• Title/Summary/Keyword: Cognitive Degree

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Korean Medical Treatment of Cognitive Impairments after Traumatic Epidural Hemorrhage: A Case Report (외상성 경막외 출혈 이후 발생한 인지장애에 대한 한방치료 1례)

  • Song, Juyeon;Kim, Youngji;Kim, Hakkyeom;Hong, Seungcheol;Park, Song-won;Ahn, Lib;Jeong, Ji-Cheon
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.920-928
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    • 2019
  • Objectives: After epidural hemorrhage, sequelae may cause cognitive impairments, such as attention, memory, and performance disturbances. This case study reports on the use of traditional Korean medicine in a patient with cognitive impairments after a traumatic epidural hemorrhage. Methods: During the 46-day hospitalization period, traditional Korean medicine treatments, including Sunkihwalhyul-tang-gamibang, Ukgan-san-gajinpibanha Granule, Kyungohk-go, acupuncture, and cupping, were administered. The degree of cognitive impairment was measured based on the Mini Mental State Examination-Korea (MMSE-K), Modified Barthel Index (MBI), and correct answer ratio. Results: After traditional Korean medicine treatment, the MMSE-K score increased from 13 to 19 and the MBI score increased from 63 to 71. The patient's conversations in daily life also proceeded more smoothly than before hospitalization, and the correct answer ratio rose. Conclusion: This case reports the improvement of cognitive impairment after traumatic epidural hemorrhage in response to traditional Korean medicine treatment; further study is needed.

A study on the perception of occupational therapy majors on Cognitive Impairment Screening Test (CIST)

  • Lee, Sun-myung;Chae, Joo-hyun;Sung, I-sul;Lee, Soo-jin;Moon, Soo-bin;Park, Da-hee;Park, So-hyun
    • Journal of Korean Clinical Health Science
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    • v.9 no.2
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    • pp.1493-1501
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    • 2021
  • Purpose: The purpose of this study is to classify the characteristics of each item of CIST evaluation and to find out the degree of recognition of the characteristics of the cognitive tool. Methods: This study was conducted for occupational therapy majors at M University located in Gyeongsangnam-do. The data collection from May to June 2021. Total of 25 copies of the data were finally analyzed, SPSS Statistics 26 was used for data analysis. Results: As a result of the study, the significance level was visual reasoning 1 test strip and the visual reasoning 1 tool. In the relationship between the correspondence 1 figure simulation sheet and the figure simulation tool for each item and statistically significant, and the correspondence 2 visual reasoning 2 sheet. Visual reasoning 2 sheet and visual reasoning tool also showed that was found to be statistically significant. The correlation for visual reasoning 1 sheet and the visual reasoning 1 tool, reasoning 2 tool and visual reasoning 1 sheet, and the visual reasoning 2 tool and the verbal reasoning sheet. Conclusion: In this study, in the CIST items that may be difficult, it is better to attach the actual tool rather than the verbal explanation of the test paper to increase the efficiency of the test and the understanding of subjects with mild cognitive impairment. It was implemented by applying the tool, and it was found that the use of the tool in the visual reasoning item showed a high correlation by item. Furthermore, based on this study, it will be possible to suggest a method to control the difficulty of each subject of the cognitive evaluation tool, and to prepare a standard for future research.

Preceding Research on Comparative Analysis of the Validity of Game based Cognitive Training Program for Children with Intellectual Disabilities (지적장애 아동을 위한 게임형 인지훈련 프로그램의 타당도 선행 연구 비교 분석)

  • Kim, Seon-Chil
    • Journal of the Korea Convergence Society
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    • v.12 no.11
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    • pp.161-168
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    • 2021
  • Recently, many cognitive training programs based on digital contents have been presented, but few digital contents have been produced for children with intellectual disabilities among children with developmental disabilities. Digital contents based training programs are needed to apply remotely untact training programs rather than face-to-face apprenticeship classes for improving the cognition of children with intellectual disabilities. This study was attempted to present the new cognitive training program by analyzing concurrent validity, which was analyzed by the correlation between items by comparing with subtests of K-WISC-IV and items of game based Neuro-World cognitive training program. It was found that there are some validity by analyzing correlation between the subtests of K-WISC-IV and the items of Neuro-World program, which means that it has concurrent validity of some items of Neuro-World program. In terms of reliability, the Cronbach alpha value was 0.794, indicating that game performance of children with intellectual disabilities and the degree of level increase in each game were somewhat reliable. This is considered to be a significant result in future studies for clinical trials of cognitive training tools.

