청소년상담 현장실무자를 위한 성폭력피해청소년 개입매뉴얼 개발

양미진(Yang, Mi-jin),김은영(Kim, Eun-Young),김래선(Kim, Lae-Sun),류다정(Ryu, Da-Joung),장은희(Jang, Eun-Hee) 경성대학교 사회과학연구소 2015 社會科學硏究 Vol.31 No.3

본 연구는 청소년상담 현장실무자를 위한 성폭력 피해 청소년 개입매뉴얼의 개발을 목적으로 하였다. 매뉴얼의 개발은 계획-분석, 설계-개발, 실행-평가 단계를 거쳐 수행되었다. 이를 위해 성폭력 피해 관련 국내외 문헌 조사, 사이버상담사례 분석, 청소년상담자 대상 설문조사 결과들을 분석하여 개입매뉴얼을 구성하였다. 개입매뉴얼의 타당성을 평가하기위해 청소년상담자 64명을 대상으로 실험집단과 무처치 통제집단을 구성하고 실험집단에게 매뉴얼 교육을 실시하고 전후로 상담자의 자기효능감, 상담자 자기대화를 측정하였다. 그 결과 실험집단 참여자의 자기효능감과 상담자 자기대화 하위범주 중 상담자 감정반응, 성폭력 피해에 초점화된 개입, 부적절한 대처에서 긍정적 효과가 나타났다. 본 연구에서는 청소년 상담 현장에서 접하는 성폭력 피해 청소년을 위한 체계적이고 타당한 개입매뉴얼을 개발함으로써 상담자의 자기효능감과 실제 업무 수행능력 향상에 기여하고자 하였다. This research aims to develop the intervention manual for youth survivors of sexual violence appropriate for youth counseling practice. The process of study development consisted of plan & analysis, design & development, and implementation & evaluation. The implication for intervention comes from reviewing the extant literatures on sexual violence, and analyzing cyber-counseling cases, surveys toward youth counselors. To test the validity of the manual, a education was conducted. In the manual education, the sample 64 youth counselors was divided into two groups; an experiment group and a control group. The manual education was only applied to the experiment group. In order to verify the effectiveness of the self-efficacy scale, and the counselor’s self-talk were conducted before and after the education. As a result, the education worked in the following part; counselor"s self-efficacy, counselor"s affective reaction as a sub-category of counselor’s self-talk, focused intervention for the damage of sexual violence, and inappropriate coping. Accordingly, this study contributes to improve counselors’ self-efficacy and practical performances by suggesting the systematic and valid manual for the youth survivors of sexual violence and elaborating the stages of intervention.

증례 : 순환기 ; 급성대동맥박리 가강으로 좌측 총장골동맥 폐색시 흉부 대동맥 스텐트로 치료한 1예

양미진 ( Mi Jin Yang ),장혜윤 ( Hye Yoon Jang ),최종현 ( Jong Hyun Choi ),전무송 ( Moo Song Jeon ),이혜원 ( Hye Won Lee ),이한철 ( Han Cheol Lee ),김상필 ( Sang Pil Kim ) 대한내과학회 2014 대한내과학회지 Vol.87 No.6

관류장애를 동반한 하행 대동맥박리의 경우 수술적인 치료 시에 높은 사망률을 보인다. 이 증례는 가강에 의하여 진강이 눌려서 좌측 총장골동맥으로의 혈류가 폐색된 경우이고 스텐트 이식편을 하행 대동맥의 내막 파열 부위에 삽입하여서 진강의 혈류를 회복시켜서 좌측 총장골동맥의 혈류를 복원하였고 24개월 동안 경과 관찰 시에 이상 소견 없이 유지되었다. 저자들은 하행 대동맥박리에 동반된 하지 혈관의 관류장애 시에 스텐트 이식편 치료로 효과적이고 안전하게 치료된 증례 1예를 경험하였기에 보고한다. Acute aortic dissection with malperfusion syndrome is associated with poor clinical outcomes, and surgical treatment for complicated descending aortic dissections is associated with a high risk of operative mortality. Endovascular repair is emerging as a good alternative to surgery. Endovascular repair for a descending aortic dissection with malperfusion syndrome offers good clinical outcomes because of technical and anatomical benefits. Here, we report a case of descending aortic dissection and malperfusion syndrome in the left common iliac artery that was successfully treated with an aortic stent graft and peripheral stent. (Korean J Med 2014,87:716-721)

