소아 만성 기침의 원인 질환과 컬러 도플러 초음파 검사의 진단적 유용성

박선영,이준성,Park, Sun Young,Lee, Joon Sung 대한소아청소년과학회 2002 Clinical and Experimental Pediatrics (CEP) Vol.45 No.4

목 적 : 만성 기침을 주소로 내원한 환아들을 전향적으로 조사하여 그 원인 질환의 종류와 빈도를 알아보고 이에 대한 적절한 진단적 접근 방법과 관리 지침을 설정하는데 도움을 얻고자 한다. 방 법 : 2000년 8월부터 2001년 7월까지 일년 동안 가톨릭대학교 강남성모병원 소아과 만성 기침 클리닉에 3주 이상 지속적인 기침을 호소하여 내원하였던 132명의 환아를 전향적으로 조사하였다. 원인 질환의 규명을 위해서 설문지를 통한 자세한 병력 청취, 이학적 진찰과 함께 흉부와 부비동의 방사선 촬영을 하였고, 혈액학적 및 면역학적 검사를 실시하였으며 필요한 경우 알레르기 피부 검사와 메타콜린 유발 검사를 시행하였다. 위식도역류증을 진단하기 위해 24시간 식도 pH를 측정하였으며, 이와 함께 위식도역류증의 진단방법으로서의 유용성을 확인하기 위하여 컬러 도플러 초음파 검사를 시행하였다. 결 과 : 대상 환아의 성별은 남 : 녀가 1.1 : 1였으며 연령 분포는 영아기 9명, 유아기 82명, 학령기 38명, 청소년기가 3명이었다. 만성 기침을 유발하는 가장 흔한 원인으로는 기관지 천식이 40례로서 가장 많았고, 만성 부비동염이 22례, 위식도역류증이 7례, 그리고 천식과 부비동염을 동반한 경우가 28례, 천식과 위식도역류증을 동반한 경우도 14례가 있었다. 그 외 심인성 기침, 후두 연화증, 호흡기 이물, 만성 기관지염, 선택적 IgA 결핍증 등이 일부 원인 질환이었고 원인을 알 수 없었던 경우도 5례 있었다. 기관지 천식과 다른 원인 질환들간의 면역 글로불린, 림프구아형(lymphocyte subset)을 측정 비교한 바, 기관지 천식으로 진단 받은 환아들에서 만 IgE가 유의하게(P<0.01) 증가되었다. 메타콜린 유발 검사를 시행한 대상 환아들에게서 양성 반응을 보인 평균 메타콜린 양은 8.06 mg/mL로서 대부분 경도의 기도 과민성을 보여 기침이형천식임을 시사하고 있었다. 24시간 식도 pH 측정과 컬러 도플러 검사를 함께 시행하였던 51례에서 24시간 식도 pH 측정과 비교한 컬러 도플러 초음파 검사의 민감도는 88%, 특이도는 69%였으며, 양성 예견치는 85%, 음성 예견치는 73%의 결과를 보였다. 결 론 : 만성 기침의 원인 질환으로는 빈도상 기관지 천식이 가장 많았고, 다음으로 부비동염, 위식도역류증의 순이었다. 단독 질환에 의한 경우가 많았으나 두가지 이상 복합 질환에 의한 경우도 많아, 원인 질환을 규명할 때는 이를 염두에 두어야 되겠다. 또한 위식도 역류증 선별 검사법으로 외래에서 간단하게 실시 할 수 있는 컬러 도플러 검사가 유용함을 알 수 있었다. Purpose : The objectives of this study were to investigate the causes of chronic cough and to establish the appropriate diagnostic approach to chronic cough in children. Methods : One hundred and thirty two cases of chronic cough were prospectively evaluated. They visitors to pediatric chronic cough clinics at Kang-nam saint Mary's Hospital of Catholic University from August 2000 to July 2001 for 12 months. Careful history taking by questionnaire, physical examination, radiologic studies of chest and sinus, hematologic and immunologic studies, allergic skin tests, and methacholine challenge tests were performed. Color doppler(CD) ultrasonography were performed and compared with simultaneous 24 Hr. esophageal pH monitoring to diagnose gastroesophageal reflux disease(GERD). Results : Age distributions were demonstrated that nine in infants, 82 in early childhood, 38 in late childhood, and three in adolescence. Common causes of chronic cough were bronchial asthma in 40 cases, chronic sinusitis in 22 cases, GERD in seven cases, bronchial asthma combined with sinusitis in 28 cases, bronchial asthma combined with GERD in 14 cases, psychogenic cough in two. cases, foreign body in one case, chronic bronchitis in one case, and bronchiolitis in one case. Comparing with 24 Hr. pH monitoring, sensitivity, specificity, positive predictive value and negative predictive values of CD ultrasonography were 88%, 69%, 85 %, and 73% respectively. Conclusion : The most common causes of chronic cough in children were bronchial asthma, sinusitis and GERD in order. We suggest that CD ultrasonography can be used as a good, convenient screening method for patients with suspected GERD in outpatient settings.

