Objective: Breast cancer-related lymphedema (BCRL) is a major sequela after surgery or radiotherarpy for breast cancer. Manual lymphatic drainage (MLD) is designed to reduce lymph swelling by facilitating lymphatic drainage. This study attempted to determine the histologic changes in the skin and subcutaneous layer, and the immediate effect of MLD in decreasing lymphedema using ultrasound imaging, which is the method used most commonly to eliminate BCRL. Design: A single-group experimental study. Methods: Five subjects who were diagnosed with hemiparetic upper extremity lymphedema more than six months after breast cancer surgery participated in the study. MLD was performed for 60 minutes in the order of the thorax, breast, axilla, and upper arm of the affected side. In order to determine the effect of MLD, ultrasound imaging and limb volume were assessed. Two measurement tools were used for asessing lymphedema thickness among the pretest, posttest, and 30-minute follow-up period. Results: Significant diferences in ultrasound imaging and upper limb volume were found between the affected side and non-affected side (p<0.05). On the affected side, although ultrasound imaging showed a significant decrease after MLD (p<0.05), there were no significant difference in upper limb volume when compared to the baseline. Conclusions: In this study, a significant decrease in lymphedema by MLD was demonstrated by ultrasound imaging, which is considered to be more useful in assessing histological changes than limb volume measurements. Further research on the protocol for eliminating lymphedema will be needed.
Journal of The Korean Society of Integrative Medicine
/
v.9
no.1
/
pp.49-57
/
2021
Purpose: The purpose of this study was to investigate the effect of manual lymphatic drainage (MLD) methods on muscle tone, pain, and depression in patients with breast cancer. Methods: The study had a two-group pretest-posttest design. A total of 24 patients with breast cancer voluntarily participated in the study. Subjects were randomly assigned to the MLD (n=12) and control (n=12) groups. Measurements of muscle tone, pain, and depression were taken prior to starting the intervention and after completing the 4 week program. The muscle tone, pain, and depression were measured using noninvasive muscle tone measuring equipment, the short-form McGill pain questionnaire, and the Beck depression inventory, respectively. The intervention was performed for 20 minutes a day, three times a week, for four weeks. A paired t-test was used to compare pretest and posttest values within each group, and an independent t-test was used to compare to pretest and posttest changes between the groups. Results: Comparison of the effects within the groups revealed significant reductions in muscle tone, pain, and depression in the MLD group after 4 weeks (p<.05), whereas the control group showed no differences. Comparison of the effects between the groups revealed significantly better reductions in muscle tone, pain, and depression in the MLD group than in the control group after 4 weeks (p<.05). Conclusion: These results suggest that MLD is an effective method for reducing muscle tone, pain, and depression in patients with breast cancer.
This study presents a new method called the SPMP (Semi-automatic profile measuring program) to efficiently measure body shape in elderly women. SPMP can automatically measure the angle of axis (19 items), surface (17 items), lengths (14 items), heights (16 items), widths (13 items), and depth (6 items). In total these 85 items are automatically measured very quickly, accurately, and easily after manually marking an initial 36 points. The utility of SPMP was evaluated using several tests. When SPMP measuring results were compared with manual methods (using a ruler and protractor) in thirteen elderly women using a paired t-test, there was no significant difference found between them. Furthermore, when measurements from SPMP were compared with actual measurement results in selected items from seven elderly women's measurements, smaller mean differences were found than those defined by ISO 20685, with the exception of the abdominal area which moves easily with breathing. Seven independent measurements of a single elderly woman were made by seven students using SPMP, and the values of coefficient of variation were less than 5% for all but 8 items. Finally, this study analyzed the correlation of all 85 item measurements, and found that the angle from the upper chest to the neck towards the front in the axis curved forward as much as the axis angle from the thigh to the waist (r=-0.876, $^{**}p$ < 0.01) bent backwards in elderly women. This detailed analysis helps to understand age-related changes in body posture, and will be useful in future studies.
