• 제목/요약/키워드: Memory disorder

검색결과 144건 처리시간 0.019초

노인 아증후군적 우울증 환자의 인지기능 및 삶의 질 저하 (Cognitive Impairment and Decreased Quality of Life in Elderly Patients with Subsyndromal Depression)

  • 류재성;김문두;이창인;박준혁
    • 생물정신의학
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    • 제20권2호
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    • pp.45-53
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    • 2013
  • Objectives Non-major depression with fewer symptoms than required for a Diagnostic and Statistical Manual of Mental Disorders-4th edition diagnosis of major depressive disorder (MDD) has consistently been found to be associated with functional impairment. In this study, we aim to estimate the cognitive impairment and the quality of life in elderly patients with subsyndromal depression (SSD) compared with non-depressive elderly (NDE). Methods The Korean version of Mini International Neuropsychiatric Interview was administered to 194 outpatients with depression and 108 normal controls. SSD is defined as having five or more current depressive symptoms with core depressive symptoms (depressive mood or loss of interest or pleasure) during more than half a day and more than seven days over two weeks. Depression was evaluated by the Korean form of Geriatric Depression Scale of a 15-item short version. Global cognition was assessed by Mini-Mental State Examination in the Korean version of CERAD assessment packet (MMSE-KC). Subjective cognitive impairment was assessed by the Subjective Memory Complaint Questionnaire. Quality of life was evaluated by the Korean Version of Short-Form 36-Item Health Survey. Results The mean score of the MMSE-KC in the SSD group was lower than that in the NDE group with adjustment for age, gender, and education [F = 4.270, p = 0.04, analysis of covariance (ANCOVA)]. If we defined those having Z-score of MMSE-KC < -1.5 as a high risk group of cognitive impairment, the odds ratio for the high risk group of cognitive impairment was 1.86 [95% confidence intervals (CI) 1.04-3.34] in SSD and 7.57 (95% CI 3.50-16.40) in MDD compared to NDE. The scores of physical component summary (F = 9.274, p = 0.003, ANCOVA) and mental component summary (F = 53.166, p < 0.001, ANCOVA) in the SSD group were lower than those in the NDE group with adjustment for age, gender, and education. Conclusions The subjects with SSD, as well as those with MDD, showed impairment of global cognition and also experienced low quality of life in both physical and mental aspects, compared to the NDE group.

한국영화의상(韓國映畵衣裳)과 대중(大衆)패션의 연관성(聯關性)에 관(關)한 고찰(考察) -1998년(年) 이후(以後) Retro 현상(現狀)을 중심(中心)으로- (A study on the Relationship of Korean Film Costumes and Popular Fashion - Focused on the Retro Phenomenon Since the 1998 -)

  • 정지혜;신영선
    • 패션비즈니스
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    • 제7권2호
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    • pp.122-142
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    • 2003
  • This study examines the meaning of retro phenomenon and its background of establishment that showed in the pop culture. And it finds out the retro phenomena in the domestic fashion trends. And it defines the characteristics of dress and its ornament in the retro phenomena that have shown in the Korean movies since 1998. By doing this, it examines the relationship between movie dress and street fashion while it compares the styles in the 50s 70s with the retro fashion that is currently emerging. The results of the study are as follows. First, the hippie look in the 60s represented a distinctive characteristic of how they rejected traditional lifestyles. Hippie's romantic femininity that showed in the movie of 'Oollala Sisters' received a spotlight as a necessary style in the modern fashion trend. Second, while the funk look in the 70s was a style of disorder and disgust, the movie gives it a possibility of fashion with a converted sense as a vanguard fashion while embracing the funk look. Third, the layered look in the 70s was expressed with layered items, while the current layered look emphasizes layered textiles as shown in the movie of 'Hae-Jeok Became The Disco King'. Fourth, the feminine look which was a symbol of restraint shows a mixed style with delicate feminine items as shown in the movies, 'The Harmonium In My Memory' and 'Ditto'. Fifth, the training look that has two stripes as shown in the movie 'the Friends' is considered as casual wear, which is functional and easy to move at the end of the 20th century. Finally, the romantic images of school look, as shown in the movies 'the Friends' and 'Hae-Jeok Became The Disco King', show a renewed mixed & unique style. This study has its significance in the sense that it verifies the fact that the movie dress does not show the characteristics of the works that momentarily passes the screen, but it becomes a foundation of the future fashion design. At this time that Korean movies are highly developing, a through study on the movie fashion will not only give a direction of future in the modern fashion, but it will also give a developing momentum in the Korean movie dress.

