• Title/Summary/Keyword: Head tilt

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A Study to Acquire Sharp Images in the Haas(Skull PA Axial Projection) (Haas 촬영법에서 선예한 영상 획득을 위한 연구)

  • Ahn, Jun-Ho;Han, Jae-Bok;Song, Jong-Nam;Kim, In-Soo
    • Journal of the Korean Society of Radiology
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    • v.16 no.3
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    • pp.319-325
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    • 2022
  • The Study In order to obtain a sharpness Image from Skull PA axial projection (Haas) in a head axial X-ray Examination, this study changed the posture angle using Skull Phantom and evaluated the image subjectively to 5 radiologists who worked in the Department of Imaging at University Hospital. In the prone position, the head was lowered 4 cm from the back of the head, entered 25° toward the head, and the image evaluation score was high with 20 points, such as the back bone, dorsum sellae projected in the large hole, and posterior clinoid process. In addition, the score significance was verified, and the Cronbach Alpha value was evaluated to have good reliability of 0.789. As a result of calculating the signal-to-noise ratio (SNR) by setting the region of interest (ROI) of the image, it was the highest at 5.957 for 25° incident at the back of the head and 6.430 for 30° incident at the back of the head. As a result of the study, in order to obtain a sharp image of the back of the head bone, dorsum sellae, and posterior clinoid process when shooting in the axial direction after the head, it is filmed by tilting 25° toward the head from 4 cm below the back of the head. In order to obtain a sharp image of rock pyramid symmetry, petrous ridge, sagittal suture, and lambdoid suture, it is thought that it will be helpful for clinical use if you shoot it 8cm down from the back of the head and tilt it 30° toward the head.

Intrusion of Supraspinatus Outlet by the Humeral Head in Rotator Cuff Disease (회전근 개 질환에서 상완골 두의 극상근 출구의 침범)

  • Chun Jae-Myeung;Bin Seong-Il;Kim Eugene;Lee Hoi-Jin;Kim Sung-Moon;Kim Key-Yong
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.250-255
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    • 1998
  • Purpose of the study was to analyze the supraspinatus outlet image of sagittal MRI in rotator cuff disease. We analyzed the sagittal views of the shoulder MRI of 78 cases without cuff tear. The cases were divided into 51 cases of rotator cuff disease group and 27 cases of control group. Six parameters of acromial tilt, coracoacromial ligament angle, length and height of coracoacromial triangle, length of acromial side of the baseline and distance of intrusion of the humeral head were compared for each group. The distance of intrusion of the humeral head was the most significantly different one, 0.52cm for rotator cuff disease group and 0.15cm for control group. Intrusion of the humeral head to the supraspinatus outlet space from the bottom may be a contributing factor developing rotator cuff disease. The intrusion may precede to tearing of the rotator cuff.

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Orthostatic symptoms does not always manifest during tilt-table test in pediatric postural orthostatic tachycardia syndrome patients

  • Huh, Tae-Eon;Yeom, Jung Sook;Kim, Young-Soo;Woo, Hyang-Ok;Park, Ji Sook;Park, Eun Sil;Seo, Ji-Hyun;Lim, Jae-Young;Park, Chan-Hoo;Park, Ki-Jong;Youn, Hee-Shang
    • Clinical and Experimental Pediatrics
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    • v.56 no.1
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    • pp.32-36
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    • 2013
  • Purpose: Chronic day-to-day symptoms of orthostatic intolerance are the most notable features of postural orthostatic tachycardia syndrome (POTS). However, we have encountered patients with such symptoms and excessive tachycardia but with no symptoms during the tilt-table test (TTT). We aimed to investigate whether POTS patients with chronic orthostatic intolerance always present orthostatic symptoms during the TTT and analyze the factors underlying symptom manifestation during this test. Methods: We retrospectively examined patients who presented with POTS at the Gyeongsang National University Hospital between 2008 and 2011. Diagnosis of POTS was based on chronic day-to-day orthostatic intolerance symptoms as well as excessive tachycardia during the TTT. The patients were divided two groups depending on the presentation of orthostatic symptoms during the TTT. Clinical data and the results of the TTT were compared between these groups. Results: In 22 patients, 7 patients (31.8%) did not present orthostatic symptoms during the test. Diastolic blood pressure (BP) was significantly lower in the symptom-positive group. The head-up tilt resulted in a significant increase in diastolic BP in the symptom-negative group (P=0.04), while systolic BP had a tendency to decrease in the symptom-positive group (P=0.06). Conclusion: Significant patients with POTS did not present orthostatic symptoms during the TTT despite having chronic daily symptoms. This finding may be important for establishing definitive diagnostic criteria for pediatric POTS. Development of symptoms during TTT might be related to low diastolic BP and abnormal compensatory responses to orthostasis.

