• Title/Summary/Keyword: Stoke

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The Effects of Computer-Based Cognitive Rehabilitation Program(CoTras) for Visual Perception and ADL in Stroke (한국형 전산화 인지재활프로그램(CoTras)이 뇌졸중 환자의 시지각 기능 및 일상생활동작에 미치는 효과)

  • Jo, A-Young;Kim, Jung-Mi
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.49-63
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    • 2012
  • Objective : The purpose of study was to verify the clinical effect of a Korean Computer-based cognitive rehabilitation program(called CoTras) for recovering the visual perception function and ADL in stroke. Methods : A CBCRT was applied to 14 Stoke patients who rehabilitation professional medical treatment hospital. All participant were evaluated with four standardized assessment tolls(Motor-Free Visual Perception Test; MVPT, Korean version of Mini-Mental State Examination; MMSE-K, Assesment of Motor and Process Skills: AMPS) before and after the planned computer based cognitive rehabilitation sessions. Results : A significant effect was confirmed (p<.05) from the CBCRT which visual perception function. By each entry comparative result, visual memory, figure ground, visual close, spatial relation, visual discrimination, were the order of treatment. Neither was found any significant effect in improving process skills from AMPS. Conclusion : These results indicate that CoTras have effects on improving visual perception and ADL performance in stroke patients. Will be able to present with the fundamental data CoTras will be able to contribute to increase visual perception function & ADL performance to the stroke patient who has visual perception dysfunction.

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The Clinical Interchange between Western Medicine and Oriental Medicine: with the Stroke Patient Outcomes Research (일부 한.양방병원 뇌혈관질환 환자의 진료결과 및 만족도의 비교연구 -한양방협진 진료프로토콜의 적용을 중심으로-)

  • Park, Jong-Ku;Kang, Myung-Guen;Lee, Seong-Soo;Kim, Dal-Rae;Choi, Seo-Young;Han, Chang-Ho;Yoo, Jun-Sang;Kim, Min-Gi;Kim, Chun-Bae
    • The Journal of Internal Korean Medicine
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    • v.22 no.4
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    • pp.691-702
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    • 2001
  • Objectives : This study was done to assess the effects of the clinical interchange between the Western Medicine and the Oriental Medicine for ischemic stroke patients. The patient outcomes include changes in neurologic function by modified NIH stoke scale, stroke pattern identification scale, and patient satisfaction, Methods : For the assessment of effects, this study was performed with 178 inpatients who had undergone the stroke care at three hospitals (W Hospital adopted western therapy, S Oriental Hospital adopted Sasang constitution medicine therapy, and H Oriental Hospital adopted mixed therapy according to a joint protocol on Western Oriental medical care) from November 1997 to December 1998. Patients were interviewed or written with self-entered questionnaire forms, and clinical data were obtained, Physicians or oriental doctors wrote clinical questionnaire forms according to the care process. Results : The patient outcomes within three hospitals at 2 stages (at admission and discharge in the modified NIH stroke scale. at admission and second weeks during admission in the stroke pattern identification scale) were found to be decreased, Especially in the results of hierarchical multiple regression analysis, the degree of improvement of modified NIH stroke scale of the stroke patients at W Hospital was significant large than it at S Oriental Hospital. Also, the degree of improvement of stroke pattern identification scale at W Hospital was significantly large than it at other two hospitals. However, the patient's satisfaction score at three hospitals wasn't significantly different. Conclusions : The result of this study suggested that the joint clinical research of Western & Oriental medical practitioners was possible even if there was a conflict between Western Medicine and Oriental Medicine. Therefore Western & Oriental medical practitioners share a mutual responsibility to apply evidence-based practice, to seek scientific empirical proof through randomized clinical trials between the multicenter.

