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Comparison of the Effects of Spinal Manipulation Combined with Painkiller and Muscle Relaxant to Painkiller and Muscle Relaxant Alone on Pain, Lumbar Range of Motion, and Disability Index in Patients with Chronic Low Back Pain (진통제-근육이완제 복용 병행 척추교정과 진통제-근육이완제 복용이 만성허리통증 환자의 통증, 허리 관절가동범위, 장애 지수에 미치는 효과 비교)

  • Dong-Hwan Oh;Suk-Chan Hahm
    • Journal of The Korean Society of Integrative Medicine
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    • v.12 no.2
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    • pp.33-45
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    • 2024
  • Purpose : This study aimed to compare the effects of spinal manipulation combined with medication on low back pain (LBP), range of motion, and disability in patients with chronic LBP. Methods : Twenty patients with chronic LBP were included in this study. The participants were randomly assigned to the spinal manipulation with medication group (n=10) or the medication only group (n=10). The intervention group received spinal manipulation for 15 minutes, twice a week, and took medication twice a day for eight weeks. The control group received the medication twice daily for eight weeks. Pain intensity assessed using the visual analog scale (VAS), range of motion, and disability due to LBP assessed using the Oswestry disability index were measured before and after the intervention. Results : The intervention group showed a significant improvement in pain intensity compared to the control group (p<.05), and the intervention and control groups significantly improved low back pain after the intervention (p<.05). The intervention group showed a significant improvement in the range of motion in flexion, extension, right lateral flexion, left lateral flexion, and right rotation (p<.05). The intervention group also showed a significant improvement in the change of disability in total score, pain intensity, personal care, lifting and standing compared to the control group (p<.05). Conclusion : This study showed that the combination of spinal manipulation and medication can benefit patients with chronic LBP, as evidenced by significant improvements in pain intensity, ROM, and disability. These findings suggest that utilizing both spinal manipulation and medication can positively affect individuals with chronic LBP. The results of this study should be applied in clinical settings to optimize treatment outcomes in patients with chronic LBP.

Effects of the Exercise Program Combined with Telephone Coaching on Postural Balance, Grip Strength and Depression of Elderly Living Alone in the Community (전화코칭을 병행한 운동 프로그램이 지역사회 거주 독거 노인의 균형능력, 악력 및 우울에 미치는 효과)

  • Lee, Seo-Hyun;Lee, Su-Yeon;Kim, Yuna;Cho, Mun-Kyung;Kim, Jae-Eun;Kim, Jo-Hyeon;Bong, Min-Ji;Oh, Soo-Kyung;Jo, Soo-Ah;Jo, Young-Woo;Cho, Yoon-Jin;Lee, Ha-Young;Lee, Soo-Yeon;Han, Eun-Kyoung
    • Journal of the Korean Applied Science and Technology
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    • v.39 no.3
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    • pp.397-406
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    • 2022
  • This study is an experimental study on the single group pre-post test design for the effects of the exercise program combined with telephone coaching on postural balance, grip strength and depression of the elderly living alone. The subjects of this study were 20 elderly living alone who registered at a senior welfare center located in S City, Gyeonggi-do. A total of 12 session programs were applied from July 3 to October 14, 2021. Before and after the program, the participant's home was visited and 4 stage standing balance test(4 SBT), grip strength and depression were measured. The contents of the intervention consisted of elastic bands and grip balls, and weekly telephone coaching interventions were provided. In the result of this study, the exercise program combined with telephone coaching were statistically significant differences in 4 SBT(3stage)(t=-2.37, p=.029), 4 SBT(4stage)(t=-2.46, p=.024), right grip strength(t=-2.18. p=.042) and depression(t=2.82, p<.001). Therefore, it is expected that the exercise program combined with telephone coaching can be applied as a nursing intervention to improve postural balance, grip strength and reduce depression in the elderly living alone in the community.

