• Title/Summary/Keyword: Disabled Welfare

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An Exploratory Study on Female Caregivers' Experiences of Aggression by Older Residents in Nursing Homes (노인요양시설 입소노인에 의한 여성요양보호사의 폭력 경험에 대한 탐색적 연구)

  • Yoo, Seong Ho;Kim, Bo Kyung;Moon, Yu Jin;Shim, Il Kwang;Cho, Hee Ju
    • 한국노년학
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    • v.36 no.4
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    • pp.1037-1058
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    • 2016
  • This study aims to investigate the female caregivers'experiences of aggression by nursing home residents, and to identify the policy strategies for violence prevention referred by the female caregivers. A total of 121 female caregivers with more than 6 months of working experiences had participated in this study. Of these, 56.2% had experienced verbal aggression, 51.2% physical aggression, and 27.3% sexual aggression, which reveals that client violence toward caregivers in nursing homes was at an alarming level. Although, physical and verbal violences were mostly caused unintentionally, about a half of the sexual aggression were caused deliberately. Aggression occurred the most when caregivers were providing the following services: changing the diapers or clothes, giving a bath, and serving meals. It was found that 'hitting' was the most common form of physical aggression and it was 'swearing' and 'touching or physical contacting' in the case of verbal and sexual aggression, respectively. Though there was a difference depending on the type of aggression, the most frequent reactions against client violence were to start a conversation or calm down the nursing home residents, and to leave the scene or ignore the incident. This means that the caregivers are coping very passively through resolving the aggressions by themselves, or overlooking the situation. The most frequently recommended strategy to prevent resident aggression was to provide educational programs on violence prevention to nursing home residents and caregivers(42.7%). Compared to the previous studies, this study indicates some differentiated strategies to prevent violence in nursing homes, which include hiring male caregivers, assuring directors to pay closer attention toward caregivers, using refined language between caregivers and residents, and keeping caregivers to wear appropriate clothes. Based on the study results, some policy recommendations on the prevention of client violence in nursing homes were suggested.

A Recognition for community Based Rehabilitation by Public Health Center Physical Therapists in Seoul Province (서울시 보건소 물리치료사들의 지역사회중심재활에 대한 인식)

  • Kim, Chan-Mun;Hong, Wan-Sung;Bae, Sung-Il
    • Journal of Korean Physical Therapy Science
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    • v.5 no.1
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    • pp.549-556
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    • 1998
  • To survey the recognition of Community Based Rehabilitation(CBR) by Public Health Center(PHC) Physical Therapists in Seoul Province. This study analysed general characteristic of Physical Therapists and cognition, participation, education, problems and requirements for CBR. The subjects of this study were 31 therapists who work at PHC in Seoul Province and Seoul City Childerns Municipal Hospital. Data was collected for 18 days from April 13 to 31, 1998 and results computed from 25 responses. First, Female therapists outnumber males. The age category 30 to 35 old represented 44.0% of the total number studied. 48.0% of therapists had worked more than 7 years and therapists usually 84.0% worked from 3 to 4 years at the PHC. Junior colleage graduates were 72.0%, and respondents with family responsibility were 52.0%. Second, Recently pain control and therapeutic exercises has become the major requirement of patients at PHC(56.0%). If the offered expanded services, a rehabilitation programe at PHC(36.0%) was highly. When asked about a working guide book, nobody had one. Third, 64.0% of therapists were aware of the present level of CBR, 28.0% of them had gotten an information from newspaper and mass media. Fourth, For CBR, 72.0% had positive ideas in which they could participate. 56.0% wished to compose a team of various rehabilitation specialists. 52.0% wished for the meeting day to be flexible and 64.0% desired to meet once or twice a week. Fifth, Almost all(92.0%) desired more educational opportunity about CBR. Example, once or twice a year(48.0%) and training period of 4 to 7 day(44.0%). They wanted to learn theory and parctice together(88.0%) and 48.0% wanted national mutirehabilitation center as a educational managing organization. Sixth, The most important requirement for accomplishing CBR by Physical Therapists was job security and adequate number of therapists(48.0%). Required number of physical therapists in the PHC was 3(52.0%). The cooperative agency should be the distict govement(32.0%) and community welfare center of the disabled persons(32.0%). Factors inhibiting the execution of CBR were lack of physical therapists(56.0%), and equipments for pain control and for therapeutic exercises(68.0%).

