• Title/Summary/Keyword: cause of the decline

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Strategies for Managing Dementia Patients through Improving Oral Health and Occlusal Rehabilitation: A Review and Meta-analysis

  • Yeon-Hee Lee;Sung-Woo Lee;Hak Young Rhee;Min Kyu Sim;Su-Jin Jeong;Chang Won Won
    • Journal of Korean Dental Science
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    • v.16 no.2
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    • pp.128-148
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    • 2023
  • Dementia is an umbrella term that describes the loss of thinking, memory, attention, logical reasoning, and other mental abilities to the extent that it interferes with the activities of daily living. More than 50 million individuals worldwide live with dementia, which is expected to increase to 131 million by 2050. Recent research has shown that poor oral health increases the risk of dementia, while oral health declines with cognitive decline. In this narrative review, the literature was based on the "hypothesis" that dementia and oral health have a close relationship, and appropriate oral health and occlusal rehabilitation treatment can improve the quality of life of patients with dementia and prevent progression. We conducted a literature search in PubMed and Google Scholar databases, using the search terms "dementia," "major neurocognitive disorder," "dentition," "occlusion," "tooth loss," "dental prosthesis," "dental implant," and "occlusal rehabilitation" in the title field over the past 30 years. A total of 131 studies that scientifically addressed dementia, oral health, and/or oral rehabilitation were included. In a meta-analysis, the random effect model demonstrated significant tooth loss increasing the dementia risk 3.64-fold (pooled odds ratio=3.64, 95% confidence interval [2.50~5.32], P-value=0.0348). Tooth loss can be an important indicator of cognitive function decline. As the number of missing teeth increases, the risk of dementia increases. Loss of teeth can lead to a decrease in the ascending information to the brain and reduced masticatory ability, cerebral blood flow, and psychological atrophy. Oral microbiome dysbiosis and migration of key bacterial species to the brain can also cause dementia. Additionally, inflammation in the oral cavity affects the inflammatory response of the brain and the complete body. Conversely, proper oral hygiene management, the placement of dental implants or prostheses to replace lost teeth, and the restoration of masticatory function can inhibit symptom progression in patients with dementia. Therefore, improving oral health can prevent dementia progression and improve the quality of life of patients.

Evaluation of Visual Perception in Smoking Cessation Websites and Construction of Antismoking Website

  • Lee, Yoon-Hyeon;Shin, Soon-Ho
    • Korean Journal of Health Education and Promotion
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    • v.20 no.4
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    • pp.95-109
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    • 2003
  • Tobacco use is the most readily preventable cause of premature death; it is a worldwide problem, with a significant impact on heath and well-being. In order to design an effective tobacco education program, it is important to understand smoking patterns and the underlying factors associated with smoking in different generations such as adults or young people. Despite a general decline in the prevalence of regular smoking among adults, recent surveys commissioned by the Ministry Heath & Welfare for the Republic of Korea have shown no evidence of any decline in smoking rates among young women and adolescents. The Republic of Korea has the highest adult male smoking percentage (65.1%) in the world and smoking in adolescents is still an increasing trend. Smoking in adolescents and young women is especially more dangerous, thus health education of anti-smoking directed at these groups is an important area that will benefit from using internet content that they can easily access. The purpose of this study is the evaluation of visual perception and effectiveness analysis in smoking cessation websites in promoting smoking cessation in adolescents and young women through Internet content. As a result of this project, at first we evaluated the Internet content of cyber smoking cessation programs by the evaluation criteria of web design interface. The Internet site of http://nosmokeguide.or.kr received the most superior evaluation in the domestic Internet content for smoking cessation and the Internet site of the National Center for Tobacco-Free Kids received the most superior evaluation in the foreign Internet content for smoking cessation. This evaluation was surveyed by an expert in Internet content and user. Secondly, we developed the Internet content for cyber smoking cessation program, namely, "Dr. Smoking" that contained several menus and a database regarding anti-smoking designed in accordance with the results of this evaluation. The domain address of Dr. Smoking is http://www.dmosmoking.com and our webpage has assorted kinds of news, information, self-diagnosis, prescription, consulting, a no-smoking mall etc. In conclusion, this project is designed to develop Internet content for the most effective smoking cessation program and to contribute to eliminating smoking from our society. We also will try to develop and upgrade this web-site in order to help a smoker who want to quit smoking and diminish the physical and socioeconomic harm from smoking.m smoking.

