• 제목/요약/키워드: Neuropsychiatric disorder

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Adverse Effect of Exposure to Ambient Particular Matter on Neuropsychiatric Disorder (미세먼지노출이 신경정신장애에 미치는 영향)

  • Lim, Myung Ho;Kim, Jong-Hun;Kwon, Ho Jang;Cheong, Hae-Kwan
    • Anxiety and mood
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    • v.16 no.2
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    • pp.57-75
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    • 2020
  • Particular matter is steadily increasing due to environmental factors at domestic and abroad such as industry and economy. Recently, the exposure particular matters has been reported to increase the risk not only for morbidity and mortality, but also for diseases of the respiratory system, cardiovascular system and central nervous system/neuropsychiatric disorder. Although the causes of neuropsychiatric diseases are genetic and environmental factors, it is necessary to pay more attention to environmental factors in terms of prevention. We mainly describe environmental factors that affect neuropsychiatric disorders, mainly on particular matter, which is one of harmful environmental substances. In the current study, we reviewed evidence for the presence of particular matter or particular matter related harmful air pollutants-O3, SO2, NO2/NOx, traffic related air pollution, that may represent risk factors for the development of neuropsychiatric disorder.

5 Neuropsychiatric Disorder Cases Diagnosed and Treated as Greater Yin Disease Based on Disease Pattern Identification Diagnostic System by Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 태음병(太陰病)으로 진단하고 치료한 신경정신과 질환 증례 5례)

  • Seong-hwan Cho;Jae-won Jeong;Min-hwan Kim;Joo Heo
    • 대한상한금궤의학회지
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    • v.15 no.1
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    • pp.53-84
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    • 2023
  • Objective : The purpose of this study is to explore the therapeutic potential of Shanghanlun for neuropsychiatric disorders through a comparative review of five neuropsychiatric disorder cases diagnosed with Greater yin disease pattern/syndrome (太陰病). Methods : We collected and compared five neuropsychiatric cases diagnosed and treated with Greater yin disease pattern/syndrome (太陰病) from four korean medicine clinics. Clinical symptoms common to the five cases were analyzed by connecting them with Shanghanlun provision 273 and 279. Results : In all five cases, the improvement of chief complaints and decrease in general anxiety were observed after administration of Gyejigajakyak-tang (桂枝加芍薬湯) and Gyejigadaehwang-tang (圭支加大黃湯). In addition, neuropsychiatric symptoms and physical symptoms that are mentioned in Shanghanlun provision 273 and 279 were confirmed in all five cases. Conclusions : We not only reconfirmed that the core features of Greater yin disease pattern/syndrome(太陰病) proposed in previous studies; zi-tong (自痛), yin-er (因爾), jie-ying (結硬), but also that the physical symptoms associated with fu-man (腹満), tu (吐) and zi-li (自利) were common in the presenting symptoms and past histories of the five patients.

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A Case Report of Neuropsychiatric Disorder Induced by Traumatic Brain Injury in Traditional Korean Medicine Hospital (한방병원에 입원한 외상성 뇌손상으로 발생한 신경정신학적 장애 환자 1례)

  • Lu, Hsu-yuan;Shim, So-ra;Cho, Seung-yeon;Park, Seong-uk;Ko, Chang-nam;Park, Jung-mi
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.13 no.1
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    • pp.102-110
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    • 2012
  • Neuropsychiatric disorder is one of the symptoms developed after traumatic brain injury. The main symptoms of neuropsychiatric disorder are delirium, anxiety, depression and so on. We treated the patient with herbal medicine, acupuncture, moxibustion and other appropriate traditional Korean medical treatment. The patient only appeared neuropsychiatric disorder, not another neurologic symptoms. We consider it is the rare case in traditional Korean medicine hospital. So we report the patient with the review of literatures regarding neuropsychiatric disorder induced by traumatic brain injury.

