급성 미로염으로 진단받은 환자의 한방 치험 1례

이승희,강주영,이수경,이창원,Lee, Seung-Hee,Kang, Ju-Young,Lee, Su-Kyung,Lee, Chang-Won 대한한방안이비인후피부과학회 2016 한방안이비인후피부과학회지 Vol.29 No.3

Objectives : The purpose of this study is to report the efficacy of using oriental medical treatment with acute labyrinthitis diagnosed patient.Methods : We experienced one case of acute labyrinthitis diagnosed patient treated with oriental medical treatment. To evaluate the results of this treatment, we measured the hearing recovery, decrease of tinnitus and vertigo. Decrease of tinnitus and vertigo was assessed by THI and Visual Analogue Scale(VAS).Results : VAS of tinnitus decreased from 1.5 to 0.2, and vertigo decreased from 2 to 0. THI decreased from 41 to 25.Conclusions : This study suggests that using oriental medical treatment is effective on Acute labyrinthitis.

알코올로 인한 Wernicke disease의 치험 1례

이승희,라수연,김민석,정희,이유경,이태훈,김경훈,김성균,Lee, Seung-Hee,Ra, Su-Yeon,Kim, Min-Seok,Jung, Hee,Lee, Yu-Gyung,Lee, Tae-Hoon,Kim, Kyeong-Hun,Kim, Sung-Gyun 대한한방내과학회 2001 大韓韓方內科學會誌 Vol.22 No.4

Wernicke Disease is well known of nutriotional disorders Wernicke Disease is charaterized by ataxia, confusion and oculomotor disturbance. We diagnosis one patient, who has ataxia, confusion and oculomotor disturbance as Jusang(酒傷), and gave saenggangunbi-tang, bojungchiseub-tang and samchulgunbi-tang. We observed that clinical symptom and Liver function were improved by these herbal medicine Therefore We consider Wernicke Disease as Jusang(酒傷) and further reports with many case, however, will be needed.

유리체절제술을 받은 눈에서 발생한 황반원공의 자연폐쇄 1예

이승희,이근우,윤숙현,김윤영,Seung Hee Lee,Geun Woo Lee,Sook Hyun Yoon,Yoon Young Kim 대한안과학회 2013 대한안과학회지 Vol.54 No.10

Purpose: To report a case of spontaneous closure of a macular hole in a previously vitrectomized eye. Case summary: A 71-year-old female had undergone vitrectomy on the left eye due to a secondary epiretinal membrane with vitreous opacity caused by vasculitis. After the procedure, while the patient was still on medication for the recurrent inflammation of the anterior and posterior segment of the vitreous, a macular hole was found after fundus examinations. Visual acuity of her left eye was 0.125 and ocular coherence tomography (OCT) confirmed a full thickness macular hole with a perifoveal cyst. We recommended vitrectomy, internal limiting membrane peeling, and intravitreal gas injection, but the patient refused further intervention due to her poor general condition. After 2 weeks, resolution of the perifoveal cyst with the macular hole was observed. After 13 weeks, OCT revealed the complete closure of the macular hole with normal foveal depression and the patient regained 0.4 visual acuity. Conclusions: Spontaneous closure of macular hole is a rare phenomenon in vitrectomized eyes, but a small macular hole with inflammation may close spontaneously without additional intervention. Therefore, observation should be considered rather than hasty surgical intervention. Apparently, the spontaneous closure of a macular hole is due to degenerative processes such as development of macular edema and natural recovery.

제천전(濟川煎)과 약물(藥物) 가감(加減)이 흰쥐의 사하작용(瀉下作用)에 미치는 영향(影響)

이승희,이상준,박수연,김홍렬,박성규,Lee Seung-Hee,Lee Sang-Jun,Park Soo-Yeon,Kim Hong-Yeoul,Park Seong-Kyu 대한한의학방제학회 2002 大韓韓醫學方劑學會誌 Vol.10 No.1

We have examined the purgative effect of three Jechun-jun formulas in sprague dawley(SD) rat. Three jechun-jun formulas were Jechun-jun(Sample I ) and augmented Jechun-jun(Sample II) and augmented Jechun-jun add rhubarb(sample III ). We examined the amount and the humidity of feces in rat. The experimental animals were devided into four groups. as control group and three Jechun-jun (sample I, II, III). We administerd the water extract of sample I, II, III to rat per oral for 8days long. After every 24hours measured the amount of wet feces from rats in metabolic cage. Humidity rate of feces from rat was at first measure wet feces for 24hours (W) and measure dried feces (W1) and then we consider W-W1 as humidity. High humidity rate means constipation changes into moistening stool. The amount of wet feces and humidity rate of feces in rats were increased in sample I, II, III. Sample I has highest humidity rate of feces. so showed strong moistening effect. Sample II has mild effect in treating constipation. sample III has most amount of wet feces. in conclusion Jechun-jun has an effect of moistening stool. and augmented Jechun-jun add rhubarb has strong purgative effect.

