구조화된 악기중심 음악활동이 발달지체 유아의 사회적 상호작용과 반사회적 행동에 미친 효과

최세민 한국예술치료학회 2016 한국예술치료학회지 Vol.16 No.1

본 연구는 구조화된 악기중심 음악활동이 발달지체 유아의 사회적 상호작용중진과 반사회적 행동 감소에 미치는 효과를 알아본 것이다. 연구대상은 일반 유아교육기관에 통합된 발달지체 유아 2명과 같은 반 또래 유아들이었다. 연구 설계는 중다기초선 설계를 사용하였다. 먼저, 중재를 실시하기 전 발달지체 유아 2명의 기초선을 설정하고, 자유놀이 시간에 구조화된 악기중심 음악 활동을 실시한 다음 발달지체유아의 사회적 상호작용행동과 반사회적 행동의 변화를 관찰 하였다. 이러한 절차와 방법을 통해 얻어진 결과를 요약 정리하면 다음과 같다. 첫째, 구조화된 악기중심 음악 활동은 발달지체유아의 사회적 상호작용 행동을 증진시키는데 효과가 있었다. 기초선 에서는 발달지체 유아의 또래 상호작용이 거의 관찰 되지 않았으나, 중재 이후에는 안내하기, 언어로 묻기, 놀잇감 나누어 갖기, 놀이참여하기 등과 같은 행동이 점진적으로 증가하였다. 둘째, 구조화된 악기중심 음악 활동은 발달지체 유아의 반사회적 행동을 감소시키는데 효과가 있었다. 기초선에 비해 발달지체 유아의 언어적 공격, 신체적 공격 그리고 위협행동 등이 점진적으로 감소하였다. 또한, 실험 종료 1주 후에 실시한 유지검사에서도 사회적 상호작용 행동과 반사회적 행동 모두 일정수준으로 유지되었다. The purpose of this study was to examine the effects of music activities by structured musical instruments on the social interactions and antisocial behaviors of preschoolers with developmental delay. The subjects in this study were two selected preschoolers with developmental delay and their peer classmates. The preschoolers with developmental delay attended a regular early childhood education institution. As for research design, multiple baseline design was adopted. Before the intervention was provided, baseline for the young children for developmental delay was selected, and then music activities were conducted using structured instruments in free-play sessions. And then the young children with developmental delay were observed to measure their social interaction behaviors and antisocial behaviors. The major findings of the study were as follows: First, the music activities by structured instruments were effective at increasing the social interaction behaviors of the preschoolers with developmental delay. In the baseline period, they had little interactions with their peers while they were observed. After the intervention was provided, however, there was a gradual increase in their behaviors such as giving information, asking questions in language, sharing toys or joining others for play. Second, the music activities by structured instruments was effective at relieving the antisocial behaviors of the young children with developmental delay. There was a gradual decrease in verbal aggression, physical aggression and threatening behavior in comparison with what they did in the baseline period. When a retention test was carried out a week after the experiment, they continued to show more social interaction behaviors and fewer antisocial behaviors than in the baseline period as well.

