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      • KCI등재

        폐 진균증 에 대한 세포소견

        박선자 ( N. W. Park ),박노원 ( S. J. Park ),박태원 ( T. W. Park ),박효숙 ( H. S. Park ) 대한임상검사과학회 1984 대한임상검사과학회지(KJCLS) Vol.16 No.1

        The incidence of pulmonary mycotic infection is increasing these days, and it can be frequently over-diagnosed as very well differentiated squamous cell carcinoma on sputum cytology due to its simi1ar morphology. Althouh each cell in pulmonary mycosis shows marked atypism or metaplastic changes, but we must considered the whole spectrums for differential diagnosis , ie. true tumor diathesis, volume of atypical cells, or chromatin pattern of the cell etc. Herein we report a case of pulmonary mycosis overdiagnosed as highly suspicious squamous cell carcinoma on sputum cytology.

      • 포스터 전시 : 상부위장관 ; 식도 이완 불능증 환자에서 발생한 조기 위암 1예

        박정필 ( Park Jeong Pil ),김신 ( Kim Sin ),김유리 ( Kim Yu Li ),임대관 ( Im Dae Gwan ),김지연 ( Kim Ji Yeon ),박무인 ( Park Mu In ),박선자 ( Park Seon Ja ),박요한 ( Park Yo Han ),구자영 ( Gu Ja Yeong ) 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-

        <증례>심한 심와부 동통으로 상부 위장관 내시경을 시행한 57세 여자 환자에서 식도에 잔류된 음식물과 함께 상부 위체부의 후벽에 1.5㎝ 크기의 불규칙한 미란 및 궤양 반흔이 보여 조직 생검을 시행하였으며 그 결과 인환 세포암으로 나왔다. 식도 내압 검사상 식도 무연 운동을 보였는데 20년전 식도 이완 불능증으로 진단 받은 후 간헐적으로 연하곤란을 느꼈지만 특별한 치료를 받지 않고 지냈다고 한다. 과거력상 자궁암으로 자궁 전적출술을 받았으며 갑상선 기능

      • KCI등재후보
      • KCI등재후보

        초등학생들의 놀이선호도와 참여도에 따른 사회성 연구

        박선자 ( Sun Ja Park ),한상우 ( Sang Woo Han ) 아시아문화학술원 2015 인문사회 21 Vol.6 No.4

        본 연구는 목적은 초등학교 고학년 학생들의 놀이 선호도와 참여도의 상관성과 놀이 선호도와 놀이 유형별 참여도가 사회성과의 관계를 설명하고 연구되었다. 첫째, 성별에 따라 놀이 선호도와 참여도를 살펴보며 종합놀이, 창작놀이, 상상놀이에서 유의미한 차이가 있었으며(p<.05). 탐구놀이, 학습놀이, 대 근육놀이에서는 남녀의 차이가 없었다. 둘째, 본 연구에서는 사회성 전체에서는 남녀의 차이가 없었으나, 하부요인 안정성 에서는 유의미한 차이가 있었다(p<.05). 셋째, 놀이 선호도에 따른 놀이 참여도와의 상관관계를 살펴보며, 각 놀이에 대한 선호도는 그 놀이에 대한 참여도를 높여 주고 있다 (p<.05). 넷째, 놀이참여도에 따른 사회성과의 상관관계는 놀이 선호도 보다 더 큰 영향력을 가지고 있다(p<.05). 다섯째, 놀이선호가 사회성과의 관계를 설며하는 회귀분석 모형 1에서는 0.53%(R2 =.053, F=1.27, p>.05)의 영향을 설명하고 있지만, 모형 1을 추가한 놀이 참여도 분석 모형 2에서는 놀이에 대한 참여도와 사회성과의 관계는 20%(R2=.203, F=2.776, p<.01**)의 영향을 설명하고 있다. 결론적으로 초등학교 고학년생들의 놀이 활동은 성별에 따라 다르게 나타났으며, 특히 남학생들이 선호하고 자주 참여하게 되는 상상놀이 활동은 다른 놀이유형에 비해 사회성 발달에 부정적인 영향력이 작용될 수있음을 확인할 수 있었다. 따라서 종합놀이와 창작놀이 활동에 학생들이 자발적으로 참여 하여 올바른 사회성을 증진시키기 위한 교육체계와 관심이 요구되어 진다. This study was conducted to investigate the relationship between preferred play and participation, sociality of the elementary school. Subjects consisted of male students 75 people, female 69 people. Depending on the gender play preference and participation was looking at significant difference in comprehensive play, creative play, imaginative play(p<.05). there were no gender differences in explore play, learn play, gross motor play. The sociality was not differences between men and women, but safety factor (sub-item)was a significant difference(p<.05). Looking at the correlation between play participation and play preferences, preferences of each play was giving increasing the participation of that play(p<.05). Participation in any play activity showed a significant correlation in the entire sociality, imaginative play participation was confirmed statistically significantly lower than in other activities. In addition, six kinds of sub-elements of the three items did not show significant results participate in imaginative play that(reliability and diligence, compliance) was found activity to have lowest social relevance. Correlation between participation of play and sociality had a greater influence than the play preferences(p<.05). In regression model 2, participation of play showed the explanatory power 20%(R2= .203, F=2.776, p<.01**) influenced on sociality. In conclusion of play activities for elementary students varies depending on gender, especially imaginative play activities that boys often prefer to participate may have a negative impact may be applied to social development compared to other types of play. Therefore, students in general play and creative play activities, voluntary participation is required by the education system and are interested to promote proper social skills.

