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The Effects of Transcutaneous Electric Nerve Stimulation (TENS) on the EMG Power Spectrum and Pressure Pain Threshold (PPT) (경피성 신경자극이 근전도 Power Spectrum과 압력통각역치에 미치는 영향)

  • Kim, Cheul;Park, Moon-Soo
    • Journal of Oral Medicine and Pain
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    • v.32 no.4
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    • pp.403-411
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    • 2007
  • This investigation was carried out to evaluate the effect of Transcutaneous Electric Nerve Stimulation (TENS) to experimentally induced masticatory muscle pain and muscular fatigue. Twenty-nine healthy volunteers (18 men and 11 women, aged $26.1{\pm}4.7$ years) without past history or present symptoms of temporomandibular disorders were participated in this study. All of the subjects were randomly assigned to experimental group and control group, after at least 3 days interval, two groups were reassigned conversely. Subjects assigned to experimental group were received TENS and others assigned to control group were received sham-TENS therapy for 45 minutes, respectively. The changes of Visual Analogue Scale (VAS), Pressure Pain Threshold (PPT), and EMG power spectrum were measured on the masseter muscle both before and after sustained fatiguing contraction in each group. The major findings of this study are as follows : 1. PPTs and median frequencies of masseter muscles were significantly decreased after sustained isometric contraction resulting in muscular fatigue. 2. In experimental group received TENS therapy, PPTs measured both before and after occurrence of experimentally induced muscular fatigue were significantly increased. 3. In experimental group received TENS therapy, the changes of PPTs during sustained isometric contraction resulting in muscular fatigue were significantly decreased. 4. In experimental group received TENS therapy, VAS measured after occurrence of experimentally induced muscular fatigue was significantly decreased. 5. Although there were not statistical significances, endurance time was increased in experimental group received TENS therapy and decreased in control group received sham-TENS therapy. 6. In experimental group received TENS therapy, the changes of median frequencies were the less decreased and the slope of median frequency shift was the more increased during endurance time than in control group, however, there were not statistical significances.

A Study on the Curriculums of the Nursing Department of Junior Colleges in Seoul and Kyungin Area (간호교육 개선을 위한 교과과정 비교분석 - 서울$\cdot$경인지역 전문대학을 중심으로 -)

  • Lee Ae Kyung;Kim Jung Ae;Phang Suk Mung;Joo Mi Kung;Kim Young Hee;Chung Ann Soon;Choi Na Young;Chang Eun Jung
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.180-193
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    • 1997
  • This study was designed to set up more developed curriculum in Nursing department of a junior college. The sample for the study were fifteen curriculums of fifteen selected junior colleges in Seoul and Kyunggi area. The credits and hours of each curriculum were analyzed into means and compared with the one of the example college. The data were categorized into seven sections; cultural subject, basic medical science, major subjects such as Nursing, Fundamental Nursing, electives, teaching and non-teaching subjects, and clinical practice. The data were analyzed by means of descriptive statistics. The results of the study were as follows; 1. Credit hours of Cultural subjects of each college ranges from $5.8\%\;to\;25.7\%$ of the total graduate credit hours; most commonaly lectured subjects are English 05 colleges), Korean (11 colleges), psychology (10 colleges), and computer (10 colleges). 2. In the case of the example college, Anatomy and Psychology were jointed as one subject, Basic Nursing Science, and some more study in depth should be made to develop more of this type of conjunction among related subjects on basic medical science. 3. As for the mendatory subjects of the example college, subjects on Adult Nursing was fourteen credits (14 hours), which was higher than the average 12.9 hours of other colleges compared. 4. Credit hours of Basic Nursing Laboratory were eight to ten credits (12-18 hours), which was higher than actual class hours. As more and more hospitals test clinical aptitude when recruiting nurses, more emphasis should be paid to the clinical practice. 5. Among fifteen sample curriculums six to twelve electives were offered with twelve to twenty-three credits. Most commonly opened subjects were Physical Examination (5), Nursing English (14). and Geriatrics Nursing (13). Nursing English are considered to be more important in the view of clinical practice. and Oriental Nursing, Nursing Information and Health Insurance Management should be considered as specialized subjects. 6. Teaching and Non-teaching subjects In case of the example school. Clinical Emergency Medicine, Introduction to Emergency Medicine were offered for these non-teaching class students so they could prepare for the qualification examination. 7. Clinical Practice The average credit hours for clinical practice of the sample college were 20.9 credit hours $(66.5\%)$ and the example school offered twenty credit hours which was slightly lower than the other forteen.

