• Title/Summary/Keyword: Disc

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An Unappreciated Correlation : Surgical Treatment of Lumbosacral Disc Disease and Erectile Dysfunction

  • Kulaksizoglu, Haluk;Kaptan, Hulagu
    • Journal of Korean Neurosurgical Society
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    • v.47 no.4
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    • pp.282-286
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    • 2010
  • Objective : The aim of the present study was to assess the effect of lumbar disc herniation surgery for low back pain on the erectile functioning. Methods : Thirty-eight patients, with age ranging from 22 to 56 years, who had presented with pain due to herniated lumbar discs were included in the study. International Index of Erectile Function (IIEF) Short Form questionnaire was used to evaluate the erectile functioning. Patient visits on the 1st week,1st month and 3rd month postoperatively were analyzed. Pain scores were also noted together with side effects and the complications of the surgery. Results : Of the 38 patients, 18 patients had reported erectile dysfunction; 10 patients mild and 8 patients moderate erectile dysfunction. Twenty patients did not report erectile problems. The herniation levels mostly were L5-S1 in 12 (31.6%). Overall, erectile dysfunction rates have improved in 31.7% of those previously with erectile dysfunction in a 3 month period after the surgery. Best results were obtained in those patients with mild erectile dysfunction preoperatively. Conclusion : Mild erectile dysfunction together with radiculopathy tends to improve after lumbosacral disc surgery. Moderate and severe erectile dysfunction may be related to a more severe nerve injury or to vascular and/or psychiatric factors. An evaluation of erectile functioning should routinely be performed in patients with lumbosacral disc disease both for data accumulation and for medico legal causes since the documentation of the correlation between erectile dysfunction and lumbosacral disc disease is still lacking.

Analyses of Failure Causes and an Experimental Study on the Opening Characteristics of Swing Check Valves (스윙형 역지밸브의 고장 원인 분석과 열림 특성에 관한 실험적 연구)

  • Song, Seok-Yoon;Yoo, Seong-Yeon
    • The KSFM Journal of Fluid Machinery
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    • v.8 no.6 s.33
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    • pp.15-25
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    • 2005
  • Check valves playa vital role in the operation and protection of nuclear power plants. Check valves failure in nuclear power plants often lead to a plant transient or trip. The analysis of historical failure data gives information on the populations of various types of check valves, the systems they are installed in, failure modes, effects, methods of detection, and the mechanisms of the failures. A majority of check valve failures are caused by improper application. The experimental apparatus is designed and installed to measure the disc positions with flow velocity, Vopen and Vmin for 3 inch and 6 inch swing check valves. The minimum flow velocity necessary to just open the disc at a full open position is referred to as Vopen, and Vmin is defined as the minimum velocity to fully open the disc and hold it without motion. In the experiments, Vmin is determined as the minimum flow velocity at which the back stop load begins to increase after the disc is fully opened or the oscillation level of disc is reduced below $1^{\circ}$. The results show that the Vmin velocities for 3 inch and 6 inch swing check valves are about 27.3% and 17.5% higher than the Vopen velocities, respectively.

The Effect of Damping of a Two-degree-of-freedom Model for the Disc Brake Squeal Noise (2자유도계 모델을 이용한 디스크 브레이크 스퀼 소음에 대한 댐핑의 영향에 관한 연구)

  • Shin, Ki-Hong;Joe, Yong-Goo;Oh, Jae-Eung
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.13 no.12
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    • pp.903-910
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    • 2003
  • A two-degree-of-freedom model is suggested to describe basic dynamical behaviors of the interaction between the pad and the disc of a disc brake system. Although a pad (and a disc) has many modes of vibration in practice, only one mode of each component Is considered. In this paper, a linear analysis is performed by means of the stability analysis to show various conditions for the system to become unstable, and is based on the assumption that the existence of limit cycle (this corresponds to an unstable equilibrium point inside the limit cycle) represents the squeal state of the disc brake system. The results of the stability analysis show that the damping of the disc is as much Important as that of the pad, whereas the damping of the pad only is considered In most practical situations.

