• Title/Summary/Keyword: mini mental state examination

검색결과 282건 처리시간 0.03초

Clinical study on a case of a patient with memory disorders caused by traffic accident (교통사고로 인한 기억상실장애 환자 1례에 대한 증례 보고)

  • Lee, Seung-Gi;Choi, Woo-Jin
    • Journal of Oriental Neuropsychiatry
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    • 제13권1호
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    • pp.117-125
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    • 2002
  • Objectives: The purpose of this study was to investigate the clinical application of oriental medical therapy to a patient with memory disorders and quadriparesis caused by traffic accident. Methods: This study was carried out on a patient who was admitted to the Sangji oriental medical hospital, from January 21st in 2002 to May 2nd in 2002. We used 4 kinds of diagnosis(watching, asking, hearing, and toughing) and treated the patient with herbal medication and acupuncture therapy. Then we estimated the effect of memory disorders through MMSE-K(Mini mental State Examination-Korea) and K-DRS(Korean-Dementia Rating Scale). The numerical effect demonstrated ability of movement through range of motion. Results: Following the treatment the patient's mental state and the ability of movement improved. Conclusions: The present results suggest that oriental medical therapy has the positive effects on a patient with memory disorders and quadriparesis which were caused by traffic accident.

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A Study on Comparison of Yangseng (Traditional Health Behavior), Depression, Anxiety and Cognitive Function between the Elderly Women Living Alone and the Aged in the Living with Family (독거 여성 노인과 가족 동거 여성 노인의 양생 실천 수준과 불안, 우울, 인지기능에 대한 비교 연구)

  • Kang, Hee-Chul
    • Journal of Oriental Neuropsychiatry
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    • 제25권2호
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    • pp.123-132
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    • 2014
  • Objectives: The purpose of this study was to investigate the levels of Yangseng (Traditional Health Behavior), depression, anxiety, cognitive function between the elderly women living alone and the aged in the living with family. Methods: The subjects of this study were 137 elderly women aged between 65 and 80. They were evaluated with the Tool in Measuring Yangseng (TMY), Korean Geriatric Depression Scale (KGDS), State-Trait Anxiety Inntory (STAI) and Korean of the Mini-Mental State Examination (MMES-K). Depending on whether or not they lived alone, they were divided into two groups; group living alone (L.A.) and group living with family (L.F.). Results: In TMY score, there were statistically significant differences in characteristics of Mind, Diet, Sleep and total score between L.A. (63 persons) and L.F. (74 persons). Group living alone (L.A.) had significantly higher score in KGDS and STAI compared with other group (L.F.). The values of KGDS and STAI comparing to the values of Mind, Diet, Sleep, Exercise and total score in this study resulted in negative correlations which showed statistically significant. Conclusions: Above results suggest that between L.A. and L.F, there are significant difference in physical and mental health. TMY is enough to estimate health of the aged. These results can be used for Yangseng health promoting program based on Korean traditional medicine.

Relationship between Brain Perfusion SPECT and MMSE Score in Dementia of Alzheimer's Type: A statistical Parametric Mapping Analysis (알쯔하이머형 치매환자에서 SPM 방법을 이용한 뇌 관류 SPECT와 정신-인지기능 수행성능의 상관)