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Relation among Hair Mineral Contents, Nutrient Intakes and Clinical Symptoms of Male Middle School Students in Urban and Local Area (도시와 지방에 거주하는 남자 중학생의 두발 중 무기질 함량, 영양섭취상태 및 임상증상과의 관련성)

  • Kim, Mi-Hyun;Choi, Mi-Kyeong;Jun, Ye-Sook;Cho, Hye-Kyung;Sung, Chung-Ja
    • Korean Journal of Community Nutrition
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    • v.12 no.2
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    • pp.133-141
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    • 2007
  • Minerals play important roles in biological processes. Hair mineral analysis has the advantages of conveniences in sampling and observing the profiles of multiple minerals simultaneously. The purpose of this study was to compare hair mineral contents between urban and local middle school students, and to find out the relation with nutrient intakes and clinical symptoms. Ten nutritional minerals and 7 environmental mineral contents were analyzed in the hair samples of 44 and 37 male students who resided in urban and local area, respectively. And their nutrient intake and clinical symptom score were estimated from questionnaire. The average age, height, and weight were 15.1 years, 168.4 cm, 56.8 kg in urban subjects and 15.4 years, 169.1 cm, 61.9 kg in local subjects, respectively. The residence types were apartment (63.6%) and small-sized apartment (22.7%) in urban subjects and apartment (51.4%) and house (37.8%) in local subjects. The primary water sources were purified water (38.3%), running water (18.2%) in urban subjects and purified water (32.4%), underground water (27.0%) in local subjects, respectively. Daily energy and nutrient intakes were not significantly different between two groups. Among the surveyed 17 clinical symptoms, the scores of constipation, cold, anxieties and total score of clinical symptoms in urban subjects were significantly love. than those in local subjects. Hair contents of Na, Mg, Ca, Cu, V Al, As were significantly higher, while U was lower in urban subjects compared to those in rural subjects. Hair contents of Ni and U were significantly correlated with food intake, and Cr, V, Al, Sb, As, U showed a correlation with energy intake. Hair Mg level showed significantly negative correlation with total clinical symptom score. In conclusion, hair mineral profile between urban and local students was significantly different. And some of these minerals were significantly correlated with food and nutrient intakes. Especially hair magnesium was significantly correlated with total clinical symptom score. Therefore, hair mineral levels would be needed for more systematic study elucidating potentiality as a useful clinical tool.

Study on the Variation of Menstruating Women's Pulse Wave - In the Focus of Blood Circulation Index, Pulse Energy, Radial Augmentation Index - (여성의 월경(月經) 맥파(脈波) 특성 연구 - 혈액순환지수, 맥(脈)에너지, 혈관탄성계수를 중심으로 -)

