• Title/Summary/Keyword: electrical injury

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FACIAL NERVE SCHWANNOMA IN PAROTID GLAND: A CASE REPORT (이하선에 발생한 안면신경 신경초종의 치험례)

  • Choi, Se-Kyung;Choi, Jong-Myung;Kim, Hyun-Sil;Kim, Hyung-Jun;Cha, In-Ho;Nam, Woong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.1
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    • pp.68-71
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    • 2010
  • Facial nerve schwannomas (FNSs) are usually painless, slow-growing, and without specific symptoms, so that early diagnosis may be difficult. They are particularly liable to being misdiagnosed as parotid gland origin benign tumor before surgery, which can lead to unnecessary parotidectomy or unexpected facial nerve injury. To prevent these complications, it is important that the correct diagnosis is performed at least in intraoperative time. When an adhesion between the mass and the facial nerve is exist or when electrical stimulation of the mass triggers facial movement, FNS is highly suggested diagnosis. In such cases, frozen section analysis should always be performed. In this case, the pre-operative diagnosis from clinical examination and MRI was pleomorphic adenoma. However, intraoperative features led us to suspect that the mass originated from facial nerves, and intraoperative frozen section analysis yielded results consistent with a schwannoma. Based on this intraoperative diagnosis, we carried out a successful conservative treatment with preservation of facial nerve.

Impedance Parameter Variations at Intravenous (IV) Infiltration Using Bioelectrical Impedance: A Pilot Study

  • Kim, Jaehyung;Lee, Mansup;Baik, Seungwan;Kim, Gunho;Hwang, Youngjun;Jeon, Gyerok
    • Journal of Korea Multimedia Society
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    • v.20 no.10
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    • pp.1678-1688
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    • 2017
  • Infiltration is one of detrimental problems occurring in nursing or medical settings. Early detection of infiltration is essential to minimize the risk of injury from infiltration. To perform a preliminary study on the point of care and automated infiltration detection system, bioelectrical impedance was investigated using bioelectrical impedance analyzer. We would like to report experimental results that allow impedance parameters to effectively distinguish infiltration. Electrodes were attached to both sides of the transparent dressing on the fusion site where IV solution was being infused. Then, impedance parameters before and after infiltration were measured as a function of time and frequency. The experimental results are as follows. After infiltration was intentionally induced by puncturing the vein wall with a needle, the resistance gradually decreased with time. That is, when an alternating current having a frequency of 20 kHz was applied to the electrodes, the resistance gradually decreased with time, reflecting the accumulation of IV solution in the extracellular fluid since the current could not pass through the cell membrane. Impedance parameters and equivalent circuit model for human cell were used to examine the mechanism of current flow before and after infiltration, which could be used for early detection of infiltration.

Activation of spinal Serotonergic Receptor Contributes to Electroacupuncture Analgesia in Rat with Chronic Pain (만성통증이 유발된 흰쥐에서 관찰된 침진통효과의 세로토닌성 기전)

  • Park Dong-Suk;Shin Hong-Kee;Lee Kyung-Hee
    • The Journal of Korean Medicine
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    • v.26 no.3 s.63
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    • pp.239-248
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    • 2005
  • Objectives : Electroacupuncture (EA)-induced analgesia has been known to be mediated through the activation of opioid, noradrenergic and serotonergic receptors. However, little study on serotonergic mechanism has been performed in an animal model of chronic pain. The present study was designed to elucidate the type of serotonergic receptors responsible for EA analgesia in the chronic pain model. Methods : In rats with complete Freund's: adjuvant-induced inflammation and spinal nerve injury, spinal wide dynamic range (WDR) cell responses to graded electrical stimulation of afferent C fiber were recorded before and after spinal application of selective 5-hydroxytryptamine (5-HT) receptor antagonists. EA stimulation (2Hz, 0.5msec, 3mA) was applied to the contralateral Zusanli point for 30 min. Results : In both models of chronic pain, WDR cell responses were greatly inhibited after EA stimulation. EA-induced inhibition of WDR celt responses was significantly attenuated by spinal application of non-selective 5-HT receptor antagonist, dihydroergocristine Of 5-HT receptor antagonists tested, 5-HT1A (WAY 100635) and 5-HT2 (LY53857) receptor antagonists strongly reduced an ability of EA stimulation to inhibit WDR cell responses. However, 5-HT1B (GR55562) and 5-HT3 (LY278584) receptor antagonists also had weak but significant blocking action on EA-induced inhibitory effect on chronic pain. Conclusions : Dorsal hem cell responses, afferent C fiber stimulation, chronic pain, electroacupuncture, serotonergic receptors.

