Right Paraesophageal Lymph Node Dissection Should Be Considered for Patients Who Have Presence of More than Three Metastatic Nodes in Right Paratracheal Lymph Node

Yon Seon KIM 대한외과학회 2019 대한외과학회 학술대회 초록집 Vol.2019 No.10

Parathyroid carcinoma with lung metastasis in a thirteen-year-old girl

Yon Seon Kim 대한외과학회 2012 Annals of Surgical Treatment and Research(ASRT) Vol.82 No.6

Parathyroid carcinoma is a rare disease in pediatric patients. We present a case of a 13-year-old girl who presented to the Thyroid Department for an asymptomatic palpable neck mass for 1 year. The high levels of calcium, ionized calcium, and parathyroid hormone level along with parathyroid scintigraphy studies suggested primary hyperparathyroidism. Parathyroid carcinoma was confirmed by biopsy and pathologic examination after resection. Six months postoperatively, persistent hypercalcemia and multiple lung metastases were found on computed tomography. Bilateral lung wedge resection was performed. En bloc resection for primary parathyroid carcinoma and aggressive resection of metastatic disease is the most effective treatment to control hypercalcemia.

Papillary thyroid carcinoma with thyroiditis

Yon Seon Kim,Hye-Jeong Choi,Eun Sook Kim 대한외과학회 2013 Annals of Surgical Treatment and Research(ASRT) Vol.85 No.1

Purpose: The aim of this study was to evaluate the clinicopathologic characteristics of papillary thyroid cancer with thyroiditis, and to determine the rate of its complications for it. Methods: A retrospective review of 1,247 patients with papillary thyroid cancer who underwent primary thyroidectomy was performed. Among them, 316 patients had thyroiditis (group I) while 931 patients had no thyroiditis (group II), as reflected in the final pathologic reports. The two groups’ clinicopathologic results and rate of complications were compared. Results: Female gender, preoperative hypothyroidism, total thyroidectomy, no extrathyroid extension, no lymphovascular invasion, and no perineural invasion were associated with group I. More central lymph nodes were removed in group I than in group II, but there were fewer central lymph nodes with metastasis in group I than in group II. For the lateral lymph nodes, the two groups had the same numbers of removed nodes and nodes with metastatic tumor. Multivariate analysis revealed female predominance, more cases of preoperative hypothyroidism, more dissected lymph nodes, and fewer lymph nodes with metastasis in group I. Among the patients who underwent lobectomy, postoperative hypothyroidism occurred more in group I than in group II (P < 0.001). There was no difference in postoperative complications between the two groups. Conclusion: Papillary thyroid cancer with thyroiditis showed less aggressive features. Postoperative hypothyroidism occurred more in the patients with thyroiditis.

Impact of preserving the parathyroid glands on hypocalcemia after total thyroidectomy with neckdissection

Yon Seon Kim 대한외과학회 2012 Annals of Surgical Treatment and Research(ASRT) Vol.83 No.2

Purpose: The aims of this study were to determine the incidence and evaluate the risk factors for hypocalcemia after total thyroidectomy and to investigate how many parathyroid glands should be preserved to prevent postoperative hypocalcemia. Methods: From March 2007 to February 2011, a retrospective review of 866 patients who underwent total thyroidectomy and node dissection for thyroid cancer was performed. The incidence and predisposing factors for hypocalcemia were analyzed. Among them, a total of 191 cases had four of their parathyroid glands identified intraoperatively. These patients were then divided into one preserved parathyroid gland group (group I, n = 22) and two or more preserved parathyroid glands group (group II, n = 169). The incidence of hypocalcemia with regards to the number of preserved parathyroid glands was determined and the results between the two groups were compared. The total calcium, ionized calcium and parathyroid hormone levels were compared between the two groups. Results: The overall incidence of transient and permanent hypocalcemia was 9.2% and 0.5%, respectively. The decreased number of preserved parathyroid gland and increased number of removed central lymph node were the significant risk factors for developing postoperative hypocalcemia. In 191 cases identified with four parathyroid glands, the incidence of hypocalcemia was related to the number of preserved glands (group I, 22.7%; group II, 3.0%; P < 0.001). Conclusion: The insufficient number of preserved parathyroid glands is the only cause of hypocalcemia after total thyroidectomy and node dissection. At least one preserved parathyroid gland may prevent postoperative permanent hypocalcemia.