  • Lee, Jeong Won;Kim, Yi Soon;Hong, Dong Kyun;Kim, Gyeong Cheol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.2
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    • pp.246-252
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    • 2013
  • A descriptive, comparative study was performed using female college students as experimental subjects. The primary objective was to compare the changes in pulse waves that take place during normalcy and during menstruation. The second objective was to compare the pulse waves of experimental subjects with severe menstrual pain and experimental subjects with minor or no menstrual pain during menstruation and during normalcy. The subjects of this experiment were female college students attending D University, located in Pusan, and the data were collected from September 2011 to February 2012. Their blood circulation index and pulse-wave factors were measured. During normalcy, these data were gauged a week to ten days after menstruation, and during menstruation, they were gauged two to three days after the start of menstruation, when the menstrual pain was at its peak. The results was as follows. In the characteristics of the blood circulation index, the index increased during menstruation, resulting in an increase in only the blood volume of the left ventricle. And the pulse energy of the left Chon, Kwan, Cheok and right Cheok were significantly higher during menstruation. Additionally, the average pulse energy in the left hand was distinctively lower in the menstrual group than in the normalcy group. There is a difference in blood pulse factors between normalcy and during menstruation, as well as a difference in blood pulse factors in experiment group without menstrual pain and experiment group with menstrual pain. These differences were particularly observed in the blood circulation index, pulse energy.

Physical Performance in Young Women with Depleted Iron Stoles (젊은 여성의 철분저장 고갈상태와 운동수행능력)

  • 정영진;정명일;정종귀
    • Journal of Nutrition and Health
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    • v.35 no.2
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    • pp.223-228
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    • 2002
  • The purpose of this study was to investigate the relationship between iron deficiency without anemia and physical performance in healthy women aged 20-21 yrs. Ten subjects with normal iron stores (serum ferritin $\geq$ 12$\mu\textrm{g}$/L: iron-sufficient group) and 11 subjects with iron depletion without anemia (serum ferritin < 12 $\mu\textrm{g}$/L and serum hemoglobin > 120 g/L: iron-depleted group) were chosen from a group of 50 women and were given physical-performance tests, including determinations of maximum oxygen consumption (VO$_2$ max) and ventilatory threshold. Iron status assessment included determination of hemoglobin, hematocrit, seam ferritin, total iron-binding rapacity, serum iron and transferrin saturation values. Dietary iron intake was assessed based on seven-day food intake records written by the subjects. Physical activity level was estimated by frequency questionnaires and two-week physical activity records were compiled daily by the subjects. Blood ferritin concentration was significantly lower in the iron-depleted group than in the iron-sufficient group (p < 0.05). However, other variables showing iron status was not different between the groups. There were no significant differences in body size, body composition and physical activity levels between the groups. Daily dietary iron, total protein and animal protein intakes of the iron-sufficient group were significantly higher than those of the iron depleted group. However, no differences were found in the amount of dietary vitamin C and fiber between the groups. The values for VO$_2$max and VO$_2$max corrected with weight or fat-free mass were not different between the groups. However, the ventilatory threshold was significantly higher in the iron sufficient group than in the iron-depleted group. The lower ventilatory threshold in the iron-depleted group suggests that iron depletion without anemia could diminish aerobic physical performance in young women. In addition, a significant correlation of physical performance to serum fferritin level was shown only in the iron depleted group.

A Preliminary Study on the Preference Assessment on Individuals with Specific Display Location in Screen based on Electroencephalogram and Emotional Assessment (뇌파와 감성평가 기반의 스크린 상 특정 디스플레이 위치 선호도 평가에 관한 기초연구)

  • Wang, ChangWon;Min, Se Dong
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.63 no.7
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    • pp.968-975
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    • 2014
  • This paper proposed a evaluation method for individual's subjective preferred location using EEG and emotional assessment. Visual stimulus were sequentially presented a total six points(the top and the bottom of the left, the top and the bottom of the center and the top and the bottom of the right on the screen). EEG were measured from twenty subjects according to each six points. At the same time, we were executed evaluation of subjects preferred location from emotional assessment. Alpha and beta wave were measured in Fp1, Fp2, F7 and F8 location, followed by ten to twenty electrode system. Correlations and variations of alpha and beta wave from each channel were calculated and analyzed. Because of the number of subjects population under 30, we used Speareman test for a correlation analysis between alpha and beta wave. Also, emotional assessments which compose of visual sense harmony, visual sense stability, stability of position and the visibility were performed and were analyzed by average and frequency. After visual stimulus, emotional assessments were performed. From the variance analysis of EEG, beta wave from F7 was appeared statistically significant as significance probability of 0.006. Also, between alpha wave and beta wave appeared a negative correlation(r=-0.190). From the post-hoc test of F7 beta wave, location 1, 5 and 6 appeared to difference statistically significant. Emotional assessment result according to six positions showed 0.00 significance probability. Thus, location and emotional assessment appeared to influence on each other. From the average and frequency analysis of emotional assessment, location 2 showed obtained of best emotional assessment score and appeared lower beta wave than other locations. Finally, most subjects showed a preference for location 2. Through obtained results in this paper, will be helpful to about human emotional assessment and EEG research.

