2.New Viewpoint of Surface Anatomy Using the Curved Sectional Planes of a Male Cadaver.
Koojoo KWON ; Byeong Seok SHIN ; Min Suk CHUNG ; Beom Sun CHUNG
Journal of Korean Medical Science 2019;34(3):e15-
BACKGROUND: The curved sectional planes of the human body can provide a new approach of surface anatomy that the classical horizontal, coronal, and sagittal planes cannot do. The purpose of this study was to verify whether the curved sectional planes contribute to the morphological comprehension of anatomical structures. METHODS: By stacking the sectioned images of a male cadaver, a volume model of the right half body was produced (voxel size 1 mm). The sectioned images with the segmentation data were also used to build another volume model. The volume models were peeled and rotated to be screen captured. The captured images were loaded on user-friendly browsing software that had been made in the laboratory. RESULTS: The browsing software was downloadable from the authors' homepage (anatomy.co.kr). On the software, the volume model was peeled at 1 mm thicknesses and rotated at 30 degrees. Since the volume models were made from the cadaveric images, actual colors of the structures were displayed in high resolution. Thanks to the segmentation data, the structures on the volume model could be automatically annotated. Using the software, the sternocleidomastoid muscle and the internal jugular vein in the neck region, the cubital fossa in the upper limb region, and the femoral triangle in the lower limb region were observed to be described. CONCLUSION: For the students learning various medical procedures, the software presents the needed graphic information of the human body. The curved sectional planes are expected to be a tool for disciplinary convergence of the sectional anatomy and surface anatomy.
Anatomy, Cross-Sectional
;
Cadaver*
;
Comprehension
;
Education
;
Human Body
;
Humans
;
Imaging, Three-Dimensional
;
Jugular Veins
;
Learning
;
Lower Extremity
;
Male*
;
Neck
;
Upper Extremity
;
Visible Human Projects
3.Semantic processing in language comprehension: evidence from multi-methodologies.
Acta Physiologica Sinica 2019;71(1):127-139
Semantic processing plays a key role in the language comprehension. In the past more than two decades, by using different kinds of cognitive neuroscience methods, the time course and the neural basis of semantic processing had been comprehensively investigated, and a few classic models had been proposed based on these studies. Future studies should focus more on a precise and systematic definition of the concept of semantic processing. Furthermore, by using the convergence evidence from multi-methodologies, more systematic studies on semantic processing should be carried out from the perspective of the wholeness and the interactivity of the brain function to understand the processes.
Brain
;
physiology
;
Brain Mapping
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Comprehension
;
Humans
;
Language
;
Semantics
4.Retrospective analysis of prevalent anatomy spotter's examination: an educational audit
Amit Purushottam TIRPUDE ; Manisha GAIKWAD ; Pradhnya Amit TIRPUDE ; Mantu JAIN ; Santanu BORA
Korean Journal of Medical Education 2019;31(2):115-124
PURPOSE: The spotter's (objectively structured practical examination) is an assessment tool which is widely used to test the practical knowledge of anatomy extensively. In Indian context it is used as an inclusive model in the gross anatomy practical examination and the marks allotted to it varies. The traditional spotter examination often has been blamed for only incorporating the initial levels of revised Bloom's taxonomy. This study retrospectively analysed the pre-professional spotter's examination score and tested its efficacy in terms of reliability, internal consistency, validity, educational impact, and resource intensiveness. METHODS: The summative data of student's score on four different days of unrepeated spotter's examination and final theory examination score was collected and tabulated. These four group of students acted as independent cohorts. The difficulty index (DI), point biserial correlation (PBC), Cronbach α (CA) and descriptive statistics of each cohort were calculated. Revised bloom taxonomy rating was applied to spotter's. RESULTS: We found heterogenous distribution of spotter's in each cohort according to DI. The PBCs and CA of each cohort were acceptable. The majority of spotter's tested the cognitive and comprehension domain of revised bloom's taxonomy. There was nonsignificant difference between mean scores of cohorts but we found low positive significant correlation between theory and spotter's score. CONCLUSION: We concluded that the construct of spotter's was reliable, internally consistent, had fair validity, variable educational impact, and sustainable resource intensiveness. We propose urgent redesigning of spotter's to include higher level of taxonomy to comply with emerging curricular changes.
