• 제목/요약/키워드: Neuropsychiatry

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장원환가감방(壯元丸加減方) 전탕액(煎湯液)이 APP로 유도된 형질전환 초파리에서의 항치매 효과 (Antidementia Effect of Jangwonhwangagambang Water Extract in APP-induced Drosophila Model)

  • 한원주;김상태;이충식;박보라;정은영;김대현;윤종현;김진우;강형원;류영수;김태헌
    • 동의생리병리학회지
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    • 제22권5호
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    • pp.1215-1222
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    • 2008
  • Recent studies indicate that the deposition of ${\beta}$-amyloid ($A{\beta}$) is associated with the pathogenesis of Alzheimer's disease (AD), but the underlying mechanism is not clear yet. To investigate the effects of Jangwonhwangagambang (JWHG) extract on AD pathogenicity, we have generated transgenic Drosophila model in which GMR-APP-GAL4/UAS-GRIM system was designed to overexpress amyloid precursor protein(APP), We examined fly's survival ratio, flight behavior, and morphological patterns of chest and eye. We found that JWHG treatment improved fly's survival ratio by inhibiting apoptosis and flight behavior. APP-GRIM transgenic flies treated with JWHG showed had significantly lower levels of APP deposition in the chest and eye compared to control animals. JWHG treatment further inhibited chest and eye degeneration. These results suggest that JWHG prevents APP-induced neurotoxicity, and thus may be applicable for the development of preventive or therapeutic agents for AD treatment.

수비전(壽脾煎) 추출물의 항우울 효과에 관한 연구 (Antidepressant effect of the extracts of Subi-jeon, a Korean medicinal prescription)

  • 한윤승;이상택;심상민;김근우;;;;구병수
    • 동의신경정신과학회지
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    • 제16권1호
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    • pp.171-183
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    • 2005
  • Objective : The Korean famous medicinal prescription of Subi-jeon was investigated for their antidepressant effects by tail suspension test, hot plate test, reserpine-induced hypothermia test. In addition, the monoamine oxidase activity was determined in vivo. Methods : The methanol extract reduced dose-dependently the duration of immobility in the tail suspension test, by 31.4 and 34%(p<0.05) at doses of 500mg/kg and 1g/kg, respectively, compared with control group. In comparison with this, the effect of the water extract was very weak. Results : 1. In the hot plate test, the methanol extract potently increased the jump latency time(p<0.05) compared to the control group, exhibiting the inhibition rate of 197% and 256% at doses of 500mg/kg and 1g/kg(per os), respectively, which is more effective than the water extract. 2. Both extracts suppressed the fall of body temperature induced by reserpine(reserpine-induced hypothermia) in a dose-dependent manner, showing the less effect at lower doses and better effect at higher doses compared to the water extract. 3. Both extracts inhibited the brain monoamine oxidase activity in an in vivo assay compared to the control group, the activity of water extract was better than that of the methanol extract. Conclusion : The prescription of Subi-jeon can be useful for the prevention and treatment of depression.

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백서의 기억능력에 대한 조구등(釣鉤藤) 디클로로메탄분획의 효과 (The effects of Ramulus et Uncus Uncariae DM fraction on memory enhancing in rats)

  • 장현호;류승준;한원주;김경열;류희영;김태헌;류영수;강형원
    • 동의신경정신과학회지
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    • 제16권1호
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    • pp.119-128
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    • 2005
  • Objective : The purpose of this study was to estimate the effects of Ramulus et Uncus Uncariae DM fraction on memory enhancing in rats Methods : We oral administered Ramulus et Uncus Uncariae DM fraction to rats then executed passive avoidance test and observed figure of pyramidal neuron on CA1 Results : Findings from our experiments have shown that REUD(>1mg/100g/ml) was effective in memorial improvement. and oral administration of REUD(100mg/100g/ml) for 2 weeks was found to induced the figure of pyramidal neuron on CA1 in rat hippocampus injured by scopolamine. Conclusions : As the result of this study, Decrease of memory induced by injection of scopolamine into rat was also attenuted by REUD, based on passive avoidance test, and REUD was found to reduce the activity of AChE and induced about the CA1 in rat hippocampus. Base on these findings, REUD may be beneficial for the treatment of AD.

