• Title/Summary/Keyword: transverse injection

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Relationship between needle depth for lumbar transforaminal epidural injection and patients' height and weight using magnetic resonance imaging

  • John, Hyunji;Sohn, Kyomin;Kim, Jae Hun
    • The Korean Journal of Pain
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    • v.35 no.3
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    • pp.345-352
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    • 2022
  • Background: Optimal needle depth in transforaminal epidural injection (TFEI) is determined by body measurements and is influenced by the needle entry angle. Physician can choose the appropriate needle length and perform the procedure more effectively if depth is predicted in advance. Methods: This retrospective study included patients with lumbosacral pain from a single university hospital. The skin depth from the target point was measured using magnetic resonance imaging transverse images. The depth was measured bilaterally for L4 and L5 TFEIs at 15°, 20°, and 25° oblique angles from the spinous process. Results: A total of 4,632 measurements of 386 patients were included. The lengths of the left and right TFEI at the same level and oblique angle were assessed, and no statistical differences were identified. Therefore, linear regression analysis was performed for bilateral L4 and L5 TFEIs. The R-squared values of height and weight combined were higher than the height, weight, and body mass index (BMI). The following equation was established: Depth (mm) = a - b (height, cm) + c (weight, kg). Based on the equation, maximal BMI capable with a 23G, 3.5-inch, Quincke-type point spinal needle was presented for three different angles (15°, 20°, and 25°) at lumbar levels L4 and L5. Conclusions: The maximal BMI that derived from the formulated equation is listed on the table, which can help in preparations for morbid obesity. If a patient has bigger BMI than the one in the table, the clinician should prepare longer needle than the usual spinal needle.

Pharmacognostical Studies on Korean Arisaema ringens $S_{CHOTT}$ (한국산 Arisaema ringens $S_{CHOTT}$의 생약학적 연구)

  • Chung, Myung-Hyun
    • Korean Journal of Pharmacognosy
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    • v.2 no.4
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    • pp.163-172
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    • 1971
  • This paper attempts to observe the histological structure of Korean Arisaema ringens $S_{CHOTT}{'s}$ rhizome, to identify it's constituent and to investigate the pharmacological action with it's alcohol extract. The results are : 1) The inner structure of rhizome on the transverse section is divided into external and internal tissues by the ring of intercellular secretary sac. Raphides of calcium oxalate contained in mucilage cell, collateral vascular bundle, are extremely similar to those contained in Pinellia ternata. 2) The organs of the pistillate Arisaema ringens are larger and more plentiful than those of the staminate Arisaema ringens. The sexual identification is easy in the flowering season. 3) The alkaloid is identified by Meyer reagent as white p.p.t. at pH 2 of sulfuric acid. 4) The saponin is indentified remarkably by means of foaming reaction, Lieberman-Burchard reaction and hemolytic reaction. 5) The effect of alcohol extract on the relaxation of the isolated intestine of the rabbit is remarkably shown at the concentration of $10^{-3}g/ml$. 6) The effect of alcohol extract on the isolated ractus muscle of the frog increases the constructive action of acetylcholine at the concentration of $10^{-3}g/ml$. 7) The effect of alcohol extract on the isolated heart movement of the frog is decreased remarkably at the concentration of $10^{-3}g/ml$. 8) The effect of alcohol extract on the blood pressure of the rabbit is decreased by an interavenous injection of $10^{-3}g/kg$.

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An experimental study on the characteristics of transverse jet into a supersonic flow field (초음속 유동장에서의 충돌제트 특성에 대한 실험적 연구)

  • 박종호;김경련;신필권;박순종;길경섭
    • Journal of the Korea Institute of Military Science and Technology
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    • v.6 no.4
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    • pp.124-131
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    • 2003
  • When a secondary gaseous flow is injected vertically into a supersonic flow through circular nozzle, a complicated structure of flow field is produced around the injection area. The interaction between the two streams produces a strong bow shock wane on the upstream side of the side-jet. The results show that bow shock wave and turbulent boundary layer interaction induces the boundary layer separation in front of the side-jet. This study is to analyze the structure of flow fields and distribution of surface pressure on the flat plate according to total pressure ratio using a supersonic cold-flow system and also to study the control force of affected side-jet. The nozzle of main flow was designed to have Mach 2.88 at the exit. The injector has a sonic nozzle with 4mm diameter at the exit of the side-jet. In experiments, The oil flow visualization using a silicone oil and ink was conducted in order to analyze the structure of flow fields around the side-jet. The flow fields are visualized using the schlieren method. In this study, a computational fluid dynamic solution is also compared with experimental results.

