• Title/Summary/Keyword: 비 장애 아동 연구

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Comparison of Health Care Utilization and Morbidity of Children With and Without Disabilities in Korea (장애아동과 비장애아동의 의료이용 및 질병특성 비교)

  • Kim, Eu-Gene;Kim, Kyung-Mee;Yoo, Dong-Chul
    • The Journal of the Korea Contents Association
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    • v.17 no.7
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    • pp.696-706
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    • 2017
  • This study is to examine health care utilization and morbidity of disabled and non-disabled children in Korea to evaluate the health disparities. We used medical claim data of 2010 from the National Health Insurance Service-National Sample Cohort data. As a result of the analysis, the disabled children are not in good health condition because they have more frequency of medical service use, hospitalization rate, and more number of diseases and spent more on medical expenses than non-disabled children. Patterns of the most frequent disease differ from significantly between disable and non-disabled. Disabled children had a higher prevalence of selected birth defects and selected health conditions associated with physical disability and a lower prevalence of selected infection disease than children without disability. In conclusion, Health policy changes that would extend the access to health service for children with disabilities characterized by frequent medical care, hospitalization, excessive medical expenditure and complex diseases.

Differences of Obstetric Complications and Clinical Characteristics between Autism Spectrum Disorder and Intellectual Disability (자폐스펙트럼장애와 지적 장애의 산과적 합병증 및 임상적 특성의 차이)

  • Lee, Seul Bee;Kim, Ji Yong;Chung, Hee Jung;Kim, Seong Woo;Im, Woo Young;Song, Jung-Eun
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.165-173
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    • 2016
  • Objectives : Since the awareness of autism spectrum disorders(ASD) is growing, as a result, it is increasing numbers of infants and toddlers being referred to specialized clinics for a differential diagnosis and the importance of early autism spectrum disorders detection is emphasized. This study is to know the difference between ASD and intellectual disability(ID) from comparison of the demographics, clinical characters and obstetric complications. Methods : The participants are 816 toddlers who visited the developmental delay clinic(DDC) in National Health Insurance Ilsan hospital. The number of toddlers diagnosed as ASD and ID was 324 and 492. 75 toddlers out of 114 who returned to DDC were diagnosed as ID at the first visit but 7 of them had changed diagnosis to ASD at the second visit. After compared ASD with ID from the first visit, we analyzed characters of toddlers who had the changed diagnosis to ASD at the second visit. Results : As a result, the comparison between ASD and ID at the first visit shows that the boys have higher ratio, lower obstetric complication and lower language assessment score in ASD. The toddlers who had the changed diagnosis at the second visit were all boys and they had more cases of family history of developmental delay and had lower score of receptive language developmental quotient. Conclusions : These findings suggest that sex, language characteristics and obstetric complication could be useful in the early detection of ASD.

Study on the Mineral and Heavy Metal Contents in the Hair of Preschool Aged Autistic Children (자폐아동 모발에서의 미네랄 및 중금속 함량에 관한 연구)

  • Jung, Myung-Ae;Jang, Hyun-Seo;Park, Eun-Ju;Lee, Han-Woo;Choi, Jeong-Hwa
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.37 no.11
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    • pp.1422-1426
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    • 2008
  • The purpose of this study was to test characteristics between normal and autistic children via comparison of nutrient intakes, hair mineral, blood free radical, and serotonin contents. A total of 50 children aged 3-9 were divided into two main groups of normal control children (n=22) and autistic children (n=28) tested by child psychiatrist. The nutrient intakes by 24-hour recall method were no significantly different between the two groups. The concentrations of toxic mineral, such as cadmium (Cd) and lead (Pb) in hair of autistic children were significantly higher, while concentration of antioxidant mineral (Cu, Zn, Fe) was lower than that of normal children. The autistic children had significantly higher concentrations of blood free radical than that of normal children. No significant difference was observed in serotonin concentration between the two groups. Our results suggest a possible role of increased toxic mineral and free radical, both of which may be relevant to the pathophysiology of autism in children with developmental delay.

