• KSCE Journal of Civil and Environmental Engineering Research
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• v.34 no.1
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• pp.213-221
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• 2014

Since 2005, when "The Mobility Enhancement for the Mobility Impaired Act" was enacted, special transport systems(SPS) has been introduced by each responsible local entity. For its efficient operations and service enhancements, a clear understanding of travel patterns of SPS users is required. Yet we currently have a very limited understanding about them due to a lack of necessary data. This study represents an attempt to provide a better understanding of SPS user's travel patterns with the data generated by Gyeongsangnam-do SPS Call Center. The data include the number, time and day of calls, origins and destinations of callers, types of callers' impairement etc. The data thus allow one to analyze users' travel patterns, including area-wide O-D patterns. There were a number of interesting findings. For example, wheelchair users are only about 42% and the trips are made mostly on non-peak daytime periods. The results are expected to provide a helpful information not just for Center's SPS operations, but for other local entities that are interested in developing similar call centers as well. By refining the SPS system, periodic patterns of callers could be identified in the future.

• Journal of Korean Neurosurgical Society
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• v.50 no.4
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• pp.370-376
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• 2011

Objective : Posttraumatic cerebral infarction (PTCI), an infarction in well-defined arterial distributions after head trauma, is a known complication in patients with severe head trauma. The primary aims of this study were to evaluate the clinical and radiographic characteristics of PTCI, and to assess the effect on outcome of decompressive hemicraniectomy (DHC) in patients with PTCI. Methods : We present a retrospective analysis of 20 patients with PTCI who were treated between January 2003 and August 2005. Twelve patients among them showed malignant PTCI, which is defined as PTCI including the territory of Middle Cerebral Artery (MCA). Medical records and radiologic imaging studies of patients were reviewed. Results : Infarction of posterior cerebral artery distribution was the most common site of PTCI. Fourteen patients underwent DHC an average of 16 hours after trauma. The overall mortality rate was 75%. Glasgow outcome scale (GOS) of survivors showed that one patient was remained in a persistent vegetative state, two patients were severely disabled and only two patients were moderately disabled at the time of discharge. Despite aggressive treatments, all patients with malignant PTCI had died. Malignant PTCI was the indicator of poor clinical outcome. Furthermore, Glasgow coma scale (GCS) at the admission was the most valuable prognostic factor. Significant correlation was observed between a GCS less than 5 on admission and high mortality (p<0.05). Conclusion : In patients who developed non-malignant PTCI and GCS higher than 5 after head injury, early DHC and duroplasty should be considered, before occurrence of irreversible ischemic brain damage. High mortality rate was observed in patients with malignant PTCI or PTCI with a GCS of 3-5 at the admission. A large prospective randomized controlled study will be required to justify for aggressive treatments including DHC and medical treatment in these patients.

• Journal of the Korean Regional Science Association
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• v.39 no.3
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• pp.65-83
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• 2023

The purpose of this study is to conceptually define "spatial inclusivity" and empirically examine the impact of disability severity and spatial inclusivity on social participation among individuals experiencing physical discomfort. The social and spatial environment of the residential area is crucial for individuals with disabilities who face limited activity range and complex barriers due to physical constraints. In this study, spatial inclusivity from the perspective of people with disabilities is defined as establishment of equal relationships with non-disabled individuals within the local community, as well as the availability of basic facilities and services in a safe urban space that allows for access and utilization. This concept consists of three dimensions: individual networks, social environment, and physical environment. The physical environment encompasses safety levels, natural environment, living environment, public transportation conditions, medical services in residential areas. We used the 2019 Community Health Survey to examine the relationship between disability severity, spatial inclusivity, and social participation using a two level regression model. The findings are as follows: Firstly, personal relationships at the individual level and the physical environment at the local level have a positive impact on social participation. Secondly, when identifying dividing the physical environment into five sub-factors, no significant influence of individual factors is found. Thirdly, trustworthy and friendly social environment at the local level has a negative impact on social participation. These results provide empirical evidence that spatial inclusivity has an effect on the social participation of individuals with disabilities and suggest implications for urban planning to create and enhance conditions for the social participation of individuals with disabilities.

