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A Systematic Review of Modified Constraint- Induced Movement Therapy in Children With Hemiplegic Cerebral Palsy (뇌성마비 유형 중 편마비 아동을 위한 수정된 강제유도 운동치료의 효과에 대한 체계적 고찰)

  • Hong, So-Young;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.10 no.2
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    • pp.11-22
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    • 2012
  • Objective : This research investigated the intervention effects, protocol of modified constraint-induced movement therapy in children with hemiplegic cerebral palsy. Methods : For the key words of a database search, "Cerebral Palsy", "Hemiplegia", "Constraint Induced Movement Therapy", "modified Constraint Induced Movement Therapy" were used. We examined papers published in journals from January 2001, when the modified Constraint Induced Movement Therapy was first suggested, to May 2011, using PubMed, Medline. Ovid. Results : A total of 10 papers were analyzed and results of modified Constraint Induced Movement Therapy were an effective therapeutic method to improve motor function, quality of movement and that they also increased the frequency of functional use of the affected hands of hemiplegic cerebral palsy. Conclusion : This paper conducted a systematic review of the research literature reporting on the effects of modified constraint-induced movement therapy in children with hemiplegic cerebral palsy. Analysis of the fewer number of papers, there was limitation that we consider studies at all levels of evidence. However the restraint methods should be decided according to the characteristics of the individually and apply a variety of therapeutic activities, there is positive support for the use of modified constraint-induced movement therapy to improve the recovery of the paretic upper extremity with cerebral palsy.

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Thermophilic Anaerobic Biodegradability of Agro-industrial Biomass (농축산바이오매스 고온 혐기성 생분해도 평가)

  • Heo, Namhyo;Kang, Ho;Lee, Seungheon
    • 한국신재생에너지학회:학술대회논문집
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    • 2010.11a
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    • pp.101-101
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    • 2010
  • Anaerobic digestion(AD) is the most promising method for treating and recycling of different organic wastes, such as organic fraction of municipal solid waste, household wastes, animal manure, agro-industrial wastes, industrial organic wastes and sewage sludge. During AD, i.e. organic materials are decomposed by anaerobic forming bacteria and fina1ly converted to excellent fertilizer and biogas which is a mixture of carbon dioxide and methane. AD has been one of the leading technologies that can make a large contribution to produce renewable energy and to reduce $CO_2$ and other green-house gas(GHG) emission, it is becoming a key method for both waste treatment and recovery of a renewable fuel and other valuable co-products. Currently some 80% of the world's overall energy supply of about 400 EJ per year in derived from fossil fuels. Nevertheless roughly 10~15% of this demand is covered by biomass resources, making biomass by far the most important renewable energy source used to date. The representative biofuels produced from the biomass are bioethanol, biodiesel and biogas, and currently biogas plays a smaller than other biofuels but steadily growing role. Traditionally anaerobic digestion applied for different biowaste e.g. sewage sludge, manure, other organic wastes treatment and stabilization, biogas has become a well established energy resource. However, the biowaste are fairly limited in respect to the production and utilization as renewable source, but the plant biomass, the so called "energy crops" are used for more biogas production in EU countries and the investigation on the biomethane potential of different crops and plant materials have been carried out. In Korea, with steadily increasing oil prices and improved environmental regulations, since 2005 anaerobic digestion was again stimulated, especially on the biogasification of different biowastes and agro-industrial biomass including "energy crops". This study have been carried out to investigate anaerobic biodegradability by the biochemical methane potential(BMP) test of animal manures, different forage crops i.e. "energy crops", plant and industrial organic wastes in the condition of thermophilic temperature, The biodegradability of animal manure were 63.2% and 58.2% with $315m^3CH_4/tonVS$ of cattle slurry and $370m^3CH_4/tonVS$ of pig slurry in ultimate methane yields. Those of winter forage crops were the range 75% to 87% with ultimate methane yield of $378m^3CH_4/tonVS$ to $450m^3CH_4/tonVS$ and those of summer forage crops were the range 81% to 85% with ultimate methane yield of $392m^3CH_4/tonVS$ to $415m^3CH_4/tonVS$. The forge crops as "energy crops" could be used as good renewable energy source to increase methane production and to improve biodegradability in co-digestion with animal manure or only energy crop digestion.

