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      • KCI등재후보

        갑상선 유리질 소주 종양: 증례보고

        마미숙,정은정,김주연,최상경,홍순찬,이영준,주영태,정치영,정상호,박태진,곽승진박지호,이정희1,Mi-Sook Ma,Eun-Jung Jung,Ju-Yeon Kim,Sang-Kyeong Choi,Soon-Chan Hong,Yeong Jun Lee,Young-Tae Joo,Chi- Young Jeong,Sang-Ho Jeong,Tae-Jin Park,Seung-J 대한갑상선-내분비외과학회 2014 The Koreran journal of Endocrine Surgery Vol.14 No.1

        Hyalinizing trabecular tumor (HTT), a type of thyroid lesion, was first reported by Carney in 1987 and has since been reported continuously. Due to its histological non-specificity, HTT can be misdiagnosed as papillary thyroid cancer or medullary thyroid cancer. For this reason, over treatment might occur; for example, total thyroidectomy and lymphade-nectomy. Diagnosis and treatment is a challenge because there is still controversy regarding HTT characters. We report on two cases. One patient was a 48-year-old female and the other was a 46-year-old female. Both patients complained of a thyroid mass and were diagnosed as HTT.

      • KCI등재후보

        갑상선 엽 절제술후 갑상선 기능저하증의 예측인자

        마미숙,김주연,정은정,박순태,정상호,정치영,주영태,이영준,홍순찬,최상경,하우송 대한갑상선-내분비외과학회 2011 The Koreran journal of Endocrine Surgery Vol.11 No.4

        Purpose: Thyroid lobectomy is one of the common operative procedures in patients with benign thyroid nodules. The procedure is relatively feasible, but some patients who receive lobectomies have the complications, such as nerve injury, hypocalcemia, and hypothyroidism. We examined the frequency of hypothyroidism and predictable factor following thyroid lobectomy due to benign thyroid nodules. Methods: Retrospective analysis was carried out on 212 patients who underwent thyroid lobectomy to benign nodules from January 2005 to May 2010. The risk factors, including sex, age at diagnosis, thyroid function test results, existence of thyroiditis, thyroid volume, and results of the pre- and post-operation thyroid ultrasounds, were analyzed between euthyroidism and hypothyroidism groups. Results: The rate of hypothyroidism was 17%. In the univariate analysis, age, multiplicity of nodules, thyroiditis, preoperative levels of Tg and TSH, and thyroid volume were significantly predictable factors of hypothyroidism. In the multivariate analysis, the significant factors associated with hypothyroidism were being over 40 years old, having a preoperative TSH of more than 2 mlU/L, and having a small thyroid volume. Conclusion: Hypothyroidism following lobectomy is not disasterous complication. We should discuss the possibility of postoperative hypothyroidism carefully with patients before operation, especially when we plan to perform lobectomy on the patients who are over 40, have high TSH levels before surgery, or have a small thyroid volume. (Korean J Endocrine Surg 2011;11:248-251)

      • KCI등재

        가족기능과 고등학생의 진로성숙도와의 관계 연구

        채경선,마미숙 한국국제문화교류학회 2015 문화교류와 다문화교육 Vol.4 No.2

        청소년기는 자아정체감이 형성되는 시기로, 자기 이해를 바탕으로 자신의 일생을 설 계하고, 구체화하는 과정을 통해 독립화와 사회화를 거쳐 세대계승을 준비하는 단계이 다. 자아정체감은 어릴 적부터 지속적인 과정을 거쳐서 형성된다는 점에서 청소년의 성 장 환경인 가족기능은 매우 중요하다. 또한, 이 시기의 올바른 진로선택과 구체화 과정 은 청소년들의 사회화 과정에서 매우 중요한 일이다. 따라서 본 연구에서는 가족기능과 진로성숙도와의 상관성을 알아봄에 그 목적이 있다. 본 연구의 연구 대상은 고등학교 2학년(16~17세) 학생이며, 척도로는 가족기능척도 인 FACES Ⅲ(Olson 등, 1991)와 한국직업능력개발원의 진로성숙도를 사용하였다. 본 연구에 사용한 통계적 분석방법으로 성별, 지역, 학교유형에 따른 진로성숙도와 가족기 능에 대한 각 각의 차이를 알아보기 위해 t-검정을 사용하였고, 성별, 지역, 학교유형을 통제변인으로 하여 가족기능과 진로성숙도와의 관계를 알아 보기위해 상관분석을 사용 하였다. 본 연구의 결과는 다음과 같다. 첫째, 진로성숙도와 가족기능에 있어서 성별, 지역, 학교유형에 따른 차이에 대한 연 구 결과, 부천 외곽지역 학생들의 진로성숙도와 진로능력이 신도시와 농어촌지역의 평 균에 비해 낮았고. 가족기능에서도 이 지역 고등학생들의 가족 적응성이 신도시와 농어 촌의 평균에 비해 낮았다. 둘째, 성별, 지역, 학교 유형을 통제 변인으로 한 가족기능과 진로성숙도와의 관계에 관한 연구 결과, 진로성숙도와 가족기능의 상관성이 발견되었 으며, 성별에서는 남학생보다 여학생이, 지역에서는 농어촌지역 보다 부천의 신도시와 외곽지역이, 학교유형에서는 특성화고 보다 일반고에서 가족기능과 진로성숙도와의 상 관성이 큰 것으로 나타났다. 따라서 이런 상관성을 바탕으로 차후 고등학생들의 진로성숙도를 향상하기 위한 가 족기능 강화프로그램, 진로의식 함양프로그램을 실시하는 것은 의미가 있을 것이다. Adolescence is the time of self-identity formation, in which a young-adult take a step be independent member of the society via construction and development of oneself based on one’s own self-understanding. As self-identity of adolescent starts to form consistently from early stage of life, environment of the youth plays an enormous role in the process, and thus the young adult’s family and its function are crucial factors of the process. Accordingly this study aims to see the correlation between family function and the level of career maturity of adolescents. The participants of this study were 2nd grade high school students. The results were examined using Family Adaptability and Cohesion Evaluation Scale(FACES-III) and Career Maturity Scale established by KRIVET (et al Olson,1991). First, T-test was used to see the differences between the sex, region, and types of schools of the participants and each variables (family function and level of career maturity). As the method of statistical analysis, the correlation analysis process was used to see correlation between family function and the level of career maturity, setting the sex, region and types of school of the participants as the control variables. The results of the study are as follow. First, looking at the results of the T-test, amongst three factors (sex, region and type of school), only the average level of career maturity of participants living in outer area of Bucheon city was significantly lower than the overall average of the participants. Similarly, the average value of family function of these students was lower than the overall average value of family function of the participants. Second, when the family function and career maturity was compared via correlation analysis, female students showed greater correlation than male students. Between different regions, participants living in new towns and outer areas showed greater correlations than participants living in rural areas. And students studying at standardized schools showed greater correlations between family function and the level of career maturity than students from specialized schools.

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