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서희영;전태주;김선영;강미선;허란;박지영;서동대;오태훈 인제대학교 백병원 2011 仁濟醫學 Vol.32 No.-
Necrotizing pancreatitis develops in about 10-20% of patients with acute pancreatitis, and pancreatic abscesses develop in 3% of them. The mortality of pancreatic abscess has been reported up to 40% in one study. Recently, there are several reports that show good results with n on-surgical therapy, such as percutaneous drainage and endoscopic drainage, but if the non-surgical drainage fails, surgical therapy are recommended. However, there is no definite therapeutic method which is suggested yet so far after the failure of the surgical drainage. So we report the case in which we experienced successful treatment of pancreatic abscess by endoscopic removal of necrotic tissue through the gastrocystostomy, after the failure of the surgical debridement and internal drainage through gastrocystostomy.
강미선;박상훈;박지영 서희영;허란;김상현 인제대학교 백병원 2011 仁濟醫學 Vol.32 No.-
Acute fatty liver of pregnancy (AFLP) was first described as a specific clinical entity in 1940 and thought to be universally fatal. Maternal mortality in the past approached 75 percent. However early diagnosis and prompt delivery have dramatically improved the prognosis, and maternal mortality rate is now less than 18 percent. A early diagnosis, a prompt delivery, and a intensive supportive care have improved maternal and perinatal outcome. We report a 30—year—old woman at 37 weeks gestation who have multiple complications including acute pancreatitis in AFLP. She was complicated with acute renal failure, disseminated intravascular coagulation, duodenal ulcer bleeding, spontaneous bacterial peritonitis, pulmonary edema and acute pancreatitis.
소학교령기(1895-1905) 관·공립소학교교육의 성격에 대한 고찰
이성은,김정효,정희숙,이해지,허선영 한국초등교육학회 2004 초등교육연구 Vol.17 No.1
본 연구의 목적은 국가 주도의 기초 공교육의 효시가 된 소학교령기(1895-1905) 관, 공립소학교교육의 성격을 탐구함으로써, 우리나라 초등교육기원에서 보여지는 특성을 재조명하려는 데에 있다. 이를 위해 소학교령기의 사회적 상황과 교육적 요구, 초등학교의 교육목적, 교육내용 및 방법, 학습자계층과 교원양성과 처우에 대해 알아봄으로써, 당시 초등학교교육의 성격이 어떠했는지 규명하였다. 연구결과, 이 당시 관, 공립소학교는 사회 통합적이라기보다는 구국적 국민계몽교육의 성격을 띠었으며, 보편적 아동교육 이라기보다는 혁신적 근대교육을 상징하였고, 현실안주적 보통교육 이라기보다는 미래지향적 교육의 성격을 띠었다. 결론적으로 다양한 시대상황적 한계에도 불구하고 교육개혁의 의지는 대단하였던 것으로 평가되어졌다. The purpose of this study was to search for the nature of public primary school education in beginning period Enlightenment in Korea(1895-1905) in terms of the aims, the educational contents and methods, and the learner and teacher. For the purpose, the contemporary governmental documents, the newspapers, and other historic materials were collected and analyzed and the school sites were visited. The nature of public primary school education in beginning period of Enlightenment, was revealed as follows: First, it was not for the social consensus, but for the enlightenment of the people against nationalism. Second, it was not universal child education, but innovational elite education, Third, it did reflect not the present need, but the future need. In conclusion, it can be said that their intention of establishment of modem primary school has been underestimated and that their effort for educational reform should be reevaluated. But the research result suggests that public primary school education needs the balance not only between national needs and individual needs, but also between present needs and the future need.