• 제목/요약/키워드: lateral position

검색결과 1,068건 처리시간 0.022초

Discrepancies in Soft Tissue Profile of Patients for Orthognathic Surgery between Preoperative Lateral Facial Photograph, Lateral Cephalogram and Supine Position on Operation Table

  • Jung, Young-Eun;Yang, Hoon-Joo;Hwang, Soon-Jung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제34권3호
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    • pp.180-185
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    • 2012
  • Purpose: An accurate preoperative analysis of the patient is essential in orthognathic surgery in order to acquire superior results. In profile, the location of the chin's position may change according to the neck's inclination. This may ultimately affect the amount of surgical movement. During acquisition of cephalometric radiographs, or in supine position, there is a discrepancy in the neck's inclination. This means that there are also various discrepancies between the actual profile and the various preoperative profile images. In the clinical situation, the decision in performing genioplasty usually lies in the analysis of the patient's profile on the operating table at the final stages of orthognathic surgery. This study aims to analyze the different preoperative profile images and to compare their discrepancies. Methods: Fifty eight patients undergoing orthognathic surgery were chosen. These patients were divided into three groups according to angle's classification of malocclusion, as class I, II or III. The right profile of these patients in centric occlusion was taken in natural head position (NHP). This was set as the 'actual profile image.' Another right profile image was taken on the operating table after insertion of the nasotracheal intubation and with muscle relaxants in effect. This was also taken in centric occlusion. The angle (denoted 'A') between the soft tissue glabella-pognion and the true vertical plane was found in the above-mentioned profile images and in the cephalometric radiographs. The differences of these values were analyzed. Results: There were differences in Angle 'A' in all of the preoperative images. These values were however, not statistically significant. Conclusion: In order to gain an esthetic profile during orthognathic surgery, the NHP is shown to be the most reliable position. Images reproducing such head positions should be used in the treatment planning process.

골프 클럽의 길이 변화에 따른 준비 자세의 변화 (Changes of Setup Variables by the Change of Golf Club Length)

  • 성낙준
    • 한국운동역학회지
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    • 제15권3호
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    • pp.95-104
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    • 2005
  • To know the proper setup posture for the various clubs, changes of setup variables according to the change of golf club length was investigated. Swing motions of three male low handicappers including a professional were taken using two high-speed videocameras. Four clubs iron 7, iron 5, iron 3 and driver (wood 1) were selected for this experiment. Three dimensional motion analysis techniques were used to get the kinematical variables. Mathcad and Kwon3D motion analysis program were used to analyze the position, distance and angle data in three dimensions. The variables divided into three categories 1) position and width of anterior-posterior direction 2) position and width of lateral direction 3) angles and evaluated based on the theories of many good golf teachers. Major findings of this study were as follows. 1.The stance (distance between ankle joints) was increased as the length of the club increased but the increasing width was not large. It ranges from 5cm to 10cm and professional player showed small changes. 2. Forward lean angle of trunk was decreased (more erected) as the length of the club increased. It ranges from 30 degrees for iron7 to 25 degrees for driver. 3. Angle between horizontal and right shoulder were increased as the length of the club increased. It ranges from 10 degrees to 20 degrees and professional player showed small changes. 4. Anterior-posterior position of the shoulders were located in front of the foot for all clubs and the difference between the shoulder and knee position was decreased as the length of the club increased. 5. Anterior-posterior position of grip (hand) was located almost beneath the shoulders (2.5cm front) for iron7, but it increased to 10cm for the driver. This grip adjustment makes the height of the posture increased only 5cm from iron7 to driver. 6. Lateral position of grip located at 5cm left for the face of iron7, but it located at the right side (behind) for the face of driver. 7. Lateral position of the ball located at the 40%(15cm) of stance from left ankle for iron7 and located at the 10% (5cm) of stance for driver. 8. Head always located at the right side of the stance and the midpoint of the eyes located at the 37% of stance from the right ankle for all clubs. This means that the axis of swing always maintained consistently for all clubs. 9. Left foot opened to the target for all subject and clubs. The maximum open angle was 25 degrees. Overall result shows that the changes of the setup variables vary only small ranges from iron7 to driver. Paradoxically it could be concluded that the failure of swing result from the excessive changes of setup not from the incorrect changes. These findings will be useful for evaluating the setup motion of golf swing and helpful to most golfers.

