• Title/Summary/Keyword: 장애이해

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Evaluation and Management of Nocternal Enuresis (소아 야뇨증의 진단과 치료)

  • Park, Yong Hoon
    • Clinical and Experimental Pediatrics
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    • v.45 no.4
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    • pp.425-434
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    • 2002
  • 야뇨증은 소아뿐만 아니라 부모들에게 매우 애를 먹이는 현상이며, 때로는 정신적, 정서적 장애 또는 행동장애를 유발할 수도 있다. 적절한 치료를 하기 위하여서는 세심한 병력, 신체검사와 필요에 따라서 적절한 실험실 검사 및 방사선검사으로 단인증상성 야뇨증인지를 제대로 구별하여야 한다. 실제 임상에서 야뇨증의 치료는 그렇게 용이하지만은 않아 우선 어린이와 부모들이 야뇨증을 제대로 이해할 수 있도록 사전 교육을 통하여 적극적인 치료 의지를 갖도록 하는 것이 중요하다. 여러 가지 행동요법 및 야뇨경보기, 적절한 약물요법을 환자의 상황에 맞도록 적절한 치료 방법을 모색하여 보다 치료 효과가 높고 재발이 적도록 노력하여야 한다.

COGNITIVE CHARACTERISTICS OF CHILDREN WITH DYSLEXIA AND/OR ATTENTION DEFICIT/HYPERACTIVITY DISORDER (읽기 장애 아동과 주의력 결핍/과잉 활동장애 아동의 인지적 특성)

  • Kim, Seung-Tai;Kim, Ji-Hae
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.7 no.2
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    • pp.224-232
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    • 1996
  • The present study was conducted to investigate cognitive characteristics of children with dyslexia and/or attention deficit/hyperacidity disorder. Cognitive characteristics were evaluated by using KEDI-WISC, the Basic Achievement Test, TOVA, MFFT, and neuropsychological tests. ADHD group showed significantly lower level of performance in response time for correct responses and presented variability for correct responses in TOVA. Dyslexia and mixed group showed lower performance in Reading I and Reading II, Writing subtest in the Basic Achievement Test than those of ADHD group and in Information subtest of KEDI-WfSC. In order rd determine the diagnostic effectiveness of each psychological tests, discriminant analysis was conducted. In this analysis, 11 subtests of KEDI-WISC and 4 variables of TOVA, 4 subtests of the Basic Achievement Test, and MFFT, WCST were included as independent variables and each diagnostic roups were dependent variables. Discriminant analysis indicated that overall percentage of correct classification was 93.88%. The clinical implifications and limitations of the present study were listed and discussed.

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Anxiety Disorders after Traumatic Brain Injury (외상성 뇌손상 후의 불안장애)

  • Kim, Young-Chul
    • Korean Journal of Biological Psychiatry
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    • v.7 no.1
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    • pp.46-54
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    • 2000
  • Traumatic brain injury(TBI) is generally considered to be a risk factor for psychiatric disorders, especially depression and anxiety disorder. Despite the anxiety disorders are frequent sequelae after traumatic brain injury, the patients have not been payed medical attention and treated by doctors properly. The factors of precipitating and sustaining the anxiety disorders after TBI are brain injury itself, and the patient's or caregiver's response to the disability after TBI. To diagnose and treat them effectively, the knowledge about the mechanisms of and symptoms after TBI have to be needed. Psychiatrist should be a supportive and good listener to the patients who are complaining anxiety symptoms and differentiate whether the psychiatric symptoms are due to TBI or not. Because the TBI patients are very sensitive to drug side effects, doctors have to be familiar with the side effects as well as the mechanisms of action of the common psychotropics.

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An Exploratory Study on Life Experiences of Youth with Intellectual Disabilities in Residential Facilities (지적장애청소년의 시설생활 경험에 관한 탐색적 연구)

  • Kim, Mi-Ok;Park, Hyeon-Jung
    • Korean Journal of Social Welfare
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    • v.64 no.2
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    • pp.213-239
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    • 2012
  • This study aimed to explore the life experiences of youth with intellectual disabilities in residential facilities. The residential facilities in this study include large scale residential facilities where many residents live and a group home where a few residents live. This study used a qualitative research method; the youth participants were selected from the recommendations of professional groups, and interviewed using the focus group and individual interview methods. In addition, social workers and parents were interviewed to complement interviews of youth with intellectual disabilities. According to the results, the following main themes were extracted from the experiences of youth with intellectual disabilities who live in residential facilities: 'restricted lives by strict rules', 'limitation of individual lives and choice experiences', 'not being respected' at large scale residential facilities, and 'starting independent living', 'a still hardship of independence', 'a tranquil life like home', 'difficulties of communal living' at the group home. Also, they have common experiences in both types of residential facilities: 'depending on each other', 'missing their family', 'being excluded from peer groups at school', 'not wanting to be known as living at residential facilities'. The implication of this study results are for the policy making, and the actual practices were discussed focusing on their right and well-being.

