• Title/Summary/Keyword: language disability

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Differences between Sociodemographic Characteristics, Instrumental Activities of Daily Living, and Healthcare Needs in Disabled Persons with and without Language (장애인의 언어장애 유무에 따른 사회인구학적 특성, 수단적 일상생활, 필요한 보건의료서비스의 차이)

  • Kang, Sola;Moon, Jonghoon
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.1
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    • pp.37-45
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    • 2019
  • Purpose : The aim of this study was to investigate the differences in sociodemographic characteristics, instrumental activities of daily living (IADL), and healthcare needs among disabled persons with and without language disorder. Methods : Using raw data from the National Survey of the Disabled Person (2017), this study compared 6,320 disabled persons without language disorder and 229 disabled person with language disorder among 6,549 persons with disabilities. The dependent variables included sociodemographic characteristics, IADL, and healthcare needs. Results : People with language disorder were younger (p<.001), illiterate (p<.001), and had higher family income (p=.003) than people without language disorder. In addition, people with language disorder had a higher disability grade than people without language disorder (p<.001), and the percentages of brain injury, hearing impairment, and intellectual disability were higher among type of disability (p<.001). People with language disorder showed significantly higher dependence on all items of IADL than people without language disorder (p<.001). As the first-ranked healthcare need, people without language disorder had the highest percentage of "chronic illness management," and people with language disorder had the highest percentage of "disability management" (p<.001). Conclusion : The findings of the current investigation suggest that health care services are needed to improve IADL in people with language disorder and that the development of a disability management program for people with language disorder is required.

The Politics of Diversity in American Disability Theater: Performing the Intersection of Disability, Race, and Ethnicity (미국 장애연극에 나타난 다양성의 정치학 -장애, 인종, 민족성의 교차 공연)

  • Kim, Yungduk
    • Journal of English Language & Literature
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    • v.56 no.4
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    • pp.597-618
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    • 2010
  • This paper discusses American disability theater's representations of disability identity and disability identity politics. Dramatists John Belluso and Lynn Manning, among others, present characters with disabilities who experience oppressions at multiple, interlocking levels of domination on the basis of disability, race, and ethnicity. In Manning's Shoot, the black, blind hero iterates episodes in which he experienced discrimination and insults in encounters with whites who used derogatory racist words or belittled him and with some school children who taunted him for just being blind. This play, as in Manning's solo performance, Weights, presents narratives of a blind person traversing multiple locations of oppression in "a long litany of losses" in a white-dominated and ableist society. Belluso's Gretty Good Time similarly weaves together stories of disabled women, Gretty and Hideko, who bond together to resist the dominant ideology that reduces them into titillating commodities of mass consumption. Hideko's story serves the two-fold function of both affirming the specificity of her individual experience as an ethnic other and espousing the communal experience of stigmatization she shares with other disabled women like Gretty. In these plays, the intersection of the identity categories of disability, race, and ethnicity highlights the diversity of the body and the fluidity of boundaries, foregounding the specificity of disabled bodies, while at the same time overthrowing the hierarchical binarism between disabled and "normal" bodies.

Development of Language Rehabilitation Program Using the Smart Device-based Application (스마트 기기 기반 언어재활 프로그램 개발)

  • Hwang, Yu Mi;Park, Kinam;Jung, Young Hee;Pyun, Sung-Bom
    • Journal of Digital Convergence
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    • v.17 no.10
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    • pp.321-327
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    • 2019
  • The purpose of this study is to develop a smart device-based Language Rehabilitation Program (LRP) to improve communication ability for the patients with language disability. The content of the LRP includes a variety of semantic categories and grammatical elements and consists of 17 semantic categories, 29 tasks and 3780 items to improve comprehension/production ability at word level, semantic category level, sentence level and discourse level. We developed LRP as a Windows-base management program and an Android-base language rehabilitation application. LRP was developed into an application for smart devices, providing real-time delivery of training contents, measurement and database of training task results, and patient progress and monitoring. A follow-up study will be conducted on the verification of the language rehabilitation effect using LRP by patients with language disability.