연축성발성장애의 청지각적 평가 및 공기역학적 특성

박선영,김재옥,임성은,남도현,최홍식,Park, Sun-Young,Kim, Jae-Ock,Lim, Sung-Eun,Nam, Do-Hyun,Choi, Hong-Shik 대한후두음성언어의학회 2008 대한후두음성언어의학회지 Vol.19 No.1

Background and Objectives : This study was performed to investigate the perceptual and aerodynamic characteristics and the relation between vocal efficiency and the severity of strained voice. of adductor spasmodic dysphonia. Materials and Methods : 13 female patients with adductor spasmodic dysphonia were examined and compared with 10 normal female control group. MPT, MFR, Psub, Sound Intensity, VE(vocal efficiency) were obtained using PAS(Phonatory Aerodynamic System). GRBA(S) scale was used for Perceptual evaluation. Results : Psub(subglottic pressure) of SD was significantly higher than normal group. MPT, MFR, Sound Intensity, VE were not significantly different between two groups. Correlation between VE and 'S'(strained) was not significant. Conclusion : The results of this study show that certain aerodynamic parameters(Psub) distinguish adductor spasmodic dysphonia from normal voice.

연식주퇴 시스템의 전방운동량에 관한 연구

박선영,배재성,황재혁,강국정,안상태,Park, Sun-Young,Bae, Jae-Sung,Hwang, Jai-Hyuk,Kang, Kuk-Jeong,Ahn, Sang-Tae 한국군사과학기술학회 2010 한국군사과학기술학회지 Vol.13 No.6

A soft-recoil or FOOB (Fire-Out-Of-Battery) system can reduce the recoil force considerably. Its firing sequency is different from that of a conventional or FIB (Fire-In-Battery) system. In FOOB system, the gun is latched and preloaded in its battery position prior to firing. When unlatched, the gun is accelerated to the forward direction and then the forward momentum of the recoil part is generated. Since this momentum reduces the recoil impulse, the recoil force will decrease significantly. When designing the soft-recoil system it is important to design the forward momentum profile of a recoiling part. In the present study, the method to determine the forward momentum has been studied and its optimum value has been obtained theoretically. The numerical simulation of the soft-recoil system is performed to show that the present soft-recoil system works functionally well.

전통 고추장과 개량 고추장의 품질특성

박선영,김슬기,홍상필,임상동,Park, Sun-Young,Kim, Seulki,Hong, Sang-pil,Lim, Sang-Dong 한국식품조리과학회 2017 한국식품조리과학회지 Vol.33 No.2

Purpose: This study investigated the quality characteristics of traditional and commercial red pepper pastes (Gochujang) for development of traditional red pepper pastes. Methods: Proximate compositions, amino acid nitrogen contents, salt contents, color, viable bacteria, and inorganic substance contents of 19 traditional and three commercial Gochujang were investigated. Results: Analysis of proximate compositions showed huge differences between the samples. For moisture content, six kinds of traditional Gochujang did not meet the standard of the food codex. Contents of moisture, fat, and protein were significantly higher in traditional than commercial Gochujang. However, carbohydrate content was higher in commercial than traditional Gochujang, and thus calories were also higher. The amino nitrogen contents of the three kinds of traditional Gochujang did not meet the standard of the food codex. Salt contents and color were not significantly different between traditional and commercial Gochujang. In the microbiological analysis, total bacteria counts were higher in traditional than commercial Gochujang. The number of B. cereus did not exceed the standard of the food codex in all samples. S. aureus and fungi were not detected in any samples. In the inorganic substance analysis, inorganic substances contents in Gochujang were in the order of Na, K, Mg, and Ca. Overall, Na, K, Mg, and Ca were more abundant in traditional than commercial Gochujang. However, due to wide variations in inorganic substance contents of traditional Gochujang, there were no significant differences between traditional and commercial Gochujang. Conclusion: For the development of traditional Gochujang, quality standardization is considered necessary.

