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Review of the instrumental ADL for the Patients With Mild Cognitive Impairment (경도인지장애 환자의 수단적 일상생활활동에 대한 고찰)

  • Ahn, Si-Nae
    • Therapeutic Science for Rehabilitation
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    • v.2 no.2
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    • pp.37-45
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    • 2013
  • This research reviewed the instrumental ADL for patients with mild cognitive impairment, which is one of the most interested topics, and hope that this research helps evaluating and treating the mid cognitive impairment patients in occupational therapy. The treatment for dementia patients are actively in progress, but there has not been treatment approach about mild cognitive impairment patients, who are in risk of moving on to dementia. In this review, we have dealt with the foundation of matching the point to instrumental ADL from the occupational areas of mild cognitive impairment patients and normal elders. We have discussed the that essential consideration about instrumental ADL is needed to prevent mild cognitive impairment developing into dementia. In conclusion, there is a need of regular evaluation about instrumental ADL considering the occupational areas of mild cognitive impairment patient groups, who are highly in risk of developing into dementia, and occupational therapeutic approach is needed as well.

Application Design Planning for the Elderly with Mild Dementia (경증 치매 노인을 위한 애플리케이션 디자인기획)

  • Lee, Yun-Hui;Jo, Seong-Hwan
    • The Journal of the Korea Contents Association
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    • v.17 no.3
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    • pp.274-284
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    • 2017
  • Due to aging society, the prevalence of dementia is continually increasing and, thereby, causing a serious issue. Although Long Term Care Insurance is provided on a national level, it is not available for the elderly with dementia who do not satisfy the requirements. As the use of smartphones becomes widespread, this study investigated an application that can help disease management of the elderly with the early-stage (mild) dementia and communication among the family members based on analysis of the functions found in currently-available applications and survey among the relevant subjects. As a research method, based on review of the relevant theoretical studies, the service environment of applications available for the elderly with mild dementia was analyzed. Through this analysis, it found out that there is no application for the eldery with mild dementia. On the basis of the results, this study proposed a direction for design planning of an application included many functions like managements of taking medicine, physical activity, brain activity, information on dementia and notes. for dementia management aimed to help the patients with mild dementia manage the disease on their own. If this type of services are expanded in addition to the systemic support from the government, the data collected from these applications can contribute to improving management of mild dementia.

The Effect of Coordinative Locomotor Training on Physical Factors for Falls in the Elderly with Mild Cognitive Impairment (협응이동훈련이 경도인지장애노인의 낙상물리요인에 미치는 영향)

  • Park, Mihee;Lee, Dong-Woo;Jeong, Mo-Beom
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.2
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    • pp.65-73
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    • 2020
  • PURPOSE: This study examined the effects of coordinative locomotor training on the physical factors for falls in the elderly with mild cognitive impairment. METHODS: This study examined thirty subjects diagnosed with mild cognitive impairment by the radiologic findings, history, and physical examination. The subjects were assigned to a control group (n = 15) or experimental group (n = 15, coordinative locomotor training). The experimental group underwent coordinative locomotor training for four weeks, with training sessions two times per week. The control group was given a fall-prevention education for 60 minutes without coordinative locomotor training. To evaluate the physical factors for falls, the lower extremity strength and the Korean version of the Fullerton advanced balance scale and biorescue were measured for balance. These tests were conducted before and after training. RESULTS: Significant differences were observed between the two groups after the four weeks of coordinative locomotor training for the elderly with mild cognitive impairment the experimental group had a greater degree of improvement in the physical factors for falls. CONCLUSION: These findings suggest that coordinative locomotor training may have a functional effect on fall-prevention and the mobility of the elderly with mild cognitive impairment. In addition, it is expected to provide systematic and effective data that can be used as a fall prevention program for the elderly with mild cognitive impairment in each institution.

The Usefulness of Brain Magnetic Resonance Imaging with Mild Head Injury and the Negative Findings of Brain Computed Tomography

