scholarly journals Validation Research on the Application of Depth-wise Separable Convolutional AI Facial Expression Recognition in Non-pharmacological Treatment of BPSD

2021 ◽  
Vol 5 (4) ◽  
pp. 31-37
Author(s):  
Xiangyu Liu

One of the most obvious clinical reasons of dementia or The Behavioral and Psychological Symptoms of Dementia (BPSD) are the lack of emotional expression, the increased frequency of negative emotions, and the impermanence of emotions. Observing the reduction of BPSD in dementia through emotions can be considered effective and widely used in the field of non-pharmacological therapy. At present, this article will verify whether the image recognition artificial intelligence (AI) system can correctly reflect the emotional performance of the elderly with dementia through a questionnaire survey of three professional elderly nursing staff. The ANOVA (sig.=0.50) is used to determine that the judgment given by the nursing staff has no obvious deviation, and then Kendall’s test (0.722**) and spearman’s test (0.863**) are used to verify the judgment severity of the emotion recognition system and the nursing staff unanimously. This implies the usability of the tool. Additionally, it can be expected to be further applied in the research related to BPSD elderly emotion detection.

Sensors ◽  
2019 ◽  
Vol 19 (8) ◽  
pp. 1863 ◽  
Author(s):  
Samadiani ◽  
Huang ◽  
Cai ◽  
Luo ◽  
Chi ◽  
...  

Facial Expression Recognition (FER) can be widely applied to various research areas, such as mental diseases diagnosis and human social/physiological interaction detection. With the emerging advanced technologies in hardware and sensors, FER systems have been developed to support real-world application scenes, instead of laboratory environments. Although the laboratory-controlled FER systems achieve very high accuracy, around 97%, the technical transferring from the laboratory to real-world applications faces a great barrier of very low accuracy, approximately 50%. In this survey, we comprehensively discuss three significant challenges in the unconstrained real-world environments, such as illumination variation, head pose, and subject-dependence, which may not be resolved by only analysing images/videos in the FER system. We focus on those sensors that may provide extra information and help the FER systems to detect emotion in both static images and video sequences. We introduce three categories of sensors that may help improve the accuracy and reliability of an expression recognition system by tackling the challenges mentioned above in pure image/video processing. The first group is detailed-face sensors, which detect a small dynamic change of a face component, such as eye-trackers, which may help differentiate the background noise and the feature of faces. The second is non-visual sensors, such as audio, depth, and EEG sensors, which provide extra information in addition to visual dimension and improve the recognition reliability for example in illumination variation and position shift situation. The last is target-focused sensors, such as infrared thermal sensors, which can facilitate the FER systems to filter useless visual contents and may help resist illumination variation. Also, we discuss the methods of fusing different inputs obtained from multimodal sensors in an emotion system. We comparatively review the most prominent multimodal emotional expression recognition approaches and point out their advantages and limitations. We briefly introduce the benchmark data sets related to FER systems for each category of sensors and extend our survey to the open challenges and issues. Meanwhile, we design a framework of an expression recognition system, which uses multimodal sensor data (provided by the three categories of sensors) to provide complete information about emotions to assist the pure face image/video analysis. We theoretically analyse the feasibility and achievability of our new expression recognition system, especially for the use in the wild environment, and point out the future directions to design an efficient, emotional expression recognition system.


2000 ◽  
Vol 12 (S1) ◽  
pp. 271-277 ◽  
Author(s):  
Michael Davidson ◽  
Mark Weiser ◽  
Karla Soares

Behavioral and psychological symptoms of dementia (BPSD) have a significant impact on patients and their families. These symptoms affect quality of life and medical and social service utilization, and determine time of institutionalization. Over the past three decades, academic-based clinical investigators have conducted trials of almost all classes of marketed psychotropics in an attempt to ameliorate these symptoms. With few exceptions, these studies suffered from serious methodologic shortcomings, such as small patient populations or too many outcome measurements (Stern et al., 1997). Despite these flaws and equivocal findings, a consensus has emerged, and antipsychotics have become the most commonly prescribed drugs for this condition (see consensus statement in this issue). Unfortunately, a meta-analysis of trials of conventional neuroleptics has revealed that this class of drugs is barely superior to placebo (see article by Lon Schneider in this issue). In addition, conventional neuroleptics cause extrapyramidal adverse effects, tardive dyskinesia, sedation, and cardiovascular instability, adverse effects to which the elderly are particularly vulnerable.


2000 ◽  
Vol 12 (S1) ◽  
pp. 415-418 ◽  
Author(s):  
Carlos A. Mangone ◽  
Adrían Alvarez Bueno ◽  
Ricardo Allegri ◽  
Raúl Arizaga ◽  
Ricardo Nitrini ◽  
...  

Latin America has a connotation of youth (Mangone & Arizaga, 1999). Yet we cannot ignore the significant increase in life expectancy in many Latin American countries (Table 1); as the economy and level of education improve, so does the health of the population. With the increase in life expectancy, Latin Americans are beginning to perceive dementia in the elderly as a considerable social and medical problem.


