• Journal of Korean Neurosurgical Society
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• v.67 no.2
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• pp.137-145
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• 2024

In adult spinal deformity (ASD) surgery, mechanical failure (MF) has been a significant concern for spine surgeons as well as patients. Despite earnest endeavors to prevent MF, the absence of a definitive consensus persists, owing to the intricate interplay of multifarious factors associated with this complication. Previous approaches centered around global spinal alignment have yielded limited success in entirely forestalling MF. These methodologies, albeit valuable, exhibited limitations by neglecting to encompass global balance and compensatory mechanisms within their purview. In response to this concern, an in-depth comprehension of global balance and compensatory mechanisms emerges as imperative. In this discourse, the center of gravity and the gravity line are gaining attention in recent investigations pertaining to global balance. This narrative review aims to provide an overview of the global balance and a comprehensive understanding of related concepts and knowledge. Moreover, it delves into the clinical ramifications of the contemporary optimal correction paradigm to furnish an encompassing understanding of global balance and the current optimal correction strategies within the context of ASD surgery. By doing so, it endeavors to furnish spine surgeons with a guiding compass, enriching their decision-making process as they navigate the intricate terrain of ASD surgical interventions.

• Journal of International Academy of Physical Therapy Research
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• v.10 no.3
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• pp.1849-1855
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• 2019

Background: Stroke patients require arm movement exercising for various stimulations in standing position for various stimulations rather than in a sitting position because they require integrated skillful movements, such as stretching, holding, and controlling. Objective: This study was conducted to provide foundational clinical data about lower limb global synkinesis in stroke patients using arm movements in a standing position. Design: Randomized controlled trial. Methods: The subjects were divided into a control group (n = 10) and an experimental group (n = 10), and a pre-test was conducted to evaluate leg global synkinesis (GS) and balance. Intervention method is stretching an arm to hold a ball, repeating supination and pronation of the hand only while maintaining the arm extended as much as possible, repeating shoulder abduction and adduction while holding the pegboard. This was followed by a three-week intervention during which re-measurement was conducted in the same way as was done for the pre-test. Results: The control group showed a significant difference in GS and balance during plantar flexion (p<.05), and the experimental group showed a significant difference in GS and balance during all movements (p<.05, p<.01, respectively). There was a significant difference in GS and balance between the two groups during dorsiflexion (p<.05, p<.01, respectively). Conclusion: The findings demonstrate that human arm movements in a standing position can reduce GS in the affected limb, and balance can be improved by stimulating the surrounding tissues of the affected limb and changing them positively.

• Atmosphere
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• v.16 no.2
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• pp.111-124
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• 2006

This study examines seasonal variability of the surface energy balance at the King Sejong Station, Antarctica, using measurements and estimates of the components related to the balance for the period of 1996 to 2004. Annual average of downward shortwave radiation at the surface is 81 $Wm^{-2}$ which is 37% of the extraterrestrial value, with the monthly maximum of 188 $Wm^{-2}$ in December and the minimum of 8 $Wm^{-2}$ in June. These values are relatively smaller than those at other stations in Antarctica, which can be attributed to higher cloudy weather conditions in Antarctic front zone. Surface albedo varies between ~0.3 in the austral summer season and ~0.6 in the winter season. As a result, the net shortwave radiation ranges from 117 $Wm^{-2}$ down to 3 $Wm^{-2}$ with annual averages of 43 $Wm^{-2}$. Annual average of the downward longwave radiation shows 278 $Wm^{-2}$, ranging from 263 $Wm^{-2}$ in August to 298 $Wm^{-2}$ in January. The downward longwave radiation is verified to be dependent strongly on the air temperature and specific humidity, accounting for 74% and 79% of the total variance in the longwave radiation, respectively. The net longwave radiation varies between 25 $Wm^{-2}$ and 40 $Wm^{-2}$ with the annual averages of 30 $Wm^{-2}$. Accordingly, the annual average energy balance is dominated by radiative warming of a positive net all-wave radiation from September to next March and radiative cooling of a negative net all-wave radiation from April to August. The net all-wave radiative energy gain and loss at the surface is mostly balanced by turbulent flux of sensible and latent heat. The soil heat flux is of negligible importance in the surface energy balance.

