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Effects of Electroacupuncture on the Hemiplegic Upper Extremity after Stroke (중풍 환자의 상지마비에 대한 전침치료의 효과)

  • 류순현;이경섭;김태경;최요섭;윤상필;장종철;문상관;고창남;조기호
    • The Journal of Korean Medicine
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    • v.23 no.2
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    • pp.180-189
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    • 2002
  • Background and Purpose : The hemiplegic upper extremity is affected in many stroke patients, and recovery is often poor. The purpose of this study was to assess the efficacy of electroacupuncture (EA) in enhancing the upper extremity motor and functional recovery of ischemic stroke patients. Subjects and Methods : Forty ischemic stroke patients (the upper extremity Fugl-Meyer motor scale (FM) score lower than 46, lesion location within middle cerebral artery territory) within 2 weeks of stroke onset were randomly allocated to either an EA group that received EA treatment or a control group that received only routine ward care. The EA was applied at Quchi-Shousanli (LI11-LI10), Waiguan-Hegu (TE5-LI4) points on the hemiparetic side six times per week for 4 weeks. The frequency of stimulation was 25-50Hz and the intensity was set at a level sufficient to induce muscle contraction. EA treatment was given for 30 minutes and all patients of both groups received standard rehabilitation program. Outcomes were assessed, in a blind manner, before treatment began and at 4 weeks after treatment, with the FM, the Motor Power score (MP) for shoulder/elbow, and the subsection of the Modified Barthel Index (MBI) for drinking/feeding/dressing upper body/grooming. Results : These 2 groups had comparable clinical characteristics, lesion location, lesion size, and pretreatment impairment scores. By the end of treatment, the EA group showed significantly more improvement than the control group in the subsection of the FM for shoulder/elbow/coordination (6.4 vs. 3.7; P=0.047) and the MP for shoulder/elbow (5.3 vs. 3.3; P=0.008). The subsection scores of the MBI for drinking/feeding/dressing upper body/grooming were not significantly different between two groups. No adverse effects due to treatment were found Conclusion : These results suggest that EA enhances the upper extremity motor recovery of acute stroke patients. However, this study failed to demonstrate any significant functional benefit related with upper extremity. Future study should be carried out in a larger sample size and use the functional outcome measure that is more specific and sensitive to the upper extremity.

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A Preliminary Experiment Study for Development of Floater of Floating Breakwater (부소파제의 부체 개발을 위한 기초적 실험 연구)

  • Jung D.H.;Kim H.J.;Kim J.H.;Moon D.S.
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.9 no.3
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    • pp.141-147
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    • 2006
  • A newly designed floating breakwater made of Polyethylene with considering the introduction of new material for being harmony with environment and stability of the floater is developed for a marine ranching. In this study, the new concept in which incident wave dissipates its energy due to the vortex shedding by passing through the pipes and sheets is selected for wave breaking mechanism. Model experiment in order to te st its capability is performed for the regular and irregular waves in ocean engineering basin. Good capability to break the incident wave within the 6 seconds of period and 1 m of height is shown. Breaking efficiency for long period wave is not so good in regular and irregular wave. The results of this study will contribute to the design and construction of the floating breakwater.

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Regulation of Pluripotency-related Genes and Differentiation in Mouse Embryonic Stem Cells by Direct Delivery of Cell-penetrating Peptide-conjugated CARM1 Recombinant Protein

