• Title/Summary/Keyword: Shock wave.

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A Retrospective Chart Review of 122 Inpatients with Knee Osteoarthritis Treated with Korean Medicine: An Analysis of the Effects of Treatment

  • Yoo, Dong-Hwi;Park, Han-Bin;Jang, Won-Suk;Kwon, Oh-Bin;Choi, Ki-Won;Lee, Yu-Jin;Lee, Sang-Gun;Choi, Jae-Yong;Kim, Ho;Jang, Seon-Woo
    • Journal of Acupuncture Research
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    • v.38 no.3
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    • pp.205-218
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    • 2021
  • Background: Korean medicine treatment was assessed in patients with knee osteoarthritis (OA) according to subgroups of: sex, age, cause of knee OA, body mass index, hospitalization period, history, OA compartment, phenotype, and comorbidity. Methods: A retrospective review was performed of 122 inpatients who were admitted to the Hospital of Korean Medicine for Korean medicine treatment of knee pain, and were diagnosed with knee OA based on magnetic resonance imaging findings. Analysis of patient subgroups (sex, age, cause of knee OA, body mass index, hospitalization period, history, OA compartment, phenotype, and comorbidity) was carried out and treatments including acupuncture, cupping, pharmacopuncture, herbal medicine, chuna therapy, medicinal steaming therapy, manual therapy, and extracorporeal shock wave therapy were listed. The numeric rating scale (NRS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and 5-level EuroQol- 5 Dimension (EQ-5D-5L) scores were measured before and after treatment to assess the effects of treatment on pain and quality of life. Results: Seventeen males and 105 females were included in this study. Most patients were in their 60s. In the total study population, NRS, WOMAC, and EQ-5D-5L scores were improved statistically significant when comparing before and after treatment. The NRS and WOMAC scores improved statistically significant in the medial, patellofemoral, medial + patellofemoral, medial + lateral + patellofemoral compartment. Conclusion: Korean medicine treatment significantly reduced pain, stiffness, and physical dysfunction, and improved the quality of life of patients with knee OA, suggesting that it may be an effective alternative to the current conservative treatments.

Jet Interaction Flow Analysis of Lateral Jet Controlled Interceptor Operating at Medium Altitude (중고도에서 운용되는 측 추력 제어 요격체에 대한 제트 간섭 유동 분석)

  • Choi, Kyungjun;Lee, Seonguk;Oh, Kwangseok;Kim, Chongam
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.46 no.12
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    • pp.986-993
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    • 2018
  • Lateral thrust jet has better maneuverability performance than the control surface like the conventional fin for attitude control or orbital transition of guided weapons. However, in the supersonic region, a jet interaction flow occurs due to the lateral thrust jet during flight, and a complicated flow structure is exhibited by the interaction of the shock wave, boundary layer flow, and the vortex flow. Especially, hit-to-kill interceptors require precise control and maneuvering, so it is necessary to analyze the effect of jet interaction flow. Conventional jet interaction analyses were performed under low altitude conditions, but there are not many cases in the case of medium altitude condition, which has different flow characteristics. In this study, jet interaction flow analysis is performed on the lateral jet controlled interceptor operating at medium altitude. Based on the results, the structural characteristics of the flow field and the changes of aerodynamic coefficient are analyzed.

Exploration of shockwaves on polymeric membrane physical properties and performance

