• Title/Summary/Keyword: disability studies

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Information Accessibility of People with Disabilities: Types and Degrees of Disability (장애인의 정보 접근성: 장애 유형과 정도를 중심으로)

  • Cho Joo Eun
    • Korea journal of population studies
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    • v.26 no.2
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    • pp.147-173
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    • 2003
  • People with disabilities have been influenced by information technology tremendously. The influence of information technology on people with disabilities varies according to types and degrees of disability. This study analyzed the relationship between information accessibility and types and degrees of disability. Information accessibility is measured PC and internet use and disability classified into 10 types and 3 degrees per given type. The major findings of this study are as follow: (1) there are significant effects of types and degrees of disability on information accessibility; (2) there are differences of information accessibility ranking according to the types of disability between in Korea and USA; and (3) the relationship between degrees of disability and information accessibility is not linear. To accurately assess the level of information accessibility of people with disabilities, disability should be treated as a continuous variable that has values in types and degrees of disability.

Effects of Exercise Type on Neck Disability, Pain, and Postural Changes in Subjects with Forward Head Posture: Systematic Review and Meta-Analysis

  • Na, Jeong-Gon;Lee, Han-Suk;Park, Sun-Wook
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.3
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    • pp.121-132
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    • 2018
  • PURPOSE: This study was conducted to investigate the effects of type of exercise on neck disability, pain, and postural changes in subjects with forward head posture. METHODS: Two independent researchers conducted a search using KISS, RISS, DBpia (domestic), PubMed, OVID, and Science Direct (overseas) databases. We selected randomized controlled clinical trials by searching using the terms "forward head posture", "exercise therapy", and "therapeutic exercise". Studies published from 2007 to December 2017 were included. PEDro Scale was used to evaluate the quality of the selected studies, and meta-analysis was conducted using the CMA program. This review was registered at PROSPERO (CRD42018068633). RESULTS: Of the total 13768 studies searched, 17 were selected. Positive effects on neck disability were achieved with the base and biomechanical elements (ES=1.63, 95% confidence interval [CI] .49 to 2.75) as well as base, modulator, and biomechanical elements (ES=1.50, 95% [CI] .69 to 2.30). Neck pain improved with the base, modulator, and biomechanical elements (ES=1.96, 95% [CI] 1.08 to 2.82), while postural changes improved with biomechanical elements (ES=1.45, 95% [CI] .64 to 2.25). Additionally, type of exercise had a positive effect. CONCLUSION: The most effective exercises for neck disability are of the base and biomechanical elements, while the most effective types for neck pain are of the base, modulator, and biomechanical elements and the most effective exercise for posture is of biomechanical elements. Combined exercises targeting biomechanical elements were effective at treating disability, pain, and postural changes.

Impact of the COVID-19 pandemic on people with disabilities: Scoping review (장애인 코로나19 영향 연구 동향 분석: 주제범위 문헌고찰)

  • Ju-Hee Kim;Ye-Soon Kim;Hyun-Ji Kim;Seung Hee Ho
    • The Journal of Korean Society for School & Community Health Education
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    • v.24 no.4
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    • pp.39-50
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    • 2023
  • Objectives: This study aimed to provide a scoping review of the impact of COVID-19 on people with disabilities. Methods: PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) Group's key questions (PICO) for systematic reviews, a literature search was conducted from January 1, 2020 to June 30, 2023 using the "AND" search formula. The databases used were Korea DB: RISS, SCIENCEON, and KoreaMed, and International DB: PubMed, CINAHL, and Embase. Results: Among a total of 22 selected articles, 4 studies were published in korea journals: 3 were survey studies (75.0%), 1 was an analysis study (25.0%), and 18 studies were published in international journals. Through a literature review, we confirmed the differences in difficulties between PwD (People with Disability) and PwoD (People without Disability) in the COVID-19 situation, differences by disability type, and post-COVID-19 impact. In order to examine this systematically and objectively, the results were examined by dividing them, which are components based on the International Classification of Functioning, Disability and Health (ICF). Conclusion: In order to respond well to crises and establish effective health policies in similar pandemic situations in the future, understanding and exploration of more diverse types and areas of disability are necessary. In addition, the development and application of appropriate health education and health promotion programs for disability type and ICF component area are required. In addition, it is necessary to develop and apply appropriate health education and health promotion programs tailored to the type of disability and ICF component area.

The Effect of the Disability Awareness Program (장애 인식개선 프로그램의 효과성 연구)

  • Lee, Jong-Nam;Han, Sang-Mee
    • 재활복지
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    • v.22 no.2
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    • pp.103-126
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    • 2018
  • The purpose of this study is to examine the effect of the disability awareness program and to search for its development plan. For this, the disability awareness program was developed and lecturers were educated. And it had been exercised and examined its effect to 508 people including elementary, middle and high school students and adults nationwide from June to October in 2017. To examine the effect of the program, Disability Awareness Index developed by Korean Foundation for Persons with Disabilities was used. It was also examined on the change of the disability awareness(understanding disability and human rights of disabled) and of the knowledge about discrimination and differentiation. Pre-post tests based on the experimental design were performed and data were analyzed using descriptive statistics, paired t-test, independent t-test and ANOVA. The research results showed as follows; Disability awareness was improved significantly and knowledge about discrimination and differentiation were enhanced after attending the program. Also, it was found that the factors like gender, age, and program types made significant difference to the effects of the program. Based on the research results, this study suggested for the development disability awareness program and the directions for future studies.

