• Title/Summary/Keyword: Moderate Effect

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The Effect of Treadmill Exercise on the Expression of IL-1β in the Spinal Cord in Osteoarthritis Rats (트레드밀 운동이 뼈관절염 흰쥐의 척수 내 IL-1β 발현에 미치는 영향)

  • Park, Soo-Jin;Choi, Young-Chul
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.2
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    • pp.193-200
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    • 2014
  • PURPOSE: This study examined the effects of treadmill exercise of diverse intensities on the expression of IL-$1{\beta}$ (interleukine-$1{\beta}$) in the spinal cord in osteoarthritis rats. METHODS: The authors applied treadmill exercise of diverse intensity for 4 weeks to Sprague-Dawley rats to which intra-articular injection of monosodium iodoacetate(MIA, $3mg/50{\mu}l$, diluted in saline) was applied in the right knee joint to induce osteoarthritis. The four-week exercise was not applied to the control group(CG, n=15), while exercise of applicable intensity was applied to the low-intensity exercise group(LEG, n=15), moderate-intensity exercise group (MEG, n=15), and high-intensity exercise group(HEG, n=15) for four weeks. Observations were made of expression of IL-$1{\beta}$ in the spinal cord in osteoarthritis rats using western blot analysis. RESULTS: There were significant differences(p<.05) in the comparison of expression of IL-$1{\beta}$ in the spinal cord between the four groups involved. And the LEG and MEG had reduced expression of IL-$1{\beta}$ significantly than the CG(p<.05); in particular, the MEG showed the lowest expression. On the other hand, the HEG had more elevated expression of IL-$1{\beta}$ significantly than the CG(p<.05). CONCLUSION: As a result, factors that induce neuropathic pain such as IL-$1{\beta}$ are reduced; thus, the recovery of damaged neurons is improved and neuropathic pain is reduced. Further, when prescribing exercise to treat osteoarthritis patients, exercise of moderate intensity suitable for patients' physical conditions, rather than high intensity, maximizes the effects of this therapy.

Seismic Fragility Evaluation of Cut-and-cover Tunnel (박스형 터널의 지진 취약도 평가)

  • Park, Duhee;Nguyen, Duy-Duan;Lee, Tae-Hyung;Nguyen, Van-Quang
    • Journal of the Korean Geotechnical Society
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    • v.34 no.11
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    • pp.71-80
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    • 2018
  • In this study, the seismic response of cut-and-cover box tunnels is evaluated from pseudo-static analyses and the fragility curves are derived. A series of site profiles were used to evaluate the effect of soil conditions. A total of 20 ground motions were used. The fragility curves were developed as functions of peak ground acceleration for three damage states, which are minor, moderate, and extensive states. The damage indices, defined as the ratio of the elastic moment to the yield moment, correlated to three damage states, were used. The curves are shown to greatly depend on the site profile. The curves are further compared to those derived in previous studies. The widely used empirically derived curves are shown not to account for the site effects, and therefore underestimate the response for soft sites.

Effects of Aerobic Exercise Variables on Production of Creatine Phosphokinase in Stroke Patients

  • Yun, Youngdae
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.1
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    • pp.2295-2301
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    • 2021
  • Background: Physical therapy applied to stroke patients is recognized as a treatment that promotes function recovery, and it is a widely known fact that constant exercise should be performed. However, there are insufficient studies on exercise intensity and exercise time that can minimize side effects and maximize function recovery for exercise therapy. Objectives: To determine the effect of exercise variables on CPK generation during aerobic exercise in stroke patients and to discover how to use appropriate exercise intensity and time when conducting an exercise for function recovery in stroke patients. Design: Quasi-experimental research. Methods: This study classified subjects into three groups (low-intensity exercise group: LIE, moderate-intensity exercise group: MIE and high-intensity exercise group: HIE) according to exercise intensity, and was further classified into two groups (10-minute exercise group: 10MG and 20-minute exercise group: 20MG) according to exercise time variables within each exercise intensity group. After, the change in CPK according to exercise intensity and time was confirmed through hematological analysis. Results: In LIE and MIE, the CPK blood concentrations before and after exercise were increased in 10MG and 20MG, which was not statistically significant (P>.05). In HIE, the CPK blood concentrations before and after exercise were increased in 10MG, and it was statistically significant (P<.05). In HIE, the CPK blood concentrations before and after exercise were increased in 20MG, and it was statistically significant (P<.01). In 10MG and 20MG, the CPK blood concentrations before and after exercises were increased in all intensity group, and there was a statistically significant difference only in HIE. Conclusion: From the results of this study, considering CPK, it will be helpful to recover and improve function if the exercise intensity setting is applied in the type of moderate intensity exercise during physical therapy interventions in stroke patients.

