19세기 말 러시아의 음주문화와 ‘알코올리즘’

배소영 연세대학교 의학사연구소 2019 연세의사학 Vol.22 No.2

Traditionally, alcohol has been placed at the center of peasant community life in Russia. Russian peasant families lived under the control of a village community, which was given power by the regime after the Great Reforms in 1861. On holidays and at family events, peasants gathered and drank heavily as they reconfirmed their unity and solidarity. Heavy drinking and drunkenness were essential parts of community life. In the late 19th century, the tsarist regime and upper class became concerned about drinking culture of the people. As modernization and industrialization gained importance, they felt they needed to curb those heavy drinking customs and drunkenness to turn their country and its people into a more civilized society. They thought heavy drinking and drunkenness caused sabotage and led to strikes among the working class. The upper class, especially medical professionals, saw drunkenness as a disease, alcoholism. Through the 19th century, they identified themselves as being not servants for the regime but as independent experts from government professions with scientific medical knowledge from Western Europe. Medical professionals raised their voices to seek a cure and treated alcoholics with drugs, hypnotism, and sanitorium stays, which were all within their own professional area. But these attempts were rejected by the people due to the expensive cost, long duration of treatment, and more essentially, the lack of their drinking culture. 전통적으로 술은 러시아 농민들의 일상생활 한 가운데에 있었다. 특히 1861년 대개혁 이후 농민들의 삶은 농민공동체 안에서 재조직되었다. 종교 축일, 공동체 행사, 가족 행사 때마다 농민들은 한 자리에 모여 함께 술을 마시며 결속력을 다졌다. 술잔치는 대개 폭음과 만취로 끝났다. 19세기 말 차르정과 의료계는 민중의 음주문화를 사회문제로 인식했다. 근대화와 산업화가 당면과제로 떠오름에 따라 정부는 폭음과 만취를 국가적 방해물로 여겨 민중의 음주습관을 더욱 절제된 형태로 변화시키고자 했다. 의료계는 폭음과 만취를 ‘알코올리즘’이라는 질병으로 진단했다. 19세기 동안 의료계는 스스로를 독자적인 전문가 집단으로 자각하며 성장했으나 정부의 보수적 성향 또는 지방자치기구의 관료주의에 의해 활동상의 제약을 받았다. 그들은 전문직으로서의 권위와 독자적 활동영역을 보장받기 위해 술 문제를 자신들만이 치료할 수 있는 분야라고 주장하며 민중을 치료하고자 했다. 하지만 그들이 내세운 치료책은 절반의 성공만을 거두었을 뿐이다.

표면 검출과 볼륨 확장을 이용한 삼차원 물체의 선택 분할

배소영,최수미,최유주,김명희,Bae, So-Young,Choi, Soo-Mi,Choi, Yoo-Joo,Kim, Myoung-Hee 한국정보처리학회 2002 정보처리학회논문지 A Vol.9 No.1

삼차원 볼륨 영상으로부터 대상 물체를 분할하는 것은 가시화 또는 볼륨 측정을 위해서 매우 중요한 단계이다. 본 논문에서는 볼륨 가시화를 위해 널리 사용되는 르보이 필터링 방법을 개선하여 물체의 표면을 검출하는 방법을 제시한다. 그리고 형태학적 연산자를 이용하여 완전히 닫힌 표면을 생성하고 볼륨 확장 알고리즘에 의해 물체를 선택적으로 분할한다. 제시된 방법은 합성된 삼차원 구 영상과 심혈관 조영영상에 적용되었다. 이 방법을 합성된 구 영상을 사용하여 기존의 브로이 필터링과 정량적으로 비교한 결과 제시한 방법이 복셀 오차면에서 더 우수하였다. 또한 심혈관 영상을 사용하여 시각적으로 비교한 결과 역시 제시한 방법이 더 정확하였다. 본 논문에서 제시한 방법은 삼차원 영상처리에서 자주 함께 사용되는 분할, 가시화, 측정을 쉽게 연계할 수 있기 때문에 볼륨 영상의 분할을 위해 매우 효고적이다. The segmentation of target objects from three dimensional volume images is an essential step for visualization and volume measurement. In this paper, we present a method to detect the surface of objects by improving the widely used levoy filtering for volume visualization. Using morphological operators we generate completely closed surfaces and selectively segment objects using the volume growing algorithm. The presented method was applied to 3-D artificial sphere images and angiocardiograms. We quantitatively compared this method with the conventional levoy filtering using artificial sphereimages, and the results showed that our method is better in the aspect of voxel errors. The results of visual comparison using angiocardiograms also showed that our method is more accurate. The presented method in this paper is very effective for segmentation of volume data because segmentation, visualization and measurement are frequently used together for 3-D image processing and they can be easily related in our method.