• Physical Therapy Rehabilitation Science
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• v.3 no.1
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• pp.27-32
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• 2014

Objective: The aim of this study was to compare the radial bone strength, sitting balance ability and global self-esteem of wheelchair martial arts practitioners and healthy control participants. Design: Cross-sectional study. Methods: Nine wheelchair martial art practitioners with physical disabilities and 28 able-bodied healthy individuals participated in the study. The bone strength of the distal radius was assessed using the Sunlight Mini-Omni Ultrasound Bone Sonometer; sitting balance was quantified using the modified functional reach test (with reference to a scale marked on the wall); and the self-administered Rosenberg self-esteem (RSE) scale was used to measure the global self-esteem of the participants. The velocity of the ultrasound wave (speed of sound, m/s) traveling through the outer surface of the radial bone was measured and was then converted into a T-score and a Z-score. These ultrasound T-score and Z-score that represent bone strength; the maximum forward reaching distance in sitting (cm) that represents sitting balance; and the RSE total self-esteem score that indicates global self-esteem were used for analysis. Results: The results revealed that there were no statistically significant between-group differences for radial bone-strength, maximum forward reaching distance, or self-esteem outcomes. Conclusions: The wheelchair martial arts practitioners had similar radial bone strength, sitting balance performance and self-esteem to able-bodied healthy persons. Our results imply that wheelchair martial arts might improve bone strength, postural control and self-esteem in adult wheelchair users. This new sport-wheelchair martial arts-might be an exercise option for people with physical disabilities.

• Physical Therapy Korea
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• v.15 no.1
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• pp.86-95
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• 2008

The Pediatric Balance Scale (PBS) is a modified Berg's Balance Scale developed as a balance measure for school-aged children with mild to moderate motor impairments. The purpose of this study was to determine the inter-examiner reliability of the Korean version of PBS when applied to children with developmental delays. In this study, PBS was administrated to a total of 79 children with developmental delays (17 with global developmental delay, 31 with cerebral palsy, and 31 with mental retardation) in the Seoul Community Rehabilitation Center. Two pediatric trained physical therapists with longer than 13 year of clinical experience scored the children's performance blind, while replaying videotaped data. The inter-examiner reliability was statistically determined by intraclass correlation coefficients (ICCs). The results of this study revealed that the Korean version of PBS seems to have high inter-examiner reliability when applied to children with movement disorders such as global developmental delay (ICC=.96) and cerebral palsy (ICC=.97); however, it has relatively lower inter-examiner reliability (ICC=.78) for children with developmental delay secondary to mental retardation. therefore, the results support that the Korean version of the PBS could be a useful clinical measurement to assess the balance skills for children with developmental delay who have an adequate level of cognition to enable them to fol1ow the verbal instructions to complete the test.

• Journal of Environmental Science International
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• v.24 no.6
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• pp.721-729
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• 2015

Surface heat balance of the Gangjeong-Goryung Reservoir is analyzed for 12-17 August 2013. Each flux elements at the water surface is derived from the special field observations with application of an aerodynamical bulk method for the turbulent heat fluxes and empirical formulae for the radiation heat fluxes. The rate of heat storage in the reservoir is estimated by using estimated by surface heating rate and the vertical water temperature data. The flux divergence of heat transport is estimated as a residual. The features of the surface heat balance are almost decided by the latent heat flux and the solar radiation flux. On average for 12-17 August 2014 in the Gangjeong- Goryung Reservoir, if one defines the insolation at the water surface as 100 %, 94 % is absorbed in the reservoir; thereafter the reservoir loses about 30~50% by sensible heat, latent heat and net long-wave radiation. The residue of 50~80 % raises the water temperature in the reservoir or transported away by the river flow during the daytime.

• Journal of Information Processing Systems
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• v.17 no.2
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• pp.213-226
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• 2021

Given that most of the link prediction algorithms for signed social networks can only complete sign prediction, a novel algorithm is proposed aiming to achieve both link prediction and sign prediction in signed networks. Based on the structural balance theory, the local link tightness and global link tightness are defined respectively by using the structural information of paths with the step size of 2 and 3 between the two nodes. Then the total similarity of the node pair can be obtained by combining them. Its absolute value measures the possibility of the two nodes to establish a link, and its sign is the sign prediction result of the predicted link. The effectiveness and correctness of the proposed algorithm are verified on six typical datasets. Comparison and analysis are also carried out with the classical prediction algorithms in signed networks such as CN-Predict, ICN-Predict, and PSNBS (prediction in signed networks based on balance and similarity) using the evaluation indexes like area under the curve (AUC), Precision, improved AUC', improved Accuracy', and so on. Results show that the proposed algorithm achieves good performance in both link prediction and sign prediction, and its accuracy is higher than other algorithms. Moreover, it can achieve a good balance between prediction accuracy and computational complexity.