초등학생의 학교폭력예방을 위한 배려증진 프로그램 효과 검증 연구

양미진 ( Mi Jin Yang ),김은영 ( Eun Young Kim ),이상희 ( Sang Hee Lee ) 한국초등교육학회 2009 초등교육연구 Vol.22 No.2

본 연구에서는 초등학생을 대상으로 배려증진프로그램을 개발하고 그 효과를 검증함으로써 학교폭력예방과 배려공동체로서의 학급, 학교 만들기에 기여하고자 하였다. 본 연구의 내용을 요약하면 첫째, 체계화된 프로그램개발 절차 모형을 적용하였다. 국내외 관련문헌과 선행프로그램을 고찰하고, 교사와 학생을 대상으로 한 사전요구조사를 통해 프로그램 구성요소 및 구성원리를 도출하였다. 둘째 배려증진의 구성요소로 조망수용 및 전환, 공감, 몰입 및 동기전환으로 선정하고 프로그램의 세부내용을 구성하였다. 셋째, 프로그램은 참가자의 특성에 맞추어 활동중심의 프로그램으로 구성하였으며, 시청각 자료 등 교구재를 활용하여 프로그램의 참여도를 높였다. 아울러 학급단위 운영을 통해 실생활에서 적용이 이루어지도록 하였다. 넷째, 초등학교 3~5학년을 대상으로 시범운영을 실시하고 그 효과를 검증하였는데, 프로그램에 참여한 경우 그렇지 않은 경우에 비해 타인에 대한 조망수용, 공감, 배려행동, 학교생활만족도, 교우관계에 있어서 긍정적인 변화가 있는 것으로 나타났다. 본 연구는 초등학생의 배려증진을 통하여 학교폭력을 예방효과와 학교현장의 적용성이 검증되었으며, 학급단위 활동중심의 프로그램 운영과 시청각 교구재활용을 통해 프로그램 참여도를 높였다는 점에서 그 의의를 찾을 수 있다. 끝으로 본 연구의 제한점과 제언을 담았다. This study aimed to develop a care enhancement program for elementary students and test its effectiveness and thus contribute to the prevention of school violence and creation of class/school as a caring community. The study is summarized as follows. First, a systemized program development model was applied. In other words, a review on domestic and international literature and prior programs was conducted. Furthermore, a preliminary need analysis was conducted on teachers and students, which result was integrated in the creation of a construction principle and specific contents for the program. The developed program was tested on a class of 3,4,5 grade elementary students, and its effectiveness was evaluated. Second, for care enhancement, perspective taking and changing skills, empathy, engrossment and motivatonal displacement was specified as a construct factors, and a program was developed based on the factors. The program was designed to be in groups of classes each with a teacher in change, so that it can continuosly be applied to everyday schoollife even after termination of the program. Third, being targeted for elementary students, the program was activity-focused and participation was increased by using different materials using audiovisual sources. Forth, an assessment of the effect of the program on care enhancement revealed that students who participated had a significant change in perspective taking and changing skill, empathy, and caring behavior than the non-participant students. Moreover, participant also showed positive change in peer relationship and school-life satisfaction. In sum, the program had its objective in preventing school violence, and its effectiveness and applicability to school enviornment was tested.

