• Title/Summary/Keyword: stroke type

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Case-Control Study on Electrolytes as a Risk Factor of Stroke (뇌졸중 위험지표로서의 전해질 수치에 대한 환자;대조군 연구)

  • Kim, Min-Ji;Kang, Kyung-Won;Yu, Byeong-Chan;Choi, Sun-Mi;Kang, Ji-Sun;Moon, Seung-Hee;Lee, Jae-Hwi;Kim, Yoon-Sik;Seol, In-Chan
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.4
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    • pp.968-974
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    • 2008
  • This study was aimed to investigate the electrolytes and its relationship with acute stroke patients in each stroke type by case-control study. 217 patients with first-ever acute stroke within 2 weeks as the case group(Cases), 146 people without four major risk factors(hypertension, diabetes mellitus, hyperlipidema and ischemic heart disease) as the healthy control group(Normals), and 160 people as the general control group(Controls) were recruited at the Stroke Medical Center in Daejeon University Oriental Medicine Hospital from july 2005 to march 2007 for this case-control study. We analyzed the odds ratio of electrolytes in binary logistic analysis and evaluated each stroke type and general characteristics such as age, sex etc. The level of sodium(Na+) and potassium(K+) were significantly lower in LAA, SVO type of ischemic stroke and hemorrhagic stroke. But the level of chloride(Cl-) had no significant relation with stroke occurance. In this study we demonstrated that low sodium(Na+) and potassium(K+) have an influence on stoke occurance than chloride(Cl-). And we think that the electrolytes must be considered in risk factors of ischemic stroke in Korean and more prospective studies are needed.

Analysis of 363 Consecutive Patient with Acute Ischemic Stroke f개m the Hanbang Stroke Registry (뇌혈관 한의학 기반 연구사업 등록자료를 통한 363명의 급성기 뇌경색 환자의 기초 임상자료 분석)

  • Sun, Jong-Joo;Jung, Jae-Han;Moon, Sang-Kwan;Cho, Ki-Ho;Ko, Seong-Gyu;Chen, Chan-Yong;Han, Chang-Ho;Jung, Woo-Sang
    • The Journal of Korean Medicine
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    • v.28 no.1 s.69
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    • pp.35-41
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    • 2007
  • Objectives : To gain better insights on the characteristics of stroke patients admitted to oriental medical hospitals, we analyzed the data of 363 consecutive patients with acute ischemic stroke from Hanbang Stroke Registry supported by the Ministry of Science and Technology of Korea. Methods : Subjects' enrollment was in the oriental medical hospitals of 3 universities located in the metropolitan region from October 2005 to October 2006. We assessed the subjects' general characteristics, risk factors, and etiology of stroke. Each patient's TOAST classification type was confirmed by two independent specialists. Those were small vessel occlusion (SVO), large artery atherosclerosis (LAA), cardioembolism (CE), stroke with other determined etiology (SOE), and stroke with undetermined etiology (SUE).Results 'The distribution of the subjects' general characteristics and risk factors for stroke were similar with result storm previous reports. However, in the TOAST classification, SVO was the major type occupying 78.5% in the total subjects, which is the highest share compared with other research with similar methods. These results imply that patients with more severe symptoms rarely visit oriental medical hospitals. Conclusion : Assuming that this research will continue adding patient's data continuously, this work will help us to understand the features of stroke patients at oriental medical hospitals, and contribute to expansion of the Korean Hanbang Stroke Data Bank.

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Predicting Factors of Post-Stroke Depression (뇌졸중 후 우울에 영향을 미치는 요인)