Spray Plume Characteristics of Liquid Jets in Subsonic Crossflows (수직분사제트의 액적영역 분무특성에 대한 연구)

  • Song Jin-Kwan;Ahn Kyu-Bok;Oh Jeong-Seog;Yoon Young-Bin
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2005.11a
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    • pp.201-206
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    • 2005
  • The effect of internal liquid flow on spray plume characteristics was performed experimentally in subsonic crossflows. The injector internal flow was classified as three modes such as a normal, cavitation, and hydraulic flip. The objectives of the research are to investigate the effect of internal liquid flow on the spray plume characteristics and compare the trajectory of spray plume with previous works. The results suggest that the trajectory of spray plume can be correlated as a function of liquid/air momentum flux ratio(q), injector diameter and normalized distance from the injector exit(x/d). It's also found that the injector internal turbulence influences the spray plume characteristics significantly.

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Intradermal Therapy (Mesotherapy) for the Treatment of Acute Pain in Carpal Tunnel Syndrome: A Preliminary Study

  • Conforti, Giorgio;Capone, Loredana;Corra, Stefano
    • The Korean Journal of Pain
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    • v.27 no.1
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    • pp.49-53
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    • 2014
  • Background: The carpal tunnel syndrome (CTS) is the most common cause of severe hand pain. In this study we treated acute pain in CTS patients by means of local intradermal injections of anti-inflammatory drugs (mesotherapy). Methods: In twenty-five patients (forty-five hands), CTS diagnosis was confirmed by clinical and neurophysiological examination prior to mesotherapy. A mixture containing lidocaine 10 mg, ketoprophen lysine-acetylsalycilate 80 mg, xantinol nicotinate 100 mg, cyanocobalamine 1,000 mcg plus injectable water was used. Sites of injection were three parallel lines above the transverse carpal ligament and two v-shaped lines, one at the base of the thenar eminence, and the other at the base of the hypothenar eminence. Results: The day after the treatment, all but four patients reported a significant reduction in pain and paresthesias. After 12 months, 17 patients had a complete pain relief, eight patients reported recurrence of pain and sensory symptoms and four out of them underwent surgical treatment. Conclusions: With the obvious limits of a small-size open-label study, our results suggest that mesotherapy can temporary relieve pain and paresthesias in most CTS patients and in some cases its effect seems to be long-lasting. Further controlled studies are needed to confirm our preliminary findings and to compare mesotherapy to conventional approaches for the treatment of CTS.

A Study on application of Trapezoidal Steel Box Tunnelling Method (지중압입체를 이용한 지하구조물 축조방법의 적용성 연구)

  • Jun, Sung Bai
    • Journal of the Society of Disaster Information
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    • v.4 no.2
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    • pp.138-154
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    • 2008
  • The conventional non-dig underground structure building method which made an appearance to reduce the social and environmental costs and maximize the efficiency of the social overhead capital facilities could not help being uneconomical because of many problems such as unnecessary excessive excavation, water leakage, obstacle interference, difficulty of curvilinear application and connection complexity between propelled and injected bodies due to indiscriminate application of small and large circular steel pipes without consideration of the site conditions. The T.S.T.M, in which a protruded square tube is applied as a propulsion and injection body in a design that considered site conditions such as ground condition, depth of soil and live load, was able to be economical as it solved the problems of water resistance, minimization of obstacle interference and curvilinearity, and we can see that it can be applied to all grounds by utilizing or complementing the target ground in terms of engineering. Also in configuring the transverse section, it is possible to not only secure excellent structural safety but also implement all of the above engineering characteristics not only in the square cross section but also in the arch cross section, so it was possible to build structures on any section or ground, and we could confirm the LCC reduction effect and the VE effect.

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A Study on the Characteristics of Liquid Jet in Crossflows Using Elliptical Nozzles (타원형 노즐을 이용한 횡단류 유동에서 액체제트 특성 연구)

  • Song, Yoonho;Hwang, Donghyun;Ahn, Kyubok
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2017.05a
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    • pp.320-324
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    • 2017
  • Effect of elliptical orifice on the spray characteristics of liquid jet ejecting into subsonic crossflows were experimentally studied. Circular/elliptical plain-orifice injectors, which had different ratios of the orifice length to diameter and major axis to minor axis, were used for transverse injection. Compared with the previous research, breakup lengths of elliptical nozzles are shorter than circular nozzles at all experimental condition. Cavitation/hydraulic flip are considered as a reduction in the breakup length at all circular/elliptical nozzle. In the case of liquid column trajectories, major axis which was placed to the crossflows, increases the frontal area of the liquid column exposed to the crossflows. Hence, the aerodynamic force exerted on the jet is increased and the penetration depth is reduced.

