• Journal of Dental Anesthesia and Pain Medicine
• /
• v.21 no.2
• /
• pp.87-98
• /
• 2021

Patients with disabilities have difficulties tolerating in-office dental treatment due to limitations relating to cooperation and/or physical problems. Therefore, they often require general anesthesia or sedation to facilitate safe treatment. When deciding on dental treatment under general anesthesia, the plan should be carefully determined because compared to general patients, patients with disabilities are more likely to experience anesthetic complications because of their underlying medical conditions and potential drug interactions. Clinicians prefer simpler and more aggressive dental treatment procedures, such as extraction, since patients with impairment have difficulty maintaining oral hygiene, resulting in a high incidence of recurrent caries or restorative failures. This study aimed to review the available literature and discuss what dentists and anesthesiologists should consider when providing dental treatment to patients with severe disability under general anesthesia.

• The Journal of Korean Physical Therapy
• /
• v.32 no.4
• /
• pp.250-257
• /
• 2020

Purpose: This study examined the effects of training using the slime on the hand function and problem behavior in adults with intellectual disabilities. Methods: Five adults with intellectual disabilities who were judged as Level 1 or Level 2 were selected. The training consisted of one session (50 min)/day, one day/week for 10 weeks (preparatory activities: 5 min, slime activities: 40 min, finishing activities: 5 min) The functions of the hand (Purdue Pegboard Test [PPT], grip strength test [GST]) and problem behavior (Korean Behavior Problems Inventory [KBPI]) were assessed three times (first assessment; pre, second assessment; post-5 weeks, third assessment; post-10 weeks). Wilcoxon signed-rank tests were used to analyze changes in the subjects' performance before and after the intervention. Results: In the PPT, the use of the non-dominant hand was increased significantly (p<0.05). No significant differences were observed in the remaining results, but the mean value increased. In addition, although the problem behavior was not statistically significant, an increase in the problem behavior score was noted. Conclusion: The training using the slime for adults with intellectual disabilities is effective in hand function improvement and reducing problem behavior.

• Journal of the Korea Convergence Society
• /
• v.12 no.8
• /
• pp.77-83
• /
• 2021

The purpose of this study was to determine whether the convergence pulmonary function of the 20s men of mild intellectual disabilities with obesity to tredmill exercise. Ten subjects of mild intellectual disabilities with obesity(experimentals) and ten contrary subjects(controls) were participated in the experiment. experimental group conducted treadmill gait training and control group conducted automed exercise. Subjects were assessed for their respiratory function by using Fit mate. The result of the experiments showed high pulmonary function than the controls. Thus, it suggests that the respiratory functional data of 20s men of mild intellectual disabilities with obesity can be used as a various respiratory one for the exercise programs in the area.

• Journal of the Korea Convergence Society
• /
• v.9 no.9
• /
• pp.293-297
• /
• 2018

The purpose of this study was to determine the influence of video modeling observational learning intervention on the learning and performance of a bowling skill in adolescents with intellectual disabilities. Thirty special middle school students whose ages ranged from 14 to 16 years were recruited from Daegu, Korea. Intellectual disabilities of the participants were assessed by Korean version of the Wechsler intelligence scale for adolescent and a social maturity scale. During the experiment, participants repeatedly watched the one-minute action observation film for three minutes before beginning each frame and played 60 frames. Statistical comparisons were performed using a 2 (groups) ${\times}$ 6 (trials) ANOVA, with repeated measures on the last factor of the acquisition stage (p<0.05). Factors of the retention stage scores were analyzed by one-way ANOVA. The sources of any significant main effects were tested using a Tukey's HSD (honest significant difference) approach. SPSS 21.0 was used for statistical analyses. The performance scores of the action observation group were significantly higher than those of the control group. The findings showed that observational learning in the form video modeling has the potential to enhance acquisition and learning of a bowling sport skill in intellectual disability individuals; however, these findings are limited to adolescents with moderate intellectual disabilities.

• Journal of Convergence for Information Technology
• /
• v.11 no.4
• /
• pp.130-136
• /
• 2021

This study investigated the general characteristics of mobility disadvantaged persons with disabilities, and to suggest implications to ensure personal mobility with the greatest possible independence for the physically disabled in community. The survey questionnaire included the categories as follows: the general characteristics of the participants, the status of outing and mobility, usage of low-floor buses & taxi for the disabled, service improvement, and mobile support center. Data collected from 219 with physical disabilities were analyzed for this purpose by using descriptive statistics. The study results showed that 54.6% of the total tended to go out everyday, and 17.0% rarely. 53.4% could go out without any assistance, and the major obstacles not to go out were stairs and inconvenience of public transportation. 26.9% used low-floor buses, and 71.1% preferred to use taxi for the disabled. The average waiting time for the usage of low-flow buses and taxi was 66.57 minute and 42.65 minute, separately. 78.7% insisted that the function of mobile support center in the community should be expanded, whereas only 49.8% recognized the role of mobile support center. Based on the study results, the researchers suggested to facilitate access by persons with disabilities to mobility aids, and to improve the actual state of pedestrian environment. In addition, the function of mobile support center should be expanded to help the mobility disadvantaged persons live independently in community, thereby contributing to the promotion of their quality of life.

