• Title/Summary/Keyword: 지각된 장애

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Acoustic Analysis and Auditory-Perceptual Assessment for Diagnosis of Functional Dysphonia (기능성 음성장애의 진단을 위한 음향학적, 청지각적 평가)

  • Kim, Geun-Hyo;Lee, Yeon-Yoo;Bae, In-Ho;Lee, Jae-Seok;Lee, Chang-Yoon;Park, Hee-June;Lee, Byung-Joo;Kwon, Soon-Bok
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.212-222
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    • 2018
  • Background and Objectives : The purpose of this study was to compare the measured values of acoustic and auditory perceptual assessments between normal and functional dysphonia (FD) groups. Materials and Methods : 102 subjects with FD and 59 normal voice groups were participated in this study. Mid-vowel portion of the sustained vowel /a/ and two sentences of 'Sanchaek' were edited, concatenated, and analyzed by Praat script. And then auditory-perceptual (AP) rating was completed by three listeners. Results : The FD group showed higher acoustic voice quality index version 2.02 and version 3.01 (AVQIv2 and AVQIv3), slope, Hammarberg index (HAM), grade (G) and overall severity (OS), values than normal group. Additionally, smoothed cepstral peak prominence in Praat (PraatCPPS), tilt, low-to high spectral band energies (L/H ratio), long-term average spectrum (LTAS) in FD group were lower than normal voice group. And the correlation among measured values ranged from -0.250 to 0.960. In ROC curve analysis, cutoff values of AVQIv2, AVQIv3, PraatCPPS, slope, tilt, L/H ratio, HAM, and LTAS were 3.270, 2.013, 13.838, -22.286, -9.754, 369.043, 27.912, and 34.523, respectively, and the AUC of each analysis was over .890 in AVQIv2, AVQIv3, and PraatCPPS, over 0.731 in HAM, tilt, and slope, over 0.605 in LTAS and L/H ratio. Conclusions : In conclusion, AVQI and CPPS showed the highest predictive power for distinguishing between normal and FD groups. Acoustic analyses and AP rating as noninvasive examination can reinforce the screening capability of FD and help to establish efficient diagnosis and treatment process plan for FD.

The Effect of Manager's Leadership Perceived by the Person in Charge of Cultural Arts Education on Job attitude and Performance (장애인복지관 문화예술교육 담당자가 인식하는 관리자의 리더십이 직무태도 및 운영성과에 미치는 영향)

  • Kim, Doo Young
    • 재활복지
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    • v.22 no.3
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    • pp.93-114
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    • 2018
  • The purpose of this study is to investigate the effect of manager's leadership perceived by the person in charge of cultural arts education of the welfare centers for people with disabilities on the job attitude and performance of the work. For the study, the questionnaire response data of 188 persons responsible for arts and culture education of the welfare centers for people with disabilities were analyzed. The main results of the study are as follows. As a result of analyzing the effect of manager 's leadership on the job attitude, it was found that conditional reward, which is a sub - factor of transformational leadership, intellectual stimulation and transactional leadership, And the exceptional management, which is a subordinate factor of intellectual stimulation and transactional leadership, has a positive effect on organizational commitment. Second, the analysis of the influence of the manager 's leadership perceived by the person in charge of cultural arts education of the welfare centers for people with disabilities on the operational performance showed that the intellectual stimulation, which is a sub - factor of transformational leadership, had a positive effect on the service quality. Therefore, managers should propose specific standards on objectives which organizations should accomplish in order to enhance job attitude and operational performance shown by workers in charge of edudation on cultural art at welfare center for the people with disabilities. If these objectives are accomplished, they need to be encouraged by suggesting financial rewards. In addtion, leadership that spurs constant efforts for addressing problems should be demonstrated.

Item Goodness-of-fit and Difficulty of Childhood Autism Rating Scale(CARS) - Application of Rasch Model - (아동기 자폐증 평정척도(CARS)의 문항 적합도 및 난이도 -Rasch 모형의 적용-)

