The content of harmful materials was investigated for coffee beans sold in Daejeon. Total 79 samples were analysed and 213 residual pesticides and 2 heavy metals were analysed simultaneously by GC-MS/MS, GC-NPD, GC-ECD, LC-MS/MS and ICP-MS. The instrumental method was validated with limit of detection (LOD), limit of quantification (LOQ), the linearity of standard curves. LOD of the residual pesticides was between 0.0003 to 0.0021 mg/kg, LOQ of the residual pesticides was between 0.0008 to 0.0064 mg/kg. LOD of the heavy metals was between 0.0077 to 0.0079 μg/kg, LOQ of the heavy metals was between 0.0233 to 0.0239 μg/kg. The linearity correlation coefficient for the calibration curve was between 0.9929 to 0.9999 and the recovery rate was between 95.4% to 106.1%. According to the monitoring of residual pesticides and heavy metals, no pesticide was detected in all coffee bean samples. 88.6% (70 samples) of analysed total 79 coffee beans contained at least 1 heavy metal but there was no sample which exceeded the maximum residual limit. Risk assessment was also carried out based on the content of heavy metals detected in coffee beans. The carcinogenic risk assessment to heavy metals showed that all cancer-risk (CR) values were below 10–6 and it meant that the CR due to heavy metals intake was evaluated as safe. The non-carcinogenic risk assessment to heavy metals showed that all hazard index (HI) were below 1, which was considered acceptable at the current level of exposure. The %PTWI values of lead and cadmium for 55 roasted coffee bean samples were 0.09% and 0.04% respectively, compared with the reference values. This results indicate that there is almost no health risk from heavy metal intake through the consumption of coffee beans in circulation in Daejeon.

This study was undertaken to evaluate the toxic effect of cadmium sulfate (Cds) on planarians (Dugesia japonica), and the suitability of planarians as an alternative animal model for toxicity studies. Planarians were exposed to varying concentrations of experimental solutions containing 0.1–25 mg/L Cds, and incubated for 1, 3, and 5 hrs. Motility, seizure-like behaviors (c-like, head-bop, snake-like, and screw-like) and regeneration ability of the amputated fragment were subsequently evaluated. Results showed decreased motility with increasing concentrations of Cds (p<0.05), with the lowest motility being observed at the highest concentration of 25 mg/L Cds. Results also indicate that seizure-like behavior patterns were significantly affected by increments in the Cds concentrations, especially the c-like and head-bop behaviors were notably increased. Compared to the control, the regeneration ability of the planarians was decreased in the experimental solutions containing Cds. Planarians exposed to Cds showed either delayed eye formation or no eye regeneration during incubation. Moreover, increased concentrations of Cds resulted in failure to regenerate and death of the planarians. In conclusion, this study confirm that the heavy metal Cds exerts a toxic effect on planarians. Furthermore, the performances of the planarians in the experimental period exhibit their suitability as an alternative animal model for toxicity studies.

The objective of this study is to identify the emission characteristics of VOCs from small-scale painting facilities, such emissions being pollutants that impact nearby living areas and to devise improvement measures to enhance management plans regarding pollutant emissions from painting facilities. VOCs emissions from painting facilities were estimated according to Clean Air Policy Support System (CAPSS) data based on the National Institute of Environmental Research (NIER)'s emission list in 2017. Three automotive painting facilities in Seoul were chosen for evaluation of the adsorption system. We analyzed the characteristics of VOCs generated by type of different operation and measured the removal efficiency of the adsorption system. Therefore, we analyzed current emissions of VOCs from automotive painting facilities based on field measurements. According to such detailed analysis, a systematic management plan was proposed.

