• 한국융합학회논문지
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• 제11권4호
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• pp.333-341
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• 2020

이 연구는 발달장애인의 평생교육 참여의사에 영향을 미치는 변인을 탐색함으로써 발달장애인 평생교육 활성화를 위한 기초 자료를 제시하기 위해 수행되었다. 2017년 장애인실태조사 원자료 중 발달장애인을 대상으로 한 자료를 활용하였고, 발달장애인의 평생교육 참여의사를 종속변수로 발달장애인의 평생교육 참여의사에 영향을 미칠 수 있는 16개 변인을 독립변수로 각각 설정하여 로지스틱 회귀분석을 실시하였다. 연구결과, 발달장애인의 성, 연령, 장애정도, 가족지지, 생활만족도, 수단적일상생활수행능력이 발달장애인의 평생교육 참여의사에 유의미한 영향을 미치는 변인으로 탐색되었다. 따라서 발달장애인 평생교육 활성화를 위해서는 기관, 관련 인력 및 프로그램 확대와 같은 인프라 구축뿐만 아니라 발달장애인이 평생교육에 참여하고자 하는 의지를 향상시킬 수 있는 방안도 함께 마련될 필요가 있다.

• 한국감성과학회:학술대회논문집
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• 한국감성과학회 2011년도 추계학술대회
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• pp.61-62
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• 2011

• 대한한방소아과학회지
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• 제25권2호
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• pp.39-54
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• 2011

Objectives: The purpose of this study is to report clinical effect of herbal medicine on developmental disorder Methods: The patients were treated with herbal medicine and evaluated by gross motor function measure(GMFM), and pediatric evaluation of disability inventory(PEDI). Results: The patient's gross motor function measure, and pediatric evaluation of disability inventory were significantly improved after six months to nine months of herbal medicine treatment. Conclusions: This study shows that herbal medicine is effective on developmental disorder induced. However, further clinical studies are needed.

• 문화기술의 융합
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• 제4권4호
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• pp.107-114
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• 2018

전환기의 발달장애학생이 여가활용 교과과정을 통해 스스로 여가를 찾고, 즐길 수 있는 능력을 함양하고, 지역사회 프로그램을 통해 실제 지역사회 여가의 자원들을 활용할 수 있는 독립적인 능력을 적용하기 위해서는 여가활용의 교과과정과 지역사회 자원의 연결이 구비되어야 한다. 이를 위해서는 교과과정으로서의 여가활용을 지도하는 교사의 여가활용 인식이 전제가 되며, 지역사회 기반의 여가활동 참여시 언급되는 개선점과 중요도에 대한 검토가 필요하다. 발달장애인의 평생계획과 관련한 최근의 연구들은 기존 요소에서 여가활동을 확장하고 있으며, 이는 총체적인 측면에서의 준비가 필요함을 의미하고 있다. 본 연구는 문헌자료를 바탕으로 발달장애학생의 여가활동의 중요한 자원으로서 학교 현장에서의 여가활동과 지역사회여가활동의 중요성에 초점을 맞추고, 여가활동의 접근성을 높일 수 있는 지원방안을 제공하고자 한다.

• Journal of Genetic Medicine
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• 제19권2호
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• pp.105-110
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• 2022

The microdeletion syndrome of chromosome 2p15p16.1 (MIM: 612513) is an extremely rare contiguous gene deletion syndrome. Microdeletions of varying sizes in the 2p15-16.1 region are associated with developmental delay, intellectual disability, autism spectrum disorder, hypotonia, and craniofacial dysmorphism. Previous studies have identified two critical regions: the proximal 2p15 and distal 2p16.1 regions. BCL11A, PAPOLG, and REL genes play crucial roles in patients with 2p16.1 microdeletion. To our knowledge, only 39 patients have been reported as having 2p15p16.1 microdeletion syndrome. Here, we present another patient with 2p15p16.1 microdeletion syndrome. A nine-month-old boy was referred to our clinic for the psychomotor delay, facial dysmorphism, and congenital hypothyroidism. During his follow-up visits, he was diagnosed with global developmental delay, intellectual disability, abnormal behavior, hypotonia, microcephaly, and abnormal electroencephalography. Using a chromosomal microarray for genetic analysis, a novel, de novo, 622 kb microdeletion of 2p16.1 was identified as one of the critical regions of the 2p15p16.1 microdeletion syndrome. This is the first case of its kind in Korea. We have discussed our case and literature reviews to clarify the relationship between the genes involved and clinical phenotypes in 2p15p16.1 microdeletion syndrome.

