• Title/Summary/Keyword: MDD

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Changes in the Volume and Cortical Thickness of the Specific Regions of Cerebellum of Patients with Major Depressive Disorder (주요우울장애 환자에서 소뇌 국소 부위의 부피와 피질 두께의 차이)

  • Kang, Ji-Won;Han, Kyu-Man;Won, Eunsoo;Tae, Woo-Suk;Ham, Byung-Joo
    • Korean Journal of Biological Psychiatry
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    • v.25 no.3
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    • pp.60-71
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    • 2018
  • Objectives A growing body of evidence has suggested that morphologic changes in cerebellum may be implicated with pathophysiology of major depressive disorder (MDD). The aim of this study is to investigate a difference in the volume and cortical thickness of the specific region of cerebellum between patients with MDD and healthy controls (HC). Methods A total of 127 patients with MDD and 105 HC participated in this study and underwent T1-weighted structural magnetic resonance imaging. We analyzed volume and cortical thickness of each twelve cerebellum regions divided by left and right and the volume and cortical thickness of the whole cerebellum from T1-weigted image of participants. One-way analysis of covariance was used to investigate the volume and cortical thickness difference of total and specific regions between two groups adjusting for age, gender, medication, and total intracranial cavity volume. Results We found that the patients with MDD had significantly greater volume in the left cerebellum lobule III region [false discovery rate (FDR)-corrected p = 0.034] compared to HC. Also, our findings indicate that cortical thickness of left lobule VIIB (FDR-corrected p = 0.032) and lobule VIIIB (FDR-corrected p = 0.032) are significantly thinner in the patients with MDD compared with the HC. No significant volume and cortical thickness differences were observed in other sub-regions of the cerebellum. The volumes and cortical thickness of whole cerebellum between patients with MDD and HC did not differ significantly. Conclusions We observed the region-specific volume and cortical thickness difference in cerebellum between the patients with MDD and HC. The results of our study implicate that the information about structural alterations in cerebellum with further replicative studies might provide a stepping stone toward a specific marker to diagnose MDD.

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A Study on the Constructions MOVAGs based on Operation Algorithm for Multiple Valued Logic Function and Circuits Design using T-gate (다치 논리 함수 연산 알고리즘에 기초한 MOVAG 구성과 T-gate를 이용한 회로 설계에 관한 연구)

  • Yoon, Byoung-Hee;Park, Soo-Jin;Kim, Heung-Soo
    • Journal of IKEEE
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    • v.8 no.1 s.14
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    • pp.22-32
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    • 2004
  • In this paper, we proposed MOVAG(Multi Output Value Array Graphs) based on OVAG by Honghai Jiang to construct multiple valued logic function The MDD(Muliple-valued Decision Diagra) needs many processing time and efforts in circuit design for given multi-variable function by D.M.Miller, and we designed a MOVAG which has reduce the data processing time and low complexity. We propose the construction algorithm and input matrix selection algorithm and we designed the multiple-valued logic circuit using T-gate and verified by simulation results.

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Predictors of Cognitive Improvement during 12 Weeks of Antidepressant Treatment in Patients with Major Depressive Disorder

  • Lee, Jeong-Ok;Kim, Ju-Wan;Kang, Hee-Ju;Hong, Jin-Pyo;Kim, Jae-Min
    • Clinical Psychopharmacology and Neuroscience
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    • v.16 no.4
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    • pp.461-468
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    • 2018
  • Objective: Cognitive disturbance is one of the major symptoms of depression and may be improved by treatment with antidepressants. This study aimed to investigate the predictors of cognitive improvement in patients with major depressive disorder (MDD) who were taking antidepressants. Methods: This study included 86 patients with MDD who completed 12 weeks of antidepressant monotherapy. Cognitive symptoms were assessed using the Perceived Deficits Questionnaire-Korean version (PDQ-K), which addresses four domains of cognitive functioning (attention/concentration, retrospective memory, prospective memory, and organization/planning) and was administered at study entry and at the 12-week end point. A variety of demographic, clinical, and treatment-related variables were evaluated as predictors of changes in total and domain scores. Results: All PDQ-K domains showed significant improvement after 12 weeks of antidepressant treatment. More severe initial depressive symptoms, fewer sick-leave days at study entry, and reduced use of concomitant anxiolytics/hypnotics during treatment were significantly associated with greater cognitive improvement. Conclusion: Cognitive symptoms are more responsive to antidepressant treatment in patients with severe MDD. Reduced use of anxiolytics and hypnotics could improve the cognitive functioning of patients with MDD taking antidepressants.