여성 성인학습자의 진로가치에 대한 합의적 질적 분석

선혜연(Seon, Hye-yon),김영빈(Youngbin Kim),황매향(Mae-Hyang Hwang) 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.1

The purpose of this study is to explore the career value of female adult learners. In this study, 169 female adults who study in Korea National Open University answered to a questionnaire asking the career choice criteria, and the data were analyzed by a consensual qualitative research-modified(CQR-M). As a result, six categories were derived regarding the characteristics of the work itself; what suits me, what I feel rewarded and fulfilled, what I enjoy, what I can do well, what contributes to society, what is moral. and eight categories were derived regarding the environmental characteristics of work; acceptable salary, social recognition, long-lasting work, time-free work, relationship- oriented organizational culture, work & family balance, physically and mentally less demanding work, convenient working environment. Based on these results, discussion was suggested on the necessity of the development of career inventory and career services for female adult learners and suggestion for future study were proposed. 이 연구는 여성 성인학습자들의 진로가치를 탐색하고 정리하여, 일반 대학생과 구별되는 여성 성인학습자의 진로선택기준을 이해하고자 수행되었다. 이를 위해 원격대학에 재학 중인 여성 성인학습자 169명에게 질문지를 배부하여 자료를 수집하였고 합의적 질적 분석-수정본(CQR-M)의 절차에 따라 결과를 도출하였다. 그 결과, 여성 성인학습자의 진로가치는 크게 ‘일 자체의 속성’과 ‘일의 환경적 특성’의 두 영역으로 구분되었다. ‘일 자체의 속성’ 영역에는 나에게 맞는 일, 보람과 성취감을 느끼는 일, 즐겁고 행복한 일, 잘할 수 있는 일, 사회에 기여하는 일, 도덕적인 일 등 6개 범주가 포함되었고, ‘일의 환경적 특성’ 영역에는 수용가능한 보수, 사회적 인정, 안정적으로 오래 할 수 있는 일, 시간적 여유가 있는 일, 자유롭고 관계지향적인 조직문화, 일-가정 병행, 신체적·정신적으로 덜 힘든 일, 편리한 근무환경 등 8개 범주가 포함되었다. 이러한 결과를 바탕으로 여성 성인학습자의 특성을 고려한 진로검사 및 진로서비스의 개발 필요성 및 추후 연구 방향을 논의하였다.

중학생의 학업성취와 학업적 자기효능감 간의 종단관계 분석

선혜연(Seon, Hye-Yon),최희철(Choi, Hee-Cheol) 학습자중심교과교육학회 2016 학습자중심교과교육연구 Vol.16 No.7

본 연구는 한국교육개발원의 한국교육종단조사(KELS) 1~3차년도 데이터를 사용하여 학업성취와 학업적 자기효능감 간의 종단적 관계를 잠재성장모형(Latent Growth Model)을 통해 검증함으로써 우리나라 청소년들의 학업성취와 학업적 자기 효능감에 대한 기초자료를 제공하려는 목적에서 수행되었다. 이를 위해 2005한국교 육종단연구 자료 중 중학교 1학년에서 3학년으로 성장한 청소년 5,920명의 학업성취와 학업적 자기효능감에 대한 자료를 잠재성장모형을 통해 분석하였다. 그 결과, 우리나라 중학생의 학업적 자기효능감과 학업성취는 시간 경과에 따라 평균적으로 감소하는 추세에 있고, 이러한 감소 추세는 학생들 간에 차이가 있는 것으로 나타났다. 또한 우리나라 중학생의 학업성취 초기치와 학업적 효능감 초기치, 학업성취 기울기와 학업적 자기효능감 기울기, 학업적 자기효능감의 초기치와 학업적 자기효능감 기울기 및 학업성취 기울기 사이에는 유의미한 상관관계가 있는 것으로 나타났다. 이후 본 연구 결과를 통하여 우리나라 중학생의 학업적 자기효능감 향상과 학업성취를 위한 교육 및 향후 연구 방향에 대한 제언을 중심으로 논의하였다 The purpose of this study was to examine the longitudinal relationship between self-efficacy and academic achievement of middle school students, using data from 3-year Korea Education Longitudinal Study(KELS2005). The results of this study through latent growth curve analysis were in the following. First, middle school students academic achievement and academic self-efficacy were decreasing and their changing pattern was linear pattern model. Second, there was a significant inter-relation between academic achievement and academic self-efficacy. Those students who had high level of academic achievement were more likely to have high academic self-efficacy in grade 7th, with the change rates of both positively inter-related. Implications for education for middle school students academic achievement and self-efficacy and continued research are discussed.

