• 제목/요약/키워드: 김희경

검색결과 315건 처리시간 0.019초

진행성 간암 환자에서 편도 전이에 FDG 섭취증가를 보인 예 (A Case of Metastatic Tonsillar Lesion Showing Increased FDG Uptake in the Patient with Advanced Hepatocellular Carcinoma)

  • 박정미;김희경;김상균;김영석
    • Nuclear Medicine and Molecular Imaging
    • /
    • 제42권1호
    • /
    • pp.70-73
    • /
    • 2008
  • A 65 year-old man with hepatocellulcar carcinoma (HCC) admitted to treat left lower leg swelling and pus discharge suspecting osteomyelitis. MRI of his lower leg revealed the bone metastasis. Whole body FDG PET/CT additionally detected left shoulder and right ilium metastasis. Hematemesis suddenly developed in this patient after 3 weeks. Metastasis of right tonsil was histologically proven. When we reviewed his FDG PET/CT, there was asymmetric mild hypermetabolism in the right tonsil. When focal hypermetabolism is shown in the organ physiologically taking glucose up such as tonsil, we should cautiously assess whole body PET/CT in the examination of distant metastasis. We present a patient with multiple distant metastasis including tonsil from HCC showing increased FDG uptake with the literature review.

Nevoid Basal-cell Carcinoma Syndrome

  • 이충국;김희경;이재휘;박형식;윤중호
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제12권1호
    • /
    • pp.127-134
    • /
    • 1990
  • 본인은 본교실에서 치험한 악골내 발생된 각화성 낭종들중 다발성인 경우에 이상의 증례에서 동반된 이상소견을 의도적으로 조사해 봄으로써, 악골계를 담당하는 의사로서 악골내에서 다발성 낭종이 발견될 때 NBCCS을 간과해서는 안됨을 느끼게 된다. 또한 이상의 증례에서는 확연한 가족력을 찾아볼 수는 없었으나 이 증후군 자체가 상염색체 우성유전으로 인자전달이 잘 되는 것이므로 세심한 주의와 계속적인 관찰이 요하리라 생각된다.

  • PDF

중국 유학생의 한국 대학생활 적응 예측모형 (A Prediction Model on Adaptation to University Life among Chinese International Students in Korea)

  • 림금란;김희경
    • 한국간호교육학회지
    • /
    • 제17권3호
    • /
    • pp.501-513
    • /
    • 2011
  • Purpose: On the basis of the theoretical framework of a combination of Roy's adaptation theory and Lazarus & Folkman's theory of stress - appraise coping, the purpose of this study was to predict effect factors of adaptation to university life of Chinese international students in Korea. After this, a model of adaptation to university life of Chinese international students in Korea was constructed. Methods: A questionnaire was used to survey 369 Chinese international students from one university in Korea, which was analyzed by using PASW Statistics 18.0 and LISREL 8.7. Results: This theoretical model explained adaptation to university life of Chinese international students at 75.0% in Korea. Physical symptoms, loneliness, acculturation stress and self-efficacy directly affected the adaptation to university life. Korean language proficiency indirectly affected adaptation to university life through self-efficacy. Conclusion: Results of this study provided theoretical basis for the future health care of university- centered health centers. For improving adaptation to university life of Chinese international students in Korea, education and nursing measures for reducing physical symptoms, loneliness and acculturation stress, and improving Korean language proficiency and self-efficacy are proposed for further research and development.

결손가정 아동의 정신건강 구조모형 (A Structural Model on the Mental Health in Children from Dysfunctional Families)