  • Lakshmi, D. Shanthana;Saxena, Mayank;Ekambaram, Shivakarthik;Sivaraman, Bhalamurugan
    • Membrane and Water Treatment
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    • v.12 no.1
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    • pp.43-49
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    • 2021
  • The Commercial polymeric membranes like Polysulfone (PSF), Polyvinylidene difluoride (PVDF) and Polyacrylonitrile (PAN) which are an integral part of water purification investigation were chosen for the shockwave (SW) exposure experiment. These membranes were prepared by blending polymer (wt. %) / DMF (solvent) followed by phase-inversion casting technique. Shockwaves are generated by using Reddy Tube lab module (Table-top Shocktube) with range of pressure (1.5, 2.5 and 5 bar). Understanding the changes in membrane before and after shock wave treatment by parameters, i.e., pure water flux (PWF), rejection (%), porosity, surface roughness (AFM), morphology (SEM) and contact angle which can significantly affect the membrane's performance. Flux values PSf membranes shows increase, 465 (pristine) to 524 (1.5wt%) LMH at 50 Psi pressure and similar enhancement was observed at 100Psi (625 to 696 LMH). Porosity also shows improvement from 73.6% to 76.84% for 15wt% PSf membranes. It was observed that membranes made of polymers such as PAN and PSF (of high w/w %) exhibits some resistance against shockwaves impact and are stable compared to other membranes. Shockwave pressure of up to 1.5 bar was sufficient enough to change properties which are crucial for performance. Membranes exposed to a maximum pressure of 5 bar completely scratched the surface and with minimum pressure of 1.5bar is optimum enough to improve the water flux and other parameters. Initial results proved that SW may be suitable alternative route to minimize/control membrane fouling and improve efficiency.

A Study on analysis tools in the SWF file URL (SWF 파일의 URL정보 분석도구)

  • Jang, Dong-Hwan;Song, Yu-Jin;Lee, Jae-Yong
    • Journal of Korea Society of Industrial Information Systems
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    • v.15 no.5
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    • pp.105-111
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    • 2010
  • SWF(Shock Wave Flash) file is a format file for vector graphics produced by Adobe. It is widely used for a variety of contents such as advertising at websites, widgets, games, education, and videos and it contains various types of data such as sound sources, script, API and images. Many SWF files contain URL information on action script for communication in the network and they can be used as important research data as well as PC users' Web Browser history in terms of forensic investigation. And a decompiler for analyzing SWF files exists by which SWF files can be analysed and URL information can be verified. However, it takes a long time to verify the URL information on action scripts of multiple SWF files by the decompiler. In this paper, analysis of URL information on action scripts and extraction of URL information from multiple SWF files by designing analysis tools for URL information in SWF files is studied.

A Case Report: Korean Medicine Treatment for a Systemic Lupus Erythematosus Patient Persistently Complaining of Fatigue and Chest Tightness (피로와 가슴답답함(胸悶)을 주증으로 하는 전신성 홍반성 루푸스 환자에 대한 한의치료 1례)

  • Min-joo Kim
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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    • pp.117-128
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    • 2023
  • Objective: This study reported the improved symptoms of integrative Korean medicine-based treatment in a patient diagnosed with Systemic Lupus Erythematosus (SLE) who persistently complained of fatigue and chest tightness. Methods: A 51-year-old female SLE patient persistently complaining of fatigue and chest tightness underwent an 18-day treatment with Kracie Shihogayonggolmoryo-tang, Cheongpajeon-H, Gwanjeol-go, acupuncture, pharmacopuncture, cupping therapy, deep tissue meridian hot pack therapy, manual therapy, Interferential Current Therapy, and Extracorporeal Shock Wave Therapy. The Brief Fatigue Inventory (BFI) and Numeric Rating Scale (NRS) for each symptom were measured on admission, at one week, two weeks of hospitalization, and upon discharge. Clinical outcomes were assessed using these two figures. Results: After treatment, there was a reduction in the BFI score (7 to 3). The NRS score of chest tightness with hot flashes decreased from 8 to 5, neck pain lessened from 7 to 5, pain in both ankles diminished from 6 to 4, the cold hypersensitivity of both feet fell from 6 to 4, and heartburn decreased from 5 to 2. In order, the biggest clinical improvement was to heartburn, fatigue, and chest tightness with hot flashes. Conclusion: This case study shows that integrative Korean medicine-based treatment can improve symptoms of a Systemic Lupus Erythematosus patient persistently complaining of fatigue and chest tightness with hot flashes and suggests that Shihogayonggolmoryo-tang may be an effective option for managing and treating SLE patients.

