• 제목/요약/키워드: treatment patterns

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편마비 아동의 재활프로그램에 대한 양측성 전이 패러다임의 적용가능성 (Applicability of bilateral transfer paradigm to the rehabilitation programs for children with hemiplegic cerebral palsy)

  • 김미현;박상범
    • The Journal of Korean Physical Therapy
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    • 제12권1호
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    • pp.163-172
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    • 2000
  • The purpose of this study was to provide experimental evidence and theoretical background for the applicability of bilateral transfer paradigm to the rehabilitation programs for children with hemiplegic cerebral palsy. Children with hemiplegia, which means unilateral motor disabilities, display abnormal motor and postural patterns of the affected side due to hemiparesis, spasticity, and sensory disorders, resulting in a decreased motor abilities of the affected side compared to unaffected side. Accordingly, they tend to rely on the unaffected limb for everyday activities, which further deteriorates the functions of the affected side by causing associated reaction, abnormal postural patterns, and hypertonus. Rehabilitation programs developed for children with hemiplegic cerebral palsy include neurodevelopmental treatment, application of cast or splint to unaffected limb, neuromuscular electrical stimulation, and task oriented model. These programs, however, have several drawbacks, such as discontinuity in treatment effect and psychological hatred to the force use of the affected side. In order to solve these problems and enhance the efficiency of the rehabilitation programs, it is required to maximize the use of the affected side without hatred. Characteristics of the control system, such as temporal coupling and spatial assimilation between limbs and neural crosstalk at different levels of central motor pathway, suggest that the bilateral transfer paradigm may enhance the efficiency of the rehabilitation programs for children with hemiplegic cerebral palsy.

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주조용(鑄造用) Al-Si-Cu-Mg계(系) 합금(合金)의 파괴인성(破壞靭性)에 관한 연구(硏究) (A Study on the Fracture Toughness of Al-Si-Cu-Mg Cast Alloy)

  • 마동준;강인찬
    • 한국주조공학회지
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    • 제7권2호
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    • pp.114-121
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    • 1987
  • In order to determine the plane strain fracture toughness of Al-Si-Cu-Mg alloy castings, solution heat treatments have been conducted at $530^{\circ}C$ for 8hr and aged for 10hr at $145^{\circ}C$, $160^{\circ}C$ and $175^{\circ}C$. Effects of aging treatment and of Si contents on the fracture toughness have been investigated by a three point loaded bend test, using the artificial notch. The results obtained are as follows; 1) The fracture toughness is appreciably affected by the aging treatment temperature and Si contents. The specimen aged for 10hr at $145^{\circ}C$ has the highest fracture toughness. 2) Increasing Si contents from 5% to 9% results in decrease of fracture toughness. 3) Increasing the aging temperature and Si contents, C.O.D. value was decreased. The specimen aged for 10hr at $145^{\circ}C$ has the highest C.O.D. value. 4) Dimple patterns were observed in the specimens of containing under 7% Si, while mixed cleavage-dimple patterns in those of over 8% Si.

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『장부허실표본용약식(臟腑虛實標本用藥式)』에 나타난 약물(藥物) 운용(運用)에 관한 고찰(考察) - 장산뢰(張山雷)의 『장부약식보정(臟腑藥式補正)』을 중심으로 - (A Study on the Medicinal Application in the Zangfuxushibiaobenyongyaoshi - Based on the Zangfuyaoshibuzheng of Zhang Shanlei - )

