Immediate Effects of Side Lying Manual Lumbar Traction in Patients with Painful Active Lumbar Motion

Doug Creighton, Alexa Schweiger, Sarah Cubr,Doug Creighton, Alexa Schweiger, Sarah Cubr 국제물리치료학회 2017 Journal of International Academy of Physical Ther Vol.8 No.1

The purpose of this study was to determine if a gentle form of manual lumbar traction could reduce painful lumbar motions associated with lumbar disc degeneration (LDD). This clinical trial incorporated 134 participants with painful active lumbar motion. Participants were randomly assigned to an experimental treatment or sham group. 67 participants received sidelying manual lumbar traction while the other 67 participants received a sham treatment. Pre and post treatment NPRS values for the painful active lumbar motion were recorded for each group. There was a statistically significant improvement (P=0.00) for decreased pain intensity during active lumbar motion in the experimental group as compared to the sham treatment group. The average percent decrease in numeric pain rating scale (NPRS) values was 52.1% for the experimental treatment group and 8.1% for the sham group. The results of the study suggest that side-lying manual lumbar traction can improve painful lumbar motion in patients with LDD.

Heaven’s Way in Korea’s New Religions

Alexa Blonner(알렉사 블로너) 부산대학교 한국민족문화연구소 2017 한국민족문화 Vol.62 No.-

한국의 신유학적 봉건 사회는 소멸직전의 쇠퇴와 현대화 압력의 두 가지 도전 속에서 19 세기부터 붕괴되기 시작했다. 이는 장기간에 걸친 두 가지 종교적 반응을 불러 일으켰다. 하나는 기독교를 향한 교체 반응이었고 다른 하나는 통합을 통한 타협을 추구하는 반응이었는데 후자의 경우는 여러 새로운 종교 창시자들에 의해 퇴출되었다. 본 논문이 조사한 것은 후자의 반응이며 특히 핵심 종교적 관심사인 구원과 관련된 혁신들이다. 동아시아 철학에서 구원은 일반적으로 "천도(天道)"라고 불린다. 한국의 신종교로서 “천도”는 과연 무엇이 새로웠나? 천도의 재건 주제에는 어떤 것들이 있었나? 본 논문은 한국 “최초”의 신종교인 동학/천도교가 “천도” 에 대한 독특한 핵심적 재해석을 대략 설계하고 이후에 나타난 단체들이 추가적인 수정 또는 통합으로 정교화하였다고 주장한다. Korea’s Neo-Confucian feudal society began to disintegrate from the nineteenth century under the dual challenges of moribund decline and modernising pressures. This sparked two longer-term religious responses. One was a replacement response that turned to Christianity and the other sought compromise through synthesis, this being discharged by a host of new religious entrepreneurs. It is the latter that this paper investigates, particularly innovations related to a key religious concern, that of salvation, that in East Asian philosophy was generally referred to as “Heaven’s Way.” What was novel about the “Heaven’s Way” of Korea’s new religions? What were some of its themes of reconstruction? This paper argues that Korea’s “first” new religion, Donghak/ Chondogyo, broadly designed a unique core reinterpretation of “Heaven’s Way,” with groups that came afterwards crafting further modifications or syntheses.

