• Title/Summary/Keyword: Trigger

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Case Study of a Patient with Trigger Finger after Conducting Pharmacopuncture according to the Progress

  • Jeong Ho Huh;Dong Heon Lee;Jun Young Lee;Ju Hwa Jeong;Seok Hee Kim;Kyung Jin Lee;Tae Han Yook;Kyeong Han Kim
    • Journal of Pharmacopuncture
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    • v.26 no.1
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    • pp.99-104
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    • 2023
  • Our study purpose was to report the clinical application of five different pharmacopunctures (Sweet BV, Scolopendrae Corpus, Chukyu, Cervi Parvum Cornu, and Hominis Placenta) for trigger finger. A patient was admitted to Ba-reun-mom S Korean Medicine Clinic and diagnosed with trigger finger. Because the effects of each pharmacopuncture have been confirmed in various acute to chronic cases, we treated a patient diagnosed with trigger finger using pharmacopunctures Sweet BV and Scolopendrae Corpus at the acute phase, Chukyu pharmacopuncture at the acute to chronic phase, and pharmacopunctures Cervi Parvum Cornu and Hominis Placenta at the chronic phase. This case was measured and assessed by Quinnell's classification of triggering and visual analogue scale (VAS) scores. After treatment, the patient's fifth finger pain and function were improved. The VAS score decreased from 5 to 0. The Quinnell's classification of triggering score decreased from 2 to 0. This case indicated that a patient with trigger finger could be treated by five pharmacopuncture treatments according to the treatment regimen and disease progress.

Trigger Wrist with Carpal Tunnel Syndrome Accompanied with Trifid Median Nerve: A Case Report and Literature Review

  • Sangho Oh
    • Archives of Plastic Surgery
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    • v.49 no.6
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    • pp.750-754
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    • 2022
  • Trigger wrist, characterized by a clicking or snapping sensation around the wrist joint during finger or wrist motion, and bifid or trifid median nerve, which occurs in carpal tunnel syndrome along with anatomical variation of median nerve, are rare conditions. We report the case of a patient with a thickened tendon caused by severe tenosynovitis and flexor tendon subluxation to the hamate hook due to bowing of the flexor retinaculum, thereby resulting in trigger wrist as well as an anatomical median nerve variation (bifid median nerve in the right wrist and trifid median nerve in the left wrist). A 59-year-old housewife visited our hospital with bilateral fingertip numbness, tingling sensation, and aggravated severe night cramping that began 2 months ago. She also complained about trigger wrist during small finger flexion. Based on magnetic resonance imaging, ultrasonography, and nerve conduction study, trifid median nerve and bilateral severe median nerve neuropathy of the wrist were diagnosed; therefore, transverse carpal tunnel release and exploration under wide-awake anesthesia were planned. Intraoperative findings showed trifid and bifid median nerves in left and right wrists, respectively. Additionally, bowing of flexor retinaculum and severe flexor tendon tenosynovitis were observed. Tenosynovitis with thickened flexor sheath resulted in subluxation of the small finger flexor tendon above the hamate hook. After transverse carpal ligament release with antebrachial fascia release and tenosynovectomy, subluxation of the flexor tendon was resolved. At 6 months postoperatively, the tingling and dullness in fingertips also resolved, and no trigger wrist or any other complications were noted.

3 Case Reports of Trigger Point Needling and Oriental Medical Treatment to Shoulder Pain Patients in Stroke Sequelae (Trigger Point 자침 및 한방치료로 호전된 중풍후유증 환자의 견비통 치험 3례 보고)

  • Jang, Yong-hwan;Lim, Hae-won;Kim, Jee-young;Kwon, Kang;Kim, Jong-hwa
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.11 no.1
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    • pp.89-98
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    • 2010
  • This study was performed to investigate the effectiveness of trigger point needling and oriental medical treatment to shoulder pain patients in stroke sequelae with three aspects of pain and range of motion, muscle strength. Trigger point needling was applied to 3 patients on supraspinatus, infraspinatus, deltoid, subscapularis muscle. For evaluating treatment, visual analog scale(VAS), passive range of motion(PROM), muscle strength evaluation(MSE) were checked. After treatment, VAS score of 1 cases were decreased. PROM of 1 case was improved and MSE of 2 cases were improved slightly. These results suggest that trigger point needling and oriental medical treatment were effective on shoulder pain patients in stroke sequelae and it is necessary to research more case with shoulder pain in stroke sequelae.

