• 한국산학기술학회논문지
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• 제16권3호
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• pp.2055-2063
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• 2015

본 연구는 지역사회 주간보호시설을 이용하는 경도치매환자에게 집단작업치료프로그램을 제공하고 이에 따른 시지각과 작업수행기술의 변화를 알아보고자 예비연구를 실시하였다. 65세 이상 치매진단을 받은 9명을 대상으로 주 3회, 60분씩, 총 4주간 감각적, 신체적, 창의적 활동을 포함한 집단작업치료프로그램을 실시하였다, 치료전 후 시지각 기능, 작업수행기술에 미치는 효과를 검증하기 위한 유사실험연구로서 단일군 전후실험설계를 적용하였으며, 수집한 자료는 빈도분석과 기술통계를 사용하여 분석하였다. 집단작업치료프로그램 전과 실시 후에 대한 분석 결과 시지각 기능과 작업수행에서는 기초선과 프로그램 종결 후 통계적으로 매우 유의한 차이(p<0.01, p<0.05)가 있었지만 작업수행기술 중 운동기술에서는 프로그램 전 후의 차이는 통계적으로 유의하지 않았다. 본 연구를 통해 집단작업치료프로그램이 주간보호시설을 이용하는 치매환자의 시지각과 작업수행기술 관리에 기여할 수 있을 것으로 사료된다.

• 한국지능시스템학회논문지
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• 제22권4호
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• pp.429-434
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• 2012

본 논문에서는 사지가 마비되어 신체를 움직이지 못하지만 뇌의 기능은 정상적인 대 마비 환자들을 위한, 생각만으로 외부의 장치를 제어할 수 있도록 하는 BCI(Brain-Computer Interface) 시스템 제어기술을 연구하였다. 사지를 움직이는 상상을 할 경우, 뇌의 운동 감각 피질 영역에서 발생하는 뮤리듬(${\mu}8$-12Hz)에서 증가되는 신호의 패턴인 Event-Related Synchronization (ERS)를 Short-Time Fourier Transform (STFT)과 Particle Swarm Optimization (PSO)를 이용하여 검출 하는 방법을 시도 하였다. ERS는 사람마다 다른 주파수 영역에서 발생하며, 본 논문에서는 ERS가 가장 많이 발현되고 전압이 큰 주파수를 검출하기 위해 8-12Hz 주파수영역의 EEG평균에서 PSO를 이용하여 가장 큰 진폭을 가지는 주파수를 확인 한 후, 해당 주파수를 사용하여 C3, C4채널에서 동작 상상 시 나타나는 ERS의 특징을 PSO를 이용하여 찾는 것이며. 개개인 마다 다른 주파수 영역에서 나타나는 ERS의 특징을 가장 많이 발현되는 주파수영역으로 고정하여 움직임 분석을 시도 하였다. 실험 결과에 사용된 data는 BCI competition IV data set의 실험자 b data를 사용 하였고, 하나의 주파수 대역만을 사용한 결과 왼손 40%, 오른손 38% 검출 정확도를 보였다.

• Archives of Reconstructive Microsurgery
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• 제6권1호
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• pp.29-38
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• 1997

