• Title/Summary/Keyword: 뇌졸중 치매

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특집 - 뇌졸중만은 피하자! - 당뇨병환자의 뇌혈관 -

  • Lee, Jun
    • The Monthly Diabetes
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    • s.216
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    • pp.14-18
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    • 2007
  • 국내의 질환별 사망률에 대한 보고를 참조하면, 뇌졸중은 암에 이어서 높은 사망률을 보이는 질환이며, 단일 질환으로는 가장 높은 사망률을 보인다. 뇌졸중은 높은 사망률을 나타내는 문제 외에도 후유증으로 심한 장애를 남길 수 있다. 그러므로 고령화 사회로 접어들고 있는 우리나라의 상황을 고려할때 뇌졸중은 치매와 더불어서 주요한 노인 질환일 뿐만 아니라, 뇌졸중이 발생하게 되면 후유증으로 장애가 남는 경우가 많으므로 지속적으로 환자의 가족과 주변에 대한 사회적 부담을 가중 시키는 문제를 불러온다.

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A Comparative Study of Changes in Cognitive Function, Depression and Activities of Daily Living in Patients with Dementia, Mild Cognitive Impairment and Ischemic Stroke (치매, 경도인지장애, 허혈성 뇌졸중 환자에서 인지기능, 우울 및 일상생활수행능력의 변화 비교)

  • Jung, Mi-Sook;Oh, Eun-Young;Cha, Kyeong-In
    • Journal of Digital Convergence
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    • v.20 no.3
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    • pp.517-527
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    • 2022
  • This study aimed to compare changes in cognitive function, depression and ability to perform activity of daily living (ADL) in patients with dementia, mild cognitive impairment (MCI), and ischemic stroke (IS) and to identify factors associated with changes in instrumental ADL. A total of 86 patients (dementia=30, MCI=32, and IS=24) were included to analyse cognitive function, depression, and basic and instrumental ADL obtained at the time of diagnosis and 1 year after baseline. Repeated measures analysis of variance and multiple linear regression were used. A significant group by time interaction was found in executive function (p=.037) and instrumental ADL (p=.023) across groups. The MCI group has little change in executive function and instrumental ADL from the baseline to 1 year after diagnosis while other two groups showed changes with the dementia group showing declines and the group of IS having improvement in these factors over time. Changes in executive function(p=.030) and basic ADL (p<.001) explained 26.9% in the variance of changes in instrumental ADL. These findings showed a different changing pattern in executive function during the first year after diagnosis of dementia, MCI, and IS which have cognitive changes as their main symptoms, probably leading to a different changing pattern in instrumental ADL. Healthcare professionals should routinely assess for executive function and instrumental ADL problems and intervene to maintain and improve these functional outcomes immediately after disease.

연구실 탐방 - 아주대 의대 '뇌졸중 및 치매의 중재요법 연구센터'

  • Korean Federation of Science and Technology Societies
    • The Science & Technology
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    • v.33 no.11 s.378
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    • pp.78-79
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    • 2000
  • 생명과학의 발달로 사람의 수명이 늘고 있지만 뇌졸증과 치매, 파킨슨병 같은 노인성 질환도 늘고 있어 65세 이상 노인의 14%가 이러한 질병으로 고통을 받고 있다. 미국ㆍ일본 등 선진국에서 이러한 노인성 뇌질환 연구에 박차를 가하고 있는 가운데 아주대 의과대학은 '뇌졸증 및 치매의 중재요법 연구센터'를 설립해 최근 Sulfasalazine을 비롯 신경세포를 보호하는 물질을 다수 발견해 뇌질환의 예방과 치료에 획기적인 계기를 마련하고 있다.

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A Systematic Review on Driving Rehabilitation of After Stroke (뇌졸중 환자의 운전재활에 관한 체계적 고찰)

  • Park, Bo-Ra
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.37-46
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    • 2018
  • Objective : The aims of this study is to investigate the research trends of driver rehabilitation in stroke patients through systematic consideration and suggests future research directions. Method : This study was conducted on a total of 6 subjects selected from 2008 to 2017. The analysis criteria were classified into qualitative level, published journal, evaluation tool, and keyword. Result : The study on the driving rehabilitation of stroke patients was the highest in IV and V levels at 33.32% each, and the most studies were published in 2014. The keywords of the study were 33.32% each related to driving and stroke. Conclusion : This study investigated the driving rehabilitation of stroke patients. Based on the results, it is necessary to continuously study the effects of various programs for driving rehabilitation in the future.

노인 건강검진

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.30 no.4 s.329
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    • pp.26-26
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    • 2006
  • 65세 이상 노인은 퇴행성 질환과 지병으로 인한 합병증으로 고생하거나 심하면 사망에 이르기도 한다. 이를 예방하기 위해서는 뇌졸중, 치매, 순환기질환 등에 대한 검사를 정기적으로 받는 것이 좋다.

