• 제목/요약/키워드: recording period

검색결과 249건 처리시간 0.027초

수장부 다한증환자의 흉부 교감신경절단술후 교감신경 피부반응 (The Sympathetic Skin Responses after Thoracic Sympathicotomy for Patients with Palmar Hyperhidrosis)

  • 김오곤;홍종면;이석재;홍장수;이광래;김상규
    • Journal of Chest Surgery
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    • 제32권6호
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    • pp.579-583
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    • 1999
  • 배경: 다한증에 대한 교감신경절단술은 안전하며 확실한 치료방법으로 인정받고 있다. 다한증 환자의 교감신경절단술의 객관적 평가와 추적 관찰을 위해 수술 전후 교감신경 피부반응검사(Sympathetic Skin Response, SSR)를 시행하였고 그 임상적 유용성을 검증하고자 하였다. 대상 및 방법: 수장부다한증 환자 15명을 대상으로 교감신경절단술 전후에 Medelec Sapphire Plus 근전도 기기를 이용하여 교감신경 피부반응을 검사하였다. 환자는 앙와위 자세에서 우측 정중신경을 전기자극하여 이를 네 개의 채널로 우측 손바닥, 좌측 손바닥, 우측 발바닥, 좌측 발바닥에서 동시에 기록하였으며 피부 온도도 같이 측정하였다. 모든 환자에서 비디오 흉강경을 이용한 T2,3 교감신경절단술을 시행하였다. 2명의 환자에서는 수술 한달 후에 교감신경피부반응검사를 시행하였다. 결과: 임상적으로 15명 모두에서 만족스러운 증상의 호전을 보였으며, 수술 후 합병증으로 5명의 환자에서 적은양의 잔유 기흉이 있었으나 자연 흡수되었다. 추적 관찰에서 재발은 없었고 10명(66%)의 환자에서 보상성 다한증을 호소하였다. 수술후 모든 환자에서 교감신경 피부반응의 변화를 보였고 15명중 양손에서는 12명(80%), 양발에서는 6명이 교감신경 피부반응의 완전소실을 보였고, 나머지 환자에서도 잠복시간은 양측 손과 발에서 현저히 지연되어 나타났으며 진폭도 현저히 감소하였다. 수술 한달 후 검사 할수 있었던 2명의 환자에서 수술 직후 검사와 비슷한 결과를 얻을 수 있었다. 피부 온도는 수술전 양쪽 손과 발에서 정상보다 낮았으며 수술 후 양측 손과 발에서 모두 상승하였고 통계학적으로 유의하였으며(p<0.05), 발에서 보다 손에서 더 많이 상승하였다. 결론: 수장부 다한증 환자의 교감신경절단술후 모든 환자에서 양쪽 손과 발에서 피부온도의 상승과 교감신경 피부반응의 변화를 보였고, 12명의 환자(80%)에서는 양손에서 교감신경 피부반응이 완전히 소실되었으며, 추적관찰에서도 술후 검사와 비슷한 결과를 보였다. 교감신경 피부반응검사는 다한증 환자의 교감신경절단술후의 평가와 재발 등의 추적관찰에 있어서 객관적인 방법으로 이용될 수 있으리라 생각된다.

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모바일 기기를 위한 H.264 인코더의 최적 매개변수의 결정 (Optimal Parameter Selection of H.264 Encoder For Mobile Devices)

  • 류민희;김형신
    • 한국산학기술학회논문지
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    • 제13권10호
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    • pp.4780-4785
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    • 2012
  • 최근 스마트폰과 태블릿과 같은 소형 모바일 기기가 확산됨에 따라, 모바일 기기에서 동영상 촬영시 이용되는 비디오 인코더의 성능 최적화의 필요성이 제기되고 있다. 본 논문에서는 모바일 기기를 대상으로 하는 H.264/AVC 기본 프로파일 비디오 인코더를 모바일 기기에 구현하고, 실험을 통해 H.264 인코더의 주요 제어 변수를 최적화하였다. 실험으로는 인코더의 복잡도에 영향을 주는 것으로 알려진 라그랑지안 최적화, 하다마드 변환, 움직임 벡터 탐색 범위, I-프레임 주기, 참조 프레임 수를 다양하게 조합하여 변화시키면서 동영상의 화질, 비트율, 인코딩 시간, 움직임 추정 시간 그리고, 인코딩에 따라 보드에서 소모되는 전력을 측정하였다. 실험에서 측정된 데이터를 분석하여, 모바일 기기에서의 비디오 인코더에서 요구되는 조건을 만족할 수 있는 최적의 H.264/AVC 제어 변수를 위의 다섯 가지 기능 모듈에 대해 결정하였다.

