• Title/Summary/Keyword: 이중적 장애

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Psychosocial Experience in Post-mastectomy Women (유방완전절제술을 받은 여성의 심리사회적 경험 : 자조집단 참여자 중심으로)

  • Lee, Yoon-Soo
    • Korean Journal of Social Welfare
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    • v.59 no.3
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    • pp.99-124
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    • 2007
  • The purpose of this study is to research psychosocial experience in post-mastectomy women, who participated in self-help group, using in-depth interviews and participant observations. Until recently, studies on post-mastectomy women in psychological perspectives had been maily done by nurses, and there are only few literatures in social welfare studies. Therefore, based on phenomenological theory, the meaning and essence of "the breast" and the lived experience of post-mastectomy women, i.e. emotional distress, and as a result has been explored, it has confirmed six clusters and explained them in detail. As a result, from the subjects' experience, the essence of 'A crossroad of life and death', 'sexual-identity crisis', 'feeling mortified due to double binded messages of others', 'conflict between physical and psychological disabilities', 'feelings of gratitude or wishfulness', and 'their realistic suggestions and wishes' has been shown. It has been founded that the subjects experienced not only self-identity crisis as women but also unending internal turmoil because of their passion to live. It has been hoped that this study will help to shape government policy and social welfare services on post-mastectomy patients.

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Factors Affecting the Cost of Rehabilitation Services for People with Congenital Disabilities (선천성 장애인의 재활서비스 비용에 영향을 미치는 요인)

  • Lee, Hyun-Joo
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.197-207
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    • 2022
  • The purpose of this study is to identify factors that affect the cost of rehabilitation services for people with congenital disabilities. The subjects of this study were 712 persons who had a disability from prenatal life from data of the 2020 National Survey of the Disabled Persons. 19-40 years, middle-class economic status, monthly family income level, use of vouchers, satisfaction with service institutions, autistic disability types significantly contributed to the cost of rehabilitation services. Among them use of vouchers had the greatest influence on the cost of rehabilitation services. Therefore, in order to reduce the cost of rehabilitation services for people with the congenital disabilities, it is suggested to improve the target of the voucher program and to establish a rehabilitation service support system for the entire life span.

CLINICAL CHARACTERISTICS OF CHILD AND ADOLESCENT PSYCHIATRIC INPATIENTS WITH PERVASIVE DEVELOPMENTAL DISORDER (입원한 전반적발달장애 소아청소년의 임상특성)

  • Pyo, Kyung-Sik;Bahn, Geon-Ho;Hong, Kang-E;Park, Tae-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.2
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    • pp.237-246
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    • 1998
  • Objectives and Methods:This study investigated clinical characteristics, treatment modality, outcome of 57 children and adolescent inpatients(male 53, female 4) who were diagnosed as pervasive developmental disorder(PDD) by DSM-Ⅳ criteria recent five years. Results:1) The mean age at admission was $96{\pm}28.2$ months, and the mean age at which they first visited treatment facility was $52{\pm}26.6$ months. The mean hospitalization period was $43.7{\pm}31.3$ days. 2) Diagnosis:Twenty-seven(47.4%) of subjects met DSM-Ⅳ criteria for PDD NOS. Fifteen (26.3%) met for autistic disorder, nine(15.8%) met for Asperger's syndrome, and two(3.5%) met for childhood disintegrative disorder. 3) Comorbid diagnosis:The most common comorbid dignosis was attention deficit hyperactivity disorder(23.8%). 4) IQ test:IQ test for twenty-eight subjects was possible. The Average of the subjects was $70{\pm}27.5$. Fifteen(53.6%) of the subjects were approximate or under 70. 5) Neurology Abnormality:EEG findings of eleven(21.2%) subjects were abnormal, brain CT or MRI findings of eight subjects(21.6%) were abnormal. 6) Family Hx:Depressive disorder were found in Eight mothers(14%). Familial loading was found in twenty families(35.1%), and familial loading of PDD was found in three(5.3%). Conclusion:The most important thing for the management of PDD is early detection and early treatment. To do so, multidisciplinary team approach should be emphasized.

