• Title/Summary/Keyword: 고유임상

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Convergence Effects of Proprioceptive Neuromuscular Facilitation on Dynamic Balance in Chronic Stroke : A Meta-Analysis (고유수용성신경근촉진법이 만성 뇌졸중 환자의 동적 균형에 미치는 융복합적 효과: 메타분석)

  • Park, Se-Ju;Lee, So-In;Jung, Ho-Jin
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.275-284
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    • 2021
  • The study attempted to systematically and comprehensively analyze individual studies in which proprioceptive neuromuscular facilitation (PNF) was performed with chronic stroke patients. Selection criteria included type of participants (stroke patients), intervention (PNF), comparison (intervention group or non-intervention group), outcomes (effect on dynamic balance), and study design (randomized controlled trial). We searched seven literature databases, and selected 17 papers that met our selection criteria. For meta-analysis, effect size of each individual study was extracted using the R project for Statistical computing version 4.0.3. Rob 2.0 tool, developed by the Cochrane group, was used to evaluate the quality of each individual study. The overall effect size PNF with dynamic balance was 0.59 (95% CI=0.41-1.77), which was significantly different than the median effect size (p<0.05). The sub-group for dynamic balance was analyzed, for effect sizes of BBS (0.50), TUG (0.78), and FRT (0.51). Thus, PNF intervention has a positive impact on improve of dynamic balance by chronic stroke patients.

Persistent Accelerated Idioventricular Rhythm in a Shih Tzu with Central Neuropathy (중추신경 장애를 가진 시추 종의 개에서 지속적인 가속성 심실고유 율동)

  • Han, Suk-Hee;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.27 no.4
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    • pp.440-444
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    • 2010
  • A 7-year-old neutered male Shih Tzu dog weighing 5.2 kg was presented because of severe neurological signs (paddling, unconsciousness, blindness, seizure). ECG revealed accelerated idioventricular rhythm (AIVR) with ~140 bpm ventricular rate. Based on magnetic resonance imaging (MRI) study and cerebrospinal fluid (CSF) analysis, the neurological condition was tentatively diagnosed as disseminated granulomatous meningoencephalomyelitis (GME). The neurological signs were managed with steroids, anticonvulsive drugs, diuretics and antibiotics with 20% mannitol infusion. The rhythm disturbance (AIVR) was managed with oral medication of mexiletine. Because the heart rhythms were unstable without anti-arrhythmic therapy in spite of improvement of clinical signs after emergency treatment for neurological problems, the anti-arrhythmic therapy was maintained till the neurological signs were abolished.

Application of ARCUS digma I, II systems for full mouth reconstruction: a case report (ARCUS digma I, II system을 활용한 전악수복 증례)

  • Park, Chan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.4
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    • pp.345-350
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    • 2016
  • Transferring condylar and anterior guidance on an articulator is essential to the diagnosis of a patient for full mouth reconstruction. In this clinical report, ARCUS digma I system was used to measure inherent condylar guidance of a patient requiring full mouth reconstruction in preoperate treatment, and the patients was given provisional restoration based on a functional anterior guidance. Then, ARCUS digma II system was used to mount the final casting model on an articulator, and the definitive prosthesis was placed in the patient. An esthetic and functionally proper clinical result regarding inherent condylar path of the patient was observed, and results from comparison of the two systems are given in this case.

A Clinical Protocol Development Methodology for Ubiquitous Healthcare Service (유비쿼터스 헬스케어 서비스를 위한 태스크 중심의 임상 프로토콜 개발 방법론)

  • Hwang, Kyoung-Soon;Kim, Wun-Jea;Lee, Chan-Hee;Lee, Keon-Myung
    • Journal of the Korean Institute of Intelligent Systems
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    • v.20 no.1
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    • pp.66-75
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    • 2010
  • With the advances in ubiquitous service infrastructure, healthcare services have drawn attention as one of promising application domains. In ubiquitous healthcare services, patients or care-givers as well as medical personnel are asked to play their roles and, in addition, the information system is supposed to have active roles. In medicine, clinical protocols have been developed and put into practice in order to reduce treatment variances and assure the service quality. In the same token, clinical protocols on ubiquitous service practices are need to be developed which takes into account both the clinical details and the ubiquitous service functionality. This paper introduces a clinical protocol modeling methodology which pays attention to participants and their tasks including contextual information. The proposed method has been successfully applied to a real application domain, OAB(overactive bladder) syndrome patient care to see how it builds a clinical protocol.

