• 대한한의학회지
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• 제39권3호
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• pp.1-16
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• 2018

Objectives: The purpose of this study was to investigate the effects of 56 herbal formulae covered by the National Health Insurance Corporation (NHIC) on dementia-related biomarkers and neuronal cell changes. Methods: The 56 herbal formulae were extracted with 70% ethanol at $100^{\circ}C$ for 2 h. The antioxidant properties was measured by radical scavenging assay using ABTS+ radical. The acetylcholinesterase (AChE) activity was tested by Ellman's assay and $amyloid-{\beta}$ ($A{\beta}$) aggregation was determined using fluorescence method. To estimate the inhibitory effects of herbal formulae on neuronal cell death and inflammation using HT22 hippocampal cells and BV-2 microglia, respectively. Results: Among the 56 herbal formulae, Dangguiyukhwangtang, Banhasasimtang, Samhwangsasimtang, Cheongwiesan, Hwangryunhaedoktang, Banhabaekchulchunmatang, Jaeumganghwatang, Cheongseoikgitang, and Hoechunyanggyuksan has a significant inhibitory effects on acetylcholinesterase (AChE) activity. Doinseunggitang and Samhwangsasimtang exerted the effect on the inhibition of $amyloid-{\beta}$ ($A{\beta}$) aggregation. Additionally, 10 herbal formulae affected AChE and $A{\beta}$ aggregation revealed antioxidant activity as well as neuroprotective and anti-neuroinflammation effects in neuronal cell lines. Conclusions: 10 herbal formulae that have been shown to be effective against the major dementia markers have been shown to have antioxidant activity, neuronal cell protection and inhibition of brain inflammation. Further investigation of these herbal formulae will need to be validated in dementia animal models.

• 한국균학회지
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• 제49권2호
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• pp.243-248
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• 2021

본 연구에서는 진균류 유래의 새로운 항치매성 BChE저해물질을 생산할 목적으로 대전광역시 하천에서 분리하여 선별한 비병원성 야생효모들의 무세포추출물들을 제조하여 이들의 BChE 저해활성 측정하였다. 비병원성 야생효모들 중 S. cerevisiae WJSL0113의 무세포추출물이 85.2%의 BChE 저해활성을 보여 최종 선발하였다. 선발 균주의 BChE 저해활성은 시판 주류용 S. cerevisiae과 식용 버섯들의 추출물보다 높은 저해활성을 보였고 선발 균주인 S. cerevisiae WJSL0113을 30℃에서 48시간 배양하였을 때 가장 높은 항치매성 BChE 저해활성을 보였다.

• 대한치매학회지
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• 제22권4호
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• pp.158-168
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• 2023

Background and Purpose: Facial emotion recognition deficits impact the daily life, particularly of Alzheimer's disease patients. We aimed to assess these deficits in the following three groups: subjective cognitive decline (SCD), mild cognitive impairment (MCI), and mild Alzheimer's dementia (AD). Additionally, we explored the associations between facial emotion recognition and cognitive performance. Methods: We used the Korean version of the Florida Facial Affect Battery (K-FAB) in 72 SCD, 76 MCI, and 76 mild AD subjects. The comparison was conducted using the analysis of covariance (ANCOVA), with adjustments being made for age and sex. The Mini-Mental State Examination (MMSE) was utilized to gauge the overall cognitive status, while the Seoul Neuropsychological Screening Battery (SNSB) was employed to evaluate the performance in the following five cognitive domains: attention, language, visuospatial abilities, memory, and frontal executive functions. Results: The ANCOVA results showed significant differences in K-FAB subtests 3, 4, and 5 (p=0.001, p=0.003, and p=0.004, respectively), especially for anger and fearful emotions. Recognition of 'anger' in the FAB subtest 5 declined from SCD to MCI to mild AD. Correlations were observed with age and education, and after controlling for these factors, MMSE and frontal executive function were associated with FAB tests, particularly in the FAB subtest 5 (r=0.507, p<0.001 and r=-0.288, p=0.026, respectively). Conclusions: Emotion recognition deficits worsened from SCD to MCI to mild AD, especially for negative emotions. Complex tasks, such as matching, selection, and naming, showed greater deficits, with a connection to cognitive impairment, especially frontal executive dysfunction.

