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The Effect of Dual Motor Task Training on Balance of Subacute Stroke Patients (이중 운동 과제 훈련이 아급성기 뇌졸중 환자의 균형에 미치는 효과)

  • Ji, Sang-Goo;Kim, Myoung-Kwon;Cha, Hyun-Kyu
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.1
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    • pp.1-9
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    • 2013
  • PURPOSE: This study compared the effects of dual motor task training and simple task training on the balance of subacute stroke patients. METHODS: A total of 23 subacute stroke patients participated in the study. The subjects were allocated randomly to two groups: an experimental group and a control group. Both groups received conventional treatment for 50 minutes, 5 times per week for 6 weeks. In addition, the experimental group stacked blocks, moved catch cups, and moved rings while standing and gait. To evaluate the effects of the exercises, subjects were evaluated by using the balance system and the timed get up and go test(TUG) for balance measurement. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. RESULTS: The experimental group showed a significant decrease on the medial-lateral and anterior-posterior stability index compared to the control group (p<.05) for the simple task and a significant decrease on the medial-lateral and anterior-posterior stability index compared to the control group for the dual task. In addition, the experimental group showed a significant increase in TUG time compared to the control group (p<.05). CONCLUSION: These results support the perceived benefits of dual motor task training to augment the balance of subacute stroke patients. Therefore, dual motor task training is recommended for subacute stroke patients.

Comparison of the Maximal Muscular Activities of the Deltoid During Shoulder Abductions in Patients with Adhesive Capsulitis (유착성 관절낭염 환자의 어깨벌림 각도에 따른 중간어깨세모근의 최대근활성도 비교)

  • Song, Il-Gyu;Lee, Han-Suk;Park, Sun-Wook
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.4
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    • pp.65-70
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    • 2016
  • PURPOSE: This study aimed to compare the electromyography (EMG) activity for the middle deltoid (MD) and upper trapezius (UT) muscles in various shoulder abduction angles in patients with adhesive capsulitis (AC). METHODS: A total of 15 subjects participated in the study: 6 without AC (control group) and 9 with AC (AC group). The muscle activities of the UT and MD were measured using EMG during maximal static shoulder abductions in both groups. Each subject performed three repetitions of horizontal abduction at $0^{\circ}$, $30^{\circ}$, $60^{\circ}$, and $90^{\circ}$ of the shoulder abduction angle in a sitting position. The measurement data from the middle 3-seconds of the 5-second periods were used. The mean value of three separate sets of measurements was used in the data analysis. For each muscle, independent t-tests were performed to determine group differences. A measured repeated-measures ANOVA was performed using Bonferroni's post-hoc test. RESULTS: The muscle activity of the UT was significantly greater in the AC group; than in the control group (p<.05). The muscle activity of the MD was significantly lower in the AC group; than in the control group (p<.05). The greatest level of muscle activity for both the MD and UT was demonstrated at the $0-60^{\circ}$ and $0-90^{\circ}$ of shoulder abduction angles in the AC group. CONCLUSION: These findings showed that low muscle activation of the MD may contribute to hyperactivity of the UT during shoulder abduction in AC patients.

Effects of Foot Type and Ankle Joint Fatigue Levels on the Trajectories of COP and COM during a Single-Leg Stance (발의 유형과 발목 관절 피로 수준이 외발서기 시 압력중심점과 질량중심점 궤적에 미치는 영향)

  • Shin, Young-Hwa;Youm, Chang-Hong;Son, Min-Ji
    • Korean Journal of Applied Biomechanics
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    • v.23 no.4
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    • pp.335-345
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    • 2013
  • The purpose of this study was to investigate the effects of foot type and ankle joint fatigue levels on the trajectories of center of pressure and center of mass during a single-leg stance. The study subjects included 24 healthy women (normal foot group, n=10; pronated foot group, n=14). Ankle joint muscle fatigue was induced by using an isokinetic dynamometer, where the fatigue levels were measured on plantar flexion and dorsiflexion at angular velocities of $30^{\circ}/s$ at 50% and 30% of the peak torque of ankle plantar flexion. Following assessments in the anteroposterior direction according to the level of fatigue, the pronated foot group showed decreased single-leg stance ability at 50% and 30% of the fatigue level. Moreover, the normal foot group showed better single-leg stance ability than the pronated foot group at 30% of the fatigue level. Following assessments in the mediolateral direction, we noted that the single-leg stance ability did not differ significantly according to the levels of fatigue or foot type. In conclusion, ankle plantar flexion at 50% and 30% of the peak torque reduced the ability of the pronated foot group to achieve a single leg stance in the anteroposterior direction. Moreover, the normal foot group showed better single-leg stance ability than the pronated foot group.