Classification
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Cognition
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Cohort Studies
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Comprehension
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Curriculum
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Educational Measurement
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Humans
;
Retrospective Studies
5.An analysis of verbs used in the course outcomes of outcome-based integrated courses at a medical school based on the taxonomy of educational objectives
Korean Journal of Medical Education 2019;31(3):261-269
PURPOSE: The purposes of this study were to analyze the course outcomes of integrated courses of a medical school that introduced an outcome-based curriculum and to suggest ways to improve techniques in the description of outcomes. METHODS: In order to investigate the course outcomes of 39 courses in the first and second grades at Kyungpook National University School of Medicine in Korea, verbs for the course outcome were classified according to Bloom’s taxonomy and frequency analysis was completed. The appropriateness of use of verbs in description of the outcomes was also analyzed. RESULTS: The total number of course outcomes for both grades was 497. The number of course outcomes per credit ranged from a minimum of 0.9 to a maximum of 22.0. Most of the course outcomes were classified as the comprehension domain according to Bloom’s taxonomy. The most frequently used verb was “explain,” accounting for 61.0% (n=303) of the entire course outcome verbs. Some verbs in the outcomes, however, were unmeasurable. CONCLUSION: The major findings of this study include the followings. First, the number of course outcomes varied according to courses. Second, several course outcomes included unmeasurable verbs. Finally, most of the verbs used to describe course outcome belonged to the two lower levels of Bloom’s taxonomy—knowledge and comprehension. In order to improve the description of course outcomes, this study suggests that it is necessary to adjust the number of course outcomes, applicate overt behavior verbs, and elevate the level of course outcomes from the lower memorizing level to the higher application level.
Classification
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Comprehension
;
Curriculum
;
Gyeongsangbuk-do
;
Humans
;
Korea
;
Schools, Medical
6.White Matter Tract-Cognitive Relationships in Children with High-Functioning Autism Spectrum Disorder
Yoko KATO ; Kuriko KAGITANI-SHIMONO ; Junko MATSUZAKI ; Ryuzo HANAIE ; Tomoka YAMAMOTO ; Koji TOMINAGA ; Yoshiyuki WATANABE ; Ikuko MOHRI ; Masako TANIIKE
Psychiatry Investigation 2019;16(3):220-233
OBJECTIVE: The purpose of the present study was to clarify the relationship between white matter tracts and cognitive symptoms in children with high-functioning autism spectrum disorder (ASD). METHODS: We examined the cognitive functions of 17 children with high-functioning ASD and 18 typically developing (TD) controls and performed diffusion tensor imaging (DTI) tractography. We compared the results between the groups and investigated the correlations between the cognitive scores and DTI parameters within each group. RESULTS: The Comprehension scores in the ASD group exhibited a positive correlation with mean diffusivity (MD) in the forceps minor (F minor). In the TD group, the Comprehension scores were positively correlated with fractional anisotropy (FA) in the right inferior fronto-occipital fasciculus (IFO) and left anterior thalamic radiation (ATR), and negatively correlated with MD in the left ATR, radial diffusivity (RD) in the right IFO, and RD in the left ATR. Additionally, a positive correlation was observed between the Matching Numbers scores and MD in the left uncinate fasciculus and F minor, and RD in the F minor. Furthermore, the Sentence Questions scores exhibited a positive correlation with RD in the right inferior longitudinal fasciculus. Relative to TD controls, the specific tract showing a strong correlation with the cognitive scores was reduced in the ASD group. CONCLUSION: Our findings indicate that white matter tracts connecting specific brain areas may exhibit a weaker relationship with cognitive functions in children with ASD, resulting in less efficient cognitive pathways than those observed in TD children.
Anisotropy
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Autism Spectrum Disorder
;
Autistic Disorder
;
Brain
;
Child
;
Cognition
;
Comprehension
;
Diffusion Tensor Imaging
;
Humans
;
Neurobehavioral Manifestations
;
Surgical Instruments
;
White Matter
7.Telomere Biology in Mood Disorders: An Updated, Comprehensive Review of the Literature
Ather MUNEER ; Fareed Aslam MINHAS
Clinical Psychopharmacology and Neuroscience 2019;17(3):343-363
Major psychiatric disorders are linked to early mortality and patients afflicted with these ailments demonstrate an increased risk of developing physical diseases that are characteristically seen in the elderly. Psychiatric conditions like major depressive disorder, bipolar disorder and schizophrenia may be associated with accelerated cellular aging, indicated by shortened leukocyte telomere length (LTL), which could underlie this connection. Telomere shortening occurs with repeated cell division and is reflective of a cell’s mitotic history. It is also influenced by cumulative exposure to inflammation and oxidative stress as well as the availability of telomerase, the telomere-lengthening enzyme. Precariously short telomeres can cause cells to undergo senescence, apoptosis or genomic instability; shorter LTL correlates with compromised general health and foretells mortality. Important data specify that LTL may be reduced in principal psychiatric illnesses, possibly in proportion to exposure to the ailment. Telomerase, as measured in peripheral blood monocytes, has been less well characterized in psychiatric illnesses, but a role in mood disorder has been suggested by preclinical and clinical studies. In this manuscript, the most recent studies on LTL and telomerase activity in mood disorders are comprehensively reviewed, potential mediators are discussed, and future directions are suggested. An enhanced comprehension of cellular aging in psychiatric illnesses could lead to their re-conceptualizing as systemic ailments with manifestations both inside and outside the brain. At the same time this paradigm shift could identify new treatment targets, helpful in bringing about lasting cures to innumerable sufferers across the globe.
