입원 노인을 돌보는 가족원의 스트레스에 관한 연구

김강미자(Kim Kang Mi Ja) 기본간호학회 1996 기본간호학회지 Vol.3 No.2

아급성 갑상선염이 동반된 갑상선 자율기능성 결절

강미자 ( Mi Ja Kang ),권혁상 ( Hyuk Sang Kwon ),최윤희 ( Yoon Hee Choi ),윤건호 ( Kun Ho Yoon ),차봉연 ( Bong Yun Cha ),손호영 ( Ho Young Son ),정찬권 ( Chan Kwon Jung ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5

The most common cause of thyrotoxicosis is Graves` disease, followed by toxic adenoma, multiple nodular toxic goiter, and temporary thyroiditis. At initial presentation, however, it is often difficult to recognizinge subacute thyroiditis as a thyroid disease is often difficult. In many cases, subacute thyroiditis may be mistaken for certain upper respiratory infectious diseases, due to their similar clinical manifestations. Additionally, when subacute thyroiditis coexists with a thyroid nodule or is accompanied by severe thyrotoxicosis, it can be misdiagnosed as a thyroid tumor, toxic adenoma, or Graves` disease. Here we report the case of an autonomously functioning thyroid nodule combined with subacute thyroiditis, which was nearly misdiagnosed as toxic adenoma. This is the first reported case in Korea of a patient who had an autonomously functioning thyroid nodule combined with subacute thyroiditis, which was nearly misdiagnosed as toxic adenoma. (Korean J Med 77:630-636, 2009)

한용운의 민족주의와 근대주의에 대한 일고찰

강미자(Kang Mi-Ja) 부산경남사학회 2006 역사와 경계 Vol.58 No.-

As a nationalist of colonial days, Han yong-un had thought as follows about nationalism and modernism.<br/> First, Han yong-un was in anguish on a theory of national liberation and its putting in practice as the leftist's point of view. He was also very much in anguish on subjectivity of nationalism to obtain power of resistance. Han yong-un put an importance to tradition of Cho-sun dynasty. Likewise Park eun-sik's theory on national spirit and Shin choe-ho's theory on nangga, he emphasized national self-existence which was passed down from ansestors.<br/> Second, Han yong-un thought the mass of people will put national liberation in practice. To Han yong-un, saving the world is giving rise to historical appointed task of the mass of people. Therefore, the mass of people are those who will solve national problems. That is to say, the mass of people are the motive power of social change and development. Through that point, the mass of people can solve the problem of national liberation. And from a broader viewpoint he did altruism and through that he tried to save the mass of people of the world from all kinds of pressure and bondage. And he also tried to realize peaceful society and social freedom and equality which was not violated from outer force. He thought the mass of people of Cho-sun dynasty who was passed down from blood lineage must be those who was subjective power of national liberation. That is Han-yong-un's theory of saving the world.<br/> Third, Han yong-un tried to analyze western modernism as viewpoint of the general trend. He tried to apply freedom and equality which was from Buddhism to those of modernism. That is to say, he considered Buddhism which was traditional thought as the religion which was very much close to the mass of people. Because of that, he thought national emotion had the power of subjectivity of modernism.<br/> Fourth, Han yong-un thought freedom, equality and peace which is main point of Buddhism must be realized in the future. He also thought that realization must be done subjectively by the revolution of the mass of people by degrees. Therefore, he basically denied outer interference and aggression.

반복성 늑막삼출로 발현된 Boerhaave 증후군 1 예

강미자(Mi Ja Kang),김선화(Sun Hwa Kim),윤종구(Jong Goo Yoon),추교영(Gyo Young Choo),천지성(Jee Sung Chun),이동수(Dong Soo Lee),김상우(Sang Woo Kim),방춘상(Choon Sang Bang),채현석(Hyun Suk Chae),김성수(Sung Soo Kim),최명규(Myung Gyu C 대한소화기학회 2000 대한소화기학회지 Vol.36 No.6

