• Title/Summary/Keyword: 중재언어

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Percutaneous Radiologic Gastrostomy, Gastrojejunostomy (영상유도 피부경유위창냄술, 위빈창자연결술)

  • Cho, Sung-Bum;Park, Sang-Joon;Chung, Hwan-Hoon;Lee, Seung-Hwa;Park, Beom-Jin;Kang, Chang-Ho;Kim, Yun-Hwan
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.19 no.1
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    • pp.31-37
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    • 2008
  • Patients with impaired ability to eat require nutritional support enterally or parenterally. Gastrostomy is a preferred method because total parenteral nutrition has many complications and high cost. Surgical gastrostomy has been a traditional and well-established method prior to the development of percutaneous gastrostomy. Since then, percutaneous gastrostomy has been established as an effective, safe, easy technique with a low morbidity and mortality rate. Consequently, percutaneous gastrostomy has been the first method for long-term enteral nutrition. The purpose of this review is to describe the techniques, indications, complications of percutaneous radiologic gastrostomy/gastrojejunostomy and to compare with endoscopic method.

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The Influence of Robot Programming Education on Learned Helplessness and the Qantity of Spontaneous Communication of Student with Learning Disabilities (로봇 프로그래밍 교육이 학습장애학생의 학습된 무기력과 자발적 언어 사용에 미치는 영향)

  • Gu, Eun Jeong
    • Journal of Korea Game Society
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    • v.16 no.1
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    • pp.93-102
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    • 2016
  • In this research, we investigated the effect of robot programming education on adaption for school life of student with learning disabilities focusing on learned helplessness and the quantity of spontaneous communication. The participant of this study was the student supported with LD really in 4th grade elementary school. Results of the study present that learned helplessness was declined, the quantity of spontaneous communication was increased throughout robot programming education. Based on results, these finding suggested ways to practice the application of strengths-based instruction, intervention utilizing gamification for school life of student with learning disabilities in educational setting.

Correlation between Depression and Memory According to Apolipoprotein E Genotype in Elderly with Alzheimer's Dementia (알츠하이머 치매노인의 Apolipoprotein E 유전형에 따른 우울과 기억력의 상관관계)

  • Kim, Kwang-Jae;Noh, Dong-hee;Han, Seung-Hyup;Cha, Yun-Jun;Kam, Kyung-Yoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.477-486
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    • 2020
  • This study was undertaken to analyze the correlation between depression and memory, by considering the occurrence of ApoE ɛ4 and clinical dementia rating in the elderly with Alzheimer's dementia. This study included 50 participants over 65 years of age, evaluated with CDR 0.5 to 2. We performed CDR, SVLT-E, RCFT, SGDS-K, and ApoE genotyping. Spearman's correlation analysis was used for determining the correlation between depression and memory. The results indicate a significant negative correlation between depression and immediate recall verbal memory in the CDR 1 and 2 without ApoE ɛ4 carrier group (p<0.05). Furthermore, a significant negative correlation was also determined between depression and delayed recall verbal memory in the CDR 1 of the same group. Ed. Notes: The previous sentence already shows this correlation. I suggest this should be deleted from this statement. However, no significant correlation was observed between depression and visual memory. This study found a significant correlation between depression and immediate recall verbal memory. Also, the presence of ApoE ɛ4 indicates a significant correlation between depression and delayed verbal recall memory. Taken together, our results indicate that verbal memory training rather than visual memory training can be more effective in early AD. Also, the treatment of depression will provide a complementary effect.