The Evidence for Exercise Therapy in Cervical Dysfunction (경추장애에서 운동치료의 효과)

  • Kim, Young-Min
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.10 no.1
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    • pp.5-41
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    • 2004
  • 운동치료는 환자가 자기 자신의 치료에 직접 참여한다는 측면에서 다른 수동적인 치료보다 더 효과적이라고 생각된다. 이 논문의 목적은 관련문헌을 찾아내어 경추의 장애를 치료하는데 운동치료가 효과적이라는 것을 입증하는 증거를 찾아내기 위한 것이다. 경추 장애를 치료하기 위한 여러 가지 형태의 운동치료를 포함하는 연구를 찾아내기 위하여 7가지의 컴퓨터 문헌탐색을 수행하였고 출판된 전문을 아들레이드 내에서 구할 수 있는 것만 검토하였다. 문헌 평가도구를 사용하여 연구의 질을 평가하였고 그 결과를 표로 제시하였다. 111개의 문헌 중 34개가 포함 기준에 합당하였으며 이 중 18개의 임상실험연구를 수집하여 운동치료의 효과를 조사하기 위하여 그 질을 분석하였다. 임상실험연구의 전체적인 질은 "우수"였다. 도수치료와 운동치료를 병행하여 치료를 실시한 5개의 "탁웰"한 질의 임상실험연구에서 근력의 증가와 통증의 감소를 보였다. 3개의 임상연구에서 근력강화운동이 증상의 경감에 효과가 있다고 하였다. 2개의 "우수"와 "중등도"의 질의 문헌에서 집단운동이 개별적인 물리치료만큼 효과가 있다고 하였다. 고유수용성 운동과 다른 형태의 운동 또한 경추의 장애의 치료에 효과가 있는 것으로 나타났다. 이 글의 소견은 경추 장애의 치료에 운동이 효과적이라는 이전의 연구결과를 지지한다. 또한 경추 장애의 치료에 다른 형태의 운동의 상대적인 효과를 확인하기 위한 훌륭한 질의 연구가 더 행해질 필요가 있다고 본다.

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A Study of Intrinsic Alpha Rhythm, Electroencephalography, and Heart Rate Variability Index as Indicators of Cognitive Function and Health in Elderly Adults (노년기 인지기능 및 건강상태를 반영하는 지표로써 Alpha 고유리듬과 뇌파 및 HRV 지표와의 관계 연구)

  • Shim, Jun-Young
    • Science of Emotion and Sensibility
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    • v.22 no.3
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    • pp.21-34
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    • 2019
  • This study was an examination of the relevance and clinical significance of electroencephalographic (EEG) indexes (e.g., mental/physical stress and attention) and indexes of heart rate variability (HRV) with regard to cognitive function and physiological health conditions in elderly people. A device was used to record two-channel EEGs of the frontal lobe and a one-channel ECG simultaneously. Subjects were 76 people average aged 73. The significant findings are as follows: First, subjects whose intrinsic alpha rhythm had high amplitude, regardless of peak, showed higher resistance to mental stress and lower physical stress than did subjects with low-amplitutde intrinsic alpha rhythm. Second, HRV, SDNN, and RMSSD indexes showed strong positive correlations between the two groups of subjects regardless of the division of groups. Third, the alpha asymmetry of the left and right sides of the brain in subjects with low-amplitude intrinsic alpha rhythm was larger, and the delta/alpha ratio (reflecting physical stress) and theta/sensorimotor rhythm (SMR) ratio (showing the decline in attention) were bigger. Fourth, the subjects in whom intrinsic alpha rhythm peak occurred during slow rhythm had a higher theta/SMR ratio than did subjects whose peak occurred during fast rhythm, which was related to a steeper decline in attention. Therefore, the presence or absence of intrinsic alpha rhythm peak and amplitude on quantitative EEG may be an index reflecting the cognitive function and physiological health of elderly people.

Mechanical and geometric features of endodontic instruments and its clinical effect (근관치료 기구의 기계 형태적 특성과 이에 따른 임상적 영향 고찰)

  • Kim, Hyeon-Cheol
    • Restorative Dentistry and Endodontics
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    • v.36 no.1
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    • pp.1-11
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    • 2011
  • Introduction: The aim of this paper is to discuss the mechanical and geometric features of Nickel-titanium (NiTi) rotary files and its clinical effects. NiTi rotary files have been introduced to the markets with their own geometries and claims that they have better ability for the root canal shaping than their competitors. The contents of this paper include the (possible) interrelationship between the geometries of NiTi file (eg. tip, taper, helical angle, etc) and clinical performance of the files as follows; - Fracture modes of NiTi rotary files - Non-cutting guiding tip and glide path - Taper and clinical effects - Cross-sectional area and clinical effects - Heat treatments and surface characteristics - Screw-in effect and preservation of root dentin integrity - Designs for reducing screw-in effect Conclusions: Based on the reviewed contents, clinicians may have an advice to use various brands of NiTi rotary instruments regarding their advantages which would fit for clinical situation.

