• Title/Summary/Keyword: 시상

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Study on the Conventional Tomographic Findings for the Patients with Temporomandibular Disorders (턱관절장애환자의 일반단층촬영 소견에 관한 연구)

  • Seo, Seong-Jong;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.26 no.3
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    • pp.277-290
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    • 2001
  • 영상촬영술은 개방형 외과적 관절수술이나 관절경 검사법을 할 수 없는 상태에서 관절의 상태에 대한 시각적 정보를 확보할 수 있는 유일한 방법이다. 이것의 주된 목적은 진단과 치료계획과정을 도와주는 정보를 제공하는데 있다. 그중 방사선 촬영술은 턱관절의 구조적 질병을 진단하는데 기본적인 수단으로서 오래동안 사용되어 왔 다. 그러나 어떠한 방사선 소견이 개별 관절질환의 특징적 소견인지는 찾아내기가 어려운 실정이다. 그러나 통상적 턱관절 방사선 촬영술로서도 구조적 골변화를 찾아낼 수 있으며 특히 시상 단층촬영술은 턱관절에서 가장 유익한 정보를 보여준다고 한다. 또한 보고에 의하면 턱관절 장애는 다양한 해부학적 요인들과 관련이 있다고 한다. 따라서 본 연구에서는 통상적인 방사선 단층촬영술을 이용하여 턱관절 장애환자의 턱관절에서 나타나는 골변화를 찾아내고 이러한 골변화가 하악과두 수평각, 하악과두 형태, 과두위치 등과 같은 여러 요인들과 서로 관련이 있는 지 찾아보고저 하였다. 단국치대 구강내과 안면동통진료실에 내원한 256명의 환자 중, 턱관절장애를 편측으로만 호소하는 환자 73명을 대상으로 SCANORA를 이용하여 방사선 단층촬영을 시행하였다. 먼저 악하두정위 촬영을 통해 정중선에 대한 하악과두의 방향을 찾아내고 단층촬영 부위를 계산하였으며, 모든 촬영면은 4 mm 두께로 하고 턱관절 부위에만 국한되도록 조준하였다. 폐구 시 4개의 시상 촬영과 개구 시 한개의 시상 및 전두촬영상을 구한 후, 하악과두, 과두 형태 및 하악과두위치 등과 같은 요인들에 대한 골변화간의 관련성을 조사하고저 자료를 측정한 후 Contengency table analyses를 시행하였다. 본 연구의 결과에 따르면 결론적으로 하악과두의 형태, 하악과두의 수평각 및 하악과두의 위치 등은 턱관절의 골변화와 상호 관련이 있다는 가설을 확인할 수 있었다. 즉 하악과두상의 골변화는 과두가 후방위치되고 과두각이 25도 이상 크며, 특히 20대에서는 flat type, 40대에서는 angled type의 과두형태를 가지며 두 과두각의 차이가 9도에서 12도 정도로 큰 차이가 있는 남성환자에서 증가한다.

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The study was to investigate the Spontaneous therapy, TENS and Ice therapy of Biceps brachii after induction of DOMS (자연치유와 경피신경전기자극치료, 그리고 냉치료가 지연성근육통이 유발된 위팔두갈래근의 통증과 근력 및 근활성도에 미치는 영향)

  • Kim, Keun-Jo;Lee, Cu-Rie;Jung, Byeong-Ok;Bang, Hyun-Soo
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.491-494
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    • 2009
  • 본 논문에서는 비우세 팔굽관절 굽힘근육에 원심성운동을 실시하여, 지연성근육통을 유발시킨 후, 자연치유과 경피신경전기자극치료, 그리고 냉치료의 효과를 조사하는데 그 목적이 있다. 자연치유군과 경피신경 전기자극치료군, 그리고 냉치료군의 평가를 위해 팔꿉관절의 운동시에 시상통증척도(VAS), 최대 염력, 실 효치 값을 측정하여 평가하였다. 대상자는 신체적 결함이 없는 30명의 성인을 대상으로 하였고, 대상자들은 지연성근육통 유발 후, 3개의 군인 자연치유군, 경피신경전기자극치료군, 냉치료군으로 나누었고, $60^{\circ}$/초의 등속성 각속도에서 최대 근력으로 운동시에 최대 연력과 실효치 값, 그리고 시상통증척도를 측정하여 평가하였다. 1. 시상통증척도는 경피신경전기자극치료군의 치료3일차에서 다른 군과 다른 기간에 비해 가장 낮은 수치를 나타내었고, 통계적으로 유의하였다(p<.05). 2. 최대 염력은 경피신경전기자극치료군의 치료3일차에서 다른 군과 다른 기간에 비해 가장 높은 수치를 나타내었고, 통계적으로 유의하였다(p<.05).3. 실효치 값은 경피신경전기자극치료군의 치료3일차에서 다른 군과 다른 기간에 비해 가장 높은 수치를 나타내었고, 통계적으로 유의하였다(p<.05). 이상의 연구 결과로 보아 경피신경전기자극치료는 지연성근육통에 대하여 자연 치유나 냉치료에 비해 더욱 효과적인 치료 방법임을 알 수 있다. 그러므로, 지연성근육통을 가진 환자의 치료 시에 경피신경전기자극치료의 적용은 권장되어야 한다.