  • Choi, Sara;Jo, Junghyun;Seol, Dong-Won;Cha, Soo Kyung;Lee, Jeoung Eun;Lee, Dong Ryul
    • Development and Reproduction
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    • v.17 no.1
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    • pp.9-16
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    • 2013
  • Coactivator-associated arginine methyltransferase 1 (CARM1) is included in the protein arginine methyltransferase (PRMT) family, which methylates histone arginine residues through posttranslational modification. It has been proposed that CARM1 may up-regulate the expression of pluripotency-related genes through the alteration of the chromatin structure. Mouse embryonic stem cells (mESCs) are pluripotent and have the ability to self-renew. The cells are mainly used to study the genetic function of novel genes, because the cells facilitate the transmission of the manipulated genes into target mice. Since the up-regulated methylation levels of histone arginine residue lead to the maintenance of pluripotency in embryos and stem cells, it may be suggested that CARM1 overexpressing mESCs elevate the expression of pluripotency-related genes in reconstituted embryos for transgenic mice and may resist the differentiation into trophectoderm (TE). We constructed a fusion protein by connecting CARM1 and 7X-arginine (R7). As a cell-penetrating peptide (CPP), can translocate CARM1 protein into mESCs. CPP-CARM1 protein was detected in the nuclei of the mESCs after a treatment of 24 hours. Accordingly, the expression of pluripotency-related genes was up-regulated in CPP-CARM1-treated mESCs. In addition, CPP-CARM1-treated mESC-derived embryoid bodies (EBs) showed an elevated expression of pluripotency-related genes and delayed spontaneous differentiation. This result suggests that the treatment of recombinant CPP-CARM1 protein elevates the expression of pluripotency-related genes of mESCs by epigenetic modification, and this protein-delivery system could be used to modify embryonic fate in reconstituted embryos with mESCs.

A Study on Comparative Analysis of Diffusion Weighted Image Examination before and after Contrast Injection (조영제 사용 전 후 확산강조영상 검사의 비교 분석에 대한 연구)

  • Goo, Eun-Hoe
    • Korean Journal of Digital Imaging in Medicine
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    • v.11 no.2
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    • pp.51-57
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    • 2009
  • The purpose of this study would evaluate if having clinical effects on diffusion image with quantitative analysis through ADC values of brain's normal tissue and lesions before and after contrast injections using a 3.0T. From November in 2007 until December in 2008, a total of 32 patient was performed on 3.0T(Signa Excite, GE Medical System, USA) with the normal or lesions in the patient who requests diffusion weighted image with 8channel head coil. The pulse sequence was used with spin echo EPI(TR: 10000msec, TE: 72.2 msec, Matrix: 128*128, FOV: 240 mm, NEX: 1, diffusion direction: 3, b-value: 1000). Measurement results of ADC values on lesions, CSF, white matter, gray matter, lesions after contrast injection were measured less 75% than before contrast injection, infarction: 100%, CSF: 78%(high), white matter: 71.4%(low), gray matter: 50%(high, low). The results of paired t-test on the deference of ADC values which statically is significant in three(lesions, CSF, white matter)regions except for white matter(p<0.05). Quantitative analysis of lesions, CSF, white matter, gray matter have difference on all regions. ADC values were low in lesions and white matter, normal CSF after contrast injection commonly is high than before contrast injection, ADC values which white matter were high and low (50:50) after contrast injection. 3.0T diffusion weighted image clinically supposed that performing DWI examination after contrast injection was not desirable because of having effects on brain tissue.

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Simulation of Resonance Shift and Quality Factor for Opto-fluidic Ring Resonator (OFRR) Biosensors (광-유체링공진기(OFRR) 바이오센서에 관한 공진이동과 양호도의 시뮬레이션)

  • Cho, Han-Keun;Han, Jin-Woo;Yang, Gil-Mo
    • Journal of Biosystems Engineering
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    • v.36 no.1
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    • pp.23-32
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    • 2011
  • In this work, the finite element method was used to investigate the shifts of resonance frequencies and quality factor of whispering-gallery-mode (WGM) for an opto-fluidic ring resonator (OFRR) biosensor. To describe the near-field radiation transfer, the time-domain Maxwell's equations were employed and solved by using the in-plane TE wave application mode of the COMSOL Multiphysics with RF module. The OFRR biosensor model under current study includes a glass capillary with a diameter of 100 mm and wall thickness of 3.0 mm. The resonance energy spectrum curves in the wavelength range from 1545 nm to 1560 nm were examined under different biosensing conditions. We mainly studied the sensitivity of resonance shifts affected by changes in the effective thickness of the sensor resonator ring with a 3.0 mm thick wall, as well as changes in the refractive index (RI) of the medium inside ring resonators with both 2.5 mm and 3.0 mm thick walls. In the bulk RI detection, a sensitivity of 23.1 nm/refractive index units (RIU) is achieved for a 2.5 mm thick ring. In small molecule detection, a sensitivity of 26.4 pm/nm is achieved with a maximum Q-factor of $6.3{\times}10^3$. These results compare favorably with those obtained by other researchers.

