• Title/Summary/Keyword: injection back

Search Result 363, Processing Time 0.041 seconds

Epidural Adhesiolysis in Low Back Pain (요통환자에서 경막외 유착 용해술에 의한 제통효과)

  • Lee, Sang-Chul;Oh, Wan-Soo;Kim, Jin-Kyoung;Roh, Chang-Joon;Son, Jong-Chan
    • The Korean Journal of Pain
    • /
    • v.10 no.2
    • /
    • pp.214-219
    • /
    • 1997
  • Background: Epidural neural blockade with local anesthetics combined with steroids has been in clinical trials for patients with low back pain. But pain treatment of low back pain remains somewhat problematic. Many patients with low back pain have epidural fibrosis and adhesions proved with magnetic resonance imaging(MRI) examination. These findings might play an important role in the origin of back pain. Present study was aims to investigate the effect of epidural adhesiolysis in patients with low back pain. Methods: We investigated 76 patients suspected with epidural fibrosis and adhesion was suspected. Nerve pathology was demonstrated and epidural fibrosis suspected or proved with MRI examination. 17G needle specially designed by Racz was inserted at sacral hiatus and catheter was inserted untill its tip was located at lesion site under fluoroscopic guidance. Injection of contrast dye was achieved and prospected spread of agents. Injection of 0.25% bupivacaine, triamcinolone, and 10% hypertonic saline via catheter were carried out daily for 3 days. Evaluation included assessment of pain relief (Numerical Rating Scale; NRS) post-epidural adhesiolysis 3 days, 1 week, and 3 months. We also looked for complication of epidural adhesiolysis. Results: Statistical analysis(Friedman nonparametric repeated measures test and Dune's multiple comparison test) demonstrated NRS was significantly less during 3 months after epidural adhesiolysis(P<0.05). Especially, there is a extremely significance in post-epidural adhesiolysis 3 days (P<0.001). Only four patients reported any complications the most common symptom among three persistent headache but disappeared after a few months without residual sequelae. Conclusion: We conclude epidural adhesiolysis is a safe and effective method of pain therapy for low back pain with proven lumbo-sacral fibrosis and adhesion. A direct visualization by epiduroscopy may be more useful to the resulting functional changes after epidural adhesiolysis.

  • PDF

A Study on Application of the Photo Detector for Electromagnetic Fuel Injection System of DI Diesel Engine (직분식 디젤기관 전자분사계의 광검출기 적용에 관한 연구)

  • Ra, Jin-Hong;Ahn, Soo-Kil
    • Journal of Ocean Engineering and Technology
    • /
    • v.13 no.3B
    • /
    • pp.38-46
    • /
    • 1999
  • Increasing stringent emissions legislation and requirement of more effective energy used for diesel engine demand the fine control of the fuel injection system. Recently, the electromagnetic fuel injection control system for diesel engine is tried to realize the optimum diesel combustion by the feel back sensing as optical signal of combustion flame. The photo detectors were made for the feed back signal of electromagnetic fuel injection control for small DI diesel engine. Their abilities to detect defining combustion events were examined. By evaluating test results, it was shown that the wider acceptable optical range design of optical probe window face, and selection of installation position and installation method of detector were important point for improving sensing ability. The detector was shown to detect start and end of diffused combustion and maximum point of flame intensity impossible for pressure sensor, and also shown that the maximum point of flame intensity was 75% of accumulated heat release point within the experimental conditions.

  • PDF

Reliability Analysis for Deuterium Incorporated Gate Oxide Film through Negative-bias Temperature Instability and Hot-carrier Injection (Negative-bias Temperature Instability 및 Hot-carrier Injection을 통한 중수소 주입된 게이트 산화막의 신뢰성 분석)