Measuring Methods of Functional Similarity and Code Generation Rate for the Code Generated by MDD (MDD 기법을 이용하여 생성된 코드 간의 기능적 유사도 및 코드 생성률 측정 기법)

  • Ryu, Sung-tae;Park, Chul-hyun;Lee, Eunseok
    • Proceedings of the Korea Information Processing Society Conference
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    • 2010.11a
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    • pp.287-290
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    • 2010
  • 오늘날 모바일 시장을 중심으로 다양한 플랫폼이 등장하면서 모바일 어플리케이션 개발 시 여러 플랫폼을 고려해야 하는 부담이 증대되고 있다. 이러한 상황에서 Model-Driven Development(MDD) 는 멀티플랫폼에 대응하는 어플리케이션 개발의 효율성을 높여줄 수 있다. 하지만 이 기법을 이용하는 대다수의 연구 결과들은 해당 방법론을 통해 생성된 결과물의 질을 객관적으로 평가할 수 없고, 이 때문에 해당 방법론의 성능 평가가 힘들다. 본 연구에서는 대상 플랫폼들이 제공하는 API 를 분석한 결과에 근거하여 공통 요소를 추출하고 이를 이용하여 MDD 기반으로 개발을 진행할 수 있는 개발 프로세스를 소개하고, 이를 통해 생성된 소스 코드의 기능적 유사도 및 코드 생성률과 기능적 유사도를 평가할 수 있는 방법을 제안한다. 이 방법은 코드를 AST 로 바꾸고 API 맵핑 테이블에 근거하여 동일한 키워드로 변환하고 유사도를 측정하여 설계 시 의도한 기능이 얼마나 잘 코드로 생성되었는 지 평가할 수 있는 방법이다. 본 연구에서는 이 방법을 이용하여 생성된 코드의 기능적 유사도와 코드 생성률을 측정하였다.

Comparison of Neuropsychological Deficits between Depressed Episode and Remission in First-onset Patients with Major Depressive Disorder (초발 주요우울장애 환자의 우울 삽화 및 관해 상태에서 신경인지기능 결함 비교)

  • Hur, Ji-Won;Kim, Yong-Ku
    • Korean Journal of Biological Psychiatry
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    • v.15 no.2
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    • pp.92-100
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    • 2008
  • Objectives : The purpose of this study was to investigate 1) the neuropsychological deficits with major depressive disorder(MDD) in depressed state and 2) the changes of neuropsychological dysfunctions during depressed episodes and remitted periods in the MDD group. Methods : 12 patients with MDD and 70 normal controls who were diagnosed and classified by DSM-IV and SCID-IV interview participated in this study. The psychopathology was measured using the Hamilton rating scale for depression(HAM-D) and Brief Psychiatric Rating Scale(BPRS). The memory function, executive function, and sustained attention were measured by a trained psychologist using the Korean version of Memory Assessment Scale(K-MAS), Wisconsin Card Sorting Test(WCST), and Vigilance(VIG) and Cognitrone (COG) in Vienna Test System. After 6 weeks of treatment, we retested the cognitive tests in order to measure the cognitive functions in remitted states. Results : Patients with MDD achieved significantly lower score in sentence immediately recall, verbal memory score and total memory score of the K-MAS, total errors of the WCST, response time of Vigilance and response time at "Yes" response of Cognitrone than normal controls at baseline. After 6 weeks of medication, the psychiatric symptoms in the patient group were attenuated, and most of the neuropsychological functions including attention, memory, and frontal/executive function were improved except for response time of Cognitrone. Conclusions : This study provides evidence for distinct neuropsychological deficits in patients with MDD on their depressed states and remitted periods. The impairment on response time remains after remission, and this would be a trait marker of major depressive disorder.

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Performance Improvement of MCMA Equalizer with Parallel Structure (병렬 구조를 갖는 MCMA 등화기의 성능 개선)

  • Yoon, Jae-Sun;Lim, Seung-Gag
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.11 no.5
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    • pp.27-33
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    • 2011
  • In digital communication system that the Modified Constant Modulus Algorithm (MCMA) reduced the use of the adaptive equalization algorithm to combat the Inter-symbol Interference (ISI). MCMA is relatively brief operation. The major point of MCMA that it only achieves moderate convergence rate and steady state mean square error (MSE). In this paper suggest, MCMA equalization improve the performance with parallel structure. It combines Modified Constant Modulus Algorithm(MCMA) and Modified Decision Directed(MDD) algorithm. By exploiting the inherent structural relationship between the 4-QAM signal's coordinates and 16-QAM signal's coordinates, another style of cost function for Modified Constant Modulus Algorithm(MCMA) is defined and If it happen to offset of received signals and MCMA is poor performance in order to overcome this because the paper combines apply for MCMA and MDD(Modified Decision Direct) algorithm. By computer simulation, we confirmed that the proposed PMCMA-MDD algorithm has the fater convergence rate and steady mean square error than the conventional MCMA.

