• Title/Summary/Keyword: Laser needle

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Giant Thyroid Mass Excision Using Energy Device and Pectoralis Major Myocutaneous Flap Reconstruction

  • Song, Min Seok;Lee, Sang Joon;Woo, Seung Hoon
    • Medical Lasers
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    • v.10 no.2
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    • pp.115-119
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    • 2021
  • A giant thyroid mass can be associated with severe compressive symptoms, requiring surgery for treatment. This paper reports the case of an 82-year-old man who presented with a giant thyroid mass that was suspected of being a metastatic papillary thyroid carcinoma on fine-needle aspiration cytology. A harmonic scalpel was used to excise the giant thyroid mass. A pectoralis major myocutaneous flap was used for reconstruction. The histopathology assessment confirmed the metastases in the lymph node and papillary thyroid carcinoma in the resected gland.

Experimental Study of Dadun(LR1)·Shaofu(HT8) Reduction in Acupuncture on the Improvement of Cerebral Hemodynamics (대돈(大敦)·소부(少府) 사법자침(瀉法刺鍼)이 뇌혈류역학(腦血流力學) 변동(變動) 개선(改善)에 미치는 영향)

  • Shin, Dong-hoon;Cho, Myoung-rae
    • Journal of Acupuncture Research
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    • v.21 no.1
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    • pp.33-50
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    • 2004
  • Objective: The aim of this study was to investigate anti-ischemic effect of LR1 HT8 Reduction in Acupuncture Methods: I designed to investigate whether LR1 HT8 Reduction in Acupuncture affects cerebral hemodynamics [regional cerebral blood flow(rCBF), pial arterial diameter(PAD), mean arterial blood pressure(MABP)] in normal rats and to make manifest whether LR1 HT8 Reduction in Acupuncture is mediated by cyclooxygenase or guanylate cyclase. The changes of rCBF and MABP were determinated by laser-doppler flowmetry(LDF), and the change of PAD was de terminated by video microscope and width analyzer. Results: The results were as follows; 1. LR1 Reduction in Acupuncture was increased rCBF and PAD, but decreased MABP. 2. HT8 Reduction in Acupuncture was significantly increased rCBF, but decreased MABP, and increased PAD. 3. LR1 HT8 Reduction in Acupuncture was significantly increased rCBF, PAD, but decreased MABP after withdrawing of the needle. This results suggest that LR1 HT8 Reduction in Acupuncture increased significantly rCBF by dilating PAD. 4. Pretreatment with indomethacin(1mg/kg, i,v.) was significantly inhibited LR1 HT8 Reduction in Acupuncture induced increase of rCBF and PAD, but increased LR1 HT8 Reduction in Acupuncture induced decrease of MABP after withdrawing of the needle. 5. Pretreatment with methylene blue($10{\mu}g/kg$, i,v.) was decreased LR1 HT8 Reduction in Acupuncture induced increase of rCBF and PAD, but accelerated LR1 HT8 Reduction in Acupuncture induced decrease of MABP. Conclusions: I suggest that LR1 HT8 Reduction in Acupuncture has an anti-ischemic effect through the improvement of cerebral hemodynamics, and the mechanism is mediated by cyclooxygenase.

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Angiogenic Responce to Transmyocardial Mechanical Reveascularization(TMMR) with Polymer Myocardial Stent (고분자 중합체 심근 스템트를 이용한 기계적 경심근 혈류재건술의 혈관생성 반응)

  • Choi, Ho;Lee, Cheol-Joo;Moon, Kwang-Deok;Kim, Young-Jin;Kang, Joon-Kyu;Hong, Jun-Wha;Jee, Kyung-Soo;Han, Man-Jung;Cho, Sang-Ho
    • Journal of Chest Surgery
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    • v.33 no.6
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    • pp.494-501
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    • 2000
  • Background: Transmyocardial laser revascularization(TMLR) for revascularizing ischemic myocardium in patients was originally based on the assumption that laser channels remain their patency much longer. But recent studies show that laser channels did not remain open and that TMLR could achieve treatment benefits without long-term channel patency. The angiongencesis is currently thought to be induced by non-specific inflammatory response to mechanical tissue injury. This study is to evaluate hypothesis that various transmyocaridal mechanical revascularization(TMMR) may induce the angiogenic responses similar to that seen with TMLR, and transmyocaridal polymer stent revascularization(TMSR), the polymer stent in the myocardial tissue is hydrolyzed in 2 weeks, may enhance the non-specific inflammatory reaction resulting angiogenesis. Furthermore, polymer myocaridal stent channels remain long-term patency. Material and Method: Eight domestic pigs underwent ligation of the proximal circumflex artery, and 2 weeks later they were randomized to undergo transmycardial acupunctural revascularization (TMPR, Group I) of the left lateral wall with 18-G needle(n=2), to undergo transmyocardial (TMDR, Group II) with industrial 2mm steel drill(n=2), to undergo transmyocardial polymer stent revascularization (TMSR, Group III) after drilling the infarcted myocardium(n=2), the stent is poly(lactic acid-co-glycolic acid), which is self-degradated in the myocardium, and to a control group the ischemic zone was unterated(n=2). All the pigs were sacrificed after 4 weeks TMMR. Sections from the ischemic zone were submitted for vascular endothelial growth factor (VEGF) ELISA and histology. Result: There were makedly increase in the VEGF immunoassay in the ischemic zone of the TMMR group compared to the ischemic zone of the control group(control: each 30.85 and 43.15pg/mg protein, TMPR: each 44.14 and 68.61 pg/mg protein, TMDR: each 65.92 and 78.65 pg/mg protein, TMSR: each 177.39 and 168.87 pg/mg protein). TMSR channels caused greatest VEGF expression than channels made by other group and the polymer stent channels remained vacuole after 4 weeks. Conclusion: Transmyocardial polymer stent revascularization promoted the most angiogenci response by the VEGF immunoassay, although our study did not show the statistical significancy. The channels remained but the flow patency was not verified. Transmyocardial polymer stent revascularization (TMSR) is desirable in future experimental trials and in view of the significant cost implications comparable to that of laser.

