• Title/Summary/Keyword: Reflex

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Cardiovascular Responses over the Time Course during Muscle Group III Stimulation in Prehypertensive Individuals (고혈압 전단계자들에 대한 골격근 Group III 자극 시 시간에 따른 심혈관 반응)

  • Park, Won-Il;Park, Si-Young;Choi, Hyun-Min;Lee, Joon-Hee;Jeon, Jong-Mok;Kim, Jong-Kyung;Shim, Jae-Kun;Nho, Ho-Sung
    • Journal of Life Science
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    • v.19 no.11
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    • pp.1568-1574
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    • 2009
  • The purpose of this study was to investigate whether group III muscle afferents play an important role eliciting abnormal blood pressure response mediated during passive muscle stretch in prehypertensive individuals. Eleven middle-aged prehypertensive men (average BP 133/80 mmHg) and nine middle-aged normotensive men (average BP 119/74 mmHg) participated in this study. After 1 min rest baseline data collection, the subject's foot was flexed (dorsiflexion) by an automated cybex for one minute. Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial blood pressure (MAP), heart rate, stroke volume, cardiac output, and total peripheral resistance were continuously measured on a beat-by-beat basis from a finger via a Finapres device for 1 minute. To evaluate the role of mechanoreflex, a component of exercise pressor reflex, SBP, DBP, and MAP responses over the course of time were examined. The results showed that the pressor response mediated by the muscle mechanoreflex was faster in prehypertensive individuals compared to the normotensive individuals. The substantial pressor response was observed within mean 20 sec of the onset of passive stretch in prehypertension, while mean 45 sec in normotension (p<0.05). It is concluded that excessive pressor response produced during exercise in prehypertension may be due to the dysfunction of the mechano-receptors.

A Kinematic Analysis of the Defence Types during Body Lock Technique in the Ground Wrestling (그라운드 레슬링 가로들기 공격 시 수비 유형의 운동학적 분석)

  • Hah, Chong-Ku;Ryu, Ji-Seon
    • Korean Journal of Applied Biomechanics
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    • v.17 no.1
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    • pp.155-164
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    • 2007
  • This study is to find out effective defensive type by analysis on differences among three different defence types of the body lock technique in the ground wrestling. The subjects are 5 athletes who are in 60kg weight class. To get the kinematic analysis seven ProReflex MCU-240(Motion Capture Unit), infrared rays cameras, which was produced by Qualisys, were used to get a two-dimensional coordinate. Following are the analysis result from kinematic factors such as time element, speed element and angular element. 1. During position of ground wrestling, the average necessary time until defender's hip joint touches the mat for Phase1 was $0.34{\pm}0.14sec$ at side position was the shortest space of time out of three types, and Phase2 was $0.21{\pm}0.02sec$ at front position was the shortest space of time out of three types. Moreover, side defence position was the shortest for total average necessary time with $0.78{\pm}0.05sec$. 2. The movement change for hip joint was $57.21{\pm}20.17cm$ for front, $43.35{\pm}7.13cm$ for rear, and $18.67{\pm}10.24cm$ for side at Phase1 and $42.08{\pm}17.56cm$ for side, $16.61{\pm}6.34cm$ for front, and $1.48{\pm}1.29cm$ for rear at Phase2. 3. Movement speed of hip joint at defensive type were most effective in success and fail rate at Phase 1 and its frontal average speed was fastest with $1.01{\pm}0.23m/s$ following by $0.52{\pm}0.15m/s$ for side, and $0.62{\pm}0.15m/s$ for rear. The average for total change of speed is $0.79{\pm}0.32m/s$ for front, $0.78{\pm}0.17m/s$ for side, and $0.49{\pm}0.08m/s$ for rear. 4. The joint angle gets smaller in a order by rear, front, and side for the size of hip joint angle and knee angle for different defensive type. 5. As a result of one-way ANOVA on linear velocity for hip joint in frontal defence(phase1) was significance ($\alpha$=.05), but phase 2 was not significance. Synthetically, analyzing on differences among three different defence types which were front, rear, and side of the body lock technique in the ground wrestling, front defensive type was the most effective. In future, there should be more studies regarding on defence at not a laboratory study but a field study to help out wrestler to pertinent techniques to improve the game of wrestling.

