• Title/Summary/Keyword: 조절장애

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Gender Difference in the Prevalence of Disabilities in Activities of Daily Living among the Korean Elderly (한국 노인의 성별 일상생활활동 장애율)

  • Kang, Eunjeong
    • 한국노년학
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    • v.27 no.2
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    • pp.409-425
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    • 2007
  • The purposes of this study were to compare the disability prevalence and its related factors between men and women. The data used for the analysis was the National Health and Nutrition Survey, 2005, and the instrument of measuring disability was the K-ADL which had been developed by Won(2002). Chi-square test and multivariate logistic regression were used to test the gender difference. In the bivariate analyses, women had more disabilities than men among the entire elderly and the young elderly. However, there was not gender difference of disability among the old elderly. After controlling for age and other factors related to disability, no gender differences in the prevalence of disability were found. However, in the same analyses for the individual activities of daily living, men had more disabilities than women for all the activities except bathing and incontinence control. In conclusion, women's higher prevalence of disability in the univariate and bivariate analyses were spurious, because it was disappeared when other related factors to disability were controled for and women's disability became lower than men for some activities of daily living.

Metabolic Complications Associated with HIV and Highly Active Antiretroviral Therapy : Overview & A Clinical Case Report (HIV와 HAART 요법과 관련된 대사합병증: 개요 및 임상증례보고)

  • Choi, Eun Joo;Graham, Kathleen K.
    • Korean Journal of Clinical Pharmacy
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    • v.22 no.3
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    • pp.274-282
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    • 2012
  • 현재 HIV(human immunodeficiency virus) 감염에 대하여 보다 많은 효과적인 약물치료법이 가능하다. Highly active antiretroviral therapy (HAART)로 언급되는 이 치료법은 항 HIV치료제의 다양한 병용법으로 구성된다. 그러나, 최근에 이렇게 치료된 환자들에게 중요한 독성들(toxicities)로서 빈번하게 상당한 지질이상과 혈중당의 항상성 조절장애와 연관된 몸의 지방 분포 비정상으로서 나타나는, 광범위한 대사성 합병증(metabolic complications)이 출현해왔다. 이러한 합병증의 관리는 표준적인 치료 중재(interventions)와 연관하여 지질과 당 대사와 관련된 항 HIV치료제의 특성 있는 효과를 이해하면서, 항 HIV 약물들을 조절하는 것을 포함한다. 본 증례는 항HIV 약물요법과정에서 나타난 상당한 지질 이상, 매우 높은 LDL 수치와 높은 TG수치에 따르는 후속 약물요법을 보여주며, 개별화된 항 HIV 약물요법을 수행하면서, 대사성 합병증에 관련된 수치의 검사와 주기적인 약물치료과정의 모니터링을 권하여 HIV에 감염된 환자들의 효과적인 치료를 향상시키기 위한 것이다.

A Study on Factors Influencing the Recovery of People with a Mental Disorder: With a Focus on the Moderating Effects of Family Resilience (정신장애인의 회복에 영향을 미치는 요인에 관한 연구 : 가족탄력성의 조절효과를 중심으로)

  • Jeon, Soon-Bo;Lee, Dong-Young
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.306-315
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    • 2019
  • The purpose of this study was to analyze empirically influential factors related to the recovery of people with a mental disorder and also the moderating effects of family resilience. For this purpose, the investigator developed a research model that took into consideration both the positive and negative elements of individual and social factors based on the ecological, psychological, social, and ecosystem perspectives in previous studies and checked their causal effects and the moderating effects of family resilience in statistical significance. The subjects include 112 clients at an institution for people with a mental disorder. Data was collected with an interview based on a structured questionnaire. Collected data was put to the multiple regression analysis. The analysis results show that there was statistical significance in self-esteem, social stigma, and social support excluding symptoms and that the moderating effects of family resilience had positive(+) synergistic effects only on self-esteem and social support. Based on these results, the study made proposals about practice strategies including the establishment of internal and external support systems to make an effective approach to recovery and the systemization of family resilience and supportive strategies to promote the smooth recovery of people with a mental disorder through the reinforcement of programs related to the confirmed positive elements of self-esteem and social support.

Development of a Bone Conduction Telephone for Conductive Hearing Impaired Persons and its Performance Test (전음성 청각장애인용 골도 전화기 개발 및 성능 평가)

  • Kang, Kyeong-Ok;Kang, Seong-Hoon
    • The Journal of the Acoustical Society of Korea
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    • v.14 no.2
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    • pp.113-122
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    • 1995
  • This paper describes characteristics of a bone conduction telephone which was developed for conductive hearing impaired persons to call without additional devices and results of its performance test. Not only the hearing impaired but also normal hearing persons can use this telephone because we developed a bone conduction vibrator with which they can perceive speech signal using functions of air conductive hearing as well as bone conductive hearing. It also has tone control function compensating hearing losses for the hearing impaired originating from their hearing characteristics, and using this function together with received volume control it has received volume range of 20dB in loudness rating, which is similar effect as what a telephone set with built-in received amplifier has. From results of articulation and intelligibility tests for 19 hearing impaired persons, we can see that if their bone-conduction hearing loss is 61dB or less, they can understand words or sentences and response well with this telephone.

