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Effects of Unilateral or Bilateral Ankle Immobilization on Postural Balance During Quiet Standing (정적 서기 동안 한쪽 또는 양쪽 발목관절 고정이 자세균형에 미치는 영향)

  • Han, Jin Tae
    • Journal of Korean Physical Therapy Science
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    • v.29 no.3
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    • pp.56-62
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    • 2022
  • Background: The purpose of this study was to investigate the effects of ankle joint immobilization on postural balance during quiet standing. Design: Cross-sectional study Methods: Twenty-seven healthy subject participated in this study. The subjects performed to stand quietly for 30s in eyes open on the platform with three different conditions. The sway length, sway area and sway velocity of center of gravity (COG) displacement and limit of stability (LOS) was measured using the balance platform. Repeated measured ANOVA was used to compare the postural balance parameters depending on three different ankle immobilized conditions. Results: Sway length, sway area and sway velocity of the COG displacement with bilateral ankle immobilized condition was significantly increased compared to those of the other two conditions(p<0.05). All directions of LOS with bilateral ankle immobilized condition were significantly decreased compared to those of the other two conditions. Conclusion: These findings suggest that ankle joint immobilization could be one of the factors that interfere the maintaining of the postural balance in quiet standing.

Immediate Effect of Elastic and Non-Elastic Ankle Taping on Postural Balance and Gait Ability in Subject with Stroke (뇌졸중 환자의 탄력-비탄력 발목 테이핑 적용이 자세균형과 보행능력에 미치는 일시적 효과)

  • Yo Han Yoo;Jin Tae Han
    • Journal of Korean Physical Therapy Science
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    • v.30 no.1
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    • pp.52-61
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    • 2023
  • Background: The purpose of this study was to investigate the immediate effects of ankle elastic and non-elastic taping on postural balance and gait ability in subject with stroke. Design: Cross-sectional study Methods: Twenty-seven subjects with stroke participated in this study. The subjects performed to stand quietly for 30s on the balance platform and walking test with three different ankle taping conditions. The sway length, sway area and sway velocity of center of gravity (COG) displacement was measured to assess the postural balance and the timed up and go test, 10m walking test, 6 minutes walking test was measured to assess the gait ability. Repeated measured ANOVA was used to compare the postural balance parameters and gait ability according to three different ankle taping conditions. Results: Postural balance with non-elastic ankle taping was significantly improved compared to no ankle taping and elastic ankle taping condition(p<0.05). On the other hand, gait ability with elastic ankle taping was significantly increased compared to no ankle taping and non-elastic ankle taping condition(p<0.05). Conclusion: These findings suggest that an elastic ankle taping could effect to improve the gait ability, whereas a non-elastic ankle taping could effect to improve the postural balance in subject with stroke.

Novel upper gastrointestinal bleeding sensor capsule: a first human feasibility and safety trial

  • Lukas Bajer;Marvin Ryou;Christopher C. Thompson;Pavel Drastich
    • Clinical Endoscopy
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    • v.57 no.2
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    • pp.203-208
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    • 2024
  • Background/Aims: Upper gastrointestinal bleeding (UGIB) is the most common GI condition requiring hospitalization. The present study aimed to evaluate the safety and feasibility of using the PillSense system (EnteraSense Ltd.), a novel diagnostic tool designed for the rapid in vivo detection of UGIB, in human volunteers. Methods: In the present study, 10 volunteers swallowed a PillSense capsule, followed by 2 servings of an autologous blood preparation. Participants were monitored for capsule passage, overall tolerability of the procedure, and adverse events. Results: The procedure was completed per the protocol established in the present study in 9/10 cases. In 9 of the subjects, after capsule ingestion, the device indicated the absence of blood with sensor output values of 1. After the ingestion of the first blood mixture, the sensor outputs of all devices increased to a range from 2.8 to 4, indicating that each sensor capsule detected blood. The sensor output remained within that range after the ingestion of the second mixture; however, in one case, the baseline capsule signal was positive, because of a preexisting condition. The passage of the capsule was verified in all patients, and no adverse events were reported. Conclusions: The first trial of the PillSense system in human subjects demonstrated the feasibility, safety, and tolerability of utilizing this product as a novel, noninvasive, and easy-to-use triage tool for the diagnosis of patients suspected of having UGIB.

