• The Korean Journal of Pain
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• v.1 no.2
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• pp.203-206
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• 1988

Evaluation of inadvertent dural puncture occuring among 308 epidural blocks done for the relief of pain from various conditions was performed. Dural puncture was suspected in 5 out of 308 epidural bloks. (1.6%) Aspiration of CSF was negative in 3 cases in which dural puncture was suspected only after developing spinal anesthesia. Of the 3 negative CSF aspirations, one case had a history of laminectomy. Adhesions of the adjacent tissues might result in the loss of flexibility and a decrease in potential epidural space which might cause dural tearing during injection and subarachoid injection of the local anesthetic followed by high spinal anesthesia. In another case, the needle tip was obstructed by tissue which led to negative aspiration of CSF and failure to feel loss of resistance. The second injection at the same site may cause subarachnoid injection of the local anesthetic through the previously perforated dura mater and in turn, lead to spinal anesthesia. In the last case, there was no reason to suspect dural puncture since the loss of resistance plus air rebound were definite and aspiration of CSF was negative, but dural puncture was suspected after the patient developed spinal anesthesia.

• The Journal of Engineering Geology
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• v.30 no.2
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• pp.185-198
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• 2020

High-density rapid expansion material is a method that increases the solid volume of injection materials due to hydration and foam reactions at the same time as spraying. It is an effective method for securing ground stability, restoring subsidence, and loading during construction of structures. In this regard, through the mechanical experiments of injection materials, the stability of the foundation ground of the structure and the effect of increasing the endurance using site construction were analyzed. The results of the experiment showed that the unit weight of soil decreased by 10.5% after injection of the filling material, and the allowable support for the structure was deemed safe, and the subsidence by each section after ground improvement was determined to be safe at 2.28, 1.55 and 0.46 cm, respectively, with an acceptable subsidence of less than 5 cm. After the field test, five inclinometers were installed on the top floor of the target building to measure the displacement of the X and Y axes. As a result of the measurement, no displacement related to the phenomenon of inequality or subsidence cracks of the structure was measured for about 16 months (509 days) after construction. This can be judged to be a sufficient increase in the stability of the ground after the injection of rapid expansion.

• Korean Journal of Veterinary Research
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• v.25 no.2
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• pp.113-123
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• 1985

This paper dealt with the distribution of normal mast cells in the spleen, liver and lung on cattle, horses, pigs and dogs, and also degranulation of mast cells in the dogs infected with Rompun (2% Xylazine HCl). The results observed are summarized as follows. Normal mast cells were distributed in spleen, liver and lung on cattle, horse, pig and dog. Mast cells were observed in both red pulp and surroundings of white pulp of the spleen in horse, in the white pulp of the spleen in cattle, in the trabeculae of the spleen in pigs, and in white pulp and red pulp of the spleen in dogs, respectively. Mast cells were observed in the portal triad of the liver in cattle and horses, in both portal triad and interlobular connective tissues of the liver in pigs, and not only the portal triad but also walls of the sinusoids and the central veins in dogs. A large number of mast cells were observed in the interlobular septa and peribronchioles of lung on all the species in this experiment. The mast cells are more numerous in the lungs than other organs. Author considers that numbers of normal mast cells distributed in the tissue is related to the dosage of Rompun in animal. The degranulation of mast cells were observed in the subcutaneous tissues of dog intramuscularly injected with Rompun(0.5ml/times) for 4 or 5 times and subcutaneously injected with Rompun(0.3ml/times) for 4 times. In dog intradermally injected with 0.1ml of Rompun, mast cells were decreased in number at 30 minutes and markedly decreased in number at 2 hours, but more or less increased in number at 3 hours after injection. In addition, the granules of the mast cells were decreased in number at 30 minutes and marked degranulation of the mast cells were recognized at 2 hours after injections, but normal mast cells begun to appear in subcutaneous tissue with the lapse of time from 3 hours after injection. There was also observed local infiltration of neutrophils in subcutaneous tissues of dogs intradermally injected with 0.1ml of Rompun at 30 minutes. At 2 hours after injection, numerous neutrophils and a small number of eosinophils were observed in the site of injection. Conclusionally, Rompun was regarded as a factor which causes the degranulateon of mast cell and the authors considered that histamine released from the mast cells by Rompun might cause relaxation of skeletal muscle.