• 보건행정학회지
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• 제31권4호
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• pp.518-530
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• 2021

Background: This study examined the effect of having a usual source of care on the degree of patient-centered communication among persons with disability. The role of the usual source of care has been emphasized to improve patient experience, especially for patients with complex health conditions. Methods: This study used the 2017-2018 Korean Health Panel data, and the final study observations were 22,475 (20,806 people without disability and 1,669 people with disability). We applied generalized estimating equation model to show the effect of having a usual source of care on patient-centered communication, and subgroup analysis considering the types and severity of disabilities. Results: Persons who have disabilities, compared with ones without it, significantly had more usual sources of care (32.4% vs. 24.6%). By type of disability, persons with mental (51.4%), internal organ (43.8%), visual (37%), and physical disabilities (31.6%) had more usual sources of care than hearing/speech (26.6%), and developmental disabilities (18.6%). The average score of patient-centered communication was higher among who had a usual sources of care (3.2 vs. 2.7), and the regression analysis showed that having a usual sources of care was positively associated with higher patient-centered communication score (𝛽=0.476, p<0.05). However, the positive effects of usual sources of care was not observed among persons with severe hearing/speech, developmental, and mental disabilities. Conclusion: This study showed that role of patient-centered communication was limited in persons with severe hearing/speech disabilities, developmental, and mental disabilities. The education programs and supports are needed to improve communication skills between medical staff and persons with specific types of disabilities.

• Clinical and Experimental Pediatrics
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• 제63권6호
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• pp.195-202
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• 2020

Developments in next-generation sequencing (NGS) techogies have assisted in clarifying the diagnosis and treatment of developmental delay/intellectual disability (DD/ID) via molecular genetic testing. Advances in DNA sequencing technology have not only allowed the evolution of targeted panels but also, and more currently enabled genome-wide analyses to progress from research era to clinical practice. Broad acceptance of accuracy-guided targeted gene panel, whole-exome sequencing (WES), and whole-genome sequencing (WGS) for DD/ID need prospective analyses of the increasing cost-effectiveness versus conventional genetic testing. Choosing the appropriate sequencing method requires individual planning. Data are required to guide best-practice recommendations for genomic testing, regarding various clinical phenotypes in an etiologic approach. Targeted panel testing may be recommended as a firsttier testing approach for children with DD/ID. Family-based trio testing by WES/WGS can be used as a second test for DD/ID in undiagnosed children who previously tested negative on a targeted panel. The role of NGS in molecular diagnostics, treatment, prediction of prognosis will continue to increase further in the coming years. Given the rapid pace of changes in the past 10 years, all medical providers should be aware of the changes in the transformative genetics field.

• 컴퓨터교육학회논문지
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• 제9권2호
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• pp.57-67
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• 2006

본 연구는 발달장애 영유아를 위한 교육과정중심 진단, 중재, 평가의 연계 체계를 웹상에서 전문가 시스템으로 설계하였다. 이를 위하여 교육과정중심 진단 평가와 웹기반 전문가 시스템에 관한 선행연구와 특수교육에서 공학적 활용에 관한 연구를 분석한 후, 웹기반 전문가 시스템의 전체 구조와 하위 시스템을 체계적이고 구체적으로 설계하였다. 발달장애 영유아를 위한 웹기반 전문가 시스템 설계에서는 정보분석, 최적화, 자료수집, 자료분석, 의사결정으로 중재의 연결 구조를 강조하였다.

• Journal of Preventive Medicine and Public Health
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• 제52권3호
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• pp.200-204
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• 2019

On September 12, 2018, President Jae-In Moon announced the Comprehensive Plan for Lifelong Care for People with Developmental Disabilities, with representatives from the associated government branches (Ministry of Health and Welfare, Ministry of Education, and Ministry of Employment and Labor) in attendance. The goals of this plan are to provide health, medical, rehabilitative, special education, and social welfare services according to the life-stages of the affected individuals; to reduce parental pressure; to promote social interventions; and to enhance community-level participation in order to create a 'welfare society in harmony.' However, in order for the plan to succeed, additional efforts must be made in the following areas. First, an epidemiological survey is needed to understand the scale, prevalence, and incidence of developmental disabilities and to establish an evidence base to support policy development. Second, accurate definitions of developmental disabilities must be established in order to avoid policy discrimination based on impairment type and age. Third, personal evaluations to assess disabled individuals' unmet needs and customized service designs to deliver those needs are required. Fourth, the plan must fulfill the goals of accessibility and fairness that the government intends to provide. Fifth, the government should consider an integrated financial support system and to propose a detailed plan for monetary distributions. Finally, an integrated system that links health, medical, employment, educational, and welfare services must be constructed.

• 한국환경과학회지
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• 제32권10호
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• pp.713-722
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• 2023

This study was conducted to examine the effects of care farming activities on the brain waves of adults with developmental disabilities from September 2022 to December 2022, with a total of 16 sessions held once a week. For 28 adults with developmental disabilities, 15 participants in the care farm program and 13 participants who did not participate were used as the control group. Before and after the care farming activities, participants' self-esteem, happiness levels, and brain function indices were measured through surveys and electroencephalography (EEG). Consequently, the self-esteem of the participants in the experimental group significantly increased after the activity, and as for the brain function index, the left brain activity index related to stress, attention, brain function, and emotional state increased compared to the control group in the experimental group of adults with developmental disabilities, especially intellectual disabilities. Notably, the effect of care farming activities was greater for women than for men with intellectual disabilities. Therefore, considering the differential effects of care farming activities based on the type of developmental disability and sex, it is deemed advantageous to primarily apply these activities to women with intellectual disabilities in order to maximize the healing effect of care farming.