• 제목/요약/키워드: center of hand

검색결과 2,972건 처리시간 0.029초

The Long-Term Safety and Efficacy of Intrathecal Therapy Using Sufentanil in Chronic Intractable Non-Malignant Pain

  • Monsivais, Jose Jesus;Monsivais, Diane Burn
    • The Korean Journal of Pain
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    • 제27권3호
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    • pp.297-300
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    • 2014
  • This report describes the long term safety and efficacy of intrathecal therapy using Sufentanil for the management of chronic intractable neuropathic pain in 12 chronic pain patients. Standardized psychological screening was used to determine treatment suitability. Evaluation data included the Visual Analog Scale (VAS), Wong-Baker Faces Scale, Brief Pain Inventory (BPI), Disability of Arm, Shoulder, and Hand (DASH), McGill Quality of Life Questionnaire, and complications (granulomas, toxicity, withdrawal, or deaths). SPSS version 18 was used for data analysis. Pre- and post- treatment BPI measures and pain scale scores showed a statistically significant difference. There were no complications directly related to drug toxicity, nor drug withdrawals, granulomas, or deaths. Intrathecal therapy with Sufentanil therapy offers a good treatment alternative for those cases that have failed both surgery and standard pain treatment. Strict patient selection based on psychological screening, control of co-morbidities, a proper pain management may contribute to successful outcome.

Clinical outcome in patients with hand lesions associated with complex regional pain syndrome after arthroscopic rotator cuff repair

  • Imai, Takaki;Gotoh, Masafumi;Fukuda, Keiji;Ogino, Misa;Nakamura, Hidehiro;Ohzono, Hiroki;Shiba, Naoto;Okawa, Takahiro
    • Clinics in Shoulder and Elbow
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    • 제24권2호
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    • pp.80-87
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    • 2021
  • Background: Complex regional pain syndrome (CRPS)-related hand lesions are one of the complications following arthroscopic rotator cuff repair (ARCR). This study aimed to investigate the clinical outcomes of patients with CRPS-related hand lesions following ARCR. Methods: Altogether, 103 patients with ARCR were included in this study (mean age, 63.6±8.2 years; 66 males and 37 females; follow-up period, preoperative to 12 months postoperative). Clinical assessment included the Japanese Orthopaedic Association (JOA) score, University of California, Los Angeles (UCLA) score, Constant score, 36-item short form health survey (SF-36) score, and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score from preoperative to 12 months postoperatively. The patients were either assigned to the CRPS group or non-CRPS group depending on CRPS diagnosis until the final follow-up, and clinical outcomes were then compared between the groups. Results: Of 103 patients, 20 (19.4%) had CRPS-related hand lesions that developed entirely within 2 months postoperatively. Both groups showed significant improvement in JOA, UCLA, and Constant scores preoperatively to 12 months postoperatively (p<001). Comparisons between the two groups were not significantly different, except for SF-36 "general health perception" (p<0.05) at 12 months postoperatively. At final follow-up, three patients had residual CRPS-related hand lesions with limited range of motion and finger edema. Conclusions: CRPS-related hand lesions developed in 19.4% of patients following ARCR. Shoulder or upper-limb function improved in most cases at 12 months, with satisfactory SF-36 patient-based evaluation results. Patients with residual CRPS-related hand lesions at the last follow-up require long-term follow-up.

손마사지가 허혈성 심질환 환자의 불안에 미치는 효과 (The Effect of Hand Massage Program on Anxiety in Patients with Ischemic Heart Diease)

  • 현경선;이향련;공송심;윤경자;김현섭;김효남;최지원;김운정
    • 성인간호학회지
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    • 제13권2호
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    • pp.340-349
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    • 2001
  • The purpose of this study was to investigate the effect of a hand massage program on anxiety, vital sign and pain in clients with ischemic heart disease. The design utilized for this study was quasi-experimental with a nonequivalent control group non-synchronized design The subjects were fifty-four patients, twenty-eight for the experimental and twenty-six for the control group, who were admitted with ischemic heart diease at a cardiac intensive care unit in K medical center of K university. This study was carried out from May, 1999 to March, 2000. The level of anxiety and pain measured by Visual Analogue Scale, systolic blood pressure, diastolic blood pressure and pulse rate were measured before and after hand massage, the state of Anxiety was measured by the Spielberger (1970) scale at admission and after hand massage for three days. The collected data were processed by using the SPSS PC program and analyzed using $\chi^2$-test and t-test. The result of this study are as follows : 1. The scores of VAS anxiety and State of anxiety of the experimental group were lower than those of the control group. 2. The degree of systolic blood pressure, diastolic blood pressure and pulse rate of the experimental group were lower than that of the control group. 3. The score of VAS pain of the experimental group was lower than that of the control group. The results suggested that hand massage can decrease VAS anxiety, State of anxiety, vital signs and VAS pain of patients who were admitted with ischemic heart disease at cardiac intensive care unit Therefore, it is proposed that hand massage is an appropriate nursing intervention to relieve anxiety of the patients who were admitted with ischemic heart disease at a cardiac intensive care unit.

