• Title/Summary/Keyword: 뇌질환

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Development of neuroimaging methods for assessing localized brain volume changes in Korean human brain MRI images (한국인 뇌MRI영상을 이용하여 국부 해부학적 영역별 분석 프로토콜 및 정량 평가방법 개발)

  • Kim, Tae-Hoon;Jeong, Chang-Won;Kim, Youe Ree;Chae, IlSeok;Kim, Ki-Jong
    • Proceedings of the Korea Information Processing Society Conference
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    • 2020.11a
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    • pp.1064-1065
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    • 2020
  • 본 연구는 한국인 뇌MRI영상을 이용하여 대뇌 영역별 분석 프로토콜과 정량 평가방법을 개발하여 정상인을 대상으로 뇌용적량을 정량 분석하고자 한다. 뇌MRI영상 분석 프로토콜을 최적화하기 위해 먼저 뇌용적 변화에 있어 평가방법을 선정하고, VBM 후처리과정은 MRI영상 신호불균질성 교정, 조직세분화 방법, 대뇌 표준영상 제작, 신호 편평화(smoothing) 과정을 단계별로 최적화하였다. 이 정량분석 프로토콜은 정상인과 뇌질환 환자의 뇌용적 비교뿐만 아니라 환자 약물 치료 전·후에 나타나는 용적 변화를 정량적으로 평가하는 연구에 활용할 수 있을 것으로 기대한다.

Does the Gut Microbiota Regulate a Cognitive Function? (장내미생물과 인지기능은 서로 연관되어 있는가?)

  • Choi, Jeonghyun;Jin, Yunho;Kim, Joo-Heon;Hong, Yonggeun
    • Journal of Life Science
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    • v.29 no.6
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    • pp.747-753
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    • 2019
  • Cognitive decline is characterized by reduced long-/short-term memory and attention span, and increased depression and anxiety. Such decline is associated with various degenerative brain disorders, especially Alzheimer's disease (AD) and Parkinson's disease (PD). The increases in elderly populations suffering from cognitive decline create social problems and impose economic burdens, and also pose safety threats; all of these problems have been extensively researched over the past several decades. Possible causes of cognitive decline include metabolic and hormone imbalance, infection, medication abuse, and neuronal changes associated with aging. However, no treatment for cognitive decline is available. In neurodegenerative diseases, changes in the gut microbiota and gut metabolites can alter molecular expression and neurobehavioral symptoms. Changes in the gut microbiota affect memory loss in AD via the downregulation of NMDA receptor expression and increased glutamate levels. Furthermore, the use of probiotics resulted in neurological improvement in an AD model. PD and gut microbiota dysbiosis are linked directly. This interrelationship affected the development of constipation, a secondary symptom in PD. In a PD model, the administration of probiotics prevented neuron death by increasing butyrate levels. Dysfunction of the blood-brain barrier (BBB) has been identified in AD and PD. Increased BBB permeability is also associated with gut microbiota dysbiosis, which led to the destruction of microtubules via systemic inflammation. Notably, metabolites of the gut microbiota may trigger either the development or attenuation of neurodegenerative disease. Here, we discuss the correlation between cognitive decline and the gut microbiota.

A Study on Stress and Coping Methods of Mothers of Children with Brain Disease (뇌질환아 어머니의 스트레스와 대처방법)

