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The Prognostic Factors of Selective Transforaminal Epidural Block in Patients with Low Back Pain (요하지통 환자에서 선택적 경추간공 경막외강 블록의 예후 인자)

  • Choi, Byung In;Han, Jeong Mi;Kweon, Tae Dong;Lee, Youn-Woo
    • The Korean Journal of Pain
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    • v.20 no.1
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    • pp.54-59
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    • 2007
  • Background: Selective transforaminal epidural block (STEB) has showen effectiveness as a diagnostic and therapeutic option for the management of patients with low back pain or sciatica. This study was carried out in order to determine the short-term effects and prognostic factors associated with STEB in patients with low back pain or sciatica. Methods: Ninety-seven patients were selectedfor participation in this study. Their diagnosis were based werewason the clinical symptoms and MRI findings. We performed STEB under fluoroscopic guidance and injected 3 ml of radio opaque dye in order to confirm the technical success of the procedure. We then injected 20 mg of triamcinolone mixed into 3 ml of 0.5% mepivacaine. One month later, we classified the patient outcomes as excellent, good, moderate or poor, according to the degree of reduction in VAS score from baseline. The independent variables assessed included symptom duration, block level, number of blocks, primary diagnosis, prior caudal block, anterior epidural space filling of dye, medication history, demographic data, radiating pain, back surgery and spondylolisthesis. Results: At a mean follow-up period of 1 month after STEB, excellent results were noted in the patients diagnosed with herniated lumbar disc (70%), non-specific spondylosis (54%), spinal stenosis (44%), and failed back syndrome (28%). The patients with epidural adhesion and combined spondylolisthesis were associated with poorer outcomes. Combined caudal block, symptom duration and the extent of epidural spread of the drug were not related to the effectiveness of the treatment. Conclusions: Selective transforaminal epidural block is effective in treating patients with radiculopathy, such as herniated lumbar disc, but it isrelatively ineffective in treating patients with structural deformities, such as failed back syndrome and spondylolisthesis.

Characteristics of Performance and Back-Fire for External Mixture Hydrogen Fueled Engine without Valve Overlap Period (밸브 오버랩 기간이 없는 흡기관 분사식 수소기관의 성능 및 역화특성)

  • Lee, K.J.;Kang, J.K.;Cong, Huynh Thanh;Noh, K.C.;Lee, J.T.
    • Transactions of the Korean hydrogen and new energy society
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    • v.18 no.4
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    • pp.374-381
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    • 2007
  • In order to verify the feasibility of expansion of back-fire limit equivalence ratio in the hydrogen-fueled engine with external mixture, the characteristics of performance and combustion are experimentally analyzed with change of intake/exhaust valve timings under the fixed valve overlap period of $0^{\circ}$ CA(non-valve overlap period). These characteristics are also tested for the change of exhaust valve closing timing while intake valve opening timing is fixed to clear the main cause of back-fire occurrence. As the results, the less valve overlap period center is retarded, the more back-fire limit equivalence ratio increases and back-fire does not occurred after TDC. In addition, it was shown that the control of back-fire is dependent on intake valve opening timing than valve overlap period.

Prediction of Amount of Mandibular Set Back with 3 Plain Radiographs in Mandibular Sagittal Split Ramus Osteotomy (하악상행지 시상분할골절단술 시 하악후퇴량의 방사선학적 예측)

  • Noh, Lyang-Seok;Kim, Jin-Wook;Kwon, Tae-Geon;Lee, Sang-Han
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.4
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    • pp.323-330
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    • 2011
  • Purpose: The present study examined the reproducibility of an operation plan by comparing the jaw position of STO with the postoperative mandibular set back measurement in sagittal split ramus osteotomy. Methods: Thirty patients with class III dental and skeletal malocclusion and who were treated with BSSRO were reviewed. Three plain radiographs such as the panoramic view, the lateral cephalogram and the submentovertex view were taken before and after operation. Also, paper surgery for STO and model surgery were used to evaluate the amount of mandibular set back. Results: On the panoramic view, the amount of mandibular set back in STO was similar to the postoperative results of model surgery, but the amount of mandibular set back on the lateral cephalogram was smaller than the postoperative result of model surgery and then the amount of set back on submentovertex view was similar to the postoperative result of model surgery. Conclusion: Precise tracing and paper surgery should be performed for a combined expected STO in order to predict the exact amount of preoperative mandibular set back.