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Sympathetic Excitation of Afferent Neurons within Dorsal Root Ganglia in a Rat Model of Sympathetically Medicated Pain (교감신경 중재 통증 보유 모델 쥐에서 교감신경 활동에 의한 배근절세포의 흥분성)

  • Leem, Joong-Woo;Kang, Min-Jung;Paik, Kwang-Se;Nam, Yong-Taek
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.26-38
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    • 1996
  • In a normal state, sympathetic efferent activity does not elicit discharges of sensory neurons, whereas it becomes associated with and excites sensory neurons in a pathophysiological state such as injury to a peripheral nerve. Although this sympathetic-sensory interaction is reportedly adrenergic, involved subtypes of adrenoreceptors are not yet clearly revealed. The purpose of this study was to determine which adrenorceptor subtypes were involved in sympathetic-sensory interaction that was developed in rats with an experimental peripheral neuropathy. Using rats that received a tight ligation of one or two of L4-L6 spinal nerves 10~15 days previously, a recording was made from afferent fibers in microfilaments teased from the dorsal root that was in continuity with the ligated spinal nerve. Electrical stimulation of sympathetic preganglionic fibers in T13 or L1 ventral root (50 Hz, 2-5 mA. 0.5 ms pulse duration, 10 sec) was made to see if the activity of recorded afferents was modulated. About half of afferents showing spontaneous discharges responded to sympathetic stimulation, and had the conduction velocities in the A-fiber range. Most of the sympathetically induced afferent responses were excitation. This sympathetically induced excitation occurred in the dorsal root ganglion (DRG), and was blocked by yohimbine (${\alpha}_2$ blocker), neither by propranolol ($\beta$ blocker) not by prazosine (${\alpha}_1$ blocker). The results suggest that after spinal nerve ligation, sympathetic efferents interact with sensory neurons having A-fiber axons in DRG where adrenaline released from sympathetic nerve endings excites the activity of sensory neurons by acting on 2-adrenoreceptors. This 2-adrenoreceptor mediated excitation of sensory neurons may account for sympathetic involvement in neuropathic pain.

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Roles of Reactive Oxygen Species on Neuronal Excitability in Rat Substantia Gelatinosa Neurons (척수 아교질 신경세포의 흥분성에 대한 활성산소종의 역할)

  • Choi, Jeong-Hee;Kim, Jae-Hyo;Lim, Sung-Jun;Park, Byung-Rim;Kwon, Kang-Beom
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.2
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    • pp.432-437
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    • 2007
  • Reactive oxygen species (ROS) are toxic agents that may be involved in various neurodegenerative diseases. Recent studies indicate that ROS are also involved in persistent pain through a spinal mechanism. In the present study, whole cell patch clamp recordings were carried out on substantia gelatinosa (SG) neurons in spinal cord slice of neonatal rats to investigate the effects of ROS on neuronal excitability and excitatory synaptic transmission. In current clamp condition, tert-buthyl hydroperoxide (t-BuOOH), an ROS donor, induced a electrical hyperexcitability during t-BuOOH wash-out followed by a brief inhibition of excitability in SG neurons. Application of t-BuOOH depolarized membrane potential of SG neurons and increased the neuronal firing frequencies evoked by depolarizing current pulses. Phenyl-N-tert-buthylnitrone (PBN), an ROS scavenger, antagonized t-BuOOH induced hyperexcitability. IN voltage clamp conditions, t-BuOOH increased the frequency and amplitude of spontaneous excitatory postsynaptic currents (sEPSCs). In order to determine the site of action of t-BuOOH, miniature excitatory postsynaptic currents (mEPSCs) were recorded. t-BuOOH increased the frequency and amplitude of mEPSCs, indicating that it may modulate the excitability of the SG neurons via pre- and postsynaptic actions. These data suggest that ROS generated by peripheral nerve injury can induce central sensitization in spinal cord.