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Factors influencing the Caregiving Responsibility of Siblings without Disability on Adult with intellectual disability (성인 지적장애인에 대한 비장애형제의 부양 책임감에 영향을 미치는 요인 연구)

  • Kim, Mee-hye;Oh, Soo-Kyung;Jang, Sook
    • Korean Journal of Social Welfare Studies
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    • no.37
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    • pp.63-89
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    • 2008
  • This study attempts to examine the factors influencing the Caregiving responsibility of sibling without disability on their adult siblings with intellectual disability. For this purpose, a questionnaire survey was conducted on siblings without disability who have adult siblings with intellectual disability aged 18 years old or more and also who use services provided by 8 welfare centers for persons with disabilities in Seoul. With 132 valid responses, multiple regression technique was adopted in exploring a model for characteristics of adult with intellectual disability, a model for characteristics of siblings without disability, a model for relationship factors, and a comprehensive model. The findings of the study showed that the degree of disability in the model for characteristics of adult siblings with intellectual disability and the intimacy of siblings and social support in the model of relationship factors were significant. The result of the comprehensive model revealed that the degree of disability, the gender of the siblings without disability, the intimacy of siblings, and social support were significant. Especially, the relationship factors including the intimacy of siblings and social support were found to be the most significant factors in order to explain the caregiving responsibility. The findings of the study suggest that sibling program needs to be developed and disseminated in order to increase the understanding and the trust between adult with intellectual disability and sibling without disability, that a help is critical for adult with intellectual disability to extend the social network in which sibling without disability receives support from sibling without disability, family, friends, and other acquaintances around, and that different approach is needed in order to reduce caregiveing difficulties depending on the dependence of disability.

Design and Implementation of the Extended SLDS Supporting SDP Master Replication (SDP Master 이중화를 지원하는 확장 SLDS 설계 및 구현)

  • Shin, In-Su;Kang, Hong-Koo;Lee, Ki-Young;Han, Ki-Joon
    • Journal of Korea Spatial Information System Society
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    • v.10 no.3
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    • pp.79-91
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    • 2008
  • Recently, with highly Interest In Location-Based Service(LBS) utilizing location data of moving objects, the GALIS(Gracefully Aging Location Information System) which is a cluster-based distributed computing architecture was proposed as a more efficient location management system of moving objects. In the SLDS(Short-term location Data Subsystem) which Is a subsystem of the GALIS, since the SDP(Short-term Data Processor) Master transmits current location data and queries to every SDP Worker, the SDP Master reassembles and sends query results produced by SDP Workers to the client. However, the services are suspended during the SDP Master under failure and the response time to the client is increased if the load is concentrated on the SDP Master. Therefore, in this paper, the extended SLDS was designed and implemented to solve these problems. Though one SDP Master is under failure, the other can provide the services continually, and so the extended SLDS can guarantee the high reliability of the SLDS. The extended SLDS also can reduce the response time to the client by enabling two SDP Masters to perform the distributed query processing. Finally, we proved high reliability and high availability of the extended SLDS by implementing the current location data storage, query processing, and failure takeover scenarios. We also verified that the extended SLDS is more efficient than the original SLDS through the query processing performance evaluation.

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The Influence of Social Stigma on Smart-phone Addiction Through Career Barriers and Depression among Out-of-school Youth (학교 밖 청소년의 사회적 낙인감이 진로장애와 우울을 매개로 스마트폰중독에 미치는 영향)

  • Kim, Jimin;Lea, Eunkyoung
    • The Korean Journal of Coaching Psychology
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    • v.5 no.1
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    • pp.85-102
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    • 2021
  • The purpose of this study was to examine the effect of out-of-school adolescents' social stigma on smart-phone addiction through career disorders and depression. In the process that social stigma of adolescents outside of school affects smart-phone addiction, the mediating effect of career barriers and depression was verified. The subjects of this study were 318 subjects who participated in the 5th year survey of out-of-school youth panel by the Korea Youth Policy Institute. For data analysis, the correlations and mediating effects between major variables were verified. As a result of the study, first, all of the major variables were found to have statistically significant correlations. Second, the social stigma of out-of-school adolescents was found to have an effect on smart-phone addiction through career disorders and depression, confirming a double mediation. In addition, in the process in which out-of-school adolescents' social stigma affects smart-phone addiction, it was confirmed that career disorder and depression were respectively mediated, but social stigma did not have a significant effect on smart-phone addiction. Based on these results, prevention of smart-phone addiction among out-of-school adolescents and intervention methods and implications for youth coaching were presented.

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Dissociative Symptoms in Patients with Somatization Disorder (신체화 장애 환자의 해리 증상)

  • Kim, Seong-Hwan;Choe, Byeong-Moo;Kim, Yoon-Won;Hahn, Hong-Moo
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.116-123
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    • 1999
  • Objectives : The authors attempted to assess how much the mechanism of dissociation affects somatization disorder patients psychopathologically, and explore the relationship between sexual or physical abuse and somatic symptoms in somatization disorder patients. Methods : The authors administered the Dissociative Experiences Scales-Korean version(DESK) and Dissociative Disorders Interview Schedule to 25 patients with somatization disorder and 51 normal subjects. Results : There were no significant demographic differences between patient and control groups. The mean score of DES-K for patient group was 18.2, and 10.0 for the control group. The percentage of the individuals with high scores(20 and over) was 36.0 in the patient group and 7.8 in the control group, respectively. The percentage of the individuals with sexual and/or physical abuse was 16.0 in the patient group and zero in the control group. Our results showed that DES-K scores were not influenced by the factor of age or religion in either group, but the scores of the patients with somatization disorder were significantly higher than those in the normal subjects. Conclusion : There was an implication that the mechanism of dissociation affects issues of psychopathogenesis and psychopathology in Korean patients with somatization disorder, even though they have different sociocultural backgrounds in comparison to Western patients. The authors suggest it is useful to focus attention on childhood abuse and dissociation in the evaluation and dynamic psychotherapy of patients with somatization disorder.

