• Title/Summary/Keyword: Upright position

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Circulatory and Respiratory Responses to Postural Changes (체위 변화에 수반되는 순환 및 호흡반응)

  • Chae, E-Up;Lee, Suck-Kang;Bae, Sung-Ho
    • The Korean Journal of Physiology
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    • v.7 no.1
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    • pp.13-21
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    • 1973
  • An attempt was made to study circulatory and respiratory responses to the passive tilt. Anesthetized dogs were tilted from horizontal to upright $(+90^{\circ})$ and head down $(-90^{\circ})$ position. The arterial blood pressure was decreased in the upright position and was decreased slightly in the head down position comparing to that in the horizontal position. Cardiac index also decreased in the both upright and head down positions. The total systemic vascular resistance was slightly increased in the upright position and was markedly increased in the head down position. The mean pulmonary arterial pressure was significantly decreased in the both upright and head down positions. The total pulmonary vascular resistance was decreased in the both upright and head down positions. Oxygen consumption was slightly decreased in the upright position, whereas it was slightly increased in the head down position. The A-V $O_2$ difference (vol. %) was slightly increased in the upright position and increased in the head down position. From the above results, process of the circulatory compensation to the gravity in the Passive tilting test was discussed. Neuronal cardiovascular regulation to the gravity and tile adaptation of capacitance vessles to hydrostatic stress and oxygen consumption concerning anoxic endurance of the brain were also discussed.

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A Study of Circulatory Responses to Postural Changes (체위변화에 수반되는 심맥관계반응에 관한연구)

  • Suh, Suk-Wan;Chae, E-Up
    • The Korean Journal of Physiology
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    • v.5 no.2
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    • pp.71-78
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    • 1971
  • Anesthetized dogs were tilted from horizontal to the upright and head down position. Tilting to the upright position was followed by an increase in heart rate. In the head down position a decreased heart rate was obtained. The arterial blood pressure was decreased in the upright position and was decreased markedly in the head down position. The central venous pressure was decreased in the upright position and was markedly decreased down to the negative pressure in the head down position. The respiratory rate was slightly increased in the upright position comparing to that in the horizontal position. No remarkable changes were noted in the head down position. From the above results the following factors were discussed The decreased arterial blood pressure during the upright position was supposed to be the secondary effect from the diminished venous return that was suggested by the decreased central venous pressure. The decreased arterial blood pressure in the head down position was also supposed as the above reason as the diminished central venous pressure during the tilt. In addition the cardioinhibitory effects originated from the baroreceptors might have been operated during head down tilting. In the heart rate there was slight tachycardia in the upright position this was assumed as the abolished cardioinhibitory impulses from the baroreceptor in the upright position. On the contrary, despite of the decrease of arterial blood pressure in the head down position as well as in the upright, the bradycardia have been appeared. This was suggestive of cardioinhibitory impulses from the baroreceptors which was stretched during head down tilting. From the above findings there is a possibility of continous cardioinhibitory responses during head down tilting for this kind of the short period of 10 minutes which was chosed in this study.

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A Study on the Effects of Position Change on the Liver Shape on Radioisotope Scan (간(肝)스캔상(上) 체위변동(體位變動)에 따른 간형태(肝形態) 변화(變化)에 대(對)한 고찰(考察))

  • Hong, Kee-Suk;Choi, Du-Hyok;Yang, Young-Tae;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.16 no.1
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    • pp.49-54
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    • 1982
  • For this study, the authors obtained and examined anterior views of the liver and spleen in two different positions, upright and supine, of 39 normal subjects and 20 patients with hepaticpathology by means of $^{99m}Tc-colloid$ and gamma camera. This examination confirms the following findings. In general, it is shown, left lobe of the liver in upright position becomes longer in height than in supine position, while the distance between lateral margin of the liver and that of the spleen becomes father in with in supine position than in upright position. The upper margin of liver moves more downward in upright position than in supine. It is noticeable that as for 5 cases with severe chronic liver disease, there is minimal alteration of the liver shape between in two positions. The comparison of the both positions for the better liver scan shows the following finding. Prominent caudate and/or left lobe are marked in the upright position in 16 cases out of the total 59, while none is found in the supine. The false cold area in lower part of the liver disappears in 7 cases in the upright position, while only one shows the disappeance of the false cold area in the supine. Left liver margin due to close contact of spleen is blurred in 3 cases in the upright position. In total 23 cases out of 59 support that the upright position is better for the liver scan, while only 4 cases support the supine position is better. These findings support two assumptions. One is that upright view can bo expected more improved resoluton than supine view for liver scan. Second is that minimal change of the liver shape in both views indicate the serious abnormality in the liver.