요추 추간판탈출증 환자의 보존적 치료에 대한 통계적 연구 (Statistical Study of Conservative Treated Herniated Intervertebral Lumbar Disc)

  • 김수장;김용;김성용;이정훈
    • 대한추나의학회지
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    • 제3권1호
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    • pp.43-53
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    • 2002
  • Objectives : The object is to study a clinical effect regarding the conservative treatment of the patient who was diagnosed as the herniated Intervertebral lumbar disc(HIVD) and hospitalized in the oriental medical hospital and clinical study about the type of the HIVD. Methods. The clinical studies were done on 65 cases (hospitalized in Dept. of Oriental Rehabilitation Medicine, jaseng on oriental medical hospital from June 2001 to May 2002) who complained of low back pain or sciatica and diagnosed as HIVD on CT(computerized tomography) or MRI(magnetic resonance imaging). They were given both oriental conservative treatment and exercise during the hospitalization period. We investigated and observed 20 items about sex, age, weight, height, occupation, smoking. obesity, duration of disease, clinical symptom and treatment duration in basis of medical recording which was drawn up at patient hospitalization. We classified HIVD with 4 types(Bulging. Protruded. Extruded, Sequestered) and decided the case which simultaneously had 2 overs with Mixed type. The treatment evaluation standard was classified with 4 branches; Excellent. Good, Fair and Poor. Results & Conclusions : The treatment result of over 'fair' is bulging type 85%, protruded type 92.7%, extruded type 100% and the mixed type was 85.1 %. The effect was good in order of bulging, mixed, protruded and extruded type. It appeared most plentifully with 30 people in L4-5 and L5-S 1 disc herniation type.

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측정과 관련된 실험 활동에서 보이는 초등학생의 대푯값 선정 및 신뢰 방법 분석 (An Analysis of Elementary Students' Selection of Representable Value and Confident Method That Appear in Measuring Activities)

  • 양일호;임성만;임재근;송진령
    • 한국초등과학교육학회지:초등과학교육
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    • 제28권3호
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    • pp.263-276
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    • 2009
  • The purpose of this study was to analyze the elementary students' selection of representable value and confident method that appear in measuring activities by using a microgenetic method. The participants were seven elementary students in the fourth grade. They performed the same measuring activities six times for the study period. Data were collected by interview and observation with their activity recording papers and video tape transcription. Their activities were recorded and documented for the analysis. Results were as follows. First, in the time measuring activity, elementary students developed desirably as their measuring experience increased, for example they selected a representable value in use of a repeated measurement and used a various method in the domain of a time measurement and they showed an increase of a quantitative observation in the volume domain except in the length domain. Second, in a confident method of a representable value, though they must rely upon a repeated measurement, they only measure repeatedly in the time domain. Also in the time domain, it doesn't get accomplished a exact confidence of a representable value at a shortage of skill about a measurement. Accordingly this study will be implications for teachers to teach a handling abilities of measuring instruments to elementary students and to be promote understanding a nature of measurement.

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Presynaptic Mechanism Underlying Regulation of Transmitter Release by G Protein Coupled Receptors

