• Journal of Dental Anesthesia and Pain Medicine
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• v.17 no.2
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• pp.91-103
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• 2017

General anesthesia is commonly used to facilitate dental treatment in patients with anxiety or challenging behavior, many of whom are children or patients with special needs. When performing procedures under general anesthesia, dental surgeons must perform a thorough pre-operative assessment, as well as ensure that the patients are aware of the potential risks and that informed consent has been obtained. Such precautions ensure optimal patient management and reduce the frequency of morbidities associated with this form of sedation. Most guidelines address the management of pediatric patients under general anesthesia. However, little has been published regarding this method in patients with special needs. This article constitutes a review of the current literature regarding management of patients with special needs under general anesthesia.

• Journal of Dental Anesthesia and Pain Medicine
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• v.20 no.1
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• pp.1-8
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• 2020

Behaviour management and dental procedures performed in very young, pre-cooperative, highly anxious, or medically disabled children are challenging tasks. Various drugs and methods have, however, been introduced to facilitate treatment for this patient population. Midazolam is a benzodiazepine used as an adjunct to behavior management techniques in the dental treatment of pediatric patients. Midazolam can be used as a safe and effective drug for conscious sedation, general anesthetic premedication, and treatment of seizures during dental procedures. Nevertheless, further research involving pediatric patients would be beneficial.

• Journal of Agricultural Extension & Community Development
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• v.17 no.4
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• pp.685-716
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• 2010

The purposes of this study were to exploring the rural residents' satisfaction of living environment and social service. For these purpose we collected the data from the residents in rural area(1,000). The major findings of this study were as follows : First, the total satisfaction score is 58.9. The highest score group is housing and environment(69.9). And the lowest score group is cultural life and leisure environment. Various welfare services have been carried out for low income people, disabled people, old people, children and rural women within the social service system. But many respondents did not have chances to use social service because it was not efficiently provided many social services. So most of the residents in village wanted more welfare services. Second, the qualitative enhancement is more important than physical infrastructure expansion in order to improve rural settlement condition(housing quality, water supply and drainage, road and traffic system, medical care etc.)

• Journal of Multimedia Information System
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• v.9 no.3
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• pp.227-232
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• 2022

Disasters are now becoming commonplace and especially the vulnerable group such as the disabled, the elderly, children and foreigners are in a state of overlapping disasters. In this situation, ATSC 3.0-based UHDTV disaster information service for the visually and hearing impaired has been developing. This study focuses on the demand data collected through in-depth interview with the impaired. The demand analysis data is very important to development process of technology. The results of the interview show that it is essential to link the UHDTV disaster signals with home-network, IoT, wearable devices, and various assistive devices for the impaired (hearing aid, smart light bulbs, warning light, etc.). In outdoor space, UHDTV disaster information must be connected to public display media, digital signage, kiosk, screens in bus or taxi. If communication aids for the visually and hearing impaired are equipped with a function that can transmit and receive disaster information, it will help to minimize disaster damage.

• The Journal of Korean Academy of Sensory Integration
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• v.3 no.1
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• pp.37-47
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• 2005

Objective : This study was to find out whether there was a difference between parenting stress of parents with and without sensory defensiveness and level of the quality of life, to analyze the factors related with parenting stress of parents and quality of life and to develop intervention program to improve quality of life of parents that care children with problem on sensory process. Methods : The population of this study was consisted of 82 children aged from 3 to 7 years and was treated occupational therapy in clinics or welfare centers for disabled persons. Parenting stress was assessed with Parenting Stress Index and the quality of life scales used by Lee Jeong-Eun was used to assess the level of quality of life. Result : The difference between parenting stress with and without sensory defensiveness and level of quality of life was only shown in parenting stress, and the correlation between parenting stress with and without sensory defensiveness and quality of life indicated negative correlation in both sensory defensiveness and no sensory defensiveness group(r=-0.52, r=-0.65, p<0.05). This study found there was significant difference between quality of life factors affecting parenting stress of parents and parenting stress factors affecting quality of life in sensory defensiveness and no sensory defensiveness group. Conclusion : The study showed that clinicians must develop appropriative intervention program with sensory defensiveness or without sensory defensiveness for decreasing parenting stress and increasing quality of life for their parents.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.14 no.1
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• pp.1-6
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• 2018

General anesthesia is an effective behavior management method for disabled patients or uncooperative children who have difficulty in cooperation. The objective of this study was to assess and analyze dental treatment under general anesthesia in department of pediatric dentistry at Pusan National University Dental Hospital for 5 years. One hundred and nine cases of general anesthesia from June 2013 to May 2018 were surveyed for this study. Patients' distribution, reasons for general anesthesia, treatment pattern, agents for general anesthesia, duration of treatment, and visiting route were assessed. The proportion of male was higher than female and age group of 5 to 9 was highest. Reasons for general anesthesia were handicapped situations with or without systemic disease(52%), operative treatment needs(13.2%), uncooperative(15%) and others(29.8%). Most used agents for general anesthesia were thiopental sodium and sevoflurane. Dental treatment under general anesthesia for handicapped and uncooperative children has been increasing. Therefore, it is important to improve the system and efficiency of general anesthesia to provide satisfactory treatment.

