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Validation of MoCA-MMSE Conversion Scales in Korean Patients with Cognitive Impairments

  • Jung, Young Ik;Jeong, Eun Hye;Lee, Heejin;Seo, Junghee;Yu, Hyun-Jeong;Hong, Jin Y.;Sunwoo, Mun Kyung
    • Dementia and Neurocognitive Disorders
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    • v.17 no.4
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    • pp.148-155
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    • 2018
  • Background and Purpose: Two conversion scales between the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) have been validated for Korean patients with Parkinson's disease. The aim of the present study was to validate these conversion scales for all patients with cognitive impairments regardless of dementia subtype. Methods: Medical records of 323 subjects who completed both MMSE and MoCA on the same day were retrospectively reviewed. Mean, median, and root mean squared error (RMSE) of the difference between true and equivalent MMSE scores were calculated. Intraclass correlation coefficients (ICCs) between true and equivalent MMSE scores were also calculated. The validity of MoCA-MMSE conversion scales was evaluated according to educational level (low educated: ${\leq}6$ years; high educated: ${\geq}7$ years) and subtypes of cognitive impairment. Results: The difference between true and equivalent MMSE scores had a median value of 0, a mean value of 0.19 according to the van Steenoven scale, a mean value of 0.57 according to the Lawton scale, RMSE value of 2.2 according to the van Steenoven scale, and RMSE value of 0.42 according to the Lawton scale. Additionally, ICCs between true and equivalent MMSE scores were 0.92 and 0.90 on van Steenovan and Lawton conversion scales, respectively. These results were maintained in subgroup analyses. Conclusions: Findings of the present study suggest that both van Steenovan and Lawton MoCA-MMSE conversion scales are applicable to transforming MoCA scores into MMSE scores in patients with cognitive impairments regardless of dementia subtype or educational level.

Association Between Dental Implants and Cognitive Function in Community-dwelling Older Adults in Korea

  • Ki, Seungkook;Yun, Jihye;Kim, Jinhee;Lee, Yunhwan
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.5
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    • pp.333-343
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    • 2019
  • Objectives: This study aimed to evaluate the association between dental implants and cognitive function in community-dwelling older adults. Methods: Data were collected from the baseline survey (2016-2017) of the Korean Frailty and Aging Cohort Study. The study sample comprised 1115 community-dwelling people aged 70 years to 84 years who had 0-19 natural teeth. Dental implants and natural teeth were identified by panoramic radiography, while the cognitive function was assessed by the Korean version of the Mini-Mental State Examination (MMSE-KC). The association between dental implants and cognitive function was analyzed by multiple linear regression. Sensitivity analysis was performed to test for potential bias. Results: The mean number of natural teeth in the study population was 9.50 (standard deviation [SD], 6.42), and the mean MMSE-KC score was 24.93 (SD, 3.55). In the simple univariate analysis, tooth replacement, age, sex, smoking status, alcohol consumption, body mass index, osteoporosis, number of natural teeth, periodontitis, chewing discomfort, tooth-brushing frequency, education level, monthly household income, participation in economic activity, living alone, and marital status had a significant impact on the association. After adjusting for confounders, the association between dental implants and cognitive function remained significant (B, 0.85; standard error, 0.40; p<0.05). Age, body mass index, periodontitis, tooth-brushing frequency, and education level were also significantly associated with cognitive function. The results of the sensitivity analyses were consistent with those of the primary analysis. Conclusions: Dental implants were associated with cognitive function in older adults living in the community. Dental implants as tooth replacements may play a role in preserving cognitive function.

Study on Velocity and Altitude Keeping Method of a UAV Around Service Ceiling Altitude (실용상승한도 고도 부근에서 무인기의 속도 및 고도유지 제어에 관한 연구)

  • Hong, Jin-sung;Won, Dae-yeon;Jang, Se-ah
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.49 no.5
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    • pp.383-388
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    • 2021
  • Air-breathing engines used in aircraft have a performance limit as the altitude increases, and this determines the service and absolute ceiling altitude. The method of maintaining altitude and speed in a fixed-wing aircraft in level flight using classical control method is generally using thrust for speed increase/deceleration and pitch attitude for altitude increase/decrease. If this method is used near the service ceiling altitude, increasing the pitch to reduce the altitude error results in a speed reduction. Therefore, it is necessary to use a control method that maintains the speed first using the pitch attitude. Especially in the case of unmanned aerial vehicles, these two methods should be automatically available at the right time. In this paper, we propose a method of switching the speed and altitude maintenance algorithm near service ceiling altitude.

