• Title/Summary/Keyword: needles

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22-gauge Co-Cr versus stainless-steel Franseen needles for endoscopic ultrasound-guided tissue acquisition in patients with solid pancreatic lesions

  • Yuki Tanisaka;Masafumi Mizuide;Akashi Fujita;Ryuhei Jinushi;Rie Shiomi;Takahiro Shin;Kei Sugimoto;Tomoaki Tashima;Yumi Mashimo;Shomei Ryozawa
    • Clinical Endoscopy
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    • v.57 no.2
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    • pp.237-245
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    • 2024
  • Background/Aims: Endoscopic ultrasound-guided tissue acquisition (EUS-TA) using Franseen needles is reportedly useful for its high diagnostic yield. This study compared the diagnostic yield and puncturing ability of EUS-TA using 22-gauge cobalt-chromium (CO-Cr) needles with those of stainless-steel Franseen needles in patients with solid pancreatic lesions. Methods: Outcomes were compared between the 22-gauge Co-Cr Franseen needle (December 2019 to November 2020; group C) and stainless-steel needle (November 2020 to May 2022; group S). Results: A total of 155 patients (group C, 75; group S, 80) were eligible. The diagnostic accuracy was 92.0% in group C and 96.3% in group S with no significant intergroup differences (p=0.32). The rate of change in the operator (from training fellows to experts) was 20.0% (15/75) in group C and 7.5% (6/80) in group S. Stainless-steel Franseen needles showed less inter-operator difference than Co-Cr needles (p=0.03). Conclusions: Both Co-Cr and stainless-steel Franseen needles showed high diagnostic ability. Stainless-steel Franseen needles are soft and flexible; therefore, the range of puncture angles can be widely adjusted, making them suitable for training fellows to complete the procedure.

Fatty Acid Composition of Total Lipids from Needles and Pollen of Korean Pinus densiflora and Pinus koraiensis (소나무 및 잣나무의 잎과 꽃가루의 지방산 조성)

  • Yoon, Tai-Heon
    • Journal of the Korean Applied Science and Technology
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    • v.9 no.1
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    • pp.25-30
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    • 1992
  • The needles and pollen of Pinus densiflora and Pinus koraiensis were studied for their lipid contents and fatty acid composition. The total lipid contents in needles of Pinus densiflora and Pinus koraiensis were 5.0 and 4.5%, whereas in pollen of Pinus densiflora and Pinus koraiensis 3.5 and 5.6%, respectively. Twenty-four fatty acids ranged from lauric acid to docosahexaenoic acid(22:6${\omega}$3) were identified in the needle lipids. In needles, linolenic acid and palmitic acid were the major fatty acids. The needles of Pinus densiflora showed higher proportions of docosahexaenoic acid and 5-olefinic nonmethylene-interrupted polyenoic acids than those in the Pinus koraiensis. Twenty fatty acids ranged from myristic acid to lignoceric acid were identified in the pollen lipids. Linoleic acid was the major fatty acid in the pollen followed by oleic and palmitic acid. The fatty acid profile of pollen of Pinus densiflora was similar to those of the Pinus koraiensis pollen lipids.

Development of Magnetized Ferromagnetic Stainless Steel Acupuncture Needle (강자성(强磁性) 스테인리스강(鋼) 자화침(磁化鍼)의 개발)

  • Hong, Do Hyun
    • Journal of Acupuncture Research
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    • v.31 no.2
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    • pp.21-30
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    • 2014
  • Objectives : Manufacturing and manipulation techniques of acupuncture can be interpreted as an induced electromagnetic viewpoint, as proposed in previous study. Considering from this point of view, the magnetization of needles should be essential to enhance the electromagnetic effects during the behavior of the acupuncture needling. Methods : The current disposable needles are made of non-magnetic stainless steels, so ferromagnetic materials were searched as suitable substitutes. Meanwhile, at the practical view, stainless steels are very available for the several superior properties like as corrosion resistance, strength, etc., magnetic stainless steels were first investigated. Some types of them still preserved the ferromagnetic properties of iron, so trial needles were made with them. And then magnetization of them were followed. Results : Among the hundreds types of stainless steels, martensitic or ferritic ones are ferromagnetic. The needles made with these ferromagnetic wires were magnetized, and polarized by magnetizer, and their magnetic properties were improved. Moreover, in addition to the superiority of the magnetism, the electrical and thermal conductivities of them were even better than those of the current austenitic stainless steels. Conclusions : Through the developmental study based on the electromagnetic viewpoint, the magnetized and polarized acupuncture needles were completed. This means that these needles having improved magnetism can be used to improve the electromagnetic needling effects, and moreover, their superiorities in the electrical and thermal conductivities can also give another benefits in treatments of electrical or warm needling.

