• 제목/요약/키워드: RFN

검색결과 19건 처리시간 0.02초

The Effect of Radiofrequency Neurotomy of Lower Cervical Medial Branches on Cervicogenic Headache

  • Park, Seung-Won;Park, Yong-Sook;Nam, Taek-Kyun;Cho, Tack-Geun
    • Journal of Korean Neurosurgical Society
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    • 제50권6호
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    • pp.507-511
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    • 2011
  • Objective : Cervicogenic headache (CGH) is known to be mainly related with upper cervical problems. In this study, the effect of radiofrequency neurotomy (RFN) for lower cervical (C4-7) medial branches on CGH was evaluated. Methods : Eleven patients with neck pain and headache, who were treated with lower cervical RFN due to supposed lower cervical zygapophysial joint pain without symptomatic intervertebral disc problem or stenosis, were enrolled in this study. CGH was diagnosed according to the diagnostic criteria of the cervicogenic headache international study group. Visual analogue scale (VAS) score and degree of VAS improvement (VASi) (%) were checked for evaluation of the effect of lower cervical RFN on CGH. Results : The VAS score at 6 months after RFN was $2.7{\pm}1.3$, which were significantly decreased comparing to the VAS score before RFN, $8.1{\pm}1.1$ ($p$<0.001). The VASi at 6 months after RFN was $63.8{\pm}17.1%$. There was no serious complication. Conclusion : Our data suggest that lower cervical disorders can play a role in the genesis of headache in addition to the upper cervical disorders or independently.

PSE, RSE, RFN, DFD 돈육의 육색과 보수력에 관한 연구 (Color and Water Holding Capacity of PSE, RSE, RFN and DFD Pork)

  • 김천제;박홍양;정영철;강종옥;이창현;이의수
    • 한국식품과학회지
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    • 제29권6호
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    • pp.1138-1143
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    • 1997
  • PSE, RSE, RFN 및 DFD돈육의 육질에 따른 보수력 , 가열감량, 드립 감량 및 단백질 용해성을 측정하였으며 드립감량과 육색 및 보수력과의 상관도를 조사하였다. 압착법에 의한 보수력은 도축직후 $58.36{\pm}12.75%$이었으나 24시간후 $45.54{\pm}9.33%$로 감소하였으며 3일간 저장후의 드립 감량은 평균 $7.02{\pm}2.98%$로 나타났다. 또한 단백질 용해성은 평균 10.46 mg/mL이었다. 육질에 따른 압착법에 의한 보수력은 도축직후 PSE육 49.08%, DFD육 66.50%이었으며 , RSE육(55.24%)과 RFN육(64.03%) 사이에는 유의적인 차이가 있었다. 도축24시간후의 보수력은 PSE육 39.56%, DFD육 56.56%이었으며 PSE육과 RSE육 사이에는 유의적인 차이가 나타나지 않았다(p>0.05). 드립방량은 PSE육(11.18%)과 RSE육(9.30%)에서 높게 나타났으며, RFN육과 DFD육은 각각 5.34%와 3.73%,로 나타나 각 육질간의 유의적인 차이가 인정되었다(p<0.05). 가열감량은 DFD육(25.1%)에서 가장 낮게 나타났고 나머지 육질 그룹간에는 뚜렷한 차이가 없었으며, 염용성 단백질 용해성은 PSE육에서 가장 낮게 나타났다. $L^*(lightness)$값과 드립감량과의 관계에 있어서 $L^*-$값이 증가할수록 드립감량은 증가하였으며(r=0.61), 보수력과 드립감량과의 관계에 있어서는 24시간후 측정된 보수력과의 상관도(r=-0.52)가 도축직후 측정된 보수력과의 상관도(r=-0.47)보다 높게 나타났다.

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Radiofrequency Neurotomy of the Gray Ramus Communicans for Lumbar Osteoporotic Compression Fracture

  • Kim, Seok-Won;Ju, Chang-Il;Lee, Seung-Myung;Shin, Ho
    • Journal of Korean Neurosurgical Society
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    • 제41권1호
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    • pp.7-10
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    • 2007
  • Objective : The aim of this study was to determine the efficacy of percutaneous radiofrequency neurotomy[RFN] of ramus communicans nerve in patients suffering from severe low back pain due to osteoporotic compression fracture. Methods : Twenty two patients with lumbar osteoporotic compression fracture who had intractable back pain for less than two weeks and were performed with RFN at L1-L4 from May 2004 to December 2005 were retrospectively analyzed. Clinical outcome using visual analogue scale[VAS] pain scores and modified MacNab's grade was tabulated. Complications related to the procedure were assessed. Results : Twenty-two female patients [age from 63 to 81 years old] were included in this study. The mean VAS score prior to RFN was 7.8, it improved to 2.6 within postoperative time of 48 hours, and the mean VAS score after 3 months was 2.8, which was significantly decreased. Eighteen of 22 patients were graded as excellent and good according to modified MacNab's criteria at final follow up. All patients recovered uneventfully, and the neurologic examination revealed no deficits. Two patients showing poor results worsened in symptom. Percutaneous was performed eventually resulting in symptom improvement. There were no significant complications related to the procedure such as sensory dysesthesia, numbness or permanent motor weakness. Conclusion : RFN is safe and effective in treating the painful osteoporotic compression fracture. in patients with intractable back pain due to lumbar osteoporotic compression fracture, RFN of gray ramus communicans nerve should be considered as a treatment option prior to vertebroplasty.

