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.

탈북 여성의 MMPI-2 프로파일 유형과 성격 특성에 따른 방어기제 차이

김희경 한국여성심리학회 2010 한국심리학회지 여성 Vol.15 No.3

This study examined the differences of defense mechanisms according to MMPI-2 profile types and personality traits of 578 North Korean female refugees educated in Hanawon (Settlement Support Center for North Korean Refugees). As a result of cluster analysis of MMPI-2 subscales, these sample divided into three types. The first type meets the normal range on validity and clinical scales, accounts for 50.3%. The second type accounting for 29.2%, had 55T~60T on Pa-Pt-Sc-Si scales. The third type, represents 20.4%, showed high scores on D-Pt-Si scales. The second type had higher scores on Narcissistic Defense Mechanism than other types, the second and the third type had higher scores on Immature and Neurotic Defense Mechanism than the first type, and the third type had the lowest scores on Mature Defense Mechanism of Ewha Defense Mechanism Test. According to correlation analysis, PSY-5 scales had significantly positive correlation with defense mechanisms: Aggressiveness with Controlling, Distortion, and Passive-Aggressive behavior; Psychoticism with Projection, Dissociation, and Acting Out; Disconstraint with Acting Out, Passive-Aggressive behavior, and Projection; Negative Emotionality/Neuroticism with Dissociation, Acting out, Projection, and Somatization. Introversion/Low Positive Emotionality had significant negative correlation with Humor, Controlling, and Distortion. This study showed that defense mechanisms of North Korean female refugees had different aspect according to MMPI-2 profile types and personality trait had meaningful correlation with defense mechanisms. Finally, therapeutic approach for North Korean female refugees were suggested.

탈북 여성의 방어기제와 정신건강의 관계

김희경 한국여성심리학회 2010 한국심리학회지 여성 Vol.15 No.1

This study examined the relations between defense mechanism and mental health problems of 283 North Korean female refugees educated in Hanawon(Settlement Support Center for North Korean Refugees). The mean scores and sten scores from the scales of Ewha Defense Mechanism Test showed that Mature and Narcissistic Defense mechanism is more widely used by North Korean female refugees, compared to Immature and Neurotic Defense mechanism, which is only used by fewer refugees. The most frequently used defense mechanisms were Anticipation, Rationalization, Denial, Distortion, followed by Humor, Avoidance, Altruism, Suppression, and Sublimation. Regression, Controlling and Projection had the lowest frequency. Pearson's correlation analysis presented that Mature Defense mechanisms had no significant correlation with the scales of SCL-90-R. However, Immature Defense mechanisms(Identification, Passive-Aggressive behavior, Somatization, Acting out, Regression) had notable positive correlation with the scales of SCL-90-R. In addition, Displacement and Dissociation included in Neurotic Defense mechanism and Projection included in Narcissistic Defense mechanism had meaningful correlations with mental health problems. Whether refugees were married or accompanied by their children resulted in significant differences of somatization scales, and the time spent for entering the Republic of Korea was positively correlated with the hostility and psychosis scales in SCL-90-R. However, these factors had limited influence on the mental health problems of North Korean female refugees. Hierarchical regression analysis showed that the additional predictability of defense mechanisms concerned with mental health problems ranged from 9.7% to 25.2%, and Somatization, Acting out, Passive-Aggressive behavior, and Identification were major predictors of mental health problems.

TV 다큐멘터리의 장르 확장에 관한 연구

김희경 한국언론학회 2004 한국언론학회 학술대회 발표논문집 Vol.2004 No.-

탈북 여성과 남한 여성의 우울감, 양육 죄책감 및 양육 스트레스가 양육 행동에 미치는 영향력의 차이

김희경 한국여성심리학회 2012 한국심리학회지 여성 Vol.17 No.4

This study compared the influence of depressed mood and parenting guilt and parenting stress on parenting behaviors between North Korean Women Refugees(219) and South Korean Women(100). ANCOVA showed that North Korean Women Refugees had higher depressed mood, parenting guilt, parenting stress, and negative parenting behaviors than South Korean Women. Depressed mood, parenting guilt, parenting stress, and parenting behaviors of North Korean Women Refugees differed on their settlement period. The group settled in community from one to three years showed more depressed mood and parenting guilt than the group educated in Hanawon(Settlement Support Center for North Korean Refugees), and the group of settlement period from three to five years had the lowest scores on parenting stress among refugees. Hanawon group had the lowest scores on positive parenting behaviors. In North Korean Women Refugees, depressed mood had significant positive correlation with the parenting guilt and parenting stress, but with positive parenting behaviors, too. In South Korean Women, depressed mood was positively correlated with parenting guilt, parenting stress, and negatively correlated with positive parenting behaviors. Hierarchical regression analysis showed that the predictability of depressed mood, parenting guilt, and parenting stress with parenting behaviors were 2.3%~36.6% in North Korean Women Refugees, and 2.0%~19.0% in South Korean Women. These predictive variables more affect on positive parenting behaviors than negative behaviors in North Korean Women Refugees, and on negative parenting behaviors than positive parenting behaviors in South Korean Women. Based on these result, psychological intervention for North Korean Refugees Women were discussed, and suggestion for future studies were described.

