• 제목/요약/키워드: Enhanced Pain

검색결과 203건 처리시간 0.019초

Electroacupuncture Analgesia Is Improved by Adenoviral Gene Transfer of Dopamine Beta-hydroxylase into the Hypothalamus of Rats

  • Kim, Soo-Jeong;Chung, Eun Sook;Lee, Jun-Ho;Lee, Chang Hoon;Kim, Sun Kwang;Lee, Hye-Jung;Bae, Hyunsu
    • The Korean Journal of Physiology and Pharmacology
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    • 제17권6호
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    • pp.505-510
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    • 2013
  • Electroacupuncture (EA) is a modified form of acupuncture that utilizes electrical stimulation. We previously showed that EA stimulated rats were divided into responders that were sensitive to EA and non-responders that were insensitive to EA based on the tail flick latency (TFL) test. The dopamine beta-hydroxylase (DBH) gene was more abundantly expressed in the hypothalamus of responder rats than non-responder rats. To determine whether overexpression of DBH gene expression in the hypothalamus modulate EA analgesia, we constructed a DBH encoding adenovirus and which was then injected into the hypothalamus of SD rats. Microinjection of DBH or control GFP virus into the hypothalamus had no changes on the basal pain threshold measured by a TFL test without EA treatment. However, the analgesic effect of EA was significantly enhanced from seven days after microinjection of the DBH virus, but not after injection of the control GFP virus. DBH expression was significantly higher in the hypothalamus of DBH virus injected rat than control GFP virus or PBS injected rats. Moreover, expression of the DBH gene did not affect the body core temperature, body weight, motor function or learning and memory ability. Although the functional role of DBH in the hypothalamus in the analgesic effect of EA remains unclear, our findings suggest that expression of the DBH gene in the hypothalamus promotes EA analgesia without obvious side-effects.

Acute Type A Aortic Dissection in a Patient with Situs Inversus Totalis

  • Kim, Dong Kyu;Lee, Ji Min;Heo, Seon Yeong;Jung, Jong Pil;Park, Chang Ryul;Lee, Yong Jik;Lee, Sang Cjeol;Hwang, Su Kyung;Kim, Gwan Sic
    • Journal of Chest Surgery
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    • 제53권5호
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    • pp.321-323
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    • 2020
  • We describe the occurrence of acute type A aortic dissection in a patient with situs inversus totalis. A 37-year-old man presented to the emergency department with acute chest pain. Initial chest X-ray findings showed a right-sided heart and a left-sided liver. Contrast-enhanced computed tomography revealed a Stanford type A acute aortic dissection, aortic root dilatation, and situs inversus totalis. All of the thoracic structures were mirror-image reversed and an abnormal coronary artery was observed. The Bentall operation was performed. This report demonstrates that computed tomography and echocardiography were useful for understanding the anatomy and the presence or absence of concurrent anomalies in a patient with situs inversus totalis. The patient's postoperative course was uneventful.

Spinal Cord Subependymoma Surgery : A Multi-Institutional Experience

  • Yuh, Woon Tak;Chung, Chun Kee;Park, Sung-Hye;Kim, Ki-Jeong;Lee, Sun-Ho;Kim, Kyoung-Tae
    • Journal of Korean Neurosurgical Society
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    • 제61권2호
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    • pp.233-242
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    • 2018
  • Objective : A spinal cord subependymoma is an uncommon, indolent, benign spinal cord tumor. It is radiologically similar to a spinal cord ependymoma, but surgical findings and outcomes differ. Gross total resection of the tumor is not always feasible. The present study was done to determine the clinical, radiological and pathological characteristics of spinal cord subependymomas. Methods : We retrospectively reviewed the medical records of ten spinal cord subependymoma patients (M : F=4 : 6; median 38 years; range, 21-77) from four institutions. Results : The most common symptoms were sensory changes and/or pain in eight patients, followed by motor weakness in six. The median duration of symptoms was 9.5 months. Preoperative radiological diagnosis was ependymoma in seven and astrocytoma in three. The tumors were located eccentrically in six and were not enhanced in six. Gross total resection of the tumor was achieved in five patients, whereas subtotal or partial resection was inevitable in the other five patients due to a poor dissection plane. Adjuvant radiotherapy was performed in two patients. Neurological deterioration occurred in two patients; transient weakness in one after subtotal resection and permanent weakness after gross total resection in the other. Recurrence or regrowth of the tumor was not observed during the median 31.5 months follow-up period (range, 8-89). Conclusion : Spinal cord subependymoma should be considered when the tumor is located eccentrically and is not dissected easily from the spinal cord. Considering the rather indolent nature of spinal cord subependymomas, subtotal removal without the risk of neurological deficit is another option.

