거골에서 발생한 유윙 육종/원시신경 외배엽종양 - 1예 보고 -

김선영,권혁포,노재수,조현오,Kim, Sun-Young,Kwon, Hyuck-Po,Roh, Jae-Su,Cho, Hyoun-Oh The Korean Society for Cytopathology 2004 대한세포병리학회지 Vol.15 No.2

Ewing's sarcoma (ES)/PNET is common in both axial and appendicular skeletons, but is extremely rare in the talus. Here, we report a case of ES/PNET of the left talus in a 29-year-old male patient diagnosed by fine needle aspiration cytology, and review the literature on similar cases. The cytological smears were composed of individually dispersed small round cells and occasional clusters of loosely cohesive cells. The tumor cells were fragile, frequently exhibiting naked nuclei. Two distinct types of cells were observed. The light (chief) cells displayed round or slightly oval nuclei with frequent indentations, generally inconspicuous nucleoli, and a thin rim of cytoplasm, which sometimes harbored small vacuoles. The dark cells were smaller, displaying scanty cytoplasm with dense hyperchromatic nuclei, intermixed with chief cells, and often manifesting as small molded groups. However, no significant nuclear pleomorphisms or mitoses were noted. Tumor cells in the ceil block revealed positive cytoplasmic glycogen, as determined by a PAS stain with diastase control, and also exhibited positive immunoreactivity for CD99.

세기조절 방사선치료(IMRT)의 환자 정도관리에서 다양한 이온전리함 볼륨이 정확도에 미치는 영향

김선영,이두현,조정근,정도형,김호식,최계숙,Kim, Sun-Young,Lee, Doo-Hyun,Cho, Jung-Keun,Jung, Do-Hyeung,Kim, Ho-Sick,Choi, Gye-Sook 대한방사선치료학회 2006 대한방사선치료학회지 Vol.18 No.1

Purpose: IMRT quality assurance(Q.A) is consist of the absolute dosimetry using ionization chamber and relative dosimetry using the film. We have in general used 0.015 cc ionization chamber, because small size and measure the point dose. But this ionization chamber is too small to give an accurate measurement value. In this study, we have examined the degree of calculated to measured dose difference in intensity modulated radiotherapy(IMRT) based on the observed/expected ratio using various kinds of ion chambers, which were used for absolute dosimetry. Materials and Methods: we peformed the 6 cases of IMRT sliding-window method for head and neck cases. Radiation was delivered by using a Clinac 21EX unit(Varian, USA) generating a 6 MV x-ray beam, which is equipped with an integrated multileaf collimator. The dose rate for IMRT treatment is set to 300 MU/min. The ion chamber was located 5cm below the surface of phantom giving 100cm as a source-axis distance(SAD). The various types of ion chambers were used including 0.015cc(pin point type 31014, PTW. Germany), 0.125 cc(micro type 31002, PTW, Germany) and 0.6 cc(famer type 30002, PTW, Germany). The measurement point was carefully chosen to be located at low-gradient area. Results: The experimental results show that the average differences between plan value and measured value are ${\pm}0.91%$ for 0.015 cc pin point chamber, ${\pm}0.52%$ for 0.125 cc micro type chamber and ${\pm}0.76%$ for farmer type 0.6cc chamber. The 0.125 cc micro type chamber is appropriate size for dose measure in IMRT. Conclusion: IMRT Q.A is the important procedure. Based on the various types of ion chamber measurements, we have demonstrated that the dose discrepancy between calculated dose distribution and measured dose distribution for IMRT plans is dependent on the size of ion chambers. The reason is small size ionization chamber have the high signal-to-noise ratio and big size ionization chamber is not located accurate measurement point. Therefore our results suggest the 0.125 cc farmer type chamber is appropriate size for dose measure in IMRT.

