임상연구 : 제왕절개술을 위한 저용량 척추-경막외 병용 마취 시 교질용액의 동시투여가 혈역학과 Phenylephrine의 요구량에 미치는 영향

이숙영 ( Suk Young Lee ),최덕환 ( Duck Hwan Choi ),박효원 ( Hyo Won Park ) 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.6

Background: Ephedrine has been recommended as the best vasopressor in obstetrics. But, recent clinical evidences show the possibility that phenylephrine has become more pertinent as a primary vasopressor. We think a phenylephrine infusion with colloid co-hydration will be more useful in maintaining baseline blood pressure in combined spinal-epidural anesthesia (CSEA) for cesarean section. Methods: CSEA was performed using 6 mg bupivacaine and 20 μg fentanyl as a spinal and 10 ml of 0.25% levobupivacaine as an epidural in randomized, colloid co-hydration (hydroxyethl starch, HES 500 ml) (group C, n = 34) or no colloid co-hydration (group N, n=34) parturients scheduled to undergo cesarean delivery. After an infusion of 100 μg phenylephrine following the spinal injection, phenylephrine was intermittently infused using a PCA-pump to maintain the baseline blood pressure (BP). Systolic BP and heart rate (HR) were checked and total phenylephrine amount was measured. Nausea and vomiting and fetal umbilical pH/base excess (BE) were also investigated. Results: There was a lower incidence of bradycardia in the C group compared with the N group (5.9% vs. 32.4%, p = 0.014), and total phenylephrine consumption was less in the C group (400 μg vs. 500 μg, p = 0.019). The incidence of reactive hypertension (11.8% vs. 55.9%, p < 0.001), and the hypotension (0% vs. 11.8%, p = 0.114) were lower in the C group, too. The others were comparable in both groups. Conclusions: Colloid co-hydration was effective in reducing the phenylephrine use and the incidences of abnormal hemodynamics such as hypotension, bradycardia and hypertension in low-dose CSEA for cesarean delivery. (Korean J Anesthesiol 2008; 55: 685~90)

증례보고 : 성문상 종양에 의한 성문 폐쇄 환자에서의 기관 내 삽관

이숙영 ( Suk Young Lee ),함태수 ( Tae Soo Hahm ),진현승 ( Hyun Seung Jin ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.1

Intubation in patients with an obstruction of the glottis due to a large mass may present great challenge to most anesthesiologists. If tracheostomy is not available, flexible fiberscope guided endotracheal intubation is now the part of the standard management in these cases, but difficulty in advancing the tracheal tube over the fiberscope and into the trachea may be encountered. In this case, a 60-year-old male with a huge supraglottic mass was given general anesthesia for laryngomicroscopic surgery and debulking of the mass lesion. We planned an awake flexible fiberoptic intubation but failed to railroad the tube over the fiberscope even after successfully placing the scope inside the trachea. During various attempts to pass the tracheal entrance, the patient coughed and the tube slid into the trachea as mass moved aside and we could successfully secure the airway. (Korean J Anesthesiol 2009;56:87~91)

국내 학술지 아동 대상 원예치료 논문의 연구 경향 분석

이숙영(Suk Young Lee), 장유진(Eu Jean Jang), 김종윤(Jongyun Kim) 인간식물환경학회 2023 인간식물환경학회 학술대회 Vol.2023 No.1

정신지체 환자에서 동반된 Eruptive Vellus Hair Cyst 1예

이숙영 ( Suk Young Lee ),손현옥 ( Hyun Ok Son ),천신욱 ( Sin Wook Chun ),김종백 ( Jong Baik Kim ),조한경 ( Han Kyung Cho ),노병인 ( Byung In Ro ),최한규 ( Han Gyu Choi ) 대한피부과학회 2017 大韓皮膚科學會誌 Vol.55 No.5

Eruptive vellus hair cysts (EVHCs) are small, red- or brown-colored cystic papules that usually occur on the chest and proximal extremities of children and adults. Histologically, these small cysts are observed in the mid-dermis and contain multiple hair shafts and keratinous material. Pathogenesis of EVHC has not been completely understood. A 40-year-old man with mental retardation presented with multiple bluish papules on his back. A biopsy specimen showed features of eruptive vellus hair cysts. We report a case of EVHC that occurred at an unusual site in a patient with mental retardation. (Korean J Dermatol 2017;55(5):290∼292)