Kim Mi-Ja;Huh Kyung-Hoe;Yi Won-Jin;Heo Min-Suk;Lee Sam-Sun;Lee Jin-Koo;Ahn Byoung-Keun;Choi Soon-Chul
Imaging Science in Dentistry
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v.35
no.1
/
pp.15-23
/
2005
Purpose : To compare cephalometric measurement between measuring methods in digital and conventional lateral cephalometric radiograph. Materials and Methods : Twenty digital and conventional lateral cephalometric radiographs were selected. In digital group, cephalometric measurements were performed manually using hardcopies and automatically using $V-Ceph^{TM}$ program on the monitor. In conventional group, the same measurements were performed manually on conventional films, and for automatic measurement conventional films were digitized by scanner. All measurements were performed twice by 4 observers, and 24 cephalometric variables were calculated and the time spent for each measurement was recorded. The differences in measurements data and the time spent for each measurement were compared within each group. Intra-observer and inter-observer comparisons were performed. Results : In both groups, no statistically significant difference between manual and automatic measurements was observed and most of the variables didn't show statistically significant differences between methods. The observer with less experience tended to show statistically significant differences of measurements between methods, and differences from other observers. The differences of measurements between methods in digital group were lesser than those of conventional group with statistical significance in 8 variables out of 24. With automatic method and in digital group, the spent time was shorter. Conclusion : With direct digital radiograph, automatic method using manually idenitified landmarks can be preferable in cephalometric analysis. (Korean J Oral Maxillofac Radiol 2005; 35 : 15-23)
Journal of the Korean Society for Aviation and Aeronautics
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v.24
no.3
/
pp.62-68
/
2016
According to the accident/incident reports of aircraft runway overruns and excursions, it generally shows runway friction reduction and aircraft braking capability deterioration are the basic causes due to adverse weather. Although surface of paved runway gets wet, it also should give good friction capability. If runway surface is worn due to long time usage and friction capability is reduced due to rubber accumulation or weather conditions(snow, rain, ice etc.), airport authorities should rapidly measure friction coefficient and give them to relevant persons through aeronautical information system and support safe takeoff and landing. Operation wise, these information of friction coefficient reduction should be lead to aircraft performance adjustments, but the data from manufacturer(performance manual) are airplane braking coefficient and the data from airport authorities are vehicle measured braking coefficient. But these two data are considered as the same meaning although the definite relationship between them is not clarified yet. So I am trying to search for the technical background of these two data and suggest reasonable method to use them efficiently.
Yilmaz, Semih;Karahasan, Olguhan Sevket;Altunisik, Ahmet Can;Vural, Nilhan;Demir, Serhat
Structural Engineering and Mechanics
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v.81
no.6
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pp.737-750
/
2022
Timber-Concrete Composite construction system consists of combining timber beam or deck and concrete with different connectors. Different fastener types are used in Timber-Concrete Composite systems. In this paper, the effects of two types of fasteners on structural behavior are compared. First, the notches were opened on timber beam, and combined with reinforced concrete slab by fasteners. This system is called as Notched Connection System. Then, timber beam and reinforced concrete slab were combined by new type designed fasteners in another model. This system is called as Notched-Slab Approach. Two laboratory models were constructed and bending tests were performed to examine the fasteners' effectiveness. Bending test results have shown that heavy damage to concrete slab occurs in Notched Connection System applications and the system becomes unusable. However, in Notched-Slab Approach applications, the damage concentrated on the fastener in the metal notch created in the slab, and no damage occurred in the concrete slab. In addition, non-destructive experimental measurements were conducted to determine the dynamic characteristics. To validate the experimental results, initial finite element models of both systems were constituted in ANSYS software using orthotropic material properties, and numerical dynamic characteristics were calculated. Finite element models of Timber-Concrete Composite systems are updated to minimize the differences by manual model updating procedure using some uncertain parameters such as material properties and boundary conditions.
The purpose of this study was to evaluate relationship of probing attachment levels, radiographic measurements and surgical measurements according to gingival inflammatory condition. Patients with incipient to moderate periodontitis were selected. Upper and lower premolar and molar teeth excluding third molars were measured. At first visit, gingival index and bleeding on probing were taken, and subjects were grouped into 4 categories as follows : Experimental group I : gingival index 1 and no bleeding on probing. Experimental group II : gingival index 2 and no bleeding on probing absent. Experimental group III : gingival index 1 and bleeding on probing present. Experimental group IV : gingival index 2 and bleeding on probing present. Probing attachment levels were measured with manual probe on mesial and distal surfaces from cementoenamel junctions to terminal ends of probe. Radiographic measurements were made to assess bone loss by measuring the distance from cementoenamel junction to the alveolar crest. After thorough scating, a flap was raised exposing the alveolar bone and surgical measurements were made from cementoenamel junction to alveolar bone. The results were as follows: 1. Differences between probing attachment level and radiographic measurements showed $1.01{\pm}0.73mm$ for experimental group I, $0.98{\pm}0.48mm$ for experimental group II, $0.59{\pm}0.66mm$ for experimental group III, $0.98{\pm}0.38mm$ for experimental group IV and with no significant difference between groups. 2. Differences between probing attachment level and surgical measurements showed $1.36{\pm}0.80mm$ for experimental group I, $1.47{\pm}0.54mm$ for experimental group II, $1.06{\pm}0.39mm$ for experimental group III, $1.41{\pm}0.40mm$ for experimental group IV and with no significant difference between groups. 3. Differences between surgical and radiographic measurements showed $0.36{\pm}0.48mm$ for experimental group I, $0.51{\pm}0.54mm$ for experimental group II, $0.57{\pm}0.72mm$ for experimental group III, $0.41{\pm}0.49mm$ for experimental group IV and with significant difference between experimental group I and experimental group II, III, IV(P<0.05).
