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A Case of Voice Therapy for Long Standing Functional Aphonia (장시간 지속된 기능적 실성증에 대한 음성치료 1예)

  • Kim, Bo Ram;Woo, Joo Hyun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.2
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    • pp.119-122
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    • 2022
  • Functional aphonia is a disease in which normal vocal ability is suddenly lost. When voice therapy is started at an early stage, the prognosis is good. However, if the functional aphonia persists for a long time, there is a possibility that the voice disorder may become fixed, though reports of these characteristics are rare. The authors experienced a patient with functional aphonia that occurred in adolescence and lasted for 7 months and reported the result of treatment.

Diagnosis and management of neurogenic orthostatic hypotension

  • Woohee Ju;Dong In, Sinn
    • Annals of Clinical Neurophysiology
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    • v.25 no.2
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    • pp.66-77
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    • 2023
  • Orthostatic hypotension is a sustained and pathological drop in blood pressure upon standing. Orthostatic hypotension can be due to non-neurogenic conditions or autonomic disorders. Impaired baroreflex-mediated vasoconstriction and insufficient release of norepinephrine play key roles in the pathophysiology of neurogenic orthostatic hypotension. Its common symptoms mainly related to inadequate cerebral blood flow include dizziness, lightheadedness, and syncope. It is crucial to differentiate neurogenic orthostatic hypotension from non-neurogenic orthostatic hypotension. For the management of neurogenic orthostatic hypotension, physicians should implement non-pharmacological methods and, if possible, reverse combined non-neurological conditions. Depending on severity of symptoms, pharmacological intervention may be tried after or with non-pharmacological methods. Its management should be individualized based on intensity of symptoms, comorbid conditions, drug side effects, and etiology. In this review, we discuss the definition, pathophysiology, clinical approach, and management of neurogenic orthostatic hypotension.

The Geographies of Foreign Aid by Korea: The Production and Practices of Geopolitical Discourse (한국 공적개발원조의 지정학적 담론)

  • Lee, Jin-Soo;Chi, Sang-Hyun
    • Journal of the Economic Geographical Society of Korea
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    • v.19 no.1
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    • pp.143-160
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    • 2016
  • The official development assistance (ODA) accompanies an interstate financial transaction, such as trade, foreign direct investment, and money transfer. ODA policy has designated several purposes. Among them, political purposes have been considered to be the key factors in the regional distribution of foreign aid. If we agree the traditional approach that recognizes ODA as a 'political one', the practice of ODA can be a kind of state geopolitics. This study investigates the construction and characteristics of geopolitical discourses. More specifically, this study pays special attention to the 'practical geopolitics' that is crucial to the policy-making. By analyzing the minutes of the National Assembly Standing Committee, four geopolitical discourses were identified: 'practicing humanities as a developed country', 'providing a role model to developing countries', 'developing new foreign markets' and 'coping with global geopolitics'. These geopolitical discourses have been constructed through the process of justifying the ODA policy to the domestic and international audiences. Constructing discourses on ODA shows the representation of a dichotomous and typical image of developed/developing.

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Effect of Exercise with Vertical Vibration on the Balance, Walking Speed, Muscle Strength and Falls Efficacy in the Elderly (수직 진동 운동이 노인의 균형, 보행속도, 근력 및 낙상효능감에 미치는 효과)