Relationship between G-protein ${\beta}$3 Subunit C825T Polymorphism and Citalopram Responses in Korean Patients with Major Depressive Disorder

  • Kang, Rhee-Hun;Hahn, Sang-Woo;Choi, Myoung-Jin;Lee, Hwa-Young;Chang, Hun-Soo;Jeong, Yoo-Jung;Paik, Jong-Woo;Lim, Se-Won;Kim, Young-En;Lee, Min-Soo
    • Molecular & Cellular Toxicology
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    • v.4 no.4
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    • pp.355-359
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    • 2008
  • This study aimed to determine the relationship between the C825T polymorphism in the G-protein ${\beta}$3-subunit (GNB3) gene and the response to citalopram in a Korean population with major depressive disorder (MDD). Citalopram was administered for 8 weeks to the 84 MDD patients who completed this study. All subjects were examined using the Structured Clinical Interview for DSM-IV, and the severity of depression was assessed using the 21-item Hamilton Depression Rating (HAMD-21) scale. A main effect of an interaction of genotype with time on the decrease in the HAMD-21 score during the 8-week study period was not found. ANOVA revealed no significant effects of the GNB3 C825T polymorphism on the decrease in the HAMD-21 score at each time period. Although the C825T polymorphism of the GNB3 gene may affect the pathogenesis of MDD, our results do not support the hypothesis that this polymorphism is involved in the therapeutic response to citalopram in Korean patients with MDD.

Comparison of Mismatch Negativity According to Suicidal Ideation in Patients With Major Depressive Disorder (주요우울장애 환자에서 자살사고 동반 여부에 따른 부적격 짝맞추기 음성파의 비교)

  • Lee, Minji;Lee, Yeon Jung;Hwang, Jaeuk;Woo, Sung-il;Kim, Min Jae;Kang, Byungjoo;Kim, Younggeun;Hahn, Sang-Woo
    • Anxiety and mood
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    • v.17 no.2
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    • pp.84-91
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    • 2021
  • Objective : Mismatch negativity (MMN) is known to reflect several abnormalities of cognitive functioning. This study is aimed to investigate the differences in MMN among major depressive disorder (MDD) patients with or without suicidal ideation. Methods : Sixty-seven patients with MDD were recruited into this study. MMN was measured by a 64-channel electroencephalography (EEG) using oddball paradigm over the front-central area. Clinical characteristics were assessed using the Beck Anxiety Inventory (BAI), the Beck Depression Inventory-II (BDI-II), and the Beck Scale for Suicide ideation (SSI-BECK). Patients were divided into two groups, no suicidal ideation (N=12) and suicidal ideation (N=55), depending on the presence of suicide ideation in SSI-BECK questionnaires. Results : The MMN latencies were significantly longer in the MDD patients with suicidal ideation than in the MDD patents without suicidal ideation (p<0.05). The MMN amplitudes were not significantly different between the two groups. Conclusion : Suicidal ideation may be associated with longer MMN latencies, and it suggests that MMN may play a potential role in assessing the suicidal risk among MDD patients.

Prevalence and Predictors of Complementary Feeding Practices Among Children Aged 6-23 Months in Indonesia

  • Siti, Nurokhmah;Lucinda, Middleton;Aryono, Hendarto
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.6
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    • pp.549-558
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    • 2022
  • Objectives: Poor complementary feeding practices have consistently contributed to the burden of child undernutrition in Indonesia. This study aimed to estimate the prevalence and predictors of the time of the introduction of solid, semi-solid, and soft foods (ISSSF), minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD). Methods: We analyzed 4804 last-born infants aged 6-23 months from the 2017 Indonesia Demographic and Health Survey, which employed multistage cluster random sampling. The outcomes were calculated based on the 2021 World Health Organization/United Nations Children's Fund guidelines. The predictors of the 4 complementary feeding indicators were assessed using multivariate Poisson regression with robust variance adjusting for potential confounders and study design. Results: The prevalence of ISSSF, MDD, MMF, and MAD was 86.1%, 54.3%, 71.8%, and 37.6%, respectively, with younger children less likely to meet 3 out of the 4 outcomes. Parental education, the presence of a birth attendant, and maternal media consumption were among the predictors of MDD and MAD. Children from families with higher income were more likely to meet MDD than those from low-income households (adjusted prevalence ratio [aPR], 1.16; 95% confidence interval [CI], 1.05 to 1.28). Living in an urban area was positively associated with MMF (aPR, 1.09; 95% CI, 1.04 to 1.15) and MAD (aPR, 1.12; 95% CI 1.02 to 1.24). In eastern regions, the prevalence of children achieving MDD and MAD was lower than in those living in Java and Bali. Conclusions: It is crucial that more attention and efforts are made to improve the recommended practices throughout Indonesia, since the prevalence of adequate complementary feeding practices remains low.

New Medical Device Regulations (MDR) in Europe (유럽의 새로운 의료기기 규제제도 MDR)

  • Jeong, Hyun-Woo;Yeom, Hojun;Park, Sangsoo
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.29-37
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    • 2022
  • MDR, a new European medical device regulation newly enacted in 2017, requires that medical device products that have received CE conformity certification through MDD be re-certified by May 2024 in line with the new CE MDR regulation. The new MDR requires more stringent medical device clinical evaluation and clinical investigation than the previous MDD required, and also require the submission of documented post-marketing surveillance data. Korean medical device makers also need to meet the new MDR requirements and obtain conformity certification, but the industry is still confused because they do not understand the new regulations thoroughly. In this study, medical device regulations in Korea, the United States, and Europe are compared, and the European MDR is further compared with the previous European Medical Device Directive MDD to help understand the requirements of the new European Medical Device Act.