A Study on the Removal of Dissolved Matter in Groundwater and Characteristics of Fouling using NF and RO (NF와 RO를 이용한 지하수중 용존성 물질의 제거와 막 오염의 특성에 관한 연구)

  • Gwon, Eun-Mi;Yu, Myong-Jin
    • Journal of Korean Society of Environmental Engineers
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    • v.22 no.12
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    • pp.2205-2213
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    • 2000
  • To investigate removal efficiency of dissolved matter by NF and RO, a pilot plant was operated for six months using groundwater treated by UF membrane. After the pilot plant operation, we performed autopsy test to identify characteristics of foulant attached on the membrane surface applying the used NF and RO in the pilot plant test. In autopsy test, we measured permeate flux and recovery rate of flux by chemical cleaning in each membrane. We also analyzed chemical cleaning disposal to examine component of foulant. Permeate flux of NF and RO1 showed rapid decline after 100 days of operation. Especially, reduction of specific flux in RO1 was more serious than in NF. Specific flux of RO2 with a low recovery rate resulted in gradual flux decline. Removal efficiencies of dissolved inorganic matters as a conductivity were 76.3%, 88.2% and 95.3% respectively for NF, RO1 and RO2, and RO2 presented the highest removal efficiency. And those of dissolved organic matters as TOC were about 80% for both NF and RO. The specific flux of membranes declined gradually from the feed water inlet to outlet of the membrane module and it showed that membrane fouling increased along the feed flow direction. Namely, concentration of pollutants became higher and volume of feed water was less as the feed flow approached to the outlet. It seemed that major foul ants were Ca consolidated into inorganic material and Si consolidated into organic material on the membrane surface. Fe was a great contribution to irreversible fouling. The SEM results indicated that the organic matter was attached to the first layer, closer to the membrane, and then inorganic matter with tetragonal shape layered over them. We could not observe biofouling because microorganism, which was cause of biofouling, was almost pretreated in UF membrane.

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Did the Handling Fee Decline Cause Consumer Surplus in the Port Business Market in Korea? : The Case of Busan port (컨테이너 하역요율 하락은 소비자잉여를 증가시켰는가? : 부산항을 중심으로)

  • Choi, Gun-Woo;Kim, Chan-Ho;Kim, Young-Kyu
    • Journal of Korea Port Economic Association
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    • v.32 no.3
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    • pp.109-122
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    • 2016
  • As increasing of container throughputs, port business market in Korea has been developed. However, due to the introducing of a handling fee reporting system in 1999 and surplus of facilities, port business market in Korea turned into deadly competition with lowering the handling fee. Due to the reasons, the handling fee in 2015 declined as much as 50% of in 2000. Therefore, this study analyzed whether the handling fee decline caused consumer surplus in the port business market of Korea or not. To do that, this study applied a methodology of Alexander for estimating the consumer surplus and Hausman's model using Hicksian demand. As the result of the analyzing, due to the excessive decreasing of the handling fee compared the import & export demand, consumer surplus of the port business market in Korea was decreased. However, due to the exception of transshipment from demand in this study, transshipment demand is needed to be considered to estimate of economic value of port business market in Korea in the future. Also, economic value of port business including subsidiary businesses will be estimated in order to strengthen the method for estimating economic benefit of port construction.

Analysis of the Effects of Drainage Systems in Wetlands Based on Changes in Groundwater Level, Soil Moisture Content, and Water Quality (지하수위, 토양수분함량 및 수질변화를 활용한 습윤화 지역의 배수시설 효과 평가)

  • Kim, Chang-Hoon;Ryu, Jeong-Ah;Kim, Deog-Geun;Kim, Gyoo-Bum
    • The Journal of Engineering Geology
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    • v.26 no.2
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    • pp.251-260
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    • 2016
  • Groundwater flow due to hydraulic gradients across a geologic barrier surrounding a dam reservoir can cause swamps or wetlands to form on the downstream side of the dam, thereby restricting land use. The difference in head between the reservoir level and the downstream groundwater level creates a hydraulic gradient, allowing water to flow through the geologic barrier. We constructed a drainage system at the Daecheong dam to study the effects on groundwater levels and soil moisture contents. The drainage system consisted of a buried screened pipe spanning a depth of 1-1.5 m below a land surface. Groundwater levels were monitored at several monitoring wells before and after the drainage system was installed. Most well sites recorded a decline in groundwater level on the order of 1 m. The high-elevated site (monitoring well W1) close to the reservoir showed a significant decline in groundwater level of more than 2 m, likely due to rapid discharge by the drainage system. Soil moisture contents were also analyzed and found to have decreased after the installation of the drainage system, even considering standard deviations in the soil moisture contents. We conclude that the drainage system effectively lowered groundwater levels on the downstream side of the dam. Furthermore, we emphasize that water seepage analyses are critical to embankment dam design and construction, especially in areas where downstream land use is of interest.

