작은 신종괴 생검: 언제 할 것인가?

조진선(Jin Seon Cho) 대한비뇨기종양학회 2021 대한비뇨기종양학회지 Vol.19 No.3

The incidence of small renal mass (SRM) is increasing largely owing to the growing use of cross-sectional imaging. About 20% of SRMs are benign, and smaller masses are likely to have pathological characteristics of low malignant potential. Determining the optimal management for SRM can be challenging. Advances in our understanding of the nature of SRMs and expanding treatment options for SRMs have stimulated interest in SRM biopsy which can facilitate risk stratification and prognostication. Continuing concern regarding complications and accuracy, SRM biopsy is underutilized. However, recent series on SRM biopsy have reported diagnostic accuracy and rare complications. The median concordance rate between tumor histotype on renal tumor biopsy and on the surgical specimen was over 90%. SRM biopsy can be selectively used to improve risk stratification in patient where the clinical management may change on the basis of the results of biopsy. Currently, SRM biopsy can be recommended in most cases except in patients who have imaging or clinical characteristics indicative of benign tumors and in cases in which conservative management is considered. Urologists should be aware of the benefits of SRM biopsy which should be discussed with patients.

한국인의 적절한 전립선특이항원 절단치

조진선(Jin Seon Cho) 대한비뇨기종양학회 2007 대한비뇨기종양학회지 Vol.5 No.1

혈청 전립선특이항원 2.5-9.9ng/ml인 한국인에서 전립선암 유병률 추정

조진선(Jin Seon Cho),김선일(Sun Il Kim),김세중(Se Joong Kim),김영식(Young Sig Kim),김천일(Chun Il Kim),김홍섭(Hong Sup Kim),성도환(Do Hwan Seong),송윤섭(Yun Seob Song),이동현(Dong Hyeon Lee),양원재(Won Jae Yang),전상현(Sang Hyeon Che 대한비뇨기종양학회 2007 대한비뇨기종양학회지 Vol.5 No.3

유아안전교육 프로그램에 대한 보육교사의 인식 및 요구 : 스토리텔링 기반 창의적 문제해결형 프로그램을 중심으로

조진선(Cho Jin Seon),김근혜(Kim Geun Hye),홍순옥(Hong Soon Ohk) 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.22

For developing safety education programs reflecting the requirements of childcare teachers, this report plans to examine the awareness and the status of childcare teachers concerning safety education, and as a solution to survey the demands for early childhood safety education focusing on creative problem-solving methods using storytelling. The subjects to the study were 212 teachers working at daycare centers in B city. The analysis results are as follows. First, childcare teachers recognized that they should establish a systematic safety education plan for awareness of dangers and accident prevention because early childhood is a period of high risks of safety accidents. Second, the respondents used a situation-centered safety education, audiovisual materials, and the story sharing activity the most, and recognized the necessity of program development due to lack of available programs. Third, they demanded the development of early childhood safety education programs focusing on creative problem-solving methods, which can enhance motivation, provide various solutions and solve safety problems reasonably using safety education contents based on real-life situations as storytelling. Therefore, this study shows that the necessity for early childhood safety education programs focusing on creative problem-solving methods using storytelling that actively reflect childcare teachers’ demands. 본 연구는 보육교사의 요구를 반영한 안전교육 프로그램 개발을 위하여 안전교육에 대한 보육교사들의 인식과 실태를 알아보고 그 해결방안으로 스토리텔링을 활용한 창의적 문제해결중심 유아안전교육에 대한 요구를 알아보고자 하였다. 연구대상은 B시에 소재한 어린이집 교사 212명을 대상으로 조사하였다. 연구결과는 다음과 같다. 첫째, 보육교사들은 유아기 안전사고의 위험성이 높기 때문에 위험에 대한 인식과 사고예방을 위하여 체계적인 안전교육계획을 수립해야 한다고 인식하고 있었다. 둘째, 보육교사들은 상황중심 안전교육, 영상자료 및 이야기나누기를 가장 많이 활용하고 있었으며 활용 가능한 프로그램이 부족하여 프로그램 개발의 필요성을 인식하고 있었다. 셋째, 보육교사들은 일상생활 속 상황에 근거한 안전교육 내용을 스토리텔링으로 활용하여 동기를 유발하고, 다양한 해결책을 제시하고 합리적으로 안전문제를 해결할 수 있는 창의적 문제해결중심 유아안전교육 프로그램 개발을 요구하고 있었다. 따라서 본 연구는 보육교사들의 요구를 적극적으로 반영하여 스토리텔링을 활용한 창의적 문제해결중심 유아안전교육 프로그램이 필요함을 보여주었다.

