• 제목/요약/키워드: peripheral disturbance

검색결과 46건 처리시간 0.027초

A case report of a long-term abandoned torn lingual nerve injury repaired by collagen nerve graft induced by lower third molar extraction

  • Fujita, Shigeyuki;Mizobata, Naoki;Nakanishi, Takashi;Tojyo, Itaru
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제41권
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    • pp.60.1-60.6
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    • 2019
  • Background: The lingual nerve plays an important role in multiple functions, including gustatory sensation and contact sensitivity and thermosensitivity. Misdiagnosed conservative treatments for serious lingual nerve (LN) injuries can induce the patient to serious mental disability. After continuous observation and critical diagnosis of the injury, in cases involving significant disruption of lingual nerve function, microneurosurgical reconstruction of the nerve is recommended. Direct anastomosis of the torn nerve ends without tension is the recommended approach. However, in cases that present significant gaps between the injured nerve ends, nerve grafts or conduits (tubes of various materials) are employed. Recently, various reconstruction materials for peripheral nerves were commercially offered especially in the USA, but the best method and material is still unclear in the world. There currently exists no conventional protocol for managing LN neurosensory deficiency in regard to optimal methods and the timing for surgical repair. In Japan, the allograft collagen nerve for peripheral nerves reconstruction was permitted in 2017, and we tried to use this allograft nerve and got a recommendable result. Case presentation: This report is a long-term abandoned torn LN reconstructed with allograft nerve induced by the lower third molar extraction. Conclusions: In early sick period, with the exact diagnosis, the LN disturbance should be managed. In a serious condition, the reconstruction with allograft nerve is one of the recommendable methods.

DNA Methylation Profiles of Blood Cells Are Distinct between Early-Onset Obese and Control Individuals

  • Rhee, Je-Keun;Lee, Jin-Hee;Yang, Hae Kyung;Kim, Tae-Min;Yoon, Kun-Ho
    • Genomics & Informatics
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    • 제15권1호
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    • pp.28-37
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    • 2017
  • Obesity is a highly prevalent, chronic disorder that has been increasing in incidence in young patients. Both epigenetic and genetic aberrations may play a role in the pathogenesis of obesity. Therefore, in-depth epigenomic and genomic analyses will advance our understanding of the detailed molecular mechanisms underlying obesity and aid in the selection of potential biomarkers for obesity in youth. Here, we performed microarray-based DNA methylation and gene expression profiling of peripheral white blood cells obtained from six young, obese individuals and six healthy controls. We observed that the hierarchical clustering of DNA methylation, but not gene expression, clearly segregates the obese individuals from the controls, suggesting that the metabolic disturbance that occurs as a result of obesity at a young age may affect the DNA methylation of peripheral blood cells without accompanying transcriptional changes. To examine the genome-wide differences in the DNA methylation profiles of young obese and control individuals, we identified differentially methylated CpG sites and investigated their genomic and epigenomic contexts. The aberrant DNA methylation patterns in obese individuals can be summarized as relative gains and losses of DNA methylation in gene promoters and gene bodies, respectively. We also observed that the CpG islands of obese individuals are more susceptible to DNA methylation compared to controls. Our pilot study suggests that the genome-wide aberrant DNA methylation patterns of obese individuals may advance not only our understanding of the epigenomic pathogenesis but also early screening of obesity in youth.

협계(俠谿)에 대한 전침자극이 흰쥐의 내측 전정신경핵 자발활동성에 미치는 효과 (Electroacupuncture of $GB_{43}$ Modulates Neuronal Activities in Medial Vestibular Nuclei of Rats)

  • 김재효;박병림;손인철
    • Korean Journal of Acupuncture
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    • 제25권3호
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    • pp.117-135
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    • 2008
  • Objectives: It is known that the vestibular imbalance leads to vestibular symptoms such as nausea, vomiting, vertigo and postural disturbance. Since the non-labyrinthine inputs from the limbs and viscera converge on the vestibular nucleus neurons receiving signal from peripheral vestibular endorgan, acupuncture to the periphery may influence the activities of vestibular nuclear neurons and produce a therapeutic effect on the vestibulacr symptoms. The present study was to examine a modification and characteristics of the static and dynamic activities of medial vestibular nucleus (MVN) neurons following electroacupuncture (EA) of GB43' acupoint. Methods: In 54 Sprague-Dawley adult male rats weighing 250${\sim}$300g, spontaneous firing discharges and dynamic responses induced by sinusoidal whole body rotation about vertical axis at 0.2 Hz were observed in MVN of rats during EA of GB43' acupoint, located between the left 4th and 5th toe, which is the territory of sural and peroneal nerves, with 0.2 ms, 40 Hz and 600${\pm}$200 ${\mu}A$. Results: EA of the left GB43' acupoint induced modifications of spontaneous firing rates in 45% of MVN neurons recorded, and the percentage of modified neurons was 44% in type I, 52% in type II and 46% in non-type neurons. The excitatory or inhibitory responses of spontaneous firing discharges were predominant in the ipsilateral MVN neurons during EA. The excitatory response was abolished after EA but the inhibitory response was prolonged after EA in the ipsilateral MVN. The neurons of MVN showing modified spontaneous firing discharges by EA showed lower frequency (${\geq}$10 spikes/sec) of mean spontaneous firing rates than non affected ones. Conclusion: These results suggest that the neuronal activities of MVN neurons were influenced by EA of GB43' acupoint and the effects of EA may be related to the convergence of the peripheral vestibular inputs and ascending somatosensory inputs on MVN.