Shock Vibration Control of Hard-Disk Drive Using Coupled Shock Spectrum Analysis in Time-Frequency Domain (시간-주파수 영역에서의 연성 충격 스펙트럼 분석을 통한 하드디스크 드라이브의 충격진동 제어 (현장개발사례: SAMSUNG HDD 'SPINPOINT V40/P40 SERIES'))

  • Han, Yun-Sik;Kang, Seong-Woo;Oh, Dong-Ho;Hwang, Tae-Yeon;Son, Young
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2001.05a
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    • pp.1111-1116
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    • 2001
  • A transient T-F(time-frequency) signal processing technique is applied to a tilt drop and a linear shock test rigs for identification of shock characteristics of hard disk drive (HDD). The T-F technique essentially tracks the shock characteristics of pivot point response as well as head slap and lift-off phenomena. From the T-F analysis result, the shock characteristic in HDD is modeled by the two degree of freedom coupled-dynamic system, which consists of actuator arm and suspension. As shock designing tool, the maximax shock response spectrum is employed for prediction of shock performance. Finally, the shock control technique is tested with newly designed actuator arm and suspension. Experimental head slap test result shows that the shock performance is much higher with the new shockproof designed model than the current model

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A Case of Meningoencephalitis Managed with Imatinib Mesylate in a Maltese Dog; Clinical and Serial Magnetic Resonance Imaging Findings (말티즈 견에서 발생한 뇌수막염에서 이마티닙을 적용한 증례; 임상적 그리고 연속적인 자기공명영상 결과)

  • Jung, Dong-In;An, Su-Jin;Hwang, Tae-Sung;Lee, Hee-Chun;Song, Joong-Hyun;Cho, Kyu-Woan
    • Journal of Veterinary Clinics
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    • v.34 no.2
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    • pp.152-155
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    • 2017
  • A 5-year-old intact female Maltese dog was referred to us with a history of left side head tilt and ataxia. Based on magnetic resonance imaging (MRI) and cerebrospinal fluid analysis results, the patient was tentatively diagnosed to meningoencephalitis of unknown etiology (MUE). Clinical signs were gradually improved and diminished after imatinib mesylate plus prednisolone therapy. At 90 days after treatment, we performed MRI recheck and brain inflammatory lesions were significantly improved compared with initial MRI results. However, the present patient showed head turn and tetraparesis after anesthesia and euthanized according to client's request. This report describes the clinical findings, serial magnetic resonance imaging characteristics under imatinib mesylate treatment in a MUE case.

Cervical Spine Malformations Associated With a 5q34-5q35.2 Micro-interstitial Deletion: A Case Report

  • Lee, Heewon;Kim, Joon Sung;Lim, Seong Hoon;Sul, Bomi;Hong, Bo Young
    • Annals of Rehabilitation Medicine
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    • v.42 no.6
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    • pp.884-887
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    • 2018
  • We report a female proband carrying a de novo 5q34-q35.2 deletion breakpoint, and review the unique skeletal phenotype and possible genotype related to this mutation. The patient presented with a persistent head tilt and limited head rotation. Non-contrast-enhanced three-dimensional computed tomography of the cervical spine revealed several malformations including a bone cleft in the right pars interarticularis, a bone defect in both C5 lamina and the transverse foramen at C2-C3, agenesis of the right articular process of C5, bony fusion of C4-C5, and subluxation of the craniocervical joints. Several deformities of the cervical spine seen in this patient have not been associated with the 5q deletion. A review of 5q-related mutations suggests that abnormalities associated with MSX2 gene might cause cervical spine abnormalities.

Posterior Shoulder Instability in the Patients with Bilateral Congenital Absence of Long Head of Biceps Tendon: A Case Report

  • Yoon, Sung-Hyun;Heo, Kang;Yoo, Jae-Sung;Kim, Sung-Joon;Seo, Joong-Bae
    • Clinics in Shoulder and Elbow
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    • v.21 no.4
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    • pp.240-245
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    • 2018
  • Rare cases of a congenital absence of the long head of the biceps tendon (LHBT) have been reported, and its incidence is unknown. In a literature review of the congenital absence of the LHBT, only 1 case was associated with posterior shoulder instability and severe posterior glenoid dysplasia. This paper reports the first case of a patient with a bilateral congenital absence of the LHBT with posterior shoulder instability without glenoid dysplasia or posterior glenoid tilt. The patient experienced a traffic accident while holding the gear stick with his right hand. After the accident, a posteroinferior labral tear with paralabral cysts was detected on the magnetic resonance images. The congenital absence of the LHBT was assumed to have affected the posterior instability that possibly increased the susceptibility to a subsequent traumatic posterior inferior labral tear. This case was identified as a posterior inferior tear caused by a traumatic 'gear stick injury'.