헤이그국제사법회의는 2019. 7. 2. 민·상사 외국재판의 승인 및 집행에 관한 새로운 다자간 협약인 2019년 헤이그 외국재판 승인 및 집행협약을 채택하였다. 이 협약이 발효되면 체약국 법원은 다른 체약국의 재판에 대하여 승인 및 집행을 할 의무를 진다. 전통적으로 외국재판의 승인 및 집행은 전적으로 각국의 국내법과 관행에 의하여 규율되었는데, 오랜 노력 끝에 지역을 넘어서 국제적으로 통일된 외국재판의 승인 및 집행협약이 출범하였다. 이로써 어느 국가의 재판이 다른 국가에서 승인과 집행이 거부될 수 있는 실질적 위험성이 상당 부분 해소되었다. 외국재판 승인 및 집행협약은 2005년 헤이그관할합의협약과 1958년 외국중재판정의 승인 및 집행에 관한 뉴욕협약을 보충하여 국경 간 상사 거래의 안정성과 예측가능성을 제고하고, 무역과 글로벌 경제의 향상에도 기여 할 것이다. 외국재판 승인 및 집행협약은 각국의 가입과 비준 등을 기다리고 있고, 각국이 얼마나 많은 호응을 하면서 뉴욕협약과 같은 성공을 거둘지 주목된다. 본고는 외국재판 승인 및 집행협약의 핵심 내용을 간략히 언급하고, 우리나라가동 협약에 가입할 때 대두되는 쟁점 중심으로 동 협약과 국내법의 관계 및 국내로의 수용방식, 승인집행거부사유로서의 사기와 실체적 또는 절차적 공서위반, 상호보증, 거부선언 메커니즘, 사항별 적용 제외 선언, 상거소의 통일적 기준의 설정 가능성 등을 검토한다. 외국재판 승인 및 집행협약 해설서의 작성과 배포 등으로 외국재판의 승인 및 집행을 다루는 법원 등 실무와 학계에서 동 협약에 대한 신속한 숙지 작업이 필요하다. 앞으로 다수 국가의 외국재판 승인 및 집행협약 가입 추이를 지켜보되. 우리나라의 적절한 협약 가입 시기를 능동적으로 결정한다.

Precise combinations of probiotics can be useful in dog nutrition, treatment and care. Also, host specificity must be considered in order to increase the effectiveness of probiotics. In this study, Lactobacillus acidophilus HY7032 and Lactobacillus reuteri HY7506 were used, which were isolated from feces of healthy dogs through the verification of pH, bile salt tolerance, and antibacterial activity. In addition, the selected strains were confirmed for activity in immune cells. Briefly, L. acidophilus HY7032 and L. reuteri HY7506 enhanced oxidative burst and phagocytosis of innate immune cell activities in peripheral blood. In addition, beagle were administered vancomycin 50 mg and polymyxin B 100 KU for 7 days, and then 107 CFU of L. acidophilus HY7032 and L. reuteri HY7506 were orally administered for 3 weeks to confirm the effect of improving hair quality. Also, compared with the placebo group, the health improvement effect including stool pattern were confirmed. These results imply that the microflora imbalance caused by antibiotics can be gradually improved through the intake of probiotics. Through this study, it was confirmed that L. acidophilus HY7032 and L. reuteri HY7506 are good probiotics that contribute to the welfare and health of companion animals and have the effect of improving hair quality.

The emission of particulate matter and volatile organic compounds (VOCs) from a motor vehicle painting booth was quantitatively evaluated. Most particulate matter was emitted during the spraying process, in which the PM10 concentration was 16.5 times higher than that of the drying process. When the paint was being sprayed, the particles with a diameter of 1.0~2.5 μm accounted for 39.4% and particles greater than 2.5 μm in diameter accounted for 30.6% of total particles. On the other hand, small particles less than 0.5 μm in diameter accounted for 52.4% of total particles during the drying process. In contrast to the particulate matter, high concentrations of VOCs were emitted during both spraying and drying processes. Butyl acetate, xylene, toluene, and m-ethyltoluene were the most abundant VOCs emitted from the motor vehicle painting booth. Additionally, xylene, butyl acetate, toluene, and 1,2,3-trimethylbenzene were the dominant ozone precursors. Especially, xylene exhibited the highest ozone production contribution (32.5~44.4%) among 34 species of the ozone precursors. The information obtained in this study can be used to establish a suitable management strategy for air pollutants from motor vehicle painting booths.

