사회복지 수퍼비젼의 장애 요인 분석 : 기관·운영주체의 관점을 중심으로

양정남,최은정,정현주 동신대학교 2006 論文集 Vol.16 No.-

This study analyzes obstacles to supervision which is un being carried out in social welfare agencies in Korea. The study discusses solutions to resolve the issues identified. The present practices of supervision in the agencies is not systematic or practical. Rather, it seems that it is just a nominal supervision named for convenience of the administrative instruction of service. Many researchers suggest various reasons for this process; however, this research notes that a significant difference exists between the supervision of the agencies and that carried out by social workers. In many research papers, it is stated that social workers as a supervisee prefer educational supervision, whereas the administrative supervision is favored by the agencies and the supervisors. Almost all the supervisors are committed to follow the agencies policy on supervision. For this reason, it may be essential to remove the structural obstacles and give the supervisor more flexibility and choice. Agencies view social work supervision from two main perspectives. Firstly supervision is viewed as a purchase rather than an expenses This perspective considers supervision as a production cost rather than a revenue producer. As a production cost the agency needs to manage supervision so that it does not: a. increase the cost of producing outcomes. b. reduce the volume of outcomes produced, therin reducing the amount of revenue available to the agency. The second perspective that agencies' view social work supervision as a risk management system which protects the agency from being blamed for unethical and unprofessional practice by its social workers and social work supervisors. I, therefore, suggest four solutions to help resolve the issues. a. ensure professionalism of social workers. b. ensure that the agencies are fair and democratic. - Social worker and client group should be independent from management. c. improve the assessment methods of social welfare agencies. d. introduce a certificate for the supervisor and an independent professional outside supervisor.

사회복지 현장의 수퍼비젼 방식 연구

양정남,최은정,정현주 동신대학교 2006 論文集 Vol.16 No.-

The purpose of supervision is to provide clients with the best service. In essence, supervision is a systematic exercise which is realized on the basis of communication and decision-making between a supervisor and a supervisee. The process of supervision is accomplished through good communication. Thus, in order for the supervision to function well in a social welfare agency, not only the contents of the supervision but the way of forming the supervision is seriously taken into account. Even though the supervision content is of good quality and the speciality of the supervisor ensured, the primary purpose and object of the supervision can hardly be achieved unless the communication between the supervisor and the supervisee is effective. For this reason, this study looks into the issue of the process of supervision deliverance and communication, and suggests an application of Shared Decision making, an educational theory, to the supervision for a better outcome. In the 1980s, a startling vision of education's future began appearing in reform proposals: school run by committees of teacher, without an administrator in sight. Since then, SDM has become a significant part of school-reform. SDM is the process of making educational decisions in a collaborative manner at the school level. The purpose of SDM is to improve school effectiveness and student learning by increasing staff commitment and ensuring that schools are more responsive to the needs of their students and community. SDM as a social work supervision model involves six main safeguards and benefits, which are as follows. ① Peer review of professional decisions ② It ensures that no client's liberty is affected(eg coming into care) without scrutiny of that decision. ③ It ensures clients are not left in unacceptable risk situations on the basis of a single individual's assessment or action. ④ It ensures that professionals are not put into a position where situations may exceed their knowledge, skills or experience or where they are having to manage very stressful and emotional situations. ⑤ Protection of the Agency: SDM has the responsibility to safeguard and ensures the importance of both supervisor and agencies role. ⑥ It encourages openness and collective responsibility.

오리나무 열매를 이용한 생물처리장치에서의 톨루엔 가스 처리효율 특성

공남식,차수길,서정윤 한국대기환경학회 2003 한국대기환경학회지 Vol.19 No.6

This study was to examine characteristics of treating toluene vapor, which gets to be problematic due to its harmful carcinogenicity and mass generation from various sources, through a biological treatment facility which is environment-friendly and adopts a high-efficient and low-cost clean technology. In order to identify whether Alnus Firma Fruit (AFF) can be used as a media for a bioreactor, its utility and basic operating factors, a study was conducted on pressure drop, supply of nutrient substances and retention time which are operating factors of a biofilter, and eliminating characteristics were compared between AFF and the conventional biological activated carbon (BAC) widely used as filter media. In the case of AFF, the initial microbial deposits was 2.3 X 10^(7) CFU/g dry AFF, which represents the initial microbial density higher than the case of BAC showing 5.5 x 10^(6) CFU/g dry BAC. And it took about 2 weeks to acclimate until its eliminating rate got to be increased over 90%. As a result of comparing pressure loss taking place with the lapse of time between BAC and AFF, after 130 days passed at SV 25 h^(-1), BAC showed that its eliminating efficiency had a tendency to drop greatly due to a great pressure loss (0.53-> 54.7 ㎜H₂O/m) caused by an excess of biomass as accumulated. On the other hand, AFF showed that the pressure drop was 0.53 ㎜H₂O/m, about 2 times as much as the initial pressure loss of 0.4 ㎜H₂O/m, which represents no great change in the pressure loss, and its eliminating efficiency was also shown to be continuously high. Therefore, when AFF was used as a filler for a biological treatment facility, a biological filter enabling improvement of the purifying efficiency to be promoted could be provided, and moreover, the pressure loss was so small that the filler replacement cycle or the back flushing cycle could be extended. So, even in terms of the operating cost, it was identified to be an economical filler. When an inorganic material was used as a filler, the biofilters performance acted sensitively on whether nutrient substances were supplied or not. In the case of AFF with low adsorptivity, addition of ethyl-alcohol increased the solubility of toluene, and consequently, biodegradation got to be actively made by microbes, and thus, its eliminating rate could be increased. As the flow velocity and the inflow concentration got to be more increased, its eliminating rate got to be lower, and particularly, an increase in the flow velocity made its eliminating rate drop more greatly than an increase in the concentration.