  • Kim, In Ja;Suh, Moon Ja;Kim, Kum Soon;Cho, Nam Ok;Choi, Hee Jung
    • Korean Journal of Adult Nursing
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    • v.12 no.1
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    • pp.147-162
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    • 2000
  • Predicting factors of post-stroke depression were investigated. The subjects were 254 stroke patients who had been discharged and visited regularly the outpatient clinic for follow up care. The influencing factors were classified into five categories : demographic, disease-related, current state, social support, and illness intrusiveness. Sex, age, job, and educational level were defined as the demographic factor. The disease-related factors included stroke type, illness duration, attack frequency, and NIH score. ADL, cognitive function, and social activity were considered as the current state factors. The social support was measured as the perceived amount of social support. Illness intrusiveness means the perceived illness induced life style disruptions. Demographic, disease-related, current state, and social support were hypothesized to directly and indirectly affect post-stroke depression through illness intrusiveness. The illness intrusiveness was hypothesized to directly affect post-stroke depression. The hierarchial multiple regression was used to identify significant factors. The result showed that this model explained 43.3% of variance of post-stroke depression. And the prevalence of post-stroke depression was 38.8%. Among the demographic factors, job was identified as a main contributor to indirectly increase the post-stroke depression. Among the disease-related factors, stroke type, attack frequency, and NIH score were found to indirectly affect the post-stroke depression. Among the current state factors, ADL and social activity indirectly affected the post-stroke depression through illness intrusiveness. Social support and illness intrusiveness were identified to directly affect the post-stroke depression. This study has proved the factors likely to be implicated in the development of post-stroke depression. Based upon these results, it is recommended that the nurses who take care of post-stroke patients consider the risk factors such as social support, illness intrusiveness et al. Also programs which decrease the illness intrusiveness and increase the social support to reduce post-stoke depression recommended to be developed.

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A Study on On-line Recognition System of Korean Characters (온라인 한글자소 인식시스템의 구성에 관한 연구)

  • Choi, Seok;Kim, Gil-Jung;Huh, Man-Tak;Lee, Jong-Hyeok;Nam, Ki-Gon;Yoon, Tae-Hoon;Kim, Jae-Chang;Lee, Ryang-Seong
    • Journal of the Korean Institute of Telematics and Electronics B
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    • v.30B no.9
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    • pp.94-105
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    • 1993
  • In this paper propose a Koaren character recognition system using a neural network is proposed. This system is a multilayer neural network based on the masking field model which consists of a input layer, four feature extraction layers which extracts type, direction, stroke, and connection features, and an output layer which gives us recognized character codes. First, 4x4 subpatterns of an NxN character pattern stored in the input buffer are applied into the feature extraction layers sequentially. Then, each of feature extraction layers extracts sequentially features such as type, direction, stroke, and connection, respectively. Type features for direction and connection are extracted by the type feature extraction layer, direction features for stroke by the direction feature extraction layer and stroke and connection features for stroke by the direction feature extraction layer and stroke and connection features for the recongnition of character by the stroke and the connection feature extractions layers, respectively. The stroke and connection features are saved in the sequential buffer layer sequentially and using these features the characters are recognized in the output layer. The recognition results of this system by tests with 8 single consonants and 6 single vowels are promising.

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A Study on Feed Rate Characteristics of Motor-driven Cylinder Lubricator with Electronic Control Quill in a Large Two-stroke Diesel Engine (대형 2행정 디젤기관에 있어서 전자제어 퀼 부착 모터구동 실린더 주유기의 송출유량 특성에 관한 연구)

  • Bae, Myung-Whan;Jung, Hwa;Jung, Yeun-Hak;Kim, In-Deok;Kang, Chang-Ho
    • Transactions of the Korean Society of Automotive Engineers
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    • v.15 no.6
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    • pp.1-8
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    • 2007
  • Minimizing the cylinder wear and the consumption rate of cylinder oil in a large two-stroke marine diesel engine is of great economic importance. In Korea, authors first developed a motor-driven cylinder lubricator for a Wartsila Switzerland large two-stroke diesel engine. The characteristic of the developed product is that can control automatically the oil feed rate with a load fluctuation by the motor drive and the offset cam. For manufacturing the reliable and useful products, however, it is necessary to investigate further characteristics and to improve performances as a cylinder lubricator. In this study, the effects of pump motor speed, plunger stroke and cylinder back pressure on oil feed rate, maximum discharge and delivery pressures are experimentally investigated by using the electronically controlled quill injection system and distributer in the developed cylinder lubricator. It is found that the oil feed rates of electronic control and mechanical type quills with the in-cylinder back pressure are differently characterized by the role of accumulator, the viscous resistance of contact area, etc. It can be also shown that the maximum discharge pressure of the electronic control quill is lower than the mechanical type one but the maximum discharge pressure difference of two types decreased as plunger stroke is small, and the maximum delivery pressures of two types increased as plunger stroke, motor speed and back pressure are elevated but the maximum delivery pressure of mechanical type is higher than the one of electronic control type.

