• Title/Summary/Keyword: Swelling pressure

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Comparison of Superficial and Deep Acupuncture in the Treatment of Ankle sprain : A Randomized Controlled Trial-Pilot study (무작위 대조 시험을 통한 족관절 염좌의 자침 중 심자와 천자의 비교 연구-준비 조사)

  • Park, Jun-sung;Kim, Woo-young;Baek, Seung-tae;Lee, Seung-deok;Kim, Kap-sung
    • Journal of Acupuncture Research
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    • v.21 no.5
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    • pp.137-147
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    • 2004
  • Objective : The aim of the study was to compare the therapeutic effect of the superficial and in-depth insertion of acupuncture needles in the treatment of patients with ankle sprain. Design : A prospective randomized single-blind study of superficial and deep acupuncture was conducted. Setting : The study was conducted in the Kang-nam Oriental Hosp. of Dong-Guk University. Patients: The study comprised 14 patients with ankle sprain who were divided into two groups (A and B). Intervention : In group A, the needle was introduced in the skin at a depth of 2 mm, whereas in group B the needle was placed deeply into muscular tissue or the articular capsule at a depth more than 1.5 Cm The treatment was planned for a duration of 1 week, 3 times. Outcome Measures : The intensity of pain was evaluated with the Ankle grade pain chart(AGPC) before and after treatment and at the 1-week follow-up examination. The AGPC includes Swelling, Tenderness, Exudation, Bruise, Medial/Lateral. stability test, Anterior drawer test, Squeeze test, Bearing weight, Pressure Algometer, Walking state and VAS. Results : Although at the end of the treatment there was no evidence of significant statistical differences between the two different groups, Pain reduction(VAS) was greater in the group treated with deep acupuncture. A statistical difference existed between the two groups at the 1 week follow up, with a better result in the deeply stimulated group in VAS. Conclusion : Clinical results show that deep stimulation has a better analgesic effect when compared with superficial stimulation in pain reduction(VAS, Visual analogic scale).

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An Experimental Study on the Improvement of Early Strength and Chloride Attack Resistance for Marine Concrete (해양용콘크리트의 초기강도 및 내염해 저항성 향상에 관한 실험적 연구)

  • Lee, Keon-Ho;Kim, Jong-Back;Bae, Jun-Young;Seo, Shin-Seok;Jo, Sung-Hyun;Roh, Hyeon-Seung
    • Proceedings of the Korea Concrete Institute Conference
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    • 2008.11a
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    • pp.661-664
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    • 2008
  • The structure which is located in special surroundings like ocean-environment is physically and chemically eroded by seawater or salt damage, and then concrete-structure becomes deteriorated by iron corrosion and swelling pressure which leads to remarkably decline durability due to cracks and exploitation. As a measure against salt damage, it is actively being examined to use the blended cement that controls salt damage and fix chloride in the process of hydration. In this study, therefore, to examine the property of marine concrete added admixture, marine concrete is manufactured by adding high-strength admixture(omega2000) by 0, 5, 10, and 15% to low heat-blended cement. Then it shows that the compressive strength of manufactured marine cement tends to increase and chloride penetration resistance improves.

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Stafne Bone Cavity of the Mandible

  • Lee, Jae Il;Kang, Seok Joo;Jeon, Seong Pin;Sun, Hook
    • Archives of Craniofacial Surgery
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    • v.17 no.3
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    • pp.162-164
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    • 2016
  • Stafne bone cavity is a rare mandibular defect that was first reported by Edward C. Stafne in 1942. It commonly presents with a well-demarcated, asymptomatic, unilateral radiolucency that indicates lingual invagination of the cortical bone. A 52-year-old female patient who with nasal bone fracture, visited the hospital. During facial bone computed tomography (CT) for facial area evaluation, a well-shaped cystic lesion was accidentally detected on the right side of the mandible. Compared to the left side, no swelling or deformity was observed in the right side of the oral lesion, and no signs of deformity caused by mucosal inflammation. 3D CT scans, and mandible series x-rays were performed, which showed a well-ossified radiolucent oval lesion. Axial CT image revealed a cortical defect containing soft tissue lesion, which has similar density as the submandibular gland on the lingual surface of the mandible. The fact that Stafne cavity is completely surrounded by the bone is the evidence to support the hypothesis that embryonic salivary gland is entrapped by the bone. In most cases, Stafne bone cavity does not require surgical treatment. We believe that the mechanical pressure from the salivary gland could have caused the defect.

