유리전완피부피판의 혈관변이로 인해 전외측 대퇴유리피판을 대체 적용한 구강 내 재건 증례

윤상용,김성희,송재민,이주민,남수봉,김욱규,Yoon, Sang-Yong,Kim, Sung-Hee,Song, Jae-Min,Lee, Ju-Min,Nam, Su-Bong,Kim, Uk-Kyu 대한악안면성형재건외과학회 2013 Maxillofacial Plastic Reconstructive Surgery Vol.35 No.4

Reconstruction techniques of orofacial defects caused by wide excision of the intraoral malignant lesions are various. Although radial forearm free flap is a common donor site on reconstruction of soft tissue defect, anterolateral thigh (ALT) free flap also has an established site in orofacial soft tissue reconstruction as the favored donor flap with recent progress of the microsurgical technique. A 59-year-old female complained of hyperplastic mass on the right retromolar and buccal cheek, which was diagnosed as a squamous cell carcinoma (SCC) by an incisional biopsy. Before the operation, we planned a wide excision of the SCC lesion, supraomohyoid neck dissection, reconstruction with radial forearm free flap (RFFF), and split thickness skin graft. We accidentally found an arterial variation of the forearm area during elevation of RFFF, and changed the plan of reconstruction operation to reconstruction with ALT free flap. Operative sites was healed well during the post-operative period, and we referred to the department of radiation oncology for post-operative radiotherapy.

상하악 치조골 결손 환자에서 전신 마취 전 발생한 혈관미주신경성 실신

윤상용,윤지영,김철홍,Yoon, Sang-Yong,Young, Yoon-Ji,Kim, Cheul-Hong 대한치과마취과학회 2011 Journal of Dental Anesthesia and Pain Medicine Vol.11 No.2

Vasovagal syncope accounts for the majority of adverse events that occur in dental offices and is normally related to emotional or somatic factors. The factors trigger intense parasympathetic state, leading to bradycardia and hypotension. We experienced a case of vasovagal syncope just before general anesthesia. A 49-year-old woman with alveolar bone deficiency on maxilla and mandible was planned to undergo an alveolar bone graft with mandibular body under general anesthesia. She didn't have any histories of disease, medication or syncope. Though she showed a little anxiety from admission, she had no pre-operative medication. After she was guided to the operating room, she had signs and symptoms of vasovagal syncope without any prodromes. The patient was resuscitated soon only by the conservative treatment and was operated under general anesthesia.

장애인연금 수급요건으로서 근로능력평가 도입

윤상용(Sang Yong Yoon) 충북대학교 생활과학연구소 2015 생활과학연구논총 Vol.19 No.2

The purpose of this study is to present a rational direction for improving eligibility of Disabled People Pension to be reflected in a comprehensive disability assessment tool as an alternative after abolition of disability grading system in the near future. The comparative analysis of the work capacity assessment as a core requirements of non-contributory disability benefits in 13 OECD countries shows that all countries but Japan have the requirements combining medical assessment with functional work capacity assessment or employability assessment or combining socio-environment assessment. In that it is difficult to establish a system to assess employability or socio-environment in a short period of time, introducing functional work capacity assessment in addition to present medical evaluations is the most reasonable way to improve eligibility of Disabled People Pension.

장애연금 수급 요건으로서 근로능력 개념 및 평가 방법에 대한 일고찰

윤상용(Sang Yong Yoon) 충북대학교 생활과학연구소 2013 생활과학연구논총 Vol.17 No.2

The object of this study is to provide improvement guidelines on assessment of work capacity as benefit entitlement requirement of National Pension Scheme by analyzing similarities and differences of definition and assessment process of work capacity in some OECD countries's disability pension scheme. The results of international comparison shows that most OECD countries state the loss of work capacity or earning capacity as legal definition of disability and functional and/or rehabilitative operationalization with medical operationalization of disability. In case of National Pension Scheme its legal definition of disability is the loss of work capacity but operationalization of work capacity applies only medical perspective. To solve the inconsistency in current assessment system of work capacity, this study suggests functional and/or rehabilitative operationalization in combination with medical operationalization in National Pension Scheme.

