• Title/Summary/Keyword: Needle Knife

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Hydrodynamic Evaluation for Developing the New Inflatable Kayak (신형 인플래터블 카약 개발을 위한 유체역학적 성능평가)

  • Hah, Chong-Ku;Kim, Ho;Lim, Lee-Young;Ki, Jae-Suk
    • Journal of Advanced Marine Engineering and Technology
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    • v.39 no.3
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    • pp.334-341
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    • 2015
  • This study is to evaluate hydrodynamic performance evaluation between three kinds of inflatable kayaks, that is, a frame kayak, a needle knife kayak, and a v-hull kayak. In order to test, inclining and turning trial test are performed in the Ocean Engineering Basin. Also, a resistance test is performed with a reduced scale kayak in the circulating water channel. Consequently, First, the moment arm of a v-hull kayak is the largest with 132.4mm, but turning radius of one was the smallest of them. Second, the resistance of a needle knife kayak is the smallest with 71N, the center of gravity of one was the lowest with 0.128m of them, and then needle knife kayak occurs in a draft overall. Consequently, the v-hull kayak has had the advantages on restoring force and turning performance than others. The needle knife kayak has been more excellent on resistance and center of gravity than others.

Efficacy and Safety of ClearCutTM Knife H-type in Endoscopic Submucosal Dissection for Gastric Neoplasms: A Multicenter, Randomized Trial

  • Eun Jeong Gong;Hyun Lim;Sang Jin Lee;Do Hoon Kim
    • Journal of Gastric Cancer
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    • v.23 no.3
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    • pp.451-461
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    • 2023
  • Purpose: Endoscopic submucosal dissection (ESD) is an effective treatment for early gastrointestinal neoplasms. However, this is a time-consuming procedure requiring various devices. This study aimed to evaluate the efficacy and safety of the ClearCutTM Knife H-type, which is an integrated needle-tipped and insulated-tipped (IT) knife. Materials and Methods: Between July 2020 and September 2021, 99 patients with gastric epithelial neoplasms scheduled for ESD at three tertiary care hospitals were randomly assigned to H-knife (ClearCutTM Knife H-type) or IT-knife (conventional IT knife) groups. Procedure times, therapeutic outcomes, and adverse events were analyzed. Results: A total of 98 patients (50 in the H-knife group and 48 in the IT-knife group) were analyzed. The median total procedure time was 11.9 minutes (range, 4.4-47.2 minutes) in the H-knife group and 12.7 minutes (range, 5.2-137.7 minutes) in the IT-knife group (P=0.209). Unlike the IT-knife group, which required additional devices in all cases, no additional devices were used in the H-knife group (P<0.001). En-bloc resection was performed for all lesions in both groups. The incidence of adverse events was not significantly different between groups (4.0% in the H-knife group vs. 8.3% in the IT-knife group; P=0.431). Conclusions: The newly developed hybrid device, the ClearCutTM Knife H-type, had comparable efficacy to the conventional IT knife for gastric ESD.

A Proposal for Standardization of Acupotomy Terms and Definition Among Korean researchers (한국 내 도침술의 정의와 용어 표준화를 위한 제안)

  • Yoon, Sang-Hoon;Jeong, Sinyeong;Kwon, Chan-Young;Jo, Hee-Geun;Kim, Young-Il
    • The Journal of Korean Medicine
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    • v.39 no.2
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    • pp.13-28
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    • 2018
  • Objectives: The aim of this study was to investigate the use of Korean and English terminology of acupotomy therapy among Korean Researchers. Methods: The search was conducted on eight medical journals (PubMed, EMBASE, Cochrane Library, OASIS, KISS, IMR, NDSL, RISS), Google Scholar and 8 Korean medine journals. The definitions of acupotomy therapy, Korean and English terminology were analyzed in the studies that met the criteria. Results: A total of 60 studies were finally included in the analysis. In Korean terminology, Chim-Do was the most used with 37 studies, Do-Chim with 23 (including duplicates). In English termology, 46 studies were used acupotomy and 10 studies were used miniscalpel acupuncture. Conclusions: As a result of analyzing the terminology use of acupotomy therapy studies in Korea, it was confirmed that Korean and English terminology are different according to the study. It will be necessary to discuss the standardization of terminology.

