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Completion and Related Factors of Advance Directives in old adults (지역사회 재가노인의 사전연명의료의향서 작성의도 영향 요인)

  • Kim, Myung Sook;Gang, Moonhee;Kim, Yeon-Ok
    • The Journal of the Korea Contents Association
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    • v.18 no.2
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    • pp.240-247
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    • 2018
  • The purpose of this study was to identify the completion and related factors on Advance Directives (AD) in olde adults. A cross-sectional descriptive study design was used. Participants were 196 old adults, 65 and over aged in D metropolitan city. Collected data were analyzed using descriptive statistics, ${\chi}^2-test$, t-test, and logistic regression with SPSS 22.0 program. The rate of completion intention toward AD was 58.2% in the participants. There were different age, Living alone, subjective health status, awareness toward AD, and negative attitude toward death by completion intention toward AD. In the regression analysis results, the predictors of completion intention toward AD was awareness toward AD in old adults. The findings of the study reveal that positive awareness toward AD can predict completion of AD of healthy old adults in community.

Association between Cerebral Small Vessel and Alzheimer's Disease (알츠하이머병과 뇌소혈관질환의 연관성)

  • Kyung Hoon Lee;Koung Mi Kang
    • Journal of the Korean Society of Radiology
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    • v.83 no.3
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    • pp.486-507
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    • 2022
  • Cerebral small vessel disease (CSVD) includes vascular lesions detected on brain MRI, such as white matter hyperintensities, lacunar infarctions, microbleeds, or enlarged perivascular spaces. There is accumulating evidence that vascular changes may play an important role in development of Alzheimer's disease (AD), and CSVD lesions detected on brain MRI were reported to be associated with β-amyloid and tau proteins accumulation. As the vascular contribution has therapeutic potential, it is important to understand the association of CSVD with AD and AD biomarkers. This review begins with a brief introduction of AD and AD biomarkers, explains the association between AD and vascular changes, and then details the pathogenesis and MR imaging findings of CSVD. Afterwards, we discuss the association of CSVD with AD and AD biomarkers.

Relationship between intake of soft drinks and current prevalence of adult atopic dermatitis: based on the Korea National Health and Nutrition Examination Survey data (2015-2016) (탄산음료 섭취와 성인 아토피 피부염 진단 및 현재 유병과의 관련성: 국민건강영양조사(2015-2016년) 자료를 바탕으로)

  • Kim, Hye Won;Kim, Ji-Myung
    • Journal of Nutrition and Health
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    • v.54 no.5
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    • pp.501-514
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    • 2021
  • Purpose: The purpose of this study was to provide basic data for the management of atopic dermatitis (AD) in adults by analyzing the relationship between AD and intake of soft drinks in adults. Methods: This study was conducted on 5,931 adults aged 19 to 64 who completed the food frequency questionnaire (FFQ) for participants in the Korea National Health and Nutrition Examination Survey VII-3 and VII-1. Subjects were divided into an AD-diagnosed group and a non-AD group according to the diagnosis of AD. In addition, the group diagnosed with AD was divided into a 'symptom-AD' group and a 'no symptom-AD' group. The amount, frequency of intake, and nutritional status of soft drinks were analyzed using the FFQ. Results: Compared with the nutrient intake per 1,000 kcal of energy consumption, fat intake was higher in the AD-diagnosed group than in the non-AD group, and carbohydrate, dietary fiber, calcium, phosphorus, iron, potassium, vitamin A, thiamin, and vitamin C were lower in AD-diagnosed group. The daily intake of soft drinks and the percentage of 'more than 0.5 servings per day' were also higher in the AD-diagnosed group than in the non-AD group. Also, the frequency of the intake of soft drinks was significantly higher in the AD-diagnosed group than in the non-AD group. The odds ratio of AD symptoms due to the intake of soft drinks increased 2.6 times when the intake was 'less than 0.5 serving per day'. Conclusion: AD in adults appears to be related to malnutrition and excessive consumption of soft drinks, and the current prevalence of AD symptoms may also be related to the intake of soft drinks. Based on these results, we suggest that one of the ways to manage AD in adults would be to limit their intake of soft drinks.

Alternation of Sleep Structure and Circadian Rhythm in Alzheimer's Disease (알츠하이머 치매에서 수면구조 및 일주기리듬의 변화)

  • Sohn, Chang-Ho
    • Sleep Medicine and Psychophysiology
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    • v.9 no.1
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    • pp.9-13
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    • 2002
  • Alzheimer's disease (AD) is one of the most common and devastating dementing disorders of old age. Most AD patients showed significant alternation of sleep structure as well as cognitive deficit. Typical findings of sleep architecture in AD patients include lower sleep efficiency, higher stage 1 percentage, and greater frequency of arousals. The slowing of EEG activity is also noted. Abnormalities in REM sleep are of particular interest in AD because the cholinergic system is related to both REM sleep and AD. Several parameters representing REM sleep structure such as REM latency, the amount of REM sleep, and REM density are change in patients with AD. Especially, measurements of EEG slowing during tonic REM sleep can be used as an EEG marker for early detection of possible AD. In addition, a structural defect in the suprachiasmatic nucleus is suggested to cause various chronobiological alternations in AD. Most of alternations related to sleep make sleep disturbances common and disruptive symptoms of AD. In this article, the author reviewed the alternation of sleep structure and circadian rhythm in AD patients.

