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Technological Advancement in the Future of Cognitive Tests

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1 Technological Advancement in the Future of Cognitive Tests
Christian Nahshal Suzanne Miranda Luke Shapiro Tabitha Batte Brandon Brown Jean F. Coppola Sanjeet Pakrasi Jenn Sheffield Argenys Morban Grantham Taylor Noel Abebe TeleCog Technological Advancement in the Future of Cognitive Tests

2 Purpose Behind Research
Make cognitive assessments available to larger population of people Eliminate the necessity for the exams to be proctored by a doctor Alleviate conflicting schedules for check ups between doctors and patients Test correlation between online cognitive assessments and paper assessments Update test process for cognitive assessments to technological advancements *

3 Dementia Explained Perceived as a more “severe” form of Alzheimer’s disease Constitutes of a multitude of symptoms & diseases of memory decline Alzheimer’s is one of many diseases that constitute dementia Cases have been steadily growing among elderly Especially prevalent among isolated individuals

4 Symptoms * Impaired Judgement, Decision-Making Skills
Difficulty in Logical Reasoning Poor Memory and Language Abilities Sudden Changes in Personality Apathy / Social Withdrawal *

5 Social Withdrawal Personality changes may lead to isolation
- A third of all people with dementia live alone Poor judgement / functional skills impairs self-sustainability Expensive costs of treatment due to necessary empathy of caretaker Diagnosis of dementia among independent seniors difficult without support

6 Stages of Dementia * Stage 1
Normal functioning, no memory loss, mentally healthy Normal forgetfulness associated with aging Increased forgetfulness, slight difficulty concentrating, decreased work performance Difficulty concentrating, decreased memory of recent events, trouble managing Major memory deficiencies, need assistance to complete daily activities Require extensive assistance to carry out daily activities No ability to speak or communicate, require assistance with most activities *

7 Necessity for Research
Increased tendency to live in isolation may push patient into avoiding contact with doctor Online cognitive tests might incentivize confined patients to participate in survey Will allow doctors to have greater outreach to patients who do not want to leave home The research will allow us to explore the possibility of eliminating all paper based cognitive assessments

8 Telecog Research * - Conduct test on at least 30 adults ages 18+
- Paper Montreal Cognitive Assessment (MoCa) - Online Digit memory test - Online Spatial memory test - Determine correlation of online tests to MoCa *

9 Physiological Causes Lewy body dementia is a type of dementia that worsens over time Dementia destroys the connection between cells in the brain Lesions in the brain are directly related to dementia - Frontal lobe - judgement, behavior and intelligence - Temporal lobe – memory - Parietal lobe - language

10 Montreal Cognitive Assessment

11 Montreal Cognitive Assessment

12 Montreal Cognitive Assessment
*

13 Digit Memory Test Spatial Memory Test *

14 Sources D. P. Rice and J. J. Feldman, "Living longer in the United States: Demographic changes and health needs of the elderly," The Milbank Memorial Fund Quarterly. Health and Society, pp , 1983. I. McDowell, B. Kristjansson, G. Hill, and R. Hebert, "Community screening for dementia: The mini mental state exam (MMSE) and modified mini-mental state exam (3MS) compared," Journal of clinical epidemiology, vol. 50, no. 4, pp , 1997. E. L. Teng et al., "The Cognitive Abilities Screening Instrument (CASI): a practical test for cross-cultural epidemiological studies of dementia," International Psychogeriatrics, vol. 6, no. 01, pp , 1994. J. E. Storey, J. T. Rowland, D. A. Conforti, and H. G. Dickson, "The Rowland universal dementia assessment scale (RUDAS): a multicultural cognitive assessment scale," International Psychogeriatrics, vol. 16, no. 01, pp , 2004. E. Gould and P. Basta, "Home is where the heart Is—for people in all stages of dementia," Generations, vol. 37, no. 3, pp , 2013. "Dementia – Signs, Symptoms, Causes, Tests, Treatment, Care". Alzheimer's Association. N.p., 2016. E. Drewe, "Go-no go learning after frontal lobe lesions in humans," Cortex, vol. 11, no. 1, pp. 8-16, 1975. Reece, J.B., Urry, L.A., Cain, M.L., Wasserman, S.A., Minorsky, P.V., & Jackson, R.B. (2011). Neurons, Synapses, and Signaling. Campbell Biology 9thed. Pearson Benjamin Cummings: San Francisco. ( ) R. Parasuraman and J. V. Haxby, "Attention and brain function in Alzheimer's disease: A review," Neuropsychology, vol. 7, no. 3, p. 242, 1993. C. Solé-Padullés et al., "Brain structure and function related to cognitive reserve variables in normal aging, mild cognitive impairment and Alzheimer's disease," Neurobiology of aging, vol. 30, no. 7, pp , 2009.


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