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Effects of a Tongue Self-Resistance Exercise on the Swallowing Function of Patients With Stroke: Case Report (자발적 혀 저항 운동이 뇌졸중 환자의 삼킴기능에 미치는 효과: 사례연구)

  • Nam, Kyung-Wan
    • Therapeutic Science for Rehabilitation
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    • v.7 no.4
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    • pp.43-55
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    • 2018
  • Objective: This study aims to discover how tongue self-resistance exercise affects the swallowing function of patients with stroke. Method: The subjects of this study were two patients who were treated at the Y hospital in Gyeonggido. Data were gathered by VFSS regarding the degree of swallowing disability and oral intake before and after intervention. This study analyzed case studies of two patients. One patient's intervention was applied in September 2012 for three weeks. The other's intervention was applied in February 2014 for three weeks. At the first session, the VFSS examination was administered. Then, intervention began after the patients gave their consent for participation. Each session was practiced 10 times per set, but one session had 3 sets. Intervention frequency consisted of five sessions per week, and it was conducted for three weeks. Tongue self-resistance exercise included tongue protrusion, tongue lateralization, and tongue elevation on the hard palate. Results: The first tongue self-resistance exercise had a positive effect on swallowing function because of the decrease in VFS score. The second tongue self-resistance exercise showed improved oral intake based on FOIS scores. Conclusion: This study's results suggest that there are many benefits of tongue self-resistance exercise on the swallowing function when it is applied to patients with stroke.

Prognostic Value of Serum S100 Protein by Elecsys S100 Immunoassay in Patients with Spontaneous Subarachnoid and Intracerebral Hemorrhages

  • Yoon, Seok-Mann;Choi, Young-Jin;Kim, Hwi-Jun;Shim, Jai-Joon;Bae, Hack-Gun;Yun, Il-Gyu
    • Journal of Korean Neurosurgical Society
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    • v.44 no.5
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    • pp.308-313
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    • 2008
  • Objective: The serum S100 protein has been known to reflect the severity of neuronal damage. The purpose of this study was to assess the prognostic value of the serum S100 protein by Elecsys S100 immunoassay in patients with subarachnoid hemorrhage (SAH) and intracerebral hemorrhage (ICH) and to establish reference value for this new method. Methods: Serum S100 protein value was measured at admission, day 3 and 7 after bleeding in 42 consecutive patients (SAH : 20, ICH : 22) and 74 healthy controls, prospectively. Admission Glasgow coma scale (GCS) score, Hunt & Hess grade and Fisher grade for SAH, presence of intraventricular hemorrhage, ICH volume, and outcome at discharge were evaluated. Degrees of serum S100 elevation and their effect on outcomes were compared between two groups. Results: Median S100 levels in SAH and ICH groups were elevated at admission (0.092 versus $0.283{\mu}g/L$) and at day 3 (0.110 versus $0.099{\mu}g/L$) compared to healthy controls ($0.05{\mu}g/L;$ p<0001). At day 7, however, these levels were normalized in both groups. Time course of S100 level in SAH patient was relatively steady at least during the first 3 days, whereas in ICH patient it showed abrupt S100 surge on admission and then decreased rapidly during the next 7 days, suggesting severe brain damage at the time of bleeding. In ICH patient, S100 level on admission correlated well with GCS score (r=-0.859; p=0.0001) and ICH volume (r=0.663; p=0.001). A baseline S100 level more than $0.199{\mu}g/L$ predicted poor outcome with 92% sensitivity and 90% specificity. Logistic regression analyses showed Ln (S100) on admission as the only independent predictor of poor outcome (odd ratio 36.1; 95% CI, 1.98 to 656.3) Conclusion: Brain damage in ICH patient seems to develop immediately after bleeding, whereas in SAH patients it seems to be sustained for few days. Degree of brain damage is more severe in ICH compared to SAH group based on the S100 level. S100 level is considered an independent predictor of poor outcome in patient with spontaneous ICH, but not in SAH. Further study with large population is required to confirm this result.

