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잠재성 유두상 갑상선암에서 원발종양의 크기에 따른 공격성 정도 분석
박해린(Hai-Lin Park),곽진영(Jin Young Kwak),강석선(Seok Seon Kang),김도연(Do Youn Kim),강형곤(Hyung Gon Kang),심정연(Jung Yeon Shim),김유리(Yoori Kim),박원근(Won Kun Park),최영길(Young Gil Choi) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.73 No.6
Purpose: Occult papillary thyroid carcinomas (OPC) are defined as tumors measuring <15 ㎜. These tumors are believed to be a less aggressive subset of papillary cancers. They generally behave more like benign lesions and are often more conservatively treated. However, it is unclear if a cancer 1.0 to 1.5 ㎝ in diameter will have a similar favorable clinical behavior as tumors <1.0 ㎝ (micropapillary thyroid carcinoma). Therefore, a retrospective chart review study of patients with OPC in order was carried out in order to answer this question and characterize the biology and optimal treatment for OPCs. Methods: From October 2001 to January 2007, Among the impalpable thyroid nodules detected incidentally during screening examinations, 260 patients underwent surgery for occult papillary thyroid cancer (OPC) at Kangnam Cha University hospital. The data from these patients was analyzed retrospectively. The mean follow up period was 25.6 ± 14.5 (max:63, min:1) months. Results: The mean age of these patients was 42.8 years, and 233 (89.5%) were female. 46.2% of patients underwent a total or neartotal thyroidectomy, and 54.6% underwent a central lymph node dissection. Of the 260 patients, 55 (21.2%) had lymph node metastases. The OPC presented with signs of aggressiveness including multifocality (34.2%), bilaterality (17.7%), capsular invasion (52.7%), and lymph node metastases (21.2%). A progressively increasing frequency of the signs of tumor aggressiveness was observed with increasing tumor size at presentation. LN metastases were associated with the tumor size (P=0.0063), extracapsular invasion (P=0.0015) and multfocallity (P=0.0020). However, there was no association with age and gender. With a follow-up of up to 63 months, 3 patients had a local recurrence (0.014%). No patients currently have active disease and no patients with OPC died during this period. Conclusion: In OPC patients, there is a progressively increasing frequency of the signs of tumor aggressiveness with increasing tumor size. Moreover, a small size itself cannot guarantee low risk and low recurrence rate. The prevalence of LN metastases and extracapsular invasion were higher in those with a tumor size >0.5 ㎝. A near-total or total thyroidectomy with a central lymph node dissection is the preferred treatment. The early detection and treatment of OPC might be warranted through the routine use of thyroid USG and USG-guided FNA.
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초등학교 고학년이 지각한 부모의 자율성지지가 아동의 행복감에 미치는 영향에서 그릿과 자아존중감의 매개효과
박소연 ( Park So-youn ),신민진 ( Shin Min-jin ),곽진영 ( Kwak Jin-young ) 한국미술심리치료연구학회 2021 미술심리치료연구 Vol.1 No.1
본 연구는 초등학교 고학년이 지각한 부모의 자율성 지지가 아동의 행복감에 미치는 영향에서 그릿과 자아존중감이 매개하는지를 검증하였다. 본 연구는 한국청소년정책연구원에서 실행한. ‘한국아동ㆍ청소년 패널조사 2018(The Korean Children and Youth Panel Survey 2018, KCYPS2018)’자료 중 초등학교 4학년 패널 2차년도(2019) 데이터인 초등학교 5학년 총2,437명을 대상으로 하였다. 그 결과 첫째, 아동이 지각한 부모의 양육태도 중 자율성지지는 그릿과 자아존중감에 정적으로 유의하였고, 행복감에는 영향력이 유의하지 않았다. 둘째, 자율성 지지와 행복감 사이에 그릿이 완전매개효과를 보였고, 자율성 지지와 행복감 사이에서 자아존중감이 완전매개효과를 나타냈다. 셋째, 자율성 지지와 행복감 사이에 그릿과 자아존중감은 순차적으로 매개하여 순차적 매개효과를 확인하였다. 본 연구는 아동의 행복감을 향상하기 위해 부모의 자율성지지, 그릿과 자아존중감의 중요함을 밝힌 것으로 아동의 행복감 증진 개입에 있어 기초자료로 활용될 수 있다. The purpose of this study was to examine the mediating effects of children’s grit and self-esteem in the relationship between parental autonomy support and children’s happiness. The participant sample was derived from the Korean Child and Youth Panel Survey 2018(KCYPS 2018), and the data of 2,437 children was analyzed. The results of this study are as follows. First, parental autonomy support had a significant effect on grit and self-esteem. But parental autonomy support had no significant effect on children’s happiness. Second, grit was a statistically significant partial mediator between parental autonomy and happiness. self-esteem was a statistically significant partial mediator between parental autonomy and happiness. Third, there was a sequentially dual mediation effect among grit and self-esteem. This study can be used as a standard for future development of intervention to enhance children’s happiness.
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류마티스성 관절염 환자에서 발생한 대퇴천동맥의 동맥류파열 1예
임시연,권오정,이홍기,이광수,곽진영 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.2
Isolated true atherosclerotic aneurysm of the distal superficial femoral artery is rare disease. We experienced a case of distal superficial femoral artery aneurysm not associated with dilatation of the common femoral or popliteal artery. True arterial aneurysms are attributed to the weakening of the arterial wall due to atherosclerosis. True superficial femoral artery aneurysms were predominantly founded in elderly men and used to be diagnosed by ultrasonography, CT or angiogram. We report a case of distal superficial femoral arterial aneurysmal rupture in elderly woman who has a rheumatoid athritis and diagnosed by ultrasonography. We performed aneurysmal excision and interposition graft with PTFE.
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