• Title/Summary/Keyword: 진행마비

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재발성 흡인성 폐렴을 동반한 편측성대마비 환자의 제I형 갑상연골 성형술 1례

  • 남정권;남순열
    • Proceedings of the KSLP Conference
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    • 1996.11a
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    • pp.85-85
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    • 1996
  • 편측성대마비에 대한 치료방법으로 외측에 위치한 성대를 수술적으로 교정하려는 시도는 최근 활발하게 진행되어 Teflon 등을 이용한 성대내 이물주입술, 제Ⅰ형 갑상연골 성형술 및 피열연골 내전술등의 시술들이 시행되어 왔다. 저자들은 최근 후두와 종양으로 개두술을 시행받은 후 발생한 재발성 흡인성 폐렴 및 애성을 주소로 내원한 49세 남자환자를 원인 미상의 우측 편측성 성대마비로 진단하고 제Ⅰ형 갑상연골 성형술을 시행한 후 흡인성 폐렴 및 애성 등의 증상의 현저한 호전을 관찰할 수 있었으며, 술전 Maximal comfortable phonation time(MPT)이 6.24초에서 술후 17초로 증가하는 등 좋은 결과를 얻은 1례를 치험 하였기에 보고하는 바이다.

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A 3D Posture Measuring and Display System for Hemiplegic Patients (편마비 환자를 위한 3차원 보행 자세 측정 및 디스플레이 시스템)

  • Hwang, Yong-Ha;Kim, Yong-Seok
    • Journal of the Korea Society of Computer and Information
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    • v.19 no.8
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    • pp.119-127
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    • 2014
  • TIn this paper, Hemiplegic patients have gait characteristics different from normal persons. This paper presents a posture measuring and display system reflecting their characteristics. Patients wear 3 sensor modules on thigh, calf and foot. To enhance measuring precision of each sensor module, 3D accelerometer and 3D gyroscope are combined. Gait posture is displayed in 3D by modeling thigh, calf and foot as connected 3D objects based on data of the sensor modules. For convenience in inspecting unusual gait posture of hemiplegic patients, any view angle of the 3D display can be selected. In addition, the current gait phase of RLA(Rancho Los Amigos) gait cycle is determined and displayed in real-time by utilizing the posture information, The phase sequence and duration of each phase can be used in evaluating gait quality of patients.

Therapeutic Trial of Bee Venom Acupuncture for Idiopathic Facial Paralysis in a Dog (특발성 안면마비를 지닌 개에서 봉독 약침을 이용한 치료 1예)

  • Sung, Hyun-Jeong;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.30 no.2
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    • pp.107-110
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    • 2013
  • A 6-year-old, castrated male Shih-tzu dog was presented due to left side facial paralysis with head tilt. Neurological examination revealed absence of facial sensation, menance response, and palpebral reflex on the left side. On magnetic resonance imaging (MRI), intracranial intra-arachnoid cyst (IIAC) was noted. The dog was poor response to steroid and dieuretic therapy. Based on characteristic historical and clinical findings, and excluding of other causes of acute facial nerve dysfunction, the dog was tentatively diagnosed as idiopathic facial paralysis. The clinical signs were improved gradually after acupuncture therapy with bee venom. Eight weeks after initial acupuncture with bee venom, the patient recovered sensory and neurological facial signs. This case report demonstrates that bee venom acupuncture for an idiopathic facial paralysis could be useful in a dog.

A Study for Developing Music Therapy Activity Program for Development of Rudimentary Movement Phase of Spastic Cerebral Palsied Infant : Applying the techniques of Neurological Music Therapy (경직형 뇌성마비 유아의 초보운동단계 발달을 위한 음악치료활동 프로그램 개발 - 신경학적 음악치료의 기법을 활용하여)

