• Title/Summary/Keyword: disabled

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Dental Treatment of a Patient with Cerebral Palsy under General Anesthesia (뇌성마비 환자의 전신마취 하 치과치료)

  • Chung, Jun-Min;Seo, Kwang-Suk;Yi, Young-Eun;Han, Hee-Jung;Han, Jin-Hee;Kim, Hye-Jung;Shin, Teo-Jeon;Kim, Hyun-Jeong;Yum, Kwang-Won;Chang, Ju-He
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.8 no.1
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    • pp.22-28
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    • 2008
  • Background: Cerebral palsy (CP) is non-progressive disorder of motion and posture. In CP patient, there are difficulties in dental treatment because of uncontrolled movement of limb and head, and conjoined disabilities such as cognitive impairment, sensory loss, seizures, communication and behavioral disturbances. It is reported that CP patients have high incidence in caries and a higher prevalence of periodontal disease. But, despite the need for oro-dental care, these patients often are unlikely to receive adequate treatment without sedation or general anesthesia because of uncontrolled movements of the trunk or head. Methods: We reviewed the 58 cases of 56 patients with CP who underwent outpatient general anesthesia for dental treatment at the clinic for the disabled in Seoul National University Dental Hospital. Results: The mean age was 19 (2-54) years. The number of male patient was 40 and that of female was 18. They all had severe spastic cerebral palsy and 22 had sever mental retardation, 15 epilepsy, 8 organic brain disorder, 1 blindness, 2 deafness and cleft palate. For anesthesia induction, 14 cases was needed physical restriction who had sever mental retardation and cooperation difficulty, but 44 cases showed good or moderate cooperation. Drugs used for anesthesia induction were thiopental (37 cases), sevoflurane (14 cases), ketamine (3 cases ) and propofol (4 cases). All patients except one were done nasotracheal intubation for airway management and 4 cases were needed difficult airway management and 1 patient already had tracheostomy tube. Mean total anesthetic time was $174{\pm}56$ min and staying time at PACU was $88{\pm}39$ min. There was no death or long term hospitalization because of severe complications. Conclusion: If general anesthesia is needed, pertinent diagnostic tests and workup about anomaly, and appropriate anesthetic planning are essential for safety.

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On the Study of Design Guidelines and a Design Case to Enable the Replacement of LRT Stations by Stops (경전철 역사를 대체하는 정류장 도입을 위해 필요한 설계지침의 도출 및 적용 사례에 관한 연구)

  • Kim, Joo-Uk;Park, Kee-Jun;Lee, Ji-Eon;Lee, Jae-Chon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.5
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    • pp.3499-3510
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    • 2015
  • To cope with the increased demand on the intra-city transportation by urban rails, the introduction of the light rail transit (LRT) systems has been expedited in Korea due to the possible reduction of both the development and operation costs from adopting LRT systems. The LRT systems have so far been designed, constructed and operated based on the corresponding law and regulations. It has been conceived that fully complying with the existing guidelines may incur some extra costs on LRT. In addition, the present design of LRT stations seems to require unnecessarily long flow of passengers traffic, particularly for disabled people. In this paper, as an approach to solving the aforementioned issues, an introduction of 'LRT stops' has been studied where the stops are similar in concept to bus stops and are intended to replace the stations of a bigger scale in general. Specifically, necessary guidelines for design have been developed by modifying the existing ones to be fit with LRT stops. A design case was also presented to evaluate them. The effective use of the results reported here will provide an opportunity of cost reduction in connection with the construction and operation, and also let people benefit from convenient use of rails, thereby resulting in enhanced transportation welfare.

ADHD Simple Examination Using an OSGi Base USB Terminal System (OSGi 기반 USB 단말기 시스템을 이용한 ADHD 간편검사)

  • Han, Sang-Seok;Lee, Chang-Goo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.9 no.3
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    • pp.664-673
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    • 2008
  • Recently, the ubiquitous is handled by maximum topic. New knowledge information and ubiquitous computing evolution have promoted new paradigm transfer and grand change. Also, need technology as powerful engineering approached fairly system and educational guidance side examination necessarily to overcome u-Learning base situation and studying obstacle situations. This treatise embodied handiness examination about attention shortage and excess obstacle (Attention Deficit Hyperactivity Disorder, low ADHD) who must solve so as to be square and level being increase trend in primary school using USB (Universal Serial Bus) terminal system that allow fetters to OSGi (Open Service Gateway Initiative). That OSGi base USB terminal system is easy preservation of information, safety of network, cost-cutting and maintenance by various ubiquitous system that server that load many USB terminals and OSGi uses an USB bus of high speed and construct network, there is advantage of concentration elevation and so on of week and ADHD handled in this treatise because early diagnosis and treatment are serious. The confirmed system application that can supplement paper and pens examination's shortcoming and could solve examination's problem which use computer, and help in student guidance through ADHD simpleexamination who utilize OSGi base USB terminal system. Is available by game system that system for human nature examination or intelligence test and general exam explaining and level studying, order style question investigation program, studying system for disabled person, majority that enforce in public in school this study finding does together.

