The purpose of this paper is to suggest the strategical lifting postures able to alleviate imbalanced EMG amplitude leading to an increase in low back muscle fatigue while lifting asymmetric load dynamically. Eleven male subjects are required to lift symm

본 논문에서는 게임 영상에 대한 색연필 드로잉 렌더링 기법을 제안한다. 제안하는 방법의 키 아이디어는 양방향 회선 필터(bilateral convolution filter)를 이용하여 다양한 스타일의 연필 스트로크를 만드는 것이다. 이 필터는 기존의 컨볼루션 기반 기법들과 달리 경계 흐림 현상을 획기적으로 보완하였다. 더불어 연필 스트로크의 속성들을 직관적으로 제어할 수 있도록 한다. 또한 그릴 물체의 모양으로부터 스트로크 방향을 결정하는 기법을 제안한다. 특징선(feature line)에 가까운 픽셀들에 대해서는 완만한 탄젠트 흐름(smooth tangent flow)을 사용하고, 영역의 내부에는 부분적으로 유사한 흐름을 사용한다. 배경에는 고정된 방향의 흐름을 사용한다. 이처럼 다른 스타일의 스트로크 방향을 사용함으로써, 결과 연필화의 현실성을 증가시킬 수 있다. 제안하는 방법은 사진에 대해 시각적으로 만족스러운 연필 드로잉 효과를 만들어 낸다.

The present case study highlights the effects of a novel Comprehensive Hand Repetitive Intensive Strengthening Training (CHRIST) on morphological changes and associated upper extremity (UE) muscle strength and motor performance in a child with spastic quadriplegic cerebral palsy (CP). The Child, a 10-year-old girl with spastic quadriplegic CP, was treated with CHRIST for 60 minutes a day, five times a week, for 5 weeks. The CHRIST was designed to improve motor function and strength. Clinical tests including the modified Wolf Test, Jebsen-Taylor Hand Function Test, and Pediatric Motor Activity Log questionnaire were used to determine motor function. Ultrasound imaging was performed to determine the changes in the cross-section area (CSA) of the extensor carpi radialis (ECR) and triceps brachii (TRI). Muscle strength was measured with a dynamometer at pretest, and post-test, and 3-month follow-up. Ultrasound imaging data showed that the CSAs of both ECR and TRI muscles were enhanced as a function of the intervention. These changes were associated with muscle strength and motor performance and their effects remained even at a 3-month follow-up test. Our results suggest that the CHRIST was effective at treating muscle atrophy, weakness and motor dysfunction in a child with spastic quadriplegic CP.

Objective: To explore the effectiveness of sensory integrative procedures in promoting postural control, bilateral coordination and motor planning outcomes in child with developmental delay. Design: A single-subject ABA research design. Setting: Early Intervention Center of University. Participant: A 7-year-old boy with developmental delay. Interventions: Sensory integrative procedure. The subject was tested four times before, four times during, and three times after intervention. Main Outcome Measure: Part of subtests of DeGangi-Berl Test of Sensory Integration, Bruininks-Oseretsky Motor Proficiency and Sensory Integration and Praxis Test. Result: Postural control and motor planning are effected on sensory integrative procedure. Bilateral coordination did not change by this study. The quality of performance was increased by the therapy.

The purpose of this study was to investigate whether the function of the non-affected hand of hemiplegic children is comparable to the hand function with both normal hands. The subjects of the study were 19 hemiplegic children and 20 normal children, all six years of age. The hemiplegic children were treated at one of three facili- ties: Yonsei University Rehabilitation Hospital, Seoul Community Rehabilitation Center and Inchon Severance Hospital during in period March to April, 1996. The normal children were randomly selected from a kindergarten in Inchon City. All hand function was measured by Jebsen Hand Function Test. Subtest was analysed statistically using the basic statistic analysis, Mam-Whitney test and Pearson correlation test . The results were as follows: The normal children had faster right hand function than herniplegic children whose nonaffected hand was their right hand, for the small objects, simulated feeding, checkers subtests. Normal children had faster left hand function than hemiplegic children whose nonaffected hand was their left hand, for the small objects, checkers, large light objects and large heavy objects. The unaffected hand function of the hemiplegic children had a negative correlation with time of diagnosis, and treatment durat ion. These results showed that the nonaffected hand function of hemiplegic children dif- fered from the respective hand of normal children. Therefore, when hemiplegic children are treated, both the affected and unaffected hand must be treated as this will affect the treatment result.

