• Title/Summary/Keyword: Vertebral

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Unilateral Splanchnic Nerve Block for Gastric Cancer Pain Patients with Orthopnea (만성 폐색성 폐질환의 동반된 위암환자에서의 일측 내장신경차단)

  • Kim, Joung-Ja;Yoon, Duck-Mi;Oh, Hung-Kun
    • The Korean Journal of Pain
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    • v.4 no.1
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    • pp.42-46
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    • 1991
  • Splanchnic nerve block with neurolytics has been used to control the upper abdominal cancer pain. This gastric cancer case with severe chronic obstructive pulmonary disease complained of upper abdominal pain, severe dyspnea and orthopnea. He maintained a sitting position most of the time with nasal oxygen inhalation because he could not remain in a supine or prone position. We performed the unilateral splanchnic nerve alcohol block under right lateral position at the T12 and L1 vertebral level. For a short time after the block, he required oxygen inhalation therapy. Three months after unilateral alcohol block, he is still alive without severe abdominal pain and severe dyspnea.

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Plain Chest X-ray Diagnosis of Respiratory Disease (호흡기 질환에서 단순흉부 X-선 진단)

  • Kim, Sang-Jin
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.4
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    • pp.353-356
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    • 1993
  • Advent of new imaging modalities such as computed tomography, magnetic resonance imaging and ultrasound contributed greately to the specific imaging diagnosis. However plain chest X-ray is still most prequently used for imaging diagnosis of respiratory disease in clinical pratic and it is important to make a good quality of X-ray film and good interpretation. The optimal chest X-ray should be taken with full inspiration without rotation and motion and the exposure is at the level of barely demonstrable thoracic vertebral disc space. It is recommended that higk KVP technique for detection of lesions which is overlaped by mediastinum, heart and rib cage. It is better to examine chest X-ray film start at some distance(6-8 feet) and closer to the film later on and the reader should not read a film in fatigue condition. The reading room should be quiet and relately dark illumination. It is important, to make a good X-ray film and good interpretation to reduce the observer error.

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Three Cases of Unusual patterns of Pyogenic Spondylitis (척추의 비전형적 감염 3례)

  • Ahn, Myun-Whan;Suh, Dae-Jin;Ahn, Jong-Chul;Ihn, Joo-Chul
    • Journal of Yeungnam Medical Science
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    • v.7 no.2
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    • pp.189-195
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    • 1990
  • Pyogenic vertebral osteomyelitis is rare. It most commonly occurs at the lumbar area and in the fifth to seventh decades of life. Most individuals present with back pain, abdominal pain, hip pain and meningeal syndrome. We experienced three cases of unusual patterns of pyogenic osteomyelitis. The first case developed after sepsis. The second case developed after open fracture and infection of other site. The third case was misdiagnosed as metastatic cancer. We present these cases with a brief review of literatures.

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Investigation of job-related back injuries reported in the Pohang region (포항지역 사례를 중심으로 한 직업성 요통재해 현황 조사에 대한 고찰)

  • 최경임;정민근;민경록
    • Proceedings of the ESK Conference
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    • 1996.04a
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    • pp.91-97
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    • 1996
  • This study is to analyze trends of back injuries reported for medical expense compensation in a territorial jurisdiction of Pohang regional office of Ministry of Labor. Back unjuries claimed in the Plhang region accounted for approximately 15% of all industrial accident and 0.96 billion won were spent to compensate for medical expenses in 1994. A majority of back injuries occurred in manufacturing, construction, and transportation, and, 98% of all back injuries during 1992-1994 were strain/sprain, herniated inter-vertebral dise(HIVD), and fracture. To achieve and effective back injury prevention, supplenentary reporting form should be provided to include the information about job description (e.g., weight of an object, task duration and working posture), employee's medical and work history, and working conditions.

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Classification and visualization of primary trabecular bone in lumbar vertebrae

  • Basaruddin, Khairul Salleh;Omori, Junya;Takano, Naoki;Nakano, Takayoshi
    • Advances in biomechanics and applications
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    • v.1 no.2
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    • pp.111-126
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    • 2014
  • The microarchitecture of trabecular bone plays a significant role in mechanical strength due to its load-bearing capability. However, the complexity of trabecular microarchitecture hinders the evaluation of its morphological characteristics. We therefore propose a new classification method based on static multiscale theory and dynamic finite element method (FEM) analysis to visualize a three-dimensional (3D) trabecular network for investigating the influence of trabecular microarchitecture on load-bearing capability. This method is applied to human vertebral trabecular bone images obtained by micro-computed tomography (micro-CT) through which primary trabecular bone is successfully visualized and extracted from a highly complicated microarchitecture. The morphological features were then analyzed by viewing the percolation of load pathways in the primary trabecular bone by using the stress wave propagation method analyzed under impact loading. We demonstrate that the present method is effective for describing the morphology of trabecular bone and has the potential for morphometric measurement applications.

