• Title/Summary/Keyword: 변화의 장애

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Linguistic Analysis of Picture Description for Language Impairment Diagnosis (언어 장애 진단을 위한 그림 설명글의 언어학적 특성 분석)

  • Lee, Yong-Jae;Min, Hye-Jin;Park, Jong-C.
    • Proceedings of the Korean Information Science Society Conference
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    • 2011.06c
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    • pp.244-247
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    • 2011
  • 사람은 성장 배경이나 학습에 따라 고유의 언어 사용 특성을 가지게 된다. 이러한 언어 사용 특성은 개인의 언어 유창성에 대한 지표를 제공하며, 언어 사용 특성에 대한 분석은 장애에 따른 변화에도 능동적으로 대처할 수 있게 한다. 그러나 어떤 특정인의 언어 사용 특성을 파악하는 연구는 아직 부족한 실정이다. 본 연구에서는 개인 언어 사용 특성 파악을 위하여 일차적으로 일반인들의 그림 설명글 데이터를 모았으며, 이에 대한 분석 결과에 기반하여 언어 장애 진단에 적용하기 위한 언어 사용 특성을 파악하고자 한다. 본 연구의 결과로 형태소 단위, 단어 단위, 그리고 내용 전달의 방식에 따른 개인의 언어 사용특성을 일부 파악할 수 있었으며, 이와 같은 특성은 향후 치매와 같은 인지 기능 장애로 인한 언어 사용의 변화를 추적하는데 중요한 실마리를 제공할 수 있을 것으로 기대된다.

A Comparative Study of Changes in Cognitive Function, Depression and Activities of Daily Living in Patients with Dementia, Mild Cognitive Impairment and Ischemic Stroke (치매, 경도인지장애, 허혈성 뇌졸중 환자에서 인지기능, 우울 및 일상생활수행능력의 변화 비교)

  • Jung, Mi-Sook;Oh, Eun-Young;Cha, Kyeong-In
    • Journal of Digital Convergence
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    • v.20 no.3
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    • pp.517-527
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    • 2022
  • This study aimed to compare changes in cognitive function, depression and ability to perform activity of daily living (ADL) in patients with dementia, mild cognitive impairment (MCI), and ischemic stroke (IS) and to identify factors associated with changes in instrumental ADL. A total of 86 patients (dementia=30, MCI=32, and IS=24) were included to analyse cognitive function, depression, and basic and instrumental ADL obtained at the time of diagnosis and 1 year after baseline. Repeated measures analysis of variance and multiple linear regression were used. A significant group by time interaction was found in executive function (p=.037) and instrumental ADL (p=.023) across groups. The MCI group has little change in executive function and instrumental ADL from the baseline to 1 year after diagnosis while other two groups showed changes with the dementia group showing declines and the group of IS having improvement in these factors over time. Changes in executive function(p=.030) and basic ADL (p<.001) explained 26.9% in the variance of changes in instrumental ADL. These findings showed a different changing pattern in executive function during the first year after diagnosis of dementia, MCI, and IS which have cognitive changes as their main symptoms, probably leading to a different changing pattern in instrumental ADL. Healthcare professionals should routinely assess for executive function and instrumental ADL problems and intervene to maintain and improve these functional outcomes immediately after disease.

A Study on Symptoms and Clinical Findings of TMJ Dysfunction (악관절 기능장애증의 증상 및 임상소견에 관한 연구)

  • 김연중;이승우
    • Journal of Oral Medicine and Pain
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    • v.9 no.1
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    • pp.117-125
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    • 1984
  • 악관절 기능장애증의 증상 및 임상소견에 관해 많은 연구가 보고되었으나 국내에서는 이에 대한 연구가 미비한 편이며, 이들간의 상호 관련성을 조사한 연구는 별무하였다. 이에 저자는 1983년 3월부터 1984년 7월 사이에 서울대학교 병원 구강진단과에 내원한 악관절 기능 장애증 환자 367명 중 방사선 사진상으로 기질적인 변화를 보이지 않는 327명을 대상으로, 증상 및 임상소견에 관한 조사와 아울러 악관절 동통이 하악 운동에 미치는 영향에 관해 연구한 결과 다음과 같은 결론을 얻었다. 1. 악관절 기능장애증은 약 3:1의 비율로 여자에게 빈발하였고, 15세에서 29세까지의 청장년 층에 많았다. 2. 악관절 기능장애증 환자가 경험한 주 증상은 동통, 관절잡음, 개구장애 등이었다. 3. 관절잡음은 편측성인 경우가 많았고, 좌우 발현 빈도는 비슷하였으며 말기의 관절잡음이 많았다. 4. 악관절 기능장애증의 발병 기간은 1개월 이하인 경우가 많았다. 5. 악관절 동통은 개구와 하악 전방운동을 제한하는 것으로 추정된다. 6. 악관절 동통은 동통이 있는 쪽으로 하악 개구로의 편위를 일으키는 것으로 추정된다.

