• 제목/요약/키워드: PA Techniques

검색결과 84건 처리시간 0.025초

Short-term Benefits of Mobilization for Patients with Non-Specific Neck Pains: Executive Function and Neck Pain Intensity

  • Choi, Wansuk;Heo, Seoyoon
    • 국제물리치료학회지
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    • 제10권2호
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    • pp.1803-1809
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    • 2019
  • Background: Cervical mobilization has been applied mainly for the improvement of arm and neck movements and pain reduction, and little research has been done to improve the executive function. Since this kind of so-called mechanical neck pain is one of most common symptoms, there are controversial issues about this with spine alignment. Posteroanterior (PA) mobilization from the Maitland concept is a process of examination, assessment, and treatment of neuromusculoskeletal disorder by manipulative physical therapy. Objective: To examine the short-term benefits of mobilization for patients with non-specific neck pain. Design: Dual-group Pretest-Posttest Design from the Quasi-Experimental research Methods: Fourteen participants (male 8, female 6; 20's of their age) with non-specific neck pains which are distributed all the unilateral or bilateral body side were recruited. Participants were categorized to Neck Pain with Movement Coordination Impairments (NPMCI) and Neck Pain with Mobility Deficits (NPMD) groups according to the results of physical examination. Professional physical therapist who has over 15-years-of clinical experience applicated manipulative therapy for the neck pain, an occupational therapist only conducted evaluations; K-NDI (Korean version of the Neck Disability Index), VAS (Visual Analog Scale), BDS-K (Korean version of Behavioral Dyscontrol Scale) for decreasing possible adverse effects; there were no person who reported other symptoms followed 4 weeks from the trial. Results: In the NPMCI group, data analysis indicated statistical differences between the PA mobilization interventions in NDI and BDS-K; even though, pain was reduced in VAS, this is not a significantly differ. In the NPMD group, data analysis represented statistical differences between the PA mobilization interventions in NDI, VAS and BDS-K; the scores were represented to be increased or the pain got relief. Conclusions: PA mobilization techniques according to Maitland concept have beneficial effects in patients with neck pain and other clinical positive effects which included neck disability, pain itself and motor function of upper extremity.

원발성 폐암에서 정위적 체부 방사선치료의 빔 배열에 따른 선량분포의 비교 (Comparison of the Dose Distributions with Beam Arrangements in the Stereotactic Body Radiotherapy (SBRT) for Primary Lung Cancer)

  • 예지원
    • 한국의학물리학회지:의학물리
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    • 제25권2호
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    • pp.110-115
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    • 2014
  • 원발성 폐암의 정위적 체부 방사선치료(Stereotatic Body Radiation Therapy; SBRT)시에, 종양주위의 빔 배열을 균등하게 한 $360^{\circ}$회전각도(Equally angles; EA)와 종양주위의 빔 배열을 부분각도(Partially angles; PA)로 배열한 치료계획의 선량차이를 확인하기 위하여, 세기조절방사선치료(Intensity-modulated radiation therapy, IMRT)와 체적변조회전치료(Volumetric-modulated arc therapy, VMAT)의 종양의 선량, 동측 폐의 선량, 반대측 폐의 선량, 손상위험장기(Organ at risk, OAR)의 선량, 치료효율 등을 비교분석 하였다. 12명의 환자에서 각각 4종류($IMRT_{EA}$, $IMRT_{PA}$, $VMAT_{EA}$, $VMAT_{PA}$)의 치료계획을 생성하였으며, 처방선량은 총 선량 60 Gy, 4회 분할치료로 표적체적 95%에 대해 100% 선량이 포함되게 하였다. IMRT와 VMAT의 치료계획 평가에서 $360^{\circ}$회전각도의 빔 균등배열과 부분각도 빔 배열에서 변수중 선량일치지수, 균질성지수, 고선량 유출, $D_{2cm}$, $R_{50}$은 빔 배열에 따라 크게 차이가 나지 않았다. 또한 손상위험장기인 척수, 기관지, 식도의 최고선량은 각각의 방법에 따라 차이를 나타내었다. 특히 $HDS_{location}$에서 21.63%와 26.46%의 큰 차이를 나타내었다.

