수술 예방적 항생제의 사용 현황 및 관리전후 효과

양지연,김문숙,김유정,이은봉,Yang, Jiyeon,Kim, Moon-Sook,Kim, Yu-Jeong,Lee, Eun-Bong 한국의료질향상학회 2012 한국의료질향상학회지 Vol.18 No.1

Background : The objective of this study was to examine the effect of management system for the appropriate prophylactic use of antibiotics in surgical patients at a tertiary hospital from 2007 to 2010. Methods : We collected clinical data of three different surgical procedures(colectomy, heart surgery, hysterectomy) for three months of 2007 and 2010, respectively. The number of total cases was 245(137, 54, 54) in 2007, 240(133, 42, 65) in 2010. We measured the rate of use of inappropriate prophylactic antibiotics, administration within 1 hour prior to the incision and the antibiotics prescription days after surgery. To evaluate the effectiveness of the management system, the results of the two groups(Group1=2007, Group2=2010) were compared by t-test, chi-square test or Fisher's exact test. Result : The rate of Aminoglycoside uses decreased drastically from 11.4% to 0.8%(P<.001). The selection of 3rd/4th Cephalosporin dropped from 11.8% to 5.8%(P=.020). The combination of antibiotics decreased from 27.8% to 11.7%(P<.001). The antibiotic prescription rate on discharge declined from 11.8% to 2.5%(P<.001) and the number of antibiotics prescription days after surgery was shortened from 4.2 days to 2.3 days(P<.001). No significant difference in the rate of administration within 1 hour between two groups was found. Through 3-year management, 5 out of 6 measures were significantly improved(except the administration within 1 hour). The rate of surgical site infection decreased from 2.4% to 1.3%(P=.504). Conclusion : The findings demonstrate that the management system for the prophylactic use of antibiotics in surgical patients was effective in decreasing the rate of surgical site infection during 3 years.

청심연자탕 가감방으로 호전된 교뇌 출혈 이후 발생한 양측 반신부전마비, 연하곤란, 언어장애 치험 1례

양지연,정택수,전경륭,옥소윤,선종주,Yang, Jee-yun,Jeong, Taek-su,Jeon, Gyeong-ryung,Ok, So-yoon,Sun, Jong-joo 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.2

Objectives: This case study evaluated the effectiveness of Chengsimyeonja-tang-gamibang (Gamicheongsim-tang and Cheongsimsunhwal-tang) in a patient with a pontine hemorrhage and quadriparesis, dysarthria, and dysphagia. Methods: A patient diagnosed with a pontine hemorrhage was treated with Chengsimyeonja-tang-gamibang (Gamicheongsim-tang and Cheongsimsunhwal-tang) acupuncture, and moxibustion. The manual muscle test (MMT), modified Barthel index (MBI), National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), Mini Mental State Examination-Korea (MMSE-K), and Articulatory Functional Ability of Achievement Scale were administered. Results: Improvements in the MMT, MBI, NIHSS, mRS, and K-MMSE were observed after the treatment. The MMT grade increased from Rt. 3/3- and Lt. 3/3- pretreatment to Rt. 4/4 and Lt. 4+/4+ post-treatment. The MBI increased from 10 to 50 post-treatment. The NIHSS decreased from 24 to 6 post-treatment, and the mRS fell from 5 to 4 post-treatment. Finally, the MMSE-K increased from 0 to 24 post-treatment. The Articulatory Functional Ability of Achievement Scale also improved. Conclusion: This study shows that Chengsimyeonja-tang-gamibang can be used to treat the symptoms of patients with a pontine hemorrhage.

The evaluation of cost-of-illness due to use of cost-of-illness-based chemicals

양지연,Yongjin Lee,Geonwoo Lee,Hanseul Lee,Jiyeon Yang 환경독성보건학회 2015 환경독성보건학회지 Vol.30 No.-

Objectives This study is conducted to estimate the cost paid by the public suffering from disease possibly caused by chemical and to examine the effect on public health. Methods Cost-benefit analysis is an important factor in analysis and decision-making and is an important policy decision tool in many countries. Cost-of-illness (COI), a kind of scale-based analysis method, estimates the potential value lost as a result of illness as a monetary unit and calculates the cost in terms of direct, indirect and psychological costs. This study estimates direct medical costs, transportation fees for hospitalization and outpatient treatment, and nursing fees through a number of patients suffering from disease caused by chemicals in order to analyze COI, taking into account the cost of productivity loss as an indirect cost. Results The total yearly cost of the diseases studied in 2012 is calculated as 77 million Korean won (KRW) per person. The direct and indirect costs being 52 million KRW and 23 million KRW, respectively. Within the total cost of illness, mental and behavioral disability costs amounted to 16 million KRW, relevant blood immunological parameters costs were 7.4 million KRW, and disease of the nervous system costs were 6.7 million KRW. Conclusions This study reports on a survey conducted by experts regarding diseases possibly caused by chemicals and estimates the cost for the general public. The results can be used to formulate a basic report for a social-economic evaluation of the permitted use of chemicals and limits of usage.

