• 제목/요약/키워드: Center Position

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잡종견 급성폐손상 모델에서 Prone position 시행시 PEEP 수준에 따른 호흡 및 혈류역학적 효과 (The Respiratory and Hemodynamic Effects of Prone Position According to the Level of PEEP in a Dog Acute Lung Injury Model)

  • 임채만;진재용;고윤석;심태선;이상도;김우성;김동순;김원동
    • Tuberculosis and Respiratory Diseases
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    • 제45권1호
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    • pp.140-152
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    • 1998
  • 배 경: 호흡부전의 치료에 있어 환자 체위를 prone position으로 하는 시도는 20년 전부터 보고되어 왔으며 폐산소화 및 심박출량 향상에 효과가 있다는 것이 알려져 있다. Prone position시 폐산소화의 호전은 임상 및 동물 실험에서 단락 감소에 의한 것으로 알려져 있으며 그 중요 기전은 supine position에 비해 prone position때 중력 의존부 폐의 늑막압이 더 작아 폐포 개방압이 줄어들기 때문인 바 저자 등은 prone position이 폐산소화에 미치는 효과는 supine position에서 사용한 PEEP의 폐포 고비 개방압과의 관계에 따라 달라질 것으로 추정하였다. Prone position에서의 심박출량 증가에 대하여는 양압환기시 발생하는 cardiac fossa lifting 현상이 prone position에 의해 완화될 수 있다는 주장이 제기된 바 있어 prone position이 또한 supine position에서 PEEP에 의해 초래된 심박출량 저하를 완화시킬 수 있는지를 잡종견 급성 폐손상 모델을 통해 알아보고자 하였다. 방 법 : 잡종견 7 마리 ($20.0{\pm}3.9$ kg)를 정맥 마취 후 기관내관을 삽관하고 인공호흡기를 Vt 15 ml/kg, f 20/min, I : E=1 : 3, pause 10%, PEEP 0 cm $H_2O$, $F_1O_2$ 1.0으로 설정하였다. 혈압, 분당맥박수, 폐동맥쐐기압, 심박출량 등의 측정과 동맥혈가스분석을 위해 서혜동맥과 폐동맥 천자술을 시행하였다. 대조기에 supine position 및 prone position 30분에 각각 호흡 지표 ($PaO_2/F_1O_2$[P/F], 총호흡기계탄성 [Cst]와 supine position, prone position 5분 및 prone position 30분에 혈류역학적 지표(평균동맥압, 분당 맥박수, 심박출량, 박출용적)을 측정하고 섭씨 38도의 생리식염수 (30~50 ml/kg)를 기관내관을 통하여 주입하여 급성 폐손상을 유도한 뒤 constant flow 법에 의해 inflection point(Pflex)를 측정하였다. 급성 폐손상에서의 supine position과 prone position실험은 Pflex보다 2 cm $H_2O$ 낮은 PEEP(Low PEEP)과 2 cm $H_2O$ 높은 PEEP (Optimal PEEP)에서 순차적으로 시행하고 각각 통일 시간대에 상기 지표들을 측정하였으며 Optimal PEEP 실험 마지막에 다시 supin position으로 체위를 바꾸고 5분 뒤 혈류역학적 지표들을 측정하였다. 결 과: 1. Prone position 시행시 Low PEEP 및 Optimal PEEP에서의 호흡 효과의 차이 Low PEEP하에서 P/F 비는 supine position에서 $195{\pm}112$ mm Hg, prone position 30분에서 $400{\pm}33$ mm Hg였고 (p<0.001) Optimal PEEP하에서 P/F 비는 supine position에서 $466{\pm}63$ mm Hg, prone position 30분에서 $499{\pm}63$ mm Hg였다 (p=0.016). Prone position에 의한 P/F 비 싱승량은 Low PEEP하에서 $205{\pm}90$ mm Hg로 Optimal PEEP($33{\pm}33$ mm Hg) 하에서 보다 유의하게 높았다(각각 p<0.05). 2. Prone position의 혈류역학적 효과 Low PEEP하에서 심박출량은 supine position($3.0{\pm}0.7$ L/min) 과 비교하여 prone position 5분 $3.3{\pm}0.7$ L/min(p=0.0180)로 증가하였고 prone position 30분 $3.7{\pm}0.8$ L/min(p=0.0630)로 차이가 없었다. 분당맥박수는 각각 $141{\pm}22\;min^{-1}$, $141{\pm}22\;min^{-1}$(p=0.8658) 및 $176{\pm}28\;min^{-1}$(p=0.0280)이었고 폐동맥쐐기압은 차이가 없었다. Optimal PEEP하에서 평균동맥압은 각각 $87{\pm}19$ mm Hg, $107{\pm}18$ mm Hg(p=0.0180) 및 $108{\pm}16$ mm Hg(p=0.0180), 심박출량은 각각 $2.4{\pm}0.5$ L/min, $3.3{\pm}0.6$ L/min(p=0.0180) 및 $3.6{\pm}0.7$ L/min(p=0.0180), 그리고 박출용적은 각각 $14{\pm}2$ml, $20{\pm}2$ ml(p=0.0180) 및 $21{\pm}2$ ml(p=0.0180)였다. 분당맥박수는 체위 변경에 따른 차이가 없었고 폐동맥쐐기압은 각각 $10.1{\pm}2.4$ mm Hg, $9.1{\pm}2.7$ mm Hg(p=0.0180) 및 $9.0{\pm}3.1$ mm Hg(p=0.0679) 이었다. Optimal PEEP하 prone position에서 다시 supine position으로 체위를 바꾸고 5분 후 평균동맥압은 $92{\pm}23$ mm Hg, 심박출량은 $2.4{\pm}0.5$ L/min, 그리고 박출용적은 $14{\pm}1$ ml로 모두 감소하였다(모두 p<0.05). 결 론 : 잡종견 급성폐손상 모델에서 prone position은 비교적 낮은 수준 PEEP의 폐산소화 호전 효과를 중대시켰고, 비교적 놓은 수준 PEEP에 의한 심박출량 저하를 완화시켰다. 이러한 결과들은 심박출량을 유지하면서 폐산소화를 호전시키고자 하는 ARDS 환자에서의 기계환기의 목표를 달성하는데 있어 prone position이 supine position보다 유리하다는 것을 시사한다.

