• Title/Summary/Keyword: Autonomic function

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Cancer Pain Control for Advanced Cancer Patients by Using Autonomic Nerve Pharmacopuncture

  • Kang, Hwi-Joong;Yoon, Jung-Won;Park, Ji-Hye;Cho, Chong-Kwan;Yoo, Hwa-Seung
    • Journal of Pharmacopuncture
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    • v.17 no.3
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    • pp.62-69
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    • 2014
  • Objectives: The purpose of this study is to report a case series of advanced cancer patients whose cancer pain was relieved by using autonomic nerve pharmacopuncture (ANP) treatment. ANP is a subcutaneous injection therapy of mountain ginseng pharmacopuncture (MGP) along the acupoints on the spine (Hua-Tuo-Jia-Ji-Xue; 0.5 cun lateral to the lower border of the spinous processes of vertebrae) to enhance the immune system and to balance autonomic nerve function. Methods: Patients with three different types of cancer (gastric cancer, lung cancer, colon cancer with distant metastases) with cancer pain were treated with ANP. 1 mL of MGP was injected into the bilateral Hua-Tuo-Jia-Ji-Xue on the T1-L5 sites (total 12-20 mL injection) of each patient's dorsum by using the principle of symptom differentiation. During ANP treatment, the visual analogue scale (VAS) for pain was used to assess their levels of cancer pain; also, the dosage and the frequency of analgesic use were measured. Results: The cancer pain levels of all three patients improved with treatment using ANP. The VAS scores of the three patients decreased as the treatment progressed. The dosage and the frequency of analgesics also gradually decreased during the treatment period. Significantly, no related adverse events were found. Conclusion: ANP has shown benefit in controlling cancer pain for the three different types of cancer investigated in this study and in reducing the dosage and the frequency of analgesics. ANP is expected to be beneficial for reducing cancer pain and, thus, to be a promising new treatment for cancer pain.

Characteristics in Heart Rate Variability associated with Early Life Stress in Patients with Major Depressive Disorder (주요우울장애 환자에서 생애초기스트레스와 연관된 심박변이도의 특성)

  • Lee, Chiheon;Kim, Min-Kyeong;Choi, Sun-Woo;Park, Hae-in;Seok, Jeong-Ho
    • Mood & Emotion
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    • v.15 no.3
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    • pp.117-122
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    • 2017
  • Objectives : Early life stress (ELS) may have impact on functions of the autonomic nervous system. Heart rate variability (HRV) is a reliable psychophysiological marker for functions of the autonomic nervous system. The purpose of this study was to investigate characteristics of HRV associated with ELS in patients with major depressive disorder (MDD). Methods : We compared HRV measures of MDD patients with ELS and without ELS in a 5-minute resting-state electrocardiogram recoding. Forty subjects participated in the study (25 with ELS, 15 without ELS). The Mann-Whitney test was conducted to identify group differences. Results : We found significant group differences in standard deviation of the NN interval (SDNN) and total power (TP). SDNN was lower in the ELS group (M=38.80 ms, SD=13.05 ms) than in the Non-ELS group (M=53.53 ms, SD=19.47 ms). TP was lower in the ELS group ($M=7.07ms^2$, $SD=0.69ms^2$) than in the Non-ELS group ($M=7.72ms^2$, $SD=0.77ms^2$). Conclusion : ELS may have a negative impact on the autonomic nervous system function in patients with MDD. ELS and dysfunction of autonomic nervous system should be considered in treatment for patients with MDD.

Regulation of $GABA_A$ Receptor by Protein Kinase A in Sympathetic Neurons of Major Pelvic Ganglia

