• Title/Summary/Keyword: Injection practice

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The Controversy Regarding the Optimal Management of Chronic Low Back Pain: Interventional vs. Medical Treatment (만성요통의 적정 치료를 둘러싼 논란: 중재적 치료 대 보존적 치료)

  • Kwon, O-Hyun
    • Annals of Clinical Neurophysiology
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    • v.12 no.1
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    • pp.1-2
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    • 2010
  • Chronic non-specific low back pain (CLBP) is one of the major health problems casting substantial amount of economic expenses and negative impact on quality of life onto an individual as well as society. On contrary to public familiarity, the ways of management of CLBP are diverse and there is yet no general consensus about which approach is better than others or to whom the specific management should be applied. Some hold the negative point of view on the efficacy of the invasive maneuver such as epidural injection because there is no controlled clinical trial (RCT) yielding better long term outcome of those invasive managements over conservative ones. But the experts of interventional or surgical treatment stress the methodological difficulty in performing RCT and assert that those invasive treatments can bring the prompt and complete resolution of low back pain and restoration of function in appropriately selected cases. These seemingly opposite views on the invasive management on CLBP are rather complimentary each other than to be contradictory.

Paresthesia diagnosed using cone-beam computed tomography: a case report

  • Kumar, Umesh;Kaur, Charan Kamal;Vashisht, Ruchi;Rattan, Vidya
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.2
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    • pp.95-99
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    • 2020
  • Various dental procedures, such as injection administration, surgical treatment, and endodontic treatment, can cause injury to the nerves. The most commonly injured nerves are the inferior alveolar and lingual nerves. This can manifest as altered sensation to the area of innervation of the injured nerve, such as the lower lip, chin, teeth, tongue, and mucosa. Altered sensations or loss of sensation are relatively infrequent complications in daily dental practice. Here, we report an uncommon case of altered sensation in the midfacial region caused by an endodontic procedure and discuss the need to consider local dental causes in the differential diagnosis of numbness in the facial region.

Dental application of Polyaryletherketone for fixed dental prostheses (자연치와 임플란트 고정성보철에서 PAEK소재의 적용)

  • Lee, Du-Hyeong
    • The Journal of the Korean dental association
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    • v.56 no.3
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    • pp.152-158
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    • 2018
  • Polyaryletherketone (PAEK) is recently introduced in dentistry. The polymer has superior mechanical and chemical properties compared to previous dental materials. PAEK has been explored for lots of applications for clinical dentistry. The prostheses can be made by the injection molding or milling techniques. Recent studies focus on improving the bioactivity of PAEK and expanding the application. The purpose of this article is to introduce the basic features, chemical structure and various clinical applications in fixed dental prostheses. Further research and clinical trials will be needed to confirm the usability of PAEK in the routine practice.

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Local anesthesia for mandibular third molar extraction

  • Kim, Chang;Hwang, Kyung-Gyun;Park, Chang-Joo
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.5
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    • pp.287-294
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    • 2018
  • Mandibular third molar extraction is commonly performed in dental clinics. However, the optimal method of anesthesia has not been established for this procedure. The conventional inferior alveolar nerve block is the most widely used method. However, its success rate is not high and it may lead to complications, such as aspiration and nerve injury. Therefore, various anesthesia methods are being investigated. Articaine has been proven to be efficacious in a number of studies and is being used with increasing frequency in clinical practice. In this review article, we will briefly review various local anesthesia techniques, anesthetics, and a computer-controlled local anesthetic delivery (CCLAD) system, which reduces pain by controlling the speed of drug injection, for mandibular third molar extraction.

Analgesic and Antipyretic Effects of Acupucture in Ruminant (반추동물에 있어서 침술의 진통 및 해열효과)

  • Nam Tchi-Chou;Kweon Oh-Kyeong;Seo Kang-Moon
    • Journal of Veterinary Clinics
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    • v.11 no.1
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    • pp.393-399
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    • 1994
  • This study was carried out to investigate the analgesic and antipyretic effects of acupuncture in goat suffered from pain and fever induced experimentally : electroacupuncture and laser acupuncture for the relief of pain and traditional needing for the of fever. Pain was induced by intraperitoneal injection of 0.7% acetic acid solution and it's extent was estimated with the number of writhing syndrom as indicator of pain. When lipopolysaccharide was given into the vein in goat, fever with biphasic type was produced. In the goats with pain the superior analgesic effects of electroacupuncture to aminopyrine and sulpyrine were found, but the effects of laser acupuncture were not satisfactory. The high body temperature of goats was gradually decreased with the lapse of time following traditional needling(venesection by needle) and showed a tendency to return to normal body temperature. Serum GOT, GPT:, BUN, creatinine values and acetylcholinesterase activity following electroacupuncture were not altered. It is considered that electroacupuncture combined with medicament can sucure exellent analgesic and antipyretic effects in animal practice.

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Computerized intraligamental anesthesia in children: A review of clinical considerations

  • Baghlaf, Khlood;Elashiry, Eman;Alamoudi, Najlaa
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.4
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    • pp.197-204
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    • 2018
  • Pain control by means of local anesthesia is an intrinsic part of clinical practice in dentistry. Several studies evaluated intraligamental anesthesia using a computer-controlled anesthetic device in children. There is a need to provide a clinical guide for the use of computerized intraligamental anesthesia in children. Intraligamental anesthesia using a computer-controlled anesthetic device was found to cause significantly lower pain perception scores and lower pain-related behavior than traditional techniques. This device proven to be effective in restorative and pulp treatment in children; however, its effectiveness in primary teeth extraction is controversial. It is important to withdraw recommendations necessity of future studies concerning the side effects of computerized intraligamental anesthesia in children. The present study aims to review different clinical aspects of computerized intraligamental anesthesia in children along with the side-effects, type of local anesthesia and postoperative pain of this technique. This study provides dentists with a clinical guide for the use of computerized intraligamental anesthesia.