폐쇄성 수면 무호흡증의 수면의 질 평가와 액티그라프의 역할

이승희,이진성,정도언,Lee, Seung-Hee,Lee, Jin-Sung,Jeong, Do-Un 대한수면의학회 2007 수면·정신생리 Vol.14 No.2

목 적:활동기록기는 활동도를 기록함으로써 수면과 각성을 판별할 수 있다. 수면다원검사와 달리 활동기록기는 싸고 간편하다. 그러나 뇌파를 포함한 여러 신호를 가지고 수면단계를 판별하는 수면다원검사와 달리 활동기록기는 기술적인 한계를 지니고 있다. 이 연구에서는 대표적 수면장애인 폐쇄성 수면무호흡증 환자에서 활동기록기와 야간수면 다원검사간에 수면변수를 비교하였다. 방 법:2004년 11월부터 2006년 3월까지 서울대학교 병원 수면의학센터에서 수면다원검사와 손목 활동기록법을 동시에 시행한 환자를 대상으로 하였다. 폐쇄성 수면 무호흡증 환자 89명, 폐쇄성 수면 무호흡증과 주기성 사지운동증이 동시에 있는 환자 21명이었다. 결 과:폐쇄성 수면 무호흡증 환자를 호흡장애지수(respiratory disturbance index, RID)에 따라 나누어 분석했을 때 경도(RDI<15), 중등도($15{\leq}RDI$<30) 환자군 및 주기성 사지운동증을 동반한 환자군에서는 활동기록법과 수면다원검사에서 얻어진 총수면시간 및 수면효율에 차이가 없었다. 폐쇄성 수면 무호흡증이 심한($30{\leq}RDI$) 환자에서 는 야간수면다원검사에 비해 활동기록법에서 얻어진 총수면시간이 유의하게 짧고 수면효율은 낮았다. 이들 모두에서 활동기록법과 야간수면다원검사에서 측정된 수면변수간에 유의한 양의 상관성은 관찰되지 않았다. 수면다원검사에서 얻은 총수면시간과 활동기록법에서 얻은 총수면시간의 차이와 호흡장애 지수(RDI)는 양의 상관관계를 보였으며 수면다원검사에서 얻은 수면효율과 활동기록법에서 얻은 수면효율의 차이와 호흡장애 지수(RDI)도 양의 상관관계를 보였다. 결 론:심한 폐쇄성 수면무호흡증 환자에서 활동기록기만으로 수면의 질을 평가해서는 안될 것이다. 경도와 중등도의 무호흡증에서는 활동기록기가 스크린 도구로 도움이 될 것이다. Background: Actigraphy is a reliable and valid method for assessing sleep in normal, healthy populations, but it may be less reliable and valid for detecting disturbed sleep in patients. In this study, we attempted to assess the utility of actigraphy in the estimation of sleep quality in patients with obstructive sleep apnea syndrome (OSAS), a major sleep disorder. Method: We analyzed the data of patients who underwent polysomnography (PSG) and actigraphy simultaneously for one night at the Center for Sleep and Chronobiology, Seoul National University Hospital from November 2004 to March 2006. Eighty-nine subjects with OSAS alone and 21 subjects with OSAS and periodic limb movement disorder (PLMD) were included for final data analyses between groups. Polysomnographic and actigraphic data were also compared. Results: In subjects with mild OSAS (RDI<15), modretae ($15{\leq}RDI$<30), and OSAS with PLMD, PSG and actigraphy did not show significant difference in total sleep time and sleep efficiency. However in severe ($30{\leq}RDI$) OSAS subjects, PSG and actigraphy showed significant difference in total sleep time and sleep efficiency. In all patients, no correlations were found between sleep parameters from PSG and from those using actigraphy. Conclusions: We suggest that in severe OSAS patients, PSG is the diagnostic tool. In mild and moderate cases, actigraphy might be used as a screening tool.