The purpose of this study was to measure and compare the skin temperature over the exercised muscle and corresponding non-exercised muscle after unilateral isokinetic exercise using digital thermography. Thirty-two young healthy volunteers with no history of knee injury were tested. After isokinetic exercise at 60 degree per second angular velocity using the right leg in a climatic chamber at ambient temperature of , skin temperature of the anterior thigh was tested. After exercise, the skin temperature of both the right and left leg had fallen significantly. The skin temperature of the exercised leg fell less than that of the non-exercised leg. The fall in skin temperature after work was not due to increased evaporative cooling, but was the result of segmental vasoconstriction probably caused reflexly in the spinal cord by non-thermal afferents from exercising muscle or moving tissues. The effect of thermoregulatory vasodilation was reduced by reflex vasoconstriction caused by non-thermal factors such as catecholamine.

The continuous development of international logistics of China and Korea trade have influence, because of the geographical position advantage of the two countries, the trade is very convenient, in this paper, based on the development of international logistics trade of China and Korea are expounded, and put forward the development strategy, including perfecting the infrastructure, strengthen personnel training, strengthening the technical cooperation efficiency, promote bilateral trade contacts.

This study attempts to analyze trade flows between Vietnam and China in order to understand the mutual influence of bilateral trade relations. China is a country with the world’s leading economic potential. China and Vietnam are neighboring countries sharing a border of 1,281 km. Trade relations between the two countries are a necessity and, with a right policy, are beneficial to both. Vietnam has a trade deficit with China. This situation is exacerbated by the continuing rise in the gap. Vietnam trade deficit from China was USD12.5 billion in 2010, increasing to USD24 billion in 2018. Data are extracted from the 2015 national input-output tables of Vietnam and China as well as Vietnam Household Living Standard Survey statistics. The research identified 36 sectors of bilateral input-output trade between Vietnam and China. A bilateral output-input model is applied to analyze how final demand and use of input in the production of this country induces output and value added of the other country. The results show that China benefits more from Vietnam’s production and consumption than Vietnam does. Vietnam’s inter-sector structure does not stimulate domestic production due to the absence of supporting products as inputs in the production process.

Acute disseminated encephalomyelitis (ADEM) is a rare, postinfectious autoimmune inflammatory demyelinating disease of the central nervous system. ADEM presents clinically encephalopathy in association with polyfocal neurologic deficits. Of them, optic neuritis is less common symptom. We experienced ADEM with optic neuritis associated with Mycoplasma pneumoniae infection in a 5 year-old girl. She initially presented lethargy, irritability, ataxia and loss of pain sense on right hand and progressed to decreased visual acuity and papilledema of both eyes on the 4th hospital day. Brain magnetic resonance imaging showed multiple bilateral hyperintense lesions in the subcortical white matter on T2 weighted images. After administration of intravenous immunoglobulin and high dose intravenous methylprednisolone, she recovered completely.

Elastofibroma is a rare benign tumor that occurs in connective tissue. It mostly arises between the lower scapula and the chest wall of the elderly people with a female predominance. The tumor presents as a slow growing mass and rarely causes pain and scapular snapping. The etiology of the elastofibroma is not known, but it can occur as a reaction to repeated trauma or friction, and it may also be induced by family history or genetic abnormalities. In diagnostic imaging, it is an ill-defined, heterogenous soft tissue mass with similar intensity to that of skeletal muscle. On histopatholgy, it is characterized by the proliferative fibrous tissue containing abnormal elastic fibers and interlaced adipose tissue. Surgical treatment is very limited. In general, infrascapular location, bilaterality and typical imaging features in the elderly women are sufficient for diagnosis of elastofibroma, thus avoiding unnecessary surgical resection. We report a case of a 69-yearold female with bilateral elastofibroma in the scapular region with a review of literature.

The study investigates the factors that affect Kyrgyzstan’s bilateral trade flows with its main trading partners and attempts to predict trade potential for Kyrgyzstan. Using panel data, the gravity model is applied to estimate Kyrgyzstan’s trade from 2000 to 2016 for its 35 main trading partners. The coefficients derived from the gravity-model estimation are then used to predict trade potential for Kyrgyzstan. Results proved to be successful and explained 63% of the fluctuations in Kyrgyzstan’s trade. According to the results, Kyrgyzstan’s and its partners’ GDP have a positive effect on trade, while distance and partners’ population prove to have a negative effect. Predicted trade potential reveals that neighboring countries (China, Kazakhstan, Uzbekistan, and Tajikistan) and Russia still have a significant trade potential. Kyrgyzstan, being a less developed economy, even by Central Asia standards, can only achieve its goals of reducing poverty and becoming more developed by increasing its overall trade with the rest of the world. Therefore, it is essential to study the main determinants of Kyrgyzstan’s bilateral trade. In this way, we can help policy makers formulate policies to expand Kyrgyzstan’s trade. This study is the first attempt to apply to the gravity model to Kyrgyzstan in an attempt to predict trade potential.

