• Title/Summary/Keyword: autism

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Comparison of the Autism Diagnostic Observation Schedule and Childhood Autism Rating Scale in the Diagnosis of Autism Spectrum Disorder: A Preliminary Study

  • Park, Hyung Seo;Yi, So Young;Yoon, Sun Ah;Hong, Soon-Beom
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.29 no.4
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    • pp.172-177
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    • 2018
  • Objectives: We examined the agreement between the Autism Diagnostic Observation Schedule (ADOS) and the Childhood Autism Rating Scale (CARS) in the diagnosis of autism spectrum disorder. Methods: The ADOS and CARS scores of 78 children were retrospectively collected from a chart review. A correlation analysis was performed to examine the concurrent validity between the two measures. Using the receiver operating characteristic (ROC) curve, we determined the optimal cut-off score of the CARS for identifying autism spectrum disorder. Results: The CARS score was significantly correlated with the ADOS score (r=0.808, p<0.001). Taking ADOS as the ideal standard, the optimal cut-off scores of CARS for identifying autism and autism spectrum were 30 and 24.5, respectively. Conclusion: We determined the optimal cut-off scores of CARS for screening and diagnosing autism spectrum disorder.

Analysis of Obstacle Gait Using Spatio-Temporal and Foot Pressure Variables in Children with Autism (자폐성 장애 아동의 시공간 및 압력분포 변인을 통한 장애물보행 분석)

  • Kim, Mi-Young;Choi, Bum-Kwon;Lim, Bee-Oh
    • Korean Journal of Applied Biomechanics
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    • v.21 no.4
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    • pp.459-466
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    • 2011
  • The purpose of this study was to analyze of obstacle gait using spatio-temporal and foot pressure variables in children with autism. Fifteen children with autism and fifteen age-matched controls participated in the study. Spatio-temporal and foot pressure variables was investigated using GAITRite pressure sensor system. Each footprint was divided into 12 equal trapezoids and after that the hindfoot, midfoot and forefoot analysis was developed. Independent t-test was applied to compare the gait variables between the groups. The results showed that the autism group were significantly decreased in velocity, cadence, cycle and swing time compared to the control group. The autism group were significantly increased in step width and toe out angle compared to the control group. The autism group were significantly increased at midfoot and forefoot of lateral part of footprint and forefoot of medial part of footprint in the peak time compared to the control group. The autism group were significantly increased at midfoot and hindfoot in $P^*t$, at midfoot in active area, and at hindfoot in peak pressure compared to the control group. In conclusion, the children with autism showed abnormal obstacle gait characteristics due to muscle hypotonia, muscle rigidity, akinesia, bradykinesia and postural control impairments.

Do Savant Syndrome and Autism Spectrum Disorders Share Sex Differences? A Comprehensive Review

  • Esperanza Navarro-Pardo;Yurena Alonso-Esteban;Francisco Alcantud-Marín;Mike Murphy
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.34 no.2
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    • pp.117-124
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    • 2023
  • Savant syndrome was described before autism. However, they soon became closely associated, as many of their symptoms (intellectual disability, repetitive behaviors, alterations in social communication, and islets of abilities) overlap. Only a few women with autism have been diagnosed with savant syndrome. The theories or hypotheses that attempt to explain savant syndrome, which are common in autism, present differential treatment according to sex. We postulate that savant syndrome associated with autism as well as autism in general is underdiagnosed in women.

Knowledge Base Associated with Autism Construction Using CRFs Learning

  • Yang, Ronggen;Gong, Lejun
    • Journal of Information Processing Systems
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    • v.15 no.6
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    • pp.1326-1334
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    • 2019
  • Knowledge base means a library stored in computer system providing useful information or appropriate solutions to specific area. Knowledge base associated with autism is the complex multidimensional information set related to the disease autism for its pathogenic factor and therapy. This paper focuses on the knowledge of biological molecular information extracted from massive biomedical texts with the aid of widespread used machine learning methods. Six classes of biological molecular information (such as protein, DNA, RNA, cell line, cell component, and cell type) are concerned and the probability statistics method, conditional random fields (CRFs), is utilized to discover these knowledges in this work. The knowledge base can help biologists to etiological analysis and pharmacists to drug development, which can at least answer four questions in question-answering (QA) system, i.e., which proteins are most related to the disease autism, which DNAs play important role to the development of autism, which cell types have the correlation to autism and which cell components participate the process to autism. The work can be visited by the address http://134.175.110.97/bioinfo/index.jsp.

Systematic Review on Effect of Comprehensive Early Intervention for Pre-school Children With Autism Spectrum Disorder(ASD) (자폐스펙트럼장애 아동들의 효과적인 조기 중재에 대한 체계적 고찰)

  • Jeong, Byoung-Lock
    • Therapeutic Science for Rehabilitation
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    • v.7 no.3
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    • pp.9-21
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    • 2018
  • Objective : This systematic review aimed to evaluate the global literature on the effect of early intervention for preschool children with autism spectrum disorder (ASD). Methods : A literature search of the PubMed database identified 10 studies published up to December 2017, using the following search terms: autism, autism spectrum disorder, ASD, high-function autism, high-function ASD, Asperger syndrome, pervasive developmental disorder, PDDNOS, intervention, and early intervention. Results : Early intervention for children with ASD used Applied Behavior Analysis in 8 of the 10 selected studies. The other two studies used a Sensory Integration approach and Technology-based intervention. Most studies reported positive effects on communication skills, social interaction skills, intelligence, adaptive behavior, and improved attention through early intervention. Conclusions : These results suggested a basis for early intervention for children with ASD. Further research is needed to determine the effectiveness of early intervention.