특수교육지원센터 서비스 질 결정 요인 분석

최세민 이화여자대학교 특수교육연구소 2012 특수교육 Vol.11 No.3

본 연구는 특수교육지원센터의 서비스 질 결정요인을 알아보기 위하여 실시된 것이다. 연구대상은 전국 특수교육지원센터 근무자 166명으로 하였다. 이들을 대상으로 설문을 실시하여 특수교육지원센터의 서비스 질 결정요인을 알아보았다. 본 연구를 통하여 나타난 결과를 요약 정리하면 다음과 같다. 첫째, 특수교육지원센터의 서비스 질에 대한 지각은 성별, 고용형태, 그리고 지역에 따라 유의한 차이가 나타났다. 즉, 남성이 여성에 비해, 정규직이 비정규직에 비해, 그리고 농·산·어촌이 대도시에 비해 높게 나타났다. 둘째, 특수교육지원센터 근무자의 서비스 질과 관련하여 직무관련 요인에서는 직무태도와 전문성을 가장 높게 평가하고 있으며, 반면 직무프로세스와 직무환경요인은 상대적으로 낮게 평가하고 있는 것으로 나타났다. 셋째, 특수교육지원센터 근무자의 만족에서는 센터 만족과 직무만족이 비교적 낮게 나타났다. 즉, 근무자의 전반적 만족도는 낮다고 볼 수 있다. 넷째, 센터의 업무프로세스와 서비스 질 관리 및 지원센터 환경만족 또한 매우 낮은 것으로 나타났다. 다섯째, 지원센터 근무자의 센터 지원만족과 직무만족에 영향을 미치는 요인을 알아본 결과 직무태도와 직무전문성이 가장 높은 상관을 보였으며 센터지원만족은 다른 요인들과 가장 밀접한 관련이 있는 것으로 나타났다. The purpose of this study was to examine the determinants of the quality of service provided by employees of special education support centers. The participants in this study were 166 people who included teachers of special education support centers across the nation and experts in this field. A survey was conducted by visiting the selected people to determine what factors would affect the quality of service provided by the special education support centers. As for the data of the survey, a statistical analysis was conducted to look into the determinants of the quality of service and the factors related to their satisfaction with support from the centers. The findings of the study showed that when each of the determinants of the quality of service was analyzed, job attitude and professionalism were found to be major factors to affect the quality of service among the job-related factors. In contrast, the factors of job process and job environments were found to exert a relatively less influence on that. The employees of the special education support centers expressed relatively lower satisfaction with the centers and their job. In other words, it could be said that the overall satisfaction of the employees was low. There were significant differences in satisfaction with work process and environments according to the type of employment and gender. In terms of the type of employment, the regular workers were more satisfied than the irregular workers. By gender, the male employees were relatively more satisfied than the female employees. An analysis of factors that affected the satisfaction of the employees with support from the centers and their job satisfaction indicated that job attitude and job professionalism had the closest correlation to job satisfaction and the other factors were most closely correlated to satisfaction with support from the centers.

The Effect of Alcohol Administration on the Corpus Cavernosum

최세민,서덕하,이신우,이천우,제성욱,감성철,화정석,정기현,현재석 대한남성과학회 2017 The World Journal of Men's Health Vol.35 No.1

Purpose: We studied the effects of alcohol administration on the corpus cavernosum (CC) using an animal model.Materials and Methods: CC sections and the aortic ring of rabbits were used in an organ bath study. After acute alcohol admin-istration, changes in blood alcohol concentration and electrical stimulation induced intracavernosal pressure/mean arterial pres-sure (ICP/MAP) percentage were compared in rats. Cyclic adenosine monophosphate (cAMP) and cyclic guanosine mono-phosphate (cGMP) levels in the CC were measured using immunoassays. After chronic alcohol administration, ICP/MAP percent-age, cAMP and cGMP were compared in rats. Histological changes were examined using the Masson trichrome stain and the Sircol collagen assay. Endothelial nitric oxide synthase (eNOS) expression was examined using immunohistochemistry and Western blotting.Results: Alcohol relaxed the CC in a dose-dependent manner, and the relaxation response was suppressed when pretreated with propranolol, indomethacin, glibenclamide, and 4-aminopyridine. In rats with acute alcohol exposure, the cAMP level in the CC was significantly greater than was observed in the control group (p<0.05). In rats with chronic alcohol exposure, however, changes in cAMP and cGMP levels were insignificant, and the CC showed markedly smaller areas of smooth muscle, greater amounts of dense collagen (p<0.05). Immunohistochemical analysis of eNOS showed a less intense response, and western blot-ting showed that eNOS expression was significantly lower in this group (p<0.05).Conclusions: Acute alcohol administration activated the cAMP pathway with positive effects on erectile function. In contrast, chronic alcohol administration changed the ultrastructures of the CC and suppressed eNOS expression, thereby leading to erec-tile dysfunction.

