• Title/Summary/Keyword: BLOCK GROUPS

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The Effect of Implicit Motor Sequence Learning Through Perceptual-Motor Task in Patients with Subacute Stroke (아급성기 뇌졸중 환자에서 지각-운동 과제를 통한 내잠 학습의 효과)

  • Lee, Mi-Young;Park, Rae-Joon;Nam, Ki-Seok
    • The Journal of Korean Physical Therapy
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    • v.20 no.3
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    • pp.1-7
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    • 2008
  • Purpose: Implicit motor learning is the capacity to acquire skill through physical practice without conscious awareness of what elements of performance improved. This study investigated whether subacute stroke patients can implicitly learn a perceptual-motor task. Methods: We recruited 12 patients with subacute stroke and 12 age-matched controls. All participants performed a perceptual-motor task that involved pressing a button corresponding with colored circles (blue, green, yellow, red) on a computer screen. The task consists of 7 blocks composed of 10 repetitions for a repeating 12-element sequence (total 120 responses). Results: Both groups demonstrated significant improvement in acquisition performance. Reaction times deceased in both groups at similar rate within the sequential block trials (2-5 blocks), and reaction times increased at a similar rate when the task paradigm was transferred from the sequential block trial to the random block trial (5-6-7 blocks). Conclusion: The results of this study suggest that patients with sub-actue stroke can implicitly learn a perceptual motor skill. Although explicit instructions should be used to focus the learner's attention rather than provide information about the task, the application of implicit motor learning strategies in the rehabilitation setting may be beneficial.

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Paleomagnetism of the Pyongan Supergroup in the Samcheok Area (삼척지역에 분포하는 평안누층군에 대한 고지자기 연구)

  • Doh, Seong-Jae
    • Economic and Environmental Geology
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    • v.28 no.6
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    • pp.559-569
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    • 1995
  • Paleomagnetic data have been obtained from the Upper Carboniferous-Permian Komok and Cheolam Groups which are exposed in the E-W trending Baekunsan syncline comprising the Pyongan Supergroup in eastern Korea. Two ancient components of magnetization are recovered in these groups by detailed thermal demagnetization: a post-folding component and a pre-folding component. The post-folding component $(D/I=54.0/54.6^{\circ},\;{\alpha}_{95}=14.6^{\circ})$ is a magnetic signature of the Oaebo Orogeny and appears to have been confined mainly to Cretaceous Normal Superchron. It has been rotated clockwise since this magnetization has been acquired. The pre-folding components ($D/I=341/-9.2^{\circ},\;{\alpha}_{95}=7.2^{\circ})$, paleopole at $335.7^{\circ}E$, $44.6^{\circ}N$ for Upper Carboniferous; $D/I=358.3/11.5^{\circ},\;{\alpha}_{95}=6.3^{\circ})$, paleopole at $311.9^{\circ}E$, $58.7^{\circ}N$ for Permian) pass fold and reversal tests. These paleopoles correspond only with the contemporaneous poles from the North China Block: they are removed from the poles from the South China Block. If the results of this study are corrected for the clockwise rotation deduced from the prefolding component, the enhanced agreement with North China Block can be achieved. Therefore, a first-order correlation between the Korean Peninsula and North China at least since Upper Paleozoic times is identified in this study.

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Comparison of Anesthesiologist Controlled Sedation and Patient Controlled Sedation during Neurolytic Pain Block and Regional Anesthesia (통증치료를 위한 신경차단과 부위 마취시 Anesthesiologist Controlled Sedation과 Patient Controlled Sedation의 비교)

  • Kim, Ik-Gon
    • The Korean Journal of Pain
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    • v.7 no.2
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    • pp.199-204
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    • 1994
  • The purpose of this study is to evaluate the feasibility, advantages/disadvantages of patient-controlled sedation (PCS) compared to anesthesiologist-controlled sedation (ACS) during neurolytic pain block and regional anesthesia. Forty patients were divided randomly into two groups of 20 patients each. Group 1(ACS) received 0.01 $mg{\cdot}kg^{-1}$ intravenous midazolam and 0.5 ${\mu}g{\cdot}kg^{-1}$ fentanyl intravenously by anesthesiologist just before, 30, and 60 minutes after the procedure to acheive sedation; Group 2 (PCS) patients self-administered a mixture of midazolam (0.4 mg) and fentanyl ($20{\mu}g$) using a syringe type infusion pump (Terumo, Japan) to acheive sedation. Considering the dermographics of patients, the types and durations of procedure performed, the level of average sedation the comfort level were similar in both groups. But the doses of midazolam and fentanyl administerd in group 2 were smaller than those in group 1 (p<0.01). Patients in PCS group showed their level of sedation more proper than did those in ACS group. However, patients in ACS group rated their level of comfort higher than did those in PCS group. The findings of this study indicate that PCS using a combination of midazolam and fentanyl is a fafe and effective technique. More studies are, however, needed to determinc the best choice of drug(s), doses, lock-out intervals, and possible use of continuous infusion with patient-controlled sedation.