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철봉 리발코(Rybalko) 동작의 운동학적 분석 (The Kinematic Analysis of the Rybalko Motion on the Horizontal Bar)

  • 이병원
    • 한국운동역학회지
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    • 제16권1호
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    • pp.109-117
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    • 2006
  • The purpose of this study was done in order to investigate the Kinematical variables of the Rybalko motion on the Horizontal bar using the 3-dimensional cinematographic method. For this study, three excellent athletes take part in a 2003 Daegue universid game were chosen. The subject,s Rybalko motion was filmed with S-VHS camera at the speed of 60 fields per second and digitized the each fields. And the Kwon3D 3.1 version program was employed to obtain 3-dimensional data. As a result of this study. 1. A total time spent for performing Rybalko skill was Mean $2.52{\pm}0.13sec$. From starting down swing to releasing right hand the Mean $0.84{\pm}0.24sec$ was taken. 2. In the event 3 of Rybalko motion, that is, the moment which the right-hand is released on the bar, the center of mass must is employed at the position above the horizontal line of bar. In this research, the average vertical displacement(z axe) of center of mass shows $47.87{\pm}3.14cm$. 3. In the event 5, that is, the moment which the right-hand is catched again on the bar, the center of mass is employed at the position before the vertical line of bar. In this research, the average horizontal displacement(z axe) of center of mass shows $47.87{\pm}3.14cm$. 4. It has been seen that, at the moment of release of right-hand, lateral variation of center of mass is 13.395cm, vertical variation of center of mass is 7.41cm Thus, it is concluded that lateral variation of center of mass should be reduced for high grade to be acquired. 5. It has been founded that high speed of down swing influences speed of up swing, and that, in the motion of twist, the horizontal speed is little changed.

Implementation of Gesture Interface for Projected Surfaces

  • Park, Yong-Suk;Park, Se-Ho;Kim, Tae-Gon;Chung, Jong-Moon
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제9권1호
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    • pp.378-390
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    • 2015
  • Image projectors can turn any surface into a display. Integrating a surface projection with a user interface transforms it into an interactive display with many possible applications. Hand gesture interfaces are often used with projector-camera systems. Hand detection through color image processing is affected by the surrounding environment. The lack of illumination and color details greatly influences the detection process and drops the recognition success rate. In addition, there can be interference from the projection system itself due to image projection. In order to overcome these problems, a gesture interface based on depth images is proposed for projected surfaces. In this paper, a depth camera is used for hand recognition and for effectively extracting the area of the hand from the scene. A hand detection and finger tracking method based on depth images is proposed. Based on the proposed method, a touch interface for the projected surface is implemented and evaluated.

미세혈관 수술 후 혈관 연축의 예방을 위한 개선된 온열전등 (Improved Heat Lamp for Preventing Arterial Spasm after Microvascular Surgery)

  • 안성민;황소민;허은숙;박정미;박경아;오진아
    • Archives of Reconstructive Microsurgery
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    • 제17권2호
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    • pp.120-125
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    • 2008
  • Purpose: Heat therapy by heat lamp after microvascular surgery is being used for preventing blood vessels's contraction and blood-flow's disturbance. As usually, incandescent lamp has been used. But there have been several problems and need for improvement in the existing heat lamp treatment. So we would like to introduce improved heat lamp to keep an appropriate temperature and intensity of illumination. Methods: The existing heat lamps are the ones of general light stands covered with newspaper, having 60 watt light bulb of incandescence and lampshade made of aluminum. We have tried to improve shortcomings of the existing heat lamps by enlarging the size of aluminum lampshade and attaching a curtain that can block heat and light. We conducted a comparative study between the existing and improved heat lamps. Under the assumption that there are several affected parts, we have also measured the distance from heat lamp to patients' eye region and then intensity of illumination. Result: The target temperature of surface was realized in 11 minutes with the maximum temperature reaching at 36.6 degrees C in 28 minutes at the existing heat lamp while the target temperature reached in 7 minutes with the maximum temperature reaching at 39.0 degrees C in 17 minutes at the improved heat lamp. The existing and improved heat lamp showed 38 lx and 0.1 lx of intensity of lumination, respectively. Conclusion: Using improved heat lamps, we can keep an appropriate temperature and we think we can make contribution to patients' treatment by making them and their neighbors able to sleep with minimized disturbance thanks to low intensity of illumination secured by blocking light.

