology
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    • v.4 no.1
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    • pp.1-6
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    • 1961
  • 본 논문은 경기도광릉시험목에서 잣나무를 식해하는 한국미기록종 잣나무넓적잎벌(신칭)을 재료로 하여 1958-1961 년에 연구한 것을 기록한 것이다. (1) 본충은 막혈목 광요아목 편엽봉과의 Acantholyda nemoralis에 해당하는 것으로서, 이것의 학명으로는 R.B.Benson T의 설에 따라 Acantholyda posticalis posticalis MATSU.MURA를 채용하기로하였다. (2) 분포지로는 개지의 일본, 몽고, 시베리아 외에 한국을 추가한다. 구라파에서는 별개의 아종이 있다. 본종의 서식지로는 현재까지 경기도의 광fmd, 가평, 양주와 강원도의 충성군이 알려져있을 뿐이다. (3) 성충의 체색은 대체로 흑색이나, 두부와 훙부에 황색의 무늬가 많\ulcorner. 촉색은 황갈색 사상으로 유충은 웅충은 33절, 자충은 32절로 되었다. (4) 란은 QH트형으로 그 양단이 상외방으로 돌출, 산란직후의 색은 광택있는 담황갈색을 정하나 3일이 경과하면 담자황록색으로 변한다. 길이 약 3 mm , 폭 약 0.7mm이다. (5) 부화유충의 채색은 대적황색이나 , 머리와 흉곽은 흑색이다. 머리가 크고 몸통은 가늘다. 체장 약 3.5mm, 체폭 약 0.7mm. 성열유충의 체색은 담황갈색이나, 배선 및 기문상선은 선명한 적색이다. 3상의 흉곽과 한쌍의 미각이 있고, 망막은 없다. 두부는 키틴질화하였고, 갈색이며, 촉색은 7 절로되어 있고 대사가 발달하였다. 체장 약 27.4mm, 체폭 약 4.5mm , 전용은 적색의 배선 및 기문상선이 없고, 전신이 등황색이며, 촉색의 배측에 칠흑색의 커다란 복안을 가지고있는 점등이 성열유충과 다른 점이다. 암컷이 될 것은 크고 (체장 약 20-26mm), 수컷이 될 것은 작다(체장 약 3-17mm). (6) 용은 나용으로 용화직전의 것은 단지 복안과 단안만이 흑색을 정하고 , 타부분은 전부황색이지만 시간이 경과함에 따라 색이 변한다. 체장 약 17mm, 체폭 약 5mm.

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Treatment of Tumor Involving Thoracic Inlet by Using Transmanubrial Osteomuscular Sparing Approach - One case report- (흉강입구를 침범한 종양의 근골보존 경흉골병 접근술을 이용한 치유 -1예 보고-)

  • Choi Chan Young;Kim Wook Sung;Ryoo Ji Yoon;Chang Woo Ik;Kim Min-Kyung;Cho Seong Joon;Kim Yeon Soo
    • Journal of Chest Surgery
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    • v.38 no.2 s.247
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    • pp.175-179
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    • 2005
  • The operative case of transmanubrial osteomuscular sparing approach for the tumor involving thoracic inlet is reported. A 69-year-old man visited the hospital due to right upper extremity weakness. Chest roentgenogram showed bronchiectasis, chronic pulmonary tuberculosis, and fungal ball in right upper lobe. On computed tomogram, tumor was located in epidural space of the 6th, the 7th cervical, and the 1st thoracic spine and extended to the apex of the right thorax. A neurosurgeon performed laminectomy and removed the tumor located in the spinal canal. A thoracic surgeon performed a transmanubrial osteomuscular sparing approach and removed the tumor involving thoracic inlet. The tumor was diagnosed as hemangiopericytoma. The patient recovered without complication.

Tumor Seeding after Percutaneous Transthoracic Needle Biopsy of Metastatic Pulmonary Ameloblastoma (경피적 흉부 생검 이후에 발생한 전이성 폐 법랑모세포종의 종양 파종)

  • Hye Mi Park;Yun Hyeon Kim;Hyo Soon Lim;So Yeon Ki;Hyo-jae Lee;Jong Eun Lee;Won Gi Jeong
    • Journal of the Korean Society of Radiology
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    • v.82 no.4
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    • pp.1000-1004
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    • 2021
  • Percutaneous transthoracic needle biopsy (PTNB) is a minimally-invasive procedure that is an indispensable tool for evaluating pulmonary lesions. Though extremely rare, tumor seeding of the pleura and chest wall can occur as a complication. Given that the breast is located anterior to the thorax, needle tracking through the breast is inevitable when PTNB is performed using the anterior approach. We describe tumor seeding of metastatic pulmonary ameloblastoma in the pectoralis muscle layer of the breast along the needle track of PTNB in a 51-year-old female presenting with a palpable lump in the right breast.

