• Title/Summary/Keyword: MDD

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

  • Ryu, Jae Sung;Kim, Moon Doo;Lee, Chang In;Park, Joon Hyuk
    • Korean Journal of Biological Psychiatry
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    • v.20 no.2
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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.

Evaluation of Flexible Pavement Layer Moduli Using the Depth Deflectometer and Flexible Pavement Behavior under Various Vehicle Speeds (아스팔트 콘크리트 포장구조체의 내부처짐에 의한 물성추정과 주행속도에 따른 거동분석)

  • Choi, Jun-Seong;Kin, Soo-Il;Yoo, Ji-hyung
    • International Journal of Highway Engineering
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    • v.2 no.1
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    • pp.135-145
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    • 2000
  • A new procedure needs to be developed to predict the dynamic layer properties under moving truck loads. In this study, a computer code to evaluate layer moduli of asphalt concrete pavement from measured interior deflections at various depths were developed and verified from numerical model tests. Interior deflections of the pavement are measured from Multi-Depth Deflectometer(MDD). It was found that errors between the given and backcalculated moduli in numerical analysis were less than 0.32% for several numerical models tested. When impact loads were used, a technique to determine the depth to virtual rigid base was proposed through the analysis of compressive wave velocity and impulse loading durations. It was found that errors between the given and backcalculated moduli in numerical analysis were less than 0.114% when virtual rigid base was considered in numerical analysis. The pavement behavior must be evaluated under various vehicle speeds when determining the dynamic interaction between the loading vehicle and pavement system. To evaluate the dynamic behavior on asphalt concrete pavement under various vehicle speeds, truck moving tests were carried out. From the test results with respect to vehicle speed, it was found that the vehicle speed had significant effect on actual response of the pavement system. The lower vehicle speed generates the higher interior deflections, and the lower dynamic modulus.

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Automatic Extraction of Abstract Components for supporting Model-driven Development of Components (모델기반 컴포넌트 개발방법론의 지원을 위한 추상컴포넌트 자동 추출기법)

  • Yun, Sang Kwon;Park, Min Gyu;Choi, Yunja
    • KIPS Transactions on Software and Data Engineering
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    • v.2 no.8
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    • pp.543-554
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    • 2013
  • Model-Driven Development(MDD) helps developers verify requirements and design issues of a software system in the early stage of development process by taking advantage of a software model which is the most highly abstracted form of a software system. In practice, however, many software systems have been developed through a code-centric method that builds a software system bottom-up rather than top-down. So, without support of appropriate tools, it is not easy to introduce MDD to real development process. Although there are many researches about extracting a model from code to help developers introduce MDD to code-centrically developed system, most of them only extracted base-level models. However, using concept of abstract component one can continuously extract higher level model from base-level model. In this paper we propose a practical method for automatic extraction of base level abstract component from source code, which is the first stage of continuous extraction process of abstract component, and validate the method by implementing an extraction tool based on the method. Target code chosen is the source code of TinyOS, an operating system for wireless sensor networks. The tool is applied to the source code of TinyOS, written in nesC language.

A Pharmacogenomic-based Antidepressant Treatment for Patients with Major Depressive Disorder: Results from an 8-week, Randomized, Single-blinded Clinical Trial

