• Title/Summary/Keyword: Injection level

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Effect of vibratory stimulation on pain during local anesthesia injections: a clinical trial

  • Ghorbanzadeh, Sajedeh;Alimadadi, Hoda;Zargar, Nazanin;Dianat, Omid
    • Restorative Dentistry and Endodontics
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    • v.44 no.4
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    • pp.40.1-40.10
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    • 2019
  • Objectives: This study aimed to assess the effect of DentalVibe on the level of pain experienced during anesthetic injections using 2 different techniques. Materials and Methods: This randomized crossover clinical trial evaluated 60 patients who required 2-session endodontic treatment. Labial infiltration (LI) anesthesia was administered in the anterior maxilla of 30 patients, while inferior alveolar nerve block (IANB) was performed in the remaining 30 patients. 1.8 mL of 2% lidocaine was injected at a rate of 1 mL/min using a 27-gauge needle. DentalVibe was randomly assigned to either the first or second injection session. A visual analog scale was used to determine participants' pain level during needle insertion and the anesthetic injection. The paired t-test was applied to assess the efficacy of DentalVibe for pain reduction. Results: In LI anesthesia, the pain level was 12.0 ± 15.5 and 38.1 ± 21.0 during needle insertion and 19.1 ± 16.1 and 48.9 ± 24.6 during the anesthetic injection using DentalVibe and the conventional method, respectively. In IANB, the pain level was 14.1 ± 15.9 and 35.1 ± 20.8 during needle insertion and 17.3 ± 14.2 and 39.5 ± 20.8 during the anesthetic injection using DentalVibe and the conventional method, respectively. DentalVibe significantly decreased the level of pain experienced during needle insertion and the anesthetic injection in anterior LI and mandibular IANB anesthesia. Conclusions: The results suggest that DentalVibe can be used to reduce the level of pain experienced by adult patients during needle insertion and anesthetic injection.

Digital subtraction angiography vs. real-time fluoroscopy for detection of intravascular injection during transforaminal epidural block

  • Park, Kibeom;Kim, Saeyoung
    • Journal of Yeungnam Medical Science
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    • v.36 no.2
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    • pp.109-114
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    • 2019
  • Background: Transforaminal epidural block (TFEB) is an effective treatment option for radicular pain. To reduce complications from intravascular injection during TFEB, use of imaging modalities such as real-time fluoroscopy (RTF) or digital subtraction angiography (DSA) has been recommended. In this study, we investigated whether DSA improved the detection of intravascular injection during TFEB at the whole spine level compared to RTF. Methods: We prospectively examined 316 patients who underwent TFEB. After confirmation of final needle position using biplanar fluoroscopy, 2 mL of nonionic contrast medium was injected at a rate of 0.5 mL/s under RTF; 30 s later, 2 mL of nonionic contrast medium was injected at a rate of 0.5 mL/s under DSA. Results: Thirty-six intravascular injections were detected for an overall rate of 11.4% using RTF, with 45 detected for a rate of 14.2% using DSA. The detection rate using DSA was statistically different from that using RTF (p=0.004). DSA detected a significantly higher proportion of intravascular injections at the cervical level than at the thoracic (p=0.009) and lumbar (p=0.011) levels. Conclusion: During TFEB at the whole spine level, DSA was better than RTF for the detection of intravascular injection. Special attention is advised for cervical TFEB, because of a significantly higher intravascular injection rate at this level than at other levels.

The Effect of cutaneous Stimulation and Distraction on IV Injection Pain of Chemotherapy Patients (피부자극과 관심전환이 항암제 정맥주사 삽입시 통증감소에 미치는 영향)

  • 박정숙
    • Journal of Korean Academy of Nursing
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    • v.28 no.2
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    • pp.303-318
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    • 1998
  • Cutaneous stimulation and distraction are independent nursing interventions used in various painful conditions, which is explained by gate control theory. This study was aimed at identifying the effect of cutaneous stimulation, distraction and combination of cutaneous stimulation and distraction on the reduction of intravenous injection pain levels of chemotherapy patients. Repeated measurement post test research design was used for one group. Fifty-three cancer patients who received intravenous chemotherapy regulary in outpatient injection rooms of D medical center and Y medical center in Taegu were studied from June 23, 1997 to July 12, 1997. First the intravenous injection pain level of the control period was measured. Second, the intravenous injection pain level of the experimental period using cutaneous stimulation was measured. Third, the intravenous injection pain level of the experimental period using distraction was messured. Fourth, the intravenous injection pain level of the experimental period using a combination of cutaneous stimulation and distraction was measured. The instruments used for this study were a visual analogue pain scale as subjective pain measurement and an objective pain behavior checklist. Analysis of data was done by use of repeated measure ANOVA, bonferni, t-test, and F-test. The results of this study were summerized as follows : 1) The first hypothesis that the subjective pain score of intraveneous injection pain in the experimental period with cutaneous stimulation will be lower than in the control period was rejected. 2) The second hypothesis that the objective pain behavior score of intravenous injection pain in the experimental period with cutaneous stimulation will be lower than in the control period was accepted(F=24.23, p=0.0001, Bornferni p<.05). 3) The third hypothesis that the subjective pain score of intraveneous injection pain in the experimental period with distraction will be lower than in the control period was rejected. 4) The fourth hypothesis that the objective pain score of intravenous injection pain in the experimental period with distraction will be lower than in the control period was accepted(F=24.23, p=0.0001, Bornferni p<.05). 5) The fifth hypothesis that the subjective pain score of intravenous injection pain in the experimental period with combination of cutaneous stimulation and distraction will be lower than in the control period was accepted(F=3.04, p=0.031, Bonferni p<.05). 6) The sixth hypothesis that the objective pain score of intravenous injection pain in the experimental period with combination of cutaneous stimulation and distraction will be lower than in the control period was accepted(F=24.23, p=0.0001, Bonferni p<.05).

