• Title/Summary/Keyword: Head-Head Agreement

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Effects of Cervical Joint Mobilization on the Forward Head Posture and Neck Disability Indexes (경부관절가동술이 두부전방자세와 경부장애지수에 미치는 영향)

  • Oh, Hyunju;Hwang, Byeongjun;Choi, Yoorim
    • Journal of the Korean Society of Radiology
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    • v.8 no.2
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    • pp.89-96
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    • 2014
  • This paper tries to examine whether the application of joint mobilization to subjects who have the forward head posture due to malalignment in the cervical joint has influence on posture changes and functions in the cervical joint. The subjects were 39 students from G University in Gyeongsangbuk-do. The cervical joint mobilization was applied to 20 subjects and not to 19. The students with a cervical lordosis angle of $21^{\circ}C$ or less, an anterior weight bearing (AWB) of 15mm or greater, and a cervical extension ROM of $70^{\circ}C$ or less in terms of radiography were selected as subjects under their voluntary agreement. The patients actively performed the joint mobilization slowly 8 times per session while therapists continuously applied sustained accessory glide to their painful joints 3 times per week for 4 weeks along with the cervical expansion and flexion in SNAGS among other Mulligan's (1995) techniques. The measurement was carried out in terms of radiographic inspection and neck disability indexes. As a result of the experiment, it turned out that the subjects with the forward head posture had changes in the cervical AWB and ARA, the ranges of expansion and flexion, and the NDI(Neck Disability Index) after the intervention for the experimental group by applying cervical joint mobilization. There were no changes observed in the control group. In conclusion, the application of joint mobilization turned out to have influence on the improvement of cervical joint postures, and craniocervical region functions.

Determination of Appropriate Exposure Angles for the Reverse Water's View using a Head Phantom (두부 팬텀을 이용한 Reverse Water's View에 관한 적절한 촬영 각도 분석)

  • Lee, Min-Su;Lee, Keun-Ohk;Choi, Jae-Ho;Jung, Jae-Hong
    • Journal of radiological science and technology
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    • v.40 no.2
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    • pp.187-195
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    • 2017
  • Early diagnosis for upper facial trauma is difficult by using the standard Water's view (S-Water's) in general radiograph due to overlapping of anatomical structures, the uncertainty of patient positioning, and specific patients with obese, pediatric, old, or high-risk. The purpose of this study was to analyze appropriate exposure angles through a comparison of two different protocols (S-Water's vs. reverse Water's view (R-Water's)) by using a head phantom. A head phantom and general radiograph with 75 kVp, 400 mA, 45 ms 18 mAs, and SID 100 cm. Images of R-Water's were obtained by different angles in the range of $0^{\circ}$ to $50^{\circ}$, which adjusted an angle at 1 degree interval in supine position. Survey elements were developed and three observers were evaluated with four elements including the maxillary sinus, zygomatic arch, petrous ridge, and image distortion. Statistical significant analysis were used the Krippendorff's alpha and Fleiss' kappa. The intra-class correlation (ICC) coefficient for three observers were high with maxillary, 0.957 (0.903, 0.995); zygomatic arch, 0.939 (0.866, 0.987); petrous ridge, 0.972 (0.897, 1.000); and image distortion, 0.949 (0.830, 1.000). The high-quality image (HI) and perfect agreement (PA) for acquired exposure angles were high in range of the maxillary sinus ($36^{\circ}-44^{\circ}C$), zygomatic arch ($33^{\circ}-40^{\circ}$), petrous ridge ($32^{\circ}-50^{\circ}$), and image distortion ($44^{\circ}-50^{\circ}$). Consequently, an appropriate exposure angles for the R-Water's view in the supine position for patients with facial trauma are in the from $36^{\circ}$ to $40^{\circ}$ in this phantom study. The results of this study will be helpful for the rapid diagnosis of facial fractures by simple radiography.