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Design and Implementation of a Spatial-Operation-Trigger for Supporting the Integrity of Meet-Spatial-Objects (상접한 공간 객체의 무결성 지원을 위한 공간 연산 트리거의 설계 및 구현)

  • Ahn, Jun-Soon;Cho, Sook-Kyoung;Chung, Bo-Hung;Lee, Jae-Dong;Bae, Hae-Young
    • Journal of KIISE:Computing Practices and Letters
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    • v.8 no.2
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    • pp.127-140
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    • 2002
  • In a spatial database system, the semantic integrity should be supported for maintaining the data consistency. In the real world, spatial objects In boundary layer should always meet neighbor objects, and they cannot hold the same name. This characteristic is an implied concept in real world. So, when this characteristic is disobeyed due to the update operations of spatial objects, it is necessary to maintain the integrity of a layer. In this thesis, we propose a spatial-operation-trigger for supporting the integrity of spatial objects. The proposed method is defined a spatial-operation-trigger based on SQL-3 and executed when the constraint condition is violated. A spatial-operation-trigger have the strategy of execution. Firstly, for one layer, the spatial and aspatial data triggers are executed respectively. Secondly, the aspatial data trigger for the other layers is executed. Spatial-operation-trigger for one layer checks whether the executed operation updates only spatial data, aspatial data, or both of them, and determines the execution strategy of a spatial-operation-trigger. Finally, the aspatial data trigger for the other layers is executed. A spatial-operation-trigger is executed in three steps for the semantic integrity of the meet-property of spatial objects. And, it provides the semantic integrity of spatial objects and the convenience for users using automatic correcting operation.

Studies on Dismantlement Property of Dismantlable Polyurethane Adhesive (우레탄계 해체성 접착제의 해체특성에 관한 연구)

  • Kim, Dong Ho;Chung, Ildoo;Kim, Gu Ni
    • Journal of Adhesion and Interface
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    • v.11 no.1
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    • pp.26-34
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    • 2010
  • We synthesized polyurethane adhesive having thermal characteristic could be debonded by heat treatment and made a dismantlable polyurethane adhesive including thermally expansive bead. We used dynamic mechanical thermal analyzer (DMA) to confirm thermal characteristic and investigated bond strength, dismantlement property of dismantlable polyurethane adhesive by content of thermally expansive bead, heating trigger and treatment conditions. The dismantlable polyurethane adhesive could be expanded by hot-air or microwave treatment and the dismantlement of the specimens became easier as the weight fraction of the thermally expansive bead increased. At the dismantlable polyurethane adhesive, the content of thermally expansive bead 40% was suitable for both bond strength and dismantlement, in case of using hot-air treatment as trigger for dismantlement, bonded joints were separated easily at $160^{\circ}C$ for 30 min and in case of using microwave as trigger, bonded joints were separated easily by irradiating microwave for 4 min.

Additional Pulley in the Two Cases of Trigger Thumb (방아쇠 무지에서 부가적 활차의 치험 2례)

  • Wee, Seo-Young;Kim, Chul-Han
    • Archives of Plastic Surgery
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    • v.37 no.2
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    • pp.187-190
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    • 2010
  • Purpose: Pediatric trigger thumb is a condition of flexion deformity of the interphalangeal (IP) joint. The known surgical treatment is the release of the flexor pollicis longus by transection of the A1 pulley. We report two cases of pediatric trigger thumb that were resolved by releasing of additional pulley as well as A1 pulley. Methods: From March 2006 to April 2008, a total of 10 children with trigger thumb were operated. In two cases, transection of only the A1 pulley was insufficient to relieve the triggering. When more distally dissection, we found an additional pulley. After release of the additional pulley, the full extension of IP joint is obtained. Results: There were no significant complications. In 8 cases, the trigger thumbs were resolved by transecting only the A1 pulley, does not extend beyond the base of the proximal phalanx. In one case, the additional pulley was found to be more distal to the A1 pulley. It was necessary to extend the release up to the half in the proximal phalangeal shaft. In other case, the additional pulley was immediately adjacent to the A1 pulley. Conclusion: In most cases of trigger thumb, division of just A1 pulley is sufficient to relieve the triggering. However, dividing the A1 pulley in two patients proved to be insufficient to relieve the flexed deformity. In these cases, we found that the additional pulley, different from previous known A1 pulley, had existed, which must be transected to allow full excursion of flexor pollicis longus.

Development of Multi-dimensional Flatbed Printer using Head Encoder and Trigger Control (Head Encoder와 Trigger 제어를 이용한 다입체 평판 프린터 개발)

  • Kim, Bong-Hyun
    • Journal of Convergence for Information Technology
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    • v.10 no.10
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    • pp.47-52
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    • 2020
  • The general flatbed printer system is composed of a PC and a dedicated S/W, which is inconvenient to use. In the end, there is a need for a technology that can easily and conveniently use various types of printing through simplification, smartization, etc. of a flatbed printer system configuration. That is, there is an increasing demand for multi-dimensional printer capable of printing on various types of materials with one printer and capable of printing various types of products. Therefore, in this paper, we developed a flatbed printer system capable of multi-dimensional printing using Head Encoder/Trigger control. To this end, we developed a flatbed printer that connects the internal module of the flatbed printer with an input type detection sensor and controls all operating states by the head encoder and head trigger signals of the printer through separate main controllers. Through this, the development and diffusion of IoT technology will expand the printer control of the smart environment to the developed form throughout the industry. It is expected to contribute to the development of the 3D printing industry in the future.

