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      • KCI등재후보

        The reasonable timing of the adjuvant radiotherapy in the treatment of uterine carcinosarcoma according to the surgical intent: suggestion based on progression patterns

        유정일,최두호,허승재,박원,오동렬,배덕수 대한방사선종양학회 2013 Radiation Oncology Journal Vol.31 No.2

        Purpose: We designed this study to identify and suggest the reasonable timing of adjuvant radiotherapy in the treatment of uterine carcinosarcoma according to the surgical intent and patterns of progression. Materials and Methods: We retrospectively analyzed a total of 50 carcinosarcoma patients diagnosed between 1995 and 2010. Among these 50 patients, 32 underwent curative surgery and 13 underwent maximal tumor debulking surgery. The remaining five patients underwent biopsy only. Twenty-six patients received chemotherapy, and 15 patients received adjuvant radiotherapy. Results: The median follow-up period was 17.3 months. Curative resection (p < 0.001) and stage (p < 0.001) were statistically significant factors affecting survival. During follow-up, 30 patients showed progression. Among these, eight patients (16.0%) had loco-regional progression only. The patients who had received adjuvant radiotherapy did not show loco-regional progression, and radiotherapy was a significant negative risk factor for loco-regional progression (p = 0.01). The time to loco-regional progression was much earlier for non-curative than curative resection (range, 0.7 to 7.6 months vs. 7.5 to 39.0 months). Conclusion: Adjuvant radiotherapy in the treatment of carcinosarcoma might be related to a low loco-regional progression rate. Radiotherapy should be considered in non-curatively resected patients as soon as possible.

      • KCI등재

        Variable uterine uptake of FDG in adenomyosis during concurrent chemoradiation therapy for cervical cancer

        유정일,허승재,김영일,김태중,박병관 대한방사선종양학회 2011 Radiation Oncology Journal Vol.29 No.3

        To avoid improper tumor volume contouring in radiation therapy (RT) and other invasive procedures, we report a case of uterine adenomyosis showing increased 18F-fl uorodeoxyglucose (FDG) uptake on positron emission tomography (PET)/computed tomography (CT) mimicking malignant tumor in a 44-year-old woman during concurrent chemoradiation therapy (CCRT) for uterine cervical cancer. The adenomyosis was not associated with her menstrual cycle or with normal endometrium uptake, and it resolved one month after completion of RT. This case indicates that uterine adenomyosis in a premenopausal woman may show false positive uptake of 18FDG-PET/CT associated with CCRT

      • 방사능방재대책 기술지원전산망의 설치 운영 - 과학시술처 방사선 비상 대책실

        유정일 한국원자력산업회의 1996 원자력산업 Vol.16 No.8

        원전의 방사능 누출은 물론, 전국의 환경 방사선이나 기상 등을 수시로 종합 감시하여 즉각적으로 대응하는 방사능 방재 전산망이 본격 가동되었다. 과학기술처는 7월 31일 과천 청사 방사선 비상대책실에서 원전 사고 등 비상시에 방사능 누출 현황 등을 컴퓨터 화면으로 한눈에 보고 대응책을 마련할 수 있는 방사능방재대책 기술지원전산망 가동식을 가졌다. 이 전산망은 $\ulcorner$방사선 영향 평가 및 예측 전산화 시스템(CARE)$\lrcorner$을 중심으로 서울 등 전국 20개 지역의 환경방사선량을 표시해주는 환경방사능 감시망과 기상자료 수집망이 하나로 연결된 컴퓨터 통신망이다. 이의 운영 현황을 들어본다.

      • KCI등재

        Scheduled Interval Trans-Catheter Arterial Chemoembolization Followed by Radiation Therapy in Patients with Unresectable Hepatocellular Carcinoma

        유정일,박희철,임도훈,김철진,Dongryul Oh,유병철,백승운,고광철,이준혁 대한의학회 2012 Journal of Korean medical science Vol.27 No.7

