• 제목/요약/키워드: Autonomic disorders

검색결과 57건 처리시간 0.025초

주요우울장애 환자에서 생애초기스트레스와 연관된 심박변이도의 특성 (Characteristics in Heart Rate Variability associated with Early Life Stress in Patients with Major Depressive Disorder)

  • 이치헌;김민경;최선우;박해인;석정호
    • 우울조울병
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    • 제15권3호
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    • pp.117-122
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    • 2017
  • Objectives : Early life stress (ELS) may have impact on functions of the autonomic nervous system. Heart rate variability (HRV) is a reliable psychophysiological marker for functions of the autonomic nervous system. The purpose of this study was to investigate characteristics of HRV associated with ELS in patients with major depressive disorder (MDD). Methods : We compared HRV measures of MDD patients with ELS and without ELS in a 5-minute resting-state electrocardiogram recoding. Forty subjects participated in the study (25 with ELS, 15 without ELS). The Mann-Whitney test was conducted to identify group differences. Results : We found significant group differences in standard deviation of the NN interval (SDNN) and total power (TP). SDNN was lower in the ELS group (M=38.80 ms, SD=13.05 ms) than in the Non-ELS group (M=53.53 ms, SD=19.47 ms). TP was lower in the ELS group ($M=7.07ms^2$, $SD=0.69ms^2$) than in the Non-ELS group ($M=7.72ms^2$, $SD=0.77ms^2$). Conclusion : ELS may have a negative impact on the autonomic nervous system function in patients with MDD. ELS and dysfunction of autonomic nervous system should be considered in treatment for patients with MDD.

동공 질환의 접근: 해부학적 경로를 통해서 (Approach to pupillary abnormalities via anatomical pathways)

  • 김성희
    • Journal of Yeungnam Medical Science
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    • 제34권1호
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    • pp.11-18
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    • 2017
  • The pupillary size and movement are controlled dynamically by the autonomic nervous system; the parasympathetic system constricts the iris, while the sympathetic system dilates the iris. Under normal conditions, these constrictions and dilations occur identically in both eyes. Asymmetry in the pupillomotor neural input or output leads to impaired pupillary movement on one side and an unequal pupil size between both eyes. Anisocoria is one of the most common signs in neuro-ophthalmology, and the neurological disorders that frequently cause anisocoria include serious diseases, such as vascular dissection, fistula, and aneurysm. A careful history and examination can identify and localize pupillary disorders and provide a guide for appropriate evaluations.

ICHD 분류에 따른 원발 두통의 한의학적 변증 연구 (The Study on Pattern Differentiations of Primary Headache in Korean Medicine according to the International Classification of Headache Disorders)

  • 이정소;박미선;김영목
    • 동의생리병리학회지
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    • 제31권4호
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    • pp.201-212
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    • 2017
  • This study draws pattern differentiations of headache disorders on the ground of modern clinical applications and Korean medical literature. Categorization and symptoms of headache disorders are based on International Classification of Headache Disorders 3rd edition(beta version). And clinical papers are searched in China Academic Journals(CAJ) of China National Knowledge Infrastructure(CNKI). In the aspect of eight principle pattern identification, primary headache occurs due to lots of yang qi and has more inner pattern rather than exterior pattern, heat pattern rather than cold pattern, excess pattern rather than deficiency pattern. And primary headache is related with liver in the aspect of visceral pattern identification and blood stasis, wind and phlegm are relevant mechanisms. Migraine without aura is associated with ascendant hyperactivity of liver yang, phlegm turbidity, sunken spleen qi, wind-heat, blood deficiency or yin deficiency. Migraine with aura is mainly related with wind and it's major mechanisms are ascendant hyperactivity of liver yang, liver fire, yin deficiency of liver and kidney, blood deficiency or liver depression and qi stagnation. High repetition rate of tension-type headache can be identified as heat pattern or excess pattern. And trigeminal autonomic cephalalgias can also be accepted as heat pattern or excess pattern when the occurrence frequency is high and is relevant to combined pattern with excess pattern of external contraction and deficiency pattern of internal damage based on facial symptoms by external contraction and nervous and anxious status by liver deficiency. This study can be expected to be Korean medical basis of clinical practice guidelines on headache by proposing pattern identifications corresponding to the western classifications of headache disorders.

