• The Journal of Korean Physical Therapy
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• 제14권3호
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• pp.92-105
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• 2002

This research described dynamic scapulohumeral rhythm though the measurement of inter relationship between humorous and scapular movement during elevation of the arm in the scapular plane. In the previous studies static plane film X-ray has usually been used, but the limitation of such method was that it did not show the real· movement. In this study, we investigated real movement of humorous and scapular bones by Digital fluoroscopy system. 1. In resting position, humorous was taken to lie at the average $5.97^{\circ}$ in abduction, and scapular at the average $3.66^{\circ}$ in internal rotation. 2. At the maximal abduction, humorous was abducted to the average of 181.25", and scapular was rotated externally to $51.43^{\circ}$. 3. This research has shown that there is a variety of scapulohumeral rhythm from resting position to $60^{\circ}$ abduction in elevation of humorous. This case study demonstrated that the ratio n of scapulohumeral rhythm is 3.46 to 1, but there was individual difference.

• 한국임상수의학회지
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• 제24권2호
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• pp.218-224
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• 2007

소동물 임상에서 디지털 심전도기가 일반 아날로그 방식의 심전도기를 빠르게 대체하고 있다. 이러한 디지털 심전도기는 일반 아날로그 방식의 심전도기에 비해서 심전도 자료의 저장 능력, 이동성 및 넓은 임상적 적용 범위를 갖는 장점이 있다. 본 연구에서는 소동물 임상에 있어서 이러한 디지털 심전도기의 유용성을 연구하였고, 실제 심장전도계 장애가 있는 4마리의 개를 진단하고 치료하였다.

• 한국운동역학회지
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• 제21권2호
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• pp.243-252
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• 2011

The purpose of this study was to determine the effect of trunk posture on muscle activity and motion of scapular and scapulohumeral rhythm. Thirty-one healthy subjects performed right-arm abduction and adduction along the frontal plane while standing in both upright and flexed posture of trunk. Scapular upward rotation, anterior tilting and internal rotation ware recorded using a motion analysis system and muscle activity of upper trapezius, lower trapezius and serratus anterior ware recorded using surface electromyography during abduction and adduction in both trunk postures. then, scapulohumeral rhythm was calculated. Scapulohumeral rhythm and scapular posterior tilting in flexed posture was significantly decreased than in upright posture. Also, muscle activity of lower trapezius in flexed posture was significantly increased and serratus anterior was significantly decreased than in general posture. The result of this study revealed that flexed posture of trunk altered the muscle activity and kinematic of scapular. Measurement of trunk posture should be included the evaluation of dysfunction and disorder of shoulder girdle since rehabilitation of trunk posture is important to restore of upper limbs function.

• 한국직업건강간호학회지
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• 제18권1호
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• pp.14-21
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• 2009

Purpose: This study was performed to investigate the effect of shift work on diurnal blood pressure (BP) pattern in nurses. Method: We studied 20 healthy nurses engaged in 3 shift work. 24-hour ambulatory BP monitoring was performed to each nurse two times during the day and night shift. Five nurses were excluded because of inadequate BP measurement. Results: All subjects were female. The mean age was 27.4 years (range: 23-33 years) and mean body mass index was 19.7 Kg/$m^2$ (range: 18.0-21.2 Kg/$m^2$). The changes of systolic BP ($17.8{\pm}9.1$ vs. $13.2{\pm}4.7%$, p=0.031), diastolic BP ($22.3{\pm}8.7$ vs. $17.3{\pm}9.0%$, p=0.061), and heart rate ($25.2{\pm}5.2$ vs. $12.5{\pm}8.7%$, p=0.001) during the sleeping period were decreased after a night shift compared with day shift. The non-dipper group significantly increased from 20% to 40% after a night shift (p=0.018). Conclusion: Working night shift is significantly associated with non-dipper status in nurses.

