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어린이집 오후 일과 운영에서 유아의 참여 지원 방안에 관한 실행연구
허솔미 이화여자대학교 이화어린이연구원 2016 영유아교육: 이론과 실천 Vol.1 No.2
The purpose of the study was to develop and execute a plan for supporting young children’s participation in operating afternoon routines at a childcare center and to determine the effects of the plan. This study was conducted in a class named Heanim at a S employer-supported childcare center in Seoul, which is composed of 7 five-year-olds, 1 class teacher, and 1 assistant teacher. This study obtained the following results: First, a plan for supporting young children’s participation in operating afternoon routines at an early childhood education institution was developed and executed. One-to-one interview, decision on the nap time through discussion with young children, and operation of two plays for morning routines in association with the afternoon course. Second, as for the effects of the plan for supporting young children’s participation in operating afternoon routines at an early childhood education institution, it reinforced young children’s motive for routines, gave them positive awareness of routines, promoted a sense of community both among children and between children and a teacher, and gave chances for child-parent communication. This study is significant in that it has presented a process of supporting young children’s participation in operating afternoon routines by accepting their opinions, by creating many chances to express their ideas, and through the course of discussion, execution, and assessment. 본 연구는 어린이집 오후 일과 운영에서 유아들의 참여를 지원하고자 방안을 마련하여 실행하고, 방안의 효과를 알아보는 것을 목적으로 하였다. 연구 대상은 서울시에 위치한 S직장어린이집 만 5세 유아 7명이며, 오후 일과 운영 시 유아 참여 현황에 대한 문제점을 바탕으로 방안을 마련하였다. 그 결과 첫째, 어린이집 오후 일과에서 유아의 참여를 지원하기 위한 방안으로 1:1 면담, 유아와의 토의를 통한 오후 일과 운영, 오전 일과에서 선정된 2가지 놀이를 연계해서 놀이하기가 있었다. 1차 방안을 평가 한 결과 모든 유아가 참여할 수 있는 의사결정방법의 필요성을 느껴 의사결정방법을 선정하여 실행하여 일과를 운영하였다. 둘째, 어린이집의 오후 일과에서 유아의 참여를 지원하기 위한 방안의 효과를 살펴보면, 일과에 대한 유아의 동기가 강화되었고, 유아가 일과를 긍정적으로 인식하였으며, 유아-유아, 유아-교사 간의 공동체 의식 함양되었고, 마지막으로 유아와 부모간의 의사소통의 기회가 마련되었다. 본 연구는 유아의 의견을 수용하고, 의사를 표현할 수 있도록 다양한 기회를 마련하였으며, 함께 협의하고 실행하고 평가하는 과정을 통해 어린이집 오후 일과 운영에서 유아의 참여를 지원하는 과정을 제공했다. 이를 통해어린이집에서의 오후 일과 운영에 있어서 유아의 참여권을 위한 교사의 인식과 노력이 필요하며, 유아의 참여를 위해서 유아의 의사표현을 장려해야 함을 시사한다.
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혈액종양 : 맥락막으로 전이된 대장암 환자에서 시행된 완화적 방사선 치료 1예
허솔미 ( Sol Mi Huo ),안호정 ( Ho Jung An ),이종은 ( Jong Eun Lee ),음상훈 ( Sang Hoon Eum ),김민영 ( Min Young Kim ),장유나 ( Yu Na Jang ),심병용 ( Byoung Yong Shim ) 대한내과학회 2015 대한내과학회지 Vol.89 No.6
Choroidal metastasis from colorectal cancer is very rare and has not been reported before in Korea. We report a case of eye hyperemia and discomfort in a patient with advanced colon cancer. Orbit magnetic resonance imaging and positron emission tomography revealed an enhancing mass within the temporal side of the left orbit, suggestive of choroidal metastasis from the colorectal adenocarcinoma. The condition’s rarity may be due to the long and distant pathway from the colon to the orbit. The presentation usually suggests extensive hematogeneous cancer dissemination and a poor prognosis. However, palliative radiotherapy may be an effective treatment for choroidal metastasis. (Korean J Med 2015;89:723-727)
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Idiopathic Pleuroparenchymal Fibroelastosis Presenting in Recurrent Pneumothorax: A Case Report
노현진,송정섭,서윤,허솔미,김태정,김효림 대한결핵및호흡기학회 2014 Tuberculosis and Respiratory Diseases Vol.77 No.4
Idiopathic pleuroparenchymal fibroelastosis (PPFE) is a rare, recently classified entity that consists of pleural and subjacent parenchymal fibrosis predominantly in the upper lungs. In an official American Thoracic Society/European Respiratory Society statement in 2013, this disease is introduced as a group of rare idiopathic interstitial pneumonias. We describe a case of a 76-year-old woman with cough and recurrent pneumothorax. She was admitted to our hospital with severe cough at first. High resolution computed tomography (HRCT) disclosed multifocal subpleural consolidations with reticular opacities in both lungs, primarily in the upper lobes, suggesting interstitial pneumonia. Rheumatoid lung was diagnosed initially through an elevated rheumatoid factor, HRCT and surgical biopsy at the right lower lobe. However, one month later, pneumothorax recurred. Surgical biopsy was performed at the right upper lobe at this time. The specimens revealed typical subpleural fibroelastosis. We report this as a first case of idiopathic PPFE in Korea after reviewing the symptoms, imaging and pathologic findings.
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증 례 : EGFR 돌연변이와 ALK 재배열 공존하는 폐선암 환자 1예
김민아 ( Min Ah Kim ),강진형 ( Jin Hyoung Kang ),김인호 ( In Ho Kim ),김태정 ( Tae Jung Kim ),김승준 ( Seung Joon Kim ),성숙환 ( Sook Whan Sung ),허솔미 ( Sol Mi Huo ) 대한내과학회 2016 대한내과학회지 Vol.90 No.1
A 58 year-old woman was diagnosed with lung adenocarcinoma (cT3N1M0). We detected a point mutation in epidermal growth factor receptor (EGFR) exon 21 (L858R) and an echinoderm microtubule-associated protein-like 4- anaplastic lymphoma kinase (ALK) rearrangement. The patient was treated with preoperative neoadjuvant chemotherapy and underwent a left lower lobectomy with mediastinal lymph node dissection. However, we could not detect any mutation in EGFR or the ALK rearrangement from the tumor tissue removed. Then, 70 days after completion of adjuvant chemotherapy, she visited our outpatient clinic with diminished visual accuracy and tinnitus. A single brain metastatic lesion was seen on brain magnetic resonance imaging. She underwent surgical removal of the brain mass, which showed a mutation of EGFR, exon 21, but no ALK rearrangement. We report this unusual case of lung adenocarcinoma with a coexisting EGFR mutation and ALK rearrangement, and identify gene alterations before chemotherapy, after chemotherapy, and at recurrence. (Korean J Med 2016;90:72-77)
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