  • 이현주;김희경
    • 한국학교ㆍ지역보건교육학회지
    • /
    • 제13권3호
    • /
    • pp.13-31
    • /
    • 2012
  • Purpose: This study was on the structural analysis of the covariant amount in order to evaluate the suitability of the structural models which can explain and predict the mental health of children on the basis of Bronfenbrenner's ecological theory. Methods: A questionnaire was used to survey 269 children from dysfunctional families out of 5th and 6th grade students from 30 elementary schools in one city and 6 counties, which was analyzed by using PASW Statistics 18.0 and LISREL 8.7 programs. Results: The variable which had influence on the self-esteem was the social support. The variable which had influence on the positive reaction under stress was the stress. The variables which had influence on the negative reaction under stress were stress, and self esteem. The variables which had influence on the mental health were the self-esteem and the negative reaction under stress. The main variables to influence the mental health of children from dysfunctional families turned out to be the self-esteem and the negative reaction under stress to the mental health. Conclusion: Evaluating the suitability of the models, I presented the bases on the practical nursing business. They showed the right directions to the mental health care of children from dysfunctional families.

  • PDF

하악전치부 분절골절단술식기의 연조직가변화에 대한 고려;치험 2례 (CONSIDERATION OF THE SOFT TISSUE CHANGES IN ANTERIOR SEGMENTAL OSTEOTOMY OF THE MANDIBLE;REPORT OF TWO CASES)

  • 박형식;김희경;김선용
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제12권3호
    • /
    • pp.49-56
    • /
    • 1990
  • Facial balance is the primary detevminant of good facial esthetics and is expressed externally by the shape of facial soft tissues. Balance of the facial skeleton is most important in prediction of orthognathic surgery, however, it is not alwags coincided to soft tissue balance because the soft tissue drapes overlying hard tissue varies in thickness and tones from case to case. So, soft tissue facial balance and esthetics also should always be considered in prediction of hard tissue changes preoperatively. The chin has a paramount importance in the overall appearance of the face and facial profile because it may express individual charactor or image. Therefore positional change of the chin must be considered in any cases as the last and important option to give an overall soft tissue balance. Two cases were referred from orthodontists only for anterior segmental of teortomuy of the chin. Pre-operative evaluation showed poor soft tissue chin profiles which were not coincided to hard tissue chin balance. We altered surgical plans to fulfill balancing soft tissue profile and then could improve overall esthetics after surgery.

  • PDF

장기이식 전문간호사의 직무분석 (Task Analysis of Korean Transplantation Nurse Practitioner)

  • 변수자;김희경;김애리;하희선;전경옥
    • 대한간호학회지
    • /
    • 제33권2호
    • /
    • pp.179-188
    • /
    • 2003
  • Purpose: This study was designed to create the job description of Korean transplantation nurse practitioner and examine performance frequencies, criticality, and difficulties of task elements. Method: The sample consisted of 63 nurses and coordinators who performed duties related to transplantation at medical center in Korea. A survey method was used, and the questionnaire included frequencies, criticality, and difficulties of task elements in job description by the DACUM method. Using SPSS WIN 10.0, descriptive statistics such as frequency distribution, means, and standard deviations were conducted to examine the subject's general characteristics, the frequencies, criticality, and difficulties of task performance. Result: The job description of transplantation nurse practitioners revealed 5 duties, 22 tasks, and 85 task elements. On the all five duties, the averages of the performance frequency, criticality, and difficulty were 2.41, 3.38, and 2.78, meaning that the respondents rarely perform the 5 duties, but consider them critical and easy to perform. Conclusion: The job description of the transplantation nurse practitioner included duty, task, and task element and definition of job completed. Thus we recommended a data based trial to confirm and validate the information gathered.

중년 여성의 노화 체험 (Lived Experience with Aging in Middle-Aged Woman)

  • 신경림;공은숙;김귀분;김남초;김주희;김춘길;김희경;노유자;송미순
    • 대한간호학회지
    • /
    • 제32권6호
    • /
    • pp.878-887
    • /
    • 2002
  • This study was to explore lived experience of middle-aged women with aging. The ultimate purpose of this inquiry was to discover the essence of middle-aged women's experience of aging and to promote understanding. Method: This inquiry was performed by using Van Manen's hermeneutical phenomenological approach to make more plausible interpretation of experience. First-handed experiences were explored through multi-stage in-depth interview with 6 women aged between 40 and 64. Second- handed experiences were explored with text such as essay, novel, and photographs. Result: As the process of reflecting and analysing the data of experience were performed, essential themes were emerged: striking onset of event, discomfort and tired body and mind, everything in ones mind, age of harvest gaining much more than loss. Conclusion: This inquiry would be a cornerstone for humanistic nursing care for the mid-aged women.

