• 제목/요약/키워드: Continuous treatment

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Percutaneous Continuous Radiofrequency Application to Dorsal Root Ganglia in Spinal Cord Lesion Patients: Pilot Case Series

  • Lee, Dong-Gyu;Ahn, Sang-Ho
    • The Journal of Korean Physical Therapy
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    • 제23권6호
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    • pp.31-36
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    • 2011
  • Purpose: This pilot case series study aimed to evaluate the efficacy of continuous radiofrequency (CRF) application on dorsal root ganglia (DRG) to reduce spasticity of spinal cord lesion (SCL) patients. Methods: We performed CRF procedures on DRG in 8 subjects (7 males; mean age 39 years, range 31-53 years) with intractable spasticity that impeded activities of daily living and caregiving, although they had maximal tolerable doses of anti-spastic medications and active rehabilitative treatment. All subjects underwent CRF (90 seconds at $90^{\circ}C$) at multiple lumbosacral and/or cervical DRG. Muscle tone of the extremities was measured by the modified Ashworth scale (MAS) before and one month after procedures. Functional goals were established at baseline, and subjects' satisfaction levels were categorized one month after procedures. Results: A total of 54 CRF treatments were performed in 8 patients. In all patients, we found some improvement in muscle tone measured by the MAS. Six patients reported themselves satisfied with their current status at one month's post-treatment, and 2 patients were fairly satisfied with their gait pattern. In 3 patients, neuropathic pain was present after CRF on DRG. In 1 lumbar case, the pain subsided after several days, and the other 2 cervical cases suffered from tolerable neuropathic pain treated with anti-convulsant medication. Conclusion: CRF on DRG might be a promising alternative treatment to reduce spasticity in SCL patients. Further well-designed clinical trials on the efficacy and safety of CRF application on DRG are needed.

Mg-Al 합금에서 등온 시효 중 경도 변화의 미세조직 의존성 (Dependence of Hardness Change on Microstructure during Isothermal Aging in Mg-Al Alloy)

  • 한진구;전중환
    • 열처리공학회지
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    • 제32권6호
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    • pp.249-255
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    • 2019
  • This study is intended to clarify the main microstructural factors that contribute to an increase of hardness during isothermal aging in Mg-Al alloy. For this work, Mg-9.3%Al alloy specimens were solution-treated at 688 K for 24 h followed by water quenching, and then aged at 473 K for up to 24 h. The aging at 473 K yielded nodular discontinuous precipitates (DPs) with (${\alpha}+{\beta}$) lamellar morphology at the grain boundaries, and the volume fraction of DPs increased from 0% to ~30% with increasing aging time up to 12 h. For the aging times longer than 12 h, further formation of DPs was substantially inhibited owing to the occurrence of significant continuous precipitation within the ${\alpha}-(Mg)$ matrix, and the density of continuous precipitates (CPs) becomes greater with increasing aging time. Hardness of the specimen was steadily increased with aging time up to 24 h. Microstructural examination on the aged specimens revealed that the increased overall hardness at the early stage of aging is associated with the increased volume fraction of DPs, but at the later stage of aging, where the amount of DPs was hardly changed, the increased hardness of the ${\alpha}-(Mg)$ matrix in response to the higher density of CPs within the matrix, plays a key role in increasing the overall hardness value.

섬도제어 연신공정에 의한 세섬화 양모 소재의 물성 연구 (Physical Properties and Dyeability of Fine Count Wool Yarns and Its Fabrics by Drawing Process of Fineness Control)

  • 김미경;전병대;정재석
    • 한국염색가공학회지
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    • 제28권4호
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    • pp.253-270
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    • 2016
  • In the wool textile industry, the necessity for technology development has been steadily raised to create improved fineness and yarn count of existing wool yarns with thick fineness for ensuring higher quality grades of wool yarn. Recently, through controlling fineness of wool yarn for making finer wool in relation with environmentally-friendly and high-sensitivity trend, a differentiated continuous drawing process where the quality of wool can be artificially manipulated has been suggested in the latest textile industry. This study investigated the basic conditions during the continuous drawing process which enable to manufacture wool yarn with fine count by controlling reducing agent treatment, physical drawing and drying after reducing agent treatment, and oxidizing agent post-treatment conditions. Furthermore, this study reviewed the drawing effects by applying the basic conditions for reduction and oxidation reaction in the drawing processes of wool/cashmere, wool/silk, wool/polyester blended yarns as well as such wool yarns. Also, in order to review the practicability, this study examined the physical properties and dyeability of drawn wool yarn applied textile materials in comparison with normal wool yarn applied textile materials.

