• Title/Summary/Keyword: Autonomic nervous system disease

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A development of measuring system for Autonomic Nervous Activity (자율신경계 활성도 측정 시스템 개발)

  • 이준하
    • Progress in Medical Physics
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    • v.11 no.2
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    • pp.141-146
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    • 2000
  • Power spectrum analysis is a powerful noninvasive tool for quantifying autonomic nervous system activity. In this paper, We developed a measuring system for Autonomic Nervous Activity by using power spectrum analysis method to obtain the activities of autonomic nervous system. This system adopt a isolated power for patient's safety. In this system, Two output signal is obtained - R-R interval time variability and Respiration time variability. Time variability is use to find out some disease related to Autonomic Nervous System. Experimental tested range is 30 ~ 240 BPM for ECG and 15~80 BPM for Respiration.

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Neural Mechanism in Bronchial Asthma (기관지천식에서의 신경적 기전)

  • Choi, Byoung-Whui
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.2
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    • pp.73-86
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    • 1994
  • In addition to classic cholinergic and adrenergic pathways, the existence of a third division of autonomic control in the human airways has been proved. It is called a nonadrenergic noncholinergic(NANC) nervous system, and difficult to study in the absence of specific blockers. Neuropeptides are certainly suggested to be transmitters of this NANC nervous system. It is very frustrating to understand the pathophysiologic role of these peptides in the absence of any specific antagonists. However, further studies of neuropeptides might eventually lead to novel forms of treatment for bronchial asthma. Another study of the interaction between different components of the autonomic nervous system, either in ganglionic neurotransmission or by presynaptic modulation of neurotransmitters at the end-organ will elute neural control in airway disease, particularly in asthma. Studies of how autonomic control may be disordered in airway disease should lead to improvements in clinical management. Epithelial damage due to airway inflammation in asthma may induce bronchial hyperresponsiveness. Axon reflex mechanism is one of possible mechanisms in bronchial hyperresponsiveness. Epithelial damage may expose sensory nerve terminals and C-fiber nrve endings are stimulated by inflammatory mediators. Bi-directional communication between the nerves and mast cells may have important roles in allergic process. The psychological factors and conditioning of allergic reactions is suggested that mast cell activation might be partly regulated by the central nervous system via the peripheral nerves. Studies in animal models, in huamn airways in vitro and in patients with airway disease will uncover the interaction between allergic disease processes and psychologic factors or neural mechainsms.

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Relationships of autonomic dysfunction with disease severity and neuropathic pain features in fibromyalgia: is it really a sympathetically maintained neuropathic pain?

  • On, Arzu Yagiz;Tanigor, Goksel;Baydar, Dilek Aykanat
    • The Korean Journal of Pain
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    • v.35 no.3
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    • pp.327-335
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    • 2022
  • Background: The pathophysiology of fibromyalgia (FM) involves many mechanisms including central nervous system sensitization theory, autonomic nervous system (ANS) dysfunction, and recently small fiber neuropathy. While the small fiber neuropathy itself can cause ANS dysfunction and neuropathic pain (NP), it is still unknown whether ANS problems have an association with severity of disease and NP in patients with FM. The aim of this study was to evaluate ANS dysfunction in FM patients and to explore possible associations of ANS dysfunction with disease severity and NP. Methods: Twenty-nine FM patients and 20 healthy controls were included in this cross-sectional study. Participants were tested using sympathetic skin responses (SSR) and R-R interval variation analyses for sympathetic and parasympathetic ANS dysfunction, respectively. Disease severity and somatic symptoms of patients with FM were evaluated using the ACR-2010 scales and Fibromyalgia Impact Questionnaire, and NP symptoms were evaluated using the Pain Detect Questionnaire and Douleur Neuropathique questionnaire. Results: FM patients were found to have ANS dysfunction characterized by increased sympathetic response and decreased parasympathetic response. SSR amplitudes were found to be correlated with a more severe disease. Although nonsignificant, NP severity tended to be associated with a decrease in sympathetic and parasympathetic activities. Conclusions: ANS dysfunction may play a role in the pathophysiology of FM. The trend of decreased ANS functions in FM patients exhibiting NP contradicts the notion that FM is a sympathetically maintained NP and may be explained with small fiber involvement.

