• 제목/요약/키워드: intellectual disability

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부분 무치증을 동반한 지적장애 환자의 전치부 심미수복 : 증례보고 (ANTERIOR ESTHETIC RESIN RESTORATION OF INTELLECTUALLY DISABLED CHILD WITH OLIGODONTIA : A CASE REPORT)

  • 배영은;김지연;정태성
    • 대한장애인치과학회지
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    • 제12권2호
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    • pp.66-71
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    • 2016
  • Intellectual disability is accompanied by a high incidence of congenitally absent teeth and supernumerary teeth, and is observed more frequently than are disorders of location and order during delayed eruption, when accompanied by other symptoms. Furthermore, it is associated with a higher occurrence of dental anomalies such as conical teeth, microdontia, and amelogenesis imperfecta. As it is difficult to obtain adequate cooperation from patients with intellectual disabilities, physical restraint and conscious sedation using medication and general anesthesia can be considered. Reshaping of conical teeth with resin composite may be helpful to rehabilitate patients with oligodontia and a conical tooth shape. Diagnostic wax-up and a silicone matrix formed the basis for the successful reconstruction of the anterior teeth. This case describes the treatment of a patient with intellectual disability who had oligodontia and conical-shaped incisors. Under general anesthesia, the patient was treated using direct composite resin restoration.

재활승마가 지적장애 성인의 적응행동에 미치는 영향 (The Effects of Therapeutic Horse Riding, Adaptive Behavior in Adult with Intellectual Disabilities)

  • 안정훈;박윤재
    • 디지털융복합연구
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    • 제15권12호
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    • pp.661-667
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    • 2017
  • 본 연구의 목적은 지적장애가 있는 성인들에게 재활승마 프로그램이 적응 행동에 미치는 영향을 조사하는 것에 있다. 대상자는 지적 장애를 가진 16명의 성인이었다. 그들은 12주 동안 일주일에 2회, 60분으로 이루어진 재활승마 프로그램에 참가하였다. 참가자의 적응 행동 수준은 사회성숙도 검사(Social Maturity Scale, SMS) 도구를 이용하여 프로그램 12주 전과 후에 측정되었다. 데이터는 SPSS를 사용하여 paired t-test로 분석하였다. 연구 결과 재활승마 프로그램의 12주 후에, 자조, 업무, 자기 규제 및 사회화에 상당한 개선이 있었다. 그러나 운동, 의사소통 변화는 통계적으로 유의하지 않았다. 이를 종합하면 재활승마는 자조, 업무, 자기 조절 및 사회화에서 지적장애를 가진 성인에게 긍정적인 영향을 미친다고 할 수 있다. 이러한 결과는 적응력을 향상시키기 위해 지적장애가 있는 성인에게 재활승마가 효과적인 방법으로 간주될 수 있음을 시사하고 있다.

지적장애 부모를 둔 비장애 청소년의 삶에 관한 질적 사례연구 (Qualitative Case Study on Life of non-disabled Adolescent of Parents with Intellectual Disability)

  • 강승원
    • 한국사회복지학
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    • 제68권3호
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    • pp.73-103
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    • 2016
  • 본 연구는 지적장애 부모를 둔 비장애 청소년들의 삶의 모습과 그들의 삶 속에서 드러난 어려움은 무엇인지 심층적으로 살펴보고, 이에 대한 사회복지적 함의를 제시하고자 한다. 이를 위해 2014년 1월부터 5월까지 청소년 5명을 중심으로 질적 사례연구 방법을 활용하여 사례 내 분석과 사례 간 분석을 하였으며, 연구결과의 신뢰성을 확보하기 위해 매 단계마다 엄격성을 확보하였다. 분석결과는 크게 '비장애 청소년의 성장이야기', '비장애 청소년의 세상살이 이야기'로 분석하였으며, '공부를 하라는 가족이 전혀 없음', '학업 성취감을 알아가며 앞으로 나아감', '나만의 공간으로 숨어버림', '일찍 어른이 되어버림', '다른 부모, 같은 사랑', '가족의 가족이 나를 키움', '나를 그대로 받아들여주는 친구가 있음', '가난한 생활에 짓눌려 살아옴', '힘듦과 힘냄의 양날에 서있음'으로 범주화 하였다. 분 연구결과를 바탕으로 이론적 지평을 넓히고, 가족의 장애이해, 부모역할훈련프로그램과 사례관리 등 실천적 방안을 제시하였으며, 실태조사와 경제적 지원을 위한 수당제도 등 정책적 방안을 함께 제시하였다.

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Distance Learning for Students with Intellectual Disability during the Emerging Coronavirus Pandemic: Opportunities and Challenges from Parents' Perspectives

  • Alnefaie, Adhwaa M.;Bagadood, Nizar H.
    • International Journal of Computer Science & Network Security
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    • 제21권12호
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    • pp.85-92
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    • 2021
  • Distance learning for students with intellectual disabilities can prove beneficial, particularly if adjusted to their educational characteristics and needs. This study seeks to identify the views of parents living in Saudi Arabia, regarding the opportunities offered by distance learning for students with intellectual disabilities, alongside their challenges during the Covid-19 pandemic. The research employed qualitative methods using semi-structured interviews with six parents of students with intellectual disabilities. The results revealed a number of both opportunities and challenges, including issues related to the family, in addition, the data highlighted difficulties related to the educational process (i.e. a lack of variety of educational methods) and technical issues related to access to the Internet and the insufficient computer skills of both teachers and students. The findings have several important implications for future practice, including the need for training workshops for parents concerning the online platform, as well as further research to determine students' perspectives of their experiences with distance learning.

