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절제 가능한 국소진행식도암 환자에서 방사선항암화학요법 병행치료와 수술을 포함한 방사선항암요법 병행치료의 생존율 비교연구
최윤아 ( Yun Ah Choi ),김형길 ( Hyung Gil Kim ),정석 ( Seok Jung ),이돈행 ( Don Haeng Lee ),이정일 ( Jung Il Lee ),이진우 ( Jin Woo Lee ),박정엽 ( Jung Yeup Park ),신용운 ( Yong Woon Shin ),김영수 ( Young Soo Kim ),김광호 ( Kwang 대한소화기학회 2009 대한소화기학회지 Vol.53 No.1
목적: 이번 연구는 원격 전이가 없는 식도암 환자에서 근치 목적으로 시행한 방사선 및 항암화학요법과 수술을 포함한 방사선 및 항암화학요법을 비교하여 두 치료법의 효용성과 생존율 차이를 알아보고자 하였다. 대상 및 방법: 1997년 1월부터 2005년 12월까지 원격 전이가 없는 절제 가능한 식도암 환자 88예를 대상으로 하였다. 이 후향 연구는 임상의학윤리위원회(IRB)의 승인을 받았다. 방사선은 5,000-5,500cGY를 조사하였고, 항암 약제는 수술 전 또는 후에 5-fluorouracil과 cisplatinum을 사용하였다. 전체 생존기간은 진단일부터 사망하거나 추적관찰 중간 종료기간인 2005년 12월까지를 기준으로 하였고 후향 분석하였다. 병기는 AJCC 기준에 따라 구분하였고, 생존율은 Kaplan-Meier method로 분석하였다. 결과: 근치 목적으로 방사선항암화학 병행요법으로 치료받은 환자는 61예였고 수술 치료와 더불어 방사선 치료와 항암화학요법을 시행한 환자는 27예였다. 두 군 간을 비교 시 조직형, 위치, 임상병기에는 유의한 차이가 없었으나, 평균나이는 수술한 그룹이 63±10세로 수술하지 않은 그룹인 69±8세보다 적었다. 중앙 추적기간은 17개월이었고(1-87개월), 5년 생존율은 방사선항암화학 병행치료군은 7%, 수술과 방사선항암화학 병행치료군은 4%였다. 방사선항암화학 병행치료를 받은 환자군의 중앙 생존기간은 11개월이며 수술과 더불어 방사선항암화학 병행치료를 받은 환자군의 중앙 생존기간은 10개월로 유의하지 않았다(p=0.697). 결론: 수술과 더불어 방사선항암화학 병행치료를 받은 환자군이 근치 목적으로 방사선 및 항암화학 병행치료를 받은 환자군에 비해 생존율 증가는 관찰되지 않았으나, 향후 많은 대상군과 장기 추적기간을 통한 전향 연구가 필요하다. Background/Aims: This study was designed to compare the survival rates between patients with localized esophgeal cancer who were treated with concurrent chemoradiation therapy without surgery and patients who were treated with concurrent chemoradiation therapy including surgery. Methods: Eighty-eight patients from January 1997 to December 2005 with locally advaned resectable esophageal cancer were selected and retrospectively analyzed. Survival period was defined as the time to death from the date of diagnosis or mid-monitor period of December 2005. Sixty-one patients were treated with chemoradiation therapy alone while twenty-seven patients were treated with chemoradiation therapy in addition to surgery as for curative intention. As for radiation therapy, 5,000-5,500 cGY was used. 5-Fluouracil and cisplatin were used for chemotherapy. The primary end point was overall survival time. The secondary end point was overall progression free survival time. Results: There was no significant difference in tissue type, location and clinical staging, but the median age was significantly younger in the group treated with surgery (63.4 years) than the group treated without surgery (68.8 years). Median period analyzed was 17.3 months. Five year survival rate for the group with chemoradiation alone was 7.4% and 4% for the group with surgery. The median survival rate was 11±3 months for the group with chemoradiation alone and 10±6 months for the group with surgery, in which there was no statistical difference (p=0.697). Conclusions: There was no significant increase in survival rate in patients who were treated by chemoradiation with surgery compared with chemoradiation alone. Further analysis in terms of prospective study is needed. (Korean J Gastroenterol 2009;53:15-22)
공립유치원 교사의 발달단계에 따른 직무스트레스와 심리적 소진
최윤아 ( Yun Ah Choi ),김낙흥 ( Nak Heung Kim ) 미래유아교육학회 2015 미래유아교육학회지 Vol.22 No.3
The purpose of this study was to examine public kindergarten teachers` job stress and burnout in relation to their developmental stages. In order to conduct this research, the survey data were collected from 214 public kindergarten teachers in Gyeonggi province by using the questionnaires asking teachers` developmental stage, their job stress and burnout. The collected data were analyzed by descriptive data analysis, t - test, and one-way analysis of variance. The results of this study were as follow: First, the public kindergarten teachers were in the growth stage, the maturation stage, the professional frustration stage, the survival stage, the promotion-oriented stage, and the stability and recession stage according to frequency. Second, the public kindergarten teachers had higher level of job stress and burnout than average level of job stress and burnout. Third, the public kindergarten teachers under the survival stage and the professional frustration stage had the highest level of job stress, Finally, the public kindergarten teachers under the professional frustration stage had the highest level of burnout.
직장암과 장결핵을 동반한 환자에서 Rifampicin으로 인한 위막 대장염 1예
최용준 ( Yong Jun Choi ),김형길 ( Hyung Gil Kim ),최윤아 ( Yun Ah Choi ),주우철 ( Woo Chul Joo ),손동욱 ( Dong Wook Son ),김철현 ( Chul Hyun Kim ),신용운 ( Yong Woon Shin ),김영수 ( Young Soo Kim ) 대한소화기학회 2009 대한소화기학회지 Vol.53 No.1
Pseudomembranous colitis (PMC) is known to be associated with the administration of antibiotics which alter normal gastrointestinal flora and allow overgrowth of Clostridium difficile. Most cases of rifampicin-induced PMC are seen in patients with pulmonary tuberculosis, but not with gastrointestinal tuberculosis. We report a case of PMC associated with rifampicin therapy in a patient with gastrointestinal tuberculosis. A 65-year-old female patient with rectal cancer and gastrointestinal tuberculosis was admitted due to abdominal pain and diarrhea. She was treated with anti-tuberculosis agents containing rifampicin. On colonoscopic examination, mucoid exudates and yellowish plaque lesions were observed. Anti-tuberculosis agents were stopped, and the patient was treated with metro-nidazole. Symptoms were relieved and did not recur when all the anti-tuberculosis agents except rifampicin were started again. When a patient complains of abdominal pain or diarrhea while taking rifampicin, the physician should consider the possibility of rifampicin-associated PMC. (Korean J Gastroenterol 2009;53:53-56)