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.

The Universality of the Pseudo Wet Bulb Temperature During the Second Falling Rate Period

박성신,Park, Sung-Shin Korean Chemical Society 1972 대한화학회지 Vol.16 No.2

물 및 Methyl Alcohol 과 같은 液體에 젖은 巨大孔 不活性 微少孔 不活性 및 微小孔 濕潤性 物質을 乾燥할때 假濕球 溫度가 普扁的으로 形成되며 假濕球 溫度는 空氣乾操의 第 2 減速期中 乾球溫度와 濕球溫道間에 나타난 하나의 새로운 一定溫道이다. 이 溫度는 液體 空氣 境界에서의 熱傳達, 蒸氣壙散, 液體蒸發 現象을 考慮한 式으로 計算되며 Nissan Bolles 및 George가 誘導한 式에 依하여 計算된 數値는 實險結果値와 一致한다. The universality of the pseudo wet bulb temperature has been established in the drying of macroporous inerts, microporous inerts, and microporous swellable materials using water and methyl alcohol as the liquids. The pseudo wet bulb temperature is a new constant temperature intermediate between the wet bulb and dry bulb temperatures of the air during the second falling rate period. This temperature is calculated from consideration of the heat transfer to, and vapor diffusion from, liquid evaporating at the liquid-air boundary. The experimental results agree with that calculated from the equation proposed by Nissan, Bolles and George.

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.

신생아 질식 환아에서 저산소성 허혈 뇌증의 정도와 급성신부전 발생과의 연관성

박성신,정성훈,송준혁,김선경,조병수,김성도,Park, Sung-Shin,Chung, Sung-Hoon,Song, Jun-Hyuk,Kim, Sun-Kyoung,Cho, Byoung-Soo,Kim, Sung-Do 대한소아신장학회 2007 Childhood kidney diseases Vol.11 No.1

