• 제목/요약/키워드: Alzheimer dementia

검색결과 408건 처리시간 0.027초

일개지역 저소득층 노인의 신체적 기능상태에 관한 연구 (A Survey on Functional Status among Low-Income Older Adults Living at Home)

  • 전경자;조윤미
    • 대한간호학회지
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    • 제31권5호
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    • pp.749-758
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    • 2001
  • The purpose of the study was to analyze the functional status of low income elderly living at home according to their socio-economic factors, sensory function, health status, medical service utilization, commodity and types of chronic disease. Method: Functional status was defined by the level of mobility, ADL and IADL categorized as independently functional, mildly impaired, moderately disabled, and severely disabled. The data was collected by home-visit interviews with 567 community dwelling adults who were 65 years of age or more with low a income status subsidized by government in ChonAn. Results: 9.9% of community dwelling older adults were severely disabled, and 44.4% were moderately disabled in their functional status. There were significant differences in the functional status by age, education, religion, and types of family structure. The older adults with hearing impairment or dental problems had a significantly higher rate of severe disability. Self-rated health status and medical service utilization were also significant factors to the differences in functional status. The functional status of older adults was also significantly related to the presence of chronic health problems such as chronic back pain, stroke, and Alzheimer-dementia. Conclusion: The results confirmed that community dwelling older adults with low income status were more functionally disabled in comparison to general older adults at national level, while the relating factors to their functional status seemed similar to other studies on older adults. Further studies were suggested to look into functional status longitudinally and focus on the changes of functional status by managing modifiable influencing factors.

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Ti-40Nb계 합금에 열처리와 첨가원소 Ta, Hf이 기계적 성질에 미치는 영향 (Effects of Adding Element Ta, Hf and Heat Treatment on Mechanical Properties of Ti-40Nb Alloys)

  • 이명곤
    • 대한치과기공학회지
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    • 제27권1호
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    • pp.19-25
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    • 2005
  • Ti6Al4V alloy have been mainly used as implant materials. Ti-6Al-4V alloy instead of pure Ti is being widely used as biomaterials has some characteristics such as high fatigue strength, tensile strength. But it has been reported recently that vanadium component expresses cytotoxicity and carcinogenicity and aluminium component is related with dementia of Alzheimer type. In order to overcome their detrimental effects, $\beta$-phase stabilizer Nb was chosen in the present study, in addition Ta and Hf were added to Ti-40wt.%Nb alloy to improve its mechanical properties. This paper was described the influence of heat treatment of Ti-40Nb alloys with 2wt%Ta, 2wt%Hf on the mechanical properties. Specimens of Ti alloys were melted in vacuum arc furnace and homogenized at 1050$^{\circ}C$ for 24 hr. and then were aged after solution heat treat at $\alpha+\beta$ and $\beta$ regions. The mechanical properties of Ti alloys were analysed by hardness test, tensile test, elongation test and SEM test. The results can be summarized as follows: 1. The mechanical properties Ti-40wt.%Nb were improved when 2wt.% Ta and 2wt.%Hf were added. 2. The higher tensile strength value and elongation at solution heat treat was higher than solution heat treat and then were aged.

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Nb 함량에 따른 Ti-Nb계 합금의 내식성에 대한 연구 (A study on corrosion resistance of Ti-Nb alloys by Nb contents)

  • 박근형
    • 대한치과기공학회지
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    • 제28권1호
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    • pp.61-66
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    • 2006
  • Titanium alloys have been used for dental materials due to it's very good biocompatibility. Ti-6Al-4V alloy instead of pure titanium is being widely used as biomaterials has some characteristics such as high fatigue strength, tensile strength and corrosion resistance. But it has been reported recently that the vanadium element expresses cytotoxicity and carcinogenicity and the aluminium element is related with dementia of Alzheimer type and neurotoxicity. The Ti-Nb alloys has designed and examined corrosion resistance. Ti-3wt.%Nb($\alpha$type), Ti-20wt.%Nb(${\alpha}+{\beta}$type) and Ti-40wt.%Nb($\beta$type) alloys were melted by vacuum arc furnace. The corrosion resistance of Ti alloys was evaluated by potentiodynamic polarization test in the solution of 0.9% NaCl and 5% HCl. The results can be summarized as follows: 1) For the corrosion test in the solution of 0.9% NaCl and 5% HCl, the corrosion behaviour of Ti-Nb alloys was similar to ASTM grade 2 CP Ti. 2) The corrosion resistance of Ti-20Nb alloy was better than that of CP-Ti, Ti-3Nb, Ti-40Nb alloy in 0.9% NaCl and 5% HCl, solutions.

