• Title/Summary/Keyword: stiffness shift

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Study of 4 Cases with Changes of Unified Parkinson's Disease Rating Scale, Heart Rate Variability and Quality of Life in Parkinson's Disease Patients through Whole Body Gi-Hyeol Therapy (전신기혈요법 치료를 통해 Unified Parkinson's Disease Rating Scale, Heart Rate Variability 및 삶의 질이 변화된 파킨슨 환자 4례에 대한 증례보고)

  • Mok, Seo-Hee;Lee, Ji-Won;Lee, Tae-Jong;Seo, Jung-Bok;Kim, Kyoung-Ah;Kim, Joe-Young;Park, Byung-Jun;Kim, Dong-Hee
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.35 no.2
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    • pp.71-80
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    • 2021
  • Parkinson's disease is one of the typical neurodegenerative disease and it is caused by the destruction of substantia nigra in brain leading to lack of dopamine secretion, and it presents 4 major motor symptoms such as tremor, bradykinesia, stiffness, postural instability. Furthermore, it causes many non-motor symptoms such as anosmia, REM sleep conduct disorder, orthostatic hypotension, dementia and autonomic ataxia such as lack of adjusting blood pressure, hyperhydrosis, constipation. Dopaminergic therapy is the most commonly used strategy, but long term treatment of levodopa induce various adverse effects. Thus, many people are focusing on new therapies other than established therapies, and there are many tries and approaches with paradigm shift. Our medical team was able to get 4 cases of PD patients who are hospitalized in our hospital, treated by Whole Body Gi-Hyeol Therapy consisting of acupuncture therapy, herbal therapy, and mental therapy, and their conditions improved in perspective of Unified Parkinson's Disease Rating Scale(UPDRS), Heart Rate Variability(HRV), and Quality of life. Among all 4 cases, UPDRS score and quality of life score is gotton better, and among 2 cases SDNN, RMS-SD, TP, LF, HF scores are finely increased. And PDQ-39 score which shows quality of life is also improved. However, in spite of these improvements and positive results, there were no meaningful improvement in a hurt from a fall which is important to the aged, muscular atrophy which causes bone fracture and SMI(Skeletal Muscle Mass Index) which is indicator of osteoporosis. Thus, supplementary treatment about Whole Body Gi-Hyeol Therapy such as more active nutrition intervention, safe and effective kinesitherapy is needed, and from now on continuous case reports and systematic clinical research which has control group must be carried out.

A Study on Cause Analysis and Countermeasures of Chloride Attack of Reinforced Earth Retaining Walls Installed on Bridge Abutment (염해로 인한 교대부 보강토옹벽 손상 원인 분석 연구)

  • Do, Jong-Nam;Kim, Nag-Young;Cho, Nam-Hun;You, Kwang-Ho
    • Journal of the Korean GEO-environmental Society
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    • v.19 no.12
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    • pp.59-64
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    • 2018
  • The damages to the reinforced earth retaining wall are divided into the front wall, foundation, drainage and upper slope. Damage of reinforced earth retaining wall is mainly caused by damage caused by drainage problem in the field. Recently, damage caused by snow removal materials have been occurred. Recently, the amount of snow removal materials used in winter is increasing due to abnormal weather. This chlorides degrades the concrete structure, where the reinforced earth retaining wall was no exception. There has recently been a case in which the front wall of the reinforced earth retaining wall deteriorates due to the chlorides introduced into the back filling portion through the drainage passage. Therefore, in this study, the cause of damages of reinforced earth retaining wall constructed in bridge abutment was analyzed, and an analytical study was conducted on the countermeasure. As a result, it was found that chlorides, which was introduced through the drainage system in the expansion joint of the bridge shift part or the upper structure, is infiltrated into the back part of the reinforced earth retaining wall and damaged. Therefore, it is suggested to improve the drainage system and restored the stiffness of the front wall.