퇴행성(退行性) 슬관절염(膝關節炎)의 봉독약침(蜂毒藥鍼) 치료효과(治療效果)에 대한 임상적(臨床的) 관찰(觀察) (Clinical investigation compared with the effects of the bee-venom Acupuncture on knee joint with osteoarthritis)

  • 왕오호;안규범;임진강;장형석
    • 대한약침학회지
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    • 제4권3호
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    • pp.101-103
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    • 2001
  • Objective : This study is designed to find out the effects of the Bee-Venom Acupuncture on knee joint with osteoarthritis. Methods :We are investigated that outpatients suffer from knee joint pain deciphered at the division of Acupuncture in Jaseng oriental medicine hospital from the 13, July 1999 to until 11, November 2000. We make an estimated of the score from both before or after its treatment about 70 cases of diagnostic patient with the osteoarthritis of knee joints by biochemical method and X-RAY analysis, we observed in the progress of symptoms. Results: These results found that sex. distinction with a disease caused much more female than male at the ratio of 1 to 5.36 in the proportion of males to females, jobs is mainly ranked with a housewife and approximately 82.9% of cases before our hospital have ever treated at the other clinics or hospitals. On the hand. the distribution interval of a case history is mainly followed by disease in below 6 month, interval of the period-treatment is mainly gone within 3 month and frequency of treatment is examined into 11 to 15 times, more than 16 times and below 10 times, respectively. We are estimated with the score of functional barrier from both before or after its treatment against osteoarthritis' patients and produced in the usefulness from the totally point of fields except the aid-device after its treatment. In summary, these results demonstrated that Bee Venom, Acupuncture enhanced more than 82.9% to the improvement of treatment and P<0.05 considered to be statistically significant. Conclusion: These results suggest that Bee-venom Acupuncture may be playa role in the significant usefulness and have need of actively application for the clinical trials against osteoarthritis' patients.

퇴행성(退行性) 슬관절염(膝關節炎)의 봉독약침(峰毒藥鍼) 치료효과(治療效果)에 대한 임상적(臨床的) 관찰(觀察) (Clincal Investigation Compared with the Effects of the Bee Venom-Acupuncture on Knee Joint with Osteoarthritis)

  • 왕오호;안규범;임진강;장형석
    • Journal of Acupuncture Research
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    • 제18권3호
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    • pp.35-47
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    • 2001
  • Objective : This study is designed to find out the effects of the Bee Venom-Acupuncture on knee joint with osteoarthritis. Methods : We are investigated that outpatients suffer from knee joint pain deciphered at the division of Acupuncture in Jaseng oriental medicine hospital from the 13, July 1999 to until 11, November 2000. We make an estimated of the score from both before or after its treatment about 70 cases of diagnostic patient with the osteoarthritis of knee joints by biochemical method and X-RAY analysis, we observed in the progress of symptoms. Results : These results found that sex distinction with a disease caused much more female than male at the ratio of 1 to 5.36 in the proportion of males to females, jobs is mainly ranked with a housewife and approximately 82.9% of cases before our hospital have ever treated at the other clinics or hospitals. On the hand, the distribution interval of a case history is mainly followed by disease in below 6 month, interval of the period-treatment is mainly gone within 3 month and frequency of treatment is examined into 11 to 15 times, more than 16 times and below 10 times, respectively. We are estimated with the score of functional barrier from both before or after its treatment aganist osteoarthritis' patients and produced in the usefulness from the totally point of fields except the aid-device after its treatment. In summary, these results demonstrated that Bee Venom, Acupuncture enhanced more than 82.9% to the improvement of treatment and P<0.05 considered to be statistically significant. Conclusion : These results suggest that Bee-venom Acupuncture may be play a role in the significant usefulness and have need of actively application for the clinical trials against osteoarthritis'patients.

