• 치과방사선
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• 제17권1호
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• pp.89-106
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• 1987

The author obtained individualized lateral cephalometric tomograms from 23 young adults (46 of left and right normal TMJ) with normal occlusion and 20 patients (14 of patient asymptomatic TMJ and 26 of patient symptomatic TMJ) with clicking and painful TMJ after the analysis of submental vertex view. Individualized lateral cephlometric tomogram analysis and TMJ space analysis were performed after tracing each film. All data from these analysis was recorded and statistically processed with CYBER computer system. 1. The results were obtained as follows. In submental vertex view, the mean condylar angulation of Rt. side in normal group was 20.348°±6.358°, Lt. side was 18.870°±7.777° and Rt. side in patient group was 19.350°±7.576° Lt. side was 17.750°±6.146° respectively. The mean condylar angulation of Rt. side was larger than Lt. side in normal and patient group. 2. When the mandible was moved from centric occlusion to centric relation, condylar position relating to the glenoid fossa was placed posteriorly and superiorly in normal TMJ group and patient symptomatic TMJ group. 3. In centric relation position, the proportion of anterior space to posterior space was 1.593 for normal TMJ group, 1.604 for patient asymptomatic TMJ group and 1.671 for patient symptomatic TMJ group. In centric occlusion position, 1.390 for normal TMJ group, 1.539 for patient asymptomatic TMJ group and 1.196 for patient symptomatic group. Normal TMJ group, patient asymptomatic TMJ group and patient symptomatic TMJ group and patient symptomatic TMJ group revealed significant difference in ∠C₂ measurement. (ANOVA-test, p<0.05) 5. Normal group and patient group revealed significant difference in Fh, ∠C₁and ∠C₂ measurement. (T-test, p<0.05) 6. There were strong positive correlation (0.8771) between Fp and Fm, and strong negative correlation (-0.9039) between ∠C₂ and ∠C₁ from the lateral cephalometric tomogram analysis.

• 한국전문물리치료학회지
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• 제26권3호
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• pp.76-83
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• 2019

Background: The hyoid bone is the only non-jointed structure among the skeletal tissues of the head and neck region, and its movement and posture depend on the attached muscle, ligament, and fascia. The location of the hyoid bone is important for airway maintenance, vocalization, chewing, swallowing, breathing, and head and scapular position. In general, the location of the hyoid bone is measured using radiographs and 3D computed tomography, and no studies have reported on clinical measurement methods. Objects: This study was performed to suggest clinical measurement methods for lateral deviation of the hyoid bone and to evaluate their reliability. Methods: In this study, 24 healthy volunteers (12 males, 12 females) in Cheongju-si participated. Two examiners performed the center point test and lateral motion test twice each to measure the lateral displacement of the hyoid bone. The reliability of the center point test was analyzed using intra-class correlation coefficients (ICC), and the reliability of the lateral motion test was analyzed using Cohen's kappa coefficient. Results: The intra-rater reliability of the center point test was good, and the inter-rater reliability was moderate. The intra- and inter-rater reliability of the lateral motion test showed substantial reliability. Conclusion: Based on these results, the center point test and the lateral motion test can be used as an alternative methods of the measurement of lateral deviation of the hyoid bone for people who have musculoskeletal disorders of the head, neck, and scapula.

• 한국지반공학회논문집
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• 제22권10호
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• pp.165-172
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• 2006

본 연구에서는 합천사에 매설되어 측방변형을 받는 무리말뚝의 거동특성을 분석하였다. 무리말뚝의 위치, 말뚝의 간격과 말뚝배열이 미치는 무리말뚝의 영향을 알고자 하였다. 실험결과는 다음과 같다. 무리말뚝에서는 모멘트 형상은 단독말뚝과 유사하나 최대 휨모멘트의 발생깊이가 깊어지고, 그 크기는 감소하였다. 말뚝의 중심간격이 증가할수록 최대휨모멘트비$(R_M)$와 수평력분담비$(R_F)$는 증가하였다. 지반변형에 따른 $R_M$은 열방향에서는 후열, 전열, 중간열의 순으로 크게 나타났고 줄방향에서는 내측보다 외측이보다 크게 나타났다.

