• 제목/요약/키워드: branch school

검색결과 924건 처리시간 0.026초

The Efficacy of Repeated Radiofrequency Medial Branch Neurotomy for Lumbar Facet Syndrome

  • Son, Jung-Hee;Kim, Sang-Dae;Kim, Se-Hoon;Lim, Dong-Jun;Park, Jung-Yul
    • Journal of Korean Neurosurgical Society
    • /
    • 제48권3호
    • /
    • pp.240-243
    • /
    • 2010
  • Objective : Radiofrequency (RF) medial branch neurotomy is an effective management of lumbar facet syndrome. However, pain may recur after period of time. When pain recurs, it can be repeated, but the successful outcome and duration of relief from repeated procedures are not clearly known. The objective of this study was to determine the success rate and duration of pain relief from repeated radiofrequency medial branch neurotomy for lumbar facet syndrome. Methods : A retrospective review of medical records was done on 60 consecutive patients, from March of 2006 to February of 2009, who had an initial successful RF neurotomy but subsequently underwent repeated procedures due to recurrence of pain. All procedures were done in carefully selected patients after at least two responsive medial branch nerve blocks. C-arm fluoroscopic guide, impedance, sensory and motor threshold monitoring tools were used for the precise placement of electrodes. Responses of repeated procedures were compared with initial radiofrequency neurotomy for success rates and duration of pain relief. Results : There were 48 females and 12 males. Mean age was 52.4 years (range, 26-83). RF medial branch neurotomy was done on one side in 38 and both sides in 22 patients, each covering at least three segments. Average visual analog scale at last procedure was 6.8. Twelve patients had previous lumbar operations, including 4 patients with instrumentations. Fifty-five patients had two procedures and five patients had three procedures. Mean duration of successful pain relief (> 50% of previous pain for at least 3 months period) after initial radiofrequency neurotomy was 10.9 months (range, 3-28) in 51 (85%) patients. From repeated procedures, successful pain relief was seen in 50 (91%) patients with average duration of 10.2 months (range, 3-24). Five patients had third procedure, which was successful in 4 (80%) patients with mean duration of 9.8 months (range, 5-16). This was not statistically different from initial results. There were no permanent neurological complications from the procedures. Conclusion : Results of this study indicate that the frequency of success and durations of relief from repeated RF medial branch neurotomy for lumbar facet syndrome are similar to initial results that provided relatively prolonged period of pain relief without major side effects Each procedure seems to provide successful pain relief for about 10 months in more than 85% of carefully selected patients when properly done.

공중보건한의사의 진료여건에 관한 조사연구 (A Survey on the Medical Conditions of Public Health Oriental Medical Doctors)

  • 정명수;오충선;이기남
    • 대한예방한의학회지
    • /
    • 제10권2호
    • /
    • pp.63-80
    • /
    • 2006
  • Public health oriental medical doctor has played a great role in providing oriental medical treatment and oriental medical health program with public health medical services, the basic infrastructure, however, is not sufficient. In this study, the researcher surveyed the treatment working or service condition of public health oriental medical doctor. 1. The payment, allowance of doctors are fixed upon the law and guideline according to the financial status of local government. The branch of public health center has more support like an official residence with expenses. 2. The public health center mainly has assitants and ratio of full-timer is more than the branch public health center without any assistants if any, they are temporary employee 3. The public health center has 5.22 beds while the branch has 3.14 beds. The daily average number of patient for public health center is 15.01 while the branch has 8.7 More than half of outpatients are over sixties with musculoskeletal disease. 4. Regarding the traveling clinic, the public health center put into more operation than the branch. The 3rd year serving public doctor gives negative about the traveling clinic much more than 1st and 2nd year serving public doctor. The treatment service condition of public doctor of the public health center is better than the branch doctor, but we are on the point of role-changing as health promotion and preventive treatment to bring up motivation, education and competence strengthening for execution the local-bound health program.