Effect of Manual Acupuncture for Mild-to-Moderate Carpal Tunnel Syndrome: A Systematic Review

  • Huh, Jeong Ho;Jeong, Hye In;Kim, Kyeong Han
    • Journal of Pharmacopuncture
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    • v.24 no.4
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    • pp.153-164
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    • 2021
  • Objectives: Despite the low cost and high accessibility of manual acupuncture (MA) treatments for the carpal tunnel syndrome (CTS), this intervention has not been uniformly evaluated in systematic reviews (SR), and no SR has evaluated MA monotherapy for CTS. This review was conducted to summarize the findings and undertake a quality assessment of randomized controlled trials (RCTs) of acupuncture treatment methods for mild-to-moderate CTS to identify clinical evidence for the use of MA in CTS. Methods: We searched five databases for articles on relevant RCTs that were published until June 2021 without imposing specific restrictions, such as age or sex, on CTS patients. RCTs that evaluated MA were included without any restriction on comparator interventions. Measurement tools for evaluating pain reduction and functional improvement or for evaluating efficacy using electrophysiological indicators were included as outcome measures. Results: We included seven RCTs, of which three studies reported both post-treatment improvement effects and statistical significance using p-values for all outcomes. Five studies reported statistically significant intergroup differences (p-values for all outcomes) in posttreatment improvement. None of the studies reported severe adverse effects of MA. In all of the RCTs, the reporting rates of the 2c, 2a, and 6a items of STRICTA 2010 were 14%, 29%, and 29%, respectively. PC7 (Daereung) was used to treat CTS in all of the included studies. Conclusion: MA can be used for CTS treatment without serious adverse effects. PC7 was the most commonly used acupoint. In order to ensure objective and reliable reporting, accurate standardization of acupuncture treatment methods acupoint terms should be undertaken in future RCTs.

Investigating the Effects of Hearing Loss and Hearing Aid Digital Delay on Sound-Induced Flash Illusion

  • Moradi, Vahid;Kheirkhah, Kiana;Farahani, Saeid;Kavianpour, Iman
    • Korean Journal of Audiology
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    • v.24 no.4
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    • pp.174-179
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    • 2020
  • Background and Objectives: The integration of auditory-visual speech information improves speech perception; however, if the auditory system input is disrupted due to hearing loss, auditory and visual inputs cannot be fully integrated. Additionally, temporal coincidence of auditory and visual input is a significantly important factor in integrating the input of these two senses. Time delayed acoustic pathway caused by the signal passing through digital signal processing. Therefore, this study aimed to investigate the effects of hearing loss and hearing aid digital delay circuit on sound-induced flash illusion. Subjects and Methods: A total of 13 adults with normal hearing, 13 with mild to moderate hearing loss, and 13 with moderate to severe hearing loss were enrolled in this study. Subsequently, the sound-induced flash illusion test was conducted, and the results were analyzed. Results: The results showed that hearing aid digital delay and hearing loss had no detrimental effect on sound-induced flash illusion. Conclusions: Transmission velocity and neural transduction rate of the auditory inputs decreased in patients with hearing loss. Hence, the integrating auditory and visual sensory cannot be combined completely. Although the transmission rate of the auditory sense input was approximately normal when the hearing aid was prescribed. Thus, it can be concluded that the processing delay in the hearing aid circuit is insufficient to disrupt the integration of auditory and visual information.

