• 제목/요약/키워드: Left breast

검색결과 193건 처리시간 0.022초

부산시 영세지역 취업여성들의 영유아 양육실태 (Child Rearing Practice of Working Mothers in a Poor Area of Pusan)

  • 황연자;박정한
    • Journal of Preventive Medicine and Public Health
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    • 제22권3호
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    • pp.389-397
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    • 1989
  • 도시 영세지역 취업여성들의 자녀양육에 어떤 문제점이 있는지 알아보기 위해 부산시 연산3동 영세민지역에 거주하는 여성 가운데 6세미만의 어린이가 있는 201명을 (비취업여성 150명, 취업여성 51명) 가정 방문하여 미리 준비된 설문지를 이용하여 1989년 4월 10일부터 1989년 5월 10일까지 어머니들과 직접 면접조사하였다. 취업여성들의-78.5%가 경제적 이유 때문에 취업하고 있었으며 31.4%가 주당 60-69시간을 근무하고 있었고 평균 월 수입이 10-19만원인 여성이 33.4%, 20-29만원이 25.4% 였다. 자녀들의 생후 6개월이내의 영양방법은 비취업여성의 66.0%가 모유를 준데 비해 취업여성에서는 49.0%로 취업여부와 수유방법 사이에 통계적으로 유의한 상관관계를 나타내었다(p<0.05). 모유수유를 하지 않은 이유는 비취업 여성은 58.9%가 젖이 부족해서 인데 비해 취업여성의 63.6%가 직장때문이었다. 자녀연령에 맞추어 접종해야 할 기본예방접종은 비취업여성의 82.0%가 완료된데 비해 취업여성은 70.5%가 완료되었으나 접종 여부와 취업여부와는 통계학적으로 유의한 상관관계는 아니었다. 자녀사고 경험률은 비취업여성이 17.3%인데 비해 취업여성은 23.5% 였으며, 사고의 종류는 비취업여성에서는 칼이나 장난감을 갖고 놀다가 다친 외상이 34.6%, 낙상이 26.9%인데 비해 취업여성은 교통사고, 낙상이 각각 25.0%였는데 교통사고는 14세 이하의 형이나 언니가 돌보는 중에 일어난 것이 많았다. 자녀사고 발생시 어머니가 하고 있었던 일은 비취업여성의 73.1%가 집에 있었는데 비해 취업여성의 경우 어머니가 직장에 있는 동안 사고가 난 경우가 58.3%였다. 취업여성들의 자녀관리방법은 집안의 어른(친척이나 조부모)이 돌보는 경우가 58.7%로 가장 많았고 14세이하의 형이나 언니가 돌보는 경우가 15.7%였으며 자녀관리자 없이 혼자 두는 경우가 3.9% 였다. 비취업여성중 48.0%가 아이를 맡길수만 있으면 취업하겠다고 하였다. 따라서 영세민의 경제적 자립을 도모하고 영유아의 보호와 건강증진을 위해 큰 경제적 부담없이 믿고 맡길 수 있는 탁아소나 유아교육시설이 절실히 요구된다고 하겠다.

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전이성 폐암의 외과적 치료 (Surgical Treatment of Metastatic Lung Cancer)