Magnetic Resonance Imaging Follow-Up Case Study on Changes in a Lumbar Herniated Intervertebral Disc Treated with Korean Conservative Treatment (보존적 한방치료를 진행한 요추 추간판 탈출증 환자의 시간에 따른 영상의학적 추간판 크기 변화 1례)

  • Roh, Ji-ae;Lee, Ji-won;Jang, Jae-won;Jeong, Wu-jin;Noh, Je-heon
    • The Journal of Internal Korean Medicine
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    • v.39 no.5
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    • pp.879-885
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    • 2018
  • Background: A herniated intervertebral disc (HIVD) triggers low back pain (LBP). Korean conservative treatment can decrease the herniated disc size without traditional surgery, but detailed prognosis is unclear. Case summary: One patient presented with LBP and bilateral sciatica. She was diagnosed with lumbar HIVD by magnetic resonance imaging (MRI) and treated by Korean medicine (acupuncture, decoction, and physical therapy). For 6 months, MRI follow-up exams showed the aggravation and migration of L5-S1 followed by distinct improvement of the same lumbar vertebra. Conclusion: The disc size in a patient with lumbar HIVD was reduced by Korean conservative treatment, and periodic radiologic examination showed the previously unrecognized process of absorbing the disc.

Development of the Wheel Disc Spinning Machine (휠 디스크 스피닝 성형기 개발)

  • Kang, Jung-Sik;Kang, E-Sok;Lee, Hang-Soo
    • Journal of the Korean Society for Precision Engineering
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    • v.16 no.6
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    • pp.58-65
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    • 1999
  • The spinning machine has been developed for a bus and truck wheel disc which is manufactured by spinning process method. This machine has the mechanical structure with bed, 2-column, cross head, 2-vertical slide, 2-horizontal slide with forming roller, clamp slide and main spindle similar to large size vertical lathe. Main spindle attached the mandrel is rotated about 500rpm drived by 280kW power DC motor, and a rotating black material pressed on the mandrel with the clamp slide is spinformed by 2-forming rollers which are attached inner end of the 2-horizontal slides. The 2-vertical and 2-horizontal slides are actuated by the hydraulic cylinder which is controlled by the servo valve individially, and these servo valves are controlled by control signal of the CNC controller which is computed with position signal feedbacked from the encoder sensor. The developed machine can manufacture wheel disc of various section profile without mandrel change because section profile is easily modified using program editing in the CNC controller processor. The wheel disc manufactured by spinning process method has many advantages that the endurance is increased by 2 times and the weight is decreased by 30% compared with a conventional disc.

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The Effects of Distraction Manipulation on the Pain and Intervertebral Disc Angle in Patients With Herniated Intervertebral lumbar Disc (신연교정치료가 요추 추간판 탈출증 환자의 통증 및 추간판 각도에 미치는 효과)

  • Ma, Sang-Yeol;Lee, Hyeon-Hee;Kim, Seong-Hak;Lee, Moon-Hwan
    • The Journal of Korean Physical Therapy
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    • v.19 no.3
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    • pp.31-39
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    • 2007
  • Purpose: This study was conducted to investigate the effect of distraction manipulation on the pain and. intervertebral disc angle in patients with herniated intervertebral lumbar discs. Methods: 30 patients who visited to receive the treatments of the physical therapy in W pain clinic in Daejeon. All subjects had been treated with flexion-distraction manipulation for 30 minutes per day and three times a week during 12 weeks period from June 10 to 19 August 2006. They were randomly divided into two groups: lumbar 4 and lumbar 5 group. Results: Pain of L4 and L5 group was significantly reduced after than before treatment(p<0.05). The intervertebral lumbar disc angle was significantly improved after than before treatment(p<0.05). Conclusion: These results indicated that distraction manipulation has a effectiveness in patients with herniated lumbar disc.

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Effect of Neurodynamics on Pain and Paresthesia in Post-operated Patients with Lumbar Disc Herniation

  • Jang, Ki-ryong;Park, Ji-Won;Nam, Kiseok
    • The Journal of Korean Physical Therapy
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    • v.32 no.2
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    • pp.80-87
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    • 2020
  • Purpose: Some patients who have undergone surgery due to lumbar disc herniation still complain of leg pain and other abnormal sensations. Therefore, the study examined the effects of the neurodynamics on pain and other abnormal nerve sensations in post-operated patients with lumbar disc herniation. Methods: The participants of this study comprised 20 adults (10 males and 10 females) who were diagnosed with lumbar disc herniation. The subjects were classified into two groups of 10 patients each in the lower extremity neurodynamics (LEN) and lumbar stabilization exercise (LSE) groups. Each intervention was applied twice a day for one week and was composed of two different exercise patterns; one was applied by a therapist, and the other was performed by the patients themselves. The data were analyzed using assessment methods of Digital Infrared Thermal Imaging (DITI), Toronto clinical neuropathy scoring system (TCNSS), Sympathetic Skin Response (SSR) test, and Oswestry Disability Index (ODI) scale. Results: Significant differences in TCNSS, DITI, ODI scale were observed between the LEN and LSE group (p<0.01). On the other hand, there was no significant difference in the SSR test between pre and post-treatment (p>0.05). Conclusion: The results indicated that neurodynamics treatment is effective in pain reduction and abnormal sensations, such as leg muscle cramps, in post-operated patients with lumbar disc herniation.

