• Title/Summary/Keyword: Cognitive Levels

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Effects of the Sensory Impairment on Functioning Levels of the Elderly (노인의 감각장애와 기능상태에 관한 연구)

  • 송미순
    • Journal of Korean Academy of Nursing
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    • v.23 no.4
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    • pp.678-693
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    • 1993
  • The purposes of this study were to describe the level of vision and hearing impairments, depression and functional capacity, among Korean institutionalized elderly and to examine the relation-ship between sensory impairments, depression, and functional capacity in these people. The final pupose was to test the cognitive function path model using sensory competencies as predictors. A convenience sample of thirty nine male and 90 female subjects with a mean age of 80.5 were the subjects of this study. The subjects were tested for cognitive function, and vision and hearing impairments. Physical function and social function were measured by observation of designated task performance by the subjects. Their level of de-pression was measured using a Geriatric Depression Scale administered through an interview. Individual subjective ratings of hearing and vision were marked by the subjects, on a ladder scale. The results of the study showed that 48.8% of the subjects had a hearing impairment, 63.5% had a vision impairement, and 36.4% had both a vision and hearing impairement. The four sensory groups (no sensory impairement, hearing impairement, vision impairement, hearing and vision impairement) were tested for differences in depression, physical function, social behavior and cognitive function. The only significant difference that was found was in cognitive function, between the no sensory impairement group and the hearing and vision impairement group(F=3.25, P<.05), Subjective ratings of hearing showed a significant correlation with cognitive function(r=.34, p<.001) and with social behavior(r=.31, p<.001). There was no correlation between subjective vision ratings and cognitive function or social behavior. However there was a significant correlation between vision and hearing(r=.49, p<.001). There was also a significant negative correlation between age and vision(r=-.21, p<.01) and between age and hear-ing(r=-.34, p<.001). There was a significant correlation between depression and physical function (r=-.32, p<.001) but there was no correlation between depression and cognitive function or social behavior. Based on the literature review and the result, this study, a path model of sensory competence-> cognitive function- >social behavior was developed and tested : Perceived vision and perceived hearing were the exogenous variahles and cognitive function and social behavior were the endogeneous variables in the model. The path analysis result demonstrated an accept-able fit (GFI=.997, AGFI=.972, X$^2$=.72 (p=.396), RMSR=.019) between the data and the model. There was a significant direct effect($\beta$=.38) of perceived hearing on cognitive function. There was a significant direct effect ($\beta$=.32) of cognitive function on social behavior. The total effect of hearing on social behavior was $\beta$=.32 including the indirect effect ($\beta$=.12) . However perceived vsion had little effect ($\beta$=-.08) on cognitive function. The result of path analysis confirms that hearing levels influence cognitive function, and both hearing and cognitive function levels influence social behavior. However, vision has little effect on cognitive function or on social behavior. For the next study, a combined model of the pre viously developed environment - >depression- > physical and social function model, and the present cognitive function model, should be tested to further refine the functional capacity model. There also a need for longitudinal study of functional capacity and sencory competence in order to better understand how declining sensory competence influences functional capacity and how it effects in-creasing dependency and nursing needs in the elderly.

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Analysis of Students' Cognition for Enrichment Mathematics Textbook Tasks' Levels of Cognitive Demand (심화수학 교과서 과제의 인지적 노력수준에 대한 학생 인식 분석)

  • Jung, Hye Yu;Lee, Kyeong-Hwa
    • Journal of Educational Research in Mathematics
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    • v.27 no.4
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    • pp.615-637
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    • 2017
  • The purpose of this study is to analyze the actual realization of the opportunity to learn given to students by examining students' cognition for enrichment mathematics textbook tasks' levels of cognitive demand. First, we analyze characteristics and limitations based on the theoretical framework. Second, we examine students' cognition about the distribution of the mathematics textbook tasks' levels of cognitive demand. And we analyze how the opportunity to learn actually work. Third, in the sense that enrichment textbooks are textbooks for science school students, we analyze whether the opportunity to learn for gifted is offered. The conclusion is as follows: First, with respect to levels of cognitive demand, PNC tasks account most. Second, students also cognize that PNC tasks account most. Third, tasks for gifted are not offered and students also cognize that opportunity to learn for gifted is lacked.

The Effect of Cognitive-Emotional Regulation, Emotional Self-Disclosure and Maternal Psychological Control on Depression among Adolescents (정서조절, 정서적 자기개방 및 어머니의 심리적 통제가 중·고등학생의 우울에 미치는 영향)

  • Kim, So A;Kang, Min Ju
    • Korean Journal of Child Studies
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    • v.34 no.5
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    • pp.61-77
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    • 2013
  • This study examined the influence of cognitive-emotional regulation, emotional self-disclosure and maternal psychological control on adolescent depression. The participants in this study consisted of 280 middle school students and 287 high school students in Gyung Gi Province, Korea. The results of this study were as follows. First, the high school students exhibited higher scores on depression than middle school students while there were no meaningful differences in maternal psychological control, cognitive-emotional regulation and emotional self-disclosure. Second, both middle and high school students' depression levels were positively associated with maternal psychological control and maladaptive cognitive-emotional regulation. Both middle and high school students' depression was negatively associated with emotional self-disclosure. Third, maladaptive cognitive-emotional regulation and maternal psychological control had a significant effect on both middle and high school students' depression levels, while emotional self-disclosure had a significant effect on high school students' depression only. In both age groups there was an interactive effect of maladaptive cognitive-emotional regulation and maternal psychological control on depression.

