• 제목/요약/키워드: cross-sectional study

검색결과 5,007건 처리시간 0.05초

급성 및 만성 요통환자의 요부주위근 횡단면적과 요통 예후의 상관관계 연구 (The Findings of Relation between Cross-sectional Area of Lumbar Paraspinal Muscle and Prognosis in Patients of Acute and Chronic Low Back Pain Patients)

  • 남지환;이종환;이슬지;김기원;이민정;전재윤;임수진;홍남중;송주현
    • Journal of Acupuncture Research
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    • 제30권4호
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    • pp.45-53
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    • 2013
  • Objectives : The purpose of this study was to evaluate the relationship between cross-sectional areas of the paraspinal and psoas muscles with low back pain. Methods : We assessed the cross-sectional area of the psoas and paraspinal muscles at the superior part of L4 level and vertebral body of L4 of 132 patients who were hospitalized with a chief complaint of low back pain at Jaseng Hospital of Korean Medicine from January 2013 to April 2013. After calculating the mean psoas area, we divided the patients into 2 groups by whether the psoas cross section was larger or smaller than the mean, and compared the admission period, verbal numeric rating scale(NRS) of low back pain(LBP), and improvement of verbal NRS of LBP. We also subcategorized the patients into acute and chronic groups according to the duration period, and compared the cross-sectional area of the psoas and paraspinal muscles. Results : Although analyses of the verbal NRS of LBP, and improvement of verbal NRS of LBP between groups with larger and smaller psoas cross section areas showed no significant difference, the admission period was significantly shorter in the group with larger psoas cross section areas. There was no significant difference in analyses of cross section areas in the acute and chronic groups. Of the possible prognostic variables, improvement of verbal NRS of LBP showed no correlation, while the admission period displayed a significant correlation. The cross-sectional area of the psoas and paraspinal muscles divided by the area of the vertebral body of L4 had a significant negative correlation with age. Conclusions : The cross-sectional area of the psoas and paraspinal muscles were correlated with the admission period in LBP patients, and the cross-sectional area of the surrounding muscles divided by the area of the L4 vertebral body was negatively correlated with age.

Cross-cultural Validation of Instruments Measuring Health Beliefs about Colorectal Cancer Screening among Korean Americans

  • Lee, Shin-Young;Lee, Eunice E.
    • 대한간호학회지
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    • 제45권1호
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    • pp.129-138
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    • 2015
  • Purpose: The purpose of this study was to report the instrument modification and validation processes to make existing health belief model scales culturally appropriate for Korean Americans (KAs) regarding colorectal cancer (CRC) screening utilization. Methods: Instrument translation, individual interviews using cognitive interviewing, and expert reviews were conducted during the instrument modification phase, and a pilot test and a cross-sectional survey were conducted during the instrument validation phase. Data analyses of the cross-sectional survey included internal consistency and construct validity using exploratory and confirmatory factor analysis. Results: The main issues identified during the instrument modification phase were (a) cultural and linguistic translation issues and (b) newly developed items reflecting Korean cultural barriers. Cross-sectional survey analyses during the instrument validation phase revealed that all scales demonstrate good internal consistency reliability (Cronbach's alpha=.72~.88). Exploratory factor analysis showed that susceptibility and severity loaded on the same factor, which may indicate a threat variable. Items with low factor loadings in the confirmatory factor analysis may relate to (a) lack of knowledge about fecal occult blood testing and (b) multiple dimensions of the subscales. Conclusion: Methodological, sequential processes of instrument modification and validation, including translation, individual interviews, expert reviews, pilot testing and a cross-sectional survey, were provided in this study. The findings indicate that existing instruments need to be examined for CRC screening research involving KAs.

수근관증후군 뇌졸중 환자에서 경직정도에 따른 정중신경 단면적과 신경전도속도 및 상지기능의 비교 (Carpal Tunnel Syndrome in Stroke Patients According to the Degree of Spasticity in Median Nerve Cross-Sectional Area and Nerve Conduction Velocity and Comparison of Upper Extremity Function)

  • 김태곤;정대인;김경윤
    • 한국콘텐츠학회논문지
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    • 제13권11호
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    • pp.288-296
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    • 2013
  • 본 연구의 목적은 수근관증후군 뇌졸중 환자에서 경직정도에 따른 정중신경 단면적, 신경전도속도 및 상지기능 차이를 알아보고자 하였다. 연구대상은 성인 뇌졸중 환자 42명에서 CTS군 21명과 Non-CTS군 21명으로 선정하였다. 측정방법으로는 정중신경 단면적, 신경전도속도, GST, FMAS, CTS-FSS로 측정하였다. 연구결과, CTS군과 Non-CTS군 간 각 등급에서 정상측(p<.001)과 마비측(p<.001)의 정중신경 단면적, 정중 운동신경과 감각신경 기시잠시는 통계학적으로 유의한 차이가 있었다. CTS군과 Non-CTS군 간 각 등급에서 GST(p<.05), FMAS(p<.05), CTS-FSS(p<.001)는 통계학적으로 유의한 차이가 있었다. 본 연구는 수근관에 대한 병리역학적 내용을 제시함으로서 뇌졸중 환자의 상지기능훈련 시 고려해야할 내용 중 하나임을 제시하였다.

