• Title/Summary/Keyword: dominant arm

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Intraoperative Vertebral Artery Angiography to Guide C1-2 Transarticular Screw Fixation in a Patient with Athetoid Cerebral Palsy

  • Chung, Jong-Chul;Jung, Sung-Sam;Park, Ki-Seok;Ha, Ho-Gyun
    • Journal of Korean Neurosurgical Society
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    • v.51 no.3
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    • pp.177-181
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    • 2012
  • We present a case of an athetoid cerebral palsy with quadriparesis caused by kyphotic deformity of the cervical spine, severe spinal stenosis at the cervicomedullary junction, and atlantoaxial instability. The patient improved after the first surgery, which included a C1 total laminectomy and C-arm guided righ side unilateral C1-2 transarticular screw fixation. C1-2 fixation was not performed on the other side because of an aberrant and dominant vertebral artery (VA). Eight months after the first operation, the patient required revision surgery for persistent neck pain and screw malposition. We used intraoperative VA angiography with simultaneous fluoroscopy for precise image guidance during bilateral C1-2 transarticular screw fixation. Intraoperative VA angiography allowed the accurate insertion of screws, and can therefore be used to avoid VA injury during C1-2 transarticular screw fixation in comorbid patients with atlantoaxial deformities.

A Case of Facioscapulohumeral Muscular Dystrophy Confirmed by Genetic Analysis (유전자분석으로 진단한 얼굴어깨위팔근육디스트로피 1예)

  • Lee, Seok-Ho;Ki, Chang-Seok;Lee, Seung-Chul;Park, Jin-Seok;Koh, Seong-Ho;Lee, Kyu-Yong
    • Annals of Clinical Neurophysiology
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    • v.10 no.1
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    • pp.66-69
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    • 2008
  • Facioscapulohumeral muscular dystrophy (FSHD), the third most common inherited muscular dystrophy, is an autosomal dominant disease characterized by progressive weakness and wasting of the facial, shoulder-girdle, upper arm, foot extensor, and pelvic girdle muscles. FSHD is caused by contraction of the polymorphic D4Z4 repeat in the subtelomere of chromosome 4q. However, there has been no report of genetically confirmed FSHD in Korea. We report a patient with FSHD who was found to have a deletion of D4Z4 repeat on chromosome 4q35.

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Aerosol Indirect Effect Studies derived from the Ground-based Remote Sensings (지상원격탐사를 이용한 에어러솔 간접효과 연구)

  • Kim Byung-Gon;Kwon Tae-Young
    • Journal of Korean Society for Atmospheric Environment
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    • v.22 no.2
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    • pp.235-247
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    • 2006
  • Aerosol indirect radiative forcing of climate change is considered the most uncertain forcing of climate change over the industrial period, despite numerous studies demonstrating such modification of cloud properties and several studies quantifying resulting changes in shortwave radiative fluxes. Detection of this effect is made difficult by the large inherent variability in cloud liquid water path (LWP): the dominant controlling influence of LWP on optical depth and albedo masks any aerosol influences. Here we have used ground-based remote sensing of cloud optical depth (${\tau}_c$) by narrowband radiometry and LWP by microwave radiometry to determine the dependence of optical depth on LWP, thereby permitting examination of aerosol influence. The method is limited to complete overcast conditions with liquid-phase single layer clouds, as determined mainly by millimeter wave cloud radar. The results demonstrate substantial (factor of 2) day-to-day variation in cloud drop effective radius at the ARM Southern Great Plains site that is weakly associated with variation in aerosol loading as characterized by light-scattering coefficient at the surface. The substantial scatter suggests the importance of meteorological influences on cloud drop size as well, which should be analyzed in the further intensive studies. Meanwhile, it is notable that the decrease in cloud drop effective radius results in marked increase in cloud albedo.

Effect of Conventional Transcutaneous Electrical Nerve Stimulation on Plasma $\beta-endorphin$ Level (고빈도-저강도 경피신경전기자극이 혈장 $\beta-endorphin$ 농도에 미치는 영향)