The Effect of Initial Cognitive Status on the Recovery of Functional Status in Patients with Subacute Stroke (초기 인지상태가 아급성기 뇌졸중 환자의 기능상태 회복에 미치는 영향)

  • Hong, Jeong-Min;Kim, Min-Hee
    • PNF and Movement
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    • v.19 no.3
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    • pp.351-359
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    • 2021
  • Purpose: This purpose of this study was to investigate the effects of initial cognitive status on the recovery of functional status in patients with subacute stroke. Methods: The participants were 111 patients with subacute stroke, divided into two groups: mini-mental state examination (MMSE) <20 (n=49) group and MMSE ≥20 (n=62) group. Clinical evaluation scores were collected before and after rehabilitation. The repeated measurements ANOVA was used to confirm the changes in functional status before and after intervention in the two groups. Changes in functional status within the group were examined through a paired test. A Pearson correlation coefficient analysis was performed to identify the correlation between MMSE change amount and functional status score. Results: In each of the two groups, according to the initial cognitive status, the clinical evaluation score increased statistically significantly, but there was no difference between the two groups in the degree of significant increase. When examining the correlation between the MMSE change amount, according to the initial cognitive state and the functional state score change amount, it was found, only in the group with MMSE <20, that the larger the change in the MMSE score, the greater the functional state change of Berg balance scale, Rivermead Mobility Index, and motor assessment scale. This did not apply to the group with MMSE ≥20. Conclusion: Initial cognitive status should be considered when setting the patient's goal, and considering cognitive improvement when constructing a rehabilitation program is thought to have a positive effect on rehabilitation services.

Cognitive Flexibility Promotes Creativity for Securely (but not Fearfully) Attached People (애착유형과 창의성을 높이는 인지적 경로 간의 상호작용 연구)

  • Yekang Kim;Sohyeon Shim;Seongjee Seo;Taehyun Kim;Sujin Lee
    • Knowledge Management Research
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    • v.23 no.4
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    • pp.159-175
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    • 2022
  • As creativity is a crucial attribute for companies' survival and innovative success, many firms encourage and implement ways to promote employee creativity. Previous studies in the dual pathway to creativity model have shown that creativity can be enhanced when either the cognitive flexibility or cognitive persistence path is triggered. Although individuals have different personal traits, prior research has rarely investigated whether one pathway is more effective for a certain personality in promoting creativity than the other. Using attachment theory, we examined the influence of attachment style on the degree of the impact of each path on creativity. Specifically, we hypothesized that securely attached people would show higher creativity only when they use the cognitive flexibility path. Data from the US support our hypothesis. Our research highlights that the link between cognitive flexibility and creativity is salient when securely attached people use the cognitive flexibility path because of the strong fit between secure attachment and flexible thinking.

Exploration of Forgiveness Ability in Middle-aged Married Women (중년 기혼여성의 용서수준 탐색)

  • Choi, Mi-Ok;Oh, Yoon-Ja
    • Journal of the Korean Home Economics Association
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    • v.45 no.10
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    • pp.113-126
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    • 2007
  • The purpose of this study was to examine the degree of forgiveness exercised by middle-aged married women. The subjects of the research were 345 married women selected randomly among inhabitants of Seoul. A research questionnaire was employed to gather information. The study results revealed four major patterns. First, they felt hurt by those to whom they were connected continuously in daily life, such as friends, colleagues, siblings, spouses. Second, the respondents stated that they would be very badly hurt and deeply wounded as a result of a hateful speech or suffering experience caused by people of immediate relations. Third, among the three sub-areas of forgiveness, forgiveness in cognitive category was the highest, followed by behavioral and emotional categories. Fourth, as far as the surrounding variables regarding the degree of forgiveness was concerned, physical health and happiness of the family were important while their age, gender, religion, economic levels, experience of forgiving others didn't make a difference at all.

Analysis of dental hygiene learning objectives based on Bloom's taxanomy (Bloom의 교육목표 분류에 기반한 치위생학 학습목표 분석)

  • Ki, Ji-Yun;Jang, Jong-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.2
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    • pp.193-201
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    • 2021
  • Objectives: We evaluated the learning objectives of dental hygiene courses based on Bloom's learning objectives, and analyze the degree of match with the dental hygienist's job for each detailed subject. Methods: The 5th edition of 'Dental hygiene and learning objectives' was analyzed by subject based on Bloom's cognitive domain classification from March 10 to April. In addition, the degree of match between the contents of the secondary job analysis of the dental hygienist and the learning objectives for each detailed subject were analyzed. Results: The total number of dental hygiene learning objectives was 2,975 (2,762 theory, 52 practice). Among the cognitive domains, the comprehension domain was the most common (79.8%), and the skill domain was very low (4.9%). In the job for each detailed subject of dental hygiene, the most frequently performed was 'dental prophylaxis and practice' with 103 subjects. Conclusions: Overall, dental hygiene learning objectives are mostly theory-oriented, so it is necessary to expand and improve in the direction related to the jobs that clinical dental hygienists perform in the field. In addition, it is necessary to continuously develop timely learning goals, and prepare active strategies for developing high-quality items.

