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Relationship Between Muscle Mass and Usual Walking Speed Mediated by Muscle Strength, Respiration and Depression in Elderly Female

  • Yun-jeong Baek;Chung-hwi Yi;Oh-yun Kwon;Sang-hyun Cho
    • Physical Therapy Korea
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    • v.30 no.3
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    • pp.202-210
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    • 2023
  • Background: The elderly population is increasing rapidly worldwide. Muscle mass, usual walking speed (UWS), knee extension strength (KES), hand grip strength (HGS), peak expiratory flow (PEF), and depression is used for sarcopenia diagnosis. All four of these factors (KES, HGS, PEF, and depression) correlated with UWS and also to muscle mass. But, many studies have suggested that no correlation exists between muscle mass and UWS. Objects: This study aimed: 1) to investigate whether muscle mass reduction affected UWS, as mediated by KES, HGS, PEF and depression, and 2) to explored whether significant changes in these mediators varied by the body segment in which muscle mass evaluated in elderly female aged 65-80 years. Methods: A total of 100 female aged 65-80 years were surveyed. Muscle mass was measured by body segment (upper and lower segment), and KES, HGS, PEF, depression, and UWS were also assessed. Median analyses were progressed in IBM SPSS software (ver. 23.0, IBM Co.) using a downloaded INDIRECT macro. Results: The direct effect of the KES and PEF were significant, and the indirect effect of KES and PEF were not significant. Thus, KES and PEF served as full mediators of the effect of muscle mass on UWS. Regardless of bodily region, KES and PEF combined with muscle mass were significant mediators of UWS, with similar indirect effect sizes. Conclusion: KES and PEF are the only mediators regardless of body part. Therefore, mediating the KES and PEF may prevent sarcopenia progression in elderly female. Also, sarcopenia can be readily assessed by evaluating either the upper or lower body; it is not necessary to measure total muscle mass.

Factors Affecting Cage Obliquity and the Relationship between Cage Obliquity and Radiological Outcomes in Oblique Lateral Interbody Fusion at the L4-L5 Level

  • CheolWon Jang;SungHwan Hwang;Tae Kyung Jin;Hyung Jin Shin;Byung-Kyu Cho
    • Journal of Korean Neurosurgical Society
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    • v.66 no.6
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    • pp.703-715
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    • 2023
  • Objective : This retrospective study investigated the factors that affect cage obliquity angle despite orthogonal maneuvers performed during oblique lateral interbody fusion (OLIF) and assessed the relationship between cage obliquity angle and radiological outcomes post-surgery. Methods : Twenty-nine males who underwent L4-L5 OLIF for lumbar degenerative disease between 2019 and 2021 with a followup duration greater than 12 months were analyzed. Radiological parameters were measured including psoas muscle volume, total psoas area index (total psoas muscle area [cm2]/height squared [m2]), distance from the iliac artery to the origin of the psoas muscle (DIAPM), angle between the origin of the psoas muscle and the center of the vertebral disc (APCVD), iliac crest height, disc height, lumbar flexibility (lumbar flexion angle minus extension angle), cage location ratio, cage-induced segmental lumbar lordosis (LL) (postoperative index level segmental LL minus used cage angle), foraminal height changes, fusion grade. Results : DIAPM, APCVD, iliac crest height, postoperative index level segmental LL, and cage-induced segmental LL were significantly correlated with OLIF cage obliquity angle. However, other radiological parameters did not correlate with cage obliquity. Based on multiple regression analysis, the predictive equation for the OLIF cage obliquity angle was 13.062-0.318×DIAPM+0.325×1APCVD+0.174×iliac crest height. The greater the cage obliquity, the smaller the segmental LL compared to the cage angle used. Conclusion : At the L4-L5 level, OLIF cage obliquity was affected by DIAPM, APCVD, and iliac crest height, and as the cage obliquity angle increases, LL agnle achievable by the used cage could not be obtained.