Health-related Quality of Life in Korean Patients with Rheumatoid Arthritis: Association with Pain, Disease Activity, Disability in Activities of Daily Living and Depression (류마티스 관절염 환자의 건강관련 삶의 질 영향요인 분석: 통증, 질병활성도, 일상생활 수행능력 장애 및 우울과의 관련성)

  • Uhm, Dong-Choon;Nam, Eun-Sook;Lee, Ho-Yeon;Lee, Eun-Bong;Yoon, Young-Im;Chai, Gong-Ju
    • Journal of Korean Academy of Nursing
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    • v.42 no.3
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    • pp.434-442
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    • 2012
  • Purpose: The purpose of this predictive study was to identify factors affecting health related quality of life (HRQoL) in patients with rheumatoid arthritis (RA). Methods: The participants in this study were 131 patients with RA who were recruited from the outpatient clinic of a university hospital in Seoul. Disease activity in rheumatoid arthritis was evaluated by calculating the Disease Activity Score 28. Disability in activities of daily living (ADL) was assessed with the Korean Health Assessment Questionnaire, and depression with The Center for Epidemiologic Studies Depression Scale. HRQoL was evaluated using The Short Form 36 Health Survey. Data were analyzed using descriptive statistics, correlation, and hierarchical multiple regression. Results: Pain, disability in ADL, disease activity, and depression correlated negatively with physical and mental dimensions of HRQoL. But hierachical multiple regression analysis revealed that disability in ADL and depression were the only variables negatively influencing physical and mental QoL after adjustment for influences of sociodemographic variables. Conclusion: Results of this study suggest that disability in ADL and depression, rather than disease activity and pain have profound effects on HRQoL in patients with RA. Further studies are needed to assess the predictive ability of disease activity and pain on HRQoL in this population.

A Study on the determinants of intent to work of people with disabilities: Uncovering the roles of positive expressions from family members, social network, and disability identity (장애인 취업의사에 영향을 미치는 요인으로서 가족의 긍정적 의사표현, 사회적 관계망 그리고 장애정체감의 역할)

  • Kim, Jae Yop;Lee, Jeen-Suk;Oh, Sehun
    • Korean Journal of Social Welfare Studies
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    • v.45 no.2
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    • pp.147-172
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    • 2014
  • The purpose of this study is to analyze the cause-and-effect relationships among positive verbal expressions from family members, social network, and disability identity as the determinant factors of intention to work. To achieve the goal, 453 persons with disabilities and with experiences of using facilities for the disabled were studied, who were recruited for the national survey of domestic violence in 2010. For the research subjects, the cause-and-effect relationships among the major factors were examined by using a structural equation model. According to the results, disability identity and intent to work tended to be higher as they had experienced more of positive verbal expressions from their families. Moreover, a more participation in social activities increased disability identity, but not intent to work. Lastly, disability identity was found to be a determinant of intent to work. Based on the results, we provide suggestions to achieve social inclusion of people with disabilities by raising the intent to work.

Disability Weights for the Korean Burden of Disease Study : Focused on Comparison with Disability Weights in the Australian Burden of Disease Study (한국인 질병의 장애가중치 측정에 관한 연구 : 호주 장애가중치와의 측정 결과 비교를 중심으로 -)

  • Yoon, Seok-Jun;Lee, Jung-Kyu;Kwon, Young-Hoon;Lee, Sang-Il;Kim, Chang-Yup;Park, Ki-Dong;Kim, Yong-Ik;Shin, Young-Soo;Do, Young-Kyung
    • Journal of Preventive Medicine and Public Health
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    • v.37 no.1
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    • pp.59-71
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    • 2004
  • Objectives: This study aimed to measure the disability weights for the Korean Burden of Disease study, and to compare them with those adopted in the Australian study to examine the validity and describe the distinctive features. Methods : The standardized valuation protocol was developed from the Global Burden of Disease (GBD) study and the Dutch Disability Weights study. Disability weights were measured for 123 diseases of the Korean version of Disease Classification by three panels of 10 medical doctors each. Then, overall distribution, correlation coefficients, difference by each disease, and mean of differences by disease group were analyzed for comparison of disability weights between the Korean and Australian studies. Results : Korean disability weights ranged from 0.037 to 0.927. While the rank correlation coefficient was moderate to high ($r_s$=0.68), Korean disability weights were higher than the corresponding Australian ones in 79.7% of the 118 diseases. Of these, war, leprosy, and most injuries showed the biggest differences. On the contrary, many infectious and parasitic diseases comprised the greater part of diseases of which Korean disability weights were lower. The mean of the differ ences was the highest in injuries of GBD disease groups, and in cardiovascular disease, injuries, and malignant neoplasm of the Korean disease category. Conclusions : Korean disability weights were found to be valid on the basis of overall distribution pattern and correlation, and are expected to be used as basic data for broadening the scope of burden of disease study. However, some distinctive features still remain to be explored in following studies.

