• Title/Summary/Keyword: K-MMSE

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The clinical research of dementia assessment examination-focused on the diagnosis of dementia for patient of Cheongju district. (치매평가검진 환자에 관한 임상연구 (청주 지역사회 환자의 치매진단을 중심으로))

  • Jung, In-Chul
    • Journal of Haehwa Medicine
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    • v.15 no.1
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    • pp.1-9
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    • 2006
  • For this study, we carried out dementia assessment examination of 74 patients with memory disturbance who have come to Cheongju oriental hospital of Daejeon university from April 2005 to February 2006. This study classified the patients as none-dementia(ND), questionable dementia(QD), and dementia(DA) groups and analyzed the result of examination. As a result, the following conclusion was drawn. 1. Among the 3 groups, there was no significant differences in the sex distribution. But according to age distribution, the age of QD and DA groups showed significant difference from that of ND group. 2. MMSE-K and HDS-K scores showed the significant differences among all groups, and 7 MS result showed the significant difference between ND and the other groups. 3. The DA group significantly got lower scores than ND group in the items of the MMSE-K, Orientation, Registration, Recall, Attention, Copy two pentagons and Comprehension. Especially, significant difference also was shown in the orientation item between QD and DA groups. 4. The scores in the items of 7 MS, Benton temporal orientation, Enhanced cued recall and Clock drawing showed significant difference among all groups. Category fluency score showed significant difference between ND and the other groups. 5. The results of Brain CT and clinical chemistry test didn't show significant difference among all groups.

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Cognitive and Physical Function by the Social Disengagement in Institution and Community Living Elderly (시설노인과 지역사회 거주노인에서 사회적 유리에 따른 인지기능과 신체기능)

  • So, Hee-Young;Kim, Hyun-Li
    • The Korean Journal of Rehabilitation Nursing
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    • v.10 no.1
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    • pp.5-11
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    • 2007
  • Purpose: This study was conducted to compare the level of cognitive and physical function by the level of social disengagement in institutions and community dwelling elderly. Method: The study subjects were 209 people whose age ranged from 65 to 94. The data were surveyed with social disengagement index, MMSE-K, and ADL, and analysed by SPSS 11.0 using frequency, t-test, ANCOVA and ANOVA. Results: 1) The level of social disengagement was 1.67 in institution and 3.25 in community elderly, and showed statistically significant difference (F=41.07, p<.001). 2) There were statistically significant difference in MMSE-K (F=15.51, p<.000), and activity of daily living (F=9.65, p=.002) between two residence after control the age, gender, religion, allowance and number of children. 3) There were statistically significant difference in MMSE-K (F=6.55, p=.002) by social disengagement in community dwelling elderly. Conclusions: Programs for successful aging to reduce social disengagement should be developed that stimulate social activities and then improve cognitive function for the elderly. For these, establishing social policies in nation and local government is needed. Especially, these policies should be conducted among the elderly with low-income living in institutions.

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Analyzing Factors Affecting Cognitive Function in the Elderly using Computerized Neurocognitive Tests

  • Shim, Joohee;Kang, Seungwan
    • Research in Community and Public Health Nursing
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    • v.28 no.2
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    • pp.107-117
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    • 2017
  • Purpose: The purpose of this study is to examine the cognitive function in the elderly and to identify the influencing factors. Methods: The design of this study was descriptive research design. A total of 139 elderly people (aged 65 years and over) visiting the electroencephalogram (EEG) center in Seoul, Korea were evaluated. Data were assessed by self-administered questionnaires and CNS Vital Signs (CNSVS). Data were analyzed using SPSS Statistics 23.0 for Windows. Results: There were significant differences in the Korean Mini-Mental State Examination (K-MMSE), executive functions and reasoning according to education level. K-MMSE, visual memory and executive functions were different depending on the jobs. Age was highly correlated with cognitive function. In addition, stepwise multiple regression analyses showed that the factor significantly associated with reaction time and visual memory was depression. Depression and Trait-Anxiety had significant impacts on executive functions and K-MMSE. Conclusion: CNSVS enabled the accurate and objective measurement of cognitive function. Therefore, this study provides useful data to improve cognitive function of the community-dwelling elderly. The results suggested that there is need for comprehensive interventional programs that manage cognitive impairment.

Asymptotic Behavior of the output SINR at MMSE receivers in a MIMO MC-CDMA system (MIMO MC-CDMA시스템에서 MMSE 수신기 출력의 점근적 양상)

  • Kim, Kyeong-Yeon;Shim, Sei-Joon;Ham, Jae-Sang;Lee, Chung-Yong
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.44 no.4
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    • pp.10-16
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    • 2007
  • This paper analyzes the output signal-to-interference-plus-noise ratio (SINR) for a multiple-input-multiple-output (MIMO) multicarrier code division multiple access (MC-CDMA) system with minium mean square error receivers. A previous work of a single antenna MC-CDMA system cannot directly applied to a MIMO MC-CDMA system because some assumptions for single antenna do not match the case of multiple antenna. Therefore this paper expands the concept of freeness to MIMO system by using the Marcenko Pastur law. The analysis shows that the output SINR asymptotically converges to a deterministic value and finds the value on the assumption of freeness. From the analysis, it is easy to calculate bit error rate and the calculation is verified by simulations.

