• Journal of The Korean Society of Integrative Medicine
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• v.5 no.4
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• pp.83-89
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• 2017

Purpose : This study aimed to investigate a study on the intervention of computerized cognitive rehabilitation applied to patients with dementia in Korea. Thus, a systematic discussion was conducted. Methods : Studies from January 2000 to December 2016 were searched in the Korea Education and Research Information Service. The main key words used were: "dementia," "computerized cognitive rehabilitation," "computerized cognitive training," "computer assisted cognitive therapy," and "computerized cognitive therapy." Result : A total of five studies were selected. The effects of the computerized cognitive rehabilitation therapy applied to patients with dementia resulted in improved cognitive functions, as well as daily living and activities instrumental to daily living. There was also an increase in brain activity. The qualitative aspects of this study showed a low level of internal and external validities due to the small number of subjects, short period of intervention, and limited study environment. Conclusion : In the future, it is necessary to continue a study in which the level of evidence is high to determine whether various cognitive rehabilitation programs are effectively applied to patients with dementia.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.7
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• pp.4656-4667
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• 2015

The purpose of this study was to investigate relations among the quality of life, health states, physical functions, cognitive functions, and social supports of the elderly at care facilities. The subjects include the elderly that were living in care facilities in some urban areas and aged 65 or older. The data of total 260 old people were used in analysis. Collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. The elderly at care facilities, who were considered as physically and cognitive vulnerable, scored higher means on quality of life when they were satisfied with the length of stay and sleeping state, had higher subjective health states, had no tooth inconvenience and forgetfulness, suffered from a lower level of depression, had better cognitive functions, and received higher social supports. Quality of life had correlations with the sleeping state(r=-.20, p<.001), subjective health state(r=-.24, p<.001)s, depression(r=-.30, p<.001), and social supports(r=.30, p<.001). Social supports(${\beta}=.30$, p<.001), depression(${\beta}=-.25$, p<.001), subjective health states(${\beta}=-.22$, p<.001), length of stay(${\beta}=-.22$, p<.001), and sleeping state(${\beta}=-.12$, p=.025) turned out to predict the quality of life of the elderly at care facilities and have close relations with it. In short, the quality of life of the elderly is related to many different factors at care facilities. The findings indicate that nursing interventions and managements for quality of life require a mental and social approach or a whole person approach with a focus on the understanding of individual senior citizens rather than on physical activities and diseases.

• Journal of muscle and joint health
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• v.18 no.1
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• pp.83-92
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• 2011

Purpose: The purpose of this study was to identify the changes of physical function, perceptual and cognitive function, emotional function, and functional independence in the institutionalized aged according to functional group activity program (self help Tai Chi exercise plus functional task). Methods: Study subjects were 20 institutionalized aged from June to October in 2010. The subjects received functional group activity program two times a week for 15 weeks. Physical function (grip strength, coordination, lower extremity strength, balance, gait, trunk flexibility), perceptual and cognitive function, emotional function(depression, social skill), and functional independence were measured before and after the program. Results: The subjects showed significantly increased physical function (coordination, lower extremity strength, gait, trunk flexibility), perceptual and cognitive function, emotional function (depression, social skill), and functional independence. The functional group activity program may be an effective strategy for institutionalized elders to enhance their functions. Conclusion: The functional group activity program may be effective on elderly institutions which have limitation in human, material, environmental resources.

• The Journal of the Convergence on Culture Technology
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• v.8 no.5
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• pp.207-218
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• 2022

This study, to confirm the mediating effect of knee pain on cognitive functions and depression in older adults, and as an interdisciplinary research between the physical and psychological mechanisms, confirmed the identifying group differences by gender, age, and educational attainment of older adults, and aimed to research the improvement of cognitive functions, which is a main factor of dementia's risk prediction. The analysis data was from the 8th Korean Longitudinal Study of Ageing (KLoSA) in 2020, and the research model was verified using Process macro and model #4. The main analysis results are as follows. First, depression partially mediation effect of knee pain on cognitive functions. Second, the mediation effect of depression by gender was significant, but the direct effect in the male older adults group was twice that in the female older adults; the indirect effect did not vary significantly based on gender. Third, the mediating effect of depression by age was relatively greater in the old-old aged group than in the young-old aged one. Fourth, as for the mediating effect of depression according to the classification of educational attainment, the mediating effect was not significant in the group with a college degree or higher education but was significant in the remaining three sub-groups. Based on the results, this study makes implications for the need for active intervention strategies to improve cognitive functions, focusing on group differences by gender, age, and educational attainment in the management of knee pain and depression.

• Journal of Korean Neurosurgical Society
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• v.54 no.6
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• pp.484-488
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• 2013

Objective : To examine the synergistic effects of both computer-assisted cognitive rehabilitation (CACR) and transcranial direct current stimulation (tDCS) on cognitive function in patients with stroke. Methods : The current double-blind, sham-controlled study enrolled a total of 11 patients who were newly diagnosed with stroke. The patients of the tDCS group (n=6) completed sessions of the Korean computer-assisted cognitive rehabilitation program five times a week for 30 minutes a session during a mean period of 18.5 days concomitantly with the anodal tDCS over the bilateral prefrontal cortex combined with the CACR. The patients of the control group (n=5) also completed sessions of the sham stimulation during a mean period of 17.8 days. Anodal tDCS over bilateral prefrontal cortex (F3 and F4 in 10-20 EEG system) was delivered for 30 minutes at an intensity of 2 mA. Cathode electrodes were applied to the non-dominant arm. All the patients were evaluated using the Seoul Computerized Neuropsychological Test (SCNT) and the Korean Mini-Mental State Examination. Results : Mann-Whitney U test revealed a significant difference between the two groups. The patients of the tDCS group achieved a significant improvement in the post/pre ratio of auditory continuous performance test and visual continuous performance test on the SCNT items. Conclusion : Our results indicate that the concomitant use of the tDCS with CACR to the prefrontal cortex may provide additional beneficial effects in improving the cognitive dysfunction for patients with stroke.

