• Title/Summary/Keyword: injection back

Search Result 363, Processing Time 0.028 seconds

요추 척추관 협착증에 대한 침구치료의 국내 임상근거: 체계적 문헌고찰 (Acupuncture for Lumbar Spinal Stenosis in Korean Literature: a Systematic Review)

  • 김건형;노승희;이병렬;김재규;양기영
    • Journal of Acupuncture Research
    • /
    • 제28권6호
    • /
    • pp.93-105
    • /
    • 2011
  • Objectives : This study aims to evaluate currently available clinical evidence for the use of acupuncture in patients with lumbar spinal stenosis in the context of Republic of Korea. Methods : Five Korean databases were searched for all clinical studies employing acupuncture for patients with lumbar spinal stenosis. The exceptions were case reports and series involving less than 10 patients from their inception to September 2011. Only studies reported in Korean databases were searched. Results : Five retrospective audits among 22 initially identified studies were eligible for analysis in this review. There was no randomized controlled trial for this topic. The number of patients varied between 15 and 119 in each audit, and all the patients analyzed were inpatients. In all the included studies, acupuncture was conducted in combination with other concomitant treatments, including moxibustion, cupping, herbal remedies, acupoint injection, Chuna, and various physical therapies. All the included audits reported symptomatic and/or functional improvements compared to baseline. None of the included audits indicated whether any adverse events were reported. Conclusions : Current evidence for the use of acupuncture in patients with lumbar spinal stenosis in the context of South Korea is based solely on five retrospective audits that are very likely prone to a high risk of bias. Thus, further prospective and methodologically sound clinical trials to overcome this huge gap between clinical practice and the available evidence for the use of acupuncture in patients with lumbar spinal stenosis are needed.

냉각 송풍장치를 이용한 기능성 농약방제복의 구성시안 제안에 관한 연구 (A Draft Proposal for Functional Pesticide Protection Clothing Using a Cooling Blower Unit)

  • 오영순;이경숙;채혜선;김경란
    • 한국지역사회생활과학회지
    • /
    • 제25권4호
    • /
    • pp.557-566
    • /
    • 2014
  • This study examines he trend in the development of protective clothing for pesticide spraying based on materials with domestic patents and proposes pesticide protection clothing using a cooling blower unit effective for reducing heat stress in pesticide spraying. There was a total of 54 domestic patents on protective clothing related to pesticide spraying, reflecting a sharp increase based on the increasing demand for protective clothing since 2000. Protective clothing with a lower level of heat stress as the core technology accounted for 35.2% of these patents, and recent years have witnessed the increased development of protective clothing supplying cold air to the interior of the clothing through a separate device. However, this may cause some inconvenience in the activity of farmers. Therefore, this study proposes a lightweight cooling blower unit that does not hinder the user's appearance and activity. In the cooling blower unit, contaminated air from outside is purified through a filter and cools down as it passes a cooling device with refrigerant in the copper pipe. This chilled air is supplied to the interior of the clothing through a bidirectional inhaling blower. The proposed protective clothing is an overall with raglan sleeves. Its chill injection site has an area where the most conspicuous change in temperature is selected, and at the back, there is a large pocket for a cooling blower unit.

Comparing pain relief and functional improvement between methylprednisolone and dexamethasone lumbosacral transforaminal epidural steroid injections: a self-controlled study