Results of Korean Medicine Treatment in Community Dwelling Elderly with Mild Cognitive Impairment: Focusing on the Change in Cognitive Ability (지역사회 거주 경도인지장애 노인들을 대상으로 시행한 한의치료의 보고: 인지기능을 중심으로)

  • Kim, Yun-Na;Bae, Joon-Sang;Eom, Yoon-Ji;Lee, Kyung-Seok;Yoon, Hyun-Min;Cho, Seung-Hun
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.3
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    • pp.185-198
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    • 2019
  • Objectives: The purpose of this study was to identify the effectiveness of Korean medicine treatment in mild cognitive impairment (MCI) among a group of community dwelling elderly. Methods: Two-hundred and twenty-nine elderly living in a community and diagnosed with MCI were recruited. Participants were evaluated with various instruments such as the Korean version of Mini-Mental State Examination for Dementia Screening (MMSE-DS) and the Korean version of Montreal Cognitive Assessment (MoCA-K). Korean medicine treatment consisted of herbal medicine, acupuncture, and pharmacoacupuncture. The change in cognitive ability was assessed by using the MMSE-DS and the MoCA-K. Data were analyzed by SPSS/WIN 22.0 using the paired t-test, and the ANOVA. Results: The MMSE-DS and the MoCA-K score generally increased after six months of Korean medicine treatment and the differences in both instruments were statistically significant. Additionally, some consecutive participants maintained long-term cognitive improvement. When analyzed specifically by herbal medicine group based on syndrome differentiation and pharmacoacupuncture group, most showed improvement in the MMSE-DS and the MoCA-K but not all data were statistically significant. The satisfaction score was mostly high and most participants were willing to re-participate in the program. Conclusions: Korean medicine treatment may contribute to the improvement and prevention of cognitive decline in the elderly. However, further systematic research based on large scale sample data and standardized protocols is needed to uplift the welfare and mental health of the elderly.

Analysis of Dementia Tests Affecting the Diagnosis of Alzheimer's Disease (알츠하이머 치매 진단에 영향을 미치는 검사도구 분석)

  • Park, E-Rang;Kang, Gwang-Soon
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.1
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    • pp.181-189
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    • 2021
  • The purpose of this study is to investigate the relationship between "Mental Status and Dementia Tests" and "predictive diagnosis of severity of dementia". This is a descriptive research, analyze the data collected from Alzheimer's patients and identify which "Mental Status and Dementia Tests" has the most impact to determine the severity of dementia. For this study, Alzheimer's patient's CDR, MMSE-K, SGDS, NPI-Q, BADL and IADL were collected and analyzed. This study will provide a predictive factor to determine the severity of dementia when "Mental Status and Dementia Testss" are being used and also to provide the right treatment. For this study, a total of 617 cases of data from Alzheimer's patients were collected and analyzed with SPSS Statistics. In addition, effective "Mental Status and Dementia Tests" for evaluating the severity of dementia were CDR, ADL, MMSE-K, and SGDS whereas NPI-Q and IADL. Based on the findings of the study, it was recommended to implement more efficient diagnostic method by utilizing a standardized "Mental Status and Dementia Tests".

The Effect of Action Observation Training on Balance and Cognition on the Elderly with Dementia

  • Cheol-Jin Kang;Sung-Min Son;Se-Hee Park
    • The Journal of Korean Physical Therapy
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    • v.36 no.2
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    • pp.61-66
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    • 2024
  • Purpose: The purpose of this study was to investigate the impact of action observation training (AOT) on the balance and cognition of the elderly with dementia. Methods: Twenty-four participants were randomly assigned to experimental and control groups (12 participants each). The 5-week intervention involved 45 minutes sessions, three times a week. Both groups did 30 minutes of general physical exercises, followed by the experimental group watching a 5 minutes video featuring functional movements and imitating them for 10 minutes. The control group watched a scenic video and did functional training for 10 minutes, mimicking the experimental group. All participants were evaluated using the Timed Up and Go (TUG) test, Functional Reaching Test (FRT), Berg's Balance Scale (BBS), and Korean version of Mini-Mental State Examination (K-MMSE) before and after the intervention. A paired t-test was conducted to compare the within-group change before and after the intervention. Two-way repeated measures ANOVA was performed to compare the between-group difference. The statistical significance level was set to p=0.05 for all variables. Results: The experimental group showed significant within-group changes in the TUG test, FRT, BBS, and K-MMSE (p<0.05). The control group showed a significant change in FRT and K-MMSE (p<0.05). A significant difference was observed between the experimental group and the control group regarding the change in the TUG test, BBS, and K-MMSE after the interventions (p<0.05). Conclusion: The findings of this study suggest that the AOT and repetition of actual movements, led to more significant improvements in balance and cognitive abilities compared to the control group that observed scenic landscapes.

