• Title/Summary/Keyword: Back up

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Comparison of Multifidus Thickness Change During Contralateral Arm Lift(CAL) in Patients with Chronic Low Back Pain and Normal Adults (반대쪽 팔 들기 동작 시 만성요통환자와 정상인의 다열근 두께 변화 비교)

  • Song, Won-bin;Kim, Chi-hyok;Jung, Woong-keun;Ha, Ye-ji;Han, Seong-gu;Hwangbo, In
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.2
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    • pp.51-58
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    • 2018
  • Backdround: Using RUSI (Rehabilitation Ultra Sound Imiging) method, which showed high reliability in soft tissue measurements, we compared the muscle relax and contraction, sex, and physical characteristics of the activity of the multifidus muscle in patients with chronic low back pain and normal subjects. Methods: In this study, 16 patients (male: 8, female: 8) with chronic low back pain and 16 healthy adult (male: 8, female: 8) were participated. Subjects lied prone posture on the table with elbow flexed $90^{\circ}$ and shoulder abducted $120^{\circ}$ (starting position). Test was applied two types that muscle relax position and muscle contraction position. Muscle relax position is equal to starting position and muscle contraction position is that upper extremity lift up about 5cm from the table. We measured the thickness of the multifidus muscle in each position by ultrasound. Results: There was a statistically significant difference between the two groups in deviation of Both Side Difference of Activated resting-Arm Lifting Ratio according to posture change between the chronic low back pain patient group and the normal group. Conclusion: The result of this study support previous study showing that there is an imbalance in the activity of multifidus in patients with chronic low back pain.

Convergence study on the change of cognitive function through the intentional finger movement (의식적 손가락 움직임이 인지기능 변화에 미치는 융합연구)

  • Kim, Kyung-Yoon;Bae, Seahyun
    • Journal of the Korea Convergence Society
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    • v.10 no.5
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    • pp.95-102
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    • 2019
  • This study was to investigate the effect of eye movement and intentional finger movement on cognitive ability. Normal adult subjects were randomly divided into two groups: saccadic eye movement(SEM) and intentional finger movement(IFM). After 2 weeks of intervention, Digit span was used for short-term memory test and N-back was used for working memory test. As a result, the short-term memory of the IFM group increased significantly over time, and the follow-up test showed difference between group. The IFM group's the execution time, the error count and the accuracy rate of n-back item showed significant effects over time. The SEM group's the execution time and the accuracy of n-back item showed significant effects over time. In conclusion, the IFM method, which is a multiple stimulus that can activate the cerebral cortex more extensively than the single stimulus SEM, may be more useful as an intervention method of cognitive function improvement.

Case Series of Low Back Pain and Pelvic Pain Caused by Traffic Accident during Pregnancy (임신 중 교통사고로 인한 요통 및 골반통으로 입원한 환자 증례 보고)

  • O, Kwang-Woo;Ryu, Ik-Han;Kim, Ji-Ryang;Kim, Hae-Jung;Kang, Jung-Ah;Lee, Su-Jeong;Choi, Chang-Min
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.4
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    • pp.194-204
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    • 2009
  • Purpose: When pregnant women get symptom like pain, because of fear of using analgesic drugs and X-ray test during pregnancy, pain is nevertheless often left. This study was to report the clinical application and safety of oriental treatment to low back pain and pelvic pain caused by traffic accident during pregnancy. Methods: We experienced seven patients who suffered from low back pain and pelvic pain caused by traffic accident during pregnancy. During their admission, we treated with acupuncture, cupping therapy and herbal medicine. We checked the symptoms during admission at progress note, and follow up by phone call. Results: The degree of low back pain and pelvic pain were decreased or resolved. After treatment, no serious adverse effects were found on the patients, and there were no adverse effects at all on the infants. Conclusion: The results indicate that oriental treatment can be effective for the management of low back pain and pelvic pain caused by traffic accident during pregnancy. And these treatments are safe to both patients and infants.

