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Effects of Lumbar Stabilization Exercise on the Strength, Range of Motion and Pain

  • Kim, Chihwan;Cho, Sunghak
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.4
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    • pp.2229-2236
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    • 2020
  • Background: Few comparative studies have been conducted on strengthening the anterior and posterior muscles of the trunk via lumbar stabilization exercises. Objectives: To compare the effects of forward leaning exercise and supine bridging exercise in stability exercise. Design: Randomized controlled clinical trial (single blind). Methods: Thirty subjects with spondylolisthesis were participated in this study. Fifteen subjects performed the bridging exercises and fifteen subjects performed the forward leaning exercises. Each exercise was held for ten seconds per repetition, and four repetitions were considered one sub-session. A total of four sub-sessions were performed in one full exercise session. The full exercise session required thirty minutes, including rest time. Trunk strength and range of motion and Oswestry disability index were measured. Results: Two weeks later, trunk flexion strength and trunk extension range of motion were significantly increased in the forward leaning exercise group than in the supine bridging group, trunk extension strength were significantly increased in the supine bridging exercise group than in the forward leaning group. After two weeks, the pain score was significantly lower in the forward leaning exercise group than in the supine bridging group. Conclusion: This study has shown that stabilization exercises are effective in increasing range of motion and strength in spondylolisthesis subjects. It was especially confirmed that the method of strengthening the anterior muscles of the trunk is more effective than the standard stabilization exercise method.

Applying the Multiple Cue Probability Learning to Consumer Learning

  • Ahn, Sowon;Kim, Juyoung;Ha, Young-Won
    • Asia Marketing Journal
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    • v.15 no.3
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    • pp.159-172
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    • 2013
  • In the present study, we apply the multiple cue probability learning (MCPL) paradigm to examine consumer learning from feedback in repeated trials. This paradigm is useful in investigating consumer learning, especially learning the relationships between the overall quality and attributes. With this paradigm, we can analyze what people learn from repeated trials by using the lens model, i.e., whether it is knowledge or consistency. In addition to introducing this paradigm, we aim to demonstrate that knowledge people gain from repeated trials with feedback is robust enough to weaken one of the most often examined contextual effects, the asymmetric dominance effect. The experiment consists of learning session and a choice task and stimuli are sport rafting boats with motor engines. During the learning session, the participants are shown an option with three attributes and are asked to evaluate its overall quality and type in a number between 0 and 100. Then an expert's evaluation, a number between 0 and 100, is provided as feedback. This trial is repeated fifteen times with different sets of attributes, which comprises one learning session. Depending on the conditions, the participants do one (low) or three (high) learning sessions or do not go through any learning session (no learning). After learning session, the participants then are provided with either a core or an extended choice set to make a choice to examine if learning from feedback would weaken the asymmetric dominance effect. The experiment uses a between-subjects experimental design (2 × 3; core set vs. extended set; no vs. low vs. high learning). The results show that the participants evaluate the overall qualities more accurately with learning. They learn the true trade-off rule between attributes (increase in knowledge) and become more consistent in their evaluations. Regarding the choice task, there is a significant decrease in the percentage of choosing the target option in the extended sets with learning, which clearly demonstrates that learning decreases the magnitude of the asymmetric dominance effect. However, these results are significant only when no learning condition is compared either to low or high learning condition. There is no significant result between low and high learning conditions, which may be due to fatigue or reflect the characteristics of learning curve. The present study introduces the MCPL paradigm in examining consumer learning and demonstrates that learning from feedback increases both knowledge and consistency and weakens the asymmetric dominance effect. The latter result may suggest that the previous demonstrations of the asymmetric dominance effect are somewhat exaggerated. In a single choice setting, people do not have enough information or experience about the stimuli, which may lead them to depend mostly on the contextual structure among options. In the future, more realistic stimuli and real experts' judgments can be used to increase the external validity of study results. In addition, consumers often learn through repeated choices in real consumer settings. Therefore, what consumers learn from feedback in repeated choices would be an interesting topic to investigate.

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The effects of water-based exercise on postural control in children with spastic cerebral palsy

  • Kim, Kyung Ho;Shin, Hwa Kyung
    • Physical Therapy Rehabilitation Science
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    • v.6 no.2
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    • pp.77-82
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    • 2017
  • Objective: Swimming and water-based exercise (WE) programs can provide vigorous physical activity in a fun and a motivating environment. The properties of water, may make it easier for children with cerebral palsy (CP) to move and to participate in an WE program. The aims of this study was to evaluate the effect of WEs on postural control in children with spastic CP. Design: Quasi-experimental design (one group pretest-posttest design). Methods: Twenty preschoolers with spastic CP participated in this study. Prior to the application, sufficient warm-up training was performed to allow the subjects to adapt to the water. Afterwards, three different types of underwater leg exercises for the flexor, extensor, and adductor/abductor of muscles of the lower limb were performed. The WE program lasted during 8 weeks, with one-40 minute sessions per week (8 training session). The usual care was performed during the training session. The Korean-trunk control measurement scale (K-TCMS) and weight distribution variability (difference of both Fz) were measured before and after training session. Results: According to the results, the K-TCMS scores of the three sub-levels, including static sitting, dynamic sitting, and dynamic reaching, was significantly increased after the training session (p<0.05). Also, the weight distribution variability was significantly decreased after 8 weeks (p<0.05). Conclusions: We suggest that WEs may improve the postural control ability in children with spastic CP. Furthermore, we support the need for additional research on the effect of WE on gait or activity of daily living performance with a control group included.