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Direct Position Determination of Coherently Distributed Sources based on Compressed Sensing with a Moving Nested Array

  • Yankui, Zhang;Haiyun, Xu;Bin, Ba;Rong, Zong;Daming, Wang;Xiangzhi, Li
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제13권5호
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    • pp.2454-2468
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    • 2019
  • The existing direct position determinations(DPD) for coherently distributed(CD) sources are mostly applicable for uniform linear array(ULA), which result in a low degree of freedom(DOF), and it is difficult for them to realize the effective positioning in underdetermined condition. In this paper, a novel DPD algorithm for coherently distributed sources based on compressed sensing with a moving nested array is present. In this algorithm, the nested array is introduced to DPD firstly, and a positioning model of signal moving station based on nested array is constructed. Owing to the features of coherently distributed sources, the cost function of compressed sensing is established based on vectorization. For the sake of convenience, unconstrained transformation and convex transformation of cost functions are carried out. Finally, the position coordinates of the distribution source signals are obtained according to the theory of optimization. At the same time, the complexity is analyzed, and the simulation results show that, in comparison with two-step positioning algorithms and subspace-based algorithms, the proposed algorithm effectively solves the positioning problem in underdetermined condition with the same physical element number.

Verification of Periodical Calibration for Iso-center Positions using Quality Assurance System for Irradiation Equipment Position Established at PMRC

  • Yasuoka, Kiyoshi;Ishikawa, Satoko
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.192-194
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    • 2002
  • We present the results on the calibration of iso-center positions using the quality assurance system established at PMRC for determination of center position in X-ray and proton irradiation fields. Details on the system are presented in another presentation in this session. The equipment in the system is mounted on a patient treatment bed in each proton exposure room, G1 or G2. A center of a stainless ball on the equipment is set at a cross of laser markers located around the iso-center and fixed on the room and on the snout in the gantry. A proton beam or an X-ray beam is exposed onto the ball through a brass collimator of 100 mm ${\times}$ 100 mm and projected onto the imaging plate set at I cm behind the ball. On the axis perpendicular to the thrust axis of the gantry on the imaging plate, a distance between a center of the collimator image and a center of the ball image varies as a cosine function of gantry angles unless the ball is set on the iso-center. An amplitude of the cosine curve shows the distance between the ball and the iso-center, an offset the offset of the collimator, and a phase shift at a zero crossing point the ball direction viewed from the iso-center. We present the relation among the iso-center position, the laser maker position, and the center of proton and X-ray irradiation fields. Its stability and its reproducibility are discussed.

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정상유동 장치에서 유동 특성 평가 방법에 대한 연구(4) - 유속분포(2) (Study on Evaluation Method of Flow Characteristics in Steady Flow Bench(4) - Velocity Profile(2))

