• Title/Summary/Keyword: 진행마비

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The Effects of Rhythmic Auditory Stimulation (RAS) on Hemiplegia Patient' Gait (리듬적 청각자극이 편마비환자들의 보행에 미치는 영향)

  • Kim, Tae Youn
    • Journal of Music and Human Behavior
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    • v.5 no.1
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    • pp.1-17
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    • 2008
  • The purpose of this study is to examine how rhythmic auditory stimulation (RAS), one of music therapy techniques for neurological rehabilitation, affects the factors of hemiplegia patients' turning gait and straight gait. This study is designed to compare elimination and intervention of music therapy for 4 weeks with repeated measure plan and measure factors are classified into 21 sub-factors. The subjects of this study were 4 patients who need walking training and they were requested by physical therapist a march and a lied were used to cure them by a researcher. Each session was composed of warming up, RAS gait training, ending. The music used for RAS gait training was provided with speed which was set to patient's own gait speed measured before music therapy. The speed was provided fast gradually and each session was proceeded for 50 minutes. The results of this study showed that walking abilities increase in the segments with music therapy (B) compared to those in the segment without music therapy (A), and this supports the previous report that the application of music therapy together with other treatments has a positive effect on improvement in the patient's walking abilities. In addition, this study is meaningful in that it demonstrated that RAS music therapy is helpful to improve walking abilities not only in straight gait but also in turning gait.

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Stabilization using Screws, Wire, and PMMA for Traumatic Cervical Fracture in a Maltese Dog (말티즈 견에서 Screw, Wire와 PMMA를 사용한 외상성 경추 골절의 안정화)

  • Kim, KeunYung;Kim, Minkyung;Park, Ji-Hun;Shin, Jeong-In;Kim, Junsu;Jang, Yun-Seol;Lee, Jae-Hoon
    • Journal of Veterinary Clinics
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    • v.31 no.6
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    • pp.519-522
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    • 2014
  • A 2-year-old, 2 kg Maltese dog was evaluated for progressive tetraparesis and neck pain. The dog had been treated with steroids for the preceding 2 weeks after unknown trauma but was deteriorating progressively and had become tetraparetic. The dog was presented with a non-ambulatory tetraparesis. Radiographic and computed tomographic examinations revealed a transverse C2 fracture with subluxation of the atlantoaxial joint and C2-C3. In addition, hydrocephalus was observed on magnetic resonance imaging. Stabilization of C1-C3 using screws, wires, and polymethyl methacrylate (PMMA) was performed. Application of ventral screws, wires, and PMMA resulted in improvement of the clinical signs after 4 weeks, and the dog could walk as before the tetraparesis 6 weeks after the operation. This stabilization method is an effective surgical treatment for management of cervical instability.

Ten-year Refractive Error and Astigmatism Changes in Korean Subjects (한국인의 10년간 굴절이상과 난시 축 변화)

  • Ha, Na-Ri;You, Jung-Kone;Kim, Jai-Min
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.4
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    • pp.389-397
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    • 2010
  • Purpose: This study was to investigate the changes of refractive error and astigmatism associated with age in Korean subjects between the ages of 6 and 80 years during 10-year period. Methods: 220 normal subjects (345 eyes) who visited ophthalmic clinic was recruited and followed for 10 years between 1999 and 2009, cycloplegic manifest refraction being performed annually. Visual acuity was tested on a Han's chart. Results: The mean 10-year change in the spherical equivalent refraction (SER) of age 6 to 10 years old and 10 to 20 years was -3.649D and -2.165D respectively. There was no change of refractive error in age 21 to 40 years. The myopic shift decreased with age from 41 up to 69 years but increased slightly in patients 70 years and older; the hyperopic shift showed the opposite trend. The distribution of refractive error over the 10 years in aged 6 to 10 and 11 to 20 years was shifted myopic. The incidence of medium (> -3.01D) to high myopia at age 6 to 10 years was 4.8% and after 10 years was 62.5%. The 10-year change of astigmatism axis was in "with the rule" direction for younger age group and in a "against the rule" direction for older subjects. Conclusions: This study has documented refractive error changes in Korean subjects and confirmed reported trends of myopic shift from age 6-20 years and hyperopic shift before age 70 years and a myopic shift thereafter. The axis of astigmatism turns to "against the rule" after 40's.