폐FRP의 층간분리를 위한 전처리방법에 관한 연구

이승희,이정기,김영주,Lee, Seung-Hee,Lee, Jung-Ki,Kim, Yong-Ju 한국해양환경•에너지학회 2012 한국해양환경공학회지 Vol.15 No.1

As one of the methods for recycling the FRP from the waste ships, separation of roving layer from the mat has some merits in a sense of the eco-friendly and economical recycling process. Similar characteristics, however, between the roving and the mat even with different ratio of the resin and the glass and the thickness of the roving, much thinner than the mat, make the mechanically automatic differentiation difficult. In this study spectrochemical differentiation between the two layers has been made using boiling concentrated sulfuric acid, methanol and isopropanol solution saturated with KOH, or hydrogen fluoride (HF) solution. Furthermore efficiently coloring water-soluble dye following the HF treatment makes the roving layer more distinguishable photophysically. The layer differentiation and the automatic layer distraction move up the date of simple and automatic separation process for the waste FRP. 중소형 폐 선박으로부터 생성되는 FRP를 재활용하기 위한 방법으로 층상으로 배열된 로빙층과 매트층을 분리하는 것은 친 환경적이면서도 경제적 재활용의 장점을 가지고 있다. 그러나 효율적으로 로빙층과 매트층을 분리하는 기술과 로빙층은 매트층에 비해 얇은 두께로 존재한다는 이유로 인해 로빙층을 매트층과 분리할 때 기계가 자동적으로 층간의 차이를 인식하는 방법은 아직 개발이 이루지지 않고 있다. 본 연구에서는 유리의 구성비가 다른 두 층의 화학적 성질의 차를 이용하여 광학적으로 층간 인식이 가능한 방법을 모색하였다. FRP에 대해 수지를 녹이는 진한 황산, 또는 유리를 녹이는 염기성 용액(KOH의 메탄올과 아이소프로판올 용액), 유리의 $SiO_2$와 반응하는 플루오르산(HF) 용액 등을 활용하여 두 층간의 차별화가 일어났다. 더 효율적으로는 HF 용액으로 처리한 후 수용성 물감으로 착색시킴으로써 광학적인 분별이 가능하였다. 층간 분별과 자동화된 층분리로 폐 FRP의 분리 공정이 단순화, 자동화를 달성하게 되었다.

Class II division I deep overbite 증례의 Twin block 제작

이승희,이종도,박광식,Lee, Seung-Hee,Lee, Jong-Do,Park, Gwang-Sik 대한치과기공학회 2010 대한치과기공학회지 Vol.32 No.2

소형 다동체 레저낚시어선의 선형설계에 관한 연구

이승희,이영길,강대선,Lee, Seung-Hui,Lee, Yeong-Gil,Gang, Dae-Seon 선박안전기술공단 2004 선박안전 Vol.16 No.-

쌍동선이나 삼동선과 같은 다동체를 가진 선박의 선형과 유체 동력학적 특징들에 대하여는 실험과 동시에 수치적으로 널리 연구되어 왔다. 본 연구는 소형 다동체 레저낚시어선의 선형개발에 관한 연구로서 모형실험은 인하대학교 선형시험구조에서 수행되었으며 수치계산은 Euler 방정식의 유한차분해법이 이용되었다.

의학교육 교수법을 향상시키는 열두 가지 조언

이승희,Lee, Seung-Hui 연세대학교 의과대학 2008 의학교육논단 Vol.10 No.1

의학교육에서의 가르치는 것과 배우는 것의 의미

이승희,Lee, Seung Hee 연세대학교 의과대학 2009 의학교육논단 Vol.11 No.2

Teaching and learning were carried out long before the word "education" was coined. As teaching and learning became more universal, the word "education" was construed as a social promise, and there was a general consensus as to what it denoted. Many university professors will most likely have great confidence and expertise with respect to "teaching" in their area of specialization, and they believe that they are fulfilling a social promise. However, how much expertise do they have in actually making students "learn"? How concerned are professors about enabling students to utilize their potential and talents to cultivate their learning abilities and to adjust to the different demands of various fields? The same issue arises in medical education. To what extent can professors' teaching heighten students' sense of purpose and motivation to learn? With regard to increasing learners' initiatives, the learning model of constructivism presupposes that learners are active and creative, have their own personalities, and possess unlimited learning potential. The PBL being carried out in medical schools today is a form of study that can take advantage of these aspects of learners. They can maximally widen the range of students' development through many intellectual activities and solve difficult problems by either sharing or critiquing the thoughts and ideas of others. The acts of teaching and learning that have been carried out for thousands of years remain difficult to this day and must be ceaselessly deliberated and researched by experts in the field of education. Just as good teachers are required to produce good learners, we must give ourselves room to rethink the basis of education in order to maximize effective and efficient learning.