• Title/Summary/Keyword: 언어장애인

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DENTAL MANAGEMENT OF A PATIENT WITH MOYAMOYA DISEASE UNDER GENERAL ANESTHESIA (모야모야병(moyamoya disease) 환자의 전신마취 하 치과 치료)

  • Sang, Eun Jung;Song, Ji-Soo;Shin, Teo Jeon;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Hyun, Hong-Keun
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.13 no.2
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    • pp.108-113
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    • 2017
  • Moyamoya disease is a disorder in which certain arteries in the brain are constricted. Blood flow can be blocked by the constriction and blood clots. The patients frequently experience transient ischemic attacks (TIA), cerebral hemorrhage, or may not experience any symptoms at all. It is reported that they have a higher risk of recurrent stroke and a distinct underlying pathophysiology. A 3-year-8-month old boy with moyamoya disease experienced cerebral infarctions five times, and he underwent a cerebrovascular anastomosis surgery four years ago. He showed swallow disturbance, general delayed development, hemiplegia, and strabismus. Also he had hypocalcified teeth with or without multiple caries lesions in all dentitions. Dental treatment under general anesthesia using sevoflurane was performed due to his lack of cooperation. Moyamoya disease is associated with various medical conditions requiring a thoughtful deliberation and a careful examination before and during dental treatment. Pain and anxiety control during dental treatment is important because hyperventilation induced by crying has been seen to trigger TIA. Both isoflurane and sevoflurane are commonly used in patients with MMD, but dynamic autoregulation is better preserved during sevoflurane than isoflurane anesthesia. So sevoflurance general anesthesia may be recommendable to manage dental patients having multiple caries with moyamoya disease.

Study on Forearm Muscles and Electrode Placements for CNN based Korean Finger Number Gesture Recognition using sEMG Signals (표면근전도 신호를 활용한 CNN 기반 한국 지화숫자 인식을 위한 아래팔 근육과 전극 위치에 관한 연구)

  • Park, Jong-Jun;Kwon, Chun-Ki
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.260-267
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    • 2018
  • Surface electromyography (sEMG) is mainly used as an on/off switch in the early stage of the study and was then expanded to navigational control of powered-wheelchairs and recognition of sign language or finger gestures. There are difficulties in communication between people who know and do not know sign language; therefore, many efforts have been made to recognize sign language or finger gestures. Recently, use of sEMG signals to recognize sign language signals have been investigated; however, most studies of this topic conducted to date have focused on Chinese finger number gestures. Since sign language and finger gestures vary among regions, Korean- and Chinese-finger number gestures differ from each other. Accordingly, the recognition performance of Korean finger number gestures based on sEMG signals can be severely degraded if the same muscles are specified as for Chinese finger number gestures. However, few studies of Korean finger number gestures based on sEMG signals have been conducted. Thus, this study was conducted to identify potential forearm muscles from which to collect sEMG signals for Korean finger number gestures. To accomplish this, six Korean finger number gestures from number zero to five were investigated to determine the usefulness of the proposed muscles and electrode placements by showing that CNN technique based on sEMG signal after sufficient learning recognizes six Korean finger number gestures in accuracy of 100%.

Research on Oral Status of Hearing Impaired Youth by Using QLF-D (QLF-D를 이용한 청각장애 청소년의 구강상태에 관한 조사)

  • Kim, Chang-Suk
    • The Journal of the Korea Contents Association
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    • v.13 no.9
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    • pp.305-311
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    • 2013
  • This study analyzed the oral status after recording the images by using QLF-D with targets of 38 youth people with hearing impairment and hearing language impairment. In order to investigate the state of oral hygiene, plaque index (O'Leary index) and contents of investigation of the state of the teeth included the number of sound teeth, the number of caries teeth, dental caries experience and the number of filling teeth. The following results were obtained. First, women lacked the management on plaque and had more caries teeth compared with men. In terms of impairment classification, subjects with both hearing and language impairment lacked the management on plaque and had more caries teeth. Second, subjects who did not get an oral exam for one year had more caries teeth. Oral hygiene score was the highest with the brushing time for 3-4 minutes. The number of sound teeth was increased as the brushing time was increased. In addition, the oral hygiene management time was the highest when cleaning the teeth, gums and tongue at the same time. Third, it was shown that the satisfaction of oral health education by using the new equipment was high. As a result of this study, in order to improve the oral health level of impaired students, they shall be trained to manage their teeth by themselves and educated to increase their motivation and practice. Thus, it is thought that various approaches which are differentiated from existing methods are required to be tried.

