• Title/Summary/Keyword: Cognition function

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The Effect of Computerized Cognitive Program on Cognitive Function and Activities of Daily Living of Stroke Patients (전산화 인지프로그램 적용이 뇌졸중 환자의 인지기능과 일상생활활동에 미치는 영향)

  • Jang, Cheul;Bae, Won-Sik
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.49-58
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    • 2021
  • Purpose : This study investigates the effects of the application of traditional occupational therapy and the korean computerized cognition training system on the cognitive function and performance of daily activities of stroke patients with cognitive impairment. Methods : From inpatients referred for rehabilitation treatment at L Rehabilitation Hospital located in Busan, 20 patients diagnosed with stroke from April 05. 2021 to May 02. 2021 (study period) were selected, They were divided into two, an experimental group consisting of 10 subjects who underwent a computerized cognitive rehabilitation program and traditional occupational therapy in combination and a control group of 10 subjects who underwent traditional occupational therapy alone. In order to measure the cognitive function of the subjects before the intervention, two assessment tests were conducted: a Neurobehavioral Cognitive Status Examination (NCSE), which evaluates stroke-related cognitive ability, and a Functional Independence Measure (FIM) test, which evaluates life activities. Then, both groups received a total of 20 training sessions at 30 minutes per session, five times a week for four weeks. Results : A statistically significant difference was found in cognitive function between before and after the cognitive training for both the experimental group and the control group. For the FIM scores, statistically significant differences were observed after intervention in the categories of handling personal matters and social cognition, and in the total score. The average scores of the remaining items also improved. Conclusion : The results of this study showed that both the computerized cognition rehabilitation program and the traditional occupational therapy had a positive effect on the improvement of cognitive function in stroke patients.

A Study on the Cognition of Speculative Aesthetics in the Architectural Space (건축 공간의 사변미학적 인식에 관한 연구)

  • Lee, Yong-Jae
    • Korean Institute of Interior Design Journal
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    • v.21 no.1
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    • pp.51-58
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    • 2012
  • The purpose of this study is to present the cognition of speculative aesthetics in the architectural space. Architectural space as the subject of the aesthetical study has been ignored such a long period though it should be centered of the whole architectural theory. Even it has not been dealt with independently but just only as a part of aesthetic or artistic field. Also it is also true that academic approach to the architectural space as per the aesthetic recognition has not been done so satisfactorily. The transcendental subjectivity as the aesthetic cognitive viewpoint of the architectural space means speculative aesthetics and the understands the essential meaning of the function and composition The conclusions of this study are as follows : The formalistic cognitive concepts including organic functional space between the whole and the part and anti-cubic synchronous space are included in the architecture of the speculative cognition, and finally the contextual cognitive concepts including the restoring analogical space of the in-depth constituent factors and associated centripetal spaces.

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Factors Influencing Care Dependency in Patients with Dementia (치매환자의 간호의존도 영향요인)

  • 김은주
    • Journal of Korean Academy of Nursing
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    • v.33 no.6
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    • pp.705-712
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    • 2003
  • Purpose: The purpose of this study was to explore factors that influence care dependency of institutionalized patients with dementia. Method: This study utilized descriptive correlational design. The convenience sample was composed of 110 residents with dementia of two long-term care facilities in Korea. Stepwise multiple regression was used to identify significant factors influencing care dependency in patients with dementia. Care dependency was measured using the Care Dependency Scale, Korean version(CDS-K). Cognition was measured by the MMSE-K. Functional disability was measured by the PULSES Profile. Behavioral dysfunction was measured by the modified E-BEHAVE AD. Result: Care dependency was significantly influenced by cognition, functional disability, behavioral dysfunction, and duration of dementia. This regression model explained 61 % of the variances in care dependency. Cognition explained 37% of the variances, and functional disability explained 21% of the variances. Conclusion: Results of this study suggest that professional caregivers intervene more effectively in caring for their patients with dementia by recognizing the patients cognitive, functional, behavioral disability, and its periodic change. Individually, remaining abilities-focused intervention should be applied to enhance patient to be dependent and to prevent unnecessary independency.

The Effects of Ohyaksungi-san(Wuyaoshunqi-san) on Cognition and Motor Function Recovery after Ischemic Brain Injury in Rat (오약순기산(烏藥順氣散)이 허혈성 뇌손상 흰쥐의 인지 및 운동기능회복에 미치는 효과)

