좌측 편마비 및 보행장애를 주소로 한 뇌내출혈 환자에 대한 한방 복합 치료 증례보고 1례

양지혜,채인철,최인우,김찬영,유주영,유호룡,김윤식,설인찬,Yang, Ji-Hye,Chae, In-cheol,Choi, In-woo,Kim, Chan-young,Ryu, Ju-young,Yoo, Ho-ryong,Kim, Yoon-sik,Seol, In-chan 대전대학교 한의학연구소 2020 혜화의학회지 Vol.29 No.2

Objectives : The aim of this study was to report the effectiveness of Combined Korean Medicine treatment on a intracerebral hemorrhage patient with hemiplegia and gait disturbance. Methods : A 56-year-old, female patient with hemiplegia and gait disturbance was treated by Korean Medicine including acupuncture, moxibustion and herbal medicine. The effect of the treatment was evaluated by Manual Muscle Test(MMT), Modified Rankin Scale(MRS), Korean version of Modified Barthel Index(K-MBI). The gait of the patient was evaluated by 10m walk test, Timed Up&Go Test(TUG), Functional Ambulatory Category(FAC), GAITRite and Symmetry Criterion(SC). Results : After treatment, MMT, MRS, K-MBI, gait parameters and gait symmetry were improved. Conclusions : This study suggests that Combined Korean Medicine treatment might be effective for a intracerebral hemorrhage patient with hemiplegia and gait disturbance.

경북지역 초등학교 영양(교)사의 학교급식 HACCP 시스템 수행 수준 및 장애요인 인식

양지혜(Ji Hye Yang),성봄이(Bo Mi Sung),김미화(Mi Hwa Kim),정현숙(Hyun Sook Jung),차명화(Myeong Hwa Cha),류경(Kyung Ryu) 한국식품영양과학회 2014 한국식품영양과학회지 Vol.43 No.11

학교급식소의 HACCP 시스템 적용에 대한 수행 수준과 장애요인 인식을 조사하여 학교급식 HACCP 시스템의 보다 효율적인 적용과 개선방안을 마련하기 위한 기초자료를 제공하기 위해 수행하였다. 급식 유형과 급식 운영 형태는 농?어촌형 60.8%, 자체조리 64.3%, 식당배식이 91.6%로 대부분을 차지하였다. HACCP 시스템 수행 수준은 조리종사원 대상 HACCP에 근거한 교육 실시가 4.02로 가장 높게 나타났으며, HACCP팀 회의 개최 및 회의록 작성 비치가 2.74로 가장 낮았다. 학교급식 CCP의 수행 수준 인식은 전체 4.20으로 비교적 잘 수행되는 것으로 나타났다. CCP 1: 식단의 작성이 3.90으로 가장 낮았고, CCP 4: 냉장?냉동고 온도관리 4.44, CP 5: 생채소?과일 세척 및 소독은 4.44로 높게 조사되었다. 학교 일반사항에 따른 수행 수준에서는 도시형이 농?어촌형에 비해 총 급식인원수가 많을수록 수행 수준이 높은 것으로 나타났다(P<0.05). HACCP 시스템 장애요인 인식에서 ‘전반적인 장애요인’과 ‘조리종사원의 HACCP 수행’, ‘학교 팀장 및 예산지원부서의 협력’이 대부분 3.0 이상으로 높게 나타났으며, ‘영양(교)사의 HACCP 수행’은 2.81로 가장 낮았다. 시설?설비 부족 4.00, 교육청의 예산지원 미비 3.90, 납품업체의 HACCP 시스템에 대한 이해부족 3.72 순으로 높은 장애요인으로 인식되었다. 학교급식 HACCP 시스템의 성공적인 적용을 위해서는 영양(교)사 및 조리종사원에 대한 교육, 훈련을 통한 동기부여가 가장 중요하게 해결되어야 할 요소이며, 학교 당국의 행정적 지원과 교육청의 예산 확보를 통한 위생 전담 인력지원도 하루빨리 해결해야 할 요소이다. 또한 표준위생작업절차 등의 선행요건을 개발하여 HACCP 시스템을 보다 효율적으로 적용할 수 있는 기반을 마련하여야 할 것이다. The purpose of this study was to determine obstructive factors and performance level of the HACCP system among elementary schools in Gyeongbuk province. E-mail survey targeted 320 dieticians, and recovery rate was 74.1%. Consequently, 227 responses were analyzed. The questionnaire was composed of 58 items under four sections (general characteristics, dieticians" perceived HACCP performance level, dieticians" perceived CCP performance level, and obstructive factors of HACCP system implementation). The item with the highest rate of HACCP performance level was ‘HACCP training for foodservice employees in schools (4.02±0.70)’ while the lowest counterpart was ‘implementation of HACCP team meeting, reporting, and maintenance (2.74±0.99)’. The performance level of the item ‘HACCP training for foodservice employees in schools’ was perceived as highest when the number of students eating school meals was greater than 1,101 (P<0.05). Moreover, CCP 4 (4.44±0.53) and CP 5 (4.44±0.51) showed the best performance, whereas CCP 1 showed the lowest performance level (3.90±0.60). Therefore, reinforcement of hygiene instruction in menu planning is perceived as necessary. CCP 1, CCP 6 (P<0.05), and CCP 3 (P<0.001) showed significant differences in performance based on the number of students eating school meals. Further, according to results regarding obstructive factors of HACCP system execution, ‘general factor’ was the most severe obstructive factor in the application of HACCP (3.46±0.62). Among the ‘factors pertaining to dieticians’, the item ‘hardship of proper monitoring and micro-management due to overwhelming workload’ was most influential (3.46±0.96). Furthermore, the item ‘low budget allocation by educational offices (3.90±0.88)’ was influential among the ‘factors pertaining to school administrations’. In conclusion, the results of this research can help solve obstructive factors of elementary school food services and provide knowledge that is essential for the proper implementation of HACCP.