A peripheral nerve when approximation of the ends imparts tension at the anastomosis and with a relatively long segment defect after excision of neuroma and neurofibroma cannnot be repaired by early primary suture. The one of the optimistic reconstruction method of severed peripheral nerves is to restore tension-free continuity at the repair site putting an autogenous nerve graft into the neural gap despite of ancipating motor or sensory deficit of the donor nerve area. To overcome the deficit of the autogenous nerve graft, several other conduits supplying a metabolically active environment which is able to support axon regeneration and progression, providing protection against scar invasion, and guiding the regrowing axons to the distal stump of the nerve have been studied. An author have used ipsilateral femoral vein, ipsilateral femoral vein filled with fresh thigh muscle, and autogenous sciatic nerve for the sciatic nerve defect of around 10 mm in length to observe the regeneration pattern in rat by light and electron microscopy. The results were as follows. 1. Light microscopically regeneration pattern of nerve fibers in the autogenous graft group was more abundant than vein graft and vein filled with muscle group. 2. On ultrastructural findings, the proxial end of the graft in various groups showed similar regenerating features of the axons, myelin sheaths, and Schwann cells. The fascicular arrangement of the myelinated and unmyelinated fibers was same regardless of the type of conduits. There were more or less increasing tendency in the number and the diameter of myelinated fibers correlated with the regeneration time. 3. In the middle of the graft, myelinated nerve fibers of vein filled with muscle group were more in number and myelin sheath was thinner than in the venous graft, but the number of regenerating axons in autogenous nerve graft was superior to that in both groups of the graft. The amount of collagen fibrils and amorphous materials in the endoneurial space was increased to elapsed time. 4. There was no difference in regenerating patterns of the nerve fibers of distal end of the graft. The size and shape of the myelinated nerve fbers were more different than that of proximal and middle portion of the graft. From the above results, the degree of myelination and regenerating activity in autogenous nerve is more effective and active in other types of the graft and there were no morphological differences in either ends of the graft regardless of regeneration time.

• 전기전자학회논문지
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• 제24권2호
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• pp.654-660
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• 2020

본 논문은 근육 동작시의 뇌파의 출력을 통해 불확실성이 상당히 존재하는 EEG 신호 안에서 좌우완 근육의 동작이나 사용자의 의지가 포함된 근육 신호 출력 시의 특정 부위 뇌파를 추출하여 좌우 동작 구분이 가능한 뇌파의 특징 벡터를 찾아낼 수 있는지를 확인한다. 일반적인 표면 근전도와 비침습적인 방식의 뇌파 추출 방법으로는 내부 신경 전달에 의한 이온화 정도와 전기 전도도의 크기를 통해서 그 동작 신호인지 구분할 수 있는 방법이 존재하지 않는다. 일반 로봇 제어 시스템이나 전기 신호를 통한 관절 및 모터 제어의 경우는 특정 신호의 전달 및 피드백 제어를 통해 관절 및 로봇 제어기를 제어할 수 있는 신호를 확인할 수 있지만, 인간의 인체는 정확한 뇌와 근육간의 프로토콜을 찾을 근거가 부족하다. 따라서 본 논문에서는 피험자의 동작이 이루어질 경우의 뇌파 분석을 통해 좌완의 신호와 우완의 신호를 특정할 만한 근거 신호 또는 특징 벡터를 추출할 수 있는지 확인하기 위해 CSP(Common Spatial Pattern) 필터의 적용 결과 활용하여 효율성을 검증한다. 더불어 검증을 위한 실험 설계를 통해 데이터를 획득하고, 필터 적용 유무에 따른 결과의 변화가 어떠한지 검증하며 구분 정확도를 높일 수 있는 방법을 제안한다.

• 수면정신생리
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• 제3권2호
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• pp.1-17
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• 1996