Comparison of Fisher's Auditory Problems Checklist (FAPC) and Scale of Auditory Behaviors (SAB) in Screening Central Auditory Processing Disorders (중추청각처리장애 선별도구로서의 Fisher's 청각행동문제 체크리스트(FAPC)와 청각행동특성척도(SAB)의 비교 연구)

  • Yoon, Min Ho;Jang, Hyun Sook
    • 재활복지
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    • v.18 no.4
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    • pp.257-277
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    • 2014
  • The purpose of this study was to observe auditory processing skills in school-age children using Fisher's Auditory Problem Checklist(FAPC; Fisher, 1976) and Scales of Auditory Behaviors(SAB; Shiffman, 1999) in order to provide a basis for clinical application in screening central auditory processing disorders(CAPD) in Korea. Korean translated version of FAPC and SAB were given to the parents or care givers of 233 students from grades 1~6. As a result of testing FAPC, the average score for all grades showed 91.87(${\pm}7.93$) points, with grade point average score falling in 90.13~93.67 range and no significant differences among grades. For SAB, the average score for all grades showed 53.44(${\pm}5.09$), with grade point average score falling in 51.78~55.44 range and also no significant differences among grades. Significant correlations between FAPC and SAB were shown in all and within grade levels. There showed to be 22 children(9.9%) in -1 SD at risk criteria, with 13 male students(12%) and 9 female students(7.8%) for both FAPC and SAB. In applying FAPC and SAB clinically to school-age children, these two tests showed to have a significant correlation, but because of different characteristics due to the small number of children in the common risk range, diagnostic testing/rehabilitation plan based on screening and auditory behavior characteristics is recommended to be conducted complementarily to one another.

Task-Specific and Argument Structure Effects on Verb Production in Normal Elderly Adults: Animation vs. Picture Comparisons (과제 제시 유형 및 논항 수에 따른 노년층의 동사 이름대기 수행력 차이: 애니메이션과 그림 비교)

  • Choi, Su Jin;Sung, Jee Eun
    • 재활복지
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    • v.18 no.4
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    • pp.279-293
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    • 2014
  • The purpose of the study was to investigate the effects of task presentation methods (animation vs. picture) on verb naming abilities as a function of verb argument structures for normal elderly adults. Participants were categorized into the two groups: animation group(n=21) vs. picture group(n=21). Data for the animation group were from obtained from Sung and Choi (2012). Percent of accuracy for the verb naming task served as a dependent measure for statistical analyses. After the years of education was controlled as a covariate, a two-way mixed ANOVA was performed with the group as a between-subject factor and the argument structure(1-, 2-, and 3-place) as a within-subject factor. Results revealed that there was a significant interaction between the group and argument structure, whereas there were no main effects for either of the factors. The animation group performed better than the picture group for one-place verb, whereas the opposite pattern was observed for the three-place verbs. The results suggested that the presentation methods are one of the critical factors that influenced verb naming abilities in elderly adults.

A Case Study on Vocal Aerobic Treatment Voice Therapy Development and Application for Classical Singers (성악가를 위한 VAT 음성치료 개발 및 적용 사례연구)

  • Yoo, Jae-Yeon;Lee, Ha-Na
    • 재활복지
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    • v.22 no.1
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    • pp.157-168
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    • 2018
  • The purpose of this study is to investigate the impact of semi-closed vocal training-based Vocal Aerobic Treatment on the voice improvement of soprano. Study subject was one soprano who appealed to the suffering of her voice problem due to vocal cord nodule. A study method of conducting pre/post acoustic evaluation and subjective voice evaluation to compare the measures was used; Vocal Aerobic Treatment was carried out twice a week for a total of 32 session. In the acoustic evaluation, MDVP (multi-dimensional voice program) and VRP (voice range profile) were used to evaluate the pitch, voice quality, and voice range; in the subjective voice evaluation, SVHI (singing voice handicap index) was used to assess voice satisfaction. As a result of the pitch evaluation, the soprano maintained a proper Fo. As a result of the voice quality evaluation, the jitter, shimmer, and the noise harmonic ratio numbers decreased compared to the numbers shown before the treatment. As a result of the voice range evaluation, the scope of the range was broadened, with the number of semitone increasing from 30 to 35. As for the subjective voice evaluation, the result of the total score obtained after the survey report divided by the number of questions showed a decrease from 3.6 to 0.6. The soprano herself reported of having a minor extent of a voice problem. The summary of the above results reflects that Vocal Aerobic Treatment is useful in the voice improvement of vocalists However, as this study is case research regarding the Vocal Aerobic Treatment effect on one soprano, further research on the treatment effect covering many other vocalists is necessary. Also, there is a need for follow-up studies regarding voice management and voice treatment program on not only the vocalists but also the voice users in many other professions.