종창성 홍반 루푸스 18예의 임상, 병리조직학적 고찰

양지혜 ( Ji Hye Yang ),원종현 ( Chong Hyun Won ),장성은 ( Sung Eun Chang ),이미우 ( Mi Woo Lee ),최지호 ( Jee Ho Choi ),문기찬 ( Kee Chan Moon ) 대한피부과학회 2010 대한피부과학회지 Vol.48 No.5

Background: Lupus erythematosus tumidus (LET) is a rare subset of chronic cutaneous lupus erythematosus, and LET is clinically characterized by erythematous, succulent, urticarial plaques on the sun-exposed areas and LET is histopathologically characterized by the presence of perivascular and periadnexal lymphocytic infiltrates with interstitial mucin deposition. Objective: We investigated the clinical and histopathological features of LET in Korean patients. Methods: A retrospective study was conducted on 18 patients who were diagnosed with LET between 1993 and 2010. The clinical characteristics, histopathological and laboratory findings, association with other subsets of lupus and the course of disease were analyzed. Results: LET occurred predominantly in females, with the gender ratio being 1:8. The mean age at diagnosis was 31.3 years. Two of 18 patients (11.1%) were previously diagnosed with systemic lupus erythematosus (SLE) or they had discoid lupus erythematosus (DLE) simultaneously. The most common clinical features were erythematous patches, nodules or plaques and the most common site was the face. Eight of eighteen patients (44.4%) had photosensitivity and this value was lower than that of the previous reports. The antinuclear antibody (ANA) was negative or weakly positive in 13/15 (86.7%) cases. The main histopathological characteristics were perivascular and/or periadnexal lymphocytic infiltrates, and interstitial mucin deposition. Epidermal changes were absent or there were minimal changes. The treatments included antimalarial drugs, dapsone and topical and systemic corticosteroid. The patients showed a good response to the treatments without scarring. Conclusion: A clinicopathological review of 18 LET cases revealed results that were similar to those of the previous reports, although there were some differences in the gender ratio and frequency of photosensitivity. Further studies are needed to elucidate the cause of such differences. (Korean J Dermatol 2010;48(5):402~408)

생물의 양분 생성과 수송을 주제로 한 STEAM 프로그램의 개발 및 적용 효과

양지혜 ( Ji Hye Yang ),최영미 ( Youngmi Choi ),홍승호 ( Seung-ho Hong ) 韓國生物敎育學會 2016 생물교육 Vol.44 No.3