  • Kim, Tae Hyung;Seo, Eunchul
    • 재활복지
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    • v.20 no.4
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    • pp.135-156
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    • 2016
  • The purpose of this study was to investigate item goodness-of-fit of Childhood Autism Rating Scale(CARS), Rasch rating scale model was applied to 15 items of the CARS in a sample of pervasive development disorder(n=238). An assumption to test Rasch Model, which is satisfaction of unidimensionality, is regarded through PCAR analysis, and jMetrik 4.03 program is used to test the goodness-of-fit of items. The results of this study were: First, 5-point rating scale was appropriate for the CARS rather than 7-point original rating scale. Second, the result of examining the CARS questions goodness-of-fit, there was a overfitting or misfitting items according to the classified groups. Only in particular Q11 item in diagnosis subject of integration population of autism has become inappropriate. Therefore, it is necessary to provide education for the CARS more systematically. Thirdly, the result of comparing the personal attributes score and difficulty of a CARS question, Q2, Q3, Q10, Q11 items are necessary to distinguish conceptually defined in more detail. Fourth, the results of investigating the difficulty of CARS question, it was found to exhibit a verbal communication is most serious problem for the population of autism.

Appropriate Roles of Project Participants for Public Partnership Projects of Railways through the Organizational Behavior Theory (조직행동론을 통해서 본 민간철도 투자사업의 참여자간 갈등유형 및 역할정립 방안에 관한 사례연구)

  • Kim, Byungil;Yun, Sungmin;Han, Seung Heon;Kim, Hyung Hwe
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.28 no.6D
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    • pp.839-847
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    • 2008
  • No proper system exists for private investment projects, and efficient project management is not being achieved due to entanglements of management. Recognizing these circumstances, this paper has diagnosed the hard facts that project management organizations and systems are facing, and presented solutions to the factors that are obstructing the establishment of efficient project management system. This paper carried out focus group interviews on the experts who had participated in the Incheon International Airport Railway construction project, using the methodology of an exploratory case study. The results were systematically analyzed according to organizational behavior and causes corresponding to each of the problems were deduced. Private investment projects were divided into task environments and project organizations based on social science methodology and analyzed, and a final improvement plan for each participating organization was presented. An improvement plan was presented, and it was compared with the case study of Incheon bridge construction project, which is recognized as a model of successful project management, and its appropriateness evaluated.

Feasibility of a Parent-Led Home-Based Music Program to Enhance Parental Competence and the Parent-Child Relationship for Parents of Children With ASD (자폐스펙트럼장애 아동 부모의 양육효능감 및 부모-아동 관계 증진을 위한 부모 주도 가정 기반 음악프로그램의 실행 가능성)

  • Yang, Hye young
    • Journal of Music and Human Behavior
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    • v.20 no.2
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    • pp.89-113
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    • 2023
  • This study aimed to assess the feasibility and impact of a 5-week parent-led home-based music program for parents of children with autism spectrum disorder (ASD). The program aimed to enhance the parents' sense of competence and their relationships with their child. Each week for 5 weeks, 10 parents of 10 children with ASD (aged 3 to 9 years) received weekly 30-minute personalized lessons on how to implement the home-based music program and implemented the educated music program at home with activities involving receptive and active engagement. On average, the parents conducted the music program 2.5 times a week for about 9.2 minutes per session. At the end of the 5 weeks, parents reported increased comfort and effectiveness in interacting with their child through music. In addition, positive changes were noted on the Parenting Sense of Competence Scale and the closeness aspect of the parent-child relationship. Participants affirmed the program's feasibility, emphasizing its potential for supporting families with children with ASD. These results provide foundational data for future home-based music activities and programs, emphasizing the importance of tailoring interventions to the unique needs of families with children with ASD.

A Study for the Development of a Problem-based Learning Package for Patients with Perception-Adjustment Disorder (문제중심학습(Problem Based Learning; PBL) 패키지 개발 - 지각·조정장애상황을 중심으로 -)

  • Kim, Aee-Lee;Kim, Young-Kyung;Song, Young-Sun;Shin, Kyung-Rim;Ahn, Hae-Jeong;Lee, Jee-Soon;Jo, Kae-Hwa
    • Korean Journal of Adult Nursing
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    • v.13 no.3
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    • pp.385-396
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    • 2001
  • The purpose of this study is to present an actual example for procedures for developing a PBL package based on philosophical backgrounds derived from Problem-based learning. To perform a systemic study on the operations of an intergrated curricula under multidisciplines, a research team made up of several professors with different academic backgrounds was formed. Among the four situations for the patients with perception-adjustment disorder, especially a procedure for the development of PBL package which can be used in the emergency room situation has been proposed. The little(2000)'s PBL package model has been applied for this study. Tha package includes course objectives, learning objectives, concept map, situation scenario, tutor guide, and evaluation method. It is believed that learning objectives achievement procedures designed as a part of a problem-based learning package development procedures for the nursing of patients with perception-adjustment can be achieved at the same level as the learning objectives for the science of nursing founded by the Korean Nurses Association.

