• 한국응용과학기술학회지
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• 제38권2호
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• pp.497-510
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• 2021

본 연구의 목적은 장애아동 양육자의 물리적·정서적 웰니스 사이에서 지적 웰니스의 매개효과를 조사하여 효율적인 관리 방안 제시에 필요한 기초자료를 제공하기 위함이다. 연구 대상자는 장애아동 양육자 177명이며, 자료수집은 2019년 06월부터 2019년 11월까지 하였다. 자료분석은 PROCESS macro를 이용하였다. 일반적인 특성과 변수간 분석은 Independent t-test 및 ANOVA를 통해 통계적으로 유의한 차이가 있는 변수에 대하여는 Scheffé 사후검증을 실시하였다. 변수간 관련성 분석은 Pearson 상관관계 및 위계 다중회귀분석을 하였다. 연구결과, 장애아동 주양육자의 물리적 웰니스와 지적 웰니스는 장애아동 양육자의 정서적 웰니스에 직접적인 영향을 미치며, 또한 물리적 웰니스와 정서적 웰니스 사이에서 지적 웰니스가 매개효과를 제공하고 있다. 이는 장애아동이 가진 물리적 환경의 영향도 중요하지만, 주양육자에게 적절하고 충분한 지적 교육이 동반되어야 정서적 웰니스 증진이 이루어질 수 있다는 것을 발견하였다. 따라서 다양한 교육 프로그램의 확대는 장애아동 양육자의 웰니스 증진에 기여할 수 있을 것이다.

• 한국콘텐츠학회논문지
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• 제20권8호
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• pp.448-465
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• 2020

본 연구는 성인초기 지적장애인을 연구대상으로 하여 가족기능의 조절효과를 중심으로 지적장애인의 자기 결정이 삶의 질에 미치는 영향을 분석하였다. 본 연구 목적을 달성하기 위해, 성인초기 지적장애인으로, 지적 장애진단을 받은 만 18세에서 만 25세인 지적장애인으로 정하고, 지역사회에서 생활하고 있는 장애인을 선정하였으며, 설문 진행의 어려움을 감안하여 성인초기 지적장애인들이 가장 많이 이용하고 있는 주요 복지기관을 선정하여 편의표집을 하였다. 연구결과는 다음과 같다. 첫째, 지적장애인의 "자기결정(자율성, 심리적 역량, 자아실현)"은 "삶의 질(신체적 안녕, 물리적 안녕, 사회적 안녕, 생산적 활동 및 발달, 심리·정서적 안녕)"에 영향을 미치는 것으로 나타났다. 둘째 지적장애인의 "인구통계학적 특성(성별, 종교유무, 근로여부)"에 따라 "자기결정(자율성, 심리적 역량, 자아실현)"의 차이는 발생하지 않았다. 셋째, 지적장애인의 "인구통계학적 특성(성별, 종교유무, 근로여부)"에 따른 "삶의 질(신체적 안녕, 물리적 안녕, 사회적 안녕, 생산적 활동 및 발달, 심리·정서적 안녕)"은 차이가 발생하였다. 넷째, 지적 장애인의 "자기결정"과 "삶의 질"의 관계에서 가족기능의 조절효과가 발생하였다. 본 연구는 성인초기 지적장애인을 대상으로 당사자의 관점에서 바라본 자기결정과 가족기능, 삶의 질에 대한 관계를 검증함으로써 장애인복지 실천현장에서 이들에게 제공되어야 하는 서비스 실천방향을 제시하였다는 측면에서 의미가 있다.

• Journal of the Korean Data and Information Science Society
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• 제23권6호
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• pp.1145-1154
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• 2012

