• Title/Summary/Keyword: 치매환자

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Characteristics and Death Risk Factors of Patients in Long-Term Care Hospital Connected to Special Hospital (일개 특수 요양병원 환자들의 특성 및 사망 위험요인)

  • Park, Un Je
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.651-659
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    • 2020
  • The objective of this study is to provide high-quality medical service, by understanding the characteristics and death risk factors of patients at V long-term care hospital, that has established and operated the cooperative treatment system in connection with a public institution, the S veterans hospital. A follow-up survey targeting a total of 850 discharged patients was conducted for the year 2017. Average age of patients was 79.2 years, with 86.4% belonging to the 70 years or over group. The men of national merit were 75.4%, which was more than three times higher than general patients. Hospitalization for 180 days or more was 46.4%, which was higher than general long-term care hospitals (37%). The major death risk factors were age and the number of hospitalized days. Our data indicate that transfer to S veterans hospital results in providing quicker treatment and higher effectiveness of the numerous recovery therapies. We therefore propose that the cooperative treatment system should be expansively operated to increase the quality of happy life, by alleviating the health of patients with chronic diseases in a long-term care hospital.

Comparative Analysis of TOA and TDOA method for position estimation of mobile station (이동국 위치 추정을 위한 TOA와 TDOA방법의 비교 분석)

  • 윤현성;이창호;변건식
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.4 no.3
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    • pp.595-602
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    • 2000
  • This paper is aimed at developing an location tracking system of mobile station based on currently available mobile communication network or mobile Phone and PCS(Personal Communication System). When the location tracking of mobile stations is in services, Emergency-119, all of crime investigation, effective urban traffic management and the safety protection of Alzheimer's patients can be available. In order to track the location of the mobile and base station, assumption in this paper is to use the statistic characteristics of LOS when modeling the standard noise in case that radio path is LNOS environment. The standard variation of the standard noise is $\pm150$. First, location is estimated by the positioning algorithms of TOA and TDOA and compared each other. Second, after canceling the standard noise by Kalman filter, location is estimated by the above two positioning algorithms. Finally, the location by the Kalman filter and two positioning algorithms is estimated by smoothing method. As a result, 2 dimensional average location error is imvoved by 51.2m in TOA and 34.8m in TDOA when Kalman filer and two positioning algorithms are used, compared with the two positioning algorithm used. And there is 3 more meter improvement after smoothing than Kalman filer and two positioning algorithms used.

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Analysis of Regional Cerebral Blood Flow Using $^{99m}Tc-HMPAO$ Brain SPECT in Senile Dementia of Alzheimer Type (알쯔하이머형의 노인성 치매에서 $^{99m}Tc-HMPAO$ 뇌 SPECT를 이용한 뇌혈류분포의 분석)

  • Lee, Myung-Hae;Lee, Myung-Chul;Koh, Chang-Soon;Roh, Jae-Kyu;Woo, Chong-In
    • The Korean Journal of Nuclear Medicine
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    • v.22 no.2
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    • pp.147-156
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    • 1988
  • 알쯔하이머병 환자 11명, 우울증 환자 7명 그러고 정상 대조군 12명을 대상으로 $^{99m}Tc-HMPAO$ 뇌 SPECT를 이용하여 국소 뇌혈류 분포를 분석하여 다음과 같은 결과를 얻었다. 1) SPECT소견은 정상 대조군과 우울증군에서는 모두 정상이 있으나 알쯔하이머병군에서는 7명은 양측 측두엽 및 두정엽에, 3명은 편측 측두엽 및 두정엽에 그리고 1명은 전두엽에 뇌혈류 감소의 소견을 보였다. 2) 대뇌반구간 혈류분포의 변화를 비교하는 지수인 Cerebral asymmetry index는 정상 대조군에서 $0.08{\pm}0.03$, 알쯔하이머병군에서는 $0.11{\pm}0.04$ 그리고 우울증군에서는 $0.09{\pm}0.03$으로서 세 군간에 유의한 차이가 없었다. 3) 소뇌반구간 혈류분포의 변화를 비교하는 지수인 Percent index of cerebellar asymmetry는 정상 대조군에서 $0.4{\pm}0.7%$, 알쯔하이머병군에서 $-0.7{\pm}0.08%$ 그리고 우울증군에서 $-0.7{\pm}0.7%$로서 세군 간에 유의한 차이는 없었다. 4) 소뇌 계수치를 대조값으로 각 영역별 혈류분포의 변화정도를 비교하는 지수인 Region to cerebellum ratio는 우울증군에서는 정상 대조군과 유의한 차이를 보이지 않았으나 알쯔하이머병군에서는 양측 두정엽과 측두엽에서 유의한 감소를 보였다(p<0.05). 이상의 결과로 $^{99m}Tc-HMPAO$ 뇌 SPECT는 알쯔하이머병의 진단에 있어서 유용한 방법임을 알 수 있었다.

