• Title/Summary/Keyword: head size

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국한성 두경부 비호지킨스 림프종 환자에서의 다방면치료 (Multimodal Approaches in the Patients with Stage I,II Non-Hodgkin's Lymphoma of the Head and Neck)

  • 표홍렬;서창옥;김귀언;노재경
    • Radiation Oncology Journal
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    • 제13권2호
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    • pp.129-142
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    • 1995
  • Purpose: Traditionally the patients with early stage non-Hodgkin's lymphoma of the head and neck was treated with radiotherapy. But the results were not satisfactory due to distant relapse. Although combined treatment with radiotherapy and chemotherapy was tried with some improved results and chemotherapy alone was also tried in recent years, the choice of treatment for the patients with early stage non-Hodgkin's lymphoma of the head and neck has not been defined Therefore, in order to determine the optimum treatment method, we analysed retrospectively the outcomes of the patients with Ann Arbor stage I and II non-Hodgkin's lymphoma localized to the head and neck who were treated at Severance Hospital. Materials and Methods: 159 patients with stage I and II non-Hodgkin's lymphoma localized to the head and neck were treated at our hospital from January, 1979 to December, 1992. Of these patients, 114 patients whose primary sites were Waldeyer's ring or nodal region, and received prescribed radiation dose and/or more than 2 cycles of chemotherapy. were selected to analyze the outcomes according to the treatment methods ( radiotherapy alone, chemotherapy alone. and combined treatment with radiotherapy and chemotherapy ). Results: Five year overall actuarial survival of the patients whose Primary site was Waldeyer's ring was $62.5\%.$ and that of the Patients whose primary site was nodal region was $53.8\%$ There was no statistically significant difference between survivals of both groups. Initial response rate to radiotherapy. chemotherapy, and combined treatment was $92\%,\;83\%,\;94\%$ respectively, and 5 year relapse free survival was $49.9\%,\;52.4\%,\;58.5\%$ respectively ( statistically not significant ). In the patients with stage I. 3 year relapse free survival of chemotherapy alone group was $75\%$ and superior to other treatment groups. In the Patients with stage II, combined treatment group revealed the best result with $60.1\%$ of 3 year relapse free survival. The effect of sequential schedule of each treatment method in the Patients who were treated by combined modality was analyzed and the sequence of primary chemotherapy + radiotherapy + maintenance chemotherapy showed the best result ( 3 year relapse free survival was $79.1\%).$ There was no significant survival difference between BACOP regimen and CHOP regimen. Response to treatment was only one significant (p(0.005) prognostic factor on univariate analysis and age and mass size was marginally significant ( p(0.1). On multivariate analysis, age (p=0.026) and mass size (p=0.013) were significant prognostic factor for the relapse free survival. Conclusion: In summary, the patients who have non-Hodgkin's lymphoma of the head and neck with stage I and mass size smaller than 10 cm, can be treated by chemotherapy alone, but remainder should be treated by combined treatment method and the best combination schedule was the sequence of initial chemotherapy followed by radiotherapy and maintenance chemotherapy.

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원격전이를 동반한 선양낭포암에 대한 고찰 (A Clinical Study of Distant Metastasis in Adenoid Cystic Carcinoma)

  • 권순영;김형진;조성동;백승국;정광윤;최건;최종욱
    • 대한기관식도과학회지
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    • 제7권1호
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    • pp.29-33
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    • 2001
  • Background and Objectives: Adenoid cystic carcinoma (ACC) is an aggressive, often indolent tumor, with a high incidence of distant metastasis (DM). Relatively little has been written about the factor that influence distant spread and subsequent survival because it is uncommon and has protracted clinical course. We attempted to reemphasize the biologic behavior of ACC by investigating the relationship between the clinical features and prognosis. Materials and Methods : We have retrospectively studied 24 determinate patiens who received definitive treatment in our hospital between 1984 and 1995 for ACC in all salivary sites. Inclusion criteria were no prior treatment elsewhere other than excisional biopsy and eligibility for follow-up of at least 5 years. Variables assessed for their impact on distant metastasis included age, gender, size, node status, stage, histologic pattern, locoregional treatment failure. Results : Treatment failure occurred in a total of 16 of 24 determinate Patients (64%), 12 of whom had DM (50%). This was usually associated with locoregional recurrence (8 patients), but DM was the only indication of failure in 4 whose primary tumor was controlled. Of the 12 patients with known DM, the lung was recored as the only involved site in 7 Patients, lung was involved in addition to other sites in 1, bone and liver metastasis occurred in 2 respectively. Disease-free intervals varied from 3 month to 14 years (median 3 years). The only significant factors influencing survival were the size of the primary tumor, locoregional recurrence. Conclusion : The high incidence of DM with locoregional failure confirms the importance of aggressive initial surgery. combined with irradiation, for high-stage tumors or involved surgical margins. Large tumor size and locoregional recurrence, rather than microscopic appearance, were predictive of DM.