Background effect on the measurement of trace amount of uranium by thermal ionization mass spectrometry (열이온화 질량분석에 의한 극미량 우라늄 정량에 미치는 바탕값 영향)

  • Jeon, Young-Shin;Park, Yong-Joon;Joe, Kih-Soo;Han, Sun-Ho;Song, Kyu-Seok
    • Analytical Science and Technology
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    • v.21 no.6
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    • pp.487-494
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    • 2008
  • An experiment was performed for zone refined Re-filament and normal (nonzone refined) Re-filament to reduce the background effect on the measurement of low level uranium samples. From both filaments, the signals which seemed to come from a cluster of light alkali elements, $(^{39}K_6)^+$, $(^{39}K_5+^{41}K)^+$ and $PbO_2$ were identified as the isobaric effect of the uranium isotopes. The isobaric effect signal was completely disappeared by heating the filament about $2000^{\circ}C$ at < $10^{-7}$ torr of vacuum for more than 1.5 hour in zone refined Refilaments, while that from the normal Re-filaments was not disappeared completely and was still remained as 3 pg. of uranium as the impurities after the degassing treatment was performed for more than 5 hours at the same condition of zone refined filaments. A threshold condition eliminating impurities were proved to be at 5 A and 30 minutes of degassing time. The uranium content as an impurity in rhenium filament was checked with a filament degassing treatment using the U-233 spike by isotope dilution mass spectrometry. A 0.31 ng of U was detected in rhenium filament without degassing, while only 3 pg of U was detected with baking treatment at a current of 5.5 A for 1 hr. Using normal Re-filaments for the ultra trace of uranium sample analysis had something problem because uranium remains to be 3 pg on the filament even though degassed for long hours. If the 1 ng uranium were measured, 0.3% error occurred basically. It was also conformed that ionization filament current was recommended not to be increased over 5.5 A to reduce the background. Finally, the contents of uranium isotopes in uranium standard materials (KRISS standard material and NIST standard materials, U-005 and U-030) were measured and compared with certified values. The differences between them showed 0.04% for U-235, 2% for U-234 and 2% for U-236, respectively.

The Effects of the Position of Ipsilateral Neck Rotation on the Inhibition of the Upper Trapezius Muscle During Lower Trapezius Exercises

  • Park, Se-in;Chae, Ji-yeong;Kim, Hyeong-hwi;Cho, Yu-geoung;Park, Kyue-nam
    • Physical Therapy Korea
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    • v.23 no.1
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    • pp.65-71
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    • 2016
  • Background: The unilateral prone arm lift (UPAL) is commonly used to exercise the lower trapezius muscle. However, overactivation of the upper trapezius can induce pain during UPAL exercises in subjects with upper trapezius tenderness. Objects: The purpose of this study was to investigate the effects of position of ipsilateral neck rotation (INR) on the inhibition of upper trapezius muscle activity and the facilitation of the lower trapezius muscle when performing UPAL exercises. Methods: In total, 19 subjects with upper trapezius tenderness were recruited for the study. Electromyographic (EMG) activity was measured in the upper, middle, and lower trapezius muscles during UPAL with and without INR position. Wilcoxon signed-rank test was used to compare EMG activity in the trapezius muscles and the muscle ratios. Results: EMG activity in the upper trapezius muscles was decreased significantly in the INR condition compared to without the position with INR during UPAL exercises (p<.05). EMG activity in the middle and lower trapezius was not significantly different between the with and without INR conditions (p>.05). However, the ratio of lower to upper trapezius activation showed a significant increase in the INR condition compared to the without INR condition (p<.05), indicating greater lower trapezius activation relative to the upper trapezius in the INR position than in the without INR position. Conclusions: The EMG results obtained in this study suggest that the position with INR reduced overactivation in the upper trapezius and improved muscle imbalance during lower trapezius exercises in individuals with upper trapezius tenderness.