Developments in cancer therapies and diagnostic techniques have improved the long-term survival of cancer patients. Certain cancer treatments, such as radiotherapy, often harm normal tissue as well as the specifically targeted cancer cells. High doses of radiation induce bone loss. This study investigated the effects of pentoxifylline (PTX) on radiation-induced bone loss in C3H/HeN mice. C3H/HeN mice were divided into sham and irradiation (3 Gy, gamma-ray, IR) groups. The irradiated mice were treated for 12 weeks with vehicle, PTX (p.o.) or PTX (s.c.). Grip strength, uterus weight, serum alkaline phosphatase (ALP) and tartrate-resistant acid phosphatase (TRAP) level were measured. Tibiae were analyzed using micro-computed tomography. There were no significant differences in the degree of grip strength, body weight and uterine weight between IR group and PTX-treated group. Treatment of PTX significantly preserved trabecular bone volume, trabecular number, trabecular separation and bone mineral density of proximal tibia metaphysic. The administration of PTX lowered serum TRAP in IR mice, suggesting that PTX can reduce the bone resorptive rate in mice. Our experimental data support the protective role of PTX against bone loss in irradiated mice. Based on the findings of this study, development of PTXbased treatments is anticipated to address bone loss after radiotherapy. Prospective dose escalation studies are required to determine the appropriate dosage of PTX.

Rabies is a zoonotic disease that is caused by rabies virus and transmitted only in mammals. Domestic dogs are the most common reservoir of the virus, which is associated with more than 99% human deaths caused by dog-mediated rabies in the world. Rabies is one of the most fatal diseases, but it is fully preventable in animals by vaccination. Serological test of rabies virus antibody for samples collected from dogs and cats in Seoul during 2017–2019 was carried out in this study. To investigate antibody seroprevalence of rabies virus for dogs and cats, 2,769 serum samples were taken from 2,408 dogs and 361 cats in various regions of Seoul during 2017– 2019. Antibodies to rabies virus were detected by an indirect ELISA. Of 2,769 tested animal sera, 934 (33.7%) were positive; 886 (36.8%) of 2408 dogs and 48 (13.3%) of 361 cats. Of 990 companion animals, 547 (55.3%) was positive and 387 (21.8%) of 1779 stray animals was positive. These results indicate that antibody seroprevalence to rabies virus is still not enough to prevent rabies and rabies vaccination is required to enhance the antibody seroprevalence for rabies. To improve the situation, much public awareness and policy is needed to prevent the rabies. In addition, reducing stray animals and keeping companion animals from contact with wild animals are indispensable for the prevention of rabies.

This study was conducted to find an efficient and economical mixing ratio of deodorant and a isolated microorganism to reduce ammonia in livestock manure compost. In this study, a simple experimental device that can compare the degree of odor reduction by connecting the vial containing the odor generating source and the gas detection tube and leaving it to stand was used. This test method cannot accurately measure ammonia concentration according to the characteristics of the detector tube, but it is an easy method to compare various experimental conditions. The microorganism isolated from pig manure, “Enterococcus casseliflavus” was found to have an effect on ammonia reduction. Surfactant (sodium dodecyl sulfate), mineral A, mineral B, sulfur, persimmon leaves, and glycerin used as a deodorant were mixed with E. casseliflavus NO-2-L to find the optimum mixing ratio. When 20% of deodorants and E. casseliflavus NO-2-L were added to the source of odor alone, the ammonia reduction efficiency of NO-2-L was the highest (66.7%) compared with other deodorants. When a mixture of microorganisms and deodorants were used, the ammonia reduction efficiency was the best when the mixing ratio of the deodorant was 20%. When mineral B and sulfur were added, the ammonia concentration reduction efficiency was the highest at 83.3%.