A Study on Impact Resistance Properties with Composition Materials and Installation Conditions of Protective Panel (방호 패널의 구성 재료 및 설치 조건에 따른 내충격 특성에 관한 연구)

  • Seok, Won-Kyun;Kim, Young-Sun;Lee, Yae-Chan;Nam, Jeong-Soo;Kim, Gyu-Yong
    • Journal of the Korea Institute of Building Construction
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    • v.23 no.6
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    • pp.715-726
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    • 2023
  • This study suggested that protective panels should be installed as sacrificial members as a safety design method for structures with potential explosions such as hydrogen charging stations to minimize direct damage to the structure and have resilience. To this end, the focus of the experiment is on quantitatively evaluating the impact of the structure when the protection panel is installed closely or spaced apart from the structure in a high-speed collision situation of the projectile. The experimental design used steel plates instead of concrete structural members mainly used in the past for excellent reproducibility, and the impact of structural members was compared and analyzed through deformation differences on the back of the steel plate. In addition, the impact of changes in the physical properties of the elastic body used as a separation material for the protective member and the difference in shock wave transmission time according to the protective member and the elastic body on the structural member was investigated.

Development of Modification Coefficient for Nonlinear Single Degree of Freedom System Considering Plasticity Range for Structures Subjected to Blast Loads (폭발 하중을 받는 구조물의 소성 범위를 고려한 비선형 단자유도 시스템의 수정계수 개발)

  • Tae-Hun Lim;Seung-Hoon Lee;Han-Soo Kim
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.37 no.3
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    • pp.179-186
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    • 2024
  • In this paper, a modification coefficient for equivalent single degree of freedom (SDOF), considering the plasticity range of the member subjected to shock wave type of blast load, was developed. The modification coefficient for the equivalent SDOF was determined through comparison with the analysis of a multi-degree of freedom (MDOF) system. The parameters influencing the equivalent SDOF system analysis were chosen as the boundary conditions of the member and the ratio of the duration of blast load to the natural period of the member. The modification coefficient was calculated based on the elastic load-mass transformation factor. The modification coefficient curve was derived using an elliptical equation to ensure it exists between the upper and lower parameter bounds. Using the modification coefficient on examples with varying cross sections and boundary conditions reduced the SDOF analysis error rate from 15% to 3%. This study shows that using the modification coefficient significantly improves the accuracy of SDOF analysis. The modification coefficient proposed in this study can be used for blast analysis.

Manual Therapy for Plantar Fasciitis: A Review of Clinical Study (족저근막염의 수기요법에 대한 문헌 연구 보고)

  • In-hwa Park;Yun-Yeop Cha;Min-Jeong Kim;In Heo;Byung-Jun Kim
    • Journal of Korean Medicine Rehabilitation
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    • v.34 no.3
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    • pp.53-63
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    • 2024
  • Objectives This study aims to analyze the effectiveness of manual therapy for the treatment of plantar fasciitis by reviewing existing randomized controlled trials. Specifically, it seeks to identify various manual therapy techniques and evaluate their applicability in clinical settings. Methods The study reviewed literature from six databases (PubMed, the Cochrane Library, China National Knowledge Infrastructure, ScienceON, Research Information Sharing Service, Korean studies Information Service System) up to April 2024. Studies were selected based on criteria including randomized controlled trials involving manual therapy for plantar fasciitis. Results An analysis of ten studies involving 714 patients revealed the use of techniques such as joint mobilization, muscle relaxation, and pressure point techniques. Manual therapy was found to be more effective in reducing pain than both extracorporeal shock wave therapy and routine physical therapy alone. However, caution is needed in generalizing these results due to the limited number of studies analyzed. No significant adverse effects were reported. Conclusions Manual therapy demonstrates potential as an effective treatment for plantar fasciitis, offering benefits in pain management and functional recovery. However, further high-quality randomized controlled trials are necessary to strengthen the clinical evidence and establish standardized treatment protocols.