Assessment of weather events impacts on forage production trend of sorghum-sudangrass hybrid

  • Moonju Kim;Kyungil Sung
    • Journal of Animal Science and Technology
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    • v.65 no.4
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    • pp.792-803
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    • 2023
  • This study aimed to assess the impact of weather events on the sorghum-sudangrass hybrid (Sorghum bicolor L.) cultivar production trend in the central inland region of Korea during the monsoon season, using time series analysis. The sorghum-sudangrass production data collected between 1988 and 2013 were compiled along with the production year's weather data. The growing degree days (GDD), accumulated rainfall, and sunshine duration were used to assess their impacts on forage production (kg/ha) trend. Conversely, GDD and accumulated rainfall had positive and negative effects on the trend of forage production, respectively. Meanwhile, weather events such as heavy rainfall and typhoon were also collected based on weather warnings as weather events in the Korean monsoon season. The impact of weather events did not affect forage production, even with the increasing frequency and intensity of heavy rainfall. Therefore, the trend of forage production for the sorghum-sudangrass hybrid was forecasted to slightly increase until 2045. The predicted forage production in 2045 will be 14,926 ± 6,657 kg/ha. It is likely that the damage by heavy rainfall and typhoons can be reduced through more frequent harvest against short-term single damage and a deeper extension of the root system against soil erosion and lodging. Therefore, in an environment that is rapidly changing due to climate change and extreme/abnormal weather, the cultivation of the sorghum-sudangrass hybrid would be advantageous in securing stable and robust forage production. Through this study, we propose the cultivation of sorghum-sudangrass hybrid as one of the alternative summer forage options to achieve stable forage production during the dynamically changing monsoon, in spite of rather lower nutrient value than that of maize (Zea mays L.).

Current Concepts in the Treatment of Traumatic C2 Vertebral Fracture : A Literature Review

  • Subum Lee;Junseok W Hur;Younggyu Oh;Sungjae An;Gi-Yong Yun;Jae-Min Ahn
    • Journal of Korean Neurosurgical Society
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    • v.67 no.1
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    • pp.6-13
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    • 2024
  • The integrity of the high cervical spine, the transition zone from the brainstem to the spinal cord, is crucial for survival and daily life. The region protects the enclosed neurovascular structure and allows a substantial portion of the head motion. Injuries of the high cervical spine are frequent, and the fractures of the C2 vertebra account for approximately 17-25% of acute cervical fractures. We review the two major types of C2 vertebral fractures, odontoid fracture and Hangman's fracture. For both types of fractures, favorable outcomes could be obtained if the delicately selected conservative treatment is performed. In odontoid fractures, as the most common fracture on the C2 vertebrae, anterior screw fixation is considered first for type II fractures, and C1-2 fusion is suggested when nonunion is a concern or occurs. Hangman's fractures are the second most common fracture. Many stable extension type I and II fractures can be treated with external immobilization, whereas the predominant flexion type IIA and III fractures require surgical stabilization. No result proves that either anterior or posterior surgery is superior, and the surgeon should decide on the surgical method after careful consideration according to each clinical situation. This review will briefly describe the basic principles and current treatment concepts of C2 fractures.

Effect of pain on cranio-cervico-mandibular function and postural stability in people with temporomandibular joint disorders

  • Mehmet Micoogullari;Inci Yuksel;Salih Angin
    • The Korean Journal of Pain
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    • v.37 no.2
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    • pp.164-177
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    • 2024
  • Background: Neck and jaw pain is common and is associated with jaw functional limitations, postural stability, muscular endurance, and proprioception. This study aimed to investigate the effect of jaw and neck pain on cranio-cervico-mandibular functions and postural stability in patients with temporomandibular joint disorders (TMJDs). Methods: Fifty-two patients with TMJDs were included and assessed using Fonseca's Questionnaire and the Helkimo Clinical Dysfunction Index. An isometric strength test was performed for the TMJ depressor and cervical muscles. The TMJ position sense (TMJPS) test and cervical joint position error test (CJPET) were employed for proprioception. Total sway degree was obtained for the assessment of postural stability. Deep neck flexor endurance (DNFE) was assessed using the craniocervical flexion test. The mandibular function impairment questionnaire (MFIQ) was employed to assess mandibular function, and the craniovertebral angle (CVA) was measured for forward head posture. Results: Jaw and neck pain negatively affected CVA (R2 = 0.130), TMJPS (R2 = 0.286), DNFE (R2 = 0.355), TMJ depressor (R2 = 0.145), cervical flexor (R2 = 0.144), and extensor (R2 = 0.148) muscle strength. Jaw and neck pain also positively affected CJPET for flexion (R2 = 0.116) and extension (R2 = 0.146), as well as total sway degree (R2 = 0.128) and MFIQ (R2 = 0.230). Conclusions: Patients with painful TMJDs, could have impaired muscle strength and proprioception of the TMJ and cervical region. The jaw and neck pain could also affect postural stability, and the endurance of deep neck flexors as well as mandibular functions in TMJDs.

