• Title/Summary/Keyword: Center Position

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Comparison of Sizes of Anatomical Structures according to Scan Position Changes in Patients with Interstitial Lung Disease Using High-Resolution Thoracic CT (고해상도 흉부 전산화단층촬영을 이용한 간질성 폐질환을 가진 환자의 자세에 따른 해부학적 구조물 크기 비교)

  • Lee, Jae-min;Park, Je-heon;Kim, Ju-seong;Lim, Cheong-Hwan;Lee, Ki-Baek
    • Journal of radiological science and technology
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    • v.44 no.2
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    • pp.91-100
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    • 2021
  • High-Resolution thoracic CT (HRCT) is a scanning protocol in which thin slice thickness and sharpness algorithm are utilized to enhance image resolution for diagnosis and assessment of interstitial lung disease (ILD). This examination is sometimes performed in both supine and prone position to improve sensitivity to early changes of these conditions. Anatomical structures (the size of lung field and heart and descending aorta) of 150 patients who underwent HRCT were retrospectively compared. HRCT had been conducted in two positions (supine and prone). Data were divided into five groups according to patient body weights (from 40 to more than 80kg, 10kg intervals, 60 patients/each group). Quantitative analysis was utilized in Image J program. In the supine position defined as the control group, the average values of lung fields and heart size and aorta were compared with the prone position defined as the experimental group. The size of the lungs was found to be higher in the supine position, and it was confirmed that there was a statistically significant difference in patients over 70 kg (p<0.05). In addition, both sizes of the heart and descending aorta were larger in prone position, but in the case of the heart, there was no correlation with the presence or absence of ILD disease (p>0.05). Also, the area of prone in the descending aorta was higher than supine position, but there was no statistically significant difference between supine and prone position (p>0.05). In conclusion, when the severity of ILD disease was severe, there was no statistically significant difference in the area difference between supine and prone position, so it is considered that it will be helpful in diagnostic decision.

The Effects of Foot Position on Electromyographic Activity of Knee Extensors in Standing (기립자세에서 발위치가 무릎 폄근의 등척성수축 근전도 활성도에 미치는 영향)

  • Kim, Seng-Jung;Kwon, Oh-Yun;Cho, Sang-Hyun;Hwang, Ji-Hye
    • Physical Therapy Korea
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    • v.8 no.2
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    • pp.1-16
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    • 2001
  • This study was designed to identify the effects of foot position on electromyographic (EMG) activity of the quadriceps femoris during maximum voluntary contraction (MVC) in standing. Twenty young adults who had not experienced any knee injuries were recruited. Their Q-angles were within a normal range. They were asked to stand in five different foot positions ($40^{\circ}$ externally rotated, $30^{\circ}$ internally rotated, neutral, $20^{\circ}$ plantarflexed, and $10^{\circ}$ dorsiflexed foot position). The EMG activities of the vastus lateralis (VL), rectus femoris (RF), and vastus medialis oblique (VMO) were recorded in standing by surface electrodes and normalized by MVC EMG values derived from manual muscle test. The normalized EMG activity levels (%MVC EMG) of muscles in the five foot positions were compared using repeated measures ANOVA. The EMG activity levels of the VL, RF, and VMO were the highest when foot was externally rotated. The EMG activity levels of the VL and RF were significantly different among the foot positions (p<.05). However, EMG activity levels of the VL, RF, VMO, and VMO/VL ratio did not show significant differences in each foot position (p> .05). The results suggest that the quadriceps femoris may be effectively activated by performing MVC at an externally rotated foot position. Therefore, the externally rotated foot position can be considered as an effective foot position for quadriceps femoris strengthening exercise. Further studies are needed to identify whether there are differences in the effects of foot position on muscle strength after MVC exercise of quadriceps femoris in standing.

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Development of Respiratory Motion Reduction Device System (RMRDs) for Radiotherapy in Moving Tumor: Construction of RMRDs and Patient Setup Verification Program

