강점관점 해결중심 실천을 적용한 지역아동센터 종사자 교육과 슈퍼비전 성과에 관한 질적 사례연구

조소연(So Yun Cho),노혜련(He Len Noh),황혜신(Hye Shin Hwang) 한국아동복지학회 2015 한국아동복지학 Vol.- No.52

본 연구는 강점관점 해결중심 실천을 적용한 지역아동센터 종사자 교육과 슈퍼비전 성과를 탐색하려는 목적으로 수행하였다. 이를 위해 2012년부터2015년까지 3년간 부산과 경남지역에서 강점관점 해결중심 실천을 토대로 시행한 "행복한 지역아동센터 만들기 사업" 의 성과를 질적 사례연구의 방법을 적용하여 연구하였다. 연구 결과 지역아동센터 종사자는 특별한 보상 없이 바쁜 일과를 보내면서 소진된 상황이었고, 강점관점 해결중심 실천을 적용한 교육과 슈퍼비전에 참여하면서 개인의 변화, 실천의 변화, 관계의 변화, 이용자의 변화를 경험하였다. 변화 요인은 1) 교육과 슈퍼비전을 강점에 초점을 두고 진행한 점, 2) 실천 경험을 강조한 점, 3) 종사자의 욕구를 토대로 한 점, 4) 협력과 소통을 확장한 점, 5) 지속적인 훈련을 제공한 점과6) 일관된 가치를 전달한 점이었다. 이러한 연구 결과를 토대로 지역아동센터 종사자 역량 강화를 위한 정책과 실천적 제언을 했으며, 이 내용은 지역아동센터 현장에서 발전된 교육 프로그램 개발을 위한 기초 자료로 활용할 수 있을 것이다. This study was conducted to evaluate the outcome of strength-based, solutionfocused education and supervision of community children"s center workers. For this purpose, we conducted a qualitative case study of the "Happy Community Children"s Center Project" which was carried out in the Busan and Kyungnam areas in Korea for three years from 2012 to 2015. The results revealed that before participating in the project, community children"s center workers were burnt out from their extremely busy daily routine without being rewarded for their efforts. After participating in strength-based, solution-focused education and supervision, however, workers experienced changes with respect to self, practice, relationships, and service users. The factors that brought about the changes were as follows: The training and supervision (1) were carried out with a focus on strengths, (2) emphasized the importance of practice experience, (3) were based on the needs of the workers, (4) expanded the workers" level of cooperation and communication with workers from other centers, (5) provided continuous training, and (6) conveyed consistent practice values. Based on these results, suggestions were made for policies and practices that would enhance the work competencies of community children"s center workers. The suggestions could be used as a basis for developing effective educational programs and supervision for community children"s center workers.

Sensitive skin: what is it? How should we handle it?

조소연 ( So Yun Cho ) 대한피부과학회 2013 대한피부과학회 학술발표대회집 Vol.65 No.2

“Sensitive skin” is a self-diagnosed condition, a subjective cutaneous hyper-reactivity to environmental factors. Subjects experiencing this condition report exaggerated reactions including itching, burning, stinging and tight sensation when their skin is in contact with cosmetics, soaps and sunscreens. Substances not commonly considered irritants may cause irritation. Patients with sensitive skin have very dry skin with low lipids, disturbed skin barrier function, increased transcutaneous penetration of water-soluble chemicals, hyperreaction of cutaneous blood vessels, enhanced immune responsiveness, reduced alkali resistance and increased neurosensory stimulation. Many have atopic background or concomitant rosacea. Materials that help sensitive skin include niacinamide (vitamin B3), panthenol (provitamin B5), vitamin E (tocopherol), ceramides, and metals such as zinc, copper, selenium, strontium and magnesium. On the other hand, vitamin A products, hydroxyl acids (esp. glycolic acid, lactic acid and salicylic acid), preservatives (formaldehyde, quaternium 15, paraben, etc.), fragrances (cinnamic acid compounds), propylene glycol, quaternary ammonium compounds, sodium lauryl sulfate, urea, scrubs/ exfoliants, vitamin C and oxybenzone should be avoided in these patients. Appropriate skin care for sensitive skin consists of gentle cleansing with mild, neutral products, effective moisturization, and UVA/UVB protection. For facial cleanser, mild liquid cleansers or self-foaming wash with pH similar to skin, high rinsibility, nonionic and silicone surfactants, and added emollients and humectants are best because they damage the skin barrier the least. Moisturizers should have occlusives and humectants in an ideal combination. Among occlusives, mineral oil and petrolatum are the most effective; silicone derivatives (dimethicone, cyclomethicone), lecithin, squalene, paraffin and soybean oil are also safe to use. Among humectants, glycerin and glycerol are the most effective. For sunscreen, physical (inorganic) filters such as zinc oxide and titanium dioxide are better than chemical (organic) filters because they are broad spectrum, safe, photostable and non-irritating. When consulting patients with sensitive skin, dermatologists should keep in mind the principle of and products for achieving skin barrier repair without irritation so that they can provide to these patients specific advice on which products to choose.

