직접 간호 증진을 위한 방안

성영순,김희정,김선영 한국의료QA학회 1998 가을학술대회 Vol.1998 No.-

응급의료센터 내원 후 퇴원한 환자의 외래 예약율 향상

성영순,이호경,신정자,외 7명,정성필,유승,장해월 한국의료QA학회 2005 가을학술대회 Vol.2005 No.1

다결절성 갑상선종에서 발생한 갑성선암의 초음파 소견

성영순 대한영상의학회 1992 대한영상의학회지 Vol.28 No.5

Primary role of ultrasound in patients with thyroid nodule is no determine the multiplicity and detect occult carcinoma. We analyzed US findings of 53 thyroid carcinomas with multiple nodular lesions from January 1988 to December 1991. The results were as follows : 1. 109 malignant nodules in 53 cases and 24 benign in 23 were comfirmed. 2. The nature of the masses were solid in 72 malignant nodules (74.2%), and complex in 25 (25.8%) of which 19 were predominantly solid. 3. The echo pattern of the solid and solid predominant masses were hypoechoic in 78 malignant nodules (80.4%), hyperechoic in 10 (10.3%), and isoechoic in 3 (9.3%). 4. Internal punctate calcifications within the masses were observed in 31 malignant nodules (31.9%). 5. Halo sign was present in 16 malignant nodules (16.5%). 6. The preoperative sonographic diagnosis of thyroid carcinoma was made in 39.4% of 53 cases with multiple nodules on US. In conclusion, the number, and halo formation of nodules were insignif cant to differentiate the benign nodule from the malignant. The heterogeneous hypoechoic nodules with size greater than 4cm, multiple stippled calcifications, displacement of the trachea or other surrounding structures of combined lymph node enlargements seem to indicate the possibility of malignancy.

기관지동맥 색전술의 임상적 고찰

성영순 대한영상의학회 1992 대한영상의학회지 Vol.28 No.4

Bronchial artery embolization is well-accepted and widely used for management of massive and recurrent hemoptysis. This may either provide a definite therapeutic measure or a stabilizing effect on the patient in preparation for surgery. Retrospectively we reviewed 129 cases(106 patients) of bronchial artery embolization with Gelfoam pudding & Ivalon for control of hemoptysis from July 1985 to January 1991. The causes of hemoptysis were pulmonary tuberculosis (80.2%), bronchiectasis (11.3%), aspergilloma(2.8%), and others(5.7%). The cases of pulmonary tuberculosis included tuberculous bronchiectasis (40.0%), active(34.1%), undetermined(14.1%) and inactive(11.8%). The results were as follows : Immediate control of hemoptysis was achieved in 104 of 122 cases(85.2%). Immediate control of massive hemoptysis was achieved in 94 of 107 cases(87.6%) and of chronic intermittent hemoptysis in 10 of 15 cases(76.0%). Hemoptysis recurred in 39 of 90 follow up cases(43.3%) on follow-up studi s performed ranging in period from 2 to 49 month after the initial studies. Thirty three of 81 cases of massive hemoptysis recurred(40.7%) and six of 9 cases of chronic intermittent hemoptysis recurred(67.0%). One year rebleeding rate of massive hemoptysis was 34.6%. The rebleeding cases of massive hemoptysis were controlled by conservative treatment in 25 of 33 cases(75.8%). In conclusion, bronchial artery embolization for hemoptysis control is effective in massive hemoptysis, but nearly ineffective in chronic intermittent hemoptysis. The goal of bronchial artery embolization is lifesaving procedure without permanant effect, hemoptysis related to pulmonary tuberculosis.