• Korean Circulation Journal
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• 제53권11호
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• pp.758-771
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• 2023

Background and Objectives: Paroxysmal atrial fibrillation (AF) is a major potential cause of embolic stroke of undetermined source (ESUS). However, identifying AF remains challenging because it occurs sporadically. Deep learning could be used to identify hidden AF based on the sinus rhythm (SR) electrocardiogram (ECG). We combined known AF risk factors and developed a deep learning algorithm (DLA) for predicting AF to optimize diagnostic performance in ESUS patients. Methods: A DLA was developed to identify AF using SR 12-lead ECG with the database consisting of AF patients and non-AF patients. The accuracy of the DLA was validated in 221 ESUS patients who underwent insertable cardiac monitor (ICM) insertion to identify AF. Results: A total of 44,085 ECGs from 12,666 patient were used for developing the DLA. The internal validation of the DLA revealed 0.862 (95% confidence interval, 0.850-0.873) area under the curve (AUC) in the receiver operating curve analysis. In external validation data from 221 ESUS patients, the diagnostic accuracy of DLA and AUC were 0.811 and 0.827, respectively, and DLA outperformed conventional predictive models, including CHARGE-AF, C2HEST, and HATCH. The combined model, comprising atrial ectopic burden, left atrial diameter and the DLA, showed excellent performance in AF prediction with AUC of 0.906. Conclusions: The DLA accurately identified paroxysmal AF using 12-lead SR ECG in patients with ESUS and outperformed the conventional models. The DLA model along with the traditional AF risk factors could be a useful tool to identify paroxysmal AF in ESUS patients.

• 한국산학기술학회논문지
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• 제11권10호
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• pp.3673-3679
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• 2010

본 논문은 실용음악 전공자의 시창청음 교육을 위한 프로그램 개발 방향을 제시하고자 하였다. 실용음악 전공학생들을 대상으로 한 설문을 통한 내부 환경 및 기존 교재에 관한 분석이 논문의 출발점이며 이를 바탕으로 시창 부분과 청음 부분의 통합 학습 프로그램을 고찰하였다. 음악이론을 바탕으로 한 다양한 악곡의 활용, 리듬과 화성의 즉흥 표현을 위한 연습 방법 등이 프로그램 개발 내용의 핵심이다.

• 한국임상수의학회지
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• 제27권5호
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• pp.569-572
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• 2010

간헐적인 기절과 운동 불내성의 주요증상을 호소하는 4살 령의 중성화된 암컷 페키니즈 개 (체중 3.6 kg)가 내원하였다. 신체검사상 지속적인 맥박 결손을 가진 아주 불규칙한 심박동(irregularly irregular heart rhythm)이 나타났다. 12 유도 표면 심전도에서는 동방결절 기능 부전군을 의미하는 간헐적인 방실 접합부 이탈박동과 함께 특이적인 동정지가 나타났다. 본 환자에 대한 심장 박동수 반응형의 양극성 심장 박동조절기(VVIR type)를 이용한 영구적 경정맥형 심박 조율시술은 우심실 내에서 실시되었다. 심장 박동기 장착 이후, 환자의 임상증상은 눈에 띠게 호전되었다. 시술이후 아직까지 기절의 증상은 더 이상 나타나지 않고 있다.

• 동의생리병리학회지
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• 제25권2호
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• pp.311-317
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• 2011

The goal of this study was to clarify effects of sleep restriction on a diurnal rhythm of salivary cortisol and DHEA levels in Korean adolescents.83 middle school students were recruited to participate in restricted sleep period group (less than 4h/day) or unrestricted sleep period group (from 6h/day to 7h/day). Both were 14 to 17 years old. They were instructed to keep the sleep-awakening schedule and sampling protocol. Saliva samples of cortisol and DHEA were collected at 8h, 12h, 16h and 20h. Salivary hormones were analysed with salivary cortisol(or DHEA) EIA kit according to a fixed assay protocol. Cortisol levels of restricted sleep period group and unrestricted sleep period group significantly decreased according to the sampling times. Cortisol levels of sleep restricted group was significantly higher than those of usual sleep group at all sampling times. At 8h, DHEA levels of both groups were significantly higher than those at 12h, 16h and 20h. However, DHEA levels of restricted sleep period group did not differ from those of unrestricted sleep period group at all sampling times.Cortisol and DHEA levels of both group showed the typical diurnal rhythm regardless of sleep status. Restricted sleep may increased cortisol release, not DHEA release, which indicated a changed HPA axis.