Correlations among the Continence Function, Cognitive Function and Activities of Daily Living in Elderly Male Patients with Dementia in a Geriatric Hospital

  • Kim, Hong Rae;Shin, Hee Joon;Wang, Joong San
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.1
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    • pp.972-978
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    • 2016
  • The purpose of this study was to identify correlations among the continence function, cognitive function, and activities of daily living(ADL) in elderly male patients with dementia in geriatric hospitals. The subjects were 64 patients aged 65 or above who were diagnosed with dementia among the hospitalized male patients in a geriatric hospital. For the subjects' cognitive function, a questionnaire developed for the Korean Mini Mental Status Examination(K-MMSE) was used. For the continence function and ADL, data were collected using a patient evaluation table. As a result, a lower level of cognitive function resulted in corresponding higher levels of dependence in all items of ADL except bathing(p<.05), and a lower level of cognitive function led to corresponding declines in the continence function(bowel control, bladder control)(p<.01). In addition, a higher level of dependence in ADL resulted in corresponding higher levels of difficulty in bowel and bladder control(p<.01). This study showed correlations among the cognitive function, ADL, and continence function of elderly men with dementia. The results of this study may be used as basic data for the management and treatment of hospitalized elderly male patients with dementia in geriatric hospitals.

An Analysis of the Cognitive Characteristics of Child Residential Environment Using Cognitive Map (인지도(Cognitive Map)를 활용한 아동의 주거환경 인지 특성 분석)

  • Park, Jeong-Hee;Kim, Mi-Hui
    • Journal of the Korean housing association
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    • v.23 no.5
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    • pp.19-29
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    • 2012
  • It is very necessary to know about child recognition of residential environment to plan and design an environment proper for children's growth and development. The research method using Cognitive Map, which may be defined as "an overall mental image of representation of the space and layout of a setting" can be a good tool for studying child recognition of residential environment. This study analyzed the child recognition of the size of home range, the number of residential environment elements, the types of Cognitive Map and the levels of Cognitive Map to understand the contents of child recognition about their residential environment. Subjects were 206 children in age6, 8 and 10 in Gwanju and Jeonnam area. As the result of the study, we found that 70% of child recognized 100~500 M as the size of home range, and that the number of the elements of residential environment was 7, average. And we also found that sequential map was more popular than spatial map in child's Cognitive Map type and that almost 60% of child respondents drew the Cognitive Map of level 1 complexity type. As the result of this study, we could know that the research method using Cognitive Map was very useful for understanding the child recognition of residential environment.

A Correlation of Cognitive Function, Depression, Suicidal Idea and Serum Lipid Levels in the Elderly Over Sixty Years of Age (60세 이상 노인 인구에서 인지기능과 우울증, 자살사고, 혈청지질농도와의 연관성)

  • Moon, Jung-Joon;Lee, Bong-Ju;Kim, Jeong-Eun;Kim, Woo-Jin;Kim, Min-Hyo;Park, Min-Kyong;Song, Tae-Hong;Shim, Joo-Cheol;Kim, Gyung-Mee;Lee, Jung-Goo;Kim, Young-Hoon
    • Korean Journal of Biological Psychiatry
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    • v.17 no.4
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    • pp.210-217
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    • 2010
  • Objectives : We investigated a correlation of cognitive function, depression, suicidal idea and serum lipid levels in Korean elderly over 60 years old to find risk factors of deprssion and cognitive decline. Methods : 834 persons participated in this study. Clinical evaluation was done at a point by using Mini-Mental State Examination in the Korean version of CERAD assessment packet(MMSE-KC). We also evaluated 165 persons that agreed to our exact examination for Geriatric Depression Scale(GDS), Scale for Suicidal Ideation(SSI), Hachinski Ischemic Score and serum lipid profile. Correlation analysis was used to evaluate correlation among serum lipid levels, MMSE-KC and SSI. One-way ANOVA was used for comparison of serum lipid levels and cognitive function, depression and SSI. We did a post-hoc analysis. Results : Depression and suicidal ideation were related with cognitive impairment in Korean elderly over 60 years old. Those who have more severe cognitive impairment and depressive symptom, have higher Hachinski ischemic score. We can see high HDL cholesterol levels only in the normal control group. Low total, HDL, LDL cholesterol were related with depression. Conclusion : There was high prevalence of depression in the Korean elderly over 60 years old and low serum lipid level was related with severity of depression and high suicidal ideation. In the normal control group, we can see high HDL cholesterol levels. To confirm this result, we need well-designed and wide range study.