  • 박찬준;성재용;엄인용
    • 한국자동차공학회논문집
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    • 제24권2호
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    • pp.242-254
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    • 2016
  • This paper is the forth investigation on the evaluation methods of flow characteristics in a steady flow bench. In the previous works, it was concluded that the assumption of the solid rotation might cause serious problems and both of the eccentricity and the velocity profile distort the flow characteristics when using the ISM at 1.75B plane. Also particle image velocimetry (PIV) measurement at this position showed that the real velocity profile was far from the assumption of ISM evaluation. In this paper, the planar velocity profiles were measure from 1.75B to 6.00B position by PIV and the characteristics were examined according to the valve angles and lifts for further investigations about the effect of the position on the velocity profile. The results show that $26^{\circ}$ valve angle is always an unique exceptional case in all aspects. If the valve angle is $21^{\circ}$ and below, the planar velocity profiles according to the lift and the position are similar to each other, however, the tangential velocity curves along with the radial direction have common tendencies up to $16^{\circ}$ angle. Also the well arranged swirl behaviors are generally observed at the position above 3.00B and the velocity contour lines come closer to the concentric circle as the valve lift increases. In addition, the gradient of tangential velocity along with the radial direction from the swirl center becomes stable and constant as the position goes downstream. Concurrently the velocity gradient is larger to the eccentric direction of the center. In the meantime the tangential velocity curves along with the radial direction are irregular and various at 1.75B, however, they become regular and reach higher level as the evaluation position goes downstream. At this time the curves of 4.50B are the best fitted to the ideal one. On the other hand in an exceptional case, $26^{\circ}$, the velocity contours are very complicated over 6mm valve lift regardless the position and the gradient increases to the opposite direction of the eccentric center. Also, 6.00B is a best fitting position in the geometrical cylinder center base. With respect to the swirl center, the distribution range of centers for 1.75B is different to that for the other positions and the eccentricities of this plane are larger regardless the valve angle. After 1.75B, there is no certain tendency in the center position change according to the valve angle and lift. Additionally, the eccentricities are not sufficiently small to neglecting the effect on ISM measurement.

PDFF Controller Design by CDM for Position Control of Traveling-Wave Ultrasonic Motor

  • Nundrakwang, S.;Isarakorn, D.;Benjanarasuth, T.;Ngamwiwit, J.;Komine, N.
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2003년도 ICCAS
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    • pp.1847-1852
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    • 2003
  • Ultrasonic motors have many excellent performances. A variety of ultrasonic motors has been developed and used as an actuator in motion control systems. However, this motor has nonlinear characteristics. Therefore, it is difficult to achieve the precise position control system incorporating with the ultrasonic motor. This paper describes a position control scheme for traveling-wave type ultrasonic motor using a pseudo-derivative control with feedforward gains (PDFF) controller designed by the coefficient diagram method (CDM). The PDFF control system satisfies both the tracking and regulation performances, which are the most important for the precise position control system. The CDM is shown to be an efficient and simple method to design the parameters of PDFF controller. The effectiveness of the proposed control system is demonstrated by experiments.

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수정 하후변환을 이용한 전선의 중심위치의 인식 (Recognition of the Center Position of Electric Line Using Modified Hough Transform)

  • 안경관
    • 한국정밀공학회지
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    • 제20권1호
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    • pp.99-106
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    • 2003
  • Uninterrupted power supply has become indispensable during the maintenance task of active electric power lines as a result of today's highly information-oriented society and increasing demand of electric utilities. The maintenance task has the risk of electric shock and the danger of falling from high place. Therefore it is necessary to realize an autonomous robot system. In order to realize these tasks autonomously, the there dimensional position of target object such as electric line and the stand of insulator must be recognized accurately and rapidly. The insertion task of an electric line into a sleeve is selected as the typical task of the maintenance of active electric power distribution lines in this paper. A modified hough transform is applied to the recognition of the center of electric line and optimal target position calculation method is newly derived in order to recognize the center 3 dimensional position of the electric line. By the proposed method, it is proved that the center position of the electric line can be recognized without respect to the noise of image and the shape of electric lines and the insertion task of an electric tine is realized.

Performance Evaluation of MTF Peak Detection Methods by a Statistical Analysis for Phone Camera Modules

  • Kwon, Jong-Hoon;Rhee, Hyug-Gyo;Ghim, Young-Sik;Lee, Yun-Woo
    • Journal of the Optical Society of Korea
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    • 제20권1호
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    • pp.150-155
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    • 2016
  • To evaluate the autofocusing performance of recent mobile phone cameras, it is necessary to determine the peak position of the center field MTF (Modulation Transfer Function), -known as the through focus MTF- of the module. However, the MTF peak position found by conventional methods deviates from the ideal position due to the focus scanning resolution of mobile phone cameras. This inaccurate peak position results in false judgements of the optical performance, leading to yield losses or customer complaints. An increase in the focus scanning resolution can address this problem, but the manufacturing UPH (Unit per Hour) level will also unfortunately increase as well, resulting in a loss of manufacturing capabilities. In this paper, several fitting models are studied to find an accurate MTF peak position within a short period of time. With an analysis of a large amount of manufacturing data, it is demonstrated that the fitting methods can reduce false judgements and simultaneously increase the capabilities of the manufacturing system.

