• Journal of Digital Convergence
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• v.16 no.8
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• pp.361-371
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• 2018

This study is an empirical study on the effect of wellness factors on the quality of life and subjective happiness of disabled workers, and aims to contribute to living a healthy life by experiencing wellness in the real life. This study used raw data of the 8th employment panel survey for the disabled, and explored factors such as physical wellness, emotional wellness, social wellness, cognitive wellness, and occupational wellness through exploratory factor analysis. And the wellness factors have a significant effect on the quality of life and subjective happiness of the disabled workers. The results showed that the five wellness factors had a positive (+) effect on the quality of life and subjective happiness of the disabled. Also, the quality of life has a significant effect on subjective happiness. In conclusion, it was confirmed that the quality of life and subjective happiness were improved only when the wellness of the disabled workers was increased. In the future, it is necessary to develop a wellness program suitable for the type of disability and to develop indicators that can be applied to real life situations.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.12
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• pp.371-380
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• 2016

The purpose of this study was to investigate the caregiving stress and depression of spouses who support adults with physical disabilities, calculate the activity of daily living (ADL) of the disabled and determine the correlation of each area and the influence of their ADL on the caregiving stress and depression of spouses. This study was performed on 86 spouses of the disabled who were receiving rehabilitation treatment in two hospitals located in S and K cities from July to August 2016. According to the results, the total caregiving stress scores were $71.43{\pm}17.78$ and the economic and psychological stresses among low items were higher than the other items. The total depression score was $50.34{\pm}26.41$, which was slightly higher than the average of normal adults. The caregiving stress and depression were high for aged women, for cases of high caregiving expense and time, for young disabled and for stroke disease. Factors that affected the caregiving stress were the age of the disabled and the duration of their disability; their ADL had no influence on the caregiving stress. The result showed that the depression affected their age, disabled type and grade, and ADL. Actual policy support capable of giving economic, physical, and psychological assistance should be prepared to reduce caregiving stress and depression.

• Journal of Korean Neurosurgical Society
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• v.47 no.5
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• pp.352-357
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• 2010

Objective : This retrospective study was performed to evaluate the clinical and radiological results of anterior lumbar interbody fusion (ALIF) using two different stand-alone cages in the treatment of lumbar intervertebral foraminal stenosis (IFS). Methods : A total of 28 patients who underwent ALIF at L5-S1 using stand-alone cage were studied [Stabilis$^{(R)}$ (Stryker, Kalamazoo, MI, USA); 13, SynFix-LR$^{(R)}$ (Synthes Bettlach, Switzerland); 15]. Mean follow-up period was 27.3 ${\pm}$ 4.9 months. Visual analogue pain scale (VAS) and Oswestry disability index (ODI) were assessed. Radiologically, the change of disc height, intervertebral foraminal (IVF) height and width at the operated segment were measured, and fusion status was defined. Results : Final mean VAS (back and leg) and ODI scores were significantly decreased from preoperative values (5.6 ${\pm}$ 2.3 ${\rightarrow}$ 2.3 ${\pm}$ 2.2, 6.3 ${\pm}$ 3.2 ${\rightarrow}$1.6 ${\pm}$ 1.6, and 53.7 ${\pm}$ 18.6 ${\rightarrow}$ 28.3 ${\pm}$ 13.1, respectively), which were not different between the two devices groups. In Stabilis$^{(R)}$ group, postoperative immediately increased disc and IVF heights (10.09 ${\pm}$ 4.15 mm ${\rightarrow}$ 14.99 ${\pm}$ 1.73 mm, 13.00 ${\pm}$ 2.44 mm ${\rightarrow}$ 16.28 ${\pm}$ 2.23 mm, respectively) were gradually decreased, and finally returned to preoperative value (11.29 ${\pm}$ 1.67 mm, 13.59 ${\pm}$ 2.01 mm, respectively). In SynFix-LR$^{(R)}$ group, immediately increased disc and IVF heights (9.60 ${\pm}$ 2.82 mm ${\rightarrow}$ 15.61 ${\pm}$ 0.62 mm, 14.01 ${\pm}$ 2.53 mm ${\rightarrow}$ 21.27 ${\pm}$ 1.93 mm, respectively) were maintained until the last follow up (13.72 ${\pm}$ 1.21 mm, 17.87 ${\pm}$ 2.02 mm, respectively). The changes of IVF width of each group was minimal pre- and postoperatively. Solid arthrodesis was observed in 11 patients in Stabilis group (11/13, 84.6%) and 13 in SynFix-LR$^{(R)}$ group (13/15, 86.7%). Conclusion : ALIF using stand-alone cage could assure good clinical results in the treatment of symptomatic lumbar IFS in the mid-term follow up. A degree of subsidence at the operated segment was different depending on the device type, which was higher in Stabilis$^{(R)}$ group.