Cross-Cultural Adaptation of Korean Language Versions on Neck Pain and Disability Questionnaires and Their Psychometric Testing (한글 경추 통증 및 기능장애 측정 도구의 개발과 타당도 및 신뢰도 검사)

  • Lee, Hae-Jung
    • Korean Journal of Acupuncture
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    • v.24 no.2
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    • pp.99-112
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    • 2007
  • Objectives : It was to translate three neck and spinal pain disability questionnaires - the Neck Disability Index (NDI), the Neck Pain and Disability Scale (NPDS), and the Functional Rating Index (FRI) - into Korean language, and evaluate the psychometric properties of Korean versions of questionnaires to achieve a good cross-cultural adaptation. Methods : Forty (23 males, 17 females) subjects aged from 15 to 64 years old, participated to examine test-retest reliability. One hundred and eighty (76 males, 104 females) subjects with a primary diagnosis of non-specific neck pain and 81 healthy volunteers were undertaken to examine internal consistemcy, discriminative validity and longitudinal construct validity. Versions of each questionnaire in idiomatic modern Korean were developed using a procedure proposed by Beaton et al. (2000). To assess reliability, the Intraclass Correlation Coefficient (ICC $_{(2,1)}$) was calculated. Internal consistency was evaluated by Cronbach's alpha. Discriminative validity was examined with independent-group t-tests. Responsiveness was tested by calculating the effect size and standardized response mean for each questionnaire and using Pearson' s r and the area under the receiver operating characteristic curve analysis. Results : Test-retest reliability ofthe translated versions of the three disability questionnaires was excellent (ICC $_{(2,1)$ = 0.86-0.90). High internal consistency was found in the three disability questionnaires (Cronbach's alpha ranged from ${\alpha}=0.88$ for the FRI to ${\alpha}=0.96$ for the NPDS and 0.82 for the Short Form McGill Pain Questionnaire(SFMPQ)). the VAS subscale of the SFMPQ was found to be the most responsive of the subscales (ES=1.44, SRM=1.37). The VAS was also the most responsive pain and disability index in internal responsiveness analysis, although disability indices showed marginally better responsiveness when compared with external standards. No floor or ceiling effects were observed. Conclusions : It is concluded that the questionnaires were successfully translated and exhibit acceptable measurement properties, and may suggest that they are suitable for use in clinical and research application.

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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.

Analysis of Clinical Questionnaire on the Five Retardation, Five Stiffness and Five Limpness (오지(五遲) 오연(五軟) 오경(五硬) 유아(幼兒)의 임상면접지 분석)

  • Park, Jae-Hyung;Yun, Young-Ju;Park, Jae-Hyun;Paeck, Eun-Kyung
    • The Journal of Pediatrics of Korean Medicine
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    • v.24 no.2
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    • pp.1-12
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    • 2010
  • Objectives Taking detailed patient history helps earlier diagnosis and treatment of developmental disability. In this study we analyzed the clinical questionnaire to find out the clinical characteristics of those with five-retardation, five-limpness, or five-stiffness. Methods The data was collected from 484 children under the age of six who have visited H oriental medicine clinic for developmental delay. The clinical questionnaire was filled out by their parents and the data was analyzed statistically. Results 436 children showed symptoms of five-retardation, 90 children suffered from five-stiffness, 54 children showed five-limpness and 7 children suffered from five-stiffness and five-limpness complex. Generally, boys had higher chance to show disease symptoms than the girls (2.32:1) and 40 children (8.26%) reported family history of developmental disability. Cerebral palsy ranks the most common familial disease, followed by developmental delay, mental retardation, autistic disorder and language disorder. Among the children we have studied, 285 children (63.19%) showed delayed unassisted walk while 192 children (42.57%) had language disorder. Also, 138 children (28.51%) had both walk and language disorders. The children in this study also showed delayed toilet training and half of them had little stranger anxiety when they were infants. It was also found that 120 children (24.79%) experienced epilepsy. This study reaffirmed that low birth weight, premature birth, and suffocation are major risks causing neurological damage. Conclusions They had history which including family history, problems at birth, epilepsy, face recognition, muscle tone disorder, delayed walking without assistance, language ability, and toilet training.

