본 연구에서는 경피신경전기자극(TENS)을 이용하여 다양한 자극 강도에 따른 뇌혈관에 미치는 영향을 확인하고 자 한다. 특히 비지각적 감각의 전기자극을 통해 총경동맥(CCA)에서의 혈류 변화 및 혈관의 구조적인 변화를 확인 해 보고자 한다. 본 연구에는 20대의 건강한 성인 24명이 참여하였다. 자극 강도는 감각 역치 미만, 감각 역치, 그리 고 감각 역치 초과 세 가지를 각각 랜덤 순서로 적용하였다. 측정위치는 CCA 분기점의 1cm 하단에서 측정하였고, 혈류속도는 C-mode 도플러, 혈관의 구조는 B-mode 영상을 통해 측정하였다. 측정은 각각의 자극별로 중재 전, 중재 중, 그리고 중재 후에 수행하였고 각 세션마다 혈압의 변화를 측정하였다. 그 결과 최고 수축기 속도(PSV)는 역치 미만의 비지각적 감각자극에서 중재 후 유의하게 감소함이 확인되었다(p = .008). 역치 미만의 자극 후 PSV는 자극 전보다 평균 3.04% 유의하게 감소한 것으로 나타났다(p = .011). 반면 CCA의 혈관 직경의 변화는 모든 강도에서 자극 전후 유의한 변화가 나타나지 않았다. 본 연구에서 적용한 단시간의 비지각적 전기자극이 혈관의 직경이나 혈 압의 유의한 변화를 주지 않으면서 즉각적인 혈류속도 감소에 효과가 있음을 발견했다. 따라서 본 연구는 경동맥 부위에 환자의 불편함과 부작용이 없는 전기자극을 통해 뇌혈류의 조절이 가능하다는 것을 보여주는 중요한 시도로 평가될 수 있다.

컴퓨터 성능의 발전으로 빅데이터의 효율적인 사용이 가능해지면서, 심층 학습(deep learning)은 다양한 의료 분야에 활용할 수 있는 핵심적인 인공지능(artificial intelligence, AI) 기법으로 각광받고 있다. 이에 본 종설은 뇌종양 진단과 치료에 사용되는 자기공명영상(magnetic resonance imaging, MRI)의 심층 학습 기법을 소개하고자 하였다. 먼저 국내 AI의 의료 분야 도입의 동향을 분석하고, 이를 바탕으로 MRI를 활용한 뇌종양의 진단과 치료에 적용할 수 있는 심층 학습 기법과 그 결과들을 기술하였다. 뇌종양 진단과 치료 시, 심층 학습을 이용한 최근 사례는 영상 분류, 영상 품질 개선, 영상 분할로 나타났으며, 질병의 진단과 치료에 적용할 수 있는 객관적이고 높은 성능 수치를 나타내면서 그 유용성을 확인 할 수 있었다. 종합하자면, 심층 학습은 질병의 진단과 치료에 적용할 수 있는 유용한 지표이며, AI 역량을 지닌 의료진의 지도하에 점진적인 도입이 이뤄진다면 질병의 진단과 치료에 큰 도움을 주는 훌륭한 소프트웨어로 활용될 것으로 여겨진다. 본 종설이 심층 학습을 이해할 때 많은 도움이 되길 바라며, 향후 관련 연구를 수행할 때 가이드라인으로 활용될 것을 기대 한다.

Raphanus sativus var. hortensis f. raphanistroides Makino (Korean wild radish [WR]) are root vegetables belonging to the Brassicaceae family. These radish species mostly grow in sea areas in Asia, where they have been traditionally used as a medicinal food to treat various diseases. To investigate the effect of WR on neuronal cell death in SH-SY5Y cells, betaamyloid was used to develop the cell death model. WR attenuated neuronal cell death in SH-SY5Y and regulated the mitogen-activated protein kinase (MAPK) signaling. WR extract also inhibited acetylcholinesterase inhibitor activity. Additionally, the WR treatment group ameliorated the behavior of the memory-impaired mice in a scopolamine-induced mouse model. In the behavior test, WR treated mice showed shorter escape latency and swimming distance and improved the platform-crossing number and the swimming time within the target quadrant. Furthermore, WR prevented histological loss of neurons in hippocampal CA1 regions induced by scopolamine. This study shows that WR can prevent memory impairment which may be a crucial way for the prevention and treatment of memory dysfunction and neuronal cell death.