To demonstrate the clinical usefulness of electroencephalography (EEG) and factors increasing the usefulness of EEG, the authors evaluated each relationship between EEG related factors and clinical variables, and neuroimaging studies (CT and MRI)-related factors, and factors which are related with routine neurological examination for 207 patients who had been evaluated with both of EEG and neuroimaging study(CT or/and MRI). The results were as follows: 1) Abnormality of EEG findings had significant relationships with chief complaints, diagnosis, medication use, seizure attack, pathological reflex, and level of consciousness. However there were no significant correlations between abnormality of EEG findings and neuroimaging studies (CT and MRI)- related factors. 2) Laterality of EEG findings had significant relationships with abnormality, laterality, and focality of CT findings, and also with abnormality of MRI findings. But there were no significant correlations between laterality of EEG findings and clinical variables, and neurological examination-related factors. 3) Anterior-posterior distribution of EEG findings was significantly related with medication use. 4) Focality of EEG findings had significant relationships with sex, sensory dysfunction sign, and cerebellar dysfunction sign. But there were no significant correlations between focality of EEG findings and neuroimaging studies(CT and MRI) related factors. 5) Abnormal EEG pattern had significant correlations with various factors, such as age, chief complaints, duration from onset of symptom to taking MRI, seizure attack, abnormality and nature of lesion in CT findings, cortical atrophy in MRI findings, motor dysfunction sign, sensory dysfunction sign, and pathological reflex. 6) With abnormality on sleep activation, age, age of onset, seizure attack, ventricular enlargement in CT findings, and abnormality of MRI findings were significantly correlated. 7) With abnormality on hyperventilation activation, duration of illness and laterality of MRI findings were significantly correlated. Above results may suggest that abnormality of EEG findings is more closely related with functional change of the brain than structural changes of the brain and laterality of EEG findings is vice versa. And also that medication use has an influence on anterior versus posterior distribution of EEG findings and focality of EEG findings is not related with structural changes of the brain. Activation with sleep may be effective to show age differences and provocation of seizure activity and hyperventilation may be effective to detect the abnormal EEG findings by cerebrovascular insufficiency.

• Asian-Australasian Journal of Animal Sciences
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• 제30권11호
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• pp.1529-1539
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• 2017

Objective: The objective of this study was to compare the DNA methylation profile in the longissimus dorsi muscle between Small Tailed Han and Dorper${\times}$Small Tailed Han crossbred sheep which were known to exhibit significant difference in meat-production. Methods: Six samples (three in each group) were subjected to the methylated DNA immunoprecipitation sequencing (MeDIP-seq) and subsequent bioinformatics analyses to detect differentially methylated regions (DMRs) between the two groups. Results: 23.08 Gb clean data from six samples were generated and 808 DMRs were identified in gene body or their neighboring up/downstream regions. Compared with Small Tailed Han sheep, we observed a tendency toward a global loss of DNA methylation in these DMRs in the crossbred group. Gene ontology enrichment analysis found several gene sets which were hypomethylated in gene-body region, including nucleoside binding, motor activity, phospholipid binding and cell junction. Numerous genes were found to be differentially methylated between the two groups with several genes significantly differentially methylated, including transforming growth factor beta 3 (TGFB3), acyl-CoA synthetase long chain family member 1 (ACSL1), ryanodine receptor 1 (RYR1), acyl-CoA oxidase 2 (ACOX2), peroxisome proliferator activated receptor-gamma2 (PPARG2), netrin 1 (NTN1), ras and rab interactor 2 (RIN2), microtubule associated protein RP/EB family member 1 (MAPRE1), ADAM metallopeptidase with thrombospondin type 1 motif 2 (ADAMTS2), myomesin 1 (MYOM1), zinc finger, DHHC type containing 13 (ZDHHC13), and SH3 and PX domains 2B (SH3PXD2B). The real-time quantitative polymerase chain reaction validation showed that the 12 genes are differentially expressed between the two groups. Conclusion: In the current study, a tendency to a global loss of DNA methylation in these DMRs in the crossbred group was found. Twelve genes, TGFB3, ACSL1, RYR1, ACOX2, PPARG2, NTN1, RIN2, MAPRE1, ADAMTS2, MYOM1, ZDHHC13, and SH3PXD2B, were found to be differentially methylated between the two groups by gene ontology enrichment analysis. There are differences in the expression of 12 genes, of which ACSL1, RIN2, and ADAMTS2 have a negative correlation with methylation levels and the data suggest that DNA methylation levels in DMRs of the 3 genes may have an influence on the expression. These results will serve as a valuable resource for DNA methylation investigations on screening candidate genes which might be related to meat production in sheep.