Intra-Rater and Inter-Rater Reliability of Various Forward Head Posture Measurements

  • Yoo, Won-Gyu;Kim, Min-Hee;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.12 no.4
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    • pp.41-47
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    • 2005
  • The purpose of this study was to determine the intra-rater and inter-rater reliability of various forward head posture measurements. Ten healthy adults (age, $20.4{\pm}2.2$ yrs; height, $164.0{\pm}5.5$ cm; weight, $58.7{\pm}7.3$ kg) participated in the study. They were free of injury and neurologic deficits in the upper extremities and neck at the time of testing. The subjects were asked to perform head forward posture by under the guidance of physical therapists. Markers were placed on the C7 spinous process, mastoid process, tragus of the ear, outer canthus, and forehead. Measurement 1 for forward head posture assessment was measured as the angle between the horizontal line through C7 and the line connecting the C7 spinous process with the tragus of the ear. Measurement 2 was measured as the angle between the C7 spinous process, the mastoid process and the outer canthus. Measurement 3 was measured as two kinds of angles the HT (head tilt) angle is between the line from the midpoint of forehead to the tragus line and Y-axis at the tragus point. The NF (neck flexion) angle is between the line from the tragus to the C7 line and the Y-axis at the C7. Intra-rater, inter-rater reliability and coefficient of variation was assessed by comparing the measured values from three kinds of measurements of forward head posture. The intra-rater reliability was indicated by intraclass correlation coefficients [ICC(1,1)] and inter-rater reliability was shown by intraclass correlation coefficients [ICC(3,k)]. The results of study were as follows: ICC(1,1) values for intra-rater reliability of three measurements were in the 'excellent' category. ICC(3,k) values for inter-rater reliability of three measurements were also in the 'excellent' category. The coefficient of variation of method 2 had a lower value than method 1 and method 3. This data means that the measured value of method 2 was less scattered. Further research is needed to determine whether the validity of all measurements is revealed in the 'excellent' category.

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The desitgn of autonomic function analysis system by using heart rate variability signal (심박변동신호에 의한 자율신경 기능 해석시스템의 설계)

  • 이명호;정기삼;이정환
    • 제어로봇시스템학회:학술대회논문집
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    • 1997.10a
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    • pp.1639-1642
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    • 1997
  • In this paper, the autonomic function analysis system was designed to noninvasively assess the autonomic function of cardiovascular system. Orthostatic stress protocol was designed to stimulate the autonomic nervous system. designed protocol and analysis algorithm were evaluated by experiments for 25 normal subjects and 22 hemiplegia patients. Data were processed by usign the power spectral analysis. Nwe indexes of autonomic function, LF$_{N}$ and HF$_{N}$, were proposed and were compared with LF/HF ratio. New indexes of the sympathetic and parasympathetic activity, respectively. The IST and the DPT are balanced and have positive value for normal subjects during orthostatic stress but not for hempilegia patients. This result suggest that the IST and the DPT are used as new criteria of normal autonomic function during orthostatic stress.ess.

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Cystorrhexis with uroperitoneum during parturition in a Appaloosa neonatal foal (Appaloosa 신생망아지의 방광파열 1례)

  • Yang, Jaehyuk;Cheong, Jongtae;Lee, Joo-Myoung;Hwang, Kyu-Kye;Lim, Yoon-Kyu
    • Korean Journal of Veterinary Research
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    • v.50 no.4
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    • pp.319-322
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    • 2010
  • A 3-day-old Appaloosa colt was examined because of acute onset of ataxia, left-sided head tilt, fever and heart murmur. The foal continued to nurse but became increasingly depressed and mild colic. On plain radiological examination, the foal was normal. Uroperitoneum was diagnosed following abdominocentesis. Postmortem examination revealed bladder rupture. The lesion was in the dorsomedial part of the bladder wall. We suggested that the cause of bladder rupture was parturient trauma. Even though the rupture was associated with trauma, the margin of rupture of bladder was clearly smooth and regular.