초분광 단파적외선 영상 기술을 이용한 고추의 수분스트레스 측정 기술 개발 (Development of Drought Stress Measurement Method for Red Pepper Leaves using Hyperspectral Short Wave Infrared Imaging Technique)

  • 박은수;조병관
    • 생물환경조절학회지
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    • 제23권1호
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    • pp.50-55
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    • 2014
  • 본 연구에서는 고추의 수분스트레스 반응을 최적으로 계측할 수 있는 알고리즘을 개발하기 위해 초분광 단파 적외선 영상기술을 적용하였다. 수분스트레스에 노출된 고춧잎의 단파적외선 분광영상을 획득하고 ANOVA 분석을 이용하여 수분스트레스 반응을 가장 잘 반영하는 파장영역을 선정하였다. 고춧잎의 단파적외선 초분광 영상을 이용하여 ANOVA 분석을 수행한 결과 수분스트레스 판별을 위한 최적 파장은 1449nm으로 물분자의 광흡수 영역대와 거의 일치하였다. 최적 파장에서의 고춧잎 상대반사값을 가우시안 회귀분석을 통해 정상군과 토양흡착수압이 -20kPa과 -50kPa일 때의 스트레스군을 구분할 수 있는 임계값을 계산하고 이 값을 기준으로 단파적외선 영상을 이진화하여 수분스트레스 반응을 판단할 수 있는 최종영상을 구축하였다. 결과 영상에서 정상군과 스트레스군의 토양흡착수압이 -20kPa인 잎의 경우 스트레스 반응을 보인 픽셀이 72%이었고, -50kPa인 잎에서는 스트레스 반응을 보인 픽셀이 84%로 12%차이가 났다. 정상군과 스트레스 강도가 다른 시료의 경우 영상의 결과가 명확히 구분되는 것으로 나타나 단파적외선 영상기술이 고춧잎의 수분스트레스 상태를 정량적으로 나타낼 수 있는 기술임을 확인할 수 있었다.

Point Shearwave Elastography의 유방 초음파에서의 적용: "S-Shearwave"를 이용한 감별진단의 초기경험 (Application of Point Shearwave Elastography to Breast Ultrasonography: Initial Experience Using "S-Shearwave" in Differential Diagnosis )

  • 이명환;김은경;이은주;김하얀;윤정현
    • 대한영상의학회지
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    • 제81권1호
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    • pp.157-165
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    • 2020
  • 목적 S-Shearwave를 이용하여 유방 병변을 감별하는데 있어 최적의 cut-off 값과 종괴 내 위치를 알아보고 진단적 가치를 평가하고자 한다. 대상과 방법 연구 기간 동안 197명의 여성에서 225개의 유방 병변을 평가하였다. S-Shearwave 값은 초음파 기기에서 자동적으로 생성된 사각형의 region-of-interest로 측정하였다. 병변 내 서로 다른 네 군데에서 각각 세 번 측정하였으며 세 개의 중위 값 중 최대 값을 이용해 각각의 위치에서 최적의 cut-off 값을 계산하였다. 진단적 가치는 area under the receiving operator characteristics curve (이하 AUC)를 통해 평가하였다. 결과 총 225개의 유방 병변 중 156개(69.3%)는 양성, 69개(30.7%)는 악성이었다. 평균 SShearwave 값은 악성 병변이 양성 병변에 비해 유의미하게 높았다(108.0 ± 70.0 kPa vs. 43.4 ± 38.3 kPa, p < 0.001). 하지만 병변 내 위치에 따른 값의 유의미한 차이는 없었다. Cut-off 값을 41.9 kPa로 사용했을 때, 민감도 85.7%, 특이도 63.9%, 정확도 70.7%, 양성예측도 51.7% 및 음성예측도 90.8%였다. 초음파와 S-Shearwave 간의 AUC는 유의미한 차이를 보이지 않았다(p = 0.179). 결론 S-Shearwave는 유방 병변의 감별진단을 하는데 grayscale 초음파에 필적하는 진단적 가치를 가진다.

RF CMOS Power Amplifiers for Mobile Terminals

  • Son, Ki-Yong;Koo, Bon-Hoon;Lee, Yu-Mi;Lee, Hong-Tak; Hong, Song-Cheol
    • JSTS:Journal of Semiconductor Technology and Science
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    • 제9권4호
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    • pp.257-265
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    • 2009
  • Recent progress in development of CMOS power amplifiers for mobile terminals is reviewed, focusing first on switching mode power amplifiers, which are used for transmitters with constant envelope modulation and polar transmitters. Then, various transmission line transformers are evaluated. Finally, linear power amplifiers, and linearization techniques, are discussed. Although CMOS devices are less linear than other devices, additional functions can be easily integrated with CMOS power amplifiersin the same IC. Therefore, CMOS power amplifiers are expected to have potential applications after various linearity and efficiency enhancement techniques are used.

SIMULATING NONTHERMAL RADIATION FROM CLUSTER RADIO GALAXIES

  • TREGILLIS I. L.;JONES T. W.;RYU DONGSU
    • 천문학회지
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    • 제37권5호
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    • pp.509-515
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    • 2004
  • We present results from an extensive synthetic observation analysis of numerically-simulated radio galaxy (RG) jets. This analysis is based on the first three-dimensional simulations to treat cosmic ray acceleration and transport self-consistently within a magnetohydrodynamical calculation. We use standard observational techniques to calculate both minimum-energy and inverse-Compton field values for our simulated objects. The latter technique provides meaningful information about the field. Minimum-energy calculations retrieve reasonable field estimates in regions physically close to the minimum-energy partitioning, though the technique is highly susceptible to deviations from the underlying assumptions. We also study the reliability of published rotation measure analysis techniques. We find that gradient alignment statistics accurately reflect the physical situation, and can uncover otherwise hidden information about the source. Furthermore, correlations between rotation measure (RM) and position angle (PA) can be significant even when the RM is completely dominated by an external cluster medium.

