• Title/Summary/Keyword: Injection placement

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Successful Management of a Tracheo-gastric Conduit Fistula after a Three-field Esophagectomy with Combined Sternocleidomastoid Muscle Rotation Flap and Histoacryl Injection Treatment

  • Chung, Yoon Ji;Kim, Ji Hyun;Kim, Dong Jin;Kim, Jin Jo
    • Journal of Gastric Cancer
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    • v.20 no.4
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    • pp.454-460
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    • 2020
  • Tracheo-gastric conduit fistula is an extremely rare but severe complication that is difficult to manage. Conservative care, esophageal or tracheal stent placement, or cutaneomuscular flaps have been suggested; however, no definite treatment has been proven. We report a case of tracheo-gastric conduit fistula that occurred after a minimally invasive radical three-field esophagectomy. Following the primary surgery, the diagnosis was made while evaluating the patient's frequent aspiration and coughing. Conservative management failed, and a surgical correction was undertaken to identify the multifocal mucosal defect and exposed tracheal ring. A sternocleidomastoid muscle rotation flap and subsequent Histoacryl injection into the remaining fistula were performed, and the fistula was successfully managed.

Resistance to Cerebrospinal Fluid Outflow Measured by Bolus Injection Method in Normal Adults (Bolus Injection 방법을 이용해서 측정한 정상 성인의 뇌척수액 배출저항)

  • Kim, Eun-Young;Park, Hyun Sun;Chung, Chong Kweon;Jin, Tae Kyoung;Kim, Jae Joong;Park, Hyung Chun
    • Journal of Korean Neurosurgical Society
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    • v.29 no.9
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    • pp.1209-1214
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    • 2000
  • Objectives : The measurement of resistance to cerebrospinal fluid outflow($R_o$) can clearly delineate cerebrospinal fluid dynamics in patients with ventricular dilatation and can help in selecting patients to undergo shunt placement. With regards to type of infusion method, bolus injection is known to be more practical and safer than continuous infusion. The purpose of this study was to obtain $R_o$ of normal adults using lumbar bolus injection method. Material and Methods : Twenty adults aged 25 to 52 years were studied using lumbar bolus injection method. Fifteen patients with hemifacial spasm and five with cerebral concussion underwent $R_o$ measurement under propofol general anesthesia and local anesthesia, respectively. Results : The mean values of $R_o$ determined 1 minute and 2 minutes after bolus injection were $4.8{\pm}1.7$ and $4.4{\pm}1.6mmHg/ml/min$, respectively. There was no significant difference of $R_o$ between propofol general anesthesia group and local anesthesia group. Two patients showed $R_o$ greater than 6mmHg/ml/min. One patient revealed unexpectedly high level of $R_o$ due to severe spinal stenosis. Conclusion : Mean Ro in this study was higher than that of Shapiro's study. Borderline Ro near 6mmHg/ml/min should be regarded with caution and compared with clinical symptoms and results of other studies. Patients with severe spinal stenosis should be evaluated with caution.

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A Prospective Study of Lumbar Spinal Root Block (요추부 신경근 차단술의 추적조사)

  • Yoo, Byung-Hoon;Kim, Kyung-Tae;Kim, Young-Jin;Song, Chan-Woo;Hong, Kee-Hyek
    • The Korean Journal of Pain
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    • v.10 no.1
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    • pp.77-81
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    • 1997
  • Background : We studied the effects of lumbar spinal root block (RB) prospectively in 21 patients who had suffered from low back pain with radiating pain even treated epidural steroid injection three times. Method : RB was performed under the fluoroscopic C-arm guide. When the needle was in correct position, we confirmed the needle placement and expected drug spreading by injection of contrast medium ($Isovist^{(R)}$-300, Sobering, Germany). Next 2% mepivacaine 1 ml mixed to 40 mg of Depomedrol was injected. Pain assessment was carried out 7 days after RB by numeric pain score regarding the pain just before RB was 10. Remained pain after RB was graded as excellent; 0-2, good; 3-5, bad; 6-8 and poor 9-10. Results : Mean age of the patients was 52.3 years. 38.1% and 47.6% of the patients showed excellent and goo dresults after RB, respectively. Conclusion : We concluded that RB is easy and safe procedure to perfirm and effective for the treatment of remnant pain following epidural steroid injection, especially in the patients who had spinal stenosis.