A Case of Embryonal Rhabdomyosarcoma at Left Parotid Gland in 8-Month-Old Infant (8개월 영아의 좌측 이하선 부위에서 발생한 배아형 횡문근육종 1예)

  • Cho, Minhyuk;Kim, Yeon Soo;Shin, YooSeob;Kim, Chul-Ho
    • Korean Journal of Head & Neck Oncology
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    • v.30 no.2
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    • pp.119-122
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    • 2014
  • Rhabdomyosarcoma is the most common sarcoma in children less than 15 years of age. Two major histological subtypes are embryonal and alveolar. Embryonal rhabdomyosarcoma is diagnosed by immunopathology and treatments require coordinated management plans that include surgery, chemotherapy, and usually radiotherapy. 8-month-old male infant visited with swelling in left parotid area. Computed tomography scan showed a heterogeneous mass in the left parotid area and the result of fine-needle aspiration cytology was suspicious malignancy. Left total parotidectomy was performed and CSF leakage was noted and repaired. Confirmed by positive reactions to desmin and myogenin, the diagnosis was embryonal rhabdomyosarcoma. On postoperative brain MRI, extension along the meninges was noted and for treatment, chemotherapy and gamma knife radiosurgery were done. Five years after initial surgical resection(3 years and 10 months after completion of chemotherapy and gamma knife radiosurgery), the child did not show any evidence of local recurrence or distant metastasis.

The Consideration and Historical Research of Joseon Ladies' Attire in the 15th Century by Analyzing Excavated Costumes and Presents for Lady Han, Gongsin-buin (공신부인(恭愼夫人) 한씨(韓氏)에게 전달된 물품 및 출토복식 분석을 통한 15세기 조선 사대부 가 여성복식 고찰과 착장고증)

  • Choi, Jeong
    • Journal of the Korean Society of Costume
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    • v.66 no.7
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    • pp.171-191
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    • 2016
  • Lady Han, Gongshin-buin(恭愼夫人韓氏: 1410~1483) was Gongnyeo of Ming emperor and sister of Han Hwak(韓確:1400~1456). The aim of this study is to analyze the characteristic of costume presents for Lady Han, and to investigate a part of Joseon women's attire in the 15th century. Most of the presents for Lady Han were native products of Joseon to help alleviate her homsickness, but surviving relics are very rare. The costume-related presents included daily accessories and fabrics such as natural ornaments, embroidered pouch, needle case, wig, wooden comb, portable knife with multi-blades, various colored plain silk [綿紬] and ramie. Also, preceding research analysis of costume relic were combined with study of presents for Lady Han's. The most salient costume of Joseon women in the 15th century was the symmetric collared jacket. In addition, ornamented jeogori, pouch with pine nut stitch, chima, jangot, jangsam, black veil[羅兀] made with ra or jeung, glass beads, paintings of Ming and Joseon can be references. Illustrations show 6 representative type of Joseon women's full attires in the 15th century are as follows. First, is a combination of 'symmetric collared jacket with peacock rank badge, jeoksam, chima, underwear' and 'hoa-a, janga-a, embroidered pouch, needle case, knife with multi-blades: presents for Lady Han'. Second, formal wear focusing on symmetric collared Jacket of cloud pattern. Third, formal wear focusing on multicolor ornamented jeogori. Fourth, town wear with jangot and neoul. Fifth, formal wear with jangsam. Sixth, daily wear focusing on banbi with symmetric squre collar. Accessories and underwear shown in another illustration were same as the first illustration. Results of this study can be used as content for making historically accutate costumes as well as costume education.

Evaluation of Real-time Measurement Liver Tumor's Movement and $Synchrony^{TM}$ System's Accuracy of Radiosurgery using a Robot CyberKnife (로봇사이버나이프를 이용한 간 종양의 실시간 움직임 측정과 방사선수술 시 호흡추적장치의 정확성 평가)

