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중노년기 지체장애인과 비장애인의 사회경제적 지위 및 인구사회학적 특성에 따른 소비지출구조 비교분석
김혜경(Hye-Gyong Kim) 한국콘텐츠학회 2016 한국콘텐츠학회논문지 Vol.16 No.9
본 연구의 목적은 50세 이상의 중노년기 지체장애인과 비장애인의 소비지출구조를 파악하고 사회경제적 지위와 인구사회학적 특성에 따른 소비지출구조를 비교분석하여 장애로 인한 격차를 줄일 수 있는 지원방안 마련을 위한 기초적 자료를 제공하기 위함이며, 자료분석은 SPSS 19.0을 사용하여 T-test, ANOVA, 교차분석 등을 실시하였다. 연구결과, 소득과 학력 및 총생활비 지출금액에서 지체장애인이 비장애인에 비해 낮게 나타나 장애로 인한 상대적 빈곤상태에 처해있음을 알 수 있으며, 또한 지체장애인의 경우 비장애인에 비하여 사회활동 및 친교활동 등이 포함된 기타소비지출 항목과 경제적 안전망이 될 수 있는 사회보장 부담금, 피복신발, 외식 등의 지출보다는 생계유지에 필요한 가정식비와 주거관리비에서의 지출구성비가 높게 나타났다. This study was carried out to analyze the consumption expenditure condition of elderly persons with and without physical disabilities by social economic status and sociodemographic characteristics and to compare the results of those two groups for making an offer the basic materials to provide political support for elderly persons with physical disabilities. The statistical analysis of collected data was enforced through T-test, ANOVA and Crosstabs with SPSS 19.0 program. The results of this study are summarized as follows. First, the group with disabilities has presumed to be in relative poverty given that disposable income, academic career and total living expenses showed lower than the other group. Second, the component ratios of domestic foods and housing expenses of disabled group showed higher but those of specific spending items of expenditure such as social activities, reserving fund of social security for economic safety net, clothing and eating out expenses showed lower than the other group.
감시림프절 절제술만을 시행한 유방암 환자의 단기 추적 관찰 성적
김혜경(Hye-Gyong Kim),김제룡(Je-Ryong Kim) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.73 No.4
Purpose: Sentinel lymph node (SLN) dissection is now a widely used and accepted method for staging the axilla in breast cancer patients. The aim of this study was to determine the rate of axillary lymphatic recurrence and metastasis in breast cancer patients who had a negative SLNB. Methods: A retrospective chart review from August of 2001 to December of 2003 was performed for all patients (n=89) who underwent a SLN biopsy and they had a negative SLN on the intraoperative frozen sections. Any additional axillary lymph node dissection was not performed even when the sentinel lymph node(s) were found to be positive by the permanent pathology. The patients received appropriate adjuvant therapy according to the characteristics of the primary tumor. All the patients who had breast conserving surgery received postoperative radiotherapy to the remaining breast, but not to the axilla. Results: A mean of 4.92 LNs were removed per patient. Among the 89 patients whose sentinel lymph nodes were tumor-free on frozen section, 9 patients had metastatic lymph nodes on the permanent pathology. All the metastases were micrometastasis. Over a mean follow-up period of 53 months, one patient died of liver metastasis and one patient developed n ipsilateral breast recurrence. Only one patient developed an axillary recurrence. Conclusion: SLNB provides accurate staging of breast cancer and this might be a good alternative to routine axillary lymph node dissection with incurring less surgical morbidity.