연구논문 - 무기 / 유기 : 함질소 아실 아미도에틸아민 유도체의 합성과 계면성

박선영,김상춘,정노희,남기대 ( Seon Young Park,Sang Chun Kim,No Hee Jeong,Ki Dae Nam ) 한국공업화학회 1994 한국공업화학회 연구논문 초록집 Vol.1990 No.3

지역별 전통된장과 개량된장의 품질특성

박선영,김슬기,홍상필,임상동,Park, Sun-Young,Kim, Seulki,Hong, Sang-pil,Lim, Sang-Dong 한국식품조리과학회 2016 한국식품조리과학회지 Vol.32 No.6

Purpose: This study aimed to investigate the quality characteristics of traditional and commercial soybean pastes (Doenjang) for development of traditional soybean pastes. Methods: Proximate compositions, amino acid nitrogen contents, pH, acidity, salt contents, chromaticity, viable bacteria and inorganic substance contents of nineteen traditional and three commercial Doenjang were investigated. Results: Analysis of proximate compositions indicated a significant difference between samples. In moisture content, D10 did not meet the standard of food codex. The contents of moisture, fat, protein and ash were slightly higher in traditional than commercial Doenjang. However, the carbohydrate content was 2-fold higher in commercial than traditional, and thus, the calories were also higher. The amino nitrogen content was lower in commercial than traditional Doenjang. pH, acidity and salt contents of Doenjang were pH 4.67-6.15, 1.53-3.29%, and 9.01-18.78%, respectively. pH and acidity showed no significant differences between traditional and commercial Doenjang, however, salt contents were significantly higher in traditional than commercial Doenjang. In case of chromaticity, the averages of L, a, b values were higher in traditional Doenjang. In microbiological analysis, total bacteria counts were higher in traditional than commercial Doenjang. The number of Bacillus cereus in D12 and D19 exceeded the standard of food codex. Staphylococcus aureust was undetected in all samples. The number of fungi varied widely between samples, with no detection in five traditional and all commercial Doenjang. Results of inorganic substance analysis indicated that contents of inorganic substances in Doenjang were in order of Na, K, Mg and Ca. Overall, Na content was higher in traditional Doenjang. Contents of inorganic substances showed wide variations in traditional Doenjang. Conclusion: For the development of traditional Doenjang, quality standardization and ensuring safety are considered necessary.

1997년 경상남도 중부지방에서 유행한 무균성 뇌막염의 임상적 고찰

박선영,권오수,김원엽,정원조,마상혁,김상기,남성진,조성래,구본천,이규만,Park, Sun Young,Kwon, Oh Su,Kim, Won Youb,Jung, Won Jo,Ma, Sang Hyouk,Kim, Sang Ki,Nam, Sung Jin,Jo, Sung Rae,Gu, Bon Chun,Lee, Kyu Man 대한소아감염학회 1998 Pediatric Infection and Vaccine Vol.5 No.1