Observation of Fine Structures of Defective Herbal Acupuncture Needles (약침용 불량 Needle의 미세 형태 관찰)

  • Park, Won-Pil;Kim, Hyun-Do;Kwon, Ki-Rok
    • Journal of Pharmacopuncture
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    • v.8 no.1
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    • pp.67-71
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    • 2005
  • Objectives : This study was conducted to observe the tip of needles which induce poor needle sensation upon injection of herbal acupuncture. Methods : Among the syringes used for herbal acupuncture, needles which cause poor sensation were collected and evaluated by SEM (scanning electron microscope) for changes in structure, existence of impure matters, physical damage, and etc. Results : 1. Various forms contributed to poor needle sensation. Bent needle body, damaged or crooked needle tip, and blunted tip 2. Poor needles could be made during the manufacturing process, during insertion of the needle into the vial(except for the lubricants), and repeated procedures with one needle at different regions. Conclusion : Poor needles induce unnecessary pain and discomfort not only to the patients but also to administrators during injection. Herbal acupuncture is a treatment technique injecting herbal extract on the meridian points, and strict quality check must be enforced to prevent occurrence of poor needles.

Characteristics of PCDD/Fs Deposited on Pine Needles (소나무잎에 침착된 PCDD/Fs 특성)

  • Chun, Man-Young
    • Journal of Korean Society of Environmental Engineers
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    • v.27 no.6
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    • pp.599-605
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    • 2005
  • The characteristics of PCDD/Fs were studied when accumulating on 1 to 4 year old pine needles that were used as passive samplers of atmospheric POPs. The rate of concentration increase was linear in lower(tetra- through hexa-) chlorinated PCDD/Fs, but higher (hepta- and octa-) chlorinated homologue concentrations did not increase with needle age. The lower were in gas phase and the higher in particles. Photodegradation rates of PCDDs on pine needles were similar to PCDFs, higher chlorinated PCDD/Fs tend to photolyze quickly. Therefore it is recommended that the younger needles should be collected to avoid errors from the depositional accumulation rates and photodegradation, and that, when comparing local concentrations of PCDD/Fs, needles of same age should be collected to reduce the errors.

The Factors Influencing Glass Particles in Single Dose Glass Ampules upon Opening (유리앰플 개봉 시 미세 유리조각 유입에 영향을 미치는 요인)

  • Song, Ju-Yeon;Kim, Dong-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.2
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    • pp.166-172
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    • 2007
  • Purpose: The purpose of this study was to examine the factors influencing glass particle contamination in single dose glass ampules upon opening. Method: The study was single case experimental design. Different methods of opening ampule (hand, wooden stick), different sizes of ampules(1cc, 2cc) and different sizes of needles(17gauge, 23gauge, $5{\mu}m$ filter) were evaluated. Eighteen ampules were randomly assigned in each group. The number of glass ampule particles ${\ge}10{\mu}m$ was counted by microscope. Results: There was no significant difference in the number of particles aspirated by opening methods. But number of glass particles was much lower when using 1cc ampules rather than 2cc ampules and was also much lower when using smaller size needles and needles which include a $5{\mu}m$ filter rather than larger size of needles. Conclusion: We suggest that larger bore or unfiltered needles increase the risk of aspirating more glass particles than smaller bore or filter needles. In addition, these data show that a wooden stick can be used as a method opening glass ampules.

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Concentration and Characteristic of PBDEs in Pine Needle and Soil of Ansung-city (안성 지역 소나무 잎과 토양 중 PBDEs의 농도 수준 및 특성)

  • Yeo, Hyun-Gu;Cho, Ki-Chul;Chun, Man-Young
    • Journal of Environmental Health Sciences
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    • v.32 no.2 s.89
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    • pp.111-117
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    • 2006
  • Polybrominated diphenyl ethers (PBDEs) in pine needles and soil samples from rural area were analyzed in this study. Concentrations of PBDE congeners were ranged between 0.2 and 3104 pg/g DW(dry weight) in pine needles and between 2.4 and 1997 pg/g DW in soil samples. The most abundant congener both in pine needles and soil samples was BDE-209, which was related to importation and production of deca-BDE technical mixtures in Korean industry. And BDE-99, BDE-47, BDE-100 deposited in pine needles and soil samples were closely matched with the major constituents of the penta-BDE technical mixture. Those can be interpreted as an evidence that transfer of the congeners in deca-BDE and penta-BDE technical mixtures from source to pine needle and soil occurs with broadly similar efficiency. Correlation coefficient(r) of PBDE congeners deposited in pine needles and soil samples is very significant because it implies th at there has been little weathering/degradation/alteration of the congeners generated from sources during atmospheric transport or within pine needles and soil themselves.

