• Title/Summary/Keyword: 장애아

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유아의 언어치료와 청각의 중요성

  • 김양희
    • Proceedings of the KSPS conference
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    • 1996.02a
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    • pp.1-2
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    • 1996
  • 청각의 중요성은 새잠스럽게 말활 필요도 없고 농아가 말못하는 것은 누구나 다 알 수 있는 사실입니다. 그러나 음을 하나하나 습득하고 단어를 하나하나 반복하면서 언어습득을 시작하는 유년기에 있어서 청각은 더욱 독특한 역활을 합니다. 조국에 돌아와서 일하기 시작한지 일년이 조금 넘었으나 최초부터 우리 연구소에 찾아오는 어린이가 구주제국보다 훨씬 연소하고 또 수가 훨씬 많은 데 놀랐습니다. 그 중 대다수가 조음장애라든가 언어지연입니다. 더욱 놀라운 점은 이러한 장애가 정상지능의 어린이에게 많은 것입니다. 일반상식으로 어휘력과 발표력이 부족한 어린이들은 정신지체아와 혼동하게 됩니다. 연구소에 진단받으러 오는 어린이들을 체계적으로 청각 검사를 한 결과를 슬라이드를 통해서 말씀드리겠습나다. 검사받은 어린이 중 50-60%가 청각에 이상이 있는 것이 발견되었습니다. 동반한 어머니들은 너무나 놀라서 "우리 아이는 검사를 받았어요! 모두 정상이라고 그랬어요" 이 엄마 말씀도 정당하고 전검사도 정당활 것입니다. 그러나 이러한 어린이들의 문제는 특수합니다. 즉 경도난청에다 또 일시적 난청이기 때문에 명시에 생활하는 데는 큰 지장이 없고 때에 따라서는 청각이 거의 완전히 회복되고 또 몇 주후에 감기가 들거나 하면 다시 난청이 되는 것입니다. 이러한 난청문제가 일년에 3-4번씩 반복되어 어린이가 만 3-4세가 되면 약 1년간 청확한 음을 청취못한 셈이 됩니다. 조석에 기온차가 대단한 계절, 난방의 발달로 인하여 실내는 영상 24도이고 문 한겹만 열고 나가면 영하 10도 그 차이는 34도, 거리로 나가면 일산화탄소를 뿜고 쾌주 하는 차량, 버스나 트럭에셔 나오는 연기는 키가 작은 어린이 코속으로 직통하고 에어컨 시스댐으로 난방.냉방하는 지하상가, 백화점, 지하철 기타 대건물에는 바이러스 만연의 적절한 곳이 됩니다. 생리적 저항력이 없는 어린이들은 이러한 공해와 생활조건의 제일희생자가 되는 것입니다. 엄마들이 "얘는 감기, 비염, 편도선을 달고 삽니다...." "얘는 코감기, 목감기 번갈아 가면서 하도 앓고 있어서 양약율 중지하고 현재 한약을 먹고 있습니다." 이러한 역경은 극복할 수 있는가\ulcorner 질병의 메카니즘은 어떻게 작용되는가\ulcorner 등등을 육미회 센타에서 체험한 사례를 가지고 말씀드리고자 합니다.

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A Study on a past pregnancy experiences of maternity with handicaped children (장애아를 가진 일부 모성의 임신기왕력에 대한 연구)

  • 김초강
    • Korean Journal of Health Education and Promotion
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    • v.3 no.1
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    • pp.63-73
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    • 1985
  • Ratio of physically and mentally handicapped people among the total population is about 3∼4%. Regardless of the extent of seriousness of handicaps, they have to sustain various difficulties in their life time and pose challenging problems to their homes, community and nation. In the spectrum of their problems, measures such as treatment, rehabilitation and welfare work all occupied important part but most significant measure is the prevention. Such handicaps items from health care of maternal and child, mostly causes throughout the process of pregnancy, delivery and upbringing. And then this study is focused on the pregnant history of the mothers with handicapped children. The objective of this study is to identify the basic factors which can create a handicapped child during pregnancy and is to prevent the birth of such a child. For this study, 301 mothers who have handicapped children were selected, now receiving various training at 5 rehabilitation and educational facilities. And questionnaires distributed to them during the period of Oct, 1983 to Dec, 14. The collected responses have been analized in terms of significant numbers, percentage and metic average. Their related results are as follows: 1. The sexual ratio between the male and female was 58.5% compare 41.5%. The average age of the handicapped children was 10.1 years old and that of mothers at the time of the children's birth was 28.9 old years. They were born as 2.14th in their family, the ratio of antenatal care for pregnant mothers was 36.2% and 22.9% were abnormally delivered. 37.9% out of the total were born from mothers with ages above 35 years and as their first baby. 2. The time of confirming the handicapped nature of children was during babyhood by 97.1% and discovery of these misfortunes were made by chance. As for causes of those-handicapped status 20.9% disease from complication, 15.3% from difficulties experience at the time of delivery, 11.3% from heredity and 10% were results of drug abuse during pregnancy, and 49.8% of the handicapped children were mentally retarded.