원예치료 활동이 고등학교 특수학급학생의 적응행동과 정서에 미친 영향

최세민 국립특수교육원 2001 특수교육 사례연구 Vol.2 No.-

토론중심 연구윤리 교육이 예술치료전공 대학원생의 연구윤리 인식과 윤리적 태도에 미친 영향

최세민 한국예술심리치료학회 2020 예술심리치료연구 Vol.16 No.1

본 연구는 토론중심 연구윤리 교육이 예술치료전공 대학원생의 연구윤리 인식과 윤리적 태도에 미친 영향을 알아보는데 목적을 두고 있다. 연구대상은 예술치료전공 대학원생 26명 으로 하였다. 토론중심 연구윤리 교육이 예술치료전공 대학원생의 연구윤리 인식과 윤리적 태도에 미친 영향을 알아보기 위하여 연구대상자를 실험집단과 비교집단으로 구분하고 사전 검사를 실시하여 집단 간 동질성을 확인하였다. 그런 다음 실험집단은 1학기 동안 연구윤리 교육을 수강하고 비교집단은 연구윤리 교육을 수강하지 않았다. 연구윤리 교육이 종료된 이 후 실험집단과 비교집단을 대상으로 사후검사를 실시하여 연구윤리 인식과 윤리적 태도를 알아보았다. 이와 같은 절차와 방법을 통하여 나타난 결과를 제시하면 다음과 같다. 첫째, 토론중심 연구윤리 교육은 예술치료전공 대학원생의 연구윤리 인식에 긍정적인 영 향을 미친 것으로 나타났다. 연구윤리 인식을 하위 영역별로 구분하여 알아본 결과 실험집 단이 비교집단보다 인용 방법, 연구데이터 처리, 연구보고서작성, 이해충돌, 주 저자 자격 등 의 영역에서 인식 수준이 높게 나타났다. 둘째, 토론중심 연구윤리 교육은 예술치료전공 대 학원생의 윤리적 태도에 긍정적인 영향을 미치는 것으로 나타났다. 토론중심 연구윤리를 수 강한 집단이 비교집단에 비하여 치료적 관계의 구조화, 치료의 적합성과 효과, 치료사의 전 문능력 및 경계선규명과 이중관계 등에서 보다 긍정적인 태도를 나타냈다. The purpose of this study is to examine the influence of the discussion-centered research ethics education using ASSURE instruction model upon the research ethics awareness and the ethical attitude in graduate students of arts therapy. The research subjects included 26 graduate students who major in arts therapy. To inquire into the effects of the research ethics education on the research ethics perception and the ethical attitude in graduate students of arts therapy, the graduate students who desire to participate in the experiment were divided into experimental group and comparative group, and were carried out a pre-test. Thus, the group-based homogeneity was confirmed. After then, the experimental group took a class of the research ethics education during the 1 semester. The comparative group did not take a class of the research ethics education. Following the end of the research ethics education, a post-test was conducted targeting the experimental group and the comparative group, thereby having checked the research ethics perception and the ethical attitude. Suggesting the results that were shown through the procedure and the method in this way, those are as follows. First, the discussion-based research ethics education using ASSURE instruction model was indicated to have a positive impact on the research ethics awareness in graduate students of arts therapy. As a result of having examined through dividing the research ethics perception by sub-area, the experimental group appeared to have a higher awareness level in areas such as a citation method, the research data processing, a written research report, a conflict of interest, and the first author qualification compared to the comparative group. Second, the discussion-based research ethics education using ASSURE instruction model was shown to have a positive effect on the ethical attitude in graduate students of arts therapy. Compared to the comparative group, the group that took a class of the research ethics appeared to have a more positive attitude toward the structured therapeutic relationship, the fitness and effectiveness of treatment, a therapist's expertise, boundary rule and dual relationship.

특수교육지원센터 서비스 질과 서비스 만족관계

최세민 한국지체.중복.건강장애교육학회 2012 지체.중복.건강장애연구 Vol.55 No.4

The purpose of this study was to examine the quality of service provided by special education support centers and satisfaction with the service. The subjects in this study were 180 people were the users of the special education support centers, they are parents of disabled children. A survey and in-depth interviews were conducted to find out the quality of service, and service satisfaction. The findings of the study were as follows:There were differences among the respondents in awareness of the quality of service, moments of truth and service satisfaction according to their demographic characteristics. As a result of analyzing the collected data by age, those who were in their 30s gave higher marks than the respondents who were in their 40s and 50s. By the type of disability, those who had speech disorders and the other types of disabilities gave higher marks than the respondents who had mental retardation and emotional disturbance. By monthly mean frequency of using the centers, the respondents who used the centers more often gave higher marks. One noteworthy finding was that those who used the centers twice a month gave lower marks. By the location of the centers, the rural centers were found to be better in terms of moments of truth than the centers that were located in the metropolitan, mid-sized and small cities. The centers that were located in the metropolitan cities were found to be more satisfactory than the centers located in the mid-sized and small cities. Concerning commuting time, the respondents gave higher marks to the centers which it took 10 minutes or less to get to than the centers which it took one hour or less and one hour or more. As a result of making a correlation analysis of the factors, there was a relatively close significant positive correlation among the quality of service, moments of truth and service satisfaction. When structural equation modeling was utilized to see whether the quality of service and moments of truth would have any significant impact on service satisfaction, the two factors were found to exert a very significant influence, and it's ascertained that better quality of service and better moments of truth led to higher service satisfaction. 본 연구는 특수교육지원센터에서 제공되는 서비스 질과 서비스 만족에 대하여 알아본 것이다. 연구 대상은 전국 특수교육지원센터를 이용하는 장애아동 부모 180명 이었다. 이들을 대상으로 설문을 통하여 서비스 질, 서비스 접점, 서비스 만족도의 관계에 대해 살펴보았다. 이와 같은 절차와 방법을 통하여 나타난 결과를 요약 정리하면 다음과 같다. 먼저, 특수교육지원센터를 이용하는 부모의 경우 인구통계학적 특성에 따라 서비스 질, 서비스 접점, 서비스 만족의 차이가 있는 것으로 나타났다. 즉 연령대, 자녀의 장애유형에 따라 차이가 있었고, 월평균 이용횟수에 따라서도 차이가 있었다. 또한, 센터 소재지별 분석에서는 서비스 접점의 경우 농·어촌이 광역시나 중소도시보다 높게 나타났고, 만족도에서는 광역시가 중소도시보다 높게 나타났다. 그리고 특수교육지원센터를 이용하는데 걸리는 시간이 짧을수록 만족도가 높게 나타났다. 다음으로, 요인간 상관관계를 분석한 결과 서비스 질, 서비스 접점, 서비스 만족도 간에 유의미한 양의 상관관계를 보였다. 한편, 서비스 질과 서비스 접점이 서비스 만족도에 유의미한 영향을 미치는지 구조방정식 모형을 통해 검증한 결과 서비스 질과 서비스 접점이 높을수록 서비스 만족도가 높은 것으로 나타났다.