태아기의 성 호르몬의 차이가 두 번째 손가락과 네 번째 손가락 길이의 비율을 비롯하여 여러가지 생리적 특성에 영향을 미칠 수 있다는 연구가 발표된 이후 관련 연구가 많이 진행되어 오고 있다. 그러나 우리나라 장애인을 대상으로 한 연구는 드물다. 이에 본 연구에서는 우리나라 장애인과 일반학생을 대상으로 손가락 비율 비교 및 장애인의 특성을 실증적으로 분석해 보았다. 그 결과, 장애인과 일반학생 모두에 있어 남자의 손가락 검지와 약지 길이 비율이 여자보다 낮아, 남녀별 성차가 있다는 일반적 사실을 확인 할 수 있었다. 다음으로, 남자와 여자 장애인 모두에서 나이대별 손가락 길이 비율은 통계적으로 유의한 차이가 없는 것으로 나타나, 일반인과 마찬가지로 장애인도 성장과정에서 검지와 약지 길이 비율이 크게 변하지 않음을 알 수 있었다. 마지막으로, 남자와 여자 지적 장애인 모두에 대하여 장애등급별 손가락 길이 비율도 통계적으로 유의하지 않은 것으로 나타난 바, 이로부터 손가락 검지와 약지 길이 비율이 장애여부와 관계가 있다는 점에 근거하면 현재의 장애등급 구분은 문제가 있다고 하겠다.

• International journal of advanced smart convergence
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• 제9권1호
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• pp.54-62
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• 2020

According to the Ministry of Health and Welfare, "Status of Registered Persons with Disabilities", the number of people with disabilities is 2,494,460 as of 2015. The lowest rates of children with disabilities were intellectual disabilities (23%) and mental disorders (33.3%). The highest rates of screening were blindness (97%), heart failure (94.4%), and hearing impairment (92.7%). 65.2% of visually impaired people who have already had a disability at the time of marriage, and the remaining 34.8% can be thought to be the cause of high incidence of disability after marriage. 'SID (Seed in the Dark)' project was designed to recapture the visually impaired parent's desire for attachment and the space difficulties of the blind who want to be a normal parent to their children through a visual impairment of a father with 7-year-old daughter. Using Gear VR(Virtual Reality), the general public was able to feel the surroundings as if they had no vision and focused on the hearing. Especially, We expressed the sound wave visually and added the hilarious game element which grasps the terrain of the maze by sound wave like a 'blind person who perceives the surroundings by sound' and catches up with daughter. People with disabilities who are far from mental illness often have a form of family with children. The fact that the rate of childbirth is high means that there is relatively little problem in daily life. It is wondered that the rate of blindness among the visually impaired, which accounts for 10% of the total disabled, is the highest at 97%. This is because, in the case of the visually impaired, the obstacle is often caused by aging, accidents, or diseases due to inherited causes rather than the visual disorder. In particular, However, the fact that there is an obstacle in vision that accounts for 83% of the body's sensory organs causes other difficulties in the nursing process of children who are non-disabled. Parents do not know the face of child when their visual impairment is severe. Parents are extremely anxious about worry that they will be lost or abducted if their children are not by their side. And that the child recognizes the disability of his or her parents other than the other parents easily and takes it as a deficiency. Since visually impaired parents are mentally mature parents with non-disabled people, they may want their children not to feel deprived of their disability. The number of people with visual impairments has been increasing since 2001, and people with impairments often become disabled. In addition, there is much research on the problem of nondisabled parents who have children with disabilities, while there is relatively little interest and research on the problem of nondisabled child rearing of parents with disabilities.

• Journal of Interdisciplinary Genomics
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• 제2권1호
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• pp.10-12
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• 2020

Coffin-Lowry syndrome (CLS) is a genetic disorder characterized by intellectual disability, typical facial features, and skeletal abnormalities. But this syndrome shows highly variable clinical manifestations, and can't be diagnosed with conventional chromosome analysis or comparative genomic hybridization, leading to delayed diagnosis. Here we report an 18-year-old boy with CLS diagnosed by whole exome sequencing. Our patient initially presented with developmental delay, facial dysmorphism at the age of 1. At the age of 18, he developed orthopnea due to mitral regurgitation. At the 22 years of age, he was diagnosed as CLS diagnosed by whole exome sequencing. Our case implies that clinical suspicion is important for early diagnosis, and advanced diagnostic tools such as WES should be considered in suspected cases.