An Association of Kyung-Rak Principle and Autonomic Nerve Theory related with Ryodoraku of Patients with Gastric Dysmotility and Gastric Ulcer (위장질환 환자의 양도락에 대한 경락학설과 자율신경이론의 연관성에 대한 연구 (위 운동장애형 소화불량증과 위궤양 환자의 증례를 대상으로))

  • Yoon, Sang-Hyub
    • The Journal of Internal Korean Medicine
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    • v.31 no.4
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    • pp.837-845
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    • 2010
  • It has been shown that bilateral decrease of point H4,5,6 in Ryodoraku test is related with gastric dysmotility. This suggested that the system of Kyung-Rak related with anatomical gastric disease may not be the Stomach Meridian, in the view that the system of Kyung-Rak is similar to that of Ryodoraku, and which was not consistent with classical contents of Kyung-Rak principle. Therefore, this paper was done to investigate whether bilateral decrease of point H4,5,6 is a general sign of common gastric disease in Ryodoraku test and to study its relation between Kyung-Rak principle and autonomic nervous system as a mediator explaining Ryodoraku response. As shown in the results of this study, different electrical response of Ryodoraku between patients with dyspepsia of gastric dysmotility and gastric ulcer revealed discrepancy of location indicating anatomical stomach between Kyung-Rak principle and Ryodoraku and instability of explanation of autonomic nerve theory to Ryodoraku. Thus, it presented the possibility that artificial application of Kyung-Rak principle against Ryodoraku may destroy its originality in the clinical field. To correctly use Ryodoraku in the diagnosis or evaluation of disease, Ryodoraku test should be used according to Nakatani's suggestion and clinical indication of which is limited to the diseases complicated with dysfunction of the autonomic nervous system.

The Analysis for Thermal Comfort Evaluation during long time operating Air Conditioner (에어컨 장시간 운전시 온열쾌적감 평가에 관한 연구)

  • Kim, Dong-Gyu;Park, Jong-Il;Kim, Se-Hwan
    • KIEAE Journal
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    • v.7 no.5
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    • pp.59-64
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    • 2007
  • Using air conditioner has been increased in home or office buildings in summer. Also various problems related to air conditioning such as disease induction happened by using air conditioner excessively and operating long. Active operation control is needed for occupant's health when air conditioner operates long. We should think ahead to acquire thermal comfort of occupants which represents psychological and physiological reaction for this operation. Research has been progressed to observe activity of autonomic nervous system by trying to quantitate change of thermal comfort. In this study, questions of the subject and change of body's autonomic nervous system were chosen to evaluate thermal comfort during operation of air conditioner for a long time. Electrocardiogram and questions of the subject which is the progress of changing TSV and CSV by occupants indoor were measured when room air conditioner is operated for a long time, and an air-conditioned adaptability of human body was evaluated by acquiring the change rate of autonomic nervous system through analyzing HRV. As a result of the evaluation, change rate of body's autonomic nervous system corresponded to votes of the subject's question generally, but was distinguished from analysis result of warm-cold sensation in a low temperature area.

A Study on Characters of Heart Rate Variability in Young Overweight and Obese Woman (젊은 비만 여성의 심박변이도 특성에 대한 연구)

  • Lee, Yoon-Jae;Hwang, Deok-Sang;Lee, Chang-Hoon;Lee, Kyung-Sub
    • Journal of Korean Medicine for Obesity Research
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    • v.8 no.1
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    • pp.63-70
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    • 2008
  • Objectives Obesity is the major risk factor of the heart disease and the metabolic disease. The autonomic nervous system is a key contributor in the regulation of energy balance, so the blunted activity may contribute to the maintenance of the obese state. So we evaluated the function of the autonomic nervous system in young overweight and obese women with heart rate variability. Methods The subjects were 26 overweight and obese young women(BMI〉$23kg/m^2$) and 25 lean women who visited Kangnam Kyunghee hospital for obesity management from March 2006 to April 2008. Bioimpedance Analysis (BIA), short-term spectral analysis of heart rate variability (HRV) were performed. Results HRV of obese young group was lower than the lean young group, but there is no statistical significance. BMI had significantly a negative correlation with Low Frequency(LF) of HRV. LF power is mediated by sympathetic nervous system activity. These results indicate a decrease of sympathetic modulation in overweight and obese young women. Conclusions Overweight and obese young women have decreased sympathetic nervous system activity. In clinical practice, an assessement of HRV would be noninvasive and sensitive methods for sympathetic nervous system of young overweight and obese women.

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Autonomic instability in severe tetanus: a case report

  • Seo, Seung Won;Lee, Jaewon;Yoo, Bong-Goo;Kim, Jehun;Huh, So-Young
    • Annals of Clinical Neurophysiology
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    • v.23 no.2
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    • pp.117-120
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    • 2021
  • Tetanus is an infectious disease of the nervous system caused by Clostridium tetani, and is characterized by tonic muscle contractions, painful spasms, and autonomic dysfunction. Severe autonomic dysfunction associated with tetanus can be life-threatening. We present a 62-year-old female who experienced lockjaw after an ankle fracture. The patient was diagnosed with tetanus and received tetanus immunoglobulin and a vaccination. The patient subsequently experienced labile hypertension. This case highlights the challenge and importance of managing cardiovascular instability.

