• The Journal of Korean Physical Therapy
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• v.15 no.4
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• pp.34-45
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• 2003

A 'pusher syndrome' encompassing postural imbalance and hemi-neglect is believed to aggravate the prognosis of stroke patients. The patients with pusher syndrome show a particular posture that pushing away from the unaffected side of the body. The objective of this study was to investigate associated proprioception, associated neuro-psychological symptoms and characteristics of functional outcome with and without pusher syndrome. The subjects of this study were 58 acute stroke patients who been rehabilitated at two university hospitals in Seoul and Buchun. Data were collected using proprioception test and line bisection test. The ability of ADL was assessed by the Modified Barthel Index, transfer by the Functional Independence Measure, and balance by the Modified Motor Assessment Scale. The results were that significant difference was found in the presence of proprioception, in the incidence of hemineglect and anosognosia, and in the score of ADL, transfer and balance between patients with and without pusher syndrome. Patients without pusher syndrome gained more motor score than patients with pusher syndrome. From improvement of view, patients with pusher syndrome gained the lowest score in ability of transfer. The finding suggest that the patients with pusher syndrome is a poorer functional outcome, be related to proprioception, hemineglect and anosognosia.

• The Journal of Korean Physical Therapy
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• v.22 no.3
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• pp.45-48
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• 2010

Patients with the pusher syndrome show severe misperception of their own upright body orientation although visual vestibular processing is almost intact. They recognize their body as oriented upright when it is actually tilted nearly 20 degrees to the affected side. These patients resist any attempts to passively correct their tilted body posture towards an earth vertical upright orientation. They use the non-affected side arm and/or leg to actively push towards the affected side. Pusher syndrome patients have different prognoses and symptoms than general stroke patients without pusher syndrome. Pusher syndrome patients have a poor prognosis, so they need a long duration of treatment. Therefore, accurate diagnosis and proper treatment are important. In this study, we reviewed the symptoms, causes, evaluation, and treatment for pusher syndrome.

• Journal of Aerospace System Engineering
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• v.15 no.2
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• pp.26-35
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• 2021

In this study, CFD analysis was conducted to compare the aerodynamic performance of the isolated propeller and pusher propeller, which is affected by the wake of wide fuselage. The moving reference frame (MRF) method was used for isolated propeller analysis, while the MRF and sliding mesh method were used sequentially for the pusher propeller to analyze the change in the aerodynamic characteristics based on the azimuth angle. Under the same torque condition, the thrust of the pusher propeller was greater than that of the isolated propeller. Thrust increment of the pusher propeller was mainly generated near the root of the blade where the fuselage wake was concentrated. The net efficiency of the pusher propeller was greater than or equal to that of the isolated propeller. Because of the flat fuselage shape, thrust and torque of the pusher propeller periodically changed with the rotation of the propeller.

• Proceedings of the Korean Institute of Building Construction Conference
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• 2012.11a
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• pp.39-42
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• 2012

Pusher-Loaded Scrapers are important construction equipment for large earthmoving operations. Production rates of a Pusher-Loaded Scraper vary greatly in accordance with the temperature or elevation, the equipment performance, haul speed, haul-road conditions, the method of loading, and Number of scrapers per one pusher. Determining of most economical scrapers fleet regarding the size of equipment, model name, and number of scrapers demands time-consuming calculation because it needs to reference of varied performance charts or tables and repeat complicated calculation. In this study, decision-making support system for the Optimal Pusher-loaded Scrapers Fleet is suggested for the purpose of calculating easily and handling effectively variables which are changed depend of the work conditions. The prototype of this program is developed using MATLAB. And the Database of Pusher-loaded Scraper embodies Performance chart & Retarder chart, soil properties, and calculation-support table.

• Journal of Korean Physical Therapy Science
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• v.14 no.1_4
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• pp.55-60
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• 2007

The purpose of this case report is to investigate whether an attempt to hold the repeated upright posture under blocking the patient's vision affects the deficits to push away from the paralytic side and the relapse time from down to stand up position without push away in patients with hemiplegia with pusher syndrome. Two hemiplegic patients with pusher syndrome were assessed. The task was performed 4 times per day for 6 weeks. The modified barthel index (MBI) was performed to assess activities of daily living (ADL). For assessing balance, the "balanced sitting" and "sit to stand" are analyzed using by modified motor assessment scale (MMAS). The scale for contraversive pushing (SCP) was used for determination of push away from paralyzed side. MBI, MMAS and SCP were assessed before and after trial of the task. In patient 1, total score of the scale is 0 in sitting posture and standing posture within 3 weeks and 4 weeks, respectively, In patient 2, total score of the scale is 0 in sitting posture and standing posture within 4 weeks and 6 weeks, respectively. These results demonstrated that pusher syndrome was completely resolved in at least 6 weeks. Our findings indicate that this physical therapy seems to be relevant for the hemiplegic patients with pusher syndrome.