Extracorporeal Shock-wave Therapy after Multiple Drilling as a Treatment for Chronic Calcific Tendinitis - An Analysis of Outcome Following Different Levels of Energy (만성 석회화 건염에 대한 다발성 천공술 후 추가적으로 시행한 체외 충격파 치료의 에너지 수준에 따른 결과분석)

  • Noh, Gyu Cheol;Jang, Keun Jong
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.2
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    • pp.66-74
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    • 2012
  • Purpose: To compare the outcome of two methods of chronic calcific tendinitis (CCT) treatment, Multiple drilling alone versus combined drilling and extracorporeal shock-wave therapy (ESWT). Furthermore, to analyze the clinical and radiologic results of different energy level configurations of ESWT. Materials and Methods: Among the patients complaining shoulder pain who visited the clinic from June 2010 to August 2011, 98 were diagnosed with CCT of the supraspinatus and were divided into the following three groups. Multiple drilling alone (n=31), Multiple drilling followed by high-energy ESWT (n=31), Multiple drilling followed by low-energy ESWT (n=36). The study was conducted only with patients with chronic pain persisting longer than six months despite prolonged conservative therapy. Clinical evaluation was done before and after 12 weeks from treatment, in clinical terms using the ASES, KSS, CSS system reflecting performance and symptom improvement, and in radiologic terms by studying the change in size of the calcific nodules. Results: All of three groups showed effects for improvement of clinical function and decrease of calcification and clinical improvement was significantly high in comparison between the group fulfilled by only multiple needling (the third group) and the group fulfilled by additional ESWT (the first and second groups) and in the radiological evaluation, calcification size and the rate of calcification decrease showed significant improvement statistically. For the comparison among the groups, degree of clinical function improvement and rate of calcification decrease showed significant difference between high energy group (the first group) and multiple needling group (the third group) as well as low energy group (the second group) and multiple needling group (the third group). But, in comparison between high energy group (the first group) and low energy group (the second group), there was no significant difference for the degree of clinical function improvement and rate of calcification decrease. Conclusion: For the treatment of chronic calcific tendinitis, additional ESWT showed more superior effects on clinical function improvement and radiological improvement regardless of the energy standard rather than the exclusive fulfillment of needling. But, as the result of ESWT by the energy standard, there was no significant difference for the decrease of calcification and degree of clinical function improvement.

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Patient's Selection for Extracorporeal Shock Wave Lithotripsy for Treatment of Common Bile Duct Stones Resistant to Endoscopic Extraction (체외충격파쇄석술 적용을 위한 총담관결석의 선택)

  • Lee, Won-Hong;Son, Soon-Yong;Kim, Chang-Bok;Park, Cheon-Kyoo;Kang, Seong-Ho;Ryu, Meung-Sun;Lee, Yong-Moon
    • Journal of radiological science and technology
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    • v.28 no.2
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    • pp.105-110
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    • 2005
  • Background/Aim : Common bile duct (CBD) stones may cause jaundice, cholangitis, or pancreatitis. Extracorporeal shock wave lithotripsy (ESWL) may be needed whenever endoscopic procedure are failed to extract common bile duct stones. The aim of this study is to provide the standard for patient's best choice on ESWL for treatment of CBD stones resistant to endoscopic extraction. Materials and Methods : Fourty-six patients failed in endoscopic stone extraction including mechanical lithotripsy were treated by ESWL. In all patients, endoscopic sphincterotomy and nasobiliary drainage tube was done before ESWL using the ultrasonography for stone localization with a spark-gap type lithotriptor. Patients were sedated with an intravenous injection of 50 mg of Demerol. None were treated under general anesthesia. Results : Overall complete clearance rate of CBD stone was 89.1% (41/46). In 82.6% of the patients, the stones were extracted endoscopically after ESWL, and spontaneous passage was observed in 6.5%. In the clearance rate after ESWL, there were no noticeable differences with regard to number (single: 82.8%, two or three: 100%, more than three: 100%) and size of the stone (less than 33mm: 92.9%, 33 mm or larger: 83.3%), whereas there were significant differences with regard to the ratio of sum of long-axis length of the all stones to sum of long-axis length of the CBD excluding stone (1:2.4, 1:2.1) and diameter of the largest stone to diameter of CBD excluding stone (1:0.9, 1:0.4) for patients with complete clearance compared with those without. Conclusion : We propose that stones without the fragments are travelable sufficient space in CBD or extractable sufficient diameter of CBD regardless of stone size and number should be treated by other technique to prevent time and cost consuming, such as percutaneous transhepatic cholangioscopylithotomy.

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