산림자원 및 산림의 공익기능량 추정을 위한 시스템다이내믹스 모형 개발

조윤숙 ( Yoon Sook Cho ) 한국시스템다이내믹스학회 2014 한국시스템다이내믹스 연구 Vol.15 No.3

The purpose of this paper is to develop a System Dynamics model for estimating the volume of forest resources in the future and simulating the volume of function of public benefit linked to forest resources in dynamic manner. Also it is to analyze the impact when the volume of forest land conversion is controlled by policy using the SD model. The analysis was done at nation-wide for the simulation period 2000 to 2040. Estimated forest area was 6.2 million ha and estimated growing stock was 4.7 billion m3 in 2040 from the future forecast without policies. Changing of forest resources, 13.9 billion tons of forest-ground-water storage was estimated, 1.8 million m3 of erosion control of forest was estimated and 377 million tons of CO2 absorption was estimated. As a result of simulation with two alternatives, forest area was less reduced and growing stock was bigger than do nothing policy. Also, function of public benefit reflected by changes of forest resources was enhanced. This study contributes to estimate the quantitatively measured volume of forest resources and function of public benefit over the 30 years in Korean forest land in scientific way. Using this SD model, decision maker would develop forest land policies more delicately for deserving forest resources and increasing the volume of function of public.

Amphetamine 중독에 의한 횡문근 융해 급성신부전

조윤숙(Yun Sook Cho),김태형(Tae Hyung Kim),김형완(Hyoung Wan Kim),김봉룡(Bong Ryong Kim),김준완(Joon Wan Kim),박정진(Jeong Jin Park),손인(In Sohn) 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.3

Amphetamine toxicity is well known in western countries since several decades ago. Taken in excessive amount, amphetamine causes systemic symptoms such as hyperpyrexia, tachycardia, hyperkinesia, delirium, seizure and circulatory collapse. Acute renal failure following amphetamine ingestion is caused by the direct toxicity of the drug, circulatory collapse, coagulopathy, retroperitoneal hematoma or tubular ob-struction by rhabdomyolysis. This is a case of a am-phetamine intoxicated 41-year male patient presenting with features of acute renal failure, which is not accompanied by circulatory collapse, nor by coagulo-pathy. Muscle enzymes and bone scan findings were compatible with nontraumatic muscle injuries, and the renal pathology was tubular necrosis with specific myoglobin casts. Therefore a drug induced rhabdo-myolysis causing myoglobinuric tubular injury is highly suspected. The fact that the outcome of the renal disease itself was good despite fatal dosage of this drug is also compatible with myoglobinuric renal failures reported by foreign authors. This is probably the first reported case of acute renal failure caused by amphetamine associated rhabdomyolysis in Korea.