In vitro apical pressure created by 2 irrigation needles and a multisonic system in mandibular molars

  • Ronald Ordinola-Zapata;Joseph T. Crepps;Ana Arias;Fei Lin
    • Restorative Dentistry and Endodontics
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    • v.46 no.1
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    • pp.14.1-14.7
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    • 2021
  • Objectives: The aim of this study was to evaluate the apical pressure generated by 2 endodontic irrigation needles and the GentleWave system in mandibular molars. Materials and Methods: The mesial and distal root canals of 12 mandibular molars were irrigated with a 30-gauge close-end needle or with a 30-gauge open-end needle. Procedures were performed in the mesial and distal canals. The GentleWave procedure and irrigation at 1 mm from the apex in the distal roots using an open-end needle were used, respectively, as negative and positive controls. The apical pressure was measured using a data acquisition pressure setup. Apical pressure exerted by the different needles in the 2 different canal types was statistically compared using 2-way analysis of variance. Results: Significant differences were found in the apical pressure for both needles and the canal type. The lowest values were obtained with close-end needles and in mesial canals. Negative apical pressure values were obtained using GentleWave. Conclusions: The needle and the canal type influenced the apical pressure. The GentleWave procedure produced negative apical pressure.

Quality Evaluations of Seasoning Chicken Containing Pine Needles During Cold Storage (솔잎 닭고기 양념육의 냉장동안 품질평가)

  • Kim, Chang-R.;Kim, Kwang-H.
    • Food Science of Animal Resources
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    • v.27 no.1
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    • pp.47-52
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    • 2007
  • Quality evaluations of seasoning chicken wing treated with pine needles during storage of 6 days at $4^{\circ}C$ were assessed. Seasoning chicken containing 0.5-1.3% (w/w) pine needle during storage at $4^{\circ}C$ was allowed to the growth of Staphylococcus aureus. pH values of seasoning chicken containing pine needles after 6 days of storage were not significantly different (p>0.05) than those of the controls. The rate of drip loss on seasoning chicken containing pine needles after 24 hr of storage was significantly different (p<0.05) than that of the controls. Sensory scores of seasoning chicken containing 0.8-1.3% pine needles for odor and flavor were in the "liked more" to typical category during storage of 6 days at $4^{\circ}C$. For odor and flavor scores, seasoning chicken containing 1.0-1.3% pine needles compared to the controls and other treatments increased during storage days due to fresh odor of pine needles. Seasoning chicken containing 0.5-1.3% pine needles after 6 days of storage were no significantly different levels (p>0.05) of Hunter color $L^*$ values compared to controls. Hunter color $a^*$ and $b^*$ values of seasoning chicken containing 0.5-1.3% pine needles after 6 days of storage were significantly different (p<0.05) than those of the controls.

A Report on Three Cases of Acupuncture Needles Found Remaining in Patients' Bodies (체내에서 침이 발견된 사례 보고)

  • Yang, Na-Rae;Kim, Mi-Kyung;Choi, Dong-Jun;Han, Chang-Ho
    • The Journal of Internal Korean Medicine
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    • v.32 no.1
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    • pp.144-151
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    • 2011
  • Objectives : To report the cases of forgotten needles found in the patients' bodies since Dong-guk University Ilsan Hospital opened, and arouse considerable attention to prevent recurrence. Methods : Oriental medical doctors in the hospital has applied acupuncture on patients' bodies in case of need, and the other staffs removed the needles after treatment. Results : All the patients in the cases had cerebrovascular disease with paralysis, aphasia, cognitive disorder and disturbance of consciousness as well as dysphagia requiring gastrotomy tube and dysfunction of respiration requiring tracheal cannula. The pathways the acupuncture needles were passing through are presumed to be transtracheal via the hole of tracheal cannula in two cases, and transgastrointestinal via mouth or the opening of gastrotomy tube. The needle was excreted with stool without any harm to the patient in the latter case, while the impact of the needles on the respiratory system or thorax of the patients in the former two cases is ambiguous. The hospital has taken some measures to prevent recurrence. Conclusions : There are not a few at high-risk of occurrence of forgotten needles that might induce medical problems among patients in oriental medical clinics or hospitals. Authors expect this report arouses all the people involved in the whole procedure of acupuncture treatment, including oriental medical doctors, nurses, nurse-assistants and caregivers considerable attentions to the possible occurrence and risk of forgotten needles.