A Case Study on the Linkage of Lifelong Education between Social Enterprises and the Vulnerable (사회적기업과 취약계층의 평생교육 연계에 관한 탐색적 사례연구)

  • Lee, Hyo-Young;Han, Sang-Hun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.293-303
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    • 2017
  • Thus study examined the possible the link between social enterprises and lifelong education for the underprivileged. To this end, this study searched for the definition and position of social enterprises emerging from the welfare system under the influence of neoliberalism and overcoming the problems in terms of creating social jobs and providing welfare services. In addition, the lifelong education for the underprivileged was examined according to the subjects, such as the disabled, migrant women, young and adult low-income group, and senior citizens. The plan was as follows. First, the expansion of the proportion of community-affiliated social enterprises was analyzed. Second, it provides a differentiated support and protection market for social enterprise. Third, the development and dissemination of social entrepreneur training programs was examined. The results showed that the entire society should have a sense of responsibility for the support of the underprivileged. This provides implications for the linkage of lifelong education and social enterprise in the expansion possibility to improve the quality of life and expand lifelong education for the underprivileged.

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.

The Adoption of a Greenway System for Enhancing the of Open Space in Urban Areas : The Case of City of Taegu (도시자연녹지(都市自然綠地)의 이용실태(利用實態)와 효율적(效率的) 활용방안(活用方案)을 위한 Greenway 시스템 도입(導入)에 관한 연구(硏究) : 대구광역시(大邱廣域市)를 중심(中心)으로)

  • Lee, Ju-Hee;Han, Sang-Yoel;Kim, Bum-Su;Suh, Eung-Chul
    • Journal of Korean Society of Forest Science
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    • v.89 no.5
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    • pp.576-584
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    • 2000
  • The term 'greenways' is a fairly new one. The term greenways refer to linear corridors which set aside pieces of nature. The objective of this study was to find out the feasibility of developing greenways in Taegu. Sample of 446 trail users were asked to describe their use patterns and as well as their perceptions of the benefits and problems associated with trails through on-site interviews conducted during the months of July and August of 1999. Trail users in Taegu were predominately male(61%) and over half of the respondents used private vehicle to access to the study areas as compared to 2% of respondents used bicycle. Trail users responded that health & fitness and open space preservation were the two most important benefits, and the provision of trail access to disabled persons was ranked last. As problems at study areas, lack of interpretive information was the biggest problem followed by lack of drinking water, poor trail marking/signs and not enough information. Most(94.1%) of the trail users surveyed indicated that they would support greenways development and 96.8% of respondent would use after greenways development. Willingness to pay for developing greenways was assessed with hypothetical scenario. Average willingness to pay in the survey was 10,200 won as a tax. The development/application of greenways in Taegu would work best when establish a network of trails with environmentally sensitive manner.

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Familism and Welfare Consciousness in Korea (가족주의 가치관에 따른 한국인의 복지의식 연구 : 서울지역 기혼자를 중심으로)

  • Yang, Ok-Kyung
    • Korean Journal of Social Welfare
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    • v.51
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    • pp.229-256
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    • 2002
  • This study is about the relationship between traditional familism and welfare consciousness in Korea. Traditional familism is known as the value that most Koreans share with, and the impeding value for welfare program development. Strong family solidarity and family-centered perception among Koreans influences other social values and ideology. Especially, care of the family members is understood as a family duty and responsibility. And this inhibits Koreans to develop welfare consciousness and further to develop welfare programs at the governmental level. Thus, this study purposes to explore the relationship between the two. The sample of 1,131 men and women was selected in Seoul area. As a result, traditional familism is found to be quite influential to welfare consciousness among Koreans. First, perception of welfare institution is strongly related with welfare consciousness. The respondents in high familism group showed low welfare consciousness. Second, state-friendly welfare responsibility was shown low in the group of high familism for the aged and youth. In the same context, for the disabled and the unemployed, state-friendly welfare responsibility was shown high in the group of low familism. Lastly, the relationship between familism and the welfare need was not apparent. Such results make possible to conclude that traditional familism among Korean is still influential to welfare consciousness and welfare ideology. However, although this conclusion should not be used for an excuse to avoid state responsibility but used as a tool to develop a welfare model to strengthen family function as one solid family.