사회복지사업에서 정부와 민간비영리 부문과의 협조관계에 관한 연구

양정남,조준 東新大學校 2003 論文集 Vol.13 No.-

The purpose of this study is to review and suggest an ideal comprehensive welfare systems which is a partnership between the government and a nonprofit sector in social welfare. Furthermore, this study emphasis the theory that support the partnership between the government and nonprofit making sector in social welfare. This study argues that in the combined programme between the government and the nonprofit making sector should consider the following. Firstly, the government should take responsibility by giving financial support to the nonprofit making private sector. Secondly, in relation to role distribution, the government should consider equality between people. Thirdly, the nonprofit making sector should ensure the credibility, creativity, non beurocratic leadership, flexibility and reflect the opinion of the minority. Finally, social welfare institutions managed by the non profit making sector which is financed by the government should be mindful of rigidity and bruocraticy.

사회복지에서 제3섹터의 역할과 그 구성범위에 관한 고찰 : 미국과 유럽의 최근 논의를 중심으로

김종성,양정남 東新大學校 2003 論文集 Vol.13 No.-

The purpose of this study is to compare the discussions about the constituent parts of the third secotor in America and Europe, concerned with how to understand it as a general theory. Furthermore, this study will make its own definition of The Third Sector and offer an answer to what is the social position and function of it. The general discussion of The Third Sector in Europe defines it as co-operative, friendly benefit society and NPO(non profit organization or association), whereas American researchers include only NPO in the parts of it. It will be argued in this study that we must basically take European viewpoint and emphasize the important of quality than the pattern of organization. The reason is that the number of organizations accomplishing social benefits will be increasing on and on. Its social position and function can be summarized as follows. ① It contributes to the balance and harmony of societal system which is substituted for the problems in the public sphere, the private sphere and the community. ② It contributes to the achievement of the participation of citizens, social integratoin, liberty and equality, pluralistic values. ③ It contributes to the formation of vitalizing civil society.

알코올상담센터 사례관리 실태에 관한 연구

최은정,양정남 동신대학교 2005 論文集 Vol.15 No.-

The purpose of this study is to investigate the problems and implications of case management at alcohol counseling centers in Korea. In order to achieve these objectives a literature review and survey were undertaken. A total of 25 alcohol counselling centers were involved in the study and 79 professionals who were working in the alcoholic counselling centerer responded to a questioner. The result of the study shows that most professionals reported that case management is a very important and effective approach compared with other methods of treatment. They also reported that there is a need for further training and education on case management. Furthermore, even thought most of the respondents have less than two years experience in this field they have twice the number of case work as they had envisaged. These results reflect the following policy implications: First, a case manager in an alcoholic counselling centre require education and training which should be the responsibility of the ministry of health. Professionals should have a masters degree and at least a basic training in mental health. Training and clinical experiences on case management are also an necessity. Second, development of a clinical procedure together with a systematic diagnostic criteria for case management need to be in place. Third, Networking and cooperating with other mental health centers in the local area are important aspects to be considered.

Hypocholesterolemic Effect of Naringin Associated with Hepatic Cholesterol Regulating Enzyme Changes in Rats

(Nam Ho Jeoung),(Yong Bok Park),(Myung Sook Choi),(Yong Won Shin),(Song Hae Bok),(Tae Sook Jeong),(Ki Hwan Bae),(Sung Heui Lee) 경북대학교 유전공학연구소 2000 遺傳工學硏究所報 Vol.14 No.-

Role of Pyruvate Dehydrogenase Kinase 4 in Regulation of Blood Glucose Levels

Jeoung, Nam Ho,Harris, Robert A. Korean Diabetes Association 2010 Korean diabetes journal Vol.34 No.5

