• Proceedings of the Korean Vacuum Society Conference
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• 2011.02a
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• pp.241-241
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• 2011

최근들어 저온플라즈마를 이용한 생물학적 응용분야가 각광을 받고 있다. 특히 전기전도도를 가진 전해질 내에서 형성된 액상 플라즈마는 열손상없이 암, 세균 및 비정상 장기조직의 제거가 가능하다는 점에서 기존 시술들이 가지는 문제를 해결할 수 있다. 허리통증을 유발하는 탈출 수핵을 대용량으로 제거하기위한 플라즈마발생 전극에 관한 연구가 수행되었다. 수핵 분해량을 늘리기 위해서는 플라즈마를 통하여 다량의 수산화기 라디컬을 형성, 수핵표면에 조사해야 한다. 이를 위하여 6개의 텅스텐 전극표면에서 기포를 발생시켜 플라즈마 발생면적을 넓힐 수 있었다. 텅스텐 전극들은 캡톤코딩과 세라믹 스페이서를 통하여 분리되었고, 전극의 후방에는 SUS 재질의 환형 접지전극을 배치하여 6개의 텅스텐 전극표면에서 모두 기포가 발생할 수 있도록 하였다. 시술적용시 플라즈마 및 전극이 가지는 제한 조건은 단백질 변성을 막기위한 섭씨 45도 이하의 온도 상승과 조직에 대한 기계적인 손상 방지를 위한 2.5 mm 이하의 전체 전극 굵기이다. 이를 만족하는 가운데 수산화기 라디컬 형성을 증대할 수 있는 전극의 구조를 결정하기 위하여 1-D 전기 열유체 모델 도입하였다. 모델에서 도출된 기포의 두께를 바탕으로 다중전극간의 거리 조절을 통하여 플라즈마 방전구조를 전극 - 전극 (기포두께${\times}2$ > 전극간 거리)과 전극 - 기포표면 (기포두께${\times}2$ < 전극간 거리)으로 통제하였다. 형성된 플라즈마의 소모전력, 전자 밀도및 수산화기 라디컬의 회전온도를 분석하기 위하여 0.9% 염화나트륨 수용액, 1.6 S/m, 전해질에서 플라즈마 형성를 형성하고 전기신호 및 광학신호를 관측하였다. 전극에 인가된 전압은 340 VRMS이며 운전주파수는 380 kHz이다. 실험 결과, 전극 - 기포표면 방전구조는 전극 -전극 방전구조에 비하여 전해질의 저항역할로 인하여 방전전류가 3.4 Ipp에서 1.6 Ipp로 감소하였으나, 기포표면에서의 물분자의 분해로 인하여 수산화기 라디컬에서의 발광세기는 약 4배 증가하였다. 또한 수산화기의 회전온도 분포상에서도 전극 - 기포표면 방전은 주변 물분자의 열교환으로 인하여 전극 -전극간 방전의 1500K 에 비하여 낮은 400K를 보였다. 이는 전극-기포표면 방전구조의 전극이 낮은 온도의 수산화기를 다량으로 형성할 수 있음을 시사하며, 카데바를 이용한 실험에서 220초에 걸쳐 약 87%의 수핵을 기계적 손상 및 단백질 변형없이 효과적으로 제거함을 확인하였다.

• Journal of Oral Medicine and Pain
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• v.37 no.3
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• pp.161-167
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• 2012

