드문 원인에 의한 횡문근융해증; 제 1형 파라인플루엔자 감염과 고나트륨혈증 각 1례

박숙현,황영주,조민현,고철우,Park, Sook-Hyun,Hwang, Young-Ju,Cho, Min-Hyun,Ko, Cheol-Woo 대한소아신장학회 2009 Childhood kidney diseases Vol.13 No.2

횡문근융해증은 횡문근 손상에 의해 근육을 구성하는 세포 성분들이 혈액 내로 유리되면서 발생하는 증후군으로 다발성 외상, 약물 또는 알코올 남용, 전해질 불균형, 세균과 바이러스 감염, 극심한 운동, 고체온과 저체온, 고혈당과 저혈당 등 매우 다양한 원인들에 의해 발생할 수 있다. 저자들은 고나트륨혈증과 제 1형 파라인플루엔자 감염에 의한 횡문근융해증을 경험하였기에 이를 보고하는 바이다. Rhabdomyolysis, the clinical syndrome caused by the injury to skeletal muscle resulting in the release of muscle cell contents into the systemic circulation, has been described in association with various factors. The causes include crush injury, skeletal muscle overuse, heat, drug, abuse of alcohols and metabolic disorders as well as several types of viral and bacterial infections. We report two cases of rhabdomyolysis, which were complicated by uncommon causes, parainfluenza virus type I infection and hypernatremia.

흉통 환자에서의 정서, 자존감 및 삶의 질에 대한 예비 연구

박숙현,제영묘,이대수,장세헌,최진혁,이한철,Park, Sook Hyun,Jae, Young Myo,Lee, Dae Su,Jang, Saeheon,Choi, Jin Hyuk,Lee, Han Cheol 한국정신신체의학회 2012 정신신체의학 Vol.20 No.2

연구목적 : 흉통을 호소하여 방문한 환자를 대상으로 우울, 불안, 자존감, 그리고 삶의 질 을 조사하고, 전형적 흉통과 비전형적 흉통에 따른 차이를 비교하였다. 방 법 : 39명의 흉통 환자와 40명의 대조군을 대상으로 하였으며, 순환기 내과 전문의의 문진과 심장 전산화 단층촬영, 답차운동부하검사, 관상동맥조영술 등을 시행하여 전형적 흉통과 비전형적 흉통을 감별하였다. 우울, 불안, 자존감, 그리고 삶의 질을 평가하기 위해 BDI(Beck's Depression scale), STAI(State trait anxiety inven-tory), RSES(Rosenberg Self-esteem Scale), SBQOL(SmithKlein Beecham Quality of Life Scale)를 적용하였다. 결 과 : 심질환의 위험인자는 가족력을 제외하고는 전형적 흉통군, 비전형적 흉통군, 그리고 대조군 간에 차이가 없었다. 우울은 대조군에 비해 두 가지 흉통군 모두에 더 높았으나 흉통군 간에는 차이가 없었다. 불안은 대조군에 비해 두 가지 흉통군 모두에서 더 높았고, 전형적 흉통군에 비해 비전형적 흉통군에서 더 높았다. 자존감과 삶의 질은 대조군과 전형적 흉통군에 비해 비전형적 흉통군에서 더 낮았다. 결 론 : 흉통환자에서 불안과 우울에 대한 평가와 개입이 필요하며, 특히 비전형적 흉통환자에서는 자존감과 삶의 질 저하에 대한 접근도 병행이 되어야 함을 시사한다. Objectives : The objective of this study is to measure and to compare the rate of depression, anxiety, self-es-teem and the quality of life of the patients with chest pain. Based on the result of this study, the necessity of the psychiatric assessment and treatment of the patients with chest pain is emphasized. This study is a preliminary research for a larger scale investigation to be carried out in the future. Methods : Thirty nine patients with chest pain who visited Cardiovascular Division of Dept. of Internal Medicine Pusan National University Hospital and fourty normal control group(NC) were included in this study. The patients were classified into typical chest pain group(TCP, N=19) and atypical chest pain group(ACP, N=20) based on the cause of the pain. The cause was determined by cardiac computed tomography, exercise stress test, coronary angiography, and questionaires by a cardiology specialist. The patients were assessed with Beck Depression Inventory(BDI), State-Trait Anxiety Inventory(STAI), Rosenberg Self-Esteem Scale(RSES) and Korean version of the Smith Klein Beecham 'Quality of Life' scale(KvSBQOL). Results : 1) When the risk factors of cardiac disease is compared, most of the factors(Hypertension, Diabetes, Hyperlipidemia, Cerebral infarction) did not differ significantly among the two chest pain groups, except for the family history, for which TCP group showed higher risk than ACP group did. 2) As for the self-report questionaires scores, BDI score, which indicates the rate of depression, of both ACP group and TCP group was significantly higher than that of NC group in BDI for depression. STAI score, which measures anxiety, was also significantly high in both groups. Especially, STAI score was significantly higher in ACP group than TCP group. 3) In the aspect of self-esteem and quality of life, ACP group scored significantly lower than TCP group and NC group. The scores for TCP group and NC group did not differ significantly. Conclusions : The patients with chest pain showed more depression and anxiety than normal control group, regardless of the cause of the pain. However, TCP group did not show significantly larger drop in self-esteem and quality of life than ACP group did. This result implies that early psychiatric assessment and treatment is needed for the patients with such chest pain, since it is highly likely that the pain would lead to lower quality of life of the patients.