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A Study on Control of Walking Assistance Robot for Hemiplegia Patients with EMG Signal (EMG 신호로 반신불수 환자의 보행 보조로봇 제어에 관한 연구)

  • Shin, D.S.;Lee, D.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.7 no.2
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    • pp.55-62
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    • 2013
  • The exoskeleton robot to assist walking of hemiplegia patients or disabled persons has been studied in this paper. The exoskeleton robot with degrees of freedom of 2 axis has been developed and tested for joint motion. The obtained EMG signal from normal person was analyzed and the control signal was extracted from it for convenient and automotive performance of assistance robot to help hemiplegia patient walks as normal person does. the purpose of using FES(Functional Electrical Stimulation) for hemiplegia patient's walk is to restore damaged body function by this, but this could give fatal electrical shock to patients by wrong use or cause quick fatigue in muscle by continuous stimulation. The convenient movement of hemiplegia patients with minimum muscle fatigue was looked possibly by operation of assistance robot exoskeleton using control signal. and the walking assistance exoskeleton robot seemed works more efficiently than using FES stimulator. The experiment in this study was performed based on usual motion in our life like walking, standing-up, sitting-down, and particularly feedback control system using Piezo sensor along with button switch was applied for smooth swing motion in walking. The experiment also shows that hemiplegia patients can move conveniently by using electromyogram signal of healthy leg for the operation signal of assistance robot system attached at damaged symmetrical leg.

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Indoor Environment Control System based EEG Signal and Internet of Things (EEG 신호 및 사물인터넷 기반 실내 환경 제어 시스템)

  • Jeong, Haesung;Lee, Sangmin;Kwon, Jangwoo
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.1
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    • pp.45-52
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    • 2017
  • EEG signals that are the same as those that have the same disabled people. So, the EEG signals are becoming the next generation. In this paper, we propose an internet of things system that controls the indoor environment using EEG signal. The proposed system consists EEG measurement device, EEG simulation software and indoor environment control device. We use data as EEG signal data on emotional imagination condition in a comfortable state and logical imagination condition in concentrated state. The noise of measured signal is removed by the ICA algorithm and beta waves are extracted from it. then, it goes through learning and test process using SVM. The subjects were trained to improve the EEG signal accuracy through the EEG simulation software and the average accuracy were 87.69%. The EEG signal from the EEG measurement device is transmitted to the EEG simulation software through the serial communication. then the control command is generated by classifying emotional imagination condition and logical imagination condition. The generated control command is transmitted to the indoor environment control device through the Zigbee communication. In case of the emotional imagination condition, the soft lighting and classical music are outputted. In the logical imagination condition, the learning white noise and bright lighting are outputted. The proposed system can be applied to software and device control based BCI.

The Social Support of the Handicaped in Industrial Accident Compensation Insurance (산업재해 장애인의 사회적 지지에 관한 연구)

  • Lee, Hyun-Joo;Oh, Jin-Joo;Choi, Jeong-Myung;Hyun, Hye-Jin;Yoon, Soon-Nyung
    • Korean Journal of Occupational Health Nursing
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    • v.12 no.1
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    • pp.80-88
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    • 2003
  • Rehabilitation has emerged in recent years as major topic for the handicaped in industrial accident compensation insurance(IACI). Specially social support helps the handicaped adjust themselves psychosocially to handicap. This study was conducted to examine different contents and perceived social support, and provide guidlines for specific and proper rehabilitation for the handicaped of IACI. This study is a descriptive study which were collected through two phases using structured questionnaire. In the first stage, surveys were performed via telephone interviews. In the second stage, surveys were performed via home-visit subjects in the first stage included the handicaped of IACI. Finally data were collected from 338 subjects and analyzes by SPSS/PC+10. The instruments of this study were the perceived social support scale which developed by Lee(1996). These scales in the form of 5-point Likert type, consists of 20 items, including 3 subscales of emotional support, informational support, instrumental support. The mean score of social support was 57.2, emotional support 21.0, informational support 21.2 and instrumental support 15.2. The mean of depression for psychosocial factors is 37.5. Threre were significant differences in total perceived social support; age, job status, handicaped degree in IACI, post-traumatic complication and use of instrument. Emotional support was significant differences; age, number of dependent family, job status, handicaped degree in IACI, use of instrument and depression. Informational support was significant differences; job status, posttraumatic complication, use of instrument and depression. Instrumental support was significant differences; sex, job status, handicaped degree in IACI, use of instrument, and depression. The current system of the Labor Welfare institute is not appropriate for solving health problems of the handicaped in IACI. Therefore, it is necessary to develop the plan which can provide the handicaped in IACI high-quality rehabilitation services, so that they must use those services in the community without being dependent on hospitals. This study proposes home visit nursing services as the way to provide various health services within community for the handicaped in IACI.

