회원작품 - 남해 프라임하우스

송인욱,Song, In-Uk 대한건축사협회 2016 建築士 Vol.2016 No.5

지역간 비교를 통한 중고령자의 생산적 활동과 우울의 관계

송인욱(Song, In-Uk),원서진(Won, Seo-Jin) 한국지역사회복지학회 2013 한국지역사회복지학 Vol.0 No.45

본 연구는 50세 이상 중고령자를 대상으로 생산적 활동이 우울에 미치는 영향을 분석하고자 하였다. 또한 생산적 활동과 우울의 관계에서 사회적 관계망의 조절효과를 파악하는데 그 목적이 있다. 3차년도 국민노후보장패널조사를 2차 자료분석한 결과, 성별, 연령, 학력 및 결혼상태가 대도시 거주 중고령자의 우울에 영향을 미치는 것으로 나타났으며, 도 거주 중고령자의 경우 연령, 학력, 결혼상태, 가구소득이 우울에 유의미한 관계를 나타내었다. 생산적 활동에서는 유급노동과 손자녀돌봄이 대도시 거주 중고령자의 우울을 감소시키는 것으로 나타났으나 자원봉사는 오히려 우울을 증가시키는 요인이었다. 도 거주 중고령자의 경우 유급노동이 우울에 유의미한 영향을 미쳐, 유급노동을 하는 중고령자의 우울이 유급노동을 하지 않는 중고령자에 비해 낮았다. 사회적 관계망은 지역에 상관없이 우울을 감소시키는 것으로 나타났고, 사회적 관계망의 조절효과는 친구 및 가족과의 관계 만족도와 몇가지 생산적 활동의 관계에서 유의미한 결과를 보였다. This study aimed to address the relationship between productive aging and depression of people over 50 years old. Also, it was to identify the moderating effect of social network on the relationship between productive aging and depression. Findings indicated that gender, age, education, and marital status were significantly related to depression of seniors living in the metropolitan area. For non metropolitan residents, age, education, marital status, and income were significant factors to the depression. Among productive aging factors, paid work and grandparenting decreased depression of those in the metropolitan area while volunteer activity increased their depression. For those living in the non metropolitan area, paid work had a significant positive impact on the depression. Social network factors decreased depression regardless of the area of living. Moderating effect was on the satisfaction of friend and family relationship to some of productive aging factors.

연구논문(硏究論文) : 일본의 요보호 노인 기본권보호제도의 동향과 한국에의 시사점

송인욱 ( In Uk Song ),백윤철 ( Yun Chul Baek ) 단국대학교 법학연구소 2011 법학논총 Vol.35 No.1

Social welfare has transformed from a provider-centered welfare into a user-centered welfare. This trend have to increase the right to welfare and convenience for users. If the goal of social welfare guaranteed the respecting man`s life and dignity, we had not regarded service users as the weak in the welfare system. Japan has already prepared administrative care system for positive solution for social welfare service receipt right of the frail elderly who the decision ability is insufficient and the handicapped. It is important in us at point become accomplished policy approach of government that prepared for increase of old person who need longterm care. The purpose of this study is to analyze the structure and characteristics of the advocacy system, which has been institutionalized to aid the use of social welfare services in Japan`s social welfare systems recently. In order to conduct such purpose, this paper examined the develpomental process and the background of institutionalization of Majority Guardianship System and advocacy system in Japan.

앤더슨(Andersen)모형을 이용한 장애노인 우울 예측요인

송인욱(Song, In Uk),원서진(Won, Seo Jin) 한국장애인재활협회 2014 재활복지 Vol.18 No.3

본 연구는 앤더슨모형에 입각하여 우리나라 장애노인들이 경험하게 되는 우울의 영향요인을 파악하고 노년기 우울의 예방적 개입을 위한 함의를 제공하고자 하였다. 이를 위해 4차년도 고령화연구패널조사(KLoSA)를 2차 자료분석하였으며, 65세 이상 장애노인 444명을 분석대상으로 하여 우울에 대한 관련 변수들의 영향력을 살펴보기 위해 위계적 다중회귀분석을 실시하였다. 분석결과 선행요인에서는 연령이 높을수록 우울 수준이 높았고, 자원요인에서는 기초노령연금을 받고, 사회적 지지가 많을수록 우울 수준이 낮았으며, 욕구요인에서는 지체장애, 뇌병변장애, 시각장애, 심장장애를 가진 노인의 우울 수준이 상대적으로 높은 것으로 나타났다. 연구결과를 토대로 장애노인의 우울에 미치는 것으로 확인된 우울예측요인의 특성을 고려한 실천적 개입방안을 제시하였다. This study aims to identify effects of predisposing, enabling, and need factors on depression among older adults with disability applying Andersen model. And it is also to provide preventive intervention strategies of depression in the later life. Researchers conducted secondary data analysis using the 4th wave of Korean Longitudinal Study of Ageing(KLoSA). 444 older adults who were 65years old and older with disability were included in the study. Researchers used stepwise multiple regression to address factors related to depression of older adults with disability. Findings identified that those who were younger, received senior pension, and had more social support tended to be less depressed. In addition, older adults with a physical disability, brain related disability, vision impairment, and heart problem were more depressed than those without these disabilities. Based on the findings, researchers indicated factors affecting depression of older adults with disability and clinical intervention methods for preventing depression in the later life.