로봇비젼 시스템을 이용한 핫코일의 자동라벨링 시스템 구현 (An Implementation of the Labeling Auto.ation system for Hot-coils using a Robot Vision System)

  • 이용중;김학범;이양범
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1996년도 하계학술대회 논문집 B
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    • pp.1266-1268
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    • 1996
  • In this study an automatic roiling-coli labeling system using robot vision system and peripheral mechanism is proposed and implemented, which instead of the manual labor to attach labels Rolling-coils in a steel miil. The binary image process for the image processing is performed with the threshold, and the contour line is converted to the binary gradient which detects the discontinuous variation of brightness of rolling-coils. The moment invariants algorithm proposed by Hu is used to make it easy to recognize even when the position of the center are different from the trained data. The position error compensation algorithm of six degrees of freedom industrial robot manipulator is also developed and the data of the position of the center rolling-coils, which is obtained by floor mount camera, are transfered by asynchronous communication method. Therefore even if the position of center is changed, robot moves to the position of center and performs the labeling work successfully. Therefore, this system can be improved the safety and efficiency.

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초음파 영상에서 극하근 힘줄병의 단계와 관찰가능 범위에 환자의 자세가 미치는 영향 (Effect of Patient's Positioning on the Grade of Tendinosis and Visible Range of Infraspinatus Tendon on Ultrasound)

  • 채지원;이주호;김동현;박진아;오소희;신수미
    • 대한영상의학회지
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    • 제84권3호
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    • pp.627-637
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    • 2023
  • 목적 환자의 자세가 극하근의 힘줄병의 단계, 두께와 관찰가능 범위에 영향을 주는지 알아보고자 하였으며, 이로써 내전자세에서 초음파로 극하근을 평가하는 것이 가능한지 알고자 하였다. 대상과 방법 이 연구는 극하근을 세 가지 다른 자세(중립자세, 내전자세, 반대쪽 어깨에 손을 얹은 자세)로 평가한 48명의 환자의 52개의 어깨를 대상으로 하였다. 두 명의 영상의학과 전문의가 후향적으로 극하근의 힘줄병의 단계를 grade 0에서 grade 3까지, 관찰가능 범위를 grade 1에서 grade 4까지 판정하였다. 극하근의 두께는 다른 영상의학과 전문의가 단축 영상에서 측정하였다. 일반화추정방정식을 통계적 기법으로 사용하였다. 결과 반대쪽 어깨에 손을 얹은 자세에서 힘줄병의 단계는 내전자세보다 누적승산비가 2.087(p = 0.004, 95% 신뢰구간: 1.268-3.433)로 더 높았으나, 중립자세에서 힘줄병은 단계는 내전자세(p = 0.146)와 반대쪽 어깨에 손을 얹은 자세(p = 0.370)와 유의한 차이가 없었다. 극하근의 두께(p < 0.001)는 자세에 따라 유의한 차이가 있었으나, 관찰가능 범위(p = 0.530)는 유의한 차이가 없었다. 결론 환자의 자세는 극하근의 힘줄병의 단계와 두께에는 영향을 주었지만 관찰가능 범위에는 영향을 주지 않았다. 내전자세에서도 초음파로 극하근을 평가하는 것이 가능하다.

항로표지용 AIS 및 RTU가 부착된 부유식 등부표의 이출위치 연구 (A Study on the Separated Position of Floating Light Buoy Equipment with AtoN AIS and RTU)

  • 문범식;유윤자;김민지;김태균
    • 한국항해항만학회지
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    • 제46권4호
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    • pp.313-320
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    • 2022
  • 해상에 설치된 등부표는 기상, 통항선박에 의해 생성된 외력 등에 영향을 받아 위치가 항상 유동적이다. 등부표의 위치는 항로표지용 AIS와 RTU를 통해 확인 가능하다. 본 연구는 최근 5년간(2017-2021년) 등부표의 위치데이터를 분석하여 등부표의 최대 이출위치를 분석하였다. 연구결과 등부표의 위치데이터는 기본오류가 17.9%가 존재하였다. 또한 분석대상 등부표 197기의 이출위치 오류는 70.64%이고, 장비별로는 항로표지용 AIS 보다는 RTU가 심하였다. 한편, 등부표의 위치데이터를 플로팅한 결과 4가지 유형으로 구분되었다. 가장 일반적인 침추중심형, 침추를 중심으로 위치가 2개 구역으로 구분되는 침추중심 2분형, 중심이 변동된 중심 이동형 그리고 일정기간 위치가 중심을 벗어나는끌림형이다. 침추중심형(유형-1)을 제외하고는 등부표가 설치된 위치에 따라 유형이 결정되었다. 본 연구는 등부표의 위치데이터를 분석한 첫번째 연구로서 본 연구가 등부표 위치데이터의 품질 향상에 기여하기를 기대한다.