감염병으로 인한 태권도선수들의 스트레스가 운동지속 및 중도탈락에 미치는 영향

이숙영(Suk-Young Lee),김보정(Bo-Jeong Kim) 한국발육발달학회 2022 한국발육발달학회지 Vol.30 No.4

This study examined the effects of stress in taekwondo athletes due to infectious diseases on exercise sustaining and dropout, and a survey of 201 taekwondo athletes drew the following conclusions: It was used as an SPSS 27.0 program for data processing on the survey results of this study, and was analyzed with exploratory factor analysis and Cronbachs alpha coefficient, and the independent sample t test and one-way ANOVA were used for each group difference, and the post-test was confirmed by applying scheffe. The correlation by factor was performed using pearsons correlation analysis and a mid-multi-regression analysis was performed to determine the effect on the exercise duration factor and dropout factor due to stress. The criterion according to the statistical processing was α=.05. First, among the general characteristics of taekwondo athletes stress, male athletes showed a higher significant difference than female athletes by gender, and in the grades, 4th grade showed a higher significant difference than 2nd grade. Significant differences in leisure stress were found in the differences between the events, and a detailed factor was identified through a post-mortem test and found that the contestants had a statistically significant difference over the demonstrators. As a result of identifying the difficulties caused by infectious diseases, the difficulties associated with infection in training stress were higher on average than there were none, and there was a statistically significant difference. Second, an analysis of the correlation between factors of stress showed that guidance stress was significantly correlated with leisure stress. Training stress has been shown to have a significant correlation between exercise friends and leisure stress. Third, an analysis of the factor-specific correlation of dropouts showed that tendencies were significantly correlated with likelihood and infectivity, and that they also had a significant correlation with exercise friends. Likelihood has been shown to have a significant correlation between infectious and static correlation. Fourth, the correlation between factors of exercise duration was analyzed and found that exercise ability was significantly correlated with exercise habits, exercise environment, exercise interest, and exercise friends. Exercise habits have been shown to have a significant correlation between exercise environment and exercise interest, and exercise environment has been shown to have a significant correlation between exercise interest and exercise friends.

고양시 소재 명지병원 피부과 환자의 통계적 고찰(2009∼2013)

이숙영 ( Suk Young Lee ),최한규 ( Han Gyu Choi ),노병인 ( Byung In Ro ),조한경 ( Han Kyoung Cho ) 대한피부과학회 2015 대한피부과학회지 Vol.53 No.2

Background: Data regarding the incidence rates of skin diseases that are held by general hospitals provide readily available sources of information that may be representative of the provinces they serve. The population of Goyang city has increased rapidly. Hence, a statistical study of the latest data is necessary. Objective: This study aimed to investigate the prevalence rates of common dermatoses in Goyang city and to compare these with previous findings. Methods: We reviewed the records of 21,693 outpatients who visited the Department of Dermatology at Myongji Hospital from 2009 to 2013, and we statistically analyzed the findings. Results: Of the 21,693 outpatients’ records reviewed, 9,939 (45.8%) were male patients and 11,754 (54.2%) were female patients. Patients most frequently presented with dermatoses in the fourth decade of life (16.0%), followed by the first (15.2%), fifth (15.0%), and third (13.1%) decades of life, and these four age groups comprised 59.3% of the total number of outpatients. The 15 most common dermatoses were dermatophytoses, alopecia, other eczematous conditions, urticaria, herpes zoster infections, viral warts, atopic dermatitis, allergic contact dermatitis, seborrheic dermatitis, acne, irritant contact dermatitis, benign epidermal tumors, melanocytic nevi, molluscum contagiosum, and pruritus. Diseases that occurred frequently during the summer were dermatophytoses, urticaria, irritant contact dermatitis, herpes zoster infections, and molluscum contagiosum. Diseases that occurred frequently during the winter were other eczematous conditions, atopic dermatitis, and melanocytic nevi. Viral warts and acne occurred frequently in summer and winter. Seborrheic dermatitis, dermatophytoses, molluscum contagiosum, viral warts, alopecia, and benign epidermal tumors showed higher frequencies in males than in females, whereas allergic contact dermatitis, irritant contact dermatitis, herpes zoster infections, melanocytic nevi, urticaria, pruritus, acne, and other eczematous conditions showed higher frequencies in females than in males. Conclusion: Compared with previous studies, the current population of Goyang city showed higher levels of herpes zoster infections and viral warts.(Korean J Dermatol 2015;53(2):106∼112)

이달의 엑스선 사진 : 기관(Trachea) 폐쇄를 일으킨 종물

이숙영 ( Suk Young Lee ),최영미 ( Young Mi Choi ),김치홍 ( Chi Hong Kim ),권순석 ( Soon Seog Koun ),김영균 ( Young Kyoon Kim ),김관형 ( Kwan Hyoung Kim ),문화식 ( Hwa Sik Moon ),송정섭 ( Jeong Sup Song ),박성학 ( Sung Hak Park 대한결핵 및 호흡기학회 1994 Tuberculosis and Respiratory Diseases Vol.41 No.2

