• 한방재활의학과학회지
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• 제25권1호
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• pp.77-85
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• 2015

This study analyzed the MMPI (Minnesota Multiphashic Personality Inventory), VAS (Visual Analogue Scale), cervical and lumbar curvature (Cervical angle, Ishihara Index, Lumbar angle, Ferguson angle) and satisfaction score of patient of traffic accident. About 59 cases of patients admitted to the Korean Medicine hospital, MMPI and pain levels (VAS) cervical and lumbar curvature (Cervical angle, Ishihara Index, lumbar angle, Ferguson angle) and satisfaction score were measured and statistically analyzed. Depending on the type of accident divided into two groups of In car TA and Out car TA. After hospitalization, patient's pain index was improved as a whole. Pain index and evaluation of the cervical and lumbar curvature, according to the accident types, the difference was not statistically significant. In the analysis of the MMPI validity scales, In car TA group was analyzed by 'V-shaped', Out car TA group was analyzed by umbrella- shaped, 'inverted V-shaped'. Clinical scales of out car TA group were analyzed by 3-1 profile compared to the In car TA group. Results of multiple regression analysis showed no association between factors and MMPI scales. In the case of a traffic accident patients, damage to the body, as well as emotional and psychological factors are thought to affect the condition or prognosis of patients. In the future, for the management and treatment of these parts will be needed to complement the academic or institutional.

• 정신신체의학
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• 제24권2호
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• pp.125-132
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• 2016

연구목적 재난의 심리지원 및 관리에 기존 기관의 연계가 중요하다. 안산에서 세월호 참사 당시 민관기관의 연계에 대해 연구하고자 한다. 방 법 25개 기관 121명 종사자를 대상으로 평상시와 세월호 당시 연계 활동 대상기관, 모임 빈도, 연계 활동의 내용, 만족도, 낮은 만족도의 원인에 대해 설문하여, paired t-test, Chi-square test 및 McNemar test를 이용하여 평상시와 세월호 당시를 비교하였다. 결 과 연계 사업 필요성에 대한 이해, 조직적 차원의 지지는 재난 당시 더 낮은 문제 요인이었으나, 연계의 정도(n=397에서 n=251로 감소) 및 만족도는 재난 시 더욱 저하되었다. 낮은 연계만족도의 원인으로는 실적위주의 평가제도가 재난 시 유의하게 더 문제가 되는 것으로 나타났다(p=0.045). 결 론 재난 시 효과적인 연계를 위해서는 재난 이전부터 지역사회 기관에 대한 역량 분석, 연계 프로토콜 개발 등의 대비가 이루어져야 하며, 불필요한 형식적 평가제도로 인한 소진은 지양되어야 한다.

• 한국심리학회지 : 문화 및 사회문제
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• 제21권3호
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• pp.497-510
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• 2015

국민참여재판에서 판사가 배심원에게 제시하는 법설시에는 범죄사실에 대해서 합리적인 의심이 없는 정도의 증명에 이르렀을 때 유죄를 인정해야 한다는 "합리적 의심의 초월 기준"에 대한 설명이 포함된다. 합리적 의심의 초월 기준은 일반적으로 배심원들이 평의를 시작하기 직전에 설명되는데, 본 연구에서는 설시절차(증거 이전, 증거 이후)에 따라 피고인에 대한 유죄/무죄 인정에 차이가 생긴다는 선행연구를 기반으로 그 인지과정을 알아보고자 하였다. 배심원 자격을 가진 만 20세 이상 성인남녀 189명을 대상으로 합리적 의심의 초월 기준에 대한 설명을 증거 전과 후에 받은 집단이 증거 후에만 설시를 받은 집단과 설시를 받지 않은 집단보다 피고인에 대한 유죄인정비율이 낮은지 분석한 후, 설시 제시절차와 유죄인정비율 사이의 두 가지 인지과정을 확인하였다: 1) 유죄판단 역치 생성, 2) 증거의 증명력 평가. 분석 결과, 설시를 증거 전후에 받은 집단은 다른 집단에 비해 피고인의 유죄를 판단하기 위한 역치가 높게 형성된 것을 확인하였으나, 증거의 증명력은 설시 제시절차 간에 유의한 차이가 없었다. 이러한 결과는 배심원이 재판에서 설시를 증거 전에 받았을 때, 각 증거의 증명력을 합리적 의심의 초월 기준으로 평가하기보다는 유죄결정을 위한 역치수준을 조정하여 그것을 기반으로 피고인에 대한 최종판단을 한다고 해석되었다.