자기공명영상은 고해상도의 연부조직에 대한 영상정보를 제공하며, 뇌종양 등 연부조직 진단에 활용된다. 본 연구는 합성곱신경망 인공지능을 통해 뇌종양 자기공명영상 분류성능을 확인해 보고자 한다. 4개 종류로 구분된 3264 장의 MRI 데이터 세트(data set)를 이용하였으며, 인공지능 학습을 위해 훈련용 데이터와 시험용 데이터를 9 : 1, 훈련용 데이터의 10%를 검증용 데이터로 구분하였다. 합성곱신경망은 기본 CNN과 VGG16으로 구성하였으며, 학습 평가는 정확도와 손실율로 확인하였으며, 생성된 모델을 통해 분류성능 정확도를 확인하였다. 실험 결과 과적합은 없었으며, 분류성능은 기본 CNN과 VGG16 각각 67%와 80%의 분류성능을 보였다. 도출된 뇌종양 자기공명영상 분류 결과를 통해 자기공명영상과 인공지능 접목에 관한 기초 자료로 사용될 수 있을 것이라 사료된다.

Toxicities to many organs caused by humidifier disinfectants have been reported. Recently, humidifier disinfectants have been reported to cause cardiovascular, embryonic, and hepatic toxicities. This study was designed to investigate the toxic mechanism of humidifier disinfectants and compare toxicity in a cellular model and a zebrafish animal model. Because brain toxicity and skin toxicity have been less studied than other organs, we evaluated toxicity in a human dermal cell line and zebrafish under various concentrations of humidifier disinfectants that included polyhexamethyleneguanidine phosphate (PHMG), oligo-[2-(2-ethoxy)-ethoxyethylguanidinium- chloride] (PGH) and methylchloroisothiazolinone/methylisothiazolinone (CMIT/MIT). A human dermal fibroblast cell line was treated with disinfectants (0, 2, 4, 6, 8, and 16 mg L-1) to compare their cytotoxicity. The fewest PHMG-treated cells survived (up to 33%), while 49% and 40% of the PGH- and CMIT/MIT-treated cells, respectively, survived. The quantification of oxidized species in the media revealed that the PHMGtreated cells had the highest MDA content of around 28 nM, while the PGH- and CMIT/ MIT-treated cells had 13 and 21 nM MDA, respectively. As for brain toxicity, treatment of the zebrafish tank water with CMIT/MIT (final 40 mg L-1) for 30 min resulted in a 17- fold higher production of reactive oxygen species (ROS) than in the control. Treatment with PGH or PHMG (final 40 mg L-1) resulted in 15- and 11-fold higher production, respectively. The humidifier disinfectants (PHMG, PGH, and CMIT/MIT) showed severe dermal cell toxicity and brain toxicity. These toxicities may be relevant factors in understanding why some children have language disorders, motor delays, and developmental delays from exposure to humidifier disinfectants.

