• 제목/요약/키워드: Cognitive Difficulties

검색결과 193건 처리시간 0.031초

Virtual Reality Community Gait Training Using a 360° Image Improves Gait Ability in Chronic Stroke Patients

  • Kim, Myung-Joon
    • The Journal of Korean Physical Therapy
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    • 제32권3호
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    • pp.185-190
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    • 2020
  • Purpose: Gait and cognitive impairment in stroke patients exacerbate fall risk and mobility difficulties during multi-task walking. Virtual reality can provide interesting and challenging training in a community setting. This study evaluated the effect of community-based virtual reality gait training (VRGT) using a 360-degree image on the gait ability of chronic stroke patients. Methods: Forty-five chronic stroke patients who were admitted to a rehabilitation hospital participated in this study. Patients meeting the selection criteria were randomly divided into a VRGT group (n=23) and a control group (n=22). Both these groups received general rehabilitation. The VRGT group was evaluated using a 360-degree image that was recorded for 50 minutes a day, 5 days per week for a total of 6 weeks after their training. The control group received general treadmill training for the same amount of time as that of the VRGT group. The improvement in the spatiotemporal parameters of gait was evaluated using a gait analyzer system before and after training. Results: The spatiotemporal gait parameters showed significant improvements in both groups compare with the baseline measurements (p<0.05), and the VRGT group showed more improvement than the control group (p<0.05). Conclusion: Community-based VRGT has been shown to improve the walking ability of chronic stroke patients and is expected to be used in rehabilitation of stroke patients in the future.

장루 복원 후 증상경험과 우울이 대장암 환자의 삶의 질에 미치는 영향 (Influences of Symptom Experience and Depression on Quality of Life in Colorectal Cancer Patients with Stoma Reversal)

  • 김정하;김현정
    • Journal of Korean Biological Nursing Science
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    • 제17권4호
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    • pp.306-314
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    • 2015
  • Purpose: The purpose of this study was to evaluate symptoms, depression and quality of life in colorectal cancer patients who underwent stoma reversal, and to assess the factors related to their quality of life. Methods: A descriptive study was conducted on 125 colorectal cancer patients who underwent stoma reversal in a tertiary hospital in Korea. Data were collected using the Korean versions of the European Organization for Research and Treatment of Cancer-Quality of Life Core 30 and Colorectal Cancer Specific Questionnaire 38 (EORTC QLQ-C30 and CR38), and the Hospital Anxiety-Depression Scale. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and multiple regression analyses. Results: Participants experienced sexual problems, difficulties in defecation, and nausea/vomiting. About twenty-two percent of the patients were depressed and the mean score for global quality of life was $64.40{\pm}19.43$. The multiple regression showed that social and cognitive functioning, depression, and the location of the anastomosis were the important factors that made contributions to the quality of life in colorectal patients with stoma reversal. Conclusion: Our results suggest that symptom management and emotional support should be incorporated into nursing interventions to improve the quality of life in colorectal patients with stoma reversal.

The influence of task demands on the preparation of spoken word production: Evidence from Korean

  • Choi, Tae-Hwan;Oh, Sujin;Han, Jeong-Im
    • 말소리와 음성과학
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    • 제9권4호
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    • pp.1-7
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    • 2017
  • It was shown in speech production studies that the preparation unit of spoken word production is language particular, such as onset phonemes for English and Dutch, syllables for Mandarin Chinese, and morae for Japanese. However, there have been inconsistent results on whether the onset phoneme is a planning unit of spoken word production in Korean. In this study, two sets of experiments investigated possible influences of task demands on the phonological preparation in native Korean adults, namely, implicit priming and word naming with the form preparation paradigm. Only the word naming task, but not the implicit priming task, showed a significant onset priming effect, even though there were significant syllable priming effects in both tasks. Following the attentional theory ($O^{\prime}S{\acute{e}}aghdha$ & Frazer, 2014), these results suggest that task demands might play a role in the absence/presence of onset priming effects in Korean. Native Korean speakers could maintain their attention to the shared onset phonemes in word naming, which is not very demanding, while they have difficulties in allocating their attention to such units in a more cognitive-demanding implicit priming, even though both tasks involve accessing phonological codes. These findings demonstrate that there are cross-linguistic differences in the first selectable unit in preparation of spoken word production, but within a single language, the preparation unit might not be immutable.

