• Title/Summary/Keyword: neuropsychiatry

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A Study on the Pheripheral Anticholinergic Effect of Minaprine (Minaprine의 말초 항콜린 효과에 관한 연구)

  • Park, Mook-Hee;Lee, Jong-Bum;Cheung, Seung-Douk
    • Journal of Yeungnam Medical Science
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    • v.6 no.2
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    • pp.207-215
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    • 1989
  • The authors studied ED50 of bethanechol on the contractilities of the smooth muscles isolated from various organs of rat under the presence of atropine(a classical competitive blocker of cholinergic muscarinic receptor) or minaprine(a newly developed antidepressant drug) to investigate the pheripheral anticholinergic effect of minaprine. The results were as follows ; 1) There was no significant difference between ED50 of bethanechol in the control group and that under the presence of minaprine $10^{-8}M$ and $10^{-7}M$ in the smooth muscles isolated from the duodenum. 2) There was no significant difference between ED50 of bethanechol in the control group and that under the presence of minaprine $10^{-8}M$ and $10^{-7}M$ in the smooth muscles isolated from the ascending colon. 3) There was significant difference between ED50 of bethanechol in the control group and that under the presence of minaprine $10^{-8}M$ and $10^{-7}M$ in the smooth muscles isolated from the urinary bladder(P<0.01). 4) There was significant difference between ED50 of the atropine $10^{-8}M$ and minaprine ($10^{-8}M$) in the smooth muscles isolated from the urinary bladder(P<0.05).

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Clinical Usefulness of Fatigue Severity Scale for Patients with Fatigue, and Anxiety or Depression (피로와 우울.불안증 환자에서 Fatigue Severity Scale의 임상적 유용성)

  • Chung, Koo-In;Song, Chan-Hee
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.2
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    • pp.164-173
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    • 2001
  • Objectives : Fatigue is a common symptom in primary medical care and has nonspecific and highly subjective features. So it has been difficult to define and measure fatigue, especially those present without any organic diseases. This study was conducted to evaluate the validity of the Fatigue severity scale(FSS) in patients with persistent fatigue who were free of any organic diseases or psychiatric disorders of depression or anxiety. Methods : Subjects consisted of 45 controls, 44 fatigued patients and 43 psychiatric patients with depression or anxiety. They all completed the fatigue severity, modified Bepsi stress, and Hospital anxiety and depression scales. Chalder fatigue scale was administrated randomly in 30 of them. Data were analyzed for reliability and validity of the FSS. Results: Cronbach's a coeffient of FSS was 0.929, and the Pearson correlation coefficient for test-retest was 0.916(p<0.01). ANCOVA for discriminant validity revealed that there were significant differences in mean FSS values among the three groups. The fatigue group had significantly higher FSS value than the other two groups. The psychiatric group also had significantly higher FSS value than the control group. The Pearson correlation coefficient for convergent validity by comparing FSS with Chalder fatigue scale was 0.782(p<0.01). Using FSS index 3.22 as the cut-off point, sensitivity was 84.1% and specificity was 85.7% for the fatigue and control groups, respectively. Conclusion : Results suggested the clinical application of the FSS to be a useful measurement for distinguishing fatigue between patients with physiologic fatigue and psychiatric patients with depression or anxiety.

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Increased Expression of ATP-sensitive $K^+$ Channels Improves the Right Ventricular Tolerance to Hypoxia in Rabbit Hearts

  • Choi, Seong-Woo;Ahn, Jun-Seok;Kim, Hyoung-Kyu;Kim, Na-Ri;Choi, Tae-Hoon;Park, Sung-Woo;Ko, En-A;Park, Won-Sun;Song, Dae-Kyu;Han, Jin
    • The Korean Journal of Physiology and Pharmacology
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    • v.15 no.4
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    • pp.189-194
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    • 2011
  • ATP-sensitive $K^+$ channels ($K_{ATP}$) are major component of preventing ischemia-reperfusion injury. However, there is little information regarding to the expressional difference of $K_{ATP}$ and its function between left and right ventricles. In this study, we measured the lactate dehydrogenase release of rabbit heart slices in vitro and determined the difference of the $K_{ATP}$ expression at the both ventricles by measuring the level of $K_{ATP}$-forming Kir6.2 (OcKir6.2) mRNA using in situ hybridization. The hearts were preconditioned with 15 min hypoxia and reoxygenated for 15 min before a hypoxic period of 60 min, followed by reoxygenation for 180 min. With hypoxic preconditioning (100% $N_2$) with 15 min, left ventricles (LV) showed higher release of LDH comparing with right ventricles (RV). Adding $K_{ATP}$ blocker glibenclamide ($10{\mu}M$) prior to a hypoxic period of 60 min, hypoxic preconditioning effect of RV was more abolished than LV. With in situ hybridization, the optical density of OcKir6.2 was higher in RV. Therefore, we suggest that different $K_{ATP}$ expression between LV and RV is responsible for the different response to hypoxia and hypoxic preconditioning of rabbit hearts.

