• Title/Summary/Keyword: 중증

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Effect of Disability Types by Disability Severity Levels on Employment: Based on the Employment Panel Survey for the Disabled (장애 중증도 수준에 따른 장애 유형이 고용에 미치는 영향: 장애인고용패널조사를 중심으로)

  • Choi, Junhyeok;Lee, Jisoo;Chung, Sunwoo;Oh, Sung Soo;Jo, Hoon
    • Therapeutic Science for Rehabilitation
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    • v.11 no.2
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    • pp.63-76
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    • 2022
  • Objective : The purpose of this study is to examine the relationship with employment of the disabled considering the severity and the type of disability. Methods : Data from the 4th data of the 2nd wave Panel Survey of Employment for the Disabled (PSED) by Korea Employment Agency for Persons with Disabilities (KEAD) were used. The odds ratio of employment in disability types according to severity of disability was calculated by logistic regression analysis. Results : When the related variables were adjusted, the employment of internal disability type was significantly lower than that of external disability type by 0.413(95% CI:0.271-0.629) times in the group with severe disability. On the other hand, in the group with less severe disability, internal disability was 0.475(95% CI:0.327-0.690) times lower than that of external disability (p=<.001). Conclusions : Employment may vary depending on the type of disability, even if the disability severity level is the same. It is necessary to prepare judgment criteria that can reduce the variation in employment by considering both the type and severity of the disability.

Development of Character Input System using Facial Muscle Signal and Minimum List Keyboard (안면근 신호를 이용한 최소 자판 문자 입력 시스템의 개발)

  • Kim, Hong-Hyun;Kim, Eung-Soo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.6
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    • pp.1338-1344
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    • 2010
  • A person does communication between each other using language. But In the case of disabled person can not communication own idea to use writing and gesture. Therefore, In this paper, we embodied communication system using the facial muscle signals so that disabled person can do communication. Especially, After feature extraction of the EEG included facial muscle, it is converted the facial muscle into control signal, and then select character and communication using a minimum list keyboard.

Study on the mental stress of the invalids with the four most common chronic illnesses and their congenital diseases in light of the four pillars of destiny -centering on the elderly in Seoul nursing homes (4대 중증질환자의 정서적 스트레스와 명리학적 선천성 질환에 관한 연구 -서울시 요양원 입소노인을 중심으로-)

  • Kim, Il-Sin;Cho, Sung-Je
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.8
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    • pp.3715-3723
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    • 2013
  • The objective of this study is to analyze the correlations between the chronic illnesses and congenital diseases of the chronic elderly invalids in nursing homes, as well as to examine the impact of stress scale and the factors affecting the emotional burnout scale. This study conducted Seoul survey from March 15 to May 31, 2013, targeting 147 seniors in nursing homes who were suffering from the four most common chronic illnesses. Analyses performed in this study include frequency, correlation and simple regression analyses, t-test and one-way analysis of variance, etc. All of the empirical analyses were conducted at 5% level of significance. The result of the study shows that there is a high correlation between the chronic invalids and their congenital diseases determined by the four pillars of destiny and that, if they are found to have a chronic illness, patients experience a high level of stress. Persons who score higher on the stress scale tend to score higher in the emotional burnout scale.

The Phenomenological Study of the Parental Experience of the Fathers for their Children with Brain Lesions (중증뇌병변장애인 자녀를 둔 아버지의 양육경험에 대한 현상학적 연구)

  • Kang, Sun Kyung;Choi, Yoon
    • Korean Journal of Social Welfare
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    • v.69 no.1
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    • pp.199-222
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    • 2017
  • This study examined the parental experiences of the fathers who reared their children with brain lesions. Since a brain lesion is considered a lifelong disability, children with brain lesions need the medical and social management through their entire life. Due to the lack of specialized caring services and organizations in Korea for such children, their families are forced to take care of them. For this reason, it is necessary to study about the fathers who are rearing the children with brain lesions. For this purpose, four fathers had participated in this study and data were collected through one to one in-depth interviews. Using Giorgi(2004)'s phenomenological research method, the study results were as follows. The substantial themes were "charred heart", "surviving the hardships", "the ruins of life", "attitude against reality", "the unique composition of family life", "children as fate", "father's love." Based on the these analysis results, the implications were suggested to cure the psychological and institutional difficulties and to provide supportive services for the fathers and families who care the children with brain lesions.