Clinical Efficacy of Transdermal Clonidine (St 155 BS) for Anesthetic Management in Hypertensive Patients (고혈압 환자 마취시 Transdermal Clonidine (St 155 BS)의 임상적 유용성)

  • Lee, Hyun-Hwa;Kim, Dong-Ok;Kim, Keon-Sik;Choi, Young-Kyoo;Shin, Ok-Young;Kwon, Moo-Il;Lee, Doo-Ik
    • The Korean Journal of Pain
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    • v.6 no.2
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    • pp.231-236
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    • 1993
  • Clonidine, a centrally-acting antihypertensive agent known to reduce central sympathetic outflow and modulate presynaptic transmitter's release, has shown to suppress central noradrenergic hyperactivity induced by immobilization stress in animals, by decreasing the MAC of halothane and the dose of narcotics required to prevent reflex cardiovascular response to noxious stimuli, and to have potent analgesic properties in humans. These characteristics suggest that clonidine might be a useful adjunct to the anesthetic management of patients with preexisting hypertension. Accordingly, we determined the clinical efficacy and safety on analgesia, sedation and hemodynamic stability in the perioperative period. Thirty patients(ASA physical status II-III) with a history of arterial hypertension, scheduled for elective orthopedic surgery were randomly assigned to two groups. We applied CPA-clonidine patch($6.9\;mg/cm^2$, 0.2 mg delivered daily) or placebo patch to each groups, 48 hours prior to induction of anesthesia. Antihypertensive medication was continued until the morning of the scheduled surgery. All patients received premedication of atropine and lorazepam, and induced anesthesia with thiopental and succinylcholine, and maintained with enflurane and 50% nitrous oxide, while sustaining the BP and pulse rate at acceptable range. For the relief of pain postoperatively, diclofenac and fentanyl were administered intramuscularly on demand. The results were as follows: 1) The change of hemodynamic responses in clonidine group was less compared to the placebo group. 2) Intraoperative anesthetic requirement for enflurane in clonidine group were significantly lower than placebo group. 3) Postoperative analgetic requirement in clonidine group were significantly lower than placebo group. In clonidine group, 5 cases out of 15 cases were required no analgetics, and the incidence of administration of additional fentanyl was decreased to 5 cases, comparing with 10 cases in placebo group.

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Impulse Trafficking in Neurons of the Mesencephalic Trigeminal Nucleus

  • Saito, Mitsuru;Kang, Young-Nam
    • International Journal of Oral Biology
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    • v.31 no.4
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    • pp.113-118
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    • 2006
  • In the primary sensory neuron of the mesencephalic trigeminal nucleus (MTN), the peripheral axon supplies a large number of annulospiral endings surrounding intrafusal fibers encapsulated in single muscle spindles while the central axon sends only a few number of synapses onto single ${\alpha}-motoneurons({\alpha}-MNs)$. Therefore, the ${\alpha}-{\gamma}$ linkage is thought to be very crucial in the jaw-closing movement. Spike activity in a ${\gamma}-motoneuron\;({\gamma}-MN)$ would induce a large number of impulses in single peripheral axons by activating many intrafusal fibers simultaneously, subsequently causing an activation of ${\alpha}-MNs$ in spite of the small number of synapses. Thus, the activity of ${\gamma}-MNs$ may be vital for modulation of jaw-closing movements. Independently of such a spindle activity modulated by ${\gamma}-MNs$, somatic depolarization in MTN neurons is known to trigger the oscillatory spike activity. Nevertheless, the trafficking of these spikes arising from the two distinct sources of MTN neurons is not well understood. In this short review, switching among multiple functional modes of MTN neurons is discussed. Subsequently, it will be discussed which mode can support the ${\alpha}-{\gamma}$ linkage. In our most recent study, simultaneous patch-clamp recordings from the soma and axon hillock revealed a spike-back-propagation from the spike-initiation site in the stem axon to the soma in response to a somatic current pulse. The persistent $Na^+$ current was found to be responsible for the spike-initiation in the stem axon, the activation threshold of which was lower than those of soma spikes. Somatic inputs or impulses arising from the sensory ending, whichever trigger spikes in the stem axon first, would be forwarded through the central axon to the target synapse. We also demonstrated that at hyperpolarized membrane potentials, 4-AP-sensitive $K^+$ current ($IK_{4-AP}$) exerts two opposing effects on spikes depending on their origins; the suppression of spike initiation by increasing the apparent electrotonic distance between the soma and the spike-initiation site, and the facilitation of axonal spike invasion at higher frequencies by decreasing the spike duration and the refractory period. Through this mechanism, the spindle activity caused by ${\gamma}-MNs$ would be safely forwarded to ${\alpha}-MNs$. Thus, soma spikes shaped differentially by this $IK_{4-AP}$ depending on their origins would reflect which one of the two inputs was forwarded to the target synapses.