Technical Considerations of Effective Direct Cortical and Subcortical Stimulation (효과적인 대뇌 직접피질자극 검사 및 피질하자극 검사의 술기에 관한 기술적 고찰)

  • Lim, Sung Hyuk;Jang, Min Hwan
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.2
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    • pp.157-162
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    • 2022
  • The purpose of the direct cortical and subcortical stimulation technique is to prevent false positives caused by transcranial electrical motor evoked potentials (TceMEP) in surgery on patients with brain tumors that have occurred around the motor cortex and to preserve the correct mapping of motor areas during surgery and the corticospinal tract. In addition, it reduces the trial and error that occurs during the intraoperative neurophysiological monitoring (INM) process and minimizes the test time, so that accurate information is communicated to the surgeon with quick feedback on the test results. The most important factors of this technique are, first, examination at a stimulus threshold of a certain intensity, and second, maintaining anesthesia depth at an appropriate level to prevent false positives from occurring during surgery. The third is the installation of a multi-level channel recording electrode on the opposite side of the area of operation to measure the TceMEP waveform and the response to direct cortical and subcortical stimulation in as many muscles as possible. If these conditions are maintained, it is possible to predict causes that may occur in other factors, not false positives, from the INM test.

A Study on the Effect of Shrinkage on Lens Deformation in Optical Lens Manufacturing Process Using Thermosetting Resin Material (열경화성 수지 재료를 이용한 광학 렌즈 제조공정에서 렌즈 변형에 대한 수축률이 영향에 관한 연구)

  • Park, Si Hwan
    • Design & Manufacturing
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    • v.16 no.3
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    • pp.9-15
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    • 2022
  • In order to reduce the manufacturing costs of the glass lens, it is necessary to manufacture a lens using a UV curable resin or a thermosetting resin, which is a curable material, in order to replace a glass lens. In the case of forming a lens using a thermosetting material, it is necessary to form several lenses at once using the wafer-level lens manufacturing technologies due to the long curing time of the material. When a lens is manufactured using a curable material, an error in the shape of the lens due to the shrinkage of the material during the curing process is an important cause of defects. The major factors for these shape errors and deformations are the shrinkage and the change of mechanical properties in the process of changing from a liquid material during curing to a solid state after complete curing. Therefore, it is necessary to understand the curing process of the material and to examine the shrinkage rate and change of physical properties according to the degree cure. In addition, it is necessary to proceed with CAE for lens molding using these and to review problems in lens manufacturing in advance. In this study, the viscoelastic properties of the material were measured during the curing process using a rheometer. Using the results, Rheological investigation of cure kinetics was performed. At the same time, The shrinkage of the material was measured and simple mathematical models were created. And using the results, the molding process of a single lens was analyzed using Comsol, a commercial S/W. In addition, the experiment was conducted to compare and verify the CAE results. As a result, it was confirmed that the shrinkage rate of the material had a great influence on the shape precision of the final product.

Personal Driving Style based ADAS Customization using Machine Learning for Public Driving Safety

  • Giyoung Hwang;Dongjun Jung;Yunyeong Goh;Jong-Moon Chung
    • Journal of Internet Computing and Services
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    • v.24 no.1
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    • pp.39-47
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    • 2023
  • The development of autonomous driving and Advanced Driver Assistance System (ADAS) technology has grown rapidly in recent years. As most traffic accidents occur due to human error, self-driving vehicles can drastically reduce the number of accidents and crashes that occur on the roads today. Obviously, technical advancements in autonomous driving can lead to improved public driving safety. However, due to the current limitations in technology and lack of public trust in self-driving cars (and drones), the actual use of Autonomous Vehicles (AVs) is still significantly low. According to prior studies, people's acceptance of an AV is mainly determined by trust. It is proven that people still feel much more comfortable in personalized ADAS, designed with the way people drive. Based on such needs, a new attempt for a customized ADAS considering each driver's driving style is proposed in this paper. Each driver's behavior is divided into two categories: assertive and defensive. In this paper, a novel customized ADAS algorithm with high classification accuracy is designed, which divides each driver based on their driving style. Each driver's driving data is collected and simulated using CARLA, which is an open-source autonomous driving simulator. In addition, Long Short-Term Memory (LSTM) and Gated Recurrent Unit (GRU) machine learning algorithms are used to optimize the ADAS parameters. The proposed scheme results in a high classification accuracy of time series driving data. Furthermore, among the vast amount of CARLA-based feature data extracted from the drivers, distinguishable driving features are collected selectively using Support Vector Machine (SVM) technology by comparing the amount of influence on the classification of the two categories. Therefore, by extracting distinguishable features and eliminating outliers using SVM, the classification accuracy is significantly improved. Based on this classification, the ADAS sensors can be made more sensitive for the case of assertive drivers, enabling more advanced driving safety support. The proposed technology of this paper is especially important because currently, the state-of-the-art level of autonomous driving is at level 3 (based on the SAE International driving automation standards), which requires advanced functions that can assist drivers using ADAS technology.