  • Kim, Gha-Jung;Shim, Su-Jung;Kim, Jeong-Ho;Min, Chul-Kee;Chung, Weon-Kuu
    • Radiation Oncology Journal
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    • v.26 no.4
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    • pp.263-270
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    • 2008
  • Purpose: This study aimed to quantitatively measure the movement of tumors in real-time and evaluate the treatment accuracy, during the treatment of a liver tumor patient, who underwent radiosurgery with a Synchrony Respiratory motion tracking system of a robot CyberKnife. Materials and Methods: The study subjects included 24 liver tumor patients who underwent CyberKnife treatment, which included 64 times of treatment with the Synchrony Respiratory motion tracking system ($Synchrony^{TM}$). The treatment involved inserting 4 to 6 acupuncture needles into the vicinity of the liver tumor in all the patients using ultrasonography as a guide. A treatment plan was set up using the CT images for treatment planning uses. The position of the acupuncture needle was identified for every treatment time by Digitally Reconstructed Radiography (DRR) prepared at the time of treatment planning and X-ray images photographed in real-time. Subsequent results were stored through a Motion Tracking System (MTS) using the Mtsmain.log treatment file. In this way, movement of the tumor was measured. Besides, the accuracy of radiosurgery using CyberKnife was evaluated by the correlation errors between the real-time positions of the acupuncture needles and the predicted coordinates. Results: The maximum and the average translational movement of the liver tumor were measured 23.5 mm and $13.9{\pm}5.5\;mm$, respectively from the superior to the inferior direction, 3.9 mm and $1.9{\pm}0.9mm$, respectively from left to right, and 8.3 mm and $4.9{\pm}1.9\;mm$, respectively from the anterior to the posterior direction. The maximum and the average rotational movement of the liver tumor were measured to be $3.3^{\circ}$ and $2.6{\pm}1.3^{\circ}$, respectively for X (Left-Right) axis rotation, $4.8^{\circ}$ and $2.3{\pm}1.0^{\circ}$, respectively for Y (Crania-Caudal) axis rotation, $3.9^{\circ}$ and $2.8{\pm}1.1^{\circ}$, respectively for Z (Anterior-Posterior) axis rotation. In addition, the average correlation error, which represents the treatment's accuracy was $1.1{\pm}0.7\;mm$. Conclusion: In this study real-time movement of a liver tumor during the radiosurgery could be verified quantitatively and the accuracy of the radiosurgery with the Synchrony Respiratory motion tracking system of robot could be evaluated. On this basis, the decision of treatment volume in radiosurgery or conventional radiotherapy and useful information on the movement of liver tumor are supposed to be provided.

Evaluation on the Usefulness of Lung Tumor Stereotactic Radiosurgery Applying the CyberKnife $Synchrony^{TM}$ Respiratory Tracking System (사이버나이프 $Synchrony^{TM}$ 호흡 추적 장치를 이용한 폐종양 방사선수술의 유용성 평가)

  • Kim, Gha-Jung;Bae, Seok-Hwan;Choi, Jun-Gu;Chae, Hong-In
    • Journal of radiological science and technology
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    • v.33 no.4
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    • pp.379-386
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    • 2010
  • This study evaluated the motion of tumors during the entire period of therapy and the accuracy of radiosurgery among forty eight lung tumor patients who were underwent radiosurgery using the CyberKnife Synchrony Respiratory Tracking System. The motion of lung tumor was measured by the coordinates of a gold acupuncture needle inserted into the tumor or the area around the tumor using the CyberKnife image guided system. Then the accuracy of radiosurgery was evaluated based on the error of correlation computed with the motion tracking system. The lung tumor motion is Cranio-Caudal direction by an average of $2.63{\pm}1.87\;mm$, moved left-right direction by $1.13{\pm}0.71\;mm$, and anterior-posterior direction by $1.74{\pm}1.16\;mm$. The degree of rotational movement was $1.66{\pm}1.66^{\circ}$ on X axis, $1.20{\pm}0.97^{\circ}$ on Y axis, and $1.18{\pm}0.73^{\circ}$ on Z axis. The vector of translation movement was measured to be $3.78{\pm}2.00\;mm$ on the average. The results show that directions of Cranio-Caudal(p < 0.001), anterior-posterior direction(p < 0.029), and three dimensional vector value(p < 0.002) showed statistical significance, because the lower side of tumor showed more intensive movement compared to the upper side of tumor. The radiosurgery was carried out by compensating the motion of tumor after accurate investigation of the correlation error with the average of $0.95{\pm}0.62\;mm$ during the lung tumor radiosurgery with the CyberKnife Synchrony Respiratory Tracking System.