저강도 격일 운동과 매일 운동이 쥐 뒷다리근에 미치는 근 비대 효과 비교 (Comparison of Hypertrophic Effects of Low-Intensity Exercise on Rat Hindlimb Muscles between Every Other Day Exercise and Everyday Exercise)

  • 최명애;고종진;곽현경;백지현;정진영;송연정;안경주
    • Journal of Korean Biological Nursing Science
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    • 제13권1호
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    • pp.1-7
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    • 2011
  • Purpose: The purpose of this study was to compare the hypertrophic effects of low-intensity exercise on weight, myofibrillar protein content and Type I, II fiber cross-sectional area of hindlimb muscles of rats between every other day exercise and every day exercise. Methods: Adult male Sprague-Dawley rats were assigned to 1 of 3 groups: control group (C, n=6), experimental group 1 (E1, n=7) and experimental group 2 (E2, n=7). Rats in E1 group had 7 sessions (every other day) and those in E2 group had 14 sessions (every day) of exercise in which they ran on a treadmill for 30 min/day at 10 m/min. Results: Muscle weight, cross-sectional area of type I fiber and myofibrillar protein content of soleus and myofibrillar protein content of plantaris in E1 group, and myofibrillar protein content of soleus and cross-sectional area of type I fiber of plantaris in E2 group were greater than those in C group. Cross-sectional area of type I fiber of soleus of E1 group was higher than E2 group while cross-sectional area of type I fiber of plantaris of E2 group was higher than E1 group. Conclusion: Hypertrophy of hindlimb muscles occurs from every other day exercise similar to every day exercise.

하악의 전방 이동이 상부기도의 용적에 미치는 영향 (The Effect of Mandibular Anterior Repositioning on the Upper Airway Volume)

  • 최재갑;기우천;강덕식
    • Journal of Oral Medicine and Pain
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    • 제24권1호
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    • pp.69-80
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    • 1999
  • OBJECTIVES: This study was designed to measure the minimal cross-sectional areas and volumes of the pharynx in snoring patients and normal subjects and to see if there is an increase in the minimal cross-sectional areas and volumes of the pharynx with advancement of the mandible. METHODS: The pharyngeal computed tomography and 3-dimensional reconstruction were used to measure the cross-sectional areas and volumes of the nasopharynx, oropharynx, and hypopharynx with the jaw in normal position and in protrusive position in 7 patients with snoring and 7 control subjects while they were awake. RESULTS: The oropharynx was revealed to have the most narrow site in the pharynx and there was a tendency for the snorers to have a smaller nasopharyngeal and oropharyngeal cross-sectional area than normal subjects but not statistically significant. There were no significant differences in the volumes of the nasopharynx and oropharynx between the two groups. With advancement of the jaw the minimal cross-sectional area of oropharynx was significantly increased, and the volume was also increased but not significantly. The minimal cross-sectional areas and volumes of nasopharynx as well as hypopharynx were not significantly influenced by the advancement of the mandible. CONCLUSIONS: There was a tendency for snorers to have a smaller oropharynx than normal subjects and the oropharyngeal lumen was increased with the advancement of the mandible in both snorers and normal subjects.

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자기공명영상을 이용한 근육 단면적 측정법의 활용을 위한 영상왜곡보정 (Distortion Correction in Magnetic Resonance Images on the Measurement of Muscle Cross-sectional Area)

  • 홍철표;이동훈;박지원;한봉수
    • The Journal of Korean Physical Therapy
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    • 제24권2호
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    • pp.66-72
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    • 2012
  • Purpose: The purpose of this study is to explore the importance of the image distortion correction in the cross sectional area measurement for the iliopsas muscle, tensor fasciae latae muscle, gluteus maximus muscle and the knee extensor muscles, by using (magnetic resonance imaging) MRI. Methods: This study was performed using an open 0.32T MRI system. To estimate the image distortion, T1 images for an AAPM homogeneity/linearity phantom were acquired, and the region in which the maximum geometric distortion was less than or equal to the pixel size (1.6 mm) of the images, it was defined as the distortion correction-free region. The T2 images for a human subject's pelvis and thigh in normal positions were obtained. Then, after the regions of interest in the pelvis and thigh were moved into the distortion correction-free region, T2 images for the pelvis and thigh were scanned with the same imaging parameters used in the previous T2 imaging. The cross-sectional areas were measured in the two T2 images that were obtained in the normal position, and the distortion correction-free region, as well as the area error caused by geometric image distortion was calculated. Results: The geometrical distortion is gradually increased, from the magnet center to the outer region, in axial and coronal plane. The cross-sectional area error of gluteus maximus muscle and the knee extensors was as high as 9.27% and 3.16% in before and after distortion correction, respectively. Conclusion: The cross-sectional area of the muscles that suffered from the geometrical distortion is necessary to correct for the estimation of the intervention.