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위성용 소켓헤드 캡 스크류 개발 및 검증 (Development and Verification of Socket Head Cap Screw for Satellite Applicaiton)

  • 이춘우;조영준;이창호;황도순
    • 항공우주기술
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    • 제9권2호
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    • pp.129-137
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    • 2010
  • 본 논문은 위성용으로 주로 사용되는 소켓헤드 캡 스크류에 대한 국산화 개발 절차를 소개하는 내용이다. 국산화 개발을 위한 소켓헤드 캡 스크류의 제조공정은 MIL-B-7838, ECSS-Q-70-46A, KS W 8168과 같은 항공우주 관련 규격 요구조건을 만족하기 위해서 헤드 포밍 공정, 열처리공정, 전조 공정 및 후처리 공정으로 구성하였다. 그리고 국산화 스크루에 대한 품질 검증을 위하여 여러 가지 종류의 품질검증시험을 성공적으로 완료하였다. 또한, 비국산화 해외 도입 스크류와의 비교 품질시험을 통하여, 국산화 소켓 헤드 캡 스크류 품질이 항공우주용으로 적용 가능한 우수한 품질 성능을 확인 하였다.

대평판 이송을 위한 비접촉 헤드 설계 (Design of Non-Contact Pick-Up Head for Carrying Large Flat Sheets)

  • 김준현;김영글;안성욱;김용성
    • 한국생산제조학회지
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    • 제22권6호
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    • pp.937-944
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    • 2013
  • This paper describes an improved model that can be used for configuring a non-contact pneumatic head to handle a large sheet of glass. The cylindrical head model is of a large size (70 mm). It operates on vortex flow, which can simultaneously generate suction and repulsion over the flat object's surface. The head allows for the minimal non-contact lifting of objects weighing over 3N by using reference conditions (working pressure and head dimensions). Additionally, a functional flow-guide is applied for inducing a developing tangential vortex flow to increase suction and repulsion to the reference head. The cylindrical flow-guide is associated with relatively low tangential velocity. The improved model generates greater lifting force than the reference model, as verified experimentally.

인간의 행동 인식을 위한 얼굴 방향과 손 동작 해석 (Analysis of Face Direction and Hand Gestures for Recognition of Human Motion)

  • 김성은;조강현;전희성;최원호;박경섭
    • 제어로봇시스템학회논문지
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    • 제7권4호
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    • pp.309-318
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    • 2001
  • In this paper, we describe methods that analyze a human gesture. A human interface(HI) system for analyzing gesture extracts the head and hand regions after taking image sequence of and operators continuous behavior using CCD cameras. As gestures are accomplished with operators head and hands motion, we extract the head and hand regions to analyze gestures and calculate geometrical information of extracted skin regions. The analysis of head motion is possible by obtaining the face direction. We assume that head is ellipsoid with 3D coordinates to locate the face features likes eyes, nose and mouth on its surface. If was know the center of feature points, the angle of the center in the ellipsoid is the direction of the face. The hand region obtained from preprocessing is able to include hands as well as arms. For extracting only the hand region from preprocessing, we should find the wrist line to divide the hand and arm regions. After distinguishing the hand region by the wrist line, we model the hand region as an ellipse for the analysis of hand data. Also, the finger part is represented as a long and narrow shape. We extract hand information such as size, position, and shape.

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초기 구강설암 환자에서 부분 설절제술 후 조음변화 (Articulation Changes after Partial Glossectomy in Patients with Early Tongue Cancer)

  • 이길준;염혜연;이강규;이은경;손영익
    • 대한후두음성언어의학회지
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    • 제21권1호
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    • pp.42-47
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    • 2010
  • Backgrounds and Objects: Carcinoma of the tongue is the most common cancer of the oral cavity. A primary treatment strategy includes surgery and/or radiotherapy. Resection of the tongue often results in speech dysfunction, which depends on the site and extent of resection, type of reconstruction, and the mobility of remaining tongue. This study aimed to evaluate the characteristics of articulation errors that were resulted from the partial glossectomy without free flap reconstruction. Materials & Method : Articulation evaluations including speech intelligibility and percent of correct consonants (PCC) were performed for 24 patients who underwent partial glossectomy for their T1 or T2 tongue cancer. Mobility of the tongue, size of the resected tongue, and the history of adjuvant radiotherapy were analyzed for their relationship with the results of articulation evaluation. Results: Speech intelligibility score was $6.4{\pm}0.9$ (on 7-point scale) and overall PCC was 96.9%. There were close relationships between the size of resection and limitations in the tongue mobility, especially in "protrusion and elevation (r=-0.687)" and "retroflexion (r=-0.775)". Errors in "alveolar fricatives" and "palatal affricates" were also closely related with the size of resection (r=-0.537 and -0.538, respectively). PCC for "liquid sound" /r/ was 83.2%, which was closely related with the history of radiation therapy. Conclusion : Overall articulatory function was satisfactory in cases of early tongue cancer after partial glossectomy of a limited volume without flap reconstruction. However, the size of resection and the history of radiation therapy were closely related to the limitations in some types of tongue mobility and the resultant articulation errors.

