• The Korean Journal of Pain
• /
• 제34권2호
• /
• pp.217-228
• /
• 2021

Background: The purpose of this study was to assess the effectiveness of transcutaneous electrical nerve stimulation (TENS) in chronic low back pain and neuropathic pain. Methods: Seventy-four patients aged 18-65 with chronic low back pain were included in the study. Baseline measurements were performed, and patients were randomized into three groups. The first group received burst TENS (bTENS), the second group conventional TENS (cTENS), and the third group placebo TENS (pTENS), all over 15 sessions. Patients' visual analogue scale (VAS) scores were evaluated before treatment (preT), immediately after treatment (postT), and in the third month after treatment (postT3). Douleur Neuropathique 4 Questions (DN4), the Modified Oswestry Low Back Pain Disability Questionnaire (MOS), the Beck Depression Inventory (BDI), and sympathetic skin response (SSR) values were also evaluated preT and postT3. Results: A statistically significant improvement was observed in mean VAS scores postT compared to preT in all three groups. Intergroup comparison revealed a significant difference between preT and postT values, that difference being assessed in favor of bTENS at multiple comparison analysis. Although significant improvement was determined in neuropathic pain DN4 scores measured at postT3 compared to preT in all groups, there was no significant difference between the groups. No statistically significant difference was also observed between the groups in terms of MOS, BDI, or SSR values at postT3 (P > 0.05). Conclusions: bTENS therapy in patients with low back pain is an effective and safe method that can be employed in short-term pain control.

• 대한치과보철학회지
• /
• 제52권2호
• /
• pp.113-120
• /
• 2014

연구 목적: 본 연구는 근관치료된 치아에 레진 시멘트로 fiber reinforced composite post (FRC) post의 접착시 포스트의 다양한 표면처리를 비교하여, 새롭게 제안되고 있는 다용도 프라이머의 효용성에 대해 평가하고자 하였다. 연구 재료 및 방법: 근관치료된 소구치 중 치근길이 1.8 cm 이상 되는 치아만을 총 24개 선택하였다. 표면 처리하지 않은 대조군과 표면처리를 시행한 FRC posts (DT Light Post, Size3, Bisco Inc., Schaumburg, IL, US)를 다음과 같이 6개의 그룹으로 무작위 분류하였다: Group A: airborne-particle abrasion (Cojet sand, 3M ESPE), Group S: silanization (Bis-silane, Bisco Inc.), Group M: universal primer (Monobond-plus primer, Ivoclar Vivadent Inc.), Group AS: silanization after airborne-particle abrasion, Group AM: universal primer treatment after airborne-particle abrasion. 하였다. CEJ에서 1.5 cm 근관성형 후 레진 시멘트를 이용하여 표면처리된 총 24개의 FRC post를 접착하고 광중합하였다. 생리식염수에 24시간 보관한 후 포스트 장축에 수직으로 1 mm 두께로 절단하여 만능시험기로 push-out test를 시행하였다. 포스트가 탈락되는 접착 실패 강도를 측정하고 SEM을 관찰하여 접착 실패 양상을 분류하고, 접착 강도를 Kruskal-Wallis test와 Tukey HSD value of rank test를 이용하여 통계 분석하였다(${\alpha}=0.05$). 결과: Airborne-particle abrasion후 실란 처리한 실험군에서 유의할만하게 높은 접착 강도를 보였다. 실란 처리, airborne-particle abrasion후 다용도 프라이머를 처리한 실험군의 순서로 접착 강도가 높게 나타났다. FRC post의 표면에 특정 전처리를 하지 않은 대조군에서 가장 낮은 결합 강도를 보이고, 이어서 다용도 프라이머, airborne-particle abrasion 순으로 낮은 평균 접착 강도를 보였다. 결론: FRC post의 접착 전 표면 처리 과정으로서 실란 처리를 거친 실험군에서 높은 결합 강도를 보였으며, 다용도 프라이머를 이용한 표면 처리는 실란과 비교하여 유의성 있는 접착 강도의 변화를 보이지 않았다.

