• The Journal of the Korea Contents Association
• /
• v.11 no.4
• /
• pp.253-262
• /
• 2011

Cognitive-communicative disorders after traumatic brain injury(TBI) and right hemisphere damage(RHD) are different from other neurological disorders in nature. Therefore, it is not desirable to use aphasia tests in evaluating individuals with TBI or RHD. The aim of this study is to review assessment protocols on TBI and RHD, and literature related with them. As a result, it is recommended that individuals with TBI be examined in scope of the cognition including attention, memory, organization, reasoning, as well as the functional communication. Similarly, it is useful to consider high-order language related to various cognitive domains in assessing cognitive-communicative ability after RHD. In conclusion, we need to focus on the overall cognitive-communicative domains in an evaluative process of TBI and RHD. Furthermore, it is necessary to develop multiple items for individuals with cognitivecommunicative disorders for the purpose of differentiating these heterogeneous groups from other neurological disorders such as aphasia, and of making good use of them as a therapeutic manual.

• Perspectives in Nursing Science
• /
• v.15 no.1
• /
• pp.29-40
• /
• 2018

Purpose: The present study aimed to review the characteristics of cognitive behavioral therapy (CBT) programs for alcohol use disorders and to examine the outcomes of such programs. Methods: We searched for domestic and foreign studies that implemented a CBT program for alcohol use disorders, published from 2006 to 2017. Studies that met inclusion/exclusion criteria were selected and a quality assessment was performed using the Risk of Bias (RoB) and Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS) instruments. We utilized a five-stage analysis process, through which nine experimental studies were selected. Results: Of these nine studies, four were randomized controlled trials, four used a quasi-experimental design, and one used a qualitative design. The CBT involved the three domains of cognitive reconstruction, problem solving, and coping. Coping with drinking situations and communication constituted most of the sessions. The outcomes of such interventions showed that CBT had a positive effect on alcohol use and self-evaluation. Conclusion: CBT is an effective way to change alcohol use behaviors, motivation, interpersonal relationships, emotional control, and self-efficacy among patients with alcohol use disorders. This study provides evidence for the effectiveness of CBT-based programs for the treatment of alcohol use disorders.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.18 no.2
• /
• pp.117-122
• /
• 2007

Practice parameters for non-pharmacological treatment of children and adolescents with pervasive developmental disorders are based on the scientific literature for evidence-based practices. Appropriate educational and behavioral interventions are important in improving the long-term outcome in pervasive developmental disorders. Early and sustained intervention appears to be particularly important. The goal for interventions is to gain pragmatic skills for verbal communication, playing with peers, daily living routines, self-management, and social adaptation. Appropriate involvement and collaboration with parents and family are essential for well-functioning intervention programs. The life-long nature of autism implies that the clinician should maintain an active role in long-term treatment planning and family support. Vocational training and training for more independent living are important for adolescents with autism. Professionals should be knowledgeable about local and national resources and opportunities for family support as well as support of the individual.

• Clinical and Experimental Pediatrics
• /
• v.63 no.9
• /
• pp.368-372
• /
• 2020

Background: Autism spectrum disorder (ASD) is a neurodevelopmental disorder defined by impairments in social interaction and verbal and nonverbal communication. Purpose: Determine the association between use of assisted reproduction technology (ART) and the risk of ASD among children. Methods: This case-control study included 300 participants (100 cases, 200 controls). The control group included women with a child aged 2-10 years without ASD, while the cases were women with a child aged 2-10 years with ASD. We used a researcher-made questionnaire. Data were analyzed using Stata ver. 14 at the 0.05 significance level. Results: In the univariate analysis, there was significant association between child sex, delivery mode, history of preterm delivery, history of using ART, and maternal age at child's birth and the risk of ASD. After the adjustment for other variables, this association was significant for male sex (2.66; 95% confidence interval [CI], 1.11-4.31; P=0.001) and history of using ART (4.03; 95% CI, 1.76-9.21; P=0.001). Therefore, after the adjustment for confounder variables, there was no significant association between ART and the risk of ASD among children (4.98; 95% CI, 0.91-27.30; P=0.065). Conclusion: After the adjustment for other variables, risk factors for ASD were male sex and history preterm delivery. Thus, there was no significant association between ART and the risk of ASD among children.

• Journal of the Korea Society of Computer and Information
• /
• v.25 no.8
• /
• pp.47-54
• /
• 2020

Developmental disorders are impairments of brain and/or central nervous system and refer to a disorder of brain function that affects languages, communication skills, perception, sociality and so on. In diagnosis of developmental disorders, behavioral response such as expressing emotions in proper situation is one of observable indicators that tells whether or not individual has the disorders. However, diagnosis by observation can allow subjective evaluation that leads erroneous conclusion. This research presents the technological environment and data acquisition system for AI based screening of autism disorder. The environment was built considering activities for two screening protocols, namely Autism Diagnostic Observation Schedule (ADOS) and Behavior Development Screening for Toddler (BeDevel). The activities between therapist and baby during the screening are fully recorded. The proposed software in this research was designed to support recording, monitoring and data tagging for learning AI algorithms.

