• Title/Summary/Keyword: two-stroke

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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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Inter-Rater Reliability of Chedoke-McMaster Stroke Assessment for Stroke Patients (뇌졸중환자 평가를 위한 Chedoke-McMaster Stroke Assessment의 측정자간 신뢰도)

  • Won, Jong-Hyuk;Kim, Yong-Wook
    • Physical Therapy Korea
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    • v.4 no.3
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    • pp.45-60
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    • 1997
  • This study was performed to determine the inter-rater reliability of the Chedoke-McMaster Stroke Assessment translated in Korean. This measures the physical impairments and disabilities that impact on the lives of individuals with stroke. The purposes of this measure were 1) to stage motor recovery to classify individuals in terms of clinical characteristics, 2) to predict rehabilitation outcomes, and 3) to measure clinically important change in physical function. Twenty-two subjects from physical therapy unit were assessed by two physical therapists. The ratings were compared by Spearman's rank correlation The correlation between two raters ranged from 0.85 to 0.98. Inter-rater reliability coefficient for total scores ranged from 0.95 to 0.97. This study confirms that the Chedoke-McMaster Stroke Assessment yields reliable results.

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Antihypertensive effect of Chunghyul-dan(Qingxue-dan) on stage 1 hypertensive patients with stroke (중풍환자 1기 고혈압에 청혈단(淸血丹)의 항고혈압 효과)

  • Kim, Lee-Dong;Lee, Sang-Ho;Kim, Eun-Ju;Kim, Tai-Hun;Park, Young-Min;Jung, Dong-Won;Shin, Won-Jun;Jung, Woo-Sang;Bae, Hyung-Sup;Yun, Sang-Pil
    • The Journal of Internal Korean Medicine
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    • v.25 no.2
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    • pp.195-201
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    • 2004
  • Background and Purpose : Hypertension is one of the modifiable risk factors for stroke. Lowering blood pressure is a primary or secondary preventative measure for stroke. This study aims to assess the efficacy of Chunghyul-dan(Qingxue-dan) in stage 1 hypertensive patients who have suffered a stroke by 24 hour ambulatory blood pressure monitoring(24ABPM). Subjects& Methods : We enrolled 40 hospitalized stroke patients with stage 1 hypertension and divided them into 2 groups by stratified randomization; group A took 1200mg of Chunghyul-dan(Qingxue-dan) at 8:00 a.m. for two weeks without changing herbal medicine, and group B was the control group. 28 patients were included in the final analysis(15 in group A. 13 in group B). Blood pressure is monitored from 8:00 am to 7:30 am every 30 minutes for 24 hours. Blood pressure was monitored two times at baseline and again two weeks later. We used 3 parameters for evaluating the efficacy of Chunghyul-dan(Qingxue-dan); The first parameter is change from baseline to two weeks later in blood pressure and pulse rate. The second parameter is the trough/peak ratio(TPR) and smoothness index(SI). The third parameter is antihypertensive rate by antihypertensive efficacy guideline. Results : There is no significant difference in the baseline assessment hetween the two groups. Systolic blood pressure $(141.37{\pm}8.96\;mmHg\;vs\;132.28{\pm}9.46\;mmHg)$ decreased after two weeks of 1200mg(P=0.03) intake of Chunghyul-dan(Qingxue-dan). Systolic TPR and SI was 0.87 and 1.04 in group A. Antihypertensive rate was higher in group A. Conclusion: These results suggest that 1200mg doses of Clunghyul-dan(Qingxue-dan) is an effective antihypertensive agent on stage 1 hypertension patients who have suffered a stroke.

