• 한국전문물리치료학회지
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• 제26권2호
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• pp.24-33
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• 2019

Background: Spontaneous use of the upper extremities on the affected side of patients with stroke is a meaningful indicator of recovery and may vary by the age or dominant hand of patients. No prior study has reported changes in actual amount of use test (AAUT) and motor activity log (MAL)-28 according to age and handedness in healthy adults, and AAUT inter-rater reliability for assessment of healthy adults. Objects: This study aimed to (1) research the differences in AAUT and MAL-28 according to age and handedness in healthy adults, and (2) determine the inter-rater reliability of the AAUT. Methods: Seventy healthy adults participated in this study. The MAL-28 was assessed by dividing 61 subjects into young right-handed ($n_1=20$), young left-handed ($n_2=21$), and older right-handed ($n_3=20$) groups. The AAUT was assessed by dividing 63 subjects into young right-handed ($n_1=25$), young left-handed ($n_2=18$), and older right-handed ($n_3=20$) groups. Student's t-test and the Wilcoxon signedrank test were used for statistical analysis. Results: The Amount of Use (AOU) scale values for each group showed no significant differences between age groups and handedness groups in the MAL-28 (p>.05). The AAUT AOU scale value showed significant differences regarding dominant handedness in the AAUT (p<.05), but no significant differences according to age (p>.05). (2) Inter-rater reliability of the AAUT was excellent, except few items (item 9, 11, and 12). Conclusion: Although both the MAL-28 and the AAUT measured how much participants used their dominant arms in healthy subjects, the AAUT only showed significantly higher dominant arm use in left hander than the right hander. In addition, the inter-rater reliability of the AAUT was excellent. Current results can be utilized as a basic information when clinicians develop rehabilitation strategies, and AAUT was shown to be a reliable evaluation tool for measurement of upper extremity use in Korean adults, based on the reliability demonstrated by this study.

• 한국해양학회지:바다
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• 제15권2호
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• pp.86-96
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• 2010

해양환경에서의 산소 소모율에 관한 자료는 생지화학적인 탄소 순환뿐만 아니라 기후 모델을 구성하는 중요한 변수들 중에 하나이다. 그러나 동해의 산소 소모율 자료는 모델에 이용될 수 있는 하나의 변수로써는 아직 구체적으로 정립되지 못했다. 해수의 물리적인 특성이 서로 다른 동해의 각 분지에서 깊이에 따른 수층내 산소 소모율 분포를 1999년 여름에 관측된 겉보기 산소 소모량과 프레온-12 분압 나이를 이용하여 계산한 후, 200~2000 m 수심구간에서 지수함수로 표현하였다. 계산된 산소 소모율은 일반적으로 상층 수심에서 높고 수심이 깊어짐에 따라 감소하는 경향을 보였다. 산소 소모율은 서부와 동부 일본 분지에서 뚜렷한 차이를 보이지 않았고, 울릉분지는 표층 영 역(수심 0~200 m)을 포함했을 때와 그렇지 않았을 때 추정치의 차이가 컸으며, 야마토 분지는 저층에서 다른 분지에 비해서 산소 소모율이 굉장히 낮은 값을 보였다. 수심 200~2000 m 사이에서 산소 소모율은 서부 일본 분지에서 8.15~0.83, 동부 일본분지에서 8.11~0.68, 울릉 분지에서 5.29~0.73, 야마토 분지에서 7.31~0.06 ${\mu}mol$ $kg^{-1}$ $yr^{-1}$을 보였다. 향후, 기후 변화와 관련하여 겨울철 표층해수역의 산소 불포화도를 고려한 산소 소모율 추정이 요구된다.

• Ocean Science Journal
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• 제43권1호
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• pp.39-48
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• 2008

Tritium ($^3H$ or T) has been produced mostly by atmospheric nuclear weapon tests, and entered the ocean in the form of water (HTO). As tritium exists as water itself, it has been regarded as an ideal tool to study the transport of water masses. In April 2001 we collected water samples in the western Japan Basin (WJB) for tritium and helium measurement. The timely sampling provided direct evidence of the bottom water formation, resulting in the drastic increase in tritium concentration from 0.3 TU in 2000 to 0.67 TU in 2001. Considering that the new bottom waters were found mostly in the WJB, it implies that maximum 1% of the whole bottom layer below 2600 m should be replaced with the surface water during the severely cold winter 2000 2001. $^3H-^3He$ age, showing the elapsed time since the water left from the surface, can be used to calculate oxygen utilization rate by dividing AOU by the age. Under the condition of 90% oxygen saturation in the surface water, the integration of OUR in the water column below 200 m yields net oxygen consumption of 12 mol $(O_2)m^{-2}yr^{-1}$, which corresponds to the export production of $99\;g\;C\;m^{-2}yr^{-1}$. This estimate is comparable to a previous estimate based on satellite data and implies that the ratio of export to primary production(f-ratio) is as high as 0.5 in the WJB.