  • Ryu, Ki-Jun;Choi, Jin-Bong;Shin, Mi-Suk;Kim, Sun-Jong
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.3
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    • pp.1-17
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    • 2008
  • Objectives : Ohyaksungi-san(Wuyaoshunqi-san) has been used for many years as a treatment for cerebrovascular diseases in Oriental medicine. This study was designed to evaluate the effects of Ohyaksungi-san(Wuyaoshunqi-san) on cognition and motor function recovery after ischemic brain injury, and also the expression of BDNF in hippocampus. Methods : This study was designed with 4 subgroups to evaluate the effects of Ohyaksungi-san(Wuyaoshunqi-san). As control groups, group I has no treatment during 1 week after ischemic brain injury and group II has no treatment during 2 weeks after ischemic brain injury. As experimental groups, group III has been treated with Ohyaksungi-san(Wuyaoshunqi-san) during 1 week after ischemic brain injury and group IV have treated with Ohyaksungi-san(Wuyaoshunqi-san) during 2 week after ischemic brain injury. Each group has been examined by tests as follows, neurological motor behavioral tests, cognitive motor behavior test and histological test. Neurological motor behavior tests consisted of limb placement test, beam-walking test and horizontal wire test. Cognitive motor behavior test was performed by using Morris water maze. In the histological test, TTC(2,3,5-triphenylteterazolium chloride) staining, hematoxylin & eosin staining, and immunohistochemical staining were used. Results : 1. The tests for motor function recovery change had significantly good result in the experimental groups as compared with control groups(p<.05). 2. The Morris water maze test on cognition also had significantly good result in the experimental groups as compared with control groups(p<.05). 3. In the immunohistochemical staining for the expression of BDNF in hippocampus, more immune reaction was investigated in the experimental groups as compared with control groups. Especially group IV has the greatest immune reaction. Conclusions : Ohyaksungi-san(Wuyaoshunqi-san) has good effects on cognition and motor function recovery after ischemic brain injury, and also the expression of BDNF in hippocampus.

Causality of Placeness Cognition by Using Structural Equation Modeling in Suseong Amusement Park (수성유원지 장소성 인식 요인 인과구조모형 분석)

  • Han, Jae-Gyeong;Eom, Boong-Hoon
    • Journal of Environmental Science International
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    • v.29 no.10
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    • pp.961-968
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    • 2020
  • This study aims to analyze the causality of placeness cognition which includes the place satisfaction, place attachment, place function, and behavioral intention of those who visit Suseong amusement park. A questionnaire survey was administered to 255 individuals who visited in Suseong amusement park. To conduct the analysis, six hypotheses were formulated and tested. While two hypotheses were statistically rejected, four hypotheses were accepted. First, place satisfaction was found to have a positive effect on place function (β=.577, p<0.001). Second, place attachment had a positive effect on behavioral intention (β=.450, p<0.001). Third, place function had a positive effect on behavioral intention (β=.247, p<0.05). Fourth, place function was found to have a positive effect on place attachment (β=.637, p<0.001). Unlike most existing research which has indicated that place satisfaction has a direct effect on behavioral intention this study suggests a that double mediating effect through place function and place attachment between place satisfaction and behavioral intention. In addition to increasing satisfaction through the environment of the Suseong Amusement Park, it is also necessary to improve the function of the place to ensure repeated visits from visitors.

Effects of Contralateral Seventh Cervical Nerve Transfer on Upper Extremity Motor Function in the Patients with Spastic Hemiplegia after Stroke: a Retrospective Cohort Study

  • Wonjae Choi
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.502-508
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    • 2022
  • Objective: Contralateral seventh cervical nerve transfer (contralateral C7 transfer) is a newly attempted method to restore upper extremity motor function in the patients with spastic arm paralysis. The aim of this study was to investigate the effects of contralateral C7 transfer on upper extremity motor function in the patients with spastic hemiplegia after stroke. Design: A retrospective cohort study. Methods: Thirty-four patients with spastic hemiplegia after stroke was investigated. All patients registered between January 2020 and February 2021. The subjects were assessed on upper extremity motor function, cognition, and spasticity before and after contralateral C7 transfer. The upper extremity motor function was measured using the Fugl-Meyer upper extremity scale and box & block test. The cognition and spasticity were assessed by Korean version mini mental state examination (K-MMSE) and modified Ashworth scale from baseline to 8 weeks after the surgery. Results: The Fugl-Meyer upper extremity scale and modified Ashworth scale were significantly improved after contralateral C7 transfer (p<0.05). However, box & block test and K-MMSE were no significant changes after the surgery (p>0.05). Conclusions: This study suggested that the contralateral C7 transfer was a feasible and practical approach to improve upper extremity motor function in the patients with spastic hemiplegia after stroke, but further study is required to identify the long-term effects after the contralateral C7 transfer.

Environmental Cognition of Buddhism in the View of the Environmental Psychology(I) -Formation of Concept- (환경심리 측면에서 본 불교의 대상인식(I) -개념설정을 중심으로-)