  • Lee, Suk;Chu, Sung-Sil;Lee, Sei-Byung;Jino Bak;Cho, Kwang-Hwan;Kwon, Soo-Il;Jinsil Seong;Lee, Chang-Geol;Suh, Chang-Ok
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.86-89
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    • 2002
  • The purpose is to develop a system to reduce the organ movement from the respiration during the 3DCRT or IMRT. This research reports the experience of utilizing personally developed system for mobile tumors. The patients clinical database was structured for 10 mobile tumors and patient setup error measurement and immobilization device effects were investigated. The RMRD system is composed of the respiratory motion reduction device utilized in prone position and abdominal strip device(ASD) utilized in the supine position, and the analysis program, which enables the analysis on patients setup reproducibility. Dose to normal tissue between patients with RMRDs and without RMRDs was analyzed by comparing the normal tissue volume, field margins and dose volume histogram(DVH) using fluoroscopy and CT images. And, reproducibility of patients setup verify by utilization of digital images. When patients breathed freely, average movement of diaphragm was 1.2 cm in prone position in contrast to 1.6 cm in supine position. In prone position, difference in diaphragm movement with and without RMRDs was 0.5 cm and 1.2 cm, respectively, showing that PTV margins could be reduced to as much as 0.7 cm. With RMRDs, volume of the irradiated normal tissue (lung, liver) reduced up to 20 % in DVH analysis. Also by obtaining the digital image, reproducibility of patients setup verify by visualization using the real-time image acquisition, leading to practical utilization of our software. Internal organ motion due to breathing can be reduced using RMRDs, which is simple and easy to use in clinical setting. It can reduce the organ motion-related PTV margin, thereby decrease volume of the irradiated normal tissue.

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Effectiveness of the Modified Position of Scapular AP Projection (견갑골 전후방향 검사 시 변형된 자세의 유용성 평가)

  • Huh, Jae;Lee, Seung-Chul;Park, Jung-Hoon;Kim, Kwang-Soo;Lee, Kwan-Sup
    • Korean Journal of Digital Imaging in Medicine
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    • v.15 no.2
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    • pp.7-11
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    • 2013
  • Purpose: This study was to evaluate effectiveness of the modified position in scapular AP (anteriopo-sterior) projection. Materials and Methods: From June 2012 to July 2013, scapular AP projection was examined in 108 patients by use of conventional method and in 40 patients by use of modified method. We compared between conventional method and modified method following variables including sex, age, height, weight, and BMI. We measured and compared distance between lateral border of the scapular and the rib to confirm the separation of the scapular from the lung fields including the ribs. Results: The scapular AP projection was technically successful in all patients. There was no significant difference in patient characteristics including sex, age, height, weight, and BMI between conventional method and modified method. The mean distance between lateral border of the scapular and rib in conventional method and modified method was 15.09 mm and 26.33 mm, respectively. Modified method was significantly increased the distance between lateral border of the scapular and rib compared with conventional method (P < .01). Conclusion: The modified position in scapular AP projection was effective method to separate between the scapular and lung fields including the ribs compared with conventional position of scapular AP projection.

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Reliability and Validity of a Korean Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients Unable to Self Report (자가보고 능력이 없는 중환자의 통증사정을 위한 한국어판 Critical Care Pain Observation Tool의 신뢰도와 타당도 검증)

  • Lee, Hee Og;Kim, Yeon Su;Lee, Chang Ok;Hur, Sung Yi;Kwon, In Gak
    • Journal of Korean Critical Care Nursing
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    • v.6 no.1
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    • pp.1-10
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    • 2013
  • Purpose: The purpose of this study was to examine the reliability and validity of a Korean version of the Critical Care Pain Observation Tool (CPOT) developed for assessment of pain in critically ill nonverbal patients. Methods: Data were collected from a convenience sample of 30 critically ill patients admitted to a medical ICU in a hospital. The CPOT was tested at before, during and 20 minutes after changing a position and suction. Upon establishment of content and translation equivalence between the English and Korean version of CPOT. Results: The interrater reliability was found to be acceptable with the kappa coefficients of .76-1. The construct validity of the pain scores were increased from 0.43 to 2.5 in changing a position (t=-8.60, p<.001)and 0.1 to 3.23 (t=-9.36, p<.001) in suctioning. The pain scores were decreased from 6.06 to 4.01 in changing a position (t=-10.19, p<.001) and 6.45 to 4.13 (t=-10.39, p<.001) in suctioning. The concurrent validity the correlations between pain scores and physiological indicators, and a increased in Heart rate before and after changing a position (r=.65, p<.001). Conclusion: The CPOT can be used as a reliable and valid measure to assess pain in critically ill nonverbal a medical ICU patients.

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Isoleucine at position 150 of Cyt2Aa toxin from Bacillus thuringiensis plays an important role during membrane binding and oligomerization

  • Pathaichindachote, Wanwarang;Rungrod, Amporn;Audtho, Mongkon;Soonsanga, Sumarin;Krittanai, Chartchai;Promdonkoy, Boonhiang
    • BMB Reports
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    • v.46 no.3
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    • pp.175-180
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    • 2013
  • Cyt2Aa2 is a mosquito larvicidal and cytolytic toxin produced by Bacillus thuringiensis subsp. darmstadiensis. The toxin becomes inactive when isoleucine at position 150 was replaced by alanine. To investigate the functional role of this position, Ile150 was substituted with Leu, Phe, Glu and Lys. All mutant proteins were produced at high level, solubilized in carbonate buffer and yielded protease activated product similar to those of the wild type. Intrinsic fluorescence spectra analysis suggested that these mutants retain similar folding to the wild type. However, mosquito larvicidal and hemolytic activities dramatically decreased for the I150K and were completely abolished for I150A and I150F mutants. Membrane binding and oligomerization assays demonstrated that only I150E and I150L could bind and form oligomers on lipid membrane similar to that of the wild type. Our results suggest that amino acid at position 150 plays an important role during membrane binding and oligomerization of Cyt2Aa2 toxin.

