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- 저자 : Dementia (검색결과 3 건)
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박기형,임재성,서상원,정용,노영,Koh Seong-Ho,배재성,Park Sun Ah,Yang Soh-Jeong,김희진,Chin Juhee,노지훈,안성수,Academic Committee of the Korean Dementia Association 대한치매학회 2020 Dementia and Neurocognitive Disorders Vol.19 No.2
Because of repeated failures of clinical trials, the concept of Alzheimer's disease (AD) has been changing rapidly in recent years. As suggested by the National Institute on Aging and the Alzheimer's Association Research Framework, the diagnosis and classification of AD is now based on biomarkers rather than on symptoms, allowing more accurate identification of proper candidates for clinical trials by pathogenesis and disease stage. Recent development in neuroimaging has provided a way to reveal the complex dynamics of amyloid and tau in the brain in vivo, and studies of blood biomarkers are taking another leap forward in diagnosis and treatment of AD. In the field of basic and translational research, the development of animal models and a deeper understanding of the role of neuroinflammation are taking a step closer to clarifying the pathogenesis of AD. Development of big data and the Internet of Things is also incorporating dementia care and research into other aspects. Large-scale genetic research has identified genetic abnormalities that can provide a foundation for precision medicine along with the aforementioned digital technologies. Through the first international conference of the Korean Dementia Association, experts from all over the world gathered to exchange opinions with association members on these topics. The Academic Committee of the Korean Dementia Association briefly summarizes the contents of the lectures to convey the depth of the conference and discussions. This will be an important milestone in understanding the latest trends in AD's pathogenesis, diagnostic and therapeutic research and in establishing a future direction.
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서진우, 오명균, 성태경 상지대학교 한의학연구소 2019 尙志韓醫論文集 Vol.7 No.1
Objectives: This study was carried out analyze the current state of Dementia Service in Gangwon Province and to investigate the role of Korean Medicine specialist for Dementia Service in Gangwon Province. Methods: We referred the data of current state of Dementia in Gangwon Province from Central Dementia Center and Dementia Center of Gangwon Province. The data of Korean medicine Service of Dementia or mild cognitive impairment(MCI) was investigated from the services taken in several public health centers or local governments. Results: In Gangwon Province, the medical institutions and clinics are less than other region. The Korean Medicine specialist and clinics are excluded in Dementia Service in Gangwon Province. Many Korean Medicine Dementia or MCI Services were productive and significantly effective in improvement of cognitive function and depressive emotion. Conclusion: More educational program to Korean Medicine specialist and more connections between Korean Medicine clinics and Health centers are needed
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Home-Visiting Cognitive Intervention for the Community-Dwelling Elderly Living Alone
Lee Juyoun,Lee Ae Young,Daejeon Metropolitan Dementia Center 대한치매학회 2020 Dementia and Neurocognitive Disorders Vol.19 No.2
Background and Purpose: The elderly living alone feel lonelier and more isolated than do those live with others, and they are at higher risk for cognitive decline and depression. This study aimed to assess whether a home-visiting cognitive intervention (HCI) can have positive effects on cognitive improvement for the elderly who living alone. Methods: HCI was conducted from April 2016 to November 2019. Every elder who lived alone and 2 matched partners met for 8 weeks once a week. The partners visited participants' home and did the HCI which composed of cognitive training and cognitive stimulation activities. The Mini-Mental State Examination-dementia screening (MMSE), Geriatric Depression Scale (GDS), the Korean version of instrumental activities of daily living (K-IADL), and the Social Support Scale (SSS) were evaluated before and after HCI to compare the effect of HCI. Results: A total of 258 participants showed significant improvements in MMSE, GDS, K-IADL, and SSS. The MMSE and GDS scores were significantly improved after HCI in both the normal cognition (NC, n=210) and cognitive impairment (CI, n=48) groups. The cognitive effect of HCI for CI was higher than for NC. Among the NC, the magnitude of cognitive improvement was greater in the higher educated group (above 7 years) than in the other groups. Conclusions: Active cognitive interventions could provide possible benefits to improve cognition, emotion, and functional abilities. Regular cognitive-care services like HCI are necessary to reduce dementia risk for the elderly who live alone in the community.
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