Research Trends Regarding Primary Progressive Aphasia During the Last 10 Years (일차 진행성 실어증에 대한 최근 10년간 연구 동향)

  • Kim, Noheul;Kim, JungWan
    • 재활복지
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    • v.20 no.3
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    • pp.45-65
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    • 2016
  • The purposes of this study were to determine recent trends of domestic and international studies for primary progressive aphasia (PPA) patient group and to identify areas for future research. For these purposes, 171 studies on communication disorders of a PPA were chosen and sub-categories for research methods and contents were also analyzed. The sub-categories for research methods include types of research subject, research purpose and research field. As the research subject, 'agrammatism' was most frequently dealt with in both domestic and international studies; as the research purpose, 'characteristics study' accounted for the largest portion; and with respect to the research field, the international studies have covered evenly language, speech and others, while the domestic studies have handled only the field of 'language,' paying no attention to 'speech' and 'others.' In the international studies, apraxia of speech was added to the conventional three sub-types of PPA classification, so distinction between the four symptoms has been actively studied; however, patient cases were difficult to find in Korea, so the symptoms the patients had, although centering around communication disorders, have been rarely researched in the domestic studies. The results suggested that there have been extremely few studies related and their research field has lacked diversity. We suggested a direction for future research on communication disorders with PPA.

A Comparative Analysis of the Linguistic Features of Texts used in the unit of Volcano and Earthquake in Korean Elementary and Secondary School Science Textbooks (초.중등 과학 교과서 화산과 지진 관련 단원 글의 언어 구조 비교 분석)

  • Shin, Myung-Hwan;Maeng, Seung-Ho;Kim, Chan-Jong
    • Journal of the Korean earth science society
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    • v.31 no.1
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    • pp.36-50
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    • 2010
  • The purpose of this study is to investigate the aspect of variation of the texts in elementary and secondary school science textbooks at each grade level in terms of linguistic features. Data included some of the written texts related to 'Volcano and Earthquake' in Korean elementary and secondary school science textbooks in the seventh National Curriculum. The written texts were comparatively analyzed in terms of textual meaning, interpersonal meaning, and ideational meaning. Results revealed that there were different structures and linguistic features of the texts in school science textbooks depending on the grade level. Therefore, we argue that the differences in this study may make students feel difficult and strange when they read and understand science textbooks. We suggest that science teachers need to play the role of a mediator between students' understanding and the structural features of the scientific language in science learning.

A Meta-Analysis on the Effects of Educational Programming Language (교육용프로그래밍언어의 효과에 관한 메타분석)

  • Jin, Young-Hak;Kim, Yung-Sik
    • The Journal of Korean Association of Computer Education
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    • v.14 no.3
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    • pp.25-36
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    • 2011
  • The purpose of this study was to analyze the effects of educational programming language(EPL) using the meta-analysis method. In order to achieve the purpose of this study, t-test and F-test were performed for the effect size differences between the variables. The results of the study were as follows: First, EPL turned out to be highly effective in improving learning effects. The total mean of effect size was as big as 1.01 and the value of $U_3$ was 84.38%. EPL increased the learning effect by 34.38% compared with the control group. Second, the moderator variables such as subject, publication type, and learner's school age there was no statistically significant differences. By designing the experiment nonequivalent control group pretest-posttest design showed statistically significant effect size compared with single group pretest-posttest design. Third, the mean effect sizes of the dependent variables were as follows: Creativity 1.90, problem solving ability 1.25, logical thinking ability 1.18, learning motivation 0.81, and achievement 0.59. EPL showed positive effect than traditional teaching and learning method comprehensively.

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The Effects of a Sibling-involved Language Intervention in Children with Language Disorders (형제 참여 언어중재가 언어장애 아동의 언어능력에 미치는 효과)