Effects of Korean Wild Vegetables on Blood Glucose Levels and Energy Metabolites in Streptozotocin Induced Diabetic Rats (한국산 야생식용식물이 당뇨 유발 흰쥐의 혈당과 에너지대사에 미치는 영향)

  • 임숙자;원새봄
    • Korean journal of food and cookery science
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    • v.13 no.5
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    • pp.639-647
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    • 1997
  • The hypoglycemic effects of five Korean wild vegetables, Aralia continentalis (A. con.), Castanea crenata (C. cre.), Xanthium strumarium (K, str.), Alisma canaliculatum (A. can,) and Eupatorium chinense var. simplicifolium for tripartium (E. tri) which have been utilized for the traditional remedies were investigated in this study. Diabetes mellitus was induced in male Sprague-Dawley rats by injections of streptozotocin (STZ) into the tail veins at a dose of 45 mg/kg. Five groups of STZ-induced diabetic rats were fed one of each experimental diet containing 10% of the Korean wild vegetable powder and normal and STZ-control rats were fed the control diet for five weeks. The body weight change, feed efficiency ratio (FER) and organ weights were compared. The plasma levels of glucose, protein, cholesterol, HDL-cholesterol, triglyceride, free fatty acid, and aminotransferase activity were determined. Mineral (Ca, K, Mg, Na, Cu, Fe, Mn and Zn) contents of the Korean wild vegetables were analyzed. The body weight gain was higher in normal, C. cre., A. can. and E. tri. groups than in the diabetic control group. The FER of C. cre., A. can. and E. tri. groups was significantly higher (p.<0.05) than that of diabetic control group. Liver weight was heavier in A. con., X. str. and A. can. groups compared with the diabetic control group. The weights of kidney were lighter in all five Korean wild vegetable groups than in the diabetic control group. After five weeks, the plasma glucose level tends to be decreased in A. con., A. can. and E. tri. groups. Plasma cholesterol level was decreased the Korean wild vegetables except for X. str. group. Plasma HDL- cholesterol level was significantly higher in A. con., A. can. and E. tri. groups compared with the diabetic control group. Plasma triglyceride and free fatty acid levels were significantly higher in X. str. group compared with the diabetic control group. Mineral contents were higher in E. tri. (Ca, K, Na and Fe). The results suggest that the intakes of A. con., A. can. and E. tri. have a hypoglycemic effect in diabetic rats showing the possibility as the valuable food resources for the prevention of diabetic mellitus.

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Quality and Sensory Characteristics of Bechamel Sauce with Freeze-Dried Mugwort (동결건조 쑥을 첨가한 베샤멜 소스의 품질 및 관능적 특성)

  • Kim, Se-Han;Park, Ki-Bong;Cho, Sung-Hyun
    • The Korean Journal of Food And Nutrition
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    • v.26 no.4
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    • pp.824-830
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    • 2013
  • As a result of the sensory test for Bechamel Sauce being prepared by varying the amount of frozen-dry mugwort, the moisture content was the highest at 83.56% in the control group and the lowest at 76.18% in the one containing 20% of mugwort. The pH level decreased significantly (p>0.001) as the addition of specimen increased. In case of color, the brightness (L) and redness (a) were highest at 81.54 and -0.85 within the control group, and the yellowness (b) was highest at 35.82 for the one containing 20% of mugwort. The viscosity was the lowest at 64.45 cp for the control group and 138.45 cp for the Bechamel Sauce containing 20% of mugwort. Reduced sugar was significantly increased (p>0.001) with the addition of specimen. The results of change in the total number of bacteria showed that there was no microorganism until the third day of storage. On the fifth day, the groups with up to 10% mugwort showed $1.6{\times}10^2$ CFU/ml microorganisms and the groups containing 15% and 20% of mugwort were free of microorganisms. All groups contained microorganisms on the seventh day of storage, but the groups with greater mugwort contents showed smaller number of microorganisms on the fifth and tenth days. Taking into acoount the DPPH free radical removal of brown sauce containing mugwort, the removal increased with greater mugwort content. In terms of preference test, the color was 3.5 for the control group without the mugwort and the taste was highest at 5.1 with 10% of mugwort. The group containing 15% of mugwort received the highest score (4.6) for the after taste and the viscosity was the lowest at 2.7 for the group containing 20% of mugwort. Overall acceptability was the highest at 5.3 for the group containing 10% of mugwort and the lowest for the group containing 20% of mugwort.