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A case of insomnia incurable by neuropsychiatric medication alone, but made possible with Sarn-Hwang-Sa-Sim-Tang (신경정신과 약물을 복용해 온 우울증 환자의 불면증에 삼황사심탕(三黃瀉心湯)을 병행 투여하여 호전된 1례(例))

  • Seok, Seon-Hee;Kim, Joo-Ho;Kim, Geun-Woo;Koo, Byung-Soo
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.3
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    • pp.117-129
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    • 2006
  • Insomnia is one of the most common clinical symptom those almost patients with neuropsychiatric disorder complain. and the most common cause of insomnia in neuropsychiatric disorder is the major depressive disorder. We experienced a 59 year-old male who complained of recurrent insomnia in spite of taking medicines(nervines, antidepressants, etc,) during 30 years. We had given herbal medicine, acupuncture treatment and aroma therapy with continuing medications. The patient had several sypmtoms as anxiety, agitation, feeling thirsty, chronic constipation, and etc. beside the insomnia. After the patient took the herbal medicine, especially Sam-Hwang-Sa-Sim-Tang, he could have a sound sleep and be relaxed. In this case, we concluded that oriental medical treatment can be an effective remedy of chronic insomnia that responds to neuropsychiatric medications incompletely and Sam-Hwang-Sa-Sim-Tang is effective to a kind of insomnia with agitation, anxiety, thirsty, constipation, and etc.

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Understanding the Unfolded Protein Response (UPR) Pathway: Insights into Neuropsychiatric Disorders and Therapeutic Potentials

  • Pitna Kim
    • Biomolecules & Therapeutics
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    • v.32 no.2
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    • pp.183-191
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    • 2024
  • The Unfolded Protein Response (UPR) serves as a critical cellular mechanism dedicated to maintaining protein homeostasis, primarily within the endoplasmic reticulum (ER). This pathway diligently responds to a variety of intracellular indicators of ER stress with the objective of reinstating balance by diminishing the accumulation of unfolded proteins, amplifying the ER's folding capacity, and eliminating slow-folding proteins. Prolonged ER stress and UPR irregularities have been linked to a range of neuropsychiatric disorders, including major depressive disorder, bipolar disorder, and schizophrenia. This review offers a comprehensive overview of the UPR pathway, delineating its activation mechanisms and its role in the pathophysiology of neuropsychiatric disorders. It highlights the intricate interplay within the UPR and its profound influence on brain function, synaptic perturbations, and neural developmental processes. Additionally, it explores evolving therapeutic strategies targeting the UPR within the context of these disorders, underscoring the necessity for precision and further research to effective treatments. The research findings presented in this work underscore the promising potential of UPR-focused therapeutic approaches to address the complex landscape of neuropsychiatric disorders, giving rise to optimism for improving outcomes for individuals facing these complex conditions.

A study of methods for Oriental.Western medical approach of Child Neuropsychiatric Disorders (소아신경정신 질환의 한.양방적 접근 방법론 연구)

  • Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.2
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    • pp.15-25
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    • 2003
  • Objectives : This study aimed investigation of clinical development to child neuropsychiatry through the oriental western medical approach of child neuropsychiatric disorders Methods : As DSM-IV and ICD-10 set a standard for clinical expression. According to this standard and oriental medical diseases, child neuropsychiatric disorders are divided into six symptoms Results and Conclusion : 1. View point of oriental medicine, Psycho Somatic stroke(inclusive of the spasm) place under the category 'Epilepsy(癎)', 'Children's fit(驚風)' and 'Chi-Kyeung(?痙)'. 2. View point of oriental medicine, Mental Retardation place under the category 'Dementia(?)', 'Amnesia(健忘)' and 'Speech Disorder(語遲)' 3. View point of oriental medicine, Emotional Disorder place under the category 'Adjustment Disorder(客?)', 'Cry with anxiety at night(夜啼症)', 'Gi-Byung(?病)' and 'Child depressive Disorder(小兒癲症)' 4. View point of oriental medicine, Conduct development Disorder place under the category 'Physical frail of five part(五軟)' and 'Physical stiff of five part(五硬)'. 5. View point of oriental medicine, Childhood Psychosis place under the category 'Insanity(癲狂)'. 6. View point of oriental medicine, Somatoform Disorder place under the category 'Palpitation of the heart(驚悸)', 'Vomiting and Diarrhea(吐瀉)', 'Asthma(喘)', 'Headache(頭痛)' and 'Enuresis(遺尿)'

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Is the Circadian Rhythm Dysregulation a Core Pathogenetic Mechanism of Bipolar Disorder? (일주기리듬의 조절이상이 양극성장애의 핵심 발병 기전일까?)

