• Title/Summary/Keyword: Patient position

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Biceps Load Test: A Test of SLAP lesion in the Recurrent Anterior Dislocation of the Shoulder (이두건 부하 검사(Biceps Load Test): 견관절 재발성 전방 탈구시 SLAP 병변 진단의 새로운 검사방법)

  • Kim Seung-Ho;Ha Kwon-Ick;Han Kye-Young
    • Clinics in Shoulder and Elbow
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    • v.1 no.1
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    • pp.78-82
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    • 1998
  • The following will describe a method of evaluating the SLAP lesion in the recurrent anterior dislocation of the shoulder. We have named it the biceps load test. The biceps load test is performed with the patient in the supine position and the arm to be examined is abducted 90/sup°/, and the forearm is in the supinated position. First, the anterior apprehension test is performed. When the patient become apprehensive, the patient is allowed active flexion of the elbow, while the examiner resists elbow flexion. If the apprehension is relieved or diminished, the test is negative. If aggravated or unchanged, the test is positive. A prospective study was performed, in which 75 patients who were diagnosed as having recurrent unilateral anterior instability of the shoulder underwent the biceps load test and arthroscopic examination. The biceps load test showed negative results in 64 of these patients, of which the superior labral-biceps complex was intact'in 63 cases and only I shoulder revealed a type n SLAP lesion. E]even patients with a positive test were confirmed to have type n SLAP lesions. A positive biceps load test represents an unstable SLAP lesion in a patient with recurrent anterior dislocation of the shoulder. The biceps load test is a reliable test for evaluating the SLAP lesion in the recurrent anterior dislocation of the shoulder(sensitivity: ,9] .7%, specificity: 100%, positive predictive value: 1.00 and negative predictive value: 0.98). Biceps contraction increases the torsional rigidity ?of the glenohumeral joint and long head of biceps tendan act as internal rotator of the shoulder in the abducted and externally rotated position. These stabilize the shoulder in abduction and external rotation position in the biceps load test.

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Development of a Smart Application for Protecting Dementia Patients (치매환자의 보호를 위한 스마트 앱 개발)

  • Hwang, Hyun Suk;Ko, Yun Seong;Ban, Ga Un;Kim, Chang Soo
    • Journal of Korea Multimedia Society
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    • v.16 no.9
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    • pp.1089-1097
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    • 2013
  • The applications for considering their position and daily patterns of dementia patients have been developed in an early stage even if the older patients who have weaker or serious symptoms has increased in various forms. In this paper, we develop an android-based application which displays positions and pathways of patients on maps and provide messages in the cases of dangerous situations. Guardians need to register schedules including safe areas and personal information of their patients. This system registers behavior status categorized as normal or abnormal each position which is sent to a database. In particular, the deviation status is assigned in case the patients are not within the safe areas that their guardians registered on their schedule. The wandering status is assigned in case the patients are repeatedly passed by their pathways. This smart application contains the modules such as patient position sending, guardian and patient information, patient schedule and safe zone registration, position and behavior status registration, pathway display and message sending, and rescue request. This system sends the notification and alarm service providing normal and abnormal behavior with deviation and wandering status of patients respectively.

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

  • Jee Won Chai;Joo-ho Lee;Dong Hyun Kim;Jina Park;So-Hee Oh;Su-Mi Shin
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.627-637
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    • 2023
  • Purpose To investigate the effect of patient positioning on tendinosis grade, visible range, and infraspinatus tendon (IST) thickness, and to determine the feasibility of internal rotation (IR) position to assess IST on ultrasound (US). Materials and Methods This study included 52 shoulders of 48 subjects who were evaluated for IST in three different positions: neutral position (N), IR, and position with the ipsilateral hand on the contralateral shoulder (HC). Two radiologists retrospectively graded IST tendinosis from grade 0 to grade 3 and the visible range from grade 1 to grade 4. The thickness of the IST was measured by another radiologist with a short-axis view. A generalized estimating equation was used for statistical analysis. Results The tendinosis grades were higher in the HC position than in the IR position, with a cumulative odds ratio of 2.087 (p = 0.004, 95% confidence interval [CI]: 1.268-3.433). The tendinosis grades in the HC position (p = 0.370) and IR position (p = 0.146) were not significantly different from those in the N position. The overall difference in IST thickness was significant (p < 0.001), but the visible range (p = 0.530) was not significantly different according to position. Conclusion Patient positioning significantly affected the grade of tendinosis and thickness but not the visible range of the IST. The IR position is a feasible position for assessing the IST on US.