Burning mouth syndrome(BMS) is defined as chronic, painful burning sensation in the oral mucosa. Treatments for BMS include medication and psychiatric interventions. Capsaicin, alpha-lipoic acid, and topical and systemic clonazepam showed more effective in reducing the symptoms of BMS in the previous studies. The purpose of this study is to evaluate of the therapeutic efficacy of systemic clonazepam in BMS and to elucidate the relationships between such a efficacy and various clinical features, including age, pain intensity, pain duration, previous dental history and condition of oral mucosa. A retrospective clinical records audit was performed of patients diagnosed with BMS between January 2011 and August 2012. Patients were prescribed 0.5 mg clonazepam two times daily. Pain was assessed by patients on an 11-point numeric rating scale (NRS; 0 to 10) before and 1-2 weeks after systemic administration of clonazepam. The efficacy of clonazepam was evaluated in terms of patient's age, initial pain intensity, pain duration, presence or absence of precipitating event, condition of the tongue, presence or absence of denture. A total of 50 patients (46 women, 4 men) were included in this study. The patients were divided into two or three groups according to above clinical features. The amount of mean NRS reduction in patients with severe initial pain was $3.33{\pm}2.74$, whereas that in patients with mild initial pain was $1.64{\pm}1.54$. The amount of mean NRS reduction in oldest patients was $3.53{\pm}1.94$ (${\geq}$70yrs), and those in another younger patients were $2.88{\pm}1.80$(< 60yrs) and $1.54{\pm}2.86$(60yrs ${\leq}$ age < 70yrs), respectively. It was concluded that the older patients and the patients with higher intensity of initial pain tend to show better efficacy of clonazepam. However, There were no statistically significant differences according to pain duration, presence or absence of precipitating events, tongue fissuring, and wearing dentures.

• Clinics in Shoulder and Elbow
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• v.10 no.2
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• pp.183-189
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• 2007

Introduction: While uncommon, humeral head osteonecrosis is an indication for arthroplasty when the humeral head collapse is advanced. The current authors report the short-term clinical results of 7 hemiarthroplasties to treat humeral head osteonecrosis. Materials and Methods: This study focused on 7 reconstructed shoulders of 5 patients whose humeral head osteonecrosis was treated with hemiarthroplasty. The postulated causes were alcohol-induced (4 cases) and steroidinduced (3 cases). The minimum follow-up was 12 months. This study compared the preoperative and postoperative shoulder pain, range of motion, and ASES scores. The postoperative patient satisfaction was assessed. Results: The level of pain during exercise was reduced from a preoperative average of 7.6 to a postoperative average of 1.9. The range of motion, in terms of forward flexion, abduction, and external rotation, improved from preoperative averages of $105.7^{\circ}$, $80^{\circ}$, and $22.1^{\circ}$ to postoperative averages of $146.6^{\circ}$, $139.3^{\circ}$, and $44.3^{\circ}$, respectively. The ASES scores increased from a preoperative mean of 39.0 to a postoperative mean of 84.1. The patients' ratings of the outcomes were excellent (5 cases) and good (2 cases). Conclusions: These short-term results indicate that hemiarthroplasty is a reliable treatment method for humeral head osteonecrosis improving shoulder pain, range of motion, and patient satisfaction.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.8
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• pp.5088-5094
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• 2014

Hovenia dulcis extract (HDE) has positive effects on alcohol degradation, recovery of liver damage and antioxidant activities. This study examined whether HDE exerts an ameliorative effect on inflammatory orifacial pain in an animal algesic model with formalin. The animals (rats) were divided into four groups: group I (control), group II (right facial subcutaneous injection of 5% formalin, inflammatory orifacial pain group), group III (5% formalin + distilled water administration), and group IV injection (5% formalin + 4.5 ml/kg of HDE), respectively. The scores from the scratch and effleurage tests were applied to evaluate the differences between three groups. The expression of p38 MAPK, iNOS and Nrf2 in the brain and medulla oblongata, which are involved in pain regulation, inflammation, antioxidation and nitric oxide production, were analyzed by western blot. The degree of orifacial pain was significantly lower in group IV than in groups I, II and, III. The expression of p38MAPK, iNOS and Nrf2 in the brain and medulla were also lower in group IV than in the other groups. These findings suggested that a Hovenia dulcis extract can attenuate inflammatory orifacial pain by suppressing the expression of p38 MAPK, iNOS and Nrf2.

