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조유경(Yoo-kyung Cho) 한국지방교육경영학회 2016 지방교육경영 Vol.19 No.2
본 연구는 초등학교에서 실시되고 있는 본 연구는 초등학교에서 실시되고 있는 교과담 임제 운영의 실제를 분석하고 이를 토대로 교과담임제의 발전 방안을 제시하는 데 그 목적이 있다. 이를 위해 부산광역시에 위치한 초등학교 중 교과담임제를 운영했거나 운영하고있는 학교에서 교과담임제에 참여한 교사 11명을 대상으로 심층면담을 실시하고, 학교의 현장 문서자료를 수집하여 그 내용을 분석하였다. 본 연구 결과, 교사들은 교사와 학생의 입장에 따라 초등학교 교과담임제 도입의 동기를 다르게 인식하고 있었다. 긍정적인 기대와 취약성이 공존하며, 중학교에서와의 다른 맥락적 특성이 나타났다. 운영 실태는 ‘계획 세우기’, ‘실천하기’, ‘반성하기’, ‘평가에 대한 피드백하기’로 구분하여 볼 수 있었다. 효과적이고 성공적인 교과담임제를 운영하기 위한 방안은 다음과 같이 제시되었다. 우선 교과담임제를 적극 안내하고 홍보하여 필요성에 대해 공감할 수 있도록 하고, 수업 시수와 과목 수를 줄이거나 교사의 수를 늘리고, 업무를 경감시키는 방안도 고려되어야 한다. 또한 학교별 실정에 따른 방법적 다양성을 추구하여 부분 교과담임제, 교과교실제, 교과군담임 제, 학력 취약 시기 활용 등 운영의 묘를 강구하는 것이 필요하다. The purpose of this study is to propose development plans for the operating of the departmental system at Elementary schools by analyzing the awareness of elementary school teachers and the operating conditions. In order to achieve this objective, the following research questions were posed. In summary the main findings of this study are as follows. First, how do teachers perceive the departmental system at elementary schools? The perception was classified into four categories: “Motivation for introducing", "Positive expectations", "Vulnerability concerns” and “Contextual nature of the operations”. Second, how is the departmental system being managed? There is a process to this. It includes "Building plans", “Practice”, “Reflection” and “Feedback” on operating this status. After planning its important to consider ‘the person who is willing to do work’, ‘collecting opinions’, ‘organizing teachers that are participating in the departmental system’, ‘choosing a curriculum’, ‘selecting subjects on both positive and negative. Third, the operating performance of the departmental system at elementary schools had " actively shared information", "reduced pressure, increased relaxation", "open about school life” and “heightened intimacy”. On the other hand, teachers that thought in a departmental system has some difficulties such as “trouble in giving educational guidance”, “burden and responsibility because of the new system” and “trying to read other teachers’ mind."
만성 B형간염 환자에서 항바이러스 치료 중 혈청 HBV DNA 및 HBsAg 정량의 새로운 이해
조유경 ( Yoo Kyung Cho ),송병철 ( Byung Cheol Song ) 대한소화기학회 2011 대한소화기학회지 Vol.57 No.3
Over the past decade, advances in the antiviral therapy in patients with chronic hepatitis B have enabled the sustained suppression of hepatitis B viral replication and the prevention of progressive liver disease. Hepatitis B surface antigen (HBsAg) has been used to diagnose patients with hepatitis B virus infection. Recently, test for quantitative HBsAg titers are available and on-treatment HBsAg quantitations are used to predict treatment outcome. Serum HBV DNA levels have been shown to predict natural course of chronic hepatitis B infection. The HBV DNA levels have been reported to be positively correlated with the development of cirrhosis, hepatocellular carcinoma and related death. The baseline and on-treatment levels of HBV DNA are important factors for predicting treatment outcomes. In this article, we will discuss the role of HBV DNA and HBsAg quantitation during antiviral therapy. (Korean J Gastroenterol 2011;57:144-149)
비단풀(Ceramium kondoi ) 복용 후 병발한 급성 췌장염과 급성 간염
김다빈 ( Da Bin Kim ),조유경 ( Yoo Kyung Cho ),송현주 ( Hyun Joo Song ),송병철 ( Byung Cheol Song ) 대한소화기학회 2013 대한소화기학회지 Vol.62 No.5