목적 : 급성신부전은 질식 신생아의 사망률과 신경학적 예후와 관련이 있는 것으로 알려져 있다. 이에 본 저자들은 신생아 질식 환아에서 급성신부전의 발생률을 알아보고, 질식과 저산소성 허혈 뇌증의 정도와 급성신부전과의 연관성을 알아보고자 이번 연구를 시행하였다. 방법 : 신생아 질식으로 진단 받은 환아 33명과 임신 기간과 출생체중으로 짝지어진 환아 33명의 의무기록을 후향적으로 검토하였다. 5분 아프가 점수에 의해 신생아 질식의 정도를 경증(6 또는 7), 중등도(4 또는 5), 중증(3 이하)으로 세분하였으며, Sarnat and Sarnat stage에 의해 저산소성 허혈 뇌증의 단계를 분류하였다. 생후 3일에 측정한 혈청 크레아티닌, 혈액요소질소, 전해질 수치와 소변배출량, 혈뇨와 단백뇨 유무에 대한 기록을 검토하였다. 영상 검사를 통해 진단 받은 뇌실 내 출혈의 유무와 정도를 비교하였다. 결과 : 질식군 8명(24.2%)에서 급성신부전이 발생하였다. 이 중 3명(37.5%)이 감뇨성 급성신부전을 보였다. 경증 질식 1명(10.0%), 중등도 질식 2명(18.2%), 중증 질식 5명(41.7%)에서 급성 신부전이 발생하였다(P>0.05). 뇌증 1단계 1명(25%), 뇌증 2단계 4명(50%), 뇌증 3단계 3명(75%)에서 급성신부전이 발생하였다(P<0.01). 5분 아프가 점수에 의한 질식의 정도와 저산소성 허혈뇌증 단계와의 통계학적 연관성은 없었다. 뇌실내 출혈 1단계 1명(7.7%), 2단계 0명, 3단계 2명(66.7%), 4단계 2명(100%)에서 급성신부전이 발생하였다(P<0.01). 급성신부전이 발생한 집단에서 발생하지 않은 집단보다 사망률이 더 높았다. (P<0.05). 감뇨성과 비감뇨성 급성신부전 간의 차이는 없었다. 결론 : 저산소성 허혈 뇌증이 심할수록 급성신부전 발생률이 높았으며, 급성신부전 발생 집단에서 예후가 더 좋지 않았다. 저산소성 허혈 뇌증환아에서 급성신부전을 조기에 진단하여 적절한 수액 및 전해질 공급을 하여야겠다. Purpose : We performed this study to determine the incidence of acute renal failure(ARF) in birth asphyxia and to correlate the severity of asphyxia and hypoxic-ischemic encephalopathy (HIE) and ARF in asphyxiated neonates. Methods : Data was retrospectively collected from the medical records of 33 patients with neonatal asphyxia and of 33 neonates with no asphyxia. On the basis the 5-minute Apgar score, the asphyxiated neonates were further grouped into mild(6 or 7), moderate(4 or 5), and severe asphyxia(3 or less). Asphyxiated neonates with HIE were staged by the Sarnat and Sarnat scoring system. We compared serum creatinine, blood urea nitrogen, electrolytes, and urine output on day 3 of life and the incidence and severity of intraventricular hemorrhage(IVH) between each group. Results : ARF occurred in 8(24.2%) asphyxiated neonates. Of these, 3(37.5%) were oliguric, while 1(10.0%) patient with mild asphyxia, 2(18.2%) of moderate asphyxia, and 5(41.7%) with of severe asphyxia had ARF(P>0.05). One(25%) patient with stage I HIE, 4(50%) with stage II HIE, and 3(75%) of HIE with stage III HIE developed ARF(P<0.01). There was no statistical correlation between the severity of asphyxia and HIE stage. One(7.7%) patient with grade 1 IVE, 0(0.0%) with grade 2 IVH, 2(66.7%) with grade 3 IVH, and 2(100.0%) with grade 4 IVH had ARF(P<0.01). Mortality was higher in asphyxiated neonates with ARF(P<0.05). There was no significant difference between the oliguric and non-oliguric renal failure. Conclusion : We found that the greater the degree of HIE, the higher was the incidence of ARF. Asphyxiated neonates with ARF had a poorer prognosis.

초등학교 여교사를 대상으로 한 음성위생법 효과성

박성신,심현섭,정성민,박영학,조승호,Park, Sung-Shin,Sim, Hyun-Sub,Chung, Sung-Min,Park, Young-Hak,Cho, Seung-Ho 대한후두음성언어의학회 2004 대한후두음성언어의학회지 Vol.15 No.1

Background and Objectives : The purpose of the present study is to investigate the effect of vocal hygiene education for the female elementary school teachers. Materials and Method : Thirty healthy female elementary school teachers were enrolled for the study. We provided a vocal hygiene education to the half of them. Voice handicap index and acoustic parameters were measured before and 4 week after the education. The efficacy of vocal hygiene education was analyzed by Wilcoxon Signed-rank test. Results : The vocal hygiene group showed significant improvement both in the subjective and objective data after the education. However, the non-vocal hygiene group failed to show any improvement. In functional score, emotional score, jitter, shimmer, only Junior Class(JC) could find significant after the education. Only low career(LC) could find significant in subjective data. Conclusion : Vocal hygiene education may be useful in reducing vocal misuse and abuse associated with teaching, and can be an effective method to maintain and improve the vocal health of teachers.

매쉬업의 교육적 활용 방안 연구

박성신(Sung-shin Park),김창석(Chang Suk Kim),김대수(Dae Su Kim) 한국지능시스템학회 2008 한국지능시스템학회 학술발표 논문집 Vol.18 No.1

본 연구에서는 최근 웹2.0 열풍으로 인하여 각광받고 있는 많든 기술들 중에 OPEN API를 활용하여 새로운 서비스를 창출해내는 매쉬업에 대하여 알아보고, 매쉬업 서비스를 구현하기 위해 필요한 것들을 알아보았다. 마지막으로, 매쉬업을 활용하여 교육과 관련된 서비스를 제공할 수 있는 방법을 제안하였다.

