• Title/Summary/Keyword: 장애영향평가

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A Look at the Need for a Crafts program of Developmental Disabilities (발달장애의 수예공작 프로그램 필요성에 관한 고찰)

  • Kim, Nam-Soon;Kim, Dong-Hyun;Kim, Hee-Jung
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.1
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    • pp.79-89
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    • 2011
  • The number of the disabled person had been increased for the industrial accident and the environmental pollution. Especially, developmental disability has the high prevalence rate between 5% and 10% of the whole children. The children with a developmental disability can be treated by the physical therapy, the occupational therapy, the psychology therapy, speech therapy, and art therapy. Visual preception which is function to recognize the external environment through the optic organ could be related to most behaviors on the everyday life. But because the children with disability could not develop the visual-preception enough, they came to have difficulties in executing daily life project. For this reason, it is most important to understand the estimation and the cure on the visual-preception in the pediatric occupational therapy. To improve the visual-preception power, we have many kind of methods including sensory integration, training program for the visual-perception and art-craft program. Particularly, the art-craft which is the representative activity for making something by hands, can be applied to anyone. As the study on the brain has been activated, it was proved that handicraft actives could have an good effect on the brain function and using brain. When the fine motor exercise and more delicate and accurate motion were carried, these motions need the essential help of the visual-perception. So it could be expected that using the repetitive hand function by art-craft makes the brain function improve, when a activity that needs a fine motor exercise and more delicate, accurate motion was carried, It also indicates that the art-craft program has a clear treatment value. Though the intervention between visual-perception development and visual-perception disability have a majority in the field of occupational therapy, there is a few study yet. Therefore, this study tried to look back on the necessity of applying the art-craft program to the children with disability as the prestudy for preliminary validity of the master's thesis.

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Occlusal Analysis of the Patients with Temporomandibular Disorders Using T-Scan II System (T-Scan II 시스템을 이용한 측두하악장애 환자의 교합 분석)

  • Yang, Dong-Hyo;Lee, Won-Seop;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • v.32 no.1
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    • pp.105-111
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    • 2007
  • Correlation between occlusal contact pattern and TMD have been hypothesized and partially investigated but results are controversial and not conclusive. The purposes of this study were to compare right-to-left difference of occlusal contact pattern, through contact points, contact force and occlusal balance, in the patients with unilateral TMD and also to evaluate its change related with TMD treatment. 36 patients with unilateral TMD from Department of Oral Medicine in Dankook University Dental Hospital were selected in this study (M:F=7:29, mean age of $29.2{\pm}14.8$ years). A computerized T-Scan II system (Tekscan, INC., USA) was employed for occlusal analysis and the simultaneity and occlusal balance through the number of tooth contact and magnitude of contact force were determined before and after TMD treatment. The number of contact points and contact force was more on the unaffected side than the affected side before treatment (p=0.056 and p=0.060, respectively) while significant difference between both sides was not found after treatment. The number of contact points and contact force on the affected sides significantly increased after treatment (p=0.038 and p=0.052), but the unaffected sides exhibited no significant difference between before and after treatment. In addition, sides difference in relative contact force decreased from about 27% to about 12% after TMD treatment (p=0.001). According to the results of this study, it is likely that unilateral TMD impairs right-to-left occlusal balance and that conservative TMD treatment alleviates the imbalance, subsequently leading to more symmetrical occlusal condition with increased contact points and force.

Speech Evaluation Tasks Related to Subthalamic Nucleus Deep Brain Stimulation in Idiopathic Parkinson's Disease: A Review (특발성 파킨슨병의 시상밑부핵 심부뇌자극술 관련 말 평가 과제에 대한 문헌연구)

  • Kim, Sun Woo;Kim, Hyang Hee
    • 재활복지
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    • v.18 no.4
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    • pp.237-255
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    • 2014
  • Idiopathic Parkinson disease(IPD) is an neurodegenerative disease caused by the loss of dopamine cells in the substantia nigra, a region of midbrain. Its major symptoms are muscular rigidity, bradykinesia, resting tremor, and postural instability. An estimated 70~90% of patients with IPD also have hypokinetic dysarthria. Subthalamic nucleus deep brain stimulation (STN-DBS) has been reported to be successful in relieving the core motor symptoms of IPD in the advanced stages of the disease. However, data on the effects of STN-DBS on speech performance are inconsistent. A medline literature search was done to retrieve articles published from 1987 to 2012. The results were narrowed down to focus on speech performance under STN-DBS based perceptual, acoustic, and/or aerodynamic analyses. Among the 32 publications which dealt with speech performance after STN-DBS indicated improvement(42%), deterioration(29%), mixed results(26%), or no change(3%). The most favorite method was found to be based upon acoustic analysis by using a vowel prolongation and Unified Parkinson's Disease Rating Scale(UPDRS). For the purpose of verifying the effect of the STN-DBS, speech evaluation should be undertaken on all speech components such as articulation, resonance, phonation, respiration, and prosody by using a contextual speech task.