      • KCI등재
      • SCOPUSKCI등재
      • SCOPUSKCI등재

        대장암 치료의 복합 요법

        박선자 ( Seun Ja Park ) 대한장연구학회 2007 Intestinal Research Vol.5 No.2

        Polyps that contain carcinomatous changes that are confined to the mucosa (carcinoma-in-situ or severe dysplasia) do not have metastatic potential and are adequately treated with complete polypectomy or endoscopic mucosal resection. If deep invasion into the stalk has occurred or if adverse features (such as lymphatic invasion, or positive margins) are present, then en bloc colectomy is indicated. For lesions in the mid to upper rectum, a low anterior resection is the treatment of choice. To decrease the risk of local recurrence, patients should undergo optimal pelvic dissection with sharp mesorectal excision. Patients with pathologic lymph node-negative T3 or T4 lesions or any lymph node-positive cancer should receive preoperative or postoperative combined modality therapy. A major goal of preoperative therapy is to decrease the volume of the primary tumor and thus enhance sphincter preservation. For resectable colon cancer, the surgical procedure of choice is colectomy with en bloc removal of the regional lymph nodes. Laparoscopic colectomy has been advanced as an approach to the surgical management of colon cancer. Recently, the outcomes of cancer from a randomized trial comparing laparoscopically assisted and open surgery for curable colon cancer was reported. After a median of 4.4 years follow-up, similar cancer recurrence rates were observed in the two groups. The current management of disseminated metastatic colon cancer uses various active drugs, both in combination and as single agents: 5-FU/leucovorin, irinotecan, oxaliplatin, capecitabine, bevacizumab, and cetuximab. The choice of therapy is based on consideration of the type and timing of the prior therapy that has been administered and the differing toxicity profiles of the constituent drugs. As primary therapy for metastatic disease in a patient with good tolerance to intensive therapy, combination therapy consisting of fluoropyrimidines: FOLFOX (oxaliplatin, infusional fluorouracil, and leucovorin) or FOLFIRI (irinotecan, infusional fluorouracil, and leucovorin), with or without bevacizumab; bolus 5-FU/leucovorin/irinotecan with bevacizumab; 5-FU/leucovorin with bevacizumab were recommened. (Intest Res 2007;5:122-130)

      • KCI등재

        척추 안정화 운동과 등뼈 가동성 운동이 만성 허리 통증 환자의 호흡 기능에 미치는 영향

        박선자 ( Park Sunja ),김영미 ( Kim Youngmi ),한지원 ( Han Jiwon ) 대한통합의학회 2020 대한통합의학회지 Vol.8 No.3

        Purpose : The aim of this study was to investigate the change of the respiratory function of chronic low back pain patients after the thoracic manipulation and the trunk stability exercise on chronic low back pain patients. Methods : For this study, the group of the experiment was consisted of 44 patients suffering from the low back pain chronically. The participants were divided into two groups: the control group, which was assigned for core stabilization exercise (CSE), and the experimental group, which was randomly assigned for core stabilization exercise after thoracic manipulation (CSE+TM). Both groups carried out each assigned treatment on three times a week for 8 weeks. To study the change related to measurement variable from each test groups before and after intervention, paired t-test was performed. Further, the statistics for an intergroup comparison was analyzed by covariance analysis, ANCOVA. The measurement was conducted by the respiratory function, the respiratory function was measured by forced vital capacity (FVC) and forced expiratory volume in one second (FEV<sub>1</sub>). Results : As a result, forced vital capacity (FVC) and forced expiratory volume in one second (FEV<sub>1</sub>) showed significant differences not only by each groups but also between those groups before and after the test. Conclusion : In conclusion, both experiments, the core stabilization exercise and the core stabilization exercise conducted after thoracic manipulation, on chronic low back pain patients resulted in the significant level of difference in the respiratory function. This result indicates that the thoracic manipulation is an efficient treatment for improving the respiratory function for chronic low back pain patients.

      • KCI등재

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