서울시 각 구 보건소간호사의 방문간호 업무수행과 직무만족에 관한 연구

양미진,Yang, Mi-Jin 한국가정간호학회 1997 가정간호학회지 Vol.4 No.-

The change in health care environment increases the importance of Visiting Nursing Services Program. It has been performed by nurses of district health centers in Seoul since 1991. The Achievement of Visiting Nursing Services Program will be dependent upon their activities. The purpose of this study was to identify the Performance of Visiting Nurses and Job satisfaction of district health centers in Seoul. Therefore, it was to provide the fundamental data development of Visiting Nursing Services Program. The subjects were 214 Visiting Nurses of district health centers in Seoul. The data was collected by self reporting questionnaire from April 15 to April 30, 1997. Their performances and various supportive factors were measured with the instruments developed by the researcher. Job satisfaction were also measured by the instrument developed by Slavitt et al. (1978) was used. The data were, analyzed by Cronbach Alpha, mean, standard deviation, percentage, t -test, ANOVA Duncan test, Correlation Coefficient, and Stepwise Multiple Regression with SAS program. The results of this study were as follows: 1. The average of budget of Visiting Nursing Services Program of district health centers was 0.9% and the average of visiting nursing services personnel of district health centers was 10.1%. 2. With regard to the job satisfaction of Visiting Nurses the mean score was 2.92 out of 5. While the level of Job prestige / status presented as a mean score of 3.48 which was the largest among the 7 components of job satisfaction, the level of administration was the lowest showing 2.57 scores respectively. There were significant differences in the job satisfaction by age, working career of health centers(p<0.01, 0.001). 3. The average of the performance level of Visiting Nurses variables was 2.29; The variable with highest degree of performance was the teaching & consultation, establishment of performance plan, whereas the on with the lowest degree was the directive nursing services. The significant difference was found in performance level according to age, structure type of visiting nursing services, working career of health centers and working career of visiting nursing services(p<0.05). 4. With regard to the perception of the performance expertise by the Visiting Nurses the mean score was 2.37 : The variable with highest degree of performance expertise was the teaching & consultation, establishment of performance plan, whereas the on with the lowest degree was management of home-environment. The significant difference was found in performance expertise according to working career outside of health centers(p<0.05). 5. With regard to the perception of the performance necessity by the Visiting Nurses the mean was 2. 40 : the variable with highest degree of performance necessity was the teaching & consultation, establishment of performance plan, whereas the on with the lowest degree was directive nursing services. The significant difference was found in performance necessity according to working career of visiting nursing services(p<0.05). 6. A positive correlation was found between job satisfaction and performance level(r=.3731, P<0.001). Also, a weak positive correlation was found between the components of job satisfaction and performance level. 7. Stepwise multiple regression analysis revealed that the most powerful predictor was the variance of job satisfaction(R=.3557, $R^2$=.1265). Structure type of visiting nursing services and working career of visiting nursing services accounted for 19.0% of the variance in performance level in nurses. In conclusion, Job satisfaction, Structure type of visiting nursing services and Working career of visiting nursing services variables had influenced on performance level in health centers. Further research is required to confirm these findings.

클로스트리디움 디피실리균 감염 후 발생한 반응성 관절염

이진성 ( Jin Sung Lee ),김근태 ( Geun Tae Kim ),양미진 ( Mi Jin Yang ),서종훈 ( Jong Hoon Seo ) 대한류마티스학회 2009 대한류마티스학회지 Vol.16 No.1

Clostridium difficile is the leading cause of hospital-acquired diarrhea. The frequent use of antibiotics and chemotherapeutic agents increases the likelihood of acquiring Clostridium difficile-associated disease. Reactive arthritis is a recognized sequela of infection with a many types of enteric or urogenital pathogens. Although the main bacterial causes of reactive arthritis following enteric infection are Salmonella, Shigella, Campylobacter and Yersinia, Clostridium difficile should be considered as a rare cause of reactive arthritis. We report here on a case of a 63-year-old man who presented with reactive arthritis following an infection with Clostridium difficile.