Development of an EMS Thoracic Support Harness for Upper Posture Correction (상부 자세 교정을 위한 EMS 흉추 보호대 개발)

  • Minsuk kim;Jinhee Park;Jooyong Kim
    • Journal of Fashion Business
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    • v.28 no.5
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    • pp.50-67
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    • 2024
  • This study developed a thoracic support harness designed to contract the lower trapezius muscle through electrical muscle stimulation (EMS) applied to the subscapularis region. Fifteen female office workers in their 30s who were diagnosed with forward head posture syndrome (FHP) participated in experiments evaluating stiffness and rigidity of the upper trapezius muscle. The experiment measured FHP Angle (FHPA), Neck Flexion Angle (NFA), Neck Extension Angle (NEA), Neck Rotation Angle (NRA), and Visual Analog Scale (VAS) for pain perception and comfort. Participants were divided into four groups (A, B, C, D) for sequential testing. Group A served as control, Group B performed upper trapezius stretching (UTS), Group C received EMS to stimulate weakened lower trapezius muscle. Group D underwent both UTS and EMS concurrently. After intervention, cervical angles and VAS scores were compared between groups. Statistical analysis using t-tests revealed significant differences between Group A and Group B, C, or D. ANOVA was used to test mean differences among groups, followed by Tukey-Kramer post-hoc tests to identify specific group differences. Results indicated that stretching or EMS alone had limited effects, while a combination of stretching and EMS showed significant benefits. The comfort level of the harness was rated at an average of 3.86 with a standard deviation of 2.38

A Study on Organizational Strategy and Operational Elements of Community-based Agricultural Management Bodies (마을단위 농업경영체 조직전략 및 운영요소 도출 연구)

  • Kim, Jong An;Kil, Cheong Soon;Kim, Gi Tae;Kim, Won Gyeong
    • Journal of Agricultural Extension & Community Development
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    • v.20 no.3
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    • pp.777-822
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    • 2013
  • This study attempts to elicit the organizational strategy and operational elements of community-based agricultural management bodies as new main farm management. We analyzed the newest discussion trend, cooperated community management, between Republic of Korea and Japan based on theory of organizing regional agriculture, and also researched on the organization management and business management about cooperated management of community. In this study, the main conclusion of the organizational strategy and operational elements of community-based agricultural management bodies are as following. i) The community-based agricultural management bodies is the cooperation managed individual agriculture resources as joint stock for purposing compound goal, an expansion agricultural income, maintenance farm productivity and rural societies. ii) The domain of cooperative management focus on secondary and tertiary industry like food process, farm produce distribution, rural experience more than farm produce production. The study suggest business promotion system of village unit farmers groups, element of organization management as executive decision organization, business management, operating factor for each steps and management element of cooperation farm working. iii) The policy direction for invigoration community-based agricultural management bodies is to make facilitation for each steps instead of standardized support.

Study on Forage Cropping System Using Summer Forage Crops with Italian Ryegrass at Paddy Land of Gangjin Region in South Korea (남부지역 논에서 이탈리안 라이그라스와 하계 사료작물을 연계한 작부체계에 관한 연구)

  • Jeong Sung Jung;Se Young Lee;Mirae Oh;Hyung Soo Park;Ana Yun;Ki Choon Choi
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.43 no.1
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    • pp.35-41
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    • 2023
  • This experiment was carried out to examine double cropping system using Italian ryegrass (IRG) 'Kowinearly', whole crop rice 'Yeongwoo' and barnyard millet 'Jeju native' during the Oct. 2020 to Oct. 2022. Three kinds of forage crops were cultivated at paddy field in Livestock Institute, Jeollanamdo Agricultural Research and Extension Services, Jeollanamdo, South Korea. Whole crop rice (WCR) was sown in late May and barnyard millet (BM) sown early June each year after harvesting IRG. We examined dry matter yield and feed value of forage crops depending on harvest time of forage crops during the experimental period. The plant height in heading stage of IRG ranged from 108 to 112cm and dry matter yield ranged from 6,783 to 11,530 kg ha-1. The crude protein (CP) of IRG ranged from 6.0 to 8.44%, acid detergent fiber (ADF) ranged from 55.6 to 60.2% and neutral detergent fiber (NDF) ranged from 32.58 to 36.7%, The dry matter yield of WCR increased as the harvest stage was delayed (14,310 kg ha-1 in milk, 16,167 kg ha-1 in yellow ripen, and 18,891 kg ha-1 in mature). Similar to results of dry matter yield of WCR, dry matter yield of BM increased as the harvest stage was delayed (11,194 kg ha-1 in late heading. and 14,308 kg ha-1 in mature), However nutrient content of WCR and BM showed a decreasing trend. As shown in above results, the productivity of WCR after harvesting IRG was shown to be high at paddy field in the southern region. However, BM also was appeared to have potential as summer forage crops.