2개월간 식도에 걸려 있던 낚시 바늘의 내시경적 제거

배소영,이준행,김혜정,성영경,송송이,김재준,이종철 대한소화기내시경학회 2009 Clinical Endoscopy Vol.39 No.2

An esophageal foreign body has clinical significance because it may cause serious complications such as esophageal perforation, mediastinitis and/or aorto-esophageal fistula. A prompt attempt to remove an esophageal foreign body via flexible endoscopy should be made when the shape of the foreign body is especially sharp and long as it can easily lead to esophageal perforation. We report here on a case of endoscopic removal of an impacted esophageal foreign body, a fishhook, that hade been present in the esophagus for two months, and there were no serious complications from the procedure. 식도 이물은 적절히 제거하지 않을 경우 식도 천공이나 출혈, 종격동염, 식도 대동맥루와 같은 치명적인 합병증을 유발할 수 있기 때문에 임상적으로 매우 중요하다. 특히, 식도 이물 중에서 이쑤시게, 핀, 생선 가시를 비롯한 길고 뾰족한 이물들은 식도의 천공을 유발할 수 있으므로 빠른 시일 내에 내시경적 치료를 시도해야 한다. 대부분의 식도 이물의 치료는 내시경 제거술을 1차로 시도해 볼 수 있다. 본 증례는 2개월간 낚시 바늘이 상부 식도에 걸려 있었지만 합병증이 없이 내시경으로 안전하게 제거한 경우로 문헌 고찰과 함께 보고한다.

인후두역류질환의 진단 방법으로서 Water-Siphon Test의 유용성

배소영,박혜상,박진영,백승연,장동혁,김수진,김소정,김한수,정성민,Pae, So Young,Park, Hae Sang,Park, Jin Young,Baek, Seung Yon,Jang, Dong Hyuk,Kim, Soo Jin,Kim, So Jeong,Kim, Han Su,Chung, Sung Min 대한후두음성언어의학회 2012 대한후두음성언어의학회지 Vol.23 No.2

Background and Objectives : There are many diagnostic modalities to evaluate laryngopharyngeal reflux. However, ideal diagnostic methods have not been established yet. The purpose of this study is to evaluate the effectiveness of Water-Siphon test as a diagnostic test of laryngopharyngeal reflux. Subjects and Methods : From November 2006 to September 2007, we performed esophagography with Water-Siphon test and questionnaire, physical examination for 227 patients with laryngopharyngeal reflux symptoms. The results of Water-Siphon test were classified according to the degree of reflux, the number of reflux, the retention time and analyzed about the relationship with the reflux symptom index (RSI), reflux finding score (RFS). Results : The degree of reflux was related with pseudosulcus, thick endolaryngeal mucus. The number of reflux was related with thick endolaryngeal mucus. A positive predictive value of Water-Siphon test was 82.7% and sensitivity was 91.5%. Conclusion : Water-Siphon test is a reliable diagnostic test for laryngopharyngeal reflux.

Early language and communication screening: The sensitivity and specificity of the Korean-Age and Stage Questionnaires

배소영,윤효진,Jill Gilkerson,이현숙,성인경 한국유아특수교육학회 2015 유아특수교육연구 Vol.15 No.2

The earliest possible identification of speech and language delay and delivery of speech and language intervention can be expected the most effective outcomes as well as cost-efficient. The K-ASQ is the most common screening procedure to identify early developmental delay in Korea. The purpose of the study is to examine whether K-ASQ Communication domain would provide both sensitive to identify children with language delay and specific to identify children without language delay correctly, based on comparison to K M-B CDI as a gold standard test. In this study, participants included 361 children ranging in age from 8 to 36-months-old. Results for all age groups comparing ASQ to K M-B CDI found that the cutoff –score of -2 SD below the mean on the K-ASQ had a sensitivity of 16.92%, specificity of 98.65%, positive predictive value of 73.33%, and negative predictive value of 84.39%. Further study should be carried out to develop alternative language screening instrument which is short, cost-effective, and easy to administer.

Chest Radiographic Findings of Novel Swine-Origin Influenza A (H1N1) Virus Infection in Children

