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A Systematic Review of Randomized Controlled Trials on Acupuncture Treatment for Low Back Pain Based on FEAS (요통에 대한 침치료 무작위대조군임상연구(RCT)의 FEAS 분석을 통한 계통적 분석 연구)

  • Nam, Dong-Woo;Kang, Jung-Won;Kim, Eun-Jung;Kim, Hyun-Wook;Song, Ho-Sueb;Kim, Sun-Woong;Kim, Kap-Sung;Lee, Geon-Mok;Choi, Dong-Young;Lee, Jae-Dong
    • Journal of Acupuncture Research
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    • v.26 no.3
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    • pp.133-147
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    • 2009
  • Objectives : To review RCTs on acupuncture treatment for low back pain in order to establish a standard acupuncture treatment model in treating low back pain. Methods : RCT articles on traditional acupuncture treatment for low back pain were searched through online database. Study Quality was assessed using the FEAS. Results : Ten out of the one hundred six articles searched were reviewed. Among the ten articles reviewed, six articles compared acupuncture treatment with no treatment or non-penetrating sham acupuncture. All six articles concluded significantly positive effect of acupuncture compared to the control. Conclusions : The ideal acupuncture treatment model for low back pain was obtained as follows. A sterile disposable stainless steel(0.30mm${\times}$40mm) should be inserted to more than six acupuncture points on the BL, GV and GB meridians such as $BL_23$, $BL_25$, $BL_40$, $BL_60$, $GV_4$ and $GB_30$. Sparrow pecking method to obtain 'de-qi' is recommended and repeated stimulation during the 20 minute retention time is necessary. Ideal treatment frequency would be more than one a week for about 7 weeks.

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FINITE ELEMENT ANALYSIS OF STRESS DISTRIBUTION ACCORDING TO THE METHOD OF RESTORATION AFTER ROOT CANAL THERAPY (상악 중절치 근관치료후 수복 방법에 따른 응력 분포의 유한 요소 분석)

  • Lee, Jae-Young;Lee, Chung-Sik
    • Restorative Dentistry and Endodontics
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    • v.19 no.2
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    • pp.549-567
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    • 1994
  • Restoration of severly damaged teeth after endodontic treatment had been an interest to many dentists, and it is a fact that there have been lots of studies about it. In these days, although we have used Para-Post, pins, threaded steel post, cast gold post and core, and so on, as a method of restoration frequently, it has been in controversy with the influence of them on the teeth and surrounding periodontal tissue. In this study, we assume that the crown of the upper incisor have severly damaged, so, after the root canal therapy, 4 types of restoration had been carried out; 1) coronal-radicular amalgam restoration, 2) after setting up the Para-Post, restore with composite resin core only, 3) after setting up the Para-Post; restore with amalgam core, then cover with the PPM crown 4) after setting up the Para-Post, restore with composite core, then cover with the PPM crown. After restoration, in order to observe the concentration of stress at internal portion of the teeth and the sourrounding periodontal tissue, developing a 2-dimensional finite element model of labiopalatal section, then loading forces from 3 direction - direction of 45 degrees from lingual side near the incisal edge, horizontal direction from labial height of contour, vertical direction at the incisal edge-were applied. The analyzed results were as follows: 1. Stress of the normal central incisor was concentrated on the dentin aroundpulp chamber, labiocervical portion of a tooth and root apex, but with the alveolar bone, in the case of load from the direction of 45 degrees from lingual side near the incisal edge showed remarkable concentration of stress: 2. Coronal-radicular amalgam technique -showed less concentration of stress on the root and surrounding periodontal tissue than the restoration with the Para-Post. 3. The von Mises equivalent stress on the Para-Post showed maximum value at root-core junction rather than both ends and model with PPM restoration with amalgam core showed the least concentration of stress. Only the force from horizontal direction showed large shear stress on internal portion of the root, root apex and alveolar bone. 4. PPM crown with composite core rarely showed the concentration of stress on root and periodontal tissue. 5. As for alveolar bone, remarkable shear stress was concentrated on labial and palatal side by horizontal load.

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Study on Stress Recovery Length of 7-Wire Strand due to Local Damage (강연선의 국부적 손상에 따른 응력 회복길이 분석 연구)

  • Seo, Dong-Woo;Kim, Byung-Chul;Jung, Kyu-San;Na, Wongi;Park, Ki-Tae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.150-156
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    • 2017
  • This study examined the stress recovery length due to the local damage of a 7-wire strand, which is applied widely to PSC (Post Tensioned Concrete) bridges and cable-stayed bridges. The 7-wire strand is a multiple stranded steel of PC prestressing strand. Owing to the nature of the material, it is damaged continuously after completion with corrosion being the main cause of damage. On the other hand, due to its structural characteristics, it is difficult to grasp the degree of damage inside the cable and the pattern of stress variation. In the case of cables applied to bridges, the parts that are susceptible to corrosion are generated depending on the water supply and installation shape, which may cause local damage. This study analyzed the tendency of performance degradation and stress recovery length according to local damage of a 7-wire strand, which is applied mainly to bridge post-tensioning or stay cables. This study developed a computer-based simulation model that was validated with experimental results. The model developed in this study can be used to evaluate the safety level and estimate the remaining life span of P SC bridges or cable-stayed bridges.

