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Efficacy of Electroacupuncture using an Insulated Needle in Adults with Abdominal Obesity: A Pilot Study

  • Oh, Seo Young;Lee, Hyun;Yun, Gee Won;Kang, Jae Hui
    • Journal of Acupuncture Research
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    • v.34 no.2
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    • pp.49-59
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    • 2017
  • Objectives : This study evaluated the efficacy of electroacupuncture therapy using an insulated needle in adults with abdominal obesity. Methods : This study was a randomized, double-blind, parallel-designed pilot trial. Sixteen participants eligible according to the inclusion and exclusion criteria were randomly divided into an insulated needle group and a control group. Insulated or common needles were inserted at acupoints located on the abdomen (CV12, CV6, ST25, ST27, SP15) and were electrically stimulated for 30 minutes (16 Hz, within tolerable strength). A total of 10 sessions of treatment were performed twice per week for 5 weeks. All participants were requested to maintain their usual diet and lifestyle. The outcome measures were waist circumference (WC), waist-to-hip ratio (WHR), and abdominal computed tomography (CT) of the total fat area (TFA), subcutaneous fat area (SFA), and visceral fat area (VFA). Results : A total of 12 participants divided into the insulated needle group (n = 5) and the control group (n = 7; common needle) were treated for 10 sessions and analyzed per-protocol (PP). WC decreased significantly after 10 sessions in both groups. The WC, TFA, SFA, and VFA of abdominal CT in the insulated needle group decreased more than in the control group; however, there were no significant differences in any parameter between the insulated needle group and the control group. Patients in the insulated needle group were more strongly stimulated with electrical stimulation than patients in the control group. Conclusion : Electroacupuncture using insulated needles in adults with abdominal obesity might be a more effective treatment than common needles. Additional studies are required to compensate for the limitations of this pilot study and to verify the results and efficacy.

Correlation Between Transient Regime and Steady-State Regime on Creep Crack Growth Behavior of Grade 91 Steel (Grade 91 강의 크리프 균열성장 거동에 대한 천이영역과 정상상태영역의 상관 관계)

  • Park, Jae-Young;Kim, Woo-Gon;Ekaputra, I.M.W.;Kim, Seon-Jin;Kim, Eung-Seon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.39 no.12
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    • pp.1257-1263
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    • 2015
  • A correlation between the transient regime and steady state regime on the creep crack growth (CCG) for Grade 91 steel, which is used as the structural material for the Gen-IV reactor systems, was investigated. A series of CCG tests were performed using 1/2" CT specimens under a constant applied load and at a constant temperature of $600^{\circ}C$. The CCG rates for the transient and steady state regimes were obtained in terms of $C^*$ parameter. The transient CCG rate had a close correlation with the steady-state CCG rate, as the slope of the transient CCG data was very similar to that of the steady state data. The transient rate was slower by 5.6 times as compared to the steady state rate. It can be inferred that the steady state CCG rate, which is required for long-time tests, can be predicted from the transient CCG rate obtained from short-time tests.

Usefulness Assessment of Automatic Analysis Program for Flangeless Esser PET Phantom Images (Flangeless Esser PET Phantom 영상 자동 분석 프로그램의 유용성 평가)

