초등학교 교과담임제 운영 사례 연구

조유경(Yoo-kyung Cho) 한국지방교육경영학회 2016 지방교육경영 Vol.19 No.2

본 연구는 초등학교에서 실시되고 있는 본 연구는 초등학교에서 실시되고 있는 교과담 임제 운영의 실제를 분석하고 이를 토대로 교과담임제의 발전 방안을 제시하는 데 그 목적이 있다. 이를 위해 부산광역시에 위치한 초등학교 중 교과담임제를 운영했거나 운영하고있는 학교에서 교과담임제에 참여한 교사 11명을 대상으로 심층면담을 실시하고, 학교의 현장 문서자료를 수집하여 그 내용을 분석하였다. 본 연구 결과, 교사들은 교사와 학생의 입장에 따라 초등학교 교과담임제 도입의 동기를 다르게 인식하고 있었다. 긍정적인 기대와 취약성이 공존하며, 중학교에서와의 다른 맥락적 특성이 나타났다. 운영 실태는 ‘계획 세우기’, ‘실천하기’, ‘반성하기’, ‘평가에 대한 피드백하기’로 구분하여 볼 수 있었다. 효과적이고 성공적인 교과담임제를 운영하기 위한 방안은 다음과 같이 제시되었다. 우선 교과담임제를 적극 안내하고 홍보하여 필요성에 대해 공감할 수 있도록 하고, 수업 시수와 과목 수를 줄이거나 교사의 수를 늘리고, 업무를 경감시키는 방안도 고려되어야 한다. 또한 학교별 실정에 따른 방법적 다양성을 추구하여 부분 교과담임제, 교과교실제, 교과군담임 제, 학력 취약 시기 활용 등 운영의 묘를 강구하는 것이 필요하다. The purpose of this study is to propose development plans for the operating of the departmental system at Elementary schools by analyzing the awareness of elementary school teachers and the operating conditions. In order to achieve this objective, the following research questions were posed. In summary the main findings of this study are as follows. First, how do teachers perceive the departmental system at elementary schools? The perception was classified into four categories: “Motivation for introducing", "Positive expectations", "Vulnerability concerns” and “Contextual nature of the operations”. Second, how is the departmental system being managed? There is a process to this. It includes "Building plans", “Practice”, “Reflection” and “Feedback” on operating this status. After planning its important to consider ‘the person who is willing to do work’, ‘collecting opinions’, ‘organizing teachers that are participating in the departmental system’, ‘choosing a curriculum’, ‘selecting subjects on both positive and negative. Third, the operating performance of the departmental system at elementary schools had " actively shared information", "reduced pressure, increased relaxation", "open about school life” and “heightened intimacy”. On the other hand, teachers that thought in a departmental system has some difficulties such as “trouble in giving educational guidance”, “burden and responsibility because of the new system” and “trying to read other teachers’ mind."

만성 B형간염 환자에서 항바이러스 치료 중 혈청 HBV DNA 및 HBsAg 정량의 새로운 이해

조유경 ( Yoo Kyung Cho ),송병철 ( Byung Cheol Song ) 대한소화기학회 2011 대한소화기학회지 Vol.57 No.3

Over the past decade, advances in the antiviral therapy in patients with chronic hepatitis B have enabled the sustained suppression of hepatitis B viral replication and the prevention of progressive liver disease. Hepatitis B surface antigen (HBsAg) has been used to diagnose patients with hepatitis B virus infection. Recently, test for quantitative HBsAg titers are available and on-treatment HBsAg quantitations are used to predict treatment outcome. Serum HBV DNA levels have been shown to predict natural course of chronic hepatitis B infection. The HBV DNA levels have been reported to be positively correlated with the development of cirrhosis, hepatocellular carcinoma and related death. The baseline and on-treatment levels of HBV DNA are important factors for predicting treatment outcomes. In this article, we will discuss the role of HBV DNA and HBsAg quantitation during antiviral therapy. (Korean J Gastroenterol 2011;57:144-149)