경추성 두통 환자에서 제3 후두신경의 양극탐침을 이용한 박동성 고주파 신경차단술

이숙영 ( Suk Young Lee ),심우석 ( Woo Seog Sim ),이상민 ( Sang Min Lee ),장인영 ( In Young Chang ) 대한통증학회 2008 The Korean Journal of Pain Vol.21 No.2

HRD연구 학술지의 저술 특성과 연구 생산성 분석

이숙영 ( Lee¸ Suk-yeong ),이영민 ( Lee¸ Young-min ) 한국인력개발학회 2020 HRD연구 Vol.22 No.4

본 연구는 HRD분야의 대표적 학술지인 한국인력개발학회 ‘HRD연구’에 발표된 논문을 대상으로, 저자의 저술 특성과 연구 생산성을 종단적·시계열적으로 분석하는 것이 목적이다. ‘HRD연구’의 1999년부터 2019년 총 21권 4호까지 게재된 총 431편의 논문을 대상으로, 저자들의 저술 특성을 파악하기 위하여 저술유형, 편당저자수, 소속기관, 논문발표 실적, 저자의 연구지속성을 분석하였고, 저자들의 연구생산성을 분석하기 위하여 계량서지학에서 많이 활용되는 Lotka 법칙을 적용하였다. 저자의 저술 특성을 분석한 결과 첫째, 단독저술보다는 2인 이상 공동저술 비중이 점점 높아지는 경향이 있다. 둘째, 논문 1편당 저자 수도 지속적으로 증가하였다. 셋째, 저자들은 학생이나 교수 및 강사 등의 신분으로 소속되어 있는 대학교가 가장 많았고, 다음으로 정부부처·산하기관, 기업, 연구소의 순으로 빈도수가 높게 나타났다. 넷째, 저자들 다수는 한 편의 논문을 발표하고, 그 이상 저술 활동을 하지 않는 경향도 많았다. 다섯째, 저자들의 연구생산성 측면에서 보면 소수의 연구자가 다수의 논문을 저술하는 것으로 파악되었다. 이상의 연구결과, ‘HRD연구’ 학술지의 연구방향은 양적·질적으로 보다 효과적인 생산성 연구 성과를 높이기 위해서는 횡단적이거나 종단적인 연구가 병행되어, 사회적인 패러다임의 변화를 통하여 객관적이고 통합적인 HRD연구 체계를 구축하는데 기여할 것을 제안하였다. This study is to analyze the author's writing characteristics and research productivity in a longitudinal and time-sequential manner, targeting the papers published in 'HRD Research', a representative academic journal in the HRD field. The author's writing type, number of authors per edition, affiliated institution, publication performance, and author's research persistence was analyzed, and the Lotka law, which is widely used in bibliographical science, was applied to analyze the authors' research productivity targeting the total 431 papers published in 'HRD Research' from 1999 to 2019. As a result of analyzing the characteristics of authors' writings, first, there is a tendency that the proportion of co-authoring with two or more people increase gradually rather than single writings. Second, the number of authors per manuscript increased continuously. Third, it was plenty that authors belonged to universities, by a status of students, professors, and lecturers, followed by government ministries and affiliates, companies, and research institutes. Fourth, many of the authors published one paper, and there was a tendency that they did not write more than one. In terms of the research productivity of the authors applying Lotka law, it was found that a small number of researchers write multiple papers. As a result of the above research, the research direction of the journal 'HRD Research' suggested to contribute in conducting objective and integrated HRD research system through a change of social paradigm with corss-sectional or longitudinal research to improve the results of the research more quantitatively and qualitatively.

증례보고 : 산후 두통 중 뇌내 출혈과 경막 천자에 의한 두통의 감별 -증례보고-

이숙영 ( Suk Young Lee ),권민아 ( Min Ah Kwon ),최덕환 ( Duck Hwan Choi ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.6

We report a patient with a postpartum headache, who was later diagnosed with an intra cerebral hemorrhage. She underwent a cesarean section under the combined spinal-epidural anesthesia, and complained of a suspicious post-dural puncture headache (PDPH) in the puerperium. The headache was partially improved with analgesics and she was discharged. The day after discharge, the headache became aggravated and she visited our labor floor for further treatment. An epidural blood patch (EBP) was performed because the headache regarded as aggravation of PDPH. However, hemiparesis and dysarthria developed 40 minutes after the EBP. Computed tomography was revealed an intracerebral hemorrhage in the right side basal ganglia. She was transferred to the neurosurgical intensive care unit. She was treated conservatively and has almost completely recovered. This case highlights the need to consider an intracranial hemorrhage, a cerebrovascular accident, nonspecific headache and PDPH when making a differential diagnosis of postpartum headache, particularly when an atypical postpartum headache is noted. (Korean J Anesthesiol 2006; 50: 727~30)