• Title/Summary/Keyword: Disability assessment

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McBride's Disability Assessment: Why Is It Still Most Used? (맥브라이드 노동능력상실 평가법: 왜 아직도 가장 많이 사용되는가?)

  • Lee, Soon-Hyuck;Park, Se-Jin;Park, Jin Hun
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.366-373
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    • 2020
  • The task of defining the concept of 'disability' has proven to be surprisingly difficult. The way disability is assessed in the world suggests that very different conceptions of disability are being presumed. It is very hard to suggest appropriate criteria for assessing a disability that accurately demonstrates the presence and measures the severity of the disability, with proven consistency and validity provided by the assessors consuming the time and cost that the society can afford. When a rigorous framework in disability assessment procedures is used, discretion is then considerably restricted. Limited discretion tends to produce more consistency and validity in the assessment but at the cost of ignoring the individual differences or exceptional circumstances. The disability approach among the categories of the disability assessment is both the oldest and the most commonly used strategy of disability assessment around the world. Most of the criteria of disability assessment in Korea belongs to this. The McBride's criteria for disability evaluations can be used to obtain the ratio of body impairment and work disability without spending too much time and is being applied in court. Nevertheless, there are many errors and controversies, and corrections are required. On the other hand, an improvement plan for a disability evaluation method in Korea is to supplement and use the McBride's disability assessment method, which is currently the most widely used. This review article describes the conception of disability and the assessment of disability, and introduces the models of the assessment of disability to determine if the application of the McBride's criteria of disability evaluation can be justified.

Clinical Characteristics of Disability in Patients with Indoor Aire-Related Environmental Intolerance

  • Vuokko, Aki;Karvala, Kirsi;Suojalehto, Hille;Lindholm, Harri;Selinheimo, Sanna;Heinonen-Guzejev, Marja;Leppamaki, Sami;Cederstrom, Sebastian;Hublin, Christer;Tuisku, Katinka;Sainio, Markku
    • Safety and Health at Work
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    • v.10 no.3
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    • pp.362-369
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    • 2019
  • Background: Chronic nonspecific symptoms attributed to indoor nonindustrial work environments are common and may cause disability, but the medical nature of this disability is unclear. The aim was to medically characterize the disability manifested by chronic, recurrent symptoms and restrictions to work participation attributed to low-level indoor pollutants at workplace and whether the condition shares features with idiopathic environmental intolerance. Methods: We investigated 12 patients with indoor aire-related work disability. The examinations included somatic, psychological, and psychiatric evaluations as well as investigations of the autonomic nervous system, cortisol measurements, lung function, and allergy tests. We evaluated well-being, health, disability, insomnia, pain, anxiety, depression, and burnout via questionnaires. Results: The mean symptom history was 10.5 years; for disabling symptoms, 2.7 years. Eleven patients reported reactions triggered mainly by indoor molds, one by fragrances only. Ten reported sensitivity to odorous chemicals, and three, electric devices. Nearly all had co-occurrent somatic and psychiatric diagnoses and signs of pain, insomnia, burnout, and/or elevated sympathetic responses. Avoiding certain environments had led to restrictions in several life areas. On self-assessment scales, disability showed higher severity and anxiety showed lower severity than in physician assessments. Conclusion: No medical cause was found to explain the disability. Findings support that the condition is a form of idiopathic environmental intolerance and belongs to functional somatic syndromes. Instead of endless avoidance, rehabilitation approaches of functional somatic syndromes are applicable.

Smoking Attributed Economic Burden of Stroke Using Disability Grades (장애등급 분포를 활용한 흡연에 의한 뇌졸중 질병부담비용 측정)

  • Suh, Youshin;Ahn, Jeonghoon
    • The Journal of Health Technology Assessment
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    • v.6 no.2
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    • pp.106-113
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    • 2018
  • Objectives: The purpose of the study was to estimate the economic burden of stroke in Korea using post stroke disability grades and to measure smoking attributed economic burden. Methods: The disability grade of stroke patient was assessed for stroke patients who did not have a history of stroke before from a large cohort study in Korea. Treatment costs of patients were estimated by the National Health Insurance Service annual statistical report and care cost was estimated by the need of care defined by the assessed disability grades of patients. The population attributable fraction from WHO was used to calculate the proportion of cost due to smoking. Results: The study revealed that the cost of the stroke in 2015 was about 3.228 trillion won, while the care-giver cost was approximately 176 billion won. The cost of the smoking attributed stroke was about 724 billion won. Conclusion: This study is useful for estimating the cost of smoking considering the post-stroke disability and the results is important for achieving the national goal of extending healthy life from the Fourth National Health Promotion Plan.