한방치료로 호전된 반신부전마비, 배뇨장애를 동반한 좌측 앞대뇌동맥 출혈성 뇌경색 환자의 치험 1례

양지연,김민성,정택수,방찬혁,모민주,권도익,최민기,Yang, Jee-yun,Kim, Min-sung,Jeong, Taek-su,Bang, Chan-hyuck,Mo, Min-ju,Kwon, Do-ick,Choi, Min-gi 대한한방내과학회 2016 大韓韓方內科學會誌 Vol.37 No.5

Objective: To evaluate the effectiveness of traditional Korean medicine treatment (TKM) on a patient with ACA infarction and hemorrhagic transformation with hemiplegia and urinary disturbance. Methods: A patient diagnosed with left anterior cerebral artery (ACA) infarction and hemorrhagic transformation was treated with electroacupuncture, moxibustion, and herbal medicine. Results: Improvements in the Manual Muscle Test (MMT), modified Barthel Index (MBI), National Institutes of Health Stroke Scale (NIHSS), modified Rankin scale (mRS), and K-MMSE were observed following the TKM treatment [MMT Gr. (3/0)→Gr. (4+/4+), MBI 20→89, NIHSS 8→2, mRS 5→1, MMSE-K 21→28]. Conclusion: TKM treatment could help improve the symptoms of patients with ACA infarction and hemorrhagic transformation.

교육 출판사의 효율성 측정 및 효율성 영향요인 분석

양진원(Jinwon Yang), 양지연(Jiyeon Yang), 최강화(Kanghwa Choi) 한국생산관리학회 2023 한국생산관리학회지 Vol.34 No.2

본 연구에서는 국내 23개의 교육출판사를 대상으로 자료포락분석(DEA)를 활용하여 2018년부터 2021년까지의 연도별 효율성을 측정하였다. 또한, 본 연구에서는 출판사 효율성 변동에 영향을 미치는 출판사 운영 변수를 도출하여 이러한 출판사 운영 변수들이 효율성에 어떠한 영향을 미치고 있는지를 Simar와 Wilson(2000)이 제시한 이단계 부트스트랩 단절회귀분석을 통해 분석하였다. DEA 분석 결과에 의하면, 최근 4년간 출판사의 기술 및 순수기술 효율성은 지속적으로 감소하고 있으며, 특히 코로나 19 발생 이후인 2020년 이후에는 평균 효율성이 급격히 감소하였다. 이와 같은 효율성 감소의 주요 원인으로는 규모의 비효율로 인하여 효율성이 감소한 것으로 분석되었다. 또한 교육출판사의 효율성에 영향을 미치는 출판사의 전략적 운영변수로 지급수수료, 지급임차료, 운반비 등이 효율성에 통계적으로 유의한 영향을 미치는 것으로 분석되었다. 또한, 코로나19의 발생 전후 시기에 효율성을 변동에 영향을 미치는 출판사 운영변수들은 서로 다른 패턴을 보이고 있다. 본 연구결과는 최근의 어려운 환경에 놓여있는 출판사들의 효율성 제고 및 지속 가능한 성장을 도모하기 위한 실무적인 시사점을 제공하고 있다. This study used parametric data development analysis (DEA) to estimate the contemporaneous efficiency of 23 educational publishers in Korea from 2018 to 2021. Moreover, we employed a two-stage bootstrapped truncated regression to identify the internal factors affecting the operating efficiencies of educational publishers. According to the DEA results, the technical efficiency (TE) of educational publishers has continued to decline over the past four years, and the average TE has decreased mainly due to scale inefficiency after the outbreak of COVID-19 in 2020. In addition, payment fees, rental fees, and transportation costs as strategic operating variables of educational publishers have a statistically significant effect on their efficiency. This study provides practical implications for improving the efficiency and promoting sustainable growth of publishers.

