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Physical Therapy Clinical Practice and Documentation for Pusher Syndrome in Stroke Patients: Case Report (밀기증후군을 가진 뇌졸중 환자에 대한 임상 실기와 문서화: 사례보고)

  • Hwang, Ki-Kyeong;Song, Su-Young;Doo, Yeong-Taek;Yoon, Se-Won;Lee, Jeong-Woo
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.9 no.1
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    • pp.41-49
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    • 2011
  • This study purposes to conduct visual feedback and body posture control training on stroke patients with pusher syndrome in order to reduce their pusher syndrome. This study also examines changes resulting from the training and applies the guidelines necessary for documentation of patient/customer management. The participant for this study was one patient with pusher syndrome. The study progressed from a medical examination of the subject followed by evaluation, diagnosis, prognosis, intervention and treatment plan, and finally re-examination in order of precedence. Problems in the participant's functional activities, difficulties in changes from sitting postures into standing postures, and maintaining standing postures were determined as primary restrictions on activities and the improvement of these activities was set up as a goal through discussions with the patient. Interventions were mainly implemented to reduce the pusher syndrome with visual feedback provided using mirrors and exercises focusing on leaning in order to maintain posture while sitting. Changes from supine postures to sitting postures and the degree of changes in maintaining standing postures were compared between before and after the intervention by measuring times in the same environment and the degree of pusher syndrome was measured using the SCP tool. The process of this clinical practice was documented. The SCP score that indicates the degree of changes in the participant's pusher syndrome changed from 3.75 points to 0.8 point indicating a decrease in pushing. Among functional activities, posture changes from sitting postures to standing postures and maintaining standing postures were improved. In addition, since the patient could maintain standing postures, the patient could walk indoors. In this case study, mirrors and body posture control training used as interventions to relieve pusher syndromes can be easily applied in clinics to examine the form of functional recovery. The results indicated that these intervention methods were effective and thus it is thought that the results can be used as basic data to utilize these intervention methods diversely. In addition, the documentation of patient/client management was applied as actual documentation in Korean and based on the results, we could show decision making processes for patients' functional goals and objectively explain problems, prognoses and changes made through the interventions.

Antifungal Performance of Hwangtoh Mortars with Natural Antifungal Substances (천연 항균물질을 이용한 황토모르타르의 항곰팡이 성능 평가)

  • So, Hyoung-Seok;Kim, Jung-Woo;Lee, Bo-Ram;So, Seung-Young
    • Journal of the Korea Concrete Institute
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    • v.27 no.1
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    • pp.75-83
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    • 2015
  • This study discusses the long-term antifungal effect and antifungal performance of Hwangtoh mortars with various natural antifungal substances on five types of mold: Chaetomium globosum, Aspergillus niger, Aureobasidium pullulans, Gliocladium virens, and Penicillium pinophilum, which can be easily detected in the indoors and outdoors of buildings in damp environments. The antifungal performances of various natural antifungal substances extracted from Marjoram, Phytoncide, Thyme, Ginkgo leaves, and Chitosan (oligosaccharide) were investigated on the five types of mold, as a basic experiment. Using the natural antifungal substances selected for the basic experiment, antifungal mortars were made, and their antifungal performance and long-term antifungal effects were also investigated. The results clearly showed that the marjoram extract and their associated mortars had excellent antifungal performance. Also, their long-term antifungal effects were outstanding and at an equivalent level to those of the mortars with organic chemical antifungal agents. The optimum addition rate of the marjoram extract in the mortar was 5% by mass of binder. It was also shown that the phytoncide extract in the mortar needed an addition rate of more than 10% according to the mass of binder, considering the long-term antifungal effect and the antifungal performance.

A Study on Changes in Indoor Air Pollution by Educational Activities -Centering on Newly-Established Elementary Schools- (교육활동에 따른 실내오염도 변화에 관한 연구 -신설 초등학교를 중심으로-)