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Analysis of rutile single crystals grown by skull melting method (Skull melting법에 의해 성장된 rutile 단결정 분석)

  • Seok, Jeong-Won;Choi, Jong-Koen
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.16 no.5
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    • pp.181-188
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    • 2006
  • Rutile single crystals grown by skull melting method were cut parallel and perpendicular to growth axis, and both sides of the cut wafers (${\phi}5.5mmx1.0mm$) were then polished to be mirror surfaces. The black wafers were changed into pale yellow color by annealing in air at 1200 and $1300^{\circ}C$ for $3{\sim}15\;and\;10{\sim}50$ hours, respectively. After annealing, structural and optical properties were examined by specific gravity (S.G), SEM-electron backscattered pattern (SEM-EBSP), X-ray diffraction (XRD), FT-IR transmittance spectra, laser Raman spectroscopy (LRS), photoluminescence (PL) and X-ray photoelectron spectroscopy (XPS). These results are analyzed increase of weight in air, decrease of weight in water and specific gravity, shown secondary phase of needle shape, diffusion of oxygen ion and increase of $Ti^{3+}$. From the above results, we suggest that the skull melting method grown rutile single crystals contain defect centers such as $O_v,\;Ti^{3+},\;O_v-Ti^{3+}$ interstitials and $F^+-H^+$.

Research Trends on the Acupuncture Treatment of Shoulder Impingement Syndrome (어깨 충돌증후군의 침치료에 관한 연구 동향)

  • Yoon, Kwang Sik
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.5
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    • pp.315-320
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    • 2018
  • The purpose of this study is to investigate reasearch trend of acupuncture treatment on shoulder impingement syndrome. This study investigated the recent studies about acupuncture treatment for shoulder impingement syndrome via searching Korean and foreign electronic databases(Research Information Services, National Digital Science Library, Oriental Medicine Advanced Searching Integated Services, PubMed, China National Knowledge Infrastructure). The search term was searched by combining 'shoulder impingement sydrome', 'subacrominal pain', 'acupuncture', 'needle therapy', and was limited to the articles published from 2005 to 2017. 14 studies were found to be analyzed according to the type of study, the number of cases, the type of treatment, the instruments for assessment and published year. 14 studies were published since 2005, 6 case reports, 8 randomized controlled trials. In the treatment of shoulder impingement syndrome, treatments such as acupuncture, acupotomy, pharmacopuncture, laser acupuncture, combined treatment of exercise and rehabilitation were performed. Visual analogue scale(VAS), range of motion(ROM) and various questionnaires were used as primary assessments. In each study, acupuncture treatment was reported to have a significant effect in the pain, range of motion and disability of shoulder impingement syndrome. In order to ensure objective evidence on acupuncture treatment, large scale case reports and randomized controlled trials should be continued.

Acupuncture Clinical Trial Study for Prevention of Postoperative Nausea and Vomiting in Children (소아의 수술 후 오심 및 구토에 대한 침술치료 임상연구 고찰)

  • Chang, Gyu-Tae;Kim, Jang-Hyun;Choi, Eun-Young
    • The Journal of Pediatrics of Korean Medicine
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    • v.19 no.1
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    • pp.173-183
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    • 2005
  • Background and objective : Postoperative nausea and vomiting(PONV) are frequent complications of general anesthesia in children. High cost and associated side effects of antiemetic drugs, have increased interest in nonpharmacological methods for treatment of PONV. The aim of this study was to report the effect of acupuncture for prevention of PONV in children. Material and Method : Randomized clinical trials retrieved by a search of articles indexed on the Medline and NDSL database. Key words to search were 'PONV', 'POV', 'acupuncture', 'children', 'pediatric'. Results : Eleven articles were selected and six of them showed significant effectiveness of acupuncture in preventing PONV in children. Acupuncture methods were needle acupuncture acupressure, electro-acupuncture, laser acupuncture, acupuncture point injection. The main acupuncture point was P6(Neiguan). Conclusion : The effectiveness of acupuncture for prevention of PONV in children has been shown in some, but not all trials. Further studies are needed.

