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      • 남성호르몬 분비 부신피질암

        성병주,김성주,김한석,김두용,김택상,류현열 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.1

        Adrenocortical carcinoma ranks among the least common malignant endocrine tumors, accounting for 0.02% of all annual cancers reported in USA. Given the generally advanced stage at diagnosis, the overall 5-year survival remains poor varying between 20 and 45%. Recently we treated a case of testosterone producing adrenocortical carcinoma. Here we report a case of a functioning adrenocortical carcinoma in a woman with a review of the relevant literature.

      • 남성호르몬차단요법을 병행한 제3세대 전립선냉동수술요법의 초기경험

        성병주,정재민,최성 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.1

        Background : To present preliminary results on therapeutic effects and safety of the third generation cryosurgical ablation of the prostate (TCSAP) with androgen deprivation therapy (ADT) in high-risk prostate cancer (PCa) patients. Methods : Six men with high-risk PCa features underwent TCSAP with ADT. High-risk parameters were defined as either prostate-specific antigen (PSA) ≥ 10 ng/mL, or Gleason score ≥ 8, or both. A brachytherapy template, 17 gauge cryoneedles and the SeedNet Gold system (Galil Medical, Westbury, NY, USA) were used for cryosurgery. Patients were followed with clinical examination and serial PSA measurement, and were evaluated for morbidities including pelvic pain, irritative voiding symptoms, impotence and incontinence. Results : Mean patient age was 66.2 years (56-76). 4 (66.7%) patients had significant morbidity such as cardiopulmonary and/or cerebrovascular disease. Mean preoperative PSA was 35.84 ng/mL. 4 (66.7%) patients had a preoperative Gleason score of 8 or more (mean 6.8). 4 (66.7%) patients were T2 and 2 (33.3%) were T3. Mean prostate size was measured as 29.7 g (16-59). Neoadjuvant ADT was performed in all patients prior to cryosurgery for a mean duration of 5.4 months. The most prominent symptom after treatment was sexual dysfunction (100%). No major complications, such as rectourethral fistula, urethral sloughing and incontinence were noted. Conclusion : TCSAP with ADT appears to be minimally invasive and safe modality in treating patients with high-risk PCa. But sexual dysfunction was the most common TCSAP with ADT related complication.

      • KCI등재

        신체억제에 대한 요양보호사의 인식과 태도

        성병주,고성희,이영희 한국디지털정책학회 2016 디지털융복합연구 Vol.14 No.9

        The purpose of this study was conducted to investigate the perception and attitude toward physical restraints among elderly care workers. The subjects were 153 care workers who are working at elderly care facilities within the regions. Data were collected by structured questionnaires. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test and Pearson Correlation Coefficient. The mean score of the perception for physical restraints was 2.83 out of 5, and the mean score of the attitude for the physical restraints was 3.56 out of 5. There was a statistically significant positive correlation between the perception and attitude about physical restraints (r=.31, p<.001). This research has confirmed that it is necessary for care workers to have education about low score items of recognition and attitude about physical restraints. Therefore, we need to develop proper and efficient educational program about use method for physical restraints, and need to develop guideline for adopting physical restraints. Also, we should make efforts and attentions to reduce or abolish physical restraints in order to protect the elderly human rights. 본 연구는 신체억제에 대한 인식과 태도를 파악하기 위해 노인요양시설의 요양보호사를 대상으로 시도된 조사연구이다. 연구대상자는 노인요양시설에 근무하는 요양보호사 153명을 대상으로 하였다. 자료수집은 구조화된 설문지를 사용하였고 수집한 자료는 기술통계 및 t-test, ANOVA, Scheffé test 및 Pearson Correlation Coefficient로 분석하였다. 연구 대상자의 신체억제에 대한 인식 정도는 전체평균 2.83점(5점 만점)이었고, 대상자의 신체억제에 대한 태도 정도는 전체평균 3.56점(5점 만점)이었다. 대상자의 신체억제에 대한 인식과 태도 간에는 통계적으로 유의한 순상관관계(r=.31, p<.001)가 있는 것으로 나타났다. 본 연구결과 신체억제에 대한 인식과 태도 점수가 낮은 문항에 대한 체계적인 교육의 필요성을 확인하였다. 따라서 신체억제의 적절한 사용방법에 관한 실제적이고 효과적인 교육프로그램의 개발이 필요하며, 신체억제 적용기준과 관련된 지침개발이 필요하다. 향후 노인의 인권보호를 위해 신체억제 감소 및 폐지를 위한 노력과 관심이 요구된다.

