• 한국전문물리치료학회지
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• 제22권3호
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• pp.61-70
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• 2015

To develop an effective and efficient measurement system for tracking changes of functional status across two measures, it is essential to integrate information and communicate scores across two measures. The lack of communication between two measures leads to score incompatibility. A potential solution would be the development of a crosswalk table between those measures. Prior to creating a crosswalk table, selecting common items between two measures is critical. By using the Oswestry low back pain disability questionnaire (Oswestry) and a short form measuring disability resulting from low back pain, item level statistics as well as differential item functioning (DIF) using the Rasch measurement were investigated. Eighty-two participants with known group validity were recruited. Based on the application of the Rasch measurement model, item difficulties across the two measures were logically and hierarchically ordered. Ceiling effects for both measures were detected, which were not be able to be effectively measured with the two measures. The DIF analysis across the two measures confirmed that five paired items were found to have DIF and five common items were selected for common items. Although five paired items function differently across the Oswestry and the short form, all items of both measures were well targeted study participants. The common items selected by the Rasch measurement model may be effective when creating a crosswalk table between the Oswestry and the short form.

• KIEAE Journal
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• 제12권2호
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• pp.45-52
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• 2012

In recent years, the growing needs and the interest of the welfare for the disabled people has ignited the educational facilities for the disabled in Korea. This special schools are to be provide the disabled people with proper facilities to provide opportunities to participate in social life and to maximize the educational efficiency. However many special schools are not properly designed to educate the disabled because their design guidelines including legal planning standards. It is also true that these standards are not specifically categorized and specialized according to the kinds of disability. This study, therefore aims to suggest measures of the special school design guidelines especially for the mentally disabled people. The study first looks after the characteristics of the mental disability and the current situations of special schools in Gwangju. It, then examines the behavilr of the mentally disabled students in some of special schools in Gwnagju through observation and interview. The interview has done with the staff in the facilities regarding the usage patterns and behavioral characteristics of the mentally disabled students especially in convenience facilities in schools.

• 한국전문물리치료학회지
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• 제21권2호
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• pp.74-81
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• 2014

The versions of the Oswestry disability questionnaire (ODQ) is regarded as one of the most extensively used condition-specific instruments measuring disability resulting from low back pain. It has been shown to have adequate psychometrics, reliability, validity, and responsiveness as a whole, yet the summated total score of the instrument often provide little information to rehabilitation clinicians. A keyform analysis based on Rasch measurement model is an innovative way of illustrating the specific test items that an individual may or may not perform. By applying the keyform of the Rasch measurement model to the ODQ, rehabilitation clinicians may able to select more challenging ODQ items matching an individual's ability and document them as attainable treatment goals. The results demonstrated how a keyform analysis assist to setting possible goals for the treatment of individuals with low back pain. Forty-two individuals with low back pain were recruited from rehabilitation clinics in Gainesville, Florida. A series of Rasch analyses on the 10 items of the ODQ were performed using Winsteps software. The performance of two individuals on those 10 items was illustrated on the keyform. The keyform analysis of the Rasch measurement model may be translated into a useful tool for making clinical judgements.

• 한국주거학회논문집
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• 제15권5호
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• pp.1-11
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• 2004

This study has been performed to review pre-school children's needs for privacy within normal residential space. In this study, there were three circumstances in which children need to stay alone without being interrupted by their parents; First, they strongly want to be stay quiet until relieving their anger or fear, shortly after disciplined and impugned by their parents. Second, infant children need to obtain their own territory in order to demonstrate ownership and dignity in their sley space. Third, there are also special circumstances of privacy needs among families with intrusive parents such as alcoholics and heavy smokers, or for the children of disability. In Korea, it is presumed that more than 60 percent the pre-school children aging three to six are in deficit of privacy for relieving their emotional disturbance, but no research has been documented for the case of disabled or interrupted children. Therefore in this study, it was primarily proposed that empirical studies need to be peformed among Korean preschoolers, in order to evaluate privacy needs in the perspectives of ordinary family lives, individual household behaviors, and special conditions of disability or offensive family members.

• 대한물리의학회지
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• 제13권2호
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• pp.21-31
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• 2018

PURPOSE: This study examined the differences between male and female workers by investigating the various factors that affected the workers' abilities to return to work according to the International Classification of Functioning standards. METHODS: We analyzed the personal factor, environmental factor, work performance and participation factor related to ICF according to worker's gender. For this purpose data from the third Worker's Compensation Insurance panel survey conducted by the Korea Workers' Compensation & Welfare Service were analyzed. In order to verify the research model, we used frequency analysis, cross analysis to compare the differences between male and female workers according to personal, environmental, work performance, and participation factors and hierarchical regression analysis to identify significant factors affecting job performance. RESULTS: The results, indicate that the level of education, license status, working period, socioeconomic status and employment type of female workers were lower than those of male workers. Factors that have the greatest influence on job performance are grade of disability, status of disability, economic activity status, and instrumental activities of daily living (p<.05). CONCLUSION: It is necessary to provide socially stable employment support and social policy support without discrimination to allow disabled female workers to return to work and maintain their jobs and to study factors influencing job performance further.