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A Meta-Analysis on Improvement in Locomotor Skills of Children with Disabilities by Physical Activity Programs (신체활동 프로그램 참여가 장애아동의 이동운동능력에 미치는 효과: 메타분석)

  • Han, Byum Suk;Lee, Tae Hee;Chun, Hea Ja
    • 재활복지
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    • v.20 no.3
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    • pp.83-104
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    • 2016
  • The purpose of this study was to identify improvement in locomotor skills by physical activity programs. Method of this study indicates that the current literature (2004-2015) were reviewed and the data from 24 studies with 518 disabled children were analyzed by using CMA3 (Comprehensive Meta-Analysis ver.3) program. Analyzing the data of the primary studies included gender, age, type of disabilities, duration of the physical activity program intervention(weeks, session per week, minutes per session), run, gallop, hop, leap, horizontal jump, and slide. For sensitivity analysis, publication bias and outlier were reviewed. Results of analysis indicates that the overall effect size of improvement in locomotor skills by physical activity programs was 1.143. There were large effect size in categorical analyses. Autistic spectrum among type of disabilities was 1.697 and run among 6 of locomotor skills was 1.019. 8~10 aged was 0.920 and the intervention of 100~120minutes(1.261)per session, 3sessions(1.078) per week, 16~20(1.587)weeks was found to be more larger than the others. In conclusion, improvement in locomotor skills by program participation showed that treated group was 37% more effective than control group.

Analysis of Structural Relationships among Parents and Professionals Communication, IEP, Teaching Strategies in the Multicultural Special Classes (미국 다문화 특수학급의 학부모 및 전문가의 의사소통, IEP, 교수전략 간의 구조적 관계 분석)

  • Kim, Hyun-Wook;Kim, Joung-Min
    • Korean Journal of Comparative Education
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    • v.27 no.4
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    • pp.1-22
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    • 2017
  • To date, the study of students with multicultural disabilities has been limited to language problems. The purpose of this study was to investigate the effects of communication between parents and professionals on the IEP and teaching strategies of students in multicultural special education in the United States. From 2015 to 2016, structural equation modeling was conducted using AMOS 21 based on data from 406 elementary, middle, and high school teachers who has experiencing of multicultural disabilities. The correlation coefficients between IEP and the variables affecting instructional strategies were significantly high between -044 and .489 as a whole. Especially, teaching strategy and communication with parents were relatively more effective than professional communication high correlation. In addition, with regard to the impact on IEP and teaching strategies, parental communication has been found to be closely related to IEP and teaching strategies. However, communication with professionals has a direct effect on teaching strategies. There was no significant correlation between parent and professional communication. The purpose of this study is to understand the importance of communication with parents of multicultural disabled students and their interest and opinions on children positively to IEP and teaching strategies so that teachers can communicate continuously.

Chronic Illnesses and Multidimensional Disability among Older Adults with Disabilities: Applying the ICF Framework (고령장애인의 만성질환과 다차원적 장애 : 국제기능장애건강분류틀(ICF)을 적용하여)

  • Cho, Sangeun
    • Korean Journal of Social Welfare Studies
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    • v.48 no.4
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    • pp.91-120
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    • 2017
  • This study aimed (a) to examine the association between chronic illness and multidimensional disability(i.e., psychological/emotional functions, activity capacity, and participation frequency) among older adults with disabilities, (b) to investigate the effect of formal and informal supports on multidimensional disability, and (c) to analyze the moderating effects of formal and informal supports on the association between chronic illness and multidimensional disability. This study used 2014 Korea Welfare Panel Study(the 9th wave) data and 450 older adults with disabilities aged 50 and over were selected as the study target. The research model was analyzed by structural equation modeling using IBM AMOS 22.0. Based on the ICF framework developed by WHO, health condition was measured by the level of chronic illness; psychological/emotional functions were measured by health satisfaction, self-esteem, and depression; activity capacity was measured by ADLs and IADLs; participation frequency was measured by the total number of social activities joined; formal support was measured by the total number of formal welfare services for people with disabilities utilized; informal support was measured by perceived social support. The findings showed that the level of chronic illness was negatively associated with psychological/emotional functions among the older adults with disabilities. The informal support positively affected psychological/emotional functions and activity capacity, whereas the formal support showed the opposite result. That is, the formal support negatively influenced activity capacity and showed a moderating effect on the association between the level of chronic illness and the psychological/emotional functions in a reverse way. Based on the results, practice and policy implications for alleviating disability level among the older adults with disabilities were discussed.