원형관으로부터 방출되는 펄스파에 대한 수치해석적 연구 (A Computational Study of the Impulsive Wave Discharged from a Circular Tube)

  • 이영기;권용훈;김희동
    • 대한기계학회논문집B
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    • 제28권7호
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    • pp.850-856
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    • 2004
  • When a shock wave arrives at the open end of a tube, an impulsive wave is discharged from the tube exit and causes serious noise and vibration problems. In the current study, the effect of the cross-sectional area of a circular tube on the impulsive wave is investigated using computational methods. Marten-Yee's TVD scheme was employed to solve axisymmetric, unsteady, compressible Euler equations. With a change in the cross-sectional area of the tube, the Mach number of an incident shock wave is varied between 1.01 and 1.50. The results obtained show that the magnitude of the impulsive wave strongly depends upon the Mach number of the incident shock wave and the cross-sectional area of the tube. It is also found that for a given cross-sectional area of the tube, the impulse wave has strong directivity to the tube axis.

주입선 설계가 티타늄 주조체의 내부기포 발생에 미치는 영향 (THE EFFECT OF SPRUE DESIGN ON THE INTERNAL POROSITY OF TITANIUM CASTINGS)

  • 허숙명;전영찬;정창모;임장섭;정희찬
    • 대한치과보철학회지
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    • 제44권2호
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    • pp.147-156
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    • 2006
  • Statement of problem: The high melting temperature and chemical reactivity of titanium necessitates casting machines different from those used in conventional casting. Despite the new developments in Ti casting systems , inadequate mold filling and internal porosity are frequently observed casting defects. Therefore, the study on the fabrication technique including sprue design to solve these casting defects is still necessary. Purpose: The purpose of this study was to evaluate the effect of sprue design and cross sectional area of sprue on the internal porosity. Materials and methods: 30 simulated cast three units titanium crowns were prepared. 5 cast crowns for each with different sprue design(sinlge sprue, double sprue and plate sprue) of two cross sectional areas (small and large cross sectional areas) were fabricated. The sections of titanium castings were photographed in a microscope at ${\times}100$ magnification to record internal porosities. Results and Conclusion: Within the limits of this study, the following conclusions were drawn: 1. There was a significantly lower in internal porosity of titanium castings for large cross sectional area of sprue group than the small group (P<.05) 2. There was no significant difference in internal porosity among sprue designs in similar cross sectional area of sprue (P>.05).

다양한 그루브 단면형상에 대한 스풀밸브의 윤활특성 연구 (Study on Lubrication Characteristics of Spool Valve with Various Cross-sectional Groove Shapes)

  • 홍성호;손상익;김경웅
    • Tribology and Lubricants
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    • 제29권3호
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    • pp.149-159
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    • 2013
  • In this research, the lubrication characteristics of spool valves with various cross-sectional groove shapes were studied. The validity of using the Reynolds equation for the analysis of spool valves with various groove shapes was also investigated. The cross-sectional shapes for the grooves included a triangle, square, and U shape. The characteristics of the flow in the groove were investigated using streamlines. When the number of grooves was increased, the difference between the results obtained from the Reynolds equation and those obtained from the Navier-Stokes equation increased according to the groove shape. Thus, it was found that the Navier-Stokes equation should be used to investigate the lubrication characteristics of the spool valves in those cases. Moreover, in the case where the cross section of the groove was U-shaped, the groove prevented the small eddy current from occurring in the groove. Therefore, the lateral force and friction force of the spool valve with the U-shaped groove were lower than those of the spool valves with other groove shapes.

안면 비대칭환자의 하악골체부의 시상 단면에 관한 연구 (Cross-sectional study of the mandibular body in patients with facial asymmetry)

  • 이재열;김용일;황대석;김용덕;신상훈;김욱규;정인교
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제37권2호
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    • pp.109-113
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    • 2011
  • Introduction: To correct the facial asymmetry by mandibular jaw surgery, it is important to know the anatomy of the mandible including the mandibular canal positioning of patients with facial asymmetry. This study was performed to evaluate the differences in the cross-sectional surface in the body of the mandible between the deviated side and opposite side in patients with facial asymmetry. Materials and Methods: The study was conducted on 37 adult patients composed of 2 groups, the asymmetry group (n=20) and non-asymmetry group (n=17). Using the cross-sectional computed tomography (CT) images, the distance from the buccal aspect of the mandibular canal to the outer aspect of the buccal cortex, distance from the buccal aspect of the mandibular canal to the inner aspect of the buccal cortex, distance from the inferior aspect of the mandibular canal to the inferior border of the mandible, thickness of the mandible, and cross-sectional surface area of the mandible were measured in each side of the mandible Results: The cross-sectional area of the mandible including the mandibular canal positioning in the deviated side was not statistically different from the opposite side in the asymmetry group. Only the distance from the inferior aspect of the mandibular canal to the inferior border of the mandible in the ramus area of the deviated side was significantly longer than opposite side. On the other hand, the bucco-lingual width of the asymmetry group was thinner than the non-asymmetry group. Conclusion: The cross-sectional area including the mandibular canal of the mandible did not appear to be modified by the facial asymmetry.