The Causes of the low level of Value Added Activities in Korea's Port Distripark and Its Implications (항만배후단지 부가가치 창출 미비의 원인 분석과 제언)

  • Lee, Tae-Hwee
    • Journal of Korea Port Economic Association
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    • v.38 no.4
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    • pp.1-11
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    • 2022
  • Although the port distripark concept and its development policy have been introduced since almost twenty years, there is no visible results of the policy. Specifically, the level of value-added logistics using transhipment cargo is too low. In this paper, we mainly focus on the causes of the policy failure of port distripark's value added activities in terms of conceptual as well as practical or functional. Definitely, the study reviews the concept of port distripark compared to industrial park or bonded factory. The study also analyzes the differentiation of port distripark and port hinterland. The study generats that the problem or error that may occur when port hinterland is identified with the port distripark. Last but not least, the limitations of value added logistics is generated on the study. We examined in depth whether the already well known value added activity of port distripark is really activities that add 'value'.

Development of a School Multicultural Climate Scale (학교다문화분위기 척도개발 연구)

  • Ko, Kyung-Eun
    • Korean Journal of Social Welfare Studies
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    • v.41 no.4
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    • pp.345-368
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    • 2010
  • The purpose of this study is to develop the School Multicultural Climate(SMC) scale for students and to evaluate its reliability and validity. This study comprises of both qualitative and quantitative research. Preliminary items were developed based on the theoretical literature and interviews with students. The scale was evaluated with students in grades 4 through 6 in the seven elementary schools. Exploratory factor analysis was determined that the scale was composed of four components: Equal Status, Mutual Cooperation, Friendly Relations, Supportive Norms. The scale demonstrated that Cronbach's alpha=.943 for the internal consistency of total items. And the standard error of the measurement, another way of evaluating reliability, was 3.33. Criteria-related validity was evaluated by showing that the differences of the students' recognition of the school multicultural climate level, which depend on the availability of the multiculture-related policy, was statistically significant. The correlation analysis for the convergent validity was performed with the theoretically related variables such as self esteem and school adjustment. It was found that the SMC scale was a reliable and valid measure for evaluating the multicultural climate level of elementary school.

Classification of Fall Crops Using Unmanned Aerial Vehicle Based Image and Support Vector Machine Model - Focusing on Idam-ri, Goesan-gun, Chungcheongbuk-do - (무인기 기반 영상과 SVM 모델을 이용한 가을수확 작물 분류 - 충북 괴산군 이담리 지역을 중심으로 -)

  • Jeong, Chan-Hee;Go, Seung-Hwan;Park, Jong-Hwa
    • Journal of Korean Society of Rural Planning
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    • v.28 no.1
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    • pp.57-69
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    • 2022
  • Crop classification is very important for estimating crop yield and figuring out accurate cultivation area. The purpose of this study is to classify crops harvested in fall in Idam-ri, Goesan-gun, Chungcheongbuk-do by using unmanned aerial vehicle (UAV) images and support vector machine (SVM) model. The study proceeded in the order of image acquisition, variable extraction, model building, and evaluation. First, RGB and multispectral image were acquired on September 13, 2021. Independent variables which were applied to Farm-Map, consisted gray level co-occurrence matrix (GLCM)-based texture characteristics by using RGB images, and multispectral reflectance data. The crop classification model was built using texture characteristics and reflectance data, and finally, accuracy evaluation was performed using the error matrix. As a result of the study, the classification model consisted of four types to compare the classification accuracy according to the combination of independent variables. The result of four types of model analysis, recursive feature elimination (RFE) model showed the highest accuracy with an overall accuracy (OA) of 88.64%, Kappa coefficient of 0.84. UAV-based RGB and multispectral images effectively classified cabbage, rice and soybean when the SVM model was applied. The results of this study provided capacity usefully in classifying crops using single-period images. These technologies are expected to improve the accuracy and efficiency of crop cultivation area surveys by supplementing additional data learning, and to provide basic data for estimating crop yields.

Additional Thermometer Code Locking Technique for Minimizing Quantization Error in Low Area Digital Controlled Oscillators (저면적 디지털 제어 발진기의 양자화 에러 최소화를 위한 추가 서모미터 코드 잠금 기법)

  • Byeongseok Kang;Young-Sik Kim;Shinwoong Kim
    • Journal of IKEEE
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    • v.27 no.4
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    • pp.573-578
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    • 2023
  • This paper introduces a new locking technique applicable to high-performance digital Phase-Locked Loops (DPLL). The study employs additional thermometer codes to reduce quantization errors in LC-based Digital Controlled Oscillators (DCO). Despite not implementing the entire DCO codes in thermometer mode, this method effectively reduces quantization errors through enhanced linearity. In the initial locking phase, binary codes are used, and upon completion of locking, the system transitions to thermometer codes, achieving high frequency linearity and reduced jitter characteristics. This approach significantly reduces the number of switches required and minimizes the oscillator's area, especially in applications requiring low DCO gain (Kdco), compared to the traditional method that uses only thermometer codes. Furthermore, the jitter performance is maintained at a level equivalent to that of the thermometer-only approach. The efficacy of this technique has been validated through modeling and design at the RTL level using SystemVerilog and Verilog HDL.