Use of moisturizers in aged skin

조소연 ( So Yun Cho ) 한국피부장벽학회 2007 한국피부장벽학회지 Vol.9 No.1

Permeability barrier function is normal in aged epidermis under basal conditions, however, in stressed conditions, the barrier is disrupted more easily and repaired more slowly than young epidermis because of a global deficiency in all key epidermal lipids (especially cholesterol), a decreased number of stratum corneum lamellar bilayers and diminished secretion of lamellar body contents. The impaired permeability barrier leads to dry skin in the elderly, especially in winter. Considering the defective epidermal lipid metabolism in aged skin, selection of moisturizers with high lipid content would be beneficial. Application of a physiologic lipid mixture containing cholesterol, ceramides and free fatty acids, or a cholesterol-dominant mixture accelerates barrier recovery in aged epidermis. Alpha-hydroxy acids, salicylic acid, urea, and retinoids are some of the specialty ingredients included in effective moisturizers for the aged skin. The use of moisturizers is an essential part of active treatment for the aged skin since it effectively re-moisturizes dry skin, decreases inflammation and promotes healthy skin by maintaining barrier homeostasis.

기술로드맵 작성을 위한 로드맵핑 프로세스 제안

조소연(So-Yun Cho),이정훈(Jung-Hoon Lee),함주연(Ju-Yeon Ham),이현주(Hyun-Joo Lee),김형일(Hyung-Il Kim) 한국IT서비스학회 2009 한국IT서비스학회지 Vol.8 No.2

A Technology Roadmap (TRM) is extensively used as a tool to manage activities of researching and developing technologies and products that can help a business achieve its goals. However, most of past studies on TRMs have limited themselves to developing in a single product or a single industry level. Few research studies have examined how TRM are used for convergence products and services for future development. The aim of this chapter is to introduce a TRM development methodology for u-City technologies and to consider its possible application at the R&D program level in Korea. This research suggests ways to develop a TRM in u-City development by segmenting u-City technologies, projecting TRM for each technology and designing TRM templates for evaluating both current and future technologies. In addition, the study further highlights to prioritize which technology is favorable for the implementation based on its economic feasibility and technological maturity.