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A Comparison of the Performances of Confrontation Naming Test and Verbal Fluency Task in Patients with Prodromal Alzheimer's Disease and Mild Alzheimer's Disease (노인성 알츠하이머병 위험군과 초기 알츠하이머병 환자의 이름대기와 구어유창성 능력의 비교)

  • Choi, Hyun-Joo
    • Speech Sciences
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    • v.15 no.2
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    • pp.111-118
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    • 2008
  • We identified the characteristic impairmants of linguistic semantic memory in patients with prodromal Alzheimer's disease(AD) and mild AD. To elucidate the earliest changes of semantic language function in subjects with AD, performances on confrontation naming test and verbal fluency task were compared among patients with AD patients (n=20), mild AD patients (n=27) and healthy elderly controls (n=20). Tasks in this study included the confrontation naming test of Test of Lexical Processing in Aphasia(TLPA/Japanese) and one-minute verbal fluency task (semantic/ phonetic categories). The results were as follows: 1) Performances of the prodromal AD group showed the comparable to those of the control group on the confrontation naming test, 2) In the semantic/phonetic verbal fluency tasks, the performances of the control group were better than those of the prodromal AD and mild AD groups, but no significant differences were shown between the prodromal AD and the mild AD group.

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Comparison of EG/AD/S and EG/AD model ice properties

  • Kim, Jung-Hyun;Choi, Kyung-Sik
    • International Journal of Ocean System Engineering
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    • v.1 no.1
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    • pp.32-36
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    • 2011
  • EG/AD/S type model ice was originally selected as the primary model ice material for the MOERI ice tank in Korea. The existence of a sugar component in the EG/AD/S mixture may cause a serious maintenance problem. In order to understand the influence of sugar in the original model ice, a series of tests with EG/AD/S and EG/AD model ices were performed, and their material properties compared. Because the target strength of model ice in the full-scale MOERI ice tank is expensive and difficult to control, tests were performed under cold room conditions using a miniature ice tank. This paper describes the material properties of EG/AD/S and EG/AD model ices, such as flexural strength, compressive strength and elastic modulus. In order to obtain the desired strength and stiffness levels for the model ice, a warm-up process was introduced.

Chemical Properties of the Individual Asian Dust Particles Clarified by Micro-PIXE Analytical System

  • Ma, Chang-Jin;Kang, Gong-Unn;Kasahara, Mikio;Tohno, Susumu
    • Asian Journal of Atmospheric Environment
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    • v.8 no.3
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    • pp.154-161
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    • 2014
  • The present study was undertaken to evaluate the chemical characteristics of Asian dust (hereafter called "AD") particles with the aid of the most advanced micro-PIXE (Particle-induced X-ray emission) analytical technique. To this end, size-selected particles were sampled on a rural peninsula of Korea (Byunsan, 35.37N; 126.27E) during AD and non-AD periods in 2004. The coarse particle (> $2{\mu}m$) number density during an AD event were 170 times higher than those of the non-AD counterpart. The average net-count of silica in individual particles collected on AD event was roughly 11 times higher than that of non-AD counterpart. The X-ray net-counts of trace elements (Zn, Co, Mn, and V) were also considerably high in AD relative to the non-AD day. Particle classification based on the inter ratio analysis of elemental net-count suggests that a large portion of the coarse particles collected during AD event underwent chemical transformation to a certain degree. The visual interpretation of micro-PIXE elemental maps and elemental localization data in and/or on individual AD particles clarified the internal mixture of AD particles with sea-salt and artificial metallic particles.

An Improved Sample Balanced Genetic Algorithm and Extreme Learning Machine for Accurate Alzheimer Disease Diagnosis

  • Sachnev, Vasily;Suresh, Sundaram
    • Journal of Computing Science and Engineering
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    • v.10 no.4
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    • pp.118-127
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    • 2016
  • An improved sample balanced genetic algorithm and Extreme Learning Machine (iSBGA-ELM) was designed for accurate diagnosis of Alzheimer disease (AD) and identification of biomarkers associated with AD in this paper. The proposed AD diagnosis approach uses a set of magnetic resonance imaging scans in Open Access Series of Imaging Studies (OASIS) public database to build an efficient AD classifier. The approach contains two steps: "voxels selection" based on an iSBGA and "AD classification" based on the ELM. In the first step, the proposed iSBGA searches for a robust subset of voxels with promising properties for further AD diagnosis. The robust subset of voxels chosen by iSBGA is then used to build an AD classifier based on the ELM. A robust subset of voxels keeps a high generalization performance of AD classification in various scenarios and highlights the importance of the chosen voxels for AD research. The AD classifier with maximum classification accuracy is created using an optimal subset of robust voxels. It represents the final AD diagnosis approach. Experiments with the proposed iSBGA-ELM using OASIS data set showed an average testing accuracy of 87%. Experiments clearly indicated the proposed iSBGA-ELM was efficient for AD diagnosis. It showed improvements over existing techniques.