Chromosomal Microarray Testing in 42 Korean Patients with Unexplained Developmental Delay, Intellectual Disability, Autism Spectrum Disorders, and Multiple Congenital Anomalies

  • Lee, Sun Ho;Song, Wung Joo
    • 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.

Smith-Kingsmore syndrome: The first report of a Korean patient with the MTOR germline mutation c.5395G>A p.(Glu1799Lys)

  • Lee, Dohwan;Jang, Ja-Hyun;Lee, Cha Gon
    • 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.

Case report of cerebral creatine deficiency syndrome with novel mutation of SLC6A8 gene in a male child in Bangladesh

  • Rahman, Muhammad Mizanur;Fatema, Kanij
    • Journal of Genetic Medicine
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    • 제18권1호
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    • pp.44-47
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    • 2021
  • Cerebral creatine deficiency syndrome (CCDS) is a disorder where a defect is present in transport of creatine in the brain. Creatine plays an essential role in the energy metabolism of the brain. This is a genetic disorder, autosomal recessive or X linked, characterized by intellectual disability, speech and language delay, epilepsy, hypotonia, etc. Until recently very few number of cases have been reported. Here we report a case of 1.5-year-old boy who had epilepsy (epileptic spasm and generalized tonic clonic seizure), intellectual disability, microcephaly, hypotonia and speech delay. His magnetic resonance imaging of brain showed cortical atrophy and electroencephalography showed burst suppression pattern. The diagnosis was confirmed by clinical exome sequencing which showed novel mutation of SLC6A8+ in exon 9, suggestive of X linked recessive CCDS. The patient was then treated with glycine, L-arginine and creatine monohydrate with multiple antiepileptic drugs.

Development of a university student-led healthcare program for people with intellectual disabilities

  • Gie Ok Noh;Do-Young Lee
    • International Journal of Advanced Culture Technology
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    • 제11권4호
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    • pp.104-111
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    • 2023
  • The purpose of this study is to develop the contents of a health care program for the disabled led by nursing students and to verify the effect of the program operation on the disability awareness and disability acceptance attitude of participating university students. Ten nursing students participated in the development and operation of the program, and the validity of the developed program was confirmed through a group of experts. After participating in the program operation, it was confirmed that nursing students' disability awareness (Z=-2.80, p=.002) and disability acceptance attitude (Z=-2.66, p=.006) all improved. Various efforts should be made, such as utilizing the health care program for the disabled presented in this study, as an experiential program to properly equip university students with awareness and attitude toward disability as a social competency.

장애유형에 따른 양육스트레스와 사회적 지지 비교 (The Study of Comparing Parenting Stress and Social Support according to Type of Disability)

  • 김희정;김동현
    • 보건의료산업학회지
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    • 제6권3호
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    • pp.171-182
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    • 2012
  • We tried to look for parenting stress and social support of parents who look after children with mental retardation, intellectual disability, physical disability, and deafness. We also tried to know type and severity of parenting stress and inform a necessity of a resource and social support through the study. We subjected parents who have children with disability and visit 7 medical centers to treat in the 4 cities. The parents filled out the questionnaire. We analysed the scale of parenting stress and social support using Likert 5 point scale. As a result of parenting stress and social support according to general characteristics by type of disability, parenting stress was very high regardless of type of disability. However, the parents who have children with disability had lower social support. In detail, the parents who have children with mental retardation had the highest parenting stress, and the parents who have children with deafness had the lowest parenting stress. In the social support, the parents who have children with mental retardation received high social support, and the parents who have children with intellectual disability received low social support.

성인 중증 지적장애에서의 문제행동에 대한 억간산가미(抑肝散加味) 치험 1례 보고 (A Case Report of Problem Behavior in Adult with Severe Intellectual Disability Treated with the Korean Herbal Medicine Yokukan-san-gami (Yigan-san-jiawei))

  • 최은지;서효원;정선용;김종우
    • 동의신경정신과학회지
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    • 제28권4호
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    • pp.341-347
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    • 2017
  • This case report presents a 31-year-old male intellectual disability patient with problem behavior such as food refusal and temper tantrums. He was treated with the Korean traditional herbal medicine (Yokukan-san-gami) continuously for 56 days. The effects of the treatment were measured by the frequency of his problem behavior and the score of the Korean version of Aberrant Behavior Checklist (ABC). After treatment, his challenging behavior became reduced, and his ABC score had been decreased by 24.6%. The findings from this case suggest that the Korean traditional herbal medicine (Yokukan-san) could be effective for challenging behavior in patients with intellectual disabilities.