• Title/Summary/Keyword: TMS

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Effects of Mental Practice in Conjunction with Repetitive Transcranial Magnetic Stimulation on the Upper Limbs of Sub-acute Stroke Patients

  • Ji, Sang-Goo;Kim, Myoung-Kwon;Cha, Hyun-Gyu
    • Journal of Magnetics
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    • v.19 no.4
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    • pp.353-356
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    • 2014
  • The aim of the present study was to examine whether mental practice (MP) in conjunction with repetitive transcranial magnetic stimulation (rTMS) can improve the upper limb function of sub-acute stroke patients. This study was conducted with 32 subjects who were diagnosed with hemiparesis by stroke. The experimental group consisted of 16 members upon each of whom was performed MP in conjunction with rTMS, whreas the control group consisted of 16 members upon each of whom was performed MP and sham rTMS. Both groups received traditional physical therapy for 30 minutes a day, 5 days a week, for 6 weeks; additionally, they received mental practice for 15 minutes a day. The experimental group was instructed to perform rTMS, and the control group was instructed to apply sham rTMS for 15 minutes. A motor cortex excitability analysis was performed by motor evoked potentials (MEPs), and upper limb function was evaluated by Fugl-Meyer Assessment (FMA) and the Box and Block test (BBT). Results showed that the amplitude, latency, FMA, and BBT of the experimental group and the latency, FMA, and BBT of the control group were significantly improved after the experiment (p<0.05). Significant differences were found between the groups in amplitude and latency after the experiment (p<0.05). The results showed that MP in conjunction with rTMS is more effective in improving upper limb function than MP alone.

Intelligent TMS system architecture with TRIZ (TRIZ를 이용한 창의적인 TMS 시스템 설계)

  • Won, You-Jon;Kim, Dong-Kyu;Kim, Jin-Ho
    • Journal of the Korea Safety Management & Science
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    • v.16 no.3
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    • pp.343-350
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    • 2014
  • Although companies have to concentrate on effort to save cost to survive competition, transportation costs are taking more portions in total sales costs due to globalization in the modern times. It is the reason why Transportation Management System TMS is getting more important. However, it is practically difficult for the system to fit to all of transportation environments and actually many problems are taking place with the system. Therefore, a new idea is necessary to solve such problems fundamentally rather than temporarily or superficially. To do so, if TRIZ, which is a theory that systematically establishes creative ideas on the basis of patent analysis, is employed, it can bring forth a guideline with some creative principles that can be applicable in drawing out innovative ideas based on conceptual shift. The present study aims to propose a methodology of how TRIZ should be applied to solve the problems that happen in TMS as a whole. Particularly, the study focuses on how to design customized TMS system that can be employed for each of different situations in a creative way.

Effects of Repetitive Transcranial Magnetic Stimulation on Motor Recovery in Lower Extremities of Subacute Stage Incomplete Spinal Cord Injury Patients: A Randomized Controlled Trial

  • Ji, Sang-Goo;Cha, Hyun-Gyu;Kim, Myoung-Kwon
    • Journal of Magnetics
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    • v.20 no.4
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    • pp.427-431
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    • 2015
  • The aim of this study was to investigate whether repetitive transcranial magnetic stimulation (rTMS) can improve motor recovery in the lower extremities of the patients with subacute stage spinal cord injury (SCI). This study was conducted with 19 subjects diagnosed with paraplegia because of SCI. The experimental group included 10 subjects who underwent active rTMS, and the control group included 9 subjects who underwent sham rTMS. The SCI patients in the experimental group underwent conventional rehabilitation therapy, and active rTMS was applied daily to the hotspot of the lesional hemisphere. The SCI patients in the control group underwent sham rTMS and conventional rehabilitation therapy. The participants in both the groups received therapy five days per week for six weeks. Latency, amplitude, and velocity were assessed before and after the six-week therapy period. A significant difference in post-treatment gains for the latency and velocity was observed between the experimental and control groups (p < 0.05). However, no significant differences in the amplitude were observed between the two groups (p > 0.05). The results of this study indicate that rTMS may be beneficial in improving motor recovery in the lower extremities of subacute stage SCI patients.

The Effect of Repetitive Transcranial Magnetic Stimulation on H-Reflex Inhibition and Fascilitation of Range of Motion of Spastic Ankle Joint in Chronic Stroke Patients (만성 뇌졸중 시 반복경두개자기자극에 의한 경직성 발목관절의 관절가동 범위 향상 및 H-반사 억제 효과)

  • Cho, Mi-Suk
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.1
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    • pp.71-79
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    • 2011
  • Purpose : The purpose of this study was carried out to investigate the effect of repetitive transcranial magnetic stimulation on increase of H-reflex inhibition and fascilitation of range of motion of spastic ankle joint in chronic stroke patients. Methods : 30 chronic stroke patients were randomly divided into three groups, a control group(placebo rTMS group), 5 Hz rTMS group and manual therapy group. The MAS and ROM of ankle joint and H-reflex inhibition of soleus muscle were evaluated on each group. Results : The rTMS group decreased MAS of ankle joint and increased H-reflex inhibition of soleus muscle, and ROM of ankle joint than manual therapy group. The placebo rTMS group did not affected the change of MAS, ROM of ankle joint and H-reflex inhibition of soleus muscle. Conclusion : The rTMS was a good therapeutic tool to improve the foot drop in the chronic stroke patients.