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화병역학연구 자료를 기반으로 한 화병 환자의 특성 (The Characteristics of Hwa-byung Patients Based on Hwa-byung Epidemiologic Data)

  • 김종우;정선용;서현욱;정인철;이승기;김보경;김근우;이재혁;김낙형;김태헌;강형원;김세현
    • 동의신경정신과학회지
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    • 제21권2호
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    • pp.157-169
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    • 2010
  • Objectives : The aim of this study was to investigate the characteristics of Hwa-Byung(HB) patients, draw the clinical key issue of HB, and provide the data as the basis for development of Clinical Guideline of HB. Methods : The study participants included 151 subjects who thought they have HB in 9 site. For all patients, we used HB epidemiologic study protocol, which include the Korean version of the Structured Clinical Interview for the DSM-IV Diagnosis (SCID-1), diagnostic criteria of HB, symptoms check list, pattern identification tool, psychiastric psychological questionaires, and Framingham coronary risk score(FRS). Results : 1. For all participants, 62 % of subjects were diagnosed with HB. These patients had comorbid DSM-IV diagnoses with depression (65%) and anxiety (27%). But 22% of these patients had only HB. 2. HB patients had various physical symptoms when visiting, were diagnosed as various disease, and undergone medical treatments in the past. Among the diagonsed illness, Gastronitestinal diseases (51.6%), psychiatric disorders(40.9%), endocrine diseases(39.8%) were being the most frequent. The frequent physical symptoms of HB patients reported were chest discomfort, head ache, pallpitation, frequent sigh, amnesia, shoulder pain, dry mouth, eye fatigue etc. 3. HB patients had high scores in psychologic questionares, CES-D, STAI, and STAXI. It means that HB patients might be low-level emotional stability. 4. Participant had negative opinion about the treatment of HB that it would be difficult or impossible (65.7%), but they neglect the need of medical treatment. Conclusions : This result shows that HB is comorbid with various psychiatric disease, but it has different physio-psychological symptoms from others and there were only HB patients. so we identify HB is independent disease. Moreover, there were the wrong perception of HB which blocking treatments. These problems support that the neccesity of development of Clinical Guideline of HB.

내원 환자의 MMPI 군집분석과 사상체질과의 상관성 연구 (Study for correlation between MMPI results and Sasang constitutions, in out-patients of Oriental Neuropsychiatry)

  • 김진형;양희숙;국윤재;노임선;이성근;장현호;김태헌;유영수;강형원
    • 동의신경정신과학회지
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    • 제15권1호
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    • pp.175-185
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    • 2004
  • Objective : For investigating correlation among diagnostic types, MMPI results and Sasang constitutions, in out-patients of Oriental Neuropsychiatry. Method: We got the following result by comparing the out-patients' MMPI and QSCCII from 2000/12/1 to 2001/12/30 at Sanbon Hospital of Oriental Medicine, Wonkwang University. Result and Conclusion: 1. A specific character of population for study's objects was that female (128, 68.4%) was twice bigger that the male(59, 31.6%). And their education levels were 52 of college graduate (27.8%), 40 of high school graduate (21.4%), and 14 of middle school graduate (14 %). A distribution of the occupation, there are 62 of labors (33.2%), 62 of white collars (33.2%), 30 of sales (16%), 16 of students (8.6%). Their marrige statuses were 144 of married (77%), 31 of single (16.6%), 4 of divorced (2.1%), and 1 of bereavement (0.5%). 2. In the physical constitutions there were 70 of Soeumin(37.4%), 56 of Soyangin(29.9%) 55 of Taeumin (29.4%), 6 of others (3.2%). A differentiation with their diagnosis, there were 55 of palpitations (29.4%), 45 of depression (24.1%), 18 of women's diseases (9.6%), 14 of insomnia (7.5%), 13 of headache (7%), 8 of pain (4.3%), 8 of hwabyung (4.3%), 7 of psychosis (3.7%), 4 of dizziness (2.1%), and 15 of others(8%). 3. A result of groupling MMPI, we could classify into 4 different groups. Group 1 is a profile of trasition in a neurosis. Group 2 is a proflie of a mental disease. Group 3 is a proflie of $'{\wedge}'$ type neurosis. And group 4 has normal profile. 4. Regarding each group with physical constitution and a distribution of diagnosis, Group 1 is found out 36.4 % of Soeumin, 34.10 % of palpitations. And group 2 showed 43.6% of Soyangin, 25.6% of depression. Group 3 showed 46.4% of Soyangin, 31.90% of palpitations. Group 4 showed the most in 34.3% of Soyangin, and 31.40% of palpitations 5. A result of the study using Chi-square test is that there is no correlation between the 4 different groups and the Sasang physical constitution.