• Smart Media Journal
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• v.11 no.11
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• pp.17-24
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• 2022

With the spread of smart speakers based on voice recognition technology and deep learning technology, not only non-disabled people, but also the blind or physically handicapped can easily control home appliances such as lights and TVs through voice by linking home network services. This has greatly improved the quality of life. However, in the case of speech-impaired people, it is impossible to use the useful services of the smart speaker because they have inaccurate pronunciation due to articulation or speech disorders. In this paper, we propose a personalized voice classification technique for the speech-impaired to use for some of the functions provided by the smart speaker. The goal of this paper is to increase the recognition rate and accuracy of sentences spoken by speech-impaired people even with a small amount of data and a short learning time so that the service provided by the smart speaker can be actually used. In this paper, data augmentation and one cycle learning rate optimization technique were applied while fine-tuning ResNet18 model. Through an experiment, after recording 10 times for each 30 smart speaker commands, and learning within 3 minutes, the speech classification recognition rate was about 95.2%.

• Journal of Korean Society of Disaster and Security
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• v.16 no.1
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• pp.1-11
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• 2023

The comprehensive natural disaster reduction plan, the highest plan in the disaster prevention field, was implemented by local governments. second plan is currently being formulated. In order to minimize human and property damage, structural and non-structural measures for each of the nine disaster types are established and implemented for 10 years. Structural measures are based on engineering and quantitative analysis, and the criteria for setting reduction measures are clear. Non-structural measures, however, currently lack the set criteria. the basic disaster and safety management law included the safety vulnerable class in 2018. Currently, the safety vulnerable class of the detailed establishment criteria of the comprehensive natural disaster reduction plan is being established, including children, the elderly, and the disabled. However, due to the lack of data securing and database construction by local governments, it is difficult to prepare a location map for establishing reduction measures for the safety vulnerable. Therefore, in this study, OPEN API data of the safety vulnerable class were collected and statistical information and GIS of SGIS information services were used. The distribution diagram of the safety vulnerable class in Samcheok, Gangwon-do, which is a sample area, and the distribution diagram of the safety vulnerable class in units of the output area (OA) in Geundeok-myeon were prepared.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.10 no.2
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• pp.93-96
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• 2014

Brain disorder disability is assessed when organic brain lesion such as cerebral palsy, traumatic brain injury, or stroke causes physical impairment which limits daily activites substantially according to its level and range of paralysis or the presence of involuntary movement. According to the disabled person welfare law in Korea, grade I brain disorder is assessed when one is in continuous irreversible state of coma without the ability to prolong one's life without other's help. Self-injurious behavior is defined as the non-suicidal intentional or unintentional injury to one's own body which can occur repetitively temporarily or chronically. People with decreased consciousness often exhibit increased self-injurious behavior which is most commonly associated with tongue or lip biting. This report documents a successful self -injurious lip biting treatment of a brain lesion patient within a short time by applying a removable acrylic resin appliance including posterior bite block.

• Journal of Korean Academy of Nursing
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• v.35 no.1
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• pp.154-164
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• 2005

Purpose: The purpose of this study was to develop an empowerment program as a nursing intervention for mothers who care for a child with cerebral palsy at home and to determine the effects of the program on those mothers' self efficacy, coping behavior and burden. Method: An non-equivalent control group pretest-posttest design was used in this study. An Empowerment program was developed based on Dunst & Trivette's model. Using the program, the study was carried out from Dec. 13, 2003 to Jan. 17, 2004, mothers whose children, aged 1 to 6, were outpatients of the Dept. of Rehabilitation Medicine, at P University Hospital or registered at educational institutions for early disabled children. The experimental group of subjects were included in the new empowerment program which was held for two and half hours every week for 6 times. Results: After treatment with the Empowerment Program, the experimental group was found to be significantly increased in score for self efficacy(t=4.55, p<.01), coping behavior(t=5.54, p<.001), objective burden(t=-3.96, p<.01) and subjective burden(t=-5.05, <.01), in comparison to the control group. Conclusion: The Empowerment Program is very effective in increasing self efficacy and coping behavior of mothers having a child with cerebral palsy and decreasing their burden. Finally, this study would recommend that an empowerment program should be extended to community facilities such as public health offices and welfare centers.