청소년의 학교적응과 진로성숙도 간의 관계에 대한 자기회귀교차지연효과 검증

성영순,김재철 학습자중심교과교육학회 2022 학습자중심교과교육연구 Vol.22 No.13

Objectives TThis study verified the relationship between adolescents' school adjustment and career maturity using theautoregressive cross-lagged model based on longitudinal data. Through this, the mutual causal relationship of longitudinal data can be confirmed. Methods To this end, the autoregressive cross-delay model was used. This model is a method of further clarifying the theoretical relationship between variables by verifying the autoregressive and cross-delay effects for variables that are difficult to be sure of causal relationships. The target was data tracked every year for five years from 2016 to 2020 for the first year of BELS Middle School in Busan. The subjects of the study were 1,304 male students and 1,107 female students, with a total of 2,411 female students. Results First, school adjustment and career maturity at the previous point were found to have an effect on school adaptation and career maturity at the later point in a static direction, respectively. Second, career maturity at the previous point was found to have no significant effect on school adjustment at the later point. As a result, it was confirmed that the effect of career maturity on school adjustment in adolescence was not maintained over time. Third, school at the adjustment previous point was found to have an effect on career maturity at the later point in a static direction. As a result, it was confirmed that the effect of school adjustment on career maturity in adolescence remained stable over time. Conclusions The causal relationship was confirmed that school adjustment had a positive effect on career maturity in a positive direction. Through this, the importance of actively improving school adjustment can be emphasized and used as basic data to help practical intervention to improve school adjustment 목적 본 연구는 청소년의 학교적응과 진로성숙도 간의 관계에 대해 종단적 자료를 토대로 자기회귀교차지연 모형을 이용하여 검증하였다. 이 모형을 통해 종단적 자료의 상호인과관계를 확인할 수 있다. 방법 이를 위해 자기회귀교차지연 모형을 이용하였다. 이 모형은 인과관계를 확신하기 어려운 변수들에 대해 자기회귀효과와 교차지연효과를 검증해서 변수들 간의 이론적 관계를 좀 더 명확히 하는 방법이다. 대상은 부산지역 중⋅고등학생의 부산교육종단연구데이터(BELS) 중학교 1학년을 대상으로 2016년에서 2020년까지 5년간 매년 추적한 자료를 활용하였다. 연구대상은 남학생1,304명, 여학생 1,107명이며 총 2,411명이었다. 결과 첫째, 이전 시점의 학교적응과 진로성숙도는 이후 시점의 학교적응과 진로성숙도에 각각 지속적으로 정적인 방향으로 영향을미치는 결과로 나타났다. 둘째, 이전 시점의 진로성숙도는 이후 시점의 학교적응에 대해 유의미한 영향을 미치지 않는 결과로 나타났다. 결과적으로 청소년기의 학교적응에 대한 진로성숙도의 효과는 시간이 경과함에 따라 유지되지 않는다는 것을 확인할 수 있었다. 셋째, 이전 시점의 학교적응은 이후 시점의 진로성숙도에 지속적으로 정적인 방향으로 영향을 미치는 결과로 나타났다. 결과적으로청소년기의 진로성숙도에 대한 학교적응의 효과는 시간의 흐름에 따라 안정적으로 유지됨을 확인하였다. 결론 학교적응이 진로성숙도에 정적인 방향으로 긍정적 영향을 미친다는 인과관계를 확인하였다. 이를 통해 적극적인 학교적응력향상의 중요성을 강조하였고 학교적응력을 증진시키기 위한 실질적인 개입에 도움이 되는 기초자료로 활용될 수 있다.

심장교육 일원화로 간호업무효율화 및 환자만족도 증진

성영순,윤우자,정선정,신홍현,오현아,이주한,유영숙,홍지영,고란,임설화,한권정,장미화,이윤희,전해진,이재환,박재형,김태형,김한숙 한국의료QA학회 2008 가을학술대회 Vol.2008 No.3

늑막의 원발성 지방육종: 증례 보고

이승찬,성영순,박성근 대한영상의학회 2004 대한영상의학회지 Vol.51 No.1

Primary liposarcomas of the pleura are extremely rare soft tissue sarcomas, for which radiographic findings have been reported in only a few cases. Although liposarcomas occur most commonly in the lower extremities and retroperitoneum, we encountered a case of pleural liposarcoma arising in the right hemithorax, invading the medial basal segment of the right lower lobe. Thus, herein we report a case of primary pleural liposarcoma, along with a review of the literature. 늑막의 원발성 지방육종은 매우 드문 연조직육종으로 이 종양에 대한 방사선학적 소견은 드물게 보고되었다. 지방육 종은 주로 하지와 후복막에 잘 생기는 것으로 알려져 있지만 최근 저자들은 우측 늑막에서 발생한 지방육종이 우하엽 의 내측폐를 침입한 경우를 경험하였다. 이에 저자들은 문헌고찰과 함께 극히 드물게 발생되는 늑막의 원발성 지방육 종을 보고하고자 한다.

사람에서의 Bechterew 현상

채세용,이홍엽,성영순,서병도 대한이비인후과학회 1993 대한이비인후과학회지 두경부외과학 Vol.36 No.5

난소 섬유종의 CT와 MR 영상소견

공수진,노명호,김병헌,송윤규,이수한,최필엽,성영순,권재수,이상욱 대한영상의학회 1997 대한영상의학회지 Vol.37 No.2

Purpose: To evaluate the charateristic CT and MR findings of the primary ovarian fibromas.Materials and Methods: We retrospectively reviewed 11 cases which had undergone precontrast and postcontrast scanning, and two in which cases T1-weighted (WI) and postcontrast T1WI and T2WI images had been done. All cases were pathologically confirmed after surgical resection. These masses were analysed on the bases of clinical symptoms, age, size(longest diameter), laterality, margin, attenuation(unenhanced and enhanced), signal intensity(SI), calcification, and amount of the ascites.Results: The patients mean age was 46.6(range, 22-81)years, and the longest diameter was 14.8(range, 8-28)cm. All tumors were unilateral, and eight were located in the left ovary and five in the right ovary. In all cases, the tumor margin was well-defined; seven were lobulated, four were oval, one was round, and one was nodularly marginated. On CT scan, the masses showed mild to moderate heterogenous enhancement with irregular lower density portions. The amount of the ascites was marked in three cases(23%), mild in two(15%), and minimal in three cases. Calcification were seen in 3 of 11 CT cases(27%). and in one, this was extensive.On MR scans, signal intensity (SI) of the masses on T1WI was isoSI, relativetive to the uterine myometrium, and heterogeneously enhanced after infusion of contrast media. On T2WI, SI was slightly lower that of the uterine myometrium with internal high SI portions.Conclusion: The characteristic finding of ovarian fibroma is a unilateral, well-defined, oval or lobulated, solid mass with or without ascites and calcification. On CT scan, tumor has mild to moderate heterogeneous enhancement. On MR scan, SI of mass is isoSI on T1WI with heterogeneous enhancement, and low SI on T2TI due to fibrous component.

간흡충증의 진단에서 선별검사 및 추적검사로서의 초음파검사의 유용성

김영민,노명호,장정아,최필엽,정건식,성영순,권재수,이상욱 대한초음파의학회 1998 ULTRASONOGRAPHY Vol.17 No.4