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The improvement of gait asymmetry ratio for hemiplegic patients by forceful respiratory exercise (노력성 호흡운동에 의한 편마비환자의 보행 비대칭율 개선)

  • Kim Byung-Jo;Lee Hyun-Ok;Ahn So-Youn
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.38-58
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    • 2004
  • The regain of independent ambulatory ability is a important goal in the rehabilitation program of hemiplegic patient. Not only the function of lower extremity muscles, but also trunk muscles which stabilize extremities and pelvis, are important factors in normal gait. Therefor, it is necessary to develop an effective program which can improve muscle strength and symmetric activity of trunk muscles. The purpose of this study was to evaluate the influence of trunk muscle strengthening by forceful respiratory exercise on the gait asymmetry ratio in hemiplegic patient. 45 Hemiplegic patients due to stroke was randomized in 3 groups, forceful expiratory training(FET), forceful inspiratory training(FIT) and control group. In the experimental groups, ordinary physical therapy with forceful expiratory training and forceful inspiratory training for 20 minutes duration 3 times per week for 6 weeks were respectively performed. In the control group, only ordinary physical therapy was done. Before and after experiments, temporal-spatial gait parameters was measured in all patients. The data of 28 patients who carried out the whole experimental course were statistically analysed. The results of these experiment are as follows : 1. In comparison of difference of single support time asymmetry ratio among 3 groups, the FET group was significantly decreased than the control group (p<.05). 2. In comparison of difference of step length asymmetry ratio among 3 groups, the FIT group was significantly decreased than the control group (p<.05). Based on these results, it is concluded that the forced respiratory exercise program for 6 weeks can be improve the gait asymmetry ratio in hemiplegic patients. Therefore, the forced respiratory exercise is useful to improve the walking ability in hemiplegic patients. Since this study dealt only with the patients who could walk more than 3 meters in distance on floor independently, the further study for evaluating the influence of the forceful respiratory exercise on patients with acute stage stroke and also the development in various methods of use are expected.

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Curvature Linear Equation of a Coma Corrected Two-Mirror System with Finite Object Distance (유한 물체거리를 갖는 코마수차가 보정된 2 반사경계의 곡률선형방정식)

  • Hwang, Seok-Ju;Rim, Cheon-Seog;Jo, Jae-Heung
    • Korean Journal of Optics and Photonics
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    • v.18 no.1
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    • pp.19-23
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    • 2007
  • We derived analytically the generalized curvature linear equation useful in the initial optical design of a two-mirror system with finite object distance, including an infinite object distance from paraxial ray tracing and Seidel third order aberration theory for coma coefficient. These aberration coefficients for finite object distance were described by the curvature, the inter-mirror distance, and the effective focal length. The analytical equations were solved by using a computer with a numerical analysis method. Two useful linear relationships, determined by the generalized curvature linear equations relating the curvatures of the two mirrors, for the cancellation of each aberration were shown in the numerical solutions satisfying the nearly zero condition ($<10^{-10}$) for each aberration coefficient. These equations can be utilized easily and efficiently at the step of initial optical design of a two-mirror system with finite object distance.

Potential Use of a Smartphone to Evaluate Gait during Walking in Stroke Patients (스마트폰 어플리케이션을 이용한 뇌졸중 환자의 보행 평가 가능성)

