• Journal of the Korean Society of Physical Medicine
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• v.15 no.2
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• pp.23-30
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• 2020

PURPOSE: The purpose of this study was to examine the effects of dual-task training with cognitive tasks on cognitive functions and β-amyloid levels in the elderly with mild dementia. METHODS: The subjects were 36 elderly inpatients diagnosed with mild dementia at S Hospital located in Gyeongsangbuk-do, South Korea. The patients were randomly divided into a dual-task training group (DTG; n = 18) or a single-task training group (STG; n = 18). DTG performed dual-task training with cognitive tasks while STG performed only exercise tasks. These groups performed their respective exercises during a 30-minute session occurring three times a week over an 8-week period. MMSE-K and GDS were used to measure the subjects' cognitive function. To assess the subjects' dementia-related factors, their β-amyloid levels were measured by blood analysis. RESULTS: The results of the experiment were as follows: DTG showed statistically significant differences between their MMSE-K scores and β-amyloid levels before and after training (p < .05), whereas they exhibited no statistically significant differences in their GDS scores. MMSE-K scores and β-amyloid levels were significantly different between DTG and STG after training. CONCLUSION: The present study's overall results indicate that dual-task training with cognitive tasks is more effective than single-task training in improving cognitive functions and β-amyloid levels in the elderly with mild dementia. In other words, regular dual-task training can be considered as effective in improving cognitive function and dementia-related factors in the elderly with mild dementia and thus may be suggested as an effective exercise method for the treatment and early prevention of dementia.

• Dementia and Neurocognitive Disorders
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• v.23 no.3
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• pp.146-160
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• 2024

Background and Purpose: The emotions of people at various stages of dementia need to be effectively utilized for prevention, early intervention, and care planning. With technology available for understanding and addressing the emotional needs of people, this study aims to develop speech emotion recognition (SER) technology to classify emotions for people at high risk of dementia. Methods: Speech samples from people at high risk of dementia were categorized into distinct emotions via human auditory assessment, the outcomes of which were annotated for guided deep-learning method. The architecture incorporated convolutional neural network, long short-term memory, attention layers, and Wav2Vec2, a novel feature extractor to develop automated speech-emotion recognition. Results: Twenty-seven kinds of Emotions were found in the speech of the participants. These emotions were grouped into 6 detailed emotions: happiness, interest, sadness, frustration, anger, and neutrality, and further into 3 basic emotions: positive, negative, and neutral. To improve algorithmic performance, multiple learning approaches were applied using different data sources-voice and text-and varying the number of emotions. Ultimately, a 2-stage algorithm-initial text-based classification followed by voice-based analysis-achieved the highest accuracy, reaching 70%. Conclusions: The diverse emotions identified in this study were attributed to the characteristics of the participants and the method of data collection. The speech of people at high risk of dementia to companion robots also explains the relatively low performance of the SER algorithm. Accordingly, this study suggests the systematic and comprehensive construction of a dataset from people with dementia.

• Journal of agricultural medicine and community health
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• v.44 no.1
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• pp.11-27
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• 2019

Dementia is major epidemic disease of the 21st century in the world. Dementia is one of the major issues in public health globally. Also in Korea, the estimated prevalence of dementia was 8.7%(0.47 million) in 2010, the number will reach the 1 million mark in 2024, it will become a 15.1%(2.71 million) by 2050. Among Koreans aged 65 or older, 725,000 are estimated to be suffering from dementia in 2017. Against dementia, Korea developed three National Dementia Plans in 2008, 2012, and 2016. The 1st plan was came into effect in 2008 and focused on prevention, early diagnostic, development and coordination of infrastructures and management, and improving awareness. The 2nd plan was launched in 2012, addressed the same priorities but had a stronger focus on supporting family members. In 2012 the Dementia Management Act established a statutory basis for organization of the National Dementia Plans. Under the Dementia Management Act, the government is required to produce a comprehensive plan for dementia every 5 years. The Act also orders that the government should register the dementia patients and collect statistics on epidemiology and the management of the dementia conditions. The Dementia Management Act of Korea required the operation of the National Institute of Dementia and Metropolitan/Provincial Dementia Centers to make and carry out dementia management plans throughout the nation. The Act also mandate to establish Dementia Counselling Centers in every public health center and the National Dementia Helpline. The 3rd National Dementia Plan of 2016 aims to build a dementia friendly community to ensure people with dementia and their carer live well. This plan focus on community-based prevention and management of dementia, convenient and safe diagnosis, treatment, and care for people with dementia, the reduction of the care burden for family care-givers of people with dementia, and support for dementia research through research, statistics and technology. In 2017, Moon's government will introduce the "National Dementia Responsibility System," which guarantees most of the burden caused by dementia. This plan include that the introduction of a ceiling on self-pay for dementia diseases, expansion of the application of dementia care standards through alleviating the support criteria for long-term care insurance for mild dementia, expansion of dementia support centers, expansion of national and public dementia care facilities. In the meantime, Korea has accomplished many accomplishments by establishing many measures related to dementia and promoting related projects in a short time, but there are still many challenges.