Designing Usability Assessment to Improve User's Acceptability on Quality of Life Technology (QoLT) for Individuals with Disability

  • Lim, Shinyoung;Kim, Jongbae;Kim, Jeong-Hyun;Lee, Hee-Sook
    • Journal of the HCI Society of Korea
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    • v.7 no.2
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    • pp.43-48
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    • 2012
  • Usability assessment has been installed into a wide range of software that focuses on assessing product usage from the user's perspective. Usability assessment of the quality of life technology for individuals with disability is being discussed and tentatively designed which is also expanded to the products for non-disabled people with minor adjustment of the usability assessment protocol. Designing an appropriate usability assessment protocol by referencing the currently available international standards on software usability tests with number of modifications to produce valuable feedbacks is under evaluation process regarding product usability enhancement. The feasibility study on usability assessment protocol into quality of life technologies is presented with discussions on further research.

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Design of Web-Based Expert System in Assessment, Programming, Evaluation for Infants and Young Children with Developmental Disability (발달장애 영유아의 진단, 중재, 평가를 위한 웹기반 전문가 시스템의 설계)

  • Jeon, Byung-Un;Kim, Young-Hee
    • The Journal of Korean Association of Computer Education
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    • v.9 no.2
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    • pp.57-67
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    • 2006
  • The purpose of the research is to designing of web-based expert system in assessment, programming, evaluation for infants and young children with developmental disability. For this purpose, research articles such as curriculum-based assessment evaluation, web-based expert system, use of the computer technology in special education were analyzed. The design of web-based expert system for infants and young children with developmental disability connected with information analysis, optimum levels, data collection, data analysis, decision-making, and intervention.

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An Assessment of the Disability Glare by the Road Lighting System Installed on Guardrails

  • Seok, Dae-Il;Kim, Hoon
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.24 no.3
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    • pp.1-7
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    • 2010
  • To find an appropriate illuminance range for the disability glare caused by the road lighting system installed on guardrails, the influence of the disability glare was evaluated in comparison with the road lighting system of a streetlight. To test the disability glare, an indoor laboratory was constructed and a variation of luminance contrast threshold was evaluated. As a result, when the retinal illuminance was increased and glare sources existed within the narrow visual field, the luminance contrast threshold was increased. Although the road lighting luminaire was installed as low as the height of the guardrail on the road, when out of sight, the influence of the disability glare was small in comparison with the conventional road lighting system such as a streetlight.

A Comparison of Three Low Back Disability Questionnaires With Rasch Analysis (라쉬분석을 이용한 세 가지 요통 장애 설문지의 비교)

  • Kim, Gyoung-Mo;Park, So-Yeon;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.18 no.3
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    • pp.94-102
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    • 2011
  • The purpose of this study was to review existing assessment tools for patients with low back pain and improve them through combination. A total of 314 patients with low back pain participated. Their condition was assessed using the Oswestry Disability Questionnaire (ODQ), the Quebec Back Pain Disability Scale (QBPD), and the Back Pain Functional Scale (BPFS). Rasch analysis was applied to identify inappropriate items, item difficulties, and the separation index. In this study, the 'sex life' item of the ODQ (10 items) and the 'sleeping' item of the BPFS (12 items) showed misfit statistics, whereas all items of the QBPD (20 items) were appropriate. After combining the ODQ, QBPD and BPFS, Rasch analysis was applied. The 'pain intensity', and the 'sex life' item of the ODQ and the 'throw a ball' item of QBPD showed misfit statistics. These 3 items were retained for further analysis. The remaining 42 combined ODQ-QBPD-BPFS items were arranged according to difficulty. For all subjects, the most difficult item was 'pain intensity', whereas the easiest was 'take food out of the refrigerator'. As the separation index of 42 combined ODQ-QBPD-BPFS was higher than that of the three questionnaires separately, difficulty of items varied with some need for rearrangement. The results of this study confirmed the possibility and need for a new back pain disability assessment tool, and produced one. Further study is needed to refine the questionnaire in consideration of psychosocial and occupational factors.

