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RISS 인기검색어
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- 저자 : Masterson (검색결과 4 건)
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Survey of Microsurgery Training Availability in US Urology Residency Programs
Masterson Thomas A.,Nackeeran Sirpi,Rainer Quinn,Hauser Nicholas,Marcovich Robert,Ramasamy Ranjith 대한남성과학회 2021 The World Journal of Men's Health Vol.39 No.2
Purpose: The Accreditation Council of Graduate Medical Education (ACGME) establishes surgical minimum numbers of cases for urologic training. Currently there is not a requirement for microsurgery, likely from a belief that programs do not offer exposure. In an effort to evaluate the availability of microsurgery training among urology residency programs we surveyed the programs. Materials and Methods: We obtained a list of the 138 ACGME-accredited urology residencies and contact information the American Urology Association (AUA). We contacted the residency programs by phone and e-mail. For programs that did not reply, we performed a search of the program website. We answered 3-questions to assess resident subspecialty training in microsurgery and used penile implant and artificial urinary sphincters as a comparison. Data are reported as frequencies. Results: We obtained data from 134 programs (97.1%). A total of 104 programs (77.6%) had fellowship-trained physicians for training in microsurgery, 86.6% for penile implants, and 88.8% for artificial urinary sphincters. The percentage of fellowshiptrained microsurgeons per program did not vary significantly when comparing the different sections of the AUA. The northeast and southeast sections had the lowest percentage (67% and 68%). Conclusions: Nearly 80% of urology residency programs have a fellowship-trained microsurgeon on faculty, we therefore believe that microsurgery should be added as part of the ACGME minimums. In order to provide an equal exposure to all graduating urology residents, urology residency programs that lack microsurgery should identify potential faculty with fellowship training.
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John M. Masterson,Nachiketh Soodana-Prakash,Amir S. Patel,Atil Y. Kargi,Ranjith Ramasamy 대한남성과학회 2019 The World Journal of Men's Health Vol.37 No.1
Purpose: To characterize the population of hypogonadal men who presented to a tertiary academic urology clinic and evalu-ate risk factors for primary vs. secondary hypogonadism. Materials and Methods: We evaluated all men with International Classification of Diseases-9 diagnosis codes R68.82 and 799.81 for low libido, 257.2 for testicular hypofunction, and E29.1 for other testicular hypofunction at a tertiary academic medical center from 2013 to 2017. We included men who had testosterone (T) and luteinizing hormone (LH) drawn on the same day. We classified men based on T and LH levels into eugonadal, primary, secondary, and compensated hypogonad-ism. Risk factors including age, body mass index (BMI) over 30 kg/m2, current smoking status, alcohol use greater than 5 days per week, and Charlson comorbidity index greater than or equal to 1 were investigated and measured in each group using the eugonadal group for reference. Results: Among the 231 men who had both T and LH levels, 7.4%, 42.4%, and 7.4% were classified as primary, secondary, and compensated hypogonadism, respectively. Only elevated BMI was associated with secondary hypogonadism compared to eugonadal men (median BMI, 30.93 kg/m2 vs. 27.69 kg/m2, p=0.003). BMI, age, comorbidities, smoking, or alcohol use did not appear to predict diagnosis of secondary hypogonadism. Conclusions: Secondary hypogonadism appears to be the most common cause of hypogonadism among men complaining of low T and decreased libido at a tertiary academic medical center. Secondary hypogonadism is associated with elevated BMI and therefore obesity should be used as a marker to evaluate men for both T and LH levels.
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고자질은 나쁜 말인가? : 놀이공간을 배회하는 어린이들을 돕는 방법
Katharine C,Kersey and Marie L,Masterson,김은희 역 대한어린이교육협회 2010 어린이교육 Vol.- No.12
어린이들이 괴롭힘을 당한다면 가장 흔하게 생각하는 전략이 교사에게 혹은 성인으로부 터 도움을 요청하는 것이다(American School Health Association, 2005). 교사가 어린이들 의 가장 큰 울분이 무엇인지를 물었을 때 가장 빈번한 답변 중 하나는 고자질하기이다. 교 사와 유아간의 주요한 관계의 단절은 어린이들이 도움을 요청하러 교사에게 왔을 때 교사 가 화가 나고 짜증나는 기분을 느끼기 때문에 일어난다(Gartrell, 2007; National Education Association, 2009). 교사들은 어린이들이 불만을 가지고 올 때 왜 더욱 수용적이지 못하고 도움이 되지 못하는 것일까?(Charach, Pepler, & Ziegler, 1995) 왜 어린이들은 고자질하기 때문에 격리되고 창피를 당해야 하는 가?(Brewster & Railsback, 2001; Cohn & Canter, 2006; Skiba & Fontanini, 2000) 교사들은 하루에 여러 번 고자질하는 것을 들어야할 지도 모르고 그 결과 시간을 소비 하는 성가신 일이 되어버렸을 수도 있다. 그러다보니 교사들은 걱정을 최소화하려하고 때 로는 “Sammy는 오늘 힘든 것뿐이야. 놀이할 다른 사람을 찾아보자”와 같이 말하면서 괴롭 히는 아이들을 변명하려고 한다. 다른 교사들은 살아가기 위해 어린이들이 더욱 강해지는 것은 중요하다고 느끼며 성가신 일을 참고 견디는 것을 성장의 한 부분으로 여긴다.
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