• Title/Summary/Keyword: comprehensive failure criteria

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Sports Biomechanical Analysis before and after Applying Weight Belt during Squat Exercise (스쿼트 동작 시 웨이트 벨트 착용 전·후에 따른 운동역학적 분석)

  • LEE, Jeong-Ki;HEO, Bo-Seob;KIM, Yong-Jae;LEE, Hyo-Taek
    • Journal of Fisheries and Marine Sciences Education
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    • v.28 no.4
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    • pp.893-902
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    • 2016
  • The purpose of this study is to investigate the effect of wearing a weightlifting belt, which is an auxiliary equipment used during squat, by measuring and analyzing biomechanical difference in lower limb and proposing safer and to suggest a more effective exercise method for general population. Selected 8 male participants in their 20s who have not performed regular resistance exercise for at least a year, but have experience of performing squat. The comprehensive method of study is as follows: subjects were notified of the purpose of the study and were told to practice warm-up and the squat motion for the experiment for 20 minutes. When the participant believed they were ready to begin, the experiment was started. At controlled points, foot pressure distribution sensor has been installed. Then left and right feet have been placed on the pressure distribution sensor, from which data for successful squat position that does not satisfy the criteria for failure have been collected and computed with Kwon3D XP program and TPScan program. For data processing of this study, SPSS 21.0 was used to calculated mean (M) and standard deviation (SD) of the analyzed values, and paired t-test has been conducted to investigate the difference before and after wearing the weightlifting belt, with p-value of ${\alpha}<.05$. As for time consumed depending on usage of weightlifting belt in squat, statistically significant difference has been found in P2, which is recovery movement. Lower limb angle depending on usage of weightlifting belt in squat has shown statistically significant difference in E1 foot joint(p<. 001). There has been statistically significant difference in E2 knee joint. Foot pressure percentage depending on usage of weightlifting belt in squat were found to be statistically significant (p<. 01) in both regions of anterior and posterior foot.

Definitive Closure of the Tracheoesophageal Puncture Site after Oncologic Laryngectomy: A Systematic Review and Meta-Analysis

  • Escandon, Joseph M.;Mohammad, Arbab;Mathews, Saumya;Bustos, Valeria P.;Santamaria, Eric;Ciudad, Pedro;Chen, Hung-Chi;Langstein, Howard N.;Manrique, Oscar J.
    • Archives of Plastic Surgery
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    • v.49 no.5
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    • pp.617-632
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    • 2022
  • Tracheoesophageal puncture (TEP) and voice prosthesis insertion following laryngectomy may fail to form an adequate seal. When spontaneous closure of the fistula tract does not occur after conservative measures, surgical closure is required. The purpose of this study was to summarize the available evidence on surgical methods for TEP site closure. A comprehensive search across PubMed, Web of Science, SCOPUS, and Cochrane was performed to identify studies describing surgical techniques, outcomes, and complications for TEP closure. We evaluated the rate of unsuccessful TEP closure after surgical management. A meta-analysis with a random-effect method was performed. Thirty-four studies reporting on 144 patients satisfied inclusion criteria. The overall incidence of an unsuccessful TEP surgical closure was 6% (95% confidence interval [CI] 1-13%). Subgroup analysis showed an unsuccessful TEP closure rate for silicone button of 8% (95% CI < 1-43%), 7% (95% CI < 1-34%) for dermal graft interposition, < 1% (95% CI < 1-37%) for radial forearm free flap, < 1% (95% CI < 1-52%) for ligation of the fistula, 17% (95% CI < 1-64%) for interposition of a deltopectoral flap, 9% (95% CI < 1-28%) for primary closure, and 2% (95% CI < 1-20%) for interposition of a sternocleidomastoid muscle flap. Critical assessment of the reconstructive modality should take into consideration previous history of surgery or radiotherapy. Nonirradiated fields and small defects may benefit from fistula excision and tracheal and esophageal multilayer closure. In cases of previous radiotherapy, local flaps or free tissue transfer yield high successful TEP closure rates. Depending on the defect size, sternocleidomastoid muscle flap or fasciocutaneous free flaps are optimal alternatives.

Effects of Exercise on Endothelial Progenitor Cells in Cardiovascular Disease Patients: A Systematic Review (운동중재가 심혈관질환자의 혈관내피전구세포에 미치는 영향: 체계적 문헌고찰)

  • Kim, Ahrin;Yang, In-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.366-379
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    • 2017
  • In this study, we performed a systematic review and meta-analysis to identify the effects of exercise on endothelial progenitor cells (EPCs) in patients with cardiovascular disease (CVD). We conducted database searches (Cochrane Library, PubMed, EMBASE, ScienceDirect, CINAHL, Scopus, KoreaMed, KISS, RISS, KMBASE) for the effect of exercise on cardiovascular disease, using heart disease, coronary artery disease, heart failure, cardiovascular disease, exercise, motor activity, rehabilitation, and endothelial progenitor cells as the keywords. Of the 539 studies identified, 9 met the inclusion and exclusion criteria. Comprehensive Meta-Analysis version 2.0 was used to analyze the effect size and the publication bias was checked with a funnel plot. Exercise was found to improve the VEGF (vascular endothelial growth factor), CD34+KDR+, and endothelial function, assessed via FMD (flow-mediated dilation), in the exercise vs. control groups, viz. 2.008 (95% CI 0.204-3.812), 1.399 (95% CI 0.310-2.489), and 1.881 (95% CI 0.848-2.914), respectively. Exercise improved the VEGF, number of EPCs, and endothelial function in the CVD patients. Considering the increasing prevalence and mortality rates for cardiovascular disease in Korea, the findings of this study that analyzed the effects of exercise on EPCs might provide guidelines for planning exercise interventions for patients with CVD.