<P>In the well-fed state a relatively high activity of the pyruvate dehydrogenase complex (PDC) reduces blood glucose levels by directing the carbon of pyruvate into the citric acid cycle. In the fasted state a relatively low activity of the PDC helps maintain blood glucose levels by conserving pyruvate and other three carbon compounds for gluconeogenesis. The relative activities of the pyruvate dehydrogenase kinases (PDKs) and the opposing pyruvate dehydrogenase phosphatases determine the activity of PDC in the fed and fasted states. Up regulation of PDK4 is largely responsible for inactivation of PDC in the fasted state. PDK4 knockout mice have lower fasting blood glucose levels than wild type mice, proving that up regulation of PDK4 is important for normal glucose homeostasis. In type 2 diabetes, up regulation of PDK4 also inactivates PDC, which promotes gluconeogenesis and thereby contributes to the hyperglycemia characteristic of this disease. When fed a high fat diet, wild type mice develop fasting hyperglycemia but PDK4 knockout mice remain euglycemic, proving that up regulation of PDK4 contributes to hyperglycemia in diabetes. These finding suggest PDK4 inhibitors might prove useful in the treatment of type 2 diabetes.</P>

Reaction of HDL-Bound Cholesteryl Ester Transfer Protein and a New Method for Its Activity Measurement

Jeoung,Nam-Ho,Choi,Myung-Sook,Kim,Hong-Seok,Park,Yong Bok 國立 昌原大學校 基礎科學硏究所 1993 基礎科學硏究所論文集 Vol.4 No.-

간편하고 신뢰성이 높은 CE transfer activity 측정법을 개발하려는 시도에서 정제된 혈장 HDL과 합성된 HDL(RHDL)을 CE donor로써 사용하였다. 혈장 HDL은 높은 CETP활성을 보여 정제된 혈장 HDL은 HDL/CETP complex로 이루어졌다는 것을 알 수 있었다. 이 CETP는 lipoprotein들 간의 CE교환과 순이동을 촉매했으며 순이동 현상은 HDL로부터 lower density lipoprotein쪽으로 진행되었다. 그러나 본 실험에서 apolipoprotein A-Ⅰ, 인지질, 콜레스테롤, TG를 구성성분으로 하여 합성한 HDL을 agarose에 결합시켜 CE donor로 사용한 결과 지금까지 사용되어온 방법들에 비해 신뢰성이 높았고 assay 시간과 비용이 단축되었다. Cholesteryl ester (CE) transfer between lipoproteins was studied in vitro in various incubation mixtures containing isolated lipoproteins and an inhibitor of lecithin:cholesterol acyltransferase (LCAT). Isolated high-density lipoproteins (HDL) exhibited a significant amount of cholesteryl ester transfer activity. In incubations of HDL with very low-density lipoproteins (VLDL) at 37℃, decrease of free cholesterol (FC) in human VLDL was mainly associated with decrease of cholesteryl ester (CE) in HDL. In this system, FC of human VLDL was transferred to human HDL, but could not be esterified due to LCAT inhibitor resulting in an accumulation of FC in HDL fraction. However, CE in human HDL was transferred to human VLDL during the incubation. This appears to be the major mean for keeping cholesterol equilibrium between lipoproteins. Another results support that cholesteryl ester transfer protein (CETP) promotes both the exchange and net transfer of cholesterol species between lipoproteins and that the net transfer proceeds in the direction of HDL to lower density lipoproteins, which are well agreed with the previous reports. In efforts to simplify the CETP assay method, cholesteryl-[¹⁴C]-oleate in reconstituted HDL (RHDL) covalently bound to agarose beads was used as a CE donor. This simple evaluation of CE transfer activity did not require the time-consuming ultracentrifugation before and after the incubation, that has been used in the previous assay. It also eliminates the use of heparine-MnCl₂ordextran sulfate-MgCl₂for the precipitation of LDL or VLDL, that is relatively costly.

Fasting induces ketoacidosis and hypothermia in PDHK2/PDHK4-double-knockout mice.

Jeoung, Nam Ho,Rahimi, Yasmeen,Wu, Pengfei,Lee, W N Paul,Harris, Robert A Biochemical Society 2012 The Biochemical journal Vol.443 No.3

<P>The importance of PDHK (pyruvate dehydrogenase kinase) 2 and 4 in regulation of the PDH complex (pyruvate dehydrogenase complex) was assessed in single- and double-knockout mice. PDHK2 deficiency caused higher PDH complex activity and lower blood glucose levels in the fed, but not the fasted, state. PDHK4 deficiency caused similar effects, but only after fasting. Double deficiency intensified these effects in both the fed and fasted states. PDHK2 deficiency had no effect on glucose tolerance, PDHK4 deficiency produced only a modest effect, but double deficiency caused a marked improvement and also induced lower insulin levels and increased insulin sensitivity. In spite of these beneficial effects, the double-knockout mice were more sensitive than wild-type and single-knockout mice to long-term fasting, succumbing to hypoglycaemia, ketoacidosis and hypothermia. Stable isotope flux analysis indicated that hypoglycaemia was due to a reduced rate of gluconeogenesis and that slightly more glucose was converted into ketone bodies in the double-knockout mice. The findings establish that PDHK2 is more important in the fed state, PDHK4 is more important in the fasted state, and survival during long-term fasting depends upon regulation of the PDH complex by both PDHK2 and PDHK4.</P>