특수학교 직업지도 현황과 문제점 및 개선 방안에 관한 연구

최세민,김주영 한국진로교육학회 2006 진로교육연구 Vol.19 No.2

The purpose of this study was to examine how vocational education was provided to student with disabilities, what problems it was faced with and what reform measures there would be. After literature of vocational education intended for student with disabilities was reviewed, teachers who were in charge of vocational education for student with disabilities were interviewed to acquire qualitative data on special schools. In addition, experts had a conference about ideal directions for vocational education. After problems with occupational education for student with disabilities and feasible reform measures were discussed, the following findings were given:There were several problems with vocational education provided by special schools to student with disabilities, such as uniform education, a shortage of qualified professional teachers, emphasis of school convenience, a lack of relevant facilities and insufficient opportunities for occupational exploration. There was something wrong with school-to-work in special schools as well, like a lack of identity and inadequate opportunities for professional job education. Besides, student with disabilities' diverse needs weren't satisfied.To tackle those problems, a wide variety of measures should be taken to enrich vocational education to help special schools provide quality vocational education. It's also needed to take actions to improve school- to-work and vocational education in special classes, and there should be legal and institutional aids to remedy the current situations.

학술발표회 : 5 ) 양식분야 : 구두발표 ; 넙치 및 조피볼락에 있어서 저오염 사료개발을 위한 기초연구

최세민,김강웅,배승철,이병헌 한국국제경제학회 2001 춘계 수산관련학회 공동학술대회발표 요지집 Vol.0 No.-

인지-사회적 역할놀이 활도이 발달지체 유아의 사회적 기술과 사회적 상호작용에 미치는 효과

최세민 公州大學校 特殊敎育硏究所 1999 특수교육논집 Vol.4 No.1

The purpose of this study was finding effects of social-cognitive role play activity and free play activity on developmentally delayed young children and peers' interaction. In order to achieve this purpose, developmentally delayed young children and norm리 young children were asked to acquire the social skill concepts through role play and free play activity using the constructive puppet performance and to use these concept through role play and feedback. Also, it is suggested that the social skills acquired by developmentally delayed young children are used by normal young children together. This study focuses on 20 developmentally delayed preschoolers and 18 normal young children in integrated classroom of nursery school in Seoul. From each the group, young children were chosen tentatively into the cognitive-role play group and free play group. Here again, the role play group were divided into high level and low level according to the personal verbal communication skill. The results of this study are the following. 1. A cognitive-role play in comparison with a free play had an effect on improving the peer acceptance of developmentally delayed young children. 2. A cognitive-social role play in comparison with a free play had an effect on improving social competence and school adjustment behavior of developmentally delayed young children. 3. A cognitive-role play in comparison with a free play had a partial effect on reducing maladjustment behavior scale of developmentally delayed young children. Such results may be derived in some views as follows. First, the result of comparison and analysis for subject' individual scores for a maladjustment behavior showed that most of them got a score close to 0 in sub-realms, accordingly it is considered as the influence of floor effect. Second, a cognitive-social role play is composed based on contents' to rise social skills of developmentally delayed young children, therefore this study have a limit to reduce problematic behaviors like aggressive behaviors or rebellious behaviors included into a maladjustment behavior scale. Third, in case of developmentally delayed young children, when they try to approach and react peers, they excessively contact physically because of their poor verbal communications. 4. A cognitive-social role play in comparison with a free play had an effect on improving social interactions of developmentally delayed young children and normal young children. Social interactions of developmentally delayed young children were examined by sub-realms. The result showed that they had an effect on the initiation and affirmative responses of interactions and expended social interactions. A negative response for peer initiations was also reduced. A more minute analysis of this results showed that a start behavior and an entry behavior were improved, and an affirmative response and an alternative response were improved. An in expanded social interaction, a question behavior out of sub-realms was improved. These results showed that developmentally delayed young children more positively started interactions to young children and affirmatively responsed on initiations of peers. In addition, a cognitive social role play in comparison with a free play had an effect on increasing social interaction times of developmentally delayed young children. That is why social interactions of developmentally delay young children got more actively proceed by the improvement of their social skills, and they could more continuously interact with peers one play This means that social interaction pattern of developmentally delayed young children are continuously changing not one time, and a cognitive-social role play has qualitatively changed an interaction pattern of developmentally delayed young children. Besides, social interactions differently indicated according to a verbal ability of developmentally delayed young children, this means that a high verbal ability made social interactions more actively performed. And a social skill(adaptive behavior) learned by a cognitive-social role play had an effect of maintenance.