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Ti-Nb계 합금의 세포독성에 관한 연구 (A study on cytotoxicity of Ti-Nb alloys)

  • 박효병
    • 대한치과기공학회지
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    • 제25권1호
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    • pp.89-94
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    • 2003
  • The use of titanium alloys as biomaterials is increasing due to their superior biocompatibility and enhanced corrosion resistance compared to conventional stainless steels and cobalt-based alloys. Ti-6Al-4V ($\alpha+\beta$type) alloy instead of pure titanium ($\alpha$type) is being widely used as biomaterials has some characteristics such as high fatigue strength, tensile strength and corrosion resistance. It also has similar characteristics to Ti in inducing bony ingrowth. But it has been reported recently that the vanadium element expresses cytotoxicity and carcinogenicity and the aluminium element is related with dementia of Alzheimer type and neurotoxicity. In order to overcome their detrimental effects, $\beta$-phase stabilizer Nb was chosen in the present study. CP-Ti(ASTM grade 2), Ti-3wt.%Nb($\alpha$type), Ti-20wt.%Nb ($\alpha+\beta$type) and Ti-40 wt.%Nb($\beta$type) alloys were melted by vacuum arc furnace. Biocompatibility of Ti-Nb alloys was evaluated by cytotoxicity test. The results can be summarized as follows: 1. For the cytotoxicity test, Ti-Nb alloys showed excellent biocompatibility compared to CP-Ti(ASTM grade 2), 316L STS and Co-Cr alloys.

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알츠하이머형 치매환자에 대한 조위승청탕(調胃升淸湯)의 효능 -청각 ERP 및 K-DRS의 성적 변화를 통하여- (The effects on Jowiseungchungtang of patients with early DAT using auditory ERP and K-DRS)

  • 김보균;김종우;김현택;정경천;황의완
    • 동의신경정신과학회지
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    • 제14권2호
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    • pp.43-59
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    • 2003
  • Object : This study was designed to assess the protective effects of Jowiseungchungtang on cognitive decline of the patients with early DAT[Dementia of Alzheimer Type]. Method : 15 patients with early DAT and 10 healthy elderly subjects were measured by using auditory ERP and K-DRS, and after 9 months again. During 9 months the patients with early DAT were administered with Jowiseungchungtang. Result : 1. The score of K-DRS increased in two group but it was not significant. 2. The latency of ERP P300 component increased in 2nd test of the normal group, but did not increase in 2nd test of patients group. 3. The amplitude of ERP P300 component showed the significant difference in electrode location in patients group, but it did not show any typical property. Conclusion : The results suggest that Jowiseungchungtang may have protective effects on cognitive decline in the patients with early DAT.

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치료제 DehydroevodiamineㆍHCl(DHED)의 변이원성 연구 (Study on Mutagenicity of DehydroevodiamineㆍHCl(DHED))

  • 성이숙;정성윤;정주연;채규영;진미령;최봉웅;장병모;김대경
    • 약학회지
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    • 제46권3호
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    • pp.208-212
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    • 2002
  • Dehydroevodiamine HCl (DHED), which is a component separated from Evodia rutaecarpa Bentham, has novel anticholinesterase and antiamnesic activities in the scopolamine-induced amnesia model. Several studies suggest that DHED might be an effective drug for the Alzheimer's disease and the vascular type of dementia. In order to evaluate the mutagenic potential of DHED, Salmonella typhimurium reversion assay, chromosomal aberration test on Chinese hamster lung cells, in vivo micronucleus assay using mouse bone marrow cells, and comet assay were performed. DHED did not increase the number of revertant in the reverse mutation test using Salmonella typhimurium TA1535, TA1537, TA98, TA100. DHED HCl, at concentration of 5 and 10 $\mu\textrm{g}$/mι, increased the number of chromosome aberrated Chinese hamster lung cells with 5 and 10%, respectively. In mouse micronucleus test, no significant increase in the occurrence of micronucleated polychromatic erythrocyte was observed in ICR mice orally administered with DHED. DHED was tested for ability to induce genotoxic effect in L5178Y cells (mouse lymphoma cells) using the single cell gel electrophoresis assay (comet assay). In comet assay, tail moment did not increase in L5178Y cells treated with 10, 100, 300 $\mu$M DHED.