Radiofrequency Neurotomy for Remnant Pain after Vertebroplasty as the Treatment of Severe Compression Fracture

  • Kim, Saeng-Youp;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • 제40권2호
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    • pp.95-98
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    • 2006
  • Objective : The aim of this study is to evaluate the feasibility, safety and effectiveness of radiofrequency neurotomy[RFN] for remnant pain after vertebroplasty for the treatment of severe compression fracture. Methods : 25 patients with remnant pain after vertebroplasty for one level severe compression fracture were treated by RFN. The severe compression fractures were defined to the vertebrae which less than 50% of their original heights have collapsed. Pain relief was evaluated at 2 weeks, 6 weeks and 3 months after the procedure using a visual analog scale[VAS]. Results : Successful outcome was determined if pain reduction exceeded 50% on the VAS at 6 weeks. Six of the 25 patients did not respond favorably to RFN [pain reduction less than 50%], and nineteen patients showed successful responses. Mean VAS score was decreased from 5.48 to 2.96 at 6 weeks. Conclusion : The radiofrequency neurotomy may be both feasible and useful treatment for the remnant pain after vertebroplasty. However long-term follow up is needed to confirm the effectiveness.

예비화학교사들의 과학의 본성에 대한 인식 연구 -보일의 공기 펌프 실험을 중심으로- (A Study of Pre-service Chemistry Teachers' Perceptions on NOS -Focusing on Boyle's Air Pump Experiment-)

  • 조은혜;이재혁;백성혜
    • 대한화학회지
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    • 제65권5호
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    • pp.333-346
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    • 2021
  • 이 연구에서는 비맥락적 상황과 맥락적 상황에서 예비화학교사들의 과학의 본성에 대한 인식을 비교하기 위하여 보일의 공기 펌프 실험과 이를 둘러싼 보일과 홉스의 진공에 관한 논쟁에 대한 과학사 소재를 개발하였다. 이 연구를 위하여 연구대상으로 충청북도에 있는 사범대학 재학 중인 예비화학교사 29명을 선정하였다. 이 연구에서 개발한 맥락적 상황과 관계가 있는 RFN 문항으로 '목표 및 가치', '과학적 기능', '교육적 응용 중 과학적 방법', '교육적 응용 중 사회-제도적 측면' 범주의 문항을 선정하였다. 그리고 RFN의 설문 문항을 통해 비맥락적 상황에 대한 예비교사들의 인식을 알아보았다. 그 후 예비교사들에게 보일의 진공 펌프 실험과 보일과 홉스의 진공에 관한 논쟁에 관련된 상황을 제시하였다. 그리고 RFN 문항과 관련된 맥락적 상황에서 예비교사들의 NOS 인식을 알아보았다. 자료로는 설문에 대한 응답과 보일의 법칙에 관련된 실험 결과, 조별 토론 자료, 인터뷰 자료 등을 수집하였다. 연구 결과, 비맥락적 설문의 대부분 항목에서 예비교사들은 정보에 입각한 견해를 가진 것으로 나타났으나, 맥락적 실험 상황에서는 순진한 견해나 혼재된 견해를 가진 사례들이 발견되었다. 이 연구는 NOS 관련 맥락적 상황의 교육 자료를 개발하고, 비맥락적 상황과 맥락적 상황에 대한 예비교사들의 인식을 파악함으로써 예비화학교사들을 위한 NOS 교육에 기여할 수 있다.

