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Survey for the Side effects of Radiation Therapy Following Breast Cancer Surgery : Comparision of Modified Raidcal Mastectomy and Breast Conservative Surgery (유방암 환자의 수술후 방사선치료의 부작용의 변화 : 유방절제술과 유방보존술의 비교)

  • Chon, Myong-Hui
    • Journal of Haehwa Medicine
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    • v.5 no.2
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    • pp.473-484
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    • 1997
  • This study was performed to survey the specific information about the time of onset, frequency, duration, and severity of the side effect of radiation therapy following breast cancer surgery, and identify the difference of these data according to the type of breast cancer surgery : modified radical mastectomy(MRM) vs. breast consevative operation(BCO). 38 breast cancer patients were interviewed with side effect profile about radiation therapy. Interview was done weekley from the start of radiation therapy through 6 weeks and 3 month follow-up interview was done at 3 month after completion of the treatment. The results are as follow : 1. Total score of side effect experienced by the breast cancer patients was rapidly increased at 2-3 week after intiating treatement and continousely raised maintaing high score until completion of the treatement. Some problems like cough, dyspnea and pain were more experienced after treatment. 2. Patients with modified radical mastectomy showed more total score of side effects than patients with breast conservative operation. And both patients with MRM and BCO experienced similar pattern of side effect to radiation therapy. Through these data we concluded that side effect to radiation therapy was not ended at completion of treatement. Patents will continously experiend various problems and suffer from not only acute side effects like skin problem, sore throat and swollowing difficulty but also late effect of the radiation therapy. Clinically these data can be used for oncologic nurse to provide informational interventions to prepare breast cancer patients for the radiation therapy.

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Characteristics of Mechanical Properties and Micro Structure according to High-Frequency Induction Heating Conditions in Roll Forming Process of a Sill Side Part (실사이드 부품의 롤포밍공정에서 고주파유도가열 부가조건에 따른 기계적 특성 및 미세조직 평가)

  • Kim, Kun-Young;Choy, Lee-Jon;Shin, Hyun-Il;Cho, Jun-Haeng;Lee, Chang-Hoon;Kang, Myung Chang
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.16 no.6
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    • pp.87-94
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    • 2017
  • Hot stamping processes are possible for tensile strength 1.4 GPa but the strength reduction is appeared from the cooling performance unbalance. And the strength of roll forming process is below than that of hot stamping process owing to using the steel which is lower strength of boron steel. In this study, We provide roll forming process asssisted high-frequency induction heating to solve the problem of conventional one. The experiments were carried out at under various sill side part conditions: high-frequency induction heating conditions of 15, 18, 21, 24, 27 and 30 kW. The high-frequency induction heating temperature was checked with Infrared camera and the sill side parts of mechanical properties and microstructure were measured. The heating temperature of high frequency induction was measured to max $850^{\circ}C$ under the coil power of 30 kW. The tensile strength was 1.5 GPa and hardness was 490 Hv. The martensite structure was discovered under coil power of 30 kW. The weight of steel material sill side having thickness 1.5 mm and the boron steel sill side having thickness 1.2 mm were compared to weight effect. The boron steel sill side reduced 11.5% compared to steel. Consequently, manufacturing process of 1.5 giga-grade's sill side part was successfully realized by the roll forming assisted high-frequency induction heating methods.

Effects of Rotation Direction during Curved Walking on Gait Parameters in Stroke Patients (뇌졸중 환자의 회전 보행 시 회전 방향이 보행 특성에 미치는 영향)

