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RISS 인기검색어
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- 저자 : 박진선, 서교, 서동욱, 김솔희, 정찬훈, 윤성수 (검색결과 313 건)
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식도절제 수술을 시행한 식도의 원발성 악성 흑색종 1예
박진선,최상조,차충근,신성재,이기명,함기백,김진홍,이성수,한재호 대한소화기내시경학회 2006 Clinical Endoscopy Vol.33 No.4
A primary malignant melanoma of the esophagus is a very rare disease representing approximately 0.1∼.02% of all esophageal neoplasms and 0.5% of all mucosal melanomas. Despite a surgical resection, a primary malignant melanoma of the esophagus has a poor prognosis, mainly due to the fast development of hematogenous and lymphatic metastases. However, a resection of the tumor appears to be the treatment of choice. Local excision does not prolong the survival of patients. After a radical excision, the mean survival time is 7∼12 months and the estimated 5 year survival is 4.2%. However, after a local excision, the average survival time is 9 months and there is no report of a patient who survived more than 1year. We encountered a 55-year-old woman with a primary malignant melanoma of the esophagus, who underwent a radical esophageal resection with a lymph node dissection. We report this case with a review of the relevant literature. (Korean J Gastrointest Endosc 2006;33:220-225) 식도의 원발성 악성 흑색종은 모든 식도 종양의 0.1~0.2%를 차지하는 매우 드문 질환이며, 진단 시 이미 혈관이나 림프관을 통한 전이가 흔하여 광범위 절제술 시행 후 평균 생존 기간이 7~12개월에 불과할 정도로 예후가 불량하다. 현재 외과적 절제가 일차적 치료로 고려되고 있다. 55세 여자 환자가 1개월간의 연하곤란과 경구섭취 불량, 3일간의 빈뇨를 동반한 발열을 주소로 내원하였다. 1개월간 2 kg의 체중감소를 호소하였고, 양측 늑골척추각의 압통 외에 신체검사에서 특이 소견은 보이지 않았다. 상부위장관 내시경검사에서 하절치로부터 32 cm 하방에 2 cm 크기의 검은색의 돌출된 폴립양 종괴가 관찰되었고, 조직검사에서 HMB45 양성, S-100단백 양성, cytokeratin 음성인 악성 흑색종으로 진단되었다. 내시경 초음파 검사, 흉부 전산화 단층 촬영 및 FDG-PET CT를 시행한 결과 식도에서 기원하여 위장 주변 림프절에 전이된 식도의 원발성 악성 흑색종으로 진단하고 광범위 식도 절제, 식도 위 문합 및 림프절 곽청을 시행하였기에 문헌 고찰과 함께 보고하는 바이다.
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Onishi Model을 이용한 제주도 기반시설 환경용량 산정 및 지속가능성 평가
박진선,김솔희,김유안,홍세운,서교 한국농촌계획학회 2020 농촌계획 Vol.26 No.2
The Onishi model is an objective indicator which can be used to evaluate the relevance of city environmental management in regard to the capacities and processing status of existing urban infrastructure. This study is to analyze the facility carrying capacity and processing status of Jeju Island, a famous tourist site in South Korea. General variables covered by the Onishi model are considered, including water supply, wastewater treatment, waste disposal, and air pollution. Furthermore, the facility carrying capacities for transportation, such as airports and ports, as well as accommodations are assessed as variables pertinent to the characteristics of Jeju island. With the annual number of tourists exceeding that of residents on the island, more facilities for sewage treatment and waste disposal are required. Furthermore, transportation and accommodations used by tourists have already exceeded their capacity. For the future sustainability of Jeju Island, a plan will be needed for adjusting the volume of tourists based on the capacity of each relevant facility.