Flexural Behavior of RC Beam Using High Volume Fly-Ash Cement (다량치환된 플라이애시 시멘트를 사용한 철근콘크리트 보의 휨거동)

  • Ahn, Young-Sun;Cha, Yeong-Dal
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.2 no.2
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    • pp.128-136
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    • 2014
  • It is known that the best way to recycle fly ash is to use in concrete. It is impossible to bury in the ground this fly ash recently, so it is trying to use high volume fly ash concrete. Nevertheless, recent main research topics are focused in the part of material only. However, it is necessary to perform the researches about elasticity modulus, stress-strain relationship and structural behavior. Therefore, in this paper, 18 test members were manufactured with 3 test variables, namely fly ash replacement ratio 0, 35, 50%, concrete compressive strength 20, 40, 60MPa and 2 tensile steel ratio. 18 test members were tested for flexural behavior. From the test results, there were no differences between 35, 50% high volume fly ash cement concrete and ordinary concrete without fly ash (FA=0%). In order to evaluate the HVFAC flexural behavior, Analytical model was proposed and the computer program was developed. There were no differences between test results and analysis results. So, the proposed analytical model was reasonable.

Creation of Consistent Burn Wounds: A Rat Model

  • Cai, Elijah Zhengyang;Ang, Chuan Han;Raju, Ashvin;Tan, Kong Bing;Hing, Eileen Chor Hoong;Loo, Yihua;Wong, Yong Chiat;Lee, Hanjing;Lim, Jane;Moochhala, Shabbir M.;Hauser, Charlotte A.E.;Lim, Thiam Chye
    • Archives of Plastic Surgery
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    • v.41 no.4
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    • pp.317-324
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    • 2014
  • Background Burn infliction techniques are poorly described in rat models. An accurate study can only be achieved with wounds that are uniform in size and depth. We describe a simple reproducible method for creating consistent burn wounds in rats. Methods Ten male Sprague-Dawley rats were anesthetized and dorsum shaved. A 100 g cylindrical stainless-steel rod (1 cm diameter) was heated to $100^{\circ}C$ in boiling water. Temperature was monitored using a thermocouple. We performed two consecutive toe-pinch tests on different limbs to assess the depth of sedation. Burn infliction was limited to the loin. The skin was pulled upwards, away from the underlying viscera, creating a flat surface. The rod rested on its own weight for 5, 10, and 20 seconds at three different sites on each rat. Wounds were evaluated for size, morphology and depth. Results Average wound size was $0.9957cm^2$ (standard deviation [SD] 0.1845) (n=30). Wounds created with duration of 5 seconds were pale, with an indistinct margin of erythema. Wounds of 10 and 20 seconds were well-defined, uniformly brown with a rim of erythema. Average depths of tissue damage were 1.30 mm (SD 0.424), 2.35 mm (SD 0.071), and 2.60 mm (SD 0.283) for duration of 5, 10, 20 seconds respectively. Burn duration of 5 seconds resulted in full-thickness damage. Burn duration of 10 seconds and 20 seconds resulted in full-thickness damage, involving subjacent skeletal muscle. Conclusions This is a simple reproducible method for creating burn wounds consistent in size and depth in a rat burn model.

Axial Strain Of Reinforced Concrete Beams Subjected to Reversed Cyclic Loading (반복하중을 받는 철근콘크리트 보의 부재 축방향 변형률에 관한 연구)

  • 이정윤
    • Journal of the Korea Concrete Institute
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    • v.13 no.3
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    • pp.251-260
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    • 2001
  • It is required to evaluate the axial strain of reinforced concrete beams in order to predict the ductility of reinforced concrete beams subjected to reversed cyclic loading. A model was proposed to determine the axial strains In reinforced concrete beams by analysing the behavior of reinforced concrete sections and comparing with published test results. The proposed axial strain model inclusively reflected four kinds of paths : Path 1-steel bar in an elastic stage or a unloading region; Path 2-after flexural yielding; Path 3-a slip region; and Path 4-a reversing loading region. The equations to predict the axial strains of each path were proposed. The proposed equations took into account the effects of the loading program. Comparison of axial strains between experimental results and the results from proposed equations showed to be in a good agreement with experimental results.

Dynamic Behavior of Submerged Floating Tunnel by Underwater Explosion (수중폭발에 의한 해중터널의 동적거동)

  • Hong, Kwan-Young;Lee, Gye-Hee;Lee, Seong-Lo
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.31 no.5
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    • pp.215-226
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    • 2018
  • In this paper, to estimate the dynamic behavior of a submerged floating tunnel(SFT) by underwater explosion(UE), the SFT is modeled and analyzed by the explicit structural analysis package LS-DYNA. The section of SFT near to explosion point is modeled to shell and solid elements using elasto-plasticity material model for concrete tubular section and steel lining. And the other parts of the SFT are modeled to elastic beam elements. Also, mooring lines are modeled as tension-only cable elements. Total mass of SFT is including an added mass by hydrodynamic effect. The buoyancy on the SFT is considered in its initial condition using a dynamic relaxation method. The accuracy and the feasibility of the analysis model aree verified by the results of series of free field analysis for UE. And buoyancy ratio(B/W) of SFT, the distance between SFT and an explosion point and the arrangement of mooring line aree considered as main parameters of the explosion analysis. As results of the explosion analysis, the dynamic responses such as the dent deformation by the shock pressure are responded less as more distance between SFT and an explosion point. However, the mooring angle of the diagonal mooring system can not affect the responses such as the horizontal displacement of SFT by the shock pressure.

