• 한국비블리아학회지
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• 제26권4호
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• pp.5-30
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• 2015

장애인의 고등교육에 대한 관심이 높아지면서 해를 거듭할수록 장애대학생도 증가하고 있지만, 장애대학생의 성공적인 대학생활이 이루어지고 있는가는 별개의 문제로 보아야 한다. 이 연구는 국내 시각장애대학생의 정보접근권 보장과 정보복지 향상을 위해 체계적인 대체자료 지원체계를 마련하기 위한 목적으로 수행되었다. 이를 위해 국내 시각장애대학생을 위한 대체자료 제작 공급체계와 시각장애대학생들의 대체자료 이용 현황과 요구를 분석하였으며, 데이터 수집을 위해 대학 장애학생지원센터 담당자와 시각장애대학생을 대상으로 설문조사를 실시하였다. 국내 시각장애대학생을 위한 대체자료 지원체계 방안으로 1) 국립장애인도서관의 역할 강화, 2) 네트워크 구축을 통한 장애학생지원센터의 역량 강화, 3) 저작권 보호를 위한 기술적 제도적 개선 등을 제안하였다.

• Journal of Korean Neurosurgical Society
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• 제57권1호
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• pp.23-31
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• 2015

Objective : The aims of this study were to investigate the quantitative relationship between pituitary macroadenoma size and degree of visual impairment, and assess visual improvement after surgical resection of the tumor. Methods : The medical records of patients with pituitary adenoma, who had undergone trans-sphenoidal adenectomy between January 2009 and January 2011, were reviewed. Patients underwent an ocular examination and brain MRI before and after surgery. The visual impairment score (VIS) was derived by combining the scores of best-corrected visual acuity and visual field. The relationship between VIS and tumor size/tumor type/position of the optic chiasm was assessed. Results : Seventy-eight patients were included (41 male, 37 female). Thirty-two (41%) patients experienced blurred vision or visual field defect as an initial symptom. Receiver operating characteristic curve analysis showed that tumors <2.2 cm tended to cause minimal or no visual impairment. Statistical analysis showed that 1) poor preoperative vision is related to tumor size, displacement of the optic chiasm in the sagittal view on MRI and optic atrophy, and 2) poorer visual prognosis is associated with greater preoperative VIS. In multivariate analysis the only factor significantly related to VIS improvement was increasing pituitary adenoma size, which predicted decreased improvement. Conclusion : Results from this study show that pituitary adenomas larger than 2 cm cause defects in vision while adenomas 2 cm or smaller do not cause significant visual impairment. Patients with a large macroadenoma or giant adenoma should undergo surgical resection as soon as possible to prevent permanent visual loss.

• Journal of Genetic Medicine
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• 제18권1호
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• pp.55-59
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• 2021

West syndrome (WS) presenting with infantile spasms, developmental delay, and hypsarrhythmia has genetic etiology in some patients. Movement disorders or visual impairment that share genetic underpinnings with infantile spasms can provide diagnostic clues for specific genetic mutations. Mutations of the GRIN1 gene encoding the glutamate receptor inotropic N-methyl-D-aspartate subunit can result in WS with hyperkinetic movements, cortical visual impairment, autistic features, and bilateral polymicrogyria. An 11-month-old boy with WS showed hyperkinetic movements and visual impairment. Brain magnetic resonance imaging and metabolic investigations revealed no abnormalities. Whole-exome sequencing revealed a novel likely pathogenic variant (c.1561_1563del; p.Asn521del) of GRIN1 (NM_007327.3). The proband was treated with vigabatrin and became seizure-free within one week. Notably, the cortical blindness improved within 3 months and the hyperkinetic movements resolved one year after the proband became seizure-free. To the best of our knowledge, this is the first report of GRIN1 encephalopathy in Koreans.