• 대한약학회:학술대회논문집
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• 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.1
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• pp.271.2-271.2
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• 2003

The ${\gamma}$- and ${\beta}$-secretase are one of the most important proteases, which cleave amyloid precursor protein (APP) into neurotoxic A${\beta}$ peptide in Azheimer's type dementia. In the course of screening for anti-dementia agents from natural products, the mycelial culture of mushroom Phellinus linteus showed potent inhibition againt ${\beta}$-secretase (BACE1). (omitted)

• 고령자･치매작업치료학회지
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• 제12권2호
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• pp.107-115
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• 2018

목적 본 연구의 목적은 집단작업치료 프로그램이 경도인지장애(MCI)를 가진 노인의 우울증과 삶의 질에 미치는 영향을 알아보고자 한다. 연구방법 경도인지장애 노인은 간이정신상태검사(Mini Mental State Examination-Dementia Screening, MMSEDS)를 기준으로 선정하였다. 대상자들의 집단작업치료 프로그램은 다양한 인지 영역으로 구성되어 6주 동안 12회 수행되었다. 노인우울증 척도 (SGDS-K)와 삶의 질 (QOL)을 사용하여 중재 전 후의 대상자의 우울증과 삶의 질을 평가하였다. 연구결과 경도인지장애(MCI) 노인은 집단 작업치료 중재 프로그램 후 노인우울증 척도 (SGDS-K)와 삶의 질(QOL)에서 통계학적으로 유의하게 향상되었다(p<0.05). 특히 삶의 질 평가 (QOL)중 일부 항목은 통계적으로 유의한 차이가 있었지만, SGDS-K와 QOL의 결과는 상관관계를 보이지 않았다(p>0.05). 결론 경도인지장애(MCI)를 가진 노인의 경우, 집단작업치료 프로그램을 6주 동안 시행했을 때 삶의 질(QOL)과 우울 증상은 중재 전 후비교에서 통계적으로 유의한 변화를 보였다.

• 한국융합학회논문지
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• 제9권5호
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• pp.121-127
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• 2018

본 연구는 55명의 노인 대상자를 무작위로 급속안구운동(saccadic eye movement, SEM)군과 원활추종눈운동(smooth pursuit eye movement, SPEM) 두 군으로 구분하여 4주 동안 안구운동을 실시한 후 사건관련 전위(event-related potentials)중 P300의 전위값과 잠복기 그리고 MMSE-DS를 사용하여 안구운동이 인지능력에 미치는 영향을 알아보고자 하였다. 그 결과 SEM과 SPEM 군의 P300 전위값은 유의하게 상승하였으며, P300의 잠복기는 유의하게 짧아졌다. MMSE-DS 결과 두 군 모두 유의한 상승을 나타냈으며, 군간 비교 시 SEM군은 지남력, SPEM군은 주의력에서 유의한 차이를 나타내었다. 결론적으로 SEM과 SPEM은 노인의 인지능력을 향상 및 유지를 시킬 수 있으며 치매예방과 경도 치매에 대한 치료 도구로 사용될 수 있을 것으로 생각된다.

• 한국식품영양과학회지
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• 제32권7호
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• pp.971-975
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• 2003