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Study on Development of Wheelchair Transfer-Storage Mechanism for Car (차량용 휠체어 이송수납메커니즘의 개발에 관한 연구)

  • Lim, Gu;Kim, Yong Seok;Le, QuangHoan;Jeang, Young Man;Oh, Dong Kwan;Oh, Ji Woo;Yea, Chan Ho;Yang, Soon Yong
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.10
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    • pp.1109-1116
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    • 2014
  • The wheelchair mechanism for a car that is proposed in this study primarily consists of a transfer mechanism and storage mechanism. The wheelchair transfer mechanism consists of a manipulator installed in the roof of a car, and performs the function of transferring the wheelchair from the driver's seat to the trunk. The wheelchair storage mechanism consists of a lifting hoist installed in the trunk of car, and performs the function of storing the transferred wheelchair in the trunk and safely fastening it in place. This study analyzed and reviewed various manipulators, including a vertical type, Scara type, and telescopic type, with the goal of selecting the best type of manipulator for the wheelchair transfer mechanism. The telescopic type was selected and applied because of its good load support and storage capabilities. In addition, with regard to the wheelchair storage mechanism, a slide hoist type that used a slide rail and lift wire and a rotating link hoist type that used a rotating mechanism consisting of a worm gear and link were analyzed and reviewed. The slide hoist type was selected and applied because it had an advantage in relation to trunk space utilization. This study proposed a wheelchair transfer mechanism for a car to support a conventional wheelchair user's movements, and in order to conform to the structure of a domestic welfare car for the disabled.

A Study on the Tendency of Standardization Related to Universal Design (유니버설 디자인 관련 표준화 동향에 관한 연구)

  • Lee, Ho-Soong
    • Archives of design research
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    • v.18 no.1 s.59
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    • pp.175-184
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    • 2005
  • With the rapid progress of the aging society in Korea, the silver generation is emerging as another class of users in the new population structure. This is a social issue to be dealt with, and the effect of such a change is being observed dearly in the design area. In addition, there are increasing demands for consideration of minor groups of users including the elderly, the disabled, the left-handed, children and pregnant women and nursing mothers, who have been treated as the weak. Such a human-centered idea may be the manifestation of the recovery of humanity and the self-realization of human beings through experiences and reflections of the industrial society of the past. The present study examined the tendency of design standardization centering on universal design, which has emerged in response to user-centered social needs, and suggested general considerations for the necessity of introducing such standards. These days the meanings of standardization are not limited to quality, performance, safety and economic aspect. Standardization is required to consider the diversity and the welfare of human beings. In addition, one of the important functions of standardization is to provide designers with important clues and guidelines for designing. In reality, however, standardization has been rejected by the circle of design for the reason that it deters free creation, so research on the introduction of standardization has been at standstill. As ISO/IEC Guide71 was published in November 2001, based on which, the Korea Standards Association established KS A ISO/IEC Guide71 without changing its contents. In companies' manufacturing activities, the progress of standardization in connection to universal design is growing more important. However, usefulness and interchangeability for the absolute majority resulting from standardization are incomparable. Lastly, the realization of universal design requires human-centered design mind, based on users' experiences and needs, the characteristics of the human bodies and inconvenient elements rather than standards for the sake of standardization.

