Purpose: This study examined the impacts of action observational physical training related to stair walking on the stair walking ability and self-efficacy of chronic stroke patients. Methods: This study was conducted on 24 chronic stroke patients, who were assigned randomly to an action observational physical training group (12 persons) and a landscape observation physical training group (12 persons). To the action-observational physical training group, five videos related to stair walking were presented, and after observing them, physical training was carried out. The landscape observation physical training group observed the videos consisting of landscape, where there were no humans and animals, and then underwent physical training. This study measured the rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius to examine the muscle activity of the lower limb. A timed up and go and step test was performed to examine the balance ability, and a timed stair test was conducted to examine their stair walking ability. A self-efficacy scale was measured to examine the degree of their confidence of performing stair walking. The assessment was conducted three times in total: pre-, post-, and follow-up surveys. Results: As a result of this study, the action observational physical training group significant improvement after the intervention than in the landscape observation physical training group. Moreover, the follow-up study four weeks after the intervention showed significant improvements in the action observational physical training group (p<0.05). Conclusion: These results show that the action observational physical training had a positive impact on the stair walking ability and self-efficacy of chronic stroke patients.
Journal of The Korean Society of Integrative Medicine
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v.7
no.3
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pp.1-9
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2019
Purpose : To find out how action observation training for chronic stroke patients affects their balance and body control abilities in the posture seated in the rehabilitation of stroke. Methods : This study was conducted on 30 subjects who were diagnosed with stroke. The group conducted motion observation training through video clips, while the control group only conducted physical training, and the general physical therapy was performed equally by both counties. The static balance was measured using Biorescue and the dynamic balance was measured using Modified Functional Reach Test (MFRT), Postural Assessment Scale for Stroke, and Trunk Impairment Scale. Results : Static balance showed statistically significant difference in foot pressure (p<.05) as a result of comparison between pre and post exercise training. Dynamic balance was statistically significant (p>.05) as a result of comparing pre and post differences using modified functional reach test. The trunk control ability was statistically significant (p>.001). Comparison between the results of before and after motion observation training showed a statistically significant difference. Conclusion: This study confirmed that exercise training in sitting position was effective for static, dynamic balance ability and trunk control ability of hemiplegic patients due to stroke. These results suggest that the use of motion monitoring in stroke patients may have a positive impact on the diversity and function of rehabilitation.
Journal of the Korean Society of Physical Medicine
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v.16
no.4
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pp.13-21
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2021
PURPOSE: This study examined the effects of action observational training with acoustic stimulation (AOTA) on the balance and gait ability in stroke patients. METHODS: Forty-five chronic stroke patients were divided into three groups. The AOTA group (n = 15) received training via a video that showed a normal gait with the sound of footsteps. The action observation training (AOT) group (n = 15) received AOT without acoustic stimulation. The control group (n = 15) received physical training. Each intervention was applied once per day, three times per week for six weeks. The participants in the AOTA and AOT groups had five minutes of AOT. The participants in the all group had 20 minutes of physical training. All participants were measured using the Berg Balance Scale, the Timed Up and Go Test, the Functional Reaching Test, 10 Meter Walk Test, six Minute Walk Test, and Dynamic Gait Index. The collected data were analyzed using SPSS version 20.0 for Windows. The between- and within-group comparisons were analyzed using the one-way analysis of variance (ANOVA) test and a paired t-test, respectively. For all statistical analyses, the significance level was set to .05. RESULTS: The one-way ANOVA test identified significant differences among the measurement results of the three groups (p < .05). Post hoc analyses indicated the AOTA group to undergo more significant balance and gait changes than the control group (p < .05). CONCLUSION: The gait and balance abilities could be improved effectively for patients with stroke when action observation training and acoustic stimulation were applied simultaneously.
Background and objective: For effective horticultural education, it is required to develop kits for practice. In this study, we developed a horticultural kit for germination that introduces storytelling, characterization, and assembly, and investigated the educational effects of using it to study its educational differentiation and usefulness. Methods: First, we developed a seed germination kit for learning. It consists of three components: the kit main frame for hydroponics, the activity sheet for storytelling, and the instruction manual. It is made into an acrylic assembly in consideration of the ease of delivery for contactless learning. Second, we developed two programs, each using a germination kit for horticultural education (experimental group) and a general germination kit program (control group). At this time, the class consists of pre-questionnaire, the 1st and 2nd classes, observation log writing (total six times for two weeks), the 3rd class, and post-questionnaire. The experimental group and control group were separately executed. Third, the application results were compared and analyzed before and after class. As a quantification questionnaire, the effects before and after class were compared through t-test with a questionnaire on program satisfaction and attitude change toward plants. The quantitative results were analyzed through observation activity sheets and effects before and after the class were analyzed through t-test with quantification and language coding. Results: The effect of horticulture education using the developed kit was estimated by a quantification questionnaire. Both the program satisfaction and the change in attitude toward plants showed high in the experimental group, and this difference was statistically significant (p < .05). As a result of analyzing the observation paper with a qualitative questionnaire, various cognitive and affective expressions appeared in the experimental group as well as the contents of the observation paper. The number of syllables and various qualitative expressions appeared, and these differences were also statistically significant (p < .05). Conclusion: Compared to general germination activities, it was found that the germination activities using storytelling-based horticultural kits would be effective for contactless classes in the post-COVID-19 era and in increasing the educational effect of horticultural activities.