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Effect of changing position from supine to standing up-right on the circulation in young men and women (앙와위에서 직립자세로의 체위변화가 정상인의 순환에 미치는 영향)

  • 최명애;김종임;김현리
    • Journal of Korean Academy of Nursing
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    • v.19 no.3
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    • pp.285-298
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    • 1989
  • This study investigated the effect of changing position from supine to standing upright on the circulation of young men and women. Healthy men and women ranging from age of 18 to 24 were examined. Two minutes before standing, the baseline heart rate and blood pressure were measured. Heart rate and blood pressure were recorded immediately and at every minute for 10 minutes after standing upright. Differences in heart rate and blood pressure between supine and standing upright position were evaluated. The results were summarized as follows : 1. Heart rate increased significantly immediately and at every minute for 10 minutes after standing upright. 2. Systolic blood pressure increased significantly immediately and at every minute for 4 minutes after standing upright. 3. Diastolic and mean blood pressure increased significantly immediately and at every minute for 10 minutes after standing upright. 4. Pulse pressure immediately and at every minute for 10 minutes after standing upright was significantly narrower than that of supine position. 5. There was no significant difference of heart rate between men and women after standing upright. 6. Systolic and diastolic blood pressure of men after standing upright was significantly greater than those of women. From these results, it may be concluded that heart rate, systolic, diastolic and mean blood pressure and pulse pressure increase after standing upright, and systolic and diastolic blood pressure in men is greater than those of women after standing upright.

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The Effect of Head Posture Change on Initial Occlusal Contact in Temporomandibular Disorder Patient (측두하악 장애환자에서 두부자세 변화가 초기 교합접촉에 미치는 영향)

  • Weon-Ho Choi;Woo-Cheon Kee
    • Journal of Oral Medicine and Pain
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    • v.20 no.2
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    • pp.489-496
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    • 1995
  • The purpose of this study was to evaluate an effect of change on head posture initial occlusal contacts with measuring the distances between initial occlusal contacts and maximum intercuspal position at different head posture in TMDs patient. For this study, 24 patients from age 13 to 36 were selected, they were examined health history taken, patients who have sign and symptoms of TMDs were examine before the study. For the normal group, 21 adults from age 23 to 25 were selected. They have normal or class I molar relationship, and have no other prosthetic restorations. Difference on distance between initial occlusal contact and maximum intercuspal position with mandibular kinesiograph$(MKG^R)$(K6 diagnostic system, Myo-tronic Inc, USA) in upright, supine, 45$^{\circ}$ extension, 30$^{\circ}$ flexion position of the head were measured. The Frankfort horizontal plane was used as a reference plane. The results were as follows : 1. There were significant differences between initial occlusal contacts of the normal and patient group on upright position and 30$^{\circ}$ flexion of the head(p<0.05, p<0.01) 2. The position of the initial occlusal contacts have a tendency to place anterior and inferior to maximal intercuspal position in upright position and 30( flexion of the head as well as posterior and inferior in supine position and 45$^{\circ}$ extension of the head in the normal and patient groups. 3. There were significant differences among the initial occlusal contacts between uptight and supine position; upright and 45$^{\circ}$ extension of the head(p<0.05); supine position and 30$^{\circ}$ flexion of the head, .and 30(flexion and 45$^{\circ}$ extension of the head in the patient group(p<0.01) The result have shown that after treatment on the supine position, it may be necessary to check occlusal contact on the upright position as well ass flexion of the head. It may need careful adjustment in occlusal condition on upright position of TMDs patient.

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Comparison of Lumbar Joint Reposition Error When Sitting in Upright and Slouched Positions for Five Minutes (5분 동안 바로 앉은 자세와 구부린 앉은 자세 시 허리 관절재위치 오류의 비교)

  • Ji, Myung-Ki;Choung, Sung-Dae;Park, Kyue-Nam;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.20 no.2
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    • pp.20-27
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    • 2013
  • The purpose of this study was to compare the slouched and upright sitting positions on lumbar joint reposition error (LJRE). Twenty subjects without low back pain were recruited for this study and, using a random number table, were randomly assigned to two groups; the upright sitting position group (UP group) and the slouched sitting position group (SP group). UP group was first asked to sit in an upright position and the SP group to sit in a slouched position as an intervention, and then the LJRE of both groups was measured at the neutral sitting position (lumbar flexion $0^{\circ}$). The measurement of the LJRE was repeated after one day. The sitting positions were performed for five minutes each and the LJRE was measured using an electronic goniometer. An independent t-test was used to compare the LJRE of both groups after each sitting position and after one day. The results of this study showed that the LJRE after an intervention in the UP group was lower than in the SP group (p<.05) and the LJRE after one day in the UP group was lower than in the SP group (p<.05). The findings of this study indicate that the upright sitting position can be applied to decrease LJRE, compared with the slouched sitting position. These findings also support that the upright sitting position reduces the potential for proprioceptive loss.

