• Title/Summary/Keyword: Movement evaluation

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The role of surgical clips in the evaluation of interfractional uncertainty for treatment of hepatobiliary and pancreatic cancer with postoperative radiotherapy

  • Bae, Jin Suk;Kim, Dong Hyun;Kim, Won Taek;Kim, Yong Ho;Park, Dahl;Ki, Yong Kan
    • Radiation Oncology Journal
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    • v.35 no.1
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    • pp.65-70
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    • 2017
  • Purpose: To evaluate the utility of implanted surgical clips for detecting interfractional errors in the treatment of hepatobiliary and pancreatic cancer with postoperative radiotherapy (PORT). Methods and Materials: Twenty patients had been treated with PORT for locally advanced hepatobiliary or pancreatic cancer, from November 2014 to April 2016. Patients underwent computed tomography simulation and were treated in expiratory breathing phase. During treatment, orthogonal kilovoltage (kV) imaging was taken twice a week, and isocenter shifts were made to match bony anatomy. The difference in position of clips between kV images and digitally reconstructed radiographs was determined. Clips were consist of 3 proximal clips (clip_p, ${\leq}2cm$) and 3 distal clips (clip_d, >2 cm), which were classified according to distance from treatment center. The interfractional displacements of clips were measured in the superior-inferior (SI), anterior-posterior (AP), and right-left (RL) directions. Results: The translocation of clip was well correlated with diaphragm movement in 90.4% (190/210) of all images. The clip position errors greater than 5 mm were observed in 26.0% in SI, 1.8% in AP, and 5.4% in RL directions, respectively. Moreover, the clip position errors greater than 10 mm were observed in 1.9% in SI, 0.2% in AP, and 0.2% in RL directions, despite respiratory control. Conclusion: Quantitative analysis of surgical clip displacement reflect respiratory motion, setup errors and postoperative change of intraabdominal organ position. Furthermore, position of clips is distinguished easily in verification images. The identification of the surgical clip position may lead to a significant improvement in the accuracy of upper abdominal radiation therapy.

A Case Study on Effect of Statistics Class focusing on Statistical Argumentation (통계적 논증활동을 강조한 통계수업의 효과에 대한 사례연구)

  • Kang, Hyun-Young;Song, Eun-Young;Cho, Jin-Woo;Lee, Kyeong-Hwa
    • Journal of Educational Research in Mathematics
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    • v.21 no.4
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    • pp.399-422
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    • 2011
  • There has been an agreement on the necessity for each citizen is to be educated, so called, to develop quantitative literacy or statistical literacy, dealing with real world data. For this reason, it is highly demanded to improve traditional statistics education. In particular, critical thought and statistical communication competency cultivation is becoming more crucial in statistics classes. In line with this reform movement in statistics education, we developed tasks facilitating statistical debate among students through inducing cognitive conflict. The tasks employed for this study resulted in playing crucial role to activate statistical debate. Including aforementioned feature about the tasks for this study, we obtained several positive results such as promoting critical thought and conceptual extension by designed teaching experiment focusing on statistical debate.

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A Study on the Optical Properties of the Filament Yarn Weft Knit Fabrics and the 3-dimensional Model (필라멘트로 구성(構成)된 위편성물(緯編成物)및 모델의 광학적(光學的) 특성(特性)에 관(關)한 연구(硏究))

  • Shin, Hye-Sun;Kim, Jong-Jun;Jeon, Dong-Won
    • Journal of Fashion Business
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    • v.6 no.5
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    • pp.1-11
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    • 2002
  • Today, great percentage of apparel fabrics comprise knit products. A few apparel items are almost exclusively made from knit products including sweaters, T-shirts, lingerie, and hosiery. In weft knits, intermeshing yarn traverses the fabric crosswise. The production rate of knitting machines is about four times higher than that of conventional looms iin proportion to the amount of fabric produced per unit time. Knit apparels fabrics are noted for freedom of body movement, easy-care, resilience, soft draping and quality. The appearance of fabrics is of prime importance along with tactile features such as smoothness, crispness, stiffness when we deal with the handling evaluation of the textiles. In practice, the quality and performance of fabrics judged by sighted evaluators, and it is perhaps logical, in attempting to establish an effective fabric objective measurement system. It is worthwhile to make objective measurement that correlate well with subjective evaluations made by sight and touch together. However, it often imposes difficulties to effectively measure and analyze the appearance or optical properties of the textile surface features. In this study, an attempt is made to provide a preliminary approach to the analysis of the gloss property, which is one of the optical properties of fabrics. The specimens range from 70/24 nylon 6 filament yarn knit fabric to 70/68 nylon 6 filament yarn knit fabric, the latter being finer. A few three-dimensional models based on Peirce's model of knit stitch have been proposed and material properties were given to calculate the properties. Goniophotometric measurements of the specimens were also carried out.

