• Title/Summary/Keyword: autonomic

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A Case Report on the Use of Heart Rate Variability and the Treatment Effect of Bunshimgi-eum on Autonomic Dysfunction After Cerebral Infarction (뇌경색 후 발생한 자율신경 장애에 대해 심박변이도로 살펴본 분심기음의 효과 증례보고 1례)

  • Jun-seok Kim;Ji-hyeon Kang;Seo-hyun Kim;Chae-eun Kim;Na-yeon Kim;Woo-seok Jang
    • The Journal of Internal Korean Medicine
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    • v.44 no.1
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    • pp.66-76
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    • 2023
  • Background: The aim of this study is to investigate the use of heart rate variability on a stroke patient with autonomic dysfunction and the effectiveness of Bunshimgi-eum. Case report: The patient showed autonomic dysfunction, including chest discomfort, 煩燥 (sweating, anxiety, insomnia, nausea, lightheadedness), and abdomen discomfort (dyspepsia, heartburn) after ischemic stroke. She was treated with a herbal medicine (Bunshimgi-eum) through complex Korean medicine treatment. The effect was evaluated using heart rate variability (HRV), Mini-Mental State Examination-DS (MMSE-DS), mean pulse rate, and subjective percentage of symptoms. After treatment, the HRV score, MMSE-DS score, and subjective percentage of symptoms improved, and the pulse rate decreased from the upper boundary value. Discussion: The results suggest that HRV may be useful in evaluating stroke patients with autonomic dysfunction and that Bunshimgi-eum is suitable for treatment.

Effects of an Aromatherapy Education Program on Stress, Self-efficacy, and Autonomic Nervous System Function of Female College Students Preparing for Employment (아로마테라피 교육 프로그램이 취업준비 여대생의 스트레스와 자기효능감 및 자율신경계에 미치는 영향)

  • Eun-Joo Lee;Eun-Jin Lim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.3
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    • pp.11-23
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    • 2023
  • Purpose : The stress of job-seeking college students is gradually worsening due to the continuing recession in the job market. Therefore, this study aims to verify whether intervention with an 'aromatherapy education program,' which combines theory and practice, has greater effect on stress, self-efficacy, and autonomic nervous system function than simple inhalation of essential oils in female college students preparing for employment. Methods : A single-blind, randomized controlled trial was conducted once a week for a total of 4 weeks with 29 female college students preparing for employment. Interventions included essential oil inhalation combined with an aromatherapy education program (experimental group(EG), n=14) and essential oil inhalation alone (control group(CG), n=15); measurements were taken before, immediately after, and 2 weeks after completion of the intervention. Evaluations were conducted using the job-seeking stress scale, stress VAS, self-efficacy scale, and a pulse-wave measuring instrument. Results : There were significant differences between the CG and EG groups with repeated measurements of job-seeking stress (p=.003), cognitive stress (p<.001), and self-efficacy (p<.001). There was a significant interaction between group and time. There were also significant differences between the CG and EG in terms of autonomic nervous system changes stress index(p=.047), total power(p=.029), high frequency(p=.036), and low frequency/high frequency ratio(p=.049). However, there was no significant difference in low frequency between the groups. Conclusion : The aromatherapy education program was more effective in improving job-seeking stress, cognitive stress, self-efficacy, and autonomic nervous system function than simple essential oil inhalation. For the aromatherapy education program to be useful as a complementary intervention for stress management in job seekers, it will be necessary to gather additional evidence of its efficacy by conducting follow-up studies with diverse participants and expanding the numbers, and durations, of the interventions.

Testing of Autonomic Nervous System by Deep Breathing Using a Smartphone (스마트폰을 이용한 심호흡 기반 자율신경계 테스트)

  • Sangho Ha;Chang Woo Choo;Jin Myoung Seok;Jongkyu Park;Sang-Heum Park
    • KIPS Transactions on Computer and Communication Systems
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    • v.12 no.7
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    • pp.227-234
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    • 2023
  • Measuring heart rate variability by deep breathing and using this to evaluate the autonomic nervous system is a well-known method widely used in various clinical fields. In hospitals, expensive equipment is installed and managed by experts for this purpose. This paper discusses an app we developed that can easily test the autonomic nervous system by deep breathing anytime, anywhere using a smartphone, and then reviews experiments performed to verify the results. The experiments were conducted in the clinical room of the Department of Neurology at Soonchunhyang University Cheonan Hospital on eight volunteers. We tested the autonomic nervous systems of the volunteers first with an electromyography device installed in the hospital and then with the app under identical conditions. We performed a correlation analysis on the results of these two methods using the Pearson method, and this yielded a very high correlation of 0.98.