Numerical Analysis of Synchronous Edge Wave Known as the Driving Mechanism of Beach Cusp (Beach Cusp 생성기작으로 기능하는 Synchronous Edge Wave 수치해석)

  • Lee, Hyung Jae;Cho, Yong Jun
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.31 no.6
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    • pp.409-422
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    • 2019
  • In this study, we carried out the 3D numerical simulation to investigate the hydraulic characteristics of Synchronous Edge wave known as the driving mechanism of beach cusp using the Tool Box called the ihFoam that has its roots on the OpenFoam. As a wave driver, RANS (Reynolds Averaged Navier-Stokes equation) and mass conservation equation are used. In doing so, we materialized short-crested waves known as the prerequisite for the formation of Synchronous Edge waves by generating two obliquely colliding Cnoidal waves. Numerical results show that as can be expected, flow velocity along the cross section where waves are focused are simulated to be much faster than the one along the cross section where waves are diverged. It is also shown that along the cross section where waves are focused, up-rush is moving much faster than its associated back-wash, but a duration period of up-rush is shortened, which complies the typical characteristics of nonlinear waves. On the other hand, due to the water-merging effect triggered by the redirected flow toward wave-diverging area at the pinacle of run-up, along the cross section where waves are diverged, offshore-ward velocity is larger than shore-ward velocity at the vicinity of shore-line, while at the very middle of shoaling process, the asymmetry of flow velocity leaned toward the shore is noticeably weakened. Considering that these flow characteristics can be found without exception in Synchronous Edge waves, the numerical simulation can be regarded to be successfully implemented. In doing so, new insight about how the boundary layer streaming occur are also developed.

Occurrence of Low Back Pains for Dental Hygienists (치과위생사의 요통 발생에 관한 연구)

  • Lee, Sook-Jeung
    • Journal of Korean society of Dental Hygiene
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    • v.4 no.2
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    • pp.265-276
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    • 2004
  • The purpose of this study,was to find out health status, characteristics related to working conditions, occurrence of low back pain and its related factors among dental hygienists working in dental clinics, and, thus, to provide basic information necessary to set up some plans for preventing the occurrence of low back pains and improving working conditions for dental hygienists. The data were collected from 310 dental hygienists working at dental clinics in Pusan and Kyungnam area, including Masan, Changwon, Jinhae and Jinju, with a self-administered questionnaire and were analyzed finally for 295 records with SPSS for Windows(7.52K) program. The results were as follows : Working condition was considered to be fair by 562% of dental hygienists were thought to threaten their health in the dental clinics. About seventy percent of dental hygienists worked over ten hours a day and 72.8% were standing while working over 7 hours, 65% considered working hours too long. Health status was thought be more than average for 82.3% while more than half perceived certain degree of stress frequently. The rate of complaining low back pains among dental hygienists was 87.8% with pains more than medium level for 39.3%. The variables significantly related to the degree of low back pains were height, uncomfortable postures, type of working postures and the height of working table, while some variables including height, hours of working on the feet, the presence of hazardous work environment, uncomfortable postures, the presence of hazardous works, the amount of working hours, type of working postures and work-associated stresses, were significantly related to the number of symptoms for low back pains. Multiple regression analysis showed that occurrence of low back pains was significantly influenced by 5 factors such as subjective status of health, work-related stresses, the degree of perception to work environment, the degree of perception to the amount of working hours and age. In conclusion, it might be necessary to manage working conditions effectively by reducing working hours, making good postures while working and removing stressful conditions in order to reduce risk factors for the occurrence of low back pains among dental hygienists. Therefore good working postures, assignment of appropriate rest time and some programs for early detection, care and education of low back pains should be provided for the dental hygienists.