Mutual Authentication and Secure Session Termination Scheme in iATA Protocol

  • Ong, Ivy;Lee, Shirly;Lee, Hoon-Jae;Lim, Hyo-Taek
    • Journal of information and communication convergence engineering
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    • v.8 no.4
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    • pp.437-442
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    • 2010
  • Ubiquitous mobile computing is becoming easier and more attractive in this ambient technological Internet world. However, some portable devices such as Personal Digital Assistant (PDAs) and smart phones are still encountering inherent constraints of limited storages and computing resources. To alleviate this problem, we develop a cost-effective protocol, iATA to transfer ATA commands and data over TCP/IP network between mobile appliances and stationary servers. It provides mobile users a virtual storage platform which is physically resided at remote home or office. As communications are made through insecure Internet connections, security risks of adopting this service become a concern. There are many reported cases in the history where attackers masquerade as legitimate users, illegally access to network-based applications or systems by breaking through the poor authentication gates. In this paper, we propose a mutual authentication and secure session termination scheme as the first and last defense steps to combat identity thief and fraud threat in particular for iATA services. Random validation factors, large prime numbers, current timestamps, one-way hash functions and one-time session key are deployed accordingly in the scheme. Moreover, we employ the concept of hard factorization problem (HFP) in the termination phase to against fraud termination requests. Theoretical security analysis discussed in later section indicates the scheme supports mutual authentication and is robust against several attacks such as verifiers' impersonation, replay attack, denial-of-services (DoS) attack and so on.

CR-SeMMS: Cost-Reduced Secure Mobility Management Scheme Based on SIP in NEMO Environments (CR-SeMMS : NEMO환경에서 SIP에 기반한 비용절감의 안전한 이동성관리 기법)

  • Cho, Chul-Hee;Jong, Jong-Pil
    • Journal of Internet Computing and Services
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    • v.13 no.3
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    • pp.31-47
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    • 2012
  • The mobile Virtual Private Network (MVPN) of Internet Engineering Task Force (IETF) is not designed to support NEwork MObility (NEMO) and is not suitable for real-time applications. Therefore, an architecture and protocol which supports VPN in NEMO are needed. In this paper, we proposed the cost-reduced secure mobility management scheme (CR-SeMMS) which is designed for real-time applications in conjunction with VPN and also which is based on the session initiation protocol (SIP). Our scheme is to support MVPN in NEMO, so that the session is well maintained while the entire network is moved. Further, in order to reduce the authentication delay time which considers as a delaying factor in hands-off operations, the signaling time which occurs to maintain the session is shortened through proposing the hands-off scheme adopting an authentication method based on HMAC based One Time Password (HOTP). Finally, our simulation results show the improvement of the average hands-off performance time between our proposed scheme and the existing schemes.

Ad-hoc Security Authentication Technique based on Verifier (검증자 기반 Ad-hoc 보안 인증기법)

  • Lee, Cheol-Seung;Hong, Seong-Pyo;Lee, Ho-Young;Lee, Joon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2007.10a
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    • pp.713-716
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    • 2007
  • This paper suggests One-time Password key exchange authentication technique for a strong authentication based on Ad-hoc Networks and through identify wireless environment security vulnerabilities, analyzes current authentication techniques. The suggested authentication technique consists of 3 steps: Routing, Registration, and Running. The Routing step sets a safe route using AODV protocol. The Registration and Running step apply the One-time password S/key and the DH-EKE based on the password, for source node authentication. In setting the Session key for safe packet transmission and data encryption, the suggested authentication technique encrypts message as H(pwd) verifiers, performs key exchange and utilizes One time password for the password possession verification and the efficiency enhancement. EKE sets end to end session key using the DH-EKE in which it expounds the identifier to hash function with the modula exponent. A safe session key exchange is possible through encryption of the H(pwd) verifier.