  • PDF

외측 심부 비골신경 포착 증후군의 증례 보고 (Rare Disease Entity of Dorsolateral Foot Pain: Lateral Branch of Deep Peroneal Nerve Entrapment Syndrome)

  • 나윤주;여승미;박진호;황지혜
    • Clinical Pain
    • /
    • 제20권2호
    • /
    • pp.122-126
    • /
    • 2021
  • When a patient represents pain in foot, physician can easily overlook compression neuropathy of peripheral nerve as it is uncommon. Among nerve entrapment syndrome encountered in the foot, selective compression in lateral branch of deep peroneal nerve (DPN) is rare. We report a case of a patient with pain and dysesthesia in dorsolateral foot which turned out as lateral branch of deep peroneal nerve entrapment syndrome caused by talonavicular joint effusion. We would like to share diagnostic work up flow and conservative treatment courses. This case manifests the importance of the deep peroneal nerve and its branches in clinical setting of pain and ankle instability.

Effect of Flow Direction on Two-Phase Flow Distribution of Refrigerants at a T-Junction

  • Tae Sang-Jin;Cho Keum-Nam
    • Journal of Mechanical Science and Technology
    • /
    • 제20권5호
    • /
    • pp.717-727
    • /
    • 2006
  • The present study experimentally investigated the effect of flow direction and other flow parameters on two-phase flow distribution of refrigerants at a T-junction, and also suggested a prediction model for refrigerant in a T-junction by modifying previous model for air-water flow. R-22, R-134a, and R-410A were used as test refrigerants. As geometric parameters, the direction of the inlet or branch tube and the tube diameter ratio of branch to inlet tube were chosen. The measured data were compared with the values predicted by the models developed for air-water or steam-water mixture in the literature. We propose a modified model for application to the reduced T-junction and vertical tube orientation. Among the geometric parameters, the branch tube direction showed the biggest sensitivity to the mass flow rate ratio for the gas phase, while the inlet quality showed the biggest sensitivity to the mass flow rate ratio among the inlet flow parameters.

원자로 비상 냉각재 누설에 의한 열성층의 비정상 특성에 관한 연구 (Study of Thermal Stratification into Leaking Flow in the Nuclear Power Plant, Emergency Core Coolant System)

  • 한성민;최영돈;박민수
    • 설비공학논문집
    • /
    • 제18권3호
    • /
    • pp.202-210
    • /
    • 2006
  • In the nuclear power plant, emergency core coolant system (ECCS) is furnished at reactor coolant system (RCS) in order to cool down high temperature water in case of emergency. However, in this coolant system, thermal stratification phenomenon can be occurred due to coolant leaking in the check valve. The thermal stratification produces excessive thormal stresses at the pipe wall so as to yield thermal fatigue crack (TFC) accident. In the present study, when the turbulence penetration occurs in the branch pipe, the maximum temperature differences of fluid at the pipe cross-sections of the T-branch with thermal stratification are examine.

Ship Number Recognition Method Based on An improved CRNN Model

  • Wenqi Xu;Yuesheng Liu;Ziyang Zhong;Yang Chen;Jinfeng Xia;Yunjie Chen
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • 제17권3호
    • /
    • pp.740-753
    • /
    • 2023
  • Text recognition in natural scene images is a challenging problem in computer vision. The accurate identification of ship number characters can effectively improve the level of ship traffic management. However, due to the blurring caused by motion and text occlusion, the accuracy of ship number recognition is difficult to meet the actual requirements. To solve these problems, this paper proposes a dual-branch network based on the CRNN identification network. The network couples image restoration and character recognition. The CycleGAN module is used for blur restoration branch, and the Pix2pix module is used for character occlusion branch. The two are coupled to reduce the impact of image blur and occlusion. Input the recovered image into the text recognition branch to improve the recognition accuracy. After a lot of experiments, the model is robust and easy to train. Experiments on CTW datasets and real ship maps illustrate that our method can get more accurate results.