Dysfunction of Autonomic Nervous System in Patients with Chronic Obstructive Pulmonary Diseases (만성 폐쇄성 폐질환 환자의 자율신경 장애)

  • Shin, Kyeong-Cheol;Lee, Kwan-Ho;Park, Hye-Jung;Shin, Chang-Jin;Lee, Choong-Ki;Chung, Jin-Hong;Lee, Hyun-Woo
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.3
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    • pp.317-326
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    • 1999
  • Background: Neural control of airway function is through parasympathetic, sympathetic and non-adrenergic, non-cholinergic mechanisms. The autonomic nervous system controls the airway smooth muscle tone, mucociliary system, permeability and blood flow in the bronchial circulation and release of mediators from the mast cells and other inflammatory cells. The cardiovascular and respiratory autonomic efferent fibers have a common central origin, so altered cardiovascular autonomic reflexes could reflect the altered respiratory autonomic status. Therefore, we performed this study to assess the autonomic abnormality and determine the correlating factors of severity of autonomic neuropathy in patients with chronic obstructive pulmonary disease(COPD) using easily reproducible cardiovascular autonomic reflex function test. Method: The study included 20 patients with COPD and 20 healthy persons obtained on Health Promotion Center in Yeungnam university hospital. All the patients had history and clinical features of COPD as defined by the American Thoracic Society. Any patients with myocardial ischemia, cardiac arrythmia, hypertension, central or peripheral nervous system disease, diabetes mellitus, or any other diseases known to produce autonomic neuropathy, has excluded. The autonomic nervous system function tests included three tests evaluating the parasympathetic system and two tests evaluating the sympathetic system. And also all subjects were subjected to pulmonary function test and arterial blood gas analysis. Results: Autonomic dysfunction was more commonly associated with patients with COPD than healthy person The parasympathetic dysfunction was frequent in patient with COPD, but sympathetic dysfunction seemed preserved. The severity of parasympathetic dysfunction in patients with COPD was correlated with the degree of duration of disease, smoking, reductions in the value of $FEV_1$ and FVC, and arterial hypoxemia but no such correlation existed for age, type of COPD, $FEV_1$/FVC, or $PaCO_s$. Conclusion: There is high frequency of parasympathetic dysfunction associated with COPD and the parasympathetic abnormality in COPD is increased in proportion to severity of airway disease. In COPD, parasympathetic dysfunction probably does not the cause of disease, but it may be an effect of disease progression.

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Clinical Opinion of Taegeuk Acupuncture Treatment by Sasang(4-type) Constitutional Medicine (태극침법(太極鍼法)의 임상 적응증에 대한 소고(小考))

  • Kim, Jae-Kyu
    • Journal of Acupuncture Research
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    • v.28 no.2
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    • pp.69-73
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    • 2011
  • Objectives : This study was undertaken in order to establish clinical application of Taegeuk acupuncture treatment by Sasang(4-type) Constitutional medicine. Methods : 1. Dr. Lee Byung-haeng suggested nine applications of Taegeuk acupuncture treatment of Soyang(lesser Yang) type men. 2. The author summarized the application of Taegeuk acupuncture treatment gathered by clinical experience. 3. The author researched the effect of Taegeuk acupuncture on patients after treatment. Results & Conclusions : 1. Taegeuk acupuncture treatment is effective against psychogenic disease. 2. Taegeuk acupuncture treatment is effective against autonomic nervous system dysfunction(For example, blood circulation disorder, etc.) and has an effect on recovery from sub-health. 3. The author conclude that Taegeuk acupuncture treatment for incurable diseases or diseases of unknown etiology needs a further clinical study in the future.

The Effects of Single Session Forest Walking on Physiological and Psychological State of Myocardial Infarction Patients

  • Shin, Jung-Woo;Choi, Jong-Hwan
    • Journal of People, Plants, and Environment
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    • v.22 no.1
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    • pp.109-118
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    • 2019
  • Physical activities in the forest environment stimulate the parasympathetic nervous system of humans and have positive effects on the autonomic nervous system as well as moods and emotions. However, there are almost no studies on the benefits of exercise in the forest environment for patients with myocardial infarction. The aim of this study was to investigate the effects of 15-minute single session walking by myocardial infarction patients in the forest and urban environment on the physiological and psychological states. The heart rate variability was measured in 10 patients with myocardial infarction to assess physiological state after single session walking for 15 minutes in the forest environment and urban environment. In order to evaluate the psychological state, a profile of mood scale (POMS) and semantic differential (SD) questionnaire were used. The results of this study showed that 15-minute single session walking in the forest environment activated the parasympathetic nervous system of adult myocardial infarction patients more than 15 minutes of single session walking in the urban environment, and also made them feel more positive in terms of the POMS and SD. Therefore, this study suggests that even single session walking in the forest environment can positively influence the physiological and psychological states of adult heart disease patients and may also contribute to health care.