Due to the thick cortical structure, subtrochanteric fractures of femur is often caused by high energy trauma and there are only a few report of it from low energy trauma. We have experienced a case of bilateral subtrochanteric fracture which oc-curred after a simple slip down. The fracture was healed with applying intramedullary nail. We believe the fracture may have occurred from prolonged use of steroid which was used to treat underlying rheumatoid arthritis.

For dismantling heavy structure under special environment in radioactivity, there are many problems which should be tele-operated and feedback a cutting force for cutting a thick structure such as concrete. When operator dismantles a thick heavy concrete structure, it is in sufficient to judge whether robot is contacting or not with environment by using only vision information. To overcome this problem, force feedback and impedance model based bilateral control are introduced. The sliding mode control with sliding perturbation observer (SMCSPO) based bilateral control is applied and surveyed to a single rod hydraulic cylinder in this paper. The sliding mode control is used for robustness against a disturbance. The sliding perturbation observer is used for estimation of a reaction force such as cutting force. The bilateral control is executed using the information of reaction force estimated by SMCSPO. The contribution of this paper is that the estimation method and bilateral control of the single rod hydraulic cylinder are introduced and discussed by experiment.

본 연구는 한국과 싱가포르, 인도, 미국의 자유무역협정(FTA) 발효로 인한 양자간 교역증진효과를 통계적으로 비교 분석하고자 한다. 다수의 선행연구에서 양자간 교역 증대효과 추정시 활용된 중력모형(Gravity)을 기본 방법론으로 패널분석(Panel analysis)을 통해 한 국과 FTA 발효국(싱가포르, 인도, 미국)을 효과집단으로, 미발효국은 통제집단으로 구분하여 총 20년의 기간을 설정하여 FTA 발효의 순수효 과를 추정하였다. 자유무역협정의 교역증대효과 분석을 위해 우리나라와 FTA가 발효된 3개 국가(효과집단)와 2015년 기준 우리나라 벌크물 동량 교역 상위 90%의 비중을 차지하는 27개 국가(통제집단)의 횡단면 및 시계열로 구성된 패널자료를 사용하였다. 분석 결과 FTA 발효는 우리나라 벌크물동량 증대에 기여한 것으로 나타났다. 특히 본 연구의 대상국가인 싱가포르, 인도, 미국과는 자유무역협정 발효로 인한 무역 창출효과가 발생하였고 ASEAN 및 NAFTA+3의 경우 무역전환효과가 발생하였다. 한편 자유무역협정 이외의 GDP, 1인당 GDP 변수는 벌크 물동량과 정(正)의 효과를 보이는 것으로 나타났으며, 거리 변수는 물동량과 부(負)의 효과를 보이는 것으로 분석되었다. 마지막으로 국가별 패널자료 분석 결과 하우스만 검정 및 LR검정을 시행하였으며, 고정효과모형이 임의효과모형보다 적합한 것으로 나타났다.

Purpose – This paper aims to find and analyze factors that determine the flows of bilateral foreign direct investment in intra- ASEAN. It specifically focuses on the dimension of macro- economic, natural resources, human resources, and the quality of governance. Research design, data, and methodology – Data were collected from 64 bilateral relations between ASEAN nations from 2002 to 2013. Panel gravity model was utilized to find factors that determine the flows of bilateral foreign direct investment. Results – Significant factors were identified that determine the flows of bilateral foreign direct investment: GDP home country, GDP host country, real interest rate, distance, and total natural resources rent. Unexpectedly, natural resources have a negative effect. Conclusions – In a situation of increasing the flow of FDI among the countries of ASEAN, the government should control the interest rates and maintain good relations with nearby countries. The negative effect of total natural resource rents implies that ASEAN countries should not depend on their natural resources to attract foreign investments.