Park, Ji-Eun;Lee, Min-Hee;Ryu, Yeon-Hee;Liu, Yan;Jung, Hee-Jung;Hong, Sang-Hoon;Lee, Seung-Deok;Kim, Nam-Kwen;Choi, Sun-Mi
Korean Journal of Oriental Medicine
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v.18
no.3
/
pp.111-118
/
2012
Objective : The aim of this study was to investigate the number of measurements and visits for blood pressure measurement. We also analyzed the change of blood pressure based on the measurement method and measurement interval. Methods : Data of three clinical trials evaluating the effect of acupuncture, moxibustion, and qigong for pre and mild essential hypertension were used. Blood pressure was measured 3 times each visit with 1 or 5 minutes interval, and it was checked until $3^{rd}$ visit. Two trials used sphygmomanometer and another one trial used automatic device for blood pressure measurement. Results : The mean difference between $1^{st}$ and $2^{nd}$, and $2^{nd}$ and $3^{rd}$ measurement were significant in systolic (p<0.001) and diastolic blood pressure (p<0.001). However, in automated measurement or measuring with 1 minute interval, the difference between $2^{nd}$ and $3^{rd}$ was not significant. The mean of $1^{st}$ and $2^{nd}$ measurements was also significantly different from the mean of all three measurements in both systolic (p<0.001) and diastolic blood pressure (p<0.001). While the difference between each visit was not significant in diastolic blood pressure, the systolic blood pressure difference was significant between $1^{st}$ and $2^{nd}$ visit in automated and manual measurement. Conclusion : The mean of two measurements and three measurements were significantly different. The change of blood pressure was different according to the method and interval of blood pressure measurement.
The purpose of this study was to evaluate the reliability and accuracy of linear measurements in digital models compared to master model. A master model (ANKA-4; Frasaco GmbH, Tettnang, Germany) with the prepared upper full arch tooth was used. Four linear measurements were recorded between landmarks, directly on the master model and the digital models by a single examiner. Measurements were made with a digital caliper from manual model and with the software from the virtual models. The t-test for paired samples and intraclass correlation coefficient (ICC) were used for statistical analysis. The measurement of two methods showed good reliability. The mean differences between master and digital model were 0.06~0.12 mm. These in vitro studies show that accuracy and reliability of the digital impression is similar to that of the gold standard. Therefore digital impression was also considered to be a acceptable for placement clinically.
Kim, Mi-Hee;Huh, Bock;Kim, Hyeon-Cheol;Park, Jeong-Kil
Restorative Dentistry and Endodontics
/
v.31
no.1
/
pp.50-57
/
2006
The purpose of this study was to investigate influence of each file step of $ProTaper^{(R)}$ system on canal transportation. Twenty simulated canals were prepared with either engine-driven $ProTaper^{(R)}$ or manual $ProTaper^{(R)}$, Group R-resin blocks were instrumented with rotary $ProTaper^{(R)}$ and group M-resin blocks were instrumented with manual $ProTaper^{(R)}$. Pre-operative resin blocks and post-operative resin blocks after each file step preparation were scanned. Original canal image and the image after using each file step were superimposed for calculation of centering ratio The image after using each file step alld image after using previous file step were superimposed for calculation of the amount of deviation. Measurements were taken horizontally at five different levels (1 2, 3, 4 and 5 mm) from the level of apical foramen. In rotary $ProTaper^{(R)}$ instrumentation group, centering ratio and the amount of deviation of each step at all levels were not significantly different (p>0.05). In manual $ProTaper^{(R)}$ instrumentation group, centering ratio and the amount of deviation of each step at all levels except of 1 mm were not significantly different (p>0.05). At the level of 1 mn, F2 file step had significantly large centering ratio and the amount of deviation (p<0.05). Under the condition of this study, F2 file step of manual ProTaper tended to transport the apical part of the canals than that of rotary $ProTaper^{(R)}$.
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