  • Takahashi, Tomoyuki;Kajikawa, Yoshinao;Kimura, Masahiro;Saitoh, Naoto;Tsujimoto, Tetsuhiro
    • The Korean Journal of Physiology and Pharmacology
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    • 제8권2호
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    • pp.69-76
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    • 2004
  • A variety of G protein coupled receptors (GPCRs) are expressed in the presynaptic terminals of central and peripheral synapses and play regulatory roles in transmitter release. The patch-clamp whole-cell recording technique, applied to the calyx of Held presynaptic terminal in brainstem slices of rodents, has made it possible to directly examine intracellular mechanisms underlying the GPCR-mediated presynaptic inhibition. At the calyx of Held, bath-application of agonists for GPCRs such as $GABA_B$ receptors, group III metabotropic glutamate receptors (mGluRs), adenosine $A_1$ receptors, or adrenaline ${\alpha}2$ receptors, attenuate evoked transmitter release via inhibiting voltage-activated $Ca^{2+}$ currents without affecting voltage-activated $K^+$ currents or inwardly rectifying $K^+$ currents. Furthermore, inhibition of voltage-activated $Ca^{2+}$ currents fully explains the magnitude of GPCR-mediated presynaptic inhibition, indicating no essential involvement of exocytotic mechanisms in the downstream of $Ca^{2+}$ influx. Direct loadings of G protein ${\beta}{\gamma}$ subunit $(G{\beta}{\gamma})$ into the calyceal terminal mimic and occlude the inhibitory effect of a GPCR agonist on presynaptic $Ca^{2+}$ currents $(Ip_{Ca})$, suggesting that $G{\beta}{\gamma}$ mediates presynaptic inhibition by GPCRs. Among presynaptic GPCRs glutamate and adenosine autoreceptors play regulatory roles in transmitter release during early postnatal period when the release probability (p) is high, but these functions are lost concomitantly with a decrease in p during postnatal development.

홍수(洪水)터의 통수능(通水能)에 관한 연구(研究) (A Study on Carrying Capacity for Floodplain)

  • 안상진;이재경
    • 대한토목학회논문집
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    • 제7권1호
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    • pp.121-129
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    • 1987
  • 본(本) 논문(論文)은 홍수(洪水)터 관리면(管理面)에 중요(重要)한 역할(役割)을 하는 하천단면(河川斷面)에서 유량(流量)의 분포형태(分布形態)와 홍수(洪水)터에 영향을 주는 여러 인자(因子)들에 대해 분석(分析)하였으며, 그 결과(結果)는 다음과 같다. 만제수위(滿堤水位)의 재현기간(再現期間)은 금강유역(錦江流域)에서는 1~2.5년(年)에 해당됨을 알았으며, 또한 $Q_{100}$, 유역면적(流域面積), 하천(河川)길이 들이 홍수(洪水)터에 가장 크게 영향을 주는 인자(因子)들로 밝혀졌으며, 휴식공간(休息空間)을 가진 공주지점(公州地點)의 통수능(通水能)은 금강(錦江)에 있어서의 다른 자기수위표지점(自己水位標地點) 값보다 더 작으며, 이는 복합단면(複合斷面)이 홍수(洪水)터에 있어서의 통수능(通水能) 분포(分布)에 중요(重要)한 역할(役割)이 됨을 알 수 있다.

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Exploring Chemotherapy-Induced Toxicities through Multivariate Projection of Risk Factors: Prediction of Nausea and Vomiting

  • Yap, Kevin Yi-Lwern;Low, Xiu Hui;Chan, Alexandre
    • Toxicological Research
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    • 제28권2호
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    • pp.81-91
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    • 2012
  • Many risk factors exist for chemotherapy-induced nausea and vomiting (CINV). This study utilized a multivariate projection technique to identify which risk factors were predictive of CINV in clinical practice. A single-centre, prospective, observational study was conducted from January 2007~July 2010 in Singapore. Patients were on highly (HECs) and moderately emetogenic chemotherapies with/without radiotherapy. Patient demographics and CINV risk factors were documented. Daily recording of CINV events was done using a standardized diary. Principal component (PC) analysis was performed to identify which risk factors could differentiate patients with and without CINV. A total of 710 patients were recruited. Majority were females (67%) and Chinese (84%). Five risk factors were potential CINV predictors: histories of alcohol drinking, chemotherapy-induced nausea, chemotherapy-induced vomiting, fatigue and gender. Period (ex-/current drinkers) and frequency of drinking (social/chronic drinkers) differentiated the CINV endpoints in patients on HECs and anthracycline-based, and XELOX regimens, respectively. Fatigue interference and severity were predictive of CINV in anthracycline-based populations, while the former was predictive in HEC and XELOX populations. PC analysis is a potential technique in analyzing clinical population data, and can provide clinicians with an insight as to what predictors to look out for in the clinical assessment of CINV. We hope that our results will increase the awareness among clinician-scientists regarding the usefulness of this technique in the analysis of clinical data, so that appropriate preventive measures can be taken to improve patients' quality of life.