근치적 전립선절제술 후 요실금 발생 환자에서의 항콜린제 처방에 대한 비뇨기과 의사의 실태조사

방우진(Woo Jin Bang),주관중(Kwan Joong Joo),조진선(Jin Seon Cho),전성수(Seong Soo Jeon),백성현(Sung Hyun Paick),성도환(Do Hwan Seong),김홍섭(Hong Sup Kim),함원식(Won Sik Ham),홍성준(Sung Joon Hong) 대한비뇨기종양학회 2012 대한비뇨기종양학회지 Vol.10 No.2

Purpose: We surveyed the actual use of anticholinergics for urinary incontinence after radical prostatectomy among the practicing urologists. Materials and Methods: 142 urologist members of the Korean Urological Oncology Society were given surveys through conventional mail and e-mail with 76 members returning responses. Answering for the number of radical prostatectomy performed each year, 21 urologists responded more than 50 cases, 37 responded 10 to 50 cases, 11 responded 5 to 10 cases, and 7 said 1 to 5 cases. Concerning primary approach, retropubic approach surgery, laparoscopic surgery, robotic surgery and perineal approach surgery each had 39, 19, 17, and 1, respectively. Results: Among 76 participants, 64 (84%) acknowledged prescribing anticholinergics after prostatectomy depending on symptoms. For post-op indication of anticholinergics, 43 members responded significant incontinence symptoms, while 19 answered frequent urination. Concerning the initiation of medication, 52 answered when symptoms arise after catheter removal. For duration of anticholinergics, less than 30 days, 31-60 days, 61-90 days, more than 90 days each received 8, 17, 24, and 15 votes from participants, respectively. Finally, 57 members thought the use of anticholinergics were beneficial in treating urinary incontinence after radical prostatectomy. Conclusions: Over 80% of survey participants acknowledged prescribing anticholinergics to urinary incontinence patients according to symptoms, and 75% concurred with their usefulness. But, there is no specified protocol of anticholinergics use for urinary incontinence after radical prostatectomy.

인도네시아 수마트라섬 파세마고원의 거석유적

임영진 ( Young Jin Yim ),박수현 ( Soo Hyun Park ),이정진 ( Jung Jin Lee ),( Bagyo Prasetyo ),가종수 ( Jong Soo Ka ),이동희 ( Dong Hee Lee ),조진선 ( Jin Seon Cho ),윤호필 ( Ho Pil Yun ) 호남고고학회 2011 湖南考古學報 Vol.38 No.-

이 글은 2011년 2월에 이루어진 인도네시아 수마트라섬 파세마고원 지대의 거석문화유적에 대한 현지조사 보고문이다. 한국의 (재)호남문화재연구원과 인도네시아의 국립문화재연구소가 공동으로 이 지역의 지석묘와 석실묘를 중심으로 실시하였으며 지석묘 7개소, 석실묘 7개소, 석상·석물·입석 13개소, 암각화 1개소를 조사하였다. 지석묘는 평야지대에 군집되어 있으며 남방식과 개석식이 공존하지만 아직까지 정확한 연대는 밝혀지지 못하고 있다. 석실묘는 구릉지대에 단독 또는 몇기가 모여 있으며 지하 횡구식이지만 외형만으로는 지석묘와 구분하기 어려운 것도 있다. 석실묘 역시 정확한 시기를 알기 어렵지만 철기 유입 이후 지석묘가 발전한 것이라고 보고 있다. 석상과 석물은 대부분 지석묘나 석실묘와 같은 지역에 공존하고 있지만 아직도 그 용도와 상호 관계가 파악되지 못하고 있으며 입석은 단독으로 존재한다. 수마트라섬의 파세마고원 지대에 남아있는 많은 거석문화유적은 선사·고대의 동아시아 교류사를 이해하는데 있어 중요한 자료이지만 연구의 진전을 위해서는 정밀한 발굴을 통한 정확한 연대 파악이 선행되어야 한다. This is a survey report on the megalithic monuments of the Pasema area in Sumatra, Indonesia, which was conducted in February 2011. The survey was carried out collaboratively by the Honam Cultural Property Research Center in Korea and the National Research and Development Center of Archaeology in Indonesia, and investigated seven dolmens, seven stone chamber tombs, thirteen stone statues, and one rock carving site. The dolmens, which can be divided into stone-supported type and capstone type, are situated on the plains and their construction dates are difficult to estimate. The stone chamber tombs, which are a side-entrance type, are situated on the low hills, but some of them are not clearly distinguished from the capstone type dolmens. The construction date of the stone chamber tombs is equally ambiguous, although they appear to have developed after the dolmens. Most of the stone statues coexist with the dolmens or the stone chamber tombs, but their function and the relationship with each other is not clearly understood until now. Menhir exists alone. The megalithic sites of the Pasema area are important archaeological materials through which we can understand cultural interactions in ancient East Asia. They awaits further investigation, particularly on the issue of establishing chronology through systematic excavation.

