• Title/Summary/Keyword: Right-relief

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Inferior Mesenteric Plexus Block Performed in the Lateral Position (측와위에서 시행한 하 장간막 신경총차단)

  • Kim, Chun-Sook;Cha, Young-Deog
    • The Korean Journal of Pain
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    • v.8 no.1
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    • pp.144-148
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    • 1995
  • Inferior mesenteric plexus block(IMPB) sa useful nerve block for the relief of intractable lower abdominal and pelvic pain caused by a lower abdominal visceral or a pelvic malignancy. IMPB has been performed in the prone position. But there are many patients who can't lie in the prone position, because ascites is frequently noticed in cancer patients and they also frequently received abdominal operations. We performed IMPB in the lateral position on two patients with lower abdominal pain, Case 1: A 77 year old female who had a right ovarian cancer with metastatic cancer of descending colon and rectum, experienced complete pain relief. Case 2: A 72 year old female who had a far advance pancreatic cancer with intestinal obstruction due to carcinomatosis received right and left celiac plexus block and right and left IMPB. The patient was satisfied with the result of these pain blocks. Conclusion; IMAPB performed in the lateral position on two patients with lower abdominal pain and their results were excellent for pain relief.

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Crossover bypass in the Obstruction of the Common Iliac Vein Using with Saphenous Vein Graft - A Report of Case - (외상성 총장골정맥폐쇄에서 Palma 씨 수술치험 1례)

  • 이종락
    • Journal of Chest Surgery
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    • v.22 no.2
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    • pp.337-341
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    • 1989
  • A 40-year-old male developed the swelling of the right leg one month after trauma on cycling. Conservative measures to relieve the swelling of the right leg for three months were failed. Venogram showed complete obstruction of the right common iliac vein. Crossover bypass [Palmas operation] with great saphenous vein graft for relief of venous stasis of the right leg was performed. Postoperatively, the swelling of the right leg was subsided and able to walk without edema of the right leg.

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Right-relief System of the Disputes to the Reviewing Medical Expenses in Health Insurance (건강보험 진료비 청구 및 심사지급에서의 권리분쟁과 구제)

  • Kim, Un-Mook
    • The Korean Society of Law and Medicine
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    • v.8 no.2
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    • pp.119-164
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    • 2007
  • Improving the formal objection system regarding reviewing medical expenses requires authority and confidence in the aspect of well-functioning the health insurance review and assessment system, legally and appropriately. The purposes of improvement of the formal objection system should aim for protecting the people's right of health. On handling the formal objections, the disputes of the rights should be settled economically and promptly by fairness, specialty, and objectivity in the health insurance review and assessment administration. Therefore, in order to promote the administrative specialty of health insurance, the formal objection committee needs to be organized independently and guaranteed expertly. Under the current formal objection system, however, the organization of committee lacks right-relief function, recognition and public relation as a health insurance appeal system, and related professional man powers. It is also analyzed that there are several controversial points, such as mass deliberation to the formal objection committee and its conference procedure. As a measure of improvement, it is analyzed that the committee needs to be organized independently with a proper number of professional man powers. The strict deliberation procedures and the prohibition of the decision-making by non-conference are also required to be empowered. The formal objection procedure provides the beneficiaries and the claims legitimately, so that it secures the legal relations on the health insurance system. Therefore, on the conference process of formal objection, the expert and guaranteed protection should be provided promptly, and its procedures to the appellants should also be assisted kindly.

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The Short-Term Effects of Difference Frequency of Transcutaneous Electrical Nerve Stimulation on Pain Relief using c-fos Expression in Spinal Cord with Knee Osteoarthritis Rats

  • Koo, Hyun-Mo;Na, Sang-Su
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.4
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    • pp.49-54
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    • 2016
  • PURPOSE: The purpose of this study was to determine the effect of different frequencies (4Hz and 100Hz) of transcutaneous electrical nerve simulation (TENS) on pain relief using c-fos expression in the spinal cord of rat osteoarthritis to investigate the appropriate frequency for pain relief. METHODS: Total of 30 Sprague-Dawley rats was used and randomly divided 2 groups according TENS frequency and applicate the TENS during 3 period (3 days, 7 days, 10 days). The induction of osteoarthritis by 3mg monosodium iodoacetat was injected into the right knee joint of rats. Three days later, commercially available TENS unit was used for stimulation was set to 20minutes on 3, 7, 10 days after surgery. Western blot analysis system was used to detect immunoreactive proteins. The thickness of the bands were photographically measured by Scion Image. RESULTS: When investigating the c-fos expression of TENS on spinal cord in OA knee over 10 days, between-groups differences in c-fos expression reached a significant level by day 10. For within-groups comparisons, the c-fos expression decreased significantly across days in low- and high-frequency TENS groups. CONCLUSION: Whether at low- and high-frequency, the TENS as a therapy obtained beneficial effects of pain relief and TNES at high-frequency is more beneficial effects on the pain relief when TENS applied at injury site.

Experience with Spinal Cord Stimulation for Relief of Causalgia on the Right Lower Extremity -A case report- (척수신경 자극기를 이용한 우하지 작열통의 치험 -증례 보고-)

  • Lee, Dong-Ki;Kim, Yong-Ik;Park, Wook
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.229-231
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    • 1996
  • Spinal cord stimulation(SCS) was first attempted to relieve intractable pain in 1966. SCS has evolved into percutaneously implanted electrode with aim of activating spinal pain-inhibiting mechanism via dorsal columns. SCS is valuable for the treatment of many painful and difficult to treat conditions such as postamputation pain, painful peripheral neuropathies, chronic sciatic pain and so on. We treated a case of causalgia of the right lower extremity with successful outcome of 90% sustained relief of pain. And patient has satisfied using SCS(Model MNR-94, Neuromed) for 6 months follow-up.

