토론(討論) : 선물환 회계기준의 제정방향에 관한 연구

이택영 한국회계학회 1995 회계저널 Vol.3 No.1

뇌졸중 환자의 일상생활동작에 영향을 미치는 요인의 인자분석

이택영,김장환 대한작업치료학회 2001 대한작업치료학회지 Vol.9 No.1

Activities of daily living (ADL) and instrumental activities of daily living (I-ADL) are tasks of self-care, functional mobility, functional communication, home management, and community living that enable an individual to achieve personal independence. The purpose of this study were to investigate the effect of factors on ADL in stroke patients and to identify the relationship between the function of upper extremities and ability of ADL. Thirty-one stroke patients participated in this study. The results of this study were as follows: 1) There were significant functional gains between admission and discharge on the MFT score, dexterity, and the motor FIM(p<0.01). 2) There were moderate correlation between MFT score of the non-affected side and motor FIM score at discharge(r=0.499, p<0.01) and high negative correlation between dexterity of non-affected hand and motor FIM score at discharge(r=-0.704, p<0.01). 3) There was a significant difference on motor FIM score among academic background groups (p<0.01). 4) There was no significant difference on motor FIM score among caregiver groups (p<0.01). 5) Four factors were found. one factor comprised dexterity of non-affected hand at admission and discharge and duration of treatment. Two factor comprised MFT of non-affected side at admission and discharge and academic background. Three factor comprised MFT of affected side at admission and discharge and caregiver. Four factor comprised sex and affected side.

현행 작업치료사 국가시험의 문제점과 대안에 관한 연구

이택영,강대혁 대한작업치료학회 2002 대한작업치료학회지 Vol.10 No.2

The first national occupational therapy licensing examination was administered by the National Institute of Health in 1965. In 1998, National Health Personnel Licensing Examination Board assumed responsibilities for the development, administration, and implementation of the licensing process based on current and valid standards for occupational therapy practice. The purpose of awarding license is to identify for the public those persons who have demonstrated both the knowledge and the skills necessary to provide occupational therapy service. As an effort to develop, maintain, and defend the content validity of practice-based occupational therapy licensing examination, National Health Personnel Licensing Examination Board sponsored and authorized the occupational therapy practice analysis study in 2000. Based on the occupational therapy practice analysis study, Minimum Standards for the Education of Occupational Therapists By World Federation of Occupational Therapists, and The National Occupational Therapy Practice Analysis in the USA, this article points out several problems concerning the existing national occupational therapy licensing examination and suggests the alternatives that reflect current professional practice.

미래지향적 작업치료사 양성을 위한 제언

이택영,박소연 대한작업치료학회 2004 대한작업치료학회지 Vol.12 No.2

본 연구는 현재 제기되고 있는 작업치료사 인력의 과잉공급과 이에 따른 문제점을 지적하고 향후 발전적인 해결방안을 제시하고자 한다. 현 작업치료 교육기관과 임상현장에서의 문제점은 작업치료사 인력의 과잉공급과 작업치료 전공 교수요원의 부족, 작업치료의 의료보험수가 청구의 문제 등을 지적할 수 있다. 문제들을 해소하기 위한 개선 방안으로는 작업치료(학)과의 신설 및 증원에 있어 설치 기준안에 의한 승인, 작업치료실 개설 및 작업치료사의 고용 의무화, 작업치료사의 다양한 활로 개척, 작업치료 전공 교수의 체계적인 육성, 작업치료 의료수가 처방 권한의 확대와 다양한 치료수가 개발이 절실히 필요하다. 앞에서 제시된 문제를 해결하기 위해서는 임상의 작업치료사와 학생, 교수 모두가 노력해야 하며 작업치료에 대한 적극적인 홍보와 작업치료에 대한 만족도, 기여도, 요구도 등의 기초 자료를 위한 연구가 활발히 진행되어 통계적인 자료를 제시하여야 한다. This article aims to point out the controversial issue of deteriorating quality of occupational therapy service due to oversupply of manpower and to emphasize the importance of training the qualified future-oriented occupational therapists to deal with the rapidly changing healthcare delivery system. The majority of the Korean occupational therapy society is currently concerned about oversupply of manpower, shortage of qualified faculty, and underestimated occupational therapy service fee. In order to cope with this challenging situations, first, accreditation process for occupational therapy education program should be established, second, the obligatory law for setting up occupational therapy clinics and employing occupational therapists should be enforced, third, various areas should be explored, fourth, establishment of master and doctoral programs in the field of occupational therapy, fifth, prescription for occupational therapy should be open to all physicians, sixth, occupational therapy areas that can be reimbursed should be extended. As an effort to make these happen, clinicians, students, and faculty members should be more proactive in promoting occupational therapy and should be focusing on research that investigates the effects of occupational therapy. Through these efforts, the profession of occupational therapy in Korea will be strengthened by contributing to the unity of the professions in an activity directed at improving professional preparation and professional practice.

