• Title/Summary/Keyword: entrapment

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The Triple Entrapment Syndrome of the 5th Lumbar Spinal Nerve

  • Jang, Jee-Soo;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • v.37 no.4
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    • pp.258-262
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    • 2005
  • Objective: The 5th lumbar spinal nerve can be entrapped in the intraspinal zone, foraminal zone, and the extraforaminal zone simultaneously. The failure to recognize that the nerve root can be compressed in such manners may be the reason of a number of failures of surgical decompression. Here we describe a microsurgical method for the decompression of the triple entrapment of the L5 spinal nerve in 21 patients. Methods: Clinical manifestations and surgical results of twenty-one patients treated surgically under the diagnosis of the triple entrapment of the L5 spinal nerve were reviewed retrospectively. All patients were treated by the posterior midline approach for the intraspinal entrapment and by the paraspinal approach for the foraminal and the extraforaminal entrapment. Results: Pain relief was obtained in all patients immediately after surgery. The mean follow-up period after the surgery was 13 months, ranged from 6 to 24 months. The mean Numeric Rating Scale (pain score) improved from 8.9 before the surgery to 1.4 (P<0.0001). The mean ODI scores improved from 76.2 before the surgery to 13.1 (P<0.0001). Nineteen patients were satisfied with their result at the last follow-up examination. Neither complications related to the surgery, nor the spinal instability was detected. Conclusion: The triple entrapment of the 5th lumbar spinal nerve is an important pathologic entity to identify for the treatment of L5 radiculopathy. Combined medial and lateral approaches are safe, minimally invasive and it provide the complete decompression of triple entrapment of the L5 spinal nerve without causing secondary instability like after complete facetectomy.

Influence of Satisfaction of University and Family Cohesion on Perceived Entrapment: Moderating Effects of Resilience and Hope (대학만족도와 가족응집력이 지각된 속박감에 미치는 영향: 회복탄력성과 희망의 조절효과)

  • Shin, Sun-Hwa;Jeong, Goo-Churl
    • The Journal of the Korea Contents Association
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    • v.14 no.10
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    • pp.350-360
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    • 2014
  • The purpose of this study was to identify the moderating effect of resilience and hope among satisfaction of university, family cohesion, and perceived entrapment. It was conducted to measure research variables from 610 university students. The moderating effect according to resilience and hope was analyzed through hierarchical regression analysis and presented in graphs of significant moderating effect. As a result of analysis, first, there were significant relationship, among satisfaction of university, family cohesion, and perceived entrapment. Second, satisfaction of university and family cohesion had a significant negative effect on the perceived entrapment. Third, resilience had moderating effect within the relationship of university satisfaction and perceived entrapment. Forth, hope had moderating effect within the relationship of family cohesion and perceived entrapment. Implications of these results were explored in relation to the importance of resilience and hope that could be taken to reduce perceived entrapment.

Treatment of Superficial Peroneal Nerve Entrapment Syndrome under Local Anesthesia using Ultrasonogram (초음파를 이용한 국소마취하 표재비골신경 포착증후군의 치료)

  • Lee, Kyung-Chan;Kwak, Ji-Hoon;Hwang, Chul-Ho;Park, Hong-Gi
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.3
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    • pp.215-219
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    • 2013
  • Purpose: To review the outcomes of surgical treatment for superficial peroneal nerve entrapment. Materials and Methods: Ultrasonogram was used for diagnosis and surgical treatment. Seven superficial peroneal nerve entrapment were surgically treated with follow up of average 16 months (range, 6~29 months). Three patients were male and four patients were female with mean age 36.7 years (range, 19~51 years). Four cases developed after repetitive ankle sprain and three cases had no etiology. Results: Operation was performed mini-open and subcutaneous fasciotomy under local anesthesia. The results were excellent in two cases, good in four cases, fair in one case. Conclusion: Ultrasonogram was useful for diagnosis and surgical treatment of superficial peroneal nerve entrapment syndrome.