Hybrid PD-Servo State Feedback Control Algorithm for Swing up Inverted Pendulum System

  • Nundrakwang, Songmoung;Benjanarasuth, Taworn;Ngamwiwit, Jongkol;Komine, Noriyuki
    • 제어로봇시스템학회:학술대회논문집
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    • 2005.06a
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    • pp.690-693
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    • 2005
  • In this paper, a hybrid PD-servo state feedback control algorithm for swing up inverted pendulum system is proposed. It consists of two parts. The first part is the PD position control for swinging up the pendulum from the natural pendent position to around the upright position and the second part is the servo state feedback control for stabilizing the inverted pendulum in upright position. The first controller is PD controller and it is tuned to control the position of the pendulum by moving the cart back and forth until the pendulum swings up around the upright position. Then the second controller will be switched to stabilize the inverted pendulum in its upright position. The controller in this stage is the servo state feedback controller designed by pole placement. Experimental results of PD type swinging up control system, of stabilizing servo state feedback control system and of the proposed hybrid PD-servo state feedback control system to swing up and stabilize inverted pendulum show that the proposed method is effective and reliable for actual implementation while it is simple.

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Evaluation of proximal contact strength by postural changes

  • Kim, Hee-Sun;Na, Hyun-Joon;Kim, Hee-Jung;Kang, Dong-Wan;Oh, Sang-Ho
    • The Journal of Advanced Prosthodontics
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    • v.1 no.3
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    • pp.118-123
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    • 2009
  • STATEMENT OF PROBLEM. Proper proximal contact is important for maintaining and stabilizing the dental arch. However, the proximal contact strength (PCS) is not a constant value and can be affected by a variety of factors. PURPOSE. This study examined the influences of postural changes on the posterior PCS. MATERIAL AND METHODS. Twelve adults with a normal occlusion and had not undergone prosthetic treatment or proximal restoration were participated in this study. A metal strip was inserted into the proximal surface and removed at a constant velocity. The contact strength was measured in every contact point between canine to second molar in both arches. The PCSs were obtained initially in the upright position, secondly in the supine position and finally in the upright position again. All measurements were repeated after a 2 hour period. Statistical analysis was carried out using the Friedman test (P < .05). RESULTS. Generally, a decrease in PCS occurred when the posture was changed from the initial upright to supine position, while it increased when the posture was changed from the supine to upright position. A significant change was observed in all areas except for between the canine-first premolar in the maxilla and between the first molar-second molar in the mandible areas. CONCLUSION. The posterior PCS, which dentists generally believe to be a static feature of occlusion, is affected significantly by posture.

THE SIZE OF UPPER AIRWAY OF THE SNORER IN UPRIGHT AND SUPINE POSITION (Snorer의 앙와위와 직립위에서의 상기도 크기)

  • Kim, Jong-Chul;Cho, Hong-Kyu;Lee, Gye-Hyeong
    • The korean journal of orthodontics
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    • v.26 no.1 s.54
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    • pp.43-52
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    • 1996
  • The purpose of this study was to compare and evaluate the upper airway structure between the snorers and asymptomatic control subjects depending on the positional change. Lateral cephalograms in the upright and supine position were taken in 25 female snorers and 20 female asymptomatic control subjects. The length and the area of the soft palate, tongue and airway were measured and evaluated statistically. The results obtained were as follows : 1. The snorers showed longer and higher tongue, narrower and longer airway, inferiorly positioned hyoid bone, longer and broader soft palate and narrower hypopharynx than the control subjects both in the upright and supine position. In addition, the snorers showed broader tongue area and narrower oropharynx area than the control subjects in supine position. 2. Depending on the positional change from upright to supine position, the controls and the snorers showed decreased airway length and superior positioned the hyoid bone. In addition, the snorers showed decreased tongue length and height, airway length and thickness and oropharynx area, but increased tongue area and soft palate area.

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Effect of Changing positions on aged circulation (체위 변화가 노인들의 순환에 미치는 영향에 관한 연구)

  • Hong K.P.;Lee S.H.;Eun Y.;Kang H.Y.
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.2 no.2
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    • pp.239-251
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    • 1995
  • The prevalence of postural hypotension among over 65 year old men is 10-30%. The postural hypotension commonly causes the discomfort such as dizziness, irritability or fainting spell, and for the result it diminishes the quality of the life of aged. Therefore the assessment and intervention of postural hypotension during changing position is very important. The purpose of this study is to investigate the effect of changing position from supine to standing upright, from supine through left lateral to standing upright, from supine through sitting to standing upright of aged. The results obtained are as follows : 1. The average systolic blood pressure of normotension group is $132.68{\pm}16.04mmHg$ at supine position. The average diastolic blood pressure of normotension group is $80.72{\pm}9.82mmHg$ at supine position. The average systolic blood pressure of hypertension group is $153.92{\pm}20.12mmHg$ at supine position. The average diastolic blood pressure of hypertension group is $93.74{\pm}15.53mmHg$ at supine position. 2. There is no significant difference of blood pressure after three different procedures as mentioned above from supine to standing upright. 3. The prevalence of postural hypotension at standing upright is 13.5% which is 18.8% of the hypertension group and 9.4% of the normotension group. There is statistical difference of the prevalence of postural hypotension between hypertension group and normotension group.

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