• 한국자연치유학회지
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• 제7권2호
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• pp.39-46
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• 2018

교래자연휴양림을 탐방한 대상자들이 삼림욕을 한 후에 자율신경의 활성도에 미치는 영향을 평가하는 것이 목적이었다. 방법: 삼림욕 전후에 유비맥파기를 이용하여 맥파를 측정하였다. 결과: 삼림욕 후에 교감신경 활성(LF)의 변화에서는 대조군의 사전과 사후의 평균치 차이는 유의성이 없었으나, 실험군에서는 사전보다 사후에는 증가하여 유의성이 있었으며(p<.038), 분산분석에서는 그룹간(p<.014), 전후 차( p<.026) 및 그룹과 전후 차에서도 유의하였다(p<.018). 부교감신경 활성도(HF)의 변화에서는 대조군과 실험군 간에 모두 유의성이 없었다. LF/HF 비율에서는 실험군에서는 사전보다 사후에 증가하여 유의성이 있었고(p<.019), 그리고 분산분석에서는 그룹간, 사전 및 사후 차간에서도 유의성이 있었다(p<.04). 평균맥박의 변화에서는 대조군은 사전보다 사후에 유의성이 없이 감소하였으나, 실험군에서는 사전보다 사후에 증가하여 유의성이 있었다(p<.026). 맥박표준편차(SDNN)의 변화에서는 대조군 및 실험군의 사전보다 사후의 평균치는 감소하였으나 유의성이 없었으나, 분산분석에서는 그룹간에서는 유의성이 있었다(p <.014). 심박변이평균편차(RMSSD)의 변화에서는 대조군 및 실험군의 사전과 사후의 평균치 차이는 유의성이 없었다. 결론: 교래곶자왈 숲 삼림욕 후에는 자율신경의 활성이 변화되고 평균맥박도 높아져서 자연치유의 장소로 유용하다고 판단한다.

• 정신신체의학
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• 제12권1호
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• pp.3-14
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• 2004

신경심장학의 발전으로 중추신경 활성이 심장의 전기적 활동도에 미치는 영향이 밝혀지고 있고, 심박동수변이(Heart rate variability, HRV)가 정신적 스트레스와 심혈관질환의 기계적 연관성을 나타내는 중요한 지표로 제기되고 있다. HRV란 자율신경계의 정상적 상호작용에 의해 나타나는 생리적인 심박수 변동을 타나내며, 자율신경 기능을 정량화하여 측정할 수 있는 방법론이다. 분석 방법은 시간 영역 분석과 주파수 영역 분석으로 나눌 수 있으며, 측정 시간대에 따라 단기간 측정과 24시간 측정 등의 방법이 확립되어 있다. 임상적으로는 변이 정도, 교감신경과 부교감신경의 활성과 균형도를 파악하여 다양한 질환과 스트레스 등의 진단과 치료 및 예후 판정에 활용되고 있다. HRV를 이용한 바이오피드백도 최근 자율신경 관련 질환의 치료에 활용되고 있다. 향후 다양한 프로토콜의 개발과 임상적 적용이 필요할 것으로 보인다.

• 한방재활의학과학회지
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• 제31권2호
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• pp.81-97
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• 2021

Objectives This study was designed to identify the changes of autonomic nervous system (ANS) which was induced by acupuncture at the field of the auricular branch of the vagus nerve. Methods 30 healthy adults were selected and classified into two groups; experimental group, control group. After providing mental stress, acupuncture was applied at external ear in experimental group and no treatment executed in control group. The evaluation of ANS function was measured by heart rate variability (HRV). We statically analyzed the difference of HRV parameters which include mean heart rate (MHRT), standard deviation of all N-N intervals (SDNN), square root of the mean of the sum of the squares of differences between adjacent N-N intervals (RMSSD), total power (TP), low frequency power (LF), high frequency power (HF), LF/HF ratio. Results All subjects showed significant increase in SDNN, LF after stress stimulation (p<0.05). Immediately after intervention, MHRT was significantly decreased (p<0.001) and RMSSD, HF were significantly increased in experimental group (p<0.05). After the end of intervention, SDNN, HF, RMSSD, TP, LF were significantly increased in experimental group (p<0.01, p<0.05). And when comparing baseline HRV, SDNN, LF were significantly increased in control group (p<0.01) and SDNN, RMSSD, TP, LF were significantly increased in experimental group (p<0.05). In the subgroup analysis, normal balance of ANS group showed significant increase in TP, LF, SDNN, HF (p<0.01, p<0.05). Conclusions We suggested that acupuncture at external ear, region of the vagus nerve distribution could increase parasympathetic activity and cause changes and reregulation of the ANS.