Comparison Study for Analgesic Effects of Electroacupuncture on Surgical Ankle Sprain Model Classified as Grade 3 in Rats (수술적 방법으로 유도된 3단계 고도(高度) 발목염좌 모델에서 혈위(穴位)에 따른 전침효과의 비교)

  • Yang, Seung-Bum;Sohn, In-Chul;Lee, Sung-Ho;Cho, Sang-Hoon;Kim, Jaehyo
    • Korean Journal of Acupuncture
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    • v.30 no.1
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    • pp.47-55
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    • 2013
  • Objectives : The purpose of this study was to determine whether electroacupuncture(EA) is effective in reducing pain on the severe ankle sprain classified as grade 3 in rats. Methods : The severe(grade 3) ankle sprain model was induced surgically by ankle ligament injury(the anterior talofibular, the calcaneofibular and the posterior talofibular) in the Sprague-Dawley rats(180~250 g). The effects of EA on weight bearing forces(WBR) of the affected foot were examined in a rat model of ankle sprain. EA was applied to either SI6, ST37, GB34, GB39 or GB42 acupoints by trains of electrical pulses(2 Hz, 1 ms pulse width, 2 mA intensity) for 15 min. Results : Cutting of the lateral ankle ligament complex produced the severe ankle sprain symptoms as grade 3. EA of the contralateral SI6 resulted in more analgesic effect than one of ipsilateral SI6 even though there was significant effect. EA of the ipsilateral GB34 and GB39 produced potent analgesic effects on the surgical ankle sprained pain behaviors. However, there were no significant analgesic effects in the contralateral GB34 and GB39 EA groups. In addition, both side of ST37 and GB42 did not result in analgesic effect on the surgical ankle sprained rat. Conclusions : The data suggest that EA induced analgesia shows point specificity on the severe ankle sprained pain model classified as grade 3.

Development of Nondestructive Detecting System for Elevator Wire Ropes using Hall-effect Sensors (Hall 센서를 이용한 엘리베이터 와이어 로프의 비파괴 검출시스템의 개발)

  • Kim, Sung-Duck
    • Journal of Sensor Science and Technology
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    • v.10 no.1
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    • pp.33-41
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    • 2001
  • Wire ropes have been widely used in industrial applications, wherever heavy weight should be carried safely or mechanical energy should be transmitted fast. Especially, wire rope failures in operating elevator may lead to extensive property damage and serious injury to nearby personnel. Hence, it is very important to inspect wire rope periodically. Failure defection of wire rope requires fundamental knowledge of wire rope construction, rope behavior, properties of fault, sensing and signal processing method. In this research, the development of a new fault detecting system incorporating Hall-effect sensors to detect flaws such as abrasion, broken wire, corrosion and deformation for aged wire ropes in elevator, is described. For using a detector as a portable instrument, several performances for implementing sensing part with Hall-effect sensor, analog signal processing unit and programs are described. Experiments and field testing results for the implemented detecting system are also given. As a result, it is verified that the detecting system has good efficiency for inspecting faults of aged wire ropes in service.

