• 제목/요약/키워드: chest region

검색결과 247건 처리시간 0.019초

Development of a Breath Control Training System for Breath-Hold Techniques and Respiratory-Gated Radiation Therapy

  • Hyung Jin Choun;Jung-in Kim;Jong Min Park;Jaeman Son
    • 한국의학물리학회지:의학물리
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    • 제33권4호
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    • pp.136-141
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    • 2022
  • Purpose: This study aimed to develop a breath control training system for breath-hold technique and respiratory-gated radiation therapy wherein the patients can learn breath-hold techniques in their convenient environment. Methods: The breath control training system comprises a sensor device and software. The sensor device uses a loadcell sensor and an adjustable strap around the chest to acquire respiratory signals. The device connects via Bluetooth to a computer where the software is installed. The software visualizes the respiratory signal in near real-time with a graph. The developed system can signal patients through visual (software), auditory (buzzer), and tactile (vibrator) stimulation when breath-holding starts. A motion phantom was used to test the basic functions of the developed breath control training system. The relative standard deviation of the maxima of the emulated free breathing data was calculated. Moreover, a relative standard deviation of a breath-holding region was calculated for the simulated breath-holding data. Results: The average force of the maxima was 487.71 N, and the relative standard deviation was 4.8%, while the average force of the breath hold region was 398.5 N, and the relative standard deviation was 1.8%. The data acquired through the sensor was consistent with the motion created by the motion phantom. Conclusions: We have developed a breath control training system comprising a sensor device and software that allow patients to learn breath-hold techniques in their convenient environment.

Kriging Analysis for Spatio-temporal Variations of Ground Level Ozone Concentration

  • Gorai, Amit Kumar;Jain, Kumar Gourav;Shaw, Neha;Tuluri, Francis;Tchounwou, Paul B.
    • Asian Journal of Atmospheric Environment
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    • 제9권4호
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    • pp.247-258
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    • 2015
  • Exposure of high concentration of ground-level ozone (GLO) can trigger a variety of health problems including chest pain, coughing, throat irritation, asthma, bronchitis and congestion. There are substantial human and animal toxicological data that support health effects associated with exposure to ozone and associations have been observed with a wide range of outcomes in epidemiological studies. The aim of the present study is to estimate the spatial distributions of GLO using geostatistical method (ordinary kriging) for assessing the exposure level of ozone in the eastern part of Texas, U.S.A. GLO data were obtained from 63 U.S. EPA's monitoring stations distributed in the region of study during the period January, 2012 to December, 2012. The descriptive statistics indicate that the spatial monthly mean of daily maximum 8 hour ozone concentrations ranged from 30.33 ppb (in January) to 48.05 (in June). The monthly mean of daily maximum 8 hour ozone concentrations was relatively low during the winter months (December, January, and February) and the higher values observed during the summer months (April, May, and June). The higher level of spatial variations observed in the months of July (Standard Deviation: 10.33) and August (Standard Deviation: 10.02). This indicates the existence of regional variations in climatic conditions in the study area. The range of the semivariogram models varied from 0.372 (in November) to 15.59 (in April). The value of the range represents the spatial patterns of ozone concentrations. Kriging maps revealed that the spatial patterns of ozone concentration were not uniform in each month. This may be due to uneven fluctuation in the local climatic conditions from one region to another. Thus, the formation and dispersion processes of ozone also change unevenly from one region to another. The ozone maps clearly indicate that the concentration values found maximum in the north-east region of the study area in most of the months. Part of the coastal area also showed maximum concentrations during the months of October, November, December, and January.

A Classification of Somatotypes of Korean Males in Thirties(Part I) - Focused on the Upper Body -

  • Kim, Jin-Sun;Shim, Kue-Nam;Lee, Won-Ja
    • The International Journal of Costume Culture
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    • 제4권2호
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    • pp.77-85
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    • 2001
  • The purpose of this study was to classify the somatotype around a upper body of 30's men. The subjects were 202 working men aged from 30 to 39 and the data of 33 items including computed items were analysed by factor analysis and cluster analysis. Re results were as follows: As a factor of somatotype in evaluating males in 30's, the horizontal area represented the chest circumference at scye and the breadth items, the vortical region indicated hit length posterior, front length, back length, the breadth difference and the length difference. The somatotype by cluster analysis was classified with 3 type. Type I as the Roher's index 1.21 indicating the smallest in the circumference and weight item was classified as the thin and long featuring bending somatotype. Type 2 with the Rohrer's index 1.35 showing the mid-group between type 1 and 3 had the highest distribution rate as the balanced featuring the standard somatotype. Type 3 as the rohrer's index 1.40 was the largest physical condition group in the obesity featuring the turning over somatotype.