The use of SMA wire dampers to enhance the seismic performance of two historical Islamic minarets

  • El-Attar, Adel;Saleh, Ahmed;El-Habbal, Islam;Zaghw, Abdel Hamid;Osman, Ashraf
    • Smart Structures and Systems
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    • v.4 no.2
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    • pp.221-232
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    • 2008
  • This paper represents the final results of a research program sponsored by the European Commission through project WIND-CHIME ($\underline{W}$ide Range Non-$\underline{IN}$trusive $\underline{D}$evices toward $\underline{C}$onservation of $\underline{HI}$storical Monuments in the $\underline{ME}$diterranean Area), in which the possibility of using advanced seismic protection technologies to preserve historical monuments in the Mediterranean area is investigated. In the current research, the dynamic characteristics of two outstanding Mamluk-Style minarets, which similar minarets were reported to experience extensive damage during Dahshur 1992 earthquake, are investigated. The first minaret is the Qusun minaret (1337 A.D, 736 Hijri Date (H.D)) located in El-Suyuti cemetery on the southern side of the Salah El-Din citadel. The minaret is currently separated from the surrounding building and is directly resting on the ground (no vaults underneath). The total height of the minaret is 40.28 meters with a base rectangular shaft of about 5.42 ${\times}$ 5.20 m. The second minaret is the southern minaret of Al-Sultaniya (1340 A.D, 739 H.D). It is located about 30.0 meters from Qusun minaret, and it is now standing alone but it seems that it used to be attached to a huge unidentified structure. The style of the minaret and its size attribute it to the first half of the fourteenth century. The minaret total height is 36.69 meters and has a 4.48 ${\times}$ 4.48 m rectangular base. Field investigations were conducted to obtain: (a) geometrical description of the minarets, (b) material properties of the minarets' stones, and (c) soil conditions at the minarets' location. Ambient vibration tests were performed to determine the modal parameters of the minarets such as natural frequencies and mode shapes. A $1/16^{th}$ scale model of Qusun minaret was constructed at Cairo University Concrete Research Laboratory and tested under free vibration with and without SMA wire dampers. The contribution of SMA wire dampers to the structural damping coefficient was evaluated under different vertical loads and vibration amplitudes. Experimental results were used along with the field investigation data to develop a realistic 3-D finite element model that can be used for seismic risk evaluation of the minarets. Examining the updated finite element models under different seismic excitations indicated the vulnerability of such structures to earthquakes with medium to high a/v ratio. The use of SMA wire dampers was found feasible for reducing the seismic risk for this type of structures.

Absorption of Copper(Cu) by Vegetation on Reservoir Sediment Exposed after Drawdown (저수위시 노출된 저수지 저니 상의 식생과 구리(Cu)의 흡수)

  • 이충우;차영일
    • Journal of Environmental Science International
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    • v.2 no.2
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    • pp.123-133
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    • 1993
  • Shingal reservoir is a relatively small (211ha) and shallow impoundment, and approximately 25 ha of its sediment is exposed after spring drawdown. At least 14 vascular p13n1 species germinate on the exposed sediment, but Persimria vulgaris Webb et Moq. quickly dominates the vegetation. In order to estimate the role of the vegetation in the dynamics of heavy metal pollutants in the reservoir, Cu concentration of water, fallout particles, exposed sediment, and tissues of p. vulgaris, Ivas analyzed. Cu content in reservoir water decreased from $13.10mg/m^2$ on May 15 (before dralvdown) to $3.08mg/m^2$ in June 1 (after drawdown), mainly due to the loiwering of water level. Average atmospheric deposition of Cu by fallout particles was $10.84 {\mu}g/m^2/day$. Cu content in the surface 15cm of exposed sediment decreased from $5.094g1m^2$ right after drawdown, to $0.530g/m^2$ in 41 days, which is a 89.6% decrease. Therefore up to 99.7% of Cu in the reservoir appears to exist in the sediment. only 0.3% in water If the rate of atmospheric Input by fallout particles is assumed to have been the same since 1958, when the reservoir was completed, cumulative input of Cu during the 38 years would have been $150.35mg/m^2$, which is only 3.0% of Cu content in sediment right after drawdown. Therefore, most of Cu in the Shingal reservoir must have been transported by the Shingal-chun flowing into the reservoir, Standing crop of vegetation on the exposed sediment 41 days after drawdown was $730.67g/m^2$, of which 630.91g/m2 was p. vulgaris alone, and Cu content in P vulgaris at this time was $6.612mg/m^2$. This was only 0.13% of Cu in the exposed sediment, but was 50.5% of Cu in water before drawdown, or 167% of the average annual input of Cu by atmospheric deposition. If other plants were assumed to absorb Cu to the same concentration as p. vulgaris, total amount of Cu absorbed in 41 days by vegetation on the exposed sediment is estimated to be 1913.3 g, which is a considerable contribution to the purification of the reservoir water.