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The Relations Among Self-esteem, Stress and Coping Behaviors of Mothers with Handicapped Children (장애아 어머니의 자아존중감, 스트레스 및 대처행동간의 관계)

  • Kim, Mi-Hye
    • The Journal of Korean Academy of Sensory Integration
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    • v.5 no.1
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    • pp.1-20
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    • 2007
  • Objective : The purposes of this study were two-fold; First it investigated self-esteem, stress and coping behaviors of mothers with handicapped children as a function of their and their children's characteristics; Second it examined the relationship among these variables. Method : The subjects were 294 mothers of handicapped children who were receiving treatment in one of the sixteen special therapy institutions in Seoul, Gyeonggi-do, and Gangwon-do. Rosenberg's(1965) Self-Esteem Scale translated by Jeon Byung-Jea(1974) was used to measure the degree of mothers' self-esteem. Mothers' stress was assessed using the Support Burden Scale revised by Seong Jong-sook(2000) and their coping behavior was examined using Folkman's(1986) Coping Scale translated by Jeon Sung-hye. The data were analyzed with descriptive statistics, t-test, one-way ANOVA and Pearson's Correlation. Result : The major results of this study were as follows; First, working mothers of handicapped children showed higher self-esteem and problem solving coping behavior more than non-working mothers. Self-esteem was found higher with high-income mothers than with low-income ones. Stress was shown more intense to low- and middle-income mothers than to high-income ones. Problem solving coping behavior was preferred more by high-and middle-income mothers than by low-income ones. Second, mothers with the mild-handicap children showed higher self-esteem than those with the first-degree handicap ones. Mothers of children with first-, second- and third-degree handicap perceived more stress than those with mild handicap. Coping behavior was significantly different depending on the severity of children's handicap, but no significant difference was found among the groups. Third, the higher the self-esteem of mothers was, the less they perceived stress and used more of problem solving coping behavior. When mothers perceived a great deal of stress, they used more of emotion-oriented coping behaviors.

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Revisiting History of Treatment of Attention Deficit Hyperactivity Disorder : Pharmacologic Approach (주의력결핍 과잉행동장애 치료의 역사적 재조명 : 약물치료적 접근)

  • Bahn, Geon Ho;Hong, Min Ha;Lee, Yeon Jung;Han, Ju Hee;Oh, Soo Hyun
    • Korean Journal of Biological Psychiatry
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    • v.21 no.2
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    • pp.37-48
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    • 2014
  • Besides from medical data, the patients who were previously called as attention disorder, mental instability, moral imbeciles, or moral defectives, can also be identified by exploring literatures and historical figures. In the past, as we can notice from the titles, they were recognized as a 'moral defect group'. And rather than treating them, separation from the society was the main solution. After the endemic encephalitis from 1917 to late 1920s, however, many survivors suffered from behavioral problems similar to those of the previous 'moral defect group' and studies on the relationship between brain damage and behavior problems were started henceforth. After being known as the 'minimal brain dysfunction', it was developed into the current attention-deficit/hyperactivity disorder. While the disease concept changed and developed over time, after numerous trials and errors, treatment medication starting from central nervous system stimulants such as amphetamine and methylphenidate is used for treatment in children and adult patients with ADHD, and most recently non-stimulants such as atomoxetine has become the one of the first line treatment options. Although we went through a thorough verification process of the safety and efficacy of the medication by contemplating the historical development process, we believe that adjustment is needed for remaining concerns on medication abuse and slight differences in disease paradigm and therapeutic philosophy depending on cultures.