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Fractional Anisotropy of Diffusion Tensor Imaging as a Predict Factor in Patient with Acute Cerebral Infarction (급성 뇌경색 환자에서 예후 추측인자로서의 확산텐서영상 비등방도)

  • Kim, Sung-Gil;Eun, Sung-Jong
    • Journal of the Korean Society of Radiology
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    • v.4 no.3
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    • pp.13-18
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    • 2010
  • Purpose : Diffusion tensor imaging(DTI) allows the visualization of fiber tract damage in patients with cerebral infarction. The purpose of this study is to evaluate the correlation between degree of NIH stoke scale and fractional anisotropy (FA) in patient with cerebral infarction. Material and Methods : 16 patients aged 36~77 years(male : 11, female : 5, mean age : 61y), diagnosed cerebral infarction by diffusion weighted imaging(DWI), underwent 24 directional diffusion tensor imaging(DTI). Patients had the DTI taken within 3days of stroke onset. Comparison of DWI, FA value on DTI were measured infarcted area and counter part of specific region of interest (ROI). And evaluation of differences between clinically improved patient group (n=9) and unimproved patient group (n=7) until 2 week follow up after development of cerebral infarction. Clinical status was scaled by NIH stroke scale. Results : Quantitative measurements of FA confirmed statistically the significant diffusion changes in the infarct compared with the matched-counter part region. In DWI, the infarcted area shows high signal intensity, however FA value on DTI was lower than normal brain parenchyma. The FA value of clinically improved patient by NIH stroke scale was 0.49, and the value of contralateral normal brain parenchyma was 0.41. On the contrary, FA value of infarcted area shows about 15% lower than normal brain parenchyma. But, the FA value of unimproved patient by NIH stroke scale represents a half those of contralateral normal brain parenchyma (0.28 on infarcted area vs. 0.56 on normal brain parenchyma). So, the FA value of unimproved patient group was considerably less than those of improved. Conclusion : It is concluded that the unimproved patient group after cerebral infarction showed much less FA value than that of normal brain parenchyma. The FA value of DTI may be one of the useful parameter to predict outcome of cerebral infarction patients.

Study of Heat and Acid Treatment for Hectorite in Turkey Boron Deposit (터키 붕소광상산 헥토라이트의 열 및 산 처리에 따른 특성 연구)

  • Koo, Hyo Jin;Lee, Bu Yeong;Cho, Hyen Goo;Koh, Sang Mo
    • Journal of the Mineralogical Society of Korea
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    • v.29 no.3
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    • pp.103-111
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    • 2016
  • Li-bearing hectorite, one member of trioctahedral smectite, occurred large in quantity and confirmed in Turkey western sedimentary boron deposit. Li-bearing hectorite attracted a particular attention because it is one of potential lithium resources. There have been no consensus for the change of hectorite due to heat and acid treatment although it is very important to use in industrial application. In this study, we examined changes of hectorite after heat and acid treatment as well as acid treatement followed by heating. We used clay ores collected in Bigadic deposit, which contained the highest $Li_2O$ content in Turkey boron deposits. Hectorite showed a strong endothermic reaction at $84^{\circ}C$ due to dehydration of absorbed water and interlayer water and a weak endothermic reaction above $600^{\circ}C$ owing to dehydration of crystallization water. The first endothermic reaction accompanied a large weight loss about 6%. Hectorite decomposed into enstatite, cristobalite and amorphous Fe material at $762^{\circ}C$ with exothermic reaction. When hectorite reacted with 3 kinds of 0.1 M acid during 1 hours, it had a good dissolution efficiency with $H_2SO_4{\geq}HCl$ > $HNO_3$ in order.

TOAST Distribution of Ischemic Stroke Patients Admitted to Oriental Hospitals (한방 의료기관에 입원한 허혈성 뇌졸중 환자의 아형 분포)