자궁경부암 강내 방사선조사에 있어서 고 및 저 선량율방법에 의한 선량율 비교 고찰 (Comparison Study of Dose Rate and Physical Parameters in Low and High Dose Rate Intracavitary Radiation Systems for Carcinoma of the Uterne Cervix.)

  • 양칠용
    • 대한방사선치료학회지
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    • 제1권1호
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    • pp.70-78
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    • 1985
  • The intrauterine irradiation is essential to achieve adequate tumor dose to centeral tumor mass in radio therapy for uterine malignancy. The complications of pelvic organ are known to be directly related to radiation dose and physical parameters. The comparison study of currently using 2 systems was undertaken. The simulation films and medical records of 135 patients who was treated with intrauterine irradiation at one of general hospitals in Busan and Seoul between Jan. 1983 and June 1983, were critically analized and physical parameters of low dose rate system and remote controlled high dose rate system were measured. The physical parameters include distances between lateral walls of vaginal fornices, longitudinal and lateral angles of tandem to the body axis, the distance from the external os of uterine cervix to the central axis of ovoids, the radiation dose ratio to rectum and bladder to reference point A. Followings were summary of study results: 1. In distances between lateral walls of vaginal fornices the low dose rate system showed wide distribution and relatively larger distances. In low dose rate system 5.0-5.9 cm was $55.89\%$ 6.0-6.9 cm: $23.53\%$, 4.0-4.9cm: $10.29\%$, 3.0-3.9cm: $10.29\%$, and in high dose rate system 5.0-5.9cm was $80.59\%$, 4.0-4.9cm: $17.91\%$, $6.0\~6.9\;cm:\;1.5\%$. 2. In lateral angulation of tandem to body axis, the low does system revealed mid position (the position along body axis) $64.7\%$, Lt. deviation $19.13\%$ and Rt. deviation $16.17\%$. However the high dose rate system revealed mid position $49.26\%$ Lt. deviation $40.29\%$ and Rt. deviation $10.45\%$. 3. In longitudinal angulation of tandem to body axis the mid position was $11.77\%$ and anterior angulation $88.23\%$ in low dose rate system but in high dose rate system the mid position was $1.56\%$ and anterior angulation $98.44\%$. 4. Down ward displacement of ovoids below external os was only $2.94\%$ in low dose rate system and $67.69\%$ in high dose rate system. 5. The radiation dose ration to rectum to reference point A was $102.70\%$ in high dose rate system and $70.09\%$ in low dose rate system. The dose ratio to bladder to reference point A was $78.14\%$ in high dose rate system and $75.32\%$ in low dose rate system.

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An alternative evaluation of the LTB behavior of mono-symmetric beam-columns

  • Yilmaz, Tolga;Kirac, Nevzat;Anil, O zgur
    • Steel and Composite Structures
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    • 제30권5호
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    • pp.471-481
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    • 2019
  • Beam-columns are structural members subjected to a combination of axial and bending forces. Lateral-torsional buckling is one of the main failure modes. Beam-columns that are bent about its strong axis may buckle out of the plane by deflecting laterally and twisting as the values of the applied loads reach a limiting state. Lateral-torsional buckling failure occurs suddenly in beam-column elements with a much greater in-plane bending stiffness than torsional or lateral bending stiffness. This study intends to establish a unique convenient closed-form equation that it can be used for calculating critical elastic lateral-torsional buckling load of beam-column in the presence of a known axial load. The presented equation includes first order bending distribution, the position of the loads acting transversely on the beam-column and mono-symmetry property of the section. Effects of axial loads, slenderness and load positions on lateral torsional buckling behavior of beam-columns are investigated. The proposed solutions are compared to finite element simulations where thin-walled shell elements including warping are used. Good agreement between the analytical and the numerical solutions is demonstrated. It is found out that the lateral-torsional buckling load of beam-columns with mono-symmetric sections can be determined by the presented equation and can be safely used in design procedures.