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A Retrospective Study on Dementia Outpatients in Oriental Neuropsychiatry Clinic of One Medical Center (치매 환자에 대한 후향적 연구 - 일 기관 한방신경정신과 내원 환자를 중심으로 -)

  • Cho, Hye-Young;Hong, Soon-Sang;Whang, Wei-Wan;Cho, Seung-Hun
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.4
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    • pp.137-149
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    • 2010
  • Objectives : The aim of this study was to describe the clinical aspects in dementia outpatients who visited oriental neuropsychiatry clinic and to analyze the efficacy of herbal medicine. Methods: We analysed medical records of dementia outpatients who visited oriental neuropsychiatry clinic of K medical center from August. 2000 to July, 2010 and matched our criteria. Results: Ninety-two subjects were selected for analysis and consisted of 77.3% dementia of Alzheimer type. 13.0% vascular dementia. and 9.8% mixed type of dementia. Herbal medicine prescribed mainly were Jowjseungchung-tang(Tiaowejshengqing-tang). Kunneo-tang(Jjannao-tang) and Chenwangbosim-dan(Tianwangbuxin-dan) for dementia of Alzheimer type, and Sunghyangjungki-san(Xjngxjangzhengqi-san) and Upung-dan (Yufeng-dan) for vascular dementia. Scores of K-DRS were not changed for some subs cales and decreased but less than natural decline of Alzheimer disease. Score on the Memory subscale in group of Kunneo-tang(Jjannao-tang) increased significantly. Conclusions : These results suggest that the herbal medicine may be effective for dementia. More prospective studies are needed to assess the efficacy and prognosis of herbal medicine for dementia. Clinical guideline is needed for systematic data accumulation.

A Study for Psychological Effects which Make-up Behavior Has on Women (화장행위가 갖는 심리학적 효과에 관한 연구)

  • Kim Myung-lee;Kim Ju-duck
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.31 no.1 s.49
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    • pp.127-134
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    • 2005
  • This study is to identify the psychological effect of make-up, to examine women's tendency toward make-up and to figure out relationships between their psychological properties and its functions. This study has verified that makeup has a positive effect on their interpersonal relationships, psychological reaction and self- confidence as well as it meets their fundamental aesthetic needs. And further studies about psychological reason why they wear makeup need to be made. Makeup has an effect on their looks and it has a psychological effect of being able to decorate and move their mind. finally, it is anticipated that the study for psychological approach to makeup could contribute on the study for positive makeup treatment.

The Systematic Discussion of a Study on the Application of Computerized Cognitive Rehabilitation on Patient with Dementia in Korea (국내 치매 환자를 대상으로 한 전산화 인지 재활 적용 연구에 대한 체계적 고찰)

  • Lee, Hyunjin;Kim, Kyoungdon;Kim, Bora
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.4
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    • pp.83-89
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    • 2017
  • Purpose : This study aimed to investigate a study on the intervention of computerized cognitive rehabilitation applied to patients with dementia in Korea. Thus, a systematic discussion was conducted. Methods : Studies from January 2000 to December 2016 were searched in the Korea Education and Research Information Service. The main key words used were: "dementia," "computerized cognitive rehabilitation," "computerized cognitive training," "computer assisted cognitive therapy," and "computerized cognitive therapy." Result : A total of five studies were selected. The effects of the computerized cognitive rehabilitation therapy applied to patients with dementia resulted in improved cognitive functions, as well as daily living and activities instrumental to daily living. There was also an increase in brain activity. The qualitative aspects of this study showed a low level of internal and external validities due to the small number of subjects, short period of intervention, and limited study environment. Conclusion : In the future, it is necessary to continue a study in which the level of evidence is high to determine whether various cognitive rehabilitation programs are effectively applied to patients with dementia.