• Journal of Korean Society on Water Environment
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• v.35 no.6
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• pp.497-509
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• 2019

After the Total Maximum Daily Loads(TMDLs) was applied, it became beyond the limit of concentration management. However, it does not adequately reflect the characteristics of various watersheds, and causes problems with local governments because of the standard flow set. Thus, in this study, the Han River system is organized into four groups in estimating the Pollution Contribution by applying the Flow Duration Curve(FDC) created by the daily flow of data from the HSPF. And the method of this study is expected to be valuable as basic data for the TMDLs. As a result, Group I contains the main watersheds with no large hydraulic structures and tributary watersheds. There is no specificity in the FDC and the Pollution Contribution is estimated as rainfall runoff. Group II contains watersheds near the city where the FDC is maintained above a certain level during the Low Flow Conditions and the Pollution Contribution is estimated as the discharge flow of large scale point pollution facilities. Group III contains the main watersheds in which the large hydraulic structures are installed and FDC is curved in the Low Flow Conditions. So the Pollution Contribution is estimated as the water quality of the large hydraulic structures. Group IV contains the upstream in mainstream watersheds in which the large hydraulic structures are installed and the FDC is disabled before the Low Flow Conditions. As the flow is concentrated in the High Flow Conditions, the non-point pollution sources are estimated as the Pollution Contribution.

• Journal of Korean Society of Transportation
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• v.33 no.3
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• pp.276-283
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• 2015

Pedestrians have been exposed to dangerous traffic environments, in which walking spaces in a city decrease without improved facilities even though cars increase. Such poor walking environments are deadly dangerous to the vulnerable as well as the non-vulnerable. This study analyzed the road facilities use characteristics according to a type of vulnerability in order to improve traffic safety and walking environment for vulnerable pedestrians. This study surveyed the vulnerable in terms of issues that they encountered on existing walkways and conducted the analytic hierarchy process (AHP), which took all quantitative and qualitative variables into account. The results of Level-3 analysis were showed that the elderly and the disabled were partially similar; both felt most inconvenient at enter-exit sections, steep walkway and bad paved walkway. Unlike those results, people with children and/or infants answered that overpass or underpass walkways without lifting facilities were most inconvenient walking environments.

• The Korean Journal of Health Service Management
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• v.7 no.2
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• pp.23-35
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• 2013

A study of the factors influencing the quality of life and social support of people suffering with mental disabilities, who use mental health centers. The purpose of the study includes the general characteristics of subjects, characteristics of the mental health center, the mean score of social support and quality of life of people living with mental disabilities. The 132 questionnaires were administered by meeting directly with subjects and personal visits. 112 Questionnaires were returned(85% response rate). Data was collected from mentally disabled patients in Chungnam Mental Health Center. difference in quality of life by using t-test, one way ANOVA table, the relationship between social support, quality of life by pearson correlation coefficients, and relevant factors affecting quality of life by multiple regression with the SPSS 19.0 program. This study revealed that the group that participated regularly in the day time rehabilitation program showed better social support and positive attitude to a better quality of life than the other group that participated irregularly. This result is directly proportional to the participation frequency to the program during the recent 3-month duration. Another correlation with religion was found in the study due to the fact that a buddhist group showed positive significance in quality of life than non-religious groups. The results show positive correlation between the improvement of the quality of life of patients living with mental disabilities and the social support they receive.