• Journal of Korea Water Resources Association
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• v.34 no.5
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• pp.511-519
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• 2001

Global warming has begun since the industrial revolution and it is getting worse recently. Even though the increase of greenhouse gases such as $CO_2$is thought to be the main cause for glogal warming, its impact on global climate has not been revealed clearly in rather quantitative manners. The objective of this research is to predict the hydrological environment changes in the Daechung Dam basin due to the global warming. A mesoscale atmospheric/hydrologic model (IRSHAM96 model) is used to predict the possible changes in precipitation and temperature in the Daechun Dam basin. The simulation results of IRSHAM96 model and a conceptual water balance model are used to analyze the changes in soil moisture, evapotranspiration and runoff in the Daechung Dam basin. From the simulation results using the water balance model for 1x$CO_2$and 2x$CO_2$situations, it has been found that the runoff would be decreased in dry season, but increased in wet season due to the global warming. Therefore, it is predicted that the frequency of drought and flood occurrences in the Daechung Dam basin would be increased in 2x$CO_2$condition.

• Journal of Korean Neurosurgical Society
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• v.60 no.5
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• pp.560-566
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• 2017

Objectvie : The global sagittal postural patterns as characterized by Roussouly classification have been previously described in various ethnicities, there were no studies investigated in Koreans. To analyze the distribution of the global sagittal postural patterns in Korean adults using Roussouly classification, the author prospectively studied. Methods : 252 asymptomatic Korean adults was recruited. Data was obtained by reviewing the films for each subject. Spinopelvic parameters were measured and sagittal postural patterns were then determined according to Roussouly classification. We compared the data across different ethnicities from our study and a previous study to further characterize Korean sagittal postures. Results : The subject included 151 males and 101 females, with mean age of $33.2{\pm}8.2years$. The average descriptive results were as below : thoracic kyphosis $28.6{\pm}7.7^{\circ}$, lumbar lordosis $48.3{\pm}10.2^{\circ}$, sacral slope $37.8{\pm}5.8^{\circ}$, pelvic incidence $45.1{\pm}7.5^{\circ}$, pelvic tilt $9.4{\pm}6.7^{\circ}$, spinosacral angle $130.1{\pm}5.4^{\circ}$, and sagittal vertical axis $16.25{\pm}22.5mm$. 125 subjects among 252 (49.6%) belonged to Roussouly type 3 (namely neutral). There were also 58 (23%), 33 (13.1%), and 36 (14.3) subjects in type 1, 2, and 4 (namely non-neutral), respectively. Conclusion : Enrolling 252 asymptomatic Korean adults, this prospective study found that 49.6% of asymptomatic Korean adults possessed a sagittal posture of Roussouly type 3. All radiologic parameters follows general concept of spinal sagittal balance pattern. Overall, this study might be a basis for further investigation of spinal sagittal balance.

• Journal of the Korean Society of Physical Medicine
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• v.17 no.1
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• pp.85-92
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• 2022

PURPOSE: This study aimed to analyze the effects of task exercise on an unstable surface on the involuntary arm and leg movement and balance in stroke patients. METHODS: 20 stroke patients were clinically sampled and randomly assigned to two groups of 10 patients each. Experimental group I received task exercise intervention on an unstable surface and experimental group II received task exercise intervention. The interventions were carried out 3 times a week for 4 weeks (30 minutes per session). The global synkinesis (GS) and Berg Balance Scale (BBS) of the patients were evaluated as pre-tests prior to intervention, and then the post-tests were re-measured in the same manner as the pre-tests after a 4-week intervention period. RESULTS: In the experimental group I, there were statistically significant differences in the changes in the arm and leg GS (p < .01) and in the BBS (p < .05). On the other hand, in the experimental group II, there were statistically significant differences in the changes only in the arm GS (p < .01) and in the BBS (p < .05). Also, in the comparison of the changes between the two groups, there was a statistically significant difference in the changes in the leg GS only (p < .05). CONCLUSION: In the experimental group I, the arm and leg GS were statistically significantly reduced, but the balance ability was statistically significantly improved. The reason was that in the experimental group I, similar movements of the paralyzed arm were promoted due to the double-task exercise on the unstable surface, and sensory feedback and posture strategies were well utilized in the legs, which was found to be effective in reducing the GS and improving the balance ability. Therefore, based on these results, the double-task exercise on an unstable surface should be fully utilized for the rapid rehabilitation of stroke patients.