We perform kinetic simulations of diffusive shock acceleration (DSA) in Type Ia supernova remnants (SNRs) expanding into a uniform interstellar medium (ISM). Bohm-like diffusion due to self-excited $Alfv\acute{e}n$ waves is assumed, and simple models for $Alfv\acute{e}nic$ drift and dissipation are adopted. Phenomenological models for thermal leakage injection are considered as well. We find that the preshock gas temperature is the primary parameter that governs the cosmic ray (CR) acceleration efficiency and energy spectrum, while the CR injection rate is a secondary parameter. For SNRs in the warm ISM of $T_0\lesssim10^5K$, if the injection fraction is $\xi\gtrsim10^{-4}K$, the DSA is efficient enough to convert more than 20% of the SN explosion energy into CRs and the accelerated CR spectrum exhibits a concave curvature flattening to $E^{-1.6}$, which is characteristic of CR modified shocks. Such a flat source spectrum near the knee energy, however, may not be reconciled with the CR spectrum observed at Earth. On the other hand, SNRs in the hot ISM of$T_{0}\approx10^{6}K$ with a small injection fraction, $\xi$<$10^{-4}$, are inefficient accelerators with less than 10% of the explosion energy getting converted to CRs. Also the shock structure is almost test-particle like and the ensuing CR spectrum can be steeper than $E^{-2}$. With amplified magnetic field strength of order of $30{\mu}G$$Alfv\acute{e}n$ waves generated by the streaming instability may drift upstream fast enough to make the modified test-particle power-law as steep as $E^{-2.3}$, which is more consistent with the observed CR spectrum.
The distinction between isolated and combined injuries is crucial both for treatment and prognosis. For most combined injuries, surgical treatment continues to be favored over nonoperative treatment. It is generally agreed that isolatel PCL injuries do well without surgery. There has been an interest by many authors to fix the graft directly to the posterior aspect of the tibia(tibial inlay). With this procedure, tibial graft fixation will be more direct and theoretically reduce the bending effects of the graft with a fixation site far away from the tibial insertion. Modified tibial inlay technique, which is the posterior approach does not require the patient to be in the prone or lateral decubitus position during the operation. Use of a double-bundle reconstructive technique is attractive and has been performed by some surgeons. At this time, this procedure is still being investigated and should not be routinely used in the clinical setting until studies have indicated an advantage over current single-bundle techniques. However theologically, double-bundle reconstructive technique is more useful in severe posterior unstable knee. Recent advances have increased our knowledge of the anatomy and mechanical characteristics of the PCL. Basic science research has further increased our awareness of the interaction of the posterolateral structures with the PCL. To achieve restoration of normal posterior laxity, it is critical to address the posterior as well as the postero-lateral structures. Surgical treatment is often complex and requires a wide range of surgical techniques and skills to treat associated injuries. When the PCL is reconstructed, most surgeons choose to reconstruct the anterolateral component using a graft of sufficient size and strength. The initial postoperative rehabilitation should be addressed cautiously in an effort to avoid excessive forces on delicate repairs and reconstructions in these complex injuries. Further research is necessary to evaluate new surgical approaches such as double-bundle reconstructions and tibial inlay techniques as well as improved techniques for capsular and collateral ligament injuries.
This study tested whether repeated measurement of median frequency (MDF)-related variables could express the muscle power changes during a 12-week DeLome strengthening program, by using consecutive overlapping FFT (Fast Fourier transformation) and integrated EMG (IEMG) from surface EMG data for isometric and isotonic exercise. To evaluate the effect of training, the following were recorded every 3 weeks for the elbow flexors and knee extensors of 5 healthy male volunteers: MVC, lRM, limb circumference, and surface EMG during isometric MVC or isotonic contraction at 10RM load. From the EMG data, IEMG and variables from a regression analysis between MDF and time were obtained. MVC, lRM, IEMG, and initial MDF increased linearly over the training period. The fatigue index and slope of the regression line increased temporarily until the 6th week and decreased thereafter. From these results, there appeared to be enhanced neural recruitment of fast twitch fibers in the first 6 weeks and continued enhancement in the recruitment and hypertrophy of fast twitch fibers, which led to increased fatigue resistance, over the last 6 weeks. Accordingly, the MDF and IEMG analysis technique could demonstrate the effect of the program detected significant changes in both isometric and isotonic contractions. EMG analysis methods can be used to estimate the electrophysiological and histological changes in skeletal muscles during a strengthening program.