• 재활복지
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• v.20 no.1
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• pp.211-233
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• 2016

The purpose of this study is to figure out problems and to suggest improvement scheme by examining 31 of the disabled who used power wheelchair developed for safe moving and standing support. The results are as follows. First, standing power wheelchair that enables the disabled to sit and stand up was developed. It can also be used as means of transportation for moving in narrow space and in a short distance. In the usability test of this prototype, two groups were respectively examined in 60 evaluation items. One group consisted of 16 people with disabilities using manual wheelchairs. And the other one consisted of 15 people with disabilities using automatic wheelchairs. The entire average figure of two groups was shown to be 2.72 and standard deviation was 0.820. Specifically, the average figure of the group in manual wheelchair was 2.85 and the one of the other group in automatic wheelchair was 2.57. And both group replied that the move to stand up and sit on both types of wheelchair was the most inconvenient thing. It shows why ergonomic design for persons with under extremity disabilities to stand up and sit is needed. Second, with further study based on the results of usability test of the disabled, it will make contribution to increase the quality of people with disabilities by helping them move and do daily lives on their own.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.10 no.4
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• pp.287-294
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• 2016

Based on upper limb torque by different angles of a back, distance between crank axis and chest and angles of hand-grips, this research is to develop variable hand bikes. By doing so, it is to offer guidance for its design. For this research three normal persons took part in the experiment. Results are as follows. First, upper limb torque was found to be the highest at 50 degree of a back and muscle endurance was shown to be the highest at 80 degree of a back. It means that as a back of a chair gets lower the speed and efficiency becomes better, which contradicts the subjective fact that K-type hand bikes would show the highest speed. Second, among types of grips of hand bikes 45 degree ones have been shown to be the ones with the highest torque. This is due to proper distribution of power of joints in arms, elbows, and shoulders. Third, in case of distance of 45cm between crank axis and chest, it has shown the most efficient torque. This is because of the effect of gravity and exhaustion when handling.

• Journal of the Korean Regional Science Association
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• v.37 no.3
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• pp.19-36
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• 2021

This study examined the determinants of change in residential size according to the patterns of residential mobility in the Seoul Metropolitan Area. Particularly, this study examined the upward and downward in residential size, which is emerging as an important factor in the era of increasing non-face-to-face environment. For the empirical analysis, I used 「2018 Korea Housing Survey」 and employed binary logistic regression model. The empirical analysis shows the change of residential size is statistically significant depending on the direction of geographic. In addition, there are differences in the determinants of change in residential size. When people move within Seoul, housing factors, accessibility, age of residents, and the number of household members can be the determinants. When people move from Seoul to Gyeonggi or Incheon, housing factors, safety, gender, and the number of household members work as determinants. On the other hand, when moving from Gyeonggi or Incheon to Seoul, whether it is studio or not, housing type, accessibility, the number of household members, and the disability of homeownership are the determinants. When moving within Gyeonggi or Incheon, housing factors, Accessibility to green areas, safety, age of resident, income, and the number of household members, are the determinants.

• 재활복지
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• v.22 no.1
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• pp.1-26
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• 2018

The purpose of this study is to analyze the operation status and supply patterns of lifelong education programs for people with disabilities and to find ways to enhance lifelong education functions of the welfare centers for people with disabilities. For the study, 1,496 lifelong education programs supplied by 104 disability welfare centers nationwide in 2016 were analyzed. The results of this study were as follows: First, the lifelong education programs provided by the welfare center for people with disabilities were 1,496, which provided an average of 14.4 programs per institution. According to the education cycle, the most operating program was 3~4 times a month, and the most operating program was more than 7 months by education period. Furthermore adult target program by main target and self management program by operating type were the most. Second, the analysis of the supply patterns of the lifelong education programs for people with disabilities showed that 53.5% of the respondents said that culture and arts education was the most important, followed by the liberal arts education 22.3%, basic literacy education 10.1%, and vocational ability improvement education 9.2% appear. Third, as a result of analyzing the supply patterns of lifelong education programs for people with disabilities, it showed significant difference in the supply patterns of lifelong education programs by metropolitan area, non - metropolitan area, region and urbanization level.

