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간문부 담관암(Klatskin Tumor)으로 오인된 원발 담관 림프종
강현구 ( Hyoun Gu Kang ),최정식 ( Jung Sik Choi ),서정아 ( Jeong Ah Seo ),문성수 ( Sung Soo Moon ),김지현 ( Ji Hyun Kim ),지삼룡 ( Sam Ryong Jee ),이연재 ( Youn Jae Lee ),설상영 ( Sang Yeong Seol ) 대한소화기학회 2009 대한소화기학회지 Vol.54 No.3
Primary non-Hodgkin`s lymphoma of the extrahepatic bile duct presenting as obstructive jaundice is extremely rare. A 60-year-old man was admitted due to suddenly developed jaundice. Computerized tomography and endoscopic retrograde cholangiopancreatography showed a tumor at the proximal common hepatic duct. These clinical and radiologic findings resembled those of Klatskin tumor. The resection of the common hepatic duct tumor, lymph node dissection, and Roux-en-Y hepaticojejunostomy were carried out. There was no regional lymph node metastasis and no residual tumor at the resection margins. Histology and immunohistochemistry of the resected specimen confirmed a diffuse large B-cell malignant lymphoma involving the common hepatic duct. The patient is scheduled to receive adjuvant chemotherapy. In summary, primary non-Hodgkin`s lymphoma of the extrahepatic bile duct, despite its rarity, should be considered in the differential diagnosis of causes for obstructive jaundice. An accurate histopathologic diagnosis and surgical resection combined with chemotherapy may be the approach to offer a chance for cure. (Korean J Gastroenterol 2009;54:191-195)
강현구(Hyoun-Gu Kang),이순형(Soon-Hyung Yi) 서울대학교 아시아연구소 2014 아시아리뷰 Vol.4 No.1
최근 영유아기 보육 및 교육 정책의 개선 방향에 대한 관심이 높아지면서 선진 사례로 일본의 보육 제도가 거론되고 있다. 그러나 보육과 교육의 이원화 구조라는 공통점을 가진 양국의 제도 연구에서는 무엇보다 사회역사적 맥락에서 보육 제도를 비교분석하며 시발과 변화 과정의 공통점 및 차이점을 비교하는 선행적 탐색 연구가 필요하다. 보육 관련 법체계, 정책결정과 변화의 양상을 비교분석한 결과, 양국의 보육 제도는 요보호아동을 위한 전통적 복지 제도의 일환으로 시작됐다는 점에는 공통점이 있지만 법령 체계, 교사의 자격 및 역할, 보육시설 입소 자격 및 절차, 공적 영역의 책임 비중 변화라는 측면에서는 차이가 있다. 특히 일본은 보육에서의 국가 책임을 감소시키는 방향으로 나아가는 반면 한국은 민간 중심의 보육에서 점차 국가 책임을 강화하는 방향으로 나아가고 있으므로, 양국 보육 제도의 연구에서 특히 제도 변화의 경로를 고려한 면밀한 비교의 필요성은 더욱 높다고 할 수 있다. There has been a consistently growing interest in the Japanese childcare system among Korean scholars as one of the best models for childcare policy reform. However, comparison between the Korean and Japanese systems has not yet been made carefully in the social and historical contexts. By comparing the two countries’ childcare-related laws, policy decisions, and trends, this study found out that the childcare systems of Korea and Japan are both based on a dual structure of Early Childhood Education and Care (ECEC) System, and that the each country’s childcare system was established under the welfare system. Yet, differences were found in the law system, teacher’s qualifications and role, eligibility for child care and admission process, and in the government’s changing role in the childcare system. While Japan is now interested in reducing its governmental responsibility for the childcare system, Korea is investing more in its public childcare system. This calls for a detailed comparative analysis with improved qualitative and quantitative data.