• 생물정신의학
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• 제8권2호
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• pp.271-275
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• 2001

60세 남자 환자로 좌측 정중 전두엽과 양측 기저절 경색 후 발생한 과잉성욕 증상과 강박 증상을 주소로 내원하였다. 환자는 뇌졸중 후에 발생한 운동 기능 장애는 시간이 경과하면서 호전되어 발병 1개월 이내에 거의 정상화된 반면 과잉성욕 증상과 강박 증상은 호전되지 않았다. 환자에게 과잉성욕 증상과 강박 증상을 목표로 fluvoxamine과 perphenazine을 처방하였으며 치료 시작 후 2개월이 경과하면서 환자의 과잉성욕 증상과 강박 증상은 서서히 사라졌다. 이 증례는 기저절-시상전두엽 회로가 성적 행동과 강박 증상의 조절에 있어 중요한 역할을 하고 있음을 시사한다고 할 수 있다. 과잉성욕 증상은 임상에서 간과하기 쉽고 또한 일반적으로 성적 활동에 대한 변화는 환자들 스스로 보고하지 않는 경향이 많다. 따라서 뇌졸중 환자, 특히 정중 전두엽이나 기저절 병변을 동반한 환자들의 경우에는 비록 그 병변이 측두엽 침범이 없거나 Kluver-Bucy syndrome의 전형적인 증상을 보이지 않는다 할 지라도 성욕등 성적 활동에 대한 체계적인 조사가 필요할 것으로 생각된다. 또한 과잉성욕 증상과 강박 증상을 함께 가지고 있는 경우 선택적인 세로토닌 재흡수 억제제의 사용이 두 증상 모두를 효과적으로 치료하는 데에 도움이 될 수 있을 것이다.

• Annals of Clinical Neurophysiology
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• 제1권2호
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• pp.91-98
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• 1999

Background : The pathogenesis of acute inflammatory demyelinating polyradiculoneuropathy (AIDP), Guillain Barre syndrome (GBS) is not clear, but it has been known that the immune mechanisms play an important role. Authors performed this study to establish an animal model of experimental allergic neuritis (EAN) by immunizing the myelin components of peripheral nerves and to understand the electrophysiological and histopathological features as well as the ${CD_5}^+$ B-lymphocyte changes in peripheral bloods in the EAN models. Methods : Lewis rats weighing 150-200 gm were injected subcutaneously in soles two times with total myelin, P0, P1, or P2 proteins purified from the bovine cauda eguina. The EAN induction was assessed by evaluating clinical manifestations. The electrophysiological and histopathological features were studied as routine methods. The ${CD_5}^+$ Blymphocytes were double stained using monoclonal FITC conjugated anti-rat CD45RA and R-PE conjugated anti-rat ${CD_5}^+$ antibodies and calculated using a fluorescence activated cell sorter (FACS). Results : The EAN animal models were established. In two out of five, in one out of two, in none out of three, and in none out of one Lewis rats injected with purified total myelin, P0, P1, P2 proteins respectively, They showed slow spontaneous motor activity and weak resistance against pulling back by tails. The typical electrophysiological and histologic findings in total protein and P0 induced EAN animal models were the decreased conduction velocity, the decreased compound muscle action potential (CMAP) amplitude and the dispersion phenomenon. The perivascular infiltrates of lymphocytes with focal demyelinating process were found in light microscopy. The ${CD_5}^+$ B-lymphocyte expression in three EANs were 2.38%, 3.50% 2.50%, which were not significantly increased, compared with those in normal controls. Conclusion : The EAN animal models were successfully established by injecting the total myelin and P0 myelin and they showed electrophysiological and histological features typical of demyelinating process. However they did not show an increased expression of ${CD_5}^+$ B-lymphocyte in peripheral bloods which could be indirect evidence of humoral autoimmunity.