Competing Desires for Mobility

Alexa Farber 도시사학회 2011 도시연구 Vol.5 No.-

1990년대 이후 유럽에서 시작된 저가항공의 등장은 이 비행편의 도착지인 관광도시들간에 복합적인 상호 연결망을 조성하도록 하였다. 이를 통해 도시는 비행 도착지로 변모하게 되었고 이는 다층적인 유럽화 과정을 연구하기 위한 작업틀을 제공하고 있다. 저가항공 도착지들의 방대한 상호연결망은 다양하고도 광범위한 욕구들을 제공하는 한편 점차 증가하는 다양한 사회 행위자들 사이에 수많은 이동성의 욕망을 채워준다. 이러한 저가항공에 의한 이동성의 증대는 교통의 민주화를 향상시키고 있으며, 그만큼 그것은 하나의 미덕으로 널리 평가받고 있다. 이러한 이동성을 향한 욕망 형식이 나타낼 수 있는 사회문화적 의미를 이해하기 위해서는 새로운 이동성 패러다임과 관련하여 이러한 현상들로부터 제기되는 다양한 소재들과 문제들을 분석할 필요가 있다. 이러한 분석은 일차적으로 이동성들, 특히 베를린, 파리, 리가 간의 비교를 통한 관광객들의 이동성간에 이루어지는 도시 환경들을 연구하도록 한다. 이러한 현상들이 지닌 세 가지 요소들이 관찰대상이 되는데, 그 첫째는 항공이동성이 보여주고 있는 운동, 연결망, 운동성의 관계이고, 둘째는 도시 이미지가 지니는 단 하나의 매개적 재현과 도시에 대한 상상간의 상승효과로 창출되는 ‘도시 이미지공학’, 셋째는 베를린, 파리, 리가와 같은 도시들이 다양한 방식으로 보여주고 있는 문화적·경제적 전략들이다. 이러한 차원에서 점차 일반화되어 가고 있는 저가항공공간의 독특한 성격들은 도시들간에 이루어지는 단순한 관계와는 전혀 다른 모습을 보여주고 있다. 저가 항공망에 대한 욕망이 보다 커다란 규모에서 저가 도시계획과 통합되어 나가는 과정은 도시구조와 관계망에 깊은 영향을 미치고 있다. 여기에서 이동성의 ‘민주화’라는 생각은 단지 엘리트들의 특권이라 여겨져 온 다지역적 또는 초국가적 생활방식에 기반을 두고 있게 된다. 따라서 문제는 이제 저가 목적지를 이용하는 개개인의 삶의 방식에 있어서 보다 높은 수준의 다양성을 관찰할 수 있는지, 또는 이동성의 민주화로 나타나는 것이 보다 확대된 유럽의 항공공간 속에서 사회적 다양성을 부각시킬 수 있을 것인지를 관찰하는 일이다. Over the course of the 1990s, Europe witnessed the birth of low-cost airlines. Since then this phenomenon has given rise to a complex landscape of established urban tourist destinations. The emerging networks of low-cost air routes transform the city into a flight destination that can serve as the framework for studying multi-layered processes of Europeanisation. This vast landscape of low-cost carrier destinations serves a wide variety of needs and meets multiple desires for mobility among a growing variety of social actors. The mobility provided by low-cost carriers is also enhancing the democratisation of transport, and as such is widely regarded as a virtue. In order to understand the possible socio-cultural meaning of such a desired form of this mobility, it is necessary to analyze the material and the questions arising from it with respect to the new mobility paradigm, situating the analysis within the urban settings in which these mobilities, especially those of tourist with a comparison among Berlin, Paris and Riga. Three elements of this phenomenon must be assessed: first, a relationship among movements, networks and motility of the aeromobility; second, ‘urban imagineering’, as the interaction between single medial representations of the city(images) and the urban imaginary; third, cultural and economic strategies of these cities like Berlin, Paris and Riga which present different modes. In this sense, the specific qualities of the generalised air spaces differ from city to city. The incorporation of the low-cost air routes’s desires into the larger process of low-cost urbanism produce profound effects on the urban structure, as these desires result in specific and to some extent repeatable experiences incorporated into strong networks. Here the idea of a ‘democratisation’ of mobility is still based solely on the mode of multi-local, often transnational lifestyles which has long been the privilege of the elite. Therefore, the question remains if we are observing a higher differentiation of individual lifestyles that benefit from low-cost-destinations, or if what appears on the first sight as a democratisation of mobility underscores social differences within an enlarged European airspace.

