• Title/Summary/Keyword: Neuropsychiatry disease

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A bibiographic study of psychoses in the Nae ui won's record (내의원(內醫院) 기록중(記錄中) 정신병류(精神病類)에 관(關)한 문헌적(文獻的) 고찰(考察))

  • Ryu Hui-Yeong;Ryu Yeong-Su
    • Journal of Oriental Neuropsychiatry
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    • v.1 no.1
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    • pp.71-80
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    • 1990
  • For giving a person to understand that the relation between being used medicine and psychiatric medicine in the Nae ui won(內醫院). The psychiatric medicine were studied in the Nae ui won's diary. The results are as follows ; 1. It is supposed that the symtoms of Geong Chung, Hyun hun (眩暈) and Bulmyn(不眠) mainly appeared in 1908. 2. It is supposed that the symptoms of Guibeong(氣病) and ulchung(蔚症)mainly appeared in 1920. 3. It is supposed that the symptoms of Guibeong(氣病) and Talyeong(脫營) mainly appeared in 1924. 4. There were Cheongshim(淸心), Anshin(安神) and chingan(鎭肝) which added to a regular medical prescription. Finally with the help of these conclusions of which we have refered, we found that the cause of disease were changed according to the social situation of being free or repressed, and it also coinside with what Nae ui won's record said and practical result.

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Clinical Study on Ocular fatigue (Dry Eye) Patients (눈피로(안구건조) 환자에 대한 임상적 고찰)

  • Kim, Ji-Hyuk
    • Journal of Oriental Neuropsychiatry
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    • v.23 no.2
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    • pp.59-66
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    • 2012
  • Objectives : The purpose of this report was to examine the relation between ocular fatigue and dry eye symptoms in patients with ocular fatigue. Methods : 115 patients with ocular fatigue disease were included in this analyses. The study examination included a symptom interview that assessed stiff sense, foreign body sense, pain, soreness, redness, etc. and ocular fatigue. Results : The survey showed in subjective ocular fatigue in all subjects. All patients(115) reported symptoms of ocular fatigue and 25.2% (29/115) were diagnosed as having dry eye with symptoms. Conclusions : These findings suggest that there is a strong between ocular fatigue and dry eye.

Psychological Factors Affecting Endocrine Disease (내분비질환에 영향을 미치는 심리적 요인)

  • Joe, Sook-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.2
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    • pp.221-227
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    • 1998
  • Although there has been a considerable research in psychoneuroendocrinology, particularly in relation to the biology of mood disorders, there has been a paucity of research regarding the effects of psychological factors on endocrine diseases. Of the existing literature, the most research is focused on diabetes mellitus, graves' disease. Especially diabetes appears to be the only endocrine disease that has been the focus of recent research studies. Most of the studies had retrospective designs or several methodological flaw. There has been no consistent results demonstrating that psychological factors affect the onset of diabetes mellitus. Several studies have suggested that psychological factors affect the course of diabetes. A small number of studies showed some evidence that psychological stress was associated with changes in glucose regulation in a subset of diabetic patients. There was also evidence to suggest that some temperament and coping skill influence glycemic control in child, adolescent diabetics. Studies of behavioral or psychosocial intervention on diabetic control have been small and have produced mixed results. There was a few controlled study suggested that stressful life events might be a causal role in Cushing's disease and Graves'disease, but there is no presently sufficient evidence to suggest that psychological factors affect the onset and the course of Cushing's disease and Graves' disease. In future, there is need for a well-designed biopsychosocial research with prospective designs, well defined patient population and control groups to study the relationship between psychological factors and endocrine diseases.