• 한국지하수토양환경학회:학술대회논문집
• /
• 한국지하수토양환경학회 2002년도 총회 및 춘계학술발표회
• /
• pp.275-278
• /
• 2002

In this study, to increase removal efficiency of traditional electrokinetic treatment and to reduce contaminant load of wastewater that discharged through cathode compartment, enhanced electrode compartments were investigated. Hydroxide precipitation near the cathode electrode that encounter during traditional electrokinetic treatment were prevented by enhanced electrokinetic remediation test with newly invented electrode compartment. And heavy metal concentration in wastewater showed 0 ppm thus, additive post-treatment cost were not needed.

• 한국전문물리치료학회지
• /
• 제10권2호
• /
• pp.85-98
• /
• 2003

The purpose of this study was to investigate the changes of the activities of daily living (ADL) by the motor learning program for upper extremity in stroke patients. The subjects were sixty-two members who were treated at the department of occupational therapy. The ADL were measured with Functional Independence Measure (FIM). The result's were as fol1ows; 1. The ability to perform daily activities after treatment was significantly increased independent of age, gender, cause, affected side and speech disability (p<.01). The differences between the pre-treatment and the post-treatment was no significant correlation to sex, cause, affected side and duration of treatment, but the speech disability was significant. Therefore the pre-treatment scores and post-treatment scores were significantly different. 2. The variation of the pre-treatment and the post-treatment in the detail item to the performance of daily life of the stroke patients through the upper extremity motor learning program was significantly increased in self-care, sphincter control, locomotion, mobility, communication and social cognition (p<.01) Consequently, The motor learning program for upper extremity significantly improved the performance level of all ADL areas in stroke patients.

• 대한물리치료과학회지
• /
• 제13권2호
• /
• pp.17-26
• /
• 2006

The purpose of this study was to evaluate effect of balance control therapy on low back pain patient's pain and flexibility. The subjects were consisted of 45 patients (15 males, 30 females) who had limited flexion range of motion of full spine with low back pain. All patients were one time treated the balance control therapy. Visual Analogue Scale(VAS) and Finger-to-Floor test(F-T-FT) were measured at pre-treatment, post-treatment and next day. VAS was used to measure subjective pain level. F-T-FT was used to measure forward flexion range of motion of full spine of low back pain patients. The results of this study were summarized as follow: 1. The VAS was significantly reduced between pre-treatment, post-treatment and next day (p<0.001). 2. The F-T-FT was significantly reduced between pre-treatment, post-treatment and next day (p<0.001). 3. The changes of pain decrease were related with pain duration(p<0.05), satisfaction for previous treatment(p<0.001). 4. The changes of flexibility increase were related with satisfaction for previous treatment(p<0.05).

• 음성과학
• /
• 제15권2호
• /
• pp.131-141
• /
• 2008

The purpose of this study was to find out the acoustic variation on the pre-and post respiration and oral motor for children with cerebral palsy. Five children with spastic CP at the age of 6 in average were practiced by a caregiver at home each for 25 minutes, in total, 45 times. The sustained of vowel /a/ and vowels /a/, /i/, /u/, /e/, /o/ were recorded on CSL and MDVP and analyzed by acoustic parameters. As a result, the maximum phonation time(MPT) was increased from 2.06 to 6.31 and the formant of vowels(F1, F2, F3) had significant differences in F1(/a, i/), F2(/i.u.o/), and F3(/a/) between the controls and the children with CP in pre-treatment. The total average value of vowels had significant differences between the pre-and post-treatment (p< .05). The energy of vowels had significant differences in the vowels /i, u, e, o/ and the total average value between the pre-and post-treatment(p< .001). The jitter percent, shimmer percent, and noise to harmonic ratio had significant differences between the pre-and post-treatment(p< .05). As the respiration and the oral motor improved MPT, voice quality, and articulation of vowel, and the variation of the formant(F1, F2, F3) showed the changes in the shape of lips, the place and the height of the tongue, the various development of therapy programs and the consistent intervention of treatment is needed for the children with cerebral palsy.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제46권3호
• /
• pp.174-182
• /
• 2020

