• 대한치과의사협회지
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• 제49권12호
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• pp.732-738
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• 2011

Special needs patient are one of the underserved dental patient groups in Korea. However, Lack of attitudes to oral care and the knowledge of health professionals are identified as barriers to oral health for people with disabilities. Health authorities have a key role in ensuring that the need for a comprehensive dental services is met. This review may help oral health professionals understand the dental considerations according types of disabilities and provide appropriate and necessary dental care for special needs patients.

• 기본간호학회지
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• 제4권1호
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• pp.7-17
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• 1997

Improving quality of life can be achieved by rehabilitating one socially and restoring their sexual life. Holistic care for persons with disabilities means the rehabilitation nurse intervenes when problems of sexual function are discovered, observed, or expressed. However, most people with chronic illnesses and disabilities must confront prevalent myths about their sexual nature and abilities. These myths often have their basis in the notion, common in our society, that the only people who are sexual are those who are young and beautiful. People who are obese, old, or do not conform to current standards of sexual attractiveness are usually deemed as asexual or undesirable. These narrow sterotypes have been particularly damaging to physically or mentally disabled people. People with chronic illnesses and disabilities often have special needs regarding their sexual behavior. Most of us will confront chronic illness or disability in our own lives to some degree. In addition, illnss or disability can occur at any age. In this study, I discuss some of the special needs of people with chronic illnesses and disabilities and the methods of coping with those needs. I also discuss some of the sexual concerns that people with chronic illnesses and disabilities have in common, and the assessment of sexual function and nursing strategies through literature review.

• 대한장애인치과학회지
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• 제10권2호
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• pp.61-67
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• 2014

The aim of this study was to analyze the clinical characteristics of patients with cognitive and behavioral impairments receiving dental treatment under general anesthesia (GA-dental treatment). From August 2007 to April 2014, information was collected from 475 patients who received GA-dental treatment at the Clinic for Persons with Disabilities, Seoul National University Dental Hospital. The demographic factors (gender, age, disability, medication, GA history, residency type, caregiver, meal type, oral hygiene maintenance, and cooperation level) and dental status (operating duration, DMFT, malocclusion, periodontal disease, tooth defect, and treatment protocol) of the patients were evaluated. DMFT and malocclusion levels were compared among the patients with ANOVA and Sheffe's post-hoc test, and chi-square test, respectively. The correlation between the demographic characteristics and dental status of the patients were analyzed with the Pearson's correction test. The mean age of the patients was 27.1 (7 - 83) years and they had intellectual disabilities (55.4%), developmental disorders (17.9%), brain disorders (16.6%), neurocognitive disorders (4.6%), or others (5.5%). The mean DMFT (DT) was 8.6 (5.2) with a significant difference among the disability types (p<0.05). The incidence of malocclusion was higher in patients with intellectual disabilities and brain disorders than in the other types (p<0.05). The operation time ($191.4{\pm}91.2min$) was correlated with decayed or endodontically-treated teeth (p<0.05). Special needs patients requiring GA-dental treatment showed unfavorable oral conditions. Dental practitioners experience time restrictions and additional costs under a GA setting. Treatment planning and decision-making can be efficiently facilitated by evaluating the clinical characteristics of the patients.

• 한국농촌간호학회지
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• 제10권2호
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• pp.59-73
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• 2015

Purpose: This study was done to investigate the effect of self-esteem on perceived stigma in high school students toward people with disabilities. Methods: The participants in this study were 140 high school students from Gyeonggi Province. Data were collected during May 2013. Structured questionnaires were used for data collection. Data were analyzed using descriptive by statistics, t-test, ANOVA, Pearson correlation coefficients, and simple regression analysis with the SPSS 19.0 program. Results: The major findings of this study are as follows: There was a significant relationship between stigma toward people with disabilities and self-esteem among the high school students (r=-.205, p=.015). There was also a significant relationship between relationships with friends (r=.291, p<.001), health statement (r=.400, p<.001) and self-esteem among the high school students. Self-esteem explained 3.5% of the variance in high school students' stigma toward people with disabilities (F=6.041, p=.015). Conclusion: Findings of this study suggest a need to develop education to increase self-esteem as a strategy to decrease high school students' stigma toward people with disabilities. Also, findings of this study suggest the need for repeated study on the relationship between self-esteem and stigma toward people with disabilities among adults.

• Journal of Preventive Medicine and Public Health
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• 제45권4호
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• pp.211-218
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• 2012

Objectives: The objective of this study was to identify the differences in obesity rates among people with and without disabilities, and evaluate the relationship between obesity rates and the existence of disabilities or characteristics of disabilities. Methods: Mass screening data from 2008 from the National Disability Registry and National Health Insurance (NHI) are used. For analysis, we classified physical disability into three subtypes: upper limb disability, lower limb disability, and spinal cord injury. For a control group, we extracted people without disabilities by each subtype. To adjust for the participation rate in the NHI mass screening, we calculated and adopted the weight stratified by sex, age, and grade of disability. Differences in obesity rates between people with and without disabilities were examined by a chi-squared test. In addition, the effect of the existence of disabilities and grade of disabilities on obesity was examined by multiple logistic regression analysis. Results: People with disabilities were found to have a higher obesity rate than those without disabilities. The obesity rates were 35.2% and 35.0% (people with disabilities vs. without disabilities) in the upper limb disability, 44.5% and 34.8% in the lower limb disability, 43.4% and 34.6% in the spinal cord injury. The odds for existence of physical disability and grade of disability are higher than the nondisabilities. Conclusions: These results show that people with physical disability have a higher vulnerability to obesity.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2000년도 하계종합학술대회 논문집(3)
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• pp.129-132
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• 2000

