• Title/Summary/Keyword: 소아마비

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A Case of Poliomyelitis-like Syndrome with Typical Abnormalities in MRI (자기공명영상에서 전형적인 이상 소견을 보인 소아마비양 증후군 환자 1예)

  • Kim, Seok-Il;Koo, Ja-Seong;Yoon, Doo-Sang;Kim, Byung-Kun;Bae, Hee-Joon
    • Annals of Clinical Neurophysiology
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    • v.4 no.1
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    • pp.56-59
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    • 2002
  • A 28-year-old man presented with headache, fever, and myalgia. Subsequently, rapidly progressive quadriplegia with areflexia developed. CSF examination revealed moderate pleocytosis and protein elevation. MRI of brain and spinal cord showed hyperintense lesions on T2-weighted image at midbrain and ventral horns along the whole spinal cord. Serial serologic examinations of CSF for Epstein-Barr virus and cytomegalovirus were negative. Culture and neutralization tests of stool and CSF for enterovirus were negative. Although the etiologic pathogen was not identified, we diagnosed him as poliomyelitis-like syndrome by clinical features and findings of MRI.

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The Effect of Complex Korean Medical Treatment for Tibia, Fibula and Patellar Fractures in Patient with Sequelae of Poliomyelitis: A Case Report (경비골, 슬개골 동시 골절된 소아마비 후유증 환자에 대한 한방복합치료 1례)

  • Chae-Young Kim;Ji-Su Choi;Hee-Duk An
    • Journal of Korean Medicine Rehabilitation
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    • v.34 no.2
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    • pp.173-180
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    • 2024
  • Objectives The purpose of this study is to report the effects of Korean medicine treatment on tibia, fibula, and patellar fractures with sequelae of poliomyelitis. Methods A 64-year-old male patient was treated with acupuncture, herbal medicine, cupping, moxibustion, and exercise treatment for 59 days after open reduction and internal fixation and tension band wiring surgery. The effects were evaluated using a visual analog scale (VAS), manual muscle testing (MMT), range of motion (ROM), Western Ontario and McMaster Universities (WOMAC), and EuroQol-5 dimension (EQ-5D) index. Results After treatment, VAS decreased from 7 to 2. MMT, ROM, WOMAC, EQ-5D and walking ability were improved. Conclusions This case study suggests that Korean medicine treatment could be effective for tibia, fibula, patellar fractures in patients with sequelae of poliomyelitis.

Knee Joint Control of New KAFO for Polio Patients Gait Improvement (소아마비 환자의 보행개선을 위한 새로운 장하지 보조기의 무릎관절 제어)

  • 강성재;조강희;김영호
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2002.05a
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    • pp.132-135
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    • 2002
  • In the present study, an electro-mechanical KAFO (knee-ankle-foot orthosis) which satisfies both the stability in stance and the knee flexion in swing was developed and evacuated in eight polio patients. A knee joint control algorithm suitable for polio patients who are lack of the stability in pre-swing was also developed and various control systems and circuits were also designed. In addition, knee flexion angles and knee moments were measured and analyzed for polio patients who used the developed KAFO with the three-dimensional motion analysis system. Energy consumption was also evaluated for the developed KAFO by measuring the movement of the COG (center of gravity) during gait. From the present study, the designed foot switch system successfully determined the gait cycle of polio patients and controlled knee joint of the KAFO, resulting in the passive knee flexion or foot clearance during swing phase. From the three-dimensional gait analysis for polio patients, it was found that the controlled-knee gait with the developed electro-mechanical KAFO showed the knee flexion of 40$^{\circ}$∼45$^{\circ}$ at an appropriate time during swing. Vertical movements of COG in controlled-knee gait (gait with the developed electro-mechanical KAFO) were significantly smaller than those in looked knee gait(gait with the locked knee Joint). and correspondingly controlled-knee gait reduced approximately 40% less energy consumption during horizontal walking gait. More efficient gait patterns could be obtained when various rehabilitation training and therapeutic programs as well as the developed electro-mechanical KAFO were applied for polio patients.