A Study on the Development of Functional Slacks for the Physically Handicapped Children (학령기 지체 장애아의 하반신 의복에 관한 연구)

  • Kim Hae Kyung;Cho Jung Mee;Suh Chu Yeon
    • Journal of the Korean Society of Clothing and Textiles
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    • v.16 no.3 s.43
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    • pp.325-333
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    • 1992
  • The objectives of this study were 1) to investigate the clothing needs of physically han- dicapped children, 2) to present the basic data to make the slacks patterns which meet the specific needs of physically handicapped children under study. Questionnaires were administered to 38 mothers of handicapped children and the subjects for the wear test were five handicapped children using wheelchair. The fabrics used for slacks wear test were: muslin woven with cotton, stretchable jean woven and double jersey knitted with cotton and polyester fabrics. The results obtained from this study were as follows: 1) The majority of the handicapped children were wearing ready·made-garments and their mothers considered the fabric elasticity first. 2) The slacks wear test indicated that the slacks ease of 8 cm should be added above the natural waist line in the back for the wheelchair bound children. 3) In a sitting posture on the wheelchair, $3\~4$ cm should be cut below the natural waist line in the front but in a standing posture, $1\~2$ cm should be cut below the natural waist line in the front. 4) The double jersey (cotton/polyester) slacks was highly estimated of ease ana length of slacks in a sitting posture. The stretchable jean (cotton/spandex) slacks was estimated high of appearance but muslin slacks (cotton) was less estimated of ease and appearance of slacks.

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Comparative study on the Dental caries experience, Oral hygiene states and Caries activity test between the Normal and the Mental Handicapped children (정상아와 정신장애아의 치아우식경험도 및 구강환경상태와 우식활성검사 결과 간의 비교연구)

  • Kim, Mi-Hyung;Kim, Seon-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.2 no.2
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    • pp.187-200
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    • 2002
  • The purpose of this study was to obtain the basic data provide continuous and active dental treatment for the mental handicapped children. The authors studied on the dental caries experience, oral hygiene slates and caries activity test in the mental handicapped children of 9-11 years old, who are housed by rehabilitation school in Kwang-ju and in the 30 normal children of 9-11 years old as a control group. Correlation coefficiency was calculated among the caries experience, oral hygiene states and caries activity test for every children. The obtained results are as follows. 1. The mental handicapped children showed remarkably high score compared to normal children in DMFT index(The Index score was $2.43{\pm}1.98$ in the normal children and $5.26{\pm}4.11$ in the mental handicapped.). 2. Correlation coefficiency was reveled very high score between DT index and DMFT index of the normal children(P<0.01), and the mental handicapped was also high score(P<0.01) between ft index and dmft index. 3. The PMA Index of the mental handicapped children was comparatively higher than the normal(The Index score was $4.03{\pm}4.44$ in the normal children and $7.87{\pm}7.33$ in the mental handicapped.). 4. In the correlation coefficiency between the caries experience and modified snyder test, DMFT index of the normal children was revealed some high score(P<0.05). DMFT index of the mental handicapped was showed remarkably high score(P<0.01).

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Case Report: Repair of Complete Bilateral Cleft Palate Using Two-Flap Palatoplasty with Intravelar Veloplasty and Vomer Flap (연구개내근성형술 및 서골피판을 동반한 2개 점막성골막판을 이용한 완전 양측성 구개열 환자의 치험례)

  • Lee, Ui-Lyong;Seo, Byong-Moo;Choung, Pil-Hoon
    • Korean Journal of Cleft Lip And Palate
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    • v.12 no.1
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    • pp.33-40
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    • 2009
  • 구개열이 있으면 언어장애 음식섭취의 어려움, 구개범장근의 기능장애로 인한 이관의 개폐기능부전으로 중이의 액체고임, 부정교합등 여러 문제가 생길 수 있다. 따라서 구개성형술은 갈라진 경구개와 연구개를 막아주며 동적인 연구개를 만들어 주어 충분한 구개인두폐쇄를 하여 정상적 발음을 하는데 그 목표가 있다. 그 외에도 음식물을 정상적으로 섭취할 수 있고 중이염 및 난청을 일으킬 수 있는 기능을 개선시키고 정상적인 교합을 만들어주는데 있다. 위의 목표를 이루기 위해 지금까지 많은 수술 방법이 개발되었고 개선되어 왔다. 하지만 아직도 가장 효과적인 수술방법, 수술시기에 대하여 논쟁거리가 되고있다. 언어를 분명하게 하려면 연구개는 인두벽에 닿기 위해 후상방으로 올라가고 인두의 후벽과 측벽은 올라온 연구개에 닿으려고 수축함으로써 비인두와 구인두 사이의 공간이 좁아지게 됨으로써 가능하다. 따라서 발음이 정확하려면 비인두괄약(nasopharyngeal sphincter)을 합리적으로 만들어주어 비인두와 구인두를 분리해 주어야 한다. 비인두괄약을 조성해 주는 방법에는 구개범거근이 괄약기능을 할수 있도록 연구개내근성형술(intravelar veloplasty)을 시행하여 양편구개범거근을 횡위로 옮겨 연결하여 올림근 걸이(levator muscle sling)을 만드는 방법, 구개 연조직을 후방으로 밀어 구개 길이를 연장하는 방법, 인두 피판술을 하는 방법등이 있다. 구개범거근의 주행방향과 부착이 잘못되어 있는 것으로, 정상에서는 구개범거근이 횡으로 주행하여 연구개의 정중봉선(median raphe)에 부착하는 데 반해 구개열에서는 구개범거근이 전방으로 주행하여 개열 가까이에 있는 구개열 후연과 골선 개열연에 부착되어 있고 구개인두근과 구개수근이 연구개를 그냥 지나쳐직접 구개열 후연에 붙는다. 저자등은 완전 양측성 구개열을 연구개내근성형술 및 서골피판을 동반한 2개 점막성골막판을 이용한 구개성형술로 수술을 시행하여 다소의 지견을 얻었기에 문헌고찰과 함께 보고하는 바이다