Celecoxib, a cyclooxygenase (COX)-2 selective inhibitor, was approved as a non-steroidal anti-inflammatory drug (NSAID), and this therapeutic application has been expanded to several other diseases, including colon cancer. Notably, a treatment strategy combining the use of celecoxib and radiation therapy has been employed for improving the control of local cancers. In this study, we examined the effect of celecoxib on irradiation-induced intestinal damage. The twenty four mice (BALB/c) were divided into four groups; 1) sham-irradiated control group, 2) celecoxib-treated group, 3) irradiated group, and 4) celecoxib-treated irradiation group. Mice were orally administered celecoxib at a dose of 25 mg/kg in a 0.1 mL volume, daily for 4 days after irradiation exposure (10 Gy). Then, histological examinations of the jejunal villous height, crypt survival, and crypt size were performed. The expression of COX-2 after administration of celecoxib in irradiated mice was examined by employing immunohistochemistry, Western blotting, and qPCR analysis. The jejunal villi height and the crypt survival were reduced in the irradiation group compared with the sham-irradiated group. Celecoxib treatment in irradiation mice even more decreased those indicators. Crypt size was increased in the radiation group compared to the sham-irradiated control group, whereas the size was decreased in the celecoxibtreated irradiation group compared with the group exposed to the radiation injury. COX-2 expression was detected in the crypt of the small intestine, and COX-2 expression was increased in the crypt lesion following radiation exposure. However, COX-2 expression was reduced in the celecoxib-treated irradiation group. Therefore, in the present study, we confirmed that celecoxib treatment after irradiation aggravated the irradiation-induced intestinal damage. These results suggest that a caution need to be administered when celecoxib treatment is performed in combination with radiation therapy for cancer treatment.

This study aimed to investigate the characteristics of odor-causing substances in Yeosu national industrial complex, which is designated as an “Odor management Area,” in 2019 and the surrounding area. The sampling sites were divided into three areas: five sites within the industrial complex (Management area), one site within the borders of the complex (Boundary area), and two sites within residential areas (Affected area) affected by odors. The odor compounds were collected from March to September at dawn, daytime, and night. The analytical items were meteorological data, complex odor, legally-designated 22 odor compounds and other VOCs. Complex odor was exceeded on the limit three occasions at two sites in the management area. Ammonia, two types of sulfides, three types of aldehydes, and five VOCs were detected to be within the emission standards. Ammonia was the most frequently detected compounds. Aldehydes and sulfur compounds made a relatively high contribution to the level of odors. Therefore, aldehydes and sulfur compounds should be reduced first in order to prevent odors from occurring.

근래 정신질환자의 범죄가 언론에 자주 보도되고 있다. 이들의 처벌, 치료 혹은 처우가 사회적으로 큰 이슈가 되고 있다. 그동안의 판례와 실무는 별다른 이견 없이 정신질환자의 범죄를 심신장애의 문제로 치환하여 왔다. 그래서 정신질환자에 대한 형사절차는 정신감정을 통해 행위자가 올바른 책임능력을 갖추었는지 판단하는데 집중되어 왔다. 그러나 정신질환자가 겪는 여러 증상을 바탕으로 그의 시각에서 세상을 바라본다면 다른 논리가 가능하다. 정신질환자는 비정신질환자가 바라보는 방식대로 세상을 바라보지 않는다. 즉 정신질환자는 외계에 대한 인식이 비정신질환자와 다르다. 특히 조현병이나 인식장애를 앓고 있는 사람은 범죄구성요건으로의 객관적 사실에 대한 인식을 하지 못하였다고 볼 여지가 있다. 마찬가지로 충동조절장애나 해리장애를 앓고 있는 사람은 자신의 의사와 관계없이 외적 행동이 이루어지는 경우가 많다. 그들 에게는 범죄의 의사가 없다고 볼 여지가 있다. 결국 정신질환자의 범죄행위를 논할 때는 책임능력이 아니라 주관적 구성요건의 단계에서부터 진지한 검토가 이루어져야 한다. 판례와 실무는 정신질환자의 행위에 대해 당연히 고의가 존재함을 전제로 하여, 다음 단계로 나아가는 것 같지만 이는 잘못이다. 다만 판례와 실무의 태도는 현실을 고려한 어쩔 수 없는 결론일 수 있다. 정신질환자의 고의나 과실이 부정된다면 그에게 어떠한 형벌이나 보안처분도 과할 수 없고 이는 사회보호의 측면에서 문제를 발생시키기 때문이다. 정신질환자에게 무죄판결을 선고하면서 치료감호 등의 보안처분도 할 수 없다면 법감정상 받아들이기 어려운 결과가 발생할 수 있다. 이러한 공백을 메우고 형법의 기본원칙에 충실을 기하기 위해서는 현재의 해석론만 가지고는 한계가 있고, 추가적인 입법적 개선 노력이 필요하다고 생각되는 바이다.

