• Title/Summary/Keyword: hands

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Delayed Improvement after Endoscopic Carpal Tunnel Release

  • Kim, Dong-Ho;Cho, Byung-Moon;Oh, Sae-Moon;Park, Dong-Sik;Park, Se-Hyuck
    • Journal of Korean Neurosurgical Society
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    • v.56 no.5
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    • pp.390-394
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    • 2014
  • Objective : In most patients with carpal tunnel syndrome (CTS), pain and/or paresthesia disappeared or decreased in a month after endoscopic carpal tunnel release (ECTR). However, subpopulation of patients showed delayed improvement following ECTR. We analyzed the delayed improvement hands to investigate the characteristics of those patients and to determine the predictable factors of delayed improvement. Methods : Single-portal ECTRs were performed in 1194 hands of 793 CTS patients from 2002 to 2011. Five-hundred seventy hands with minimal 1-year postoperative follow-up were included. We divided the 545 satisfied hands into early (group A) and delayed (group B) groups according to improvement period of 1 month. Demographic data, clinical severity and electrodiagnostic abnormality were compared between groups. Results : Group A included 510 hands and group B included 35 hands. In group B, 11 hands improved in 2 months, 15 hands in 3 months and 9 hands in 6 months, respectively. In group A/B, according to clinical severity, 60/1 hands were graded to I, 345/24 hands to II, 105/10 hands to III. In group A/B, based on electrodiagnostic abnormality, 57/3 hands were classified to mild, 221/11 hands to moderate and 222/21 hands to severe group. Statistical analysis between groups did not reach significance but electrodiagnostic or clinical severity had a tendency to affect the delayed response. Conclusion : It is difficult to predict the factors contributing to postoperatively-delayed response in subpopulation of CTS patients. However, we recommend that postoperative observation for at least 6 months is necessary in patients without symptomatic improvement.

Construction of New Concept of Symmetric Coordinated Use of Both Hands

  • Donghua, Wang
    • International Journal of Quality Innovation
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    • v.2 no.2
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    • pp.121-126
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    • 2001
  • Based on the creative education theory, the study of the symmetric coordinated use of both hands is the application of both the quality education ideal and the understanding principles of the creative education to the training of using hands. In the light of relevant concepts of the 'Domain' theory and the expertise of both the Chinese and foreign specialists in this field, this article discusses the relation between the tapping of mental creativity, scientific use of hands and the animation of the right hemisphere of the brain with the aim of constructing a new concept of the symmetric coordinated use of both hands.

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Effects of Exposed Parts of Body with Garments on Human Thermoregulatory Responses to Cold Environments (추운 환경에서 노출된 부위에 따른 체온조절 반응에 대한 연구)

  • 성유진;이순원
    • Journal of the Korean Society of Clothing and Textiles
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    • v.21 no.6
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    • pp.977-987
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    • 1997
  • The present study was designed to see what the local cooling of different body regions especially head and neck, hands and feet effect physiological responses in cold environment. Four male subjects wore garments covering whole body except face and rested for 20 min and then they rested for 40 min with uncovered head, neck, hands and feet, respectively in a cold environment(10$\pm$1$^{\circ}C$, 50$\pm$5%R.H.) 1. Rectal temperature increased when hands and feet were exposed to cold environment respectively, and when head and neck, hands and feet were exposed to cold environment together. 2. Exposed skin temperatures fell in cold environment. And hands temperature was lower than any other exposed skin temperatures. The hands temperature was significantly lower when head was exposed than when head was covered. And the feet temperature were significantly lower when hands were exposed than when hands were covered. 3. Mean skin temperature was the lowest when head and neck, hands and feet were exposed simultaneously, In conclusion, skin temperatures of extremities were decreased due to exposure to the cold environment. Especially upper extremities were lower than lower extremities by exposed parts of the body. It seemed that the extremities played the role of cold receptors but head and neck didn't. And there were large heat losses from the unprotected head and neck. In cold environment of 1$0^{\circ}C$ , thus, it is suggested for the purpose of thermoregulatory responses that head and neck would be covered and extremities would be exposed, especially upper extremities.