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A Clinical Evaluation of Splanchnic Nerve Block with Absolute Ethanol (무수 알코올에 의한 내장신경차단에 관한 임상적 연구)

  • Lee, Hyo-Keun;Yoon, Duck-Mi;Oh, Hung-Kun
    • The Korean Journal of Pain
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    • v.4 no.2
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    • pp.111-121
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    • 1991
  • It has been well known that the splanchnic nerve block is effective for patients who suffer from intractable upper abdominal pain. However, it is unclear whether the effect of the splanchnic nerve block depends on varied alcoholic concentration. In this study, an attempt was made to use absolute ethanol on patients who recieved a splanchnic nerve block at Severance Hospital during the period from September l990 to April l991. The results are as follows; 1) Among the 33 patients, including 22 males and 1l females, the fifties and sixties were the major age groups. 2) Stomach cancer was the most common underlying disease(13 cases), with pancreatic can- cer next(9 cases). 3) The main locations of pain were the upper abdomen, epigastrium, and entire abdomen in decreasing order. 4) There were 17 cases who had had chemotherapy, and 1l cases of whom had had surgery before the splanchnic nerve block. 5) The volume of alcohol used was 12 ml bilaterally. 6) Among the 33 patients, 15.2% required a second block within two weeks of the first block. One case required a third block. 7) The most common complications of splanchnic nerve block were hypotension(33.3%), occasional transient sharp burning pain, flushing of face, pain on injection site, nausea, vomiting, dyspnea, chest discomfort and diarrhea. 8) The supplemental block most commonly used was a continuous epidural block. It was used both as a diagnostic block and to afford relief from pain before the splanchnic nerve block was done. 9) The interval between the receiving the absolute ethanol block and discharge was within 2 weeks in l5 cases. But, in the patients with poor general health, the interval between the splanchnic nerve block and discharge prolonged. The above results suggest that bilateral splanchnic nerve block done with absolute ethanol after an effective test block with 1% lidocaine under C-arm fluroscopic control is satisfactory and reliable. Still, 26.6% of the patients received a repeat block within 2 weeks. Insufficient spread of ethanol due to its small volume seems to be a major factor in the repeat block. Minimizing the incidence of repeat block remains a problem to be solved.

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Comparison of ultrasonography guided serratus anterior plane block and thoracic paravertebral block in video-assisted thoracoscopic surgery: a prospective randomized double-blind study

  • Baytar, Merve Sena;Yilmaz, Canan;Karasu, Derya;Baytar, Cagdas
    • The Korean Journal of Pain
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    • v.34 no.2
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    • pp.234-240
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    • 2021
  • Background: Various truncal block techniques with ultrasonography (USG) are becoming widespread to reduce postoperative pain and opioid requirements in video-assisted thoracoscopic surgery (VATS). The primary aim of our study was to determine whether the USG-guided serratus anterior plane block (SAPB) is as effective as the thoracic paravertebral block (TPVB) in VATS. Our secondary aim was to evaluate patient and surgeon satisfaction, block application time, first analgesic time, and length of hospital stay. Methods: Patients in Group SAPB received 0.4 mL/kg bupivacaine with a USG-guided SAPB, and patients in Group TPVB received 0.4 mL/kg bupivacaine with a USG-guided TPVB. We recorded the pain scores, the timing of the first analgesic requirement, the amount of tramadol consumption, and postoperative complications for 24 hours. We also recorded the block application time and length of hospital stay. Results: A total of 62 patients, with 31 in each group (Group SAPB and Group TPVB) completed the study. Between the two groups, there were no significant differences in rest and dynamic pain visual analog scale scores at 0, 1, 6, 12, and 24 hours after surgery. The total consumption of tramadol was significantly lower in the TPVB group (P = 0.026). The block application time was significantly shorter in Group SAPB (P < 0.001). Conclusions: An SAPB that is applied safely and rapidly as a part of multimodal analgesia in patients who undergo VATS is not inferior to the TPVB and can be an alternative to it.

Ring Opening Polymerization of Lactone Using Polyethers (폴리에테르를 이용한 락톤의 개환중합)

  • 이찬우;오세화;배기서
    • Textile Coloration and Finishing
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    • v.10 no.5
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    • pp.32-38
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    • 1998
  • Glycolides were polymerized by PPG or Pluronic(PN) to give A-B-A block copolyesters consisting of polyglycolide(A) and polypropylene glycol(B) or polyglycolide(A) and PN (B). Lactones were easily copolymerized with polyethers by ester interchange reaction even in the absence of catalyst. It is because PPG and PN are telechelic polyethers having hydroxy groups on their both ends. When the feed ratio of PPG(M$_{n}$=4,000) and PN(M$_{n}$=11,500) were over 5 and 10 wt% .elative to glycolide, respectively, the polymerization of glycolide took place from the terminus hydroxy groups of PPG or PN to produce the desired A-B-A block copolymers in high yields. The molecular weights of the copolymers, which estimated from the monomer conversions and the feed ratios of PPG and PN, could be controlled by changing the kind of terminus hydroxy of polyether and the feed molar ratio of PPG and PN. PN.

