• Korean Circulation Journal
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• 제54권8호
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• pp.427-453
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• 2024

His bundle pacing (HBP) and left bundle branch pacing (LBBP) are novel methods of pacing directly pacing the cardiac conduction system. HBP while developed more than two decades ago, only recently moved into the clinical mainstream. In contrast to conventional cardiac pacing, conduction system pacing including HBP and LBBP utilizes the native electrical system of the heart to rapidly disseminate the electrical impulse and generate a more synchronous ventricular contraction. Widespread adoption of conduction system pacing has resulted in a wealth of observational data, registries, and some early randomized controlled clinical trials. While much remains to be learned about conduction system pacing and its role in electrophysiology, data available thus far is very promising. In this review of conduction system pacing, the authors review the emergence of conduction system pacing and its contemporary role in patients requiring permanent cardiac pacing.

• 대한임상전기생리학회지
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• 제7권1호
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• pp.29-34
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• 2009

Purpose : This study aims to investigate into the change in muscle power, pain and muscle tension upon application of extracorporeal shock wave therapy (ESWT) and ultrasound (US) at trigger point (TrP) of the Scapular inter angle. Methods : In total of 24 human subjects that experience pain upon stimulation at the scapular inter angle were recruited. They were divided into three groups: control, ESWT and US group. Each group was subjected to appropriate stimulation three times per week for four weeks except the control group which had no restrictions in lifestyle. The ESWT group was subjected to Extracorporeal Shock Wave Therapy with a 2 $cm^2$ head, 20 times at speed of application of 60 pulses/min and depth of intrusion of 25 mm Whereas the US group was subject to Ultra sound therapy with 1$cm^2$ head, 1 MHz in frequency, 1.5 W/$cm^2$ of strength with five minutes of continuous application. Measurements were performed immediately prior to and at the end of the experiment. Results : There was no statistical significance in the change in muscle tension and muscle power as well as the difference between both groups before and after the experiment. VAS and VRS, all of which indicates changes in pain level, had statistically significant differences between them in pretest posttest comparisons. However, ESWT was superior to US in terms of decreasing muscle tension and pain while increasing muscle power. Conclusion : This study has made it evident that ESWT is far more reasonable to apply to TrP.

• 대한임상전기생리학회지
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• 제6권1호
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• pp.91-101
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• 2008

The purpose of this study was to investigate the effects of Inline-skating exercise on the static balance. Total 10 subjects with common were recruited from university for student in Kwangyang, and the Inline-skating exercise was conducted 3times at a week during 2 weeks. Balance test was measured by using Good Balance with overall index, NSEO(normal standing when eye open), NSEC(normal standing when eye close), OLREO(one leg right standing when eye open), OLREC(one leg right standing when eye close), OLLEO(one leg left standing when eye open), OLLEC(one leg left standing There was statistically significant difference of the balance ability of the left-right only between the before and the after exercise in the case of NSEO position. however, the statistically difference was not found in terms of the Mean X speed, Mean Y speed, Velocity moment between the before and the after exercise in the case of NSEC position. There was statistically significant difference of the balance ability of the Mean X speed, Mean Y speed between the before and the after exercise in the case of OLLEO and OLLEC position, however, the statistically difference was not found in terms of the Velocity moment between the before and the after exercise in this case. There was statistically significant difference of the balance ability of all the terms between the before and the after exercise in the case of OLREO. however, the statistically difference was not found in terms of the Mean Y speed only between the before and the after exercise in the case of OLREC. In this case, the statistically difference was found in terms of Velocity moment between the before and the after exercise. This study showed that Inline-skating exercise was effected on the improvement of the balance ability in normal peoples.

• 대한임상전기생리학회지
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• 제5권2호
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• pp.61-72
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• 2007

