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가드너의 다중지능이론에 기초한 효율적인 영재교육공간 디자인
리해성(Lee, Hae-Sung),양혜진(Yang, Hye-Jin),김남효(Kim, Nam-Hyo) 한국실내디자인학회 2009 한국실내디자인학회 학술대회논문집 Vol.11 No.1
In this Study, an efficient space plan for gifted education based on Gardner’s MI theory was proposed. The space plan was based on GEZ Model, composed by researcher on 2008. National and social interests in gifted education has been raised since a program of gifted education was developed and operated at 2002, and it is even been interested in general parents. Researches in gifted education program has progress steadily, but researches in gifted education space is wholly lacking. The scope of this study is first, analyze expressions of education space based on Gardner’s multiple intelligence theory with cases of efficient education space, introduced children’s space magazine, second, space plan at ‘white horse’ building of S university, according to 8 intelligences of Gardner’s theory and 7 school design requirements of Mark Dudek’s theory. Motives of space plan is white horse, global leader, and the bridge. First, white horse is symbol of S university, but the building is old and doesn’t work for central role of university. With this study, white horse building is re-birth to a landmark factor for a school dynamically. Second, purpose of education in university and gifted education is identical that is bring up a global leader. The designed building would be used for a space of bringing up a global leader and a factor of communicate or connection to the world as a bridge, which is the third motive.
증례 : 호흡기 ; 기관지경을 통해 전기수술적 절제술로 치료한 기관 평활근종 1예
이지현 ( Ji Hyun Lee ),양혜진 ( Hae Jin Yang ),김민수 ( Min Su Kim ),이재곤 ( Jae Gon Lee ),김대식 ( Dae Sik Kim ),강경우 ( Kyung Woo Kang ) 대한내과학회 2012 대한내과학회지 Vol.82 No.2
천식으로 치료받고 있던 68세 여자가 1개월 전부터 지속되는 호흡곤란을 주소로 내원하였다. 훙부전산화 단층 촬영상 기관을 막고 있는 종괴가 발견되었으며 환자는 수술적절제를 거부하였다. 이에 전신마취하에 경직성 기관경읕 삽입하여 종양근위부에 위치한 다음 전기수술장비와 연결된 bronchoscopic snare를 통해 절제하였다. 절제한 조직 검사상기관 평활근종으로 확인 되었다. 이후 정상 폐기능으로 회복되었으며 전이나 재발 없이 증상의 호전을 보여 현재 경과관찰 중이다. Leiomyoma of the tracheobroncheal tree is a very rare benign tumor of the lung. Airway obstructive symptoms can be similar to those of asthma; therefore, delayed or misdiagnosis is common. Although surgical resection with bronchoplastic reconstruction has long been the standard treatment, improvements in the technique have led to therapeutic bronchoscopy replacing surgery for treatment of benign tumors of the tracheobroncheal tree. We report a case of tracheal leiomyoma that was successfully resected under rigid bronchoscopy using an electrosurgical unit and bronchial snare. (Korean J Med 2012;82:227-231)
김태훈 ( Tae Hun Kim ),전기정 ( Gi Jung Jeon ),마봉오 ( Bong Oh Ma ),양혜진 ( Hae Jin Yang ),이제운 ( Jae Un Lee ),윤성민 ( Seong Min Yoon ) 대한내과학회 2012 대한내과학회지 Vol.83 No.2
본 증례는 간세포암으로 진단받고 경동맥 색전술을 5차례 받았으나 추적관찰 중 5개월 후에 폐, 림프절, 뼈 등 여러장기로 전이되었고, 이후 2개월이 지나 경구개와 양쪽 편도에서 모두 종양이 생겨 구강 출혈을 주소로 내원하였다. 실시한 조직 검사에서 경구개와 편도에서 전이소견을 보였으며, 방사선 치료로 더 이상 출혈은 없었으나 60일 후 다발성 장기부전으로 사망한 증례를 경험하여 문헌고찰과 함께 보고한다. Hepatocellular carcinoma (HCC) usually metastasizes to the lung, breast, lymph nodes, gastrointestinal tract, bone, kidney, and/or adrenal gland. Metastasis of HCC to the hard palate and tonsils is a rare phenomenon. Thus, we report a case of HCC with metastasis to the hard palate and both tonsils in a 45-year-old man. The patient was admitted to our hospital with a complaint of oral bleeding. Physical examination revealed a bleeding tumor located in the hard palate and histological examination showed metastasis from HCC. The patient died 2 months later due to multiple organ failure, although bleeding was controlled by radiotherapy.
Propylthiouracil 복용 후 발생한 사구체신염이 동반된 미만성 폐출혈
이지현 ( Ji Hyun Lee ),김민수 ( Min Su Kim ),이재곤 ( Jae Gon Lee ),김대식 ( Dae Sik Kim ),양혜진 ( Hae Jin Yang ),강경우 ( Kyung Woo Kang ) 대한결핵 및 호흡기학회 2012 Tuberculosis and Respiratory Diseases Vol.72 No.1
Propylthiouracil (PTU) is one of the most common drugs used in the treatment of Graves` disease. There are a number of side effects found with PTU use including fever, rash, arthralgia, and flu-like symptoms. Recently antineutrophil cytoplasmic antibodies (ANCA) positive vasculitis after PTU treatment was reported as a rare side effect, which can cause diffuse alveolar hemorrhage and glomerulonephritis. A 45-year-old woman with Graves` disease had been treated with PTU for five months, complained of hemoptysis due to pulmonary alveolar hemorrhage causing anemia, and also had hematuria. Simple chest X-ray and HRCT showed bilateral consolidation and bronchoalveolar lavage fluid revealed alveolar hemorrhage. A serologic test was positive for ANCA against myeloperoxidase and proteinase-3. Such findings suggested that the presence of PTU induced ANCA positive vasculitis. Cessation of PTU and the administration of high dose steroids improved the clinical manifestation, radiologic and serologic findings. We observed ANCA titer serially for 6 years. During the follow up period, ANCA titer decreased slowly and stayed within the acceptable upper normal limit.
간암환자에서 고주파 열치료 후 발생한 기관지담관루 1예
이지현 ( Ji Hyun Lee ),김민수 ( Min Su Kim ),이재곤 ( Jae Gon Lee ),김대식 ( Dae Sik Kim ),양혜진 ( Hae Jin Yang ),조대현 ( Dae Hyeon Cho ),강경우 ( Kyung Woo Kang ) 대한결핵 및 호흡기학회 2012 Tuberculosis and Respiratory Diseases Vol.72 No.2
Bronchobiliary fistula (BBF), defined as an abnormal communication between the biliary duct and bronchial trees, is a very rare condition. Bilioptysis is a pathognomonic finding for BBF. We studied a 58-year-old man, who had a BBF complicated by liver biloma that occurred after radiofrequency ablation. The diagnosis was confirmed by the presence of bile-stained sputum and an Endoscopic Retrograde Cholangio-Pancreatography. BBF was treated successfully by endoscopic sphincterotomy and biliary drainage with insertion of a double pig-tail plastic stent into the biloma. We suggest that the optimal choice of treatment modality for BBF depends on the natural course of the underlying disease, and the status of the biliary stricture.