Objectives : This study is to propose the identification keys based on stereoscopic examination of 8 seed herbs in 2 categories (Phyllolobobii Semen (PS) with 4 Astragali Semen (AS), and 2 Lepidii seu Descurainiae Semen (LDS) with 1 Drabae Semen (DS)) which have difficulties in discrimination with visual observation. Methods : We reviewed the description of original plants and their medicinal parts from the literature. The original plants were collected, identified, confirmed as specimens, and compared to the samples distributed in the market. The first identification was made by visual observation, and insufficient points were supplemented by stereoscopic observation. Identification criteria were set by considering morphological characteristics of authentic herbs, percentage of adulterants, and distinction between authentic herbs and adulterants. Results : The original plants of PS and AS could be distinguished by upright or lying form of stem, color of flowers, number of leaflets, and presence of hair of fruits. LDS and DS could be distinguished by leaf arrangement on stem: radical or cauline, whole plants size, leaf division, color of flowers, and shape of fruits. The herbal medicines of PS and AS could be distinguished by seed surface pattern, size, and hardness. LDS and DS could be distinguished by size, shape, viscosity when chewed, and degree of mucous layer formation when soaked in water. Conclusions : This study suggests the identification keys of original plants and herbal medicines. Especially, since fine seed herbs are difficult to distinguish by visual observation, the stereoscope should be applied to the discrimination.
Surveillance and reconnaissance intelligence in the space domain will become increasingly important in future battlefield environments. Moreover, to assimilate the military provocations and trends of hostile countries, imagery intelligence of the highest possible resolution is required. There are many methods for improving the resolution of optical satellites when observing the ground, such as designing satellite optical systems with a larger diameter and lowering the operating altitude. In this paper, we propose a method for improving ground observation resolution by using an optical system for a previously designed low orbit satellite and lowering the operating altitude of the satellite. When the altitude of a satellite is reduced in a circular orbit, a large amount of thrust fuel is required to maintain altitude because the satellite's altitude can decrease rapidly due to atmospheric drag. However, by using the critical inclination, which can fix the position of the perigee in an elliptical orbit to the observation area, the operating altitude of the satellite can be reduced using less fuel compared to a circular orbit. This method makes it possible to obtain a similar observational resolution of a medium-sized satellite with the same weight and volume as a small satellite. In addition, this method has the advantage of reducing development and launch costs to that of a small-sized satellite. As a result, we designed an elliptical orbit. The perigee of the orbit is 300 km, the apogee is 8,366.52 km, and the critical inclination is 116.56°. This orbit remains at its lowest altitude to the Korean peninsula constantly with much less orbit maintenance fuel compared to the 300 km circular orbit.
The Journal of the Convergence on Culture Technology
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v.10
no.2
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pp.35-42
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2024
Biomedical engineering is a discipline that diagnoses and treats human diseases using engineering techniques based on medical and biological understanding. Proper biomedical engineering education requires education on medical terminology, human anatomy, and human physiology, but students have a preconceived notion that these basic medical subjects are subjects to be memorized. In order to eliminate these students' preconceptions, various educational methods must be developed so that students can easily access basic medical subjects. In this paper, we present a method to increase learning effectiveness by introducing observation practice of a human anatomical model to the medical terminology subject. The half-body model of the human body is a form in which various organs are assembled and can be observed by disassembling them one by one. This observation exercise consisted of questions about the organs of the head, neck, chest, and abdomen, with students working in groups to find answers. After the practice, students evaluated that this practice motivated them to learn and made it easier to understand the lecture.