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A Comparison of Microbial Load on Bare and Gloved Hands among Food Handlers (맨손과 장갑 낀 손의 미생물 오염도 비교)

  • Kim, Jong-Gyu;Park, Jeong-Yeong;Kim, Joong-Soon
    • Journal of Environmental Health Sciences
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    • v.37 no.4
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    • pp.298-305
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    • 2011
  • Objectives: There has been a great amount of controversy in the food industry over the effectiveness of using gloves. The objectives of this study were to examine the microbial contamination of food handlers' hands and determine if using gloves could ensure safe handling of foods. Methods: Samples were collected through the glove-juice method from the bare and gloved hands of food handlers at work and were analyzed for the presence of aerobic plate counts, total coliform, fecal coliform, Escherichiacoli, Staphylococcus aureus, and Salmonella spp. Microbiological testing was conducted according to the Food Code of Korea. Results: Microbial contamination was consistently higher with bare hands than with gloved hands, although the microbial loads on both hands increased over time. Under certain conditions, there were significant differences between the bacterial loads on bare and on gloved hands (p<0.05). E. coli, S. aureus, and Salmonella spp. were still alive on both bare and gloved hands at the time the food handlers finished their work. Conclusions: Wearing gloves was associated with a marked reduction of bacterial contamination of the hands. However, the practice of continuously wearing gloves during food handling increases the potential for cross-contamination of bacteria. The findings of this study emphasize the need for a rational use of gloves, and strict adherence to hand hygiene compliance among food handlers.

Exploring the procedure of developing hands-on activity and the planning of consisting the contents in Technology Education (기술교육에서 체험활동 과제 개발 절차 탐색 및 내용 구성 방안)

  • Jung, Jin-Woo
    • 대한공업교육학회지
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    • v.37 no.2
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    • pp.127-146
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    • 2012
  • The purpose of this study is to exploring the procedure of developing hands-on activity and provide the generalized development procedure adjusted for the technology subject. The research method for this study is mainly based on document and experience. exploration of hands-on activity and development procedure of hands-on activity given by preceded researchers and the common factor was derived from them. For the result of the study. first. the concept of experience and hands-on activity was examined and the procedure of developing hands-on activity in technology education was reviewed. Second. suggested 3 steps for the procedure of developing hands-on activity in technology education ; preparation. development. improvement and the detailed steps. Third. presented contents included for hands-on activity task materials. For the teachers. those are ; hands-on activity subject. readings before the class. object for the course class. main activity in class courses. material. tools and facility. design brief. reference data. score sheet. detailed class process. For the students. those are; subject for class. matters to be attended to. portfolio and etc.

A Survey on Korean Medicine Doctors' Recognition and Treatment for Developing Korean Medicine Clinical Practice Guideline of Coldness of Hands and Feet (한의표준임상진료지침 개발을 위한 수족냉증에 대한 한의사의 인식과 치료현황)

  • Lee, Dong-Nyung;Kim, Hyung-Jun;Yu, Jun-Sang
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.3
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    • pp.92-116
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    • 2017
  • Objectives: The purpose of this study were to researched a Korean medicine doctors' recognition about coldness of hands and feet, and developing of korean medicine clinical practice guidelines (CPG) for coldness of hands and feet. Methods: We conducted a questionnaire survey targeting 399 Korean medicine doctors belonging to the Association of Korean Medicine by e-mail and analyzed the answers. Results: 1. 86.86% of the respondents agreed about the necessity of CPG for coldness of hands and feet. 2. 84.2% of respondents wanted coding of Korean Standard Classification of Diseases (KCD) on coldness of hands and feet. 3. To diagnosis a coldness of hands and feet, the respondents used a Subjective symptoms (98.5%), Infrared thermographic imaging device (DITI) (26.32%) Heart rate variablity test (HRV) (17.04%), Thermometer (9.77%), Cold stress test (2.76%) 4. Causing of coldness of hands and feet, the respondents considered a constitution or heredity (84.71%), stress (73.66%), lack of exercise (64.91%), irregular eating habits (51.63%), Cold meals (32.83%), depression (31.33%), etc. 5. Treating coldness of hands and feet, the respondents used a herbal medicine (66.85%), acupuncture (70.7%) Pharmacopuncture (23.85%) and moxibustion (60.08%) for $10.91{\pm}8.03week$. Conclusions: We researched a Korean Medicine doctors' recognition of CPG, clinical diagnosis, treatment on a coldness of hands and feet, and policy they required.

A Case Report of Hands and Feet Hyperhidrosis (소아 수족다한증의 치험 1례)

  • Park, Jem Ma;Choi, Seon Wook;Chae, Jung Won
    • The Journal of Pediatrics of Korean Medicine
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    • v.27 no.4
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    • pp.68-76
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    • 2013
  • Objectives The purpose of this study is to report the clinical effects of Korean medical treatment on the patient with hands and feet Hyperhidrosis. Methods A 9-year-old female patient, who was suffering from Hyperhidrosis on both hands and feet, was treated by Korean herbal medicine (Dangguisayuk-tang gami), acupuncture (Joksamri, Taegyue, Taechoong, Souboo hyul symmetricaly) and moxibustion on the abdomen (Joongwan). Also, VAS scales were used to check the improvement. Results About treating for two months, the patient's hyperhidrosis on both hands and feet were improved by Korean herbal medicine, acupuncture and moxibustion on the abdomen. Conclusions This study showed that Korean medical treatments can be an effective for the hands and feet Hyperhidrosis.