  • An, Bo-Ra;Ki, Kyong-Il;Woo, Young-Keun
    • PNF and Movement
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    • v.16 no.1
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    • pp.67-73
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    • 2018
  • Purpose: Smartphones, which are widely used worldwide to detect acceleration and position, have been used in the area of rehabilitation medicine in recent clinical research studies and tests. The aim of the present study was to determine the feasibility of using a smartphone application based on center of movement (COM) displacement to measure gait parameters in stroke patients in the clinical field of rehabilitation medicine. Methods: The study consisted of 30 stroke patients. The COM was measured using a smartphone application, Gait Analysis Pro, during a 6-m walk. Each patient performed three 6-m walking trials, and the smartphone application measured gait duration, gait speed, step length, cadence, and vertical and lateral displacement of the COM. The Kolmogorov-Smirnov test was conducted to determine the normality in gait parameters, and a repeated one-way analysis of variance (ANOVA) was performed to determine the consistency among the three trials. A p value of 0.05 was considered statistically significant in all the tests. Results: In all the measured parameters, the smartphone application showed a normal distribution, as shown by the results of the Kolmogorov-Smirnov test. There were no significant differences among the three repetitive walking trials. Conclusion: These results suggest that the smartphone application can be used for evaluating gait in stroke patients, as well as in healthy adults. However, prior to using the smartphone application in the clinical field, further research involving three-dimensional gait analysis is needed to enhance the confidence level of the findings.

Variations of NO Concentration Released from Fertilized Japanese Upland Soil Under Different Soil Moisture Conditions

  • Kim, Deug-Soo;Haruo Tsuruta;Kazuyuki Inubushi
    • Journal of Korean Society for Atmospheric Environment
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    • v.14 no.E
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    • pp.9-17
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    • 1998
  • Oxides of nitrogen play important roles in atmospheric chemistry. Soil has been recognized as a major natural source of NO, and its emission depends on soil parameters such as soil nitrogen availability, soil moisture and temperature. It is necessary to understand effects of these controlling parameters on soil NO emission. In order to understand soil moisture effects on NO emission, variations of NO concentration and existence of its equilibrium concentration were observed from ammonium fertilized Japanese upland soil prepared for different soil moisture conditions. The closed chamber technique was employed for this study. The significant increases in NO with soil moisture were found. Maximum was occurred at sample ID4 (55% of water-filled pore space (WFPS)), but it decreased as soil moisture increased. No significant NO concentration was emitted from soil sample without fertilizer, but there was significant NO in fertilized soil samples. The magnitudes of NO from soil increased with time and reached at steady state within ten minutes approximately. These results suggest that nitrogen input from fertilizer takes charge in the first step of sharp increase in NO emission, and then soil moisture becomes important factor to control NO emission from the soils. NO concentrations from soil were compared to those one-day after the experiment. Results from the comparison analysis suggest that the soil NO flux might have been stimulated by soil disturbances like mixing, and this is much more effective in dry soils rather than in wet soils. It was found that much less NO came out from soils after a day; suggesting that most of NO was released from the soils within a day after fertilizer application during our experiment. The length of NO releasing time span may depend on the amounts of fertilizer applied, soil moisture condition, and other soil physical parameters.

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A Study on Heat Transfer Characteristics of a Closed Two-Phase Thermosyphon with a Low Tilt Angle (낮은 경사각을 갖는 밀폐형 2상 열사이폰의 열전달 특성에 관한 연구)

  • 김철주;강환국;김윤철
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.8 no.1
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    • pp.1-12
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    • 1996
  • In lots of application to heat exchanger systems, closed two-phase thermosyphons are tilted from a horizontal. If the tilt angle, especially, is less than 30$^{\circ}$, the operational performances of thermosyphon are highly dependent on tilt angle. The present study was conducted to better understand such operational behaviors as mech-anni는 of phase change, and flow patterns inside a tilted thermosyphon. For experiment, an ethanol thermosyphon with a 35% of fill charge rate was designed and manufactured, using a copper tube with a diameter 19mm and a length 1500mm. Through a series of test, the tilt angle was kept constant at each of 4 different values in the range 10~25deg. and the heat supply to the evaporator was stepwisely increased up to 30㎾/$m^2$. When a steady state was established to the thermosyphon for each step of thermal loads, the wall temperature distribution and vapor temperature at the condenser were measured. The wall temperature distributions demonstrated a formation of dry patch in the top end zone of the evaporator, with a values of temperature 20~4$0^{\circ}C$ higher than the wetted surface for a moderate heat flux q≒20㎾/$m^2$. Inspite of the presence of hot dry patch, however, the mean values of boiling heat transfer coefficient at the evaporator wall were still in a good agreement with those predicted by Rohsenow's formula, which was based on nucleate boiling. For the condenser, the wall temperatures were practically uniform, and the measured values of condensation heat transfer coefficient were 1.7 times higher than the predicted values obtained from Nusselt's film condensation theory on tilted plate. Using those two expressions, a correlation was formulated as a function of heat flux and tilt angle, to determine the total thermal resistance of a tilted thermosyphon. The correlation formula showed a good agreement with the experimental data within 20%.

