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5 mm 이하의 유두 갑상선 미세암에서 림프절 전이와 관련된 예측인자
류희선,노혜원,조진성,박민호,윤정한,제갈영종,Hee-Seon Ryu,M.D.,Hye-Won Ro,M.D.,Jin-Seong Cho,M.D.,Min-Ho Park,M.D.,Jung-Han Yoon,M.D. and Young-Jong Jegal,M.D. 대한갑상선-내분비외과학회 2007 The Koreran journal of Endocrine Surgery Vol.7 No.4
Purpose: Papillary thyroid cancer is the most common histological type of malignancy that originates from the thyroid. The disease has an excellent prognosis, despite characteristically being associated with lymph node metastases. According to the World Health Organization, a papillary thyroid microcarcinoma (PTMC) is defined as papillary carcinoma measuring ≤1 cm in the greatest dimension. We present the clinico-pathological features and investigate predictive factors related with lymph node metastases in patients with papillary thyroid microcarcinomas less than 5 mm in size. Methods: Between January 2003 and June 2005, 75 patients underwent surgical treatment for thyroid papillary cancer less than 5 mm in size at the Department of Endocrine Surgery at our hospital. We analyzed the age of patients, gender, presence of symptoms, multifocality, combined thyroid disease, tumor size, capsular invasion, presence of a lymph node metastasis, tumor location, operative method and postoperative complications by use of Pearson's chi-squared test. Results: Lymph node metastases most frequently occurred in patients with a lateral neck mass at presentation (p= 0.004). Patients with capsular invasion of the thyroid showed a high rate of lymph node metastases (p=0.027). In patients with combined thyroid disease such as thyroiditis, more lymph node metastases were observed (p= 0.018). Conclusion: Preoperative symptoms at presentation (especially a lateral neck mass) and tumors with capsular invasion had a high potential to cause lymph node metastases. Factors such as a lateral neck mass, capsular invasion, and combined thyroiditis may be predictive of a lymph node metastasis and are helpful in the determination of proper treatment. (Korean J Endocrine Surg 2007;7: 242-245)
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류희선(Hee-seon Ryu),진소연(So-Yeon Jin) 문화방송 2012 방송과 커뮤니케이션 Vol.13 No.4
본 연구의 목적은 아도르노 문화산업론에 입각해 아이돌음악에 대한 청소년의 경험 및 인식을 살펴보는데 있다. 먼저 아도르노의 핵심사유를 고찰하고, 이를 전제로 초점집단 인터뷰를 실시하였다. 구체적으로 국내 음악산업이 아이돌음악 중심으로 편재되어 표준화되는 현상에 대한 인식은 어떠한지, 대형 엔터테인먼트 기획사에 의한 산업적 논리에 어떻게 순응하는지, 아이돌음악에 잠재되어 있는 동일성의 원리를 어떻게 견지하는지에 대한 의미가 도출되었다. 첫째, 아이돌음악의 표준화에 대해 고유색이 사라지고 비슷한 멜로디가 강조된다는 맥락에서 비판적 시각을 견지했지만, 산업적 기여도는 높게 평가했다. 둘째, 대형 엔터테인먼트 기획사의 주도에 대해서는 이익의 크기로 영향력이 결정되는 현실을 인정하면서도, 그들에 의해 음악산업 전체가 좌우되는 점은 우려를 표했다. 셋째, 과반수이상의 참여자들은 아이돌음악의 지속적 청취가 음악적 취향을 동질화시킴으로써 올바른 사고에 방해됨을 밝혔다. 이렇듯 본 연구는 그동안 지나치게 낙관론의 입장에서 비춰져왔던 아이돌음악을 아도르노의 비판적 시각을 통해 새롭게 조명함으로써 다양한 논의를 이끌었다는 차원에서 의의를 갖는다. 또한 그동안 아이돌음악의 가장 큰 소비층임에도 불구하고 간과되어 왔던 청소년을 대상으로 그들의 인식을 분석했다는 점에서 의미를 부여하는 바이다. This study explored the adolescents understanding of Korean Idol music focusing on Adorno’s theory of Culture Industry. This study was aimed to investigate from what perspective adolescents interpreted the phenomena that domestic music industry has become standardized based on Idol musicians or groups, how they conformed to the industrial logic of Idol music by large-scale entertainment agencies, how they consumed idol music, and how they evaluated the principles of homogeneity embedded in its consumption, thus deducting concrete meaning from the said investigation. Qualitative analysis is performed based Focus Group interview. While keeping this in mind that it is expected that music should be created with great responsibilities from various perspectives for the creative thinking of adolescents, and the adolescents also should approach the idol music with their own standards.
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김훈진(Hun Jin Kim),류희선(Hee Seon Ryu),허영회(Young Hoe Hur),김정철(Jung Chul Kim),김신곤(Shin Kon Kim),박찬용(Chan Yong Park) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.5
Purpose: We are to describe the clinical characteristics and treatment outcomes in patients aged between 80 and 89 years who underwent inguinal hernia repair under local anesthesia. Methods: We retrospectively reviewed the medical records of patients aged between 20 and 89 years who underwent tension free hernia repair under local anesthesia by a single surgeon between June 2001 and January 2009 and compared clinical characteristics and outcomes between octogenarians who were the eldest and sexagenarians whose incidence was the highest. Results: Of the 514 patients, the number of octogenarians was 52 (8.6%) and sexagenarians were 225 (35.0%). Body mass index (BMI) was 22.5 ㎏/㎡ in octogenarians and 23.7 ㎏/㎡ in sexagenarians (P=0.003). Underlying diseases were present in 67.3% of octogenarians and 73.5% of sexagenarians (P=0.238). The incidence of liver disease was significantly lower in the octogenarians (1.9% vs 15.7%, P=0.004). The proportion of patients who underwent local anesthesia was significantly higher among the octogenarians (94.5% vs 82.2%, P=0.014). Operative time and postoperative hospital stay had no significant difference between both groups. Postoperative complications developed in 4 (7.7%) of the octogenarians and in 18 (9.7%) of the sexagenarians. Scrotal swelling was developed most frequently and surgery-related mortality did not developed in both groups. Conclusion: If local anesthesia is used appropriately, inguinal hernia repair in octogenarians is a safe procedure as like in sexagenarians and may reduce the psychiatric burden related to complications for both surgeons and elderly patients.
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