The purpose of this study is to examine the effect of the functional shoes through the kinetic comparison of normal-design running shoes and spring-loaded running shoes. For this, 12 healthy females from the age from 30 to 40 years participated in the EMG and ground reaction force experiment with testing kinetic variables. 12 subjects walked at the velocity of 1.7m/s. After analyzing variables in the spring-loaded running shoes and normal-design running shoes, the following conclusions were obtained; For the ground reaction force, spring-loaded running shoes have larger antero-posterior GRF than normal-design running shoes in the first and second apexes of antero-posterior ground reaction force. For the analysis of EMG, spring-loaded running shoes showed the higher muscle activation of rectus femoris muscle than norma-design running shoes. So the spring-loaded running shoes help improvement muscle strength of knee extensor.
The purpose of this study were to investigate the effects of muscle, balance and walking training on muscle, balance and gait kinematics in children with Down syndrome. Nine children ($9{\sim}12$ years old) with Down syndrome participated in this study. The participant with Down syndrome participated in muscle, balance and walking training for 12 weeks, three times a week Kinematic variables of gait were measured 3-dimentional motion capture system. The results indicated that the pelvis rotation decreased, the knee and hip flexion increased, decreased leg sway during the swing phase, the cadence increased, and the stride length decreased after the muscle, balance and walking training. In conclusion, Down syndrome's gait kinematic variables improved after the muscle, balance and walking training.
The authors studied 74 patients with cal therapy Kosin University Medical March 1994 through February 1995. The results were, as follows: 1. Average age of the subject patients was 59.3 years old, their age ranged from 20 to 84 years old, and the incidence between male and female was 1:1.24 2. In respect to the economy level the middle class revealed the highest incidence, 40(54%) in 74cases. 3. The cause of injury revealed the highest incidence in hypertension 52 patients(72 %), more than all revealed the highest incidence 23 patients(44 %) in 60th years old. 4. The form of injury revealed the highest incidence in infarction 36 patients(49 %), more then all revealed the highest incidence 13 patients (36 %) in 60th years old. 5. As for the region cerebral artery of infarction patients, middle cerebral artery was the highest region of injury 72 %. 6. As for the physical paralysis side, the left side showed higher incidence 40 patients(54 %) compared to the right side 31 patients (42 %). 7. The period of therapy was 56 days, in average extending from 7 days to II months, nore then all there were the most numerous patients within 3 weeks 28 patients(38 %). 8. The upper side of the upper lims had improved 67 patients(91 %), the lower side 48(65 %). In the cases of the lower limb, the upper side had improved 70(95 %), the lower side 58(78 %). In short, patients had improved more the lower limb than the upper limb, the upper side(elbow and shoulder part) then the lower side(wrist and finger) of the upper limb. In the cases of the lower limb, patients had improved more the upper side (knee and hip part) then the lower side(foot and ankle) 9. In the cases of patients can be walking among subject patients 55(74 %) and patients cannot be walking 19 (26 %), In the cases of patients utilized assistant apparatus 34 (62 %) among self-walking, completely patients can be self-walking 21(28 %).
The purpose of this study is to develop and evaluate the health promotion program to increase the functional status of the in-house stroke patients. The subjects for the experiment are 38 in-house stroke patients in a health center and welfare centers suffering from hemiplegia. The experimental group consists of 19 stroke patients and the control group consists of another 19 stroke patients. The program was applied to the experimental group for 8 weeks. The subjects were given health education at the first week. At the second and the fifth week they were given counselling on health by home visit. At the third, the fourth, the sixth and the seventh week they were interviewed by phone about health, and at the last week they shared their experiences through group meeting. The results of the study are as follows: 1. The degree of ADL in the experimental group increased significantly, compared with that of the control group. 2. In the experimental group the degree of Range of Motion in shoulder abduction, elbow flexion, hip flexion and ankle dorsiflexion increased significantly, compared with that of the control group. 3. In the experimental group the degree of muscle strength in elbow flexion, knee extension, and ankle dorsiflexion increased significantly, compared with that of the control group. 4. Systolic pressure, diastolic pressure in the experimental group decreased significantly, compared with that the control group. 5. HWR in the experimental group didn't decreased significantly, compared with that the control group. 6. The degree of depression in the experimental group decreased significantly, compared with that the control group. 7. The degree of social adaptation in the experimental group increased significantly, compared with that the control group. The results above show that the health promotion program for this study was effective in promoting the performance of lifestyle for health improvement of the in-house stroke patients. Therefore, it is considered that the program can be used as an efficient nursing intervention for the in-house stroke patients who need continuous health-improving behaviors.
