• 제목/요약/키워드: entrapment

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양측성 슬와동맥 포착증후군 (Bilateral Popliteal Artery Entrapment Syndrome)

  • 유동곤;김종욱;박종빈
    • Journal of Chest Surgery
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    • 제40권2호
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    • pp.136-139
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    • 2007
  • 양측성 슬와동맥 포착증후군은 주로 젊은 남자에게서 슬와동맥과 비복근, 섬유대, 슬와근과의 비정상적인 주행관계에 의한 혈류장애로 허혈성 파행을 유발하는 드문 말초 혈관질환이다. 58세 남자환자가 내원 1개월 전부터 시작된 좌측 하지의 허혈성 파행, 냉감, 3번 발가락 괴사로 입원하였다. 발목-상완 지수 감소 소견을 보여 대퇴동맥 혈관조영술을 시행하였고 좌측 하지 천부 대퇴동맥 원 위부 이하 부위 완전폐쇄소견 보였다. 심전도상 심방세동 보여서 슬와동맥 혈전증을 의심하고 유로키나제 혈전용해술을 시행하기로 결정하였다. 혈전용해술 후 좌측 슬와동맥 포착증후군이 진단되었고 해부학적 확진을 위하여 자기공명촬영를 시행하였다. 슬와동맥이 비복근 내측으로 주행하는 제1형으로 진단되었고, 슬와동맥류를 완전 제거하고 반대측 대복제정맥를 이용하여 대치술을 시행하였다. 경미한 우측 슬와동맥류는 수술하지 않고 관찰 중에 있으며 현재까지 합병증 없이 개통성이 유지되고 있다. 이에 심하게 이환된 하지는 수술적 치료를 시행하고, 경미하게 이환된 하지는 보존적 치료로 좋은 결과를 얻었기에 보고하는 바이다.

포착신경병증의 약침치료에 대한 국내 임상 연구 동향: 주제범위 문헌고찰 (Domestic Clinical Research Trends of Pharmacopuncture Treatment for Nerve Entrapment Syndroeme: A Scoping Review)

  • 이원형;우현준;한윤희;최승관;조정호;전병현;하원배;이정한
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.31-44
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    • 2023
  • Objectives The purpose of this study is to check the research trends of pharmacopuncture treatment in nerve entrapment syndrome, identify specific techniques, identify which pharmacopuncture are used, and provide directions for future research. Methods This study was conducted based on the five steps suggested by Arksey and O'Malley. We searched five domestic databases (Research Information Sharing Service, Oriental Medicine Advanced Searching Integrated System, Korean studies Information Service System, Science ON, and KMBASE) and identified studies with key search terms like "nerve entrapment" And "pharmacopuncture" until June 23, 2023. Results Twenty-nine studies were finally selected. among them, 25 papers were non-comparative studies (86.2%). The most common disease was carpal tube syndrome (n=10). All the investigated studies were treated by injecting pharmacopuncture into the pathway of the entraped nerve. The depth of pharmacopuncture injection was mentioned only in 13 studies. As for the pharmacopuncture used, sweet bee venom was 8 studies and bee venom was 6 studies, and about half of the pharmacopuncture manufactured with Bee venom as the main component accounted for. Conclusions This study is a scoping review of the pharmacopuncture treatment for nerve entrapment, which was first conducted in Korea. The treatment is mainly performed on the path way of the entraped nerve. After that, it is necessary to study the standardization of the specific technique method of pharmacopuncture and the uniformity of evaluation criteria.