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The Usefullness of Percutaneous Transarterial Embolization in Patients with Severe Multiple Traumas (다발성 손상에 의한 중증외상환자의 경피적 동맥색전술의 유용성)

  • You, In-Gyu;Lim, Cheong-Hwan
    • Journal of the Korean Society of Radiology
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    • v.6 no.2
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    • pp.107-114
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    • 2012
  • The study was conducted in patients who had undergone angiography and arterial embolization after being diagnosed with arterial bleeding among those registered with severe trauma at the admission to the department of emergency due to accidents. In the study, comparison was done between the survived group and the nonsurvived group to investigate the usefulness and the optimal performance timing of angiography and embolization as the survival-affecting factors and treatment methods for patients. The study was performed as a retrospective analysis in 45 patients who had undergone angiography and arterial embolization among those categorized as severe trauma patients from the emergency department of H hospital located in Gyeonggi-do from July, 2006 until December, 2010. The Injury Severity Score (ISS), the Revised Trauma Score (RTS), the hematocrit were the main outcome measurements. Arterial embolization was technically successful in all cases, transcatheter arterial embolization of arterial bleeding is a useful procedure in lowering the mortality and complication in severe trauma patients. and RTS, ISS, Hematocrit were the predictable early mortality factors. So bad vital sign patients must be progressed rapidly.

A Study on key attributes to congenital disease factors regarding the patients of the four most-common serious chronic illnesses and their relatives in the light of Myeongrihak -centering on the elderly in Seoul nursing homes- (4대 중증질환자와 혈연 관계자에 대한 명리학적 선천성질환 특성요인 분석 -서울시 요양원 입소노인을 중심으로-)

  • Kim, Il-Sin;Cho, Sung-Je
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.11
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    • pp.5610-5615
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    • 2013
  • The objective of this study is to identify key attributes to congenital disease factors regarding the patients of the four most-common serious chronic illnesses and their relatives in the light of Myeongrihak. For the purpose of this study, a survey was conducted from March 15 to July 31, 2013, of 147 elderly people with the four most-common serious chronic illnesses admitted to nursing homes located in Seoul. Data were analyzed by frequency analysis and Kai-square tests by use of SPSS/WIN 18.0. The analysis found that the patients and their relatives had very similar disease factors, and cerebrovascular diseases presented the strongest correlations. The subjects also showed meaningful differences according to the health factors of their relatives. As this study found that meaningful correlations regarding congenital diseases between patients of the four most-common serious chronic illnesses and their relatives in the light of Myeongrihak, this will serve as basic data to predicts health conditions of families and relatives.

Desire for Work of Severely-disabled People and the Plan of the Expansion of the Employment through the Research on the Actual Condition (중증장애인의 근로욕구 및 실태조사를 통한 고용확대방안)

  • Lee, Soon-Hei;Park, Seok-Yong
    • The Journal of the Korea Contents Association
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    • v.9 no.9
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    • pp.304-312
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    • 2009
  • The latest society is very quickly changing so that it is placed in difficult life of not only the non-disabled people but also disabled people. The demand on welfare of the disabled people is continually increasing by the increasing in population of the disabled people by the expansion of the disabled realm and changing of family structure. The changing about the concept of the disabled, the spreading about the independence life, expecially the expanding about the awareness of the disabled human right, and the circumstance and the paradigm of the surrounded by the disabled welfare is rapidly changing. The right to work is related to the living, and is the important part of value endowment in the social participation and the self-realization, and is the core of the independence life. Therefore, this study is researched into the desire for work of the severely-disabled people in Cheong-ju City and their actual condition, so I present the desire of severely-disabled people and the suitable creation of the employment in Cheong-ju City, and the plan of the expansion of the disabled employment opportunity in my study.

Development of Periventricular Leukomalacia and Severe Intraventricular Hemorrhage in Very Low Birth Weight Newborns and Relationship with Ventilator Care (Study of Ventilator Care as a Risk Factor of PVL and PV-IVH) (극소저출생체중아의 뇌실주위백질연화증과 중증뇌실출혈의 발생과 인공호흡기 치료와의 상관관계)

  • Lee, Hak Sung;Lee, Sae Kyu;Kim, Yeong Jin;Lee, Sang Geel
    • Clinical and Experimental Pediatrics
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    • v.48 no.12
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    • pp.1330-1336
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    • 2005
  • Purpose : It has been suggested that changes in cerebral blood flow by ventilator care could be a risk factor in periventricular leukomalacia(PVL) and severe periventricular-intraventricular hemorrhage(PV-IVH). The study aims to assess the relationship between perinatal clinical events, including ventilator care, and the development of PVL and severe PV-IVH; especially, whether ventilator care could be causers of PVL and severe PV-IVH as an individual risk factor. Methods : Among 255 very low birth weight infants who survived in the Fatima neonatal intensive care unit from January 1999 to December 2003, 15 infants with PVL and eight infants with severe PV-IVH were classified as a study group, while 231 infants were enrolled as a control group. The analysis was performed retrospectively with medical records. Results : Twenty four infants were diagnosed with PVL or severe PV-IVH. Asphyxia, recurrent apnea, sepsis, acidosis and ventilator care were significantly increased in the PVL goup. Asphyxia, recurrent apnea, RDS, acidosis and ventilator care were significantly increased in the severe PV-IVH group. Conclusion : Infants with PVL or severe PV-IVH may have multiple perinatal risk factors including asphyxia, recurrent apnea, sepsis, acidosis, RDS and ventilator care. Because most patients with ventilator care have multiple perinatal risk factors, ventilator care does not cause PVL and severe PV-IVH independently. Therefore, incidences of PVL and severe PV-IVH can be decreased by not only gentle ventilation, but also more professional antenatal care.