• 예술인문사회 융합 멀티미디어 논문지
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• 제9권1호
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• pp.457-466
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• 2019

본 연구는 시각장애인의 전시예술품 관람 실태 및 욕구조사를 통해 전시예술품 방문관람 접근성을 높이고 지원방안을 모색하여 시각장애인들의 문화예술을 향유할 권리를 향상시키는 데 그 목적이 있다. 시각장애인을 대상으로 온라인 설문지를 사용하여 연구참여자를 모집하였으며, 총 83명의 응답이 최종 분석에 사용되었다. 그 결과는 다음과 같다. 첫째, 시각장애인의 문화생활 이용 실태는 영화감상이 가장 주된 반면 전시예술품감상은 최하위였다. 단, 주된 문화생활 다섯 가지를 선택해 달라는 질문에 71.1%의 응답에 전시예술품 감상이 포함되었다. 전시예술품 관람 목적은 재미추구가 가장 높게 나타났다. 전시예술품 관람을 하지 않는 이유로는 시각위주의 관람문화를 가장 많이 표시하였다. 둘째, 시각장애인들이 선호하는 전시예술품 감상 방법으로는 눈을 작품 가까이에 대고 감상하는 것으로 나타났으며 절반 이상의 응답자는 잔존시각을 활용한다고 보고했다. 작품 감상 시 시각을 가장 많이 사용하지만 응답자 대부분이 다중 감각을 사용한다고 보고하였다. 또한 다양한 감각을 활용하여 작품을 감상을 할 수 있는 보조기기/서비스가 있다면 감상에 도움이 될 것이라고 보고하였다. 본 연구 결과는 시각장애인의 특성을 고려하여 전시예술품 관람에 있어 환경적 변화가 요구됨을 시사한다. 이를 통해 궁극적으로 문화예술향유권 실현하고 통합사회를 구현하는 데 기여할 것으로 기대한다.

• 한국대기환경학회지
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• 제15권5호
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• pp.599-611
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• 1999

Now that the plume of point source was suspected to have strong impact on visibility impairment in Pusan, we evaluated visibility impairment impact of the pulme from Pusan Thermo Electric Power Plant in Pusan. Level-1 and-2 analyses were carried out using VISCREEN(Visual Impact Screen model). The emission rates for this Pusan Thermo Electric Power Plant was projected to be 116g/s of nitrogen oxides(as $NO_2$). The source fails the level-1 test with a Plume perceptibility(ΔE) of 30, nearly 15 times the screeing threshold. To characterize worstcase meteorological conditions for level-2 screening, we obtained meteorological data from Mar., 1996 to Feb., 1997 of Pusan Thermo Electric Power Plant. The source fails the level-2 test with a ΔE of 17, nearly 8.5 times the screening threshold. These analyses indicated that adverse visibility impairment could not be ruled out. Therefore a Level-3 analysis was performed using PLUVUE II(Plume Visibility model). As a result, maximum reduction of visual range for 0900LST in winter was 0.9%. Visual impact of the plume from vast point source was judged to be considerable in terms of background visibility of urban area.

• 한국정보통신학회논문지
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• 제13권6호
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• pp.1105-1110
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• 2009

직업재활은 장애인이 직업을 통하여 비장애인과 같은 삶을 영위하게 돕는 과정으로 정확한 직업평가를 통해 수행된다. 이러한 직업평가의 전통적인 방법은 평가도구 사용, 상담 등을 이용하는데 웹을 이용하여 직업평가를 수행하게 되면 장애인에게 매우 효율적일 수 있으나 웹접근성을 지원해야하는 문제가 발생한다. 이 논문에서는 상대적으로 웹접근성이 취약한 시각장애인을 대상으로 직업평가를 수행할 수 있는 온라인 적성검사 시스템을 설계하고 구현한다. 전 세계적으로 진로지도와 상담에서 가장 많이 사용되고 있는 홀랜드 검사를 이용하며 기존의 웹 사이트에서 제공되고 있는 홀랜드 검사와 구현된 적성검사 시스템의 웹접근성을 비교 평가하여 개발된 시스템의 우수성을 입증한다.