Stereotactic Target Point Verification in Actual Treatment Position of Radiosurgery (방사선수술시 두개내 표적의 정위적좌표의 치료위치에서의 확인)

  • Yun, Hyong-Geun;Lee, Hyun-Koo
    • Radiation Oncology Journal
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    • v.13 no.4
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    • pp.403-409
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    • 1995
  • Purpose : Authors tried to enhance the safety and accuracy of radiosurgery by verifying stereotacitc target point in actual treatment position prior to irradiation. Materials and Methods : Before the actual treatment, several sections of anthropomorphic head phantom were used to create a condition of unknown coordinates of the target point. A film was sandwitched between the phantom sections and punctured by sharp needle tip. The tip of the needle represented the target point. The head phantom was fixed to the stereotactic ring and CT scan was done with CT localizer attached to the ring. After the CT scanning, the stereotactic coordinates of the target point were determined. The head phantom was secured to accelerator's treatment couch and the movement of laser isocenter to the stereotactic coordinates determined by CT scanning was performed using target positioner. Accelerator's anteroposterior and lateral portal films were taken using angiographic localizers. The stereotactic coordinates determined by analysis of portal films were compared with the stereotactic coordinates previously determined by CT scanning. Following the correction of discrepancy the head phantom was irradiated using a stereotactic technique of several arcs. After the irradiation, the film which was sandwitched between the phantom sections was developed and the degree of coincidence between the center of the radiation distribution with the target point represented by the hole in the film was measured. In the treatment of the actual patients, the way of determining the stereotactic coordinates with CT localizers and angiograuhic localizers was the same as the phantom study. After the correction of the discrepancy between two sets of coordinates, we proceeded to the irradiation of the actual patient. Results : In the phantom study, the agreement between the center of the radiation distribution and the localized target point was very good. By measuring optical density profiles of the sandwitched film along axes that intersected the target point, authors could confirm the discrepancy was 0.3 mm. In the treatment of an actual patient, the discrepancy between the stereotactic coordinates with CT localizers and angiographic localizers was 0.6 mm. Conclusion : By verifying stereotactic target point in actual treatment position prior to irradiation, the accuracy and safety of streotactic radiosurgery procedure were established.

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Synthesis of $[^{51}Cr]Cr(III)$-EDTA Complex and Measurement of Glomerular Filtration Rate br Radioactivity Counting of Head and Neck Region ($[^{51}Cr]Cr(III)$-EDTA 착물 합성 및 $[^{51}Cr]Cr(III)$-EDTA 주사후 두경부 방사능 계측에 의한 사구체 여과율 측정)

  • Yang, Seung-Dae;Lim, Sang-Moo;Chun, Kwon-Soo;Suh, Yong-Sup;Yoon, Yong-Ki;Park, Hyun;Woo, Kwang-Sun;Chung, Wi-Sup;Oh, Ok-Doo;Lee, Jung-Doo
    • The Korean Journal of Nuclear Medicine
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    • v.28 no.3
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    • pp.364-370
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    • 1994
  • The purpose of this study is to evaluate the clinical application of the no carrier added $[^{51}Cr]Cr(III)$-EDTA complexes, produced at Korea Cancer Center Hospital. The $[^{51}Cr]Cr(III)$-EDTA complexes, usefut for measurement of GFR were prepared at room temperature in the presence of bicarbonate catalysts. The radiochemical purity of $[^{51}Cr]Cr(III)$-EDTA was over 99% by paper electrophoresis. The time activity curves were obtained by counting the blood samples from 5 volunteers and counting the head and neck regions with whole body counter after injection of the $^{51}Cr$-EDTA, respectively. After the nonlinear regression, the area under curve was obtained. The plasma clearance of the $^{51}Cr$-EDTA was calculated with injected dose/AUC. The clearance rate calculated with the head and neck counting data was in good agreement with the result from the plasma sample radioactivity at 1-3 hrs after injection. From this result, the counting of head and neck region and the nonlinear regression by 2-compartment model could be applied for the measurement of the clearance rate. Using MIRD system, the absorbed radiation dose was calculated by residence $time{\times}S$. The absorbed whole body radiation dose was negligibly small.