Study on the Effects of Tetrax®-based Combined Rehabilitation Exercise on Chronic Back Pain Cases

  • Park, Jae-Yong;Lee, Jung-Chul;Cheon, Min-Woo
    • Transactions on Electrical and Electronic Materials
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    • v.15 no.3
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    • pp.144-148
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    • 2014
  • The purpose of this research is to utilizing the Tetrax$^{(R)}$ balance measuring instrument in order to analyze the postural balance of males and females in their 30 s diagnosed with chronic lower back pain who have followed a 12-week rehabilitation exercise program. The research also examines the effects on any change in back pain level. In terms of the variables in this research, postural balance (left/right, front/back, postural balance) and pain level change (0~100 mm) were measured. Pre-/post-experimental differences were assessed using the paired-t test. In addition, to identify any gender gap, we set the preliminary scores as a covariate and ran the Analysis of Covariance. Statistical significance (a) herein was set at 0.05. As a result of this research experiment, the left/right, front/back, and overall postural balance were found to increase in both the male and female cases, but with no statistical significance or gender gap. However, both males and females showed a significant decrease in their back pain levels. These findings demonstrate the necessity of continuing clinical research based on the Tetrax$^{(R)}$ equipment for scientific evaluation of the effects of rehabilitation exercises on chronic lower back pain patients and their balancing ability.

Minimization of the Spring back in the Coiling Process of the Helical Steam Generator Tubes of Integral Reactor SMART (일체형원자로 SMART의 나선형 증기발생기 전열관 코일링 시 스프링백 최소화 방안)

  • Kim, Yong-Wan;Kim, Jong-In;Chang, Moon-Hee
    • Proceedings of the KSME Conference
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    • 2000.11a
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    • pp.837-842
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    • 2000
  • In the coiling process of helical steam generator tubes of integral reactor SMART, a considerable amount of spring back, which induces dimensional inaccuracy and difficulty in fabrication, has been arised. In this research, an analytical model was derived to evaluate the amount of the spring back for steam generator tubes. The model was developed on the basis of beam theory and elastic-perfectly plastic material property. This model was extended to consider the effect of plastic hardening and the effect of the tensile force on the spring back phenomena. Parametric studies were performed for various design variables of steam generator tubes in order to minimize the spring back in the design stage. A sensitivity analysis has shown that the low yield strength, the high elastic modulus, the small helix diameter, and the large tube diameter result in a small amount of the spring back. The amount of the spring back can be controlled by the selection of adequate design values in the basic design stage and reduced to an allowable limit by the application of the tensile force to the tube during the coiling process.

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A Study of Pain, Depression, and Adjustment to Military Life of Soldiers with Low Back Pain (요통이 있는 병사의 통증, 우울, 군생활 적응에 관한 연구)

  • Lee, Ji-Hyun;Kim, Jong-Im
    • Journal of muscle and joint health
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    • v.17 no.2
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    • pp.173-182
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    • 2010
  • Purpose: The purpose of this study was to examine levels of pain, depression, and adjustment to military life in soldier who experienced low back pain, in order to produce fundamental data for the development of health improvement programs to prevent and manage low back pain in soldiers with low back pain. Methods: Subjects of this study consisted of 317 soldiers who had low back pain. Study instruments were Visual analog scale (VAS), the Center for Epidemiological Studies-Depression Scale (CES-D), and adjustment to military life scale. Collected data were analyzed by the SPSS Win 14.0 program. Results: Mean score of pain was 4.16 points, depression was 8.58 points, and adjustment to military life was 69.15 points. The level of pain was negatively related to adjustment to military life (r=-.241, p<.001) and positively related to depression (r=.262, p<.001). There was a negative relationship between depression and adjustment to military life (r=-.442, p<.001). Conclusion: Soldiers who had low back pain experienced higher levels of pain and depression and lower level of adjustment to military life. Therefore, further study is needed to develop and examine a nursing intervention to manage low back pain for them.

Effects of pressure biofeedback application location for subjects with lumbar instability on pelvic rotation and hip joint abductor muscle activity during the Clam exercise.