Mobile IP Router in Ad Hoc Network (Ad Hoc 네트워크에서 이동 IP Router)

  • Park, Chun-Kwan
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.11 no.6
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    • pp.169-175
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    • 2011
  • This paper addresses mobile IP router which communicate between nodes in Ad Hoc network as well as supply attachment to outer Internet. Ad Hoc network is one which exchanges information through cooperations among nodes without wire infrastructure, mobile IP router considers the network as one mobile unit, and supports Internet connection in mobile as well as fixed spaces. Therefore, this router can accommodate the routing of Ad Hoc network, and provide nodes in Ad Hoc network with Internet connection. So mobile IP router can provide Ad-Hoc terminals with the diverse wireless services, such as Internet connection service, routing, mobility, and so on.

The Effect of AD Noises Caused by AD Model Selection on Brand Awareness and Brand Attitudes (광고 모델 관련 광고 노이즈가 브랜드 인지도와 브랜드 태도에 미치는 영향)

  • Chung, Jai-Hak;Lee, Sang-Mi
    • Journal of Global Scholars of Marketing Science
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    • v.18 no.3
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    • pp.89-114
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    • 2008
  • Most of the extant studies on communication effects have been devoted to the typical issue, "what types of communication activities are more effective for brand awareness or brand attitudes?" However, little research has addressed another question on communication decisions, "what makes communication activities less effective?" Our study focuses on factors negatively influenced on the efficiency of communication activities, especially of Advertising. Some studies have introduced concepts closely related to our topic such as consumer confusion, brand confusion, or belief confusion. Studies on product belief confusion have found some factors misleading consumers to misunderstand the physical features of products. Studies on brand confusion have uncovered factors making consumers confused on brand names. Studies on advertising confusion have tested the effects of ad models' employed by many other firms for different products on communication efficiency. We address a new concept, Ad noises, which are any factors interfering with consumers exposed to a particular advertisement in understanding messages provided by advertisements. The objective of this study is to understand the effects of ad noises caused by ad models on brand awareness and brand attitude. There are many different types of AD noises. Particularly, we study the effects of AD noises generated from ad model selection decision. Many companies want to employ celebrities as AD models while the number of celebrities who command a high degree of public and media attention are limited. Inevitably, several firms have been adopting the same celebrities as their AD models for different products. If the same AD model is adopted for TV commercials for different products, consumers exposed to those TV commercials are likely to fail to be aware of the target brand due to interference of TV commercials, for other products, employing the same AD model. This is an ad noise caused by employing ad models who have been exposed to consumers in other advertisements, which is the first type of ad noises studied in this research. Another type of AD noises is related to the decision of AD model replacement for the same product advertising. Firms sometimes launch another TV commercial for the same products. Some firms employ the same AD model for the new TV commercial for the same product and other firms employ new AD models for the new TV commercials for the same product. The typical problem with the replacement of AD models is the possibility of interfering with consumers in understanding messages of the TV commercial due to the dissimilarity of the old and new AD models. We studied the effects of these two types of ad noises, which are the typical factors influencing on the effect of communication: (1) ad noises caused by employing ad models who have been exposed to consumers in other advertisements and (2) ad noises caused by changing ad models with different images for same products. First, we measure the negative influence of AD noises on brand awareness and attitudes, in order to provide the importance of studying AD noises. Furthermore, our study unveiled the mediating conditions(variables) which can increase or decrease the effects of ad noises on brand awareness and attitudes. We study the effects of three mediating variables for ad noises caused by employing ad models who have been exposed to consumers in other advertisements: (1) the fit between product image and AD model image, (2) similarity between AD model images in multiple TV commercials employing the same AD model, and (3) similarity between products of which TV commercial employed the same AD model. We analyze the effects of another three mediating variables for ad noises caused by changing ad models with different images for same products: (1) the fit of old and new AD models for the same product, (2) similarity between AD model images in old and new TV commercials for the same product, and (3) concept similarity between old and new TV commercials for the same product. We summarized the empirical results from a field survey as follows. The employment of ad models who have been used in advertisements for other products has negative effects on both brand awareness and attitudes. our empirical study shows that it is possible to reduce the negative effects of ad models used for other products by choosing ad models whose images are relevant to the images of target products for the advertisement, by requiring ad models of images which are different from those of ad models in other advertisements, or by choosing ad models who have been shown in advertisements for other products which are not similar to the target product. The change of ad models for the same product advertisement can positively influence on brand awareness but positively on brand attitudes. Furthermore, the effects of ad model change can be weakened or strengthened depending on the relevancy of new ad models, the similarity of previous and current ad models, and the consistency of the previous and current ad messages.

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