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The Design of Broadband Ultrasonic Transducers for Fish Species Identification - Bandwidth Enhancement of a Ultrasonic Transducer Using Double Acoustic Matching Layers- (어종식별을 위한 광대역 초음파 변환기의 설계 ( III ) - 이중음향정합층을 이용한 초음파 변환기의 대역폭 확장 -)

  • 이대재
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.34 no.1
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    • pp.85-95
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    • 1998
  • The broadband ultrasonic transducers have been designed to use in obtaining the broadband echo signals from fish schools in relation to the identification of fish species. The broadening of bandwidth was achieved by attaching double acoustic matching layers on the front face of a Tonpilz transducer consisted of an aluminum head, a piezoelectric ring, a brass tail and to evaluate the performance characteristics, such as the transmitting voltage response(TVR) of transducers. The constructed transducers were tested experimentally and numerically by changing the parameters such as impedances and thicknesses of the head, tail and matching layers, in the water tank. Also, the developed transducer was excited by a chirp signal and the received chirp waveforms were analyzed. According to the measured TVR results, the available 3 dB bandwidth of the transducer with double matching layers of an $Al_O_3/epoxy$ composite of 7 mm thick and a polyurethane window of 18 mm thick was 7.3 kHz with a center frequency of 38.8 kHz, and the maximum and the minimum values of the TVR in this frequency region were 135.7 dB and 132.7 dB re $1\;{\mu}Pa/V$ at 1 m, respectively. Also, the available 3 dB bandwidth of the transducer with double matching layers of an $Al_O_3/epoxy$ composite of 11 mm thick and a polyurethane window of 15 mm thick was 6.2 kHz with a center frequency of 38.6 kHz, and the maximum TVR value in the frequency region was 136.3 dB re $1\;{\mu}Pa/V$ at 1 m. Reasonable agreement between the experimental results and the numerical results for the TVR of the developed transducers was achieved. The frequency dependant characteristics of experimentally observed chirp signals closely matched to the measured TVR results. These results suggest that there is potential for increasing the bandwidth by varying other parameters in the transducer design and the material of the acoustic matching layers.

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ANALYSIS OF VORTEX SHEDDING PHENOMENA AROUND PANTOGRAPH PANHEAD FOR TRAIN USING LARGE EDDY SIMULATION (LES를 이용한 판토그라프 팬헤드의 와 흘림 현상 해석)

  • Jang, Yong-Jun
    • Journal of computational fluids engineering
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    • v.16 no.2
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    • pp.17-23
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    • 2011
  • The turbulent flow and vortex shedding phenomena around pantograph panhead of high speed train were investigated and compared with available experimental data and other simulations. The pantograph head was simplified to be a square-cross-section pillar and assumed to be no interference with other bodies. The Reynolds number (Re) was 22,000. The LES(large eddy simulation) of FDS code was applied to solve the momentum equations and the Wener-Wengle wall model was employed to solve the near wall turbulent flow. Smagorinsky model($C_s$=0.2) was used as SGS(subgrid scale) model. The total grid numbers were about 9 millions and the analyzed domain was divided into 12 multi blocks which were communicated with each other by MPI. The time-averaged mainstream flows were calculated and well compared with experimental data. The phased-averaged quantities had also a good agreement with experimental data. The near-wall turbulence should be carefully treated by wall function or direct resolution to get successful application of LES methods.

Stiffness Evaluation of a Heavy-Duty Multi-Tasking Lathe for Large Size Crankshaft Using Random Excitation Test (랜덤가진시험을 이용한 대형 크랭크샤프트 가공용 복합다기능 선반의 강성 평가)

  • Choi, Young Hyu;Ha, Gyung Bo;An, Ho Sang
    • Journal of the Korean Society for Precision Engineering
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    • v.31 no.7
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    • pp.627-634
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    • 2014
  • Machine tool vibration is well known for reducing machining accuracy. Because vibration response of a linear structure generally depends on its transfer function if the magnitude of excitation were kept constant, this study introduces a RET(Random Excitation Test) based on FRF method to evaluate stiffness of a prototype HDMTL(Heavy-Duty Multi-Tasking Lathe) for large crankshaft of marine engine. Firstly, two force loops of the lathe and corresponding structural loops were identified:1) workpiece - spindle - head stock - main bed, 2) workpiece - tool post - carriage bed. Secondly, compliances of each structural loop were measured respectively using RET with a hydraulic exciter and then converted into stiffness. Finally, the measured stiffness was compared with that obtained previously by FEM analysis. As the result, both measured and computed stiffness were closely in agreement with each other. And the prototype HDMTL has evidently sufficient rigidity above ordinary heavy-duty lathes.