우리나라 작업치료교육기관의 정량적, 정성적 지표(교육환경 중심)

이택영,김장환 대한작업치료학회 2002 대한작업치료학회지 Vol.10 No.2

The purposes of establishing accreditation standards for the occupational therapy program are to assure the quality of the program and to assist in the development of the program. Accreditation serves the public as accredited programs modify their requirements to reflect changes in knowledge and practice generally accepted in the field. To students, accreditation provides an assurance that the educational activities of an accredited program have been found to be satisfactory, and therefore meet the needs of students. Also it assists in the transfer of credits between institutions, or in the admission of students to advanced degrees through the general acceptance of credits among accredited institutions when the performance of the students has been satisfactory and the credits to be transferred are appropriate to the receiving institution. The occupational therapy programs benefit from accreditation through the stimulus provided for self-evaluation and self-directed program improvement and strengthening of program self-evaluation by the review and counsel provided through the accrediting agency. At the same time, this process enhances the reputation of an accredited program because of public regard for accreditation. Lastly, the profession of occupational therapy can be strengthened by contributing to the unity of the professions in an activity directed at improving professional preparation and professional practice.

리튬이온전지 부극용 GIC의 전도성에 미치는 SnCl₂ 영향

이택영,이철태,김현중,송연호,엄의흠 한국공업화학회 2001 한국공업화학회 연구논문 초록집 Vol.2001 No.-

리튬이온전지의 부극활물질로서 탄소전극을 사용할 때에 리튬금속에 비해 단점으로 지적되는 탄소 전극의 에너지밀도를 높이며 또한 충ㆍ방전시의 리툼의 삽입ㆍ탈삽입이 용이하도록 하기 위한 연구들이 시도되고 있다. 탄소재료의 경우 이론적인 최대 방전용량은 372mAh/g이 되며 결정성 탄소 재료인 흑연의 경우에도 이와 같은 방전용량을 가진다. 그러나 실제 충ㆍ방전이 반복됨에 따라 용량감소가 생 기게 되는데 이러한 현상은 리튬이 흑연 내부로 삽입될때에 층간거리(d₀₀₂)가 3.35Å에서 3.70Å으로 팽창하고 탈삽입시에 다시 3.35Å으로 수축되는 현상의 반복으로 충ㆍ방전 반응이 계속 진행됨에 따라 흑연의 층상구조가 무너지게 되어 용량이 감소하고 수명이 저하되는 원인이 된다. 이처럼 리튬이 삽입ㆍ탈삽입되는 과정은 흑연이 가지는 층간거리와 깊은 관계를 가지게 되므로 본 연구에서는 흑연의 층간에 Sn원자를 삽입시켜 층간 거리를 일정하게 유지함으로서 리튬의 삽입ㆍ탈삽입 거동에 있어서 발생되는 확산저항을 감소시키며 보다 많은 리튬의 저장공간을 안정하게 확보하여 전지의 용량 및 수명을 향상시키고자 하였다. 따라서 본 연구에서는 천연 흑연을 열처리 한 후 다양한 농도의 SnCl₂용액과 교반 시키고 이것을 진공반응기에서 다양한 온도로 반응시켜 Sn원자를 흑연의 층상구조에 삽입시켜 전도성을 가진 Sn-GIC를 합성하였다. 그리고 그 물질을 리튬이온전지의 부극활물질로 적용하고 정극으로 리튬금속을 사용하여 cell을 제작하였으며 이의 전기 화학적 거동을 조사하여 Sn-GIC가 리튬이온전지의 부극으로 사용될때의 특성을 조사하고 리튬이온전지용 부극활물질로의 사용 가능성을 확인 하고자 하였다.

Grooved Pegboard Test의 정상 아동의 표준치에 관한 연구

이택영,김택훈,최흥식 대한작업치료학회 2003 대한작업치료학회지 Vol.11 No.1

Objectives : This study evaluated norms for fine motor dexterity skills on kindergarten and elementary school children. Method : Participants were recruited from five kindergartens and two elementary schools in Seosan area. The sample consisted of 160 healthy students ranging in age from five to eight years. The Grooved Pegboard Test (GPT) was utilized to investigate fine motor dexterity. Results : The GPT showed statistically significant differences in hand dominance based on the findings that the scores of nondominant hands were substantially lower than those of dominant hands (p<0.05). The GPT showed significant age group differences in which 8 year old group demonstrated substantially higher scores than those of all other younger age groups (p<0.05). The results indicated a positive relationship between age and GPT scores. Conclusion : The results of this study support the results of previous studies that compared hand function between healthy children and abnormal children. These data will provide standard value of GPT for occupational therapists.

