• Title/Summary/Keyword: level of disabilities

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Impact of Periodontal Treatment and Demographic and Socioeconomic Factors on Tooth Loss in Persons with Disabilities: An Analysis of Korean National Health Insurance Claims Data

  • Bo-Ra Kim
    • Journal of dental hygiene science
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    • v.23 no.3
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    • pp.225-235
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    • 2023
  • Background: This study aimed to analyze the effects of periodontal treatment and individual- and tooth-related factors on tooth extraction in people with disabilities. Methods: The Korea National Health Insurance claims data of individuals with disabilities aged 40~64 years with chronic periodontitis in 2008 were obtained. Of these, data on the disabled who underwent scaling/root plaining, subgingival curettage/periodontal surgery, or non-periodontal treatments, and data on their teeth were selected. The extraction of 716,688 teeth from 39,097 patients was tracked until 2018, and the patient- and tooth-level factors related to tooth loss were identified using a mixed-effect logistic regression analysis. Results: Data from approximately 17% of the teeth were extracted during a follow-up period of approximately 11 years. Among the tooth-level variables, scaling/root planing treatment at baseline and periodontal treatment during the follow-up period were associated with a lower risk of tooth loss (odds ratio=0.692 and 0.769, respectively, p<0.001). Non-vital teeth increased the risk of tooth loss by 3.159 times (p<0.001). Among the patient-level variables, females were less likely to have lost their teeth than males, and those with orthopedic impairment or brain lesions/mental disabilities, a higher age group, lower income level, or residents in medium/small cities or rural areas were more likely to have lost their teeth (p<0.001). Conclusion: Through approximately 11 years of follow-up, scaling or root planing, experience with periodontal treatment at least once, female sex, older age, lower income, smaller residential areas, type of disability, and pulp vitality were found to be associated with tooth loss in individuals with disabilities aged 40~64 years with chronic periodontitis. To prevent tooth loss in individuals with disabilities, it is necessary to establish a dental treatment plan that considers the timing of periodontal treatment and the characteristics of the patient and teeth.

Family Function and Self-esteem among Young and Middle-aged Adults with Physical Disabilities (청·중년기 지체장애인의 가족기능과 자아존중감)

  • Kim, Kye-Ha;Park, Gyeong-Sook
    • Korean Journal of Adult Nursing
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    • v.21 no.2
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    • pp.225-234
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    • 2009
  • Purpose: This study examined family function and self-esteem among young and middle-aged adults with physical disabilities. Methods: The subjects of this study consisted of 116 adults with physical disabilities. Data were collected from 4 Community rehabilitation centers in C area from October to November 2008. All subjects were questioned about family function and self-esteem by the APGAR scale and the Rosenberg Self-esteem Scale. SPSS/WIN 12.0 was used for descriptive analysis, t-test, one-way ANOVA, and Pearson correlation. Results: Subjects had a moderate level of family function (5.31) and self-esteem (28.13). There were significant differences of family function according to age, monthly income, economic status, and disability site. There were significant differences in self-esteem according to age, gender, monthly income, and economic status. The level of family function and income were related to self-esteem. Conclusion: These findings suggest that there is a necessity to improve family function and self-esteem among young and middle-aged adults with physical disabilities. Nursing interventions should take into account the role of family function in promoting self-esteem in people with physical disabilities.

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A Study on Social Safety Perception and its Influential Factors for Middle-aged and Older Adults with Disabilities (중고령 장애인의 사회안전 인식과 영향요인에 관한 연구)

  • Park, Si-Eun;Jeon, Ji-Hye
    • Journal of Convergence for Information Technology
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    • v.9 no.11
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    • pp.218-226
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    • 2019
  • The purpose of this study is to analyze the level and influence factors of social safety perception of middle-aged and older adults with disabilities. The subjects of the survey were older than 50 with disabilities who responded to the 2018 Social Survey. The results analyzed by Hierarchical regression analyzes showed that factors such as gender, age, place of residence, education level, subjective health status, risk response level, compliance level of others, and compliance with public order had a significant effect on the social safety perception level. Through this study, we could know the importance of personal requirements and social capital for social safety perception of middle-aged and older people with disabilities. In the future, the differences in safety perception by type of disability should be studied too.

Construction of Health-related Quality of Life Model in Acquired People with Physical Disabilities (후천성 지체장애인의 건강관련 삶의 질 모형구축)

  • Kim, Kye Ha
    • Korean Journal of Adult Nursing
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    • v.18 no.2
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    • pp.213-222
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    • 2006
  • Purpose: This study was designed to construct a structural model for explaining model health-related quality of life in acquired people with physical disabilities. Method: The hypothetical model of this study was consisted of 6 latent variables and 14 observed variables. Exogenous variables included in this model were physical status and economical level. Endogenous variables were social attitudes, family function, self-esteem, and health-related quality of life. Data were collected from 226 acquired people with physical disabilities residing in Seoul and Kyunggi-do from January to February, 2005. The collected data were analyzed using SAS 8.2 version and LISREL 8.32 version program. Results: The results of the fitness test of the modified model were follow as; ${\chi}^2=67.479$ (df=50, p=.05), GFI=.959, AGFI=.914, SRMR=.049, NFI=.961, NNFI=.979, CN=249.244. Health-related quality of life was influenced directly by physical status, economic level, and social attitudes and accounted for 88.8% of the variance by these factors. Conclusion: These results suggest that physical status is the most significant effect on health-related quality of life, and social attitudes and economic level are important factors having influences on health- related quality of life. Therefore improving physical status and economic level, and modifying negative attitudes are necessary to increase health-related quality of life of acquired people with acquired physical disabilities.