Surgical Outcomes of Intra-articular Fractures of Calcaneus using AO Calcaneal Plate (관절내 종골 골절에 대해 AO 종골 금속판을 이용한 수술적 치료 결과)

  • Kim, Seong-Tek;Youn, Te-Hyun;Park, Jin-Bum;Lee, Jun-Young
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.1
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    • pp.75-79
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    • 2009
  • Purpose: To evaluate the outcomes of intra-articular calcaneal fractures treated using AO calcaneal plate surgically. Materails and Methods: Total 15 cases of intra-articular calcaneal fracture that treated with open reduction and internal fixation using AO calcaneal plate were evaluated. The patients were followed over a mean period of 19.8 months. The mean age was 41.6 years. By Sanders classification, there were 2 cases of type II, 10 cases of type III, and 3 cases of type IV. We evaluated radiological outcomes by Bohler angle, Gissane angle, calcaneal hight, calcaneal width and clinical outcomes by Creighton-Nebraska health foundation score. Results: All fractures united at a mean duration of 13.3 weeks. Radiologically, the mean preoperative Bohler angle was $8.5^{\circ}$ and restored to $23.3^{\circ}$. The mean preoperative Gissane angle was $118.7^{\circ}$ and restored to $124.2^{\circ}$. The mean preoperative calcaneal hight was 30.8 mm and restored to 38.9 mm. The mean preoperative calcaneal width was 41.3 mm and restored to 35.3 mm. 10 cases had excellent and good clinical outcomes and 5 cases having fair outcome. Conculsion: In our study, open reduction and internal fixation using AO calcaneal plate showed good results with anatomical restoration of articular surface and stable fixation without late collapse.

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The Effects of Body Fat Rate on Pulmonary Function and Maximal Oxygen Uptake in Low Back Pain Patients (요통환자의 체지방량이 폐기능 및 최대산소섭취량에 미치는 영향)

  • Han Sang-Wan;Kim Yoing-Su;Seo Gyu-Won
    • The Journal of Korean Physical Therapy
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    • v.10 no.2
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    • pp.105-111
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    • 1998
  • My prior questionnaire has applied to 12 male and 29 female adults over 30-69 years old suffering from lumbago fer 6 months at least or having diagnosis of lumbago. I had the following conclusions from physical characteristics and cardiopulmonary capacity of lumbago Patients caused by obesity 1) The rate of lipids in the body was rotated to the maximum heart rate in the male group of lumbago patients (P<0.01). 2) The rate of lipids in the body was related to the maximum intake of oxygen(O2) in the male group of lumbago patients(P<0.01). 3) The maximum heart rae was related to the maximum intake of oxygen in the male group of lumbago patients(P<0.01). 4) The rate of lipids in the body was related to the maximum intake of oxygen in the female group of lumbago patients(P<0.05). 5) The rate of lipids in the body showed no relation to the maximum heart rate in the female group of lumbago patients(P>0.05). 6) The maximum heart rate was related to the maximum intake of oxygen in the female group of lumbago patients(P<0.01). 7) The cardiovascular system showed no relation te the function of the lungs in the male and female groups of lumbago patients(P>0.05) 8) The lung capacity per second of lumbago patients(FEV $1.0\%$) measured less than normal adults. 9) The maximum intake of oxygen(V02max) and heart rate was less than normal adults. Thus I summarized the conclusion so follows: the cardiovascular system of lumbago patients showed no relation to their pulmonary function, and the rate of lipids in the body Showed a correlation with the maximum intake of oxygen but the rate of lipids in the body showed no relation to their pulmonary function.

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A Comparative Study for the Microwave Surface Resistances of $YBa_2$$Cu_3$$O-{7-$\delta$}$ Films Measured with a Microstrip Resonator and a Inutile-loaded Cavity Resonator (마이크로스트립 공진기와 Rutile-loaded Cavity 공진기로 측정한 $YBa_2$$Cu_3$$O-{7-$\delta$}$박막의 마이크로파 표면저항 비교 연구)

