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홍보영,조이찬,김준성,임성훈,배정민 대한의학회 2017 Journal of Korean medical science Vol.32 No.5
The study was designed to identify factors influencing the short term effect of intensive therapy on gross motor function in children with cerebral palsy or developmental delay. Retrospectively, total Gross Motor Function Measure-88 (GMFM-88) scores measured during the first and last weeks of intensive therapy were analyzed (n = 103). Good and poor responder groups were defined as those in the top and bottom 25% in terms of score difference, respectively. The GMFM-88 score increased to 4.67 ± 3.93 after 8 weeks of intensive therapy (P < 0.001). Gross Motor Function Classification System (GMFCS) level (I–II vs. IV–V; odds ratio [OR] = 7.763, 95% confidence interval [CI] = 2.177–27.682, P = 0.002) was a significant factor in a good response to therapy. Age (≥ 36 months; OR = 2.737, 95% CI = 1.003–7.471, P = 0.049) and GMFCS level (I–II vs. IV–V; OR = 0.189, 95% CI = 0.057–0.630, P = 0.007; and III vs. IV–V; OR = 0.095, 95% CI = 0.011–0.785, P = 0.029) were significantly associated with a poor response. GMFCS level is the most important prognostic factor for the effect of intensive therapy on gross motor function. In addition, age ≥ 36 months, is associated with a poor outcome.
지역사회복지관 사례관리 실천의 의미와 실천 지향성에 대한 탐색적 연구
홍보영(Hong Bo Young),전현경(Jeon Hyun Kyung),유서구(Yoo Seo Koo) 한국사회복지교육협의회 2018 한국사회복지교육 Vol.43 No.-
본 연구는 지역사회복지관 사례관리 실천의 의미와 실천 지향성을 파악하기 위한 목적으로 수행되었다. 사례관리가 가진 근본적 가치와 관점을 중심으로, 지역사회복지관 사례관리 실무자가 생각하는 사례관리의 의미와 실천 지향성을 알아보기 위해 사례관리자 4명에 대한 다중사례 연구방법을 선택하였다. 연구의 두 가지 핵심질문 “지역사회복지관에서 사례관리를 실천하는 의미는 무엇이며, 바람직한 사례관리의 실천원칙과 지향성은 무엇인가?”에 대해 서울․인천지역 지역사회복지관 사례관리자 4명을 심층면접 하였고, 해당 자료를 귀납적으로 분석하여 핵심 범주를 도출하였다. 분석결과, 지역복지관 사례관리 실천의 의미와 관련하여 4가지의 핵심범주가 도출되었고, 사례관리 실천의 지향성과 관련해서도 4가지의 핵심범주가 도출되었다. 연구 주요 결과를 바탕으로 맞춤형 교육의 강화, 기관의 고유한 강점 찾기, 3대 기능사업 통합방법의 모색, 이용자가 주체가 되는 실천방법에 대한 모색, 사례량에 대한 논의 등을 제언하였다. The purpose of this study is to explore the meaning and directions of case management at the Community Social Welfare Center. With a special focusing on the value and perspectives of case management, multi-case qualitative research has been implemented to answer the two key research questions, the meaning and directions of social welfare case management practices. Collecting data through in-depth interview with 4 case managers from Community Social Welfare Center, the study found four different main themes regarding meaning of case management practices, such as ‘Establishing a human perspective’, ‘Bringing our own strengths’, ‘Expanding boundaries’, ‘Working toward broader community context.’ Regarding future directions of case management practices, the participants shared another four core themes, ‘Addressing the value of case managers’, ‘Roles of supervisors allowing the right direction’, ‘Establishing broader working relationships’, and ‘Work autonomy, rather than reducing case-loads.’ Based on the major findings of the study, authors suggested the necessity of customized training for managers and supervisors, establishment of unique strengths of community welfare centers, ways to integrate the different functions of the center, and the efforts for client-centered approaches.
홍보영 ( Hong Boyoung ),유서구 ( Yoo Seo-koo ) 한국가족사회복지학회 2021 한국가족복지학 Vol.68 No.4
본 연구는 사례관리자의 네트워크 활동이 옹호실천에 미치는 영향을 확인하기 위한 목적으로 수행하였다. 연구목적 달성을 위해 서울, 경기, 인천지역의 94개 지역사회복지관과 같은 지역 59개 읍·면·동주민센터, 시·군·구청에서 사례관리 업무를 담당하는 사례관리자 252명을 대상으로 자료를 수집하였고, 옹호실천을 사례·계층옹호와 정책옹호로 구분하여 분석하였다. 연구결과 조사대상자들의 사례·계층옹호 실천 수준은 5점 척도에서 평균 3.54점, 정책옹호는 2.69점으로 나타났으며, 민·관의 구분에 따라 사례·계층옹호 실천은 유의한 차이가 있는 것으로 나타났다. 사례관리자의 네트워크 활동이 옹호실천에 주는 영향을 확인한 결과, 사례관리자들의 활발한 네트워크 활동은 사례·계층옹호, 즉 미시적 수준의 옹호실천을 높이는 데 유의한 기여를 하는 것으로 나타났다. 연구결과에 기초하여 사례관리 현장에 주는 실천적 함의도 함께 제시하였다. The main purpose of the study is to examine how case manager’s network practice affect advocacy action. To answer the research question, the survey was conducted on 252 case managers who works at 94 community welfare centers and 59 public institutions in Seoul, Gyeonggi, and Incheon. Advocacy action was divided into case advocacy and policy advocacy, and statistical analysis was performed on each of them. The result of descriptive analysis show that case advocacy was moderate, and policy advocacy was below the average level. In case advocacy, practice level of case managers in private institutions performed better than workers at public institutions. Hierarchical regression was performed to find out if case managers’ network practice affected advocacy action. Findings showed that network practice had the greatest impact on case advocacy. Based on the results of the research, practical implications were suggested.
홍보영(B. Y. Hong),박찬국(C. G. Park) 한국전산유체공학회 2001 한국전산유체공학회지 Vol.6 No.4
Wind flow perturbations, recirculations and turbulence generated by buildings often dominate air pollutant distributions around buildings. This paper describes dispersion of contaminants in the vicinity of a building by solving the concentration equation based on previously simulated wind flow field. Turbulence closure is achieved by using the standard k-ε two-equation model. The paper shows application of the CIP method for solving a species concentration equation of contaminant gas around a rectangular building for two different sources under conditions of neutral atmospheric stratification. Results have been compared to the experimental data and the previous numerical results by hybrid scheme. The computational results of concentration profiles by the CIP method agree well with experimental data.