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Absorption of Copper(Cu) by Vegetation on Reservoir Sediment Exposed after Drawdown (저수위시 노출된 저수지 저니 상의 식생과 구리(Cu)의 흡수)

  • Lee, Chung-U;Cha, Yeong-Il
    • Journal of Environmental Science International
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    • v.2 no.2
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    • pp.29-29
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    • 1993
  • Shingal reservoir is a relatively small (211ha) and shallow impoundment, and approximately 25 ha of its sediment is exposed after spring drawdown. At least 14 vascular p13n1 species germinate on the exposed sediment, but Persimria vulgaris Webb et Moq. quickly dominates the vegetation. In order to estimate the role of the vegetation in the dynamics of heavy metal pollutants in the reservoir, Cu concentration of water, fallout particles, exposed sediment, and tissues of p. vulgaris, Ivas analyzed. Cu content in reservoir water decreased from $13.10mg/m^2$ on May 15 (before dralvdown) to $3.08mg/m^2$ in June 1 (after drawdown), mainly due to the loiwering of water level. Average atmospheric deposition of Cu by fallout particles was $10.84 {\mu}g/m^2/day$. Cu content in the surface 15cm of exposed sediment decreased from $5.094g1m^2$ right after drawdown, to $0.530g/m^2$ in 41 days, which is a 89.6% decrease. Therefore up to 99.7% of Cu in the reservoir appears to exist in the sediment. only 0.3% in water If the rate of atmospheric Input by fallout particles is assumed to have been the same since 1958, when the reservoir was completed, cumulative input of Cu during the 38 years would have been $150.35mg/m^2$, which is only 3.0% of Cu content in sediment right after drawdown. Therefore, most of Cu in the Shingal reservoir must have been transported by the Shingal-chun flowing into the reservoir, Standing crop of vegetation on the exposed sediment 41 days after drawdown was $730.67g/m^2$, of which 630.91g/m2 was p. vulgaris alone, and Cu content in P vulgaris at this time was $6.612mg/m^2$. This was only 0.13% of Cu in the exposed sediment, but was 50.5% of Cu in water before drawdown, or 167% of the average annual input of Cu by atmospheric deposition. If other plants were assumed to absorb Cu to the same concentration as p. vulgaris, total amount of Cu absorbed in 41 days by vegetation on the exposed sediment is estimated to be 1913.3 g, which is a considerable contribution to the purification of the reservoir water.

