http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
성장호르몬분비 뇌하수체 선종 80예의 수술성적 및 예후 인자의 분석
김정은,정희원,곽호신,백선하,김동규,최길수,Kim, Jeong Eun,Jung, Hee-Won,Gwak, Ho-Shin,Paek, Sun Ha,Kim, Dong Gyu,Choi, Kil Soo 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.6
Objectives : The surgical results of 80 patients with growth hormone(GH)-producing pituitary adenoma were analyzed retrospectively to evaluate the clinical manifestations and to determine which preoperative factors significantly influenced the surgical outcome. Patients and Methods : The patients consisted of 39 men and 41 women and the age of patients at the time of initial operation ranged from 17 to 67 years(mean age, 40.5 years) Between January 1990 and June 1996, 77 patients underwent transsphenoidal surgery and 3 patients underwent craniotomy for GH-producing pituitary adenoma at our institution. Preoperative administration of octreotide was performed in 18 patients. Surgical control was defined as a postoperative serum basal level of GH less than 5ng/ml. A logistic regression model was used for univariate and multivariate analysis. Probability value of less than 0.05 was considered as statistically significant. Results : The most common presenting symptom was acromegaly, followed by headache, visual disturbance, and fatigability. Visual symptoms were present in 39% of the patients. Diabetes mellitus was associated in 24 patients and hypertension in 12. Preoperative mean basal level of GH was 93.2ng/ml(range 72-500ng/ml) which was closely related with tumor size(p<0.05). Grade II by Hardy's classification was the most common radiological type. Preoperative octreotide treatment significantly reduced the level of GH(p<0.05), but not enough to induce endocrinological remission. One patient died of cerebral infarction after craniotomy. The most common surgical complication was transient diabetes insipidus. The symptom of the earliest improvement after surgery was paresthesia and tightness of the hand and foot, followed by headache and easy fatigability. The preoperative visual symptom was improved in all patients. The patients who had hypertension or DM experienced alleviated symptoms in 67% and 92%, respectively. The overall rate of endocrinological remission was 44%. By multivariate logistic regression analysis, the size of tumor, extrasellar extension, and extent of removal were significant prognostic factors for endocrinologial remission. Conclusion : Early detection of a small tumor without extrasellar extension followed by a complete resection is highly recommended in order to achieve endocrinological cure of GH-producing pituitary adenomas.
김현정(Hyun Jeong Kim),고수연(Soo Yeon Ko),정희원(Hee Won Jung),이지선(Jee Sun Lee),임지영(Jee Young Lim) 연세대학교 사회복지연구소 2009 한국사회복지조사연구 Vol.21 No.-
고령화연구패널을 활용하여 60세 이상의 은퇴남성 1,385명을 연구대상으로 하여, 고령은퇴남성의 삶의 만족도의 영향요인 밝히고자 하였다. 장애 및 질병, 정신·신체기능, 생산적 활동의 위계적 관계를 설명한 Rowe와 Kahn의 성공적 노화 모델을 근간으로 연구모형을 검증하였다. 주요결과를 요약하면 다음과 같다. 첫째, 장애가 있는 경우는 없는 경우에 비해 삶의 만족도는 떨어지며 경험하는 만성질환이 많을수록 삶의 만족도도 낮아지는 것으로 나타나서, 장애 및 질병 요인의 경험은 삶의 만족도에 부적인 영향을 미친다. 둘째, 인지기능이 낮을수록, 우울성향이 높을수록, 일상수행능력이 낮을수록 삶의 만족도가 낮아지며 특히 우울의 상대적 영향력은 다른 주요 변수보다 큰 것으로 나타났다. 셋째, 생산적 활동이 삶의 만족도에 미치는 영향은 활동의 내용에 따라 매우 상이하여 사회·경제적 관점의 기여와 그 활동에 참여하는 노인의 주관적 삶의 질을 모두 고려한 생산적 활동 촉진 전략이 필요하다. 끝으로, 장애 및 질병, 정신·신체기능, 생산적 활동의 세요인 중에서 특히, 정신·신체기능이 고령은퇴남성의 삶의 만족도를 설명하는 핵심적인 요인으로 밝혀졌다. 이와 같은 연구결과를 토대로 구체적인 제도적·실천적 함의를 도출하고, 연구의 제한점과 후속연구를 제안하였다. The purpose of this study is to find out effects of the life satisfaction on the retired elderly males using the first year data of Korean Longitudinal Study of Aging . The subjects of this study were 1,365 males who are older than 60 years old and do not participate in economic activities. This study examined OLS Regression model based on Rowe and Kahn s Successful Aging Model which explains the hierarchical relations among disability and illness, mental and physical function, productive activities. The key findings from the study are summarized as follow. First, independent variables for disability and illness are all statistically significant: disability (-), number of chronic illness (-). Second, independent variables for mental and physical function are all statistically significant: mini-mental state examination (-), depression (-), and IADL (-). Third, independent variables for productive activities are all statistically significant. Especially the biggest change in R square is observed from the second model including variables of mental and physical function: factor of mental and physical function is more important than the other factors. On the basis of these results, some institutional and practical implication and future reseach directions are suggested in this study.