A Study on Optimum Technics in Angiocardiography (심장혈관조영촬영(心臟血管造影撮影)의 촬영조건(撮影條件)에 대(對)한 검토(檢討))

  • Ahn, Bong-Seon
    • Journal of radiological science and technology
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    • v.4 no.1
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    • pp.37-44
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    • 1981
  • It is a experimental report to investigate optimum exposure technics in angiocardiography. Because of x-ray absorption and rapid voluntary motion in the heart region, it bound that discrimination ability of the exposed film is being decreased in ACG To circumvent these disadvantage it must be necessary to use short time exposure technics and also high capacity equipment in ACG. But in the case of using the low tube voltage to improve contrast on the exposed film, it will be result in a many difficulties in interpretation of the image due to increased contrast in vertebral images. Therefore the ranges 80 kVp to 90 kVp of could be suitable for the purpose of good contrast and an excellent discrimination ability and under this circumstance the optimum grid ratio for ACG was 8:1 to 12:1.

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The effects of ultrasound and myofascial release therapy on blood velocity of cranial artery in tension-type headache subjects (초음파와 근막이완술이 긴장형 두통환자의 뇌혈류 속도에 미치는 영향)

  • Han Jong-Man;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.15 no.1
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    • pp.196-209
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    • 2003
  • The aim of study was compared with the possible role of cranial artery in headache pathogenesis each 2 group (group I : ultrasound therapy alone, group II : myofascial release therapy alone)- divided each 5 tension- type headache patients. Each group were applied ultrasound therapy for 5 minuets and myofascial release therapy for 15 minuets in occipital portion. The study carried out to determine the effects of ultrasound and myofascial release on the cranial arteries velocity from November 11, 2001 to March 29, 2002 the objects were 10 patients who having the tension-type headache at H-hospital. Transcranial doppler ultrasonograpy(TCD) is new non-invasive applicable method to evaluate flow velocities of intrans cranial and extracranial cerebral arteries. TCD was peformed with standard method to measure the Mean Flow Velocity(MFV) of the middle and posterior cerebral arteries, the vertebral arteries.

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Biomechanics of the Lumbar Intervertebral Disk (요추디스크의 생체역학)

  • Park Ji-Whan
    • The Journal of Korean Physical Therapy
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    • v.2 no.1
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    • pp.103-112
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    • 1990
  • The intervertebral disc in the anterior portion of the function unit gives the spine its flexibility. The disc is attached closely to the vertebral endplates. Between these endplates and the annulus fibrosus, the nucleus pulposus of the lumbar disc is enclosed in a circle of unyielding tissues. Compressive pressure placed on the disc is dissipated circumferentially in a passive manner In response to the greater axial forced exerted on the lumbar spine in comparison to the cervical and thoracic spines, the nucleus pulposus has its greatest surface area in the lumbar spine. The intervertebral disc is not only structure that helps diss pate stresses placed on the spine. With flexion, extension, rotation, or shear stress, the load distribution on the function unit is shared by the intervertebral disc, anterior and posterior longitudinal ligaments, the facet joints and capsules, and other ligamentous structures like the ligamentum flavum, interspinous and supraspinous ligaments, which attach to the posterior elements of the functional unit.

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"DUMBBELL" Neurilemmoma -1 case Report- (DUMBBELL 신경종양 -1례 보고-)

  • 박영환
    • Journal of Chest Surgery
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    • v.23 no.3
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    • pp.556-560
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    • 1990
  • A 22 year old soldier was discovered on routine study for discharge to have a mass in the posterior mediastinum He was admitted due to high fever and improved by antibiotic treatment for 2 weeks. Chest PA, apicogram, myelogram and CT scan demonstrated enlargement of the neural foramen at the T1 level with erosion of the posterior aspect of the vertebral body and the pedicle contiguous with the intrathoracic mass, A myelogram showed a large extradural defect at the T1 level on the left. There were no clinical signs of cord compression. A standard posterolateral thoracotomy incision was made with extension to high thoracic vertebra. The 3rd rib was resected and the angles of the posterior portion of 1st and 2nd ribs were cut and rib heads were removed. Extrapleural neurilemmoma 6x6 cm was resected intrathoracically. And after removal of the pedicle and the lamina, intraspinal extradural mass 3 X 2 cm was resected carefully with trivial tearing of the dura which was sealed with gel-foam and pleura. There was ma postoperative neurological complication.

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Diaphragm Translocation as Surgical Treatment for Agenesis of the Right Lung and Secondary Tracheal Compression

  • Kim, Dong Hee;Choi, Se Hoon
    • Journal of Chest Surgery
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    • v.49 no.1
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    • pp.59-62
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    • 2016
  • A 12-month-old boy was diagnosed with agenesis of the right lung. Mediastinal deviation progressed to the diseased side as the patient matured; therefore, tracheal distortion developed. As a result, tracheal compression developed between the vertebral body and aorta. The patient was repeatedly admitted to the hospital because of recurrent pulmonary infection and combined severe respiratory distress. Diaphragm translocation was performed to treat the patient. The postoperative course was favorable, and computed tomography scan findings and symptoms had improved at 1 year after surgery.