아동권리관점에서 본 영유아보육법 제정법령 분석 및 평가
강현구(Hyoun Gu Kang),이순형(Soon Hyung Yi) 한국아동학회 2015 아동학회지 Vol.36 No.1
The “Child Care and Education Policy(CCEP)” is important because it is responsible for providing ‘care and education service’ to young children in their ‘most sensitive period’ of human development. In reality, however, children’s rights can only be sanctioned by adults and their rights are recognized at the level of abstraction. This study analyzes the ‘Child Edu-care Act(CEA)’ first enacted in 1991 from the ‘perspective of children’s rights’, especially in terms of the rights of infants and preschoolers. In order to assess the CEA’s “children’s rights guarantee level”, this study developed a number of standards based on the “UN Convention on the Rights of the Child(CRC)” and other documents. The results revealed that “children’s rights guarantee level” was assessed against 4 categories (‘Right to Survival and Development’, ‘Right to Welfare’, ‘Right to Education’, and ‘Right to Proper Care’), and the CEA(1991) was found to have a high guarantee level although it was enacted before Korea’s ratification of the CRC. The results of this study can serve as a useful reference point for detailing children’s rights and suggesting regulation standards for the CCEP.
치료 전 바이러스 농도가 낮고 조기바이러스 반응이 있는 유전자 1형 만성 C형간염은 24주 페그인터페론과 리바비린 치료도 가능할 수 있다
문성수 ( Sung Soo Moon ),강현구 ( Hyoun Gu Kang ),서정아 ( Jeong Ah Seo ),정은욱 ( Eun Uk Jung ),이상헌 ( Sang Heon Lee ),박성재 ( Sung Jae Park ),이연재 ( Youn Jae Lee ),설상영 ( Sang Yong Seol ) 대한소화기학회 2010 대한소화기학회지 Vol.56 No.1
Background/Aims: The standard treatment for chronic hepatitis C infected with hepatitis C virus (HCV) genotype 1 is a combination of pegylated interferon alfa and ribavirin over a 48 weeks period. It is unclear if 24 weeks treatment is possible for patients showing a rapid virological response (RVR) without compromising the sustained virological response (SVR) in Korea. Methods: Between June 2005 and September 2008, among patients chronically infected with the HCV genotype 1 who were treated with pegylated interferon alfa subcutaneously once weekly plus ribavirin based on body weight, 55 patients who had low pretreatment viral load (<600,000 IU/mL) and RVR were enrolled. A total of 55 patients were divided into 24 weeks treatment group (n=29) and the standard treatment group (n=26). The HCV RNA was quantitatively assessed before treatment, and after 12 weeks of treatment, and also qualitatively assessed after 4 weeks of treatment, at end of treatment (24 weeks), and 24 weeks after end of treatment. RVR was defined as undetectable HCV RNA at the 4 weeks of treatment. Results: Among the 55 patients, SVR was achieved in 100% (29/29) of the patients in 24 weeks treatment and 96.2% (25/26) of the patients in the standard treatment (p=0.473). Conclusions: HCV genotype 1 infected patients with a low baseline HCV RNA concentration who become HCV RNA negative at week 4 may be treated for 24 weeks without compromising sustained virlolgical response. However, an additional trial will be needed to optimize the treatment duration. (Korean J Gastroenterol 2010;56:33-38)
형제 놀이 속에서 발현된 “코델리아” 형규의 이성지향자적(異性志向者的) 특성에 관한 질적 연구
이은지(Eun Ji Lee),강현구(Hyoun Gu Kang),박윤현(Yun Hyun Pack) 한국아동학회 2015 아동학회지 Vol.36 No.4
It is generally known that children’s development of ‘gender schema’ and ‘gender role stereotype’ has a positive relationship with the notion of ‘gender role preference’. This study analyzed an unusual case focusing on the role playing of two brothers’. The elder brother, Hyoung-Gyoo, always preferred to take the female role, and he had a preference for feminine names like “Cordelia” whilst engaging in role playing situations. The brothers can be said to have crossed the border into the realm of intersexual role playing. The results revealed Hyoung-Gyoo’s clear discrepancy between gender-related perceptions and reality, and showed his younger sibling Je-Gyoo’s high level of acceptance towards his brother’s extraordinary gender role preference. The results of this study can serve as a useful reference point for detailing unusual development from early childhood regarding ‘opposite-gender-role seeking’ characteristics.