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부모-아동 상호작용치료(PCIT) 효과성에 대한 예비연구
박영남 ( Young-nam Park ),이소영 ( So-young Lee ),김지연 ( Ji-yeon Kim ),이유니 ( Eunnie-r. Rhee ) 한국영유아아동정신건강학회 2016 영유아아동정신건강연구 Vol.9 No.1
본 연구는 부모-아동 상호작용치료(PCIT) 프로그램의 효과성 검증을 위한 예비연구다. PCIT는 어린 아동의 정서, 행동 문제에 대한 근거기반 치료이며 부모-자녀 관계와 상호작용을 강조한다. 유아행동평가척도(CBCL)의 내재화, 외현화, 총 문제행동척도 중 최소 한 영역에서 준임상범위(T>60)에 해당하는 만 2-6세 아동과 모 19쌍이 연구에 참여하였다. 이들은 주 1회 1시간씩 평균26회기 동안 PCIT 프로그램에 참여하였다. 치료 전과 후에 유아행동평가척도, 아이버그 아동행동검사, 부모양육 스트레스 축약본, 다이애딕 부모-아동 상호작용 코딩을 실시하여 아동의 행동 문제와 모의 양육 스트레스, 그리고 부모-아동의 상호작용 변화를 측정하였다. 그 결과 첫째, 치료전과 비교하여 아동이 보이는 문제행동은 유의미하게 감소하였다. 둘째, 모의 양육 스트레스가 유의미하게 감소하였다. 셋째, 모와 아동의 상호작용에서 모의 부정적인 언어 사용은 유의미하게 감소하였고, 긍정적인 언어 사용은 유의미하게 증가하였다. PCIT 치료를 통해 모는 자녀에 대해 수용적 태도를 갖게 되고 이는 모와 아동의 관계에도 긍정적인 영향을 주는 것을 발견하였다. 이와 같이 모의 양육 기술 코칭을 통해 아동의 문제행동을 감소시킬 뿐만 아니라 모의 양육 스트레스감소에도 효과적임을 지지하는 경험적 증거를 제시했다는 데 연구의 의의가 있다. The paper is based on a pilot study to verify the effectiveness of the Parent-Child Interaction Therapy (PCIT). The PCIT is an evidence-based treatment for behavioral and emotional problems of young children, which stresses parent-child relations and interactions. Subjects were 19 pairs of mothers and children aged two to six years who belonged to the semi-clinical range in at least one domain among internalization, externalization, and general behavioral problems of the Child Behavior Checklist (CBCL). They participated in the one-hour PCIT program for 26 sessions per week on average. In order to measure changes in behavioral problems of the children, parenting stress of their mothers, and parent-child interaction, the CBCL, Eyberg Child Behavior Inventory, Parenting Stress Index-Short Form (PSI-SF), and Dyadic Parent-Child Interaction Coding System (DPICS) were performed. The findings are: (1) there was a significant decrease in behavioral problems of the children after the treatment; (2) parenting stress of the mothers decreased significantly; and (3) significant decrease and increase were found in the use of negative and positive language respectively by the mothers when they had interactions with their children. The PCIT helped mothers accept their children, having a positive effect on mother-child relations. This study is very meaningful in that it provides empirical evidence to support the effectiveness of parenting skill coaching for mothers on reduction of behavioral problems of children and parenting stress of mothers.
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키넥트 센서 데이터를 이용한 스노보드 동작 시각화 도구의 구현
박영남(Young-Nam Park),서세미(Se-Mi Seo),박명철(Myeong-Chul Park) 한국컴퓨터정보학회 2013 韓國컴퓨터情報學會論文誌 Vol.18 No.5
본 논문에서는 키넥트 센서에 의해 획득한 스켈레톤 정보를 이용하여 스노보드 동작을 시각화 할 수 있는 도구를 제안한다. 스노보드 동작에서 가장 기본이 되는 동작은 BBP(Balanced Body Position)자세로서 안정된 턴 동작을 위한 기본 기술이다. 본 논문에서는 BBP자세를 분석하여 가장 이상적인 동작을 실현할 수 있는 시각화 도구를 구현한다. 키넥트 센서로 부터 획득한 좌표정보를 이용하여 발목, 무릎, 엉덩이 관절의 각도와 몸의 중심축을 추적하여 표준 자세와 비교분석한다. 분석결과는 OpenGL 라이브러리를 통하여 최종 결과 화면을 구성하였다. 본 연구결과는 스노보드 턴 동작을 분석하는 기초자료로 활용될 수 있을 것이다. This paper proposed visualization tool for motion of snowboarding using Skeleton data obtained by the Microsoft's Kinect sensor. The BBP(Balanced Body Position) posture is a most basic motion in the Snowboarding. This posture is the primary technology for stable turns. The implementation of visualization tool to analyse the BBP posture of snowboard. comparative analysis with standard postures to the ankles, knees, hips and spine angle of joints and body tracking using coordinate information obtained by the Kinect Sensor. Analysis of the final results of the screen through the OpenGL library. This research result could be used to analysis for turn postures of snowboarding.