The Effects of Concept Mapping with Explanation Feedback in the Undergraduate General Chemistry Course (일반 화학 수업에서 설명적 피드백을 이용한 개념도 학습의 효과)

  • Koh, Han-Joong;Kim, Kyung-Soo;Kang, Suk-Jin
    • Journal of Korean Elementary Science Education
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    • v.29 no.3
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    • pp.341-349
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    • 2010
  • In this study, the effects of concept mapping with feedbacks providing explanatory comments on students' achievement, science learning anxiety, and science learning motivation were investigated in the undergraduate general chemistry course. The aptitude-treatment interactions between students' level of mastery goal orientation and the concept mapping with explanation feedback treatment were also examined. Sixty-seven freshmen from an university of education were assigned to a control group and a treatment group. The tests of mastery goal orientation, science anxiety, and science learning motivation were administered as pretests. For the treatment group, feedback providing students with explanatory comments through whole class discussion was presented after each concept mapping. Whereas the control group students were presented with opportunities solving excercise problems followed by explanation feedback. The intervention was lasted for 10 weeks (30 class periods). After the instructions, a researcher-made achievement test, the science learning anxiety test, and the science learning motivation test were administered. The results indicated that no statistically significant difference was found in students' achievement. In the science learning anxiety, however, the scores of the treatment group was significantly lower than those of the control group. The scores of the treatment group also tended to be higher, though not significant, than those of the control group in the science learning motivation. However, no significant aptitude-treatment interactions were found in all dependent variables.

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Analysis of Piled Raft Interactions in Sand with Centrifuge Test (원심모형실험을 통한 사질토 지반에서의 말뚝지지 전면기초 상호작용 분석)

  • Park, Dong-Gyu;Choi, Kyu-Jin;Lee, Jun-Hwan
    • Journal of the Korean Geotechnical Society
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    • v.28 no.10
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    • pp.27-40
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    • 2012
  • In the design of a piled raft, the axial resistance is offered by the raft and group piles acting on the same supporting ground soils. As a consequence, pile - soil - raft and pile - soil interactions, occurring by stress and displacement duplication with pile and raft loading conditions, act as a key element changing resistances of the raft and group piles. In this study, a series of centrifuge model tests have been performed to compare the axial behavior of group pile and raft with that of a piled raft (having 16 component piles with an array of $4{\times}4$) in sands with different relative densities. The test results revealed that the increase of settlement resistance occurs separately with settlement by group pile - soil interactions. The axial resistance of group piles (at piled raft) increases by group pile - raft (pile cap) interactions and that of raft (at piled raft) decreases by group pile - raft (pile cap) interactions.

Instructional Effect of Cooperative Learning in Problem Solving Strategy (문제 해결 전략에서 협동학습의 효과)

  • Noh, Tae-Hee;Yeo, Kyeong-Hee;Jeon, Kyung-Moon
    • Journal of The Korean Association For Science Education
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    • v.19 no.4
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    • pp.635-644
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    • 1999
  • The effect of cooperative learning in a heuristic approach (four stage-problem solving strategy) that also emphasized molecular level representation was studied. Three high school classes (N=130) were randomly assigned to St group (using strategy individually), St-Co group (using strategy in cooperative group), and control group. After instruction, students' multiple-choice problem solving ability, strategy performing ability, and the perception of involvement were compared. Students' preferred instruction type was also examined. Although multiple-choice problem solving ability were not different significantly, a significant interaction between the treatment and the previous achievement level was found in strategy performing ability. Analysis of simple effects indicated that the medium-level students in the St group performed better than those in the St-Co group. In the perception questionnaire of involvement. however, the scores of the St group were significantly lower than those of the control group. The instruction type that students most preferred was also St-Co.

