• Title/Summary/Keyword: 일상생활활동장애

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An AI Service to support communication and language learning for people with developmental disability (발달장애인을 위한 커뮤니케이션과 언어 학습 증진을 위한 인공지능 서비스)

  • Park, Chan-Jun;Kim, Yang-Hee;Jang, Yoonna;Umadevi, G.R;Lim, Heui-Seok
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.51-57
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    • 2020
  • Children with language developmental disabilities often struggle through their lives from a lot of challenges in everyday life and social activities. They're often easily deprived of the opportunity to engage in social activities, because they find difficulty in understanding or using language, a core means of communication. With regard to this issue, AAC(Augmentative and Alternative Communication) can be an effective communication tool for children who are suffering from language disabilities. In this paper, we propose a deep learning-based AI service to make full use of the pictogram as an AAC tool for children with language developmental disabilities to improve not only the ability to interact with others but the capacity to understand language. Using this service, we strive to help these children to more effectively communicate their intention or desire and enhance the quality of life.

A Study on the Factors Related to the Cognitive Function and Depression Among the Elderly (일부지역 노인들의 인지기능과 우울에 관련된 요인에 관한 연구)

  • Shin, Cheol-Ho;Kim, Soo-Young;Lee, Young-Soo;Cho, Young-Chae;Lee, Tae-Yong;Lee, Dong-Bae
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.2 s.53
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    • pp.199-214
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    • 1996
  • To investigate the factors which affecting the cognitive function and depression of the 65 or more age group, the authors surveyed for the subjects in the region of Taejon and nearby Taejon area. 729 studied subjects were tested for cognitive function with MMSE and depression with GDS. The main results were followings; In the studied subjects, the rate of normal cognitive function was 56.8%, the rate of mildly impaired was 24.1% and the rate of severe impairment was 19.1%. The cognitive function level was closely related to the depression score. As the age increased, the cognitive function was more impaired. Sexual difference was also existed in the cognitive function level and the depression score. After adjusting the effect of age, the variables such as sex, marital status, education level, past job, instrumental ability of daily living, regular physical exercise, frequencies of going out the house, chest discomfort, visual and auditory disturbance, and dizziness had the significant relationship with cognitive function impairment. Among these variables instrumental ADL, age, visual disturbance, and sex showed statistical significance in the logistic regression model. In the multiple stepwise regression, the variables which had significant relationship to depression score were education level, frequencies of going out house, current job and house work activity, regular physical exercise, instrumental ADL, self-rated health and nutritional status, dimness, visual disturbance, and chest pain. In conclusion, main characteristics which had close relationship to the cognitive function and depression symptoms in the studied subjects were physical function and self rated health status.

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The Effect of Convergence Tailed Occupational Therapy Activities Program on Mental Stability and Social Participation in Elderly People with Mild Cognitive Impairment (융합형 맞춤 작업치료 활동프로그램이 경도인지장애 노인의 심리 안정과 사회참여에 미치는 영향)

  • Oh, Hye-Won;Kim, Ko-Un
    • Journal of Digital Convergence
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    • v.14 no.4
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    • pp.449-457
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    • 2016
  • This study aims to examine the effect of Convergence Tailed Occupational Therapy Activities Program (CTOTAP) which is customized to elderly people with mild cognitive impairment on their mental stability and social participation. A total of thirty elderly patients with mild cognitive impairment were randomly divided into a test group and a control group of 15 patients each, undergoing a total twelve sessions of the program (two sessions per week for six weeks) in three steps. In order to investigate the mental stability of the patients before and after the program, the Korean Geriatric Depression Scale (KGDS) was used while the Frenchay Activity Index (FAI) was used to explore the social participation of the patients. According to the findings of this study, there appeared to be an increase in the mental stability, social participation of the test group after the program. In addition, after the program there were differences between the test group and the control group in all of the mental stability and social participation. Therefore, the study has shown that the CTOTAP with customization has positive impact on the mental stability and social participation of patients with mild cognitive impairment.