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박영남 ( Young Nam Park ) 대한예방치과·구강보건학회 2011 大韓口腔保健學會誌 Vol.35 No.2
Objectives. This study is to survey the cognition and knowledge of the health education specialist in the dental proffession, as well as to train the health education specialist and build a basic education system that can facilitate that. Methods. The questionnaire survey was carried out by targeting 203 dental professionala engaged in dental hospitals and clinics which are located in Daejeon city and Chungnam province from July 1 2010 to July 30 2010. Results. Cognition of the health education specialist was higher in the dental hygienists (53.7%) compared to the nurse assistants (27.8%), and was higher in the dental clinic (50.4%) compared to the dental hospital (47.8%). As an experience of the exam for the health education specialist, the group without experience of taking the exam accounted for the majority in the rate of 97.0%. Cognition of the health education specialist was indicated to be 37.4% for the questions ``have no information about it and have never heard about it,`` and 32.0% for ``a little information.`` The route of cognition on the health education specialist was indicated to be the highest in ``heard from other people`` with 48.2%. As a result of knowledge of the exam system for the health education specialist, it was shown that a low level for knowledge was indicated by a score of 1.92. Knowledge by each item was the highest in the part (2.10) on the role of the health education specialist given by the oral education and was the lowest grade of the dental education specialist based on the qualification standard (1.79). As a result, it was higher for the dental hygienist (2.98±0.46) than for the nurse assistant (1.41±0.65). Depending on workplace, it was higher for the dental hospital (2.06±0.97) than for the dental clinic (0.77±0.06). It was the highest in the office work and other (2.34±0.89). Conclusions. Although the interest and necessity of good dental practice for the health educators is increasing there is a lack of sufficient knowledge on the exam system for health educators, as well as for the role of the health educators. It is important that the system be developed for the health educators to create a curriculum or an educational program for the workplaces of the dental professionals.
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박영남(Young-Nam Park),박금자(Keum-Ja Park),오상환(Sang-Hwan Oh),김숙향(Sook-Hyang Kim) 한국콘텐츠학회 2010 한국콘텐츠학회논문지 Vol.10 No.10
본 연구는 국내 치과 병(의)원에 근무하는 중간관리자의 호칭, 업무, 월평균 소득, 지식경로, 업무 시 어려움 등의 현황을 조사하여, 중간관리자로서의 역할과 위치를 확립하는 기초자료로 삼고자 국내 치과병(의)원중 총 108곳의 중간관리자에게 이메일을 이용한 설문지를 배포하여 중간관리자가 직접 설문에 응하도록 하였으며, 조사기간은 2008년 6월 1일부터 6월 30일까지 조사하였다. 통계분석은 SPSS 12.0 프로그램을 활용하여 카이제곱 검정과 분산분석을 실시하였으며, 무응답은 시스템 결측치로 처리하였다. 이에 다음과 같은 결과를 얻었다. 1. 직종별 구성원의 수는 병원 규모에 따라 치과병원이 구성원 수가 가장 높게 나타났으며, 구성원 중 치과위생사의 수가 치과병원에서 통계적으로 유의하게 높게 나타났다. 2. 중간관리자의 명칭은 대부분 실장으로 불리며 중간관리자로서의 경력은 치과병원은 1년에서 5년미만이 48.0%, 네트워크치과는 5년에서 10년미만이 52.9%, 치과의원은 1년에서 5년미만이 69.4%로 많았으며 통계적으로 유의하였다. 3. 업무 수행 시 지식 습득 경로는 대부분 병원 자체 세미나와 학회 세미나가 높게 나타났고, 업무 시 어려움은 치과병원에서는 원장님의 높은 기대가 네트워크치과와 치과의원은 다양한 지식습득의 어려움이 가장 높게 나타났다. 4. 중간관리자로서의 업무는 환자응대, 환자예약 및 변경, 전화업무, 치료계획 및 비용상담의 순으로 나타났다. 업무 중 병원경영, 우편물관리, 컴퓨터관리와 같은 행정업무는 낮은 비율로 나타났다. The present study examined factors for current conditions of dental office manager in Korean dental clinic. 108 randomly selected members of Korean dental office manager responded to a questionnaire. A survey was conducted for a month from 1, June 2008, and the chi-square test and ANOVA were used in the statistical analysis. The findings of the study were as follows: The number of members depending on the type of occupation dental hospital was the highest number of members, members of the dental hygienist at the dental hospital number significantly higher. The career of dental office manager followed by 1-5 year in dental hospital, 5-10 year in dental network, 1-5 year in dental clinic accounting for 48%, 52.9%, 69.4%. The difficulty during duty performance are high expectation of owner in dental hospital, learning of dental office manager duty in dental clinic. The duty of dental office manager followed by customer service, appointment scheduling, telephone etiquette, treatment plan. Henceforth, it needs to standardize the Korean name of dental office manager and duty. Also, it have to an official certification system.
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항정신병약물이 정신분열병 환자의 신경인지기능에 미치는 효과
박영남(Young-Nam Park) 대한생물치료정신의학회 2005 생물치료정신의학 Vol.11 No.1
There has been a renewed interest in neurocoonitive functions in schizophrenics, recognizing their importance for rehabilitation of schizophrenics. Second generation antipsychotics(SGAs) are reported to be superior to first generation antipsychotics(FGAs) in it's effect on neurocognitive functions in schizophrenics. This paper reviewed studies on effects of antipsychotics on neurocognitive functions in schizophrenics. 1) Low dose treatment of FGAs, in limited degree, improved neurocogvitve functions in schizophrenics, such as concentration, sensory perceptual function, verbal function, and executive function, but not memory function. 2) SGAs are superior to FGAs in overall effectiveness on neurocognitive functions in schizophrenics. Clozapine improved concentration, working memory, verbal memory, verbal fluency, and visual motor function. Risperidone improved concentration, executive function, working memory, and verbal memory. Olanzapine improved concentration, verbal fluency, verbal memory, and executive function. Quetiapine improved concentration, verbal fluency, verbal memory, and motor function. Ziprasidone improved concentration, immediate recall, and delayed recall. 3) There appears to be some differential effects among SGAs on neurocongnitive domains, however, further studies are in need to draw a definitive conclusion. 4) Although the pathophysiology of neurocognitive impairments in schizophrenia is not well elucidated yet, SGAs are thought to improve the neurocognitive functions via enhancing dopamine and acetylcholine functions in prefrontal cortex.
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