  • NamGung, Chang-Kyeong;Nam, Ki-Pyo;Kim, Kyeong-Sik;Kim, Jeong-Seon;Lim, Ki-Cheon;Shin, Sang-Ki;Cho, Shee-Man;Dong, Kyung-Rae
    • The Korean Journal of Nuclear Medicine Technology
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    • v.13 no.1
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    • pp.63-66
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    • 2009
  • Purpose: ACR (American College of Radiology) offers variable parameters to PET/CT quality control by using ACR Phantom. ACR Phantom was made to evaluate parameters which are uniformity, attenuation, scatter, contrast and resolution. Manual analysis method wasn't good for the use of QC because values of parameter were changed as it may user and it takes long time to analysis. Ki-Chun Lim, a nuclear scientist in AMC, developed program that automatically analysis values of parameter by using ACR Phantom to overcome above problems. In this study, we evaluated automatic analysis program's usability, through the comparing SUV of each method, reproducibility of SUV when repeated analysis and the time required. Materials and Methods: Using Flangeless Esser PET Phantom, the ideal ratio of 4 : 1 hot cylinder and BKG but it actually showed a ratio of 3.89 to 1 hot cylinder and BKG. SIEMENS Biograph True Point 40 was used in this study. We obtained images using ACR phantom at Fusion WB PET Scan condition (2 min/bed) and 120 kV, 100 mAs CT condition. Using True X method, 3 iterations, 14 subsets, Gaussian filter, FWHM 4 mm and Zoom Factor 1.0, $168{\times}168$ image size. We obtained Max. & Min. SUV and SUV Mean values at Cylinder (8, 12, 16, 25 mm, Air, Bone, Water, BKG) by automatic program and obtained SUV by manual method. After that, we compared manual and automatic method. we estimate the time required from opened the image data to final work sheet was completed. Results: Automatic program always showed same result and same the time required. At 8, 12, 16 and 25 m cylinder, manual method showed 6.69, 3.46, 2.59, 1.24 CV values. The larger cylinder size became, the smaller CV became. In manual method, bone, air, water's CV were over 9.9 except BKG (2.32). Obtained CV of Mean SUV showed BKG was low (0.85) and bone was high (7.52). The time required was 45 second, 882 second respectably. Conclusions: As a result of difference automatic method and manual method, automatic method showed always same result, manual method showed that the smaller hot cylinders became, the lager CV became. Hot cylinders mean region size, the smaller hot cylinder size becomes we had some trouble in doing ROI poison setting. And it means increase in variation of SUV. The Study showed the time required of automatic method was shorten then manual method.

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Disease Recognition on Medical Images Using Neural Network (신경회로망에 의한 의료영상 질환인식)

  • Lee, Jun-Haeng;Lee, Heung-Man;Kim, Tae-Sik;Lee, Sang-Bock
    • Journal of the Korean Society of Radiology
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    • v.3 no.1
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    • pp.29-39
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    • 2009
  • In this paper has proposed to the recognition of the disease on medical images using neural network. The neural network is constructed as three-layers of the input-layer, the hidden-layer and the output-layer. The training method applied for the recognition of disease region is adaptive error back-propagation. The low-frequency region analyzed by DWT are expressed by matrix. The coefficient-values of the characteristic polynomial applied are n+1. The normalized maximum value +1 and minimum value -1 in the range of tangent-sigmoid transfer function are applied to be use as the input vector of the neural network. To prove the validity of the proposed methods used in the experiment with a simulation experiment, the input medical image recognition rate the evaluation of areas of disease. As a result of the experiment, the characteristic polynomial coefficient of low-frequency area matrix, conversed to 4 level DWT, was proved to be optimum to be applied to the feature parameter. As for the number of training, it was marked fewest in 0.01 of learning coefficient and 0.95 of momentum, when the adaptive error back-propagation was learned by inputting standardized feature parameter into organized neural network. As to the training result when the learning coefficient was 0.01, and momentum was 0.95, it was 100% recognized in fifty-five times of the stomach image, fifty-five times of the chest image, forty-six times of the CT image, fifty-five times of ultrasonogram, and one hundred fifty-seven times of angiogram.

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Computational analysis of the electromechanical performance of mitral valve cerclage annuloplasty using a patient-specific ventricular model