In Korea, the use of herbal remedies is a common cause of drug-induced liver injury. However, the occurrence of both acute pancreatitis and acute hepatitis after taking herbal remedies has rarely been reported. Herein, we report a case of concurrent acute pancreatitis and acute hepatitis associated with Ceramium kondoi ingestion. A 58-year-old woman was diagnosed with advanced gastric cancer 7 months ago. Total gastrectomy and adjuvant chemotherapy was performed without complications. The patient had been well until recently, when she presented with severe abdominal pain after ingestion of Ceramium kondoi for 4 weeks. The laboratory findings demonstrated elevated liver enzymes and lipase, and abdominal computed tomography revealed pancreas swelling with fat infiltration. The diagnosis was made based on the diagnostic criteria for drug induced pancreatitis and the Russel Uclaf Causality Assessment Method scale for drug-induced liver injury. After cessation of Ceramium kondoi, she showed clinical and biochemical improvement. (Korean J Gastroenterol 2013;62:306-309)
송병철 ( Byung Cheol Song ),조유경 ( Yoo Kyung Cho ) 대한내과학회 2012 대한내과학회지 Vol.82 No.2
Hepatitis viruses are most important cause of acute and chronic hepatitis. In past, hepatitis B virus was one of the major causes of acute hepatitis. Recently, around 60-70% of acute hepatitis is attributed to hepatitis A virus infection. In this article, we will discuss the route of hepatitis virus infection, how to prevent transmission of viral hepatitis and who should be immunized to each hepatitis viruses. (Korean J Med 2012;82:123-133)
전이성 간세포 암종과 감별이 필요했던 굴모양 혈관 확장증 2예
현종훈 ( Jong Hoon Hyun ),조유경 ( Yoo Kyung Cho ),송현주 ( Hyun Joo Song ),최은광 ( Eun Kwang Choi ),현창림 ( Chang Lim Hyun ),권정미 ( Jung Mi Kwon ),김봉수 ( Bong Soo Kim ),송병철 ( Byung Cheol Song ) 대한소화기학회 2014 대한소화기학회지 Vol.64 No.4
Hepatic sinusoidal dilatation is a rare benign vascular disorder characterized by focal dilatation of the sinusoidal spaces. In most cases, the underlying etiology is unclear but it may be related to the impairment of venous outflow or sinusoidal infiltration by diverse causes. Diagnosing hepatic sinusoidal dilatation based soley on imaging study is not easy since there are no pathognomonic radiologic findings indicative of this condition. Recently, the authors experience two cases of hepatic sinusoidal infiltration. The first patient was a 53-year-old man detected to have multiple hepatic nodules on ultrasonography (US) during a routine medical check-up. The second patient was an 82-year-old woman with abdominal discomfort who was referred from local clinic with high suspicion of hepatic metastases on US. In both cases, CT scan demonstrated multiple nodules with rim enhancement on arterial phase that became iso-dense to adjacent liver parenchyma on delayed phase. On MRI, these nodules showed rim enhancement on arterial phase, had high signal intensity on T2 weighted images, and became iso-intense with partial defect on hepatobiliary phase. Because imaging studies could not exclude the presence of hepatic metastases, liver biopsy was performed and it demonstrated hepatic sinusoidal dilatation with well preserved reticulin fiber without any evidence of malignancy. Herein, we report two cases of idiopathic hepatic sinusoidal dilatation mimicking hepatic metastases. (Korean J Gastroenterol 2014;64:239-245)
증례 : 소화기 ; 거대세포바이러스에 의해 유발된 위궤양
이미정 ( Mi Jeong Lee ),박재명 ( Jae Myung Park ),조유경 ( Yoo Kyung Cho ),이인석 ( In Seok Lee ),김상우 ( Sang Woo Kim ),최명규 ( Myung Gyu Choi ),정인식 ( In Sik Chung ) 대한내과학회 2009 대한내과학회지 Vol.76 No.2