Radiological Projection for Diagnosis of Shoulder Subluxation in Patients with Post-Stroke Hemiplegia (편마비 환자에서의 견관절 아탈구 진단에 유용한 촬영법)

  • Cho, Kwang-Ho;Kang, Yeong-Han
    • Journal of radiological science and technology
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    • v.32 no.3
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    • pp.253-259
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    • 2009
  • Purpose : The purpose of this study was to find out useful radiological projection of shoulder subluxation in patients with post-stroke hemiplegia. Methods : A total of 33 patients with post-stroke hemiplegia were included(20 men and 13 women, mean age 62.3 years) and having the subluxed shoulder over one finger breath. The shoulder subluxation was determined as the ratio of the radiographic vertical and horizontal distance. The vertical distance was determined by measuring the distance between the most inferolateral point of the acromion and the central point of the humeral head. The horizontal distance was determined by measuring the distance between the central point of the glenoid fossa and the central point of the humeral head. To measure of the shoulder subluxation, the shoulder AP, axial and transthoracic lateral projections were taken on both affected and unaffected shoulders. We analyzed the difference of subluxation distance by t-test. Results : When patients was in sitting position, the average time of being shoulder subluxation was 123 second. There was significant difference between supine($49.90{\pm}13.6\;mm$) and sitting position($60.72{\pm}16.3\;mm$) in the vertical distance of shoulder anterior-posterior projection. Also, there was significant difference on transthoracic lateral projections, Affected $35.92{\pm}6.2\;mm$, Unaffected $28.76{\pm}5.4\;mm$. But in case of shoulder axial projection(supine position), there was no significant difference (Unaffected and affected was $23.01{\pm}9.0\;mm$, $22.45{\pm}8.2\;mm$ each). Conclusion : Radiological projection of shoulder subluxation has diagnostic value when it goes after check out the process of subluxation through finger breadth test. For this, patients must be in sitting and shoulder neutral position about 2 minutes. In addition, Shoulder anterior-posterior and transthoracic projection were significant to diagnose subluxation. But in axial projection, there wasn't meaningful differences.

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A Comparison Study of Aerosol Samplers for PM10 Mass Concentration Measurement (PM10 질량농도 측정을 위한 시료채취기의 비교 연구)

  • Park, Ju-Myon;Koo, Ja-Kon;Jeong, Tae-Young;Kwon, Dong-Myung;Yoo, Jong-Ik;Seo, Yong-Chil
    • Journal of Korean Society of Environmental Engineers
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    • v.31 no.2
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    • pp.153-160
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    • 2009
  • A PM10 (aerodynamic diameter${\leq}$10 ${\mu}m$) sampler is used to quantify the potential human exposure to suspended particulate matter (PM) and to comply with the governmental regulation. This study was conducted to compare and evaluate the same PM10 cutpoint and different slopes between United States Environmental Protection Agency (USEPA) PM10 sampling criterion and American Conference of Governmental Industrial Hygienists/$Comit\acute{e}$ $Europ\acute{e}en$ de Normalization/International Organization for Standardization thoracic PM10 sampling criterion through theory and experiment. Four PM10 samplers according to the USEPA criterion and one RespiCon sampler in accordance with the thoracic PM10 criterion were used in the present study. In addition, one DustTrak monitor was used to measure real time PM10 mass concentrations. All six aerosol samplers were tested in a PM generation chamber using polydisperse fly ash. Theoretical mass concentrations were calculated by applying the measured particle size distribution characteristics (geometric mean = 6.6 ${\mu}m$, geometric standard deviation = 1.9) of fly ash to each sampling criterion. The measured mass concentrations through a chamber experiment were consistent with theoretical mass concentrations in that a RespiCon sampler with the thoracic PM10 criterion collected less PM than a PM10 sampler with the USEPA criterion. The overall chamber experiment results indicated, when a PM10 sampler was used as a reference sampler, that (1) a RespiCon sampler had a normalizing factor of 1.6, meaning that this sampler underestimated an average 60% of PM10 mass sampled from a PM10 sampler, and (2) a DustTrak real-time monitor using a PM10 inlet had a calibration factor of 2.1.