  • 윤정희;조결자
    • Journal of Korean Academy of Nursing
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    • v.24 no.3
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    • pp.389-412
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    • 1994
  • This study was done to investigate stress and coping methods of mothers with brain disease children. The subjects for this study were obtained by taking a sample of mothers with brain disease children hospitalized in neurosurgery ward of K medical center in Seoul from Nov. 20, 1992 to Mar. 10, 1993. The collected date were analized by S.P.S.S. program(frequency, percentage, mean, t-test, ANOVA, Pearson Correlation). The results of the study were as follow. 1. The mean of the degree of mothers' stress was 3.681. Of the stress categories, illness treatment (4.216) was highest, and the next were in order of ill-ness status and prognosis(4.154) , family relation-ships and personal roles(3.202), interpersonal relationships(2.916). 2. The mean of the degree of mothers' coping method was 2.930. Of the coping method categories, communication with medical team or parents in similar situations(3.332) was highest, and the next were in or-der of family cooperation and optimistic thought about the situation(3.241), reforcement of self esteem and maintenance of psychological stability(2.538). 3. There was not seen a stastically significant correlation between stress factors and coping methods of mothers. But with categories, the higher the stress to illness status and prognosis was, the hight coping methods' degree of communication with medical team or parents in similar situations was shown a positive correlation, if not high (r=.2776, P=.046) . And the higher the stress to illness treatment was, the higher coping methods' degree of communication with medical team or parents in simial situations was shown a positive correlation, if not high (r=.2727, P=.049). 4. With the difference of stress according to mothers' general characteristics, religion and monthly income shew a statically significant difference. The mothers' group who have a religion shew the higher degree of stress(t=-3.17, P=.003), The group who get the most income shew highest degree of stress (F=.4693, P=.0156). With the difference of coping according to mothers' general characteristics, the most support-ing person, satisfaction with husbands and mothers' own health status shew a statistically significant difference. The group who get the most support from parents-in-law(F=3.7508, P=.013), the group who are much satisfied with husband(F=3.589, P=.016), and the group whose health status are good(F=3.3675, P=.046), shew the highest coping degree. 5. There were no significant difference in degree of stress and coping by children's characteristics The significance of the study will be concluded as follows. 1. Investigating the stress factors, which mothers are perceiving, it will be utilized as the basic materials of nursing plan so as to reduce the stress of mothers. 2. In searching for the ways of mothers' more helpful coping methods, it shows the necessity of the active nursing intervention for the mothers in the process of coping with their stress. That is, the nurse should serve the earnest nursing as counselor, supporter, educator, and information - provider. 3. Recogning mothers as well as children with brain disease as a client, the nurse will be able to help the mother, who is taking care of the children, cope with the stress situation well, and to make a contribution to the recovery, rehabilitation, and health of the children and to the enhancement of the family' health.

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초소형 실리콘 신경탐침의 임피던스 특성 향상 연구

  • Lee, Su-Jin;Lee, Lee-Jae;Yun, Hyo-Sang;Park, Jae-Yeong
    • Proceedings of the Korean Vacuum Society Conference
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    • 2014.02a
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    • pp.427-428
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    • 2014
  • 서론: 최근 전세계적인 고령화 진행에 따른 뇌졸중, 파킨슨병, 알츠하이머병 등과 같은 각종 뇌관련 질환에 대한 관심이 더욱 높아지고 있으며 다양한 뇌질환 치료를 위하여 뇌 신경 신호의 정확한 검출 대한 연구가 학계에서 활발히 진행되고 있다. 효과적인 뇌 신경 신호 검출을 위해서는 세포조직의 손상을 최소화 할 수 있는 초소형 신경탐침 및 극소 면적내에서 극대화된 검출 전극이 구현되어야 한다. 그러나, 극소 면적내에 구성된 소면적 전극을 통한 신호 검출은 전극 계면에서의 높은 임피던스를 야기시켜 정밀한 신경신호 검출에 어려움을 만든다. 따라서, 뇌 신경 신호 검출시 전극 계면에서의 낮은 임피던스를 검출하기 위한 다결정실리콘, 이리듐 산화막, 탄소나노튜브와 같은 다양한 전극 소재를 이용한 신경탐침 연구가 제안되어 왔다. 본 연구에서는 극소화된 전극면적과 신경세포 계면에서의 저 임피던스 신경신호 검출을 위하여 비이온성 계면활성제와 전해도금을 이용하여 높은 거칠기값을 갖는 나노동공 백금층을 검출 전극으로 활용하였다. 실험 결과: 제작된 신경탐침의 몸체는 실리콘으로 이루어지며, 탐침 끝단에는 신호 측정을 위한 나노동공 백금층을 갖는 전극들이 집적되어 있다. Fig. 1 는 제작된 나노동공 백금을 갖는 신경탐침의 이미지 (a), SEM (b), TEM (c), FESEM (d) 측정결과를 보여준다. 0.9 %의 NaCl 용액에서 제작된 신경탐침의 계면임피던스 및 위상각 변화에 대한 측정결과가 Fig. 2에 나타나 있다. 1.2 kHz 주파수에서 $942.6K{\Omega}$ ($0.029{\Omega}cm^2$, $3.14{\mu}m^2$)로 극대화된 실표면적을 갖는 나노동공 백금층에 의하여 매우 낮은 임피던스 특성을 보인 것으로 판단된다. 또한 제작된 신경탐침은 위상각이 $-82.9^{\circ}$로서 캐패시터와 같은 역할을 하고 있다고 예상할 수 있었으며 $4.6mFcm^{-2}$의 축전용량값을 보였다. Fig. 3는 1 M의 황산용액에서 나노동공백금층이 형성된 신경탐침 전극과 형성 전의 전기화학적 표면변화를 비교분석한 결과로서 나노동공 백금층의 형성 전/후의 전류응답 특성이 상이하게 나타났다. 나노동공 백금층의 실표면적 극대화로 인한 전류응답수치 또한 크게 향상 되었으며, 0~-0.25 V 영역에서의 수소 흡착에 따른 환원곡선은 전형적인 백금 특성을 보여주는 결과로 판단 할 수 있다. Table 1는 기존에 연구되었던 신경탐침들과 본 연구에서 제작된 나노동공 백금을 갖는 신경탐침의 임피던스와 캐패시턴스 특성을 비교한 결과이다. 결론: 본 연구에서는 실리콘 신경탐침 끝단에 집적된 전극상에 전해도금법을 이용하여 높은 거칠기값을 갖는 나노동공 백금층을 형성하고 전극 계면상의 낮은 임피던스를 검출을 하였다. 나노동공 백금층을 갖는 신경탐침은 순환전압전류법을 통해 극대화된 실표면적을 극대화를 확인할 수 있었으며, 극대화된 검출 전극면은 저 임피던스 측정에 용이함을 실험을 통해서 증명할 수 있었다. 따라서, 높은 거칠기값의 나노동공 백금층은 초소형화된 신경탐침상에 집적되는 전극면적소형화와 다수의 전극 구현에 효과적일 것으로 판단되며 보다 정확한 신경신호 검출을 통한 뇌질환의 명확한 이해에 유망할 것으로 판단된다.

