• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권4호
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• pp.71-79
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• 2019

Purpose: The manoeuvring space at doors must be secured for users of walking aids, wheelchair users, stroller users, luggage carriers, etc., so clear criteria must be established. The korean standards for the manoeuvring space at doors need to be improved to present clear criteria depending on the type of entrance and the direction of opening and closing. Method: Korean standard, International Standard(ISO 21542, 2011), German Standard(DIN 18040-1, 2010), Austrian Standard(OENORM B 1600, 2017) and Swiss Standard(Norm SIA 500, 2009) were investigated and analyzed. A comprehensive improvement of the criteria for the manoeuvring space at doors is proposed. Results: The manoeuvring space at doors, which is essential for the disabled to use the door, shall be installed with a comprehensive consideration of the width of doors, the Circulation space, the direction of access, and the method of opening and closing of the door. Korean standards, such as the width of doors, the Circulation space, and the manoeuvring space at doors, are different from international and international standards, which require improvement of standards. The criteria for the manoeuvring space at doors shall be clearly improved so as not to be misinterpreted during the installation of doors and the BF-certification. Implication: The criteria for the installation of doors shall be presented as a comprehensive alternative through continued study of details. In addition, improvements in standards that reflect changes in international standards should be made.

• 대한의용생체공학회:의공학회지
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• 제38권4호
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• pp.197-204
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• 2017

The aim of this study was to evaluate driving performance of normal subjects for controlling the steering wheel by using foot operated steering devices in the driving simulator. Many people with complete bilateral loss or loss of use of upper limbs but with normal lower limbs are frequently left without use and/ or control of their hands, arms, or the upper extremities of their bodies. As a result, persons disabled in this manner have problems in operation an automobile because they cannot grasp and manipulate a conventional steering wheel. Therefore, if foot operated steering devices are used for controlling the vehicle on in people with disabilities, the disabled people could improve their community mobility by driving a car safely. Ten normal subjects were involved in this research to evaluate steering performance by using three types of steering devices(conventional steering wheel, pedal type foot steering, circular type foot steering) in driving simulator. STISim Drive 3 program was used for testing the driving performance in two road scenarios: straight road and curved road at low and high speed of vehicle (40 km/h and 80 km/h). This study used two-way ANOVA to compare the influences of two factors(type of foot steering device and road scenario) in the three dependent variables of steering performance(standard deviation of lateral position, the lateral position of vehicle and the number of line crossing). The average values of the three dependent variables(standard deviation of lateral position, lateral position and the number of line crossing) of driving performance were significantly smaller for conventional steering wheel or pedal type foot steering than circular type foot steering.

• 한국도서관정보학회지
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• 제48권4호
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• pp.283-301
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• 2017

최근 장애인과 일반인이 공통으로 사용가능한 통합 전자출판 포맷 출현이 예상된다. 이를 국가 대체자료 제작 전략에 적용한다면, 기존 DTD(Document Type Definition)를 이용한 대체자료 제작 전략의 문제점뿐만 아니라 수요자의 요구에 맞는 다양한 대체자료 보급도 가능할 것으로 예상된다. 이와같이 급변하는 장애인용 대체자료 제작 관리 전략의 변화에 대응하기 위해 국립장애인도서관의 주요 역할을 충분히 해내기 위해서는 '대체자료 제작', '대체자료 연구 교육', '대체자료 정보망 운영' 등 각 주요 역할을 중심으로 대체자료 관련 전문 인력으로 구성된 센터를 설립하여 전문 역량을 발휘할 수 있도록 조직을 확대 개편하여야 한다.

• 지역사회간호학회지
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• 제9권1호
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• pp.163-180
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• 1998

The purpose of this study is to evaluate the community based home care service, and make reorientation for better service. The data was collected from the public health center, which was operated for one year, 1997. This case is evaluated and reoriented according to five elements of public health care system; system of resources for public health, organization and administration, health care delivery system of financing, management. In resources for public health, available health personnels are 15 physicians, 17 nurses, 11 nurse aides and 2 other persons. One professional health personnel take care of 609 clients, The equipments used for elderly and the disabled are 6 wheelchairs, 4 walkers, 1 hairwashers and 30 viberations. But these equipments are not enough to deal all clients. In organization and administration, planning and setting goals for community home care are made by the director, supervisor of family department and public health nurse. So there is no regular commitee for home care services in this community. The form of delivery of health care is focused on preventive health care. The important works of public health nurse are health education, preventive care for hypertension, D.M. and vaccination of communicable desease. In finaning system, funds come from central government(8.3%), local goverment(16.7%) and health center itself(3.8%), The services consist of health education, vaccination, clinical test and equipment. There are several local volunteers, which are local hospitals, a college, a christian association, a catholic association, a drivers association and a disabled association. The volunteer groups give physical and mental support to the clients. In management, this health center has three evaluation methods. One is done by local government, one is done by health center itself, and the other is done by clients with questionair. But the evaluation tools are deferent between agency. Home care services must be planned and evaluated. This public health center has to have more personnel, equipments, education for professional kowledge and meetings with community volunteer agencies.