Output-Only System Identification and Model Updating for Performance Evaluation of Tall Buildings (초고층건물의 성능평가를 위한 응답의존 시스템판별 및 모델향상)

  • Cho, Soon-Ho
    • Journal of the Earthquake Engineering Society of Korea
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    • v.12 no.4
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    • pp.19-33
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    • 2008
  • Dynamic response measurements from natural excitation were carried out for 25- and 42-story buildings to evaluate their inherent properties, such as natural frequencies, mode shapes and damping ratios. Both are reinforced concrete buildings adopting a core wall, or with shear walls as the major lateral force resisting system, but frames are added in the plan or elevation. In particular, shear walls in a 25-story building are converted to frames from the 4th floor level downwards while maintaining a core wall throughout, resulting in a fairly complex structure. Due to this, along with similar stiffness characteristics in the principal directions, significantly coupled and closely spaced modes of motion are expected in this building, making identification rather difficult. By using various state-of-the-art system identification methods, the modal parameters are extracted, and the results are then compared. Three frequency-domain and four time-domain based operational modal identification methods are considered. Overall, all natural frequencies and damping ratios estimated from the different identification methods showed a greater consistency for both buildings, while mode shapes exhibited some degree of discrepancy, varying from method to method. On the other hand, in comparison with analysis results obtained using the initial finite element(FE) models, test results exhibited a significant difference of about doubled frequencies, at least for the three lower modes in both buildings. To improve the correlation between test and analysis, a few manual schemes of FE model updating based on plausible reasons have been applied, and acceptable results are obtained. The advantages and disadvantages of each identification method used are addressed, and some difficulties that might arise from the updating of FE models, including automatic procedures, for such large structures are carefully discussed.

Immunological Aspects of Contemporary Exercise (운동과 면역반응에 대한 고찰)

  • Kwak, Yi-Sub;Kim, Chul-Woo;Paik, Young-Ho
    • Journal of Life Science
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    • v.17 no.8 s.88
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    • pp.1166-1171
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    • 2007
  • Exercise is the strongest stress to which the body is ever exposed. The body responds to this stress through a set of physiological changes in its metabolic, hormonal, and immunological systems. In this study, responses of the immune system to the long-term aerobic and anaerobic exercises have been investigated. Regular moderate exercise is associated with a reduced incidence of infection compared with a sedentary groups. Aerobic training increases the heart rate and enhances the body's intake of oxygen long enough to benefit the condition of the body. In recent years, the importance of exercise in everyday life has been rapidly increasing. Moderate exercise appears to stimulate the immune system. And also, Exercise elicits an increase in the numbers of circulating lymphocytes and lymphocyte subsets (including NK cells) which is followed by a decrease in the numbers of cells during recovery from exercise. However, prolonged bouts of strenuous exercise cause a temporary depression of various aspects of immune functions (e.g. lymphocyte proliferation, monocyte antigen presentation, open window periods, exercise induced asthma, exercise induced anaphylaxis) that usually lasts 2-24 hr after exercise depending on the intensity and duration of the exercise bout. Exercise-induced bronchoconstriction (EIB) was defined as a decrease of at least 15% in pre exercise forced expiratory volume in one second at any time point after exercise. This includes elevation of cortisol and cathecholamines in plasma. On the other hand, highly trained athletes exhibit a chronic mild hypercortisolism at baseline that maybe an adaptive change to chronic exercise. And, Consuming carbohydrate during prolonged strenuous exercise attenuates rises in stress hormones and appears to limit the degree of exercise-induced immune depression. Recent evidence suggests that antioxidant vitamin supplementation may also reduce exercise stress and impairment of leukocyte functions.

Suggestion of an Evaluation Chart for Landslide Susceptibility using a Quantification Analysis based on Canonical Correlation (정준상관 기반의 수량화분석에 의한 산사태 취약성 평가기법 제안)

  • Chae, Byung-Gon;Seo, Yong-Seok
    • Economic and Environmental Geology
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    • v.43 no.4
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    • pp.381-391
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    • 2010
  • Probabilistic prediction methods of landslides which have been developed in recent can be reliable with premise of detailed survey and analysis based on deep and special knowledge. However, landslide susceptibility should also be analyzed with some reliable and simple methods by various people such as government officials and engineering geologists who do not have deep statistical knowledge at the moment of hazards. Therefore, this study suggests an evaluation chart of landslide susceptibility with high reliability drawn by accurate statistical approaches, which the chart can be understood easily and utilized for both specialists and non-specialists. The evaluation chart was developed by a quantification method based on canonical correlation analysis using the data of geology, topography, and soil property of landslides in Korea. This study analyzed field data and laboratory test results and determined influential factors and rating values of each factor. The quantification analysis result shows that slope angle has the highest significance among the factors and elevation, permeability coefficient, porosity, lithology, and dry density are important in descending order. Based on the score assigned to each evaluation factor, an evaluation chart of landslide susceptibility was developed with rating values in each class of a factor. It is possible for an analyst to identify susceptibility degree of a landslide by checking each property of an evaluation factor and calculating sum of the rating values. This result can also be used to draw landslide susceptibility maps based on GIS techniques.