  • Park, Jin-Hwan;Kim, Young-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.4
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    • pp.131-143
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    • 2020
  • PURPOSE: The purpose of this study was to determine if an exercise program with vertical vibration can improve balance, walking speed, muscle strength and falls efficacy in the healthy elderly. METHODS: A total of 28 elderly were randomly divided into two groups: vertical vibration exercise group (exercise with vertical vibration) (N = 14) and control group (exercise without vibration) (N = 14). The exercise program, comprising calf raise, deep-squat, semi-squat, front lunge, and leg abduction was conducted with or without vibration, respectively. Subjects in each group participated in the 30 minutes training program, 2 times per week for 6 weeks. In both groups, the balance evaluation system (BT4) was used to evaluate standing balance, and walking speed was measured using the 10MWT. The manual muscle test system was applied to evaluate the knee extensor and ankle planter flexor muscle strength of the subjects, whereas the Korean falls efficacy scale (K-FES) evaluated the falls efficacy. RESULTS: After intervention, the vertical vibration group showed significantly higher changes compared to the control group, in the parameters of standing balance (P < .05), 10MWT (P < .05), left knee extensor (P < .05), right knee extensor (P < .01), both ankle plantar flexors (P < .05), and K-FES (P < .05). CONCLUSION: The exercise program with vertical vibration has the potential to improve balance, walking speed, muscle power and falls efficacy in the elderly.

Gluteus Medius Muscle Activities According to Various Angle of Mediolateral Ramp During Cross Walking and One-leg Standing (다양한 각도의 경사로 횡단 조건에서 보행과 한발 서기 시 중둔근 활성도)

  • Kim, Seon-Chil;Lee, Sang-Yeol
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.2
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    • pp.53-57
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    • 2017
  • PURPOSE: The purpose of study was to clear up the environmental risk factor that can be easily occurred unstability of hip during gait and one leg standing at various ramp angle. METHODS: Twenties healthy males of 69 subjects is participated in this study. Participants was measured activation on gluteus medius muscle during both conditions (walk across the ramp and one leg stand in the transverse direction) of seven different angle. The measured data were analyzed using one-way ANOVA to investigate the effect of muscle activation on the each condition. The statistical analyses were performed using SPSS ver. 18.0 and p-value less than .05 were considered significant for all cases. A post-hoc test was performed by Bonferoni method. RESULTS: The study showed that more muscle activities on gluteus medius is increased by increasing the ramp angle. Post-hoc analysis demonstrated that the peak and mean of muscle activity increased significantly with a ramp angle of $15^{\circ}$ and $25^{\circ}$ during gait and one-leg stand. CONCLUSION: According to the study results, impaired balance can be easily occurred when cross walk and one-leg stand on a ramp from higher than $15^{\circ}$, and highest risk was angle of $25^{\circ}$ or more. As a people with gluteus medius muscle weakness walks a ramp, the ramp angle has a cross relationship with the impaired balance. If people with gluteus medius weakness walk on the more than $10^{\circ}$ of ramp angle, they will need a lot of attention for prevent impaired balance.

A Study on Specific of Ground Water Temperature Changes of the Small Scaled SCW GWHP System in Case of Heating (소규모 SCW 지중열 시스템의 난방시 지하수 온도 변화 특성에 관한 연구)

  • Yang, Seung-Jin;Lee, Won-Ho;Kim, Ju-Young;Hong, Won-Hwa;Ahn, Chang-whan
    • Proceedings of the SAREK Conference
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    • 2008.06a
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    • pp.1347-1352
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    • 2008
  • The SCW ground heat pump system releases ground energy from the ground water of ground heat exchanger. In other word, ground water is used to heating through releases ground energy which oneself has. But the thermal efficiency of system is going to down because repetitive process of ground water will lost ground energy in standing column well system and if heating load is continually increase, energy of ground water may be frozen or there are no benefits to use ground energy as it owes just little energy. To solve these problems, there are need to exchange water to the ground heat exchanger then the way will be used to maintain Efficiency continually as the way of to be supplied with fresh ground water into ground heat exchanger. However, this type causes waste of ground water. Therefore it is essential to discharge water to outside timely on a heat exchanger. Therefor through a study, find out the best time to discharge water to outside and exchange water to ground heat exchanger, and propose to the DB of design of the ground heat exchanger.