중국 단동 지역에서 국내 벼 품종의 출수 반응과 적응 출수생태 특성

양운호(Woonho Yang),Hongguang Ju,김정주(Jeong-Ju Kim),한아름(Areum Han),양정욱(Jung-Wook Yang),김은영(Eun Young Kim),강신구(Shingu Kang),이대우(Dae-Woo Lee),채미진(Mi-jin Chae),신명나(Moung Na Shin),Dongchun Jin,Jin Piao,Jichun 한국작물학회 2023 한국작물학회지 Vol.68 No.3

1. 벼 재배기간에 단동 지역의 평균기온은 북한의 신의주보다 약간 낮게, 수풍보다는 약간 높게 경과하였으며, 이들세 지역의 일장 변화는 거의 동일하였다. 2. 시험 연도와 이앙시기에서 공통적으로 단동 지역의 안전출수한계기와 현지 품종 중 가장 늦은 출수기까지 출수한 국내 품종은 조생종 8개(진부올, 백일미, 조운, 진옥, 조평, 진부, 산호미, 오대)였으며, 북한 품종은 5개(올벼2, 선봉9, 온포1, 길주1, 평도15)였다. 3. 국내 13품종과 북한 7품종의 기본영양생장성은 12~43 일, 감광성은 3~56일, 감온성은 15~33일 범위였는데, 국내 중생 및 중만생 3품종(선품, 신보, 소비)과 북한 평양21은 감광성이 33~56일로 컸고, 다른 3품종(아세미, 진미, 평도5)은 기본영양생장성이 40~43일로 큰 특징을 보였다. 4. 단동 시험포장에서 나타난 벼 품종의 출수기는 감광성과고도로 유의한 정의 상관을 나타내었으며, 감광성이 컸던 중생과 중만생 3품종을 제외하면 기본영양생장성과유의한 정의 상관관계가 인정되었다. 5. 단동 지역의 벼 재배기간에 적응하는 품종은 기본영양생장성 35일 이하와 감광성 25일 이하를 모두 충족하는 출수생태 특성을 보였다. We examined the heading responses of rice varieties over two years in Dandong, China to select the varieties that are adaptable to the bordering northwestern plains of North Korea. Dandong had slightly lower mean temperature than Sinuiju, North Korea but slightly higher than Supung, but it had almost the same day-length as the two regions in North Korea. In the two experimental years and two transplanting-date treatments, eight varieties (Jinbuol, Baegilmi, Joun, Jinok, Jopyeong, Jinbu, Sanhomi, and Odae) from South Korea and five varieties (Olbyeo2, Sonbong9, Onpo1, Gilju1, and Pyongdo5) from North Korea reached the heading stage not later than the latest heading dates of Dandong domestic varieties and the safe marginal heading dates of Dandong. We examined the basic vegetative phase (BVP), photoperiod-sensitivity (PS), and thermo-sensitivity (TS) of rice heading in a phytotron study to characterize the heading ecotypes of rice varieties adaptable to Dandong. For the rice varieties grown in Dandong experimental field, number of days to the heading stage was highly positively correlated with PS and, except middle and mid-late maturing three varieties, it was significantly positively correlated with BVP. Two-dimensional distribution plotting revealed that both 35 days or less BVP and 25 days or less PS were the characteristic heading ecotypes of the rice varieties adaptable to Dandong.

기도 내 점적을 통한 트리클로산의 폐독성 평가

권정택(jung-Taek Kwon),양영수(Young-Su Yang),강민성(Young-Su Yang),서균백(Gyun-Baek Seo),이동훈(Dong-Hun Lee),양미진(Mi-Jin Yang),심일섭(Il-Seob Shim),김현미(Hyun-Mi Kim),김필제(Pil-Je Kim),최경희(Kyung-Hee Choi),이규홍(Kyu-Hong Lee) 환경독성보건학회 2013 한국독성학회 심포지움 및 학술발표회 Vol.2013 No.5

자연판막 심내막염에 동반된 급성 상지 허혈을 치료한 1예

장성필 ( Seong Pil Jang ),최재훈 ( Jae Hoon Choi ),양미진 ( Mi Jin Yang ),김홍제 ( Hong Je Kim ),황철구 ( Cheol Gu Hwang ),김지하 ( Ji Ha Kim ),한동훈 ( Dong Hun Han ) 대한내과학회 2014 대한내과학회지 Vol.87 No.1

