• Title/Summary/Keyword: Desensitization

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Comparison on Dental Anxiety according to the Type of Oral Health Education (구강보건교육 진행 방식에 따른 초등학생의 치과공포지수 차이)

  • Jeong, Mi-Ae;Ha, Jung-Eun;Kim, Min-Ji
    • The Journal of the Korea Contents Association
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    • v.16 no.5
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    • pp.96-103
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    • 2016
  • The aim of this study was to confirm the effectiveness of learner-centered teaching models to reduce the dental anxiety. 18 children with age of 10 at the case group and 22 children with age of 10 at the control group was completed. Children from case group were participated in learner-centered oral health education, while those from control group were participated in instructor-led oral health education. Dental Anxiety Scale (DAS) at each groups were measured before oral health education, after then, oral health education of two types at each groups were separately conducted during 1-hour, 2 times. Learner-centered oral health education adapted the systematic desensitization (Tell-Show-Do) was conducted for case groups. Instructor-led oral health education was performed by using the presentation file (PPT). The change of Dental Anxiety Scale (DAS) were compare between case and control groups to evaluate the effect of learner-centered teaching type. After oral health education, DAS of the case and control groups at the baseline were 9.61 and 11.14, respectively, and the average DAS decline of case and control groups after oral health education were 2.48 and 0.55, respectively. These findings show that a learner-centered teaching type is an effective oral health program to reduce of dental anxiety in childhood.

Changes in the Endothelin-1-induced Contraction of Aorta in Streptozotocin-induced Diabetic Rats

  • Cheong, Hyun-Joo;Kim, Eun-Jin;Kim, Su-Jin;Lee, Sun-Hee;Rhim, Byung-Yong
    • The Korean Journal of Physiology and Pharmacology
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    • v.4 no.3
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    • pp.185-195
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    • 2000
  • Vascular diseases are significant complications of diabetes mellitus (DM), and the endothelial cells may play a pivotal role in the development of vascular disease in DM. Endothelin-1 (ET-1) released from endothelium is a potent vasoconstrictor peptide and circulating level of ET-1 is increased in a variety of disease states. The purpose of this study was to determine the changes of responsiveness to ET-1 in DM, and we experimented on the changes in the ET-1-induced contraction, levels of nitrite and lipid peroxidation, and ET-1 immunoreactivity in aorta from streptozotocin-induced DM rats. DM was induced by single injection of streptozotocin (55 mg/kg, i.p.). The immunoreactive ET-1 levels in endothelial layer of thoracic aorta were much higher in DM rats than control rats. Nitrite in tissue homogenate was decreased and plasma nitrite was increased in DM rats. Malondialdehyde (MDA) was significantly increased in DM rats and cGMP was not significantly different between control and DM rats. ET-1 produced concentration- dependent contractile responses that are significantly attenuated in DM rats compared to controls. In the presence of selective $ET_A$ receptor antagonist BQ610, the maximum contraction was decreased and the concentration ratios for BQ610 yielded $pA_2$ values of 7.3 (slope, 0.65) in control rats, whereas BQ610 had no antagonistic effect on ET-1-induced contraction in DM rats. However, pretreatment with BQ788, an $ET_B$ receptor antagonist, maximum response was decreased and the dose-response curves for ET-1 were shifted to the right in both groups and $pA_2$ values were 7.9 and 7.7 (slope, 1.05 in control and DM rats), respectively. IRL 1620 and sarafotoxin S6c, $ET_B$ agonists, induced relaxation in control rats but not in DM rats. These results indicate that endothelial cell dysfunction and enhanced immunoreactivity of ET-1 have been found in DM rat and ET-1-induced contraction was attenuated in DM rat. These attenuated responses might be at least in part caused by the alteration of $ET_A$ receptor properties (e.g. desensitization), and partly related with an alteration in intracellular mechanism for contraction to ET-1.

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EMDR-IGTP on the Depression, Anxiety, Post Traumatic Stress, and Self-esteem of Graduate Nursing Students (EMDR 통합 집단치료가 간호대학원생의 우울, 불안, PTSD, 및 자아존중감에 미치는 효과)

  • Oh, Kyong-ok;Gang, Moon-hee;Kim, Sun-Hee
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.233-240
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    • 2018
  • The study aimed to evaluate the effects of the EMDR-IGPT(Eye movement desensitization and reprocessing-integrative group treatment protocol) on the depression, anxiety, post traumatic stress, self-esteem in graduate nursing students. A quasi-experimental study employing a nonequivalent control group and pre-post design was conducted. The participants were graduate nursing students from C university (Experimental group=22, Control group=28). The experimental group participated in the 8 session-EMDR-IGPT for 8 weeks, while control group were treated by waitlist. Data were analyzed using ${\chi}^2-test$, independent t-test, with SPSS 24.0 program. There were significant differences in anxiety(t=-2.50, p<.05) and self-esteem(t=20.78, p<.01) of participants between experimental group and control group after completion of 8 session-EMDR-IGPT. The results indicate that EMDR-IGPT can be used to improve anxiety and self-esteem of graduate nursing students. Furthermore, further study needs to identify the mechanism of the effects of the program.

