• 한국직업건강간호학회지
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• 제16권1호
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• pp.58-66
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• 2007

Purpose: A national long-term care system for elderly and the disabled has its unique evolution in each country. Japan, Germany and the United States may be the typical examples of respective social insurance system. This paper reviews the counterpart examples of Japan, Germany and the United States and looks at their accumulated long-term care system experiences and personal care system under workers' compensation. Methods: Literature review and website searching were conducted. Key words as 'workers' compensation insurance', 'personal care benefit' and 'long term care' were used in searching the related literatures. Results: Though the personal care benefit under current Workers'Compensation in Korea is very similar to Japan's, the long-term care system of Korea is not as well established. Germany and the United States have the provision of personal care benefit for injured workers within long term care system. Conclusions: We recommend some key issues to take into account for improving personal care benefit system in workers' compensation in Korea as follows: providing a comprehensive coverage through the linkage of long term care, introducing an assessment & evaluation system for the appropriate benefits, establishing insurer's role for quality management of personal care service, and developing a policy for family caregivers.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2013년도 추계학술대회
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• pp.813-816
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• 2013

국립전파연구원에서는 방송통신설비의 운용자 및 이용자의 안전과 서비스 품질 향상을 위하여 위해 방지 및 오용, 고장 방지, 장애인에 대한 접근의 용이성, 단말장치간 상호호환성, 전송 품질과 망 접속 등에 관한 단말장치의 세부 기술기준을 정하여 고시하고 있으며, 방송통신설비 기술의 발전과 서비스의 다변화에 빠르게 대응하기 위하여 단말장치 기술기준의 제 개정 연구를 추진하고 있다. 2013년 신규 융합 서비스 및 초고속 인터넷 서비스의 확산, 방송통신 서비스의 품질 제고를 위해 단말장치의 신호 전력 측정 대역의 확장과 의사회로의 대체 종단 사용 기준, 디지털 회선 접속 단말의 펄스 형상 기준 등에 대한 연구를 추진하고 이에 대한 타당성 검증을 위한 테스트베드 시험 결과를 제시하였다.

• 대한건축학회논문집:계획계
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• 제35권1호
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• pp.117-125
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• 2019

The purpose of this study is to examine urban built environments associated with the walking behavior in order to identify the problem of urban infrastructure from the perspective of Universal design theory. Using the walkability criteria developed based on the findings of previous studies on Universal design theory and walking environment, the urban built environments in old town area of Seoul were evaluated. The results of the evaluation indicated that the pedestrian infrastructure in the study area had several shortcomings to improve in order to provide walking-friendly environments. First, the pedestrian infrastructure for visually impaired people were severely limited. Second, walking traffics in large portion of the street networks were interrupted by a variety of obstacles such as parked cars, signboards, and illegal street shops. Third, there were certain areas where the quality of pavement was not properly managed. In summary, this study provides an empirical data to understand the current situation of pedestrian infrastructure in the urban areas. Improvement of pedestrian infrastructure is needed to address the issues related to the mobility of the disabled people. It is also recommended to construct the GIS data on walking environment in order to develop and mange a long-term public investment plan for walking-friendly urban environments.

• 한국IT서비스학회지
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• 제22권6호
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• pp.115-132
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• 2023

This study aimed to propose application directions for South Korea's digital health policy by conducting a literature review, data analysis, and examining foreign cases. The objective was to enhance the healthcare rights of individuals with disabilities, considering the potential expansion of the digital health policy. The findings indicate that digital health holds significant promise in improving mobility and accessibility for the healthcare rights of disabled individuals in Korea. However, addressing the digital gap is crucial for achieving smooth utilization. To ensure seamless use of the digital health system, it is imperative to attain digital inclusion, encompassing digital technology, connectivity, and accessibility. Additionally, establishing governance for digital health and expanding infrastructure for affordable access to high-quality internet are essential. Despite the study's limitations arising from relying on literature research, it is anticipated that the findings can serve as foundational data for preemptive responses and provide insights into the direction of the government's digital health policy to enhance the healthcare rights of individuals with disabilities.