웹 2.0을 기반으로 한 맞춤형 게시판

박성신(Sung Shin Park),김창석(Chang Suk Kim),김대수(Dae Su Kim) 한국지능시스템학회 2007 한국지능시스템학회논문지 Vol.17 No.6

인터넷 게시판은 수많은 사용자들의 생각과 그들이 가진 정보를 교환하기 위하여 주요한 방법으로 사용되고 있다. 그러나 공동의 게시판은 사용자 개개인의 관심분야를 만족시키지 못한다. 본 연구에서는 웹 2.0을 활용하여 각각의 사용자에게 맞춤형 서비스를 제공하는 인터넷 게시판을 설계한다. 설계될 인터넷 게시판은 사용자에게 제공되는 정보는 동일하지만, 각 사용자마다 설정된 정보에 의하여 정보의 분류가 다르게 이루어지도록 하여 자신이 원하는 정보를 보다 빠르게 검색할 수 있도록 하였다. 또한, 각 사용자는 개인 게시판을 생성하여 모든 사용자가 공유하는 게시판에서 자신에게 필요한 정보만을 자동으로 수집하여 저장할 수 있으며, 외부 RSS 피드들을 필터링하여 개인 게시판에 연결하거나, 자신만의 정보를 개인 게시판에 등록할 수도 있다. Internet bulletin boards have been used to exchange their idea and information among Internet users. But the existing Internet bulletin boards can not satisfy user's personal view. In this paper, Web 2.0 based customized Internet bulletin board is to design. The proposed Internet bulletin board provides each user with personalized information which are established by user beforehand. So user can retrieve his interested information fast. Moreover user can generate his own personalized bulletin board to collect one's interested information automatically. The personalized bulletin board is connected to several Internet bulletin boards with RSS feeds.

연구발표논문초록 : 전압법에 (全壓法) 의한 이성분 ( Acetone - Water ) 계의 등온기액평형 (等溫氣液平衡)

임진남,박성신,이학오 ( Jin Nam Rhim,Sung Shin Park,Hak O Lee ) 한국화학공학회 1973 춘계총회초록집 Vol.- No.-

과도한 운동으로 인한 횡문근융해증 2례

이정빈,박성신,김성도,조병수,Yi, Jung-Bin,Park, Sung-Shin,Kim, Sung-Do,Cho, Byoung-Soo 대한소아신장학회 2008 Childhood kidney diseases Vol.12 No.2

횡문근융해증은 다양한 원인에 의해 발생하며 여러가지 합병증이 발생할 수 있는 증후군이다. 합병증으로 심한 대사성 이상과 여러 장기의 침범이 동반 될 수 있는데 치명적인 합병증으로는 급성신부전이 나타날 수 있으며 이를 예방하기 위해 초기에 충분한 수액 요법을 실시하는 것이 필요하다. 저자들은 학교에서 벌로 과도한 운동을 시행 받은 후 발생한 횡문근 융해증 2례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Rhabdomyolysis is a syndrome involving the breakdown of skeletal muscle causing myoglobin and other intracellular proteins and electrolytes to leak into the circulation. There are various causes of acute rhabdomyolysis in childhood, such as direct trauma to muscle, muscle necrosis from ischemia, inflammation in muscle, or exposure to drugs and toxins. The most-important complication of this disorder is acute renal failure (ARF). However, the contributing factors to the development of ARF in children with rhabdomyolysis remain obscure. We report two cases of rhabdomyolysis after excessive exercise.

유방암 감시림프절에서 미세전이에 관한 연구

김성원(Sung-Won Kim),박성신(Sung-Shin Park),안수정(Soo-Jung Ahn),강희준(Hee Joon Kang),윤여규(Yeo-Kyu Youn),오승근(Seung Keun Oh),최국진(Kuk Jin Choe),노동영(Dong-Young Noh) 대한외과학회 2001 Annals of Surgical Treatment and Research Vol.60 No.2