INTRODUCTION: Local heat and cold application has been frequently used as means of muscle relaxation and blood circulation or reinforcing muscle strength, relaxing muscle tension in clinical situation. In particular, it has been known that long-term heat and cold application for relaxing muscle tension inhibits muscle spasticity or tension. But, it has been rarely reported that what influences of heat and cold application on activation of muscle action potential. Therefore, this study aims to analyze surface temperature and electromyography activities according to the heat and cold application. METHODE: Subjects of this research were 10 normal men and women (5 men, 5 women). Hot pack and cold pack was applied to vastus medialis muscle of thigh and rectus femoris muscle for 20 min. Surface temperature of vastus medialis muscle and rectus femoris muscle was measured, knee joint of subjects was in $45^{\circ}$ flexion, sitting on a chair, maximal isometric contraction was induced, surface electromyography (sEMG) signals were collected and root mean square (RMS) and median frequency (MOF) were analyzed. All measurements were conducted before and immediately after experiment, 10 min., 20 min. and 30 min. after experiment. Data were analyzed with SPSS 12.0 program, comparison of changes in superficial temperature and sEMG signals through repeated measurement was conducted with repeated measures ANOVA and significance level $\alpha$ was 0.05. RESULTS: Changes of surface temperature of vastus medialis muscle according to cold application were radically decreased immediately after application, but it was recovered after 30 min. of application and it showed significant difference (F4. 36=72.216, P<0.001). Surface temperature of rectus femoris also showed radical decrease immediately after application, but it was recovered after 30 min. of application and showed significant difference (F4. 36=88.930, P<0.001). Changes of surface temperature of vastus medialis muscle according to heat application were radically increased immediately after application, but it was recovered after 30 min. of application and it showed significant difference (F4. 36=27.267, P<0.001). Surface temperature of rectus femoris also showed radical decrease immediately after application, but it was recovered after 30 min. of application and showed significant difference (F4. 36=19.774, P<0.001). Changes of sEMG by heat and cold application were no statistical difference. Surface temperature of skeletal muscle after heat and cold application showed significant change for 30 min., but it was found that increase or decrease of surface temperature had not great influence on sEMG activities.

• 대한임상전기생리학회지
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• 제9권1호
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• pp.41-49
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• 2011

This study purposes to conduct visual feedback and body posture control training on stroke patients with pusher syndrome in order to reduce their pusher syndrome. This study also examines changes resulting from the training and applies the guidelines necessary for documentation of patient/customer management. The participant for this study was one patient with pusher syndrome. The study progressed from a medical examination of the subject followed by evaluation, diagnosis, prognosis, intervention and treatment plan, and finally re-examination in order of precedence. Problems in the participant's functional activities, difficulties in changes from sitting postures into standing postures, and maintaining standing postures were determined as primary restrictions on activities and the improvement of these activities was set up as a goal through discussions with the patient. Interventions were mainly implemented to reduce the pusher syndrome with visual feedback provided using mirrors and exercises focusing on leaning in order to maintain posture while sitting. Changes from supine postures to sitting postures and the degree of changes in maintaining standing postures were compared between before and after the intervention by measuring times in the same environment and the degree of pusher syndrome was measured using the SCP tool. The process of this clinical practice was documented. The SCP score that indicates the degree of changes in the participant's pusher syndrome changed from 3.75 points to 0.8 point indicating a decrease in pushing. Among functional activities, posture changes from sitting postures to standing postures and maintaining standing postures were improved. In addition, since the patient could maintain standing postures, the patient could walk indoors. In this case study, mirrors and body posture control training used as interventions to relieve pusher syndromes can be easily applied in clinics to examine the form of functional recovery. The results indicated that these intervention methods were effective and thus it is thought that the results can be used as basic data to utilize these intervention methods diversely. In addition, the documentation of patient/client management was applied as actual documentation in Korean and based on the results, we could show decision making processes for patients' functional goals and objectively explain problems, prognoses and changes made through the interventions.

• 대한임상전기생리학회지
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• 제9권2호
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• pp.31-38
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• 2011

Purpose : The purpose of this study was to compare the effects of different supporting surfaces on trunk muscle activities during core stabilization exercises. Methods : A total of 20 healthy college students participated in this study for 6 weeks. In this study, we divided participants into a stable surface exercise group and an unstable surface exercise group. Each group performed core stabilization exercises of Curl-ups, Bridges, and Quadrupedal position. Core stabilization exercises were performed 3 times a week for 30 minutes during 6 weeks. The stable surface exercise group used a yoga mat while the unstable surface exercise group used AERO step. This study was designed using pre-test and post-test measurements. We used Surface Electromyograpy (sEMG) to measure for the rectus abdominis, external abdominal oblique, and multifidus muscle of trunk muscle activities. Data was processed using a paired sample t-test on SPSS 18.0. Results : For the stable surface exercise group there was a meaningful improvement in left rectus abdominis, left external abdominal oblique, and right multifidus (p<0.05). For the unstable surface exercise group, a meaningful improvement was seen in the left external abdominal oblique and right multifidus. Conclusion : From the experiment, we concluded that differences in surface can make various degrees of improvement in muscles activities, which suggests patients can choose a better option under their own conditions when planning to have a core stability exercise.

