가족성 선종성 용종증과 궤양성 대장염에서 보존성 전대장절제술 및 회장낭-항문문합술 후 치료성적 비교

박선진,이길연,이기형,고석환,홍성화,오수명,윤충 대한대장항문학회 2001 Annals of Coloproctolgy Vol.17 No.4

고령운전자의 상황적응능력과 만성질환이 운전행동에 미치는 영향

박선진,이순철,장혜란 한국문화및사회문제심리학회 2008 한국심리학회지: 문화 및 사회문제 Vol.14 No.2

본 연구에서는 고령운전자의 지나친 조심운전 뿐만 아니라 고령운전자가 경험하고 있는 만성질환과 만성질환으로 인한 약의 복용 여부가 사고위험성 증대의 원인으로 작용하고 있는지 확인해 보고자 하였다. 조사대상자의 운전행동을 알아보기 위하여, 만 65세 이상의 고령운전자 91명에게 자기운전능력평가지와 운전경험조사지를 실시하였다. 고령운전자의 운전패턴을 살펴본 결과, 고령운전자의 연령이 증가할수록 운전속도와 운전양이 감소하였다. 운전상황적응능력은 사회적 적응환경과 물리적 적응환경으로 이루어져 있었다. 고령운전자는 사회적 적응환경보다 물리적 적응환경에서 상대적으로 낮은 자신감을 보였으며, 더 높은 수준의 어려움과 스트레스를 경험하는 것으로 나타났다. 운전상황적응능력은 가해사고, 피해사고와 상관관계를 가지고 있었다. 이는 고령운전자의 지나친 조심성이 교통사고경험과 직접적인 관계가 있음을 시사하였다. 만성질환이 고령운전자의 가해사고에 미치는 영향을 살펴본 결과, 신경계질환이나 위염이 있는 운전자가 더 많은 가해사고를 경험하는 것으로 나타났다. 만성질환으로 인해 약을 복용하고 있는 고령운전자의 대다수는 복용하고 있는 약이 운전에 어려움이나 불편함을 준다고 생각하지 않았으며, 약을 복용하고 있는 기간에도 운전을 지속적으로 하는 것으로 나타났다. This research investigated the influences of excessively careful driving as well as chronic disease and medications on dangerousness of traffic accident in elderly drivers. Ninety-one drivers aged 65 years and older participated in the research. To evaluate the driving behavior, we used the self-rating on driving ability questionnaire asking driving speed, the amount of driving and driving situation adaptability' and surveyed the drive career, the number of violations and accidents experience(crash, crashed) for last three years. A review of the driving patterns of elderly drivers showed that the speed and amount of driving were decreased by increasing age. ‘Driving- Situational Adaptability (DSA)’ consisted of 2 factors such as ‘Social Environment(SE)’ and ‘Physical Environment(PE)’. Elderly drivers reported that their confidence level was lower in PE than in SE. Moreover they had higher difficulty and stress in PE than in SE. DSA of elderly drivers had significant correlations with ‘crash’ and ‘crashed’. This implies that excessively careful driving of elderly drivers directly associated with accidents. Elderly drivers who have nervous system disease or gastritis had more crash accidents. The majority of elderly drivers which take medicine by chronic disease don't think that medications give don't difficulty or inconvenience in driving and constantly drives during a term of taking medicine.