The aims of this study are to develop a STEAM program focused on producing and transporting of nutrients in organisms and to identify its influence on elementary students’ academic achievement, creative problem solving ability, basic scientific process skills and affective domain. For these objectives, the STEAM program was developed by reorganizing contents of photosynthesis and transport system in the unit of ‘Structure and Function of Plants’ and science concepts of digestion and circulatory system in the unit of ‘Structure and Function of Human Bodies’ from 2009 revised national science curriculum for 5th grade. The developed STEAM program was applied to an experimental group of twenty four 5th grade students of J elementary school located in S city, whereas original textbook contents were taught to a control group under the equivalent conditions except teaching approaches. As a result of applying the STEAM program, there were statistically significant differences between the experimental group and control group of the academic achievement and affective domain. On the other hand, the results of creative problem solving ability and basic scientific process skills were not significant. The STEAM approach integrated of the two different units may let elementary students learn production and transport of nutrients in organisms effectively at some points. Therefore, continuous and systematic studies on STEAM programs focused on integrated concepts between living organisms such as plants and animals are needed for elementary students`` cognitive and affective developments.

항공사 객실승무원의 직무요구가 직무소진에 미치는 영향: 자기개발기회의 조절효과를 중심으로

양지혜(Yang, Ji-Hye) 한국관광레저학회 2020 관광레저연구 Vol.32 No.9

항공사 객실승무원의 개인적 요인, 지식공유, 서비스혁신행동의 구조적 관계

양지혜(Yang, Ji-Hye),김영택(Kim, Young-Taek),서주환(Seo, Ju-Whan) 한국관광레저학회 2015 관광레저연구 Vol.27 No.4

상사의 서번트 리더십이 조직시민행동에 미치는 영향 : 조직영성(workplace spirituality)의 매개효과

양지혜 ( Ji-hye Yang ),김종인 ( Jong-in Kim ) 한국생산성학회 2016 生産性論集 Vol.30 No.3

Workplace spirituality has been emphasized as one of the alternatives to solve several problems caused by rapid changes surrounding individuals and organizations in modern society. There are many assertions and study results that fulfilling employees’ spiritual needs apart from power, profitability, productivity which are traditional way of company’s pursuits, will make them fulfill their wholeselves and feel the fundamental meaning and purpose of their lives followed by positive outcomes in both individual and organizational sides. The main objective of this study is to examine the impact of servant leadership on workplace spirituality(WS), the impact of WS on organizational citizenship behavior, and the mediating effect of WS between servant leadership and organizational citizenship behavior in domestic business circumstances. Survey method was used to prove the study hypothesis using data collected from employees(n=418) working for companies in Seoul and some other capital area, and SPSS Statistics 23.0 program is used in analysis. The results are as follows; firstly, servant leadership has positive effects on all the lower dimensions of WS- inner life, meaningful work, sense of community. Secondly, inner life, meaningful work, sense of community have positive effectson organizational citizenship behavior respectively. Thirdly, servant leadership has positive effects on employees`` organization citizenship behavior. Lastly, inner life, meaningful work, sense of community have mediating effects between servant leadership and organizational citizenship behavior respectively. The implications of this study are as follows; firstly, it proved the effect of servant leadership on employees`` workplace spirituality in domestic business circumstances for the first time, which implies the level of inner life, meaningful work, and sense of community are affected by leadership style. Therefore, the companies will need to train leaders and HR managers to develop servant leadership skills, and it will lead to increase organizational performance as a result. Secondly, this study diversified workplace spirituality related studies which is at the beginning stage. By putting workplace spirituality as a mediating variable, it tried to find out the leading variable as well as the result variable. Thirdly, this study showed the organizations should have attention on the effect of workplace spirituality to achieve the organizational goal and to increase organizational productivity.

양수리 용늪의 용존 수은 및 총수은 농도 특성에 대한 연구

양지혜(Ji Hye Yang),한영지(Young Ji Han),김평래(Pyung Rae Kim),박상영(Sang Young Park),서용석(Yong Seok Seo),이종환(Jong Hwan Lee),김문경(Moon Kyung Kim),이승묵(Seung Muk Yi),조경덕(Kyung Deok Cho) 大韓環境工學會 2012 대한환경공학회지 Vol.34 No.12