화학적 개질 처리한 한지의 천연염색성

유승일(Seung-Il Yoo),조유경(Yoo-Kyung Cho),최태호(Tae-Ho Choi) 한국펄프·종이공학회 2011 한국펄프·종이공학회 학술발표논문집 Vol.2011 No.10

비단풀(Ceramium kondoi ) 복용 후 병발한 급성 췌장염과 급성 간염

김다빈 ( Da Bin Kim ),조유경 ( Yoo Kyung Cho ),송현주 ( Hyun Joo Song ),송병철 ( Byung Cheol Song ) 대한소화기학회 2013 대한소화기학회지 Vol.62 No.5

In Korea, the use of herbal remedies is a common cause of drug-induced liver injury. However, the occurrence of both acute pancreatitis and acute hepatitis after taking herbal remedies has rarely been reported. Herein, we report a case of concurrent acute pancreatitis and acute hepatitis associated with Ceramium kondoi ingestion. A 58-year-old woman was diagnosed with advanced gastric cancer 7 months ago. Total gastrectomy and adjuvant chemotherapy was performed without complications. The patient had been well until recently, when she presented with severe abdominal pain after ingestion of Ceramium kondoi for 4 weeks. The laboratory findings demonstrated elevated liver enzymes and lipase, and abdominal computed tomography revealed pancreas swelling with fat infiltration. The diagnosis was made based on the diagnostic criteria for drug induced pancreatitis and the Russel Uclaf Causality Assessment Method scale for drug-induced liver injury. After cessation of Ceramium kondoi, she showed clinical and biochemical improvement. (Korean J Gastroenterol 2013;62:306-309)

제주 지역 만성 C형간질환 환자의 유전자형의 분포

이호준 ( Ho Jun Lee ),조유경 ( Yoo Kyung Cho ),김흥업 ( Heung Up Kim ),최은광 ( Eun Kwang Choi ),현소영 ( So Young Hyun ),강동구 ( Dong Gu Kang ),정승욱 ( Seung Uk Jeong ),김현주 ( Hyun Ju Kim ),김광식 ( Kwang Sik Kim ),송병철 ( B 대한간학회 2008 Clinical and Molecular Hepatology(대한간학회지) Vol.14 No.1

바이러스간염의 예방과 예방접종

송병철 ( Byung Cheol Song ),조유경 ( Yoo Kyung Cho ) 대한내과학회 2012 대한내과학회지 Vol.82 No.2

Hepatitis viruses are most important cause of acute and chronic hepatitis. In past, hepatitis B virus was one of the major causes of acute hepatitis. Recently, around 60-70% of acute hepatitis is attributed to hepatitis A virus infection. In this article, we will discuss the route of hepatitis virus infection, how to prevent transmission of viral hepatitis and who should be immunized to each hepatitis viruses. (Korean J Med 2012;82:123-133)

전이성 간세포 암종과 감별이 필요했던 굴모양 혈관 확장증 2예

현종훈 ( Jong Hoon Hyun ),조유경 ( Yoo Kyung Cho ),송현주 ( Hyun Joo Song ),최은광 ( Eun Kwang Choi ),현창림 ( Chang Lim Hyun ),권정미 ( Jung Mi Kwon ),김봉수 ( Bong Soo Kim ),송병철 ( Byung Cheol Song ) 대한소화기학회 2014 대한소화기학회지 Vol.64 No.4

Hepatic sinusoidal dilatation is a rare benign vascular disorder characterized by focal dilatation of the sinusoidal spaces. In most cases, the underlying etiology is unclear but it may be related to the impairment of venous outflow or sinusoidal infiltration by diverse causes. Diagnosing hepatic sinusoidal dilatation based soley on imaging study is not easy since there are no pathognomonic radiologic findings indicative of this condition. Recently, the authors experience two cases of hepatic sinusoidal infiltration. The first patient was a 53-year-old man detected to have multiple hepatic nodules on ultrasonography (US) during a routine medical check-up. The second patient was an 82-year-old woman with abdominal discomfort who was referred from local clinic with high suspicion of hepatic metastases on US. In both cases, CT scan demonstrated multiple nodules with rim enhancement on arterial phase that became iso-dense to adjacent liver parenchyma on delayed phase. On MRI, these nodules showed rim enhancement on arterial phase, had high signal intensity on T2 weighted images, and became iso-intense with partial defect on hepatobiliary phase. Because imaging studies could not exclude the presence of hepatic metastases, liver biopsy was performed and it demonstrated hepatic sinusoidal dilatation with well preserved reticulin fiber without any evidence of malignancy. Herein, we report two cases of idiopathic hepatic sinusoidal dilatation mimicking hepatic metastases. (Korean J Gastroenterol 2014;64:239-245)