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Studies on the Composition, Productivity, Regrowth and Soil Properties of Grasslands in Kimhwa and Chuiwon Areas (금화 철원지역 자연초지의 군락구조, 생산력, 재생력 및 토양특성에 관한 연구)

  • 장남기;윤성모
    • Asian Journal of Turfgrass Science
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    • v.9 no.1
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    • pp.11-42
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    • 1995
  • The investigation was made on the relationship among vegetation, net productivity, regrowth and soils of Moonheri-Wasoori, Soodowon-Sungilkyo and Mt. Kumhak grasslands in Chulwon area. The following conclusions have been made as the results of this study. The vascular flora of the grassland in Moonheri-Wasoori was composed of 102 species, the most of which were Medicago denticulata, Miscanthus sinensis, Arundinella hirta, Festuca ovina and Cassia nomame. The flora of Soodowon-Sungilkyn grassland was composed of 74 species, the most of which were Arundinella hirta, Miscanthus sinensis, Carex nanella, Festuca ovina and Cassia nomame. It of Mt. Kumfiak grassland was composed of 78 species, the most of which were Arundinella hirta, Carex nanella, Festuca ovina, Miscanthus sinensis and Aster scaber. These five species contributed greatly to the standing crop of live material which was in excess of 60% of it. The peak standing crop of each 413.7, 307.6 and $348.7g /m^2$ in Moonheri-Wasoori, Soo- dowon-Sungilkyn and Mt. Kuruhak grasslands wars reached in August under flooded conditions as a result of the growth of dominant species, Medicago denticulata and Arundinella hirta. The net prodution of organic matter was slight in some intervals but occurred throughout the growing season After cutting of grasses, the regrowth of new leaves mainly depended on growing stage and edaphic factors. Characteristics of the natural grassland soils, especially, concerning water, total nitrogen, avail-able phosphorus and exchangeable calcium were clarified and might be depend upon the quantity of plant production. Nitrogen, phosphorus and calcium concentration of leaves of Medicago denticulata, Arundinella hirta and Miscanthus sinensis were higher than of stems. Even if diem we diffurmem in the a-mb of nutrients among Medicago denticulata hirta and Miacanthus sinensis for single species and stands. they were covered by variations within species in the present survey. Key words: Competition, Production, Productivity, Regrowth, Soil Properties, Vascular Flora.

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A Study on the Usefulness of the New Foot Oblique Projection (새로운 발 사방향 검사법의 유용성에 관한 연구)

  • Kim, Min-Suk;Joo, Young-Cheol;Lee, Seung-Keun
    • Journal of radiological science and technology
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    • v.44 no.5
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    • pp.443-449
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    • 2021
  • In this study, the purpose is to present the foot inclination angle for realizing an image similar to that of the existing examination method and to present the clinical usefulness of the new examination method through comparison between the existing examination method and the newly designed standing foot oblique projection. A foot phantom was used, and the magnification of the image according to the angle was quantitatively evaluated by attaching a nut to the position of the cuboid of the phantom. The internal oblique image acquired using a 30° wedge was set as the standard image. And that image was compared with the images acquired by changing the angle of the foot from 20° to 65° at intervals of 5°. Image evaluation was performed by 3 radiological technologists, and qualitative evaluation using a Likert 5-point scale for evaluation items of true oblique view and quantitative evaluation of the value obtained by measuring the diameter of a nut in each image were performed as image evaluation. For data analysis, reliability analysis between the measure and comparative analysis of the average value for each angle were performed. The qualitative evaluation score for each image was 4.5 to 5 points for most questions in the case of the standard image. And 4 points or less for most questions in the images with a foot angle of 45° or less, and an evaluation score close to the standard image was obtained in the image of 50° or more. And in the quantitative evaluation, the diameter of the nut was measured to be 9.28~9.56 mm. The qualitative evaluation showed a reliability of 0.95~1.0 and the quantitative evaluation was 0.62. As a result of comparing and analyzing the average of the quantitative and qualitative average values for each angle image, the group with the average value most similar to the standard image was images obtained at 55° and 60°, and in the post-analysis, the images of both groups were the same group as the standard image(p<0.01). As a result of this study, it was found that the angle of inclination of the foot for realizing the image most similar to the existing image in the standing foot oblique projection is 55°~60°. In addition, if this test method is applied to the clinic, it is believed that it will help prevent safety accidents such as falls during the test and improve test efficiency by minimizing the movement of patients for the test.