Effect of saltss on the entrapment of calf thymus DNA into liposomes

  • Kim, Chong-Kook;Lee, Beom-Jin
    • Archives of Pharmacal Research
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    • v.10 no.2
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    • pp.110-114
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    • 1987
  • To correlate the conformational changes of DNA (Calf Thymus) with entrapment of DNA into liposomes, the effect of ions ($Na^+$, $Mg^{++}$on the entrapment of calf thymus DNA into liposomes was investigated. The effect of divalent ion ($Mg^{++}$ on the structural changes of DNA indicated by decrease of observed ellipticity at 274 nm and nonspecific binding of DNA to lipid bilayers was greater than monovalent ion ($\Na^+$). But the efficiency of DNA encapsulated was not altered. These results show that entrapment of DNA into liposomes is not due to nonspecific binding and structural changes because of electrostatic forces but to mechanical capture of DNA by the internal aqueous space of liposomes although divalent ion contributes large structural changes and more nonspecific association of DNA with liposomes due to strong charges.

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Treatment Experiences of Abdominal Cutaneous Nerve Entrapment Syndrome -A report of 3 cases- (복부 피신경 포착 증후군 환자의 치료경험 -증례보고-)

  • Rhee, Ho Dong;Park, Eun Young;Lee, Bahn;Kim, Won Oak;Yoon, Duck Mi;Yoon, Kyung Bong
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.292-295
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    • 2006
  • The diagnosis of chronic abdominal pain due to abdominal cutaneous nerve entrapment can be elusive. Tenderness in patients with abdominal pain is naturally assumed to be of either peritoneal or visceral origin. Studies have shown that some patients suffer from prolonged pain in the abdominal wall and are often misdiagnosed, even after unnecessary and expensive diagnostic tests, including potentially dangerous invasive procedures, and treated as having a visceral source for their complaints, even in the presence of negative X-ray findings and atypical symptoms. Abdominal cutaneous nerve entrapment syndrome is rarely diagnosed, which is possibly due to failure to recognize the condition rather than the lack of occurrence. The accepted treatment for abdominal cutaneous nerve entrapment syndrome is a local injection, with infiltration of anesthetic agents coupled with steroids. Careful history taking and physical examination, in conjunction with the use of trigger zone injections, can advocate the diagnosis of abdominal cutaneous nerve entrapment and preclude any unnecessary workup of these patients. Herein, 3 cases of abdominal cutaneous nerve entrapment syndrome, which were successfully treated with local anesthetics and steroid, are reported.

Investigation on the Meridian-Muscle Therapy for Myogenic Nerve Entrapment Syndrome (경근요법(經筋療法)을 통한 근원성 신경 포착 증후군의 치료)

  • Heo, Su-Young;Choi, Jin-Man;Seo, Hae-Kyung
    • The Journal of Korea CHUNA Manual Medicine
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    • v.2 no.1
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    • pp.43-50
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    • 2001
  • Objectives : Scalenus anticus syndrome and Piriformis syndrome is representative of myogenic Nerve entrapment syndrome, and their clinical symptoms are similar to HIVD(herniated Intervertebral disc) of cervical or lumbar spine. But, distinguished by muscle test, these syndrome apply to Meridian-muscle therapy. Methods : Meridian-muscle therapy consists of Ashi(阿是)-point therapy, taping therapy, myofascial release technique, manipulation, their based on the traditional meridian-muscle theory. This theory is similar to myofascial pain syndrome in western medicine. The study population consisted of 9 patients who were already diagnosed as Nerve entrapment syndrome with radiological examination & physical examination and muscle test. The evaluation of clinical outcome was done by Visual Analogue Scale (VAS) and Pain Assesment Questionnaire(PAQ). Results and Conclusions : After treatment, All patient's VAS is decreased as $2.11{\pm}1.59$ and the evaluation of clinical effect was excellent(6 cases) or good(3 cases) according to PAQ. Conclusively, Meridian muscle therapy is efficacious against Nerve entrapment syndrome.