• 감성과학
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• 제22권1호
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• pp.45-54
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• 2019

공감은 사회관계의 중요한 요소로, 소통 및 과제 수행의 효율을 증가시킨다. 타인과의 상호작용에서 공감하기 위해 상대방의 얼굴 표정, 말투, 움직임 등을 무의식적으로 모방을 한다. 이 때 생리 반응인 심장 반응도 동기화 되는 현상을 보인다. 따라서 본 연구는 두 사람 사이의 심장 리듬 동기화를 통해 공감의 유무를 객관적이고 정량적으로 인식하는 규칙을 정의하고자 한다. 피험자 74명은 두 명씩 그룹을 지어 공감을 유발하는 표정 모방 과제를 수행하며 심전도(electrocardiogram, ECG)를 측정하였다. 공감 유무에 따른 두 사람의 심장 리듬의 동기화를 확인하기 위해 심장 리듬 패턴(heart rhythm pattern, HRP)과 일관성(heart rhythm coherence, HRC) 신호에서 정량적으로 분석 가능한 지표들을 추출하였고 독립 표본 t검증을 통해 통계적 유의성을 확인하였다. 공감하는 경우 심장 리듬 패턴과 일관성에서 두 신호의 상관계수(correlation, r)가 공감하지 않는 경우보다 유의미하게 높았고, SDNN(the standard deviation of NN intervals) 차이와 우세한 피크의 주파수 차이는 유의미하게 낮은 형태를 보이며 동기화되었다. 공감도 규칙은 통계적으로 유의한 지표로 단계적 판별 분석을 수행하여 정의하였다. 본 연구에서 제안한 공감도 규칙을 직무, 인사 관리에 활용한다면 어떤 구성원들 사이에서 공감이 잘 일어나는지 정량적 판단이 가능해 효율적인 팀구성이 가능할 것이다.

• The Korean Journal of Physiology and Pharmacology
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• 제25권6호
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• pp.575-583
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• 2021

Composition of the gut microbiota changes with aging and plays an important role in age-associated disease such as metabolic syndrome, cancer, and neurodegeneration. The gut microbiota composition oscillates through the day, and the disruption of their diurnal rhythm results in gut dysbiosis leading to metabolic and immune dysfunctions. It is well documented that circadian rhythm changes with age in several biological functions such as sleep, body temperature, and hormone secretion. However, it is not defined whether the diurnal pattern of gut microbial composition is affected by aging. To evaluate aging effects on the diurnal pattern of the gut microbiome, we evaluated the taxa profiles of cecal contents obtained from young and aged mice of both sexes at daytime and nighttime points by 16S rRNA gene sequencing. At the phylum level, the ratio of Firmicutes to Bacteroidetes and the relative abundances of Verrucomicrobia and Cyanobacteria were increased in aged male mice at night compared with that of young male mice. Meanwhile, the relative abundances of Sutterellaceae, Alloprevotella, Lachnospiraceae UCG-001, and Parasutterella increased in aged female mice at night compared with that of young female mice. The Lachnospiraceae NK4A136 group relative abundance increased in aged mice of both sexes but at opposite time points. These results showed the changes in diurnal patterns of gut microbial composition with aging, which varied depending on the sex of the host. We suggest that disturbed diurnal patterns of the gut microbiome can be a factor for the underlying mechanism of age-associated gut dysbiosis.