• Journal of Genetic Medicine
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• 제10권1호
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• pp.52-56
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• 2013

Mosaic trisomy 14 syndrome is a well-known but unusual chromosomal abnormality with a distinct and recognizable phenotype. Array comparative genomic hybridization (CGH) analysis has recently become a widely used method for detecting DNA copy number changes, in place of traditional karyotype analysis. However, the array CGH shows a limitation for detecting the low-level mosaicism. Here, we report the detailed clinical and cytogenetic findings of patient with low-frequency mosaic trisomy 14, initially considered normal based on usual cut-off levels of array CGH, but confirmed by G-banding karyotyping. Our patient had global developmental delay, short stature, congenital heart disease, craniofacial dysmorphic features, and dark skin patches over her whole body. Estimated mosaicism proportion was 23.3% by G-banding karyotyping and 18.0% by array CGH.

• Journal of mucopolysaccharidosis and rare diseases
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• 제1권2호
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• pp.40-43
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• 2015

Prader-Willi syndrome (PWS), a complex genetic disorder, arises from suppressed expression of paternally inherited imprinted genes on chromosome 15q11-q13. Characteristics include short stature, intellectual disability, behavioral problems, hypogonadism, obesity, and reduced bone and muscle. The life expectancy of persons with PWS has increased in recent years. Cardiovascular diseases, diabetes, dermatological, and orthopedic problems are common physical complaints in older people with PWS. Behavioral problems are major concerns in adults with PWS into old age. And aging is also associated with significant social and economic changes. Age-related physical morbidity, physical appearance, behavioral and psychiatric problems, functional decline and economic problems can be combined in older PWS. The care for older people with PWS requires a life span approach that recognizes the presence, progression, and consequences of specific morbidity.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제20권1호
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• pp.65-70
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• 2017

Bannayan-Riley-Ruvalcaba syndrome (BRRS) is one of the phosphatase and tensin homolog hamartoma tumor syndrome with a PTEN gene mutation. It is a rare dominant autosomal disorder characterized by cutaneous lipomas, macrocephaly, intestinal polyps, and developmental delay. Diagnosing this syndrome is important, because it may represent the pediatric phenotype of Cowden syndrome, in which there is an increased risk for malignant tumors in children. Until now, the prevalence of BRRS is unknown. Several dozen cases have been reported in the medical literature, but no case has been reported in Korea. Here we report a case of a 19-year-old girl who was diagnosed with BRRS because of macrocephaly, intellectual disability, and intestinal polyps. Her mother had similar findings and a PTEN mutation. Neither patient had mutations detected by conventional mutation-detection techniques, but a PTEN gene deletion was demonstrated by chromosomal microarray analysis.

• Journal of Dental Anesthesia and Pain Medicine
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• 제17권3호
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• pp.231-233
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• 2017

Wolf-Hirschhorn syndrome is a rare hereditary disease that results from a 4p chromosome deletion. Patients with this syndrome are characterized by craniofacial dysgenesis, seizures, growth delay, intellectual disability, and congenital heart disease. Although several cases have been reported, very little information is available on anesthetic management for patients with Wolf-Hirschhorn syndrome. We encountered a case requiring anesthetic management for a 2-year-old girl with Wolf-Hirschhorn syndrome. The selection of an appropriately sized tracheal tube and maintaining intraoperatively stable hemodynamics might be critical problems for anesthetic management. In patients with short stature, the tracheal tube size may differ from what may be predicted based on age. The appropriate size ( internal diameter ) of tracheal tubes for children has been investigated. Congenital heart disease is frequently associated with Wolf-Hirschhorn syndrome. Depending on the degree and type of heart disease, careful monitoring of hemodynamics is important.

• 한국컴퓨터정보학회논문지
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• 제20권12호
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• pp.121-128
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• 2015

This study was to analyze the employment needs of people with disabilities used Internet Knowledge Search for their employment. The questions related to employment of people with disabilities used Naver's Knowledge-iN Search during the year of 2014 to the year of 2015 were analyzed. The results are the follows. First, people with intellectual disabilities, mental disorders and physical disabilities asked many questions related to employment. Second, most minor disabilities asked many questions related to employment than severe disabilities but exception for people with mental disorders. Third, their's questions related to employment had some different but various according to the types of disabilities. Fourth, their's expected occupation had some different but various according to the types of disabilities. Implications for employment activation of people with disabilities were proposed.