저분자 해양성 콜라겐과 γ-Aminobutyric Acid 생성 Lactobacillus brevis CFM20을 함유하는 이중코팅캡슐의 제조 및 특성

김선영,오도건,김광엽,Kim, Sun-Yeong,Oh, Do-Geon,Kim, Kwang-Yup 한국식품영양과학회 2017 한국식품영양과학회지 Vol.46 No.7

본 연구는 저분자 해양성 콜라겐과 GABA 생성 L. brevis CFM20의 섭취 시 다양한 인체 장내 조건에 의한 유산균의 사멸과 콜라겐의 분해를 최소화하고자 진행되었다. 유산균과 저분자 해양성 콜라겐의 안정성을 향상하기 위하여 alginate와 chitosan을 이용하여 이중코팅캡슐을 제조하였다. L. brevis CFM20의 온도별 생육특성을 분석하여 캡슐화에 유리한 배양온도를 조사한 결과 $37^{\circ}C$에서 배양한 균의 대수기가 가장 빠르고 GABA양 또한 $400{\mu}g/mL$로 가장 높은 수치를 나타내어 생육속도에서 가장 유리한 것으로 나타났다. Calcium-alginate bead 법으로 캡슐을 제조한 결과 1~2 mm 사이의 일정한 구형의 캡슐을 제조하였으며, chitosan을 이용하여 이중코팅캡슐을 제조한 결과 캡슐의 크기가 감소하였고 외형적으로도 더욱 단단해짐을 확인하였다. 제조된 이중코팅캡슐을 CLSM과 SEM을 이용하여 관찰한 결과, chitosan 코팅을 한 이중코팅캡슐의 표면이 alginate와의 가교결합에 의해 더욱 치밀해짐을 확인하였다. 체내 위와 장내 조건에서 시간에 따른 이중코팅캡슐의 L. brevis CFM 20 생균수를 분석한 결과 캡슐화한 경우 균의 감소가 더디어 더 안정하다고 판단하였다. 이중코팅캡슐을 체내 위와 장내 조건에서 시간에 따른 GABA와 hydroxyproline의 용출량을 분석한 결과 두 경우 모두 위 조건에서는 낮은 수치를 나타내었고 장내 조건에서는 시간이 지남에 따라 급격하게 증가한 것을 확인하였다. 동물실험 결과 콜라겐 섭취군이 비섭취군에 비해 체중증가량, 혈청 지질 농도 등이 적은 것을 확인하였고, 혈액 내 hydroxyproline 함량, 진피의 피부조직 밀도가 더 높은 것으로 관찰되었다. 본 연구에서 개발된 이중코팅캡슐을 섭취하는 경우 위에서는 안정한 상태였다가 장에 도달한 후 붕해됨으로 인하여, 유산균, GABA, 콜라겐 및 키토산의 작용으로 인체에 유익한 효과를 기대할 수 있을 것으로 생각된다. This study was performed to encapsulate low molecular weight marine collagen and ${\gamma}$-aminobutyric acid (GABA)-producing lactic acid bacteria to inhibit degradation and improve survival rate during exposure to adverse conditions of the gastro-intestinal tract. Calcium-alginate method was used for the manufacture of a double-layered coated capsule. The inner core material was composed of collagen and lactic acid bacteria, and the coating materials were alginate and chitosan. The sizes and shapes of the double-coated capsule were affected mainly by centrifuge speed and pH. Manufactured capsules were observed with a scanning electron microscope and by confocal laser scanning microscopy to confirm the micromorphological changes of capsules and bacterial cells. As a result, double-layered coated capsules were not degraded at pH 1.2, whereas degradation occurred at pH 7.4. In addition, GABA and collagen were maintained in stable state at pH 1.2. Therefore, double-layered coated capsules developed in this study would not be degraded in the stomach and could be stably delivered to the small intestine to benefit intestinal and dermatic health.

뇌성마비아의 임상적 양상

김선영,김재현,김찬문,Kim, Sun-Young,Kim, Jae-Hyun,Kim, Chan-Mun 대한물리치료과학회 1998 대한물리치료과학회지 Vol.5 No.3

Cerebral palsy is a neurodevelopmental impairment caused by a nonprogressive defect or lesion in single or multiple locations in the immature brain. The defect or lesion can occur in utero or during or shortly after birth and produces sensory-motor impairment that are usually evident in early infancy. The causes of cerebral palsy are not completely understood, certain prenatal, perinatal, and postnatal factors have been associated with cerebral palsy. This study was analysed the clinical features of 50 children with cerebral palsy (29 males and 21 females) in National Rehabilitation Hospital from March 17 to June 27, 1998. The time of initial visit was over than 12 months in 74%, and their cheif complains were delayed developments (78%). The preterm infants were 40% and the infants with low birth weight were 36%. The maternal age at childbirth was over than 30 years old in 52%. The most common type of cerebral palsy was spastic (54%), mixed (22%), athetosis and hypotonia (10% each), ataxia (4%). The cerebral palsy with preterm infants and low birth weight were more likely to have spastic type (P=0.002, P=0.023 each). The most preterm infants were born between 30 and 35 years old of maternal age, and there were statistical significance in difference (P=0.031).