  • 李相協
    • 대한한의학원전학회지
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    • 제36권1호
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    • pp.45-78
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    • 2023
  • Objectives : Based on the Zangfuyaoshibuzheng of Zhang Shanlei, this paper examines the tip/root division of the Zangfu, features of medicinal application according to deficiency/excess or cold/heat, and erroneous cases in the Zangfuxushibiaobenyongyaoshi of Zhang Jiegu. Methods : Categorization according to tip/root, cold/heat, deficiency/excess and respective medicinal applications in the Zangfuxushibiaobenyongyaoshi were organized, followed by thorough analysis based on the annotations in the Zangfuyaoshibuzheng. Results : First, in the treatment principle of the Zangfu diseases, each of their physiological function and pathological mechanism were analyzed so that the disease patterns are understood accurately and treated accordingly. Second, in categorizing treatment methods, terminology application was modified in overlapping or ambiguous cases so that they could be better distinguished. Third, medicinal categories that were designated to treat each Zangfu disease were explained well based on unique features. In cases where medicinals were falsely included, they were identified and corrected based on sound reasoning. Conclusions : The pattern diagnosis in the Zangfuyaoshibuzheng is clear, and medicinal application analysis is intelligible. As it thoroughly corrects and revises errors in Zhang Jiegu's theories, it could provide valuable assistance in selecting each medicinals when treating disease patterns of the Five Zang.

형방지황탕가미방으로 호전된 코로나-19 후유증 소양인 환자 치험 1례 (A Case Study of Soyang Patient with Post COVID-19 Syndrome Treated with Hyeongbangjihwang-tanggamibang)

  • 문원경;권미혜;장하림;이의주
    • 사상체질의학회지
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    • 제34권4호
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    • pp.57-67
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    • 2022
  • Objectives This study was aimed to report a significant improvement of patient with post COVID-19 syndrome, diagnosed as 'Soyang type lesser yang wind damage patterns' based on Sasang Constitutional Medicine. Methods The patient was diagnosed as Soyang type and had treatment with Sasang Constitutional Medicine three times everyday from June 13th to July 16th. Clinical improvement was evaluated with the degree of dizziness, migraine, palpitation and nausea caused by COVID-19. Results The symptoms of dizziness, migraine, palpitation, nausea caused by COVID-19 were improved after treated with Hyeongbangjihwang-tanggamibang. Conclusions After the treatment with Hyeongbangjihwang-tanggamibang, the symptoms of dizziness, migraine, palpitation, nausea caused by COVID-19 were disappeared. This suggests that Hyeongbangjihwang-tanggamibang is effective in recovering post COVID-19 syndrome for patient who diagnosed as 'Soyang type lesser yang wind damage patterns' based on Sasang Constitutional Medicine.

부산물사료 주원료 사일리지(Biosilage®) 급여가 거세 육성 한우의 행동양식에 미치는 영향 (Effect of Feeding a By-product Feeds-based Silage (Biosilage®) on Behavior Pattern of Growing Hanwoo Steers)

  • 김영일;이상무;박근규;곽완섭
    • 한국초지조사료학회지
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    • 제33권4호
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    • pp.290-297
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    • 2013
  • 본 연구는 버섯재배부산물, 재활용가금깔개, 미강 및 straw로 구성되는 BF 사일리지 급여가 육성 거세한우의 행동양상에 미치는 영향을 규명하기 위하여 실시하였다. 시험에 사용한 공시 한우는 11개월령 총 10두(평균 301.7 kg)를 2처리로 배치하였으며, 이 때 대조구(볏짚 자유채식)와 처리구(BF silage 자유채식)로 하여 48시간 행동관찰을 실시하였다. 대조구와 비교해서 BF 사일리지 급여구는 총 DM 섭취량과 NDF 섭취량이 각각 30% 및 36% 높았고, 채식시간, 반추시간 및 저작시간은 유의적인 차이가 없었다. 식괴수, 식괴당 반추시간에 있어서도 유의적 차이가 없었고, 식괴당 저작수와 FVI는 낮게 나타났다(p<0.05). 또한 대조구와 비교해서 BF 사일리지 급여구는 배뇨 회수가 높고(p<0.05), 음수 및 배분 회수에 있어서는 상호간에 차이가 없었고, 채식율, 반추효율 및 저작효율에 있어서는 더 높게 나타났다(p<0.05). 이상의 결과로 볼 때, BF 사일리지 급여는 볏짚과 비교 시 육성거세한우의 반추행동 상 큰 차이가 없다는 결과로 미루어 볼 때 차후 볏짚 대용으로 활용하여도 좋을 것으로 사료되었다. 즉 입자도가 큰 straw를 peNDF를 충족시키는 최소량을 혼합하여 부산물사료 사일리지를 제조, 급여하였을 때 육성거세한우의 반추행동은 볏짚 급여 시와 차이가 없었다.

