• Title/Summary/Keyword: 치매환자

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Nonlinear Dynamic Analysis in EEG of Alzheimer's Dementia - A Preliminary Report Using Correlation Dimension - (알츠하이머형 치매 환자 뇌파의 비선형 역동 분석 - 상관차원을 이용한 예비적 연구 -)

  • Chae, Jeong-Ho;Kim, Dai-Jin;Jeong, Jaeseung;Kim, Soo Yong;Go, Hyo Jin;Paik, In-Ho
    • Korean Journal of Biological Psychiatry
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    • v.4 no.1
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    • pp.67-73
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    • 1997
  • The changes of electroencephalogram(EEG) in patients with dementia are most commonly studied by analyzing power or magnitude in certain traditionally defined frequency bands. However because of the absence of an identified metric which quantifies the complex amount of information, there are many limitations in using such a linear method. According to chaos theory, irregular signals of EEG can also result from low dimensional deterministic chaos. Chaotic nonlinear dynamics in the EEG can be studied by calculating the correlation dimension. The authors have analyzed EEG epochs from three patients with dementia of Alzheimer type and three matched control subjects. The multichannel correlation dimension is calculated from EEG epochs consisting of 15 channels with 16,384 data points per channel. The results showed that patients with dementia of Alzheimer type had significantly lower correlation dimension than non-demented controls on 12 channels. Topographic analysis showed that the correlation dimensions were significantly lower in patients with Alzheimer's disease on frontal, temporal, central, and occipital head regions. These results show that brains of patients with dementia of Alzheimer type have a decreased complexity of electrophysiological behavior. We conclude that the nonlinear analysis such as calculating correlation dimension can be a promising tool for detecting relative changes in the complexity of brain dynamics.

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The Effects of Occupation-based Training With Errorless Learning and Spaced Retrieval on Task Learning and Satisfaction of People With Mild Vascular Dementia: Single Subject Research (오차배제학습과 시간차회상을 이용한 작업기반 훈련이 경도 혈관성 치매환자의 과제 수행능력과 만족도에 미치는 영향: 개별실험 연구)

  • Lee, Eun-Young;Park, Hae Yean;Kim, Jong-Bae;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.7 no.1
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    • pp.51-62
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    • 2018
  • Objective : This study was to verify the effects of occupation-based training with errorless learning and spaced retrieval on task learning and satisfaction of elderly with mild vascular dementia. Methods : The subjects of this study were 3 geriatric individuals with mild vascular dementia, ABA' + follow-up design was used. Intervention period was provided occupation-based training with errorless learning and spaced retrieval. The dependent variable was converted to ability of task performance every session and satisfaction before and after intervention. Result analysis was suggested through visual analysis and bar graph. Results : After the occupation-based training with errorless learning and spaced retrieval, Ability of task performance and satisfaction improved for all subjects. Conclusions : From this study, occupation-based training with errorless learning and spaced retrieval training was found to be an effective mediation for improving independence of task and satisfaction for people with mild dementia. This study could provide evidence for clinical application for occupation-based training.

The effect of Jeon-buk area daytime ward occupational therapy convergent activity on hand function, cognitive function and IADL in people with dementia (전북지역 낮 병동 작업치료 융복합활동프로그램이 치매환자의 손기능, 인지기능 및 수단적 일상생활활동에 미치는 영향)

  • Kim, Hyun-Gi;Lee, Min-Young;Kim, Ko-Un;Oh, Hye-Won
    • Journal of Digital Convergence
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    • v.15 no.4
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    • pp.511-519
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    • 2017
  • This study developed a occupational therapy convergent activity program to provide dementia patients admitted to the daytime ward, and investigated the program's effect on the hand and cognitive functions and instrumental activities of daily living. A total of 34 dementia patients were divided into two groups: a convergent occupational therapy program and medication were provided for 17 patients, and medication alone was provided for a control group of 17. The intervention was performed for 24 weeks, 8 times per week, 192 times in total. A handgrip strength test was performed to examine hand function before and after the intervention, and the MMSE-K and GDS were performed to evaluate cognitive function. In addition, the K-IADL was used to assess instrumental activities of daily living. With intervention, the experimental group showed significant improvements in hand and cognitive function and instrumental activities of daily living. In contrast, the control group did not show improvements in hand and cognitive function or instrumental activities of daily living. In conclusion, the study showed that a convergent/integrated activity program for occupational therapy has a positive effect on hand and cognitive function as well as instrumental activities of daily living.