Comparison of Muscle Activity Ratio of Upper Trapezius to Serratus Anterior During Shoulder Elevation Between Subjects With and Without Pain Experienced in Upper Trapezius

  • Ahn, Sun-Hee;Kwon, Oh-Yun;Choung, Sung-Dae;Kim, Si-Hyun;Jeon, In-Cheol
    • Physical Therapy Korea
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    • v.21 no.2
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    • pp.67-73
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    • 2014
  • The aim of this study was to compare the activity of the upper trapezius (UT) and serratus anterior (SA) and ratio of UT to SA during shoulder elevations. Ten subjects with UT pain (UTP) and 13 subjects without UTP participated in this study. Subjects with a UTP of over five in a pain intensity visual analogue scale (0-10 ㎝) for more than 2 months and latent myofascial trigger points (MTrPs) in the UT muscle were included in the UTP group. Electromyography (EMG) data of UT and SA at 1st and 10th elevations were analyzed. Two-way repeated analyses of variance were used to compare the EMG activity of UT and SA and the ratio of UT to SA during shoulder elevations between groups with and without UTP. There was a significant increase in UT/SA ratio in the group with UTP compared to the group without UTP (p=.01). The activity of UT and SA measured at the 10th elevation was significantly greater than that in the first elevation (p<.05). The activity of SA was significantly greater in the group without UTP than the group with UTP (p=.03). However, there was no significant difference between groups with and without UTP in terms of UT activity (p=.28). These results indicate that UTP may have relevance to the increased muscle activity ratio of UT to SA during shoulder elevations.

Effects of Frequency Type on Muscle Function of the Thigh during Electrical Muscle Stimulation (전기근육자극 시 주파수 차이가 대퇴 근육 기능에 미치는 영향)

  • Woen-Sik Chae;Jae-Hu Jung
    • Korean Journal of Applied Biomechanics
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    • v.33 no.1
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    • pp.17-24
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    • 2023
  • Objective: The purpose of this study was to investigate the effects of different frequency on of knee extensors muscle function during electrical muscle stimulation (EMS). Method: In this research, 40 subjects who have no musculoskeletal disorder, and less than a year workout experience were recruited in order to analyze effects of EMS with different stimulus frequency. Forty subjects were randomly divided into four groups of ten subjects in each group. A EMS training program with different frequencies (without EMS [WE], EMS with frequency 30 Hz [E30], EMS with frequency 60 Hz [E60], EMS with frequency 90 Hz [E90]) was assigned to each group. Throughout eight weeks of training, test subjects were simultaneously carried out knee extension exercises such as squat, leg extension, and leg-press while using EMS with different frequency (20 min, pulse width 250 ㎲, on-off ratio 1:1). Isokinetic knee extension strength, muscle activity of the rectus femoris (RF), the vastus medialis (VM), and the vastus lateralis (VL), and the median frequency of the RF, the VM, and the VL were collected and compared between pre and post training in order to find effects of applying EMS with different frequencies. For each dependent variable, a one-way ANOVA was to determine whether there were significant differences among four different conditions (p<.05). When a significant difference was found, post hoc analyses were performed using the contrast procedure. Results: When compared to WE and E90, E30 causes significant increase in isokinetic knee extension strength. No significant differences were found in EMG values across different EMS conditions. However, the median frequency of the VM in E30 was significantly increased than the corresponding value for WE. Conclusion: The results of this study showed that EMS training with 30 Hz frequency had positive effect on knee extensor. Based of the findings of the present study, EMS training with lower frequency may help the performer to focus on developing strength in knee extensor muscles.