자궁내막증 진단을 위한 생표지자의 유용성

김선영,이병석,Kim, Sun-Young,Lee, Byung-Seok 대한생식의학회 2010 Clinical and Experimental Reproductive Medicine Vol.37 No.1

진단적 복강경을 하지 않으면 자궁내막증의 진단이 불가능하다는 점은 의사들이 해결해야 할 과제 중 하나이다. 아직까지는 자궁내막증을 진단할 수 있는 획기적인 표지자가 없기 때문에 CA-125 같은 종양 표지자의 혈중 농도를 측정하였으나 진단 도구로 이용하기에는 한계가 있다. 이러한 이유로 초기 자궁내막증을 진단할 수 있는 방법을 연구하기 위한 여러 시도들이 있었는데 특히 자궁내막증 1, 2기 환자에서 병의 초기 상태에 복강경적 치료를 하였을 경우 자연 임신 성공률이 2배 가까이 높은 것으로 보고되었기 때문에 불임 여성에 있어 자궁내막증의 진단 시기는 임상적으로도 그 중요성이 매우 크다고 할 수 있겠다. CA-125는 자궁내막증 환자의 추적관찰에 있어 특이도가 높은 편이며 효용성이 있는데 특히 수술적 치료 후 장기적으로 병의 활성 혹은 재발을 평가하는데 있어 유용하다. 무작위적인 임상 연구 결과 자궁내막증과 관련된 불임이나 통증은 수술적 치료시 분명한 이득이 있는 것으로 보고된 바84 자궁내막증은 적절한 진단과 치료가 중요한 질환이라는 점을 다시 한번 상기해야 한다. 또한 병의 진행에 따른 여러 면역학적인 변화들이 확인되면서 자궁내막증의 진단에 있어 면역학적 표지자의 중요성이 부각되고 있다. 그 중에서도 복막액이나 혈청 내 사이토카인은 진단 도구로서 그 가능성에 주목을 받고 있으며 이에 대한 대규모 연구가 추후 필요할 것으로 사료된다. 최근의 면역학적 발견과 DNA 기술 발전은 자궁내막증의 진단에 있어 핵심적인 screening 도구의 발견에 일조할 것이며 이러한 기술적 발전을 근간으로 하여 머지 않아 획기적인 표지자가 개발될 것으로 기대한다.

소방공무원에서 우울 및 불안에 작용하는 대인관계 민감성/리질리언스의 영향

김선영,정나영,연보라,황선영,이경욱,Kim, Sun-Young,Jung, Na Youn,Yeon, Bora,Hwang, Sun-Young,Lee, Kyoung-Uk 대한불안의학회 2011 대한불안의학회지 Vol.7 No.2

Objective : This study aimed to ascertain the effect of interpersonal sensitivity/resilience on depression and anxiety in firefighters whose frequency of exposure to traumatic events is high. Method : A survey was performed and data related to 75 firefighters were analyzed. Questionnaires included the Beck Depression Inventory (BDI) and Impact of Event Scale-Revised (IES-R). To assess the susceptibility or protector roles with respect to psychopathology, the Interpersonal Sensitivity Measure (IPSM) and Conner-Davidson Resilience Scale (CD-RISC) were used. Results : The personality characteristic, interpersonal sensitivity (IPSM) showed a significant positive correlation with depression (BDI, r=0.557, p<0.001) and posttraumatic stress symptoms (IES-R, r=0.316 ; p<0.001). In contrast, resilience and symptom parameters (BDI, IES-R) were negatively correlated with each other, but not statistically significant. However, an adaptive factor for change, a third sub-factor of CD-RISC, had significant negative correlation with depression and anxiety symptoms (BDI, r=-0.275, p<0.005 ; IES-R, r=-0.254, p<0.005). Conclusion : The results of the present study showed that some personality traits may act as vulnerability or protective factors with respect to the psychopathologies of depression and anxiety.