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Prefetching Based Adaptive Media Playout for Seamless Media Streaming (끊김없는 미디어 스트리밍을 위한 프리페칭 기반 적응적 미디어 재생 기법)

  • Lee, Joa-Hyoung;Jung, In-Bum
    • The KIPS Transactions:PartA
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    • v.16A no.5
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    • pp.327-338
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    • 2009
  • Recently, with the advance of computing and networking technique, the high speed internet becomes widespread, however, it is still hard job to do streaming the media which requires high network bandwidth over the internet. Previous researches for streaming over the internet mainly proposed techniques that controls the QoS(Quality of Service) of the media in proportion to the network status. Though, this could be the solution for the service provider while the service user who wants constant QoS may not satisfy with variable QoS. In the paper, we propose a network adaptive prefetching technique, PAP, for guarantee of constant QoS. The PAP prefetches frames by increasing the frame transmission rate while the available network bandwidth is high. The PAP uses the prefetched frames to guarantee the QoS while the available network bandwidth is low and increases the playout interval to prevent buffer underflow. The experiment result shows that the proposed PAP could guarantee the constant QoS by prefetching the frames adaptively to the network bandwidth with the characteristic of video stream.

Clothing expenditure, and mediation effect of self-efficacy and moderating effect of disability acceptance in the association between dependency on others and happiness among visually impaired people - Moderated mediating model - (시각장애인의 의복비 지출 현황 조사 및 타인 의존도와 행복의 관계에 미치는 자기효능의 매개효과와 장애 수용의 조절효과 검증 - 조절된 매개모형 분석 -)

  • Minsun, Lee;Hae Rim, Park;Ho Jung, Yang
    • The Research Journal of the Costume Culture
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    • v.30 no.6
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    • pp.842-860
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    • 2022
  • There has been growing attention on the well-being of people with disabilities. The purpose of this study was twofold: (1) to investigate the associations between individuals' socio-demographic and psychological characteristics and clothing expenditure, and (2) to examine the moderated mediation effect of self-efficacy and acceptance of disability on the association between dependency on others and happiness among people with visual impairment. This study was based on secondary analysis of data from the second wave of the 6th Panel Survey of Employment for the Disabled collected by the Employment Development Institute. The results of this study showed that average monthly expenditure on clothing was positively associated with self-efficacy, happiness, and acceptance of disability, while being negatively associated with dependency on others. The results also confirmed that self-efficacy mediated the association between dependency on others and happiness. A conditional direct effect of dependency on others on happiness was found, in which negative associations were significant among people with visual impairment who had low and mean levels of acceptance of disability (but not high levels). In addition, there was a significant conditional indirect effect, in which the indirect and negative effect of dependency on others on happiness via self-efficacy was significant for those with low and average levels of acceptance of disability. These findings support the importance of enhancing the independence and acceptance of disability among people with visual impairment, which ultimately contributes to their happiness.

Chronic Illnesses and Multidimensional Disability among Older Adults with Disabilities: Applying the ICF Framework (고령장애인의 만성질환과 다차원적 장애 : 국제기능장애건강분류틀(ICF)을 적용하여)

  • Cho, Sangeun
    • Korean Journal of Social Welfare Studies
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    • v.48 no.4
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    • pp.91-120
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    • 2017
  • This study aimed (a) to examine the association between chronic illness and multidimensional disability(i.e., psychological/emotional functions, activity capacity, and participation frequency) among older adults with disabilities, (b) to investigate the effect of formal and informal supports on multidimensional disability, and (c) to analyze the moderating effects of formal and informal supports on the association between chronic illness and multidimensional disability. This study used 2014 Korea Welfare Panel Study(the 9th wave) data and 450 older adults with disabilities aged 50 and over were selected as the study target. The research model was analyzed by structural equation modeling using IBM AMOS 22.0. Based on the ICF framework developed by WHO, health condition was measured by the level of chronic illness; psychological/emotional functions were measured by health satisfaction, self-esteem, and depression; activity capacity was measured by ADLs and IADLs; participation frequency was measured by the total number of social activities joined; formal support was measured by the total number of formal welfare services for people with disabilities utilized; informal support was measured by perceived social support. The findings showed that the level of chronic illness was negatively associated with psychological/emotional functions among the older adults with disabilities. The informal support positively affected psychological/emotional functions and activity capacity, whereas the formal support showed the opposite result. That is, the formal support negatively influenced activity capacity and showed a moderating effect on the association between the level of chronic illness and the psychological/emotional functions in a reverse way. Based on the results, practice and policy implications for alleviating disability level among the older adults with disabilities were discussed.