  • Lee Jae-Hyoung;Pack Chun-Seo;Kang Jung-Koo
    • The Journal of Korean Physical Therapy
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    • v.5 no.1
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    • pp.39-46
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    • 1993
  • The purpose of this study was to examine the effect and $\beta-endorphin$ level as conventional transcutaneous electrical nerve stimulation (TENS) application on acupuncture paints. Twelve healthy adult male volunteers were participated in this study. The subjects were assigned to TENS group (n=6) and naloxone group (n=6). The LI 3 and M 10 meridian points of dominant arm were stimulated comfortably with 100 pps, $75{\mu}s$ conventional TENS for 30 minutes. Experimental pain threshold measurement and plasma $\beta-endorphin$ level were detected before and after conventional TENS application. Experimental pain threshold increased significantly (p<.01) but plasma $\beta-endorphin$ level was not change in TENS group. Experimental pain threshold increased significantly (p<.01) but plasma $\beta-endorphin$ level was not change in naloxone group. In this study, the conventional TENS induced analgesic effect, and plama $\beta-endorphin$ level was not increase concomitantly with analgesia. These results suggest that the $\beta-endorphin$ did not involved in conventional TENS analgesia.

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Changes in Sympathetic Nervous System Responses of Healthy Adult Women with Changes in the Stimulus Intensity of High Frequency Transcutaneous Electrical Nerve Stimulation (고빈도 경피신경전기자극의 자극강도에 따른 정상 성인여성 교감신경성 반응의 변화)

  • Choi, Yoo-Rim;Lee, Jeong-Woo
    • The Journal of Korean Physical Therapy
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    • v.22 no.1
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    • pp.61-66
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    • 2010
  • Purpose: The purpose of this study was to investigate the change in sympathetic nervous system responses of healthy adult women with changes in stimulus intensity of high frequency transcutaneous electrical nerve stimulation. Methods: Twenty-four healthy subjects (women) received high frequency electrical stimulation of the forearm. The subjects were randomly assigned to one of two groups; a low intensity stimulation group (n=12) and a high intensity stimulation group (n=12). The electrode attachment was arranged on the forearm of the dominant arm and the electricity stimulus time was 20 minutes. Measured items included skin conductance, pulse rate, skin temperature, and respiration rate. Each was measured at 4 times. Results: Skin conductance and skin temperature showed significant group by time interactions, though there were no significant group and time effects. There were no significant differences according to time, group effect, and a group by time interaction in pulse and respiration rates. Conclusion: High frequency and high intensity electrical stimulation may be helpful for the improvement of sudomotor function through the activation of the sympathetic nervous system. Also, high frequency and low intensity electrical stimulation may be helpful for the reduction of sudomotor function via inhibition of the sympathetic nervous system.

Change in Autonomic Nerve Responses after Low-frequency Transcutaneous Electrical Nerve Stimulation

  • Lee, Jeong-Woo;Park, Ah-Rong;Hwang, Tae-Yeon
    • The Journal of Korean Physical Therapy
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    • v.22 no.6
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    • pp.71-76
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    • 2010
  • Purpose: The purpose of this study was to examine changes in autonomic nerve responses after low-frequency transcutaneous electrical nerve stimulation (TENS). Methods: Research subjects were 24 students who attend University. Subjects were divided into two groups: 1 = a low intensity group; 2 = a high intensity group. Electrodes were attached to the forearm of the dominant arm and electrical stimuli were administered for 15 minutes. Outcome measures were skin conduction velocity, skin temperature, blood flow, and pulse frequency, each of which was measured a total of 4 times. The data were analyzed using a repeated measures ANOVA. Results: In changes in conduction velocity, the main effect of time variation (in black) was statistically significant. The interaction between time and group main effects was not statistically significant; nor was the difference between the groups. Results showed that skin conduction velocity changed without any relation to group. Conclusions: Low frequency TENS selectively increases skin conduction velocity, which may be helpful for activating sudomotor function regardless of intensity.

Prevalence of MSDs and Postural Risk Assessment in Floor Mopping Activity Through Subjective and Objective Measures

  • Naik, Gouri;Khan, Mohammed Rajik
    • Safety and Health at Work
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    • v.11 no.1
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    • pp.80-87
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    • 2020
  • Background: Residential and commercial cleaning is a part of our daily routine to maintain sanitation around the environment. Health care of professionals involved in such cleaning activities has become a major concern all over the world. The present study investigates the risk of musculoskeletal disorders in professional cleaners involved in floor mopping tasks. Methods: A cross-sectional study was performed on 132 mopping professionals using a modified Nordic questionnaire. The Pearson correlation test was implemented to study the association of perceived pain with work experience. The muscle strain and postural risk were evaluated by means of three-channel electromyography and real-time motion capture respectively of 15 professionals during floor mopping. Results: Regarding musculoskeletal injuries, risk was reported majorly in the right hand, lower back, left wrist, right shoulder, left biceps, and right wrist of the workers. Work experience had a low negative association with MSDs in the left wrist, right wrist, right elbow, lower back, and right lower arm (p < 0.01). Surface EMG showed occurrence of higher muscle activity in upper trapezius and biceps brachii (BB) muscles of the dominant hand and flexor carpi radialis and BB muscles of the nondominant hand positioned at the upper and lower portion of the mop rod, respectively. Conclusion: Ergonomic mediations should be executed to lessen the observed risk of musculoskeletal injuries in this professional group of workers.