Effect of Transient Isokinetic Exercise on Cardiac Autonomic Nervous Modulation and Muscle Properties (일회성 등속성 운동이 심장 자율신경 조절 및 근속성에 미치는 영향)

  • Soo-Kyoung Park;Si-Eun Park
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.4
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    • pp.27-39
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    • 2023
  • Purpose : The aim of this study was to identify the influence of transient isokinetic exercise on cardiac autonomic modulation and muscle properties in healthy male subjects. Methods : Twenty-eight healthy males underwent isokinetic exercise of both knee joints using a Biodex systems 3 isokinetic dynamometer with an angular velocity of 60 °/sec. The changes in activity of the autonomic nervous system, as determined by heart rate variability (HRV), and in muscle properties were evaluated at three times: pre-exercise, immediately post-exercise, and 10 min post-exercise. Results : The time domain analysis of HRV revealed significant changes in the beat count and mean and minimal heart rate (HR) measured at pre-exercise, immediately post-exercise, and 10 min post-exercise (p<.001). The beat count and mean HR were markedly increased immediately post-exercise compared to pre-exercise, but then significantly decreased at 10 min post-exercise (p<.001). All parameters of the frequency domain were significantly altered by isokinetic exercise (p<.01). The low frequency/high frequency (LF/HF) ratio, as an index for the sympathovagal balance, was elevated by exercise and remained at a similarly high level at 10 min post-exercise (p<.01). The muscle properties of rectus femoris were changed as follows: Muscle tone and stiffness were significantly increased between pre-exercise and immediately post-exercise (p<.001), and between pre-exercise and at 10 min post-exercise (p<.001). Whereas, the elasticity showed no significant change. Conclusion : These results demonstrated that transient isokinetic exercise could induce changes in cardiac autonomic control and muscle properties. In particular, up-regulation of LF/HF ratio after exercise signifies thus enhanced sympathetic modulation by isokinetic exercise. Therefore, it is needed to understand the cardiovascular risks that may arise during isokinetic exercise for providing the basic evidence to establish appropriate isokinetic exercise protocols as effective rehabilitation exercises.

A Case of Multiple System Atrophy(MSA-C) Patient with Autonomic Dysfunction Improved by Korean Medicine Treatment Including DokhwalJihwang-tang Gami-bang (독활지황탕가미방을 포함한 한의치료로 자율신경장애가 호전된 MSA-C 환자에 대한 치험 1례)

  • Kyeong-Hwa Heo;Dong-Joo Kim;Hye-Min Heo;Ye-Chae Hwang;Seung-Yeon Cho;Jung-Mi Park;Chang-Nam Ko;Seong-Uk Park
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.24 no.1
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    • pp.41-54
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    • 2023
  • ■Objectives This study is to report the effectiveness of Korean medicine on the treatment for multiple system atropy(MSA-C) patient complaining of autonomic dysfunction. ■Methods The patient was treated with Korean medicine(mainly DokhwalJihwang-tang Gami-bang) for 39 days. The evaluations were performed using UMSARS(Unified Multiple System Atrophy Rating Scale), SCOPA-AUT(The Scale for Outcomes in Parkinson's disease-Autonomic), K-OGS(Korean version of the Orthostatic Grading Scale). ■Results After treatment, the UMSARS score decreased from 25 to 18, the SCOPA-AUT score decreased from 21 to 14, K-OGS score decrease from 15 to 8. ■Conclusion This case suggests that Korean medicine treatment may be effective for MSA-C patients with autonomic dysfuction.

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Gallbladder Ejection Fraction Using $^{99m}Tc$-DISIDA Scan in Diabetic Autonomic Neuropathy (당뇨병성 자율 신경병증에서 $^{99m}Tc$-DISIDA를 이용한 담낭 배출율에 관한 연구)

  • Kim, Seong-Jang;Kim, In-Ju;Kim, Yong-Ki;An, Jun-Hyup;Yoo, Seok-Dong
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.1
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    • pp.55-61
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    • 2000
  • Purpose: We performed this study to evaluate the changes of gallbladder ejection fraction (GBEF) in diabetic patients with or without autonomic neuropathy. Materials and Methods: This study included 37 diabetic patients (25 women, 12 men, mean age 51 years) and 24 normal controls (10 women, 14 men, mean age 38 years). After intravenous injection of 185 MBq of $^{99m}Tc$-DISIDA, serial anterior abdominal images were acquired before and after fatty meal. Regions of interest were applied on gallbladder and right hepatic lobe on 60 and 90 minute images to calculate GBEF. Results: GBEF was significantly reduced in diabetes with autonomic neuropathy ($43{\pm}12.3%$) and without autonomic neuropathy ($57.5{\pm}13.2%$) compared with normal controls ($68{\pm}11.6%$, p<0.05). And also, GBEF was significantly reduced in diabetes with autonomic neuropathy compared with diabetes without autonomic neuropathy (p<0.05). Fasting blood glucose level, age, sex, hemoglobin Alc, body mass index, serum lipid level were not different in these two diabetic patient groups (p>0.05). When 50.2% of GBEF was used as the criteria for diabetic autonomic neuropathy, the sensitivity and specificity were 80%, 76.5%, respectively. The area under receiver operating characteristic curve was 0.846. Conclusion: GBEF of diabetic patients with autonomic neuropathy was significantly reduced than that of diabetic patients without autonomic neuropathy.