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Glucose Modulation of Release of Endogenous Catecholamines from Hypothalamic Fragments in Vitro (시상하부 조각에서 내재성 카테콜아민의 분비에 대한 포도당의 조절작용)

  • Jung, Jun-Sub;Hwang, Hyung-Sik;Wie, Myung-Bok;Song, Dong-Keun;Kim, Yong-Sik;Kim, Yung-Hi
    • The Korean Journal of Pharmacology
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    • v.29 no.2
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    • pp.183-188
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    • 1993
  • Effects of glucose on the catecholamine release from the hypothalamic fragments in vitro were studied. Basal release of catecholamines was inversely related to the concentrations $(5{\sim}30\;mM)$ of glucose in the incubation medium. Glucose did not affect the 30 mM $K{^+}-stimulated$ release of catecholamine. In the presence of tetrodotoxin $(10\;{\mu}M)$, the inhibitory effect of glucose on the basal release of catecholamines was largely persisted, but the inhibitory effect of 30 mM glucose on dopamine release was largerly blocked. In the presence of both tetrodotoxin $(10\;{\mu}M)$ and desipramine $(3\;{\mu}M)$, glucose failed to affect the basal catecholamine release. The results suggest that glucose modulates the catecholamine release through a direct action on the catecholaminergic nerve terminals, as well as through a trans-synaptical action. The glucose-modulation of the catecholamine release may explain, at least in part, the diabetes-induced changes in the hypothalamic catecholamine metabolism.

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Decreased in vivo Tyrosine Hydroxylase Activities with Normal Norepinephrine Levels in Streptozotocin-Induced Diabetic Rat Hypothalamus (Streptozotocin-유발 당뇨쥐의 시상하부에서 Norepinephrine 함량은 정상이나 In vivo Tyrosine Hydroxylase 활성은 감소함)

  • Wie, Myung-Bok;Song, Dong-Keun;Kang, Byung-Tae;Jung, Jun-Sub;Choi, Yeun-Sik;Park, Joon-Hyoung;Kim, Yung-Hi
    • The Korean Journal of Pharmacology
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    • v.27 no.1
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    • pp.1-5
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    • 1991
  • We studied changes in the hypothalamic norepinephrine(NE) metabolism in streptozotocin (STZ)-induced diabetic rats by measuring basal NE levels, turnover rate of NE, and in vivo tyrosine hydroxylase activities. Basal NE level did not change significantly upto 4 weeks after the establishment of diabetes with STZ(60 mg/kg, iv). But turnover rate of NE decreased to 62% of control rate(P<0.01), and in vivo tyrosine hydroxylase activities decreased to 32% of control level(P<0.05) at one week of diabetes. From these results, we concluded that, of the three parameters measured, in vive tyrosine hydroxylase activity is the most sensitive index of altered hypothalamic NE metabloism in STZ-induced diabetic rats.

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The Broad-beam CT Image Reconstruction from Simulator Images (모의치료(Simulation) 영상을 이용한 Broad-beam CT 영상 구현)

  • Yi, Byong-Yong
    • Radiation Oncology Journal
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    • v.16 no.1
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    • pp.81-86
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    • 1998
  • Purpose : To generate the axial, coronal and sagittal images from conventional simulation images, as a preliminary study of broad-beam simulator CT. Methods and Materials : Volumetric filtered back-projection was performed using 90 sheets of films from conventional simulator for every $4^{\circ}$ gantry angle. Two mAs exposure condition for 120kvp beam qualify at SFD 140cm was given to each film. Outside the silhouette portion was removed and scatter component was deconvolved before back-projection. Results : The axial, the sagittal and the coronal images with same spatial resolutions over all direction could be obtained. But image quality was very poor. Conclusion : CT images could be obtained using broad-beam. Scatter deconvolution technique was effective for this reconstruction. The fact that same spatial resolutions over all direction tells us the possibility of application of this technique to DRR or Simulator-CT. But the quality of image should be improved for clinical application practically.