뇌졸중 환자의 환측 상지 기능이 건측 손의 기민성에 미치는 영향

이택영,오재근,김혜영,이규성,김문희 대한작업치료학회 1999 대한작업치료학회지 Vol.7 No.1

The purpose of this study is to first to evaluate the function of the involved upper extremity of adult hemiplegia in relation to the hand dexterity with the uninvolved hand by using Manual Function Test(MFT) to measure the function of the involved upper extremity and Grooved Peg Board Test to assessment the hand dexterity with the uninvolved hand. Second to evaluate the hand dexterity with the uninvolved hand of adult hemiplegia in relation to activities of daily living(ADL) by using Functional Independence Measure(FIM) to measure the ADL. The subjects in this study were 21 stroke patients who were admitted for intensive treatment at Department of Rehabilitation in Asan Medical Center from September to November, 1998. Data were analyze for wilcoxon signed ranks test and Spearman correlation coefficients using SPSS/PC+ program. The results of this study are : 1) Statistically MFT score at admission showed significant correlation with MFT score at discharge (p < 0.01). 2) Statistically the hand dexterity with the uninvolved hand at admission showed si-gnificant correlation with the hand dexterity with the uninvolved hand at discharge(p< 0.01). 3) The function of the involved upper extremity and the hand dexterity with the un-involved hand are poorly related variables in stroke patients(p < 0.01). 4) The function of the involved upper extremity and independence in ADL are poorly related variables in stroke patients(p < 0.01). 5) The hand dexterity with the uninvolved hand and independence in ADL are poorly related variables in stroke patients(p < 0.01). 6) In the relationships between FIM score at admission and FIM score at discharge; there were no significant differences(p < 0.01). It was difficult to compare the measured hand dexterity with the uninvolved hand in stroke patients as well as to assess the hand dexterity with the same side hand in normal, for it is in the variation between the current data used for this study and the standard data obtained from Lafayatte Instrument Company. The activities of daily liv-ing of the hemiplegic patient are largely dependent on their uninvolved hand which is thought to be vital for the rehabilitation of the hemiplegic patients. Therefore, occupa- tional therapy program in stroke patients should include improving skills of uninvolved hand.

작업 모델(Model of Human Occupation)을 중심으로 한 노인의 활동 수준과 삶의 질

이택영,정민예,정보인,유은영,장세진,남은우 대한작업치료학회 2009 대한작업치료학회지 Vol.17 No.1

목적 : 연구의 목적은 우리나라 노인들의 문화와 정서에 적합한 활동척도를 개발하여 남녀 노인의 활동 수준과 의미 있는 활동을 비교하고, 노인의 삶의 질에 영향을 미치는 요인들의 관련성을 규명하였다. 연구방법 : 연구의 대상은 60세 이상 남자 노인 199명, 여자 노인 258명으로 총 457명이 참여하였으며, 노인생활만족척도를 사용하여 노인의 삶의 질을 평가하였다. 또한 노인의 활동수준은 평가를 위해 한국판 활동척도를 개발하여 연구에 이용하였다. 결과 : 노인의 수행 활동을 성별로 비교하여 볼 때 여자 노인은 수단적 일상생활을 남자 노인은 고강도 신체활동을 더 많이 하였으며, 노인의 활동과 삶의 질과의 상관관계를 통하여 남, 여, 전체 노인에서 수단적 일상생활, 저강도 신체활동, 고강도 신체활동, 사회활동에 많이 참여할수록 삶의 질은 높았다. 최종적으로 위계적 다중선형회귀분석을 통하여 노인의 삶의 질에 영향을 주는 요인으로는 전체 노인의 경우 연령, 건강상태, 생활수준, 노후설계 준비기간, 사회활동이, 남자 노인의 경우 건강상태, 배우자 유무, 생활수준, 노후설계 준비기간이 삶의 질을 예측할 수 있는 요인으로 작용하였으며, 여자 노인의 경우 연령, 건강상태, 생활수준, 노후 설계 준비기간, 사회활동이 삶의 질을 예측할 수 있는 요인으로 작용하였다. 결론 : 연구 결과를 토대로 남녀 노인에 적합한 성별에 따른 차별화된 활동을 개발하고 1차, 2차, 3차 예방 사업에 사회활동 요소를 포함하여야 할 것이다. 향후 전국 조사를 통하여 우리나라 노인들을 대상으로 활동 수준과 삶의 질과의 관련성을 규명할 수 있는 다양한 연구들이 수행되어야 할 것이며, 작업치료적 관점에서 장애 노인을 대상으로한 활동의 변화와 삶의 질에 대한 연구가 진행되어야 할 것을 제언한다. Objective : The purposes of this study were as follows: (1) to investigate the activities that Korean elderly people usually participate in, (2) to compare the features of activities between male and female elderly per-sons, and (3) to clarify the factors that influence the quality of life in the elderly based on the Model of Human Occupation(MOHO). Methods : The participants were 199 male and 258 female elderly subjects aged 60 and over. Their quality of life was measured using the Older Adult Life Satisfaction Scale devised by Sung-Jae Choi, and their level of activities was measured using the Activity Check List, which was adapted for Korean culture and environment. Results : In general, the quality of life was higher in male elderly subjects than in female elderly ones, and it was also affected by age, presence of spouse, health status, level of education, present companion, financial status, and preparation period of retirement. The main activities were IADL in female elderly subjects and high-demand physical activities in male elderly subjects. As the elderly participate in more activities such as IADL, low and high-demanding physical activities, and social activities, the quality of life was higher in both groups according to the correlations between the quality of life and each activity. The factors that could pre-dict the quality of life based on hierarchical multiple linear regression analyses were as follows: (1) age, health status, economic status, preparation period for retirement, and social activities in both groups; (2) health status, presence of spouse, economic status, and preparation period for retirement in male elderly subjects; and (3) age, health status, economic status, preparation period for retirement, and social activities in female elderly subjects. Conclusion : The significance of this study could be placed on the facts that activity levels of Korean elderly persons were investigated and that their quality of life was evaluated according to the activities. In the fu-ture, various studies investigating the relationships between activity levels and quality of life are expected for the Korean elderly nation-wide using a larger number of participants.