Therapeutic Application of Transcranial Magnetic Stimulation and Transcranial Direct Current Stimulation in Depression (우울증에서 비침습적 두뇌 자극 치료 : 경두개 자기자극과 경두개 직류자극)

  • Chae, Jeong-Ho
    • Journal of Korean Neuropsychiatric Association
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    • v.57 no.2
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    • pp.119-132
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    • 2018
  • Despite the fact that pharmacotherapy depressive disorders have proven efficacy, a substantial number of patients are resistant to conventional management. As neuroscientific research about pathophysiology of depression have accumulated, repeated transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) have emerged as an important mechanism-based treatment modality. This overview provides a review of therapeutic application of rTMS and tDCS in patients with depression. The clinical and basic studies of rTMS and tDCS in depression were reviewed and integrated using a literature review and interview with experts. rTMS is a noninvasive procedure of a localized pulsed magnetic field to the surface of the head to cause a depolarization of neurons in the brain cortex. tDCS has a mechanism of modulating cortical excitability in a polarity-specific manner without eliciting action potentials. rTMS and tDCS seem promising for treating depression. Although therapeutic parameters and further technical improvement remain to be systematically investigated, rTMS and tDCS would be a safe and effective intervention to treat depression.

Magnetic Properties of Co-substituted Ba-ferrite Powder by Sol-gel Method (졸-겔법에 의한 Cobalt 치환된 Ba-ferrite 분말의 자기적 특성)

  • Choi, Hyun-Seung;Park, Hyo-Yul;Yoon, Seog-Young;Shin, Hak-Gi;Kim, Tae-Ok
    • Journal of the Korean Ceramic Society
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    • v.39 no.8
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    • pp.789-794
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    • 2002
  • In this study, nano-sized Si-C-N precursor powders were synthesized by Chemical Vapor Condensation Method(CVC) using TMS(Tetramethylsilane: $Si(CH_3)_4$), $NH_3$ and $H_2$ gases under the various reaction conditions of the reaction temperature, TMS/$NH_3$ ratio and TMS/$H_2$ ratio. XRD and FESEM were used to analysis the crystalline phase and the average particle size of the synthesized powders. It was found that the obtained powders under the considering conditions were all spherical amorphous powder with the particle size of 87∼130 nm. The particle size was decreased as the reaction temperature increased and TMS/$NH_3$ and TMS/$H_2$ ratio decreased. As the results of EA analysis, it was found that the synthesized powders had been formed the powders composed of Si, N, C and H. Through FT-IR results, it was found that the synthesized powders were Si-C-N precursor powders with Si-C, Si-N and C-N bonds.

Synthesis and Characterization of Si-C-N Precursor by Using Chemical Vapor Condensation Method (화학기상응축법을 이용한 Si-C-N Precursor 분말의 합성 및 특성평가)

  • Kim, Hyoung-In;Kim, Dae-Jung;Hong, Jin-Seok;So, Myoung-Gi
    • Journal of the Korean Ceramic Society
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    • v.39 no.8
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    • pp.783-788
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    • 2002
  • In this study, nano-sized Si-C-N precursor powders were synthesized by Chemical Vapor Condensation Method(CVC) using TMS(Tetramethylsilane: Si($CH_3)_4$), $NH_3$ and $H_2$ gases under the various reaction conditions of the reaction temperature, TMS/$NH_3$ ratio and TMS/$H_2$ ratio. XRD and FESEM were used to analysis the crystalline phase and the average particle size of the synthesized powders. It was found that the obtained powders under the considering conditions were all spherical amorphous powder with the particle size of 87∼130 nm. The particle size was decreased as the reaction temperature increased and TMS/$NH_3$ and TMS/$H_2$ ratio decreased. As the results of EA analysis, it was found that the synthesized powders had been formed the powders composed of Si, N, C and H. Through FT-IR results, it was found that the synthesized powders were Si-C-N precursor powders with Si-C, Si-N and C-N bonds.

Effect of Repetitive Transcranial Magnetic Stimulation in Drug Resistant Depressed Patients (치료 저항성 우울증 환자에서 반복적 경두개 자기자극후 국소뇌혈류 변화)

