소아 급성 신부전증의 임상적 고찰

김병길,윤덕진,박복렬 대한신장학회 1982 Kidney Research and Clinical Practice Vol.1 No.1

The authors observed 22 cases of acute renal failure in children who were admitted to Severance Hospital from Jan. 1978 till Dec. 1980 and the results were as follows. The acute renal failure was the highest incidence between the age of 6 and 10 years (10 cases out of all), most of whom had acute glomerulophrits and male was 3. 4 times as high as in female. The causes of acute renal failure were renal origin (13 cases) and prerenal origin (8 cases) and in type of diseases the acute poststreptococcal glomerulone- phritis was the most frequent cause (8 cases). Average duration of oliguria or anuria was 3 days (range 1-20 days), mean value of peak BUN level was 104 mg/dl (range 54-184 mg/dl) and took .3-10 days to recover. Two patients died and those who died or discharge against advise were considered as died,mortality rate was 27%. It was remarkable that two neonates whowere performed perittoneal dialysis on the 6th day and the 7th day after birth respectively were recovered from acute renal falue. Actute renal failure in children have more favorable outcome than in adults therefore early diagnosis and prompt treatment of consrevarive treatment and peritoneal dialysis should be performed.

대안교육에 있어서 "대안"의 범주화

김병길,황긍섭 한국교육철학회 2001 교육철학 Vol.19 No.-

It was mid 1990s that the term 'alternative education' first appeared in Korean educational circle. From then on, lots of people - educators, teachers, and the general public, etc. - have been seeking for 'alternatives' in their own way and proposing 'alternative' directions. This study identifies the categories of various alternatives suggested against the limitations of the established public educational system by considering the concepts of and precedent researches on alternative education. The categorization of alternatives in alternative education aims to remove the possible conceptual ambiguity of alternative education, which can be interpreted in numerous ways depending on the person and his or her viewpoint. It also intends to grasp the general outline of the ideals of alternative education. The alternatives raised against the established system could be categorized into the following four approaches : the market approach, the ecological approach, the complementary approach, the independent approach. In conclusion, the market approcah and the complementary approach are found out to be those which succeed to the traditional public schooling, while the ecological approach and the independent approach correspond to the 'paradigm shift'.

이광수와 역사극

김병길 춘원연구학회 2022 춘원연구학보 Vol.- No.25

This study is an exploration of the intertextuality between Lee Kwang-soo's historical novel and the texts that dramatize it. The purpose of the study is to grasp the reality of the drama text produced based on Lee Kwang-soo's historical novel and to discuss its nature. This study assumes the entire text of Lee Kwang-soo's historical novel dramatization (play and performance) as the subject of the study. This study tried to reveal the full extent of the impact of Lee Kwang-soo's historical novel on the historical drama as the original content. Lee Kwang-soo's creation of historical novels began with the exploration of the identity of the Joseon people. Its trajectory has repeatedly been transformed into writing to find the historical basis for imperial discourse and national state construction, across colonization and liberation. The popular theater industry accepted Lee Kwang-soo's historical novel text as a resource that would guarantee commerciality. In fact, Lee Kwang-soo's historical novel has a great and wide influence on the development of modern Korean historical dramas, especially on the performance history. This fact suggests that their dramatization text is another important criterion for reinterpreting and reevaluating Lee Kwang-soo's historical novel.

한국 근대 역사소설과 역사극의 교섭 양상

김병길 대중서사학회 2010 대중서사연구 Vol.- No.24

근대 역사문학은 여러 상이한 담화적 특질을 지닌 글쓰기들 간의 경합과 상호 간섭을 자산 삼아 생산성을 높여간 영역이었음에도 불구하고 그간의 연구는 크게 작품론과 주제론적 접근에 치우쳐 있다. 본고는 이러한 문제의식에서 역사문학을 실질적으로 대표하는 역사소설과 역사극 간의 교섭 양상에 주목하였다. 그럼으로써 두 글쓰기 간의 교섭에서 나타나는 몇 가지 주요한 경향을 확인할 수 있었다. 상당수의 역사극이 역사소설에 대한 메타적 글쓰기로서 창작 또는 각색되었고, 다시 역사극을 참조하여 역사소설이 창작되거나 앞서 창작된 역사극을 전범 삼은 역사극 창작이 이루어지는 등 활발한 상호텍스트성의 여러 국면이 그것이다. 이는 역사극이 역사소설로부터 그 서사적 자원을 끌어온 일종의 각색극에 지나지 않는 것이라는 그간의 통념과는 사뭇 다른 사실관계를 말해준다. 두 글쓰기가 국민문학의 장 안에서 유사한 행보를 보였다는 점 역시 특기할 만한 사실이다. 과거 조선의 역사, 특히 그 가운데서도 ‘멸망사’를 제국의 서사로 전유하는 한편, 대중성 획득을 겨냥한 통속서사로서의 일면을 놓치지 않는 양면성을 지니고 있다는 점에서 역사소설과 역사극은 일치점을 보인다. 본고는 역사에 관한 문학적 글쓰기라는 차원에서 역사소설과 역사극이 펼친 위와 같은 교섭의 구체적인 양상을 고찰하는 데 목적을 둔 글이다. 장르적 경계를 넘어 텍스트 생산 과정에서 형성된 두 글쓰기 간의 관계망을 파악해 보려는 것이다. 아울러 그와 같은 문학적 복제를 가능케 한 사회문화적인 배경을 동시에 고려하고자 했다. 단순히 소재적 공통점만으로 설명할 수 없는 문학 외적 요인들에 대한 논의가 이와 관련하여 첨부될 필요가 있다고 판단했기 때문이다.