10 Cases of Patients with Lumbar Disc Herniation Improved after Oriental Intensive Therapy (한방 집중 치료 후 호전된 요추 추간판 탈출증 환자 10례)

  • Lee, Sang-Young;Cheong, Pil-Sun;Han, Se-Hyuk;Hwang, Choon-Ho;Yoon, Young-Jeoi;Kim, Hyung-Seok;Kim, Hyung-Woo;Jeong, Hyun-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.4
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    • pp.702-707
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    • 2011
  • Patients with lumbar disc herniation are faced with lowered quality of life. For this reason, we investigated the effects of Oriental Intensive Therapy (OIT) including acupuncture, pharmacopuncture, manual therapy and herbal medicine on patients with lumbar disc herniation. Ten patients, diagnosed with lumbar disc herniation by MRI in hospital, were treated with OIT for 12 weeks. Symptoms of the patients were assessed using Verbal Numerical Rating Scale (VNRS) and Oswestry Disability Index (ODI). All patients were investigated every a week. In our results, intensity of pain was reduced after 4 weeks treatment significantly by VNRS, Quality of life has also improved after 4 weeks treatment by ODI. In conclusion, this study suggests that OIT may be effective to treat patients with lumbar disc herniation.

SIMPLE MODELS TO INVESTIGATE THE EFFECT OF VELOCITY DEPENDENT FRICTION ON THE DISC BRAKE SQUEAL NOISE

  • Shin, K.;Brennan, M.J.;Joe, Y.G.;Oh, J.E.
    • International Journal of Automotive Technology
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    • v.5 no.1
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    • pp.61-67
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    • 2004
  • This paper suggests two simple two-degree-of-freedom models to describe the dynamical interaction between the pad and the disc of a disc brake system. Separate models for in-plane and out -of-plane vibration are described. Although a brake pad and disc have many modes of vibration, the interaction between a single mode of each component is considered as this is thought to be crucial for brake noise. For both models, the pad and the disc are connected by a sliding friction interface having a velocity dependent friction coefficient. In this paper, it is shown that this friction model acts as negative damping in the system that describes the in-plane vibration, and as negative stiffness in system that describes the out-of-plane vibration. Stability analysis is performed to investigate the conditions under which the systems become unstable. The results of the stability analysis show that the damping is the most important parameter for in-plane vibration, whereas the stiffness is the most important parameter for the out-of-plane vibration.

Development of Twin-Objective Actuator with Radial Tilt Function for Blu-Ray Disc Recorder (BD Recorder용 3축 독립구동 Twin-Objective 액추에이터 개발)

  • Kim, Seok-Jung;Heor, Tae-Youn;Kim, Tae-Kyung;Ahn, Young-Man;Chung, Chong-Sam;Park, Soo-Han
    • Transactions of the Society of Information Storage Systems
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    • v.1 no.2
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    • pp.121-126
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    • 2005
  • Recently, an optical disc system has been proposed using blue laser diode, high NA objective lens and groove only disc structure. A new method is needed to readout CD and DVD in this Blu-Ray Disc Recorder. In order to readout CD and DVD in Blu-Ray Disc Recorder, we adopted dual-lenses actuator in consideration of optical utilization efficiency, optical performance and insurance of sufficient W.D(working distance). This dual-lenses actuator has two objectives in radial direction, one is for CD/DVD and the other is for BD. We had to solve the induced problems of collision between disc and lens, DC tilt increase, AC tilt increase, 2nd resonance deterioration and AC sensitivity drop caused by disposing two lenses in an actuator. Also we developed high response twin- objective actuator with radial tilt function to apply high-speed BD Recorder or BD Player. Consequently we presented that two kinds of dual-lenses actuators for BD Recorder have been possessed good performance in 3 axis directions. And we measured eye patterns of CD, DVD and BD by using one BD optical pick-up with dual-lenses actuator.

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