• Journal of Oral Medicine and Pain
• /
• 제43권3호
• /
• pp.70-76
• /
• 2018

The definition and application of disability are becoming more important as society becomes more complex. The precise criteria for the assessment and classification of disabilities are primarily focused on certain medical conditions with a lack of guidelines for dental conditions. This study provides an evaluation and comparison of the current tables available for the assessment of disabilities in the dental field with the aim of identifying areas to be improved.

• Journal of Korean Neurosurgical Society
• /
• 제54권5호
• /
• pp.390-398
• /
• 2013

Objective : We determined whether the relationship between the neuropsychological performance of patients with mild traumatic brain injury (TBI) and their psychopathological characteristics measured by disability evaluation are interrelated. In addition, we assessed which psychopathological variable was most influential on neuropsychological performance via statistical clustering of the same characteristics of mild TBI. Methods : A total of 219 disability evaluation participants with mild brain injury were selected. All participants were classified into three groups, based on their psychopathological characteristics, via a two-step cluster analysis using validity and clinical scales from the Minnesota Multiphasic Personality Inventory (MMPI) and Symptom Checklist-90-revised (SCL-90-R). The Korean Wechsler Adult Intelligence Scale (K-WAIS), Korean Memory Assessment Scale (K-MAS) and the Korean Boston Naming Test (K-BNT) were used to evaluate the neurocognitive functions of mild TBI patients. Results : Over a quarter (26.9%) experienced severe psychopathological symptoms and 43.4% experienced mild or moderate psychopathological symptoms, and all of the mild TBI patients showed a significant relationship between neurocognitive functions and subjective and/or objective psychopathic symptoms, but the degree of this relationship was moderate. Variances of neurocognitive function were explained by neurotic and psychotic symptoms, but the role of these factors were different to each other and participants did not show intelligence and other cognitive domain decrement except for global memory abilities compared to the non-psychopathology group. Conclusion : Certain patients with mild TBI showed psychopathological symptoms, but these were not directly related to cognitive decrement. Psychopathology and cognitive decrement are discrete aspects in patients with mild TBI. Furthermore, the neurotic symptoms of mild TBI patients made positive complements to decrements or impairments of neurocognitive functions, but the psychotic symptoms had a negative effect on neurocognitive functions.

• Journal of Acupuncture Research
• /
• 제19권2호
• /
• pp.137-148
• /
• 2002

Objective : The low back pain was the main reason of receiving acupuncture treatment. Despite its widespread prevalence, objective data assessing the pain and the results of various forms of treatment were difficult to find in korea. In order to compare the value of different types of treatment, it was necessary to use standard and meaningful forms of assessment. Methods : Pain and functional disability scales for low back pain were reviewed for contents, measurement properties and current methodological issues. Results and Conclusions : 1. The SF-36 Bodily Pain Scale and the Graded Chronic Pain Scale were commonly used for the standard pain scale. 2. The Oswestry Disability Questionnaire and the Roland-Morris Disability Questionnaire were commonly used for the standard function scale. 3. When evaluated, there was no definite answer to the results of the treatment. In the literature, the responsiveness of the Roland-Morris Disability Questionnaire ranged from 2 to 8 points but clinically, the ranges should be minimally changed from 2 to 3 points. 4. In the future, scale for low back pain should be standardized in multiple dimension so that the computerized adaptive testing by Item Response Theory could be widely used.

• 재활간호학회지
• /
• 제15권1호
• /
• pp.30-38
• /
• 2012

Purpose: The purpose of this study was to understand the degree of pain belief in musculoskeletal patients, and to identify the correlation with chronic pain, pain coping and pain disability. Methods: A total of 203 inpatients or outpatients with chronic pain in orthopedics agreed voluntarily to participate in this study and answer a questionnaire. Data were analyzed using SPSS/WIN 17.0 program with descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, and simple linear regression. Results: The degree of pain belief in this study showed statistically significant differences depending on their age, education, job, health status, and pain duration. Among the variables correlating with pain belief in this study, there were positive correlations between pain and pain disability, pain and passive coping, pain belief and passive coping, pain belief and pain, pain belief and pain disability. The strongest correlation was passive coping and pain disability. Conclusion: From the results of this study, we concluded that it is necessary to develop the nursing intervention which can help reducing negative pain belief in patients with chronic musculoskeletal pain. Also we need to enhance the ways of coping to active or chronic pains for controlling them effectively.