  • Jeon, Seok-Jin
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.6 no.2
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    • pp.66-90
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    • 2007
  • The purpose of this study is to measure and analyze primary causes of indoor air pollution, including carbon dioxide, minute dust, and total volatile organic compounds, for each room before the beginning of a class through the time of discharge after the end of the class in general classrooms, computer rooms, and science rooms of three newly-established schools that opened in 2006, examine properties of indoor air environment in each room by educational activities at school, and determine effective management schemes; the results of this study can be summarized as follows: 1) As for implications for each item found in the mean for each place, since minute dust (PM10) was more likely to occur in time slots full of students' activities, such as a traveling class and a recess, than in the middle of a class and could be expected fully, it is necessary to make a scheme for cleaning in order to reduce minute dust within a room, for example, by usually using a vacuum cleaner indoors. 2) While carbon dioxide was expected to vary with the differences in the amount of breath between higher-graders and lower-graders in a general classroom but showed insignificant difference by grades, showing differences in pollution by four times at a maximum according to the opening of a window as expected, it is necessary to implement artificial or natural ventilation and take a positive measure, for example, by presenting a concrete ventilation scheme, in order to improve indoor air pollution at a room practice. 3) Total volatile organic compounds were found to exceed the standard by more than twice in general classrooms, science rooms, and computer rooms of the schools because of building materials, furnitures including desks and chairs, panels and boards for environment beautification, and items which could be detected even from students' clothes; while a field directly-reading tool was used, obtaining high reliability for the results, it is necessary to apply an analytical method based on process test separately for actual correct measurement if a significantly great amount of total volatile organic compounds appear as compared with other schools due to measuring expenses and consecutive measurements. 4) Since formaldehyde (HCHO) was generally found to exceed the standard in general classrooms, science rooms, and computer rooms, it is necessary to establish and operate a ventilator during a class in a computer room which requires airtightness and a science room in which an organic compound should be used for a class.

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Hematological Changes Associated with Theileria orientalis Infection in Korean Indigenous Cattle

  • Kim, Suhee;Yu, Do-Hyeon;Kang, Sung-Woo;Chae, Jeong-Byoung;Choi, Kyoung-Seong;Kim, Hyeon-Cheol;Park, Bae-Keun;Chae, Joon-Seok;Park, Jinho
    • Parasites, Hosts and Diseases
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    • v.55 no.5
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    • pp.481-489
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    • 2017
  • Tick-borne pathogens can cause serious problems in grazing cattle. However, little information is available on tick-mediated diseases in cattle grazing on mountains. Thus, this study aimed to understand the potential problems related to tick-borne diseases in grazing cattle through the investigation of prevalent tick-transmitted infections, and their associated hematological changes, in terms of season and grazing type in Korean indigenous cattle (=Hanwoo). Hanwoo cattle from 3 regions of the Republic of Korea (=Korea) were either maintained indoors or placed on grassy mountains from spring to fall of 2014 and 2015. Cattle that grazed in mountainous areas showed a greater prevalence of tick-borne infections with an increased Theileria orientalis infection rate (54.7%) compared to that in non-grazing cattle (16.3%) (P<0.001). Accordingly, the red blood cell (RBC) count and hematocrit (HCT) values of grazing cattle were significantly lower than those of non-grazing cattle throughout the season (P<0.05). Moreover, RBC, hemoglobin (Hb), and HCT of T. orientalis-positive group were significantly lower than those of T. orientalis-negative group (P<0.05). T. orientalis is a widespread tick-borne pathogen in Korea. Grazing of cattle in mountainous areas is closely associated with an increase in T. orientalis infection (RR=3.4, P<0.001), and with consequent decreases in RBC count and HCT. Thus, these findings suggest that the Hanwoo cattle in mountainous areas of Korea are at a high risk of infection by T. orientalis, which can lead to hematological alterations. This study highlights the necessity of preventive strategies that target T. orientalis infection.

Scientific Conservation Treatment of Artifacts Collected from the Lime-soil Mixture Barrier Tombs Excavated from the Site of a Public Residential Area in Godeung-dong, Seongnam (성남 고등 공공주택지구 출토 회격묘 과학적 보존처리)

  • Kim, Woungshin;Jeon, Juyeon;Kim, Beomjun;Han, Minsoo;Lee, Minhye
    • Conservation Science in Museum
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    • v.22
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    • pp.53-68
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    • 2019
  • Two lime-soil mixture barrier tombs were excavated from the tomb complex of the Woo Family of the Danyang Wu clan dating to the Joseon dynasty in Godeung-dong, Seongnam-si, Gyeonggi-do. Relevant records offer information for more precisely dating these tombs and identifying their occupants. Tomb No. 4, in which a married couple was interred, has a corbeled square ceiling and inscriptions and paintings on its outer walls. The conservation treatment and an infrared inspection revealed that they were intended to express mourning. Tomb No. 6 has a corbeled rectangular ceiling and a single individual interred within. As the basic structure of the tomb was partially damaged in the process of disassembling it while moving the burial site, it was planned to exhibit the tomb outdoors after the remains and relics are collected. However, as the conservation treatment revealed the presence of funeral fans and pitch, and since the remaining structure clearly demonstrates the features of lime-soil mixture barrier tombs from the Joseon dynasty, the plan was changed following a meeting of an advisory council that decided in favor of presenting the tomb indoors. According to the analysis, the pitch is assumed to be resin of a rather low purity due to the immixture of foreign substances. The two tombs are expected to serve as important materials for related research, such as changes by period in the forms of Joseon-era tombs.