목 적 : 장바이러스는 무균성 뇌막염의 가장 흔한 원인으로 알려져 있으며 1993년과 1996년에 국내에서 유행하였던 무균성 뇌막염은 주로 echovirus type 9에 의한 것이었다. 무균성 뇌막염의 유행시 원인 바이러스를 밝혀내는 일은 진단뿐 아니라 역학적인 의미에서도 필요하다. 이에 저자들은 1997년도에 마산 지역을 포함하는 경상남도 중부지역에서 유행하였던 무균성 뇌막염 환자를 대상으로 원인 바이러스를 규명하고 임상증상과의 관계를 추구하고자 본 연구를 시행하였다. 방 법 : 1997년 3월부터 10월까지 마산 파티마병원에 무균성 뇌막염으로 진단된 환자 239명(소아 213명, 성인 26명)에서 채취한 검체(뇌척수액 128례, 대변 239례)를 대상으로 바이러스 배양과 enterovirus RNA 검출을 시행하였다. 배양된 바이러스는 면역형광법을 이용하여 동정하였고 장바이러스 RNA는 reverse transcription-polymerase chain reaction(RT-PCR)을 이용하여 확인하였다. 결 과 : 1) 환자의 발생시기는 3월부터 10월까지였으며 6월에 가장 많은 환자의 분포를 보였다. 2) 대상 환자 239명(소아과 213명, 내과 26명)의 연령별 분포를 보면 소아환자의 평균연령은 4.9세로 신생아에서부터 15세에 이르기까지 다양하게 분포하였고 16세이상 내과 병동에 입원하였던 환자는 평균 연령이 24.2세로 16세에서 35세까지의 연령 분포를 보였다. 3) 환자에서 바이러스 분리는 뇌척수액 128례중 53례(41.4%), 대변에서는 239례중 163례(68.2%)에서 분리가 되었다. 4) 분리된 바이러스의 결과를 보면 뇌척수액에서는 echovirus type30이 16례(30.2%), echovirus type 6이 6례(11.3%), echovirus type 4가 1례, 아형이 결정되지 않은 echovirus가 4례, coxsackievirus type B5가 1례, 아형이 결정되지 않은 enterovirus가 24례 이었다. 한편 대변에서는 echovirus type30이 72례(44.2%), echovirus type 6이 21례(12.9%), echovirus type 4가 1례, 아형이 결정되지 않은 echovirus가 17례(10.4%), coxsackievirus type B5가 1례, A24가 2례, 아형이 결정되지 않은 coxsackievirus type B가 3례, 아형이 결정되지 않은 enterovirus가 46례였다. 결 론 : 1997년 3월부터 10월까지 경상남도 중부지방에서 무균성 뇌막염의 유행이 있었으며 원인 바이러스는 echovirus type 30이 주된 원인 바이러스이었고 그 외에 echovirus type 4, 6, coxsackievirus B5, coxsackievirus A24에 의한 무균성 뇌막염의 산발적인 발생이 있었다. Purpose : Enteroviruses are the most common cause of aseptic meningitis. The epidemics of aseptic meningitis in 1993 and 1996 were mostly caused by echovirus type 9. Identification of the causative virus of aseptic meningitis in epidemics, is very important not only for diagnosis but also for epidemiologic purpose. The purpose of this study was to identify the causative virus and investigate the relationship between aseptic meningitis, prevailed in Masan and surrounding areas in Kyoungsangnamdo in 1997, and its clinical manifestations. Methods : One hundred twenty eight cerebrospinal fluid(CSF) and 239 stool specimens were obtained from 239 patients(213 children and 26 adult patients) with aseptic meningitis were admitted to Masan Fatima Hospitals from March to October 1997. Viral isolation and serotype identification was performed by cell culture and immunofluorescent test. Enteroviruses not typed by immunofluorescent test was confirmed by reverse transcription-polymerase chain reaction(RT-PCR). Results : 1) The peak incidence was noted in June. 2) The age of 239 patients(pediatrics-213 cases, internal medicine-26 cases) that were diagnosed ranged from neonate to 35 years, the age of the patients of pediatrics ranged from neonate to 15years(mean 4.9 years), the age of the patients of internal medicine (above 16 years) ranged from 16 years to 35 years(mean 24.2 years). 3) Fifty-three(41.4%) of 128 CSF specimens were positive for enteroviruses, and 163(68.2%) of 239 stool specimens were positive for enteroviruses respectively. 4) Serotypes of 53 enteroviruses isolated from CSF were 16(30.2%) of echovirus type 30, 6(11.3%) of echovirus type 6, 1 of echovirus type 4, 4 of untyped echovirus, 1 of coxsackievirus type B5, and 24 isolates of untyped enteroviruses. Of 163 enterovirus isolated from stool were 72(44.2%) of echovirus type 30, 21(12.9%) of echovirus type 6, 1 of echovirus type 4, 17(10.4%) of undetermined subtyped echovirus, 1 of coxsackievirus type B5, 2 of A24, 3 of undetermined subtyped coxsackievirus type B, and 46 isolates of untyped enterovirus. Conclusion : There were epidemics of aseptic meningitis in the central areas of Kyoungsangnamdo from March to October 1997. The main causative organism was thought to be the echovirus type 30, and echovirus type 4, 6, coxsackievirus B5 and A24 were also thought to contribute to the epidemics.