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Experession of Vasoactive Intestinal Peptide in the Hypothalamus of Fasting and Anorexia Mutant Mice (anx/anx) (절식시킨 생쥐와 식욕부진 돌연변이 생쥐의 시상하부에서 Vasoactive Intestinal Peptide의 발현)

  • 김미자;김영옥;김혜경;정주호
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.30 no.5
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    • pp.937-942
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    • 2001
  • The present study was conducted to identify the mechanism about the regulation of appetite by examining the expression patterns of vasoactive intestinal peptide in the hypothalamus of either fasted for 24 hours or anorexia mutant mouse. In order to investigate expression pattern of the vasoactive intestinal peptide, immunohisto-chemistry was employed along with reverse transcription polymerase chain reaction (RT-PCR) and dot blotting. Immunohistochemistry has shown that level of expression of vasoactive intestinal peptide and appetite-suppessing neuropeptide, was lower in the suprachiasmatic nucleus (SCN) and higher in the paraventricular nucleus (PVN) of the anorexia mutant group than in the comparable regions in the control group. This pattern was repeated in the fasting group, which also showed lower and higher levels of vasoactive intestinal peptide expression in the SCN and PVN respectively, In contrast, the vasoactive intestinal peptide mRNA level in the entire hypothalamus via RT-PCR and dot blotting was similar in the fasting and control groups, while it was significantly increased in the anorexia mutant group.

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Neuroendocrine Control of Pituitary Gonadotropin Release (뇌하수체(腦下垂體) 성선자극(性腺刺戟)호르몬 분비(分泌)의 신경내분비적(神經內分泌的) 조절(調節))

  • Ryu, Kyung-Za
    • Clinical and Experimental Reproductive Medicine
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    • v.7 no.1_2
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    • pp.3-10
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    • 1980
  • Pituitary gonadotropes, as target cells, exhibit cyclic changes in terms of LH and FSH release in synchrony with the estradiol levels. The ultimate release is determined by the relative size of the two pools of gonadotropins, which is regulated by the two controllers: LH-RH and estradiol. LH-RH appears to serve as a primary drive on the gonadotrope, stimulating gonadotropin synthesis, storage, and release. Estradiol amplifies the action of LH-RH and induces the development of a self-priming effect of LH-RH except that it impedes LH-RH mediated gonadotropin release. Negative and positive feedback action of estradiol is revealed to operate by different mechanisms. The pituitary capacity increases severalfold from early to late follicular phase, which is considered to be prerequisite for the development of mid-cycle surge. CNS-hypothalamic dopamine, norepinephrine, and prostaglandins, as well as LH-RH, are involved in the negative and positive feedback effects of estradiol. The possible mechanisms in the triggering of LH-RH release for the initiation of midcycle LH-RH surge are considered.

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A Case report of Thalamic pain Syndrome Patient who were Constitutionally Typed as Taeeumin improved by Yeoldahanso-tang(熱多寒少湯) (열다한소탕(熱多寒少湯) 가감방(加減方)을 이용한 태음인(太陰人) 시상통증증후군 치험 1례)

  • Eom, Tae-Min;Baek, In-Kyoung;Park, Hye-Jin;Cho, Hyun-Kyoung;Kim, Yoon-Sik;Yoo, Ho-Ryong;Seol, In-Chan
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.14 no.1
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    • pp.115-121
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    • 2013
  • A 67 year-old Taeeumin(太陰人) female patient with Thalamic pain Syndrome(Dejerine-Roussy Syndrome) was treated. She was suffering from rt. side numbness, pain and weakness, rt. facial palsy, dizziness, dysarthria and lassitude. She was diagnosed as Cerebral lacunar infarction(Lt. thalamus) by Brain MRI(Magnetic Resonance Imaging) and adminstered Yeoldahanso-tang(熱多寒少湯). After taking Yeoldahanso-tang(熱多寒少湯), her symptoms had improved. Result suggest that Yeoldahanso-tang(熱多寒少湯) is an effective for Taeeumin Thalamic pain Syndrome. Though, results support a role for oriental medical treatment for Cerebrovascular Accident(CVA) connected Sasang Constitution, further research into the effectiveness of oriental medical treatments for CVA connected Sasang Constitution is needed.