박물관 에듀케이터의 직무 전문성 향상을 위한 교육훈련 요구분석 연구

양지연(Yang Ji-Yeon),이병준(Yi Byung-Jun) 한국미술교육학회 2007 美術敎育論叢 Vol.21 No.3

  본 연구는 박물관의 교육전문인력인 에듀케이터(educator)의 교육훈련 요구분석을 목적으로 하고 있다. 현재 국가적으로 박물관에 학예사와는 별도로 교육전문인력이 채용되는 제도화의 초기단계에 놓여있다. 그러나 이들 채용 인력들은 교육전문직으로서의 정체성과 전문성에 대한 어려움을 가지고 있으며, 이들에 대한 교육훈련 기회와 체제 역시 미흡한 상황이다. 이에 본 연구는 박물관에서 활동하는 에듀케이터들의 직무 전문성을 향상시킬 수 있는 효과적인 교육훈련 프로그램을 개발하기 위하여 교육훈련 요구를 조사하고 분석하고자 한다. 첫째로 본 연구는 에듀케이터들의 핵심역량에 대한 선진국의 문헌들을 검토하였다. 둘째로 연구진에 의해 제작된 설문지를 통하여 현재 에듀케이터로 박물관에서 활동하고 있는 자들을 대상으로 에듀케이터의 직무 수행 환경과 교육훈련의 필요성을 알아보고, 핵심 역량과 교육훈련의 내용 및 방법, 교육훈련 운영방식에 대한 요구, 그리고 교육훈련 참가 저해요인 등을 파악하였다. 셋째로 설문조사 결과를 바탕으로 에듀케이터 교육훈련의 지향점과 실행 방안을 논의하였다. 본 연구의 결과 에듀케이터들은 대체로 스스로의 자질은 보통 이상으로 인식하고 있으나 직무 능력을 향상하기 위한 교육훈련이 필요하다는 데 대체로 동의하고 있고, 직무 수행에 실제적인 도움을 줄 수 있는 체계화된 교육훈련프로그램에 대한 요구가 높았다. 또한 이를 통해 에듀케이터의 전문성이 인정받게 되기를 기대하고 있다. 그러나 조사결과를 통해 볼 때 국공립박물관에서는 에듀케이터의 교육훈련에 대한 기관의 인식 부족으로 인해, 그리고 사립박물관에서는 인력부족으로 인해 교육훈련에 대한 참여 기회가 제약을 받고 있다. 본 연구의 결과는 향후 에듀케이터를 위한 교육훈련 체계를 설계하는데 유용하고 실증적인 기초자료를 제공하고 있다.   This study examined the education and training needs of Korean museum professionals through a survey of museum educators. Facilitated by the national policy to support museum professionals as well as the expansion of museum education in general, museums in Korea has recently begun to employ educators. However, the opportunity for professional development of museum educators through education and training is limited. To enhance competency of educators and quality of museum education work through effective training program, the research analyzed the needs of educators. The survey explored the competency of educators, contents and methods of education and training program, and barriers to and the areas of improvement of the continuing education of educators. Based on the result, the current problems and needs of educators were discussed and directions and solutions for education and training were proposed. The study revealed that educators needed effective training programs to enhance their job performance and professionalism. But the institutional limitations, such as lack of appropriate number of education staff and recognition of importance of continuing education, hindered the professional development of educators. Also, it was suggested that to be effective, the education and training programs reflect current and potential needs of practitioners.

실내식물의 건강효과 평가 - 가정주부 및 천식환자를 대상으로 : 실내식물의 건강효과 평가

양지연(Ji-Yeon Yang),김호현(Ho-Hyun Kim),박중원(Jung-Won Park),김광진(Kwang-Jin Kim),박창수(Chang-Su Park),신동천(Dong-Chun Shin),임영욱(Young-Wook Lim) 한국실내환경학회 2007 한국실내환경학회지 Vol.4 No.1

The objective of the present study was to assess the health effect of houseplant. we selected 22 households of newly-built apartments and 17 asthma patients. Before intervention in the households, we conducted clinical survey investigations during April and October, 2006. In this study, 6 species of houseplants known to be eco-friendly and 14 other plants were recruited. While the clinical research items were lung function, erythrocyte sedimentation rate(ESR), white blood cell count(WBC), total eosinophil count(TEC) and total-immunoglobulin E(T-IgE). There was no association between the intervention and the estimated inflammation reaction and allergic reaction. However, peak expiratory flow rate(PEFR) of evening data were positive effect in the intervention asthma-patients households compared with the nonintervention.