Development of Rolling Type Light-Shelf with Adjustable Reflectivity (반사율 변경이 가능한 롤링타입형 광선반 개발)

  • Kim, Kyungsoo;Shim, Hyungjun;Lee, Heangwoo;Seo, Janghoo;Kim, Yongseong
    • KIEAE Journal
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    • v.16 no.5
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    • pp.57-64
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    • 2016
  • Purpose: Recently, lighting energy consumption in buildings has been gradually increasing and more studies are being carried out in order to solve this problem. Especially, the efficiency of the light-shelf system, which is a natural lighting system, has been recognized as a potential solution in addressing this problem and so various studies regarding the light-shelf system are being conducted. However, if high luminance material is used for the light-shelf system, glaring may occur in certain circumstances even though such material increases efficiency, and there are also difficulties related to maintenance and management in the case of an external light-shelf system. Therefore, the purpose of this study is to suggest modifications in relation to the reflectivity of the light-shelf system and introduce a rolling type light-shelf system with built-in cleaning equipment. In addition, a performance evaluation technique was established to verify its effectiveness. Method: In this study, we reviewed previous studies related to the light-shelf system and its performance. Then a testbed was established to assess the performance of the rolling-type light-shelf system suggested in this study. Also, the performance of the rolling-type light-shelf system suggested in this study was compared and analyzed with that of existent light-shelf systems in order to better verify the performance, and the uniformity ratio of illumination and lighting energy consumption were calculated for this purpose. Result: The results of the performance evaluation are as follows. 1) The performance evaluation result of the light-shelf system on the day of the summer solstice shows that $30^{\circ}$ is appropriate for the angle of light-shelf system, and the depth of the incoming natural light also increases as the angle of the light shelf increases. 2) It is possible to improve the uniformity ratio of illumination by increasing the reflectivity of the light shelf, and the reason for this is the increase in the amount of incoming light entering indoors due to the increased reflectivity of the light shelf. 3) The rolling type light-shelf system suggested in this study enables energy saving in comparison with existent light-shelf systems, and when the external illuminance decreases to 60,000 lx and 40,000 lx during the summer solstice due to factors such as the weather, the suggested light-shelf system can save energy by 12.1% and 5.1% respectively. Thus the light-shelf system proposed in this study is deemed to be effective in reducing energy costs.

The Effect of Blue and Red LEDs Irradiation on The Growth Characteristics and Ginsenoside Content of Panax ginseng C. A. Meyer (청색과 적색의 혼합LED광 처리가 인삼의 생육 및 진세노사이드 함량에 미치는 영향)

  • Seong, Bong-Jae;Kim, Hyun-Ho;Cho, Jin-Woong
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.60 no.1
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    • pp.70-74
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    • 2015
  • An LED plant factory farm is an alternative way to grow crops regardless of weather, season, and blight in such times of climate change. In recent years, it is a currently active and vibrant research field. The industry, which ranges from leaf vegetables to high value products, is expanding. This study was conducted to test tthe response of LED (Light-emitting diode) irradiation on the growth characteristics and ginsenoside levels indoors, in order to find out suitable light conditions. Ginseng seedling was transplanted from a styrofoam pot ($L{\times}W{\times}D$:$495{\times}315{\times}215mm$, inside diameter) into a closed plant production system in four blue LED (BL) and red LED (RL) different ratios of 1:1, 1;2, 1:3, 1:4 in a temperature range of $20{\sim}25^{\circ}C$, relative humidity of between 55 and 65%, and a 12-hour photoperiod. The LED irradiation shows the highest levels were found at 1:1 of BL and RL ratio at $61.21{\mu}mol\;s^{-l}m^{-2}$, 1:2 ratio $68.55{\mu}mol\;s^{-l}m^{-2}$, 1:3 ratio $63.85{\mu}mol\;s^{-l}m^{-2}$ and 1:4 ratio $62.41{\mu}mol\;s^{-l}m^{-2}$ from highest to lowest respectively. After analyzing from shoot and root 2 yers old ginseng plant which were cultivated under 1:3 irradiation of BL and RL ratio, it generally showed a positive effect under a 1:3 ratio of BL and RL.

Analysis of Changing Pattern of Noxious Gas Levels with Malodorous Substance Concentrations in Individual Stage of Pig Pens for 24 hrs to Improve Piggery Environment (돈사환경 개선을 위한 생육단계별 돈사내 악취물질 농도 및 유해가스의 1일 변화추세 분석)

  • You, Won-Gyun;Kim, Cho-Long;Lee, Myung-Gyu;Kim, Dong-Kyun
    • Journal of Animal Environmental Science
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    • v.18 no.1
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    • pp.25-34
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    • 2012
  • Noxious gases with malodorous substance concentrations in each stages of pig buildings were determined at a typical 400sow-scale farm to improve piggery environment. Using IAQ-300 and pDR-1000AN, continuous records for the concentration of $NH_3$, CO, $CO_2$, $NO_2$, $SO_2$, $H_2S$, $O_2$, and along with temperature, humidity, dust concentrates from individual pig pens were collected to analyze every 6 hours' condition of indoor environment for 24 hours' period. In most pig houses, the air quality at noon was good, while at night (00:00~06:00), air composition became noxious in all buildings. The order of buildings' air quality for 24 hrs was pregnant > farrowing > nursery > growing > finishing. The cause of air quality differences was presumed to be the differences of stocking density, defecating amount and the length of exposure time of slurry in indoors. In conclusion, well-designed building structure, proper control of stocking density, quick removal of excreta from pig pens and continuous ventilation are prerequisites to improve pig housing environment.