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우황청심원이 당뇨병 Rat의 혈액순환장애에 미치는 영향 (The Effect of Woohwangcheongsim-won on Circulatory Disturbance in Diabetes)

  • 황성록;정승현;신길조;이원철
    • 대한한의학회지
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    • 제23권2호
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    • pp.164-179
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    • 2002
  • Object: Death rate due to hypertension, atherosclerosis, ischemic heart disease and cerebral infarction induced by Westernized diet and increased average life span is on the rise. Decrease in blood circulation, activation of thrombus generation and intravascular lipid accumulation, cited as the principal causes of the above mentioned diseases in recent studies, result in circulatory disturbance and blood vessel obstruction leading to ischemic cell death of heart, brain and peripheral vessels. Method: We investigated the biochemical changes in microvascular permeability, aggregation of platelet and the intravascular lipid accumulation in induced-diabetic rat using Streptozotocin. We also studied the effects of Woohwangcheongsirn-won after oral administration on blood circulation, platelet function and lipid metabolism. The results are as follows: I. Woohwangcheongsim-won increased blood circulation in microvessels. 2. Woohwangcheongsim-won increased the reduced erythrocyte deformability in diabetes. 3. Woohwangcheongsim-won induced the reduction of contents of 2, 3-DPG, but failed to affect the reduced contents of ATP in erythrocyte in diabetes. 4. Woohwangcheongsim-won reduced the activity of Ca/sup 2+/-ATPase in the membrane of erythrocyte. 5. Woohwangcheongsim-won reduced the platelet aggregation evoked by platelet agglutinin factor. 6. Woohwangcheongsim-won reduced the production of platelet-derived granules. 7. Woohwangcheongsim-won reduced the production of metabolites of arachidonic acid in diabetes, and also reduced the production of increased thromboxane B2. 8. Woohwangcheongsim-won reduced the synthesis of oxidized LDL-cholesterol. In conclusion, Woohwangcheongsim-won enhanced blood circulation in microvesseles, erythrocyte deformability and inhibited the increased platelet aggregation and the synthesis of oxidized LDL-cholesterol in diabetes. Therefore Woohwangcheongsim-won is believed to positively affect blood circulation (J Korean Oriental Med 2002;23(2):164-179)

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Guillain-Barre Syndrome 환자의 한방 치험 1례 (A Case Report of Korean Traditional Medical Therapy about Patient with Guillain-Barre Syndrome)

  • 김종원;김민상;오병열;유병찬;조현경;김윤식;설인찬;심재철
    • 대한한방내과학회지
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    • 제25권4호
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    • pp.418-425
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    • 2004
  • The Guillain-Barre Syndrome(GBS), also called acute inflammatory demyelinating polyneuropathy and Landry's ascending paralysis, is an inflammatory disorder of the peripheral nerves - those outside the brain and spinal cord. It is characterized by the rapid onset of weakness and, often, paralysis of the legs, arms, breathing muscles and face. Finally, it leads to respiratory embarrassment and death. There is often a history of antecedent respiratory or gastrointestinal infection. Recently one patient was admitted with GBS. This patient was a 30 year-old man with quadriparesis, both facial palsy, numbness of hands and feet, and gait disturbance. After two weeks of oriental medicine and acupuncture treatment most symptoms improved. Therefore, this application of oriental medicine is reported with a plea for further investigation.

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Implementation of Fuzzy Self-Tuning PID and Feed-Forward Design for High-Performance Motion Control System

  • Thinh, Ngo Ha Quang;Kim, Won-Ho
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • 제14권2호
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    • pp.136-144
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    • 2014
  • The existing conventional motion controller does not perform well in the presence of nonlinear properties, uncertain factors, and servo lag phenomena of industrial actuators. Hence, a feasible and effective fuzzy self-tuning proportional integral derivative (PID) and feed-forward control scheme is introduced to overcome these problems. In this design, a fuzzy tuner is used to tune the PID parameters resulting in the rejection of the disturbance, which achieves better performance. Then, both velocity and acceleration feed-forward units are added to considerably reduce the tracking error due to servo lag. To verify the capability and effectiveness of the proposed control scheme, the hardware configuration includes digital signal processing (DSP) which plays the main role, dual-port RAM (DPRAM) to guarantee rapid and reliable communication with the host, field-programmable gate array (FPGA) to handle the task of the address decoder and receive the feed-back encoder signal, and several peripheral logic circuits. The results from the experiments show that the proposed motion controller has a smooth profile, with high tracking precision and real-time performance, which are applicable in various manufacturing fields.