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A Study of the Occupational Socialization of Novice English Teachers at the First Years (영어 초임교사의 교직 사회화에 관한 연구)

  • Chang, Kyungsuk;Jeon, Young-Joo
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.411-421
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    • 2020
  • There is a paucity of research on socialization of novice teachers that has been found to have influence on their career through studies in different subject fields in various regions. This study addresses how novice English teachers perceive their socialization at the first years. It aims to draw implications for novice teacher support for training and professional development. Data were obtained from a questionnaire survey. From the review of the relevant literature, six themes were identified as significant factors in novice teachers' socialization process: relationship with pupils, teaching, rapport with colleagues, support from headteachers, relationship with parents, and expectations from the society. There were 44 questions under six key factors. 99 secondary English novice teachers participated in the survey. The analysis of the gathered responses to each question reveals information on their socialization process to become a secondary English teacher including adaptation challenges for professional development, which have been neglected but are gaining more attention from different stakeholders. This is being increasingly supported in the time of the coronavirus (COIVD-19) pandemic crisis, disruption and recovery. The study is concluded with some implications for research on novice teacher induction, and teacher education policy and practice.

Effects of $K^+$ Channel Modulators on Extracellular $K^+$ Accumulation during Ischemia in the Rat Hippocampal Slice (해마절편의 허혈성 $K^+$ 축적에 대한 $K^+$채널 조절 약물의 작용)

  • Choi, Jin-Kyu;Chun, Boe-Gwun;Ryu, Pan-Dong
    • The Korean Journal of Physiology and Pharmacology
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    • v.1 no.6
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    • pp.681-690
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    • 1997
  • Loss of synaptic transmission and accumulation of extracellular $K^+([K^+]_O)$ are the key features in ischemic brain damage. Here, we examined the effects of several $K^+$channel modulators on the early ischemic changes in population spike (PS) and $[K^+]_o$ in the CA1 pyramidal layer of the rat hippocampal slice using electrophysiological techniques. After onset of anoxic aglycemia (AA), orthodromic field potentials decreased and disappeared in $3.3{\pm}0.22\;min$ $(mean{\pm}SEM,\;n=40)$. The hypoxic injury potential (HIP), a transient recovery of PS appeared at $6.0{\pm}0.25\;min$ (n=40) in most slices during AA and lasted for $3.3{\pm}0.43\;min$. $[K^+]_o$ increased initially at a rate of 0.43 mM/min (Phase 1) and later at a much faster rate (12.45 mM/min, Phase 2). The beginning of Phase 2 was invariably coincided with the disappearance of HIP. Among $K^+$ channel modulators tested such as 4-aminopyridine (0.03, 0.3 mM), tetraethylammonium (0.1 mM), NS1619 $(0.3{\sim}10\;{\mu}M)$, niflumic acid (0.1 mM), glibenclamide $(40\;{\mu}M)$, tolbutamide $(300\;{\mu}M)$ and pinacidil $(100\;{\mu}M)$, only 4-aminopyridine (0.3 mM) induced slight increase of $[K^+]_o$ during Phase 1. However, none of the above agents modulated the pattern of Phase 2 in $[K^+]_o$ in response to AA. Taken together, the experimental data suggest that 4-aminopyridine-sensitive $K^+$channels, large conductance $Ca^{2+}-activated$ $K^+$ channels and ATP-sensitive $K^+$ channels may not be the major contributors to the sudden increase of $[K^+]_o$ during the early stage of brain ischemia, suggesting the presence of other routes of $K^+$ efflux during brain ischemia.

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Loop Suture Technique for Flexor Digitorum Profundus Tendon Repair in the Insertion Site (고리 봉합법을 이용한 심부 수지 굴건 종지부에서의 건봉합)

  • Lee, Kyu-Cheol;Lee, Dong-Chul;Kim, Jin-Soo;Ki, Sae-Hwi;Roh, Si-Young;Yang, Jae-Won
    • Archives of Plastic Surgery
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    • v.37 no.5
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    • pp.650-658
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    • 2010
  • Purpose: In the case of repair for far distal parts of FDP (Flexor digitorum profundus) division, the method of either pull-out suture or fixation of tendon to the distal phalanx is preferred. In this paper, the results of a modified loop suture technique used for the complete division of FDP from both zone 1a and distal parts of zone 1b in Moiemen classification are presented. Methods: From July 2006 to July 2009, the modified loop suture technique was used for the 10 cases of FDP in complete division from zone 1a and distal parts of zone 1b, especially where insertion sites were less than 1 cm apart from a tendon of a stump. In a suture technique, a loop is applied to each distal and proximal parts of tendon respectively. Core suture of 2-strand and epitendinous suture are done with PDS 4-0. Out of 10 patients, the study was done on 6 patients who were available for the followup. The average age of the patients was 49.1 years (in the range from 26 to 67). 5 males and 1 female patients were involved in this study. There were 3 cases with zone 1a and distal parts of zone 1b. The average distance to the distal tendon end was 0.6 cm. There were 5 cases underwent microsurgical repair where both artery and nerve divided. One case of only tendon displacement was presented. The dorsal protective splint was kept for 5 weeks on average. The results of the following tests were measured: active & passive range of motion, grip strength test, key pinch and pulp pinch test. Results: The follow-up period on average was 11 months, in the range from 2 to 20 months. There was no case of re-rupture, but tenolysis was performed in 1 cases. In all 6 cases, the average active range of motion of distal interphalangeal joint was 50.8 degree. The grip strength (ipsilateral/contralateral) was measured as 88.7% and the pulp pinch test was 79.2% as those of contralateral side. Flexion contracture was presented in 2 cases (15 degree on average) and there was no quadrigia effect found. Conclusion: Despite short length of tendon from the insertion site in FDS rupture in zone 1a and distal parts of zone 1b, sufficient functional recovery could be expected with the tendon to tendon repair using the modified loop suture technique.