Improving Cognitive Abilities for People with Alzheimer's Disease: Application and Effect of Reality Orientation Therapy (ROT) (알츠하이머병 치매 환자의 인지재활: 현실감각훈련(ROT)의 적용과 효과)

  • Kim, JungWan
    • Phonetics and Speech Sciences
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    • v.5 no.1
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    • pp.27-38
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    • 2013
  • Healthcare providers in Korea are using conservative pharmacological treatment for Alzheimer's disease (AD) to delay the progress of the disease or to mitigate its behavioral and neurological symptoms. However, there is a growing need for interventions using practical non-pharmacologic treatment, as the effects of pharmacological treatments has faced limitations. This research provided a cognitive rehabilitation program to 3 AD patients and used a multiple baseline design across subjects to examine the effects. Performing reality orientation therapy (ROT) for 1 cycle (4 weeks) resulted in a slight increase in accuracy and responsiveness on an orientation task, mainly with patients with mild cases of AD. Also, in the sub-domain of the Korean-Mini Mental Status Examination performed to examine changes in cognitive ability, there were minimal changes in place orientation. In functional communication, however, there were no significant differences before and after the intervention. In conclusion, we found that ROT was an effective intervention for improving accuracy and responsiveness in the orientation of patients with mild cases of AD. In future studies, the effect of non-pharmacological interventions can be evaluated more reliably by examining the interaction effects of sample size, length of the intervention, outcome measurements, and pharmacological intervention.

The Effects of Task Oriented Circuit Exercise on Balance and Cognition in Mild Dementia Patients (순환식 과제 지향 운동이 경증치매환자의 균형능력과 인지기능에 미치는 영향)

  • Jung, Eun-Ji;Kim, Won-Bok
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.1
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    • pp.83-91
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    • 2014
  • PURPOSE: The purpose of this study was to investigate the effects of task oriented circuit exercise(TOCE) on the balance and cognition in mild dementia patients. METHODS: The subjects of the study were 30 patients with mild dementia and assigned to the TOCE(task oriented circuit exercise) group(n=15) and aerobic exercise(AE) group(n=15). TOCE group performed six task three times weekly for 12 weeks. AE group underwent the cycle ergometer and treadmill exercise three times a week during the experimental period respectively. Timed up and go test(TUG), Berg balance scale(BBS) and AP1153 Biorescue were used to assess the parameters for the balance. Korean-mini mental state examination and Global deterioration scale(GDS) were used to assess the parameters for the cognition. For the statistical analysis, paired t-test and independent t-test were used to compare the differences among two groups. RESULTS: Each group showed improvement in balance and possibility for improving cognitive function. TOCE group especially, there were significant improvements in limit of stability. CONCLUSION: The results of the study suggest that TOCE is a more diverse exercise programs introduced in the study. Furthermore, TOCE can be a helpful to improve the balance and cognition in mild dementia patients.

Composition treatment system relationship special quality research for ache mitigation by frequency action mode form (주파수 동작 모드형태에 따른 통증 완화용 복합치료 시스템의 개발연구)

  • Park, Doo-Yul;Kim, Whi-Young
    • Journal of the Korea Computer Industry Society
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    • v.8 no.4
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    • pp.289-294
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    • 2007
  • Lately, result that the myopathy occurrence rate such as muscle disease and brain apoplexy by the tribe of momentum by aging society and information-oriented society, imbecility, Parkinson's disease, motor nerve disease is increasing rapidly and investigates the occurrence rate, was expose that increased more than man case 2 double and man and woman of mortality increases by about 50% with Parkinson's disease and motor nerve disease. <중략> Is going to apply to myopathy patient of other disease if supplement system hereafter, and this research tried to study rain standardization special quality and approach producing poetic theme width directly.

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Three cases of Vascular Dementia Patients (혈관성 치매 환자 치험 3례)

  • Jang, Moon-Hee;Choi, Jae-Song;Bae, Na-Young;Ahn, Teak-Won
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.3
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    • pp.402-411
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    • 2011
  • 1. Objectives: This study is about three vascular dementia patients with disorientation, memory impairment and cognitive disorder. In this study, we evaluated the effects of Sasang constitutional treatment and suggested using the Mini Mental Status Examination - Korea (MMSE-K), Global Deterioration Scale (GDS). 2. Methods: These three patients were treated by Sasang constitutional herbal medications based on "Donguisusebowon". Acupuncture and west medications were limited as much as possible. We evaluated the symptoms through the Mini Mental Status Examination - Korea (MMSE-K), GDS (Global Deterioration Scale). 3. Results and Conclusions: Disorientation, memory impairment and cognitive disorder that were these three patients chief complaints were improved. This case study shows that Sasang constitutional herbal medications are an effective treatment for vascular dementia patients.