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EVALUATION OF THE EFFECTIVENESS OF NEUROPSYCHOLOGICAL SCALES IN DIAGNOSING PRE-DEMENTIA AND DEMENTIA DISORDERS IN PATIENTS WITH ALZHEIMER'S DISEASE

2024· article· en· W4390695752 on OpenAlexaboutno aff
А.А. Лакутин, T. A. Emelyantseva, L.A. Zhilevich, V. A. Korzun

Bibliographic record

VenueJournal of the Grodno State Medical University · 2024
Typearticle
Languageen
FieldNeuroscience
TopicNeurological Disorders and Treatments
Canadian institutionsnot available
Fundersnot available
KeywordsDementiaNeuropsychologyDiseaseMontreal Cognitive AssessmentMedicinePsychiatryAlzheimer's diseaseCognitionPsychologyInternal medicine

Abstract

fetched live from OpenAlex

Background. Dementia is currently the seventh leading cause of death in the world. Alzheimer's disease (AD) is the leading form of dementia worldwide, accounting for about 60-70% of cases. Almost 10 million new cases of dementia occur each year. Aim. To evaluate the effectiveness of using neuropsychological scales MMSE, FAB and MoCA in the diagnosis of pre-dementia and dementia disorders taking into account the leading impairments of cognitive functions in individuals with AD. Material and methods. The study included 85 patients (M/W=26/59 (30.6%/69.4%) with cognitive disorders due to AD, aged 74±12.5 years. Clinical and neuropsychological study of the presence and severity of cognitive impairment in patients with AD was performed. Result. According to the results of a comparative analysis of the use of neuropsychological scales MoCA, MMSE, and FAB in the diagnosis of pre-dementia and dementia disorders in patients with AD, it was found that the MoCA scale (AUC=0.96) had the highest predictive value in our study. The combined use of MMSE and FAB scales (AUC=0.95) also showed high prognostic significance in the diagnosis of pre-dementia and dementia disorders. The lowest prognostic significance was shown by the use of the FAB scale (AUC=0.73). At the stage of pre-demanding disorders in persons with AD, opto-spatial disorders are either absent or have an insignificant degree of severity. According to the results of the study, opto-spatial disorders at the pre-demand stage in patients with AD were detected significantly less frequently (χ2=11.14; pPearson<0.001). Conclusion. The MoCA scale (AUC=0.96) has the highest predictive value in the diagnosis of pre-demanding and dementia disorders in patients with AD in our study. Additional diagnostics of opto-spatial disorders in patients with AD allows increasing the sensitivity (from 80% to 90%) and specificity (from 92.3% to 94.1%) of the MoCA scale in the diagnosis of pre-demanding and dementia disorders in patients with AD.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.006
Threshold uncertainty score0.169

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.015
GPT teacher head0.257
Teacher spread0.242 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2024
Admission routes1
Has abstractyes

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