A Study on th e Creation of Floral Art Works Applying th e Meth ods of th e Narration and Visualization of the Experiences (경험의 서사화와 시각화 방법을 적용한 화예작품 창작의 연구)

  • Han, Yujeong;Yoo, Taeksang
    • Journal of the Korean Society of Floral Art and Design
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    • no.43
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    • pp.39-56
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    • 2020
  • This study is on the creation of floral art works based on the intuitive insight acquired by methodological process of ruminating the experienced meaningful events of the artists utilizing sensible perception. The researcher used the narration and visualization techniques. The narration process adopted the writing technique of subjective impression, emotion, stream of consciousness to capture sensations of subconscious state, which were applied in three steps of 'the exploration of experiences', 'the concretion of experiences', and 'the creation of meaning out of experiences'. The visualization process adopted collection, selection, classification, and interpretation of related images, which were applied in three methods of 'the creation of images', 'the utilization of intuition', and 'the perception through remembering'. Finally 5 art works of 'Hammock is Good', 'At the Rooftop with Warm Sunshine', 'Standing at the Waterside Alone', 'Dizziness at Hot Sand Field', and 'Having Good Time at a Botanical Garden'were created through the combination of these two methods mentioned above and complementary research and writing. The meaningfulness of this research lies in presenting methodological approaches of utilizing narration and visualization of experiences in art creation process.

Perception of Andong Joongang Cinema as a Local Cultural Resource (지역문화자원으로 본 안동중앙극장 인식)

  • Kim, Nam-Yong;Jung, Nak-Hyun
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.1
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    • pp.69-79
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    • 2019
  • The purpose of this study is to analyze how Andong Joongang Cinema (hereinafter referred to as "The Cinema"), the only art cinema in Gyeongsangbuk-do Province, is perceived by local people as a local cultural resource. For this, an analysis framework was set for analyzing local people's perception of The Cinema as a local cultural resource, by analyzing the functions of local cultural resources and the function of The Cinema and examining the correlation between the two sectors, on the basis of precedent studies on local cultural resources and related papers on art theaters and The Cinema. Based on the proposed analysis framework, the local people's perceptions of The Cinema as a local cultural resource were summarized into four divisions: the perception of the enjoyment of culture & art, the perception of historicity, the perception of a tourist attraction, and the perception of community formation. As a result, it is judged that The Cinema has the identity, the traditionality and the community spirit as the three functions of which a local cultural resource has, and thus, it is proved that The Cinema functions as a local cultural resource. Therefore, local cultural resources have been performing their functions encompassing its scope with the region's history and surrounding environment, not standing alone. The Cinema also has been functioning as a space for the enjoyment of culture and art, a tourist attraction, and a cultural space for communicating with the public, keeping its historicity of the region. It is expected that there will be specific follow-up studies so that The Cinema can consistently play its role as a local cultural resource.

Analysis of Performance in Fostering the Companies Occupied in Technopark and its Characteristics: Focusing on Growth Path and Type (테크노파크 입주기업 육성의 성과 및 특성 분석: 성장경로 및 유형을 중심으로)

  • Seulbee Lee;Myungjun Oh;Jinhee Bae;Seseon Ryou
    • Journal of the Economic Geographical Society of Korea
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    • v.25 no.4
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    • pp.531-546
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    • 2022
  • This study analyzes the performance and characteristics of the fostering policies for the focusing on growth path and type occupied in the Technoparks. First, the companies occupied in the Technoparks have shown the characteristics of landing on an actual growth phase beyond the start-up and fostering phases, and when considering the possession of a dedicated R&D organization and the portion of highly educated technical personnel having masters and doctorate degrees, these companies have also entailed the characteristics of being a technological innovation company. Second, about 30% of the companies that left the Technoparks secured their own factories and offices after standing alone, indicating that the fostering function after startup in the Technoparks has been performing a significant role on the growth path of start-up companies from a temporal perspective. Third, a majority of the companies occupied in the Technoparks were composed of scale-up companies or preliminary scale-up companies that contained promising innovative growth potential. However, it seems to urgently require the acceleration of innovation because many companies are categorized into a stagnated growth type that demonstrates a high R&D investment but low sales revenue growth.