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Time-lapse Resistivity Investigations for Imaging Subsurface Grout during Ground Stabilization

  • Farooq, Muhammad;Park, Sam-Gyu;Kim, Jung-Ho;Song, Young-Soo
    • 한국지구물리탐사학회:학술대회논문집
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    • 2007.06a
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    • pp.241-244
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    • 2007
  • Cement-grouts are injected into limestone cavities beneath the road in the project area, in order to improve strength and reduce permeability; the extent to which grout has penetrated in cavities need to be monitored in order to determined effectiveness of cement-grout. Geophysical approaches, offer great potential for monitoring the grout injection process in a fast and cost-effective way as well as showing whether the grout has successfully achieved the target. This paper presents the ability of surface electrical resistivity to investigate the verification of the grout placement. In order to image the cement-grout, time-lapse surface electrical resistivity surveys were conducted to compare electrical resistivity images before and after injection. Cement-grout was imaged as anomalies exhibiting low resistivity than the surrounding rocks. In accordance with field monitoring, laboratory study was also designed to monitor the resistivity changes of cement-grout specimens with time-lapse. Time-lapse laboratory measurements indicated that electrical methods are good tool to identify the grouted zone. Pre-and post grouting electrical images showed significant changes in subsurface resistivity at grouted zone. The study showed that electrical resistivity imaging technology can be a useful tool for detecting and evaluating changes in subsurface resistivity due to the injection of the grout.

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Placement of Insecticides in the Root Zone of the Plants for Rice Insect Control (살충제 수도근부주변처리의 해충 방제효과)

  • Choi S. Y.;Lee H. R.;Ryu J. K.
    • Korean journal of applied entomology
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    • v.16 no.3 s.32
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    • pp.155-161
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    • 1977
  • During 1976 the effects of insecticide placement in the root zone of the rice plants were evaluated for control of rice insect pests in the screenhouse and in the paddy field at Suweon. The methods of insecticide placement included the use of encapsuled formulation and injection of liquid formulation. In screen house experiments, the root' zone placement of carbofuran was highly effective up to 30 days after treatment against the striped rice borers (Chilo sujppressalis) and up to 17 days after treatment against the small brown planthopper(Laodelphax xtriatellus) and the brown planthopper (Nilaparvata lugens), while the root-zone placement of omethoate and disyston were ineffective. In field experiments, the injection in every other row by the liquid applicator designed at IRRI was less effective for control of the striped "'rice borers and the small brown planthoppers than the caupsule placement. The single root·zone placement of liquid carbofuran, however, seemed to be equal in 'effectiveness to two broadcast applications of carbofuran and diazinon. In the plots treated at 5 days after transplanting, incidence of the dead hearts by the striped rice borers was much lower than in the plots treated at the 18 days after transplanting.

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An Experimental Study on the Dispersion Characteristics of Seawater Injection Nozzle for Hull Cooling (선체냉각을 위한 해수분사노즐의 산포특성에 관한 실험 연구)

  • Yoon, Seoktae;Jung, Hoseok;Cho, Yongjin
    • Journal of the Korea Institute of Military Science and Technology
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    • v.20 no.6
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    • pp.767-773
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    • 2017
  • Infrared stealth is an important technology for naval ships. This technology helps improve the anti-detection performance and survivability of naval ships. In general, the infrared signature of naval ships are categorized into internal and external heat source. External signature are generated by ship surface heating by solar flux as well as the complicated heat transfer process with the surrounding weather condition. Modern naval ships are equipped with seawater injection nozzles on the outside for nuclear, biological and, chemical, and these nozzles are used to control external signature. Wide nozzle placement intervals and insufficient injection pressure, however, have reduced seawater dispersion area. To address this problem, nozzle installation standards must be established. In this study, an actual-scale experimental system was implemented to provide the evidence for nozzle installation standards in order to reduce the infrared signature of naval ships. In addition, the environmental conditions of the experiment were set up through computational fluid dynamics considering the ocean climate data and naval ship management conditions of South Korea. The dispersion distance was measured using a high-resolution thermography system. The flow rate, pipe pressure, and dispersion distance were analyzed, and the evidence for the installation of seawater injection nozzles and operation performance standards was suggested.

Root-zone Placement of Carbofuran for Control of Rice Insect Pests (Carbofuran 수도근계처리의 해충방제효과)

  • Ryu J. K.;Choi S. Y.;Lee H. R.;Song Y. H.
    • Korean journal of applied entomology
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    • v.16 no.4 s.33
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    • pp.217-220
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    • 1977
  • During 1976 the effects of carbofuran placement in the root zone of the rice plants, the varieties Palkweng and Yushin, were evaluated for control of common rice pests in the paddy field at the Honam Crops Experiment Station. The methods of insecticide placement included the use of capsule formulation and liquid injection by the root-zone liquid insecticide injector designed at the International Rice Research Institute. The single ro~t-zone application of carbofuran at 2 days after transplanting was compared with two and fcur broadcast applications of carbofuran and diazinon. Capsules were the most. effective in controlling the striped rice borer (Chilo suppressalis), small brown plant-hopper (Laodelphax striatellus), green rice leafhopper (Nephotettix cincticeps) and stripe virus disease which is transmitted by the small brown planthopper. However, one injector application of carbofuran was equal or better the broadcast applications. Their control effectiveness were more significant on Palkweng susceptible to common rice pests than on Yushin resistant to the stripe virus disease.