THE TOPICAL ANESTHESIA WITH EMLA CREAM IN CHILDREN : A CASE REPORT (소아에서 EMLA cream을 이용한 도포마취 : 증례보고)

  • Kim, He-Jin;Ko, Sung-Back;Hong, Seong-Soo;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.1
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    • pp.69-75
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    • 2002
  • A number of techniques may be employed to reduce the discomfort of syringe or needle for dental care. The use of topical anesthesia is one such method. Topical anesthetics are applied to alleviate pain during many clinical procedures, such as injection of local infiltration anesthetics, primary tooth extraction, X-ray taking of sensitive patients, reducing gag reflex prior to impression taking. In children, placement of a rubber dam clamp, however, may cause significant discomfort for purpose of pit and fissure sealant and preventive resin restoration(PRR). A topical anesthetic would be beneficial to aid in rubber dam placement for this purpose. It has been suggested that all intra-oral topical anesthetics are equally effective on reflected mucosa, however EMLA(an acronym for eutectic mixture of local anesthetics), which was developed in the 1980s and produces surface anesthesia of skin, has been shown to be more effective than conventional topical anesthetics when used on attached gingivae. This report is topical anesthesized 4 case by EMLA cream, who showed better effect in reducing the pain of infiltration anesthesia, extraction of deciduous teeth, rubber dam clamp placement and reducing the pain of preformed crown adaptation.

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Study on maintaining healthy body and changes of human body by circadian rhythm (인체(人體)의 일주리듬에 따른 변화(變化)와 건강법(健康法)에 관한 연구(硏究))

  • Jeong, Sang Jee;Kang, Jung Soo
    • Journal of Haehwa Medicine
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    • v.12 no.1
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    • pp.103-121
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    • 2003
  • Human being can't live without nature, then the changes of nature affect human body. It means that human body has corresponding changes to the KI(vital energy) of nature. There is a stream of changes in human body which circulate mysteriously and punctually by the laws of nature. If this stream of changes fits into human's life style, it would be most effective. It has a certain mode continuously. So if a person has a habit fitting into it, he will get the healthiest body. Then the researcher tries to explain the changes in human body by the time, mainly focused on within 24 hours. it is showing not only the oriental view, but also the western's. The researcher can find the coincidence as followings. At In-Si(3-5 am), the body function and the body temperature get to the bottom, therefore it's good for him to wake up and to run the vital energy. At Sa-Si(9-11 am), the patience on pain anxiety and the psychic concentration get to the top, he'd better start the work. At O-Si(11am-1pm), the heart energy has a vital move, then the blood concentration of Hb(hemoglobin) gets to the top. At Mi-Si(1-3 pm), the muscle strength, the squeeze, and the breathing rate increase. The reflex nerve sensitivity gets to the top. Creativity, observation, and working efficiency go high, so it's time to work hard. At Hae-Si(9pm-1am), the body function falls, sleeping is needed. At Chuck-Si(1-3 am), the cell spontaneity gets to the top, immune lymphocyte moves actively, and the blood concentration of growth hormone gets to the top. These are liver's work. In west, there has been active studies on how to reduce the side effect by using a person's bio-rhythm based on the 'time treatment', and how to reorganize the bio-rhythm by using the machine and the age resistance based on the 'bio-watch'. Though the 'time treatment' means something, the artificial resistance on bio-rhythm seems to give bad effects to human body. If a person lives by regimen of oriental medicine, he will maintain the healthiest body. Regimen is that human body follows the laws of nature, and moves its mysterious, Punctual and periodical changes.

