• Title/Summary/Keyword: direction of needle

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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.

Study on Anisotropic Creep Behavior of Nonwoven Geotextiles

  • Das A.;Kothari V. K.;Kumar A.;Mehta M. S.
    • Fibers and Polymers
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    • v.6 no.4
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    • pp.313-317
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    • 2005
  • The anisotropy in creep behavior of two types of nonwoven fabrics (needle-punched and thermobonded spun laid) has been studied. It has been observed that the amount of time dependent extension depends on the direction, amount of loading and the structure of nonwoven the fabrics. The time dependent extension (creep) for the nonwoven fabric increases with the increase in amount of load. The higher initial extension and creep are observed for needle-punched nonwoven fabric as compared to thermobonded spun-laid nonwoven fabric. The creep behavior of needle-punched nonwoven shows a logarithmic relationship with time, but the thermobonded spun-laid nonwoven fabric does not show such logarithmic relationship. For a particular fabric, the creep is dependent on the fiber arrangement and is minimum in the direction in which the proportion of fiber is maximum and visa versa.

A Study on the Impact Behavior of Bulletproof Materials According to the Combining Method

  • Jihyun Kwon;Euisang Yoo
    • Elastomers and Composites
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    • v.57 no.4
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    • pp.157-164
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    • 2022
  • Representative bulletproof materials, such as aramid or ultra-high molecular weight polyethylene(UHMWPE), have excellent strength and modulus in the plane direction but are very vulnerable to forces applied in the thickness direction. This paper reports a study on the effects of reinforcement in the thickness direction when bulletproof composite fabrics are prepared to improve their performance. Aramid and UHMWPE fabrics were combined using the film-bonding, needle-punching, or stitching methods and then subjected to low-velocity projectile and ball-drop impact tests. The results of the low-velocity projectile test indicated that the backface signature(BFS) decreased by up to 29.2% in fabrics obtained via the film-bonding method. However, the weight of the film-bonded fabric increased by approximately 23% compared with that obtained by simple lamination, and the fabric stiffened on account of the binder. Flexibility, light weight for wearability, and excellent bulletproof performance are very important factors in the development of bulletproof materials. When the needle-punching method was used, the BFS increased as the fibers sustained damage by the needle. When the composite fabrics were combined by stitching, no significant difference in weight and thickness was observed, and the BFS showed similar results. When a diagonal stitching pattern was employed, the BFS decreased as the stitching density increased. By contrast, when a diamond stitching pattern was used, the fabric fibers were damaged and the BFS increased as the stitching density increased.

Synthesis of Needle-Like Aragonite Crystals in the Presence of Magnesium Chloride and Their Application in Papermaking

  • Hu, Zeshan;Shao, Minghao;Li, Huayang;Cai, Qiang;Zhong, Chenghua;Xianming, Zhang;Deng, Yulin
    • Advanced Composite Materials
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    • v.18 no.4
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    • pp.315-326
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    • 2009
  • PCC (precipitated calcium carbonate) and ground calcium carbonate have been widely used in alkaline papermaking. Unfortunately, although increasing filler level in papers can improve the paper properties such as brightness, opacity, stiffness gloss, smoothness, porosity, and printability, as well as decrease cost, some strength of the paper is negatively affected. In this research, needle-like aragonite was synthesized using $Ca(OH)_2$ and $CO_2$ as reactants in the presence of $MgCl_2$ and characterized with scanning electronic microscopy (SEM) and X-ray diffraction (XRD). The physical and optical properties of the paper handsheets containing these needle-like aragonite fillers were evaluated. Results indicated that tensile strength, Z-direction tensile strength and folding endurance of the paper were improved by the needle-like aragonite crystals compared to the paper using commercial PCC (precipitated calcium carbonate) as filler. The stiffness of the paper handsheet on the machine direction was increased, but no evident difference in the cross direction was found. The improvement of paper strength mainly resulted from the twining effect between the aragonite whiskers and paper fibers. The optical properties of the paper were slightly decreased with the use of the needle-like aragonites compared to commercial PCC. These results suggest that paper cost can be decreased by increasing the content of needle-like aragonite filler while paper strength will not be decreased compared to PCC filler.