  • Lee, Jung-Sup;Ko, Mi-Mi;Lee, Ju-Ah;Kang, Byoung-Kab;Cha, Min-Ho;Oh, Dal-Seok;Bang, Ok-Sun
    • The Journal of Korean Medicine
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    • v.31 no.5
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    • pp.82-89
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    • 2010
  • Objectives: The aim of this study was to determine distribution patterns of TOAST subtypes of ischemic stroke patients admitted to oriental hospitals and to get a better understanding of present conditions in oriental medicine by comparing with the Korea stroke registry (KSR), the largest and representative data. Methods: Clinical data were collected from acute ischemic stoke patients. MRI studies including vascular images were performed in all cases. TOAST criteria were used to determine subtypes of ischemic stroke patients. According to the duration from disease onset to hospital admission time, patients were assigned to 3 groups (Group I0 to 3 d, Group II4 to 7 d, Group III8 to 28 d) and the distribution of TOAST subtypes were compared among these three groups. Results: We collected 514 sets of clinical data from 10 oriental hospitals between May 2007 and September 2009. Small vessel occlusion (SVO) subtype was the most common (57.62%), followed by large artery atherosclerosis (LAA, 29.98%). Compared with TOAST distribution of KSR, the proportion of ischemic stroke patients with SVO subtype was higher than that of KSR. On the other hand the proportion of patients with stroke of undetermined etiology (SUE) was lower. Distributions of SVO, LAA and cardioembolism (CE) in group were I 66.4%, 23.8% and 8.9%, respectively; those in group IIIwere 51.03%, 34.71% and 11.57%, respectively. Conclusions: In oriental hospitals, the proportion of ischemic stroke patients diagnosed as SVO type was higher than that of KSR. At early stage (from onset to 2 d) proportion of SVO was very high, however after 7 days from onset it decreased with concomitant increases in proportions of LAA and CE. These phenomena may be due to the facts that 1) at early stage emergency treatments are limited in oriental hospitals, 2) after early stage many patients prefer oriental treatments, including rehabilitation.

Determination of the Gravity Anomaly in the Ocean Area of Korean Peninsula using Satellite Altimeter Data (위성 고도자료를 이용한 한반도 해상지역에서의 중력이상의 결정)

  • 김광배;최재화;윤홍식;이석배
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.13 no.2
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    • pp.177-185
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    • 1995
  • Gravity anomalies were recovered on a $5'\times{5'}$grid using the sea surface height data obtained from the combination of Geosat, ERS-1, Topex/Poseidon altimeter data around Korean Peninsula bounded by latitude between $30^\circ{N}\;and\;50^\circ{N}$ and longitude $120^\circ{E}\;to\;140^\circ{E.}$ In order to recover the gravity anomalies from SSH(Sea Surface Height), inverse FFT technique was applied. The estimated gravity anomalies were compared with gravity anomalies measured by shipboard around Korean Peninsula. In comparison with the differences of gravity anomaly between measured data and altimeter data, the mean and the standard deviation were found to be -0.51 mGal and 13.48 mGal, respectively. In case of comparison between the measured data and the OSU91A geopotential model, the mean and the standard deviation were found to be 11.93 mGal and 19.19 mGal, respectively. The comparison of gravity anomalies obtained from the OSU91A geopotential model and the altimeter data was carried out. The results were mean of 5.30 meal and standard deviation of 19.62 mGal. From the results, we could be concluded that the gravity anomalies computed from the altimeter data is used to the geoid computation instead of the measured data.

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Development of Closed-loop Control Type FES System for Restoration of Gait in Patients with Foot Drop (족하수 환자의 보행보조를 위한 피드백 제어형 전기자극기 개발)

  • 정호춘;임승관;이상세;진달복;박병림
    • Journal of Biomedical Engineering Research
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    • v.20 no.2
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    • pp.183-190
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    • 1999
  • The purpose of this study was to develop a portable and convenient closed-loop contrel type electrical stimulator for patients with foot drop. This system restores walking movement as well as prevents from atrophy or necrosis of lower limb muscles and increases blood circulation in hemiplegic patients caused by traffic accident, industrial disaster or stoke. This system detects the changes of the ankle joint angle during walking, and then controls the stimulus intensity automatically to maintain the programmed level of the ankle joint angle. Also, this automatic system controls the stimulus intensity which is affected by increased electrode impedance resulting from long time use. The system detects the joint angle by an optical sensor and includes modified PID control which adjusts the stimulus intensity if the joint angle deviates from the preset value. Stimulus parameters are 30~80 volt, 40 Hz, and 0.2 ms. The system was applied to five hemiplegic patients for 42 days. Duration of stimulation was 15 min/day for the first week and then the duration was gradually increased to 30, 60, 90 and 120 min/day. The muscle force was increased up to 29.7%, muscle fatigue was decreased compared with the level before stimulation and the pattern of locomotion was improved. These results suggest that the electrical stimulator with closed-loop control type is more convenient and effective in restoration of locomotion of patients with foot drop than open-loop system.