THE RESEARCH TRENDS OF PAPERS IN THE JOURNAL OF KOREAN ASSOCIATION FOR DISABILITY AND ORAL HEALTH (대한장애인치과학회지에 게재된 논문의 연구경향 분석)

  • Kim, Ik-hwan;Song, Je Seon
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.2
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    • pp.65-70
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    • 2018
  • The purpose of this study was to examine the state of the articles in the Journal of Korean Association for Disability and Oral Health. All the papers in the Journal of Korean Association for Disability and Oral Health of 2005 to 2018 were analyzed. A total of 181 papers were classified according to its type, field of the study, school, the number of authors, references, and written language. According to the type of the paper, 38 (21.0%) were original articles, 12 (6.6%) were review articles, 124 (68.5%) were case reports and 7 (3.9%) were others. In relation to the field, the most were pediatric dentistry. According to author's school, some schools showed preponderances. As to the number of researchers, the most common number of researchers was four (39 articles, 21.5%), and the number of the articles written by six (37, 20.4%) was similar to that of the articles written by three and five (28, 15.5%). As for the number of references, this number ranged from minimum 0 to maximum 40, and the average was 14.8. Regarding the language of the articles, English was used in 5 articles (2.8%), and Korean was used in 176 articles (97.2%). Thirty-nine (21.5%) papers were done in collaboration with workers of the other field. The efforts of this study was to provide useful information of the journal and the development of research in Special care dentistry.

A Comparative Study on Discrimination Issues in Large Language Models (거대언어모델의 차별문제 비교 연구)

  • Wei Li;Kyunghwa Hwang;Jiae Choi;Ohbyung Kwon
    • Journal of Intelligence and Information Systems
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    • v.29 no.3
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    • pp.125-144
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    • 2023
  • Recently, the use of Large Language Models (LLMs) such as ChatGPT has been increasing in various fields such as interactive commerce and mobile financial services. However, LMMs, which are mainly created by learning existing documents, can also learn various human biases inherent in documents. Nevertheless, there have been few comparative studies on the aspects of bias and discrimination in LLMs. The purpose of this study is to examine the existence and extent of nine types of discrimination (Age, Disability status, Gender identity, Nationality, Physical appearance, Race ethnicity, Religion, Socio-economic status, Sexual orientation) in LLMs and suggest ways to improve them. For this purpose, we utilized BBQ (Bias Benchmark for QA), a tool for identifying discrimination, to compare three large-scale language models including ChatGPT, GPT-3, and Bing Chat. As a result of the evaluation, a large number of discriminatory responses were observed in the mega-language models, and the patterns differed depending on the mega-language model. In particular, problems were exposed in elder discrimination and disability discrimination, which are not traditional AI ethics issues such as sexism, racism, and economic inequality, and a new perspective on AI ethics was found. Based on the results of the comparison, this paper describes how to improve and develop large-scale language models in the future.

Comparisons of Awareness of Health Care Services and Characteristics in Persons with Speech-Language Disorder Related to Speech Therapy Use for Life Care : From National Survey of the Disabled Person of 2017 (라이프 케어를 위한 언어장애인의 언어치료 이용여부에 따른 특성 및 보건의료서비스 인식 비교 : 2017년 장애인 실태조사를 이용하여)

  • Kang, So-La;Moon, Jong-Hoon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.3
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    • pp.249-258
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    • 2019
  • The health care services are the most basic social institutions that are provided to citizen including disabled persons for improvement of health. However, the study of the difference of health care services according to the speech therapy use in the people with speech-language disorders was insufficient. The aim of this investigation was to compare the awareness of health care services and characteristics of people with speech-language disorders according to speech therapy use. The researchers selected 229 people with language disorder using raw data of National Survey of the Disabled Person (2017). We compared the characteristics and health care services of people with speech-language disorders by distinguishing between speech therapy non-users and speech therapy users. Among the 229 people with language disorder, speech therapy users were 37 persons (16.2%). In comparison with non-users, users were younger, more preschoolers, more family incomes, and intellectual disabilities and autistic disorder were the most common types of disability enrollment. Users had a lower proportion of unmet medical needs than non-users. For the reasons of unmet medical need, there were 6.8% and 6.3% of the "economic reasons" and "communication difficulties" Both users and non-users responded that "disability management services" need to be strengthened by the government. In conclusion, we suggest that access to health care services needs to be increased to lower the barriers of speech therapy use.