Change of Groundwater-Streamflow Interaction according to Groundwater ion in a Green House Land (비닐하우스 지역의 지하수 양수에 따른 지하수-하천수 상호 유동 변화 분석)

  • Kim, Nam Won;Lee, Jeong Woo;Chung, Il Moon;Kim, Chang Hwan
    • Journal of Korea Water Resources Association
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    • v.45 no.10
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    • pp.1051-1067
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    • 2012
  • Increased use of water curtain facilities to keep green house warm during winter cultivation has been known to cause excessive groundwater ion which might lead to decline of groundwater level, resulting in streamflow depletion. Therefore it is required to quantitatively assess the effects of groundwater ion on the streamflow depletion such as magnitude and extent. The objective of this study is to assess the change of stream-aquifer interaction according to groundwater ion near stream. To this end, a green house cultivation land in Sooha-ri, Sindun-myun, Icheon-si, Gyonggi-do was selected as a field experimental site, and monitoring wells were established near and within stream to observe the water level and temperature changes over a long period of time. From the observed water level and temperature data, it was found that the river reach of interest changed to a losing stream pattern during the winter cultivation season due to groundwater level decline around pumping wells near the stream. The continuous exchange rates between stream and aquifer were estimated by plugging the observed water level data series into the experimental relation between head difference and exchange rate, showing the streamflow depletion by 16% of the groundwater pumping rate in Feb, 2011.

A Case Report of Non-Motor Symptoms Evaluated Using the Non-Motor Symptom Scale in a Patient with Secondary Parkinsonism Presumed to be Probable Lewy Body Dementia and Improved with Combined Treatment with Herbal Medicine and Acupuncture (루이소체 치매로 추정되는 이차성 파킨슨증 환자의 Non-Motor Symptom Scale(NMSS)로 평가한 비운동성 증상을 한약과 침의 복합치료로 호전시킨 증례보고 1례)

  • Roh, Min-yeong;Lee, Ji-hyun;Han, Yang-hee;Leem, Jung-tae
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.833-845
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    • 2021
  • Parkinson's syndrome is a degenerative brain disease that presents characteristic motor symptoms of tremor, rigidity, and gait disturbance. In addition to these motor symptoms, Parkinson's syndrome also presents non-motor symptoms (NMSs) such as sleep disturbance and cognitive decline. NMSs reduce patient's quality of life and psychosocial functioning and cause economic burden on the patient, so appropriate evaluation and treatment are required. Lewy body dementia is one of the several diseases belonging to Parkinson's syndrome. Its symptoms such as cognitive function, memory impairment, and hallucinations occur with Parkinsonism. Although drug therapy is being used with drug treatment to treat non-motor symptoms, it has limitations such as side effects, which stimulated interest in other complementary treatment methods such as oriental medicine treatment, dance, and yoga. The patient in this case complained of tremor in the right upper extremity, muscle hypertension and pain, and persistent vision, memory, and cognitive decline. The patient was diagnosed with probable Lewy body dementia. The patient was hospitalized for 4 months and received acupuncture and herbal medicines. After treatment, the patient's NMS scale scores decreased from 90 to 63, and the Unified Parkinson's Disease Rating Scale scores (summed I, II, and III) decreased from 17 points to 8 points. The Beck Depression Inventory score decreased from 22 points to 13 points. In addition, the patient's subjective evaluation revealed improvement. In this case, a patient diagnosed with probable Lewy body dementia who did not respond to the standard treatment and did not want to take medications showed improvement in not only motor symptoms but also NMSs after integrative Korean medicine treatment.

Population decline cause of Scirpus planiculmis and its restoration plan in Han River Wetland Conservation Area, South Korea (한강하구 습지보호지역에서 새섬매자기 개체군의 쇠퇴 원인과 복원 방안)