6세 소녀의 하지 작열통에 대한 지속적 경막외 차단 (Continuous Epidural Block in a 6 Year old Girl with Causalgia)

  • 한정선;윤덕미;오흥근;정경숙
    • The Korean Journal of Pain
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    • 제4권2호
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    • pp.186-190
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    • 1991
  • Causalgia is an extremely incapacitating disease often associated with a major peripheral nerve injury, which is characterized by sustained diffuse burning pain, allodynia and hyperpathia. The condition follows traumatic nerve lesions, often combined with vasomotor and sudomotor disturbances and later trophic changes. While sympathectomy has been the classical treatment of causalgia, others nonsurgical therapies such as regional sympathetic block, IV regional sympathetic block, oral adrenolytic drugs, transcutaneous electrical nerve simulation, physical theraphy, cryotheraphy and psychotheraphy have been used. Causalgia is rare in children and early treatment is controversial because of the possibility of many different complications following aggressive treatment. This is a report of a 6-year-old girl with causalgia suffered after a right posterior tibial nerve injury following an intragluteal injection of an antipyretics. We successfully treated this syndrome with continuous epidural block using 0.5% lidocaine and no specific complication was encountered.

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이온교환법에 의한 탈질소 공정개발의 기초연구(II) (Basic Study for Development of Denitrogenation Process by ion Exchange(II))

  • 이민규;주창식
    • 한국환경과학회지
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    • 제7권1호
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    • pp.89-95
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    • 1998
  • Ion exchange performance to remove nitrate in water was studied using commercially available strong base anion exchange resin of Cl- type in the batch and continuous column reactors. The performance was tested using the effluent concentration histories for continuous column or equilibrium conquilibrium between resin and solution. Anion exchange resin used in this study was more effective than activated carbon or zeolite for nitrate removal. With large resin amount or low initial concentration, nitrate removal characteristics for a typical gel-type resin was Increased. On considering the relation between the breakthrough capacity and nitrate concentration of the influent, the use of anion exchange resin were suitable for the hi선or order water treatment. The nitrate removal of above 90% could be possible until the effluent of above 650 BV was passed to the column. Thus, the commercially available strong base anion exchange resin of $Cl^-$ type used in thins study could be effectively used as economic material for treatment of the groundwater. The breakthrough curves showed the sequence of resin selectivity as $SO_4^{2-}$ > $NO_3$ > $NO^{2-}$ > $HCO_3^-$. The results of this study could be scaled up and used as a design tool for the water purification system of the real groundwater and surface water treatment processes.

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무봉합 혈관내 인조혈관을 사용한 박리성 하행흉부대동맥류의 치료 -2례 보고- (Use of Intraluminal Sutureless Graft in the Surgical Treatment of Dissecting Aneurysm(Debakey type III) of the Thoracic Aorta)

  • 홍순필
    • Journal of Chest Surgery
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    • 제27권10호
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    • pp.862-867
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    • 1994
  • We experienced two cases of dissecting aneurysm[DeBakey type III] of the thoracic aorta treated using intraluminal sutureless graft. Controversy still exists about the exact timing of surgical intervention for dissection of the descending thoracic aorta. The surgical indication of dissecting aneurysm[DeBakey type III] is continuous flow in the false lumen, continuous chest pain, compromise of arterial supply to a specific organ or limb, or extension of the dissection while the patient is receiving satisfactory medical treatment. Surgical therapy for dissection of the aorta has had a high mortality. One contributing factor has been hemorrhage from the prosthesis and the suture lines. Recently, a new method of treatment with a intraluminal sutureless graft that requires no end-to-end anastomosis has been developed. In our cases, cardiopulmonary bypass and circulatory arrest was utilized in repairing dissecting aneurysm of descending aorta[DeBakey type III] in order to avoid the aortic cross clamping because of friable aortic intima. The basic technique consists of vertical incision of descending aorta in the area of intimal tear and inserting the whole ringed graft into the true lumen of the dissected aorta and circumferentially ligating the aorta against the groove in the rings. Postoperative course was uneventful.

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연속 정련축소 장치의 특성 연구 -로터드럼형과 컨베이어형- (A Study on the Characteristics of Continuous Scouring and Shrinking Equipment -Rota-drum and conveyor type-)

  • 허만우;서말용
    • 한국염색가공학회지
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    • 제12권1호
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    • pp.68-75
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    • 2000
  • In this study, polyester DTY faille(yoryu) and N/NP microfiber fabrics were pretreated (desizing, scouring and shrinking) by Continuous Scouring and Shringking Equipment with rota-drum and conveyor type in which types were different with retaining method. The results were as follows. The shrinkage ratio of wp/wf direction of DTY fabrics scoured by conveyor type was 1.5/23% higher than those by rota-drum type at $97^\circ{C}$ with 10min. treatment. In this case, The shrinkage ratio of wp/wf direction by those types was about 15/27%, respectively. The shrinkage ratio of wp/wf direction of N/NP microfiber fabrics scoured by conveyor type was 1.5/23% higher than that by rota-drum type at $97^\circ{C}$ with 10min. treatment. The size add-on of DTY fabrics scoured at $97^\circ{C}$ with 10min. treatment by conveyor type and by rota-drum type were 0.15% and 0.42%, respectively. The size add-on of DTY fabric treated by rota-drum type decreased until 9min. of treated time, but increased after 9min. The size add-on of N/NP microfiber fabrics treated by conveyor type was decreased by increasing temperature and treated time, while the size add-on of that treated by rota-drum type was decreased until 6min. treated time and increased after 6min. The size add-on of N/NP microfiber fabrics treated by conveyor type at $97^\circ{C}$ for 10min. was 0.3% lower than that by rota-drum type.