• The Journal of Asian Finance, Economics and Business
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• 제7권9호
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• pp.659-672
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• 2020

The outbreak of a recent strain of Coronavirus, known as 'COVID-19', has spread sharply from China across the globe, resulting in a dramatic recession in the global economy. This uncertainty has therefore negatively influenced the business perspective and the various formulated strategies that may not considered such [extreme] circumstances. Using baseline analysis and archival data, this paper reports some of the major implications of COVID-19 on global business and strategy and puts forward suggested research agenda as potential future directions for organizations. In order to survive and remain sustainable, this paper argues that businesses need to revisit their strategies during current COVID-19 crises from three perspectives, including supporting human resources financial commitment, forming cross-functional teams and connecting with their supply chains, as well as investing in corporate social responsibility and doubling down efforts with regard to partnerships. The study also represents a preliminary analysis to the implications of COVID-19 on the business and strategies across the globe and is considered the first such in the field of business, as to date all research papers on COVID-19 have been published in medical-related journals. Directions for future research are also proposed at the end of this study.

• Ocean and Polar Research
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• 제32권3호
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• pp.291-297
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• 2010

In the summer of 2008 (August 4-14), vertical and horizontal distributions of inorganic nutrients and dissolved organic carbon (DOC) were measured in the southwestern East Sea. Concentrations of DOC were determined for the first time in the southwestern East Sea using the high-temperature combustion oxidation (HTCO) method, and results were compared with those measured by another laboratory. Concentrations of DOC ranged from 58 to 104 ${\mu}M$ in the upper 200 m, showing a typical decreasing pattern with depth. Generally, concentrations of DOC were relatively lower, with higher nutrient concentrations, in the upper layer of the coastal upwelling zone. Concentrations of DOC ranged from 54 to 64 ${\mu}M$ in the deep Ulleung Basin (200-1500 m), and were higher than those in the Pacific and Atlantic oceans. In association with rapid vertical ventilation of the euphotic, this difference indicates a larger accumulation of semi-labile DOC in the deep East Sea than in the major oceans. A correlation between apparent oxygen utilization (AOU) and DOC in the deep ocean of the East Sea revealed that only a small portion (<10%) of the sinking DOC, relative to the sinking particulate organic carbon (POC), contributes to microbial degradation. Our results present an important data set of DOC in the East Sea, which plays a critical role in carbon cycle modeling and sequestration.

• 한국전문물리치료학회지
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• 제18권2호
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• pp.67-75
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• 2011

The purpose of this study was to investigate the effects of virtual reality (VR) therapy with compensation inhibition and feedback (CIF) on upper extremity function in chronic stroke patients. Seven chronic stroke patients participated in this study, which was a randomized controlled trial with a crossover design. Self upper extremity exercise, conservative VR therapy, and VR therapy with CIF were performed for one hour per session, 5 times per week, over a 3 week period. The main outcome measures involved range of motion (ROM) including shoulder, elbow, and wrist joints, a Manual Function Test (MFT), and a Motor Activity Log (MAL). Data were calculated as posttest and pretest changes in every session and were analyzed using Friedman and Wilcoxon signed-rank tests at p<.05. The results were as follows: 1) Statistically significant increase in ROM measurements of shoulder and elbow joints were seen with VR therapy with CIF compared to VR therapy and self upper extremity exercise (p<.05), whereas no significant increasing was noted for the wrist joint (p>.05). 2) Statistically significant increase in the MFT was seen with VR therapy with CIF compared with VR therapy and self upper extremity exercise (p<.05). 3) VR therapy with CIF also resulted in statistically significant increase in both activity of use (AOU) (p<.05) and quality of movement (QOM) (p<.05) on the MAL test when compared with VR therapy and self upper extremity exercise, respectively. In conclusion, VR therapy with CIF was more effective than conservative VR therapy and self upper extremity exercise in improving the upper extremity function in hemiplegic patients with chronic stroke.

• 한국환경과학회지
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• 제9권1호
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• pp.1-11
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• 2000

A study on the variational characteristics of water quality and phytoplankton biomass by principal component analysis(PCA) was carried out in Kogum-sudo from February to October in 1993. We analyzed PCA on biological factors such as chlorophyll a and phytoplankton cell numbers for centric and pennate diatoms, phytoflagellates, and total phytoplankton as well as physico-chemical factors as water temperature, salinity, transparency, dissolved oxygen(DO), saturation of DO, apparent oxygen utilization (AOU), chemical oxygen demand(COD), nutrient (ammonia, nitrite, nitrate, phosphate and silicate), N/P ratio and suspended solid(SS). The source of nutrients supply depended on the mineralization of organic matters and inputs of seawater from outside rather than runoff of freshwater. The phytoplankton biomass was changed within short interval period by nutrients change. And it was controlled by the combination of several environmental factors, especially of light intensity, ammonia and phosphate. The marine environmental characteristics were determined by the mineralization of organic matters in winter, by runoff of freshwater including high nutrients concentration in spring, by ammonia uptake and high phytoplankton productivity in summer, and phosphate supplied input seawater from outside of Kogeum-sudo in autumn. And Kogum-sudo was separated with 2 regions by score distributions of PCA. That is to say, one region was middle parts of straits which was characterized by the mixing seawater and the accumulated organic matters, other one region was Pungnam Bay and the water around Kogum Island which was done by high phytoplankyon biomass and productivity year-round.