콘빔형 전산화단층영상을 이용한 상악동 측벽의 형태학적 분석 (Morphological Analysis of the Sinus Lateral Wall Using Cone-Beam Computed Tomography)

  • 안서영;김용건
    • 구강회복응용과학지
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    • 제28권4호
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    • pp.349-357
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    • 2012
  • 이번 연구의 목적은 콘빔형 전산화단층촬영술(cone-beam computed tomography)을 이용하여 상악동 측벽의 두께를 측정하고, 이를 바탕으로 상악동 거상술을 위한 측벽창(lateral wall window)형성 시 가장 적절한 수직적 위치를 평가하는 것이다. 2010년 7월부터 2012년 6월까지 경북대학교 치과병원에 내원한 53명(남 : 36명, 여 : 17명, 평균나이 : 51.5세)의 상악동거상술 예정 환자의 콘빔형 전산화단층영상을 대상으로 하였다. 상악동 측벽의 두께는 상악 제2소구치, 제1대구치, 제2대구치 부위에서 상악동 하연을 포함하여 상악동 하연을 기준으로 수직적으로 1 mm 간격으로 6 mm 까지 측정하였고, 2회 반복 측정하여 평균을 구하였다. 상악동 측벽의 두께는 상악동 하연(Sinus Inferior Border, SIB)을 기준으로 상방 2 mm (SIB+2)까지는 2 mm 이상으로 관찰되었고, 상악동의 하연을 기준으로 3 mm 상방 (SIB+3)에서는 2 mm 미만으로 나타났으며, 상악동 하연을 기준으로 4 mm 상방에서는 두께가 거의 일정한 것으로 나타났다. 이번 연구 결과를 바탕으로 측방 접근법을 이용한 상악동 거상술에서 측벽창의 하방 위치는 상악동 측벽의 두께를 고려할 때 상악동의 하연을 기준으로 약 3 mm 상방에서 형성하는 것이 적절할 것으로 생각된다.

정렬패턴과 광량을 이용한 롤투롤 인쇄전자공정의 횡 방향 웹 위치 측정 시스템 (Lateral Position Measurement System for Precision Alignment of Roll-to-Roll Printing Using Alignment Patterns and Quantity of Light)

  • 정민규;김현기;오동호
    • 대한기계학회논문집A
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    • 제39권9호
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    • pp.879-884
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    • 2015
  • 인쇄전자는 필름과 같이 유연한 웹 위에 기능성 잉크를 인쇄하여 전자소자 및 회로를 만들어내는 기술로써, 대면적 및 고속 대량 생산에 적합하며 유연소재의 전자소자를 만들어 낼 수 있는 차세대 공정기술이다. 이러한 롤투롤 인쇄전자 공정의 상용화를 위해서는 웹의 정밀 위치 측정이 요구되므로 본 연구의 선행연구를 통해 수 마이크로미터 측정 정밀도를 가진 광학 측정 시스템을 제안하였다. 하지만 선행연구의 횡 방향 측정은 웹 전체가 횡 방향으로 밀림 현상이 발생한 경우 이를 인지 할 수 없는 한계를 가지고 있다. 본 연구에서는 선행연구의 이송방향 웹 위치 측정 정밀도는 유지하며 웹의 횡 방향 위치에 따라 정렬패턴에서 반사되는 광량 차이를 이용한 웹의 횡 방향 위치 측정 시스템을 제안하였고 신뢰성을 확인하였다.

족근 관절 외과 부위의 압박궤양과 괴사 (Pressure Sore and Necrosis over the lateral malleolus of the Ankle)

  • 박인헌;송경원;신성일;이진영;서동현
    • 대한족부족관절학회지
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    • 제6권1호
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    • pp.21-27
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    • 2002
  • Pressure sores are an ulceration and necrosis of the skin and underlying tissue usually occur after prolonged or repeated pressure by interruption of blood flow from the small. vessels to the skin and deep tissue. The management of pressure sores is mostly difficult and requires prolonged hospitalization or repeated surgical interventions with a high recurrence rate. In this article we reviewed 14 cases of National Pressure Ulcer Advisory Pannel staging III, IV over the lateral malleolar area of the ankle in 2 years period from January 1999 to October 2001. The pressure over lateral malleolar area was mainly due to unique Korean sitting position with cross legs at flexed hips and knees or supine position of patient with external rotation of low extremity. Male to female ratio was 11: 3 and ages were between 36 and 83 (mean age: 67.1 years). Associated diseases were DM(7 cases), Hemiparesis caused by CVA(2 cases), Liver cirrhosis(2 cases), disarticulation of opposite hip due to squamous cell ca.(1 case), Intertrochanteric Fx.(1 case). Wound cultures reported Staphylococus, Pseudomonas and others. Abnormally elevated ESR and CRP were seen in 6 cases. Operative treatments were irrigation and debridement, direct closure with gravity drainage and skin grafting. The most important aspect of pressure sore treatment is pressure relief of the lateral malleolar area. Pressure-relieving Cast or Brace was helpful for local management and preventing recurrence.