The Effects of distilled Wild Ginseng Herbal Acupuncture on the Heart Rate Variability(HRV) (산삼 약침이 정상인의 심박변이도(HRV)에 미치는 영향)

  • Roh, Jeong-Du;Kim, Lak-Hyung;Song, Beom-Yong;Yook, Tae-Han
    • Journal of Pharmacopuncture
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    • v.11 no.1
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    • pp.55-69
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    • 2008
  • Objective : We investigated the effects of distilled Wild Ginseng Herbal Acupuncture on autonomic nervous system with the Heart Rate Variability(HRV) in adult man. as well as we tried to observe how distilled Wild Ginseng Herbal Acupuncture on the balance of the autonomic nervous system. Method : We investigated the effects of distilled Wild Ginseng Herbal Acupuncture on autonomic nervous system with the Heart Rate Variability(HRV) in adult man. as well as we tried to observe how distilled Wild Ginseng Herbal Acupuncture on the balance of the autonomic nervous system. 1 healthy volunteers consisted of 31 subjects in experiment(distilled Wild Ginseng Herbal Acupuncture) group and 30 subjects in control(Normal Saline) group. Study form was a randomized, placebo-controlled, double-blind clinical trial. 31 subjects in experiment group were injected distilled Wild Ginseng Herbal Acupuncture at $GB_{21}$(Kyonjong) and 30 subjects in control group were injected Normal Saline at $GB_{21}$(Kyonjong). except of 2 subjects(in control group) who can't be measured and 11 subjects(7 in experiment group and 4 in control group) who move or make unforceable error during measuring. Finally 24 subject in experiment group and 24 subject in control group are studied. We measured HRV by PolyG-I on 7 times : before and after injection per 5 minutes during 30 minutes. The SPSS 10.0 for windows was used to analyze the data and the paired t-test(in group) and Student t-test(between two groups) were used to verify the result. Result : 1. After distilled Wild Ginseng Herbal Acupuncture injection, Mean HRV is significantly low only for first 5 minute, SDNN is significantly high after 5 minute, Complexity is significantly low after 5 minute, HRV index is significantly high after 10 minute and pNN50 is significantly low after 5 minute. 2. SDNN of distilled Wild Ginseng Herbal Acupuncture Group significantly increased from 20minute to 25minute, and pNN50 of distilled Wild Ginseng Herbal Acupuncture Group significantly decreased from 10minute to 15minute and 20 minute to 30 minute compared with those of Normal Saline group. 3. After distilled Wild Ginseng Herbal Acupuncture injection, Ln(TP), Ln(VLF) and Ln(LF) are significantly high after 5 minute, normalized LF is significantly high after 5 minute and normalized HF is significantly low after 5 minute. 4. Ln(TP) and Ln(VLF) of distilled Wild Ginseng Herbal Acupuncture Group significantly increased from 20minute to 25 minute compared with those of Normal Saline group. Conclusion : The results suggest that distilled Wild Ginseng Herbal Acupuncture in healthy adult man tend to activate the autonomic nervous system and sympathetic nervous system compared to Normal Saline within normal range.

A preliminary study on the Effectiveness of Group Occupational therapy program for Dementia Patient in Day-care center (주간보호시설 치매환자의 집단작업치료프로그램 효과-예비연구)

  • Lee, Seong-A;Jeong, Won-Mee;Hwang, Yun-Jung;Park, Chung-A
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.2055-2063
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    • 2015
  • The purpose of this study is to have a preliminary study in order to identify changes in occupational performance skills and visual perception of patients with mild dementia, who have been provided with a group occupational therapy program, within community day-care center. The subjects of this study were 9 people with mild dementia living in a community. The period of administration was for 60 minutes per session three times a week during four weeks. We assessed their visual perception function(MVPT) and occupational performance(AMPS). One group pre-post test design was implemented as an experimental study to compare the results between before and after applying the group occupational therapy program within sensory, physical, creative activity. While a statistically significant difference between before and after the program of motor skills(occupational performance skill) is not shown, the visual perception function and occupational performance of patients with mild dementia improved significantly after receiving occupational therapy program(p<0.01, p<0.05). Therefore, it is possible to conclude that the group occupational therapy program is helpful to manage the occupational performance skills and visual perception of patients with mild dementia in community day-care center.