• 한국식생활문화학회지
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• 제22권5호
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• pp.633-644
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• 2007

The study results regarding the ingredient differences, sensory characteristics, purchasing type, usage and improvement direction for home-made traditional doenjang and factory produced commercial doenjang are as follows. The L-value indicates that home-made traditional doenjang has a higher value in average than the factory produce done, and the a-value indicates the opposite. Home-made traditional doenjang had higher water content than commercial doenjang ; however the pH values of commercial doenjang and home-made were 5.34 and 5.32 respectively, which was very similar. Factory produced commercial doenjang showed higher protein content than the home-made traditional doenjang. Regarding the correlation between ingredients, there was a significantly negative relationship between the L-value and a-value but a significantly positive relationship between the L-value and b-value. There were no significant relationship with water content, pH and protein content. For the color and taste, which are the sensory characteristics, commercial doenjang showed higher value than the traditional doenjang, but for smell, the values were similar. Regarding grittiness, the factory produced commercial doenjang had bigger particles than the traditional doenjang. Preference was a bit higher in the traditional doenjang. Of the 380 study subjects, most were from 40 to 49 years old (65.5%), and the most family type were nuclear families which was a total of 400 people (69%). Moreover, the most residential type was apartment which was 355people (61.2%), and for the monthly income, more than 2,510,000won was 48.3%. For the educational background, college education was 304 people (52.4%), and high school education was 199 people, 34.3%. In the usage, most of the people eat doenjang more than once a week, and usually their parents make the doenjang. People used both commercial doenjang and home-made traditional doenjang >home-made only >factory produced commercial doenjang only in that order. The reasons for using the home-made traditional doenjang aredelicate taste and flavor>more nutritious> anti-cancer ingredients in that order. The reason they use the factory produced commercial doenjang is because they don't know how to make it at home. The things that needed to be improved in the home-made traditional doenjang are bad smell> entire quality> flavor> color in order, indicating that studies for reducing bad smell are required. The things that needed to be improved in the factory produced commercial doenjang are taste & flavor> entire quality>bad smell> color in that order, indicating that people are more concern about it tasting like home-made than the smell. From the above results, we can see that better functional doenjang should be developed for family health and to increase the consumption of the doenjang, which has good functional psychological activities, also more various types of foods that use doenjang and scientific studies to reduce the home-made doenjang smell should be continuously studied. Moreover, studies on how to make the factory produced commercial doenjang taste more like traditional doenjang should be performed.

• 한국심리학회지 : 문화 및 사회문제
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• 제11권3호
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• pp.1-21
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• 2005

한국 문화에서 '사람'에 대한 지각이나 평가의 차원으로 '도덕성'과 '능력' 등이 중요한 것으로 나타나고 있다. '사람은 어떠해야 한다'는 문화적으로 공유된 신념이나 가정 혹은 표상이 있다는 것은 어떤 행위자가 사람으로서의 기대와 신념을 위반하는 행동을 했을 때 도덕적 평가를 받게 됨을 의미한다. 이러한 도덕적 판단이나 평가와 관련된 정서 중 하나가 화(火)이다. 화 표현은 도덕적 관례 속에서 문화적이고 규범적인 양식에 따라 나타나는 것이라고 할 수 있고, 화를 내는 것은 타인의 행위에 대한 도덕적 판단이 개입된다. 따라서 본 연구에서는 사람됨의 준거가 무엇이고 사람됨의 준거를 위반했을 때 화 반응을 분석하기 위해 두 가지 연구를 수행하였다. 연구 1에서는 사람됨의 준거와 이를 위반했을 때 평가와 이유를 질적인 접근법 중 FGI와 면접을 통해 알아보았고, 연구 2에서는 사람됨의 준거 위반을 대인관계 차원과 개인의 자율 차원으로 구분하여 행위자에 대한 평가를 측정하였다. 면접 분석 결과 사람됨의 준거는 대인관계 윤리를 지키는 것이 중요한 차원으로 나타났고, 실험 결과 자율성 영역보다는 대인관계 윤리 영역을 위반했을 때 더욱 화가 나는 것으로 나타났다. 또한 화 반응은 비난이나 책임과 밀접한 관련이 있고, 사회규범을 위반했다는 판단에 행동을 억제하거나 제지하는 심리적 기능이 있는 것으로 나타났다.