한국인(韓國人) 안면(顔面) 및 구강내(口腔內) 해부학적(解剖學的) 기준점(基準點) 측정(測定)과 垂直高經(수직고경)과의 관계(關係)에 대한 연구(硏究)

박숙현,허성주,조인호,Park Sook-Hyun,Heo Seong-Joo,Cho In-Ho 대한치과보철학회 1992 대한치과보철학회지 Vol.30 No.1

The purpose of this study was to obtain the guides of establishing vertical dimension by analyzing the facial and oral landmarks of Korean adults. The following conclusions were obtained from this study. 1. The ratio of bizygomatic width to dental arch width was 3.26 : 1 in male and 3.21 : 1 in female, and the ratio of vertical dimension to dental arch length was 2.49 : 1 in male and 2.39 : 1 in female. 2. It was obtained by analysis of multiple regression that the corelative formula, vertical dimension$=23.37+0.24{\times}bizygomatic$ $width+0.29{\times}dental$ arch length. 3. There was no statistically significant difference between the results of vertical dimension acquired by means of Hayakawa's prediction($68.04{\pm}3.16mm$ in male, $64.38{\pm}3.00mm$ in female) and that of vertical dimension by this study.

과시소비성향에 따른 뷰티관여도의 연령별 차이 비교

박숙현(Sook- Hyun Park). 박현주(Hyun-Ju Park) 한국인체미용예술학회 2011 한국인체미용예술학회지 Vol.12 No.4

The purpose of this study is to examine the effects of the conspicuous consumption tendency by age on Beauty involvement. The questionnaire method was used for the study method and the subjects of the study were females in their 20s - 50s. 580 sets of questionnaires were distributed and 554 sets were used for the final analysis and as for analysis. The results of this study are as following. First, as a result of the examination of the differences between conspicuous consumption and Beauty involvement by age, hair styling of beauty consumption behavior in their 20s and body shape management in their 50s were foung highest. Second, as a result of the analysis of the effects of the conspicuous consumption by age on the Beauty involvement, The people in their 20s and 50s influence the individuality pursuit orientation the factors of the doesn’t influence any of the people in their 20s to 50s. and the people in their 20s and 30s influence the hair direction and make-up direction among the factors of the brand orientation and those in the 40s hape management. the hight price orientation factor the 20s the skin management and hape management. The trend pursuit orientation factor showed its influence on 20s and 30s hair direction and make-up direction and those in the 40s the hair direction and skin management and those in the 50s the hair direction and make-up direction and skin management.