• 생명과학회지
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• 제28권5호
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• pp.587-596
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• 2018

전 세계적으로 담배흡연자의 심혈관 위험 감소와 금연을 위한 대안으로 전자담배 이용이 급속하게 확산되고 있지만 니코틴을 포함한 잠재적 유해화합물을 함유한 전자담배의 심혈관 효과는 불분명하다. 본 연구는 전자담배 사용에 따른 심장자율신경조절 변화를 관찰하고 급성적인 교감신경흥분효과 및 부교감신경활동 저하 반응을 궐련담배 흡연과 직접 비교하려는 목적으로 수행되었다. 41명의 젊고 건강한 흡연남성들을 대상으로 자료 분석을 수행하였으며, 무작위 교차 설계에 의해 1주의 wash-out period를 적용하여 전자담배와 궐련담배 세션이 각각 실시되었다. 전자담배는 흡연 시를 포함한 흡연 후 5분까지, 궐련담배의 경우 흡연 시 및 흡연 후 최대 30분까지 교감신경활성화 및 부교감신경 감소가 관찰되었다. 두 제품 간 비교에서, 흡연 시를 포함한 흡연 후 30분 동안의 HRV 분석에서 전자담배는 궐련담배에 비해 비교적 교감신경흥분효과 및 부교감신경저하에서 적은 변화수준 및 단시간 변화를 제공하는 것으로 나타났다. 이상의 결과들은 비록 전자담배가 궐련담배에 비해 심장자율신경조절에서 상대적으로 완화된 효과를 제공한다고 할지라도 전자담배 내 니코틴 및 잠재적 위험요인들을 고려해 볼 때 급성적인 교감신경흥분작용 및 부교감신경의 저하를 야기함으로 과도한 사용에 주의가 요구된다.

• Applied Microscopy
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• 제26권2호
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• pp.137-155
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• 1996

The development of the ganglia of the trachea was studied by electron microscopy in human fetuses ranging from 40 mm to 260 mm crown rump length. At 40 mm fetus, the tracheal ganglia was observed in the submucosa of the trachea. The primitive ganglia consisted of neuroblasts, undifferentiated cells, and unmyelinated nerve fibers. At 50 mm fetus, the neuroblast and their processes in the tracheal ganglia ware ensheathed by the bodies or processes of satellite cells. The cytoplasm of the neuroblast contained rough endoplasmic reticulum, mitochondria, Golgi complex, and ribosomes. At 70 mm fetus, cholinergic and adrenergic axon terminals were observed. Cholinergic axon terminals with agranular vesicles were abundant in the tracheal ganglia with increasing age. During next prenatal stage from 100 mm fetus, the ganglion cells and its processes were completely covered by a thin processes of the satellite cells. Unmyelinated nerve fibers were also completely ensheathed by processes of Schwann cell. Synaptic contacts between the cholinergic axon and dendrite of ganglion cells and a few dendrodendritic synapses were first observed at 100 mm fetus. The granule-containing cells were first identified in the tracheal ganglia at 200 mm fetus. These findings indicate that tracheal ganglia of human fetus resembles other parasympathetic and sympathetic ganglia, but not the enteric ganglia.

• Annals of Clinical Neurophysiology
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• 제3권1호
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• pp.43-46
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• 2001

Acute pandysautonomic neuropathy(APN) is an uncommon clinical entitiy involving vasomotor, sudomotor, pupilomotor, secretomotor and other autonomic systems. Both sympathetic or parasympathetic fibers are involved with relative preservation of somatic sensory and motor function. Although APN shares several clinical features with GBS, it is not clear whether APN is a subvariety of GBS. We report two young patients with APN. Patient 1 was a 18-year-old girl with recurrent fainting spells. Patient 2 was a 23-year-old man sufferring from unexplained nausea and vomiting. Both had a history of previous upper respiratory infection. They presented with gastroparesis, anhydrosis and orthostatic hypotension. Mild numbness and tingling sense was present, but motor power was intact. Neurologic examination showed bilateral tonic pupil, decreased pain and vibration sense, and absent tendon reflexes. Nerve conduction study indicated diffuse sensorimotor polyneuropathy. Nerve biopsy in patient 2 revealed axonal degeneration. After conservative management, gastrointestinal symptoms were improved in patient 2, however, patient 1 suffered from the symptoms lasting more than several months. These cases suggest that post-infectious dysautonomic symptoms in young patient may indicate the diagnosis of APN. Although the natural course is generally benign, accurate diagnosis and proper management may be mandatory for the better clinical outcome.