The Influence of Physical Functions on Clothing Behavior of Elderly People (고령자의 신체 기능이 의복 착용 행동에 미치는 영향)

  • Lee, Eun-Suk;Jeong, Su-Jin;Chu, Mi-Seon
    • Fashion & Textile Research Journal
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    • v.14 no.1
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    • pp.136-143
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    • 2012
  • The purpose of this study was to investigate the influence of physical functions of elderly people on their clothing behavior and to provide basic information about manufacturing comfortable apparels for the elderly. A total of 219 people, with ages between 60s and 70s, participated in the survey and in the experiment to correlate their tendency of wearing clothes with the state of their physical functions. About 78.5% of the elderly showed eyesight deterioration in the subjective evaluation. Elders in their 60s raised their arms higher up in overhead reach, and showed shorter distance between middle fingertips in behind back stretch and in back scratch than elders in their 70s. Also, the former stretched farther to the floor in standing trunk flexion, and maintained more steady in one leg stand and in tandem stance than the latter. The narrower the movement range of the upper limb joints was, the more the elderly preferred upper garments with full front opening to those with half or no opening. The more inflexible the upper limbs and waist and the more unbalanced the body was, the more likely the elderly put on pants while sitting on the floor. The time taken to button up the shirt and to put on and take off pants showed a positive correlation with the overhead reach, the behind back stretch, the back scratch and the standing trunk flexion, whereas the former showed a negative correlation with the one leg stand and the tandem stance.

The Effects of 3-Dimensional Lumbar Stabilization Exercise have an effect on the improvement of pain and static or dynamic balance ability in 20's age group with Low Back Pain (3차원 요부안정화 운동이 20대 요통환자의 통증과 동적 및 정적 균형능력 향상에 미치는 효과)

  • Kim, Gyu-Yong;Ahn, Chang-Sik;Kim, Seong-Su
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.2
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    • pp.235-246
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    • 2011
  • Purpose: The aim of this study is to compare and assess the effects of lumbar stabilization exercise on the balance ability of young college studets with low back pain after having performed spinal stabilization exercise by using 3-dimensional air-balance system and gym ball. Methods: The subjects of this study were 34 low back patients in their early twenties. They were divided into two groups: 3-dimensional lumbar stabilization exercise group(N=17) and gym ball lumbar stabilization exercise group(N=17). The period of the intervention was for five weeks. VAS(Visual Analogue Scale) for pain test, ODI(Oswestry Disability Index) for ADL limitation test, Tetrax system for static balance test, and Air-balance system 3D for dynamic balance test were used as evaluation tools for this study. Results: Pain showed significant decrease in both groups after having performed the experiment, but ADL limitation of the groups did not show any remarkable difference between before and after the experiment. Dynamic balance ability in the 8-directional angle comparison test significantly increased in all directions except for the backward, left-backward, and right-backward directions. As for dynamic balance ability in the 8-directional postural test, 3D exercise group showed statistically significant reduction in every direction while gym ball exercise group did not(p<.05). However, when it comes to static balance ability in the weight distribution and stability test, there was not significantly change between pre and post test in both groups. Conclusion: This study shows 3-dimensional lumbar stabilization exercise is more effective in the lumbar stabilization of coordinated movement than gym ball exercise, which may imply that 3D air-balance system can be used for the therapeutic treatment of body imbalance for patients with low back pain.

Clinical Features and Long-Term Outcome in Adult Stroke Patient due to Moyamoya Disease : A Single Subject Study

  • Kwon, Yong Hyun;Kim, Chung Sun
    • The Journal of Korean Physical Therapy
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    • v.25 no.3
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    • pp.126-131
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    • 2013
  • This case report described a single case of adult stoke patient due to Moyamoya disease through long-term follow-up observation, which included his demographics, brain images, and change of motor function and functional activities. The subject was the 54-year-old male diagnosed with left hemiparesis from a stroke due to multifocal encephalomalacia in both hemispheres. At the time of the stroke attack, he took brain surgery intervention including external ventricular drain. Physical and occupational therapy for stroke rehabilitation were admitted including muscle strengthening exercises, functional activity/ADL training, neurofacilitative techniques with bobath or proprioceptive neuromuscular facilitation concepts, and compensatory strategy. Patient's MRI showed that right frontal lobe, right peri-ventricular area, left parietal, and left occipital lobes were damaged, and MRA showed that abnormal collateral vessel was richly developed in both hemispheres by occlusion of proximal internal carotid arteries in both sides. His motor strength was improved from poor to good grade in all of upper and lower limb motions, that MBC was improved from stage 1 to stage 5. In FAC and barthel index, at the initial evaluation, he could not perform any functional movement, but his FAC and barthel index were on 3 and 14 points at present, respectively. During long-term follow-up for approximately 4 years, the subject's functional motor ability was improved, as similar with recovery progression of usual stroke patient. We believe that this single case report will provide clinical information and concern regarding Moyamoya disease with physical therapist, in terms of such as epidemiology, pathogenesis, diagnostic procedures, clinical features, recovery process, and prognosis.