A Study on the Gonads Exposure Dose of Upper Extremity Examinations in Sitting Position (앉은 자세 상지 X-ray 검사(Sitting Position Upper Extremity X-ray Examinations)에서 피폭선량 저감화 연구)

  • Cho, Pyong-Kon
    • Journal of radiological science and technology
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    • v.34 no.3
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    • pp.189-193
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    • 2011
  • Sitting position upper extremity X-ray examinations (SUEX) is the most widely used patient positioning method for upper extremity X-ray examinations. For this method, the radiation dose is considerable for relatively less interesting organs. We investigated whether patients need to wear the apron during the examination or not. We also studied the examination methods which can reduce the radiation dose. The results showed that radiation dose was reduced as the distance of source to patient becomes longer and the thickness of object grows higher.

A Study of the Ethical Values of Korean Nurses (임상간호사들의 윤리적 가치관에 관한 연구)

  • 성미혜
    • Journal of Korean Academy of Nursing
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    • v.29 no.3
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    • pp.551-562
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    • 1999
  • The purse of this study is to identify whether ethical values of Korean nurses are deontological or utilitarian. Nurse's ethical value questionnaire was developed from review of the literature and interview of nurses in the clinical settings. Ethical problem are categorized into four areas 1) human life 2) nurse-patient relationship 3) nurse-nursing task relationship 4) nurse-collegue relationship The data were obtained from 250 nurses in the clinical settings from Jun. to July in 1998 using the ethical value questionnaire developed by Lee (1990). The analysis of data was done by Pearson's correlation coefficient, t-test and anova. The results of this study were as follows : 1. The ethical values of human life slightly took up the position of utilitarian. 2. The ethical value of nurse-patient relationship slightly took up the deontological position. 3. The ethical value of nurse-nursing task relationship slightly took up the deontological position. 4. The ethical value of nurse-collegue relationship greatly took up the deontological position. 5. The ethical values of nurses related to demographic characteristics of age, marital status, position. Therefore it is suggested that new strategies and continuing education programs be established to help clinical nurses formlulate higher ethical values.

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Study of Nuclear medical imaging tests patient of Claustrophobia (폐소공포증 환자의 핵의학 영상검사에 관한 연구)

  • Kang, Yong-Gil;Hong, Jin-Woong;Yang, Han-Joon;Park, Sung-Su;Lee, Gui-Won;Kim, Keung-Sik
    • Korean Journal of Digital Imaging in Medicine
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    • v.15 no.1
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    • pp.55-59
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    • 2013
  • Patients who had claustrophobia tend to feel fear when they were scanned by an MRI, CT, PET-CT, or using a gamma camera scan. In this paper, claustrophobic patients were tested to find effective ways by changing patient's positions. For this paper, PET-CT scan in patients who had claustrophobia were used in the prone position. Prone position helped to maintain stable position and to get a h0igh quality of inspection without failure. Thus, as claustrophobic patients were requested taking prone position, they could feel comfortable. In a confined space, prone position for the claustrophobic patients who had a fear of the PET-CT examination would be expected to reduce the failure rate of inspection.

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Surgical and Occlusal Treatment of TMJ Internal Derangement (교합 및 외과적 치료를 이용한 악관적 내장증의 치험례)

  • Hwang, Kyung-Ryong;Ann, Jae-Jym;Chang, Se-Hong
    • The Journal of the Korean dental association
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    • v.25 no.7 s.218
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    • pp.657-664
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    • 1987
  • The purpose of this article is to report a case of internal derangement of TMJ which was successfully managed with surgical and occlusal treatment. The Obtained results were summarized as follow: 1. The patient surgically operated via high condylectomy with meniscoplasty to correct anteriorly displaced meniscus. 2. During operation, the junction area of bilamina zone and meniscus was easily identified and resected using microscopy. 3. The mandible was relocated into therapeutic position with occlusal splint. 4. The occlusal rehabilitation with selective grinding and prosthodontic treatment was done so that the new patient's intercuspal position should correspond to the therapeutic position.

