• Title/Summary/Keyword: Cognitive diagnosis

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Design and Implementation of Smartphone Application for Measurement and Management of Depressive Emotion in Adolescents Using Cognitive Behavioral Therapy (인지행동치료기법을 활용한 청소년의 우울 정서 측정 및 관리 어플리케이션 설계 및 구현)

  • Yoo, Jung-Sun;Lee, Kyeong-Seon;Gwon, Jung-A
    • Journal of Digital Contents Society
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    • v.18 no.3
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    • pp.443-455
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    • 2017
  • This study is a follow-up study of Smart-phone Application Content Development for the Measurement and Management of Adolescents' Depression(J. S. Park et al., 2016), that designing and implementing a smart-phone application based on cognitive behavioral therapy. This app facilitates analysis of depressive symptoms, and a simple, continuous self-check. Through this, the app will allow for continuous management of the psychological states by avoiding one-off or comprehensive analysis and diagnosis of depression, unlike previous app. We also aim to make a connection to the practical counseling services. To achieve this goal, we examined not only existing studies on youth depression, but also mobile applications related to depression.

Korean Native Speakers Auditory Cognitive Reactions to Chinese Korean-learners' Pronunciation: Centered on the utterance of consonants in the Korean Language (중국인 학습자의 한국어 발음에 대한 한국인 모어 화자의 청각 인지 반응 -중국인 학습자의 자음 발음을 중심으로-)

  • Kim, Ji-hyung
    • Journal of Korean language education
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    • v.28 no.2
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    • pp.37-60
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    • 2017
  • This research has its basis with focus on the way Korean native speakers recognize Chinese Korean-learners' pronunciation. The objective of the study is to lay the cornerstone for establishing effective teaching-learning strategies for the education of the Korean phonetic system. In this study, the results of the experiment are presented which shows how native speakers of Korean identify Chinese Korean-learners' pronunciation of consonants. In the first place, stimulation tones were created from the original utterances of Chinese Korean-learners and seven scripts were made through the Pratt program. In addition, the subjects were asked to choose what the phonetic materials sounded like. The results of the research are represented as the ratio of frequency of Korean native speakers' response to each utterance to the total frequency. In addition, the paired t-test was taken in order to explore any relatedness to the changes in the level of proficiency of the Korean phonetic system, ranging from beginners to advanced learners. The outcome shows that the mistakes which Chinese Korean-learners make in pronouncing the consonants of Korean are relatively well-reflected in Korean native speakers' auditory cognitive reactions. To put it concretely, there is some difficulty in differentiating lax consonants from aspirates in the cases of plosives and affricates, but relatively little trouble with fortes. However, it is revealed that there is also a slight difference in relation to articulatory positions in detailed aspects. To provide an effective teaching method for the Korean phonetic system, it is essential to comprehend learners' phonetic mistakes through the precise analysis of data in terms of 'production.' Also, a more meticulous observation of 'phenomena' must be made through verification from the view of 'reception,' as attempted in this study. A more thorough diagnosis by applying methodology makes it possible to lay the foundation for developing effective teaching-learning strategies for the instruction of the Korean phonetic system. This study has its significance in making such attempts.

Mild Cognitive Impairment Prediction Model of Elderly in Korea Using Restricted Boltzmann Machine (제한된 볼츠만 기계학습 알고리즘을 이용한 우리나라 지역사회 노인의 경도인지장애 예측모형)

  • Byeon, Haewon
    • Journal of Convergence for Information Technology
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    • v.9 no.8
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    • pp.248-253
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    • 2019
  • Early diagnosis of mild cognitive impairment (MCI) can reduce the incidence of dementia. This study developed the MCI prediction model for the elderly in Korea. The subjects of this study were 3,240 elderly (1,502 men, 1,738 women) aged 65 and over who participated in the Korean Longitudinal Survey of Aging (KLoSA) in 2012. Outcome variables were defined as MCI prevalence. Explanatory variables were age, marital status, education level, income level, smoking, drinking, regular exercise more than once a week, average participation time of social activities, subjective health, hypertension, diabetes Respectively. The prediction model was developed using Restricted Boltzmann Machine (RBM) neural network. As a result, age, sex, final education, subjective health, marital status, income level, smoking, drinking, regular exercise were significant predictors of MCI prediction model of rural elderly people in Korea using RBM neural network. Based on these results, it is required to develop a customized dementia prevention program considering the characteristics of high risk group of MCI.

