• 제목/요약/키워드: lateral position

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경추간판 접근법에 의한 내장 신경 차단 -증례 보고- (Splanchnic Nerve Block with Transdiscal Approach -A case report-)

  • 나영두;이정구;장영호;정정길
    • The Korean Journal of Pain
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    • 제10권1호
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    • pp.89-92
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    • 1997
  • Neurolytic splanchnic nerve block is effective for treatment of intractable upper abdominal cancer pain. Conventional approach for splanchnic nerve block is conducted in the prone position to ensure proper orientation and to allow insertion of needles on each side of the vertebral body. However, the prone position has some technical disadvantages as this position is frequently poorly tolerated by a majority of patients with advanced cancer due to severe abdominal pain, ascites and so on. Male patient, 53-year old with transverse colon cancer, carcinomatosis peritonei and $L_1,\;L_2$ vertebral body metastasis, was admitted for treatment of severe right upper quadrant and right iliac crest pain. We performed neurolytic splanchnic nerve block with transdiscal technique in the lateral decubitus position under fluoroscopic guidance, and well noted the usefulness and the advantage of this technique. The benefits of this technique are safe, simple and effective because the lateral position is better tolerated by patients and makes bony landmarks more accessible during fluoroscopy.

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체위변경이 간 조직검사 환자의 불편감과 출혈에 미치는 효과 (The Effect of Position Change on Discomfort and Bleeding after Liver Biopsy)

  • 윤미정;민혜숙
    • 성인간호학회지
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    • 제27권2호
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    • pp.233-241
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    • 2015
  • Purpose: This study examined the effects of e position change upon reported discomfort and bleeding complications during bed rest following a liver biopsy. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Twenty-nine participants were assigned to the treatment group and twenty seven participants were in the comparison group. Following the biopsy, the treatment group participants had a position change from the supine without compression for two hours followed by compressive right lateral position for two hours. The comparison group maintained continuously the compressive right lateral position with sandbag for four hours. Results: There were statistically significant differences in reported discomfort between the treatment and comparison groups following the intervention. No significant differences were found in bleeding complications between the two groups. Conclusion: The results of the study suggest that the positional change is an effective nursing intervention in reducing discomfort without risk of bleeding following a liver biopsy.

고비중 Bupivacaine 척추마취 후 체위에 따른 마취수준과 부작용의 비교 (Comparison of the Level and Side Effects of Spinal Anesthesia with Hyperbaric Bupivacaine in the Supine, Lateral, and Prone Positions)

  • 문지영;김보환
    • Journal of Korean Biological Nursing Science
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    • 제17권2호
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    • pp.114-122
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    • 2015
  • Purpose: This study attempted to test whether there are differences in the level and hemodynamic side effects (blood pressure, heart rate, $O_2$ saturation), and nausea & vomiting of spinal anesthesia using hyperbaric bupivacaine according to position (supine, lateral, and prone positions) in orthopedic surgery patients who received podiatric surgery under spinal anesthesia. Methods: This study was conducted with 53 patients who had received orthopedic surgery under spinal anesthesia at I General Hospital. Data were analyzed using SPSS 20.0 through repeated-measures ANOVA, post-hoc test, Chi-test, and Fisher's exact test. Results: The change of position after spinal anesthesia with hyperbaric bupivacaine caused a change in the level of spinal anesthesia (F=12.768, p<.001). However, no difference of blood pressure, heart rate, $O_2$ saturation and nausea and vomiting caused by the change in anesthesia level was observed, and in prone position, drug was administered for the correction of side effects. Conclusion: As expected, recognizing that there can be a change in the level of spinal anesthesia after the change of position in surgical patients, nurse anesthetists should monitor their conditions carefully and continuously.