Changes in cognitive function and functional disability in older adults - Comparison of groups converted and not converted to dementia among cognitively normal older adults - (노년기 인지기능과 일상생활기능장애 변화에 대한 연구 - 치매발생집단과 정상유지집단 간 차이 -)

  • Lee, Hyun Joo
    • Korean Journal of Social Welfare Studies
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    • v.44 no.2
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    • pp.327-358
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    • 2013
  • This study aimed to analyze the trajectories of cognitive function and functional disability, and to identify the impacts of socio-demographic factors on the two variables. Based on the assumption that there are differences according to the progress of cognitive impairment, it focused on examining the differences in trajectories of cognitive function and functional disability between two groups: dementia conversion group and dementia non-conversion group among cognitively normal older adults. This study was conducted based on the data from a 3-wave panel study of a sample of 966 Yeoncheon elderly cohort aged 65 and over between 1997 and 2003. Latent growth curve model and multi-group structural equation modeling were used to examine the hypothesis. Results revealed that dementia conversion group exhibited faster rate of cognitive decline as well as lower initial cognitive level. Difference between two groups was not significant in the initial level of functional disability, yet dementia conversion group showed greater degree of deterioration in the functional disability over time than dementia non-conversion group did. In terms of the influence of socio-demographic factors on cognitive function and functional disability, the cognitive decline was more drastic in the female group, whereas functional decline was more apparent for the male group. The level of education in early life had a strong impact on the cognitive function in later life. Based on these findings, practical implication for high risk groups in cognitive function and functional disability were discussed.

Meta-cognitive awareness and prospective memory retrieval process: The effect of voluntary attention allocation strategy (메타 인지적 인식과 미래계획기억 인출 과정: 자발적 주의 할당 전략의 효과)

  • Yoon, Yong-Sik;Sohn, Young-Woo
    • Korean Journal of Cognitive Science
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    • v.22 no.2
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    • pp.145-172
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    • 2011
  • Prospective memory (PM) is memory for activities to be performed in the future, such as remembering to purchase a piece of fruit on the way home or remembering to give someone a telephone message. Theoretically, PM retrieval can be accomplished either by controlled monitoring of intended action or by a more automatic process that spontaneously responds to the presence of intended event. The present study examined the effect of meta-cognitive awareness in PM retrieval process. In Experiment 1, we manipulated PM condition with a salient cue to stimulate participants' meta-cognitive awareness. Results showed the salient cue condition spontaneously triggered remembering to perform an intended action. In Experiment 2, we manipulated participants' meta-cognitive awareness about PM task difficulty and about the degree to which cognitive capacity is required to realize the PM task. Results showed that PM retrieval process varied with meta-cognitive awareness (i.e., more resources were allocated if the PM task was expected to be difficult). These results imply that participants' meta-cognitive awareness play an important role in PM retrieval process.

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A Systematic Review on the Association between Cognitive Function and Upper Extremity Function in the Elderly (노인의 인지기능과 상지기능의 관련성에 관한 체계적 고찰)

  • Moon, Mi-Sook;Jung, Min-Ye
    • Therapeutic Science for Rehabilitation
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    • v.5 no.2
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    • pp.23-33
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    • 2016
  • Objectives: The aim of this study was to investigate the association between cognitive function and upper extremity function in the elderly. The articles were analyzed based on patient, intervention, comparison, and outcome using the P.I.C.O. principle. Methods: We systematically examined papers from January, 2000 to November, 2015 published papers through the foreign journals which were Medline & Pubmed for three months. mainly used key words were elderly, dementia, Alzheimer's disease, Mild cognitive impairment, age-related, aging, cognitive, upper extremity function, hand function, hand-grip strength, grip force, complex motor function, bimanual, dexterity, UE performance, and coordination. Results: The number of discovered outcomes for association between cognitive function and upper extremity function in the elderly was 7; grip strength & sex are impact on manipulation object, 1. The results show that cognitive function is associated with upper extremity function in the elderly. Conclusion: This study is expected to help selecting intervention, assessment tools according to the individual's degree of cognitive level and upper extremity function. In future domestic research, variety assessment tools need to be used and more qualitative level experiment will be carried out.