Effect of Visual and Somatosensory Information Inputs on Postural Sway in Patients With Stroke Using Tri-Axial Accelerometer Measurement

  • Chung, Jae-yeop
    • Physical Therapy Korea
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    • v.23 no.1
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    • pp.87-93
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    • 2016
  • Background: Posture balance control is the ability to maintain the body's center of gravity in the minimal postural sway state on a supportive surface. This ability is obtained through a complicated process of sensing the movements of the human body through sensory organs and then integrating the information into the central nervous system and reacting to the musculoskeletal system and the support action of the musculoskeletal system. Motor function, including coordination, motor, and vision, vestibular sense, and sensory function, including proprioception, should act in an integrated way. However, more than half of stroke patients have motor, sensory, cognitive, and emotional disorders for a long time. Motor and sensory disorders cause the greatest difficulty in postural control among stroke patients. Objects: The purpose of this study is to determine the effect of visual and somatosensory information on postural sway in stroke patients and carrying out a kinematic analysis using a tri-axial accelerometer and a quantitative assessment. Methods: Thirty-four subjects posed four stance condition was accepted various sensory information for counterbalance. This experiment referred to the computerized dynamic posturography assessments and was redesigned four condition blocking visual and somatosensory information. To measure the postural sway of the subjects' trunk, a wireless tri-axial accelerometer was used by signal vector magnitude value. Ony-way measure analysis of variance was performed among four condition. Results: There were significant differences when somatosensory information input blocked (p<.05). Conclusion: The sensory significantly affecting the balance ability of stroke patients is somatosensory, and the amount of actual movement of the trunk could be objectively compared and analyzed through quantitative figures using a tri-axial accelerometer for balance ability.

The Influence of Chronic Disease on the Stress Cognition, Depression Experience and Suicide Thoughts of the Elderly (만성질환이 노인들의 스트레스인지, 우울증상 경험 및 자살생각에 미치는 영향)

  • Choi, Ryoung;Moon, Hyun-Ju;Hwang, Byung-Deog
    • The Korean Journal of Health Service Management
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    • v.4 no.2
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    • pp.73-84
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    • 2010
  • This study conducted a secondary analysis by using original data of performed by Korea Institute for Health and Social Affairs to determine factors affecting doctor's diagnosed disease-related mental health for the elderly aged over 65 years living in Korea. The survey was conducted in 2007 and it evaluated finally 720 cases by excluding cases with no answer or a wrong answer. The results were as follows. The proportion of the elderly who stress cognition was influenced when subjects were female and older, lower subjective health condition and osteoporosis, showed statistically significant difference. The proportion of the elderly who experience depression was influenced when subjects were older, had not health insurance or medical care, and lower subjective health condition, showed statistically significant difference. The proportion of the elderly who have suicide thoughts was influenced when subjects were female and higher educational background, lower subjective health condition, COPD(Chronic obstructive pulmonary disease), and diabetes mellitus, showed statistically significant difference. We knew that the relationship between diseases and depression in the elderly influenced on the depression about most of the diseases. Particularly, Depression and suicide had a high correlation. The results suggest that it should be necessary to systematic management of diseases in the depression treatment of the Elderly in Korea.

The Changes in the Closed Qutient of Trained Singers and Untrained Controls Under Varying Intensity at a Constant Vocal Pitch (음도 고정 시 강도 변화에 따른 일반인과 성악인 발성의 성대접촉률 변화 특성의 비교)