Spontaneous rupture of the esophagus is an uncommon disease which was firstly reported by Boerhaave in 1724. It can cause fatal results unless diagnosed and treated early. Delayed diagnosis is mostly caused by lack of knowledge and atypical clinical symptom. Its mortality increases proportionally to the time between esophageal perforation and treatment. We experienced a case of spontaneous esophageal perforation. The patient was a 40-year-old alcoholic, who complained of epigastric, shoulder, and back pain following forceful hematemesis. The results of chest X-ray was normal on admission. Alcoholic delirium tremens developed 12 hours after admission. On the 3rd hospital day, massive preural effusion developed. Pleural effusion was drained completely and recurred on the 4th hospital day. Under the suspicion of esophageal rupture, we performed chest computed tomography, which revealed airs, fluids, and tiny soft tissue densities in the mediastinum. Operation was performed on the 4th hospital day. There was a 7-8 cm sized longitudinal tearing in lower esophagus. He died 5 days after operation.

불교에서 본 정신분석(Psychoanalysis) -무아(無我)를 중심으로-

강미자 ( Mi Ja Kang ) 동아시아불교문화학회 2012 동아시아불교문화 Vol.12 No.-

This paper describes the definition of Buddhist psychotherapy and its theoretical base. Comparing self of psychoanalysis and psychotherapy with Buddhism, this paper considers the characteristics of Buddhist psychotherapy. First, Buddhist psychotherapy refers to psychotherapy through Buddhist theories and its theoretical core is Anatma(no-self): suggest that the theoretical base is no-self of interdependent arising, which makes much of relationship. Second, it is considered that id, or instinctive self of Freud is connected with greed, which is one of Tri- dosapaha-citta(three poisonous mind) of Buddhism, and ego as realistic self is related to hatred. Superego to search for ethical self is estimated to be bodhi-citta(a human`s mind that seeks utmost enlightenment) of Buddhism, which get rid of ignorance and then attain enlightenment. Thirdly, Freud approached psychological problem on the basis of mental determinism and the unconscious about human beings. He divided human`s mind into the conscious, the preconscious, and the unconscious, regards human beings as unconscious beings, and adopts free association as a method to free oneself from unconscious domination. Free association can be compared to Vippasana(insight meditation). In conclusion, the point of contact between psychoanalysis and Buddhist psychotherapy is insight meditation. Experiential enlightenment leads to true change. Finally we attain prajna(wisdom), which eliminates desire and then escapes from hatred through insight of no-self about “I” and “mine”.

마크로글로불린혈증을 동반한 림프절 변연부 B세포 림프종

이봉규 ( Bong Kyu Lee ),강미자 ( Mi Ja Kang ),이정수 ( Jeong Soo Lee ),황선호 ( Seon Ho Whang ),기영화 ( Young Hwa Ki ),강원유 ( Won Yu Kang ),고향미 ( Hyang Mi Go ) 대한내과학회 2005 대한내과학회지 Vol.69 No.4

Macroglobulinemia is the result of an uncontrolled proliferation of lymphocytes and plasma cells in which a large IgM M protein is produced. IgM monoclonal gammopathy is recognized in a variety of lymphoproliferative diseases and Waldenstrom`s macroglobulinemia (WM) is the most frequent disease in this group. We report a case of nodal marginal zone B-cell lymphoma (Nodal MZBCL) accompanied by monoclonal macroglobulinemia. A 58-year-old man was admitted to the hospital with chronic fatigue and dyspnea. Physical examination revealed cervical, subaxillary, and inguinal lymphadenopathy. Histopathologically, monocytoid B cells with abundant pale cytoplasm and small nuclei infiltrated the cervical lymph node. The neoplastic cells were positive for CD 20, bcl-2, and IgM. The serum and urine electrophoresis showed monoclonal spike in the globulin region and immunoelectrophoresis demonstrated immunoglobulin of IgM, kappa type. Immunohistochemically, this monoclonal gammaglobulinemia (IgM, Kappa) was produced and secreted from the nodal MZBCL. This is the first report of nodal MZBCL accompanying macroglobulinemia in Korea.(Korean J Med 69:441-445, 2005)

한국에서 당뇨병 관리를 위한 유헬스케어 시스템

조재형(Jae-Hyoung Cho),김헌성(Heon-Sung Kim),강미자(Mi-Ja Kang),최윤희(Yoon-Hee Choi),윤건호(Kun-Ho Yoon) 한국통신학회 2009 한국통신학회 학술대회논문집 Vol.2009 No.6