본 연구는 규칙적인 태권도 트레이닝이 비만 중년 여성의 뇌신경성장인자 및 인지기능에 미치는 영향을 알아보는데 목적이 있었다. 본 연구를 위하여 중년 비만 여성 33명이 연구대상자로 선정되었으며, 연구대상자들은 태권도 그룹(TG, n=15)과 대조그룹(CG, n=18)에 무선 배정되었다. 태권도 그룹은 16 주간 일주일에 5번 태권도 트레이닝을 실시하였으며, 두 그룹 모두 트레이닝 전과 후 각각 brain-derived neurotrophic factor(BDNF), vascular endothelial growth factor(VEGF), insulin-like growth factor-1(IGF-1) 농도 검사와 Stroop Color and Word test를 실시하였다. 연구 결과 태권도 그룹의 BDNF와 IGF-1이 트레이닝 후 유의하게 증가한(p<.05) 반면 VEGF와 Stroop Color and Word Test 결과 는 유의한 차이가 나타나지 않아 규칙적인 태권도 트레이닝이 비만 중년 여성의 뇌신경영양인자에는 긍정 적이지만 뇌 인지기능에는 영향이 없는 것으로 나타났다.

본 연구는 남자 대학생을 대상으로 12주간의 규칙적인 태권도 운동이 체구성, 체력, 뇌파활성 및 뇌신경성장인자(BDNF, IGF-1, NGF)에 미치는 영향을 규명하는데 목적이 있었다. 이를 위해 의학적 질환이 없는 대학생 24명을 대조그룹(CG), 유산소 트레이닝 그룹(ATG) 그리고 태권도 트레이닝 그룹(TTG)에 각각 8명씩 무선 배정하여 연구를 실시하였다. 12주 유산소 및 태권도 트레이닝은 주 3회 실시되었으며, 운동강도와 시간은 4주단위로 조정되었다. 뇌파활성 검사 및 채혈은 12주 유산소 및 태권도 트레이닝 전과 후 각각 실시되었으며, 그룹과 시기에 따른 체력요인 및 생화학성분에 대한 차이를 검증하기 위하여 채혈시점을 반복 측정하는 이원변량분석(two-way repeated ANOVA)을 실시하였다. 이에 대한 연구결과는 다음과 같다. 12주간의 유산소 및 태권도 트레이닝은 신체구성과 뇌파활성에 영향을 미치지 못한 것으로 나타났다. 그러나 유산소 트레이닝과 태권도 트레이닝 모두 체력요소 중 평형성을 증가시키는 것으로 나타났으며(p<.05), 12주 유산소 트레이닝은 뇌신경성장인자인 BDNF를 증가시키는 것으로 나타났다(p<.05). 이상의 결과 12주 유산소 운동은 체력과 뇌신경영양인자에 긍정적인 효과가 있는 반면 태권도 운동은 뇌파활성화 및 뇌신경영양인자에 영향을 미치지 못한 것으로 나타났다.

漢字和拼音文字在視覺形象、形聲配對透明度、以及形義配對透明度，三方面都明顯不同。無論是對母語或者二語者，漢字在教育方面，也別於拼音文字。正常和病理的人腦在處理這兩種文字時又有什麼異同？隨著現代世界的電腦普及以及漢字經過中文/漢字字母的數碼化，漢字又面對什麼挑戰和機遇？漢字教育又應該如何回變，如何使用新的認識？本文會檢討這三組問題並提出看法。

본 연구의 목표는 일반적으로 사람들이 일상에서의 추위 노출 시간을 고려하여 단기간 추위노출과 지속적인 장기간의 추위 노출이 인지기능과 뇌의 신경세포생성과 신경전달물질에 미치는 영향을 규명하고자 하였다. 실험 방법으로 인지행동검사(Behavior test)와 면역조직화학법(Immunohistochemistry Method)을 실시하였다. 본 연구에서는 7주령(평균체중 250±10g) Sprague-Dawley 계열의 수컷 흰쥐(n=40)를 사용하여, 무선배치 방식으로 상온 대조군(n=10), 저온 3일군(n=10), 저온 5주군(n=10)으로 분류 하였다. 22℃(상대습도 40%)의 온도는 상온으로 설정 하였고, 4℃(상대습도 40%)는 추위 스트레스 환경으로 설정 하였다. 수동회피실험의 결과에 의하면, 추위 스트레스는 기억력의 감소를 가져왔다. 그러나 추위 스트레스에 의한 기억력 감소의 보상작용으로 신경전달 물질인 5-HT와 TPH의 증가가 나타나는 것을 면역조직화학법을 통해 해부시경학적으로 확인할 수 있었다. 그러나 보상작용에 의한 새로운 신경세포생성 증가가 기억력을 정상상태로 회복시키지는 못하였다.