지떨림 증상으로만 발현된 일과성 허혈성 발작

송인욱(In-Uk Song),정성우(Sung-Woo Chung) 대한임상노인의학회 2009 대한임상노인의학회지 Vol.10 No.2

일과성 허혈성 발작으로 인한 지떨림은 매우 드문 임상적 증후군으로서 일반적으로 경동맥의 협착 또는 폐색으로 인한 뇌관류저하로 발생하게 된다. 대개의 지떨림은 간결하고 규칙적이며 반복적인 떨림 양상을 보이게 된다. 하지만 저자들은 상하지에서 규칙적인 진전양상이 아닌 간질발작양상의 움찔 운동으로 나타난 지떨림을 가진 67세 남자 환자를 경험하여 보고하고자 한다. 본 환자는 자기공명혈관사진상 우측 내경동맥의 폐색 소견을 보였으나 뇌파상 간질파는 보이지 않았다. 증상은 3시간 정도 지속한 이후 자연스럽게 완화되었고 다시 재발하지는 않았다. Limb shaking due to transient ischemic attacks represent a rare clinical syndrome that has been ascribed to focal cerebral ischemia attributable to insufficient brain perfusion, usually resulting from carotid artery occlusive disease. Most often, the limb shaking is brief, repetitive and regular in frequency, which has been described as shaking, twitching, swing, or trembling movements. However, we experienced a 67-year-old man with limb shaking syndrome of jerky movement on upper and lower limbs, resembling simple focal seizure disorder. The patient showed right carotid artery occlusion. The involuntary movements spontaneously disappeared and never relapse. The patient was treated conservatively with adjustment of anti-platelet medications.

급성 양측성 상부 중뇌경색으로 발생한 수직 주시 마비

송인욱(In-Uk Song),한수정(Soo-Jeong Han),정성우(Sung-Woo Chung) 대한임상노인의학회 2009 대한임상노인의학회지 Vol.10 No.2

양측 상하주시마비는 양측 중뇌의 병변이 반드시 발생하여야 하므로 뇌혈관질환에 의한 발생은 거의 발생하고 있지 않다. 78세 남자환자가 상하 수직 주시 마비가 동시에 발생하여 복시 및 어지럼증을 호소하며 내원하였다. 뇌 자기공명사진상에서는 양측 중뇌의 급성기 허혈성 뇌졸중 소견을 보였고, 뇌혈관사진상 후뇌동맥의 1분지가 조영되지 않는 소견을 보였다. The bilateral upward plus downward gaze palsy is a rare neurological manifestation caused by vascular insult, because it happens due to bilateral vascular lesions. We experienced a 78-year-old patient presenting diplopia and dizziness due to vertical gaze palsy. The magnetic resonance imaging of brain showed acute ischemic lesions in bilateral rostral paramedian midbrain, including rostral interstitial nucleus of the medial longitudinal fasciculus. And the magnetic resonance angiography didn't show left first branch of posterior cerebral artery.