  • 조성래
    • Journal of Chest Surgery
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    • 제25권9호
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    • pp.948-954
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    • 1992
  • In spite of recent progress in anticancer chemotherapy, the survival of patients with metastases to the lung treated nonsurgically has been extremely poor. So we adopted more aggressive surgical approaches for the treatment of patients with pulmonary metastases since 1985. We experienced 22 operations of metastatic lung cancer in 19 patients in the department of Thoracic & Cardiovascular Surgery in Kosin Medical College since 1985, so we reviewed the results of treatment retrospectively. The results were as follows: 1. The primary organs of metastatic lung cancer were 4 cases in each of the breast, uterus, and extremities, 3 cases in the rectum, 2 cases in the kidney, 1 case in each of the pelvis and liver, and the pathological findings were 13 cases in carcinoma and 6 cases in sarcoma. 2. The treatments for primary lesions were 15 cases of the operations with anticancer chemotherapy or radiation therapy, 2 cases of choriocarcinoma with anticancer chemotherapy only, 1 cases of uterine cervical carcinoma with chemo-radiation therapy, and 1 case of pelvic synovia sarcoma with intra-arterial anticancer chemotherapy. 3. Disease free intrerval were as follows: 7 cases were in 2 years to 4 years, 4 cases were in 1 year to 2 years, and 5 cases were beyond one year, of them one case was discovered primary lesion and metastatic lung tumor concomittently. 3 cases were above 4 years, of them one case of breast cancer were above 13 years especially. 4. The sites of metastatic lung cancer was 15 lesions in the right lung, and 9 lesions in the left lung, And the lobar sites were 10 lesions in the upper lobe, 2 lesions in the middle lobe, and 12 lesions in the lower lobe. 5. The operative methods of metastatic lung cancer were 7 case of partial resection of lung, 12 cases of pulmonary lobectomy, 1 case of pneumonectomy and 1 case of dissection of mediastinal lymph node. 6. The postoperative complications were 1 case of mild respiratory insufficency, 1 cases of pyothorax, and 1 case of urethral stricture. 7. Postoperative adjuvant therapy were as follows: No adjuvant therapy were 4 cases, anti-cancer chemotherapy were 8 cases, radiation therapy was 1 case, and combined with chemo k radiation therapy were 8 cases. 8. The results of long term follow-up were as follows: The 5 patients were died at 2 months, 22 months, 24 months, 32 months, and 49 months postoperatively, so mean survival period was 32 months postoperatively excluding one patient who was died at 2 months postoperatively. And 14 patients are aliving, of them 3 patients are living in recurred state, and the other 11 patients are living without any evidence of recurrence.

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유두상 갑상선 암에 의한 흉막 전이 1예 (A Case of Pleural Metastasis from Papillary Tthyroid Carcinoma)

  • 정재헌;신상윤;손명균;이영주;김세현;기정혜;최윤정;홍용국;한창훈;이선민;김정주
    • Tuberculosis and Respiratory Diseases
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    • 제63권2호
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    • pp.188-193
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    • 2007
  • 악성 흉수의 원인은 폐암, 유방암, 및 악성 림프종, 백혈병이 그 대부분을 차지하며 내분비 종양에 의한 악성 흉수는 매우 드물며 특히 유두상 갑상선 암에 의한 흉수는 거의 없다. 저자들은 유두상 갑상선 암이 폐 전이를 거치지 않고 유방 전이를 거쳐 흉막 전이 일으킨 것으로 보이는 1예를 경험하였기에 보고하는 바이다. 아울러 원인이 명확하지 않은 악성 흉수의 원인 감별에 유두상 갑상선 암도 고려 대상으로 할 필요가 있다고 생각한다.

교근 내로 전이된 신세포암의 치험례 (Intramasseteric Metastasis of Renal Cell Carcinoma: Case Report)

  • 박군찬;윤규호;박관수;정정권;배정호;박재안;민성창;신재명;백지선;김현정
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제34권1호
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    • pp.71-75
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    • 2012
  • Renal cell carcinoma (RCC) is the most frequent urological malignant tumor in adults and it occurs mostly between the fifth and the sixth decades of life. The male-female ratio is 3:1 and it is more common in smokers. It accounts for approximately 3% of adult malignancies; 90~95% of neoplasms of the kidney. The classic triad of presenting symptoms of RCC is hematuria, back pain and a mass in the flank. More than 50% of RCCs show metastasis to breast, lung and regional lymph nodes, and 15% present in the orofacialmaxillary region. This case is about a 66 year-old man who was treated for painless swelling in the left masseteric area. The mass was surgically excised and sent for biopsy. It was diagnosed as RCC and two weeks later nephronectomy of the left kidney was performed. Metastasis to other organs was detected and the patient received radiation therapy. In this case we were able to find the primary lesion by the metastatic lesion.

주 재배 작목별 한국 여성 농업인 체형 특성 (Characteristics of the Body Shape of Korean Woman Farmers by Crops)

