• Title/Summary/Keyword: $P_0$-function

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Factors influencing the ambulatory status in Hemiplegia with Intracerebral Hemorrhage after rehabilitation (뇌출혈으로 인한 편마비 환자의 재활치료 후 보행능력에 영향을 주는 요인)

  • Kim, Chan-Kyu;Kim, Kweon-Young
    • Journal of Korean Physical Therapy Science
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    • v.6 no.2
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    • pp.1007-1017
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    • 1999
  • The purpose of this study was to evaluate the factors influencing the ambulatory status in hemiplegia with intracerebral hemorrhage after rehabilitation. Thirty patients with stroke who was admitted in the Chosun University Hospital, between from January 1st' 1998 and December 31st' 1998, were included in this study. The following variables as a potential predictors for ambulation were evaluated at treatment of the stroke onset; 1) general characteristics including age and sex, and 2) clinical characteristics including frequency and onset time of the stroke, affected side, duration of the treatment, time interval between onset and rehabilitation, manual muscle test of paretic limb, sitting and standing balance, proprioception, perception, cognitive function. We compared and analyzed the these variables to the two type of ambulatory status at the time of the discharge by Modified Barthel Index, independent, dependent. The data were analyzed by student t-test, Fisher-exact test, Mann Whitney-U test, $X^{2}$-test, correlation analysis(spearman's). The results were as follows; 1. Were no significantly inflenced independent ambulatory status among general characteristics. 2. Frequency of the stroke and proprioception (p<0.05), muscle strength of the lower limb, cognitive function and standing balance (p<0.01), perception and sitting balance (p<0.001) were significantly inflenced independent ambulatory status among clinical characteristics. 3. Independent Variable correlated with the ambulatory status were muscle strength of the lower limb, proprioception and sitting balance (p<0.05), standing balance, frequency of the stroke, perception and cognitive function (p<0.01). Therefore the muscle strength of the lower limb, proprioception, sitting balance, standing balance, frequency of the stroke, perception, cognitive function were the most significant influencing factors of ambulatory status after rehabilitation.

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The Effects of mCIMT using PNF on the Upper Extremity Function and Activities of Daily Living in Patients with Subacute Stroke (고유수용성촉진법을 이용한 수정된 강제유도 운동치료가 아급성 뇌졸중 환자의 상지 기능과 일상생활수행능력에 미치는 영향)

  • Bang, Dae-Hyouk;Song, Myung-Soo;Cho, Hyuk-Shin
    • PNF and Movement
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    • v.16 no.3
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    • pp.451-460
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    • 2018
  • Purpose: The purpose of this study was to investigate the effects of a modified constraint induced movement therapy (mCIMT) using proprioceptive neuromuscular facilitation (PNF) on the upper extremity function and activities of daily living (ADLs) in patients with subacute stroke. Methods: Fourteen participants with subacute stroke were randomly assigned to a group using both mCIMT and PNF or a group using mCIMT alone. Each group underwent twenty sessions (1 h/d, 5 d/wk) for 4 weeks. Patients were assessed with the action research arm test (ARAT), the Fugl-Meyer assessment for the upper extremities (FMA-UE), the Modified Barthel Index (MBI), and motor activity logs (MALs; amount of use [AOU] and quality of movement [QOM]). Results: Both the experimental group and the control group showed significant intragroup improvement in the ARAT, FMA-UE, MBI, and MAL-AOU (p<0.05). The group using both mCIMT and PNF exhibited greater improvement in the ARAT, FMA-UE, MBI, and MAL-AOU than did the group using mCIMT alone. Statistical analyses showed significant differences in the ARAT (p=0.01), FMA-UE (p=0.01), MBI (p=0.00), and MAL-AOU (p=0.01) between the groups. Conclusion: This study applied mCIMT combined with PNF for subacute stroke patients, and the results showed significant improvements in the patients' upper extremity function and ADLs. Therefore, mCIMT using PNF may be more effective than mCIMT alone in improving upper limb function and ADLs in patients with subacute stroke.