감수성 훈련을 적용한 한국형 부모교육 프로그램의 개발과 효과

조윤숙(Cho, Yun-Suck),이윤주(Lee, Yoon-Joo) 한국가족학회 2011 가족과 문화 Vol.23 No.4

본 연구에서는 감수성 훈련을 적용한 한국형 부모교육 프로그램을 개발하고 실시하여 그 효과를 검증하고자 하였다. 이를 위해 먼저 선행연구의 검토를 통해 한국형 부모교육의 중요성을 확립하고 한국형 부모교육 프로그램 개발의 필요성을 확인하였다. 이러한 필요성을 바탕으로 10명의 부모와의 인터뷰를 통해 한국형 부모교육에 대한 요구조사 및 요구 분석을 실시하여 실제적 필요성을 확인한 후, 프로그램의 목적 및 목표 설정, 기존 프로그램 분석, 내용 선정 및 구성, 전문가 타당성 검토, 프로그램 예비 실시, 프로그램 수정ㆍ보완 및 구체화, 프로그램 실시, 프로그램 평가 등의 9단계를 거쳐 한국형 부모교육 프로그램을 개발하였다. 프로그램의 주요 영역은 자기이해, 자기수용, 자녀수용, 상호피드백, 긍정발견, 행동변화, 성격이해, 자신감 획득이었으며, 부모교육을 자발적으로 희망하는 28명의 부모들 중 14명씩 실험집단과 통제집단에 무선 배정한 후, 실험집단에게 1회기에 180분, 주 2회씩, 총 8회기를 실시하였다. 참가자들의 프로그램 평가에 의해 효과를 분석한 결과, 감수성 훈련을 적용한 한국형 부모교육 프로그램은 부모들의 부모-자녀 의사소통, 부모-자녀 상호작용, 자아존중감을 향상시킨 것으로 나타났다. 마지막으로 본 연구에서 개발한 한국형 부모교육 프로그램의 의의와 제한점에 대하여 논하였다. The purpose of this study is to verify the effects of Korean style parental education program in which sensitive training was applied thorough developing it and carrying it out. For this purpose, a precedent study was carried out to confirm the importance of Korean style parental education and the need for development of its program. Based on that need, a research on the actual need of parents for parental education was done and results were analyzed, and the actual need was confirmed. With that confirmation, Korean style parental education program was developed through nine stages such as setting goals and purposes of the program, analyzing the existing programs, selecting and organizing of contents, expert checking of its validity, a preliminary implementation, modification and revision of the program as well as giving concrete form to it, carrying out the program, evaluating etc. Measurement methods used for verifying the effect of the program developed in this way are parent-child communication, parent-child interaction, and self-esteem scale. 28 parents who have need for this program volunteered and 14 out of them were randomly allocated to an experimental group and the other 14 to a control group. Major contents of the program are self-understanding, self-acceptance, child-acceptance, mutual feedback, finding out positive attitude, behavior change, personality understanding, and building self-confidence. The experiment was carried out eight times in total, twice a week, 180 minutes for each time. Results show that Korean style parental education improved parents’ communication and interaction with their child and their self-esteem. Finally, this paper deals with the significance and limitation of the Korean style parental education program developed by this study.

지역사회 네트워크의 협력이 사회적기업의 창업 성공에 미치는 영향: 한신대 캠퍼스타운 창업팀 ‘낙과유수’ 사례연구

조윤숙(Cho, Yun sook) 사회적기업연구원 2021 사회적기업연구 Vol.14 No.1

골목상권 소상공인 지원사업 개선방안 연구 -강북구 인수동 골목상권 점포개선 사례를 중심으로-

조윤숙 ( Yun Sook Cho ),오창호 ( Changho Oh ) 한국유통물류정책학회 2022 유통물류연구 Vol.9 No.2

골목상권과 소상공인 지원의 필요성이 공감을 얻고 다양한 차원에서 골목상권과 소상공인을 돕는 정책들이 집행되고 있지만, 실제로 쇠락하는 골목상권에서 뚜렷한 개선의 효과를 보았다는 사례를 찾아보기 어렵다. 이는 지원정책의 설계와 집행에 문제가 있기 때문이다. 이 연구는 기존에 집행된 정책사업의 문제를 짚어보고 대안을 마련하기 위해 강북구 인수동 골목상권의 점포개선 사업 사례를 분석하였다. 기존의 정책사업은 상권과 점포 상황에 맞추어 집행되는 것이 아니라 설계된 정책에 따라 자금을 집행하고 사업을 수행하는 것에 초점이 맞추어져 있다. 이러한 사업방식을 ‘업종전문가 참여 진단중심형 지역상권 지원정책’이라고 한다면 이번 인수동 골목상권 점포개선사업은 ‘지역전문가 주도 진단-실행 통합형 지역상권 활성화 프로젝트’라 할 수 있다. 인수동 골목상권 점포개선 사업에서는 지역전문가의 주도로 사회적경제 영역과 지역의 민·관·학 거버넌스를 활용하여 상권과 점포 상황과 소비자인 주민의 눈높이에 맞는 점포개선을 목표로 총 8단계에 걸친 사업을 진행했다. 주민과 점포주의 긍정적인 평가를 받았던 강북구 인수동 골목상권 점포개선 프로젝트 사례는 추후 골목상권 활성화 및 소상공인 점포지원 사업 정책 개선에 도움을 줄 것으로 기대한다. Although there are a variety of policies to help small business, it’s hard to find successful cases achieving the expected results. That’s from the wrong process of designing and executing polices. With the intention of figuring out the problems of current policies, this study describes the case of store rebuilding(improvement) project in Insu-dong allley market(commercial district). Current policies for small business named alley market policy focusing only diagnosis by industry experts are not executed according to the situation of each market, but rather aiming at doing only through pre-designed way. However, new approach of insu-dong alley market case named alley market policy integrating diagnosis-execution by local specialist panned out 8 stage activities aiming at store rebuilding just fitted for each store situation and market demand by local specialist. It was also supported by local public-private governance with university, social-economy sector, city-revitalizing sector, local business. As a result, this project ended with high level of satisfaction of participants. We can find the implications for reforming small business policy from this project case of Iusu alley market rebuilding.