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Synthesis of Poly Imide/α'ω'-di Poly Acrylamide (3-Mercaptopropyl) Trimethoxysilane Terminated Copolymer (양 말단에 MPTMS-아크릴아미드로 치환된 폴리이미드의 합성)

  • Min, Jun Ho;Park, Chan Young;Min, Seong Kee
    • Korean Journal of Materials Research
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    • v.26 no.9
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    • pp.478-485
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    • 2016
  • An amide group was introduced to restrain the cohesion of silica nano-particles and copolymerized with polyamic acid. Amide block copolymers were prepared using silica and (3-mercaptopropyl) trimethoxysilane (MPTMS) with a siloxane group, using 2, 6-Lutidine as a catalyst. Amide block polymers and copolymers were synthesized via ATRP after brominating pyromellitic dianhydride (PMDA) and polyamic acid of methylene diphenyl diamine (MDA) using ${\alpha}$-bromo isobutyryl bromide. Characteristic peaks of copolymer with amide and imide groups and patterns of amorphous polymers were studied using FT-IR and XRD analyses; an analysis of the surface characteristic groups was conducted via XPS. Changes in the thermal properties were examined through DSC and TGA; solubility for solvents was also studied.

Fabrication and characterization of block copolymer (PCL/PCL-PEG) nanofibers binding with collagen by electrospun (콜라겐 코팅된 블록공중합(PCL/PCL-PEG) 나노섬유의 제조 및 특성분석)

  • Lee, Jin Woo;Yoon, Kuk Ro
    • Analytical Science and Technology
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    • v.27 no.5
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    • pp.228-233
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    • 2014
  • Electrospun polymeric nanofibers have been extensively studied for biomedical materials because of their unique structures and relatively easy fabrication with biocompatible polymers. The amount of surface exposed amine groups increases as the blend ratio of block copolymer increases. Cell attachments on the nanofibers change according to the ratio of the block copolymer ((Poly(e-caprolactone, PCL), Poly(e-caprolactone)-Poly (ethylen glycol-$NH_2$)) in the blend. We assume that the PEG and amine moiety plays a significant role in biocompatibility of nanofiber surfaces. Collagen was used as a grafting material on the composite nanofibers to enhance the cell adhesion because the collagen is a major constituent of connective tissue.

Synthesis of New pH-Sensitive Amphiphilic Block Copolymers and Study for the Micellization Using a Fluorescence Probe

  • Kim, Kyung-Min;Choi, Song-Yee;Jeon, Hee-Jeong;Lee, Jae-Yeol;Choo, Dong-Joon;Kim, Jung-Ahn;Kang, Yong-Soo;Yoo, Hyun-Oh
    • Macromolecular Research
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    • v.16 no.2
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    • pp.169-177
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    • 2008
  • This paper reports a facile synthesis of new water-soluble poly(ethylene oxide) (PEO)-based amphiphilic block copolymers showing pH sensitive phase transition behaviors. The copolymers were prepared by atom transfer radical polymerization (ATRP) of methacrylamide type of monomers carrying a sulfonamide group using a PEO-based macroinitiator and a Cu(I)Br/$Me_6TREN$ catalytic system in aqueous media. The resulting polymers were characterized by a combination of $^1H$-NMR, size exclusion chromatography, and UV/Visible spectrophotometeric analysis. The micellization of the block copolymers as a drug-loading mechanism in aqueous media using fluorescein salt was examined as a function of pH. The stable micelle formation and its loading efficacy suggest that the block copolymers can be used as precursors for drug-nanocontainers.

A Study on Water Purification Effect of Media Block Using Porous Ceramics and Zeolite (다공성 세라믹과 제올라이트를 활용한 수질정화미디어블럭의 효과 연구)

  • Jeon, Sung-yool;Koo, Bon-hak
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.20 no.5
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    • pp.59-66
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    • 2017
  • Preeminent water treatment plans are essential to preserve the water quality of aquatic biotopes. Previous studies have not been sufficient to provide cost-effective maintenance method since they focused only on the purification of deteriorated water that requires a continuous supply of clean water. This study proposes an economical method of water quality maintenance using water treatment media block constructed vertically using porous ceramics, zeolite, and river pebble. The water treatment media block does not require a separate purification area because it functions as a purifier within the ecological pond which can maximize the biotope area. To evaluate the performance of the water treatment media block, we longitudinally tracked the change of water quality indicators (pH, TDS, COND, DO, T-P, T-N, COD) suggested by Water Environment Standards, Ministry of Environment, Republic of Korea. We compared the water quality of one control (A: general ecological pond composition method of the laminated structure) and two experimental groups (B: a combination of aquatic plants and a water treatment media block, C: a water treatment media block only). As a result, we confirmed that the water treatment media block is an efficient and economical method to maintaining the water quality of the ecological pond for a long time. The water treatment media block will be a great help in providing a better aquatic biotope space for aquatic insects and fishes living in clear water.