This ammonia prediction study was performed using the time-series artificial neural network model, Long-short term memory (LSTM), after long-term monitoring of ammonia and environmental factors (ventilation rate (V), temperature (T), humidity (RH)) from a slurry finishing pig farm on mechanical ventilation system. The difference with the actual ammonia concentration was compared through prediction of the last three days of the entire breeding period. As a result of the analysis, the model which had a low correlation (ammonia concentration and humidity) was confirmed to have less error values than the models that did not. In addition, the combination of two or more input values [V, RH] and [T, V, RH] showed the lowest error value. In this study, the sustainability period of the model trained by multivariate input values was analyzed for about two days. In addition, [T, V, RH] showed the highest predictive performance with regard to the actual time of the occurrence of peak concentration compared to other models . These results can be useful in providing highly reliable information to livestock farmers regarding the management of concentrations through artificial neural network-based prediction models.

Traditionally, pathologists examine tissue slides under a microscope to find pathological lesions, and have the burden of finding the lesions among so many histopathology slides. Furthermore, inconsistency of diagnoses results differ corresponding to training among researchers. Therefore, accumulated research experience has led to the use of novel tools for increasing accuracy and consistency of diagnoses. With rapid transition from analog to digital methods and new developments in digital pathology, it is possible to use whole slide imaging (WSI) by scanning glass slides. Artificial intelligence (AI), including machine learning and deep learning using WSI, is starting to be applied to automatically classify and count microscope images, and this method has been expanded to include the field of medical image analysis. This review aims to define current trends toward AI application in the biomedical area, especially in the field of toxicopathology, outline current future business trends, and discuss multiple issues of diagnosis, quantification, three-dimensional reconstruction, molecular pathological research, and the future direction of AI in toxicopathology. Big data systems including a large amount of welldefined toxicopathological information will be highly useful for accuracy and corrections of diagnoses. In addition, the need for critical peer review is profound in the continuing educational process. Taken together, it is highly promising that AI model based on big data in the toxicopathological field could classify, detect, and segment pathological lesions in numerous organs of experimental animals and could help explain various biological mechanisms. This promising approach will provide an accurate and fast analysis of tissue structure and biological pathways using AI algorithms and big data.

Background: A hip fracture may occur spontaneously prior to the hip impact, due to the muscle pulling force exceeding the strength of the femur. Objects: We conducted falling experiments with humans to measure the activity of the hip muscles, and to examine how this was affected by the fall type. Methods: Eighteen individuals fell and landed sideways on a mat, by mimicking video-captured real-life older adults’ falls. Falling trials were acquired with three fall directions: forward, backward, or sideways, and with three knee positions at the time of hip impact, where the landing side knee was free of constraint, or contacted the mat or the contralateral knee. During falls, the activities of the iliopsoas (Ilio), gluteus medius (Gmed), gluteus maximus (Gmax) and adductor longus (ADDL) muscles were recorded. Outcome variables included the time to onset, activity at the time of hip impact, and timing of the peak activity with respect to the time of hip impact. Results: For Ilio, Gmed, Gmax, and ADDL, respectively, EMG onset averaged 292, 304, 350, and 248 ms after fall initiation. Timing of the peak activity averaged 106, 96, 84, and 180 ms prior to the hip impact, and activity at the time of hip impact averaged 72.3, 45.2, 64.3, and 63.4% of the peak activity. Furthermore, the outcome variables were associated with fall direction and/or knee position in all but the iliopsoas muscle. Conclusion: Our results provide insights on the hip muscle activation during a fall, which may help to understand the potential injury mechanism of the spontaneous hip fracture.