• 대한의용생체공학회:의공학회지
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• 제24권5호
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• pp.427-434
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• 2003

본 논문은 음성기반 생활환경 제어장치 (Enviropmet Control System: ECS)의 개발과 적용에 대해 다룬다. 구체적으로 개발 내용은 음성인식을 통한 생활환경의 제어 장치와 음성 지원 이동형 휠체어 리프트 제어장치를 구현하였다. 구현된 시스템은 경수 손상 사지마비 환자에게 적용되었고 활용의 문제점과 장치의 사용이 장애인 및 가족에게 미치는 신체적 정신적 영향을 평가 고찰하였다. 음성 인식 시스템은 HMM기반 실시간 음성 인식 시스템을 구성하였고 임상의 적용을 평가하기 위하여 가전 기구를 제어하도록 간략화된 음성인식 모듈을 구현하여 54세 남자로 완전 제 4 경수 손상인을 대상으로 1주간 관찰하였다. 그리고 설문 조사를 통하여 Beck 우울 척도와 오락 및 사회적 관계성의 변화를 평가하였다. 또한 음성 지원 이동형 휠체어 리프트의 전동기 구동 제어 장치를 개발하고 구조 역학 해석을 통해 기계적 안정성을 평가하고 시제품을 제작 성능 시험을 하였다. 시스템의 실험 결과 95%이상의 인식률을 나타내었다. 설문조사 결과 장애인의 장치에 대한 만족도는 높은 편이고 간호의존도와 사회적 관계성의 증진을 확인할 수 있었다. 이에 더불어 간병인의 부담과 우울 경향의 감소가 있었다. 또한 음성 지원 이동형 휠체어 리프트는 구조 해석 결과, 상단 휠체어 바퀴 지지대의 재료로서의 피로 수명이 우수하고 무게 중심 이동이 안정성을 가짐을 확인하였다. 본 논문은 실시간 음성 인식 시스템과 이동형 휠체어 리프트를 이용한 장애자를 위한 생활환경 제어장치 구성의 한 예를 제시하였고, 실험을 통하여 실시간 음성인식의 중요한 활용 분야인 재활 의학 분야에서 한국형 생활환경 제어장치의 개발의 필요성을 확인하였으며 상용화를 모색의 발판이 될 것이다.

• 대한통합의학회지
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• 제3권4호
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• pp.11-21
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• 2015

Purpose : The purpose of this study was to provide the material about the treatment effect of hand function training and writing training being performed as a part of treatment to improve the function of the non-dominant hand of the patients whose dominant hand is damaged and thus need to improve their non-dominant hand's function. Method : During one month of November, 2013, this study randomly chose five study subjects for hand function training, five for writing training, and ten of control group from 20 normal male and female adults going to K Univ. in Busan. All study subjects fully understood all of the training course, agreed to take the test in this study, and volunteered to participate in the test. Each training was performed five times for two weeks, 30 minutes each time. For measurement, Purdue pegboard was used to look into the change of hand dexterity. To investigate an improvement in hand function through hand function training and writing training, this study conducted early evaluation before training, interim evaluation, and final evaluation. Result : First, according to the comparison of dominant hand dexterity by group and by method during a training period, the groups of hand function training and of writing training improved dominant hand dexterity more than the control group. Secondly, according to the comparison of non-dominant hand dexterity by group during a training period, the groups of hand function training and of writing training improved dexterity more than the control group. According to the comparison of non-dominant hand dexterity by method during a training period, there was no big difference in dexterity between the groups of hand function training and of writing training and the control group. But, the group of hand function training showed a further improvement. Thirdly, according to the comparison of both-hand dexterity by group and by method during a training period, the groups of hand function training and of writing training improved both-hand dexterity more than the control group. Fourthly, according to the comparison of both-hand handling ability by group and by method during a training period, the groups of hand function training and of writing training improved both-hand handling ability more than the control group. Conclusion : Given the study result, it is considered that hand function training and writing training help brain damaged patients improve their hand function for their daily activity. And it will be meaningful to research brain damaged patients' motor skills after their brain damage, and the patients who have low abilities of visual perception and cognition. In the future, it will be necessary to secure more study subjects and perform systematic training during a sufficient test period.