• 한국방사선학회논문지
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• 제16권3호
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• pp.319-325
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• 2022

본 연구는 머리뼈 후전축방향 촬영(Haas)에서 선예한 영상을 얻어 진단하고자 Skull -Phantom을 이용하여 자세 각도를 변경하여 영상을 획득한 후 대학병원 영상의학과에 근무한 방사선사 5명에게 주관적 영상평가한 결과 머리를 엎드린자세에서 머리 뒤쪽의 뒤통수점에서 4 cm 아래로 내리고 머리쪽을 향하여 25° 입사하여 촬영시에 뒤통수뼈와 큰구멍내에 투영된 안장등, 뒤침대돌기등 영상평가 점수가 20점으로 높았으며, 뒤통수점에서 아래로 8 cm 내려서 머리쪽으로 30° 입사 시 바위모뿔대칭의 음영, 바위능선과 시상봉합, 시웃자봉합 등 19점으로 높은 영상평가를 받았다. 또한, 점수 유의성을 검증하였으며, Cronbach Alpha 값이 0.789 신뢰도가 좋음을 평가 받았다. 영상의 관심영역(ROI)을 설정하여 신호대잡음비(SNR)를 산출한 결과 머리 뒤쪽 뒤통수점에서 4 cm 아래로 내리고 머리쪽으로 25° 입사 시 5.957로 가장 높으며, 뒤통수점에서 아래로 8 cm 내려서 입사 시는 머리쪽으로 30° 기울여 촬영하였을 때 6.430으로 가장 높았다. 연구결과에 의하면 머리 후전축방향 촬영시 뒤통수뼈와 안장, 뒤침대돌기의 선예한 영상을 얻기 위해서는 뒤통수점에서 아래로 4 cm 에서 머리쪽으로 25° 입사하여 촬영하고 바위모뿔대칭의 음영과 바위능선과 시상봉합, 시웃자봉합의 선예한 영상을 얻기 위해서는 뒤통수점에서 아래로 8 cm 내려서 머리쪽으로 30° 기울여 촬영한다면 임상에서 활용에 도움이 있으리라 사료된다.

• Clinics in Shoulder and Elbow
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• 제1권2호
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• pp.250-255
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• 1998

Purpose of the study was to analyze the supraspinatus outlet image of sagittal MRI in rotator cuff disease. We analyzed the sagittal views of the shoulder MRI of 78 cases without cuff tear. The cases were divided into 51 cases of rotator cuff disease group and 27 cases of control group. Six parameters of acromial tilt, coracoacromial ligament angle, length and height of coracoacromial triangle, length of acromial side of the baseline and distance of intrusion of the humeral head were compared for each group. The distance of intrusion of the humeral head was the most significantly different one, 0.52cm for rotator cuff disease group and 0.15cm for control group. Intrusion of the humeral head to the supraspinatus outlet space from the bottom may be a contributing factor developing rotator cuff disease. The intrusion may precede to tearing of the rotator cuff.

• Clinical and Experimental Pediatrics
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• 제56권1호
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• pp.32-36
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• 2013

Purpose: Chronic day-to-day symptoms of orthostatic intolerance are the most notable features of postural orthostatic tachycardia syndrome (POTS). However, we have encountered patients with such symptoms and excessive tachycardia but with no symptoms during the tilt-table test (TTT). We aimed to investigate whether POTS patients with chronic orthostatic intolerance always present orthostatic symptoms during the TTT and analyze the factors underlying symptom manifestation during this test. Methods: We retrospectively examined patients who presented with POTS at the Gyeongsang National University Hospital between 2008 and 2011. Diagnosis of POTS was based on chronic day-to-day orthostatic intolerance symptoms as well as excessive tachycardia during the TTT. The patients were divided two groups depending on the presentation of orthostatic symptoms during the TTT. Clinical data and the results of the TTT were compared between these groups. Results: In 22 patients, 7 patients (31.8%) did not present orthostatic symptoms during the test. Diastolic blood pressure (BP) was significantly lower in the symptom-positive group. The head-up tilt resulted in a significant increase in diastolic BP in the symptom-negative group (P=0.04), while systolic BP had a tendency to decrease in the symptom-positive group (P=0.06). Conclusion: Significant patients with POTS did not present orthostatic symptoms during the TTT despite having chronic daily symptoms. This finding may be important for establishing definitive diagnostic criteria for pediatric POTS. Development of symptoms during TTT might be related to low diastolic BP and abnormal compensatory responses to orthostasis.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2001년도 춘계학술대회논문집
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• pp.1111-1116
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• 2001

A transient T-F(time-frequency) signal processing technique is applied to a tilt drop and a linear shock test rigs for identification of shock characteristics of hard disk drive (HDD). The T-F technique essentially tracks the shock characteristics of pivot point response as well as head slap and lift-off phenomena. From the T-F analysis result, the shock characteristic in HDD is modeled by the two degree of freedom coupled-dynamic system, which consists of actuator arm and suspension. As shock designing tool, the maximax shock response spectrum is employed for prediction of shock performance. Finally, the shock control technique is tested with newly designed actuator arm and suspension. Experimental head slap test result shows that the shock performance is much higher with the new shockproof designed model than the current model

• 한국임상수의학회지
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• 제34권2호
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• pp.152-155
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• 2017

A 5-year-old intact female Maltese dog was referred to us with a history of left side head tilt and ataxia. Based on magnetic resonance imaging (MRI) and cerebrospinal fluid analysis results, the patient was tentatively diagnosed to meningoencephalitis of unknown etiology (MUE). Clinical signs were gradually improved and diminished after imatinib mesylate plus prednisolone therapy. At 90 days after treatment, we performed MRI recheck and brain inflammatory lesions were significantly improved compared with initial MRI results. However, the present patient showed head turn and tetraparesis after anesthesia and euthanized according to client's request. This report describes the clinical findings, serial magnetic resonance imaging characteristics under imatinib mesylate treatment in a MUE case.