Case Report of a Trigger Finger Patient Treated with Shinbaro Pharmacopuncture (방아쇠 수지 환자의 신바로 약침 치험례)

  • Lee, Min-su;Kang, Kyung-rae;Choi, A-ryun;Jung, You-jin;Kang, Ah-hyun;Han, Dong-geun;Song, Woo-sub;Lee, Hyung-chul
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.389-396
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    • 2016
  • Objective: This study investigates the clinical application of Shinbaro pharmacopuncture for trigger finger.Method: Because the effect of Shinbaro pharmacopuncture has been proven in various musculoskeletal cases, we treated a patient diagnosed with trigger finger using Shinbaro pharmacopunture. A 0-10 numerical rating scale (NRS) for pain and Quinnell’s classification for trigger finger were assessed before and after three Shinbaro pharmacopuncture treatments.Results: After treatments, the patient’s pain was controlled (without any side effects), and the NRS score decreased from 8 to 1. The Quinnell’s classification of trigger finger score also improved (from 3 to 1).Conclusion: This case has shown that Shinbaro pharmacopuncture treatment could be effective for treating the clinical symptoms of trigger finger.

Evaluation of the Accuracy and usability of Trigger mode in Respiratory Gated Radiation Therapy (호흡동조방사선치료를 위한 Trigger mode 투시영상 획득 시 호흡 속도에 따른 정확성 평가 - Phantom Study)

  • Park, je wan;Kim, min su;Um, ki cheon;Choi, seong hoon;Song, heung kwon;Yoon, in ha
    • The Journal of Korean Society for Radiation Therapy
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    • v.33
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    • pp.25-33
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    • 2021
  • Purpose : The purpose of this study is to evaluate the accuracy and usefulness of the Trigger mode for the Respiratory Gated Radiation Therapy (RGRT) Materials and methods : A QUASAR respiratory phantom that inserted a 3 mm fiducial marker (a gold marker) was used to estimate the accuracy of the Trigger mode. And the 20 bpm was used as reference respiration rate in this study. The marker that placed at the center of the phantom was contoured, and the lower threshold of a gating window was fixed at 2.0 mm using an OBI with Truebeam STxTM. The upper threshold was measured every 0.5 mm from 1.0 mm to 3.0 mm. The respiration rates were changed every 10 bpm from 10 bpm to 60 bpm. We repeatedly measured five times to check the error rate of the trigger mode in the same condition. Result : The differences of a distance from a peak phase to upper threshold, 1.0 to 3.0 mm at a 20 bpm as a reference for 3 days in a row were 0.68±0.05 mm, 0.91±0.03 mm, 1.23±0.03 mm, 1.42±0.04 mm, and 1.66±0.06 mm, respectively. Measurement result of changes in respiratory rate compared to baseline respiratory rate in maximum absolute difference. The coefficient of determination (R2) to estimate the correlation between the respiration velocity and variation of absolute difference was on average 0.838, 0.887, 0.770, 0.850, and 0.906. The p-values of all the variables were below 0.05. Conclusion : Using Trigger mode during respiratory gated radiation therapy (RGRT), accuracy and usefulness of trigger mode at reference breathing rate were confirmed. However, inaccuracies depending on the rate of breathing it could be uncertain in case of respiration rate is faster than 20 bpm as a standard respiration rate compared to slower than 20 bpm. Consequently, when conducting a RGRT using the trigger mode, real time monitoring is required with well educated respiration.

Hard Handover by the Adaptive Time-to-trigger Scheme based on Adaptive Hysteresis considering the Load Difference between Cells in 3GPP LTE System (3GPP LTE 시스템에서 셀 간 부하 차이를 고려하는 적응 히스테리시스 기반의 적응 타임-투-트리거 방법에 의한 하드 핸드오버)

  • Jeong, Un-Ho;Kim, Dong-Hoi
    • Journal of Broadcast Engineering
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    • v.15 no.4
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    • pp.487-497
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    • 2010
  • In this paper, we propose a hard handover scheme which adaptively decides important handover parameters such as hysteresis and time-to-trigger values considering the load difference between the target and serving cells. First of all, the hysteresis value can be automatically adjusted according to the load difference, thus it is used to decide the handover trigger time. As a result, through the adaptive hysteresis scheme, handover drop rate is improved. However, this adaptive hysteresis scheme has a problem that the ping-pong effect, which occurs due to the frequent movement of mobile stations at the cell boundary, is increased. Therefore, to solve this problem, we propose a novel adaptive time-to-trigger scheme with the time-to-trigger which is in inverse proportion to the hysteresis value already established by the adaptive hysteresis scheme which adapts to the changing load difference between the target and serving cells. The simulation results show that the proposed adaptive time-to-trigger scheme based on the adaptive hysteresis is better than existing schemes in terms of handover drop rate and ping-pong generation.