• Title/Summary/Keyword: Vocational Rehabilitation

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Assessment of Depression in Chronic Back Pain Patients in Urban-rural areas (도농 지역에서 만성 요통 환자의 우울증 평가)

  • 이정모;김종문;김종훈;정진상
    • The Korean Journal of Community Living Science
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    • v.15 no.2
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    • pp.159-166
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    • 2004
  • This study was undertaken to investigate the severity of depression and to analyze various factors related to depression in chronic back pain patients in urban-rural areas. In this study, 30 patients who suffered from back pain more than 6 months, and 30 normal subjects who had similar demographic characteristics as the patient group were evaluated using the Back Depression Inventory(BDI). Various factors such as age, sex, causes of back pain, vocational history, pain continuity, visual analogue scale(VAS), duration of pain, type of management, and urban or rural residence were recorded for the study group. The results are 1) The study group revealed higher BDI scores than the control group(p<0.05). 2) The patients who were older and had higher VAS, longer duration of pain, or previous history of surgical management for back pain, and an urban 033residence revealed higher BDI scores(p<0.05). 3) The BDI scores were not significantly influenced by the subjects' sex, causes of back pain, pain continuity, and vocational history in the study group(p>0.05). From this study, we concluded that a Psychosocial approach is required for the management of chronic back pain patients. Also, it is necessary to assess the factors, which are making depression worse in other chronic diseases for comprehensive rehabilitation.

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Breast Cancer Risk Assessment Using the Gail Model: a Turkish Study

  • Erbil, Nulufer;Dundar, Nursel;Inan, Cigdem;Bolukbas, Nurgul
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.1
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    • pp.303-306
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    • 2015
  • Purpose: This study was conducted to determine risk of developing of breast cancer among Turkish women. Materials and Methods: Using a descriptive and cross-sectional approach, data were collected from 231 women. Breast cancer risk was calculated using the National Cancer Institute's on-line verson of called as the Breast Cancer Risk Assessment Tool or the Gail Risk Assesment Tool. Results: The average age of women was $45.0{\pm}8.06$ years. It was revealed that 6.1% of participants reported having first degree relatives who had had breast cancer, with only four women having more than one first-degree relative affected (1.7%). The mean five-year breast cancer risk for all women was $0.88{\pm}0.91%$, and 7.4% of women had a five-year breast cancer risk >1.66% in this study. Mean lifetime breast cancer risk up to age 90 years was $9.3{\pm}5.2%$. Conclusions: The breast cancer risk assessment tool can help in the clinical management of patient seeking advice concerning screening and prevention. Healthcare providers in Turkey can use this approach to estimate an individual's probability of developing breast cancer.

A Study on Recognition and Activation Plan of Occupational Therapists for Community Based Rehabilitation in Pusan·Ulsan·Gyeongnam Province (부산·울산·경남 작업치료사의 지역사회중심재활에 대한 인식도 조사 및 활성화 방안)

  • Kim, Sung-Rye;Han, Seung-Hyup;Kim, Ji-Young;Park, Yong-Kwang;Lim, Ae-Jin;Han, Yun-Hee;Kam, Kyung-Yoon
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.1-11
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    • 2012
  • Objective : The purpose of this study was to investigate recognition and activation plan of community-based rehabilitation(CBR) by occupational therapists(OTs) in community rehabilitation center(CRC) and hospitals/clinics(HC) in Busan, Ulsan, and Gyeongnam province. Method : Frequency analysis, independent t-test and chi-squared test were performed with the SPSS 12.0 statistics package program. Result : CRC-OTs and HC-OTs were not significantly different in recognition was not significantly different in both groups. The need for involvement of OTs in CBR was very high in both groups. The suggested field for OTs in CBR were counseling for rehabilitation & information-providing, home-visiting rehabilitation, vocational rehabilitation, assistive device rental, education for disability prevention. It is required to establish CBR networking consisting of educational institutions for rehabilitation experts, local rehabilitation hospitals and clinics, and local government agencies as well as CRC and public health centers. Conclusion : CBR is recognized well by OTs in both CRC and HC and the involvement of OTs in CBR is highly needed by them. Activation plan for occupational therapy in CBR requires systemic and legal improvements.

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Effects on Recovery Oriented Integrated Rehabilitation Program for Chronic Schizophrenic Patients (만성정신분열병 환자를 위한 회복지향의 통합재활프로그램의 효과)

  • Bong, Eun-Ju;Si, Youn-Hwa;Park, Myung-Sook;Bae, Kyung-Hee;Jung, Mi-Jin;Yang, Mi-Hwa;Kim, Song-Ja
    • The Journal of the Korea Contents Association
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    • v.12 no.1
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    • pp.416-429
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    • 2012
  • This study was to assess the effects of a recovery oriented integrated rehabilitation program on cognitive social function, rehabilitation motivation, and mental health recovery. This program is involved motivation enhancement program with 4 subprograms composed of cognitive rehabilitation, emotion management, vocational rehabilitation, family education program. The subjects were 34 patirents with schizophrenia who had been hospitalized at National Mental Hospital on local area. The study was a non-equivalent control group non-synchronized design with two groups, an experimental group(18 patients) and a control group(16 patients). The collected data were analyzed using SPSS 12. 0. The results of the data show that there was not a significant increase in the symptom, cognitive and social function. But there was a significant increase in readiness of rehabilitation(maintenance, p=.027) and mental health recovery (p=.039). Short term recovery oriented integrated rehabilitation programs in inpatient settings are more available for motivation of rehabilitation and mental health recovery than symptom reduction or functional improvement. Therefore there should be more efforts to create more recovery oriented service provision in clinical settings.

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.