우리나라가 고령화사회에서 고령사회로, 고령사회에서 초고령사회로 도달하는 시간이 각각 22년과 10년으로 추정되며 선진국에 비해 진입속도가 빠를 것으로 보고 있다. 고령화인구에 따라 일상생활은 물론 지역 사회에서의 활동, 더 나아가서는 직업 활동을 할 수 없는 기억 장애현상인 노인성 치매가 더욱 문제시된다. 따라서 본 연구에서는 우리나라에서 정신건강 관련하여 이미 이용되고 있거나 민간에서 구두로 알려진 식품 총 100종을 선정하고, 메탄올 추출물에 대하여 prolyl endopeptidase에 대한 활성 저해율을 측정하였다. 그 결과, 40ppm 농도에서 도토리가 96.0%로 가장 높은 활성 저해율을 보였고, 산딸기가 92.0%, 호두가 73.0%로 나타났으며, 그 외의 나머지 식품들은 56.1%인 녹차를 제외하고는 모두 50% 미만의 수준이었다. 본 연구결과 PEP에 비교적 특이적으로 작용하는 저해제로서 도토리와 산딸기를 확인할 수 있었고, 현재까지 개발되고 보고된 합성 peptide인 PEP저해제와는 달리 천연식품이란 점에서, 앞으로 이 식품들이 항치매 예방 기작 구명에 유용하게 이용됨과 동시에 치매의 예방을 위한 기능성 식품으로서 이용될 수 있을 것으로 기대된다.

• Journal of Yeungnam Medical Science
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• 제35권2호
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• pp.205-212
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• 2018

Background: Brain volume is associated with dementia and depression in the elderly. An easy way to predict relative brain volume is to measure head circumference. In this study, we investigated the relationship between head circumference and cognition as well as depression in a non-demented elderly community. Methods: Baseline and follow-up surveys were conducted in 2007 and 2010. At baseline, community residents aged 65 years or over (n=382) within a rural area of South Korea were screened for dementia and symptoms of depression and were followed using the same screening battery after 3 years (n=279). Data from anthropometric measurements (head circumference, height, and body weight), demographics, and blood tests were gathered. Neuropsychological tests, including the Korean version of mini-mental state examination (K-MMSE), clinical dementia rating (CDR) including the CDR-sum of boxes, the Korean version of instrumental activities of daily living, and geriatric depression scale (GDS), were performed. None of the 279 subjects followed were demented. Results: Baseline performance on the K-MMSE and GDS was poorer for participants with smaller head circumferences. Follow-up performance on the MMSE was also poorer for participants with smaller head circumferences. Interestingly, participants with smaller head circumference showed worse GDS scores at baseline but on follow-up examination, participants with larger head circumference showed rapid worsening than those with smaller head circumference with marginal significance by ANOVA test. In regression coefficient analysis, GDS decline showed significant difference. Conclusion: Head circumference was not associated with cognitive change but was associated with symptoms of depression in non-demented community residents.

• 대한치매학회지
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• 제22권2호
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• pp.69-77
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• 2023

Background and Purpose: The Montreal Cognitive Assessment (MoCA) has been known as a screening test for detecting mild cognitive impairment (MCI) better than Mini-Mental State Examination (MMSE). However, in previous domestic studies, no significant difference was found in the discriminability between MoCA and MMSE. Researchers have suggested that this might be because older Koreans are less educated than older Westerners. This study was conducted to examine the effect of education on the discriminability of MoCA compared to the MMSE. Methods: Participants were 123 cognitively normal elderly, 118 with vascular MCI, 108 with amnestic MCI, 121 with vascular dementia, and 113 with dementia of the Alzheimer's type. The Korean-MoCA (K-MoCA) and Korean-MMSE (K-MMSE) were administered. Multiple regression analyses and receiver operating characteristic (ROC) curve analyses were performed. Results: In all participants, education significantly affected both K-MoCA and K-MMSE scores along with age. The effect of education was re-examined by subgroup analysis after dividing subjects according to the level of education. Effect of education on K-MoCA and K-MMSE was only shown in the group with <9 years of education. ROC curve analyses revealed that the discriminability of K-MoCA to differentiate between vascular MCI and normal elderly was significantly higher than that of K-MMSE. When re-examining subgroups divided by education level, however, this higher discriminability of K-MoCA disappeared in the group with <9 years of education. Conclusions: These results indicate no difference in discriminating cognitive deficits between K-MoCA and K-MMSE in Korean elderly with <9 years of education.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2002년도 제54차 추계 학술대회 연제집
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• pp.509-509
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• 2002