장애인 환자의 전신마취 하 반복된 치과치료에 대한 조사 (A SURVEY OF REPEATED DENTAL TREATMENT UNDER GENERAL ANESTHESIA FOR DISABILITIES)

  • 최효정;남순현;김현정
    • 대한장애인치과학회지
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    • 제13권2호
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    • pp.73-79
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    • 2017
  • The purpose of this study was to analyze the dental treatment of patients with disabilities, especially according to the frequency of general anesthesia, and to propose the improvements in oral care. The subjects of the present study were 85 patients including age, sex, medical condition, dental treatment and the number of general anesthesia. The patients were divided into regular and irregular check groups according to their follow-up patterns. These two groups were compared for the frequency of general anesthesia and the type of repeated treatment. The results showed that restorative treatment was superior in numbers under first visit of general anesthesia. And more general anesthesia was performed in the irregular recall check group compared with the regular recall check group. This survey suggest that easy access to a dental clinic and the convenience of treatment is needed. On the other hand, there is a time limit on the dental care for disabilities by the dentist. Therefore oral care training program should be simultaneously provided for parents to improve the efficiency of dental care at home. In conclusion, efforts should be made for more comprehensive and effective dental care including regular recall check and preventive home care for disabilities.

CNG압력용기의 열처리 조건별 파열 특성에 관한 실증적 연구 (An Empirical Study on the Bursting Properties According to Heat Treatment Condition of the CNG Pressure Vessel)

  • 김의수
    • 한국안전학회지
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    • 제32권5호
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    • pp.1-7
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    • 2017
  • Forensic Engineering is the art and science of professionals qualified to serve as engineering experts in courts of law or in arbitration proceedings. Buses using compressed natural gas (CNG) trend to be extended in use internationally as optimal counterplan for reducing discharge gas of light oil due to high concern about environment. However, CNG buses is equipped with composite pressure vessels (CPVs); since the CPVs contain compressed natural gas, the risks in the case of accident is very high. In this study, the bursting test for the pressure vessel depending on the heat treatment conditions of the vessel in which the actual ruptured accident occurred, after the bursting test, the fracture pattern analysis had performed. The mechanical materials properties test using Instrumented Indentation Test had performed to confirm the mechanical properties for each heat treatment cases. Also, the fractography analysis and metallographic analysis had performed to find out the difference of each heat treatment case. By comparing normal vessel with abnormal vessel which have defect of heat treatment conditions in term of the bursting patterns and characteristics of containers using various forensic engineering methods, especially, it is possible to understand how important the heat treatment process is in the high pressure vessel unlike any product.

Reduced Heart Rate Variability in Somatic Symptom Disorder: Associations with Alexithymia

