• Title/Summary/Keyword: Needle

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Validity of Frozen Biopsy during Thyroidectomy (갑상전 절제술시 동결절편조직검사의 유용성에 대한 평가)

  • Kim Seong-Yeal;Kim Jung-Gu;Choi Young-Sik
    • Korean Journal of Head & Neck Oncology
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    • v.14 no.1
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    • pp.81-87
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    • 1998
  • Fine needle aspiration cytology was used widely to select thyroid nodules for surgery. The result could be highly reliable for most malignancies and for benign nodules. The purpose of this study was to determine the value of frozen biopsy by directly comparing the results of preoperative fine needle aspiration cytology to frozen biopsy examination. In our university hospital, 103 patients with thyroid nodule were operated during the years 1996 through 1997. A comparison of accuracy of the fine needle aspiration cytology with frozen biopsy was made for 85 patients who underwent both procedures. The 85 patients were separated into two groups. The group I included 65 patients, whose preoperative fine needle aspiration cytology results were reported as benign or malignant lesion definitely. The group II included 85 patients, the patients whose reported fine needle aspiration cytologic result was suspicious for malignancy were regarded .as malignant lesion and results for follicular neoplasm were regarded as benign lesion. The accuracy of both procedures was compared on two group also. The sensitivity, specificity, and accuracy of frozen biopsy were 76.7%, 93.5%, and 85.2% in group I and 75.6%, 95.5%, and 85.9% in group II, respectively, compared with 63.3%, 87.1%, and 75.4% in group I and 65.4%, 81.8%, and 72.9% in group II for fine needle aspiration cytology. On benign lesion, the accuracy was 95.5% in frozen biopsy and 68.2% in fine needle aspiration cytology, 75.6% in frozen biopsy and 53.7% in fine needle aspiration cytology on malignant lesion. We conclude that although fine needle aspiration cytology is the reliable diagnostic test in the evaluation of thyroid nodule, frozen biopsy should be performed intraoperatively, because fine needle aspiration cytology is insufficiently sensitive for reliable surgical planning.

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Litterfall and Nutrient Dynamics in Pine (Pinus rigida) and Larch (Larix leptolepis) Plantations

  • Kim, Choonsig;Koo, Kyo-Sang;Byun, Jae-Kyung
    • Journal of Korean Society of Forest Science
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    • v.94 no.5 s.162
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    • pp.302-306
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    • 2005
  • Litterfall and nutrient inputs were measured in even-aged coniferous plantations (a 31-year-old Pinus rigida and a 31-year-old Larix leptolepis) on a similar site condition in the Forest Practice Research Center, Gyeonggi Province. Litterfall was collected monthly from circular littertraps (collecting area: $0.50m^2$) for three years between April 1997 and February 2000. Average total annual litterfall was significantly higher for pine (5,802 kg/ha/yr) than for larch (4,562 kg/ha/yr) plantations. Needle litter in both plantations accounted for about 63% of total litterfall. Litterfall in the larch was distributed as follows: needle > other leaf > branch > miscellaneous > bark, while it was needle > miscellaneous > other leaf > branch > bark in the pine plantation. There was no temporal variation in needle litter, other leaf and bark during the 3 year study period. The concentrations of all nutrients (N, P, K, Ca, Mg) in needle litter were significantly higher in the larch than in the pine plantations. The annual nutrient concentration of needle litter in the larch varied among the years, whereas no year variation of needle litter was in the pine except for phosphorus (P). Nitrogen (N) and P inputs by needle litter were significantly higher for larch than for pine plantations established on a similar soil. The differences in N and P inputs were attributed to lower nutrient concentration in pine needle litter compared with larch needle litter, not to total needle litter mass. Annual inputs of nutrient in both plantations were not significantly different among years except for K of the larch although there was yearly different in needlefall mass and nutrient concentration during the 3-year observed period. The results indicate that the mechanisms of litterfall and nutrient inputs vary considerably between pine and larch plantations established on a similar site condition.