미세변화형 신증후군 환아에서의 관해 전후의 T 임파구 및 Interleukin-2 의 변화(Ⅱ)

김병길,박민수,고세중 대한신장학회 1989 Kidney Research and Clinical Practice Vol.8 No.1

개심술 후에 초래된 소아 급성 신부전증

김병길,이승규,설준희,조범구 대한신장학회 1982 Kidney Research and Clinical Practice Vol.1 No.1

Acute renal failure persists as a major compli- cation following open heart surgery which involve total body perfusion and carries a grave prognosis. During a 18 months period, January 1978 through Jun 1979, 66 consective patients of congenital heart diseases underwent open heart surgery on one cardiovascular surgery at Severance Hospital. Eleven cases of 66 consecutive patients, under- went open heart surgery, developed acute renal failure. The incidence of ARF was related to the duration of perfusion and there was increased incidence when the duration of perfusion exceeded 2 hours. Death occurred in 9(82%) of the 11 cases of acute renal failure.

Glucocorticoid 투여를 요하는 일차성 신증후군 환아에 대한 Prednisolone 과 Deflazacort(Calcort R) 의 치료 효과 및 골 대사에 미치는 효과 비교

김병길,권민중 대한신장학회 1995 Kidney Research and Clinical Practice Vol.14 No.2

The rate of remission induction with initial steroid therapy in children with minimal change disease is known to be above 90%, of which 40% is frequently relapsing type. In long-term steroid treatment, significant side effects occur during the course of therapy such as osteoprosis, growth retardation, obesity, Cushing syndrome and diabetes mellitus. By binding to steroid receptor, deflazacort(Calcort), an oxazoline derivative of prednisolone, exhibit antiinflammatory and immune suppressive effects, but decreases incidence of osteoporosis by lesser effect on calcium homeostasis and osteoclast activation than prednisolone. Thus the authors investingated 38 patients who need long term steroid therapy because of nephrotic syndrome to see the efficacy and the effect of deflazacort on bone metabolisrn. The 38 patients were randomly divided in two groups with classic drug, prednisolone and new drug, deflazacort. Beside laboratory parameters to ensure the effect of treatment of the nephrotic syndrome, all had measu rements of the bone densitometry, serum levels of parathyroid hormone and osteocalcin at 0 and 3 months of treatrnent. The therapeutic effects on the nephrotic syndrome were not different between the two drugs. The bone loss in the prednisolne-treated group was significantly higher than that of the deflazacort-treated group(Bone mineral content, 0 month vs. 3 month: 0.644±0.133 vs 0.615±0.159 g/cm in prednisolone-treated group, 0.581±0.127 vs 0.599±0.144 g/cm in deflazacort-treated group). There was a more marked fall in osteocalcin in prednisolone-treated group(0 month vs. 3 month: 60.45±47.19 vs 28.69±25.61 ng/ml) compared to deflazacort-treated group(0 month vs. 3 month: 44.20± 33.74 vs 39.33±24.83 ng/rnl). No significant difference was demonstrated between the two groups concerning serum PTH and cortisol. Thus, the detrimental effect of long-term steroid treatment on the bone may not be abolished, but it is significantly reduced by using deflazacort instead of prednisolone.

막성 사구체신염 환아에서 Cyclosporine A 의 치료 효과

김병길,이구현,김지홍,최인준 대한신장학회 1998 Kidney Research and Clinical Practice Vol.17 No.1

We investigated the relationship between hepatitis B and membranous glomerulonephritis and progress of disease after treatment with cyclosporine A. Twenty seven patients were reviewed retrospectively about clinical manifestations, laboratory findings, pathologic findings and progress of disease after treatment with steroid alone or steroid plus cyclosporine A. The male to female ratio was 3.5:1 and mean age was 8.9 years ranged from 2.8 to 16.9 years. The common clinical manifestations were edema(81%), asymptomatic proteinuria(19%) and micro- or macroscopic hematuria(78%). In viral marker studies, seventeen patients(63%) showed positive HBsAg and among them, 16 patients(59%) showed positive HBeAg. Eleven patients treated with steroid and cyclosporine A showed complete remissions and 12 cases among 16 patients treated with steroid alone showed complete remissions. In conclusion, sixty three percents of children with membranous glomerulonephritis have strong association with HBsAg. The most common clinical manifestation was edema. Patients treated with cyclosporine A and steroid showed better results than patients treated with steroid alone(P=0.03).

인성교육 및 창의성교육의 현실과 과제

김병길 한국교육사상연구회 2011 한국교육사상연구회 학술논문집 Vol.53 No.-

소아에서의 CAPD

김병길 대한신장학회 1985 Kidney Research and Clinical Practice Vol.4 No.1