장애인복지서비스 전달체계의 분석과 발전적 대안 모색

윤상용(Sang Yong Yoon) 충북대학교 생활과학연구소 2012 생활과학연구논총 Vol.16 No.1

During these ten years the supply of social service for people with disabilities have been increased consistently. But the delivery system of social service for people with disabilities was not improved relatively. Government has been endeavoring to reform the delivery system of social service for people with disabilities focused on gate keeping system. The objective of this study is to find a desirable way to improve the delivery system of social service for people with disabilities on the basis of the analysis of outcomes and limitations of recent five years’s reforming actions titled with “Reforming the infra-structure of the disability welfare services”. The results of the analysis of the delivery system of social service for people with disabilities showed that in disability assessment system there was an outcome enhancing objectivity of disability eligibility evaluation, however the definition of disability is still leaning toward medical model of disability and there are many people in places where they can't enroll as an disabled person legally and in needs assessment system there are still an lack of rationality and the functions of comprehensive need assessment and case management. Government has been pushing forward establishing the disability service center as the one-stop gate keeping system for these five years, however, it is uncertain whether disability service center will be set up or not in the future. Here are two reasons. The first reasons is that there is an aversion about establishing an independent delivery system of social service for people with disabilities within governments. And the second reason is that there is additional financial burden needed for set them up throughout the nation. At this point in time, the best way to solve many problems occurred under present delivery system of social service for people with disabilities is to establish an independent comprehensive services delivery system for people with disabilities by way of using the National Pension Services Institution as an operating body of disability assessment and personal assistant services for people with disabilities.

재가 장애인의 우선적 욕구에 영향을 미치는 요인에 관한 연구

윤상용 ( Yoon Sang Yong ) 한국보건사회연구원 2003 保健社會硏究 Vol.23 No.1

본 연구의 목적은 재가 장애인의 우선적 욕구에 영향을 미치는 요인들을 파악하고 이러한 분석을 바탕으로 개별 복지서비스를 가장 절실히 필요로 하는 고위험집단을 규명하여 궁극적으로는 정부가 제공하는 장애인복지서 비스의 효과성과 효율성을 높이는 데 기여하고자 하는 것이다. 본 연구는 이러한 목적을 수행하기 위해 한국보건사회연구원에서 실시한 `2000년 장애인실태조사`의 원자료를 사용하여 로지스틱 회귀분석(Logistic Regression) 등으로 분석하였다. 연구의 분석틀로서 독립변수는 크게 세 가지로 구분되는데 첫째, 인구학적 요인에는 성별, 결혼상태, 연령, 가구유형, 가구원수, 거주지역 등이 포함 되며, 둘째, 사회환경적 요인에는 소득, 직업, 경제활동상태, 교육연한, 생활 만족도, 가구소득, 주택형태, 주택소유형태, 기초보장수급자 여부 등이 포함 되며, 셋째, 장애요인에는 장애유형, 장애기간, 일상생활 도움 필요도, 외부 활동 불편도, 주관적 건강상태, 사회적 차별경험 등이 포함된다. 