Dietary Behaviors, Body Satisfaction and Factors Affecting the Weight Control Interest According to Gender of Middle School Students in Wonju Area (원주지역 중학생들의 성별에 따른 식행동과 신체만족도 및 체중조절 관심도에 영향을 미치는 변인)

  • Kim, Bok-Ran;Kim, Yoon-Sun
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.9
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    • pp.1295-1304
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    • 2010
  • The purpose of this study was to investigate the BMI, dietary behaviors, body satisfaction and factors affecting the weight control interest according to gender of middle school students (195 boys and 251 girls) in Wonju area. The average height and weight of the boys were $164.8{\pm}8.3\;cm$ and $55.5{\pm}12.3\;kg$ respectively. Those of the girls were $158.8{\pm}5.0\;cm$ and $48.7{\pm}7.4\;kg$ respectively. The average body mass index (BMI) of the boys and girls was 20.3 and 19.3 respectively. In both boys and girls, 69.7% of them had regular meals and the main reason for skipping meals was insufficient time to eat due to oversleeping (33.6%). Most of the subjects consumed snacks more than once a day (95.5%). The dietary intake attitude score of the girls ($35.08{\pm}5.91$) was higher than that of the boys ($33.81{\pm}5.45$) (p<0.01). The eating disorders score of the girls ($12.92{\pm}6.22$) was higher than that of the boys ($10.70{\pm}9.82$) (p<0.01). Also, 87.2% of the subjects showed normal behavior and 12.8% of the subjects had eating disorders, but there was no significant difference according to gender. The body satisfaction score of the boys ($30.16{\pm}5.08$) was higher than that of the girls ($28.00{\pm}5.52$) (p<0.001). In general, body satisfaction score correlated positively with dietary intake attitude score, but correlated negatively with eating disorders score (p<0.05). Multiple regression analysis revealed that body satisfaction score was the most significant variable which affected the weight control interest. Therefore, development of the nutrition education program for adolescents will be effective not only for the improvement of dietary behaviors but also for the positive change in the misleading perception about the ideal body shape.

The Effect of Therapeutic Listening on Occupational Performance, Auditory Problem Behavior, and Attention in Children With Sensory Modulation Disorder (감각조절 장애 아동에게 치료적 듣기가 작업수행, 청각행동문제, 주의집중에 미치는 영향)

  • Park, Mi-Young;Kim, Hee;Cha, Tae-Hyun;Kim, Soo-Kyung
    • The Journal of Korean Academy of Sensory Integration
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    • v.18 no.3
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    • pp.14-26
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    • 2020
  • Objective : The purpose of this study was to investigate the effect of therapeutic listening on task performance, auditory behavior problems, and attention in children with sensory modulation disorder. Methods : Sixteen children aged four to seven years who were classified as children with sensory modulation disorder were randomly assigned to either the experimental group (n = 8) or the control group (n = 8). From July 1 to October 18, 2017, both groups participated in sensory integration programs, while therapeutic listening training was administered only to the experimental group. Sensory integration therapy was conducted in two sessions per week for six weeks (12 sessions); each session consisted of 40 minutes of therapy and 10 minutes of parent education. Therapeutic listening was conducted in three thirty-minute sessions per week for six weeks (18 sessions). We used the Canadian Occupation Performance Measure (COPM) to evaluate changes in the participants' occupational performance between pre- and post-intervention. We used Fisher's Auditory Problems Checklist (FAPC) to observe changes in behavioral problems related to hearing. The Child Attention Scale for Teacher (CAST) was used to evaluate changes in attention. Results : No significant differences pre- and post-intervention between the two groups were observed. The participants' auditory behavioral problems improved significantly in the experimental group, but no significant difference was found between the two groups. There was no significant difference in attention between the two groups, but there was a significant difference between the two groups in the "adaptability" and "emotion" domains (p < .05). Conclusion : The results suggest that therapeutic listening training has a positive effect on reducing problematic behaviors related to hearing and improving the occupational performance of children with sensory modulation disorder. This study provides a basis for improving the sensory processing ability of children with sensory modulation disorder by applying listening training in the clinical field and at home.

Factors Associated with Cognitive Impairment of the Elderly in Nursing Homes (노인요양시설 입소노인의 인지장애 관련요인)

  • Lee, Young-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.9
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    • pp.3973-3982
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    • 2012
  • The purpose of this study was to identify cognitive impairment and it's related factors of the elderly in long term care facilities. The participants of this study were 229 residents of five nursing homes. Data were analyzed using two sample t-test, ${\chi}^2$-test, and logistic regression. The results revealed eight factors related to cognitive impairment: gender(OR=2.41, p=.035), age(75-84: OR=3.26, p=.002, Over 85: OR=4.46, p<.001), living with family before admission(OR=2.17, p=.015), hearing(OR=8.88, p=.004), family history of dementia(OR=4.39, p=.009), ADL(OR=0.82, p<.001), hypertension(OR=4.07, p<.001), and diabetes(OR=3.42, p=.001). Based on the findings of this study, continuous nursing intervention focused on adjustable factors would be helpful in order to improve nursing home elderly people's quality of life.