산전 진단된 수신증의 임상경과: 신우요관이행부폐색을 중심으로

최세민,정재훈,현재석,정기현 대한비뇨의학회 2008 Investigative and Clinical Urology Vol.49 No.12

Purpose: The diagnosis and treatment of prenatally-diagnosed hydronephrosis remain controversial. We have conducted a retrospective study to examine the clinical characteristics and course of prenatally-diagnosed hydronephrosis, especially when in the presence of ureteropelvic junction obstruction(UPJO). Materials and Methods: Among all pediatric patients diagnosed with hydronephrosis by prenatal ultrasonography between September 2002 and June 2008, the study was performed on 103 patients(126 renal units), and the mean follow-up period was 19.2 months(range, 6-24 months). Ultrasonography was performed 2-3 days after birth, and after 1, 3, 6, and 12 months, and annually thereafter. Hydronephrosis was graded according to the Society for Fetal Urology(SFU) classification guidelines. Results: On ultrasonography performed 2-3 days after birth hydronephrosis was graded as follows: grade 1, 45(35.7%); grade 2, 49(38.9%); grade 3, 23(18.3%); and grade 4, 9(7.1%) renal units. In cases with UPJO complete improvement of hydronephrosis was detected in 16 renal units(40%); the renal units and rate of complete improvement in grades 1, 2, 3, and 4 were 12(75%), 3(17.6%), 1(16.7%), and 0(0%), respectively. The anticipated times of complete improvement of hydronephrosis in UPJO grades 1, 2, and 3 were 22.0, 31.3, and 50.4 months, respectively. Conclusions: In UPJO, the possibility of improvement of hydronephrosis lower than grade 2 was high, and thus follow-up for approximately 30 months may be needed. In patients with hydronephrosis >grade 3, the rate of improvement was low, thus compulsive follow-up is required. Purpose: The diagnosis and treatment of prenatally-diagnosed hydronephrosis remain controversial. We have conducted a retrospective study to examine the clinical characteristics and course of prenatally-diagnosed hydronephrosis, especially when in the presence of ureteropelvic junction obstruction(UPJO). Materials and Methods: Among all pediatric patients diagnosed with hydronephrosis by prenatal ultrasonography between September 2002 and June 2008, the study was performed on 103 patients(126 renal units), and the mean follow-up period was 19.2 months(range, 6-24 months). Ultrasonography was performed 2-3 days after birth, and after 1, 3, 6, and 12 months, and annually thereafter. Hydronephrosis was graded according to the Society for Fetal Urology(SFU) classification guidelines. Results: On ultrasonography performed 2-3 days after birth hydronephrosis was graded as follows: grade 1, 45(35.7%); grade 2, 49(38.9%); grade 3, 23(18.3%); and grade 4, 9(7.1%) renal units. In cases with UPJO complete improvement of hydronephrosis was detected in 16 renal units(40%); the renal units and rate of complete improvement in grades 1, 2, 3, and 4 were 12(75%), 3(17.6%), 1(16.7%), and 0(0%), respectively. The anticipated times of complete improvement of hydronephrosis in UPJO grades 1, 2, and 3 were 22.0, 31.3, and 50.4 months, respectively. Conclusions: In UPJO, the possibility of improvement of hydronephrosis lower than grade 2 was high, and thus follow-up for approximately 30 months may be needed. In patients with hydronephrosis >grade 3, the rate of improvement was low, thus compulsive follow-up is required.