급성 상지 허혈과 감염성 심내막염은 각각 자연경과가 치명적으로 나타날 수 있기 때문에 초기에 빠르게 진단을 내리고 치료하는 것이 환자의 예후를 개선할 수 있지만 쉽지 않다. 전신 색전증은 감염성 심내막염 환자의 진단기준에 포함되어 있을 만큼 비교적 흔한 증상이지만 자연판막 심내막염에서 메티실린 내성 표피포도상구균이 배양되는 경우에서 발생한 증례는 드물다. 저자들은 자연판막 심내막염에 따른 전신 색전증으로 인해 발생한 급성 상지 허혈 환자에서 흡인 혈전색전제거술와 선택적 동맥 내 혈전용해술의 중재적 시술을 통해 성공적으로 혈관 재개통과 사지구제를 하였다. 대동맥 판막을 침범한 크고 잘 움직이는 증식물에 대해서도 수술 없이 적절한 항균제 치료만으로 경식도 초음파에서 증식물의 크기 감소와 소멸을 확인하였으며 이후 11개월 동안 별다른 합병증 없이 추적관찰 중이다. We report a case of acute upper limb ischemia suspected to have originated from methicillin resistant Staphylococcus epidermidis native valve endocarditis in a 57-year-old man who had complained of sudden-onset fever and pain in the right hand. 3D computed tomography of the right upper extremity detected a thrombus occluding the brachial artery. Echocardiography showed a large vegetation on the aortic valve. Thus, we suspected, clinically, brachial artery occlusion by septic emboli originating from a large vegetation of the aortic valve. The patient was treated with intravenous antibiotics for the suspected methicillin-resistant Staphylococcus epidermidis-native valve endocarditis with a combination of percutaneous aspiration thromboembolectomy and selective intra-arterial thrombolysis for acute thromboembolic occlusion in the right upper limb. The large vegetation of the aortic valve resolved without surgery and aortic regurgitation improved. The patient recovered uneventfully with no complications, including septic embolism, over the following 11 months. (Korean J Med 2014;87:81-86)

증례 : 소화기 ; 췌장미부 종양으로 오인된 부비장 결핵 1예

박성후 ( Seong Hu Park ),이동건 ( Dong Gun Lee ),최정문 ( Jeong Mun Choi ),서종훈 ( Jong Hun Seo ),양미진 ( Mi Jin Yang ),임대관 ( Dae Kwan Lim ),이상호 ( Sang Ho Lee ) 대한내과학회 2010 대한내과학회지 Vol.79 No.1

저자들은 33세 남자 환자에서 비장 경색을 동반한 췌장 미부 종양으로 오인된 부비장 및 비장 결핵을 경험하였기에 문헌고찰과 함께 보고하고자 한다. Abdominal tuberculosis usually affects the gastrointestinal tract, peritoneum, lymph nodes, liver or spleen. Tuberculosis of the spleen is uncommon, except when associated with miliary dissemination. We report a case of a 33-year-old man with tuberculosis of the accessory spleen, which was originally suspected to be a distal pancreatic tumor. He was admitted with a history of left upper quadrant abdominal pain for 3 months. Computed tomography imaging of the abdomen revealed a 4.5 cm sized poorly defined hypodense mass in the distal pancreas and showed multiple focal hypodense lesions in the enlarged spleen. We performed distal pancreatectomy and splenectomy under the preoperative expectation of a distal pancreatic tumor. Microscopic examination of the specimens revealed accessory splenic tuberculosis associated with splenic tuberculosis. Following this, he was treated with appropriate antituberculosis drugs and was discharged without any complications. (Korean J Med 79:53-56, 2010)

증례 : 소화기 ; 다발성 간선종과 통풍을 동반한 당원병 Ia형 1예

이동건 ( Dong Gun Lee ),박성후 ( Sung Hoo Park ),최정문 ( Jung Moon Choi ),서종훈 ( Jong Hoon Seo ),이진성 ( Jin Sung Lee ),양미진 ( Mi Jin Yang ),김근태 ( Geun Tae Kim ) 대한내과학회 2009 대한내과학회지 Vol.76 No.1S