  • Lee, Jae-Sung
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
    • /
    • v.21 no.8
    • /
    • pp.687-694
    • /
    • 2008
  • This paper is focused on the improvement of MOS device reliability related to deuterium process. The injection of deuterium into the gate oxide film was achieved through two kind of method, high-pressure annealing and low-energy implantation at the back-end of line, for the purpose of the passivation of dangling bonds at $SiO_2/Si$ interface. Experimental results are presented for the degradation of 3-nm-thick gate oxide ($SiO_2$) under both negative-bias temperature instability (NBTI) and hot-carrier injection (HCI) stresses using P and NMOSFETs. Annealing process was rather difficult to control the concentration of deuterium. Because when the concentration of deuterium is redundant in gate oxide excess traps are generated and degrades the performance, we found annealing process did not show the improved characteristics in device reliability, compared to conventional process. However, deuterium ion implantation at the back-end process was effective method for the fabrication of the deuterated gate oxide. Device parameter variations under the electrical stresses depend on the deuterium concentration and are improved by low-energy deuterium implantation, compared to conventional process. Our result suggests the novel method to incorporate deuterium in the MOS structure for the reliability.

Torque Ripple Reduction for Permanent Magnet Synchronous Motor using Harmonic Current Injection (고조파 전류를 이용한 영구자석형 동기 전동기의 토크 리플 저감)

  • Kwon, Soon-O;Lee, Jeong-Jong;Lee, Geun-Ho;Hong, Jung-Pyo
    • The Transactions of The Korean Institute of Electrical Engineers
    • /
    • v.58 no.10
    • /
    • pp.1930-1935
    • /
    • 2009
  • This paper deals with the torque ripple reduction of permanent magnet synchronous motor using harmonic current injection. Torque ripple of electric motor reduces system stability and performances, therefore efforts to reduce torque ripple are exerted in the design process. Torque ripple can be reduced by appropriate pole/slot combination, skew of rotor or stator, design of magnetic circuit, etc. In addition, torque ripple can be also reduced by input voltage and current, and many researches have been conducted to reduce torque ripple for six-step drive. Torque ripple reduction for current vector controlled permanent magnet synchronous motor also have been conducted and verified by investigating back emf wave form. Torque ripple reduction in this paper started from getting torque profile according to input current and electrical angle calculated by FEA, then instantaneous currents at each electrical angles for constant torque are calculated and applied to experiments. Therefore, 0% of torque ripple can be obtained theoretically with harmonic current injection. In order to maximize the effect of torque ripple reduction, a BLDC motor having high harmonic component of back emf is chosen. With sinusoidal current drive, over 100% of torque ripple is obtained initially, then 0.5 % of torque ripple is obtained by FEA using harmonic current injection. The effect is verified by experiment and the presented method can be effectively applicable to Electric Power Steering(EPS).

A Study on the Droplet Size Distribution of Ultra High Pressure Diesel Spray on Electronic Hydraulic Fuel Injection System (전자유압식 분사계에 의한 초고압 디젤분무의 입경분포에 관한 연구)

  • Jang, S.H.;Ahn, S.K.
    • Journal of Power System Engineering
    • /
    • v.2 no.1
    • /
    • pp.25-30
    • /
    • 1998
  • In order to investigate the droplet size distribution and Sauter Mean Diameter in a ultra high pressure diesel spray, fuel was injected with ultra high pressure into the environments of high pressure and room temperature by an Electronic Hydraulic Fuel Injection System. Droplet size was measured with the immersion liquid sampling technique. The immersion liquid was used a mixture of water-methycellulose solution and ethanol. The Sauter Mean Diameter decreased with increasing injection pressure, with a decrease environmental pressure (back pressure) and nozzle diameter. Increasing the injection pressure makes the fuel density distribution of the spray more homogeneous. An empirical correlation was developed among injection pressure, air density, nozzle diameter and the Sauter Mean Diameter of spray droplets.

  • PDF

Effectiveness of continuous hypertonic saline infusion with an automated infusion pump for decompressive neuroplasty: a randomized clinical trial

