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Effectiveness of Electroacupuncture for Managing Urinary Retention Post Lumbar Spine Surgery: a retrospective single-cohort study

  • Phuong Dong Tran;Quoc Dung Nguyen;Thanh Duc Ngo
    • Journal of Pharmacopuncture
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    • v.27 no.2
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    • pp.123-130
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    • 2024
  • Objectives: Post-operative urinary retention (POUR) is a frequent complication following surgical procedures, characterized by an acute inability to void, leading to additional complications and extended hospitalization. Acupuncture has been shown to be effective in facilitating spontaneous urination and alleviating anxiety in patients experiencing poor urination. The present study aims to evaluate the effectiveness of electroacupuncture in the management of POUR in patients who have undergone lumbar spine surgery. Methods: This retrospective study conducted at the National Hospital of Acupuncture in Vietnam and reviewed the medical records of patients over 18 years old who underwent lumbar spine surgery and were diagnosed with POUR between January to December 2019. Electroacupuncture was administered at five specific acupuncture points: Qugu (CV2), Zhongji (CV3), Zhibian (BL54), Pangguanshu (BL28), and Kunlun (BL60). This study monitored key parameters related to the effectiveness of the acupuncture treatment, including the number of acupuncture treatment sessions required until a patient was successfully treated was recorded, with a maximum of three acupuncture treatment sessions per patient, the time elapsed until urination following the treatment (minutes), and urinary bladder volume before and after treatment (mL). Results: The study demonstrated a 93.3% success rate in treating POUR with electroacupuncture. A significant reduction in post-void residual volume was noted, and patients could void within 30 minutes post-treatment. No significant differences in treatment effectiveness were observed across difference genders and age groups. Conclusion: Electroacupuncture proved to be a highly effective treatment for POUR in patients post-lumbar spine surgery, with a rapid response time and substantial reduction in PVR. However, the retrospective nature of the study and single-center focus limit its generalizability. Future research incorporating randomized controlled trials or multi-center observational studies are recommended to validate these findings and explore the potential of acupuncture in POUR management on a broader scale.

Research of the Neo-Confucianism and the development of Landscape painting in Song Dynasty (성리학(性理學)과 산수화(山水畵)의 발전에 관한 연구 - 송대를 중심으로 -)

  • Jang, Wan-sok
    • The Journal of Korean Philosophical History
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    • no.32
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    • pp.309-336
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    • 2011
  • There were various linking points that connect Li xue(Neo-Confucianism) to aesthetics in Song Dynasty as following. 1. The traditional moral as "pursuing pleasure of Kong-zi and Yan Hui" 2. Esteem of "life and vitality". Scholars of Li xue in Song regarded the pleasure of acting up to "benevolence" as a beauty, and this benevolence originated in the "heaven and earth; the universe". "Benevolence", that is to say, is name of the nature that continuous reproduction breed in an endless succession by "Yin-Yang the universe", thus the natural "life and vitality" of the "heaven and earth" as the matter of course is the perfect beauty. 3. An idea of "serene contemplation". Originally the "serene contemplation" belongs to discipline of "Li xue", however simultaneously this conception was entirely applicable to aesthetic point of view. 4. Cosmological consciousness. In the same manner, the "pleasure" which is moralistic and moreover aesthetic is indivisible from cosmic contemplation itself. Because of this point, the art and aesthetics of Song Dynasty self-consciously had the cosmological consciousness in its fullness. 5. Respect of beauty of nature. Scholars of "Li xue" considered as : no matter what "Li" or "Qi" that producing all things is "coming of itself", that is by no means artificially operated or prearranged in advance. Such standpoint was applied to creative art and made art of Song Dynasty esteem beauty of nature (coming of itself) exceedingly. 6. Laying stress on "disposition". Scholars of "Li xue" ordinarily valued much of "disposition of a sage", consequently this tendency influenced on aesthetics. "disposition" indicates the whole impression that one who has appearance and the inside(personality, temper, thought, etc.) gives to others. By putting that impression into practice of art and literature, it is to materialize the works of art as a unity of form and subject, also as an expression of human existence that breathed into one's sensibility on the whole. 7. Principles of "completing inquiry", "study the laws of nature by close access" of "Li xue". These principles made art and literature of Song Dynasty take a serious view of "Li" of all over the universe, so made them close investigate things, and after all have achieved very remarkable characteristic in art and literature, especially in paintings of Song Dynasty. Theory of painting in Song Dynasty had occupied considerably high position in Chinese aesthetic history. It was positively superior to former generations no matter what in quantity or in theoretical minuteness and its systematic level. Undoubtedly the Chinese theory of painting had been achieving development time after time since Song Dynasty. However if we could make a comparison it with every single period (ex. Yuan, Ming, and Qing Dynasties), there is no prominent period than Song Dynasty in theory of paintings. Song period had number of essays of Landscape painting.