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상한론(傷寒論) 273조(條)의 교감(校勘)을 통한 태음병(太陰病)에 대한 새로운 해석 (Novel Appreciation for Taeeum-byung through Revision of Shanghan-lun Clause 273)

  • 진링;하기태
    • 동의생리병리학회지
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    • 제32권4호
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    • pp.211-216
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    • 2018
  • Generally, clause 273 of Shanghan-lun was called as a principle of Taeeum-byung and was regarded that it contains essential substances of Taeeum-byung. In this study, I compared the text of diverse woodblock-printed versions, the opinions of many annotators, and other clauses of Shanghan-lun which related with clause 273 in pathologic view points. As results, "the symptoms become worsen by purgative medicine" of remained version is more reasonable rather than "diarrhea become worsen" of Song version, in the side of pathologic interpretation of Taeeum-byung and to understand the reason of mistreatment. In addition, the symptoms of "an intermittent and autonomous abdominal cramp" and "feeling hard on sub-chest region" should be recognized as transformed symptoms by mistreatment of purgative medicine. Thus, diarrhea cannot be accepted as a peculiar symptom of Taeeum-byung, but should be regarded as a possible symptom transformed from Taeeum-byung or its preceding diseases by purgative medicine.

EBT 의료 영상에서 폐 영역 추출 및 폐엽 분할 (Segmentation of Lung and Lung Lobes in EBT Medical Images)

  • 김영희;이성기
    • 한국정보과학회논문지:소프트웨어및응용
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    • 제31권3호
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    • pp.276-292
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    • 2004
  • 본 논문에서는 폐 질환 진단에 필요한 EBT(Electron Beam Tomography) 흉부 영상에서 폐 영역을 추출하고, 추출된 폐 영역에서 폐엽의 경계(pulmonary fissure)를 찾아 폐엽(lobe) 단위로 분할하는 방법을 제안하였다. EBT 흉부 영상을 분석하여 히스토그램을 기반으로 하는 임계치 방법과, 수학적형태학을 적용하여 폐 영역을 추출하였고 본 논문에서 제안한 adaptive filter scale을 사용한 에지 연산자와 폐엽 경계(pulmonary fissure)에 대한 해부학적 지식을 바탕으로 폐 영역을 폐엽 단위로 분할하였다. 본 논문에서 제안한 방법을 총 102개의 영상에 대해 실험한 결과는 폐 영역 추출에서 95% 이상의 정확도를 보여주었고 폐엽 경계선 추출에서 5 픽셀 이하의 거리오차를 나타내었다.

하악 제3대구치 발치 후 병발된 피하기종과 종격동 기종: 증례보고 (Subcutaneous Emphysema and Pneumomediastinum After Mandibular Third Molar Extraction: a Case Report)

  • 김덕실;김성완;변경환;김현수
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권6호
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    • pp.597-599
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    • 2010
  • Subcutaneous emphysema and pneumomediastium is a relatively uncommon phenomenon. Most case of pneumomediastium are caused by iatrogenic injury on the cervical region and chest during tracheostomy. It is also well known that emphysema may occur secondary to dental treatment using high-speed air turbine handpiece, but there have been few cases of emphysema extended to involving the mediastinum. These complications are reported to occur mainly in patients after dental procedures, in particular during mandibular third molar extraction. Early recognition and conservative treatment of these problems is essential in preventing life-threatening complications such as airway obstruction, mediastinitis, pneumothorax and cardiac failure. As we report a case of 25-year-old woman with subcutaneous emphysema and pneumomediastium after mandibular third molar extraction using high-speed air turbine handpiece.