Aged
;
Aging
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Apoptosis
;
Biology
;
Bipolar Disorder
;
Brain
;
Cell Aging
;
Cell Division
;
Comprehension
;
Depressive Disorder, Major
;
Genomic Instability
;
Humans
;
Inflammation
;
Leukocytes
;
Monocytes
;
Mood Disorders
;
Mortality
;
Oxidative Stress
;
Schizophrenia
;
Telomerase
;
Telomere Shortening
;
Telomere
8.A review of drug knowledge discovery using BioNLP and tensor or matrix decomposition
Mina GACHLOO ; Yuxing WANG ; Jingbo XIA
Genomics & Informatics 2019;17(2):e18-
Prediction of the relations among drug and other molecular or social entities is the main knowledge discovery pattern for the purpose of drug-related knowledge discovery. Computational approaches have combined the information from different resources and levels for drug-related knowledge discovery, which provides a sophisticated comprehension of the relationship among drugs, targets, diseases, and targeted genes, at the molecular level, or relationships among drugs, usage, side effect, safety, and user preference, at a social level. In this research, previous work from the BioNLP community and matrix or tensor decomposition was reviewed, compared, and concluded, and eventually, the BioNLP open-shared task was introduced as a promising case study representing this area.
Comprehension
9.Feasibility of Revision Cochlear Implant Surgery for Better Speech Comprehension
Kyurin HWANG ; Jae Yong LEE ; Hyeon Seok OH ; Byung Don LEE ; Jinsei JUNG ; Jae Young CHOI
Journal of Audiology & Otology 2019;23(2):112-117
BACKGROUND AND OBJECTIVES: The purpose of this study was to evaluate the efficacy of revision cochlear implant (CI) surgery for better speech comprehension targeting patients with low satisfaction after first CI surgery. SUBJECTS AND METHODS: Eight patients who could not upgrade speech processors because of an too early CI model and who wanted to change the whole system were included. After revision CI surgery, we compared speech comprehension before and after revision CI surgery. Categoies of Auditory Performance (CAP) score, vowel and consonant confusion test, Ling 6 sounds, word and sentence identification test were done. RESULTS: The interval between surgeries ranged from eight years to 19 years. Same manufacturer’s latest product was used for revision surgery in six cases of eight cases. Full insertion of electrode was possible in most of cases (seven of eight). CAP score (p-value=0.01), vowel confusion test (p-value=0.041), one syllable word identification test (p-value=0.026), two syllable identification test (p-value=0.028), sentence identification test (pvalue=0.028) had significant improvement. Consonant confusion test (p-value=0.063), Ling 6 sound test (p-value=0.066) had improvement but it is not significant. CONCLUSIONS: Although there are some limitations of our study design, we could identify the effect of revision (upgrade) CI surgery indirectly. So we concluded that if patient complain low functional gain or low satisfaction after first CI surgery, revision (device upgrade) CI surgery is meaningful even if there is no device failure.
Cochlear Implants
;
Comprehension
;
Electrodes
;
Equipment Failure
;
Humans
10.Central Auditory Processing Tests as Diagnostic Tools for the Early Identification of Elderly Individuals with Mild Cognitive Impairment
Bahram JALAEI ; Ayub VALADBEIGI ; Rasool PANAHI ; Morteza Hamidi NAHRANI ; Hossein Namvar AREFI ; Maryam ZIA ; Nastaran RANJBAR
Journal of Audiology & Otology 2019;23(2):83-88
BACKGROUND AND OBJECTIVES: Mild cognitive impairment (MCI) is a disorder that usually occurs in the elderly, leading to dementia in some progressive cases. The purpose of this study is to examine the utility of central auditory processing tests as early diagnostic tools for identifying the elderly with MCI. SUBJECTS AND METHODS: This study was conducted on 20 elderly patients with MCI and 20 healthy matched peers. The speech perception ability in a quiet environment and in the presence of background noise and also temporal resolution were assessed by using Speech Perception in Noise (SPIN) and Gap in Noise (GIN) tests, respectively. RESULTS: The results indicated that the ability to understand speech in a quiet environment did not differ significantly between the two groups. However, SPIN at the three signal-tonoise ratios and the temporal resolution scores were significantly different between the two groups (p<0.001). CONCLUSIONS: Individuals with MCI appear to have poorer speech comprehension in noise and a lower temporal resolution than those of the same age, but without cognitive defects. Considering the utility of these tests in identifying cognitive problems, we propose that since the GIN test seems to be less influenced by intervening factors, this test can therefore, be a useful tool for the early screening of elderly people with cognitive problems.
Aged
;
Auditory Perceptual Disorders
;
Cognition
;
Cognition Disorders
;
Comprehension
;
Dementia
;
Humans
;
Mass Screening
;
Mild Cognitive Impairment
;
Noise
;
Speech Perception


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