언어 장벽을 경험하는 외국인 유학생을 위한 피드백 기반 수업의 활용

박선진,백설향,구본석,이태성 한국교양교육학회 2018 교양교육연구 Vol.12 No.6

There has been rapid increase in number of foreign students entering higher educational institutions in Korea. These foreign students had experienced secondary education in their country that is totally different from Korean culture. Their Korean language is limited in listening, speaking and writing. Also, they have different level of background knowledge compare to ordinary Korean University Students. Therefore, university requires to build a new learning materials, teaching methods, feedbacks and etc to meet the needs of foreign students knowledge and Korean skills. Moreover, it is essential to design liberal education in terms of supporting and relating to their major study. This research has verified teaching based on feedback, not only in class but prior and post, has significant impact on foreign students improvement. Through this research, it proves that teachers are required to obtain skills to organize lecture, draw students attention, and most importantly develop students motivation. This research provides how feedback is used through out the liberal education and how it effected students. This method, in strong belief, creates far better educational environments for students and improves quality of education itself. 최근 수년간 국내 고등교육 기관으로 유입하는 외국인 유학생 수는 급증하고 있다. 외국인 유 학생들은 한국과는 상이한 문화권에서 중등교육과정 까지를 경험하였으며, 배경지식 수준이 한 국의 대학생과 큰 차이를 보일 뿐만 아니라, 한국어 능력이 제한되어 있다. 그러므로 대학에서 는 이들의 능력과 수준에 맞는 교재, 수업방법, 피드백 등 차별화된 교수 설계가 필요하며, 이들 을 위한 교양교육은 향후 자신의 전공과 연계된 배경지식으로서 기능할 수 있게 설계되어야 할 필요가 있다. 본 연구는 피드백 기반 수업 사례를 통해 외국인 유학생을 위한 수업에 있어서 수업 전, 중, 후, 그리고 평가 시에도 피드백을 적용하는 것이 중요하다는 사실을 확인하였다. 이 연구를 통해 교수자는 전공 지식을 효과적으로 학생들에게 전달하는 교수 능력과 더불어 수업의 전반을 조직하고, 학생 참여를 이끌어, 학습 욕구를 장려하는 학습 관리자로서의 역량을 갖출 필요가 있다는 것을 확인할 수 있다. 본 연구의 피드백 교수 사례를 외국인 유학생 기초 교 과목에 적용하여 향후 외국인 유학생을 위한 보편적인 수업 진행 방안을 마련하여 수업의 질을 높이는데 기여할 수 있다고 본다.

고령자의 보행능력과 횡단행동 특징

박선진,이순철,김인석 한국자료분석학회 2009 Journal of the Korean Data Analysis Society Vol.11 No.6

This study focused on elderly pedestrians, therefore the changes of walking ability and crossing behavior appearing in old age were investigated. 80 subjects conducted physical and mental tests related to walking. 502 participants responded an questionnaire about difficulties level and compensation behavior related crossing behavior. As a result, old group (65+ aged) showd lower physical and cognitive ability than young group(20-44 aged and 45-64 aged). Elderly people answered higher difficulties level related to crossing behavior in complicated traffic environment as intersection, and elderly pedestrians depended on pedestrian lights. We found that the difficulties from drivers, vehicles(bicycle or bike), and pedestrian ability were higher in elderly people group than young group. And elderly pedestrians tried to find safer space before they walk cross. 본 연구는 고령보행자에 초점을 맞추어 고령기에 나타나는 보행능력의 변화를 살펴보고 고령보행자의 횡단행동 특성을 알아보았다. 80명을 대상으로 보행능력과 관련한 신체적인 능력과 정신적인 능력을 측정하였으며, 502명이 횡단행동과 관련한 어려움 및 보상행동에 대한 조사에 응해주었다. 그 결과, 고령자는 다른 연령대에 비해 보행과 관련한 신체적 기능과 정신적 기능이 떨어지는 것으로 나타났고, 젊은 연령대에 비해 고령자들은 복잡하고 처리해야 하는 정보가 많은 교통환경에서 길을 건너는 것에 대해 더 높은 어려움을 호소하였으며, 신호등에 의지하는 모습을 보였다. 횡단보행시 운전자 및 차량, 보행자 능력으로 인해 경험하는 어려움 수준도 고령자가 더 높은 것으로 나타났다. 끝으로 횡단보행시 나타나는 보상행동 가운데, 안전한 장소를 찾아 길을 건너는 행동수준이 고령기에서 가장 높았다.