        Combination treatment of trans-catheter arterial chemoembolization (TACE) and conformal radiation therapy (RT) reported promising results in patients with hepatocellular carcinoma (HCC), but, optimal interval was not determined. We hypothesized that a twoweek interval between TACE and RT would be optimal. Therefore, we designed this study to evaluate the safety and efficacy of scheduled interval TACE followed by RT. HCC patients who were not eligible for standard therapies were enrolled for scheduled interval TACE followed by RT (START). Patients received TACE on the first day of treatment, and then RT was delivered after 14 days. The entire course of treatment took between four and five weeks. In 81 patients (96.4%), START was completed in the planned treatment period. RT was delayed in the remaining three patients because of decreased liver function or poor performance status after TACE. Of the 81 patients, objective response was observed in 57 patients (70.4%). One unexpected death occurred after START due to hepatic failure. Other toxicities were manageable. The median survival was 14.7 months. There was a significant difference in overall survival according to the response to START (P < 0.001). In conclusion, START is safe and feasible.

      • KCI등재

        『殊異傳』 逸文의 분류와 장르적 성격 : 志怪敍事 전통의 맥락을 중심으로 Focused on the Context of Jigwe tradition

        유정일 한국어문학회 2004 語文學 Vol.0 No.85

        The present study examined the classification of 『Suijeon』 Ilmuns and their genre characteristics. It purposed to prove that the basic characteristic of tales is in their supplementation of authentic history and to maintain that the basic characteristic of『Suijeon』 Ilmuns is also in its supplementation of authentic history. 『Suijeon』 Ilmuns dealt with surrealistic and unrealistic historical affairs that were not adequate to be included in authentic history. 『Suijeon 』 Ilmuns are largely classified into tales and romances, and tales were sub-divided again into mythological tales, Buddhist tales, historical figure tales and miscellaneous tales. Mythological tales include <Talhae>, a mythological tale about the foundation of a nation, and <Yeongoseo>, a tale explaining the origin of things. Buddhist tales include <Ado>, 「Wongwang」, 「Bogae」 and 「Howon」, which took the form of monks' biographies or Buddhist miracles. Historical figure tales present episodes related to historical figures. 「Seondeokyeowang」, 「J uktongminyeo」, 「Noonghwagu」, etc. belong to this type of tales. Miscellaneous tales include 「Jigwi」, 「Susapseoknam」 and 「Simhwayotap」, which describe various stories in the secular world. In addition, 「Choi, chiwon」 was classified as a romance novel. The significance of『Suijeon』.Ilmuns in the history of novels, which shows the transitional form in the transformation from semi-historical narrations to romance novels, is that they provide a lead to the understanding of the development process of Korean romance novels. It is also remarkable that the tradition of narrating unrealistic contents originated from 『Suijeon』, a literature supplementary to authentic history. In addition, it was found true that Buddhism influenced the establishment of early romance novels.