Oscillometry-Defined Small Airway Dysfunction in Patients with Chronic Obstructive Pulmonary Disease

  • Amit K. Rath;Dibakar Sahu;Sajal De
    • Tuberculosis and Respiratory Diseases
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    • v.87 no.2
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    • pp.165-175
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    • 2024
  • Background: The prevalence of small airway dysfunction (SAD) in patients with chronic obstructive pulmonary disease (COPD) across different ethnicities is poorly understood. This study aimed to estimate the prevalence of SAD in stable COPD patients. Methods: We conducted a cross-sectional study of 196 consecutive stable COPD patients. We measured pre- and post-bronchodilator (BD) lung function and respiratory impedance. The severity of COPD and lung function abnormalities was graded in accordance with the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. SAD was defined as either difference in whole-breath resistance at 5 and 19 Hz > upper limit of normal or respiratory system reactance at 5 Hz < lower limit of normal. Results: The cohort consisted of 95.9% men, with an average age of 66.3 years. The mean forced expiratory volume 1 second (FEV1) % predicted was 56.4%. The median COPD assessment test (CAT) scores were 14. The prevalence of post-BD SAD across the GOLD grades 1 to 4 was 14.3%, 51.1%, 91%, and 100%, respectively. The post-BD SAD and expiratory flow limitation at tidal breath (EFLT) were present in 62.8% (95% confidence interval [CI], 56.1 to 69.9) and 28.1% (95% CI, 21.9 to 34.2), respectively. COPD patients with SAD had higher CAT scores (15.5 vs. 12.8, p<0.01); poor lung function (FEV1% predicted 46.6% vs. 72.8%, p<0.01); lower diffusion capacity for CO (4.8 mmol/min/kPa vs. 5.6 mmol/min/kPa, p<0.01); hyperinflation (ratio of residual volume to total lung capacity % predicted: 159.7% vs. 129%, p<0.01), and shorter 6-minute walk distance (367.5 m vs. 390 m, p=0.02). Conclusion: SAD is present across all severities of COPD. The prevalence of SAD increases with disease severity. SAD is associated with poor lung function and higher symptom burden. Severe SAD is indicated by the presence of EFLT.

Lp-Boundedness for the Littlewood-Paley g-Function Connected with the Riemann-Liouville Operator

  • Rachdi, Lakhdar Tannech;Amri, Besma;Chettaoui, Chirine
    • Kyungpook Mathematical Journal
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    • v.56 no.1
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    • pp.185-220
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    • 2016
  • We study the Gauss and Poisson semigroups connected with the Riemann-Liouville operator defined on the half plane. Next, we establish a principle of maximum for the singular partial differential operator $${\Delta}_{\alpha}={\frac{{\partial}^2}{{\partial}r^2}+{\frac{2{\alpha}+1}{r}{\frac{\partial}{{\partial}r}}+{\frac{{\partial}^2}{{\partial}x^2}}+{\frac{{\partial}^2}{{\partial}t^2}}};\;(r,x,t){\in}]0,+{\infty}[{\times}{\mathbb{R}}{\times}]0,+{\infty}[$$. Later, we define the Littlewood-Paley g-function and using the principle of maximum, we prove that for every $p{\in}]1,+{\infty}[$, there exists a positive constant $C_p$ such that for every $f{\in}L^p(d{\nu}_{\alpha})$, $${\frac{1}{C_p}}{\parallel}f{\parallel}_{p,{\nu}_{\alpha}}{\leqslant}{\parallel}g(f){\parallel}_{p,{\nu}_{\alpha}}{\leqslant}C_p{\parallel}f{\parallel}_{p,{\nu}_{\alpha}}$$.

Effects of Se and Vit. E Administration on Reproductive Function of Dams and Developmental Ability of Their Calves (Se과 Vit. E 투여가 한우 종빈우의 번식기능과 송아지의 발육성적에 미치는 효과)

  • 황환섭;최재관;박동헌;김종복;박춘근;정희태;김정익;양부근
    • Korean Journal of Animal Reproduction
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    • v.27 no.2
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    • pp.135-142
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    • 2003
  • The objective of this study were to investigate the effects of Se and Vit. E administration at last month or two month before parturition on the reproductive function of dams and developmental ability of calves. On developmental ability of calves obtained afier Se and Vit. E administration at the last month of pregnancing periods, the birth weight were significantly higher in administration groups than in control group(P<0.05). However, the weaning weight, average daily gain and weaning age were not significantly difference in all experimental groups. In the comparision of reproductive function in dams, estrus postpartum was faster in treatment groups than control groups(P>0.05). However, the number of A.1 service fur conception were lower groups injected than control group(P>0.05), there were not significantly differences in all experimental groups. The developmental ability of calves obtained after Se and Vit. E administration at two months before parturition were also examined. The birth weight, weaning weight, average daily gain and weaning age were higher in treatment groups than control group, but there were not significantly differences in all experimental groups. In reproductive function of dams, the days to 1 st estrus postpartum was slightly faster injected groups than control group(P>0.05). Number of A.I. service for conception in each groups were lower in treatment groups than control group.