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A Study on Change in Gait Parameters Related to the Cop and Velocity Resulting from the Use of Ankle Foot Orthosis in Spastic Diplegia (경직성 양하지마비아의 발목 보조기 착용에 따른 체 중심및 보행속도에 의한 보행인자 변화연구)

  • Park, Mi-Sook;Kim, Yong-Seong;Hwang, Tae-Yeon;Kim, Yong-Nam
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.10 no.1
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    • pp.23-28
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    • 2012
  • Purpose : The objectives of this study were to examine changes in gait parameters related to the COP and gait velocity resulting from the use of ankle foot orthosis, and to provide information for the prescription of ankle foot orthosis and gait rehabilitation training. Methods : We sampled a control group of 14 normal children of the same age as the spastic diplegia (spastic diplegia used ankle foot orthosis) and measured their COP at barefoot gait and their gait parameters at three gait velocities. Change in the COP according to the use of ankle foot orthosis measured one-way ANOVA and Gait parameters according to gait velocity used repeated measures ANOVA. Results : As a result of analyzing change in the COP it became close to that of normal children, and changes in gait parameters such as step width, stride length and stride time also became close to those of normal children. Conclusion : In conclusion, when spastic diplegia used ankle foot orthosis, their balancing ability was improved as a result of decreased change in the COP, and their changes in gait parameters also became close to those of the control group. These results show that the use of ankle foot orthosis improves spastic diplegia gait functions.

Surgical Anatomy of Sural Nerve for the Peripheral Nerve Regeneration in the Oral and Maxillofacial Field (구강악안면 영역의 말초신경 재생을 위한 비복신경의 외과적 해부학)

  • Seo, Mi-Hyun;Park, Jung-Min;Kim, Soung-Min;Kang, Ji-Young;Myoung, Hoon;Lee, Jong-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.2
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    • pp.148-154
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    • 2012
  • Peripheral nerve injuries in the oral and maxillofacial regions require nerve repairs for the recovery of sensory and/or motor functions. Primary indications for the peripheral nerve grafts are injuries or continuity defects due to trauma, pathologic conditions, ablation surgery, or other diseases, that cannot regain normal functions without surgical interventions, including microneurosurgery. For the autogenous nerve graft, sural nerve and greater auricular nerve are the most common donor nerves in the oral and maxillofacial regions. The sural nerve has been widely used for this purpose, due to the ease of harvest, available nerve graft up to 30 to 40 cm in length, high fascicular density, a width of 1.5 to 3.0 mm, which is similar to that of the trigeminal nerve, and minimal branching and donor sity morbidity. Many different surgical techniques have been designed for the sural nerve harvesting, such as a single longitudinal incision, multiple stair-step incisions, use of nerve extractor or tendon stripper, and endoscopic approach. For a better understanding of the sural nerve graft and in avoiding of uneventful complications during these procedures as an oral and maxillofacial surgeon, the related surgical anatomies with their harvesting tips are summarized in this review article.

Characteristics of Natural Hydraulic Lime Mortar Mixed with Basalt Fiber (바잘트 섬유를 혼합한 천연수경성석회 모르타르의 특성)

  • Moon, Ki-Yeon;Cho, Jin-Sang;Cho, Kye-Hong;Hong, Chang-Woo
    • Resources Recycling
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    • v.24 no.6
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    • pp.61-68
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    • 2015
  • In this study, the strength properties of NHL based mortar with blending basalt fiber were investigated. In the first step, it was evaluated that physical properties of NHL based mortar according to mixing method of four types of basalt fiber and then mixing method of one type was selected. As a result of assessment, it showed that the physical properties with mixing method of dry blending were better than that of wet blending and mixing method that basalt fiber pre-mixed with NHL for 5 min in a blender was selected and water and aggregate were finally added. Secondly, the investigation of blending fiber length on the compressive and flexural strength for basalt fiber reinforced NHL based mortars was carried out. The compressive strength was decreased with adding fiber, and the flexural strength was increased more than plain mortar. In the case of adding 6 mm fiber, the compressive and flexural strength were improved more than that of others.