중고령 장애인의 사회적 배제가 빈곤에 미치는 영향

송인욱(In-uk Song),원서진(Seojin Won) 한국콘텐츠학회 2015 한국콘텐츠학회논문지 Vol.15 No.8

본 연구는 사회적 배제가 중고령 장애인의 빈곤에 미치는 영향을 파악하고자 소득, 노동, 건강, 주거, 교육, 사회참여의 6가지 사회적 배제요인을 연구모형에 포함하여 이 요인들이 빈곤에 미치는 영향을 분석하였다. 또한 지역별 특성을 파악하기 위해 도시와 농어촌 거주 중고령 장애인의 사회적 배제 및 빈곤 실태를 비교분석하였다. 이를 위해 고령화연구패널 4차년도 자료에서 45세 이상 중고령 장애인 640명을 추출하여 로지스틱 회귀분석을 실시하였다. 연구 결과, 사회적 배제요인 중 노동, 주거, 교육이 중고령 장애인의 빈곤에 유의한 영향을 주었다. 지역별로 살펴보면, 도시 지역의 경우, 나이가 적고, 배우자가 없으며, 일을 하지 않고, 집을 소유하지 않은 중고령 장애인이 빈곤에 처할 확률이 높았다. 농촌 지역에 거주하는 중고령 장애인은 나이가 적고, 배우자가 없는 경우 빈곤할 확률이 높았다. 이러한 연구결과를 토대로 중고령 장애인의 사회적 배제 및 빈곤 감소를 위한 정책적 함의를 제시하였다. This study aims to explore effects of social exclusion on poverty of people who are 45 years old and over with disability. It also analyzed the difference between the urban and the rural area in relation to the effects of social exclusion on poverty. The researchers conducted a secondary data analysis using the fourth wave of Korean Longitudinal Study of Ageing. The sample included in this study was 640 people who were 45 years old and over with disability. Logistic regression results showed that urban residents who were younger, did not live with a spouse, were not at workforce, and lived in a rented house tended to be on welfare. For rural residents, on the other hand, only age and marital status were significantly related to poverty. Based on the findings, the researchers indicated political implications to diminish social exclusion and poverty of people with disability.

전신 발작으로 오인된 파킨슨병 환자에서의 이상운동증-고열증 증후군

정다은(Dar-Eun Jung),송인욱(In-Uk Song) 대한임상노인의학회 2023 대한임상노인의학회지 Vol.24 No.3

Dyskinesia-hyperpyrexia Syndrome (DHS) is a rare movement disorder emergency associated with Parkinson’s disease (PD), characterized by severe continuous dyskinesia accompanied by high fever and subsequent alterations in mental state. We present the case of a 74-year-old man with a nine-year history of PD who was admitted to the emergency room. He exhibited severe general dyskinesia, including myoclonus and chorea, along with a high fever and a stuporous mental state. Upon initial examination, a general myoclonic seizure associated with high fever was suspected. Consequently, the patient received hydration, antipyretic therapy, and sedative treatment. Upon the recovery of mental status, it was discovered that he had taken a higher dose of dopaminergic medication than usual on the day of his visit, as per his medical history. Subsequently, it was hypothesized that the severe dyskinesia, high fever, and loss of consciousness were related to this increased medication dosage. Therefore, his final diagnosis was DHS in PD. The dosage of dopaminergic medication was adjusted, and re-education was provided to the patient. This case report highlights the importance of recognizing DHS, as this patient was initially misinterpreted as having a generalized seizure due to severe dyskinesia and impaired mental state.

초기 파킨슨병에서의 Cardiac 123I-Metaiodobenzylguanidine Image를 통한 임상적 예후 평가에 대한 연구(예비연구)

호성희(Seong Hee Ho),송인욱(In Uk Song),정용안(Yong An Chung) 대한임상노인의학회 2016 대한임상노인의학회지 Vol.17 No.2

Background: 123I-metaiodobenzylguanidine (MIBG) image is a well-known tool to evaluate cardiac sympathetic denervation in the idiopathic Parkinson’s disease (PD). Therefore, MIBG images have been reported as a useful tool for diagnosing PD and differentiating PD from other diseases with parkinsonian clinical features. However, relationship between MIBG images and prognosis in PD are unclear. Therefore, we investigated via this study whether MIBG image have a role as predictor of the progression of symptoms in PD or not. Methods: We prospectively enrolled 20 patients with PD who also had decreased striatal uptake on FP-CIT PET/CT. All subjects underwent cardiac 123I-MIBG planar scintigraphy and SPECT separately. Myocardial 123I-MIBG uptake was interpreted on planar and SPECT/CT images separately by visual and quantitative analysis. The clinical evaluations were assessed according to the Hoehn and Yahr (HY) stage, the Unified PD Rating Scale (UPDRS) and general neuropsychological tests on 1 year after first diagnosis. Results: All PD patients showed more severe HY stage and UPDRS motor part on 1-year follow-up than first visit (baseline). However, there was no difference of HY stage, UPDRS motor and neuropsychological tests between PD-Def and PD-NL on 1-year follow-up. Conclusion: We cannot find a role of 123I-MIBG as predictor of disease progression in PD in this study. In addition, we suggest that further researches with larger study populations need to be done to clarify the role of 123I-MIBG image as biomarker of disease progression in PD.

노인 부양가족의 가족갈등, 부양부담 및 사회적 지지간의 인과관계 연구

박영준(Young Joon Park),송인욱(In Uk Song) 한국노인복지학회 2008 노인복지연구 Vol.0 No.39