  • Lee, Yoon Jin
    • Journal of Music and Human Behavior
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    • v.4 no.2
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    • pp.84-105
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    • 2007
  • Cerebral palsy is a collection of motor disorders resulting from damage to the central nervous system that arise in multiple handicaps including cognitive disorders, speech disorders, epilepsy, perception disorders, and emotion disorders. Today spastic cerebral palsy has become more prevalent because intensive care for newborns has resulted in higher survival rates for very small premature babies. Since the children grow the fastest in order for a development during one year after birth, the therapeutic intervention is provided as early as possible to the children with cerebral palsy. After seven year old, there is no effect of intervention. So, the necessity of early intervention to spastic cerebral palsied infants is increasing. The purpose of this study is to develop the music therapy activity program using the techniques of neurological music therapy(NMT), the therapeutic application of music to dysfunctions due to neurologic disease of the human nervous system, for rudimentary movement phase of spastic cerebral palsied infant. This music therapy activity program was developed on the basis of the major developmental tasks of the rudimentary movement phase, the period that children can acquire the most basic movement function at the 0 to 2. Then the developmental characteristics of spastic cerebral palsy were applied to this music therapy activity program. This music therapy activity program was classified to three domains, those are stability, locomotion, and manipulation. This study has been consisted of three steps, those are the development of the activities, the evaluation of the activities by th panels, and the adjustment and complement of the activities. Reviewing literatures and interviews were done for the development of the activities, and the evaluation the activities was done by seven music therapists. In the evaluation steps, the questionnaire was used for estimating the content validity and application efficiency. The adjustment and complement of the activities were evaluated by the panels who were participating in the music therapy for cerebral palsied children in the clinical setting, and the results of the adjustment and complement were confirmed by the panels. The evaluation was presented in a mean value with the comment of the panels. In conclusion, the music therapy activity program for the spastic cerebral palsied infants using the techniques of NMT was developed on the basis of the major developmental tasks of the rudimentary movement phase. The program is comprised of 38 activities, those are 14 activities for developing the stability, 10 activities for developing the locomotion, and 14 activities for developing the manipulation. The programed activities would bring out the answers in the affirmative for the conformance with infants' development phase, the harmony between the objective and the activity, the conformance with the cerebral palsied infants, the properness of the music and the instruments, and the utility in the clinic field. This results mean that this developed music activity program is appropriate to help spastic cerebral palsied infants progress their movement development by stages.

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Possibility of Motor Speech Improvement in People With Spinocerebellar Ataxia via Intensive Speech Treatment (집중치료를 통한 소뇌운동실조증 환자의 말운동개선 가능성)

  • Park, Youngmi
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.634-642
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    • 2018
  • People with spinocerebellar ataxia, a hereditary and progressive neurogenic disorder, suffer from ataxic dysarthria due to cerebellar dystrophy. This study was designed to examine if intensive motor speech treatment yields improvement in progressive ataxic dysarthria and if then, to investigate magnitude of therapeutic effect. SPEAK $OUT!^{(R)}$ was provided to a 55-year old female diagnosed with SCA for improving motor speech functions. Magnitude of therapeutic effect was large in changes of MPT and vocal intensity across speech tasks. Small effect size was found in changes of fundamental frequency, however, large therapeutic effect was observed in changes of frequency range. In addition, improvement of vocal quality based on jitter, shimmer, and HNR was observed with large therapeutic effect size and vowel space was expanded, particularly, due to F1. Lastly, VHI scores were decreased. Intensive motor speech treatment, called as SPEAK $OUT!^{(R)}$ was effective enough to observe improvement in vocal intensity, frequency range, and vocal quality, expanding vowel space and lowering VHI scores. Based on the results of this case study, further efficacy evaluation of SPEAK $OUT!^{(R)}$ for improving progressive ataxic dysarthria in people with SCA is required.

A case of Dyke-Davidoff-Masson syndrome in Korea (국소적 경련과 편마비를 동반한 Dyke-Davidoff-Masson 증후군 1례)

  • Lee, Jun Hwa;Lee, Zee Ihn;Kim, Ho Kyun;Kwon, Soon Hak
    • Clinical and Experimental Pediatrics
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    • v.49 no.2
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    • pp.208-211
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    • 2006
  • Dyke-Davidoff-Masson Syndrome (DDMS) is a rare condition characterized by asymmetry of cerebral hemispheric growth with atrophy on one side, ipsilateral compensatory osseous hypertrophy, and contralateral hemiparesis. We experienced a 17 month-old male who presented with left focal clonic or tonic-clonic seizures accompanied by left hemiparesis and developmental delay. Brain MRIs demonstrated progressive atrophy of the right cerebral hemisphere with dilatation of the lateral ventricle, expansion of the ipsilateral frontal sinus with calvarial thickening, and elevation of the petrous pyramid and orbital roof. Brain SPECT showed a decreased volume of the right hemisphere with reduced blood flow. We therefore report a case of DDMS with a review of the literature.

A Case of a Depressed Patient With Progressive Supranuclear Palsy (우울증으로 내원한 진행성 핵상 마비 환자 1례)

  • Seoyun Han;Jhin Goo Chang;Su Young Lee
    • Anxiety and mood
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    • v.19 no.2
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    • pp.56-60
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    • 2023
  • Progressive supranuclear palsy (PSP) is rare atypical Parkinsonism accompanied by various psycho-behavioural problems. In this case report, we describe the diagnostic and treatment progress of a 65-year-old PSP patient who visited the psychiatric clinic with a depressed mood and lumbar pain resulting in a suicide attempt. Over the course of 30 months of treatment, typical characteristics of PSP, such as postural instability, dyskinesia, cognitive dysfunction and supranuclear gaze palsy, became prominent, and magnetic resonance imaging and the F-18 FP-CIT positron emission tomography revealed midbrain atrophy and reduced dopamine uptake in the basal ganglia. When treating elderly patients with depression, parkinsonism symptoms such as gait disturbances, frequent falls, tremors, and rigidity should be closely examined.