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Effect of the Pressure and the Flow Pattern in a Sac Chamber of a Diesel Injection Nozzle on the Issued Spray Behaviors (디젤 연료분사노즐 색크실내의 압력과 유동패턴이 분류의 분열거동에 미치는 영향)

  • 김장헌;송규근
    • Transactions of the Korean Society of Automotive Engineers
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    • v.8 no.1
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    • pp.48-53
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    • 2000
  • The effects of the internal flow in a diesel injection nozzle on the atomization of the spray has been investigated experimentally. Flow visualization was made using a transparent acrylic model nozzle. And also, measurement of the sac chamber pressure was made for clartfying the effect of pressure fluctuation in the sac chamber on the wpray behaviors. The geometry of the model nozzle was scaled up 10 times of the actual nozzle and the injection pressure for the model nozzle was adjusted so as to achieve a Reynolds number at the discharge hole which was the same as the actual nozzle. Polystyrene tracers, a laser sheet light and a still/high speed video camera were used to visualize the flow pattern in the sac chamber. When the needle lift was small, the high turbulence in the sac chamber generated by the high velocity seat flow made the spread angle of the spray large. Cavitation which arose in the sky chamber induced the pressure fluctuation and then affects the spread angle of the spray.

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A possible non-contact measuring technique for the variation of the electric field due to corona discharge by use of Pockels sensor (포켈스센서를 이용한 코로나방전 발생시의 전계변화 측정에 관한 연구)

  • Ma, Ji-Hoon;Kang, Won-Jong;Lim, Yun-Sok;Choi, Jae-Ok;Chang, Yong-Moo;Koo, Ja-Yoon
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2001.05c
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    • pp.189-192
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    • 2001
  • In this paper, an novel optical measuring system based on the electro-optic effect has been proposed and realized using Pockels cell with a view to detecting partial discharge taking place at the needle plane electrode. This system has the following advantages ; nonmetallic probe sensor, immune to external EMI noise and broad band response of the Pockels cell from DC to GHz. This system is constructed by He-Ne laser, Mach-Zehnder interferometer with Pockels sensor, balanced photo receiver, data acquisition board and PC. The response characteristics of the developed proto type sensor are examined for AC and corona discharge.

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A Possible Application of the PD Detection Technique Using Electro-Optic Pockels Cell With Nonlinear Characteristic Analysis on the PD signals

  • Kang, Won-Jong;Lim, Yun-Sok;Chang, Young-Moo;Koo, Ja-Yoon
    • KIEE International Transactions on Electrophysics and Applications
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    • v.11C no.2
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    • pp.6-11
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    • 2001
  • Abstract- In this paper, a new Partial Discharge (PD) detection using Pockels cell was proposed and considerable apparent chaotic characteristics were discussed. For this purpose, PD was generated from needle-plane electrode in air and detecte by optical measuring system using Pockels cell, based on Mach-Zehner interferometer, consisting of He-Ne laser, single mode optical fiber, 50/50 beam splitter and photo detector. In addition, the presence of chaos of the PD signals has been investigated by examining their means of qualitative and quantitative information. For the former, return map and 3-dimensional strange attractor have been drawn in order to investigate the presence of chaotic characteristics relevant to PD signals, detected through CT and Peckels sensor respectively, in the normalized time series. The presence of strange attractor indicates the existence of fractal structures in it's phase space. For the latter, several dimension values of strange attractor were verified sequentially. Throughout this paper, it is likely that the chaotic characteristics regarding the PD signals under air are verified.

A possible application of the PD detection technique using electro-optic Pockels cell with nonlinear characteristic analysis on the PD signals (포켈스 소자를 이용한 PD 신호의 검출 및 비선형적 해석에 관한 연구)

  • Lim, Y.S.;Kang, W.J.;Chang, Y.M.;Koo, J.Y.
    • Proceedings of the KIEE Conference
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    • 2000.07c
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    • pp.1850-1852
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    • 2000
  • In this paper, new Partial Discharge (PD) detection technique using Pockels cell was proposed and considerable apparent chaotic characteristics were discussed. For this purpose, PD was generated from needle-plane electrode in air and detected by optical measuring system using Pockels cell, based on Mach-Zehnder interferometer, consisting of He-Ne laser, single mode optical fiber, 50/50 beam splitter and photo detector. A qualitative analysis was carried out by drawing Return map for the normalized time series of the detected PD signals. The results are as follows:(a) Fixed points, between 0.7 and 1.0, are appeared clearly in the right upper area of the return map as the increase in the number of obtained data.(b) Considerable periodicity have been remarked even though exact period and length can not be determined.(c) The self-similarity can be also observed inasmuch as the late paths do not follow the previous ones. Accordingly, exact quantitative analysis such as embedding dimension, fractal dimension, and Lyapunov exponents should be carried out for deducing the quantitative properties regarding PD phenomena.

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