  • Jung, Kyeoung-Man;Joo, Min-Cheol;Jung, Yu-Jin
    • Quality Improvement in Health Care
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    • v.23 no.2
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    • pp.11-20
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    • 2017
  • Purpose: The purpose of this study was to determine the effects of rotation direction during curved walking on gait parameters in stroke patients. Methods: A group of thirty subjects with stroke (Berg Balance Scale score${\geq}41$ were fifteen, Berg Balance Scale score${\leq}40$ were fifteen) were enrolled in this study. Testing indications included two directions for rotation in each subject. These indications were for rotation toward the affected and unaffected side in stroke patients. The gait speed, affected side single support duration, affected side double support duration were recorded. The obtained data were analyzed by using paired t-test and Wilcoxon signed rank test in the group that are below and above 40 points of Berg Balance Scale score. Results: There was significant increase affected side single support duration was turned the affected side in stroke patients that presented a Berg Balance Scale score${\geq}41$ (p<.05). There were significant increase gait speed, affected side single support duration, and significant decrease affected side double support duration while subjects were turned the affected side in stroke patients that presented a Berg Balance Scale score${\leq}40$ (p<.05). Conclusion: This result may be effective to rotate in the paralyzed direction to improve the ability of the paralyzed lower limb to gain weight during gait training for stroke patients with a Berg Balance Scale score<40. Therefore, walking training program for hemiplegic patient needs to be suggested in the direction of turning for suitable balance ability.

Immediate effects of single-leg stance exercise on dynamic balance, weight bearing and gait cycle in stroke patients

  • Jung, Ji-Hye;Ko, Si-Eun;Lee, Seung-Won
    • Physical Therapy Rehabilitation Science
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    • v.3 no.1
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    • pp.49-54
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    • 2014
  • Objective: This study aimed to identify how various applications of weight bearing on the affected side of hemiplegia patients affect the ability of balance keeping of the affected leg and the gait parameters. Design: Cross-sectional study. Methods: Eighteen patients with hemiplegia participated in this study. There were twelve males and six females. This study investigated the effects of the single-leg stance exercise on dynamic balance, weight bearing, and gait ability compared with four conditions. Dynamic balance and weight bearing were measured using the step test (ST) of the affected side in stroke patients. In addition, gait parameters were measured using the optogait system for analysis of the spatial and temporal parameters of walking in stroke patients. Results: This study investigated the effect of the single leg stance exercise on the paralysis side. The ST showed significant findings for all conditions (p<0.05). Therefore, knee extension and flexion exercise on the affected side single-leg stance (condition 4) significantly improved dynamic balance and weight bearing on the affected side (p<0.05). In the condition of moving the knee joint in a single-leg stance was discovered that the stance phase time significantly increased more than in the condition of supporting the maximal voluntary weight on the affected side (p<0.05). Conclusions: Single-leg stance on the paralysis side with knee flexion and extension increased symmetry in weight bearing during stance phase time. This study suggests that single-leg stance exercises augments improved gait function through sufficient weight bearing in the stance phase of the affected side.

Effects of Floss Band on Ankle Joint functional Range of Motion and gait ability (발목관절에 플로스밴드 적용이 기능적 관절가동범위와 보행능력에 미치는 영향)

  • Moon, Byoung-Hyoun;Kim, Ji-Won
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.419-425
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    • 2021
  • The objective of this study is to verify the effects of the application of flossband to the ankles of healthy adults on the functional range of ankle and walking ability. Total 20 people participated in the experiment, and through the randomization, one foot was set up as experimental side while the other foot was set up as control side. To analyze the two factors(before/after intervention/experimental side and control side), the two way-repeated ANOVA was conducted. The significance level was set up as 0.05. In the results of this study, compared to the control side, the experimental side showed significant increase in WBLT and heel strike(p=.05). In the test before/after intervention, the experimental side showed significant increase in WBLT, heel strike, and toe off(p=.05). The control side showed significant increase in toe off(p=.05). Thus, the application of floss band on ankle joint performed in this study would be helpful for improving the functional range and walking ability in the sports & rehabilitation field.

Cooperative bearing behaviors of roadside support and surrounding rocks along gob-side

  • Tan, Yunliang;Ma, Qing;Zhao, Zenghui;Gu, Qingheng;Fan, Deyuan;Song, Shilin;Huang, Dongmei
    • Geomechanics and Engineering
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    • v.18 no.4
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    • pp.439-448
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    • 2019
  • The bearing capacity of roadside support is the key problem in gob-side entry retaining technology. To study the cooperative bearing characteristics of the roof-roadside support-floor along the gob-side entry retaining, a mechanical model of the composite structure of the roof-roadside support-floor was first established. A method for determining the structural parameters of gob-side entry retaining was then proposed. Based on this model, adaptability analysis of roadside support was carried out. The results showed that the reasonable width of the gob-side entry roadway was inversely proportional to the mining height, and directly proportional to the bearing strength of the roof and floor. And the reasonable width of the "flexible-hard" roadside support was directly proportional to its own strength, and inversely proportional to the width of the gob-side entry retaining. When determining the position and size of the roadside support along the gob-side entry retaining, the surrounding rock environment should be fully considered. Measured results from case study also show the rationality of the model and calculation method.