The factor of sensory processing that affect on the motor and process skill of children with cerebral palsy (뇌성마비 아동의 운동 및 처리기술에 영향을 미치는 감각처리 요인)

  • Park, Myoung-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.221-227
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    • 2016
  • This study was conducted to identify sensory processing factors that affect motor and process skills of children with cerebral palsy. A total of 36 children with cerebral palsy who attended at the J pediatric development center and the N rehabilitation hospital in Seoul participated. Pearson's correlation coefficients were used to test the relationship between motor skills, process skills and sensory processing abilities of children. Moreover, hierarchical multiple regression was used to identify the sensory processing factors influencing motor and process skills. Motor skills of children with cerebral palsy were correlated with auditory filtering, low energy/weakness, and visual/auditory sensitivity of sensory processing items, whereas process skills were correlated with tactile sensitivity and taste/smell sensitivity. The hierarchical regression model for motor skills revealed movement sensitivity, auditory filtering, and low energy/weakness as significant factors influencing sensory processing items. However, no factors were shown to influence process skills. The results of this study will be useful as a basic resource for rehabilitation of children with cerebral palsy. However, further studies evaluating a larger population should be conducted to verify the results presented herein.

산욕기 질병관리(유열)

  • Kim, Hyeong-Jong
    • Feed Journal
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    • v.4 no.10 s.38
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    • pp.132-137
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    • 2006
  • 목장 경영의 성공과 실패에는 여러 가지 요인이 작용하지만 연중 얼마나 적은 소가 도태되는가 하는 것 또한 아주 중요하게 생각해 보아야 할 사항이다. 낙농에 있어 거의 대부분의 질병이 산욕기에 발병하는데 산욕기(産褥期)란 분만으로 인한 상처가 완전히 낫고, 자궁이 평상시 상태가 되며 신체의 각기관이 임신 전의 상태로 회복되기까지의 기간으로 대개 분만 후 6~8주간을 말한다. 산욕기에 주로 발생할 수 있는 다양한 질병(산욕기 부전마비, 난산, 급성유방염, 제4위 전위증 등)들이 조기에 발견되어 적절히 치료되지 못하고 만성화되면서 전해질불균형, 에너지와 단백질의 섭취부족에 의한 영양장애로 허약과 지방간 및 케토시스 등으로 진행되어 결국 도태됨으로서 목장 경영에 있어 막대한 영향을 끼치는 것이다. 이러한 산욕기 질병의 주 원인은 건유기 사양관리에 있다. 건유기간 동안 체점수(BCS)의 변화를 최대한 줄이면서 분만전의 스트레스를 얼마만큼 줄일 수 있도록 관리하는가에 달려있다. 다시말해 분만 전 마지막 한달간에 건유에서 분만으로의 이행과정을 얼마나 매끄럽게 연결 지어주는가에 따라 산욕기 질병의 발생률이 결정되는 것이다. 본 고에서는 건유기 사양관리 소홀로 발생되는 산욕기 부전마비에 관해서 자세히 설명해 보고자 한다.

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Traffic Light Control System using Fuzzy Logic (퍼지 논리를 이용한 교통 신호 제어 시스템)

  • Soung, Won-Goo;Lee, Hoon-Seok;Kim, Kwang-Beak
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2008.08a
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    • pp.57-61
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    • 2008
  • 우리나라의 자동차의 수는 1990년부터 계속 증가하고 있다. 계속되는 자동차수의 증가로 인해 휴일, 출퇴근 시간에 교통이 혼잡 또는 마비되는 문제가 발생한다. 하지만 기존의 신호등 체계는 통계적인 수치에 의해 결정되기 때문에 항상 일정하지 않은 차량의 수를 제어하기에는 한계가 있다. 따라서 본 논문에서는 실시간으로 변하는 차량의 수와 점유시간에 따라 퍼지 제어 기법을 이용하여 신호를 제어하는 방법을 제안한다. 제안된 교통 신호 제어 방법은 교차로에 대기하는 차량의 수와 점유 시간을 퍼지 제어 기법에 적용하여 차량의 진행 신호에 대한 우선순위를 부여한다. 가장 높은 우선 순위를 가지는 현시에 대해 진행 신호를 부여하고 나머지는 대기하게 된다. 그리고 진행 신호의 시간을 교차로에 대기하는 모든 차량의 수와 차량의 비율, 진행 신호를 부여받은 차량의 수를 이용하여 계산한다. 본 논문에서는 제안된 펴지 신호 제어 기법과 정적인 신호 제어 기법에 대해 시뮬레이션을 통해 실험한 결과 차량 혼잡도와 상관없이 제안된 차량 신호 제어 기법이 동일한 시간에 더 많은 차량이 원활하게 소통되는 것을 확인하였다.

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