치매노인의 문제특성에 대한 위험순위에 관한 연구 (A Study on the Precedence of the Risk of Problem Features of Senile Dementia Patients)

  • 유지혜;이행운;엄진섭;박수준;이봉수;이정환;탁계래;정순철
    • 감성과학
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    • 제10권1호
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    • pp.79-86
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    • 2007
  • 치매노인의 주요 문제특성의 추출을 위해 시설에 입소해 있는 치매노인 110명을 대상으로 기본특성 조사, 인지기능 선별검사, 문제특성 설문조사를 실시하였다. 요인분석결과 총 20개의 주요 문제특성이 추출되었다. 본 연구에서는 치매노인 보호를 위해 주요 문제특성 20개의 위험순위를 결정하였다. 치매진단 및 치매환자를 접한 경험이 있는 정신보건 임상심리사 32명을 대상으로 설문조사를 실시하였다. 계층분석법을 이용하여 상대적 위험도를 분석하였고, 20개의 문제특성 전체에 대하여 위험도 서열을 정하도록 하여 위험순위를 결정하였다. 두 가지 분석 결과 모두 치매 노인의 일상생활 수행 시 기억력, 판단력, 지남력 장애와 같은 인지문제가 가장 위험한 것으로 나타났다.

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Strategies for Managing Dementia Patients through Improving Oral Health and Occlusal Rehabilitation: A Review and Meta-analysis

  • Yeon-Hee Lee;Sung-Woo Lee;Hak Young Rhee;Min Kyu Sim;Su-Jin Jeong;Chang Won Won
    • Journal of Korean Dental Science
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    • 제16권2호
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    • pp.128-148
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    • 2023
  • Dementia is an umbrella term that describes the loss of thinking, memory, attention, logical reasoning, and other mental abilities to the extent that it interferes with the activities of daily living. More than 50 million individuals worldwide live with dementia, which is expected to increase to 131 million by 2050. Recent research has shown that poor oral health increases the risk of dementia, while oral health declines with cognitive decline. In this narrative review, the literature was based on the "hypothesis" that dementia and oral health have a close relationship, and appropriate oral health and occlusal rehabilitation treatment can improve the quality of life of patients with dementia and prevent progression. We conducted a literature search in PubMed and Google Scholar databases, using the search terms "dementia," "major neurocognitive disorder," "dentition," "occlusion," "tooth loss," "dental prosthesis," "dental implant," and "occlusal rehabilitation" in the title field over the past 30 years. A total of 131 studies that scientifically addressed dementia, oral health, and/or oral rehabilitation were included. In a meta-analysis, the random effect model demonstrated significant tooth loss increasing the dementia risk 3.64-fold (pooled odds ratio=3.64, 95% confidence interval [2.50~5.32], P-value=0.0348). Tooth loss can be an important indicator of cognitive function decline. As the number of missing teeth increases, the risk of dementia increases. Loss of teeth can lead to a decrease in the ascending information to the brain and reduced masticatory ability, cerebral blood flow, and psychological atrophy. Oral microbiome dysbiosis and migration of key bacterial species to the brain can also cause dementia. Additionally, inflammation in the oral cavity affects the inflammatory response of the brain and the complete body. Conversely, proper oral hygiene management, the placement of dental implants or prostheses to replace lost teeth, and the restoration of masticatory function can inhibit symptom progression in patients with dementia. Therefore, improving oral health can prevent dementia progression and improve the quality of life of patients.