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Association between Quality of Life and Symptom Severity in Obsessive-Compulsive Disorder Patients Using EQ-5D (EQ-5D를 이용한 강박장애 환자의 삶의 질과 증상 중증도의 연관성 연구)

  • Kim, Sung Nyun;Moon, Woori;Han, Jaewook;Lee, Junhee
    • Korean Journal of Biological Psychiatry
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    • v.24 no.3
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    • pp.129-133
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    • 2017
  • Objectives Obsessive-compulsive disorder (OCD) is a disabling psychiatric disorder, and more attention is recently paid on the quality of life (QoL) in OCD patients. The Euro-QoL-5D (EQ-5D) is a widely used self-report to calculate a single score which represents 'health utilities'. The aim of this study was to assess the health-related QoL for patients with OCD using the EQ-5D and to examine the relationship between health-related QoL and symptom severity. Methods Seventy-three patients with a Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis of OCD were recruited from the outpatient clinic in Seoul National University Hospital. Symptom severity was assessed using the Yale-Brown Obsessive-Compulsive Scale (YBOCS), and QoL was assessed with the EQ-5D-5L questionnaire. Using Korean valuation study, a single score of QoL was calculated. Results Most of the OCD patients were relatively young (< 45 years) with the mean YBOCS total score of 19.33. The mean EQ-5D score was 0.71 and significantly correlated with symptom severity (r = -0.483, p < 0.001). 25% of the EQ-5D score was predicted by the YBOCS total score (b = -0.011, p < 0.001) by regression analysis. Conclusions OCD patients suffer from lower health-related QoL and QoL significantly decreased as symptom severity increased. The results of the EQ-5D would enable further studies on QoL comparison across medical disease and mental disorders.

ADHD, New Developed or Newly Found : Historical Review (주의력결핍 과잉행동장애, 과거에도 있었을까? - 역사적 고찰을 중심으로 -)

  • Bahn, Geon-Ho;Bae, Jae-Ho;Moon, Su-Jin;Min, Jung-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.22 no.2
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    • pp.57-66
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    • 2011
  • Introduction : Attention-deficit hyperactivity disorder (ADHD) was a newly coined term for a disease that existed prior to its naming in the mid 20th century. The issue about whether ADHD is a new disorder or merely a new name for an existing disorder is still controversial. The authors tried to find the clues to the answer for this question through reviewing historical documents for traces of ADHD. Contents : We could find literatures and medical records that contain possible ADHD symptoms. In particular, in 1845, Heinrich Hoffmann's 'fidgety Philip' or 'Johnny Look-in-the-air' nearly satisfies today's criteria for ADHD. Methylphenidate was approved as a promising chemical for inattention in 1957 before the establishment of the concept of ADHD. In 1968, ADHD was first officially introduced as "Hyperactivity Reaction of Childhood" by DSM-II. In 1980, DSM-III, 'Attention Deficit Disorder (ADD)' was adopted as an official diagnostic term and changed to 'ADHD' since the creation of DSM-III-R in 1987. Conclusion : As stated above, ADHD has existed since long ago and became familiar via an advanced diagnostic system and therapeutic options.

Inhibitory Effect of Inflammatory Cytokines Secretion from Brain Neuroglial Cells by RADIX ASPARAGI (천문동(天門冬)에 의한 뇌신경교세포(腦神經膠細胞)로부터 염증성(炎症性) 세포활성물질(細胞活性物質) 분비(分泌)의 억제(抑制) 효과(效果))

  • Kang Heong-Won;Lyu Yeong-Su
    • Journal of Oriental Neuropsychiatry
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    • v.9 no.1
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    • pp.73-82
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    • 1998
  • Substantial evidence has accumulated that Alzheimer's disease is associated with a local inflammatory reaction in senile plaques which may be immunemediated, and includes extensive Brain Neuroglial invasion, lymphocytic infiltration, cytokine deposition. Tumor necrosis factor a (TNF-a) is a cytokine which plays an important immunoenhancing role in the local acute and chronic inflammatory response in response to a variety of stimuli. The neuropeptide, substance P, can stimulate secretion of TNF-a from Brain Neuroglial cells. Neuroglia have substance P receptors in the central nervous system. WQ investigated whether RADIX ASPARAGI inhibits secretion of TNF-a from primary cultures of Brain Neuroglial cells containing both astrocyte (∼90%) and microglia (∼10%). RADIX ASPARAGI dose-dependently inhibited the TNF-a secretion induced by substance P plus lipopolysaccharide (LPS). In cultures enriched for micoglia (>95% pure). LPS stimulated the secretion of TNF-a but substance P caused no enhancement. Because there was no synergism between substance P and LPS in the microglial cultures it is resonable to substance P madiated enhancement of TNF-a secretion. IL-1 is a modulator of TNF-a secretion in the immune system. Also IL-1 has been shown to elevate TNF- a secretion from LPS-stimulated Brain Neuroglial cells while having no effect on Brain Neuroglial cells in the absence of LPS. We therfore investigated whether IL-1 mediates the RADIX ASPARAGI inhibition of TNF-a secretion form primary Brain Neuroglial cells. Treatment of RADIX ASPARAGI to mixed cultures stimulated with both substance P and LPS decreased TNF-a secretion to the level observed with LPS alone. These results indicate that RADIX ASPARAGI possess strong antiinflammatory activity in the cental nervous system by inhibition of inflammatory cytokines secretion from Brain Neuroglial cells.