The Evaluation of the Demonstration Program of Centers for Independent Living and the Future Direction in Korea (한국의 장애인자립생활센터 시범사업 평가와 향후 과제)

  • Lee, Ick-Seop;Kim, Kyung-Mee;Yoon, Jae-Young
    • Korean Journal of Social Welfare
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    • v.59 no.2
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    • pp.197-222
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    • 2007
  • The study aims to evaluate the outcomes of the Centers for Independent Living(CILs) demonstration program and to recommend future directions for CILs in 2006. The framework for the evaluation is a logic model, which facilitates outcome-based performance measurement. The measures associated with the logic model include input, activity, output, and outcomes. The data were collected by interviewing the executive directors of 10 CILs and conducting telephone survey with 231 consumers with disabilities. The study found that 69% consumers acquired new knowledge and skills for independent living. The study also revealed that 87% consumers experienced the positive changes in their lives and 83% consumers were satisfied with the services of the Centers. After using the services, consumers reported significant increases in self-confidence, and in the number and the level of involvement in the activities. In addition, the study found that the employment status of the consumers was improved, and the number of persons who were living in institutions was decreased. The study supports the advancement of policy to institutionalize Centers for Independent Living, and points to the importance of developing the capacity of the Association of Centers for Independent Living to ensure high quality services. In addition, it is suggested that the development of a manual for these services is necessary, and that services should be provided across disabilities and throughout the country, especially in rural areas.

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Case Study on Design, Manufacture and Application of Customized Assistive Device for the ADL of Person with Brain Lesions (뇌병변장애인의 일상생활을 위한 맞춤형 보조기구의 설계·제작·적용 사례 연구)

  • Lee, J.H.;Choi, M.N.;Yim, S.B.;Rhee, G.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.4 no.1
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    • pp.81-86
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    • 2010
  • This paper is case study on design, manufacture and application of customized assistive device for the ADL of person with brain lesions. The study had carried out from October 2010 to November 2010 and 2 clients from Assistive device case management demonstration project which is performed by Daegu assistive and rehabilitation center had participated. Case A, a 47-year-old man with brain lesions, stays only on the floor and could not get close to the usual toilet by himself because of the poor low extremities muscle strength and function. The moveable-toilet and customized ramp had applied to Case A. He clambers up the ramp and reach to the toilet easily. Case B, a 8-year-old boy with brain lesions, had difficulties with self-feeding because of his clumsy hand. Several existing feeding aids were applied but not appropriated. A customized feeding aid was designed and manufactured out of regard of Case A's ROM and right hand size. And his occupational therapist works together continuously to make him feed himself in the near future. Already-made assistive devices were not appropriate to Case A and B and to solve this problem, customized assistive devices were applied. The importance and needs of design and manufacture of assistive device were recognized through these case study.

Effect of Virtual Reality-based Occupational Therapy Interventions for Disabled Children and Adolescents: A Systematic Review (장애 아동 및 청소년에게 가상현실(VR) 기반 작업치료 중재가 미치는 영향: 체계적 고찰)

  • Kim, Man-Je;Gil, Young-Suk;Kang, Set-Byul;Lee, Jae-Shin
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.1
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    • pp.34-46
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    • 2023
  • Objective : The purpose of this study was to systematically analyze the methods by which virtual reality (VR)-based occupational therapy interventions are applied to disabled children and adolescents and to assess their effectiveness. Methods : The RISS, DBpia, KCI, Science Direct, and CINAHL MEDLINE databases were searched for relevant literature from January 2012 to August 2022. The main search terms used were "virtual reality," "work therapy," "youth," "virtual reality," "occupational therapy," "child," and "adolescent." A total of 16 documents were selected for analysis by the 4th stage of the PRISMA flowchart. Results : In the 16 selected studies, VR-based occupational therapy when used with children and adolescents with disabilities and was shown to have meaningful effects. Among the types of cerebral palsy covered in the studies, the most common was hemiplegia, and the evaluation tools used for measurement of the VR effect were daily activities, cognition, exercise technology, social-interaction technology, and visual-perception evaluation. Nintendo wii and Microsoft Kinect produced the VR tools most commonly used to improve motor skills and daily life. Conclusion : The results of this study indicate that VR interventions can be used effectively in clinical practice. In the future, they may assist in the diagnosis of disabled children and adolescents, in helping to select VR tools that are suitable for the purposes of intervention, and in the presentation of specific methods.