• 한국음향학회지
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• 제26권7호
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• pp.306-316
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• 2007

이 연구는 사운드스케이프라는 청각적 경관의 개념에 기초하여, 계절에 따라 도시 거리의 청각적 경관에서 나타나는 경관요소, 경관특징, 경관인상에 대한 한국인의 청각선호도를 조사하여, 청각적 경관의 구성요인과 계절의 요인이 어떻게 상호작용하여 청각선호도에 영향을 미치는 지를 파악하는 것이다. 캡션평가법이라는 환경심리 조사수법을 이용하여 45명의 대학생들이 4계절 동안 남원시의 거리를 걸으면서 듣고 느낀 청각적 경관에서 나타나는 경관요소, 경관특징, 경관인상의 요인과 계절의 상호작용 효과를 단순요인 분산분석과 비모수 일원배치 분산분석하였다. 분석결과, 청각적 경관의 경관요소, 경관특징, 경관인상과 계절 사이에 상호작용 효과가 있으며, 각 경관의 구성요인들이 청각선호도에 영향을 미치는 것으로 나타났다. 경관요소의 계절별 선호도는 봄, 여름, 가을에는 자연음이, 겨울에는 사회음의 선호도가 높게 나타났다. 경관특징의 계절별 선호도는 봄, 여름 및 겨울에는 양태가, 그리고 가을은 주변관계가 중요한 영향을 미치고 있다. 경관인상의 계절별 선호도는 봄과 겨울은 소리특성이, 그리고 여름과 가을은 거리의 분위기라는 경관인상이 중요한 영향을 미치고 있다. 이 연구의 결과는 사운드스케이프 디자인에 있어서 계절에 따라 어떠한 청각적 경관의 경관요소, 경관특징, 경관인상을 배려하는 것이 바람직한 것인가, 그 양부를 판정할 수 있는 유용한 자료로써 활용할 수 있다.

• 지능정보연구
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• 제24권4호
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• pp.171-196
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• 2018

본 연구는 디자인 영역 중 웹 스타일에 대해서 소비자 감성과 만족과의 관계를 연구했다. 기존 웹 스타일 연구들은 웹의 레이아웃과 구조도 등과 색상 등이 감성에 미치는 영향에서 연구했다. 본 연구는 기존 연구들과 차별되게 웹의 구성 요소를 배제하고 소비자의 감성 지표만을 갖고 소비자 만족과의 관계를 분석했다. 분석을 위해 검증을 위해 소비자 204명을 대상으로 40개 웹 스타일 테마를 선정, 각 소비자에게 4개씩 평가하도록 하였다. 소비자에게 평가하도록 한 감성 형용사는 18개의 대비되는 쌍을 갖는 감성 형용사로 구성하였고, 요인 분석을 통해 상위 감성 지표를 추출했다. 각 감성 지표들은 '부드러움', '모던함', '명확함', '꽉 참' 이었으며, 감성지표들이 소비자 만족에 미치는 영향이 다를 것으로 판단하여 가설을 수립했다. 분석 결과에 따라 가설 1과 2, 3은 채택되었으며, 가설 4의 경우는 기각되었다. 가설 4의 경우 기각되었지만 정의 방향이 아닌 부의 방향으로 유의한 것으로 나타났다. 이때, 조절 초점 성향이 감성이라는 정보처리 과정에서 소비자 만족에 미치는 영향이 다를 것으로 판단했다. 조절 초점 성향은 조직 행동 및 의사결정에 영향을 주기도 하며, 정치, 문화, 윤리적 판단 및 행동은 물론 광범위적 심리적 문제와 사고 프로세스, 감정적 반응에도 영향을 미친다. 때문에 각 감성 지표에 대한 조절 초점 간 차이를 확인할 필요성이 있고, 각 감성 지표에 대한 세부 가설을 수립했다. 세부 가설을 검증하기 위해 조절 회귀 분석을 수행했다. 분석 결과 가설 5는 부분적으로 지지됐고, 가설 5.3만 지지되었고, 5.4의 경우 기각되었지만 가설과의 반대 방향으로 지지되었다. '명확함'의 경우 향상 초점이 소비자 만족에 더 큰 영향을 보였고, 예방 초점일수록 '꽉 참'을 더 선호한 것으로 나타났다. 분석 결과를 바탕으로 조절 초점 성향을 향상, 예방, 중간 성향으로 3집단으로 구분, 소비자 감성 기반으로 웹 스타일에 대한 추천을 할 수 있는 알고리즘을 개발했다.