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Pathway of stroke patients seeking medical care (뇌졸중 환자의 의료이용 경로에 관한 연구)

  • Byun Young-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.2
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    • pp.149-163
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    • 2000
  • The purposes of this study were to investigate the pathway which stroke patients take in seeking medical care and to identify factors which influence that pathway. This study was conducted by a survey. The subjects were 130 adults, who were diagnosed with a stroke between January and April of 2000. Data was collected by means of a interview, questionnaires, and an Activity Index. The result of this study are summarized as follows: 1. The mean age of subject was 61.58 years. Forty-nine percent were men and fifty percent were women. The majority of the subjects were married. For educational level, thirty-three percent finished elementary school, and twenty-three percent, high school. Most of the subjects reported 'middle' economic status. Ninety-two percent lived with their spouse and children. The diagnosis for seventy-two percent was ischemic stroke and for twenty-two percent, hemorrhagic stroke. 2 The most frequent early sign of stroke was hemiplegia(43.3%), loss of consciousness (36.7%), dysarthria(33.3%). The type of hospital first used was a herb hospital(40.8%), or a western hospital(59.2%). The factors in their choice were ; distance from the hospital to the place that the stroke occurred(47.5%), desire for a herb hospital(15.8%), and an invitation(12.9%). The ischemic stroke patients preferred herb hospitals, but hemorrhagic stroke patients preferred a western hospitals. 3. The pattern of stroke patients seeking medical care was that forty-three percent of stroke patients pass through step 1, forty-six percent, through step 2, and 8.5% through step 3. The more steps, the higher the use of herb hospitals. 4. The factors influencing the pathway of stroke patients seeking medical care were diagnosis, and level of consciousness. Ischemic stroke patients used herb hospitals, more frequently hemorrhagic stroke patients, who used western hospitals. The alert patient preferred a herb hospital, but stupor patients preferred a western hospital. 5. The Activity Index was not related to the pathway which stroke patients used in seeking medical care.

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Relation between Capacity Change of Ephedrae Herba and Sputum Secretion In Two Stroke Patients with High Levels of Sputum (객담을 동반한 중풍 환자에 마황량과 객담 배출 변화에 관한 보고 -정천탕, 해표이진탕을 이용하여-)

  • 노기환;강경숙;조기호;김영석
    • The Journal of Korean Medicine
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    • v.22 no.1
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    • pp.96-103
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    • 2001
  • Clinical symptoms of stroke patients vary widely, and include headache, dizziness, vomiting, dysphagia, dysphasia, incontinence, confusion, chest discomfort, dyspnea etc. Stroke patients who had chronic respiratory disease or had tracheostomy cannula usually have high levels of sputum, but there have been rare clinical reports about treatment of oriental medicine. High levels of sputum in stroke patients can cause pneumonia and dyspnea, and so can delay rehabilitation. By use of Haepyoleejin-tang.Jungchun-tang with change of Ephedrae Herba capacity, we could improve sputum secretion and respiratory function of two stroke patients, and so we report on the clinical course of two stroke patients with high levels of sputum.

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Two Cases of Stroke in Childhood (소아(小兒) 중풍(中風) 환자(患者) 2례(例)에 대(對)한 증례(證例))

  • Lee, Jin-Yong;Kim, Deog-Gon;Shin, Dong-Gil
    • The Journal of Pediatrics of Korean Medicine
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    • v.17 no.1
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    • pp.87-97
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    • 2003
  • Cerebrovascular disease in children is more common than once recognized and the etiology and prognosis of the disease in children are quite different from those of adults. In Korea, the most common cause of stroke is moyamoya disease in ischemic stroke, arteriovenous malformation in hemorrhagic stroke. We experienced two cases of ischemic stroke in childhood whose symptoms are similar to that of adults. They had cerebrovascular malformation(narrowing of ICA, MCA, basilar artery). we treated them with herb medicine, acupuncture treatment, laser acupuncture treatment and physical treatment. After treatment, they recovered from the stroke symptoms, but the primary cause of stroke was not eliminated, so it is thought that more follow up is needed. We report that we had good effects of oriental medical treatment on two case of cerebral infarction in children.

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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.