The Effect of Tai-Chi for Arthritis(TCA) Program in Osteoarthritis and Rheumatoid Arthritis Patients (골관절염환자와 류마티스관절염 환자에게 적용한 타이치 운동프로그램(TCA)의 효과 비교연구)

  • Lee, Hea-Young;Suh, Moon-Ja
    • Journal of muscle and joint health
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    • v.10 no.2
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    • pp.188-202
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    • 2003
  • The aim of study was to investigate the effects of 12 forms of Sun-style Tai-Chi for arthritis(TCA) on physical symptom(pain, tenderness, swelling fatigue, and blood pressure), physical function(balance, flexibility, grip strength) and social-psychological health status in osteoarthritis(OA) patients and rheumatoid arthritis(RA) patients. This study was done with one group pretest-posttest design. A total 21 arthritis patients(6 OA patient and 15 RA patient) participated in 60 minute session consisting of warm-up exercise 12-main movement including qigong, and cool-down exercise twice a week for 6weeks. Physiological and social-psychological variables were measured before and after TCA 12 form. The researcher who completed a Tai Chi workshop for exercise leaders in Australia and Seoul taught the Tai Chi movement step by step until the patient felt comfort enough to perform them correctly by themselves during the first 4 weeks. At the last 2 weeks, the subject perform 10-15set of these at a session with traditional music to help patients move in a slow tempo. TCA 12 forms program showed significant improvement in fatigue(p=0.039) of rheumatoid arthritis patient and pain(p=0.006), fatigue(p=0.013), tenderness(p=0.032), flexibility(rt arm up, p=0.014, If arm up, P=0.003), grip strength(rt hand, p=0.002, If hand, P=0.003) of osteoarthritis patients. With assessment by Arthritis Impact Measurement Scale 2 questionnaire(AIMS2), physical component(0.002) and social interaction(0.025) on osteoarthritis patients were significantly improved. Evaluation of the participants about TCA exercise noted that the exercise was fairly easy(23.6%), moderately difficult(57.1%), and fairly difficult(14.3%). Considering the result of this study, TCA exercise program was more effective in pain, tenderness, grip strength, flexibility, and physical and social interaction on osteoarthritis patients than rheumatoid arthritis patients. Tai-Chi for arthritis 12 form was an appropriate intensity exercise for osteoarthritis patients.

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Mechanical and Thermal Analysis of Oxide Fuel Rods

  • Ilsoon Hwang;Lee, Byungho;Lee, Changkun
    • Nuclear Engineering and Technology
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    • v.9 no.4
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    • pp.223-236
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    • 1977
  • An integral computer code has been developed for a mechanical and thermal design and performance analysis of an oxide fuel rod in a pressurized water reactor. The code designated as FROD 1.0 takes into account the phenomena of radial power depression within the pellet, cracking, densification and swelling of the pellet, fission gas release, clad creep, pellet-clad contact, heat transfer to coolant and buildup of corrosion layers on the clad surface. The FROD 1.0 code yields two-dimensional temperature distributions, dimensional changes, stresses, and internal pressure of a fuel rod as a function of irradiation time within a reasonable computation time. The code may also be used for the analyses of oxide fuel rods in other thermal reactors. As an application of FROD 1.0 the behavior of fuel rod loaded in the first core of Go-ri Nuclear Power Plant Unit 1 is predicted for the two power histories corresponding to steady state operation and Codition II of the ANS Classification. The results are compared with the design criteria described in the Final Safety Analysis Report and a discrepancy between these two values is discussed herein.