Factors affecting nurse's pain management for patients with dementia (요양병원 간호사의 치매환자 통증관리 수행에 영향을 미치는 요인)

  • Ryu, Young-Seun;Park, Jeong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.253-264
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    • 2016
  • The aim of this study was to investigate the factors influencing nurses' pain management in patients with dementia. A total of 197 nurses were recruited from 30 long-term care hospitals in B city. Data were collected from June 25 to July 15, 2016. Data analysis was performed using the SPSS 22.0 program, which included a t-test, ANOVA, Scheffe test, Pearson's correlation, and multiple regression analyses. The levels of knowledge were low with a score of 10.73 out of 18. The level of attitudes, self-efficacy, barriers and performance were 2.98, 3.34, 2.90, and 4.09, respectively. In addition, there were significant differences in the level of performance depending on the age (p=.046), long-term care (p=.009), and pain education (p=.004). The level of attitudes (r=.21, p=.006), self-efficacy (r=.51, p<.001) and performance were positively correlated with each other. A significant negative correlation was observed between the barriers and performance (r=-.16, p=.035). The meaningful variables that influence the performance were self-efficacy, long-term care, and pain education. These factors were responsible for 30.1%. Therefore, effective programs will be necessary to enhance pain management by improving the self-efficacy and knowledge of pain in dementia patients.

Dementia Patient Wandering Behavior and Anomaly Detection Technique through Biometric Authentication and Location-based in a Private Blockchain Environment (프라이빗 블록체인 환경에서 생체인증과 위치기반을 통한 치매환자 배회행동 및 이상징후 탐지 기법)

  • Han, Young-Ae;Kang, Hyeok;Lee, Keun-Ho
    • Journal of Internet of Things and Convergence
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    • v.8 no.5
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    • pp.119-125
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    • 2022
  • With the recent increase in dementia patients due to aging, measures to prevent their wandering behavior and disappearance are urgently needed. To solve this problem, various authentication methods and location detection techniques have been introduced, but the security problem of personal authentication and a system that can check indoor and outdoor overall was lacking. In order to solve this problem, various authentication methods and location detection techniques have been introduced, but it was difficult to find a system that can check the security problem of personal authentication and indoor/outdoor overall. In this study, we intend to propose a system that can identify personal authentication, basic health status, and overall location indoors and outdoors by using wristband-type wearable devices in a private blockchain environment. In this system, personal authentication uses ECG, which is difficult to forge and highly personally identifiable, Bluetooth beacon that is easy to use with low power, non-contact and automatic transmission and reception indoors, and DGPS that corrects the pseudorange error of GPS satellites outdoors. It is intended to detect wandering behavior and abnormal signs by locating the patient. Through this, it is intended to contribute to the prompt response and prevention of disappearance in case of wandering behavior and abnormal symptoms of dementia patients living at home or in nursing homes.

Development of Smart Care System of Urination of Severe for Demented Patients (치매환자의 배뇨처리용 스마트케어 시스템 개발)

  • Moon, Hee-Kyung;Lee, Geon-Yeob;Lee, Won-Jung
    • Proceedings of the Korea Information Processing Society Conference
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    • 2017.04a
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    • pp.535-536
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    • 2017
  • 고령화 인구가 증가함에 따라 실비케어에 대한 관심이 높아져 ICT 기술을 적용하여 환자 중심의 의료 서비스를 제공하기 위한 연구가 활발해지고 있다. 특히, 요양병원 및 재활 병원이 급증함에 따라 고령환자의 관리를 효과적으로 스마트케어 기술 개발이 활발해지고 있다. 최근 병원기관에서 환자관리에 대한 중요성이 점차 증가하고 있는 시점에서 거동이 불편한 환자의 관리는 중요한 이슈이다. 본 논문에서는 고령환자의 분노상태를 감지와 모니터링을 통해 신속하게 대처하기 위한 시스템을 제안하고자 한다. 제안한 시스템은 다양한 병원 기관에서 고령환자 관리를 위한 해결 방안이 될 것으로 기대하고 있다.