The Characteristics of Diadochokinesis in 1st and 2nd Grades of Elementary School Students (아동의 조음교대운동 특성: 광주광역시 초등학교 1, 2학년을 대상으로)

  • Choi, A Rim;Yoo, Jae Yeon
    • 재활복지
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    • v.22 no.2
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    • pp.231-246
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    • 2018
  • Diadochokinesis (DDK) aims to identify the evaluating the oral mitor ability and the moter coordination ability. There are few DDK normative data on elementary school students in Korea, The purpose of this study was to investigate the characteristics of the speed and regularity of DDK in first- and second-grade students in elementary school. The subjects were a total of 194 students in first- (45 males, 50 females) and second-grade (47 males, 52 females) in elementary schools in Gwangju Metropolitan City. As evaluation tasks, AMR task 'p?', 't?', and 'k?' and SMR task 'p?t?k?' were performed. The speed and regularity of DDK was measured using Motor speech profile (Model 5141, KayPENTAX) and Praat (v6.0.3.6). The results of this study, First, there was a statistically significant difference by grade in AMR speed for 'p?', 't?', and 'k?' and the AMR speed was faster in second grade group. And, there was no statistically significant. Second, AMR regularity showed a statistically significant difference in 'p?', 't?', and 'k?' according to sex and was found to be more regular in female student group. There was no significant difference in regularity by grade. Third, the SMR speed showed statistically significant difference in 'p?t?k?' by grade and was faster in second grade group. And there was no statistically significant difference by sex. The results of this study showed that the DDK performance ability in first- and second-grade students in elementary school was slightly different according to grade and sex. In future research, it is necessary to investigate the correlation between the articulation accuracy and linguistic intelligibility, and to find out the usefulness of DDK in articulation evaluation.

Study on improvement of graphic motion editor for sign language (수화 동작 그래픽 편집기 개선에 관한 연구)

  • Oh, Young-Joon;Park, Kwang-Hyun;Jang, Hyo-Young;Kim, Dae-Jin;Jung, Jin-Woo;Bien, Zeung-Nam
    • 한국HCI학회:학술대회논문집
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    • 2006.02a
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    • pp.976-981
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    • 2006
  • 수화는 청각장애인이 사용하는 시각적인 언어이다. OpenGL 기반의 가상 현실 공간에서 수화 동작을 표현하기 위해서는 수화 동작 데이터를 삽입하고 수정하는 편집 프로그램이 필요하다. 하지만, 기존의 수화 동작 편집기는 수화를 잘 이해하지 못하는 일반 사용자가 손 모양을 정확하게 편집하거나 얼굴 표정을 표현하는데 어려움이 있다. 또한, 수화 사전에 포함되는 각 수화 단어의 데이터 수가 많기 때문에 이를 효율적으로 생성하고 저장하는 프로그램이 절실히 필요하다. 본 논문에서는 사용자의 편의성을 높이기 위해 수화 동작 그래픽 편집기를 개선하는 방법을 제안한다. 이를 위해 각 손 모양에 대해 21 개의 파라마터로 구성된 데이터를 손가락 별로 분류한 후, 손가락 고유 기호로 변환하고, 손 모양 이름과 일련 번호를 부여하여 손 모양 데이터를 얻었으며, 유사한 손 모양을 그룹으로 묶은 손 모양 그룹 데이터를 구성하여 손 모양 데이터 사전을 구축하였다. 구축된 손 모양 사전을 수화 동작 편집기에 적용함으로써 사용자는 손 모양 그룹과 손 모양 이름, 일련번호를 선택하여 손의 각 관절 움직임을 쉽게 편집할 수 있으며, 이를 가상현실 공간에서 움직여 볼 수 있다. 또한, 얼굴 표정과 안색을 편집할 수 있는 기능을 추가함으로써 수화 동작 중에 얼굴 표정을 쉽게 표현할 수 있도록 하였다.

