• 대한장애인치과학회지
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• 제10권2호
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• pp.68-77
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• 2014

An opportunity for dental students to come into contact with individuals with disabilities is insufficient. Therefore, prejudice and negative attitudes towards persons with disabilities persist. Working under the assumption that educating dental students regarding people with disabilities will bring about positive awareness, we conducted this study. We investigated the changes in the recognition of the issues and needs of people with disabilities before and after special care dentistry class of students of dental college that will include an experience in a dental clinic with a disabled person. Seventy-two Kyung Hee University School of Dentistry third-year dental students attended the special care dentistry class in one semester and they took the same survey was before and after the class. In the questionnaire, we used the disability factor scale (DFS) that Siller has proposed. The authoritarian virtuousness factor getting lower to a significant level after receiving an education. This means that after the education, the respondents realize that how hard to adapt the disabilities. After receiving an education, the rejection of intimacy factor score significantly get higher than before they took the class. This means that after the training, positive attitudes towards those with disabilities were better than those towards the opposite sex. We were able to confirm a positive change in the recognition for persons with disabilities through the special care dentistry class. Our study shows that educating dental students on the how to take care of individuals with disabilities can bring about a positive change in the attitudes students may have regarding them.

• 한국보육학회지
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• 제18권2호
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• pp.231-246
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• 2018

본 연구는 유아통합교육기관에 근무하는 유아특수교사들의 장애이해교육에 대한 경험과 어려움 및 적합한 장애이해교육을 위해 필요한 요구들에 대하여 파악하고자 하였다. 이를 위해 통합교육 현장에서 장애 이해교육을 실행한 경험이 있는 유아특수교사 3명을 연구대상으로 선정하였다. 자료수집방법으로는 개별 심층면담 및 현장관찰이 활용되었고 연구 참여자별로 면담은 2-3회 실시하였다. 본 연구에서 수집된 자료를 통하여 분석해 본 결과 (1) 통합교육현장에서의 유아특수교사의 어려움 (2) 장애이해교육에 대한 경험 (3) 효과적인 장애이해교육을 위한 요구의 3가지 주제와 12개의 하위주제가 도출되었다. 교사들은 통합현장에서 역할과 위치의 모호함, 전문성의 신장, 정돈되지 못한 체제 내에서의 어려움을 느끼고 있었으며, 편견을 조성하거나, 교사의 역량에 따른 편차가 크거나, 적합한 방법을 지각하지 못하거나, 성인 및 유아들의 높지 않은 관심이 장애이해교육의 장애물이 될 수 있음을 지각하였다. 마지막으로 효과적인 장애이해교육을 위하여, 지도메뉴얼의 개발, 행정체계의 개선, 장애이해교육에 대한 인식의 변화, 유아들의 경험에 기반을 둔 장애이해교육이 필요하다는 결과가 도출되었다. 도출된 주제에 따른 결과를 기반으로 통합교육 현장에서 효과적인 장애이해교육을 위해 필요한 시사점에 대하여 논의하였다.

• 한국전문물리치료학회지
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• 제14권3호
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• pp.97-106
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• 2007

The purpose of this study was to determine reliability and validity of the Neck Disability Index (NDI) now in use for the first time in neck pain patients of Korea. Fifty subjects (26 males and24 female) with neck pain enrolled in the study. They completed a standardized self-administered questionnaire that include pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. Reliability was determined by intra-class correlation coefficient (ICC) and Cronbach's alpha by internal consistency. Validity was examined by correlating the NDI scores to the Visual Analog Scale (VAS) score. The Test-retest reliability of the translated versions of the NDI was good ICC (2,1) = .90 (95%CI .85 .95). Cronbach's alpha value for NDI was found to be .95 and this was statistically significant (p<.05). The criterion-related validity coefficients was .72 (p<.01). We conclude that the Korean version of NDI has shown to be a reliable and valid instrument for the assessment of neck pain.