Selection of Growth Characteristics and Yield of Annual Legumes on Paddy Field (논에서 생육특성과 수량이 우수한 두과 사료작물 선발)

  • Kim, Won-Ho;Lee, Joung-Kyong;Park, Hyung-Soo;HwangBo, Soon;Lim, Young-Cheol;Ji, Hee-Chung;Lee, Hyo-Won;Yoon, Bong-Ki;Seo, Sung
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.29 no.4
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    • pp.307-312
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    • 2009
  • This experiment was conducted to compare the agronomic characteristics and productivity of induced annual legumes at paddy field of Cheonan and Naju from 2004 to 2006. Chinese milk vetch (wild type), crimson clover (C.V. Linkarus), forage pea (C.V. Austrian pea), hairy vetch (C.V. Oregon commen) were used in this study. At the Naju region, the earliest flowering on 2nd may was found in Chinese milk vetch, while the latest on 18th May in forage pea. Fresh, dry matter (DM) and crude protein (CP) yields of crimson clover were highest as 28,870, 6,986 and 943 kg/ha, respectively. but the yield of chinese milk vetch was low by 9,885, 1,749 and 338 kg/ha. At the Cheonan region, the most fast flowering date variety was Chinese milk vetch, hairy vetch was very late as 19th May. Fresh, DM and CP yields of hairy vetch were highest as 7,916, 1,141 and 113 kg/ha, respectively. but the yield of chinese milk vetch showed the lowest by 270, 42 and 8 kg/ha. The CP content of annual legumes was 14.3%. chinese milk vetch showed the highest CP content by 19.3% and hairy vetch showed the lowest content by 9.9%. The present data showed that the productivity was closely dependent on winter hardness, in conclusion, crimson clover at Naju and hairy vetch at Cheonan region was suggested to be the most proper species as winter crop after rice harvest on paddy field when considered the winter hardiness.

Agronomic Characteristics of Sorghum × Sudangrass Hybrids 'Cadan 99B' and 'Sweet Sioux WMR' in Middle and Southern Region of Korea (중부 및 남부지역에서의 수수 × 수단그라스 교잡종 'Cadan 99B' 및 'Sweet Sioux WMR' 품종특성)

  • Hwang, Tae-Young;Ji, Hee Chung;Kim, Ki Yong;Lee, Sang-Hoon;Lee, Ki-Won;Kim, Ki-Su;Choi, Gi Jun
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.37 no.4
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    • pp.254-263
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    • 2017
  • This study was carried out to introduce of agronomic characteristics, forage yields and quality of Sorghum ${\times}$ Sudangrass hybrids 'Cadan 99B' and 'Sweet Sioux WMR' from 2015 to 2016 in middle and southern regions of Korea. The field experiment design was complete in seven varieties with three repetitions. Sorghum ${\times}$ Sudangrass hybrids were sown on mid-May in middle region, and end-May in southern region of Korea, in 2015 and 2016. The observed average heading date of Cadan 99B and Sweet Sioux WMR were July 22. The heading dates of Cadan 99B and Sweet Sioux WMR were 8 days earlier than SX-17 and 5 days earlier than brown mid-rid (BMR) Revolution. The sugar contents of Cadan 99B and Sweet Sioux WMR were 6.5 and $6.9Brix^{\circ}$, respectively. Comparison with BMR variety, the sugar contents of Candan 99B and Sweet Sioux WMR were 0.2 and $0.6Brix^{\circ}$ higher than Revolution, respectively. The average of dry matter (DM) yield for 2 years and 2 regions of Cadan 99B (24,587kg/ha) were the highest among the seven varieties, but there was no significant difference among other varieties except headless control variety Jumbo (19,119kg/ha) and LATTE (20,778kg/ha) (p>0.05). The crude protein (CP) and in vitro dry matter digestibility (IVDMD) of Cadan 99B were 7.5% and 60.2%, and Sweet Sioux WMR were 6.9% and 60.7%, respectively. The results of this study indicated that Sorghum ${\times}$ Sudangrass hybrids Cadan 99B and Sweet Sioux WMR are earlier heading dates and higher than SX-17, and high yields of DM in middle and southern regions of Korea.