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1 Arts and Sciences Development and usefulness evaluation of a remote control pressured pillow for prone position Key words: pressured pillow prone position, stomach anterior wall, remote control Abstract The double contrast gastrography in prone position is taken at head-down tilt with the maximum degree of 45. This degree not only has the danger of fall of examinees but also forces the great stress on them. Also there are cases that the double contrast images are difficult to be taken depending on the shapes of the stomach. We have developed the remote control pressured pillow and have examined the usefulness of it. The pillow consists of two bags that are made up with resinous films that are wrapped in solid clothes and can be inflated into two levels. The depiction ranges of double contrast gastrography in prone position taken with using the futon that is usually employed are compared to the ones with using the remote control pressured pillow. The angle of head-down tilt was set at the inverse angle of 20 degrees. The order of the use of futon and the pillow was changed reciprocally and there was no intentional action was taken such as lifting up the hips during the examination. As a result, the pillow suggested that the depiction range was large significantly Koichi Shibuya , Kazuyuki Sumi Toshimitsu Watanabe , Shuichi Wakimoto 3, Koichi Suzumori 3 Hisao Oka 1 1 Graduate School of Health Sciences, Okayama University 2 Kurashiki Medical Center 3 Graduate School of Natural Science and Technology Okayama University mm 90mm

2 a 1 115mm 130mm 45mm b90 mm 3 a b ON OFF c d 2 ON 1 ON 2 OFF a b 1. Figure1. The structure of a remote control pressured pillow Two bags consisting of thin resinous films are wrapped in two solid clothes. The two bag can be infl ated with air respectively. 2. a 115mm 130mm 45mm b 115mm 130mm 90mm Figure 2. The comparison the remote control pressured pillow with the futon a) One bag only was infl ated. The size of the remote control pillow is 115 mm 130 mm 45 mm. It equivalents to a small futon. b) Two bags were inflated. The size of the remote control constrictor is 115 mm 130 mm 90 mm. It equivalents to a big futon. Its pressure can be set freely vol.61 no.738

3 Arts and Sciences a b c d 3 ab c d Figure 3. Related equipment a) The compressor. b) The regulator. c) The infrared transmitter and the receiver. d) The switch Figure 4. The score of a picture The picture of the inferior wall was divided into 10 areas mm 2 90mm 50kPaDR W/V% 150m 5.0g tp 0.05 Microsoft Excel

4 n.s mm n=15 Figure 5. The comparison futon(big) with the remote control pressured pillow(rcpp) (90mm height) There is no signifi cant difference. n=15 p< n=56 Figure 6. The comparison the futon with the remote control pressured pillow(rcpp) There is a signifi cant difference. n= mm mm p= mm 1 45mm t p= OFF 2 90mm vol.61 no.738

5 Arts and Sciences NPO NPO

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