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Valproic acid 사용과 관련된 급성췌장염에 합병된 출혈성 가성낭종
김미강 ( Mi Kang Kim ),김광택 ( Kwang Taek Kim ),이재은 ( Jae Eun Lee ),유준재 ( Jun Jae Yoo ),이계연 ( Gye Yeon Lee ),박세우 ( Se Woo Park ),고동희 ( Dong Hee Koh ),이진 ( Jin Lee ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.4
The occurrence of valporic acid (VPA)-induced pancreatitis is a rare condition, predominantly observed in adolescent. Also, the occurrence of VPA-associated with hemorrhagic pseudocyst is extremely rare. We report the case of a 54-year-old man who had been taking VPA for uncontrolled seizures. He was admitted to our hospital with complaints of abdominal pain and diagnosed with acute on chronic pancreatitis. There were no other causes explaining pancreatitis, and it was thought to be due to VPA therapy. Despite of cessation of VPA, there was ongoing severe abdominal pain with fever. The patient underwent follow-up CT, which revealed a large loculated fluid collection that was observed with intra-cystic hemorrhage. After treatment with percutaneous catheter drainage, he was discharged with regression of the pancreatic pseudocyst. VPA-associated pancreatitis with hemorrhagic pseudocyst is rare but possible. Therefore, this possibility should be considered in the cause of hemorrhagic pseudocyst in a patient taking VPA. Korean J Pancreatobiliary 2014;19(4):194-198
한국어 수업에서의 IB 교육과정 도입 및 프로그램 설계
김미강(Kim Mi kang) 학습자중심교과교육학회 2017 학습자중심교과교육연구 Vol.17 No.7
이 연구는 이중 언어 교육을 목표로 교육과정을 실행하고 있는 국제학교의 교육과정에 대한 이해와 실제 사례에 대한 소개와 이를 분석하고 교육과정의 실행을 통한 이중언어 교육의 방향성과 통합 교육과정 구성에 대한 탐색의 방향을 제안한다. 국제교육과 정인 IB 교육과정과 PYP 교육과정을 소개하고 국제학교와 학력인증이라는 특수한 상황의 이중언어 학습자들에게 PYP 교육과정과 국어교육과정을 접목하여 개발된 통합교육과정의 실행 과정에 대한 사례를 제시하고 이해하는 바가 초점이다. 본 연구는 초등 2학년 PYP 프로그램의 과정과 우리나라 교육과정의 국어, 사회, 과학의 교과목의 내용을 PYP 단원 주제 아래 통합의 방식으로 계획안을 작성하였으며, 36주 간의 1년 프로그램의 계획안의 일부이다. 이를 통하여 IB 교육과정과 우리나라 국가수준의 교육과정과의 접목 사례를 통하여 우리나라의 교육과정에 시사 하는바가 무엇이고, 더 나아가 우리나라 교육과정 및 초등교육과정연구와 이중언어 및 다중언어의 학생들의 언어 수업에 합당한 교육과정 설정 및 수업 방법 탐색과 응용에 대한 준거를 마련하는 데 도움이 되도록 제안하는 연구이다. The purpose of this study is to understand and introduce the application of bilingual education in the curriculum of international schools. Through analysis and practice of the curriculum, this study proposes the direction of bilingual education and suggestions for Korea s Creativity and Convergence curriculum. The study focuses on introducing the international curriculum of International Baccalaureate (IB) and Primary Years Programme (PYP), and analyzing the process of Convergent learning used in real life situations for students who are awarded a certificate for completing Korean curriculum at international schools. This study is the part of PYP program of 2nd grade for 36 weeks based on Korean national program such as Korean, Korean society and Science under the PYP theme. The study will further help to understand the Korean curriculum and the reasonable standards of exploration and application of the curriculum, Bilingual and multilingual language class.