• 대한임상전기생리학회지
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• 제10권2호
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• pp.7-14
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• 2012

Purpose : This study investigated the validity of crosswalk signal time length with regards to elderly stroke patients. Methods : We recruited 60 elderly adults sixty years of age or older for our study. The participants were divided into three groups.Group A consisted of 20 healthy participants with no walking aids. Group B consisted of 20 stroke patients with no walking aids. Group C consisted of 20 stroke patients using a cane as a walking aid. We measured the walking times of participants for 7 m, 14 m and 21 m lengths. Results : Using an independent t test, there was a statistically significant difference in the walking times between Group A and Group B for all lengths. There was a statistically significant difference in the walking times between Group A and Group C for all lengths. There was no statistically significant difference in the walking times between Group B and Group C. There was a statistically significant difference between the three group when using ANOVA. Conclusion : From the results of this study, we infer that the signal times at crosswalks are inappropriate for elderly stroke participants who use a cane as a walking aid. Therefore further research should be conducted to determine the appropriate amount of additional time needed for the elderly to safely cross the street.

• 대한임상전기생리학회지
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• 제8권2호
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• pp.25-31
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• 2010

Purpose : The purpose of this study was to investigate knee muscle strength, balance, and proprioception by walking while giving weight to the ankle joint at a load of 0%, 10%, and 15% gradient on a treadmill. Methods : Twenty-four subjects were divided into three groups. Group A walked on a 0% gradient while giving weight to the ankle joint as a load. Group B walked on a 10% gradient while giving weight to the ankle joint as a load. Group C walked on a 15% gradient while giving weight to the ankle joint as a load. This was performed three times per week for four weeks. The walking speed was set at 4km/hour and the walking time was set at 20 minutes. Measurements were performed before and after the experiment. Biodex medical system and Balance system SD were used as measuring instruments. Results : There was no significant difference between the gradients in muscle strength, balance and proprioception. However, there were differences in pretest and posttest measurements for muscle strength, balance and proprioception in each gradient. In particular, the gradient of 10% showed a significant difference. Conclusion : According to the results of this study, to use a 10% gradient is effective when walking while giving weight to the ankle joint as a load.

• 대한임상검사과학회지
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• 제51권1호
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• pp.1-14
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• 2019

우리나라, 일본, 미국의 임상병리사 명칭은 의료체계, 교육제도, 업무영역에 따라 차이가 있다. 전통적으로 medical technologist (별칭 clinical laboratory technologist, medical laboratory technologist, clinical laboratory scientist, medical laboratory scientist)와 동등하거나 유사한 직종은 histotechnologist, cytotechnologist, genetic technologist이다. Extracorporeal technologist, medical electrophysiology technologist, medical sonographer는 medical technologist를 포함한 다른 보건의료인도 자격을 취득할 수 있는 직종이다. 임상병리사의 업무영역은 임상병리기술학, 병리기술학, 임상유전기술학, 핵의학기술학, 임상생리기술학으로 분류하였다. 새로운 전문임상병리사 종별은 CLMJ, CMAJ, ASCP, IAC, ABRET, ARMDS 등의 자격인정제도를 참고하였다. 현재 전문임상병리사 종별은 전문과목학회의 협조 하에 기존의 8종으로 혈액학, 수혈학, 화학, 면역학, 미생물학, 조직학, 세포학, 핵의학분야가 있으며 앞으로 미세질량분석, 감염관리, Pathologists' Assistant, 유세포분석, HLA, 세포유전학, 분자유전학, 심폐생리학, 신경생리학(뇌파/근전도/수면다원 등), 심장초음파학, 신경초음파학(뇌혈류/경동맥), 기기품질관리사 등 업무영역별로 20종으로 세분화할 수 있다.

• Journal of Microbiology and Biotechnology
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• 제11권4호
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• pp.614-618
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• 2001

Low-threshold T-type $Ca^{2+}$ channels are distinctive voltage-operated gates for external $Ca^{2+}$ entry around a resting membrane potential due to their low voltage activation. These phenomena have already been extensively studied due to their relevance in diverse physiological functions. Recently, three T-type $Ca^{2+}$ channel ${\alpha}$$_1$subunits were cloned and their biophysical properties were characterized after expression in mammalian expression systems. In this study, ${\alpha_IG} and {\alpha_IH}$ low-threshold $Ca^{2+}$ channels were expressed and characterized in Xenopus oocytes after adding 5' and 3'untranslated portions of a Xenopus ${\beta}$ globin to improve their expression levels. The added portions dramatically enhanced the expression levels of the ${\alpha_IG} and {\alpha_IH}$ T-type channels. When currents were recorded in 10 mM $Ba^{2+}$ as the charge carrier, the activation thresholds were about -60 mV, peak currents appeared at -20 mV, and the reversal potentials were between +40 and +45. The activation time constants were very similar to each other, while the inactivation time constants of the ${\alpha_IG}$ currents were smaller than those of ${\alpha_IH}$. Taken together, the electrophysiological properties of the ${\alpha_IG} and {\alpha_IH}$ channels expressed in Xenopus oocytes were similar to the previously reported characteristics of low-threshold $Ca^{2+}$ channel currents.