  • Kang, Hye-Jin;Lee, Dong-Soo;Kang, Eun-Joo;Lee, Jae-Sung;Yeo, Seong-Seok;Kim, Jin-Yeong;Lee, Dong-Woo;Cho, Maeng-Je;Chung, June-Key;Lee, Myung-Chul
    • The Korean Journal of Nuclear Medicine
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    • 제36권2호
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    • pp.91-101
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    • 2002
  • Purpose : The aim of this study was to identify the brain areas in which reductions of regional cerebral blood flow (rCBF) were correlated with decline of general mental function, measured by Mini-Mental State Examination (MMSE). Materials and Methods : Tc-99m HMPAO brain SPECT was peformed in 9 probable AD patients at the initial and follow-up periods of 1.8 years (average) after the first study. MMSE scores were also measured in both occasions. The mean MMSE score of the initial study 16.4 (range: 5 - 24) and the mean MMSE score of the follow-up was 8.1 (range: 0 - 17). Each SPECT image was normalized to the cerebellar activity and a correlation analysis was peformed between the level of rCBF in AD patients and the MMSE scores by voxel-based analysis using SPM99 software. Results : Significant correlation was found between the blood-flow decrease in left inferior prefrontal region (BA 47) and left middle temporal legion (BA 21) and the MMSE score changes. Additional areas such as anterior and posterior cingulate cortices, precuneus, and bilateral superior and middle prefrontal regions showed the similar trends. Conclusions : A relationship was found between reduction of regional cerebral blood flow in left prefrontal and temporal areas and decline of cognitive function in Alzheimer's disease(AD) patients. This voxel-based analysis is useful in evaluating the progress of cognitive function in Alzheimer's disease.

The Effects of Perceived Stress on Cognition in the Community Elderly (지역사회 노인의 지각된 스트레스가 인지기능에 미치는 영향)

  • Chu, Su-Kyung;Yoo, Jang-Hak
    • Research in Community and Public Health Nursing
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    • 제19권3호
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    • pp.368-377
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    • 2008
  • Purpose: The Purpose of this study was to investigate the effects of perceived stress on cognition in the community elderly. Methods: This was a descriptive study. Data were collected using individual-based interviews from 40 senior residents at the hall for the elderly in S City. The period of data collection was from June 19 to July 7, 2006. The tools of data collection were Mini-Mental State Examination (Folstein, Folstein, & McHugh, 1975) and Perceived Stress Scale (Cohen, Kamarck, & Mermelstein, 1983). Results: Cognition showed significant differences according to gender education, and regular exercise. Cognition was significantly correlated to stress and age. Stress was significantly correlated to orientation, recall, and attention/calculation. In the results of stepwise multiple regression, factors affecting cognition were stress, age, and gender. Conclusion: It is necessary to prepare health promotion programs that can reduce stress level in the community elderly.

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Behavioral and Psychological Symptoms of Dementia Treated with Korean Medicine: A Case Report

  • Song, Sue-jin;Sung, Yung-wei;Koo, Byung-soo
    • Journal of Oriental Neuropsychiatry
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    • 제28권4호
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    • pp.391-399
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    • 2017
  • Objectives: To determine the effects of Korean medicine on behavioral and psychological symptoms of dementia (BPSD) of an Alzheimer's disease (AD) patient. Methods: A 85-year old female patient diagnosed with AD was treated with herbal medicine formula Chungsimyeonja-tang (淸心蓮子湯), Woohwangchungsim-won (牛黃淸心元), and acupuncture. Korean version of Mini-mental State Examination (MMSE-K) scores were used at baseline and post treatment as outcome measures to evaluate clinical symptoms of the patient. Results: Improvements in MMSE-K post treatment scores were observed compare to those at baseline. BPSD were also alleviated. Such changes were visually noticeable. Conclusions: Herbal medicine and acupuncture treatment were effective in alleviating symptoms of AD. Further studies with a larger sample size and randomized clinical trials are needed to obtain more reliable and valid treatment outcomes.

The Correlation between Problematic Behaviors and Activities of Daily Living of Elderly People with Dementia in Patients in a Geriatric Hospital

  • Wang, Joong San;Lee, Ju Hwan;Um, Ki Mai
    • Journal of International Academy of Physical Therapy Research
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    • 제4권2호
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    • pp.545-551
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    • 2013
  • The purpose of this study is to determine the correlations between problematic behaviors and activities of daily living(ADL) targeting 106 demented elderly people hospitalized in a geriatric hospital. To examine the cognitive function of the subjects, the study used Korean Mini Mental State Examination(K-MMSE). For problematic behaviors and ADL, the study collected data based on Patient Assessment Forms in the geriatric hospital. Among problematic behaviors, apathy/indifference had the highest correlation with the items of ADL. Irritability/lability, agitation/aggression, depression/ dysphoria, night-time behavior and wandering also showed to be correlated to items of ADL(p<.05). This study demonstrated that cognitive function, problematic behaviors and ADL of the demented elderly hospitalized in the geriatric hospital are correlated to each other.