Study on the Corelation between Iris Constitution and Primary Headache (원발성 두통과 홍채 체질과의 상관성 연구)

  • Lee, Seung-Hyun;Kim, Sung-Nam;Kim, Hong-Hoon;Kim, Dae-Joong;Gug, Yun-Jai;Cho, Nam-Geun;Kim, Sung-Chul;Hwang, Woo-Jun;Choi, Sung-Yong
    • Journal of Acupuncture Research
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    • v.22 no.6
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    • pp.155-164
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    • 2005
  • Objectives : The purpose of this study is to compare interrelations between primary headache (including migraine) and Iris Constitution through iris constitution examination. Methods : The subjects were 50 patients who admitted to Chonju Oriental Medicine Hospital attached to Wonkwang Univ. from February.1st.2004 to March.31th.2005. The subjects were constituted of primary headache(including migraine) patients who were examined by Iris Constitution analysis. Results & Conclusion : Among 50 cases of primary headache(including migraine) the distribution of Iris Constitution were as follows. 1. There were 14 cases of neurogenic type, 9 cases of abdominal connective tissue weakness type, 8 cases of cardio-renal connective tissue weakness type, 6 cases of neurogenic + abdominal connective tissue weakness type, 5 cases of neurogenic type+ cardio-renal connective tissue weakness type, 5 cases of abdominal connective tissue weakness type + cardio-renal connective tissue weakness type, 2 cases of hydrogenic type, 1 case of abdominal connective tissue weakness type + mesenchymal pathological connective tissue weakness constitution. 2. There were 25 cases of which included neurogenic constitution, 21 cases of which included abdominal connective tissue weakness constitution, 18 cases of which included cardio-renal connective tissue. Migraine have a meaningful interrelation with Iris constitution, especially with neurogenic type, abdominal connective tissue weakness type and cardio-renal connective tissue weakness type. 3. Interrelation between Region of migraine and Iris constitution is non-specific with the exception of interrelation between pain in all over head with neurogenic type. These results suggest that the further study in connection with these results should be followed. 4. The interrelation between the period of migraine and Iris constitution is not remarkable.

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Effects of electroacupuncture stimulation at Xingjian(LR2) on the facial thermal change by D.I.T.I (행간(行間)(LR2) 전침자극(電鍼刺戟)이 적외선(赤外線) 체열진단상(體熱診斷上) 안면부(顔面部) 온도변화(溫度變化)에 미치는 영향(影響))

  • Kim, Jong-uk;Choi, Sung-yong;Jin, Kyong-son;Hwang, Woo-jun;Min, Sang-jun;Lee, Sun-ho;Lee, Sang-ryong
    • Journal of Acupuncture Research
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    • v.21 no.1
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    • pp.226-239
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    • 2004
  • Objective: Purpose of this study was to examine the effect of electroacupuncture(EA) at Xingjian(LR2) as 'Fire(火)' point of The Leg Absolute Um Liver Meridan(足厥陰肝經 : Chok-Kworum-Kan-Kyong) on the facial thermal change. Methods: Subjects of this study were 15 patients with upperpart(includes head and facial part) fever of human body and two examinations were carried out in each other day. We divided cases of two examinations into two groups. One is experimental group(N=15) that was carried out electroacupuncture stimulation at Xingjian(LR2), the other is control group(N=15) which was carried out electroacupuncture stimulation at optional point(in space between 1st and 2nd fingers) except acupuncture points of 12 meridians. We took the temperature of fixed areas on face by digital infrared thermal image(D.I.T.I.) before and after electroacupuncture stimulation. Those fixed areas on face that was taken temperature are Jingming(BL1), Sibai(ST2), Dicang(ST4), Indang, Shuigou(GV26), Chengjiang(CV24) areas. In cases of temperature of Jingming(BL1), Sibai(ST2), Dicang(ST4) areas, we applied each mean of left and right temperature to statical analysis. Results: In the group of electroacupuncture stimulation at Xingjian(LR2), temperature of every fixed areas on face fell: Jingming(BL1) area's ${\Delta}T=-0.7007{\pm}0.78642$, Sibai(ST2) area's ${\Delta}T=-0.6280{\pm}0.56439$, Dicang(ST4) area's ${\Delta}T=-0.5940{\pm}0.60179$, Indang area's ${\Delta}T=-0.7200{\pm}0.64515$, Shuigou(GV26) area's ${\Delta}T=-0.6160{\pm}0.80487$, Chengjiang(CV24) area's ${\Delta}T=-0.5627{\pm}0.72615$. In Xingjian(LR2) electroacupuncture group, each temperature of Jingming(BL1), Sibai(ST2), Indang areas showed a drop significantly in comparison with control group (p<0.05). But each temperature of Dicang(ST4), Shuigou(GV26), Chengjiang(CV24) areas did not showed a drop significantly in comparison with control group(p>0.05). Conclusions: The results mentioned above showed that electroacupuncture stimulation at Xingjian(LR2) significantly decreased the temperature on face of patients with upperpart fever of human body. In Xingjian(LR2) electroacupuncture group, especially temperature of upper part of face includes eye, cheekbone, forehead regions showed a drop significantly in comparison with control group.

