• Title/Summary/Keyword: 3-arm type

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Is Early Spinal Cord Stimulation in Patients with Complex Regional Pain Syndrome Necessary? -A case report- (복합부위통증증후군 제I형 환자에서 조기 척수자극술이 필요한가? -증례보고-)

  • Min, Hyoung Ki;Han, Kyung Ream;Lee, Sang Eun;Kim, Kyoung Tae;Kim, Chan
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.223-227
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    • 2006
  • Complex regional pain syndrome (CRPS) is clinically characterized by pain, abnormal regulation of blood flow and sweating, edema of skin and subcutaneous tissues, sensory and motor disturbances, and trophic changes of the skin. A 21-year-old man was suffering from pain and swelling in his right hand and forearm. His arm had been in splints for 3 weeks following an extension injury of the right fingers and wrist, with the pain having developed 2 weeks after the splinting. He was treated with various nerve blocks including continuous epidural infusion, thoracic sympathetic block and peripheral nerve blocks, and squeezing his edematous region under general anesthesia as well as intravenous lidocaine and ketamine infusions. However, all of the performed treatments had no effect on the patient's pain or hand swelling. As a next line therapy, spinal cord stimulation should be considered because of intractable severe pain and swelling to almost all other modalities of therapy. We therefore performed an early intervention of spinal cord stimulation for the patient with refractory CRPS type I 5 months after the onset of pain and have got an excellent result.

The Effects of Natural Material Extracted from Rice Bran on Skin in vivo

  • Zhoh, Choon-Koo;Han, Chang-Giu;Hong, Se-Heum;Takuo Tsuno
    • Proceedings of the SCSK Conference
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    • 2003.09b
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    • pp.253-267
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    • 2003
  • Inositol and phytic acic extracted from rice bran were investigated for applying cosmetics. Skin lotions containing 0∼3.0wt% inositol and 0∼1.5wt% phytic acid were applied respectively, to the arm skins of 45 Asian women 20'-40's for 7 weeks. Improvement on moisture was evaluated. In addition, improvements on sebum, elasticity, and wrinkle were examined after applying placebo, Inositol and phytic acid-containing skin lotions for face, respectively. For 1.0 wt% inositol resulted in 19% increase of moisture. The wrinkle reduction and elasticity improved 12.4% and 17.0% on average, respectively. Applying 0.5wt% phytic acid resulted in 71.6% increase the moisture. Improvements on wrinkle and elasticity were 15.9% and 21.9% respectively. Applying inositol or phytic acid regardless of dry or oily, resulted in sebum value recovery to that of the normal skin after 2- 4 weeks. Inositol is inferior to phytic acid in improvenients of the skin, and phytic acid is not suitable to sensitive skin. So 0-0.5wt% of phytic acid were added to 1.0wt% inositol and similar experiments were carried out. In case of added 0.1wt% phytic acid, moisture increased 63.8% approximately. Improvements on elasticity and reduction on wrinkle were 17.2% and 17.4%, respectively. Both skin types were turned to normal skin type after 2 weeks. It could improve the skin condition when used inositol added phytic acid. The optimized concentration of phytic acid was 0.10wt% with 1.0wt% of inositol for synergic effect.

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A Study on the Association between Sasang Constitutions and Body Composition (사상체질분류검사에 의한 체질 진단과 체성분분석과의 상관성에 관한 연구)

  • Choi, Sun-mi;Chi, Sang-en;Jung, Bong-yeon;Sung, Hyun-jea;Ahn, Kyoo-seok;Koh, Byung-hee
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.1
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    • pp.24-34
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    • 2001
  • Objectives : The purpose of this study was to evaluate the body shape of Sasang Constitutions by body composition and body measurement. Methods : This study was carried out 98 cases(68 males and 30 females)of Oriental Medical College at Kyunghee University. After determining the Sasang Constitutions(Soeumin, Soyangin, Taeumin) by QSCCII, the body shape of each group were analysed by body composition(INBODY 2.0, Biospace, seoul, korea) and body measurement. Results : 1) The result of Sasang Constitution analysis of 98 cases were classified as Soumin(52%), Soyang(24.5%), Taeumin(23.5%). 2) In the body composition and body measurement, there were significant difference from intercellular fluid, protein, mineral mass, weight, percent body fat, body water of left arm and BMI between Taeumin, Soyangin and Soumin. 3) In the body composition of male, Taeumin group showed that the arms were more developed than the legs and the upper trunk were more developed than the lower trunk. Soumin group showed the asymmetry of the right and left limbs. Soyang group showed the asymmetry of the right and left arms. In the body composition of female, Taeumin group showed the asymmetry of the right and left upper limbs. Conclusion : There are significant relationships between Sasang Constitutions, Body composition and BMI. The findings indicated here Body composition could be useful mean to make a diagnosis of the body shape, body type, physical constitution of Sasang constitutions.