본 연구에서는 장기간 동안 양수리 용늪에서의 총 수은(TM)과 용존가스상 수은(DGM; Hg0) 농도를 측정하였다. 평균 TM 및 DGM의 농도는 각각 2.0 ± 2.0ng/L와 15.0 ± 2.8pg/L로 나타나, TM의 약 2.6%만이 DGM의 형태로 존재하였다. 연구 기간동안 TM 농도는 뚜렷한 계절적 변이를 보이지 않았으나 DGM 농도는 여름철에 통계적으로 유의하게 높은 농도가 나타났다. 이는, DGM이 강한 태양광과 높은 수온에 의해서 효과적으로 생성된다는 것을 의미한다. 또한 양수리 용늪에서 측정한 TM과 DGM 농도 사이에는 유의한 상관관계가 관측되지 않았다. 양수리 용늪에서 측정한 DGM은 대부분의 연구 기간 동안 과포화 상태로 존재하였으며, 이는 수표면의 Hg0가 대기로 쉽게 휘발될 수 있다는 사실을 나타낸다. Long-term measurement of total mercury (TM) and dissolved gaseous mercury (DGM) were performed in Yangsuri marsh. Average TM and DGM concentrations were 2.0 ± 2.0ng/L and 15.0 ± 2.8pg/L, respectively, indicating that only 2.6% of TM existed as the form of DGM in Yangsuri marsh. While TM did not show the seasonal variation a statistically high DGM concentration was observed in warm season, indicating that DGM was effectively produced by strong solar radiation and high water temperature. There was no relationship between TM and DGM concentrations in Yangsuri marsh, as observed in other studies. DGM in Yangsuri marsh was supersaturated for most of sampling period; therefore, one can conclude that Hg0 in water surface can readily volatilize to the atmosphere.

수생생물에 대한 STEAM 수업이 초등학생의 창의적 문제해결력, 기초 탐구 능력, 정의적 영역에 미치는 영향

양지혜 ( Ji Hye Yang ),최영미 ( Youngmi Choi ),홍승호 ( Seung-ho Hong ) 韓國生物敎育學會 2016 생물교육 Vol.44 No.4

This study was designated to investigate the effect of STEAM lessons in regard to the aquatic organisms, and the authors especially focused on improvements in creative problem-solving ability, basic scientific process skills and affective domain of elementary school students. The STEAM program was based on objectives and scientific knowledge from units `The Animal Life` and `The Plant Life`, belong to 3rd to 4th grades level of 2009 revised national science curriculum in Korea. Being integrated to the STEAM program whose theme was `How can organisms float on water?`, other subjects such as Korean, Arts and Mathematics were used to complement the lessons. To collect quantitative data, forty four 4th grade students were divided into two groups, an experimental group and a control group, also the students were participated in both pre-test and post-test on creative problem-solving ability, basic scientific process skills and affective domain. The experimental group was engaged to take the developed STEAM program for eight periods of classes, whereas the control group was taught with text books of the same scope. Results revealed that the STEAM lessons concerning animals and plants in the aquatic environment contributed to improve the elementary students` creative problem-solving ability, basic scientific process skills and affective domain. Each total average score of the domains was significantly different, though some sub-factors were not. Instructional supports to teach the relationship between organisms and living environments during the STEAM lessons might be helpful to learners. They can provide ample opportunities for learners to understand life because animals and plants have similarities and differences at the point of adaptation.

가면을 따라 걷기 : 전시체제기 어느 전화교환수의 일기(1941∼1942)와 피식민지민의 `내면`

양지혜 ( Yang Ji Hye ) 역사문제연구소 2017 역사문제연구 Vol.21 No.1

Miss H was employed as a telephone operator at Daegu Post Office in January, 1941. She was 15 years old at the time. From the first day of that year to the last day of the following year, 1942, she completed two journals. She wrote both journals in Japanese, the official language of Imperial Japan. Miss H wrote about 300 characters daily for two years, except for 14 days in July, 1942, when there was a brief interruption in her journal writing. This was the process by which an anonymous woman called Miss H was making her own ideal `self.` Nonetheless, she remained bound by the limitations of the colonized who could not escape being conscious of the empire even during the most intimate moments of writing in one`s journal. Based on the as yet undisclosed historical document that is Miss H`s journal, this paper analyzes the self-making process of the colonized during the total war regime. The paper focuses on three issues : how Miss H received Imperial Japan`s wartime propaganda for the Pacific War, how she responded to ethnic discrimination in the workplace, and how she was impacted by the imprisonment of a `political offender` in her family.