• 제목/요약/키워드: Positional

검색결과 1,043건 처리시간 0.033초

양성 돌발성 체위 현훈으로 이행된 급성 전정신경염 환자의 한양방 협진 치료 1례 (Case of Combined Eastern-Western Medicine Treatment on a Patient Diagnosed with Benign Paroxysmal Positional Vertigo after Acute Vestibular Neuritis)

  • 박영화;임보라;옥효준;선종주;박준하
    • 대한한방내과학회지
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    • 제37권2호
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    • pp.273-282
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    • 2016
  • Objective: This clinical study was performed with a female patient to evaluate the effects of combined Eastern-Western medicine treatment on benign paroxysmal positional vertigo after acute vestibular neuritis.Method: We used acupuncture, herbal medication, Western medication, fluid therapy, and the canalith repositioning maneuver to treat a female patient suffering from dizzy spells. The vertigo scale was checked to assess any improvement in symptoms.Results: The patient had originally recovered from acute vestibular neuritis, but after the first discharge, she came down with benign paroxysmal positional vertigo and had to be rehospitalized. She eventually got better, however, and her score on the vertigo scale improved.Conclusion: This study demonstrates that combined Eastern-Western medicine treatment may be an effective option for treating benign paroxysmal positional vertigo after acute vestibular neuritis, despite the difficulty of the treatment in this case.

Positional correction of a 3D position-sensitive virtual Frisch-grid CZT detector for gamma spectroscopy and imaging based on a theoretical assumption

  • Younghak Kim ;Kichang Shin ;Aleksey Bolotnikov;Wonho Lee
    • Nuclear Engineering and Technology
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    • 제55권5호
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    • pp.1718-1733
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    • 2023
  • The virtual Frisch-grid method for room-temperature radiation detectors has been widely used because of its simplicity and high performance. Recently, side electrodes were separately attached to each surface of the detectors instead of covering the entire detector surface with a single electrode. The side-electrode structure enables the measurement of the three-dimensional (3D) gamma-ray interaction in the detector. The positional information of the interaction can then be utilized to precisely calibrate the response of the detector for gamma-ray spectroscopy and imaging. In this study, we developed a 3D position-sensitive 5 × 5 × 12 mm3 cadmium-zinc-telluride (CZT) detector and applied a flattening method to correct detector responses. Collimated gamma-rays incident on the surface of the detector were scanned to evaluate the positional accuracy of the detection system. Positional distributions of the radiation interactions with the detector were imaged for quantitative and qualitative evaluation. The energy spectra of various radioisotopes were measured and improved by the detector response calibration according to the calculated positional information. The energy spectra ranged from 59.5 keV (emitted by 241Am) to 1332 keV (emitted by 60Co). The best energy resolution was 1.06% at 662 keV when the CZT detector was voxelized to 20 × 20 × 10.

야간수면다원검사를 이용한 자세성 및 비자세성 수면무호흡증 환자의 비교 연구 (Comparison of Positional and Non-Positional Obstructive Sleep Apnea Patients by Nocturnal Polysomnography)

  • 박민우;조정환;박원규;남진우;윤종일;정진우
    • Journal of Oral Medicine and Pain
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    • 제34권4호
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    • pp.371-377
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    • 2009
  • 본 연구의 목적은 자세성 수면무호흡증 환자군과 비자세성 수면무호흡증 환자군의 수면다원검사 결과를 비교 분석하여 그 원인 요소를 알아보는데 있다. 서울대학교치과병원에 코골이 및 수면무호흡증을 주소로 내원한 환자들 중 수면다원검사 결과 수면무호흡증으로 진단된 (무호흡-저호흡 지수 5이상) 환자 47명을 Cartwright 등의 분류에 따라 37명의 자세성 수면무호흡증 환자 (앙와위에서의 수면무호흡-저호흡 지수가 측와위에서의 수면무호흡-저호흡 지수의 2배 이상)와 10명의 비자세성 수면무호흡증 환자 (앙와위에서의 수면무호흡-저호흡 지수가 측와위에서의 수면무호흡-저호흡 지수의 2배 미만)로 분류하여 각 군간의 수면다원검사 지수들을 비교 분석 하였다. 연구 결과, 나이, 성별, 체질량지수, 주간졸리움 지수, 전체 수면무호흡-저호흡 지수, 전체 각성 지수, 코골이 시간에서 두 군간의 유의한 차이를 보이지 않았다. 그러나 비자세성 수면무호흡증 환자군에서 자세성 수면무호흡증 환자군보다 높은 REM 수면에서의 수면무호흡-저호흡 지수 및 각성지수와 낮은 REM 수면 평균혈중산소포화도를 나타내었다. 결론적으로 본 연구의 결과는 비자세성 수면무호흡환자가 자세성 수면무호흡증 환자보다 구인두 기도에서의 더 높은 협착도를 갖고 있을 가능성을 제시하여 준다.