Purpose: Functional recovery of the paretic upper extremity post stroke continues to be one the greatest challenges faced by rehabilitation professionals. Although many tasks require the coordinated participation of both hands, rehabilitation strategies for the most part have focused on the paretic limb. This study investigated whether coupled bilateral coordinated movements and repetitive high frequency TMS enhanced upper limb corticomotor excitability and motor function poststroke. Methods: For this study, we compared the neurophysiological and behavioral changes associated with two such rehabilitation protocols: coupled bilateral training and coupled unilateral training. Twenty chronic stroke patients were randomly assigned to the two training group over 8-week period. For this experiment, transcranial magnetic stumulation, EMG, Ag/AgCI suface electrode, rehabilitation training equipment, jebsen-talyer hand function kit, box & block, and pinch & power grip test kit were used. Results: First, in the box & block and JTT task, coupled bimanual group showed a reduction in movement time in comparision to receiving coupled unilateral group. Second, in the cortical excitability within affected hemisphere, using TMS, an increased in map volume, and map number following coupled bilateral group. Overall, these finding suggest that a coupled bilateral movement and high frequency repetitive TMS protocol effective in recovering upper limb motor function and cortical excitability in chronic stroke patients.

이 논문에서는 의료용 초음파 볼륨 데이터의 잡음을 효과적으로 제거하기 위한 방법을 제안 한다. 초음파 영상은 잡음이 심하여 필터링이 필요하다. 기존의 2차원 필터링은 인접한 슬라이 스 간 정보를 무시하고 기존의 3차원 필터링은 속도가 느리거나 잡음 제거 효과가 떨어지는 필 터를 적용하였고 또한 초음파 데이터의 샘플링 특성을 고려치 않아 균등하게 필터링 하지 않았 다. 이를 해결하기 위해 잡음제거에 효과적인 양방향 필터를 병렬로 빠르게 처리하고 필터 영 역에 따라 윈도우 크기를 달리하는 기법을 제안한다. 공간 필터의 합산영역 테이블을 이용하여 병렬로 빠르게 필터링하고 윈도우 크기는 필터 영역에 따라 비례적으로 결정한다. 실험은 평균 필터와 양방향 필터, 양방향 적응 필터를 적용한 초음파 볼륨 렌더링 영상에서 잡음 제거와 원 본 손실 정도를 비교한다. 이렇게 하여 양방향 필터링을 빠르게 수행하면서 기존 보다 균등하 게 필터링하여 잡음을 효과적으로 정확하게 제거할 수 있다.

The purpose of this study was to develop guidelines to improve the health of an elderly population classified into unilateral and bilateral hip fracture groups based on the mortality and risk factors affecting survival time. In the bilateral fracture group, the incidence of fracture was 3.1%, whereas mortality was 35%, average age was 83.9, and the male to female ratio was 3:17. In patients older than 75 years of age with a unilateral fracture, close ambulatory follow up is needed to avoid bilateral fracture and protect against secondary fracture within 3 years.

본 연구의 목적은 만성 뇌졸중 환자를 위한 상지 움직임의 시간적 협응성에 따른 양측성 협응 운동의 효과를 검증하고자 하였다. 본 연구에서는 대칭적 움직임(동일 위상)을 포함한 양측성 협응 운동이 비대칭적 양측성 협응 운동 보다 만성 뇌졸중 환자의 상지 운동기능회복에 보다 효과적일 것이다라는 가설을 설정하였다. 이러한 연구 목적을 달성하기 위해 중다기초선 단일피험자 연구설계로 총 4명의 만성 뇌졸중 환자들이 각각 2명씩 대칭과 비대칭적 양측성 훈련에 참여하였으며, 운동학적 측면과 기능적 측면에서 훈련의 효과를 살펴보았다. 피험자들은 4회와 8회의 단측성 훈련을 수행하고 대칭과 비대칭 양측성 훈련으로 전환하여 8회와 4회의 훈련을 실시하였다. 그 결과, 대칭적 훈련 집단은 기능적 뻗기 평가에서 비대칭적 훈련 집단보다 최대속도가 증가하고 운동시간이 감소한 것으로 나타났다. JTT 세부과제에 대한평가에서는 훈련집단에 따른 일관성있는 결과를 제시하지 못하였다. 그러나 근위관절과 관련된 JTT 전체시간에서는 대칭적 훈련 집단이 비대칭적 훈련 집단보다 수행시간이 감소한 것으로 나타났다. 이러한 결과를 통해 대칭적 양측성 운동이 양측성 협응 운동을 구성하는 주요 변인일 가능성을 제시하고 있다.