Comparison of Anesthetic Effects Induced by Tiletamine-Zolazepam and Azaperone Plus Tiletamine-Zolazepam in Growing Pigs (돼지에서 Tiletamine-Zolazepam 단독과 Azaperone, Tiletamine-Zolazepam 합제의 마취 효과에 대한 비교)

  • Kim, Young-Suk;Kim, Myung-Jin;Lee, Soo-Jin;Lee, Jae-Il;Jun, Moo-Hyung;Park, Chang-Sik;Kim, Myung-Cheol
    • Journal of Veterinary Clinics
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    • v.24 no.3
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    • pp.300-304
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    • 2007
  • The purpose of this study was to determine the anesthetic effects of tiletamine-zolazepam (TZ) alone and azaperone plus tiletamine-zolazepam in growing pigs, and to compare the various physiological parameters in both treatments. Cross experiment was accomplished at 2-week interval. Group 1 (TZ group): six pigs ($31.4{\pm}4.83$ kg) received 4.4 mg/kg of TZ alone. Group 2 (ATZ group); the same six pigs ($43.6{\pm}4.31$ kg) received 4.4 mg/kg of TZ twenty minutes after receiving 2 mg/kg of azaperone. All of the anesthetic drugs were injected into the trapezius muscles. The pigs were fasted for 24 hours before the experiments. Induction and recovery values were determined. Heart rate, respiratory rate, rectal temperature, $pO_2,\;pCO_2$ and pH were determined before administration and 5, 25, 45, 65 and 85 minutes after administration. Induction time of ATZ group was more rapid than that of TZ group (p<0.01). During recovery, sternal recumbency time, standing time and walking time of ATZ group were longer than those of TZ group (p<0.01). Heart rate, respiratory rate, $pO_2,\;pCO_2$, and pH did not show especial differences between the two groups. However, rectal temperature was significantly different between the TZ and ATZ group (p<0.05). As a result, ATZ group had a faster induction and a longer duration of anesthesia than TZ group did. Thus, it was concluded that ATZ combination could be usefully used for chemical restraint in pigs.

Determinants of IPO Failure Risk and Price Response in Kosdaq (코스닥 상장 시 실패위험 결정요인과 주가반응에 관한 연구)

  • Oh, Sung-Bae;Nam, Sam-Hyun;Yi, Hwa-Deuk
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.5 no.4
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    • pp.1-34
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    • 2010
  • Recently, failure rates of Kosdaq IPO firms are increasing and their survival rates tend to be very low, and when these firms do fail, often times backed by a number of governmental financial supports, they may inflict severe financial damage to investors, let alone economy as a whole. To ensure investors' confidence in Kosdaq and foster promising and healthy businesses, it is necessary to precisely assess their intrinsic values and survivability. This study investigates what contributed to the failure of IPO firms and analyzed how these elements are factored into corresponding firms' stock returns. Failure risks are assessed at the time of IPO. This paper considers factors reflecting IPO characteristics, a firm's underwriter prestige, auditor's quality, IPO offer price, firm's age, and IPO proceeds. The study further went on to examine how, if at all, these failure risks involved during IPO led to post-IPO stock prices. Sample firms used in this study include 98 Kosdaq firms that have failed and 569 healthy firms that are classified into the same business categories, and Logit models are used in estimate the probability of failure. Empirical results indicate that auditor's quality, IPO offer price, firm's age, and IPO proceeds shown significant relevance to failure risks at the time of IPO. Of other variables, firm's size and ROA, previously deemed significantly related to failure risks, in fact do not show significant relevance to those risks, whereas financial leverage does. This illustrates the efficacy of a model that appropriately reflects the attributes of IPO firms. Also, even though R&D expenditures were believed to be value relevant by previous studies, this study reveals that R&D is not a significant factor related to failure risks. In examing the relation between failure risks and stock prices, this study finds that failure risks are negatively related to 1 or 2 year size-adjusted abnormal returns after IPO. The results of this study may provide useful knowledge for government regulatory officials in contemplating pertinent policy and for credit analysts in their proper evaluation of a firm's credit standing.

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