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Lung Cancer Found in the Patient with Thoracic Postherpetic Neuralgia -A case report- (흉부 대상포진후 신경통 환자에서 발견된 폐종양 -증례 보고-)

  • Kim, Sun-Hee
    • The Korean Journal of Pain
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    • v.11 no.2
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    • pp.335-337
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    • 1998
  • This is a case report of a 69 years old non-smoking male patient with a lung cancer who presented with postherpetic neuralgia on the left T2, 3 and 4 dermatomes. This pain was aggravated in supine position. The patient did not have any other symtoms or signs to suggest the possibility of a lung cancer. Patient's baseline laboratory findings were essentially normal. Routine chest X-ray revealed hazy densities in the left apex. Further evaluation with chest CT confirmed the presence of a lung cancer corresponding to the densities seen on the chest X-ray.

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Positioning errors and quality assessment in panoramic radiography

  • Dhillon, Manu;Raju, Srinivasa M.;Verma, Sankalp;Tomar, Divya;Mohan, Raviprakash S.;Lakhanpal, Manisha;Krishnamoorthy, Bhuvana
    • Imaging Science in Dentistry
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    • v.42 no.4
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    • pp.207-212
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    • 2012
  • Purpose: This study was performed to determine the relative frequency of positioning errors, to identify those errors directly responsible for diagnostically inadequate images, and to assess the quality of panoramic radiographs in a sample of records collected from a dental college. Materials and Methods: This study consisted of 1,782 panoramic radiographs obtained from the Department of Oral and Maxillofacial Radiology. The positioning errors of the radiographs were assessed and categorized into nine groups: the chin tipped high, chin tipped low, a slumped position, the patient positioned forward, the patient positioned backward, failure to position the tongue against the palate, patient movement during exposure, the head tilted, and the head turned to one side. The quality of the radiographs was further judged as being 'excellent', 'diagnostically acceptable', or 'unacceptable'. Results: Out of 1,782 radiographs, 196 (11%) were error free and 1,586 (89%) were present with positioning errors. The most common error observed was the failure to position the tongue against the palate (55.7%) and the least commonly experienced error was patient movement during exposure (1.6%). Only 11% of the radiographs were excellent, 64.1% were diagnostically acceptable, and 24.9% were unacceptable. Conclusion: The positioning errors found on panoramic radiographs were relatively common in our study. The quality of panoramic radiographs could be improved by careful attention to patient positioning.

The evaluation for usefulness of the custom made immobilization device for the anteroperitoneal resection patients with rectal cancer (복 회음부 절제술 환자를 위한 고정용구 제작 및 유용성 평가)

  • Yang Oh Nam;Lee Woo Seok;Hong Tack Kyun;Jo Young Pil;Yun Hwa Ryong;Kim Jung Man
    • The Journal of Korean Society for Radiation Therapy
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    • v.15 no.1
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    • pp.61-65
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    • 2003
  • I. Purpose Patient immobilization is essential factor for successful radiation therapy and major problem is reproducibility to maintain patient position during total radiation therapy period. Purpose of this study is evaluation for usefulness of the custom made immobilization device for the anteroperitoneal resection patients with rectal cancer II. Materials and Methods The object of this study were patients who underwent anteroperitoneal resection and undergo radiation therapy at present with rectal cancer. We made immobilization device for patient individually and analyzed its set up reproducibility, patient position deviation and errors. III. Results There was $5mm{\sim}10mm$ deviation in patient position without individual immobilization device, but we improved the deviation within few mm limitation with individual immobilization device. IV. Conclusion Custom made immobilization device was very helpful for anteroperitoneal resection patient with rectal cancer. We improved the patient position deviation within few mm limitation, shorten the set up time and we could give the comfort to patients.

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