Background: Although symmetry of spatio-temporal parameter and center of pressure (COP) shift during walking is associated with knee adduction moment, research on clinical association with knee osteoarthritis (OA)-related knee pain and functional scores is lacking. Objects: The aims were 1) to compare symmetry of gait parameters and COP-shift in patients with unilateral knee OA and pain and matched controls, and 2) to investigate the relationship between symmetry of gait parameters and COP-shift, and clinical measures. Methods: Female subjects (n = 16) had with unilateral radiological knee OA and pain. Healthy controls (n = 15) were age-matched to OA group. Symmetry of foot rotation, step length, stance and swing phase, lateral symmetry of COP and anterior/posterior symmetry of COP during walking was assessed. To assess the clinical variables, pain intensity, pain duration and function using Knee Osteoarthritis Outcome Survey (KOOS) subscales were collected. We compared symmetry between groups using Mann–Whitney U-test or independent t-test. Relationships between clinical measures and symmetry index measured using Spearman’s correlation test. Statistical significance was set at α = 0.05. Results: Knee OA group showed significantly greater values of only lateral symmetry of COP (p < 0.01) than healthy group. Values of lateral symmetry of COP had moderate or strong correlation significantly with the intensity of knee pain, pain duration, and scores of all KOOS subscales (p < 0.01). Conclusion: Patients with unilateral knee OA and pain showed more asymmetry of lateral COP-shift during walking compared with matched healthy controls. In addition, larger asymmetry of lateral COP-shift has the moderate or strong association with worse of knee pain, worse in KOOS scores and longer duration of knee pain. Asymmetry of lateral COP-shift during walking may be one of the characteristics of unilateral knee OA as the compensatory strategy response to unilateral OA of the knee.

Background: A pressure ulcer is common in soft tissue over the greater trochanter (GT) in side-lying position, and sustained tissue deformation induced by the prolonged external force is a primary cause, which can be discussed with soft tissues’ viscoelastic properties (i.e., stress relaxation, creep response). Objects: Using an automated hand-held indentation device, we measured the viscoelastic properties of soft tissue over the hip area, in order to examine how the properties are affected by site with respect to the GT. Methods: Twenty participants (15 males and 5 females) who aged from 21 to 32 were participated. An automated hand-held indentation device was used to measure the stress relaxation time and creep response. Trials were acquired for three different locations with respect to the GT (i.e., right over the GT, 6 cm anterior or posterior to the GT). For each location, five trials were acquired and averaged for data analyses. Results: Soft tissues’ stress relaxation time and creep response were associated with site (F = 23.98, p < 0.005; F = 24.09, p < 0.005; respectively). The stress relaxation time was greatest at posterior gluteal region (19.22 ± 2.49 ms), and followed by anterior region (15.39 ± 2.47 ms) and right over the GT (14.40 ± 3.18 ms). Similarly, creep response was greatest at posterior gluteal region (1.16 ± 0.14), and followed by anterior region (0.95 ± 0.14) and right over the GT (0.89 ± 0.18). Conclusion: Our results showed that the stress relaxation and creep were greatest at the posterior gluteal region and least at right over the GT, indicating that the gluteal soft tissue is more protective to the prolonged external force, when compared to the trochanteric soft tissue. The results suggest that a risk of pressure ulcer over the GT may decrease with slightly posteriorly rotated side-lying position.