Quantification of Environmental Characteristics on Citrus Production Area of Jeju Island in Korea (제주도 감귤 재배지역에 대한 환경특성의 정량화)

  • Moon, Kyung Hwan;Son, In-Chang;Song, Eun Young;Oh, SoonJa;Park, Kyo Sun;Hyun, Hae-Nam
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.17 no.1
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    • pp.69-74
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    • 2015
  • To analyze quantitatively environmental characteristics of cultivation area of citrus, Satsuma mandarin (Citrus unshiu Marc.), we made digital maps of environmental elements such as topography and climate. Elevation, degree of slope, and slope aspect were selected as elements of topological environment, and the annual mean air temperature, annual total precipitation, mean air temperature on January, extreme value of daily minimum air temperature, and the number of days below $-5^{\circ}C$ were selected as elements of climatic environments. The grid values of 8 environmental elements were extracted by shape of citrus farm area and analyzed distribution patterns. We can determine 3 agroclimatic criteria for growing Satsuma mandarin as over $14.5^{\circ}C$ of annual mean air temperature, over $-10.0^{\circ}C$ of extreme value of daily minimum air temperature, and less 5 days of below $-5^{\circ}C$ of daily minimum air temperature.

A Study on the Human Rights Sensitivity of Employees in the Vagabond Facilities (부랑인복지시설 종사자들의 인권민감성에 관한 연구)

  • Jung, Sun-Young;Kong, Sang-Gil;Im, Eun-Kyung;Chun, Duk-Hee;Oh, Young-Rim
    • Korean Journal of Social Welfare
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    • v.62 no.1
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    • pp.263-289
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    • 2010
  • This study did by purpose to be utilized to basic data for elevation of human rights consciousness of homeless facilities employees through examining their human rights consciousness by investigating human rights sensitivity that can grasp degree of human rights consciousness of homeless facilities employees. The human rights sensitivity of 390 homeless facilities employees who are working at 38 facilities around the whole country is compared and investigated. As a result, human rights sensitivity of employees displayed very low score by average 64.55 points in total score 150 points. Human rights sensitivity academic career of employees was shown meaningful difference, and human rights consciousness of substantial administrator is appeared very low in human rights sensitivity by duties. According to the existence and nonexistence of human rights education at the homeless facilities, the employs who had got human rights education shows higher human rights sensitivity than the employs who had not go human rights education. Therefore, regular program that can enforce human rights education Collectively as a formal curriculum in homeless facilities should be established and it's proposed to develop practical and efficient human rights education manual case by case related with the violation of human rights.

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Comparative seed morphology of the tribe Alsineae (Caryophyllaceae) in Korea and its taxonomic implications (한국산 Alsineae (석죽과) 종자의 형태비교 및 분류학적 유용성)

  • Song, Jun-Ho;Kim, Ju-Mi;Ok, Min-Kyoung;Hong, Suk-Pyo
    • Korean Journal of Plant Taxonomy
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    • v.45 no.4
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    • pp.369-379
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    • 2015
  • The seed morphology of 25 taxa (8 genera) of Alsineae (Alsinoideae, Caryophyllaceae) in Korea was examined using stereo (SM) and scanning electron microscopy (SEM) in order to evaluate their diagnostic values and taxonomic implications. Circular, comma-shaped, ellipsoid, ovate, pyriform, reniform, and sub-circular seed shapes were identified. The seeds of the examined taxa range from 0.28 to 4.10 mm in length and from 0.33 to 3.10 mm in width; the smallest one was found in Sagina japonica, while the largest was in Honkenya peploides var. major. A hilar appendage was found in Cerastium, Honkenya, Moehringia, and strophioles were only observed in the genus Moehringia. Based on the examination of epidermal cells of the seed surface, four micromorphological types can be distinguished, viz., the colliculate-papillate (Col-Pap), colliculate-columellate (Col-Cll), colliculate-simple (Col-Sim), and smooth (Sm) types. Descriptions of the testa shape, margin, and the degree of elevation of the anticlinal cell walls, and the outer periclinal cell walls are summarized for the tribe. Taxonomic implications of the seed micromorphological characters were also discussed, in comparison with an earlier taxonomic system.