양측성 성대결절 환자의 발성시작시간(VOT)에 관한 연구

박선영,김성태,김상윤,최승호,노종렬,남순열,Park, Sun-Young,Kim, Seong-Tae,Kim, Sang-Yoon,Choi, Seung-Ho,Roh, Jong-Lyel,Nam, Soon-Yuhl 대한후두음성언어의학회 2006 대한후두음성언어의학회지 Vol.17 No.2

Background and Objeetives : There are few studies reported that specifically examined the voice onset time(VOT) in patients with bilateral vocal nodules. The purpose of this study was to study the characteristics of voice onset in patients with bilateral vocal nodules. Materials and Methods : 52 female patients with bilateral vocal nodules were examined, aged from 20 to 54 years, and were compared with 25 normal female control group. All subjects produced five repetitions of the voiceless stops $/p^h,\;t^h\;k^h/$ in vowel context /ai_a/. VOT was measured by the time between the release of the stops and the onset of voicing. Results : VOTs of the voiceless stops $/p^h/\;and\;/t^h/$ in patients with bilateral vocal nodules were significantly shorter than those of normal subjects. VOT of the $/k^h/$ in them was shorter than those of normals, but the difference was not significant. This results showed that VOTs of the voiceless stops in patients with bilateral vocal nodules were shorter than those of normal subjects. Conclusion : The rapid onset of voicing in patients with bilateral vocal nodules might be associated with increased laryngeal muscle tension by hard glottal attacks. We suggest that VOT can be a clinically useful acoustic parameter for evaluating voice in patients with bilateral vocal nodules.

소아 알레르기 비염에 대한 추나요법의 효과: 체계적 문헌 고찰과 메타분석

박선영(Sun-Young Park),박인화(In-Hwa Park),이상현(Sang-Hyun Lee),황만석(Man-Suk Hwang),황의형(Eui-Hyoung Hwang),신병철(Byung-Cheul Shin) 척추신경추나의학회 2019 척추신경추나의학회지 Vol.14 No.1

Objectives : This review determines the evidence of effectiveness and safety of Chuna manual therapy (CMT) for pediatric allergic rhinitis. Methods : We searched 12 electronic databases (Pubmed, EMBASE, Cochrane Library, Web of Science, CAJ, J-STAGE, RISS, DBpia, NDSL, KISTI, KISS, and KMBASE) and two related journals up to the end of April, 2019. We only included randomized controlled trials (RCTs) investigating CMT for the treatment of pediatric allergic rhinitis. The methodological quality of the included RCTs was evaluated using the Cochrane risk of bias tool 1.0. Results : Twelve RCTs were eligible in our inclusion criteria. A meta-analysis of five studies demonstrated positive results for the using CMT for the treatment of pediatric allergic rhinitis. When used in conjunction with traditional Chinese medicine, CMT treatment significantly improved total efficacy rate compared with traditional Chinese medicine alone (P<0.02, n=5). Conclusions : Based on a published meta-analysis, there is reliable evidence for the use of CMT in treating pediatric allergic rhinitis. However, it should be noted that the studies included in this systematic review were heterogeneous and were of low quality, warranting further investigation using well-designed RCTs.

Analysis of the Conserved 18S rDNA Marker for Identifi-cation in Apple Cultivars Breeded in Korea

Sung Young Park(박선영),Chang Hoo Lee(이창후),Chung Sun Kim(김정선),Gung Pyo Lee(이긍표),Yong-Uk Shin(신용억),Jeong-Hwan Hwang(황정황),Daeil Kim(김대일) 한국원예학회 2002 한국원예학회 학술발표요지 Vol.2002 No.6