서두름 행동과 A형 행동의 관계

박선진,이순철 한국문화및사회문제심리학회 2012 한국심리학회지: 문화 및 사회문제 Vol.18 No.2

This study was focused on five factors of Hasteful behavior and conducted to examine characteristics of the factors with relationship between Hasteful behavior and type A behavior. 207 adults(18-59 aged) answered the Hasteful Behavior Questionnaire and Type A Behavior Questionnaire. 136 items in established type A behavior or type A personality scale were collected. 136 items were reduced to 6 factors and 29 items. The components of Type A Behavior consists of success striving, impatience, failure anxiety, job immersion, activity, quickness. The factor analysis of Hasteful Behavior resulted in five factors. This was consistent in priority research. Each factors of Hasteful Behavior and type A behavior showed positive correlation. Hasteful behavior under time pressure had positive relations with success striving, failure anxiety, job immersion, activity, and quickness. Hasteful behavior under uncomfortable or isolation had a relation with impatience. Hasteful behavior in bordem had positive relations success striving, activity and quickness. Hasteful behavior in expectation of rewards had positive relations with success striving, impatience, failure anxiety, and quickness. 본 연구는 서두름 행동의 5요인의 특성에 초점을 맞추어, 서두름 행동과 A형 행동의 관계를 바탕으로 서두름 행동의 5요인의 특성을 밝히고자 진행되었다. 이를 위해, 만 18세 이상 59세 이하 성인 207명이 서두름 행동 질문지와 A형 행동 질문지에 응답하였다. A형 행동 질문지는 A형 행동 및 성격을 측정하는 기존 문항을 바탕으로 총 136개 문항을 수집하였다. 그리고 요인분석을 통해 6개 요인으로 이루어진 29개 문항으로 축소되었다. A형 행동의 구성요인으로 성공추구, 인내부족, 실패불안, 과제몰입, 활동성, 민첩성이 나타났다. 서두름 행동 요인분석 결과, 서두름 행동은 기존 연구와 동일한 5가지 요인으로 이루어져 있었다. 서두름 행동과 A형 행동의 상관분석 결과, 시간압력에서 나타나는 서두름 행동은 성공추구, 실패불안, 과제몰입, 민첩성과 정적상관을 보였다. 불편함에서 나타나는 서두름 행동과 고립에서 나타나는 서두름 행동은 인내심부족과 정적상관을 보였다. 지루함에서 나타나는 서두름 행동은 성공추구와 활동성 및 민첩성과 정적 상관이 있었다. 보상기대에서 나타나는 서두름 행동은 성공추구, 인내부족, 실패불안, 민첩성과 정적상관을 가지는 것으로 나타났다.

운전일탈행동과 정상운전행동이 가해사고에 미치는 영향: 경로모형 분석

박선진,이순철,엄진섭 한국산업및조직심리학회 2007 한국심리학회지 산업 및 조직 Vol.20 No.1

This paper focusing on aberrant and positive driving behaviors investigated the effects of aberrant and positive driving behaviors on crashes. Among drivers conducting DBQ(measuring aberrant driving behaviors) and the positive driving behavior questionnaire, 258 participants' data were analyzed. Result of factor analysis showed that driver behavior consisted of 'Positive Driving Behaviors’, ‘Errors’, ‘Violations’. Errors and violation factor were positively correlated with traffic accidents. Positive driving behaviors factor negatively correlated with traffic accidents. Result of regression analysis reported that amongst three factors(positive driving behaviors, errors, violations) errors was found to be significantly predictive of crashes. As expected, errors directly had effects on crashes that errors, positive driving behaviors and violations indirectly did. We identified that positive driving behaviors were negatively related with aberrant driving behaviors and crashes. 본 연구는 운전일탈행동과 정상운전행동이 운전자들의 가해사고에 어떻게 이르는지 알아보았다. 운전일탈행동과 정상운전행동을 묻는 조사지를 수행한 운전자 가운데 258명의 자료가 분석에 사용되었다. 요인분석 결과, 운전자행동은 ‘정상운전행동(Positive Driver Behaviors)’, ‘오류운전행동(Errors)’, ‘위반운전행동(Violations)’의 구조를 가지고 있었으며, 정상운전행동이 운전일탈행동과 뚜렷이 구분되는 것을 확인할 수 있었다. 운전일탈행동 및 정상운전행동과 교통사고의 관계를 살펴보기 위해 상관분석을 실시한 결과, 오류운전행동, 위반운전행동, 정상운전행동 모두 교통사고와 관련이 있는 것으로 나타났다. 가해교통사고에 대한 운전자행동 요인의 회귀분석 결과, 오류운전행동이 가장 큰 영향력을 가지고 있었다. 그리고 경로분석을 통해 운전일탈행동과 정상운전행동이 가해교통사고에 이르는 과정을 살펴보았다. 그 결과, 오류운전행동은 가해교통사고에 직접적인 영향력을 가지고 있었고, 정상운전행동과 위반운전행동은 오류운전행동을 거쳐 교통사고에 간접적인 영향력을 가지고 있는 것으로 나타났다.