Comparison of the Injury Mechanism, Pattern and Initial Management Approach for Orthopedic Injuries According to the Injury Severity in Moderate-to-Severe Injured Patients (중등도 이상의 손상 환자에서 손상 중증도에 따른 정형외과적 손상에 대한 수상기전, 손상유형, 초기 치료적 접근의 비교)

  • Lee, Eui-Sup;Sohn, Hoon-Sang;Kim, Younghwan;Shon, Min Soo
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.383-396
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    • 2020
  • Purpose: This study compared the injury mechanism, site, type, initial management approach of orthopedic injury, and outcomes according to the injury severity in moderate-to-severe injured patients. Materials and Methods: During 57-month, excluding the period when the authors' emergency/trauma center was not operating, from 2014 to 2019, a retrospective study was conducted on 778 patients with orthopedic injuries among patients with an Injury Severity Score (ISS)>9 scored. The patients were classified into moderate-injured group (group-1, 679) and severe-injured group (group-2, 99) according to the injury severity based on the ISS and physiologic parameters. The injury mechanism and non-orthopedic injury were evaluated. Orthopedic injuries were assessed according to the injury pattern and the number of anatomical regions and bone sites involved. The management approach for the orthopedic injuries in two groups was compared. Outcomes (hospital stay, systemic complications, and in-hospital mortality) were evaluated, and the risk factors for mortality were analyzed. Results: In group-2, the incidence of younger males, high-energy mechanisms, and accompanying injuries was significantly higher than in group-1. The number of anatomical regions and bone sites involved increased in group-2. The involvement of the pelvis, spine, and upper extremity was significantly higher in group-2, whereas group-1 was involved mainly by the lower extremities. Depending on the patient's condition, definitive or staged management for orthopedic injuries may be used. Group-1 was treated mainly with definite fixation after the physiological stabilization process, and group-2 was treated with staged management using temporary external fixation. The hospital stay was significantly longer in group-2. The overall systematic complications and in-hospital mortality was approximately 4.9% and 4.5%. A higher injury severity was associated with higher in-hospital mortality (2.9%, 15.2%; p<0.0001). Increasing age and high ISS are independent risk factors for mortality. Conclusion: A higher severity of injury was associated with a higher incidence of high-energy mechanism, younger, male, accompanying injuries, and the frequency and severity of orthopedic injuries. Severe polytrauma patients were treated mainly with a staged approach, such as external fixation. The hospital stay, systematic complications, and in-hospital mortality were significantly higher in severe-injured patients. Age and ISS are strong predictors of in-hospital mortality in polytrauma.

The Environmental Control System for Quadriplegics using Speech Recognition (음성인식을 이용한 중증 장애인 생활환경 제어장치)

  • Rim Jaeyong;Jung Hyuckjun;Lee Hangsei
    • Proceedings of the Acoustical Society of Korea Conference
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    • spring
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    • pp.111-114
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    • 2000
  • 척수 손상에 의한 사지마비 중증 장애인이 일상 생활을 함에 있어서 가족이나 주변인의 도움을 받지 않고서는 가전제품의 작동이나 전화 통화 등과 같은 작은 일 조차 스스로 할 수 없는 현실에서 국내 여건에 적합한 생활환경 제어장치의 개발이 필요하나 현재 이를 위한 마땅한 제어장치가 없는 실정이다. 각 가정에 널리 보급되어 있는 PC를 활용할 수 있도록 PC기반의 음성인식기를 개발하고 이를 응용한 가전제품 제어기를 개발, 제작하여 사지마비 환자 스스로 간단한 동작만으로 환자와 가족의 신체적, 정신적 부담을 감소 하고자 한다 이장치는 음성인식기 부분과 제어장치 부분 그리고 I/O 인터페이스 부분으로 구성 되어있다. 중증장애인은 이 장치를 사용하여 일상생활에서 기본적인 자유로운 생활의 영위를 도모하며 환자 가족의 부담을 줄일 수 있으며 환자와 가족 모두 심리적인 만족을 얻은 것으로 나타난다. 그러나 기기 사용을 위한 환자의 음성인식을 위한 언어학습과정의 불편함과 인식에러의 과제가 남아있다.

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