A Study on the Quantitative Characteristics of Needle Force on the Acupuncture Practical Model (침자 술기 실습 모델에서 침감의 정량적 특성에 관한 연구)

  • Lee, Yeon Sun;Kim, Seon Hye;Kim, Eun Jung;Lee, Seung Deok;Kim, Kyung Ho;Kim, Kap Sung;Jung, Chan Yung
    • Korean Journal of Acupuncture
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    • v.35 no.3
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    • pp.149-158
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    • 2018
  • Objectives : In this study, we quantitatively evaluated the needle forces using needle insertion-measurement system and compared the needle sensation of each acupuncture practical model. Methods : After inserting acupuncture with a sensor to six models, a lifting-thrusting motion was implemented using the needle insertion-measurement system. The needle force was measured repeatedly, and the measurement was analyzed based on the modified Karnopp friction model for a comparison of friction coefficients. After the insertion, practitioners did lifting-thrusting manipulations. They quantified the similarity of needle sensation with VAS (Visual Analogue Scale). Results : When friction force and coefficients of friction in five different models were compared with a porcine shank model, all five models were significantly different from a porcine shank model, cotton and apple showing the closest frictional values to that of a porcine shank model. In the Cp and Cn values of cotton and in the Cp values of IM injection pad, there was no statistically significant difference. The similarity of the needle sensation between the porcine shank and five models was the highest in the apple, and overlapping papers was the lowest. Conclusions : This study quantitatively compared the physical forces in the practical model when implementing lifting-thrusting manipulations, using a needle insertion-measurement system. We suggest that a reproducible exercise model that reflects the characteristics of various human tissues, such as viscoelasticity or strength, needs to be further developed. This will contribute to establishing standardized acupuncture practice training.

The Success Rate of Caudal Block Under Ultrasound Guidance and the Direction of the Needle in the Sacral Canal (초음파 영상의 유도를 이용한 미추경막외블록의 성공률과 천골관 내에서의 바늘의 방향)

  • Roh, Jang Ho;Kim, Won Oak;Yoon, Kyung Bong;Yoon, Duck Mi
    • The Korean Journal of Pain
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    • v.20 no.1
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    • pp.40-45
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    • 2007
  • Background: Caudal block is useful when anesthesia for surgery or treatment for chronic pain is needed, but this procedure has a failure rate of up to 25% even when it performed byan experienced physician. This high failure rate is usually due to improper needle placement. Methods: After gaining approval of the ethics committee, 46 patients received caudal blocks under ultrasound guidance; these were performed after the anatomical structures in the sacral hiatus had been measured with ultrasound. All these procedures were performed by the same anesthesiologist. The position and direction of the needle were identified using fluoroscopy by injecting a radio-opaque contrast through the needle. The time taken from thelidocaine injection to verification of the needle was measured and the planned nerve block was then carried out. Results: All cases of needle insertion into the sacral canal under ultrasound guidance were successful. The average duration of the procedure and the trial count were $134.1{\pm}10.1seconds$ and $1.2{\pm}0.1$, respectively. In 12 of the 46 cases (26%), the needle deviated either left or right in the sacral canal, so the direction of the needle had to be adjusted. The distance between two cornua, the depth of the sacral hiatus and the thickness and length of the sacrococcygeal ligament were $17.1{\pm}0.4$, $3.9{\pm}0.3$, $2.3{\pm}0.1$ and $24.9{\pm}0.9mm$, respectively. Conclusions: Ultrasound guidance can increase the success rate of inserting a needle into the sacral canal. However, even when ultrasound is used, the needle can deviate either left or right in the sacral canal.

Protective System from Medical Needle-sticks. Part I: Background and System Development

  • Turner, LaDawnya C.;Seyam, Abdelfattah M.;Banks-Lee, Pamela
    • Fibers and Polymers
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    • v.4 no.2
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    • pp.54-58
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    • 2003
  • Previous research on healthcare workers’ protection has concentrated on liquid barrier protection by providing impermeable personal articles such as latex gloves. This property is of high importance but since most blood-borne pathogen transmissions in the healthcare industry are caused by needle-stick injuries, protection from sharp invasive instruments should also be of high concern. And since latex and alike provide no protection against needle-stick injuries, new protective systems need to be developed and evaluated. This part of the study provides a review regarding the current practice of protection and the serious problems that arise from needle-flick injuries. Additionally, the development of new protective system is described. In part II of the study, evaluation of the new system will be provided.