배소영,홍현숙,장윤우,백상현,박성진,차장규,이혜경 대한영상의학회 2011 대한영상의학회지 Vol.64 No.6

Purpose: To analyze chest radiographic findings in children infected with laboratoryconfirmed novel swine-origin influenza A (H1N1) virus. Materials and Methods: Three hundred seventy-two out of 2,014 children with laboratory confirmed H1N1 infection and who also underwent a chest radiograph from September to November 2009 were enrolled in this study. Patients were divided into in-patients, out-patients, and patients with co-infections and further subdivided into with underlying disease and without underlying disease as well as age (<2 years old, 2-5 years, 5-10 years, 10-18 years old). The initial radiographs were evaluated for radiographic findings and the anatomic distribution of abnormalities. Results: The initial radiographs were abnormal in 154 (41.39%) patients. The predominant radiographic findings were peribronchial wall opacity found in 85 (22.84%) patients and hyperinflation observed in 69 (18.54%) patients. Further, 75 (71.42%) patients exhibited central predominance and the right lower lung zone was also commonly involved. There were statistically significant differences in the radiological findings between in-patient and out-patient groups. However, there were no significant differences in the radiographic findings between in-patients and the co-infection group with respect the presence of underlying disease and age. Conclusion: Initial radiographs of children with laboratory confirmed H1N1 virus were abnormal in 41.39% of cases. The common radiographic findings included peribronchial opacities, hyperinflation, lower lung zonal distribution, and central predominance. 목적: 신종인플루엔자(H1N1) 바이러스에 감염된 소아환자의 흉부방사선소견을 알아보고자 한다. 대상과 방법: 2009년 9월부터 11월까지 H1N1 바이러스로 감염된 환자 2,014명 중, 흉부방사선 촬영을 시행한 372명의 환자를 대상으로 하였다. 환자를 3가지 그룹으로 나누었는데 입원환자, 외래환자, H1N1 바이러스 이외의 다른 균과 동시 감염된 환자로 나누었고, 또한 기저질환의 유무와 나이에 따라 환자를 나누었다. 처음 시행한 흉부방사선촬영상의 영상소견, 양상, 이상 소견의 폐영역분포를 분석하였고, 기저질환이나 나이에 따른 흉부방사선소견의 차이도 분석하였다. 결과: 초기 흉부방사선촬영상에서 이상 소견은 154명(41.39%)의 환자에서 나타났다. 주된 영상소견은 기관지주위음영(85; 22.84%)과 과팽창(69; 18.54%)이었고, 대부분이 폐의 중심부를 침범하였으며(75; 71.42%) 오른쪽 아래폐영역을 침범하였다. H1N1 바이러스만 감염된 입원환자와 외래환자 사이에서 이러한 영상소견은 통계적으로 유의한 차이를 보였다. 그러나 H1N1 바이러스만 감염된 입원환자와 H1N1 바이러스 이외의 다른 균과 동시 감염된 환자 사이의 영상소견과 기저질환의 유무, 혹은 나이에 따른 영상소견에 유의한 차이는 없었다결론: H1N1 바이러스에 감염된 소아환자에서 초기 흉부방사선촬영상 이상소견은 41.39%에서 보였고, 기관지주위음영, 과팽창의 소견이 많았으며 대부분이 폐의 중심부, 아래 폐영역을 침범하였다.

후두 연화증 환아에서 무호흡 기법을 이용한 피열 후두개 성형술 1예

배소영,박현주,정성민,김한수 대한이비인후과학회 2008 대한이비인후과학회지 두경부외과학 Vol.51 No.10

Laryngomalacia is the most common congenital laryngeal anomaly. Usually, the symptoms of laryngomalacis are mild and the disease does not interfere with the general body growth as it resolves itself spontaneously. Occasionally, however, it causes a failure to grow, apnea or cardiopulmonary diseases. We have recently experienced a case of severe laryngomalacia neonate. Aryepiglottoplasty with apnea technique was carried out under the general anesthesia using CO2 Laser. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:942-5)

Alloderm 삽입이식을 통해 치유한 비강 내 자석에 의한 비중격 천공 1예

배소영,문경래,박혜상,이승신 대한이비인후과학회 2009 대한이비인후과학회지 두경부외과학 Vol.52 No.3

Nasal cavity foreign bodies are common accidents in children, especially between the newly born and four years of age, and sometimes lead to complications such as epistaxis, vestibulitis, sinusitis bronchoaspiration and nasal septal damage etc. Diagnosis is often made with anterior rhinoscopy, but sometimes nasal fibroendoscopy and imaging may be useful. If the diagnosis is confirmed, prompt foreign body removal should be done to avoid complications. We have recently experienced a case of nasal septal perforation secondary to magnetic nasal foreign bodies attracting each other across the nasal septum. After the removal of foreign bodies, the nasal septal perforation was repaired with acellular human dermal allograft.

지속가능한 한류 문화콘텐츠와 관광을 위한 정책 방향

배소영 한국문화관광연구원 2021 한국관광정책 Vol.- No.86

Primary Pulmonary Chordoid Meningioma

배소영,김혜선,장효준,정원상,김혁,김영학,이준호,방성식 대한흉부외과학회 2018 Journal of Chest Surgery (J Chest Surg) Vol.51 No.6

Primary pulmonary meningioma is a rare disease, and chordoid meningioma is an uncommon variant of meningioma in the central nervous system (CNS) with a high recurrence rate. We report a case of primary pulmonary chordoid meningioma that presented as a solitary pulmonary nodule (SPN). The SPN was resected by thoracoscopic wedge resection and was revealed to have characteristics of chordoid meningioma. After confirming the absence of a meningioma in the CNS by brain imaging, the nodule was diagnosed as a primary pulmonary chordoid meningioma. The patient remained disease-free after 26 months postoperatively. To our knowledge, this is the third case of primary pulmonary chordoid meningioma to be reported.