박재현 ( Jae Hyun Park ),김병훈 ( Byoung Hoon Kim ),김미강 ( Mi Kang Kim ),이재은 ( Jae Eun Lee ),김광택 ( Kwang Taek Kim ),유준재 ( Jun Jae Yoo ),김희준 ( Hee Jun Kim ),정성원 ( Sung Won Jung ),김철홍 ( Cheol Hong Kim ),현인규 ( 대한천식알레르기학회 2014 Allergy Asthma & Respiratory Disease Vol.2 No.3
Eosinophilic cholecystitis (EC) is a rare form of acute cholecystitis, of which diagnosis is based on classical symptoms of cholecystitis with a presence of >90% eosinophilic infiltration within the gall bladder. EC rarely manifests in idiopathic hypereosinophilic syndrome (IHES). Here, we report two cases of EC with IHES. One is a 57-year-old male who presented with acute right upper quadrant (RUQ) pain, jaundice and fever. The initial peripheral blood eosinophil count was 2,070/mm3, and further elevated to 12,590/mm3. Acute acalculous cholecystitis with cholangitis was confirmed by computed tomography (CT). He improved with endocopic nasobiliary drainage and antibiotic therapy. The other is a 64-year-old female who presented with acute RUQ pain. She also complained of dyspnea and tingling sensation of both hands and feet. The initial peripheral blood eosinophil count was 10,400/mm3. Abdominal CT revealed findings suggestive of acute acalculous cholecystitis. She improved with systemic glucocorticosteroid therapy. No other causes of hypereosinophilia were found in either patients. Thus, cholecystectomy may not be mandatory for the treatment of EC with IHES.
박재현 ( Jae Hyun Park ),김병훈 ( Byoung Hoon Kim ),김미강 ( Mi Kang Kim ),이재은 ( Jae Eun Lee ),김광택 ( Kwang Taek Kim ),유준재 ( Jun Jae Yoo ),김희준 ( Hee Jun Kim ),정성원 ( Sung Won Jung ),김철홍 ( Cheol Hong Kim ),현인규 ( 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 1992 소아알레르기 및 호흡기학회지 Vol.2 No.3
Eosinophilic cholecystitis (EC) is a rare form of acute cholecystitis, of which diagnosis is based on classical symptoms of cholecystitis with a presence of >90% eosinophilic infiltration within the gall bladder. EC rarely manifests in idiopathic hypereosinophilic syndrome (IHES). Here, we report two cases of EC with IHES. One is a 57-year-old male who presented with acute right upper quadrant (RUQ) pain, jaundice and fever. The initial peripheral blood eosinophil count was 2,070/mm3, and further elevated to 12,590/mm3. Acute acalculous cholecystitis with cholangitis was confirmed by computed tomography (CT). He improved with endocopic nasobiliary drainage and antibiotic therapy. The other is a 64-year-old female who presented with acute RUQ pain. She also complained of dyspnea and tingling sensation of both hands and feet. The initial peripheral blood eosinophil count was 10,400/mm3. Abdominal CT revealed findings suggestive of acute acalculous cholecystitis. She improved with systemic glucocorticosteroid therapy. No other causes of hypereosinophilia were found in either patients. Thus, cholecystectomy may not be mandatory for the treatment of EC with IHES. (Allergy Asthma Respir Dis 2014;2:222-226)
전이성 췌장암 환자에서 Gemcitabine과 Nanoparticle Albumin Bound (nab)-Paclitaxel로 인한 허혈성 심독성 발생 1례
박세우,김미강,Se Woo Park,Mi Kang Kim 대한소화기암연구학회 2017 Journal of digestive cancer reports Vol.5 No.1
Pancreatic cancer is an aggressive disease and despite the efforts of the past few decades, the 5-year overall survival (OS) rate remains disappointing and does not exceed 10% in Korea. Especially, only 15-20% of patients are candidates for surgical resection because most patients are diagnosed with locally advanced or metastatic disease, and their only treatment approach is palliative chemotherapy. Since the first chemo-regimen of Gemcitabine and Nanoparticle albumin bound (nab) - paclitaxel was brought to clinical practice in 2013, the improvement in overall survival, progression-free survival, and response rate was achieved in patients with metastatic pancreatic adenocarcinoma. We report the case of a young patient with cardiogenic shock accompanied by multi-organ failure after 4<sup>th</sup> cycle Gemcitabine and nab-paclitaxel chemotherapy with partial response.