Clinical study on a case of Pick's disease with Oriental medical therapy (한방치료를 실시한 피크병 환자의 증례보고)

  • Lee, Seung-Gi;Kang, Hee-Chul
    • Journal of Oriental Neuropsychiatry
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    • 제17권1호
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    • pp.145-152
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    • 2006
  • The purpose of this study was to investigate the clinical application of oriental medical therapy to Pick's disease We treated the patient with oriental medical therapy. The recovery of the dementia was evaluated by Korean-Mini Mental State Examination(MMSE-K), Korean-dementia Rating Scale(K-DRS) & Barthel ADL Index.(ADL) The applicability of oriental medical therapy has positive effects on the patient with Pick's disease. The Sum of MMSE-K score was increased. K-DRS & ADL were also promoted.

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A Case of Acute Leukoencephalopathy Patient with Akinetic Mutism and Cognitive Dysfunctions (무동무언증과 인지기능장애를 주소로 하는 급성 백질뇌증 환자 치험 1례)

  • Kim, Bo-Eun;Chung, Dae-Kyoo;Kim, Sang-Ho;Lee, Kyung-Suk
    • Journal of Oriental Neuropsychiatry
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    • 제24권4호
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    • pp.385-392
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    • 2013
  • This case report presents a 34-year-old female patient. Her chief complaints are akinetic mutism and cognitive dysfunctions. We have diagnosed her with leukoencephalopathy. She was treated with Korean traditional herbal medicines (Joojackwhan) for 33 days continuously. The effects of treatment were measured by the Korean Mini - Mental State Examination and Modified Bathel Index. After treatment, her chief complaints have been improved. Furthermore, the K-MMSE, MBI scores increased. From this case, we deduced that the Korean traditional herbal medicines (Joojackwhan) could be effective for cognitive dysfunctions and akinetic mutism caused by leukoencephalopathy.

Correlations between Cognitive Function and Functional Ability in Strokes using MMSE and FIM

  • Kim, Eun-Joo
    • International Journal of Contents
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    • 제5권3호
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    • pp.86-90
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    • 2009
  • The Purpose of this study was to investigate correlations between the Mini-Mental State Examination (MMSE) and the Functional Independence Measure (FIM) in strokes. The data collected retrospectively from fifty-five stroke rehabilitation patients. The MMSE and FIM at the time of admission and discharge were obtained from patients' medical records. Firstly, Pearson correlation coefficients of the MMSE score at the time of admission revealed $0.286{\sim}0.747$ with FIM at the time of discharge (p<0.05). Also, the change of MMSE score significantly correlated with the change of total FIM scores in strokes (r=0.409, p<0.05). Because the MMSE scores at the time of admission and FIM at the time of discharge are correlated, the MMSE scores can be used to predict the FIM at the time of discharge and establish a rehabilitation program.

A Case Report of Dementia with Lewy bodies (루이소체 치매 환자 1례)

  • Ko, Jae-Sang;Hwang, Jeong-Hyun;Kim, Seung-Hyeon;Koo, Byung-Soo
    • Journal of Oriental Neuropsychiatry
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    • 제22권4호
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    • pp.157-168
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    • 2011
  • Objectives : In this case report, we will present a patient with dementia with Lewy bodies improved by application of oriental medical treatments. Methods : A 82 year-old female patient has been suffered by dementia with Lewy bodies for 7~8 years. We treated the patient with Herbal medication and acupuncture. The effects of treatment were measured by MMSE-K (Mini-Mental State Examination-K). Results : As a result of oriental treatments, the quality of sleep was improved, also the level of cognition was improved. Conclusions : These results suggest that oriental treatments have an effect on Dementia with Lewy bodies.