• Title/Summary/Keyword: Subject's right

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The Effect of Mobilization With Movements Applied Sacro-Iliac Joint on Gait of Stroke Patient (천장관절에 적용한 움직임을 동반한 관절가동술이 뇌졸중 환자의 보행에 미치는 효과)

  • Lim, Hyoun-Chyoul;Kong, Sun-Woong;Jung, Yeon-Woo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.17 no.1
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    • pp.45-50
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    • 2011
  • Background: To determine effects of mobilization with movements (MWM) application on stroke patient with hypomobility on sacroiliac joint. Methods: The subject was 47years old male who have left hemiplegia because of right intra-cerebral hemorrhage. The subject was have hypomobility on sacroiliac joint. MWM using during 4weeks and using Berg balance scale (BBS), Timed up and go (TUG), 10meter walking (10MW) test for evaluation. Results: The results of this study were summarized below; BBS score for evaluating balance ability was increased, and TUG time, 10MW test time was decrease. Conclusion: We consider that MWM application on stroke patient with hypomobility on sacroiliac joint is not only regain mobility on sacroiliac joint but also increase in balance ability and walking speed.

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Patient's Right of Self-determination and Informed Refusal: Case Comments (환자 자기결정권과 충분한 정보에 근거한 치료거부(informed refusal): 판례 연구)

  • Bae, Hyuna
    • The Korean Society of Law and Medicine
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    • v.18 no.2
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    • pp.105-138
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    • 2017
  • This is case comments of several representative legal cases regarding self- determination right of patient. In a case in which an intoxicated patient attempted suicide refusing treatment, the Supreme Court ruled that the medical team's respect for the patient's decision was an act of malpractice, and that in particular medical situations (medical emergencies) the physician's duty to preserve life supersedes the patient's rights to autonomy. Afterwards, at the request of the patient's family, and considering the patient's condition (irrecoverable death stage, etc.) consistent with a persistent vegetative state, the Supreme Court deduced the patient's intention and decide to withdraw life-sustaining treatment. More recently, regarding patients who refuse blood transfusions or other necessary treatment due to religious beliefs, the Supreme Court established a standard of judgment that can be seen as conferring equal value to the physician's duty to respect patient autonomy and to preserve life. An empirical study of legal precedent with regard to cases in which the physician's duty to preserve life conflicts with the patient's autonomy, grounded in respect for human dignity, can reveal how the Court's perspective has reflected the role of the patient as a decision-making subject and ways of respecting autonomy in Korean society, and how the Court's stance has changed alongside changing societal beliefs. The Court has shifted from judging the right to life as the foremost value and prioritizing this over the patient's autonomy, to beginning to at least consider the patient's formally stated or deducible wishes when withholding or withdrawing treatment, and to considering exercises of self determination right based on religious belief or certain other justifications with informed refusal. This will have a substantial impact on medical community going forward, and provide implicit and explicit guidance for physicians who are practicing medicine within this environment.

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Effects of Different Company's Moxa Cautery on Small Intestinal Motility in Rats (제품별 직접구가 흰쥐의 소장수송능에 미치는 영향)

  • Yu, Yun-Cho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.6
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    • pp.1332-1340
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    • 2009
  • Moxa-combustion therapy makes use of heat stimulus and chemicals result form when cauterize the skin with moxa cones to medical cares. Despite an extensive evidence-base guiding the selection of stimulation parameters and attributes of subject, little methodologically research regarding the attributes of moxa cautery in need to provide effective stimulation. To determine moxibustion's effects of the three different moxa cautery made by three different company(as A, B, C), the small intestinal motility in rats were observed after moxibustion at ST36. Under anesthesia, each intensities(1, 5, 10 times), two regions(left and right at ST36) and a quantity(as number of 1, 5, 10 times at once) were applied to the groups divided with sex. In each intensities groups, the A product made increase with 5, 10 times in male and female group. The B and C product made increase with 10 times in male group and the B product made increase with 1, 5, 10 times and the C product made increase with 5 times in female group. In two regions(left and right at ST36) groups, the A and C product made increase with 1(right), 5(right) times and the B product made increase with 1(left), 10(left), 10(right) times in male group. In female group, the A product made increase with 5(left), 5(right), 10(right) times and the B product made increase with 1(left), 10(left), 10(right) times and the C product made increase with 5(left), 10(left) times. In a quantity(as number of 1, 5, 10 times at once) groups, the A and B product did not show any changes but the C product made increase with a quantity of 10 times in male group. In female group, The B product made increase with a quantity of 1 times and the C product made increase with a quantity of 5 times, but the A product did not show any changes. Three different moxa cautery made by three different company made differents result in each group divided with sex. With these results, it was suggested that we should consider the a process of manufacture and moxa cautery's quality for the adequate value of moxibustion.