투석 환자에서 연령에 따른 우울, 불안 및 긍정사고의 차이 (The Differences of Depression, Anxiety and Positive Thinking between Adult and Elderly Hemodialysis Patients)

  • 노기원;하주원;임세원;이재은;이규백;김향;오강섭
    • 대한불안의학회지
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    • 제9권1호
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    • pp.38-44
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    • 2013
  • 본 연구는 혈액 투석 중인 성인 환자 집단과 노인 환자 집단 간의 우울, 불안 및 자율신경기능의 차이를 비교해 보고자 하였다. 정신의학적 특징들과 자율신경기능을 비교해보았을 때 만성질환에 견디어 내는 능력에 있어서 노인 환자 집단이 성인 환자 집단에 비해 취약하지 않은 결과를 보였다. 이는 만성질환을 앓고 있는 동일한 상황에서 노인들이 보다 긍정적 사고 경향을 가지고 있는 것과 관련되어 있을 것으로 생각된다.

Botulinum Toxin : 기초과학과 이비인후과 영역에서의 임상적 사용 (Botulinum Toxin : Basic Science and Clincal Uses in Otolaryngology)

  • 최홍식;문인석;김한수;김현직
    • 대한후두음성언어의학회지
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    • 제13권2호
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    • pp.164-172
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    • 2002
  • The role of botulinum toxin as a therapeutic agent is expanding rapidly in otolaryngology. Botulinum toxin is a protease that blocks the release of acetylcholine from nerve terminals. Its effects are transient and nondestructive, and largely limited to the area in which it is administered These effects are also graded according to the dose, allowing for individualized treatment of patients and disorders. Botulinum toxin has been used primarily to treat disorders of excessive or inappropriate muscle contraction. In the field of otolaryngology, these include spasmodic dysphonia, oromandibular dystonia, and blepharospasm, vocal tics and stuttering, cricopharyngeal achalasia, various tremors and tics, hemifacial spasm, temporomandibular joint disorders and a number of cosmetic applications. Botulinum toxin treatment has recently begun to show some benefit in the control of pain from migraine and tension headache. It may also prove useful in the control of autonomic dysfunction, as in Frey syndrome, sialorrhea, and rhinorrhea. In over 20 yews of use in humans, botulinum toxin has accumulated a considerable safety record, and in many cases represents relief for thousands of patients unaided by other therapy.

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상복부 통증을 奔豚(奔豚)으로 진단하고 양지장(良枳場)을 투여하여 호전된 1례 (A Case Report of Bun-Ton Disease Treated by Yang-Ji-Tang)

  • 석선희;박세환;김근우;구병수
    • 동의신경정신과학회지
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    • 제19권2호
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    • pp.265-278
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    • 2008
  • Stress reaction can be shown widely in the systems of psychology, endocrinology, immunology and so on. Stress promotes catecholamine from the autonomic nerve system, and this activates the sympathetic nerve system. As the sympathetic nerve system is activated, high blood pressure, tachycardia, vertigo, anxiety, diaphoresis, myotonic reaction and others can happen. Autonomic imbalance is the syndrome that people suffer from various symptoms accompanying no organic lesions and no psychological disorders by losing the hormonies between the sympathetic and parasympathetic nerve system. We experienced a 55 year-old female who complained of sudden abdominal pain after being frightened at trouble with her husband. Her abdominal pain was very characteristic, "Something is like rising in my abdomen.", that occurred several times a day. We diagnosed 'Bun-Ton Disease' from her abdominal sign. Several oriental medicine books recorded aspects of Bun-Ton disease and treatments, we had given herbal medicine and treated acupuncture be based on those. Results from studies to date suggest the Bun-Ton Disease's main cause is fright or shock, and they stimulate releasing epinephrine or norepinephrine, that result in various symptoms. In this case report, we will present this patient's case and review the Bun-Ton Disease.

