• 대한물리의학회지
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• 제19권2호
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• pp.75-89
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• 2024

PURPOSE: This study aims to review the FUNfitness program, conducted by physical therapists as part of the Special Olympics Athlete Health Promotion Program, to provide basic data for the health management of individuals with intellectual disabilities. METHODS: This study collected and organized materials related to the Special Olympics Athlete Health Promotion Program, as well as training manuals for FUNfitness. Additionally, it referenced activity reports of the FUNfitness program developed through the collaboration between the American Physical Therapy Association and the Special Olympics. RESULTS: The results of this study present the definition and composition of the Special Olympics Athlete Health Promotion Program, its objectives, the definition and design objectives of the FUNfitness program, the composition and evaluation procedures of the testing and assessment items, and recommendations for referral for additional physical therapy interventions following FUNfitness education. CONCLUSION: This article describes the importance of physical therapists understanding physical therapy screening and management for the health care of individuals with intellectual disabilities, emphasizing the need for their continuous interest in promoting the health of individuals with intellectual disabilities.

• Journal of Genetic Medicine
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• 제16권1호
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• pp.27-30
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• 2019

Smith-Kingsmore syndrome (SKS; OMIM 616638), also known as macrocephaly-intellectual disability-neurodevelopmental disorder-small thorax syndrome (MINDS; ORPHA 457485), is a rare autosomal dominant disorder, the prevalence of which is not known. It is caused by a heterozygous germline mutation in MTOR (OMIM 601231). Ten different MTOR germline mutations in 27 individuals have been reported in the medical literature to date. These were all gain-of-function missense variants, and about half of the 27 individuals had c.5395G>A p.(Glu1799Lys) in MTOR. Here, I report for the first time a Korean patient with the heterozygous germline mutation c.5395G>A p.(Glu1799Lys) in MTOR. It was found to be a de novo mutation, which was identified by whole-exome sequencing and confirmed by Sanger sequencing. The patient showed typical clinical features of SKS, including macrocephaly/megalencephaly; moderate intellectual disability; seizures; behavioral problems; and facial dysmorphic features of curly hair, frontal bossing, midface hypoplasia, and hypertelorism.

• Genomics & Informatics
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• 제15권3호
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• pp.82-86
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• 2017

Chromosomal microarray (CMA) is a high-resolution, high-throughput method of identifying submicroscopic genomic copy number variations (CNVs). CMA has been established as the first-line diagnostic test for individuals with developmental delay (DD), intellectual disability (ID), autism spectrum disorders (ASDs), and multiple congenital anomalies (MCAs). CMA analysis was performed in 42 Korean patients who had been diagnosed with unexplained DD, ID, ASDs, and MCAs. Clinically relevant CNVs were discovered in 28 patients. Variants of unknown significance were detected in 13 patients. The diagnostic yield was high (66.7%). CMA is a superior diagnostic tool compared with conventional karyotyping and fluorescent in situ hybridization.

• 한국융합학회논문지
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• 제10권1호
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• pp.277-283
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• 2019

이 연구에서는 특수교사와 직장동료가 판단하는 지적장애인의 직업적 성공요인의 범주별 및 전체 요인별 서열을 비교, 분석하였는데, 그 결과는 다음과 같다. 특수교사와 직장동료 모두 작업관련 기술군을 가장 중요하게 생각하였다. 특수교사는 사회적 기술군을, 직장동료는 개인적 기술군을 더 중요하게 생각하였다. 특수교사는 자신이 맡은 일을 잘 처리하고, 감독자의 지시에 잘 따르며, 흥미를 가지고 일을 하는 것을 중요한 요인으로 꼽았고, 직장동료는 감독자의 지시에 잘 따르고, 자신이 맡은 일을 잘 처리하는 것을 무엇보다 중요하게 생각하였다. 이 연구의 결과는 지적장애인의 직업 및 진로 교육과정을 개발하는 데 기초자료로 활용할 수 있을 것으로 기대된다.