Research Trends in Using Korean Traditional Herbal Medicine for Dementia on the Improvement of Cognitive Function and Changes in Gut Microbiota (치매 한약치료의 인지기능 개선 및 장내 미생물 변화에 대한 연구동향)

  • Mi-Ra Choi;Jeong-Han Lee;So-Hyeon Park;Bo-Kyung Kim;Jung-Hwa Lim
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.3
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    • pp.275-305
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    • 2023
  • Objectives: This study aimed to review clinical and experimental studies using Korean traditional herbal medicine for dementia on the improvement of cognitive function and changes in gut microbiota. Methods: We searched 12 databases for clinical and experimental studies on the effect of Korean traditional herbal medicine treatment for dementia on changes in gut microbiota. Sample sizes, dementia types, diagnosis criteria, interventions, outcomes, and results, including changes in gut microbiota, were extracted from the included clinical studies and analyzed. Subjects, interventions, outcomes, and results, including gut microbiota changes, were extracted from the included experimental studies and analyzed. Results: A total of 22 studies were selected, and most of them were experimental studies. Improvement in cognitive function and changes in gut microbiota were reported in all studies. The most frequently used herbal material was Poria cocos, and the most frequently used prescription was Danggwijagyak-san and Chilseong-hwan. Lactobacillus, Firmicutes, Bacteroidetes, and Proteobacteria were frequently assessed gut microbiota. Conclusions: These results suggest the treatment potential of Korean traditional herbal medicine for dementia by regulating gut microbiota. However, there were discrepancies related to changes in gut microbiota among studies. Therefore, further studies are needed to clarify the effect and mechanism of Korean traditional herbal medicine for dementia on gut microbiota.

Harnessing the Power of Voice: A Deep Neural Network Model for Alzheimer's Disease Detection

  • Chan-Young Park;Minsoo Kim;YongSoo Shim;Nayoung Ryoo;Hyunjoo Choi;Ho Tae Jeong;Gihyun Yun;Hunboc Lee;Hyungryul Kim;SangYun Kim;Young Chul Youn
    • Dementia and Neurocognitive Disorders
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    • v.23 no.1
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    • pp.1-10
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    • 2024
  • Background and Purpose: Voice, reflecting cerebral functions, holds potential for analyzing and understanding brain function, especially in the context of cognitive impairment (CI) and Alzheimer's disease (AD). This study used voice data to distinguish between normal cognition and CI or Alzheimer's disease dementia (ADD). Methods: This study enrolled 3 groups of subjects: 1) 52 subjects with subjective cognitive decline; 2) 110 subjects with mild CI; and 3) 59 subjects with ADD. Voice features were extracted using Mel-frequency cepstral coefficients and Chroma. Results: A deep neural network (DNN) model showed promising performance, with an accuracy of roughly 81% in 10 trials in predicting ADD, which increased to an average value of about 82.0%±1.6% when evaluated against unseen test dataset. Conclusions: Although results did not demonstrate the level of accuracy necessary for a definitive clinical tool, they provided a compelling proof-of-concept for the potential use of voice data in cognitive status assessment. DNN algorithms using voice offer a promising approach to early detection of AD. They could improve the accuracy and accessibility of diagnosis, ultimately leading to better outcomes for patients.

Vocational Rehabilitation for Improvement of Life Care in Patients with Schizophrenia : A Systematic Review (조현병 환자의 라이프케어 증진을 위한 직업재활 : 체계적 고찰)

  • Kim, Ok-Gyeong;Paek, Hyun-Hee
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.5
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    • pp.229-243
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    • 2020
  • This study selected a total of 19 studies using databases of PubMed, SAGE Journal, and Wiley Online Library from 2000 to 2019 to find out about vocational rehabilitation of patients with schizophrenia in the area of overseas occupational therapy. First, the quality level of the study was all Level I. Second, the diagnosis for participants of the studies other than schizophrenia had the most schizoaffective disorder. Third, by types of interventions, 11 papers, the largest, were about social skills and cognitive rehabilitation training plus supported employment, followed by 4 about supported employment and 3 about social skills and cognitive rehabilitation training, 1 about other vocational approaches. Regarding studies showing effects in the employment rate by interventions type following three types of employment, as the most effective of studies, they were social skills and cognitive rehabilitation training plus support employment in competitive employment, social skills and cognitive rehabilitation training in non-competitive employment, and support employment in paid employment. Fifth, looking at the studies trend in the last 5 years, the most studies were social skills and cognitive rehabilitation training plus supported employment. Since this study classified the types and effects of vocational rehabilitation for patients with schizophrenia based on previous overseas studies, it is hoped that this study will be provided as basic data for understanding vocational rehabilitation of schizophrenic patients and applying them in domestic clinical settings.

Blood Biomarkers for Alzheimer's Dementia Diagnosis (알츠하이머성 치매에서 혈액 진단을 위한 바이오마커)

  • Chang-Eun, Park
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.4
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    • pp.249-255
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    • 2022
  • Alzheimer's disease (AD) represents a major public health concern and has been identified as a research priority. Clinical research evidence supports that the core cerebrospinal fluid (CSF) biomarkers for AD, including amyloid-β (Aβ42), total tau (T-tau), and phosphorylated tau (P-tau), reflect key elements of AD pathophysiology. Nevertheless, advances in the clinical identification of new indicators will be critical not only for the discovery of sensitive, specific, and reliable biomarkers of preclinical AD pathology, but also for the development of tests that facilitate the early detection and differential diagnosis of dementia and disease progression monitoring. The early detection of AD in its presymptomatic stages would represent a great opportunity for earlier therapeutic intervention. The chance of successful treatment would be increased since interventions would be performed before extensive synaptic damage and neuronal loss would have occurred. In this study, the importance of developing an early diagnostic method using cognitive decline biomarkers that can discriminate between normal, mild cognitive impairment (MCI), and AD preclinical stages has been emphasized.