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Optimal Condition for Mycelial Production of Armillaria mellea (뽕나무버섯(Armillaria mellea) 균사체 생산의 최적화)

  • Kim, Myung-Kon;Choi, Han-Seok;Park, Hyo-Suk;Kim, Sung-Jun
    • The Korean Journal of Mycology
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    • v.31 no.3
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    • pp.187-191
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    • 2003
  • Armillaria mellea, honey mushroom is well known as a symbiotic fungus with Gastodia elata, The mycelial yields of the fungus were compared when cultured with various broth media. The highest yield of cell mass, 2.31 g dry weight/50mL, was obtained on germinated-malt extract broth (GMEB). The optimal broth concentration which was measured hand refractometer for mycelium production was $15\;Brix^{\circ}$. The optimal conditions estimated with response surface methodology under temperature, pH and incubation period were $25.9^{\circ}C$, pH 5.72, 15.22 days, respectively, on GMEB having $15\;Brix^{\circ}$ concentration for mycelial production of A. mellea.

A Comparative Study of Childhood Immunizational Level between Urban and Rural Areas (도시(都市)와 농촌지역(農村地域)의 영유아 예방접종률(豫防接種率) 비교조사(比較調査))

  • Park, Jung-Han;Kim, Jung-Nam;Woo, Kuck-Hyeun
    • Journal of Preventive Medicine and Public Health
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    • v.18 no.1
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    • pp.137-147
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    • 1985
  • To assess the childhood immunization level of urban and rural areas, 250 mothers of $6{\sim}23$ months old children residing in Namsan 1 Dong, Taegu, and 264 mothers of the same age children residing in five areas of Kyungsan Gun where community health practitioners are assigned were interviewed in March, 1984. Immunization rate for BCG was 98.0% in urban area and 95.8% in rural area. Among children who had BCG vaccination 91.4% of them were immunized within 1 month after birth in urban area and 88.1% in rural area. The percentage of children who received three doses of DPT vaccine was 83.2% in urban, and 87.5% in rural area ana that for the polio vaccine was 80.8% in urban and 87.9% in rural area. Only a few children have never been immunized with either BCG or DPT or polio vaccine. Overall immunization rate for measles was 64.4% in urban area while it was 55.3% in rural area and that for mumps and rubella was 50.4% in urban area as compared with 36.0% in rural area. However, among children of 15 months old and above the percentage of measles vaccination was 85.3% in urban area and 73.7% in rural area. Mumps and rubella vaccination rate was 77.6% in urban area and 62.4% in rural area. These differences in measles, mumps and rubella vaccination rates between urban and rural areas were statistically significant (p<0.05). Such findings as improved immunization level, no significant differences in BCG, DPT and polio vaccination rate between urban and rural areas, and fewer mothers in rural area have not vaccinated their children than mothers in urban area because of their ignorance may be attributed to the general improvement of living standard and implementation of the maternal and child health services of the government. Nevertheless many of the mothers in rural as well as urban area have not immunized their children on time and measles, mumps and rubella vaccination rates are substantially lower than other childhood immunizations. Future immunization activity should be geared to reinforcing these areas.

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Case Study of 4-Bar Linkage KAFO in Person With Poliomyelitis (소아마비에서 4절 연쇄 장하지보조기 사례연구)

