Early Bile Duct Cancer Detected by Direct Peroral Cholangioscopy with Narrow-Band Imaging after Bile Duct Stone Removal

김희경,문종호,최현종,김희경,민슬기,박종규,조영덕,박상흠,이문성 거트앤리버 소화기연관학회협의회 2011 Gut and Liver Vol.5 No.3

Cholangioscopy not only enables the direct visualization of the biliary tree, but also allows for forceps biopsy to diagnosis early cholangiocarcinoma. Recently, some reports have suggested the clinical usefulness of direct peroral cholangioscopy (POC) using an ultra-slim endoscope with a standard endoscopic unit by a single operator. Enhanced endoscopy, such as narrow band imaging (NBI), can be helpful for detecting early neoplasia in the gastrointestinal tract and is easily applicable during direct POC. A 63-year-old woman with acute cholangitis had persistent bile duct dilation on the left hepatic duct after common bile duct stone removal and clinical improvement. We performed direct POC with NBI using an ultra-slim upper endoscope to examine the strictured segment. NBI examination showed an irregular surface and polypoid structure with tumor vessels. Target biopsy under direct endoscopic visualization was performed, and adenocarcinoma was documented. The patient underwent an extended left hepatectomy, and the resected specimen showed early bile duct cancer confined to the ductal mucosa.

간투사 , 의문문 그리고 실행적 변경자

김희경 한국불어불문학회 1996 佛語佛文學硏究 Vol.33 No.2

Cet article a trois objectifs qui sont e´troitement lie´s. Le premier objectif consiste a` mette a` jour l'inte´re^t sur l'interjection a` travers diffe´rents e´nonce´s choisis. Notre inte´re^t porte sur non pas la fre´quence importante de l'interjection dans le discours, mais leur ro^le argumentatif. Nous pensons que l'interjection me´riterait un travail plus e´tendu. Principalement en ce qui concerne l'interjection a` l'interrogatif comme n'est-ce pas?, hein? et les points traite´s comme strate´gie argumentatif, orientation. Nous sommes toutefois consciente que l'interjection pre´sente une valeur argumentative, et non une information simple sur l'e´tat d'e´motion que le locuteur e´prouve devant une situation ou un fait donne´. Le deuxie`me objectif est d'appre´hender et de mieux connai^tre les trois actes de phrase interrogative et la notion de modificateur re´alisant. Cette dernie`re conduirait a` apparai^tre l'application d'un point de vue selon lequel certains mots re´alisent la force de l'argumentation. La description de strate´gie argumentative, comme le troisie`me objectif est de montrer le sens d'e´nonciation. La demande de re´pe´tition est diffe´rente de celle de confirmation. Il s'agit de voir donc comment le locuteur de´veloppe son argumentation en interrogeant sur la re´ponse oriente´e a priori par le locuteur lui-me^me. Nous espe´rons que cet article nous conduira vers d'autres recherches. La notion de modificateur de´re´alisant marque la fonction d'inverseur ou celle d'atte´nuateur dans les discours discursifs. Les lacunes de ce travail pourraient ainsi faire l'objet de recherches ulte´rieures que la richesse des langues motive d'autant plus.

淸 抄本 ≪歸震川先生未刻稿≫ 고찰 ― <寒花葬記>를 중심으로

김희경 고려대학교 중국학연구소 2008 中國學論叢 Vol.24 No.-

明代散文大家歸有光擅長寫家人親情、生活瑣事,佳作很多。≪寒花葬誌≫是其中代表作品,長期以來爲讀者所欣賞,並被選入許多選本。但是,此文在上海圖書館藏淸抄本≪歸震川先生未刻稿≫裏,不作≪寒花葬誌≫,而作≪寒花葬記≫;與通行的≪寒花葬誌≫相比較,內容中多有二十三字。而且此≪歸震川先生未刻稿≫中的不少篇目爲諸刻本所不載,更有校訂價値。所以對於≪歸震川先生未刻稿≫的硏究,可以補全歸有光的文章,又能在相關硏究中提供很多新的信息。 本文對淸抄本≪歸震川先生未刻稿≫和所收的≪寒花葬記≫進行考察。由此可知,寒花不只是一個通常意義上的“婢女”,而是歸有光的女兒如蘭的母親;≪寒花葬記≫也屬於一種他爲近似於自己的一位妾寫的悼亡之作。這些問題的發現和解決,對於歸有光作品的准確理解具有很大的意義。

초등과학영재학생들의 외로움에 대한 내러티브 탐구

김희경,권혁순 한국초등과학교육학회 2015 한국초등과학교육학회 학술대회 Vol.69 No.-

건강검진 수검자에서 혈청 Ferritin과 대사증후군의 관련성

김희경,임지향,권은령,박영진,김나은,노우용,설경환,정명철,김윤진 대한비만학회 2010 The Korean journal of obesity Vol.19 No.2