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Appropriate Surgical Margins for Excision of Squamous Cell Carcinoma of the Lower Lip

  • Jung Hyun Hong;Chan Woo Jung;Hoon Soo Kim;Yong Chan Bae
    • Archives of Plastic Surgery
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    • v.50 no.4
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    • pp.377-383
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    • 2023
  • Background Squamous cell carcinoma (SCC) is the most common malignancy on the lower lip. Surgical excision, the standard treatment for SCC, requires full-thickness excision. However, no consensus exists about the appropriate surgical margin. Therefore, we investigated the appropriate surgical margin and excision technique by analyzing 23 years of surgical experience with lower-lip SCC. Methods We reviewed 44 patients with lower-lip SCC who underwent surgery from November 1997 to October 2020. Frozen biopsy was performed with an appropriate margin on the left and right sides of the lesion, and the margin below the lesion was the skin above the sulcus boundary. If the frozen biopsy result was positive, an additional session was performed to secure a negative margin. Full-thickness excision was performed until the final negative margin. In each patient, the total number of sessions performed, final surgical margin, and recurrence were analyzed. Results Forty-one cases ended in the first session, 2 ended in the second session, and 1 ended in the third session. The final surgical margins (left and right; n = 88) were 5 mm (66%), 7 mm (9%), 8 mm (2.3%), 10 mm (20.4%), and 15 mm (2.3%). During an average follow-up of 67.4 months (range, 12-227 months), recurrence occurred in one patient. Conclusion The final surgical margin was 5 mm in 66% (58/88) of the cases, and 97.7% (86/88) were within 10 mm. Therefore, we set the first frozen biopsy margin to 5 mm, and we suggest that a 5-mm additional excision is appropriate when frozen biopsy results are positive.

An Analysis of Replay Attack Vulnerability on Single Sign-On Solutions (Single Sign-On 솔루션의 재전송 공격 취약점 분석)

  • Maeng, Young-Jae;Nyang, Dae-Hun
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.18 no.1
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    • pp.103-114
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    • 2008
  • Single Sign-On is an authentication scheme that enables a user to authenticate once and then to access to the resources of multiple software systems without re-authentication. As web services are being integrated into a single groupware, more web sites are adopting for user convenience. However, these Single Sign-On services are very dependent upon the cookies and thus, simple eavesdropping enables attackers to hiject the user's session. Even worse, the attacker who hijacked one session can move to another site through the Single Sign-On. In this paper, we show the vulnerabilities of the top ranked sites regarding this point of view and also propose a way to protect a user's session.

A short education session increases the accuracy of estimated food records in young Korean women during a controlled-feeding study

  • Kim, Seunghee;Lee, Bora;Park, Clara Yongjoo
    • Nutrition Research and Practice
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    • v.15 no.5
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    • pp.613-627
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    • 2021
  • BACKGROUND/OBJECTIVES: Despite the widespread use of dietary assessment tools, the validity of food records has not been evaluated in Koreans. We assessed the accuracy of estimated food records and the effect of a short education session in young Korean women. SUBJECTS/METHODS: Thirty women (aged 18-23 yrs) each completed 3 food records during a controlled-feeding study. One educational session was provided on day 2 of the study. Food records were analyzed for the accuracy of food items and portion size estimation according to food group (grains; meat, fish, eggs, and beans; vegetables; fruit; dairy; and oils and sugars) and type of dish (rice, kimchi, soup, side dishes, spreads, beverages, and snacks). Reported food items were categorized as exact, close, or far matches, exclusions, or intrusions. Portion sizes were evaluated as accurate, similar, or inaccurate estimates, or missing. The means of days 2 and 3 were used to assess post-education results. Paired t-tests were performed to assess the effects of the education session. RESULTS: The mean percentages of exact matches, close matches, far matches, and exclusions on day 1 were 80.9%, 10.9%, 2.0%, and 6.2%, respectively, and mean intrusions observed were 0.1. The education session slightly increased the accuracy of recorded food items. The percentages of accurate, similar, and inaccurate estimates, and missing portion sizes were 11.7%, 19.8%, 12.2%, and 56.3%, respectively, at baseline. The percentage of missing portion size estimates decreased to 14.0% after the education session, resulting in an increase in the percentages of all other estimates. An increase was observed in the accuracy of reported portion sizes of vegetables, rice, and kimchi. CONCLUSIONS: In young Korean women, estimated food records are highly accurate for food items but not for portion size estimates without prior education. A short education session can improve the accuracy of portion size estimation.

Development of fashion therapy programs for improving body image and self-esteem - Focused on the male workers - (신체이미지와 자아존중감 향상을 위한 패션테라피 프로그램 개발 - 직장인 남성을 중심으로 -)

  • Kang, Yu Rim;Kim, Mun Young
    • The Research Journal of the Costume Culture
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    • v.29 no.2
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    • pp.167-184
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    • 2021
  • The objective of this study was to develop a fashion therapy program for improving body image and self-esteem among male workers. Accordingly, the demand for fashion therapy programs was examined by conducting a literature review, survey, and in-depth interviews with men working in the Daegu and Gyeongbuk areas. The results are summarized as follows. The fashion therapy program followed a framework of "introduction-development-final" and was 60 minutes in length, for four sessions (one per week). The contents of the program consisted of a study of the participants' appearance and any concerns they had about their body in Session 1. In Session 2, differences in image perception were examined according to color coding of menswear and personal color. Session 3 comprised understanding what styling is required to supplement men's body shape and what style is suitable for each participant. The content of Session 4 determined how to build social performance or positive image using nonverbal elements. Overall, this study has great significance in that it has developed a study on fashion therapy program originally applied for psychological treatment with women that has been adapted as a program to help improve positive emotions and social competitiveness of male workers in an office environment.