The Effect of Needle-embedding Therapy on the Improvement Against Facial Wrinkles: A Case Series (매선치료의 안면주름 개선효과 10례)

  • Lee, Seung-Min;Lee, Chang-Woo;Jeon, Ju-Hyun;Kim, Young-Il
    • Journal of Acupuncture Research
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    • v.28 no.4
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    • pp.143-147
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    • 2011
  • Objectives : The purpose of this study was to examine the effect of needle-embedding therapy against facial wrinkle. Methods : Ten patients with facial wrinkles were treated with needle-embedding therapy. Pictures and satisfaction questionnaire were compared before and after the treatment. And all patients were examined for adverse side effect after needle-embedding therapy. Results : After treatment, facial wrinkles were visibly improved after needle-embedding therapy. There were no adverse side effect except bruise. Conclusions : This study suggests that needle-embedding therapy can improve facial wrinkles.

Study on the Subacute Toxicity of Complex of Pine Needle Oil and Korean Medicinal Herbs against Rats

  • Park, Kap Joo;Ahn, Ki Heung;Lee, Hyung Hoan
    • Korean Journal of Environmental Biology
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    • v.22 no.4
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    • pp.513-518
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    • 2004
  • Pine needle oil and Korean medicinal herbs (KMH) are known as effective therapeutic agents on various blood vessel disease. We have already reported the ameliorative effect of complex of pine needle oil and Korean medicinal herbs against hyperlipidemia. But safety and non - toxicity of pine needle oil and Korean medicinal herbs to normal animal cells have not been studied clearly. In this study, we investigated whether pine needle oil and Korean medicinal herbs show side effects on rat or not. These materials were administered to rats, and subacute toxicity was examined by measuring the hematological values, CBC differentiation, biochemical levels of blood (TP, total protein; albumin; ALP, alkaline phosphotase; AST, aspatate aminotrans- ferase; ALT, alanine aminotransferase; T-Chol., total cholesterol; T-Bil., total bilirubin) and urine analysis, suggesting that the sample have no side effects and cytotoxicity. These results indicate that the complex of pine needle oil and Korean medicinal herbs may effective non- toxic, safety therapeutic agents on hepatocytes and hyperlipidemia.

Pine Needle Oil and Korean Medicinal Herb Complex Protect Hyperlipidemia and Liver Cell Damage Induced by Alcohol

  • Park, Kap-Joo;Kim, Kang-Sung;Ahn, Ki-Heung;Rhee, Joon-Shick
    • Korean Journal of Environmental Biology
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    • v.21 no.4
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    • pp.410-414
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    • 2003
  • The effect of treatment with pine needle oil complex (complex of pine needle oil and Korean medicinal herbs) upon rat hepatocytes exposed to alcohol was investigated. We compared body weight gain and ratios of liver and kidney to body weight and the serum biochemistry of rats administered both alcohol and Pine needle oil complex to control rats treated with alcohol alone. Pine needle oil complex treatment resulted in a significant reduction in the levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT) and triglycerides (TG) compared to the control rats. These data suggest that Pine needle oil complex represents an excellent candidate for protection of rat hepatocytes from alcohol-mediated damage.

Dynamic Analysis of the Latch Needle Cam System (편직바늘.캠 시스템의 동역학해석)

  • Jeong, Gwang-Yeong;Kim, Yeong-Bae
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.26 no.9
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    • pp.1764-1771
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    • 2002
  • The latch needle cam system of circular knitting machines is analysed using multibody dynamics. A formulation is made to obtain the vertical stiffness between the needle and the cam. By implementing this formulation into the data of the multibody dynamics program, the motion of the needle is described and the forces and impulses between the needle and the cam are obtained.

The Development of a machining technology on the micro needle pattern with a quadrangular pyramid or cone shapes (사각뿔/원뿔 형상의 마이크로 니들 가공 기술 개발)

  • Choi, Kyu-Wan;Chang, Sung-Ho
    • Design & Manufacturing
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    • v.10 no.3
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    • pp.25-29
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    • 2016
  • Recently, a hyaluronic acid micro needle patch for therapeutic and cosmetic purposes has been used by attaching directly to the skin with a pattern having a micro needle shape of 1/3 thickness of hair. These products are attracting attention as an innovative product that maximizes the effect by activating the active ingredient in the skin in the deep skin without blocking the horny layer because the micro needle shape exists on the patch surface so that it can penetrate effectively to the skin. Currently, DAB (droplet air blowing) or MEMS technology is used to make pattern shapes for patches. Because of this technology, manufacturing time is long and manufacturing cost is high, so we tried to develop the mold technology to machine the microneedle shape directly to the metal. In this study, we first fabricated a needle pattern with a quadrangular pyramid shape and finally produced a conical needle pattern.