신개발 국산 부가중합 실리콘 인상재의 젖음성과 기포발생에 관한 비교 연구

  • 조리라;정경호;김경남
    • 대한치과의사협회지
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    • 제41권1호통권404호
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    • pp.35-41
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    • 2003
  • Wettability of addition silicone impression material is very important property for making an accurate restoration. This study examined theimpression quality in clinical condition and the wettability of impression material. Three commercially available addition silicone impression material (Imprint; 3M, USA, Examix; GC, Japan, Perfect; Handae, Korea) were studied. A total of 90 putty/wash impressions of semi-dried premolars and wet molar teeth were examined for void production in impression body. The percentae of the sulcus reproduction ability of each material was calculated from the sulcus depths of cross-sectioned casts from the impressions with stereomicroscope. Three impression materials were used to produce die stone casts from vcid entrapment die. Voids in the stone casts were counted with the stereomicroscpe. From the experiment, the following results were obtained: 1. In direct observation, Imprint showed greatest numbers of void in impression body (P<.001).However, correlations were not found between sulcus reproduction and void production. 2. Sulcus reproduction ability of additional silicone impression material was diminished in order of Imprint, Examix, Perfect. The significant difference was found between Imprint and other material (P<.001). 3. In void entrapment laboratory test, void productions was diminished in order of Examix, Imprint, Perfect. All voids in casts were less in delayed poured cast than immediately poured cast. 4. Especially, the stone pouring time of Perfect impression material should be delayed.

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Rosiglitazone약물을 함유한 PLGA 나노입자 제조 및 분석 (Preparation and Characterization of Rosiglitazone-loaded PLGA Nanoparticles)

  • 신고은;허강무;이용규
    • KSBB Journal
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    • 제23권5호
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    • pp.408-412
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    • 2008
  • 본 연구에서는 당뇨병치료제인 로시글리타존약물를 생분해성 PLGA 나노입자에 봉입시킴으로서 위장흡수율과 물에 대한 용해도를 증가시키기 위한 나노제제 개발에 기반을 두고 있다. 특히 제조조건에 따라 형태 및 크기가 조절가능한 나노입자를 제조하고자 하였고, 실험결과 Emulsion-evaporation방법을 사용하여 100-150 nm 크기의 고른 입자분포를 가진 나노입자를 제조하였다. 다양한 농도의 약물 존재하에서 나노입자를 제조함으로서 1%까지의 약물이 80% 이상의 봉입율로 제조될 수 있음을 확인하였다. 또한 나노입자의 크기는 PVA양을 조절하면서 크기분포를 제어하였다. 36시간 동안의 용출실험 결과 초기 약간의 Burst effect가 있었으나 36시간동안 일정하게 약물이 용출되어 나옴을 확인하였다. 앞으로의 연구를 통해, 고효율의 경구제제용 당뇨병치료제 운반체 개발에 중점을 둘 예정이다.

전골간신경 증후군의 치료증례 보고 (Clinical Case of the Korean Medical Treatment for the Patient with Anterior Interosseous Nerve Syndrome)

  • 민선정;김진희;김민수;염승룡;권영달
    • 동의생리병리학회지
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    • 제28권4호
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    • pp.425-429
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    • 2014
  • The purpose of this study is to suggest a possibility of the Korean medical treatment in patient with anterior interoseous nerve entrapment syndrome. The patient treated with acupunture, herbal medicine and Needle-embedding Therapy from April 19th to May 15th. We measured Visual Analotgue Scale(VAS), and Observed the change in body tempreture using Digital Infrared Thermal Imaging(DITI). After received Korean medical treatment, the patient showed improvement in muscle strength, sensation, VAS, temperature differential. Therefore we can consider Korean medical treatment before operation in interosseous nerve syndrome.

직복근 증후군 환자에서의 치료 경험 -증례 보고- (The Rectus Abdominis Syndrome -A case report-)

  • 박진우;김정훈;신용출;정순호;최영균;김영재;신치만;박주열
    • The Korean Journal of Pain
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    • 제13권1호
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    • pp.123-125
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    • 2000
  • Rectus abdominis syndrome is the abdominal pain which occurs in the distribution of the medial or lateral cutaneous branch of the 7~12th intercostal nerves. It is frequently cause that results in unnecessary pain and expense to patient. The physical examination is difficult because of severe abdominal pain. We must have attention to the possibility that patients with abdominal pain, in whom no intra- abdominal cause is founded, may suffer from this presumed nerve entrapment syndrome. If we can find the cause of pain in the abdominal rectus muscle, no evaluation and surgery are required and therapy can be simple.