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Factors associated with the prolonged duration of postoperative delirium in patients who underwent orthopedic joint surgery (관절 수술을 받은 정형외과 환자에서 섬망의 장기간의 이환에 영향을 미치는 요인)

  • Hwang, Byeong-Mun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.6
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    • pp.3926-3933
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    • 2015
  • The purpose of this study was to determine the factors associated with duration of postoperative delirium following orthopedic joint surgery. This study included 266 patients who underwent orthopedic joint surgery at a single university hospital between January 2012 and February 2014. Patients were divided into two groups according to the duration of delirium: the transient (${\leq}2$ days) and prolonged (>3 days) delirium groups. Of the 266 patients, 137 (52%) developed prolonged delirium. Incidence of pre-existing dementia and history of stroke were significantly higher in the prolonged delirium group than in the transient delirium group. In a multivariate regression model, pre-existing dementia and history of stroke were associated with increased duration of delirium. Our findings suggest that medical practitioners should pay special attention to the prevention and management of postoperative delirium in patients who have dementia or stroke and undergo orthopedic joint surgery.

건강검진 후(後) 건강수치 읽기 - 호모시스테인 수치 알면 혈관합병증이 보인다

  • Kim, Jeong-Un
    • 건강소식
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    • v.36 no.12
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    • pp.30-31
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    • 2012
  • 동맥경화, 뇌졸중, 치매 등 혈관성 질환은 위험하기 때문에 사전 예방에 대한 관심이 높다. 혈관성 질환을 유발하는 원인은 다양한데, 그 중 호모시스테인은 심혈관계 질환을 일으키는 가장 강력한 원인이 되는 독성물질이다. 조금만 관심을 가지면 관리를 할 수 있다는 사실을 명심하자.

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Rehabilitation System through Image Analysis Method (이미지 분석 방식을 적용한 인지 재활 시스템)

  • Lim, Myung-Jae;Jung, Hee-Woong;Kwon, Young-Man
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.10 no.6
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    • pp.209-214
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    • 2010
  • In this paper, We analyzes the image along the platform (Open Eye), through prevention of dementia or stroke patients and cognitive rehabilitation for the proposed system. This way through the camera image according to user's movement gained OpenCV image processing library, which is based on motion analysis, a part of this rehabilitation is to apply to cognitive rehabilitation. Therefore, this paper proposes a new image analysis system has been exposed to the elderly or stroke patients with dementia, their hand gestures through which patients can detect the image of the cognitive rehabilitation to help them in the analysis of the image analysis system is proposed.

Development of therapeutic recreation programs for the elderly (노인을 위한 치료레크리에이션 프로그램 개발)

  • Son, Myeong-Dong;Park, Cheon-Gyu
    • Proceedings of the Korea Contents Association Conference
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    • 2012.05a
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    • pp.373-374
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    • 2012
  • 치료레크리에이션은 사회에 있는 많은 사람들이 그 대상이 될 수 있다. 이러한 치료레크리에이션 서비스대상은 특수대상과 일반대상으로 구분된다. 한국치료레크리에이션협회에서 실시하고 있는 대상에서 특수대상으로는 발달장애아동, 물질중독청소년, 가출청소년, 정신장애인, 뇌졸중노인, 치매노인, 장애노인 등이고 일반대상으로는 인터넷 중독성향 청소년, 직장인, 일반인가족, 갱년기 주부, 건강노인, 건강노인부부 등이다. 한편, 우리나라에서는 급속한 고령화로 인하여 가족과 사회의 보호를 필요로 하는 의존적 노인들이 점차 증가하고 있다. 특히 보호의 필요성이 가장 높다고 할 수 있는 치매노인의 절대수가 증가할 것으로 예상된다. 그러나 현대화, 산업화에 의해서 발생하는 핵가족화, 여성의 사회참여 증가 등으로 가족의 노부모 부양기능은 급격히 약화되고 있다. 이에 따라 이들의 의료 및 사회적 보호문제는 노인복지제도의 주요한 과제로 등장하게 되었다. 따라서 본(本) 고(稿)에서는 노인복지제도의 향상의 일환으로 노인을 위한 치료레크리에이션의 실제 활동 프로그램을 제안해보도록 하고자 한다.

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Effect of tDCS on Cognitive Function of Patients With Stroke: A Systematic Review and Meta-Analysis (뇌졸중 후 인지장애에 대한 경두개 직류 자극: 체계적 고찰 및 메타분석)

  • Yang, Min Ah;Won, Kyung-A;Park, Hae Yean;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.10 no.2
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    • pp.7-22
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    • 2021
  • Objective : This study aimed to analyze the effect of transcranial direct current stimulation (tDCS) on cognitive function recovery in patients with stroke. Methods : Data published in Korean and foreign academic journals from 2009 to 2019 were searched using the NDSL, RISS, PubMed, and CINAHL databases. A total of 11 experimental research articles were selected based on the inclusion and exclusion criteria. A qualitative assessment was conducted, and a meta-analysis of nine results from seven of the stuides was performed using the Comprehensive Meta-Analysis 3.0 program. Results : Based on the results of the meta-analysis, the attention and memory effect sizes were 0.725 and 0.796, respectively, which were both considered a "medium effect size". Statistically significant changes were observed in both the areas (p<0.05). Conclusion : The results of this study confirmed that tDCS can be useful in the rehabilitation of patients with stroke with limited cognitive function. In addition, the application methods differed, indicating that a formalized tDCS protocol is required.