• Journal of Korean Physical Therapy Science
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• v.6 no.3
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• pp.1-7
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• 1999

The objectives of this study was to investigate the incidence and any correction between hemiplegia with pusher syndrome and neuropsychological symptoms such as hemineglect and anosognosia. Pusher syndrome defines that the patient leans toward the hemiplegic side regardless of the position that patient was placed on and resists any attempt for passive correction of posture that would move his weight toward the midline of the body. The subjects of this study were 69 acute hemiplegia who had been rehabilitated at department of rehabilitation medicine, Asan Medical Center from May 1. 1999 through July 31. 1999. The data were analyzed by researchers who were trained for assessment of anosognosia and hemineglect. 12 subjects were excluded for confusion. The method of statistical analysis used for our study was Fisher's exact test. Results of the study disclosed 21 hemiplegia(38.6%) with pusher syndrome. In conclusion, these hemiplegic patients with pusher syndrome did not have any correlation with hemineglect and anosognosia and also had no preference of stroke side.

• The Journal of Korean Physical Therapy
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• v.11 no.2
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• pp.111-114
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• 1999

Some hemiplegic patients show a particular posture that pushing away from the nonaffected side of the body. A few study has been conducted of any aspect of this syndrome. But despite the lack of a scientific basis, this term is widely used in the physical therapy of hemiplegic patients. The purposes of this study was to investigate whether pusher syndrome has an adverse impact on functional outcome. Included were all acute stroke patients admitted in a months period a hospital in Seoul. The presence of pusher syndrome was assessed by a Bobath trained physical therapist. The ability of transfer was assessed by the Functional Independence Measure(FIM), Activities of daily living by the Modified Barthel Index(MBI), and standing balance by Bohannon's Standing Balance Scale(BSBS) on admission, weekly during the hospital stay, and at discharge. Pusher syndrome was found in $52.4\%$ of the left side and $50.0\%$ of the right aide hemiplegic patients. Significant differences were found in the score of transfer, ADL and standing balance between patients with and without pusher syndrome.

• Journal of the Korean Academy of Clinical Electrophysiology
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• v.9 no.1
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• pp.41-49
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• 2011

This study purposes to conduct visual feedback and body posture control training on stroke patients with pusher syndrome in order to reduce their pusher syndrome. This study also examines changes resulting from the training and applies the guidelines necessary for documentation of patient/customer management. The participant for this study was one patient with pusher syndrome. The study progressed from a medical examination of the subject followed by evaluation, diagnosis, prognosis, intervention and treatment plan, and finally re-examination in order of precedence. Problems in the participant's functional activities, difficulties in changes from sitting postures into standing postures, and maintaining standing postures were determined as primary restrictions on activities and the improvement of these activities was set up as a goal through discussions with the patient. Interventions were mainly implemented to reduce the pusher syndrome with visual feedback provided using mirrors and exercises focusing on leaning in order to maintain posture while sitting. Changes from supine postures to sitting postures and the degree of changes in maintaining standing postures were compared between before and after the intervention by measuring times in the same environment and the degree of pusher syndrome was measured using the SCP tool. The process of this clinical practice was documented. The SCP score that indicates the degree of changes in the participant's pusher syndrome changed from 3.75 points to 0.8 point indicating a decrease in pushing. Among functional activities, posture changes from sitting postures to standing postures and maintaining standing postures were improved. In addition, since the patient could maintain standing postures, the patient could walk indoors. In this case study, mirrors and body posture control training used as interventions to relieve pusher syndromes can be easily applied in clinics to examine the form of functional recovery. The results indicated that these intervention methods were effective and thus it is thought that the results can be used as basic data to utilize these intervention methods diversely. In addition, the documentation of patient/client management was applied as actual documentation in Korean and based on the results, we could show decision making processes for patients' functional goals and objectively explain problems, prognoses and changes made through the interventions.

• 한국전산유체공학회:학술대회논문집
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• 2001.05a
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• pp.209-214
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• 2001

RANS 방정식의 수치해법을 사용해서 tractor와 pusher 방식의 포드 프로펠러 주위 점성유동을 계산함으로써 포드형 전동 추진기의 추진 특성을 파악하고자 하였다. 본 연구에 사용한 수치해석 방법을 검증하기 위하여 최근 국내에서 모형 실험이 수행된 포드 프로펠러 형상에 대해 수치계산을 수행하고, 계산으로부터 얻어진 tractor와 pusher 방식의 포드 프로펠러에 대한 단독 성능을 실험 결과와 비교하였다. 또한, 포드에 작용하는 압력 및 프로펠러 날개 주위의 유동을 분석함으로써, 포드가 프로펠러의 추진 성능에 미치는 영향과 tractor와 pusher 추진 방식의 특성을 살펴보았다.

• Journal of the Society of Naval Architects of Korea
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• v.38 no.1
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• pp.9-26
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• 2001

In this paper. the development of a pusher-barge hull form which enables the continuous transportation along the coast and canal is performed. For the design stage of the hull forms. these are developed for Kyungin canal which is will be drawn up as the next contribution project of the Korean government are adopted. The model tests for the designed ship are carried out in the Inha University Towing Tank and the numerical simulations are done with a finite difference method based on MAC scheme. At first, the experiments are performed with designed model ships from low speed to high speed including service speed(6knots) among the corresponding designed speed. Resistance characteristics of designed ships are compared with experimental results of other several pusher-barge hull shapes. Next, the numerical simulations are performed for three cases, that is pusher only, barge only and pusher-barge condition in the designed speed. Each calculations are carried out in deep and restricted water condition. The flow characteristics around hulls in the latter condition are compared with those in the former condition.