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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.

Study on the Conventional Tomographic Findings for the Patients with Temporomandibular Disorders (턱관절장애환자의 일반단층촬영 소견에 관한 연구)

  • Seo, Seong-Jong;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.26 no.3
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    • pp.277-290
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    • 2001
  • 영상촬영술은 개방형 외과적 관절수술이나 관절경 검사법을 할 수 없는 상태에서 관절의 상태에 대한 시각적 정보를 확보할 수 있는 유일한 방법이다. 이것의 주된 목적은 진단과 치료계획과정을 도와주는 정보를 제공하는데 있다. 그중 방사선 촬영술은 턱관절의 구조적 질병을 진단하는데 기본적인 수단으로서 오래동안 사용되어 왔 다. 그러나 어떠한 방사선 소견이 개별 관절질환의 특징적 소견인지는 찾아내기가 어려운 실정이다. 그러나 통상적 턱관절 방사선 촬영술로서도 구조적 골변화를 찾아낼 수 있으며 특히 시상 단층촬영술은 턱관절에서 가장 유익한 정보를 보여준다고 한다. 또한 보고에 의하면 턱관절 장애는 다양한 해부학적 요인들과 관련이 있다고 한다. 따라서 본 연구에서는 통상적인 방사선 단층촬영술을 이용하여 턱관절 장애환자의 턱관절에서 나타나는 골변화를 찾아내고 이러한 골변화가 하악과두 수평각, 하악과두 형태, 과두위치 등과 같은 여러 요인들과 서로 관련이 있는 지 찾아보고저 하였다. 단국치대 구강내과 안면동통진료실에 내원한 256명의 환자 중, 턱관절장애를 편측으로만 호소하는 환자 73명을 대상으로 SCANORA를 이용하여 방사선 단층촬영을 시행하였다. 먼저 악하두정위 촬영을 통해 정중선에 대한 하악과두의 방향을 찾아내고 단층촬영 부위를 계산하였으며, 모든 촬영면은 4 mm 두께로 하고 턱관절 부위에만 국한되도록 조준하였다. 폐구 시 4개의 시상 촬영과 개구 시 한개의 시상 및 전두촬영상을 구한 후, 하악과두, 과두 형태 및 하악과두위치 등과 같은 요인들에 대한 골변화간의 관련성을 조사하고저 자료를 측정한 후 Contengency table analyses를 시행하였다. 본 연구의 결과에 따르면 결론적으로 하악과두의 형태, 하악과두의 수평각 및 하악과두의 위치 등은 턱관절의 골변화와 상호 관련이 있다는 가설을 확인할 수 있었다. 즉 하악과두상의 골변화는 과두가 후방위치되고 과두각이 25도 이상 크며, 특히 20대에서는 flat type, 40대에서는 angled type의 과두형태를 가지며 두 과두각의 차이가 9도에서 12도 정도로 큰 차이가 있는 남성환자에서 증가한다.

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Analysis of Teaching Types and Obstacles of Chemistry Teachers through Teacher Educational Programs for Responsive Teaching (반응적 교수를 위한 교사교육 프로그램을 통한 화학교사의 교수 유형 및 장애 요인 분석)

  • Kim, Jeong Soo;Paik, Seoung-Hey
    • Journal of the Korean Chemical Society
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    • v.65 no.4
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    • pp.268-278
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    • 2021
  • The purpose of this study is to subdivide responsive teaching types proposed in the previous study in order to observe the change in the responsive teaching types in teacher educational programs, and to identify factors that impede changes in responsive teaching types. To this end, an educational program including introduction of responsive teaching, case analysis of responsive teaching, individual assignments and group discussions on facilitator type educational scenarios is provided for chemistry teachers who participated in a chemistry education course established in a graduate school of education. Based on previous research, when the teacher's teaching method was analyzed as evaluator, transfer, guide and facilitatore, a type that could not be classified was observed. In this study, responsive teaching types were added by adding two types: explorer and interpreter. In addition, through individual assignments and group discussion data, we could observe the factors that hinder teachers' responsive teaching changes. The obstacles that impede the change to responsive teaching were classified into teacher factors, student factors, and environmental factors. Among the obstacles, teacher factors include a belief in teacher-led instruction, a belief in the role of a teacher as a transfer of knowledge, a belief that the curriculum should be followed, a lack of understanding of the teacher about students, and a lack of the teacher's ability to lead student-led expansion. The student factor was distrust of the student's competence. Also, as an environmental factor, there was an educational environment such as multi-students class. Effective teacher education on responsive teaching can be achieved only when the perception related to these obstacles can be removed.