  • O. K. Kwon;H. J. Kwon;Lee, J. H.;Jung Hur;Lee, Sang-Young
    • Progress in Superconductivity
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    • v.2 no.2
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    • pp.86-91
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    • 2001
  • Temperature dependences of the unloaded Q(Q$_{0}$) and the resonant frequency ( $f_{0}$) of YB $a_2$C $u_3$ $O_{7-{\delta}}$ (YBCO) microstrip ring resonators and rutile-loaded cylindrical cavity resonators were measured at low temperatures. Dc magnetron-sputtered YBCO films grown on Ce $O_2$-buffered r-cut sapphire (CbS) substrates were used fur this purpose. The surface resistances ( $R_{s}$) of YBCO films measured by both a microstrip ring resonator and a TE $01\delta$/ mode rutile-loaded cylindrical cavity resonator are compared with each other. It turned out that the values of $R_{s}$ measured by the microstrip resonator technique are comparable to those by the rutile-loaded resonator technique at temperatures lower than ~50 K. However, above 50 K, the $R_{s}$ measured by the microstrip resonator technique appeared higher according to the temperature. Our results show that the current crowding effects near the edge of a microstrip resonator become more significant at temperatures near the critical temperature.emperature.e.e.e.e.e.e.

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Comparative Study for the Unloaded Quality Factors of High-Tc Superconductor-Dielectric Resonators Measured by Using S-parameter Circle-fit Method and Lorentzian-fit Method (S-parameter circle fit 방법과 Lorentzian fit 방법으로 측정된 고온초전도 유전체 공진기의 Unloaded Quality Factor 비교)

  • Kim, M.J.;Lee, J.H.;Park, E.K.;Yang, W.I.;Jung, H.S.;Choi, Y.O.;Lee, S.Y.
    • Progress in Superconductivity
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    • v.8 no.2
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    • pp.143-151
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    • 2007
  • Accurate measurements of the microwave surface resistance (Rs) of high temperature superconductor (HTS) films are important with regard to applications of HTS materials for wireless communications. As the surface resistance values of HTS films are usually extracted from the measured unloaded quality factor ($Q_0$) of resonators made of HTS films, it is essential to measure the resonator $Q_0$ with accuracy. The $TE_{011}\;mode\;Q_0$ of sapphire resonators with the endplates made of $YBa_2Cu_3O_{7-{\delta}}$(YBCO) film on $LaAlO_3$ is measured by using the S-parameter circle-fit method at a frequency of about 19.6 GHz and temperatures of 30 K to 90 K, which is compared with the measured values by using the Lorentzian-fit method. Good agreements are found between the two sets of $Q_0$ values measured by using the two different methods whether the resonator is used in a weak-coupling scheme or a strong-coupling scheme, showing reliability of both methods fur measuring the resonator $Q_0$ accurately. The $Q_0$ of sapphire resonators with a gap between the top plate and the rest of the resonator is also discussed.

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A Clinical Study of Moxibustion Therapy's Effect on Functional Recovery in Hemiplegia on Stroke (중풍환자의 구(灸)치료에 따른 기능회복도에 관한 임상연구)

  • Lee, Sang-Hee;Kim, Jae-Kyu;Son, Yeon-Hui;Jeong, Hyun-Yun;Kim, Jung-Hoon;Kwon, Jung-Nam;Kim, Young-Kyun
    • The Journal of Internal Korean Medicine
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    • v.29 no.1
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    • pp.278-284
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    • 2008
  • Objective : The purpose of this clinical study was to investigate the effects of moxibustion on functional recovery in stroke patients. Methods : Forty two stroke patients were randomized into either the standard physiotherapy treatment combined with moxibustion group or a control group with standard physiotherapy alone. They were 8 weeks from onset to the start of this study. Moxibustion was applied at 合谷(LI14), 外關(TE5), 曲池(LI11), 太衝(LIV3), 懸鍾(絶骨,G39), 足三里(S36) in hemiplegic upper and lower extremity, once a day for 6 weeks. The effect of treatment on functional recovery was assessed using the Functional Independence Measure scale. Statistical significance was achieved if the probability was less than 5%(p<0.05). Result : These 2 groups had comparable clinical characteristics; sex, age, lesion, and pre-treatment FIM score. After 6 weeks, patients in the moxibustion group performed better on FIM. The differences were significant(P=0.001). Conclusion : These results suggest that moxibustion is an effective treatment for functional recovery in stroke patients.

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