청소년의 소외감, 우울과 가족환경 및 학교생활 부적응이 자살생각에 미치는 영향

조윤숙 ( Yoon Suk Cho ),이경님 ( Kyung Nim Lee ) 대한가정학회 2010 Human Ecology Research(HER) Vol.48 No.8

This study examined the effects of adolescent`s alienation, depression, family environment and school maladjustment on suicidal ideation. Data were collected from 577 second graders from high school. The results were as follows: Firstly, family`s abuse had a direct and an indirect effect through alienation and depression on adolescent`s suicidal ideation. Home stress, family support and socioeconomic status had an indirect effect through school maladjustment, alienation and depression on suicidal ideation. Secondly, school maladjustment in dating had a direct effect on adolescent`s suicidal ideation. School maladjustment in relations with teacher and peers and in learning activities had indirect effects through alienation and depression on adolescent`s suicidal ideation. Thirdly, adolescent`s depression had a greatest direct effect on suicidal ideation. Adolescent`s alienation had a direct and an indirect effect through depression on adolescent`s suicidal ideation and was the most important predictive variable of adolescent`s suicidal ideation.

현대미술에서 발견되는 소비의 표현과 개념에 근거한 화예 작품 창작 -본인 작품 ‘공생(共生)’을 중심으로-

조윤숙 ( Cho Yun Suk ),유택상 ( Yoo Taek Sang ) 한국화예디자인학회 2016 한국화예디자인학 연구 Vol.36 No.-

본 연구는 지상에 만들어진 거대한 쓰레기 산과 쓰레기 마을, 해양에 만들어진 쓰레기 섬의 모습 속에 나타난 현대인들의 무분별한 소비와 버려짐에 대한 관심으로부터 시작되었다. 소비와 관련한 현대미술을 크게 오브제에서의 소비, 팝 아트에서의 소비, 개념미술에서의 소비로 구분하고 표현 방식과 내용을 분석하였다. 표현 수단의 분석, 구성 방법의 분석, 제시 내용의 분석의 세 단계로 분류하여 세분화하였다. 표현 수단의 분석에서는 소재의 직접적인 표현, 소재가 가진 이미지의 표현, 언어를 통한 소재의 표현으로 구분하여 분석하였다. 구성 방법의 분석에서는 표현 기법상 콜라주 기법, 집적/펼침 기법, 사실성 표현 기법, 실크스크린 기법, 화학 반응의 상호 작용이 포함된 다양한 기법으로 분류하였고, 또한 내용의 특징에 따라 결합, 연상/반복, 복제, 변화, 참여, 가독성으로 구분하였다. 제시 내용의 분석에서는 흥미 위주의 내용 제시, 흥미를 통한 경각심 유발과 비판 제기, 풍자를 통한 경각심 유발과 비판 제시, 무관심을 통한 경각심 유발, 흥미를 통한 소외 및 외로움 유발의 주제로 분류하였다. 현대미술에 나타난 표현과 개념을 근거로 하여 ‘공생(共生)’을 주제로 ‘Frame’, ‘곁에(By the Side)’, ‘휴(休, Rest)’, ‘Cycle’, ‘틈(Crack)’의 다섯 가지 화예 작품으로 표현하였다. This study started from attention to reckless consumption and dumping in the modern times as witnessed in giant waste mountains and waste towns on the ground and waste islands in the ocean. This study categorizes consumption-related contemporary art into consumption in objects, consumption in pop art and consumption in conceptual art to analyze the modes of expression and content. This analysis is then fragmented into three: the media of expression, composition methods and presented content. As for the media of expression, how a material is expressed itself, through its image and a language was analyzed. Regarding composition methods, analysis was done of 1) diverse expression techniques: collage, integration/ nfolding, realistic expression, silk screen and interaction of chemical reaction, and 2) characteristics of contents: combination, association/ epetition, duplication, change, participation and legibility. For presented content, analysis was carried out of the following categories: intriguing content, arousing attention and criticism through interest, arousing attention and showing criticism through satire, alerting through apathy, causing alienation and loneliness through interest. Based on the expression and concept used in the contemporary art, five floral art works have been produced under the theme of symbiosis: Frame, By the Side, Rest, Cycle and Crack.