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Generation of Bi-modal Particles for Performance Evaluation of Air Cleaning Devices for Submicron Aerosols (나노/서브마이크론 에어로졸의 집진성능평가를 위한 이중모드 입자의 발생)

  • 지준호;황정호
    • Proceedings of the Korea Air Pollution Research Association Conference
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    • 2003.05b
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    • pp.97-98
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    • 2003
  • 나노/서브마이크론 크기의 입자는 최근 유해 입자상 물질 제거 및 오염 제어나 물질 제조 등의 분야에서 관심이 높아지고 있다. 보통 환경 입자상 물질로 불리는 0.1~l $\mu\textrm{m}$ 범위의 서브마이크론 입자는 자동차, 공장, 발전소, 소각로 등의 연소 과정에서 발생되어 상당량이 대기로 배출되는데, 인체에 유입되면 호흡기 장애나 암을 유발하는 등의 나쁜 영향을 미친다. 특히, 관성력과 확산력에 의한 영향이 적고 하전 입자의 전기적인 이동도도 낮기 때문에 집진장치나 공기청정장치에서 집진효율이 가장 낮은 크기 범위이다. (중략)

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Childhood Trauma and Pharmacotherapy Retention among Outpatients with Panic Disorder (공황장애 외래 환자의 아동기 외상과 약물치료 유지)

  • Kim, Dong Joo;Kim, Daeho;Lee, Jinbok;Kim, Yaeseul;Sohn, Sujin
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.53-62
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    • 2020
  • Objectives : This study investigated lifetime experiences of trauma, treatment retention, and psychiatric symptoms among outpatients with panic disorder after initiation of pharmacotherapy. Our research hypothesis was that panic patients with childhood trauma would display more severe symptoms and less treatment retention compared to those without such history. Methods : A total of 135 first-visit outpatients with DSM-IV panic disorder were approached during the period from March 2012 to August 2016. Fifty-three patients (39%) either refused or returned incomplete questionnaires, leading to a final sample size of 82. Participants completed the Trauma History Screen, the Beck Depression Inventory, the Beck Anxiety Inventory, and the Abbreviated PTSD checklist. Results : The number of lifetime trauma was significantly correlated with treatment retention (rho=-0.269, p=0.015). Among subtypes of trauma, only childhood physical abuse was significantly correlated with treatment retention (rho=-0.298, p=0.007). Conclusions : Our results indicated that psychological trauma, particularly of an interpersonal nature from childhood, can affect pharmacotherapy treatment retention in panic disorder. This may be mediated by poor patient-doctor relationships originating from trust issues among childhood trauma survivors or lack of perceived improvement due to the more severe symptoms and unfavorable course experienced by those with childhood trauma. Further studies are needed to explore the reasons for poor treatment adherence in this population.

A Design and Implementation for Disaster Warning System Based Radio Communication (무선 재난경보시스템 설계 및 구현)

  • Ahn, Byung-Dug;Lee, Won-Suk;Kim, You-Hyuk;Lee, Seung-Hyung;Kwak, Woo-Seok
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2016.07a
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    • pp.9-12
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    • 2016
  • 본 논문에서는 지진 및 재난상황을 신속하게 대중에게 전파하기 위해 상황실에서의 통제에 따라 정해진 경보방송을 수행하고, 대용량 스피커를 통해 출력할 수 있는 장치를 소개한다. 통신망은 VHF와 위성을 이용하는 이중화로 구성하여 재난발생 시 통신장애에 대한 서비스를 안정화하고, 통신부/제어부/입출력부/앰프부/전원부 등을 유니트로 설계하여 유지보수를 수월하게 할 수 있도록 구성하였다. 야외 환경에서 동작되는 장비는 먼지로부터 보호하고 방수기능이 포함되어 있으므로 밀폐형 함체 내부에 장착된다. 혹한 및 혹서의 날씨에도 장비 운영에 문제가 없도록 장비 내부에 히팅을 하고, 팬을 이용하여 공기 배출을 통해 온도 조절 기능을 수행한다. 배터리를 내장하여 불안정한 상용 전원 공급 조건에서도 안정적으로 운영될 수 있도록 설계하였다.

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