Expression, Secretion and Purification of Histidine-Tagged Autotaxin (NPP2) from Insect Cells Media (곤충세포 배지로부터 히스티딘이 융합된 Autotaxin(NPP-2)의 발현, 분비 및 정제)

  • 이종한;송재휘;이종흔;안영민;김수영;이석형;박원상;유남진;홍성렬
    • YAKHAK HOEJI
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    • v.47 no.6
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    • pp.410-416
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    • 2003
  • Autotaxin(ATX) was originally purified from conditioned media of A2058 human melanoma cells and shown to be a potent cell motility-stimulating factor, possessing a type II nucleotide pyrophosphatase/phosphodiesterase (NPP2) activity. Recombinant ATX has recently demonstrated that human plasma lysophosholipase D is identical to ATX and uses lysophosphatidylcholine as a substrate to mediate various biological functions including tumor cell growth and motility through G-protein coupled receptor. However, despite pivotal roles of ATX on physiological or pathophysiological states, the production of ATX is solely depends on complicated purification method which employs multiple column steps, but resulted in very poor yield. This limited the use of ATX for extensive analysis. We, therefore, expressed six histidine-tagged recombinant human ATX(His-ATX) in High Five TM insect cells to improve the generation of ATX and to make simple the purification of ATX. The signal sequence of the human ATX gene was truncated and replaced with sequence of insect cell secretion signal within expression vector. In addition, codons for six histidines were added to the C-termini of 120kDa ATX cDNA construct. A simple purification scheme utilizing two-step affinity column chromatography was designed to purify His-ATX to homogeneity from the culture supernatant of transfected insect cells. Homogenous His-ATX was detected and isolated from the concentrated insect cell medium using concanavalin A agarose and nickel affinity chromatography. Purified His-ATX was in full length with ATX capacity. A combination of this expression system and purification scheme would be useful for production and purification of high-quality functional ATX for research and practical application of multiple functional motogen, ATX/NPP-2.

An Investigation on Surface Flashover Characteristics of FRP in Several Insulation Gases for the Spacer of Cryogenic Bushing

  • Hwang, Jae-Sang;Shin, Woo-Ju;Seong, Jae-Kyu;Lee, Jong-Geon;Lee, Bang-Wook
    • Progress in Superconductivity and Cryogenics
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    • v.14 no.4
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    • pp.20-23
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    • 2012
  • Superconducting equipment has been actively investigated for securing the environment and energy technology (ET) in various parts of the world. Despite these movements, a high voltage cryogenic bushing, which plays an important role of interconnection between the electric power systems and superconducting devices, has not been fully developed due to severe insulation requirements. A gas insulated cryogenic bushing has been investigated as one of our projects since 2010. As a basic step to obtain the design parameters for cryogenic bushing, we focused on the surface flashover characteristics of glass fiber reinforced plastic (FRP) in several insulation gases. For the surface flashover tests, several insulation gases including $SF_6$, $CF_4$ and $N_2$ gas were prepared. Various length of FRP specimens were fabricated in order to obtain the fundamental data for creepage distance of FRP. The first specimen group was from 2 mm to 10 mm with 2 mm intervals and the second specimen group was from 20 mm to 100 mm with 20 mm intervals. And the gas pressure was varied from 1 bar to 4 bar. An AC overvoltage test and a lightning impulse test were performed. Then the experimental results of surface flashover were obtained and analyzed. Based on these results, it would be possible to design the optimum creepage distance of FRP in a cryogenic bushing.