The effect of three-variable viscoelastic foundation on the wave propagation in functionally graded sandwich plates via a simple quasi-3D HSDT

  • Tahir, Saeed I.;Tounsi, Abdelouahed;Chikh, Abdelbaki;Al-Osta, Mohammed A.;Al-Dulaijan, Salah U.;Al-Zahrani, Mesfer M.
    • Steel and Composite Structures
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    • v.42 no.4
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    • pp.501-511
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    • 2022
  • Earthquake Resistant Design Philosophy seeks (a) no damage, (b) no significant structural damage, and (c) significant structural damage but no collapse of normal buildings, under minor, moderate and severe levels of earthquake shaking, respectively. A procedure is proposed for seismic design of low-rise reinforced concrete special moment frame buildings, which is consistent with this philosophy; buildings are designed to be ductile through appropriate sizing and reinforcement detailing, such that they resist severe level of earthquake shaking without collapse. Nonlinear analyses of study buildings are used to determine quantitatively (a) ranges of design parameters required to assure the required deformability in normal buildings to resist the severe level of earthquake shaking, (b) four specific limit states that represent the start of different structural damage states, and (c) levels of minor and moderate earthquake shakings stated in the philosophy along with an extreme level of earthquake shaking associated with the structural damage state of no collapse. The four limits of structural damage states and the three levels of earthquake shaking identified are shown to be consistent with the performance-based design guidelines available in literature. Finally, nonlinear analyses results are used to confirm the efficacy of the proposed procedure.

Evaluation of health screening data for factors associated with peri-implant bone loss

  • Hyunjong Yoo;Jun-Beom Park;Youngkyung Ko
    • Journal of Periodontal and Implant Science
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    • v.52 no.6
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    • pp.509-521
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    • 2022
  • Purpose: Systemic health has a profound effect on dental treatment. The aim of this study was to evaluate peri-implant bone loss and health screening data to discover factors that may influence peri-implant diseases. Methods: This study analyzed the panoramic X-rays of patients undergoing health screenings at the Health Promotion Center at Seoul St. Mary's Hospital in 2018, to investigate the relationship between laboratory test results and dental data. The patients' physical data, such as height, weight, blood pressure, hematological and urine analysis data, smoking habits, number of remaining teeth, alveolar bone level, number of implants, and degree of bone loss around the implant, were analyzed for correlations. Their associations with glycated hemoglobin, glucose, blood urea nitrogen (BUN), creatinine, and severity of periodontitis were evaluated using univariate and multivariate regression analysis. Results: In total, 2,264 patients opted in for dental health examinations, of whom 752 (33.2%) had undergone dental implant treatment. These 752 patients had a total of 2,658 implants, and 129 (17.1%) had 1 or more implants with peri-implant bone loss of 2 mm or more. The number of these implants was 204 (7%). Body mass index and smoking were not correlated with peri-implant bone loss. Stepwise multivariate regression analysis revealed that the severity of periodontal bone loss (moderate bone loss: odds ratio [OR], 3.154; 95% confidence interval [CI], 1.175-8.475 and severe bone loss: OR, 7.751; 95% CI, 3.003-20) and BUN (OR, 1.082; 95% CI, 1.027-1.141) showed statistically significant predictive value. The severity of periodontitis showed greater predictive value than the biochemical parameters of blood glucose, renal function, and liver function. Conclusions: The results of this study showed that periodontal bone loss was a predictor of peri-implant bone loss, suggesting that periodontal disease should be controlled before dental treatment. Diligent maintenance care is recommended for patients with moderate to severe periodontal bone loss.

Trace Metal Distribution and Ecological Risk Assessment in Marine Sediments from the Southeast Coastal Areas of Korea (남동해 연안 퇴적물 내 미량금속 분포 및 생태위해도 평가)

  • Dong-Woon Hwang;Minkyu Choi;Jae-Hyun Lim;In-Seok Lee;Garam Lee;Sujin Na
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.56 no.4
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    • pp.438-448
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    • 2023
  • The concentrations of trace metals and organic matters in marine sediments collected from southeast Korean coastal areas were investigated. The primary purpose of this study was to evaluate the contamination status, spatial distribution and potential ecological risks associated with the physiochemical composition in the studied areas. We found that the concentrations of trace metals in marine sediments were as follows: Fe > Mn > Zn > Cr > Pb > Cu > As > Cd > Hg. According to the sediment quality guidelines (SQGs) of Korea, concentrations of Zn, Cr, Cu and Cd at all sampling sites were below threshold effect levels (TEL). However, concentrations of As, Hg, and Pb (i.e., at the 94-98% of sampling sites), were below the TEL. In addition, concentration factors (CF) in the surveyed area were found to be associated with low ecological risks, whereas As, Hg, and Cu showed moderate to high risk levels in some inner parts of the studied bays. Finally, the pollution load index (PLI) and ecological risk index (ERI) of the elucidated metals were linked to moderate ecological risk, pointing to the possibility of being deleterious to some benthic organisms.