  • 백윤정;이경숙
    • 한국의류학회지
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    • 제32권10호
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    • pp.1584-1594
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    • 2008
  • This study was to research the characteristics of the body shape of Korean woman farmers by the major crops. Four hundred ninety-five Korean woman farmers from 9 different area such as Kumi, Damyang, Iksan, Injae, Chungju, Choongju, Haman, Whasung, and Whasoon volunteered for this study. Their major crops were the rice, the pepper, the water melon, the strawberry, the wild rocambole, the sweet persimmon, the grapes, the mushroom, and the chrysanthemums. Twelve body angles were measured from archived the somatotype photographs of the front, the side, and the back. Questionnaires of SF-36 and the farmer's symptom, and the farm-work related movements were surveyed. The results were as follows; 1. Farmers had lower health levels in physical role limit, pain, vitality, and physical function than other occupational workers. 2. Most farmers acted the high-risk ergonomics motions when they worked in the farm. 3. There were significantly different on the both shoulder angles, the hip tangential line slope, the hip breadth angel, in frontal ankle-knee angle, the bending back angle, the dropping breast slope, the abdominis media angle, under the abdominis media angle, the glutea angle, under the glutea angle, and the sideward knee angle(p<.05). 4. Farmers cultivating the low plants such as the water melon, the strawberry, and the wild rocambole showed more banded vertebralis and side knee angles. Farmers cultivating the red pepper showed the dropping the left shoulder and O shape legs. Farmers cultivating the fruit trees such as the sweet persimmon and the grapes showed the less banded side knee angles than other farmer groups. 5. On comparing the same age, farmers showed the older's body shape in earlier and much more than the old living in the city.

원발성 종양의 증거 없이 발생한 간세포암종의 흉벽 전이 -1예 보고- (Chest Wall Metastasis from Unknown Primary Hepatocellular Carcinoma -A case report -)

  • 김혁;양주민;강정호;김영학;정원상;전순호
    • Journal of Chest Surgery
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    • 제37권9호
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    • pp.809-812
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    • 2004
  • 흉벽에 발생하는 전이성 악성 종양은 드문 질환이며 주위 장기로부터 전이되는 경우가 대부분으로 유방, 폐, 흉막, 그리고 종격동 등으로부터 주로 전이되는 것으로 알려져 있다. 특히 흉부가 아닌 먼장기로부터 전이되는 경우는 더욱 드문 것으로 알려져 있고 원발성 악성 종양이 없이 흉벽 전이에 의해 발현되는 예는 몇몇의 보고만이 있을 뿐이다. 환자는 51세 남자로 전흉벽 좌상부에 촉지되는 종괴로 절제 수술을 시행 후 전이성 간세포암종으로 진단 받았고 당시 검사상 간에 원발성 간세포암종의 증거는 없는 상태였다. 이에 원발성 종양의 증거 없이 간세포암이 흉벽으로 전이된 예를 치험하였기에 보고하는 바이다.

관상동맥 우회술 91례의 임상적 고찰 (The Clinical Analysis of 91 Cases of Coronary Artery Bypass Graft)

  • 김학제
    • Journal of Chest Surgery
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    • 제28권5호
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    • pp.453-463
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    • 1995
  • During 42 month period 91 consecutive patient underwent coronary artery bypass surgery. The mean age of these patient was 57 years [range from 28 to 78 years . There were 57 men and 34 women. The preoperative risk factors that include beyond the 50 % of total patients were male sex, obesity, hypo-high-density lipoproteinemia, smoking, hypercholesterolemia, hyper-low-density lipoproteinemia, hypertriglyceridemia and hypertension. Preoperatively 27 patients had stable angina pectoris and 39 patients of unstable angina pectoris. Twenty five patients had previous myocardial infarction history. The patterns of disease were 8 patients of single vessel involvement, 18 patients of double vessel involvement, 54 patients of triple vessel involvement and 11 patients of left main coronary artery disease. Fifty five patients were in Canadian Cardiovascular Society functional class III. Myocardial revascularization was performed under emergency conditions in 5 patients. Nine percent of patients had previous PTCA history. We performed 16 cases of sequential anastomosis, internal mammary artery harvest in 86 percent of total patients and total 284 distal anastomoses[mean 3.1 anastomosis per patient . The mean ACC time was 60.5 minutes and ECC time was mean 110 minutes. The combined surgeries were 16 cases of endarterectomy, 2 cases of LV aneurysmectomy, 1 case of Bentall operation, 1 case of repair of sinus of Valsalva, 1 case of ligation of coronary AV fistula and 1 case of excision of breast mass. The most common complication was wound infection[12 cases, 13 % . There was one hospital death due to postoperative respiratory failure and low output syndrome in patient with postinfarction VSD, LV aneurysm. Postoperative 88 patients were in Functional class I or II. The 99mTc-MIBI myocardial perfusion scan that used as evaluation of postoperative state was well correlated with patient`s symptoms instead of some disadvantages.