그리고 종속변수인 재가 장애인의 욕구는 생계보장, 의료혜택 확대, 세제혜택 확대, 편의시설 확대, 가사지원서비스, 주택보장, 결혼상담 ㆍ 알선, 인식개선, 교통수단 이용 편의 확대, 재활보조기구 개발 ㆍ 보급, 특수교육 확대 ㆍ 개선, 문화 ㆍ 여가 기회 확대 등 13개의 욕구로 이루어져 있다. 로지스틱 회귀분석 결과, 장애유형, 가구소득, 주택소유형태, 직업, 기초보 장수급자 여부 등의 변수들이 재가 장애인의 우선적 욕구에 영향을 미치는 주요한 요인으로 작용하고 있는 것으로 나타났다. 이들 변수 중 장애유형을 제외한 나머지 변수들이 모두 장애인의 경제상태를 설명해 주는 변수 들이라는 점에서, 결론적으로 장애인의 장애유형과 경제상태가 장애인의 복지서비스 우선순위 욕구를 결정짓는 주요 요인이라는 것이 입증되었다. 따라서 장애인의 욕구에 대응하여 욕구의 충족을 목표로 하는 정부의 장애인 복지 시책은 장애인의 장애유형과 경제상태를 우선적으로 고려하여 구체적으로 수립되고 시행되어야 할 것이다. The objective of this study is to identify factors in the needs of disabled people and contributes to raising the effectiveness and efficiency of public welfare service for disabled people. To achieve this, this study used logistic regression based on 2000 National Survey of Disabled Population conducted by the Korea Institute for Health and Social Affairs. As the framework of analysis, independent variables are composed of three things. First, demographic variables include sex, martial status, age, household type, number of family members and residential area. Second, socio-environmental variables include income, occupation, status in economic activity, educational attainment, level of satisfaction with daily lives, family income, type of house, type of possession of house, and status in the Basic Security System. Third, disability variables include disability type, period of disability, level of help needed for daily activities, level of discomfort in outside activities, and status of health and experience of social discrimination. Dependent variables include livelihood security, improvement in access to medical service, improvement of tax treatment, promotion of barrier-free environment, service for household affairs, housing security, counselling and intercession of marriage, improvement in public attitudes toward disability, improvement of public transportation, improvement and wide supply of assistive rehabilitation systems, provision of special education for the disabled, more welfare facilities for the disabled, opportunities for culture and leisure. As a result of logistic regression analysis, independent variables such as disability type, family income, type of possession of house, occupation and status in the Basic Security System affect to the prior needs of disabled people. All variables, except the type of disability, are found to be related to the economic status of disabled people. This consequently identifies the type of disability and economic status as that major factor influencing the needs of disabled people. The result of this study therefore suggest that in planing and carrying out policies to fulfill the needs of disabled people, the Government authorities should take account the type of disability and economic status of disabled people.