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Accidental Subdural Injection during Attempted Cervical Epidural Block: Radiologic Evidence -A case report- (경추부 경막외 차단 중 발생한 경막하 주사의 영상 소견 -증례보고-)

  • Ko, Hyun Hak;Kim, Ji Soo;Lee, Jae Jun;Hwang, Sung Mi;Lim, So Young
    • The Korean Journal of Pain
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    • v.22 no.1
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    • pp.83-87
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    • 2009
  • Case reports after accidental subdural injection during attempted epidural block have usually described extensive neuraxial blocks with a characteristic radiographic appearance on contrast injection. We experienced a case of cervical subdural injection with unusual clinical findings and radiographic appearance. A 51-year-old female patient with central herniated nucleus pulposus at cervical (C5/6) and lumbar level (L4/5, L5/S1) was referred to the pain clinic. During attempted cervical epidural block at the C6/7 interspace with fluoroscopy, injection of the 4 ml contrast showed posterior spread at cervical level. After cervical epidural steroid injection, the contrast was also confined to the posterior aspect of the spinal canal at lumbar level with fluoroscopy. In order to discriminate subdural space from epidural space, we performed transforaminal epidural injection of the 2 ml contrast at the L5/S1 interspace and we could confirm cervical epidural injection was made into the subdural space. We discuss the clinical characteristics of a subdural injection and the appearance of the cervical and lumbar subdurogram.

The Effects of Split-Injection and EGR on the Combustion Characteristics of a DISI Engine (직접분사식 가솔린 엔진에서 분할분사 및 배기가스 재순환의 효과)

  • Moon Seoksu;Choi Jaejoon;Abo-Serie Essam;Bae Choongsik
    • Transactions of the Korean Society of Automotive Engineers
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    • v.14 no.1
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    • pp.144-152
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    • 2006
  • Split injection has been known to reduce total hydrocarbon (THC) emission level and increase engine performance under certain operating conditions 1, 2). Exhaust Gas Recirculation (EGR) is a common technique adopted for nirtric oxides (NOx) reduction by the dilution of intake air, despite a sacrifice of simultaneous increase in THC and decrease in engine performance3). Thus, using split injection with adequate EGR may improve the emission level of UBHC, NOx and the engine performance compared to that of single-injection with or without EGR cases. The purpose of this study is to investigate the engine performance and emission levels at various engine operating conditions and injection methods when it is applied with EGR. The characteristics of single-injection and split-injection were investigated with various engine loads and EGR rates. The engine speed is changed from 800rpm to 1200rpm to investigate how the combustion characteristics are changing with increasing engine speed.

Study on Optimization of Nano Injection Molding Process for Improving Transcription of 100nm-level Pattern (100nm 급 Pattern 전사성 향상을 위한 나노 사출 성형 공정 최적화 연구)

  • Lee, J.S.;Lee, H.G.;Son, S.K.;Lee, J.H.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2006.05a
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    • pp.81-85
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    • 2006
  • In this study, we have been examined nano Injection Molding process which can improve transcription of 100nm-level pattern. We changed the various parameter (temperature of injection mold, clamp force, temperature of nozzle) which can be influence for improving transcription. And we measured and analyzed shapes of 100nm-level pattern by Automic Force Microscope for proving transcription. We made the Blu-ray Disc sample for proving transcription. And we measured HF-Signal and jitter. As a result, when the temperature of mold is more than $120^{\circ}C$ and the clamp force is more than 10 ton, We reached over 95 percent of transcription compared with stamper pattern. And we reached in-spec. value for HF-Signal and Jitter. Then we reached over 95 percent of transcription compared with stamper pattern.