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A Study on the Hereafter Development in Universal Design Surveyed on the Case Studies of Kitchen Design (부엌디자인 사례연구를 중심으로 살펴본 유니버설디자인의 전개방향에 관한 연구)

  • Choi, Eun-Hee
    • Archives of design research
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    • v.18 no.1 s.59
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    • pp.81-90
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    • 2005
  • Universal Design is comprised of three main concepts known as barrier-free, adaptive and life-span design. It does not focus on accessibility for the disabled, but rather expands its breadth to the comfortable use and easy access in ail physical environments and facilities. In this study, the researcher views the present and future of universal design through the cases of kitchen design. Based on the market changes in design guidelines and the changes of time uncovered from past studies, this researcher suggests that universal design would develop through mass customization for personalized use, application of new technology and consideration of psychological aspects. Additionally, for the diffusion of universal design appropriate solution in economic cost problem, social recognition and conversion of problem cognizance in designing is needed. In Korea design models of universal design concepts are not yet in production over various fields. In order to develop and study universal design which suits our country, cultural and regional characteristics should be considered as well as physical, perceptual, psychological aspects.

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Psycho-oncology : A Historical Review (정신종양학의 역사와 개관)

  • Lee, Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.2 no.1
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    • pp.3-9
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    • 1994
  • The psychobiological model of cancer has a long history, with Galen's view on melancholic woman being often quoted. From a historical perspective, the 1950s witnessed a surge of interest in psychosomatic medicine and in researches linking psychological, social, and environmental factors to disease onset and progression. The 1960s witnessed the growth of animal experiements, in the hope of better understanding the effects of psychological and behavioral factors on carcinogenesis while controlling confounding variables. The 1970s saw rapid advances in immunology and neurochemistry. Further researches in the 1980s in psychoneuroimmunology explored relationships between immunological responses and psychosocial variables, and their implications for cancer vulnerability and progression. In this review, the interacting aspects of oncology and psychiatry are presented with selected major findings in the fold of psychooncology researches.

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A Study on the Barrier-Free Space through IPA Method for the Elderly in Multi-family Housing (IPA 분석기법을 통한 공동주택의 무장애공간 인증기준 적합성 분석연구)

  • Kim, Ju-Whan;Kim, Won-Pil
    • Journal of the Korea Convergence Society
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    • v.11 no.1
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    • pp.187-194
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    • 2020
  • When a human being grew older, followed by visually and perceptually impaired, and dementia, it jeopardizes safety and life unless supportive design is secured for a living environment. This supportive space is based on universal design concept which offers safe-oriented, and simple use by incorporating gender and physical/mental limitation. The study of purppose was to examine the appropriateness of barrier-free standard for seniors' living in apartment through IPA. Chi-square analysis found that satisfaction with BF space is lowered as aging is continued and for female group. Regression analysis indicated that sink was the prime predictor in satisfaction, and stair/elevator was the most important variable. IPA concluded that sink, bath, shower/locker and alert/egress were prime BF indexes to be improved among 14 elements, implying careful design in sanitation area for seniors.

A Virtual Reality System for the Cognitive and Behavioral Assessment of Schizophrenia (정신분열병 환자의 인지적/행동적 특성평가를 위한 가상현실시스템 구현)

  • Lee, Jang-Han;Cho, Won-Geun;Kim, Ho-Sung;Ku, Jung-Hun;Kim, Jae-Hun;Kim, Byoung-Nyun;Kim, Sun-I.
    • Science of Emotion and Sensibility
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    • v.6 no.3
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    • pp.55-62
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    • 2003
  • Patients with schizophrenia have thinking disorders such as delusion or hallucination, because they have a deficit in the ability which to systematize and integrate information. therefore, they cannot integrate or systematize visual, auditory and tactile stimuli. In this study, we suggest a virtual reality system for the assessment of cognitive ability of schizophrenia patients, based on the brain multimodal integration model. The virtual reality system provides multimodal stimuli, such as visual and auditory stimuli, to the patient, and can evaluate the patient's multimodal integration and working memory integration abilities by making the patient interpret and react to multimodal stimuli, which must be remembered for a given period of time. the clinical study showed that the virtual reality program developed is comparable to those of the WCST and the SPM.

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