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Deaf Marriage Experience (청각장애인 부부의 결혼생활 경험)

  • Lee, Miseon
    • Korean Journal of Social Welfare
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    • v.67 no.3
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    • pp.125-150
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    • 2015
  • The purpose of this study is to explore all the deaf marriage experiences. To achieve this purpose, the qualitative case research approach was used to analyze the couple. This researcher following same issues from 5 couples case study analysis. This researcher set 5 titles and analyze from the 5 main issues about the deaf couple's experience as time goes by. The titles are 'finally the marriage spouses both deaf', 'to overcome communications difficulties', 'worried about raising children and get some help from other people and try something', 'try to get over the difficulties and hardships', 'recovering family relationship and challenge.' Through this study, understanding the deaf couples desire in having a family and live a normal life after becoming parents is "in a family deaf culture" wherein they aspire to become more mature and experienced deaf persons. But the meaning of maintaining constancy was not just keeping their situation by taking familiar things hence there were no challenges. Keeping the constancy, maintaining a family since marriage, delivering and raising their children, make them realize some laws of life. They correspond well and break the narrow limited cultural way of thinking and recognized a broader sense of understanding while keeping constancy. Their life that is keeping their culture and experiencing matured life will be a good theoretical basis for understanding the deaf culture.

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A study on producing cartoon contents for culture and art education for disabled children: Focusing on mild mentally retarded children on stage of pre-operational period (장애아 문화예술교육을 위한 만화콘텐츠 제작에 관한 연구: 전조작기 단계의 경도 정신지체 아동을 중심으로)

  • Lee, Kkot-Song-Yi;Kim, Jae-Woong
    • Cartoon and Animation Studies
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    • s.20
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    • pp.141-157
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    • 2010
  • Though the education of culture and art for disabled children is very important, it has not been brisk yet until recently due to 'absence of the teaching methods suitable for disability types, levels and programs.'. In this situation, cartoon contents can be used as the most appropriate tools for culture and art education for mentally retarded children. Entertainment functions and genre features of cartoon contents can motivate the applicable children to participate more voluntarily and positively and function as teaching tools for interesting activities. Of course, since it is not proper to apply the cartoon contents for normal children to Special Education Field as they are, cartoon works should be made by understanding closely the characteristics and degrees of retardation of the applicable children and applying them to the composition of cartoons. However, for the contribution of this attempt to education field, it is thought that concrete guidelines for producing cartoon contents considering the concept of various types of disability, emotion, social behavioral traits, ability of cognition, school achievements, and the characteristics of language and physical health should be necessary, and to improve the application of the developed cartoon contents so that they will not remain as superficial results, sufficient communication with the applicable children such as application to classes in the process of development is necessary.

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The Comparison of ICSD and DSM-Ⅳ Diagnoses in Patients Referred for Sleep Disorders (정신과에 의뢰된 환자 중 수면장애에 대한 ICSD와 DSM-Ⅳ 진단 비교)

  • Lee, Bun-Hee;Kim, Leen;Suh, Kwang-Yoon
    • Sleep Medicine and Psychophysiology
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    • v.8 no.1
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    • pp.37-44
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    • 2001
  • Background: Sleep disorders are prevalent in the general population and in medical practice. Three diagnostic classifications for sleep disorders have been developed recently: The International Classification of Sleep Disorders (ICSD), The Diagnostic and Statistical Manual, 4th edition (DSM-IV) and The International Classification of Diseases, 10th edition (ICD-10). Few data have yet been published regarding how the diagnostic systems are related to each other. To address these issues, we evaluated the frequency of sleep disorder diagnoses by DSM-IV and ICSD and compared the DSM-IV with the ICSD diagnoses. Method: Two interviewers assessed 284 inpatients who had been referred for sleep problems in general units of Anam Hospital, holding an unstructured clinical interview with each patient and assigning clinical diagnoses using ICSD and DSM-IV classifications. Results: The most frequent DSM-IV primary diagnoses were "insomnia related to another mental disorder (61.1% of cases)" and "delirium due to general medical condition (26.8%)". "Sleep disorder associated with neurologic disorder (38.4% of cases)" was the most frequent ICSD primary diagnosis, followed by "sleep disorder associated with mental disorder (33.1%)". In comparing the DSM-IV diagnoses with the ICSD diagnoses, sleep disorder unrelated with general medical condition or another mental disorder in DSM-IV categories corresponded with these in ICSD categories. But DSM-IV "primary insomnia" fell into two major categories of ICSD, "psychophysiologic insomni" and "inadequate sleep hygiene". Of 269 subjects, 62 diagnosed with DSM-IV sleep disorder related to general medical condition or another mental disorder disagreed with ICSD diagnoses, which were sleep disorders not associated with general medical condition or mental disorder, i. e., "inadequate sleep hygiene", "environmental sleep disorder", "adjustment sleep disorder" and "insufficient sleep disorder". Conclusion: In this study, we found not only a similar pattern between DSM-IV and ICSD diagnoses but also disagreements, which should not be overlooked by clinicians and resulted from various degrees of understanding of the pathophysiology of the sleep disorders among clinicians. Non-diagnosis or mis-diagnosis leas to inappropriate treatment, therefore the clinicians' understanding of the classification and pathophysiology of sleep disorders is important.