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Roles of Monoamine Neurotransmitters in Regulation of Hypothalamic PITUITITARY-ADRENAL AXIS(HPA) (III) - Role of 5-hydroxytryptamine in Controlling the Stress-Induced Elevation of Corticosterone in Rat - (시상하부-뇌하수체-부신계 조절에 대한 Monoamine 신경전달물질의 역할에 관한 연구(III)-뇌 5-hydroxytyptamine(Serotonin)이 Stress 시 Corticosteroid 변동에 미치는 영향)

  • Suh, Yoo-Hun;Lim, Jung-Kyoo;Park, Chan-Woong
    • The Korean Journal of Pharmacology
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    • v.19 no.2
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    • pp.45-55
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    • 1983
  • A role for brain serotonin(5-HT) in regulation of the HPA axis has been suggested but remains contoversial and poorly defined. The present experiments were designed to check kinetic parameters of 5-HT turnover in rat hypothalamus and remainder brain areas before and after stress and to test whether using various different pharmacologic approaches to stimulate or eliminate the control serotonergic system have any consistent effect on the stress-induced activation of HPA system. Steady state brain serotonin and 5-HIAA concentrations during 1 min ether stress were significantly elevated without significant rise in the levels of plasma corticosterone, which highly increased 2 minutes after stress. This suggests that the increase in serotonergic neuron activity precede that in HPA activity. Furthermore, during 1 ruin-ether stress or 30 min immobilization stress there is a marked increase in hypothalamic and remainder brain serotonin (5-HT) turnover or synthesis rates assessed by both the pargline/5-HT method and pargyline/5-HIAA method. The stress-induced corticosterone levels were increased by serotonin precursors and serotonin agonist in a dose-related fashion. The stress- induced corticosterone levels were highly elevated by L-tryptophan (100 mg/kg) and Potentiated by monoamine oxidase inhibitor, pargyline or serotonin agonist, 5-MeoDMT. The stress-induced elevation of corticosterone and 5-HT levels in rat brain were not significantly decreased by the administration of 5-HT synthesis inhibitor, PCPA and 5-HT neurotoxin, 5,7-DHT. However, the stress-induced elevation of corticosterone and 5-HT levels were decreased by the destruction of midline raphe nuclei. There was a strong positive correlation between plasma corticosterone and 5-HT concentrations changed by drugs which mainly manipulating 5-HT system in the hyhothalamus and in the remainder of the brain. In conclusion, our present data stongly suggest that 5-HT is an important key neurotransmitter involved in the stress-induced activation of the HPA system.

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Three-dimensional analysis of soft and hard tissue changes after mandibular setback surgery in skeletal Class III patients (골격성 3급 부정교합 환자의 하악골 후퇴술 시행후 안모변화에 대한 3차원적 연구)

  • Park, Jae-Woo;Kim, Nam-Kug;Kim, Myung-Jin;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.35 no.4 s.111
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    • pp.320-329
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    • 2005
  • The three-dimensional (3D) changes of bone, soft tissue and the ratio of soft tissue to bony movement was investigated in 8 skeletal Class III patients treated by mandibular setback surgery. CT scans of each patient at pre- and post-operative states were taken. Each scan was segmented by a threshold value and registered to a universal three-dimensional coordinate system, consisting of an FH plane, a mid-sagittal plane, and a coronal plane defined by PNS. In the study, the grid parallel to the coronal plane was proposed for the comparison of the changes. The bone or soft tissue was intersected by the projected line from each point on the gird. The coordinate values of intersected point were measured and compared between the pre- and post-operative models. The facial surface changes after setback surgery occurred not only in the mandible, but also in the mouth corner region. The soft tissue changes of the mandibular area were measured relatively by the proportional ratios to the bone changes. The ratios at the mid-sagittal plane were $77\~102\%(p<0.05)$. The ratios at all other sagittal planes had similar patterns to the mid-sagittal plane, but with decreased values. And, the changes in the maxillary region were calculated as a ratio, relative to the movement of a point representing a mandibular movement. When B point was used as a representative point, the ratios were $14\~29\%$, and when Pog was used, the ratios were $17\~37\%(9<0.05)$. In case of the 83rd point of the grid, the ratios were $11\~22\%(p<0.05)$.