A Study on Physical, Cognitive, and Social Functioning Levels in Institutionalized elderly (요양원 노인의 신체적, 인지적, 사회적 기능상태에 관한 연구)

  • Kim, Jung-Soon;Kwon, Ja-Youn
    • Research in Community and Public Health Nursing
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    • v.7 no.2
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    • pp.216-228
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    • 1996
  • The purposes of this study were to investigate levels of physical, cognitive, and social functioning in institutionalized elderly. The subjects were 78 residents of a nursing home for the elderly in Pusan. The data were collected from June 24th to July 8th, 1996 using interview and observational method. The structured questionnaires developed by Kim, by Kwon & Park, and by researcher were adopted to measure physical, cognitive, and social function, respectively. The data were analyzed using percentages, means, t test, ANOVA, Pearson correlation coefficient, Cronbach's alpha with the SPSS PC programs. The results were summarized as follows: 1. 34.2% of the subjects had a paralysis, strokes 26.3%, hearing impairment 15.9%, vision impairment 11.8%, mental disturbance 11.8%, cognitive disturbance 10.5%. 2. The mean score on the physical function for the subjects was 73.14, and the items with low functioning levels were 'ascending the stairs', 'bathing' in that order. There was no significant difference in physical function according to the following demographic characteristics: sex, age, and education level. 3. 50.0% of subjects was categorized 'definite dementia', 'questionable dementia' 11.5%, 'definite non-dementia' 38.5%. There was a significant difference in cognitive function according to sex, but were no significant differences according to following demographic characteristics: age and education level. 4. The mean score on the social function for the subjects was 17.60. The items with comparatively high score were in simple activities such as 'enjoying talking with his friends', 'watching TV or listening to the radio', and the items with low score were in complex activities such as 'enjoying a hobby',. 'enjoying a game', 'reading the newspaper or book'. There were no significant differences in social function according to sex and age, but was a significant difference according to education level. 5. Social function was positively correlated with both physical function and cognitive function.

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Participation in Bullying : Bystanders' Characteristics and Role Behaviors (방관자의 집단 특성에 따른 또래괴롭힘 참여 역할행동)

  • Seo, Mijung
    • Korean Journal of Child Studies
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    • v.29 no.5
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    • pp.79-96
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    • 2008
  • This study analyzed differences of role behaviors of participants in bullying according to bystanders' characteristics. Participants were 112 $5^{th}$, $6^{th}$ and $7^{th}$ grade students. Bystanders' characteristics of empathy, negative attitudes about bullying, psychological burden, distorting of consequences, and attribution of blame were classified by K-Means Cluster Analysis into three groups with similar characteristics : lack of empathy/cognitive distorting, anti-bullying, and perception of cost groups. Major findings were that : the lack of empathy/cognitive distorting group had higher levels of bullying behavior than the anti-bullying group and higher levels of victimization than the perception of cost group. The anti-bullying group showed higher levels of defense behavior than the lack of empathy/cognitive distorting group. Implications for future research were discussed.

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Soft Combination Schemes for Cooperative Spectrum Sensing in Cognitive Radio Networks

  • Shen, Bin;Kwak, Kyung-Sup
    • ETRI Journal
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    • v.31 no.3
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    • pp.263-270
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    • 2009
  • This paper investigates linear soft combination schemes for cooperative spectrum sensing in cognitive radio networks. We propose two weight-setting strategies under different basic optimality criteria to improve the overall sensing performance in the network. The corresponding optimal weights are derived, which are determined by the noise power levels and the received primary user signal energies of multiple cooperative secondary users in the network. However, to obtain the instantaneous measurement of these noise power levels and primary user signal energies with high accuracy is extremely challenging. It can even be infeasible in practical implementations under a low signal-to-noise ratio regime. We therefore propose reference data matrices to scavenge the indispensable information of primary user signal energies and noise power levels for setting the proposed combining weights adaptively by keeping records of the most recent spectrum observations. Analyses and simulation results demonstrate that the proposed linear soft combination schemes outperform the conventional maximal ratio combination and equal gain combination schemes and yield significant performance improvements in spectrum sensing.

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Changes in the Level of Performance of Activities of Daily Living and Depression of the Elderly with Mild Cognitive Impairment through the Participation in the Cognitive Program (인지프로그램 참여에 따른 경도인지장애 노인들의 일상생활활동 수행과 우울 수준의 변화)

  • Son, Sung-Min;Bak, Ah-Ream
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.2
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    • pp.511-520
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    • 2021
  • This study was a pre and post quasi-experimental design study using a single group about the analysis of the changes in the performance level of activities of daily living and depression of the elderly with mild cognitive impairment through the participation in the cognitive program. Study subjects were the 16 elderly with mild cognitive impairment using a W welfare center in J city and they participated in cognitive program for a total of 8 weeks, twice a week. The assessment about the performance level of activities of daily living and depression were performed through the program. As the results, after participating in the program, study subjects' performance level of activities of daily living were significantly significant improved, and depression levels were statistically significantly reduced. Thus, to improve the performance level of activities of daily living and reduce the depression levels of the elderly with mild cognitive impairment, the cognitive program should be used as a intervention program and then in the process, it is necessary to actively induce the participation of the elderly with mild cognitive impairment.