• Journal of mucopolysaccharidosis and rare diseases
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• v.1 no.1
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• pp.15-18
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• 2015

Biopharmaceuticals, with their ability to treat many unmet needs, are seen as promising medications in diabetes mellitus, growth hormone deficiency, chronic renal failure, cancer, and rheumatoid arthritis. However, almost all biopharmaceuticals should be administrated by injection; IV, IM, and SC. In addition, these treatments are long term, and patients should receive frequent injections for many years. Patient compliance is therefore of critical importance to ensure treatment benefits. Therefore, the goal of drug product development should be focused on improving patient compliance by reducing injection-associated pain as well as stable formulation development. This review will suggest the kinds of factors that should be considered to minimize injection pain with regard to formulation, device, and injection procedures focused on SC injections.

• The Korean Journal of Pain
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• v.24 no.2
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• pp.69-73
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• 2011

Although the incidence of partial-thickness rotator cuff tears (PTRCTs) was reported to be from 13% to 32% in cadaveric studies, the actual incidence is not yet known. The causes of PTRCTs can be explained by either extrinsic or intrinsic theories. Studies suggest that intrinsic degeneration within the rotator cuff is the principal factor in the pathogenesis of rotator cuff tears. Extrinsic causes include subacromial impingement, acute traumatic events, and repetitive microtrauma. However, acromially initiated rotator cuff pathology does not occur and extrinsic impingement does not cause pathology on the articular side of the tendon. An arthroscopic classification system has been developed based on the location and depth of the tear. These include the articular, bursal, and intratendinous areas. Both ultrasound and magnetic resonance image are reported with a high accuracy of 87%. Conservative treatment, such as subacromial or intra-articular injections and suprascapular nerve block with or without block of the articular branches of the circumflex nerve, should be considered prior to operative treatment for PTRCTs.

• Bulletin of the Korean Space Science Society
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• 2004.10b
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• pp.380-383
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• 2004

We study the two storm events of 1997: one in May that was accompanied by a relativistic electron event (REE) and the other in September, with a more profound Dst decrease, but with no significant flux increase of relativistic electrons. We find that a larger amount of seed electrons was present in the May event compared to that of the September storm, whereas the ULF (ultra low frequency) power was more enhanced and the particle spectrum was harder in the September event. Hence, we demonstrate that a larger storm does not necessarily produce more seed electrons and that the amount of seed electrons is an important factor in an actual increase in REE flux levels, while ULF can harden the particle spectra without causing an apparent REE.

• Journal of Aquaculture
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• v.12 no.1
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• pp.71-77
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• 1999

The potential utility of injection media (sucrose, PEG, and liposome) was demonstrated for direct gene transfer into olive flounder (Paralichthys olivaceus) muscles. Based on the use of sucrose (final cone. 20%), PEG 8,000 (final cone. 10%) or liposome (twice us of DNA injected), the present injection strategy significantly improved the level of transgene expression as well as persistent duration of expression. The increased amounts of expression in DNA injection with sucrose, PEG, and liposome were as high as from 2.1 to 4.9-folds of conventional TE-based DNA injection. The best result was obtained from injections of liposome-encapsulated DNA in which the expression was detectable at least 32 days after injection when compared to only 8-16 days from TE-based injections.

• Annals of Clinical Neurophysiology
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• v.17 no.2
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• pp.91-94
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• 2015

The adverse effects of systemic steroid medications are well known, whereas those of local steroid injections are unclear even to clinicians. We report two cases of localized lipoatrophy and depigmentation following local steroid injection. Although the incidence of soft tissue atrophy after local steroid injection is rare, it will increase in proportion to the frequency of the procedure. All clinicians, even those who do not perform steroid injections, should be aware of the occurrence of this cosmetically disturbing adverse effect.

• Journal of Korean Neurosurgical Society
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• v.29 no.3
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• pp.420-425
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• 2000

Epidural steroid injection(ESI) has been a commonly applied conservative therapy for the management of chronic low back pain and sciatica. However, there are many reports concerning various local, systemic and neurological complications related to ESI. We report two cases with fatal complications after ESI for low back pain and sciatica. In both patients, ventriculitis and meningitis were causative factors to be fatal. Aseptic procedures and careful post-procedure assessment are essential to avoid serious complications following ESI.

• Archives of Craniofacial Surgery
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• v.20 no.5
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• pp.310-313
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• 2019

Post-traumatic hematoma formation is a common complication of contusion. If the hematoma is large enough to aspirate or drain, it can be treated quickly and appropriately. However, if the hematoma is small or concealed by local swelling, it may be overlooked and left untreated. In most cases, a hematoma will resolve following conservative treatment; however, associated infection or muscle fibrosis can occur. Herein, we present the case of a patient with a chin deformity caused by a post-traumatic hematoma. The deformity was treated using botulinum toxin and triamcinolone acetonide injections as minimally invasive treatments. The course of treatment was good.

• Earthquakes and Structures
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• v.10 no.3
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• pp.613-628
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• 2016

The effectiveness of the use of modern repair schemes for the seismic retrofit of existing RC structures were assessed on a comparative experimental study of carbon fiber-reinforced polymer (CFRP) strips and sheets for the repair of reinforced concrete members of RC frames, damaged because of cyclic loading. Two virgin, single - story, one - bay, 1/3 - scale frame specimens were tested under cyclic horizontal loading, up to a drift level of 4%. Then, virgin specimens, B and F, respectively, were repaired and retested in the same way. One, specimen RB, was repaired with epoxy injections and CFRP strips and one, specimen RF, was repaired with epoxy injections and CFRP sheets. The two specimens are used to examine the differences between the structural behavior of frames repaired using CFRP strips and frames repaired using CFRP sheets. Both qualitative and quantitative conclusions, based on the observed maximum loads, loading and reloading stiffness, hysteretic energy absorption and failure mechanisms are presented and compared. The repaired frames recovered their strength, stiffness and energy dissipated reasonably. The use of CFRP sheets was found more effective than CFRP strips, due to the proper anchorage.

• Journal of Dental Anesthesia and Pain Medicine
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• v.21 no.3
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• pp.253-260
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• 2021

Therapeutic injections into the craniofacial region can be a complex procedure because of the nature of its anatomical structure. This technical note demonstrates a process for creating an extra-oral template to inject therapeutic substances into the temporomandibular joint and the lateral pterygoid muscle. The described process involves merging cone-beam computed tomography data and extra-oral facial scans obtained using a mobile device to establish a correlated data set for virtual planning. Virtual injection points were simulated using existing dental implant planning software to assist clinicians in precisely targeting specific anatomical structures. A template was designed and then 3D printed. The printed template showed adequate surface fit. This innovative process demonstrates a potential new clinical technique. However, further validation and in vivo trials are necessary to assess its full potential.

• Archives of Plastic Surgery
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• v.49 no.1
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• pp.12-18
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• 2022

Botulinum toxin treatment is the most common non-surgical cosmetic treatment. Although there are many available treatments using botulinum toxin, their effects are temporary and repeated injections are required. These frequent injections can trigger an immunological response. In addition, botulinum toxin acts as an antigen in the body; thus, its effect disappears progressively due to this immunological reaction, which may cause treatment failure. Active botulinum toxin consists of a core neurotoxin and complexing proteins, the exact effects of which remain unclear. However, the complexing proteins are closely related to the immune response and the formation of neutralizing antibodies. Since neutralizing antibodies can lead to treatment failure, their formation should be prevented. Furthermore, various methods of detecting neutralizing antibodies have been used to predict treatment failure.