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Fully Automatic Coronary Calcium Score Software Empowered by Artificial Intelligence Technology: Validation Study Using Three CT Cohorts

  • June-Goo Lee;HeeSoo Kim;Heejun Kang;Hyun Jung Koo;Joon-Won Kang;Young-Hak Kim;Dong Hyun Yang
    • Korean Journal of Radiology
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    • 제22권11호
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    • pp.1764-1776
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    • 2021
  • Objective: This study aimed to validate a deep learning-based fully automatic calcium scoring (coronary artery calcium [CAC]_auto) system using previously published cardiac computed tomography (CT) cohort data with the manually segmented coronary calcium scoring (CAC_hand) system as the reference standard. Materials and Methods: We developed the CAC_auto system using 100 co-registered, non-enhanced and contrast-enhanced CT scans. For the validation of the CAC_auto system, three previously published CT cohorts (n = 2985) were chosen to represent different clinical scenarios (i.e., 2647 asymptomatic, 220 symptomatic, 118 valve disease) and four CT models. The performance of the CAC_auto system in detecting coronary calcium was determined. The reliability of the system in measuring the Agatston score as compared with CAC_hand was also evaluated per vessel and per patient using intraclass correlation coefficients (ICCs) and Bland-Altman analysis. The agreement between CAC_auto and CAC_hand based on the cardiovascular risk stratification categories (Agatston score: 0, 1-10, 11-100, 101-400, > 400) was evaluated. Results: In 2985 patients, 6218 coronary calcium lesions were identified using CAC_hand. The per-lesion sensitivity and false-positive rate of the CAC_auto system in detecting coronary calcium were 93.3% (5800 of 6218) and 0.11 false-positive lesions per patient, respectively. The CAC_auto system, in measuring the Agatston score, yielded ICCs of 0.99 for all the vessels (left main 0.91, left anterior descending 0.99, left circumflex 0.96, right coronary 0.99). The limits of agreement between CAC_auto and CAC_hand were 1.6 ± 52.2. The linearly weighted kappa value for the Agatston score categorization was 0.94. The main causes of false-positive results were image noise (29.1%, 97/333 lesions), aortic wall calcification (25.5%, 85/333 lesions), and pericardial calcification (24.3%, 81/333 lesions). Conclusion: The atlas-based CAC_auto empowered by deep learning provided accurate calcium score measurement as compared with manual method and risk category classification, which could potentially streamline CAC imaging workflows.

깊이정보를 이용한 실시간 손 영역 검출 및 추적 (Real-time Hand Region Detection and Tracking using Depth Information)

  • 주성일;원선희;최형일
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제1권3호
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    • pp.177-186
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    • 2012
  • 본 논문에서는 실시간 손동작 분석을 위한 깊이정보 기반 손 영역 검출 및 추적 방법을 제안한다. 이를 위해 손 영역 검출단계에서는 깊이정보만을 이용하여 손 영역의 특징인 형태모델을 생성하고, 검출 시 움직임 정보와 영역 확장(Region Growing)을 통해 객체를 추출한다. 추출된 객체는 사전에 생성된 형태모델과 크기정보를 분석하여 최종 손 영역으로 판정한다. 판정된 손 객체는 추적단계에서 중심점 전이 과정을 통해 이전 중심점과의 최근접점을 획득하고, 최근접점으로부터 영역 확장과 깊이기반 적응적 평균 이동 기법(DAM-Shift)을 통해 새로운 중심점을 검출하여 추적한다. 마지막으로 성능 검증을 위해 다양한 손 모양과 속도 및 위치에 대한 다양한 환경에서 실험하고, 검출속도와 추적된 궤적의 정량적, 정성적 분석을 통해 제안하는 방법의 효율성을 입증한다.

The Health Effect of Hand Arm Transmitted Vibration

  • Koo, Jung-Wan
    • 대한인간공학회지
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    • 제32권4호
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    • pp.303-308
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    • 2013
  • Objective: The aim of this study is to understand health effect of hand-arm transmitted vibration. Background: Electronic vibration tools have been used in many industries. These tools evoke hand-arm transmitted vibration that cause hand-arm vibration syndrome. Method: Various papers on the hand-arm transmitted vibration and its health effects have been reviewed to know what health effect caused. Results: Hand-arm transmitted vibration causes circulatory, neural, musculoskeletal and other disturbance. Conclusion: The previous studies focused on the epidemiology and physiology for hand-arm transmitted vibration. So, now we should focus on a prevention and guideline of hand-arm transmitted vibration. Application: These results can be used to know health effect of hand-arm transmitted vibration.

다문화 손동작 인식을 위한 HOG-HOD 알고리즘 (HOG-HOD Algorithm for Recognition of Multi-cultural Hand Gestures)

  • 김지예;박종일
    • 한국멀티미디어학회논문지
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    • 제20권8호
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    • pp.1187-1199
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    • 2017
  • In recent years, research about Natural User Interface (NUI) has become focused because NUI system can give natural feelings for users in virtual reality. Most important thing in NUI system is how to communicate with the computer system. There are many things to interact with users such as speech, hand gestures, body actions. Among them, hand gesture is suitable for the purpose of NUI because people often use a relatively high frequency in daily life and hand gesture have meaning only by itself. This hand gestures called multi-cultural hand gesture and we proposed the method to recognize this kind of hand gestures. Proposed method is composed of Histogram of Oriented Gradients (HOG) used for hand shape recognition and Histogram of Oriented Displacements (HOD) used for hand center point trajectory recognition.