  • Kim, Du Su;Kong, Min Ho;Jang, Se Youn;Kim, Jung Hee;Kang, Dong Soo;Song, Kwan Young
    • Journal of Korean Neurosurgical Society
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    • v.54 no.2
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    • pp.100-106
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    • 2013
  • Objective : To investigate the cases of intracranial abnormal brain MRI findings even in the negative brain CT scan after mild head injury. Methods : During a 2-year period (January 2009-December 2010), we prospectively evaluated both brain CT and brain MRI of 180 patients with mild head injury. Patients were classified into two groups according to presence or absence of abnormal brain MRI finding even in the negative brain CT scan after mild head injury. Two neurosurgeons and one neuroradiologist validated the images from both brain CT scan and brain MRI double blindly. Results : Intracranial injury with negative brain CT scan after mild head injury occurred in 18 patients (10.0%). Headache (51.7%) without neurologic signs was the most common symptom. Locations of intracranial lesions showing abnormal brain MRI were as follows; temporal base (n=8), frontal pole (n=5), falx cerebri (n=2), basal ganglia (n=1), tentorium (n=1), and sylvian fissure (n=1). Intracranial injury was common in patients with a loss of consciousness, symptom duration >2 weeks, or in cases of patients with linear skull fracture (p=0.00013), and also more frequent in multiple associated injury than simple one (35.7%>8.6%) (p=0.105). Conclusion : Our investigation showed that patients with mild head injury even in the negative brain CT scan had a few cases of intracranial injury. These findings indicate that even though the brain CT does not show abnormal findings, they should be thoroughly watched in further study including brain MRI in cases of multiple injuries and when their complaints are sustained.

A Systematic Review of the Application Dual Task Assessment for Screening Mild Cognitive Impairment (경도 인지장애 선별에 적용된 이중과제 평가에 대한 체계적 고찰)

  • Kim, Sunho;Kwak, Hosoung
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.107-115
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    • 2020
  • Purpose: This study aims to systematically review the dual-task evaluation applied to the screening of mild cognitive impairment. It also aims to present various evaluation items and results analysis methods for dual tasks applied to patients with mild cognitive impairment. Methods: We conducted a systematic search of published studies in PubMed databases and KISS from January 2000 to August 2020 using the main keywords such as "Dual task," "Mild Cognitive impairment," "Elderly," and "Screening." We selected a total of 10 studies for the analysis from 1314 searched articles. Results: We analyzed the qualitative level of 10 studies that were nonrandomized two-group studies with evidence level II (100.0%). These results suggest that the evidence level of the studies was high. We analyzed 10 studies and identified 12 motor tasks and 19 cognitive tasks. Walking was the most commonly used evaluation motor task and counting backward by ones and naming animals were the most commonly used evaluation cognitive tasks. Moreover, the velocity speed was the most used result analysis method. The results indicate that there were significant differences in dual-task performance between patients with normal and mild cognitive impairment. Conclusion: The results of this study can be used as a basis for the selection of dual-task evaluation items and methods of analyzing the results for screening mild cognitive impairment. Furthermore, they are expected to be used for research on the development of dual-task evaluation tools. It is necessary to compare and analyze the usage trends of dual-task evaluation by cultural differences in future studies.

Effects of Transcranial Direct Current Stimulation and Virtual Reality Program Application on the Cognition and Depression of Mild Cognitive Impairment Patients (경두개 직류자극과 가상현실프로그램 적용이 경도인지장애 환자의 인지 및 우울에 미치는 영향)

  • Kim, Ko-Un;Kim, Bo-Ra;An, Tae-Gyu
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.3
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    • pp.155-164
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    • 2021
  • Purpose : The purpose of this study is to investigate the effects of transcranial direct current stimulation and virtual reality program application on cognition and depression of patients with mild cognitive impairment, and to find an intervention method that can enhance active participation of patients with mild cognitive impairment. Methods : In this study, 50 mild cognitive impairment patients were divided into a treatment group (25 patients) and a control group (25 patients). The treatment group was applied with a transcranial direct current stimulation and a virtual reality program, while the control group received a placebo transcranial direct current stimulation and a virtual reality program. Both groups received five 50-minute sessions per week (one session per day) for six weeks (total of 30 sessions). NCSE was used to evaluate the cognitive functions of the patients before and after treatment intervention. Moreover, K-BDI was conducted to examine the depression of the patients. Results : As a result of the transcranial direct current stimulation and a virtual reality program intervention, the cognitive function of both treatment and control group significantly (p<.05) improved, and the depression of both treatment and control group significantly (p<.05) decreased. Moreover, the changes in cognitive functions and depression were significant between the two groups¸ treatment and control group (p<.05). Conclusion : The results of the study showed that the application of the transcranial direct current stimulation and virtual reality program significantly improved the cognitive function of mild cognitive impairment patients and decreased the depression of them. Therefore, it could be concluded that the transcranial direct current stimulation and virtual reality program was an intervention method which positively affects the cognitive function and depression of mild cognitive impairment patients.

Derivation of Extended Mild-Slope Equation Using Euler-Lagrange Equation (Euler-Lagrange 식을 사용한 확장형 완경사방정식 유도)

  • Lee, Changhoon;Kim, Kyu-Han
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.29 no.5B
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    • pp.493-496
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    • 2009
  • In this study, we derive the extended mild-slope equation in terms of the velocity potential using the Euler-Lagrange equation. First, we follow Kim and Bai (2004) who derive the complementary mild-slope equation in terms of the stream function using the Euler-Lagrange equation and we compare their equation to the existing extended mild-slope equations of the velocity potential. Second, we derive the extended mild-slope equation in terms of the velocity potential using the Euler-Lagrange equation. In the developed equation, the higher-order bottom variation terms are newly developed and found to be the same as those of Massel (1993) and Chamberlain and Porter (1995). The present study makes wide the area of coastal engineering by developing the extended mild-slope equation with a way which has never been used before.