• Journal of Biomedical Engineering Research
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• v.29 no.1
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• pp.66-72
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• 2008

The major risk associated with the use of automated power injectors is the well known complication of contrast material extravasation at the injection site. Automated injection of computed tomography (CT) contrast media can produce the compartment syndrome. The purpose of this study was to assess the ability of this device during clinically important episodes of extravasation. The extravasation detection accessory (EDA) system was composed of a strain gage, an amplifier and a computer based system. A strain gage pliable adhesive patch was applied to the skin aver the intravenous catheter and the catheter was connected to the power injector with a cable to monitor the resolution data. If the programmed monitoring, which was developed with MS Visual C++, at the extravasation occurred, then the injection was interrupted the auto injector. CT was used to demonstrate the clinically important extravasation. This study was a prospective, observational study in which the EDA system was used to monitor the automated mechanical injection of contrast material in 7 dogs. There were two true-positive cases (range of extravasation volumes: $18{\sim}22ml$), twenty three true-negative cases, three false-positive cases and no false-negative cases. The EDA system had a sensitivity of 100% and a specificity of 88% for the detection of clinically important extravasation. The EDA system had good sensitivity for the detection of clinically important extravasation and the EDA system has the clinical potential for the early detection of extravasation of the contrast medium that is administered with power injectors. The EDA system is easy to use safe and accurate for the monitoring extravasation of the intravenous injections, and this system may prove especially useful in CT applications.

• Journal of Soil and Groundwater Environment
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• v.10 no.4
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• pp.54-61
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• 2005

An aquifer thermal energy storage (ATES) system can be very cost-effective and renewable energy sources, depending on site-specific parameters and load characteristics. In order to develop the ATES system which has certain hydrogeological characteristics, understanding the thermohydraulic process of an aquifer is necessary for a proper design of an aquifer heat storage system under given conditions. The thermohydraulic transfer for heat storage was simulated according to two sets of simple pumping and waste water reinjection scenarios of groundwater heat pump system operation in a two-layered aquifer model. In the first set of the scenarios, the movement of the thermal front and groundwater level was simulated by changing the locations of injection and pumping wells in a seasonal cycle. However, in the second set the simulation was performed in the state of fixing the locations of pumping and injection wells. After 365 days simulation period, the shape of temperature distribution was highly dependent on the injected water temperature and the distance from the injection well. A small temperature change appeared on the surface compared to other simulated temperature distributions of 30 and 50 m depths. The porosity and groundwater flow characteristics of each layer sensitively affected the heat transfer. The groundwater levels and temperature changes in injection and pumping wells were monitored and the thermal interference between the wells was analyzed to test the effectiveness of the heat pump operation method applied.

• Journal of Dental Anesthesia and Pain Medicine
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• v.24 no.1
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• pp.47-56
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• 2024

Background: Among the various pain-related diseases that can be encountered at the clinic, there is a neuropathic pain that is difficult to treat. Numerous methods have been proposed to treat neuropathic pain, such as taking medication, nerve block with lidocaine, or neurolysis with alcohol or phenol. Recently, a method of perineural injection using dextrose instead of lidocaine was proposed. This study was designed to compare the effects of perineural injection therapy (PIT) with buffered 5% dextrose or 0.5% lidocaine on neuropathic pain. Methods: The data were collected from the database of pain clinic from August 1st, 2019 to December 31st, 2022 without any personal information. The inclusion criteria were patients diagnosed with postherpetic neuralgia (PHN), trigeminal neuralgia (TN), complex regional pain syndrome (CRPS), or peripheral neuropathy (PN), and patients who had undergone PIT with buffered 5% dextrose (Dextrose group) or 0.5% lidocaine (Lidocaine group) for pain control. The data of patients, namely sex, age, and pain score (numerical rating scale, NRS) were collected before PIT. The data of NRS, side effects, and satisfaction grade (excellent, good, fair, or poor) were collected one week after each of the four PIT, and two weeks after the last PIT. Results: Overall, 112 subjects were enrolled. The Dextrose group included 89 and Lidocaine group included 23 patients. Because the number of patients in the Lidocaine group was too small to allow statistical analysis, the trend in Lidocaine group was just observed in each disease. There were no significant side effects except for a few bruise cases on the site of injection in all groups. The NRS in most Dextrose groups except CRPS were reduced significantly; however, the Lidocaine group showed a trend of pain reduction only in PHN. The Dextrose group except CRPS showed increased satisfaction two weeks after the final PIT. Conclusion: From the results, it is suggested that PIT with buffered 5% dextrose may have a good effect for neuropathic pain without any side effect except for patients with CRPS. This may offer a window into a new tool that practitioners can employ in their quest to help patients with neuropathic pain.