• 전자공학회논문지
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• 제52권7호
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• pp.153-161
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• 2015

본 논문에서는 사회적 약자(노약자, 장애인 등)들의 사회 경제적 삶의 질 향상을 위한 기술개발(Quality of Life Technology, QoLT)의 일환으로, 다양한 실내외 환경에 대해서 안정적이고 안전한 주행이 가능한 스마트 휠체어 시스템을 개발하고, 이를 효과적으로 운영하기 위한 주행 프레임워크를 제안한다. 특히, 휠체어 탑승자(장애인, 노약자)의 인지/조작능력 부족에 따른 자동/수동 주행 시 편의성과 안전성을 보장하기 위해, 먼저 환경에 최적화된 센서들을 기반으로 사용자 중심의 스마트 휠체어 시스템을 개발하고, 다양한 주행 환경의 변화에 실시간 대응은 물론, 탑승시 안정성을 보장하기 위한 계층적 구조의 주행 프레임워크를 제안, 적용함으로써 보다 효과적인 운영이 가능하도록 하였다. 제안된 방법들에 대한 다양한 실험들을 통해 개발된 스마트 휠체어 시스템과 주행 시스템에 대한 안전성은 물론 효율성을 증명, 확인할 수 있었다.

• Journal of Yeungnam Medical Science
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• 제38권2호
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• pp.127-135
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• 2021

Background: Dialysis patients are prone to having disabilities. We aimed to evaluate the association between disability and various clinical outcomes in Korean dialysis patients. Methods: This study consisted of 1,615 dialysis patients from 27 centers. We evaluated disability by using four questions on the activities of daily living (ADLs) concerning whether help was needed for feeding, dressing/undressing, getting in/out of bed, or taking a bath/shower. We divided the patients into three groups: no disability (Non-D, none of the four ADL domains required help; n=1,312), mild disability (Mild-D, one ADL domain required some/full help; n=163), or moderate to severe disability (MS-D, two or more ADL domains required some/full help; n=140). We evaluated falls, frailty, health-related quality of life (HRQoL), mortality, and hospitalization. Results: The numbers of participants with a fall during the last 1 year were 199 (15.2%), 42 (25.8%), and 44 (31.4%) in the Non-D, Mild-D, and MS-D groups, respectively (p<0.001). The numbers of participants with frailty in the Non-D, Mild-D, and MS-D groups were 381 (29.0%), 84 (51.5%), and 93 (66.4%), respectively (p<0.001). In both univariate and multivariate analyses, the physical component scale and mental component scale scores decreased as the grade of disability increased (p<0.001 for both scores). Hospitalization-free survival rate at 500 days was 64.2%, 56.7%, and 51.1% in the Non-D, Mild-D, and MS-D, respectively (p=0.001 for trend). Patient survival rate at 500 days was 95.3%, 89.5%, and 92.3% in the Non-D, Mild-D, and MS-D, respectively (p=0.005 for trend). Conclusion: Disability was associated with falls, frailty, HRQoL scales, and survival trends in Korean dialysis patients.

• 한국학교ㆍ지역보건교육학회지
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• 제22권1호
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• pp.1-9
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• 2021

Objective: This study examines the prevalence of osteoporosis, and compares with activity of daily living(ADL), instrumental activity of daily living(IADL) and health-related quality of life(QoL) among the elderly people with disabilities. Methods: This study analyzed the data of 3,113 persons with disabilities over 65 years of age who responded to the questionnaire using data from the National Survey of People with Disabilities in 2017 on the people with disabilities (PWD). Descriptive statistics, X2-test, and independent sample t-test were conducted using the SPSS win 21.0 program. Results: The prevalence of osteoporosis in the elderly PWD was 18.7%. There were significant differences in sex, age, type of disability, and disability severity according to the presence or absence of osteoporosis (p<0.05). Walking and Transfer of ADL were related to osteoporosis in elderly PWD. Financial management and Transportation use of IADL were related to osteoporosis (p<0.05). The PWD with osteoporosis were analyzed to have lower health-related quality of life compared to the disabled elderly without osteoporosis (p<0.05). Conclusion: Based on the results of this study, a strategy for developing a program for managing osteoporosis. Strengthening health management in the elderly PWD is required.

