• Title/Summary/Keyword: Left hand

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Fusiform Intracanalicular Ophthalmic Artery Aneurysm; Case Report and Review of Literature

  • Choi, Byung-Kwan;Lee, Tae-Hong;Choi, Chang-Hwa;Lee, Sang-Weon
    • Journal of Korean Neurosurgical Society
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    • v.44 no.1
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    • pp.43-46
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    • 2008
  • A 35-year-old man's vision had progressively deteriorated over a 3-month period. His left visual acuity was 5/20. Enhanced orbital computed tomographic (CT) scans revealed a fusiform dilatation of the ophthalmic artery in the left optic canal. Cerebral Angiography revealed a fusiform aneurysm on the left ophthalmic artery in the optic canal, measuring $6.2{\times}4.6\;mm$ in size. Four days after admission, visual acuity dropped to hand-motion. Endovascular treatment was chosen and a microcatheter was guided into the proximal segment of the ophthalmic artery. Using 4 detachable coils, parent artery occlusion was done. Three months after the intervention, the visual acuity in his left eye improved to 20/20. Dramatic recovery of visual acuity is exceptional with an ophthalmic artery trunk aneurysm. When an occlusion of the proximal ophthalmic artery is the only treatment option in such a situation, the endovascular occlusion of the proximal ophthalmic artery is quite feasible in the sense that it does not require any optic nerve manipulation.

The Difference of Trunk Muscle Activities In Trunk Stabilization on the Stable and Unstable Surface. (안정한 지지면과 불안정한 지지면에서의 자세에 따른 체간안정화 근육 활성도 비교)

  • Kim, Suhyon
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.2
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    • pp.37-44
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    • 2018
  • Purpose : The aim of this study is to compare the trunk muscle activities in trunk stabilization on the stable and unstable supporting surfaces using by sEMG. Methods : The subjects of this study include seventeen male. We measured sEMG activities of rectus abdominis and erector spine in subjects during trunk stabilization such as plank exercise, quadruped position, quadruped position with rising hand and foot on the stable and unstable surface. Results : sEMG activities in plank exercise was significantly higher in left rectus abdominis and left erector spine on unstable surface then stable surface (p<.05). sEMG activities of left rectus abdominis and left erector spine in quadruped position was significantly higher in unstable surface than stable surface (p<.05). In comparison with posture, Plank exercise showed a significant difference increase other postures (p<.05). Conclusion : sEMG activities of muscle in trunk stabilization was significantly higher in unstable surface than stable surface and plank exercise. So, we suggest that trunk stabilization on the unstable supporting surface and plank exercise were more effective method than stable surface to improve trunk muscles activities.

Kinematical Differences of the Male Professional Golfers' 30 Yard Chip Shot and Pitch Shot Motion (남자프로골퍼의 30 야드 칩샷과 피치샷 동작의 운동학적 차이)

  • Pyun, Eun-Kyung;Park, Young-Hoon;Youm, Chang-Hong;Sun, Sheng;Seo, Kuk-Woong;Seo, Kook-Eun
    • Korean Journal of Applied Biomechanics
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    • v.17 no.2
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    • pp.177-185
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    • 2007
  • Even though there were no clear definitions of the short game and short game distance, short game capability is crucial for a good golf score. Generally, chip shot and pitch shot are regarded as two principal components of the short game. Chip shot is a short, low trajectory shot played to the green or from trouble back into play. Pitch shot is a high trajectory shot of short length. Biomechanical studies were conducted usually to analyze full swing and putting motions. The purpose of the study was to reveal the kinematical differences between professional golfers' 30 yard $53^{\circ}wedge$ chip shot and $56^{\circ}wedge$ pitch shot motions. Fifteen male professional golfers were recruited for the study. Kinematical data were collected by the 60 Hz three-dimensional motion analysis system. Statistical comparisons were made by paired t-test, ANOVA, and Duncan of the SPSS 12.0K with the $\alpha$ value of .05. Results show that both the left hand and the ball were placed left of the center of the left and right foot at address. The left hand position of the chip shot was significantly left side of that of the pitch shot. But the ball position of the pitch shot was significantly right side of that of the chip shot. All body segments aligned to the left of the target line, open, at address. Except shoulder, there were no significant pelvis, knee, and feet alignment differences between chip shot and pitch shot. These differences at address seem for the ball height control. Pitch shot swing motions(the shoulder and pelvis rotation and the club head travel distance) were significantly bigger than those of the chip shot. Club head velocity of the pitch shot was significantly faster than that of the chip shot at the moment of impact. This was for the same shot length control with different lofted clubs. Swing motion differences seem mainly caused by the same shot length control with different ball height control.