도로설계를 위한 LiDAR 데이터의 활용성 분석 (The analysis of Utilization of LiDAR data in road design)

  • 이현직;박은관;박원일
    • 한국측량학회:학술대회논문집
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    • 한국측량학회 2007년도 춘계학술발표회 논문집
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    • pp.363-366
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    • 2007
  • Road Design is being reached to the working design to produce drawings, calculate construction quantity and cost, through the basic design that contained feasibility study and all impact assessment. In general, to plan the route we use topographic map. The vertical positional accuracy is 30cm and horizontal positional accuracy is 35cm in 1:1,000 scale topographic map. In LiDAR, vertical positional accuracy is 15cm and horizontal positional accuracy is 30cm. So if we use LiDAR on road design, more accurate earth-volumn will be calculated when we plan the route. In this paper we try to find the method to use the LiDAR data on road design by drawing the profile and cross sectional view and comparing the earth-volumn to the road that working design is in process adopting the topographic map and LiDAR data.

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금형의 고정형 5축 가공 시 공구자세 셋업 정보 산출시스템 개발 (Setup Data Generation for Positional 5-axis Machining of Die and Mold)

  • 이정근;양성진;박정환
    • 한국CDE학회논문집
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    • 제13권5호
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    • pp.382-390
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    • 2008
  • Five-axis machining has been applied to manufacture of turbine blades, impellers, marine propellers. Nowadays it extends to mold & die machining, where more productivity as well as added value is expected. The five-axis machining can be divided into positional and continuous, according to the variableness of tool orientation during material removal process. The positional five-axis machining is commonly applied to the regional machining on a whole part surface in mold manufacturing industry, where the tool orientation for each region (area) should be determined to be feasible, that is, avoiding any interference such as machine tool collision, etc. Therefore it is required for a CAM programmer to decide a feasible tool orientation in generating tool-paths on a designated area, because it is a very tedious job to obtain such information by utilizing a commercial CAM system. The developed system generates feasibility data on tool orientation and machining region, which facilitates the CAM programmer's decision on a feasible tool orientation.

양성 발작성 체위성 현훈 환자 치험 1례 (A clinical review of Benign Paroxysmal Positional Vertigo Patient-1 case)

  • 김성범;심성용;김경준;남혜정
    • 한방안이비인후피부과학회지
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    • 제16권1호
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    • pp.214-219
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    • 2003
  • Vertigo is one of the common symptoms that we can see often clinically. It is hallucination to motion of oneself or surroundings. Vertigo include not only simple whirling sensation but also leaning or falling down sensation. Particularly in benign paroxysmal positional vertigo(BPPV), the principal symptom is dizziness and accompanied by nausea, lightheadness, vomiting. They are induced by positional change which like shake ones head or lay down or turn over in one' s sleep. Cause of BPPV is otoconium fragments which are released from inner ear and stimulate ampulla of semicircular canal. So in treatment BPPV, we often using the Dix-hallpike maneuver that realignment otoconium fragments. A case of vertigo patient suggested BPPV who is diagnosed oriental medically as weakly dizziness showed prominent improvement by medicate Bojungikgi-tang and operate otoconium-realignmentation (improved Dix-hallpike maneuver) maneuver so we reported.

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한방병원에 입원한 두위 현훈 환자의 임상 분석 (Clinical Analysis on the Positional Vertigo Patients treated in an Oriental Medical Center)

  • 김태연;김기태;고흥
    • 대한한방내과학회지
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    • 제32권3호
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    • pp.371-386
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    • 2011
  • Background : Vertigo is a very common complaint in clinical practice. The number of patients who complain of vertigo has been increasing due to rapid growth of the elderly population. This study was designed to review the clinical features and success of oriental medical treatment of positional vertigo. Methods : This observation was made on 70 subjects diagnosed with positional vertigo. They were hospitalized in the Semyung University Oriental Medicine Hospital. Results : The results were as follows 1. Female patients (82.9%) were more than male patients. The most common age group was 8th decade and the patients rapidly increased after the 5th decade of age. 2. The most common past history of positional vertigo was hypertension, the second was cerebral infarction, and the third was hyperlipidemia. 3. In the oriental medicine diagnosis, phlegm-dampness syndrome (痰濕交阻 眩暈) was the most common disease (92.9%), and in western medicine, BPPV was the most (82.9%). 4. In herbal medication, Banhabaekchulchunma-tang gami (45.7%) was the most commonly used, the second being Taeksa-tang (30%). 5. The vertigo score of 94.3% patients improved and none got worse. 6. In general characteristics, men over 64 years improved best. Past history had no effect on the improvement of vertigo. 7. The sooner patients visited hospital after onset, the shorter hospitalization time was. Conclusions : Vertigo attacks patients well in advanced age, with various causative diseases. Oriental medical treatments have considerable effects on positional vertigo, especially treated with Banhabaekchulchunma-tang gami and Taeksa-tang.