Heaven’s Way in Korea’s New Religions

Alexa Blonner 부산대학교 한국민족문화연구소 2017 한국민족문화 Vol.63 No.-

미국의 반아시아 인종차별주의의 근원: 팬데믹과 ‘황화론’

알렉사앨리스주빈 ( Alexa Alice Joubin ) 한국보건사회연구원 2020 국제사회보장리뷰 Vol.15 No.-

COVID-19로 인해 미국에서는 사람들이 인식하는 사회적 가치를 기반으로 특정 집단을 악마화하는 반아시아 인종주의가 문화와 정치적 삶에서 심화되고 있다. 본 내용은 코로나 팬데믹 기간 동안 그리고 그 이후 포용에 대한 전략을 제시하고 황화(yellow peril)에 대한 개념 등 인종차별주의의 역사와 언어를 분석한다. 인종차별적 사고와 인종 담론은 권력 관계로서 자리를 잡게 되고 소수집단을 정치적 비주류로 만들며 정서적 고통과 신체적 피해를 유발한다.

Immediate Effects of Side Lying Manual Lumbar Traction in Patients with Painful Active Lumbar Motion

Doug Creighton,Alexa Schweiger,Sarah Cubr 국제물리치료연구학회 2017 Journal of International Academy of Physical Ther Vol.8 No.1

The purpose of this study was to determine if a gentle form of manual lumbar traction could reduce painful lumbar motions associated with lumbar disc degeneration (LDD). This clinical trial incorporated 134 participants with painful active lumbar motion. Participants were randomly assigned to an experimental treatment or sham group. 67 participants received sidelying manual lumbar traction while the other 67 participants received a sham treatment. Pre and post treatment NPRS values for the painful active lumbar motion were recorded for each group. There was a statistically significant improvement (P=0.00) for decreased pain intensity during active lumbar motion in the experimental group as compared to the sham treatment group. The average percent decrease in numeric pain rating scale (NPRS) values was 52.1% for the experimental treatment group and 8.1% for the sham group. The results of the study suggest that side-lying manual lumbar traction can improve painful lumbar motion in patients with LDD.

The quality of subgroup analyses in chronic pain randomized controlled trials: a methodological review

( Mahmood Aminilari ),( Vahid Ashoorian ),( Alexa Caldwell ),( Yasir Rahman ),( Robby Nieuwlaat ),( Jason W. Busse ),( Lawrence Mbuagbaw ) 대한통증학회 2021 The Korean Journal of Pain Vol.34 No.2

The quality of subgroup analyses (SGAs) in chronic non-cancer pain trials is uncertain. The purpose of this study was to address this issue. We conducted a comprehensive search in MEDLINE and EMBASE from January 2012 to September 2018 to identify eligible trials. Two pairs of reviewers assessed the quality of the SGAs and the credibility of subgroup claims using the 10 criteria developed by Sun et al. in 2012. The associations between the quality of the SGAs and the studies’ characteristics including risk of bias, funding sources, sample size, and the latest impact factor, were assessed using multivariable logistic regression. Our search retrieved 3,401 articles of which 66 were eligible. The total number of SGAs was 177 of which 52 (29.4%) made a subgroup claim. Of these, only 15 (8.5%) were evaluated as being of high quality. Among the 30 SGAs that claimed subgroup effects using an appropriate method of performing interaction tests, the credibility of only 5 were assessed as high. None of the subgroup claims met all the credibility criteria. No significant association was found between the quality of SGAs and the studies’ characteristics. The quality of the SGAs performed in chronic pain trials was poor. To enhance the quality of SGAs, scholars should consider the developed criteria when designing and conducting trials, particularly those which need to be specified a priori.