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Crystal Structure of $\textrm{ZrV}_{x}\textrm{Mn}_{1-x-y}\textrm{Ni}_{1+y}$ Laves Phase Alloys for MH Battery Application (MH전지용 $\textrm{ZrV}_{x}\textrm{Mn}_{1-x-y}\textrm{Ni}_{1+y}$ Laves합금의 결정구조)

  • Kim, Won-Baek;Seo, Chang-Yeol;Choe, Guk-Seon;Kim, In-Gon
    • Korean Journal of Materials Research
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    • v.7 no.3
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    • pp.234-243
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    • 1997
  • The crystal structure of arc melted $ZrV_{x}Mn_{1-x}Ni_{1.0},\;ZrV_{x}Mn_{0.8-x}Ni_{1.2},\;ZrV_{x}Mn_{0.6-x}Ni_{1.4}$ alloys which are known to have AB2 type Laves structure was investigated. They had mixed phases of C14 and C15. The radius ratio ($r_{A}/r_{B}$) of atoms in A site to that of B site was found to be an important parameter in explaining the omposition dependence of the crystal structure The C15 structure showed a linear increase with the ratio in as-cast conditions. However, the annealed alloys revealed a definite ratio at which the stability of both phases are divided distinctly. The composition of the alloys could be closely controlled by maintaining the argon pressure in the chamber over 1 arm during arc melting. In contrast, the alloy ingot melted in VIM showed a significant loss of hln.

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Development of an Arachnoid Cyst after Ventriculoperitoneal Shunt Placement - A Case Report - (뇌실복강간 단락술 후 발생한 뇌지주막 낭종 - 증 례 보 고 -)

  • Choi, Kwang Yeong;Rhee, Bong Arm;Lim, Young Jin;Kim, Tae Sung;Kim, Gook Ki;Leem, Won
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.364-367
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    • 2001
  • A 4-month-old female patient admitted because of hydrocephalus. She was premature infant with germinal matrix hemorrhage at gestational period 27 wks. A ventriculoperitoneal shunt with a low-pressure type valve was placed. Follow-up CT scan obtained 3 months after VP shunt placement, revealed a new Lt. middle cranial fossa cyst. The girl was readmitted to hospital at 7 months after VP shunt placement, complaining of lethargy and vomiting. A CT scan was demonstrated a increase in size of a cyst, She subsequently underwent a left-sided pterional craniotomy with partial excision of membrane and cyst fenestration into the basal cisterns. Follow-up CT scan after 18 months revealed reaccumulation of cyst, the girl was reoperated on. After 2 months, the size of cyst was not decreased. Finally, She underwent a cystoperitoneal shunt. Follow-up CT scan after 5 months was demonstrated disappeared cyst and reexpansion of brain parenchyma. We report the development of a symptomatic sylvian fissure arachnoid cyst developed after ventriculoperitoneal shunt.

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Prolonged blepharoptosis following repeated stellate ganglion block in a patient with brachial plexopathy after thoracoscopic surgery (흉강경 수술 후 상완신경병증 환자에서 반복된 성상신경절블록 후 발생한 지속적인 안검하수)

  • Kim, Kangil;Lee, Sang Hyun;Seo, Eun Hui;Cho, Young Woo
    • Journal of Yeungnam Medical Science
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    • v.31 no.2
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    • pp.135-138
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    • 2014
  • A 34-year-old female was suffered from pain and numbness of right arm for 2 months after undergoing a thoracoscopic procedure for a posterior mediastinal mass that was diagnosed as neurilemmoma. The patient was diagnosed as a complex regional pain syndrome type 2 with brachial plexopathy developed during thoracoscopic excision of posterior mediastinal mass, and stellate ganglion block (SGB) with 0.2% ropivacaine 10 mL was performed every 3-4 days. The patient revealed slightly prolonged blepharoptosis as Horner syndrome accompanied after every SGB and recovered. However, following the 23rd SGB, the blepharoptosis persisted and patient was recovered spontaneously from blepharoptosis after about 12 months. The possibility that the persistent blepharoptosis might be caused by brachial plexopathy related to patient's pathology or surgical manipulation and/or repeated SGB. If Horner syndrome occurs, its etiology should be assessed, and it would be necessary to explain and to assure the patient the possibility of recovery spontaneously from the complication within a year, without any sequelae.