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The Introduction and Clinical Applications of Nuerofeedback (Neurofeedback의 이해와 임상적용)

  • Park, Hyung-Bae;Sung, Hyung-Mo
    • Korean Journal of Psychosomatic Medicine
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    • v.14 no.1
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    • pp.8-17
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    • 2006
  • Neurofeedback, also known as EEG biofeedback or neurotherapy, is a new therapy differentiated from biofeedback in that brain waves are monitored to study brain itself as well as its functions. Needless to say, it has originated from biofeedback, however it has established itself as an independent and specialized therapy in the field of neurotherapy. In order to have a better understanding of neurofeedback we are going to have a look into its historical and theoretical background first and then we will explain how it can be used clinically. Neurofeedback was clinically introduced for epilepsy for the first time and its effect was proved. Since then it has been used successfully for a number of psychiatric disorders, such as attention deficit hyperactivity disorder(ADHD), anxiety, anxiety and mood disorder, sleep disorder, substance dependency, etc. Furthermore, it has been used for non-psychiatric or psychosomatic symptoms, such as headache, chronic pains, chronic fatigue symptoms, etc. Recently, it has been also used for non-medical areas, such as improvement of peak performance for sports and art activities, enhancement of cognitive function, etc, making the neurofeedback a very promising field for its potential and effectiveness.

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고능력 우군(牛群)의 번식관리

  • Ewenfeldt Robert G.
    • 종축개량
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    • v.14 no.2
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    • pp.46-53
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    • 1992
  • 본 강연의 취지는 고능력우의 번식관리에 대해 다시 한번 뒤돌아보고 고능력우군에서 흔히 찾아볼 수 있는 평범한 문제점들을 낙농가에게 알리는데 있다. 본 강연의 내용은 기록, 발정주기, 발정 발견의 기술, 수정, 수정관리, 그리고 번식장애를 포함한 여러분야에 대한 일반적인 관찰이다. 가장 중요한 것으로 많은 불임의 문제점들을 해결하는 단서로서의 적절한 발정의 발견까지 포함한다. 발정의 조기 발견과 12달 내지 13달의 이상적인 분만간격으로 이끄는 시기 적절한 수정을 통하여 가장 좋은 수익을 올리는데 그 목적이 있다. 여기서는 영양, 유전, 인공수정 기술 혹은 수정란 이식을 자세하게 언급하지 않았지만, 앞에서 말한 모든 것들이 이해되고 실천되도록 하기 위한 번식기능에 대해 기본적으로 이해시키고자 한다.

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중학교 1학년 수학 부진아의 진단 및 처방에 관한 사례연구

  • Jeong, Bo-Na;Jo, Wan-Yeong
    • Communications of Mathematical Education
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    • v.12
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    • pp.103-124
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    • 2001
  • 수학은 계통성이 강한 학문이다. 이러한 수학의 특성은 학습의 결손이 있거나 학습속도가 느린 학생들에게 수학을 학습하는 데 어려움의 근원이 된다. 특히 중학교 수학에서는 처음으로 형식적인 수학이 도입되기 때문에, 중학교 1학년에서 수학을 제대로 이해하지 못할 경우 그 학생은 수학 장애아, 수학부진아로 전락할 가능성이 있다. 그러나 학교에서의 개별지도는 어려운 실정이다. 따라서 수학 부진아를 선정하여 수학학습에서의 어려움을 진단하고, 학생의 오개념과 오류를 분석한 후, 그 학생에게 맞는 학습전략을 선택하여 처방 지도하고자 한다. 이를 통해 학생의 이해와 사고과정을 알아보고 태도변화를 고찰하는 것을 목적으로 한다.

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