  • Lee, Jae Hoon;Jang, Ye Eun;Park, Hye Youn
    • 정신신체의학
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    • 제28권1호
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    • pp.89-97
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    • 2020
  • Objectives : We investigated heart rate variability (HRV) patterns in patients with somatic symptom disorder (SSD) and the relationships of these patterns with alexithymia. Methods : In total, 42 patients with SSD and 33 healthy controls were enrolled in this study. Demographic, psychological, and HRV data were assessed at baseline, and 24 patients with SSD were reassessed after 6 months of treatment. The psychological data included somatic symptoms and levels of depression, anxiety, and alexithymia as indicated by the somatic symptom subscale of the Symptom Checklist 90-Revision (SCL-12), Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), and the Toronto Alexithymia Scale 20 (TAS-20), respectively. Results : Patients with SSD had a lower standard deviation of normal-to-normal R-R intervals (SDNN) and lower proportions of adjacent R-R intervals greater than 50 milliseconds (pNN50) compared with controls. These HRV parameters were negatively correlated with alexithymia severity. After treatment, patients exhibited significantly decreased levels of somatic symptoms and reduced anxiety and depression, but there were no significant differences in the HRV parameters. In patients with alexithymia, a high baseline SDNN and pNN50 were associated with a decrease in somatic symptoms. Conclusions : Patients with SSD have different HRV patterns, and several HRV parameters are associated with alexithymia severity. These findings suggest that ANS regulation is involved in the pathophysiology of SSD, mediated by alexithymia. Furthermore, these results suggest that certain HRV parameters may be associated with clinical outcomes of SSD.

Q방법론을 활용한 보완대체요법 선호에 관한 연구 (A study on preference for complementary and alternative therapy using Q method)

  • 최경호
    • Journal of the Korean Data and Information Science Society
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    • 제21권1호
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    • pp.61-70
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    • 2010
  • 오늘날 현대인들은 건강한 삶, 질적인 삶을 영위하기 위하여 부작용 없이 손쉽게 자신을 관리하는 방법들을 모색하게 되었고 최근에는 각종 보완대체의학에 대한 관심이 점차 늘어나고 있다. 보완대체 의학이란 미국에서 사용되는 학술용어로서, 그동안 문제가 되어온 현대 의학적 난제들을 해결하는 대안으로 제시할 수 있는 자연치료의 의학적 방법들을 총칭하고 있다. 이러한 보완대체의학이 지금보다 더 활성화되기 위해서는 이용자의 주관성에 기초한 연구가 있어야 한다. 이에 본 연구는 주관적 유형분석 방법인 Q방법론을 활용하여, 보완대체요법 선호에 관한 유형과 유형에 따른 특성을 파악함으로써 특성에 대한 이해를 높이고 선호요인을 찾아내어 보완대체의학을 실제적으로 적용하기 위한 사정시 기초자료를 제공하고자 수행되었다. 그 결과 3가지 유형-'생물/약용식물요법 선호형' (제1유형), '혼합 선호형' (제2유형), '수기요법 선호형' (제3유형)-으로 구조화됨을 알 수 있었다.

지류문화재의 보채에 쓰이는 봉채의 채색 및 열화 양상 연구 (Study on Coloring and Aging Pattern of Bongchae used for Conservation Treatment of Paper Cultural Properties)

  • 송정원;김명남;이장존
    • 보존과학회지
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    • 제35권5호
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    • pp.416-429
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    • 2019
  • 보채는 지류문화재 보존처리의 마지막 단계로 주로 봉채를 사용한다. 본 연구는 지류문화재 보채에 쓰이는 4종의 봉채(본람, 등황, 연지, 대자)를 한지에 채색한 후 채색 양상을 확인하고 인공열화를 통해 색변화 양상을 확인하고자 하였다. 채색 양상을 관찰한 결과 본람·연지·대자는 미세한 안료 입자가 도포되는 형태였으며, 등황은 피막을 형성하였다. 봉채의 X선 회절분석 결과 본람과 연지, 대자에서 석영과 방해석, 납석이 공통적으로 검출되었고, 대자에서 침철석이 추가로 검출되었다. 인공열화 결과 습열열화에서 등황이 노란색에서 주황색으로 변색되었으며, 자외선열화에서는 등황과 연지가 탈색되었다. 결과적으로 봉채로 보채된 지류문화재는 등황이 채색된 경우 알칼리에 의해 주황색으로 변색될 수 있으며, 자외선에 의해 등황과 연지의 탈색이 우선적으로 발생하여 전체적인 색상이 어두워짐을 예측할 수 있다.