Non-Dural-Based Spinal Meningioma : The First Case Report of a Fibrous Subtype and a Review of the Literature

  • Lee, Ji Hye;Moon, Hong Joo;Kim, Joo Han;Park, Youn-Kwan
    • Journal of Korean Neurosurgical Society
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    • 제56권1호
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    • pp.58-60
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    • 2014
  • Spinal meningiomas typically adhere to the dura matter. Non-dural based spinal meningiomas are rare and most are clear cell meningiomas. We report here the first case of a fibrous meningioma with non-dural attachment. The patient was a 49-year-old female, who complained of numbness in the legs and a gait disturbance. Magnetic resonance imaging revealed a $1.7{\times}1.4-cm$ mass in the C7-T1 intra-dural extramedullary space, showing peripheral gadolinium enhancement without a "dural tail sign". A complete microsurgical resection was performed. The mass was covered with a white membrane but was not adhered to the dura, and its appearance was consistent with a neurilemmoma. The histopathological diagnosis was fibrous-type meningioma. The recovery of the patient was uneventful. No surgical complications and no recurrence of the tumor had occurred at the 6-month follow-up.

남매에서 가족력을 가진 galactosialidosis 1례 (Galactosialidosis with a Family History in a Sibling)

  • 임선주;남상욱
    • 대한유전성대사질환학회지
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    • 제6권1호
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    • pp.32-39
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    • 2006
  • 저자들은 출생 후 정상적인 발달을 보이다가 생후 6개월부터 의식과 운동 발달의 퇴행을 보이던 13개월 환아에서 효소 검사를 시행하여 ${\beta}$-galactosidase의 결핍을 확인하고 $GM_1$-gangliosidosis type 1으로 진단하였지만, 후에 추가적으로 시행한 효소 검사에서 ${\alpha}$-neuraminidase의 결핍도 발견되어 galactosialidosis로 진단한 증례를 경험하였기에 문헌 고찰과 함께 보고하고자 한다.

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밀러-피셔 증후군 환자의 안근 마비 치험 1례 (A Case Report of Miller-Fisher Syndrome with Ophthalmoplegia)

  • 김서희;이주현;강은정;박지원;홍석훈
    • 한방안이비인후피부과학회지
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    • 제33권2호
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    • pp.130-139
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    • 2020
  • Objectives : The aim of this study is to report the effect of Korean Medicine Treatment for patient with ophthalmoplegia in Miller-Fisher Syndrome. Methods : A patient with ophthalmoplegia treated with herbal medicine, cupping therapy and acupuncture(including pharmacopuncture, electroacupuncture). We used photographs of eye movement to evaluate the changes in symptoms, Scott and Kraft score of left eye, visual field test for measuring peripheral visual field, subjective symptom, and VAS for headache, subjective symptom. Results : After treatment, Scott and Kraft score increase from -4 to -2. Visual field of left side improved from 45° to 80°. Also, other symptoms such as diploma, dizziness, headache, gait disturbance was also improved. There are no adverse effects and no relapse of ophthalmoplegia after 20 days of discharge. Conclusions : This case report suggests that Korean Medicine Treatment can be effective for patient with ophthalmoplegia in Miller-Fisher Syndrome.

A Preliminary Implementation Study of TDMA-based Positioning System Utilizing USRP and GNU Radio

  • Yoo, Won Jae;Choi, Kwang Ho;Lim, JoonHoo;Kim, La Woo;So, Hyoungmin;Lee, Hyung Keun
    • Journal of Positioning, Navigation, and Timing
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    • 제6권3호
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    • pp.95-104
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    • 2017
  • Positioning signals transmitted by Global Positioning System (GPS) satellites located at approximately 20,000 km height is very weak. For the reason, GPS signals are vulnerable to intentional jamming and unintentional disturbance. Recently, the number of jamming has been increased significantly all over the world. For the applications where continuous and reliable positioning is required when GPS jammers are activated, other positioning systems are strongly required. In this work, a set of Time Division Multiple Access (TDMA)-based transmitters and receivers utilizing Universal Software Radio Peripheral (USRP) and GNU Radio are designed and implemented. To eliminate the undesirable effects of GPS jamming, a frequency band which does not overlap L band is utilized. To demonstrate the accuracy of the proposed method, an experiment was performed.