한은영(Eun Young Han),김미강(Mi Kang Kim) 한국아동복지학회 2013 한국아동복지학 Vol.- No.43
본 연구는 청소년의 공동체 의식에 영향을 미치는 사회참여활동과 거주 지역에 대한 인식의 관계에 관한 경험적 연구이다. 한국아동·청소년패널조사 중1패널(2차년도)의 데이터 일부를 2차 자료로 활용하였다. 패널데이터의 청소년의 활동 중에서 봉사활동, 교류활동, 그리고 환경보존활동을 사회 참여활동으로 정의하고, 사회참여활동과 공동체 의식간의 관계에 있어 거주 지역에 대한 인식이 매개효과를 가지는지 검증하였다. 분석결과 청소년들의 공동체 의식은 평균 2.72점(표준편차 .599), 거주 지역에 대한 인식은 평균 2.78점(표준편차 .539)이었으며, 사회참여활동의 경우 평균 .64개(표준편차 .671)였다. 청소년들의 사회참여활동과 거주 지역에 대한 인식이 공동체 의식에 긍정적인 영향을 미침이 통계적으로 유의미하게 검증되었으며, 거주 지역에 대한 인식이 사회참여활동과 공동체 의식 간에 부분매개효과를 가지는 것으로 나타났다. 본 연구는 현재 청소년들의 참여활동이 주된 참여활동의 장소인 거주 지역에 대한 인식을 긍정적으로 변화시키며, 이는 결국 공동체 의식에 영향을 미침을 실증적으로 검증한 것에 의의가 있다. This study aims to test the mediating effect of neighborhood perception on the relationship between social activity participation and sense of community among adolescents. For the purpose of the study, the second wave of KCYPS Panel data for 7th graders were utilized. The total number of subjects in the study was 2,279. Social activity participation in this study was measured with three subscales comprising volunteering activity, exchange activity, and activity for preserve environment. Multiple regression analysis and sobel test were utilized for the analysis. Analytic results indicate that social activity participation and perception of neighborhood had positive effects on sense of community. Perception of neighborhood had a partial mediating effect on the relationship between sense of community and social activity participation. These findings suggest that both social activity participation and perception of neighborhood should be considered in order to develop adolescents` sense of community.
Stenotrophomonas maltophilia 균혈증에 의해 발생한 급성담낭염
이재은 ( Jae Eun Lee ),김광택 ( Kwang Taek Kim ),유준재 ( Jun Jae Yoo ),김미강 ( Mi Kang Kim ),최민호 ( Min Ho Choi ),장현주 ( Hyun Joo Jang ),계세협 ( Sea Hyub Kae ),이진 ( Jin Lee ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.4
Stenotrophomonas maltophilia is an ubiquitous aerobic Gram-negative bacillus. Hospitalization and prior antibiotic therapy are risk factors for S. maltophilia infection. This organism is isolated with increasing frequency from hospitalized patients and may cause therapeutic problems because of its intrinsic resistance to common antibiotics and the immunodeficiency status of the affected host. S. maltophilia has been reported to be commonly associated with pneumonia and urinary tract infection. However, biliary infection caused by S. maltophilia is very rare. Herein, we report on a case of acute cholecystitis that developed secondary to S. maltophilia bacteremia in a patient with hepatitis-B related liver cirrhosis and gallbladder stone. Korean J Pancreatobiliary 2014;19(4):189-193