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Systematic Review of High Frequency of Acupuncture Point and Self Exercise Therapy for Lower Back Pain (요통 치료의 빈용 경혈과 자가 운동 요법에 대한 체계적 문헌 고찰)

  • Nam, Dae-Jin;Huh, Gun;Lee, Hyung-Eun;Choi, Bo-Mi;Lee, Jung-Min;Lee, Eun-Jung;Oh, Min-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.4
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    • pp.59-71
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    • 2013
  • Objectives The aim of this review is to figure out which acupoints are frequently used to treat low back pain and which exercises are effective to low back pain. Methods We searched the three electronic database (RISS, KISS, KTKP) and manually checked related Korean journals and reference lists up to June 2013. We investigated the frequency of acupoints for using treatment of low back pain. We Introduce exercise therapies we can do easily at home without professional skills for treatment low back pain. Results We included 72 articles in this study. The most frequently adopted acupoints were BL25, BL23, BL24, GB30, BL40, BL26, BL60, GB34, BL52, BL57, GB39. The most frequently adopted meridian pathways were BL, GB, GV, ST. The most frequently adopted disease causing low back pain were HIVD (Herniated intervertebral disc), Lumbar sprain, Spinal stenosis, Compression fracture, Cauda equina syndrome, Spondylolisthesis, Ankylosing spondylitis. There are many exercise therapies (Lumbar stabilizing exercise, Resistance exercise, Bareunmom physical exercise, Mckenzie exercise, Williams exercise, Emblass exercise, Swiss ball exercise, Thera band exercise, Yoga) for treatment low back pain. Conclusions These results suggest that most frequently adopted acupoints were foot taeyang urinary bladder channel acupoints. Beacuse foot taeyang urinary bladder channel is passes through the waist, it will be effective for treatment of low back pain. Also exercise therapy is effective for enhance Muscular strength. In order to treatment of low back pain, Acupuncture treatment is also important, as well as exercise therapy.

Measurement of Micro Thermal Deformation of Optical Pick-up Base Using Holographic Interferometry (흘로그램 간섭계를 이용한 광픽업 베이스의 미소 열변형 측정)

  • 서영민;강신일
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2002.05a
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    • pp.191-194
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    • 2002
  • In optical pick-up, optical components such as objective lens, collimator, mirror, laser diode and photo diode are mounted on the pick-up base. These components must keep their original position during operation for proper transmittance of information from laser diode to optical disk and back to photo diode. However, micro thermal deformation of pick-up base which is induced by thermal environment during operation can deteriorate the performance of optical pick-up. Therefore, it is important to measure and analyze the thermal deformation behavior of pick-up base under thermal environment. In the present study, a measurement system using holographic interferometry was designed to measure micro thermal deformation of pick up base. The measurement system was verified by using the deformation of cantilever with prescribed motion actuated by PZT with 1 nm resolution. Interferometric measurement was compared quantitatively with that induced by PZT actuator. Finally, micro thermal deformation of pick-up base under actual thermal environment was measured using the present holographic interferometry and the results were analysed.

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Single-Stage Posterior Subtotal Corpectomy and Circumferential Reconstruction for the Treatment of Unstable Thoracolumbar Burst Fractures

  • Jo, Dae-Jean;Kim, Ki-Tack;Kim, Sung-Min;Lee, Sang-Hun;Cho, Myung-Guk;Seo, Eun-Min
    • Journal of Korean Neurosurgical Society
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    • v.59 no.2
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    • pp.122-128
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    • 2016
  • Objective : To illustrate the technique of single-stage posterior subtotal corpectomy and circumferential reconstruction for the treatment of unstable thoracolumbar burst fractures and to evaluate the radiographical and clinical outcomes of patients treated using this technique. Methods : 16 consecutive patients with unstable thoracolumbar burst fractures were treated with single-stage posterior subtotal corpectomy and circumferential reconstruction. The mean patient age was 54.8 years. The mean follower up period was 25 months. Five patients suffered from T12 fractures, 10 from L1, 1 from L2. The segmental kyphosis, neurologic status, visual analogue scale for back pain was evaluated before surgery and at follow up. Results : The segmental kyphotic angle improved from 18.5 degrees before surgery to -9.2 degrees at the last follow up. The mean correction angle was 28.9 degrees. The mean surgical time was 255 minutes, and a mean intraoperative blood loss was 1073 mL. Intraoperative complications included two dural tears, and a superficial wound infection. There were no other severe complications. The mean visual analog scale of back pain decreased from a mean value of 6.6 to 2 at the last follow up. Conclusion : The single-stage posterior subtotal corpectomy and circumferential reconstruction achieved satisfactory kyphosis correction with direct visualization of the circumferentially decompressed spinal cord, as well as good fusion with less blood loss and complications. It is a safe and reliable surgical treatment option for unstable thoracolumbar burst fractures.