Development of Health Care System for Elderly People with Dementia Based on Leap Motion Sensor (립 모션(leap motion) 센서를 이용한 노령 환자 치매 케어 시스템 개발)

  • Shin, Ji-Woo;Kim, Ji-Soo;Hong, Gwang-Soo;Kim, Byung-Gyu
    • Journal of Digital Contents Society
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    • v.19 no.2
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    • pp.319-325
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    • 2018
  • The general public's interest in dementia has increased recently as dementia has become a social issue due to its rapid aging. Several dementia prevention and rehabilitation programs are being carried out at the dementia rehabilitation center and at the old welfare center depending on the number of dementia patients. In this paper, a 3 dimensional finger and motion search of the leap motion is utilized and combined with dementia preventive and cognitive rehabilitation programs at various facilities. We suggest technologies that can provide both fun and effective treatment and rehabilitation content for rehabilitation therapists. A variety of cognitive enhancement content is designed using finger tracking and configured to be recorded in the database for rehabilitation programmes to increase the effectiveness of management.

A Study on the Characteristics of Errors Type for Wellness of Alzheimer's Dementia Patients in the Naming Task (알츠하이머성 치매환자의 웰니스를 위한 명명하기 과제에서의 오류유형 특성 연구)

  • Kang, Min-Gu
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.213-219
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    • 2020
  • The purpose of this study was to investigate the characteristics of error types in naming task for 8 questionable demeatia groups, 9 definite dementia groups, and 10 normal groups. The items of naming error analysis were classified into visual perception errors, semantic association errors, semantic non-correlation errors, phoneme errors, Don't Know, and No Response. For the analysis, descriptive statistics analysis, analysis of variance, and multivariate analysis of variance were conducted using SPSS 21.0. As a result, there was a significant difference in the error rate between groups according to the error type. The errors that showed significant differences between the normal group and the other two groups were visual perception errors and semantic non-related errors. The error of non-response was different from the dementia confirmation group, but there was no significant difference from the dementia suspicion group. These results showed that Alzheimer's patients had a defect in confrontation naming ability. Also, it was found that it is appropriate to provid other clues when the defects caused by the degeneration of a specific step during the information processing process become severe.

A Study on Environment-related Factors that Promote Wayfinding for People with Dementia - Focused on the Context of Long-term Care Facilities for People with Dementia (치매환자의 길찾기 향상을 위한 환경요소에 관한 연구 - 치매환자를 위한 노인전문병원 및 요양시설을 중심으로)

  • Choi, Yeo Jin;Choi, Young-Seon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.4
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    • pp.27-38
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    • 2014
  • Purpose : The main objective of this paper is, to assess a body of research evidence that articulates the impact of environment-related factors on wayfinding for people with dementia who reside in Long-term care Facilities. The study also aims at identifying design implications that can be incorporated into design process and design decisions to improve wayfinding abilities for people with dementia. Methods : Comprehensive literature review has been conducted to identify empirical studies and carefully investigated peer-reviewed articles published in many different fields including architecture, psychology, nursing to gerontology. Results : The review found a growing body of studies that identified environment-related factors that improve wayfinding of people with Dementia living in long-term care facilities. Implications : The findings of the review can be considered as design guidelines to support the wayfinding abilities of people with dementia living in long-term care Facilities.

Extended Reality Training System Designing for People with MCI (Extended Reality 기반 고령자 대상 인지·운동 기능 훈련 콘텐츠 설계 제안)

  • Kim, Taehong;Kim, Joong Il;Seo, Jeong-Woo;Do, Jun-Hyeong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.12-14
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    • 2022
  • One of the most negative social changes of the last decade is population aging which leads to 19 times more patients with Mild Cognitive Disorder(MCI). It is well established that MCI is the most important state that can prevent dementia with early diagnosis and intervention. However, the social security system for patients with dementia is not working properly due to the coronavirus pandemic and the limited human power. This article proposes design principles for dementia training programs of extended reality devices. and The findings in this study provide a guide for considering the cognitive and physical and social functions of patients.

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