Keratinization, barrier development and DE junction

조소연 ( So Yun Cho ) 대한피부과학회 2013 대한피부과학회 학술발표대회집 Vol.65 No.2

The epidermis is composed of stratified cell layers, which undergo programmed differentiation to allow for constant renewal of the skin. Epidermal stem cells, which account for 1 to 10% of basal layer cells, give rise to transit-amplifying cells which yield terminally differentiated cells. Epidermal proliferative unit (EPU), 2 mm in size, is a functionally independent packet of self-renewing interfollicular epidermis, and one stem cell resides at the base of each EPU. Normal transit time from basal layer to desquamation is 28 days. Keratins, the cytoskeleton of keratinocytes, belong to intermediate filaments; mature keratin filaments contain types I & II keratins in a 1:1 molar ratio. Keratinocytes produce K5/K14 (K15) in the basal layer, K1/K10 in suprabasal layers, K2 in granular layer, and K9, K6a/b, K16, K17 in palmoplantar skin. Besides structural support, keratins are involved in cell and tissue growth, skin pigmentation, keratinocyte migration and immunomodulation. At plasma membrane, keratins are linked by adapter proteins to 2 types of anchoring junctions, desmosomes between adjacent cells, and hemidesmosomes between cell and dermal matrix. Adapter proteins in desmosomes include desmogleins, desmocollins, plakoglobin and plakophilin, and in hemidesmosomes, BPAG1, BPAG2, plectin, α6β4 integrin and laminin-332/laminin-311. In DE junction, anchoring fibrils consisting of type VII collagen is the strongest tie between epidermis and dermis, followed by hemidesmosome. Skin barrier is formed by corneocytes (“bricks”) reinforced by cornified envelope (CE), and intercellular lipids (“mortar”). CE is a covalently cross-linked protein polymer that forms underneath, and eventually replaces, keratinocyte membrane in the granular layer. The isopeptide bonds of CE are catalyzed by transglutaminases, a group of calcium-dependent enzymes. Among protein constituents of CE, involucrin synthesis begins in spinous layer; loricrin is the major structural component of CE; and filaggrin aggregates keratins into bundles and is eventually degraded to free amino acids, yielding natural moisturizing factors (NMF). Lamellar bodies, containing glycosylceramides, sphingomyelin, phospholipids, serine proteases, antimicrobial peptides and hydrolytic enzymes, are extruded to interface at SG/SC interface and form lipid bilayers in SC. Polar lipid precursors are “processed” into non-polar lipids (ceramides [45%], cholesterol [25%], free fatty acids [15%]) by specific hydrolytic enzymes and form the “mortar” of SC. Epidermal kallikreins are serine proteases that degrade corneodesmosomes and thus play a key role in desquamation. Tight junctions, located in SG2 layer, are second line barrier, and gap junctions formed by connexins are intercellular gatekeepers. Barrier insults stimulate not only repair responses, but also initiate cytokine cascade; IL-1, TNF and IL-6 are stimulators of lipid synthesis. Epidermal differentiation and lamellar body secretion is coordinately regulated by calcium and nuclear hormone receptors.

고학력 경력단절 여성의 비정규직 재취업 경험에 관한 내러티브 연구

조소연(So-Yeon Cho),임예윤(Ye-Yun Lim) 숙명여자대학교 아시아여성연구원 2015 아시아여성연구 Vol.54 No.1

본 연구는 비정규직으로 노동시장에 재진입한 세 명의 고학력 경력단절 여성의 이야기를 내러티브 탐구(narrative inquire)의 방법으로 재구성한 것이다. 연구 결과, 경력단절 후 연구참여자의 삶은 “행복한 지옥”처럼 상반된 감정과 상황이 교차하고 반복되는 것이었다. 과거의 삶을 그리워하면서 경력단절 후 삶을 무기력하게 여기기도 했고, 다시 가사와 양육, 직업이라는 “여러 마리 토끼”를 잡기 위해 고군분투하기도 했다. 연구참여자의 삶에서 재취업의 의미는 ‘끊어진 것을 잇고’, ‘상실된 것을 되찾으며’, ‘새로운 것을 찾는’ 노력이었으며, 이것은 ‘끊어지고, 사라진 자신, 혹은 무(無)였던 자신’의 존재를 찾고 해방되는 과정이었다. 그러나 이들의 해방은 아직 물리적, 정신적으로 완전하지 않은 ‘미완의 해방’이었다. 이러한 과정을 통해 연구참여자는 경력단절 후 재취업과정에서 일과 가정 양립이 어려운 한국 사회에 ‘피투’(Geworfenheit)된 자신을 반성적으로 성찰함으로써, ‘기투’(Entwurf)하는 능동적 체험을 했다. 연구를 통해 연구자는 여성의 모성을 강조하는 한국 사회와 기혼 여성을 배제하는 노동시장, 미흡한 보육 제도를 재발견했고, 이를 연구자 자신의 ‘이야기를 하고 다시 사는’ 과정으로 전유하면서 여성 노동에 대한 정책적 함의를 제시하였다. This study has reconstituted the stories of three highly-educated women with discontinued careers who reentered the temporary job market, using the narrative inquiry method. According to the research result, participants view their lives, after career interruption, as a “happy hell”. This means they face two opposite feelings and situations at the same time or repeatedly. They miss their past working life, and find themselves too helpless due to career interruption. Also, they struggle to balance their responsibilities at home, like housework and childcare with finding a new job. It’s like trying to catch two birds with one stone. Reemployment in the participants’ life is the process of finding themselves and getting free from home. The women try to discover themselves so that they begin to understand not only themselves but also others. In Korean society, career and maternal roles are not compatible. The participants reflect on themselves as “being thrown into the society”, and experience “re-throwing themselves into the society”. Through the stories of participants, I have rediscovered that Korean families and society still emphasize the motherhood ideology, thus married women are excluded from the job market, while the childcare system is limited and insufficient. I, as a researcher, appropriate the stories of participants by telling the story and reliving them.

