• Title/Summary/Keyword: The Disabled

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Full mouth rehabilitation of edentulous patient with intellectual disability using implants and monolithic zirconia (1급 지적장애 환자에서 임플란트와 단일 구조 지르코니아를 이용한 완전구강회복 증례)

  • Jeong, Ki-Won;Kim, Sung-Hun;Han, Jung-Suk;Yeo, In-Sung;Yoon, Hyung-In
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.156-163
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    • 2017
  • People with class I intellectual disability need lifelong assistance and protection from their surroundings due to impaired adaptive functioning. They have poor oral health and show higher prevalence of dental caries, periapical inflammation and tooth loss that require proper prosthetic restoration. Because removable prostheses for intellectually disabled patients often lack stability, retention, and maintenance, fixed prostheses are essential and the only available option is dental implants. In this case, a 45 year-old male patient with class I intellectual disability had poor oral hygiene with most of his teeth missing and visited the clinic to recover his masticatory function. Due to such systemic conditions, the definitive restoration of choice was the implant-supported fixed dental prosthesis made of biocompatible and highly strong monolithic zirconia. In consequence of the treatment process, the patient was able to improve his oral environment aesthetically and functionally.

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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Detection of Hidden Proximal Caries using Q-ray view in Primary Molars (Q-ray view를 이용한 유구치의 숨은 인접면 우식증 탐지)

  • Jeong, Younwook;Lee, Hyoseol;Choi, Hyungjun;Lee, Jaeho;Choi, Byungjai;Kim, Seongoh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.3
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    • pp.209-217
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    • 2015
  • The purpose of this study was to evaluate the ability of Q-ray view (All-in-one Bio, Seoul, Korea) in detection of proximal caries in primary molars with sound marginal ridges. Thirty two children aged 3-9 years (average $5.6{\pm}1.3$ years old) were chosen, and two examiners evaluated 100 proximal surfaces of primary molars with sound marginal ridges. The teeth were examined with; (a) visual examination, (b) Q-ray view, (c) DIAGNOdent (KaVo, Biberach, Germany) and (d) digital periapical radiography. Kappa statistic was used to assess the agreement between each examination method and the degree of caries progression. The kappa values for enamel caries were 0.15 (visual examination), 0.10 (Q-ray view), 0.25 (DIAGNOdent) and 0.68 (digital periapical radiography). The kappa values for dentinal caries were 0.34 (visual examination), 0.56 (Q-ray view), 0.44 (DIAGNOdent) and 0.70 (digital periapical radiography). Although Q-ray view showed low diagnostic ability in detection of enamel caries, it was effective in detection of hidden proximal caries extended into dentin. Q-ray view would be a useful and simple device which could aid pediatric dentists in detection of hidden proximal caries in primary molars especially when examining uncooperative children or disabled persons.

Design and Implementation of OASIS Considering Web Accessibility (웹 접근성을 고려한 전통의학정보포털 설계 및 구현)

  • Han, Jeong-Min;Jang, Hyun-Chul;Kim, Jin-Hyun;Yea, Sang-Jun;Kim, Sang-Kyun;Kim, Chul;Song, Mi-Young
    • Journal of Information Management
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    • v.41 no.4
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    • pp.187-204
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    • 2010
  • This study shows evaluation of how much OASIS meets "the korean web content accessibility guidelines" and analysis of some of the accessibility problems and their solutions in OASIS(Oriental Medicine Advanced Searching Integrated System) which is the only web site that offers papers and project information related to Traditional Medicine in Korea. The evaluation criteria to determine if OASIS is accessible is classified into four sub items; Perceivable - if information and user interface components is presentable to users in ways they can perceive, Operable - if user interface components and navigation are operable, Understandable - if information and the operation of user interface are understandable, Robust - if content is robust enough that it can be interpreted reliably by a wide variety of user agents, including assistive technologies. Based on the measured results, OASIS has just been redesigned and implemented in more accessible and effective way. OASIS that improves web accessibility for the disabled is expected to help them study oriental medicine more easily and conveniently by providing equal access and equal opportunity to use the web.