Dynamic response of vertically loaded rectangular barrettes in multilayered viscoelastic soil

  • Cao, Geng;Zhu, Ming X.;Gong, Wei M.;Wang, Xiao;Dai, Guo L.
    • Geomechanics and Engineering
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    • v.23 no.3
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    • pp.275-287
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    • 2020
  • Rectangular barrettes have been increasingly used as foundations for many infrastructure projects, but the vertical vibration of a barrette has been rarely addressed theoretically. This paper presents an analysis method of dynamic response for a rectangular barrette subjected to a time-harmonic vertical force with the aid of a modified Vlasov foundation model in multilayered viscoelastic soil. The barrette-soil system is modeled as a continuum, the vertical continuous displacement model for the barrette and soil is proposed. The governing equations of the barrette-soil system and the boundary conditions are obtained and the vertical shaft resistance of barrette is established by employing Hamilton's principle for the system and thin layer element, respectively. The physical meaning of the governing equations and shaft resistance is interpreted. The iterative solution algorithm flow is proposed to obtain the dynamic response of barrette. Good agreement of the analysis and comparison confirms the correctness of the present solution. A parametric study is further used to demonstrate the effects of cross section aspect ratio of barrettes, depth of soil column, and module ratio of substratum to the upper soil layers on the complex barrette-head stiffness and the resistance stiffness.

Development of Classification System for Critical Care Nursing Based on Nursing Needs (간호요구도에 따른 중환자간호 분류도구 개발)

  • Yoo, Cheong Suk;Kim, Keum Soon
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.1
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    • pp.33-44
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    • 2013
  • Purpose: This study was done to develop a valid and reliable Classification System for Critical Care Nursing (CSCCN) to be used in Intensive Care Units (ICUs). Methods: Head nurses and staff nurses of 17 ICUs in 6 hospitals classified 307 patients to verify interrater reliability. To verify construct validity, the staff nurses classified 404 patients according to CSCCN comparing difference in medical department and type of stay in ICU. For conversion index, 78 patients from 4 ICUs of 'S' hospital were classified and nursing time was measured by 107 nurses and 18 nurse aids using stopwatches. Results: The developed CSCCN has 11 categories, 76 nursing activities and 101 criteria. The reliability was verified as having high agreement (r=.946). The construct validity was verified comparing differences in medical department and type of stay in ICU. According to scores, four groups in the CSCCN classification were identified. According to the conversion index, one score on the CSCCN means 7.2 minutes of nursing time. Conclusion: CSCCN can be used to measure diverse and complex nursing demands including psycho-social aspects of ICU patients and convert nursing demands to numbers.

Numerical Method for Exposure Assessment of Wireless Power Transmission under Low-Frequency Band

  • Kim, Minhyuk;Park, SangWook;Jung, Hyun-Kyo
    • Journal of Magnetics
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    • v.21 no.3
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    • pp.442-449
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    • 2016
  • In this paper, an effective numerical analysis method is proposed for calculating dosimetry of the wireless power transfer system operating low-frequency ranges. The finite-difference time-domain (FDTD) method is widely used to analyze bio-electromagnetic field problems, which require high resolution, such as a heterogeneous whole-body voxel human model. However, applying the standard method in the low-frequency band incurs an inordinate number of time steps. We overcome this problem by proposing a modified finite-difference time-domain method which utilizes a quasi-static approximation with the surface equivalence theorem. The analysis results of the simple model by using proposed method are in good agreement with those from a commercial electromagnetic simulator. A simulation of the induced electric fields in a human head voxel model exposed to a wireless power transmission system provides a realistic example of an application of the proposed method. The simulation results of the realistic human model with the proposed method are verified by comparing it with the conventional FDTD method.