위암과 대장직장암 환자의 혈청 내 기질 금속단백분해효소와 억제인자 농도의 의의

윤수진 ( Su Jin Yoon ),심기남 ( Ki Nam Shim ),조유경 ( Yoo Kyung Cho ),송현주 ( Hyun Joo Song ),정성애 ( Sung Ae Jung ),김태헌 ( Tae Hun Kim ),유권 ( Kwon Yoo ) 대한내과학회 2007 대한내과학회지 Vol.72 No.5

Background: Matrix metalloproteinases (MMPs) and their inhibitors, the tissue inhibitors of metalloproteinase (TIMPs), are important factors related to invasion and metastasis in various human cancers. Different results have been reported about the correlation of the serum levels of MMPs and TIMPs and the cancer stages and prognoses in gastric and colorectal cancer patients. This study was designed to determine whether the serum levels of MMP-2, MMP-9, TIMP-1 and TIMP-2 are correlated with the pathologic findings and cancer stages. Methods: This retrospective study included 46 gastric cancer patients, 30 colonic adenoma patients and 46 colorectal cancer patients. The serum levels of MMP-2, MMP-9, TIMP-1 and TIMP-2 were analyzed using an ELISA technique. The pathologic findings of the endoscopic biopsies and the operative specimens, and the clinicopathologic staging were analyzed. Results: There were no significant differences in the serum levels of MMP-2, MMP-9, TIMP-1 and TIMP-2 according to the pathologic findings and the stages of the gastric and colorectal cancers. However the serum TIMP-1 levels were significantly higher in the advanced gastric cancer patients than in the control group and the early gastric cancer patients. The serum TIMP-2 levels were higher in the control group than in the tubular adenoma patients, the tubulovillous adenoma patients and the colorectal cancer patients. Conclusions: These results suggest that serum levels of TIMP-1 may be a good marker of invasive gastric cancer. The multistep process of colonic tumorigenesis may be modulated by TIMP-2. (Korean J Med 72:491-500, 2007)

캡슐내시경으로 진단한 Peutz-Jeghers 증후군

정승욱 ( Seung Uk Jeong ),송현주 ( Hyun Joo Song ),최은광 ( Eun Kwang Choi ),조유경 ( Yoo Kyung Cho ),김흥업 ( Heung Up Kim ),송병철 ( Byung Cheol Song ),장원영 ( Weon Young Chang ),맹영희 ( Young Hee Maeng ) 대한장연구학회 2010 Intestinal Research Vol.8 No.2

Peutz-Jeghers syndrome (PJS), is a rare autosomal dominant hereditary disorder. Intestinal hamartomatous polyps in association with melanocytic pigmentation of the skin and mucous membranes characterize PJS. Patients with PJS often have complications associated with the polyps, such as intestinal obstruction, intussusception, acute or chronic gastrointestinal bleeding, and the development of various types of cancer. Enteroclysis, small bowel follow-through, and push enteroscopy are generally used to identify the presence and location of small bowel polyps. Wireless capsule endoscopy (CE) has been confirmed as a feasible, safe, and sensitive test for the surveillance of small bowel polyps in patients with PJS and could replace radiographic small bowel surveillance. Here, a case of PJS newly diagnosed by CE is reported. The patient, a 30-year-old man who had developed rectal polyps associated with anal extrusion 7 years previously, had six episodes of hematochezia. (Intest Res 2010;8:181-186)