임상 ; 신생아 로타바이러스 감염의 임상소견과 유전자형

박숙현 ( Sook Hyun Park ),김동섭 ( Dong Sub Kim ),김행미 ( Heng Mi Kim ),문혜현 ( Hye Hyun Moon ) 대한주산의학회 2012 Perinatology Vol.23 No.4

목적 : 신생아집중치료실에 입원한 신생아들의 로타바이러스 검사를 통하여 감염 빈도, 로타바이러스의 혈청형을 조사 하고 감염과 임상 증상과의 관련성 및 로타바이러스 항원검사의 의의를 밝히기 위하여 본 연구를 시행하였다. 방법 : 2010년 7월부터 2011년 6월까지 경북대학교병원 신생아집중치료실에 입원한 신생아 408명을 대상으로 입원 첫 날 VIDAS Rotavirus? (bioMerieux사) 키트를 사용하여 대변의 로타바이러스 항원검사를 시행하였으며, 항원검사에서 양성을 보인 환자의 대변을 PCR 검사를 의뢰하여 혈청형을 조사하였다. 결과 : 총 신생아 408명 중 128명(31.4%)의 대변에서 로타바이러스 항원이 검출되었으며 그 중 113명에서 PCR 검사 를 시행하였고 유전자형은 42명(10.3%)에서만 확인할 수 있었다. 계절적으로 봄에 많이 발생하였으며(P=0.012) 출생 1 일 및 2일째 항원검사 양성인 환아의 PCR 양성률은 출생 후 3일 이상인 환아에 비하여 현저하게 낮았다(P〈0.001). 생 후 3일 이후 환자인 63명에서 PCR 양성 유무에 따른 로타바이러스 항원 RFV의 cutoff 값을 900으로 하였을 때 민감도 78%, 특이도 80% (AUC 0.823; 95% CI 0.714 to 0.931; P<0.0001)로 나타났다. PCR 양성인 42명 중 증상이 있는 환아는 26명(62%)이었으며 그 중 발열이 17명, 설사 15명, 구토가 3명에게서 나타났다. 나머지 16명(38%)에서는 증상이 없었 다. PCR 양성인 환아 42명의 바이러스 유전자형은 G4P[6]가 40명으로 95.2%였으며, 그 외에 G1P[8]이 1명, G3P[3] 1명 이었다. 결론 : 신생아실 입원 환자의 로타바이러스 연간 항원검사 양성률은31.4%였으며 PCR 양성률은 11.7%였다. 1-2일에 시 행한 검사에서 로타바이러스 항원검사의 위양성률이 현저히 높았으며 3일 이후의 변에서도 위양성이 높은 점을 고려할 때 신생아에서 VIDAS Rotavirus 항원검사 결과를 판정할 때 성인과 다른 RFV 기준 적용을 고려하여야 할 것으로 생각 한다. 신생아에서 가장 흔한 로타바이러스 유전자형은 G4P[6]였으며 신생아에서 로타바이러스 감염은 무증상 감염이 많았다. Purpose : This study was conducted to investigate the incidence of rotavirus infection and common rotavirus strains of newborn infants admitted to the NICU and elucidate association, between rotavirus infection and clinical symptoms, and the significance of rotavirus antigen test. Methods : From July 2010 to June 2011, stools of 408 newborns admitted into the NICU were tested for rotavirus antigen by enzyme-linked fluorescent assay. Rotavirus positive stools were performed RT-PCR. Results : A total of 408 stool samples were examined by VIDAS Rotavirus(R), and 128 specimens (31.4%) were proven positive. One hundred thirteen fecal specimens were eligible for RT-PCR and rotavirus was detected in 42 samples (10.3%). PCR (+) prevalence of antigen positive infants was significantly lower in 1-2 postnatal days group than infants older than three days after birth (P <0.001). Out of the 42 PCR positive infants, there were 26 (62%) symptomatic infants. Seventeen infants had fever, 15 had diarrhea, and 3 experienced vomiting. Rest of the 16 patients (38%) did not show any symptoms. The most common strain was G4P[6] (n=40, 95.2%), followed by G4P[8] (n=1, 2.4%), and G3P[3] (n=1, 2.4%). Conclusions : Rotavirus infection rate in the NICU was 31.4% in the antigen test and 11.7% in the PCR test. False positive rate of rotavirus antigen test was significantly higher in 1-2 postnatal days group. Thus, it should be considered to apply different RFV standards from adults when rotavirus antigen test result is evaluated in newborn infants. The most common strain of rotavirus was G4P[6].