• 대한간호학회지
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• 제26권4호
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• pp.768-781
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• 1996

The problem of care of patients and families with Alzheimer's disease has become a conscious raising social policy issue in Korea. The government of the Republic of Korea has become cognizant of the situation and has begun searching for ways to remedy it. Thus, there is a need for a comprehensive under-standing of the situation in which patients and their families are struggling and the enormous problems of care. With a realization of the urgent need, this study was done to investigate the situation and the care needs of families with patients with Alzheimer's Disease, and to compare the effectiveness of services utilized by the families in terms of cost and effects on patient's conditions and on family live. The Subjects for the study were 29 families with hospitalized patients, 25 families utilizing hospital outpatient clinics, 14 families utilizing day care facilities, and 16 families with homebound patients. A total of 84 families were interviewed by four trained interviewers using structured and semistructured questionnaires. The data produced from these interviews included : the patient's stage of Alzheimer's disease, patient's bizarre behavior, hours spent on patient care per day, family burden and quality of life, direct and indirect costs encountered in the care of patients, and the families' evaluation of the effectiveness of the services received. The data were analyzed to determine the relationships between family charactersistics, patient's conditions and services utilization. The effectiveness of each of the service entities was assessed through families evaluation and hoped for service and comparisons were made between services in terms of the cost-effectiveness ratios. After initial comparison of cost-effectiveness ratios, further analysis was done to compare between groups for incremental effectiveness for each incremental unit of cost to determine the most cost-effective service entities. The findings of the study are as fellows : 1. The choice of living arrangement and the types of services are a function of the stage of Alzheimer's condition and the economic status of the family. 2. Comparision of the cost of care showed that most expenses were encountered in by families with hospitalization, families using outpatient services, and families using day care services in that order. The least expense was involved in the care of homebound patients. The economic burden felt by families was in the same order as expenses. 3. The average number of hours spent on daily patient care was 9.9 hours for the outpatient clinic users, 9.7 hours for homebound patients, and 5.4 hours for day care users. 4. There were significant differences in the patient's conditions (CDRL), bizarre behaviors and the families's burden by living arrangement and /or types of service. However, no significant difference was found between groups in the family's quality of life. 5. The families rated the services of day care center as most effective for the care of the patients and families, except for a few families who had experienced some improvement in the patient's conditions. The outpatient clinic users expressed psychological comforts mainly in that the patient was being taken care of. For those hospitalized patients, families expressed the comfort of being relieved of the burden of care and that the patient is being professionally cared for. Form the analysis of the costs, hours of patient care, patient's bizarre behaviors, family's quality of life and burdens, and family's evaluation of services, it is concluded that up to the mid stage of Alzheimer's condition, the utilization of day care center services is found to be the most cost-effective, and toward the end stage of the Alzheimer's disease, it is hoped that there will be a establishment of long term or short term in-patient facilities for the protection of patients and preservation of the integrity of families for less cost. Thus. it was concluded that the family centered system of care is the most effective for Korea with systematic support systems developed for the care of patients and their families according to the needs of families as the patient's condition deteriorates.

• 한국보건간호학회지
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• 제5권2호
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• pp.5-25
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• 1991