  • Han, Changsu;Wang, Sheng-Min;Bahk, Won-Myong;Lee, Soo-Jung;Patkar, Ashwin A.;Masand, Prakash S.;Mandelli, Laura;Pae, Chi-Un;Serretti, Alessandro
    • Clinical Psychopharmacology and Neuroscience
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    • v.16 no.4
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    • pp.469-480
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    • 2018
  • Objective: Pharmacogenomic-based antidepressant treatment (PGATx) may result in more precise pharmacotherapy of major depressive disorder (MDD) with better drug therapy guidance. Methods: An 8-week, randomized, single-blind clinical trial was conducted to evaluate the effectiveness and tolerability of PGATx in 100 patients with MDD. All recruited patients were randomly allocated either to PGATx (n=52) or treatment as usual (TAU, n=48) groups. The primary endpoint was a change of total score of the Hamilton Depression Rating Scale-17 (HAMD-17) from baseline to end of treatment. Response rate (at least 50% reduction in HAMD-17 score from baseline), remission rate (HAMD-17 score ${\leq}7$ at the end of treatment) as well as the change of total score of Frequency, Intensity, and Burden of Side Effects Ratings (FIBSER) from baseline to end of treatment were also investigated. Results: The mean change of HAMD-17 score was significantly different between two groups favoring PGATx by -4.1 point of difference (p=0.010) at the end of treatment. The mean change in the FIBSER score from baseline was significantly different between two treatment groups favoring PGATx by -2.5 point of difference (p=0.028). The response rate (71.7 % vs. 43.6%, p=0.014) were also significantly higher in PGATx than in TAU at the end of treatment, while the remission rate was numerically higher in PGATx than in TAU groups without statistical difference (45.5% vs. 25.6%, p=0.071). The reason for early drop-out associated with adverse events was also numerically higher in TAU (n=9, 50.0%) than in PGATx (n=4, 30.8%). Conclusion: The present study clearly demonstrate that PGATx may be a better treatment option in the treatment of MDD in terms of effectiveness and tolerability; however, study shortcomings may limit a generalization. Adequately-powered, well-designed, subsequent studies should be mandatory to prove its practicability and clinical utility for routine practice.

Development of crop harvest prediction system architecture using IoT Sensing (IoT Sensing을 이용한 농작물 수확 시기 예측 시스템 아키텍처 개발)

  • Oh, Jung Won;Kim, Hangkon
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.7 no.6
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    • pp.719-729
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    • 2017
  • Recently, the field of agriculture has been gaining a new leap with the integration of ICT technology in agriculture. In particular, smart farms, which incorporate the Internet of Things (IoT) technology in agriculture, are in the spotlight. Smart farm technology collects and analyzes information such as temperature and humidity of the environment where crops are cultivated in real time using sensors to automatically control the devices necessary for harvesting crops in the control device, Environment. Although smart farm technology is paying attention as if it can solve everything, most of the research focuses only on increasing crop yields. This paper focuses on the development of a system architecture that can harvest high quality crops at the optimum stage rather than increase crop yields. In this paper, we have developed an architecture using apple trees as a sample and used the color information and weight information to predict the harvest time of apple trees. The simple board that collects color information and weight information and transmits it to the server side uses Arduino and adopts model-driven development (MDD) as development methodology. We have developed an architecture to provide services to PC users in the form of Web and to provide Smart Phone users with services in the form of hybrid apps. We also developed an architecture that uses beacon technology to provide orchestration information to users in real time.

Chronotype in Relation to Bipolarity, Suicidal Ideation, and Auditory Evoked Potentials in Patients with Major Depressive Disorder : Preliminary Study (주요우울증 환자에서 일주기 형태에 따른 양극성 경향, 자살 사고, 청각유발전위와의 관련성 : 예비 연구)

  • Park, Young-Min;Lee, Seung-Hwan
    • Korean Journal of Biological Psychiatry
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    • v.21 no.1
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    • pp.14-20
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    • 2014
  • Objectives The current study investigated the putative relationship between chronotype and suicidality or bipolarity in patients with major depressive disorder (MDD). Method Nineteen outpatients who met the criteria for MDD according to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders-text revision were recruited for the current study. The subjects were divided into two subgroups based on their Basic Language Morningness (BALM) scores (dichotomized according to the median BALM score). The Loudness Dependence of Auditory Evoked Potentials (LDAEP) was evaluated by measuring the auditory event-related potentials before beginning medication with serotonergic agents. In addition, K-Mood Disorder Questionaire (K-MDQ), Beck Scale for Suicidal Ideation (BSS), Beck Hopelessness Scale (BHS), Barratt Impulsiveness Scale (BIS) were applied. Results The K-MDQ, BSS, BHS, BIS score was higher for the eveningness group than for the morningness group. However, the LDAEP, Hamilton Depression Rating Scale, Hamilton Anxiety Scale scores did not differ significantly between them. There were negative correlations between the total BALM score and the total K-MDQ, BSS, and BHS scores (r=-0.64 and p=0.0033, r=-0.61 and p=0.0055, and r=-0.72 and p=0.00056, respectively). Conclusions Depressed patients with eveningness are more vulnerable to the suicidality than those with morningness. Eveningness is also associated with bipolarity.