마찰음 /S/가 청각장애 아동의 선.후행하는 모음의 지속시간에 미치는 영향

  • Park, Hee-Jung;Shin, Hye-Jung;Park, Hyun;Chae, Jung-Hee;Seok, Dong-Il
    • Proceedings of the KSLP Conference
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    • 2003.11a
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    • pp.241-242
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    • 2003
  • 연구목적 : 청각장애 아동들은 청각적 피드백의 손실로 인하여 분절적 측면뿐만 아니라 초분절적인 측면도 건청 아동과는 다른 형태를 나타낸다. 석동일(1999)은 청각장애인의 모음 조음의 특성을 고찰한 결과, 저모음의 지속시간이 길며, 고모음의 지속시간이 짧다고 하였다. 또한, 청각장애인들은 자음 산출에 있어서 가시적인 효과가 높은 음소가 낮은 음소에 비해 정조음률이 높다. 따라서, 본 연구의 목적은 청각장애 아동의 자음 중 가장 많이 오조음하는 /s/의 오류 형태에 따라 선.후행하는 고모음 /i/와 저모음 /a/의 지속시간을 비교.연구하는 것이다. (중략)

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Overweight & Obesity in Children & Adolescents with Autism Spectrum Disorders - Retrospective Chart Review - (자폐스펙트럼장애(Autism Spectrum Disorder) 소아청소년에서의 과체중 및 비만 연구 - 후향적 의무기록 조사 -)

  • Im, Woo Young
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.2
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    • pp.129-135
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    • 2015
  • Objectives : In children and adolescents, the prevalence of overweight has increased in the last 20 years. little research is available on the prevalence of obesity in children with autism spectrum disorders(ASD). The purpose of our study was to determine the prevalence of overweight among a clinical population of children diagnosed with autism spectrum disorders(ASD). Methods : Retrospective chart review of children ages 3-18 years seen between 2012 and 2015 at a Konyang University hospital psychiatric clinic. Diagnostic, medical, and demographic information was extracted from the charts. Body mass index(BMI) was calculated from measures of height and weight recorded in the child's chart. The Center for Disease Control's BMI growth reference was used to determine an age and gender-specific BMI z-score for the children. Results : In our study, children with ASD compared to non ASD group had significantly higher BMI percentiles (p=0.032). The prevalence of overweight($BMI{\geq}85th$ to 95th percentiles) and obesity($BMI{\geq}95th$ percentiles) was 35% and 19% respectively in children with ASD and without ASD. Conclusions : Despite noted limitations, our data suggest that overweight and obesity in children with ASD are more prevalent than without ASD. Longitudinal and further study is needed to examine the factors associated with obesity in this population.

BIO-PSYCHOSOCIAL STUDY OF EMOTIONAL BEHAVIORAL PROBLEMS IN KOREAN ELEMENTARY SCHOOL CHILDREN(II) -Quantitated Various EEG Elements of Basic Activity in ADHD and Emotional Behavioral Problem Children by Computerized Wave Form Recognition Method - (국민학교 아동의 정서행동문제에 대한 생물 ${\cdot}$ 정신사회학적 연구(II) -뇌파자동해석장치에 의한 주의력 결핍과잉운동장애 아동과 정서행동문제아동의 뇌파조사-)

  • Lee, Chung-Kyoon;Jang, Kyung-June;Park, Seong-Ho;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.1 no.1
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    • pp.40-54
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    • 1990
  • The author studied EEG differences among normal, children, children with emotional behavioral problems determined by Rutter's questionnaire and children with attention-deficit hyperactivity disorder according to DSM-III-R. The results are as follows ; There were no differences in incidence and pattern of abnormal EEG between normal control children and children with emotional behavioral problems. But children with attention-deficit hyperactivity disorder tend to show lower average amplitude, and less wave percentage time of alpha wave in occipital area than normal did, furdermore wave percentage time of alpha wave appeared more in left occipital area than in right occipital area, These results demonstrated that emotional behavioral problems in elementary school children may not be related to EEG abnormality, Where as children with attention deficit hyperactivity disorder showed underdeveloped alpha waves as compared with normal control children.

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The Effect of Computer-Based Cognitive Rehabilitation Program on Visual Perception and ADL in Children with Intellectual Disaility (전산화 인지프로그램(코트라스)이 지적장애 아동의 시지각과 일상생활에 미치는 효과)

  • Kim, S.Y.;Rhee, K.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.105-113
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    • 2015
  • The purpose of the study was to verify the clinical effect of Computer-based cognitive rehabilitation program for Children for recovering the visual perception and ADL ability in intellectual disability. For this purpose, 3 intellectual disabilities with visual perception and ADL disorders participated in a clinical experiment to verify the effect of Computer-based cognitive rehabilitation program. They all have 5 common conditions in intellectual disability for objective experimental result. All participant were evaluated with Korean-Development Test of Visual Perception-2(K-DTVP-2), Wee Functional Independence Measure(Wee-FIM) before and after the planned intervention sessions. All intervensions were intensively carried out for 20weeks, 1 time a week. The result were as follows. K-DTVP and Wee-FIM scores were improved significantly compared to pre-intervention. Further studies are needed to verify the effect on various group and lots of participants.