Tracheobronchial Stenosis due to Malrotation of the Heart -A case report - (심장의 이상 회전으로 유발된 기관기관지의 협착 1예)

  • Kim Jin Sun;Choi Seon Uoo;Lee Hoseok;Yang Ji-Hyuk;Jun Tae-Gook
    • Journal of Chest Surgery
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    • v.38 no.12 s.257
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    • pp.863-865
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    • 2005
  • We experienced tracheobronchial stenosis caused by malrotation of the heart in a 3-year-old girl. Malrotation of the heart is induced by the decreased right lung volume, which was the result of right lung hypoplasia and herniation of the left thoracic cavity. We corrected the right lung volume and location of the heart to treat tracheobronchial stenosis.

The Clinical Studies on the Hand Paresthesia of Patients with Thoracic Outlet Syndrome (흉곽출구증후군 환자의 손저림에 대한 임상적 연구)

  • Lee, Hyo Keun;Park, Jong Hyeong;Hwang, Gwi Seo
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.3
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    • pp.187-195
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    • 2013
  • Objective : This study was aimed to investigate the effective treatment for patients with thoracic outlet syndrome. Method : This study was carried out to established the clinical criteria of thoracic outlet syndrome. We collected and analyzed the data of patients had come to the GyeonWoo Oriental Medical Clinic after traffic accidents from January 1, 2011 to December 31, 2011. The patients with thoracic outlet syndrome were treated with acupuncture, chuna therapy for 4 weeks. Visual Analog Scale(V.A.S.) was used as the tools determining the effects of oriental medical treatment on neck pain. Result : The treatment of Korean Medicine(KM) including acupuncture, chuna therapy decreased V.A.S. significantly. Conclusion : Acupuncture, chuna therapy were useful treatment for relieving the hand paresthesia due to thoracic outlet syndrome.

Rehabilitation after Bankart and SLAP Repair (Bankart 병변과 SLAP 병변 수술 후 재활)

  • Kim, Yang-Soo
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.2
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    • pp.75-81
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    • 2008
  • 견관절의 안정요소 중 정적 안정요소는 관절와 상완 연골 인대 복합체나 관절 일치성 등으로서 재활 과정 중 신장 운동에 관여하며, 회전근 개 근육과 각 관절 사이의 운동 조화 등으로 이루어진 동적 안정요소는 근력 강화 운동으로 재활이 이루어진다. 견관절 불안정성에 대한 수술 후 재활은 복원된 조직을 보호하면서 동시에 주위 조직과의 유착을 방지하고 관절 운동 범위를 향상하기 위해 통증을 유발하지 않는 범위 내에서 부드러운 수동 관절 운동을 먼저 실시한다. 능동적 관절운동은 수술한 조직이 치유될 충분한 시간이 경과되었거나 환자가 통증없이 독립적인 견관절 운동이 가능할 때 실시한다. 견갑와 상완 관절뿐만 아니라 견갑 흉곽 운동과 견갑골 부착 근육에 대한 재활이 제대로 이루어져야 수술 후 만족할 만한 결과를 얻을 수 있다. 끝으로 본문에 상술한 모든 재활 프로그램은 환자의 개개인의 특성에 맞춰 운동 내용과 시기를 조정하여 개별화해야 효과적인 재활이 이루어질 수 있다.

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Intrathoracic Lesion Showing Multiple Cysts and Pneumothorax (다발성 낭종과 기흉을 보이는 흉곽내 병변)

  • Song, Hyun-Mo;Lee, Heung-Bum;Lee, Yong-Chul;Rhee, Yang-Keun;Han, Young-Min
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.3
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    • pp.419-423
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    • 1995
  • Pulmonary histiocytosis X is an idiopathic benign disease characterized by proliferation and infiltration of lung tissue by characteristic Langerhans cells and eosinophils. Pulmonary histiocytosis X is common in young male adults, and shows variable clinical characteristics. We experienced a case of pathologically proven pulmonary histiocytosis X in a 30-year-old man who visit to our hospital due to chest discomfort and cough. The chest radiograph of our patient shows right pneumothorax and characteristic multiple thin-walled cysts on the both upper lung fields. The HRCT shows multiple thin-walled cysts, a few scattered nodules in both upper and right middle lung, and right pneumothorax.

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