The Effect of Intravenous Lipo-Prostaglandin E1 Injectioin in a Rat Foraminal Stenosis Model (백서의 척추간 신경공 협착증 모델에서 Lipo-Prostaglandin E1의 정주효과)

  • Yoon, Hye Kyoung;Lee, Pyung Bok;Han, Jin Soo;Park, Sang Hyun;Lee, Seung Yoon;Lee, Yang Hyun;Kim, Yong Chul;Lee, Sang Chul
    • The Korean Journal of Pain
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    • v.20 no.1
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    • pp.15-20
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    • 2007
  • Background: Lipo-prostaglandin E1 (Lipo-$PGE_1$) has vasodilating and platelet aggregation inhibitory characteristics and it has been used as a treatment for patients with blood flow dysfunction disease. Based on the mechanisms of lumbar spinal stenosis, including veno congestion, neuro-ischemia and mechanical compression, we aimed to study whether intravenous Lipo-$PGE_1$ injection has any therapeutic effect on hyperalgesia in a rat foraminal stenosis model. Methods: In this study, twenty male Sprague-Dawley rats were divided into the control (n = 10) and Lipo-$PGE_1$ (n = 10) groups. A small stainless steel rod was inserted into the L5-6 intervertebral foramen to induce intervertebral foramen stenosis and chronic DRG compression. In the Lipo-$PGE_1$ group, $0.15{\mu}g/kg$ of Lipo-$PGE_1$ were injected intravenously via a tail vein for 10 days starting from the $3^{rd}$ day after operation. Behavioral testing for mechanical and thermal hyperalgesia was performed for 3 weeks after the injections. Results: From the $10^{th}$ day after Lipo-$PGE_1$ injection, the rats in the experimental group showed significant recovery of their mechanical threshold, and this effect was maintained for 3 weeks. No significant differences of the thermal hyperalgesia were observed between the two groups. Conclusions: These findings suggest that intravenously injected Lipo-$PGE_1$ may be effective for alleviating neuropathic pain, which isthe main symptom of spinal stenosis, by improving the blood flow dysfunction.

Seismic Performance Assessment of a Composite Modular System Considering Stiffness of Connections (접합부 강성을 고려한 합성 모듈러 시스템의 내진 성능평가)

  • Choi, Young-Hoo;Lee, Ho-Chan;Kim, Jin-Koo
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.22 no.2
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    • pp.105-114
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    • 2018
  • Modular system can be divided into two types based on the methods of resisting load. The one is the open-sided modular system composed of beams and columns. The other is the enclosed modular system composed of panels and studs. Of the Modular systems, the use of open-sided modular system is limited because it consists of closed member sections. In order to solve this problem, Choi et al.(2017) proposed a composite modular system with folded steel members filled with concrete. However, it was assumed in the previous study that the connections between modules are composed of rigid joint. Therefore it didn't identify the effect of connection behavior in structure. This study used finite element analysis to calculate stiffness of the connections in the proposed modular system. The linearization method presented in FEMA 440 is used for seismic performance assessment of structures, considering the connection stiffness computed in this study. The result of analysis shows that the capacity and story drift ratio obtained in the model considering stiffness of connection are less than those in the model not considering connection stiffness. Based on this observation, it is concluded that the stiffness of connection has a considerable effect on structural behavior.

Seismic Performance Assessment of a Composite Modular System Considering Stiffness of Connections (접합부 강성을 고려한 합성 모듈러 시스템의 내진 성능평가)

  • Choi, Young-Hoo;Lee, Ho-Chan;Kim, Jin-Koo
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.23 no.1
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    • pp.9-18
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    • 2019
  • Modular system can be divided into two types based on the methods of resisting load. The one is the open-sided modular system composed of beams and columns. The other is the enclosed modular system composed of panels and studs. Of the Modular systems, the use of open-sided modular system is limited because it consists of closed member sections. In order to solve this problem, Choi et al.(2017) proposed a composite modular system with folded steel members filled with concrete. However, it was assumed in the previous study that the connections between modules are composed of rigid joint. Therefore it didn't identify the effect of connection behavior in structure. This study used finite element analysis to calculate stiffness of the connections in the proposed modular system. The linearization method presented in FEMA 440 is used for seismic performance assessment of structures, considering the connection stiffness computed in this study. The result of analysis shows that the capacity and story drift ratio obtained in the model considering stiffness of connection are less than those in the model not considering connection stiffness. Based on this observation, it is concluded that the stiffness of connection has a considerable effect on structural behavior.