Predictors of Intention to Work among People with Disabilities who Maintain Economic Inactivity (비경제활동 유지 장애인의 취업의사 예측변인 탐색)

  • An, Yeji;Ji, Eun
    • 재활복지
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    • v.21 no.3
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    • pp.65-84
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    • 2017
  • This study identified predictors of intention to work among people with disabilities who maintain economic inactivity for two successive years by analyzing a total of 2,255 Participants in the 2014 data of the Panel Survey of Employment for the Disabled (PSED) with through $X^2$, t test, logistic regression. To explore factors affecting intention to work among people with disabilities who maintain economic inactivity, this study hypothesized the effectiveness of variables of demographic, disability, human resources, psycho-social factors based on previous studies. The analysis showed that male, spouse-being, low income status out of demographic variables were related to high probability of having intention to work among people with disabilities who maintain economic inactivity. In case of disability variables, experiencing disability-related discrimination significantly predicted the probability of having intention to work. However, the relationship between disability-related discrimination experiences and high intention to work needs to be viewed as correlated rather than cause-and-effect.In addition, literacy related to computer use/English proficiency/interpersonal and adaptation skills(human resources), experiences of vocational rehabilitation services (human resources), self-esteem (psycho-social) significantly predicted the probability of having intention to work among people with disabilities who maintained economic inactivity. Based on these results, support services for females with disabilities, effective rehabilitation programs of improving literacy related to computer use/English proficiency/interpersonal and adaptation skills and self-esteem, general expansion of vocational rehabilitation services for people with disabilities are suggested.

User Requirement Elicitation for U-City Residential Environment : Concentrated on Smart Home Service (U-City 주거 환경 서비스의 사용자 가치 분석 : 스마트 홈을 중심으로)

  • Kim, Hyang Sook;Kim, Hyo Chang;Ji, Yong Gu
    • The Journal of Society for e-Business Studies
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    • v.20 no.1
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    • pp.167-182
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    • 2015
  • The concept of Smart home is receiving a huge attention as a future living environment because of its advantages for elderly and disabled to maintain their quality of life. Smart home is a place equipped with integration of technology and services and closely intertwined with occupant's lifestyle. Therefore it is critical to consider the user's actual needs for ensuring satisfaction. However despite growing researches on user values for smart home, there have been few studies clearly categorizing smart home service and stating user values depending on characteristics of service. Thus, the aim of this research is to classify smart home services on user's perspective, and reveal user values for each smart home services. Through the in-depth literature review, we elicited technology-related user values and service-related user values, and state classification for smart home service. Also the relationship between user values and each smart home services were revealed. The results of this research should help to reflect user's actual needs for designing smart home services.

Effectiveness of Korean Medical Treatments, Including Motion-Style-Acupuncture-Treatment Using Traction, on Inpatients with Low Back Disability: A Retrospective Chart Review (요추기능제한을 동반한 입원 환자들에게 있어서 견인보행운동요법을 포함한 통합한의치료의 유효성: 후향적 의무기록 분석)

  • Gang, Byeong-gu;Jeon, Se Hwan;Cho, Yongkyu;Lee, Keunjae;Yoon, Youngsuk;Kim, Jongho;Lee, Won Jun;Han, Subin;Kum, Chang Jun;Koh, Wonil
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.4
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    • pp.51-57
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    • 2018
  • Objectives Low back disability, along with low back pain, places a significant social burden in terms of work loss and medical expenses. Motion-Style-Acupuncture-Treatment using Traction (T-MSAT) is employed as one of the conservative treatments to such conditions. In the present study, effectiveness of Korean Medical treatments, including T-MSAT, was investigated in inpatients with low back disability and low back pain. Methods Among the patients who were admitted between January 2018 to June 2018 with disabled low back function, ones that were treated with T-MSAT were identified. Pain and function were compared at the point of admission and discharge, using Numerical Rating Scale (NRS) and Oswestry Disability Index (ODI), respectively. Results Over the hospitalization period of 34.55 days, pain intensity significantly decreased from NRS score of 6.14 to 3.26 and low back function also significantly improved from ODI score of 50.93 to 33.73 upon receiving Korean Medical treatments including T-MSAT. Conclusions Korean Medical treatments including T-MSAT were found to be effective in inpatients with low back disability with a statistical significance. To evaluate the sole effectiveness of T-MSAT, rigorous clinical trials are necessitated in future.

Complexity of Self-Construal and Psychological Well-Being among People with an Experience of Life-Crisis Due to Physical Disability or Divorce - Taking Multiple Perspectives, Self-Acceptance and Self-Regulation as Mediators - (중도장애, 이혼과 같은 생애위기 경험자의 자기해석 복합성과 심리적 안녕 - 관점의 다각화, 자기수용, 자기조절의 매개효과 -)