Surgical Complications of Cerebral Arterivenous Malformation and Their Management (뇌동정맥기형의 외과적 수술합병증과 그 처치)

  • Yim, Man-Bin;Kim, Il-Man
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1126-1135
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    • 2000
  • Objectives : The goal of surgical management of cerebral arteriovenous malformation(AVM) is elimination of the lesion without development of new neurological deficits. To improve the management results of cerebral AVMs in the future, this article discusses about surgical complications of the AVM and their management. Material and Methods : During the past 18 years, 116 patients with cerebral AVMs were managed by surgery. Among these cases, 7 cases died, 7 cases developed new neurological deficits, 11 cases residual AVM and 5 cases intracerebral hematoma(ICH) after surgery. The author analyzes the causes of those complications and investigates the methods to minimized those complications based on the review of the literatures. Results : One stage removal of AVM and ICH in the poor neurological state were performed in 5 of 7 death cases. Subtotal removal of ICH followed by delayed AVM surgery after recovery is regard as one method to improve the outcome of patient with large ICH. Postoperative new neurological deficits developed owing to normal perfusion pressure breakthrough(NPPB) in 3, judgement error in 2, preoperative embolization in 1 and cortical injury in 1 case(s). Proper management of NPPB, accurate anatomical knowledge and physiological monitoring during operation, and well trained skill for embolization are regard as methods to minimize those complications. Residual AVMs after surgery were noticed in 11 cases, in which unintended 6 cases due to inaccurate dissection of peripheral margin of AVM, and intended 3 cases due to massive brain swelling during operation, 1 cases due to diffuse type and 1 case due to multiple type of AVM. Accurate dissection of peripheral margin of AVM and mild hypotension during operation may help to avoid this complication. Postoperative hemorrhage occurred in 3 cases due to rupture of the residual AVM and in 2 cases due to oozing from the AVM bed. Complete resection of AVM, complete control of bleeding points at AVM bed and mild hypotension during early postoperative period are the methods to avoid this complication. Conclusion : A precise but flexible therapeutic strategy and refined skill for endovascular, radiosurgical and microsurgical techniques are required to successful treatment of cerebral AVM. Adequate timing of AVM resection, accurate anatomical knowledge, proper management of NPPB and accurate dissection of peripheral margin of AVM are the key points for avoiding complications of the AVM surgery.

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Exploring Residents' Attitudes in Multifamily Housing Toward Food Waste Zero-Emission System with Fermentation and Extinction Technology (발효·소멸 기술을 이용한 음식물 쓰레기 무배출 시스템에 대한 공동주택 거주자의 태도에 관한 분석)

  • Oh, Jeongik;Lee, Hyunjeong
    • Journal of Korean Society of Environmental Engineers
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    • v.35 no.5
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    • pp.321-333
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    • 2013
  • As environmental sustainability becomes a key consideration in policy-making, more responsible consumption and utilization in daily life concern both health and quality of life. To address inequities in health in relation to environments, waste management has taken more progressive ways, and one of them is biomass-to-energy conversion that utilizes energy recovery from food waste. By extension, a food waste zero-emission system using fermentation and extinction technology gains much attention, so that this study is designed to examine residents' attitudes toward recycling food waste produced at home and toward food waste zero-emission system. Utilizing a survey questionnaire, this research collected data from 400 individual units of multifamily housing estates nationwide, and the data were analyzed using descriptive and inferential statistics. The findings indicate that food waste generated at home was highly water-contained and produced in the stage of food preparation before cooking while respondents viewed that food waste collection and treatment needed to be improved. It's noted that respondents strongly supported the use of food waste as a energy source and would have the use of the food waste zero-emission system built in kitchen sink. Regression analysis showed that educational attainment of housewives, cooking style, and planning food purchase were statistically significant factors in the attitude of the responded residents toward recycling food waste while none of the factors were in the attitude toward the food waste zero-emission system.