Evidence for Adenosine Triphosphate (ATP) as an Excitatory Neurotransmitter in Guinea-Pig Gastric Antrum

  • Kang, Tong-Mook;Xu, Wenxie;Kim, Sung-Joon;Ahn, Seung-Cheol;Kim, Young-Chul;So, In-Suk;Park, Myoung-Kyu;Uhm, Dae-Yong;Kim, Ki-Whan
    • The Korean Journal of Physiology and Pharmacology
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    • v.3 no.2
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    • pp.165-174
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    • 1999
  • We explore the question of whether adenosine 5'-triphosphate (ATP) acts as an excitatory neurotransmitter in guinea-pig gastric smooth muscle. In an organ bath system, isometric force of the circular smooth muscle of guinea-pig gastric antrum was measured in the presence of atropine and guanethidine. Under electrical field stimulation (EFS) at high frequencies (>20 Hz), NO-mediated relaxation during EFS was followed by a strong contraction after the cessation of EFS (a 'rebound-contraction'). Exogenous ATP mimicked the rebound-contraction. A known $P_{2Y}-purinoceptor$ antagonist, reactive blue 2 (RB-2), blocked the rebound-contraction while selective desensitization of $P_{2Y}-purinoceptor$ with ${\alpha},{\beta}-MeATP$ did not affect it. ATP and 2-MeSATP induced smooth muscle contraction, which was effectively blocked by RB-2 and suramin, a nonselective $P_2-purinoceptor$ antagonist. Particularly, in the presence of RB-2, exogenous ATP and 2-MeSATP inhibited spontaneous phasic contractions, suggesting the existence of different populations of purinoceptors. Both the rebound-contraction and the agonist-induced contraction were not inhibited by indomethacin. The rank orders of agonists' potency were 2-MeSATP > ATP ${ge}$ UTP for contraction and ${\alpha},{\beta}-MeATP\;{\ge}\;{\beta},{\gamma}-MeATP$ for inhibition of the phasic contraction, that accord with the commonly accepted rank order of the classical $P_{2Y}-purinoceptor$ subtypes. Electrical activities of smooth muscles were only slightly influenced by ATP and 2-MeSATP, whereas ${\alpha},{\beta}-MeATP$ attenuated slow waves with membrane hyperpolarization. From the above results, it is suggested that ATP acts as an excitatory neurotransmitter, which mediates the rebound-contraction via $P_{2Y}-purinoceptor$ in guinea-pig gastric antrum.

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Activation of Lysophosphatidic Acid Receptor Is Coupled to Enhancement of $Ca^{2+}$ -Activated Potassium Channel Currents

  • Choi, Sun-Hye;Lee, Byung-Hwan;Kim, Hyeon-Joong;Hwang, Sung-Hee;Lee, Sang-Mok;Nah, Seung-Yeol
    • The Korean Journal of Physiology and Pharmacology
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    • v.17 no.3
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    • pp.223-228
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    • 2013
  • The calcium-activated $K^+$ ($BK_{Ca}$) channel is one of the potassium-selective ion channels that are present in the nervous and vascular systems. $Ca^{2+}$ is the main regulator of $BK_{Ca}$ channel activation. The $BK_{Ca}$ channel contains two high affinity $Ca^{2+}$ binding sites, namely, regulators of $K^+$ conductance, RCK1 and the $Ca^{2+}$ bowl. Lysophosphatidic acid (LPA, 1-radyl-2-hydroxy-sn-glycero-3-phosphate) is one of the neurolipids. LPA affects diverse cellular functions on many cell types through G protein-coupled LPA receptor subtypes. The activation of LPA receptors induces transient elevation of intracellular $Ca^{2+}$ levels through diverse G proteins such as $G{\alpha}_{q/11}$, $G{\alpha}_i$, $G{\alpha}_{12/13}$, and $G{\alpha}s$ and the related signal transduction pathway. In the present study, we examined LPA effects on $BK_{Ca}$ channel activity expressed in Xenopus oocytes, which are known to endogenously express the LPA receptor. Treatment with LPA induced a large outward current in a reversible and concentration-dependent manner. However, repeated treatment with LPA induced a rapid desensitization, and the LPA receptor antagonist Ki16425 blocked LPA action. LPA-mediated $BK_{Ca}$ channel activation was also attenuated by the PLC inhibitor U-73122, $IP_3$ inhibitor 2-APB, $Ca^{2+}$ chelator BAPTA, or PKC inhibitor calphostin. In addition, mutations in RCK1 and RCK2 also attenuated LPA-mediated $BK_{Ca}$ channel activation. The present study indicates that LPA-mediated activation of the $BK_{Ca}$ channel is achieved through the PLC, $IP_3$, $Ca^{2+}$, and PKC pathway and that LPA-mediated activation of the $BK_{Ca}$ channel could be one of the biological effects of LPA in the nervous and vascular systems.