스테인리스 강 박막 및 기판을 이용한 배열형 정전용량 압력센서의 전기 기계적 특성연구 (Study on Electro-Mechanical Characteristics of Array Type Capacitive Pressure Sensors with Stainless Steel Diaphragm and Substrate)

  • 이흥식;장성필;조종두
    • 대한기계학회논문집A
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    • 제30권11호
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    • pp.1369-1375
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    • 2006
  • In this work, mechanical characteristics of stainless steel diaphragm have been studied as a potential robust substrate and a diaphragm material for micromachined devices. Lamination process techniques combined with traditional micromachining processes have been adopted as suitable fabrication technologies. To illustrate these principles, capacitive pressure sensors based on a stainless steel diaphragm have been designed, fabricated and characterized. The fabrication process for stainless steel micromachined devices keeps the membrane and substrate being at the environment of 8.65MPa pressure and $175^{\circ}C$ for a half hour and then subsequently cooled to $25^{\circ}C$. Each sensor uses a stainless steel substrate, a laminated stainless steel film as a suspended movable plate and a fixed, surface micromachined back electrode of electroplated nickel. The finite element method is adopted to investigate residual stresses formed in the process. Besides, out-of-plane deflections are calculated under pressures on the diaphragm. The sensitivity of the device fabricated using these technologies is 9.03 ppm $kPa^{-1}$ with a net capacitance change of 0.14 pF over a range 0$\sim$180 kPa.

Paradigm Shift in Intra-Arterial Mechanical Thrombectomy for Acute Ischemic Stroke : A Review of Randomized Controlled Trials after 2015

  • Sheen, Jae Jon;Kim, Young Woo
    • Journal of Korean Neurosurgical Society
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    • 제63권4호
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    • pp.427-432
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    • 2020
  • Three randomized control trials (RCTs), published in 2013, investigated efficacy of mechanical thrombectomy in large vessel occlusions and did not show better results compared to intravenous (IV) recombinant tissue-type plasminogen activator (tPA) alone. However, most clinicians treating stroke consider mechanical thrombectomy as the standard treatment rather than using IV tPA alone. This paradigm shift was based on five RCTs investigating efficacy of mechanical thrombectomy in acute ischemic stroke conducted from 2010 to 2015. They demonstrated that mechanical thrombectomy was effective and safe in acute ischemic stroke with anterior circulation occlusion when performed within 6 hours of stroke onset. There are four reasons underlying the different results observed between the trials conducted in 2013 and 2015. First, the three RCTs of 2013 used low-efficiency thrombectomy devices. Second, the three RCTs used insufficient image selection criteria. Third, following the initial presentation at the hospital, reperfusion treatment required a long time. Fourth, the three RCTs showed a low rate of successful recanalization. Time is the most important factor in the treatment of acute ischemic stroke. However, current trends utilize advanced imaging techniques, such as diffusion-weighted imaging and multi-channel computer tomographic perfusion, to facilitate the detection of core infarction, penumbra, and collateral flows. These efforts demonstrate that patient selection may overcome the barriers of time in specific cases.

LPG 폭발로 인한 건설현장 굴착웅덩이의 구조물 파손 특성에 관한 연구 (A Study on the Failure Characteristic of Excavation Puddle by LPG Explosion using AUTODYN)

  • 김의수
    • 한국가스학회지
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    • 제26권5호
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    • pp.58-65
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    • 2022
  • Gas explosion accidents could cause a catastrophe. we need specialized and systematic accident investigation techniques to shed light on the cause and prevent similar accidents. In this study, we had performed LPG explosion simulation using AUTODYN which is the commercial explosion program and predicted the damage characteristics of the structures by LNG explosive power. In the first step, we could get LPG's physical and chemical explosion properties by calculation using TNT equivalency method. And then, by applying TNT equivalency value about the explosion limit concentration of LPG on the 2D-AUTODYN simulation, we could get the explosion pressure wave profiles (explosion pressure, explosion velocity, etc.). In the last step, we performed LPG explosion simulation by applying to the explosion pressure wave profiles as the input data on the 3D-AUTODYN simulation. As a result, we had performed analyzing of the explosion characteristics of LPG in accordance with concentration through the 3D-AUTODYN simulation in terms of the explosion pressure behavior and structure destruction and damage behavior. The analyses showed that the generated stresses of the structures were lower than the compressive strengths in cases 1(two lane) and 2(four lane), while the generated stress in case 3(six lane) was 8.68e3 kPa, which exceeded the compressive strength of 5.89e3 kPa.