It is difficult to find web contents for visual disabilities in spite of rapid growing internet users, infrastructures and advance of computer technology. For the case of usenet newsgroup concerning disabilities, hit rate is even less than E-mail because of lack of accessibility, educational support and economical expense for internet. This paper is addressed to voice usenet newsgroup service by using telephone or web browser for visual disabilities without additional S/W support such as 775, usenet program and installation program, suggests a design method and an implementation example for it. Main features of it are easiness of man machine interface, popularity of access device such as telephone or web browser and independency of particular news server by using NNTP. This system supports general MIME format, is implemented for usenet server of Korean Social Worker's Community and will be implemented for Gomduri InfoNet BBS of Korean Society for Rehabilitation of Persons with Disabilities.

• 대한간호학회지
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• 제36권3호
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• pp.484-492
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• 2006

Purpose: The purpose of this study was to investigate the effects of a rehabilitation nursing program(RNP) for persons with disabilities. Method: a quasi-experimental pretest and post test study was used to examine the changes of patient's muscle strength, flexibility, self efficacy and health related quality of life at the completion of an 8-week education and physical exercise with a Thera-Band and Exercise Ball course. The subjects consisted of 40 adults who were disabled. Twenty-two experimental and 18 control subjects completed pre and post-test measures. Outcome variables were flexibility, hand grip, elbow flexor and extensor, knee flexor and extensor, self efficacy and quality of life. Independent t-test and ANCOVA were used to examine group differences by using SPSS 12.0 Result: Mean comparisons of the change scores revealed that the experimental group increased significantly in knee extremity flexor(p=0.035), extensor(p=0.039), flexibility(p=0.008), self efficacy(p=0.000), and quality of life(p=0.000). No significant group differences were found in each patient's hand grip, elbow flexor and extensor. Conclusion: RNP can improve lower extremity flexibility, muscle strength, self efficacy and health related quality of life in people with disabilities. The intervention to tailor exercise and education to the unique needs of the disability was suggested for further study.

• 재활복지공학회논문지
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• 제9권1호
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• pp.23-28
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• 2015

본 논문에서는 스마트 정보화시대에 장애인을 위한 스마트 기기의 접근성 준수 현황을 조사하고 개선방안을 제시하는 것이다. 현재 가장 많이 사용하고 있는 스마트 기기 운영체제(IOS, Android, Windows)기반의 스마트 기기의 시각, 청각, 지체장애인 접근성 제공 현황을 조사하고 비교분석을 통해 개선방안을 도출하여 장애인의 스마트 기기의 접근성 개선방안을 제시하였다.

• 대한치과의사협회지
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• 제49권12호
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• pp.749-757
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• 2011

In the welfare law for the disabled in Korea, the disabled is defined as "the persons sho have significant limitations of daily or social life due to physical or mental disabilities over a long period." The number of registered domestic disabled person in 2008 survey was approximately 2.1 million. 90% of the disabled was caused by the aposteriori illness or accidents. So, in this aging society, the number of people with disabilities will increase even more. In general, people with physical and mental disabilities tend to have more oral diseases, but, are difficult to get treated. Therefore, a thorough oral care through individualized prevention is more important than ever. In this article, we review the oral care methods in dental office and home and in the hospital for the elderly and finally focus on a denture care method. According to this article, the dental professionals can be able to select and apply the oral care method in agreement with the characteristics of the disabilities. Particularly, it is important to prevent the aspiration pneumonia in the elderly in hospital.

• 법제연구
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• 제41호
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• pp.125-170
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• 2011

우리나라 장애인복지의 발전과정은 대체로 4기로 구분할 수 있다. 제1기는 1981년 이전으로 장애인을 한낱 자선의 대상으로만 보았던 시절이고, 제2기(1981~1988)는 "장애인복지법"제정으로 장애인복지 이념의 등장과 태동시기에 해당하며, 제3기(1989~2006)는 장애인복지제도의 틀을 정비하고 복지서비스 확대를 도모하던 시기라고 할 것이며, 제4기(2007~현재)는 장애인차별금지법 제정 등으로 장애인 인권 및 복지 보장의 확대전환기라 할 수 있다. 특히 우리나라에 있어서 장애인복지 관련 법제는 2007년이 새로운 역사적 이정표를 세운 해라고 할 것이다. 이 해에 장애인계의 오랜 숙원이었던 "장애인차별금지 및 권리구제 등에 관한 법률"이 제정되었고, 기존의 "특수교육진흥법"이 폐지되면서 새로운 "장애인 등에 대한 특수교육법"으로 대체 입법 제정되었으며, "장애인복지법"이 장애인복지 패러다임 변화를 수용하는 내용으로 전부개정되는 등 법제도상의 괄목할만한 성과를 이룩하였던 것이다. 여기서는 우리나라 현대사에 있어서의 장애인복지 수준을 가늠할 수 있는 관련 법제도의 입법화과정과 현행 법제의 체계를 살펴보고, 현행 법제의 주요내용과 개선과제를 논함으로써 향후 우리나라 장애인복지 관련 법제의 발전방향을 제시해보고자 한다.