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.4 no.1
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• pp.33-37
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• 2011

Spinoglenoid cyst have been reported in small series in the orthopaedic literature in association with SLAP lesion, which is one of less common causes of shoulder pain. Authors experienced one case of spinoglenoid cyst with SLAP lesion initially missed with ultrasonographic examination and physical examination. This case was confirmed by MRI, EMG and arthroscopic surgery was done. When clinicians cannot find a definite cause of shoulder pain and decreased power of rotator cuff tendon with ultrasonographic examination, they need further study such as MRI and EMG with careful physical examination. Clinicians need to aware of the limitation of ultrasonography for spinoglenoid cyst especially, (1) cyst size is small, (2) location of cyst is too deep to detect and along the scapula spine from SLAP lesion.

• The Journal of the Korea Contents Association
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• v.19 no.10
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• pp.198-205
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• 2019

The purpose of this study was to identify whether cutaneous sensory (CS) changes induced by mechanical intervention(MI) increases the trigger point threshold and muscle tone of the same spinal segment to neck disc patients. Thirty persons with Neck disc patients were recruited in this experiment. The subjects consisted of 10 men and 20 women. The mechanical stimulus group induced CS changes for 5 minutes using the Graston instrument and the control group received no action. The CS changes were estimated by using the Von Frey Filament, PPT changes were measured by using the pressure threshold meter and msucle tone changes were measured by using Myotone pro. CS threshold increased significantly when MI was applied (p<0.05). On the same spinal segment, increases in the right infraspinatus PPT and muscle tone was observed (p<0.05) and decreases in the right trapezius PPT was observed(p<0.05). However, the PPT and muscle tone changes in other muscles were not significantly different. Furthermore, the control group CS, PPT and muscle tone were not significantly different. As a result, CS changes induced by MI make to change PPT and muscle tone on the same spinal segment. Therefore, application of MI to the same spinal segment may be of clinical significance as a new rehabilitation method for increasing pain threshold, muscle tone and pain control in neck disc patients.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.14 no.5
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• pp.1231-1239
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• 2010

The aim of this study was developing the non-invasive focused magnetic stimulation system(NI_FMSS) that can stimulates acupoints which are small parts and knotted muscular tissues. To evaluate pain treatment effect of the NI_FMSS, we caused muscle fatigue to 25 subjects in biceps of the arm. Then, we stimulated acupoints(trigger points) HT2 using low frequency stimulator(10 subjects) and NI_FMSS(10 subjects). The other 5 subjects had not been stimulated. We analyzed muscle fatigue recovery with median frequency, RMS and median power in frequency domain for 5 days. We checked the magnetic stimulation effect on acupoint by evaluation of muscle fatigue recovery. Therefore, we identified that the NI_FMSS was more efficient system to relieve muscle pain than electric-stimulation system.

• Journal of the Korean Arthroscopy Society
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• v.10 no.1
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• pp.70-76
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• 2006

Purpose: This study presents 5 patients who had metallic anchor protrusion on glenoid after Bankart repair in anterior shoulder instability and reviewed the cause, clinical feature and arthroscopic removal technique. Method and Materials: 5 male with average age of 22 years (range 19 to 25 years) were included. 4 patients had arthroscopic Bankart repair and 1 patient had open repair for anterior shoulder instability. They had protruded metallic suture anchors on glenoid and the protruded suture anchors were removed arthroscopically using larger suture anchor empty inserter. Results: 4 patients had painful clicking sound with motion of abduction and external rotation and 1 patient showed shoulder instability. The ROM showed normal except mild degrees loss of external rotation. The position of protruded metallic anchor was 2, 3 and 5 O'clock in three patients and 4 O'clock in 2 patients. In 2 patients, the metallic suture anchor was malpositioned about 5mm off on the medial side from the anterior glenoid edge. All had Outerbrige classification Grade II-III chondral damage on humeral head and 1 patient showed glenoid cartilage destruction. None had shoulder instability after 2 years of follow-up. Constant score was 65 preoperatively and 89 postoperatively. ASES score was 67 preoperatively and 88 postoperatively. Conclusion: Symptoms of protruded suture anchor are not combined with instability. Most of symptoms were revealed from the rehabilitation period and confused with postoperative pain. Prompt diagnosis and early arthroscopic removal or impaction of protruded metallic suture anchor is recommended because of serious glenohumeral cartilage destruction. This is easy and simple and reproducible method to remove protruded metallic suture anchor arthroscopically.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.13 no.6
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• pp.1157-1166
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• 2009