This study was conducted from July to December 1990, in order to diagnose nurses' educational need for home care. The study subjects consisted of 145 nursing educators, and the 3 groups of nurses, namely 250 senior nursing students of diploma and collegiate program, 235 health center nurses, 521 university' hospital nurses in Seoul. Four types of questionaires were formulated by Delphi method. Two questionaires for the nursing educators were designed to measure their expectations of nurses' knowledge and of their skill for home care, and another two questionaires for the nurses to measure their actual home care knowledge and skill. The results of the study were as follows : 1) The mean scores of educators' expectation for home care knowledge were 17.68 for the care of dependence on medical equipment, 17.44 for the care of mobility impairment patient, 16.56 for the care of cardiopulmonary impairment patient, 16.40 for the care of nutrition and elimination impairment patient, '1.20 for the care of psychiatric disorder patient and 9.03 for the care of cancer and terminally ill patient,. 2) The mean scores of nurses' home care knowledge tested by 20 items were 14.36 for the care of mobility impairment patient, 13.28 for the c8;re of dependence on medical equipment, 13.78 for the care of cardiopulmonary impairment patient, 12.92 for the care of nutrition and elimination impairment patient, and those of tested by 10 items were 7.08 for the care of psychologic disorder patient, 7.80 for the care of cancer and terminally ill patient. The sum of means marked 69.23. As for the nurses' home care knowledge categorized by tasks in terms of the group, significant difference were shown in the care of mobility impairment(P=0.00), cancer and terminally ill(P=0.03), nutrition and elimination impairment(P=0.00) and psychologic disorder patient(P=0.00). No significant difference were shown in the care of dependence on medical equipment and cardiopulmonary impairment patient. 3) Regard to educational need of nurses' home care knowledge categorized by task according to the group it was found that all sampled nurses had educational need in the care of mobility impairment, dependence on medical equipment, cardiopulmonary impairment, cancer and terminally ill patient. It was found that health center nurses had educational need in the care of psychologic disorder. No educational need were found in the health center nurses whose career less than 2 years, in the care of mobility impairment, cardiopulmonary impairment and psychologic disorder patient, and in those of career with 2-5 year in the care of psychologic disorder patient. No educational need were found in the hospital nurses whose career more than 15 years, in the care of cardiopulmonary impairment patient and in those of career with 11-15 year, in the care of cancer and terminally ill patient. 4) The mean scores of educators' expectation for home care skill measured by Likert 5 points scale were 4. 21 for assessing, 4.49 for planning, 4.29 for basic care, 4.42 for curative care, 4.40 for rehabilitative care, 4.36 for emergency care, 4.53 for medication, 4.31 for nutritional care, 4.32 for other means for care, and 4.38 for evaluation. 5) Regard to nurses' home care skill measured by Likert 5 points scale of self evaluation, there was a significant difference between the nurses' home care skill and group(P=0.00l). The higher scores reported by students were vital sign checking and basic care while the scores of below medium were curative care and emergency care. The higher scores reported by health center nurses were vital sign checking, other means for care and care of specimen while the scores below medium were curative, emergency and nutritional care. The higher scores reported by hospital nurses were vital sign checking, care of specimen and basic care, while the score below medium was emergency care. 6) Regard to educational need of nurses' home care skill by nursing process activity according to the group it was found that health center nurses had educational need in all nursing skills including vital sign checking, care of specimen, health assessment, socioeconomic assessment, nursing diagnosis, care plan, basic care, curative care, rehabiitative care, psychological care, emergency care, medication, nutritional care, other means for care and evaluation. And students had educational need in all nursing skills except vital sign checking, and hospital nurses had educational need in all nursing skills except vital sign checking, care of specimen and basic care. 7) In short, the result of this study suggests that the curriculum should be organized in accordence with nurses' educational background and their career for the education of nurses for home care. It should be considered to develop the short term educational program focused on curative and rehabilitative care for health center nurse or community health nurse practitioner and which was focused on family care for hospital nurse. Concerning about this field practice for home care nurse, they are required not only community practice but also . clinical practice including emergency, curative and rehabilitative care.

• 정신신체의학
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• 제4권2호
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• pp.170-181
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• 1996

Objective : This study was tried to investigate the specific relationships among cognitve function, neurbehavioral symptoms, and daily living functions, as well as provide the guidline of more proper clinical approches for patients with subcortical cerebrovascular disease. Objects and Methods Subjects were 85 patients whose diagnosis was confirmed by brain CT or MRI and controls were 195 normal persons matched by educational level with the subjects. The cognitive functions were evaluated by BNA(Benton neuropsychiatric assessment), subjective neurobehavioral symptoms by SCL-90-R(Sympton Check List-90-Revised), objective neurobehavioral symptoms by NRS(Neurobehavioral Rating Scale), and daily living function symptoms by NRS(Neurobehavioral Rating Scale), and daily living function by GERRI(Geriatric Evaluation by Relative's Rating Instrument) and IADL(Instrumental Activities of Daily Living Scale). Results: 1) Subjects showed significantly lower cognitive functions than controls in all tests of BNA except Lt-Rt Orientation Test(p=0.09) and facial Recognition Test(p=0.186). 2) In subjective neurobehavioral symptoms, subjects showed significantly lower scores in all symptoms except anxiety(p=0.059), hostility(p=0.159), and phobic anxiety(p=0.849). But in objects neurobehavioral symptoms, subjects showed significantly higher in scores in psychoticism (p=0.000) and neuroticism(p=0.025) of NRS. 3) The score of social functioning of GERRI(p=0.000) and that of IADL(p=0.000) were significantly higher in subjects than in controls. 4) for correlation between cognitive and daily living functions, there were significant correlations between the scores of all items on BNA and the score of cognitive or social function of GERRI and the socre of MDL in corntrols, whereas in subjects, there were significant correlations only between the scores of BNA and the score of IADL. 5) for correlation between neuroehavioral symptoms and daily living functions, there were significant correlatons between the socre of subjective neurobehavioral symptoms and the scores of all subscales of GERRI and the score of MDL in controls. On the contrary, in subjects, there were significant correlations between the score of social function of GERRI and the score of objective neurobehavioral symptoms such as psychoticism, agitiation-hostility, and decrease d motivation-emotional withdrawl. Conclusion : Above results suggest that disturbances in specific function of brain may play a role as a predictor of impairments with specific daily living functions and also suggest that specific correlations among various functions may be useful as clinical parameters for setting of the treatment goal and for assessing the ongoing process in the treatment and rehavilitation of the patients with subcortical cerebrovascular disease.