• 한국보건간호학회지
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• 제33권2호
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• pp.242-257
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• 2019

Purpose: This study examined the life experiences of the wives of men who were born with normal vision but gradually developed a visual impairment, with particular focus on their way of facing and coping with their life crisis. Method: A narrative approach was used to not only understand women's experiences within sociocultural contexts, but also reveal the subjective meaning of their personal life stories through their own voices. A purposive sample of three participants having husbands unexpectedly diagnosed with visual impairment during their marriage was recruited. The data were analyzed using the narrative analysis methods suggested by Clandinin and Connelly. Results: The wives took the crisis of their husbands' visual impairment as an economic crisis of the family. They faced a variety of difficulties, including extreme despair, role changes, and economic burdens. On the other hand, they tried to keep the family secure through a range of coping strategies that were motivated by compassion toward the husbands, maternal affection for the children, and a sense of responsibility for their families. Conclusion: This study revealed the need for financial support for temporarily disadvantaged families. In addition, various nursing and counseling programs for the family members will also be needed to help recover the family functions.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2009년도 춘계학술대회
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• pp.191-194
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• 2009

직업재활은 장애인이 직업을 통하여 비장애인과 같은 삶을 영위하게 돕는 과정으로 정확한 직업평가를 통해 수행된다. 이러한 직업평가의 전통적인 방법은 평가도구 사용, 상담 등을 이용하는데 웹을 이용하여 직업평가를 수행하게 되면 장애인에게 매우 효율적일 수 있으나 웹접근성을 지원해야하는 문제가 발생한다. 이 논문에서는 상대적으로 웹접근성이 취약한 시각장애인을 대상으로 직업평가를 수행할 수 있는 적성검사 시스템을 설계하고 구현한다. 전 세계적으로 진로지도와 상담에서 가장 많이 사용되고 있는 홀랜드 검사를 이용하며 기존의 웹 사이트에서 제공되고 있는 홀랜드 검사와 구현된 적성검사 시스템의 웹접근성을 비교 평가하여 개발된 시스템의 우수성을 입증한다.

• Journal of Korean Biological Nursing Science
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• 제22권4호
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• pp.232-248
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• 2020

Purpose: The purpose of this study was to develop and apply a motivation-strengthening obesity management program for obese subjects with visual impairment and evaluate its effects. Methods: The program development and evaluation periods were from March to August 2018. The study design was an experimental study of non-equality, control repeat design. 25 subjects in the experimental group participated in the 12-week obesity management program and the 26 people in the control group did not. Results: The motivation-strengthening obesity management program included stretching exercises for 30 minutes in the morning five times a week. In addition, counseling, education, and group discussions were continued once a week for motivational strengthening. Special custom exercises for blind patients were also completed once a week simultaneously. Both of these activities were continued for 50 minutes a week for a total of 12 weeks. Measurements were recorded periodically to identify the sustained effects of the program. The obese subjects with visual impairment improved their knowledge of obesity, perceived disability, self-efficacy of exercise, and quality of life related to obesity through the motivational obesity management program. Waist circumference, systolic blood pressure, diastolic blood pressure, and fasting blood sugar were also improved in obese subjects. Conclusion: The study findings indicate that this program could be an active intervention for the control of weight gain in participants with visual impairment. Therefore, the motivation-strengthening program based on the ADDIE (Analysis, Design, Development, Implementation& Evaluation) model could be an effective strategy for better health outcomes of obese subjects with visual impairment.

• 대한한방내과학회지
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• 제42권5호
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• pp.1045-1053
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• 2021

Objectives: This study investigated the effectiveness of acupuncture and herbal medicine (Gami-banhabakchulchunma-tang) for post-stroke visual impairment. Methods: A 79-year-old male with headache, dizziness, visual field defects, and blurred vision caused by a posterior cerebral infarction was treated with acupuncture and Gami-banhabakchulchunma-tang for three months. We used the Numerical Rating Scale (NRS) for each symptom and measured the patient's eye-movement range. Results: Following treatment, the NRS score for headache decreased from 5 to 0, and for dizziness and blurred vision, it decreased from 5 to 1. The NRS score for visual field defects decreased from 5 to 2. The range of the patient's left and right eye movements both improved, and no adverse side effects were observed during the admission period. Conclusions: Korean medical treatment with acupuncture and herbal medicine (Gami-banhabakchulchunma-tang) could effectively treat post-stoke visual impairment.