• 대한장애인치과학회지
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• 제10권2호
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• pp.101-105
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• 2014

Moebius syndrome is a rare, congenital neurological disease involving facial paralysis and limitation of eye movements. It results from maldevelopment of the sixth and seventh cranial nerves. Dental features of this syndrome include micrognathia, microstomia, tongue deformity, cleft palate, hypoplasia of the teeth, and congenital missing teeth. A 7-year-old female with Moebius syndrome was referred from a local dental clinic for caries treatment. She presented with facial paralysis and microstomia. Oral findings included multiple caries with enamel hypoplasia, congenital missing teeth, and tongue deformity. Dental treatments including restorative and preventive procedures were performed. Oral findings and management aspects of Moebius syndrome for this case are discussed. Early evaluation and multidisciplinary care are needed for children with Moebius syndrome.

• Journal of Preventive Medicine and Public Health
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• 제40권2호
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• pp.137-144
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• 2007

Objectives : According to Rowe and Kahn (1998), successful aging is the combination of a low probability of disease, high functioning, and active engagement with life. The purpose of this study was to assess the relationship between active engagement with life and functioning among the community-dwelling elderly. Methods : Data were collected from Wave 2 of the Suwon Longitudinal Aging Study (SLAS), consisting of a sample of 645 persons aged 65 and older living in the community. A social activity checklist and social support inventory were used as measures of engagement with life, along with the Physical Functioning (PF) scale as a measure of functioning. The effects of social support and social activity on physical functioning, taking into account the covariates, were analyzed by hierarchical linear regression analysis. Results : Maintenance of social activity and social support were significantly associated with higher physical function, after adjusting for sociodemographic and health-related covariates. Social support appeared to be more prominent than social activity in predicting physical functioning. Conclusions : Social support and social activity are potentially modifiable factors associated with physical function in older persons. Studies examining the role social engagement may play in preventing disability are warranted.

• 대한통합의학회지
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• 제7권2호
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• pp.111-119
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• 2019

Purpose : The aim of this study was to investigate patterns of medical use among juveniles and adolescents, including for chronic disease, in Korea. The study sought to do the following: (a) investigate the extent to which chronic diseases account for medical expenditures, (b) investigate and the socio-demographic characteristics associated with medical use, and (c) identify the differences in medical use between juveniles and adolescents. Methods : We used data from the 2015 Korean Health Panel and selected 12 variables. The socio-demographic characteristics investigated included, growth period (juvenile, adolescents), gender, family income, national basic livelihood act status, disability registration, and degree of disability. There were five medical factors that were considered: emergency room use, hospitalization use, hospital outpatient use, chronic disease, and medical expenditure. Data were analyzed using stepwise multiple and logistic regression. Results : The prevalence of chronic disability in juveniles and adolescents was 31.1 % and 1 %, respectively. The factors affecting medical expenditures included hospitalization use, hospital outpatient use, family income, disability, gender, chronic disease, and emergency room use ($R^2=.160$, p<.05). For national basic livelihood act recipients, the probability of having chronic disease was about 1.6 times higher (OR=1.597, 95 % CI=1.092-2.335, p=.016), compared with non-national basic livelihood act recipients. People with disabilities were 6.6 times more likely than those without disabilities to suffer from chronic disease (OR =6.571, 95 % CI=2.776-15.556, p<.001). Hospital outpatient user was 2.3 times higher than non-user (OR=2.260, 95 % CI=1.702-3.001, p<.001). Juveniles had a 1.7 times and 6.2 times higher likelihood of emergency rooms user (OR=1.654, 95 % CI=1.270-2.155, p<.001), and hospital outpatient user than adolescents (OR=6.208, 95 % CI=4.443-8.676, p<.001). Conclusion : The findings of this study suggest that health care services for juveniles is needed to manage chronic diseases that have an effect on medical expenditures.