• 한국사회복지학
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• 제57권2호
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• pp.297-320
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• 2005

본 연구는 장애인차별금지법의 제정으로 장애인 차별이 해소될 경우에 대한 잠재적 비용과 편익을 추정함으로써 장애인차별금지법 제정에 도움을 주고자 하는 목적으로 시도되었다. 장애인차별금지법 제정으로 인한 잠재적 편익은 장애인 추가 고용으로 인한 장애인의 소득 증대, 사업주의 고용부담금 감소, 공공부조성 급여의 감소를 중심으로 추정하였으며, 비용은 장애인을 고용함으로써 사업주가 특별히 투자해야 할 비용과 차별시정기구 운영비를 중심으로 추정하였다. 추정 결과 7%의 할인율 하에서 얻게 되는 순현재가치는 12,700,301백만원으로 매우 크게 나타났으며 비용-편익비는 96.8로 역시 매우 크게 나타났다. 할인율을 변화시켜 민감도 분석을 한 결과도 큰 변화가 없었다. 이와 같은 추정 결과 장애인차별금지법이 제정되어 차별이 해소될 경우 사회의 잠재적 순편익은 매우 크다는 것을 알 수 있었다. 결국 장애인차별금지법 제정의 필요성이 강조된다고 할 수 있다.

• Journal of Preventive Medicine and Public Health
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• 제40권3호
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• pp.249-258
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• 2007

Objectives : The aims of this study were to estimate the antihypertensive medication adherence in people with a disability and a history of taking antihypertensive medication, and to identify the factors affecting medication adherence. Methods : The National Health Insurance claims data were linked with the National Disability Registry. People with a disability, who received a prescription of antihypertensives, were identified from a total of 85,098 cases. Cumulative medication adherence (CMA) was used as an indicator of medication adherence. A CMA > 80% was defined as appropriate medication adherence. Multiple logistic regression analysis was used to identify the factors affecting medication adherence. Results : The average CMA in a total of 85,098 patients was 79.5%. The appropriate adherence $(CMA{\geq}80%)$ rate was 54.5% and 20.5% of patients had a CMA < 50%. Multiple logistic regression analysis revealed that the probability of appropriate adherence decreased with decreasing number of prescription days per visit, increasing number of providers, the patients' residential area moving from urban to rural areas, and when patients have an internal organ disability, auditory impairment, mobility impairment. Conclusions : The adherence to antihypertensive medication in people with a disability is influenced by various socio-economic, clinical and regional factors. In particular, the disabled who have locomotive and communication disabilities and internal organ impairments have a higher probability of under-adherence to antihypertensive medication adherence in Korea.

• Journal of Dental Anesthesia and Pain Medicine
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• 제17권3호
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• pp.205-213
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• 2017

Background: This study retrospectively investigated outcomes following dental implantation in patients with special needs who required general anesthesia to enable treatment. Method: Patients underwent implant treatment under general anesthesia at the Clinic for the Disabled in Seoul National University Dental Hospital between January 2004 and June 2017. The study analyzed medical records and radiographs. Implant survival rates were calculated by applying criteria for success or failure. Results: Of 19 patients in the study, 8 were males and 11 were females, with a mean age of 32.9 years. The patients included 11 with mental retardation, 3 with autism, 2 with cerebral palsy, 2 with schizophrenia, and 1 with a brain disorder; 2 patients also had seizure disorders. All were incapable of oral self-care due to serious cognitive impairment and could not cooperate with normal dental treatment. A total of 27 rounds of general anesthesia and 1 round of intravenous sedation were performed for implant surgery. Implant placement was performed in 3 patients whose prosthesis records could not be found, while 3 other patients had less than 1 year of follow-up after prosthetic treatment. When the criteria for implant success or failure were applied in 13 remaining patients, 3 implant failures occurred in 59 total treatments. The cumulative survival rate of implants over an average of 43.3 months (15-116 months) was 94.9%. Conclusion: For patients with severe cognitive impairment who are incapable of oral self-care, implant treatment under general anesthesia showed a favorable prognosis.