Three OOP Haptic Simulator for a Needle Biopsy (3자유도 힘반향 장치를 이용한 침생검 햅틱 시뮬레이터)

  • 권동수;경기욱;감홍식;박현욱;나종범
    • 제어로봇시스템학회:학술대회논문집
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    • 2000.10a
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    • pp.539-539
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    • 2000
  • This paper shows how to implement force reflection for a needle insertion problem. The target is a needle spine biopsy simulator for tumor inspection by needle insertion. Simulated force is calculated from the relationship of volume graphic data and the orientation and Position of the needle, and it is generated using PHANTOM$^{TM}$. To generate realistic force reflection, the directional force of the needle has been generated by tissue model. The other rotational force is generated using a pivot to keep the needle in the initial inserted direction after puncturing the skin. Since the used haptic device has limitation for generating high stiffness and large damping, scale downed model and digital filter are used to stabilize the system.m.

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The Effects of Acupuncture by Needle Manipulation at $LR1{\cdot}KI1$ on the Blood Pressure in Hypertensive Rat induced by Two Kidney One Clip (2K1C). (대돈(大敦)${\cdot}$용천(湧泉) 염전(捻轉) 및 영수(迎隨) 보사수기법(補瀉手技法)이 2K1C에 의하여 유발(誘發)된 고혈압(高血壓) 백서(白鼠)에 미치는 영향(影響))

  • Youn, Dae-Hwan;Han, Jeong-Hee;Kim, Suhn-Hee;Na, Chang-Su
    • Korean Journal of Acupuncture
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    • v.24 no.3
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    • pp.165-177
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    • 2007
  • Objectives : The purpose of this study was to examine effects of acupuncture by needle manipulation at $LR1{\cdot}Kl1$ on the blood pressure, plasma levels of ANP(atrial natriuretic peptide), renin and cardiomegalic index in hypertensive rat Induced by two kidney one clip(2K1C). Material and methods : The groups divided into 7 groups; Control, no treatment. Acu-1,acupuncture at $LR1{\cdot}Kl1$ bilaterally and the needle was twirled and rotated forward with the thumb of the right hand 6 times. Acu-2, acupuncture at $LR1{\cdot}Kl1$ bilaterally and the needle was twirled and rotated forward with the forefinger of the right hand 6 times. Acu-3, acupuncture at $LR1{\cdot}Kl1$ bilaterally and the needle was inserted in the opposite direction(body direction) as the channel runs, Acu-4, acupuncture at $LR1{\cdot}Kl1$ bilaterally, the needle was inserted in the opposite direction(body direction) as the channel runs and the needle was twirled and rotated forward with the forefinger of the right hand 6 times. The acupuncture executed 5times for 2 weeks. Results : Systolic blood pressure was decreased significantly in Acu-2, Acu-3 and Acu-4. Plasma renin was decreased significantly in Acu-2 and Acu-4. Plasma ANP was increased significantly in Acu-2, however was decreased significantly in Acu-4. Cardiac hypertrophy index was decreased significantly in Acu-1, Acu-2, Acu-3 and Acu-4. Conclusions : These results suggest that acupuncture by needle manipulation at $LR1{\cdot}Kl1$ is effective in hypertension by renal blood problem.