Effects of Hanghaedan on the Cytokine Secretory Function of Monocytes of Atopic Dermatitis Patients (항해단(沆瀣丹)이 아토피 피부염 환자 단핵세포의 Cytokine 분비능에 미치는 영향)

  • Lee, Jin-Yong;Kim, Woo-Yeoun
    • The Journal of Pediatrics of Korean Medicine
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    • v.21 no.2
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    • pp.169-184
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    • 2007
  • Objetives The late research tendency on atopic dermatitis is mainly focused on the experiment of unbalance of cytokine released from T cell subtype. Merhods As there's no experiment with herbal medicine using Hanghaedan(HHD), we isolated and cultured monocytes of atopic dermatitis pateints (AD) peripheral blood, for knowing the influence of HHD on the secretory function of IL-4, IL-5, $IFN-{\gamma}$. Results 1. In AD group, HHD exhibits statistically significant inhibitory effect on IL-4(p<0.05). 2. In AD group, HHD exhibits statistically significant inhibitory effect on IL-5(p<0.05). 3. In AD group, HHD exhibits statistically significant inhibitory effect on $IFN-{\gamma}$ (p<0.01). 4. Sample group comparing with the cytokine concentration rate value of AD patients and that of NAD patients IL-4 of AD patients exhibits statistically significant decrease(p<0.05). 5. In AD group, there is no significant relation between serum IgE and cytokines. 6. In AD group, there is no significant relation between total eosinophil and IL-5. Conclusions Effects of Hanghaedan on the cytokine(IL-4, IL-5, $IFN-{\gamma}$) secretory function of monocytes of atopic dermatitis patients is recognized.

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Effects of Kammaegdaejotang on the hemodynamic function in the isolated perfused rat heart (감맥대조탕(甘麥大棗湯)이 적출 흰쥐 심장의 혈역학적(血力學的) 기능(機能)에 미치는 영향(影響))

  • Kim, Deog-Gon;Park, Sung-Nam
    • The Journal of Pediatrics of Korean Medicine
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    • v.21 no.1
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    • pp.173-187
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    • 2007
  • Objectives : In order to verify the cardiovascular hemodynamic function of Kammaegdaejo-tang, the experiment was performed in the rats. Methods : Twelve hearts removed from male Sparague-Dawley rats weighing between 250g and 300g were perfused by the Langendorff technique with modified 37 Krebs-Henseleit's buffer solution at a constant perfusion pressure. They were randomly assigned to one of two groups, supplied with either normal saline or Kammaegdaejotang administration. Heart rate, left ventricular pressure, +dp/dt maximum, -dp/dt maximum, and -dp/dt/ +dp/dt ratio were evaluated at baseline after the administration of either normal saline or Kammaegdaejotang. Results : Kammaegdaejotang made the heart rate increasing significantly (p<0.05). Kammaegdaejotang did not effectively work on left ventricular pressure of the isolated heart(p=0.11, no significance). The significant effects of Kammaegdaejotang were observed on +dp/dt max and -dp/dt max(p<0.05). Kammaegdaejotang did not effectively work on -dp/dt/ +dp/dt ratio(p=0.24, no significance).

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The Effect of Cognitive Rehabilitation Program Combined with Physical Exercise on Cognitive Function, Depression, and Sleep in Chronic Stroke Patients