Effects of Virtual Reality Exercise Program on Balance, Emotion and Quality of Life in Patients with Cognitive Decline

  • Lee, Geun-Ho
    • The Journal of Korean Physical Therapy
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    • 제28권6호
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    • pp.355-363
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    • 2016
  • Purpose: In this study, we investigated the effectiveness of a 12-week virtual reality exercise program using the Nintendo Wii console (Wii) in improving balance, emotion, and quality of life among patients with cognitive decline. Methods: The study included 30 patients with cognitive decline (12 female, 18 male) who were randomly assigned to an experimental (n=15) and control groups (n=15). All subjects performed a traditional cognitive rehabilitation program and the experimental group performed additional three 40-minute virtual reality based video game (Wii) sessions per week for 12 weeks. The berg balance scale (BBS) was used to assess balance abilities. The short form geriatric depression scale-Korean (GDS-K) and the Korean version of quality of life-Alzheimer's disease (KQOL-AD) scale were both used to assess life quality in patients. Statistical significance was tested within and between groups before and after treatment, using Wilcoxon signed rank and Mann-Whitney u-tests. Results: After 36 training sessions, there were significant beneficial effects of the virtual reality game exercise on balance (BBS), GDS-K, and KQOL-AD in the experimental group when compared to the control group. No significant difference was observed within the control group. Conclusion: These findings demonstrate that a virtual reality-training program could improve the outcomes in terms of balance, depression, and quality of life in patients with cognitive decline. Long-term follow-ups and further studies of more efficient virtual reality training programs are needed.

초기 알츠하이머형 치매환자에 대한 건뇌탕(健腦湯)의 효능 -12 개월 임상 연구- (The Effects on Kunneotang of Patients with Early Dementia of Alzheimer Type -12 Months Clinical Study-)

  • 엄효진;김종우;박은혜;김현택;황의완
    • 동의신경정신과학회지
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    • 제16권1호
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    • pp.43-66
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    • 2005
  • Object : This study was designed to asses the protective effects of Kunneo tang on cognitive decline of the patients with early DAT. Method : Before administered with Kunneotang, 16 patients with early DAT were measured by auditory ERP, MMSE-K and K-DRS. During 12 months the patients with early DAT were administered with Kunneotang. After 12months the patients were measured by the same examinations again. Result : 1. The total score of MMSE-K decreased but it was not significant. 2. The total score of K-DRS increased but it was not significant. Among the five criteria(attention, memory, initiation/perseveration, construction, conceptualization), Initiation/perseveration score signifcantly decreased and there were no significant differences in the other scores. But, memory mean score had a tendency to increase. 3. The latency of ERP P300 component increased but it was not significant and the amplitude of ERP P300 component showed the significant difference. Conclusion : The results suggest that Kunneotang may have protective effects on cognitive decline in the patients with early DAT.

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가상현실기반의 경도인지장애 예방 훈련 시스템 (Virtual reality-based mild cognitive impairment prevention training system)

  • 최기원;주문일;김희철
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2016년도 추계학술대회
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    • pp.749-751
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    • 2016
  • 가상현실의 등장으로 인해 과거의 이미지와 영상을 통한 커뮤니케이션 방법이 3차원 공간 속으로 확장되면서 보다 사실적이고 원활한 상호작용 환경을 제공하게 되었다. 가상현실은 현실과는 달리 인간의 완벽한 통제 하에 있다는 점을 통해 현실의 대체재로 활용이 가능하며 이 같은 장점으로 인해 의학과 헬스 케어 분야에서도 가상현실을 활용한 치매 예방 및 치료가 주목받고 있다. 본 논문에서는 치매 전조 현상인 경도인지장애에 초점을 맞추어 가상현실 기반의 경도인지장애 예방훈련 시스템을 설계하고자 한다.

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노인의 기억 재활: 이론적 개관 (Memory Rehabilitation in the Elderly: A Theoretical Review)

  • 박민
    • 한국노년학
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    • 제28권4호
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    • pp.925-940
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    • 2008
  • 현대 사회에서 노인 인구의 비율이 꾸준하게 증가하면서, 정상적 및 병리적 노화와 관련된 기억 결함을 다루는 인지적 재활 전략의 영향력도 차차 커지고 있다. 본 논문에서는 현재 이루어지고 있는 노인을 위한 기억 재활 기법을 개관하였다. 먼저, 기억의 노화를 이해하기 위한 이해의 틀로서 인간의 기억 체계를 고찰하였고, 정상적 노화와 알츠하이머병과 같은 병리적 노화에 따른 기억 수행에 관하여 이루어진 연구결과들을 개관한 다음, 그 효과가 입증된 기억 재활 기법들을 소개하였다. 현재까지의 기억 재활 기법들은 아직 남아있는 외현 기억 촉진, 상대적으로 손상되지 않은 암묵 기억 이용, 외부 기억보조 도구 사용에 초점을 맞춘 것이었으나, 새로운 접근으로 뇌 가소성에 기반을 둔 기억 훈련 방법의 가능성을 제안하였다.