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The effectiveness of an early intervention program based on electronic games in developing the visual perception of children with intellectual disabilities within the age group 2-5 years

  • Felemban, Bashayer Muhammed;Alqudah, Derar Mohammed
    • International Journal of Computer Science & Network Security
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    • v.22 no.10
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    • pp.322-332
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    • 2022
  • The current research aimed to ascertain the effectiveness of the early intervention program based on electronic games in developing the visual perception of children with intellectual disabilities within the age group of (2-5) years, using the quasi-experimental approach with one group, and the study sample consisted of (11) children with disabilities. Simple and medium intellectuals enrolled in the early intervention program at the Successful Communication Center for Day Care in Makkah Al-Mukarramah and were deliberately selected. To achieve the research objectives, the researchers prepared and applied the visual perception scale after ensuring its validity and stability. Three electronic games were also designed and applied to the sample for (17) sessions. The results showed the effectiveness of the electronic games program in developing the visual perception of children with intellectual disabilities within the age group (2-5) years and maintaining this improvement over time. Where the results showed that there were statistically significant differences at the level (α = 0.05) between the grades of the group children in the pre and post-measurements on the visual perception skills scale for children with intellectual disabilities in the post-measurement after applying the program, in favor of the post measurement. The results also showed that there were no statistically significant differences at the level (α = 0.05) between the grades of the group children in the two post and follow-up measurements on the visual perception skills scale for children with intellectual disabilities in the follow-up measurement which indicates the long-term impact of the program. The researchers recommend the necessity of activating educational programs based on various electronic games to develop the visual perception of children with intellectual disabilities and employ them effectively in the educational process for children with intellectual disabilities.

Moving to a Holistic Model of Health: The Need to Join Person and Environment for Persons with Mobility Disabilities

  • Kim, Gyeong-Mi
    • 한국사회복지학회:학술대회논문집
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    • 2004.04a
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    • pp.365-382
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    • 2004
  • The purpose of this study was to explore the concepts of health among people with mobility disabilities in order to develop a new holistic model of health and to identify implications for social work practice. A qualitative study based on face-to-face interviews with people with mobility disabilities was conducted. Nine consumers and nine social workers with mobility disabilities participated in the study. Social constructionism, heuristic paradigm, empowerment paradigm, and strength perspectives were used to form conceptual foundations to guide the study. Study participants' holistic descriptions of the concept of health encompassed five domains: biological/physical, mental/emotional, financial, relationships with others, and spiritual. Participants described health as harmony among these five domains. Harmony indicates that all five domains contribute to the concept of health, and that each domain is related to the others. Participants also viewed disability and health as an interconnected whole, not separate concept. The conceptual model developed in this study expands on the existing concepts of health by considering multiple factors at the personal and environmental levels, as well as interactions among the factors and between the levels. The personal level has five domains: biological/physical, mental/emotional, spiritual, financial, and relationships with others. The environmental level has also five domains: relationship with others, financial, social programs, social attitudes toward peoplewith disabilities, and physical environment. All factors under the personal and environmental levels also affect each other. The holistic concept of health for people with disabilities is not solely a part of the person, but rather is a function of the interaction between the person and their environment. The study demonstrated that people with disabilities have strength and resiliency, and health is an attainable goal for them, particularly when environmental and cultural barriers are addressed. The focus of social work practice should be the removal of those barriers encountered by their consumers with disabilities, as well as, the enhancement of internal factors that facilitate well-being.

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The Moderation Effect of Social Support on the Relationship between the Level of Digital Information Usage and Life Satisfaction of People with Disabilities (장애인의 디지털정보화 활용 수준이 삶의 만족도에 미치는 영향: 사회적 지지의 조절효과 분석)

  • Moon, Young-Im;Lee, Seong-Gyu;Kim, Ji-Hye
    • Informatization Policy
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    • v.28 no.4
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    • pp.36-53
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    • 2021
  • Recently, Korean society has emphasized the level of digital information usage in each individual's life due to the advent of the intelligent information society and the great digital transformation. The purpose of this study is to examine how the level of digital information usage of people with disabilities affects their satisfaction with life and whether social support moderates the relationship between the level of digital information usage and life satisfaction. This study analyzed the data of 2,200 people with disabilities taken from the 2020 Survey on the Digital Divide conducted by the National Information Society Agency. The results of the analysis suggest that people with disabilities have a higher degree of satisfaction when they are employed and have a higher than average monthly income and higher levels of digital information usage and social support. In addition, the results show that social support played a negative moderator role between the level of digital information usage and life satisfaction. This shows that life satisfaction can increase when the disabled frequently use digital devices and technologies in their daily lives without relying on social support, and suggested the need for intervention in policies and practice sites.