발 보조기의 착용이 뇌성마비아동의 보행과 작업수행에 미치는 영향

이택영,이강성 대한작업치료학회 2005 대한작업치료학회지 Vol.13 No.3

목적 : 발의 강직성 저측굴곡으로 인하여 무릎이 과신전된 뇌성마비 아동을 대상으로 발 보조기 착용이 무릎 각도와 독립적인 보행거리에 미치는 영향과 COPM을 이용하여 아동의 보조기 착용 전후의 작업수행의 차이를 알아보았다. 연구방법 : 본 실험은 개별실험연구의 반전연구 ABA' 실험설계를 이용하여 총 18회기를 실시하였다. 기초선 A에서는 발 보조기를 착용하지 않고 무릎각도와 독립적인 보행거리를 측정하였고, 캐나다작업수행측정을 실시하여 보조기 착용 전후의 작업수행의 수행도와 만족도의 변화를 알아보았다. 치료기간인 B에서는 보조기를 아동에게 착용하게 한 후의 무릎각도와 독립적인 보행거리를 측정하였다. 기초선 A'에서는 보조기를 제거한 후의 무릎각도와 독립적인 보행거리 및 작업수행의 수행도와 만족도를 보호자에게 재실시하였다. 무릎각도와 독립적인 보행거리를 평균과 시각적 분석을 이용하였고, 작업수행의 수행도와 만족도는 COPM의 점수 비교를 통하여 알아보았다. 결과 : 아동의 무릎각도는 보조기 착용 전후에 평균 11.63° 감소하였고, 독립적인 보행거리는 평균 6.97m 증가하였다. 아동이 혼자서 화장실 가기, 좋아하는 장난감을 스스로 가지러 가기, 공을 발로 차기 모두 보조기를 착용 하기 전보다 수행도와 만족도가 모두 증가하였다. 결론 : 본 연구 결과를 통하여 뇌성마비 아동의 발의 안정성이 아동의 보행거리뿐만 아니라 작업수행에도 영향을 미친다는 것을 알 수 있었다. 앞으로는 더 많은 수의 아동을 대상으로 보행거리와 아동의 작업을 수행하는데 있어서 자신감과 자율성과의 상관관계에 대한 연구도 이루어져야 할 것이다. Objective : This study was conducted to assess the changes in knee joint angle, distance of independent walking, and occupational perfomance and content after treating child with spastic plantar flexion by using functional foot orthosis(FFO). Methods : Design was a single-subject experimental reversal design(A-B-A) conducting 18 sessions. Knee joint ROM, distance of independent walking were measured before and after application of FFO. Also, COPM was performed with care person. Results : Compared baseline, knee joint angle was decreased and distance of ambulation was increased. In addition, both content and performance of COPM was significantly improved. Conclusion : Application of FFO on child(CP) with mild spastic is considered to be effective in fucntional level, alignment and independent gait, and quality of life based on COPM