Psychosocial Interventions for Children and Adolescents after a Disaster: A Systematic Literature Review (1991-2015) (재난 후 소아청소년의 정신사회적 개입: 체계적 문헌고찰(1991~2015))

  • Lee, Mi-Sun;Hwang, Jun-Won;Lee, Cheol-Soon;Kim, Ji-Youn;Lee, Ju-Hyun;Kim, Eunji;Chang, Hyoung Yoon;Bae, Seung-Min;Park, Jang-Ho;Bhang, Soo-Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.4
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    • pp.278-305
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    • 2016
  • Objective: The aim of this systematic literature review is to analyze the psychosocial interventions for children and adolescents after disasters. Methods: We conducted a review of the extant research literature from 1991 to 2015 via a comprehensive search of the MEDLINE, EMBASE, Cochrane CENTRAL, PubMed and PsyclNFO databases. The keywords employed in this research included: 'child', 'adolescent', 'youth', 'disaster', 'posttraumatic', 'psychosocial', 'therapy' and 'intervention'. The researchers followed the PRISMA guidelines. A total of 850 articles were screened for their eligibility and fifty-nine were found to meet the study criteria. The final data analysis was performed based on the disaster type, study design, type of intervention, sample size, age, school grade, number of sessions, setting of intervention delivery, providers, approach and parent involvement. Results: Countries worldwide have experienced various kinds of disasters, including earthquakes, hurricanes, vessel accidents, tornados, tsunamis, volcanic eruptions, war, fire, terrorism, and traffic accidents. The types of psychosocial intervention that were conducted after these disasters included: psychological first aid, psychological debriefing, psychoeducation, trauma focused cognitive behavior therapy, eye movement desensitization reprocessing, prolonged exposure therapy, group play therapy and arts therapy, project interventions, school-based interventions and web-based interventions. Conclusion: The findings of the systematic literature review suggest that an appropriate psychosocial intervention could be utilized as evidence-based mental health treatment for children and adolescents after disasters.

CHANGES IN INTRADENTAL NERVE ACTIVITY AND OCCLUDING ASPECTS OF DENTINAL TUBULES BY CHEMICAL DESENSITIZING AGENTS APPLIED TO THE CAT DENTIN (고양이에서 상아질과민증 탈감작제에 의한 치수신경 활동성 변화 및 상아세관 폐쇄양상에 대한 연구)

  • Oh, Won-Mann;Son, Ho-Hyun
    • Restorative Dentistry and Endodontics
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    • v.20 no.2
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    • pp.508-526
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    • 1995
  • This experiment was performed to study mechanisms of desensitization by chemical desensitizing agents in hypersensitive dentin and compare effects of these agents by measuring the activity of intradental nerves and observing their occluding aspects on dentinal tubules with SEM over time after application of chemical desensitizing agents to the exposed dentinal surfaces. Canines of adult cats weighing 2-3 kg were cross-sectioned at 1.5 mm from incisal apex, and the smear layer of the exposed dentinal susface was removed by 32 % $H_3PO_4$ for 15 sec. Chemical desensitizing agents such as 10% $SrCl_2$, 5% $KNO_3$ and 30% $K_2C_2O_4$, were applied to the exposed dentin surfaces for 2 minutes. Intradental nerve activity was measured immediately after application of the agents, at 15 minutes and at 30 minutes by stimulating with 4M NaCl. To compare occluding ability of desensitizing agents on dentinal tubules in vivo and in vitro, the structures of the exposed dentinal surfaces of nonvital and vital teeth were morphologically observed by SEM. The results obtained were as follows : 1. Intradental nerve activity was decreased immediately after the application of 10 % $SrCl_2$, 5% $KNO_3$ and 30% $K_2C_2O_4$. (p<0.01), among which 30% $K_2C_2O_4$. showed the highest desensitizing effect(p<0.01). 2. The immediately decreased intradental nerve activity after application of 10 % $SrCl_2$ and 5% $KNO_3$ was increased over time. 10% $SrCl_2$ and 5% $KNO_3$ showed no desensitizing effect respectively at 30 minutes and at 15 minutes after application. 3. The immediately decreased intradental nerve activity after application of 30 % $K_2C_2O_4$ was persistently continued during the period of observation (p<0.01). 4. Precipitates of $SrCl_2$ and $KNO_3$ were not noted on the exposed dentinal surfaces and within dentinal tubules by SEM examination. On the other hand, 30 % $K_2C_2O_4$ produced precipitates on the exposed dentinal surfaces and openings of dentinal tubules without any formed preciptates within dentinal tubules. 5. Ten percent $SrCl_2$, 5 % $KNO_3$ and 30 % $K_2C_2O_4$ showed no differences in their occluding aspects on dentinal tubules either in vivo or in vitro studies and either immediately following application or at 30 minutes. These results suggest that the desensitizing effect of $SrCl_2$ and $KNO_3$ is resulted from their reducing effect on the intradental nerve activity rather than from their precipitates' occluding the dentinal tubules. However, desensitizing effect of 30 % $K_2C_2O_4$, is probably resulted from its precipitates' occluding the openings of the dentinal tubules as well as from it's reducing effect on the intradental nerve actibity.