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센서 네트워크에서의 동적 크기 다중홉 클러스터링 방법 (Dynamic-size Multi-hop Clustering Mechanism in Sensor Networks)

  • 임유진;안상현
    • 정보처리학회논문지C
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    • 제12C권6호
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    • pp.875-880
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    • 2005
  • 제한된 자원을 가진 센서 노드들로 구성된 센서 네트워크에서 가장 중요한 이슈 중 하나는 쑤어진 에너지를 최대한 활용하여 네트워크 수명을 연장하는 것이다. 네트워크 수명을 연장하는 가장 대표적인 방법은 클러스터링 방법이다. 본 논문에서는 CH(Cluster Head) 및 후보 CH 노드들로부터 주어지는 통신 부하(load)와 잔여 에너지 양에 대한 정보를 기반으로 클러스터 크기를 동적으로 변화시켜 클러스터 내의 노드 밀도에 상관없이 각 CH에게 주어지는 부담을 일정하게 유지시키는 새로운 동적 크기 다중홉 클러스터링 방법을 제안한다. 시뮬레이션을 통해 제안된 방법이 기존의 단일홉 모드나 고정 크기 다중홉 모드 클러스터링 방법보다 우수함을 보였다.

Relationship of Posterior Decentering of the Humeral Head with Tear Size and Fatty Degeneration in Rotator Cuff Tear

  • Kim, Jung-Han;Seo, Hyeong-Won
    • Clinics in Shoulder and Elbow
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    • 제22권3호
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    • pp.121-127
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    • 2019
  • Background: Posterior decentering is not an uncommon finding on rotator cuff tear patients' shoulder magnetic resonance imaging. No previous study has reported on the relationship between posterior decentering and rotator cuff tear. Methods: We assessed patients' rotator cuff tear humeral head positions based on humeral-scapular alignment (HSA). Subjects were classified into centering and decentering groups based on a <2 mm or >2 mm HSA value, respectively. Differences in rotator cuff tear size, degree of tear, and fatty degeneration between the two groups were evaluated. Results: One hundred seventy-five patients (80 males, 95 females; mean age: $59.7{\pm}6.5$ years old) were selected as subjects (casecontrol study; level of evidence: 3). Tear size, degree of subscapularis tendon tear, and fatty degeneration of the supraspinatus, infraspinatus, and subscapularis muscles were significantly different between the two groups (p<0.001, p<0.001, p<0.001). Conclusions: The occurrence of decentering was related to rotator cuff tear size, degree of subscapularis tendon tear, and fatty degeneration of the rotator cuff muscles.

선천성 근육 사경 환아에 대한 운동 발달적 치료 접근: 증례보고 (A Therapeutic Approach Based on Motor Development in Congenital Muscular Torticollis: A Case Report)

  • 류제용;김유진;성주연;심재훈;이규완;오덕원
    • 한국전문물리치료학회지
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    • 제13권2호
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    • pp.77-84
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    • 2006
  • Although conservative management of congenital muscular torticollis (CMT) has been well documented, relatively little is known about the response to the treatment. The purposes of this case report were to describe the use of a therapeutic approach based on motor development in physical therapy intervention for an infant with CMT and to report the result of the treatment. The patient was a 20-day-old baby boy with left CMT presenting muscular mass in the left sternocleidomastoid muscle. The angle of the lateral head tilt was 20 degrees. The size of muscular mass was 5.3 mm in ultrasonography. Intervention included ultrasonic therapy, soft tissue massage, passive and active range of motion exercises, motor developmental therapy, and parent instruction. The procedures of motor developmental therapy and changes in the amount of lateral head tilt were documented using photography. The size of the mass was decreased to .3 mm before the 5-month follow-up. The patient also maintained a midline head position in the supine position and a midline head alignment during all functional activities. A therapeutic approach based on motor development is a beneficial method for reducing an asymmetrical head and neck position, and facilitating normal development as a component of physical therapy intervention.

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식생활비 지출규모와 가계의 사회경제적 특성간의 관계 분석 : 도시근로자 가계를 대상으로 (An Analysis of the Relationships of Food Expenditures and Household Socioeonomic Characteristics: For Urban Salary and Wage Earner Households)

  • 이윤금;양세정
    • 한국생활과학회지
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    • 제8권1호
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    • pp.63-79
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    • 1999
  • The purpose of the study is to investigate the relationships between food expenditures and household socio-economic characteristics. Data used were taken from the 1996 National Survey of Family Income and Expenditure Survey. This study revealed that total food expenditures for urban salary and wage earner households were 347,798 won, which accounted for 27.0 percent of the total consumption expenditures and food away from home expenditures marked for 8.4 percent of the total consumption expenditures. Household income, household size, age of household head, occupation of household head, education of household head, housing tenure, wife's employment status, gender of household head, and children's age were all important factors in predicting the food consumption expenditures for urban salary and wage earner households.

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