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Development and Evaluation of an Indirect Illumination for Tongue Image Acquisition (설 영상 획득을 위한 간접 조명 구현 및 평가)

  • Jung, Chang Jin;Kim, Keun Ho;Jang, Jun-Su;Jeon, Young Ju
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.11
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    • pp.221-228
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    • 2014
  • The color and shape of the tongue reflect the physiological and clinico-pathological condition of the body. Recently, various tongue image acquisition devices have been developed for accurate diagnosis based on quantitative and objective tongue features. Since a color information is essential for tongue diagnosis, the performance of an illuminator is very important for the tongue image acquisition device. In this study, we developed an indirect illumination, which is possible to improve a homogeneity of light intensities on the tongue surface, and evaluated its performances. In order to realize the indirect illumination (II), a semi-ellipsoidal solid structure (SESS) for the light reflex was located in the system, and two high-brightness white LEDs were placed for illuminating the areas under frontal camera in the SESS. The tongue surface was illuminated by reflected light from the SESS. The light homogeneity induced by three different illuminations including the II was evaluated by calculating coefficient of variation (CV) of illuminance of five regions. The II showed less than 0.01 of CV and the direct illumination (DI) and the direct illumination with a light diffusion plate (DILDP) showed 0.16 and 0.13, respectively. The reflexed pixel ratios of tongue phantom images show 5.76%, 4.22%, 1.79% for the DI, the DILDP and the II, respectively. The homogeneity of a tongue phantom was evaluated by calculating CV of mean pixel values of six different tongue regions, and showed less than 0.06 in the II. If the II technique apply to tongue diagnosis system, it is expected to improve diagnostic accuracy in clinic.

Localization of the Neurons Projecting to the Gallbladder Meridian (족소양담경(足少陽膽經)에서 투사(投射)되는 신경원(神經元)의 표지부위(標識部位)에 대한 연구(硏究))

  • Ryuk Sang-Won;Lee Kwang-Gyu;Lee Sang-Ryoung;Kim Jum-Young;Lee Chang-Hyun;Lee Bong-Hee
    • Korean Journal of Acupuncture
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    • v.17 no.1
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    • pp.101-121
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    • 2000
  • The purpose of this morphological studies was to investigate the relation to the meridian, acupoint and nerve. The common locations of the spinal cord and brain projecting to the the gallbladder, GB34 and common peroneal nerve were observed following injection of transsynaptic neurotropic virus, pseudorabies virus(PRV), into the gallbladder, GB34 and common peroneal nerve of the rabbit. After survival times of 96 hours following injection of PRV, the thirty rabbits were perfused, and their spinal cord and brain were frozen sectioned($30{\mu}m$). These sections were stained by PRV immunohistochemical staining method, and observed with light microscope. The results were as follows: 1. In spinal cord, PRV labeled neurons projecting to the gallbladder, GB34 and common peroneal nerve were founded in thoracic, lumbar and sacral spinal segments. Densely labeled areas of each spinal cord segment were founded in lamina V, VII, X, intermediolateral nucleus and dorsal nucleus. 2. In medulla oblongata, The PRV labeled neurons projecting to the gallbladder, GB34 and common peroneal nerve were founded in the A1 noradrenalin cells/C1 adrenalin cells/caudoventrolateral reticular nucleus, rostroventrolateral reticular nucleus, medullary reticular nucleus, dorsal motor nucleus of vagus nerve, nucleus tractus solitarius, raphe obscurus nucleus, raphe pallidus nucleus, raphe magnus nucleus, gigantocellular nucleus, lateral paragigantocellular nucleus, principal sensory trigeminal nucleus and spinal trigeminal nucleus. 3. In Pons, PRV labeled neurons were parabrachial nucleus, Kolliker-Fuse nucleus and cochlear nucleus. 4. In midbrain, PRV labeled neurons were founded in central gray matter and substantia nigra. 5. In diencephalon, PRV labeled neurons were founded in lateral hypothalamic nucleus, suprachiasmatic nucleus and paraventricular hypothalamic nucleus. 6. In cerebral cortex, PRV labeled neuron were founded in hind limb area.This results suggest that PRV labeled common areas of the spinal cord projecting to the gallbladder, GB34 and common peroneal nerve may be first-order neurons related to the somatic sensory, viscero-somatic sensory and symapathetic preganglionic neurons, and PRV labeled common area of the brain may be first, second and third-order neurons response to the movement of smooth muscle in gallbladder and blood vessels.These PRV labeled neurons may be central autonomic center related to the integration and modulation of reflex control linked to the sensory system monitoring the internal environment, including both visceral sensation and various chemical and physical qualities of the bloodstream. The present morphological results provide that gallbladder meridian and acupoint may be related to the central autonomic pathways.