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원룸 평면 구성에 따른 자율신경계 반응: 사례조사 기반의 10개 평면 유형을 중심으로 (Autonomic Responses Related to the Floor Plan Configurations of One-room Units: Focus on 10 Types of Floor Plan Configurations)

  • 명지연;김규범;전한종
    • 감성과학
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    • 제22권2호
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    • pp.101-108
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    • 2019
  • 본 연구의 목적은 심전도를 활용하여 원룸형 평면 계획 구성에 따른 자율신경계의 반응을 측정하는 것이다. 지금까지의 생리 신호는 대부분 제한된 건축요소에 대해 개별적으로 측정되었고, 이 결과들은 실제의 전체 원룸공간에서 측정된 데이터와는 차이가 있다. 그러므로 보다 동적인 환경에서 인간의 감성을 추출하고자 본 연구를 수행했다. 먼저, 무작위로 수집 된 43 개의 원룸은 욕실과 주방의 위치에 따라 10 가지 유형의 평면 구성으로 분류되었다. 그 다음 건강한 10명의 피험자로부터 평면 구성 변화에 따른 자율신경계의 반응을 측정하였고, 쾌적성 및 선호도에 대한 주관 평가가 시행되었다. 결과적으로 평면 구성 따른 유형별 LF/HF의 평균 비율에는 통계적으로 유의미한 차이가 있었다(p < 0.05). 본 연구 결과는 평면의 구성이 원룸의 공간의 질에 영향을 미칠 수 있다는 것을 보여주는 확실한 증거를 제공하며, 이 접근법이 일인가구의 정신 질환을 악화시킬 수 있는 스트레스를 해소하는 데 효과적임을 제시한다. 앞으로 피험자수를 늘려 보다 정확한 통계적 분석을 하고자 한다.

주간졸음에 관련된 요인과 야간근무와 아로마테라피가 자율신경계에 미치는 영향: 도시철도승무원 대상 (Factors Related to Daytime Sleepiness and the Effects of Night Work and Aromatherapy on the Autonomic Nervous System: Targeting an Urban Railway Crew)

  • 이현웅;김시곤;임광균
    • 대한토목학회논문집
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    • 제42권5호
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    • pp.729-740
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    • 2022
  • 본 연구는 야간 근무 도시철도승무원을 대상으로 직무스트레스와 수면장애가 낮 시간대 졸음에 미치는 영향을 분석하였다. 분석결과 낮 시간대 졸음 지수는 타 근무시간대 보다 높게 측정되어 졸음 정도가 심한 것으로 나타났다. 이후 일반적으로 수면장애 및 스트레스 완화에 도움이 된다고 알려진 아로마에센셜 오일을 야간근무 근무자들에게 처치하여 스트레스와 자율신경계에 미치는 효과를 검증하였다. 아로마테라피를 처치 받은 실험군은 아무것도 처치하지 않은 대조군과 비교하여 스트레스의 감소, 자율신경계의 전체 활성도가 개선되는 것으로 나타났다. 본 연구는 도시철도승무원의 야간근무가 스트레스 증가와 자율신경계에 부정적으로 영향을 미치며, 이를 완화하기 위하여 아로마테라피 처치가 좋은 대안이 될 수 있음을 입증하였다. 본 연구를 통하여 야간 근무자들의 스트레스를 완화시켜 잠재적인 안전사고 예방에도 도움이 될 것으로 기대된다.