Background: The hamstring is a muscle that crosses two joints, that is the hip and knee, and its flexibility is an important indicator of physical health in its role in many activities of daily living such as sitting, walking, and running. Limited range of motion (ROM) due to hamstring tightness is strongly related to back pain and malfunction of the hip joint. High-frequency diathermy (HFD) therapy is known to be effective in relaxing the muscle and increasing ROM. Objects: To investigate the effects of HFD on active knee extension ROM and hamstring tone and stiffness in participants with hamstring tightness. Methods: Twenty-four participants with hamstring tightness were recruited, and the operational definition of hamstring tightness in this study was active knee extension ROM of below 160° at 90° hip flexion in the supine position. HFD was applied to the hamstring for 15 minutes using the WINBACK device. All participants were examined before and after the intervention, and the results were analyzed using a paired t-test. The outcome measures included knee extension ROM, the viscoelastic property of the hamstring, and peak torque for passive knee extension. Results: The active knee extension ROM significantly increased from 138.8° ± 9.9° (mean ± standard deviation) to 143.9° ± 10.4° after the intervention (p < 0.05), while viscoelastic property of the hamstring significantly decreased (p < 0.05). Also, the peak torque for knee extension significantly decreased (p < 0.05). Conclusion: Application of HFD for 15 minutes to tight hamstrings immediately improves the active ROM and reduces the tone, stiffness, and elasticity of the muscle. However, further experiments are required to examine the long-term effects of HFD on hamstring tightness including pain reduction, postural improvement around the pelvis and lower extremities, and enhanced functional movement.

Background: Hip flexor muscles are very important in the hip joint structure as a mover and stabilizer. In addition, isometric hip flexor strength in the supine position needs to be considered with isometric core strength (WICS) to measure a precise strength in a clinical way. Objects: We compared isometric hip flexor strength in the supine position in subjects with and without WICS (between factors) and conditions with and without an external support (within factors). Methods: A total of 34 subjects (16 with WICS, 18 without WICS) participated in this study. We used the double-bent leg-lowering test to divide the subjects in two groups according to the presence of WICS. Isometric hip flexor strength was evaluated in the supine position both with and without an external support condition. The two-way mixed analysis of variance was applied to identify significant differences between groups (with vs. without WICS: between factors) and conditions (with vs. without an external support: within factors). Statistical significance was set at α = 0.05. Results: In subjects with WICS, isometric hip flexor strength was greater with an external support than without it (p = 0.0064). In subjects without WICS, there were no significant differences in isometric hip flexor strength in the presence or absence of an external support (p = 0.075). The isometric hip flexor strength was significantly greater with an external support condition in particular in subjects with WICS. Conclusion: The findings of this study reported that an external support condition in individuals with WICS may contribute to the improvement of isometric hip flexion strength in the supine position. Therefore, isometric core strength should be evaluated to distinguish the weakness between core region and hip flexors.

Background: To evaluate whether extracorporeal shock wave therapy (ESWT) in the pain point is a more effective treatment than the trigger point for myofascial pain syndrome (MPS) of the upper trapezius. Objects: The purpose of this study was to compare the most effective areas when applying extracorporeal shock wave therapy. Methods: A total of 30 patients with MPS were randomly assigned to the trigger point in the ESWT (n = 15) and pain point ESWT (n = 15) groups. Interventions in both groups were performed in one session, i.e., 2,000 shocks with 1.5 bar intensity. Pain and function were assessed using the visual analog scale (VAS) and cervical range of motion (ROM) and based on mechanical muscle properties. Statistical analysis was performed using the repeated measures two-way analysis of variance to determine the significance probability between pre- and post-test. Results: Changes in mechanical muscle properties were not statistically significant between the two groups. However, VAS and cervical ROM showed statistically significant differences at pre- and post-intervention, regardless of the group (p < 0.05). Conclusion: Although no significant difference was observed in the intervention effect, applying an extracorporeal shock wave to the pain point rather than the pain trigger point should be considered in order to save time in effectively and accurately identifying the pain trigger point and site.