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Contact Singular Stress with Relief Notch by Using Dynamic Photoelasticity (동적광탄성 실험에 의한 응력이완 노치부근에서의 접촉특이응력해석)

  • 이억섭;황시원;나경찬
    • Transactions of the Korean Society of Automotive Engineers
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    • v.4 no.1
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    • pp.55-62
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    • 1996
  • The dynamic photoelastic technique has been utilized to investigate the possibility of relieving the large local singular stresses which are induce in the corner of a right angled indenter. The indenter compresses a semi-infinite body dynamically with an impact load applied on the top of the indenter. The effect of geometric changes to the indenter in terms of the diameter (d) and the location (ℓ) of the notch on the relieving of the dynamic contact stresses are investigated. A multi-spark-high speed camera with twelve sparks was used to take dynamic photographs. The contact singular stresses were found to be released by introducing the relief notch along the indenter. The optimal location and geometry of the relief notch need further experimental investigation.

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The Effect of Smart Working and Psychological Attachment from Work on Right to Disconnect : Focused on Moderating Effect of Open Communication and Gender (스마트워크와 심리적 비분리가 연결되지 않을 권리 인식에 미치는 영향 : 의사소통 개방성과 성별의 조절효과를 중심으로)

  • Park, Jung-Ryeol;Kwon, Sun-Dong
    • Journal of Information Technology Applications and Management
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    • v.26 no.1
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    • pp.77-93
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    • 2019
  • Recently, office workers are increasingly aware of the right to disconnect because of the pressure from strong connections with Internet messengers. In this study, we examined the reason why the perception of the right to disconnect increases and how to deal with it. This research model is that smart working and psychological attachment from work affect right to disconnect, and that open communication and gender moderate the intensity of these effects. To verify this research model, survey questionnaires were distributed to workers in smart working environments, and 400 data were collected and analyzed using Smart-PLS. As results of data analysis, it was verified that smart working and psychological attachment from work had a significant influence on right to disconnect, that open communication group had a lesser effect of psychological attachment from work on right to disconnect than closed communication group, and that women had a lesser effect of psychological attachment from work on right to disconnect than men. Organizations need to maintain a desirable level of right to disconnect in order to improve the quality of working life. But, if it is impossible, They need to change the way of communication more openly so as to absorb the burden of strong connection by Internet. And they need to perform task assignment or stress relief policy reflecting gender characteristics.

Surgical Experience of Double Outlet Right Ventricle with Right Ventricular Outflow Obstruction (폐혈류유출로협착을 동반한 양대혈관 우심기시증의 수술치험)

  • 김삼현
    • Journal of Chest Surgery
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    • v.21 no.2
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    • pp.326-333
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    • 1988
  • The results of surgical experience of double outlet right ventricle with pulmonic stenosis in 14 patients are reported. Among the 14 patients, 8 underwent the intraventricular tunnel repair with the result of 3 hospital deaths, 5 had Fontan type operations due to the various anatomic reasons and resulted in one hospital death, and the remaining one patient had palliative pulmonary valvotomy. Besides the problems related to the effective relief of the pulmonic stenosis, double outlet right ventricle with pulmonic stenosis may present a surgical challenge because severe associated anomalies which definitely complicate their repair are not uncommon. We describe the anatomic details of our 14 cases of DORV with PS and the surgical results. The results having been unsatisfactory, more meticulous diagnostic studies for the detailed intracardiac morphologies and the strict indication for their repair with the refinement of surgical technique seem necessary for the better surgical results.

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Pulsed Radiofrequency Lesioning of the Axillary and Suprascapular Nerve in Calcific Tendinitis

  • Kim, Jun-Sik;Nahm, Francis Sahn-Gun;Choi, Eun-Joo;Lee, Pyung-Bok;Lee, Guen-Young
    • The Korean Journal of Pain
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    • v.25 no.1
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    • pp.60-64
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    • 2012
  • The patient was a 45-year-female who presented with pain at right shoulder and right upper arm. The patient suffered from right shoulder and arm pain for 3 years and had pain management which was performed using medication and conservative management after she had been diagnosed with calcific tendinitis. However, substantial pain relief was not consistently achieved, and recurrence of pain was reported. Therefore, we performed right axillary nerve and suprascapular nerve block through pulsed radiofrequency. Two months after the procedure, the shoulder pain gradually subsided with the size reduction of the calcified nodule and she needed no more pain management.

Clinical Experience of a Complex Regional Pain Syndrome Type II Patient -A case report- (복합부위통증 증후군 II형(CRPS Type II) 환자의 치험 -증례 보고-)

  • Yoon, Keon-Jung;Kim, Jong-Lul
    • The Korean Journal of Pain
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    • v.9 no.2
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    • pp.426-429
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    • 1996
  • Complex regional pain syndrome Type II(CRPS) can be diagnosed by new IASP criteria in 1994. Sympathetically maintained pain may or may not be present in a patient with complex regional pain syndrome. We experienced a CRPS Type II patient who has sympathetically maintained pain as a major painful nature developed after right multiple iliac bone fracture, right femoral artery thrombosis and lumbosacral plexus injury. Combination treatment with L2, L3, L4 sympathetic ganglion block and continuous lower thoracic epidural block for 30 days were tried to get long term effect. The patient had signs of successful. sympathetic denervation of the right foot. After that pain relief was sustained until three month later.

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