Quality of Life(QOL), Life Satisfaction, and Its Determinents of the Physically Disabled in Taegu City (대구지역 재가 지체장애인의 삶의 질 및 삶의 만족도에 영향을 미치는 요인)

  • Lee, Young-Sook;Kim, Keon-Yeop;Park, Ki-Soo;Son, Jae-Hee;Lee, Jong-Young
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.3 s.62
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    • pp.503-515
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    • 1998
  • In order to investigate the factors influencing QOL and life satisfaction of the physically disabled, the author interviewed, by using structuralized questionnaire, 440 individuals among the physically disabled who were participated in Health Examination from April to July, 1997. The questionnaire consisted of the general characteristics(sex, age, marital status, family number, etc), the Reintegration to Normal Living Index(RNLI) to assess QOL, and the single item of five-likert scale to evaluate life satifaction. The means of RNLI were $16.2{\pm}4.8$ in total score, $12.2{\pm}3.4$ in daily functioning and $4.0{\pm}2.1$ in perception of self. The respondents were less reintegrated toward social activities and relationships than impairments or disabilities. While the satisfied group was 47.3%, the dissatisfied group was 52.7%. As the results of multiple regression and logistic regression analysis, the significant predictors of QOL were age, education, job, grade of disability and subjective health status. The life satisfaction were related to economic status, job and subjective health status. To improve QOL and life satisfaction of the physically disabled, it is important that we improve their basic socioeconomic status by getting a job through rehabilitation education and induce them to have positive self-assessment by extending the opportunity of social participation.

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A Disital Siver Care for the Health and Rehabilitation of the Elderly (노인 건강과 재활을 위한 디지털 실버케어)

  • Kang, Seungae
    • Convergence Security Journal
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    • v.19 no.3
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    • pp.81-86
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    • 2019
  • This study introduces trends on silver care implemented with the fourth industrial revolution technology, and discusses the use of digital technology for elderly health and rehabilitation by reviewing relevant literature to examine and present directions for future digital-based silver care commercialization. First, health smart home, which is a smart residential service available through digital technology or IT technology that supports independent living in your home, is available. Second, there are technical services using artificial intelligence(AI) and robots. Robots based on advanced intelligence can serve as an assistant for the health and rehabilitation of senior citizens by supporting services that enable the daily lives of senior, checking their health conditions, and high-quality medical care. For the commercialization of these silver care systems, information and services appropriate to the current situation, such as the physical ability and health status of the elderly, should be provided, and it would be desirable to gradually expand the use of essential technology to reflect the needs of the elderly in use so that the digital alienated.

The Factors that Influence Amount and Types of Informal Caregiving to the Severely Disabled Elderly (중증장애노인의 비공식 보호 제공량과 유형의 결정요인 연구)

  • Park, Chang-Je;Kim, Ki-Tae
    • Korean Journal of Social Welfare
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    • v.54
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    • pp.203-220
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    • 2003
  • The purpose of this study is to identify and empirically study the factors that significantly influence amount and types of Informal caregiving to severely disabled elderly who have functional limitations. For this research, a set of caregivers living with the severely elderly were surveyed. Among collected data, data for 211 caregivers were used for this study. The results suggest that a variety of factors determine informal caregivers do systematically determine their allocation of time to the provision of elderly care. The results of four OLS regressions using data surveyed are as follows. First, The hypothesized role of income is supported in model 1 of the four regression models. Second, the technological components of informal care production significantly influences caregiving hours include the number of ADLs and IADLS needs help, the number of caregivers in the team, the utilization of formal services. Third, any component of production technology of household goods do not significantly influence caregiving hours. Fourth, the components of preferences significantly influence caregiving hours include caregiver's participation in market work, willingness money to pay market-purchased care for the elderly.