Association between the Alu Insertion/Deletion Polymorphism in the Tissue-Type Plasminogen Activator Gene and Mirtazapine Response in Koreans with Major Depression

  • Kim, Daseul;Chang, Hun Soo;Won, Eunsoo;Ham, Byung-Joo;Lee, Min-Soo
    • Korean Journal of Biological Psychiatry
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    • v.23 no.4
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    • pp.140-147
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    • 2016
  • Objectives To determine the relationship between the Alu insertion/deletion (I/D) polymorphism in the tissue-type plasminogen activator (tPA) gene and the clinical outcome of mirtazapine treatment in Korean major depressive disorder (MDD) patients. Methods We enrolled 422 patients in this study. Symptoms were evaluated using the 21-item Hamilton Depression Rating (HAMD-21) Scale. After 1, 2, 4, and 8 weeks of mirtazapine treatment, the association between the Alu I/D polymorphism in the tPA gene and remission/response outcomes were evaluated. Results The proportion of I/I homozygotes in responders was higher than that in non-responders, whereas the proportion of D/D homozygotes in responders was lower than that in non-responders at 8 weeks of treatment (p = 0.032, OR = 1.57). The percentage decline of HAMD-21 scores in I allele carriers was larger than that of D/D homozygotes at 2 and 8 weeks of treatment (p = 0.035 and 0.007, respectively). I allele carriers were associated with remission at 8 weeks of treatment (p = 0.047, OR = 2.2). Conclusions These results show that treatment response and remission to mirtazapine were associated with the Alu I/D polymorphism of the tPA gene. This suggests the Alu I/D polymorphism may be a potential genetic marker for the prediction of therapeutic response to mirtazapine treatment in patients with MDD.

The Mediating Role of Depression Severity on the Relationship Between Suicidal Ideation and Self-Injury in Adolescents With Major Depressive Disorder

  • Kang, Byungjoo;Hwang, Jaeuk;Woo, Sung-il;Hahn, Sang-Woo;Kim, Minjae;Kim, Younggeun;Jin, Hyeonseo;Jeon, Hong Jun;Lee, Yeon Jung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.33 no.4
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    • pp.99-105
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    • 2022
  • Objectives: Suicide is the leading cause of death among adolescents in South Korea, and depression and personality profiles have been identified as significant risk factors for self-injurious behavior. This study examined the influence of depressive mood and temperament/character on self-injury in adolescents. Methods: A total of 116 adolescents (aged 12-18 years) with a primary diagnosis of major depressive disorder (MDD) and their parents were enrolled in this study. The participants were divided into three groups based on adolescent's self-injury frequency, and their Children's Depression Inventory (CDI), Youth Self-Report (YSR), and Temperament and Character Inventory (TCI) scores were compared. Finally, mediation analysis was conducted to investigate the relationship between suicidal ideation and self-injury. Results: Of study participants, 75.9% answered that they had suicidal ideation, and 55.2% answered that they had engaged in self-injurious behavior in the last six months. There were significant differences in CDI and suicidal ideation among the groups. After adjusting for age and sex, mediation analysis indicated that depressive mood mediated the relationship between suicidal ideation and self-injury. Conclusion: This study emphasizes the importance of evaluating and managing depressive mood severity in adolescents with MDD as these factors partially mediate the transition from suicidal ideation to self-injury.