Treatment of Acid dye Using Microbial Immobilization (미생물 고정화를 이용한 산성염료의 처리)

  • 김정목;조무환;양용운
    • Textile Coloration and Finishing
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    • v.11 no.2
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    • pp.19-26
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    • 1999
  • Strains degrading and decolorizing acid dyes, Nylosan red E-BL 150%. were isolated from natural system, was named as ARK3. The optimal culture conditions of temperature and pH were $35^\circ{C}$, 7.0, respectively. Growth rate of cells in conditions of aerobic shaking more than standing culture conspicuously increased, and optical density of those to strain ARK3 were found as 1.38 and 0.25 after 42 hrs. Decolorization efficiency in batch culture which used as immobilization media to natural zeolite was 15% after 6 hrs, while suspension culture was 5%, also its of immobilization and suspension culture were 90% and 85% after 48 hrs, respectively. Decolorization efficiency of air-lift bioreactor was more than 90% to a dilution rate of $0.038hr^{-1}$, but that was decreased as 70%, when the dilution rate was $0.05hr^{-1}$. Even though at maximum dilution rate of this study, there was not appeared "wash out" phenomienon of biomass. Decolorization efficiency was 97.7% at a dilution rate of $0.025hr^{-1}$, when influent dye concentration was $100mg/\ell$. But if influent dye concentration increased as $150mg/\ell$, even though MLVSS increased, that of treatment water decreased as 93%. Also, when influent dye concentration increased as $200mg/\ell$ and $300mg/\ell$, decolorization efficiencies of treatment water abruptly decreased as 85% and 63%, respectively. Decolorization efficiency was more than 92% to the limit volumetric loading rate of $3.75mg/\ell\cdot{hr}$hr, without regard to variation of influent dye concentration or hydraulic retention time. if volumetric loading rate was more than $3.80mg/\ell\cdot{hr}$, at same condition, decolorization efficiency was lower decrease of retention time than increase of influent dye concentration.entration.

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Variation of Psychophysiological Characteristics Related with Human Errors during a Simple Pointing Task (단순 지적과업 중 인간과오 관련 심리생리학적 특성의 변화)

  • Lim, Hyeon-Kyo
    • Journal of the Korean Society of Safety
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    • v.24 no.3
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    • pp.71-78
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    • 2009
  • During a learning process, a human being is assumed to experience knowledge-based behaviors, rule-based behaviors, and skill-based behaviors sequentially if Rasmussen was right. If any psycho-physiological symptom to those different levels can be obtained, it can be useful as a measure whether a human being is fully trained and has gotten a skill in his work. Therefore, this study aimed to draw relationships between human performance measures and psycho-physiological measures while committing a computer-simulated pointing task by utilizing the power spectrum technique of EEG data, especially with the ratio of relative beta-to-alpha band power. The result showed that, during correct responses, the ratio came to stabilize as all the performance data went stable. However, response time was not a simple linear function of task difficulty level only, but a joint function of task characteristics as well as behavior levels. Comparing relative band power ratios from errors and correct responses, activated states of one's brain could be explained, and characteristics of the task could understood. To tell that of pointing task, correlations around C3, C4, P3, P4 and 01, 02 area were significant and high in correct response cases whereas most correlation coefficients went down in error cases standing for imbalance of psycho-motor functions. Though task difficulty was the only one factor that could influence on relative band power ratio with statistical significance, it should be comprehended to mean a different way of expression indicating task characteristics since at least error-some situation could be explained with the help of relative band power ratio that absolute band power failed.