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시판 Breakfast Cereals의 품질특성 (Quality Characteristics of Commercial Breakfast Cereals)

  • 박찬경;맹영선
    • 한국식품과학회지
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    • 제24권3호
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    • pp.289-293
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    • 1992
  • 본 연구에서는 시판 breakfast cereals의 품질 특성을 비교 검토하였다. Breakfast의 water absorption index(WAI)가 클수록 water soluble index(WSI)는 감소하는 경향을 나타내었으며, Bowl life는 WSI가 클수록 길어지는 경향을 나타내었다. 시판 breakfast cereals의 Bowl life는 제품의 WSI 이외에도 크기, 모양 및 조직 등의 영향을 받는 것으로 나타났다. 품질 표현용어의 조사에 따르면 시판 breakfast cereals의 중요한 관능적 품질요소는 고소한 맛, 단 맛, 굳기, 부서지는 정도 및 먹은 후 입속에 남는 느낌으로 구분되며, 특히 부서지는 정도가 가장 중요한 요소임을 알 수 있었다. 단 맛과 고소한 맛은 강한 음의 상관관계를 나타내어 첨가물에 의한 단 맛 강화는 오히려 고소한 맛을 감소시켰다. 전체적인 관능적 품질은 색, 고소한 냄새, 고소한 맛과 강한 양의 상관관계를, 입안에서의 마찰 정도, 부착성, 첨가물 맛과는 강한 음의 상관관계를 나타내었다. 이들 결과로 미루어 볼 때 좋은 색과 고소한 맛, 바삭바삭한 조직감을 갖는 breakfast cereal이 좋은 품질의 제품으로 평가되었다.

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스코폴라민으로 유도한 기억력 장애 동물모델에서 명자나무(Chaenomeles speciose Nakai) 과실 추출물의 효과 (Effects of Chaenomeles speciose Nakai on Scopolamine Induced Memory Impaired Mouse Model)

  • 김지현;김란희;김재훈;임미경;이상호;한은혜;장대식;류종훈
    • 생약학회지
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    • 제50권4호
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    • pp.253-259
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    • 2019
  • Chaenomeles speciose Nakai (CSP) or Chaenomeles sinensis Koehne (CSS) (Rosaceae) has been used, traditionally, to treat muscle problems and gastric dampness in eastern Asia countries. Therefore, many studies have focused on investigating its active compounds and effects on muscle pain, arthritis and gastro-intestinal diseases. Recently, several studies reported that CSS extract degrade amyloid plaques and enhance synaptic acetylcholine level in vivo and in vitro. Although these two Chaenomeles species are used without differences, CSP is reported to contains more phenolic compounds which are known to enhance memory. Therefore, in this study, we investigated the memory ameliorating effects of CSP by employing the passive avoidance test, Y-maze task and novel object recognition test. CSP (30 or 100 mg/kg) ameliorated the declined memory induced by scopolamine injection and enhanced the brain-derived neurotrophic factor (BDNF) levels along with post synaptic density protein 95 (PSD 95) levels at the hippocampus of the scopolamine-injected mouse brain. These results suggested that CSP alleviates the cognition declines caused by cholinergic blockade via enhancing BDNF levels and PSD 95, and that it would enhance memory formation and be useful for treating memory declines.