골프 드라이버 스윙 시 Early Extension에 따른 임팩트 변화 (Change of Impact by the Early Extension in during a Golf Driver Swing)

  • 소재무;김용석;김재정;유광수
    • 한국운동역학회지
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    • 제20권1호
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    • pp.83-90
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    • 2010
  • The purpose of this study is to validate that change of impact by the Early Extension in during a golf driver swing. 13 golf players who were diagnosed with symptoms of Early Extension participated in a proactive corrective training programs that took place 3 times a week for a 4 month period. Data was collected by recording 5 pre and 5 post training driver swings and analyzing the data to calculate the change in velocity and its effect in the shot used the TRACK MAN. After the training, the changes of early extension were -0.21 cm in backswing section E2(take away), -0.64 cm in E3(halfway backswing), and -0.94 cm in E4(backswing top). The downswing section changes were -1.34 cm in event E5(halfway downswing), -1.74 cm in E6(impact). Impact force increased and thus club speed increased by 6.32 km/h, ball speed increased by 10.94 km/h, max height decreased by -6.22 m, carry increased by 10.85 m, carry side(left deviation) decreased by 4.84 m, flight time by increased by 0.4 sec, and total length increased by 17.96 m while landing angle decreased by -7.74 deg.

운방전에 의해서 방사된 자계 파형의 특징과 통계 (Features and Statistics on the Magnetic Field Waveforms Radiated by Intracloud Discharges)

  • 이복희;이동문;조성철
    • 조명전기설비학회논문지
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    • 제19권6호
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    • pp.59-66
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    • 2005
  • 본 논문은 운방전에 의해서 방사된 전자계 펄스의 특징과 통계에 관한 것으로 LabVIEW 기반의 시변성 자계측정시스템을 구성하였다. 이 자계측정시스템의 주파수대역은 $300[Hz}{\sim}1[MHz]$이고, 응답감도는 2.78[mV/nT]이며, 검출된 자계 파형의 기록에는 수직해상도와 최대기록시간이 각각 12비트와 100[ms]인 데이터취득시스템이 적용하였다. 운방전에 의해서 발생한 전자계 펄스는 파두부분에 하나 또는 둘 이상의 빠른 펄스가 중첩된 양방성 파형으로 나타났다. 운방전의 평균지속시간은 약 $1.05{\pm}0.32[ms]$이었으며, 평균 8개의 양방성 펄스가 발생하였다.

도시 가족계획요원의 직무수행에 영향을 미치는 요인에 관한 연구 -서울특별시 동단위 가족계획카드관리요원을 중심으로- (A Study on the Factors which Influenced the Performance of Urban Family Planning Health Personnels' Function - Around the FP health personnels in the Seoul metropolitan city-)

  • 이명숙;문형화
    • 한국보건간호학회지
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    • 제3권2호
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    • pp.143-156
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    • 1989
  • This study was done in order to analyze the factors which influenced the performance level of urban family planning health personnels' task. Interview survey was done during the period May, 1989. Interviewee were 130 family planning health personnels among total of 140 family planning health personnels in Seoul metropolitan city area. The internal consistency reliability was tested by Cronbach’s Alpha and the construct validity of the survey tool was tested by Factor analysis. Multiple stepwise regression analysis was used to identify major factors influenced to perform family planning health personnels' task. The results of this study were summarized as follows: 1. The internal consistency reliability was high and very significant (Cronbach's Alphs=0.8445, p<0.0000). 2. The construct validity was high and very significant. This analysis was contained 5 factors; registering and keeping of eligible woman records, health educating for FP & MCH, referral for vasectomy and tubal ligation and loop, supplying contraceptive appliances, sending moved-out eligible woman records. 3. Among a total of 15 contents of their functions recording of daily report and monthly report (76.2%), classifying and keeping of records(66.2%), registering of eligible woman records(60.85ti), distribution of leaflets and pamplets(54.6%), counselling & supervision about family planning(53.8%) were actively performed. Sending moved-out eligible woman records(60.8%), health education for community people(49.2%), referring contraceptors' side-effects were poorly performed. 4. The factors which influenced the performance level of urban family planning health personnels' function were age, marital status, educational level, certification, number of residents, number of eligible women, job car-eer, work responsibility, job satisfaction knowledge, position, cooperation of community people, cooperation of Dong Office, cooperation of Health Center. These 14 variables were able to explain job function from 21.4% of follow-up care of contraceptor to 9.1% of classifying & keeping of eligible woman records.

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