미술관과 공교육의 파트너십을 위한 초중등 교사 연구

양지연(Yang Jiyeon) 한국예술경영학회 2003 예술경영연구 Vol.4 No.-

One of the main themes of the international museum management in recent 20 years has been the community partnership. Strengthening the relevancy of museums with diverse communities is now recognized as the crucial strategy for the improvement and survival of museums. Among the diverse communities of museums, school audiences have been, and still are the major community to be served and to collaborate, both for philosophical and practical reasons. In building partnership between museums and schools, the key role player is the school teachers. As the renowned psychologist Lev Vygotsky stressed the social aspects of learning, teachers tremendously influence the cognitive and affective learning of the students. Also being familiar with the students’ previous experiences and knowledge as well as the school curriculum, teachers are the major link between museums and schools who could connect museum experience with classroom learning. Thus, in recognition of such an importance of teachers, this study examined the teachers’ utilization of museums and their needs toward forming museum and school partnerships. The research was based on the survey of 271 elementary and secondary teachers who participated in the summer teacher training programs at three museums in Korea, including the National Museum of Contemporary Art, the National Museum of Korea, and the Ho-Am Art Museum. The survey explored three areas of questions. Firstly, the utilization patterns and behaviors were examined. The majority of teachers (56.0%) utilized museums 1-2 times a year. Major purposes of utilization were to take field trips that are not closely related to the curricular (35.0%), and to provide or extend lessons closely related to the curricular (26.1%). The main types of utilization were the use of museums’ internet home pages as teaching-leaning resources (25.3%) and the group field trips guided by teachers (25.1%). The sources of information on museums were largely limited to the museums’ internet home pages (35.0%), and mass media (news papers/ T.V.) (30.1%). Secondly, teachers’ perceptions and attitudes toward museums were explored by asking educational effect of museum learning and barriers to utilizing museums. The educational effect of museum utilization perceived by the teachers was generally high (‘very high’ 8.0% + ‘pretty high’ 40.3%). The larger percentage of teachers who perceives the educational effect of museum utilization ‘fair’ or ‘low’, however, gives a significant implication that museum experiences are educational only when they are carefully designed for learning of students. Finally and most importantly, teachers’ needs and recommendations for museum and school partnerships were analyzed. Most teachers needed that museums provide programs closely related to the curricular (30.3%) and museum guides who could teach school groups (24.3%). The development of teacher programs that introduce methods of museum utilization for school lessons was also highly needed (21.9%). Answers to the open-ended question about recommendations for museum and school partnerships revealed similar results to the above question. They mostly recommended in the areas of ‘program development’, ‘teacher training programs’, ‘provision of quality museum guides’, ‘convenience and cost of travel’, and ‘promotion of museum programs for school audiences.’ Thus, in building collaborative relationship, museums and schools should strive to meet the needs of the teachers analyzed above. Governmental support should also be given for those efforts.

연구동향 Ⅶ: New Museology-서구 박물관학계의 최근 동향

양지연(Yang Ji Yeon) 서양미술사학회 1999 서양미술사학회논문집 Vol.12 No.-

박물관ㆍ미술관의 교육프로그램 운영 현황과 개선방안

양지연(Yang Ji yeon) 한국예술경영학회 2002 예술경영연구 Vol.2 No.-

The purpose of this study is to present desirable directions to strengthen educational function of museums in Korea based on the analysis of current practice and problems. Overall, the number of museums which provide educational programs has been rapidly increased in recent 10 years. Still, with the lack of know-how and institutional resources to develop quality education programs, educational function of museum is generally limited to exhibition. For their survival in the increasingly competitive and complex environment, however, museums need to make drastic change to meet the educational needs of the public and enhance their relevancy in society. The seven main problems of museum education in Korea with recommendations are presented in the areas of museum philosophy, infrastructure, and educational programming. First of all, a low institutional priority given to education is a fundamental barrier. While education and public access is stressed in written, official document, educational programs in practice are often neglected and undervalued from the main museum function with its top priority highly oriented toward collection and exhibition. As a result, there are not many sustainable and high-quality education programs. To remedy this situation, the paradigm shift of museum management must occur to place education as an essential tool to expand, sustain and satisfy ‘audience’ who are at the center of museum management today. Second, such a low priority in education results in the lack of institutional resource to develop educational programs. Organizational structure should be restructured to develop effective and professional educational programs. Alongside, training and staffing of professional educators are essential. Also at least 1% of total operating budget should be allocated for education. Third, five main problems in contents and planning of education programs are mentioned. Museum education should fully utilize museum collection and exhibition as a subject and purpose of the program. When their programs are not closely related to their assets, the strengths and uniqueness of museum education programs will diminish. Incorporation of educational approach unique to the nature of museum education is also needed. Various approaches such as interdisciplinary and multicultural education, utilization of new technology, and object-based learning would enhance the educational strengths of museums that are differentiated from schools and other educational institutions. Also museums need to develop a variety of educational materials available in and outside the museum. Print and media materials would be cost-effective distant learning tools to reach out to larger audience especially who cannot come to museums. Diversification and strategic development of program audiences are other concerns. Finally, a stronger partnership with diverse community organizations and schools in the planning and implementation of education programs needs to be established to solicit new ideas and resources and enhance ‘relevancy’ to its community. Based on the analysis of current practice and problems in museum education stated above, in conclusions, recommendations for government policy to facilitate museum’s educational function were proposed. A separate division in the Ministry of Culture and Tourism to support arts education or a grant-making program solely dedicated to museums’ educational endeavor would be one effective way to motivate and facilitate the educational role of museums.