• 대한정형외과학회지
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• 제55권5호
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• pp.366-373
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• 2020

장애의 개념은 명확하게 정의하기는 매우 어려운 일로 알려져 있고, 전 세계적으로 실제 장애가 평가되는 방식은 추정되는 장애의 개념과는 괴리가 있다. 무엇이 적절한 장애평가인지 제시하기는 어려운데 이는 장애의 종류와 정도를 잘 반영해야 하고, 사회가 감당할 수 있는 평가자의 시간과 비용으로 일정 수준의 일관성, 신뢰도와 정당성이 담보되어야 하기 때문이다. 장애평가에서 매우 세세한 평가 규격을 사용하면 재량권이 제한되고, 이는 일관성과 신뢰도를 높이지만 개별적인 차이나 예외적인 상황을 무시하는 결과가 발생한다. 장애평가법 중에 손상접근 방법은 전 세계적으로 가장 오래되고 널리 사용되는 방법으로 현재 우리나라에서 사용되고 있는 대부분의 장애평가 방법이 여기에 속한다. 맥브라이드법은 비교적 많은 시간을 쓰지 않고 신체장애율과 노동능력 상실률을 함께 구할 수 있으며, 현재 법원에서 노동력 상실 평가에 사용하고 있는 중요한 방법이다. 여러 오류와 논란이 있음이 잘 알려져 있어 이의 수정이 요구되지만 현재로서 우리나라의 장애평가 방법에 대한 개선안은 또 다른 새로운 평가 기준을 제시하기 보다는 현재 가장 널리 사용되고 있는 맥브라이드 평가 방법을 보완하여 사용하는 것이다. 본 종설에서는 장애의 개념과 장애평가 방법에 대하여 설명하고, 장애평가 방법의 종류를 소개하면서 맥브라이드의 노동능력상실 평가법이 아직도 유용하게 사용될 수 있는 당위성에 대하여 알아보고자 한다.

• Safety and Health at Work
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• 제10권3호
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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.

• 보건의료기술평가
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• 제6권2호
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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.

• 한국HCI학회논문지
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• 제7권2호
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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.

• 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.

• 조명전기설비학회논문지
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• 제24권3호
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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.

• 한국전문물리치료학회지
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• 제18권3호
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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.

• 벤처창업연구
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• 제3권1호
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• pp.57-72
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• 2008

본 논문에서는 그동안 부분적으로 진행된 발달장애 진단 평가에 관련된 전산처리를 멀티미디어 기법을 응용하여 발달장애 진단 평가분야에 새로운 방법을 제시한다. 발달장애 진단 평가를 위한 멀티미디어 정보는 여러 가지 속성을 지니고 있기 때문에 모든 발달장애 진단 평가 정보에 대한 기술을 사람이 수행해야 할 때는 엄청난 작업량이 수반될 뿐 아니라 동일한 데이터에 대한 기술이 주관에 따라 달라질 수도 있다는 것을 알게 되였다. 특히 발달장애 시스템 구현은 현재의 컴퓨팅 환경에서의 동영상 데이터 처리에 대한 비중의 증가, 텍스트 위주의 데이터에서 시각적인 동영상으로의 데이터 활용의 전이 등 발달장애 데이터가 멀티미디어 환경에 적합한 데이터로의 전이가 필수적이며 사용자 역시 빠른 이해를 위해 시각적 데이터를 선호하기 때문에 본 논문에서는 GUI(Graphics User Interface) 기법을 도입하여 검사 중에 텍스트 명령어는 거의 사용하지 않고도 발달장애 진단 평가를 수행할 수 있게 했다. 특히 발달장애 진단 평가에서 필요한 각종 데이터는 그 속성이 영상, 이미지, 논리연산의 필요성 및 각종 연산이 요구된다. 그래서 본 논문에서는 문제점을 해결하기 위해 편집대상 데이터(Content)에 의해 관련 정보를 검색하는 내용 기반(Content-based)의 검색 기술에 대한 연구를 적용했다.

• Journal of Oral Medicine and Pain
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• 제43권3호
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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.

• 대한정형도수물리치료학회지
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• 제13권1호
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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.