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Determining Priority of Transport Policies with a Focus on Data Envelopment Analysis with Ranked Voting Data (자료포락분석(DEA)을 이용한 교통정책 우선순위 설정에 관한 연구)

  • 홍석진;오재학;하헌구
    • Journal of Korean Society of Transportation
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    • v.21 no.5
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    • pp.49-58
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    • 2003
  • The Transport policies in Korea have been planned and implemented as a part of a larger economy policy based on the achievement of economic growth. As a result, previous transport policies have been focused mostly on the supply of transport infrastructure. The average annual economic growth of six percent and a twelve percent growth in motor vehicles until the late 90s led to the acceleration of the imbalance between the supply and demand of infrastructure. As such, there is a need to establish an innovative transportation policy in order to increase national competitiveness and provide momentum for national growth in the Twenty one century. This research has developed strategies and policies based on interviews that were carried out with specialists in transport field. Moreover, some transport policies have been established for the year 2020 through the conducting of a survey. The survey was conducted by interviewing respondents on making the priority of transport policies. which was then analyzed using the Data Envelopment Analysis with ranked voting data. The results are as follows. The most urgent matter was considered to be the development of a inter-modal transport system, followed by an integrated service system for public transport, and the need to increase the competitiveness of the transport and logistics industries and to further transport safety. Meanwhile, the provision of transportation for disabled people as well as the elderly was considered to be less important in Korea than in welfare nations. This stems from the belief as further attention needs to be paid to the construction of a public transport system, the establishment of transportation networks construction in preparation for reunification and the North-East Asian era, as well as the privatization of the transport infrastructure.

Study on the Improvement Impaired Driving Environment of the IT Convergence-based Road Safety at Road Construction Sites with a Robot Protector (IT 융합기반 도로안전지킴이로봇을 통한 도로 건설 현장에서의 장애인운전환경 개선 연구)

  • Lee, S.Y.;Kim, D.O.;Rhee, K.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.1
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    • pp.17-21
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    • 2015
  • There have been sustained developments of advanced technologies using traffic safety facilities recently and techniques for identifying failure modes and devices which could result in fatal outcomes. The purpose of this research is aimed at improving the driving conditions in advance through analyzing the IT convergence, driving education, researches for vehicles, field of construction and robotics. The researchers evaluate on usability tests of the driving with 26 candidates through focusing on safety, convenience, efficiency, effectiveness. Using specialized LED panel to enhance driving performances of disabled people are for cautious road conditions like foggy weather or heavy rain. As a result, there were improvements in the driving conditions, and candidates reported this system was helpful. It allows them for maintaining proper driving all times and was especially informative for people with low vision or visually impaired. This system plays a pivotal role as a prevention mechanism not only for regular drivers but also for further delict of traffic violations or accident offenders who already have former record on tort.

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On the Study of Design Guidelines and a Design Case to Enable the Replacement of LRT Stations by Stops (경전철 역사를 대체하는 정류장 도입을 위해 필요한 설계지침의 도출 및 적용 사례에 관한 연구)

  • Kim, Joo-Uk;Park, Kee-Jun;Lee, Ji-Eon;Lee, Jae-Chon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.5
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    • pp.3499-3510
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    • 2015
  • To cope with the increased demand on the intra-city transportation by urban rails, the introduction of the light rail transit (LRT) systems has been expedited in Korea due to the possible reduction of both the development and operation costs from adopting LRT systems. The LRT systems have so far been designed, constructed and operated based on the corresponding law and regulations. It has been conceived that fully complying with the existing guidelines may incur some extra costs on LRT. In addition, the present design of LRT stations seems to require unnecessarily long flow of passengers traffic, particularly for disabled people. In this paper, as an approach to solving the aforementioned issues, an introduction of 'LRT stops' has been studied where the stops are similar in concept to bus stops and are intended to replace the stations of a bigger scale in general. Specifically, necessary guidelines for design have been developed by modifying the existing ones to be fit with LRT stops. A design case was also presented to evaluate them. The effective use of the results reported here will provide an opportunity of cost reduction in connection with the construction and operation, and also let people benefit from convenient use of rails, thereby resulting in enhanced transportation welfare.