  • Hwang, Bo-Myung
    • Speech Sciences
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    • v.10 no.3
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    • pp.65-77
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    • 2003
  • This study was aimed at clarifying the effects of sibling-involved .language intervention in children with language disorders. Ten subjects were selected and assigned into two groups (language intervention group with sibling-involvement, and language intervention without sibling-involvement). Group 1 consisted of 5 children with language disorders. Group 2 consisted of 5 children with language disorders without sibling-involvement. To investigate the language and communication ability, Picture Vocabulary Test and the subjects's spontaneous speech sample were analyzed. To compare pre-treatment with post-treatment between two the groups, repeated-measures ANOVA and t-test were used. The results were as follows; First, the language intervention with sibling-involvement was not effective compared to without sibling-involvement in improving the picture vocabulary ability of children with language disorders. There was a significant difference between pre-treatment and post-treatment in the picture vocabulary ability of the two .groups. However, there was no significant difference in the post-treatment between the two groups. Second, the language intervention with sibling-involvement was more effective compared to without sibling-involvement in improving the semantic aspects of language of children with language disorders. There was a significant difference between pre-treatment and post-treatment in the number of semantic relations between the two groups in that group 1 showed a higher improvement than group 2. Third, the language intervention with sibling involvement was more effective in improving pragmatic aspects of language of children with language disorders. There was a significant difference between pre-treatment and post-treatment in the number of communicative intentions of the two groups. And there was a significant difference in the post-treatment between the groups in that group 1 showed a higher improvement than group 2.

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Effects of Camping Programs on Self-efficacy and Sick-role Behavioral Compliance in Juvenile Diabetes Mellitus Patient (소아 당뇨 환자의 캠프 프로그램이 자기효능과 환자 역할 행위이행에 미치는 영향)

  • Park, Yeon-Hee
    • Korean Journal of Health Education and Promotion
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    • v.14 no.2
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    • pp.59-68
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    • 1997
  • 당뇨병은 고혈당을 조절 안할 경우에는 돌이킬 수 없는 신체적 합병증은 물론 정신적 손상까지 받지만, 고혈당은 노력만 하면 조절이 가능하며, 정상에 가까울 정도로 조절되면 정상인과 같은 삶을 영위할 수 있다. 그러나 보건의료 전문가의 인슐린 주사 요법, 식사 및 운동요법 등의 일방적인 처방만으로 성공적인 당조절을 기대하기에는 어려움이 있다. 그래서 당뇨병 환자에게 당뇨병이라는 것이 무엇이며, 어떻게 이 병을 스스로 조절할 수 있게 만드느냐가 더욱 중요한 것이다. 따라서 우리나라에서도 당뇨병에 대한 관심이 높아짐에 따라 각 지역과 의료기관마다 다양한 당뇨병 교육 프로그램이 실시되고 있다. 특히 소아 당뇨병 환자는 이러한 전통적인 당뇨병에 관한 교육을 통해서 당뇨병에 관한 지식은 많이 가지고 있지만, 당뇨병 자가 조절을 위한 환자 역할 행위(sick-role behavior)를 변화시키는데는 그다지 성공절이라 할 수 없다. Bandura(1977)는 자기 효능은 ‘할 수 있다는 자신감’으로 수행 성취, 대리 경험, 언어적 설득, 정서적 각성에 관한 정보에 의해 결정된다고 하였다. 따라서 이러한 정보들은 자기 효능을 증진시키기 위한 중재의 방향을 제시해 준다. 오늘날 이러한 정보를 활용한 중재 프로그램 중에서 가정과 학교를 떠나 자연 환경 속에서의 집단 활동을 통하여 사회 학습 경험을 하는 캠프 프로그램에 대한 관심이 높아지고 있다. 캠프에 참여한 당뇨병 아이들은 캠프 활동속에서 다른 동료 아이들이 자신이 갖고 있는 문제들을 성공적으로 해결해 나가는 것을 관찰하여 대리 경험하게 될 때 희망을 가지게 되며, 당뇨병을 가진 다른 동료들과 공통의 경험을 공유할 수 있는 기회를 갖게 되어 그들은 자신이 더 이상 혼자가 아니며 남과 ‘다르지’도 않다는 것을 깨닫게 되어 점차 자신감을 가지고 살아갈 수 있게 된다. 본 연구는 캠프 프로그램이 소아 당뇨병의 자기 효능을 증진시키고, 당뇨병 환자 역할 행위 이행 정도를 높여주는지를 규명해 봄으로써, 소아 당뇨병 환자를 위한 효과적인 간호 중재 방안을 제시하고자 비동등성 대조군 전후 실험 설계의 유사 실험 연구를 시도하였다. 1996년 8월 10일 부터 12월 12일까지 종합병원에서 추후 관리하고 있는 소아 당뇨병 환자중 선정 기준에 맞는 환자 41명을 연구대상으로 하였으며, 그 중 19명은 실험군으로 Bandura의 자기 효능 증진을 위한 정보원을 활용한 캠프 프로그램을 5박 6일간에 걸쳐 실시하였고, 다음 22명은 대조군으로 캠프 프로그램을 실시하지 않았다. 자료수집은 자기 효능 척도와 환자 행위 역할 이행 척도를 캠프 프로그램을 실시하기 전에 사전 조사를 하고 중재 후 4주째 사후 조사를 하였다. 수집된 자료는 SPSS/PC+로 Chi-square test, t-test, ANCOVA, Pearson correlation을 이용하여 분석하였으며, 그 결과는 다음과 같다. 캠프 프로그램은 소아 당뇨병 환자의 자기 효능을 증진시키고 환자 역할 행위 이행을 높여주는데 효과적 이었다. 소아 당뇨병 환자의 자기 효능은 환자 역할 행위 이행과 순 상관 관계가 있어, 자기 효능이 증진될수록 환자 역할 행위 이행 정도가 높아졌다.