• 한국전문물리치료학회지
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• 제21권4호
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• pp.40-48
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• 2014

Differential item functioning (DIF) based on Rasch model can be used to examine whether the items function similarly across different groups and identify items that appear to be too easy or difficult after controlling for the ability levels of the compared groups. The Oswestry low back pain disability (Oswestry) has traditionally been proved as an effective instrument measuring disability resulting from low back pain (LBP). In this study, DIF method was used to explore whether items on the Oswestry perform similarly across two different groups (participants with LBP and no LBP). A series of Rasch analyses on the 10 items of the Oswestry were performed using Winsteps$^{(R)}$ software. Forty-two participants with back pain were recruited from 3 rehabilitation hospitals in Gainesville, Florida. Another 42 participants with no LBP were recruited from several public places in the rehabilitation hospitals. Based on the DIF analysis across the two groups, several items were found to have an uniform DIF. Participants with no LBP had more difficulty on lifting and personal care items and participants with LBP had more difficulty on sleeping and social life items. For non-LBP group, a high ceiling effects (83% of participants with non-LBP) was detected, which was not be able to be effectively measured with the Oswestry items. Although 4 items of the Oswestry function differently across the two groups, all items of the Oswestry were well targeted the LBP group.

• 한국사회복지학
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• 제58권2호
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• pp.167-195
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• 2006

이 연구는 한일 아동복지법에 규정된 내용을 분석틀에 근거하여 비교하고, 그 결과를 토대로 향후 한국 아동복지법의 개정 방안을 제시하였다. 연구 결과, 양자에 있어서 아동의 참여권 규정은 2개 조항으로 나타났다. 일본의 보호급여는 일원화된 창구인 아동상담소를 중심으로 일시보호 기간 2개월 이내라는 신속성, 담당 아동복지사의 조사권한, 친권개입 등 공공성, 그리고 일선 가정아동지원센터와의 연계성을 확보하고 있다. 또한 4촌 이내가 아닌 아동의 일시보호 신고의무와 빠른 신고기간(영아는 1개월 이내)으로 법 규정의 실효성을 제고하고 있다. 이에 반해 한국의 일시보호는 대리보호 전 단계 조치의 기능을 하고 있다. 한편 일본의 장애아동 관련 조항이 전체 조항의 21.2%를 차지하고 있으나, 한국의 아동복지법에는 전혀 규정되어 있지 않다. 그리고 일본의 아동복지법은 대리보호의 최저기준 준수의무와 아동복지에 관한 국가의 재정부담 강제규정, 그리고 국가의 책임성 규정을 명시하고 있으나, 한국의 아동복지법은 이들을 명시하고 있지 않다.

• 대한장애인치과학회지
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• 제10권2호
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• pp.93-96
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• 2014

본 증례를 통하여 뇌병변 장애 1급 환아에 자해성 구강손상이 발생한 경우 치료에 대해 고려할 점은 다음과 같다. 뇌병변 장애 1급을 포함하는 의식 저하 환자에서는 혀, 입술 씹기 등의 자해성 구강손상 발생 빈도가 높다. 연성 구강보호장치의 용이성으로 우선적으로 고려될 수 있으나, 연성 구강 보호 장치로 병소가 개선되지 않을 경우, 교합 거상판을 포함한 아크릴릭 레진 가철성 장치를 고려할 수 있다. 교합 거상판을 포함하는 아크릴릭 레진 가철성 장치 장착이후 구강 위생 관리 및 치료 부위 유지를 위해 주기적인 치과 검진이 필요하다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권4호
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• pp.39-47
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• 2011

Population ageing and the disabled population is increasing. so disabled population and elderly people in the physical environment for Barrier-Free recently has been getting attention. according to a recent welfare paradigm shift of life support promoting for the housing remodeling. but basic remodeling made of simple living environment improvement and facilities installation for the type of disability customised housing remodeling. efficient housing remodeling plan for remodeling before and after through change the safety accidents occurred ratio. living environment for the improvement of housing and reconstruction for the benefit of comprehensively considering for disability subject in Indoor living type and the type of disability, housing type etc. and personalize house was remodeling for corresponding each space problem for identify obstacles and living types. as a result satisfaction changes & safety accident rate changes as follow. first, have complained that there was a in to residents environment furniture for reconstruction of the former housing remodeling needs survey. 80.2% of total for the percentage of households with high needs remodeling. second, The survey did not meet the 29 furniture as after the construction for died about recipient & up sticks & long absence. this leave out after the safety accident Corporation about 101 housing in the 88% of households did not happen. as a result, the lower the ratio of safety accidents occurring very revealed. third, grasp the meaning for indoor living type. showed that each approach(83%), front porch(90%), kitchen, living room(91%), bedroom(93%), toilet(92%) for each space remodeling satisfaction flow through customized housing remodeling.

• 한국치위생학회지
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• 제15권4호
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• pp.679-685
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• 2015

Objectives: The purpose of the study is to investigate the change of the salivary flow rate, xerostomia, and oral health-related quality of life in the elderly people after the application of oral massage. Methods: The subjects were 101 elderly people at two senior welfare centers in Mokpo from November, 2012 to January, 2013 by the application of oral massage. The final subjects were 56 elderly people who participated in the massage more than 15 times of 20. They were measured for saliva flow rate, xerostomia, and OHIP. On the first and the last day, a self-reported questionnaire was completed by the elderly people. The questionnaire consisted of general characteristics of the subjects, oral health related knowledge, symptoms and behavior of xerostomia, and OHIP. OHIP included functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap, and was measured by Likert 5 point scale. Results: The salivary flow rate of the elderly people increased after the implementation of the program. There was a significant improvement in xerostomia, functional limitation, physical pain, psychological discomfort, and social efficacy (p<0.001). Conclusions : The oral massage program enhanced the oral function of the elderly people, and had an influence on the improvement of oral health-related quality of life.