  • Lee, Kyung Eun;Kim, Ki Tae;Lee, Jong Ho;Jung, Sujin;Kim, June-Hong;Shim, Eun Bo
    • The Korean Journal of Physiology and Pharmacology
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    • v.23 no.1
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    • pp.63-70
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    • 2019
  • We aimed to propose a novel computational approach to predict the electromechanical performance of pre- and post-mitral valve cerclage annuloplasty (MVCA). Furthermore, we tested a virtual estimation method to optimize the left ventricular basement tightening scheme using a pre-MVCA computer model. The present model combines the three-dimensional (3D) electromechanics of the ventricles with the vascular hemodynamics implemented in a lumped parameter model. 3D models of pre- and post-MVCA were reconstructed from the computed tomography (CT) images of two patients and simulated by solving the electromechanical-governing equations with the finite element method. Computed results indicate that reduction of the dilated heart chambers volume (reverse remodeling) appears to be dependent on ventricular stress distribution. Reduced ventricular stresses in the basement after MVCA treatment were observed in the patients who showed reverse remodeling of heart during follow up over 6 months. In the case who failed to show reverse remodeling after MVCA, more virtual tightening of the ventricular basement diameter than the actual model can induce stress unloading, aiding in heart recovery. The simulation result that virtual tightening of the ventricular basement resulted in a marked increase of myocardial stress unloading provides in silico evidence for a functional impact of MVCA treatment on cardiac mechanics and post-operative heart recovery. This technique contributes to establishing a pre-operative virtual rehearsal procedure before MVCA treatment by using patient-specific cardiac electromechanical modeling of pre-MVCA.

The Thickness Effect on the Determination of Fracture Toughness Jic (파괴인성치 Jic 결정에 대한 시험편 두께의 영향에 관한 연구)

  • 고성위
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.24 no.2
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    • pp.83-93
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    • 1988
  • Recent Experimental results show that the J integral can be effectively used to obtain a valid parameter for predicting plane strain and plane stress fracture. However, only a few research results have been reported for the effect of thickness where the plane strain state can not be assumed. A purpose of this study is to find the behavior of fracture touhness and tearing modulus varing the specimen thickness. The type of specimen in the present study is compact tension (CT). The thicknesses of the low carbon steel specimens that are used in the experiments are 5, 10, 15, 20 and 25mm. The measurement of crack length is taken by optical measurements method. From the study, the followings are found; 1) The fracture toughness and the tearing modulus which are obtained by using Yoon's and Simpson's formula show more conservative than that by using Rice's and Merkel's. 2) The fracture toughness is increase in specimen thickness which is reached 15mm. Beyond this thickness the fracture toughness is decreased in specimen thickness. 3) In the case of CT specimen with the thickness ranging from 5 to 25mm, the tearing modulus which is applied the same J integral equation is almost constant. 4) By using Yoon's formula, the correlation of the plane slress fracture toughness J sub(C) with specimen thickness B is expressed as the following formula. J sub(C)/J sub(IC)=1.7-15.1(B/W)+112.9(B/W) super(2) -301.3(B/W) super(3) +260.6(B/W) super(4)

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Evaluation of the Accuracy of Distance Measurements on 3D Volume-rendered Image of Human Skull Using Multi-detector CT: Effects of Acquisition Section Thickness and Reconstruction Section Thickness

  • Haijo Jung;Kim, Hee-Joung;Lee, Sang-Ho;Kim, Dong-Wook;Soonil Hong;Kim, Dong-Hyeon;Son, Hye-Kyung;Wonsuk Kang;Kim, Kee-Deog
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.457-460
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    • 2002
  • The image quality of three-dimensional (3D) images has been widely investigated by the qualitative analysis method. A need remains for an objective and quantitative method to assess the image quality of 3D volume-rendered images. The purpose of this study was to evaluate the quantitative accuracy of distance measurements on 3D volume-rendered images of a dry human skull by using multi-detector computed tomography (MDCT). A radiologist measured five times the twenty-one direct measurement line items composed among twelve reference points on the skull surface with a digital vernier caliper. The water filled skull specimen was scanned with a MDCT according to the section thicknesses of 1.25, 2.50, 3.75, and 5.00 mm for helical (high quality; pitch 3:1) scan mode. MDCT data were reconstructed with its acquisition section thickness and with 1.25 mm section thickness for all scans. An observer also measured seven times the corresponding items on 3D volume-rendered images with measuring tools provided by volumetric analysis software. The quantitative accuracy of distance measurements on the 3D volume-rendered images was statistically evaluated (p-value < 0.05) by comparatively analyzing these measurements with the direct distance measurements. The accuracy of distance measurements on the 3D volume-rendered MDCT images acquired with 1.25, 2.50, 3,75 and 5.00 mm section thickness and reconstructed with its section thickness were 48%, 33%, 23%, and 14%, respectively. Meanwhile, there were insignificant statistical differences in accuracy of distance measurements among 3D volume-rendered images reconstructed with 1.25 mm section thickness for the each acquisition section thickness. MDCT images acquired with thick section thickness and reconstructed with thin section thickness in helical scan mode should be effectively used in medical planning of 3D volume-rendered images. The quantitative analysis of distance measurement may be a useful tool for evaluating the quantitative accuracy and the defining optimal parameters of 3D volume-rendered CT images.