마음챙김-자기자비(Mindful Self-Compassion: MSC) 프로그램이 상담자의 공감피로, 공감만족, 소진에 미치는 영향

조윤숙(Yun Sook Cho) 한국명상학회 2018 한국명상학회지 Vol.8 No.1

본 연구의 목적은 마음챙김-자기자비 프로그램이 외상을 경험한 내담자들을 상담하며 간접 외상을 경험하게 되는 상담자의 공감피로, 공감만족, 소진에 미치는 영향을 알아보기 위해 수 행하였다. Neff와 Germer(2013)가 개발한 MSC(Mindful Self-Compassion)프로그램을 토대로 상담자 에게 적합하게 보완하였고, 서울지역에서 상담사로 근무 중인 22명을 각각 11명씩 실험집단 과 통제집단으로 나누어 주 1회 120분씩 8회 동안 실시하였다. 연구 측정도구로 마음챙김, 자 기자비, 전문가의 삶의 질(공감피로, 공감만족, 소진)척도를 사용하였다. 분석결과 실험집단의 공감만족은 유의미하게 증가하였는데, 마음챙김, 자기자비, 공감피로, 소진은 다소 긍정적으로 변하였으나 통계적으로 유의미하지는 않았다. 실험집단을 상담경력에 따라 2개 집단(5년 이 하, 6년 이상)으로 나누어 분석 하였을 때, 5년 이하 집단에서 마음챙김과 공감만족이 유의미 하게 증가되었고 소진은 유의미하게 감소되었다. 상담 장면에서 내담자 치료를 위한 마음챙 김-자기자비 활용이 아닌 상담사 스스로를 위한 삶의 질을 높이고, 성장과 자기돌봄에 대한 구체적 방안으로 제시된 연구라는데 의의가 있다. 마지막으로 본 연구의 제한점과 후속 연구 를 위한 제언을 하였다. This study investigated the effects of mindfulness self compassion (MSC) program on counselors compassion fatigue, compassion satisfaction and burnout, and on counselors who experienced indirect trauma. Based on the MSC program developed by Neff and Germer (2013), the study was modified to suit the characteristics of the participating counselors. The study subjects, made of twenty-two counselors working in Seoul were divided into two groups of eleven members each: One the experimental group and the other control group. The study was conducted over a eight week period, meeting weekly for a 120 minute session. Mindfulness, Self-compassion, Professional Quality of Life Scale R-Version 5 (compassion fatigue, compassion satisfaction and burnout) scales were used as measurement tools. The analysis shows that compassion satisfaction level of the experimental group increased significantly. The measurements for mindfulness, compassion fatigue, compassion satisfaction and burnout appear to have changed somewhat positively but they are not statistically significant. when the experimental group was examined in two sub-groups depending on the length of their counseling career (less than 5 years, more than 6 years), in less than 5 years group, mindfulness and compassion satisfaction were significantly increased and burnout was significantly decreased. It is meaningful that the study is presented as a concrete plan to improve the quality of life, growth and self-care for the counselors themselves, rather than mindfulness and self-compassion for the treatment of client s in the counseling scene. Lastly, the limitations of this study are discussed and suggestions for future research were made.