사용자 특성이 EA 활용에 대한 사용자 관여(User Involvemnet)에 미치는 영향에 관한 연구

조소연(So Yun Cho),이영주(Young Joo Lee),양정인(Jung In Yang) 한국IT서비스학회 2010 한국IT서비스학회지 Vol.9 No.2

Enterprise Architecture has become a key tool for transforming business process. data. IT and application resources The "Efficient Adaptation and Management of Information System Act" was established to support the planning and development of the information system in order for the public sector to adopt Information Technology Architecture (EA) into its organization through the act Until now, the study of EA has been mainly focused on concepts, methodologies and success factors for the implementation of EA. User involvement. which is one of the critical factors in adopting information systems, has been rarely studied in the field of EA research The purpose of this study is to identify the effects of user characteristics on user involvement in EA implementation After discussing intrinsic motivators and situational motivators as predictors of user involvement. a research model were developed and tested using survey data. The results showed that among intrinsic motivators, perceived competence had a strong positive effect on user involvement. Some implications were discussed for implementing and utilizing EA for public agencies

Symposium 1-2 (SYP 1-2) : Perfume in cosmetics

조소연 ( So Yun Cho ) 대한피부과학회 2015 대한피부과학회 학술발표대회집 Vol.67 No.1

Aromatherapy is an ancient medical art which, in the present day, is a subset of alternative medicine. Even mentioned in the Old Testament, modern-day aromatherapy began with the publication of “ Aromatherapy” by French chemist Rene-Maurice Gattefosse in 1928. Aromatherapy is the use of aromatic essential oils derived from various parts of plants for a therapeutic purpose. Essential oils are highly volatile hydrophobic liquid extracted from plants. Raw materials for essential oil include flowers (chamomile, jasmine, lavender, manuka, marjoram, rose, ylang-ylang), leaves (basil, eucalyptus, lemongrass, melaleuca, oregano, palmarosa, patchouli, peppermint, pine, rosemary, tea tree, thyme), fruits (allspice, juniper berry), peel (bergamot, grapefruit, lemon, lime, orange, petitgrain, tangerine), seeds (almond, anise, celery, cumin, nutmeg), bark (cassia, cinnamon, sassafras), wood (camphor, cedar, rosewood, sandalwood), rhizome (galangal, ginger), root (calamus, valerian, vetivert) and resin (benzoin, copaiba, frankincense, myrrh). Extraction methods used are steam distillation, enfleurage, expression, solvent extraction, and supercritical fluid extraction. Essential oils are diluted in pure ethanol, polyethylene glycol or carrier oil. Essential oil is composed of many organic compounds with anti-infectious, calming, antispasmodic, expectorant, mucolytic, immunostimulant and wound healing properties such as acids, aromatic aldehydes, alcohols, coumarins, esters, lactones, ketones, oxides, phenols and terpenes. Essential oil is absorbed by 4 routes: topical (massage, compress, bath, gel, cream, spray), inhaled (diffuser, incense, aromastick), internal (mouthwashes, otic solutions, douches, pessaries, suppositories) and oral. Although essential oils are lipophilic, their terpene constituents improve penetration of hydrophilic drugs and can thus be used as natural skin penetration enhancer of drugs. Aromatherapy is used for relief of stress/anxiety, pain reduction, improvement of dementia, depression, hypertension, nausea/vomiting, insomnia, and in cancer/hospice care. Geranium, petitgrain, winter savory and tea tree oil have anti-septic activities; juniper berry has anti-inflammatory activities; cajeput has anti-HSV properties; oregano, thyme, cinnamon, lemongrass, clove, palmarose, peppermint, lavender, geranium, tea tree, etc. have fungicidal activities; chamomile and lavender have stress-reducing action; and lavender has wound healing properties, to list a few examples. Most common adverse effect of aromatherapy is dermatitis, most frequently caused by lavender, peppermint, tea tree oil and ylang-ylang. Psoralens and furanocoumarins in citrus oils can cause phototoxicity. To avoid pesticide residues, organically grown mint and citrus oils should be selected. Therapeutic effects of essentials oils are not well supported by evidence, and actions of many essential oils overlap.