Development of Paradigm for Measuring Prospective Memory Function (미래기억 기능을 측정하기 위한 패러다임의 고안)

  • Park, Ji-Won;Kwon, Yong-Hyun;Kim, Hyun-Jung
    • Physical Therapy Korea
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    • v.12 no.3
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    • pp.67-73
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    • 2005
  • Prospective memory (PM) is related to remember to carry out a previously intented behaviour. The purpose of this study was to develop a paradigm for measuring PM function to diagnosis in mild cognitive impairment 1 or brain injury in patients 2. among brain injured patients Thirty-eight normal healthy subjects participated in current study. The paradigm was composed of four conditions: a baseline and three intention conditions (expectation, execution 1 and 2). In the expectation condition, subjects were asked to make a new response to intented stimuli during ongoing task, but the intented stimuli never occurred. In the execution 1 (one type of expected stimulus) and 2 (two types of expected stimuli), the intended stimuli did occur in 20% of trials. The reaction time and error rate were calculated in each condition. Repeated measures using ANOVA of subject's mean reaction times (RTs) and mean error rates (ERs) showed main effects of conditions during ongoing task. The comparison of PM tasks in executive condition 1 and 2 also showed significance in RTs and ERs. This paradigm reflects sufficiently the performance of prospective memory function during ongoing task in normal individuals. Thus, we suggest that the paradigm will be helpful to study neural network of PM function using brain imaging techniques and diagnosis of PM dysfunction.

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Pediatric approach to early detection of learning disabilities (학습장애의 조기 발견을 위한 소아과적 접근)

  • Sung, In Kyung
    • Clinical and Experimental Pediatrics
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    • v.51 no.9
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    • pp.911-921
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    • 2008
  • Learning disabilities (LD) are heterogeneous group of disorders with evidences of genetic or familial trait, intrinsic to the individual and presume to be due to central nervous dysfunction. Learning disabilities and attention deficit hyperactivity disorder (ADHD) are the two of the most common disorders in the population of school-age children. Typically academic achievements in children with learning disabilities are significantly lower than expected by their normal or above normal range of IQ. Although academic and cognitive deficits are hallmarks of children with LD, those children are also at risk for a broad range of behavioral and emotional problems. Almost all cases meet criteria for at least one additional diagnosis such as ADHD, developmental coordination disorder, depression, anxiety, obsessive compulsive disorder, tic disorder, among which ADHD is particularly predominant. Because of the response to the therapeutic intervention program is promising and positive when applied early, it is critical to recognize patients as early as possible. Pediatricians often are the first to hear from parents worried about a childs academic progress. It is not the responsibility of pediatrician to make a diagnosis, referring children for a diagnostic evaluation of LD is a reasonable first step. Pediatricians can make early referral of suspicious children by asking some serial short questions about basic and processing skills. With a basic knowledge about the clinical characteristics, diagnostic and therapeutic procedures of LD, pediatricians also can provide primary counseling and education for parents at their outpatient clinical settings.

Long-term clinical course of a patient with mucopolysaccharidosis type IIIB

  • Kim, Ja Hye;Chi, Yang Hyun;Kim, Gu-Hwan;Yoo, Han-Wook;Lee, Jun Hwa
    • Clinical and Experimental Pediatrics
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    • v.59 no.sup1
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    • pp.37-40
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    • 2016
  • Mucopolysaccharidosis type III (MPS III) is a rare genetic disorder caused by lysosomal storage of heparan sulfate. MPS IIIB results from a deficiency in the enzyme alpha-N-acetyl-D-glucosaminidase (NAGLU). Affected patients begin showing behavioral changes, progressive profound mental retardation, and severe disability from the age of 2 to 6 years. We report a patient with MPS IIIB with a long-term follow-up duration. He showed normal development until 3 years. Subsequently, he presented behavioral changes, sleep disturbance, and progressive motor dysfunction. He had been hospitalized owing to recurrent pneumonia and epilepsy with severe cognitive dysfunction. The patient had compound heterozygous c.1444C>T (p.R482W) and c.1675G>T (p.D559Y) variants of NAGLU. Considering that individuals with MPS IIIB have less prominent facial features and skeletal changes, evaluation of long-term clinical course is important for diagnosis. Although no effective therapies for MPS IIIB have been developed yet, early and accurate diagnosis can provide important information for family planning in families at risk of the disorder.