• Korean Journal of Clinical Pharmacy
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• v.21 no.1
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• pp.36-38
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• 2011

We report an unusual case of respiratory depression and prolonged apnea after the second dose of 100-mg intravenous tramadol. Due to continuous pain at foley catheter keep site, intravenous tramadol was administered to the patient. Soon after the second dose of tramadol injection, the patient became apneic. The patient did not respond to verbal command and started exhibiting oxygen desaturation. The patient was quickly treated with 100% oxygen, and it took 4 hours for the spontaneous respiration to return to regular. This case report demonstrates that even two doses of tramadol administered intravenously may manifest as sudden and prolonged apnea. Respiratory depression with tramadol has been reported in patients with impaired renal functions and Cytochrome P(CYP) 2D6 gene duplication.

• 한국생물공학회:학술대회논문집
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• 2003.10a
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• pp.644-647
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• 2003

Materials currently used as an injectable bulking agent in the dermatologic and urologic fields revealed several drawbacks such as particles migration, inflammatory reaction, allergic reaction, rapid volume shrinkage, and necessity of a donor site. In this study, we have developed injectable biomaterial comprising poly (DL- lactide-co-glycolide)(PLGA) and hyaluronic acid gel to overcome these problems. PLGA is a biocompatible synthetic material and hyaluronic acid is a common substance found in living organisms. We examined the feasibility of injection through needle and tested biocompatibility in animal model. After transplantation, injected sites and distant organs were examined histologically to verify a new tissue formation, inflammation, and particles migrations. Injected volume was maintained approximately 80 percent for 2 months. Results demonstrated that the developed material was injectable through various gauges of needles and induced a new bulking tissue formation without serious inflammatory reaction.

• The Journal of the Korean dental association
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• v.50 no.10
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• pp.620-623
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• 2012

The use of botulinum toxin type A in the lower face has increasingly popular. And treatment of the depressor anguli oris muscle(DAO) and the mentalis muscle(MT), particularly in combination with filler substances, produces a remarkable improvement in the lower aged face. The aim of this study was to demonstrate the topographical anatomy of the DAO, MT, and their related structures, thereby providing critical information for determining the safest and most effective site for BTX-A injections. The most effective injection sites of DAO and MT were suggested based on the new anatomical knowledge of the lower face.

• Tunnel and Underground Space
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• v.7 no.4
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• pp.299-309
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• 1997

Soil and rock improvement and reinforcement techniques are applied to achieve safe tunnel excavation in difficult geological conditions. The Umbrella Arch Method(UAM), one of the auxiliary techniques, is used to reduce ground permeability and improve stabtility of the tunnel by inserting a series of steel pipes into ground around the crown inclined to the longitudinal axis of the tunnel. Additionally, multi-step grouting is added through the steel pipes. UAM combines the advantages of a modern forepoling system with the grouting injection method. This technique has been applied in subway, road and utility tunneling sites for the last few years in Korea. This paper presents the results of analysis of the case studies on ground movements associated with UAM used in the Seoul Subway line 5 constructon site. Improvement of tunnel stability and decrease of ground settlement expected with pipe insertion are also discussed. Finally, the method to minimize ground settlements caused by NATM tunnelling are suggested.