This study was performed to investigate the effects of aluminum sulfate administration on the brain tissues of old rats, when given at different concentrations. The experiment attempted to further ascertain whether aluminum exposure cause Alzheimer's disease. Seventy-five aged Sprague-Dawley rats were divided into five groups; a control group, 2 ppm aluminum sulfate group, 20 ppm aluminum sulfate group, 40 ppm aluminum sulfate group, and 200 ppm aluminum sulfate group, and were kept on the respective diets for 12 weeks. In order to understand the influence of aluminum on the brain, serum aluminum concentrations, phospholipid composition, and catecholamine concentrations were compared between the aluminum-treated groups and the normal group. According to the results, serum aluminum was higher in the aluminum sulfate-treated groups than in the normal group. Within the cortex, catecholamine concentrationes were significantly increased but cerebellum and brainstem tissue were significantly decreased, in the aluminum sulfate-treated groups compared to the normal group. For phospholipid composition, phosphatidyl inositol was significantly increased wherase phosphatidyl choline, phosphatidyl ethanolamine, and phosphatidyl serine were significantly decreased in the aluminum sulfate-treated groups versus the normal group. Based on the data, increased aluminum consumption in experimental animals causes increased serum aluminum levels and catecholamine variation. These phenomena are very similar to conditions of Alzherimer's disease. Therfore, the results of this experiment further suggest that aluminum cause Alzherimer's disease, coinciding with reports that aluminum is a cause of neurofibrilly tangles in the brain.

The present study was aimed at investigating the effect of swimming training on brain function after focal cerebral ischemia in rats. Therefore, this study was examined on neurogenesis in dentate gyrus of hippocampus using 5-bromo-2'-deoxyuridine (BrdU) to label proliferating cells and assessed the neurological response following focal cerebral ischemia in rats using neurological motor behavioral test. In an observer-blinded fashion, twenty male Sprague-Dawley (280~310 g, 7 weeks old) rats were divided into four groups: MCAO plus swimming group (ME, =5), MCAO plus control group (MC, =5), SHAM plus swimming group (SE, =5), SHAM plus control group (SC, =5). The results of this study were as follows: 1) The limb placing time before and after swimming in the ME group were significantly longer than the MC group (p<.05), the SE group were significantly longer than the SC group (p<.01). 2) The balance beam scores before and after swimming in the ME group was higher than the SE group, the MC group was higher than the SC group but was not significantly different (p>.001). 3) The foot fault index before and after swimming training in ME group was significantly lower (i.e., improved) than the MC group (p<.001) and the SE group (p<.001), the SE group was significantly lower (i.e., improved) than the SC group (p<.001). 4) The mean number of BrdU-positive cells in the dentate gyrus in the ME group was significantly higher than the MC group (p<.001) and the SE group (p<.01). The MC group and the SE group was significantly higher than the SC group (p<.001). 5) There was significantly correlation between limb placing time and number of BrdU-positive cells on swimming training, there was positive correlation (r=.807, p<.0001) and between foot fault index and BrdU-positive cells number, there was negative correlation (r=-.503, p<.05). However, between balance beam scores and BrdU-positive cells number, there was no correlation. In conclusion, the present study demonstrates that the role of swimming training improves behavioral motor function probably by enhancing cell proliferation in that hippocampus. This study provides a model for investigating the stroke rehabilitation that underlies neurogenesis and functional ability.