중년여성의 의복구성을 위한 상반신 체형분류 (Classification of Upper Torso Somatotype for the Construction of Middle-Aged Women's Clothing)

  • 김혜경;김순자
    • 한국의류학회지
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    • 제19권6호
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    • pp.1027-1039
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    • 1995
  • Clothing fitness is strongly required in the apparel industry, and draping is an effective tool to increase fitness to the wearers. A more sophisticated and systematic information of the somatotype, accordingly, is necessary for better cress form design. This study was performed to provide fundamental data on middle aged women's upper torso for dress form designers and pattern makers by classifying the somatotype based on each individual's lateral view, and analyzing the characteristics of their somatotype. Data were analyzed by factor analysis, cluster analysis, analysis of variance. Factor analysis was used to 23 items from photometric measurment and cluster analysis was applied for classification of upper torso forms. Through cluster analysis using 5 factor scores, 3 somatotypes were categorized from th lateral view 1) Type I was straight somatotype in which the plumb line passes throught the lobe of the ear, the shoulder joing and the mid abdominal region laterally. This type of woman was slender and shorter than average. 2) Type II was bending somatotype in which the upper portion of upper torso is bent forward. This type of woman was taller and fatter than average. 3) Type III was swayback somatotype in which the upper portion of protruding point on the back is bent forward but the lower portion of protruding point had characteristic of turning over somatotype. This type of woman had storter length on the front and longer lenght on the back, slender type and flat chest.

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식도 재건 수술후 발생한 합병증 치험 (Treatment of the complications of the esophageal reconstructive procedures)

  • 이두연;윤치순;홍승록
    • Journal of Chest Surgery
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    • 제24권5호
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    • pp.463-469
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    • 1991
  • Post-anastomotic leakage and stenoses remain major complications and are still responsible for many mortalities after esophageal reconstructive procedures. If the hand-suture is used, anastomotic leaks developed frequently than stenoses. But post-anastomotic leakages are more critical than post-anastomotic stenoses. If the stapler is used, anastomotic stenoses will develop frequently and not critical than anastomotic leakages. The stapler suture method is easier and quicker than the hand suture method in the esophageal anastomotic procedures. But the disadvantages of the stapler suture method is that there is not reachable site with anastomotic stapler the thoracic inlet region and the cost is expensive. We have treated 44 cases of the surgical complications after esophageal reconstructive procedure with conservative and surgical treatment for 10 years from January, 1980 to December, 1989. The anastomotic site stenoses were 8 cases in the hand-suture methods and 4 cases in the stapler-suture methods. The anastomotic leaks were 8 cases in hand-suture methods and 5 cases in stapler-suture methods. There were one death in the surgical repair of four post-operative anastomotic stenoses and two deaths in the surgical repair of three post-operative anastomotic leakages. Ever though we consider that there is more anastomotic leakage than stenoses after the hand-suture methods in esophageal reconstructive procedures. the cost with long stay in the intensive care unit to treat anastomotic leakage after the hand-suture, would be more expensive than-the cost of the treatment of the anastomotic stenoses after auto-suture.

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림프절 전이를 동반한 폐세포종(경화성 혈관종) - 1례 보고 - (A Case of Pneumocytoma(Sclerosing Hemangioma) with Lymph Node Metastasis. -A Case Report)

  • 정경영;김길동;임상현
    • Journal of Chest Surgery
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    • 제30권5호
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    • pp.548-551
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    • 1997
  • 경화성 혈관종으로 흔히 부르는 폐세포종(pneumocytoma)은 간혹 다발성으로 발생한 예가 보고되나 림 프절로 전이된 예는 문헌상 세계적으로 1예만이 보고되었다. 연세의대 흉부외과에서는 29세의 남자에서 우연히 발견된 우측 폐문부 폐종괴를 수술전 폐암(선암) 진 단하에 우상엽폐절제술 및 림프절박리술을 시행한 결과, 조직병리검사상 림프절 전이를 동반한 폐세포종 을 경험하였다. 폐세포종은 양성 종양으로 알려져 있으나 매우 드문 경우에서 전이할 수 있음을 보였다.

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전방 경경부접근술을 통한 상구종양 절제술 (Anterior Transcervical Approach to Supperior Sulcus Tumor)

  • 최호;이철주;홍준화;강준규;최진욱;윤유상
    • Journal of Chest Surgery
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    • 제34권5호
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    • pp.426-429
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    • 2001
  • Superior sulcus or pancoase tumor refers to any primarty lung cancer locating in thoracic inlet and causing pain in the periscapular region or aim. These originate inperipheral, and involve th extrapulmonary structures more than parenchyma of the lung. We experienced l case of superior sulcus tumor radically resected via anterior transcervical approach, which provide more safe exposure of cervical structures of thoracic inlet than classis posterolateral thoracotomy. Therefore were report this case with review of literature.

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