옹진군 어장관리해역의 수질 및 퇴적물 환경 특성

김선영,김형철,이원찬,황동운,홍석진,김정배,조윤식,김청숙,Kim, Sun-Young,Kim, Hyung-Chul,Lee, Won-Chan,Hwang, Dong-Woon,Hong, Sok-Jin,Kim, Jeong-Bae,Cho, Yoon-Sik,Kim, Chung-Sook 해양환경안전학회 2013 해양환경안전학회지 Vol.19 No.6

어장관리해역으로 지정된 옹진군의 수질 및 퇴적물 환경 특성을 파악하기 위하여 2011년에 4개 도서(장봉도, 자월도, 영흥도, 백령도)를 대상으로 조사를 실시하였다. 수온은 $9.49{\sim}24.14^{\circ}C$로 계절변동 특성을 잘 나타내었고, 염분(23.19~31.49)과 용존산소(5.48~9.36 mg/L)는 수온과 역상관성을 보였으며, 화학적산소요구량(COD)은 평균 1.57 mg/L로 전체적으로 양호한 수준이었다. DIN과 DIP는 각각 0.111~0.666 mg/L, 0.002~0.043 mg/L의 범위로 전 정점에서 낮은 분포를 보였고, 엽록소 a의 농도는 $0.02{\sim}8.07{\mu}g/L$ 범위로 서해의 다른 해역보다 낮았다. 퇴적물의 입도 분포는 모래와 실트가 각각 56.7 %, 34.6 %로 우세하였고, 분급은 불량하였다. 퇴적물의 화학적산소요구량과 강열감량은 각각 $1.00{\sim}11.03mg/g{\cdot}dry$, 0.72~5.29 %의 범위로 시 공간적으로 유사한 경향을 보였다. 총유기탄소와 총질소의 C/N ratio는 8.17~17.97 범위로 하계에 육상기원과 해양기원에 의한 영향이 혼재하는 것으로 나타났다. 표층퇴적물의 미량금속 오염도 평가를 위해 농집지수($I_{geo}$)를 계산한 결과, Cr과 As를 제외한 나머지 금속원소에 의한 오염은 없는 것으로 판단된다. 이러한 연구 결과는 본 연구지역이 전체적으로 양호한 수질을 보이며, 유기물과 금속원소에 의한 표층퇴적물의 오염이 없다는 것을 보여준다. To improve productivity of aquaculture animals with management of culturing grounds, survey of mariculture management area in Ongjin-gun about water quality and sedimentary environment had been conducted on June, August and November in 2011. Water temperature in surface and bottom waters ranged from 9.49 to $24.14^{\circ}C$. Salinity and dissolved oxygen concentrations were in the range of 23.19~31.49 and 5.48~9.36 mg/L, respectively, depending on the variation of water temperature. The average concentration of COD was 1.57 mg/L and the concentrations of DIN and DIP showed entirely low level. As the result of grain size analysis, sand(56.66 %) and silt(34.60 %) were predominated. The Mz of sediment showed a variation of 2.59 to $6.62{\O}$ and sorting appeared to be poorly sorted. The concentrations of COD and IL in surface sediment ranged from 1.00 to $11.03mg/g{\cdot}dry$ and 0.72 to 5.29 %, respectively, which showed relatively good positive correlations. On the environmental assessment of trace metals in surface sediment, geoaccumulation index ($I_{geo}$) class indicated that sediments were not contaminated by most of metallic elements except Cr and As. Our result implies that this study area showed good water quality and sediments were not polluted by organic matters and metallic elements.