Effect of Electromyographic Biofeedback Training on the Muscle Activities of Unilateral Facial Palsy (근전도 바이오피드백을 이용한 훈련이 안면신경마비 환자의 운동학습에 미치는 영향)

  • Kim, Won-Ho;Park, Eun-Young;Chang, Ki-Yeon;Lee, Young-Jung
    • Physical Therapy Korea
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    • v.9 no.3
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    • pp.101-111
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    • 2002
  • The purpose of this study was to determine EMG biofeedback training effect on the muscle activities in 3 unilateral facial palsy patients along with multiple baseline design across subjects. The auditory feedback about facial muscles (orbicularis oris, orbicularis oculi, frontalis) was provided with each patient during facial exercise training. Electromyographic (EMG) activity during maximal voluntary contraction and maximal compound muscle action potential (CMAP) amplitude elected by supramaximal electrical stimulation on facial nerve of facial muscles were measured pre- and post- EMG biofeedback training to evaluate motor learning. EMG activity during maximal voluntary contraction was increased after EMG biofeedback training and CMAP amplitude elected by supramaximal electrical stimulation was not changed in all subjects. The results indicate that EMG biofeedback training is useful method to improve motor learning of facial excercise training in unilateral facial palsy patients.

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Occupational advice from vocational counselors for adults who stutter and associated factors (직업상담사의 말더듬 성인에 대한 직업 추천 양상과 관련 요인 분석)

  • Park, Jin;Jang, Hyekyung;Shin, Hyungtak;Cho, Nambin;Park, Heeyoung
    • Phonetics and Speech Sciences
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    • v.11 no.2
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    • pp.65-76
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    • 2019
  • This study aimed to primarily examine perceptions about occupational suitability made by vocational counselors for adults who stutter and associated factors. A total of 69 vocational counsellors (23 per condition) took part in this study and were randomly assigned to recordings related to three different speech conditions (fluent, less-severe stuttering, and severe stuttering versions). The participants were asked to listen to one of the three recordings and rate the speaker's communicative functioning, personal attributes, and suitability for 31 occupations, along with perceptions of the speaking demands and educational requirements of the occupations. Regarding the two stuttering conditions, it was found that suitability ratings were lower for occupations with a high speaking demand than those with a low speaking demand. In addition, the most significant factor associated with occupational suitability ratings was perceived speaking demands, followed by perceived educational requirements, and then by ratings of the speaker's personal attributes. These findings suggest that adults who stutter may face role entrapment (or occupational stereotyping) in workplace settings.

Research trends in rehabilitation program for disabled applying virtual reality technology in Korea (가상현실기술을 적용한 국내 장애인재활프로그램 연구동향)

  • Kim, Mi-Jung
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.381-391
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    • 2015
  • The purpose of this study was to investigate the trends in research on the effects of virtual reality technology applied to rehabilitation for disabled. I have collected 60 papers published in Korea(2000-2014), and analyzed it by the P.I.C.O. method. As a result, adults and the elderly are most common subjects, and projection type has been used frequently in researches. It were included mostly balance, upper extremity function, and gait that the dependent variables represents the intervention effects. I interpreted it as the ICF factors. So, research topics were the most common mobility, in contrast to educational, vocational, recreational area as dealing with the participation area is very small. In the future, we should focused on social aspects for useful intervention in real life of people with disabilities based on virtual reality technology, and virtual reality technology should be easy to apply in terms of cost and accessibility.

Effects of Crushed RAP on Free and Restrained Shrinkage of Mortars

  • Topcu, Ilker Bekir;Isikdag, Burak
    • International Journal of Concrete Structures and Materials
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    • v.3 no.2
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    • pp.91-95
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    • 2009
  • Reclaimed asphalt pavement (RAP) is abundant substitute for natural aggregate in many areas. It is obtained by crushing of old road pavements in milling machine during rehabilitation and reconstruction process. In this study, reclaimed asphalt pavement mortars (RAPM) have been produced with different cement dosages and replacement ratios. The destructive and nondestructive tests have been conducted on specimens to determine physical and mechanical properties of RAPM. The free and restrained shrinkage tests on RAPM have been conducted to predict fractural behavior of mortars. The aim of the shrinkage tests was to delay crack formation and improve strain capacity of mortars before cracking. The results showed that RAPM exhibits lower elasticity modulus; however the tensile capacity was improved for deformation before cracking.

Improvement of Activities of Daily Living Training to Promote Social Participation at a Pilot Project of Rehabilitation Medical Institutions (재활의료기관 시범사업에서의 사회복귀 촉진을 위한 일상생활훈련 개선방안)

  • Song, Young-Jin;Woo, Hee-Soon
    • Therapeutic Science for Rehabilitation
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    • v.7 no.3
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    • pp.35-45
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    • 2018
  • Objective : Questionnaires completed by occupational therapists and patients in institutions conducting a "Pilot Project of Rehabilitation Medical Institutions" were used to determine whether occupational therapy was able to establish appropriate patient support systems for return to home and community. Methods : The questionnaire was completed by 293 occupational therapists from 13 institutions conducting pilot projects and 296 patients from 8 institutions who were able to respond. Results : Although the Pilot Project of Rehabilitation Medical Institutions is being implemented to enable early return of patients to activities of daily living, the most important therapeutic goal is not efficiently applied. In addition, since the health insurance systems utilized in medical institutions are applied as in the pilot project, there is no basis for evaluation and mediation of practical daily activities and vocational rehabilitation for actual return to the community. Conclusion : Through a detailed review of the pilot project, it will be necessary to improve the quality of life through the early return of patients to social activity, and to make practical improvements to reduce unnecessary societal expenditures.