임상 유형에 따른 백반증의 분류

조소연,강형철 ( So Yun Cho,Hyung Chul Kang ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.4

Background: Vitiligo is a distressing skin condition in which acquired destruction of melanocytes causes depigmented patches of various shapes & sizes by as yet unclear mechanisms. Its classification is as varied and unresolved as the theories on its pathogenesis, the most plausible of which are autoimmune, neurohumoral and self-destruction theories. Objective . Our purpose was to devise a classification scheme which would correlate well with the disease course and prognosis. Method: We classified vitiligo into 3 types(symmetric: type 1, segmental; type 2, localized; type 3) based on different proposed pathogenetic mechanisms and analyzed the differences between these types in the clinical manifestations of 502 Korean cases. Results : 1. There were 203 males(40.4% ) and 299 females(59.6%). 2. The most frequent clinical type was the symmetric type(49.8%), followed by the localized type(34.1%) and the segmental type(16.1%). 3, The male-to-female ratio was highest in type 2, but not significantly so. 4. Poliosis and halo nevus were associated in 22.3% and 3.8%, respectiuely. 5. The mean age at the first visit was 32.7 years(male, 29.2 years, female; 27.5 years), and there was a significant difference between the clinical types(type 1; 41.0 years, type 2; 20.5 years, type 3; 26.2 years). 6. The mean age of onset was 25.6 years(male; 23.0 years, female; 27.5 years), and there was a significant difference between the clinical types(type 1; 31.3 years, type 2; 15.7 years, type 3; 22.1 years). 7. A family history of vitiligo was observed in 11.2% of patients, whose sisters were most frequently affected, and there was no significant difference between the clinical types. 8. Associated diseases were seen in 12.1% of the patients, the frequency of which was significantly higher in type 1 vitiligo. 9. Abnormal laboratory findings were found in 14.7% and were significantly more common in type 1 vitiligo. Conclusions . The 3 types differ significantly in the mean age at the first visit, the mean age of onset, disease association and abnormal laboratory findings. Type 1 develops by autoimmune mechanisms, as shown by the continuous progression and the close association with other diseases and abnormal laboratory findings, Types 2 and 3 have a different disease course, becoming stationary after initial progression, Thus, the 3 clinical types classified by the authors are thought to be useful in predicting the course and prognosis of vitiligo and in determining the appropriate therapy. For a more optimal classification, further study on the pathogenesis of vitiligo seems to be in order. (Kor J Dermatol 1997;35(4): 827-637)

Calcipotriol 연고로 치료한 유륜 지루각화증

윤소영 ( So Young Yoon ),김진용 ( Jin Yong Kim ),염꽃보라 ( Kkot Bora Yeom ),김민지 ( Min Ji Kim ),박현선 ( Hyun Sun Park ),이종희 ( Jong Hee Lee ),조소연 ( So Yun Cho ) 대한피부과학회 2012 大韓皮膚科學會誌 Vol.50 No.1

A synthetic analogue of calcitriol (1,25-dihydroxymitamin D3), has shown immunomodulatory effects as well as induction of cell differentiation and inhibition of cell proliferation. This agent has been widely used for psoriasis. We report a case of seborrheic keratosis of the left areola in a 33-year-old female who was treated with calcipotriol ointment. Because of the lesion`s location and shape, it was difficult to try ablative methods. However, complete disappearance of the lesion was observed after 6 weeks of topical calcipotriol application. This case suggests that the calcipotriol ointment is effective in the treatment of seborrheic keratosis. (Korean J Dermatol 2012;50(1):76∼78)