• Journal of Preventive Medicine and Public Health
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• 제45권4호
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• pp.211-218
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• 2012

Objectives: The objective of this study was to identify the differences in obesity rates among people with and without disabilities, and evaluate the relationship between obesity rates and the existence of disabilities or characteristics of disabilities. Methods: Mass screening data from 2008 from the National Disability Registry and National Health Insurance (NHI) are used. For analysis, we classified physical disability into three subtypes: upper limb disability, lower limb disability, and spinal cord injury. For a control group, we extracted people without disabilities by each subtype. To adjust for the participation rate in the NHI mass screening, we calculated and adopted the weight stratified by sex, age, and grade of disability. Differences in obesity rates between people with and without disabilities were examined by a chi-squared test. In addition, the effect of the existence of disabilities and grade of disabilities on obesity was examined by multiple logistic regression analysis. Results: People with disabilities were found to have a higher obesity rate than those without disabilities. The obesity rates were 35.2% and 35.0% (people with disabilities vs. without disabilities) in the upper limb disability, 44.5% and 34.8% in the lower limb disability, 43.4% and 34.6% in the spinal cord injury. The odds for existence of physical disability and grade of disability are higher than the nondisabilities. Conclusions: These results show that people with physical disability have a higher vulnerability to obesity.

• 디지털융복합연구
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• 제19권9호
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• pp.343-348
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• 2021

본 연구는 장애인복지관에서 종사하는 사회복지사의 분배공정성이 직무만족에 미치는 영향과 임파워먼트의 매개효과를 검증하였다. A광역시와 B도에 소재한 장애인복지관 14개소의 사회복지사 241명에게 설문조사를 실시하였다. 분석결과, 장애인복지관 사회복지사의 분배공정성과 직무만족의 관계, 그리고 임파워먼트의 매개효과가 유의미한 것으로 확인되었다. 분석결과를 기초로 하여 장애인복지관 서비스 제공의 핵심적인 인력인 사회복지사의 직무만족을 증진시키기 위한 몇 가지 방안을 제시하였다. 첫째, 장애인복지관의 분배공정성을 향상시키기 위해 임금수준의 향상, 복리후생비의 지원. 비정규직과 정규직의 임금격차 감소 등이 필요하다. 둘째, 사회복지사들의 임파워먼트 수준을 높이기 위해 업무수행에서 자율권과 선택권의 부여, 전문적인 교육프로그램의 활성화, 소진 상태의 사회복지사들에게 적절한 휴식/안정/지지 등의 제공이 필요하다. 본 연구는 장애인복지관 서비스 수준의 향상과 장애인들의 바람직한 지역사회생활과 자립생활 영위에 기여할 것이다.

• 재활복지
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• 제22권2호
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• pp.103-126
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• 2018

본 연구는 장애 인식개선 프로그램의 효과성을 검증하고 이를 바탕으로 장애 인식개선 프로그램의 발전방안을 모색하기 위한 것이다. 이를 위해 프로그램을 개발하고 인식개선 프로그램 강사 교육을 진행한 후, 2017년 6월부터 10월까지 전국의 초 중 고등학생과 성인 총 508명에게 프로그램을 실시하여 그 효과를 분석하였다. 장애 인식개선 프로그램의 효과성을 측정하기 위해 '장애 인식 지표'를 활용하였으며, 장애 인식의 변화(장애 이해, 장애인 인권의식)와 장애인에 대한 차별과 다름에 대한 지식의 변화를 분석하였다. 실험설계를 바탕으로 사전사후검사를 실시하였으며, 검사 결과를 기술통계, 대응 t검증, 독립 t검증, 일원배치 분산분석(ANOVA)을 활용하여 분석하였다. 분석 결과 장애인 인식개선 프로그램 전보다 후에 장애에 대한 인식이 개선되었으며, 차별과 다름에 대한 지식도 증가하였음을 알 수 있었다. 또한 성별, 연령, 프로그램 유형에 따라 프로그램 효과에 유의미한 차이가 있음을 확인할 수 있었다. 이러한 연구결과를 바탕으로, 향후 장애 인식개선 프로그램의 개선방안 및 후속연구를 제안하였다.