2021 ◽  
Author(s):  
Ana Catarini Lopes Baltazar ◽  
Amanda Mansur Rosa ◽  
Ana Luiza Soares Henriques de Almeida ◽  
Isabela Guedes ◽  
Luciana Maria Campos e Silva ◽  
...  

Background: Pharmacological treatments for dementia, such as antipsychotics and benzodiazepines, cause significant side effects. Therefore, the search for non-pharmacological alternatives for relieving behavioral and psychological symptoms of dementia is increasing. Up to 90% of patients with dementia are affected by one or more symptoms: behavior change, disturbing vocalization, restlessness, rambling, apathy, among others. Objectives: Analyze the effectiveness of non-pharmacological measures in the management of dementia. Design and Setting: Review of the literature. Methods: The PubMed database was used with the descriptors “non pharmacological interventions”, and “dementia”. From the 450 found, 9 articles published between 2015 and 2019 were selected. Results: Some non-pharmacological measures reported were art therapy, music therapy, aromatherapy, behavioral therapy and physical exercises. However, intervention methods varied between studies as they used different teoric bases and investigated individually the effect of personalized activities. The best results were found when the treatment was adapted to the interests and skills of the participants, mainly regarding apathy and agitation. In addition, a study has shown that an organized non-pharmacological intervention program was also effective in controlling external and intrinsic symptoms, including hallucination and delirium. Conclusion: Studies focusing on alternative approaches reveal that different non-pharmacological interventions are able to reduce psychological symptoms and behavioral disorders. Therefore, they should be considered as first option interventions for treatment. In addition, these variants of precise treatment for greater visibility and more comprehensive studies.


2017 ◽  
Vol 41 (S1) ◽  
pp. S657-S657
Author(s):  
A.R. Ferreira ◽  
S. Martins ◽  
C. Dias ◽  
M.R. Simões ◽  
L. Fernandes

IntroductionBehavioural and psychological symptoms (BPSD) are frequent in dementia and their contribution to poor health outcomes is well recognized. Four major frameworks attempt an explanation their aetiology: biological, behavioural, environmental vulnerability and unmet needs models. The latter states that BPSD are symptoms of needs that are not being met due to patients’ decreased ability to communicate/fulfil them. This model also implies that if needs were met, BPSD would improve.AimsTo explore the relation between needs and BPSD, and describe which unmet needs were contributing to BPSD in an elderly sample.MethodsA cross-sectional study was conducted in three Portuguese nursing homes. All residents were considered eligible. However, those unwilling or unable to participate were excluded. For each elderly patient, needs were assessed with camberwell assessment of need for the elderly/cane and BPSD with European Portuguese neuropsychiatric inventory/NPI.ResultsThe final sample included 166 elderly with an average of 80.9(sd = 10.2) years. Significant correlations between NPI and unmet and global needs were found (rs = 0.181,P = 0.020; rs = 0.254,P = 0.001, respectively). Additionally, the unmet needs of daytime activities (P = 0.019), company (P = 0.028) and behaviour (P = 0.001), presented significant correlations with NPI.ConclusionIn this sample, a high number of unmet needs were found. The absence of daytime activities, company and behaviour contributed to the identified BPSD, which is in line with other studies also highlighting the importance of these needs in nursing homes. This not only provides a framework for understanding BPSD, but also points to the identification of unmet needs as pivotal in prevention and treatment of these symptoms.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 496-496
Author(s):  
Maritza Buenaver

Abstract The geriatric psychiatry outpatient clinic provides assessment of the elderly Veteran with mental illness and behavioral and psychological symptoms of dementia. I will describe strategies developed and implemented in this setting to provide education to the caregiver (family) to improve early identification of delirium, depression and cognitive impairment. This education proved to reduce the number of pharmacological treatment and increase the use of nonpharmacological interventions based on "what matters to the patient" and following the BEERS criteria guidelines. One of the most important outcomes of the education and evaluation in the geriatric psychiatric clinic was a decrease in number of emergency room visits of elderly, specifically those with dementia.


Author(s):  
Vignesh Madaswamy Pillai

Geriatric health care is the process of planning and coordinating care of the elderly with physical and mental impairments to meet their long-term needs, improve their quality of life and maintain their independence for as long as possible. India has, acquired the label of “an aging nation with 8.3% of its population being more than 60 years old. Due to increased elderly population, the prevalence of Geriatric specific disease condition is also increase number of psychiatric complications like Dementia, Delusional disorders, Hallucinations, Depression, Anxiety, Personality alterations, Alzheimer’s disease and age related neurological problems. A 65 year old male patient diagnosed as having Alzheimer’s disease (AD) whose cognitive decline and behavioural and psychological symptoms of dementia (BPSD) where severe and showing symptoms of agitation, irritability, anxiety, urinary incontinence and wanderings. He was treated with Brahmi and Ashwagandha sidha tail matra vasti for 21 days along with Brahmi and Ashwagandha sidha takradhara for 7 days. A total of three settings of takradhara with gap of five days in between each settings were given to the patient and the results were assessed after completion of treatment. Significant results were noted in behavioral and psychological symptoms of the patient.


Sign in / Sign up

Export Citation Format

Share Document