Objectives: Joint injuries frequently lead to progressive joint degeneration that causes articular disc derangement, joint inflammation, and osteoarthritis. Such arthropathies that arise after trauma are defined as post-traumatic arthritis (PTA). Although PTA is well recognized in knee and elbow joints, PTA in the temporomandibular joint (TMJ) has not been clearly defined. Interestingly, patients experiencing head and neck trauma without direct jaw fracture have displayed TMJ disease symptoms; however, definitive diagnosis and treatment options are not available. This study will analyze clinical aspects of PTA in TMJ and their treatment outcomes after joint arthrocentesis and lavage. Materials and Methods: Twenty patients with history of trauma to the head and neck especially without jaw fracture were retrospectively studied. Those patients developed TMJ disease symptoms and were diagnosed by computed tomography or magnetic resonance imaging. To decrease TMJ discomfort, arthrocentesis and lavage with or without conservative therapy were applied, and efficacy was evaluated by amount of mouth opening and pain scale. Statistical differences between pre- and post-treatment values were evaluated by Wilcoxon signed-rank test. Results: Patient age varied widely between 20 and 80 years, and causes of trauma were diverse. Duration of disease onset was measured as 508 post-trauma days, and 85% of the patients sought clinic visit within 2 years after trauma. In addition, 85% of the patients showed TMJ disc derangement without reduction, and osteoarthritis was accompanied at the traumatized side or at both sides in 40% of the patients. After arthrocentesis or lavage, maximal mouth opening was significantly increased (28-44 mm on average, P<0.001) and pain scale was dramatically decreased (7.8-3.5 of 10, P<0.001); however, concomitant conservative therapy showed no difference in treatment outcome. Conclusion: The results of this study clarify the disease identity of PTA in TMJ and suggest early diagnosis and treatment options to manage PTA in TMJ.

• Corrosion Science and Technology
• /
• 제9권6호
• /
• pp.310-316
• /
• 2010

Recently a fuel oil of the diesel engine of the marine ship is being changed with heavy oil of low quality as the oil price is higher more and more. Therefore the wear and corrosion in all parts of the engine such as cylinder liner, piston crown, spindle and seat ring of exhaust valves are predominantly increased. In particular the degree of wear and corrosion of piston crown is more seriously compared to the other parts of the engine due to operating in severe environment such as the high temperature of exhaust gas and repeating impact. Thus the repair weldment of the piston crown is a unique method to prolong the its life in a economical point of view. In this case, filler metals having a high corrosion and wear resistance such as stellite 6, Inconel 625 and Inconel 718 are mainly being used for repair welding. However it has been often happened that piston crown on the ship,s job site is being actually inevitably welded with mild filler metals. Therefore in this study, filler metals such as E4301, E4313 and E4316 were welded at SS401 steel as the base metal, and corrosion property of their weld metals in the case of post weld heat treatment or not was investigated with some electrochemical methods such as measurement of corrosion potential, cathodic and anodic polarization curves, cyclic voltammogram and polarization resistance etc. in 0.1% $H_2SO_4$ solution. Corrosion resistance of the weld metal of E4301 was better than the other weld metals in the case of no heat treatment, however, its resistance was considerably decreased with post weld heat treatment(annealing:$625^{\circ}C$, 2 hr) compared to other weld metals. The weld metals of E4313 and E4316 showed a relatively good corrosion resistance by post weld heat treatment.

• 대한토목학회논문집
• /
• 제28권5A호
• /
• pp.665-672
• /
• 2008

본 연구에서는 교량이나 선박 등의 강구조물에서 널리 사용되고 있는 하중 전달형 십자형 필렛용접 시험편에 대해 피로시험을 실시하여, 용접 후처리 조건에 따른 피로강도를 분석하였다. 용접 후처리 방법으로는 Toe Grinding, TIG Dressing 및 Weld Profiling을 적용하였으며, 피로시험은 일정진폭 반복하중 하에서 실시하였다. 피로시험 결과 하중 전달형 십자형 필렛용접 시험편은 용접 후처리를 실시한 경우와 실시하지 않은 경우 모두에서 BS 피로설계기준의 F등급을 만족하는 결과를 나타내었다. 또한 용접 후처리 방법에 따른 피로강도의 향상 효과는 Toe Grinding, TIG Dressing, Weld Profiling 순서로 증가하는 것을 알 수 있었다.

• 생물정신의학
• /
• 제2권2호
• /
• pp.193-204
• /
• 1995

Traumatic brain injury(TBI) used to be developed after a severe traumatic event. Therefore TBI usually induces acute or chronic stress reaction. I reviewed the concept, epidemiology, biological or psychosocial etiology, diagnosis and treatment of post-traumatic stress disorder (PTSD), and discussed about PTSD or stress reaction after TBI. Early evaluation and management of stress reaction after TBI are important.