Cross-sectional study on the distribution of Sasang constitution in acute stroke patients (급성기 뇌경색 환자의 사상체질별 분포에 관한 단면적 연구)

  • Sun, Jong-joo;Jung, Jae-han;Jung, Woo-sang;Moon, Sang-kwan;Cho, Ki-ho;Ko, Seong-gyu;Chen, Chan-yong;Han, Chang-ho
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.7 no.1
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    • pp.40-45
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    • 2006
  • Objectives : This study was aimed to assess the distribution of Sasang constitution(SC) in acute stroke patients. Methods : We assessed the type of SC of acute stroke patients in the oriental medical hospitals of 3 universities located in metropolitan region from October 2005 to October 2006 by Questionnaire for the Sasang Constitution Clssification II(QSCCII). We investigated general characteristics, stroke type, blood test results, alcohol drinking, smoking and dietary preferences according to SC. Results : 236 subjects were included into the final analysis. 1. This study showed that the proportion of So-yang was highest of all constitutions(45.3%). And the body weight, body mass index, the waist circumference(WC), the hip circumference(HC), and the WC/HC ratio recorded the significantly high result in Tae-eum. 2. In the TOAST classification, SVO was the major type occupying 81.7% in the total subjects. 3. In Tae-eum, total cholesterol, triglyceride and 2 hours postprandial plasma glucose level were the highest and fasting glucose was significantly highest of all constitutions. Conclusion : From this study, we could roughly seize the distribution of Sasang constitution in acute stroke patients. For the further research, it seems to be necessary to construct fundamental databases for stroke by increasing the number of patients and by analyzing delicate characteristics of each constitution type.

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Effects of Isometric Contraction Training by Electrostimulation on Type I and II Hindlimb Muscles in Cerebral Ischemia Model Rats (전기자극을 이용한 등척성 수축훈련이 뇌허혈 유발 쥐의 환측 Type I, II 근육에 미치는 영향)

  • Lee, Yoon-Kyong;Choe, Myoung-Ae;An, Gyeong-Ju
    • Journal of Korean Academy of Nursing
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    • v.36 no.7
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    • pp.1232-1241
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    • 2006
  • Purpose: The purpose of this study was to examine the effects of cerebral ischemia on Type I(soleus) and Type II(plantaris, gastrocnemius) muscles, and to determine the effects of isometric contraction training by electro- stimulation on Type I and II muscles in cerebral ischemia model rats. Method: Twenty-five male Sprague-Dawley rats were randomly divided into four groups: ST(stroke), STES(stroke+electrostimulation), SH(sham) and SHES (sham+electrostimulation). The ST and STES groups received a transient right middle cerebral artery occlusion operation. The SH and SHES groups received a sham operation. The STES and SHES groups had daily isometric contraction training by electrostimulation(100Hz, 45mA, 7.5V) on hindlimb muscles for 7days. Result: Plantaris and gastrocenmius muscle weight, myofibrillar protein contents of soleus and gastrocnemius, and the muscle fiber cross-sectional area of gastrocnemius in the ST group significantly decreased compared with the SH group. Soleus, plantaris, gastrocnemius muscle weight, myofibrillar protein contents of soleus and gastrocnemius, and the Type I muscle fiber cross-sectional area of soleus and the Type II muscle fiber cross-sectional area of gastrocnemius in the STES group significantly increased compared with the 57 group. Conclusion: Hindlimb muscle atrophy occurs after acute stroke and isometric contraction training by electrostimulation during early stages of a stroke attenuates muscle atrophy of Type I and Type II muscles.