Arthroscopic ACL Reconstruction Using Quadrupled Hamstring Tendon with Tibial Remnant-preserving Technique (슬괵건을 이용하여 경골부 잔류 조직을 보존한 관절경적 전방십자인대 재건술)

  • Kyung, Hee-Soo;Oh, Chang-Wug;Kim, Poong-Taek;Lee, Byung-Woo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.2
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    • pp.92-98
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    • 2007
  • Purpose: We evaluated the clinical results of arthroscopic ACL reconstruction using quadrupled hamstring tendon with tibial remnant-preserving technique. Materials and Methods: Thirty-five cases were evaluated from Feb, 2003 to May, 2006. The average interval from injury to surgery was $2.6{\pm}1.6$ months. The cause of injury was mostly sports-related trauma. The average follow-up period was 17 months. Tibial remnant was preserved as much as possible and caution was taken not to damage the remnant during ACL reconstruction. Postoperative rehabilitation was the same as the usual rehabilitation method after ACL reconstruction, except for delaying motion for 2 weeks with an extension locking brace. Clinical evaluation was performed using ROM; Lachman test; pivot-shift test; anterior displacement measurement using KT-2000 arthrometer; Lysholm score and proprioception measured by single limb standing test. Results: There was no limitation of knee motion without contracture. The Lachman test and pivot-shift test were both negative. The side-to-side difference of anterior displacement measured using KT-2000 arthrometer was improved from 6.7 mm to 2.2 mm. The average Lysholm score improved from 81 to 96. The single limb standing test for proprioceptive evaluation showed no significant difference from a normal leg. Conclusion: ACL reconstruction with tibial remnant-preserving technique can preserve mechanoreceptors with prorioception and expect good functional recovery.

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Dog Sperm Cryopreservation Using Glucose in Glycerol-free TRIS: Glucose Concentration, Exposure Time (Glycerol-free TRIS 배지내 glucose를 이용한 개 정자 동결: 포도당 농도, 노출시간)

  • Yu, Il-Jeoung
    • Journal of Veterinary Clinics
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    • v.30 no.6
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    • pp.442-448
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    • 2013
  • The aim of the present study was to develop glycerol-free TRIS extender using glucose for dog sperm cryopreservation. We determined the appropriate concentration of glucose in glycerol-free TRIS and the exposure time in glycerol-free TRIS containing 0.3 M glucose at $4^{\circ}C$. Ejaculates of six dog sperm were cooled in glycerol-free TRIS through $4^{\circ}C$ for 100 min, cooled at $4^{\circ}C$ in TRIS with different glucose concentrations 0 M, 0.04 M, 0.1 M, 0.2 M and 0.3 M, respectively for 30 min followed by cryopreservation. After thawing at $37^{\circ}C$ for 25 sec, membrane and acrosome integrities of dog sperm were evaluated. In addition, the effect of exposure time (10, 30, 50 and 70 min) of sperm to glycerol-free TRIS containing 0.3 M glucose at $4^{\circ}C$ on progressive motility, viability, and DNA integrity following sperm cryopreservation was studied. Membrane integrity and acrosome integrity were assessed by 6-carboxyfluoresceindiacetate (6-CFDA)/propidium iodide (PI) fluorescent staining and Pisum sativum agglutinin conjugated to fluorescein isothiocyanate, respectively. DNA integrity was assessed by terminal deoxynucleotidyl transferase dUTP nick end labeling, using flow cytometry. Sperm frozen in glycerol-free TRIS supplemented with 0.2 M or 0.3 M glucose have an intact plasma membrane (CFDA+/PI-) after cryopreservation than sperm frozen in the extenders with lower glucose concentrations (p<0.05). Acrosome integrity was significantly higher in the 0.3 M group than less than 0.1 M groups (p<0.05). The sperm DNA fragmentation index did not differ according to exposure time, although progressive motility was significantly higher in the 50 min exposure group than the other groups (p<0.05). These results indicate that cryopreservation of dog sperm is feasible and yields more motile sperm following freezing and thawing in glycerol-free TRIS containing 0.3 M glucose with the exposure time for 50 min at $4^{\circ}C$.

Study on Dongkyung-i Dog Characterized as Anury and Brachyury (무미와 단미로 특징되는 동경이에 대한 연구)

  • Cho, Sung-Jin;Park, Young-Seok;Lee, Eun-Soo;Lee, Hyun-A;Kim, Ok-Jin
    • Journal of Veterinary Clinics
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    • v.25 no.1
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    • pp.15-18
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    • 2008
  • Until now, there are no scientific studies for Dongkyung-i(DKI) dog, which is recently called as Deng-Kyun. This study is aimed to investigate the characteristics of DKI. According to visiting studies, DKI is an active, live and muscular dog. The dog is willing to announce the approach of strangers friendly. As the results of morphological studies, DKI is medium sized and the average weight is 22.6 kg. Its coat has mainly yellowish brown color and short hair. Morphologically, the dog showed vestigial tail and muscular and sturdy pelvic limbs. As the results of radiological studies, DKI is characterized as the absence of coccygeal vertebrae or the coccygeal agenesis. We concluded that DKI may be a Korean native canine breed characterized as short or non-tail dog. Also, we suggested that this characteristic dog is valuable to develop as a Korean native breed.