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The antioxidative and neuroprotective effects of Bombusae concretio Salicea and phenolic compounds on neuronal cells (신경세포에서 천축황(天竺黃)과 페놀성 물질의 항산화 및 신경보호 효과)

  • Seo, Young-Jun;Jeong, Ji-Cheon
    • The Journal of Internal Korean Medicine
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    • v.21 no.2
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    • pp.219-225
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    • 2000
  • 산화적인 스트레스가 여러가지 신경 및 비신경계에서의 병리원인으로 알려져 있다. 퇴행성 뇌질환에 대한 예방과 치료에는 항산화 방어기술이 주요대상이며 스테로이드 분자중에서 estrogen만이 산화적인 원인에 의한 신경세포사를 방어하는데 특이적인 효과를 가지고 있다. 본 연구는 천축황(天竺黃)의 항산화적 뇌신경 보호기전을 연구하는 것으로 신경세포주, 뇌세포막, 이의 산화적 정량실험법을 사용하여 천축황(天竺黃)이 갖는 항산화 및 신경보호활성이 소수성 페놀(phenolic molecules)성 물질과 유사함을 밝히게 되었다. 즉, 페놀성 물질로서 2,4,6-trimethylphenol, N-acetylserotonin, 및 5-hydroxyindole와 유사한 뇌신경 보호활성을 나타내었으며 천축황(天竺黃)은 생쥐의 N2a cell과 사람 SK-N-MC neuroblastoma cell에서 산화적인 글루탐산 독성에 대하여 보호를 하였다. 천축황(天竺黃)의 산화적 글루탐산 독성에 대한 보호활성은 과산화수소에 대한 것과 유사하였다. 이러한 항산화 활성은 $20\;{\mu}g/ml$에서, LDL의 산화적 보호 활성은 $5\;{\mu}g/ml$농도에서 발휘되었다 (최대활성은 $16\;{\mu}g/ml$). 이러한 결과는 천축황(天竺黃)이 노인성 치매에 보호효과가 있음을 시사하였다.

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Brain MRI Semi-Automatic Segmentation Algorithm for Medical Image Contents (의료영상 콘텐츠의 뇌 MR영상 반자동 영역 분할 알고리즘)

  • Kim Sin-Hong
    • The Journal of the Korea Contents Association
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    • v.5 no.3
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    • pp.45-51
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    • 2005
  • This paper emphasizes on the accomplishment of compensated proton density image and T2 weighted image taken from the shrinkage surface of the Brain. From the images, the Brain's surface shrinkage in the normal image and the surface shrinkage in the abnormal image can be observed. After the separation of white matter, gray matter, and CSF, this algorithm calculates the volume of each of them automatically. Results are subdivided into particular ages and saved in the database to be analyzed and to be processed statistically. Therefore, by using this algorithm the normal and abnormal stages can be detected in the early stages to diagnose. This result easily discernment Alzheimer patient and is useful for Alzheimer diagnostic and early detection.