The Relationship between the Campus life satisfaction, the Major satisfaction and Life style type of Dental technology College Students' (치기공과 학생의 대학생활만족도 및 전공만족도와 생활양식 유형과의 관계)

  • Kim, Hee-Jung
    • Journal of Technologic Dentistry
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    • v.31 no.3
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    • pp.87-103
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    • 2009
  • The objective of the research which it sees life style of the individual and is the stroke engineering military merit satisfaction to examine the relationship. That Adler talked, it classified life style with the socially useful type, the ruling type, the getting type and the avoiding type. This governing form of the socially useful type sees, the ruling type grew the getting type and the avoiding type compared to military merit satisfactory boat song. Like this results military merit satisfactory degree of stroke engineering school lifestyle professionalism as dental technician company route period operates with the VIP who is important for is the thing. The research of the program development for the course map and the military merit duty selection map of restricted point and stroke engineering school lifestyle of the research which it sees discussed is necessary. The results are as following. 1. the types of Life-style ; the ruling type 31.3%, the getting type & the avoiding type 27.4%, the negative social type 26.6%, the socially useful type 14.8%. 2. the Major satisfaction ; the socially useful type 3.59, the ruling type 3.55, the negative social type 3.51, the getting type and the avoiding type 3.35. 3. the Campus life satisfaction ; the socially useful type 3.39, the ruling type 3.32, the negative social type 3.24, the getting type and the avoiding type 3.12.

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Acute Stroke in the Elderly Male - Clinical Features, Stroke Subtypes, and Sasang Constitutions -

  • Jung, Woo-Sang;Moon, Sang-Kwan;Cho, Ki-Ho;Kim, Young-Suk;Bae, Hyung-Sup;Yun, Sang-Pil
    • The Journal of Korean Medicine
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    • v.28 no.2 s.70
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    • pp.241-246
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    • 2007
  • Objectives : This study investigated stroke types, ischemic stroke subtypes, risk factors for stroke, stroke complications and Sasang constitutions in two groups divided by age according to the weakness of shingi (shenqi): younger (40 to 63 years) and older (= 64 years). Methods : 165 male patients with acute stroke within 14 days onset were included, who were admitted to Kyunghee Oriental Medical Center from October 2005 to May 2007. Stroke types, ischemic stroke subtypes, risk factors for stroke, stroke complications and Sasang constitutions in two age groups were examined. Results : Mean ages were $53.01{\pm}6.16$ and $70.95{\pm}6.37$ years for the younger 77 patients and older 88 subjects, respectively. There were no significant differences in stroke type, ischemic stroke subtypes, stroke complications and Sasang constitutions. Current smoking was more frequent in the younger age group (P= 0.005). Conclusion : Age does not seem to influence stroke types, ischemic stroke subtypes, stroke risk factors (except current smoking), stroke complications or Sasang constitutions.

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Comparison of Tension According to the Type of Sling Cord during the Bridging Exercise with Sling in Stroke Patients (뇌졸중 환자의 교각 운동 시 슬링 줄의 종류에 따른 장력 비교)

  • Jang, Gwonuk;Chang, Jongsung
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.2
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    • pp.189-194
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    • 2019
  • Objectives The purpose of this study was to examine comparison of tension according to the type of sling cord during the bridging exercise with sling in stroke patients. Methods Twenty six stroke patients were recruited for this study. Subjects were randomly performed sling bridging exercise with three types of sling cords such as nonelastic cord with affected side-nonelastic cord with non affected side (NC-NC), nonelastic cord with affected side-elastic cord with non affected side (NC-EC), and elastic cord with affected side-nonelastic cord with non affected side (EC-NC). They were measured tension with a tensiometer of sling cord during the bridging exercise with sling. Results The tension of sling cord was significantly different in affected side, non affected side, and tension ratio of affected side/non affected side. There were significant differences tension in NC-EC from NC-NC and EC-NC and the NC-EC method was increased tension of affected side and decreased tension of non affected side. Conclusions These results showed that the NC-EC method was improved the symmetry of affected side and non affected side. Sling exercise with appropriate type of sling cord should be increased activities of affected side and improved recovery in stroke patients.