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강영우,박봉기,이상숙,송홍석,박재후,서승연 대한내과학회 1987 대한내과학회지 Vol.33 No.1
Herein we reported a case of sinus histiocytosis with massive lymphadenopathy which was the second in our nation. The patient was 53-year old man with a ten-year clinical course of SHML. Since three years before admission, he was suffered from generalized lymphadenopathy, nasal stuffiness, and multiple dark-reddish colored skin papules. Since 1 month before admission, more progression of nasal stuffiness and lymph node enlargement with persistent frontal headache were developed. Microscopic examination of cervical lymph node and skin tissues revealed characteristic features of SHML: predominant histiocyte infiltration, lymphophagocytosis, plasma cell proliferation. Laboratory examination disclosed anemia, increased erythrocyte sedimentation rate, polyclonal gammopathy and CSF protein of 434 mg/dl with WBC of 63/mm³. We observed a defect in cellular immune function, cutaneous anergy by Multi-CMI skin test. After treatment with vinblastine and prednisolone, improvement of headache, nasal stuffiness, and lymph node enlargement were noted.
고혈압성 뇌실질내 출혈의 CT 소견과 치료 결과의 분석 고찰
강영우,김태영,이봉암,임언 대한신경외과학회 1981 Journal of Korean neurosurgical society Vol.10 No.1
The result of the treatment of hypertensive intracerebral hemorrhage in 40 cases, who admitted to the Kyung Hee Medical Center from October 1977 to February 1981, are analyzed with the correlation to the CT findings. The following results were obtained. 1) In the age distribution, the 6th decade was most frequently involved. 12 among 40 patients (30%). 25 cases were male and I5 cases were female. 2) The most frequent site of hypertensive intracebral hemorrhage was putamen in 40% ; followed by subcortical 30%, thalamic 1576, cerebellar 7.5%. and pontine 7.5%. Intraventricular hemorrhage occured in 27.5%. In morphological classification of the hematoma on CT scans, the most frequent type of putaminal hemorrhage was type 3, in 56%, and the most frequent type of thalamic hemorrhage was type 2A and type 3, respectively in 33%. 3) Calculated amounts of the hematomas based on CT scans ranged from 3 to 311 cc. The averages were 119cc in the putaminal hemorrhage, 79cc in the thalamic hemorrhage, 102cc in the subcortical hemorrhage, 51cc in the cerebellar hemorrhage and 13cc in the pontine hemorrhage. 4) On the basis of the morphological classification, the fact, that the operation was done or not, had not influenced on the outcome, but the type had relatively constant relationship with the outcome. 5) When the hematoma was less than 100cc, the result was favorable in the cases of the stage of O or I at the operated and the non-operated, but in the cases of stage of III, the operated cases showed the better outcome than the non-operated cases. When the amount of the hematoma of the hemorrhage was over 100cc. the result was favorable after the operation in the cases of the stages O or I, but in the cases of the stage III, all patients died after the operation. 6) It may be preferable to decide the time of the operation according to the progressive changes in the conscious level and neurological findings.
비전형적 부위인 위전정부 (2예) 와 위공장문합술후 공장 부위 (1예) 에서 관찰된 Dieulafoy 양 병변
강영우,안성훈,박승국,황재석,허정욱,권오영 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.3
Dieulafoy's lesion is a rare distinetive arterial malformation that can cause massive gastrointestinal henorrhage. Although in most cases the lesion is encountered in the proximal stomach within 6 cm of the gastroesophageal junction, similar lesions have been described in the antrum, duodenum, jejunum, colon, and rectum. We report 3 unusually located Dieulafoy-like lesion, two gastric antrum and one jejunum in patient who had gastrojejunostomy for pancreatic caneer. After a year follow up there was no bleeding episode in patient after endoscopic treatment.
金炳廈,姜永祐 韓社大學特殊敎育硏究所 1980 特殊敎育硏究 Vol.8 No.-
With the effectivation of the Special Education Promotion Law, the opportunity of the public education for the handicapped in Korea has been markedly increased since 1979. This policy paper is designed to recommend a model of system and curriculum for teachers preparation of the handicapped children in Korea. In the pre-service teacher education, four years cources in college and university are a typical pattern for the preparation of special education teachers. But specialists and administrators of special education should be prepared at the level of graduate course and the para-professional personnel should be prepared at the level of junior college. The in-service training programs for the experienced teachers in the regular school should be enforced, providing the intentive professional courses in special education. The certificate of special education teachers should be honored to be a higher certification than that of regular school teachers, and the salaries of special education teachers between primary school and secondary school should be equal in the same level. For the reconstruction of special education teachers training programs, the programs should be forward to a competency/performance based teacher education(C/PBTE) to establish the accountability in teaching activities of special education teachers. In this study, to develop a competency based teacher education program needed for all teachers in common area of special education, six competency areas with 25 competencies lists have been identified by the opinions of professional teacher-educators in special education, and the field testing have been conducted by the judgement of practicing teachers from special schools and special classes. The identified competency areas are as following : the philosophical and historical aspect of special education, assessment and identification of the handicapped children, curriculum developing and instructional strategies, evaluation of educational programs and teaching results, cooperation with the interdisciplinary team, and research activities.