  • Donohue, Nicholas K.;Tarima, Sergey S.;Durand, Matthew J.;Wu, Hong
    • The Korean Journal of Pain
    • /
    • 제33권2호
    • /
    • pp.192-198
    • /
    • 2020
  • Background: Previous studies have shown varying results between lumbosacral transforaminal epidural steroid injections (TFESIs) performed with particulate versus non-particulate corticosteroids. The purpose of this study was to investigate the difference in pain relief and functional improvement between particulate and nonparticulate lumbosacral TFESIs in patients who had undergone both injections, sequentially. Methods: This was a self-controlled, retrospective study of 20 patients who underwent both a methylprednisolone and a dexamethasone TFESI to the same vertebral level and side. Primary outcomes included pain relief according to the visual analogue scale (VAS) and functional improvement determined by a yes/no answer to questions regarding mobility and the activities of daily living. Post-injection data was recorded at 2, 3, and 6 months. Results: A decrease in VAS scores of -3.4 ± 3.0 (mean ± standard deviation), -3.1 ± 3.1, and -2.8 ± 3.4 was seen for the methylprednisolone group at 2, 3, and 6 months, respectively. Similar decreases of -3.9 ± 3.5, -3.4 ± 2.8, and -2.3 ± 3.4 were seen in the dexamethasone group. There was no significant difference in pain relief at any point between the two medications. The percentage of subjects who reported improved function at 2, 3, and 6 months was 65%, 51%, and 41%, respectively, for the methylprednisolone group and 75%, 53%, and 42% for the dexamethasone group. Conclusions: These findings support the use of non-particulate corticosteroids for lumbosacral TFESIs in the context of documented safety concerns with particulate corticosteroids.

Sex Reversal and Masculinization according to Growth in Longtooth Grouper Epinephelus bruneus

  • Oh, Seong-Rip;Kang, Hyeong-Cheol;Lee, Chi-Hoon;Hur, Sang-Woo;Lee, Young-Don
    • 한국발생생물학회지:발생과생식
    • /
    • 제17권2호
    • /
    • pp.79-85
    • /
    • 2013
  • To understand the sex reversal characteristics in the longtooth grouper (Epinephelus bruneus), this study examined the sex reversal and artificial masculinization of wild caught E. bruneus reared in indoor rearing tank after a 17${\alpha}$-methyltestosterone injection. To domesticate a broodstock, 64 wild caught E. bruneus, between 47.0 to 110.0 cm in total length and from 1.5 to 21.4 kg in body weight, were reared in indoor rearing tank (4.0 to 5.0 m wide, and 2.5 to 3.0 m depth) for four years. Seven specimens showed sex reversal from female to male during indoor rearing condition, whose total length and body weights were from 63.0 to 99.0 cm and from 4.4 to 13.2 kg, respectively. After inducing artificial masculinization in 14 female E. bruneus with a 17${\alpha}$-methyltestosterone (2.0 mg/kg BW) implants for 3 years, spermiation occurred in 9 specimens (total length: 54.0 to 68.0 cm, body weight: 2.3 to 4.3 kg). Among the female to male sex reversals, two specimens returned back to being female, whose body weights were 2.8 kg (initially 2.6 kg) and 2.7 kg (initially 2.3 kg). Therefore, this study suggested that E. bruneus (> 3.0 kg) was more effective in masculinizing by 17${\alpha}$-methyltestosterone implants.

Urea-SCR 분사시스템의 DeNOx 저감 성능 향상과 NH3 슬립저감을 위한 모델 기반 제어알고리즘 개발 및 구현 (The Development and Implementation of Model-based Control Algorithm of Urea-SCR Dosing System for Improving De-NOx Performance and Reducing NH3-slip)

  • 정수진;김우승;박정권;이호길;오세두
    • 한국자동차공학회논문집
    • /
    • 제20권1호
    • /
    • pp.95-105
    • /
    • 2012
  • The selective catalytic reduction (SCR) system is a highly-effective aftertreatment device for NOx reduction of diesel engines. Generally, the ammonia ($NH_3$) was generated from reaction mechanism of SCR in the SCR system using the liquid urea as the reluctant. Therefore, the precise urea dosing control is a very important key for NOx and $NH_3$ slip reduction in the SCR system. This paper investigated NOx and $NH_3$ emission characteristics of urea-SCR dosing system based on model-based control algorithm in order to reduce NOx. In the map-based control algorithm, target amount of urea solution was determined by mass flow rate of exhaust gas obtained from engine rpm, torque and $O_2$ for feed-back control NOx concentration should be measured by NOx sensor. Moreover, this algorithm can not estimate $NH_3$ absorbed on the catalyst. Hence, the urea injection can be too rich or too lean. In this study, the model-based control algorithm was developed and evaluated on the numerical model describing physical and chemical phenomena in SCR system. One channel thermo-fluid model coupled with finely tuned chemical reaction model was applied to this control algorithm. The vehicle test was carried out by using map-based and model-based control algorithms in the NEDC mode in order to evaluate the performance of the model based control algorithm.