교원양성대학 학생들의 학업 및 진로 고민에 대한 합의적 질적 분석

선혜연(Seon, Hye-yon),정여주(Chung, Yeo-ju),오정희(Oh, Jung-hee),김한별(Kim Han-byul),하애실(Ha, Ae-sil) 학습자중심교과교육학회 2017 학습자중심교과교육연구 Vol.17 No.14

본 연구는 교원양성대학 학생들이 경험하는 학업 및 진로에 대한 고민의 내용을 탐색하고 정리하여, 교원양성 학생들의 학업과 진로를 조력하기 위한 프로그램 개발 및 교원양성대학의 교육과정 개선에 있어 기초 자료를 제공하고자 수행되었다. 이를 위해 교원양성대학에 재학 중인 대학생을 대상으로 학업 및 진로에 대한 어려움을 묻는 질문지를 배부하여 2017년 4월부터 한달간 총 104명의 질문지를 수거하였다. 수집된 자료는 합의적 질적 분석-수정본(CQR-M)의 절차에 따라 분석하였으며, 총 5회의합의과정을 통해 최종 결과를 도출하였다. 그 결과, 학업관련 고민으로는 대학공부방법이 낯설고 힘듦, 공동학습 과정에서의 갈등, 학습동기와 흥미 부족, 학습수준이 높아짐, 학습할 양이 많음, 학사관리 체계에 대한 불편감, 교육실습에 대한 부담, 경제적지원 부족의 총 8개의 범주가 도출되었고, 진로관련 고민으로는 임용고사 응시 및 결과에 대한 불안, 교사로서의 자질과 역할에 대한 고민, 자기이해부족으로 인한 심리적 불편감, 임용고사 준비 과정에서의 고민, 교사 이외 진로개발상의 제약, 교사로 진로를 결정하여 걱정 없음, 원치 않은 진학으로 인한 회의감의 총 7개의 범주가 도출되었다. 이후 이러한 결과를 바탕으로 교사 양성 및 대학생 학업 및 진로 조력 체계에 대한 시사점과 추후 연구 방향을 논의하였다. The purpose of this study is to explore academic and career difficulties of college students in the institute of teacher education and to give data to help the institutes of teacher education improve their curriculum and develop program for their students’ study and career. In this study, 104 students who are in the institute of teacher education answered to a questionnaire asking academic and career difficulties, and the data were analyzed by a consensual qualitative research-modified(CQR-M). As a result, total 8 categories were drawn in academic difficulties; unfamiliar and difficult study method, conflict in group study, lack of learning motivation and interest, high level of study, lots of study volume, uncomfortable university graduate management system, pressure of teaching practicum, lack of financial support. And total 7 categories were drawn in career difficulties; anxiety to take and fail in teacher qualification exam, worries about qualification and roles of teacher, psychological discomfort coming from lack of self-understanding, worries in preparing process of teacher qualification exam, limitation on developing other career except being teacher, no worries because of deciding to be a teacher, regret coming here without want. Based on these results, discussion was suggested on curriculum of institutes of teacher education and program for their students’ study and career and meaning and suggestion for future study were proposed.