• The Journal of Korea Assosiation for Disability and Oral Health
• /
• v.2 no.1
• /
• pp.39-44
• /
• 2006

Cerebral palsy(CP) is one of the most common motor disease, due to brain injury during fetal and neonatal development which results in neuromotor paralysis and associated neuromuscular symptoms. Features of CP include motor disability due to the lack of muscle control, often accompanied by sensory disorders, mental retardation, speech disorders, hearing loss, epilepsy, behavior disorders, etc. There are increasing chances of treatment of dental patients with cerebral palsy, as the occurrence of CP is increasing with the decrease in infant mortality and an increase in immature birth and premature birth and also, there is a trend to pursue of higher quality of life. Reports on the relationship between CP and maxillofacial deformity are uncommon, but it is well known that the unbalance and discontrol of the facial muscles, lip, tongue and the jaws leads to malocclusion and temporomandibular joint disorders, and statistics show that class 2 relationship of the jaws and open bite is frequently reported. However, it is difficult to perform maxillofacial deformity treatment, which consists of orthodontic treatment, maxillofacial surgery and muscle adaptation training, due to difficulties in communication and problems of muscle adaptation caused by difficulties in motor control which leads to a high recurrence rate. This case report is to trearment of maxillofacial deformity in CP patient. A 26 year old female patient came to the department with the chief complaint of prognathism of the mandible and facial asymmetry. According to the past medical history, she was diagnosed as cerebral palsy 1 week after birth, classified as GMFC, classII accompanied with left side torticollis. The patient's intelligence was moderate, and there were no serious problems in communication. For two years time, the patient underwent lingual frenectomy, pre-operation orthodontic treatment and then bimaxillary orthognathic surgery to treat mandibular prognathism and facial asymmetry followed by rehabilitatory exercise of facial muscle. After 6 months of follow up, there was a good result. This is to report to the typical signs and symptoms of DFD in CP patient and the limitation of the usual method of the treatment of DFD in CP patient with literature review.

• The KIPS Transactions:PartB
• /
• v.12B no.3 s.99
• /
• pp.323-328
• /
• 2005

This study is sentence generation for Augmentative and Alternative Communication. The object of sentence generation is to use in augmentative and alternative communication which is designed for those who are nonspeaking disorders. AAC generates human voice with using a sentence which is made up by the users. In order to construct a sentence, lexical information was adapted for a concept of augmentative and alternative communication. The lexical informations consist of noun types which can be connected to verbs, auxiliary words, conjugation of verbs and verb types. The system was made using lexical information and the usefulness of the sentence generation was measured by the system. The system constructed has functions of generation and saving right sentences, searching and inputting vocabularies.

• Journal of IKEEE
• /
• v.23 no.4
• /
• pp.1440-1447
• /
• 2019

Currently, the prevalence of autism spectrum disorders in children is reported to be higher and shows various types of disorders. In particular, they are having difficulty in communication due to communication impairment in the area of social communication and need to be improved through training. Thus, this study proposes a method of acquiring voice information through a microphone mounted on a robot designed through preliminary research and using this information to make intelligent motions. An ANN(Artificial Neural Network) was used to classify the speech data into robot motions, and we tried to improve the accuracy by combining the Recurrent Neural Network based on Convolutional Neural Network. The preprocessing of input speech data was analyzed using MFCC(Mel-Frequency Cepstral Coefficient), and the motion of the robot was estimated using various data normalization and neural network optimization techniques. In addition, the designed ANN showed a high accuracy by conducting an experiment comparing the accuracy with the existing architecture and the method of human intervention. In order to design robot motions with higher accuracy in the future and to apply them in the treatment and education environment of children with autism.

• Phonetics and Speech Sciences
• /
• v.12 no.1
• /
• pp.51-63
• /
• 2020

Phonological awareness is a metalinguistic awareness ability of phonology and is known to predict language skills, such as reading and vocabulary skills. The purpose of this study was to investigate the relationship between phonological awareness, phonological processing, and language skills in 4- to 6-years-old typically developing (TD) children and children with language delay (LD). A total of 32 children (TD=18, LD=15) participated in this study. They performed a phonological awareness task consisting of counting, deletion, and discrimination at syllable level. Nonword Repetition, Digit Backward, Receptive & Expressive Vocabulary Test, and Grammaticality Judgment Task were performed to analyze the correlation between phonological awareness, phonological processing, and language ability. A multiple stepwise regression analysis was performed to examine the phonological awareness subtasks that predict language ability. In the TD group, the syllable categorization task significantly predicted the receptive vocabulary and the performance of the Grammaticality Judgment Task. The LD group showed that the syllable counting task significantly predicted the receptive vocabulary, the expressive vocabulary, and the performance of the Grammaticality Judgment Task. The results showed that the phonological awareness performance was significantly different between the two groups. Further, correlation analysis and regression analysis showed different results for each group. The result of the phonological awareness performance predicted the language ability of each group significantly, suggesting the importance of the meta-linguistic awareness ability of phonology.

• 재활복지
• /
• v.20 no.3
• /
• pp.45-65
• /
• 2016

The purposes of this study were to determine recent trends of domestic and international studies for primary progressive aphasia (PPA) patient group and to identify areas for future research. For these purposes, 171 studies on communication disorders of a PPA were chosen and sub-categories for research methods and contents were also analyzed. The sub-categories for research methods include types of research subject, research purpose and research field. As the research subject, 'agrammatism' was most frequently dealt with in both domestic and international studies; as the research purpose, 'characteristics study' accounted for the largest portion; and with respect to the research field, the international studies have covered evenly language, speech and others, while the domestic studies have handled only the field of 'language,' paying no attention to 'speech' and 'others.' In the international studies, apraxia of speech was added to the conventional three sub-types of PPA classification, so distinction between the four symptoms has been actively studied; however, patient cases were difficult to find in Korea, so the symptoms the patients had, although centering around communication disorders, have been rarely researched in the domestic studies. The results suggested that there have been extremely few studies related and their research field has lacked diversity. We suggested a direction for future research on communication disorders with PPA.