Effects of the Participation in the Rehabilitation Horseback Riding Program on Sleep for individuals with Autism Spectrum Disorder (재활승마 프로그램 참여가 자폐성 장애인들의 수면에 미치는 영향)

  • Son, Sungmin;Jeon, Byoungjin
    • 재활복지
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    • v.21 no.4
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    • pp.195-208
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    • 2017
  • This study aimed to investigate the effect of the participation in rehabilitation horseback riding program on the sleep, and to provide the basic data by analyzing the sleep of individuals with autism spectrum disorders. This study subjects consisted of 10 individuals with autism spectrum disorders residing in a residential care facility for the people with intellectual disabilities. They participated in the 12 weeks rehabilitation horseback riding program regularly. To investigate the effects of participating this program on sleep, subjects' sleep time, wake-up time, total sleep time and wake-up frequency during sleep were measured. Descriptive statistics and Friedman test were conducted to analyze the change the sleep. As a reulst of anlysis, it was found that the sleep time came earlier, the total sleep time increased, and the wake-up frequency during sleep reduced. Therefore, the rehabilitation horseback riding program participation was shown to have a positive effect on the subjects' sleep. Since the application of this program can act as a positive factor in the sleep of the participations, it is expected to be used as an in-facility program for the residents with autism spectrum disorders.

Relationship between Eating Attitude in Female Adolescent and Psychological, Biological Factors ; Depression, Aggression, Impulsiveness and Blood Cholesterol Level (여고생 식이태도와 심리적 및 생리적 요인과의 상관관계 ; 우울감, 공격성, 충동성 및 혈중 콜레스테롤에 대하여)

  • Park, June-Sung;Lee, Joon-Seok;Lee, Jang-Han;Yang, Byung-Hwan;Cho, Yun-Gyoo
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.2
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    • pp.182-193
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    • 2001
  • The purpose of this study is to evaluate correlation of adolescent eating attitude and psychological factors which might influence the eating attitude such as depression, aggression and impulsiveness. The author also tried to identify relationship between adolescent eating attitude and biological factors such as serum cholesterol level and triglyceride level. Two hundred and forty one female high school students without physical disorder were selected as study subjects. For the study, Eating Attitude Test-26KA (EAT -26KA), Beck Depression Inventory (BDI) -Korean version, Barrat Impulsiveness scale (BIS) -Korean version, and Buss-DurKee Hostility Inventory (BDHI) -Korean version were used. Serum cholesterol level and triglyceride level were also investigated. For the purpose of identifying factors which could influence eating attitude of adolescence, stepwise multiple linear regression analysis was done. Total score of BDHI could be most significant factor to explain eating attitude, and BDI, serum cholesterol/triglyceride level be second, third position respectively. But, BIS was not significant predicting parameter. The contributing portion of these factors to explain eating behavior was 25.9%.

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The Processing of Irregular Verbals in Korean : Shown in Aphasics (한국어 불규칙 용언의 형태 정보 : 실어증 환자를 중심으로)