전립선암 환자의 비만도가 임상병리학적 인자 및 생화학적 재발에 미치는 영향

유창희(Changhee Yoo),조진선(Jin Seon Cho),송채린(Cheryn Song),서성일(Seong Il Seo),변석수(Seok-Soo Byun),권태균(Tae Gyun Kwon),김형진(Hyung Jin Kim),정태영(Tae Young Jung),정병하(Byung Ha Chung),황태곤(Tae-Kon Hwang),이강현(Kang Hyun 대한비뇨기종양학회 2009 대한비뇨기종양학회지 Vol.7 No.3

예비유아교사의 정서지능과 교직인성이 교사효능감에 미치는 영향

김근혜(Kim Geun hye),조진선(Cho Jin seon),홍순옥(Hong Soon ohk) 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.9

본 연구는 부산과 경남의 4년제 대학교 유아교육학과에 재학 중인 예비유아교사를 대상으로 교사효능감에 정서지능과 교직인성이 어떠한 영향을 미치는지 살펴보고자 설문조사를 실시하였으며, 최종 145명의 설문지를 분석한 내용을 토대로 연구결과를 요약하면 다음과 같다. 첫째, 예비유아교사의 정서지능, 교직인성, 교사효능감의 평균은 보통수준 이상으로 나타났다. 둘째, 예비유아교사의 정서지능, 교직인성, 교사효능감은 유의미한 상관관계가 있는 것으로 나타났다. 셋째, 예비유아교사의 정서지능과 교직인성이 교사효능감에 미치는 영향을 분석한 결과, 정서지능 중 타인인식이 교사효능감을 정적으로 예측하는 가장 영향력이 큰 요인으로 나타났으며, 교직인성 중에서는 자기조절과 소명의식이 교사효능감을 정적으로 예측하는 요인으로 나타났다. 이를 통해 예비유아교사의 교사효능감을 증진시키기 위해 정서지능과 교직인성을 함께 함양하는 것이 예비유아교사의 교사효능감을 높일 수 있는 방안으로 사료된다. The purpose of this study is to analyze the pre-service early childhood teachers emotional intelligence, teaching ethics on their efficacy. For this data were collected by conducting survey regarding emotional intelligence, teaching ethics and teacher efficacy on 145 pre-service early childhood teachers studying at early childhood education located in Kyungnam and Busan at university. Collected data were analyzed by descriptive statistics, Pearson correlation analysis, and multiple regression analysis using SPSS 23.0 program. The results are as following. First, in terms of the results for general trends in the emotional intelligence, teaching ethics and teacher efficacy was found to be above normal. Second, the result of current study reveals that all of the variables used in this study were correlated. In addition, there was a statistically significant positive correlation between emotional intelligence and teaching ethics and teacher efficacy. Third, it was also found that the ‘to perceive others’ of sub factor in emotional intelligence and ‘self control’ and ‘sense of self-determination’ of sub factor in teaching ethics affected the early childhood pre-service teacher’s teaching efficacy.

경직장초음파하 전립선생검 수용에 영향을 미치는 인자들

김종근(Jong Keun Kim),방우진(Woo Jin Bang),오철영(Cheol Young Oh),유창희(Changhee Yoo),조진선(Jin Seon Cho) 대한비뇨기종양학회 2013 대한비뇨기종양학회지 Vol.11 No.2

Purpose: This study aimed to improve prostate biopsy compliance by analyzing factors that influenced the acceptance of prostate biopsies. Materials and Methods: When a prostate biopsy was accepted by men who had prostate-specific antigen (PSA) ≥2.5 ng/ml or with abnormal digital rectal examination. The questionnaire consisted of 9 questions about the subjects’ demographic characteristics, 15 questions for assessing their knowledge of prostate and 8 questions about the factors influencing their acceptance of a prostate biopsy. Results: The subjects of this study were 188 patents who accepted the prostate biopsy and completed the questionnaire in 2011. The mean age was 66 years. The distribution of factors influencing the patient acceptance of the prostate biopsy was 66.0 percent for ‘the thought that the biopsy would help me maintain my health,’ 63.4 percent for ‘a doctor’s advice for the biopsy,’ and 48.2 percent for ‘the level of prostate-specific antigen tested.’ The greater influence on the patient acceptance of the prostate biopsy was associated with the lower income levels of subjects when they responded with ‘uncomfortableness with urinating’ or ‘my family’s or acquaintance’s recommendation for the biopsy’ and married patients showed a higher acceptability of the biopsy when there was any ‘previous experience with medical examinations due to different disease.’ Conclusions: The patient acceptance of biopsies can be influenced by patients’ demographic characteristics, and therefore when a prostate biopsy is explained to patients, their demographic characteristics should be taken into consideration.

흡연과 발기부전

조진선,이상곤 한림대학교의료원 1994 人間科學 Vol.18 No.6