사진이미지를 활용한 상담의 개입전략에 대한 탐색적 고찰: 내담자의 치료적 변화를 중심으로

선혜연 ( Hye Yon Seon ),오정희 ( Jung Hee Oh ) 충남대학교 교육연구소 2015 교육연구논총 Vol.36 No.2

이 연구의 목적은 최근 상담의 창의적 접근으로서 관심을 받고 있는 사진치료의 다양한 기법을 기존의 전통적인 상담 개입들과 비교하여 내담자의 치료적 변화를 중심으로 탐색해보고, 효과적인 상담을 진행하기 위해 활용될 수 있는 사진이미지 활용 상담 개입 전략을 제시하는 데 있다. 이를 위해 국내외 사진이미지를 활용한 상담의 역사 및 발전 과정을 개관한후, 관련 문헌과 연구물을 토대로 내담자의 치료적 변화 목표에 따라 사진이미지 활용 개입들을 분류하고, 전통적으로 활용되어 온 상담의 치료적 개입들과 비교하여 그 효용성을 탐색해 보았다. 그 결과, 상담에서의 내담자 변화를 크게 정서적 변화, 인지적 변화, 행동적 변화, 체계적변화의 네 가지 측면으로 분류하고, 이러한 내담자의 변화를 위해 전통적인 상담 개입을 효과적으로 보완 및 대치할 수 있는 다양한 사진이미지 활용 상담 개입들을 확인할 수 있었다. 이후 이러한 연구결과를 토대로, 상담 현장에서 내담자들의 다각적인 변화 목표를 달성하기 위해 기존의 상담 기법들과 통합할 수 있는 사진이미지의 효과적인 활용에 대한 시사점을 논의하고, 추후 연구방향에 대해 제시하였다. The purposes of this study are to explore the photographic therapy gaining attention as a creative approach of counseling in accordance with client``s therapeutic changes and to present the photo-using intervention strategy for effective counseling. For this, we reviews domestic and overseas literature and research, classify various photo-image intervention strategies in terms of client``s therapeutic changes, and compare them with conventionally utilized counseling intervention strategies. As a result, client``s therapeutic changes are largely classified into emotional, cognitive, behavioral and systematic ones. These changes confirms that the photo-using intervention techniques that can replace and supplement conventionally used ones in each approach. Based upon the research outcomes, we discuss the implications that are useful for counselors taking the various theoretical approaches in the counseling field to make photo-using counseling intervention strategies by integrating photo-using intervention strategies with existing counseling intervention strategies.

다문화가정 학생의 진로발달 연구 동향

선혜연 ( Hye Yon Seon ) 한국교원대학교 초등교육연구소 2015 초등교과교육연구 Vol.22 No.-

This study reviews the career development of students in multicultural families as they have been revealed in research undertaken in Korea. Firstly, the definition and characteristics of students in multicultural families in Korea and the current discussions in US on the issues related multicultural career development and counseling was reviewed. Secondly, the literature search with key words were undertaken. The literature searching process revealed the appearance of research from the year 2010 and the lack of research in area of career development of Korean students in multicultural families. With the searched studies content analysis was conducted and they were the empirical examinations of variables related career developments, the career development programs, and so on. Lastly discussion is focused on the meaning of these findings and the suggestions for the further studies.

그레이브스병의 수술적 치료방법

성태연(Tae-Yon Sung),김연선(Yon Seon Kim),이숙현(Sook Hyun Lee),윤종호(Jong Ho Yoon),홍석준(Suk-Joon Hong) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.2

Purpose: Subtotal thyroidectomy has been the standard operation for Graves’ disease in achieving a favorable outcome in recovery of euthyroid state. However, the postoperative outcomes following subtotal thyroidectomy differ by surgeon and postoperative thyroid dysfunctions develop as time passes. Here, we have studied the validity of total thyroidectomy for Graves’ disease patients, with a comparison to subtotal thyroidectomy. Methods: A total of 299 patients with Graves’ disease underwent thyroid operation consecutively in Asan Medical Center, Seoul, Korea from December 1995 to December 2005. Among them, 241 cases had subtotal thyroidectomy and 43 had total thyroidectomy. The subtotal thyroidectomy cases were divided into 3 groups according to estimated remnant thyroid; <4 g, 4≤∼<6 g and ≥6 g. Also, according to postoperative thyroid function, the patients were divided into euthyroid, hypothyroidism and hyperthyroidism groups. The postoperative changes of thyroid function, postoperative complications and hospital days were analyzed. Results: In subtotal thyroidectomy, postoperative thyroid function showed euthyroid in 25 (10.4%), hypothyroidism 206 (85.5%) and hyperthyroidism 10 (4.1%). However, total thyroidectomy showed no persistent hyperthyroidism or recurrence. The postoperative thyroid function state changed in 24 patients out of 148 who had more than 2 years postoperative follow-up. Hyper-functional changes developed with higher rates (Hypo-6 vs. hyper-18). The postoperative complication rate was higher in subtotal thyroidectomy including bleeding, hoarseness and hypocalcemia. Conclusion: In our study, the patients showing normal thyroid function after subtotal thyroidectomy were very limited and thyroid dysfunction developed continuously with time lapse, especially towards hyperthyroid state. Therefore, we suggest that total thyroidectomy should be considered as a treatment option in Graves’ disease.