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The Merits of Mannitol in the Repair of Orbital Blowout Fracture

  • Shin, Kyung Jin;Lee, Dong Geun;Park, Hyun Min;Choi, Mi Young;Bae, Jin Ho;Lee, Eui Tae
    • Archives of Plastic Surgery
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    • v.40 no.6
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    • pp.721-727
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    • 2013
  • Background One of the main concerns in orbital blowout fracture repair is a narrow operation field, due mainly to the innate complex three dimensions of the orbit; however, a deep location and extensive area of the fracture and soft tissue edema can also cause concern. Swelling of the orbital contents progresses as the operation continues. Mannitol has been used empirically in glaucoma, cerebral hemorrhage, and orbital compartment syndrome for decompression. The authors adopted mannitol for the control of intraorbital edema and pressure in orbital blowout fracture repair. Methods This prospective study included 108 consecutive patients who were treated for a pure blowout fracture from January 2007 to October 2012. For group I, mannitol was administered during the operation. Under general anesthesia, all patients underwent surgery by open reduction and insertion of an absorbable mesh implant. The authors compared postoperative complications, the reoperation rate, operation time, and surgical field improvement between the two groups. Results In patients who received intraoperative administration of mannitol, the reoperation rate and operation time were decreased; however, the difference was not statistically significant. The total postoperative complication rates did not differ. Panel assessment for the intraoperative surgical field video recordings showed significantly improved vision in group I. Conclusions For six years, mannitol proved itself an effective, reliable, and safe adjunctive drug in the repair of orbital blowout fractures. With its rapid onset and short duration of action, mannitol could be one of the best methods for obtaining a wider surgical field in blowout fracture defects.

A Simple, Reliable, and Inexpensive Intraoperative External Expansion System for Enhanced Autologous Structural Fat Grafting

  • Oranges, Carlo M.;Tremp, Mathias;Ling, Barbara;Wettstein, Reto;Largo, Rene D.;Schaefer, Dirk J.
    • Archives of Plastic Surgery
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    • v.43 no.5
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    • pp.466-469
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    • 2016
  • External volume expansion of the recipient site by suction has been proposed as a way of improving fat graft survival. The objective of this study was to present an innovative and simple intraoperative external expansion system to enhance small-volume autologous fat grafting (40-80 mL) and to discuss its background and its mechanism of action. In this system, expansion is performed using a complete vacuum delivery system known as the Kiwi VAC-6000M with a PalmPump (Clinical Innovations). The recipient site is rapidly expanded intraoperatively 10 times for 30 seconds each with a negative pressure of up to 550 mm Hg before autologous fat injection. During this repetitive stimulation, the tissues become grossly expanded, developing macroscopic swelling that regresses slowly over the course of hours following the cessation of the stimulus. The system sets various mechanisms in motion, including scar release, mechanical stimulation, edema, ischemia, and inflammation, which provide an environment conducive for cell proliferation and angiogenesis. In order to maintain the graft construct in its expansive state, all patients are encouraged postoperatively to use the Kiwi three times daily for one minute per session over the course of three days. The handling of this system is simple for both the patients and the surgeon. Satisfactory clinical outcomes have been achieved without significant complications.

The Manufacturing Mechanism of Nano-some and Method of Capsulation of Kojic Acid and Kojic Dipalmitate with Hydrogenated Lecithin and Co-emulsifiers (Hydrogenated Lecithin 과 Co-emulsifier를 사용한 Nano-some의 제조 메커니즘과 Kojic Acid 및 Kojic Dipalmitate의 캡슐화 방법)

  • Kim, In-Young;Jae, Koo-Hwan;Lee, Joo-Dong
    • Journal of the Korean Applied Science and Technology
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    • v.17 no.4
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    • pp.248-256
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    • 2000
  • We investigated the property of formation of mono-vesicle(designated nano-some) with using of the combined co-emulsifiers and phospholipid. Nano-some was prepared with hydrogenated lecithin(HL) and diethanolamine cetyl phosphate(DEA-CP) by swelling reaction. Kojic acid and kojic dipalmitate could be made stabilization by nano-some system using microfluidizer(MF). Nano-some has a good affinity to skin by means of this system. The composition was compounded by 2% of hydrogenated lecithin (phosphatidyl choline contained with 75%, 0.5% of DEA-CP and 0.5% of diglyceryl dioleate (DGDO). To make nano-some, several conditions of MF have to be considered as follows. The optimum pH was 6.0. The pressure was 10,000psi and passage temperature was at $306^{\circ}C$. The nano-some base was passed to homogenize continually 3 times through MF. The Particle size distributions of the vesicles were with in $57{\sim}75.7nm$(mean 66nm) by measuring the Zetasizer-3000. Zeta potential of vesicles with 3 times passage through MF was -24.8mV. Formations for nano-some vesicle certificated photograph by scanning electric magnification (SEM). Stability of nano-some was very good for 6months. The turbidity was very good transparency compared nano-some with liposome. It was formed the mono vesicle in the opposite direction to be formed the multi-lamellar vesicle of liposome.

