장애인 복지법의 이념과 성격

우주형(Joo Hyoung Woo) 중앙법학회 2000 中央法學 Vol.- No.2

성대결절 환자에서 음성치료 효과를 예측할 수 있는 인자에 대한 연구

우주현,백민관,김동영,Woo, Joo-Hyun,Baek, Min-Kwan,Kim, Dong-Young 대한후두음성언어의학회 2009 대한후두음성언어의학회지 Vol.20 No.1

Background and Objectives : Vocal nodule is common inflammatory vocal cord lesion which could be improved by voice rest or voice therapy. But some patients, who do not have any improvement after voice therapy, should take laryngomicorsurgery or additional long-term voice therapy. So we try to find prognostic factors which affect the results of voice therapy. Materials and Methods: There are 36 patients (response group) whose symptoms improved after initial voice therapy and 16 patients (no response group) whose symptoms did not improve at all. We compared clinical features (durations of symptoms, voice abuse, laryngopharyngeal reflux), GRBAS scale, acoustic analysis, aerodynamic analysis and voice handicap index between the two groups from January, 2006 to June, 2008. Results: Response group underwent voice therapy 4.5 times (ave.) and no response group underwent 6.7 times (ave.). No response group has longer duration of symptoms, higher GRBAS scale score, higher NIH ratio, and higher MFR than those of response group. Conclusion : This study found that the prognosis of voice therapy in patients who have longer duration of symptoms, high NIH ratio, and bad perceptional test result is not likely to be good. In those cases, we should recommend earlier surgery, voice therapy after surgery, and inform about the necessity of long-term voice rehabilitation or voice therapy in order to get favorable compliance.

장애인 자립생활 지원의 법제도화 과제

우주형 ( Joo Hyung Woo ) 한국특수교육문제연구소 2006 특수교육저널 : 이론과 실천 Vol.7 No.4

본 연구는 근래 우리나라 장애인복지의 새로운 흐름을 형성하고 있는 장애인 자립생활운동의 역사와 배경을 살펴보고, 외국에서 시작된 자립생활패러다임이 우리나라에서 제도적으로 어떻게 정착되어야 하는가를 고찰해보고자 하였다. 자립생활운동은 장애인당사자주의를 실현하는 운동으로서, 장애인 당사자주의가 함축하고 있는 기본이념은 소비자 주권의 보장과인간다운 생활의 실현이라고 할 수 있다. 이는 한편으로 자립생활운동의 철학적 토대가 되기도 한다. 자립생활운동의 주체로서 장애인당사자에 의한 자립생활센터(CIL)가 생겨나고, 이센터는 장애인의 권익옹호활동을 중심으로 하여 활동보조서비스 등 특히 중증장애인의 자립생활지원을 하는 주요 서비스활동을 담당하게 된다. 따라서 중증장애인의 자립생활지원을 위하여 이에 대한 제도화가 이루어져야 하며, 우리나라에서는 현재 이에 대한 근거규정을 만들기 위한 장애인복지법 개정안이 국회에 계류중에 있다. 이러한 법제도화에 따른 한국적 상황에 맞는 자립생활지원제도를 제시하여 보고자 하였다. The purpose of this study is to understand IL(independent living) paradigm for the disabled and to find challenge of legal system for it. For the purpose of understanding IL, we make out functions of CIL(center for independent living). The concept of IL contains self-determination, consumerism, advocacy of rights, empowerment. CIL serves the programs of PAS(personal assistance services), peer counseling, independent living skill training etc, for the severely disabled. Recently, concern of IL is escalated in Korea. Korean law is to be enacted for the support of IL. We expect ``The Act of Welfare for the Disabled`` will be revised to add provisions of IL. In conclusion, I suggest desirable regulations of IL.

현행법제상 직업적 중증장애인의 개념 및 범주에 관한 고찰

우주형(Joo Hyoung Woo) 중앙법학회 2004 中央法學 Vol.6 No.3

성대구증 및 성대 반흔 환자에서 주사후두성형술의 효과

우주현,백민관,김동영,박형민,안상희,문광하,차흥억,Woo, Joo Hyun,Baek, Min Kwan,Kim, Dong Young,Park, Hyoung-Min,An, Sanghee,Moon, Kwang Ha,Cha, Heung Eog 대한후두음성언어의학회 2016 대한후두음성언어의학회지 Vol.27 No.1