Purpose: Long-term outcomes of patients with positive lateral margins (pLMs) after endoscopic submucosal dissection (ESD) for early gastric cancer (EGC). This study aimed to evaluate the remnant cancer and survival rates of patients with pLMs compared with those who underwent curative resection. Materials and Methods: A retrospective analysis was performed on consecutive patients with pLMs as the only non-curative factor of expanded indication who underwent ESD for EGC with a follow-up duration of 5 years or more. The rates of remnant cancer, recurrence, and survival were analyzed and compared to those of control patients who underwent curative resection by propensity score matching. Results: Among 3,515 patients treated with ESD between 2005 and 2018, 123 non-curative EGCs were retrospectively analyzed. A total of 108 patients were followed up without endoscopic or surgical resection for 8.2 years. The control group was matched in a 1:1 ratio with patients with EGC who underwent curative resection after ESD. The observation group with pLMs had a higher incidence of remnant cancer (25.9%; 28/108) compared to that in the curative resection group (0/108; P=0.000). The remaining tumors were treated with surgical or endoscopic resection, and no additional recurrences were observed. The overall survival analysis demonstrated no significant difference between the observation and curative resection groups (P=0.577). Conclusions: No difference was observed in the overall survival rate between observation and curative resection groups. Therefore, observation may be a possible option for incomplete ESD with pLMs if continuous follow-up is performed.
Journal of the Korean Society of Physical Medicine
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v.19
no.1
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pp.61-68
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2024
PURPOSE: This study aimed to provide basic clinical data by analyzing the impact of motion observation training and stretching exercises for improving postures on the neck alignment and balance of stroke patients to enable them to accurately recognize the correct exercise method. METHODS: After sampling 20 stroke patients who met the selection criteria, this study randomly assigned 10 people who were administered the stretching exercise with observation training to the experimental group and 10 who received only the stretching exercise intervention to the control group by drawing lots. Next, neck alignment and balance were pre-tested. All interventions were conducted for 30 minutes, 3 times a week for 4 weeks, and when all the interventions were completed after 4 weeks, neck alignment and balance were re-measured in the same way as the pre-test. RESULTS: The comparison of changes in neck alignment and balance within the experimental and control groups showed statistically significant differences in the craniovertebral angle, cranial rotation angle, and balance (p < .05) (p < .01). Between the groups, statistically significant differences were found in the craniovertebral angle, cranial rotation angle, and balance (p < .05) (p < .01). CONCLUSION: A statistically significant difference in neck alignment and balance was observed in the group that underwent stretching exercises combined with observational training and a statistically significant difference was found between the groups. Therefore, it is believed that observation training should be used in clinical practice to improve forward head posture and restore balance in stroke patients.
This is a preliminary study of the feasibility of obtaining reliable tidal current harmonic constants, using one month of current observations, to verify the accuracy of a tidal model. An inference method is commonly used to separate out the tidal harmonic constituents when the available data spans less than a synodic period. In contrast to tidal constituents, studies of the separation of tidal-current harmonics are rare, basically due to a dearth of the long-term observation data needed for such experiments. We conducted concurrent and monthly harmonic analyses for tidal current velocities and heights, using 2 years (2006 and 2007) of current and sea-level records obtained from the Tidal Current Signal Station located in the narrow waterway in front of Incheon Lock, Korea. Firstly, the l-year harmonic analyses showed that, with the exception of $M_2$ and $S_2$ semidiurnal constituents, the major constituents were different for the tidal currents and heights. $K_1$, for instance, was found to be the 4th major tidal constituent but not an important tidal current constituent. Secondly, we examined monthly variation in the amplitudes and phase-lags of the $S_2$ and $K_1$ current-velocity and tide constituents over a 23-month period. The resultant patterns of variation in the amplitudes and phase-lags of the $S_2$ tidal currents and tides were similar, exhibiting a sine curve form with a 6-month period. Similarly, variation in the $K_1$ tidal constant and tidal current-velocity phase lags showed a sine curve pattern with a 6-month period. However, that of the $K_1$ tidal current-velocity amplitude showed a somewhat irregular sine curve pattern. Lastly, we investigated and tested the inference methods available for separating the $K_2$ and $S_2$ current-velocity constituents via monthly harmonic analysis. We compared the effects of reduction in monthly variability in tidal harmonic constants of the $S_2$ current-velocity constituent using three different inference methods and that of Schureman (1976). Specifically, to separate out the two constituents ($S_2$ and $K_2$), we used three different inference parameter (i.e. amplitude ratio and phase-lag diggerence) values derived from the 1-year harmonic analyses of current-velocities and tidal heights at (near) the short-term observation station and from tidal potential (TP), together with Schureman's (1976) inference (SI). Results from these four different methods reveal that TP and SI are satisfactorily applicable where results of long-term harmonic analysis are not available. We also discussed how to further reduce the monthly variability in $S_2$ tidal current-velocity constants.
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