A Framework of Operational Continuity Management Governance (운영 연속성 관리 거버넌스 프레임 워크에 관한 연구)

  • Lee, Youngjai;Yun, Jungwon;Lee, Seongil
    • Journal of Korean Society of societal Security
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    • v.1 no.1
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    • pp.69-79
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    • 2008
  • Operational continuity is not a simple issue that can be solved by a Back-Up center or an alternate site. Strategic issues including law, standards, etc demand a new approach in terms of the operational continuity management (OCM). Also, it is necessary to develop a new framework of OCM governance as a part of the corporate governance. Experts from corporate governance insist that OCM can be included in the corporate operational control and so it is important to set up a strategy for OCM in the organization. This paper describes how OCM governance suggests two aspects of effectively controlling corporate risks in the viewpoint of corporate governance. First of all, the top corporate management develops the strategy of operational continuity with regard to the corporate governance. Secondly, there is the aspect of how to build up and manage the strategy of operational continuity in the corporations.

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Efficacy of a Novel Annular Closure Device after Lumbar Discectomy in Korean Patients : A 24-Month Follow-Up of a Randomized Controlled Trial

  • Cho, Pyung Goo;Shin, Dong Ah;Park, Sang Hyuk;Ji, Gyu Yeul
    • Journal of Korean Neurosurgical Society
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    • v.62 no.6
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    • pp.691-699
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    • 2019
  • Objective : Lumbar discectomy is an effective treatment for lumbar disc herniation (LDH); however, up to 2-18% of patients with LDH have experienced recurrent disc herniation. The purpose of this study was to evaluate the efficacy of a novel annular closure device (ACD) for preventing LDH recurrence and re-operation compared with that of conventional lumbar discectomy (CLD). Methods : In this prospective randomized controlled trial, we compared CLD with discectomy utilizing the $Barricaid^{(R)}$ (Intrinsic Therapeutics, Inc., Woburn, MA, USA) ACD. Primary radiologic outcomes included disc height, percentage of preoperative disc height maintained, and re-herniation rates. Additional clinical outcomes included visual analog scale (VAS) scores for back and leg pain, Oswestry Disability Index (ODI) scores, and 12-item short-form health survey (SF-12) quality of life scores. Outcomes were measured at preoperation and at 1 week, 1, 3, 6, 12, and 24 months postoperation. Results : Sixty patients (30 CLD, 30 ACD) were enrolled in this study. At 24-month follow-up, the disc height in the ACD group was significantly greater than that in the CLD group ($11.4{\pm}1.5$ vs. $10.2{\pm}1.2mm$, p=0.006). Re-herniation occurred in one patient in the ACD group versus six patients in the CLD group (${\chi}^2=4.04$, p=0.044). Back and leg VAS scores, ODI scores, and SF-12 scores improved significantly in both groups compared with preoperative scores in the first 7 days following surgery and remained at significantly improved levels at a 24-month follow-up. However, no statistical difference was found between the two groups. Conclusion : Lumbar discectomy with the $Barricaid^{(R)}$ (Intrinsic Therapeutics, Inc.) ACD is more effective at maintaining disc height and preventing re-herniation compared with conventional discectomy. Our results suggest that adoption of ACD in lumbar discectomy can help improve the treatment outcome.