• Asian Journal for Public Opinion Research
• /
• v.11 no.3
• /
• pp.201-233
• /
• 2023

Persons with disabilities (PwD) are believed to be a group that had a greater risk during the pandemic. While PwD are vulnerable to the spread of COVID-19 due to their high dependence on physical contact, a series of policies restricting public movement during the pandemic had the potential to place PwD in increasingly marginalized situations. This situation reinforces the urgency of crisis communication as one of the critical parts of the COVID-19 response to ensure that all levels and groups of society can accept and understand the flow of information. Using a qualitative approach, this research was conducted through in-depth interviews with PwD age 17-50 in the city of Makassar, Indonesia. The results of this study suggest that crisis communication during the pandemic should involve participatory communication, which focuses on collaboration with empowerment. The PwD communities need to be actively engaged during the communication process of a pandemic crisis to ensure that inclusiveness is always taken into account. During the distribution of information, the relevant health officers or the government at the regional level need to carry out more frequent socialization and special services for PwD based on the characteristics of their disabilities.

• Convergence Security Journal
• /
• v.20 no.2
• /
• pp.85-90
• /
• 2020

The purpose of this study was to provide information necessary for development of the applications that could facilitate the prevention and management of obesity in children with intellectual disabilities and to present improvement measure for development of practical applications. Mobile applications for prevention and management of obesity for children with intellectual disabilities need to be configured to enable effective flow of information and services delivered between parents and children with disabilities through applications. This configuration is expected to allow effective obesity control to be derived through parental involvement in the process of motivation.. The composition of contents consists of three parts: nutrition, exercise(physical activity), and lifestyle. It is desirable for each content to be applied in a simple but easy-to-understand method, reflecting the characteristics of an intellectually disabled child. In addition, this study presented the user expansion and their continuous involvement through interface simplification, alert function, reward, voice recognition and subtitle support strategies in consideration of the characteristics of the children with intellectual disabilities.

• Korean Journal of Social Welfare
• /
• v.63 no.4
• /
• pp.5-31
• /
• 2011

This study explored how young people with disabilities experience self-determination in their lives. This study employed a grounded theory approach involving 10 undergraduate students with cerebral palsy or physical disabilities, in their early 20's, and individual interviews. The experience relating self-determination of the participants seemed to start with "wanting to do things at their will as they grow up". The participants reported experiencing "yearning to attain self-actualization overcoming disabilities" in the context of "disability-related social limitation", "divided opinions between the participants and their parents", and "limitation in financial and psychological resources". The emerging strategies to attain self-actualization included "active coping", "avoiding confrontation", and "conditional acceptance". Intervening conditions to formation of the strategies included ”challenging spirits towards prejudice about disability", "autonomous tendencies", "taking the most of social support" and "parenting attitudes of their parents". In the process of seeking to attain self-actualization, these participants experienced "self-maturation" and "the sense of guilt towards their parents". The findings emerged from the study was that there are three stages in the process young people went through in self-determination. The stages consist of "perceiving their needs and obstacles for self-determination", "problem solving", and "perceiving their growth". In addition, four self-determination patterns are derived from this data: "breaking through", "multi-strategic", "moderate", and "acceptive". This study suggested some theoretical and prctical implications needed to facilitate self-determination of youth with disabilities.

• The Journal of Korea Assosiation for Disability and Oral Health
• /
• v.15 no.1
• /
• pp.1-6
• /
• 2019

There are increasing number of patients having dental treatment under outpatient general anesthesia. There were researches that studied patients treated under outpatient general anesthesia in Chonbuk National University Dental hospital between 2005~2013. However, there has been an absence of research since 2013. Therefore, the aim of this research is to study cases regarding outpatient general anesthesia visiting Chonbuk National University hospital between 2014~2017 and analyze the trends of these patients. The medical records of 409 cases from January, 2014 to December, 2017 were reviewed. From the patients' charts, data on sex, residence, visiting dates, disability status, and types and number of treatments was collected and investigated. The number of cases has increased from 86 in 2014 to 140 in 2017. Among 409 cases, 275 cases(67.2%) had disabilities, with mental disabilities consisting most of the disabilities. 192 cases were aged under 20 years old mostly with no disabilities, 142 cases were 20~39 years old mostly with mental disabilities, and 75 cases were 40 years old or more mostly with physical disabilities. The conservative treatment was performed most frequently in both disabled and non-disabled patient groups. There was an increasing trend in the number of patients treated under outpatient general anesthesia, and more than half were disabled patients. In order to meet this demand, Chonbuk National University Dental Hospital increased the number of general anesthesia pracrice. To follow this trends, the implementation of safe outpatient general anesthesia system and cooperation among teams is needed to improve the quality of treatments.

• Journal of the Architectural Institute of Korea Planning & Design
• /
• v.33 no.12
• /
• pp.41-52
• /
• 2017

This study investigates the waiting and resting behaviors of children within a restorative healthcare facility design. In particular, the aim is to compare children with and without disabilities and reveal similarities and differences in terms of their behavioral characteristics and uses of design facilities, related to positive distraction, for restoration in the hospital. Three major common spaces for outpatients in S children's hospital in Seoul were examined including the main lobby and two waiting and resting spaces in the pediatric and rehabilitation medicine departments, respectively. A total of 155 children under the age of 12-67 with physical disabilities and 88 without-were observed while they waited and rested at the three spaces before or after doctors' examination. Basic demographic information and waiting and resting behavioral characteristics were compared between the two groups. The results indicated that the disabled children were more restricted in terms of space, facilities used, and social behaviors. However, regardless of disabilities, the children showed more positive distractions related to cognitive and social behaviors in areas where restorative design elements such as an aquarium, garden, or visual images were available. Based on the results, design implications were discussed to strengthen positive distraction behaviors in children with and without disabilities and to foster the restorative quality of the spaces for waiting and resting in the children's hospital.