장애인 최저소득보장제도 국제 비교 연구: 최저소득보장체계의 국가간 유형화에 기초한 유사 국가군의 비기여 소득보전급여 내용분석을 중심으로

윤상용 ( Yoon Sang Yong ) 한국보건사회연구원 2013 保健社會硏究 Vol.33 No.2

2007년 새로운 장애급여로서 장애인연금이 도입된 이후, 장애인연금은 장애연금과 함께 장애에 대응하는 독립적인 소득보전급여로서의 위상을 갖게 된 동시에 장애연금 내에 최저소득보장장치가 부재한 상황에서 유일한 장애인 최저소득보장제도로서의 위치를 확 보하고 있다. 더불어 장애인연금은 전체 장애인 소득보장체계를 구성하고 있는 급여들 중에서 가장 늦게 도입되었으면서도 수급자 및 소요재원의 규모라는 제도의 내용 측면에서 여타의 장애 급여를 능가하고 있다는 점에서 현재 우리나라의 가장 대표적인 장애인 소득보장제도라고 할 수 있다. 본 연구는 장애인연금이 갖고 있는 이러한 대표성과 신정부가 장애인연금을 기초노령연금과 통합하여 기초연금으로 전환하는 방안을 밝힌 후 이슈의 한 가운데에 있다는 점에 주목하여 장애인연금의 바람직한 개선 방안을 마련하는 근거로서 국제 비교적 관점에서 장애인연금의 현 수준을 진단하는 것을 목적으로 하고 있다. 이를 위해 적절한 비교 대상 국가군을 확보하기 위한 작업으로서 우리나라를 비롯 한 16개 OECD 회원국에서 운용하고 있는 장애인 최저소득보장체계에 관한 국가간 유형 화를 시도한 결과, 개별 국가에서 운용하는 기여 최저소득보장제도 및 비기여 최저소득보장제도의 종류 및 위계적 구조 형태에 따라 총 5가지 유형으로 구분할 수 있었다. 이러한 유형화에 기초하여 장애인연금과 제도적 유사성을 갖고 있는 비기여 최저소득보장제도를 운용하고 있는 9개 국가의 급여 내용을 분석한 결과, 우리나라의 장애인연금은 낙후된 장애 평가 시스템으로 인해 다른 국가와 비교할 때 대상 효율성이 매우 취약하였으며, 지급액에 있어서는 평균소득대비 비중이 3.0%로 비교 대상 국가의 1/8에 불과한 것으로 파악되는 등 소득보장정책의 핵심 평가 요소인 포괄성, 충분성, 형평성 등에서 제도적 후진성을 보였다. 이러한 연구 결과에 비추어 볼 때, 장애인 소득보장체계의 발전을 위한 방안으로서 기여 최저소득보장제도의 도입, 장애급여 지급대상 확대, 장애급여 지급액 인상, 장애급여 체계 개편 등이 추진되어야 할 것이다. Since the Disabled Pension has been introduced in 2007, the Disabled Pension is considered as the representative minimum income benefit for people with disabilities in terms of the number of recipients and budgetary scale. The objectives of this study is to assess the level of the Disabled Pension by way of cross-national comparative study and suggest the reformation plan on minimum income provision system for people with disabilities including the Disables Pension. To achieve this, first above all this study attempts to classify minimum income provision system for people with disabilities in selected 16 OECD countries on basis of type of contributory benefit and non-contributory benefit and their hierarchical structure. The Results of the classification shows that there are five types. The results of comparative study on non-contributory minimum income benefits of 9 OECD countries that have institutional parallels shows that the Disabled Pension of Korea does not emerge from backwardness in terms of income maintenance policy`s effectiveness. This study therefore suggest that there is a strong need for introducing the contributory minimum income provision for the disabled, expanding the coverage of disability benefits and increasing the level of disability benefits.

딥러닝 기반 실시간 사람 탐색을 위한 스마트시티 인공지능 미들웨어에서의 클라우드 기반 실시간 분산병렬처리

윤상용(Sang Yong Yoon),이용우(Yong Woo Lee) 한국정보기술학회 2022 한국정보기술학회논문지 Vol.20 No.5

In this paper, we introduce the Utopia smart city artificial intelligence middleware. The Utopia smart city artificial intelligence middleware builds artificial intelligence through deep learning, and by using this artificial intelligence, it can simultaneously view numerous video frames transmitted from numerous CCTVs and image collecting devices in the smart city. The Utopia smart city artificial intelligence middleware can analyze all the video frames in real time, find people on each video frame using the developed artificial intelligence, mark the found results on each frame in real time, and report the all results to Utopia Smart City artificial intelligence middleware in real time. In this paper, we explain these tasks and explain the utopia smart city artificial intelligence middleware system, its technology, and its method to perform these tasks. This paper explains real-time distributed and parallel processing based on the cloud to perform the tasks. In this paper, through performance evaluation experiments, we prove that the implemented system works well, is scalable, and operates stably and efficiently.