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단조품의 등온 어닐링에 따른 미세조직 변화 (The Effect of Isothermal Annealing on Microstructure of Forged Parts)

  • 김동배;이종훈
    • 열처리공학회지
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    • 제13권5호
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    • pp.303-308
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    • 2000
  • The ring gears of automobile parts are manufactured generally process chart of which is as follows : forging ${\rightarrow}$ annealing or normalizing ${\rightarrow}$ rough machining ${\rightarrow}$ hardening(Quenching-Tempering or carburizing process) ${\rightarrow}$ finish machining. Isothermal annealing process after forging is most effective in the side of improvment of machinability. On this study we selected two kinds of steel;SCM415, SCM435 of most universal and investigated microstructures to find out most suitable condition of heat treatment in proportion continuous cooling and isothermal annealing. As the cooling rate is $5^{\circ}C$ per minute in continuous cooling process, martensite and bainite are coexisted with ferrite and pearlite in SCM435 steel. If the cooling rate is slower than $5^{\circ}C$ per minute, microstructure were only ferrite and pearlite but formation of band structure can't be avoid. On the other hand, microstructure is only ferrite and pearlite regardless of cooling rate because carbon content of SCM415 steel is low. Moreover formation of band structure isn't exposed by faster cooling rate. Most optimal temperature of the isothermal annealing is from $650^{\circ}C$ to $680^{\circ}C$ in SCM435 steel. When holding time is 60 minute with $650^{\circ}C$, the identical ferrite and pearlite microstructures can be obtained.

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Influence of Intermittent Lighting on Broiler Performance, Incidence of Tibial Dyschondroplasia, Tonic Immobility, Some Blood Parameters and Antibody Production

  • Onbasilar, E.E.;Erol, H.;Cantekin, Z.;Kaya, U.
    • Asian-Australasian Journal of Animal Sciences
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    • 제20권4호
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    • pp.550-555
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    • 2007
  • The aim of this study was to determine the effect of two lighting programs (continuous lighting (CL) 24L:0D and intermittent lighting (IL) 1L:3D) on the broiler performance, carcass traits, incidence of tibial dyschondroplasia (TD), relative asymmetry (RA), duration of induced tonic immobility (TI), heterophils-lymphocytes ratio (H/L), serum glucose, cholesterol and triglyceride levels. The chicks were randomly divided into 2 treatment groups consisting of 100 chicks per treatment, continuous lighting (CL) 24L:0D or intermittent lighting (IL) 1L:3D. Each treatment consists of 5 replicates of 20 chicks. The experimental period was 6 weeks. Use of IL decreased feed to gain ratio, improved immune response and reduced fearful. Body weight, carcass traits, TD and stress parameters (organ weights, RA, H/L, glucose, cholesterol and triglyceride levels) were not significant in different lighting groups. As a result IL was beneficial for producers and chickens than CL.

좌주관동맥 병변의 수술방법 및 결과 (Surgical Tratment and Result of Coronary Artery Bypass Grafting in Patients with Left Main Coronary Artery Stenosis)

  • 최종범;조선환
    • Journal of Chest Surgery
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    • 제27권3호
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    • pp.191-195
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    • 1994
  • Twenty-four patients with left main coronary artery stenosis exceeding 50% underwent coronary artery bypass grafting from January 1991 through June 1993. Four patients [17%] had stenosis only in left main coronary artery and 20 patients [83%] had associate lesion[s] in left anterior descending , circumflex, or right coronary artery. Sixteen patients [67%] had higher degrees of stenosis [>70%] in left main coronary artery. Preoperatively 18 patients [75%] had unstable angina pectoris even during aggressive medical treatment. Preoperatively aggressive medical treatment was performed to relieve the symptom in patients with unstable angina. All patients were perioperatively treated with continuous infusion of isosorbide dinitrate to stabilize symptomatic and hemodynamic states. Twenty patients underwent elective coronary bypass surgery and 4 patients urgent operations due to severe unstable angina. There was no thirty-day mortality or late death. Angina recurred in 1 patient, but coronary angiographic study showed good patency of grafts and the symptom was relieved with medical treatment. We concluded that coronary artery bypass grafting can be safely performed by perioperative efforts, including continuous infusion of isosorbide dinitrate, for hemodynamic stabilization in patients with left main coronary artery stenosis.

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