      • KCI등재후보
      • KCI등재

        신 및 신주위 농양: 지난 10년간의 단일기관 경험

        성병주,정재민,최성,류현열,이상돈 대한비뇨의학회 2008 Investigative and Clinical Urology Vol.49 No.10

        Purpose: We analyzed the clinical experiences of patients with renal, perinephric, and mixed abscesses during the last 10 years in a single center. Materials and Methods: We reviewed the medical records of 33 patients with renal, perinephric, and mixed abscesses treated at our hospital between January 1998 and March 2008. The medical records, including predisposing conditions, clinical manifestations, physical examination, laboratory and radiologic findings, duration of hospitalization, types of uropathogens, time to clinical improvement, time to laboratory improvement, treatment, and clinical outcomes, were retrospectively analyzed. Results: Renal, perinephric and mixed abscesses occurred in 22(66.7%), 4(12.1%), and 7(21.2%) patients. The most common predisposing conditions were diabetes mellitus(39.4%) and liver disease(27.3%). Flank pain (57.6%) and fever(54.5%) were the most common symptoms. Urine and blood cultures were positive in 23.3 and 19.2% of patients, respectively. The most common isolated uropathogen in the urine, blood, and purulent cultures was E. coli. The time to clinical and laboratory improvement was not significantly different between the patients with renal, perinephric, and mixed abscesses. Patients with renal, perinephric, and mixed abscesses received antibiotic therapy only in 59.1, 50.0, and 42.9% of cases, respectively. Similarly, patients with renal, perinephric, and mixed abscesses underwent percutaneous or surgical drainage in 22.7, 50.0, and 14.3% of cases, respectively. Patients required a nephrectomy in 18.2 and 42.9% of renal and mixed abscess cases, respectively. Most patients were cured(54.5%) or improved(42.4%) at the time of discharge from the hospital. Conclusions: We suggest that renal, perinephric, and mixed abscesses are successfully managed by proper medical or interventional treatment. However, the cases suspicious for renal cancer or with non-functioning kidneys must be evaluated carefully for nephrectomy. Purpose: We analyzed the clinical experiences of patients with renal, perinephric, and mixed abscesses during the last 10 years in a single center. Materials and Methods: We reviewed the medical records of 33 patients with renal, perinephric, and mixed abscesses treated at our hospital between January 1998 and March 2008. The medical records, including predisposing conditions, clinical manifestations, physical examination, laboratory and radiologic findings, duration of hospitalization, types of uropathogens, time to clinical improvement, time to laboratory improvement, treatment, and clinical outcomes, were retrospectively analyzed. Results: Renal, perinephric and mixed abscesses occurred in 22(66.7%), 4(12.1%), and 7(21.2%) patients. The most common predisposing conditions were diabetes mellitus(39.4%) and liver disease(27.3%). Flank pain (57.6%) and fever(54.5%) were the most common symptoms. Urine and blood cultures were positive in 23.3 and 19.2% of patients, respectively. The most common isolated uropathogen in the urine, blood, and purulent cultures was E. coli. The time to clinical and laboratory improvement was not significantly different between the patients with renal, perinephric, and mixed abscesses. Patients with renal, perinephric, and mixed abscesses received antibiotic therapy only in 59.1, 50.0, and 42.9% of cases, respectively. Similarly, patients with renal, perinephric, and mixed abscesses underwent percutaneous or surgical drainage in 22.7, 50.0, and 14.3% of cases, respectively. Patients required a nephrectomy in 18.2 and 42.9% of renal and mixed abscess cases, respectively. Most patients were cured(54.5%) or improved(42.4%) at the time of discharge from the hospital. Conclusions: We suggest that renal, perinephric, and mixed abscesses are successfully managed by proper medical or interventional treatment. However, the cases suspicious for renal cancer or with non-functioning kidneys must be evaluated carefully for nephrectomy.

      • KCI등재후보

        요폐를 동반한 요도 내 이물 ·

        성병주,김한석,정재민,최성,김성주,김두용 대한배뇨장애요실금학회 2006 International Neurourology Journal Vol.10 No.1

        A 54-year-old man presented to the emergency department with a chief complaint of suprapubic pain and inability to void for 1 day after self insertion of urethral foreign bodies. These foreign bodies were two beans self inserted compulsively into the urethra by the patient. On physical examination, two materials of oval shape in the bulbous urethra were palpable. Retrograde urethrogram showed a complete obstruction in the bulbous urethra. When possible, endoscopic removal should be used for urethral foreign bodies. However the beans of our case required surgical retrieval. We present a case of foreign bodies in the urethra with brief review of literature. To our knowledge, this is the first case of acute urinary retention due to beans in Korean literature. (J. Korean Continence Society 2006;10:60-62) ꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏ Key Words: Foreign body, Urethra, Acute urinary retention

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