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ASSESSMENT OF VITAL SIGNS IN PEDIATRIC DENTAL SEDATION USING CHLORAL HYDRATE AND HYDROXYZINE (소아환자에서 chloral hydrate와 hydroxyzine을 사용한 진정치료 시 생징후 평가)

  • Lee, Ju-Hyun;Park, Ho-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.3
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    • pp.455-462
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    • 2002
  • Currently, the ages of the patients visiting dental hospital for dental care are becoming younger and the interest in the treatment for the handicapped and incapable of cooperation children increases. As a method for treatment of these patients, the sedation treatment is considered. A dental sedation using chloral hydrate and hydroxyzine of them were used widely and for a long time. In this study, the samples were consisted of incapable of cooperation or very young children required treatment of restoration under local anesthesia. Then, the vital signs were accessed in pediatric dental sedation using the combination of chloral hydrate and hydroxyzine. As a result of this study, the vital signs were little different in pediatric dental sedation using the combination of chloral hydrate and hydroxyzine. Simply, the respiration rate and pulse rate decreased according to sleeping of patients. Therefore, the sedation using the combination of chloral hydrate and hydroxyzine induced to appropriate sedation in incapable of cooperation or very young children with little effects of vital signs.

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A study for improving database recovery ratio of Disaster Recovery System in financial industry (금융권 재해복구 시스템의 DB 데이터 복구율 향상을 위한 연구)

  • Kim, Jin-Ho;Seo, Dong-Kyun;Lee, Kyung-Ho
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.24 no.4
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    • pp.655-667
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    • 2014
  • A disaster is the time-excess case that computerized service can tolerate a failure and financial industry is being set up the disaster recovery system based on the disaster recovery plan and the business continuity plan for preparing these disasters. However, existing system can not guarantee the business continuity when it comes to cyber terror. This paper analyzes the building type and building technology of disaster recovery system for the financial fields. Also this paper explain the type of data backup using online redo log and type of archive log backup using WORM storage. And this paper proposes the model of improved data recovery combining above two types. Lastly this paper confirm the effectiveness and reliability for proposal rocovery model through the implementation of the test environment.

A Study on Characteristics of Socially-Handicapped Children (사회적 장애아의 특질에 관한 연구)

  • 이혜원
    • Journal of Korean Academy of Nursing
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    • v.3 no.2
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    • pp.91-100
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    • 1973
  • I. Objectives of the study This study attempted In examine, from a pedagogical point of view, how socially-handicapped children differ from normal ones in their family backgrounds, personality-traits. adaptability to school life, and their peer relationship. This study was made under the following hypothesis; 1. The family background of socially-handicapped children is less desirable than that of normal ones. 2. Personality traits of socially-handicapped children are less desirable than those of normal ones. 3. Socially handicapped children tend to be less adaptable to school life than normal ones. 4. Peer-relationship of socially-handicapped children is less desirable than of normal ones . II. Contents of study The thesis consists of the following five main parts; 1. Introduction 2. Related Studies 3. Procedure 4. Results 5. Summary and Conclusions III. Instruments The following instruments were used for this study; 1. Family background record prepared by the school. 2. Questionnaire prepared by the writer. 3. General personality test (written by Kim Ki-Suk and published by Korean Testing Center). 4. School activity record. 5. Sociocratic test. IV. The following conclusions were derived from the study 1, As compared with normal children, socially-handicapped ones have, in many cases, larger number of siblings, their families belong to lower economic bracket: their parents were indifferent to their children, and their mothers were less educated. 2. As compared with normal children, socially-handicapped ones are emotionally unstable, although they are the same as normal children in their sense of dominancy, responsibility, sociality, and confidence. 3. As compared with normal children, socially-handicapped ones are tardy in their learning, although they are almost the same as normal ones in their intelligence development. 4. As compared with normal children, socially-handicapped ones make friends more easily with pupils of other classes and schools rather than those of their own class or school.

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