Second Order Bounce Back Boundary Condition for the Latice Boltzmann Fluid Simulation

  • Kim, In-Chan
    • Journal of Mechanical Science and Technology
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    • v.14 no.1
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    • pp.84-92
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    • 2000
  • A new bounce back boundary method of the second order in error is proposed for the lattice Boltzmann fluid simulation. This new method can be used for the arbitrarily irregular lattice geometry of a non-slip boundary. The traditional bounce back boundary condition for the lattice Boltzmann simulation is of the first order in error. Since the lattice Boltzmann method is the second order scheme by itself, a boundary technique of the second order has been desired to replace the first order bounce back method. This study shows that, contrary to the common belief that the bounce back boundary condition is unilaterally of the first order, the second order bounce back boundary condition can be realized. This study also shows that there exists a generalized bounce back technique that can be characterized by a single interpolation parameter. The second order bounce back method can be obtained by proper selection of this parameter in accordance with the detailed lattice geometry of the boundary. For an illustrative purpose, the transient Couette and the plane Poiseuille flows are solved by the lattice Boltzmann simulation with various boundary conditions. The results show that the generalized bounce back method yields the second order behavior in the error of the solution, provided that the interpolation parameter is properly selected. Coupled with its intuitive nature and the ease of implementation, the bounce back method can be as good as any second order boundary method.

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Ozone Generation Characteristics in Dielectric Barrier Discharge (유전체 장벽 방전내에서 오존발생 특성)

  • Lee, Hyeong-Ho;Jo, Guk-Hui;Kim, Yeong-Bae;Seo, Gil-Su
    • The Transactions of the Korean Institute of Electrical Engineers C
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    • v.49 no.12
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    • pp.673-678
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    • 2000
  • The dielectric barrier discharge(DBD) is a common method to create a nonthermal plasma in which electrical energy is used to create electrons with a high average kinetic energy. The unique aspect of dielectric barrier discharges is the large array of short lifetime(10ns) silent discharges created over the surface of the dielectric. A silent discharge is generated when the applied voltage exceeds the breakdown voltage of the carrier gas creating a conduction path between the applied electrode and grounded electrode. As charge accumulates on the dielectric, the electric field is reduced below the breakdown field of the carrier gas and the silent discharge self terminates preventing the DBD cell from producing a thermal arc. In fact, the most significant application of dielectric barrier discharges is to generate ozone for contaminated water treatment. Therefore, experiments were perfomed at 1∼2[bar] pressure using a coaxial geometry single dielectric barrier discharge for ozone concentrations and energy densities. The main result show that the concentration and efficiency of ozone are influenced by gas nature, gas quantity, gas pressure, supplied voltage and frequency.

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Evaluation of Image Segmentation Techniques (영상 분할 방법의 평가)

  • Lee, Sung-Ki;Kim, Hyo-Sun
    • The Transactions of the Korea Information Processing Society
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    • v.2 no.4
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    • pp.524-534
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    • 1995
  • Image segmentation is a process of partitioning of an image into different regions that have similar properties. It is an old and difficult problem. They have developed many image segmentation systems and have studied to evaluate the existing segmentation systems. However, evaluation of image segmentation systems is very difficult in nature. In this paper, we propose the evaluation criteria that evaluate image segmentation systems automatically. In order to overcome the drawbacks of using only a single evaluation criterion, we have incorporated four evaluation criteria, that is, boundary difference, boundary consistency, region uniformity, and region difference. As the experimental results show, our evaluation criteria performs very well.

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On the Application and Optimization of M-ary Transmission Techniques to Optical CDMA LANs (Optical CDMA 근거리망을 위한 M-진 전송기술에 대한 연구)

  • 윤용철;최진우;김영록
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.29 no.8C
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    • pp.1086-1103
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    • 2004
  • Most research efforts on the OCDMA technology assume single-bit-per-symbol transmission techniques such as on-off keying. However, achieving high spectral efficiency with such transmission techniques is likely to be a challenging task due to the "unipolar" nature of optical signals. In this paper, an M-ary transmission technique using more than two equally-weighted codes is proposed for OCDMA local area networks, and ie BER performance and spectral efficiency are analyzed. Poison frame arrival and randomly generated codes are assumed for the BER analysis, and the probability of incorrect symbol detection is analytically derived. From the approximation, it is found that there exists an optimal code weight that minimizes the BER, and its physical interpretation is drawn in an intuitive and simple statement. Under the assumption of this optimized code weight and sufficiently large code dimension, it is also shown that the spectral efficiency of OCDMA networks can be significantly improved by increasing the number (M) of symbols used. Since the cost of OCDMA transceivers is expected to increase with the code dimension, we finally provide a guideline to determine the optimal number of symbols for a given code dimension and traffic load.