Adjuvant medications to local anesthetics in nerve blockade (신경차단 시 국소마취제와 함께 사용되는 보조 약물들)

  • Lee, Deok Hee
    • Journal of Yeungnam Medical Science
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    • v.34 no.2
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    • pp.161-168
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    • 2017
  • Peripheral nerve blocks are commonly used for surgical anesthesia, postoperative analgesia, and to reduce opioid requirements. Although these blocks have traditionally been carried out using local anesthetics, single-injection techniques can be short-lived and limited by the relatively brief duration of action of currently available local anesthetics. Increasing the dose or concentration of local anesthetics may prolong the duration of analgesia, but may also increase the risk such as unwanted motor weakness or systemic toxicity of local anesthetics. Numerous adjuvant medications have been added to local anesthetics to prolong the durations of anesthesia and analgesia achieved by peripheral nerve blocks, and currently, a number of different adjuvants are used to improve quality of the block. This article will review the several nerve block adjuvants used in combination with local anesthetics to provide blockade of peripheral nerves in clinical practice, describing the rationale for their use in peripheral nerve blocks, and the evidence for their effectiveness.

Imaging Spectrum of Augmented Breast and Post-Mastectomy Reconstructed Breast with Common Complications: A Pictorial Essay

  • Renuka Nair Kunju Krisnan;Niketa Chotai
    • Korean Journal of Radiology
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    • v.22 no.7
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    • pp.1005-1020
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    • 2021
  • Breast augmentation is becoming more common, be it for cosmetic reasons or post-mastectomy. Multiple articles in the literature describe the imaging findings of various types of cosmetic breast augmentation. Some articles describe imaging findings for different types of post-mastectomy reconstructions. This essay aims to serve as a comprehensive reference for the multimodality imaging of various types of breast augmentations in native breast and post-mastectomy reconstructions. Familiarity with these findings will facilitate the detection of complications and new or recurrent breast malignancies in patients. With the extensive illustrations provided in this essay on normal and abnormal imaging findings of augmented breasts, readers will receive exposure that will facilitate effective practice.

A Study of RF Watermark Backward Compatibility under Various Channel Environments (다양한 채널환경 하에서의 RF 워터마크 역호환성 연구)

  • Kim, Jeong-Chang;Park, Sung-Ik;Choi, Dae-Won;Lim, Hyoung-Soo;Kim, Heung-Mook
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.47 no.8
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    • pp.99-107
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    • 2010
  • In a single frequency network (SFN) for Advanced Television Systems Committee (ATSC) terrestrial digital television (DTV) system, the interferences induced by the multiple transmitters and/or repeaters using the same frequency are inevitable. Since the presence of interferences results in performance degradation of the SFN, it is crucial to manipulate the interferences by adjusting the transmit power and timing of each transmitter and repeater. In the ATSC terrestrial DTV system, in order to facilitate the interference manipulation process, a transmitter identification (TxID) signal which is uniquely embedded in the signal to be transmitted from each transmitter and repeater is recommended. Even though the injection level of the TxID signal is much lower than the DTV signal, the TxID signal injection infects the DTV signal. Hence, the effect of the TxID signal on the DTV signal must be investigated before deployment. In this paper, the effect of the TxID signal on the performance of legacy DTV receivers under additive white Gaussian noise and multipath channel environments is investigated not only with computer simulation but also with laboratory and field tests. The test results show that the average threshold of visibility degradation of the legacy DTV receivers due to the TxID signal injection is less than 0.2 dB at the TxID injection level of -30 dB.

A Study on Single Dose Toxicity of Intravenous Injection of Mecasin Herbal Acupuncture

  • Lee, Seong Jin;Jeong, Ho Hyun;Lee, Jong Chul;Cha, Eun Hye;Park, Man Yong;Song, Bong Gun;Son, Il Hong;Kim, Sung Chul
    • Journal of Acupuncture Research
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    • v.33 no.1
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    • pp.1-7
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    • 2016
  • Objectives : This study was conducted to analyze the single dose toxicity of Mecasin (Gami-Jakyak Gamcho buja Decoction) herbal acupuncture administered in the vein of Sprague-Dawley rats. Methods : All experiments were performed at the Medvill, an institution licensed to conduct nonclinical studies, under the Good Laboratory Practice (GLP) regulations. Sprague-Dawley rats were chosen in this pilot study. In the experiment, Sprague-Dawley rats were divided into four groups of five male and five female animals per group. Doses of Mecasin herbal acupuncture, at 0, 500, 1,000, and 2,000 mg/kg, were given to the experimental groups, and a dose of normal saline solution, at 2 ml/kg, was administered to the control group. Mecasin herb acupuncture and normal saline were injected into the vein at once, and we observed mortality, clinical signs, weights, and gross findings for 14 days after injection. This study was conducted under the approval of the Institutional Animal Ethics Committee. Results : There is no death or abnormality in any of the four groups. All groups put on weights favorably. There are no significant gross findings in necropsy examinations. Conclusions : The above results showed that intravenous injection of 500-2,000 mg/kg of Mecasin herb acupuncture did not cause any changes in weight or, in the results of necropsy examinations, in mortalities. Therefore, the toxicity of Mecasin herb acupuncture was not confirmed, and the presumptive lethal dose of Mecasin herb acupuncture was higher than 2,000 mg/kg. The outcomes suggest that treatment with Mecasin herbal acupuncture is relatively safe. Further evaluations on this subject are needed to yield more concrete evidence.