Evolutionary Perspective on Autism (자폐증에 대한 진화적 관점)

  • Jeong, Yunjin;Son, Jung-Woo;Kim, Bung-Nyun;Yoo, Hee Jeong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.26 no.2
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    • pp.67-74
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    • 2015
  • So far, most research studying the causality of autism has focused on neurobiological or psychological aspects. However, most studies have dealt with only proximal causality of autism, and there is little research on its ultimate causality. 'Evolutionary perspective', which has received attention recently in various academic fields, suggests several theories regarding the ultimate causality of autism. We reviewed different theories on the evolution of autism, and discussed both the merits and the limitations of the theories.

Use of Midazolam Intranasal Spray for Dental Treatment of Autism Patients (자폐증 환자의 행동조절을 위한 Midazolam Intranasal Spray 사용사례)

  • Song, Young-Gyun;Lee, Suk Young;Kim, Seung-Oh
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.4
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    • pp.223-227
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    • 2012
  • Autism patients in general have bad oral hygiene. It is hard for autism patients to get dental treatment as poor communication. Therefore, they may have to be treated by deep sedation or general anesthesia in numerous cases. However, this process requires induction with mask, so it is not easy to do for disobliging autism patient. Midazolam is a water-soluble benzodiazepine, has been used in pediatric dentistry or dentistry for the handicapped because of rapid onset. Midazolam can be administered through oral, rectal, intramuscular,intravenous, and intranasal (IN) routes. IN route of midazolam may be considered as effective way to allay for uncooperative autism patients before general anesthesia. In this case report, two autism patients required dental treatment. Intranasal spray of midazolam before general anesthesia was safe and effective procedure of behavioral management.

INTRAMUSCULAR MIDAZOLAM SEDATON IN AUTISM PATIENT FOR CARIES TREATMENT : CASE REPORT (미다졸람 근주요법을 이용한 자폐증 환자의 우식치료 : 증례보고)

  • Bae, Youngeun;Noh, Taehwan;Kim, Bomi;Jeong, Taesung
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.1
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    • pp.17-20
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    • 2015
  • Autism is a life-long neurodevelopmental disorder characterized by qualitative abnormalities in reciprocal social interactions and patterns of communication. Patients with autism are difficult to manage during dental treatment. Thus they need special consideration like physical restraint, conscious sedation or general anesthesia. A 5-year-old male dental patient with autism was reffered to dental treatment under conscious sedation using intramuscular midazolam that creats anterograde amnesia. Dental procedure using midazolm which cause anterograde amnesia can be effective treatment strategy in autism patient.

Two Cases Report about Atypical Autistic Children (비전형자폐 소아 환자 치험 2례 보고)

  • Jang, Ji-Hye;Lim, Young-Woo;Lee, Seung-Yeon
    • The Journal of Pediatrics of Korean Medicine
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    • v.19 no.2
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    • pp.85-97
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    • 2005
  • Objective : The purpose of this study is to assess the clinical effect of Yukmijihawangtang gamibang on autism. Methods : This clinical study was carried out with two atypical autistic children. We treated them with the herb medicine(Yukmijihawangtang gamibang) for several months and observed them once a month. And we checked the dregrees of autism with Korean-Autism Diagnostic Scale at June 29 and October 13. Results : Two cases's dregrees of autism were improved significantly. Autistic probability of case 1 was below the average at first test and very low at second test And case 2 was above the average at first test and very low at second test. And language was improved at last. Conclusion : Yukmijihawangtang gamibang was effective in the treatment of autism and more study about this disease is needed.

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A Case Report of Autism Spectrum Disorder Treated by Korean Medicine (한방치료로 호전된 자폐스펙트럼장애 1례 보고)

  • Seol, Jae Hyun;Kang, Ju Bong;Chang, Gyu Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.32 no.4
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    • pp.42-50
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    • 2018
  • Objectives The purpose of this study is to report a case of one autism spectrum disorder child who was treated by Korean medicine treatment. Methods The subject was a male child with autism spectrum disorder. This patient was treated with oriental herbal medicine and acupuncture. The improvement was observed by K-CARS. Results Korean medicine treatment relieved an autism spectrum disorder child's symptoms. For example, emotional excitement, hyperactivity disorder and repetition behavior are improved. K-CARS score at the initial stage of the treatment was 48 points, which can be considered as severe autistic. After 27 months of the treatment, the K-CARS was 26 points which is not autistic. There was no side effect reported. Conclusions This study showed that Korean medicine can be an effective treatment option for autism spectrum disorder.