• 대한핵의학회:학술대회논문집
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• 대한핵의학회 2000년도 2nd Korea-China Congress of Nuclear Medicine and 39th Annual Spring Meeting if the Korea SOciety Nuclear Medicine
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• pp.80.1-80.1
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• 2000

• 대한물리의학회지
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• 제8권3호
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• pp.337-342
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• 2013

PURPOSE: The Unilateral neglect is characterized by difficulty shifting attention to the side of space opposite the brain lesion and frequently reducing use of contralesional extremities. This study was to identify whether the visual deprivation was responsible for head position on unilateral neglect patient after stroke. METHODS: A patient with left middle cerebral artery infarction participated in the study. We assessed neglect using line bisection and star cancellation test. Patient was instructed to maintain correct alignment of trunk and head in a sit position. We evaluated degree of head lateral tilting and rotation. Then, patient was blocked visual input. Also, we evaluated head position in the same way. RESULTS: He scored 3 points in the line bisection test and 9 points star cancellation test. In postural evaluation, he had deviated posture such as lateral head tilting and rotation. After visual cue deprivation, patient showed different head position which was decreased degree of head tilting and rotation. CONCLUSION: For vertical body orientation, it was used multiple sensory references including the vestibular, somatosensory, and visual system. This finding suggested that abnormal posture of neglect patient could be related to the visual input. It has important clinical implications in terms of understanding the neglect.

• 대한디지털의료영상학회논문지
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• 제15권2호
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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.

• Journal of Oral Medicine and Pain
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• 제12권1호
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• pp.85-93
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• 1987

The author studied on the effect of TMJ sounds to the patterns and ranges of mandibular border movements in horizontal plane with Pantograph (Denar Corp.). For study, 19 patients with TMJ sounds only and 16 students with no TM disorder were selected and classified as experimental group and control group, respectively. The subject performed right lateral movement, left lateral movement, and forward movement. Each movement were performed 3 times and the movement trajectory obtained with mechanical pantograph were observed for accordance of centric relation position, reproducibility and/or restriction of lateral movement paths, deviation of protrusive path in anterior table, restriction of protrusive condylar movement path in posterior horizontal table, presence of Fisher angle in posterior vertical table. And pantographic reproducibility Index (PRI) were obtained with pantronic by the same movement method as in the mechanical pantograph record. The obtained results were as follows : 1. In experimental group, PRI scores in those who show accordance of centric relation position were 14.4, and were 26.53 in those who did not show accordance of centric relation position. However, the PRI scores of the two subgroups show no statistically significant difference in control group. Therefore, in experimental group, the capability of accordance of centric relation position affected largely the PRI scores than in control group. 2. Deviation of protrusive path was opposite to the affected side in experimental group, and was left side in control group. 3. Restriction side of condylar movement in protrusion was ipsilateral to the deviation side in experimental group, but in control group, restriction side was not related to the deviation side. 4. PRI scores in experimental group were 23.2 (moderate dysfunction category), and in control group, were 17.8 (slight dysfunction category). The PRI scores in control group, however, implies that the evaluation of temporomandibular disorders by the PRI scores only may be unreasonable.

• 대한방사선기술학회지:방사선기술과학
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• 제43권3호
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• pp.155-159
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• 2020

The purpose of this study is to investigate the effect of posture changes(Anteroposterior projection, Posteroanterior projection) in the plain abdominal examination on breast dose and to examine its clinical usefulness. This study was used a human body phantom and a glass dosimeter. Glass dosimeters were directly inserted from the center and outside of medial and lateral. In this study, the deep dose was measured in the right breast and the surface dose in the left breast. During the abdominal examination, the central X-ray incident point was perpendicularly incident to the image receptor 5 cm above the iliac crest. The exposure parameters were 82 kVp, 320 mA, 50 ms, x-ray field size 14×17 inch The distance between the center X-ray and the detector was fixed at 110 cm, and only the top two AEC chambers were used. As a result of this study, the medial and lateral side doses of the right breast were 535.73±30.68 μGy and 414.46±33.52 μGy for erect AP, and 145.80±18.52 μGy and 148.76±12.92 μGy in erect PA. The superficial breast dose was 754.00±68.36 μGy on the medial side and 674.06±45.58 μGy on the lateral side in the erect AP, 70.66±7.98 μGy on the medial side, and 86.46±15.35 μGy on the lateral side in the erect PA. There was a statistically significant difference in the difference between the mean values of the medial and lateral side doses in the deep and superficial areas of the breast according to the postural change (p <0.01). As a result of this study, If the abdominal radiography was examined in the PA position, the dose reduction effect was 72.78% on the medial side, 64.10% on the lateral side of the deep breast, 90.62% on the medial side, and 87.17% on the lateral side of the superficial breast compared to the AP position.