• Annals of Rehabilitation Medicine
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• 제42권6호
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• pp.884-887
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• 2018

We report a female proband carrying a de novo 5q34-q35.2 deletion breakpoint, and review the unique skeletal phenotype and possible genotype related to this mutation. The patient presented with a persistent head tilt and limited head rotation. Non-contrast-enhanced three-dimensional computed tomography of the cervical spine revealed several malformations including a bone cleft in the right pars interarticularis, a bone defect in both C5 lamina and the transverse foramen at C2-C3, agenesis of the right articular process of C5, bony fusion of C4-C5, and subluxation of the craniocervical joints. Several deformities of the cervical spine seen in this patient have not been associated with the 5q deletion. A review of 5q-related mutations suggests that abnormalities associated with MSX2 gene might cause cervical spine abnormalities.

• Clinics in Shoulder and Elbow
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• 제21권4호
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• pp.240-245
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• 2018

Rare cases of a congenital absence of the long head of the biceps tendon (LHBT) have been reported, and its incidence is unknown. In a literature review of the congenital absence of the LHBT, only 1 case was associated with posterior shoulder instability and severe posterior glenoid dysplasia. This paper reports the first case of a patient with a bilateral congenital absence of the LHBT with posterior shoulder instability without glenoid dysplasia or posterior glenoid tilt. The patient experienced a traffic accident while holding the gear stick with his right hand. After the accident, a posteroinferior labral tear with paralabral cysts was detected on the magnetic resonance images. The congenital absence of the LHBT was assumed to have affected the posterior instability that possibly increased the susceptibility to a subsequent traumatic posterior inferior labral tear. This case was identified as a posterior inferior tear caused by a traumatic 'gear stick injury'.

• 한국전문물리치료학회지
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• 제12권4호
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• pp.41-47
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• 2005

The purpose of this study was to determine the intra-rater and inter-rater reliability of various forward head posture measurements. Ten healthy adults (age, $20.4{\pm}2.2$ yrs; height, $164.0{\pm}5.5$ cm; weight, $58.7{\pm}7.3$ kg) participated in the study. They were free of injury and neurologic deficits in the upper extremities and neck at the time of testing. The subjects were asked to perform head forward posture by under the guidance of physical therapists. Markers were placed on the C7 spinous process, mastoid process, tragus of the ear, outer canthus, and forehead. Measurement 1 for forward head posture assessment was measured as the angle between the horizontal line through C7 and the line connecting the C7 spinous process with the tragus of the ear. Measurement 2 was measured as the angle between the C7 spinous process, the mastoid process and the outer canthus. Measurement 3 was measured as two kinds of angles the HT (head tilt) angle is between the line from the midpoint of forehead to the tragus line and Y-axis at the tragus point. The NF (neck flexion) angle is between the line from the tragus to the C7 line and the Y-axis at the C7. Intra-rater, inter-rater reliability and coefficient of variation was assessed by comparing the measured values from three kinds of measurements of forward head posture. The intra-rater reliability was indicated by intraclass correlation coefficients [ICC(1,1)] and inter-rater reliability was shown by intraclass correlation coefficients [ICC(3,k)]. The results of study were as follows: ICC(1,1) values for intra-rater reliability of three measurements were in the 'excellent' category. ICC(3,k) values for inter-rater reliability of three measurements were also in the 'excellent' category. The coefficient of variation of method 2 had a lower value than method 1 and method 3. This data means that the measured value of method 2 was less scattered. Further research is needed to determine whether the validity of all measurements is revealed in the 'excellent' category.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 1997년도 한국자동제어학술회의논문집; 한국전력공사 서울연수원; 17-18 Oct. 1997
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• pp.1639-1642
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• 1997

In this paper, the autonomic function analysis system was designed to noninvasively assess the autonomic function of cardiovascular system. Orthostatic stress protocol was designed to stimulate the autonomic nervous system. designed protocol and analysis algorithm were evaluated by experiments for 25 normal subjects and 22 hemiplegia patients. Data were processed by usign the power spectral analysis. Nwe indexes of autonomic function, LF$_{N}$ and HF$_{N}$, were proposed and were compared with LF/HF ratio. New indexes of the sympathetic and parasympathetic activity, respectively. The IST and the DPT are balanced and have positive value for normal subjects during orthostatic stress but not for hempilegia patients. This result suggest that the IST and the DPT are used as new criteria of normal autonomic function during orthostatic stress.ess.

• 대한수의학회지
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• 제50권4호
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• pp.319-322
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• 2010

A 3-day-old Appaloosa colt was examined because of acute onset of ataxia, left-sided head tilt, fever and heart murmur. The foal continued to nurse but became increasingly depressed and mild colic. On plain radiological examination, the foal was normal. Uroperitoneum was diagnosed following abdominocentesis. Postmortem examination revealed bladder rupture. The lesion was in the dorsomedial part of the bladder wall. We suggested that the cause of bladder rupture was parturient trauma. Even though the rupture was associated with trauma, the margin of rupture of bladder was clearly smooth and regular.