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A study on factors influencing the change of children's psycho-social development raised by disabled parents: focused on the influence of parent's social engagement and future forecast (장애부모에게서 자란 아동의 심리사회성 변화요인 - 부모의 사회참여활동 및 미래전망을 중심으로 -)

  • Kim, Sa Hyun;Kim, So Jin
    • Korean Journal of Family Social Work
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    • no.53
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    • pp.199-234
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    • 2016
  • This study deals with the psycho-social development of children raised by disabled parents. In particular, we are willing to examine the influence of parental factors such as social engagement and future forecast on the change of children's psycho-social development. Using the three waves of Korean Welfare Panel Study data, these predictors were examined through the Latent Growth Curve Modeling. The result shows that parent's disability has a negative influence on their children's psycho-social development. However, similar to the findings of the previous studies, the degree of this influence tends to be decreased as children grow up. Lastly, two parental factors have a direct influence on the psychological development of children. Furthermore, parent's social engagement has an indirect influence on the change of sociality of children through the psychological change of them. This result means that we should encourage disabled parents to participate actively in social activities and think positively about their future.

The Relationship between Level of Participation in Children's play, Empathy Ability and Coping Behavior in Mothers of Children with Disabilities (장애아동 어머니의 놀이참여 수준과 공감능력, 대처행동과의 관계)

  • Cho, Mi-Lim
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.343-352
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    • 2020
  • The aim of this study was to investigate the relationship between level of participation in children's play, empathy ability and coping behavior in mothers of children with disabilities. The study included 94 mothers of children with disabilities and the study was conducted from May 2018 to August 2018 based on the questionnaire about the level of participation in children's play, empathy ability and coping behavior. According to the study, Mothers of children with disabilities actively participate in physical play with their children and have a higher emotional empathy compared to cognitive empathy, and have acted to actively solve the problems for their children. When children have been treated for more than 1 to 2 years, the level of participation in children's play and the coping behavior were the highest. The longer their children's treatment period, the higher the mothers' empathy. The correlation between level of participation in children's play and coping behavior were significant. And empathy and coping behavior had a strong positive linear relationship. These results suggest that there are differences in level of participation in children's play, empathy and coping behavior depending on mothers' of children with disabilities general characteristics and the higher level of mothers' of children with disabilities participation in children's play, the more empathetic they have. When individualized intervention is provided, we look forward to providing professional service that take into account the characteristics of mothers of children with disabilities.

Acoustic features of diphthongs produced by children with speech sound disorders (말소리장애 아동이 산출한 이중모음의 음향학적 특성)

  • Cho, Yoon Soo;Pyo, Hwa Young;Han, Jin Soon;Lee, Eun Ju
    • Phonetics and Speech Sciences
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    • v.13 no.1
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    • pp.65-72
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    • 2021
  • The aim of this study is to prepare basic data that can be used for evaluation and intervention by investigating the characteristics of diphthongs produced by children with speech sound disorders. To confirm this, two groups of 10 children each, with and without speech sound disorders were asked to imitate the meaningless two-syllable 'diphthongs + da'. The slope of F1 and F2, amount of change of formant, and duration of glide were analyzed by Praat (version 6.1.16). As a result, the difference between the two groups was found in the slope of F1 of /ju/. Children with speech sound disorders had smaller changes in formants and shorter duration time values compared to normal children, and there were statistically significant differences. The amount of change in formant in the glide was found in F1 of /ju, jɛ/, F2 of /jɑ, jɛ/, and there were significant differences in the duration of glide in /ju, jɛ/. The results of this study showed that the range of articulation of diphthongs in children with speech sound disorders is relatively smaller than that of normal children, thus the time it takes to articulate was reduced. These results suggest that the range of articulation and acoustic analysis should be further investigated for evaluation and intervention regarding diphthongs of children with speech sound disorders.