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건망(健忘)의 병인(病因) 치료(治療)에 관(關)한 문헌고찰(文獻考察) (Literatual Study on Cause and Treatment of Amnesia)

  • 주승균;구병수;김성욱
    • 동의신경정신과학회지
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    • 제12권2호
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    • pp.69-84
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    • 2001
  • Objectives : We suggest the method of oriental neuropsychiatry treatment about amnesia through herb therapy. Methods : We investigate cause of disease, component of herbs about amnesia with classic current oriental medicine books. Results : Amnesia is due to simsinbulgyo(心腎不交), biwieyangher(脾胃陽虛), dammisimgyoo(痰迷心竅), emotional damage(七情所傷), extravasated blood(瘀血), deficiency of kidney (腎虛). There is 138 kind of herbs are used in our study that we find out that most frequently used herb is ginseng(人蔘). Heart meridian is the highest use in the all meridians. Sungon(性溫) is the highest use in the all kimi(氣味) Conclusions : We could confirm that herbs of amnesia treatment was related to the three vital organs(臟) named of spleen(脾), lung(肺), kidney(腎).

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일과성 전기억상실증으로 진단된 환자 치험 2례 (Clinical Report of two TGA cases)

  • 오경민;양동호;조윤송;김보경
    • 동의신경정신과학회지
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    • 제19권3호
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    • pp.265-276
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    • 2008
  • Transient global amnesia(TGA) is a clinical syndrome characterized by sudden, temporary dysfunction of anterograde and recent retrograde memory without other neurologic deficits. Different hypotheses have been considered for its etiology, but it still remains obscure. Recently the diffusion-weighted magnetic resonance imaging(DWI), has been considered as the sensitive tool to detect small punctate hyperintense lesions in the hippocampus in transient global amnesia(TGA). We report two TGA cases, all of them answers to TGA clinical criteria, and one of them showed two dot like high signal intense foci in Rt. hippocampus on DWI.

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하지마목으로 진단된 환자 치험 1례(例) (Treatment of Acute Transverse Myelitis : a case report)

  • 강형원;류영수;김태헌;이수정
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.213-221
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    • 2005
  • Acute Transverse Myelitis is a syndrome, not a disease, in which acute inflammation affects gray and white matter in one or more adjacent thoracic segments. Almost all patients will develope ascending weakness and numbness of feet and leg, difficulty voiding, urinary retention, and loss of bowel control. We concluded this case to MAMOK( 마목) due to Qi ascent, Qi deficiency, Qi stoppage(상기, 기허, 기체). So we used herbal medication, acupuncture, and homeopuncture according to oriental medical theory. Weakness and numbness of feet and leg, difficulty voiding, urinary retention, and loss of bowel control are reduced. Herbal medication, acupuncture, and homeopuncture helped the care of this syndrome and further study will be investigated in oriental medicine for this syndrome.

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외상성 경막하 출혈 환자의 섬망에 대한 화어전(化瘀煎) 치험 1례(例) (A Case of Delirium with Traumatic Subdural Hemorrhage Patient Healed by Hwaeo-jeon)

  • 김헌일;김근우;구병수;유종호
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.189-199
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    • 2005
  • We experienced a 71year-old man who had a traumatic subdural hemorrhage as well as delirium, and whose condition was improved through oriental medical treatment. Herbal medicine Hwaeo-jeon is administered three times a day. We did Mini-Mental State Examination-Korean(MMSE-K) and Korean-Dementia Rating Scale(K-DRS). After being treated, the patient showed that symptoms of delirium(diminished or altered state of consciousness, impairment of cognitive abilities or physical function) was improved considerably. This result suggests that Hwaeo-jeon has good effects on delirium with Traumatic Subdural Hemorrhage.

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SRP(Stress Reduction Program)을 적용하여 호전된 공황장애 48세 남환 치험 1례 (A Clinical Report about Panic Disorder Patient imporved by Stress Reduction Program)

  • 서진우;김종우;정선용;박소정
    • 동의신경정신과학회지
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    • 제18권3호
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    • pp.157-164
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    • 2007
  • The SRP program(stress reduction program) is reported has a good effect to patient to escape from anxiety. To reduce several symptoms due to anxiety, we performed some SRP programs to our patient who had suffered anxiety disorder. The measurement tools of patient's improvement we used are Heart Rate Variability and State-Trait Anxiety Inventory. Through this programs, symptoms and feeling of anxiety were decreased than first time and Autonomic nerve system balance was much improved. this is caused by effort of self-control meditation, mindfullness, breathing instruction and muscle relaxation program.

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