Effect of Articulation Abilities on the Articulator Strength Training by IOPI of Spasticity Dysarthric Speech (IOPI를 활용한 조음기관 훈련 프로그램이 경직형 마비말장애의 조음 능력에 미치는 영향)

  • Lee, Jang-Shin;Lee, Ji-Yun;Kim, Sun-Hee
    • Therapeutic Science for Rehabilitation
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    • v.9 no.1
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    • pp.91-99
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    • 2020
  • Objective : The purpose of this study was to investigate the effects of the IOPI articulator strength training program on articulator(tongue and lip) muscle strength, numbers of /l, s, ʨ/ articulation accuracy, articulatory numbers, articulation regularity and accuracy in the alternate motion rates, and sequential motion rate changes in patients with spastic dysarthria. Methods : Three cases of patients with spastic dysarthria living in Jeju, Korea, were included in this study. A single subject design was selected to study changes in articulator(tongue and lip) muscle strength, numbers of /ㄹ, ㅅ, ㅈ/ articulation accuracy, articulatory numbers, articulation regularity and accuracy in the alternate motion rates and sequential motion rates. Results : After the articulator strength training program was conducted on patients with spastic dysarthria, there were positive changes in articulator(tongue and lip) muscle strength, numbers of /ㄹ, ㅅ, ㅈ/ articulation accuracy, articulatory numbers, articulation regularity and accuracy on the alternate motion rates and sequential motion rates. Conclusion : Our findings suggest that IOPI articulator strength training program could be very useful for the most representative childeren with cerebral palsy if conducted in various subtypes of dysarthric patients and linked with articulatory function training with IOPI at home.

Personal Factors of Defecting North Korean Residents Obstructing Settlement in South Korean Communities and Job Burden Perceived by Police Officers Who are Providing Special Protection for Them (신변보호담당관을 통해 본 북한이탈주민의 지역사회 정착 장애요인과 신변보호담당관의 업무부담 : 개인적 요인들을 중심으로)

  • Hong, Soon-Hae;Park, Yun-Sook;Won, Mi-Soon
    • Korean Journal of Social Welfare
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    • v.52
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    • pp.223-240
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    • 2003
  • The present study is to identify personal factors of defecting North Korean residents that obstruct their settlement in South Korean communities. It will provide information about what perception, attitude and behaviors of defecting North Korean residents should be changed and what social skills should be improved in order to successfully adjust to South Korea. Personal obstacles were measured by police officers who are providing special protection for defecting North Korean residents, who are in a good position to observe behaviors of defecting North Korean residents because they are spending a great deal of time with them. They can even identify the personal obstacles not perceived by defecting North Korean residents themselves. Twenty-item scale was developed to measure the personal obstacles and was found to comprise 4 obstructing factors: self-supporting ability related factor, life style related factor, social and cultural adaptation related factor, and attitude toward police officer's support related factor. Among them, self-supporting ability related factor had the highest negative score. The study further revealed that self-support ability and life style related factors had a significant effect on the job burden of police officers. The findings suggested the necessity of ethical and moral education for the defecting North Korean residents.

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Theoretical Comparison between Social Model of Disability and Independent Living Model (장애에 대한 사회적모델과 자립생활모델에 대한 이론적 비교 연구)

  • KIM, JIN-WOO
    • Korean Journal of Social Welfare Studies
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    • v.41 no.1
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    • pp.39-63
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    • 2010
  • This research is to make the identity of the two models clear by reviewing the similarities and differences between Social Model of Disability from U.K. and Independent Living Model from United States. Research results are as follows. As for differences, Social Model of disability intended to change disability paradigm by focusing society itself as the cause of disability rather than individuals, however Independent Living Model stressed on the freedom and control through disabled people's life with self-advocacy group and personal assistants. As for similarities, there are self-representatives, social responsibility for disability, alienation of people with intellectual disabilities at the initial stage, background in legislating Disability Discrimination Acts in both countries. This result has its significances because it shows theoretical framework which make it possible to review further how disability practice and movements understand the two models regardless of their real contents and how the two affected the induction and proceeding of Korean Discrimination Act and Independent Living Paradigm in the Disability Welfare Act.

Kinetic analysis of the lower limb in visual handicap children (시각장애 아동의 보행 시 하지의 운동역학적 분석)

  • Yi, Jae-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.9
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    • pp.3952-3958
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    • 2011
  • This study was to investigate the difference in gait pattern between the visual handicap children and non handicap children in by analyze the biomechanical variation and pattern of lower limb. Therefore, we have made a choice of four visually handicapped children and two subjects, who had no medical disorder for the last six months. In order to collect the gait pattern data of each group, we have used six infrared cameras and one forceplate Also, we have used QTM program to collect the raw data and Visual3D program to calculate kinetic variable. The results were as follows, An/Posterior GRF of breaking phase and propulsion phase in stance phase was lower in visual handicapped children than that of non handicapped children and breaking phase was longer than propulsion phase. extension moment at the ankle was quite lower than general gait pattern and there was little variation at the knee joint which makes the results differ from the general gait pattern. However, hip joint moment was relatively higher than that of other joints. Mechanical variation of lower limb, in case of foot and shank, showed similar results. but generated very low mechanical energy. In thigh, the form of mechanical energy generation was slightly different in each group but generated more mechanical energy than other segments.