A Study on The Multi-point Signal and It's Directivity detection of FBG Hydrophone Using Hopper WDM be in The Making (Hopper WDM을 이용한 FBG(Fiber Bragg Grating) 하이드로폰(Hydrophone)의 다중점신호검출 및 지향성 연구)

  • Kim, Kyung Bok
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.11
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    • pp.156-163
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    • 2015
  • In the using of FBG(Fiber Bragg Grating) developed in home land, we designed and manufactured united FBG acoustic transducers the first in Korea. they are being applied to multi-point signal detection of FBG Hydrophone used Hopper WDM(national patent NO 10-1502954) in the underwater. On united FBG transducers manufactured, we made an demonstrated on respective frequency response peculiarities in the underwater and analyzed the special characters. As the experimental result on frequency response peculiarities, we made it possible underwater acoustic detection on united FBG acoustic transducers type to maximum 30Hz~2.5KHz. it's the optimum conditions of 1.2KHz frequency in detection. And for the purpose of realization on multi-point signal detection on wide scope in the underwater, in the using of WDM(Wavelength Division Multiplexing) method and passive band-pass filter system, established arrays system and succeeded in multi-point underwater acoustic signal detection to the frequency 200Hz~1.3KHz out of the two united type FBG transducers. Additionally, it would be possible directivity detection for the object of its source as the intensity of detection signal varies with the sound source's direction and angle. From now on we prepared a new moment on the practical use study on FBG hydrophone in the future.

Blood Pressure Cuff Bladders Tailored For Koreans (한국인 맞춤형 혈압계 커프 블래더)

  • Hwang, Lark Hoon;Park, Woo Sung;Na, Seung Kwon
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.38C no.9
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    • pp.822-829
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    • 2013
  • Hypertension is one of the most common clinical diseases, with an increasing prevalence globally. Hypertension triggers various harmful consequences and affects multiple organs. Life-long care may be required in some cases. According to the Korea Center for Disease Control and Prevention, the prevalence of hypertension is gradually increasing. A 2011 survey revealed that 28.9% of Korean adults had hypertension. The prevalence rates were slightly higher among men than women. Accurate measurement of blood pressure(BP) is crucial to classify patients, to identify BP-related risks, and to inform correct treatment. For accurate blood pressure measurement, the use of a cuff bladder size appropriate for the mid-upper arm circumference(MUAC) is essential. Incorrect sized cuff bladder is one of the main causes of equipment error affecting sphygmomanometer accuracy. When commercial sphygmomanometers were examined, the cuff bladders differed from the dimensions specified in the ISO 81060-1:2007 standards. Undercuffing is responsible for a spurious overestimation of BP in patients with large arms leading to overdiagnosis of hypertension, whereas overcuffing (that is, use of relatively large cuffs with small arms), may be responsible for an opposite problem, leading to erroneous underestimation of BP levels. The cuff bladder sizes recommended by the American Heart Association(AHA) are an arm circumference(AC) of 17-25 cm for small-sized adults, AC of 24-32 cm for adults, AC of 32-42 cm for normal-sized adults, and AC of 42-50 cm for obese adults. In contrast, the AC of Korean adults ranges from 23-31 cm, belonging to a single type of adult bladder. Three types of bladders are necessary for Korean adults with an AC of 23-31cm. Hospitals often use one or two differently-sized Western cuffs for adult patients, which can yield inaccurate BP determinations. Cuff bladders with dimensions based on anthropometric reference data obtained from Koreans will aid hospitals to measure BP more accurately.