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Fitness System for Correcting Real-time Posture Using Smart Mirror (스마트 거울을 활용한 실시간 자세교정 피트니스 시스템)

  • Seo, Jae-sic;Shin, Min-ho;Moon, Mi-kyeong
    • Journal of IKEEE
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    • v.23 no.1
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    • pp.74-79
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    • 2019
  • As the desire for healthcare increases due to the ageing population and the well-being boom, interest in fitness is increasing. People go to the fitness center to exercise, but many people do not know how to exercise, so they often make the order of exercise and the exercise posture wrong. This not only reduces the effectiveness of the exercise, but also increases the risk of injury. This paper describes the development process of fitness system using smart mirror. This system allows people to follow the motion by themselves in front of the smart mirror, and if the exercise posture goes wrong, in real time it checks and corrects for the wrong point. By using this system, people will be able to exercise by themselves in the right posture without the help of a trainer. Also, as a result, people will be able to exercise at any time they want without the constraint of time commitment with a trainer and the cost will be reduced.

IT-based physical activity and exercise programs for individuals with spinal cord injury

  • Choi, Hyunhee
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.2
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    • pp.187-194
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    • 2022
  • This study is to encourage physical activity and exercise in people with spinal cord disabilities so that they can have a positive effect on health outcomes. Current evidence shows that IT-based muscle strength and muscle endurance, cardiopulmonary exercise, electrical stimulation exercise, and robot exercise can all improve physical components, reduce the risk of secondary health complications, and have a positive impact on the overall health of people with chronic physical disabilities. To improve muscle strength and muscle endurance, exercise frequency should be conducted twice and three sets a week, <5 Reps to improve muscle strength, general strength should be repeated 6 to 15 times, and 15 to 30 times to improve muscle endurance. In order to improve cardiopulmonary ability, it should be conducted 3-5 times a week, 20-60 minutes, and 50-80% of the maximum heart rate. Therefore, higher resource investment is needed to realize various IT-based exercise benefits and access professional equipment, facilities and trainers.

Tre Effect of UW Solution for Protection of Ischemic Injury in Free Myocutaneous Flaps of the Rabbit (가토 근피판에서 허혈성 손상 방지를 위한 UW 관류제 사용의 효과)

  • Suh Woo-Suk;Kwun Woo-Heung;Kim Sang-Woon;Lee Su-Jung;Kwun Koing-Bo
    • Korean Journal of Head & Neck Oncology
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    • v.9 no.1
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    • pp.3-9
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    • 1993
  • The benficial effects for perfusion in the preservation of free flaps have been controversial in the clinical and experimental field until now. This study was undertaken to observe the effect of UW solution. a recently developed. high molecular weight. organ perfusion solution. for protection of ischemic injury in normothermic free myocutaneous flaps. Forty rabbits were used in this sutdy. A 1x2x1cm sized gastrocnemius myocutaneous flap based on the feeding vessel from common femoral artery was made. The author set up the ischemic time for 12 hours in these flaps. The flap was washed out with normal saline(control grop, n=10), urokinase(comparative group I, n=10), UW solution before ischemic time(comparative group II, n=10) and UW solution before ischemic time and pentoxifylline before reperfusion(comparative group III, n=10). Afterthen, reperfusion was made for 12 hours. After this procedure, we checked the degree of ischemia and necrosis of myocutaneous flap by gross finding, electrical stimulation test of muscle, triphenyltetrazolium chloride staining and wet/dry weight ratio. The degree of necrosis of comparative group II and III were lesser than control and urokinase group in gross finding(p<0.05). In the electrical stimulation test of muscle, there was no statistical difference between control($1.76{\pm}1.01$) and urokinase($2.36{\pm}\1.02$) group however the muscular power of comparative group II($3.54{\pm}0.93$) and III($3.49{\pm}1.37gm/mm^2$) demonstrated significantly higher than control group(p<0.05). The ischemic findings were found in seven cases of control group and three cases of urokinase group but there were no ischemic findings in comparative group II and III in TIC stain(p<0.05). In the wet/dry weight ratio of flaps in order to evaluate the tissue edema. there was no statistical difference between control($4.55{\pm}0.29$) and III($3.75{\pm}0.48$) were scored significantly lesser than control and urokinase group (p<0.05). These results suggest that perfusion washout with UW solution improves the viability of normothermic free myocutaneous flap by inhibition of cellular swelling.

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