• Safety and Health at Work
• /
• 제10권3호
• /
• pp.362-369
• /
• 2019

Background: Chronic nonspecific symptoms attributed to indoor nonindustrial work environments are common and may cause disability, but the medical nature of this disability is unclear. The aim was to medically characterize the disability manifested by chronic, recurrent symptoms and restrictions to work participation attributed to low-level indoor pollutants at workplace and whether the condition shares features with idiopathic environmental intolerance. Methods: We investigated 12 patients with indoor aire-related work disability. The examinations included somatic, psychological, and psychiatric evaluations as well as investigations of the autonomic nervous system, cortisol measurements, lung function, and allergy tests. We evaluated well-being, health, disability, insomnia, pain, anxiety, depression, and burnout via questionnaires. Results: The mean symptom history was 10.5 years; for disabling symptoms, 2.7 years. Eleven patients reported reactions triggered mainly by indoor molds, one by fragrances only. Ten reported sensitivity to odorous chemicals, and three, electric devices. Nearly all had co-occurrent somatic and psychiatric diagnoses and signs of pain, insomnia, burnout, and/or elevated sympathetic responses. Avoiding certain environments had led to restrictions in several life areas. On self-assessment scales, disability showed higher severity and anxiety showed lower severity than in physician assessments. Conclusion: No medical cause was found to explain the disability. Findings support that the condition is a form of idiopathic environmental intolerance and belongs to functional somatic syndromes. Instead of endless avoidance, rehabilitation approaches of functional somatic syndromes are applicable.

• 서비스연구
• /
• 제11권4호
• /
• pp.67-76
• /
• 2021

코로나펜데믹의 영향으로 비대면 서비스에 대한 개발의 속도가 빨라지면서, 스마트러닝의 중요도가 커지고 있다. 본 연구는 스마트러닝 시스템의 이용만족도를 평가하는 필요성에 따라서 학습장애 중재 서비스(www.basic-edu.net)의 사용성 평가 결과를 중심으로 평가에 이용된 변수 간의 인과관계를 활용하는 이용만족도 평가모형에 관한 것이다. 이를 위해서 스마트러닝과 학습장애 중재 서비스, www.basic-edu.net, 학습장애 중재 시스템의 사용성 평가, 이용만족도 평가모형에 관한 이론적 연구를 진행하였고, 그 결과에 기반을 두어 스마트러닝 시스템의 이용만족도 평가모형에 관한 가설을 제시하였다. 실험방식은 전국의 40명의 학생과 학부모를 대상으로 www.basic-edu.net 서비스를 이용하게 한 후 그에 대한 사용성 평가를 받았고, 이 데이터를 활용하여 이용편의성, 흥미성, 자가학습성, 이용만족도라는 4가지 변수를 기반으로 회귀분석을 활용하여 가설의 검증을 시도하였다. 가설의 검증 결과 H1~H4까지의 모든 가설들의 인과관계는 그 관계가 유의미한 것으로 나타났다.

• Journal of Korean Neurosurgical Society
• /
• 제48권6호
• /
• pp.506-517
• /
• 2010

Objective : We investigated whether Disability Evaluation (DE) situations influence patients' neuropsychological test performances and psychopathological characteristics and which variable play a role to establish an explanation model using statistical analysis. Methods : Patients were 536 (56.6%) brain-injured persons who met inclusion and exclusion criteria, classified into the DE group (DE; n = 300, 56.0%) and the non-DE group (NDE; n = 236, 44.0%) according to the neuropsychological testing's purpose. Next, we classified DE subjects into DE cluster 1 (DEC1; 91, 17.0%), DE cluster 2 (DEC2; 125; 23.3%), and DE cluster 3 (DEC3; 84, 15.7%) via two-step cluster analysis, to specify DE characteristics. All patients completed the K-WAIS, K-MAS, K-BNT, SCL-90-R, and MMPI. Results : In comparisons between DE and NDE, the DE group showed lower intelligence quotients and more severe psychopathologic symptoms, as evaluated by the SCL-90-R and MMPI, than the NDE group did. When comparing the intelligence among the DE groups and NDE group, DEC1 group performed worst on intelligence and memory and had most severe psychopathologic symptoms than the NDE group did. The DEC2 group showed modest performance increase over the DEC1 and DEC3, similar to the NDE group. Paradoxically, the DEC3 group performed better than the NDE group did on all variables. Conclusion : The DE group showed minimal "faking bad" patterns. When we divided the DE group into three groups, the DEC1 group showed typical malingering patterns, the DEC2 group showed passive malingering patterns, and the DEC3 group suggested denial of symptoms and resistance to treatment.