• The Journal of Korean Society for School & Community Health Education
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• v.8 no.2
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• pp.19-34
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• 2007

Background & Objectives: The current study aims to convey correct knowledge of dementia that is be on the rise as the most significant social problem and provide basic data for implementing immediate school health education for dementia which is the basis of improving quality of life for patients with dementia, their family and the society by analyzing recognition level for dementia among male and female students in the 2nd grade of middle school and the necessity of school health education for dementia. Methods: The current study conducted a survey with a total of 150 students. 25 male and female students respectively selected from three middle school taking into account regional characteristics. The study also processed the survey results using SPSS-PC Program 12.0 and gained the following results by implementing Frequency Analysis. Cross-tabulation Analysis and ANOVA Analysis. Results: As for respect for grandparents, 55.3% of the respondents said they respect their grandparents. while 39.3% answered so-so and 5.3% said they don't respect their grandparents. As for the number of they meet grandparents, 36.0% of the respondents said they meet grandparents once or twice a month, which was the most frequent answer. On the other hand, 24.7% are once or twice every six months, 13.3% are once or twice a year and a week, respectively, and 6.7% said that they seldom meet their grandparents. In a question about whether they had recognized dementia after explaining dementia in detail, 82.7% said' yes' while 17.3% said' no'. But few students recognized it when they were asked using a terminology' dementia' first. The average score of knowledge level integrating the most fundamental 16 questions about dementia was $11.20{\pm}1.73$. Also 83.3% of the respondents answered that they had no experience in health education about dementia while 16.7% said presented positive answers. In the necessity of health education about dementia, 73.3% of them said' necessary' while 21.3% said' so-so' and 5.3% said 'not necessary. Conclusions: From the above study results, it was found that it is time to emphasize the necessity and importance of school health education for improving respect for the old and a sense of responsibility for support and converting recognition for dementia in Korea that has social structure of the trend toward the nuclear family and heads for an aged society. However, the fact that the above things are not implemented at all in reality can expand disparate views among family members in the future and further can cause even more serious problem by neglecting senior problems. Therefore, the government, social organizations, especially school organizers should recognize the necessity and importance of school health education and actively begin cultivations of students' character by implementing the education about dementia at the early stage.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.11
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• pp.5847-5855
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• 2013

The purpose of this research is to develop Dementia-diagnosis application program through inter-working between biometric sensors and smart phone with diagnostic programs. Receiving data from 2 biometric sensors, SpO2 and HRV(heart rate variability) with Bluetooth and adding scores from questionnaires and memory test game, smart phone can draw a final Dementia Index(DI). Simple clinical tests provided threshold for Dementia, and diagnosis was made by comparing the DI with the threshold. We performed testing on persons aged over 60 and found out the proposed application can be used to diagnose Dementia easily and quickly. Additionally, we have shown the potential of oxygen chamber combined with Dementia-diagnosis application as a medical equipment to ease or cure Dementia in its early stages.

