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한국어판 소아음성장애지수(pVHI-K : Pediatric Voice Handicap Index-Korean) : 표준화를 위한 예비연구
박성신,최성희,홍영혜,정년기,성명훈,김광현,권택균,Park, Sung-Shin,Choi, Seong-Hee,Hong, Young-Hye,Jeong, Nyun-Gi,Sung, Myung-Whun,Kim, Kwang-Hyun,Kwon, Tack-Kyun 대한후두음성언어의학회 2011 대한후두음성언어의학회지 Vol.22 No.2
Background and Objectives : The aim of this study is to introduce Korea version of pediatric VHI and to compare pVHI-K scores between children with dysphonia and children without voice problems before pVHI-K is developed as a preliminary study. Additionally, the relationship between pVHI and acoustic measures were investigated. Materials and Methods : pVHI-K scores in normal group were obtained from 15 parents who have children with no present or past history of a voice disorder, hearing loss, or related disability that can affect the their voice or speech. Dysphonia group consisted of 15 parents who have children with bilateral vocal fold nodule's at Department of Otolaryngology, the Seoul National University Hospital (SNUH). pVHI-K and acoustic parameters were measured in two group. Results : The mean pVHI scores (total, functional, physical, emotional) in normal group were 2.33 (T), 0.80 (F) 1.33 (P) and 0.27 (E), respectively whereas those of pVHI in children group with dysphonia were 23.13 (T), 11.07 (F), 5.73 (P) and 6.13 (E), respectively and significant differences were revealed in total pVHI score as well as in all of the sub-pVHI scores. Moreover, significant correlation between pVHI-K parameters (T, F, P) and acoustic measures [Shimmer(%)] were shown in children in dysphonia group. Conclusion : Reported by parents can be useful as a supplementary clinical tool for diagnosing and measuring treatment effectiveness in young children with dysphonia.
한국어판 말장애지수(The Korean Version of Speech Handicap Index)에 대한 예비연구
박성신,최성희,차원재,홍영혜,정년기,성명훈,하정훈,Park, Sung Shin,Choi, Seong Hee,Cha, Wonjae,Hong, Young Hye,Jeong, Nyun Gi,Sung, Myung-Whun,Hah, J. Hun 대한후두음성언어의학회 2013 대한후두음성언어의학회지 Vol.24 No.1
Background & Objectives : The Speech Handicap Index (SHI) is used to assess speech problem of head and neck cancer patients. The aim of this preliminary study was to evaluate the reliability and validity the Korean version SHI. Materials and Methods : Sixteen patients with oral cavity cancer and 26 normal control were participated in the study. Test-retest reliability of the Korean version of SHI was completed by 20 out of 42 subjects after 2weeks. Mann-Whitney U test was used to compare the Korean version of SHI scores between normal population and patients group. The relationship between the Korean version of SHI and diadochokinesis (DDK) was investigated using Spearman correlation coefficients. Results : The Korean version of SHI provided a high internal consistency (${\alpha}$=0.99) and test-retest reliability (Spearman rho 0.98). The mean SHI scores [total (T), speech (S), and psychosocial (P)] in normal population were 0.8 (T), 0.2 (S) and 0.4 (P), whereas those in patients group were 58.1 (T), 27.9 (S) and 27.0 (P) respectively. There were significant differences in total SHI score as well as in all of the sub-SHI scores between two groups. Moreover, significant correlation between the Korean version of SHI parameters (T, S, P) and sequential motion rate (SMR) were yielded in patients group. Conclusion : The Korean version of SHIwas reliable and valid. It can be useful as a supplementary clinical tool for diagnosing and measuring treatment efficacy of speech problems related to oral cavity cancer.
動的 電算化 斷層撮影術 및 血管造影術로 診斷한 肝血管腫 一例 報告
朴聖信,兪建,柳弼文 인제대학교 1984 仁濟醫學 Vol.5 No.2
A case of hepatic hemangioma is presented in which dynamic C-T scan provided a favorable diagnostic clue as the dense contrast enhancement spreaded from the periphery to the center of the lesion and remained more than 2 minutes after bolus injection. Cavernous hemangiomas are the most common benign tumors of the lifer which should be differentiated from other space-occupying lesions by procedures other than percutaneous liver biopsy. Selective hepatic angiography showing the characteristic 'cottonwool-like patch densities' has been the most useful technique for the preoperative diagnosis. Recently, dynamic C-T scan using rapid scanner proved to be a reliable and non-invasive diagnostic procedure.
朴聖信,金東洵,金禮會,徐賢淑,高一香 인제대학교 1985 仁濟醫學 Vol.6 No.4
Gastrointestinal metastasis of the lung cancer is an unusual finding but is found in 1-4% of the patients at the autopsy. Recently, several cases who were diagnosed as gastric metastasis during life were reported. We experienced a case of Pancoast type lung cancer (adenocarcinoma) and multiple adenocarcinomatous lesion in the gastrointestinal tract. Patient was a 39-year-old man who presented with left upper chest and arm pain. Chest x-ray showed a mass in the left apex. Aspiration cytology revealed a poorly differentiated adenocarcinoma. During a course of radiotherapy, he developed severe anemia. Gastroscopy revealed multiple fungating masses with umbilication in the esophagus, stomach and duodenum.
김남호,박성신,유건 인제대학교 1985 仁濟醫學 Vol.6 No.3
Vibrio vulnificus infection characterized by extraintestinal manifestations, that is, sepsis and severe wound infection. We experienced a case of sepsis due to V. vulnificus in a patient with liver cirrhosis. Two days prior to admission, the patient ate shell fish soup and partially roasted small octopus. After massive diarrhea far one day, he admitted due to low blood pressure and bilateral painful edematous skin lesion. The skin was markedly edematous and showed rapidly progressing multiple necrotic areas from feet to cephalad. He expired in spite of aggressive therapy. On his blood culture, pseudomonas was isolated initially, but V-vulnificus was isolated after reexamination. Antibiotic susceptibility test showed that all antibiotics tested except cephalothin and penicillin were sensitive.