인터넷과 무선통신등의 발달이 기존의 의료시스템에 접목됨으로써 새로운 질환관리 시스템으로 개발되어오고 있다. 특히 당뇨병과 같은 만성질환 관리에 이용되고 그 임상적 효과가 알려지면서, 관련된 새로운 센서, 기기개발뿐만아니라 다양한 질환에까지 확대 적용 되고 있다. 본 논문에서는 한국에서 그 임상효과가 알려진 IT기반 당뇨관리 시스템을 소개하고 향후 발전 방향에 대해 논의하였다.

류마티스 관절염 양상으로 발현된 Churg-Strauss 증후군

김홍기 ( Hong Gi Kim ),박성환 ( Sung Hwan Park ),최민호 ( Min Ho Choi ),강미자 ( Mi Ja Kang ),고동훈 ( Dong Hoon Ko ),조철수 ( Chul Soo Cho ),김호연 ( Ho Youn Kim ),김진아 ( Jean A Kim ) 대한류마티스학회 1998 대한류마티스학회지 Vol.5 No.1

Churg-Strauss syndrome (CSS) or allergic angiitis and granulomatosis is a disorder characterized by pulmonary and systemic small-vessel vasculitis, extravascular granulomas, and hypereosinophilia. It occurs in individuals with asthma and allergic rhinitis. The diagnosis of CSS is made on the basis of clinical and pathologic features. According to 1990 American College of Rheumatology(ACR) criteria for the classification of CSS, 6 criteria were developed. The presence of 4 or more of these criteria yielded a sensitivity of 85% and a specificity of 99.7%. We describe a case of CSS in a 62-year-old female who met all of 1990 ACR criteria, but presented as like a as rheumatoid arthritis initially. Clinical symptoms, laboratory and roentgenographic findings gradually responded to high dose prednisolone treatment and resolved 3 weeks later. After discharge, she has been treated with oral prednisolone in a tapering course. Although polyarthritis with eosinophilia, vasculitis, and neuropathy are clinical manifestations of rheumatoid arthritis, those maniestations frequently occur during the vasculitic phase of the CSS. This case suggests that thorough differentiation of extra-articular manifestations of RA from clinical manifestations of CSS is considered when we meet a patient who have polyarthritis and vasculitis.

항결핵 치료과정에서 호전되었다가 악화된 뇌 결핵종 1예 보고

이대훈,유진홍,강미자,김홍기,김선화,고동훈,천지성,유원종 대한화학요법학회 1997 대한화학요법학회지 Vol.15 No.3

In spite of nationmide tuberculosis control program, tuberculosis is still prevalent in Korea. Accordingly, tuberculous meningitis also poses one of the main trouble some problems. Recently, We experienced a perplexing case of tuberculous menin-gitis and tubercdoma in a 24-year old female patient. She was admitted to our hospital owing to meningeal irritation sign, aphasia, VI nerve palsy, and ,fever. CSF analysis showed a finding consistent with that of presumptive tuberculous meningitis.. Initial MRI of the brain revealed a large mass(tuhercu1oma) on left parieto-temporal area. Antitubeculous regimen(1soniazid (INH), rifampin(RMP), ethambutol(EMB), pyrazinamide(PZA)} of meningeal dose was given immediately, and her symptoms and signs were dramatically disappeared with a few days after treatment. She was discharged with improved condition and under maintenance treatment of tuberculosis. Follow-up one year after treatment. revealed that the previous lesion was nearly diminished. She showed no symptom at all until she recognized a total blindness of sudden onset on her left eye a t the 18th month of treatment. Brain MRI checked at that time showed multiple masses of tuberculoma scattered over the brain base and one of them invaded left optic nerve. In our opinion, the cause of relapse in this patient might he explained by the selection and ultimate replication of a minor population of resistant strain. Although such relapse is an extremely rare event, we think that we should always pay attention to this possible resistance problem every time we meet patients with tuberculous meningitis.

가족원의 돌봄행위에 대한 입원노인의 기대감에 관한 연구

김강미자,정여숙 대한간호협회 1997 대한간호 Vol.36 No.3