Incidence and Features of Cognitive Dysfunction Identified by Using Mini-mental State Examination at the Emergency Department among Carbon Monoxide-poisoned Patients with an Alert Mental Status (의식이 명료한 일산화탄소 중독환자를 대상으로 응급실에서 시행한 간이정신상태검사의 임상적 의의)

  • Youk, Hyun;Cha, Yong Sung;Kim, Hyun;Kim, Sung Hoon;Kim, Ji Hyun;Kim, Oh Hyun;Kim, Hyung Il;Cha, Kyoung Chul;Lee, Kang Hyun;Hwang, Sung Oh
    • Journal of The Korean Society of Clinical Toxicology
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    • v.14 no.2
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    • pp.115-121
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    • 2016
  • Purpose: Because carbon monoxide (CO)-intoxicated patients with an alert mental status and only mild cognitive dysfunction may be inadequately assessed by traditional bedside neurologic examination in the emergency department (ED), they may not receive appropriate treatment. Methods: We retrospectively investigated the incidence and features of cognitive dysfunction using the Korean version of the Mini-Mental State Examination (MMSE-K) in ED patients with CO poisoning with alert mental status. We conducted a retrospective review of 43 consecutive mild CO poisoned patients with a Glasgow Coma Scale score of 15 based on documentation by the treating emergency physician in the ED between July 2014 and August 2015. Results: Cognitive dysfunction, defined as a score of less than 24 in the MMSE-K, was diagnosed in six patients (14%) in the ED. In the MMSE-K, orientation to time, memory recall, and concentration/calculation showed greater impairments. The mean age was significantly older in the cognitive dysfunction group than the non-cognitive dysfunction group (45.3 yrs vs. 66.5 yrs, p<0.001). Among the initial symptoms, experience of a transient change in mental status before ED arrival was significantly more common in the cognitive dysfunction group (32.4% vs. 100%, p=0.003). Conclusion: Patients with CO poisoning and an alert mental status may experience cognitive dysfunction as assessed using the MMSE-K during the early stages of evaluation in the ED. In the MMSE-K, orientation to time, memory recall, and concentration/calculation showed the greatest impairment.

Cognitive Function among the Elderly and Its Correlated Factors (지역사회 재가노인의 인지기능과 관련요인)

  • Min, Hye Sook
    • Korean Journal of Adult Nursing
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    • v.19 no.1
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    • pp.78-88
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    • 2007
  • Purpose: The purpose of this study was to find out the degree of cognitive function among the elderly and to confirm its correlated factors. Methods: The subjects consisted of 392 elderly people over the age 65 who were living in Busan. Data were collected by the interview method, using a structured questionnaire and the K-MMSE scale. Results: The average points of the elderly's cognitive functions measured by K-MMSE were 23.76(${\pm}4.02$). With the cut-off point for cognitive impairment set as 24 points below using K-MMSE scale, 38.8% of the subjects have cognitive impairments. Among the variables related to cognitive functions, literacy showed the highest correlation with cognitive function(${\beta}=.330$, t=7.249, p<.001), followed in order by educational level, age, depression level, attendance of elderly's college, and religious activity. The total explanatory power of these variables is 36%. Conclusion: In order to prevent cognitive impairment among the elderly, elderly people have to maintain social relationships continuously, and expand the social network by participating in the related programs. Some efforts to prevent the occurrence of depression and to stimulate patients' brain activity need to be recommended.

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Performance Analysis of a Class of Single Channel Speech Enhancement Algorithms for Automatic Speech Recognition (자동 음성 인식기를 위한 단채널 음질 향상 알고리즘의 성능 분석)

  • Song, Myung-Suk;Lee, Chang-Heon;Lee, Seok-Pil;Kang, Hong-Goo
    • The Journal of the Acoustical Society of Korea
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    • v.29 no.2E
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    • pp.86-99
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    • 2010
  • This paper analyzes the performance of various single channel speech enhancement algorithms when they are applied to automatic speech recognition (ASR) systems as a preprocessor. The functional modules of speech enhancement systems are first divided into four major modules such as a gain estimator, a noise power spectrum estimator, a priori signal to noise ratio (SNR) estimator, and a speech absence probability (SAP) estimator. We investigate the relationship between speech recognition accuracy and the roles of each module. Simulation results show that the Wiener filter outperforms other gain functions such as minimum mean square error-short time spectral amplitude (MMSE-STSA) and minimum mean square error-log spectral amplitude (MMSE-LSA) estimators when a perfect noise estimator is applied. When the performance of the noise estimator degrades, however, MMSE methods including the decision directed module to estimate a priori SNR and the SAP estimation module helps to improve the performance of the enhancement algorithm for speech recognition systems.