Study on the Variation of Menstruating Women's Pulse Wave -Ap, $h_1$, Wm- (요골동맥에서 살펴본 월경 맥상파 연구 -Ap, $h_1$, Wm을 중심으로-)

  • Lee, Jeong-Won;Kim, Yi-Soon;Kim, Chang-Tae;Kim, Gyeong-Cheol
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.17 no.1
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    • pp.17-28
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    • 2013
  • Objectives A descriptive, comparative study was performed using female college students as experimental subjects. The objective was to compare the pulse waves of experimental subjects having severe menstrual pain and control subjects having minor or no menstrual pain. Methods The subjects of this experiment were female college students and the data were collected from September 2011 to February 2012. During normalcy, these data were gauged a week to ten days after menstruation, and during menstruation, they were gauged two to three days after the start of menstruation, when the menstrual pain was at its peak. Results The results was as follows. 1. Right Chuk Ap of the menstrual period was significantly narrowed than usual period. In comparison of Ap on menstrual pain group and non menstrual pain group, Left Kwan Ap showed significant difference. 2. Left Chon $h_1$ and Right Chuk $h_1$ of the menstrual period was significantly lowered than usual period. Right Kwan $h_1$ was appeared significant difference between menstrual pain group and non menstrual pain group. 3. Left Chon Wm of the menstrual period was appeared significantly short than usual and left Kwan Wm of the menstrual period was appeared significantly long than usual. Conclusions Ap, $h_1$ and Wm of the menstrual period were changed in Qwan and Chuk. Ap, $h_1$ and Wm of the menstrual pain group were appeared significant difference than non menstrual pain group.

The effect of single trial transcutaneous electrical nerve stimulation on balance and gait function in elderly people with dementia: a pilot study

  • Jung, Ju Yeon;Jung, Jin-Hwa;Hahm, Suk-Chan;Jung, Kyoungsim;Kim, Sung-Jin;Suh, Hye Rim;Cho, Hwi-young
    • Physical Therapy Rehabilitation Science
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    • v.6 no.2
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    • pp.59-64
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    • 2017
  • Objective: Elderly people with dementia experience not only cognitive dysfunction but also motor function deficits, such as balance and gait impairments. Recently, transcutaneous electrical nerve stimulation (TENS) has been used to reduce pain as well as to control muscle spasm, spasticity and motor performance in various types of subjects. The purpose of this study determined the effect of a single trial TENS on balance and gait function in elderly people with dementia. Design: A randomized controlled trial. Methods: Twenty-two subjects with dementia were assigned to the TENS group (n=12) and ten subjects were assigned to the control group (n=10) randomly. Subjects were classified into two groups: the TENS group (n=12) and the placebo-TENS group (n=10). The TENS group had electrical stimulation applied on the calf muscle for 15 minutes, while the placebo-TENS group had not received real electrical stimulation. The timed up and go test (TUG) and functional reach test (FRT) were used to measure the balance function, and the 10 meters walk test (MWT) and 6MWT were used to assess gait ability. All tests were performed before and after intervention under a single-blinded condition. Results: After intervention, there were significant improvements in TUG, FRT, 10MWT, and 6MWT results in the TENS group (p<0.05), while the placebo-TENS group did not show significant changes in all outcome measurements. There were also differences in all tests between the two groups at post-measurements (p<0.05). Conclusions: This study demonstrated that a single trial TENS application on the calf may be used to improve balance and gait function in elderly people with dementia.