연구배경: 여러 선행 연구에서 혈청 ferritin 상승과 대사증후군 또는 그 구성요소들과의 관련성에 관한 연구들이 발표되었으나 그 결과들이 다양하여 현재까지 논란이 되고 있다. 본 연구는 한국인의 대사증후군과 혈청 ferritin의 관련성을 알아보기 위해 시행되었다. 방법: 2008년 1월 1일부터 12월 31일 까지 부산 지역 일개 병원의 건강검진센터에 방문한 만 20세 이상 성인 총 600명 중 간염, 간경변을 포함한 기저 질환과 혈색소증, 빈혈증 환자를 제외한 총 306명을 대상으로 하였다. 의사의 문진을 통해 병력과 약물 복용력, 생활습관 등을 조사하였고, 신체 계측을 하였다. 검사실 검사로는 혈청 ferritin과 공복혈당을 포함한 생화학지표, 혈중 지질지표 등을 측정하였다. 대사증후군의 유무는 modified Adult Treatment Panel III definition에 따라 정의하였다. 결과: 대사증후군의 유병률은 여성의 경우 혈청 ferritin 제 1사분위에 비해 제 4사분위에서 유의하게 증가하였으나(6.9 vs. 41.4%, P-trend = 0.008) 남성의 경우 유의하지 않았다(23.7 vs. 26.3%, P-trend = 0.697). 대사증후군의 발생 위험도를 보기 위해 연령, 음주력, 흡연력, 체질량 지수, 여성의 경우 폐경 상태 보정 후 로지스틱 회귀분석을 실시한 결과 제1사분위 ferritin 그룹에 대한 제 4사분위 그룹의 교차비는 여성에서 5.96 (95% CI= 1.06-33.39; P = 0.042)로 유의한 관련성을 보였으나 남녀 모두 경향성 분석에서는 유의하지 않았다(P-trend =0.239 in women, 0.848 in men). 결론: 본 연구의 결과 여성 집단에서 높은 기저 혈청 ferritin은 대사증후군 발생 위험 증가와 유의한 관련성이 있었다. 하지만 혈청 ferritin이 증가 할수록 대사증후군 유병률이 증가하는 경향성을 보여주지는 못하였다.

인지진단모형을 활용한 맞춤형 피드백 제공 방안

김희경,박상욱,박종임 한국교육학회 2014 한국교육학회 학술대회 Vol.2014 No.-

'스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 9시까지 원문보기가 가능합니다.

일부 지역아동센터 구강건강증진 프로그램 운영 횟수에 따른 효과 비교 연구

김희경,배수명,신선정,류다영,손정희,엄미란,신보미,이민선,김은주,최용금,Kim, Hee-Kyoung,Bae, Soo-Myoung,Shin, Sun-Jung,Ryu, Da-Young,Son, Jung-Hue,Eom, Mi-Ran,Shin, Bo-Mi,Lee, Min-Sun,Kim, Eun-Ju,Choi, Yong-Keum 한국치위생학회 2011 한국치위생학회지 Vol.10 No.2

Objectives : The aim of study is the comparison of effect in oral health education frequency and contents for elementary school students from a part of community child center to run and suggest a practical and effective oral health promotion program for local community child center. Methods : The program has been running for 4 trials in G district in Seoul and 2 trials has been conducted in S city in Gyung gi province. The comparison was done in independent samples test of awareness, knowledge and behavior of children of community child center in both G district and S City and paired t-test was conducted before and after oral health promotion program to find out those same 3 items. Results : As a result, after the comparison of plaque control score of Oral health promotion program frequency, significantly better result was show in 4 trial program with 55.3 score(p<0.05), No significant result of plaque control score was shown in 2 trail program(p>0.05). Conclusions : As a result of the Oral Health Promotion program which has been conducted in 2 different session type, knowledge, awareness and behaviour has been changed, however, There were no significant difference between Oral health education frequency of those two different program. Also with the result of Plaque control score of those two programs were not satisfying level. Therefore, in conclusion, the management and operation of the Oral Health Promotion program is needed and it must be based on health promotion which it would change the behavior and attitude of the children.

메타텍스트의 기능적 특성 연구

김희경 한국언어문화교육학회 2013 언어와 문화 Vol.9 No.2

This research explores the various textual characteristics of Korean material. Korean material can be categorized as either ‘Object Text’ or ‘Meta Text’. While object texts contain knowledge of Korean and Koran Culture, Meta Texts function as a tool for teaching and learning of Object Texts. So the Object Text is included teaching and learning contents, whereas the Meta Text is included teaching and learning methods. On this basis, an analysis of the characteristics of Meta Texts serves as a clear explanation for the educational functionality of Korean materials. However, Meta Texts have not been researched as much as Object Texts have until now. This study aims to reveal the textual characteristics of Meta Text through representative Meta Text such as a learning objective and an activity directions etc. A learning objectives is a text that states the objective of a relevant text. A activity directions on the other hand illustrates the progress of the implementation process of lessons, especially its chronological aspect. As evidenced by how the two Meta Texts types comprise a significant proportion of material's elements, those can be defined as the main Meta Text used to determine the characteristics of Meta Text.

협력적 읽기 수업의 교수설계 모형 (Instructional Design Models of Collaborative Reading Course)

김희경 한국언어문화교육학회 2011 언어와 문화 Vol.7 No.2

This study aims at designing instructional models of a reading course with a learner as the center. In the mean time, a learner has been considered as a passive one in a reading course with a teacher as the center. Unlike this, our study tried to put a learner as the center of a class and reading activities. In order to guarantee the activities of learners, we proposed small group activities, and designed models that enable small group members to construct the meaning of a text together. This kind of class is called as ‘collaborative reading course’, and reading activities are interactive in this class, and play a role of the process of problem solving and negotiation of meaning. We tried to design pragmatic models that can realize these three principles, so we delineated instructions for a teacher as detailed as possible.

TV 다큐멘터리의 상업성과 공익성 절충 모델로서의 장르 확장에 관한 연구

김희경 문화방송 2004 방송과 커뮤니케이션 Vol.5 No.1