  • Kim, SoHyun;Cho, SungHyoun
    • Physical Therapy Rehabilitation Science
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    • v.11 no.1
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    • pp.32-42
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    • 2022
  • Objective: This study was conducted to verify the effectiveness of a cognitive rehabilitation program consisting of physical exercises and mental activities for patients with chronic stroke with mild cognitive impairment (MCI). We aimed to investigate how this cognitive rehabilitation program affects patients' cognitive ability, depression, and sleep quality. Design: One group pretest-posttest design Methods: The study was conductedon 12 patients who participated in thecognitive rehabilitation complex exercise program for 16 weeks. The Korean version of the Montreal Cognitive Assessment (MoCA-K), Hamilton Depression Rating Scale (K-HDRS), and Pittsburgh Sleep Quality Index (PSQI) were used to evaluate the measured variables before and after study participation. The cognitive rehabilitation complex exercise program included 30 minutes of cognitive exercise and 30 minutes of Brill Exercise. The Wilcoxon signed-rank test was used to compare the variables before and after program participation. Cronbach's ɑ was used to assess the reliability of the test variables. Results: The post-program assessment showed a statistically significant increase in the MoCA-K score, which measures cognitive function (Z=-2.628, P=0.009). For depression ratings, there was a statistically significant decrease in the K-HDRS score (Z=-2.041, P=0.041). For sleep quality, although there was a numerical increase in the PSQI score, the difference was not statistically significant (Z=-0.702, P=0.483). The reliability test confirmed that all the individual test variables exhibited high reliability (cognitive function, 0.859; depression, 0.872; sleep, 0.822). Conclusions: We found that cognitive rehabilitation program used in this study had a positive effect on the cognitive function and depression in patients with chronic stroke with MCI.

Effects of Oriental Medicine Gigong Exercise on patients with the metabolic syndrome (기공이 대사증후군 환자의 체력 및 혈액에 미치는 효과)

  • Kim, Gyeong-Cheol;Lee, Hai-Woong;Kim, Yi-Soon;Kwak, Yi-Sub;Park, Tae-Seob;Park, Yoon-Hee
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.2
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    • pp.101-109
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    • 2010
  • Objectives: This study intends to identify the Effects of Oriental Medicine Gigong Exercise on patients with the metabolic syndrome. Method: The study was performed with one group in a pre-test/post-test design. The subjects were patients with metabolic syndrome in K city, Kyung-Nam. A total of 24 subjects were selected by convenience sampling. The data were collected by using questionnaires and measured values from March, 2009, to May, 2009. The Oriental Medicine Gigong Exercise program consists of 90-minute sessions three times a week over 12 weeks. Prior and post surveys were measured before and after experiment a treatment. The date were analyzed by SPSS/WIN 12.0 program with descriptive statistics, paired t-test, wilcoxon rank sums test. Results: The results were as follows : 1) In of physical strength, body fat %(p=0.014) was decreased significantly, 'agility'(p=0.004) & 'flexibility'(p=0.031) were increased significantly after program. 2) In blood function, systolic blood pressure (P=0.013), diastolic blood pressure (P=0.001) were decreased significantly, HDL (P=0.001) was increased significantly after program. Conclusions: The Oriental Medicine Gigong Exercise program improve their physical strength and blood function, therefore this program is strongly recommended for adult with metabolic syndrome in community.

Incidence of Osteopenia in Female HBV Carrier and its Correlation with Liver Function Test (B형 간염 보균자에서 골감소증의 빈도 및 간기능검사와의 연관성)

  • Na, Eun-Hui;Park, Jae-Yeong;Kim, Sang-In
    • Journal of Korea Association of Health Promotion
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    • v.3 no.2
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    • pp.181-188
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    • 2005
  • Background : Osteopenia has been recognized as one of potential complication of chronic liver diseases. Its correlation with hepatits B virus(HBV) carrier, however, has not been reported. Thus this study was aimed to clarify the relationship between the osteopenia and HBV carrier. Methods : Bone densities in 192 HBV carrier women and 200 healthy women were measured; the lumbar spine and three sites of the proximal femur(neck, Ward's triangle, greater trochanter) by dual-photon absorptiometry. And liver function tests(AST, ALT, Albumin, GGT, ALP) were also performed. Results : Bone densities at the four sites measured, were significantly correlated with one another(r=0.34 to 0.99, P<0.01). Compared with control group, HBV carriers had significant decreases in bone densities of femur(P<0.05), particularly marked at Ward's triangle. A negative correlations between bone densities and serum total alkaline phosphatase were also found(r=-0.44, P<0.01). Conclusions : Osteopenia was more prevalent in HBV carrier, particularly in the groups before-fifties. Serum total alkaline phosphatase was higher in those with reduced bone densities Thus measurement of bone densities seems to be necessary in female HBV carriers.

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