• Journal of Information Management
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• v.30 no.1
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• pp.48-67
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• 1999

In an advanced computer and information network technologies, users are rapidly approaching environment in which information will be created, delivered, managed and stored, using vastly different methods to traditional pap r based systems. Information seeking behavior contains not only physical access, but also cognitive process in which reading, viewing, analyzing, reasoning etc. The most Important factor determining the usability of electronic documents is cognitive process. But, currently Navigation tools for using electronic documents depend on physical searching without considering cognitive process. Therefore, this study examined feasibility of using overal cognitive process in developing navigation tools. Six cognitive process style have been analyzed to find common skill of information seeking process. Also this study suggests skills that needs to introduce to functions of navigation tool, such as searching, filtering, visualization, traversal, content structure.

• The Journal of Korean Physical Therapy
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• v.35 no.6
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• pp.190-194
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• 2023

Purpose: Traumatic brain injury (TBI) refers to brain damage caused by external forces or trauma. TBIs can vary in severity and result from accidents, falls, sports injuries, assaults, or other forms of physical trauma. The prefrontal cortex (PFC) is known have roles in various cognitive functions. We report on a patient with traumatic brain injury who showed prefrontal symptoms after injury of thalamocortical connections between mediodorsal nuclei (MD) of thalamus and PFC. Methods: A 54-year-old, male patient suffered a TBI as a result of a heavy object falling on his head. After onset of TBI, he showed typical symptoms of prefrontal lobe injury, including personality changes, memory impairment, and general cognition problem. The thalamocortical connections between MD and PFC (ventrolateral prefrontal cortex (VLPFC), dorsolateral prefrontal cortex (DLPFC), and obrbitofrontal cortex (OFC)) were reconstructed using diffusion tensor tractography. In terms of fractional anisotropy value, the right thalamocortical connections to the OFC were significantly lower than those of control subjects. Results: The value of mean diffusivity in the right thalamocortical connections to the DLPFC was significantly higher than that of control subjects. By contrast, both VLPFC and left OFC showed significant decrement in the tract volume of thalamocortical connections compared with that of control subjects. Conclusion: We reported on a patient who showed cognitive and neuropsychiatric impairment due to global injury of the thalamocoritcal connections between MD and PFC following TBI.

• Science of Emotion and Sensibility
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• v.20 no.4
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• pp.41-54
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• 2017

Physical activity has positive effects on cognitive functions by aging. However, it is rare to find research that have scientifically investigated the effects on the affective-cognitive function. Thus, this study aims to brain-scientifically research its effects of physical activity on the affective-cognitive function of adults in adolescence and senescence. As subjects of this study, a total of 60 males adults in D region were selected, and then equally divided into four groups of young exercise group(25~35y/o), young non-exercise group(26~35y/o), old exercise group(60~70y/o), and old non-exercise group(60~70y/o). As experiment tools, the EEG measuring equipment and International Affective Picture System(IAPS) were used. The experiment of this study used an affective-cognitive task where subjects pressed a button depending on emotional valence(positive, neutral, negative) shown in the pictures. During the task, EEG measured eight areas(Fp1, Fp2, Fz, C3, C4, Cz, T3, T4) out of brain areas in accordance with the international 10-20 electrode system, EEG was measured. For statistical analysis, a three-way ANOVA on $4(group){\times}3(stimulus){\times}8(area)$ was conducted. The results showed main effects of group in both reaction time and accuracy, and also in the latency of P3. And there was an interaction between group and stimulus the amplitude of P3. In conclusion, Physical activity has positive effects on the affective-cognitive function of people in adolescence and senescence.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.26 no.11
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• pp.1755-1758
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• 2022

One of the most negative social changes of the last decade is population aging which leads to 19 times more patients with Mild Cognitive Disorder(MCI). It is well established that MCI is the most important state that can prevent dementia with early diagnosis and intervention. However, the social security system for patients with dementia is not working properly due to the coronavirus pandemic and the limited human power. This article proposes a form of workbench and design principles for dementia training programs of extended reality devices. and the findings in this study provide a guide for considering the cognitive and physical and social functions of patients.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.8
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• pp.605-614
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• 2016

This study was conducted to apply occupational reminiscence therapy (ORT) to the elderly diagnosed with mild cognitive impairment (MCI) who reside in the local community and determine its effects on cognitive functions, physical health, communication and interaction skills, and depression. The participants were elderly diagnosed with MCI who visited YW community health center on a regular basis and were randomly divided into an experimental group and a control group. The experimental group received eight one hour sessions of ORT once a week. Individual interviews were then conducted with the participants to determine if an event or activity had been commonly experienced, after which the program was modified and supplemented as necessary by referring to previous programs. The Content Validity Index (CVI) was calculated, and differences before and after ORT's were identified by paired t-tests. Moreover, the Mann-Whitney U-test was conducted to identify differences in variances between groups. Only participants in the experimental group (n=9) reported significant improvements in cognitive function, physical health status, communication and interaction skills, and depression when compared to those in the control group (n=9). Therefore, it is expected that ORT will be actively used as a non-pharmacological intervention for preventing dementia and improving the health of elderly persons with MCI.