  • 김태경;최기수
    • Journal of the Korean Institute of Landscape Architecture
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    • v.20 no.3
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    • pp.21-32
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    • 1992
  • This paper is studied on the concept of environmental cognition on accordance with the oriental(especially Buddhism) process of thinking. The Yeongiron(theroy : one of th most famous philosophy of Buddhism, the theory of cause and occasion) consists of the upgam-yeongi, the aroeyasik-yeongi, the chinyeo-yeongi and the pupkye-yeongi. And the concept of these theory are as follows: The conceptural elements of upgam-yeongi consist of sack(色), soo(受), sand(想), hand(行), sik(識). The elements connects with the western environmental psychology such as sack and objects, soo and stimuli, sand and perception, hand and cognition, sik and behavior. Similarly, aroeyasik-yeongi that consist of sangbun(相分), kyunbun(見分), chajungbun(自證分), chungjajungbun(證自證分) connects with objects, perception, cognition, behavior too. The chinyeo-yeongi divide into smase(三細) and yukchu(육추), the samse consist of mumyungupsang(無 明業相), nungyunsand(能見相), kyungyesand(境界相) and the yukchu consist of chisang(智相), sangsoksang(相續相), chipchisang(執取相), kyemyungjasang(計明字相), kiupsang(起業相), upgyegosang(業繫苦相). These elements are relates with the concept of western environmental psychology from objects to behavior too. Pupkye-yeongi represent a characteristic of objects itself rather than a process of environmental cognition. However this study has limitations that the religion and scientific methods should be compare. sack(色) : an elements of it's derivation, all kinds of material soo(受) : a function of reception, feeling sang(想) : a representation of a thought in the mind hang(行) : mental operation sik(識) : a function of judgement sangbun(相分) : the thing in itself kyunbun(見分) : a reflection in the mind chajungbun(自證分) : confirmation of kyunbun chungjajungbyn(證自證分) : self-consciousness through self-examination mumyungupsang(無明業相) : a state of mixture with the object and the subject nungyunsang(能見相) : an operation of the subject kyungyesang(境界相) : a formation of object chisang(智相) : the beginning of distinction sangsoksang(相續相) : a judgement chipchisang(執取相) : a rsponse kiupsang(起業相) : have a influence to the next behavior upgyegosang(業界苦相) : retribution

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A study on the duration of Ginkgo biloba extract effective in improving cognitive function in the elderly: A systematic review and meta-analysis

  • Cui, Fengjiao;Nawaz, Hadia;Kim, Hyun Kyung;Go, Gwang-woong
    • Korean Journal of Food Science and Technology
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    • v.54 no.4
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    • pp.403-413
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    • 2022
  • Evidence regarding the efficacy of Ginkgo biloba extract on cognitive function has been contentious. This study evaluated the effective period of G. biloba intake to improve cognition in the elderly. PubMed, EMBASE, Cochrane, Web of Science, and PsycArticles databases were searched for short-listing relevant studies. Twenty-five studies fulfilled the inclusion criteria. Cognitive efficacy was assessed based on the duration of intervention. G. biloba intake for 3-6 months statistically significantly affected cognitive function (SMD= -0.21; 95% CI -0.39, -0.03; p=0.02). However, the improvement in activities of daily living (ADLs) was not statistically significant. Thus, G. biloba intake for more than three months improves cognition in the elderly people with cognitive impairment and AD dementia without any safety risk. Intake for up to six months does not improve ADLs significantly in mild to moderate dementia patients.

The Relationship of Caregiving Appraisal and Family Function among Senile Dementia Patients' Families using In-home Services for the Long-Term Care Insurance (노인장기요양보험 재가보호서비스를 이용하는 노인성 치매환자 가족의 돌봄평가와 가족기능과의 관계)

  • Lee, Jungeun;Ko, Il Sun
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.319-330
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    • 2018
  • The aim of this study was to identify the relationship of caregiving appraisal and family function among senile dementia patients' families using in-home services for the Long-Term Care Insurance(LTCI). The participants were 121 family caregivers of senile dementia patients using in-home services for the LTCI. The participants' mean age was $53.80{\pm}10.86years$, all middle-aged women(75.2%). When negative cognition's burden and neutral one's demand in their caregiving appraisal were low and positive cognition's satisfaction and mastery in their caregiving appraisal were high, emotional function in their family function was high. There is a need to develop nursing interventions for strengthening positive cognition's satisfaction and decreasing neutral one's demand in their caregiving appraisal to improve emotional function and communication of senile dementia patients' families.

Effects of Neurofeedback Training and Computer-Assisted Cognitive Rehabilitation on Cognition and Upper Extremity Function in PostStroke. (신경되먹임 뇌파 훈련과 컴퓨터보조 인지 재활훈련이 뇌졸중 환자의 인지와 상지기능에 미치는 영향)

  • Jung, Min-Woo;Shim, Sun-Hwa
    • Therapeutic Science for Rehabilitation
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    • v.1 no.1
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    • pp.57-70
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    • 2012
  • Objective : This study was to evaluate the effects of a Neurofeedback(NFB) and Computer Assisted Cognitive Rehabilitation(CACR) training to improve on cognition and affected arm function in stroke subjects. Methods : Participants were randomly allocated to three groups: NFB(n=14), CACR(n=14) and control(n=16). All groups received occupational therapy and physical therapy for 5 session 30 minutes per week during 6 weeks. Also NFB and CACR group practiced additional NeuroComp training and RehaCom training for 30 sessions 30 minutes during 6 weeks. Results were evaluated by cognition, affected arm function. Results : There were significantly increased by CACR training that outcomes of MMSE-K(p<.05). And there weren't significantly difference by NFB and CACR training that outcomes of the affected arm function. And a difference between three groups wasn't found. Conclusion : The NFB and CACR training improves cognitive function. These results suggest that NFB and CACR training is feasible and suitable for individuals with stroke.