Value of Ultrasonography in the Diagnosis of Carpal Tunnel Syndrome : Correlation with Electrophysiological Abnormalities and Clinical Severity

  • Kim, Min-Kyu;Jeon, Hong-Jun;Park, Se-Hyuck;Park, Dong-Sik;Nam, Hee-Seung
    • Journal of Korean Neurosurgical Society
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    • v.55 no.2
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    • pp.78-82
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    • 2014
  • Objective : To investigate a diagnostic value of ultrasonography in carpal tunnel syndrome (CTS) patients and to evaluate a correlation of sonographic measurements with the degree of electrodiagnostic abnormalities and clinical severity. Methods : Two-hundred-forty-six symptomatic hands in 135 patients and 30 asymptomatic hands in 19 healthy individuals as control group were included. In ultrasonographic study, we measured the cross-sectional area (CSA) and flattening ratio (FR) of the median nerve at the pisiform as well as palmar bowing (PB) of the flexor retinaculum. Sensitivity and specificity of ultrasonographic measurements were evaluated and ultrasonographic data from the symptomatic and control hands were compared to the grade of electrodiagnostic and clinical severity. Results : The mean CSA was $13.7{\pm}4.2mm^2$ in symptomatic hands and $7.9{\pm}1.3mm^2$ in asymptomatic hands. The mean FR was $4.2{\pm}1.0$ in symptomatic hands and $3.4{\pm}0.4$ in asymptomatic hands. The mean PB was $3.5{\pm}0.5$ mm in symptomatic hands and $2.6{\pm}0.3$ mm in asymptomatic hands. Statistical analysis showed differences of the mean CSA, FR and PB between groups were significant. A cut-off value of $10mm^2$ for the mean CSA was found to be the upper limit for normal value. Both the mean CSA and PB are correlated with the grade of electrophysiological abnormalities and clinical severity, respectively. Conclusion : Ultrasographic measurement of the CSA and PB is helpful to diagnose CTS as a non-invasive and an alternative modality for the evaluation of CTS. In addition, ultrasonography also provides a reliable correlation with the grade of electrodiagnostic abnormalities and clinical severity.

Relationship between morphological characteristics and hand emotional quotient of hands (손의 형태학적 특성과 손감성지수와의 상관관계)

  • Jeong, Eun-Young;Ryu, Hee-Wook
    • Science of Emotion and Sensibility
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    • v.13 no.4
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    • pp.769-776
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    • 2010
  • The relationship between morphological characteristics and sensibility of hands for beautiful hands were investigated for college woman in early twenties. Hand Emotional Quotient (HEQ) which is classified as 10 grades was newly suggested as one of the sensibility evaluation methods for the beautiful hands and was applied to assess the qualitative and quantitative relationships between morphological characteristics and HEQ. The factors influenced on the HEQ were in order as width-length ratio of hands, finger length-hand length and finger width-hand length ratios. Otherwise the influences of hand length-nail length and finger length-nail length ratios on HEQ were insignificant. The longer length of hand, finger, and nail and the narrower width of hand and finger, the higher HEQ hands get. In conclusion, it is found that all morphologic characteristics of hands influenced on the sensitivity synthetically. The data constructed on the hand's sensibility is very useful for various beauty products and service areas related to hands.

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Comparison on the Quality and fatigue of hands-Only CPR According to the Presence or Absence of Verbal counting by Some Middle-aged Women (일부 중년 여성에서 구령 유무에 따른 가슴압박소생술의 질과 피로도 비교)

  • Kim, Geon-Nam;Choi, Sung-Soo;Choi, Seong-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1320-1329
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    • 2013
  • According to the comparing the quality and fatigue of Hands-only CPR with counting by middle-aged women who is most likely to witness the cardiac arrest. This paper wants to provide the basic data to establish a CPR education program for the role of the first responders. After conducted three hours of basic life support training, it divided into two 45-persons groups by assignment of probability. 2-minutes research conducted with dummy by dividing into Group-A that counting the number loudly during the Hands-Only CPR, And Group-B that does not counting the number during the Hands-Only CPR. Between the two groups, the quality of Hands-Only CPR does not showed its difference clearly and the downtime of Hands-Only CPR was reduced, Depending on the over time, the frequency that reduces the depth of Hands-Only CPR was also significantly lower. And after the Hands-Only CPR, the fatigability who felt themselves was also significantly lower.