HA, TPS 및 $Al_2O_3$ 인공치근 매식체의 조직반응에 관한 실험적 연구

김선영,김영수,Kim, Sun-Young,Kim, Yung-Soo 대한치과보철학회 1991 대한치과보철학회지 Vol.29 No.2

Since the concept of a direct contact between bone and implants, without interposed soft- tissue layers, was reported by Dr. $Br{\aa}nemark$, there has been increasing necessity for correct under-standing of bone-implant interface and surrounding tissue response. Beside quality of bone, surgical technique, load applied to implants, one must consider implant materials, design and surface characteristics to obtain osseointegration. In this study HA plasma-sprayed implants, TPS implants and $Al_2O_3$ implants were inserted into the alveolar bone of dog and tissue response was observed with radiograph, stereoscope, light microscope, and scanning electron microscope. Results were as follows : 1. There was rapid and active bone formation in the region adjacent to HA plasma-sprayed implants but in the deep supporting bone only slight bone formation was seen. 2. There was considerable lamella bone formation in the region adjacent to TPS implants and the deep supporting bone became more compact. 3. There was some gap and sclerosing bone formation in the adjacent region of $Al_2O_3$ implants, but there was irregular new bone formation in the deep supporting bone. Therefore, it seems that $Al_2O_3$ is not adequate for osseointegrated implants.

시스템 엔지니어링 접근 방법에 의한 정유 플랜트의 FEED 수행 업무 프로세스 개발

김선영,차재민,김준필,서석환,서활원,Kim, Sun Young,Cha, Jae-Min,Kim, Junpil,Suh, Suk-Hwan,Sur, Hwal Won 한국시스템엔지니어링학회 2014 시스템엔지니어링학술지 Vol.10 No.1

Refinery plant producing petroleum products from crude oil has significantly contributed to the creation of the national interests as a leading engineering industries. However, domestic Engineering Procurement Construction (EPC) companies are facing heavy competition for orders. Domestic EPC companies as EPC contractors are faced with some problems such as undertaking responsibility for FEED packages produced by other FEED companies. But domestic EPC contractors are unfamiliar to development and validation of FEED packages. It causes poor profitability and lower competitiveness of domestic companies. It is necessary for domestic companies to have capability to perform FEED activities in order to overcome these limitations instead of focusing on EPC phase after FEED phase. The systematic procedure is needed to perform the FEED activities, however, there are present difficulties on it due to the lack of experience in FEED packages development which require various engineering knowledge of chemical process, mechanics, electrics, instrumentation, civil engineering. This study has applied systems engineering method which is multi-disciplinary approach to derive and verify the solution to meet the customer's needs when the complex system is developed to task execution process development of FEED activities for refinery plant. The problems that may occur in the future were identified in advance by taking into account the various stakeholders and system context through the application of systems engineering. It helps to develop the task execution process systematically. The developed task execution process of FEED activities is planned to make effectiveness verified by engineering professionals experienced in FEED and continually enhance this process by field application.

종아리에서 발생한 과립세포종양의 세침흡인 세포학적 소견 - 1예 보고 -

김선영,황진석,권혁포,양주헌,노재수,양완석,Kim, Sun-Young,Hwang, Jin-Seok,Kwon, Hyuck-Po,Yang, Ju-Heon,Roh, Jae-Su,Yang, Wan-Suk 대한세포병리학회 2004 대한세포병리학회지 Vol.15 No.2

Granular cell tumor is characterized by large eosinophilic cells with granular appearances. These are mostly benign. Approximately $1\sim2%$ are malignant, and establishment of reliable criteria for diagnosing malignant granular cell tumor has been difficult to establish because oi the rarify. Reports on the cytologic features of this neoplasm are hardly found in Korea. We report a case of rarely-occurring granular cell tumor in the lower leg of a 40-year-old male, diagnosed on fine needle aspiration cytology, together with a review of the literature regarding significant adverse histology and prognostic factors. The aspirates revealed cellular smears of isolated cells, syncytial clusters, and occasionally stripped nuclei in a nine, bluish-purple, granular background. Tumor cells were polygonal, rounded, or slightly spindled, and showed ill-defined granular cytoplasm. Nuclei were small and round or oval, with inconspicuous or small, prominent nucleoli. The nuclei showed rare intranuclear cytoplasmic invagination. Occasionally, there were mild to moderate nuclear pleomorphisms with vesicular nuclei, with large, prominent nucleoi, but no mitosis. The immunocytochemical stain for S-100 was strongly positive in the cytoplasm of tumor cells with occasional nuclei.