Reduction of opioid intake after cooled radiofrequency denervation for sacroiliac joint pain: a retrospective evaluation up to 1 year

  • Tinnirello, Andrea
    • The Korean Journal of Pain
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    • v.33 no.2
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    • pp.183-191
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    • 2020
  • Background: Opioids can present intolerable adverse side-effects to patients who use these analgesics to mitigate chronic pain. In this retrospective analysis, cooled radiofrequency (CRF) denervation was evaluated to provide pain and disability relief and reduce opioid use in patients with sacroiliac joint (SIJ) derived low back pain (LBP). Methods: Twenty-seven patients with pain from SIJ refractory to conservative treatments, and taking opioids chronically (> 3 mo), were included. Numeric rating scale (NRS) and Oswestry disability index (ODI) scores were collected at 1, 6, and 12 months post-procedure. Opioid use between baseline and each follow-up visit was compared for the entire group and for those who experienced successful (pain reduction ≥ 50% of baseline value) or unsuccessful CRF denervation. Results: Severe initial mean pain (NRS score: 7.7 ± 1.0) and disability (ODI score: 50.1 ± 9.0), and median opioid use (morphine equivalent daily dose: 40 ± 37 mg) were significantly reduced up to 12 months post-intervention. CRF denervation was successful in 44.4% of the patients at 12 months. Regardless of procedure success, patients demonstrated similar opioid reductions and changes in opioid use at 12 months. Two patients (7.4%) experienced neuritis following CRF denervation. Conclusions: CRF denervation of the SIJ can safely elicit pain and disability relief, and reduce opioid use, regardless of intervention success. Future studies may support CRF denervation as a dependable therapy to alleviate opioid use in patients with SIJ-derived LBP and show that opioid use measurements can be a surrogate indicator of pain.

The Cross Cultural Adaptation For Neck Disability Questionnaires (목 기능장애 설문지의 절충 문화 적응)

  • Lim Chang-hun;Lee Hae-jung;Bae Sung-soo;Kim Jin-sang
    • The Journal of Korean Physical Therapy
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    • v.17 no.2
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    • pp.46-66
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    • 2005
  • With the increase in the number of multinational and multicultural research projects, the need to adapt health status measures for use in other than source language has also grown rapidly. Most questionnaire were developed in English-speaking countries, but even within these countries, researchers must consider immigrant populations in studies of health, especially when their exclusion could lead to a systematic bias in studies of health care utilization or quality of life. The purpose of this study was to translate and and culturally adapt the three most used neck and spinal pain disability questionnaires - the Neck Disability Index(NDI), Neck pain and Disability Scale(NPDS), and Functional Rating Index(FRI) - into the korean language and evaluated their reliability, in addition to item response pattern, to achieve a good cross cultural adaptation. Each translated questionnaire was found to have high reliability (FRI ICC (2,1)=0.86 ($95\%$ CI: 0.75-0.92); NPDS ICC (2,1)=0.90 ($95\%$ CI: 0.83-0.95 ; NDI ICC (2,1) =0.90 ($95\%$ CI: 0.81-0.94)). The reliability of the translated versions of FRI, NPDS and NDI were excellent.

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Recent update on reading disability (dyslexia) focused on neurobiology

  • Kim, Sung Koo
    • Clinical and Experimental Pediatrics
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    • v.64 no.10
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    • pp.497-503
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    • 2021
  • Reading disability (dyslexia) refers to an unexpected difficulty with reading for an individual who has the intelligence to be a much better reader. Dyslexia is most commonly caused by a difficulty in phonological processing (the appreciation of the individual sounds of spoken language), which affects the ability of an individual to speak, read, and spell. In this paper, I describe reading disabilities by focusing on their underlying neurobiological mechanisms. Neurobiological studies using functional brain imaging have uncovered the reading pathways, brain regions involved in reading, and neurobiological abnormalities of dyslexia. The reading pathway is in the order of visual analysis, letter recognition, word recognition, meaning (semantics), phonological processing, and speech production. According to functional neuroimaging studies, the important areas of the brain related to reading include the inferior frontal cortex (Broca's area), the midtemporal lobe region, the inferior parieto-temporal area, and the left occipitotemporal region (visual word form area). Interventions for dyslexia can affect reading ability by causing changes in brain function and structure. An accurate diagnosis and timely specialized intervention are important in children with dyslexia. In cases in which national infant development screening tests have been conducted, as in Korea, if language developmental delay and early predictors of dyslexia are detected, careful observation of the progression to dyslexia and early intervention should be made.