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A Study on the transformation of real-time visual information of bar charts into complementary sound information (봉차트의 실시간 시각정보를 보완적 음향정보로 변환하는 방법에 관한 연구)

  • Goo, Bon-Cheol
    • 한국HCI학회:학술대회논문집
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    • 2006.02a
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    • pp.717-722
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    • 2006
  • 경제지표, 주식시세, 전자상거래 등 시각적으로 제공되는 정보 중에 정확한 숫자가 중요한 정보인 경우도 있지만 2 차 정보로서 변화의 추세나 패턴이 중요한 경우도 있다. 주식을 포함한 유가증권이나 선물거래의 경우 주로 미국식 봉차트를 사용하는데 개인투자자가 늘고 있는 우리나라 실정으로 볼때 식음을 전폐하고 전광판에 매달리는 문제점이 지적되고 있고, 전문투자자들도 시각정보를 놓치지 않기 위해 일상 업무에 소홀해지는 경우가 많다. 이러한 경우 음향정보도 함께 제공한다면 인간은 다양한 감각기관을 가지고 있기 때문에 시각정보를 주로 이용하다가도 잠시 휴식을 취하거나 다른 용무가 있을 때 청각정보를 보완적으로 사용하여 스트레스를 줄일 수 있고 명철한 판단력을 유지할 수 있으며, 경우에 따라서는 음향정보가 상황판단을 위해 더욱 효과적일 수도 있을 것으로 본다. 음향정보가 시각정보를 대체하기 보다는 2 차 정보로서 상호보완성이 목적이라면 정확한 숫자의 표현보다는 거래패턴 등을 음악적으로 표현하여 음악 감상의 기능까지 갖춘다면 시각정보와는 차별화된 음향정보의 독자성을 찾을 수 있다. 간혹 종목별 등락을 읽어주거나 중요한 매매시점에 신호음을 내는 청각적인 방법이 사용되기도 하지만 상당히 제한적이고 단순한 상태이다. 그러므로 본 연구의 진정한 개발목적은 정보성 이외에 예술적 표현을 융합하는 것이며, 시각장애인이나 네트워크 환경이 열악한 사람들도 주식투자에 있어서 평등성을 보장하여 건전한 투자문화를 형성하기 위함이다. 실시간 거래정보를 음악적으로 표현하여 업무를 보면서도 들려오는 음악을 통해 거래상황을 파악할 수 있는 연구방법으로 거래빈도는 음의 빠르기로, 거래가는 음의 높낮이, 거래량은 음의 세기, 종목은 악기의 음색으로 표현하였으며, 컴퓨터에 내장된 사운드카드를 통해 소리를 들을 수 있도록 MIDI 데이터로 변환하였다. 통계정보는 주로 한국증권선물거래소(KRX: The Korea Exchange)에서 발췌하였으며, 시뮬레이션을 위한 프로그래밍 언어로는 Cycling74 의 Max/MSP 를 사용하였다.

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Development of Implant Devices for the Hearing Impaired and Their Clinical Applications (청각장애인을 위한 인공이식기 개발 및 임상응용 (I))

  • Park, S.H.;Shin, J.I.;Park, H.G.;Kim, H.N.;Lee, H.K.;Kim, C.S.;Chang, S.O.;Lim, D.H.;Oh, S.H.;Jung, W.H.;Byun, S.W.;Lee, K.H.;Choi, K.A.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.203-206
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    • 1997
  • 본 연구는 G7 의료공학기술개발사업의 1차년도 연구결과이다. 본 연구의 최종목표는 청각계통중 내이의 손상에 의한 감각성 난청환자에게 소리를 인식할 수 있게 하는 한국형 인공와우의 개발, 전 음성 난청환자의 음성인식 효율을 높일 수 있는 한국형 인공이소골의 개발 그리고 인공와우 시술환자에게 적합한 재활용 프로그램을 개발하는데 있다. 이를 위하여 지난 1차년도에는 코클리어의 전기생리학적 현상을 규명하고, 이식전극시스템과 그 주변장치를 설계, 평가하였다. 그리고 한국인의 성인사체의 16귀를 측정하여 한국인 체형에 적합한 인공이소골의 설계기준을 확립하였다. 또한, 인공와우 시술 후 청력회복에 필요한 한국형 재활프로그램의 개발을 위하여 인공와우의 coding strategy에 따른 언어분별력 조사, 유소아의 어음특성분석등을 행하였다. 이 연구결과를 토대로 차기년도에는 상용화에 근접한 프로토타잎의 제품개발과 임상실험이 진행되리라 생각된다.

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