내면아이치료 중심의 통합적 단기상담 질적 사례연구

윤상용(Sang-Yong Yoon) 한국부부가족상담연구학회 2022 부부가족상담연구 Vol.3 No.2

본 연구는 아동기에 경험한 애착 외상의 영향으로 불안을 호소하는 내담자의 상담 경험을 탐색하고, 내면아이치료 중심의 통합적 상담 접근이 애착방식 변화에 어떻게 영향을 미치는지 이해하고자 이루어 졌다. 이를 위해 애착 외상으로 불안을 호소하며 지역 센터에 방문한 중년 여성 내담자 두 명에게 내면아이치료 중심의 통합적 상담 기법을 적용하여 총 8회기 상담을 진행한 기록과 6개월 후 심층면접을 진행한 자료들을 참여자들의 동의를 얻어 질적 사례연구방식으로 분석하고 결과를 도출하였다. 결과를 통해 본 연구는 내면아이치료를 중심으로 한 통합적 단기상담이 아동기 경험한 애착외상과 관련된 불안을 주호소로 하는 내담자들의 변화와 성장에 긍정적으로 영향을 미칠 수 있음을 실제 사례를 통해 확인할 수 있었다. 이러한 결과를 바탕으로 연구의 의의, 한계점 및 추후 연구를 위한 논의와 시사점을 제시하였다. This study was conducted to explore the counseling experience of clients who complain of anxiety due to the influence of childhood attachment trauma and to understand how an integrated counseling approach centered on inner child therapy affects changes in attachment styles. To this end, two middle-aged female clients who visited a regional center complaining of anxiety due to attachment trauma applied an integrated counseling technique centered on inner child therapy for a total of 8 counseling sessions and data from an in-depth interview six months later. With the consent of the participants, the qualitative case study was analyzed and the results were derived. Through the results, this study confirms through actual cases that integrated short-term counseling centered on inner child therapy can positively affect the change and growth of clients whose main complaint is anxiety related to attachment trauma experienced in childhood. there was. Based on these results, the significance and limitations of the study and discussions and implications for future studies were presented.

장애인 고용의 다차원적 성과 및 장애인 근로자의 노동시장내 역동

윤상용(Yoon Sangyong),김태완(Kim Taewan) 한국장애인고용공단 고용개발원 2019 장애와 고용 Vol.29 No.1

Purpose: The purpose of this study is to examine the effects of employment on the household income, poverty status, and life satisfaction of the disabled through the longitudinal analysis of the first wave of the employment panel of the disabled and understand what kind of changes have been experienced in job mobility and wage of the disabled workers and what factors have caused these changes over the past eight years. Method: The multidimensional performance model of employment was analyzed by panel analysis using fixed effects model, and models of the disabled workers' job mobility and wage change were analyzed by multinominal-logit regression. Results: The results of the analysis show that the employment increased the annual income of the disabled household and life satisfaction of the disabled and lowered the poverty. In addition, when one of three disabled workers changes their jobs involuntarily, the probability of involuntary turnover is high in severe disabilities, mental disabilities, women, part-time work, absence of pension and employment insurance. In the past eight years, there is no wage increase based on the median wage. Implications: the results of this study suggest that employment opportunities should be provided to more people with disabilities, and at the same time, policies to enhance job quality of the disabled workers should be pursued. 연구목적: 본 연구는 장애인고용패널 1차 wave에 대한 종단 분석을 통해 고용이 장애인의 가구소득, 빈곤지위, 삶의 만족도에 어떠한 영향을 미쳤으며, 최근 8년간 장애인 근로자가 직업전환, 임금 등 노동 시장내에서 어떠한 변화를 경험하였고 이러한 변화를 유발한 요인이 무엇인지 파악하는 것을 목적으로 하고 있다. 연구방법: 고용의 다차원적 성과 모델은 고정효과모형을 적용하여 패널로짓분석을, 장애인 근로자의 직업전환 및 임금변화 모델은 다항로짓분석을 실시하였다. 연구결과: 취업은 장애인가구의 경상소득을 연간 1,626만원 증가시켰으며, 빈곤을 낮추고 삶의 만족도를 높이는 효과를 유발하였다. 또한 장애인 근로자 세 명 중 한 명이 비자발적으로 직업을 바꾼 가운데, 중증, 정신장애인, 여성, 노동 조합 없는 경우, 시간제근무, 연금 및 고용보험 미가입인 경우에 비자발적 이직의 확률이 높은 것으로 나타났다. 지난 8년간 장애인 근로자의 평균 임금은 매년 증가하였으나, 중위 임금 기준의 임금 증가는 없었다. 결론: 본 논문의 분석 결과는 더 많은 장애인들에게 고용의 기회가 제공되어야 하며, 동시에 장애인 근로자의 비자발적 직업전환을 억제하고 안정적인 임금 상승이 이루어지도록 하기 위한 일자리의 질 제고 정책이 적극적으로 전개되어야 함을 시사하고 있다.