  • Lee, Heon-Jeong
    • Journal of Korean Neuropsychiatric Association
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    • v.57 no.4
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    • pp.276-286
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    • 2018
  • Circadian rhythm is a periodic and continuous change in physiological, behavioral, and mental characteristics that occurs in most organisms on the Earth, because the Earth rotates in a 24-hour cycle. The circadian system regulates daily rhythms of physiology and behavior, such as the sleep/wake cycle, body temperature, hormonal secretion, and mood. The influence of circadian rhythm is very powerful, but limited research has addressed its effects. However, many recent studies have shown that circadian dysregulation may play an important role in the pathogenesis of bipolar disorder. This review study examined current and noteworthy studies, including the authors' own works, and proposes a possible clinical application of bipolar disorder based on evidence that circadian rhythm dysregulation in bipolar disorder may be a key pathogenetic mechanism.

Validity of Korean Version of the Mini-International Neuropsychiatric Interview (한국판 Mini International Neuropsychiatric Interview 타당도 연구)

  • Yoo, Sang-Woo;Kim, Young-Shin;Noh, Joo-Sun;Oh, Kang-Seob;Kim, Chan-Hyung;NamKoong, Kee;Chae, Jeong-Ho;Lee, Gi-Chul;Jeon, Seong-Ill;Min, Kyung-Jun;Oh, Dong-Jae;Joo, Eun-Jung;Park, Hyun-Ju;Choi, Young-Hee;Kim, Se-Joo
    • Anxiety and mood
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    • v.2 no.1
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    • pp.50-55
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    • 2006
  • Objectives : In the psychiatry, structured interview is very important tool to be used in epidemiological or psychopharmacological studies. However, investigators often find that the administration of comprehensive diagnostic interviews is time-consuming and expensive to be used in clinical or research settings. Considering these points, Sheehan and his colleagues developed MINI (Mini International Neuropsychiatric Interview) to meet the need for a brief, reliable, and valid structured diagnostic interview for psychiatric disorders. The MINI has been translated into many languages and used in many countries. Therefore, we translated the MINI into Korean and determined its validity in this study. Methods : Twohundred seventy patients and normal subjects participated in the validation of the MINI versus an expert's professional opinion. Schizophrenia and other psychotic disorders, mood disorders including major depressive disorder and bipolar disorder, anxiety disorders including panic and other phobic disorders, and alcohol dependence were included in this study. The validity was obtained by examination whether MINI based diagnoses were compatible with diagnoses by expert psychiatrists. Results : The range of Kappa values was 0.22 (somatoform disorder) to 0.93 (bipolar disorder - past). Overall agreement between MINI and expert's diagnoses were good. The Kappa values for anxiety disorders seemed to be higher than those for other disorders. Conclusion : The MINI Korean version has the good validity. It also has potential applications as a diagnostic tool for psychiatric disorders.

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Study of oriental medical science documentory records of hiccup and neuropsychiatric aspect of hiccup (액역(呃逆)에 관한 한방정신의학적 고찰(考察))

  • Shim, Tae-Kyung;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Haehwa Medicine
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    • v.18 no.1
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    • pp.49-66
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    • 2009
  • 1. Hiccup is usually named as Hae yek, Hyel yek, Yel yek. 2. The cause of hiccup are stomach cold, rising of stomach fire, stagnation of vital energy and stagnationof phlegm, yang deficiency of spleen and kideny, deficiency of stomach-yin, or mental disorder due to the stagnation of phlegm, dyspepsia, depressed vital energy. 3. Vicera and Bowels related with Hiccup are lung, spleen, stomach, and heart. 4. The treatment of hiccup are dispel cold by warming the middle warmer due to stomach cold, expel the heat-evil to loose hollow-organ due to rising up of stomach yin, regulate vital energy and dissipate phlegm due to stagnation of vital energy and stagnation of phlegm, warm and recuperate both of spleen and kidney due to spleen and kidney yang deficiency, nourish the stomach to promote the production of body fluid due to deficiency of stomach yin. 5. Regarding neuropsychiatric aspect of hiccup, qi movement disorder was the main mechanism of disease and qi depression was the main cause. The prescriptions for neuropsychiatric hiccup were Mokhwangjogisan Pyunjakjunghyangsan, Daegwakhyangsan, and Haeaedan.

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