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체외순환 없이 우측 개흉술을 통한 우심방 절개 만으로 감염된 영구심박동기의 제거 치험 (Removal of an Infected Permanent Pacemaker through a Right Atriotomy without Cardiopulmonary Bypass Via a Right Thoracotomy)

  • 최광호;윤영철;박경택;이양행;황윤호;조광현
    • Journal of Chest Surgery
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    • 제43권4호
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    • pp.421-423
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    • 2010
  • 완전 방실 차단으로 우측 쇄골하 정맥을 통해 영구심박동기를 삽입한 52세 여자환자가 영구심박동기 발생장치(generator) 삽입 부위의 반복적인 감염을 주소로 내원하였다. 환자는 24년 전 유방암으로 좌측 변형근치유방절제술(Modified radical mastectomy, MRM)과 방사선 치료로 주변 조직의 심한 변화가 있었다. 이로 인해 정중 흉골 절개는 불가능할 것으로 판단하여 우측 개흉 술을 계획하였고, 개흉 후 체외순환 없이 우심방을 절개한 후 심박동기 와이어를 제거하고 새로운 심외막 와이어로 영구심박동기를 삽입하였다.

지체장애인 여성의 장애유형과 연령에 따른 인체계측 연구 (Study on the Measurements of the Body of Physically Handicapped Women According to their Handicap Types and Age)

  • 정삼호;이현정
    • 복식
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    • 제56권3호
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    • pp.107-115
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    • 2006
  • This study is aimed to personally measure the body of physically handicapped women and compare the measurements to the results of the fifth project to investigate the measurements of the body of Koreans, identity the differences in the measurements in accordance with the subjects' handicap types and age, and find the characteristics of their physical figures, with a view to propose basic data for developing clothes suitable to the body of physically handicapped people. The findings of this study are summarized in the following: 1. There were significant differences in the measurements of the subjects' shoulder width, breast circumference, waist circumference, hip circumference, armpit circumference, left and right upper arms' circumference, length between front walls of the armpit, and length between back walls of the armpit after the subjects' handicap types were classified into paralysis of the lower half of the body, cerebral apoplexy, cerebral palsy, and amputation and the differences in the subjects' bodily measurements were compared and analyzed. 2. The shoulder width gradually increased for those in their 50s or younger while that of those in 60s or older is almost the same as that of those in their 30s. The waist circumference gradually increased in all the subjects. As a result, the present author concludes that the body of physically handicapped women increases the same way as the body of ordinary adult women does in its circumferential measurements as the subjects grow older.

흉수의 혈관육종의 세포학적 소견 - 1예 보고 - (Cytologic Features of an Angiosarcoma in Pleural Fluid - A Case Report -)

  • 주영채;박인서;김윤주;한혜승;한지영
    • 대한세포병리학회지
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    • 제10권1호
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    • pp.61-66
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    • 1999
  • Angiosarcomas are rare tumors, seen most commonly in the skin and soft tissue of head and neck legion. But it has been described in numerous body sites including thyroid, breast, liver, spleen, bone, etc.. Their biological behaviors depend on the microscopic grade, site of origin, and multifocality. We report the unique cytological features of an angiosarcoma in pleural fluid. A 61-year-old woman presented with a 6 month history of dyspnea on exertion and chest pain. Chest computerized tomography(CT) revealed multiple subpleural small nodules in the right lung and widespread all space consolidation and pleural effusion in the left lung. CT of liver revealed multiple small low attenuated lesion. The smears obtained from pleural fluid showed hypocellularity with a hemorrhagic background. The tumor cells were highly pleomorphic oval or spindle in shape and presented singly, in loose groups, in knitted syncytial aggregates, and in acinar pattern. Their nuclei had vesicular chromatin with delineated, thick nuclear membranes and occasionally a large eosinophilic, prominent nucleolus. The cytoplasm was plump, thin or protected in spindly fashion. Almost ail tumor cells showed variable sized intracytoplasmic vacuoles and their nuclei were sometimes crescentic by a huge vacuole. Occasional binucleated tumor cells and mitotic figures were present. Cellular debris and streaky materials were identified. Needle biopsy specimen from the pleura revealed anastomosing slit-like spaces lined by pleomorphic tumor cells. The tumor cells showed a strong reactivity for CD31 and vimentin and focal weak reactivity for factor VIII-related antigen.

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