• 한국건설관리학회논문집
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• 제13권6호
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• pp.143-152
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• 2012

조달청은 2016년부터 공공공사 전 사업으로 BIM 발주를 확대할 계획이어서 BIM 설계의 중요성이 증가하고 있다. 이에 따라, BIM 설계의 품질을 확보하는 방안 법규검토의 중요성 또한 증가하고 있다. 본 연구에서는 장애인 노인 임산부 등의 편의증진보장에 관한 법률을 대상으로 실무의 건축계획 과정에서 빈번하게 검토되는 항목을 중심으로 최적화된 룰셋 정의서를 개발하였다. 법규조항을 선정하는 과정으로는 프로젝트 법규검토서를 활용한 빈도 분석, 함수화 가능도 분석, 모델 검토 가능성 분석을 제시하였다. 모델 검토 시나리오 작성에 따라 룰셋 정의서를 개발하였으며, 실제 프로젝트에서 구현을 통해 적용성 및 정합성 분석을 수행하였다. 본 연구를 수행한 결과, 자동법규검토에서는 경제성 및 활용성을 확보할 수 있는 항목의 선정이 중요함을 확인할 수 있었다. 향후 연구에서는 대상 법규 조항 선정의 항목 세분화가 필요하며, 실무자 검증을 통해 좀 더 실질적인 항목 도출이 요구된다. 또한 자동법규검토에서 발생할 수 있는 모델링 요구사항, 소프트웨어 간 호환성 문제 등의 변수를 확인하고 룰셋의 논리를 검증하는 사례 연구가 수행되어야 한다.

• 대한의용생체공학회:의공학회지
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• 제38권4호
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• pp.143-152
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• 2017

The main purpose of this research was to examine the EMG characteristics of driver's upper limb and driving performance for operating accelerator and brake pedal by using four types of left hand control devices(Push/Pull, Push/Right angle, Push/Rock, Push/Twist) during simulated driving. The persons with disabilities in the lower extremity have problems in operation of the vehicle because of functional impairments for controlling accelerator and brake pedal. Therefore, if hand control device is used for adaptive driving controls in persons with lower extremity loss, the disabled people could improve their quality of mobility life by driving a car. Twenty subjects were involved in this research to assess driving performance and EMG activities for operating accelerator and brake pedal by using four types of left hand controls in driving simulator. We measured EMG responses of six muscles(posterior deltoid, middle deltoid, biceps, triceps, extensor carpi radialis, and flexor carpi radialis) during pulling and pushing movement with four types of left hand controls for acceleration and braking. STISim Drive 3 program was used for evaluation test of four types of left hand control devices in straight lane course for time to reach target speed and brake reaction time. While operating the four types of left hand controls for acceleration, EMG activities of posterior deltoid in normal subjects were significantly increased(p < 0.05) compared to the disabled subjects. It was also found that EMG responses of triceps and posterior deltoid were significantly increased(p < 0.05) when using the Push/Right angle type than Push/Pull type. While operating the four types of left hand controls for braking, EMG activities of flexor carpi radialis and triceps in subjects with disability were significantly increased(p < 0.05) compared to the normal subjects. It was shown that muscle responses of posterior deltoid, middle deltoid and triceps were significantly increased when using the Push/Right angle type than Push/Rock type. Time to reach target speed and brake reaction time in subjects with disability was increased by 2.5% and 4.6% on average compared to normal subjects. The person with disabilities showed a tendency to relatively slow performance in acceleration at the straight lane course.

• 대한치과마취과학회지
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• 제12권2호
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• pp.93-97
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• 2012

Background: Some disabled patients show insufficient cooperation during dental treatment, and general anesthesia in an outpatient setting can be successfully administered. To minimize post-anesthetic complications is an essential issue, and strict discharge protocols are required for the safety of the patients. Post-anesthetic follow-ups using telephone calls can be applied to improve the quality of the outpatient care system. The authors evaluated the post-operative condition of patients after dental treatment under general anesthesia. Methods: Total 143 patients and their caregivers included in this study. The patients received general anesthesia for dental treatment in Seoul National University Dental Hospital, Clinic for Persons with Disabilities from July, 2011 to April, 2012. Telephone calls were given to the patients or their caregivers to collect information about the patients' systemic condition and anesthesia-related complications. Results: Among 131 patients with responses of telephone calls, 87 patients (66.4%) reported no discomfort, while 44 patients (33.6%) presented post-anesthetic complications. A total of 20 patients reported mild fever, 10 patients had vomiting, and 7 patients had sore throat. Other complications included nausea, fatigue, nasal bleeding, skin sore, and body rash. Among the patients with the history of epilepsy, 63.6% showed post-anesthetic discomfort or complication (P = 0.027, ${\chi}^2$ test). Conclusions: One third of dental patients who received general anesthesia due to insufficientcooperation complained discomfort after discharged from outpatient anesthetic care.