Improving Evaluation of the Basket-to-Handstand Mount by a Technical Training Program on Parallel Bars (평행봉 Basket to Handstand 기술 훈련 프로그램 적용을 통한 향상도 평가)

  • Lee, Chong-Hoon;Back, Jin-Ho
    • Korean Journal of Applied Biomechanics
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    • v.19 no.4
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    • pp.719-728
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    • 2009
  • In this study, a training program was conducted to improve the performance of the basic movement of the basket-to-handstand mount. After completion of the training program, the kinematic comparison of the before and after effects were investigated to provide scientific data about this technique. It is recommended that during P1, the center of body mass at the back should push the hip joint to flex quickly, and the shoulder joint should be maintained at a maximum angle. During P2, the body's center of mass must be accelerated so as to create enough momentum to rise efficiently for this, quick extension of both the hip and the shoulder is required. For safety during P3, it is advised that the speed upwards must be increased and that the hands, shoulders, and hip joint must be extended, as in the posture of a handstand. These results stress to coaches the importance of the bodies speed during the ascent in the motion.

Traffic Signal Control Methods for Functional Improvements in COSMOS (COSMOS 안정화를 위한 교통축 및 감응제어 방법연구)

  • 이승환;오영태;이상수
    • Journal of Korean Society of Transportation
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    • v.20 no.6
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    • pp.31-43
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    • 2002
  • Traffic signal control methods are suggested to improve the operational effectiveness of COSMOS system in Seoul. First. a method that improves progression of the corridor traffic flow within a common sub-area was explored. Applying this method, both frequency and magnitude of offset transition were reduced as compared to the existing method. In addition, the level of connection among neighboring corridors increased by applying the method, thus the qualify of progression was also improved. Second, a practical guideline on signal phase design was proposed to improve the efficiency of actuated operations for the left-turn movement. Last, a method for estimating optimal queue length parameters was surveyed and evaluated. An evaluation study was performed for the suggested methods through both field and simulation studies. Results showed that the proposed methods gave better performance than the existing methods. It is expected that the use of proposed methods can improve operational performance of COSMOS.

A study on shape changes of hangul signature under the influence of alcohol (한글서명의 알콜 섭취에 의한 외형 변화율에 대한 연구)

  • Roh, Seung-Chan;Park, Sung-Woo;Kim, Jung-Ho
    • Analytical Science and Technology
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    • v.23 no.6
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    • pp.607-614
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    • 2010
  • Handwriting identifications are often faced with difficulties in evaluating handwriting by persons under the influence of alcohol. Cerebellar dysfunction is associated with deficits in the control of movement extent, as well as changes in the amplitude and relative amounts of acceleration and deceleration and action tremor. Although numerous articles are available on the subject of alcohol influence on handwriting quality, most of them were based on empirical data such as experience method, without any statistical evaluation. In this study, Hangul signature giyeok and nieun of consonant were measured in samples of handwriting. The result of this study can be used as a basic data of comparison on handwriting by identifying consistency of features and relative individualization of.

Correlation analysis of gingival recession after orthodontic treatment in the anterior region: an evaluation of soft and hard tissues

  • Lee, Jong-Bin;Baek, Soo-Jin;Kim, Minji;Pang, Eun-Kyoung
    • Journal of Periodontal and Implant Science
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    • v.50 no.3
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    • pp.146-158
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    • 2020
  • Purpose: The aim of this study was to investigate and identify the main causes of periodontal tissue change associated with labial gingival recession by examining the anterior region of patients who underwent orthodontic treatment. Methods: In total, 45 patients who had undergone orthodontic treatment from January 2010 to December 2015 were included. Before and after the orthodontic treatment, sectioned images from 3-dimensional digital model scanning and cone-beam computed tomography images in the same region were superimposed to measure periodontal parameters. The initial labial gingival thickness (IGT) and the initial labial alveolar bone thickness (IBT) were measured at 4 mm below the cementoenamel junction (CEJ), and the change of the labial gingival margin was defined as the change of the distance from the CEJ to the gingival margin. Additionally, the jaw, tooth position, tooth inclination, tooth rotation, and history of orthognathic surgery were investigated to determine the various factors that could have affected anterior periodontal tissue changes. Results: The mean IGT and IBT were 0.77±0.29 mm and 0.77±0.32 mm, respectively. The mean gingival recession was 0.14±0.57 mm. Tooth inclination had a significant association with gingival recession, and as tooth inclination increased labially, gingival recession increased by approximately 0.2 mm per 1°. Conclusions: In conclusion, the IGT, IBT, tooth position, tooth rotation, and history of orthognathic surgery did not affect labial gingival recession. However, tooth inclination showed a significant association with labial gingival recession of the anterior teeth after orthodontic treatment.