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Effect of Fertilizer Deep Placement on Rice and Soybean Yield Using Newly Developed Device for Deep Fertilization (신개발 심층시비장치를 이용한 심층시비가 벼와 콩 수량에 미치는 영향)

  • Sung-Chang Hong;Min-Wook Kim;Jin-Ho Kim
    • Korean Journal of Environmental Agriculture
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    • v.42 no.1
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    • pp.44-51
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    • 2023
  • Nitrogen fertilizer is an essential macronutrient that requires repeated input for crop cultivation. Excessive use of nitrogen fertilizers can adversely affect the environment by discharging NH3, NO, and N2O into the air and leaching into surrounding water systems through rainfall runoff. Therefore, it is necessary to develop a technology that reduces the amount of nitrogen fertilizer used without compromising crop yields. Fertilizer deep placement could be a technology employed to increase the efficiency of nitrogen fertilizer use. In this study, a deep fertilization device that can be coupled to a tractor and used to inject fertilizer into the soil was developed. The deep fertilization device consisted of a tractor attachment part, fertilizer amount control and supply part, and an underground fertilizer input part. The fertilization depth was designed to be adjustable from the soil surface down to a depth of 40 cm in the soil. This device injected fertilizer at a speed of 2,000 m2/hr to a depth of 25 to 30 cm through an underground fertilizer injection pipe while being attached to and towed by a 62-horsepower agricultural tractor. Furthermore, it had no difficulty in employing various fertilizers currently utilized in agricultural fields, and it operated well. It could also perform fertilization and plowing work, thereby further simplifying agricultural labor. In this study, a newly developed device was used to investigate the effects of deep fertilizer placement (FDP) compared to those with urea surface broadcasting, in terms of rice and soybean grain yields. FDP increased the number of rice grains, resulting in an average improvement of 9% in rice yields across three regions. It also increased the number of soybean pods, resulting in an average increase of 23% in soybean yields across the three regions. The results of this study suggest that the newly developed deep fertilization device can efficiently and rapidly inject fertilizer into the soil at depths of 25 to 30 cm. This fertilizer deep placement strategy will be an effective fertilizer application method used to increase rice and soybean yields, in addition to reducing nitrogen fertilizer use, under conventional rice and soybean cultivation conditions.

Development and Clinical Application of Real-Time Light-Guided Vocal Fold Injection (실시간 광유도 성대주입술의 개발과 임상적 적용)

  • Huh, Gene;Cha, Wonjae
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.1
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    • pp.1-6
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    • 2022
  • Vocal fold injection (VFI) is widely accepted as a first line treatment in treating unilateral vocal fold paralysis and other vocal fold diseases. Although VFI is advantageous for its minimal invasiveness and efficiency, the invisibility of the needle tip remains an essential handicap in precise localization. Real-time light-guided vocal fold injection (RL-VFI) is a novel technique that was developed under the concept of performing simultaneous injection with precise placement of the needle tip under light guidance. RL-VFI has confirmed its possibility of technical implementation and the feasibility in injecting the needle from various directions through ex vivo animal studies. Further in vivo animal study has approved the safety and feasibility of the procedure when various transcutaneous approaches were applied. Currently, RL-VFI device is authorized for clinical use by the Ministry of Food and Drug Safety in South Korea and is clinically applied to patients with safe and favorable outcome. Several clinical studies are currently under process to approve the safety and the efficiency of RL-VFI. RL-VFI is expected to improve the complication rate and the functional outcome of voice. Furthermore, it will support laryngologists in overcoming the steep learning curve by its intuitive guidance.

The Effect of Epidural Dexamethasone after Lumbar Epidural Anesthesia (요부 경막외마취 후 경막외강으로 투여한 Dexamethasone의 효과)

  • Kim, Dong-Hee;Kim, Tae-Jin
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.65-68
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    • 1998
  • Background: Epidural steroid injection(ESI) is often adminstered to treat lower back pain, but its effect iveness on postepidural backache have not yet been determined. Methods: Sixty patients scheduled for cesarean section under epidural anesthesia were randomly assigned to receive, 1 ml of normal saline(Group 1), or 5 mg of dexamethasone (Group 2), epidurally via indwelling catheter after delivery. Results: The incidences of postepidural backache occured significantly more often in Group 1(56.7%) than in Group 2(26.7%)(P<0.05). There was a significant association between postepidural backache and multiple attempts at epidural needle placement. Conclusion: Epidural dexamethasone has a preventive effect on postepidural backache.

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