  • Hyun, Kyoung-Ja
    • Korean Journal of Social Welfare
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    • v.62 no.4
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    • pp.193-222
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    • 2010
  • This questionnaire study examined the processes linking complexity of self-construal to self-positivity conceptualized as taking multiple perspectives, self-acceptance and self-regulation that, in turn, affect psychological well-being among people with an experience of life-crisis during adulthood due to physical disability or divorce. Data were drawn from 359 adult Koreans residing in Seoul metropolitan area, including the physically disabled, the divorced, and their counterparts without a life-crisis experience during adulthood for comparison. On average, the life-crisis experience group(LEG) had a higher independent selfconstrual and a lower interdependent self-construal than the comparison group(CG). As predicted, complexity of self-construal contributed to taking multiple perspectives that helps searching for meaning, and this, in turn, was found to foster self-acceptance and self-regulation. Through these variables except self-regulation, complex self-construal contributed to psychological well-being as manifested by a higher level of positive emotion and a lower level of depression. As expected, while taking multiple perspectives fostered positive emotion both directly and indirectly through self-acceptance among LEG and CG, only in LEG it directly reduced depression. The comparative approach employed in this study enabled to discern that taking multiple perspectives promotes psychological well-being in LEG by contributing to both meaning making and positive attitude, whereas it promotes psychological well-being in CG primarily by fostering positive attitude. Finally implications for this study were discussed and directions for future research were suggested.

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Improvement of Articulation Disorder Using Flexible Partial Denture in Intellectural Disability Patient with Missing Lower Incisors (하악 전치부 상실로 인한 조음장애를 보이는 경도 지적장애 환아에서 탄성의치를 통한 조음능력의 향상)

  • Choi, Haein;Choi, Byungjai;Choi, Hyungjun;Song, Jeseon;Lee, Jaeho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.4
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    • pp.306-313
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    • 2013
  • Speech is complex psycho-physiological mutual process which includes many orofacial organs. Especially, teeth play an especially important role as an articulation organ in conjunction with the lips and tongue. When teeth are missing, the position of tongue and mandible is adjusted to produce correct sound. If a patient's adaptive function is inadequate for modification of malocclusion, prosthodontic and orthodontic interventions are necessary. Missing teeth of young patients should be reconstructed bacause it can cause malocclusion, decreased masticatory efficiency, articulation disorders, esthetic problem, and temporomandibular disorder. Valplast$^{(R)}$(Valplast International Corp, New York, USA) flexible denture is useful for rehabilitation due to its excellent physical properties, esthetics, and small volume. This case is regardingan intellecturally disabled patient with anarticulation disorder caused by missing lower incisors due to trauma. The patient showed improvement in articulation by using flexible partial denture. The purpose of this report is to figure out the influence of missing lower anterior teeth on articulation.

NMAAP1 Expressed in BCG-Activated Macrophage Promotes M1 Macrophage Polarization

  • Liu, Qihui;Tian, Yuan;Zhao, Xiangfeng;Jing, Haifeng;Xie, Qi;Li, Peng;Li, Dong;Yan, Dongmei;Zhu, Xun
    • Molecules and Cells
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    • v.38 no.10
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    • pp.886-894
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    • 2015
  • Macrophages are divided into two subpopulations: classically activated macrophages (M1) and alternatively activated macrophages (M2). BCG (Bacilli Calmette-$Gu{\acute{e}}rin$) activates disabled $na{\ddot{i}}ve$ macrophages to M1 macrophages, which act as inflammatory, microbicidal and tumoricidal cells through cell-cell contact and/or the release of soluble factors. Various transcription factors and signaling pathways are involved in the regulation of macrophage activation and polarization. We discovered that BCG-activated macrophages (BAM) expressed a new molecule, and we named it Novel Macrophage Activated Associated Protein 1 (NMAAP1). 1 The current study found that the overexpression of NMAAP1 in macrophages results in M1 polarization with increased expression levels of M1 genes, such as inducible nitric oxide synthase (iNOS), tumor necrosis factor alpha (TNF-${\alpha}$), Interleukin 6 (IL-6), Interleukin 12 (IL-12), Monocyte chemoattractant protein-1 (MCP-1) and Interleukin-1 beta (IL-$1{\beta}$), and decreased expression of some M2 genes, such as Kruppel-like factor 4 (KLF4) and suppressor of cytokine signaling 1 (SOCS1), but not other M2 genes, including arginase-1 (Arg-1), Interleukin (IL-10), transforming growth factor beta (TGF-${\beta}$) and found in inflammatory zone 1 (Fizz1). Moreover, NMAAP1 overexpression in the RAW264.7 cell line increased cytotoxicity against MCA207 tumor cells, which depends on increased inflammatory cytokines rather than cell-cell contact. NMAAP1 also substantially enhanced the phagocytic ability of macrophages, which implies that NMAAP1 promoted macrophage adhesive and clearance activities. Our results indicate that NMAAP1 is an essential molecule that modulates macrophages phenotype and plays an important role in macrophage tumoricidal functions.