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Difference of Position Change of Sesamoid Bones During Active Abduction Exercise of Great Toe in Subjects with Hallux Valgus

  • Yun, Sung-Joon;Kang, Min-Hyeok;Kim, Moon-Hwan
    • The Journal of Korean Physical Therapy
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    • 제27권2호
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    • pp.85-88
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    • 2015
  • Purpose: The purpose of this study was to investigate the effects of active abduction exercise of the great toe on the medial and lateral sesamoid bones in hallux valgus (HV) patients by measuring radiography. Methods: In this study 27 young subjects were separated into two groups (normal group and HV group). Two pictures were taken by radiography while maintaining resting and while holding maximal active abduction of the great toe in sitting position on an x-ray table. All radiographs were used to measure the distance of the medial and lateral sesamoid bone from the longitudinal axis of the first metatarsal bone, respectively. Paired t-test was used for analysis of the resting and active abduction exercise in groups. Independent t-test was used to evaluate statistical significance between normal group and HV group. The statistical significance level was p<0.05. Results: In active abduction exercise of the normal group, distance of the medial and lateral sesamoid bones was not significantly different compared to resting condition. In active abduction exercise of the HV group, change of distance of the medial and lateral sesamoid bones showed statistically significant difference compared to resting condition. The distance between the medial sesamoid bone showed a more significant decrease in the HV vs. normal group, while the distance between the lateral sesamoid bone was significantly greater in the HV vs. normal group. Conclusion: These findings suggest that active abduction exercises, to reduce or prevent deterioration of the HV angle, should be considered for sesamoid bone displacement to improve muscle balance in the great toe.

두부 측 방향 방사선검사 시 선원 영상수용체간 거리와 검사 자세 변화가 선량과 영상품질에 미치는 영향 (Assessment of Dose and Image Quality according to the Change of Distance from Source to Image Receptor and the Examination Posture during the Skull Lateral Radiography)

  • 김은혜;주영철;김한용;김동환
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권6호
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    • pp.483-489
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    • 2022
  • This study proposes a new skull lateral examination, and provides an improved examination environment for patients and radiologists. The study was divided into three groups. One group was divided into the SID (source to image receptor distance) 110 ㎝ and 180 ㎝ in the skull lateral posture, the other group The other group was divided into an position in contact with the detector and an position without contact with the detector, and the other group was divided into male and female groups, considering that the difference in shoulder width between adult males and females would affect the dose and image quality. For dose evaluation, the ESD (entrance surface dose) was measured at the EAM (external auditory meatus), and the conditions were applied equally at 70 ㎸p, 200 ㎃, and 10 ㎃s. For image quality evaluation, SNR (signal to noise ratio) and CNR (contrast to noise ratio) were measured in frontal sinus, EAM, and sella turcica. As a result of ESD comparison, when sid 110 ㎝ to sid 180 ㎝ was changed among the three groups, ESD values decreased the most to 729.18±4.62 μ㏉ and 224.18±0.74 μ㏉ at 180 ㎝ (p<0.01). The values of SNR and CNR were statistically significant (p<0.01), but there was no qualitative difference. This shows that when the SID is 180 ㎝, it is possible to reduce the dose without lowering the image quality. So, It is suggested that the SID 180 ㎝ is used without contacting the detector when examining the skull lateral.

MRAC 기법을 이용한 무인 컨테이너 운송차량의 조향 제어 (Steering Control of Unmaned Container Transporter Using MRAC)

  • 이영진;허남;최재영;이권순;이만형
    • 한국항만학회지
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    • 제14권3호
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    • pp.291-301
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    • 2000
  • T his paper presents the lateral and longitudinal control algorithm for the driving of a 4WS AGV(Automated Guided Vehicle). The control law to the lateral and longitudinal control of the AGV includes adaptive agin tuning ability, that is the controller gain of the gravity compensated PD controller can be changed on a real-time. The gain tuning law is derived from the Lyapunov direct method using the output error of the reference model and the actual model, And to show the performance of the presented lateral and longitudinal control algorithm, we simulate toe nonlinear AGV equations of the motion by deriving the Newton-Euler Method, The read path is from quay yard area to docking position in loading yard area. The quay yard area is where the quay crane loads the container to the AGV and the docking position is where the container is transferred to the gantry crane. The road types are constructed in a straight line and J-turn. When driving the straight line, the driving velocity is 6㎧ and the J-turn is 3㎧.

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