근육내 자극요법 후 목빗근내 농양의 치험례 (A Case of Intramuscular Abscess in the Sternocleidomastoid Muscle after Intramuscular Stimulation (IMS))

  • 김재인;최환준;최창용;양형은
    • Archives of Plastic Surgery
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    • 제37권2호
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    • pp.182-186
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    • 2010
  • Purpose: Intramuscular stimulation (IMS) shows good results in the treatment of chronic pain patients who did not respond to other treatments such as oral analgesics, trigger point injection, nerve block and epidural steroid injection. But, IMS procedure especially, patients with diabetes mellitus (DM) has sometimes serious problem. So, we present a very rare case of intramuscular abscess in the sternocleiomastoid muscle after IMS with literature review. Methods: A 66 year old male visited our department 7 days after IMS in the neck. His premorbid conditions and risk factors of deep neck infection was DM and old age. Computed tomographic scans of the head and neck region were performed in this patient: signs of deep neck infection, were seen enhanced abscess in the sternocleidomastoid muscle, cellulitis overlying tissue of the neck, and air bubbles involved muscle. Necrotic wound was excised serially and we treated this with the Vacuum-assisted closure (VAC, Kinetics Concepts International, San Antonio, Texas) system device. After appropriately shaping the sponge in the pockets, continuous negative pressure of 125 mmHg was applied. The VAC therapy was utilized for a period of 12 days. Results: We obtained satisfactory results from wide excision, drainage of the abscess with the VAC system, and then primary closure. The postoperative course was uneventful. Results: We suggest that many of the infectious complications may be preventable by strict adherence to aseptic techniques and that some of the other complications may be minimized by refining the techniques with a clear understanding of the medical disorders of patients. And, the refined technique using the VAC system can provide a means of simple and effective management for the cervical intramuscular abscess, with better cosmetic and functional results.

상완 신경총에 발생한 신경초종의 미세절제술 - 1예 보고 - (Microsurgical Resection of Schwannoma of the Brachial Plexus -A case report -)

  • 손병철;조규도;조민섭;왕영필;조덕곤
    • Journal of Chest Surgery
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    • 제38권3호
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    • pp.249-252
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    • 2005
  • 상완 신경총에 발생하는 종양은 비교적 드물다 저자들은 상완 신경총의 하부 신경간에 발생한 신경초종을 미세현미경 수술로 치료하였기에 보고한다. 38세 남자 환자가 우측 쇄골상부 및 전완부의 6, 7번 경부신경 지배영역에 통증을 호소하였다. 고무탄력의 딱딱한 종괴가 우측 쇄골 상부에서 촉지되었고 자기공명영상소견 상 우측 상완 신경총 부위에 주위와 경계가 뚜렷하고 낭성 부위를 포함하며 조영제에 잘 조영되는 타원형의 종괴였다. 상완 신경총 종양은 전방 경흉부 접근법(Dartevelle 변형술식)을 통해 완전히 제거되었다. 수술 후 3개월째 아무런 신경 증상이 없이 외래 추적관찰 중이다.

침 자극이 인체의 자율신경계에 미치는 영향 고찰 (Review on the Effects of Acupuncture Stimulation on Autonomic Nervous System)

  • 이주호;박영재;박영배
    • 대한한의진단학회지
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    • 제15권2호
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    • pp.127-140
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    • 2011
  • Objectives: Acupuncture has been shown to relieve pain and modulate biological function by stimulating the organ-specific meridians and enhances parasympathetic activity and suppresses sympathetic activity. The aim of this review is to summarize and understand the effects of acupuncture on autonomic nervous system. Methods: We reviewed a total of 29 studies published from 2000 to 2010 searched by PueMed and various domestic oriental medicine journals to obtain acupuncture studies related with ANS. Each article was classified by ANS measurement index and reviewed for study objectives, outcomes, acupuncture points, experimental and control interventions. Results: In the study of acupuncture about EEG, HRV, SCR, the experiment results are not the same by acupoints. Although same acupoint the results differ by subject's condition. But the study showed some clear tendency. In brief, in normal states acupuncture enhanced either vagal or sympathetic tone depending on the stimulated acupuncture point sites. On the other hand, most of studies demonstrated that acupuncture restored the autonomic dysfunctions in various kinds of tired or stressful states. Conclusions: We reviewed studies that contributed to an understanding of the effects and mechanisms of acupuncture on autonomic nervous system. Although the relationship between acupuncture and ANS response is still uncertain, acupuncture could be a excellent treatment method for modulating autonomic dysfunction.