  • Lee, Ho-Jin;Lee, Jaewoo;Park, Yeon wook;Gil, Ho Young;Choi, Eunjoo;Nahm, Francis Sahngun;Lee, Pyung Bok
    • The Korean Journal of Pain
    • /
    • v.32 no.3
    • /
    • pp.196-205
    • /
    • 2019
  • Background: Hypertonic saline (HS) injections for decompressive neuroplasty (DN) can cause pain. We assessed whether a continuous infusion of HS through an infusion pump would reduce injection-related pain compared with repeated bolus administrations. Methods: Fifty patients scheduled for DN were randomized to either the bolus injection or the continuous infusion group. After appropriately placing the epidural catheter, 4 mL of 5% NaCl was injected as four boluses of 1 mL each at 15-minute intervals or infused over 1 hour using an infusion pump. The severity of pain induced by HS injection, as measured by the 11-point numerical rating scale (NRS), was the primary outcome. The severity of low back or lower extremity pain, as measured by the 11-point NRS and Oswestry Disability Index (ODI), 3 months following the procedure, was the secondary outcome. Results: Data from 21 patients in the bolus group and 23 in the continuous infusion group were analyzed. No statistically significant difference in injection-related pain was identified between the two groups during the initial HS administration (P = 0.846). However, there was a statistically significant reduction in injection-related pain in the continuous infusion group compared to the bolus injection group from the second assessment onwards (P = 0.001, < 0.001, and < 0.001, respectively). No significant between-group differences in the NRS and ODI scores 3 months post-procedure were noted (P = 0.614 and 0.949, respectively). Conclusions: Our study suggests that administering HS through a continuous infusion is a useful modality for reducing HS injection-related pain during DN.

A study of electronic gasoline engine control technique (전자식 가솔린 엔진의 조절 방법에 관한 연구)

  • 성낙원
    • Journal of the korean Society of Automotive Engineers
    • /
    • v.9 no.5
    • /
    • pp.66-76
    • /
    • 1987
  • The control technique for an electronic engine is studied. For this study an IBM-PC and a throttle body fuel injection system are selected. The computer controls fuel injection, spark timing, exhaust gas recirculation and idle speed. Fuel injection is adjusted either by a feed back signal of a zirconia $O_{2}$ sensor or programmed logic for starting, deceleration, warm ing up and idle modes. When a 3-way catalytic converter is used with the electronic engine control system, CO, THC, and NOx were reduced more than 90% simultaneously.

  • PDF

A study on the injection molding CAE analysis for the car back mirror frame replacement by plastic (자동차용 Back-mirror용 Frame의 플라스틱화에 대한 CAE 해석 연구)

  • 허영무
    • Journal of the korean Society of Automotive Engineers
    • /
    • v.16 no.1
    • /
    • pp.10-21
    • /
    • 1994
  • 본 연구에서는 현재 자동차의 좌, 우측 Back Mirror의 부품중의 하나인 Frame을 현재 Zinc Diecasting 제품을 플라스틱으로 대체하는데 따른 여러가지 문제점을 플라스틱으로 대체하는데 따른 여러가지 문제점을 플라스틱 사출성형 CAE 해석을 이용하여 검증한 뒤 그 결과를 토대로 실제 제품개발 및 금형개발 등에 응용하기 위하여 연구를 행하는데 그 목적이 있다.

  • PDF

Investigation of High-Sensitivity C-reactive Protein and Erythrocyte Sedimentation Rate in Low Back Pain Patients

  • Park, Chan-Hong;Lee, Sang-Ho
    • The Korean Journal of Pain
    • /
    • v.23 no.2
    • /
    • pp.147-150
    • /
    • 2010
  • Background: Chronic low back pain can be a manifestation of lumbar degenerative disease, herniation of intervertebral discs, arthritis, or lumbar stenosis. When nerve roots are compromised, low back pain, with or without lower extremity involvement, may occur. Local inflammatory processes play an important role in patients with acute lumbosciatic pain. The purpose of this study was to assess the value of erythrocyte sedimentation rate (ESR) and high sensitivity C-reactive protein (hsCRP) measurements in patients with chronic low back pain or radiculopathy. Methods: ESR and hsCRP were measured in 273 blood samples from male and female subjects with low back pain and/or radiculopathy due to herniated lumbar disc, spinal stenosis, facet syndrome, and other diseases. The hsCRP and ESR were measured prior to lumbar epidural steroid injection. Results: The mean ESR was 18.8 mm/h and mean hsCRP was 1.1 mg/L. ESR had a correlation with age. Conclusions: A significant systemic inflammatory reaction did not appear to arise in patients with chronic low back pain.