Objectively Predicting Ultimate Quality of Post-Rigor Pork Musculature: II. Practical Classification Method on the Cutting-Line

  • Joo, S.T.;Kauffman, R.G.;Warner, R.D.;Borggaard, C.;Stevenson-Barry, J.M.;Rhee, M.S.;Park, G.B.;Kim, B.C.
    • Asian-Australasian Journal of Animal Sciences
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    • 제13권1호
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    • pp.77-85
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    • 2000
  • To investigate the practical assessing method of pork quality, 302 carcasses were selected randomly to represent commercial conditions and were probed at 24 hr postmortem (PM) by Danish Meat Quality Marbling (MQM), Hennessy Grading Probe (HGP), Sensoptic Resistance Probe (SRP) and NWK pH-K21 meter (NpH). Also, filter paper wetness (FPW), lightness (L*), ultimate pH (pHu), subjective color (SC), firmness/wetness (SF) and marbling scores (SM) were recorded. Each carcass was categorized as either PSE (pale, soft and exudative), RSE (Reddish-pink, soft and exudative), RFN (reddish-pink, firm and non-exudative) or DFD (dark, firm and dry). When discriminant analysis was used to sort carcasses into four quality groups the highest proportion of correct classes was 65% by HGP, 60% by MQM, 52% by NpH and 32% by SRP. When independent variables were combined to sort carcasses into groups the success was only 67%. When RSE and RFN groups were merged so that there were only three groups (PSE, RSE+RFN, DFD) differentiating by color MQM was able to sort the same set of data into the new set of three groups with 80% accuracy. The proportions of correct classifications for HGP, NpH and SRP were 75%, 61% and 35% respectively. There was a decline in predication accuracy when only two groups, exudative (PSE and RES) and non exudative (RFN and DFD) were sorted. However, when two groups designated PSE and non-PSE (RSE, RFN and DFD) were sorted then the proportion of correct classification by MQM, HGP, SRP and NpH were 87%, 81%, 71% and 66% respectively. Combinations of variables only increased the prediction accuracy by 1 or 2% over prediction by MQM alone. When the data was sorted into three marbling groups based on SM this was not well predicted by any of the probe measurements. The best prediction accuracy was 72% by a combination of MQM and NpH.

Relationships between Pork Quality Traits and Growth Factor Concentrations in Serum and Longissimus dorsi Muscle before and at Slaughter in Female Market Pigs

  • Kim, Min Ho;Kang, Moon Sung;Ha, Duck Min;Ko, Yong;Lee, C. Young
    • Journal of Animal Science and Technology
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    • 제55권2호
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    • pp.95-101
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    • 2013
  • The present study was conducted to test a hypothesis that pork quality traits would be influenced by the systemic and/or local bioavailability of insulin-like growth factor-I (IGF-I), transforming growth factor-${\beta}1$ (TGF-${\beta}1$), or epidermal growth factor (EGF) before or at slaughter. To this end, 60 cross-bred female market pigs weighing approximately 110 kg were slaughtered, after which Longissimus dorsi muscle (LM) samples taken at slaughter (D 0) and blood samples taken at D -7 and D 0 were analyzed. The 60 carcasses rendered 36 RFN (reddish-pink, firm, and non-exudative), 16 RSE (reddish-pink, soft, and exudative), and 6 PSE (pale, soft, and exudative); 2 DFD (dark, firm, and dry) also were found but were excluded in subsequent experiments. The $L^*$ and drip loss were greater in PSE vs. RFN and RSE and in PSE and RSE vs. RFN, respectively, as they should (P<0.05). The $pH_{45min}$ was less in PSE vs. RFN (P<0.05); $pH_{24h}$ tended to be less in the former (P=0.09). The LM IGF-I and TGF-${\beta}1$ as well as serum EGF concentrations were less in PSE than in RFN. None of the other LM and serum concentrations of the three growth factors differed across the three pork quality categories. The LM IGF-I and TGF-${\beta}1$ concentrations and serum EGF concentration at D 0 were negatively correlated with drip loss [r = -0.36(P<0.01), -0.44 (P<0.01), and -0.32 (P<0.05), respectively]. However, none of the serum and LM growth factor variables was correlated with $L^*$ or $a^*$ (redness) of LM. Taken together, results suggest that locally expressed IGF-I and TGF-${\beta}1$ and blood-borne EGF may have a beneficial effect on postmortem water holding capacity of the muscle and that pork quality traits could be predicted to some extent from concentrations of IGF-I and TGF-${\beta}1$ in muscle and EGF in serum at slaughter.

Alcohol neurolysis of genicular nerve for chronic knee pain

  • Dass, Rushin Maria;Kim, Eunsoo;Kim, Hae-kyu;Lee, Ji Youn;Lee, Hyun Ju;Rhee, Seung Joon
    • The Korean Journal of Pain
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    • 제32권3호
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    • pp.223-227
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    • 2019
  • Radiofrequency neurolysis (RFN) of the genicular nerves has recently become accepted as an effective technique to alleviate knee pain particularly in patients with knee osteoarthritis (OA) or postoperative pain. However, genicular nerve RFN can produce high procedure and equipment costs, longer procedural times, procedure-related pain, and failure rate of over 25%. We are presenting two cases of alcohol neurolysis of the genicular nerve using fluoroscopy and ultrasonography in patients with knee OA or persistent postsurgical pain of the knee. Alcohol neurolysis of the genicular nerve with dual imaging modality can be a cheap, safe and effective method in patients with chronic knee pain.