Developmental disability Diagnosis Assessment Systems Implementation using Multimedia Authorizing Tool (멀티미디어 저작도구를 이용한 발달장애 진단.평가 시스템 구현연구)

  • Byun, Sang-Hea;Lee, Jae-Hyun
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.3 no.1
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    • pp.57-72
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    • 2008
  • Serve and do so that graft together specialists' view application field of computer and developmental disability diagnosis estimation data to construct developmental disability diagnosis estimation system in this Paper and constructed developmental disability diagnosis estimation system. Developmental disability diagnosis estimation must supply information of specification area that specialists are having continuously. Developmental disability diagnosis estimation specialist system need multimedia data processing that is specialized little more for developmental disability classification diagnosis and decision-making and is atomized for this. Characteristic of developmental disability diagnosis estimation system that study in this paper can supply quick feedback about result, and can reduce mistake on recording and calculation as well as can shorten examination's enforcement time, and background of training is efficient system fairly in terms of nonprofessional who is not many can use easily. But, as well as when multimedia information that is essential data of system construction for developmental disability diagnosis estimation is having various kinds attribute and a person must achieve description about all developmental disability diagnosis estimation informations, great amount of work done is accompanied, technology about equal data can become different according to management. Because of these problems, applied search technology of contents base (Content-based) that search connection information by contents of edit target data for developmental disability diagnosis estimation data processing multimedia data processing technical development. In the meantime, typical access way for conversation style data processing to support fast image search, after draw special quality of data by N-dimension vector, store to database regarding this as value of N dimension and used data structure of Tree techniques to use index structure that search relevant data based on this costs. But, these are not coincided correctly in purpose of developmental disability diagnosis estimation because is developed focusing in application field that use data of low dimension such as original space DataBase or geography information system. Therefore, studied save structure and index mechanism of new way that support fast search to search bulky good physician data.

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A Study on Disability and Impairment of Dental Disorders in Korea

  • Ahn, Yong-Woo;Jang, Seok-Min;Jeong, Sung-Hee;Jeon, Hye-Mi;Kim, Kyung-Hee;Ok, Soo-Min
    • Journal of Oral Medicine and Pain
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    • v.43 no.3
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    • pp.70-76
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    • 2018
  • The definition and application of disability are becoming more important as society becomes more complex. The precise criteria for the assessment and classification of disabilities are primarily focused on certain medical conditions with a lack of guidelines for dental conditions. This study provides an evaluation and comparison of the current tables available for the assessment of disabilities in the dental field with the aim of identifying areas to be improved.

The Study of Factors Affecting Functional Disability of the Low Back Pain Patients Using Oswestry Disability Index(ODI) Assessment Tool (Oswestry Disability Index(ODI) 평가 도구를 이용한 요통환자의 기능장애에 영향을 미치는 요인 연구)

  • Lee, Sang-Ho;Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.13 no.1
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    • pp.18-25
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    • 2007
  • Objective: The Purpose of this study is the factive and descriptive research to identify the factors affecting the functional disability of the chronic low back pain patients. We investigated the effect of ODI by the Questionnaire and questioned an 70 patients who were back pain unit at G university hospital in D city from March to May, 2007. The functional disorder in this study were based on the Oswestry Disability Index(ODI) lower back pain disability questionnaire by fairbank(1980), and these data were proceeded by using SPSS/WIN version 10.0. Result: 1. The functional disorder in accordance with age, gender, academic background, occupation, diagnosis, pain cause, pain experience, treatment duration had no significantly similar difference statistically(p>0.05). 2. The functional disorder in accordance with duration of painful generation had statistically significance(P<0.05). Conclusion: we could verify that duration of painful generation affect on the factors affecting the functional disability of the low back pain patients.

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