Static Two-Point Discrimination of Fingertips in Young Adults (일부 젊은 성인들의 수지 정적 이점식별)

  • Yi Seung-Ju;Cho Myung-Sook
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.218-225
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    • 2004
  • OBJECTIVES: This study was performed to find out static two-point discrimination (TPD) in fingertips. METHODS: This was a cross-section, measure study of static two-point discrimination involving healthy young adults. Measure was completed by 48 college students in Andong Science College from June 1 to 12, 2004. The minimal distance at which two-points could be discriminated was measured from thumb to little finger. RESULTS: For dermatomal regions of the fingertip, mean values ranged from 3.3mm to 4.9mm (thumb 3.6mm, index finger 3.3mm, middle finger 3.8mm, ring finger 4.2mm, and little finger 4.7mm in the left hand; thumb 3.7mm, index 3.5mm, middle 4.0mm, ring 4.3mm, and little 4.9mm in the right hand). A significant difference in discrimination ability was found between men and women, 3.5mm for women showed a greater sensitivity than 4.1mm for men in the left middle fingertip(p=0.0109), also 3.9mm for women showed a greater accuracy than 4.5mm for men in the left ring fingertip(p=0.0388). In the right index fingertip, women (3.1mm) have a narrow distance than men (3.6mm)(p=0.0329). The minimal distance of TPD was found a significant difference between 20 and 30 years in age. 4mm for 30 years showed a greater distance than 3.5mm for 20 years in the left thumb fingertip(p=0.0354), also, 3.8mm for 30 years showed a greater distance than 3.2mm for 20 years in the left index fingertip(p=0.0174), and 4.3mm for 30 years showed a greater distance than 3.7mm for 20 years in the left middle fingertip(p=0.0444). In the right index fingertip, 20 years (3.2mm) had also a narrow distance than 30 years (4.1mm)(p=0.0020), 20 years (3.9mm) showed a narrow distance than 30 years (4.6mm) in the right middle fingertip(p=0.0124), and 20 years (4.1mm) showed a greater sensitivity than 30 years (5.0mm) in the right ring fingertip(p=0.0070). CONCLUSIONS: Our results suggest that distance of TPD in the both index fingertips for 20 years women was significantly narrowed.

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A Dual Lung Scan for the Evaluation of Pulmonary Function in Patients with Pulmonary Tuberculosis before and after Treatment (폐결핵치료전후(肺結核治療前後) 방사성동위원소(放射性同位元素)스캔에 의(依)한 폐기능(肺機能)의 비교(比較))