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The Effects of Early Cumulative Risk Factors on Children's Development at Age 3 - The Mediation of Home Learning Environment - (유아기 발달에 대한 생애 초기 가족 누적위험요인의 영향 - 가정학습환경을 매개로 -)

  • Chang, Young Eun
    • Journal of the Korean Society of Child Welfare
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    • no.54
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    • pp.79-111
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    • 2016
  • The purpose of this study was to examine the structural models in which early cumulative risk factors affect children's language(indicated by expressive vocabularies) and social development(indicated by peer competence) at age 3 thorough their effects on the home learning environment. To examine the hypothesized models, the data of 1,725 families from the second and the fourth waves of the Panel Study of Korean Children was used. Correlation analysis and structural equation modeling were conducted to test the models. First, the cumulative risk factors at age 1 and 3 were highly correlated, implying the stability of the risk factors over time. The more cumulative risk factors at age 1 predicted the lower level of the home learning environment at age 3, which, in turn, was significantly related to both language and social development at age 3. However, the early cumulative risk factors did not directly influence later developmental outcomes. Moreover, the cumulative risk factors at age 3 were directly related to the child's language development, but neither social development northe home learning environment. In addition, the mediational role of the home learning environment (i.e., cumulative risk factors at age 1${\rightarrow}$home learning environment${\rightarrow}$language and social development) was statistically supported. In conclusion, the early cumulative risk factors in infancy indirectly predicted children's development at age 3 through the home learning environment. The practical implications for the early intervention and support for the families with infants who are experiencing multiple risk factors were discussed.

Convergence Study on the Relation between Cognition, Depression and Aggression in the Elderly (노인의 인지, 우울과 공격성의 관계에 관한 융합 연구)

  • Kwon, Myoung-Jin
    • Journal of the Korea Convergence Society
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    • v.6 no.6
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    • pp.171-176
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    • 2015
  • This study was carried out to determine the relation between cognition, depression and aggression in the elderly. A questionnaire survey was conducted with 198 elderly people in K region. The results were as follows. (1) The cognition of the elderly showed significant difference by gender, age, religion, marital status, education, living together, healthcare and monthly income (p<.05), and depression showed significant difference by gender and monthly income (p<.05). (2) Cognition and aggression(r=.15, p=.030), depression and aggression(r=.39, p<.001) there was a significant correlation between. Physical aggression and verbal aggression proved most significant correlation among the sub-factors(r=.55, p<.001). (3) Depression (${\beta}=0.568$, p<.001) had an significant influence on aggression. The explanation power was shown to be 10.0%. Accordingly, aggression management programs that are tailored according to the depression level of the elderly are required, and nursing based on this consideration would be of help to improve their quality of life.