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The Effect of Loading Waveform on the High Temperature Fatigue Crack Propagation in P92 and STS 316L Steel (P92와 STS 316L강의 고온 피로 균열 성장에 미치는 하중 파형의 영향)

  • 김수영;임병수
    • Transactions of the Korean Society of Automotive Engineers
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    • v.10 no.4
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    • pp.136-140
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    • 2002
  • High temperature fatigue crack growth behavior of P92 and STS 316L steel were investigated under four load conditions using CT type specimens. Loading and unloading times for the low wave forms were combinations of 1 sec. and 50 sec., which were two symmetric wave forms and two unsymmetric wave forms. Their behaviors are characterized using ΔK parameter. In STS 316L, Crack growth rate generally increases as frequency decreases. However, sensitivity of the loading rate to crack growth rate was fecund to be far greater than that of the unloading time. It is because as loading time increases, creep occurs at crack tip causing the crack growth rate to increase. However creep does not occur at the crack tip even if the unloading time is increased. In P92 steel, crack growth rate showed same behavior as in STS 316L. But the increase in loading or unloading time made almost no difference in crack growth rate, suggesting that no significant creep occurs in P92 steel even though loading time increases. After conducting high temperature tensile tests and comparing high temperature fatigue crack growth rates under various wave forms, it was proved that P92 steel has not only good high temperature properties but also improved, better high temperature fatigue properties than STS 316L.

Object-Oriented Stereotactic Radiosurgery Planning System (객체 지향 개념을 이용한 뇌정위 방사선 수술 계획 시스템)

  • Park, S.H.;Suh, T.S.;Suh, D.Y.;Kang, W.S.;Ha, S.H.;Kim, I.H.;Park, C.I.
    • Proceedings of the KOSOMBE Conference
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    • v.1994 no.12
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    • pp.85-87
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    • 1994
  • In this paper, we present an object-oriented stereotactic radiosurgery planning system, which accepts medical images such as CT and angiography, transforms the coordinates to a reference frame coordinate, calculates dose distributions, and finally displays isodose curves over the images. The user finds an adequate one for radiosurgeries after performing computer simulations on different treatment parameter sets. The object-oriented design concept was fully applied to the system composed of seven manager objects of different classes: a patient information manager, a user-interface manager, a coordinate transformation manager, a blackboard manager, a dose calculation manager, an isodose curve display manager, and a report manager. All the user interactions are carried out through the use of mouse buttons. The performance of the system was verified by four physicians and two medical physicists, and now is being used in two clinical sites.

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Effect of stem design on contact pressure distribution of end-of-stem in revision TKR (슬관절 재전치환술용 경골삽입물 형상이 접촉압력 분포에 미치는 영향)

  • Kim Y.H.;Koo K.M.;Kwon O.S.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.179-180
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    • 2006
  • In this study, the effect of stem-end design on contact pressure and stress distribution in revision TKR was investigated using finite element method. The finite element model of tibia, including the cortical bone, the cancellous bone and canal, was developed based on CT images. The stem models with various stem lengths, diameters and frictional coefficients, and press-fit effects were considered. The results showed that the longer stem length, the stronger press-fit, the bigger stem diameter, and the higher frictional coefficient increased both peak contact pressure and the highest Von-Mises stress values. We hypothesized that peak contact pressure and Von-Mises stress distribution around the stem, may be related to the stem end pain. The results of this study will be useful to design the stem endand reduce the end-of-stem pain in revision TKR.

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