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Preparation and characterization of ibuprofen-loaded alginate microspheres using ethylenediamine as a crosslinker

  • Maiti, Sabyasachi;Sa, Biswanath
    • Advances in Traditional Medicine
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    • 제8권2호
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    • pp.178-186
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    • 2008
  • In this study, ionotropic gelation method was used for the preparation of ibuprofen-loaded calcium alginate (CALG) and ethylenediamine (EDA) treated calcium alginate (EDA-CALG) microspheres. The effect of EDA-treatment on drug entrapment efficiency, particle size, morphology, swelling behavior and in vitro release characteristics of the microspheres was investigated by varying its concentration from 0.5 to 2% (v/v). The reduction in drug entrapment efficiency by a maximum of 44.60% was noted for EDA-CALG microspheres compared to untreated CALG microspheres. The particle size and swelling index of EDA-CALG microspheres were reduced with increasing EDA concentration. All the microspheres were observed to retain their spherical shapes with rough surfaces. EDA-CALG microspheres prepared using 1% and 2% v/v EDA, released almost all of its content within 7 h in pH 6.8 phosphate buffer, however, CALG microspheres were found to release the same within 3 h. The intensity of melting endothermic peak of ibuprofen reduced significantly at lower drug load as experienced from DSC thermograms. The FT-IR spectrum of pure ibuprofen, ibuprofen-loaded CALG and EDA-CALG microspheres showed the characteristic band of C = O stretching vibration of ibuprofen. Hence, this study revealed that EDA can be employed for the preparation of ibuprofen-loaded CALG microspheres to retard the drug release to some extent.

Lung Entrapment between the Pectus Bar and Chest Wall after Pectus Surgery: An Incidental Finding during Video-Assisted Thoracoscopic Surgery

  • Kim, Kyung Soo;Hyun, Kwanyong;Kim, Do Yeon;Choi, Kukbin;Choi, Hahng Joon;Park, Hyung Joo
    • Journal of Chest Surgery
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    • 제48권5호
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    • pp.375-377
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    • 2015
  • We report a case of an entrapped lung after the pectus bar repair of a pectus deformity. The entrapped lung was found incidentally during video-assisted thoracoscopic surgery (VATS) for pneumothorax. Based on VATS exploration, multiple bullae seemed to be the cause of the pneumothorax, but the entrapped lung was suspected to have been a cause of the air leakage.

Certification of Gibroblase Cell Adhesion and Spreading Mediated by Arg-Gly-Asp (RGD) Sequence on Thermo-Reversible Hydrogel

  • NA, KUN;DONG-WOON KIM;KEUN-HONG PARK
    • Journal of Microbiology and Biotechnology
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    • 제11권6호
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    • pp.922-927
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    • 2001
  • In an effort to regulate the mammalian cell behavior in entrapment with a gel, we have functionalized hydrogels with the putative cell-binding (-Arg-Gly-Asp-)(RGD) domain. An adhesion molecule of Gly-Arg-Gly-Asp-Ser (GRGDS) peptides, a cell recognition ligand, was induced into thermo-reversible hydrogels, composed of N-isopropylacrylamide with small amounts of acrylic acid (typically 2-5 $mol\%$ in feed), as a biomimetic extracellular matrix (ECM). The GRGDS containing a p(NiPAAm-co-AAc) copolymer gel was studied in vitro for its ability to promote the spreading and viability of cells by introducing a GRGDS sequence. Hydrogel with no adhesion molecule was a poor ECM for adhesion, permiting spreading of only $3\%$ of the seeded cells for 36h. By immobilizing the peptide linkage into the hydrogel, the conjugation of RGD promoted $50\%$ of proliferation for 36h. However, the GREDS sequence, nonadhesive peptide linkage, conjugated hydrogel showed only $5\%$ of the seeded cell for the same time period. In addition, with the serum-free medium, only GRGDS peptides conjugated to hydrogel was able to promotecell spreading, while there was no cell proliferation in the hydrogel without GRGDS. Thus, the GRGDS peptide-conjugated thermo-reversible hydrogel specifically mediated the cell spreading. This result suggests that utilization of peptide sequences conjugating with the cell-adhesive motifs can enhance the degree of cell surface interaction and influence the long-term formation of ECM in vitro.

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