  • Choi, Yonggil;Lee, Sangyeol
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.90-97
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    • 2021
  • Objective: The purpose of this study was to find out how the back instability during clam exercise (CE) causes changes in pelvic rotation and hip joint abductor muscle activity, and to find out the effects with different methods of application of pressure biofeedback. Design: Comparative study using repeated measures. Methods: Each subjects performed the clam exercise (CE) without pressure biofeedback, the clam exercise with pressure biofeedback applied to the back (CE-PBU to back), and the clam exercise with pressure biofeedback applied to the side (CE-PBU to side). The amount of pelvic rotation was measured using myomotion. And the muscle activity of the muscle gluteus medius and the tensor fasciae latae was measured using EMG device. One-way repeated measures ANOVA followed by the Bonferroni post test were used to compare the EMG activity in each muscle and pelvic rotation angle during the CE, CE-PBU to back, CE-PBU to side. Results: The amounts of pelvic rotation was the lowest in CE-PBU to back (p< 0.05) and the ratio of muscle activity of the muscle gluteus / tensor fasciae latae was the highest in CE-PBU to back (p< 0.05). Conclusions: It is thought that, in order to stabilize the waist-pelvis and increase hip joint muscle strength in subjects with back instability, applying clam exercise with pressure biofeedback applied to the lower back is effective in improving waist-pelvic movements and selectively strengthening the muscle gluteus medius.

Electric Furnace Sysetem development of Batch Type Back Light Glass Unit (Batch Type Back Light Glass Unit 소성 봉착 시스템 개발)

  • Kim, Soo-Yong;Lee, Oh-Keol;Kim, Sang-Hyo
    • Proceedings of the KIEE Conference
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    • 2001.07c
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    • pp.1798-1800
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    • 2001
  • As a batch Type device, this machine is contrive to seal glass plates for plasma BLU (Back Light Unit) by indirect heating from electric heaters. In order to maintain the heating / cooling Chambers clean, this machine uses a muffle formation. The components of the machine are listed bellow.

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A Study on Design for Relay Station Antennas with U-shaped Back Plate Structure (ㄷ자형 Back Plate를 가진 중계국안테나의 설계에 관한 연구)

  • 민경식;임정남;김동일;정세모;이돈신
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.2 no.4
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    • pp.643-652
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    • 1998
  • This paper presents the characteristics of a relay station antenna with the newly designed back-plate structure which is composed of the U-shaped metal plate for suppression of the back lobe by edge diffraction. The back lobe level of the conventional type was about -20 dB in the -z direction ( 180 ) . In order to improve the characteristics, the U-shaped mesh type metal plate is considered, where the design condition of the model antenna satisfies the wide null point angle range with the back lobe level of -30 dB below in the -z direction. The design parameters with the minimum back lobe level such as the dipole length, the distance between dipole elements and the back plate size have been found by using the released NEC Win Pro code. The calculated and measured back lobe Bevel of model antenna have been obtained 48.48 dB and -45 dB at 325 MHz, respectively.

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The Effect of Dynamic Lumbar Stabilization Exercise on Low Back Pain Patients (동적 요부 안정화 운동 치료법이 요통 환자에 미치는 영향)

  • Kim, Jong-Soon;Ju, Mu-Yeol;Bae, Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.495-507
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    • 2001
  • The purpose of this study was to find the effects of the dynamic lumbar stabilization exercise on functional recovery of low back pain patients. The subjects were consisted of sixty patients who had nonspecific subacute low back pain. All subjects randomly assigned to dynamic lumbar stabilization exercise group. Williams exercise group and modalities treatment group. The dynamic lumbar stabilization exercise group received modalities treatment with dynamic lumbar stabilization exercise. Williams exercise group received modalities treatment with Williams flexion exercise and modalities treatment group received modalities treatment without exercise. The Oswestry low back pain disability questionnaire was used to measure disability of low back pain. Assessment was carried out before treatment fur obtain baseline measurement of low back pain and reassessment were carried out at after 20 and 40 treatment sessions. The results of this study were as following: 1. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in dynamic lumber stabilization exercise group(p<.05). 2. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in Williams exercise group(p<.05). 3. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in modalities treatment group(<.05). 4. There were no statistical difference between the 3 groups at pre-treatment with Oswestry low back pain disability questionnaire scores(p>.05). 5. There were no statistical difference between the 3 groups after 20th treatment with Oswestry low back pain disability questionnaire scores(p>.05). 6. There were statistical difference between the 3 groups after 40th treatment with Oswestry low back pain disability questionnaire scores(p<.05). 7. The Oswestry low back pain disability questionnaire scores were significantly decreased after 40th treatment in all 3 groups and the decrement were greater in order of dynamic lumbar stabilization exercise group. Williams exercise group and modalities treatment group.

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