• 감성과학
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• 제8권2호
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• pp.95-101
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• 2005

본 연구는 관상동맥 질환(coronary artery disease : CAD) 환자의 심장 부교감신경 활성화가 감소하고, 만성 심부전(chronic heart failure : CHF) 환자의 심박동변이도(heart rate variability : HRV)에서 정상적 RR 간격의 분산(SDNN : standard deviation of all normal RR intervals)과 저주파수 대역의 전력스펙트럼(low-frequency power : LF),그리고 복잡성이 감소하며, CAD환자의 우측으로 누운 자세에서 HRV의 규격화된 고주파수대역의 전력스펙트럼(normalized high-frequency power : nHF)가 3가지 누운 자세 중에서 가장 높다는 사전 정보에 근거하였다. 세 가지 누운 자세에 대한 HRV의 비선형 특징은 알려진 바가 없으므로, 본 연구에서는 관상동맥질환 환자들을 대상으로 누운 자세에서 HRV의 선형과 비선형특성을 조사하였다. 이 목적을 위하여, 관상동맥질환군 29명과 통제군 23명을 대상으로 세 가지 누운 자세에서 심전도의 Lead II 채널을 측정한 뒤, 심전도로부터 심박동변이도의 선형특성(시간영역과 주파수영역)과 비선형특성을 분석하였다. 똑바로 누운 자세 또는 좌측으로 누운 자세에서 심박동변이도의 nHF가 더 작을수록, 이 자세들로부터 우측으로 누운 자세로 전환할 때 nHF가 더욱 증가하였다. 중증의 관상동맥질환 환자의 세 가지 누운 자세 중에서, 우측으로 누운 자세는 심장부교감신경계의 활성도를 가장 높게, 심장교감신경계의 활성도는 가장 낮게, 그리고 생체시스템의 복잡성은 가장 높게 유도함을 확인하였다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제34권3호
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• pp.180-185
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• 2012

Purpose: An accurate preoperative analysis of the patient is essential in orthognathic surgery in order to acquire superior results. In profile, the location of the chin's position may change according to the neck's inclination. This may ultimately affect the amount of surgical movement. During acquisition of cephalometric radiographs, or in supine position, there is a discrepancy in the neck's inclination. This means that there are also various discrepancies between the actual profile and the various preoperative profile images. In the clinical situation, the decision in performing genioplasty usually lies in the analysis of the patient's profile on the operating table at the final stages of orthognathic surgery. This study aims to analyze the different preoperative profile images and to compare their discrepancies. Methods: Fifty eight patients undergoing orthognathic surgery were chosen. These patients were divided into three groups according to angle's classification of malocclusion, as class I, II or III. The right profile of these patients in centric occlusion was taken in natural head position (NHP). This was set as the 'actual profile image.' Another right profile image was taken on the operating table after insertion of the nasotracheal intubation and with muscle relaxants in effect. This was also taken in centric occlusion. The angle (denoted 'A') between the soft tissue glabella-pognion and the true vertical plane was found in the above-mentioned profile images and in the cephalometric radiographs. The differences of these values were analyzed. Results: There were differences in Angle 'A' in all of the preoperative images. These values were however, not statistically significant. Conclusion: In order to gain an esthetic profile during orthognathic surgery, the NHP is shown to be the most reliable position. Images reproducing such head positions should be used in the treatment planning process.