여성 가족부양자의 건강상태 및 가족부양의 부정적.긍정적인 영향 (Health Status of Women Caregivers and Negative and Positive Impacts of Family Caregiving)

  • 김진선
    • 대한간호학회지
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    • 제30권3호
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    • pp.632-646
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    • 2000
  • The purpose of this study was to examine the health status of the daughter and daughter- in-law caregivers who care for a cognitively and/or functionally impaired elderly, individual to identify factors that were related to reported health outcomes, and to investigate the negative and positive impacts of family caregiving. Data was collected from 120 daughter and daughter-in-law caregivers and care-recipients using face to face interviews. Most caregivers were daughters- in-law (77.5%) and most care-recipients were female (88.3%). Sixty-eight percent (n=81) of caregivers reported depressive symptomatology. General health also deteriorated by caregiving. Caregivers reported several negative impacts (difficulties): care-recipients' problematic behaviors, deterioration of their own health, pressure from social norms related to family caregiving in Korea, intrafamily conflict, and economic problems. Contrary to the popular belief, caregivers reported diverse positive impacts of family caregiving (68.3%): a sense of filial responsibilities, recognition from elderly, family members, relatives, and society, education for the children, and familial harmony. Higher depression score was predicted by lower family income, the presence of cognitive impairment of care-recipients, and higher level of social conflict of caregivers. Poor general health of caregivers was predicted by older caregivers' age, lower competing roles of caregivers, and poor emotional health. While not seeking to deny the negative aspects of family caregiving, it is also necessary to understand positive aspects of family caregiving to see complete picture of caring for an elderly family member.

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사용자의 지각 현상을 통한 공간인지 및 공간행위에 대한 연구 - 공간인지와 사용자 행태와의 관계 - (A Study on Spatial Perceptions and Behaviors through the Perception Phenomenon of the User - The Relationship between Spatial Perception and User Behavior -)

  • 김가영
    • 한국실내디자인학회논문집
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    • 제22권5호
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    • pp.143-151
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    • 2013
  • As we recognize the space, humans will experience a process to synthesize elements of cognitive various methods, come to understand the environment. It is intended that on humans to recognize the space, it is intended to act directly under study how to recognize. Humans can know that the determining action based on the values and physical condition, based on the space in which they have been recognized, there are differences in the behavior of the human as a result. Social and arrangement of components - physical region that is cultural difficulties constitute experience specific areas therein. Space for human activities and human, can know that it is not a memory of human behavior, to have a closer relationship with human perception. That is, the description will be aware of the space via the perceptual phenomenon of man due to physical elements performed in the space, what acts about what happens. Through an understanding of the potential for this, and emotion space production consisting only of physical visual element future, and use act of the area to be expressed from his recognition, through the expansion of the perceptual elements, diverse experience richer and more it is a case where deemed necessary access space configuration capable of a broad depth study of this portion is happening, in order to constitute a space, a new interpretation for human behavior is progressing.

디자인 사고 분석을 통한 외국인의 한국 언어 학습의 연구 (A Study on Foreigners' Korean Language Learning Experiences through Design Thinking Analysis)

  • 리페이즈;김보연
    • 디지털융복합연구
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    • 제15권5호
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    • pp.345-351
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    • 2017
  • 국어를 공부하는 외국인 학생들이 몇 년간 급격하게 증가하면서 한국어의 국제적인 지위가 올라가고 있다. 하지만 외국인 학생들의 입장에서는 한국어를 배우는 과정에 많은 어려움을 겪는 점이 드러나고 있다. 또한 이에 더해 한국 학생들과 외국인 학생들간의 이해관계가 어려워지는 점을 지적하는 연구가 나오고 있다. 에린 샌더의 디자인 연구 스파이럴을 통해서 이 논문은 한국에 있는 외국인 학생들의 한국어 교육경험을 조사했다. 또한 이 학생들의 한국어 학습에 대한 인식과 효과적인 요인들을 분석하였다. 결론적으로 본 연구는 디자인 연구를 통해 한국어 학습에 중요한 통찰을 결과로 도출했으며, 외국인 학생들이 한국어를 효과적으로 공부하는데 기여할 디자인 기회를 도출한 의의가 있다.