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The Experimental Studies on the Anti-Stress Effeces of Chungkansoyosan (청간소요산(淸肝逍遙散)의 항(抗)스트레스 효과(效果)에 대(對)한 실험적(實驗的) 연구(硏究))

  • Kim Sung-Ho;Lee Sang-Ryong
    • Journal of Oriental Neuropsychiatry
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    • v.6 no.1
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    • pp.61-70
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    • 1995
  • This study was aimed to evaluate the anti-stress effect of Chungkansoyosan on the rats stressed by immobilizaton. The experimintal animals were immobilized in stress box $(5cm{\times}5cm{\times}20cm)$ for 12 hours in a day during 3 days, and administered 90ng/100g Chungkansouosan extract for 15 days before stress. The epinephrine, dopamine contents in rat brain were measured by using HPLC method. The following results were obtained: 1. Total cholesterol contents of control group was $58.1{\pm}2.56mg/dl$, that of sample group was $61.6{\pm}3.70mg/dl$. This shows decreasing effect, but not significant. 2. Triglyceride contents of control group was $39.8{\pm}6.75mg/dl$ that of sample group was $27.7{\pm}4.23mg/dl$. This shows significant decrease in sample group comparing to control group. 3.Epinephrine contents of control group was $8.21{\pm}0.31ng/mg$ that of sample group was $6.33{\pm}1.02ng/mg$ this shows significant decrease in sample group comparing to control group. 4. Dopamine contents of control group was $2.45{\pm}0.23ng/mg$ that of sample group was $1.65{\pm}0.41ng/mg$ this shows decreasing effect, but not significant. 5. The quantity of muscle relaxation by Rota Rod was improved significantly by Chungkcansoyosan in immobilizaton-stressed rats. According to the above results, it is concluded that Chunkansoyosan will be useful as a preventive and remedy against stress disease.

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The Comparison of the Neurocognitive Functions between Dysthymic Disorder and Major Depressive Disorder (기분부전장애 환자군과 주요우울장애 환자군의 신경인지학적 기능 비교)

  • Kang, Rhee-Hun;Ham, Byung-Joo;Cha, Ji-Hyun;Lee, Min-Soo
    • Korean Journal of Biological Psychiatry
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    • v.9 no.2
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    • pp.103-111
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    • 2002
  • Neurocognitive research focusing on cognitive deficits in Depression has resulted in several important but yet potentially contradictory findings. Much literature documents the presence of significant neurocognitive impairments in depressive patients. Studies have shown that dysthymic disorder patients demonstrate a diffuse pattern of cognitive impairment which is frequently indistinguishable from that of focal braindamaged patients. Some reports have suggested that there is a focal pattern of deficit, such as anterior cingulate dysfunction, frontal lobe impairment, or dysfunction of the temporal-limbic cortex. The aim of this study is to evaluate the neurocognitive functions in dysthymic disorder patients, and to compare the functions with those of major depressive disorder patients. The subjects are 17 dysthymic disorder patients. And their neurocognitive functions are compared with those of 23 major depressive episode patients. Patients with a history of neurologic disease, alcohol dependence, substance abuse and mental retardation are excluded. They are assessed with a part of Vienna Test System which is computerized neurocognitive function tests and can evaluate attention, eductive ability, reproductive ability, visuoperceptual analysis, vigilance, visual immediate memory, the speed of information-processing, judgement, and fine motor coordinations. There are no other specific difference between two groups, except the result of cognitrone test. This study provides information about the neurocognitive functions and some difference between major depressive disorder patients and carefully diagnosed dysthymic disorder patients.