Two-factor Authentication technology based on Key-Stroke (Key-Stroke 기반 Two-Factor 인증 기술)

  • An, Jun-Yeon;Ko, Gwang-Feel;Lee, Tae-jin
    • Convergence Security Journal
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    • v.20 no.3
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    • pp.29-37
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    • 2020
  • Password based authentication technology is yet certain and id to provide a level of security being used in most systems, but already a myriad of personal information exposure to the accident. Above all, and once exposed, it is difficult to recover the password. Thus, the various authentication techniques - factor two was introduced, but they are expensive and discomfort to users, to lead. In this paper, the existing unique to users in such a single accreditation process / password id key - stroke, user authentication and cost effectively and at the same time. And not cause discomfort, suggested technologies that can also ensure high security exposure, password id. This paper's proposals and determine the effectiveness of the system to build model.

3-D Kinematic comparison of One Hand Backhand Stroke and Two Hand Backhand Stroke in Tennis (테니스 한손 백핸드 스트로크와 양손 백핸드 스트로크 동작의 3차원 운동학적 비교 분석)

  • Choi, Ji-Young;Shin, Je-Min
    • Korean Journal of Applied Biomechanics
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    • v.15 no.4
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    • pp.85-95
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    • 2005
  • The purpose of this study was to investigate the relations between the segments of the body, the three dimensional anatomical angle during One Hand Backhand Stroke and Two Hand Backhand in tennis. For the movement analysis three dimensional cinematographical method(APAS) was used and for the calculation of the kinematic variables a self developed program was used with the LabVIEW 6.1 graphical programming(Johnson, 1999) program. By using Eular's equations the three dimensional anatomical Cardan angles of the joint and racket head direction were defined. 1. In three dimensional maximum linear velocity of racket head the X axis and Y axis(horizontal direction) showed $-11.04{\pm}2.69m/sec$, $-9.31{\pm}0.49m/sec$ before impact, the z axis(vertical direction) maximum linear velocity of racket head did not show at impact but after impact this will resulted influence upon hitting ball. It could be suggest that Y axis velocity of racket head influence on ball direction and z axis velocity influence on ball spin after impact. The stance distance between right foot and left foot was mean $75.4{\pm}5.86cm$ during one hand backhand stroke and $72.6{\pm}4.67cm$ during two hand backhand stroke. 2. The three dimensional anatomical angular displacement of trunk in interna rotation-external rotation showed most important role in backhand stroke. and is follwed by flexion-extension. the three dimensional anatomical angular displacement of trunk did not show significant difference between one hand backhand stroke and two hand backhand stroke but the three dimensional anatomical angular displacement of trunk was bigger than one hand backhand stroke. 3. while backhand stroke, the flexion-extension and adduction-abduction of right shoulder joint showed significant different between one hand backhand stroke and two hand backhand stroke. the three dimensional anatomical angular displacement of right shoulder joint showed more flex and abduct in one hand backhand stroke. 4. The three dimensional anatomical angular displacement of left shoulder showed flexion, adduction, and external rotation at impact. after impact, The angular displacement as adduction-abduction of left shoulder changed motion direction as abduction. angular displacement of left shoulder as flexion-extension showed bigger than the right shoulder.

The Effects of Two Motor Dual Task Training on Balance and Gait in Patients with Chronic Stroke (이중운동과제 훈련이 만성 뇌졸중 환자의 균형 및 보행에 미치는 효과)

  • Cho, Ki-Hun;Lee, Wan-Hee
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.7-14
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    • 2010
  • Purpose: The goal of this study was to investigate the effect of balance and gait ability through two motor dual task training in chronic stroke subjects. Methods: A group of twenty-five subjects who were six months post stroke participated in this study, where they were designated into pretest-posttest control The subjects were randomly allocated into two groups: experimental (n=13) and control (n=12). Both groups received physical therapy for 5 session 30 minutes per week during 6 weeks. Experimental group practiced additional two motor dual task training programs for thirty minutes a day, three days a week during six weeks. Evaluation of results was obtained through analyzing static balance, dynamic balance and gait function. Results: There was significant improvement among the group that practiced the additional two motor dual task training in that the postural sway area with open eye and close eye on the foam surface, the dynamic balance (p<0.05), and the gait function (p<0.05). Conclusion: Two motor dual task training improved static balance on the foam, dynamic balance, gait function. These results suggest that two motor dual task training is a feasible and suitable treatment for individuals with chronic stroke.