• Journal of Korea Entertainment Industry Association
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• v.15 no.8
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• pp.423-432
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• 2021

In this study, we investigated and the following conclusions are presented by identifying the current status and problems in order to expand the future's value of the community care project introduced and implemented to improve the quality and care for the elderly's life. First, the needs analysis of the elderly receiving services is composed of patient-centered rather than investigator-centered, and in particular, medical management through medical staff visits should be strengthened, and specialized service items according to gender, age, disability type, and personal preference should be strengthened. This will have to be gradually strengthened. Second, by analyzing the satisfaction, redundancy, and effectiveness of service items, we save money, and consider the consumer-oriented service item composition and application of items necessary for new services. Third, through the introduction of an integrated schedule management system, it is necessary to specialize in pre-booking and visit schedule management between the elderly and the direct service organizations that provide services. Fourth, as an effort to solve the financial problem, it is necessary to prepare a rational resource sharing system with health and medical finance, long-term care insurance system, and social welfare financial project. and it may consider that putting the medical personnel who are from local public medical college input. Through these proposals, the community care business will be able to complete and have future value as a universal aged care system.

• Phonetics and Speech Sciences
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• v.12 no.1
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• pp.65-74
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• 2020

This study aims to compare the acoustic characteristics of vowel phonation in children with spastic and dyskinetic cerebral palsy (CP). Thirty-four children aged 4-12 years with CP participated in the study (spastic 26, dyskinetic 8). Voice samples for the acoustic analysis were extracted from a sustained vowel /a/. All acoustic measures were made using Praat. Group differences were compared by an independent t-test or Welch-Aspin test, if the equivalence assumption was not met. The results of this study are as follow. First, maximum phonation time(MPT) was significantly shorter for the dyskinetic CP than for the spastic CP. Second, shimmer percent was significantly increased in the dyskinetic CP than in the spastic CP. Lastly, there were no significant group differences in both the first formant and the second formant. These findings indicate that the dyskinetic CP has a poorer respiratory capacity and poorer laryngeal function than the spastic CP. On the other hand, both groups have a comparable ability to articulate the vowel /a/. The results of the present study help speech language pathologists identify the speech motor control ability of children with two types of CP (spastic and dyskinetic) and help to make an intervention plan associated with a specific type of CP.

• Journal of agricultural medicine and community health
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• v.26 no.1
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• pp.65-79
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• 2001

Cerebrovascular disease(CVD) is one of the major causes of death in Korea as well as most countries in the world and the disease gives great burden to humans socio-economically due to its high fatality and common occurrence of disability as the sequelae. This study was performed to investigate the utilization of western hospital(WH) or oriental hospital(OH) due to CVD and compare the type and the clinical characteristics of patients with CVD between WH and OH located in Kwangju City, Chonnam Province and Chonbuk Province. We reviewed the medical records of 1,070 patients who were discharged from 12 WIT and 6 OH from January to March, 2000 and confirmed for the diagnosis of CVD. Fifty-one percent of the subjects were treated at WH and forty-nine percent at OH. Females were more prevalent than males. As well, the most common age group among these subjects was found to be 70 years and older. About 92% in W~H and 80% in OH received brain imaging diagnostic procedures such as CT or MRI. The cerebral infarction was the most common type of CVD when compared by the kind of utilized hospitals, sex, age group except patient Group who was treated at WH and whose age was lower than 50 years old. The cerebral hemorrhage was more frequent than cerebral infarction among this group. The proportion of cerebral hemorrhage was decreasing and that of cerebral infarction was increasing with age. The most common clinical manifestations of undetermined type of CVD was paralysis of lower extremity in WIT and paralysis of upper extremity in OH. In cerebral hemorrhage loss of consciousness in WIT and dysarthria in OH were most frequently manifested, while in the case of cerebral infarction hemiplegia in WIT and dysarthria in OH were the most common complaints. The interval from the onset of disease to admission to the hospital was 5.5 days in WH arid 31.4 days in OH and the difference was statistically significant. Average admission duration of patients at OH was longer than WH, but it was not statistically significant. In conclusion these results suggest that the effort for systematic and efficient management of CVD patients was necessary for close co-operation and role arrangement between WH and OH considering the positive and negative points of western and oriental medicines.