대한갑상선학회 갑상선분화암 진료권고안; Part I. 갑상선분화암의 초기치료 - 제2장 갑상선분화암의 적절한 초기 수술 2024

조윤영 대한갑상선학회 2024 International Journal of Thyroidology Vol.17 No.1

The primary objective of initial treatment for thyroid cancer is minimizing treatment-related side effects and unnecessary interventions while improving patients’ overall and disease-specific survival rates, reducing the risk of disease persistence or recurrence, and conducting accurate staging and recurrence risk analysis. Appropriate surgical treatment is the most important requirement for this purpose, and additional treatments including radioactive iodine therapy and thyroid-stimulating hormone suppression therapy are performed depending on the patients’ staging and recurrence risk. Diagnostic surgery may be considered when repeated pathologic tests yield nondiagnostic results (Bethesda category 1) or atypia of unknown significance (Bethesda category 3), depending on clinical risk factors, nodule size, ultrasound findings, and patient preference. If a follicular neoplasm (Bethesda category 4) is diagnosed pathologically, surgery is the preferred option. For suspicious papillary carcinoma (suspicious for malignancy, Bethesda category 5), surgery is considered similar to a diagnosis of malignancy (Bethesda category 6). As for the extent of surgery, if the cancer is ≤1 cm in size and clinically free of extrathyroidal extension (ETE) (cT1a), without evidence of cervical lymph node (LN) metastasis (cN0), and without obvious reason to resect the contralateral lobe, a lobectomy can be performed. If the cancer is 1-2 cm in size, clinically free of ETE (cT1b), and without evidence of cervical LN metastasis (cN0), lobectomy is the preferred option. For patients with clinically evident ETE to major organs (cT4) or with cervical LN metastasis (cN1) or distant metastasis (M1), regardless of the cancer size, total thyroidectomy and complete cancer removal should be performed at the time of initial surgery. Active surveillance may be considered for adult patients diagnosed with low-risk thyroid papillary microcarcinoma. Endoscopic and robotic thyroidectomy may be performed for low-risk differentiated thyroid cancer when indicated, based on patient preference.

세계화와 남북한관계의 변화 : 국제갈등해소론관점에서

조윤영 성균관대학교 사회과학연구소 2001 社會科學 Vol.40 No.1

This paper intends to examine the changing relationship between South and North Korea in the era of globalization. Conflict resolution approach is adopted to analyze the South-North Korean relationship. In the recent decades, there have been fundamental changes in the nature and scope of international politics. The extent of the changes go well beyond the mere end of the Cold War and reconciliation between the superpowers. As of yet, the world is still at a stage of transformation where competing forces and dynamics operates at different levels of interactions. Although the superpower rivalry has ended, the world is not a more peaceful place. New conflict formations are replacing the old ones and new threats are emerging. This phenomena is one of the feature of globalization process. Korean conflict still remains locked in a Cold War framework and appears to be far from any immediate resolution despite the South-North Korean summit in 2000. Thus, the question for inter-Korean relations in the globalization era is how to transform the nature of their relationship from one of confrontation into one of peaceful coexistence, and finally, peaceful reunification. This study will address this question by examining the history of the Korean negotiation process since 1971, with the application of conflict resolution approach. This approach emphasizes the stage of prenegotitation, high quality agreement, negotiation strategies and tactics, and implementation. This study concludes that the conflict resolution approach has more explanatory power with respect to the resolution of contentious issues through negotiations. Finally this paper attempts to bridge the gap between the theory and practice of conflict resolution by outlining practical implications for North- South Korean negotiations.

FCST 음양균형장치를 위주로 한 특발성 척추측만증 치료 1예

조윤영,신지혜,남해인,선승호,이영준,Cho, Yoon-Young,Shin, Ji-Hye,Nam, Hae-in,Sun, Seung-Ho,Lee, Young Jun 턱관절균형의학회 2015 턱관절균형의학회지 Vol.5 No.1

본 증례에서는 척추측만증과 척추후만증과 이에 동반한 증상에 대해 음양균형장치와 한약 처방을 통해 증상이 호전되는 결과를 관찰하였다. 음양균형장치를 통해 턱관절을 조절하는 기능적뇌척주요법의 치료가 척추의 구조적 불균형을 개선시킴을 관찰하였다. The purpose of this study was to report the effect of Yinyang balancing appliance (YBA) of Functional Cerebrospinal Therapy (FCST) and Korean medicine methods treating idiopathic scoliosis. YBA was applied for 146 times from 29th March 2014 to 5th September 2015. Herbal medicine used for treatment were Yeonggamgangmisinhaintang, Eokgansangagambang, Gamihangchetang. The change of symptoms was evaluated by Visual Analogue Scale. When treated with YBA and herbal medicine, the patient showed improvement. After about 1 year, the patient was recovered completely. This case showed that YBA and herbal medicine can be effective to improve idiopathic scoliosis.