세부 · 분과전문의 규정집 요약 발표

박선진 대한외과학회 2016 대한외과학회 학술대회 초록집 Vol.2016 No.5

Goblet Cell Carcinoid of the Appendix

박선진,최성일,송정윤,김용호 대한대장항문학회 2009 Annals of Coloproctolgy Vol.25 No.3

A goblet cell appendiceal carcinoid (GCAC) is an uncommon tumor. It shares the histologic features of both adenocarcinoma and conventional carcinoids. The metastatic potential of GCAC is higher than that of classic appendiceal carcinoids. Their management, whether an appendectomy alone is an adequate treatment or whether a right hemicolectomy is indicated, is still under debate. The metastatic potential of GCAC is similar to that of classic appendiceal carcinoids and depends on the tumor size and the mitosis rate. Therefore, some authors advocate a simple appendectomy, not expanding beyond the appendix adventitia, for selected patients with tumors less than 1 cm in diameter with a low mitosis rate (<2/10 HPF). Otherwise, a right hemicolectomy is indicated for all other patients to reduce the risk of developing metastatic disease. Chemotherapy is the usual treatment option for metastatic disease, but more data are required if an optimal regimen is to be determined. Finally, colonoscopy plays an important role in patients with an appendiceal adenocarcinoid because of their high risk of developing a colorectal adenocarcinoma. Recently, we discovered one case of a GCAC that was diagnosed incidentally at appendectomy. A 48-yr-old man visited the emergency department with the symptom of right lower quadrant abdominal pain. Acute appendicitis was suspected after evaluation, and a laparoscopic appendectomy was performed. The type of appendicitis was gangrenous, and there were no obvious signs of malignancy. However, a pathologic diagnosis of a goblet cell carcinoid was made. A laparoscopic right hemicolectomy was subsequently performed. The patient received 5 cycles of chemotherapy applied to the goblet cell carcinoid and has shown no other remarkable indispositions during the last 12 mo. A goblet cell appendiceal carcinoid (GCAC) is an uncommon tumor. It shares the histologic features of both adenocarcinoma and conventional carcinoids. The metastatic potential of GCAC is higher than that of classic appendiceal carcinoids. Their management, whether an appendectomy alone is an adequate treatment or whether a right hemicolectomy is indicated, is still under debate. The metastatic potential of GCAC is similar to that of classic appendiceal carcinoids and depends on the tumor size and the mitosis rate. Therefore, some authors advocate a simple appendectomy, not expanding beyond the appendix adventitia, for selected patients with tumors less than 1 cm in diameter with a low mitosis rate (<2/10 HPF). Otherwise, a right hemicolectomy is indicated for all other patients to reduce the risk of developing metastatic disease. Chemotherapy is the usual treatment option for metastatic disease, but more data are required if an optimal regimen is to be determined. Finally, colonoscopy plays an important role in patients with an appendiceal adenocarcinoid because of their high risk of developing a colorectal adenocarcinoma. Recently, we discovered one case of a GCAC that was diagnosed incidentally at appendectomy. A 48-yr-old man visited the emergency department with the symptom of right lower quadrant abdominal pain. Acute appendicitis was suspected after evaluation, and a laparoscopic appendectomy was performed. The type of appendicitis was gangrenous, and there were no obvious signs of malignancy. However, a pathologic diagnosis of a goblet cell carcinoid was made. A laparoscopic right hemicolectomy was subsequently performed. The patient received 5 cycles of chemotherapy applied to the goblet cell carcinoid and has shown no other remarkable indispositions during the last 12 mo.