Physical Activity and Non-specific Neck Pain Recurrence: A Nationwide Cohort Risk Factor Study Based on National Health Insurance Data (신체활동과 비특이적 목 통증의 재발 -국민건강보험 자료에 기반한 전국 코호트 위험인자 연구-)

  • Mi-ran Goo
    • PNF and Movement
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    • v.22 no.1
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    • pp.101-111
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    • 2024
  • Purpose: The purpose of this study was to investigate physical activity as a risk factor for neck pain recurrence using the National Health Insurance Data Sharing Service that utilizes a nationwide cohort in South Korea. Methods: Medical records spanning a two-year period were extracted from the National Health Insurance database for 541,937 patients who sought healthcare services for neck pain (ICD 10 codes: M54.2) in 2020 and completed the national health examination survey. Selected variables for analysis included age, gender, health insurance premium decile, regional health vulnerability index, body mass index (BMI), acuity, blood pressure, and types of physical activity. A mixed-effect multivariate logistic regression analysis was conducted to examine the recurrence rate of neck pain and identify risk factors for neck pain recurrence. Results: Among the participants, 124,433 patients (23.0%) experienced a recurrence of neck pain within two years, with higher recurrence rates observed among older individuals and females. Regression analysis revealed that the risk of neck pain recurrence increased with age (OR=1.51), being female (OR= 1.10), being a medical aid recipient (OR=1.51), and having anaerobic (OR=1.04) or vigorous physical activities (OR=1.06). By contrast, an increased health insurance premium decile (OR=0.96) and having moderate physical activity (OR=0.97) were associated with a decreased risk of neck pain recurrence. Conclusion: This study highlights the importance of moderate physical activity as an effective strategy for reducing the recurrence of nonspecific neck pain, underscoring the necessity for personalized physical activity programs for patients.

Adjunctive Therapy of Pimecrolimus for Treatment of Facial Discoid Lupus Erythematosus in a Dog

  • Yeonhoo Jung;Moonseok Jang;Rahye Kang;Wanghui Lee;Seongjun Park
    • Journal of Veterinary Clinics
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    • v.41 no.1
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    • pp.49-53
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    • 2024
  • A two-year-old, spayed female, 22.5 kg Pungsan was referred with chronic crusts and erosion on the nose. A referring veterinarian prescribed an anti-inflammatory dose (0.5-1 mg/kg/day) of oral glucocorticoids for 5 months, but skin lesions showed no meaningful improvement. A dermatological evaluation revealed a crust, depigmentation, erosion, and erythematous lesion over the nasal planum with a loss of the normal cobblestone texture. Also, firm and multifocal plaques over the thigh, groin, axilla, and dorsum were detected. A cytology examination on the nose, thigh, groin, axilla, and dorsum revealed moderate neutrophilic inflammation and bacterial infection. Abdominal radiography and ultrasonography revealed subcutaneous calcified materials along the thigh, groin, axilla, and dorsum. Calcinosis cutis was suspected because of the adverse effect of previous prolonged corticosteroid therapy. A histopathology examination of the nose lesion revealed moderate to severe degenerative or apoptotic changes of the basal layer and lymphoplasmacytic interface dermatitis. Facial discoid lupus erythematosus (FDLE) was diagnosed based on the history and the clinical, cytological, and histopathological results. Minocycline (7 mg/kg PO q 12 h) and niacinamide (500 mg/dog PO q 12 h) were prescribed as initial treatment. Glucocorticoids were not administered due to the presence of calcinosis cutis induced by previous corticosteroid treatment. After 6 weeks of treatment, the clinical signs on the nose were mildly improved. At this time, topical 1% pimecrolimus cream (twice daily) was initiated, while minocycline and niacinamide were continued at the same dose. The nasal planum markedly improved after 6 weeks of additional treatment, hence minocycline and niacinamide were prescribed for an additional 2 weeks and stopped, and the patient was continued solely on topical pimecrolimus. The dog's skin lesion has been maintained in clinical remission with topical 1% pimecrolimus twice daily for more than 5 months.