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Cardiac physiologic regulation of sub-type specific adrenergic receptors in transgenic mice overexpressing β1- and β2-adrenergic receptors.

  • Kim, Ka Eul;Tae, Hyun-Jin;Natalia, Petrashevskaya;Lee, Jae-Chul;Ahn, Ji Hyeon;Park, Joon Ha;Kim, In Hye;Ohk, Taek Geun;Park, Chan Woo;Cho, Jun Hwi;Won, Moo-Ho
    • Clinical and Experimental Emergency Medicine
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    • v.3 no.3
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    • pp.175-180
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    • 2016
  • Objective Combination of ${\beta}_1-adrenergic$ receptor (AR) blockade and ${\beta}_2-AR$ activation might be a potential novel therapy for treating heart failure. However, use of ${\beta}-AR$ agonists and/or antagonists in the clinical setting is controversial because of the lack of information on cardiac inotropic or chronotropic regulation by AR signaling. Methods In this study, we performed hemodynamic evaluation by examining force frequency response (FFR), Frank-Starling relationship, and response to a non-selective ${\beta}-AR$ agonist (isoproterenol) in hearts isolated from 6-month-old transgenic (TG) mice overexpressing ${\beta}_1-$ and ${\beta}_2-ARs$ (${\beta}_1-$ and ${\beta}_2-AR$ TG mice, respectively). Results Cardiac physiologic consequences of ${\beta}_1-$ and ${\beta}_2-AR$ overexpression resulted in similar maximal response to isoproterenol and faster temporary decline of positive inotropic response in ${\beta}_2-AR$ TG mice. ${\beta}_1-AR$ TG mice showed a pronounced negative limb of FFR, whereas ${\beta}_2-AR$ TG mice showed high stimulation frequencies with low contractile depression during FFR. In contrast, Frank-Starling relationship was equally enhanced in both ${\beta}_1-$ and ${\beta}_2-AR$ TG mice. Conclusion Hemodynamic evaluation performed in the present showed a difference in ${\beta}_1-$ and ${\beta}_2-AR$ signaling, which may be due to the difference in the desensitization of ${\beta}_1-$ and ${\beta}_2-ARs$.

The Effect of Exposure to Misogynistic Words on Explicit and Implicit Attitudes toward Women (여성혐오 단어에 대한 노출이 명시적, 암묵적 여성혐오 태도에 미치는 영향)

  • Kim, Min Young;Park, Joowon;Heo, Sumin;Kwon, Ji Hye
    • Korean Journal of Culture and Social Issue
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    • v.26 no.3
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    • pp.283-301
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    • 2020
  • In Korean society, words related to misogyny are being created and spread out in the Internet communities and the Internet news posts comments. This study was conducted to investigate if exposure to misogynistic words affects misogynistic attitudes toward women. Study 1 examined the relationship between exposure of misogynistic words (the number of misogynistic words known and the level of Internet comments viewed) and explicit misogynistic attitudes. As a result, the greater the exposure of misogynistic words, the less explicit misogynistic attitudes were found among men. The result can be explained as a desensitization of stimuli caused by repetitive exposure to media. In Study 2, experiments were conducted to manipulate the exposure of misogynistic words and to identify the relationship between implicit misogynistic attitudes through implicit association tests. Results of analysis show that implicit misogyny attitude is stronger as male participants are exposed to misogynistic words. The finding of this study suggests that explicit and implicit attitudes toward misogyny can diverge. It also implies that the exposure to misogynistic words can affect men's and women's attitudes in a different manner.