Does a Frontal 2-Electrode Electroencephalogram Provide Sufficient Neuropsychological Information in Various Major Psychiatric Disorders?

  • Sol Han;Hyen-Ho Hwang;Kang-Min Choi;Sungkean Kim;Seung-Hwan Lee
    • Anxiety and mood
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    • v.20 no.1
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    • pp.8-16
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    • 2024
  • Objective : The purpose of this study is to compare the signal obtained from the frontal 2-electrodes EEG with that obtained from the temporal, central, and parietal 2 electrodes. Methods : EEGs were recorded in a total of 67 patients with major depressive disorder (MDD), 104 patients with schizophrenia (SCZ), and 29 patients with Alzheimer's disease (AD). For each disease group, there were healthy controls (HC) that were paired accordingly (HC1=69, HC2=104, HC3=27). The following measurements were compared across electrodes: band power, alpha peak frequency (APF), APF power, alpha asymmetry (AA), and Kolmogorov complexity (KC). Results : Statistically significant differences were found in band power measured from frontal electrodes compared to electrodes placed in other locations. Specifically, the power of theta waves was measured higher in the temporal electorodes, alpha 1 and alpha 2 waves in the parietal, beta 1 and beta 2 in the central, and gamma waves in the temporal electrodes. Both SCZ and AD patients showed increased theta power in all electrodes. In SCZ patients, APF decreased in the central and temporal electrodes, but the APF power analysis showed no difference between the patients and controls. Additionally, AD patients exhibited increased AA in the central EEG, while SCZ patients showed decreased KC in the parietal and temporal electrodes. Conclusion : Depending on the electrode location, sensitive EEG frequencies differed. Compared with signals from other electrodes, frontal EEG in MDD patients revealed generally constant signal values, though the temporo-parieto-central electrodes appeared to be more reliable in SCZ and AD patients.

In vitro Examination of Chondroitin Sulfates Extracted Midduck (Styela clava) and Munggae Tunics (Halocynthia roretzi) as a Cosmetic Material (In vitro에서 미색류 껍질로부터 추출한 콘드로이틴황산의 기능성 화장품 소재로서의 가능성)

  • 김영림;안삼환;최병대;강석중;신기욱;오명주;정태성
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.33 no.4
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    • pp.646-652
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    • 2004
  • With the aim of using a cosmetic material, chondroitin sulfates extracted from midduck tunics (Styela clava) and munggae tunics (Halocynthia roretzi) were examined in vitro with two cell lines for cell toxicity, collagen synthesis, cell growth and recovery ability after U.V. irradiation. Cell toxicity test with A 431 and CCD 1108Sk was able to observe high activity between 400 and 600 $\mu\textrm{g}$/m while standard chondroitin sulfate (CS) purchased from Sigma was showed at 80 $\mu\textrm{g}$/mL. Even fraction 1 and 2 collected from chondroitin sulfates originated from midduck appeared having the highest activity between 600 and 1000 $\mu\textrm{g}$/mL, but slightly lower compared to crude chondroitin sulfates from both mideduck and munggae. In cell growth examination, it was not able to find significant differences between chondroitin sulfates used. Both crude chondroitin sulfates were exhibited the highest activity for two cell lines except that of mideduck which was showed activity for CCD 1108Sk. CS, fraction 1 and 2 from midduck were not able to demonstrate a significant activity in collagen synthesis. On the contrary, crude chondroitin sulfates from both munggae and midduck were showed the highest activity at 100 and 50 $\mu\textrm{g}$/mL with only CCD 1108Sk. The recovery ability after U.V. irradiation with crude chondroitin sulfates from both munggae and midduck were showed high activity at 400 $\mu\textrm{g}$/mL with CCD 1108Sk and A 431. But there were no activity observed in fractions examined, As a consequence, the crude chondroitin sulfates from both munggae and midduck might not only be available as a cosmetic material but also useful for increasing some activity by blending properly.