• The Journal of the Korea Contents Association
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• v.17 no.9
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• pp.587-596
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• 2017

The purpose of this study was to investigate the effects of occupational performance ability and leisure satisfaction on parenting stress in parents with disabled children. The data collection period was from January 10, 2017 to February 17, 2017, and 72 questionnaires were used for analysis. The research tool was a structured questionnaire which comprised the following components: general characteristics questionnaire, parenting stress measurement tool, occupational performance ability tool, and leisure satisfaction questionnaire. The results of this study were as follows. The general characteristics of children with high parenting stress were as follows: female, age 8-12, developmental and intellectual disability, disability grade 1 and 2, in the case of private treatment institutions. There was a significant correlation between parental occupational performance ability, parenting stress, and leisure satisfaction. Occupation, social integration, and economic independence, and leisure satisfaction were the factors influencing parenting stress. The results of this study can be used as basic data for the parenting stress intervention of parents with disabilities.

• Journal of Korea Game Society
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• v.19 no.2
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• pp.33-44
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• 2019

This study meta-analyzed the effect of 32 research papers on children in academic journals published with domestic degrees and gameplay Therapy programs (2004-2017). As a result, the total effect size was 0.971, a large effect size. The impact scale by variable factor of disabled children, ages 3 to 5 years by age, and the impact scale of psychological variables by dependent variable were reported, with 11 to 15 sessions per process, total number of sessions 16 times or more, session count per week, and session count 61 to 90 minutes. The biggest research is meaningful in that it is the first comprehensive and objective analysis of gameplay Therapy programs and is expected to be used as basic data in treatment design when performing gameplay Therapy programs on clinical sites.

• The Journal of the Korea Contents Association
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• v.21 no.6
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• pp.350-358
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• 2021

The purpose of this study is to analyze the status of rights for online learning of students with developmental disabilities in the COVID-19 situation and suggest plans to promote the rights focusing on parents with children with disabilities. This research conducted the mixed method, which utilizes the survey of 200 parents with children in chungbuk, who have developmental disabilities, and FGI of six parents. The survey analysis shows that 50.5% of the respondents could not support their children due to telecommuting. The most urgent support system for learning assistance was identified as support for assistive personnel. As a result of the analysis of FGI, two categories of "status of online classes in the COVID-19," "improving non-contact learning environment considering the nurturing environment," "diversifying teaching methods such as video classes," "introducing of a contextual assessment," and "enhancing health support." Based on these findings, the study proposed to review legal grounds for online classes for disabled students, expand the dispatch of learning support personnel and prepare plans to promote the online learning environment.

• Journal of Korean Academy of Nursing
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• v.52 no.3
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• pp.308-323
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• 2022

Purpose: This study aimed to construct and test a predictive model for the quality of life (QOL) in mothers of children with developmental disabilities (DB). The hypothesized model included severity of illness, distress, uncertainty, self-help, and parenting efficacy as influencing factors, QOL as a consequence based on the Braden's Self-Help Model. Methods: The data were collected through a direct and online surveys from 206 mothers in 8 locations, including welfare or daycare centers, developmental treatment centers, and The Parents' Coalition for the Disabled located in two provinces of Korea. Data were analysed using SPSS/WIN 23.0 and AMOS 21.0 program. Results: The fit indices of the predictive model satisfied recommended levels; 𝛘² = 165.79 (p < .001), normed 𝛘² (𝛘²/df) = 2.44, RMR = .04, RMSEA = .08, GFI = .90, AGFI = .85, NFI = .91, TLI = .93, CFI = .95. Among the variables, distress (β = - .46, p < .001), parenting efficacy (β = .22, p < .001), and self-help (β = .17, p = .018) had direct effects on QOL. Severity of illness (β = - .61, p = .010) and uncertainty (β = - .08, p = .014) showed indirect effects. The explanatory power of variables was 61.0%. Conclusion: The study results confirm the utility of Braden's Self-Help Model. They provide a theoretical basis for improving QOL in mothers of children with DB. Nursing intervention strategies that can relieve mothers' distress and uncertainty related to disease and enhance parenting efficacy and self-help behavior should be considered.