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Modified Adenovirus Mediated Gene Transfer to Neuronal Precursor Cells (Transferrine peptide ligand로 개량된 아데노바이러스를 이용한 신경전구세포로의 유전자 전달 효율 조사)

  • Joung, In-Sil
    • Korean Journal of Microbiology
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    • v.42 no.1
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    • pp.73-76
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    • 2006
  • Neuronal precursor cells may provide for cell replacement or gene delivery vehicles in neurodegenerative disease therapy. One impediment to treating neuronal diseases is finding ways to introduce genes into neurons effectively. It is shown here that fiber-modified adenovirus vector delivered gene to neuronal precursor as well as differentiated neuronal cells more efficiently than first-generation adenoviral vector. Moreover, fiber-modified adenoviral vector transduced precursor cells retained the potential for differentiation into neurons and glia in vitro. These results show the potential of modified adenoviral vector in the improved gene delivery to neurons in direct gene therapy protocols. In addition it holds promise for the use of genetically manipulated stem cells for the therapy of neuronal diseases.

Current Situation of Substance Abuse and Treatment Strategies (우리나라 약물중독의 치료 실태와 대책)

  • Cho, Sung Nam
    • The Korean Society of Law and Medicine
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    • v.14 no.1
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    • pp.11-36
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    • 2013
  • Korea has been recognized as a safe country about the substance abuse, but now is not safe country because there are over 10 thousand drug related offenses in a year since 1999. Seventy percent of them are drug abusers, so Korea government must have stronger political strategies about the prevention and the treatment of the drug abuse. Till now Korea government has focused on the imprisonment rather than the treatment for the drug abusers. So the relapse rates are over 40% among the incarcerated drug abusers. Now we need more treatment strategies and development of treatment methods to decrease the relapse rates. Substance abuse is a brain disease with a chronic relapsing nature and has a bio-psycho-social etiology. So treatment process has three steps, motivation enhancement treatment for substance-free lifestyle, rehabilitation aimed at maximizing multiple aspects of life functioning, and relapse prevention. To improving the treatment strategies the Government must execute the national survey about the substance abuse, enforce a law to operate the drug court and to sentence a treatment order with a probation, and establish a national addiction institute for study and education about the substance abuse.

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Segmentation of Brain Ventricle Using Geodesic Active Contour Model Based on Region Mean (영역평균 기반의 지오데식 동적 윤곽선 모델에 의한 뇌실 분할)

  • Won Chul-Ho;Kim Dong-Hun;Lee Jung-Hyun;Woo Sang-Hyo;Cho Jin-Ho
    • Journal of Korea Multimedia Society
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    • v.9 no.9
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    • pp.1150-1159
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    • 2006
  • This paper proposed a curve progress control function of the area base instead of the existing edge indication function, in order to detect the brain ventricle area by utilizing a geodesic active contour model. The proposed curve progress control function is very effective in detecting the brain ventricle area and this function is based on the average brightness of the brain ventricle area which appears brighter in MRI images. Compared numerically by using various measures, the proposed method in this paper can detect brain ventricle areas better than the existing method. By examining images of normal and diseased brain's images by brain tumor, we compared the several brain ventricle detection algorithms with proposed method visually and verified the effectiveness of the proposed method.

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Algorithm for Classifiation of Alzheimer's Dementia based on MRI Image (MRI 이미지 기반의 알츠하이머 치매분류 알고리즘)

  • Lee, Jae-kyung;Seo, Jin-beom;Cho, Young-bok
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2021.10a
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    • pp.97-99
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    • 2021
  • As the aging society continues in recent years, interest in dementia is increasing. Among them, Alzheimer's disease is a degenerative brain disease that accounts for the largest percentage of all dementia patients, with the medical community currently not offering clear prevention and treatment for Alzheimer's disease, and the importance of early treatment and early prevention is emphasized. In this paper, we intend to find the most efficient activation function by combining various activation functions centering on convolutional neural networks using MRI datasets of normal people and patients with Alzheimer's disease. In addition, it is intended to be used as a dementia classification modeling suitable for the medical field in the future through Alzheimer's dementia classification modeling.

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