여로에 의한 급성 중독 2례

성원영,이장영,김용환,박경남,이원석,양영모 대한응급의학회 2012 대한응급의학회지 Vol.23 No.5

Veratrum alkaloids in Veratrum maackii may cause significant gastrointestinal symptoms, bradycardia, hypotension,and arrythmia. We experienced successful outcomes in two patients who were victims of poisoning due to ingestion of Veratrum maackii, which was mistaken for Allium victorialis var. platyphyllum. One patient developed hypotension and prolongation of QT interval in electronicardiogram (ECG)and was treated with administration of vasopressor and magnesium. The other patient developed bradycardia and was treated with administration of atropine. Both patients were kept under close observation, and received supportive care, and both patients were discharged without any symptoms or complications.

산모에서 산후 유방통과 이혈 압통점과의 관계 연구

성원영,김락형 대한침구의학회 2009 대한침구의학회지 Vol.26 No.5

Objectives : The objectives of this study were to examine the specificity and the sensitivity of tenderness testing on the ear about the postpartum breast pain, and to improve the efficacy of the tenderness test. Methods : Thirty women who visited in the hospital for recuperating 2-14 days after childbirth participated in this study. They answered the questionnaire of the severity of breast pain and their auricular acupuncture points were tested by a long metal probe with round tip 1.1mm in diameter. We analyzed the relationship between auricular tenderness testing on mammary gland zone[CW6] and postpartum breast pain with validity and significance as grouping 8 diagnosis methods. Results : When we consider above ‘moderate pain’ or ‘severe pain’ in the auricular tenderness testing as a positive sign, and above ‘evere pain’ or ‘very severe pain’ in the self-reported breast pain score as a positive symptom, the diagnostic efficacy was highest. The sensitivity for tenderness testing was 0.62—0.75, and the specificity was 0.64-0.72, and the sensitivity and the specificity in the contralateral ear were a little higher than in the ipsilateral ear. Conclusions : These results suggest that auricular tenderness testing can be objectified clinically and be used in diagnosis.

흰쥐의 비장손상에 의한 조절되지 않는 복강 내 출혈모델에서 aprotinin의 효과에 대한 연구

성원영,임형우,조병준,이장영,양희범,양영모,홍성엽 대한응급의학회 2007 大韓應急醫學會誌 Vol.18 No.5

Purpose: We investigated the effect of the protease inhibitor, aprotinin, on mean arterial pressure (MAP), hematocrit (Hct), blood loss, and survival rate in rats with experimental splenic injury. Methods: We created an experimental splenic injury model in anesthetized rats by cutting the splenic parenchyma into three fragments. We analyzed the effect of aprotinin on three different treatment groups. The aprotinin treatment group received a single dose of 30,000 U/kg of aprotinin in 10 ml/kg normal saline, the tranexamic acid group was treated with a single dose of 100 mg/kg of tranexamic acid in 10ml/kg normal saline, and the saline control group was treated with only 10 ml/kg normal saline. In addition, a sham-operated group (laparotomy without splenectomy) was treated with 10 ml/kg normal saline. Results: MAP was higher in the sham-operated group and the aprotinin group than in the other groups. There were no significant differences for hematocrit except that the saline group exhibited a lower level than the other groups at the six-hour time point. The amount of intraperitoneal blood loss in the sham-operated and aprotinin groups due to splenic injury was significantly lower than in the tranexamic acid and saline groups. The survival rate in the aprotinin group was similar to the tranexamic acid group, but, the survival rate of the aprotinin-treated group was statistically higher than that of the saline control group. Conclusion: Hemodynamic changes resulting from splenic injury can be diminished by aprotinin treatment. Aprotinin could be considered in preference to other drugs as a first line treatment in hemodynamically unstable splenic injury patients.

ADHD 환자에게 미술치료와 한방치료를 병행하여 치료한 치험 3예

성원영 ( Won Young Sung ),유종호 ( Jong Ho Yoo ),황민영 ( Min Young Hwang ),김남열 ( Nam Yeol Kim ) 대한한방신경정신과학회 2014 동의신경정신과학회지 Vol.25 No.3

Objectives: Attention Deficit Hyperactivity Disorder (ADHD) is a psychiatric disorder, characterized by the primary symptoms of inattention and/or hyperactivity and impulsivity. The aim of this study is to investigate the clinical efficiency of the oriental medical therapy combined with art therapy in the treatment of ADHD. Methods: This study is clinical reports of 3 patients with ADHD who are being treated with the oriental medical therapy (Herb-med, acupuncture) and art therapy. K-ARS (Korean ADHD Rating Scale) was compared before and after 1 month of treatment. Results: The Oriental medical therapy including herb-med and acupuncture is effective in improving ADHD patients. Also, art therapy is effective in decreasing patients`` anxiety and tension and helpful for patients themselves to make an objective observation. Therefore, it is practically useful in the treatment of ADHD. Conclusions: The results show the oriental medical therapy in combination with art therapy is effective in the treatment of ADHD.