  • Rhee, Chong-Heon
    • The Korean Journal of Nuclear Medicine
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    • v.1 no.2
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    • pp.1-25
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    • 1967
  • In 20 normal cases and 39 pulmonary tuberculosis cases, regional pulmonary arterial blood flow measurements and lung perfusion scans by $^{131}I$-Macroaggregated albumin, lung inhalation scans by colloidal $^{198}Au$ and spirometries by respirometer were done at the Radiological Research Institute. The measured lung function tests were compared and the results were as the following: 1. The normal distribution of pulmonary blood flow was found to be $54.5{\pm}2.82%$ to the right lung and $45.5{\pm}2.39%$ to the left lung. The difference between the right and left pulmonary arterial blood flow was significant statistically (p<0.01). In the minimal pulmonary tuberculosis, the average distribution of pulmonary arterial blood flow was found to be $52.5{\pm}5.3%$ to the right lung and $47.5{\pm}1.0%$ to the left lung when the tuberculous lesion was in the right lung, and $56.2{\pm}4.4%$ to the right lung and $43.8{\pm}3.1%$ to the left lung when the tuberculous lesion was in the left lung. The difference of pulmonary arterial blood flow between the right and left lung was statistically not significant compared with the normal distribution. In the moderately advanced pulmonary tuberculosis, the average distripution of pulmonary arterial blood flow was found to be $26.9{\pm}13.9%$ to the right lung and $73.1{\pm}13.9%$ to the left lung when the tuberculous lesion was more severe in the right lung, and $79.6{\pm}12.8%$ to the right lung and $20.4{\pm}13.0%$ to the left lung when the tuberculous lesion was more severe in the left lung. These were found to be highly significant statistically compared with the normal distribution of pulmonary arterial blood flow (p<0.01). When both lungs were evenly involved, the average distribution of pulmonary arterial blood flow was found to be $49.5{\pm}8.01%$ to the right lung and $50.5{\pm}8.01%$ to the left lung. In the far advanced pulmonary tuberculosis, the average distribution of pulmonary arterial blood flow was found to be $18.5{\pm}11.6%$ to the right lung and $81.5{\pm}9.9%$ to the left lung when the tuberculous lesion was more severe in the right lung, and $78.2{\pm}8.9%$ to the right lung and $21.8{\pm}10.5%$ to the left lung when the tuberculous lesion was more severe in the left lung. These were found to be highly significant statistically compared with the normal distribution of pulmonary arterial blood flow (p<0.01). When both lungs were evenly involved the average distribution of pulmonary arterial blood flow was found to be $56.0{\pm}3.6%$ to the right lung and $44.0{\pm}3.2%$ to the left lung. 2. Lung perfusion scan by $^{131}I$-MAA in patients with pulmonary tuberculosis was as follows: a) In the pretreated minimal pulmonary tuberculosis, the decreased area of pulmonary arterial blood flow was corresponding to the chest roentgenogram, but the decrease of pulmonary arterial blood flow was more extensive than had been expected from the chest roentgenogram in the apparently healed minimal pulmonary tuberculosis. b) In the pretreated moderately advanced pulmonary tuberculosis, the decrease of pulmonary arterial blood flow to the diseased area was corresponding to the chest roentgenogram, but the decrease of pulmonary arterial blood flow was more extensive in the treated moderately advanced pulmonary tuberculosis as in the treated minimal pulmonary tuberculosis. c) Pulmonary arterial blood flow in the patients with far advanced pulmonary tuberculosis both before and after chemotherapy were almost similar to the chest roentgenogram. Especially the decrease of pulmonary arterial blood flow to the cavity was usually greater than had been expected from the chest roentgenogram. 3. Lung inhalation scan by colloidal $^{198}Au$ in patients with pulmonary tuberculosis was as follows: a) In the minimal pulmonary tuberculosis, lung inhalation scan showed almost similar decrease of radioactivity corresponding to the chest roentgenogram. b) In the moderately advanced pulmonary tuberculosis the decrease of radioactivity in the diseased area was partly corresponding to the chest roentgenogram in one hand and on the other hand the radioactivity was found to be normally distributed in stead of tuberculous lesion in the chest roentgenogram. c) In the far advanced pulmonary tuberculosis, lung inhalation scan showed almost similar decrease of radioactivity corresponding to the chest roentgenogram as in the minimal pulmonary tuberculosis. 4. From all these results, it was found that the characteristic finding in pulmonary tuberculosis was a decrease in pulmonary arterial blood flow to the diseased area and in general decrease of pulmonary arterial blood flow to the diseased area was more extensive than had been expected from the chest roentgenogram, especially in the treated group. Lung inhalation scan showed almost similar distribution of radioactivity corresponding to the chest roentgenogram in minimal and far advanced pulmonary tuberculosis, but there was a variability in the moderately advanced pulmonary tuberculosis. The measured values obtained from spirometry were parallel to the tuberculous lesion in chest roentgenogram.

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Heterodigital Free Flap of Index Finger Amputee for Coverage of the Long Finger Soft Tissue Defect - A Case Report -

  • Hwang, So-Min;Kim, Jang Hyuk;Kim, Hong-Il;Jung, Yong-Hui;Kim, Hyung-Do
    • Archives of Reconstructive Microsurgery
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    • v.22 no.2
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    • pp.82-85
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    • 2013
  • If the replantation on the original position is not possible, the amputated tissue of a hand may be used as a donor for recovering hand functions at other positions. This procedure is termed 'heterodigital replantation'. An 63-year-old male patient who was in press machine accident came to Our Hospital. He had large dorsal soft-tissue defects ($5{\times}3cm$) on his left long finger and complete amputation on his left index finger through the proximal interpharyngeal joint. Replantation was not indicated because crushing injury of index finger was severe. So we decided to use index finger soft tissue as heterodigital free flap for the coverage of the long finger defect. The ulnar digital artery and dorsal subcutaneous vein of the free flap were anastomosed with the radial digital artery and dorsal subcutaneous vein of the long finger. The heterodigital free flap provided satisfactory apperance and functional capability of the long finger. The best way to treat amputation is replantation. But sometimes surgeon confront severely crushed or multi-segmental injured amputee which is not possible to replant. In this situation, reconstructive surgeons should consider heterodigital free flap from amputee as an option.