  • 김윤정;김수정;김희정;남기춘
    • Proceedings of the Korean Society for Cognitive Science Conference
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    • 2000.05a
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    • pp.303-308
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    • 2000
  • 용언은 그 어간이 여러 문법소와 결합하면서 자동적 음운 변동을 제외한 형태 변동이 있는가, 없는가에 의해 규칙 용언/불규칙 용언으로 구분할 수 있다. 이러한 불규칙 용언은 심성 어휘집에 어떤 형태로 저장되어 있으며, 규칙 용언과는 어떠한 관계가 있는지, 나아가 실어증 환자의 경우에는 정상인에 비해 어떤 행동장애를 보이며, 장애가 있다면 어느 경로의 손상으로 인한 장애인지를 알아보는 것이 본 연구의 목적이다. 이를 위해 이해성 실어증 환자 한 명과 음어적 실행증 현상을 동반한 경미한 정도의 실어증 환자를 피험자로 하였다. 실험 과제는 단어 채워 넣기 과제(word completion task)를 사용하였다. 즉 주어진 기본형 용언을 검사 문장의 문맥에 맞게 활용하여 채워 넣는 것이다. 실험 결과에 의하면 환자들은 규칙용언의 활용(예. 먹다/먹는)과 불규칙 용언 중 형태를 유지한 채로 활용하는 경우(예. 줍다/줍고)에는 거의 오류가 없었으나, 불규칙 용언이 형태 변화를 겪어야 할 경우(예. 줍다/주워)에는 대부분 오류를 보였다. 또 이때는 기본형(basic form)을 그대로 유지하는 오류 방향성을 관찰할 수 있었다. 이는 그간 문법으로 구분되어 오던 규칙 용언/불규칙 용언의 정보 처리보다는 형태 유지/형태 변화 정보 처리의 영향이 크다는 것을 알 수 있다. 특히 이해성 실어증 환자는 전체적인 오류율이 매우 높았는데, 규칙 용언의 경우에도 오류를 보였다. 이때, 용언의 어간에 해당하는 부분에는 오류가 없고, 뒤에 따르는 내용과의 관계를 파악해야 하는 문법 기능소, 즉 연결 어미에서 오류를 보여 정보의 유지, 통합에 문제가 있다는 기존의 연구와도 일치하는 결과를 나타냈다.환자는 시제 선어말 어미를 선택하는데도 어려움을 보임이 확인되었다. 실험 3 역시 실험 1과 실험2에서와 동일하게 처리의 어려움을 보였다. 이러한 실험 결과들은 국어의 존칭과 시제 선어말 어미가 통사부에서 구(XP)와 결합하여 새로운 구를 형성하는 통사적 접사로 해석할 수 있으며 Grodzinsky의 가설을 지지하는 결과를 보여 줌으로서 국어에서도 AgrP, TP, CP 사이의 통사적 위계가 있음을 뒷받침하는 증거가 된다.전처리한 Group 3에서는 IL-2와 IL-4의 수준이 유의성있게 억제되어 발현되었다 (p < 0.05). 이러한 결과를 통하여 T. denticola에서 추출된 면역억제 단백질이 Th1과 Th2의 cytokine 분비 기능을 억제하는 것으로 확인 되었으며 이 기전이 감염 근관에서 발견되는 T. denticola의 치수 및 치근단 질환에 대한 병인기전과 관련이 있는 것으로 사료된다.을 보였다. 본 실험 결과, $Depulpin^{\circledR}은{\;}Tempcanal^{\circledR}와{\;}Vitapex^{\circledR}$에 비해 높은 세포 독성을 보여주공 있으나, 좀 더 많은 임상적 검증이 필요할 것으로 사료된다.중요한 역할을 하는 것으로 추론할 수 있다.근관벽을 처리하는 것이 필요하다고 사료된다.크기에 의존하며, 또한 이러한 영향은 $(Ti_{1-x}AI_{x})N$ 피막에 존재하는 AI의 함량이 높고, 초기에 증착된 막의 업자 크기가 작을 수록 클 것으로 여겨진다. 그리고 환경의 의미의 차이에 따라 경관의 미학적 평가가 달라진 것으로 나타났다.corner$적 의도에 의한 경관구성의 일면을 확인

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Effect of Sensory Integration Group Therapy on Sensory Processing, Peer Interaction and Task Performance of Children With Intellectual Disabilities (그룹감각통합치료가 지적장애아동의 감각처리와 또래상호작용, 과제수행에 미치는 영향)

  • Choi, Ji-Hyon;Kim, Hee;Lee, Jae-Shin;Yoo, Doo-Han
    • Korean Journal of Occupational Therapy
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    • v.26 no.4
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    • pp.111-125
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    • 2018
  • Objective : This study was designed to determine the effects of sensory integration group therapy with regard to the sensory processing, peer interactions, and task performance, and whether they continue. Methods : Twelve children aged 7 to 13 years enrolled in this study for 60 minutes per session, three times a week for 8 weeks. Sensory integration group therapy consisted of a total of 24 activities that included sensory processing, play skills, and interaction with peers. Short Sensory Profile was used to select subjects. In order to measure the outcome, we used the Short Sensory Profile, Penn Interactive Peer Play Scale and Canadian Occupational Performance Measure at pre, post, and follow-up evaluations. The results were analyzed by means of repeated measures analysis, and the pre-test, post-test, and follow-up tests were compared using the Wilcoxon matched-pair signed rank test. Results : After sensory integration group therapy, sensory processing, peer interaction, and task performance significantly improved(p<.05). In addition, we confirmed that the effects of treatment were maintained in the 4 weeks follow-up test. Conclusion : Sensory integration group therapy is an effective way of mediating effects not only by improving sensory processing skills, but also by providing imitation and training in groups for children in need of peer interaction and linking them to daily life.