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Characteristics of Droplet Properties in the Two-Phase Spray into a Subsonic Cross Flow

  • Lee, I.C.;Cho, W.J.;Koo, J.Y.
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2008.03a
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    • pp.358-363
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    • 2008
  • The spray cross-section characteristics of two-phase spray that using external-mixing nozzle injected into a subsonic cross flow were experimentally studied with various ALR ratio that is $0{\sim}59.4%$. Suction type wind tunnel was used and experiments were conducted to ambient environment. Several plain orifice nozzles with L/d of 30 and orifice diameter of 0.5 mm and orifice length 1.5 mm were tested. Free stream velocity profiles at the injection location were measured using hot wire. Spray images were captured to study collision point and column trajectory. Phase Doppler particle analyzer(PDPA) was utilized to quantitatively measuring droplet SMD, volume flux. Measuring probe of PDPA positions was moved 3-way transverse machine. SMD distributions were layered structure and peaked at the top of the spray plume and low value at bottom of the spray. Volume flux of spray was distributed to the two side region and volume flux quantity decreased when ALR ratio increased. It was found that the perpendicularly injected two-phase spray jet of external mixing into a cross flow showing that mistlike spray moved away from the test section bottom region.

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Extended Injectant Mole-Fraction Imaging of Supersonic Mixing using Acetone PLIF

  • Takahashi, Hidemi;Ikegami, Shuzo;Hirota, Mitsutomo;Masuya, Goro
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2008.03a
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    • pp.781-789
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    • 2008
  • The fluorescence ratio method for processing planar laser induced fluorescence(PLIF) data was generalized for quantitative imaging of the injectant mole-fraction in supersonic mixing flowfields. The original fluorescence ratio approach was introduced by Hartfield et al. for tests in a special closed-loop wind tunnel to eliminate the effects of thermodynamic property variations in compressible flowfields and to provide a quantitative means of mole-fraction measurement. However, they implicitly assumed that the tracer molecules were seeded at the same fraction in both main and secondary flows. In the present study, we proposed generalizing the Hartfield method by considering differences in the tracer seeding rates. We examined the generalized method in a mixing flowfield formed by sonic transverse injection into a Mach 1.8 supersonic air stream. The injectant molefraction distribution obtained from PLIF data processed by our new approach showed better agreement with the gas chromatograph than one based on the Hartfield method.

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A Study of Hydrodynamic Dispersions in the Unsaturated and the Saturated Zone of a Multi-soil Layer Deposit Using a Continuous Injection Tracer Test (복합토양층의 불포화대와 포화대에서 연속주입 추적자시험을 이용한 수리분산특성 연구)

  • Chung, Sang-Yong;Kang, Dong-Hwan;Lee, Min-Hee;Son, Joo-Hyong
    • Journal of Soil and Groundwater Environment
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    • v.11 no.4
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    • pp.48-56
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    • 2006
  • Using a continuous injection tracer test at a multi-soil layer deposit, the difference of hydrodynamic dispersions in unsaturated and saturated zones were analyzed through breakthrough curves of Rhodamine WT, linear regression of concentration versus time, concentration variation rates versus time, and concentration ratio according to the distance from injection well. As a result of continuous injection tracer test, the difference of the maximum concentrations of Rhodamine WT in unsaturated and saturated zones were 13-15 times after 160 hours, and the increased rate of concentration versus time in unsaturated zone was about 10 times higher than in saturated zone. The fluctuation of Rhodamine WT breakthrough curve and concentration variation rate with time in saturated zone were larger than in unsaturated zone. Rhodamine WT concentration ratio with the distance from the injection well in saturation zone was linearly decreased faster than in unsaturated zone, and the elapsed time necessary for the concentration ratio less than 2 was longer in saturation zone. The differences resulted from the lower concentration and slower hydrodynamic dispersion of Rhodamine WT at the saturation zone of the multi-soil layer deposit, in which groundwater flow significantly flow and aquifer materials have high hydraulic heterogeneity. Effective porosity, longitudinal and transverse dispersivities were estimated $10.19{\sim}10.50%,\;0.80{\sim}1.98m$ and $0.02{\sim}0.04m$, respectively. The field longitudinal dispersivity is over 12 times larger than the laboratory longitudinal dispersivity by the scale-dependent effect.