방향족 아미노산이 초기계배에 미치는 영향에 관한 세포생물학적 연구 (Cell Biological Studies of the Effect of Aromatic Amino Acids on Early Development of Chick Embryo)

  • 최임순;주충노;최춘근;김재원
    • 한국동물학회지
    • /
    • 제28권4호
    • /
    • pp.257-278
    • /
    • 1985
  • Phenyalanine, tryptophan, tyrosine 과 같은 방향족 아미노산을 계배 초기에 투여하였을 때 somite 형성에 미치는 영향을 광학 및 전자현미경을 사용하여 형태적으로 추구한 결과 아미노산을 투여한 계배에서는 불완전한 체절 분절 현상이 일어나고 신경계에도 감쇠 영향을 미치며 somite의 발생이 불완전하고 그 크기도 다양하였다. 또한 체절 세포는 chromatin이 응축되고 미토콘드리아의 일부는 파괴되었고 핵이 변형된 경우도 있었다. 부란 24시간 후 아미노산을 투여하고 15일간 부란한 계배의 경우 단백질이나 핵산은 대조군에 비해 크게 저하되지는 않았으나 lactate dehydrogenase, succinate dehydrogenase, malate dehydrogenase 및 glucose 6-phosphate dehydrogenase와 같은 기초대사에 중요한 구실을 하는 효소활성은 크게 저하되었다. 이와 같은 실험결과로부터 초기계배에 아미노산을 투여하면 아마도 yolk granule의 분해가 지연되며 결과적으로 세포내의 아미노산 균형이 파괴되어 정상 대사가 이루어지지 못하여 비정상적인 체절형성의 현상이 나타나게 되는 것으로 생각된다.

  • PDF

Cloning of Xanthine Oxidase Gene from Mouse Liver cDNA Library

  • 이추희;이상일;남두현;허근
    • 한국응용약물학회:학술대회논문집
    • /
    • 한국응용약물학회 1994년도 춘계학술대회 and 제3회 신약개발 연구발표회
    • /
    • pp.261-261
    • /
    • 1994
  • Bovine milk xanthine oxidase (E.C.1.1.3.22, XO) purchased from Sigma Chemical Co. had the three protein fragments below 150 kDa on 7.5% SDS-PAGE, which did not show enzyme activity. To remove these fragments, the enzyme preparation was further purified through Sephadex G-200 column chromatography. Two peaks exhibiting enzymatic activity were separated very closely to the void volume, which were revealed as two different enzyme forms, dimeric and monomeric, confirmed by activity staining on native PAGE. Anti sera-against each of the two enzyme forms were raised by subcutaneous injection at multiple sites on the back of rabbits during 4 weeks. On the immunodiffusion test, it was found that both of the antisera of the two forms could react with each other, which implied that their epitopes were identical In the Western blot analysis of mouse liver cytosol fraction, it was found that rabbit anti-XO antibody bound well with the protein band of monomeric mouse liver XO of about 150kDa. Based on this result, mouse liver cDNA 1 ibrary was screened by in situ hybridizat ion wi th rabbi t anti -XO antibody as probe. Through the immunological screening, recombinant phages giving positive signal by the production of XO were selected and further purified. To validate these clones, purified phages were lysogenized in E. coli Y1089 and their lysates were analysed for enzyme activity and immunoreactivity, It was verified that lysates of the purified recombinant phage lysogens exhibited the enzymatic activity as well as bound wi th XO antibody, when induced by IPTG. The above results assert that selected recombinant phage carries mouse liver XO gene.