Effect of an Ethanol Extract of Cassia obtusifolia Seeds on Alcohol-induced Memory Impairment (결명자 에탄올 추출물이 알코올로 유도로 유도한 기억 장애에 미치는 영향)

  • Kwon, Huiyoung;Cho, Eunbi;Jeon, Jieun;Lee, Young Choon;Kim, Dong Hyun
    • Journal of Life Science
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    • v.29 no.5
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    • pp.564-569
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    • 2019
  • Heavy drinking disrupts the nervous system by activation of GABA receptors and inhibition of glutamate receptors, thereby preventing short-term memory formation. Degradation of cognition by alcohol induces blackouts, and it can lead to alcoholic dementia if repeated. Therefore, drugs need to be developed to prevent alcohol-induced blackout. In this study, we confirmed the effect of an ethanol extract of Cassia obtusifolia seeds (COE) on alcohol-induced memory impairment. The effects of COE and ethanol on cognitive functions mice were examined using the passive avoidance and Y-maze tests. The manner in which alcohol affects long-term potentiation (LTP) in relation to the learning and memory was confirmed by electrophysiology performed on mouse hippocampal slices. We also measured N-methyl-D-aspartate (NMDA) receptor-mediated field excitatory synapses (fEPSPs), which have a known association with cognitive impairment caused by ethanol. Ethanol caused memory impairments in passive avoidance and Y-maze tests. COE prevented these ethanol-induced memory impairments in these tests. Ethanol also blocked LTP induction in the mouse hippocampus, and COE prevented this ethanol-induced LTP deficit. Ethanol decreased NMDA receptor-mediated fEPSPs in the mouse hippocampus, and this decrease was prevented by COE. These results suggest that COE might be useful in preventing alcohol-induced neurological dysfunctions, including blackouts.

Exploring the Thalamus of the Human Brain using Tractography Analysis at 3Tesla MRI (3 Tesla MRI에서 트랙토그래피 분석을 이용한 시상 탐색)

  • Im, Sang-Jin;Kim, Joo-Yeon;Baek, Hyeon-Man
    • Journal of the Korean Society of Radiology
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    • v.15 no.4
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    • pp.555-564
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    • 2021
  • Thalamus is known to play an important role in the regulation of nerve function. Thalamus, located in the center of the brain, is involved in sleep, arousal, and emotional regulation, and has been reported to be associated with multiple sclerosis, essential tremors, and neurodegenerative diseases such as Parkinson's disease. In addition, it has been reported that iron deposits in the thalamus can cause depressive symptoms with age. Although there are discrepancies between studies, it can be deduced that the thalamus region has a clear effect on neurological disorders due to a strong relationship between the thalamus and neurological functions such as emotional control and processing. Through tractography analysis, the connectivity between the detailed areas of each subcortical region was investigated in the form of a matrix, showing strong connectivity and weak interhemispheric connectivity. In the 59> group, the WM connectivity of thalamus was found to be weaker than those of the two groups. Comparisons between the two groups showed that the young groups (10-39 and 40-59) had higher connection intensity than the 59> group and that statistically significant differences in 3 connection pathways were found in each hemisphere. A decrease in thalamus-related connection strength in aging has shown that it can affect emotional and neurological disorders such as anxiety and depression, and network measurements can help assess cognitive impairment across clinical conditions.

Effect of the Height of Occlusal Appliance on Masticatory Muscles in Various Body Postures (다양한 자세에서 교합장치의 두께가 저작근에 미치는 영향)

  • Park, Kye-Ra;Suh, Bong-Jik
    • Journal of Oral Medicine and Pain
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    • v.26 no.1
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    • pp.51-58
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    • 2001
  • 다양한 자세에서 교합장치의 두께가 저작근에 미치는 영향을 근전도학적으로 평가하고자, 측두하악장애의 징후와 증상이 없고 정상교합을 가진 성인 8명을 대상으로, 교합장치를 장착하지 않은 상태에서와 4.3, 6.0, 8.1mm 두께를 가진 교합장치를 장착한 상태에서 직립위, 식사위 그리고 앙와위에서 최대 이악물기 상태의 좌, 우측 교근 몇 전측두근의 근활성도를 채득, 분석하여 다음과 같은 결과를 얻었다. 1. 전측두근에서는 교합장치를 장착하지 않은 상태보다 교합장치를 장착한 상태에서 근활성이 유의하게 감소하였고 (p<0.05), 교근에서는 차이가 없었다. 2. 직립위에서 전측두근의 근활성은 교합장치를 장착하지 않은 상태보다 8.1mm 두께의 교합장치를 장착한 상태에서 유의하게 감소하였다 (p<0.05). 3. 식사위에서 전측두근의 근활성은 교합장치를 장착하지 않은 상태보다 8.1mm 두께의 교합장치를 장착한 상태에서 유의하게 감소하였다 (p<0.05). 4. 앙와위에서 전측두근의 근활성은 교합장치를 장착하지 않은 상태보다 4.3, 6.0, 8.1mm 두께의 교합장치를 장착한 상태에서 유의하게 감소하였다 (p<0.05).

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