용서치료가 알코올 의존자 부인의 극복력, 자존감 및 영성에 미치는 효과 (Effectiveness of Forgiveness Therapy on Resilience, Self-esteem, and Spirituality of Wives of Alcoholics)

  • 김희경;이미형
    • 대한간호학회지
    • /
    • 제44권3호
    • /
    • pp.237-247
    • /
    • 2014
  • Purpose: In this study the effects of forgiveness therapy on the resilience, self-esteem, and spirituality of wives of men suffering from alcohol abuse was examined. Methods: The study design was a quasi-experimental design. Forgiveness therapy was conducted once a week for 12 weeks. Data were obtained from March 2012 to December 2013. Participants were chosen from women in two Alcohol Counseling Centers. Of the 29 participants, 16 were assigned to the experimental group and 13 to the control group. Data were analyzed using descriptive statistics, t-test, ${\chi}^2$-test, and repeated measure ANOVA. Results: There were statistically significantly differences for resilience, self-esteem, and spirituality between the experimental and control groups. Forgiveness therapy improved the resilience, self-esteem, and spirituality in the experimental group compared to the control group (p<.05). In follow-up tests, the experimental group had a statistically significantly increase only in self-esteem. Conclusion: This study results show that forgiveness therapy is effective in improving resilience, self-esteem, and spirituality in wives of men suffering from alcohol abuse. Therefore, forgiveness therapy can be considered a useful nursing intervention to promote improvements in emotional stability and provide pain relief for these wives.

한 초등과학 영재의 외로움에 대한 내러티브 탐구 (Narrative Inquiry on a Scientifically Gifted Elementary School Student's Loneliness)

  • 김희경;권혁순
    • 한국초등과학교육학회지:초등과학교육
    • /
    • 제35권3호
    • /
    • pp.348-361
    • /
    • 2016
  • This study was done by narrative inquiry, suggested by Clandinin and Conelly (2000), in order to gain an in-depth understanding of the loneliness experienced by a scientifically gifted elementary school student. The participant of this study was sixth grade student from the Institute for Science Gifted in C University. The data were gathered via in-depth interviews and observations on the participant and her teachers. Based on these research findings, this study can make the following four conclusions with regard to the loneliness experienced by a gifted elementary school student in science. First, some characteristics of the gifted child may make her feel loneliness in the relationships she has with peers, siblings, and parents. Second, parent's repression makes the gifted child feels lonely. Third, the gifted child who feels lonely get consolation from her own subjective world and wants to get recognition from others. Fourth, the educational institute for the gifted serves as a place of education that fosters the gifted child's cognitive development and simultaneously it is where she can form positive relationships with her peers, as well as being a place of emotional comfort.

전신성 림프관종증: 증례 보고 (Generalized Lymphangiomatosis: A Case Report)

  • 차장규;박재성;백상현;김희경
    • Investigative Magnetic Resonance Imaging
    • /
    • 제13권2호
    • /
    • pp.190-194
    • /
    • 2009
  • 전신성 림프관종증은 림프관의 드문 선천성 기형이다. CT와 MR 영상은 림프관종 진단에 이용되고 있고 액체로 가득찬 다낭성의 큰 종괴로 보이고 이러한 영상 소견으로 림프관종과 다양한 혈관 질환을 감별하는 데 도움이 된다. 저자는 전신성 림프관종증 환자의 CT, MR영상과 방사선 동위원소 영상소견을 보고한다. STIR 영상 연쇄 기법을 이용한 전신 3.0-T MR 영상은 고해상도 다른 영상 장비에서 진단하지 못한 부가적인 병변을 발견할 수 있었다. 저자는 전신 3.0T MR 영상이 전신성 림프관종증 환자의 침범정도 평가나 추적관찰에 유용한 진단 장비라고 생각한다.

  • PDF