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Effect of N-BACK Program for Cognition, Visual-Perception, Depression, Anxiety, Activity of Daily Living in Stroke Patients (N-BACK 프로그램이 뇌졸중 환자의 인지, 시지각, 우울, 불안과 일상생활활동에 미치는 효과)

  • Kim, S.Y.;Kwon, S.N.;Kim, J.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.3
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    • pp.185-193
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    • 2015
  • The purpose of this study was to demonstrate clinical effects on cognition, visual perception, depression, anxiety, and activities of daily living by applying the N-BACK program, a brain stimulated training program, which is used for the clinical purpose. To prove this, subjects suspected of cognitive impairment with 18-23 points in a Korean version of mental status examination (MMSE-K) were recruited among the population who had been diagnosed with stroke duration and suffered from it for six months of duration, and 10 of the subjects were selected into the experimental group and the control group, respectively. A total of 20 sessions were carried out for 30 minutes per day 5 times for 4 weeks. As a result, the experimental group who has been applied the N-BACK program showed positive results in the improvement of cognition, visual perception, depression, anxiety, and daily living skills. The results obtained from this study expect us that applying the N-BACK program for the improvement of cognition, visual perception, depression, and anxiety to stroke patients has a positive effect on the rehabilitation of patients and will lead them to improve daily living activities more independently.

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Finite Element Analysis for Evaluation of Viscous and Eccentricity Effects on Fluid Added Mass and Damping (유체 부가질량 및 감쇠 결정시 점성 및 편심 영향에 대한 유한요소해석)

  • 구경회;이재한
    • Journal of the Earthquake Engineering Society of Korea
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    • v.7 no.2
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    • pp.21-27
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    • 2003
  • In general, simple fluid added mass method is used for the seismic and vibration analysis of the immersed structure to consider the fluid-structure interaction effect. Actually, the structural response of the immersed structure can be affected by both the fluid added mass and damping caused by the fluid viscosity. These variables appeared as a consistent matrix form with the coupling terms. In this paper, finite element formula for the inviscid fluid case and viscous fluid case are derived from the linearized Navier Stoke's equations. Using the finite element program developed in this paper, the analyses of fluid added mass and damping for the hexagon core structure of the liquid metal reactor are carried out to investigate the effect of fluid viscosity with variation of the fluid gap and Reynolds number. From the analysis results, it is verified that the viscosity significantly affects the fluid added mass and damping as the fluid gap size decrease. From the analysis results of eccentricity effect on the fluid added mass and damping of the concentric cylinders, the fluid added mass increase as the eccentricity increases, however the fluid damping increases only when the eccentricity is very severe.

Comparison between FFT and LSC Method for the Residual Geoid Height Modeling in Korea (한국의 잔여지오이드고 모델링을 위한 FFT 및 LSC 방법 비교)

  • Lee, Dong Ha;Yun, Hong Sic;Suh, Yong Cheol
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.31 no.2D
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    • pp.323-334
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    • 2011
  • In this study, we performed the residual geoid modeling using the FFT and LSC methods in context of application of R-R (Remove and Restore) technique as a general technique for gravimetric geoid model in order to propose the effective way of geoid determination in Korea. For this, a number of data compiled for residual geoid modeling by the multi-band spherical FFT method with Stoke's formula and LSC method as known as statistical method. The geometric geoidal heights obtained from 503 GPS/Levelling data were used for inducing the various elements and proper computation process which should be considered for improving the accuracy of residual geoid modeling. Finally, we statistically compared the results of residual geoid heights between FFT and LSC methods and reviewed then the proper way of residual geoid modeling to the region of Korea. As the results of comparison, LSC method is not suitable for residual geoid modeling in Korea due to the noise and lack of gravity observations and the effects of local characteristics, while FFT method by applying Stokes' integral with proper cap size and modified kernel which provides the better accuracy of residual geoid heights up to 10 cm more than those of LSC method.