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The Clinical Study On Posttraumatic Stress Disorder Patients due to a Serise of Traffic Accidents;SCL-90-R (교통사고 후 외상성 스트레스 장애 후유증 환자에 대한 고찰;SCL-90-R 중심으로)

  • Ko, Kyoung-Mo;Choi, Sung-Hun;Kim, Jae-Su;Park, Seo-Young;Lee, Yun-Kyu;Lee, Yoon-Kyoung;Lee, Kyung-Min;Lee, Bong-Hyo;Lim, Seong-Chul;Choi, Hong-Sik;Lee, Eun-Kyung;Jung, Tae-Young;Seo, Jung-Chul
    • Journal of Acupuncture Research
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    • v.24 no.6
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    • pp.63-68
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    • 2007
  • Objectives : The purpose of this study was designed to estimate the effects of Oriental medical treatment on posttraumatic stress disorder patient due to a series of traffic accidents by using SCL-90-R. Methods : We studied 20 patients who were admitted to Daegu Haany University Oriental Hospital from October2006 to May 2007. Results : 4 symptoms of SCL-90-R, somatization, obsessive-compulsive, depression and anxiety were significantly different when comparing after-treatment with before-treatment. But, 5 symptoms of SCL-90-R, interpersonal sensitivity, hostility, phobic anxiety, paranoid ideation and psychoticism showed no difference between after-treatment with, before-treatment measurements. The total impact or SCL-90-R was significant comparing after-treatment with before-treatment measurements. Conclusions : We concluded that there was a significant effectof Oriental medical treatment on posttraumatic stress disorder patients caused by a seriesof traffic accident. However, the findings of this study need to be confirmed in more patients with further studies.

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DEVELOPMENT OF THE KOREAN FORM OF MORAL DEVELOPMENT INVENTORY FOR ADOLESCENTS (한국판 청소년용 도덕발달수준 평가도구의 개발)

  • Shin, Jee-Yong;Cho, Soo-Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.2
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    • pp.183-198
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    • 1997
  • Objects:This study was carried out to develop the Korean form of Moral Development Inventory for Adolescents designed to assess the principled morality in adolescents. And the auther also intended to find the demographic variables that influence the moral development. Methods:The Korean form inventory was applied to 507 middle and high school adolescents, and retest was done in 42 second year middle school adolescents with 3 weeks interval. Together this inventory, short form of Rest moral development which had been proved its reliability and validity, were administered to the all subjects for concurrent validity. And then the author examined whether this inventory discriminates between conduct disorder patients, psychiatric controls and normal controls in the level of moral development. Results:Test-retest reliability and internal consistency were very satisfactory. Concurrent validity with this inventory was also high level. And conduct disorder patients were scored significant lower than psychiatric and normal controls in the level of principled morality. The mean PM scores did not show significant difference according to the variables such as sex, birth order and religion. But there was significant difference according to the educational level of mother and places. Conclusions:These results indicate that the Korean form of Moral Development Inventory is a reliable and valid rating inventory to assess the moral development level in Korean adolescents.

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MAGNETIC RESONANCE IMAGING FINDINGS OF THE BRAIN IN AUTISTIC CHILDREN (자폐장애 아동의 뇌자기공명영상 소견)

  • Park, Pil-Sang;Jung, Chul-Ho;Choi, Sang-Yong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.1
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    • pp.113-122
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    • 1997
  • The purpose of this study was to examine brain structural abnormalities in autistic children. Magnetic resonance imaging(MRI) findings in 22 male children with a DSM-Ⅲ-R diagnosis of autistic disorder and 17 non-autistic male control children were investigated. The ratio measures by lineometry was used to examine the cerebrum, midbrain, cerebellum, brain stem and ventricular system. The left to right ratio of the lateral ventricle was larger in autistic children than in controls. The pons was significantly larger in autistic children than in controls, and the cerebellum was smaller in autistic children. There were no significant differences between autistic children and controls in the symmetricity of the fontral lobe, parietal lobe, occipital lobe and temporal lobe, and in the size of the midbrain and 4th ventricle. These findings suggest that autistic disorder may be related to structural impairment of the brain.

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