The effect of Muscle Enforcement Exercise program on Activity of daily living Improvement and Posture Balance of the Institution Old (근력강화 운동프로그램이 시설 노인의 일상생활 동작 수행 개선에 미치는 효과)

  • Lee Chul-In;Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.90-114
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    • 2004
  • This study was conducted to examine the influence and effect of muscle enforcement program on Activity of daily living(ADL) improvement and posture balance of the old, and to provide more effective muscle enforcement program and educational data. The muscle enforcement exercise program was performed on the old(institution, 16 men, 10 women) for 8 weeks from April 22, 2002 through June 17,2002. Programed Exercise 1 - Exercise 10 were practised 8 times per program for 3 days a week. The load of exercise was increased per two weeks. The methods of measurement were questionnaire, Indiana 47903(action-response analysis machine) and Sample exercise protocol for KAT 2000(balance training device). SAS/PC statistic analysis was used for data analysis. T-test was used for analysis of change before and after exercise in this study. The summary and conclusions are as follows. 1. On subjectively recognized health states, the healthy were $42.3\%$. On the satisfaction with health states, the satisfied were $50.0\%$. On the factors of effects on daily-life behavior performance, the group who had troubles was $50\%$ and the group who was so and so was $34.6\%$ compared with the old of the same age. On prospect about health states in the future, the group who would be better was $38.\%$. On effective methods for problem solving, exercise was $42.3\%.\;88.5\%$ of respondents answered the need of health care. The participation intention in health program was $92.3\%$. 2. On the change of psychological emotion and behavior aspects, the group who had repeated complaints or anxieties and reduced activities or interests was effective(P<0.01). 3. On the improvement effects of IADL difficulties, the group who had difficulties in doing daily-life indoors was improved effectively compared with before and after exercise(P<0.01). On medication management, the effects of improvement after exercise were high compared with before exercise(P<0.01), the effects of improvement was high on the whole. 4. On the effects of ADL function improvement, putting on upper clothing and lower clothing was improved effectively(P<0.05), toilet use and individual sanitation was improved effectively(P<0.05). 5. On the effects of action-response, the results of 8weeks regular exercise program were not different significantly compared with before and after exercise. The behavior quickness of the old by muscle enforcement program was not increased. This means that the old needs much time for exercise sense training because of the regression of cognition sense. 6. In the effect of posture balance, the whole grades were effective from 1272.69 before excercise to 476.92 after exercise(P<0.01). Especially right balance 657.65 was lowered to 208.57 after exercise most effectively(P<0.01). Rear balance 776.34 before exercise was lowered to 136.65 after exercise. The results of measurement were significant(P<0.05).

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Emission Characteristics of Carbonyl Compounds Depending on Different Finishing Materials in a Wooden House (목조주택 내 마감자재에 따른 카르보닐화합물의 방산특성)

  • Lee, Hee-Young;Park, Sang-Bum;Kang, Young-Suk;Lee, Sang-Min;Park, Jong-Young
    • Journal of the Korean Wood Science and Technology
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    • v.37 no.1
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    • pp.12-18
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    • 2009
  • This study was attempted to investigate indoor air quality of a wooden house. Emission characteristics of carbonyl compounds from indoors whose interiors were finished using ecofriendly materials were detected. From the results of the examination, the carbonyl compounds mostly consisted of formaldehyde, acetaldehyde, and hexaldehyde. Especially, formaldehyde accounted for the largest portion of the compounds at 25.6~30.5%. All the rooms except for R2-2 contained formaldehyde less than criteria of indoor air quality of newly-constructed houses. In addition, all the rooms except for room R1-3, contained acetaldehyde more than the level of $48{\mu}g/m^3$ recommended by Japan's Ministry of Health, Labour and Welfare. As a results of the different wall covering, the room R1-1 of Hwangto emitted relatively higher levels of carbonyl compounds than the room R2-1 of phytoncide. In addition, the room R2-2 of the bamboo charcoal panels emitted more carbonyl compounds than the room R1-2. The living room R1-3 of Japanese cypress (Cryptomeria Japonica) emitted lower levels of carbonyl compounds than other rooms.