Studies on Mild Mutants of Tabacco Mosaic Virus I. Induction of Mild Mutants and Their Characteristics (약독 담배 모자이크 바이러스 I. 약독바이러스의 유기 및 특성)

  • Choi Jang Kyung;Son Kyung Ok
    • Korean Journal Plant Pathology
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    • v.1 no.1
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    • pp.3-11
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    • 1985
  • Three mild mutant strains of tobacco mosaic virus (TMV) were isolated from Nicotiana tabacum var. Samsun incubated at $38^{\circ}C$ for 10 days after inoculation with a wild type of TMV-OM strain. They were designated into Tg 5272, Tw 227 and Tw 333. All mild strains could be distinguished from TMV-OM by their reactions on different indicator plants. The mild strains induced the mild mottling without distinct symptoms, whereas the wild strain produced severe mosaic, rugose and stunting on tobacco and red pepper plants. Tw 227 and Tw 333 produced smaller necrotic spots than those of Tg 5272 and TMV-OM on N. glutinosa and Datura stramonium. The former two strains also produced ring spots and mosaic on Gomphrena globosa compared with necrotic spots by the latter strains. Three mild strains were serologically identical to TMV-OM. Their physical properties were thermal inactivation point $80-85^{\circ}C$, dilution end point between $10^{-4}\;and\;10^{-6}$, and longevity in vitro 7days or longer. Ultraviolet absorption spectra of purified preparations of the mild strains and TMV-OM were identical, with a minimum at 247nm, a maximum at 260nm, and a slight shoulder at 290nm. Electrophoresis of the strains in polyacrylamide-agarose gel showed that all the strains formed one major band and two minor bands, except for one minor band of Tw 333. However, when sodium dodecyl sulfate was added to the purified viruses before electrophoresis, each strain formed only one major band.

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EFFECTS OF METAL SURFACE TREATMENTS ON THE SHEAR BOND STRENGTH BETWEEN NI-CR DENTURE BASE AND RELINE RESINS (금속 표면처리방법이 니켈-크롬 합금 의치상과 첨상레진간의 결합강도에 미치는 영향)

  • Kim Young-Il;Jeong Chang-Mo;Jeon Young-Chan
    • The Journal of Korean Academy of Prosthodontics
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    • v.40 no.4
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    • pp.396-405
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    • 2002
  • The purpose of this study was to evaluate the effects of four metal surface treatments on the shear bond strength of reline resin to Ni-Cr alloy. The denture base metal used in this study was Ni-Cr alloy(Ticonium Premium 100. Ticonium Co., U.S.A.). 120 specimens were divided into five metal surface treatments: sandblasting only, MR. BOND(Tokuyama Corp.. Japan), Cesead Opaque Primer(Kuraray Co., Japan), METALPRIMER II(GC Corp., Japan) and Super-Bond C&B(Sun Medical Co., Japan) after sandblasting. They were bonded with one of three reline resins Mild Rebaron(GC Corp., Japan), Mild Rebaron LC(GC Corp., Japan) and Meta Base M(Sun Medical Co., Japan). Then they were thermocycled 1,000 times at temperature of $4^{\circ}C$ and $60^{\circ}C$. The shear bond strengths were measured using the universal testing machine(Instron, Model 4301, England) with a cross-head speed of 2 mm/min. The results were as follows : 1. All metal primers and adhesive cement significantly improved the bond strength of reline resin to Ni-Cr alloy compared with sandblasted specimens. 2. In Mild Rebaron and Mild Rebaron LC. Cesead Opaque Primer showed the highest bond strength, but the differences among Cesead Opaque Primer, MR. BOND and METALPRIMER II were not significant. The bond strength of Cesead Opaque Primer was significantly different with that of Super-Bond C&B. 3. In Meta Base M, Super-Bond C&B showed the highest bond strength, but there was no difference between Super-Bond C&B and three metal primers. 4. There was no difference in the bond strength between Mild Rebaron and Mild Rebaron LC when metal surface was treated with the same method. 5. The bond strengths of Mild Rebaron and Mild Rebaron LC treated with Cesead Opaque Primer were higher than that of Meta Base M. The bond strengths of Mild Rebaron treated with MR. BOND and METALPRIMER II was higher than that of Meta Base M, However, there was no difference among three reline resins treated with Super-Bond C&B.