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A Study on the Validity of Refuting Literature about the Bonghan theory (봉한학설에 대한 반박문헌의 타당성에 관한 고찰)

  • Lee, Sang-Hun;Zhang, Wenji;Soh, Kwang-Sup;Lee, Byung-Chun;Sung, Baek-Kyung;Ryu, Yeon-Hee
    • Korean Journal of Acupuncture
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    • v.27 no.3
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    • pp.129-142
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    • 2010
  • Background : The Bonghan theory is a hypothesis on the anatomical structure of the acupuncture point and meridian system. It has been regarded as a misunderstanding of the lymphatic system, or as a made-up story, for the past 40 years. Since 2002, Many studies have been published either to support the theory or to refute the old viewpoint. Objective : The purpose of this study was to find out the validity of the refutation by reviewing the publications. Methods : Searches were made from online databases (Riss4u.net, Google.com, Sciencedirect.com, Pubmed.com, baidu.com, and ci.nii.ac.jp) from 1960 to 2009. The search terms that were used were "Bonghan," "Bong han," "봉한," "thread-like structure," "KИM БOH XaHOM", "CИCTEMA KEHPAK," "鳳漢," "鳳漢管," and "鳳漢学說." References from the searched publications were also used. Results : Since the 1960s, 107 publications were identified as related works, but only 11 publications sought to refute the Bonghan theory. Two publications were researches, and nine were reviews. In the analysis of the correlation of the arguments with the publication contents, it was found that the research of G. Kellner reviewed the Bonghan system properly but that V. V. Kosmatov did not classify the ear-reflex zone as a traditional acupuncture point. For the review publications, only two reviews contained proper arguments, but seven publications were identified as broad interpretations, wrong translations, etc. Moreover, the two proper reviews were grounded on the research of G. Kellner. Conclusions : We found that the scientific origin of the refutation of the Bonghan theory is only one research by G. Kellner. This result suggest that Bonghan theory was not discussed enough to determine the invention.

Local Citizenry Consciousness Survey of 『Campaign for Shaping Mokpo into Beautiful Seaport』 1. Urban Environment and Citizenry Cultural Consciousness (미항목포가꾸기에 관한 지역시민의식 조사 1. 도시환경과 문화의식)

  • Kim Kwang Soo
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.7 no.2
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    • pp.89-97
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    • 2004
  • Recently, Namak New Town is under construction adjacent to Mokpo City, and New Great Harbour Bridge between Mokpo City and Koha Island is designed to be built across Inner Harbour of Mokpo. Citizens' concerns about and participations in 「Campaign for Shaping Mokpo into Beautiful Seaport」 are required to make up the sight of Mokpo harbour beautifully. The of 「Master Plan for the Development of Beautiful Mokpo Seaport」 was reviewed. Citizens' levels of consciousness of and participation in 「Campaign for Shaping Mokpo into Beautiful Seaport」 were ascertained through questionnaire surveys of citizenry opinions, and prerequisites and requirements for the success of 「Master Plan for the Development of Beautiful Mokpo Seaport」 were suggested on the basis of the results of questionnaire surveys. As most of citizens are not satisfied with the existing urban environment in Mokpo City, the urban environment and the view of Mokpo are required to be made up according to the natural, social and environmental characteristics of Mokpo and its adjacent Islands in coastal waters. In order to cultivate citizens' basic cultural consciousness and sense of public kindness, cleanliness and orderliness, various educational programs are required to be developed and executed. Only when local government of Mokpo City collects the public opinions and continues to shape Mokpo into international beautiful seaport in the direction of a reflex of public opinion, Mokpo harbour can be made up into international beautiful seaport successfully with citizens' positive participation in citizenry practicable action plan.

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