Transient Hypoglossal Nerve Palsy after Open Reduction of Zygomatic Complex Fracture (관골복합골절 수술 후 발생한 일시적 설하신경 마비의 증례보고)

  • Kim, Jee Wook;Kim, Woo Seob;Kwon, Nam Ho;Kim, Han Koo;Bae, Tae Hui
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.80-83
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    • 2009
  • Purpose: Isolated hypoglossal nerve palsy is a rare manifestation of various underlying disease. This article presents a rare complication of general anesthesia associated with an surgical procedure on a case of zygomatic fracture. Methods: An 18-year-old female patient was referred to our department by painful swelling on her left zygomatic area after the traffic accident. Left zygomatic complex fracture was identified on the simple x-ray and facial bone CT scan, and the fracture was treated with open reduction and internal fixation under general anesthesia. On the first postoperative day, she complained of difficulty in swallowing solid food, dysarthria and deviated tongue to her right side. There was no abnormal findings on the neurological examination, brain MRI and routine chemistry. She was diagnosed with transient hypoglossal nerve palsy and dexamethasone with multi-vitamins was administrated intravenously for 5 days. Results: The symptoms were completely resolved by the ninth postoperative day and the patient was discharged without any other complications. Conclusion: The hypoglossal(cranial nerve XII)nerve supplies motor innervation to all of the ipsilateral extrinsic and intrinsic tongue muscles. The hypoglossal nerve damage may caused by the compression between the airway and the hyoid bone during the endotracheal intubation, and direct trauma due to excessive pressure or neck extension. We described a rare case of unintended injury to hypoglossal nerve and care must be taken not to cause the hypoglossal nerve damage especially in facial plastic surgery with excessive neck extension under general anesthesia.

Influence of the Objectionable Stems on the Physical Characteristics during the Cigarette Combustion (부적합 엽맥편이 궐련의 연소중 물리적 특성에 미치는 영향)

  • Kim Soo-Ho;Park Won-Jin;Kim Jong-Yeol;Rhee Moon-Soo
    • Journal of the Korean Society of Tobacco Science
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    • v.28 no.1
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    • pp.23-30
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    • 2006
  • In order to improve the final product quality, tobacco industry has gradually decreased the size and number of steams in the cigarette. Especially, steams bigger than $3{\times}3$ mm($length{\times}thickness$) and $2{\times}10$ mm($width{\times}length$) are not acceptable in the process as objectionable stems. A total number of 12 samples where the $length{\times}tickness$ samples were prepared by decreasing the present sample ($3{\times}3$ mm) with 1 mm up to $1{\times}1$ mm, and the $width{\times}length$ samples were prepared by decreasing the present sample ($2{\times}10$ mm) with 2 mm up to $2{\times}6$ mm for the stems in leaf and stems in expanded cut-tobacco were prepared to apply a fire ball drop test using stems. In addition, cigarettes were produced for these stems in order to analyze the forced fire ball drop including the burning, encapsulation and unencapsulation pressure drop and a single or unspecified direction combustion. Based on the results of the test, it was evident that the fire ball drop in the stems in expanded cut-tobacco presented a lower level than that of the stems in leaf. Also, the stems in expanded cut-tobacco presented a larger swelling and higher burning for a single direction than that of the stem in leaf. In addition, it was considered that the management criteria for objectionable stems should be changed as $3{\times}3$ mm and $2{\times}8$ mm for the $length{\times}thickness$ and $width{\times}length$ sample, respectively, in both steams in leaf and expanded cut-tobacco.