  • Chung, Yong-An;Yoo, Ie-Ryung;Kang, Bong-Joo;Chae, Jeong-Ho;Lee, Hye-Won;Moon, Hyun-Jin;Kim, Sung-Hoon;Sohn, Hyung-Sun;Chung, Soo-Kyo
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.1
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    • pp.9-15
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    • 2007
  • Purpose: Repetitive transcranial magnetic stimulation (rTMS) has recently been clinically applied in the treatment of drug resistant depressed patients. There are mixed findings about the efficacy of rTMS on depression. Furthermore, the influence of rTMS on the physiology of the brain is not clear. We prospectively evaluated changes of regional cerebral blood flow (rCBF) between pre- and post-rTMS treatment in patients with drug resistant depression. Materials and Methods: Twelve patients with drug-resistant depression (7 male, 5 female; age range: $19{\sim}52$ years; mean age: $29.3{\pm}9.3$ years) were given rTMS on right prefrontal lobe with low frequency (1 Hz) and on left prefrontal lobe with high frequency (20 Hz), with 20-minute-duration each day for 3 weeks. Tc-99m ECD brain perfusion SPECT was obtained before and after rTMS treatment. The changes of cerebral perfusion were analyzed using statistical parametric mapping (SPM; t=3.14, uncorrected p<0.01, voxel=100). Results: Following areas showed significant increase in rCBF after 3 weeks rTMS treatment: the cingulate gyrus, fusiform gyrus of right temporal lobe, precuneus, and left lateral globus pallidus. Significant decrement was noted in: the precental and middle frontal gyrus of right frontal lobe, and fusiform gyrus of left occipital lobe. Conclusion: Low-frequency rTMS on the right prefrontal cortex and high-frequency rTMS on the left prefrontal cortex for 3 weeks as an add-on regimen have increased and decreased rCBF in the specific brain regions in drug-resistant depressed patients. Further analyses correlating clinical characteristics and treatment paradigm with functional imaging data may be helpful in clarifying the pathophysiology of drug-resistant depressed patients.

Utilization of Transactive Memory Systems for New Product Development and its Influence on Team Performance: Focus on Automobile Parts Firm (자동차부품기업의 신제품 개발을 위한 교류기억체계(TMS)의 활용과 팀 성과에 관한 연구)

  • Choi, Sangmin;Moon, Taesoo
    • The Journal of Information Systems
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    • v.25 no.3
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    • pp.175-196
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    • 2016
  • Purpose The development of new products in automobile parts industry plays an important role. Nowadays, automobile industry is one of the most important industries in the world, because automobile industry includes the industries of steel, machinery, electronic, etc. As a result, automobile industry embodies a country's level of development and competitiveness. The purpose of this study is to analyze the relationship between team characteristics such as communication, familiarity, and contiguity, and team performance through TMS in the process of new products development in automobile parts industry. Design/Methodology/Approach Based on real phenomenon of Korean automobile parts industry, this study tried to figure out the influence of TMS between team members for new product development on team performance. Thus, this study adopts communication, familiarity and contiguity as antecedents, and TMS with specialty, credibility and coordination as a mediating variable, and adopts team performance as a dependent variable. The data of questionnaire were collected from team managers who belong to new product development team in automobile parts firms. 171 questionnaires as data unit of group level from 80 Korean automobile parts firms were collected using face-to-face interview methods. Findings This study proved empirically that the relationship between antecedents and TMS has a positive influence, and TMS also has a positive influence on team performance. This study provides the managers an insight that automobile parts companies should pay more attention to set up TMS in order to improve higher performance between their team members for new product development of automobile parts.

A Study on the Simultaneous Determination of Residual Zeranol, Zearalenone and Their Metabolites in Beef by Gas Chromatography/Mass Spectrometry (Gas Chromatography/Mass Spectrometry에 의한 우육 중의 잔류 Zeranol, Zearalenone 및 그 대사산물들의 동시 분석법에 대한 연구)

  • 이은섭;이용욱
    • Journal of Food Hygiene and Safety
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    • v.9 no.1
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    • pp.1-13
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    • 1994
  • A Simultaneous determination method was improved for the determination and confirmation of zeranol, zearalenone, as well as their isomers and metabolites, in beef. The analytes were extracted from tissue by CH3CN, hydrolyzed enzymatically(for glucuronide conjugates), cleaned up by a strong basic anion exchange resin combined with a liquid/liquid partitioning, derivatized using MSTFA and confirmed, quantified by GC/MS/SIM with a internal standard, zearalane. The results were as follows : (1) all the estrogens were separated on the GC/MS chromatogram under the extraction method and the chromatographic conditions improved, the retention times of zearalane-TMS2, zearalanone-TMS2, zearalenone-TMS2, zeranol-TMS3, taleranol-TMS3, and $\alpha$-zearalenol-TMS3, $\beta$-zearalenol-TMS3, were 18.49, 19.44, 19.63, 19.71, 19.79 and 19.99, 20.08 minutes, respectively. (2) The calibration curves of residual zeranol, zearalenone and their metabolites showed constantly linear(r=0.99) in the range of 5~20 ng. The minimum detection concentration of residual zeranol, zearalenone and their metabolites was 1 ppb. (3) The total average recovery of residual zeranol, zearalenone and their metabolites from spiked beef was 60.2%(CV=29.7%) at the 1 ppb and 63.5%(CV=26.5) at the 2 ppb, 72.9%(CV=18.2%) at the 4 ppb. (4) The preservation method for 6 estrogens was improved for the fast running time(21 min) and MSTFA was utilized for derivatizing 6 estrogens for improvement of recovery, for good resolution, for characteristic mass spectra unlike Jose's method and Tina's method. The utilization of zearalane as internal standard showed good quantification result for zeranol, zearalenone, as well as their isomers and metabolites, in beef.

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