Current status of global pig production: an overview and research trends

Kim Sung Woo,Gormley Alexa,Jang Ki Beom,Duarte Marcos Elias 아세아·태평양축산학회 2024 Animal Bioscience Vol.37 No.4

Global pig production has increased by 140% since the 1960s. The increase in global population, coupled with improving socioeconomic conditions of many countries has led to an increased consumption of meat globally, including pork. To keep up with demand and capitalize on economic opportunities, the countries of China, the United States (US), and the European Union (EU) have become the top 3 pork producers globally. China is of particular interest, as it is the both the largest country in pork production and pig numbers, as well as being the largest importer of pork from other countries. Globally, the efficiency of pork production has improved, in relation to the integration of pig production and the dramatic increase in research efforts in pig nutrition and production. Through integration, large producers can consolidate resources and maximize profits and efficiency. The increased research interest and efforts in pig production have given scientists and producers the opportunity to collaborate to adapt to challenges and identify possible solutions to issues brought on by a volatile global market. Intestinal health (23%), general nutrition and growth (23%), and amino acid nutrition (15%) were the top 3 areas (61%) leading research trends in pig nutrition and production. Major dietary interventions with feed additives evaluated include functional amino acids, feed enzymes, pre-/pro-/post-biotics, and phytobiotics with a common goal to improve the growth efficiency by enhancing nutrient utilization and intestinal health. With increasing global issues with environment, pig producers and the supporting scientists should continue their efforts to improve the production efficiency and to reduce the environmental footprint from pig production.

Immediate Effects of Side Lying Manual Lumbar Traction in Patients with Painful Active Lumbar Motion

Creighton, Doug,Schweiger, Alexa,Cubr, Sarah International Academy of Physical Therapy Research 2017 Journal of International Academy of Physical Ther Vol.8 No.1

The purpose of this study was to determine if a gentle form of manual lumbar traction could reduce painful lumbar motions associated with lumbar disc degeneration (LDD). This clinical trial incorporated 134 participants with painful active lumbar motion. Participants were randomly assigned to an experimental treatment or sham group. 67 participants received sidelying manual lumbar traction while the other 67 participants received a sham treatment. Pre and post treatment NPRS values for the painful active lumbar motion were recorded for each group. There was a statistically significant improvement (P=0.00) for decreased pain intensity during active lumbar motion in the experimental group as compared to the sham treatment group. The average percent decrease in numeric pain rating scale (NPRS) values was 52.1% for the experimental treatment group and 8.1% for the sham group. The results of the study suggest that side-lying manual lumbar traction can improve painful lumbar motion in patients with LDD.

Lymph node density predicts recurrence and death after inguinal lymph node dissection for penile cancer

Mark W. Ball,Zeyad R. Schwen,Joan S. Ko,Alexa Meyer,George J. Netto,Arthur L Burnett,Trinity J. Bivalacqua 대한비뇨의학회 2017 Investigative and Clinical Urology Vol.58 No.1

Purpose: To determine the impact of lymph node density (LND) on survival after inguinal lymph node dissection (ILND) for penile cancer. Materials and Methods: Our institutional penile cancer database was queried for patients who underwent ILND. Clinicopathologic characteristics including LND and total number of positive lymph nodes (LNs) were analyzed to determine impact on recurrence-free survival (RFS) and overall survival (OS). LND, or the percent of positive LN out of total LN, was calculated as a categorical variable at varying thresholds. Results: Twenty-eight patients with complete follow-up were identified. Indications for ILND were stage >T2 in 20 patients (71.4%), palpable adenopathy in 7 (25%), high grade T1 in 1 (3.6%). Median node yield was 17.5 (interquartile range, 12−22), and positive LNs were found in 14 patients (50%). RFS and OS were significantly lower for patients with >15% LN density (median RFS: 62 months vs. 6.3 months, p=0.0120; median OS: 73.6 months vs. 6.3 months, p<0.001). Controlling for age, medical comorbidities, number of positive LN, T stage, pelvic LN status and indication, LN density >15% was independently associated with worse RFS (hazard ratio [HR], 3.6; p=0.04) and OS (HR, 73.6; p=0.002). The c-index for LND was higher than total positive LNs for RFS (0.64 vs. 0.54) and OS (0.79 vs. 0.61). Conclusions: In this small, retrospective penile cancer cohort, the presence of nodal involvement >15% was associated with decreased RFS and OS, and outperformed total number of positive LN as a prognostic indicator.