Modeling and multiple performance optimization of ultrasonic micro-hole machining of PCD using fuzzy logic and taguchi quality loss function

  • Kumar, Vinod;kumari, Neelam
    • Advances in materials Research
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    • v.1 no.2
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    • pp.129-146
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    • 2012
  • Polycrystalline diamond is an ideal material for parts with micro-holes and has been widely used as dies and cutting tools in automotive, aerospace and woodworking industries due to its superior wear and corrosion resistance. In this research paper, the modeling and simultaneous optimization of multiple performance characteristics such as material removal rate and surface roughness of polycrystalline diamond (PCD) with ultrasonic machining process has been presented. The fuzzy logic and taguchi's quality loss function has been used. In recent years, fuzzy logic has been used in manufacturing engineering for modeling and monitoring. Also the effect of controllable machining parameters like type of abrasive slurry, their size and concentration, nature of tool material and the power rating of the machine has been determined by applying the single objective and multi-objective optimization techniques. The analysis of results has been done using the MATLAB 7.5 software and results obtained are validated by conducting the confirmation experiments. The results show the considerable improvement in S/N ratio as compared to initial cutting conditions. The surface roughness of machined surface has been measured by using the Perthometer (M4Pi, Mahr Germany).

Physico-mechanical, AC-conductivity and microstructural properties of FeCl3 doped HPMC polymer films

  • Prakash, Y.;Somashekarappa, H.;Manjunath, A.;Mahadevaiah, Mahadevaiah;Somashekar, R.
    • Advances in materials Research
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    • v.2 no.1
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    • pp.37-49
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    • 2013
  • The transition metal salt doped solid polymer electrolyte [TSPE] were prepared with HPMC as a host polymer. The virgin and doped films were prepared by solution-casting method and investigated using wide angle X-ray scattering method. Micro structural parameters like lattice strain (g%), stacking/twin faults, the average number of unit cells counted in a direction perpendicular to the Bragg's plane (hkl) spacing of (hkl) planes dhkl, crystallite size Ds, distortion width, standard deviation were determined by whole pattern powder fitting (WPPF) method, which is an extension of single order method. It is found that the crystallite size decreases with the increase in the content of $FeCl_3$. This decrease is due to increase in localized breaking of polymer network which also accounts for the amorphous nature of the material. The filler inorganic salt $FeCl_3$ acts as plasticizer. FTIR study also confirms and justifies the interaction between the polymer and in-organic salt in the matrix. Physical properties like mechanical stability and Ac conductivity in these films are in conformity with the X-ray results.

A Study on the Mitigation Policies for Urban Heat Island (도시열섬 완화를 위한 제도개선)

  • Suh, Eung Chul
    • KIEAE Journal
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    • v.7 no.2
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    • pp.17-23
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    • 2007
  • While heat island has been recognized as an unique environmental nuisance in cities, the phenomenon tends to be regarded as an inevitable side effect on urbanization. Recently the nature of the heat island has been disclosed and efforts for the remedy have been discussed in many ways. Some pioneering actions have been taken to mitigate the strength of the heat island's intensity in several countries. After studies for the heat island and speculations on current pilot policies of 3 different countries has been done, mitigation policies for heat island has been suggested as followings. 1. Preservation of natural topography is essential because latent energy consumption(evapotranspiration) from the site is the single most important factor to mitigate the energy surplus caused by urban heat island. 2. Because current national zoning ordinance or building law can not effectively control the site specific local environment, heat island policy should be established or employed at local level. 3. Incentives for the mitigation should be adopted on the process of implementation because environment is public concern. 4. Wind can easily dissipate energy surplus which is the major driving force for heat island. Therefore local wind, the direction and intensity should be sustained and sometimes facilitated fully through policies.

A Study on the Emotional Characteristics of Community Space in Apartment (사례분석을 통한 주거공간 커뮤니티 시설의 감성적 표현특성)

  • Kim, Seong-Yen;Hwang, Yeon-Sook;Chang, Ah-Ri
    • Journal of The Korean Digital Architecture Interior Association
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    • v.11 no.1
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    • pp.73-81
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    • 2011
  • The purpose of this research is to analyze the emotional characteristics of community space with recently constructed apartment complexes. The designated subjects of this research are located in Dongtan the first New Town, with 500 to 1000 households and constructed as single buildings for community space are 14 apartment. The results are as follows: 1)The space for day care planned for children's emotional comfort and stability measured by symbolizing image of nature. Also, allowing children to recognize their own space by decorating the walls with the works of themselves and their friends was shown to break down extraneous feelings against other spaces, and allow intimacy for spaces. 2)The space for the aged was shown to give a secure and friendly feeling by considering the psychological and physical traits of the elderly. It can replenish the depressed bodies of aged people with vigor and stimulate their emotion. 3)The space for indoor exercise utilized various visual facilities, such as graphics and images, to bring out specific areas and create affiliation in stimulating the emotion of residents.