장결핵 환자에서 감염후 과민성 장증후군의 발생빈도와 임상양상

이종수 ( Jong Soo Lee ),정성애 ( Sung Ae Jung ),염혜정 ( Hye Jung Yeom ),조유경 ( Yoo Kyung Cho ),김성은 ( Seong Eun Kim ),이시내 ( Si Nae Lee ),문일환 ( Il Hwan Moon ) 대한장연구학회 2005 Intestinal Research Vol.3 No.1

목적: 최근 급성 또는 만성 장염이 과민성 장증후군의 위험인자로서 관련이 있다는 많은 연구가 발표되고 있다. 이에 저자들은 장결핵 치료 완치 후 지속되는 과민성 장증후군의 임상양상과 대장내시경검사에서 점막의 침범정도 및 조직검사에서 세로토닌의 증가여부를 정상 대조군과 비교하였다. 대상 및 방법: 2001년 1월부터 2002년 9월까지 장결핵으로 진단되어 항결핵제를 투약한 14명의 환자를 대상으로 하여 치료 종료 1년이 지난 후, Rome II 진단기준에 합당한 군, 단순한 배변습관의 변화만 있는군, 무증상군으로 구분하여 대장내시경 검사에서의 점막병변의 정도를 비교하였으며, 증상없이 종합검진을 위해 대장내시경검사를 받은 11명을 정상대조군으로 하여 결핵환자와 세로토닌에 대한 면역조직화학염색법으로 장크롬친화성 세포의 염색 정도를 비교하였다. 결과: 14명의 장결핵 환자 중 8명(58%)은 전혀 증상이 없는 상태이나, 3명(21%)은 과민성 장증후군의 기준에 합당한 증상이 있었고, 3명(21%)은 기준에는 합당하지 않지만 일부 배변습관의 변화를 보였다. 평균 연령이 46세이고, 남녀의 비는 1:1이었다. 과민성 장증후군에 합당한 3명은 모두 남자였고, 증상이 있는 6명 중 5명이 남자로 정상인 군에 비해 남자가 많았지만 통계적으로 유의하지 않았다. 과민성 장증후군이 발생한 군은 대장내시경 소견에서 병변의 정도가 중증이었으며 통계적으로 유의하였다(p<0.05). 장결핵환자는 정상대조군에 비하여 병변의 대장점막에서 세로토닌 염색세포가 증가되어 있으며(8.4/HPF vs. 0.2/HPF, p<0.05), 장결핵환자의 평균 23개월 후에 시행한 추적검사에서 대장점막의 세로토닌 염색세포는 지속적으로 증가되어 있는 경향을 보였다. 결론: 장결핵 치료 후 감염후 과민성장증후군이 발생할 수 있으며 대장내시경 검사에서 병변이 중증인 경우와 관련이 있었다. 정상대조군에 비해 결핵환자의 조직검사에서 세로토닌의 염색수가 의미있게 증가하였고, 추후에 과민성 장증후군의 발생과 관련이 있을 가능성이 있다. Background/Aims: The purpose of this study is to investigate the prevalence of PI-IBS after intestinal tuberculosis and the correlation of serotonin-containing EC cell and PI-IBS after intestinal tuberculosis. Methods: We reviewed the medical records of 14 patients with intestinal tuberculosis between January, 2001 and September, 2002. The diagnosis of PI-IBS was based on Rome II criteria. We performed immunohistochemical stain of serotonin antibody on colonoscopic biopsy specimens from 14 patients with tuberculosis and 11 asymptomatic controls. Results: Eight (58%) of 14 intestinal tuberculosis patients had no symptom and 3 patients (21%) had persistent IBS by Rome II criteria. Three patients with PI-IBS were all male. The severity of lesion by colonoscopy was severe in patients with PI-IBS (p<0.05). Serotonin-containing EC cell counts were higher in 14 patients with intestinal tuberculosis compared with 11 patients of normal controls (8.4/HPF vs. 0.2/HPF, p<0.05) and increased EC cells persisted after treatment of tuberculosis. Conclusions: PI-IBS was increased in patients with severe intestinal tuberculosis by colonoscopy. Serotonin-containing EC cells were increased in patients with intestinal tuberculosis. (Intest Res 2005;3:55-60)