A Study of Ground Reaction Forces During Professional Golfer's Swing with Different Golf Clubs (클럽별 골프 스윙 시 지면 반력 변화에 관한 연구)

  • Hur, You-Jein;Moon, Gun-Pil;Lim, Jung
    • Korean Journal of Applied Biomechanics
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    • v.15 no.2
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    • pp.103-111
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    • 2005
  • The purpose of this study was to analysis golf swing in accordance with each club using ground reaction force data. The subject of this study was current professional golf players in Korea. Golf clubs used for this study were driver, iron4, iron7, and pitching. The ground reaction force for left and right foot was collected by one Kistler and one Bertec force platforms. Also collected visual data by NC high speed camera to check the phase which was composed of address, top of backswing, impact and finish. Sampling rate was 600Hz both ground reaction forces data and visual data. The conclusion are as follows. 1. An aspect of change for ground reaction force was that the weight between the left foot and right foot were contrary to each other in general as the phase. 2. Without regard to the type of golf club, the ratio of necessary ground reaction forces for each phase in accordance with address, top of backswing, impact, and finish was comparatively identical. 3. According to the type of golf club, the tendency of Fy was not varied. In terms of Driver, at the moment of impact, the weight of foot-both right and left-was moved to the movement direction of golf because of the rotation force from swing.

Evaluation of Neuronal Dysfunction in Schizophrenia before and after Neuroleptic Treatment by ??H MRS

  • C, Bo-Young;Paik, In-Ho;Lee, Chang-Uk;Lee, Hyoung-Koo;Suh, Tae-Suk
    • Journal of the Korean Magnetic Resonance Society
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    • v.5 no.1
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    • pp.56-65
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    • 2001
  • Localized in vivo proton magnetic resonance spectroscopy (MRS) was performed to evaluate metabolic alterations in the right and left frontal lobe before and after neuroleptic treatment of schizophrenic patients (n=24) and a group of healthy normal subjects (n=20). Proton metabolic ratios obtained from the 8㎤ yokels in the right and left frontal lobe were compared with the clinical assessment of PANSS for each subject. There was no significant difference in the metabolic ratios between the right and the left frontal lobes in either the schizophrenic group or the control group, indicating no laterality. Compared with those of the normal control group, NAA/Cr and (GABA+Glu)/Cr ratios of the schizophrenic patients showed significantly lower (p=0.023) and higher (p=0.005) value, respectively. The (GABA+Glu)/Cr ratio of the schizophrenic patients was generally decreased after neuroleptic treatment, while the NAA/Cr ratio was not changed. Significant correlation between the (GABA+Glu)/Cr ratio and the clinical symptom scores assessed by PANSS was established. The present study supports the “hypofrontality” hypothesis of schizophrenia on the basis of the altered metabolic ratios before and after neuroleptic treatment.

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A Dynamic Model of the Human Lower Extremity (하지의 동역학 모델)

  • Choi, Gi-Young;Son, Kwon;Jung, Min-Geun
    • Proceedings of the ESK Conference
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    • 1993.04a
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    • pp.1-9
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    • 1993
  • A human gait study is required for the biomechanical design of running shoes. A tow-dimensional dynamic model was developed in order to analyze lower extremity kinematics and loadings at the right ankle, knee, and hip joints. The dynamic model consists of three segments, the upper leg, the lower leg, and the foot. Each segment was assumed to be a rigid body with one or two frictionless hinge joints. The lower extremity motion was assumed to be planar in the sagittal plane. A young male subject was involved in the gait test and his anthropometric data were measured for the calculation of segement mass and moment of inertia. The experimental data were obtained from three trials of walking at 1.2m/s. The foot-floor reaction data were measured from a Kistler force plate. The kinematic data were acquired using a three-dimensional motion measurement system (Expert Vision) with six markers, five of which were placed on the right lower extremity segments and the rest one was attached to the force plate. Based on the model and experimental data for the stance phase of the right foot, the calculated vertical forces reached up to 492, 540, and 561 N at the hip, knee, ankle joints, respectively. The flexion-extension moments reached up to 155, 119, and 33 Nm in magnitude at the corresponding joints.