  • Kim, Jang-Hwan;Kwon, Oh-Yun;Yi, Chung-Hwi;Cho, Sang-Hyun;Cynn, Heon-Seock;Choi, Heung-Sik
    • Physical Therapy Korea
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    • v.20 no.1
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    • pp.18-27
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    • 2013
  • The purpose of this study was to compare the ring lock type knee-ankle-foot orthosis (KAFO) with newly developed 4-bar linkage KAFO on the gait characteristics of persons with poliomyelitis clinically. This 4-bar linkage is the stance control type KAFO which provide the stability during stance phase and knee flexion during swing phase. Two subjects participated in this study voluntarily. We provided the customized 4-bar linkage KAFO then asked the subjects to walk in level surface and stairs under the two different KAFO conditions. The characteristics of gait in the persons with poliomyelitis were evaluated using a 3D motion analysis system and force plate. Additionally 6 minute walk test for physiological cost index were conducted using pulse oximeter to measure the energy consumption. In the results of this study, the differences of 4-bar linkage KAFO compared with ring lock type KAFO are as follows: (1) Walking speed, stride length, and step length on level increased in subjects, (2) The gait symmetry was improved by generated knee flexion and decreased pelvic external rotation on level and stairs walking, (3) Decreased vertical excursion of center of mass and pelvic elevation during swing phase was decreased on level, (4) Knee extension moment, hip flexion moment, hip and knee internal rotation moment of non-braced limb were decreased on level walking, (5) Walking speed in 6-minute walk test was increased and physiological cost index was decreased. These findings indicate that 4-bar linkage KAFO compared with ring lock type KAFO is effective in enhancing pattern, endurance, and energy consumption in level surface and stairs walking.

A Study on 3D Printed Tactile mathematics textbook for Visually Impaired Students (시각장애청소년을 위한 3D 프린팅 촉각수학교재 모델 개발 연구 - 함수 지도와 관련하여 -)

  • Lee, Sang-Gu;Park, Kyung-Eun;Ham, Yoon-Mee
    • Communications of Mathematical Education
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    • v.30 no.4
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    • pp.515-530
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    • 2016
  • Recently an extensive study of the mathematicians who have overcome the visually impaired and contribute to the academic in math was published. In the case of Korea, we can find there are mathematicians who have overcome physical disabilities such as cerebral palsy and polio. However there is no example of blind person who majored mathematics to become a mathematic's teacher or professor and have entered any mathematics related professions. This let us to study the reasons that caused difficulties to visually impaired students majoring in mathematics. We also suggest ways that may help blind students to have access to mathematics intuitively. In this study, we propose a tactile mathematics textbooks and teaching manuals utilizing 3D printing which the visually impaired students can touch and feel. We can supply such materials to visually impaired youth, special education teachers and parents in Korea. As a result, visually impaired students will be able to access mathematics easily and can build their confidence in mathematics. We hope that some blind students with mathematical talent do not hesitate to major mathematics and choose career in mathematical professions.

Review of Myositis Ossificans (골화성 근염에 대한 고찰)

  • Bae Sung-Soo;Park Rae-Joon;Han Dong-Uk
    • The Journal of Korean Physical Therapy
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    • v.12 no.2
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    • pp.255-265
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    • 2000
  • The term 'myositis ossificans' encompasses four categories of clinicopathological disorders. The first, myositis ossificans progressive(fibrodysplasia ossificans progressive), is a rare genetic disease characterized by progressive heterotopic ossification involving skeletal muscle, tendon, ligaments, and fascia, with congenital malformation of the great toes, and usually microdactyly, monophalangism, and mal formed proximal phalanges. with valgus deformity of metatarsophalangeal joint. The ossification begins shortly after birth and may contribute to the patient's death. The second, heterotopic ossificans, can occur in patients with neuromuscular and chronic diseases such as paraplegia, poliomyelitis, polymyositis, bum, tetanus, and infection. But the lesions in these cases often lack the typical histologic features of myositis ossificans. The third, myositis ossificans traumatica, is the most common; it develops in response to soft tissue trauma such as a single severe injury, minor repetitive injures, fracture, joint dislocation, stab wound, or surgical incision. The forth, nontraumatic myositis ossificans, also designated :pseudomalignant osseous tumors of extraskeletal soft tissues' and 'psedomalignant myositis ossificans', occurs in persons repeated small mechanical injures or nonmechanical soft tissue injuries due to local ischemia, inflammation. or other factors cannot be ruled out in such cases.

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