The Study of Acupuncture Treatment of Lateral Epicondylitis. -Based on PubMed (외측상과염의 침 치료에 관한 최신 연구 동향 -PubMed를 중심으로)

  • Kim, Young-Geul;Yu, Sun-Ae;Cho, Sung-Woo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.12 no.1
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    • pp.83-96
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    • 2017
  • Objectives : The purpose of this study is to investigate the trends of acupuncture treatment on lateral epicondylitis. Methods : We investigated the recent clinical studies of acupuncture treatment for lateral epicondylitis via searching PubMed from 2007.1.1. to 2016.1.1. This study examined published years, the authors, journals, countries, types of study and classified articles by techniques of acupuncture. Results : 20 theses out of 38 were included, excluding papers duplicated or whose texts are not identified or not satisfying both acupuncture and lateral epicondylitis simultaneously. The theses were constantly published every year. Analyzed by journal, the most published journal was Zhongguo Zhen Jiu. The studies of China had the greatest number of the searched theses. The types of study were reviews, case series, and study protocol. The acupuncture technique used were Hwachim(burning acupuncture therapy), sweet bee venom pharmacopuncture, percutaneous needle electrolysis, electroacupuncture, small needle-knife, combination with local points and Tianzong(SI11), and anti-ashi-point. Conclusions : In order to develop acupuncture treatment of lateral epicondylitis, clinical studies on high level with objective evaluation scale are needed.

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Iontophoresis of Insulin Through Rabbit Skin (이온토포레시스에 의한 가토 피부를 통한 인슐린 전달)

  • Shin, Byung-Chul;Oh, Seung-Youl;Lee, Hai-Bang;Park, Young-Do;Lee, Kyung-Hun
    • Journal of Pharmaceutical Investigation
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    • v.26 no.4
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    • pp.315-321
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    • 1996
  • It has been indicated that problems associated with insulin iontophoresis are low bioavailability, slow absorption rate and the use of high dosage. Pretreatment of skin as a method of solving these problems was used in alloxan-induced diabetic white rabbits. Skins were treated with skin needle, electric razor, knife razor and scotch tape. Transport data shows that insulin delivery was enhanced significantly by the treatment which disrupt the barrier properties of stratum corneum. The data also shows that insulin absorption lasted for several hours after the cessation of iontophoresis. The degree of skin treatment was estimated by measuring the electrical resistance of skin. When the skins were treated with skin needle and electric razor, the standard deviations of resistance were small, which suggests the possibility of uniform delivery of insulin. The dermal responses after the invasive delivery were evaluated in accordance with OECD Guideline. It seems that electrical resistance of the skin correlate well with the dermal irritation.

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Transgastric Endoscopic Cholecystectomy in a Dog : Natural Orifice Transluminal Endoscopic Surgery (개에서 내시경을 이용한 경위장관 담낭절제술 1예 : 자연개구부 내시경수술)

  • Jeong, Seong-Mok;Kim, Young-Ill;Lee, Jae-Yeon;Jee, Hyun-Chul;Park, Ji-Young;Park, Jong-Heon;Kim, Ji-Yeon;Lee, Sang-Il;Kim, Myung-Cheol;Shin, Sang-Tae;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.24 no.3
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    • pp.315-319
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    • 2007
  • Transgastric endoscopic cholecystectomy was successfully accomplished in a 1-year-old, 15 kg, female, mongrel dog. Single-working channel flexible gastric endoscope was used with the aid of one abdominal laparoscopic port. Gastrotomy was performed using endoscopic needle knife at the ventral antral region. Through the gastric incision endoscope was advanced and retroflexed for the visualization of gallbladder. For the better exposure of surgical field, gentle traction was applied at the fundus of the gallbladder using laparoscopic grasping forceps. Cystic duct and artery was ligated using endoclips. After transecting the duct and artery, gallbladder was dissected using endoscopic coagulating grasping forceps and needle knife. Resected gallbladder was retrieved through the mouth and gastric incision site was sutured using endoclips. There was no evidence of bile leakage or stomach leakage on postoperative day (POD) 3. On POD 16, gastric endoscopy and laparoscopy was performed. Gastric endoscopy revealed complete adhesion of incision site. The content of the peritoneum appeared healthy, with no sign of infection, bile staining, or organ injury. The omentum was adhered over resected gallbladder fossa and the serosal surface of gastrotomy site. This is the first report of NOTES cholecystectomy in the dog and provides new concept of cholecystectomy of the dog.