The usefulness of the Korean version of modified Mini-Mental State Examination (K-mMMSE) for dementia screening in community dwelling elderly people

BACKGROUND: We assessed whether the Korean version of modified Mini-Mental State Examination (K-mMMSE) has improved performance as a screening test for cognitive impairment or dementia in a general population compared with the Korean Mini-Mental State Examination (K-MMSE). METHODS: Screening interviews were conducted with people aged 65 and over in Noam-dong, Namwon-city, Jeonbuk province. There were 522 community participants, of whom 235 underwent clinical and neuropsychological examination for diagnosis of dementia and Cognitive Impairment No Dementia (CIND). Sensitivity, specificity and areas under the receiver operating characteristic (ROC) curves for the K-mMMSE and the K-MMSE were the main outcome measures. RESULTS: Cronbach's alpha for the K-mMMSE was 0.91, compared with 0.84 for the K-MMSE. The areas under the ROC curves in identifying all levels of CIND or dementia were 0.91 for the K-mMMSE and 0.89 for the K-MMSE (P < 0.05). For the K-mMMSE, the optimal cut-off score for a diagnosis of CIND was 69/70, which had a sensitivity of 0.86 and a specificity of 0.79, while, for a diagnosis of dementia, the optimal cut-off score of 59/60 had a sensitivity of 0.91 and a specificity of 0.78. The K-mMMSE also had a high test-retest reliability (r = 0.89). CONCLUSION: Our findings indicate that the K-mMMSE is more reliable and valid than the K-MMSE as a cognitive screen in a population based study of dementia. Considering the test characteristics, the K-MMSE and modified version are expected to be optimally used in clinical and epidemiologic fields

Molecular identification of Reesa vespulae (Milliron) (Coleoptera: Dermestidae), a newly recorded species from Korea

AbstractA museum pest belonging to the family Dermestidae was found in the Museum of Sunchon National University, Sunchon, Korea and identified using its morphological characteristics and a DNA-based analysis of the mitochondrial cytochrome c oxidase I (COI) gene. This marks the first recorded appearance of this pest, which is identified as Reesa vespulae (Milliron), in the Korean Peninsula. We provide the details of the morphological diagnosis with the habitus of its adult and larva and its COI barcode data, and introduce historical data about its invasion around the world

Soft x-ray polarizer for optical productions of any orthogonal state of the linear and circular polarization modes

An efficient soft x-ray polarizer that is able to optically convert a linear polarization state to any orthogonal state of not only linear but also circular polarization modes is found by means of numerical calculations of the intensities of individual orthogonal polarization components in reflected waves. Calculation results, using the known linear-polarization-mode based Kerr matrix as well as a newly derived circular-polarization-mode based Kerr matrix, indicate that a +45?? or -45?? linearly polarized incident wave can be readily converted to any orthogonal states of both circular and linear polarization modes, i.e., left- and right-handed circular and s - and p -linear polarizations through reflection, at certain grazing angles of incidence near the critical angle from a simple ferromagnetic thin film of Co (9.0 nm) Si substrate. The intensities of almost pure circularly or linearly polarized reflected waves are about 10% or less in a certain spectral soft x-ray range just below the absorption edges of constituent magnetic elements. The counterpart orthogonal states of the linear as well as circular modes can be rapidly switched simply by reversing oppositely the orientation of longitudinal magnetizations. These results suggest that the orthogonal polarization states of the circular- and linear-polarization modes converted from such a polarizing optical element through reflection can be practically used in probing the vector quantities of element specific magnetizations in multicomponent magnetic materials.open2