• Journal of Preventive Medicine and Public Health
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• 제27권3호
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• pp.627-651
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• 1994

In this study, literature review was done to examine and compare the current status and problems of different evaluation approaches toward permanent impairment in Korea. Alternatives and improvements in the current approaches in Korea were suggested. Series of cases were also examined to compare different approaches applied to the real cases, using 105 cases from a hospital data and another 207 cases from a insurance company data. The main findings of the literature review are as follows; 1. The current evaluation methods of permanent impairment in Korea are grouped into two categories, grading and rating. Gradings of impairments are expressly specified in 17 various statutes. 2. In Grading methods, the rigid system of 74 different grades has been adopted uniformally for the convenience of administration, which may not be, appropriate or valid from medical and scientifical aspect. 3. The adventage of McBride method is assessment of occupational disability rate. However the classified compensable occupations are only 280 and limited to manufacturing industries in 1960s'of U.S.A., which is not appropriate to current Korean circumstances. Especially, the job list does not include managerial officers or mental workers. 4. AMA Guides is the scientific and reasonable method for the assessment of physical impairment rate. However compensation and reparation of impairment case is difficult because this method cannot assess the disability rate according to occupation, age, etc. The results of cases comparative study are as follows: 5. The physical Impairment could be compared in 167 out of total 312 cases, and for the cases of complex impairment, McBride method underestimate physical impairment rate compared with AM A method. 6. When disability late was assessed, occupation was considered the compensation of only 85 cases, and age was used in only 21 cases. This was because occupation and age compensation in McBride method are unreasonable. 7. The most Ideal alternative is to assess physical impairment according to AMA method and then to develop a compensation method appropriate for the circumstances of Korea society.

• 대한장애인치과학회지
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• 제4권1호
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• pp.32-36
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• 2008

본 증례에서 나타난 Kostmann 증후군 및 MDS의 치과적 소견을 정리해 보면, 전반적인 치주염(GPP), 고도의 치조골 소실 및 치아동요도, 협점막의 궤양, 편도염, 구강내 동통, 하순의 점상 출혈 등을 들 수 있다. 적극적인 항생제 투여와 G-CSF 피하 주사가 환자의 전신적 상태 향상에 도움을 줄 수 있으나 완치가 어렵기에 치과 치료시 주의가 필요하며, 구강위생관리를 철저히 잘 할 수 있도록 환자 및 보호자에게 지속적인 관심을 가지고 교육해야 할 것이다.

• 대한장애인치과학회지
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• 제2권1호
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• pp.1-9
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• 2006

Patients with severe mental problems have difficulty maintaining good oral hygiene, so that the incidence of dental disease is greater, the disease is more severe, and the progression is much faster in these patients. Generally, they require physical restraint, drug-induced sedation, and general anesthesia since they are not cooperative. In many cases, these patients have systemic disease, so that the prognosis after dental treatment depends highly on the management of existing diseases. The problems related to treating these patients are examined and methods of using general anesthesia and sedatives are further examined to propose better ways of treating these patients.

• 한국보건간호학회지
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• 제36권1호
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• pp.33-46
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• 2022

Purpose: The purpose of this study was to identify factors that affect the intention of HPV vaccination in 12-year-old female adolescents and their mothers. Method: A descriptive study was conducted with 64 HPV-unvaccinated female adolescents and their mothers in W city, Republic of Korea. Data collection was conducted from October to November in 2019. The data were analyzed using SPSS WIN 24.0 Program. Descriptive statistics, paired t-test, independent t-test, χ²-test and logistic regression analysis were conducted. Result: According to the results, 57.8% and 62.5% of female adolescents and mothers had the intentions of HPV vaccination, respectively. In the logistic regression analysis for the factors affecting female adolescents' and mothers' HPV vaccination intentions, there was no significant factor in female adolescents. In the case of mothers, the significant factors were cervical cancer knowledge and perceived disability. Conclusion: In order to increase the HPV vaccination rate, educational programs are needed to provide knowledge of cervical cancer. A variety of intervention strategies should be developed to decrease the perceived disability of HPV vaccination health beliefs.