The Effects of Sling Bridging Exercise to Pain Scale and Trunk Muscle Activity in Low Back Pain Patients

  • Jeong, Eun Dong;Chae, Chang Woo;Yun, Hong Kyu;Woo, Kwang Seog;Kim, Dong Hyun;Kim, Seung Min
    • Journal of International Academy of Physical Therapy Research
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    • v.4 no.1
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    • pp.523-531
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    • 2013
  • Most patients with chronic low back pain experience functional disability of trunk muscle, and limitations in physical activity. While there are many types of exercise programs available, in recent years sling exercise has been emerging as the exercise program for spinal stabilization. It has been supported by a great amount of research with positive findings on its effectiveness. This research studies the effects of bridging exercise, conducted on a sling, on pain level and trunk muscle activation in supine, sidelying, and prone positions during a 4 weeks period. 10 healthy people(normal group, n=10) and 28 patients with low back pain participated in this study. 28 patients were divided into two groups; one group participated in exercise with the sling(experimental group, n=14) and the other group exercised without the sling(control group, n=14). They were asked to use the Numerical Rating Scale(NRS) to answer to the level of their pain they felt (no pain: 0 point, severe pain: 10 points). During sling bridging exercises, the muscle activity level in each muscle measured in each position was standardized as three seconds of EMG signals during five seconds MVIC. In conclusion, the experimental group with four weeks of sling bridging exercise experienced a statistically significant reduction in the pain level(p<.05) and increase in the muscle activities of erector spinae when in supine position, internal oblique when in sidelying position, and rectus abdominis in prone position(p<.05). Regular sling bridging exercise reduces the low back pain and enhances other trunk muscle activation, thereby positively affect spinal stabilization.

Development of a Data Reduction algorithm for Optical Wide Field Patrol

  • Park, Sun-Youp;Keum, Kang-Hoon;Lee, Seong-Whan;Jin, Ho;Park, Yung-Sik;Yim, Hong-Suh;Jo, Jung Hyun;Moon, Hong-Kyu;Bae, Young-Ho;Choi, Jin;Choi, Young-Jun;Park, Jang-Hyun;Lee, Jung-Ho
    • Journal of Astronomy and Space Sciences
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    • v.30 no.3
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    • pp.193-206
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    • 2013
  • The detector subsystem of the Optical Wide-field Patrol (OWL) network efficiently acquires the position and time information of moving objects such as artificial satellites through its chopper system, which consists of 4 blades in front of the CCD camera. Using this system, it is possible to get more position data with the same exposure time by changing the streaks of the moving objects into many pieces with the fast rotating blades during sidereal tracking. At the same time, the time data from the rotating chopper can be acquired by the time tagger connected to the photo diode. To analyze the orbits of the targets detected in the image data of such a system, a sequential procedure of determining the positions of separated streak lines was developed that involved calculating the World Coordinate System (WCS) solution to transform the positions into equatorial coordinate systems, and finally combining the time log records from the time tagger with the transformed position data. We introduce this procedure and the preliminary results of the application of this procedure to the test observation images.

Estimation of Center Error in Active Magnetic Bearings through a Pull Test (당기기 시험을 통한 능동 자기베어링의 중심 오차 추정)

  • Nam, Sunggyu;Noh, Myounggyu;Park, Young-Woo;Lee, Nam Soo;Jeong, Jinhee
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.41 no.2
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    • pp.121-127
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    • 2017
  • From the perspective of commercializing rotating machines equipped with magnetic bearings, maintaining the error between the mechanical center and the magnetic center within an acceptable level is crucial. The existing method of measuring the center error is to adjust the position references that minimize the current imbalance present in levitation control outputs. However, this method can be applied only after all the components of the system are operational. In this paper, we present a new method of estimating the center error by using only the position sensors and a current source. A force model that relates the position of the rotor with the coil currents is set up. Using this model, the center error is estimated by minimizing the difference between the force angles and the contact angles measured in a pull test. The feasibility of the method is numerically and experimentally validated.