Effects of ipsilateral and contralateral loading on lower extremity muscle activity during one leg standing (한발서기 동안 동측, 반대측 방향의 상지부하가 다리근육의 근활성도에 미치는 영향)

  • Heo, Jae-seok;Lee, Sang-yeol
    • Journal of Korean Physical Therapy Science
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    • v.27 no.1
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    • pp.34-42
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    • 2020
  • Background: The purpose of this study was to investigate the effects of ipsilateral and contralateral load changes during single-leg standing on the leg muscle activities of healthy people. Design: Randomized controlled trial. Methods: For all the subjects, a load was randomly applied to the ipsilateral or the contralateral side. While the load was applied, the subject raised a hand and then performed single-leg standing for 10 seconds using the dominant side. Results: During single-leg standing, the muscle activity of the gluteus medius, peroneus longus on the supporting side increased statistically significantly when an upper limb load was applied contralaterally, but no statistically significant differences were detected in the muscle activities of the tibialis anterior and the gastrocnemius using a test of within-subjects effects. Conclusion: It can be seen that muscle activities increase during exercise when the amount and frequency of a load are increased and when the same load is applied to different sides of the body. Such muscle activity increases may be applied to change the intensity of exercise when one is in a static posture, such as during single-leg standing.

Correlation of Peak Time Shift in Blood Pressure Waveform and PPG Based on Compliance Change Analysis in RLC Windkessel Model

  • Choi, Wonsuk;Cho, Jin-Ho
    • Current Optics and Photonics
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    • v.1 no.5
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    • pp.529-537
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    • 2017
  • We explored how changes in blood vessel compliance affected the systolic rise time (SRT) of the maximum blood pressure (BP) peak wave and the diastolic fall time (DFT) of the minimal BP peak wave, compared to photoplethysmograpic (PPG) parameters, using a two-compartment, second-order, arterial Windkessel model. We employed earlier two-compartment Windkessel models and the components thereof to construct equivalent blood vessel circuits, and reproduced BP waveforms using PSpice technology. The SRT and DFT values were obtained via circuit simulation, considering variations in compliance (the dominant influence on blood vessel parameters attributable to BP changes). And then performed regression analysis to identify how compliance affected the SRT and DFT. We compared the SRTs and DFTs of BP waves to the PPG values by reference to BP changes in each subject. We confirmed that the time-shift propensities of BP waves and the PPG data were highly consistent. However, the time shifts differed significantly among subjects. These simulation and experimental results allowed us to construct an initial trend curve of individual BP peak time (measured via wrist PPG evaluations at three arm positions) that facilitated accurate individual BP estimations.

Growth Charateristics of Methane-Propane Clathrate Hydrate (메탄-프로판 하이드레이트의 성장 특성에 관한 연구)

  • Lee, Ju-Dong;Lee, Man-Sig;Kim, Young-Seok;Song, Myung-Ho
    • 한국신재생에너지학회:학술대회논문집
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    • 2006.06a
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    • pp.391-394
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    • 2006
  • Growth characteristics of methane-propane clathrate hydrate, growing under different undercooling conditions, was investigated. After the water within pressurized vessel was fully saturated with guest gas molecules by agitation, medium was rapidly undercooled and maintained at the constant temperature. The growth of hydrate was always Initiated with film formations at the upper bounding surface of liquid pool. The visual observation using microscope revealed detailed features of subsequent crystal nucleation, migration, growth and interference occurring within liquid pool. A number of small crystals ascended and settled at the hydrate film. When undercooling was small $({\Delta}T=3.2K)$, some of the settled crystals slowly grew into faceted columns. As the undercooling increased, the downward growth of crystals underneath the hydrate film became dendritic and occurred with greater rate and with finer arm spacing. The shapes of the floating crystals were diverse and included octahedron and triangular or hexagonal platelet When the undercooling was small, the octahedral crystals were found dominant. As the undercooling increased, the shape of the floating crystals also became dendritic. The detailed characteristics of floating crystals were reported in this study.

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