고유수용성감각 증진 훈련에 따른 산업체 만성 외측상과염 환자의 통증 및 관절위치 감각의 변화 (Pain of Industrial Workers with Chronic Lateral Epicondylitis and Changes in Joint Position Sense according to Proprioception Improvement Training)

  • 김상엽;김찬규;고대식
    • 디지털융복합연구
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    • 제11권4호
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    • pp.285-292
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    • 2013
  • 본 연구는 산업체 만성 외측상과염환자의 재발방지를 위하여 고유수용성감각 증진훈련을 실시하고 통증 및 고유수용성 감각을 측정하여 분석하였다. 대상자는 K산업체 만성 외측상과염 환자 30명을 대상으로 주관절 운동프로그램군 15명, 고유수용성감각 증진 훈련군 15명으로 구성되었으며, 통증은 압통역치와 악력으로 측정하였고, 고유수용성 감각은 관절위치 감각을 측정하여 운동 전과 운동 후, 군간을 비교분석하였다. 집단 내 운동 전 후의 차이를 비교하기 위하여 대응표본 t-검정을 사용하였고, 집단간의 차이를 비교하기 위하여 독립표본 t-검정을 실시하였다. 실험 결과 압통역치, 악력, 관절위치 감각에서 두 군 모두 통계학적으로 유의하게 개선된 것으로 나타났다. 또한 군간 비교에서는 압통역치, 악력, 관절위치에서 유의한 차이가 나타났다. 결론적으로 산업체 만성외측상과염 환자의 만성화와 재발방지를 위한 방법으로 고유수용성감각 증진 훈련이 운동프로그램으로 고려되어야 할 것으로 사료된다.

상악 측절치가 유실된 증례의 임상적 고찰과 치험일례

  • 이기수;장열일
    • 대한치과의사협회지
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    • 제18권8호통권137호
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    • pp.639-644
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    • 1980
  • In cases with maxillary lateral incisor missing, the problems were usually treated by the choice between space opening for prosthetic lateral incisor replacement and space closure with cuspid sub stitution for the alteral insicors. The decision of the choice could be perplexing in evaluation of the individual case. Therefore, various diagnostic criteria, such as occlusion, dental esthetics, canine position and inclination, tooth size relationship, maxillary lip length, and skeletal relation had to be evaluated. On the basis of this diagnostic information, the treatment planning could be established. A case was shown to illustrate the treatment of patient with congenitally maxillary lateral incisor missing.

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개에서 폐 낭포의 방사선학적 진단 (Radiographic Diagnosis of Pulmonary Bullae in Dogs)

  • 황국진;황철용;장동우;엄기동;윤화영;권오경;최민철;윤정희
    • 한국임상수의학회지
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    • 제17권1호
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    • pp.159-162
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    • 2000
  • Pulmonary bullae were diagnosed in 2 dogs with respiratory distress at Veterinary Medical Teaching Hospital, Seoul National University. Radiographically, thin-walled, fluid-gas leveled bullae in standing lateral positioning and moderately thick-walled bullae in lateral positioning were identified in case 1 and 2, respectively.

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정밀 스캐너를 이용한 간섭 현미경의 가로방향 분해능 향상 (Improved Lateral Resolution of Interferometric Microscope Using Precision Scanner)

  • 박성림;박도민;류재욱;권대갑
    • 한국정밀공학회지
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    • 제15권6호
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    • pp.116-123
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    • 1998
  • An interferometric microscope with an improved lateral resolution is presented. The nanometer resolution XY stage is integrated into standard temporal phase shifting interferometer. The nanometer resolution XY stage is used to position specimen in subpixel of CCD detector, therefore CCD detector's sampling is improved. Two scanning algorithms and those simulation results are also presented. The simulation results show that scanning algorithms improve CCD detector's sampling significantly, and interferometeric microscope's lateral resolution is improved also.

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보극장치(保隙裝置) 장착아동(裝着兒童)의 교근활성도(咬筋活性度)에 관(關)한 근전도학적(筋電圖學的) 연구(硏究) (AN ELECTROMYOGRAPHIC STUDY OF THE MASSETER MUSCLES IN CHILDREN WITH SPACE MAINTAINER)

  • 안규소
    • 대한소아치과학회지
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    • 제1권1호
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    • pp.49-55
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    • 1974
  • Electromyographic studies were performed on the action of the masseter muscles. Among the children aged from 6 to 8 years, ten children with normal occlusion and another ten with space maintainer were selected. The children were divided into 3 groups. They were: 1) A group: Children who removed space maintainer 2) B group: Children who inserted space maintainer 3) C group: Children with normal occlusion. The electromyogram was recorded with 4 channel polygraph. (Grass model VII) Electrodes which were cup-typed gold disks, 9 millimeters in the diameter, were located on the superficial layer of masseter muscles. The electromyogram was recorded in the physiologic rest position, molar occlusion, chewing movement, protraction, left lateral movement, and right lateral movement. The conclusions were as follows. 1. In the physiologic rest position, lateral movement, the electrical potentials of the masseter muscles were not changed clearly in each groups. 2. In molar occlusion, chewing movement, The electrical potentials of the masseter muscles of the B group were almost 10% higher than those of A group, and were almost 60-70% in comparision with C group. 3. In protraction, the electrical potentials of the masseter muscles of the B group were almost 40% higher than those of A group, and were almost equal to C group. 4. The electrical activities of the masseter muscles in the mandibular movements were in the following order: (1) Molar occlusion (2) Chewing movement (3) Protraction (4) Lateral movement.