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Effect of Acupuncture Stimulation ($HT_7$), on the Change of Standard Leads in ECG (신문혈(神門穴) 침자극(鍼刺戟)이 심전도(心電圖) 변화(變化)에 미치는 영향(影響))

  • Lee, Ik-Jae;Kim, Ee-Hwa;Kim, Soon-Joong
    • Korean Journal of Acupuncture
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    • v.22 no.3
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    • pp.17-26
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    • 2005
  • Objectives : The aim of this study is to investigate the effect of Shinmun-acupuncture stimulation on the relationship of change in electrocardiopgraphy (ECG). Methods : For this purpose, 11 healthy volunteers were acupunctured at Shinmun acupoint using the reinforcing or reducing by inserting the needle in the same direction as the channel runs or in the opposite direction (迎隨補瀉). Then, we measured and observed the change of standard leads I, II and III in ECG. Results : In lead I , acupuncture treated groups were increased the activity of PR interval and PR segment compared to the control group. In lead II, during the acupuncture treated group by inserting the needle in the opposite direction as the channel runs was increased the activity of T wave duration, and after the acupuncture group by inserting the needle in the same direction as the channel runs was increased the activity of PR interval. In lead III, acupuncture treated groups were increased the activity of ST duration, PR interval and QT interval. Conclusions : These results suggested that Shinmun acupuncture stimulation plays an important role on the activities of ECG.

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Characterization of Artificial Graphite Electrodes

  • Park, Sei-Min;Han, Sang-Moo;Oh, Seh-Min
    • Carbon letters
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    • v.1 no.2
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    • pp.76-81
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    • 2000
  • Physical properties of artificial graphite electrodes were evaluated along three different directions; circumferential (X), radial (Y), and axial (Z) directions. Four kinds of commercial electrode products were used in this study for the evaluation; pole (AP) and nipple (AN) of manufacturer A, pole (BP) and nipple (BN) of manufacturer B. The mechanical, electrical, and thermal properties in X and Y directions were very similar to each other. In Z direction, however, the mechanical properties, including flexural strength and compressive strength, were higher, and electric resistance and thermal expansion were much lower than those in the other directions. The microstructures observed by optical microscope and scanning electron microscope revealed that the differences in properties by the measuring direction were caused by the preferential alignment of needle cokes along the Z direction. When comparing the properties of the electrode samples in the same direction, the mechanical properties mainly depended on the bulk density or porosity of the samples as well as preferential alignment of needle cokes.

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How to Insert Acupuncture Needles into the Subacromial Space through LI15

  • Lee, Kwang Ho
    • Journal of Acupuncture Research
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    • v.38 no.3
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    • pp.242-244
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    • 2021
  • LI15 is an important acupuncture point to treat shoulder pain. There are 4 needling methods for LI15 in the textbook; 1 method requires the insertion of the needle horizontally between the acromion and the great tuberosity of the humerus with the arm lowered for supraspinatus tendonitis. This method is also applicable for all conditions of rotator cuff disease, but it has not previously been described in detail. Providing X-ray scans and describing needle direction and depth of insertion will provide evidence for needling with the arm down as an effective stimulation of the subacromial space. Firstly, for this technique, with the arm raised, a concave point is located between the front edge of the acromion and the humerus, and the lower upper arm. Secondly, the acupuncture needle is inserted slightly posteriorly towards the supraspinous fossa, in the direction of the supraspinatus tendon and to a depth of 30-40 mm.

Simulation Study on Dynamic Analysis of Spring Type Needle Valve to Absorb Surge Pressure in Pneumatic Cushion Cylinder (공압 쿠션 실린더의 충격압 흡수를 위한 스프링형 니들밸브의 동특성에 관한 연구)

  • Lee J.G.;Xiaofei Qin;Lee J.;Lee J.C.;Shin H.M.
    • Transactions of The Korea Fluid Power Systems Society
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    • v.2 no.1
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    • pp.15-22
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    • 2005
  • The purpose of this study is to find the effective dynamic characteristics of an improved pneumatic cushion cylinder with a spring type needle valve. The dynamic model represented the peak pressure control method when the pneumatic cushion cylinder is moving forward or backward in the horizontal direction. It was found from the simulation results that the peak pressure in the cushion chamber is affected by the spring, which helps to understand the performance of the pneumatic cushion cylinder and to improve or design a better cushion needle valve component. From the simulation results, the stability of pneumatic cushion cylinder with a spring type needle valve was superior and its cushion capability was also better than that without the spring.

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