  • PDF

Transient Adverse Neurologic Effects of Spinal Pain Blocks

  • Lee, Han-Il;Park, Yong-Sook;Cho, Tack-Geun;Park, Seung-Won;Kwon, Jeong-Taik;Kim, Young-Baeg
    • Journal of Korean Neurosurgical Society
    • /
    • 제52권3호
    • /
    • pp.228-233
    • /
    • 2012
  • Objective : Chronic neck or back pain can be managed with various procedures. Although these procedures are usually well-tolerated, a variety of side effects have been reported. In this study we reviewed cases of unexpected temporary adverse events after blocks and suggest possible causes. Methods : We reviewed the records of patients treated with spinal pain blocks between December 2009 and January 2011. The types of blocks performed were medial branch blocks, interlaminar epidural blocks and transforaminal epidural blocks. During the first eight months of the study period (Group A), 2% mepivacaine HCL and triamcinolone was used, and during the last six months of the study period (Group B), mepivacaine was diluted to 1% with normal saline. Results : There were 704 procedures in 613 patients. Ten patients had 12 transient neurologic events. Nine patients were in Group A and one was in Group B. Transient complications occurred in four patients after cervical block and in eight patients after lumbar block. Side effects of lumbar spine blocks were associated with the concentration of mepivacaine (p<0.05). The likely causes were a high concentration of mepivacaine in five patients, inadvertent vascular injection in three patients, intrathecal leak of local anesthetics in one, and underlying conversion disorder in one. Conclusion : Spinal pain blocks are a good option for relieving pain, but clinicians should always keep in mind the potential for development of inevitable complications. Careful history-taking, appropriate selection of the anesthetics, and using real-time fluoroscopy could help reduce the occurrence of adverse events.

칼돌기 통증 - 2예 보고 - (Xiphodynia - 2 cases report -)

  • 이승진;김동현;이석열;이철세
    • Journal of Chest Surgery
    • /
    • 제42권2호
    • /
    • pp.272-274
    • /
    • 2009
  • 칼돌기 부위에 고통을 느끼는 칼돌기 통증은 흔하지 않은 근골격계 질환으로 전흉부와 상복부, 목, 양측 어깨, 등으로 통증이 방사될 수 있다. 진단에서 중요한 것은 이러한 통증이 칼돌기의 이상에 의해서 발생할 수 있다는 것을 임상적으로 알고 있어야 한다는 것이다. 2 증례의 칼돌기 통증 환자를 경험하였는데, 칼돌기 부위를 가볍게 누르면 전흉부와 상복부의 통증이 반복적으로 재생산될 때 진단하였다. 수년간 칼돌기 통증으로 고통 받아 왔던 첫번째 증례 환자에서는 칼돌기 제거수술을 하였고, 두번째 증례 환자에서는 국소마취제를 주사하여 치료하였다.

조영제로 유발된 약진(藥疹)환자 치험 1례 (A Clinical Case Report of Contrast-induced drug eruption patient Treated with Traditional Oriental Medicine)

  • 정의민;정종수;윤성우;박재우
    • 대한암한의학회지
    • /
    • 제12권1호
    • /
    • pp.75-82
    • /
    • 2007
  • Drug eruption is a cutaneous reaction caused by various drugs. It is a very common drug induced adverse reaction. Contrast media induced drug eruption is rare. But approximately 10% of people injected with contrast media experience adverse reaction, and drug eruption accounts for more than 40% of all adverse reactions. We report a case of mild drug eruption and its treatment process based on korean traditional medicine. The patient is a 50 years old female diagnosed with functional dyspepsia. The patient had gastric discomfort and alternation between diarrhea and constipation. All symptoms showed nearly complete remission with continued korean traditional medical treatment. The patient had been injected with contrast media for Computed tomography(CT) evaluation of her breast cancer history. Rashes appeared on back and abdomen, and urticaria and pruritus appeared on the patient's finger 1 day after injection. We prescribed Goreisan(TSUMURA CO &, TJ-17) and acupuncture on Quchi(LI11), Zusanli(ST36), Yangxi(LI5), Yanggu(SI5). Consequently, the drug eruption showed remarkable improvement. So the author reports korean traditional medicine is effective complementary treatment for drug eruption.

  • PDF