Objectives: This study was conducted to evaluate the validity of the Korean Computerized Neuro-psychological Test in measurement of cognitive functioning in patients with brain damage. Methods: Eight tests of Korean Computerized Neuro-psychological Test, (1) Simple Reaction time, (2) Choice Reaction time, (3) Color Word Vigilance, (4) Digit Classification, (5) Digit Addition, (6) Symbol Digit Substitution, (7) Digit Span, (8)Finger Tapping Speed, were administered to the 30 patients who had impairments in cognitive function. Mini Mental State Examination-K (MMSE-K), and Purdue Pegboard Test were also administered compare with the computerized tests. Results: It was found that Choice Reaction time, Color Word Vigilance, Digit Classification, Digit Addition, Symbol digit Substitution, and Digit Span of computerized tests were acceptable in the patients who had MMSE-K score of 20 and more than 20. And Simple Reaction Time was found to be a useful test in the patients with MMSE-K score of less than 20. MMSE-K scores were highly correlated with Choice Reaction time, Color Word Vigilance, Digit Classification, Digit Span of computerized test. The scores of Purdue Pegboard were also highly correlated with the scores of Finger Tapping Speed, In computerized tests, Choice Reaction time, Color Word Vigilance, Digit Classification, and Digit Span were correlated with each other. Conclusions: The results suggested that Korean Computerized Neuro-psychological Test was found to be a useful test in measurement and rehabilitation of patients with cognitive impairments.

Acetylcholinesterase(AChE) is an enzyme which hydrolyses acetylcholine into choline and acetate. Glucose and Adenosine-5'-Triphosphate(ATP) are the primary energy source for the brain and therefore defects in glucose metabolism and the mitochondrial system can affect cognitive function. The fact that the level of acetylcholine(ACh), neurotransmitter, glucose and ATP, are found to be decreased in the brain of Alzheimer patients has lead us to focus on the inhibition of AChE for the developmental research of the Alzheimer's disease(AD) treatment. In this paper we describe the effects of herbal medicine 9908(滌痰化瘀湯加減) in vitro and in vivo. As herb 9908 concentraion increased, the Vmax values of AChE from Electric eel were decreased, which showed that the activity of AChE in vitro was decreased. Also herb 9908 inhibit AChE activity in vivo. When herb 9908 was orally administrated to rats, amount of glucose and ATP which are energy source in metabolism, increase in brain and blood of rats. These result are also interesting in their effects for AD treatment compare with comercial drugs such as Cognex and Aricept. Furthermore, when considering the toxic problems of the Cognex and the Aricept, these oriental medicines could be very valuable medicine for treatment of AD. Abbreviation AD: Alzhemer's disease, AChE: acetylcholinesterase, ACh: acetylcholine, ATCh: acetylthiocholine, DTNB: 5,5‘-dithio-bis-2-nitrobenzoate, ATP: Adenosine-5'-triphosphate GAPD: Glyceraldehydephosphate dehydrogenase PGK : phosphoglycerate phosphokinase

The purpose of this study was to determine the validity and the of the Neurobehavioral Cognitive Status Examination(NCSE) to ascertain its value in the cognitive functional evaluation of brain-injured patients. The NCSE, uses as an independent test to evaluate cognitive function within five major areas: language, construction, memory, calculation, and reasoning. And the examination separately assesses levels of consciousness, orientation, and attention. The instrument quickly identifies intact areas of functioning, yet provides more detailed assessment in areas of dysfunction. The level of cognitive is classified as unimpaired and mild, moderate, severe impaired. Standardization data are provided for 42 braininjured patients, age ranged from 24 to 76 years. In the validity study, the NCSE subtest was significantly correlated with associated Mini Mental State Examination-Korean version(MMSE-K) test, except for attention, naming, construction. The specificity score of the traumatic brain-injured patients were higher than those of the stroke patient group in attention, construction, calculation. The mean score of stroke patients were significantly higher than those of the traumatic brain-injured group in orientation. In the inter-rater and test-retest reliability, the screen Kendall's τb and Metry pearson's correlation statistics were indicating a good internal consistency. The NCSE demonstrated an acceptable validity and reliability for the evaluation of cognitive functional capacity of brain-injured patients in clinical practice.