The Teacher's Knowledge and Performance State of Safety Management and First-Aid Education at Daycare Center for Young Children with Disabilities (장애아 보육시설에서 근무하는 교사의 안전관리 및 응급처치 교육에 대한 지식과 수행정도)

  • Lee, Hyo-Cheol;Jang, Yong-Su;Yoo, Byung-Kook
    • The Korean Journal of Emergency Medical Services
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    • v.14 no.3
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    • pp.57-69
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    • 2010
  • Purpose: This study aims to examine perceived safety management in teachers working for young children with disabilities, to grasp the state and problems of safety management and first-aid education at daycare center for young children with disabilities, and to provide basic materials to develop programs for safety management and first-aid education. Results: 1. For the perception items of accident possibility in daycare centers, career with more than 10 years had higher response in 'very high' and 'moderately high' than 'moderately or very low' and statistically significant difference was found(p < .05). 2. For the perception items of accident prevention in daycare centers, no teaches with at least college education thought that 'it was not possible to prevent' and most of them thought that 'it was totally possible to prevent' and statistically significant difference was found(p < .05). 3. For the performance level of safety management and first-aid items, forty and over(4.73) showed higher than age of 20-29(4.32) and 30-39 of age(4.26) and statistically significant difference was found(p < .05). 4. For the knowledge level of safety management and first aid items, the highest religion was found as Christian(16.96), followed by Catholic(15.33), Buddhism(14.91), and no religion(15.81) and statistically significant difference was found(p < .05). 5. For the items of confidence in safety management and first aid, performance level, and knowledge level, teachers who competed safety management and first-aid education( 4,48) had higher performance score than those who did not (4.17) and statistically significant difference was found(p < .05). 6. For the items of confidence in safety management and first aid, performance level, and knowledge level, teachers who competed first-aid education(2.77) had higher confidence than those who did not(2.35) and statistically significant difference was found(p < .05). Conclusion: The results suggest that safety management and first-aid education in teachers working for daycare center for young children with disabilities was closely correlated with knowledge and performance levels. Thus, it is necessary to provide continuous safety management and first-aid education for teachers working for day care center for young children with disabilities through regular in-service training. Also further research should be conducted with all subjects and various regions who contact with young children with disabilities.

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The Effects of Psychomotorik in the Forest on the Sensory and Visual Perception of Children with Intellectual Disabilities

  • You, Jin-Hee;Shin, Won-Sop
    • Journal of People, Plants, and Environment
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    • v.22 no.3
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    • pp.321-332
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    • 2019
  • The purpose of this study is to investigate the changes of sensory and visual perception of children with intellectual disabilities by conducting psychomotorik (psychomotor activity) in the forest and indoor treatment rooms. Accordingly, this study divided 18 children with intellectual disabilities living in the facility for persons with disabilities located in Seoul into three groups: the experimental group participating in psychomotorik in the forest, the comparative group participating in psychomotorik in the treatment room, and the control group without any treatment at all. The program was conducted for 32 weeks, 4 hours a month. The results showed that psychomotorik promoted the sensory and visual development of children with disabilities. Psychomotorik in the forest showed significant effects on touch and activity level, form constancy and eye-hand coordination. Psychomotorik in the treatment room showed significant improvement in figure-ground with reduced motion. This suggests that psychomotorik in the forest as well as indoors is a positive factor for sensory adaptation reaction and visual development of children with intellectual disabilities.

A survey on the oral health status of the disabled children attending the special schools in Seoul and Gyeonggi area according to the type and degree of disabilities (서울·경기지역 특수학교 아동의 장애등급 및 유형별 구강보건실태조사)

  • Chung, Won-Gyun;Kim, Young-Nam;Kim, Nam-Hee;Jang, Sun-Ok;Jeon, Hyun-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.1
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    • pp.61-72
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    • 2007
  • The purposes of this study were to investigate the oral health status of the disabled children attending special schools in Seoul and Gyeonggi area, which were to collect baseline data for set up a oral health center in special schools. The study group comprised 915 disabled children aged 12~15 year. They were examined clinically and surveyed on 4 oral health related characteristics according to the type and level of disabilities The results may be summarized as follows: 1. DMFT index was the highest in children with crippled disorder. The plaque control was more required to the children with mental retardation or developmental disorder other than another types of disabilities. 2. About one third of the children with mental retardation or developmental disorder had their teeth brushed at least 3 times daily without any help. Over the half of the children with crippled disorder had their teeth brushed 2 times daily, 33.3% were independent and 38.9% totally dependent on help from others. 3. The more level of disabilities was higher, the more frequency of tooth brushing was lower and degree of dependance of the tooth brushing was higher. 4. There was tendency to visit to dental office more frequently for relief of dental symptoms in children with crippled disorder 5. The inability to call for help from others was the major barrier to dental care for the disabled.

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