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The Oriental Medical Study about the Arrythmia Detected on the Radial Pulses and the Result of ECG. (촌관척(寸關尺)부의 검측한 부정맥과 Electrocardiographic 결과의 한의학적 검토)

  • Lyu, Heui-Yeong;Heo, Eun-Jung;Kim, Ji-Hyon;Yoon, Jung-Mi;Jeon, Seong-Ha
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.2
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    • pp.165-193
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    • 2008
  • Objective: The ECG which used for this paper, is analysis result from alogrisms of arrythmia, and we have studied that how we could certain Cold(寒)type or Heat(熱) type and that Deficiency(虛) type or Excess(實)type of organs from various special diseases, and we obtained like these results. Method & Conclusion: 1. we depend on our examination about Pulse(脈) because we can't discriminate arrythmia using ECG analysis instruments. 2. We obtained that Cold(寒) type diseases had wave that prolonged above normal baseline and ST wave which had downward aptitude. 3. We obtained that Heat(熱) type diseases had the fibrillation which had shortend wave that compare to normal and had downward aptitude or negative aptitude. 4. We obtained that Respiratory system (肺) diseases had wave that is within normal or is short of normal range and had much fluctuation in potential difference or trans on P wave. 5. The character of EKG which presented about diseases of gastric systems is prolonged above narmal range of wave, and the ECG had represented mixed wave with Heat(熱) type when accompany inflammatory in gastric system. 6. The wave of Blood Stasis(瘀血) type had upward aptitude of QRS wave, and the wave of anemia or blood loss type(少血) had downward aptitude of QRS wave, the wave which had both Cold(寒)) and Heat (熱) represented mixed waves. 7. The Knotted Pulse(結脈) and Intermittent Pulse(代脈)is corresponded with sinus brady cardia, and the Swift Pulsle(疾脈) is corresponded with fibrillation. 8. We pay attention to the relations of formations about pressures pulse from formations of EMD( electromechanical dissociation ). Result : From these results, we will have to study about ECG which using in tests of change of Parkinsons disease.

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Results of the Korean Medicine Visiting Care Service for Solitary Elderly in a Public Health Center (일개 보건소에서 시행한 독거노인 한방 가정방문 결과보고: 이침치료를 활용한 인지기능 개선을 중심으로)

  • Kwon, Chan-Young;Lee, Boram;Chung, Sun Yong;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.2
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    • pp.47-58
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    • 2019
  • Objectives: To conduct and report the results of a public health promotion program in Korean medicine (KM), namely the KM Visiting Care Service for Solitary Elderly, from November 2018 to April 2019. Methods: Six elderly people living in a rural area received the KM visiting care service, twice a week, for four months. This service consisted of acupuncture, auriculotherapy, and supportive counseling to manage their musculoskeletal pain, cognitive impairment, and/or depression. The changes of symptoms were assessed using Numeric Rating Scale (NRS), Korean version of Mini-Mental State Examination for Dementia Screening (MMSE-DS), Korean version of Montreal Cognitive Assessment (MoCA-K), and Geriatric Depression Scale-Short form Korean (GDS-SF-K). Results: Through the 4-months KM visiting care service, the overall subjects' NRS-rated pain decreased slightly. Most showed improvement in MMSE-DS and/or MoCA-K, except one subject who was diagnosed with Alzheimer's disease. Depression assessed by GDS-SF-K showed improvement in a few subjects who were unable to walk independently. Satisfaction assessed through survey was generally high in all subjects. Conclusions: This KM Visiting Care Service for Solitary Elderly may help improve the pain and cognitive function of frail solitary elderly in rural areas. However, the protocol need to be improved to optimize the effect.