유방암으로 항암화학요법과 방사선 치료를 받았던 59세 여자 환자가 내원 2주 전부터 갑자기 발생한 명치부위 복통으로 내원하였다. 상부위장관 내시경 소견에서 위벽 비후를 동반한 다발성 위궤양이 관찰되었다. 악성 종양 감별을 위해 위 점막 조직검사를 시행하였으나 악성 세포는 관찰되지 않았고 면역조직화학검사에서 거대세포바이러스 양성 소견을 보였다. 2주간 ganciclovir 투여 후 증상은 호전되었고, 위 점막 조직의 면역조직화학검사 결과도 음성이었으나, 내시경이 통과되지 않는 위전정부의 협착이 관찰되었다. 환자는 경구 식사를 목적으로 내시경적 스텐트 삽입술을 시행받던 중 위장관 천공이 발생하여 전체위절제술 및 식도공장연결술을 시행받았다. 저자들은 면역억제 상태의 환자에서 거대 세포바이러스 감염에 의한 위궤양과 이의 합병증으로 협착을 경험하였기에 이번 증례를 보고하는 바이다. A 59-year-old female with breast cancer, who had been treated with cancer chemotherapy and radiotherapy, visited the hospital with a 2-week history of epigastric pain. Upper gastrointestinal endoscopy showed multiple ulcers with gastric hypertrophy. In the biopsy specimen, no malignant cells were observed, but some cells were positive on immunochemistry examination for cytomegalovirus (CMV). Ganciclovir was administered for 2 weeks. Her symptoms improved and the immunochemistry finding of a subsequent gastric mucosal specimen was negative. However, the lumen of the gastric antrum was too narrow for the endoscope to pass the pylorus easily. A gastric perforation resulted and was treated with total gastrectomy and esophagojejunostomy, while an endoscopic stent was inserted to allow oral intake. Here, we report a case of gastric ulcer resulting from CMV infection and stenosis as a complication in an immunosuppressant patient. (Korean J Med 76:209-214, 2009)
항혈소판제를 복용한 환자에서 내치핵에 의한 생명을 위협하는 다량의 하부위장관 출혈
김미연 ( Mi Yeon Kim ),송현주 ( Hyun Joo Song ),김성현 ( Sung Hyun Kim ),조유경 ( Yoo Kyung Cho ),김흥업 ( Heung Up Kim ),송병철 ( Byung Cheol Song ),장원영 ( Weon Young Chang ),김승형 ( Seung Hyoung Kim ) 대한소화기학회 2012 대한소화기학회지 Vol.60 No.4
A Dieulafoy lesion in the rectum is a very rare and it can cause massive lower gastrointestinal bleeding. An 83-year-old man visited our hospital. He had chronic constipation and had taken aspirin for about 10 years because of a previous brain infarction. He was admitted because of a recent brain stroke. On the third hospital day, he had massive hematochezia and suddenly developed hypovolemic shock. Abdominal computed tomography showed active arterial bleeding on the left side of the mid-rectum. Emergency sigmoidoscopy showed an exposed vessel with blood spurting from the rectal wall. The active bleeding was controlled successfully by an injection of epinephrine and two hemoclippings. On the fourth day after the procedure, he had massive recurrent hematochezia, and his vital signs were unstable. Doppler-guided hemorrhoidal artery band ligation was performed urgently at two sites. However, he rebled on the third postoperative day. Selective inferior mesenteric angiography revealed an arterial pseudoaneurysm in a branch of the superior rectal artery, as the cause of rectal bleeding, and this was embolized successfully. We report a rare case of life-threatening rectal bleeding caused by a Dieulafoy lesion combined with pseudoaneurysm of the superior rectal artery which was treated successfully with embolization.
정승욱 ( Seung Uk Jeong ),송현주 ( Hyun Joo Song ),최은광 ( Eun Kwang Choi ),조유경 ( Yoo Kyung Cho ),김흥업 ( Heung Up Kim ),송병철 ( Byung Cheol Song ),장원영 ( Weon Young Chang ),맹영희 ( Young Hee Maeng ) 대한장연구학회 2010 Intestinal Research Vol.8 No.2
Peutz-Jeghers syndrome (PJS), is a rare autosomal dominant hereditary disorder. Intestinal hamartomatous polyps in association with melanocytic pigmentation of the skin and mucous membranes characterize PJS. Patients with PJS often have complications associated with the polyps, such as intestinal obstruction, intussusception, acute or chronic gastrointestinal bleeding, and the development of various types of cancer. Enteroclysis, small bowel follow-through, and push enteroscopy are generally used to identify the presence and location of small bowel polyps. Wireless capsule endoscopy (CE) has been confirmed as a feasible, safe, and sensitive test for the surveillance of small bowel polyps in patients with PJS and could replace radiographic small bowel surveillance. Here, a case of PJS newly diagnosed by CE is reported. The patient, a 30-year-old man who had developed rectal polyps associated with anal extrusion 7 years previously, had six episodes of hematochezia. (Intest Res 2010;8:181-186)