The effect of acupuncture that occurs at Meridians, can not be defined by western science. But we can find out the electrical effects when acupuncturing by measuring the charges meridians electric potential. So instead of using a needle to acupuncture, we used a electromagnet to give the same effect. We stimulated the meridians, with a electromagnet. Then we observed the pattern of the meridians potential, that occurred at ST-39 and ST-37. After doing clinical experiments with the acupuncture stimulation and the electromagnet stimulation. We found out the acupuncture stimulation and the electromagnet stimulations electric waves were similar. From this result, we knew it was possible to give similar effects to acupuncture stimulation by using electromagnets.

• The Journal of Korean Physical Therapy
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• v.14 no.1
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• pp.131-137
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• 2002

C-fos는 원종양유전자(proto-oncogene)인 v-fos의 세포 동족체로써, 성장인자나 신경전달 물질에 의해 수분 내에 다양한 형태의 세포에서 활성화된다. Fos단백질은 스트레스와 통증 과정의 신호전달기전에서 세포활동을 조절하는 3차전령으로 활동한다. 열충격 단백질(Heat shock protein : 이하 HSP)은 계통발생학적으로 초기 척추 동물에서부터 발현되며 생체방어체계의 중요한 인자로 세포가 고열, 외상, 허혈 등의 스트레스에 직면했을 때 발현이 증가하는 단백질로 알려져 있다. 본 연구에서는 캡사이신(capsaicin)으로 말초 신경병변을 유발시킨 후 통각신경활성의 지표로 이용되는 원종양 유전자인 c-fos의 발현과 열 또는 스트레스로 야기되는 손상에 대한 조직의 방어작용으로 발현되는 HSP 70의 발현을 동시에 관찰함으로서, 급성으로 유발된 말초 신경병변의 확인과 동시에 실험동물 체내에서 방어적인 역할을 밝히는 일환으로 이 실험을 실시하였다. 본 실험의 결과는 다음과 같다; 1. 척수 등쪽뿔 천층(Laminae I and II)에서 각각 c-fos와 HSP70을 항원으로 하는 면역조직화학적 방법으로 염색한 표본에서 0.9% NaCI 투여 2시간 후 c-fos와 HSP70의 양성을 나타내는 세포는 전혀 없음을 알 수 있었다. 2. 척수 등쪽뿔 천층에서 c-fos 단백질을 항원으로 하는 면역조직화학적 방법으로 염색한 표본에서 Capsaicin 투여 2시간 후 c-fos 단백질에 양성을 나타내는 세포가 많이 발현됨을 육안적 관찰로서 알 수 있었다. 3. 척수 등쪽뿔 천층에서 HSP70을 항원으로 하는 면역조직화확적 방법으로 염색한 표본에서 Capsaicin 투여 2시간 후 HSP7O의 양성을 나타내는 세포가 보통수준으로 발현됨을 육안적 관찰로서 알 수 있었다. 이 실험의 결과로 볼 때, 화학적인 신경병변 유발물질에 의한 손상을 방어하기 위해서 체내에는 내인성 물질이 형성될 것이라는 추측과 c-fos 가 다른 유전자의 발현을 유도한다는 점을 함께 고려 하였을때, Capsaicin에 의한 말초 신경병변에서 c-fos 발현이 많이 나타나는 것은 손상을 방어하는 물질의 생성에 관여하기 때문이며, 방어물질 중 이 실험에서 본 HSP70도 증가한 내인성 방어물질의 하나라고 할 수 있을 것이다.