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Incremental filling ratio of pipe pile groups in sandy soil

  • Fattah, Mohammed Y.;Salim, Nahla M.;Al-Gharrawi, Asaad M.B.
    • Geomechanics and Engineering
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    • v.15 no.1
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    • pp.695-710
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    • 2018
  • Formation of a soil plug in an open-ended pile is a very important factor in determining the pile behavior both during driving and during static loading. The degree of soil plugging can be represented by the incremental filling ratio (IFR) which is defined as the change in the plug length to the change of the pile embedment length. The experimental tests carried out in this research contain 138 tests that are divided as follows: 36 tests for single pile, 36 tests for pile group ($2{\times}1$), 36 tests for pile group ($2{\times}2$) and 30 pile group ($2{\times}3$). All tubular piles were tested using the poorly graded sand from the city of Karbala in Iraq. The sand was prepared at three different densities using a raining technique. Different parameters are considered such as method of installation, relative density, removal of soil plug with respect to length of plug and pile length to diameter ratio. The soil plug is removed using a new device which is manufactured to remove the soil column inside open pipe piles group installed using driving and pressing device. The principle of soil plug removal depends on suction of sand inside the pile. It was concluded that the incremental filling ratio (IFR) is changed with the changing of soil state and method of installation. For driven pipe pile group, the average IFR for piles in loose is 18% and 19.5% for L/D=12 and 15, respectively, while the average of IFR for driven piles in dense sand is 30% and 20% for L/D=12 and L/D=15 respectively. For pressed method of pile installation, the average IFR for group is zero for loose and medium sand and about 5% for dense sand. The group capacity increases with the increase of IFR. For driven pile with length of 450 mm, the average IFR % is about 30.3% in dense sand, 14% in medium and 18.3% for loose sand while when the length of pile is 300 mm, the percentage equals to 20%, 17% and 19.5%, respectively.

Difference in the distribution of onset age of intussusception after rotavirus vaccination and according to the type of rotavirus vaccine: single medical center study (로타바이러스 백신 접종 유무 및 백신종류에 따른 창자겹침증 발병 연령의 비교: 단일기관 연구)

  • Lee, Yun Young;Lee, Eung Bin;Choi, Kwang Hae
    • Journal of Yeungnam Medical Science
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    • v.32 no.2
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    • pp.80-84
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    • 2015
  • Background: Rotavirus is the most common cause of severe gastroenteritis in children <5 years of age. The first vaccine, RotaShield was developed, but withdrawn because of its association with increased risk of intussusception. Then, RotaTeq and Rotarix were developed. Although in pre-licensure studies, they were not associated with an increased risk of intussusceptions, in recent studies, it has been controversial. Regarding increased risk of intussusception, we studied the difference in the age of intussusception after rotavirus vaccination. Methods: A retrospective analysis was conducted on 136 patients diagnosed with intussusception at Yeungnam University Medical Center for 4 years in the pre-vaccination period (group A) and in the post vaccination period (group B). Sex, mean age and age distribution of intussusceptions were compared according to the type of rotavirus vaccine (group B-1, RotaTeq; group B-2, Rotarix). Results: The median ages of group A and group B were $18.8{\pm}19.6months$ and $15.5{\pm}10.2months$, with no significant differences (p=0.23). The median ages of group B-1 and group B-2 were $15.3{\pm}9.3months$ and $15.6{\pm}10.8months$, with no significant differences (p=0.91). And No significant difference in the distribution of onset age was observed between groups, and only 6 patients were diagnosed with intussusceptions within 1 month after vaccination. Conclusion: No difference was observed in the distribution of onset age of intussusception after rotavirus vaccination and according to the type of rotavirus vaccine. Our study has a limitation in that it was conducted in part of the Daegu area. Additional study is needed.