족삼리(足三里)(St36)의 전침자극(電鍼刺戟)이 fMRI상 뇌활성(腦活性) 변화(變化)에 미치는 영향(影響) (A fMRI study on the cerebral activity induced by Electro-acupuncture on Zusanli(St36))

  • 김영일;김영화;임윤경;이현;이병렬;김연진
    • Journal of Acupuncture Research
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    • 제20권5호
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    • pp.133-150
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    • 2003
  • Objective: Recently. many studies have showed the evidences of the effect of the Electro-acupuncture treatment through scientific. Methods : One of these methods is functional MRI. We performed electro-acupuncture on Zusanli(St36) and observed the change of brain activation using fMRI. Zusanli(St36) is located on the lateral side of the lower leg. 3 cun(寸) inferior to the Patella of the lower border. Theoretically and clinically. this point has been considered very important for gynecological disorders. spleen and stomach disorders. and psychological disorders. To see the effects of electro-acupuncture stimulation on Zusanli(St36). the experiment was carried out on twelve healthy volunteers. using the gradient echo sequence with the 3.0T whole-body fMRI system(ISOL). After the needle insertion on right Zusanli(St36). 2 Hz of electric stimulation was given for 30 seconds. repeated five times. with 30 seconds' intervals. The Image analysis including motion correction. talairach transformation, and smoothing was done with SPM99. Results ad conclusion : The electro-acupuncture stimulation on Zusanli(St36) activates Brodmann Area 6, 13, 2, 19, 21, 22, 39, 40, 38, 3which indicates the pathways of the electro-acupuncture stimulation on Zusanli(St36) and the possibility of the relationship of the electro-acupuncture stimulation on Zusanli(St36) with autonomic nervous system, internal organic system.

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소아(小兒) stress에 관한 문헌적(文獻的) 고찰(考察) (A study on stress in Children)

  • 김기봉;김장현
    • 대한한방소아과학회지
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    • 제16권1호
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    • pp.105-124
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    • 2002
  • With the progress of civilization, the disorders due to the stress, which derived from the social-structural complexity and diversity, are on an increasing trend in our times. Accordingly, the accurate diagnosis and appropriate treatment for them are required. Especially in the current years, children's disorders delivered by the emotional problems keep increasing. In this research, the researcher tried to figure out the cause of the children's stress and its treatment, studied the theories of the stress in the modem medicine and the sever emotions in oriental medicine, and came to the conclusion as follows: 1. The stress can be defined as the combination of the reaction to noxious stimuli and its defense mechanism of the body, In oriental medicine, it is considered as pathological notions which includes seven emotions as the internal factor, six evils as the external factor and other foods, expectoration, ecchymoma as the non-internal/external factors. 2. Children usually get stressed by various reasons in a growth process such as schooling, relationship with friends, the opposite sex of family, or change of surroundings, and these can cause the various disorders. 3. In the study of the children's stress symptoms, it is found that the silent reaction is uncommon. It usually appeared in both reactions: firs, physical reactions such as stomachache, vomiting, headache, neural frequent urination, bronchial asthma or excessive respiration and/or, second, behavioral reactions such as a decline of performance, alimentary disorder, e.g. anorexia nervosa or bulimia, sleep disorder, e.g. nightmare or panic in sleep, anthrophobia, refusal to a school attendance or hyperactiveness. Besides, the peculiar mental disorder such as paroxysm of anger, tic, autism, nocturnal enuresis, lack of attentiveness, impediment in linguistic development, learning difficulty, intellectual decline, etc. can be appeared, and the heavy stress during the babyhood can cause the regression of behavior or the immaturity of formation of character. 4. The appropriate treatments for the children's stress are Osteopathy, Manpulation, Aroma Therapy, Alexander Technique, Autonomic Never Control Treatment, Biofeedback, Chiropractic, Dance Therapy, Feldenkrasis Technique, Gravity Therapy, Homepathy, Aquatherapy, Hypnotherapy, Naturopathy and Meditation.

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