Radiological Projection for Diagnosis of Shoulder Subluxation in Patients with Post-Stroke Hemiplegia (편마비 환자에서의 견관절 아탈구 진단에 유용한 촬영법)

  • Cho, Kwang-Ho;Kang, Yeong-Han
    • Journal of radiological science and technology
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    • v.32 no.3
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    • pp.253-259
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    • 2009
  • Purpose : The purpose of this study was to find out useful radiological projection of shoulder subluxation in patients with post-stroke hemiplegia. Methods : A total of 33 patients with post-stroke hemiplegia were included(20 men and 13 women, mean age 62.3 years) and having the subluxed shoulder over one finger breath. The shoulder subluxation was determined as the ratio of the radiographic vertical and horizontal distance. The vertical distance was determined by measuring the distance between the most inferolateral point of the acromion and the central point of the humeral head. The horizontal distance was determined by measuring the distance between the central point of the glenoid fossa and the central point of the humeral head. To measure of the shoulder subluxation, the shoulder AP, axial and transthoracic lateral projections were taken on both affected and unaffected shoulders. We analyzed the difference of subluxation distance by t-test. Results : When patients was in sitting position, the average time of being shoulder subluxation was 123 second. There was significant difference between supine($49.90{\pm}13.6\;mm$) and sitting position($60.72{\pm}16.3\;mm$) in the vertical distance of shoulder anterior-posterior projection. Also, there was significant difference on transthoracic lateral projections, Affected $35.92{\pm}6.2\;mm$, Unaffected $28.76{\pm}5.4\;mm$. But in case of shoulder axial projection(supine position), there was no significant difference (Unaffected and affected was $23.01{\pm}9.0\;mm$, $22.45{\pm}8.2\;mm$ each). Conclusion : Radiological projection of shoulder subluxation has diagnostic value when it goes after check out the process of subluxation through finger breadth test. For this, patients must be in sitting and shoulder neutral position about 2 minutes. In addition, Shoulder anterior-posterior and transthoracic projection were significant to diagnose subluxation. But in axial projection, there wasn't meaningful differences.

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Abnormal Eye Movements in Patients with Dementia (치매 환자에서 나타나는 비정상적인 안구운동)

  • Kim, Hyun;Lee, Kang-Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.2
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    • pp.73-80
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    • 2007
  • Anumber of prior studies have reported eye movement dysfunction in patients with dementia. The eye movement test which is non-invasive can evaluate the local brain function quantitatively. Therefore, it can be a useful method for characterizing regional brain abnormalities of patients with dementia. The aim of this paper is to review the literatures on eye movement abnormalities in dementia patients. Saccade system dysfunctions in Alzheimer disease include increased latency, reduced accuracy, and increased antisaccade error rates. Patients with frontotemporal dementia showed impaired reflexive saccade inhibition and increased latency and errors of antisaccade task. And delayed initiation of voluntary saccades, slow saccades, and increased errors and latency on antisaccade task were found in Huntington's disease. Patients with Parkinson’s disease dementia and dementia with Lewy bodies have characteristics of impaired in both reflexive saccade execution and complex saccade performance. However, there were few reports of abnormal eye movements in Creutzfeldt-Jakob disease; they could be found at the later stages after symptoms of dementia came to be evident, and secondary to cerebellar and vestibular involvement. Slowing of saccades and hypometric saccades might precede the supranuclear limitation of vertical gaze in PSP. Dysfunction of voluntary eyelid movements was a characteristic finding of PSP as well. In conclusion, patients with dementia can show various abnormal eye movements and they are related with cortial and subcortical brain dysfunctions. The research on localization of brain relevant to each symptom can promise more clinical implications of eye movement of dementia.