Preparation of equine blood typing reagents by isoimmunization (동종면역(同種免疫)에 의한 말항혈청(抗血淸)제조에 관한 연구)

  • Han, Bang-keun;Matsumoto, Hiroshi;Chang, Duk-gi
    • Korean Journal of Veterinary Research
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    • v.30 no.2
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    • pp.145-156
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    • 1990
  • This study was purposed to produce blood typing reagents for classifing Cheju horse's blood group factors. The blood typing reagents were prepared by immunization of sixteen pairs out of fourty eight heads of Cheju horses, and seventeen different blood typing reagents (anti-$A_1$, A', H, Z, $ZZ_2$, C, J, K, $P_1$, Q, R, S, $T_1$, $N_1$, $U_2$, X and $E_2$) were prepared from equine isoimmunization. The result for the reagent production and the variation of agglutinin and hemolysin titer are as follows: 1. Anti-K, R, S, $N_1$, $U_2$ and X acted exclusively as hemolysins whereas anti-J, $P_1$, $T_1$ and $E_2$ acted exclusively as agglutinins, however, Anti-$A_1$, A', H, Z, $ZZ_2$, C and Q reacted both as hemolysins and agglutinins. 2. Among the antibodies in most of the reagents reacted both as hemolysins and agglutinins, But anti-$A_1$, H, Z, $ZZ_2$ and Q elevated higher agglutin titers than hemolysin titers, Anti-A' and anti-C elevated higher hemolysin titers than agglutinin titers. 3. Complex antibody $A_1U_2$ was adsorbed $U_2$ and unified to $A_1$, while complex antibody X $N_1$ went through an adsorption process and produced simple antibody X and $N_1$, respectively. 4. In the hemolytic reaction, anti-K and anti-R showed the highest titer, In the agglutination reaction, anti-Z and anti-$ZZ_2$ showed the highest titer. 5. In the case of No.138~No.140 horse immunization combination and No.133~No.146 horse immunization combination, Although production of complex antibody $CE_2$ and $JP_1$ were expected, only anti-$E_2$ and anti-J were produced respectively. 6. The degree of elevation of antibody titer was varied by the blood types and by the types of donor and recipient combination. The fast elevating types, slow elevating types and types that never elevate the antibody titer were identified.

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Tumor Necrosis Factor-alpha and Apoptosis Following Spinal Nerve Ligation Injury in Rats

  • Kim, Sung-Hoon;Nam, Jae-Sik;Choi, Dae-Kee;Koh, Won-Wook;Suh, Jeong-Hun;Song, Jun-Gol;Shin, Jin-Woo;Leem, Jeong-Gil
    • The Korean Journal of Pain
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    • v.24 no.4
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    • pp.185-190
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    • 2011
  • Background: Spinal nerve ligation (SNL) injury in rats produces a pain syndrome that includes mechanical and thermal allodynia. Previous studies have indicated that proinflammatory cytokines such as tumor necrosis factor-${\alpha}$ (TNF-${\alpha}$) play an important role in peripheral mediation of neuropathic pain, and that altered dorsal root ganglion (DRG) function and degree of DRG neuronal apoptosis are associated with spinal nerve injury. The present study was conducted to evaluate the expression of TNF-${\alpha}$ and the extent of apoptosis in the dorsal root ganglion after SNL in rats. Methods: Sprague-Dawley rats were subjected to SNL of the left L5 and L6 spinal nerves distal to the DRG and proximal to the formation of the sciatic nerve. At postoperative day 8, TNF-${\alpha}$ protein levels in the L5.6 DRG were compared between SNL and naive groups using ELISA. In addition, we compared the percentage of neurons injured in the DRG using immunostaining for apoptosis and localization of activated caspase-3. Results: SNL injury produced significant mechanical and cold allodynia throughout the 7-day experimental period. TNF-${\alpha}$ protein levels were increased in the DRG in rats that had undergone SNL ($12.7{\pm}3.2$ pg/100 ${\mu}g$, P < 0.001) when compared with naive rats ($4.1{\pm}1.4$ pg/100 ${\mu}g$). The percentage of neurons or satellite cells co-localized with activated caspase-3 were also significantly higher in rats with SNL than in naive rats (P < 0.001, P < 0.05, respectively). Conclusions: SNL injury produces mechanical and cold allodynia, as well as TNF-${\alpha}$ elevation and apoptosis in the DRG.