Background and Objectives : The clinical reports for the treatment of vocal fold scar and sulcus vocalis are limited, also there is no best one for the treatment of them. This study is to evaluate the effect of Injection laryngoplasty (IL) for the treatment of vocal fold scar and sulcus vocalis. Materials and Methods : from January 2013 to May 2015, the Nineteen patients who were diagnosed as vocal fold scar, sulcus and atrophy, and underwent IL, were engaged in this study. Clinical information and voice parameters were analyzed by retrospective chart review. Pre and post voice parameters were compared. Results : Subgroups of diagnosis were classified into sulcus vocalis for 12 patients, vocal fold scar for 5, and atrophy for 2. IL was performed under local anesthesia through cricothyroid membrane except one patient. Atesense$^{(R)}$, Radiessess$^{(R)}$, and Rofilan$^{(R)}$ were used as injected materials in 9, 9, and 1 patients respectively. Maximal phonation time (p=0.0124), dynamic range (p=0.0028), pitch range (p=0.0141), voice handicap index (p=0.028), glottal closure (p=0.0229), and mucosal wave (p=0.0132) had significant improvement for post-IL voice assessment than Pre-IL. While GRBAS, Mean flow rate, Jitter, Shimmer, Harmony to Noise ratio didn't have improvement. Conclusion : IL is a feasible option for the treatment of glottis incompetence with normally mobile vocal folds such as sulcus vocalis and vocal fold scar.

장애성년후견제도 도입에 관한 소고

우주형(Joo Hyung Woo) 중앙법학회 2008 中央法學 Vol.10 No.4

농인의 언어권에 대한 법적 보장

우주형(Joo Hyung Woo) 중앙법학회 2015 中央法學 Vol.17 No.2

Linguistic rights of the Deaf is guaranteed as the human rights. Language of the Deaf is sign language. The legal recognition of sign languages has been accomplished in many different areas of the world. And it is connected to the issue of Linguistic Human Rights. Therefore Korean Sign Language and Korean Deaf Culture must have a legal status. Such legal circumstances are based on the UN Convention on the Rights of Persons with Disabilities(2006), which Korea has ratified as well. The duty of States Parties to the UN Convention on the Rights of Persons with Disabilities(CRPD) is to ensure this and as a part of the duty this study is needed to take legal measures. Hence the aim of this study is to recognize the true nature of the deaf community and of Korean Sign Language and to recognize legally as well as to guarantee the status and the right of Korean Sign Language and its users. Concerning linguistic rights the international law is more advanced than the national law. The linguistic rights are clarified as human rights in the Universal Declaration of Human Rights(Dec 1948), the International Covenant on Economic, Social and Cultural Rights(Covenant A, Dec 1966) and International Covenant on Civil and Political Rights(Covenant B, Dec 1966). From an international view the question of language is seen rather as a linguistic right, that means as a matter of a right to claim than as a matter of policy. The subject of rights is basically the individual. For the individual his or her language(first language or mother tongue) is an integral device to express oneself as a personal autonomic individual and in this point the linguistic right is eligible to be protected by the constitution. In conclusion, enactment of the Korean Sign Language Act will promote the environment of sign language use and gives the legal foundation to increase the human rights of the Deaf.

후두미세수술의 역사와 기구의 발전

우주현,김동영,Woo, Joo-Hyun,Kim, Dong-Young 대한후두음성언어의학회 2010 대한후두음성언어의학회지 Vol.21 No.2

After introduction of operating microscopes and laser devices in the 1960's, monumental innovation for had been achieved in laryngeal microscopic surgery. The development of high-tech operating devices made the laryngeal surgery less invasive and more precise. There were long histories until developing of the modem instruments and surgical techniques. The simple oral mirror introduced by Bozzoni in 1807 is the beginning of laryngoscope. In 1859 Green carried out the laryngeal operation under direct view of larynx. The appearance of local topical anesthesia on throat had contributed to laryngeal surgery coming into wide use. Killian and Jackson made much contribution to developing the design of laryngoscope. After that, modem laryngeal surgery have been developed with development of the stabilizing holder of laryngoscope and optical devices. We propose carefully the direction of the development of the laryngeal surgery by historical consideration of laryngeal surgery and instrumental development.