No Association of Insulin-like Growth Factor Gene Polymorphisms with Survival in Patients with Colorectal Cancer

조윤영,김종광,채의수,손상균,강병욱,문준호,전성우,박준석,박진영,최규석 대한암학회 2011 Cancer Research and Treatment Vol.43 No.3

Purpose Insulin-like growth factors (IGF) regulate a wide range of biological functions including cell proliferation, differentiation, and apoptosis through paracrine and autocrine mechanisms. Accordingly, the present study analyzed polymorphisms of IGF genes and their impact on the prognosis for patients with colorectal cancer. Materials and Methods Four hundred and two consecutive patients with curatively resected colorectal adenocarcinoma were enrolled in the present study. The genomic DNA was extracted from fresh colorectal tissue and 8 polymorphisms of IGF genes determined using a real-time polymerase chain reaction genotyping assay. Results Pathologic stages after surgery were as follows: stage 0/I (n=85, 21.1%), stage II (n=147,36.6%), stage III (n=145, 36.1%), and stage IV (n=25, 6.2%). Multivariate survival analysis including stage, age, site of disease, and carcinoembryonic antigen level showed that the progressionfree survival for patients with the IGF2 +1280 GG genotype was slightly better than for the patients with the combined IGF2 +1280 AA and AG genotype (p=0.056), although there was no significant difference in the overall survival. However, the other polymorphisms were not associated with survival. Conclusion None of the 8 IGF1 or IGF2 gene polymorphisms investigated in this study were found to be independent prognostic markers for Korean patients with surgically resected colorectal cancer.

기독대학생의 진로태도성숙에 영향을 미치는 변인들 간의 경로분석

조윤영,최봉도 한국실천신학회 2016 신학과 실천 Vol.0 No.48

본 연구는 기독대학생이 가진 하나님 이미지가 신앙성숙과 자아존중감을 매개변인으로 진로태도성숙에 미치는 영향을 경로분석을 통해 밝히는 데 목적이 있다. 변수로는 기독대학생이 가지는 하나님 이미지를 긍정적 이미지, 부정적 이미지, 중립적 이미지로 구분하여 독립변수로 설정하였고, 신앙성숙과 자아존중감을 매개변수, 진로태도성숙을 종속변수로 설정하였다. 본 연구방법은 서울권, 중부권, 영남권의 기독대학생 432명을 대상으로 설문조사 결과를 자료로 사용하였다. 자료 처리는 SPSS 18.0을 이용하여 기술통계, 신뢰도 분석, 상관관계분석을 하였고, AMOS 18.0 통계프로그램으로 경로분석을 위해 가설검증 및 모형의 적합도, 경로계수, 경로효과를 검증하고 분석하였다. 연구 결과는 첫째, 긍정적 하나님 이미지는 신앙성숙에만 직접적인 정적관계가 있는 것으로 나타났고, 자아존중감과 진로태도성숙에 간접적 정적관계가 나타났다. 긍정적 하나님 이미지는 신앙성숙과 자아존중감을 매개로 진로태도성숙에 영향을 주었다. 둘째, 부정적 하나님 이미지는 신앙성숙과 자아존중감에 직접적인 부적관계가 나타났고, 자아존중감과 진로태도성숙에 간접적 부적관계가 나타났다. 부정적 하나님 이미지는 신앙성숙과 자아존중감을 매개로 진로태도성숙에 영향을 주었다. 셋째, 중립적 하나님 이미지는 신앙성숙에만 직접적인 정적관계가 나타났고, 자아존중감과 진로태도성숙에 간접적인 정적관계가 나타났다. 중립적 하나님 이미지는 신앙성숙과 자아존중감을 매개로 진로태도성숙에 영향을 주었다. 넷째, 신앙성숙은 자아존중감과 진로태도성숙에 직접적인 정적관계가 나타났고, 자아존중감은 진로태도성숙에 직접적인 정적관계가 나타났다. 여러 경로 중 긍정적 하나님 이미지 → 신앙성숙 → 진로태도성숙의 경로가 가장 큰 효과를 보였다. 본 연구는 긍정적 혹은 중립적 하나님 이미지 형성이 자아존중감에 직접적인 영향을 주지 않고 신앙성숙을 통한 간접적 유의관계로 자아존중감과 진로태도성숙에 영향을 미친다는 것을 밝힌다. 반면 부정적 하나님 이미지는 신앙성숙 뿐만 아니라 자아존중감에 직접적인 부적 유의관계를 가지며 진로태도성숙에 간접적인 영향을 미친다는 것을 밝힌다. This paper explores Jean Piaget’s cognitive developmental stage theory, and the children’s understanding of death in relation to their intellectual development. In particular, I examine children’s perception of death focusing on the preoperational and concrete operational stage of cognitive development. These two stages are viewed as an intermediate period which prepares and organizes concrete thinking, which in turn, prepares for the final period of formal thinking. The final period of formal operations, during adolescence, involves the integration and culmination of earlier periods in which the mature adult level of cognitive structure and function is obtained. In this sense, developmental stages are influential to form of adults’ thinking. To understand children’s perceptions of death in accordance with their developmental stage help parents and teachers establish foothold so as to teach them about death at home and school. From this understanding and knowledge, teachers can comfort appropriately them and help children express their feelings of anger, guilt, sadness, frustration in early time of the loss. In addition, it is important for parents and teachers to take death education so that they can give children correct lessons about death. In this paper, I suggest effective ways of teaching children about death and helping grieving children for parents, teachers, and religious leaders.