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박진선,최영우,신정숙,양형모,임홍석,최병주,최소연,윤명호,황교승,탁승제,신준한 한국심초음파학회 2011 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.19 No.3
Background: Three-dimensional (3D) echocardiography has been reported to be valuable for evaluating the geometry of cardiac chambers. We validated the accuracy of 3D transthoracic echocardiography for quantifying aortic root geometry in comparison with cardiac multi-detector computed tomography (MDCT). Methods: Twenty-three patients who underwent cardiac MDCT and showed normal left ventricular ejection fraction (> 55%),as assessed by 2-dimensional transthoracic echocardiography, were enrolled (12 male, mean 53 ± 9 years). We defined the aortic root volume as the volume from the aortic annulus to the sinotubular junction. The aortic root volume at end-diastole measured by both cardiac MDCT and 3D echocardiography was assessed. Results: The cross-sectional area of the aortic root was asymmetric. At the annulus level, the cross-sectional area showed asymmetric triangle. From the aortic annulus to the most dilated point of the sinus of Valsalva, the asymmetric triangular shape was maintained. From the most dilated point of the sinus of Valsalva to the sinotubular junction, the cross-sectional shape of the aortic root changed to oval. The average aortic root volumes measured by 3D echocardiography (ARV-3DE) were 13.6 ± 4.8 mL at end-diastole and 14.1 ± 5.3 mL at end-systole, respectively. The average aortic root volume measured by MDCT at enddiastole (ARV-CT) was 14.1 ± 5.7 mL. At end-diastole, the ARV-3DE correlated well with the ARV-CT (R2 = 0.926, difference = 0.5 ± 1.7 mL), and the two methods were in excellent agreement (the percent difference was 0%). Conclusion: Our results demonstrate both the feasibility and accuracy of 3D echocardiography for the clinical assessment of the geometry of the aortic root.
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간호대학생의 식습관에 대한 건강행위, 건강관리 자기효능감 및 동기의 영향
박진선,이윤정,박문경 한국웰니스학회 2020 한국웰니스학회지 Vol.15 No.4
본 연구는 임상실습 전 단계 간호대학생의 식습관에 대한 건강행위, 건강관리 자기효능감 및 동기의 영향을 확인함으로써 바람직한 식습관 형성을 위한 중재 마련에 근거자료를 제공하고자 시도되었다. 두 개 대학 간호학과 1, 2학년 총 125명을 편의표집하여 구조화된 설문지를 이용하여 온라인 조사를 시행하였다. 수집된 자료는 SPSS/WIN 26.0 프로그램을 이용하여, 기술통계, Pearson’s correlation coefficient, 위계적 다중회귀분석을 이용하였다. 연구결과 식습관 평균 2.06점, 스트레스관리 평균 3.06점, 비활동적 여가활동 평균 3.55점, 건강관리 자기효능감 평균 3.94점, 자율적 동기 평균 5.79점, 통제적 동기 평균 3.65점이었다. 식습관, 건강관리 자기효능감, 자율적 동기, 스트레스 관리는 정적 상관관계가 있었고 비활동성 여가활동은 식습관과 부적 상관관계가 있었다. 회귀분석 결과 건강관리 자기효능감과 자율적 동기는 식습관에 긍정적 영향을 주었고, 비정상범위의 체질량지수 및 비활동성 여가활동은 식습관에 부정적 영향을 주는 요인이었다. 따라서 간호대학생의 바람직한 식습관 형성을 위해서는 동기 강화와 더불어 정상 체중범위 유지 및 활동적 여가활동을 증진할 수 있는 다중 생활습관 수정 전략이 필요할 것이다. This study aimed to identifying the effects of health behavior, health self-efficacy, and motivation on eating behavior of nursing students in preclinical stage. The survey was conducted using web-based structured questionnaires of 125 nursing students. The data were analyzed using the SPSS/WIN 26.0, using descriptive statistics, Pearson’s correlation coefficient, and hierarchical multiple-regression. The mean score for eating habit was 2.06, stress management was 3.06, sedentary leisure activities were 3.55, health self-efficacy were 3.94, autonomous motivation was 5.79, and controlled motivation was 3.65. Eating behavior, health self-efficacy, autonomous motivation and stress management were positive correlations and sedentary leisure activities were negative correlations with eating behaviors. Regression analysis showed that the health self-efficacy and autonomous motivation had a positive effect and the BMI was abnormal range or sedentary leisure activities had a negative effect on eating behavior. Thus, forming a desirable eating habit of nursing students will require multiple lifestyle modification strategies that can strengthen motivation while also promoting weight management and active leisure activities.
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