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Facial Motor Evoked Potential Techniques and Functional Prediction during Cerebello-pontine Angle Surgery (소뇌교각 수술 중에 안면운동유발전위의 검사방법과 기능적 예측인자)

  • Baek, Jae-Seung;Park, Sang-Ku;Kim, Dong-Jun;Park, Chan-Woo;Lim, Sung-Hyuk;Lee, Jang Ho;Cho, Young-Kuk
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.4
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    • pp.470-476
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    • 2018
  • Facial motor evoked potential (FMEP) by multi-pulse transcranial electrical stimulation (mpTES) can complement free-running electromyography (EMG) and direct facial nerve stimulation to predict the functional integrity of the facial nerve during cerebello-pontine angle (CPA) tumor surgery. The purpose of this paper is to examine the standardized test methods and the usefulness of FMEP as a predictor of facial nerve function and to minimize the incidence of facial paralysis as an aftereffect of surgery. TES was delivered through electrode Mz (cathode) - M3/M4 (anode), and extracranially direct distal facial muscle excitation was excluded by the absence of single pulse response (SPR) and by longer onset latency (more than 10 ms). FMEP from the orbicularis oris (o.oris) and the mentalis muscle simultaneously can improve the accuracy and success rate compared with FMEP from the o.oris alone. Using the methods described, we can effectively predict facial nerve outcomes immediately after surgery with a reduction of more than 50% of FMEP amplitude as a warning criterion. In conclusion, along with free-running EMG and direct facial nerve stimulation, FMEP is a useful method to reduce the incidence of facial paralysis as a sequela during CPA tumor surgery.

Strategy for Countermeasures the NK's Nuclear Issue Using Offset Strategy and the 4th Industrial Revolution Technologies (상쇄전략과 4차 산업혁명 기술혁신을 적용한 북핵 대응방안)

  • Park, Jae-wan
    • Korea and Global Affairs
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    • v.3 no.1
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    • pp.77-106
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    • 2019
  • The purpose of this paper is to propose measures to respond to NK's nuclear threat by applying the concept of offset strategy in the US and the fourth industrial revolution technology innovation. Through this study, the concept, technology, and organization were examined to find measures to counter the NK's nuclear threat. The concept was to review the US offset strategy and consider the strategy of paralyzing the enemy's center as an operational concept. And the technologies that can support the 4th Industrial revolution and the 3rd US offset strategy. The organization analyzed the implications for the reform of the National Defense Reform 2.0 and the reorganization of the acquisition of the US DoD. Through the US offset strategy review, it is necessary to reconcile the strategic concepts of Korea and the US, and the interoperability of technologies and the cooperation fields of the ROK-US alliance. In addition, it is necessary to strengthen the capability of responding to NK's nuclear threat in connection with the 4th Industrial Revolution and the National Defense Reform 2.0 promotion. It is necessary to develop the concept of operational performance applying the new paradigm for the NK's nuclear issue and to apply advanced science and technology. And that it is necessary to organize effectively in conjunction with the National Defense Reform 2.0.