  • Kim Dae-Ran
    • Biomedical Science Letters
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    • v.12 no.2
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    • pp.113-118
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    • 2006
  • Major pelvic ganglia (MPG) in rats are an unique autonomic ganglia, containing both sympathetic and parasympathetic neurons related with the function of bladder, penis and bowel. It has been widely known that ionotropic $GABA_A$ receptors are the molecular target of $\gamma$-aminobutric acid (GABA), a major inhibitory neurotransmitter in central nervous system. However, their functions and regulations of $GABA_A$ receptors expressed in autonomic ganglia have been poorly understood. 1 examined the modulatory role of adenylyl cyclase (AC) and protein kinase A(PKA) on $GABA_A$-induced inward currents in the neurons of rat MPG. $GABA_A$ receptors were identified using immunofluorescent labeling in the rat major pelvic ganglion. Electrophysiological experiments were performed to record the activities of $GABA_A$ receptors. $GABA_A$ receptors were expressed only in sympathetic neurons. GABA induced marked inward currents in a concentration-dependent manner. Mucimol ($5{\mu}M$), a $GABA_A$ receptor agonist induced inward currents were significantly reduced in the presence of SQ 225361 $20{\mu}M$, a AC inhibitor and myristoylated PKA inhibitor 100 nM. In addition, forskolin ($1{\mu}M$), AC activator, augmented the GABA induced currents. The activation of AC/PKA-dependent pathway could involve in the regulation $GABA_A$ receptors, expressed only in sympathetic neurons of rat MPG. These findings are helpful for the better understanding the function of various pelvic organs innervated by MPG.

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Implementation of an Efficient Service Discovery Protocol for Directory Facilitator Based on CALM Agent (CLAM 에이전트 기반 Directory Facilitator를 위한 효율적인 서비스 디스커버리 프로토콜 구현)

  • Lee, Seung-Hyun;Shin, Dong-Ryeol;Jang, Kyung-Soo
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.11 no.6
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    • pp.275-282
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    • 2011
  • Current service discovery protocols such as UPnP, Jini, SLP provide the basic function which is message exchange pattern, service representation and description, in service discovery. They does not guarantee service interoperability among service discovery. Therefore, in this paper, we design and implement CLAM (Component-based Autonomic Layered Middleware) agent platform to enable an efficient service discovery through extension of DF agent function in FIPA-compliant specification. Also, we propose an efficient service discovery mechanism using DHT-Chord algorithm to guarantee scalability and interoperability in DF agent.

The end effector of circadian heart rate variation: the sinoatrial node pacemaker cell

  • Yaniv, Yael;Lakatta, Edward G.
    • BMB Reports
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    • v.48 no.12
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    • pp.677-684
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    • 2015
  • Cardiovascular function is regulated by the rhythmicity of circadian, infradian and ultradian clocks. Specific time scales of different cell types drive their functions: circadian gene regulation at hours scale, activation-inactivation cycles of ion channels at millisecond scales, the heart's beating rate at hundreds of millisecond scales, and low frequency autonomic signaling at cycles of tens of seconds. Heart rate and rhythm are modulated by a hierarchical clock system: autonomic signaling from the brain releases neurotransmitters from the vagus and sympathetic nerves to the heart's pacemaker cells and activate receptors on the cell. These receptors activating ultradian clock functions embedded within pacemaker cells include sarcoplasmic reticulum rhythmic spontaneous Ca2+ cycling, rhythmic ion channel current activation and inactivation, and rhythmic oscillatory mitochondria ATP production. Here we summarize the evidence that intrinsic pacemaker cell mechanisms are the end effector of the hierarchical brain-heart circadian clock system.

PSD on the Characteristic of Heart Rate Variability of patients with Vasovagal Syncope by Complex Demodulation Method (CDM 방법에 의한 실신 환자의 심박동수 변화율의 PSD 특성에 관한 연구)

  • Choi, Kyu-Sub;Lee, Joon-Young;Kim, Dong-Chul;Yoon, Sung-Won;Lee, Myoung-Ho
    • Proceedings of the KIEE Conference
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    • 2000.11d
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    • pp.854-856
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    • 2000
  • In this paper, complex demodulation method to access the dynamic autonomic nervous system characteristic of patients with syncope is proposed. Assessment of heart rate variability using conventional power spectral analysis such as FFT or AR-modeling could not capture a split change occurrence. However, in this paper, these changes are seen and by using Complex Demodulation Method(CDM) autonomic nervous system function assessments of patients with vasovagal syncope were verified and suggested.

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A Study on the Characteristic of Heart Rate Variability of patients with Vasovagal Syncope by Complex Demodulation Method (CDM 방법에 의한 실신 환자의 심박동수 변화율 특성에 관한 연구)

  • Lee, Dong-Joon;Lee, Jeong-Whan;Lee, Joon-Young;Kim, Han-Soo;Lee, Myoung-Ho
    • Proceedings of the KIEE Conference
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    • 1999.11c
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    • pp.624-1-624-3
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    • 1999
  • In this paper, complex demodulation method to access the dynamic autonomic nervous system characteristic of patients with syncope is proposed. Assessment of heart rate variability using conventional power spectral analysis such as FFT or AR-modeling could not capture a split change occurrence. However, in this paper, these changes are seen and by using Complex Demodulation Method(CDM) autonomic nervous system function assessments of patients with vasovagal syncope were verified and suggested.