• The Korean Journal of Pain
• /
• 제23권1호
• /
• pp.28-34
• /
• 2010

Background: An independent medical examination (IME) is a critical process for awarding reparation for injury. However, conducting an IME in pain medicine is very difficult, not only because pain is a subjective symptom, but also because there are no proper objective methods to demonstrate it. This study was conducted to compare IME reports and the court decisions on the disability status of the patients. Methods: We analyzed 79 IME reports and 25 corresponding court decisions on the disability status of patients. The diagnoses, causal relationships between the patients' status and the trauma, McBride's degree of disability, the American Medical Association's impairment ratings, the estimated annual cost for future treatment, and the necessity of care-giving were compared and analyzed. Results: The diagnoses in the 79 cases were complex regional pain syndrome (CRPS) type I (58 cases), CRPS type II (7 cases), peripheral neuropathy (5 cases), myofascial pain syndrome (4 cases), herniated intervertebral disc (2 cases), and fibromyalgia (1 case). The types of accidents were road traffic accidents (50 cases), military injuries (14 cases), industrial accidents (11 cases), and others (4 cases). The IME reports and the court decisions stated considerably different McBride's degrees of disability (P = 0.014). However, there was no significant difference in the estimated cost for future treatment between the IME reports and the court decisions (P = 0.912). Conclusions: IME reports should be accurate, fair, and based on objective findings. Feedback on IMEs from the court decisions is helpful for reference use.

• 한국컴퓨터정보학회논문지
• /
• 제29권6호
• /
• pp.121-130
• /
• 2024

본 논문에서는 NCS 기반의 장애인 직무 매칭 시스템을 제안하고 설계한다. 이 시스템은 장애인이 시스템에 접속하여 기본정보(인적정보, 장애 관련 정보)를 입력하고, 직무수행과 관련된 간단한 테스트를 통하여 자신의 장애 유형과 정도에 적합한 NCS 직무 관련 정보를 제공한다. NCS 기반의 다양한 직무와 연계하기 위해서는 각 장애 유형에 따른 장애 정도를 함께 고려되어야 한다. 하지만 대다수 평가도구는 특정 장애 유형을 대상으로 하거나 대상 장애인의 직업능력을 인지 수준이나 일부 신체기능만을 제한적으로 파악하고 있기 때문에 NCS 기반의 장애인직무 매칭 시스템에 적용하기 어렵다. 따라서 본 논문에서는 개별 직무의 수행에 필요한 인지 수준이나 신체기능의 활용 정도는 ICF coresets for VR을 활용하고, 개별 직무의 수행에 필요한 직업기초능력 수준은 NCS의 직업 기초능력 평가도구를 활용함으로써 장애 유형별 장애 정도에 따른 NCS 기반의 직무를 매칭하도록 한다. 본 논문에서 제안하는 NCS 기반의 장애인직무 매칭 시스템의 경우, 장애인 당사자의 시스템 활용을 기반으로 하기 때문에 시각 정보에 취약한 시각장애인이나 문해력이 낮은 지적·자폐성 장애인에게는 시스템 활용에 다소 어려움이 존재할 수 있다. 이러한 시스템 접근성을 보완한다면 장애인들에게 자신의 직무 능력에 적합한 NCS 기반의 직무를 추천할 수 있을 것이다.

• 대한치과기공학회지
• /
• 제33권2호
• /
• pp.171-177
• /
• 2011

Purpose: This study was to seek the application after fostering the dental technician with the disability. The purpose of this was to suggest basic data to enhance employment for the disabled by fostering dental technician with disability through the opinion of experts. Methods: For this aim, this study made the literature research using precedent research data implemented by related departments and fields and domestic & foreign literature including the reports on the status of the disabled. Results: On the base of the findings the conclusion was deduced as following. It needs to open dental technician training curriculum with disability to enhance employment for the disabled and smoothness and qualification for the practical demand and supply of the dental technician. Conclusion: To foster the dental technician with disability, there needs the change of negative view that the disabled will not be able to do well. The disabled also can do the work well as those without disability if they get the education and the training.