  • You, Young-Han
    • Journal of Wetlands Research
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    • v.10 no.2
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    • pp.165-172
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    • 2008
  • In order to clarify the factors that diminish the population size of Scirpus planicumis in Han River Esturay Wetland Conservation Area of South Korea, I analysed the autoecological traits of competitive hydrophytes over the species, compared the performance ability of Scirpus planicum group inhabited between in soil-accumulated site and in soil-unaccumulated site, and suggested the management strategy of restoration of this plant based on the field survey. Scirpus planicumis had lower competitive ability than other hydrophyte such as Phragmites australis, Zonia latifolia, Typha augustifola. in terms of dry matter production, height, and reproductive regime. S. planicumis group in soil-accumulated site had lower tuber production, lower vegetative and reproductive production than that of in soil-unaccumulated site, and plant height was shorter in soil-accumulated than in soil-unaccumulated condition. Tuber was appeared in lower soil depth within 15cm in laboratory condition. These results indicated that soil-accumulated condition is the dominant factor caused the decreasing of population size of S. planicumis. It was urgently suggested that constructing a water ways to removed accumulated soil layer is need to restore the population size of S. planiculmus in this wetland.

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Impacts of Air Pollution on Forests : A Summary of Current Situations (대기오염이 삼림에 미치는 영향 : 피해현황과 원인을 중심으로)

  • Binkley, Dan;Son, Yowhan;Kim, Zin Suh
    • Journal of Korean Society of Forest Science
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    • v.83 no.2
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    • pp.229-238
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    • 1994
  • Issues of declining growth and vigor in forests are major concerns in many areas around the world, especially in response to predictions in the 1980s of widespread forest declines. This paper summarizes the current state of knowledge for forests in North America, Europe, and East Asia. Forest declines near point-sources of pollution(such as metal smelters) have been well recognized for a century, but evidence of widespread impacts away from point-sources remains relatively uncommon. In North America, significant forest decline has resulted from high concentrations of ozone near Los Angeles, California, and around Mexico City. Some high-elevation forests of red spruce in the eastern U.S. have declined in the past 20 years ; evidence indicates a role of low-pH fog in reducing they cold-tolerance of spruce. In Europe. most attention has focused on Norway spruce stands that developed yellow foliage, needle loss, and in some cases mortality. This syndrome appears to be related generally to an inadequate supply of magnesium, perhaps coupled with a very high supply of nitrogen. Despite localized areas that show declining trees, overall stand growth and standing biomass in Europe increased from. 1970 to 1990. Much less information is available for East Asia. Many industrialized regions in China have a pH of rain <4.5, and some connections between pollution and forest decline have been suggested. Pollution impacts on forests near cities in Korea include needle chlorosis, reduced needle retention, and declining species diversity. Overall, temperate forests show no widespread declines, and no evidence of substantial effects of pollutants on forest growth or vigor. Small areas showing declining forests may indeed demonstrate pollution impacts, and may provide cause for concerns about future impacts on larger areas.

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Study of Growth Disturbance and Endocrine, in the view of Oriental Medicine (소아 성장장애와 내분비에 대한 한의학적 고찰)

  • Jun Chan-Il
    • The Journal of Pediatrics of Korean Medicine
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    • v.15 no.1
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    • pp.105-115
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    • 2001
  • The relation of endocrine in the western medicine and zangfu-organ functions in Korean medicine, related to growth disturbance, was studied and derived the following results. 1. The hormone most related to growth disturbance is, directly secreted from the anterior pituitary or is stimulated and secreted in the target grands, growth hormone, thyroid, adrenocortical hormone, gonadial hormone and is insulin secreted from $\beta$ cell of langerhans' slands of pancreas. 2. the pituitary has the most close relation with the kidney in the five zang-organ. Because the kidney is innate origin(先天之本) and promotes qi and blood(生化氣血), stores the essence of life(藏精), dominates the bones(主骨) and promotes the marrow(生骨髓). Especially it is connected with brain(通於腦). 3. In the children growth, the endocrine action in the pituitary has the most close relation with the kidney, As in the reports of the brain and spinal cord, bone, store essence of life, sexual maturation and decline(kidney-qi, sexual functions of both sexes(天癸)) etc, and cause of cretinism, dwarf in the main subject. 4. Somatomedin is the most important factor of the growth factors, IGF in another word. The unification of IGF and secretion is controlled firstly according to growth hormone, however is very closely related to the nutrition status in the non-hormonic causes. Also, it is affected very much by the insulin. 5. Insulin is one of the important hormone related to the growth and is secreted from the pancreas. Pancreas belongs to the functional system of spleen in oriental medicine, thus the growth disturbance, occurred due to error in insulin secretion and nutrition(in another words, the lack of postnatal essential substance from food-stuff(水穀精氣)), is closely related to the spleen. 6. From the results driven above, the hormone action of endocrine and problem in secretion, related to the growth disturbance, must be focused on the differentiation of symptoms and signs of the kidney and the spleen in oriental medicine.

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