Factors Analysis Affecting Lateral Canal Benign Paroxysmal Positional Vertigo

  • Kim, Chul-Seung;Choi, Hee-Young;Kwon, Pil-Seung;Lee, Eun-Pyo;Seo, Choong-Won
    • 대한임상검사과학회지
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    • 제47권1호
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    • pp.35-38
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    • 2015
  • Lateral canal benign paroxysmal vertigo (BPPV) causing dizziness is a common cause is not found while continuing to appeal for vertigo is a typical disease. It is characterized by acute stand up, brief and rotatory vertigo attacks provoked by change in head position. Treatment requires only one treatment visit in most patients. However, there are significant numbers of patients who require multiple treatment visits for relief. The purpose of this study benign paroxysmal positional vertigo treatment of type affect is to analyze the cause. Dizziness and vertigo patient's in patients admitted to the dizziness center of lateral canal benign paroxysmal positional vertigo were classified. In patients with lateral canal benign paroxysmal positional vertigo and accompanying lateral 15 treatment affects disease were investigated. March 2008 to November 2010 lateral canal benign paroxysmal positional vertigo 166 people cure rate of patients was investigated. First time the success rate of 74.1%, twice times the success rate of 12.0%, three times the success rate of 9.6%, more than three times the success rate was 4.2%. Affecting factor treatment of benign paroxysmal positional vertigo in post-traumatic, medicine disease, headache, cerebral infarction, small vessel disease, vestibulopathy, (p<0.05). Statistical analysis using SPSS (version 12K) in coefficient measure through descriptive statistical of cross table.

포인트와 라인 세그먼트의 해석적 에러 검증을 위한 확률기반 시뮬레이션 모델에 관한 연구 (A Study on Stochastic Simulation Models to Internally Validate Analytical Error of a Point and a Line Segment)

  • 홍성철;주용진
    • Spatial Information Research
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    • 제21권2호
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    • pp.45-54
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    • 2013
  • 해석적 또는 시뮬레이션 오차 모델은 공간 데이터가 가지는 위치오차의 분포를 설명 하는데 유용하다. 그러나 두 오차 모델은 위치오차를 모델링을 하기위하여 다른 접근 방법을 이용하므로 정의된 조건 내에서 올바른 위치오차를 예측 하는지 확인하는 내적 검증을 필요로 한다. 이에 본 논문은 오차타원과 에러밴드 모델을 이용하여 제시한 포인트와 라인 세그먼트 시뮬레이션 오차 모델을 내부적으로 검증하는 방법을 제안하였다. 시뮬레이션 오차 모델은 분산-공분산 행렬(variance-covariance matrix)의 변수에 의해 규정된 확률분포에 따라 몬테카를로 시뮬레이션을 이용하여 위치오차들을 생성한다. 검증절차에서는 시뮬레이션 모델에 의한 위치오차의 집합을 해석적 오차 모델에 의한 이론적 위치오차와 비교하였다. 결과적으로 제안된 시뮬레이션 오차 모델은 정의된 위치오차에 따라 동일한 공간 데이터의 위치적 불확실성을 실현함을 확인할 수 있었다.

Positional uncertainties of cervical and upper thoracic spine in stereotactic body radiotherapy with thermoplastic mask immobilization

  • Jeon, Seung Hyuck;Kim, Jin Ho
    • Radiation Oncology Journal
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    • 제36권2호
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    • pp.122-128
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    • 2018
  • Purpose: To investigate positional uncertainty and its correlation with clinical parameters in spine stereotactic body radiotherapy (SBRT) using thermoplastic mask (TM) immobilization. Materials and Methods: A total of 21 patients who underwent spine SBRT for cervical or upper thoracic spinal lesions were retrospectively analyzed. All patients were treated with image guidance using cone beam computed tomography (CBCT) and 4 degrees-of-freedom (DoF) positional correction. Initial, pre-treatment, and post-treatment CBCTs were analyzed. Setup error (SE), pre-treatment residual error (preRE), post-treatment residual error (postRE), intrafraction motion before treatment (IM1), and intrafraction motion during treatment (IM2) were determined from 6 DoF manual rigid registration. Results: The three-dimensional (3D) magnitudes of translational uncertainties (mean ${\pm}$ 2 standard deviation) were $3.7{\pm}3.5mm$ (SE), $0.9{\pm}0.9mm$ (preRE), $1.2{\pm}1.5mm$ (postRE), $1.4{\pm}2.4mm$ (IM1), and $0.9{\pm}1.0mm$ (IM2), and average angular differences were $1.1^{\circ}{\pm}1.2^{\circ}$ (SE), $0.9^{\circ}{\pm}1.1^{\circ}$ (preRE), $0.9^{\circ}{\pm}1.1^{\circ}$ (postRE), $0.6^{\circ}{\pm}0.9^{\circ}$ (IM1), and $0.5^{\circ}{\pm}0.5^{\circ}$ (IM2). The 3D magnitude of SE, preRE, postRE, IM1, and IM2 exceeded 2 mm in 18, 0, 3, 3, and 1 patients, respectively. No association were found between all positional uncertainties and body mass index, pain score, and treatment location (p > 0.05, Mann-Whitney test). There was a tendency of intrafraction motion to increase with overall treatment time; however, the correlation was not statistically significant (p > 0.05, Spearman rank correlation test). Conclusion: In spine SBRT using TM immobilization, CBCT and 4 DoF alignment correction, a minimum residual translational uncertainty was 2 mm. Shortening overall treatment time and 6 DoF positional correction may further reduce positional uncertainties.