• 대한간호학회지
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• 제18권1호
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• pp.70-79
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• 1988

This study was designed to investigate the nature and magnitude of disability among non-institutionalized elderly in urban area(Seoul city). From November 1987, through December 1987, 1,054 individuals aged over 65 years from the sampled of clustered random sampling method were interviewed in person. The physical disability findings support the well known relationship between physical disability and age. The magnitude of disability, however, is not as great as conventional wisdom might suggest. And this paper reports results on the prevalence of social disability : housekeeping transportation, food prepatation, grocery shopping, social interaction, intellectual activity, and social role. The magnitude of social disability increase with advancing age. Women, in general, report a higher degree of social disability than man. These findings are compared with other investigations of physical and social disability among the elderly.

• 한국환경과학회지
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• 제32권10호
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• pp.713-722
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• 2023

This study was conducted to examine the effects of care farming activities on the brain waves of adults with developmental disabilities from September 2022 to December 2022, with a total of 16 sessions held once a week. For 28 adults with developmental disabilities, 15 participants in the care farm program and 13 participants who did not participate were used as the control group. Before and after the care farming activities, participants' self-esteem, happiness levels, and brain function indices were measured through surveys and electroencephalography (EEG). Consequently, the self-esteem of the participants in the experimental group significantly increased after the activity, and as for the brain function index, the left brain activity index related to stress, attention, brain function, and emotional state increased compared to the control group in the experimental group of adults with developmental disabilities, especially intellectual disabilities. Notably, the effect of care farming activities was greater for women than for men with intellectual disabilities. Therefore, considering the differential effects of care farming activities based on the type of developmental disability and sex, it is deemed advantageous to primarily apply these activities to women with intellectual disabilities in order to maximize the healing effect of care farming.

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

• 대한장애인치과학회지
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• 제7권1호
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• pp.11-14
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• 2011

본 증례에서는 정신적 장애를 가진 환자들에게 임플란트를 이용한 보철 수복을 시행하였다. 이런 환자들에게 보철물의 형식은 고정성 보철물이나, 피개의치를 사용하였고, 임플란트의 실패나 보철물의 파절은 보이지 않았다. 이런 환자들에서 구강을 청결히 유지하기 힘들기 때문에 적극적인 정기검진 및 치태 조절이 필요할 것으로 사료된다.

• 한국사회복지학
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• 제65권2호
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• pp.5-28
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• 2013

본 연구는 지적장애인의 개별적 특성과 환경적 특성이 자기결정 수준에 미치는 영향과 기회제공의 효과를 검증함으로써 자기결정에 대한 논의를 실천적 차원으로 전환시키기 위해 실시되었다. 수도권, 영남권, 호남권에 거주하는 생활시설 성인지적장애인 219명을 대상으로 일대일 면접방식으로 서베이를 실시하였으며, 구조방정식을 이용하여 분석하였다. 분석한 결과, 지적장애인의 개별적 특성 중 자기결정 개념인지, 실천가와의 관계인식과 환경적 특성 중 시설위치, 시설규모가 자기결정 수준에 영향을 미치며 이 과정에서 기회제공이 완전매개를 하는 것으로 나타났다. 연구결과를 토대로 당사자주의에 대한 의미를 부여하고, 선택과 결정 기회를 극대화시키는 방식으로 지원하며, 거주환경의 세부적인 개편 등 자기결정을 향상시키기 위한 실천적 전략을 제시하였다.

• Journal of Preventive Medicine and Public Health
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• 제52권3호
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• pp.200-204
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• 2019

On September 12, 2018, President Jae-In Moon announced the Comprehensive Plan for Lifelong Care for People with Developmental Disabilities, with representatives from the associated government branches (Ministry of Health and Welfare, Ministry of Education, and Ministry of Employment and Labor) in attendance. The goals of this plan are to provide health, medical, rehabilitative, special education, and social welfare services according to the life-stages of the affected individuals; to reduce parental pressure; to promote social interventions; and to enhance community-level participation in order to create a 'welfare society in harmony.' However, in order for the plan to succeed, additional efforts must be made in the following areas. First, an epidemiological survey is needed to understand the scale, prevalence, and incidence of developmental disabilities and to establish an evidence base to support policy development. Second, accurate definitions of developmental disabilities must be established in order to avoid policy discrimination based on impairment type and age. Third, personal evaluations to assess disabled individuals' unmet needs and customized service designs to deliver those needs are required. Fourth, the plan must fulfill the goals of accessibility and fairness that the government intends to provide. Fifth, the government should consider an integrated financial support system and to propose a detailed plan for monetary distributions. Finally, an integrated system that links health, medical, employment, educational, and welfare services must be constructed.