• 대한한방소아과학회지
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• 제27권3호
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• pp.1-11
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• 2013

Objectives The purpose of this study is to evaluate the characteristics of autonomic nervous system in heart-weakened children via analyzing heart rate variability (HRV) compare to healthy children. Methods Among the children who have visited the department of pediatrics at OO oriental medicine hospital, the subjects were composed of 62 elementary school students without cardiac disorder, who have yet develop secondary sexual characteristics. Results 1. Mean HRT and SDNN of the heart-weakened group of children were lower than the healthy group, but with no statistical significance. 2. Heart-weakened children had higher LF norm and LF/HF ratio, but lower HF norm than healthy children. The rest of the Frequency Domain Index have no significant differences. 3. Heart-weak score showed a positive correlation with Mean HRT and LF/HF ratio. Conclusions Heart-weakened children had an imbalance in autonomic nervous system due to increase of sympathetic nerve activity and decrease of parasympathetic nerve activity.

• 대한한의학회지
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• 제34권1호
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• pp.179-191
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• 2013

Kleine-Levin syndrome is a rare disorder characterized by recurrent episodes of hypersomnia, hyperphagia, hypersexuality and delusion and hallucination with spontaneous recovery. A 17-year-old female suddenly showed hypersomnia, severe fatigue, and compulsive hyperphagia. She was diagnosed with suspected Kleine-Levin Syndrome. The precipitating factor was an upper respiratory tract infection that the patient had undergone 2 weeks prior. Past psychiatric history included somnambulism and ADHD; her symptoms of ADHD included attention deficit, impulsiveness, hyperactivity, and irritability. This was her third episode. Her hypersomnia was longer in duration but lower in frequency compared with usual KLS. Her low LF/HF ratio in heart rate variability measurement showed high parasympathetic nerve activity. A MMPI report showed some psychological problem. The patient was diagnosed of gastric fever by pattern identification. Her hypersomnia episode improved 6 weeks after onset. This is the first reported case of suspected Kleine-Levin Syndrome in the field of Oriental Medicine in Korea.

• 대한수의학회지
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• 제34권1호
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• pp.63-67
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• 1994

Berberine $(10^{-7}-10^5M)$ increased the contractility dose-dependently in isolated rabbit ileal and jejunal segments. Atropine and hemicholinium abolished this response but not mecamylamine. Berberine$(10^{-8}-10^5M)$ enhanced the transmurally-stimulated(80 V, 0.5 ms, 0.05 Hz) twitch response in the isolated guinea-pig ileal segments. Atropine and hemicholinium also abolished this response but not mecamylamine. Effect of KCI, carbachol and histamine were not affected by pretreatment with berberine$(10^{-5}M)$. The results of our study suggest that berberine increases the intestinal contractility by increasing a small amount of acetylcholine release from the postganglionic parasympathetic nerve terminal but not by a direct activation of muscarinic receptors.

• 대한한방내과학회지
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• 제29권4호
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• pp.904-912
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• 2008

Objectives : The objective of this study was to investigate the correlation between swallowing acid symptom and autonomic nerve system in dyspepsia patients. Methods : The test for heart rate variability (HRV) was done to 50 dyspepsia patients at the Department of Internal Medicine, Kang-Nam Kyung-Hee Korean Hospital. 21 among 50 patients had swallowing acid symptom and 29 didn't. We checked HRV and compared HRV index between the two groups. We also divided the patients into functional dyspepsia and organic dyspepsia groups, and then checked HRV respectively. Results were as follows : 1. In dyspepsia patients with swallowing acid, LF/HF ratio was higher than the dyspepsia patients without swallowing acid but the result was not statistically significant. 2. TP, LF, VLF, and LF/HF ratio was higher in the functional dyspepsia group than in the organic dyspepsia group. Average age in the organic dyspepsia group was significantly higher than in the other group. Both results showed statistically significant difference. 3. In the functional dyspepsia group, LF/HF ratio was significantly higher in patients with swallowing acid symptom than those without. However, in eructation and nausea symptoms, HRV index was not statistically significant. Conclusion : This study shows the ratio of sympathetic and parasympathetic nerve system increased in the swallowing acid patient group compared with the non-swallowing acid patient group in functional dyspepsia patients.