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Self-Configuring Method for Autonomic Grid Computing (자율 그리드 컴퓨팅을 위한 자기구성 기법)

  • Kim Young-Gyun;Cho Kum Won;Na Jeong-su;Oh Gil-Ho
    • Proceedings of the Korean Information Science Society Conference
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    • 2005.11a
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    • pp.520-522
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    • 2005
  • 본 논문에서는 기존의 그리드 컴퓨팅(Grid Computing)에 자율 컴퓨팅(Autonomic Computing)기술을 적용한 자율 그리드 컴퓨팅(Autonomic Grid Computing)에 관하여 연구하였다. 자율 그리드 컴퓨팅 기술 중 자기 구성(Self-Configuration)을 기존의 그리드 컴퓨팅에 적용하는 기법을 새롭게 제안하였다. 장시간 수행 되어야 하는 과학기술 분야의 연산 작업은 연산시간을 단축하기 위해 새로운 노드의 추가와 같은 시스템의 환경 변화를 자동 감지하여 수행중인 연산 작업에 새로운 노드를 추가할 필요가 있다. 제안한 방법은 새롭게 추가된 노드를 연산 작업에 포함하도록 시스템의 변화를 스스로 구성한다. 기존의 그리드 컴퓨팅 보다 시스템의 변화에 보다 잘 적응한다.

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A Study on the Heart Rate Variability for Improvement of AR / VR Service (AR/VR 서비스 향상을 위한 심박 변이도 연구)

  • Park, Hyun-Moon;Hwang, Tae-Ho
    • The Journal of the Korea institute of electronic communication sciences
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    • v.15 no.1
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    • pp.191-198
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    • 2020
  • In this study, we proposed a real-time ECG analytical method for predicting stress and dangerous heart condition using the ECG signal in playing AR/VR device. A real-time diagnosis is used as R-R interval based HRV(:Heart rate variability), BPM(:Beats Per Minitue) and autonomic nervous research with through mapping method of two-dimensional planes. The ECG data were analyzed every 5 minutes and derived from autonomic nervous system diagnosis.

A Case of Visceral Autonomic Neuropathy Complicated by Guillain-Barre Syndrome Accompanied with Cyclic Vomiting Syndrome-like Disorder in a Child

  • Hong, Suk Jin;Choe, Byung-Ho
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.2
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    • pp.128-133
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    • 2015
  • We present a case of an 8-year-old boy with visceral autonomic neuropathy complicated by Guillain-Barre syndrome. In this pediatric patient, gastroparesis was the major symptom among the autonomic symptoms. Due to the gastroparesis, there was no progress with the oral diet, and nutrition was therefore supplied through a nasojejunal tube and gastrojejunal tube via Percutaneous endoscopic gastrostomy (PEG). After tube feeding for 9 months, the patient's gastrointestinal symptoms improved and his oral ingestion increased. The pediatric patient was maintained well without gastrointestinal symptoms for 3 months after removal of the PEG, had repeated vomiting episodes which lead to the suspicion of cyclic vomiting syndrome. Then he started treatment with low-dose amitriptyline, which resulted in improvement. Currently, the patient has been maintained well for 6 months without recurrence, and his present growth status is normal.

Physiological Components of Cybersickness in a Virtual Reality (가상현실에서 사이버멀미의 생리적 요인)

  • Kim, Young-Youn;Kim, Hyun-Ju;Kim, Eun-Nam;Ko, Hee-Dong;Kim, Hyun-Taek
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2003.05a
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    • pp.78-83
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    • 2003
  • We investigated the physiological patterns of cybersickness in a Virtual Reality(VR). Subject were exposed to the VR for 9.5 min, and required to detect specific virtual objects. Sixteen electrophysiological signals were recorded before, during, and after the virtual navigation. five questionnaires on the VR experience were acquired form 61 healthy subjects. During the virtual navigation, subjects with the high cybersickness susceptibility showed significant physiological changes, which included increased gastric tachyarrhythmia, eyeblink frequency, and EEG delta wave and decreased EEG beta wave. These results suggest that cybersickness may induce or accompany the changes in central nervous system and autonomic nervous system. Also, these results suggest that there may be increased sympathetic activation in autonomic drive for cybersickness.

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