      • KCI등재

        학교상담자가 지각한 학교상담의 효과요인

        유정이(柳定利),홍지영(洪芝英),김진희(金鎭熙) 서울대학교 교육연구소 2015 아시아교육연구 Vol.16 No.3

        본 연구는 초 · 중 · 고등학교에 배치된 학교상담자들의 관점에서 상담성과를 내는 효과요인이 무엇인지 탐색적으로 분석하고자 하였다. 이를 위해 학교상담경력이 1년 이상인 초 · 중 · 고등학교의 학교상담자 14인을 대상으로 세 그룹에서 각 1회씩 총 3회에 걸쳐 포커스 그룹 인터뷰를 실시하였다. 자료 분석을 위해 3인의 공동연구자가 연구의 기획단계에서부터 자료 분석 과정에 이르기까지 수차례 연구회의를 진행하였다. 연구결과 학교상담의 효과요인으로 4개의 영역, 27개의 범주, 65개의 개념이 도출되었다. 4개의 영역은 상담자요인, 내담자요인, 상담자-내담자 관계요인, 그리고 주변 환경 활용 요인으로 나타났다. 상담자요인으로는, 내담자를 존중하고 따뜻하게 대함, 경청하고 수용함, 감정을 충분히 드러내게 함, 쉬운 말로 간결하게 설명함, 개인상담으로 발전시킴, 문제해결에 초점을 맞춰 진행함, 자기 자신을 이해하도록 함 등이 효과요인으로 추출되었다. 내담자요인으로는 인지능력과 상담동기가 높음, 상담에서의 긍정적 경험, 그리고 일상생활에서의 긍정적인 경험 등으로 나타났다. 상담자-내담자 관계요인으로는 안전하고 든든한 관계를 형성함, 낙인을 방지함, 그리고 평소 자연스러운 관계를 맺음이 학교상담의 효과요인으로 밝혀졌다. 마지막으로 학교상담에서 주변 환경을 활용하여 상담의 효과를 발휘하게 하는 요인으로는 담임교사와 학부모의 상담과 협조, 관련 학생들 중재, 또래상담을 활용함, 적절한 외부기관으로 의뢰함, 학교 내 사례회의를 운영함, 그리고 전학교적 접근을 활용함으로 요약되었다. 연구의 시사점과 한계점에 대해 논의하였다. The purpose of the study is to investigate effect factors of school counseling conceived by school counselors. Fourteen school counselors from elementary, middle and high schools were interviewed divided into three different groups. Three researchers were involved in research design and data analysis. As results of the study, 4 domains (counselors, clients, relationship between counselors and clients, and utilizing context), 27 categories, and 65 concepts of effect factors were derived. As effect factors of counselors, respect and warm heart toward clients, listening and accepting, making clients reveal their emotion, explaining with simple and easy words, develop into personal counseling, focusing on problem solving, and making them understand themselves were derived. As clients, high cognitive ability and motivation and positive experience of counseling and ordinary life were derived. As relationship between counselors and clients, making safe and good relationship, preventing tagging, and having natural relationship in usual life were derived. As utilizing context, counseling and cooperation of teachers and parents, mediation of related students, executing peer counseling, referring to proper institutions, executing case meeting in school, and utilizing whole-school approach were derived. Implications and limitations of the study are discussed.

      • KCI등재

        Prospective phase II trial of regional hyperthermia and whole liver irradiation for numerous chemorefractory liver metastases from colorectal cancer

        유정일,박희철,최두호,노재명,오동열,박준수,장지현,김승태,이지연,박세훈,박준오,박영석,임호영,강원기 대한방사선종양학회 2016 Radiation Oncology Journal Vol.34 No.1

        Purpose: A prospective phase II trial was conducted to evaluate the effectiveness and toxicity of regional hyperthermia and whole liver irradiation (WLI) for numerous chemorefractory liver metastases from colorectal cancer. Materials and Methods: Enrolled patients had numerous chemorefractory hepatic metastases from colorectal cancer. Five sessions of hyperthermia and seven fractions of 3-gray WLI were planned. Health-related quality of life (HRQoL) was determined using the Korean version of the European Organization for Research and Treatment of Cancer quality of life questionnaire C-30 and the Functional Assessment of Cancer Therapy-Hepatobiliary version 4.0. Objective and pain response was evaluated. Results: A total of 12 patients consented to the study and the 10 who received WLI and hyperthermia were analyzed. WLI was completed as planned in nine patients and hyperthermia in eight. Pain response was partial in four patients and stable in four. Partial objective response was achieved in three patients (30.0%) and stable disease was seen in four patients at the 1-month follow-up. One patient died 1 month after treatment because of respiratory failure related to pleural metastasis progression. Other grade III or higher toxicities were detected in three patients; however, all severe toxicities were related to disease progression rather than treatment. No significant difference in HRQoL was noted at the time of assessment for patients who were available for questionnaires. Conclusion: Combined WLI and hyperthermia were well tolerated without severe treatment-related toxicity with a promising response from numerous chemorefractory hepatic metastases from colorectal cancer.

      • KCI등재

        <崔生遇眞記>연구 : 傳奇的 人物의 특징과 작가의식을 중심으로

        유정일 한국어문학회 2004 語文學 Vol.0 No.83

        In the analysis of <Oloisaengujingi (崔生遇眞記)>, followings were discovered. First, it identified the characters of <Choisaengujingi(崔生遇眞記)>had similar characteristics of characters in the 17th century's World Situational(世情) romantic novels. Secondly, it identified that the ideology of <Choisaengujing(崔生遇眞記)> is Taoism and Gwang-han Shin longed for Taoist Ideal World through the frictional hero. Thirdly, it identified that the hero reflected the author himself and his consciousness of 'Scholar'. <Choisaengujing(崔生遇眞記)> is a romantic novel in which the author longs for non-secular ideal world based on Taoism.

      • KCI등재

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