The Inter-Rater Reliability of Measurements of Active Craniocervical Range of Motion With Smartphone in Patients With Stroke (뇌졸중 환자에서 스마트폰 어플리케이션을 이용한 능동적 머리목관절 가동범위 측정에 관한 측정자간 신뢰도 연구)

  • Park, Il-woo;Park, Kyue-nam;Yi, Chung-hwi;Moon, Il-young
    • Physical Therapy Korea
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    • v.26 no.1
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    • pp.8-18
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    • 2019
  • Background: Numerous studies have used smartphone applications to measure the range of motion in different joints. In addition, studies measuring the active range of motion (AROM) of the craniocervical joint have revealed high reliability. However, the subjects in these studies were all healthy subjects. No study has yet been conducted to measure the inter-rater reliability for the AROM of the craniocervical joint in stroke patients. Objects: The purpose of this study was to investigate the inter-rater reliability of the AROM of the craniocervical joint using a smartphone. Methods: The participants included 21 subjects who had strokes (17 males and 4 females). Two raters evaluated six types of craniocervical AROM, including flexion, extension, lateral flexion to the hemiplegic side, lateral flexion to the non-hemiplegic side, rotation to the hemiplegic side, and rotation to the non-hemiplegic side, using a goniometer and a smartphone to investigate inter-rater reliability. The inter-rater reliability was analyzed by intraclass correlation coefficients (ICC). Results: The inter-rater reliability of the smartphone was good for extension, lateral flexion to the hemiplegic side, lateral flexion to the non-hemiplegic side, and rotation to the hemiplegic side [ICC(2,k)=.86~.88] and excellent for flexion [ICC(2,k)=.95]. The inter-rater reliability for rotation to the non-hemiplegic side was moderate [ICC(2,k)=.72]. Conclusion: These results suggest that the smartphone offers high inter-rater reliability for measurements of the craniocervical AROM in patients with stroke.

Assessment of the dimensions of the pterygoid hamulus for establishing age- and sex-specific reference standards using cone-beam computed tomography

  • Mehra, Archana;Karjodkar, Freny R.;Sansare, Kaustubh;Kapoor, Ruchika;Tambawala, Shahnaz;Saxena, Vasu Siddhartha
    • Imaging Science in Dentistry
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    • v.51 no.1
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    • pp.49-54
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    • 2021
  • Purpose: This study was conducted to establish age- and sex-specific reference standards for pterygoid hamulus(PH) dimensions using cone-beam computed tomography (CBCT). Materials and Methods: CBCT scans of 1,000 patients(493 males and 507 females) were retrospectively assessed in coronal sections for length and width measurements of the PH by 3 investigators. The study data were divided into 3 age groups(group 1: <20 years, group 2: 20-50 years, group 3: >50 years). Length and width were compared using one-way analysis of variance and the t-test for age and sex, respectively. Results: The length of the PH on the right side significantly increased from group 1 (6.11±1.47mm), through group 2 (6.65±1.67 mm) to group 3 (6.99±1.79 mm) and on the left side from group 2 (6.58±1.63) to group 3 (6.98±1.70). The width of the PH significantly decreased from group 1 (1.81±0.39 mm) to group 2 (1.61±0.39 mm) on the right side, and similarly from 1.87±0.36mm to 1.67±0.37mm on the left side. PH length (7.18±1.81mm on the right side and 7.10±1.72 mm on the left side) and width (1.68±0.38 mm on the right side and 1.74±0.36 mm on the left side) were significantly greater in males than in females. Conclusion: The length of the PH increased with age, whereas width first decreased and then increased. Length and width measurements were significantly higher in males than in females. These findings will aid in the diagnosis of untraceable pain in the oropharyngeal region related to altered PH morphology.