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A study on the characteristics of heart rate variability of patients with vasovagal syncope by tilt-table test (기립경사도 검사에 의한 실시환자의 심박변동신호 특성에 관한 연구)

  • 이정환;박찬석;이병채;김준수;이명호
    • Proceedings of the IEEK Conference
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    • 1998.06a
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    • pp.561-564
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    • 1998
  • This paper evaluated autonomic nervous system function in 23 patients with syncope and a positive tilt test result, 21 with a negative test result, and 19 healthy controls. Indexes of heart rate variability were measured during supine resting, immediately afte rtilt-up, standing rsting, immediately before syncope and immediately after tiltdown. There were no significant differences among the groups in any of the indexes of heart rate varability over the 24-hour holter recordings. In patients with a positive tilt result, tilting gaused a decrease in low-frequency (LF) immediately before syncope and incsrease in high-frequency (HF) bands immediately before. In patients with a negative tilt result, tilting caused a decrease in low-frequency (LF) immediately before syncope and decrease in high-frequency (HF) bands immediately before, different from positive tilt results. Our findings showed that patients with vasovagal syncope have no chronic differences from normal subjects in autonomic nervous system activity, but that these patients respond differently to the orthostatic stimulus.

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The Concept and Clinical Application for the Measurement of Heart Rate Variability (심박동수 변이(Heart Rate Variability) 측정법의 개념과 임상적 활용)

  • Woo, Jong-Min
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.1
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    • pp.3-14
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    • 2004
  • In this article, the effects of stress on central nerve system and heart function and the concept of heart rate variability were reviewed. HRV(Heart Rate Variability), the periodical change of the heart rate, is indicated larger in the healthier because they respond flexibly to various sorts of facts influencing on HR. HRV analysis is largely composed of the time domain analysis and the frequency analysis. In the former the flexibility of heart function is analysed, while in the latter autonomic nerve function is examined, which is the degree of sympathetic and parasympathetic nerve activity and the state of balance. Furthermore, existence or nonexistence of disease and/or level of stress can be estimated by measuring the variability and normality of heart rate, and balance of autonomic nerve system, and through HRV biofeedback the symptoms of anxiety disorder or asthma can be reduced.

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Relationships of Psychological Factors to Stress and Heart Rate Variability as Stress Responses Induced by Cognitive Stressors (스트레스에 대한 심리 반응 유형과 심박변이도의 관련성)

  • Jang, Eun Hye;Kim, Ah Young;Yu, Han Young
    • Science of Emotion and Sensibility
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    • v.21 no.1
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    • pp.71-82
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    • 2018
  • Stress involves changes in behavior, autonomic function and the secretion of hormones. Autonomic nervous system (ANS) contributes to physiological adaptive process in short durations. In particular, heart rate variability (HRV) analysis is commonly used as a quantitative marker depicting the ANS activity related to mental stress. The aim of this study is to investigate correlations between psychological responses to stress and HRV indices induced by the cognitive stressor. Thirty-three participants rated their mental and physical symptoms occurred during the past two weeks on Stress Response Inventory (SRI), which is composed of seven stress factors that may influence the status of mental stress levels. Then, they underwent the psychophysiological procedures, which are collected electrocardiogram (ECG) signals during a cognitive stress task. HRV indices, the standard deviation of R-R interval (SDNN), root mean square of successive R-R interval difference (RMSSD) and low frequency (LF)/high frequency (HF) ratio were extracted from ECG signals. Physiological responses were calculated stress responses by subtracting mean of the baseline from the mean of recovery. Stress factors such as tension, aggression, depression, fatigue, and frustration were positively correlated to HRV indices. In particular, aggression had significant positive correlations to SDNN, RMSSD and LF/HF ratio. Increased aggressive responses to stress correlated with the increases of all HRV indices. This means the increased autonomic coactivation. Additionally, tension, depression, fatigue, and frustration were positively associated with RMSSD reflecting increases in parasympathetic activation. The autonomic coactivation may represent an integrated response to specific cognitive reactions such as the orienting response.