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The Effects of Shoes Heel Height on EMG and Balance Performance (높은 굽이 균형 수행과 근활성도에 미치는 영향)

  • Kim, J.K.;Kim, M.J.;Kim, S.R.;Oh, T.Y.
    • Journal of Korean Physical Therapy Science
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    • v.19 no.1
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    • pp.55-62
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    • 2012
  • Objectives : The purpose of this study was to determine the effects of high heeled shoes on the static & dynamic balance performance and electromyography(EMG) of back and lower extremity muscles. Materials & Methods : Sixteen women participated in this study. Subjects were composed two groups with LL shoes group and higher heel shoes group. We carried out Romberg's test and muscle activity of left and right Paraspinalis, Quadriceps femoris, Tibialis anterior, Gastrocnemius muscles by EMG in order to determine static balance performance according heel height. Using by Biorescue(Incenierie company), we trained subject to transfer of COG each direction(Anterior, posterior, Right, Left), we carried out this test for distance, surface, distance/surface in order to determine dynamic balance performance according heel height. The data were analyzed by independent t-test between lower and high heel height using SPSS(ver. 17.0)/PC program. Results : There was significant difference of distance(p<.05) of weight perturbation between lower and high group in dynamic balance performance and EMG value of left Gastrocnemius(p<.05), both Tibialis anterior(p<.05) muscle in static balance performance. Conclusions : Height of heel has effect on dynamic balance performance in distance of the Anterior, posterior direction. EMG of Gastrocnemius and Tibialis anterior muscles were affected by Romberg's test.

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A RADIOGRAPHIC STUDY ON CRANIOFACIAL ASYMMETRY BY POSTERO-ANTERIOR CEPHALOMETRY (Postero-Anterior Cephalometry를 이용한 안모의 비대칭에 관한 연구)

  • Ko Jae Kyeung;Kim Jae Duk
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.17 no.1
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    • pp.249-258
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    • 1987
  • The purpose of this article was to determine the amount of cranio-facial asymmetry in normal subject before the analysis of the cranio-facial asymmetry as the result of internal derangement in T.M.J. dysfunction. The author has conducted analysis using Cephalometric P-A reviews of 54 males and 51 females. Following the Grayson's method of measurement, the standard value of cranio-facial asymmetry in normal subject was obtained. The following results were obtained: 1. Compared with right and left width, asymmetry could be identified in normal subject, although the degree of the difference appears to be small. 2. In male, asymmetric value of contact point of the upper central incisors is 0.76±0.84㎜ that of the lower central incisors is 0.86±0.86㎜, and that of center of genial tubercle is 0.87±1.06㎜. In female, asymmetric value of contact point of the upper central incisors is 1.03±1.29㎜, that of lower incisors is 1.11 ±1.18㎜, and that of center of genial tubercle is 1.45±2.15㎜. 3. Cranio-facial saymmetry in female is somewhat greater than that of male.

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Development of fall Detection System by Estimating the Amount of Impact and the Status of Torso Posture of the Elderly (노인 낙상 후 충격량 측정 및 기립여부 판단 시스템 구현)

  • Kim, Choong-Hyun;Lee, Young-Jae;Lee, Pil-Jae;Lee, Jeong-Whan
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.60 no.6
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    • pp.1204-1208
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    • 2011
  • In this study, we proposed the system that calculates the algorithm with an accelerometer signal and detects the fall shock and it's direction. In order to gather the activity patterns of fall status and attach on the subject's body without consciousness, the device needs to be small. With this aim, it is attached on the right side of subject's waist. With roll and pitch angle which represent the activity of upper body, the fall situation is determined and classified into the posture pattern. The impact is calculated by the vector magnitude of accelerometer signal. And in the case of the elderly keep the same posture after fall, it can distinguish the situation whether they can stand by themselves or not. Our experimental results showed that 95% successful detection rate of fall activity with 10 subjects. For further improvement of our system, it is necessary to include tasks-oriented classifying algorithm to diverse fall conditions.

Generation of Visual Field Considering 8 Meridians and Background Conditions of Visual Tasks (시각작업의 배경 조건과 8개 Meridian을 고려한 시각영역의 생성)

  • Kee, Do-Hyung;Kim, Hyung-Su;Jung, Eui-S.;Kang, Dong-Seok
    • Journal of Korean Institute of Industrial Engineers
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    • v.23 no.3
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    • pp.533-544
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    • 1997
  • Among numerous factors that have an effect on visual field, the effects of background condition on the size of the visual field were investigated to obtain more practical visual field that can be readily applicable to industrial settings. A visual experiment was conducted, in which the subject was instructed to search a target with distinct orientations. Size contrast, meridian, nontarget density, and subject's gender showed a significant effect on the size of the visual field at $\alpha=0.01$. The size of the visual field was linearly proportional to size contrast, and inversely proportional to density. Female's visual fields were found to be significantly larger than male subjects', The size of the visual field on horizontal axis was larger than that on vertical axis, and the size of the head & eye field on right meridian was also larger than that on left meridian. The shape was found to be horizontally oriented oval and statistically asymmetric with respect to horizontal and vertical axes. The regression equations to predict the visual fields on the given background condition were suggested. The visual fields suggested in this study would be valuable to the design of visual displays and the panel layout of various displays and controls.

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