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측두하악관절의 초음파영상과 자기공명영상에서 하악과두 외측면과 관절낭간 거리 측정치 비교 (Comparison of the capsular width measured on ultrasonogrape and MR image of the temporomandibular joint)

  • 이태완;유동수;한원정;김은경
    • Imaging Science in Dentistry
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    • 제36권1호
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    • pp.41-48
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    • 2006
  • Purpose : To evaluate the reliability and clinical usefulness of ultrasonography in the temporomandibular joint (TMJ). Materials and Methods : Parasagittal and paracoronal 1.5 T MR images and 7.5 MHz ultrasonographs of 40 TMJs in 20 asymptomatic volunteers were obtained. Disc position using MR imaging was evaluated and the distance between the lateral surface of mandibular condyle and the articular capsule using MR image and ultrasonograph of 27 TMJs with normal disc position was measured and compared. Intraobserver and interobserver measurements reliability was evaluated by using interclass correlation coefficients (ICC) and measurement error. Also, the distance measured on ultrasonographs was compared, according to mouth position and disc postion. Results : The normal disc position was found in 27 of 40 asymptomatic joints. At the intraobserver reliability of measurement, ICC at the closed and open mouth position were 0.89 and 0.91. The measurement error was 0.4% and 0.5%. At the interobserver reliability, ICC at the closed and open mouth position were 0.92 and 0.81. The measurement error was 0.4% and 0.7%. At the TMJ with normal disc position, the distances between the lateral surface of mandibular condyle and the articular capsule measured on MR images and ultrasonographs were $2.0{\pm}0.7mm,\;1.8{\pm}0.5mm$, respectively (p<0.05). On the ultrasonographs, the distances at open mouth position were $1.2{\pm}0.5mm$ (p<0.05). At the TMJ with medially displaced disc, the distances at the closed and open mouth position were $1.3{\pm}0.3\;mm\;and\;0.9{\pm}0.2\;mm$ (p<0.05). Conclusion : The results suggest ultrasonography of TMJ is a reliable imaging technique for assessment of normal disc position.

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신경망을 이용한 복도에서의 구륜이동로봇의 위치추정 (Position Estimation of Wheeled Mobile Robot in a Corridor Using Neural Network)

  • 최경진;이용현;박종국
    • 한국지능시스템학회논문지
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    • 제14권5호
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    • pp.577-582
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    • 2004
  • 본 논문에서는 비전 기반 구륜이동로봇이 복도에 설치된 조명을 표식으로 사용하여 복도를 주행하기 위해 필요한 벽면으로부터의 거리와 방향각을 신경망을 이용하여 추정하는 알고리즘에 대해 기술하였다. 복도의 천정에 설치된 조명은 구륜이동로봇의 위치에 따라 조명 배열선의 기울기가 변하며, 구륜이동로봇의 방향각에 따라 정의된 소멸점의 위치가 변한다는 특징을 이용하였다. 획득된 영상에서 조명은 크기가 제한되어 있으며, 모양이 원에 가깝다는 특징을 이용하여 단순한 알고리즘에 의해 추출하였다. 기지의 구륜이동로봇의 위치와 방향각에서 복도 영상을 획득하여 조명 배열선의 기울기와 소멸점의 위치를 계산하여 이들 사이의 관계를 확인하였다. 주행 중 구륜이동로봇의 위치와 방향각을 추정하기 위해 신경망을 구성하고, 획득된 데이터를 이용하여 역 전파 알고리즘(back propagation algorithm)에 의해 학습을 수행하였다. 구륜이동로봇의 제작하고, 학습결과를 이용하여 실제 복도 주행 실험을 수행하였다.