치매노인 가족의 간호 및 교육 요구도에 관한 연구

김희경,이옥란 공주문화대학 2000 공주문화대학·논문집 Vol.27 No.-

The purpose of this study was to explore the care and educational need of the dementia senile patient's family, and then organizing a support group and developing a nursing intervention to help them live a quality of life. The subjects of the study were 38 family member of dementia senial in-patient of the mental hospital at K city in chungnam province. The tool of study was made by researcher, composed of 6 items of open questionnaire. The collected data were processed for percentiles, mean, and SD and 6 items of open questionnaire were described. The results of this study were as follows: 1. As a result of care and educational need of dementia Senile patient's family they want to know the generalized knowledge of dementia, that is definition, causes sign & symptom, care, treatment, prognosis and prevention etc. 2. After the dementia senile patient's admission, their family want to know nurse to care well the dementia senile patients and where to place of welfare facilities and available services for needs of their families. 3. Most of dementia senile patient's families want to participate in self-help group which is widely posited as a valuable resource for individual wellbeing. So they want to cope with the stress and burden of caregiving of dementia senile patients. Therefore the role of professional nursing should become central to the development of the healthcare of dementia patient's family: education, consultation and organization of self-help group etc.

‘사회적 위기’로서 인구고령화 문제의 사상적 기반 고찰

김희경 대우재단 2022 지식의 지평 Vol.- No.33

淸代 ≪史記≫의 文學 正典化 양상 연구 - 方苞의 ≪史記≫ 이해와 실천적 계승을 중심으로

김희경 원광대학교 인문학연구소 2022 열린정신 인문학연구 Vol.23 No.2

본 논문은 청대 ≪사기≫가 문장 창작의 전범으로 정립되는 양상을 살펴보고 이것이 실제 문인들의 문장 창작에 어떠한 영향을 주었는지를 고찰하는 것을 연구의 목적으로 삼았다. 따라서 이미 오랜 세월 ‘고전(Classic)’으로서 그 가치를 인정받아왔던 ≪사기≫를 ‘정전(Canon)’ 또는 ‘정전화(Canonization)’의 측면에서 논의함으로써, 사회문화적 관점에서 청대 ≪사기≫의 문학적 가치를 재확인해 보았다. 그 결과 청대라는 사회문화적 배경에서 ≪사기≫가 문장 창작의 모범으로서 그 위상이 확고히 정립되었고, 그 과정에서 당시 청 왕조의 문화 정책에 따라 사상의 통제와 문장 창작의 규범화가 이루어졌음을 파악할 수 있었다. 특히 본 연구에서는 동성파의 시조라 일컬어지는 방포의 역할에 주목하여, 먼저 방포의 ≪사기≫ 평점과 ≪사기≫ 관련 문장들을 통해 방포의 ≪사기≫ 인식을 살펴보고, 방포가 창작한 문장들을 분석하여 ≪사기≫에서 비롯한 문장 이론인 의법론이 실제 문장 창작에 어떻게 구현되었는지를 살펴보았다. 이를 통해 방포가 ≪사기≫에 대한 이해를 바탕으로 문장 이론을 만들고 이를 실제 창작으로 연결시킴으로써 실천적으로 ≪사기≫를 계승하였고, 이후 동성파 문인들의 문장 이론 및 창작에까지 지대한 영향을 미침으로써 ≪사기≫가 청대 문장 창작의 전범으로 ‘정전화’되는데 중요한 역할을 하였음을 규명해 보았다.

어머니의 자기분화가 긍정적 양육행동에 미치는 영향에서 인지적 정서조절과 부부친밀감의 이중매개효과 검증

김희경,이완정 한국아동학회 2022 한국아동학회 학술발표논문집 Vol.2022 No.4

여성관리자의 일가정 양립수준 및 영향요인 분석: 2014년 vs 2020년 공사조직 간 비교를 중심으로

김희경,신지민 한국조직학회 2023 한국조직학회보 Vol.19 No.4

This study examined the factors influencing work-family life between the public and the private sector, and analyzed changes under the COVID-19 disaster situations through a comparison between 2014 and 2020. The result show that there was no significant difference between the public and the private sector, and between 2014 and 2020 under the level of work-family balance. But the level of conflict significantly decreased in 2020 from 2014. In particular, in 2020, public organizations showed a higher level of conflict than private organizations. In particular, working hours have decreased significantly with the implementation of the 52-hour workweek, resulting in a lower level of work-family conflict in 2020 than in 2014. In addition, in 2020, the parental leave was significant factor on increasing conflict in private organizations, not in public organizations, so it can be inferred that private organizations are more suffer the environment about disadvantages in using parental leave than public. Thus, work and organizational factors are important to work-family life.