중학생에서 기질 및 성격검사를 이용한 사상체질 특성 연구

성원영 ( Won Young Sung ),김지영 ( Ji Young Kim ),김락형 ( Lak Hyung Kim ) 대한한방신경정신과학회 2011 동의신경정신과학회지 Vol.22 No.3

Objectives: The purpose of this study was to compare the profiles of Junior Temperament and Character Inventory (JTCI) and Sasang constitution in middle school students. Methods: In this study, healthy 89 students(13 to 15 years old) except for 3 Taeyangin were analyzed; 37 Soyangin, 30 Taeeumin, 22 Soeumin. The Sasang Constitutional types were determined by the results of TS-QSCD(Two Step Questionnaire for Sasang Constitution Diagnosis) and the seven dimensions JTCI 12-18(The Junior Temperament and Character Inventory) were compared among the different Sasang types using analysis of variance(ANOVA). Results: In the temperament dimensions, Soyangin showed significantly higher score than Taeeumin and Soeumin in Novelty Seeking(NS). Soeumin showed significantly higher score than Soyangin in Harm Avoidance(HA). Soyangin showed significantly higher score than the others in RD(Reward Dependence) (Soyangin>Soeumin>Taeeumin). In the character dimensions, Soyangin showed significantly higher score than Soeumin in SD(Self-Directness). There were no significant differences in P(Persistence), and C(cooperativeness) and ST(self-transcendence). Conclusions: These results demonstrate that there are some differences of the temperaments and characters among Sasang types and could help adolescents to understand and develope themselves.

불면에 대한 전침치료 동향 -1994-2009년 중국 임상 논문 중심으로

성원영 ( Won Young Sung ),김락형 ( Lak Hyung Kim ) 대한한방신경정신과학회 2009 동의신경정신과학회지 Vol.20 No.4

Objectives: The study was designed to evaluate the effect of electroacupuncture on patients with insomnia in China. Methods: We performed systematic review of case-control studies of electroacupuncture on patients with insomnia published from 1994 to 2009 in CNKI(中國知識基礎施設工程http://www.cnki.net). Results: 17 studies were selected. The electroacupuncture points frequently used were Sinmun(神門), Sameumgyo(三陰交), Baekhoe(百會), Sasinchong(四神聰), etc. G6805 electroacupuncture instrument were mostly used in those studies and the treating methods of electroacupuncture were various according to each study. Combination of both Electroacupuncture and other therapy reported better results than simple therapy such as simple electroacupuncture or acupuncture, western medicine, herbal medicine, auricular therapy. Conclusions: There have been many studies of electroacupuncture on patients with insomnia in China and these studies can applied to the clinical practices in Korea.

야뇨증에 대한 전침치료 동향 -1994-2010년 중국 임상 논문 중심으로

성원영 ( Won Young Sung ),김락형 ( Lak Hyung Kim ) 대한한방신경정신과학회 2010 동의신경정신과학회지 Vol.21 No.4

Objectives: The study was designed to evaluate the effect of electroacupuncture on patients with nocturnal enuresis in China. Methods: We performed systematic reviews of case reports and case-control studies of electroacupuncture on patients with nocturnal enuresis published from 1994 to 2010 in CNKI(中國知識基礎施設工程 http://www.cnki.net) at September, 2010. Results: 18 studies were selected. The electroacupuncture points frequently used were Chungguk(中極), Kwanwon(關元), Samumgyo (三陰交), Shinsu(腎兪), Bangkwangsu(膀胱兪), etc. G6805 electroacupuncture instrument was most frequently used in those studies and the treating methods of electroacupuncture were various according to each study. The combination of electroacupuncture and other therapy showed better results than the simple therapies such as simple electroacupuncture or acupuncture, western medicine, herbal medicine, auricular therapy. Conclusions: There have been 18 studies of electroacupuncture on patients with nocturnal enuresis in China and these studies can be applied to the clinical practices in Korea.

증례(證例) : 골반염(骨盤炎) 진단받은 대하(帶下) 환자 1례에 대한 증례보고

성원영 ( Won Young Sung ),성현아 ( Hyun Ah Sung ),박영선 ( Young Sun Park ),우창훈 ( Chang Hoon Woo ),김동철 ( Dong Chul Kim ) 濟韓東醫學術院 2009 東西醫學 Vol.34 No.4

아이젱크 성격검사와 기질 및 성격검사를 통한 사상체질 특성 연구

성원영 ( Won Young Sung ),김우경 ( Woo Kyoung Kim ),송정모 ( Jeong Mo Song ),김락형 ( Lak Hyung Kim ) 대한한방신경정신과학회 2012 동의신경정신과학회지 Vol.23 No.4

심정지로 응급실에 내원한 부정맥야기성 우심실이형성/심근병증 1례

양희범,성원영,박현욱,이장영,홍성엽,양영모 대한응급의학회 2006 대한응급의학회지 Vol.17 No.6

Arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) is a heart muscle disorder characterized by patch replacement of right ventricular myocardium by adipose and fibrous tissue and by electrical instability of the right ventricular myocardium. ARVD/C is rare in South Korea but is an important cause of cardiac arrest in young patients. The clinical manifestations of ARVD/C vary from sudden cardiac death of previously asymptomatic patients to chronic symptoms in patients with recurrent palpitations and/or right or biventricular failure. Diagnosis is based on several major and minor criteria involving structural, histologic, eletrocardiographic, arrhythmic, and genetic factors. Therapy is directed to prevent and/or treat malignant vetricular tachyarrhythmias with medications, implantable cadioverter defibrillator, radiofrequency ablation, and surgery in selected cases. We experienced a case of ARVD/C with ventricular fibrilltion in the emergency department. The electrocardiography of postresuscitation showed QRS prolongation and inversion of T waves in the right precordial leads. Echocardiography revealed a dilated right atrium and right ventricle, and right ventricular dysfunction. Multislice computed tomography and cardiac magnetic resonance imaging showed multifocal fat infiltration involving right ventricular myocardium, right ventricular trabeulae, and the right ventricular side of the ventricular septum with dilatation of the right ventricle and right ventricular outflow tract and abundant epicardial fat. An implantable cardioverter defibrillator was implanted, and the patient was transferred to another hospital.