전신질환과 관련된 음성장애의 치료

우주현,Woo, Joo Hyun 대한후두음성언어의학회 2016 대한후두음성언어의학회지 Vol.27 No.1

Variable systemic diseases affect larynx and vocal fold and result in voice change. Asthma and chronic obstructive pulmonary disease make increase of intra-abdomimal pressure followed by reflux of gastric acid, which stimulate vagal-bronchopulomary reflex aggravating cough and respiratory disturbance. Fungal laryngitis in the general population is extremely rare, but can occur in immunocompromised AIDS patients. Although, initially, empirical antifungal therapy for candidiasis is often given without biopsy, diagnostic direct laryngoscopy and biopsy is imperative if a substantial clinical response is not rapidly achieved. In the highly active anti-retroviral therapy era, HIV-positive patients are living longer and are at higher risk for developing non-AIDS-defining malignancies. The incidence of head and neck cancer (HNC) which is related with human papilloma virus infection has increased. The survival is significantly lower among the AIDS-HNC patients with CD4 counts ${\leq}200cells/{\mu}L$. Rheumatoid arthritis (RA) cause voice disturbance by developing cricoarytenoid joints fixation or nodule on vocal fold. Post-menopausal voice disorder (PMVD) is caused by decreased secretion of estrogen-progesterone resulting in decrease of fundamental frequency (F0). Hormonal replacement therapy is helpful to reduce F0 decrease. RA and PMVD result in slight voice change, but it could crucial in professional voice user.

로얄제리가 Streptozotocin 유발 당뇨 흰쥐의 치료 및 예방에 미치는 영향

우주연(Joo-Yeon Woo),백경연(Kyung-Yeon Baek),한준표(Joon-Pyo Han) 한국식품영양과학회 1999 한국식품영양과학회지 Vol.27 No.6

본 실험은 로얄제리를 streptozotocin 유발 당뇨쥐에게 치료 및 예방효과로 나누어 투여시 나다나는 혈당과 혈청 지질수준 및 혈구수에 대하여 관찰하였다. 실험 동물은 정상권 (Normal)과 로얄제리만을 투여한 RJ군(Royal Jelly), streptozotocin만을 투여한 군(STZ), 예방효과를 위해 로얄제리를 2주간 투여한 후 당뇨를 유발한 군(RS1, RS2), 치료효과를 위해 당뇨를 유발한 후 2주간 로얄제리를 투여한 군(SR1, SR2)으로 나누어 3주간 본 실험을 행하였다. 체중 변화량을 보면 STZ군과 SR1군만이 크게 감소하는 경향을 보였으며, 식이섭취량은 STZ군과 RS1군, SR1군이 증가하였다. 혈당에 미치는 효과에서 RJ군과 RS1군, RS2군에서는 모두 혈당이 정상군과 유사하였고 나머지 군들에서는 효과가 없었다. 혈청내 지질 수준에서 총 지질량과 중성지질량은 STZ군에 비하여 SR1군이 낮게 나타났으며 총 콜레스테롤 수준은 STZ군이 높은 경향을 나타내었다. 또한 동맥경화지수는 RJ군과 치료효과를 위한 SR1군이 정상군에 비하여 낮은 경향을 나타내었다. 혈구수에 미치는 영향에서 RBC(red blood cell)수와 HGB(hemoglobin)수는 RJ군과 치료효과를 위한 SR1군이 높게 나타났고, WBC(white blood cell)수는 RJ군과 SR2군이 높은 경향을 나타냈다. In order to investigate the preventive and therapeutic of royal jelly on diabetes, the levels of blood glucose and serum lipids as well as the number of blood cells were determined in streptozotocin(STZ)-diabetic rats. Rats were divided into seven groups. The RJ group was administered royal jelly and the STZ group was treated with streptozotocin to induce diabetes. To determine the preventive effect, diabetes was induced after administration of royal jelly for 2 weeks in group RS1/RS2. In group SR1/SR2 diabetic rats were administered royal jelly for 2 weeks to investigate the therapeutic effect. After 3 weeks, the body weight was reduced in STZ and SRI groups and food intake was increased in the STZ, RS1 and SR1 groups. The blood glucose level was similar to the control group in the RJ, RS1 and RS2 groups and there was no effect in the other groups. The total lipid and triglyceride level were lower in the SR1 group as compared to STZ, and the total cholesterol level was higher in the STZ group. The index of atherogenesis was lower in the RJ and SR1 groups compared to the normal group. The number of red blood cells and hemoglobin was higher in the RJ and SR1 groups and the number of white blood cells was higher in the RJ and SR2 groups.