Prevalence of Musculoskeletal Symptom in Rural Farmers (농촌지역주민의 근골격계 증상 경험률)

  • Oh, Hae-Ok;Kam, Sin;Han, Chang-Hyun;Hwang, Byung-Deog;Mun, Hyo-Jung;Cha, Byung-Jun;Park, Sang-Yeon
    • Journal of muscle and joint health
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    • v.8 no.1
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    • pp.86-108
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    • 2001
  • This study was performed to examine the annual experience rate of musculoskeletal symptom and its related factors in rural farmers. Six-hundred and sixty one rural farmers were investigated by questionnaire survey through interview from July 1 to July 31 in 2000. The results were as follows; The rural farmers who had experienced musculoskeletal symptom during recent 1 year was 82.7% in male, 92.1% in female. The annual experience rate of musculoskeletal symptom by part of the body in male were turned out as back; 42.3% leg and knee; 36.4%, shoulder; 21.4%, arm and hand; 12.7%, elbow; 7.7%, hip; 6.8% neck; 6.4%, ankle and foot; 6.4% in order. The annual experience rate of musculoskeletal symptom by part of the body in female were turned out as back; 59.4%, leg and knee; 48.5%, shoulder; 20.2%, arm and hand; 13.8%, hip; 10.7%, neck; 6.8%, ankle and foot; 6.3%, elbow; 5.0% in order. The annual experience rate of musculoskeletal symptom, back pain, and pain on leg and knee were significantly higher in female. In male, the experience rate of musculoskeletal symptom was different significantly according to educational level, family size, economic status, status of smoking, duration of farming, type of major agricultural affairs. By the multiple logistic regression analysis for experience of musculoskeletal symptom, family size and economic status were the significant variables. It was higher in male with no or one family living together and low economic status. In female, the experience rate of musculoskeletal symptom was different significantly according to body mass index, perceived health status, type of agricultural affairs. By the multiple logistic regression analysis for experience of musculoskeletal symptom, body mass index, perceived health status, and type of major agricultural affairs were the significant variables. It was higher as female farmer's body mass index was increasing and when female farmer's perceived health status was not healthier, and it was lower when female farmer did livestock farming as major agricultural affair. The experience rate of musculoskeletal symptom was higher in the busy season for farmers and treatment methods for musculoskeletal symptom were physical therapy, medication, herb medical treatment, etc. In conclusion, because most of farmers experience musculoskeletal symptom, continuous systematic study on musculoskeletal symptom of farmers and active effort to prevent and manage musculoskeletal symptom of farmers are necessary.

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Analysis of the Thermal Environment in the Laying House (산란계사내부 열환경 분석)

  • Kim Y. B.;Lee S. K.;Kim S. T.;La W. J.;Chang H. H.
    • Journal of Animal Environmental Science
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    • v.11 no.3
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    • pp.177-188
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    • 2005
  • In this study, the thermal environmental factors in a layer f(arm such as dry bulb temperature, relative humidity, black globe temperature and illumination intensity were measured and analyzed to serve as basis for effective design and plan of poultry houses. The correlation analysis between the different factors was also done. Heat Index as measure of the thermal stress was also calculated and analyzed. A $1,000m^2$ laying house, 4 meters high with 52,000 layers in six-stage type cages was used in the measurement of the different environmental parameters. The results were as follows; 1. The temperature of the inside air and materials was directly related to the increase in aerial temperature based on the dry-bulb, black globe temperature reading. The correlation factor of the outside to inside air based on dry bulb setting was very significant at 0.927 The dry bulb temperature for inside temperature ranged from $19.9\~28.8^{\circ}C\;with\;SD+2.2^{\circ}C$ while that of the outside air was $16.2\~33.1^{\circ}C,\;SD+3.5^{\circ}C$. In addition, the temperature of the inside air was very stable. 2. The black globe temperature of the inside air ranged from $20.1\~28.8^{\circ}C,\;SD+2.3^{\circ}C$ while that of the outside air was $16.2\~47.5^{\circ}C,\;SD+6.0^{\circ}C$. 3. The relative humidity of the outside and inside air was $72.4\~100\;and\;50.2\~85.6\%$ with an average of $89.2\;and\;71.7\%$, respectively. 4. The illumination intensity in the laying house was less than 7 lux, with an average of $1.2\~2.5lux$ relative to height indicating that the laying house was well isolated from outside radiation. 5. The heat index of the inside air of the laying house had a high variation from $20.5^{\circ}C,\;SD+2.5^{\circ}C$ while that of the outside air was $13.1\~45.5^{\circ}C$, with an average of $21.6^{\circ}C,\;SD+6.3^{\circ}C$.

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