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외상 후 스트레스 장애의 평가

  • Kim Jeong-Beom
    • 대한불안의학회:학술대회논문집
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    • 2004.06a
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    • pp.185-213
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    • 2004
  • 우리는 살아가면서 흔히 개인적으로 극심한 스트레스를 겪거나 불행히도 어떤 뜻밖의 재난이나 큰 사고를 경험할 수 있다. 이런 외상적 사건들을 겪고 대부분의 사람들은 잘 극복할 수 있으나 일부 사람들은 심각한 의상 후 스트레스 반응을 보여 그런 외상이 지나감에도 불구하고 괴로운 기억 속에서 그것을 회상시키는 활동과 상황을 피하며 늘 불안한 마음으로 몸은 현재에 살고 있지만 마음은 실상 과거에 매달려 있고 과거의 고통 속에서 헤어 나오지 못하고 있다. 외상 후 스트레스 장애는 다른 불안 장애, 우울증처럼 흔한 질환으로 사회생활에 큰 지장을 주며 삶의 질을 손상시킨다. 그렇지만 외상을 당한 당사자들이 이런 이야기를 하기 꺼려하고, 이런 사람들을 진료실에서 종종 만날 수 있는 임상가들도 외상의 심각성과 외상 후 스트레스 장애에 대한 인식이 부족하여, 우리 주위에 많은 사람이 외상 후 스트레스 장애로 고생하고 있지만 외상 후 스트레스 장애로 진단되는 경우가 실제보다 훨씬 적다. 따라서 외상 후 스트레스 장애에 대한 평가를 배움으로써 더 많은 환자들을 정확히 진단하며 다른 질환과의 감별을 쉽게 할 수 있고, 환자들의 고통과 어려움이 과연 무엇인지 잘 알 수 있으며, 치료 표적과 치료 전략을 정하고, 치료 계획을 세우는 데 도움을 얻을 수 있다. 평가 방법으로는 구조화된 면담, 평가 척도, 정신 생리적 측정법, 치료자의 임상적인 결정 등이 있다. 향후에는 외상 후 스트레스 장애의 증상 정도뿐만 아니라 일상생활, 사회적 관계, 직업적, 사회적 적응 및 기능에 미치는 영향도 같이 평가하는 도구들이 개발되고, 현재 개발된 많은 평가 척도들이 새로이 수정되고 표준화되어, 이런 평가 척도들을 통해 외상 후 스트레스 장애의 경과와 외상 후 스트레스 장애로 인한 정신 사회적 영향을 더 잘 알 수 있는 자료들이 많이 수집되길 바란다. 대칭이, 작은대칭이, 펄조개는 저질이 니질인 곳에서 주로 서식하고 있었고 귀이빨대칭이는 사니질과 사질에 주로 서식하고 있었다. 특히 삽교호 수계 채집된 귀이빨대칭이는 사니질과 사질의 저질에서 출현하였다.및 내장낭 조직들이 중요한 에너지 저장소이며, 영양 공급 기관임을 알 수 있었으며, 폐각근 조직과 내장낭 조직들의 영양물질 함량 변화는 생식소의 에너지 요구에 따라 변하고 있음을 알 수 있었다.. 따른 신장 기능에 대한 영향을 평가해 보아야 한다.하를 조사한 결과, 연간 진동해역으로 유입되는 오염부하량은 부유물질 기준으로 전체 37,316 ton/yr로 추정되었고, 이중 육지기원 부하량이 9,809 ton/yr (26.3%) 였고, 해역의 침강량 23,576 ton/yr (63.2%), 양식생물의 배설량이 3,932 ton/yr (10.5%) 로 대부분이 해역의 침강량에 의한 것으로 조사되었다. 육지오염부하량이 변동이 없다는 전제 조건 아래, 진동만의 피조개 채묘장을 미더덕 양식장으로 품종전환시킬 경우, 전체 부하량은 산술적으로 약 196%가 증가한 72,998 ton/yr 가 되고, 양식생물의 배설량은 10배 정도 증가하게 되어 진동만의 오염부하를 가중하게 된다. 진동만은 여름철 빈산소수괴 및 적조가 빈번하게 발생하고 있으므로 미더덕 양식장을 새로이 시설할 경우 오염부하가 가중될 것으로 판단되어, 앞으로 진동만의 양식장 수용능력을 파악하여 적정량의 양식물량이 시설되어야 할 것이다.25 psu에서 가장 높게 나타났다.인 단백뇨는 진행성 경과의 위험성을 동시에 암시해 주는 매우 유용한 지표이다. 본 연구 결과 학교 신체 검사상에서 발견된 단독 단백뇨의 주된 원인은 기립성 단백뇨로 81.8%를 차지하였다. 그러나 지속성 단백뇨의 경우 비록 9.1%의 빈도를 보였지만, 신장 조직검사를 시행한 결과 진행성 경과를 취할 수 있는

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