A Study on the Research Trends in Unmanned Surface Vehicle using Topic Modeling (토픽모델링을 이용한 무인수상정 기술 동향 분석)

  • Kim, Kwimi;Ma, Jungmok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.597-606
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    • 2020
  • Because the USV(Unmanned Surface Vehicle) is capable of remote control or autonomous navigation at sea, it can secure the superiority of combat power while minimizing human losses in a future combat environment. To plan the technology for the development of USV, the trend analysis of related technology and the selection of promising technology should be preceded, but there has been little research in this area. The purpose of this paper was to measure and evaluate the technology trends quantitatively. For this purpose, this study analyzed the technology trends and selected promising/declining technologies using topic modeling of papers and patent data. As a result of topic modeling, promising technologies include control and navigation, verification/validation, autonomous level, mission module, and application technology, and declining technologies include underwater communication and image processing technology. This study also identified new technology areas that were not included in the existing technology classification, e.g., technology related to research and development of USV, artificial intelligence, launch/recovery, and operation, such as cooperation with manned and unmanned systems. The technology trends and new technology areas identified through this study may be used to derive key technologies related to the development of the USV and establish appropriate R&D policies.

The Effect of Foliar Application to Improve Putting Green Performance (벤트그래스 그린 관리를 위한 엽면 시비의 효과)

  • Hong, Beom-Seok;Tae, Hyun-Sook;Oh, Sang-Hun;Cho, Yong-Sup
    • Asian Journal of Turfgrass Science
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    • v.25 no.1
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    • pp.94-99
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    • 2011
  • This study was performed to investigate the effect of foliar feeding as the fertilization on creeping benrgrass green. Research results have showed that the visual quality of bentgrass as well as shoot density and chlorophyll index dramatically improved after foliar feeding. Shoot density of bent grass in foliar based fertilization was 2.8 ea/$cm^2$ higher than that of the liquid based fertilization during the experiment period, moreover that the foliar feeding is more effective to alleviate shoot density during the rainy season in summer. Results showed that foliar feeding was key role to achieve the stable visual quality, chlorophyll index and maintained Normalized Difference Vegetation Index (NDVI) throughout the year in addition to get fast recovery after aeration and dry spot. These were consistent with the previous research of foliar feeding which directly provided nutrient to the turfgrass leaf thus increased turfgrass growth within a short time. It is projected to be a especially adequate management program during the hot summer season in which the nutrition feeding is low. However, root growth was no significant difference between foliar based fertilization and liquid based fertilization. Golf Course managers also should consider about the number of frequent fertilizing. Lastly, it was no big change in chemical property by soil foliar based fertilization which is meaning of preventing the soil salinization, meanwhile, it is prone to reach the nutrient deficiency. It hopes to be settled as the general fertilization in golf course of Korea, since there are many advantages of foliar based fertilization program. It is suggested to study more practical process of foliar feeding through the further research.

Temporary Metadata Journaling Scheme to Improve Performance and Stability of a FAT Compatible File System (FAT 파일 시스템의 호환성을 유지하며 성능과 안정성을 향상시키는 메타데이터 저널링 기법의 설계)

  • Hyun, Choul-Seung;Choi, Jong-Moo;Lee, Dong-Hee;Noh, Sam-H.
    • Journal of KIISE:Computer Systems and Theory
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    • v.36 no.3
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    • pp.191-198
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    • 2009
  • The FAT (File Allocation Table) compatible file system has been widely used in mobile devices and memory cards because of its data exchangeability among numerous platforms recognizing the FAT file system. By the way. modern embedded systems have tough demands for instant power failure recovery and superior performance for multimedia applications. The key issue is how to achieve the goals of superior write performance and instant booting capability while controlling compatibility issues. To achieve the goals while controlling compatibility issues. we devised a temporary meta-data journaling scheme for a FAT compatible file system. Benchmark results of the scheme implemented in a FAT compatible file system shows that it really improves write performance of the FAT file system by converting small random write for meta-data update to a large sequential write in journaling area. Also, it provides natural way to implement the instant booting capability. Nevertheless, the file system compatibility is temporarily compromised by the scheme because it stores updated meta-data in the temporary journaling area rather than to their original locations. However, the compatibility can be fully recovered at any time by journal-flushing that copies meta-data in journaling area to their original locations. Generally, the journal-flushing is done before un-mounting a memory card so that it can be used in other mobile devices which recognized FAT file system but not the temporary meta-data journaling scheme.