The Reliability and Validity of the Digital Goniometer and Smart Phone to Determine Trunk Active Range of Motion in Stroke Patients

  • Park, Hee-yong;Hwang, Ui-jae;Kwon, Oh-yun
    • Physical Therapy Korea
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    • v.29 no.3
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    • pp.225-234
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    • 2022
  • Background: Trunk movements are an important factor in activities of daily living; however, these movements can be impaired by stroke. It is difficult to quantify and measure the active range of motion (AROM) of the trunk in patients with stroke. Objects: To determine the reliability and validity of measurements using a digital goniometer (DG) and smart phone (SP) applications for trunk rotation and lateral flexion in stroke patients. Methods: This is an observational study, in which twenty participants were clinically diagnosed with stroke. Trunk rotation and lateral flexion AROM were assessed using the DG and SP applications (Compass and Clinometer). Intrarater reliability was determined using intraclass correlation coefficients (ICCs) with 95% confidence intervals. Pearson correlation coefficient was used to determine the validity of the DG and SP in AROM measurement. The level of agreement between the two instruments was shown by Bland-Altman plot and 95% limit of agreement (LoA) was calculated. Results: The intrarater reliability (rotation with DG: 0.96-0.98, SP: 0.98; lateral flexion with DG: 0.97-0.98, SP: 0.96) was excellent. A strong and significant correlation was found between DG and SP (rotation hemiplegic side: r = 0.95; non-hemiplegic side: r = 0.90; lateral flexion hemiplegic side: r = 0.88; non-hemiplegic side: r = 0.78). The level of agreement between the two instruments was rotation (hemiplegic side: 23.02° [LoA 17.41°, -5.61°]; non-hemiplegic side: 31.68° [LoA 23.87°, -7.81°]) and lateral flexion (hemiplegic side: 20.94° [LoA 17.48°, -3.46°]; non-hemiplegic side: 27.12° [LoA 18.44°, -8.68°]). Conclusion: Both DG and SP applications can be used as reliable methods for measuring trunk rotation and lateral flexion in patients with stroke. Although, considering the level of clinical agreement, DG and SP could not be used interchangeably for measurements.

Non-Gaussian feature of fluctuating wind pressures on rectangular high-rise buildings with different side ratios

  • Jia-hui Yuan;Shui-fu Chen;Yi Liu
    • Wind and Structures
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    • v.37 no.3
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    • pp.211-227
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    • 2023
  • To investigate the non-Gaussian feature of fluctuating wind pressures on rectangular high-rise buildings, wind tunnel tests were conducted on scale models with side ratios ranging from 1/9~9 in an open exposure for various wind directions. The high-order statistical moments, time histories, probability density distributions, and peak factors of pressure fluctuations are analyzed. The mixed normal-Weibull distribution, Gumbel-Weibull distribution, and lognormal-Weibull distribution are adopted to fit the probability density distribution of different non-Gaussian wind pressures. Zones of Gaussian and non-Gaussian are classified for rectangular buildings with various side ratios. The results indicate that on the side wall, the non-Gaussian wind pressures are related to the distance from the leading edge. Apart from the non-Gaussianity in the separated flow regions noted by some literature, wind pressures behind the area where reattachment happens present non-Gaussian nature as well. There is a new probability density distribution type of non-Gaussian wind pressure which has both long positive and negative tail found behind the reattachment regions. The correlation coefficient of wind pressures is proved to reflect the non-Gaussianity and a new method to estimate the mean reattachment length of rectangular high-rise building side wall is proposed by evaluating the correlation coefficient. For rectangular high-rise buildings, the mean reattachment length calculated by the correlation coefficient method along the height changes in a parabolic shape. Distributions of Gaussian and non-Gaussian wind pressures vary with side ratios. It is inappropriate to estimate the extreme loads of wind pressures using a fixed peak factor. The trend of the peak factor with side ratios on different walls is given.