This study evaluated the effects of the handle width(shoulder width, 1.25${\times}$shoulder width, 1.5${\times}$shoulder width), height(3 levels : knee, medium, knuckle) and horizontal angle($0^{\circ}$, $10^{\circ}$) on the pushing, lifting, and twisting strengths which were required for carrying single or two wheel barrows. Twelve healthy college students(male) participated in the experiment. In each experimental condition($3{\times}3{\times}2$=18), the subjects exerted three forces(pushing, lifting, and twisting clockwise). The experimental conditions and three forces were tested in random order, and a minimum 2 minutes of rest was provided between exertions. Results showed that the mean and maximum pushing forces showed greater values when the horizontal angle was $0^{\circ}$ than $10^{\circ}$(p=0.016). However, the three independent variables had no statistically significant effects on the lifting forces(p>0.1). The mean and maximum twisting forces increased as the handle width became larger(p<0.05). Also, there was a marginal effect of the horizontal angle(p=0.065) on the twisting force. From the results of this study, the horizontal angle of $0^{\circ}$ and the wider handle width were suggested for the design of single-wheel barrows.
In this study, an intermittently aerated activated sludge process, modified process from conventional activated sludge process, was developed to treat high strength swine wastewater, which has been blamed as major pollutant for stream pollution. Therefore, the optimum cycle for oxic and anoxic period, SRT, and OLR were studied as design parameters. The effects of different time interval for oxic and anoxic period on nitrification and denitrification were examined by operating two reactors with 60/60min and 60/90min as oxic/anoxic period. Although the reactor with 60/60min showed complete denitrification of $NO_x-N$ generated during oxic period, the reactor with 60/90min showed incomplete nitrification due to the inactivity of nitrifier by accumulated $NH_3-N$ toxicity during anoxic period. Therefore, it is recommended to operate same interval for oxic and anoxic period. In order to determine the optimum cycle for oxic/anoxic period, four different reactors with 30/30, 60/60, 90/90 and 120/120min were examined. The reactor operation with 90/90min was optimum to get the most stable results in this study. However, the optimum cycle for oxic and anoxic period should be changed with characteristics of influent wastewater and operating conditions. According to lie operation results of three reactors with SRT of 15, 20 and 30days. The reactor with 2Odays SRT showed best removal efficiency of T-N. The optimum OLR would be $2.5Kg\;COD/m^3/day$ which showed the most stable nitrification and denitrification. Since characteristics of influent wastewater in the real system has a severe fluctuation, so it is very difficult to determine each interval for oxic and anoxic period. Therefore, ORP curves, describing the change of oxidation/reduction potential in reactor, can be used as a control parameter for automatic control of oxic and anoxic period. In other words, bending point (Nitrate Knee) of ORP curve during anoxic period could be used as a starting point of oxic period.
Objectives : This study aimed to understand the characteristics of the cases covered in the case studies on traditional Korean medicine (TKM) and furthermore, to provide basic information that can lead the discussion on 'what cases are worth reporting' in future case reports. Methods : Case reports on TKM were searched using the OASIS. The searched researches were analyzed according to the type of case, including information on disease/symptoms and intervention. Results : A total of 940 researches were searched. The most frequently reported type of case study was the report on the effectiveness of intervention. Case reports, which were only two cases in the 1970s, increased rapidly in the 2000s, and in particular, 314 cases within the last five years accounted for about 33% of the total literature. As for the number of studies by disease, the cases dealing with musculoskeletal diseases such as spine, shoulder and knee joint disorders were the most prevalent. Besides, there were many case reports related to cardiovascular, gynecological, cancer, psychiatric, and dermatological diseases. In a total of 51.9% of the included case reports, a combination of two or more Korean medical treatments such as acupuncture and herbal medicine was used at once, and western treatment was used with Korean medical treatment in 28.2% of the studies. The types of Korean medical treatments were varied, such as acupuncture, moxibustion, pharmacopuncture, electroacupuncture, Chuna, acupotomy, herbal medicine, external preparation, and psychotherapy. The main purpose of the publication of the included case reports was analyzed as a report of TKM treatment for rare diseases, or the application of TKM treatment to diseases or symptoms that are "uncommon in TKM treatment" even if it is not a rare disease. Conclusions : Case reports have the strength of generating new scientific hypotheses by detecting the basic needs and novelty of medicine. The current case studies of TKM do not seem to be sufficient to highlight these strengths. It is necessary to discuss which cases are reported as cases of patients worth publishing, and based on this, it is necessary to activate case studies of TKM by utilizing diagnostic tools and science technology.
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