http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
상담자의 내담자 자살 사망 경험에 관한 국내외 문헌고찰
손유미,정남운 한국건강심리학회 2023 한국심리학회지 건강 Vol.28 No.2
A client's suicide is fearful and painful experience for the counselor. Although every effort is made to prevent client suicide, client suicide does occur and this is a limitation that must be accepted in the counselor's professional field. Although it is important to recognize counselors who meet suicidal clients as suicide survivors and to expand study on the counselor's experiences, domestic studies have not been actively conducted. Therefore, this study attempted to provide suggestions for future study by reviewing the domestic and overseas study literature on the experiences of counselors who met suicidal clients. For this purpose, studies were selected to explore the experiences of counselors after client suicide. According to the subject, the following points were discussed: 1) The actual situation of the client's suicide experience; 2) The effect of the client suicide on the counselor; 3) Coping and overcoming(recovery) after the client's suicide; and 4) Summarization of the contents as the necessary support and post-intervention measures for counselors who have experienced client suicide. Based on these contents, a research method was proposed for the counselor who experiences client suicide in the domestic counseling scene.
기업내 교육훈련이 근로자의 노동의 삶의 질(QWL)에 미치는 효과 분석 : 교육훈련 유형별 전개 과정을 중심으로
손유미 한국직업능력개발원 2001 직업능력개발연구 Vol.4 No.2
The purpose of this research is to analyze how the enterprise education and training affect the quality of working life based on empirical results. This study contributes to deciding the directions for overall human resource development through examining workers perceptions related to enterprise education and training. The finding of this paper is that the enterprise performance through the education and training is determined by the various factors that influence the acceptances and perceptions of workers who received the education and training provided by enterprises, regardless of investment and implementation of education and training programs provided by the enterprises. In other words, the highly positive and aggressive factors interact with the strain factor accompanied with pressure, anxiety, and stress. This paper finally concludes as follows: First, the intensive and specified study is needed in order to clarify influence of the strain factors on firm performance. Second, workers recognition and influence on the education and training outcomes depend on the types of education and training such as the firm-specific training or the general training. If the introduction and application of enterprise education and training program reflect on the evaluation of the program, the positive effects of the enterprise education and training for workers can not be expected. Third, all types of enterprise education and training based on the voluntary participation of workers positively affect enterprise performance. It means that the enterprise should implement the enterprise education and training for workers in order to expect high enterprise performance.
Mixed Echoic Thyroid Nodules on Ultrasound: Approach to Management
손유미,곽진영,윤정현,문희정,김은경 연세대학교의과대학 2012 Yonsei medical journal Vol.53 No.4
Purpose: To evaluate malignancy risk according to ultrasound (US) features and size change on follow-up US in mixed echoic thyroid nodules and to suggest management guidelines thereof. Materials and Methods: Among patients who underwent US-guided fine needle aspiration biopsy, 316 mixed echoic nodules in 303 patients were included after excluding the patients with pure solid or cystic nodules or without further cytopathologic evaluation. We evaluated malignancy risk according to US features and changes in size and shape on follow-up US. Results: The malignancy rate was 31.6% (6 of 19) for nodules with suspicious US features and 2.7% (8 of 297) for nodules without suspicious US features (p<0.001). Among 265 nodules with no suspicious US features and initial benign cytology, 15 nodules with suspicious US change and decreased size, 25 nodules with no suspicious US change and increased size, and 225 nodules with no suspicious US change and no change in size were observed on follow-up USs. The malignancy risk thereof was 0%, 0% and 0.4%, respectively (p=1.000). Conclusion: Mixed echoic nodules with no suspicious US features and benign cytology can be followed up using US, as they revealed very low malignancy rates, even if they showed growth on follow-up US.
손유미,김민정,김은경,곽진영 연세대학교의과대학 2012 Yonsei medical journal Vol.53 No.1
Purpose: The purpose was to compare the frequency of metastatic and nonmetastatic lymph nodes diagnosed by fine needle aspiration biopsy cytology (FNAC) and thyroglobulin concentration from fine needle aspiration biopsy washout fluid (FNAB-Tg) in an indeterminate range (0.2-100 ng/mL), and to evaluate the most appropriate threshold value of FNAB-Tg in an indeterminate range. Materials and Methods: We performed ultrasound-guided FNAB and FNAB-Tg in suspicious metastatic cervical lymph nodes of papillary thyroid carcinoma and performed surgery. Ninety-five lymph nodes with indeterminate values of FNAB-Tg ranging from 0.2-100 ng/mL in ninety-two patients were included in this study. The diagnostic performances in multiple Tg levels (0.7, 1.0, 5.0, 10.0, 20.0, 50.0) were evaluated to compare with FNAB cytology using sensitivity, specificity, and accuracy with area under the curve (AUC) analysis. Results: Forty-two were metastatic lymph nodes and fifty three were nonmetastatic lymph nodes. FNAB-Tg ranged from 0.22 to 90.9 ng/mL in metastatic lymph nodes (mean; 34.3±33.3 ng/mL) and 0.20 to 56.7 ng/mL in nonmetastatic lymph nodes (mean; 4.9±11.1 ng/mL) (p<0.001). The most excellent diagnostic performance was displayed in 5 ng/mL of FNAB-Tg with AUC of 0.76, sensitivity, specificity, accuracy, 69.0, 83.0, and 76.8, respectively. However, there was no significant difference from 10 ng/mL FNAB. Conclusion: We ascertained that 5 ng/mL yielded the most excellent diagnostic performance among FNAB-Tg levels in the present setting with a large series with the indeterminate range (0.2-100 ng/mL) of FNAB-Tg values. These results need additional confirmation under different laboratory conditions.