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Combustion Characteristics of Dimethyl Ether (DME) and Diesel Fuel Using a Common-rail Fuel Injection System (커먼레일 분사장치를 이용한 Dimethyl Ether와 디젤연료의 연소특성)

  • Choi, Wook;Lee, Ju-Kwang;Bae, Choong-Sik
    • Transactions of the Korean Society of Automotive Engineers
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    • v.12 no.6
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    • pp.30-37
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    • 2004
  • The combustion and emission characteristics of a direct injection CI engine fuelled with DME(Dimethyl Ether) and diesel fuel were compared at idle engine speed(800 rpm) with various injection parameters. An optical single cylinder diesel engine equipped with a common-rail fuel injection system was constructed to investigate combustion processes of DME and diesel fuel. The combustion images were recorded with a high-speed video camera system. The results demonstrated that the DME-fuelled engine was superior to the conventional diesel engine in terms of engine performance and emissions. The optimal injection timing of DME was located around IDC(Top Dead Center), which was roughly same as that of diesel fuel. As the injection timing was advanced much earlier than TDC, NOx (Nitric Oxides) level increased considerably. NOx emission of DME was equal or a little higher than that for diesel fuel at the same injection pressure and timing because of higher evaporation characteristics of DME. Throughout all experimental conditions, DME did not produce any measurable smoke level.

Energy-level alignment and charge injection at electrodeorganic interfaces

  • Helander, M.G.;Wang, Z.B.;Lu, Z.H.
    • 한국정보디스플레이학회:학술대회논문집
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    • 2009.10a
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    • pp.112-114
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    • 2009
  • Charge injection at electrode-organic interfaces is key to the performance, lifetime and stability of organic electronic devices. The link between fundamental material properties and the energy-level alignment at electrode-organic interfaces will be discussed. In addition the impact of the injection barrier height-a parameterization of the energylevel alignment-on device characteristics will also be discussed.

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Effects of Liriopis Tuber Herbal-Acupuncture on Diabetes Mellitus Induced by Streptozotocin in Rat (맥문동약침액(麥門冬藥鍼液)이 Streptozotocin으로 유발된 흰쥐의 당뇨병에 미치는 영향)

  • Park, Jae-Young;Park, Hea-Su
    • Journal of Pharmacopuncture
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    • v.3 no.2
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    • pp.99-130
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    • 2000
  • This study was carried out to investigate the effects of Liriopis Tuber Herbal-Acupuncture on Diabetes Mellitus induced by streptozotocin in rat. Body weight, serum insulin, glucose, triglyceride, HDL cholesterol, free cholesterol and total protein were measured in streptozotocin induced diabetic rat injected with Liriopis Tuber Herbal-Acupuncture solution at Pisu(BL20) respectively for 30 days. In order to study the effects of Liriopis Tuber Herbal-Acupuncture at Pisu(BL20) on Diabetes Mellitus induced by Streptozotocin in rat, The groups were divided into five groups; Normal group(non treated group), N.-Saline group(administration of injection with normal saline at BL20 in 30 days after streptozotocin injection), Control group(non treated group after streptozotocin injection), H. Acup. group (administration of Liriopis Tuber Herbal-Acupuncture at BL20 in 30 days after streptozotocin injection), and Acup. group (administration of acupuncture at BL20 in 30 days after streptozotocin injection). The results obtained were summarized as follows; 1. As compared with Control group, there wae no significant tendency to diminish the rate of weight loss in H. - Acup. group. 2. As compared with Control group, there wae signiticant increase of serum insulin level in H. -Acup. group. 3. As compared with Control group, there was decrease of glucose level in H.- Acup. group. 4. As compared with Control group, there was decrease of triglyceride level in H. - Acup. group. 5. As compared with Control group, trere wae increase of HDL cholesterol level in H. - Acup. group. 6. As compared with Control group, there was significant increase of free cholesterol level in H. - Acup. group. 7. As compared with Control group, there was Increase of total protein level in H. - Acup. group. According to above mentioned results, Liriopis Tuber Herbal-Acupuncture was expected to be effective in treatment of Diabetes Mellitus and its complications.

Autofrettage of Fuel Injection Pipe for Diesel Engine (디젤엔진 연료분사관의 자긴가공)

  • Koh, S.K.;Song, W.J.;Seo, K.S.;Choi, H.S.
    • Proceedings of the KSME Conference
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    • 2007.05a
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    • pp.90-95
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    • 2007
  • In order to investigate the optimum condition of the autofrettage process for the diesel engine injection pipe, different values of autofrettage pressure, pressure rising time, pressure holding time, and repetition of autofrettage process were applied. Autofrettage was preformed by applying the hydrostatic internal pressures of 603 MPa, 535 MPa, 500 MPa on the fuel injection pipe, corresponding to theoretically 50%, 30%, and 20% overstrain levels, respectively. The autofrettage residual stresses in the injection pipe were experimentally determined by using X-ray diffractometer. As the overstrain level increased, the magnitude of compressive residual stress at the bore increased. It was found that the rising time to reach the autofrettage pressure, holding time at the autofrettage pressure, and repeating application of the autofrettage pressure on the pipe had no significant influence on the residual stress distributions.

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