  • Kim, Han-Su;Jeon, Yong-Sun;Chung, Sung-Min;Cho, Kun-Kyung;Park, Eun-Hee
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.16 no.1
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    • pp.28-32
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    • 2005
  • Background and Objectives : The most important two factors of the voice production are the respiratory function which is the power source of voice and the glottic closure that transform the air flow into sound signals. The purpose of this study was to investigate the differences between trained singers and untrained controls under varying intensity at a constant vocal pitch by simulataneous using the airway interruption method and electroglottography(EGG). Materials and Methods : Under two different intensity condition at a constant vocal pitch(/G/), 20(Male 10, Female 10) trained singers were studied. Mean flow rate(MFR), subglottic pressure(Psub) and intensity were measured with aerodynamic test using the Phonatory function analyzer. Closed quotients(CQ), jitter and shimmer were also investigated by electroglottography using Lx speech studio. These data were compared with that of normal controls. Results : MFR and Psub were increased on high intensity condition in all subject groups but there was no statistically significance. Statistically significant increasing of CQ. were observed in male trained singers on high intensity condition (untrained male : 51.31${\pm}$3.70%, trained male :55.52${\pm}$6.07%, p=.039). Shimmer percent, one of the phonatory stability parameters, was also decreased statistically in all subject groups(p<.001). Conclusion : The trained singers' phonation was more efficient than untrained singers. The result means that the trained singers can increase the loudness with little changing of mean flow rate, subglottic pressure but more increasing of glottic closed quotients.

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Ecological Characteristics of White Stain Symptom on the Grape in Korea (포도흰얼룩증상의 발생생태적 특성)

  • Oh, Soh-Young;Nam, Ki-Woong;Yoon, Deok-Hoon
    • Korean Journal of Environmental Agriculture
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    • v.33 no.3
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    • pp.178-183
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    • 2014
  • BACKGROUND: The white stain symptom of grape clusters and canes by dust-like particles occurred in many vineyards recently. This study was conducted to investigate the ecological characteristics of white stain symptom in grapevines and vineyards. METHODS AND RESULTS: Optimal climate condition for white stain symptom was $25^{\circ}C{\sim}30^{\circ}C$ with 60% of humidity. Moreover, closed condition with same humidity showed higher incidence rate of white stain symptom than ventilation condition. Grape varieties with black berry skin such as Campbell-Early and Kyoho were more sensitive to white stain symptom compare to varieties with green and red berry skin. Although the pathogens were not detected until March, they increased from April, and increased sharply from mid of July. The pathogens may overwinter in the infected stems and/or on the bark as a mycelium. According to the increase of sugar content of grape from August to September, the mycelium which was parasitic on the bark grew to move to the fruits through the stems, and finally reached the fruit stalk to detach berries from the clusters. CONCLUSION: Well ventilation is recommended inside the vineyard since mid-July with roll up an insect net. In addition, infected stems and fruits should be removed out from grapevines infected with pathogens in the vineyards.

The Effect of Disturbed Vision on Gait Parameters of the Young Healthy Population (혼란스러운 시각의 영향에 따른 보행요소들의 평가)

  • Kim Kyoung;Park Young-Han;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.41-47
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    • 2000
  • BACKGROUND AND PURPOSE. The purpose of this study is to investigate the effect of the disturbed vision on the gait distance parameters on the healthy young population. SUBJECTS. Twenty four healthy college aged individuals are randomly assigned to both a condition with a strobe light and the other condition without a strobe light. METHODS. The instrumentation used for gait analysis is the GaitRite electronic walkway system with a personal IBM computer. The examiner naked all the subjects to walk 6 times on the gait mat without the strobe light and. 6 times on the mat with the strobe light. The first 4 trials were practice and the last two trials were recorded in both conditions. The gait parameters analyzed were as follows : velocity, cadence, step length, and heel to heel base of support. RESULTS. Paired samples t-test used for this study did not found any significant differences between the two conditions because the p-values that were analyzed on the experiment were Utter than 0.05. The gait parameters that were analyzed included cadence, velocity, left and right heel to heel base of support, and left and right step length. DISCUSSION AND CONCLUSION. Based on this population, the condition of disturbed vision via the effect of the strobe light was not significantly challenging to compromise the body's sensory systems. However, in the elderly population, these systems can undergo age related changes. Visual changes rapidly decline in people 60 to 80 years of age and changes in the vestibular system include $20-40\%$ reduction in hair cells.

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