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Autologous Fat Grafting as a Last Resort for Unsustainable Pain in a Woman with Multiple Osteochondromas

  • Negenborn, Vera Lidwina;Moerman, Esther;Ham, Simon Johannes
    • Archives of Plastic Surgery
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    • v.44 no.2
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    • pp.162-165
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    • 2017
  • Multiple osteochondromas (MO) is characterized by the formation of osteochondromas throughout the entire body. Although the evidence regarding its pathogenesis is well understood, no curative treatment for the disorder is available. Patients can be treated symptomatically by surgical removal of painful osteochondromas. Unfortunately, some patients still suffer from severe pain, even after surgery. We report on a case concerning a 48-year-old woman with a history of MO who presented with persistent pain after surgical removal of a symptomatic osteochondroma of the left scapula and multiple symptomatic osteochondromas of the left foot and trochanteric region. Several interventions to reduce the pain did not have any lasting effect. Subsequently, she was treated with autologous fat grafting (AFG). After each session she was pain-free for at least one year and reported only partial recurrence of the pain. This is the first case report describing AFG for the treatment of pain after both surgical removal of an osteochondroma and symptomatic osteochondromas in a patient suffering MO with promising results. The treatment is more effective and clearly continues to remain active longer than injection therapy or pain medication. Future studies are necessary to confirm our results.

The Effect of Cross-Education in Nondominant Arm with Normal Adult (정상인의 비우성 상지를 이용한 교차훈련의 효과)

  • Choi, Jin-Ho;Lee, Mi-Young
    • The Journal of Korean Physical Therapy
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    • v.23 no.2
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    • pp.31-36
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    • 2011
  • Purpose: We investigated the effects of physical practice, mental practice, and cross education using serial reaction time (SRT) in the non-dominant left arm of right-handed individuals. Methods: Subjects were divided into three groups; physical practice (n=8), mental practice (n=8) and controls (n=8). They did, respectively, physical training or mental training, or had no intervention for three weeks. Super lab 4.0 displayed four symbols on the monitor and subjects were asked to push the matching button. Reaction time was assessed pre- and post-intervention. Results: Reaction time was significantly lower after physical practice (p<0.05), but mental practice did not significantly lower reaction time? in the left hand. Also, reaction time was not significantly lower after physical practice or mental practice in the right hand. Conclusion: Physical practice can improve motor learning, but mental practice is not sufficient. Also, neither physical practice nor mental practice is sufficient for cross education from the nondominant to the dominant arm.

흄의 원리와 '내용의 분할'

  • Choi, Won-Bae
    • Korean Journal of Logic
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    • v.8 no.1
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    • pp.69-88
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    • 2005
  • Hume's principle says that the number of Fs is the same as the number of Gs iff there are just as many Fs as Gs. Frege seems to suggest at Grundlagen $\S64$ that (i) the content of the two sentences are the same, (ii) the left hand side sentence is a result of 'carving up the content' of the right hand side in a new way, (iii) 'the true order of things' are from the right to left rather than the other way round. We examine here if there is a room for arguing these three theses altogether within Frege's philosophy, and give a positive answer to it.

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The Effects of Relaxation Music on the Body Flexibility and Stress (이완음악이 신체유연성과 스트레스에 미치는 영향)

  • Lee, Kwang-jae;Kim, Dong-hun
    • Journal of Korean Physical Therapy Science
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    • v.22 no.2
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    • pp.37-42
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    • 2015
  • Background : The purpose of this study is to identify how the relaxation music listening during exercise influences body flexibility and stress. Methods : Twenty healthy adults 20s and 30s who lack of body flexibility were recruited and each subjects performed exercise during the relaxation music listening or no listening. Bach, aria of linear G was used as the relaxation music. The experiment was conducted for 4 weeks. In this study, PASW ver 18.0 was utilized to perform non-parametric tests for comparisons. Result : The result with respect to the dependent variables are as follows: When non-parametric tests were conducted to compare body flexibility at the test of the right ear touch behind head by left hand and the stretching hands test between the two groups after exercise, they showed significant differences in statistical terms (p<.05). Conclusion : From the above results of the study it was found that the application of the relaxation music during the exercise is effective, it improved the body flexibility of the right ear touch behind head by left hand and the stretching hands more than the exercise without the relaxation music did. The outcome of the experiment may provide basic data for developing an effective way to increase body flexibility.

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