성격 유형에 따른 외모 연출 요인 선호도 비교

박숙현(Sook-Hyun Park) 한국인체미용예술학회 2011 한국인체미용예술학회지 Vol.12 No.4

This study provides basic data for use in selecting styling factors that fit for college women in 20s. The differences in selections were correlated to differences in personality types. After determining the most common personal type and personal color type among college women by performing a personality test and personal color analysis of research subjects (selected at random), appearance styling factor preferences were compared by personality type. The MBTI method for measurement of college women (in 20s)’s personality was used, and one-on-one drape method for analysis of personal color type and questionnaire survey for measurement of appearance styling factors were used. A frequency analysis and crosstab analysis were performed using SPSS 18.0. Then, the followings were obtained: 1) College women in their 20s were mostly extroverted. Participants preferred summer for a personal color season, followed by spring. 2) Participants preferred the color of pink. The most preferred colors and tone were an achromatic color and deep tone respectively. Modern Image was the preferred fashion style. Most participants preferred silver accessories. 3) Compared to introverts, extroverts were more interested in the best colors, fashion color and tone, fashion style and accessory factors.

모던ㆍ고딕시대 복식과 포스트모던ㆍ르세상스시대 복식의 유사성 비교

박숙현(Park, Sook Hyun) 한국생활과학회 1999 한국생활과학회지 Vol.8 No.1

스포티브 스타일의 패션 이미지 세분화에 따른 선호도 및 구매행동 분석

박숙현(Sook-Hyun Park),이정민(Jeong-Min Lee) 한국생활과학회 2006 한국생활과학회지 Vol.15 No.4

슬리밍 화장품을 이용한 림프드레나쥐가 일부여성의 복부비만에 미치는 영향 -회사원을 중심으로-

박숙현 ( Sook Hyun Park ),윤천성 ( Chun Sung Youn ) 한국미용학회 2009 한국미용학회지 Vol.15 No.4

The abdomen obesity appear to be now growing as a factor which raise healthy problems such as cardiovascular disease and adult disease, not simple individual problem, as modern life styles become a factor which more deepens the abdomen obesity through insufficient exercise such as office business and stress, and going to and leaving the office by car. But many women try to control their weight through inappropriate methods than a desirable weight-control methods to balance their appearance, as they are more and more preferring the thin figure based on the beauty of the 21st century made through the mass media, which cases injuring their health are rapidly growing. So the purpose of this study is to make a comparative analysis of slimming cosmetics-applied group with lymph drainage massage and only slimming cosmetics-applied group on abdomen obesity women interested in improving abdomen obesity so that lymph drainage can be applied and generalized as an effective program guide for obesity control. This experiment was carried out 2 to 3 times a week, total 10 times for 4 weeks on the only slimming cosmetics-applied first experimental group (10 female office workers) and the slimming cosmetics-applied second experimental group (10 female office workers) with a lymph drainage abdomen program, and the control group (8 female office workers), to examine into general details, diets and exercises through a survey before experiment, and using One way ANOVA. And the paired t-test applying SPSS v. 12.0 was also carried out to examine into the effect of slimming cosmetics and lymph drainage on abdomen obesity in women. The results of this study were summarized as follows. 1) It showed that there is a significant difference by p<0.01 in BMI (Body Mass Index) change for the first experimental group (only slimming cosmetics-applied group) and the second experiment group (slimming cosmetics- and lymph drainage-applied group). 2) It showed that there is a significant difference by p<0.05 and p<0.01 in BMI change for the first experimental group and the second experiment group, respectively. 3) It showed that there is a significant difference by p<0.01 in WHR (Waist Hip Ratio) change for the first experimental group and the second experiment group. 4) It showed that there is a significant difference by p<0.05 and p<0.01 in WHR change for the first experimental group and the second experiment group. From the results of this study, the slimming cosmetics-and lymph drainage-applied second experimental group was more effective than only slimming cosmetics-applied first experimental group in general physical examination, and there was a significant difference in the effect of slimming cosmetics for the application of only slimming cosmetics, being a help to the solution of obesity. Consequently, good methods and directions will be proposed to the skin obesity and body-shape control programs, and the beauty industry dealing with slimming cosmetics, respectively.

선호스타일과 착용스타일별 신체 인지도와 만족도 차이 비교 (제2보) : 팬츠와 스커트를 중심으로

박숙현 ( Sook Hyun Park ),권미정 ( Mi Jeong Kwon ),이경림 ( Kyung Lim Lee ) 服飾文化學會 2004 服飾文化硏究 Vol.12 No.4