• Dementia and Neurocognitive Disorders
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• v.21 no.2
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• pp.45-58
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• 2022

Recently, aducanumab, a beta amyloid targeted immunotherapy, has been approved by the US Food and Drug Administration for the treatment of Alzheimer's dementia (AD). Although many questions need to be answered, this approval provides a promising hope for the development of AD drugs that could be supported by new biomarkers such as blood-based ones and composite neuropsychological tests that can confirm pathologic changes in early stages of AD. It is important to elucidate the complexity of AD which is known to be associated with other factors such as vascular etiologies and neuro-inflammation. Through the second international conference of the Korean Dementia Association (KDA), researchers from all over the world have participated in the exchange of opinions with KDA members on the most up-to-date topics. The Academic Committee of the KDA summarizes lectures to provide the depth of the conference as well as discussions. This will be an important milestone to widen the latest knowledge in the research of AD's diagnosis, therapeutics, pathogenesis that can lead to the establishment of future directions.

• Journal of Oriental Neuropsychiatry
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• v.10 no.1
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• pp.147-157
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• 1999

In order to confirm the efficiency of Oriental medical treatment on Vascular dementia, 24 probable and possible vascular dementia patients diagnosed by ADDTC criteria, were chosen and followed among the patients who had visited KOMC from April, 1996 to March, 1997. They were given herbal and acupuncture therapy, mainly focused on circulating qi(順氣)and removing phlegm(治痰) which is generally applied in early stage of cerebro-vascular disease, and then assessed by the improvement of stage according to the level of impairment, as proposed by APA. The results were as followed. 1. Out of 25 cases, 8 patients showed 2 grade improvement(++), 15 patients showed 1 grade improvement(+), and 1 patient showed no change. 2. The efficiency of treatment is higher when they're given treatment earlier. 3. The efficiency of treatment is higher when their symptoms are lighter. In conclusion, this study shows meaningful effect of Oriental medical treatment on vascular dementia and also shows that It's more effective in the case of short onset and mild symptom.

• Journal of Sensor Science and Technology
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• v.28 no.6
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• pp.385-389
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• 2019

As we become an aging society, the number of dementia patients increases every year (an estimated 10% of the elderly, equating to 1.27 million in 30 years). In addition, 17,000 cases of missing people with disabilities and dementia are reported annually, indicating that more than one person per hour goes missing. More than 50% of those who are lost suffer injuries (some of which are fatal) within 24 hours after going missing. This is why measures are urgently required to ensure safety of the elderly. The core function of the disappearances prevention system proposed by this research group is to identify and respond early to deviations of dementia patients from their homes or facilities by identifying the location of the occurrence of disappearance, so that real-time notifications occur when a they leave the protected area. In addition, multiple receivers and public transportation integrated terminals share information when a patient leaves and uses public transportation to ensure their safe return. Most existing beacon-based positioning service models have fixed signal transmitters and are serviced in the form of transport receivers, but the proposed service model has users wearing the BLE beacon and receivers fixed.

• 제어로봇시스템학회:학술대회논문집
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• 2003.10a
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• pp.2367-2371
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• 2003

A new instrument for early detection of Alzheimer's disease is constructed from the investigative items with both the investigation of living environment, and the functional tests of the sense, the physiology, and the left and right brains. This paper describes the indexes obtained from the results of test using a new instrument for early detection of Alzheimer's disease. The indexes for early detection of Alzheimer's disease were obtained from the investigations of the living environment and the social adaptability, the functional tests of the sight and the hearing in the five senses, and the functional tests of left hemispheres in brain.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.12
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• pp.5816-5825
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• 2012

As the society has been ageing, senile dementia increase rapidly. Thus social costs of dementia treatment and management increase exceedingly. There is a desperate need of finding out improvements.. For example, foreign countries come with the solutions about this issue by establishing national strategy about Dementia, setting effective Dementia Management in national level and preparing legal systems. Older Welfare Act, Long Term Care Insurance Act for the Aged and Dementia Management Act exist as legal system of improvements. Improvement about this issue is needed due to more effective Dementia management and pushing ahead policies. First of all, the government needs to include dementia checkup into the list of national health insurance checkup toward senior citizen of older than 65-year-old. Secondly, as one of the characteristics of dementia, when more symptoms of dementia appear, there is less effect of treatment. Therefore, in order to reduce the social costs of Dementia, the government needs to promote Dementia prevention industry and early checkups. Thirdly, there is a need of setting a class judgement standard appeasement policy and expansion of using target. The reason of processing this statement is that there are difficulties of satisfying the needs of senior citizens due to current conformity of long-term pay recuperation according to laws of welfare.