대기압 플라즈마에 의한 히드라 재생 연구

  • Lee, Jong-Myeong;Son, Jong-Hyeok;Ju, Gwon-Yeong;Park, Ji-Hun;Nam, Cheol-Ju;Choe, Eun-Ha
    • Proceedings of the Korean Vacuum Society Conference
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    • 2016.02a
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    • pp.206-206
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    • 2016
  • 플라즈마(plasma)란 전자와 이온이 분리된 제 4의 물질 상태이다. 이 연구의 핵심인 플라즈마 제트(plasma jet)로 재생과 출아를 하는 히드라(Hydra)를 처리하여 플라즈마가 히드라의 출아 정도에 어떠한 영향을 미치는지에 대해 연구를 진행하였다. 히드라는 자포동물문 히드로충강 히드로충목 히드라과 히드라속에 속하며 무척추동물이다. 몸의 길이는 약 5-15mm정도이며 촉수가 6-8개가 있다. 먹이 섭취는 촉수로 먹이를 마비시켜 입을 통해 먹는다. 히드라는 못이나 늪 등의 풀잎이나 물속에 떨어진 낙엽과 썩은 나뭇가지에 붙어 산다. 특히 히드라는 영양 상태의 좋고 나쁨에 따라 무성생식을 하거나 유성생식을 한다. 또한 약 1/200의 아주 작은 단위에서도 재생을 하는 특성을 가지고 있다. 이러한 히드라에 플라즈마 처리를 함으로써 플라즈마가 히드라의 출아 특성에 어떠한 영향을 미치는지에 대해 연구를 수행하였다. 실험에서 사용한 플라즈마 소스는 대기압 플라즈마 제트(Atmospheric pressure plasma jet)이며 Ar(아르곤) 가스를 이용하여 플라즈마를 발생시켰다. 플라즈마가 발생되면 생체용액과 반응을 하면서 ROS(reactive oxygen species)와 RNS(reactive nitrogen species)가 생성되는데 이 활성 종들이 플라즈마의 주요한 특성이라고 할 수 있다. ROS와 RNS에 의해서 세포가 사멸을 하거나 활성화되기도 한다. 또한, ROS와 RNS가 생체 시스템에 영향을 주는 것은 매우 잘 알려져 있다. 이 점을 이용하여 히드라를 1분, 5분, 10분 동안 플라즈마 처리하여 히드라의 출아 특성을 관찰하였다. 관찰한 결과 1분 처리한 히드라 Group과 5분 처리한 히드라 Group이 가장 개체 수 변화가 뛰어났고 10분 처리한 히드라Group은 오히려 개체 수가 감소하였다.

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Optimum Parameter Design for Defibrillator (제세동기 최적 파라미터 설계)

  • Yoon, H.Y.;Ko, H.W.
    • Journal of Sensor Science and Technology
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    • v.6 no.3
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    • pp.245-251
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    • 1997
  • In designing defibrillator, several parameters such as patient's transthoracic impedance, output energy level, peak current, and time duration of current waveform must be considered to generate optimum electrical shocks on the heart. Patient's transthoracic impendence depends on the physical and health condition of patient. In this study, before the development of a defibrillator, the range of above parameters value as circuit elements was determined to derive optimal waveform by predicting and analyzing the performance of designed circuit by means of simulation with the software, P-Spice. The efficiency of parameter design was verified through the performance test with the developed defibrillator.

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Progressive Dynamic Equinovarus Deformity in Hereditary Spastic Paraplegia - A Case Report- (유전성 연축성 양하지 마비 환자에서의 족부 진행성 동적 첨내반족 -1예 보고-)

  • Bae, Su-Young;Seo, In-Seock
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.1
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    • pp.111-113
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    • 2004
  • In neurogenic equinovarus deformity, surgical intervention such as tendon transfer or osteotomy can be expected to improve symptoms. However, in rare cases of hereditary spastic paraplegia, the deformity and paralysis gradually progress. So limited operation and early post-operative rehabilitation are preferred to aggressive operation. We would like to report our clinical experience with one case of hereditary spastic paraplegia patient with reference review. A 40 year-old male, given tendon transfer of ankle and foot and tendo achilles lengthening 10 years ago, complained about aggravated spastic paraplegia which resulted in dynamic equinovarus and limited walking ability since his operation. Family history showed limited walking ability of his father with gradually progressing spastic paralysis and he was diagnosed as hereditary spastic paraplegia type I. We had performed a limited operation such as tendo achilles and tibialis posterior lengthening to induce plantigrade standing and walking with crutch. As a result, the patient was able to maintain a stabilized standing posture and walk after the operation. Hereditary spastic paraplegia presents with a progressive paralysis which limits rehabilitation after tendon transfer, and the symptoms can be aggravated. Therefore, considering potential hereditary neurogenic disorders in paients with equinovarus deformity and performing limited operative procedures seem to be important.

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