신경섬유종증 1형에서 발생한 상행결장 장간막 총상형 신경섬유종

박선진,최성일,이석환,이길연 대한대장항문학회 2009 Annals of Coloproctolgy Vol.25 No.4

We report a rare case of plexiform neurofibroma involving the ascending colonic mesentery in von Recklinghausen disease. A 20-yr-old male with neurofibromatosis type I was admitted because of abdominal pain, nausea, and vomiting. On physical examination, there were multiple cafe@-au-lait spots over the patient’s entire body. An abdominal computed tomography scan showed a hypodense mass in the ascending colonic mesentery. He underwent a laparoscopic right hemicolectomy with complete excision of the mass. The histological examination showed that the mass consisted of wavy, long-spindled cells, and the immunohistochemical stain for S-100 protein confirmed the mass to be a neurofibroma of the mesentery. The patient had an uneventful postoperative course and no signs of recurrence 16 mo after operation. We report a rare case of plexiform neurofibroma involving the ascending colonic mesentery in von Recklinghausen disease. A 20-yr-old male with neurofibromatosis type I was admitted because of abdominal pain, nausea, and vomiting. On physical examination, there were multiple cafe@-au-lait spots over the patient’s entire body. An abdominal computed tomography scan showed a hypodense mass in the ascending colonic mesentery. He underwent a laparoscopic right hemicolectomy with complete excision of the mass. The histological examination showed that the mass consisted of wavy, long-spindled cells, and the immunohistochemical stain for S-100 protein confirmed the mass to be a neurofibroma of the mesentery. The patient had an uneventful postoperative course and no signs of recurrence 16 mo after operation.

Clinical Significance of Lymph Node Micrometastasis in Stage I and II Colon Cancer

박선진,이길연,김시영 대한암학회 2008 Cancer Research and Treatment Vol.40 No.2

Purpose: A 25% rate of recurrence after performing complete resection in node-negative colon cancer patients suggests that their nodal staging is frequently suboptimal. Moreover, the value of occult cancer cells in tumor-free lymph nodes still remains uncertain. The authors evaluated the prognostic significance of the pathologic parameters, including the lymph node occult disease (micrometastases) detected by immunohistochemistry, in patients with node-negative colon cancer. Materials and Methods: The study included 160 patients with curatively resected stage I or II colon cancer and they were without rectal cancer. 2852 lymph nodes were re-examined by re-do hematoxylin and eosin (H-E) staining and immunohistochemical staining. The detection rates were compared with the clinicopathologic characteristics and with the cancer-specific survival. Results: Occult metastases were detected in 8 patients (5%). However, no clinicopathologic parameter was found to be correlated with the presence of micrometastasis. Twenty patients developed recurrence at a median follow-up of 45.7 months: 14 died of colon cancer and 9 died from noncancer-related causes. Univariate analysis showed that lymphatic invasion and the number of retrieved lymph nodes significantly influenced survival, and multivariate analysis revealed that the stage, the number of retrieved lymph nodes and lymphatic invasion were independently related to the prognosis. Conclusions: Inadequate lymph node retrieval and lymphatic invasion were found to be associated with a poorer outcome for node-negative colon cancer patients. The presence of immunostained tumors cells in pN0 lymph nodes was found to have no significant effect on survival, but these tumor were identified by re-do H-E staining. Maximal attention should be paid to the total number of lymph nodes that are retrieved during surgery for colon cancer patients.