수학적 귀납법에 대한 학생들의 이해에 관하여 (On the Students' Understanding of Mathematical Induction)

  • 홍진곤;김윤경
    • 대한수학교육학회지:수학교육학연구
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    • 제18권1호
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    • pp.123-135
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    • 2008
  • 본 연구에서는 고등학교 과정에서 다루어지는 수학적 귀납법 증명의 대표적인 예제들을 이해하고 증명하는데 필요한 스키마를 분석하고, 그에 대한 학생들의 구성 여부를 조사하였다. 함수 스키마와 명제치 함수 스키마의 구성은 함의치 함수 스키마와 긍정 논리식 스키마의 구성에 선행하며 함의치 함수 스키마와 긍정 논리식 스키마는 수학적 귀납법 스키마를 위해 통합적으로 조절되어야 한다는 점도 확인하였다. 이를 바탕으로 하여 수학적 귀납법에 대한 학생들의 이해 수준은 $1{\sim}4$ 수준으로 설정될 수 있었다. 또한 이러한 이해 수준과 관련하여 수학적 귀납법을 학습하면서 겪는 학생들의 인지적 어려움이 분석되었다.

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「2017 한국의 소비생활지표」를 활용한 의료영역 중요도 선택 요인 분석 (The analysis of selection factors of medical domain importance using 「2017 Consumption Life Indicators in Korea」)

  • 박녕서;김건엽;이원기
    • 보건의료산업학회지
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    • 제14권1호
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    • pp.43-53
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    • 2020
  • Objectives: The purpose of this study was to investigate the factors of importance in the medical field from the perspective of the consumer, using "Consumption Life Indicators in Korea." Methods: We examined the general characteristics, economic conditions, information acquisition, complaint-provoking experiences, cognitive score on dispute resolution, and factors affecting medical domain importance selection, using SAS 9.4. software. Results: It was found that "age" among general characteristics and "income" among economic conditions were important factors in selecting medical domain importance. Thus, it was possible to reaffirm the poor health of socioeconomically vulnerable people and their socioeconomic difficulties. Conclusions: The medical domain selection group needs the attention of the government, medical institutions, academia, consumer groups, community service groups and professional organizations, and needs substantial economic support and customized education.

편측 뇌손상 환자에서 동측 상지의 근위부 및 원위부의 운동 결함에 관한 분석 (Ipsilesional Movement Deficit of Proximal & Distal Upper Extremity in Patients With Unilateral Brain Damage)

  • 권용현;최진호;신화경;배대석
    • 한국전문물리치료학회지
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    • 제12권1호
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    • pp.71-79
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    • 2005
  • The purpose of this study was to analyze the presence of ipsilesional movement deficit, with segmental performance in each proximal or distal upper extremity. The visuoperceptual complex task of the ipsilesional upper extremity was investigated in patients with unilateral brain damage and a control group of healthy sex-age-matched controls. Tracking movements were tested in the proximal and distal upper extremities. Movements were measured by the accuracy index, which was normalized to each subject's own range of motion and took into account any differences between subjects in the excursion of the tracking target. The findings revealed that stroke patients experienced difficulties with tracking movement of both proximal and distal segments in the upper extremities on the so-called "non-affected side", irrespectively of the extent of patient's age, time since onset, or severity of contralateral upper extremity. Therefore, the unilateral brain damage affected ipsilateral motor function of the proximal and distal upper limbs in the performance of complex motor tasks, requiring central processing and the higher order cognitive function in the integrity of both hemispheres.

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Visual Perception in Autism Spectrum Disorder: A Review of Neuroimaging Studies

  • Chung, Seungwon;Son, Jung-Woo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제31권3호
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    • pp.105-120
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    • 2020
  • Although autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social impairments, patients with ASD frequently manifest atypical sensory behaviors. Recently, atypical sensory perception in ASD has received much attention, yet little is known about its cause or neurobiology. Herein, we review the findings from neuroimaging studies related to visual perception in ASD. Specifically, we examined the neural underpinnings of visual detection, motion perception, and face processing in ASD. Results from neuroimaging studies indicate that atypical visual perception in ASD may be influenced by attention or higher order cognitive mechanisms, and atypical face perception may be affected by disrupted social brain network. However, there is considerable evidence for atypical early visual processing in ASD. It is likely that visual perceptual abnormalities are independent of deficits of social functions or cognition. Importantly, atypical visual perception in ASD may enhance difficulties in dealing with complex and subtle social stimuli, or improve outstanding abilities in certain fields in individuals with Savant syndrome. Thus, future research is required to elucidate the characteristics and neurobiology of autistic visual perception to effectively apply these findings in the interventions of ASD.