• 대한물리의학회지
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• 제8권2호
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• pp.271-280
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• 2013

PURPOSE: This study was conducted in chronic hemiplegic patients to examine the effect of the training of the ipsilateral arm that is identical to the model performing movements and the training of the contralateral arm on the function of the arm. METHODS: The subjects were participated total 2 patients(the subject 1 with left hemiplegia and the subject 2 with right hemiplegia). The study was conducted for 4 weeks. The action observation training were repeated 10 times in 10 days during intervention period. The evaluation of the arm function such as BBT, MFT and MAL in the each subject were examined 5 times in the baseline period, 10 times during the intervention period and 5 times during the baseline regression period. RESULTS: The results of the evaluation in each subject were presented as mean values and video graphs. The arm function of the 2 subjects were improved during the intervention period in comparison with the baseline period, and the improvement was maintained even during the regression baseline period. In addition, there were large variation ratio of BBT and MAL (AOU, QOM) in comparison with subject 1. CONCLUSION: According to the results, the action observation training was more effective in improving upper limb function of stroke patients who imitate the performed behavior of paralyed parts on the same side.

• Archives of Plastic Surgery
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• 제47권2호
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• pp.165-170
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• 2020

Background Perforator mapping has been well described in the literature. Once the suprafascial plane is reached, the course of perforators is considered constant. However, the surgeon must be aware of whether an anastomosis exists between perforators superficially to the fascia, in order to choose the best vessel upon which to base the reconstruction. Our retrospective in vivo anatomical study of lower leg perforator flaps presents the first description of variations in the suprafascial path of perforators, which may influence preoperative flap design. Methods An anatomical study of lower limb perforators was performed on 46 nonconsecutive patients who were referred to our department from June 2012 to October 2018. Reconstruction with perforator-based propeller flaps was planned for each of the patients. In total, 72 perforators were preoperatively identified and surgically isolated. The suprafascial course of each perforator was reported. Results During suprafascial surgical exploration, branching patterns were observed in four perforators. These perforators had been classified as single vessels in the preoperative ultrasonographic analysis. However, after surgical dissection, distal converging branches were noted in two of them. Conclusions Our study is the first description in the literature of suprafascial converging perforators, which might constitute an obstacle to planned reconstruction procedures. Despite the accuracy of preoperative evaluations, anatomical variations were present. Knowledge of suprafascial perforator variations may help surgeons to choose the correct perforator upon which to base a planned flap.

• 한국산학기술학회논문지
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• 제12권12호
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• pp.5684-5691
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• 2011

본 연구는 강제유도운동치료와 인지-지각 훈련을 병행하여 환측의 손 기능 변화, 일상생활 과제 수행 시 환측 상지의 사용빈도 변화, 그리고 환측 상지의 움직임의 질적 변화를 알아보고자 하였다. 연구의 대상은 Taub 등 (1999)이 제시한 조건을 만족하고 뇌졸중 발병 후 3개월이 경과하였고 NCSE 또는 MVPT 결과 경도 손상을 보이는 환자 10명을 대상으로 하였다. 중재 방법은 CIMT군은 4주 동안 낮 시간동안에는 변형된 resting arm-splint를 착용하도록 하여 건측 상지의 사용을 제한시켰고, CIMT+CPT군은 CIMT군과 같은 조건에서 인지-지각 훈련을 병행하여 실시하였다. 대조군은 변형된 resting arm-splint를 착용하지 않고 일반적인 작업치료를 받도록 하였다. 그 결과, Jebsen-Taylor Hand Function Test의 먹는 흉내 내기, 크고 가벼운 깡통 옮기기, 그리고 크고 무거운 깡통 옮기기 항목에서 CIMT+CPT군이 가장 큰 변화량을 보였으며 CIMT군도 CTL군과 비교하여 더 많은 호전을 보였다. 각 집단 간의 Motor Activity Log의 환측 상지의 사용빈도에 대한 변화량은 통계학적으로 유의한 차이를 보였다(p<.05). 집단 간의 환측 상지의 움직임의 질적 향상에 대한 변화량은 CIMT군과 CIMT+CPT군 모두 CTL군보다 통계학적으로 유의한 차이를 보였다(p<.05). 따라서 인지 지각 능력의 경도 손상을 가지고 있는 뇌졸중 환자에게 실시한 강제유도운동치료는 환측의 손 기능 향상과 일상생활 과제 수행 시 환측 상지의 사용 빈도와 움직임의 질적 향상에 효과를 보였고, 강제유도운동치료와 인지-지각 훈련을 병행하였을 때 더 큰 시너지 효과를 보였다.