코로나19, 국악의 현황과 과제

조윤영 한국예술융합학회 2021 예술융합연구 Vol.2 No.-

전통의 대중화라는 과제를 안고 고군분투(孤軍奮鬪)하던 국악계는 코로나19로 인한 패러다 임 전환기에 TV프로그램의 변화와 함께, 다른 공연예술계와 마찬가지로 많은 변화를 겪고 있다. 본고는 우리나라 국민의 국악향유 실태를 알아보고, 코로나 19, 팬데믹 상황의 국악계 의 변화와 현황을 살펴보았으며, 위드 코로나(With Corona)를 대비해야 하는 국악계의 과제 를 첫째, 영상미(映像美) 확장. 둘째, 서구(西歐)음악어법 탈피. 셋째, 경계의 붕괴. 넷째, 패 러다임의 전환 등으로 제시하였다. The Korean traditional music industry, which struggled with the task of popularization of tradition, is undergoing many changes like other performing arts circles along with changes in TV programs during the paradigm shift caused by COVID-19. This paper examines the actual status of Korean people enjoying Korean traditional music, and examines the changes and status of the Korean traditional music industry in the COVID-19 pandemic situation and presented the task of the Korean traditional music industry to prepare for with COVID-19. First, the visual beauty extension. Second, breaking away from Western musical grammar. Third, the collapse of the boundaries. Fourth, paradigm shift.

김정은 체제의 반사회주의⋅비사회주의 대응전략

조윤영 국가안보전략연구원 2023 국가안보와 전략 Vol.23 No.1

This paper analyzed North Korea’s anti-socialist and non-socialist counterstrategies after the establishment of the Kim Jong-un regime. In the 1970s and 1980s, only the word ‘non-socialism’ was used in North Korea as the meaning of old customs and superstitions, and the North Korean authorities responded with ideology education projects. Non-socialism under the Kim Jong-un regime was more widely applied than before and was subject to legal punishment. Among non-socialism, the act of threatening the system was defined as ‘anti-socialism,’ and an organization for monitoring and cracking down on residents was also formed. The Kim Jong-un regime has adhered to the counterstrategies established during the Kim Jong-il regime but has dealt with them with stricter and enhanced means of control when deemed to pose a threat to the regime. In particular, the Kim Jong-un regime showed characteristics of further strengthening its anti-socialist and non-socialist responses, such as the enactment of the ‘Reactionary Ideology and Culture Rejection Act’ amid the so-called triple whammy of the breakdown of the 2019 North Korea-United States Hanoi Summit, sanctions on North Korea, and the blockade caused by COVID-19. This strengthening of the response intensity can be seen as proportional to the regime crisis felt by the Kim Jong-un regime itself. Through observations on the North Korean regime’s non-socialist and anti-socialist counterstrategies, it is able to determine the North Korean regime’s sense of crisis. Therefore, further research should be conducted. 이 글은 김정은 체제 확립 이후 북한의 반사회주의⋅비사회주의 대응전략에 대해 분석했다. 1970∼1980년대 북한에서는 낡은 풍습, 미신 등을 의미하는 의미로 ‘비사회주의’라는 말만 통용됐으며, 북한 당국은 사상 교양사업으로 대응했다. 김정일 체제에서 비사회주의는 이전보다 폭넓게 적용되었으며 법적인 처벌 대상이 되었다. 비사회주의 중에서 체제를 위협하는행위를 ‘반사회주의’로 규정하고, 주민 감시⋅단속 조직도 결성됐다. 김정은 정권은 김정일 때 확립한 대응전략을 고수하면서도 체제에 위협이 된다고 판단될 때는 더욱 엄격하고 강화된 통제수단으로 대처해왔다. 특히 김정은 정권은 2019년 하노이 북미 정상회담의 결렬, 대북제재, 코로나-19로인한 봉쇄 등 이른바 삼중고 속에서 ‘반동사상문화배격법’의 제정 등 반사회주의⋅비사회주의 대응 강도를 더욱 높였다. 이러한 대응 강도의 강화는김정은 정권 스스로 느끼는 체제 위기에 비례한다고 볼 수 있다. 북한 당국의 반사회주의⋅비사회주의의 대응전략에 관한 관찰은 북한 정권의 체제위기의식을 판단할 수 있어 향후 지속적인 연구가 필요하다. |

르포 - 치열한 극복의 현장 후쿠시마

조윤영,Jo, Yun-Yeong 한국원자력산업회의 2018 원자력산업 Vol.38 No.3

사례 1 : 가정복지 케이스웍 사례연구

조윤영 어린이재단 (구 한국복지재단) 1988 사회복지관 사례연구 Vol.4 No.-

DCF 모델과 파이썬으로 구현한 블랙숄즈 모델을 이용한 우아한형제들 합병 적절성 평가

조윤영 한국산업경영시스템학회 2020 한국산업경영시스템학회 학술대회 Vol.2020 No.춘추계