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Development of Cell Entrapment Technology for the Improvement of Bifidobacterium Viability (Bifidobacterium의 생존력 증대를 위한 세포포집기술개발)

  • Park, Hui-Gyeong;Bae, Gi-Seong;Heo, Tae-Ryeon
    • KSBB Journal
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    • v.14 no.4
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    • pp.389-395
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    • 1999
  • Bifidobcterium spp. can provide human being with several beneficial physiological. Therefor, there has been a considerable interest in products Bifidobcterium spp. dietary supplements or as starter cultures for probiotic products that may assint in the improvement of health on the human. But indusrial applications have been limited because Bifidobcterium spp. are sensitive to acidic pH due to organic acid produced by themselves and various conditions. The objective of this study was to establish new method for improvement of Bifidobcterium viability by entrapment im calcium alginate beads. We have a plan to select the most suitable polymer through the comparison with acid tolerance oxygen tolerance and theological properties of polymer. Increase of the viable number of Bifidobcterium induced increasing acid tolerance and oxygen tolernce trough the development of entrapment technique. The 4%, 3030mm diameter) sodium alginate beads led to the best survivability under acid condition. Especially, addition of 6% mannitol, 6% glycerol or 6% sorbitol to the sodium alginate helped a beneficial effect on viability against acid, bile salt, hydrogen peroxide and cold strage. The number of viability of entrapeede cells by retreatment was 96 fold higher than non-entrapeed cells after 5 hours of storage under pH 3 acidic condition. These experimental data clearly demonstrate that a whole cell immobilization by entrapment in calcium alginate beads is an important survival mechanism enable to withstand environmental stresses as the acidic condition, hydrogen peroxide toxicity and frozen state.

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Factors Affecting the Entrapment of Primary Caregivers of Cancer Patients Receiving Home Healthcare Nursing Service (가정간호서비스를 받는 암환자 주부양자의 속박감 영향요인)

  • Mun, Mi Young;Han, Suk Jung
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.24 no.3
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    • pp.292-305
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    • 2017
  • Purpose: The purpose of this study was to examine the factors influencing the entrapment of primary caregivers of cancer patients. Methods: From 6 general hospitals, 146 primary caregivers of cancer patients who were receiving home healthcare nursing service were selected for the study. Regarding data collection, structured questionnaires were distributed to the caregivers for data collection. T-test, ANOVA and hierarchical regression were used for data analysis. Results: The significantly influential factors on their entrapment were caregiving time, taking turms to look after the patient, disease duration, home healthcare nursing period, quality of relationship, perceived health status, and social support. And the explanatory power was 55.1% Conclusion: To reduce primary caregivers' entrapment, it is necessary to perform comprehensive and continuous nursing intervention, and to develop a standardized home healthcare nursing intervention program, and to come up with a system for using resources available in local communities.

Trapped Stent in the Left Coronary Sinus in a Myocardial Infarction Patient

  • Han, Sun;Seo, Pil Won
    • Journal of Chest Surgery
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    • v.48 no.5
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    • pp.368-370
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    • 2015
  • Stent entrapment is a very rare complication of percutaneous coronary intervention. The interventional approach could be a treatment strategy. However, if it does not work, surgical treatment should be considered. Here, we report a case of surgical treatment of stent entrapment in the left coronary sinus of a 53-year-old male patient.

Entrapment of Sural Nerve in Essex-Lopresti Axial Fixation for Calcaneal Fracture - A Case Report - (종골 골절에서 Essex-Lopresti 술식 후 발생한 비복 신경 포착 -증례 보고-)

  • Moon, Sang-Ho;Suh, Byoung-Ho;Kim, Dong-Joon;Kong, Gyu-Min;Kim, Wook-Nyeon
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.2
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    • pp.227-230
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    • 2005
  • Injuries to sural nerve through surgical incision or open wound in calcaneal fractures were reported as complications causing lateral hindfoot pain. But sural nerve entrapment by adhesive fibrous tissue after Essex-Lopresti axial fixation has not been reported. We report a case of sural nerve entrapment after Essex-Lopresti axial fixation which was successfully treated by nerve decompression.

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