상급종합병원 암센터에서 Nivolumab 사용평가와 치료성과에 미치는 영향인자

엄고혜,조윤숙,이정연,Eoum, Gohye,Cho, Yoonsook,Rhie, Sandy Jeong 한국임상약학회 2018 한국임상약학회지 Vol.28 No.2

Background: We strived to evaluate the status of nivolumab use and associated factors on the clinical efficacy of the drug. Methods: The study was retrospectively conducted in patients who had been administered nivolumab at least once at the cancer center of Seoul National University Hospital from June 2015 to April 2017. Data were collected from electronic medical records. A medication-use evaluation was performed based on the American Society of Health-System Pharmacists mediation-use guidelines. Results: Sixty-six of the 74 patients (89.2%) showed indications approved for nivolumab use by the Korean Ministry of Food and Drug Safety (MFDS; n=55) or the US Food and Drug Administration (FDA; n=11). Approximately 73.0% of the patients were administered the approved dose of 3 mg/kg but 25.7% were administered an unapproved fixed dose of 100 mg. The overall response rate was 21.7%, and the response rate of non-small cell lung cancer patients, who accounted for the largest number of indications, was 18.8%. Adverse reactions were found in 90.1% of the patients and were mostly mild (86%). The expression of programmed death-ligand 1 (PD-L1) was analyzed as a factor affecting treatment response (p=0.028, odds ratio [OR]=11.331). Conclusion: PD-L1 expression was found to affect treatment response. However, caution is required while using an unapproved dosage and in the absence of monitoring for effectiveness and safety. Therefore, an effective protocol or instruction manual for the proper use of nivolumab should be considered.

중등도 이상의 위험 수술을 받은 환자에서 수술 전후 항혈전제 약물 사용 평가

이현아,조윤희,조윤숙,한현주,이주연,정근화,이상건,Lee, Hyeon-Ah,Jo, Yun Hee,Cho, Yoonsook,Hahn, Hyeon Joo,Lee, Ju-Yeun,Jung, Keun-Hwa,Lee, Sang Kun 한국임상약학회 2017 한국임상약학회지 Vol.27 No.1

Objective: The perioperative management of antithrombotic therapy is often challenging and it requires a fine balance between the risk of hemorrhage and thrombosis. We aimed to evaluate the antithrombotic management for moderate to high risk patients in real world setting. Methods: Among the patients who were consulted to the neurologist for the evaluation of perioperative risk from 2010 to 2012, patients undergoing moderate to high risk surgery and taking antithrombotics within 30 days were identified. We analyzed the timing of discontinuation and reinitiation of antithrombotic drugs before or after surgery as well as the status of bridging therapy. In addition, the conformity with the guideline suggested by American College of Chest Physicians was assessed. The rate of thromboembolic event and major hemorrhage were also investigated. Results: A total of 329 patients were included. The concordance rate of warfarin stop and restart time with guideline was 23.4% and 10.3%, respectively. Continuing aspirin in patients undergoing coronary artery bypass surgery or non-cardiac surgery in patients with high risk for cardiovascular events were 59.2% and 2.6%, respectively. Bridging therapy was adopted in 92.9% and 81.2% in patients who had received anticoagulant before surgery and who were at high and low risk thromboembolism, respectively. In entire cohorts, 30-day incidence of major bleeding and thromboembolic event were 31.9% and 3.0%. Co-morbid renal disease were shown as independent predictor for major bleeding (adjusted OR 2.65. 95% CI 1.33-5.28). Conclusion: The concordance rate with guideline regarding perioperative antithrombotic use was low and bridging therapy was prevalent in patients undergoing moderate to high risk surgery.